Podcasts about her choice

Her Choice, God's Design For Her To Be a Submissive Wife

Over the past decade, women in China have become a driving force (pun intended) in car purchases, from compact EVs to high-end luxury vehicles. But how are brands adapting their marketing to meet the needs of female consumers? What trends are shaping their buying decisions? To help us unpack this, we're joined by Janice Kok, Head of Strategy, and Reiko Wu, Planning Director, both at GREY & AKQA China. Janice is a seasoned strategist with over 20 years of experience in brand and marketing strategy, particularly in the Chinese market. Janice and Reiko recently released a white paper, “Her Choice, Her Ride, The Rise of Female Automobile Power in China.” 1. What's the big macro trend in the Chinese auto market right now? Are Gen Z turning away from car ownership? 2. Can you tell us about the methodology of the study? Who did you talk to, and why did you release this report? 3. What are the essential things you focus on to appeal to women in advertising? How do you keep a gender balance? 4. How do you specifically communicate attributes to women in social media? What's the role of influencers? 5. Does domestic travel and China's discovery influence car purchase amongst women? What's the role of domestic well-being? 6. Are there some brands or particular models that are more female-oriented? 7. Foreign brands are taking a beating in China, can targeting specific groups improve sales? 8. How are Chinese consumers different from their counterparts in other parts of the world?

Joy Pinto lives for the "audience of one" every day--she lives for Christ.   At 48 Joy was diagnosed with stage 3 colon cancer. As she faced her painful illness and mortality, her faith was tested in a way she would never change. One day Joy was in bed for 17 hours and she asked God when the "fire" would be over. God responded, "When you can dance with me in the fire." Joy got up from bed and slowly danced with Jesus. This intimacy with Christ and the conviction of her belief has continued to carry Joy and helped her to share her love of God with others. Joy shares this love through her work with Her Choice Birmingham Women's Center and the At Home with Jim and Joy show on EWTN, as well as personally with her home parish, friends and family.

Kayce Maddux lost her sister when she was in third grade. In their suffering, Kayce's family stopped going to church for a time. Yet God met Kayce right where she was at in the intimacy of her heart and backyard of her home. Jesus became Kayce's very best friend. Kayce continued to seek God throughout her adolescence and was blessed to meet her husband at a young age--she was surprised when they sat atop a lifeguard tower and talked about their passionate love of God during their first full conversation. Kayce converted to Catholicism to get married to her husband in the Church. Kayce talks about how God works through all things, met her as a young bride and drew her closer than she had ever been before. Kayce continues grow close to God through the Sacraments and prayers she has been blessed with in the Catholic Church.  Kayce recognizes how God draws us near every day in all things. She recognizes the sacred balance between having Catholic friendships centered in the Lord, while also being surrounded with those different from her to discover God more fully and stay ignited with the fire of His love. 

The DSP sit & discuss - The Boastfulness of Boris Johnson (5:00), Hangovers (17:46), Partners and Parents (23:08), London Life (34:45), Stranger Things (37:49), Her Body, Her Choice (44:03), and much much more… Host: Rhys Waul - Twitter: @Raw_like_me - Instagram: Rawlikeme, Mark Brown - Twitter: @Mister2Drink - Instagram: Mister2Drink - Kaydia - Instagram: kaykaysmall - Twitter: @kokosmall18 - @AURofficial_ MrOh - Twitter: @MrOhYes - Instagram: Misterohhhhh, Instagram: K_styles Websites https://differentstrokespodcast.onpodium.com/ https://markanthonyphotography.online https://www.mroh.co.uk/

