Podcasts about CPT

When everything around a church is changing, how can it rediscover who God has called it to be? In this episode we welcome Rev. Dr. Ryan Jackson, Senior Pastor of the Capital Church near Raleigh, North Carolina, to talk about his experience in the CPT's first Church Identity Cohort.Ryan reflects on 17 years of ministry through seasons of change, staff transitions, and post-pandemic challenges that prompted his church to revisit foundational questions of identity and mission. We discuss the connection between pastoral and ecclesial identity, the role of theological reflection in church life, and the importance of forming leaders who can faithfully guide congregations into the future.We also explore the value of mentoring, cross-denominational dialogue, and collaborative discernment as churches seek a deeper understanding of who God has called them to be.Whether you're a pastor, church leader, or ministry team member, this episode offers practical encouragement for leading with clarity, conviction, and a strong sense of church identity.Join us at the CPT Conference

Show Notes Your fee schedule is a revenue ceiling. And for most independent practices doing over $3 million a year, that ceiling is set too low in ways that never generate a denial and never appear on a standard report. EP186 covers the five gaps that are quietly capping your revenue, the exact fix for each one, and three actions to run this week. Gap 1 — Billing Below Your Own Allowables: You negotiate a better payer contract. The billing system does not get updated. The payer pays what you billed, not what you are owed. A practice with 20 high-volume CPT codes averaging a $10 billing gap across 800 monthly claims is losing $8,000 a month, $96,000 a year, from a contract they already won. Gap 2 — Inconsistent Fee Schedules Across Locations: A secondary location runs on its legacy fee schedule from before acquisition. Location A bills $210 for a procedure. Location B bills $165 for the same code. A site doing 400 visits a month with a $35 average billing gap is under-billing $14,000 a month, $168,000 a year. Gap 3 — No Medicare Multiplier Anchor: Fees set by instinct drift downward every year while costs move in the opposite direction. The fix: anchor to 200–300% of the current Medicare allowable and recalculate every November when CMS publishes updated rates. Gap 4 — Suppressing Global Fees for Self-Pay Patients: A practice protecting 15% self-pay volume by keeping fees low inadvertently discounts 100% of encounters. 850 commercial patients billed $40 below the correct rate: $34,000 a month, $408,000 a year. The fix: raise the global fee schedule and implement a separate documented sliding fee scale for uninsured patients. Gap 5 — No Annual Fee Schedule Review: A fee schedule that is right in year one becomes the revenue leak of year five. A $4 million practice drifting 3% below where it should be loses $120,000 a year in collectible revenue. Over five years: $600,000. The Five Fee Schedule Gaps at a Glance: Billing below allowable → Payer pays billed charge, no alert → up to $8K/month Location fee inconsistency → Lower site appears compliant on reports → $3K–$15K/month No Medicare multiplier anchor → Fees drift, no logical update trigger → Compounds annually Artificially low global fee → Self-pay policy masks commercial discount loss → $5K–$20K/month No annual review → Costs rise, billed charges flat → 3–5% margin erosion per year Three actions this week: Run the top-20 CPT code comparison — billed charge vs. highest commercial contract allowable Anchor your fee schedule to the Medicare multiplier — recalculate for this year Put the annual fee schedule review on the Q4 calendar today — first week of November, billing manager named as owner Episode breakdown: 00:00 The fee schedule is a revenue ceiling 02:30 Why silence in billing costs more than denials 05:00 Gap 1: Billing below your own allowables 09:00 Gap 2: Inconsistent fee schedules across locations 13:00 Gap 3: No Medicare multiplier anchor 17:00 Gap 4: Suppressing global fees for self-pay patients 21:30 Gap 5: No annual fee schedule review 25:00 Three actions this week 29:00 Free resource + EP187 tease Resources Mentioned NEW LEAD MAGNET  Primary resource this episode: 30-Day Revenue Recovery Plan. Payment Posting Audit Checklist is tertiary. 30-Day Revenue Recovery Plan (free): eligibility.natrevmd.com/nrc/-30day-revenue-recovery-plan Book a free 30-minute call: calendly.com/heather-natrevmd Practice Revenue Leak Scorecard (free): eligibility.natrevmd.com/nrm-revenue-scorecard-v3 Payment Posting Audit Checklist (tertiary): eligibility.natrevmd.com/payment-posting-checklist CMS Medicare Physician Fee Schedule: cms.gov (updated annually each November) 

It's mid-June. The evenings are long, the days are warm, and by 8pm you're sitting on the porch - and the kitchen is calling your name.If night eating is your biggest struggle right now, this episode is for you.Here's what most women don't know: night eating is almost never a willpower problem. It's almost always something that happened earlier in the day that your body is now trying to compensate for. And when you understand what's actually driving it, you can finally fix it.In this episode, I'm breaking down the 5 real reasons you can't stop eating at night - and what to do about each one.You'll learn:Why under-eating during the day is setting you up to eat everything in sight by 8pm - and why summer makes this worseThe specific role low protein plays in nighttime hunger and cravingsWhy exhaustion drives you toward food - and what's happening in your brain (and your hormones) when it doesHow to recognize emotional eating even when it doesn't look like what you think it looks likeWhat blood sugar crashes have to do with late-night cravings - and the simple fix that changes everythingThis episode won't shame you for struggling with this. It will help you understand it - and give you real tools to break the cycle.Night eating is not a character flaw. It's a signal. Let's figure out what it's trying to tell you.Join us for 9 weeks of summer workouts! Use the link here: https://inspirehw.com/inspire-fitnessJoin us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

ANNOUNCEMENT: If you're a caregiver based in New York State or still have family in New York, join me on Thursday June 18th for my webinar, Caregiving: A Public Health Issue. 8pm est; $15 per person.Sign up here: https://www.eventbrite.com/e/1991026454723?aff=oddtdtcreatorOn this episode of The Social Work Rants Podcast, I discussed the changes to reimbursement rates for providers using CPT codes 90834 and 90837 on the Alma platform, effective July 15th. The changes involve adjusting the rates for session durations, with code 90837 (53 minutes and up) being reimbursed at the same rate as code 90834 (37-52 minute sessions). Basiliso also mentioned the impact of inflation on these changes, citing a recent 4.2% inflation rate.Inflation and Mental Health ConcernsI discuss the impact of inflation on various aspects of life, including healthcare costs and gas prices, noting that while President Biden reduced the national inflation rate, many expenses continue to rise. I expressed concerns about technology platforms like Headway that visually scan patients during mental health sessions, citing ethical issues around patient privacy and surveillance. I also mentioned challenges with audits and payment reimbursements for agencies.I highlight the work of Justin Gillespie from Blue Cross Blue Shield of Michigan, who is working on legislation to address reimbursement rates at both state and national levels.Payer Regulation Impact on NonprofitsI discussed recent payer regulation changes affecting Medicaid and HMO services, including increased denial rates and higher audit frequencies leading to potential nonprofit closures. They highlighted budget issues in New York City affecting nonprofit organizations' ability to pay staff and bills. Basiliso noted that the full impact of the HR1 legislation may not be fully realized until after the November general election.Medicaid Recertification Changes UpdateI also warned about upcoming changes to Medicaid recertifications and a new work requirement effective in July, which will require individuals to show proof of working up to 80 hours to maintain their benefits. These changes will significantly impact vulnerable populations and make social workers' jobs more challenging. The discussion was presented as educational content to help professionals understand the evolving landscape affecting their work.

In this episode we welcome CPT Fellow Brad Embry, pastor of Missions and Outreach at St. Michael's Anglican Church in Wisconsin. He shares his journey from biblical scholar to Pastor Theologian, reflecting on vocational discernment, transitioning away from academia, and finding a home in the Anglican tradition.Listen as we discuss the relationship between theological scholarship and the local church, the future of theological education, and the vital role of pastor-theologians in serving God's people.Join us at the CPT Conference

CPT. Matt Hoh : Why the Resistance Won't EndSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Welcome to the “NASM CPT Podcast” with Rick Richey! In this value-packed episode, Rick breaks down the essential joint actions of the human body—a must-listen for anyone studying for the NASM Certified Personal Trainer exam, fitness professionals, or anyone eager to master functional anatomy and human movement science.

Health economics is not just about reimbursement. It is about proving how a technology reduces the total cost of care. In this episode, Betty Tsai, President of Cardiology Services International, explains why medtech companies must think beyond existing CPT or MS-DRG codes when shaping their commercialization strategies. Speaking with Saul at the MedTech Innovator event, she highlights how health economics reveals the true cost of a patient journey, from initial admission through readmissions and long-term care. Betty explores how value-based care and CMS performance metrics are reshaping hospital revenue and influencing adoption decisions. She also discusses alternative reimbursement pathways, such as the New Technology Add-on Payment, and emphasizes that companies demonstrating both clinical and economic value are more attractive to providers and investors. Tune in and learn why proving economic value may be one of the most important steps in driving medtech adoption. Resources: Connect with and follow Betty Tsai on LinkedIn.

