Podcasts about aprn

"Our goal of precision oncology has been to shift to tailored therapies that can help to improve treatment efficacy and ultimately improve patient outcomes. Resistance biomarker testing can help the care team to detect these genomic changes that the tumor may have acquired during therapy that makes the cells resistant to therapy. This information can be extremely helpful when we're talking about making choices about second-line or subsequent-line therapy," ONS member Danielle Fournier, DNP, APRN, AGPCNP-BC, AOCNP®, advanced practice RN at the University of Texas MD Anderson Cancer Center in Houston, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about drug resistance biomarker testing. This podcast episode is sponsored by AstraZeneca. ONS is solely responsible for the criteria, objectives, content, quality, and scientific integrity of its programs and publications. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Episode Notes  This episode is not eligible for NCPD credit.  ONS Podcast™ episodes: Episode 389: Biomarker Testing for Non-Small Cell Lung Cancer Episode 373: Biomarker Testing in Prostate Cancer Episode 169: How Biomarker Testing Drives the Use of Targeted Therapies ONS Voice articles: Help Your Patients Understand Biomarker Resistance Testing Key Patient Education Points for Biomarker Resistance Testing Quick Quiz: How Much Do You Know About Drug Resistance in Cancer? Quick Quiz: How Much Do You Know About Somatic Biomarker Resistance Testing? When Targeted Therapy Stops Working, What's Next? Discover How Biomarker Resistance Testing Opens New Doors ONS Biomarker Database Clinical Journal of Oncology Nursing article: Tumor-Agnostic Therapies Reshaping Cancer Care ONS book: Understanding Genomic and Hereditary Cancer Risk: A Handbook for Oncology Nurses ONS course: Genomic Foundations for Precision Oncology ONS Genomics and Precision Oncology Learning Library American Cancer Society Cancer Action Network: Access to Biomarker Testing page White paper: The Landscape of Biomarker Testing Coverage in the United States Find out which states are currently discussing biomarker testing bills and how you can advocate for them through ONS. To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode "We know that biomarkers are playing an ever more important role in cancer care, and really, their use can range anywhere from helping us to confirm a given diagnosis, understand a patient's cancer susceptibility or risk, evaluate prognosis, as well as personalize treatment recommendations. … But in some cases, though, biomarkers can also help us to avoid therapies that are not likely to work. We also call these drug resistance biomarkers. These are those biomarkers that signify that a tumor is unlikely to respond to a given therapy." TS 1:50 "Resistance to cancer therapies is one of the most common issues that arises during cancer treatment. Because the populations of cancer cells within a tumor can be very diverse, when a given drug kills the cells that are sensitive to that therapy, it can also eventually leave behind resistant tumor cells, which can grow and multiply over time. So this can ultimately lead to a point where the treatment that was initially effective is no longer able to control the disease." TS 4:33 "While costs have come down, there can still be a cost associated with biomarker testing, and in some cases, this can be considered a barrier to care. What patients pay out of pocket can vary widely depending on their insurance coverage. So we have some data that was published from the American Cancer Society Cancer Action Network, and this was published a few years ago in 2023, which showed the average allowed unit cost to insurers per biomarker test ranged anywhere from about $79 for patients who were on Medicaid to about $224 for large-group, self-insured patients." TS 10:03 "There's research underway that's looking not only at genomic changes—so DNA changes that impact drug resistance—but how other substances such as RNA and proteins within the cell can also contribute to drug resistance. And this kind of falls into not just genomics but multiomics field. I have no doubt whatsoever that the use of artificial intelligence and machine learning is likely going to play a large role in drug resistance research. And really, these tools can help researchers to analyze complex data sets, identify novel resistance biomarkers, predict resistance patterns, as well as help to develop treatments that may overcome some of those resistance mechanisms." TS 17:00

Regan Archibald sits down with Eric Edmeades (creator of WildFit) to explore the idea of “evolutionary mismatch”—how modern environments, routines, and food systems can pull people away from the conditions humans historically adapted to. Eric shares stories from multiple immersive visits with the Hadzabe in Africa, including lessons about food priorities, movement, and seasonal eating, and contrasts those patterns with rapid shifts he's observed in places like the UK, Estonia, and Dubai as ultra-processed foods and convenience culture spread. The conversation also touches on behavior change, the role of mood and environment in food choices, and Eric's “Gap Finder” assessment—an evaluation designed to help people identify everyday lifestyle “gaps” and choose practical next steps, combining ancestral insights with modern tools and coaching programs.ERIC:Website: https://ericedmeades.com/Instagram: https://www.instagram.com/ericedmeades/Facebook: https://www.facebook.com/ericedmeadesYouTube: https://www.youtube.com/@AWilderLifewithEricEdmeadesRESOURCES:Book Comprehensive Labs: https://agelessfuture.com/longevity-labs/FREE copy of The Peptide Blueprint: https://agelessfuture.com/blueprintSign up for future Health Accelerator Challenges calls LIVE! https://us02web.zoom.us/webinar/register/WN_YZsiUMOzSyqcE8IinC5YEQ#/registrationBooks: https://www.amazon.com/Books-Regan-Archibald/s?rh=n%3A283155%2Cp_27%3ARegan%2BArchibaldArticles: https://medium.com/search?q=Regan+ArchibaldLIKE/FOLLOW/SUBSCRIBE:YouTube -https://www.youtube.com/@ReganArchibald / https://www.youtube.com/@Ageless.FutureLinkedIn: https://www.linkedin.com/in/regan-archibald-ab70b813Instagram: https://www.instagram.com/ageless.future/Facebook: https://www.facebook.com/AgelessFutureHealth/DISCLAIMER: This video is for educational purposes only and does not provide medical advice, diagnosis, or treatment.  Many of the molecules discussed in this video are research compounds and are not approved by the U.S. Food and Drug Administration (FDA) for any specific medical use, indication, or condition. They are mentioned only in the context of existing scientific literature and ongoing research and are not being recommended, prescribed, sold, or offered through this video.  This content does not endorse or recommend any specific tests, products, procedures, or treatment protocols.References to our clinic are for general educational context only; investigational or non‑approved products are not available for direct ordering or prescribing based solely on viewing this content.  Do not start, stop, or change any medication, peptide, or supplement based on this video. All medical decisions must be made with a licensed prescribing clinician after a proper evaluation. No provider–patient relationship is created by viewing this content or contacting our clinic.  Regan Archibald is a Licensed Acupuncturist and longevity coach. He is not a medical doctor. Cade Archibald is COO and Co-Founder of Ageless Future, also not a medical doctor. All medical decisions, lab ordering, and prescribing in our clinic are performed only by our licensed medical team (MD, APRN, PA).  Viewers should follow the guidance of their own licensed clinicians and local health authorities regarding diagnosis and treatment decisions.

Skin changes are inevitable as we age — yet with today's advanced skincare practices and strategies, we have more tools than ever to help prevent and treat unwanted signs of aging. With so many options and so much noise around them, it's often hard to know what techniques will actually make a difference for you.    In this episode, Carrie Lucio, APRN, CNP, helps us understand the natural effects of aging on the skin, offering tips around lifestyle strategies and skincare products and services that are proven to help protect and care for aging skin, as well as combat some of the visible signs of aging.  Lucio also offers her take on several trending topics, including collagen, peptides, red-light therapy, and alternatives to Botox and fillers.   This episode of Life Time Talks is part of our series on Performance and Longevity with MIORA.   Find the episode highlights, get related resources and view the transcript for this episode at https://experiencelife.lifetime.life/podcast/how-to-care-for-our-skin-as-we-age-performance-longevity-series   Have thoughts you'd like to share or topic ideas for future episodes? Email us at lttalks@lt.life — we'd love to hear from you!   Follow us on Instagram: @lifetime.life   The information in this podcast is intended to provide broad understanding and knowledge of healthcare topics. This information is for educational purposes only and should not be considered complete and should not be used in place of advice from your physician or healthcare provider. We recommend you consult your physician or healthcare professional before beginning or altering your personal exercise, diet or supplementation program.    Life Time provides administrative, non-clinical support to MIORA as well as services and amenities related to general wellness and fitness; Life Time does not provide medical advice, diagnosis, treatment or care.

In this episode of the Health Accelerator Challenge, Regan Archibald discusses the concept of VO₂ max and why it is widely studied as a measure of cardiorespiratory fitness. He explains what VO₂ max represents—how the body transports and uses oxygen during intense activity—and why it is often used as a benchmark for physical conditioning. Drawing on research, personal training experiences, and stories from clients, he shares how structured exercise approaches like interval training and zone-based cardio can influence performance metrics over time. The conversation also touches on tools for measuring fitness, the role of accountability and goal-setting, and emerging areas of interest in mitochondrial and regenerative health, while emphasizing that consistent exercise remains a foundational part of maintaining physical capacity and enjoying an active lifestyle.RESOURCES:Book Comprehensive Labs: https://agelessfuture.com/longevity-labs/FREE copy of The Peptide Blueprint: https://agelessfuture.com/blueprintSign up for future Health Accelerator Challenges calls LIVE! https://us02web.zoom.us/webinar/register/WN_YZsiUMOzSyqcE8IinC5YEQ#/registrationBooks: https://www.amazon.com/Books-Regan-Archibald/s?rh=n%3A283155%2Cp_27%3ARegan%2BArchibaldArticles: https://medium.com/search?q=Regan+ArchibaldLIKE/FOLLOW/SUBSCRIBE:YouTube -https://www.youtube.com/@ReganArchibald / https://www.youtube.com/@Ageless.FutureLinkedIn: https://www.linkedin.com/in/regan-archibald-ab70b813Instagram: https://www.instagram.com/ageless.future/Facebook: https://www.facebook.com/AgelessFutureHealth/DISCLAIMER: This video is for educational purposes only and does not provide medical advice, diagnosis, or treatment.  Many of the molecules discussed in this video are research compounds and are not approved by the U.S. Food and Drug Administration (FDA) for any specific medical use, indication, or condition. They are mentioned only in the context of existing scientific literature and ongoing research and are not being recommended, prescribed, sold, or offered through this video.  This content does not endorse or recommend any specific tests, products, procedures, or treatment protocols.References to our clinic are for general educational context only; investigational or non‑approved products are not available for direct ordering or prescribing based solely on viewing this content.  Do not start, stop, or change any medication, peptide, or supplement based on this video. All medical decisions must be made with a licensed prescribing clinician after a proper evaluation. No provider–patient relationship is created by viewing this content or contacting our clinic.  Regan Archibald is a Licensed Acupuncturist and longevity coach. He is not a medical doctor. Cade Archibald is COO and Co-Founder of Ageless Future, also not a medical doctor. All medical decisions, lab ordering, and prescribing in our clinic are performed only by our licensed medical team (MD, APRN, PA).  Viewers should follow the guidance of their own licensed clinicians and local health authorities regarding diagnosis and treatment decisions.

