Podcasts about DRS

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    Latest podcast episodes about DRS

    Neurology Exam Prep Podcast
    Episode 77 - Idiopathic Intracranial Hypertension

    Neurology Exam Prep Podcast

    Play Episode Listen Later Feb 25, 2026 69:03


    A discussion of the clinical aspects of idiopathic intracranial hypertension with Drs. Vanessa Veloso and Kevin Yan.Note: This podcast is intended solely as an educational tool for learners, especially neurology residents. The contents should not be interpreted as medical advice.

    drs idiopathic intracranial hypertension
    The Growth Project
    Episode 370: Lessons from the Olympics

    The Growth Project

    Play Episode Listen Later Feb 25, 2026 35:24


    In this episode, Drs. Drew Brannon and Gabby Caviedes reflect on the recent 2026 Winter Olympics and what it revealed about high performance, discipline, and the pursuit of meaningful goals. From standout moments to the psychological demands athletes face at the highest level, they explore how principles of elite competition translate into everyday life, leadership, and personal growth.

    The Oculofacial Podcast
    Pearls on Complex Orbital Reconstruction

    The Oculofacial Podcast

    Play Episode Listen Later Feb 25, 2026 76:15


    ASOPRS Website: Click Here In Pearls on Complex Orbital Reconstruction, Dr. Nicole Topilow moderates a dynamic roundtable with Drs. Grant, Tao, and Kikkawa exploring pre-operative planning, timing of acute versus delayed repairs, and key surgical landmarks in orbital fracture management. The panel dives into implant selection, fixation strategies, customization and 3D printing, and how their approaches have evolved over time. Challenging cases such as large floor and medial wall defects, delayed enophthalmos, infected implants, and post-operative complications are discussed with practical, experience-driven insights. The episode concludes with expert take-home pearls to guide surgeons in managing complex orbital reconstructions with confidence and precision.

    Chris Fabry Live
    Learning the Love Language That Matters Most

    Chris Fabry Live

    Play Episode Listen Later Feb 24, 2026 46:56 Transcription Available


    It's time to take the next step in the Love Language revolution! Co-authors with Dr. Gary Chapman, Drs. Les and Leslie Parrott, believe you can personalize the love you give. Each love language has dialects—powerful ways love is uniquely expressed and received. So, whether you're dating or you've been married for decades, or you want to show love to a friend, a parent, or child, don't miss Chris Fabry Live. Featured resources:The Love Language That Matters Most by Gary Chapman and Les & Leslie Parrott February thank you gift:The Love Language That Matters Most by Gary Chapman and Les & Leslie Parrott Chris Fabry Live is listener-supported. To support the program, click here.Become a Back Fence Partner: https://moodyradio.org/donateto/chrisfabrylive/partnersSee omnystudio.com/listener for privacy information.

    PVRoundup Podcast
    OnabotulinumtoxinA and Migraine: Clinical Insights and Recent Evidence

    PVRoundup Podcast

    Play Episode Listen Later Feb 24, 2026 7:30


    Drs. Ailani and Dougherty discuss onabotulinumtoxinA, a cornerstone treatment for chronic migraine, which reduces headache days and disability when given regularly with the PREEMPT protocol. They emphasize its unique benefits and how it pairs with CGRP therapies, oral preventives, and lifestyle changes for individualized care.

    Dean's Chat - All Things Podiatric Medicine
    Ep. 303 - Ryan Rigby, DPM, FACFAS - AZCPM, ACFAS BOD

    Dean's Chat - All Things Podiatric Medicine

    Play Episode Listen Later Feb 24, 2026 54:20


    Drs. Jensen and Richey welcome Dr. Ryan Rigby to Dean's chat! An alum of the Arizona College of Podiatric Medicine, Dr. Rigby is a Fellowship Trained Foot & Ankle Surgeon who is originally from Logan, Utah and enjoys practicing in his home town. This episode is sponsored by Bako Diagnostics!He specializes in Minimally Invasive Surgery along with Arthroscopy and surgical repair of deformity and fractures. Dr. Rigby performed a Fellowship specializing in Total Ankle Replacement surgery. He also enjoys research and has authored many publications and textbooks.A PubMed link to his work can be found here: https://pubmed.ncbi.nlm.nih.gov/?term=rigby%2C+RB%5BAuthor%5D&sort=date Dr. Rigby also lectures both nationally and internationally. He has given over 400 lectures to Surgeons on leading techniques in Foot & Ankle surgery. He has served as the Chair of the American College of Foot & Ankle Surgeons. He is also a Section Editor for the Journal of Foot & Ankle Surgery. Dr. Rigby enjoys working with Athletes and finding new techniques to help them return back to sports as soon as possible. In his free time he enjoys snowmobiling, boating and traveling with his wife and children.

    CTSNet To Go
    The Atrium: Extended Resections

    CTSNet To Go

    Play Episode Listen Later Feb 24, 2026 53:22


    In this episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Maninder Kalkat, a consultant cardiothoracic surgeon in the Regional Department of Thoracic Surgery at University Hospital Birmingham, about extended resections.   Chapters 00:00 Intro  01:07 Inspiration & Areas of Interest  03:23 Definition & Classification  09:28 History  10:16 Preop Considerations  19:07 Operating Team Plan  22:23 Fitness for Surgery  23:55 Airway Resections  31:33 Chest Wall Resections  36:17 Reconstructive Material  38:43 Vascular Resections  43:53 Postoperative Care  47:59 Future of Extended Resections  50:15 Summary  50:48 Surgery Training Tips They provided an overview of extended resections, including the definition, indications, and examples, as well as the history of extended resections. They also discussed preoperative considerations and examined airway resections, detailing what it is, indications, and the technical principles of the operation. Additionally, they explored chest wall resections, including the definition, indications, and technical principles. Drs. Copperwheat and Kalkat also examined vascular resections, highlighting what they are, indications, and the technical aspects involved. They also reviewed postoperative considerations, complications, and outcomes. Finally, they shared training tips, future directions, and key principles in extended resections.   The Atrium is a monthly podcast presenting clinical and career-focused topics for residents and early career professionals across all cardiothoracic surgery subspecialties. Keep an eye out for next month's episode.   Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

    Low Carb MD Podcast
    The Metabolic Healthcare Revolution | Dr. Frank Dumont - E431

    Low Carb MD Podcast

    Play Episode Listen Later Feb 23, 2026 64:39


    Dr. Frank Dumont is Executive Medical Director at Virta Health, where he leads medical strategy to advance safe, scalable metabolic care. A longtime internal medicine physician at Estes Park Medical Center, he previously directed its Wellness Service Line. A Fellow of the American College of Physicians, Dr. Dumont has also served in leadership roles with the Colorado Medical Society and the American Medical Association. In this episode, Drs. Brian and Frank talk about… (00:00) Intro (04:03) How Dr. Frank's personal health issues and professional experiences as a doctor led him to adopt a metabolic health approach to healing himself and his patients (10:41) Exercise, nutrition, and de-prescribing  (14:22) Fat adaptation and fasting (24:09) Virta's peer-reviewed publications and long-term data (30:09) The positive cascading effect on holistic health of metabolic lifestyle interventions (36:25) Social support and mental health (44:41) Dr. Frank's experience leaving a standard medical practice and becoming a metabolic health practitioner (52:22) Moral injury and physician burnout in the standard medical care system (54:05) Employe wellness and metabolic health care (01:01:01) Outro/plugs For more information, please see the links below. Thank you for listening! Links: Please consider supporting us on Patreon: https://www.lowcarbmd.com/   Dr. Frank Dumont: Virta Health: https://www.virtahealth.com/ X: https://x.com/FrankDumont Linkedin: https://www.linkedin.com/in/frank-d-dumont-46aa00b7/ Dr. Brian Lenzkes:  Website: https://arizonametabolichealth.com/ Twitter: https://twitter.com/BrianLenzkes?ref_src=twsrc^google|twcamp^serp|twgr^author Dr. Tro Kalayjian:  Website: https://toward.health Twitter: https://twitter.com/DoctorTro IG: https://www.instagram.com/doctortro/ Toward Health App Join a growing community of individuals who are improving their metabolic health; together.  Get started at your own pace with a self-guided curriculum developed by Dr. Tro and his care team, community chat, weekly meetings, courses, challenges, message boards and more.  Apple: https://apps.apple.com/us/app/doctor-tro/id1588693888  Google: https://play.google.com/store/apps/details?id=uk.co.disciplemedia.doctortro&hl=en_US&gl=US Learn more: https://toward.health/community/

    The Behavioral Observations Podcast with Matt Cicoria
    Developing Rapport and Sustaining Motivation in Autism Treatment: Session 325 with Alice Shillingsburg

    The Behavioral Observations Podcast with Matt Cicoria

    Play Episode Listen Later Feb 23, 2026 65:36


    In this episode, I talk with Dr. Alice Shillingsburg about her work on rapport building and pairing procedures in applied behavior analysis for children with autism. We explore how building therapeutic rapport goes beyond simply "liking someone," emphasizing the importance of establishing trust and engagement to facilitate learning, especially when tasks are challenging. Alice explains the nine-stage pairing protocol she developed and highlights how careful timing, observation, and reinforcement choices can make pairing effective. We discuss the significance of observing children's approach behaviors to understand their preferences and keep therapy engaging, as well as how instructional fading can gradually increase task difficulty without creating aversive experiences. During our conversation, we took a quick sidebar to talk about the upcoming Verbal Behavior Conference. This is a conference like none other. Whether you participate online or make the short drive to Austin, you'll be treated to very in-depth talks about generative learning for individuals with Autism and related disabilities. Learn more and register here. We also dive into practical applications — how pairing and instructional procedures can be adapted in real-world therapy settings, while still maintaining their effectiveness. Alice talks about data collection strategies for engagement and behavior, including the importance of tracking approach behaviors, avoidance, and other signals of a child's readiness. Finally, we consider the sustainability of pairing procedures over time and potential directions for future research, including investigating methods of instructional fading and tracking gestural communication development in children with autism. Resources Mentioned Shillingsburg, et al. (2019). Rapport Building and Instructional Fading Prior to Discrete Trial Instruction: Moving From Child-Led Play to Intensive Teaching Cariveau, et al. (2020). A Structured Intervention to Increase Response Allocation to Instructional Settings for Children with Autism Spectrum Disorder Shillingsburg, et al. (2014). Increasing social approach and decreasing social avoidance in children with autism spectrum disorder during discrete trial training Sponsor Shoutouts The School Behavioral Solutions for Special Educators & Behavior Analysts. The Behavior Toolbox Conference is a one-day, high-impact professional convening that brings together experienced practitioners and leaders from across education and behavior science to share what actually works in schools. It's taking place virtually through BehaviorLive on March 5th, 2026, and will be available on-demand for those who can't make it on the day of the event. CEUs from Behavioral Observations. Learn from your favorite podcast guests while you're commuting, walking the dog, or whatever else you do while listening to podcasts. New events are being added all the time, so check them out here.  The 2026 Verbal Behavior Conference! Taking place March 26–27, 2026, in Austin, Texas, or livestream and on-demand on BehaviorLive. Presenters will include Drs. Mark Sundberg, Patrick McGreevy, Caio Miguel, Alice Shillingsburg, Sarah Frampton, Andresa De Souza, and Danielle LaFrance will share how Skinner's analysis of verbal behavior can guide the assessment and treatment of generative learning challenges in children with autism and other developmental disabilities. And don't miss the special pre-conference workshop on Wednesday, March 25.

    The Savvy Sauce
    DONT MISS THIS Controversial Sex Questions Answered with Dr Juli Slattery (Episode 284)

