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Join Josh Israel, MD, and Sean Cavanaugh, along with Brittney Anderson, MD, family physician and podcaster (“Physicians Hanging a Shingle”) and Dan Bowles, general manager of practice health at Aledade, to discuss Anderson's journey to owning her own private practice, and how she supports other physicians seeking independence. Both Anderson and Bowles believe value-based care is crucial for independent primary care practices, and that greater exposure to independent practice models is essential to provide physicians with more employment options. As Bowles explains, this is the driving force behind Aledade's effort to support physicians looking for information and a path to their own independent practice. Connect with us at acoshow@aledade.com or visit the Aledade Newsroom
In this episode, host Alyssa Watson, DVM, is joined by Sara Jablonski, DVM, PhD, DACVIM (SAIM), to talk about her recent Clinician's Brief article, “Protein-losing Enteropathy in Dogs.” With a career focus on this syndrome, Dr. Jablonski combines evidence and experience to give us the facts, dispel some myths, and equip us all with what's needed to help our PLE pups.Resources:https://www.cliniciansbrief.com/article/ple-dogs-treatment-prognosishttps://solensiavetteam.comContact:podcast@instinct.vetWhere To Find Us:Website: CliniciansBrief.com/PodcastsYouTube: Youtube.com/@clinicians_briefFacebook: Facebook.com/CliniciansBriefLinkedIn: LinkedIn.com/showcase/CliniciansBrief/Instagram: @Clinicians.BriefX: @CliniciansBriefThe Team:Alyssa Watson, DVM - HostAlexis Ussery - Producer & Multimedia Specialist
In honor of Breast Cancer Awareness Month, this episode of Docs in a Pod features Kimberly Channels, PA-C, from WellMed in New Tampa. Hosts Ron Aaron and Dr. Tamika Perry from WellMed at Redbird Square lead a powerful conversation about early detection, risk factors, and the importance of regular screenings. Docs in a Pod focuses on health issues affecting adults. Clinicians and other health partners discuss stories, topics and tips to help you live healthier. Docs in a Pod airs on Saturdays in the following cities: 7:00 to 7:30 am CT: San Antonio (930 AM The Answer) DFW (660 AM, 92.9 FM [Dallas], 95.5 FM [Arlington], 99.9 FM [Fort Worth]) 6:30 to 7:00 pm CT: Houston (1070 AM/103.3 FM The Answer) 7:00 to 7:30 pm CT: Austin (KLBJ 590 AM/99.7 FM) Docs in a Pod also airs on Sundays in the following cities: 1:00-1:30 pm ET: Tampa (860 AM/93.7FM)
In this episode, Molly Painschab and Clarissa Kennedy reconnect after three transformative weeks together—first in London for the International Food Addiction and Comorbidities Conference, then exploring the magic of Scotland. From castles and waterfalls to ancient standing stones, they share the joy of work, play, and community in recovery. But the heart of today's conversation is the fawn response—a trauma survival strategy often misunderstood as “people pleasing.” Drawing on their own stories and professional experiences, Molly and Clarissa explore how fawning develops, why it feels so challenging to change, and how it manifests in recovery and relationships. What We Talk About Fawning explained: Why it's more than people pleasing and how it functions as a survival strategy. Personal stories: Growing up in emotionally immature households, learning to appease, and the impact on identity and relationships. Adaptive vs. maladaptive fawning: When appeasement helps us survive—and when it harms us. Symptoms and signs: From difficulty saying no, over-apologizing, and hypervigilance to identity loss and emotional exhaustion. Why fawning is reinforced: Cultural, gender, and relational factors that reward compliance at the cost of selfhood. Professional insights: What clinicians and helpers need to know about clients who fawn—including vulnerability to relapse, self-neglect, and difficulty with boundaries. Pathways to healing: Building awareness, practicing small boundaries, parts work, somatic tools, and self-compassion as antidotes to shame. Grief and growth: Naming the loss that comes with shifting out of fawning while also reclaiming voice, choice, and authenticity. Invitation for Listeners This week, reflect on a time you said “yes” when you truly wanted to say “no.” What small, safe boundary might you practice instead? Notice how your body responds, and give yourself permission to honor your needs—one step at a time. ✨ Resources Mentioned Are You Mad at Me? by Meg Josephson Sweet Sobriety Membership & Groups: www.sweetsobriety.ca
The corporatization of health care is driving a mass exodus from primary care, creating a crisis that affects both physicians and patients alike. In this episode, Dr. Peter Grinspoon, a physician and advocate, discusses the worsening state of American primary care, shaped by burnout, poor pay, and a loss of autonomy, while sharing how his recovery from opioid addiction inspired him to support other physicians. He also explores the stigma surrounding mental health in medicine, stalled union efforts, and the need for better education and regulation around the safe use of medical cannabis. Tune in and learn how systemic dysfunction is breaking primary care and how medical cannabis could be part of a more humane, effective future! Learn more about your ad choices. Visit megaphone.fm/adchoices
Kiera is joined by Dr. Lauryn Brunclik (of She Slays the Day podcast fame) to take a good hard look at clinician burnout, different sides of the working mindset coin, generational styles of work, and so much more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera. And today I am so excited about our guest that's going to be on the podcast with me today. She is incredible. We're going to be talking about all things burnout, how to avoid it, how to just like live your best life. And so I have Dr. Lauryn Brunclik. She's an entrepreneur, chiropractor, business coach, podcast host, wife, mother, and sought-after speaker known for her high energy. You guys know that this is why I like her. mean, we're birds of the same feather, straightforward attitude and ability to make people laugh while discovering their truth. In 2010, she founded Blue Hills Chiropractic building into a thriving seven figure practice. But after years of relentless hustle, she found herself overworked, tied to her clinic and craving more freedom. Dentist, can you relate? Now you see why I brought her on here. Now you can see why I want her here. ⁓ she truly is very similar to all of you out there. She was determined to create a business that worked for her, not the other way around. Lauryn built multiple revenue streams, streamlined her operations and reclaimed her time without sacrificing income. She took that passion and launched She Slays the Day, a podcast helping professionals and clinic owners break free from burnout by creating multiple revenue streams, recleaning time and building financial and lifestyle freedom. So welcome to the show, Lauryn. How are you today? Dr. Lauryn B (01:07) Thank you. As you were reading that is so funny because like in this world of virtual assistants and AI, I'm always like, what bio is she reading? And I'm like kind of holding my breath like, ⁓ and I'm like, okay, yep, that's true. That's true. this is good. I did really get sad and burnt up. It's like, I just went on a journey with you while you're reading my bio. Kiera Dent (01:25) Usually both. You and me both. was on a podcast the other day and I had the exact same feeling because they were reading my bio and I was like, huh, I'm super curious. Like which bio did you get? And wow, yeah, like I did just get to go down memory lane. but Dr. Lauryn B (01:40) You're like, that's a good bio. Good job, AI. Good job. Which is like always waiting for like the wrong thing where it's like, no, I didn't do a stint as a clown or anything. No, that's not true. That's not true. So. Kiera Dent (01:49) Exactly. I, Shelbi got us connected and I was super excited and you know, I was looking up on it and she's like, here, I think you and Lauryn are going to have the best time on the podcast. She's like, you two are birds of the same feather, the high energy, the tactical, the like we talk about it's like life on purpose and business on purpose and not having it to where it's the other way around. I say all the time, like your business should be working for you, not the other way around. It should be supporting your life. So I'm just super jazzed. So Lauryn. Dr. Lauryn B (02:04) Mm. Kiera Dent (02:17) I mean, that was a great bio. agree like kudos to AI, virtual assistant, whomever wrote it for you. Kudos to you for living that actual bio and being the human on the other side of that. So anything else you want to add? I mean, we're here today to chat shop. We're here to ⁓ share with your audience, our audience, and just really collaborate together and talk about some things that you're super passionate about and that I am too. Dr. Lauryn B (02:22) Right. Yeah, so I think that one of the things is that, you you kind of address of like, I think you probably typically have more dentists on of thing and your audience is like, wait, what's happening? So I started as a coach for chiropractors, you Kiera Dent (02:51) you Dr. Lauryn B (02:56) this is, I see this a lot of what we do ⁓ as especially high achieving people, you know, we spend a lot of money and time getting this degree. And then we kind of, when we start to get bored, burnt out, ADHD, whatever it is in our career where there's this kind of a couple years in and you're like, wait, is this on repeat? What we tend to do is we repurpose our current knowledge set. And so it's like, I have this degree in this, so I'm gonna start a podcast for those people, right? And so that was kind of my experience too. She Slays the Day started as a podcast for chiropractors. But then I started to realize like as we were having these conversations and you you're just networking, you're meeting. And I started to talk to dentists and veterinarians and you know, realizing like, ⁓ you guys deal with the same shit we do? I had an ENT on a private practice, ENT ⁓ on the podcast, on my podcast because I was following him on Instagram because he was hilarious, but I was like. Kiera Dent (03:51) Yeah. Dr. Lauryn B (04:02) you're dealing with the same stuff we do. And ultimately, that's kind of where I expanded in 2023 to be more for healthcare providers outside the traditional hospital system, because it's like, none of us learned business. Like, we, while we were doing anatomy and infectious disease and all of this stuff, there were people outside in the college getting like MBAs and entire business degrees. Kiera Dent (04:18) Exactly. Dr. Lauryn B (04:31) And we didn't take a single class. we just, there's such this atmosphere of shameful entrepreneurship. What I mean by that is like, especially within chiropractic, and I've talked to vets and dentists as well, that's like, well, if you're not gonna own your own clinic, are you even like really that good? And so there's this forced entrepreneurship in a society where only 10 % of Kiera Dent (04:54) Mm-hmm. Dr. Lauryn B (05:01) people truly have the grit and resilience for the shit show that is ⁓ entrepreneurship. But you have like 80 to 90 % of a profession going into it. And so it's just so natural that it's like, we didn't learn this stuff. It's so natural that burnout is such a common thing. So that's where really it's like, I've realized that like, yeah, I promise you that the same stuff we're dealing with, you're dealing with too because I've had these conversations. Kiera Dent (05:13) Right. Amen. And it's actually funny, and I didn't mention this prior, but we actually consulted a chiropractic office and we've consulted eye clinics and ⁓ optometrists and we've gone into CPA clinic firms. And I realized business is business is business and healthcare business is very similar. I think we do ⁓ outside of mainstream medicine, which is our chiropractic, our vets, our dentists. We're not in the hospital setting. We have more of that autonomy to have our own practices and our own businesses and I agree with you. It is a I think I think the memes out there with business ownership are so accurate the ones where you're on a roller coaster and they're like it's the highs and the lows the ones we're like holding on for dear life and you're like giggling and then crying all within a matter of seconds and I'm like that is the role that is the realm and so that's why I really wanted us to collaborate together Lauryn to talk about because What you see in chiropractic, what I see in dentistry, what we see across the board of these incredible clinicians. like you, go to school, you learn, you, you have all this experience in this knowledge. And like you said, It does not train you to be a business owner. yet also, like you said, it's well, why not? Like, and I think that that is kind of the, it's like for team members, like you want to graduate to be the office manager. You want to be the regional manager. You want to get to that level. Like that's where you like it. There's a ladder ascension. And I think in business ownership and with Like you wanted to be a chiropractor because you wanted to help people. You wanted to be a dentist because you want to help people. You want to be a vet because you want to help people. You want to be an ENT because you want to help people. But it's, think that there's this unsaid natural ladder that people feel there's a push to go for a business ownership when it's like, but I just want to be a clinician. I just wanted to, to do my craft, but I also wanted to do it my way. And that's where I think the business ownership vibe comes in. But you're right. It's, it's stressful, not having profits, not having understanding cashflow, not understanding how to run teams. Like awful. Dr. Lauryn B (07:20) The number of people, doc, clinic owners that have been in practice for 10 plus years that I am teaching what profit margins are and what is healthy and how to calculate it is astounding. It's like, So, you know, I think that ultimately when you, you know, the different personality types, you know, when they find themselves in practice, Kiera Dent (07:31) Yes. Yes. Yes. Dr. Lauryn B (07:46) I feel like they almost burn out for two completely different reasons. So let's say that you have, know, so 80 % of humans are just more meant to be more like caregivers, supporter roles. I would guess that that's even higher in someone who's called into healthcare, right? That like, they went into this, believe me, if you are about to decide what you should do with your life and you are like, I'm an entrepreneur and I wanna be. Kiera Dent (08:05) Mm-hmm. Dr. Lauryn B (08:15) rich. Do not go into chiropractic. Do not go into dentistry. There is so much easier ways to make money. like 99 point whatever percent of people are called to this profession in healthcare because they want to serve. So let's say you start your