Support the Institute today. https://givenow.nova.edu/the-institute-for-neuro-immune-medicine-inim-2025   In this episode of the Hope and Help For Fatigue and Chronic Illness podcast, Haylie Pomroy shares the mic with Dr. Irina Rozenfeld to discuss how toxicity impacts the body and its relevance in chronic illness. They dive into how we are exposed to environmental toxins in our day-to-day lives, how patients with multiple chemical sensitivity can reduce and avoid exposure, and share practical, clinically grounded strategies to limit toxicity at home and in our food. Dr. Rozenfeld also addresses sleep, diet, and detoxification as integral components of the patient's healing journey, and their impact on the nervous system and immune system. Together, they provide expert guidance regarding safe travel, the appropriate use of sauna therapy for detoxification, and how patients can effectively communicate with their healthcare providers about toxic burden and environmental exposures. Irina Rozenfeld, DNP, MSHS, APRN, ANP-BC, is a Board-Certified Nurse Practitioner committed to the health of her patients. Irina emphasizes patient-practitioner relationships, critical thinking, and patient education to develop an optimal treatment plan and achieve sustainable results. She obtained her Bachelor's of Science degree from Nova Southeastern University and a Master's of Science in Nursing Studies from Florida International University. Additionally, she has obtained a Master's degree in Integrative Medicine from George Washington University School of Medicine and a Doctoral degree at the University of North Florida. Before joining the INIM, Irina worked for more than twenty years as a physician assistant in Russia. After relocating to Florida, she worked as a Clinical Research Nurse at Nova Southeastern University. Irina obtained an international certification as a Clinical Research Professional and has been involved in research in many roles. Irina teaches at Nova Southeastern University College of Nursing as an adjunct faculty.   Facebook: https://www.facebook.com/irina.rozenfeld.1  LinkedIn: https://www.linkedin.com/in/irina-rozenfeld-413a4028/  Instagram: https://www.instagram.com/irina.rozenfeld.1/   Haylie Pomroy, Founder and CEO of The Haylie Pomroy Group, is a leading health strategist specializing in metabolism, weight loss, and integrative wellness. With over 25 years of experience, she has worked with top medical institutions and high-profile clients, developing targeted programs and supplements rooted in the "Food is Medicine" philosophy. Inspired by her own autoimmune journey, she combines expertise in nutrition, biochemistry, and patient advocacy to help others reclaim their health. She is a New York Times bestselling author of The Fast Metabolism Diet.   Learn more about Haylie Pomroy's approach to wellness through her website: https://hayliepomroy.com   Instagram: https://www.instagram.com/hayliepomroy  Facebook: https://www.facebook.com/hayliepomroy  YouTube: https://www.youtube.com/@hayliepomroy/videos  LinkedIn: https://www.linkedin.com/in/hayliepomroy/  X: https://x.com/hayliepomroy    Enjoy our show? Please leave us a 5-star review on the following platforms so we can bring hope and help to others.   Apple Podcasts: https://podcasts.apple.com/us/podcast/hope-and-help-for-fatigue-chronic-illness/id1724900423   Spotify: https://open.spotify.com/show/154isuc02GnkPEPlWfdXMT   Sign up today for our newsletter. https://nova.us4.list-manage.com/subscribe?u=419072c88a85f355f15ab1257&id=5e03a4de7d    This podcast is brought to you by the Institute for Neuro-Immune Medicine. Learn more about us here.   Website: https://www.nova.edu/nim/ Facebook: https://www.facebook.com/InstituteForNeuroImmuneMedicine Instagram: https://www.instagram.com/NSU_INIM/ Twitter: https://www.twitter.com/NSU_INIM

  To post or not to post, that is the question.  Join the co-hosts for a personal and a practical, real-world conversation about of the do's and don'ts of social media for med-surg nurses. Also, find out the one thing that's far more important than "likes".  MEET OUR CO-HOSTS Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team.   Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice.   Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing.  Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse.   Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland.  Currently she is stationed overseas, providing care for service members and their families.  During her free time, she enjoys martial arts and traveling.  Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.   

[#49] Vascular Occlusion (VO) is the scariest phrase in medical aesthetics. In today's episode of Fill Me In, Jon and Nicole go behind the scenes of a viral filler complication with Kristin Dobry (@ConfidenceByKristin).Kristin breaks down exactly how she managed a vascular occlusion in a patient's temple. We discuss what caused the VO, the importance of an emergency kit, and the step-by-step protocol used to ensure a full recovery with zero scarring. Whether you are a seasoned injector or a patient curious about dermal filler safety, this episode covers:Filler Safety: The debate between 22g vs. 25g cannulas.VO Symptoms: How to spot a reticular rash and delayed capillary refill.Anatomy Expertise: Why even the best injectors face complications.Patient Communication: The RIGHT way to discuss filler risks during consents.Follow Kristin on Instagram: https://www.instagram.com/confidencebykristin/?hl=enBook with Kristin:https://www.theconfidencebar.com/**DISCLAIMER** The content of this episode of Fill Me In: An Aesthetics Podcast is intended for educational and informational purposes only and does not constitute medical advice. The hosts, guests, and producers of this podcast do not endorse or recommend the use of any medical product, procedure, or treatment without proper clinical training, patient assessment, and full informed consent. Listeners are strongly advised to consult with their healthcare providers and adhere to all applicable laws and regulatory guidelines. We expressly disclaim any and all liability for any outcomes related to the use or misuse of the information presented in this episode.Fill Me In is hosted by Jonathan LeSuer, MSN, NP-C and Nicole Bauer, MSN, APRN, FNP-BC. Follow Fill Me In on Instagram!https://www.instagram.com/thefillmeinpod/Follow Nicole on Instagram:https://www.instagram.com/aestheticnursenicole/Nicole's Patreon:https://www.patreon.com/aestheticnursenicole?utm_source=searchExhibit Medical Aesthetics website:https://exhibitmedicalaesthetics.com/Follow Jon on Instagram:https://www.instagram.com/injectorjon/Jon's Patreon:https://www.patreon.com/Injectorjon?utm_source=searchTox and Pout Aesthetics website:https://toxandpout.com/Join Moxie! Is the business side of your Med Spa overwhelming? Moxie is the all-in-one growth system built to help you scale without the stress. Get software, marketing, compliance tools, and expert coaching all in one place. Fill Me In listeners get $500 off their launch fee! ➡️ Visit www.joinmoxie.com/fillmein Producer of Fill Me In: Joey Ginexi

>>Join our FREE monthly Gut Health Webinar, so you can begin your Healing Journey.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://modernendocrinewellness.com/join-gut-health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

In this episode, Cassandra Vonnes, DNP, GNP-BC, APRN, AOCNP, CPHQ, FAHA, a Gerontological Nurse Practitioner, and member of the GAPNA Communication Team, talks with Leslie Beth Eber, MD, CMD,  the Medical Director for Rocky Mountain Senior Care, in Englewood, Colorado, and the current President-Elect of the Post-Acute and Long-Term Care Medical Association. Dr. Eber reflects on how her mother's legacy of advocacy and priorities shaped her own commitment to improving care for older adults. She discusses the key challenges facing the post-acute and long-term care sector, including workforce strain and the need for clearer priorities in a politically unsettled healthcare landscape. She also explores the trifecta of influence: value, meaning, and efficacy, and shares her vision for deeper collaboration between the Post-Acute and Long-Term Care Medical Association (PALTmed) and GAPNA.Leslie Beth Eber, MD, CMD, is the Medical Director for Rocky Mountain Senior Care, in Englewood, Colorado, and currently serves as the President-Elect of the Post-Acute and Long-Term Care Medical Association.Cassandra Vonnes, DNP, GNP-BC, APRN, AOCNP, CPHQ, FAHA, is the Nurses Improving Care for Healthsystem Elders (NICHE) Coordinator, Geriatric Oncology, at the Moffitt Cancer Center, in Tampa, Florida. She is a member of the Gerontological Advanced Practice Nurses Association Communication Team and is a host of the GAPNA Chat podcast series.Discover GAPNA: https://www.gapna.org/Production management by Anthony J. Jannetti, Inc., for the Gerontological Advanced Practice Nurses Association.Opening Music by:Optimistic / Inspirational by Mixaund | https://mixaund.bandcamp.com
Music promoted by https://www.free-stock-music.comClosing Music by:Scott Holmes.http://www.scottholmesmusic.com

In this episode of Creating Your Ageless Future (Health Accelerator Challenge), Regan Archibald uses a “peptides as information” framework to discuss how peptides fit into the broader landscape of modern health and wellness. He contrasts how pharmaceuticals are typically defined and evaluated (including the clinical trial pathway) with the way he thinks about peptides as signaling molecules that interact with receptors and influence cellular communication. Along the way, he shares analogies (like texting vs. phone calls) to explain why context—such as lifestyle factors and individual variability—matters when people talk about outcomes, and he cautions against DIY protocols and unreliable sourcing. He closes by encouraging education, responsible oversight, and participation in upcoming community events.RESOURCES:Book Comprehensive Labs: https://agelessfuture.com/longevity-labs/FREE copy of The Peptide Blueprint: https://agelessfuture.com/blueprintSign up for future Health Accelerator Challenges calls LIVE! https://us02web.zoom.us/webinar/register/WN_YZsiUMOzSyqcE8IinC5YEQ#/registrationBooks: https://www.amazon.com/Books-Regan-Archibald/s?rh=n%3A283155%2Cp_27%3ARegan%2BArchibaldArticles: https://medium.com/search?q=Regan+ArchibaldLIKE/FOLLOW/SUBSCRIBE:YouTube -https://www.youtube.com/@ReganArchibald / https://www.youtube.com/@Ageless.FutureLinkedIn: https://www.linkedin.com/in/regan-archibald-ab70b813Instagram: https://www.instagram.com/ageless.future/Facebook: https://www.facebook.com/AgelessFutureHealth/DISCLAIMER: This video is for educational purposes only and does not provide medical advice, diagnosis, or treatment.  Many of the molecules discussed in this video are research compounds and are not approved by the U.S. Food and Drug Administration (FDA) for any specific medical use, indication, or condition. They are mentioned only in the context of existing scientific literature and ongoing research and are not being recommended, prescribed, sold, or offered through this video.  This content does not endorse or recommend any specific tests, products, procedures, or treatment protocols.References to our clinic are for general educational context only; investigational or non‑approved products are not available for direct ordering or prescribing based solely on viewing this content.  Do not start, stop, or change any medication, peptide, or supplement based on this video. All medical decisions must be made with a licensed prescribing clinician after a proper evaluation. No provider–patient relationship is created by viewing this content or contacting our clinic.  Regan Archibald is a Licensed Acupuncturist and longevity coach. He is not a medical doctor. Cade Archibald is COO and Co-Founder of Ageless Future, also not a medical doctor. All medical decisions, lab ordering, and prescribing in our clinic are performed only by our licensed medical team (MD, APRN, PA).  Viewers should follow the guidance of their own licensed clinicians and local health authorities regarding diagnosis and treatment decisions.

Dr. Irina Rozenfeld joins Haylie Pomroy to share in-depth insights on how toxins and toxic exposures impact the body both physically and physiologically. They examine how toxic burden develops through environmental and lifestyle exposures, outline the body's natural detoxification processes, and discuss practical strategies for minimizing exposure during everyday activities such as travel and sauna use. The conversation also emphasizes the importance of clear communication between patients and healthcare practitioners to help restore and maintain physiological balance. Dr. Rozenfeld further responds to audience questions, offering expert guidance on toxic workplace environments and explaining what occurs within the microbiome during periods of toxic exposure. Catch all of these insights on the Fast Metabolism Matters Podcast - Immune Health: Why Our Environment Matters. Irina Rozenfeld, DNP, MSHS, APRN, ANP-BC is is a Board Certified Nurse Practitioner committed to the health of her patients. Irina emphasizes patient-practitioner relationships, critical thinking, and patient education to develop an optimal treatment plan and achieve sustainable results. She obtained her Bachelor's of Science degree from Nova Southeastern University and a Master's of Science in Nursing Studies from Florida International University. Additionally, she has obtained a Master's degree in Integrative Medicine from George Washington University School of Medicine and a Doctoral degree at the University of North Florida. Before joining the INIM, Irina worked for more than twenty years as a physician assistant in Russia. After relocating to Florida, she worked as a Clinical Research Nurse at Nova Southeastern University. Irina obtained an international certification as a Clinical Research Professional and has been involved in research in many roles. Irina teaches at Nova Southeastern University College of Nursing as an adjunct faculty. Facebook: https://www.facebook.com/irina.rozenfeld.1  LinkedIn: https://www.linkedin.com/in/irina-rozenfeld-413a4028/  Haylie Pomroy, Founder and CEO of The Haylie Pomroy Group, is a leading health strategist specializing in metabolism, weight loss, and integrative wellness. With over 25 years of experience, she has worked with top medical institutions and high-profile clients, developing targeted programs and supplements rooted in the "Food is Medicine" philosophy. Inspired by her own autoimmune journey, she combines expertise in nutrition, biochemistry, and patient advocacy to help others reclaim their health. She is a New York Times bestselling author of The Fast Metabolism Diet. Learn more about Haylie Pomroy's approach to wellness through her website: https://hayliepomroy.com http://Hayliepomroy.com/cleanse Instagram: https://www.instagram.com/hayliepomroy  Facebook: https://www.facebook.com/hayliepomroy  YouTube: https://www.youtube.com/@hayliepomroy/videos  LinkedIn: https://www.linkedin.com/in/hayliepomroy/  X: https://x.com/hayliepomroy     

What if the most expensive healthcare decisions aren't made in the boardroom — but in the exam room, when the wrong infection gets treated with the wrong antibiotic? In this episode of the Your Health University, Podcast, Jamie sits down with Madison Browning, a registered nurse in urology at Your Health, to talk about what proper urological care actually looks like, why it matters far beyond the individual patient, and how a strong, collaborative provider team is the difference between a patient thriving and a patient stuck in a revolving door of emergency room visits. What you'll hear in this episode: Why getting a UTI diagnosis right the first time has massive implications for patient health and system costs The role nurse practitioners play in specialized urology care — and why their expertise is often underestimated How the team-based model at Your Health empowers every provider to collaborate and deliver better outcomes The direct connection between outpatient urology care and reduced hospital stays, ER visits, and downstream Medicare and tax costs Madison's genuine gratitude for the team around her — and what it looks like when a healthcare culture actually works If you've ever wondered whether the healthcare system could do better — this episode is proof that it already is, one patient at a time. www.YourHealth.Org

In this episode of The Nurse Practitioner Podcast, Julia Rogers, DNP, APRN, CNS, FNP-BC, FAANP, FAAN and Patti Ludwig-Beymer, PhD, RN, CTN-A, NEA-BC, CPPS, FTNSS, FAAN discuss mentoring.