It's June. Summer just started. And if you made it here - through the hard weeks, the missed workouts, the moments you almost quit - I want you to hear something:You are closer than you think.This episode isn't about strategy. It's about the messy, unglamorous middle stretch of a fitness journey - the part nobody talks about - and what it actually takes to push through it when motivation is gone and results feel far away.In this episode, I'm talking directly to the woman who almost gave up. Maybe she did, for a little while. And she's here anyway. That matters more than she knows.You'll hear:Why the middle of a fitness journey is the hardest place to be - and why it's also where everything is decidedThe real reason June feels so hard for so many women (and why it's not what you think)Why waiting to feel ready before you start again is the one thing keeping you stuckHow to shrink the target and build momentum without burning out in 10 daysWhy the version of summer you thought you'd have by now is holding you backHow to use the season instead of fighting itYou haven't missed anything. Summer just started. And what you do in the next 8 weeks is going to matter.Let's talk about it.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

In this episode of the CPT Podcast, we welcome Greg Allison to discuss his book Complementarity. Allison explains his vision of “complementarity” as a theological framework focused not on gender roles but on the shared dignity, difference, and interdependence of men and women as image-bearers of God. Drawing on biblical theology, church history, and contemporary debates, the conversation explores why identity must precede function, how Christians can move beyond polarized disputes over gender, and why mutual love and honor should be the foundation for discussions of men and women in the church. The episode offers pastors and church leaders a thoughtful, gospel-centered approach to navigating one of the most contested issues in contemporary Christianity.Join us at the CPT Conference

CPT. Matt Hoh : Military Spending Into OblivionSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Summer is here. The cookouts, the lake trips, the photos - all of it. And if you're still feeling stuck in your body right now, this episode is for you.Here's what most women don't realize- the rules of your body have changed in perimenopause - and the strategies that worked in your 30s are actively working against you now.In this episode, I'm breaking down the 7 things I'd stop doing immediately if I wanted to lose fat in perimenopause. None of them have to do with trying harder. And none of them require a perfect week, a Monday, or a fresh start in September.You'll learn:Why eating too little is quietly sabotaging your results - and what to do insteadWhy leading with cardio is keeping your body stuckHow skipping protein at breakfast sets you up to struggle all day longWhy summer weekends might be undoing your weekdays - and the one shift that changes everythingWhat poor sleep is actually doing to your hormones, your cravings, and your midsectionWhy program hopping feels like progress but produces noneWhy waiting until fall is the one thing I'd stop doing immediatelyYou don't have to fix all seven things today. Pick the one that hits closest to home and start there.Your body is not broken. You just needed better information. Now you have it.Ready to stop guessing and train with a plan built specifically for this season? Join us for Start Summer Strong: https://inspirehw.com/start-summer-strongJoin us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

DPC Is Growing in Pediatrics: Dr. Andrew Hertz on Zest's Expansion, Survey Findings, and the Future of CareThe Pediatric Lounge welcomes returning guest Dr. Andrew Hertz, co-founder and president of the Zest Pediatric Network, to discuss the growth of direct pediatric care (DPC) and results from Zest's national survey. Hertz reports Zest's expansion from three Cleveland-area practices to 10 sites opening by summer, with 13 physicians across Ohio, Pennsylvania, and Florida, and describes using annual surveys because pediatric DPC data was previously lacking and the movement is growing about 25% yearly. Survey findings include that pediatric DPC is largely women-led (about 90%), mid-career, mostly solo practices; most charge $100–$175 per child per month with panels under 250 patients; about 48% are AAP members; and many report improved satisfaction and less moral injury. They discuss DPC benefits such as reduced office, urgent care, and ED visits, challenges with insurance and Medicaid capitation without CPT codes, AI's operational promise and societal risks, and employer value focused more on employee satisfaction than pediatric ROI.00:00 Welcome Back Dr Hertz01:30 Zest Network Growth02:50 Why Survey DPC03:49 Who Joins DPC05:06 Boards and MOC Debate09:31 AAP Membership Questions13:54 Why DPC Is Rising18:22 AI vs EHR Efficiency22:03 Insurance and Capitation25:14 Hybrid Models and Access29:08 Costs and Who Can Afford32:45 Medicaid Capitation Hurdles35:06 Data Without CPT Codes36:24 Data Without Red Tape37:07 ICD-10 and Simple EMRs38:23 Holistic Prevention Coaching41:32 Defining DPC Success42:43 Net Promoter Score Explained46:10 NPS for Behavior Change49:19 Storytelling to Drive Adoption55:53 AI in Pediatrics Promise and Peril01:03:21 Beyond DPC Payment Models01:06:15 Employers and Care Navigators01:09:24 Closing Thoughts and Growth01:11:31 Podcast OutroSupport the show

Gas stations. Bleachers. Road trips. Concession stands. Hotel rooms. Golf courses. Beach days.Summer is the season that derails more women than any other time of year. Not because they stop caring. Because the structure that holds everything together completely disappears.In this episode Casey delivers your complete summer survival guide - practical, specific, and built for real life. Whether you're driving cross-country, sitting at a ballfield all weekend, or navigating a schedule that looks nothing like your normal routine - this episode gives you a plan for both your nutrition and your movement all summer long.You'll learn:The summer mindset shift that separates women who maintain their progress from women who restart every SeptemberYour gas station survival guide -the specific items to grab and what to skipFast food drive-through anchors for road trips - plus how to use AI to map out your food stops before you leave the drivewayHow to eat at sporting events without living at the concession standA simple summer movement strategy that keeps your strength training consistent even when your schedule isn'tThe bleacher workout, the hotel room workout, and the two-day rule that keeps the gap small all summerSummer is not the enemy of your health goals. Summer without a strategy is.This is your strategy.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

Send us Fan MailMost doctors leave insurance… but still run their practice like they're in-network.I did the same thing at first.I thought direct care simply meant putting cash prices on my services and charging patients per visit. But staying fee-for-service kept my practice transactional, unpredictable, and financially stuck.In this episode, I'm sharing why I shifted away from CPT-code thinking and started building packages, memberships, and long-term patient relationships instead. Because patients don't just want appointments — they want a clear plan, real results, and someone who can guide them from pain to solution. Support the show***You just need one well-crafted direct pay package to start your Direct Specialty Care practice. Join the workshop here before space runs out.For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com

Send us Fan MailMost doctors leave insurance… but still run their practice like they're in-network.I did the same thing at first.I thought direct care simply meant putting cash prices on my services and charging patients per visit. But staying fee-for-service kept my practice transactional, unpredictable, and financially stuck.In this episode, I'm sharing why I shifted away from CPT-code thinking and started building packages, memberships, and long-term patient relationships instead. Because patients don't just want appointments — they want a clear plan, real results, and someone who can guide them from pain to solution. Support the show***You just need one well-crafted direct pay package to start your Direct Specialty Care practice. Join the workshop here before space runs out.For specialists tired on insurance and ready to do something about it. If you're ready to open but don't know where to start, take the readiness assessment and book a clarity call here.--> Join the Direct Care Society private Facebook group here. EMR I'm currently using in my Direct Care practice Simple PracticeFind me on LinkedIn https://linkedin.com/in/teadpmMore resources teadpm.com

Skin Cancer Alternative Treatment Option with Joseph Sardano, CEO at Sensus Healthcare. There is a "new" alternative to surgery for treating skin cancer. Superficial Radiation Therapy (SRT) uses photon radiotherapy that penetrates only 5mm to treat skin cancer without cutting, bleeding, or scarring. Comparable cure rates matching the gold standard of Mohs surgery. For many patients, this is a better patient experience with no stitches, no healing downtime, and no activity restrictions. Patients can golf, swim, and live normally during the 3–4 week treatment course. Good news as it is now covered by Medicare as SRT has its own CPT code, making reimbursement clear for dermatologists and affordable for patients. So for those with this diagnosis, have the conversation and ask your dermatologist about new options available. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

May 22, 2026In this episode, Scott, Mark, and Dr. Ray Painter revisit ureteral stent removal and replacement coding after listener feedback highlighted the need for additional clarification on when cystoscopic codes versus fluoroscopic exchange codes apply. The discussion then shifts to emerging RAC audits targeting prostate artery embolization (PAE) claims involving CPT codes 37242 and 37243, emphasizing the importance of detailed documentation and medical necessity support. The episode wraps with a deep dive into Medicare's medically unlikely edit (MUE) for add-on code 55715 for additional prostate biopsy lesions—exploring why the edit conflicts with CPT guidance, how practices should report multiple lesions, and why appeals may be necessary to receive proper reimbursement. PRS Coding and Reimbursement HubAccess the HubBotox LCD AlertDownload the AlertFree In-Office Prostate Biopsy Calculator (Suppoted by UC-Care)Download NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and Admins Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.         https://www.prsnetwork.com/joinuptpClick Here to Start Your Free Trial of AUACodingToday.com   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ 