    The Savvy Sauce

    Play Episode Listen Later Feb 23, 2026 58:33


    *Disclaimer* This episode contains adult content and is not recommended for young listeners.   284. DON'T MISS THIS! Controversial Sex Questions, Answered with Dr. Juli Slattery   1 Samuel 24:19b NIV “May the Lord reward you well for the way you treated me today.”   *Transcription Below*   Bio: Instagram Facebook Authentic Intimacy Website Java with Juli Podcast   Thank you to Our Sponsor: Leman Property Management Company   Questions and Topics We Cover: As Christ followers, should we use a friend's preferred names and pronouns? If one part of Scripture talks about turning the other cheek, is that the same as saying God expects you to stay in an abusive marriage? Is it reasonable to assume that once they have a smartphone, 100% of kids will be exposed to pornography?   Previous Episodes on Sexual Intimacy on The Savvy Sauce, Including Past Episodes with Dr. Juli Slattery: Fostering a Fun, Healthy Sex Life with your Spouse with Dr. Jennifer Konzen  Ways to Deepen Your Intimacy in Marriage with Dr. Douglas Rosenau  Ten Common Questions About Sex, Shared Through a Biblical Worldview with Dr. Michael Sytsma Hope For Treating Pelvic Pain with Tracey LeGrand Treatment for Sexual Issues with Certified Sex Therapist, Emma Schmidt Talking With Your Kids About Sex with Brian and Alison Sutter Natural Aphrodisiacs with Christian Certified Sex Therapist, Dr. Douglas Rosenau Healthy Sexuality, Emotional Intelligence, and Parenting Children with Autism with Counselor, Lauren Dack Pain and Joy in Sexual Intimacy with Psychologist and Certified Sex Therapist, Dr. Jessica McCleese Identifying and Fighting Human Trafficking with Dr. Jeff Waibel Bridging the Gap Between Military and Civilian Families with Licensed Professional Counselor, Cuthor, Podcaster, and 2015 Military Spouse of the Year, Corie Weathers Enjoying a God-Honoring, Healthy Sex Life with Your Spouse with Certified Sex Therapist and Ordained Minister, Dr. Michael Sytsma Enjoying Parenting and Managing Conversations About Sex with Certified Sex Therapist and Author, Dr. Jennifer Konzen Conflict Resolution, Infidelity, and Infertility with Licensed Psychologist and Certified Sex Therapist, Dr. Jessica McCleese Hormones and Body Image with Certified Sex Therapist, Vickie George Passion Pursuit with Dr. Juli Slattery Female Orgasm with Sue Goldstein Erectile Dysfunction, Premature Ejaculation, and Treatments Available with Dr. Irwin Goldstein Turn Ons, Turn Offs, and Savoring Sex in Marriage with Dr. Jennifer Konzen Desire Discrepancy in Marriage with Dr. Michael Sytsma Answering Listener's Questions About Sex with Kelli Willard Anatomy of an Affair with Dave Carder Supernatural Restoration Story with Bob and Audrey Meisner Healthy Minds, Marriages, and Sex Lives with Drs. Scott and Melissa Symington Female Pornography Addiction and Meaningful Recovery with Crystal Renaud Day Building Lasting Relationships with Clarence and Brenda Shuler Healthy Ways for Females to Increase Sexual Enjoyment with Tracey LeGrand Pornography Healing for Spouses with Geremy Keeton Sexual Sin Recovery for You and Your Spouse (Part Two) Personal Development and Sexual Wholeness with Dr. Sibylle Georgianna  Our Brain's Role in Sexual Intimacy with Angie Landry Discovering God's Design for Romance with Sharon Jaynes Sex in Marriage and Its Positive Effects with Francie Winslow, Part 1 Science and Art of Sexual Intimacy in Marriage, Part 2 Making Love in Marriage with Debra Fileta Mutually Pleasing Sex in Marriage with Gary Thomas Sex Series: God's Design and Warnings for Sex: An Interview with Mike Novotny Sex Series: Enhancing Female Pleasure and Enjoyment of Sex: An Interview with Dr. Jennifer Degler Sex Series Orgasmic Potential, Pleasure, and Friendship: An Interview with Bonny Burns  Sex Series: Sex Series: Healthy Self, Healthy Sex: An Interview with Gaye Christmus Sex Series: Higher Sexual Desire Wife: An Interview with J Parker Sex Series: Six Pillars of Intimacy with Tony and Alisa DiLorenzo 215 Enriching Women's Sexual Function, Part One with Dr. Kris Christiansen 216 Enriching Women's Sexual Function, Part Two with Dr. Kris Christiansen 217 Tween/Teen Females: How to Navigate Changes during Puberty with Dr. Jennifer Degler 218 Secrets of Sex and Marriage: Interview with Dr. Michael Sytsma 222 Pornography: Protecting Children and Personal Healing, Victory, and Recovery in Christ with Sam Black Special Patreon Release: Holy Sex: An Interview with Dr. Juli Slattery Special Patreon Release: His Desires and Her Desires in the Bedroom with Dr. Jennifer Konzen 224 Surprising Discoveries of Sex in Marriage: An Interview with Shaunti Feldhahn 252 Maximizing Sexual Connections as Newlyweds to Long Term Marriages and Recovering from a Sexless Marriage with Dr. Cliff & Joyce Penner 260 Sex After Cancer with Dr. Kris Christiansen 277 Breaking Through Addiction in Marriage with Matthew and Joanna Raabsmith   Connect with The Savvy Sauce on Facebook or Instagram or Our Website   Gospel Scripture: (all NIV) Romans 3:23 “for all have sinned and fall short of the glory of God,”   Romans 3:24 “and are justified freely by his grace through the redemption that came by Christ Jesus.”   Romans 3:25 (a) “God presented him as a sacrifice of atonement, through faith in his blood.”    Hebrews 9:22 (b) “without the shedding of blood there is no forgiveness.”    Romans 5:8 “But God demonstrates his own love for us in this: While we were still sinners, Christ died for us.”    Romans 5:11 “Not only is this so, but we also rejoice in God through our Lord Jesus Christ, through whom we have now received reconciliation.”    John 3:16 “For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.”   Romans 10:9 “That if you confess with your mouth, “Jesus is Lord,” and believe in your heart that God raised him from the dead, you will be saved.”    Luke 15:10 says “In the same way, I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.”   Romans 8:1 “Therefore, there is now no condemnation for those who are in Christ Jesus”   Ephesians 1:13–14 “And you also were included in Christ when you heard the word of truth, the gospel of your salvation. Having believed, you were marked in him with a seal, the promised Holy Spirit, who is a deposit guaranteeing our inheritance until the redemption of those who are God's possession- to the praise of his glory.”   Ephesians 1:15–23 “For this reason, ever since I heard about your faith in the Lord Jesus and your love for all the saints, I have not stopped giving thanks for you, remembering you in my prayers. I keep asking that the God of our Lord Jesus Christ, the glorious Father, may give you the spirit of wisdom and revelation, so that you may know him better. I pray also that the eyes of your heart may be enlightened in order that you may know the hope to which he has called you, the riches of his glorious inheritance in the saints, and his incomparably great power for us who believe. That power is like the working of his mighty strength, which he exerted in Christ when he raised him from the dead and seated him at his right hand in the heavenly realms, far above all rule and authority, power and dominion, and every title that can be given, not only in the present age but also in the one to come. And God placed all things under his feet and appointed him to be head over everything for the church, which is his body, the fullness of him who fills everything in every way.”   Ephesians 2:8–10 “For it is by grace you have been saved, through faith – and this not from yourselves, it is the gift of God – not by works, so that no one can boast. For we are God‘s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do.“   Ephesians 2:13 “But now in Christ Jesus you who once were far away have been brought near through the blood of Christ.“   Philippians 1:6 “being confident of this, that he who began a good work in you will carry it on to completion until the day of Christ Jesus.”   *Transcription*   Music: (0:11 – 0:11)   Laura Dugger: (0:11 – 2:21) Welcome to The Savvy Sauce, where we have practical chats for intentional living. I'm your host, Laura Dugger, and I'm so glad you're here.   Today's message is not intended for little ears. We'll be discussing some adult themes, and I want you to be aware before you listen to this message.   Leman Property Management Company has the apartment you will be able to call home, with over 1,700 apartment units available in Central Illinois. Visit them today at lemanproperties.com or connect with them on Facebook.   My returning guest for today is Dr. Juli Slattery.   She has authored another book entitled Surrendered Sexuality: How Knowing Jesus Changes Everything, and we're going to cover a few themes from this book, but I think what you're going to find most helpful are her candid responses to some really tricky questions related to dating and pornography, technology, thought life, shows that we watch as believers, divorce, and just intimacy in general as married couples.   So, I think this is an episode that you're going to want to learn from yourself, but you'll also want to share with others because Dr. Juli has offered us such a gift as she directs us back to the heart issues and wisely guides us into sexual integrity in our own lives.   Here's our chat.   Welcome back to The Savvy Sauce, Dr. Juli.   Dr. Juli Slattery: (2:21 – 2:21) Thanks so much for having me back. It's always a joy.   Laura Dugger: (2:21 – 2:22) Well, I love that you've been a repeat guest many times. So, we get to just dive right in today because I'm going to link all of your previous episodes in the show notes. But to dive in, I'm just curious, as believers, where does your heart break as you see us compromising on God's design for sex?   Dr. Juli Slattery: (2:22 – 3:31) Hmm. That's such a good question. You know, I think my heart breaks the most in that when we compromise God's design for sexuality, or even when we don't understand it or understand His goodness, it means that there is a breach in our relationship with God.   And so, I am so passionate about what I do, not necessarily because I love talking about sexuality, but because for a lot of people, sexuality represents a wall between them and God, like an issue they can't resolve, or a place of shame that they just can't quite shake free from, or battle with sin that they feel like they're enslaved to. And so, those things mean that there's a limit to how much they invite God into their lives.   And so, for me, that's where my heart breaks the most is, you know, ultimately, we were created for the greatest fellowship with God and anything that gets in the way of that is something that God cares about and something that I care about.   Laura Dugger: (3:32 – 4:03) You say that well, and you've written many books, but in this most recent one, you plainly state one issue when you write, “You will not be able to obey God with your sexual thoughts, while binging shows and music that continually display the exact opposite.”   And I love how practical that is. So, Juli, why do you think this has become so normalized? And I would say, especially in Christian marriages.   Dr. Juli Slattery: (4:05 – 5:58) Yeah, you know, I think a lot of it is that the church has been historically really quiet about sexuality, you know, like we might talk about save sex for marriage, and don't cheat on your husband and that sort of thing. But the gray areas about how we think about our sexuality and kind of what we have the liberty and freedom to engage in, there's kind of silence, or maybe there's legalism.   And I think in that space, what ends up happening is the culture is so forthright with a message about sexuality, like woven throughout every single show that you could stream on any platform, you know, your music on Spotify, even the news you consume, the Instagram feeds, whatever, it's consistently showing you a way to understand sexuality that is contrary to God's design, and the messaging can be so subtle, or so repetitive that we don't even realize we're ingesting it.   And so, it's normal to talk about with your friends, like the latest season of The Bachelor, or, you know, the latest thing that you're streaming that if you really look at it, there's probably 100 references to sexuality that are outside of God's design. And so, we end up just having our mind conformed to this world.   And the scripture says really clearly in Romans 12, that we can't offer ourselves to God while we're still thinking like the world thinks that it requires an act of transformation of our thinking. And I don't know that there's anywhere more than we need this than in the topic of understanding our sexuality.   Laura Dugger: (6:00 – 6:59) Okay, so for I'm thinking of married couples, because I was recently at a wedding shower. And I love a friend from church. Her name is Dawn Karius. And she was giving the devotional and just sharing. You know, it's very easy to get married and fall into this trap. She was talking about what you watch specifically.   And she said, so many couples will watch something together, watch a show before bed, but be really intentional. If that is what you choose to do, then the shows that you're watching, even though you're with your spouse, is that drawing both of you closer to Christ? Because if it's pulling you further away from Christ, it's also pulling you away from one another.   And so, with all of that, and with what you've studied and written about, if a couple's hearing that and or some single person just hearing this, what would be your practical advice or encouragement for them?   Dr. Juli Slattery: (7:00 – 9:29) Yeah, some of it is, we can't live in a bubble. You know, it's, I think that there are some couples will have the conviction that, you know, we're just going to get rid of all of our devices, we're going to get rid of every streaming service. And there's nothing wrong with that decision, you might feel convicted to do that.   But for most couples, I would say, they're like, okay, we live in this world, we need to understand even the world we live in. And so, it's not like we're going to completely be cut off. But are we being discerning about what we consume?   And what are the standards that we might hit where we might just say, “You know what, we don't need to be watching this.” You know, like I can think of one show in particularly that my husband and I were watching. And it was a well-written show. It was exciting. But there was just so much profanity and just gross kind of sexual content that after two or three episodes, we're both just like, “You know what, as good as the show is, we just, this isn't, we're not watching this. Like we need to stop.”   And I think you need to have those discussions and you might have a different level of conviction than your spouse does. And that's okay, but at least have those conversations and you need to follow your conviction.   But then the other thing I would say that is equally important, if not more important, what are you consuming that helps you get God's perspective of sexuality? And what I've found is that a whole lot of Christian married couples know very little about what it looks like to build a healthy sex life in their marriage. And they're not consuming anything that helps them know how to love each other better, how to overcome differences, even how their bodies work, how to focus on one another and enjoy sex in a holy erotic way.   And so, even if you're watching and consuming very little content from the world, but you're not actively pursuing anything that gives you a biblical perspective, you're still going to end up defaulting to what the world says. And so, I think that again, it's equally as important or not, if not more important to be pursuing what's true and what's right and what's good.   Laura Dugger: (9:31 – 9:53) I love that, how you flipped it. And that discernment piece is huge because we don't want to be desensitized to then that we're consuming and we also want to feed on the good. So, I think it even leads to a broader question, again, as Christ followers, how can we recognize if our conscience is being pricked?   Dr. Juli Slattery: (9:54 – 12:05) Yeah, we can start by asking the Lord. You know, I mean, I think it's in, is it Psalm 139, where, you know, David is basically saying, “Search me, oh God, and know my thoughts, you know, show me if there's any offensive way within me.”   I think that's a beautiful prayer as an individual and as a couple, like God, we want to honor you with what we consume in media, with what we think about, would you guide us and would you show us? And then I think we all have that experience of watching something or listening to something or reading something where we're like, “Uh, I don't know, like, this is sort of a gray area. Like, I'm uncomfortable here. I probably shouldn't be watching this.” Or “Wow, that's really, that's really in your face. Like that's really graphic.”   And it's heeding the Holy Spirit when you get those prompts, instead of just pushing through and being like, “Ah, it's not that big of a deal. It's not going to affect me.” Like when you feel that sense of prompting, you respond to it and you say, “All right, I'm going to put this down. I'm going to shut this off.”   And, um, you know, the scripture says that we can become callous to those promptings of the Holy Spirit if we are in a habit of just running right through that. But we become more sensitive to the Holy Spirit when we yield and when we obey.   Um, and so, I think even just keeping track, you know, every day or every week, like where were the times regarding this or anything else that I really felt convicted by the Holy Spirit about maybe something I said about a friend, uh, or about a little white lie I told, you know, where were the times where I really felt the Holy Spirit nudging me and what did I do? Um, where do I need to confess that I didn't respond well? And where do I need to celebrate that? Yes, I listened, I obeyed, I yielded. Um, and so, I think that's a practice we get into of either ignoring that conviction or really yielding to it.   Laura Dugger: (12:06 – 12:28) Hmm. And that gets after the heart issue, which Jesus is so concerned about our heart. And that's a very softened heart approach. Yes. I hope we can have. And as it relates to sexual integrity, then what are some other ways that we need to be on guard so that we're careful not to be misled?   