*Replay of episode 18 from January 15th, 2025*Join Jon and Nicole as they discuss the essentials of Botox, fillers, and regenerative medicine in this beginner's guide. They address common patient questions, the differences between Botox and fillers, and their uses. Dive into topics like muscle movements, doses, injections, and holistic skincare regimes. Whether you're a new injector or a curious patient, this episode sheds light on everything from Botox touch-ups to the anatomy of filler treatments. They also touch on regenerative treatments like Sculptra, PRP, and the newer platelet-derived growth factors. Get ready to embark on a journey for a youthful glow!**DISCLAIMER** The content of this episode of Fill Me In: An Aesthetics Podcast is intended for educational and informational purposes only and does not constitute medical advice. The hosts, guests, and producers of this podcast do not endorse or recommend the use of any medical product, procedure, or treatment without proper clinical training, patient assessment, and full informed consent. Listeners are strongly advised to consult with their healthcare providers and adhere to all applicable laws and regulatory guidelines. We expressly disclaim any and all liability for any outcomes related to the use or misuse of the information presented in this episode.Fill Me In is hosted by Jonathan LeSuer, MSN, NP-C and Nicole Bauer, MSN, APRN, FNP-BC. Follow Fill Me In on Instagram!https://www.instagram.com/thefillmeinpod/Follow Nicole on Instagram:https://www.instagram.com/aestheticnursenicole/Nicole's Patreon:https://www.patreon.com/aestheticnursenicole?utm_source=searchExhibit Medical Aesthetics website:https://exhibitmedicalaesthetics.com/Follow Jon on Instagram:https://www.instagram.com/injectorjon/Jon's Patreon:https://www.patreon.com/Injectorjon?utm_source=searchTox and Pout Aesthetics website:https://toxandpout.com/Join Moxie! Is the business side of your Med Spa overwhelming? Moxie is the all-in-one growth system built to help you scale without the stress. Get software, marketing, compliance tools, and expert coaching all in one place. Fill Me In listeners get $500 off their launch fee! ➡️ Visit www.joinmoxie.com/fillmein Producer of Fill Me In: Joey Ginexi

In this powerful episode, longtime HPNA member Linda Blum, APRN shares experiences from the last few years of her rich nursing career in volunteerism —training incarcerated caregivers in a California state prison hospice program. Linda explores the ethical complexity of end-of-life care behind bars, from POLST conflicts and CPR decisions to pain management in a correctional setting where Medicare rules don't apply.  Through ELNEC education and interdisciplinary collaboration, she's helping nurses, correctional officers, and incarcerated caregivers reclaim agency and restore dignity at the end of life. This conversation examines moral distress, serious illness communication, and the transformative power of “risking love” in some of the most marginalized settings.  A moving reflection on bearing witness, professional courage, and the light within us all. About Humane Prison Hospice Project  The Humane Prison Hospice Project is developing a humanitarian, cost-effective, and transformative solution to ensure that those aging and dying in prison receive compassionate care. Since 2017, the Humane Prison Hospice Project has worked to ensure that incarcerated individuals receive compassionate end-of-life care from trained peers. Humane implements a comprehensive 80-hour, 15-module curriculum to train incarcerated individuals as peer caregivers, equipping them with the skills to provide hands-on care and emotional support to their aging and terminally ill peers. Graduates of this program are part of a growing movement to humanize end-of-life care behind bars. Since launching this initiative, we have trained over 150 peer caregivers across California prisons, and are bringing our programming to three states—Michigan, Washington, and Oregon—marking our first step toward national replication. Learn more on their website: https://humaneprisonhospiceproject.org/  For anyone listening who has experience in hospice, nursing, programming in prisons or facilitating, and you live in CA, WA, MI, or OR, Humane is seeking volunteer facilitators who participate in trainings for peer caregivers in prisons across each state. We'd love to hear from you -- please reach out to Camila Ryder at camila@humaneprisonhospiceproject.org with your name, location, and any relevant experience. If you're interested in learning more, register via Zoom for one of our virtual monthly Informational Meetings.      Linda Blum, GNP, MSN, RN   Linda Blum, GNP, MSN, RN, is a retired gerontological nurse practitioner living in California. Born and raised in New York State, she moved to the Bay Area over 45 years ago. Her early career included work in virology and immunology laboratories before she left a PhD program after the birth of her first child. She later worked as a birth doula and photographer and entered nursing school intending to become a nurse midwife. Instead, her path led her to the care of people with serious illness. She often jokes that she has a poor sense of direction and found end of life, not beginning of life, as she prefers anxious children to anxious parents.  Linda worked in home infusion and home hospice as a case manager and manager before returning to school for her at UCSF and then completing a palliative medicine fellowship at the VA in Palo Alto. She was  hired as the first clinician to provide palliative care/medicine consultation at California Pacific Medical Center.  Since retiring in 2023, Linda has volunteered her time and expertise with the Humane Prison Hospice Project, where she facilitates training for incarcerated individuals serving as peer caregivers. Her passion is helping to train nurses and professional staff in the carceral setting using a modified ELNEC curriculum.  Linda enjoys traveling, caring for her grandchildren, and telling silly jokes and puns. Her spirit animal is a penguin—preferably a Gentoo—and if you ask for photos, your inbox may quickly overflow.     Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Dr. Brett Snodgrass has been a registered nurse for 28 years and a Family Nurse Practitioner for 18 years, practicing in multiple settings, including family practice, urgent care, emergency departments, administration, chronic pain and palliative medicine. She is currently the Operations Director for Palliative Medicine at Baptist Health Systems in Memphis, TN. She is board certified with the American Academy of Nurse Practitioners. She is also a Fellow of the American Association of Nurse Practitioners and an Advanced Certified Hospice and Palliative Nurse. She completed a Doctorate of Nursing Practice at the University of Alabama – Huntsville. She is a nationally recognized nurse practitioner speaker and teacher. Brett is a chronic pain expert, working for more than 20 years with chronic pain and palliative patients in a variety of settings. She is honored to be the HPNA 2025 podcast host. She is married with two daughters, two son in laws, one grandson, and now an empty nest cat. She and her family are actively involved in their church and she is an avid reader.

Samantha Sobie DNP, APRN, NNP-BC is a Neonatal Nurse Practitioner and Clinical Specialist at AngelEye Health. She has over a decade of experience working in NICU (Neonatal Intensive Care Units). Samantha's doctoral work focused on assessing health literacy and improving the NICU discharge process. Today, she combines her clinical expertise with digital innovation to support families […] The post Neonatal Teaching: Health Literacy Lessons for Us All (HLOL #269) appeared first on Health Literacy Out Loud Podcast.

In this episode of the Ageless Future podcast, host Cade Archibald sits down with Dr. Brandon Burke to explore his journey from building multiple successful orthodontic practices to stepping into a new chapter focused on coaching and personal development. Brandon shares how growing up in a small Utah town shaped his drive, what it looked like to build a practice from scratch during the recession, and the moment he realized his achievements weren't the same as fulfillment. The conversation dives into themes of identity, burnout, resilience, and “unbecoming”—letting go of external validation to reconnect with purpose, emotional awareness, and grounded leadership in family and community. Brandon closes with a message about choosing to live as a creator rather than a victim, and how his most difficult season became the turning point that helped him realign his life.BRANDON BURKE:Websites: gettinlostisbeingfound.com and more-than-love.comIG: https://www.instagram.com/gettinlostisbeingfound/FB: @safetobeseenTikTok: https://www.tiktok.com/@gettinlostisbeing/YouTube: Safe To Be Seen~ https://youtube.com/@safetobeseenPodcast: https://podcasts.apple.com/us/podcast/safe-to-be-seen/id1817823527AGELESS FUTURE:Book Comprehensive Labs: https://agelessfuture.com/longevity-labs/FREE copy of The Peptide Blueprint: https://agelessfuture.com/blueprintSign up for future Health Accelerator Challenges calls LIVE! https://us02web.zoom.us/webinar/register/WN_YZsiUMOzSyqcE8IinC5YEQ#/registrationBooks: https://www.amazon.com/Books-Regan-Archibald/s?rh=n%3A283155%2Cp_27%3ARegan%2BArchibaldArticles: https://medium.com/search?q=Regan+ArchibaldLIKE/FOLLOW/SUBSCRIBE:YouTube -https://www.youtube.com/@ReganArchibald / https://www.youtube.com/@Ageless.FutureLinkedIn: https://www.linkedin.com/in/regan-archibald-ab70b813Instagram: https://www.instagram.com/ageless.future/Facebook: https://www.facebook.com/AgelessFutureHealth/DISCLAIMER: This video is for educational purposes only and does not provide medical advice, diagnosis, or treatment.  Many of the molecules discussed in this video are research compounds and are not approved by the U.S. Food and Drug Administration (FDA) for any specific medical use, indication, or condition. They are mentioned only in the context of existing scientific literature and ongoing research and are not being recommended, prescribed, sold, or offered through this video.  This content does not endorse or recommend any specific tests, products, procedures, or treatment protocols.References to our clinic are for general educational context only; investigational or non‑approved products are not available for direct ordering or prescribing based solely on viewing this content.  Do not start, stop, or change any medication, peptide, or supplement based on this video. All medical decisions must be made with a licensed prescribing clinician after a proper evaluation. No provider–patient relationship is created by viewing this content or contacting our clinic.  Regan Archibald is a Licensed Acupuncturist and longevity coach. He is not a medical doctor. Cade Archibald is COO and Co-Founder of Ageless Future, also not a medical doctor. All medical decisions, lab ordering, and prescribing in our clinic are performed only by our licensed medical team (MD, APRN, PA).  Viewers should follow the guidance of their own licensed clinicians and local health authorities regarding diagnosis and treatment decisions.