El destino de millones de mujeres está en manos de la Corte Suprema estadounidense. La publicación de un borrador de un fallo de los jueces conservadores que componen el máximo tribunal ha causado gran conmoción, ya que invalidaría la ley Roe versus Wade que permite el aborto más allá de las 20 semanas de embarazo. Asociaciones y médicos temen que un fallo abra la puerta a la prohibición pura y sencilla del aborto en varios estados. La amenaza de un fallo de la Corte Suprema, que anularía la decisión en el caso “Roe versus Wade” de 1973, sacudió como un terremoto a Estados Unidos, empezando por las asociaciones de defensa de los derechos reproductivos. “Si pasa esta decisión de la Corte, que pone reversa a la protección que tenemos en la Constitución en este momento, actuarán rápidamente los estados para prohibir severamente el aborto. No esperamos a que la mitad de los estados de Estados Unidos creen más barreras o se muevan rápidamente para restringir el aborto por medio de leyes estatales”, afirma Lupe Rodríguez, directora ejecutiva del Instituto Nacional de Latinas por la Justicia Reproductiva. “Esto va a afectar a millones de mujeres, a personas de todo el país. Y ya vemos que las mujeres latinas son las más afectadas porque tenemos las tasas más bajas de acceso al cuidado médico en general, así como las tasas más bajas de acceso al seguro médico, que es como podemos acceder a estos cuidados, que incluye el acceso al aborto. Lo que esto va a hacer es crear aún más barreras de las que ya enfrentamos”, denuncia en diálogo con RFI. Lea también: Manifestaciones a favor y en contra del derecho al aborto frente a Corte Suprema Tras conocerse la filtración del borrador de la Corte Suprema, en Oklahoma se firmó una ley que restringe el derecho al aborto a las seis primeras semanas de gestación. Unos meses antes, Texas impuso la “ley del latido”. Al otro lado del país, médicos como el Dr. Amir Nasseri, de la clínica de aborto Her Choice, en Santa Anan California, vio los efectos: "Han acudido a nosotros muchas pacientes oriundas de estados restrictivos como Texas. Desde hace por lo menos 6 meses, cuando allí promulgaron la nueva ley en Texas”. “Ha llevado a muchas mujeres a viajar a otros estados para acceder a cuidados de aborto. Muchas han venido a California por tener mayor acceso que otros estados”, afirma. Hace un mes una mujer latina fue arrestada e imputada en Rio Grande Texas por el cargo de asesinato por un aborto autoinducido.

On this very podcast, you've listened to many examples of people passing the PE exam later in life. Some of them were already working in the industry, while others decided to make the leap afterwards. But there's still one more category missing. Holly Guillaume is a civil engineer who had to step away from the industry for 17 years due to life events and then made an incredible comeback getting her PE license after all this time. Today, she shares the best resources she used, how she planned her studying, how she caught up on all the topics after 17 years, and much more! What You'll Learn: How Holly's Father Had a Big Positive Impact on Her Choice for Civil Engineering What Got Her to Step Away from the Civil Engineering Industry for 17 Years…. ….And How One Unconventional Resource Helped Her Get Back into it Why You Should Take FE While You're Still in College (or Right After You Finish it) A Great Resource to Study for the PE in Addition to the Usual Books and Manuals Why Holly Chose CEA's PE Review Course Over the Option Her Own Job Offered What Holly Enjoyed the Most about CEA's PE Review Course — And Helped Her Pass The Most Important Thing When Taking the PE — And How CEA Has You Covered How Holly Planned Her Study Schedule to Catch up on Topics After 17 Years Away How to Determine How Much Time You Need to Prepare for the PE Exam Should You Dedicate Some Hours to Do Extra Preparation for Your Depth Section? The Best Resources Holly Used to Prepare for Her Depth Section Why Finding Study Buddies Can Really Help You Effectively Prepare and Pass the PE Our Partner: School of PE - http://www.civilengineeringacademy.com/sope Resources Mentioned: Holly's LinkedIn - https://www.linkedin.com/in/hollyhartleyguillaume The Ultimate Civil PE Review Course - https://civilpereviewcourse.com CEA YouTube Channel - https://www.youtube.com/channel/UCPeFLBZ2gk0uO5M9uE2zj0Q CEA Free Facebook Community - https://ceacommunity.com Civil Engineering Reference Manual - http://www.civilengineeringacademy.com/ppi South Dakota School of Mines and Technology - https://www.sdsmt.edu NCEES Practice Exams - https://account.ncees.org/exam-prep Other CEA Resources: CEA Website - https://civilengineeringacademy.com The Ultimate Civil FE Review Course - https://civilfereviewcourse.com CEA FE and PE Practice Exams - https://civilengineeringacademy.com/exams CEA Newsletter - https://civilengineeringacademy.com/newsletter Reach out to Isaac - isaac@civilengineeringacademy.com --- Send in a voice message: https://anchor.fm/civilengineeringacademy/message

