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In this episode, we sit down with Alexandra, the founder of Just the Inserts, to discuss informed medical decision-making, birth choices, and vaccine research. Alexandra shares her personal experience with birth in both hospital and home settings, the importance of understanding medical inserts, and how parents can advocate for themselves in the medical system. Whether you're expecting a baby, questioning routine interventions, or simply seeking more transparency in healthcare, this conversation is for you.What You'll Learn: What The Motherhood Guide offers for parents navigating medical choices Key considerations for newborn interventions (Vitamin K, Hep B vaccine, antibiotics in labor) The importance of checking titers before vaccinations How vaccine research and informed consent empower parents Understanding vaccine ingredients The role of public trust in healthcare and MRNA vaccine concerns Disease prevention beyond vaccines and medical mandatesAlexandra is the founder of Just the Inserts, a platform dedicated to empowering individuals with accessible, transparent information about medical choices. With a research background and a passion for informed consent, she helps people navigate the complexities of pharmaceutical products and medical decisions. Her commitment to clear, reliable information has earned her recognition as a trusted voice in the community.Links & Resources Mentioned: Just the Inserts Website: www.justtheinserts.com Alexandra's Instagram: @Justtheinserts The Motherhood Guide: https://justtheinserts.com/the-motherhood-guide/Loved this episode? Share it with a friend who needs this information! Don't forget to tag us and leave a review—it helps others find the show and supports our mission of informed, empowered birth and parenting.Connect with Us: Instagram: @sophiabirth | @bayareahomebirth | @bornwildmidwifery
Alexandra from Just the Inserts joins us for a great chat about her activism and website and helping people with informed consent. We talk about her engagement shooting up, SIDS, synthetic Vit K, the Box Warnings, Hep B shot, RFK, Government and Military, real life examples of injury during pregnancy, mRNA, and the power of the Mama Bears. In the second half we get into the story of Ben Franklin, Darren rants about the jab schedule, PCR testing, Crowd Health, other drugs, examples on her website, free market health, and American health care, and much more. https://x.com/justtheinserts https://www.justtheinserts.com/press/#2025 https://www.instagram.com/justtheinserts/ To gain access to the second half of show and our Plus feed for audio and podcast please clink the link http://www.grimericaoutlawed.ca/support. For second half of video (when applicable and audio) go to our Substack and Subscribe. https://grimericaoutlawed.substack.com/ or to our Locals https://grimericaoutlawed.locals.com/ or Rokfin www.Rokfin.com/Grimerica Patreon https://www.patreon.com/grimericaoutlawed Support the show directly: https://grimericacbd.com/ CBD / THC Tinctures and Gummies https://grimerica.ca/support-2/ Outlawed Canadians YouTube Channel: https://www.youtube.com/@OutlawedCanadians Our Adultbrain Audiobook Podcast and Website: www.adultbrain.ca Our Audiobook Youtube Channel: https://www.youtube.com/@adultbrainaudiobookpublishing/videos Darren's book www.acanadianshame.ca Check out our next trip/conference/meetup - Contact at the Cabin www.contactatthecabin.com Other affiliated shows: www.grimerica.ca The OG Grimerica Show www.Rokfin.com/Grimerica Our channel on free speech Rokfin Join the chat / hangout with a bunch of fellow Grimericans Https://t.me.grimerica https://www.guilded.gg/chat/b7af7266-771d-427f-978c-872a7962a6c2?messageId=c1e1c7cd-c6e9-4eaf-abc9-e6ec0be89ff3 Leave a review on iTunes and/or Stitcher: https://itunes.apple.com/ca/podcast/grimerica-outlawed http://www.stitcher.com/podcast/grimerica-outlawed Sign up for our newsletter http://www.grimerica.ca/news SPAM Graham = and send him your synchronicities, feedback, strange experiences and psychedelic trip reports!! graham@grimerica.com InstaGRAM https://www.instagram.com/the_grimerica_show_podcast/ Purchase swag, with partial proceeds donated to the show www.grimerica.ca/swag Send us a postcard or letter http://www.grimerica.ca/contact/ ART - Napolean Duheme's site http://www.lostbreadcomic.com/ MUSIC Tru Northperception, Felix's Site sirfelix.bandcamp.com
ICAN lead counsel, Aaron Siri, Esq., guides you through an exploration of the Hepatitis B vaccine, outlining the serious problems with this controversial vaccine given to newborn babies in their first days of life in the US, per the CDC. Hear why ICAN is fighting to have this shot removed from the childhood schedule. Further, ICAN is standing up to hospitals which vaccinate newborns without consent of the parents. You can support his effort at icandecide.org/legalmatch.Become a supporter of this podcast: https://www.spreaker.com/podcast/the-highwire-with-del-bigtree--3620606/support.
What if all those medical products we trust come with more risk than we think? And how much of that risk is buried in the fine print most of us never read? In this episode, we're talking to Alexandra from @justtheinserts, who's made it her mission to help people decode medical inserts, so we actually know what we're putting in our bodies. Alexandra digs deep into the pharmaceutical industry's claims, the power of informed consent, and why knowing the full story behind medical products is more important now than ever. Buckle up—this conversation will have you questioning everything you thought you knew about medicine.KEY TOPICS How reading the fine print on medical product inserts reveals hidden risks and empowers personal decision-making. How government policies and liability laws protect pharmaceutical companies but leave patients at risk. Why doctors rarely offer alternatives—and how patients can advocate for better options. Why Alexandra kept her identity hidden online and the backlash she faced from keyboard warriors.CHAPTERS00:00 Intro: Defeating Bad Decision-Making in Life and Business00:50 Carnivore, Veganism, and All the Diets In-Between03:13 Introducing Alexandra and Just the Inserts06:11 Father-Son Dynamics in the Workplace08:35 Alexandra's Journey to Creating @justtheinserts10:54 Discovering Medical Inserts and Adverse Reactions13:21 Explanation of Adverse Reactions and Manufacturer Inserts 15:40 Alexandra's Daughter's Health and the Vitamin K Injection18:00 Risks of Vitamin K Injections and Understanding Its Ingredients 20:06 Potential Adverse Reactions: Vitamin K and Hep B 22:16 Pharmaceutical Liability and Industry Protections 24:36 Streamlining Research for Informed Consent 27:03 Building Critical Thinking Skills29:29 Learning to Analyze Manufacturer Inserts 31:48 Informed Consent in Health Decisions 34:15 Presumptive Delivery Strategy in the Medical Industry 36:36 Vaccine Shedding38:58 Shocking Discoveries: Adverse Reactions41:20 Pushback from Pharmaceutical Reps and the Industry Culture 43:40 Responsibility and Bias in Health Decisions 45:54 Sanger's Story: Navigating Multiple Prescriptions in Adolescence48:19 Key Questions to Ask When Receiving a Diagnosis 50:38 Importance of Understanding Drug Families and Side Effects 52:57 Doctor-Patient Dynamics 57:26 Alexandra's Decision-Making Tip for Business Owners01:01:24 Key Takeaways01:03:04 Message from the Producer CONNECT WITH USwww.decidedlypodcast.comJoin us on Instagram: @decidedlypodcastThank you to Shelby Peterson of Transcend Media for editing and post-production of the Decidedly podcast.SANGER'S BOOK: A Life Rich with Significance: Transforming Your Wealth to Meaningful Impact - https://www.amazon.com/Life-Rich-Significance-Transforming-Meaningful/dp/1952654769SHAWN'S BOOK: Plateau Jumping: What to Change When Change Is What You Want - https://www.amazon.com/Plateau-Jumping-What-Change-When-ebook/dp/B0CTXHP5HRMAKING A FINANCIAL DECISION?At Decidedly Wealth Management, we focus on decision-making as the foundational element of success, in our effort to empower families to purposefully apply their wealth to fulfill their values and build a thriving legacy. LEARN MORE: www.decidedlywealth.com SUBSCRIBE TO THE NEWSLETTERhttps://visitor.r20.constantcontact.com/manage/optin?v=001aeU_pPBHJPNJWJBdVbaci6JMYQ_gBGd5CL2_RzjPYZguX7wD7Qps249iP7aBxHnjUgbrY8F7q8Zes0dA4bnyF8dROTb3O9XNeAIsk5AvA6E%3DCONNECT WITH ALEXANDRA FROM @JUSTTHEINSERTSWebsite: https://www.justtheinserts.comInstagram: @justtheinserts Well Considered: A Handbook for Making Informed Medical Decisions: https://www.justtheinserts.com/shop/Alexandra, the founder of Just the Inserts, provides training and resources for patients and parents to make informed decisions about medical products. Sourced from .gov websites, her book, training course, and website help you make informed medical decisions rooted in knowledge and confidence.
In this heartfelt episode, we start off with an update on Julie as shares an update on her TTC journey and making the decision to start IVF as she navigates carrying the high risk Duchenne muscular dystrophy gene. She dives into the emotional ups and downs that come with the process. ...then the meat & potatoes of this episode is about our BIRTH PLAN WISHES for giving birth in hospitals with a doula. This is an important distinction because if you are planning to give birth at home or in a birth center, your birth wishes may or may not look different. If you're giving birth in the future and need some inspiration, this episode is perfect for you!! TOPICS DISCUSSED →Julie's fertility fears with carrying the family gene DMD →Julie's IVF update to navigate the passing down of the gene: challenges, hopes, and progress →Fertility treatments and emotional resilience →Holistic birth plan ideas for hospitals →How support systems can make a difference during birth →The impact of mindset on fertility and pregnancy →Balancing birth wishes with medical advice →Practical tips for advocating for your birth plan Trigger Warning: In the beginning of the episode, Julie delves into the sensitive topic of utilizing modern science, including IVF, to prevent the inheritance of the Duchenne muscular dystrophy gene in our family. Our conversation is deeply rooted in the compassion we hold for our relatives affected by this devastating disease, such as our beloved cousin and uncle. We acknowledge that opinions on IVF and scientific interventions can differ, and we kindly ask listeners with opposing views to respect Julie's decision. It is her body, her life, and her family's journey. We aim to cultivate an environment where all choices are respected, and we hope for mutual respect for our decisions as well. Thank you for engaging with an open heart. EPISODE RESOURCES
SF Hep B Free founder Stuart Fong, Executive Director Richard So and Program Director Lenna Teo-Malietulua come on and talk about their programming and upcoming events.
Today, travel medicine specialists Drs. Paul Pottinger ("Germ") & Chris Sanford ("Worm") answer your travel health questions:Watercress—safe to eat?Should I be immunized for hepatitis B?How do vaccines work?Any tips for traveling with mobility issues?What are the issues with monkey bites in Thailand?Is it safe to eat fruits and vegetables while abroad?How do I prevent ear pain during jet travel?We hope you enjoy this podcast! If so, please subscribe to our RSS feed and share with your friends! And, please send us your questions and travel health anecdotes: 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.
CJ and Vaya catch-up on the last three Neighbours weeks with a deep dive on Toadie's existential crisis, Aaron's Hep B scare and the teenage love triangle; plus a shallow paddle/ rapid fire round through everything else! Episodes 9076 to 9087 in the PirateNet Studios.Head over to [https://www.patreon.com/neighbuzzpod](https://www.patreon.com/neighbuzzpod) to help us buy the good iced coffee from Anson's Corner.And drop us a line there to ask a question for our new mini pod: Pod Squad Group Chat!Check out @Neighbuzzpod on [TikTok](https://www.tiktok.com/@neighbuzzpod?)!Join the Neighbuzz Council for Neighbours chats on Facebook Follow NeighbuzzPod on InstagramTweet Kate, Instagram CJ or Vaya New artwork by Elyce Phillips!Brett's Bitts courtesy of Brett Bowman.To support the PirateNet Studios and unlock bonus content, become one of our beloved Patrons at patreon.com/neighbuzzpod Thanks for listening - please tell other spiggin' hufters to listen too!