In this episode of Creating Your Ageless Future, Regan Archibald offers a high-level, educational walkthrough of regenerative medicine—covering commonly discussed categories like biologics, cellular therapies, signaling molecules, PRP, and exosomes—while emphasizing the importance of separating marketing from evidence. He shares why public interest has accelerated (including demographic and cultural factors), describes how product variability and regulatory action have shaped the landscape, and explains why research concepts like cell sourcing, handling, and testing are central to quality and safety discussions. Regan also outlines how teams often approach decision-making in this space—using diagnostics, careful sourcing, and lifestyle context—while cautioning against one-size-fits-all claims and DIY experimentation.RESOURCES:Book Comprehensive Labs: https://agelessfuture.com/longevity-labs/FREE copy of The Peptide Blueprint: https://agelessfuture.com/blueprintSign up for future Health Accelerator Challenges calls LIVE! https://us02web.zoom.us/webinar/register/WN_YZsiUMOzSyqcE8IinC5YEQ#/registrationBooks: https://www.amazon.com/Books-Regan-Archibald/s?rh=n%3A283155%2Cp_27%3ARegan%2BArchibaldArticles: https://medium.com/search?q=Regan+ArchibaldLIKE/FOLLOW/SUBSCRIBE:YouTube -https://www.youtube.com/@ReganArchibald / https://www.youtube.com/@Ageless.FutureLinkedIn: https://www.linkedin.com/in/regan-archibald-ab70b813Instagram: https://www.instagram.com/ageless.future/Facebook: https://www.facebook.com/AgelessFutureHealth/DISCLAIMER: This video is for educational purposes only and does not provide medical advice, diagnosis, or treatment.  Many of the molecules discussed in this video are research compounds and are not approved by the U.S. Food and Drug Administration (FDA) for any specific medical use, indication, or condition. They are mentioned only in the context of existing scientific literature and ongoing research and are not being recommended, prescribed, sold, or offered through this video.  This content does not endorse or recommend any specific tests, products, procedures, or treatment protocols.References to our clinic are for general educational context only; investigational or non‑approved products are not available for direct ordering or prescribing based solely on viewing this content.  Do not start, stop, or change any medication, peptide, or supplement based on this video. All medical decisions must be made with a licensed prescribing clinician after a proper evaluation. No provider–patient relationship is created by viewing this content or contacting our clinic.  Regan Archibald is a Licensed Acupuncturist and longevity coach. He is not a medical doctor. Cade Archibald is COO and Co-Founder of Ageless Future, also not a medical doctor. All medical decisions, lab ordering, and prescribing in our clinic are performed only by our licensed medical team (MD, APRN, PA).  Viewers should follow the guidance of their own licensed clinicians and local health authorities regarding diagnosis and treatment decisions.

Ready for a candid conversation about float nursing? Join the co-hosts as they share their personal stories, experiences, survival tactics, and onboarding tips for float nursing. From adaptability and staying confident to clear communication and patient safety, you're certain to gain new ideas and fresh perspectives.      MEET OUR CO-HOSTS Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team.   Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice.   Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing.  Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse.   Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland.  Currently she is stationed overseas, providing care for service members and their families.  During her free time, she enjoys martial arts and traveling.  Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.   

Nursing Salaries: Is Negotiation Possible?SUMMARY: This episode explores how compensation structures in nursing actually work and examines whether meaningful salary negotiation is possible in both RN and APRN roles. Listeners will learn how salary bands, market rates, and internal equity rules shape base pay, and which additional pay levers can be negotiated to maximize earnings. The discussion addresses practical strategies for identifying hidden value within contracts, preparing for negotiation conversations, and building confidence in articulating one's professional worth. The episode also introduces key negotiation tools such as BATNA and highlights red flags to watch for in employment agreements. ---Nurses may be able to complete an accredited CE activity featuring content from this podcast and earn CE hours provided from Elite Learning by Colibri Healthcare. For more information, click hereAlready an Elite Member? Login hereLearn more about CE Podcasts from Elite Learning by Colibri HealthcareView Episode TakeawaysView this podcast course on Elite LearningSeries: Nursing Salaries: Is Negotiation Possible?

In this episode, Dr. Cassandra Vonnes, DNP, GNP-BC, APRN, AOCNP, CPHQ, FAHA, a Gerontological Nurse Practitioner, and member of the GAPNA Communication Team, talks with Dr. Michelle Moccia, DNP, ANP-BC, GS-C, an Adult Geriatric Nurse Practitioner, and Chair of GAPNA's Chapter Leadership Committee.  Dr. Moccia reflects on her 50-year nursing career, highlighting her pioneering work in geriatric care, including developing Michigan's first Level 1 accredited geriatric emergency department. She discusses community collaborations to improve emergency preparedness in nursing homes and initiatives to ensure patient-centered care through advanced directives and training. The conversation emphasizes compassionate, consistent care and practical strategies to better support older adults across healthcare settings.Dr. Michelle Moccia, DNP, ANP-BC, GS-C, is an Adult Geriatric Nurse Practitioner, in Livonia Michigan, and serves as GAPNA's Chapter Leadership Chair.  Dr. Cassandra Vonnes, DNP, GNP-BC, APRN, AOCNP, CPHQ, FAHA, is the Nurses Improving Care for Healthsystem Elders (NICHE) Coordinator, Geriatric Oncology, at the Moffitt Cancer Center, in Tampa, Florida. She is a member of the Gerontological Advanced Practice Nurses Association Communication Team and is a host of the GAPNA Chat podcast series.Discover GAPNA: https://www.gapna.org/Production management by Anthony J. Jannetti, Inc., for the Gerontological Advanced Practice Nurses Association.Opening Music by:Optimistic / Inspirational by Mixaund | https://mixaund.bandcamp.com
Music promoted by https://www.free-stock-music.comClosing Music by:Scott Holmes.http://www.scottholmesmusic.com

Regan Archibald welcomes the audience and shares updates from recent travel before outlining how his “Ageless Future operating system” uses lab data to guide a more intentional health strategy. He emphasizes starting with clarity about goals and symptoms, then looking for patterns and trends across markers rather than relying only on standard reference ranges or single numbers. He discusses examples of deeper testing beyond common basics, the value of tracking data over time, and the importance of viewing markers in context—such as sleep, stress, nutrition, and training—so decisions are based on a fuller picture. He also highlights how inflammation and hormone-related markers can be considered as part of an integrated review, and closes by encouraging viewers to stay current with labs and contact the office or website to get testing scheduled if it's been more than six months.RESOURCES:Book Comprehensive Labs: https://agelessfuture.com/longevity-labs/FREE copy of The Peptide Blueprint: https://agelessfuture.com/blueprintSign up for future Health Accelerator Challenges calls LIVE! https://us02web.zoom.us/webinar/register/WN_YZsiUMOzSyqcE8IinC5YEQ#/registrationBooks: https://www.amazon.com/Books-Regan-Archibald/s?rh=n%3A283155%2Cp_27%3ARegan%2BArchibaldArticles: https://medium.com/search?q=Regan+ArchibaldLIKE/FOLLOW/SUBSCRIBE:YouTube -https://www.youtube.com/@ReganArchibald / https://www.youtube.com/@Ageless.FutureLinkedIn: https://www.linkedin.com/in/regan-archibald-ab70b813Instagram: https://www.instagram.com/ageless.future/Facebook: https://www.facebook.com/AgelessFutureHealth/DISCLAIMER: This video is for educational purposes only and does not provide medical advice, diagnosis, or treatment.  Many of the molecules discussed in this video are research compounds and are not approved by the U.S. Food and Drug Administration (FDA) for any specific medical use, indication, or condition. They are mentioned only in the context of existing scientific literature and ongoing research and are not being recommended, prescribed, sold, or offered through this video.  This content does not endorse or recommend any specific tests, products, procedures, or treatment protocols.References to our clinic are for general educational context only; investigational or non‑approved products are not available for direct ordering or prescribing based solely on viewing this content.  Do not start, stop, or change any medication, peptide, or supplement based on this video. All medical decisions must be made with a licensed prescribing clinician after a proper evaluation. No provider–patient relationship is created by viewing this content or contacting our clinic.  Regan Archibald is a Licensed Acupuncturist and longevity coach. He is not a medical doctor. Cade Archibald is COO and Co-Founder of Ageless Future, also not a medical doctor. All medical decisions, lab ordering, and prescribing in our clinic are performed only by our licensed medical team (MD, APRN, PA).  Viewers should follow the guidance of their own licensed clinicians and local health authorities regarding diagnosis and treatment decisions.

Adverse events, near misses, and medical errors are occupational hazards that contribute to burnout. Join us as we discuss research surrounding the PA and APRN experience after an adverse event and learn about how we can support each other after such an event.

In this special episode, the conversation goes beyond anesthesia, leadership, and practice models and into something just as essential: friendship, health, and wellness. In a profession that is demanding, high‑stakes, and often isolating, the relationships CRNAs build with one another can be a powerful source of strength. Sharon is  joined by longtime friends Jackie Rowles, DNP, MBA, MA, CRNA, ANP-BC, NSPM-C, FNAP, FAANA, FAAN, Tracy Castleman,  DNP, CRNA, APN-A, FAANA, and Carole Doyscher, CRNA, BSN, MS, APRN—four CRNAs whose bond, known affectionately as the Fab Four, was forged through shared experiences, mutual respect, and plenty of laughter along the way. Together, they reflect on how authentic connection within the CRNA community supports resilience, personal well‑being, and professional longevity. Here's some of what you'll hear in this episode:

In this episode of the Destigmatize Mental Health: Hope In the Valley series, we are joined by Lorelei Punsalan, DNP, MSN, APRN, FNP-C, CNRN, CHSE, a powerhouse leader in clinical practice and community advocacy.Supported by the MAT Access Grant, this conversation dives deep into the unique challenges faced by the Filipino community in California. Dr. Punsalan brings her extensive expertise as a Doctor of Nursing Practice to explore the vital intersection of cultural identity and substance use recovery. From the weight of "saving face" and cultural stigma to the power of faith-based and family-centered engagement, we discuss how culturally grounded care is the key to breaking barriers in stimulant and opioid use treatment.

In this episode, Regan Archibald breaks down why emotional health isn't “soft”—it's biochemical. He introduces the EPIC triggers (Emotions, Pain, Infections, Chemicals) and focuses on how emotions leave a measurable chemical trail that can either support health or accelerate inflammation. Using examples like anger increasing inflammatory signaling (including IL-6) and gratitude/joy supporting nitric oxide and vascular function, Regan explains how repeated emotional patterns can rewire the brain, shape immune behavior, and even override diet, exercise, and supplements if left unmanaged. The takeaway: practice the pause, choose your response, and build gratitude and connection on purpose. Consistency in emotional regulation can shift physiology toward resilience, recovery, and better long-term health.RESOURCES:Book Comprehensive Labs: https://agelessfuture.com/longevity-labs/FREE copy of The Peptide Blueprint: https://agelessfuture.com/blueprintSign up for future Health Accelerator Challenges calls LIVE! https://us02web.zoom.us/webinar/register/WN_YZsiUMOzSyqcE8IinC5YEQ#/registrationBooks: https://www.amazon.com/Books-Regan-Archibald/s?rh=n%3A283155%2Cp_27%3ARegan%2BArchibaldArticles: https://medium.com/search?q=Regan+ArchibaldLIKE/FOLLOW/SUBSCRIBE:YouTube -https://www.youtube.com/@ReganArchibald / https://www.youtube.com/@Ageless.FutureLinkedIn: https://www.linkedin.com/in/regan-archibald-ab70b813Instagram: https://www.instagram.com/ageless.future/Facebook: https://www.facebook.com/AgelessFutureHealth/DISCLAIMER: This video is for educational purposes only and does not provide medical advice, diagnosis, or treatment.  Many of the molecules discussed in this video are research compounds and are not approved by the U.S. Food and Drug Administration (FDA) for any specific medical use, indication, or condition. They are mentioned only in the context of existing scientific literature and ongoing research and are not being recommended, prescribed, sold, or offered through this video.  This content does not endorse or recommend any specific tests, products, procedures, or treatment protocols.References to our clinic are for general educational context only; investigational or non‑approved products are not available for direct ordering or prescribing based solely on viewing this content.  Do not start, stop, or change any medication, peptide, or supplement based on this video. All medical decisions must be made with a licensed prescribing clinician after a proper evaluation. No provider–patient relationship is created by viewing this content or contacting our clinic.  Regan Archibald is a Licensed Acupuncturist and longevity coach. He is not a medical doctor. Cade Archibald is COO and Co-Founder of Ageless Future, also not a medical doctor. All medical decisions, lab ordering, and prescribing in our clinic are performed only by our licensed medical team (MD, APRN, PA).  Viewers should follow the guidance of their own licensed clinicians and local health authorities regarding diagnosis and treatment decisions.