clinic. There's a good chance you're going to burn out from one of two reasons. One, you don't want to run a clinic. You truly And that's what's burning you out, is that you're just like, I am here for the patients. I want to pour into the patients and I want to serve and I want to do that. But like, I have to hire another front desk person? Didn't we just do that last year? I don't know what the ad should say. I don't know what we should pay them. Or like there's office drama and you're like, I have to create a SOP on that, what? And so that will burn you out because so much of being the CEO and the clinic owner is like, pulling you away from patient care. So you either have to divide your patient care down or in half so you have time and now you're spending half of your time not doing what you wanna do or you just pile on the admin stuff on top of it so you're working 60 hours a week. So that person, obviously they burn out. Now the other one is I think a much more, like is much more my personal story and I'm so curious as to like why you started the podcast, why you started doing what you're doing but like. Kiera Dent (09:30) Mm-hmm. Right. Dr. Lauryn B (09:43) So this is, I was not someone that like was a natural entrepreneur. Like I never would have, you there's certain people you hear these stories where they're like, I'm kindergarten. was like, you know, I'm like, no, that wasn't me. Like I had no idea until really after I, you know, I started my practice, but that was out of convenience. Cause there was no job. Like I had kids and like somewhere along the line, the entrepreneurship bug just got me. Kiera Dent (09:56) Hahaha! Dr. Lauryn B (10:13) And then all of a sudden, that's what I wanted to be doing. Like I wanted to be scaling, looking at marketing strategy, looking at like growth projections, creating higher, like I wanted to do that. But then like Barb needs me in a room too. And I'm like, like I love, okay, I like serving. Yes, yes, yes. But like I really. Kiera Dent (10:36) Yeah. Dr. Lauryn B (10:41) This is what was exciting to me. And so then, and this is where I'll kind of like be vulnerable and share my story, because I know from stage that this helps people, people see this, but it's embarrassing to admit, but the patient care became boring. The patient care became repetitive. Like in the beginning, you're like, ⁓ how do I fix this? And like, you're not getting results, how do I do that? And it was this problem, like new problems to solve. But once you've been doing it, five, seven years, I mean, for everybody it's different, you're kind of like, I can do that on autopilot. And it wasn't challenging a part of my brain that wanted to solve new problems. And so there was a lot of shame and guilt that came with, because at this point, I've been in practice seven years. I'm in my early 30s. Okay, well, you're doing this for the next 30 years. And I was like, I can't. Kiera Dent (11:38) Right. Dr. Lauryn B (11:39) can't do this for the next 30 years. And so that's just like, whichever side a clinic owner sees themself in, like, you you're not safe on either. You have to figure out burnout on either side, but ⁓ they're completely different reasonings. And I think understanding what, why are you feeling that burnout is really important. Kiera Dent (12:04) Yeah, I love that you talked about both sides of the coin because I think there's guilt at least from what I see working with dentists working at myself. They actually got like I've heard I don't know like where this is coined but it's like the seven year itch or stitch like there's like you just kind of get into this and some people get it at five years some people get it at 10 years but there is ⁓ I also love Tony Robbins when he says like progress equals happiness. Dr. Lauryn B (12:20) Mm-hmm. Kiera Dent (12:29) And so if we're not progressing and some people love it, they love the autopilot of patient care is easy for me. But like when you first get out of school, all of that is hard. It's a puzzle. You're progressing. You've got to figure out how do you navigate and get patients to say yes to treatment? How do I run my books? Like how, like there's so much how, how, how to, how do I like serve my patients better? How do I make this for dentists? It's like, do I make that perfect crown margin? Like, how do get that perfect? I imagine in chiropractor, I'm actually a chiropractor. all the time. I love her. She's incredible. We do talk business often. She's a fee for service. And I'm like, let's talk shop on like going fee for service versus in network, like, just like dentists, right, the fee for service versus in network. And it's how can I make this body like looking at people that have weird symptoms and trying to figure out how can I fix that? Like, I know there's a way to fix this long term. ⁓ But also the like annoyance of running a business and also be like, need for growth. I really love and I never thought about those two sides of the coin until you mentioned that of that really is what causes people to stress. And I think that there is guilt on both sides. I think there's guilt of I want to be with patient care and I don't want to run the business, but I know I have to like, this is kind of the, the card I signed up for. And then the other side of I want to leave the chair. I had a dentist the other day and one of our masterminds say to me, I only want to work two or three days, but I feel guilty because my team's working five days. And I was like, Dr. Lauryn B (13:52) That's a really common one. Kiera Dent (13:54) so good. And the great news is you built the business, like you provided them the job, like you've created that. That does not mean you need to stay in the day to day, five days a week, like whatever is best for you as the business owner and creator. And that can shift and morph. But there is a lot of guilt. I think that that creates, like you said, a lot of shaming and thanks for being vulnerable on that because I think so many people can relate to that. I think when people are listening, they're like, yes, yes. Like, I feel either side of that and I think people don't know how to get out of it. So instead it's just this like, let me keep doing the same. ⁓ let me listen to other podcasts. Let me see if other people are like me. And I'm sure it's the same in chiropractic dentistry. say that it's like this isolated Island and I'm so grateful for podcasts. I'm grateful for communities, but I still think people feel that way because you're day in day out in your own clinic, in your own practice by yourself, even though you maybe know there's a few other islands out there that are maybe similar to you. ⁓ but I think it's such a, I think that's also business too. Dr. Lauryn B (14:36) Mm-hmm. Kiera Dent (14:52) I don't think it's just being ⁓ a provider in your own practice. I business entrepreneurs feel this way as well, like, how can everybody else figure this out? And I don't feel like I can. ⁓ Dr. Lauryn B (15:00) And you have no idea that they haven't figured it out. I was at a seven figure female mastermind a month ago. so it's all seven figure females all over the board, as far as like industry striving to get to eight figures. And like, there were so many moments at this retreat that every single person just felt like their business was duct taped together. And it's just like, everybody's just doing their Kiera Dent (15:07) you Dr. Lauryn B (15:29) absolute damn best. And so it is really, ⁓ but you know, I wonder how much of how much of this burnout conversation has to do with like generational differences. You know, like, I'm assuming that you are a millennial. Yeah. And yeah, I know, we really are the best. really are. Don't tell everybody else, but we are the best generation. ⁓ Kiera Dent (15:46) Mm-hmm. Yep. I like the emojis. I'm here for all the millennial vibes. Like, I'm here for all of them. I feel like I really fit it. Dr. Lauryn B (15:59) And so I will point this out on stage a lot because when you're talking, giving continuing ed, you'll have a lot of, Gen X is still in the workforce. Like they are still here. from the time I was in school up until like the last couple of years, they really were a lot of the stage presence at conferences. Kiera Dent (16:12) Mm-hmm. Yes. Dr. Lauryn B (16:28) And so you being a millennial would sit and really just get advice, business success, career advice through the lens of Gen X. And why that's something that we just have to be aware of is like each generation has a very different script that they have downloaded, like they've just absorbed kind of. automatically without putting too much thought into, know, it's just like the culture of their generation. And Gen X was like, shut up, don't complain about it. There is work life balance. Like your career is the most important thing. Like raising your kids, like you have a spouse for that and you will enjoy your life once you have accumulated enough money. And if you've done it right, that'll happen by your like 60, between 60 and 65. But the goal is to hustle, hustle, hustle, accumulate, accumulate, accumulate at all costs. You can enjoy your life if you need a second, if you need to get a divorce and you just get a new spouse in your sixties, that's what like, and so like not trying to give them shit or anything. Their work ethic is phenomenal. My favorite employees are Gen X. Yeah. Yeah. Kiera Dent (17:41) I always love to hire them. I was like, perfect, come on in, you're gonna work forever. Like, it's great, amazing. Dr. Lauryn B (17:47) So they're great. But then like we come in and you know, I know that in chiropractic now 50 % of graduates are females. Do you know what that is in dentistry? Kiera Dent (17:58) Dentistry actually tipped over. There's more females that are graduating than there are men. It just recently tipped this scale, which I was quite impressed by, which is awesome. So it's exciting. Dr. Lauryn B (18:09) It's so cool, but we're kind of screwed because we as millennials, we're not going to not have children. We're not going to delegate that completely to somebody else. I mean, my husband, I'm definitely the primary breadwinner in my husband's profession or career has like molded to what our family needs are, but like. Kiera Dent (18:13) Mm-hmm. Dr. Lauryn B (18:35) So we're not gonna do that, we're not gonna do that, like we're not gonna give up our career. And so it's not like we're complaining about work-life balance, it's just a necessity. We're like, no, no, no, it's not like I'm like, like I, it's like, no, this isn't I want to raise my child, it's I have a child, I have to raise them also and the business. And so like we're trying to figure out, like, well, I can't follow that script. Kiera Dent (18:47) Right. Dr. Lauryn B (19:05) that script that we saw from stage for so long is just like, that's not gonna work for me. we're trying, that's why everything feels duct taped together is because we actively reject it. We were given a script to follow, like work six days a week, just do it. And we're like, nah, I don't want that. And it's like, okay, well then we're literally creating a new path. And so to any millennial, I would say like, if it just feels Kiera Dent (19:15) Mm-hmm. Dr. Lauryn B (19:34) messy, this probably isn't a youth thing. This is like, are truly carving a brand new way to do things, which we're kind of wasting our time because Gen Z is coming in like, no, I'm not doing that either. And we're like, we're fixing this for you. And they're like two months into their, yeah, they're like two months into their profession and like, ooh, 30 hours a week? That's not gonna work for me. Kiera Dent (19:44) was going to say, they're coming right behind. Exactly. They're like, no, no, no, no. We see that. We're not doing that either. Yeah, not happening. No, they're like, I could be a YouTube, like I could I could do all these different things. I can be an influencer for like five hours a week and make way more than you are not here for that. Dr. Lauryn B (20:10) And you're like, well, I don't know how to solve this for you. Kiera Dent (20:13) they're like AI, why are guys like still doing stuff yourselves? Like, no, we're gonna have robots to do all this stuff for us. Like, absolutely not. It's incredible. Like, good. But I don't disagree with you. I think it's ⁓ and as you said that I thought about how agreed and I think every generation actually makes it better from the last and I do agree that ⁓ I don't know, I started thinking about it. This struck me about probably, I don't know, eight years ago. And I'm like, Dr. Lauryn B (20:20) He probably will. Like, damn it. Kiera Dent (20:42) my gosh, like people used to get married because they needed to be married. Like you used to have to have like a husband and a wife to be able to have kids. And I'm like, you don't need that anymore. There's IVF, there's ⁓ different things that you can do. You do not need anybody anymore to live the life you want to live. It's very much becoming this like self ability. But I'm like, our parents couldn't do that. I mean, women even coming to the forefront to be able to have businesses. to own land in our name. Like that has not been a long change and shift for women to be here. And then I also think that there's a whole dynamic for women as well coming into this scene. Like you said, they are coming in there. We're, having stronger professions. are being stronger business owners. We're like the kid having children is being delayed much longer in life. And so I do think it's a, a walking through and not understanding like where are we even supposed to go? Because what we've seen as the model isn't the model for us anymore. like that doesn't work. Our lives look different. I mean, my mom, didn't work a lot of my friends moms didn't work or if they did, they worked at the schools or they didn't work like high level powered careers, a lot of them and I'm so excited that women are coming into the workforce and because there's so much talent and beauty. But I do think that there's a whole dynamic and for men too. think that the whole shifting like you said, a lot of women are becoming breadwinners. They do. Dr. Lauryn B (21:41) Mm-hmm. yeah, they want to be dads. Like that's the thing too is like, they're like, hey, I just cause I'm a dude doesn't mean like I'm okay with missing my kid's childhood. It truly is a generational shift. Kiera Dent (22:11) Exactly Exactly. And so I think I just through all of it, I think you're highlighting what makes me excited. And the reason I'm just like jazzed about this today is it's normal. It's okay. And there's solutions around it. And also, I think just aha moments of, my gosh, like maybe this is why. And I do agree. Generations behind the millennials, you're probably giggling at our conversation right here. Like, yeah, yeah, yeah, you guys don't even know what you're talking about. But I think like we're in it. Exactly. Dr. Lauryn B (22:41) Hey, we say you don't know what