A bonus conversation with CPT fellow Kyle Fever on life, preaching, books, and music.Join us at the CPT Conference

CPT. Matt Hoh : Iran Ready if Trump Bombs AgainSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Sherif Taraman on Fixing the Primary Care Shortage: Economics, Culture, Policy, and TechnologyIn a Tuesday-morning discussion, repeat guest Dr. Sherif Taraman (dual board-certified child neurology and clinical informatics; CEO of Cognoa behind FDA-authorized Canvas DX for autism) joins Herb and George to examine the U.S. primary care shortage. They argue the core driver is broken health economics: low reimbursement, outdated CPT practice-expense assumptions, high overhead, time-strapped 10–15 minute visits, and EHR-driven administrative burden that pushes volume over prevention and fuels burnout, direct-care models, and consolidation or profit-driven ownership. They discuss loss of generalist skills, outdated training and regulation, medical debt discouraging primary care, and cultural preference for quick fixes over preventive care. Potential solutions include clinician-driven tech (e.g., ambient scribes), collaborative care scaffolding with reimbursable codes, more flexible retraining and licensing reciprocity, better education in health economics/population health, and restoring patient-physician relationships to rebuild trust (e.g., vaccines).00:00 Welcome Back Sherif01:43 Why Primary Care Matters03:44 Reimbursement Drives Shortage05:29 Generalist Skills Fading07:58 Outdated Rules and Costs11:11 Practice Models Shifting13:14 Workforce and Policy Crunch14:47 Tech Incentives and Burnout17:54 Collaborative Care Scaffolding19:03 Culture Debt and Training Reform26:17 Reinventing Physician Careers27:44 Credentialing Roadblocks28:46 Regulation Versus Access29:45 Modernizing Training Models30:52 Paying Primary Care Right32:55 Telehealth Licensing Mess33:47 Learning Without Certificates34:52 Screening Belongs Upstream36:34 Workforce Fixes And Scope39:48 Guidelines And Critical Thinking42:44 Medicine As Art And Trust48:49 EHRs Billing And Burnout49:44 Closing Thoughts And ActionSupport the show

You're standing in the grocery store. You pick up the bar with "HIGH PROTEIN" across the front in bold letters. You put it in your cart. You're doing the right thing.Except -are you?The "high protein" label has become one of the most overused and misleading claims in the food industry. There is no regulated standard for what it means. Any brand can put it on any package - regardless of what's actually inside. And for women in midlife who depend on protein to protect their muscle, support their metabolism, and stabilize their energy - getting this wrong has real consequences.In this episode Casey breaks down exactly how to read a protein label so you know what you're actually buying - walks through the product categories where the gap between marketing and reality is widest - and introduces a free tool you can use from your phone to evaluate any product in 30 seconds.You'll learn:Why "high protein" on a label means almost nothing -and what to look at insteadA simple 4-question label check you can run in under 60 seconds at the storeWhich protein sources are worth your money and which are just fillerThe truth about protein bars, flavored yogurts, high protein cereals, shakes, and snack foodsHow to use AI to evaluate any product or compare two options before it goes in your cartHow added sugar is hiding inside products that look like smart protein choicesYou walked into the store doing the right thing. By the end of this episode - you'll walk out actually doing it.Shop Legion Supplements Here: https://legionathletics.rfrl.co/zwo48Inspire Nutrition: https://inspirehw.com/nutritionJoin us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

There is a difference between feeling ashamed and living inside shame. One is a passing signal. The other is the background atmosphere of an entire nervous system. In this episode, Jennifer Wallace and Elisabeth Kristof go deep on toxic shame as the next distinguishing characteristic of complex trauma in their CPT series. This is one of the most personal episodes they have recorded. Both hosts share what shame actually sounded like at its loudest in their lives, the specific words, the body states, the loops that ran for years before they had any way to interrupt them. And they are honest about where they still meet it today. Toxic shame in complex trauma is not just a feeling that shows up after a mistake. It is an identity state. It shifts from "I did something wrong" to "I am wrong." It shapes posture, vocal tone, breath, gaze, and the way the body interprets every social interaction as potential exposure or rejection. And because it developed in relationship, specifically in environments where expressing needs or emotions led to punishment, abandonment, or humiliation, it becomes deeply tied to every relational experience that follows. Elisabeth and Jennifer trace the full arc of how shame develops, from the child who cannot afford to see their caregiver as unsafe and so turns the blame inward, to the adult who moves through professional and personal relationships with a chronic bracing for exposure. They cover the neurobiology in depth: what the insula, default mode network, and vagus nerve have to do with chronic shame states, why shame can both amplify and numb internal sensation at the same time, and how shame formation, the physiological pairing of emotional shame states with immune and inflammatory responses, helps explain the health outcomes seen in adverse childhood experience research. The conversation also covers the double bind of shame in complex trauma, the trap of needing connection while also bracing for what connection has always brought. How shame drives substance use and disordered eating as regulation strategies. How systemic and cultural forces layer onto developmental shame in ways that make the pattern larger than any individual. And what post-traumatic growth actually looks like here: not confidence, not the absence of shame, but a little more space between the wave and the response, a little longer staying present in the body before the collapse happens, and gradually, relationships where being imperfect does not mean being abandoned. In This Episode, You Will Learn: Why toxic shame in complex trauma shifts from an emotion into an identity state How shame develops as a survival strategy when caregivers are unsafe and self-blame becomes the only available adaptation Why shame is not just cognitive but embodied, showing up in posture, vocal tone, breath, gaze, and gesture What shame formation is and how chronic shame states are linked to inflammation, immune dysregulation, and the health outcomes in ACE research How the insula, default mode network, and vagus nerve are involved in chronic shame patterning Why shame can simultaneously amplify and numb internal sensation and what that means for healing The double bind of shame: needing connection while bracing against it How systemic and cultural shaming layers onto developmental shame and why the nervous system cannot fully distinguish between them How shame drives substance use and disordered eating as regulation strategies and why the shame-use cycle is so hard to interrupt What post-traumatic growth looks like in relation to shame: not the absence of it, but increased range, flexibility, and capacity to stay present with it How accountability, relational repair, and allowing others to have their own experience gradually shifts the shame pattern   Chapters 0:00 - The Difference Between Feeling Ashamed and Living Inside Shame  0:33 - Welcome: Toxic Shame Through the Lens of Complex PTSD  1:54 - What Shame Actually Is: A Whole Body Physiological Response  2:14 - When Shame Becomes an Identity State  3:01 - Shame in the Body: Posture, Voice, Breath, and Withdrawal  3:34 - Systemic and Cultural Shame: When the Group Itself Is Dysregulated  5:55 - Shame as the Emotion That Represses All Other Emotions  7:15 - How Shame Develops in Complex Trauma: The Child Who Cannot Blame the Caregiver  8:48 - Everything Is My Fault as a State of Being  9:43 - Jennifer and Elisabeth Share What Shame Sounded Like at Its Loudest  11:28 - How Shame Physically Inhibits Expression  12:09 - The Double Bind: Needing Connection While Bracing Against It  14:00 - The Neurobiology: Insula, Freeze, Dissociation, and No Safe Discharge  17:31 - Large Scale Neural Patterning: DMN Loops, Reward Signaling, and Oxytocin  18:36 - What Shame Looks Like Now for Jennifer and Elisabeth  23:51 - Shame Formation: Inflammation, the Vagus Nerve, and ACE Research  26:43 - The Shame and Substance Use Cycle  30:28 - How Both Hosts Used Substances to Regulate Shame  34:15 - Systemic Shame and the Brain's Drive for Belonging  36:10 - What Post-Traumatic Growth Actually Looks Like With Shame  38:51 - Relational Healing: Repair, Accountability, and Letting Someone Love You Imperfectly  41:14 - Allowing Another Person to Have Their Experience Without Collapsing   Resources and Links NSI Foundations Bundle for coaches and practitioners: neurosomaticintelligence.com/foundations Two week Rewire Trial of guided neuro somatic training: rewiretrial.com Learn more about Elisabeth's work at brainbased.com Learn more about Jennifer's work at her YouTube channel: Sacred Synapse https://www.youtube.com/@sacredsynapse-23 Trauma Rewired podcast  is intended to educate and inform but does not constitute medical, psychological or other professional advice or services. Always consult a qualified medical professional about your specific circumstances before making any decisions based on what you hear.  We share our experiences, explore trauma, physical reactions, mental health and disease. If you become distressed by our content, please stop listening and seek professional support when needed. Do not continue to listen if the conversations are having a negative impact on your health and well-being.  If you or someone you know is struggling with their mental health, or in mental health crisis and you are in the United States you can 988 Suicide and Crisis Lifeline.  If someone's life is in danger, immediately call 911.  We do our best to stay current in research, but older episodes are always available.  We don't warrant or guarantee that this podcast contains complete, accurate or up-to-date information. It's very important to talk to a medical professional about your individual needs, as we aren't responsible for any actions you take based on the information you hear in this podcast. We  invite guests onto the podcast. Please note that we don't verify the accuracy of their statements. Our organization does not endorse third-party content and the views of our guests do not necessarily represent the views of our organization. We talk about general neuro-science and nervous system health, but you are unique. These are conversations for a wide audience. They are general recommendations and you are always advised to seek personal care for your unique outputs, trauma and needs.  We are not doctors or licensed medical professionals. We are certified neuro-somatic practitioners and nervous system health/embodiment coaches. We are not your doctor or medical professional and do not know you and your unique nervous system. This podcast is not a replacement for working with a professional. The BrainBased.com site and Rewiretrail.com is a membership site for general nervous system health, somatic processing and stress processing. It is not a substitute for medical care or the appropriate solution for anyone in mental health crisis.  Any examples mentioned in this podcast are for illustration purposes only. If they are based on real events, names have been changed to protect the identities of those involved.  We've done our best to ensure our podcast respects the intellectual property rights of others, however if you have an issue with our content, please let us know by emailing us at traumarewired@gmail.com  All rights in our content are reserved  