Ready to meet Hayley and Trish? Also, the co-hosts dive into an honest conversation about the real-world lessons nursing school missed and how they were able to overcome the these challenges.   Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team.   Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work. Hayley Sweetser, MSN, APRN, AGCNS-BC, MEDSURG-BC, CPHQ, WTA-C is a Clinical Nurse Specialist in Newark, Delaware who provides support to patients and caregivers within the Acute Medicine Service Line at ChristianaCare. She is working towards reducing overall patient harm events within the service line through collaboration with bedside nurses, physicians, and other specialties. Hayley has a strong passion for medical-surgical nursing and has spent her whole nursing career in this specialty. She strives to advance medical-surgical nursing practice by encouraging alignment with evidence-based practice.   Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing.  Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse.   Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland.  Currently she is stationed overseas, providing care for service members and their families.  During her free time, she enjoys martial arts and traveling.  Trish West, DNP, MSN, CMSRN, PCCN, CEN, NEA-BC, FAMSN is a passionate nurse leader whose career reflects both expertise and a heartfelt commitment to advancing patient care. Trish's credentials include being a Certified Medical Surgical Registered Nurse, Progressive and Emergency Nursing, Nursing Executive Advanced, and most recently, induction as a Fellow in the Academy of Medical Surgical Nursing. She enjoys spending time with her husband Mark and their five children. Her favorite motto, "Never underestimate the difference you can make," truly captures the spirit with which Trish approaches both professional and personal endeavors.   

In this episode of Fill Me In: An Aesthetics Podcast, Jon and Nicole sit down with the legendary Limor Weinberg (aka the Lip Queen of Florida) to discuss the future of the aesthetic industry.While Limor is world-renowned for her "Lip Recipes" and her work with Skin Spirit's Innovation Clinic, this episode dives deep into her latest obsession: Artificial Intelligence. We discuss how aesthetic injectors can stop fearing AI and start using it to automate their business, from employee reviews to viral social media captions. Limor breaks down the "RACE" prompting formula and why "programming the memory" of your AI is the secret to making it sound exactly like you.Connect with Limor Weinberg:Instagram: http://instagram.com/Beautie.Bae Website: http://LimorWeinberg.comEducational Platform: http://Getbasal.com**DISCLAIMER** The content of this episode of Fill Me In: An Aesthetics Podcast is intended for educational and informational purposes only and does not constitute medical advice. The hosts, guests, and producers of this podcast do not endorse or recommend the use of any medical product, procedure, or treatment without proper clinical training, patient assessment, and full informed consent. Listeners are strongly advised to consult with their healthcare providers and adhere to all applicable laws and regulatory guidelines. We expressly disclaim any and all liability for any outcomes related to the use or misuse of the information presented in this episode.Fill Me In is hosted by Jonathan LeSuer, MSN, NP-C and Nicole Bauer, MSN, APRN, FNP-BC. Follow Fill Me In on Instagram!https://www.instagram.com/thefillmeinpod/Follow Nicole on Instagram:https://www.instagram.com/aestheticnursenicole/Nicole's Patreon:https://www.patreon.com/aestheticnursenicole?utm_source=searchExhibit Medical Aesthetics website:https://exhibitmedicalaesthetics.com/Follow Jon on Instagram:https://www.instagram.com/injectorjon/Jon's Patreon:https://www.patreon.com/Injectorjon?utm_source=searchTox and Pout Aesthetics website:https://toxandpout.com/Join Moxie! Is the business side of your Med Spa overwhelming? Moxie is the all-in-one growth system built to help you scale without the stress. Get software, marketing, compliance tools, and expert coaching all in one place. Fill Me In listeners get $500 off their launch fee! ➡️ Visit www.joinmoxie.com/fillmein Producer of Fill Me In: Joey Ginexi

Episode 065 | In this episode, Jennifer Fleming, APRN, Anna Wicklund, MSN, NP, CANS, and Dr. Lewellis explore the importance of education, patient safety, and collaboration within the medical aesthetics industry.We delve into into the challenges faced by aesthetic providers, the significance of building a culture of safety, support, and trust, and the complexities of selecting devices and services in your practices. We also touch on the balance between personal and professional life (especially tough for all the moms out there!), emphasizing the need for continuous learning and adaptation in a rapidly evolving field.This episode was recorded July 7th, 2025.Jennifer Fleming, APRN, is the founder of The Alchemy Clinic, where she blends evidence-based medicine with a deeply personalized, whole-person approach to care. With a clinical philosophy rooted in curiosity, precision, and partnership, Jennifer helps patients move beyond symptom management toward true healing and resilience. As both a clinician and a business owner, she is redefining what modern integrative care can look like—grounded in science, guided by intuition, and delivered with humanity. She is also a devoted mom, navigating the realities of leadership, family, and sustainability with honesty and intention.Anna Wicklund, MSN, NP, CANS, is the founder of Skinnovations Medical Aesthetics, where clinical excellence, integrity, and patient experience are non-negotiables. Known for her thoughtful, results-driven approach, Anna combines advanced aesthetic medicine with a strong ethical compass and a deep respect for safety, trust, and individualized care.As a seasoned nurse practitioner, entrepreneur, and mom, she brings a rare blend of precision, warmth, and leadership to everything she builds—proving that high standards and heart can coexist beautifully in modern healthcare.More from Dr. Lewellis and Above & Beyond DermatologyNeed a dermatologist? Fill out this short interest form, text or call me at 715-391-9774, or email me at drlewellis@aboveandbeyondderm.com if you'd like to have a no obligation discovery call. I offer in-office visits, house calls, and virtual care in Wisconsin and virtual care in Illinois and Nebraska.Have an idea for a guest or want to be on the show yourself? Send me a text or email, and we'll see if it's a good fit.Above & Beyond DermatologyNutrafol -- special pricing and physician exclusive productsNeoGenesis -- my favorite source of stem cell released molecules for skin/hairSilagen.biz -- physician dispensed scar refinement products delivered to your door (use practice code 1206240832P)NewsletterLinkedInFacebookDr. Lewellis on InstagramAbove & Beyond Dermatology on InstagramYouTubeTikTokTwitter/XChange Your Mind, Change Your LifeSoMeDocs (Doctors on Social Media)This page may contain affiliate links.

In this episode, Kara Umbarger discusses the latest updates in kidney care, including the exciting new GFR equation and the role of SGLT2 inhibitors in managing chronic kidney disease. Stay informed on how recent advances can improve outcomes for patients and the importance of timely referrals to nephrologists.  Learn more about Kara Umbarger, APRN

In this episode, Dr. Cassandra Vonnes, a Gerontological Nurse Practitioner, and member of the GAPNA Communication Team, talks with Dr. Kimberly Posey, the Coordinator of the Executive Nurse DNP Program and MSN Nursing Education Program at Texas Christian University, in Fort Worth, TX, and currently serves as GAPNA's President.  Dr. Posey shares her unconventional path from a technical career at IBM to discovering her passion for nursing and geriatric care. She discusses community-based initiatives, including a foot care clinic for unhoused older adults, and shares insights from her research on nurse practitioner job satisfaction and interprofessional education in long-term care. She also highlights her policy work on the Texas Nursing Facility Administrators Advisory Committee, emphasizing the importance of advocacy, mentorship, and advancing high-quality, compassionate care for older adults.Dr. Kimberly Posey, PhD, DNP, APRN, AGPCNP, GS-C, FAANP, is the Coordinator of the Executive Nurse DNP Program and MSN Nursing Education Program at Texas Christian University, in Fort Worth, TX, and currently serves as GAPNA's President.  Dr. Cassandra Vonnes, DNP, GNP-BC, APRN, AOCNP, CPHQ, FAHA, is the Nurses Improving Care for Healthsystem Elders (NICHE) Coordinator, Geriatric Oncology, at the Moffitt Cancer Center, in Tampa, Florida. She is a member of the Gerontological Advanced Practice Nurses Association Communication Team and is a host of the GAPNA Chat podcast series.Discover GAPNA: https://www.gapna.org/Production management by Anthony J. Jannetti, Inc., for the Gerontological Advanced Practice Nurses Association.Opening Music by:Optimistic / Inspirational by Mixaund | https://mixaund.bandcamp.com
Music promoted by https://www.free-stock-music.comClosing Music by:Scott Holmes.http://www.scottholmesmusic.com

In this live episode of the Friends of NPACE Podcast Springer Publishing authors and clinicians Dr. Mimi Secor DNP, FNP-BC, FAANP, FAAN and Dr. Karen Myrick DNP, APRN, FNP-BC, ONP-BC, FAANP, FAAN join us to discuss why and how they started writing in their areas of expertise and why its important for all APPs to consider publication and keep their own personal library up-to-date. Tune in every other week for a new episode of the Friends of NPACE Podcast on your favorite platform!

In this episode of The Nurse Practitioner Podcast, Trae Stewart, PhD, MPH, MSN, MN, MS, PMHNP-BC, APRN discusses the impact of psychotropic medications on oral health.

In this episode of Ageless Future, Cade Archibald challenges the common view of muscle as merely cosmetic or mechanical, revealing instead that skeletal muscle functions as a powerful endocrine organ. He explains how contracting muscle releases signaling molecules called myokines that communicate with the brain, liver, immune system, and fat tissue—regulating metabolism, reducing inflammation, improving insulin sensitivity, and supporting cognitive health. Cade highlights why muscle is the body's largest glucose “sink,” making resistance training one of the most effective strategies for diabetes prevention and reversal. He also dives into the dangers of sarcopenia, emphasizing that muscle loss is not just weakness but a systemic breakdown that accelerates aging and increases vulnerability across every major body system. The episode closes with practical takeaways on preserving strength, building resilience, and treating muscle as one of the most essential foundations of longevity.RESOURCES:Book Comprehensive Labs: https://agelessfuture.com/longevity-labs/FREE copy of The Peptide Blueprint: https://agelessfuture.com/blueprintSign up for future Health Accelerator Challenges calls LIVE! https://us02web.zoom.us/webinar/register/WN_YZsiUMOzSyqcE8IinC5YEQ#/registrationBooks: https://www.amazon.com/Books-Regan-Archibald/s?rh=n%3A283155%2Cp_27%3ARegan%2BArchibaldArticles: https://medium.com/search?q=Regan+ArchibaldLIKE/FOLLOW/SUBSCRIBE:YouTube -https://www.youtube.com/@ReganArchibald / https://www.youtube.com/@Ageless.FutureLinkedIn: https://www.linkedin.com/in/regan-archibald-ab70b813Instagram: https://www.instagram.com/ageless.future/Facebook: https://www.facebook.com/AgelessFutureHealth/DISCLAIMER: This video is for educational purposes only and does not provide medical advice, diagnosis, or treatment.  Many of the molecules discussed in this video are research compounds and are not approved by the U.S. Food and Drug Administration (FDA) for any specific medical use, indication, or condition. They are mentioned only in the context of existing scientific literature and ongoing research and are not being recommended, prescribed, sold, or offered through this video. This content does not endorse or recommend any specific tests, products, procedures, or treatment protocols.References to our clinic are for general educational context only; investigational or non‑approved products are not available for direct ordering or prescribing based solely on viewing this content.  Do not start, stop, or change any medication, peptide, or supplement based on this video. All medical decisions must be made with a licensed prescribing clinician after a proper evaluation. No provider–patient relationship is created by viewing this content or contacting our clinic.  Regan Archibald is a Licensed Acupuncturist and longevity coach. He is not a medical doctor. Cade Archibald is COO and Co-Founder of Ageless Future, also not a medical doctor. All medical decisions, lab ordering, and prescribing in our clinic are performed only by our licensed medical team (MD, APRN, PA).  Viewers should follow the guidance of their own licensed clinicians and local health authorities regarding diagnosis and treatment decisions.