Text Tammy Directly - (720) 303-8868 Contact Tammy Here - ❤️ https://bit.ly/44FeoDE ❤️ Join Our Free Health Coaching Group
New Mom Naturopath: Postpartum, Mindset, postpartum mental health
Show Notes for Episode 98: Week 8 Postpartum Hello, mamas, and welcome to another episode of the New Mom Naturopath. As we move into week 8 of your postpartum journey, it's essential to understand the profound changes happening in your body, your emotional landscape, and your baby's development. This week, we continue to support you with detailed insights and expert advice to navigate these transformations confidently. Episode Overview: This week, we're diving deep into the physiology of your postpartum recovery, the typical emotional fluctuations you might experience, and what you can expect from your baby during week three. Whether you're feeling overwhelmed by the new responsibilities or just curious about the scientific underpinnings of postpartum changes, this episode is here to guide you. What We'll Cover: Physiological Changes: We'll discuss how your body is adjusting post-birth, including your cardiovascular system, hormone levels, and more. Emotional Adjustments: Understand the common emotional states in week three and why it's normal to feel a range of emotions during this time. Baby's Development: Learn about the milestones your baby might be reaching and how best to support their growth and health. Special Focus: Week 8 Well-child check Hep B vaccination Pumping tips as you build a stash of milk for back to work . Here is the link to the facebook group: https://www.facebook.com/groups/newmomnaturopath Link to coaching call: Click here to schedule a 30-minute call with me! Link to my instagram page: https://www.instagram.com/drkailyngalloway/
Broadcast from KSQD Santa Cruz on 6-13-2024 Alzheimer's Disease and APOE4 Gene Listener asks about the APOE4 gene and its association with Alzheimer's disease in the light of a recent sensationalistic Nature publication. The impact of amyloid beta and TAU proteins on Alzheimer's pathology. Differences in Alzheimer's risk among different ethnic groups with APOE4 with emphasis on the importance of cholesterol levels as a risk multiplier. Advice for a listener's husband dealing with chronic back pain and sciatica Dr. Dawn presents a basic checklist for evaluating back pain symptoms and determining the need for urgent medical intervention. Potential causes are discussed such as spinal nerve compression from various sources. In this case, Dr. Dawn made a specific suggestion of McKenzie exercises and emphasized the importance of seeing a sports medicine doctor or physiatrist for a comprehensive evaluation. Dr. Dawn responds to a caller about managing knee osteoarthritis The role of glucosamine, chondroitin, and topical diclofenac in treatment. Discussion on non-pharmaceutical approaches like heat application and massage. Potential interventions like steroid injections, hyaluronic acid, platelet rich plasma and their benefits and risks. Dr. Dawn answers a question about dietary oxalates and their impact on kidney stones She emphasizes the importance of the oxalate content in foods and its limited role in kidney stone formation. She emphasizes the importance of hydration and maintaining a healthy microbiome. For specific dietary guidelines on oxalate in foods she suggests using oxalate.org. A concerned parent asks about aluminum and other vaccine adjuvants like formaldehyde for their infant's 2 month well child visit She expresses conflicting fears of being mischaracterized as a vaccine denier by merely expressing concern about vaccination for her infant. Dr. Dawn provides a breakdown of the necessity, immediate urgency and risks of each recommended vaccine (Hepatitis B, DTaP, Polio, Hib, Pneumococcal, Rotavirus) and suggests a social contextualization strategy to perhaps delay Polio, rotavirus and Hep B in this family's social context while emphasizing the importance of certain vaccinations to prevent serious illnesses. Dr. Dawn cites intriguing ambiguities in the literature that support the counterintuitive idea that smaller doses of aluminum may have a greater accumulation in tissues of brain and reproductive tissues than larger doses, and promises to research this further in a future program.
In this episode, I invited the divine podcaster De'Vannon onto the podcast to have a love song dissection. De'Vannon's choices are "Different Kind of Love Song" by Cher and "It's Like That" by Mariah Carey and I chose "DFMU" by Ella Mai. Subscribe today and join the conversation! De'Vannon Hubert is the author of Sex, Drugs, and Jesus, a memoir about his struggles with drug dealing, drug addiction, homelessness, serving in the Armed Forces, contracting HIV and HEP B, and rejection from his church for his sexuality. He is also the host of the Sex, Drugs, and Jesus Podcast and is the owner of DownUnder Apparel. De'Vannon's story is one of surviving the social outskirts and finding one's way back to a balanced path. Find his podcast and book at https://www.sexdrugsandjesus.com/ and visit is online store at https://www.downunderapparel.com/. You can find De'Vannon's newly released book for free at this link: https://www.sexdrugsandjesus.com/dont-call-me-a-christian/. Follow and Support the Podcast Patreon: https://www.patreon.com/heauxliloquy Twitter: @Heauxliloquy (https://www.twitter.com/heauxliloquy) Website: https://www.heauxliloquy.com Vernon's book: https://amzn.to/3vsZDm5 Vernon's IG: UrFavHeauxst (https://www.instagram.com/UrFavHeauxst/) Therapy w/ Vernon: https://www.psychologytoday.com/us/therapists/vernon-t-scott-decatur-ga/1201103 Subscribe to the Viberator In My Pod - https://linktr.ee/heauxliloquy Crisis and Psychological Resources Rape, Abuse, and Incest National Network https://www.rainn.org 800-656-HOPE (4673) National Suicide Prevention Lifeline https://www.988lifeline.org 800-273-TALK (8255) Text or call 988 National Domestic Violence Hotline https://www.thehotline.org 800-799-7233 Text START to 88788 Find A Therapist American Psychological Association (https://www.apa.org/topics/crisis-hotlines) Psychology Today (https://www.psychologytoday.com/us/therapists/family-marital) Therapist Locator (https://www.therapistlocator.net/) Access additional resources on Open Counseling (https://blog.opencounseling.com/hotlines-us/) Open Counseling also has a list of International Hotlines (https://blog.opencounseling.com/suicide-hotlines/) Slaytor's Playhouse on the Web Slaytor's Playhouse: https://slaytorsplayhouse.com SP Linktree: https://linktr.ee/slaytorsplayhouse SP YouTube: https://www.youtube.com/channel/UCfS8UcvYHLtiDsfqQqTLJeg Coaching services available through Slaytor's Playhouse (https://bit.ly/3Deizss) Donate to Slaytor's Playhouse (https://bit.ly/3qDGUTF) Referrals and Affiliates If you are interested in signing up for Episodic Sound and accessing their list of royalty free music, please use my affiliate link (https://www.epidemicsound.com/referral/2mj5fk). If you are interested in joining the podcasting world and creating your own podcast, check out PodBean (https://www.podbean.com/topheauxpod). Sign up today and get one month free. Sponsorship Looking to sponsor the podcast? Email Slaytor's Playhouse at info@slaytorsplayhouse.com. The Heuaxliloquy Podcast Media Kit (https://bit.ly/35U78Kg) If you are an advertiser trying to reach a new market, check out PodBean Advertising (https://sponsorship.podbean.com/topheauxpod). Use the link to get up to $100 credits for running your first ad on PodBean.
In this episode, I invited the divine podcaster De'Vannon onto the podcast to discuss Black fetishization. Some of the topics discussed include mental health within the Black community, hypnotherapy, and trauma and negative energy. Subscribe today and join the conversation! De'Vannon Hubert is the author of Sex, Drugs, and Jesus, a memoir about his struggles with drug dealing, drug addiction, homelessness, serving in the Armed Forces, contracting HIV and HEP B, and rejection from his church for his sexuality. He is also the host of the Sex, Drugs, and Jesus Podcast and is the owner of DownUnder Apparel. De'Vannon's story is one of surviving the social outskirts and finding one's way back to a balanced path. Find his podcast and book at https://www.sexdrugsandjesus.com/ and visit is online store at https://www.downunderapparel.com/. You can find De'Vannon's newly released book for free at this link: https://www.sexdrugsandjesus.com/dont-call-me-a-christian/. Follow and Support the Podcast Patreon: https://www.patreon.com/heauxliloquy Twitter: @Heauxliloquy (https://www.twitter.com/heauxliloquy) Website: https://www.heauxliloquy.com Vernon's book: https://amzn.to/3vsZDm5 Vernon's IG: UrFavHeauxst (https://www.instagram.com/UrFavHeauxst/) Therapy w/ Vernon: https://www.psychologytoday.com/us/therapists/vernon-t-scott-decatur-ga/1201103 Subscribe to the Viberator In My Pod - https://linktr.ee/heauxliloquy Crisis and Psychological Resources Rape, Abuse, and Incest National Network https://www.rainn.org 800-656-HOPE (4673) National Suicide Prevention Lifeline https://www.988lifeline.org 800-273-TALK (8255) Text or call 988 National Domestic Violence Hotline https://www.thehotline.org 800-799-7233 Text START to 88788 Find A Therapist American Psychological Association (https://www.apa.org/topics/crisis-hotlines) Psychology Today (https://www.psychologytoday.com/us/therapists/family-marital) Therapist Locator (https://www.therapistlocator.net/) Access additional resources on Open Counseling (https://blog.opencounseling.com/hotlines-us/) Open Counseling also has a list of International Hotlines (https://blog.opencounseling.com/suicide-hotlines/) Slaytor's Playhouse on the Web Slaytor's Playhouse: https://slaytorsplayhouse.com SP Linktree: https://linktr.ee/slaytorsplayhouse SP YouTube: https://www.youtube.com/channel/UCfS8UcvYHLtiDsfqQqTLJeg Coaching services available through Slaytor's Playhouse (https://bit.ly/3Deizss) Donate to Slaytor's Playhouse (https://bit.ly/3qDGUTF) Referrals and Affiliates If you are interested in signing up for Episodic Sound and accessing their list of royalty free music, please use my affiliate link (https://www.epidemicsound.com/referral/2mj5fk). If you are interested in joining the podcasting world and creating your own podcast, check out PodBean (https://www.podbean.com/topheauxpod). Sign up today and get one month free. Sponsorship Looking to sponsor the podcast? Email Slaytor's Playhouse at info@slaytorsplayhouse.com. The Heuaxliloquy Podcast Media Kit (https://bit.ly/35U78Kg) If you are an advertiser trying to reach a new market, check out PodBean Advertising (https://sponsorship.podbean.com/topheauxpod). Use the link to get up to $100 credits for running your first ad on PodBean.