CPT. Matt Hoh : Netanyahu Becomes DesperateSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Watch the claims data behind telehealth modifier 95 and audio-only modifier 93 as denial trends for high-volume CPT codes and place of service combinations raise major compliance concerns. Terry breaks down the most common causes of denials, including incorrect POS reporting, documentation gaps, and billing practices that could trigger audit scrutiny. She also explains why relying on coding forums for definitive coding advice can create serious compliance risks for providers and practices. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post Telehealth Modifiers 95 and 93 Compliance appeared first on Terry Fletcher Consulting, Inc..

Send us Fan MailIs your NICU considering the shift to 24 hour in house attending coverage? In this episode of Journal Club, we explore a provocative brief communication from the Journal of Perinatology. Ben and Daphna discuss the impact of moving from home call to on site presence at UC Davis. While the change was intended to improve patient care, the data reveals a surprising 15 percent decrease in work RVUs. We examine how proactive weaning and bedside presence might actually lower billing levels under current CPT codes. Are we being penalized for doing the right thing for our patients?----From on-call to on-site: the impact of 24-hour in-house neonatology on billing patterns and physician productivity. Donohue L, Lakshminrusimha S.J Perinatol. 2026 Feb;46(2):289-292. doi: 10.1038/s41372-025-02530-8. Epub 2026 Jan 5.PMID: 41490931 Free PMC article. No abstract available.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

It's Tuesday night. You just got stuck at work and had to pick up a prescription for your mother. You're exhausted, you haven't eaten, and the only thing between you and a complete breakdown is a drive-through or a restaurant with a 20-minute wait.There is no meal prep waiting at home. There is just a menu and a decision.If that scene sounds familiar - this episode is going to change how you handle it.In this episode Casey breaks down exactly what to order at any restaurant - fast food, casual dining chains, and nicer sit-down restaurants - using a simple framework that works every single time. Plus a tool you can use right now from your phone that gives you personalized menu recommendations for wherever you are in 30 seconds flat.You'll learn:The five-part framework for ordering at any restaurant that keeps you on track without making the meal miserableSpecific recommendations at Chipotle, Chick-fil-A, McDonald's, Applebees, Chili's, Texas Roadhouse, and moreThe bread basket strategy that removes the hardest decision before you even sit downHow to handle date night and special occasion dinners without anxiety or guiltHow to use AI as your personal menu navigator - the exact prompts to use so you always walk in with a planEating out is not the enemy. Eating out without a strategy is.And after this episode - you'll always have one.

Get Dr. Vonda's insights Want to understand what's happening in your body — and what to do next? Each week, Dr. Vonda shares science-backed guidance on strength, bone health, muscle, and longevity — the same way she speaks to her patients. Clear. Practical. No noise. Join the newsletter: https://manage.kmail-lists.com/subscriptions/subscribe?a=YqJKtR&g=Ww3gx3& Your blood sugar is telling you everything. You just haven't been listening. In this episode, I sit down with registered dietitian and certified personal trainer Kayla Girgen, one of the first clinicians to bring continuous glucose monitoring to everyday women who do not have diabetes. If you have ever eaten well, exercised hard, and still felt like your body was working against you, this conversation will change the way you see your metabolism forever. What We Explore: - How a CGM reveals what food, stress, sleep, and exercise are doing to your blood sugar in real time. - Why pre-diabetes is one of the most under-treated diagnoses in women's health. - Why fasting insulin is the number you actually need. - What your blood sugar crashing at 3am has to do with why you cannot get back to sleep. - How to eat enough protein without overhauling your entire routine overnight. - Why rucking is one of the most practical tools for building strength, improving body composition, and boosting bone density. About Kayla Girgen KAYLA GIRGEN, RD, LD, CPT, is a registered dietitian, certified personal trainer, and founder of Sugar + Strength Academy—an online wellness community helping women balance blood sugar and build strength, one step at a time. She blends real-life tools, such as continuous glucose monitoring (CGM), with accessible movement, like rucking, to help clients break free from diet extremes and feel strong—both physically and mentally. Kayla's approach centers on progress over perfection and creating results that work in real life. Her upcoming book Ruck Fit shares how rucking became a catalyst for reclaiming her physical and mental health, proving that fitness doesn't have to be complicated to be life-changing. Connect with Kayla Girgen: Website: https://kaylagirgenrd.com/ Instagram: https://www.instagram.com/kaylagirgenrd/  LinkedIn: https://www.linkedin.com/in/kaylagirgen/ YouTube: https://www.youtube.com/@kaylagirgenrd Facebook: https://www.facebook.com/kaylagirgenrdld TikTok: https://www.tiktok.com/@kaylagirgenrd Book - RUCK FIT: Build Strength and Endurance by Walking with Weight Available here: https://a.co/d/06vLg5nR Timestamps 00:00 Intro 03:30 How Stress Shows Up on Your Blood Sugar 09:30 Why Pre-Diabetes Is a Five-Alarm Fire 13:00 Glucose Typing: Are You a Compensator or a Spiker 16:25 What to Do If Your Blood Sugar Spikes and Crashes 20:40 How Long Should You Actually Wear a CGM 24:00 How to Calculate Your Daily Protein Goal 29:10 GLP-1s and the Changing Weight Loss Landscape 34:50 Why Eating Too Little Is the Biggest Mistake Midlife Women Make 37:00 Rucking: What It Is and Why It Works for Women 40:00 How Adding Weight Increases Your Training Load by 10 Percent 45:00 The Top Three Priorities for High-Achieving Women Feeling Stuck 51:20 Rapid Fire: CGM, Carnivore, and Habits Start your Unbreakable journey Most women are never given a clear plan for how to stay strong as they age. The Unbreakable Lifestyle is where that changes. This is the home of Dr. Vonda's method — built from 20+ years of clinical work and designed for real life. Inside: - Unbreakable Assessment — know exactly where you stand - Training plans — build muscle, protect bone, improve performance - AI Dr. Vonda — get answers and guidance anytime - Community — women committed to staying strong and engaged - Exclusive education — what actually works, all in one place This is not another program. This is how you build strength — with direction. Join the Unbreakable Lifestyle: https://www.theunbreakablelifestyle.com/ Build stronger bones Bone loss starts earlier than you think — and speeds up in midlife. Dr. Vonda's Unbreakable Bone Health formula supports bone density, strength, and long-term skeletal health with clinically researched ingredients. Foundational. Not optional. Shop now: https://shop.drvondawright.com/?utm_s   Read the book Unbreakable: A Woman's Guide to Aging with Power A clear, science-backed roadmap to building strength, supporting your body, and taking control of how you age. Get your copy: https://theunbreakablebook.com?utm_so    About Dr. Vonda Wright Dr. Vonda Wright is an orthopedic sports surgeon and leading expert in women's health and longevity. For over 20 years, she has helped women build muscle, strengthen bone, and extend their health span — with science, not guesswork. Her mission is simple: help women age with power.   Connect with Dr. Vonda Instagram: https://www.instagram.com/drvondawright Substack: https://drvondawright.substack.com/ TikTok: https://www.tiktok.com/@drvondawright LinkedIn: https://www.linkedin.com/in/vonda-wright-md-ms-2803374 Website: http://www.drvondawright.com