Kathy Lesnoff was working in an abortion clinic at the lowest point in her life. As she was preparing to take her own life, her mother-in-law shared the Gospel with her. Kathy shares the story of how coming to know Jesus changed her heart, her view on abortion, and then her career. Today, Kathy is the president of Mosaic Pregnancy and Health Centers in the state of Illinois and, with the help of Alliance Defending Freedom, is standing up against legislation that would force pregnancy care centers to refer clients to abortion facilities. Kathy's story is a powerful testimony of how God can break into dark places and lead us to the light. Photo Credit: Alliance Defending Freedom   Kathy Lesnoff Show Notes:  Mosaic Pregnancy and Health Centers: https://www.supportmosaic.org/  Her Choice to Heal: https://herchoicetoheal.com/  Her Choice to Heal: Finding Spiritual and Emotional Peace After Abortion by Synda Masse: https://www.barnesandnoble.com/w/her-choice-to-heal-sydna-masse/1111638682?ean=9781434768728  Be Kind to Yourself song by Andrew Peterson: https://www.youtube.com/watch?v=sYiM-sOC6nE  Alliance Defending Freedom: https://adflegal.org/  It's Not Supposed to Be This Way by Lysa TerKeurst: https://www.barnesandnoble.com/w/its-not-supposed-to-be-this-way-lysa-terkeurst/1128128089?ean=9780718039851  Books by Lynn Austin: https://www.barnesandnoble.com/s/lynn%20austin  Join Strong Women on Social Media: https://linktr.ee/strongwomencc  Erin and her husband, Brett, run Maven which “exists to help the next generation know truth, pursue goodness, and create beauty, all for the cause of Christ.” Check out more about Maven here: https://maventruth.com/   The Strong Women Podcast is a product of the Colson Center which equips Christians to live out their faith with clarity, confidence, and courage in this cultural moment. Through commentaries, podcasts, videos, and more, we help Christians better understand what's happening in the world, and champion what is true and good wherever God has called them.  Learn more about the Colson Center here: https://www.colsoncenter.org/   Visit our website and sign up for our email list so that you can stay up to date on what we are doing here and also receive our monthly book list: https://www.colsoncenter.org/strong-women 

Jazz Ahead 128 - Playlist: 1. Song for Che, Broken Shadows, Broken Shadows, Intakt Records, 2021..2. Broken Shadows, Broken Shadows, Broken Shadows, Intakt Records, 2021..3. Her Choice, Michele Tino, Belle Epoque, Auand, 2021..4. The Shifts, Maassai feat AKAI SOLO, With The Shifts, Autoproduzione, 2021..5. Nine Lives, Maassai feat AKAI SOLO, With The Shifts, Autoproduzione, 2021..6. Brother, Me and My Friends, Rework, Ear Trumpet Music, 2021..7. All That is You, Me and My Friends, Rework, Ear Trumpet Music, 2021..8. Bones, Michael Mayo, Bones, Artistry Music, 2021..9. About Your Love, Michael Mayo, Bones, Artistry Music, 2021..10. Red Room, Hiatus Kaiyote, Red Room, Brainfeeder, 2021..11. Chivalry is not Dead, Hiatus Kaiyote, Chivalry is not Dead, Brainfeeder, 2021

TOPICS by TIMECODE0:00 When did we know about Fauci's criminal gain-of-function research? 2014. Who else at the NIH ignored the Congressional pause? When was bioweapon program restarted and by whom?7:08 China mocks and laughs at those horrified by Tiananmen Square as its model for society is rolled out worldwide8:20 Ivy League psychologist gives a psychopathic, racist, genocidal presentation to students: “unloading a revolver into the head of any white person” — NO CONSEQUENCES. Here's how we combat the race war…19:00 Lockdown persecution of Christian churches continues to escalate in Canada and Australia (pastor arrested, army of cops beat and choke church attendee)20:53 Coctor faces charges in UK for SAVING the life of a baby after the mother regretted taking an abortion, the doctor honored HER CHOICE to NOT kill the baby. Only ONE CHOICE is allowed by those who call themselves “PRO-CHOICE” 23:11 More emails show that Fauci knew right from the beginning that lockdown was wrong. Wallace asks Corey Lewandowski why didn't Trump STOP Fauci? The more important question is why NO ONE is talking about stopping our gain-of-function research at hundreds of American labs as they point fingers at Fauci & Wuhan and ONLY Fauci & Wuhan32:08 Lotteries & mandates, carrots & sticks — “it's YOUR CHOICE”, you can take the injection and get $1,000 bonus or we'll fire you. Golfer, ahead by 6 strokes and about to win $1.5M is removed from tournament after testing positive (no symptoms) 37:15 Politico “health” reporter talks about her adverse reaction and how she couldn't get any help from CDC, BigPharma or health officials