Dr. Juli Slattery: (12:29 – 13:37) Yeah, boy, I think there's just so much conversation. Um, again, even in Christian circles, sometimes around having a negative attitude towards sex, um, kind of accepting some forms of pornography as normal and even good, you know, husband bashing, wife bashing, you know, like complaining, kind of letting the thought feed in your mind of maybe I should have married somebody else.   Maybe that my life would be easier if I, I weren't married to this person. I wish they were this or that. So, sort of that discontent that is natural to feel in marriage. But the question is, what do you do with it? Do you give it space to grow and to nurture, or do you bring that before the Lord?   Um, so, I think those are some of the ways that we want to look at, like, how am I giving the enemy space in my life and in my marriage versus how am I inviting God to really reclaim what's broken here?   Laura Dugger: (13:38 – 14:01) Well, and then even thinking of the other side to guard ourselves from having a critical and judgmental spirit toward others or just having self-righteous pride. Can you educate us on some common reasons why some people may be predisposed to struggle with some certain sexual sins?   Dr. Juli Slattery: (14:02 – 17:20) Yeah, absolutely. I think that's so important, um, because the research really shows that some of us are more, I don't know if I'd say it that way, but we are going to be more predetermined maybe to struggle with things like pornography or same-sex attraction, or even hooking up.   And it's never like a one plus one equals two exactly. But there are what we might say indicators or risk factors that make you more vulnerable to those kinds of sexual struggles. And some of them might be unhealthy family dynamics growing up, you know, none of us had a perfect family, but let's say you grew up in a family where one of your parents was like overtly critical towards you all the time.   Maybe you went through a divorce with your parents where, um, you know, at a certain age, you just, your family fell apart and you're kind of looking for that stability and love. People who have experienced sexual trauma in childhood or the teen years are going to be more pre-dispositioned to want to understand that or act that out.   People who might struggle with anxiety. And, you know, some of it is we got to understand that sex, because it elicits dopamine in our brain and oxytocin and endorphins, which are all really feel good kind of experiences and hormones and neurotransmitters. When we had a sexual experience at a young age, our brain can learn, “Oh, this is how I deal with stress. This is how I deal with depression. This is how I deal with loneliness.”   So, a lot of times when you talk to somebody who has an ongoing struggle with a sexual temptation or sin, it's because they've learned as a pattern from maybe the time they were 10 years old or 12 years old or 15 years old, that this is how I dealt with the stress in my family. This is how I dealt with when my father died. This is how I dealt with when I was sexually abused. Like this was the way that I found to self-regulate and to self-medicate and to find comfort.   And that can be masturbation. It can be pornography or again, you know, acting out sexually. And so, for people who have that kind of story, and this might be your spouse, or this might be against somebody that you're looking at and judging to just say, “You need to stop that behavior,” is often not going to be enough. They need to do the work of really looking at what am I using sex for? What are the wounds that I'm using sex to cover up?   And how do I actually get the healing I need and find healthier and safer ways for me to cope with negative emotions? And that's why groups are really important for people who have sexual struggles. Counseling is really important. And again, that long journey of healing and freedom, not just a one-time decision that I'm going to try to never do this again.   Laura Dugger: (17:21 – 20:19) Love that word freedom, even because that hope is available. And just pointing out how you said this is not deterministic. That's not what we're saying is if you experience something, you will act out sexually. But I agree with you that it is fascinating and helpful to hear the correlation of certain things that happen, especially in childhood, and how that plays out long-term.   And I am blanking on which guest it was on The Savvy Sauce, but somebody was enlightening me. I think it was for females that if they were sexually abused, typically before a certain age, then they were more likely to struggle in marriage with wanting to completely avoid sex. But then if it was after a certain age, that it was completely opposite where they maybe used sex to medicate, or they were very aggressive and even would act out, let's say in single years, that they would sleep around with a bunch of partners if they had been wounded.   And so, I just think it just, it helps us to not be judgmental of one another. We don't know the full story.   Dr. Juli Slattery: (20:20 – 21:09) Yes. Yeah. There's always more there than we usually realize at first. And, you know, this plays out a lot in marriage because there are a lot of women who are married to guys who are addicted to pornography. And that's a deeply painful dynamic. That's really hard.   But to understand that your husband didn't want to have this struggle, often doesn't know how to get out of it, you know, gives you compassion. It doesn't mean that you look the other way, you need to get help, and you need to insist on getting help. But it does give you empathy and compassion that there's something underlying this and feeding it. It's not just, “Oh, I think I'm going to, you know, look at porn and hurt my wife again,” that there's always a deeper dynamic at work.   Laura Dugger: (21:10 – 21:50) Absolutely. And even an example from your book, I'll just read a quote where you said, “I spoke with a man who runs a sexual addiction program. He told me he had never met someone with sexual addiction, who did not also have significant sexual or psychological trauma in their past.”   And I think it goes along with what we're saying. But if we also then flip it and look at more of the positive side, how can we rightly prioritize connection and intimacy in marriage as God intended?   Dr. Juli Slattery: (21:53 – 24:24) I think first of all, we need to be convinced that this is worth it. You know, when we look at everything there is to do in life, there's so many worthy demands on our time. You know, from I want my house to look nice, and we need to make friends and we need to be an outreach to our community. And our kids are taking a lot of time and they should, and they've got all their activities and our church needs our help. Like when do you have time to do all this? And then, oh yeah, prioritize your marriage.   And I think we have to become convinced that if we're not working on our marriage, and specifically if we're not working on the sexual connection in marriage, then all those other things have the potential to fall apart. That the way I've learned it over time is that sex is never going to be a neutral issue in your marriage. It's either going to be something that is bonding you together and causing you to work on the deeper levels of intimacy, even as you talk through sexual difficulties, or it's going to be something not immediately, but over time, that becomes a wedge between you.   It might start as a wedge of resentment of my needs aren't getting met, or I feel like you're objectifying me or you're putting pressure on me. Or it might be a deeper wedge of a pornography addiction or something that's not being addressed. Or I don't trust my husband because of my trauma. And those things don't just stay dormant. The wedge becomes bigger and bigger and bigger until you get to the place where now you're not comfortable being in the same room anymore and you feel like roommates. And then now one of you is attracted to somebody else and the story plays on.   And there are very wonderful godly men and women who have gotten married with every purpose to stay together. But a wedge like this has grown over time to the point where they're now thinking about divorce or one of them has cheated on the other. And so, we have to be convinced that honoring God in our lives means prioritizing our marriage, and it means working on this intimate aspect of our marriage so that we can be a stable foundation for our families and our churches and our communities.   Laura Dugger: (24:26 – 24:39) And so, if we're getting as practical as possible, what are the best practices that you've seen in married couples who are happily married? How have you experienced that?   Dr. Juli Slattery: (24:40 – 28:04) Yeah. I'll put it in kind of like a cliche sort of way because I think sometimes that's catchy. Number one, I would say they're couples who will resist the drift, who will repair the rift, and who will adjust to the shift.   So, I can kind of break that down a little bit. But you know, the first thing is resisting the drift of you can go weeks without meaningfully connecting with your spouse. And I don't just mean sexually, but I mean like eye to eye, you know, just loving touch, just connecting to their hearts. And so, couples who know how to resist that drift, like they have regular times built into their calendar where this is where we connect every day. Like even for 10 minutes, this is where we hold each other's hands, we look at each other in the eye, we really connect with what's in your heart, how are you? And they have regular rhythms of once a week or once every other week, we're going to go out and do something fun together, just the two of us. We've worked through what sex looks like in this season. Like how many times do we want to have sex? Are we scheduling that? How are we making sure that's a priority? And so, that's the resisting the drift.   And the second one is repairing the rift. And at every marriage, there are going to be things that tear you apart. And sometimes those things might be sexual in nature, like a temptation, an emotional affair, pornography use, sometimes it's going to be something else where you have a deep disagreement that you can't resolve on your own. And you need to be courageous enough to reach out for help and say, like, if we don't get help, if we don't address this issue, like it's going to become something that tears us apart. Any couple that you meet who is happily married for like 30 years or more, they can tell you a story of when they had a rift, and the kind of help that really address that.   And then I think the third thing is adjusting to the shift. And in even the normal stages of marriage, there are shifts that happen. Like, you know, I'm in the stage right now where me and the people my age are going through biological changes with menopause and with aging. And, you know, some people are going through becoming grandparents and retirement. And there's all these shifts that are happening even naturally. There's other couples that are younger who are going through the shift of pregnancy and battling infertility. And some people are going through cancer. And there are things that happen that require you to shift your expectations. And to not just wish that it is like it used to be. But this is the marriage we have now. Here are the circumstances we have now. Here are the bodies we have now. How do we learn to love each other and embrace this season, given the changes that we're experiencing?   And so, I think that's a framework that I've seen healthy couples navigate over time that really fosters intimacy.   Laura Dugger: (28:05 – 29:29) That is incredible. I love how you put that. And I've shared with you before that my background is in Christian sex therapy. So, sex is a topic that does come up a lot and people feel comfortable sharing or asking questions. So, just in regular conversation, I want to recap two conversations that kind of show stances on both ends of the spectrum. And I'd love to hear your wisdom on how to respond to each one.   So, first, there was a Christian married woman with children, and she was teaching younger women to say yes to every single sexual advance from their husband. And she said, “If your husband has the higher drive, and he wants to have sex twice a day, then consider yourself lucky. And don't ever say no, because your body is not your own.” Yeah, it's hard to recap. So, this is not my perspective. So, sharing both ends.   So, that was one person. And then on the other end, I've heard a woman tell me, “You know, I just didn't feel like having sex for about a year and a half after we had our baby. So, I just told my husband, you're going to have to wait.”   So, loaded question, but Dr. Juli, how would you respond to each of those?   Dr. Juli Slattery: (29:29 – 32:31) Well, Laura, I feel like you probably would have just as good of response as I would to those. Yeah, I like that you're presenting those as two extremes, because they are two extremes. And I think both extremes kind of miss the heart. We want to be able to say yes to sex and intimacy. And being able to say yes means also being able to say no.   In that first situation, essentially, what is going to end up happening is that that wife is going to start feeling like my husband wants me for sex. And I don't have the capacity to enjoy it twice a day. I'm starting to feel like an object or used. And the husband is never going to learn that covenant love requires self-denial. And at every level, you know, what did, what did Paul say to husbands in Ephesians 5, like love your wife as you love your own body and be willing to lay down your, your life for your wife. And that means being sensitive to the fact that she doesn't have the same sexual appetite as you do. She doesn't have the same biology you do, that it actually can be physically painful, emotionally traumatic for a wife to have sex when she's not physically ready. Really, that couple is not working on intimacy. They're, they're kind of reinforcing a pattern that sex is about the husband getting his needs and desires met only through the wife without considering her. And that might work for short term, but that's not building intimacy in the long term. And it's not teaching either of them. And that wife needs to learn her own sexual desires and patterns and be able to communicate those to her husband. So, that's what I would say in that first one.   And the second one, essentially, you have a wife kind of having that more selfish perspective of, I only have sex when I want it and on my terms, instead of considering the husband. And, you know, how do I focus on him? How do I work on experiencing sexual desire? How do I foster that? Because it's important for my husband, it's important for our marriage. And I don't want to be selfish.   And so, I think both of those situations are kind of approaching sex where one person gets to be selfish, and the other person has to sacrifice. That's ministry, that's not intimacy. And so, we really want to be at a place where both of us, the higher desire one and the lower desire one, are learning what does it look like to really love well, to love sacrificially and to communicate the ways that I feel loved. I don't know, what would you add to that or change?   Laura Dugger: (32:31 – 33:11) That's why I asked you, you said that beautifully, better than I could have responded. And again, you're getting back to the heart of it and pointing us back to Jesus with each answer. And, you know, commonly people do struggle with having a safe place where they can ask candid questions about sex.   So, I am going to throw some more at you. And some of these are ones that you wrote about. But just to give us a little taste, even of the book, or if somebody has a burning question like this, I'd love your healthy response.   So, how do you respond when people ask, “How far is too far to go in a dating relationship?”   Dr. Juli Slattery: (33:14 – 36:32) Yeah, I think people are looking for a line, you know, like, as long as I don't cross this line, are we good? And of course, I think their traditional line would be as long as you're not having intercourse. But I think that misses the larger context of the purpose of sex. I've had to be convicted of this in my own life. And we talked very early in our conversation about how we've just sort of ingested messages from the culture. And the culture says that healthy sexuality is an expression of how I feel, right? So, so if I feel safe with you, if I feel romantically connected to you, if I feel sexually attracted to you, then it would be healthy for me to engage sexually with you. And then Christians would come and say, yes, but as long as you don't cross this line. So, that's sort of the narrative that I think a lot of us have heard in the church.   But if we look at, from a biblical perspective, God did not design sex to be an expression of how I feel. Okay, let that sink in for a minute. God did not design sex to be an expression of how I feel. He designed it to be a seal and a celebration of covenant, of the choice that a man and a woman make to covenant their lives to one another. And for them to say, just like I give you my whole life, I promise faithfulness to you. I promise that we are becoming one as a family. We have now a physical way to symbolize that in becoming one with our bodies. And so, even if I feel romantically attached to somebody I'm not married to, I don't act on that. Or even if I don't feel romantically attached to my husband, we work on our sex life because we're in covenant.   And so, when you begin to understand sex from that standpoint, you answer that question differently of how far can I go? Why are you sharing your body with another person when you haven't shared your life with them? And, you know, I think that the standard is not legalistic, but the heart of the question is a lot, that's a harder question. You know, like it says, and I think 2 Thessalonians or 1 Thessalonians, you know, Paul says, the will of God is that you do not engage in sexual immorality. Don't take advantage of a brother or sister.   And how many times in dating relationships do you look back and you're like, “Wow, I gave too much of myself to that person or I took too much of myself from that person. Like we engaged in things that now we're broken apart. Like I wish I could take back.” And so, what does it look like to honor each other? What does it look like to honor the Lord? So, I think those kinds of questions help you get to the heart of how do we steward dating relationships a lot better than looking for a line we're not supposed to cross.   