Everyone has a critical inner voice. But if you grew up in an environment shaped by chronic relational stress, that voice does not just comment. It runs. It loops. It drives your body into a stress state before you have even finished the thought. In this episode, Jennifer Wallace and Elisabeth Kristof explore the inner critic as the next distinguishing characteristic of complex trauma in their ongoing CPT series. This is not a conversation about toxic positivity or affirmations. It is a precise, neuroscience-grounded look at why the inner critic develops, what it is actually doing in the brain and nervous system, and what it genuinely takes to loosen its grip over time. The inner critic is a predictive safety mechanism. It developed to preempt rejection, suppress behaviors that previously led to punishment, and maintain attachment in environments where connection felt conditional. It is not your core self. It is a learned neural pattern rooted in threat detection and self-referential processing that, once formed, keeps running because it worked. Or at least, it worked enough. Jennifer and Elisabeth trace how chronic relational stress reorganizes the default mode network around threat rather than flexible identity development, what the medial prefrontal cortex and posterior cingulate cortex have to do with rumination and shame-based identity loops, and why children with developmental trauma learn to blame themselves for relational failures that were never their fault in the first place. They also go deep on the outward expression of the same pattern: the external critic, the person who micromanages, projects, and stays braced and guarded because the nervous system is still predicting the letdown. Both hosts bring this into their own lived experience with real honesty. Elisabeth talks about the constant body-focused narrator that used to run during recording sessions. Jennifer shares what the inner critic sounds like when she is launching something new and putting her voice out into the world. Neither of them is pretending it is gone. They are showing what it looks like when it no longer runs the show. The episode closes with practical, nervous system-grounded pathways for working with the inner critic, including why celebration and reward matter more than positive thinking, how oxytocin-mediated safety gradually quiets social threat monitoring, and why the most important move is not arguing with the voice but interrupting the loop at the body level first. In This Episode, You Will Learn: Why the inner critic is a predictive nervous system adaptation, not a reflection of truth or identity How chronic relational stress reorganizes the default mode network around threat and self-monitoring What the medial prefrontal cortex and posterior cingulate cortex have to do with rumination and the inner critic Why children with developmental trauma internalize relational failures as personal flaws How perfectionism, body criticism, and post-performance crashes are all outputs of the same underlying pattern What the external critic is, why it always coexists with a loud inner critic, and how to recognize it in yourself Why you cannot think your way out of the inner critic loop and what actually interrupts it How the ventral striatum and reward signaling can be used to reinforce new behaviors and self-expression Why oxytocin-mediated safety, through connection, touch, nature, and sensory pleasure, reduces the social threat driving the critic What post-traumatic growth actually looks like in relation to the inner critic: not eliminating it, but expanding capacity beyond it Chapter Markers 0:00 - The Inner Critic as a Distinguishing Characteristic of Complex Trauma 0:58 - Welcome: What the Inner Critic Actually Is 1:49 - Jennifer and Elisabeth Share Their Own Inner Critic Experiences 4:36 - Why This Matters: Recognizing Complex Trauma in the Patterns 5:33 - The Difference Between a Normal Inner Critic and a Trauma-Amplified One 7:11 - The Neuro Biology: How the Inner Critic Develops as a Protective Pattern 8:28 - How Authenticity Becomes a Threat Signal 10:38 - The Default Mode Network and Self-Referential Rumination 13:52 - What the Growth Edge Actually Feels Like in Practice 17:05 - The Brain Science: The Default Mode Network, Medial PFC, and Posterior Cingulate 19:22 - Why Developmental Trauma Teaches Children to Blame Themselves 21:10 - How to Interrupt the Loop: Sensory Anchoring, Movement, and Tools 23:18 - Working With State to Shift the Story 24:51 - Perfectionism as an Output of the Inner Critic 28:11 - Why We Stay Stuck in the Loop Even When We Know Better 29:12 - The Ventral Striatum, Reward Signaling, and Why Celebrating Small Wins Matters 35:57 - Oxytocin, Social Safety, and Softening the Hypervigilance 39:49 - The External Critic: When the Inner Voice Gets Projected Outward 43:03 - Post-Traumatic Growth and the Inner Critic: What Actually Changes Ways to Engage with Neurosomatics    Join us inside Rewire: This is where you actually experience the practices Jennifer and Elisabeth talk about on the podcast that brought us freedom, self-attunement, a new relationship with food and our body.  rewiretrial.com   Explore the neurosomatics of boundaries: boundaryrewire.com   Introduction to neurosomatics for practitioners, coaches and therapists - The NSI foundations Bundle: https://neurosomaticintelligence.com/workshops/   Wayfinder Journal: Track nervous system patterns and support preparation and integration through Neurosomatic Intelligence: https://stan.store/illuminated   Join Jennifer on Sacred Synapse to explore the intersection of neurosomatics and Psychedelic neuroscience: https://www.youtube.com/@sacredsynapse-23   Support the podcast by supporting our sponsors:  FREE 1 Year Supply of Vitamin D + 5 Travel Packs from Athletic Greens when you use my exclusive offer: https://www.drinkag1.com/rewired Trauma Rewired podcast  is intended to educate and inform but does not constitute medical, psychological or other professional advice or services. Always consult a qualified medical professional about your specific circumstances before making any decisions based on what you hear.  We share our experiences, explore trauma, physical reactions, mental health and disease. If you become distressed by our content, please stop listening and seek professional support when needed. Do not continue to listen if the conversations are having a negative impact on your health and well-being.  If you or someone you know is struggling with their mental health, or in mental health crisis and you are in the United States you can 988 Suicide and Crisis Lifeline.  If someone's life is in danger, immediately call 911.  We do our best to stay current in research, but older episodes are always available.  We don't warrant or guarantee that this podcast contains complete, accurate or up-to-date information. It's very important to talk to a medical professional about your individual needs, as we aren't responsible for any actions you take based on the information you hear in this podcast. We  invite guests onto the podcast. Please note that we don't verify the accuracy of their statements. Our organization does not endorse third-party content and the views of our guests do not necessarily represent the views of our organization. We talk about general neuro-science and nervous system health, but you are unique. These are conversations for a wide audience. They are general recommendations and you are always advised to seek personal care for your unique outputs, trauma and needs.  We are not doctors or licensed medical professionals. We are certified neuro-somatic practitioners and nervous system health/embodiment coaches. We are not your doctor or medical professional and do not know you and your unique nervous system. This podcast is not a replacement for working with a professional. The BrainBased.com site and Rewiretrail.com is a membership site for general nervous system health, somatic processing and stress processing. It is not a substitute for medical care or the appropriate solution for anyone in mental health crisis.  Any examples mentioned in this podcast are for illustration purposes only. If they are based on real events, names have been changed to protect the identities of those involved.  We've done our best to ensure our podcast respects the intellectual property rights of others, however if you have an issue with our content, please let us know by emailing us at traumarewired@gmail.com  All rights in our content are reserved  

It's 10 AM. You finished breakfast an hour ago. And your brain is already thinking about lunch.Then the snack before lunch. Then what you ate yesterday. Then whether you can have the thing you've been craving since Tuesday.You're not obsessed with food. You're not weak. But the noise is relentless - and it is exhausting in a way that's hard to explain to someone who hasn't lived it.In this episode Casey breaks down what food noise actually is, why it gets louder in perimenopause and menopause, and what you can genuinely do to quiet it - starting today.Casey also addresses the GLP-1 conversation honestly - because what women are reporting on those medications has taught us something important about food noise that changes how we think about it. And about what's possible without a prescription.In this episode you'll learn:Why food noise is a biological and neurological experience - not a willpower problem or a character flawThe specific hormonal shifts in perimenopause that make the noise louder - and why it's not your imaginationWhat the GLP-1 medication conversation reveals about food noise - and what that means for youThe most powerful nutritional tool for quieting food noise - and why breakfast is where it all startsHow blood sugar, sleep, stress, and strength training all connect to the volume of the noiseA simple 5-minute practice to interrupt emotional food noise before it takes overTwo words from a community member started this episode: food noise. If you knew exactly what she meant the second you read it - this one is for you.The noise doesn't have to run your day. You have more influence over it than you've been told.Find Casey on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Subscribe so you never miss an episode - Share this episode with a woman who needs it!Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