Jazz Ahead 128 - Playlist: 1. Song for Che, Broken Shadows, Broken Shadows, Intakt Records, 2021..2. Broken Shadows, Broken Shadows, Broken Shadows, Intakt Records, 2021..3. Her Choice, Michele Tino, Belle Epoque, Auand, 2021..4. The Shifts, Maassai feat AKAI SOLO, With The Shifts, Autoproduzione, 2021..5. Nine Lives, Maassai feat AKAI SOLO, With The Shifts, Autoproduzione, 2021..6. Brother, Me and My Friends, Rework, Ear Trumpet Music, 2021..7. All That is You, Me and My Friends, Rework, Ear Trumpet Music, 2021..8. Bones, Michael Mayo, Bones, Artistry Music, 2021..9. About Your Love, Michael Mayo, Bones, Artistry Music, 2021..10. Red Room, Hiatus Kaiyote, Red Room, Brainfeeder, 2021..11. Chivalry is not Dead, Hiatus Kaiyote, Chivalry is not Dead, Brainfeeder, 2021

0:00 When did we know about Fauci's criminal gain-of-function research? 2014.  Who else at the NIH ignored the Congressional pause? When was bioweapon program restarted and by whom? 7:08 China mocks and laughs at those horrified by Tiananmen Square as its model for society is rolled out worldwide 8:20 Ivy League psychologist gives a psychopathic, racist, genocidal presentation to students: “unloading a revolver into the head of any white person” — NO CONSEQUENCES.  Here's how we combat the race war… 19:00 Lockdown persecution of Christian churches continues to escalate in Canada and Australia (pastor arrested, army of cops beat and choke church attendee) 20:53 Doctor faces charges in UK for SAVING the life of a baby after the mother regretted taking an abortion, the doctor honored HER CHOICE to NOT kill the baby.  Only ONE CHOICE is allowed by those who call themselves “PRO-CHOICE” 23:11 More emails show that Fauci knew right from the beginning that lockdown was wrong.  Wallace asks Corey Lewandowski why didn't Trump STOP Fauci? The more important question is why NO ONE is talking about stopping our gain-of-function research at hundreds of American labs as they point fingers at Fauci & Wuhan and ONLY Fauci & Wuhan 32:08 Lotteries & mandates, carrots & sticks — “it's YOUR CHOICE”, you can take the injection and get $1,000 bonus or we'll fire you.  Golfer, ahead by 6 strokes and about to win $1.5M is removed from tournament after testing positive (no symptoms) 37:15 Politico “health” reporter talks about her adverse reaction and how she couldn't get any help from CDC, BigPharma or health officials

Elizabeth Beisel is one of the toughest swimmers in the history of the US Olympic Team. A 3x Olympian in arguably the hardest event in swimming (the 400IM), she gave herself over to some of the hardest training on the planet to achieve her goals for over a decade. What's most impressive about Elizabeth is her ability to have an impact outside the pool -- she is incredibly outgoing and postive, and always thinks of how to help her teammates succeed as much as herself. A true pro, and a true teammate. Estimated Timeline of topics: 0:00 - Austin Introduces the Episode 4:15 - What Elizabeth is up to nowadays as a retired Olympic swimmer 11:30 - Pro Career Beginnings 14:55 - How Her Idols Positively Impacted her Path to Being an Olympian 21:50 - How Her Preparation Process Evolved As A Pro 29:00 - The Intensity and Positivity of Her All-Male Pro Training Group at Florida 29:50 - How She Put Together a "Job" From Pro Swimming 37:10 - Reframing Goals Going Into Her Last Olympics 45:50 - Her Choice to Contribute as a Leader in the Wake of Personal Disappointment 50:30 - 400 IMers are NUTS! Austin and Elizabeth discuss.... 58:15 - Austin Solo Outro Enjoyed the episode? Rate & Review to tell us what you think, and hit Subscribe to be notified of all new episodes! Follow us on Instagram @procornerpodcast Follow Austin @AustinSurhoff on Instagram and Twitter Use this homepage for all updates about Pro Corner: https://linktr.ee/austinsurhoff Thanks for listening! --- Send in a voice message: https://podcasters.spotify.com/pod/show/procornerpodcast/message