Dr. Lisa Law and Dr. Randy Taplitz share the latest evidence-based recommendations from ASCO on vaccines in adults with cancer. They discuss recommended routine preventative vaccinations, additional vaccinations and revaccinations for adults undergoing HSCT, CD19 CAR-T treatment, or B cell-depleting therapy, guidance for adults with cancer traveling outside the U.S., and recommendations for vaccination of household and close contacts of adults with cancer. Dr. Law and Dr. Taplitz also share their insights on the guideline, including the importance of this guideline for adults with cancer and their clinicians, future advances in research, and current unmet needs. Read the full guideline, “Vaccination of Adults with Cancer: ASCO Guideline” at www.asco.org/supportive-care-guidelines. TRANSCRIPT This guideline, clinical tools, and resources are available at http://www.asco.org/supportive-care-guidelines. Read the full text of the guideline and review authors' disclosures of potential conflicts of interest in the Journal of Clinical Oncology, https://ascopubs.org/doi/10.1200/JCO.24.00032 The ASCO Specialty Societies Advancing Adult Immunization (SSAAI) Project is supported by the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award to the Council of Medical Specialty Societies (CMSS) (with 100 percent funded by CDC/HHS). The contents are those of the authors and do not necessarily represent the official views of nor endorsement, by CDC/HHS or the U.S. Government. Brittany Harvey: Hello, and welcome to the ASCO Guidelines Podcast, one of ASCO's podcasts delivering timely information to keep you up to date on the latest changes, challenges, and advances in oncology. You can find all the shows, including this one, at asco.org/podcasts. My name is Brittany Harvey, and today, I am interviewing Dr. Lisa Law from Kaiser Permanente and Dr. Randy Taplitz from City of Hope Comprehensive Cancer Center, authors on “Vaccination of Adults with Cancer: ASCO Guideline.” Thank you for being here, Dr. Law and Dr. Taplitz. Dr. Lisa Law: Thank you. Dr. Taplitz: Thank you, Brittany. Brittany Harvey: Before we discuss this guideline, I'd like to take note that ASCO takes great care in the development of its guidelines and ensuring that the ASCO conflict of interest policy is followed for each guideline. The disclosures of potential conflicts of interest for the guideline panel, including Dr. Taplitz and Dr. Law, who have joined us here today, are available online with the publication of the guideline in the Journal of Clinical Oncology, which is linked in the show notes. So then, to dive into the content, here first, Dr. Taplitz, can you provide a general overview of both the scope and purpose of this guideline on vaccination of adults with cancer? Dr. Randy Taplitz: Yes, so people with cancer often experience a compromised immune system due to a variety of factors. This includes chronic inflammation, impaired or decreased function of the hematopoietic system, and treatments that compromise their immune function. Because of this, people with cancer are at a higher risk for infection, including with vaccine-preventable diseases. Also, response to vaccines in patients with cancer may well be affected by this underlying immune status, and their anticancer therapy, as well as the severity of the underlying malignancy. The purpose of vaccination in this group of patients is to prevent infection or to attenuate the severity of the disease when infection cannot be fully prevented. This ASCO review builds on a 2013 guideline by the Infectious Diseases Society of America, or IDSA, and uses what's called a systematic literature review of 102 publications between 2013 and 2023. This includes 24 systematic reviews, 14 randomized clinical trials, and 64 non-randomized studies. The largest body of evidence in these studies, not surprisingly, addresses COVID vaccines on the efficacy and safety of vaccines used by adults with cancer or their household contacts. ASCO convened an expert panel to review this evidence and formulate recommendations for vaccinations in this population. Brittany Harvey: Understood. I appreciate that context, Dr. Taplitz. So then, next, Dr. Law, I'd like to review the key recommendations of this guideline. The guideline addresses four overarching clinical questions. So starting with the first question, what are the recommended routine preventative vaccinations for adults with cancer? Dr. Lisa Law: Thank you, Brittany. Before I start, I just want to wholeheartedly thank the first author of this paper, Dr. Mini Kamboj, Dr. Elise Kohn from the NCI, as well as the ASCO staff in putting this publication and guideline together. It is a very, very important guideline, and I echo everything Dr. Taplitz just said. So going back to your question, what are the recommended routine preventative vaccines for adults with cancer? As per this guideline, there are about 7 to 8 based on patient age and risk. Namely, they are: seasonal flu, RSV for those aged 60 or above, COVID-19, Tdap, Hepatitis B, Shingrix, Pneumococcal vaccine, and the HPV vaccine. These vaccines should ideally be given two to four weeks before therapy. However, non-live vaccines can be given anytime during or after chemo, immunotherapy, hormonal treatment, radiation, or surgery. Brittany Harvey: Excellent. Thank you for reviewing those vaccinations and the timing of them as well. So then, following those recommendations, Dr. Taplitz, what additional vaccinations and revaccinations are recommended for adults undergoing hematopoietic stem cell transplantation, CD19 CAR-T treatment, or B-cell depleting therapy? Dr. Randy Taplitz: Many studies have shown that stem cell transplant recipients essentially lose immunity from childhood immunizations, and we know that these individuals are very vulnerable to infection, particularly in the first year after transplant. Revaccination is critical to help restore their immunity. The optimal timing of vaccination is based on our understanding of adequate immune reconstitution with B and T-cell recovery so that the individual can mount a response to the vaccine. We know that a lot of factors influence this immune reconstitution, including the age of the stem cell transplant recipient, the source of the donor, the time from transplant, graft-versus-host disease prophylaxis, the treatment and severity of graft-versus-host disease, and the vaccine type and antigens used. There are a number of bodies throughout the world, IDSA as I mentioned, CDC, American Society for Transplant and Cellular Therapy, European Society for Blood and Marrow Transplant, and European Conference for Infections and Leukemia. All of these bodies have guidelines that approach vaccination in stem cell transplants. However, variation does exist in the use of a variety of things including whether to use immune predictors to help guide vaccination, and there is really not consensus on whether this immune predictor guided vaccination is more likely to produce a protective immune response versus a standardized schedule. In addition, the duration of protection is incompletely understood. The bottom line in these guidelines is that they recommend complete revaccination starting for most vaccines at 6 to 12 months after stem cell transplant, in order to restore vaccine-induced immunity. And I just want to go through a few of the particulars. For COVID-19, which is a three-dose series in the primary series, influenza - generally high-dose influenza - and pneumococcal vaccine, PCV20 in general, ultimately four doses, can be administered, starting as early as three months after transplant. Although there is really not much data to guide the use of the recombinant zoster vaccine in allogeneic stem cell transplant, the vaccine can be administered after the end of antiviral prophylaxis, which in general is 12 to 18 months after allogeneic and 3 to 12 months after autologous stem cell transplant. Some of the other vaccines, such as hepatitis B, Tdap, meningococcal vaccines, and HPV revaccination in those less than 45 are also recommended. I want to also spend the moment talking about the two recently licensed RSV vaccines, which were essentially studied in less compromised hosts and really without any immunogenicity data in stem cell transplant, and thus, there is no recommendation in this guideline for the use of these vaccines after transplant. Live vaccines, such as MMR and varicella – varicella would be in varicella-seronegative patients without a prior history of varicella – should be delayed for at least two years and only given in the absence of active graft-versus-host disease or immunosuppression. Moving briefly to CAR T, which is an immunotherapy that involves adoptive cell therapy, given the available data and after a review by the group, it was recommended that adults with hematopoietic malignancies receiving CAR T therapy directed against B-cell antigens should receive influenza and COVID-19 vaccines either two weeks before lymphodepletion or no sooner than three months after the completion of therapy. Administration of non-live vaccines preferably should occur before CAR T treatment or at least 6 to 12 months after, following the same timing as what we recommend for stem cell transplant. There is really little data to guide the safety and timing of administration of live vaccines after CAR T therapy. In terms of adults receiving B-cell depleting therapy, they are generally unable for time to mount an effective humoral response but may have at least partially intact cellular immune responses. They are encouraged to be revaccinated for COVID-19 no sooner than six months after completion of B-cell depleting therapy, and they should receive influenza vaccine approximately four weeks from the most recent treatment dose for patients on chronic therapy. For other non-seasonal immunizations, vaccines ideally should be given two to four weeks before commencing anti-CD20 therapy or delayed until 6 to 12 months after completion, except for the recombinant zoster vaccine, which can be given one month after the most recent dose of B-cell depleting therapy. Brittany Harvey: I appreciate you reviewing each of those vaccinations and when they should be given, and reviewing the available data – albeit, limited data – in these situations. So beyond these routine preventative vaccinations and revaccinations that you've both just described, Dr. Law, what additional vaccinations does the expert panel recommend for adults with cancer traveling outside the United States? Dr. Lisa Law: Good question. As per these ASCO guidelines, adults with solid or blood cancer traveling outside of the United States should follow the CDC standard recommendations for their destination. For the 2024 CDC Yellow Book, travel vaccines, in general, should be delayed until three months from the last chemotherapy or, and for those with solid tumors, ideally when the disease is in remission. Of note, hepatitis A, typhoid, inactivated polio, Hep B, rabies, meningococcal vaccine, and Japanese encephalitis vaccines are considered to be safe. In all cases of travel, patients should be counseled by their healthcare provider about the travel timing, with the additional attention to the regional seasonality of infections, for instance, influenza is more common in late summer in Australia, and also with attention to any outbreaks that may be occurring globally at the time of travel. Brittany Harvey: Absolutely. Those are key points for clinicians to discuss with their patients as they consider upcoming travel. So then, the final clinical question that the panel addressed, Dr. Taplitz, what vaccinations does the panel recommend for household and close contacts of adults with cancer? Dr. Randy Taplitz: Thank you. Yes, it is recommended that all household members and close contacts, when possible, be up to date on their vaccinations. And the only further thing I would say is that there are some special considerations for the use of live vaccines in household contacts, particularly in stem cell transplant recipients. Contacts of people who receive stem cell transplants should preferably receive inactivated influenza vaccines. As was mentioned, MMR and varicella vaccines are both safe to administer to close contacts. Vaccine strain transmission to immunocompromised hosts has not been associated with MMR use in family members. Eleven cases of the varicella vaccine strain transmission are described in the published literature, but none occurred in compromised hosts. Because the vaccine strain can cause severe and fatal varicella in profoundly immunocompromised people, precautions are advised to avoid close contact with a person with a vaccine-induced rash. For household contact travelers, MMR and yellow fever vaccines are considered safe. Oral cholera should be avoided. For smallpox vaccines, the second-generation ACAM2000 has rarely been associated with vaccinia transmission and should be avoided because of this. But the live replication-deficient MVA-based JYNNEOS vaccine is felt to be safe for household contacts of immunocompromised individuals. Brittany Harvey: I appreciate you reviewing the importance of vaccination for household and close contacts, and some of those precautions that individuals should take. I appreciate you both for reviewing all of these recommendations. So then in your view, Dr. Law, what is the importance of this guideline, and how will it impact both clinicians and adults with cancer? Dr. Lisa Law: In my opinion, this is a very important guideline that is long overdue in the oncology community and will have a huge impact on both clinicians and adults with cancer. Over the years, I have often been asked by my colleagues and patients, “Can I have the flu vaccine, and if so, when?” So this guideline really is going to be helpful. More importantly, our cancer patients are living much longer. They may have years of quality of life even with third or fourth line of treatment, especially, for instance, like CAR T for myeloma and lymphoma. However, we know that with additional treatment, that carries a substantial risk of infection complication among these immunocompromised patients. So it is of paramount importance to inform our patients and colleagues to be proactive in advocating preventive therapy ahead of time, meaning trying to get the patients appropriately vaccinated as early as possible to generate immunity. Another case in point is the Shingrix vaccine. I used to see lots of shingles, but ever since we have the recombinant Shingrix, I have fewer encounters. And this is huge because post-herpetic neuralgia robs a patient's quality of life. So, again, it is very important to recommend appropriate vaccines for our cancer patients. Brittany Harvey: Absolutely. It is key to ensure patients receive these preventative vaccines, and we hope that this guideline puts an emphasis on that for clinicians and patients. So finally, to wrap us up, Dr. Taplitz, what are the current gaps in knowledge regarding the vaccination of people with cancer? Dr. Randy Taplitz: There are a number of really important gaps in knowledge and really critical unmet needs that require research and other dedicated efforts. Among these are, and I think paramount, are really the participation of people with cancer with varied types of immunocompromise in vaccine trials. Where vaccine trials are only for cancer patients, obviously is ideal, testing vaccines in the appropriate population. But when that's not feasible, pre-existing cancer should not preclude eligibility, and inclusion of cohorts of people receiving anticancer treatment should be incorporated prospectively. So that's really critical because the quality of our guidelines is based upon the data. We use the data for developing guidelines and gathering more data in the particular patient population is really, really critical. Secondly, work for creating more immunogenic vaccines and research to understand the immune response to vaccines after immuno-depleting therapies, particularly with newer therapies such as CAR T and newer B cell therapies, bispecific antibodies, etc. is really critical. We need to really understand the immune response and have the most potent vaccines available to these people who may have impaired immune responses. Switching gears a little bit, we really need mechanisms to promote institutional commitment to integrate and sustain immunization best practices for people with cancer. This will largely be through multidisciplinary, team-based approaches, protocol-based vaccination standing orders, and leveraging data sharing so that we can all be on the same page with giving vaccines to these individuals. We also need education and evidence-based decision-making tools, emphasizing preventive care through immunization, the availability of educational resources to clinicians and patients to address commonly asked questions and also misconceptions about vaccination, that's absolutely critical. And finally, I think we need to develop strategies for addressing unique challenges and factors contributing to vaccine hesitancy during cancer therapy. We need to focus on patient and clinician communication, and very importantly, we need to consider health equity considerations in the development and approach to vaccines in these compromised patients. Brittany Harvey: Definitely, we'll look forward to research and advances in these areas that you've just described to support these guidelines and increase vaccine uptake. So I want to thank you both so much for your work on this important guideline, and thank you for your time today, Dr. Law and Dr. Taplitz. Dr. Lisa Law: Thank you. Brittany Harvey: And thank you to all of our listeners for tuning in to the ASCO Guidelines podcast. To read the full guideline, go to www.asco.org/supportive-care-guidelines. You can also find many of our guidelines and interactive resources in the free ASCO Guidelines app, available in the Apple App Store or the Google Play Store. If you have enjoyed what you've heard today, please rate and review the podcast, and be sure to subscribe so you never miss an episode. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.