Laura Dugger: (36:33 – 37:31) When was the first time you listened to an episode of The Savvy Sauce? How did you hear about our podcast? Did a friend share it with you? Will you be willing to be that friend now and text five other friends or post on your socials anything about The Savvy Sauce that you love? If you share your favorite episodes, that is how we continue to expand our reach and get the good news of Jesus Christ in more ears across the world.   So, we need your help.   Another way to help us grow is to leave a five-star review on Apple Podcasts. Each of these suggestions will cost you less than a minute, but it will be a great benefit to us. Thank you so much for being willing to be generous with your time and share. We appreciate you.   As Christ followers, should we use a friend's preferred names and pronouns? So, how would you respond to that?   Dr. Juli Slattery: (37:32 – 39:20) Boy, this is a hot topic. There are people who have really strong opinions on this. You're saying, do I use a friend's preferred names and pronouns?   And I think the fact that you have a friendship means that you can have a deeper conversation about the meaning of the names and pronouns. And I think that deeper conversation needs to happen. Because, you know, ultimately we don't like, we don't want to just say, “Oh yeah, whatever you want to call yourself is fine with me. Truth doesn't matter.” But on the other hand, we really want to get to the spiritual issue underneath this. And there's a, there's a big difference between somebody who doesn't know the Lord, doesn't know where you stand on any of this, and somebody that you can engage in a conversation with and seek wisdom on.   I think there, there's probably more latitude to use somebody's preferred name than pronouns. And I think in friendships, sometimes you can work that through and just say, you know, “Hey, I love you. I understand where you're coming from. I'm going to try my best to use the name that you're asking. But the pronoun is something that I'm not comfortable with. And here's why. And just like I'm, I want to understand where you are. I hope that you would have grace and understand where I am.” So, in a friendship, you're able to have those kinds of conversations. Whereas if it's a coworker or it's a stranger or a neighbor, sometimes we can't have that level of conversation. And so, I, we might choose to handle the situation a little differently.   Laura Dugger: (39:21 – 39:36) That's good. A hundred percent truth, a hundred percent love or kindness. And what if somebody asks, how much attention should we be giving these secondary issues as believers?   Dr. Juli Slattery: (39:39 – 41:03) Boy, I, I think first of all, the secondary issues come out of the primary issues. So, the primary issue, and you know, the issue I wrote Surrendered Sexuality is about is if my life belongs to the Lord, then my whole life needs to belong to Him, including how I think about cultural issues, including how I treat my neighbor.   And so, I don't see them as secondary issues. I see them as an outgrowth of the primary issue. I think when they become secondary issues are when we argue with other believers about it and it becomes the most important thing. Like I put you in a category based on, will you use preferred names and pronouns? And then I think we're missing what God calls us to.   The primary issue is that we want to honor God and we want to love each other. And so, let's keep going back to that primary issue. How do I love my neighbor well? How do I honor God's truth well? How do I pursue unity within the body of Christ well, as we're navigating some of these secondary issues? So, you know, like if we're going back to the primary issue, it means that we have to talk about the secondary issues, but we talk about them in light of what's primary.   Laura Dugger: (41:04 – 41:17) I like that. And I just have three more of these kind of tricky questions. So, another one, does pornography addiction qualify as reasons for a biblical divorce?   Dr. Juli Slattery: (41:20 – 42:50) I would say, first of all, technically, if we look at the word for sexual immorality in the scripture, which is porneia, we would say, yeah, you know, pornography does qualify for that.   But for the person who's asking this, maybe the woman who's asking this, I would say, why do you want to get out of the marriage? And what Jesus said is Moses permitted divorce because of the hardness of your heart. And I think a more important question is where's your heart and where's your husband's heart? Because I've seen people with pornography addictions who have really open hearts towards healing, and they're willing to get the help that they need. They're repentant. They're willing to do the work. They're willing to go through even a time of separation to show that they're serious about that work.   And then there are people who have very hard hearts of, “This is who I am. I might go through the motions, but I'm really not interested in change.” And so, I think the pornography addiction is less the issue than the posture of the person's heart and their willingness to work. And if your spouse is willing to work, then I think it's on us to have soft hearts too, and to be open to the work that God can do.   Laura Dugger: (42:51 – 43:34) That's good because saying you have to zoom out and see more of the story in that stance, because that's very different. Somebody who's working on it and hates the struggle and is wanting to break free versus being married to a narcissist who is abusing you and treating you in a certain way and addicted to pornography. So, you point out well that all of these questions have more to them.   Okay. So, two more, if a spouse has had an emotional affair in the past with a coworker, but they still work with this person, what is the wise thing to do and how should they handle it if their spouse is uncomfortable with them still working there?   Dr. Juli Slattery: (43:36 – 44:33) Yeah, boy, that's something that I would want to seek counseling on. You and your spouse really need to get with a counselor and talk that through. The generic advice in that situation would be to get a different job, to not have that relationship still a temptation or available.   But there are sometimes very extenuating circumstances where that's not a possibility, or at least for now, that's not a possibility. And so, I would really encourage you to meet with a third party to sort through the details of your particular situation. Because it could be that your spouse isn't willing to take that hard step of cutting off that relationship, or it could be that they're willing, but again, there's extenuating circumstances. And I would really want a wise person who is engaging with you to help you navigate that.   Laura Dugger: (44:34 – 44:44) But I love that, how you highlight that something to look for though, is that you would hope your spouse would be willing to make that right, especially if they were the offending.   Dr. Juli Slattery: (44:46 – 44:46) Okay.   Laura Dugger: (44:47 – 45:00) And then also, Juli, because scripture does talk about turning the other cheek, does that mean it's the same as saying God expects you to stay in an abusive marriage?   Dr. Juli Slattery: (45:02 – 47:41) Absolutely not. If you were in an abusive marriage, you are not doing your spouse any good. You are allowing your spouse to be in a place where they're destroying their own life and they're destroying the people that they love.   Now you say, okay, where biblically do we see this? We see that Jesus, he says in John, he says, “I laid down my life for my sheep. I lay it down willingly. No one has the authority to take it from me. I have the authority to lay it down and I have the authority to take it up again.” And we see Him living that out with religious leaders who were after Him all the time, who wanted to stone Him, who were accusing Him of things. It says over and over again that Jesus escaped from them. He just got out of there until it was time that the Father said, now is the time for you to give yourself for the world.   So, we take that principle and we say, Jesus was not abused. Jesus did not let Himself be abused. He gave Himself as a lamb to the slaughter as a sacrifice for the Father and for the world. But that's very different. Up until that time, we see Him have great boundaries. We see Him not get, it even says He didn't entrust Himself to man because He knew what was in their hearts. I mean, He had boundaries with people that could have hurt Him.   And I also love when we see this in the story of King David and Saul, when Saul is chasing David, Saul is abusive, right? He wants to kill David. And so, David escapes. And there's a situation where David has the power or the opportunity to kill Saul and he doesn't do it. And then Saul just is struck by his conscience, and he comes back to David. He goes, “You're a better man than I am. I'm so sorry. You know, come back with me and I'll treat you well.” And even though David doesn't take revenge, he doesn't go back with Saul. He's still, he's like, “You go your way. I'll go my way. I'm going to let the Lord judge between us.”   And I think that's a great model. If you're in any kind of abusive relationship, you don't take revenge, but you also don't stay in that situation. You go your way, let them go their way, and you let God judge between you. And I think we see that over and over again in scripture.   Laura Dugger: (47:42 – 48:19) I think that is so well said. And it reminds me of a somewhat recent conversation in 2025 with Stacey Womack who's saying with domestic violence, really the way God would see it is child abuse. And that kind of helps our paradigm because we are His child.   And she elaborates on that. So, I said that that was the last one, but I actually thought of one more as it relates to our children.   So, is it reasonable to assume that once a child has a smartphone, 100% of them will be exposed to pornography?   Dr. Juli Slattery: (48:21 – 49:15) Yeah, it is. And I would say not just once they have a smartphone, because I know with one of my kids, we delayed the smartphone decision, but he had a learning disability that required him to have an iPad for school. And somehow, even though we locked down all the apps, somehow he's able to access it through that. Or it can be a gaming system, or it can be a friend's phone. And so, having a smartphone or device like that certainly makes it more probable.   But you know, like our kids are surrounded by screens and technology, not just what's in our home, but in other people's homes and at school. And so, I think it's safe to assume, unfortunately, that yes, 100% of our kids are going to be exposed to pornography, probably by the time they're 13 or 14.   Laura Dugger: (49:16 – 49:31) And sadly, some much younger than that. But even if there's parental controls, or filters put on, it is just something on my heart that we have to be so vigilant against.   Dr. Juli Slattery: (49:32 – 50:12) Yeah, no, I felt like when, you know, I have three boys, and when they were all three kind of in those teen years, I felt like I was trying to plug holes in a boat, and there'd be new ones popping up all the time. Whether it's like apps, or you know, things that you think are completely safe. Somehow, pornography can get through.   And our kids are smart, like they know the workarounds to the parental things. And that's why we just need to have conversation after conversation, just discipling them, not just protecting them from pornography, but discipling them through what they're inevitably going to be exposed to.   Laura Dugger: (50:13 – 51:05) That's a great point that not just being reactive, but proactive. I think why I have such a heart for this is because practicing and doing therapy and having so many people come in those wounds, that if that addiction gets a stronghold, and that pornography use, it just can wreak havoc in people long term. And so, if we can do that hard work of discipling early on, it is such a blessing to our children, to the generation.   So, I'm just so grateful for your candid responses. And I think it's also a helpful reminder just to never take on a burden that was never meant for us to carry. So, are there any ways that God has taught you to not try and do His business?   Dr. Juli Slattery: (51:07 – 52:16) Yeah. Boy, that's such a great question. I've had to come to the conclusion that I can't convince anyone of right and wrong. You know, like, I can't convince anyone that pornography is wrong, or gay marriage is wrong, or you know, like, that's not my job. My job is to walk with the Lord with integrity and faithfulness and to testify as to who He is.   And so much of this work, whether we're talking about marriage or our friends or our children, so much of this work has to be the Lord's work. And you reach a stage with your kids when they hit those teen years, where you realize the things my kids most need, I can't give them. I can't give them a relationship with God. I can't give them the desire to follow and seek the Lord. Like, I can model that for them. I can encourage them. But that is between them and the Lord. And if I try to control that, I'm just getting in the way of the work that God wants to do in their lives.   Laura Dugger: (52:18 – 52:33) Goodness, I will need to write that down and reflect on that. That is so good, Juli. And there's still so much more that you could share with us.   So, where is your preferred place that we can go online and continue learning from you?   Dr. Juli Slattery: (52:34 – 52:48) Yeah, I would say two places. Number one, our website is authenticintimacy.com. And the second one is the podcast that I do called Java with Juli. It goes along with The Savvy Sauce, you know, like they kind of go together.   Laura Dugger: (52:49 – 53:11) Yes, absolutely. We will certainly link to all of that in the show notes for today's episode.   And you're familiar, I've asked you many times before, because we are called savvy, because savvy is synonymous with practical knowledge or discernment. So, as my final question for you today, Dr. Juli, what is your savvy sauce?   Dr. Juli Slattery: (53:13 – 53:58) Oh, I don't even remember how I answered this the last few times. I think I may have said this before, but I think reading the dead old guys is one of my savvy sauce, like reading people who didn't live in this generation who loved the Lord.   And learning from them is just, that's probably taught me more discernment than anything, because they just cut right through the cultural noise that I think sometimes can blind us. And they really help me see my heart for what it is and help me really want to pursue God at a deeper level.   Laura Dugger: (53:59 – 54:03) Wow. Any specific recommendations that have been personal favorites there?   Dr. Juli Slattery: (54:04 – 54:22) Yeah, I love A.W. Tozer. I love many of Andrew Murray's books, particularly Humility and Absolute Surrender. And C.S. Lewis is another great one, Mere Christianity. So, those are some that I would recommend you start with.   Laura Dugger: (54:23 – 54:44) That is wonderful. Thank you for sharing that.   And Juli, it's just always such a delight to get to share an hour of conversation with you. And you are just this beautiful mixture of bold and gentle and humble, all combined into one. So, thank you for being my returning guest today.   Dr. Juli Slattery: (54:44 – 54:49) Oh, thank you. And it's such a pleasure to be with you. Thanks for your great questions.   Laura Dugger: (54:51 – 58:33) One more thing before you go, have you heard the term gospel before? It simply means good news. And I want to share the best news with you, but it starts with the bad news.   Every single one of us were born sinners, but Christ desires to rescue us from our sin, which is something we cannot do for ourselves. This means there's absolutely no chance we can make it to heaven on our own. So, for you and for me, it means we deserve death, and we can never pay back the sacrifice we owe to be saved.   We need a savior, but God loved us so much. He made a way for his only son to willingly die in our place as the perfect substitute. This gives us hope of life forever in right relationship with him.   That is good news. Jesus lived the perfect life. We could never live and died in our place for our sin.   This was God's plan to make a way to reconcile with us so that God can look at us and see Jesus. We can be covered and justified through the work Jesus finished. If we choose to receive what he has done for us, Romans 10:9 says, “that if you confess with your mouth, Jesus is Lord and believe in your heart that God raised him from the dead, you will be saved.”   So, you pray with me now. Heavenly father, thank you for sending Jesus to take our place. I pray someone today right now is touched and chooses to turn their life over to you.   Will you clearly guide them and help them take their next step in faith to declare you as Lord of their life? We trust you to work and change lives now for eternity. In Jesus name we pray.   Amen. If you prayed that prayer, you are declaring him for me. So, me for him, you get the opportunity to live your life for him.   And at this podcast, we're called The Savvy Sauce for a reason. We want to give you practical tools to implement the knowledge you have learned. So, you're ready to get started.   First, tell someone, say it out loud, get a Bible. The first day I made this decision, my parents took me to Barnes and Noble and let me choose my own Bible. I selected the Quest NIV Bible and I love it.   You can start by reading the book of John. Also get connected locally, which just means tell someone who's a part of a church in your community that you made a decision to follow Christ. I'm assuming they will be thrilled to talk with you about further steps such as going to church and getting connected to other believers to encourage you.   We want to celebrate with you too. So, feel free to leave a comment for us here. If you did make a decision to follow Christ, we also have show notes included where you can read scripture that describes this process.   And finally, be encouraged. Luke 15:10 says, “in the same way, I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.” The heavens are praising with you for your decision today.   And if you've already received this good news, I pray you have someone to share it with. You are loved and I look forward to meeting you here next time.