Ep. #23 – This is one of our most intriguing episodes. The founder of “Her Choice Advocacy”, LaKeisha Thomas started this organization to advocate for survivors of sexual assault, domestic violence, intimate partner violence, human trafficking, and sexual assault conception.  Can you imagine conceiving a child from after being raped? Many of us never consider that. Her website says, “When a women discovers she has conceived from a sexual assault, she should be able to choose to parent her child without judgement, or prosecution of her unborn child that are derived from perceived notions chained to the rapist. The mother and child need society and laws to protect them, whether the mother chooses abortion, adoption or to parent the child, she should be free to make decisions without interference or influence from the perpetrator. These families deserve social inclusion, respect, dignity and honor." I completely agree. It’s HER CHOICE and we should respect that. I learned a lot from this interview as I’m sure you will too. Website: https://www.herchoiceadvocacy.org/ Black-Owned Business Ad – Queens of Color Cosmetics - https://www.queensofcolorcosmetics.com/

Forgotten Women is a history and performance project dedicated to remembering female activists of 20th century Britain. This podcast is a creative collaboration between Peer Productions and Bishopsgate Institute. This episode examines the history of abortion in the UK. Her Choice was written, devised and performed by Stefy Barton, Nikki Fisher, Becky Kerly and Bethany Monk-Lane and recorded live in July 2018 at South Hill Park Arts Centre. The technician was Mike Taylor. For more information on the project please visit our website: www.forgottenwomen.co.uk. There you can also find exclusive content from our writers and creatives. Please follow us on twitter at @_forgottenwomen and on instagram at @forgottenwomenpodcast. Thank you to the wonderful historian Dr Michelle Johansen for her guidance and support. This podcast is funded by the Heritage Lottery Fund and Arts Council England. We would really love it if you could rate, review and subscribe to help other people find the podcast.

You can manifest the life of your dreams, and Sarah Centrella is the master of this. Sarah was married to her High School sweetheart and together for nearly 16 years. As a stay home mom With 3 kids she was content. After watching a tv episode about husbands that cheat, A quick moment of woman's intuition found her looking   at her husbands cell phone. That peek, altered the course of her life forever. Her husband was having an affair. He moved out that night leaving her and her three children behind. Broken and Scared Survival was Sarah's first instinct. On welfare and foodstamps she asked herself “now what?” She sold everything she owned, begged and pleaded for someone to lease her and her kids a tiny 2 bedroom apartment and decided that she would NOT allow any negative thoughts in. She decided that it was HER CHOICE what the next chapter of her life would bring and she shut up any voice within that told her otherwise. She shifted her focus to what is POSSIBLE and it was liberating. In this episode, you will learn: How to manifest the life of your dreams What's a vision board and how to utilize them starting now Why your toughest days are your greatest blessings How to Hustle, Believe, Receive