you're talking about. Kiera Dent (22:44) I'm like, but we're in it and there has to be a solution here. Dr. Lauryn B (22:44) Hey! I have the microphone. Kiera Dent (22:48) Who's on this podcast and who's listening? All right. I think when I look at that, I'm like, but for millennials, think that they're, and most generations probably feel this. think we're a taffy stretch between one way of thinking and a new way of thinking. And we're kind of that like middle child syndrome right now where we really are trying to carve that new path that's making it easier for other generations behind us to see easier modalities. But I do think that that kind of tug of war, I mean, I feel it, you felt it. We've had our personal experiences through it. We see people, we coach people through this, we work with people. But I also think in a way life has become easier to learn. I don't know how you feel. And like easier with air quotes, meaning there's so many things that do things for us. Like washer and dryers were so great for our parents' generations. But I'm like, for us, we now have, like you said at the beginning, we have AI that's writing bios for us. We've got virtual assistants that are doing it. There's ways, like you said, there's easier ways to make money outside of just doing your day in, day out, eight to five job now. There's different ways that we can build retirement. There's ways like the Airbnb market and having real estate investments. Like there's so many different ways that I feel like wealth is oftentimes easier to achieve. But I think with that, because there's so many things and not to say that it's perfectly easy, but I think as we conquer in life, just like the washer and dryer, the cell phone, like those things were conquering big problems. Google coming in and the internet taking over, those conquered a lot of challenges. I think so much of today's challenge, and I don't know how you feel, Lauryn. This is like Kiera going off on her own soapbox. I feel like you said so much of it now is our mind and that space of centeredness, of balance, ⁓ not having to work all the time. I think a lot of jobs have shifted from labor jobs to mental labor jobs. So we're not having as much physical. Dr. Lauryn B (24:32) Hmm. Kiera Dent (24:35) Like you said, patient care can be a lot of just like mindless. I miss the days sometimes of being a dental assistant, sitting there and having like hours of time to dream of all these ideas to where now I feel like I wish and crave for that quietness that my mind never gets anymore. And so I feel like even with some of those shifts and how we work and how our family needs are in the necessities of family dynamics in, we don't need to work clear up to 65, but people are able to retire now at 35, 40. And then it's like, now what, what am I supposed to do? So also then finding your purpose in life. I think you combine all that into a cluster storm and voila, welcome to millennial dilemma. Like, you know, we can coin that of what do people do? How do they, how do they exist? And I think the future generations coming will have even more of this at more grand scale. So it's like, let's have conversations of how do we prevent that burnout? How do we have the conversations about not working in like having nothing left to give to our families of having that balance? Like you said, if I want to run the business and I want to progress, but I also want to be a human at the same time. So Lauryn, think you're more the expert at this than I am. I'm just here for the like great conversations and talking it through because I think it's such a necessary conversation that now is starting to really bubble to the surface out of necessity and also out of curiosity and also out of like desire to fix this and not have it be our day in day out norm anymore. Dr. Lauryn B (25:54) Yeah, well, so I'm gonna say another kind of controversial thing then. ⁓ So you touched on it and like with any time, we don't love, as care providers, we don't wanna come across as greedy, right? And so what we end up doing is like, we'll just be like, it would be great to be wealthy, but like not too much, like I don't need to be rich, and you didn't do this or anything like this, but like. Kiera Dent (25:57) Ready, I love this. Dr. Lauryn B (26:22) other people is just like, yeah, I would like to make a little more money. ⁓ so part of my story, ⁓ I'll give you the very short version, was ⁓ we had our most successful revenue year ever. And it was with like the least amount of money I had taken home in like seven years. Yeah, yeah, we call this payroll bloat. You need to fix your pricing structure so we could talk about pricing increases. Kiera Dent (26:42) Happens all the time, all the time. Dr. Lauryn B (26:50) And so like I'm a cash clinic. So like this was my own fault. This was, I set my prices and I just did a bad job at it. And so part of like, if when people are like, well, how did you like, were you burnt out? And I was like, yeah, I was burnt out at like 32. And you're like, are you burnt out? I'm like, no, I freaking love what I do now. I still serve patients 10 hours a week. actually. as of last week went down to like seven. We got a chef, yay. So I still serve patients like seven hours a week. I still spend probably like three hours a week ⁓ running meetings and like running the clinic. ⁓ But now we have other investments. ⁓ Whereas that clinic portion that used to be all of our eggs were in that basket. Kiera Dent (27:22) I'm not. Dr. Lauryn B (27:46) Right? So like, as we had kids, my husband left corporate consulting to help our family and clinic grow. So all of our eggs were in this one basket of whether the clinic does well that quarter or not. we want to remodel the kitchen? Better go get some more new patients. Like, want to go to Disney? It's not in the budget, but like, ugh, like all of these things. And we're not even talking about time freedom. Like we're just talking about like the key to burnout is having time freedom and financial freedom. When I'm working with docs, the ones that are like the hardest to fix are not the ones that are like, I am working 60 hours a week. I have like oodles of money that I know should be like, I should be doing something with in, but it's just like $50,000 in this bank account. And like, I wish I had time to go to Disney, but I don't, I don't want to belittle that. That is a different kind of burnout. Kiera Dent (28:32) Mm-hmm. Right, it is. Dr. Lauryn B (28:45) and everybody right now is playing a little sad song for you, but I relate to you, we can fix this. But the harder ones are the ones that are broke. Like being broke, and this has to do with like just core psychological, like I reference Maslow's hierarchy of needs a lot in my talks because like. Kiera Dent (28:49) Mm-hmm. I agree. Mm-hmm. Dr. Lauryn B (29:07) You cannot get to the tip, the Maslow's for those of us that took Psych 101 10 years ago is the triangle where at the top is enlightenment and at the bottom is like your base survival, food, water, shelter. And if you are broke, now granted, monks, I'm sure they can figure out how to have enlightenment without having food, water, shelter. Most of us cannot, okay? We are doctors and there is a certain amount of debt. Kiera Dent (29:12) Mm-hmm. I agree. Dr. Lauryn B (29:34) and a certain amount of expectation is maybe the right, I don't know if that's the right word, with like, I'm gonna serve people and this career is gonna take care of me. I'm gonna go into debt and it's a lot of debt, but this career is gonna take care of me. I'm gonna care for people, as long as I focus on serving, the career will take care of me. And we have too many people that it's just not. And they're like, I... did not realize that I was going to struggle this much financially. These are not people that are like, can't afford a yacht. These are people like truly who are like my margins for financial investing and building wealth are a lot more narrow than I thought they were going to be. And that's a harder thing to fix, but that... Kiera Dent (30:22) Hmm. Dr. Lauryn B (30:27) is a deeper kind of burnout that we just need to be more comfortable. Again, following generational stuff, Gen X, like we don't talk about money, right? That was the script that we got from them of like, you just focus on the patients and the patients will take care of you. And you're like, ⁓ okay, so we don't talk about money. And then millennials are like, I think we need to start talking about money. I think we need to start talking about money because if you were being paid, Kiera Dent (30:38) Bye. Hahaha! Dr. Lauryn B (30:56) whatever you feel is appropriate. If you were feeling wealthy. And again, I'm not talking about that. I'm not putting on you that like you feel like you need to be making $3 million a year. Like, although that is my goal for next year is 3 million. just, but like, you know, just so we're clear, that is my literal goal for next year. So you can want that. You have permission to want that if you want, but we're talking about like, I don't know. Maybe if you made $500,000 a year, life would be a little easier and you could breathe. Kiera Dent (31:10) Yeah, exactly. Dr. Lauryn B (31:26) And if you can literally financially breathe, you have more bandwidth make calm decisions for your business. Where you don't feel like if you have a bad quarter, you're gonna have to lay someone off. And like that's one of the first steps to helping most people burnout or recover from burnout. is like, we gotta talk about money and we gotta fix your personal financial situation because if you're constantly in a place of fight or flight you can give yourself an extra 10 hours a week and time to be the CEO if all you're doing is worrying about how you're gonna make payroll. Like, it's not, you're not gonna from burnout. Kiera Dent (32:22) think that that was such a good ⁓ way that you highlighted it. And I'm just very curious now, like, how's the how, because agree, like people, what you're saying, Lauryn, I can tell you've lived the like the life. This is something that you've done, you've been there, you can speak to it so authentically. I've been there many times. And I'm always like, I want our doctors to get paid so well. I see how much you go into school for debt. I see the, and I think that that's a different piece too, if we're to talk generational, people who are not walking out like half a million debt. Dr. Lauryn B (32:55) And y'all are way worse than us, right? Like what's the average dentist, like 350? Kiera Dent (33:01) Average dentists right now are coming out at almost half a mil of debt when they walk in. It's bonkers. Dr. Lauryn B (33:05) That is bonkers, you guys. Like when I heard that, because I posted a reel that went so viral and it was just about like healthcare debt and reimbursement rates. And that's when I learned they were like, 250? Talk to a dentist. And I was like, wait, why? How long? And they were like, yeah, 350 minimum. And I was like, Kiera Dent (33:25) Yeah. Dr. Lauryn B (33:30) That's insane. That's insane. Kiera Dent (33:32) That's insane. And then you go buy a practice. So the practice that I helped start with a dentist straight out of school, we were, I called her 2.5. I got to walk by and I'm like, get that spine up like you're 2.5. We were 2.5 mil in debt. So that was coming with student loans. So schooling was 500,000. Living expenses during that time were about another, you know, two to 500. So like they're walking out with this. $500, $600, $700,000 worth of debt, not just including your schooling, but all of life expenses, because you're probably not working while you're going to school. And then we went and bought a practice that's about a $2 million practice. So we were like 2.5, not like we were 2.5 in debt. I was like, keep that spine up, like put your hands up when you walk across the street, like you've got to keep those hands in motion because otherwise how are we going to get out of debt? And I think for me, when I look at that much debt, when I look at that much risk and I look at the benefits that healthcare providers are giving, I'm like, no. And I tell teams all the time, I'm you want your doctor to be ridiculously wealthy. Like I do, and I preach this hard and I say, no, you should and you deserve it. And we want you that way because you're a better boss, you're a better clinician, you are better at doing your services because you're not stressed about making money. So we're not like you said, like, I want to go to Disney, let me go find more patients. I get. No, I have confident, predictable payroll or cash flow. I'm very successful in what I do and you can make the margins there. Like I was the girl who did business that did not understand numbers. And now I say like, I love numbers and numbers definitely love me. And I'm like, it's now just a fun math equation. If I want to make X amount, you just back it down. You figure out what your costs are and you figure out the three levers you can use. We either drop our overhead, increase our production and or our collections. Like it's very simple when I'm like, okay, got it. Dr. Lauryn B (35:05) and Kiera Dent (35:17) Like got it when it's just those three levers, people make it so much more complex. And I think it does feel complex. Like reading a PNL is ridiculous. If you don't know what that is, that's okay. We're here where there's no judgment. It's a profit and loss statement. And I love educating people on this. Like this is where the fire in the belly comes. This is where it does. We get lit up because when I have someone who's cashflow positive, like you said, they can make calm decisions. They're not sitting here stressing all the time, but Lauryn, I'm very curious. Like you've talked about it at length. Like what do people do? Like what's the how, how do we get into this? How do we have multiple streams because agreed all eggs in one basket? gosh. It's, ⁓ to me, that's like just a ticking time bomb. Like one bad day, one bad patient, one bad procedure. Like it's just going to explode because you're sitting like you're sitting on the edge of fear all the time to where you are in like cortisol adrenaline, like you are pumping. And then what you do is you go into complete shutdown because you can't handle it anymore. So your body and your system literally like just shuts down on you. You become apathetic to life. Dr. Lauryn B (35:54) Mm-hmm. Kiera Dent (36:15) things aren't exciting for you anymore. You become very numb to walking through the world. And it's like, I feel like the world of color goes into very like gray. It's very subtle. It's like, it's, there's no, there's no life left. It's just, are living life, but you're not actually being and living day in, out. The Dental A Team (36:33) that wraps part one of our part two series. Be sure to tune back in for part two of this podcast. And as always, thanks for listening and I'll catch you next time on the Dental A Team Podcast.