Have you ever heard of Andrographis? Most people haven't, and it's time that changed! On this episode of Vitality Radio, Jared invites Cheryl Myers back to the show to dig deep on the clinically proven benefits of Andrographis - everything from helping with fatty liver, preventing and reducing the length of a cold, and its role with auto-immune disease. Next, they'll break down why CuraMed is the most powerful form of curcumin on the market and how it can help with inflammation, oxidative stress, and detoxification. You'll learn how and when to use these medicinal herbs and why they should be in your medicine cabinet.Cheryl Myers is Chief of Scientific Affairs for EuroPharma, Inc. She is an author and healthcare professional with certifications in cancer, pain control, and issues of aging. She is an expert in dietary supplements and natural medicines who has been a featured guest on hundreds of radio and television shows, as well as interviews with the New York Times, Prevention Magazine, the Wall Street Journal.Products:Terry Naturally AndrographisTerry Naturally CuramedAdditional Information:#325: Boswellia's Incredible Impact on Lung and Gut Inflammation, and the Powerhouse Antioxidant that is Grape Seed Extract, with Cheryl Myers#176 Natural Ways to Address Pain and Systemic Inflammation with Cheryl MyersVisit the podcast website here: VitalityRadio.comYou can follow @vitalityradio and @vitalitynutritionbountiful on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Please also join us on the Dearly Discarded Podcast with Jared St. Clair.Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.
It is never too early to prepare for dental hygiene school or the national board exams! One thing to know before you go: Hepatitis B. Hepatitis B is a viral infection that can affect the liver. It is transmitted via infected bodily fluids. As a dental hygienist, we work closely with patients and their oral health, which means potential exposure to Hepatitis B found in blood and saliva. Also, hepatitis B can survive for at least 7 days in dried blood left on surfaces (such as the dental chair). Did you know that most dental hygiene schools require/recommend a Hepatitis B vaccine? This vaccine protects you from Hep B and protects your patients from possible transmission. Bonus: the Hep B vaccine also protects you from Hepatitis D, as well! Fun fact: there are 5 different types of hepatitis (A,B,C,D,E).See the full transcript HERE Want a question answered on the show? Fill out the DHB Questionnaire HERE Slide into my DMs HERE: Instagram: @dentalhygienebasics Facebook: Dental Hygiene Basics Twitter: @DH_Basics Email:DHBasics@protonmail.com Hosted on Acast. See acast.com/privacy for more information.
Nurses Out Loud with Kimberly Overton, BSN, RN and Jodi O'Malley MSN, RN – Jodi and I, alongside Dr. Richard Urso, delve into your pressing healthcare queries. We explore the surge in aggressive "Turbo" Cancers post-vaccination, newborn vaccinations like Hep B and Vitamin K, and discuss the importance of microbiome, gut health, and dietary changes for effective weight loss. Join us on this enlightening journey.
Nurses Out Loud with Kimberly Overton, BSN, RN and Jodi O'Malley MSN, RN – Jodi and I, alongside Dr. Richard Urso, delve into your pressing healthcare queries. We explore the surge in aggressive "Turbo" Cancers post-vaccination, newborn vaccinations like Hep B and Vitamin K, and discuss the importance of microbiome, gut health, and dietary changes for effective weight loss. Join us on this enlightening journey.
On August 26, 2023, we summarized the ACOG update on viral hepatitis in pregnancy and discussed new concepts regarding Hep B viral infection. To follow that up, the SMFM has now released its Consult Series #69 (Hepatitis B in Pregnancy: Updated Guidelines) which was published on December 21, 2023. In this episode, we will reinforce some topics originally discussed back in August 2023 and emphasize key management issues regarding Hep B in pregnancy based on this Consult Series… both for the infected, and the non-infected/non-immune patient. Is antepartum fetal surveillance indicated in these patients? Is C-section a way to prevent perinatal transmission? What's the viral load cut-off to begin antiviral medication? Is it safe to administer hepatitis B vaccine during pregnancy for those who need it? Listen in for details.
TO WATCH ALL FLYOVER CONTENT: theflyoverapp.comFor Tickets to a ReAwaken America Event - text the word FLYOVER to 918-851-0102The 10 Things You Need To Know - Healthcare, Hospital, Covid-19, Nicotine, Magnesium, Vaccines, Sleep, Venom, Medication, Deep State's Control: https://rumble.com/v3n1oek-dr.-bryan-ardis-the-10-things-you-need-to-know.html Dr. Bryan Ardis:WEBSITE: https://thedrardisshow.comTELEGRAM: https://t.me/thedrardisshowHEALING FOR THE AGES: www.healingfortheages.com For LIFE-SAVING Information about the Vaccine, - Text VAX to 40509 (Message and data rates may apply. Terms/privacy: 40509-info.com)-------------------------------------------SPONSORS FOR TODAY'S VIDEO► ReAwaken America- text the word EVENTS to 40509(Message and data rates may apply. Terms/privacy: 40509-info.com)► Kirk Elliott PHD - http://FlyoverGold.com ► My Pillow - https://MyPillow.com/Flyover► Z-Stack - https://flyoverhealth.com ► Dr. Jason Dean (BraveTV) - https://parakiller.com ► Patriot Mobile - www.patriotmobile.com/flyoverWant to help spread the Wake Up • Speak Up • Show Up -https://shop.flyoverconservatives.com/-------------------------------------------Follow our Social Media so we can be best friends
#rezerv #ekonomi #faiz Ekonomist Haluk Bürümcekçi ile yabancı yatırımcıların Türkiye'ye geliş şeklini ve nedenini, TCMB rezervlerindeki detayları, Merkez Bankası'nın haftaya açıklayacağı faiz kararını ve Fed'in 2024 stratejisini konuştuk.İyi dinlemeler...
For our American listeners you may recognize the name Punxsutawney Phil (aka the star of Groundhog Day). This well known rodent has a lot more tricks up its sleeves than predicting whether or not there will be 6 more weeks of winter. Joining us today to talk about his west coast relatives is Dr. Greg Florant, biology professor and director of the Graduate Center for Diversity and Access at Colorado State University. Dr. Florant, who specializes in animal hibernation, specifically Marmots not only shares his now widely used technique to catch marmots in the wild but also how these animals are able to survive with a body temperature just above freezing. **When we talk about hepatitis please note we are referencing Hep B, not C as mentioned.** To lear more about Dr. Florant and his research check out the links below! https://www.nsf.gov/bio/bioac/members/bio_sketch/Greg_Florant.pdf https://www.sciencedaily.com/releases/2000/02/000202075735.htm https://www.coloradoan.com/story/csu/2015/02/02/every-day-is-groundhog-day-for-csu-researcher/22599379/ https://www.youtube.com/watch?v=POafue9RsuI https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2527986/ We cannot thank Dr. Florant enough for his time and sharing his knowledge with us! Support us and make your friends jealous with some of our official merch! Take a look here https://just-animals-podcast.myspreadshop.com/ As always send us an email at justanimalspod@gmail.com Find us on Instagram @justanimalspod --- Send in a voice message: https://podcasters.spotify.com/pod/show/justanimals/message
Mentors are instrumental in the professional and personal growth of healthcare professionals. However, mentoring relationships often fail to realize their full potential. Attendees will be encouraged and equipped to initiate mentoring relationships that provide both mentor and mentee with a rewarding experience.
In this session, It will seek to help guide you on how to respond to God’s Command and Commission, The quest for discovering and following God’s will and purpose for one’s life is often an illusion to many children of the Living God, Many believers resorts to imitating others and or live a hypocritical phantom life as they are tied down to daily engagements and undertakings of everyday life, It is hoped that discovering the reason for living your life with purpose is made easier. You will discover the purpose for which God design you and gain the confidence to fruitfully be where you belong, through the power of the Holy Spirit. You will be guided through a biblical process and principles to seeing exactly God’s intent for your unique being and person, as Gods design, where you will discover that It all began with God before the foundations of the earth. Ever since, before the fall of humanity, God has you in mind, and he designed you for a purpose and through a process, but as a result of the departure of humans from God, through disbelief, you became blind and were kept ignorant of His plans for you. However, you will discover that His Deep love and Great Mercy, God called you to salvation, you became a new creature and adopted as His Child, hence He qualified you, by being a new creature in His image, He desires for you to return and rediscover His plan and purpose for your life As He God Intended. Responding to Gods Command and Commission, is a call to be ready, Dressed for service fully equipped and Lacking in nothing as you Respond through Obedience, based on a biblical Principles, These herculean task by helping you identify your uniqueness within the body of Christ, and to enable you walk confidently and victoriously where you belong in the program of God through the enabling power of the Holy Spirit. Finally, through the Scriptures and the Power of the Holy Spirit, You will be exposed and guided to God’s Command and Commission, That you begin to instantly manifest the reality of your purpose for living, Emblemed and empowered with full of Zeal, Passion and Fruitfulness, Genuinely ready for all the good works God has designed you to accomplish – Loving God with all your heart, soul and strength and loving others through your service of obedience to his Commission, Praying, Evangelizing, Discipling, Equipping and living a lasting fruit to the Glory of God. Our focus will be what it does take to be dressed, ready for service from your call to salvation to your call to service, Exploring your Meditational life, Family Life and a life of Obedience to His Command and Commission. AS YOU RESPONDING TO GOD’S COMMAND AND COMMISSION
In 1990, the ACOG released the “Perinatal Hepatitis B Prevention Program“. OB healthcare workers have doing universal screening for Hepatitis B using HBsAg in each pregnancy, ever since. However, there is a new guidance being released in September 2023 from the ACOG. This new guidance aligns with the national Hep B screening and testing recommendations from the CDC released March 2023. Are you familiar with the “Hep B triple screen”? Is antiviral therapy recommended for Hep B in pregnancy? When should it be used? And is breast-feeding still allowed in mothers with Hep B viral infection? We will cover all of this- and more- in this episode.