Session 69 Dr. Pamela Mehta is a general private practice orthopedic surgeon. She has been out of training now for ten years and has been in private practice for two years. We get into a great discussion about what led her to private practice, post-training, types of patients, and what she likes about orthopedics. We talk about what it's like to a be a woman in a male-dominated specialty and much more. By the way, The Premed Playbook: Guide to the MCAT is going to be available very soon. Written with Next Step Test Prep, we will soon be putting it up on Amazon and other stores as soon as possible. Go to MCATbook.com to sign up and be notified. Also check out our other books The Premed Playbook: Guide to the Medical School Interview and another one coming up in August is The Premed Playbook: Guide to the Medical School Personal Statement. If you have any suggestions for physicians whom you think would make great guests (only attending physicians), shoot me an email at ryan@medicalschoolhq.net. [02:00] An interest in Orthopedics Initially, Pamela didn't expect she wanted to be a surgeon because she expected she was going to find herself in primary care, her primary reason she went to medical school. In fact, she saw herself as either a pediatrician or family medicine doctor. And during her third year rotation, she put trauma surgery first, with the intention of just getting it out of the way since she wanted to practice so when she gets to the family medicine, internal medicine, and pediatric rotation, she will be in good position to get good letters. During her first day at the trauma surgery rotation, she just couldn't believe how excited she was. She was amazed by how the ER doctors, surgeons, and nurses were working together to get the patient up into the operating room as efficiently as possible. And when she was asked to scrub in, Pamela says she will never forget that feeling. From that day on, she made a complete switch and decided she was going to do surgery. "I could not believe how excited I was and just the adrenalin that was pumping when trauma came into the trauma bay." It was actually a blessing in disguise when she had the whole year to figure out where she was going to do her fourth year sub-I's in. This gave her time to choose which clinical subspecialty she wanted to do. [06:15] Pushback as a Female Surgeon Pamela admits that when she was still attending USC, she got told many times by other orthopedic surgeons, residents to instead do other specialities like radiology or anesthesia or PM&R. And she she didn't really understand why she can't do it as well. And she was told orthopedics was difficult in terms of lifestyle or having a family. Good thing, she went to a very supportive residency in Columbia University in New York City and out of the six people in her class, two of them were women and the class right before them, four were women out of the six. She felt really protected in that she never felt she was a woman there in terms of feeling discriminated against or not taken seriously. However, it was a different case when she began entering into the workforce. When she started interviewing for jobs, she faced a lot of the discrimination. "If you are a female and you want to go into a male-dominated specialty, you absolutely should but you do have to have a thick skin. That's life." Pamela adds that having a thick skin is important being in a male-dominated specialty. In fact, sometimes you even have to be more perfect than your male counterparts. Because when you slip on something as a female, there are those that will think it's because your'e a girl. [09:00] Patient Types and Her Choice to Do General Orthopedics vs. a Subspecialty Part of the reason she loves orthopedics is she loves taking care of children, young adults, and seniors. She treats fracture work when people break their bones and they have to go to the ER and can't walk. She handles patients with sports injuries as well as arthritis patients, especially older patients that can't walk or are debilitated, for which she does joint replacement surgery as well. Pamela thinks it's rare for a resident to graduate and not do a fellowship especially in the more competitive environments like the bigger cities. But she just likes general orthopedics. She likes the bread and butter orthopedics. She likes taking care of all kinds of issues from sports injuries to fracture work to arthritic patients. So she took the leap and decided not to do the subspecialty. Finding a job wasn't that much of a difficulty for her too. "Once you're in your job, you really learn so much on the job in your first couple of years as an attending and a brand new surgeon that the fellowship stuff doesn't matter as much." From a marketing standpoint, once you're out of practice, Pamela suggests it's in your best interest that if you're in a big city, you have to be able to market yourself as a certain subspecialist. [11:35] Private Practice Pamela recalls being in a large group composed mostly of men. And once she had children, she realized it was very difficult to work in a large group of men. They didn't seem to understand if she needed to drop or pick up her kids. So she was looking for that flexibility to do what she wants and when she wants it on her own terms. "I just really wanted the flexibility to do what I want, when I want on my own terms." Ultimately, she made her decision after her second child to go out into private practice. Not an easy decision to make though considering she already had a job that had a stable paycheck and great benefits. It was definitely a risk she decided to take, considering too she was confident that she had several years of experience and the surgical volume under her belt. And so the rest is history as she's now practicing for about two years. Being her own boss, she calls the shots as to when she wants to see patients and when she wants to do cases. She may be a lot busier than she was before, but it's all on her own terms (and she's making more money now than she did as well). [13:40] Diagnosis in Patients Coming to Her Pamela says mostly anyone that comes to them still needs a diagnosis. She often has patients that have been either to the primary care doctor, a chiropractor, a physical therapist, etc. Oftentimes, they'd come up with some idea but they don't have the answer yet. Pamela says that they mostly have to diagnose the patient from beginning to end. In orthopedics, Pamela explains that there's not a lot of non-operative care that you do before you actually do any kind of surgery. Additionally, Pamela explains that because orthopedics is not a big part of medical school and a lot of primary care doctors don't actually know how to diagnose these problems. So there are patients coming in diagnosed with carpal tunnel syndrome in their hand, for instance, and really, what they have is a trigger finger. In some ways, it's always much more complex because sometimes you're being led in a different direction from what says on the referral than when the patient comes in and you have to start from the beginning and not really trust anyone else's diagnosis. "There are patients coming in diagnosed with carpal tunnel syndrome in their hand and really what they have is a trigger finger." Pamela recommends to primary doctors to carry with them The Handbook for Fractures. Also, it would be better to shadow an orthopedist at some point in your residency training. She has tried as a private practitioner to go out in the community and give out her numbers, telling primary are doctors that they can always reach her if they have any questions. Building a relationship with an orthopedist in town as a primary care doctor is a good idea too to have someone to pick their brain and ask things. And out of the percentage of patients they end up taking to the operating room, Pamela would say 70% when she used to work with that large group. There were a lot of layers of primary care/physical therapy/PM&R that was seeing the patient before they finally got to orthopedics. On the other hand, Pam thinks that if you're in private practice or in academics, the percentage can be at 30% to 40%. This being said, she explains you never say no. You see anyone and everything. So you're less protected when you're out in private practice and not part of the large multi-specialty group. [17:50] Typical Week, Taking Calls, and Work-Life Balance Now that she can do whatever she wants, she has a set schedule. Mondays would be her OR days. Tuesdays to Fridays would be clinic days with a mix of procedure work, doing injections and regenerative medicine like PRP and stem cells. Then closer at the end of the week, she will do a second OR slot where she'll take some fractures that have come through on call or thru the ER. In terms of taking calls, Pamela says that if you decide to affiliate with certain hospitals and usually they'd ask you to take ER calls.  