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Picture this, you're running on fumes but can't hit the brakes? Do you wonder if the stress you're carrying is quietly building into burnout? Kevin DeGroot sits down with his wife, Hannah, for a real talk about burnout in healthcare. They unpack what burnout actually looks like beyond “being tired,” why long hours and mismatched expectations wear you down, and how the grind affects home life, too. You'll hear practical ways to spot early signs, set boundaries that stick, reset your nervous system during the day, and talk with your team or partner before things boil over. Whether you're a clinician or a practice owner, this episode gives you simple steps to feel more grounded, protect your energy, and start enjoying your work again. In this episode, they'll cover the following topics with you: What burnout really is (and what it's not) The most common causes of burnout for clinicians Early warning signs you should never ignore Why resentment and avoidance are key signals Strategies for setting healthy boundaries How the “miracle question” can help shift perspective Building self-awareness as the foundation for lasting change Burnout doesn't have to control your life. The key takeaway here is that awareness, boundaries, and intentional choices can free you from the cycle of overwhelm. Give yourself grace, take small steps, and remember you don't have to go through this alone. Hannah and I hope this conversation empowers you to reclaim your energy, protect your joy, and thrive UNCAGED. Uncaged Hack: "Resentment is truly one of the best signals to potential long-term burnout." —Hannah DeGroot If you found value in this episode, don't keep it to yourself! Please share it with a friend and spread the inspiration. Tune in to future episodes for conversations on UNCAGING YOUR Potential for Achieving Success. Early bird ends soon. Schedule your application call and lock in $1,000 off!!!
In this episode of the HPNA Palliative Perspective Podcast, we welcome Doug Wubben, a health care professional with a diverse background in nursing and coaching. Doug brings extensive experience as an Oncology Case Manager and Goals of Care Educator, roles that have shaped his deep understanding of person-centered communication and interprofessional collaboration. Currently, he works as a Life & Leadership Coach, supporting clinicians as they navigate the personal and professional challenges of caregiving roles. In this episode, Doug shares insights from both his clinical practice and coaching work, offering a unique perspective on how we can address empathic distress, acknowledge and learn from a culture of mistakes, and build meaningful process improvements. He reminds us of the value in slowing down, making space to feel, and cultivating the most important compassion of them all—for ourselves. Doug Wubben, RN, BSN, PCC Doug Wubben, RN, BSN, PCC is a Life and Leadership Coach and High Reliability Specialist at the VA Hospital in Madison, WI. His career has been anything but linear—spanning roles as a caregiver, organic farmer, local food advocate, nurse, and now coach—giving him a rare lens on how humans grow through change and optimize life transitions. With 14 years in nursing and a deep commitment to end-of-life care, Doug has led countless goals-of-care conversations and trained hundreds of clinicians to approach them with clarity and compassion. Today, he's helping health care professionals turn their care inward—teaching them how tending to their own well-being unlocks deeper, more sustainable care for others. 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.
Sam Watts has a PhD in cancer survivorship from the University of Southampton's School of Medicine, where he worked for ten years and has led large-scale NHS-funded cancer clinical trials in several leading hospitals Sam is also a trained clinician of Ayurvedic and natural medicine and in 2018 he founded Mind-Body Medical to bring evidence-based and practical Ayurveda to those living in Britain and Europe. Mind-Body Medical has grown to become one of the leading providers of Ayurveda in Britain Sam's passion lies in studying and exploring the clinical mechanisms that can empower those with cancer to become exceptional in terms of maximising the quality and quantity of life they experience. He has published research in leading academic journals and has presented at leading integrative health and cancer specific conferences across Europe. In 2015 he was awarded the National Institute of Health Research (NIHR) Young Researcher of the Year award for research into prostate cancer survivorship. To learn more about Dr. Watts visit www.mindbodymedical.co.uk Find Dr. Watts on social media @drsamwatts Purchase the book The Ayurvedic Approach to Cancer ____________ To learn more about the 10 Radical Remission Healing Factors, connect with a certified RR coach or join a virtual or in-person workshop visit www.radicalremission.com. To watch Episode 1 of the Radical Remission Docuseries for free, visit our YouTube channel here. To purchase the full 10-episode Radical Remission Docuseries visit Hay House Online Learning. To learn more about Radical Remission health coaching with Liz or Karla, Click Here Follow us on Social Media: Facebook Instagram YouTube ____________
How do you take one complex medical concept and make it clear, accurate, and actionable for both clinicians and patients, without losing credibility?If you're a CME writer, you know the challenge of translating science into education that actually sticks. But as more CME projects tether clinician education with patient-facing components, the real test is flexing your craft to serve two very different audiences at once. Get this right, and you not only improve learning, you expand your professional scope and impact.In this episode, you'll discover:How to apply practical frameworks to dual-audience writing.Structural techniques that make content engaging, empathetic, and accessible.A simple 3-sentence exercise to sharpen clarity for patients and precision for clinicians—anytime, anywhere.
Hosted by Emma King with special guest A/Prof. Michelle Rodrigues Skin of colour deserves centre stage in dermatology conversations. In this podcast, Emma King sits down with internationally recognised dermatologist A/Prof. Michelle Rodrigues to explore the unique challenges, misconceptions, and advances in caring for diverse skin types. From disorders of pigmentation to atopic dermatitis, the discussion sheds light on why awareness and expertise in this field are crucial for both clinicians and patients. Whether you're a healthcare professional or simply passionate about skin health, this podcast will expand your understanding of dermatology in skin of colour and why representation matters in medicine. RESOURCES Dr Michelle Rodrigues, Importance of skin of colour dermatology in the primary care setting in Australia, AJGP https://www1.racgp.org.au/ajgp/2023/october/the-importance-of-skin-of-colour-dermatology-in-th SEARCH pubmed.ncbi.nlm.nih.gov for publications around skin of colour. British Association of Dermatology Education Resources for clinicians on skin of colour, 2020: https://cdn.bad.org.uk/uploads/2022/02/29200007/Educational-Resources-for-Clinicians-on-Skin-of-Colour-in-Dermatology-2020.pdf Brown Skin Matters: https://becker.wustl.edu/news/brown-skin-matters/ Dr Jim Muir, Skin of colour, ACCRM https://www.acrrm.org.au/about-us/news-events/media-releases/article/2024/06/21/skin-of-colour-by-dr-jim-muir National Eczema Society, Skin pigmentation and eczema: https://eczema.org/information-and-advice/living-with-eczema/skin-pigmentation/ Vitiligo Foundation: https://vrfoundation.org/?gad_source=1&gad_campaignid=191484605&gbraid=0AAAAADnlk7uwzIuMpeU6AmZh29dFSd3-P&gclid=Cj0KCQjw3OjGBhDYARIsADd-uX5rMty_3i6mZwJpsu2ahcpcQsRZegdX22F5FbLDd65EMFvfgtCw2RgaAmTVEALw_wcB Dermnet, Dermatological conditions in skin of colour: https://dermnetnz.org/topics/skin-conditions-in-skin-of-colour Dermnet; Melanoma in skin of colour: https://dermnetnz.org/topics/melanoma-in-skin-of-colour Dermnet, Ethnic dermatology: https://dermnetnz.org/topics/ethnic-dermatology
If you're a physician with at least 5 years of experience looking for a flexible, non-clinical, part-time medical-legal consulting role… ...Dr. Armin Feldman's Medical Legal Coaching program will guarantee to add $100K in additional income within 12 months without doing any expert witness work. Any doctor in any specialty can do this work. And if you don't reach that number, he'll work with you for free until you do, guaranteed. How can he make such a bold claim? It's simple, he gets results… Dr. David exceeded his clinical income without sacrificing time in his full-time position. Dr. Anke retired from her practice while generating the same monthly consulting income. And Dr. Elliott added meaningful consulting work without lowering his clinical income or job satisfaction. So, if you're a physician with 5+ years of experience and you want to find out exactly how to add $100K in additional consulting income in just 12 months, go to arminfeldman.com. =============== This podcast is sponsored by the Physician Executive MBA Program at the University of Tennessee Knoxville's Haslam College of Business. Thinking about a nonclinical career path? In just one year, our physician-only MBA gives you the business and leadership skills to pivot, whether into administration, consulting, entrepreneurship, or beyond. Join a nationwide network of over 1,000 physician leaders. Learn more at nonclincicalphysicians.com/physicianmba. =============== Get the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs. =============== Dr. Heather Signorelli shares her rapid progression from pathology training to healthcare executive leadership and entrepreneurship. After completing her residency and fellowship, she moved directly into hospital administration, eventually overseeing nearly 200 hospital laboratories across a major healthcare system. She explains how managing quality metrics, regulatory readiness, and clinical stewardship during COVID positioned her for executive growth. Yet after several years, she sought the creativity and challenge of solving new problems, which led her to co-found NatRevMD with her husband. She outlines the billing challenges that strain private practices, eligibility checks, denial management, and financial metrics, and emphasizes that while the early years of a business are demanding, effective delegation and the right hires make growth sustainable. She also draws from the NatRevMD podcast and her book, "Thrive," to offer practical advice for physicians evaluating billing services, including the key accounts receivable metric that signals when a change is needed. You'll find links mentioned in the episode at nonclinicalphysicians.com/executive-entrepreneur/
Bartonella is a genus of Gram-negative bacteria. It is the only genus in the family Bartonellaceae. Facultative intracellular parasites, Bartonella species can infect healthy people, but are considered especially important as opportunistic pathogens. Bartonella species are transmitted by vectors such as fleas, sand flies, and mosquitoes. At least eight Bartonella species or subspecies are known to infect humans. Bartonella henselae is the organism responsible for cat scratch disease. History Bartonella species have been infecting humans for thousands of years, as demonstrated by Bartonella quintana DNA in a 4000-year-old tooth. The genus is named for Alberto Leonardo Barton Thompson (1871–October 26, 1950), a Peruvian scientist. Infection cycle Though some studies have found "no definitive evidence of transmission by a tick to a vertebrate host," Bartonella species are well-known to be transmissible to both animals and humans through various other vectors, such as fleas, lice, and sand flies. Bartonella bacteria are associated with cat-scratch disease, but a study in 2010 concluded, "Clinicians should be aware that ... a history of an animal scratch or bite is not necessary for disease transmission." All current Bartonella species identified in canines are human pathogens. SUMMARY Bartonella is a type of bacteria that can make people very sick. There are three main kinds that cause most of the infections: B. henselae, B. quintana, and B. bacilliformis. Some of these bacteria are found all over the world (like B. henselae), but others only live in certain places (like B. bacilliformis). People can catch Bartonella in different ways: B. henselae – usually from a cat scratch or bite. B. quintana – spread by body lice. B. bacilliformis – spread by sand flies. Once the bacteria get into the body, they infect red blood cells and cause the blood vessels to grow abnormally. This can lead to symptoms like long-lasting fever, swollen lymph nodes, and enlarged liver or spleen. Doctors figure out if someone has Bartonella using lab tests. They might grow the bacteria in a culture, look for antibodies in the blood (serology), or look at tissues under a microscope. Special tests called PCR can find Bartonella DNA in blood or tissue samples, including heart valves. Treatment usually involves antibiotics, but the exact medicine depends on which type of Bartonella you have and how sick you are. In some cases, like with cat-scratch disease, a doctor may need to use a needle to drain swollen lymph nodes.
Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This episode covers goals of care conversations.Our guest for this episode is Dr. Tavis Apramian, a clinician-investigator in the Department of Family & Community Medicine (DFCM) at the University of Toronto and scientist in the Office of Education Scholarship. He works as a palliative care physician at St. Michael's Hospital and at Kensington Hospice. His largely qualitative program of research is focused on advance care planning; workplace-based learning and assessment; palliative care in family medicine; medical assistance in dying; and inequity in end-of-life care. His primary focus is on telling rich stories of learner and patient experiences to spark conversation about socioculturally complex educational and clinical problems in serious illness.The learning objectives for this episode are as follows:Describe a palliative approach to care and its relevance across different contextsDemonstrate a structured and compassionate approach to goals of care conversationsApply effective communication strategies to build therapeutic alliance, navigate difficult conversations, and involve multiple actors in the palliative contextRecognize and manage challenges in goals of care conversationsGuest: Dr. Tavis ApramianHosts: Dr. Daamoon Ghahari (PGY2) and Dr. Angad Singh (PGY2)Audio editing: Dr. Angad Singh (PGY2)Timestamps:(1:07) - Journey to palliative care(5:07) - What is palliative care(14:47) - Understanding patient values(33:47) - Structuring goals of care conversations(44:16) - Communication strategies(57:05) - Navigating family meetings(77:25) - Reflections on MAiD for sole mental illnessResources:Roth, H. (2024). Hearing the unspoken. Canadian Family Physician, 70(10), 642-642. https://pmc.ncbi.nlm.nih.gov/articles/PMC11477260/pdf/0700642.pdfReferences:Bernacki, R. E., & Block, S. D. (2014). Communication about serious illness care goals: a review and synthesis of best practices. JAMA internal medicine, 174(12), 1994-2003.Gross, J., & Koffman, J. (2024). Examining how goals of care communication are conducted between doctors and patients with severe acute illness in hospital settings: A realist systematic review. PLoS One, 19(3), e0299933.Scheunemann, L. P., Ernecoff, N. C., Buddadhumaruk, P., Carson, S. S., Hough, C. L., Curtis, J. R., ... & White, D. B. (2019). Clinician-family communication about patients' values and preferences in intensive care units. JAMA internal medicine, 179(5), 676-684.You, J. J., Downar, J., Fowler, R. A., Lamontagne, F., Ma, I. W., Jayaraman, D., ... & Canadian Researchers at the End of Life Network (CARENET). (2015). Barriers to goals of care discussions with seriously ill hospitalized patients and their families: a multicenter survey of clinicians. JAMA Internal Medicine, 175(4), 549-556.For more PsychEd, follow us on Instagram (@psyched.podcast), Facebook (PsychEd Podcast), X (@psychedpodcast), and Bluesky (@psychedpodcast.bsky.social). You can email us at psychedpodcast@gmail.com and visit our website at psychedpodcast.org.
Cannabis Use During Pregnancy and Lactation American College of Obstetricians & Gynecologists Cannabis is the most commonly used illicit drug under U.S. federal law. With increasing social acceptability, accessibility, and legalization in many states, the prevalence of cannabis use among pregnant and lactating individuals has increased significantly. Substance use in pregnancy, including cannabis use, has been associated with adverse outcomes such as spontaneous preterm birth, low birth weight, and developmental delay. Clinicians should be aware of the possibility of pregnant and lactating patients' use of cannabis and be prepared to counsel and screen all patients and use evidence-based strategies to reduce cannabis use. These include supportive home visits, psycho-behavioral strategies, or brief electronic or text messaging interventions to reduce cannabis use in pregnancy and the postpartum period to promote parental and newborn health. Read this issue of the ASAM Weekly Subscribe to the ASAM Weekly Visit ASAM
In this episode of The Psychedelic Podcast, Paul F. Austin sits down with medicine woman and transpersonal psychotherapist Lena Franklin to explore grief as a doorway to the sacred, bridging clinical training with embodied spirituality, and the ethics of honoring indigenous lineages in modern practice. Find full show notes and links here: http://thethirdwave.co/podcast/episode-323?ref=278 Lena shares “The Method,” a 90-day psilocybin-supported program (three ceremonies + twelve sessions), and reflects on lessons learned from founding and composting EAST Institute. She also previews a new global initiative for advanced, root-cause healing centers and closes with an embodied playbook for leaders. Lena Franklin is a Medicine Woman, Transpersonal Psychotherapist, and transformational speaker bridging ancient medicine and modern technology for global healing. Raised in a Buddhist/Christian home, she integrates Eastern philosophy with Western neuroscience across meditation, energy medicine, longevity, human optimization, plant medicine, shamanism, and ecosystem consciousness. Formally trained in psychology (B.S.) and clinical social work (M.S.) at the University of Georgia, Lena weaves lineages from Mahayana Buddhism, Mopan Maya Ancient Medicine, Q'ero Peruvian shamanism, and Shipibo wisdom into ceremonial and teaching work worldwide. She founded The QUINTESSENCE Approach for activating Revolutionary Medicine Woman leadership, The BEING Method for mindfulness-based human potential, and The Meditation Membership of audio/video teachings. Her work has been featured in Vogue, The New York Times, Telegraph, and more. Highlights: Grief as a sacred portal Clinician and mystic, not either/or Lineage stewardship and councils of elders “Harm reduction is bi-directional” Lessons from founding EAST Institute The 90-day, three-ceremony Method From psycho-emotional to psycho-spiritual Why assessment must stay rigorous Vision for root-cause healing centers Daily grounding for embodied leadership Episode Links: Lena's website Lena on Instagram Episode Sponsor: The Practitioner Certification Program by Third Wave's Psychedelic Coaching Institute Golden Rule Mushrooms - Get a lifetime discount of 10% with code THIRDWAVE at checkout
The Modern Therapist's Survival Guide with Curt Widhalm and Katie Vernoy
Navigating Food, Body Image, and GLP-1 Medications: An Interview with Robyn L. Goldberg, RDN, CEDS-C Therapists are seeing more clients struggling with confusing medical advice, new medications, and diet culture messages that impact their relationship with food and body. In this conversation, Curt and Katie talk with Robyn L. Goldberg, RDN, CEDS-C about how therapists can examine their own biases, support clients navigating restrictive medical guidance, and encourage healthier, more intuitive approaches to eating. About Our Guest: Robyn L. Goldberg, RDN, CEDS-C Robyn began her career at Cedars-Sinai Medical Center in Los Angeles as the in-patient dietitian in the Department of Cardiology. Over the last twenty-eight years she has developed her own private practice in Los Angeles, CA. She is a contributing author and is a nationally and internationally known registered dietitian nutritionist. She has been quoted in The New York Times, The Huffington Post, and Vogue. She has been on national television as the eating disorder expert on The Insider. Robyn is the author of The Eating Disorder Trap: A Guide for Clinicians and Loved Ones, Co-author of the online course Your Recovery Resource, and the host of The Eating Disorder Trap Podcast. Key Takeaways for Therapists Therapists must examine their own food and body biases to avoid unintentional harm to clients. Many physicians have minimal training in dietetics and may give inadequate advice. Clients can advocate for themselves in medical settings, including refusing to be weighed. GLP-1 medications may reduce appetite but can cause malnutrition, fatigue, and bone/muscle loss. Intuitive eating offers a path back to a healthier, more trusting relationship with food. For full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Linktree: https://linktr.ee/therapyreimagined Creative Credits Voice Over by DW McCann Music by Crystal Grooms Mangano
This episode features Krisi Probert, EVP of Operations & Clinical Technology at Upstream Rehabilitation, sharing how a patient centered and data driven approach transformed her journey from clinician to executive innovator while overcoming challenges in patient access, prior authorization, and scale.
Tired of trading hours for outcomes? Justin Allan Montgomery shares how he took clinical expertise, picked one painful problem for one niche, and built an eight-figure continuing education business—without a big team or gimmicks. We cover niche selection, course format, realistic budgets and timelines, when to seek accreditation, and a marketing plan you can execute in 10 hours a week.Bonus: 10% off Justin's program , just state HOB Podcast 10% Links: Procourse Start : ProCourseStart.com Email Justin: justin@procourseStart.com
Pat is an author and clinical psychologist whose storytelling roots run deep. She began her career in the theater world as an actress, director, and playwright in New York, and later produced summer stock and murder mystery theater in Maine.Her fascination with the human experience eventually led her to psychology, where she explores the inner lives of others with the same empathy she now brings to the page. Pat's writing is shaped by a lifelong curiosity about resilience, transformation, and the stories that connect us across time.Make sure to check out this author and connect on Instagram with @patblackgould
Rethinking pain changes outcomes.Treating tissues alone leaves people behind.In this clinician-focused conversation, Mark Kargela flips the script with Pete Moore (Pain Toolkit) to unpack what modern, human-centered pain care looks like in real clinics.You'll learn:Why a tissue-only approach misses 10–30% of cases—and what to do insteadPractical ways to “shut up and listen” to the story beneath the painHow stress, HPA-axis load, IBS/migraine, and sensitization intertwine with painA workable “driving instructor” model for self-management and shared expertiseHow to use patient narratives to align biology with lived experienceEducation that actually lands—with patients and with students/colleaguesWhere AI/tech can help (and where it can de-humanize care)If you're ready to move beyond procedures and protocols toward care that restores function and confidence, this episode is for you. Subscribe for more evidence-aware, practical conversations. Want to go deeper? Check the links below for Pete's resources, upcoming self-management events, and the Modern Pain Podcast.The Pain ToolkitLearn how to deliver this type of care - Pain Practice OS*********************************************************************
In this episode of Docs in a Pod, hosts Gina Eisenberg and Dr. Rajay Seudath welcome Dr. Allyson Larkin to explore the causes, symptoms, and treatment options for extremity edema and lymphedema. Whether it's swelling due to fluid retention or chronic lymphatic issues, Dr. Larkin breaks down what patients need to know, how to recognize warning signs, and when to seek medical attention. Tune in for expert insights and practical advice to help manage these often misunderstood conditions. Docs in a Pod focuses on health issues affecting adults. Clinicians and other health partners discuss stories, topics and tips to help you live healthier. Docs in a Pod airs on Saturdays in the following cities: 7:00 to 7:30 am CT: San Antonio (930 AM The Answer) DFW (660 AM, 92.9 FM [Dallas], 95.5 FM [Arlington], 99.9 FM [Fort Worth]) 6:30 to 7:00 pm CT: Houston (1070 AM/103.3 FM The Answer) 7:00 to 7:30 pm CT: Austin (KLBJ 590 AM/99.7 FM) Docs in a Pod also airs on Sundays in the following cities: 1:00-1:30 pm ET: Tampa (860 AM/93.7FM)
ResourcesClick here to view and use the Peristomal Skin Assessment Guide for Clinicians and Consumers. You can also bookmark and/or share the following web address with your colleagues and patients: psag.wocn.org.Journal of Wound, Ostomy, and Continence Nursing (JWOCN®) articles referenced in this episode:A Randomized Controlled Trial Determining Variances in Ostomy Skin Conditions and the Economic Impact (ADVOCATE Trial)Lessons Learned About Peristomal Skin Complications Secondary Analysis of the ADVOCATE TrialThe Incidence of Stoma and Peristomal Complications During the First 3 Months After Ostomy CreationPeristomal Skin Itch: An Integrative Review Other articles referenced in this episode:Peristomal DermatologyAssessment of itch: more to be learned and improvements to be madePsychometric validation of the Ostomy Skin Tool 2.0 About the SpeakerJoyce Pittman, PhD, RN, ANP-BC, FNP-BC, CWOCN, WOCNF, FAANDr. Pittman is an Associate Professor at University of South Alabama and nurse scientist at USA Health focusing on pressure injuries, health/racial disparities, and ostomy complications. She is a certified Wound, Ostomy, Continence nurse, Adult/Family Nurse Practitioner, WOCN Fellow, past National Pressure Injury Advisory Panel (NPIAP) Vice President, and the 2025-2026 Treasurer of the WOCN® Society.Editing and post-production work for this episode was provided by The Podcast Consultant.