    Bowel Sounds: The Pediatric GI Podcast
    Paul Wales - Surgical Management in Short Bowel Syndrome

    Bowel Sounds: The Pediatric GI Podcast

    Play Episode Listen Later Feb 23, 2026 71:17


    In this episode, Drs. Jason Silverman and Jennifer Lee talk to Dr. Paul Wales all about the surgical management of short bowel syndrome, including decision-making based on initial presentation and important considerations for any autologous reconstruction procedure.Learning objectivesTo define intestinal failure, short bowel syndrome and ultrashort bowel syndrome as well as surgical subtypes of short bowel syndromeTo review surgical considerations in the staged management of short bowel syndromeTo discuss surgical approaches to autologous bowel reconstruction including their potential advantages and disadvantages LinksPapers mentioned:Surgical therapy for short bowel syndrome (review with images)Establishing norms for intestinal length in childrenPredicting Intestinal Adaptation in Pediatric Intestinal FailureAdvantages of the distal sigmoid colostomyDelayed primary STEP procedurePrevious episodes mentioned:Sue Protheroe - Enteral Nutrition in Intestinal FailureDanielle Wendel - Central Line Management in Intestinal Failure (Special JPGN Episode)Ruben Quiros-Tejeira - Multivisceral TransplantationSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

    The Happy Home Podcast with Arlene Pellicane
    The Love Language That Matters Most with Dr. Leslie Parrott

    The Happy Home Podcast with Arlene Pellicane

    Play Episode Listen Later Feb 23, 2026 29:33 Transcription Available


    Did you know Dr. Gary Chapman has teamed up with Dr. Les and Leslie Parrott to write a follow up book to his bestselling 5 Love Languages book? Dr. Leslie Parrott joins Arlene today to talk about the new book, "The Love Language That Matters Most." While most of us know the five love languages, Leslie reveals that each language has specific "dialects" that can make or break how love is received. You will learn how to personalize love so your spouse, child, family member, or friend can really feel it. Leslie explains why the love language that matters most is the OTHER persons (not yours), how to stay curious, and the power of asking, "What is one thing I could do to fill your love tank this week?" 04:12 - The love language that matters most is THEIRS, not yours 05:28 - The role of curiosity in loving well 10:08 - How to understand and best utilize love language "dialects" 19:25 - Loving your children in their love language 22:04 - How to adjust when your child becomes a teenager 24:37 - The power of brief connections with adult children 25:47 - Sometimes space and time ARE love 26:10 - The heart behind the book: Helping people deeply feel loved Connect with Drs. Les and Leslie Parrott at lesandleslie.com and grab their new book with Dr. Gary Chapman The Love Language that Matters Most anywhere books are sold or at 5LoveLanguages.com Take the Premium Love Language Assessment here More Resources from Arlene Pellicane: SUBSCRIBE to Arlene's newsletter "What I'm Learning This Week" and get the FREE CHECKLIST to find out the 7 warning signs of screen overload. Check out Arlene's BOOKS including Parents Rising, Screen Kids, and Making Marriage Easier. Follow Arlene on Instagram and/or Facebook Go to Arlene's YouTube Channel How did Arlene's kids adapt to not having phones, video games or social media? Watch the free video, Screen Kids: In Their Own Words. Have a question for Arlene to address on the podcast? Want to invite Arlene to speak to your group? Email speaking@arlenepellicane.com Not sure about a smartphone for your child? Check out the Gabb Wireless phone for kids and teens (use the promo code ARLENE) Learn more about Every Woman's Bible today by visiting: https://hubs.la/Q0427v7r0 Discover more Christian podcasts at lifeaudio.com and inquire about advertising opportunities at lifeaudio.com/contact-us.

    DT Radio Shows
    Mind The Gap #501 — Deep House Special!

    DT Radio Shows

    Play Episode Listen Later Feb 22, 2026 60:00


    I'm bringing you an all-deep house special during this week's First 30 Mix, including tunes by PTTY, Deryk Rossen, & more…then, I've got jungle from MoMA Ready, Tim Reaper, Mantra, & Decibella, as well as some all-new liquid tracks from DRS & Zar…Taking us to the afterparty in my DISC 2 segment is Escaflowne! ⚡️Like the Show? Click the [Repost] ↻ button so more people can hear it!

    Hey Julie! A Big Brother Fan Podcast
    'The Pitt' gets steamy & Survivor 50 cast as Gen Alpha slang

    Hey Julie! A Big Brother Fan Podcast

    Play Episode Listen Later Feb 21, 2026 58:36


    Brett & Danielle are back with another episode on the eve of Survivor 50. #ButFirst, they must address the giant shirtless elephant in the room -- that is Dr. Abbott returning to The Pitt. They discuss S02E07 in which a Abbott, now also a cop, gets his scrubs back on and then immediately takes them off, gaining the attention of Drs. Al-Hashimi & Mohan. We're so back, baby.Next, in celebration of the premiere of Survivor 50, Danille & Brett review the cast for the show, assigning a Gen Alpha slang term to how we feel about their return. It's goated, as they say.Closing out the show, Danielle talks about Punch the monkey, A Knight of Seven Kingdoms and Love Story: John F. Kennedy Jr. & Carolyn Bessette.Follow Hey Julie on Bluesky and submit your questions ⁠⁠@HeyJulieBB⁠⁠.bsky.social, our ⁠⁠Discord server⁠⁠, or email us ⁠heyjuliebigbrother@gmail.com⁠!Watch Hey Julie on ⁠⁠YouTube⁠⁠Follow Brett ⁠⁠@BrettRader⁠⁠.bsky.socialFollow Danielle ⁠⁠@DingDongDani.bsky.social

    Empty Nest Guests
    67. Seven Strategies for Building Your Grandparenting Skills Portfolio with Drs. Michelle Watson Canfield and Ken Canfield

    Empty Nest Guests

    Play Episode Listen Later Feb 21, 2026 47:38


    Seven Strategies for Building Your Grandparenting Skills Portfolio with Drs. Michelle Watson Canfield and Ken CanfieldAs grandparents, we have a unique opportunity to positively shape our grandchildren's lives. By recognizing our challenges and embracing our callings, we can nurture our family and find fulfillment in our role as grandparents.Listen in as Drs. Michelle and Ken Canfield share how we strategically can be godly role models to our children and grandchildren. This conversation will encourage you to process patterns in your own life and further invest in growing and enhancing your grand parenting skills portfolio. And you'll receive seven helpful strategies.The Canfields have five children and 19 grandchildren. They both have their PhD's and Michelle has her LPC. Both are nationally known leaders and have committed their lives to strengthening families. Dr. Ken founded and is president of the National Center for Fathering as well as the National Association for Grand parenting. He's the author of several books including 7 Secrets of Effective Fathers and The Heart of Grandparenting. You can listen to him on several radio shows too! Michelle has counseled people for over 30 years and is the founder of The Abba Project, a forum for dads whose daughters are in their teens and 20's. Michelle also is an author and has written several books including Dad: Here's What I Really Need From You: A Guide For Connecting With Your Daughter's Heart. Michelle also hosts The Dad Whisperer Podcast. (Both of them do lots more and we'll hear about that too!)The Canfields offer encouraging ways to leave a legacy of love, wisdom and faith that will guide future generations. Thanks for tuning in.To reach Ken Canfield PhD.To reach Michelle Watson Canfield PhD, LPC.To reach Charlotte.FREE PDF of 7 Strategies For Building Your Grandparenting Skills Portfolio.

    Apply the Breaks Podcast
    Episode 345 Applythebreaks 2025 02 21 saturday night special Robbie c on in2beats 106.5

    Apply the Breaks Podcast

    Play Episode Listen Later Feb 21, 2026 117:27


    classic jungle/dnb /new releases 1 Sanxion, Vinyl Junkie - Natural Mystic  2 Remarc - Single Finga Killa 3 Footsie, Adam Prescott - The Don (J Kenzo Remix) 4 Villem_and_McLeod-Putting_Down_Roots-Total_Science_Remix 5 Wez Walker- 'Tut Tut' 6 Drop.s - Under Control   7 Kuaga Lost_Time-S_P_Y_Remix 8 Shodan - Keep On 9 Kyng of Thievez - The Calming Jungle  10 Monrroe Ft. Sydney - As I Fall 11 Calibre, Drs - living for 12 Alix Perez, Peven Everett - Forsaken 13 Jubei-Rufige_11-Metalheadz 14 6BLOCC - Artikal Junglist 15 Phase - Only One feat. Tyler Daley 16 Soul Intent - Rushin 91 17 GHETT18 SR - Armageddon 18 Mr Quest, DJ WYTEE - Captain Scarlet Remix  19 DA TU, Valdy - Anyway  20 Dive - go home, soundboy 21 Teknical, Liquefaction - Need (Teknical Remix)  22 Vonotira - Blue Moods   23 Miss Baas - Out Of Time 24 Phantom - Pull Up Selector  25 Break, Kyo - Chimes 26 Ranking_Joe_Marcus_Visionary-Jungle_General-Liondub_International 27 Caution, Graymata - Cant Do This On My Own   28 Aries, ruko-Black Cherry 29 Resist, Aries, Salo - Inside My Head 30 Danny Byrd - Salute feat. MC GQ 31 Nu:Tone-Mission_Control_ 32 The Vanguard Project - More_Jungle 33 Beat Assassins -Sting_Ray_Dub  34 Atlantic Connection - Hey_Jenny_Hey  35 FX909 - Special Request 36 Conrad Subs, Camo MC - Near Da Subs 37 Solsan - All Night 38 Tempest - Push It  39 Bluefootjai - Unknown Territory   40 DJ Hybrid - Reach For The Lazers  41 DJ Hybrid Remix - Jungle Demon  42 Benny Page, Origin8a & Propa-You Know How To Love Me 43 Rassterlin - Medication  44 Mr Quest, DJ DYNASTEE, Miss Klair - Long Years  45 Mr Quest - Jungle Bizniz 46 Blade - Up Down  47 Navigator, Benny Page, David Boomah - Greatest Sound(Dub Mix) 48 Destiny - Wonderful Life  

    Dean's Chat - All Things Podiatric Medicine
    Ep. 302 - LECOM School of Podiatric Medicine - Brian Price, APMSA representative!

    Dean's Chat - All Things Podiatric Medicine

    Play Episode Listen Later Feb 20, 2026 46:27


    Dean's Chat hosts, Drs. Jensen and Richey, welcome a American Podiatric Medical Association student representative from the LECOMSchool of Podiatric Medicine!This podcast is sponsored by APMA, a tremendous supporter of podiatric medicine to students, residents, and practitioners alike!Brian Price joins us to discuss how they discovered podiatric medicine, his shadowing experiences, and things that have surprised them in school. He shares a great story on what led him to Podaitric Medicine. He also shares "professor shout-outs" and his role with APMSA!Enjoy this conversation with a student leader!#Podiatry #FootAndAnkle #Residency #MedicalEducation #Surgery #PodiatricMedicine #PreMed #HealthCareCareers #DeansChat

    Field, Lab, Earth
    Sorgoleone with Drs. Sakiko Okumoto, Bill Rooney, and Guntur Subbarao

    Field, Lab, Earth

    Play Episode Listen Later Feb 20, 2026 51:07


    "Synthesis, function, and genetic variation of sorgoleone, the major biological nitrification inhibitor in sorghum" with Drs. Sakiko Okumoto, Bill Rooney, and Guntur Subbarao When we fertilize our crops, some of the nitrogen from that fertilizer gets converted into different forms through processes called nitrification and denitrification. When non-plant available forms of nitrogen exit the soil through water or as gas, it's a serious environmental problem. Thankfully, plants have some pretty nifty ways to prevent nitrification, such as biological nitrification inhibition or BNI, a process that manages the bacteria that cause nitrification. In this episode, Sakiko, Bill, and Guntur join me to discuss sorgoleone, a product of sorghum roots that plays a key role in the BNI process. Tune in to learn: ·         What sorgoleone is ·         How it helps ·         What challenges breeders face in increasing it ·         What challenges researchers face in moving this research out into farms If you would like more information about this topic, this episode's paper is available here: https://doi.org/10.1002/csc2.70066 This paper is always freely available. Contact us at podcast@sciencesocieties.org or on Twitter @FieldLabEarth if you have comments, questions, or suggestions for show topics, and if you want more content like this don't forget to subscribe. If you'd like to see old episodes or sign up for our newsletter, you can do so here: https://fieldlabearth.libsyn.com/. If you would like to reach out to Sakiko, you can find her here: sakiko.okumoto@agnet.tamu.edu If you would like to reach out to Bill, you can find him here: william.rooney@ag.tamu.edu If you would like to reach out to Guntur, you can find him here: gunturs0148@jircas.go.jp   If you would like to reach out to Megan Baker from our Student Spotlight, you can find her here: megbaker1100@gmail.com Resources CEU Quiz: https://web.sciencesocieties.org/Learning-Center/Courses/Course-Detail?productid=%7bAB41759C-0E0D-F111-8406-0022480A5E44%7d  Transcripts: https://www.rev.com/app/transcript/Njk5NDlkNTQ3MGMxYTkxMWE5MmU5ODhhc2RIRkw0Vm9MSkJ5/o/VEMwMjQ2NTEyODQ4 AgriLife Today Article: https://agrilifetoday.tamu.edu/2024/09/12/texas-am-agrilife-researchers-identify-novel-approach-to-minimize-nitrogen-loss-in-crops/  BNI consortium conference: JIRCAS organizes International BNI-consortium meetings in Tsukuba, Japan, every two years. The next BNI-consortium meeting will be in the first week of December 2026. Most BNI-researchers working with JIRCAS BNI-team are invited for this meeting along with researchers who wish to enter into this research and establish collaborative linkages with other members of this group. Field, Lab, Earth is Copyrighted by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America.