This means you're on call a few nights of the month. Although you can do as little or as much as you want. If you're a part of the group in private practice, you will join up with some other colleagues and take group call for your private patients that come through your office. Pamela is part of a larger call group of eight but she considers this as pretty light and not anything too crazy. Although it becomes a little bit more intensive if you're affiliated with a large trauma hospital where you're in-house and doing a lot of fracture work over night. "Usually when you're brand new, you want to take that ER call because that's how you get some patients into your office." Pamela believes she has enough family time. Her husband is an ortho spine surgeon so he thinks there's balance that comes with that. They work together in terms of fitting their schedules in. They also make sure they block weekends for family time. She takes her partnership with her husband some credit for being able to manage their work-life balance. [21:30] The Path to Being an Orthopedic Surgeon It basically takes four years of undergraduate training and then four years of medical school. Usually in the end of your third year and beginning of fourth year, you have to do an orthopedic rotation usually your home program. Then you can choose to do a couple sub-I's away. Pamela applied to about ten orthopedic programs and went on about six or seven interviews. She matched to Columbia where she did a five-year program. Their first year was a mix of general surgery and orthopedics. Then PGY-2 year is what they call their ortho intern year so you're like the scut monkey and you do all the consults in the ER. Pamela describes this as your most work-intensive year. The rest of your three years are focused on operating and operative skill. You can then choose to do a fellowship. All orthopedic fellowships take one year. Pamela thinks this is good since it shouldn't really be that long. Examples of fellowships available are spine, sports, joint replacement, hand, foot and ankle, and peds. Pamela explains that if you want to be competitive in residency since this field is highly competitive, you have to honor your rotations in your third year as they look at that. Then get good letters of recommendation. Do well on your boards. In fact, when Pamela had pretty average board scores and when she got those board scores back, many people told her to take a year off and do some research or switch gears. But she was pretty determined so she pit three places to do her sub-I's and really hustled her way through to leave a good impression on people. Hence, she was able to get more letters. If you have good board scores, that doesn't make you a shoe-in but it does help you chances quite a bit. But if you don't have good board scores, it's that much more important to just impress people a lot and get really good letters. "If you don't have good board scores, it's that much more important to just impress people a lot and get really good letters." [24:30] Bias Against DOs Pamela says that that one of the best orthopedic surgeon in that big group she used to be a part of was a DO. He operated better and more efficient than any of the rest of them. He was the most revered and the go-to guy for questions and opinions. Currently, she works with an orthopedist in town who's also very well-trained. All this being said, she really doesn't think there's much bias at this time. It really doesn't matter that much anymore once you're out in practice. "Any place that is that unaccepting, whether you're a female or you have children or you're a DO, then that's not really a place you want to be at." She adds that people could be caught in the idea that we have to be in the best place, but it doesn't work like that. It has to be a place that's going to support you in your endeavors. [26:20] Working with Primary Care and Other Specialties Pamela recommends to primary care physicians is to get the x-rays done as it's very hard for them to evaluate patients without them. You can also get someone started on physical therapy unless it's a broken bone. It's nice to get knocked out of the few non operative treatments before sending them to a specialist. It's all about making a little effort to give patients a little bit of treatment before they get to the specialists. Other specialties they work the closest with are pain management, PM&R, and internal and family medicine. Whether there are special opportunities outside of clinical medicine, Pam says there's the whole medical legal world where people ask for you to review charts. So there's a lot of personal injury work you can do. It can run a whole gamut of doing an independent examination. There's a lot of things you can do outside of clinical medicine in terms of just dealing with traditional insurance companies. Another nice things with orthopedics is they have a lot of sports games so you can go to the local high school and junior high schools or community colleges and ask if they need someone to come and be there on the sidelines for the games. [29:20] What She Wished She Knew and Her Advice to the Male Doctors What she knows  now that she wished she knew back then was that Pamela found herself so naive and energetic in medical school. She thought it wasn't a big deal she was a female even if people were hesitant about it. It was okay for the most part but she did wish she had more female colleagues instead of all men colleagues all the time. There's only 5% of them female orthopedic surgeons practicing outside residency. In training it's about 14% and they dropped down to 5%. She sometimes feels this is a little bit of a struggle, not feeling the camaraderie that many female-dominated specialties have. But in terms of the actual work, she is happy about it. In fact, she couldn't imagine doing any other field. That said, she thinks that when you're in medical school and one specialty is not working out for you, keep an open mind to think about two or three other different specialties. "Keep an open mind to think about two or three other different specialties." Pamela says that the deterioration in numbers in female orthopods from residency to practice is more of a system problem. And unfortunately, there's still a lot of discrimination in medicine more so in the surgical field. This said, the way to do it is for men to really accept females into their "circle" and recognize they're a large part of the workforce and they have something to contribute. Pam suspects because this is the age people start their family and if people in the workforce aren't more open to that, this is something people need to accept. And we need to nurture that. People from training to stopping work is just a scary number and odd. [33:20] Things She Likes the Most and Least What Pamela likes most about being an orthopod is the variety of the things she gets to do. She gets to do big open surgeries and fixing things with plates and screws. She also gets to do smaller surgeries like just playing video games. On the flip side, what she likes the least as with any other surgical field is infection and pus. In terms of the major changes coming to the field, Pamela says orthopedics is a very dynamic field that there's new stuff coming all the time. They're improving all the implants they put in. There's a huge wave of regenerative medicine with stem cells and the different ways to garner those stem cells. If she had to do it all over again, Pamela would still have done the same. Lastly, she wishes to tell students that this is a great field with a lot of variety. You get to operate and get to see patients in the office. You get to have fun with your colleagues. You get to treat patients that really want to get back to their active lifestyle. For the most part, they're generally healthy. Just show your passion and dedication for the field and you can achieve anything you want. "If you're a medical student that struggles with low board scores, don't let it get in the way. You can do it. It's very possible to do it and even without taking the time off." Links: Handbook of Fractures The Premed Years Podcast ryan@medicalschoolhq.net MCATbook.com The Premed Playbook: Guide to the Medical School Interview The Premed Playbook: Guide to the Medical School Personal Statement