Is your clinician really an expert? 5 ways to know // How do you know if your clinician is really working with you? Learn the 5 key aspects of care that your clinician should be doing to ensure you are getting the most from your partnershipPre-Order My New Book: The Perimenopause Survival Guide: https://amzn.to/3SYALzehttps://amzn.to/3SYALzeJoin The Collaborative Medical Practice: https://thecollaborative.kit.com/11e9825fb5Enroll in my course on HRT management: https://heatherhirschmd.myflodesk.com/prescribehrtEnroll in the Practice Accelerator Course: https://the-menopause-course.teachable.com/p/acceleratorjuly2025
For episode 100, I bring back my favourite person - my wife, Sima Acharya!Sima is back by popular demand. Today we unpack some of the big decisions we've made together, discussing the factors at play and what we have learned.Discussion points:- Sima's update (2:25)- Prioritizing adventures in new places earlier in life (6:38)- Balancing now vs delayed gratification - home renovations (19:55)- Raising the kids, learning along the way (25:35)- Travel: how it's changed us, keeping the kids humble (35:30)- How & where we invest our money (44:15)My NYGH Fundraiser:https://donate.nyghfoundation.ca/site/TR/Events/Rally_in_the_Ravine?px=1561359&pg=personal&fr_id=1310LinkedIn:https://www.linkedin.com/in/yatin-chadha/https://www.linkedin.com/in/sima-acharya-a0430213/Radiology Courses for Clinicians:https://beyondradiology.thinkific.com/courses/ct-head-interpretation-coursehttps://beyondradiology.thinkific.com/courses/master-ct-head-interpretation-courseAmerican express referral link:https://americanexpress.com/en-ca/referral/business-platinum?ref=yATINC4uFw&XLINK=MYCP
Medical practices themselves are adding advanced practice clinicians at a record pace. Who are the market winners and losers from this shift in the healthcare workforce? David W. Johnson and Julie Murchinson debate the market impact “Medical Practices Making Room for Advanced Practice Clinicians,” on the new episode of the 4sight Health Roundup podcast, moderated by David Burda.
How is extended reality transforming medical education? Rohan Jotwani discusses his work at Extended Reality Anesthesia Immersion Lab (XRAIL) and the role of immersive technology in training anesthesiologists and beyond. This episode highlights new tools, assessment methods, and challenges in scaling extended reality for education. Timestamps: 00:43 – Education tools 04:55 – Measuring effectiveness 07:40 – Anesthesiology training 10:02 – Current challenges 12:37 – Clinician skepticism
BDD expert Chris Tronsden joins Kimberley to unpack how distorted perception and compulsive rituals drive Body Dysmorphic Disorder—and the evidence-based skills (perceptual retraining, BDD-specific ERP, CBT/ACT, and thoughtful medication) that actually help people reclaim connection and quality of life.
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Ready to turn your superpower into a paycheck? Imagine the results when your best skills meet the right patients. Welcome back to the Uncaged Clinician! I'm your host, David Bayliff, and today I'm joined by my good friend, Dr. Scott Dixon from Jacksonville, Florida. Scott's not just a clinician, he's the founder of Athletic Dry Needling and Spinal Manipulation, and he's built an educational business that's making waves across the country. But don't worry, before we dive deep, we kick things off with some fun banter about hairstyles, tequila, and a whole lot of laughs. In this episode, we'll cover the following topics with you: Why Scott chose to specialize in dry needling How patient outcomes shaped his career path The identity shift of moving from clinician to educator Delegating tasks and raising leaders in business How to choose the right dry needling course The exciting future of Athletic Dry Needling, including online education At the end of the day, the big takeaway is this: success in business and clinical practice comes from knowing yourself, leaning into your strengths, and empowering others along the way. Scott's story is a reminder that passion and humility can carry you a long way and that sometimes, going “all in” is the best decision you'll ever make. Uncaged Hack: “What I care is that you become the best version of you because of me.” —Dr. Scott Dixon If you found value in this episode, don't keep it to yourself! Please share it with a friend and spread the inspiration. Tune in to future episodes for conversations on UNCAGING YOUR Potential for Achieving Success. Early bird ends soon. Schedule your application call and lock in $1,000 off!!!
Send us a textDr. Taylor King, a new physician with UnityPoint Clinic Pediatrics - Tower Terrace, joins Dr. Arnold to talk about her background, clinical and personal interests, what led her to UnityPoint Health and much more.If you would like to schedule an appointment with Dr. King, call UnityPoint Clinic Pediatrics – Tower Terrace at (319) 206-7370. This is another episode in a segment on the podcast called "New Clinician Spotlight." In these episodes, Dr. Arnold will sit down with new clinicians at UnityPoint Health - Cedar Rapids and get to know them as a clinician and as a person.Do you have a question about a trending medical topic? Ask Dr. Arnold! Submit your question and it may be answered by Dr. Arnold on the podcast! Submit your questions at: https://www.unitypoint.org/cedarrapids/submit-a-question-for-the-mailbag.aspxIf you have a topic you'd like Dr. Arnold to discuss with a guest on the podcast, shoot us an email at stlukescr@unitypoint.org.
In this episode of Between Product and Partnerships, Cristina Flaschen sits down with Arvita Tripati, a seasoned healthcare product leader and advisor. They explore her unique journey from customer service in medical devices to leading product management in high-stakes, regulated environments.A Career Built on Curiosity and EmpathyArvita began career working with cosmetic and reconstructive lip implants. Over time, she explored quality, regulatory, privacy, and security roles, gradually noticing a common thread – a product mindset could improve compliance and user experience. By staying curious and saying “yes” to opportunities, she transitioned into formal product management, bringing an empathetic, human-centered perspective to highly regulated work.She emphasizes that empathy extends beyond patients. Every role, from HR to IT, has internal and external “customers.” Recognizing that and asking why decisions are made can open doors in unexpected ways.AI in HealthcareEarly projects relied on rules-based statistical models, like algorithms guiding radiofrequency ablation. Today, AI has become more adaptive, processing complex data in real time.She stresses that adoption is as much about trust and storytelling as it is about accuracy. Clinicians, patients, and regulators all need different levels of detail. For patients, a clear explanation of outcomes is key. Clinicians want actionable insights they can rely on. Regulators, like the FDA, demand evidence and reproducibility. Building confidence in AI requires tailoring communication to each audience and focusing on transparency.Navigating Regulation and Market RiskThe discussion highlights the tension between speed and compliance. Some companies launch products without FDA approval to move quickly, but this can backfire, creating reputational risk and undermining trust. Arvita argues that embedding validation, equity, and discovery into every stage of product development ensures both safety and long-term success.She recalls the FDA's collaborative approach during the COVID crisis, which allowed her team to bring products to market faster than usual while still meeting rigorous standards. Regulatory bodies, she notes, often want innovators to succeed, they just need assurance that claims are safe and evidence-based.Lessons from Clip Health During COVIDJoining Clip Health in May 2020, Arvita helped pivot from STI diagnostics to COVID testing. The team faced a critical choice, optimize for speed-to-result or clinician workflow. Speed won out, enabling rapid deployment, but revealed the importance of balancing urgency with discovery.This experience reinforced two key lessons, 1) speed does not equal success, and 2) embedding continuous discovery into product DNA is essential. Arvita notes that even under extreme pressure, pausing to understand workflow and user needs can determine whether a product thrives.Advice for Aspiring Product ManagersArvita offers guidance for those entering product roles, particularly in regulated or technical industries:Maintain a beginner's mindset and stay curious.Lead with empathy for both internal and external users.Consider equity, inclusivity, and the broader business impact of product decisions.Balance speed with thoughtful discovery. Sometimes slowing down enables you to go further, faster.Cristina adds that effective PMs know when to zoom out and reassess the problem at hand. Good product decisions are defensible, ethical, and grounded in real-world impact.For more insights on partnerships, integrations, and building SaaS ecosystems, visit www.pandium.com
Coaches don't pave the road to recovery; they walk beside you, helping you rediscover purpose, strength, and resilience. In this episode, host Peter Fenger speaks with Dr. Traci Sweet and Emilee Beck of Holon Health. Traci, Co-Founder and COO, brings over 30 years of experience pioneering innovative approaches in behavioral health and substance use treatment. She has been a leader in breaking down barriers to care and creating integrated models that improve engagement and long-term outcomes. Emilee, an Addiction Recovery Coach, supports individuals through the challenges of substance use recovery. With expertise in coaching and counseling, she guides clients in building healthier, more fulfilling lives. In this Clinicians Series conversation, we welcome Traci and Emilee back to explore the vital role of recovery coaches, how they build trust, navigate relapse, and measure success. We also look at how Holon Health's approach fosters empowerment, community, and lasting healing. For more information about Holon Health, please visit: https://www.holonhealth.com If you would like to refer a client, please visit: https://www.holonhealth.com/client-referrals/ For more information about partnering with Holon Health, please visit: https://www.holonhealth.com/providers/ Connect with Holon Health on Linkedin: https://www.linkedin.com/company/holonhealth/ Connect with Holon Health on Instagram: https://www.instagram.com/holonhealthcare Connect with Holon Health on YouTube: https://www.youtube.com/@HolonHealth Connect with Holon Health on Facebook: https://www.facebook.com/holonhealth/
In this episode of the IRH Clinician's Corner, Margaret Floyd Barry sits down with Danielle "Dani" Hamilton, functional nutritional therapy practitioner, restorative wellness specialist, and blood sugar expert - to dive deep into a fascinating but often overlooked aspect of metabolic health: the healing power of light and circadian rhythms. We'll unpack why aligning with natural light cycles is foundational for metabolic health, how sunlight and circadian rhythms influence everything from mitochondrial function to blood sugar, and explore simple, actionable strategies practitioners can use right away. In this interview, we discuss: -How light and circadian rhythms affect metabolic health (e.g., its role in hormone & neurotransmitter orchestration) -Different types of light in human physiology - and the roles they play (e.g., how UVB light triggers Vitamin D production) -How food timing impacts blood sugar -Practical strategies throughout the day to improve metabolic health, such as the importance of sunrise exposure and eating breakfast within an hour of sunrise -Common concerns about sunscreen, sunglasses, and work schedules -The issue of behavioral change and logistics when implementing these strategies The Clinician's Corner is brought to you by the Institute of Restorative Health. Follow us: https://www.instagram.com/instituteofrestorativehealth/ Connect with Danielle Hamilton: Instagram: https://www.instagram.com/daniellehamiltonhealth Facebook: https://www.facebook.com/daniellehamiltonhealth Podcast: https://lightupyourmetabolism.buzzsprout.com/ YouTube: https://www.youtube.com/channel/UCH9oPLW019uqEZc_Ftvyn5Q Use code CLINICIAN to get 10% off any of Danielle's courses. Timestamps: 00:00 Paleo Diet Struggles in New York 10:00 Understanding Time and Task Coordination 12:23 Circadian Rhythm: Restaurant Analogy 18:40 Sunrise Light Boosts Health 21:56 Sunlight Angle Determines Light Type 29:06 Melanin: Nature's Sunscreen 35:44 Latitude's Impact on Health Risks 42:41 Pre-Workout Nutrition Inquiry 43:24 "Nourish Before Morning Exercise" 52:15 "Evening Lighting: Mimic Firelight" 57:05 Client Support Strategies 59:11 "Get That D Program Launch" Speaker bio: Danielle "Dani" Hamilton is a Functional Nutritional Therapy Practitioner and blood sugar expert who helps people heal their metabolism using a personalized circadian, seasonal, and quantum approach. After reversing her own PCOS, hypoglycemia, and acne by addressing blood sugar and metabolic health, she began helping others do the same. When some clients still struggled despite doing “everything right,” Dani turned to nature—light, water, magnetism, and seasonal rhythms—for deeper healing. She's the host of Light Up Your Metabolism and creator of the transformative Blood Sugar Mastery Program. Keywords: functional nutrition, blood sugar regulation, circadian rhythm, light therapy, mitochondrial health, PCOS reversal, metabolic health, infrared light, UV light, melatonin, leptin resistance, insulin sensitivity, meal timing, intermittent fasting, sunlight exposure, sunscreen debate, vitamin D production, ancestral health, skin pigmentation, blue light exposure, sleep optimization, mitochondria and energy, cellular hydration, meal composition, leptin signaling, hormone regulation, grounding, electron transport chain, blue blocking glasses, evening routines Disclaimer: The views expressed in the IRH Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of Institute of Restorative Health, LLC. Institute of Restorative Health, LLC does not specifically endorse or approve of any of the information or opinions expressed in the IRH Clinician's Corner series. The information and opinions expressed in the IRH Clinician's Corner series are for educational purposes only and should not be construed as medical advice. If you have any medical concerns, please consult with a qualified healthcare professional.