In this episode of Ageless Future, Cade Archibald reframes aging as a bioenergetic problem—not simply “wear and tear” or the passage of time. He explains how mitochondrial dysfunction can quietly precede chronic disease through declining ATP production, rising oxidative stress (ROS), and increasingly inefficient cellular signaling, setting the stage for issues like neurodegeneration, cardiometabolic disease, and autoimmune/inflammatory disorders. Cade highlights how mitochondria act as intelligent signaling hubs that help the body adapt to stress, why symptoms often appear before labs look abnormal, and how restoring energy can unlock repair, detoxification, hormone balance, and immune stability. He closes with practical “mitochondria-charging” strategies—recovery, sleep, heat/cold exposure, red light, and foundational habits—challenging listeners to prioritize restoration to restore health.AGELESS FUTURE:Book Comprehensive Labs: https://agelessfuture.com/longevity-labs/FREE copy of The Peptide Blueprint: https://agelessfuture.com/blueprintSign up for future Health Accelerator Challenges calls LIVE! https://us02web.zoom.us/webinar/register/WN_YZsiUMOzSyqcE8IinC5YEQ#/registrationBooks: https://www.amazon.com/Books-Regan-Archibald/s?rh=n%3A283155%2Cp_27%3ARegan%2BArchibaldArticles: https://medium.com/search?q=Regan+ArchibaldLIKE/FOLLOW/SUBSCRIBE AGELESS FUTURE:YouTube -https://www.youtube.com/@ReganArchibald / https://www.youtube.com/@Ageless.FutureLinkedIn: https://www.linkedin.com/in/regan-archibald-ab70b813Instagram: https://www.instagram.com/ageless.future/Facebook: https://www.facebook.com/AgelessFutureHealth/DISCLAIMER: This video is for educational purposes only and does not provide medical advice, diagnosis, or treatment.  Many of the molecules discussed in this video are research compounds and are not approved by the U.S. Food and Drug Administration (FDA) for any specific medical use, indication, or condition. They are mentioned only in the context of existing scientific literature and ongoing research and are not being recommended, prescribed, sold, or offered through this video.  This content does not endorse or recommend any specific tests, products, procedures, or treatment protocols.References to our clinic are for general educational context only; investigational or non‑approved products are not available for direct ordering or prescribing based solely on viewing this content.  Do not start, stop, or change any medication, peptide, or supplement based on this video. All medical decisions must be made with a licensed prescribing clinician after a proper evaluation. No provider–patient relationship is created by viewing this content or contacting our clinic.  Regan Archibald is a Licensed Acupuncturist and longevity coach. He is not a medical doctor. Cade Archibald is COO and Co-Founder of Ageless Future, also not a medical doctor. All medical decisions, lab ordering, and prescribing in our clinic are performed only by our licensed medical team (MD, APRN, PA).  Viewers should follow the guidance of their own licensed clinicians and local health authorities regarding diagnosis and treatment decisions.

In this podcast, experts Shazia Nakhoda, MD; Shruti Gupta, MD, MPH; and Anitha Varghese, MSN, APRN, AGPCNP-C, discuss prevention and treatment of acute kidney injury in patients receiving high-dose methotrexate.

Catch up with some familiar voices and join in our 7th Anniversary celebration of Med-Surg Moments. Also, in this episode we say goodbye to two of current co-hosts whose term is up and will be leaving the show. Listen to find out who and hear their final reflections about their three years as a Med-Surg Moments co-host.     SPECIAL GUESTS Alissa Brown, MSN, RN, CMSRN, NPD-BC and former Med-Surg Moments Co-Host Caroline Ashman, MSN, RN, CMSRN and former Med-Surg Moments Co-Host   Laura Johnson, MSN, RN, NPD-BC, CMSRN and former Med-Surg Moments Co-Host   SPECIAL GUEST CO-HOST AMSN President Kristi Reguin-Hartman, DNP, APRN, ACNS-BC has more than 20 years of experience in acute care nursing, professional development, and advanced practice as a Clinical Nurse Specialist. Her expertise in technology implementation, product management and clinical education drives her focus on streamlining workflows through data-driven approaches. She started her nursing journey with an ADN from Nassau Community College in Long Island, New York and has completed her Doctor of Nursing Practice at the University of North Carolina – Wilmington where she authored the 2022 CTHAT Nursing Workload Tool for Medical-Surgical Nurses. Kristi currently works as a Clinical Transformation Manager for Philips Healthcare in the Hospital Patient Monitoring division and as Clinical Instructor with East Carolina University. She volunteers for the North Carolina Nurses Association and has served as Director for the Academy of Medical-Surgical Nurses since 2018.   MEET OUR CO-HOSTS Samantha Bayne, MSN, RN, CMSRN, NPD-BC is a nursing professional development practitioner in the inland northwest specializing in medical-surgical nursing. The first four years of her practice were spent bedside on a busy ortho/neuro unit where she found her passion for newly graduated RNs, interdisciplinary collaboration, and professional governance. Sam is an unwavering advocate for medical-surgical nursing as a specialty and enjoys helping nurses prepare for specialty certification.    Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team.   Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work.   Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing.  Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse.   Maritess M. Quinto, DNP, RN, NPD-BC, CMSRN is a clinical educator currently leading a team of educators who is passionately helping healthcare colleagues, especially newly graduate nurses. She was born and raised in the Philippines and immigrated to the United States with her family in Florida. Her family of seven (three girls and two boys with her husband who is also a Registered Nurse) loves to travel, especially to Disney World. She loves to share her experiences about parenting, travelling, and, of course, nursing!   Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland.  Currently she is stationed overseas, providing care for service members and their families.  During her free time, she enjoys martial arts and traveling.   

Are you feeling overlooked by traditional insurance-based medicine? In this episode of Fill Me In, Jon and Nicole sit down with wellness expert Megan Piersanti, DNP, FNP, to discuss how medical aesthetics is evolving to treat patients from the inside out.From the surge of GLP-1 medications (Zepbound vs. Wegovy) to the myths surrounding Hormone Replacement Therapy (HRT), we dive deep into the clinical strategies that help patients lose weight safely while protecting muscle mass and improving cognitive function. Whether you're a provider looking to scale your practice or a patient curious about the "new wave" of wellness, this episode is packed with actionable medical insights.MEET OUR GUEST: MEGAN PIERSANTI, DNPMegan is a Doctor of Nursing Practice and the lead wellness provider at Exhibit Medical Aesthetics. She specializes in bridging the gap between aesthetics and metabolic health through personalized weight management and hormone optimization. Follow Megan on Instagram: @meganpiersanti_npRESOURCES:2001 Women's Health Initiative Study: https://jamanetwork.com/journals/jama/fullarticle/195120Maternal Wellness Collective Instagram:https://www.instagram.com/maternalwellnesscollective?igsh=cDVheHZ2MnRrY2E2AUA Guidelines for Use of Vaginal Estrogen:https://www.auanet.org/guidelines-and-quality/guidelines/genitourinary-syndrome-of-menopause**DISCLAIMER** The content of this episode of Fill Me In: An Aesthetics Podcast is intended for educational and informational purposes only and does not constitute medical advice. The hosts, guests, and producers of this podcast do not endorse or recommend the use of any medical product, procedure, or treatment without proper clinical training, patient assessment, and full informed consent. Listeners are strongly advised to consult with their healthcare providers and adhere to all applicable laws and regulatory guidelines. We expressly disclaim any and all liability for any outcomes related to the use or misuse of the information presented in this episode.Fill Me In is hosted by Jonathan LeSuer, MSN, NP-C and Nicole Bauer, MSN, APRN, FNP-BC. Follow Fill Me In on Instagram!https://www.instagram.com/thefillmeinpod/Follow Nicole on Instagram:https://www.instagram.com/aestheticnursenicole/Nicole's Patreon:https://www.patreon.com/aestheticnursenicole?utm_source=searchExhibit Medical Aesthetics website:https://exhibitmedicalaesthetics.com/Follow Jon on Instagram:https://www.instagram.com/injectorjon/Jon's Patreon:https://www.patreon.com/Injectorjon?utm_source=searchTox and Pout Aesthetics website:https://toxandpout.com/Join Moxie! Is the business side of your Med Spa overwhelming? Moxie is the all-in-one growth system built to help you scale without the stress. Get software, marketing, compliance tools, and expert coaching all in one place. Fill Me In listeners get $500 off their launch fee! ➡️ Visit www.joinmoxie.com/fillmein Producer of Fill Me In: Joey Ginexi #GLP1 #Zepbound #HormoneReplacementTherapy #Biohacking #FillMeInPodcast 

"...we sell hope, because lots of times patients will come to us, they've got the med list this long, and they just think it's going to keep getting longer. We let them know that this is not what it has to continue being. We can actually make changes, and lifestyle medicine providers will, as appropriate, de-prescribe or decrease the dose on these medications. And from the Nursing perspective, it's about being very specific, so making the recommendations instead of saying, you know, eat more fruits and vegetables. You know, well, what's realistic for you at this time? What are you ready to do? So Nurse Coaches are the best at this because we're already used to being able to assess where the client is and what they're ready to make a move on." ~Karen Laing DNP, APRN, AGPCNP-BC, DipACLM, HWMC-BC, CHES, FPCNAAh-Ha MomentsExplore how Lifestyle Nursing and Integrative Nurse Coaching blend the art and science of Nursing to prevent, and even help reverse chronic disease with evidence-based lifestyle interventions.Learn the six pillars of lifestyle medicine:  sleep, stress, movement, nutrition, social connection, and avoiding risky substance, and how Lifestyle Nursing makes them practical and doable for real patients and real Nurses.Hear how Nurses can use a Lifestyle Nursing framework to “sell hope,” collaborate with patients, and confidently stay within scope while talking about food, movement, and behavior change.Discover how Integrative Nurse Coaching + Lifestyle Nursing give Nurses structure, language, and heart-centered tools to support patients, communities, and themselves.Feel inspired as Karen reminds us that Nurses are powerful, trusted advocates who can model lifestyle change and help transform a broken healthcare system from the inside out.Links and ResourcesIntegrative Nurse Coaches in ACTION! podcastLifestyle Nursing: A Lifestyle Medicine Framework for Nurses courseFunctional Nursing: A Functional Medicine Framework for Nurses courseFunctional Nursing + Lifestyle Nursing Dual Certificate PathwayLifestyle Nursing bookHealth Promotion and Disease Prevention for Advanced Practice bookKaren's emailIntegrative Nurse Coach Academy I Integrative Nurse Coach FoundationWe provide nurses with a global community for learning, networking, and reconnecting. Thank you for listening. We LOVE Nurses! Please leave us a 5 star rating and a positive comment about an episode you love! Follow Integrative Nurse Coach Academy on Facebook, Instagram, LinkedIn Learn more about our programs at the Integrative Nurse Coach Academy Schedule a free call with one of our awesome admissions specialists here>> and get your questions answered! Use the code 'ACTION' at checkout and get $100 off the Integrative Nurse Coach Certificate Program (Parts 1 & 2 Bundle).

Advanced practice providers are a growing part of the healthcare workforce, but many organizations aren't necessarily seeing the productivity gains they expected. On today's episode, we examine new Kaufman Hall insights on why traditional physician-APP models often underperform, and how redesigning team roles, incentives, and compensation could yield better outcomes for clinicians and patients alike. Bonnie Proulx, DNP, APRN, PNP-BC, FAAN, Senior Vice President with Kaufman Hall and a member of the firm's Physician Enterprise practice, joins the podcast to explain more. You can read Bonnie's blog post here. Hosted on Acast. See acast.com/privacy for more information.