Join us this week on Christian Devotions SPEAK UP! as Scott chats about choosing life in Christ as well as post-abortion healing with Sydna Masse of Ramah International. Ramah International, Inc. was founded by Sydna A. Masse, a post-abortive woman who experienced God's healing touch eleven years after her abortion through a crisis pregnancy center's ministry program. Upon hearing a recent statistic from the research arm of Planned Parenthood, the largest abortion provider in the world that “… 43% of women will experience abortion at least once by the age of 45 years,” she began efforts to minister directly to these hearts. Previous to her work through Ramah, Sydna served Dr. James C. Dobson as the Manager of Focus on the Family's Crisis Pregnancy Ministry. Through her seven years directing that ministry, she saw first-hand the limited resources available to mothers, fathers, grandparents, and siblings touched by an abortion decision. Her first effort to reach these hearts is available through her book — Her Choice to Heal: Finding Spiritual and Emotional Peace After Abortion, which is currently available from the resources area of this website and in most Christian bookstores. If you have suffered from a past abortion decision, or know someone dealing with this pain, help is available. Contact Ramah International for more information at 479-445-6070.  

Join us this week on Christian Devotions SPEAK UP! as Scott chats about choosing life in Christ as well as post-abortion healing with Sydna Masse of Ramah International. Ramah International, Inc. was founded by Sydna A. Masse, a post-abortive woman who experienced God’s healing touch eleven years after her abortion through a crisis pregnancy center’s ministry program. Upon hearing a recent statistic from the research arm of Planned Parenthood, the largest abortion provider in the world that “… 43% of women will experience abortion at least once by the age of 45 years,” she began efforts to minister directly to these hearts. Previous to her work through Ramah, Sydna served Dr. James C. Dobson as the Manager of Focus on the Family’s Crisis Pregnancy Ministry. Through her seven years directing that ministry, she saw first-hand the limited resources available to mothers, fathers, grandparents, and siblings touched by an abortion decision. Her first effort to reach these hearts is available through her book — Her Choice to Heal: Finding Spiritual and Emotional Peace After Abortion, which is currently available from the resources area of this website and in most Christian bookstores. If you have suffered from a past abortion decision, or know someone dealing with this pain, help is available. Contact Ramah International for more information at 479-445-6070.