The deepest wound in complex trauma is not emotional intensity. It is the learned loss of connection to yourself. In this episode, Jennifer Wallace and Elisabeth Kristof open the next chapter of the CPT series by starting where the roots go deepest: self-abandonment. This is the pattern they chose to name first—and intentionally so—because when the nervous system learns that staying connected to the self is unsafe, nearly every other complex trauma response grows from that adaptation. Self-abandonment is not a personality flaw or a lack of self-awareness. It is a body-based survival strategy. From a neurosomatic perspective, it is a state-dependent loss of interoceptive access—a patterned inhibition of internal signals that the nervous system learned in order to stay attached, stay safe, and maintain stability in the relational environment. And like every other output explored in this series, it made complete sense at the time it formed. The conversation moves through the neuroscience of dissociation and how it is inseparable from self-abandonment, the brain regions involved, and what their altered activity actually looks like in everyday life. It explores the fawn response—including its lesser-discussed dimension of sexual fawning—and the specific pathways through which emotional neglect and parentification set the stage for chronic self-erasure. Jennifer and Elisabeth also trace how masking—whether in the context of neurodivergence, complex trauma, or systemic oppression—is another expression of the same root pattern: authenticity does not feel safe, so the self gets hidden. But this episode does not stop at the wound. Both hosts share what the growth edge of this pattern has actually looked like for them—what building interoceptive capacity from the ground up felt like in practice—and how self-attunement, the skill of staying present with internal experience without becoming overwhelmed by it, gradually became accessible rather than threatening. This is not a quick-fix episode. It is an honest, grounded map of one of the most pervasive and least visible patterns in complex trauma—and a clear-eyed account of what actually changes it.   In This Episode, You Will Learn: Why self abandonment is a survival adaptation rooted in the nervous system, not a character flaw How interoceptive access becomes inhibited under chronic relational threat, and what that feels like day to day The neuroscience of dissociation: which brain regions are involved and how their altered activity drives functional disconnection Why emotional neglect, even without overt harm, sets the stage for chronic self erasure How parentification creates a nervous system template of self abandonment that persists long into adulthood What fawn response is, how it operates neurologically, and why sexual fawning is a real and undernamed expression of it How masking across contexts including neurodivergence, complex trauma, and racial and systemic oppression overlaps with and compounds self abandonment What self attunement actually is as a nervous system skill and how it is different from insight or emotional processing alone Why healing is capacity-based rather than cathartic, and what that means for pacing How both hosts have rebuilt interoceptive access over time and what that process has opened up for them Chapters 0:00 - The Deepest Wound in Complex Trauma Is Not Emotional Intensity 0:38 - Welcome: Who This Episode Is For 1:27 - Introducing the CPT Series and Why We Start With Self Abandonment 2:53 - Defining Self Abandonment as a Nervous System Output 4:21 - Pete Walker, Fawn Responses, and How the Child Learns to Attune Outward 4:47 - The Neuro Somatic View: Interoceptive Access Under Chronic Threat 6:08 - Embodiment as the Opposite of Self Abandonment 6:35 - Collective and Intergenerational Dimensions of Self Abandonment 7:55 - What Self Abandonment Looks Like in Real Life: A Case Study 9:21 - Dissociation: What It Actually Is and Why It Is Inseparable From Self Abandonment 10:42 - Brain Science: The Insula, Hippocampus, Amygdala, and Thalamus 14:35 - The Fawn Response and Sexual Fawning 18:17 - Self Attunement: The Opposite of Self Abandonment 21:06 - Rebuilding Interoception: Starting Small 27:19 - Emotional Neglect as the Root of Self Abandonment 29:13 - Parentification and the Template of Self Erasure 31:21 - Masking: Neurodivergence, Systemic Oppression, and Complex Trauma 36:19 - What Growth Has Actually Looked Like for Jennifer and Elisabeth 40:20 - Stress Bucket Dysmorphia and Learning Your Real Capacity Resources and Links NSI Foundations Bundle for coaches and practitioners: neurosomaticintelligence.com/foundations Two week Rewire Trial of guided neuro somatic training: rewiretrial.com Learn more about Jennifer's work at her YouTube channel: Sacred Synapse https://www.youtube.com/@sacredsynapse-23   Trauma Rewired podcast  is intended to educate and inform but does not constitute medical, psychological or other professional advice or services. Always consult a qualified medical professional about your specific circumstances before making any decisions based on what you hear.  We share our experiences, explore trauma, physical reactions, mental health and disease. If you become distressed by our content, please stop listening and seek professional support when needed. Do not continue to listen if the conversations are having a negative impact on your health and well-being.  If you or someone you know is struggling with their mental health, or in mental health crisis and you are in the United States you can 988 Suicide and Crisis Lifeline.  If someone's life is in danger, immediately call 911.  We do our best to stay current in research, but older episodes are always available.  We don't warrant or guarantee that this podcast contains complete, accurate or up-to-date information. It's very important to talk to a medical professional about your individual needs, as we aren't responsible for any actions you take based on the information you hear in this podcast. We  invite guests onto the podcast. Please note that we don't verify the accuracy of their statements. Our organization does not endorse third-party content and the views of our guests do not necessarily represent the views of our organization. We talk about general neuro-science and nervous system health, but you are unique. These are conversations for a wide audience. They are general recommendations and you are always advised to seek personal care for your unique outputs, trauma and needs.  We are not doctors or licensed medical professionals. We are certified neuro-somatic practitioners and nervous system health/embodiment coaches. We are not your doctor or medical professional and do not know you and your unique nervous system. This podcast is not a replacement for working with a professional. The BrainBased.com site and Rewiretrail.com is a membership site for general nervous system health, somatic processing and stress processing. It is not a substitute for medical care or the appropriate solution for anyone in mental health crisis.  Any examples mentioned in this podcast are for illustration purposes only. If they are based on real events, names have been changed to protect the identities of those involved.  We've done our best to ensure our podcast respects the intellectual property rights of others, however if you have an issue with our content, please let us know by emailing us at traumarewired@gmail.com  All rights in our content are reserved  

La surpopulation carcérale devient-elle une norme dans certains pays européens ? Le Comité du Conseil de l'Europe pour la prévention de la torture (CPT), qui présentait son rapport annuel il y a quelques semaines, pose la question. En avril, la France a battu un nouveau record du nombre de personnes incarcérées (+6,3% de détenus sur un an, pour +1,6 % de places supplémentaires). Outre l'Hexagone, figurent parmi les pays les plus problématiques : Chypre, l'Irlande et la Belgique. Dans ce contexte, à Bruxelles, l'Association 9m² fait visiter une ancienne prison fermée seulement depuis novembre 2022 : la prison de Forest. Notre correspondant sur place a suivi la visite de l'ancienne prison de Forest en compagnie d'un groupe d'étudiants en communication. Le but de cette visite : sensibiliser par la pédagogie les citoyens à la réalité de l'enfermement et au quotidien des détenus, dans une prison extrêmement vétuste qui a longtemps été l'un des symboles d'une surpopulation carcérale très forte dans le pays. Avec l'association 9m² – la taille d'une cellule –, le lieu devient ainsi un centre de rencontre et de débat sur la privation de liberté. Aujourd'hui en Belgique, faute de lits disponibles, 663 prisonniers dorment sur des matelas au sol, d'après l'administration pénitentiaire.   Le reportage de Jean-Jacques Héry, correspondant à Bruxelles, est à retrouver en intégralité dans l'émission Accents d'Europe ce 5 mai à 19h40 Temps universel. À lire aussi«Ça bout»: en colère, les agents pénitentiaires français bloquent les prisons pour demander plus de moyens

A short bonus conversation with CPT fellow Matthew LaMaster on a book that has influenced his preaching ministry and his aspiration to write his sermons six months before they are preached.

It's May 1st - a fresh month and the perfect moment to pause and ask yourself: what do I actually want this month?Here's the truth most women don't hear: the goals that disappear by week two aren't failing because of a lack of motivation. They're failing because they were never really goals to begin with. "I want to lose weight." "I need to eat better." "I should work out more." Those are wishes - and wishes don't have a plan behind them.In this episode, Casey breaks down exactly what separates a goal that sticks from one that quietly fades, why behavior-based goals will always outperform outcome-based ones, and how to write a May goal that actually tells you what to do on Monday morning.You'll learn:The wish vs. goal distinction - and why it matters more than motivationThe simple goal formula: behavior + number + timeframeWhy writing it down (and sharing it out loud) dramatically increases your chances of successHow to set a goal that fits your real life - not an idealized version of itWhat to do if you've been "starting over" every month and you're ready to stopWhether you're just getting started or you've been in the game for years, this episode will help you walk into May with one clear, specific, actionable goal — and the confidence to go after it.