In this episode of the Ageless Future Podcast, host Cade Archibald sits down with Derek Norsworthy, CEO of NeuroCatch, to explore a breakthrough approach to cognitive assessment using objective “brain vital signs.” Derek shares how NeuroCatch evolved from decades of neuroscience research into a point-of-care tool designed to measure cognitive function with lab-level sensitivity—helping clinicians move beyond subjective questionnaires and “you seem fine” evaluations. Together, they discuss how NeuroCatch is used to establish baseline brain performance, track improvements from longevity and brain-optimization protocols (including peptides, stem cells, HBOT, red light, and other interventions), and detect subclinical cognitive changes that may not appear on MRI/CT or standard assessments. Derek also recounts his personal health journey from burnout and hormone disruption to functional medicine recovery, reinforcing the episode's theme: better outcomes happen when innovative technology and integrative care meet in the middle. Derek Norsworthy: I began my career as a clinical professional and evolved into a recognized leader in healthcare technology, specializing in the integration of electronic health record systems and innovation across large U.S. health systems. Through roles as a strategic advisor, business consultant, and healthcare entrepreneur, I've guided organizations in adopting advanced technologies to improve clinical workflows, operations, and patient outcomes. Now serving as CEO of HealthtechConnex, I bring my clinical experience and passion for innovation full circle to help bring cutting-edge health technologies to market. Beyond healthcare, I'm a husband, father, endurance athlete, leadership coach, and technology entrepreneur, driven by a mission to inspire others with the tools, mindset, and confidence to live life fully.LIKE/FOLLOW/SUBSCRIBE DEREK:LinkedIn: https://www.linkedin.com/in/derek-norsworthy-88427530b/LIKE/FOLLOW/SUBSCRIBE AGELESS FUTURE:YouTube -https://www.youtube.com/@ReganArchibald / https://www.youtube.com/@Ageless.FutureLinkedIn: https://www.linkedin.com/in/regan-archibald-ab70b813Instagram: https://www.instagram.com/ageless.future/Facebook: https://www.facebook.com/AgelessFutureHealth/AGELESS FUTURE RESOURCES:Book Comprehensive Labs: https://agelessfuture.com/longevity-labs/FREE copy of The Peptide Blueprint: https://agelessfuture.com/blueprintSign up for future Health Accelerator Challenges calls LIVE! https://us02web.zoom.us/webinar/register/WN_YZsiUMOzSyqcE8IinC5YEQ#/registrationBooks: https://www.amazon.com/Books-Regan-Archibald/s?rh=n%3A283155%2Cp_27%3ARegan%2BArchibaldArticles: https://medium.com/search?q=Regan+ArchibaldDISCLAIMER: This video is for educational purposes only and does not provide medical advice, diagnosis, or treatment.  Many of the molecules discussed in this video are research compounds and are not approved by the U.S. Food and Drug Administration (FDA) for any specific medical use, indication, or condition. They are mentioned only in the context of existing scientific literature and ongoing research and are not being recommended, prescribed, sold, or offered through this video.  This content does not endorse or recommend any specific tests, products, procedures, or treatment protocols.References to our clinic are for general educational context only; investigational or non‑approved products are not available for direct ordering or prescribing based solely on viewing this content.  Do not start, stop, or change any medication, peptide, or supplement based on this video. All medical decisions must be made with a licensed prescribing clinician after a proper evaluation. No provider–patient relationship is created by viewing this content or contacting our clinic.  Regan Archibald is a Licensed Acupuncturist and longevity coach. He is not a medical doctor. Cade Archibald is COO and Co-Founder of Ageless Future, also not a medical doctor. All medical decisions, lab ordering, and prescribing in our clinic are performed only by our licensed medical team (MD, APRN, PA).  Viewers should follow the guidance of their own licensed clinicians and local health authorities regarding diagnosis and treatment decisions.

In this episode of the Ageless Future Podcast, host Cade Archibald reframes aging as a modular, systems-based process rather than a simple function of time. Drawing on the Hallmarks of Aging and the geroscience framework, Cade explores how different biological systems—immune function, mitochondrial health, stem cell signaling, cellular senescence, vascular elasticity, brain plasticity, and nutrient sensing—decline at different rates and influence one another. He explains how chronic inflammation acts as a unifying driver of dysfunction and highlights practical strategies to target specific aging bottlenecks, including nutrition, exercise, mitochondrial optimization, peptides, detoxification, and metabolic support. The core message: aging is not inevitable or uniform—it's engineerable. By focusing on system repair instead of surface-level anti-aging, we can enhance resilience, cognitive function, recovery, and long-term vitality.AGELESS FUTURE:Book Comprehensive Labs: https://agelessfuture.com/longevity-labs/FREE copy of The Peptide Blueprint: https://agelessfuture.com/blueprintSign up for future Health Accelerator Challenges calls LIVE! https://us02web.zoom.us/webinar/register/WN_YZsiUMOzSyqcE8IinC5YEQ#/registrationBooks: https://www.amazon.com/Books-Regan-Archibald/s?rh=n%3A283155%2Cp_27%3ARegan%2BArchibaldArticles: https://medium.com/search?q=Regan+ArchibaldLIKE/FOLLOW/SUBSCRIBE AGELESS FUTURE:YouTube -https://www.youtube.com/@ReganArchibald / https://www.youtube.com/@Ageless.FutureLinkedIn: https://www.linkedin.com/in/regan-archibald-ab70b813Instagram: https://www.instagram.com/ageless.future/Facebook: https://www.facebook.com/AgelessFutureHealth/DISCLAIMER: This video is for educational purposes only and does not provide medical advice, diagnosis, or treatment.  Many of the molecules discussed in this video are research compounds and are not approved by the U.S. Food and Drug Administration (FDA) for any specific medical use, indication, or condition. They are mentioned only in the context of existing scientific literature and ongoing research and are not being recommended, prescribed, sold, or offered through this video.  This content does not endorse or recommend any specific tests, products, procedures, or treatment protocols.References to our clinic are for general educational context only; investigational or non‑approved products are not available for direct ordering or prescribing based solely on viewing this content.  Do not start, stop, or change any medication, peptide, or supplement based on this video. All medical decisions must be made with a licensed prescribing clinician after a proper evaluation. No provider–patient relationship is created by viewing this content or contacting our clinic.  Regan Archibald is a Licensed Acupuncturist and longevity coach. He is not a medical doctor. Cade Archibald is COO and Co-Founder of Ageless Future, also not a medical doctor. All medical decisions, lab ordering, and prescribing in our clinic are performed only by our licensed medical team (MD, APRN, PA).  Viewers should follow the guidance of their own licensed clinicians and local health authorities regarding diagnosis and treatment decisions.

Episode #136 - In this heartfelt episode of The Awakened Heart Podcast, I sits down with Sarah Michelle Boes, MSN, APRN, FNP-BC — nurse practitioner, entrepreneur, and advocate for congenital heart disease awareness.Sarah shares her personal journey as a mother to her daughter Meadow, who was born with multiple critical heart defects. The episode explores the emotional and mental toll of parenting a medically fragile child, including Sarah's diagnosis of OCD and anxiety — and how she found her way to healing and strength.Together, we talk about:The emotional weight of navigating a child's chronic illnessSarah's mental health journey and tips for managing anxiety & OCDThe story behind her and her husband's $15 million legacy donation to Norton Children's HospitalWhy advocacy, empathy, and human connection matter more than ever in healthcareBalancing personal healing with professional purpose and leadershipSarah is the founder of Sarah Michelle NP Reviews, the Chief Nursing Officer at Blueprint Test Prep, and a new board member for Conquering CHD. Her story is a powerful example of turning pain into purpose — and leading with heart.TakeawaysSarah experienced two major life changes: becoming an entrepreneur and learning about her daughter's heart condition.Meadow's heart condition led to multiple surgeries in her first six months of life.Sarah's background in nursing provided her with foundational knowledge to navigate her daughter's medical journey.OCD manifests as an intolerance of uncertainty, affecting Sarah's pregnancy and mental health.Exposure therapy was crucial in Sarah's recovery from OCD, allowing her to confront her fears.The mindset shift from survival to empowerment was essential for Sarah and her family.Sarah and her husband made a $15 million legacy gift to support families at Norton Children's Hospital.Meadow's story is a powerful testament to resilience and hope in the face of congenital heart disease.Advocacy work is driven by personal experience and the desire to help others.Motherhood has deepened Sarah's understanding of love, grief, and joy.Sound bites"I turned my grief into purpose somehow.""I have so much more empathy in my teaching.""You're not a victim of your circumstances."Connect with Sarah:PodcastWebsiteInstagram Linkedin Let's Connect!⁠⁠Website⁠⁠⁠Instagram⁠ ⁠Facebook⁠⁠Youtube⁠⁠Rumble⁠⁠⁠Tik Tok⁠⁠⁠Linkedin⁠⁠Linktree⁠PodcastFREE Meditaion Guide

Send us a textIn this episode, we sit down with Kaylin Morris, APRN—founder of Salty Roots Integrative Wellness—to talk about what integrative medicine actually means and why so many people are looking for care that focuses on the “why,” not just the symptoms. We cover simple, realistic shifts that can improve energy, digestion, hormones, and overall well-being.What You'll Learn:Why more people are seeking proactive, wellness-focused healthcareThe biggest wellness levers: stress, sleep, movement, and nutritionHow gut health connects to hormones, inflammation, and moodA practical elimination diet approach to identify food triggersWhat it's like starting a concierge-style wellness business in Palm HarborAbout the Guest: Kaylin Morris, APRN, is the owner of Salty Roots Integrative Wellness. She helps clients address issues like fatigue, hormone imbalance, anxiety, and digestive concerns using a whole-person, integrative approach.Links:Website: https://www.saltyrootsintegrativewellness.com/Instagram: https://www.instagram.com/your_integrative_np?igsh=MXg2Yjl3NjN6bnk1eA%3D%3D&utm_source=qrFacebook: https://www.facebook.com/profile.php?id=61576972228264&mibextid=wwXIfr&rdid=qQ8BTj2h5sTOlUf7&share_url=https%3A%2F%2Fwww.facebook.com%2Fshare%2F1FTxTPwip9%2F%3Fmibextid%3DwwXIfr#Palm Harbor Local Newsletter: https://palmharborlocal.com/newsletter/ Subscribe to Palm Harbor Local, leave a review, and share this episode with someone who's been saying, “I just don't feel like myself lately.”Stroll through the laid-back streets of the Palm Harbor community with this informative podcast, proudly brought to you by Donnie Hathaway with The Hathaway Group, your trusted guide and local expert in navigating the diverse and ever-changing property landscape of Palm Harbor. Work with me + FREE Resources Would you like help buying a home in Palm Harbor? - Buyer ConsultationWould you like help selling your house in Palm Harbor? - Seller Marketing ConsultationDownload our free buyer's guide today - Buyer's Guide

Jaelin Stickels, DNP, APRN, CNM, co-owner, founder of Holistic Heritage Home Birth and cofounder of She is.com, a site for women by women. Also, on the show is her mid-husband who is so supportive for Jaelin and midwifery. A certified … Continue reading →

Join Thanks to our guest today, Jed Hansen, PhD, APRN, FNP-C, who is the Nebraska Rural Health Association's Executive Director. He and Libby Crockett, MD are discussing the Rural Health Transformation Fund which was established by HR1 (or the One Big Beautiful Bill Act) July 4, 2025. He serves as the Nebraska Hospital Associations's rural consultant. He is a native Nebraskan, growing up in the community of Minden. His academic background is focused on healthcare utilization facilitators and barriers in ambulatory care settings.Dr. Hansen leads projects focused on the rural emergency hospital model, improving veteran access to care, and innovative community-level health economic models. He also works diligently to improve interoperability and data flow in rural health care settings and increase workforce pipelining. Dr. Hansen is a fellow of the National Rural Health Association, the 2023 Rural Advocate of the Year and he recently published in JAMA on the impact of OBBA/HR1 on rural healthcare (read it here): https://pubmed.ncbi.nlm.nih.gov/40900579/Additional Background on HR1 (OBBA) Link to HR1 - One Big Beautiful Bill ActNE DHHS text of Application- click here and scroll down to find text of applicationhttps://www.cms.gov/priorities/rural-health-transformation-rht-program/overviewhttps://shvs.org/wp-content/uploads/2025/08/SHVS-Manatt-Rural-Health-Transformation-Fund-Discussion-8.28.25.pdfhttps://shvs.org/tracking-state-preparation-for-the-rural-health-transformation-program/Rural Health Association Links:https://nebraskaruralhealth.org/I Love Rural Health Program Link:https://iloveruralhealth.com/We rely on your donations to keep producing this podcast content and to support physician advocacy in Nebraska. If you would like to support Nebraska Alliance for Physician Advocacy, a 501(c)(3) organization in Nebraska please click to DONATE NOW.    If you have questions or answers, please email us at contact@nebraskaallianceforphysicianadvocacy.org   Please check out our website at: Nebraska Alliance for Physician Advocacy   Follow on social media: @NEAllianceforPhysicianAdvocacy on Instagram https://www.facebook.com/neallianceforphysicianadvocacy on Facebook The views and opinions expressed on this podcast are solely those of the speakers and guests and do not necessarily reflect the official policy or position of their employers or any other organization or entity. This podcast is for informational and entertainment purposes only and does not constitute professional medical, legal, or financial advice. If you have a specific concern, please consult with a qualified professional.