In this podcast episode, the host interviews Mita Mikel, a registered dietitian specializing in bariatrics, who is transitioning from clinical and higher education spaces to building her private practice. Mita shares details about her background, her passion for helping patients through bariatric nutrition, and her journey to finding this specialty. She delves into the challenges and fulfillment she finds in working with motivated clients versus resistant ones, and how her experiences in diabetic and bariatric nutrition have shaped her approach. Mita also discusses the importance of capturing patient testimonials and how motherhood has influenced her time management and boundaries in her practice. The episode highlights strategies for balancing work and family life, the significance of refined messaging for attracting the right clients, and overcoming imposter syndrome. Mita concludes with advice for dieticians looking to start their practice and emphasizes the importance of starting small and building over time. Key Takeaways: Balancing Motherhood and Business Specializing in Bariatrics Challenges and Rewards in Bariatrics Refining Your Message Overcoming Imposter Syndrome Balancing Family and Business BIO: Makeda is a registered dietitian specializing in bariatrics, and she has worked in the clinical and higher education spaces and is now building her private practice. She's passionate about simplifying nutrition information for everyone to understand. Connect with Libby: Instagram: @libbyrothschild | @dietitianboss YouTube: Dietitian Boss Connect with Makeda: Instagram: @Makeda_weightlossnutritionist weightlossnutritionservices.com
In this episode, host Alyssa Watson, DVM, is joined by Shannon D. Boveland, DVM, MS, DACVO, to talk about her recent Clinician's Brief article, “Quiz: Ophthalmic Medications—Ointments vs Drops.” Dr. Boveland breaks down the differences between various drops and ointments and explains how to make the right selection from your shelves full of options. She also shares some specific tips about feline conjunctivitis, corneal ulcers, and contact lenses.Resource:https://www.cliniciansbrief.com/article/ophthalmic-medications-dogs-cats-quizContact:podcast@instinct.vetWhere To Find Us:Website: CliniciansBrief.com/PodcastsYouTube: Youtube.com/@clinicians_briefFacebook: Facebook.com/CliniciansBriefLinkedIn: LinkedIn.com/showcase/CliniciansBrief/Instagram: @Clinicians.BriefX: @CliniciansBriefThe Team:Alyssa Watson, DVM - HostAlexis Ussery - Producer & Multimedia Specialist
Send us a message with this link, we would love to hear from you. Standard message rates may apply.Colon cancer screening saves lives by catching cancer early and even preventing it, yet only 69% of eligible adults are up to date with their screenings. We explore who needs screening, what tests are available, and how to choose the right one for you.• Most adults should start colon cancer screening at age 45, even if healthy• Family history may mean you need to start screening earlier• Stool-based tests like FIT and Cologuard are convenient home options• Colonoscopy remains the gold standard, allowing doctors to remove polyps• One in 23 men and one in 25 women will develop colorectal cancer• The best screening test is the one you'll actually completePlease get screened! Check with your doctor about which test is right for you based on your risk factors and preferences.References1. Screening for Colorectal Cancer in Asymptomatic Average-Risk Adults: A Guidance Statement From the American College of Physicians (Version 2). Qaseem A, Harrod CS, Crandall CJ, et al. Annals of Internal Medicine. 2023;176(8):1092-1100. doi:10.7326/M23-0779.2. AGA Clinical Practice Update on Risk Stratification for Colorectal Cancer Screening and Post-Polypectomy Surveillance: Expert Review. Issaka RB, Chan AT, Gupta S. Gastroenterology. 2023;165(5):1280-1291. doi:10.1053/j.gastro.2023.06.033.3. Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement. Davidson KW, Barry MJ, Mangione CM, et al. JAMA. 2021;325(19):1965-1977. doi:10.1001/jama.2021.6238.4. Colorectal Cancer Screening and Prevention. Sur DKC, Brown PC. American Family Physician. 2025;112(3):278-283.5. Increasing Incidence of Early-Onset Colorectal Cancer. Sinicrope FA. The New England Journal of Medicine. 2022;386(16):1547-1558. doi:10.1056/NEJMra2200869.6. From Guideline to Practice: New Shared Decision-Making Tools for Colorectal Cancer Screening From the American Cancer Society. Volk RJ, Leal VB, Jacobs LE, et al. CA: A Cancer Journal for Clinicians. 2018;68(4):246-249. doi:10.3322/caac.21459.7. Screening for Colorectal Cancer: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. Lin JS, Perdue LA, Henrikson NB, Bean SI, Blasi PR. JAMA. 2021;325(19):1978-1998. doi:10.1001/jama.2021.4417.8. Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement. Bibbins-Domingo K, Grossman DC, Curry SJ, et al. JAMA. 2016;315(23):2564-2575. doi:10.1001/jama.2016.5989.9. How Would You Screen This Patient for Colorectal Cancer? : Grand Rounds Discussion From Beth Israel Deaconess Medical Center. Burns RB, Mangione CM, Weinberg DS, Kanjee Z. Annals of Internal Medicine. 2022;175(10):1452-1461. doi:10.7326/M22-1961.Support the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski
Did you know that up to 70% of adults with seasonal allergies may experience symptoms of pollen food allergy syndrome (PFAS)? This often-overlooked condition can mimic true nut allergies, leading to unnecessary dietary restrictions. In this episode, we tackle the challenge of differentiating PFAS from primary nut allergies. We explore the molecular basis of cross-reactivity between pollen and food proteins, discuss key diagnostic approaches using testing with allergen components, and provide insights on risk stratification. Learn about the unique presentation of pollen food allergy syndrome with tree nuts and peanuts, understand the role of labile versus storage proteins in symptom manifestation, and gain practical tips for patient management and dietary advice. Resources and references: https://www.thermofisher.com/phadia/us/en/resources/immunocast/link-between-pollen-and-nut-allergies-diagnostic-insights.html?cid=0ct_3pc_05032024_9SGOV4
What happens when your body tells you “no” but the world keeps telling you to “push through”? If you've ever felt the pressure to keep going, keep performing, or keep showing up—despite your body screaming for rest—you're not alone. For people living with concussions or brain injuries, the expectation to “suck it up” can be not only harmful but downright dangerous. In this episode of Concussion Nerds, Natasha sits down with the incredible Briana Rice—scientist, advocate, and current Miss USA Woman of Achievement 2025—whose story is a powerful reminder that slowing down is not weakness, but wisdom. Brianna opens up about living with post-concussion syndrome, learning to give herself grace, and how she's turned her pain into purpose by using her national title to raise awareness about invisible injuries. Amb Briana Rice Bsc. is a developmental biologist and the reigning Miss U.S. Woman of Achievement 2025. She is an International Ambassador for Happiness and the founder of the Love and Light Movement, she curates upscale events and retreats. She is also a certified Tantra teacher, Sound Healer, and yoga instructor, blending science and spirituality to help others heal, rise. Briana and is the co-founder of the Blackberry Merlot wine Festival and the visionary behind Grace for Your Journey, a platform that empowers women and uplifts the voices of those living with invisible disabilities and chronic health conditions. As the Riverside Director of the Global Society of Female Entrepreneurs, Briana fosters leadership and community among women in business. and reclaim their inner power with grace. BY THE TIME YOU FINISH LISTENING, YOU'LL DISCOVER: Why “pushing through” with a brain injury can lead to serious setbacks (including seizures). How to navigate the tension between your body's limits and society's expectations. Practical ways to rebuild self-trust and self-love after a diagnosis changes your life. The power of advocacy and how Brianna is using her platform to create resources and visibility for brain injury survivors. This conversation is raw, inspiring, and full of reminders that even when life doesn't go as planned, you still have the power to write a new story. Connect with Briana: Website: www.brianarice.com Instagram: https://www.instagram.com/bri_from_the_ie/ Let's Connect! @concussionnerds https://www.instagram.com/concussionnerds/ @natasha.wilch https://www.instagram.com/natasha.wilch/ Email: hello@natashawilch.com Website: https://www.natasha-wilch.com Learn how to connect & understand your nervous system so you can have greater outcomes in your health & healing journey: Grab a copy of the workbookhttps://www.natashawilch.com/understanding-connecting-your-nervous-system-1 Join the Clinician's Edge to have Your Weekly Taste of Neuro Wisdom here: https://www.natashawilch.com/clinicians-edge Join the Concussion Mini School and Membership! Get the support and resources you need for concussion recovery: Mini School: https://www.natashawilch.com/concussion-mini-school Membership: https://www.natashawilch.com/concussion-mini-school-the-membership
Summary In this episode, Andy talks with Jess Baker, business psychologist and author of The Super-Helper Syndrome: A Survival Guide for Compassionate People. Jess helps leaders, project managers, and anyone who tends to take on too much work avoid burnout, preserve self-worth, and build healthier ways of helping. The conversation digs into what “Super-Helper Syndrome” means, how over-helping can lead to exhaustion, resentment, exploitation, or harsh self-criticism, and what beliefs often drive us into that pattern. Jess shares actionable tools for setting boundaries, recognizing irrational helper beliefs, and changing our mindset, including asking “What kind of help is needed here?” to building systems that support sustainable helping. If you're leading projects, teams, or supporting others, these insights will help you avoid overcommitment while still being compassionate. Sound Bites “Helping others to the detriment of your own wellbeing is something many of us do without noticing.” “When you struggle to say no to requests for help, your relationships are lopsided. You deny your own needs.” “Exhaustion, resentment, exploitation and self-criticism are the four adverse impacts of super-helper syndrome.” “Compassion is when you decide you have to do something to alleviate someone's suffering.” “'What kind of help is needed here?' rather than just 'How can I help?'” “Your self-worth does not depend upon helping people.” “Healthy helping is about recognizing who, how and when you help, and having boundaries that are not porous.” Chapters 00:00 Introduction 02:01 Start of Interview 02:23 What Got You Started Exploring Empathy and Compassion? 05:15 Cognitive Empathy vs Emotional Empathy 08:02 How Do You, As a Clinician, Use Empathy Without Being Overwhelmed? 10:07 The Four Forms of Help 18:52 Stakeholder Scenario: Balancing Autonomy and Dependency in Helping 25:01 When Did Jess Help? What Were Her Motivations? 