In episode 136 of The Eat for Endurance Podcast, I'm joined by Holley Samuel MEd, RD, CSSD, CPT to break down one of the most talked-about topics in the nutrition world right now… protein!From social media trends to grocery store shelves, protein is everywhere these days. And while it is essential for performance, recovery, and overall health, the messaging around it has left a lot of athletes confused about how much they actually need.In this episode, we cut through the noise and bring the conversation back to what  matters most... having a balanced approach to fueling that fits your unique needs and active lifestyle.  Holley and I discuss:Why protein is everyone's favorite macro right nowGeneral protein targets for athletes (and why more isn't always better)How protein needs change across life stages and training demandsAnimal vs. plant protein and what athletes should know about bothCommon protein myths and where recommendations go wrongProtein timing considerationsWhen protein supplements can be helpful (and when they're not)The bottom line is: protein matters, but so does everything else on your plate (especially my favorite… CARBS!).

In the latest episode of Executive Function, Brett is joined by Diya Jolly, Chief Product and Technology Officer at Xero. Before Xero, Diya was CPT at Okta and led YouTube's advertising monetization products at Google. In this conversation, she unpacks her three-bucket framework for delegating decisions, why the most important part of a CPO's role is to drive team-wide ambition, and why the best executives need to spend half their time thinking, not doing. In today's episode, we discuss: Why a CPO's number one job is raising their team's ambition, not shipping features How to demand the best from your team without creating a fear-based culture Why organizational politics is actually an incentives problem How Diya is “militant” with her calendar to carve out dedicated thinking time Why you should avoid chasing titles in your career - and what to chase instead References: Google: https://www.google.com Melio: https://meliopayments.com Okta: https://www.okta.com Sukhinder Singh Cassidy: https://www.linkedin.com/in/sukhinders/ Xero: https://www.xero.com Where to find Diya: LinkedIn: https://www.linkedin.com/in/diyajolly Where to find Brett: LinkedIn: https://www.linkedin.com/in/brett-berson-9986094/ Twitter/X: https://twitter.com/brettberson Where to find First Round Capital: Website: https://firstround.com/ First Round Review: https://review.firstround.com/ Twitter/X: https://twitter.com/firstround YouTube: https://www.youtube.com/@FirstRoundCapital This podcast on all platforms: https://review.firstround.com/podcast Timestamps: 00:12 How an excellent CPO makes an impact on the business 02:01 How the CPO role shifts under founders vs hired CEOs 03:38 Influencing a founder without going deferential 07:37 How adding value to customers is always a net positive 08:45 Why roadmaps need more risk in the AI era 12:30 How to shelter innovation teams from the existing system 15:12 What's different about being a great CPO in 2026 17:34 How AI has changed the concept of an app 18:28 It's essential for CPOs to fly at a low altitude 20:34 How misaligned incentives cause organizational politics 25:13 Being demanding without creating a fear-based culture 28:10 Why raising ambition is a CPO's number one job 31:39 The boss who taught Diya to keep raising the bar 32:43 The hardest part of being a CPO 35:28 The three buckets Diya uses to delegate 36:30 How Diya protects deep-work time on her calendar 42:45 Xero's game-changing early bet on AI insights 44:58 How far into the future should CPOs plan for? 47:14 What it takes to be an excellent C-suite member 48:53 Why ambitious PMs should chase impact, not titles 50:28 The four bottlenecks that stall career growth

Send us a text if you want to be on the Podcast & explain why!You can spend weeks “learning” the NASM CPT textbook and still walk into the exam feeling blind sided. We take the opposite approach: study to pass, fast. If you're stuck on the OPT model, acute variables, tempos, and rest periods, this conversation turns the chaos into a simple set of rules you can memorize and apply under pressure.We walk through the kinds of NASM practice questions that cause panic, like identifying which OPT phase uses stable to unstable supersets, what 4-2-1-1 and 2-0-2-0 tempos actually mean, and why “maximal power” style wording can be a trick. Then we zoom out and show you the map of the OPT model: stabilization, strength focused phases, hypertrophy or muscular development, maximal strength, and power with post-activation potentiation. Along the way we give you a straight method for thinking through exercises like bench press to push-up, heavy lifts paired with throws or jumps, and what the test expects you to recall about sets, reps, and intensity.We also get honest about the part nobody tells you: passing the personal trainer certification doesn't make you good at coaching. Clients don't pay for textbook terms, they pay for results, confidence, and problem solving. That's why our north star is simple: pass the NASM CPT exam efficiently, then build the real skills that keep trainers in the game beyond year one.Subscribe for more practical CPT exam prep, share this with a friend who's cramming right now, and leave a review with the one topic you want us to break down next.Want to become a SUCCESSFUL personal trainer? SUF-CPT is the FASTEST growing personal training certification in the world!Want to ask us a question?  Email info@showupfitness.com with the subject line PODCAST QUESTION to get your question answered live on the show!Website: https://www.showupfitness.com/Become a Successful Personal Trainer Book Vol. 2 (Amazon): https://a.co/d/1aoRnqANASM / ACE / ISSA study guide: https://www.showupfitness.com

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CPT 92507 Option B is officially in front of the AMA Editorial Panel, and this is the week that decides what happens next. In this episode, Jeanette Benigas, PhD/SLP, sits down with a private practice owner of 44 years, Mary Billings, MS, CCC/SLP, who has seen Medicare cuts before, and is sounding the alarm again. What's being proposed isn't just a coding change. It has the potential to reshape how SLPs document, bill, and treat patients across every setting, including private practice, schools, hospitals, Medicaid, and Medicare. No one is exempt.You'll hear exactly why the applicants submitted Option B, what's at risk if SLPs stay silent, and why this moment is so rare. Opportunities like this don't come around often, and once decisions are made, they can take decades to undo. If you care about your practice, your patients, or the future of this profession, this is the time to pay attention. This is the moment. Connect with Mary at Billings Speech Pathology Services or Function Focus AcademyThis episode is sponsored by Metro EHS, a growing, clinician-supported organization using a collaborative care model across disciplines. Learn more at metroehs.com.✨ Grateful to Chomper Champs for bringing so much positivity and fun to the pediatric SLP space. Follow the link to order the

AI Won't Replace Pediatricians—But Pediatricians Using AI WillIn this Pediatric Lounge episode, hosts George and Herb talk with Dr. Igor Trogan about why AI is becoming essential for independent pediatric practices, emphasizing that ambient AI scribing restores eye-to-eye patient interaction, improves documentation, and enables more accurate CPT coding and billing. They discuss financial pressures from declining reimbursement and rising overhead, how EHRs were built largely for accounting and reporting, and the need to balance evidence-based pathways with clinical judgment. Dr. Igor Trogan describes using HIPAA-compliant Google Gemini agents to support coders, catch underbilling, generate rebuttals to payer downcoding, and improve care quality by finding care gaps and medication or dosing errors. He also shares using Base44 (non-HIPAA) to rapidly build custom operational apps (inventory, scheduling, command-center dashboards), plus website chatbots, insurance-card and immunization-record agents, AI-generated training materials and social media content. They conclude the best first step is adopting ambient AI.00:00 Podcast Intro and Premise01:24 Why AI Is Now Essential01:50 Ambient AI Restores Connection05:05 Billing Pressures and EHR Mandates08:15 Care Pathways vs Clinical Judgment13:05 Pediatrics Complexity and Art17:17 AI for Coding and Billing Accuracy24:15 Fighting Downcoding With AI25:50 Quality Checks and Care Gaps33:08 Clinical Safety and Error Catching34:41 Custom Apps for Operations37:03 Scheduling App Fix39:06 Vibe Coding Explained39:56 Practice Hub App40:42 War Room Dashboard42:57 Will EHRs Be Replaced47:17 Website Chatbots Agents49:53 Ambient AI Billing Boost53:49 NotebookLM For Students55:34 Care Gaps Holy Grail01:00:50 Dashboards Outreach Agents01:02:42 Marketing Training With AI01:03:54 First Step Start Today01:04:37 Closing CreditsSupport the show