Episode 147: Routine Prenatal CareWritten by Elika Salimi, MSIV. Western University of Health Sciences, College of Osteopathic Medicine of the Pacific. Comments and editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice._____________________Elika: So, we're going to talk about some general principles of prenatal care and some of the most important diagnostic methods that we mainly use for taking care of pregnant women. I will forewarn you that there will be a ton of details in this talk, and I do recommend possibly taking notes as things can get easily confusing. This way you can have something to refer back to whenever you have a pregnant patient of your own.Arreaza: You can also download the episode notes from our website.Elika - So your patient is pregnant and she comes to you for care. How do we go about it? Well, this is assuming she had it at home urine pregnancy positive test and we got a blood hCG on her and everything's good and we know she's pregnant. Ok so now what happens next?Arreaza – We need to confirm the patient wants to keep the pregnancy.Elika - First, we're going to talk about the frequency of the check-ups. In this case, we are talking about a situation where the mother is coming to her appointments as she was supposed to but we all know that sometimes that doesn't happen if everything is going as it is supposed to then typically we get the initial examination at about 10 weeks of gestation and then until the 28th week there should be monthly visits, then from the 28th through the 36th there should be biweekly visits, and from the 36th week until birth, the visits are every week.Areaza – What´s next?Elika - Now I'd like to note that during the prenatal period, informed consent is very important and it should be obtained during this time because you want to prevent and manage any ethical conflicts that might exist between the mother and possibly the healthcare providers because we all know that any pregnancy can become high-risk at some point and pregnant individuals should be informed about the potential need for a c-section for example and be encouraged to discuss any concerns ahead of time. Elika - Now while we're talking about ethics, if the doctor finds him/ or herself in a situation where the patient is asking for something that the Dr does not feel comfortable with such as a certain type of treatment or a certain method of delivery or if they're, let's say, desiring an abortion and the doctor doesn't do abortions, then in this case you would refer the patient to a physician that is comfortable with the patient's desired outcome or treatment. And this is perfectly legal and fine just as long as you help the patient find somebody else. Arreaza – Abortion is legal in most states, but check your local regulations.Elika - So as mentioned earlier, the initial visit occurs at about 10 weeks of gestation. We start with checking their personal and family history and finding out about any previous pregnancies including at what GA baby born and weight if they know, any complications, gestational diabetes or preeclampsia, any history of postpartum hemorrhage requiring blood transfusion, any abortions (if present at what GA), and the method of deliveries, whether it was vaginal or a cesarean and what kind of C-section they had done. These are very important for you to obtain from your patient. You will also assess for depression and domestic partner violence.Arreaza – In California, we have a wonderful service called CPSP: Comprehensive Perinatal Services Program. What comes next? Elika - Upon receiving the history, we will do the gynecological examination and send in some samples. We will also send her to do some lab work. Now what do those labs entail? Well, we are going to get a CBC such as screening for anemia, we will also do TSH but only in people who have possible signs of thyroid disorder so not everybody needs to get this. And, we are going to send for a blood typing to find out about their ABO group and the Rhesus status. We will also obtain a urine analysis to screen for proteinuria and asymptomatic bacteriuria because in pregnancy, unlike outside of pregnancy, you do need to treat asymptomatic bacteriuria. We will also ensure that the mother is on prenatal vitamins, so folic acid, if not already, and iron, if indicated, and vitamin B6 if the patient has signs of nausea or hyperemesis gravidarum and this can be combined with doxylamine. Usually, pregnant women don't get a glucose screening test at the first visit unless let's say they have high risk of diabetes or they there was glucose in the urine. Arreaza – I like the topic of diabetes in pregnancy. So, in a high-risk population, we want to make sure a pregnant patient does not have diabetes, or pregestational diabetes.Elika - We will also screen for STI's including HIV, syphilis, hepatitis B, Hep C, and we also check for gonorrhea and chlamydia (pap) screening particularly in those under 25, or over 25 with high risk of infection. We will also test for rubella and varicella. Some places also order a QuantiFERON gold for tuberculosis. There are certain women that have indications for third-trimester screening for STI's on top of the ones that they already got in their first trimester. Those include chlamydia, gonorrhea, HIV, syphilis, and Hep B, and C but each of those have its own indications so for the purposes of time I will let you look that up on your own.Arreaza – Summary: Physical exam and labs to rule out preexisting conditions that may interfere with pregnancy, either infectious or metabolic, to mention some diseases. Elika - And finally, we will do an ultrasound assessment to get a more accurate reading of the fetus's gestational age.Arreaza – What comes after the first trimester?Elika- So like I mentioned they're going to need to be following up and some particular things need to be done at specific weeks. So we are going to discuss those. At every follow visit you need to obtain: the patient's weight, BP and other vitals, fetal heart sounds, the baby's measurement from the mother's pubic symphysis up until the fundus of the uterus, as well as a urine analysis to check for any glucose or protein in the urine because we are always concerned of possible preeclampsia or gestational diabetes. Another examination that I should mention is a Doppler ultrasound and this is usually indicated if there is suspected fetal growth restriction or if there's pregnancy-induced hypertension or if there's suspected fetal deformities or there is growth discordance in multiple pregnancies.Now we are going to discuss assessing for any abnormalities in the fetus. All pregnant women regardless of age should be offered noninvasive and aneuploidy screening test before 20 weeks of gestation. The 1st trimester combined screening occurs at about 10 to 13 weeks gestation, where we can order some blood tests for the mom such as the amount of hCG in maternal serum, as well as PAPP-A, on top of nuchal translucency that will see on the ultrasound. There is also the triple screen at 15-20 weeks which consists of ordering hCG, alpha-fetoprotein aka AFP, and estriol then there's also the quad screen test at 15-22 weeks gestation that consists of hCG, AFP, Estriol and Inhibin A. We also have the cell free fetal DNA testing that can occur after 10 weeks gestation at which the fetal DNA is isolated from the maternal blood specimen for genetic testing and this one actually happens to be the most sensitive and specific screening test for common fetal aneuploidies, and it is used for secondary screening after the ultrasound.Arreaza – Actually that test is done in all our patients on Medi-Call (cfDNA).Elika - If any of the screening tests are abnormal then we can provide counseling to mothers for more invasive diagnostic tests such as chorionic villus sampling, amniocentesis, and cordocentesis. At that point, you want to refer the patient to perinatology. Finally, in general an anatomical scan occurs ~18-22 weeks. Arreaza – Excellent, we have done the non-invasive genetic screening. What's next? Elika - Now we are going to talk about what happens in the third trimester specifically and what test you need to order. In the third trimester, you will order a CBC again, particularly at 24 weeks you want to do a repeat hemoglobin. We will also do the indicated repeat STI checks. We are also going to do gestational diabetes screening with the oral glucose test that I briefly mentioned earlier at around 24-28 weeks. This is usually done with a 50g 1 hr glucose tolerance test and if abnormal then a 100g 3 hour glucose test. You will also be repeating the Rh antibody just to make sure that the mother is still Rh negative because at 28 weeks, Rh negative mother should be administered RhoGAM 300 mcg intramuscularly and they need to get it again within 72 hours of delivery. Don't forget to give a TDAP vaccine at 27 weeks. And at 36 weeks you need to be obtaining a GBS culture (vaginal and rectal) for the patient just to make sure that there is no colonization because if there is then the patient is going to need GBS prophylaxis at admission because colonization by these bacteria can cause chorioamnionitis and neonatal infection such a sepsis. Overall when third trimester approaches you're going to make sure the plans for delivery have been properly scheduled or discussed with the patient and typically around 34 weeks you also want to check with your patient to see if they desire sterilization and obtain a consent if they will be having a C-section and they want to be sterilized after that. In those not requesting sterilization, it is a good idea to discuss what they want to do after this pregnancy for birth control since it is not safe to get pregnant again for another year. From 36 weeks' gestation, use Leopold maneuvers for assessment of fetal presentation but I'll let you look that up on your own. At this time, you may also use ultrasound as needed to confirm fetal lie and placental position.Patients with maternal conditions such as gestational diabetes or gestational hypertension/pre-eclampsia, or fetal condition such as heart defects or fetal growth restriction need to get biweekly NST/BPP tests at clinic in the third trimester because there is an increased risk of fetal hypoxic injury or death. An NST is basically a non-stress test that measures fetal heart rate reactivity to fetal movements. BPP /biophysical profile is a noninvasive test that evaluates the risk of antenatal fetal death usually after the 28th gestational week and what it consists of is the ultrasound assessment of fetal movement, fetal tone, fetal breathing, and amniotic fluid volume or we can also perform a contractions stress test that basically measures fetal heart rate reactivity in response to uterine contractions. Arreaza – I like talking about obesity. Weight gain is expected during pregnancy. Patients with normal weight are expected to gain 25-35 pounds. Patients with obesity are recommended to gain 11-20 only.Summary: Now I know that this was very extensive talk with a ton of details but if you took notes and refer back to it then I think things will somewhat make more sense and come together that way. The best thing we can do is try to adhere to guidelines to make sure that we don't miss anything. Sometimes it could be particularly difficult to manage patients that don't or can't come to their appointments regularly and you may sometimes have to give them bad news and what not so overall it is not always happy moments we face but the best we can do is try to give them the best care possible to avoid complications and have the patient deliver a healthy baby. Thank you for listening to me once again and hopefully I'll be back again soon on another talk on an OB/GYN related topic soon. Thank you very much. _____________________Conclusion: Now we conclude episode number 147, “Routine Prenatal Care.” Future Dr. Salimi gave an excellent summary of the care provided during the different trimesters of pregnancy. Remember to collect a detailed history, perform a comprehensive physical exam, and order the labs to rule out pre-existing conditions that could interfere with pregnancy or detect complications early to start timely interventions or refer to a higher level of care. This week we thank Hector Arreaza, Elika Salimi, and Verna Marquez. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:AAP, ACOG. Guidelines for Perinatal Care. American College of Obstetricians and Gynecologists Women's Health Care Physicians; 2017Zolotor AJ, Carlough MC. Update on prenatal care. Am Fam Physician. 2014; 89(3): p.199-208. pmid: 24506122.World Health Organization. WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience. World Health Organization; 2016Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR. Recommendations and Reports. 2021; 70(4): p.1-187. doi: 10.15585/mmwr.rr7004a1Murray ML, Huelsmann G, Koperski N. Essentials of Fetal and Uterine Monitoring. Springer Publishing Company; 2018Royalty-free music used for this episode: Space Orbit by Scott Holmes, downloaded on July 20, 2022 from https://freemusicarchive.org/music/Scott_Holmes/.
In this episode, I invited the divine podcaster De'Vannon onto the podcast to discuss Black fetishization. Some of the topics discussed include De'Vannon days selling meth and meeting with white men, our personal experience with being fetishized, findom requests, and swinger parties. Subscribe today and join the conversation! De'Vannon Hubert is the author of Sex, Drugs, and Jesus, a memoir about his struggles with drug dealing, drug addiction, homelessness, serving in the Armed Forces, contracting HIV and HEP B, and rejection from his church for his sexuality. He is also the host of the Sex, Drugs, and Jesus Podcast and is the owner of DownUnder Apparel. De'Vannon's story is one of surviving the social outskirts and finding one's way back to a balanced path. Find his podcast and book at https://www.sexdrugsandjesus.com/ and visit is online store at https://www.downunderapparel.com/. You can find De'Vannon's newly released book for free at this link: https://www.sexdrugsandjesus.com/dont-call-me-a-christian/. Follow and Support the Podcast Patreon: https://www.patreon.com/heauxliloquy Twitter: @Heauxliloquy (https://www.twitter.com/heauxliloquy) Website: https://www.heauxliloquy.com Vernon's book: https://amzn.to/3vsZDm5 Vernon's IG: UrFavHeauxst (https://www.instagram.com/UrFavHeauxst/) Crisis and Psychological Resources Rape, Abuse, and Incest National Network https://www.rainn.org 800-656-HOPE (4673) National Suicide Prevention Lifeline https://www.988lifeline.org 800-273-TALK (8255) Text or call 988 National Domestic Violence Hotline https://www.thehotline.org 800-799-7233 Text START to 88788 Find A Therapist American Psychological Association (https://www.apa.org/topics/crisis-hotlines) Psychology Today (https://www.psychologytoday.com/us/therapists/family-marital) Therapist Locator (https://www.therapistlocator.net/) Access additional resources on Open Counseling (https://blog.opencounseling.com/hotlines-us/) Open Counseling also has a list of International Hotlines (https://blog.opencounseling.com/suicide-hotlines/) Slaytor's Playhouse on the Web Slaytor's Playhouse: https://slaytorsplayhouse.com SP Twitter: https://www.twitter.com/slaytorsplay SP YouTube: https://www.youtube.com/channel/UCfS8UcvYHLtiDsfqQqTLJeg Coaching services available through Slaytor's Playhouse (https://bit.ly/3Deizss) Donate to Slaytor's Playhouse (https://bit.ly/3qDGUTF) Referrals and Affiliates If you are interested in signing up for Episodic Sound and accessing their list of royalty free music, please use my affiliate link (https://www.epidemicsound.com/referral/2mj5fk). If you are interested in joining the podcasting world and creating your own podcast, check out PodBean (https://www.podbean.com/topheauxpod). Sign up today and get one month free. Sponsorship Looking to sponsor the podcast? Email Slaytor's Playhouse at info@slaytorsplayhouse.com. The Heuaxliloquy Podcast Media Kit (https://bit.ly/35U78Kg) If you are an advertiser trying to reach a new market, check out PodBean Advertising (https://sponsorship.podbean.com/topheauxpod). Use the link to get up to $100 credits for running your first ad on PodBean.
Are you comfortable asking people for money? Do you understand the critical areas you must address if you are going to ask people to invest in you? This session will give you an understanding of the basics in fundraising that is fundamental to anyone in ministry. You will learn 5 critical things you must do in order to raise your own support. There is a solution to the obstacle of educational loans which often prevent many from going due to the amount of money that must be raised – MedSend. Additionally, you will understand how to qualify for a MedSend grant and what the Board is looking for in those who apply. Finally, you will gain and understanding of what you need to be doing right now if you are hoping to go to the field soon, next steps.