    Foot and Ankle Orthopaedics
    FAI February 2026 Podcast

    Foot and Ankle Orthopaedics

    Play Episode Listen Later Feb 20, 2026 44:35


    FAI podcast host, Dr. Mark Easley speaks with Drs. Aiyer, Gross, Rascoe, and Wukich on their recently published papers in FAI February issue: Both Tobacco and Non-Tobacco Nicotine Dependence Are Associated With Increased Complications Following Ankle Fracture Open Reduction Internal Fixation: A Propensity-Matched TriNetX Analysis (2005-2025) Preoperative Cannabis Use and Ankle ORIF Outcomes: Higher Risks of Infection, Nonunion, and Reoperation Non-Tobacco Nicotine Dependence Is Associated With Increased Risk of Reoperation and Complications After Ankle Fracture ORIF: A Propensity-Matched Database Study Postoperative Outcomes After Ankle Fracture ORIF in Patients With Documented Nicotine and/or Cannabis Use: An Observational Analysis

    gross drs infection fai reoperation mark easley
    Veterinary Vertex
    Continuous Load, Compromised Flow: PET Imaging of the Equine Digit

    Veterinary Vertex

    Play Episode Listen Later Feb 20, 2026 23:07 Transcription Available


    Send a textA hoof can look fine while its tissue quietly runs out of blood. We sat down with Drs. Georgia Skelton and Andrew van Eps to unpack new 18F-FDG PET research showing how static weight bearing creates sharp, regional perfusion deficits in the equine foot—the very conditions that can spark support limb laminitis in otherwise healthy horses. The findings challenge old assumptions and make a powerful case for movement, dynamic load cycling, and smarter monitoring before the cascade begins.We walk through why 18F-FDG PET changes the game by capturing function, not just structure, revealing “no-uptake” zones in the lamellae, sole, and coronary band within minutes of standing still. You'll hear how medial palmar regions are hit hardest in front feet, why lifting the opposite limb shifts deficits laterally, and how the hoof's intricate anastomotic network lets blood choose the path of least resistance—bypassing vulnerable capillary beds under pressure. These insights tie directly to what clinicians see first in the field: sole pain, growth issues at the coronary band, and rapid decompensation when motion is restricted.From here we get practical. Andrew and Georgia outline emerging strategies to keep perfusion alive: enforced micro-movement, intermittent offloading with robotic slings, and dynamic orthotic devices that rotate pressure points across the sole. We dig into how mobile PET systems can guide personalized shoeing and support plans, and how tools like pressure mats and targeted near-infrared sensors could bring stall-side monitoring to the danger zones identified by imaging. The goal is simple: reintroduce safe variability and prevent any one region from being starved for too long.If you care for at-risk horses after fractures, abscesses, or surgery, this conversation offers a clearer map of the problem and a toolkit for early intervention. Subscribe, share this with your care team, and leave a review to help more equine professionals find evidence-based strategies that keep blood flowing and horses sound.AJVR article: https://doi.org/10.2460/ajvr.25.07.0268INTERESTED IN SUBMITTING YOUR MANUSCRIPT TO JAVMA ® OR AJVR ® ? JAVMA ® : https://avma.org/JAVMAAuthors AJVR ® : https://avma.org/AJVRAuthorsFOLLOW US:JAVMA ® : Facebook: Journal of the American Veterinary Medical Association - JAVMA | Facebook Instagram: JAVMA (@avma_javma) • Instagram photos and videos Twitter: JAVMA (@AVMAJAVMA) / Twitter AJVR ® : Facebook: American Journal of Veterinary Research - AJVR | Facebook Instagram: AJVR (@ajvroa) • Instagram photos and videos Twitter: AJVR (@AJVROA) / Twitter JAVMA ® and AJVR ® LinkedIn: https://linkedin.com/company/avma-journals

    UROCast ABC
    UROCast ABC - S07E03 - Urgências Urológica Não Traumáticas

    UROCast ABC

    Play Episode Listen Later Feb 20, 2026 84:43


    Behind The Knife: The Surgery Podcast
    Clinical Challenges in Minimally Invasive Surgery: Emerging Robotics and Adapting Laparoscopy – An Interview with Dr. Jim Porter

    Behind The Knife: The Surgery Podcast

    Play Episode Listen Later Feb 19, 2026 35:46


    Robotic surgery has moved from novelty to norm, and in this episode of Behind the Knife, Drs. James Jung and Joey Lew sit down with urologic pioneer and Medtronic CMO Dr. Jim Porter to dissect how we got here, what the data really say about “the death of laparoscopy,” and where competing robotic platforms like Hugo may take the field next. From ergonomics and education to economics and global access, they tackle both the hype and the hard questions around robotics as the future of minimally invasive surgery.Hosts: ·      James Jung, MD, PhD, Assistant Professor of Surgery, Duke University·      Joey Lew, MD, MFA, Surgical resident PGY-3, Duke University, @lew__actuallyLearning Goals: By the end of this episode, listeners will be able to:·      Describe key clinical, ergonomic, and educational drivers behind the rapid adoption of robotic surgery in the United States and globally.·      Summarize current evidence comparing robotic and laparoscopic approaches for common procedures, including where outcomes are equivalent, inferior, or clearly superior.·      Explain how surgeon ergonomics, trainee experience, and video-based learning influence practice patterns and learning curves in minimally invasive surgery.·      Discuss the role of cost, reimbursement structures, and market competition (e.g., Medtronic Hugo vs da Vinci) in shaping robotic adoption across different health systems.·      Anticipate how next-generation, task- or organ-specific robotic platforms may further change standards of care in minimally invasive surgery.References:·      Violante T, Ferrari D, Novelli M, Larson DW. The Death of Laparoscopy - Volume 2: A Revised Prognosis. A retrospective study. Ann Surg. 2025 Jun 16. doi: 10.1097/SLA.0000000000006792. Epub ahead of print. PMID: 40518997. https://pubmed.ncbi.nlm.nih.gov/40518997/·      Yu Yoshida, Yoshiro Itatani, Takehito Yamamoto, Ryosuke Okamura, Koya Hida, Kazutaka Obama, Single-incision plus one robot-assisted surgery (SIPORS) using the Hugo robotic-assisted surgery (RAS) system for rectal cancer, Annals of Coloproctology, 10.3393/ac.2025.00787.0112, 41, 6, (586-591), (2025). https://pubmed.ncbi.nlm.nih.gov/41486916/Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

    BS Free MD with Drs. May and Tim Hindmarsh
    429 — Sex Change Regret & Redemption: Walt Heyer's Story

    BS Free MD with Drs. May and Tim Hindmarsh

    Play Episode Listen Later Feb 19, 2026 58:06


    In this episode of BS Free MD, Walt Heyer shares his personal history, including childhood adversity, substance use, and the path that led him to medically transition and later reverse course. He argues that “affirmation-first” models in therapy and medicine often skip deeper assessment and fail to address root causes like abuse, PTSD, anxiety/depression, autism traits, or other psychological distress. Drs. May and Tim discuss how rapidly rising youth identification trends may be influenced by peer dynamics and online content, and they emphasize the need for careful evaluation, family involvement, and ethical guardrails—especially when irreversible medical decisions are involved.   GET SOCIAL WITH US!

    Blood Podcast
    VTE Risk Model in Children and a Novel Tri-specific T-cell-engager for MM

    Blood Podcast

    Play Episode Listen Later Feb 19, 2026 17:01


    In this week's episode, Blood editor Dr. Laurie Sehn interviews authors Drs. Julie Jaffray and Ulrike Philippar on their latest articles published in Blood. Dr. Jaffray discusses her CME article, "Multisite validation of a venous thrombosis risk model in critically ill children through the CHAT Consortium", identifying patients with risks as high as 17% and taking research one step closer to the goal of personalized thromboprophylaxis for safe and effective care of high-risk children. Dr. Philippar discusses her article "Ramantamig (JNJ-79635322), a novel T-cell-engaging trispecific antibody targeting BCMA, GPRC5D, and CD3, in multiple myeloma models", where the extensive in vitro and in vivo preclinical studies with cell lines and patient samples indicate strong potential for this agent to have efficacy against MM expressing either or both of these antigens.

    Life's Best Medicine Podcast
    Episode 285: Dr. Ron Elfenbein

    Life's Best Medicine Podcast

    Play Episode Listen Later Feb 18, 2026 81:48


    Dr. Ron Elfenbein is an emergency physician and healthcare entrepreneur who found himself at the center of a high-stakes legal battle after being indicted on federal healthcare fraud charges. Maintaining his innocence, he mounted a determined fight against the allegations, challenging the government's case and drawing national attention to the complexities of medical billing, regulatory overreach, and due process in modern healthcare. In this episode, Drs. Brian and Ron talk about… (00:00) Intro (04:20) What it's like being an ER doctor (08:04) Dr. Ron's experience working in the ER during the early months of the pandemic (19:54) The incredible effectiveness of monoclonal antibodies (28:27) How federal interference in the distribution of monoclonal antibodies led to national scarcity of the important treatment (34:47) Why Dr. Ron was wrongfully indited on charges of health care fraud by the federal government (45:43) The outcome of the inditement and the ongoing legal hassles Dr. Ron is still facing (54:29) Ivermectin, monoclonal antibodies, and nefarious intentions (01:01:43) Lawfare and why Dr. Ron went public with his story (01:11:00) Outro   For more information, please see the links below. Thank you for listening!   Links:   Resources Mentioned in this Episode:   Dr. Ron Elfenbein: X: https://x.com/RonElfenbeinmd Website: Ronelfenbeinmd.com Support Doctor Elfenbein's Legal Defense: https://www.givesendgo.com/DefendDrElfenbein Change.org Petition: https://www.change.org/p/stop-the-lawfare-tell-the-doj-to-drop-the-unjust-prosecution-of-dr-ron-elfenbein?recruiter=1113307157&recruited_by_id=1ab998c0-a9bf-11ea-ab16-9f90afe15353&utm_source=share_petition&utm_campaign=petition_dashboard&utm_medium=copylink Judge's 93 Page Opinion: https://www2.mdd.uscourts.gov/Opinions/Opinions/22-0146%20Elfenbein%20Opinion.pdf Fox News Article: Maryland doctor says people are 'going to die' after Biden admin uses faulty data to snub antibody treatments   Dr. Brian Lenzkes:  Arizona Metabolic Health: https://arizonametabolichealth.com/ Low Carb MD Podcast: https://www.lowcarbmd.com/   HLTH Code: HLTH Code Promo Code: METHEALTH • • HLTH Code Website: https://gethlth.com

    Fixing Healthcare Podcast
    FHC #205: What ‘F1' movie teaches us about leadership in medicine

    Fixing Healthcare Podcast

    Play Episode Listen Later Feb 18, 2026 49:42


    In this Unfiltered episode of Fixing Healthcare, hosts Dr. Robert Pearl and Jeremy Corr sit down with cardiologist and mindfulness expert Dr. Jonathan Fisher for a wide-ranging conversation on leadership, culture and team performance, inspired by lessons from the movie F1. What begins as a discussion about racing quickly becomes a deep exploration of how high-performing teams operate under pressure. In the movie (and in real Formula 1 racing), success depends not on a single star driver but on flawless coordination, communication and shared accountability. The same, the trio argues, is true in healthcare where patient outcomes increasingly depend on the strength of teams, not individual brilliance. From there, Drs. Pearl and Fisher focus on how leaders are developed, how to handle disruptive personalities, how to align departments and how physicians can prepare for long-term career success in a rapidly changing healthcare landscape that includes the rise of generative AI. Some of the key ideas discussed: Healthcare is a team sport. Like an F1 pit crew, modern medical teams operate in high-stakes, time-sensitive environments. Excellence requires clarity of roles, rehearsal, debriefing and mutual trust not just individual skill. Leadership can be learned. Charisma helps, but effective leadership is less about personality and more about behavior. Empathy, emotional regulation and intentional communication are skills that can be developed with practice. Delivery often matters more than content. Fisher emphasizes the gap between what leaders intend to communicate and what their teams hear. Non-verbal cues (posture, tone, eye contact and “prosody”) often determine whether a message lands. Curiosity over judgment. When faced with disruptive or “toxic” behavior, leaders must stay regulated, address unacceptable actions clearly and then seek to understand the underlying drivers. Culture flows from leadership. If an entire department resists change, the issue often centers on the department's leader. Alignment requires clarity of values, expectations and consequences … and sometimes difficult conversations. Excellence requires transparency. High-performing organizations define standards, measure outcomes and make performance visible. Coaching and incentives must align with expectations. Physician leaders need training not just promotion. The group discusses how brilliant clinicians are often elevated into leadership roles without preparation, and why formal leadership development is essential for healthcare's future. Planning for succession matters. Pearl points out that great leaders build a “bench.” Teams should be structured to endure transitions, not collapse when one individual exits. The future of medicine will reward human skills. As generative AI takes on more algorithmic tasks, communication, empathy and leadership will become even more essential competencies for physicians. Throughout the episode, Dr. Fisher reminds listeners that leadership is not about dominance or perfection. It is about presence, self-awareness and the willingness to understand how others think, feel and respond. For more unfiltered conversation, listen to the full episode and explore these related resources: ‘Just One Heart' (Jonathan Fisher's newest book) ‘ChatGPT, MD' (Robert Pearl's newest book) Monthly Musings on American Healthcare (Robert Pearl's newsletter) * * * Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple Podcasts or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post FHC #205: What ‘F1' movie teaches us about leadership in medicine appeared first on Fixing Healthcare.

    The Growth Project
    Episode 369: Are You Expecting Too Much?

    The Growth Project

    Play Episode Listen Later Feb 18, 2026 37:57


    Are your expectations driving performance or quietly undermining it? In this episode, Drs. Drew Brannon and Gabby Caviedes explore how leaders can unintentionally create pressure that harms confidence, motivation, and results by expecting too much. They unpack the difference between healthy high standards and unrealistic demands, the impact excessive expectations have on individuals and teams, and the warning signs that something is off. You'll also gain practical strategies to recalibrate expectations, support growth, and lead in a way that challenges people without setting them up to fail.

    PVRoundup Podcast
    HER2+ Endometrial and Ovarian Cancers: Targeted Therapy Highlights From ESMO 2025

    PVRoundup Podcast

    Play Episode Listen Later Feb 18, 2026 13:10


    Drs. Dizon and Campos discuss how new antibody drug conjugates like trastuzumab deruxtecan are transforming treatment options for HER2+ gynecological cancers, showing promising results even in patients with low HER2 expression. They shared impressive clinical trial successes while emphasizing the importance of ongoing research into treatment sequencing and patient safety.

    Straight From The Cutter's Mouth: A Retina Podcast
    Episode 493: Journal Club Including Hemorrhagic PVD Follow-Up, GLP-1 Agonists and AMD, Preoperative Anti-VEGF for Diabetic Vitrectomy

    Straight From The Cutter's Mouth: A Retina Podcast

    Play Episode Listen Later Feb 17, 2026


    Drs. Kat Talcott and Nita Valikodath join for a journal club episode discussion of three recent publications:‍ ‍ ‍ ‍Hemorrhagic PVD Follow-Up (https://www.aaojournal.org/article/S0161-6420(25)00791-2/fulltext)‍ ‍GLP-1 Agonists and AMD (https://www.ophthalmologyretina.org/article/S2468-6530(25)00597-4/abstract)‍ ‍Preoperative Anti-VEGF for Diabetic Vitrectomy (https://www.ophthalmologyretina.org/article/S2468-6530(25)00600-1/abstract)‍ ‍

    Parallax by Ankur Kalra
    EP 153: The 60-Minute Window: Engineering Solutions for Faster STEMI Diagnosis

    Parallax by Ankur Kalra

    Play Episode Listen Later Feb 17, 2026 36:31


    In this episode of Parallax, Dr Ankur Kalra welcomes Dr Rakesh Shah, a former interventional cardiologist, Oxford MBA graduate, and founder of DRS.LINQ. Dr Shah brings a unique perspective on addressing critical delays in heart attack diagnosis through the intersection of clinical medicine, engineering, and business strategy. The conversation explores a pressing challenge in cardiovascular care: the majority of cardiac damage occurs within the first hour of symptom onset, yet treatment activation often takes several hours. Dr Shah introduces mHeart, a mobile EKG platform designed to create a "virtual cardiology office." Unlike consumer wearables that lack critical chest leads, this technology enables patients to initiate comprehensive cardiac evaluation anywhere—at home, at work, or while traveling—transmitting diagnostic-quality data directly to cardiologists. The episode delves into Dr Shah's diverse career path and offers candid advice for physician-entrepreneurs, emphasizing the importance of collaboration with professional business leaders to achieve scalability. Looking ahead, Dr Shah discusses the integration of AI and machine learning into mobile diagnostic platforms as essential tools for an aging workforce and overstretched healthcare system. Questions and comments can be sent to "podcast@radcliffe-group.com" and may be answered by Ankur in the next episode. Host: @AnkurKalraMD and produced by: @RadcliffeCardio Parallax is Ranked in the Top 100 Health Science Podcasts (#48) by Million Podcasts.