You could not think your way out of the pattern. That is not a failure of insight. That is the nature of complex trauma. In this episode, Jennifer Wallace and Elisabeth Kristof return to one of the most resonant threads in Trauma Rewired's history: complex post-traumatic stress. Several years ago they recorded a series on CPT that changed how thousands of listeners understood themselves. This is the revision. Not a replacement of what came before, but a deepening, one shaped by advances in trauma research, neuroscience, and by the hosts' own continued growth. The reframe at the center of this episode is one that matters: complex trauma is not a disorder. It is not something wrong with you. It is a predictive nervous system pattern, an intelligent set of adaptations shaped by prolonged relational stress, often beginning in childhood, that made complete sense in the environment they were formed in. The question is not what is wrong with you. The question is what did your nervous system learn and how can it learn something new? Elisabeth and Jennifer trace the history of CPT as a clinical concept, from Judith Hermann's early naming of what PTSD could not capture, through Pete Walker's lived experience framework, into the current neuroscience of predictive patterning, interoception, and the body as the site of both the wound and the healing. They explain why complex trauma has no single memory to point to, why it often lives in sensation and state rather than narrative, and why that means healing looks different here than it does for single-event trauma. The episode also goes deep on something that does not get named enough in healing spaces: the trap of the healing vortex. The way that understanding complex trauma can become its own form of nervous system activation, another thing to fix, another layer to excavate, another reason the system cannot rest. Real growth, they argue, requires repetition and safety and time, but it also requires rest, play, and the gradual experience of being okay in the present moment without urgency. This episode opens the new CPT series and previews what is coming: the inner critic, toxic shame, social anxiety, emotional flashbacks, and self-abandonment, each explored not as pathology but as nervous system strategies that once served a purpose and can now be worked with differently. In This Episode, You Will Learn: Why complex trauma is better understood as a predictive nervous system pattern than a disorder The difference between CPT and PTSD and why that distinction matters for healing Why there is often no single memory in complex trauma, and why the experience lives in the body instead How interoception becomes disrupted in the context of chronic relational stress Why the nervous system seeks familiar environments, even harmful ones, and how that perpetuates the cycle How systemic and cultural trauma shapes the nervous system in the same way interpersonal trauma does What neuroplasticity actually requires: repetition, safety, and time, not insight alone Why pushing too hard into somatic work can backfire, and what pacing actually looks like How the healing vortex keeps people stuck and what stepping out of it makes possible What observer capacity is, why it is one of the most important markers of growth, and how it develops A preview of the five distinguishing characteristics of CPT that will be explored throughout the series     Chapter Markers 0:00 - CPT Shows Up Most Clearly in Relationships 1:13 - Welcome: Revisiting the Complex Trauma Series 2:04 - Why We Are Updating This Framework Now 4:25 - What Complex Trauma Is and Where the Term Came From 6:19 - Judith Hermann, Pete Walker, and Why This Language Matters 7:15 - Why We Use CPT Instead of CPTSD 8:07 - The Distinguishing Patterns: How Complex Trauma Shows Up 10:16 - DSM vs ICD-11: The Diagnosis Question 11:38 - CPT vs PTSD: Different Patterns, Different Healing 13:08 - When There Is No Memory: Implicit Patterning and the Developing Brain 15:20 - CPT as a Predictive Nervous System Pattern 17:09 - The Five Distinguishing Characteristics of CPT 18:07 - Trauma Lives in the Body, Not Just the Story 20:56 - Complex Trauma Is Fundamentally Relational 22:21 - Re-Patterning Secure Attachment Through Somatics 26:35 - Embodied Presence as the Foundation 29:55 - Systemic and Cultural Trauma: This Is Not Only Individual 34:24 - Pacing, Rest, and the Healing Vortex 37:24 - The Role of Play and Pleasure in Nervous System Re-Patterning 41:18 - Building Observer Capacity: The Shift From This Is Who I Am to This Is Happening in Me 43:22 - What Is Coming in the Rest of the CPT Series   Resources and Links NSI Foundations Bundle for coaches and practitioners: neurosomaticintelligence.com/foundations Two week Rewire Trial of guided neuro somatic training: rewiretrial.com Learn more about Elisabeth's work at brainbased.com Learn more about Jennifer's work at her YouTube channel: Sacred Synapse https://www.youtube.com/@sacredsynapse-23 Trauma Rewired podcast  is intended to educate and inform but does not constitute medical, psychological or other professional advice or services. Always consult a qualified medical professional about your specific circumstances before making any decisions based on what you hear.  We share our experiences, explore trauma, physical reactions, mental health and disease. If you become distressed by our content, please stop listening and seek professional support when needed. Do not continue to listen if the conversations are having a negative impact on your health and well-being.  If you or someone you know is struggling with their mental health, or in mental health crisis and you are in the United States you can 988 Suicide and Crisis Lifeline.  If someone's life is in danger, immediately call 911.  We do our best to stay current in research, but older episodes are always available.  We don't warrant or guarantee that this podcast contains complete, accurate or up-to-date information. It's very important to talk to a medical professional about your individual needs, as we aren't responsible for any actions you take based on the information you hear in this podcast. We  invite guests onto the podcast. Please note that we don't verify the accuracy of their statements. Our organization does not endorse third-party content and the views of our guests do not necessarily represent the views of our organization. We talk about general neuro-science and nervous system health, but you are unique. These are conversations for a wide audience. They are general recommendations and you are always advised to seek personal care for your unique outputs, trauma and needs.  We are not doctors or licensed medical professionals. We are certified neuro-somatic practitioners and nervous system health/embodiment coaches. We are not your doctor or medical professional and do not know you and your unique nervous system. This podcast is not a replacement for working with a professional. The BrainBased.com site and Rewiretrail.com is a membership site for general nervous system health, somatic processing and stress processing. It is not a substitute for medical care or the appropriate solution for anyone in mental health crisis.  Any examples mentioned in this podcast are for illustration purposes only. If they are based on real events, names have been changed to protect the identities of those involved.  We've done our best to ensure our podcast respects the intellectual property rights of others, however if you have an issue with our content, please let us know by emailing us at traumarewired@gmail.com  All rights in our content are reserved  

If you know the 3 AM wake-up — wide awake, mind already running, doing the math on how many hours you have left before the alarm — this episode is for you.In this episode Casey gets personal. She shares her own experience with L-Theanine — the supplement her perimenopause practitioner recommended in February after starting progesterone in January — and what it has genuinely done for her sleep.More restful nights. Fewer 3 AM wake-ups. And when they do happen — actually being able to fall back to sleep. Game changer are the words she keeps coming back to.But Casey doesn't just share the personal experience — she breaks down exactly what L-Theanine is, how it works in the brain, and what the research says about why it's particularly powerful for women in perimenopause and menopause.In this episode you'll learn:Why sleep gets so disrupted in perimenopause — and the specific hormonal and neurological reasons behind itWhat L-Theanine is, where it comes from, and exactly how it supports sleep without acting as a sedativeWhat the research says about dosage, timing, and what to expect in the first few weeksWhat to know before you try it — and who should check with their provider firstThis isn't a supplement ad. It's an honest conversation from someone who has lived it - backed by the science that explains why.Note: Casey is sharing her personal experience and her practitioner's recommendation. Always consult your own healthcare provider before adding any supplement to your routine.Join us for Summer Sculpt- we start Monday, April 27! Details here: https://inspirehw.com/summer-sculpt-1Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

It's Sunday, May 25th. Memorial Day weekend. The unofficial start of summer.Maybe you're heading to a cookout. A family gathering. A weekend at the lake. Maybe you're just sitting on your back porch with a cup of coffee watching the morning get bright.And you feel different than you did four weeks ago.Not because you hit some dramatic number on the scale. Not because you look like a different person. But because you made a commitment to yourself on a random Monday in April - when it would have been so easy not to - and you kept it. For four full weeks.That is what this episode is about. Not the workouts. Not the nutrition. The mindset shift that has to happen before any of it can stick.In this episode Casey covers:The story you've been telling yourself about your body - and why it's a pattern, not a factWhy waiting to feel ready is keeping you stuck - and what actually creates motivationThe identity shift that separates women who transform from women who keep starting overThe permission you haven't given yourself yet - and why it's the most important thing in this episodeThree decisions to make before Monday that are worth more than any workout in week oneSummer Sculpt starts April 27th. Four weeks from Monday is Memorial Day. And you get to decide right now what that morning feels like.The link to join is here: https://inspirehw.com/summer-sculpt-1 It starts Monday. Let's go.Join us in the Inspire Fitness program: Use the link here: https://inspirehw.com/ Follow me on Instagram: https://www.instagram.com/fit.nutritionist?igsh=MTJqZXhjODR2ZzduaA%3D%3D&utm_source=qr Follow me on Facebook: https://www.facebook.com/Casey.Young.RD.CPT?mibextid=LQQJ4d

CPT. Matt Hoh : Israel's Next Move Could Change EverythingSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

CPT. Matt Hoh : Israel's Next Move Could Change EverythingSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

CPT. Matt Hoh : Can Troops Speak Freely?See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Coding fracture care using CPT and ICD-10-CM can be challenging—especially when documentation from providers lacks key details. In this episode of the CodeCast Podcast, Terry breaks down exactly what coders should look for in physician notes, including essential documentation elements and common gaps. She also shares expert insights and practical tips to help ensure accurate coding, proper reporting, and compliance when working with fracture treatment cases. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post Fracture Coding Accuracy appeared first on Terry Fletcher Consulting, Inc..

A short bonus episode where CPT fellow Joey Sherrard shares discusses St. Augustine's important book, On Christian Teaching.

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