Hizmet erleri yedikleri tekmelere rağmen yeni okullar açıyor, açılımlar yapıyorlar!.. *Mazlumiyet ve mağduriyetler karşısında katiyen sarsıntı yaşamamak ve asla paniklememek lazım. Tekme yemeler olabilir; M. Âkif de “…tekme yerim, çifte yerim” diyor. Şimdiye kadar tekme yemedik hizmet insanı da olmamıştır; hep tekme yemişlerdir, çifte yemişlerdir. Fakat sarsılmayanlar ve yerinde duranlar kazanmış; tekme ve çifte atanlar da kaybetmişlerdir. *Onun için, değişik vesilelerle ifade etmeye çalıştığım gibi, bugüne kadar hizmetimizi kaç vitesle götürüyor idiysek, şimdi onu ikiye katlamamız lazım. Zaten bu işe gönül vermiş arkadaşlar bunu yapıyorlar. Onlar mesajlarını öteden almışlar, bizden değil; Allah ile irtibat sayesinde, sanki Cenâb-ı Hak onlara ışık tutuyor, onlar da o yolda yürüyorlar. Sürekli okulların sayısını arttırıyorlar, yeni üniversiteler açıyorlar. Allah'la irtibatın gücünü bilemeyenler, adanmış ruhları korkutabileceklerini zannettiler!.. *Aslında böyle krizli gibi görünen her dönemde hep böyle olmuştur. Az geriye doğru giden insanlar 27 Mayıs'ı, 12 Mart'ı,12 Eylül'ü ve 28 Şubat'ı da hatırlarlar. O dönemde de aynı yaveler minarelerin başından ilan edilir gibi medya yoluyla ilan edildi. Birileri bütün güç ve kuvvetlerini sizi sarsmak ve dağıtmak için kullandılar. İmkânları elinizden almak ve sizi panikletmek istediler. “Korkutursak millet bunlardan kopar, bizim yanımıza gelir.” dediler. Korkmamaya karar vermiş insanların hiçbir zaman korkmayacaklarını düşünemediler, bilemediler ve bilemezlerdi de!.. Çünkü o ruh haletini taşımıyorlardı!.. Çünkü Allah ile irtibatın insana çok önemli bir enerji kaynağı olduğunu bilemiyorlardı! Hazreti Rasûl-i Zîşân ile irtibatın mü'minde nasıl bir metafizik gerilim hâsıl ettiğini bilemiyorlardı!.. *Son maruz kalınan zulümler, bu işe dilbeste olmuş insanlarda o metafizik gerilimi biraz daha artırdı. Arkadaşlar daha bir kenetlendiler Allah'ın izni ve inayetiyle. Daha bir birleşme oldu ve bu, olanın üstünde bir sinerji hâsıl etti. Bugüne kadar Cenâb-ı Hak sizde o metafizik gerilimi muhafaza buyurdu. *Öyleyse, bundan sonra da hiç sarsılmadan, bir küheylan gibi koşmaya bakmalıyız. Ana yurdumuzda olan ve dünyanın değişik yerlerinde bulunan arkadaşlarımızla hepimiz, vites yükseltmeli ve düne kadar yapageldiğimiz hizmetlerimizi katlayarak sürdürmeliyiz. Bir gayeye gönül vermiş insanlar dünyayı ellerinin tersiyle iter ve dönüp ona bakmayı Allah'a karşı terbiyesizlik bilirler!.. *Hizmet adına neyimiz vardı bizim? Okul faaliyetlerimiz vardı. Toplumun değişik kesimleri arasında “diyalog” münasebetlerimiz vardı! Herkesin ayağına gidiyor, herkesi ziyaret ediyor, herkesin çayını içiyor, herkese çay içiriyorduk; bir yönüyle sarsılmış, kırılmış, örselenmiş o uhuvvet ruhunu ihya etmeye çalışıyorduk. Hiçbir şey olmamış gibi bunu yeniden devam ettirmemiz lazım! *Evet, o beşerî münasebetleri engin bir gönül şefkatiyle yeniden ihya etmek lazım. Mefkûre insanına, gaye-i hayal insanına düşen şey budur. Onlar yüksek bir gayeye dilbeste olmuşlardır. Dünyevî saltanat ve debdebeyi ellerinin tersiyle itmişlerdir. Saraylarla, yatlarla, yalılarla karşılarına çıksanız bile, onlar sağda solda ırgatlık yapmak suretiyle ruhlarının âbidesini ikâme etmekten başka bir şey düşünmezler. Mefkûrelerinden başka bir şey düşünmeyi kendilerine karşı saygısızlık sayarlar. Allah'a karşı terbiyesizlik sayarlar. Hazreti Ruh-u Seyyidi'l-Enâm'a karşı da edepsizlik sayarlar. *Mefkûre insanları hep dik dururlar. Dünyaya ait şeyleri dünya kadar kabul ederler. “Tatmaya izin var, doymaya yok!” diyen Hazreti Pîr-i Mugân'ın “Dünya lezzetleri zehirli bala benzer, lezzeti nispetinde elemi de vardır.” sözünü hep hatırda tutarlar. Bu video 04/10/2015 tarihinde yayınlanan “Hizmet Mevsimleri ve Himmet Meyveleri” isimli bamtelinden alınmıştır. Tamamı burada: https://www.herkul.org/bamteli/bamtel...
This session will consider case studies of biomedical research in mission contexts, derive best practices in biomedical research that enhance the work of mission institutions, and describe how to get involved in biomedical research in faith-based settings. Presentation Slides: https://bit.ly/gmhc2022_marktopazian_biomedicalresearchandfaith
Check it out on Spotify: https://spoti.fi/33Z4VsE Check it out on Apple: https://apple.co/3AHc2DT How to Meet Anybody with Steve Buzogany Episode: https://apple.co/3zuud1y De'Vannon Hubert is the author of Sex, Drugs and Jesus, a memoir about his struggles with drug addiction, drug dealing, homelessness, serving in the Armed Forces, contracting HIV and HEP B, and rejection from his church for his sexuality. De'Vannon is also the author of Don't Call Me A Christian, a book about his views on the catastrophe that is modern Christianity. De'Vannon is also the host of the Sex, Drugs and Jesus Podcast and is the owner of DownUnder Apparel - A lingerie and sportswear store for men and women. Aside from this, De'Vannon is an Honorably discharged veteran of the United States Air Force and a graduate of both Embry-Riddle Aeronautical University and the Hypnosis Motivation Institute. He also graduated from the Medical Training College of Baton Rouge and is a Licensed Massage Therapist. De'Vannon's story is one of surviving the social outskirts and finding one's way back to a balanced path. Dreams: Sell a Million Copies of the Memoir and have it become a movie. Finish a Poetry Book and another book about his past relationships. Use the books as a conversation for multiple families Expand his clothing line on Down Under Get a condo or house in Porta Vaierta Spiritual intentionality: Prayer, Fasting, Reading Spiritual Texts Introduce Them to: Oprah Madonna Favorite Book, Movie, or Podcast: Favorite Books are the Dune Series Contact them at: https://www.sexdrugsandjesus.com/ --- Support this podcast: https://podcasters.spotify.com/pod/show/timothy-douglas0/support
Check it out on Spotify: https://spoti.fi/33Z4VsE Check it out on Apple: https://apple.co/3AHc2DT How to Meet Anybody with Steve Buzogany Episode: https://apple.co/3zuud1y De'Vannon Hubert is the author of Sex, Drugs and Jesus, a memoir about his struggles with drug addiction, drug dealing, homelessness, serving in the Armed Forces, contracting HIV and HEP B, and rejection from his church for his sexuality. De'Vannon is also the author of Don't Call Me A Christian, a book about his views on the catastrophe that is modern Christianity. De'Vannon is also the host of the Sex, Drugs and Jesus Podcast and is the owner of DownUnder Apparel - A lingerie and sportswear store for men and women. Aside from this, De'Vannon is an Honorably discharged veteran of the United States Air Force and a graduate of both Embry-Riddle Aeronautical University and the Hypnosis Motivation Institute. He also graduated from the Medical Training College of Baton Rouge and is a Licensed Massage Therapist. De'Vannon's story is one of surviving the social outskirts and finding one's way back to a balanced path. Dreams: Sell a Million Copies of the Memoir and have it become a movie. Finish a Poetry Book and another book about his past relationships. Use the books as a conversation for multiple families Expand his clothing line on Down Under Get a condo or house in Porta Vaierta Spiritual intentionality: Prayer, Fasting, Reading Spiritual Texts Introduce Them to: Oprah Madonna Favorite Book, Movie, or Podcast: Favorite Books are the Dune Series Contact them at: https://www.sexdrugsandjesus.com/ --- Support this podcast: https://podcasters.spotify.com/pod/show/timothy-douglas0/support
On this episode of Inside Health Care, we talk Medicaid with a large, equity-focused provider about the end of the Fed's pandemic-related emergency Medicaid provisions. Following that, a chat with one of our 2022-2023 PCMH Certified Content Expert Quality Award winners. Later on, some fast facts for you in observance of World Hepatitis Day.Elevance Health, a large multi-state health insurance provider, is the largest managed care company in the Blue Cross Blue Shield Association. In September of 2022, an Elevance Health subsidiary, Simply Healthcare Plans of Florida, became one of the first health care organizations in the U.S. to earn accreditation in NCQA's Health Equity Accreditation Plus program.We interview Elevance Health Medicaid President Aimée Dailey alongside Staff Vice President for Medicaid Whole Health Kalunde Wambua to find out more about the company's continued commitment to Equity improvement.We also talk with one of NCQA's 2022-2023 PCMH Certified Content Expert Quality Award winner, Susanne Campbell, Senior Program Administrator for the Care Transformation Collaborative of Rhode Island. We talked about the challenges of getting people on board with quality measurement. And we learned that, as measurement improves, customer focus improves, and health delivery becomes more efficient, all leading to solutions for resolving historic gaps in health equity.Finally, in our Fast Facts segment, we observe the World Health Organization's World Hepatitis Day, scheduled annually every July 28th. We include resources from the U.S. Department of Health and Human Services alongside an article from the NIH. Hepatitis awareness includes further reminders for childhood immunization, something NCQA measures in our HEDIS Measures package called Childhood Immunization Status, or C-I-S. The measure calculates the rates for a number of childhood vaccines and vaccine combinations. Among the vaccines in the list, alongside DTaP, MMR, and the flu, are vaccines for both Hep A and Hep B.We're also proud to announce that Inside Health Care won two media industry awards, both announced in June 2023. We won a Merit award from the Digital Health Awards. We've also been named a Gold Winner 2023 by the Hermes Awards. Thanks to all our interviewees and leadership staff at NCQA for their support along the way.