31:56 It Adds Energy to Help 33:28 How Can I Discern If I'm Becoming a Super-Helper? 38:07 A Roadmap for Setting Healthy Boundaries 46:03 Parenting and Helping Habits 51:21 End of Interview 51:58 Andy Comments After the Interview 56:33 Outtakes Learn More You can learn more about Jess, her book, and her work at JessBaker.co.uk. For deeper reading and related conversations, check out: Episode 448 with Marie-Helene Pelletier (on burnout and resilience) Episode 385 with Vanessa Patrick (about her book The Power of Saying No) Episode 26 with Dr. Ed Schein (MIT Fellow, Helping: How to Offer, Give, and Receive Help) Pass the PMP Exam This Year If you or someone you know is thinking about getting PMP certified, we've put together a helpful guide called The 5 Best Resources to Help You Pass the PMP Exam on Your First Try. We've helped thousands of people earn their certification, and we'd love to help you too. It's totally free, and it's a great way to get a head start. Just go to 5BestResources.PeopleAndProjectsPodcast.com to grab your copy. I'd love to help you get your PMP this year! Join Us for LEAD52 I know you want to be a more confident leader–that's why you listen to this podcast. LEAD52 is a global community of people like you who are committed to transforming their ability to lead and deliver. It's 52 weeks of leadership learning, delivered right to your inbox, taking less than 5 minutes a week. And it's all for free. Learn more and sign up at GetLEAD52.com. Thanks! Thank you for joining me for this episode of The People and Projects Podcast! Talent Triangle: Power Skills Topics: Leadership, Project Management, Empathy, Boundaries, Wellbeing, Helping Others, Self-Compassion, Impact of Beliefs, Burnout Prevention, Communication The following music was used for this episode: Music: The Fantastical Ferret by Tim Kulig License (CC BY 4.0): https://filmmusic.io/standard-license Music: Tropical Vibe by WinnieTheMoog License (CC BY 4.0): https://filmmusic.io/standard-license
In this episode of Docs in a Pod, host Ron Aaron welcomes Dr. Tamika Perry from WellMed at Redbird Square to discuss the critical role immunizations play in protecting older adults. From flu and pneumonia vaccines to shingles and COVID-19 boosters, Dr. Perry shares expert insights on which vaccines are recommended, how they work, and why staying up to date is essential for healthy aging. Tune in for practical advice and answers to questions about adult immunization. Docs in a Pod focuses on health issues affecting adults. Clinicians and other health partners discuss stories, topics and tips to help you live healthier. Docs in a Pod airs on Saturdays in the following cities: 7:00 to 7:30 am CT: San Antonio (930 AM The Answer) DFW (660 AM, 92.9 FM [Dallas], 95.5 FM [Arlington], 99.9 FM [Fort Worth]) 6:30 to 7:00 pm CT: Houston (1070 AM/103.3 FM The Answer) 7:00 to 7:30 pm CT: Austin (KLBJ 590 AM/99.7 FM) Docs in a Pod also airs on Sundays in the following cities: 1:00-1:30 pm ET: Tampa (860 AM/93.7FM)
As we age, our immune system undergoes significant changes that can impact how we respond to illness, vaccines, and everyday health challenges. In this episode of Docs in a Pod, Dr. Brooke Mobley joins hosts Gina Eisenberg and Dr. Rajay Seudath to explore what happens to the immune system over time, why older adults may be more vulnerable to infections, and what steps can be taken to support immune health in later life. Tune in for practical tips to help you or your loved ones stay resilient and well. Docs in a Pod focuses on health issues affecting adults. Clinicians and other health partners discuss stories, topics and tips to help you live healthier. Docs in a Pod airs on Saturdays in the following cities: 7:00 to 7:30 am CT: San Antonio (930 AM The Answer) DFW (660 AM, 92.9 FM [Dallas], 95.5 FM [Arlington], 99.9 FM [Fort Worth]) 6:30 to 7:00 pm CT: Houston (1070 AM/103.3 FM The Answer) 7:00 to 7:30 pm CT: Austin (KLBJ 590 AM/99.7 FM) Docs in a Pod also airs on Sundays in the following cities: 1:00-1:30 pm ET: Tampa (860 AM/93.7FM)
Emmet shares the frameworks that have helped over 460 dental organizations scale, representing $3 billion in revenue and 1,700 locations. From understanding the profitability cycle to avoiding the trap of “red car, blue truck, yellow motorcycle” distraction, he outlines the path from clinician to entrepreneur to executive. This is a roadmap for anyone ready to build a business that funds freedom—without chaining themselves to the chair. If you like this episode, here are more episodes we think you'll enjoy: Ep #553 – How to Invest or Participate in Franchise Businesses – Jon Ostenson Ep #526 - Dental Practice Transitions – DSO Trends, Seller Options and Best Practices – Brannon Moncrief Check out the show notes for more information! P.S. Whenever you're ready, here are some other ways I can help fast track you to your Freedom goal (you're closer than you think): 1. Schedule a Call with My Team: If you'd like to replace your active practice income with passive investment income within 2-3 years, and you have at least 1M in available capital (can include residential/practice equity or practice sale), then schedule a call with my team. If it looks like there is a mutual fit, you'll have the opportunity to attend one of our upcoming member events as a guest. 2. Get Your Dentist Retirement Survival Guide: The winds of economic change are here, and now is the time to move to higher ground. This guide gives you the steps to protect your retirement, your family, and your peace of mind. Get the 25-point checklist here. 3. Get Your Free Retirement Scorecard: Benchmark your retirement and wealth-building against hundreds of other practice professionals, and get personalized feedback on your biggest opportunities and leverage points. Click here to take the 3 minute assessment and get your scorecard.
In this episode, Mary Grace Cox, Senior Director of Clinical Programs at UAB Medicine, shares how her team is driving improvements in sepsis outcomes through process design, culture change, and the use of technology like the DART tool. She highlights lessons in supporting clinicians while advancing patient safety and quality.This episode is sponsored by Ambient Clinical Analytics & Zebra Technologies.
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Dr. Karandeep Singh brings two worlds together: programming and medicine. In this conversation, he explains how early experiments with code led him to biomedical informatics, why gaps between paper performance and clinical reality must be confronted, and how governance committees weigh ethics and safety. Now serving as Chief Health AI Officer at UC San Diego Health, he reflects on lessons from deploying sepsis prediction tools, the risks of hype, and the promise of integration. For clinicians, Singh's story is a reminder that the best AI is guided by patient care, deep expertise, and humility about the limits of technology. Transcript.
In this episode, we discuss everything about hip dysplasia. We explore: How hip dysplasia presents and common misdiagnosisKey subjective questioningMilestones in childhood and the relevance for hip dysplasiaImportance of education around the pathologyWant to learn more about Hip dysplasia? Alesha Coonan and Dr Michael O'Brien recently did a brilliant Masterclass with us called “The Clinician's Guide to Hip Dysplasia: Assess, Treat, Manage” where they go into further depth on this topic.
In this episode of Swallow Your Pride, Dr. Amy Delaney—assistant professor at Marquette University and director of the Neurodevelopmental Feeding and Swallowing Lab—shares groundbreaking insights into pediatric feeding development. She discusses her recent scoping review on oral feeding skills, highlighting the critical gaps in normative data and the need for standardized clinical tools. Dr. Delaney also introduces the Developmental Texture Framework, a novel approach to understanding feeding skill progression using national dietary data from typically developing children. Get the show notes: https://syppodcast.com/376 Follow Theresa Richard on Instagram: https://www.instagram.com/theresarichardslp Folllow the LinkedIn Newsletter here: https://www.linkedin.com/newsletters/6925225047716499457/ The post 376 – Tackling the Challenges of Pediatric Feeding: What Every Clinician Should Know appeared first on Swallow Your Pride Podcast.
This is a free preview of a paid episode. To hear more, visit rethinkingwellness.substack.comClinical psychologist and author Jennifer Caspari (You Are More Than Your Body) joins us to discuss how to accept your body when you have a chronic illness, chronic pain, or disability. We talk about her experience living with cerebral palsy, how to practice body neutrality, the importance of emotion-regulation skills, and how to navigate the tension between self-acceptance and not liking the way things are. Behind the paywall, we get into wellness culture's toxic beliefs about chronic illness and disability, how to dispel the fear that accepting your health conditions means giving up on ever feeling better, how to cope when people offer unsolicited advice, how to set boundaries, and more. Paid subscribers can hear the full interview, and the first half is available to all listeners. To upgrade to paid, go to rethinkingwellness.substack.com. Jennifer Caspari, Ph.D., is a licensed clinical psychologist working at a group practice in Colorado, CBT Denver, specializing in general and health psychology. She is passionate about helping clients live full and meaningful lives, including those living with acute or chronic illness and chronic pain. She lives with cerebral palsy and writes a Psychology Today blog titled Living Well When Your Body Doesn't Cooperate. Dr. Caspari is the creator and instructor of a nationwide chronic pain course with PESI, a national leader in providing continuing education to mental health professionals: 2 Day: Acceptance and Commitment Therapy (ACT) for Chronic Pain: A Start to Finish Training for Clinicians.In her free time, Dr. Caspari enjoys spending time with loved ones, feeling the sun on her face, listening to audiobooks while moving her body, watching cooking and baking shows, and eating delicious food. You can find her on social media @moxie_mindset, and get her book YOU ARE MORE THAN YOUR BODY (Bookshop affiliate link) wherever you buy books.If you like this conversation, subscribe to hear lots more like it! Support the podcast by becoming a paid subscriber, and unlock great perks like extended interviews, subscriber-only Q&As, full access to our archives, commenting privileges and subscriber threads where you can connect with other listeners, and more. Learn more and sign up at rethinkingwellness.substack.com.Christy's second book, The Wellness Trap, is available wherever books are sold! Order it here, or ask for it in your favorite local bookstore. If you're looking to make peace with food and break free from diet and wellness culture, come check out Christy's Intuitive Eating Fundamentals online course.Contains affiliate links to Bookshop.org, where I earn a small commission for any purchases made.