In this kickoff episode of Creating an Ageless Future, host Regan Archibald opens the new year by reflecting on recent personal highlights, upcoming program updates (including a new weekly Wednesday time), and a simple theme for 2026: get clearer results by removing what no longer serves you. He explores how “over-optimization” can create decision fatigue, why the easiest habits are the ones that stick, and how small environment tweaks can make good choices more automatic. Regan also walks through his three-part view of health—lifestyle, energy for enjoyable activities, and fun experiences—and introduces a practical self-audit framework (EPIC) to help listeners identify common obstacles and set a focused, doable next step for the year ahead.RESOURCES: AGELESS FUTURE:Book Comprehensive Labs: https://agelessfuture.com/longevity-labs/FREE copy of The Peptide Blueprint: https://agelessfuture.com/blueprint Sign up for future Health Accelerator Challenges calls LIVE! https://us02web.zoom.us/webinar/register/WN_YZsiUMOzSyqcE8IinC5YEQ#/registration *Books: https://www.amazon.com/Books-Regan-Archibald/s?rh=n%3A283155%2Cp_27%3ARegan%2BArchibald * Articles: https://medium.com/search?q=Regan+ArchibaldLIKE/FOLLOW/SUBSCRIBE AGELESS FUTURE:YouTube -https://www.youtube.com/@ReganArchibald / https://www.youtube.com/@Ageless.Future  LinkedIn: https://www.linkedin.com/in/regan-archibald-ab70b813Instagram: https://www.instagram.com/ageless.future/Facebook: https://www.facebook.com/AgelessFutureHealth/DISCLAIMER: This video is for educational purposes only and does not provide medical advice, diagnosis, or treatment. Many of the molecules discussed in this video are research compounds and are not approved by the U.S. Food and Drug Administration (FDA) for any specific medical use, indication, or condition. They are mentioned only in the context of existing scientific literature and ongoing research and are not being recommended, prescribed, sold, or offered through this video. This content does not endorse or recommend any specific tests, products, procedures, or treatment protocols.References to our clinic are for general educational context only; investigational or non‑approved products are not available for direct ordering or prescribing based solely on viewing this content. Do not start, stop, or change any medication, peptide, or supplement based on this video. All medical decisions must be made with a licensed prescribing clinician after a proper evaluation. No provider–patient relationship is created by viewing this content or contacting our clinic. Regan Archibald is a Licensed Acupuncturist and longevity coach. He is not a medical doctor. All medical decisions, lab ordering, and prescribing in our clinic are performed only by our licensed medical team (MD, APRN, PA). Viewers should follow the guidance of their own licensed clinicians and local health authorities regarding diagnosis and treatment decisions.

In this episode of Fill Me In, hosts Jon and Nicole sit down with Farah Gooch, founder of Aesthetic Social Club, to break down what actually works on social media for aesthetic injectors and med spa owners.Farah shares her journey from nursing to building one of the most trusted content platforms in the aesthetics space. Together, they dive into Instagram marketing for med spas, including reels vs. carousels, trending audio, brand photo shoots, posting frequency, and how to grow your practice without spending hours doom-scrolling or burning out.This episode covers:Social media strategy for aesthetic injectors and med spasHow to balance personal vs. professional content (the 70/30 rule)What types of Instagram posts actually drive bookingsWhy branding your practice matters more than chasing trendsAI in aesthetics marketing: tool vs. replacementCommon social media mistakes providers are making right nowWhether you're an injector, practice owner, or just getting started in aesthetics, this episode delivers practical, realistic social media advice you can apply immediately! No influencer fluff required!***AESTHETIC SOCIAL CLUB PROMO***Fill Me In listeners get $20 off their first month with Aesthetic Social Club!Just use code "FILLMEIN" at https://aestheticsocialclub.com/Follow Aesthetic Social Club on Instagram:https://www.instagram.com/aestheticsocialclub_Fill Me In is hosted by Jonathan LeSuer, MSN, NP-C and Nicole Bauer, MSN, APRN, FNP-BC. Follow Fill Me In on Instagram!https://www.instagram.com/thefillmeinpod/Follow Nicole on Instagram:https://www.instagram.com/aestheticnursenicole/Nicole's Patreon:https://www.patreon.com/aestheticnursenicole?utm_source=searchExhibit Medical Aesthetics website:https://exhibitmedicalaesthetics.com/Follow Jon on Instagram:https://www.instagram.com/injectorjon/Jon's Patreon:https://www.patreon.com/Injectorjon?utm_source=searchTox and Pout Aesthetics website:https://toxandpout.com/Join Moxie! Is the business side of your Med Spa overwhelming? Moxie is the all-in-one growth system built to help you scale without the stress. Get software, marketing, compliance tools, and expert coaching all in one place. Fill Me In listeners get $500 off their launch fee! Visit www.joinmoxie.com/fillmein Producer of Fill Me In: Joey Ginexi#FillMeInPodcast #AestheticsPodcast #AestheticIndustry #MedicalAesthetics #AestheticProviders #AestheticInjectors #AestheticsSocialMedia #MedSpaMarketing #InstagramForMedSpas #SocialMediaForInjectors #AestheticMarketing #MedSpaSocialMedia #NurseInjector #AestheticNurse #MedSpaOwner #InjectorLife #WomenInAesthetics #InstagramReels #ContentStrategy #BrandingForMedSpas #GrowYourMedSpa #MarketingForAesthetics #AestheticSocialClub #WomenInBusiness #AestheticEducation

Clopidogrel Monotherapy in Chronic Coronary Artery Disease   Guest: Keri Zieminski, APRN, C.N.P., D.N.P. Host: Sharonne Hayes, M.D.   This episode of Mayo Clinic's “Interviews With the Experts” will give an overview of clopidogrel monotherapy in patients with chronic CAD that are not on anticoagulation. Discussion will include why there has been a shift towards redefining antiplatelet medical therapy for this patient population, brief overview of recent trials, and how to manage a patient on clopidogrel monotherapy that needs to undergo noncardiac surgery.   Topics Discussed: Why has there been a shift towards redefining antiplatelet medical therapy in patients with chronic CAD? What's changed? Recently published trials that highlight clopidogrel monotherapy. What is your process for managing a patient on clopidogrel monotherapy that needs to go for noncardiac surgery?   Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode.   Podcast episode transcript found here.

"We proposed a concept to the American Society of Clinical Oncology (ASCO), recognizing that extravasation management requires significant interdisciplinary collaboration and rapid action. There can occasionally be uncertainty or lack of clear guidance when an extravasation event occurs, and our objective was to look at this evidence with the expert panel to create a resource to support oncology teams overall. We hope that the guideline can help mitigate harm and improve patient outcomes," Caroline Clark, MSN, APRN, AGCNS-BC, OCN®, EBP-C, director of guidelines and quality at ONS, told Chelsea Backler, MSN, APRN, AGCNS-BC, AOCNS®, VA-BC, oncology clinical specialist at ONS, during a conversation about the ONS/ASCO Guideline on the Management of Antineoplastic Extravasation. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by January 2, 2027. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to the management of antineoplastic extravasation. Episode Notes  Complete this evaluation for free NCPD. ONS/ASCO Guideline on the Management of Antineoplastic Extravasation ONS Podcast™ episodes: Episode 391: Pharmacology 101: Antibody–Drug Conjugates Episode 335: Ultrasound-Guided IV Placement in the Oncology Setting Episode 145: Administer Taxane Chemotherapies With Confidence Episode 127: Reduce and Manage Extravasations When Administering Cancer Treatments ONS Voice articles: Access Devices and Central Lines: New Evidence and Innovations Are Changing Practice, but Individual Patient Needs Always Come First New Extravasation Guidelines Provide Recommendations for Protecting Patients and Standardizing Care Standardizing Venous Access Assessment and Validating Safe Chemo Administration Drastically Lowers Rates of Adverse Venous Events This Organization's Program Trains Non-Oncology Nurses to Deliver Antineoplastic Agents Safely ONS books: Access Device Guidelines: Recommendations for Nursing Practice and Education (fourth edition) Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice (second edition) Clinical Guide to Antineoplastic Therapy: A Chemotherapy Handbook (fourth edition) ONS courses: Complications of Vascular Access Devices (VAD) and IV Therapy ONS Fundamentals of Chemotherapy and Immunotherapy Administration™ ONS Oncology Treatment Modalities Clinical Journal of Oncology Nursing articles: Chemotherapy Extravasation: Incidence of and Factors Associated With Events in a Community Cancer Center Standardized Venous Access Assessment and Safe Chemotherapy Administration to Reduce Adverse Venous Events Oncology Nursing Forum article: Management of Extravasation of Antineoplastic Agents in Patients Undergoing Treatment for Cancer: A Systematic Review ONS huddle cards: Antineoplastic Administration Chemotherapy Immunotherapy Implanted Venous Port ONS position statements: Administration (Infusion and Injection) of Antineoplastic Therapies in the Home Education of the Nurse Who Administers and Cares for the Individual Receiving Antineoplastic Therapies ONS Guidelines™ for Extravasation Management ONS Oncologic Emergencies Learning Library ONS/ASCO Algorithm on the Management of Antineoplastic Extravasation of Vesicant or Irritant With Vesicant Properties in Adults American Society of Clinical Oncology (ASCO) Podcast: Management of Antineoplastic Extravasation: ONS-ASCO Guideline To discuss the information in this episode with other oncology nurses, visit the ONS Communities.  To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode "The focus of this guideline was specifically on intravenous antineoplastic extravasation or when a vesicant or an irritant with vesicant properties leaks out of the vascular space. This can cause an injury to the patient that's influenced by several factors including the specific drug that was involved in the extravasation, whether it was DNA binding, how much extravasated, the affected area, and individual patient characteristics." TS 1:48 "The panel identified and ranked outcomes that mattered most with extravasation. Not surprising, one of the first was tissue necrosis. Like, 'How are we going to prevent tissue necrosis and preserve tissue?' The next were pain, quality of life, delays in cancer treatment: How is an extravasation going to delay cancer treatment that's vital to the patient? Is an extravasation also going to result in hospitalization or additional surgical interventions that would be burdensome to the patient? ... We had a systematic review team that then went in and summarized the data, and the panel applied the grading of recommendations, assessment, development, and evaluation (GRADE) criteria, grading quality of evidence and weighing factors like patient preferences, cost, and feasibility of an intervention. From there, they developed their recommendations." TS 7:35 "The panel, from the onset, wanted to make sure we had something visual for our readers to reference. They combined evidence from the systematic review, other scholarly sources, and their real-world clinical experience to make this one-page supplementary algorithm. They wanted it to be comprehensive and easy to follow, and they included not only those acute management steps but also guidance on 'How do I document this and what are the objective and subjective assessment factors to look at? What am I going to tell the patient?' In practice, for use of that, I would compare it to your current processes and identify any gaps to inform policies in your individual organizations." TS 16:34 "The guidelines don't take place of clinician expertise; they're not intended to cover every situation, but a situation that keeps coming up that we should talk about as a limitation, is we're seeing these case reports of tissue injury with antibody–drug conjugate extravasation. There's still not enough evidence to inform care around the use of antidotes with those agents, so this still needs to be addressed on a case-by-case basis. We still need publication of those case studies, what was done, and outcomes to help inform direction." TS 19:24 "Beyond the acute management is to ensure thorough documentation regarding extravasation. Whether you're on electronic documentation or on paper, are the prompts there for the nurse to capture all of the factors that should be captured regarding that extravasation? The size, the measurement, the patient's complaints. Is there redness? Things like that. And then within the teams, everyone should know where to find that initial extravasation assessment so that later on, if they're in a different clinic, they have something to go by to see how the extravasation is healing or progressing. ... I think there's an importance here, too, to our novice oncology nurses and their preceptors. This could be anxiety-provoking for the whole team and the patient, so we want to increase confidence in management. So, I think using these resources for onboarding novice oncology nurses is important." TS 22:34