In this episode, I invited the divine podcaster De'Vannon onto the podcast to discuss gender. Some of the topics discussed include how gender is fluid, cultural differences related to gender, and lingerie. Subscribe today and join the conversation! De'Vannon Hubert is the author of Sex, Drugs, and Jesus, a memoir about his struggles with drug dealing, drug addiction, homelessness, serving in the Armed Forces, contracting HIV and HEP B, and rejection from his church for his sexuality. He is also the host of the Sex, Drugs, and Jesus Podcast and is the owner of DownUnder Apparel. De'Vannon's story is one of surviving the social outskirts and finding one's way back to a balanced path. Find his podcast and book at https://www.sexdrugsandjesus.com/ and visit is online store at https://www.downunderapparel.com/. You can find De'Vannon's newly released book for free at this link: https://www.sexdrugsandjesus.com/dont-call-me-a-christian/. Follow and Support the Podcast Patreon: https://www.patreon.com/heauxliloquy Twitter: @Heauxliloquy (https://www.twitter.com/heauxliloquy) Website: https://www.heauxliloquy.com Vernon's book: https://amzn.to/3vsZDm5 Vernon's IG: UrFavHeauxst (https://www.instagram.com/UrFavHeauxst/) Crisis and Psychological Resources Rape, Abuse, and Incest National Network https://www.rainn.org 800-656-HOPE (4673) National Suicide Prevention Lifeline https://www.988lifeline.org 800-273-TALK (8255) Text or call 988 National Domestic Violence Hotline https://www.thehotline.org 800-799-7233 Text START to 88788 Find A Therapist American Psychological Association (https://www.apa.org/topics/crisis-hotlines) Psychology Today (https://www.psychologytoday.com/us/therapists/family-marital) Therapist Locator (https://www.therapistlocator.net/) Access additional resources on Open Counseling (https://blog.opencounseling.com/hotlines-us/) Open Counseling also has a list of International Hotlines (https://blog.opencounseling.com/suicide-hotlines/) Slaytor's Playhouse on the Web Slaytor's Playhouse: https://slaytorsplayhouse.com SP Twitter: https://www.twitter.com/slaytorsplay SP YouTube: https://www.youtube.com/channel/UCfS8UcvYHLtiDsfqQqTLJeg Coaching services available through Slaytor's Playhouse (https://bit.ly/3Deizss) Donate to Slaytor's Playhouse (https://bit.ly/3qDGUTF) Referrals and Affiliates If you are interested in signing up for Episodic Sound and accessing their list of royalty free music, please use my affiliate link (https://www.epidemicsound.com/referral/2mj5fk). If you are interested in joining the podcasting world and creating your own podcast, check out PodBean (https://www.podbean.com/topheauxpod). Sign up today and get one month free. Sponsorship Looking to sponsor the podcast? Email Slaytor's Playhouse at info@slaytorsplayhouse.com. The Heuaxliloquy Podcast Media Kit (https://bit.ly/35U78Kg) If you are an advertiser trying to reach a new market, check out PodBean Advertising (https://sponsorship.podbean.com/topheauxpod). Use the link to get up to $100 credits for running your first ad on PodBean.
This week's episode with your hosts, Rick and Sam, dives head first into the vaccine debate. Whether you are in line with the hosts' opinions that vaccines are not optimal, or you are a pro-vaccine human, this episode is worth a listen. They dive into some stats about why vaccines do not actually work, the lack of data that exists about the safety of vaccines, and why they have chosen to not vaccinate themselves and their children.In this episode:Stop saying, “SHOW ME THE SCIENCE.” It's (mostly) corrupt.Do v@ccines even work?How v@ccines are linked to chronic illnesses in childrenThe makeup of a v@ccine and how it behaves in the bodyThe problems with the testing and research process for v@ccinesWhy the Hep B v@ccine is BSAlternatives & how to support our childrens' immunity naturallyShow References:The Nourishing Traditions Book of Baby & ChildcareRead the Inserts: www.justtheinserts.com/The Vaccine Book by Dr. SearsBirthing Instincts PodcastsThis show is supported by:Butcher Box | http://rwrd.io/bxy895l?cNuuly | http://fbuy.me/s0MOgSomnifix Mouth Tape | Code ‘SRWELLNESS10' at somnifix.com for 10% off ClearSTEM Skincare | Code ‘SRWELLNESS' at clearstemskincare.com for 15% offSocial Tags:Follow Richard Raymond Sniegowski II:@richard_raymond_ii@yourdads_old45s@welcometolimeforestFollow Sammy Conrad:@samantharosewellnesssamantharosewellness.comsamanthaconrad.comFollow What The Fuck Is Happening:instagram.com/wtfh.podcast
God painted His heart for the Nations throughout the pages of His Word, from Genesis to Revelation... If we live our lives, spend our money, eat/drink, exercise, pray, and practice medicine without catching this vision, we're missing out on the greatest masterpiece ever created! We create a false dichotomy of domestic healthcare and that which is international. God doesn't see it this way and neither should we.
We live in the most amazing days since Jesus walked the earth. The global church is sprinting toward the finish line of the 2000-year Great Commission race, and by God’s grace, our generation may be the one to finish it. In this session, Douglas Cobb of The Finishing Fund will explain the global effort to get the gospel for the first time to the world’s last few unengaged people groups and will present the amazing promise of Matthew 24:14 that the completion of the Great Commission will open the door to the return of Christ.
The missional landscape has changed. The recent global events, the shifting distribution of Christians, and the realities of what God is allowing; are presenting a whole new missional landscape. What then are the new structures, approaches, and strategies that are proving effective for missions in our days? This will be shared with a special emphasis on the emerging role of medical missions and the strategy for partnerships. https://bit.ly/gmhc2022_florencemuindi_ourcurrentmission
In this comprehensive two-part series we leave no vaccine-related stone unturned. We delve into the history of vaccines, review a sample vaccine insert from the childhood immunization schedule taken straight from the FDA, and weigh the risks, benefits, pros, and cons so that YOU, the parent, can make the most informed decision for your child. We all have a shared goal: keeping our babies SAFE, and we recognize the approach we take toward achieving that may look different for each parent.Disclaimer: 00:02:48Kat's “why”: 00:04:20 April's “why”: 00:13:01Values: 00:15:00Milgram experiment 00:16:00 History of corruption: 00:19:20Thalidomide 00:20:25Ozempic 00:21:00Smoking while pregnant 00:22:28 Obesity drugs for kids: 00:26:33Academy of Dietetics and Nutrition: 00:28:45 The new food pyramid?: 00:30:25History of the vaccine schedule: 00:33:48 Hep B controversy: 00:42:08NCVIA 00:45:51VICP 00:48:18VAERS: 57:13Vaccine ingredients & excipients: 1:01:00 Polio & monkeys 1:09:00Vaccine excipients- 1:15:00Statistical risk of disease/illness vs. vaccine 1:18:00 You can view our resources here.If you have a question or would like to work with us 1:1, please book with us here.For discounts across our favorite products and services, check out our affiliate links/codes.If you're feeling philanthropic, please consider making a financial donation— even $5 goes a long way in helping us reach a wider audience to help other moms and soon-to-be moms think more critically and have the courage to mother against the mainstream. We're currently just a couple of moms bootstrapping our podcast; your support means everything. Thank you! We appreciate you subscribing and tuning in! Feel free to leave us a rating and written review if you enjoyed today's episode. See you next time.
De'Vannon Hubert is the author of Sex, Drugs and Jesus, a memoir about his struggles with drug addiction, drug dealing, homelessness, serving in the Armed Forces, contracting HIV and HEP B, and rejection from his church for his sexuality. De'Vannon is also the author of Don't Call Me A Christian, a book about his views on the catastrophe that is modern Christianity. De'Vannon also hosts a podcast - Sex, Drugs and Jesus and is the founder of Down Under Apparel - a lingerie brand for men and women. Among many of the milestones in his life, De'Vannon is also an Honorably discharged veteran of the United States Air Force. His story is one of survival, salvation and sass and one we could all learn from, no matter our path in life. This podcast is brought to you by Ethical Change Agency. Learn more about your ad choices. Visit megaphone.fm/adchoices
The missional landscape has changed. The recent global events, the shifting distribution of Christians, and the realities of what God is allowing; are presenting a whole new missional landscape. What then are the new structures, approaches, and strategies that are proving effective for missions in our days? This will be shared with a special emphasis on the emerging role of medical missions and the strategy for partnerships.
Please note that this interview was done before Dr. Hamilton had completed her PhD. Her update about her MS and the work she is doing now airs 01/20/2023 in episode HM259 “Quantum Biology and Healing with Dr. Skyler Hamilton.” Dr. Skyler Hamilton is interviewed by Dr. Liz about how she healed her Multiple Sclerosis (MS) and how her husband used hypnosis to reduce side-effects of chemotherapy to the point where he was able to run 3 miles a day during his treatments and not miss a day of work. Please note that hypnosis is not a cure for medical conditions but is discussed in this episode as a way to reduce side-effects and reframe treatment as healing and strength-giving. We'll Learn: Skyler's first experiences with hypnosis through free diving and a 46 minute birth of her second child. How Skyler used hypnosis to go from being in a wheelchair with home health aides to heal her own MS. How her husband used hypnosis to reduce side-effects of chemotherapy treatment and live years past his original estimate of 18 months. How her husband uses hypnosis to maintain his progress. How hypnosis works on a cellular level. Skyler's work with Opioid addiction and Opioid recovery and the transformation she begin to see with hypnosis. Skyler's research on hypnosis for healing on the cellular level. **Correction: Skyler mentions Hep B when discussing addiction when she meant to say Hep C. About Dr. Skyler Hamilton Dr. Skyler Hamilton Ph.D., is a Mind Body Psychologist, specializing in brain-gut disorders and the somatization of stress, anxiety, and trauma. Dr. Hamilton's methods include cutting-edge, evidenced-based techniques including neurolinguistic re-programming, psychoneuroimmunology, hypnosis, meditation, family systems and attachment theories. Her approach is evidenced based but is built upon a genuine, empathic bond. Dr. Hamilton has developed a unique evidence based neuroscience approach for treating inflammatory diseases. Her approach incorporates the power of the mind and Hypnosis for successful management of these extraordinarily difficult cases. See more about her at https://www.drsky.net About Dr. Liz Winner of numerous awards including Top 100 Moms in Business, Dr. Liz provides psychotherapy, hypnotherapy, and hypnosis to people wanting a fast, easy way to transform all around the world. She has a PhD in Clinical Psychology, is a Licensed Mental Health Counselor (LMHC) and has special certification in Hypnosis and Hypnotherapy. Specialty areas include Anxiety, Insomnia, and Deeper Emotional Healing. See more about Dr. Liz and get Free hypnosis files at http://bit.ly/drlizhypnosis -------------- Do you have Chronic Insomnia? Find out more about Dr. Liz's Better Sleep Program at https://bit.ly/sleepbetterfeelbetter Search episodes at the Podcast Page http://bit.ly/HM-podcast Help yourself with Hypnosis Downloads by Dr. Liz! http://bit.ly/HypnosisMP3Downloads --------- A problem shared is a problem halved. In person and Online hypnosis and CBT for healing and transformation. Schedule your free consultation at https://www.drlizhypnosis.com. Listened to in over 140 countries, Hypnotize Me is the podcast about hypnosis, transformation, and healing. Certified hypnotherapist and Licensed Mental Health Counselor, Dr. Liz Bonet, discusses hypnosis and interviews professionals doing transformational work Thank you for tuning in! Please subscribe to auto-download new episodes to your listening device.
In this session, you'll learn the most important questions to ask when considering a potential mission sending organization. Find your best fit by attending this seminar!