    PVRoundup Podcast
    HER2+ Endometrial and Ovarian Cancers

    PVRoundup Podcast

    Play Episode Listen Later Feb 17, 2026 13:07


    Drs. Campos and Dizon explore how groundbreaking research is redefining HER2-targeted therapies in gynecological cancers, moving beyond the old one-size-fits-all approach. They spotlight the promise and ongoing challenges of customizing treatment using new biomarkers and clinical trial data.

    Dean's Chat - All Things Podiatric Medicine
    Ep. 301 - SAM Conference interviews Part 2!

    Dean's Chat - All Things Podiatric Medicine

    Play Episode Listen Later Feb 17, 2026 55:28


    In this SAM Conference Part 2 episode - Drs. Jensen and Richey were at SAM in Orlando. We shared a booth with Bako Dx and interviewed leaders, conference organizers, residents, students, young practitoners, Deans, APMA leader, FPMA leaders! Enjoy!

    JACC Podcast
    JACC This Week Bonus Episode – Women's Cardiovascular Health: From Inclusion to Redesign

    JACC Podcast

    Play Episode Listen Later Feb 17, 2026 14:14


    This bonus episode continues the conversation from the JACC Women's Cardiovascular Health Issue, moving from science to systems. In this extended discussion, Drs. Carolyn Lam and Harlan Krumholz are joined by Sarah Krumholz to reflect on how the culture and structure of cardiology shape the experiences of women in training and practice.

    OPENPediatrics
    Evidence for Everyone: Studying Antibiotic Use for Pneumonia in Children With Medical Complexity‌

    OPENPediatrics

    Play Episode Listen Later Feb 17, 2026 20:24


    In this Complex Care Journal Club podcast episode, Drs. Kathleen Chiotos and Jeffrey Gerber discuss a post hoc time-series analysis of clinician feedback reports and antibiotic prescribing for community-acquired pneumonia in children with medical complexity (CMC). They describe why children with medical complexity are often excluded from guideline-based interventions, what the data suggest about antibiotic choice and duration in this population, and next steps to design studies that include all children. SPEAKERS Kathleen Chiotos, MD, MSCE Associate Professor of Anesthesiology and Critical Care University of Pennsylvania, Children's Hospital of Philadelphia Jeffery Gerber, MD, PhD Professor of Pediatrics and Epidemiology University of Pennsylvania School of Medicine; Children's Hospital of Philadelphia HOST Kristina Malik, MD Assistant Professor of Pediatrics, University of Colorado School of Medicine Medical Director, KidStreet Pediatrician, Special Care Clinic, Children's Hospital Colorado DATE Initial publication date: February 17, 2026. JOURNAL CLUB ARTICLE Chiotos K, Dutcher L, Grundmeier RW, Szymczak JE, Lautenbach E, Neuhauser MM, Hicks LA, Hamilton KW, Li Y, Muller BM, Meyahnwi D, Congdon M, Kane E, Hart J, Utidjian L, Cressman L, Jaskowiak-Barr A, Gerber JS. Off-target Impact of Clinician Feedback Reports on Antibiotic Use in Children With Medical Complexity Hospitalized With Community-Acquired Pneumonia. J Pediatric Infect Dis Soc. 2025 Oct 2;14(10):piaf089. doi: 10.1093/jpids/piaf089. PMID: 41051365. OTHER ARTICLES REFERENCED Chiotos K, Dutcher L, Grundmeier RW, Meyahnwi D, Lautenbach E, Neuhauser MM, Hicks LA, Hamilton KW, Li Y, Szymczak JE, Muller BM, Congdon M, Kane E, Hart J, Utidjian L, Cressman L, Jaskowiak-Barr A, Gerber JS. Impact of Clinician Feedback Reports on Antibiotic Use in Children Hospitalized With Community-acquired Pneumonia. Clin Infect Dis. 2025 Feb 24;80(2):263-270. doi: 10.1093/cid/ciae593. PMID: 39656188; PMCID: PMC12120840. Feudtner C, Feinstein JA, Zhong W, Hall M, Dai D. Pediatric complex chronic conditions classification system version 2: updated for ICD-10 and complex medical technology dependence and transplantation. BMC Pediatr. 2014 Aug 8;14:199. doi: 10.1186/1471-2431-14-199. PMID: 25102958; PMCID: PMC4134331. TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/bgxn4mqgk45zjxhxpxgxf3px/Chiotos_and_Gerber_podcast_2-13-26 Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Chiotos K, Gerber JS, Malik K. Evidence for Everyone: Studying Antibiotic Use for Pneumonia in Children With Medical Complexity. 2/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/evidence-for-everyone-studying-antibiotic-use-for-pneumonia-in-children-with-medical-complexity.

    Germ & Worm
    88: Endurance Events--Going the Distance

    Germ & Worm

    Play Episode Listen Later Feb 17, 2026 34:02 Transcription Available


    Yu stap gut? Today, travel medicine specialists Drs. Paul Pottinger & Chris Sanford answer your travel health questions, including:How much risk is there of road accidents when traveling overseas?Is it still possible to get immunized against chikungunya in the USA?I have asthma, should I worry about traveling to Thailand?Why are some infections so much more catchy than others?What if I need to do CPR in the wilderness?How can I stay safe if planning an endurance run or pilgrimage?Any special health considerations when planning to visit Milan for winter olympics?What's the latest with medical societies' response to new federal vaccine policies?Here's the link to Germ & Worm's recent Op-Ed in the Seattle times regarding immunization policy. We hope you enjoy this podcast! If so, please follow us on the socials @germ.and.worm, subscribe to our RSS feed and share with your friends! We would so appreciate your rating and review to help us grow our audience. And, please visit our website: germandworm.com where you can find all our content and send us your questions and travel health anecdotes. Or, just send us an email: germandworm@gmail.com.Our Disclaimer: The Germ and Worm Podcast is designed to inform, inspire, and entertain. However, this podcast does NOT establish a doctor-patient relationship, and it should NOT replace your conversation with a qualified healthcare professional. Please see one before your next adventure. The opinions in this podcast are Dr. Sanford's & Dr. Pottinger's alone, and do not necessarily represent the opinions of the University of Washington or UW Medicine.

    PCICS Podcast
    PCICS Episode 148: Hyperoxia During Neonatal Cardiopulmonary Bypass Associated with Worse Outcomes

    PCICS Podcast

    Play Episode Listen Later Feb 17, 2026 41:39


    Please join guests Drs. Nate Sznycer-Taub (UMichigan/C.S. Mott Children's Hospital) and Asaad Beshish (Emory/Children's Healthcare of Atlanta) in discussing their landmark paper “Hyperoxia During Neonatal Cardiopulmonary Bypass Is Associated With Worse Clinical Outcomes: A Multi-Institutional Study” in JAHA 2025. Host: Dr. Maria Batsis (Stanford/Stanford Children's Hospital). Co-host/Editor/Producer: Dr. Saidie Rodriguez (Emory/Children's Healthcare of Atlanta). Sponsor: Children's Hospital Colorado Heart Institute Beshish, A. G., Kwiatkowski, D. M., Sznycer-Taub, N., Costello, J. M., Jergel, A., Gillespie, S., Cashen, K., Asfari, A., Batsis, M., Buckley, J. R., Chlebowski, M. M., Flores, S., Goldshtrom, N., Migally, K., Mills, K. I., Radman, M. R., Reddy, C., Shutes, B., Riley, C. M., Narasimhulu, S. S., … Collaborative Research from the Pediatric Intensive Care Society (CoRe‐PCICS) Investigators (2026). Hyperoxia During Neonatal Cardiopulmonary Bypass Is Associated With Worse Clinical Outcomes: A Multi-Institutional Study. Journal of the American Heart Association, 15(1), e045890. https://doi.org/10.1161/JAHA.125.045890

    The American Junglist
    AJS#160 Bennit

    The American Junglist

    Play Episode Listen Later Feb 17, 2026 57:56


    As much as I think I know about the people in our community, I am still often surprised to learn about DJ's that I should already know about. This weeks guest is one of these people. In fact it feels like I'm the only one that didn't know about this guy. He's damn good too. I see what all the fuss is about. Sorry I'm late guys. He's got a residency with 3D Productions in DC, He's on the Permagrin roster, and he's a lot of other DJ's favorite DJ. Representing central PA, please welcome Bennit. Links and tracklist below. Please enjoy ❤️ Back next week -Thomas linktr.ee/bennitofficial?utm_s…ca-bd54-197ca2631100 Tracklist - 1. Wez Walker - Is This Love 2. Dramatic - One Dream 3. Kinsella, bd:j - Ruthless 4. Kublai - Young Soul (Note Remix) 5. London Elektricity - Lozenge Frenzy 6. Oli Lewis - Proportional 7. Minor Forms, Zero T - Shifty 8. R3IDY - Temperament 9. Revan, Primitive Instinct - The Vault 10. Roche, Klimate - Devise 11. Rockwell - Only 12. T>I, Zombie Cats - Search & Destroy (Magneta Remix) 13. TOAL - Fresh 14. Vital - Outlined 15. Yannons - Vanquished 16. Warm Roller - Trouble 17. Rufige Kru - Still The Same (Ft. CASISDEAD)(Submotive Remix) 18. Para - Null 19. Oli Lewis - Advocate 20. Nepo & Whisper - Heppier You 21. L-Side, MC GQ - Deep In The Trenches 22. Kasra - hydrogen 23. Kublai - Feel Me 24. GrayMata - Eliminate 25. Molecular - One Dub 26. Minor Forms - Warp Speed 27. Melysma - Disguise 28. Manikin - Waste No Time 29. DRS, Zar, Verbz - I Wonder 30. Dubtype - Go Straight VIP 31. Covert Garden - Work It Out 32. K Sonic - Do You Wrong 33. Nasz - Goodbye 34. Braidee - Dreamstate

    Living With Cystic Fibrosis
    When Insurance Gets Between Doctors and Patients

    Living With Cystic Fibrosis

    Play Episode Listen Later Feb 16, 2026 44:35


    When Insurance Gets Between Doctors and PatientsDr. Elizabeth Ames and Dr. Caleb Bupp are deeply committed to their patients. But like so many clinicians today, they're spending an extraordinary amount of time battling insurance companies instead of practicing medicine.Between prior authorizations, step therapy requirements, and outright coverage denials, physicians and their teams are buried in paperwork, often at the direct expense of patient care. Time that should be spent listening, diagnosing, and treating is instead consumed by forms, phone calls, and appeals.Boston Globe reporter Jonathan Saltzman raised the concern and Dr. Ames brought it to my attention. The reporter talks about, a new program rolled out by Blue Cross Blue Shield of Massachusetts. The insurer says the initiative is designed to control rising healthcare costs for its 3 million members, noting that costs have increased by 30 percent since 2021. But, the program specifically targets physicians who bill for the most expensive visits. The reason for the increased expense, which is discussed in our podcast, is because doctors are choosing to spend more time with rare disease patients who have complicated health issues. They need to spend more time with complex medical needs patients than say, someone with a sore throat.Drs. Ames and Bupp warn that this approach fundamentally misunderstands patient care, particularly for those with complex or rare conditions. “These patients don't need less time; they need more” says Dr. Ames. Physicians argue that policies like this risk rushed appointments, strained doctor/patient relationships, and poorer outcomes. Nowhere is this more concerning than in the rare disease community, where delays and denials can be devastating.Dr. Elizabeth Ames and Dr. Caleb Bupp talk about what this looks like in real life. As pediatric geneticists, they see firsthand how insurance barriers impact families already navigating diagnostic odysseys, uncertainty, and fear. Their work sits at the intersection of cutting-edge science and deeply human stories, and insurance interference often disrupts both. Dr. Ames, “Usually we get faxes saying, this has been denied and we start working on it. But the family gets a letter that the drug they need, the process is delayed by a “no”. We try and have good communication and say, “hey, we got this denial,” we're working on it. But I think it's deaths by a thousand cuts for the family. Families take the denial as, “I'm not worth of coverage, and that's really hard”. Dr. Bupp says they have had to hire genetic counselors, a job that didn't exist even 5 years ago, “We have a job description in our organization for it now because of the complexities that come with trying to unravel these insurance situations”.We should also note that Dr. Ames, Dr. Bupp, and I all serve on the Rare Disease Advisory Council (RDAC) in Michigan. “I think rare disease advocacy, there is power in numbers. One person can be a huge difference maker, but it's not one plus one equals two. It really exponentially grows, and I think with things like rare disease advisory councils, that gives you a better connection within your state, for state government and for advocacy. And I also think, or I hope, that it gives a place for an individual to plug in and that can then magnify and amplify. their voice so that they're not alone”. Many states have RDAC's, You can see if your state has an RDAC. For more on the Michigan RDACIn this article and in the podcast we are not speaking on behalf of the council, but it's important to understand why bodies like RDAC exist in the first place. Michigan is home to approximately one million people living with rare diseases, and the RDAC was created to ensure their voices, and experiences help shape policy. RDAC meetings are open to the public, and anyone in Michigan can participate and offer public comment. We hope you join our meetings via zoom (sometimes hybrid).This conversation isn't just about insurance policies. It's about time, trust, and whether our healthcare system truly serves patients, especially those with the most complex needs. Speak up, share your story. Advocate. Make a difference, Mold the future, for future generations.To look at the Everylife Diagnosis Odyssey https://everylifefoundation.org/delayed-diagnosis-study/ discussed in the podcast.  Everylife impact of diagnosis: https://everylifefoundation.org/burden-study/ Please like, subscribe, and comment on our podcasts!Please consider making a donation: https://thebonnellfoundation.org/donate/The Bonnell Foundation website:https://thebonnellfoundation.orgEmail us at: thebonnellfoundation@gmail.com Watch our podcasts on YouTube: https://www.youtube.com/@laurabonnell1136/featuredThanks to our sponsors:Vertex: https://www.vrtx.comViatris: https://www.viatris.com/enRead us on Substack: https://substack.com/@lstb?utm_campaign=profile&utm_medium=profile-pageWatch our trailer of Embracing Egypt: https://youtu.be/RYjlB25Cr9Y

    The ASES Podcast
    ASES Podcast - Episode 147 - Does Sling Use After Cuff Repair Matter?