De'Vannon Hubert is the author of Sex, Drugs and Jesus, a memoir about his struggles with drug addiction, drug dealing, homelessness, serving in the Armed Forces, contracting HIV and HEP B, and rejection from his church for his sexuality. De'Vannon is also the host of the Sex, Drugs and Jesus Podcast and owns DownUnder Apparel - A lingerie and sportswear store for men and women. Aside from this, De'Vannon is an Honorably discharged veteran of the United States Air Force and a graduate of both Embry-Riddle Aeronautical University and the Hypnosis Motivation Institute. He also graduated from the Medical Training College of Baton Rouge and is a Licensed Massage Therapist. De'Vannon's story is about surviving the social outskirts and finding one's way back to a balanced path. 3 top tips for my audience: 1. Get clear on what you believe spiritually 2. Try to put yourself in other people's shoes 3. Focus your energy on improving yourself rather than correcting others Social media and contact info. How can viewers contact you after the interview? Please list your social media handles and websites. This is how they will appear in the show notes! https://www.sexdrugsandjesus.com https://www.facebook.com/SexDrugsAndJesus/ https://www.linkedin.com/in/devannon/ https://www.instagram.com/sexdrugsandjesuspodcast/ https://twitter.com/TabooTopix https://www.youtube.com/channel/UCnGqau-3OC4zMi0hgGJeusA #SexDrugsAndJesus #Religion #Truth #Trauma #LGBTQIA #TrueCrime
Heauxvember is a month dedicated to sexual health and freedom. In this episode, Vernon, Sydney and Aysia, the hosts of 2 Uncomfortable Black Girls, and De'Vannon, the host of the Sex, Drugs, and Jesus Podcast, will be doing a deep dive into the topic of sexual expression. Some of the topics covered in this episode include our personal turn-ons, different erogenous zones, our personal experiences of being shamed about our sexual expression, and we discuss the impact society has on your sexual expression. Subscribe today and join the conversation! Connect with 2 Uncomfortable Black Girls Aysia Chanelle and Sydney are your 2 Uncomfortable Black Girls. They take on questions from their friends, family, and followers to help people deal with their tough situations in life. Support 2 Uncomfortable Black Girls: linktr.ee/2ubgpodcast Connect with Sex, Drugs, and Jesus Podcast De'Vannon Hubert is the author of Sex, Drugs, and Jesus, a memoir about his struggles with drug dealing, drug addiction, homelessness, serving in the Armed Forces, contracting HIV and HEP B, and rejection from his church for his sexuality. He is also the host of the Sex, Drugs, and Jesus Podcast and is the owner of DownUnder Apparel. De'Vannon's story is one of surviving the social outskirts and finding one's way back to a balanced path. Find his podcast and book at https://www.sexdrugsandjesus.com/. Heauxvember Links Heauxvember 2022 Playlist: https://bit.ly/3CMAgj5 Purchase the Essential Guide on How to be a Hoe: https://amzn.to/3vsZDm5 Purchase the new Sexual Exploration Journal: https://bit.ly/3dRIuho Follow and Support the Podcast Patreon: https://www.patreon.com/heauxliloquy Twitter: @Heauxliloquy (https://www.twitter.com/heauxliloquy) Website: https://www.heauxliloquy.com Vernon's book: https://amzn.to/3vsZDm5 Vernon's IG: UrFavHeauxst (https://www.instagram.com/UrFavHeauxst/) Crisis and Psychological Resources Rape, Abuse, and Incest National Network https://www.rainn.org 800-656-HOPE (4673) National Suicide Prevention Lifeline https://www.988lifeline.org 800-273-TALK (8255) Text or call 988 National Domestic Violence Hotline https://www.thehotline.org 800-799-7233 Text START to 88788 Find A Therapist American Psychological Association (https://www.apa.org/topics/crisis-hotlines) Psychology Today (https://www.psychologytoday.com/us/therapists/family-marital) Therapist Locator (https://www.therapistlocator.net/) Slaytor's Playhouse on the Web Slaytor's Playhouse: https://slaytorsplayhouse.com SP Twitter: https://www.twitter.com/slaytorsplay SP YouTube: https://www.youtube.com/channel/UCfS8UcvYHLtiDsfqQqTLJeg Coaching services available through Slaytor's Playhouse (https://bit.ly/3Deizss) Donate to Slaytor's Playhouse (https://bit.ly/3qDGUTF) Referrals and Affiliates If you are interested in signing up for Episodic Sound and accessing their list of royalty free music, please use my affiliate link (https://www.epidemicsound.com/referral/2mj5fk). If you are interested in joining the podcasting world and creating your own podcast, check out PodBean (https://www.podbean.com/topheauxpod). Sign up today and get one month free. Sponsorship Looking to sponsor the podcast? Email Slaytor's Playhouse at info@slaytorsplayhouse.com. The Heuaxliloquy Podcast Media Kit (https://bit.ly/35U78Kg) If you are an advertiser trying to reach a new market, check out PodBean Advertising (https://sponsorship.podbean.com/topheauxpod). Use the link to get up to $100 credits for running your first ad on PodBean.
Heauxvember is a month dedicated to sexual health and freedom. In this episode, Vernon, Sydney and Aysia, the hosts of 2 Uncomfortable Black Girls, and De'Vannon, the host of the Sex, Drugs, and Jesus Podcast, will be doing a deep dive into the lyrics of love songs. We will be discussing those songs that are related to engaging in sex. The songs we will dissect are "Bad" by Wale (feat Tiara Thomas), "Any Time, Any Place" by Janet Jackson, "Say It" by NeYo, "Pussycat" by Missy Elliot, and "Meeting in my Bedroom" by Silk. Subscribe today and join the conversation! Connect with 2 Uncomfortable Black Girls Aysia Chanelle and Sydney are your 2 Uncomfortable Black Girls. They take on questions from their friends, family, and followers to help people deal with their tough situations in life. Support 2 Uncomfortable Black Girls: linktr.ee/2ubgpodcast Connect with Sex, Drugs, and Jesus Podcast De'Vannon Hubert is the author of Sex, Drugs, and Jesus, a memoir about his struggles with drug dealing, drug addiction, homelessness, serving in the Armed Forces, contracting HIV and HEP B, and rejection from his church for his sexuality. He is also the host of the Sex, Drugs, and Jesus Podcast and is the owner of DownUnder Apparel. De'Vannon's story is one of surviving the social outskirts and finding one's way back to a balanced path. Find his podcast and book at https://www.sexdrugsandjesus.com/. Heauxvember Links Heauxvember 2022 Playlist: https://bit.ly/3CMAgj5 Purchase the Essential Guide on How to be a Hoe: https://amzn.to/3vsZDm5 Purchase the new Sexual Exploration Journal: https://bit.ly/3dRIuho Follow and Support the Podcast Patreon: https://www.patreon.com/heauxliloquy Twitter: @Heauxliloquy (https://www.twitter.com/heauxliloquy) Website: https://www.heauxliloquy.com Vernon's book: https://amzn.to/3vsZDm5 Vernon's IG: UrFavHeauxst (https://www.instagram.com/UrFavHeauxst/) Crisis and Psychological Resources Rape, Abuse, and Incest National Network https://www.rainn.org 800-656-HOPE (4673) National Suicide Prevention Lifeline https://www.988lifeline.org 800-273-TALK (8255) Text or call 988 National Domestic Violence Hotline https://www.thehotline.org 800-799-7233 Text START to 88788 Find A Therapist American Psychological Association (https://www.apa.org/topics/crisis-hotlines) Psychology Today (https://www.psychologytoday.com/us/therapists/family-marital) Therapist Locator (https://www.therapistlocator.net/) Slaytor's Playhouse on the Web Slaytor's Playhouse: https://slaytorsplayhouse.com SP Twitter: https://www.twitter.com/slaytorsplay SP YouTube: https://www.youtube.com/channel/UCfS8UcvYHLtiDsfqQqTLJeg Coaching services available through Slaytor's Playhouse (https://bit.ly/3Deizss) Donate to Slaytor's Playhouse (https://bit.ly/3qDGUTF) Referrals and Affiliates If you are interested in signing up for Episodic Sound and accessing their list of royalty free music, please use my affiliate link (https://www.epidemicsound.com/referral/2mj5fk). If you are interested in joining the podcasting world and creating your own podcast, check out PodBean (https://www.podbean.com/topheauxpod). Sign up today and get one month free. Sponsorship Looking to sponsor the podcast? Email Slaytor's Playhouse at info@slaytorsplayhouse.com. The Heuaxliloquy Podcast Media Kit (https://bit.ly/35U78Kg) If you are an advertiser trying to reach a new market, check out PodBean Advertising (https://sponsorship.podbean.com/topheauxpod). Use the link to get up to $100 credits for running your first ad on PodBean.
Imagine going from being an active church member of a very well known evangelical church in Houston, to becoming a drug addict, dealer, being homeless and serving in the armed forces. Take a ride on this crazy yet endearing story of De'Vannon Hubert as he shares his journey of life beyond struggles and near catastrophe to living his truth and not fighting against himself. About DeVannon De'Vannon Hubert is the author of Sex, Drugs, and Jesus, a memoir about his struggles with drug dealing, drug addiction, homelessness, serving in the Armed Forces, contracting HIV and HEP B, and rejection from his church for his sexuality. De'Vannon is also the host of the Sex, Drugs, and Jesus Podcast and is the owner of DownUnder Apparel. Aside from this, De'Vannon is an Honorably discharged veteran of the United States Air Force and a graduate of both Embry-Riddle Aeronautical University and the Hypnosis Motivation Institute. He also graduated from the Medical Training College of Baton Rouge and is a Licensed Massage Therapist. De'Vannon's story is one of surviving the social outskirts and finding one's way back to a balanced path. Connect With DeVannon https://www.sexdrugsandjesus.com (Website) https://www.facebook.com/SexDrugsAndJesus/ (Facebook) https://twitter.com/TabooTopix (Twitter) https://www.instagram.com/sexdrugsandjesuspodcast/ (Instagram) You can also listen to the podcast on… https://apple.co/2RBmUxZ ()https://bit.ly/2UxP9zN () https://spoti.fi/2JpvCfg ()https://www.stitcher.com/podcast/rick-clemons/the-coming-out-lounge () http://tun.in/pjtKR ()https://bit.ly/30kT4kL () https://bit.ly/2FVH55j ()
Hattie… with these kind of insights, you are going to ROCK your oral boards in the next 72 hours! We are cheering you on!
Imagine going from being an active member of one of the most well known evangelical churches in Houston - Lakewood Church - yes that one...to becoming a drug addict, dealer, being homeless and serving in the armed forces. Talk about polar opposites, but it is his reality, his story, and his journey to be himself as a gay man. De'Vannon Hubert shares his journey of life beyond struggles and near catastrophe. About DeVannon De'Vannon Hubert is the author of Sex, Drugs, and Jesus, a memoir about his struggles with drug dealing, drug addiction, homelessness, serving in the Armed Forces, contracting HIV and HEP B, and rejection from his church for his sexuality. De'Vannon is also the host of the Sex, Drugs, and Jesus Podcast and is the owner of DownUnder Apparel. Aside from this, De'Vannon is an Honorably discharged veteran of the United States Air Force and a graduate of both Embry-Riddle Aeronautical University and the Hypnosis Motivation Institute. He also graduated from the Medical Training College of Baton Rouge and is a Licensed Massage Therapist. De'Vannon's story is one of surviving the social outskirts and finding one's way back to a balanced path. Connect With DeVannon https://www.sexdrugsandjesus.com (Website) https://www.facebook.com/SexDrugsAndJesus/ (Facebook) https://twitter.com/TabooTopix (Twitter) https://www.instagram.com/sexdrugsandjesuspodcast/ (Instagram) Hey Guys, Check This Out! Are you a guy who keeps struggling to do that thing? You know the thing you keep telling yourself and others you're going to do, but never do? Then it's time to get real and figure out why. Join the 40 Plus: Gay Men Gay Talk, monthly chats. They happen the third Monday of each month at 5:00 pm Pacific - https://rickclemons.com/mens-chats/ (Learn More!) Break free of fears. Make bold moves. Live life without apologies P.S. get your free My Bold Life Manifesto, right here - https://rickclemons.com/manifesto/ (rickclemons.com/manifesto/) You can also listen to the podcast on… https://apple.co/2Q4nnbt () https://open.spotify.com/show/3D4LvaRQjd5EcHWW4nKmQp ()https://www.stitcher.com/podcast/rick-clemons/forty-plus-real-men-real-talk () http://tun.in/pjrug ()https://www.podchaser.com/podcasts/40-plus-real-men-real-talk-854094 () https://radiopublic.com/40-plus-real-men-real-talk-WoBlp5 ()
The episode you've all been waiting for is here!! I got to interview board certified OBGYN Nathan Riley and this conversation was beyond eye opening. Most people would agree that modern Obstetrics could use a LOT of improvement and yet not many changes have happened to improve maternal care. It was incredible to get to have such a candid conversation with Nathan and essentially ask him ALL the questions many of us have wished we could ask an OBGYN. This episode is part of our #cyclicalbirthseries And as always with everything on my platform and podcast, this is educational and never to invoke shame. Today's episode is brought to you by Cozy Earth, my FAVORITE super soft sheets. Try it for 100 days and love it or get your money back Take 40% off your order with code “goddesspodcast” at https://cozyearth.com/products/bamboo-sheet-set?variant=40252110405812 In this episode we talk about: Nathan's story leaving the conventional model as a OBGYN Is it physicians or insurance that more so dictate care? Options with Group B Strep Considerations if you choose to work with a OBGYN Is the Hep B shot and Vitamin K shot necessary? Is breaking the water a bad thing to encourage labor? Benefits of delayed cord clamping The sad truth around having to pay out of pocket for midwifery care Is there really significant risk to being 42 weeks gestation? Are doctors taught how to deliver breech babies? And so much more