    The ASES Podcast

    Play Episode Listen Later Feb 15, 2026 42:13


    In this episode of the American Shoulder and Elbow Surgeons Podcast, hosts Dr. Brian Waterman and Peter Chalmers interview Drs. Mohit Gilotra and Jay Keener about whether using the sling after rotator cuff repair matters. 

    repair drs sling cuff ases american shoulder
    Inside Reproductive Health Podcast
    275 What Will Happen to the Legacy of Boston IVF? Dr. Alan Penzias

    Inside Reproductive Health Podcast

    Play Episode Listen Later Feb 15, 2026 56:20


    As Boston IVF becomes part of a much larger organization, a natural question emerges: Does a legacy brand get diluted, or does its history shape what comes next?In this episode, Dr. Alan Penzias reflects on Boston IVF's deep roots and how that heritage continues to influence the organization's future within the RMA network.The conversation covers:Boston IVF's founding history and the leaders who shaped itWhether scale threatens (or strengthens)  institutional cultureThe “buy-versus-build” debate playing out across fertility networksDr. Penzias's perspective on AI and evolving clinical infrastructureHow Boston IVF's tradition of Grand Rounds has scaled across the networkServing patients in smaller cities and rural communities (without compromising quality)Dr. Penzias also shares updates on longtime Boston IVF leaders, including the evolving roles of Drs. Michael Alper and Selwyn Oskowitz, and reflects on how mentorship and tradition continue to drive innovation.This episode is a thoughtful look at legacy, leadership, and how fertility care evolves without losing its soul.

    Dirty Side of the Track
    Livery Leaderboard & Testing Tribulations

    Dirty Side of the Track

    Play Episode Listen Later Feb 15, 2026 63:53


    “Send us a Hey Now!”This week saw the F1 teams head to Bahrain for the first round of pre-season testing. We saw all the new liveries on display and got a first look at them on track as portions of the testing were televised.We pick apart the various theories coming out of testing and also rank the liveries to create our combined leaderboard.Episode running order as always is...1) News & SocialAll the best bits from both the sports news out there as well as what caught our eye on the various social channels 2) Brian's Video Vault             https://www.youtube.com/watch?v=P7qAimzZ5YY Cadillac 2026 Super Bowl Commercial The Mission Begins Cadillac Formula 1 Racing. 1 min 6 seconds.https://www.instagram.com/reel/DUiGK79Dxl5/?utm_source=ig_web_copy_link&igsh=NTc4MTIwNjQ2YQ== extremecarsofficial_ Instagram. The moment when the Cadillac Formula 1 team unveiled their 2026 car in Times Square, New York City!https://www.youtube.com/watch?v=8-rzpNM21zk. 10 Tales from F1 Testing. Formula 1 channel. 9 mins. https://www.youtube.com/watch?v=tyw8etDrQ-c. Formula 1: Drive To Survive Season 8 Official Trailer | Netflix. Formula 1 channel. 2 mins. https://www.youtube.com/watch?v=_HWVT-fzlmY. Asking F1 drivers the REAL questions | Get to know Liam Lawson and Arvid Lindblad. Visa cash app RB F1 channel. nearly 8 mins. https://www.youtube.com/watch?v=WeBRmSFcRxs&t=9s. Valtteri Bottas REVEALS why he chose Cadillac! Kym Illman channel. 13 mins.3) Cadillac CornerUpdates from the team we saw this week in terms of the livery launch at the Super Bowl and Times Square4) Livery LeaderboardWe rank the liveries from 1-11 and use our combined scores to create the Dirty Side Livery Leaderboard 5) Testing TribulationsWe take a look at all the key data coming out from testing and try to see if you can really use it to understand wherSupport the showWe would love you to join our Discord server so use this invite link to join us https://discord.gg/XCyemDdzGB To sign up to our newsletter then follow this link https://dirty-side-digest.beehiiv.com/subscribeIf you would like to sign up for the 100 Seconds of DRS then drop us an email stating your time zone to dirtysideofthetrack@gmail.comAlso please like, follow, and share our content on Threads, X, BlueSky, Facebook, & Instagram, links to which can be found on our website.One last call to arms is that if you do listen along and like us then first of all thanks, but secondly could we ask that you leave a review and a 5 star rating - please & thanks!If you would like to help the Dirty Side promote the show then we are now on Buy me a coffee where 100% of anything we get will get pumped into advertising the show https://www.buymeacoffee.com/dirtysideofthetrackDirty Side of the Track is hosted on Buzzsprout https://www.buzzsprout.com/

    RENDERING UNCONSCIOUS PODCAST
    RU383: BALTIMORE BASED ARTIST & OCCULTIST NYNNMAH ON PHANTASMS OF EROS & NOSFERATU

    RENDERING UNCONSCIOUS PODCAST

    Play Episode Listen Later Feb 15, 2026 13:13


    RU383: BALTIMORE BASED ARTIST & OCCULTIST NYNNMAH ON PHANTASMS OF EROS & NOSFERATU: https://renderingunconscious.substack.com/p/ru383-baltimore-based-artist-and Join Rendering Unconscious Podcast at Substack to watch full episodes and access the complete archive: https://renderingunconscious.substack.com Rendering Unconscious episode 383. For this episode, I sat down with Nynnmah, a zine artist with interests in literature, art, and esoterica. Having explored philosophical questions from a young age, Nynn has deep interests in exploring the nature of reality, free will, and esoteric topics. Nynn's work is influenced by her experiences, including her life in Baltimore, interest in metal music, and interactions with various cultural and spiritual influences. She emphasizes the importance of imagination, self-expression, and the role of artists in society. Follow Nynn at: https://www.instagram.com/nynnmah/ Nynn has a couple upcoming events, including talks on “Phantasms of Eros” Thursday, February 19th, and “Psychosexual & Esoteric Symbolism in Nosferatu” Thursday, February 26th. https://linktr.ee/nynnmah News & events: Monday, February 16th we have a LIVE Rendering Unconscious Podcast event with Drs. Helena Texier and Eve Watson, editors of Freud's Principle Case Studies Revisited: https://renderingunconscious.substack.com/p/you-are-invited-to-a-live-ru-podcast Wednesday, February 18th, we have Mikita Brottman presenting Images from the Id: The Strange World of Psychic Photographer Ted Serios. https://rucenterforpsychoanalysis.substack.com/p/images-from-the-id-the-strange-world Introduction to Occulture with author Carl Abrahamsson, Begins February 21, Morbid Anatomy Museum, online. https://www.morbidanatomy.org/classes/p/introduction-to-occulture-with-author-carl-abrahamsson-begins-february-7 If you're in London, I'll be at the Freud Museum in-person Wednesday, February 25th with my husband Carl Abrahamsson for Surreal Secrets of the Psyche: The Creative Zeitgeist of Psychoanalysis, Film and the Avant-Garde. https://www.freud.org.uk/event/surreal-secrets-of-the-psyche-the-creative-zeitgeist-of-psychoanalysis-film-and-the-avant-garde/ Monday, February 23rd Carl Abrahamsson will be in-person at the Viktor Wynd Museum in London presenting Fabulous Freaks of Yesteryear: https://thelasttuesdaysociety.org/exhibition/fabulous-freaks-of-yesteryear-by-carl-abrahamsson-live/ Rendering Unconscious is also a book series: Rendering Unconscious: Psychoanalytic Perspectives, Politics & Poetry vols 1:1 & 1:2 (Trapart Books, 2024): https://amzn.to/3N6XKIl The song at the end of this episode is "Celebrity" from the album "Infiltrate" by Vanessa Sinclair and Pete Murphy: https://petemurphy.bandcamp.com/album/infiltrate-21 Infiltrate has been featured on the latest episode of Radio Panik! https://www.radiopanik.org/emissions/l-etranger/show-518-drud-freeform-hemline/ Enjoy! Thank you for being a paid subscriber to Rendering Unconscious Podcast. It makes my work possible. If you are so far a free subscriber, thanks to you too. Please consider becoming a paid subscriber to gain access to all the material on the site, including new, future, and archival podcast episodes. It's so important to maintain independent spaces free from censorship and corporate influence. If you are interested in pursing psychoanalytic treatment with me, please feel free to contact me directly: https://www.drvanessasinclair.net/contact/ Thank You.

    The Joe Rogan Experience
    #2454 - Robert Malone, MD

    The Joe Rogan Experience

    Play Episode Listen Later Feb 13, 2026 158:52


    Robert W. Malone, MD, MS, is a virologist and immunologist and an original inventor of mRNA delivery and vaccination as a technology, DNA vaccination, and multiple non-viral DNA and RNA/mRNA platform delivery technologies. He serves on the Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices and is the author of multiple books, the most recent of which is “PsyWar: Enforcing the New World Order,” co-written with his wife, Dr. Jill Glasspool Malone. The Drs. Malone are the founders of the Malone Institute, which focuses on issues related to government, the biological sciences, and medicine.www.skyhorsepublishing.com/9781510782952/psywar/www.malone.newswww.malonebroadcasting.comwww.maloneinstitute.orgwww.rwmalonemd.com Perplexity: Download the app or ask Perplexity anything at https://pplx.ai/rogan. Learn more about your ad choices. Visit podcastchoices.com/adchoices

    The Busy Mom
    Fan Mail Friday (Re-Run): Love, Faith & Intimacy — Real Talk from Kona

    The Busy Mom

    Play Episode Listen Later Feb 13, 2026 60:48


    In this special Fan Mail Friday re-run, originally recorded during our 36th-anniversary trip to Kona, Jay and I dive into your candid questions about marriage—intimacy after babies, navigating NFP, dating on a budget, perimenopause and HRT, staying close in busy seasons, and why Christ at the center changes everything. It's honest, practical, and hope-filled (heads-up: rated “M” for Marriage). If you missed it the first time—or need the encouragement again—this one's for you. Show up for your marriage—you'll be encouraged.Prime Sponsor: No matter where you live, visit the Functional Medical Institute online today to connect with Drs. Mark and Michele Sherwood. Go to ⁠homeschoolhealth.com⁠ to get connected and see some of my favorite items. Use coupon code HEIDI for 20% off!Lifestone Ministries | ⁠Lifestoneministries.com/heidi⁠Show mentions: ⁠heidistjohn.com/mentions⁠Website | ⁠heidistjohn.com⁠Support the show! | ⁠donorbox.org/donation-827⁠Rumble | ⁠rumble.com/user/HeidiStJohn⁠YouTube | ⁠/ @heidistjohnpodcastInstagram | ⁠@heidistjohn⁠Facebook | ⁠Heidi St. John⁠X | ⁠@heidistjohn⁠⁠Faith That Speaks⁠ Online CommunitySubmit your questions for Fan Mail Friday | ⁠heidistjohn.net/fanmailfriday⁠

    jesus christ marriage intimacy real talk rumble drs rerun kona hrt nfp functional medical institute john x michele sherwood fan mail friday
    Focus on the Family Broadcast
    How to Speak the Love Language Your Spouse Needs Most (Part 2 of 2)

    Focus on the Family Broadcast

    Play Episode Listen Later Feb 13, 2026 27:15


    Marriage is about learning to love your spouse in the way they best understand love—their unique love language. Marriage experts Dr. Gary Chapman and Drs. Les and Leslie Parrott join forces to help you identify your spouse’s love language and become fluent in expressing love in meaningful, personalized ways. Together, they explore the subtle “dialects” within each love language and encourage you to be more intentional and authentic in how you love your spouse. Receive a copy of The Love Language That Matters Most and an audio download of "How to Speak the Love Language Your Spouse Needs Most" for your donation of any amount! Plus, receive member-exclusive benefits when you make a recurring gift today. Your monthly support helps families thrive. Get More Episode Resources If you enjoyed listening to Focus on the Family with Jim Daly, please give us your feedback.

    Pharmacy Podcast Network
    Valentine's Day Special 2026 | TWIRx

    Pharmacy Podcast Network

    Play Episode Listen Later Feb 13, 2026 79:18


    TWIRx – This Week in Pharmacy Episode Date: February 13, 2026 Valentine's Day Special

    Focus on the Family Broadcast
    How to Speak the Love Language Your Spouse Needs Most

    Focus on the Family Broadcast

    Play Episode Listen Later Feb 12, 2026 26:47


    Marriage is about learning to love your spouse in the way they best understand love—their unique love language. Marriage experts Dr. Gary Chapman and Drs. Les and Leslie Parrott join forces to help you identify your spouse’s love language and become fluent in expressing love in meaningful, personalized ways. Together, they explore the subtle “dialects” within each love language and encourage you to be more intentional and authentic in how you love your spouse. Receive a copy of The Love Language That Matters Most and an audio download of "How to Speak the Love Language Your Spouse Needs Most" for your donation of any amount! Plus, receive member-exclusive benefits when you make a recurring gift today. Your monthly support helps families thrive. Get More Episode Resources If you enjoyed listening to Focus on the Family with Jim Daly, please give us your feedback.

    The Ken Coleman Show
    The Number One Predictor of a Happy Marriage

    The Ken Coleman Show

    Play Episode Listen Later Feb 10, 2026 65:19


    In this episode, Ken sits down with relationship experts Drs. Gary Chapman, Les Parrott and Leslie Parrott. Learn why misreading your spouse's love language creates emotional distance, how love languages affect leadership and workplace burnout, and what to do when your spouse's love language changes over time.    Next Steps: