Podcasts about HIV

What if everything you were taught about how a virus is discovered and proven is flawed? Today I'm joined by Dr. Thomas Cowan, a family physician of 37 years who spent his career practicing conventional medicine before turning his attention to the foundational evidence behind virology, immunology, and disease itself.  Dr. Tom walks us through how viruses like polio, measles, HIV, and SARS-CoV-2 have historically been "isolated" in lab settings and why he questions the reliability of PCR and antibody testing. He believes symptoms like fevers, rashes, and tumors are the body's own healing response rather than disease caused by an outside pathogen.  We also get into his views on autoimmune disease, cholesterol, and blood pressure. If you're the kind of person who likes to question what you've been told and prefers to look at the primary research findings, this conversation will give you plenty to explore.    "The things we call symptoms are not diseases. They are the body's attempt to heal." ~ Dr. Thomas Cowan   In This Episode: - Why Dr. Tom questions the existence of viruses - How measles and SARS-CoV-2 were "isolated"  - Measles diagnostic criteria and vaccine history  - Views on COVID, HIV, gain-of-function, and antibody theory  - What really causes "viral" diseases? - Validity of the PCR test methodology  - Autoimmune disease reframed as poisoning or diet  - Views on vaccine ingredients and dosing schedules  - Cholesterol, blood pressure, and blocked arteries  - Dr. Tom's views on genetic codons   Products & Resources Mentioned: Bon Charge Red Light Face Mask: Get 15% off sitewide, plus free shipping and a 12-month warranty, with code WENDY at https://boncharge.com/  Heavy Metals Quiz: Take the quiz at https://heavymetalsquiz.com    About Dr. Thomas Cowan:  Dr. Thomas Cowan is an alternative medicine doctor, author, and speaker known for a holistic, common-sense approach to health. He's written eight books, including Breaking the Spell, The Contagion Myth, and Cancer and the New Biology of Water. He practiced general medicine for 34 years across San Francisco, New Hampshire, and upstate New York before retiring. He was a founding board member and vice president of the Weston A. Price Foundation until 2025. Dr. Tom continues to lecture and share resources on his websites. You can learn more about his work at https://drtomcowan.com/ and https://www.drcowansgarden.com/    Disclaimer The Myers Detox Podcast was created and hosted by Dr. Wendy Myers. This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast, including Wendy Myers and the producers, disclaims responsibility for any possible adverse effects from using the information contained herein. The opinions of guests are their own, and this podcast does not endorse or accept responsibility for statements made by guests. This podcast does not make any representations or warranties about guests' qualifications or credibility. Individuals on this podcast may have a direct or indirect financial interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician.

Women's health is having a moment! The Cuntsultant, joins us for a rapid-fire tour through the biggest women's health updates: PCOS gets a name change, birth control myths, why endometriosis takes 10 years to diagnose, and the push for pain management during in-office procedures, ex. UDIs. Plus vaginal estrogen's life-saving role and why women outlive their ovaries. Women weren't studied or treated seriously and that's changing. Bring this one straight to your next appointment.✨ Special Offers: ✨Splash Blanket! | Use code Jordan15ProDx Health | Use JordanDnelle to save 25%Thank you to our Sponsors: Splash Blanket, Prodx, PhexxJump to the Good Stuff:06:30 – PCOS gets a better name07:35 – What's happening in your ovaries with PMOS14:26 – The metformin story that got reported to the medical board16:48 – The evolutionary theory that PMOS might be a genetic advantage19:03 – What birth control does to your hormones23:39 – Why endometriosis takes 10 years to diagnose30:15 – New endometriosis diagnostic breakthroughs in Europe34:29 – Why pain management for in-office procedures is being taken seriously39:35 – Vaginal estrogen's as recommendation for recurrent UTIs42:47 – The grandmother hypothesis - why we outlive our ovariesPleasure Highlights:PCOS has a new name: PMOSBirth control doesn't "regulate" your hormonesPain management for in-office gyno procedures is not offered upfrontVaginal estrogen now recommended for recurrent UTIsEndometriosis takes an average of 10 years to diagnoseConnect with The Cuntsultant:Instagram @cvntsultantWebsite: TheCuntsultant.comEnhance your self-awareness by acknowledging and understanding your behavior patterns, and foster a deeper connection with your inner self. Get the Unleashing My Power: A Women's Empowerment and Gratitude Journal to reclaim your power through daily gratitude. Learn more HERE.Connect with Jordan D'Nelle:Facebook @‌jordandnelleInstagram @‌jordandnelleInstagram @‌TheVVVPodcastTikTok @‌jordandnelleYoutube @jordandnelleWebsite: Jordan D'Nelle⁠⁠Email: JordanDnelle@VaginasVulvasandVibrators.comLove this Episode? Join the Patreon: patreon.JordanDnelle.comLeave a review on iTunes.Subscribe & Follow on socials!Listen and Subscribe to the Podcast:Apple PodcastSpotify PodcastYoutube @jordandnelle*Disclaimer: This podcast is for informational and/or entertainment purposes only and is not a substitute for medical advice, diagnosis, or treatment. The views and opinions expressed are my own, or those of my guests, and do not necessarily reflect the views of any organizations or institutions with which I am affiliated.Vaginas, Vulvas, and Vibrators, the unapologetic women's sexual wellness podcast, normalizing pleasure, bodies, and sexual health through expert, shame-free conversations.PhexxINDICATIONPhexx® is an on-demand prescription birth control used to prevent pregnancy. Phexx is not effective when used after sex.IMPORTANT SAFETY INFORMATIONRare cases (0.36%) of bladder and kidney infection have been reported. If you have a history of urinary tract problems that keep coming back, you should not use Phexx.Contact your healthcare provider if you are experiencing genitourinary side effects such as vaginal burning, itching, discharge, genital discomfort (including in male partners), yeast infection, urinary tract infection or bacterial vaginosis.Phexx does not protect against any sexually transmitted infections, including HIV. Avoid using Phexx with a vaginal ring.Avoid Phexx if you or your sexual partner is allergic to lactic acid, citric acid, potassium bitartrate, or any of the Ingredients in Phexx. Stop using Phexx If you develop an allergic reaction.For more information about Phexx, talk to your healthcare provider and see full Product Informationat www.phexx.com.Please report side effects by contacting Evofem Biosciences® toll-free at 1-833-EVFMBIO or contact FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.EVFM-PHX-000068

This week, Marianna sits down with John Faragon to talk about the recent approval of Bictegravir and Lenacapavir (or BIC/LEN) and the FDA label. Tune in to learn all about what it is and why it matters to you as an HIV care provider. -- Help us track the number of listeners our episode gets by filling out this brief form!  (https://www.e2NECA.org/?r=EPP8742)--Want to chat? Email us at podcast@necaaetc.org with comments or ideas for new episodes. --Check out our free online courses: https://www.necaaetc.org/self-paced-courses--Download our HIV mobile apps:Google Play Store: https://play.google.com/store/apps/developer?id=John+Faragon&hl=en_US&gl=US Apple App Store: https://apps.apple.com/us/developer/virologyed-consultants-llc/id1216837691 

Steven was 37, throwing up for months, and told he might have HIV — by a doctor looking at a blood sugar of 600. Two years later he runs a 5.6 and his doctor wants it higher. twiist - A different type of insulin pump has arrived ABLEnow save for today's needs or invest for tomorrow Eversense CGM MiniMed Tandem Mobi ** Use code JUICEBOX to save 20% at Cozy Earth  CONTOUR NextGen smart meter and CONTOUR DIABETES app Dexcom G7 Go tubeless with Omnipod 5 or Omnipod DASH * Get your supplies from US MED  or call 888-721-1514 Touched By Type 1 Take the T1DExchange survey Apple Podcasts> Subscribe to the podcast today! The podcast is available on Spotify, Google Play, iHeartRadio, Radio Public, Amazon Music and all Android devices The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here or buy me a coffee. Thank you! *The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.  ** t:slim X2 or Tandem Mobi w/ Control-IQ+ technology (7.9 or newer). RX ONLY. Indicated for patients with type 1 diabetes, 2 years and older. BOXED WARNING:Control-IQ+ technology should not be used by people under age 2, or who use less than 5 units of insulin/day, or who weigh less than 20 lbs. Safety info: tandemdiabetes.com/safetyinfo Disclaimer - Nothing you hear on the Juicebox Podcast or read on Arden's Day is intended as medical advice. You should always consult a physician before making changes to your health plan.  If the podcast has helped you to live better with type 1 please tell someone else how to find it!  

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This week on Better Buildings for Humans, host Joe Menchefski sits down with science journalist and author Lynne Peeples for a fascinating exploration of our internal clocks—and the profound role that light and the built environment play in human health. Drawing from her book The Inner Clock, Lynne explains how circadian rhythms coordinate nearly every system in the body, why our biology depends on the natural cycle of bright days and dark nights, and what can happen when modern life pulls us out of sync.The conversation explores what happens when we spend the vast majority of our lives indoors, often disconnected from the natural light cues our bodies evolved to expect. Joe and Lynne dig into circadian disruption, sleep, cognitive performance, metabolic and cardiovascular health, shift work, and the concept of "light justice"—including the daylight and darkness deserts that disproportionately affect people living, working, learning, or healing in spaces with inadequate access to natural light. They also examine the importance of daylight in schools, hospitals, NICUs, and assisted living facilities, and why building design needs to consider biological health alongside energy efficiency and visual comfort.Joe and Lynne also venture into the emerging science surrounding full-spectrum light, including red and near-infrared wavelengths, mitochondria, and the potential relationship between indoor environments and rising rates of myopia. Along the way, Lynne shares simple ways we can better support our circadian health—from getting outside first thing in the morning and taking "circadian snacks" throughout the day to creating greater contrast between bright days and dark nights. Ultimately, the conversation makes a compelling case for buildings that reconnect us with the dynamic natural environment our bodies were designed for—through daylight, fresh air, movement, changing temperatures, and connection with other people.More About Lynn PeeplesLynne Peeples is an author, keynote speaker, and journalist covering science, health, and the environment. Her writing has appeared in The New York Times, The Guardian, National Geographic, The Los Angeles Times, The Atlantic, Nature, and other publications. Peeples herself has appeared on various podcasts, television, and radio shows including NPR's Fresh Air, MSNBC, and BBC News. She previously covered environmental health for The Huffington Post and began her career as a biostatistician for HIV clinical trials and environmental health studies. Peeples is a recipient of an MIT Knight Science Journalism fellowship and an Alfred P. Sloan Foundation book grant. She holds master's degrees in biostatistics from the Harvard School of Public Health and in science journalism from New York University. She lives in Seattle.CONTACT:https://www.facebook.com/lynne.peepleshttps://www.linkedin.com/in/lynnepeeples/https://x.com/lynnepeepshttps://www.instagram.com/lynne.peeples/https://lynnepeeples.com/Where To Find Us:https://bbfhpod.advancedglazings.com/www.advancedglazings.comhttps://www.linkedin.com/company/better-buildings-for-humans-podcastwww.linkedin.com/in/advanced-glazings-ltd-848b4625https://twitter.com/bbfhpod

"For those of us in health and medicine and related fields that were really focused on promoting HIV prevention through PrEP, one of the ways that we realized that where we needed to invest was around health communication, increasing awareness that there was a new strategy available, demystifying what it was and what it wasn't.” – Pedro A. SerranoThis episode of The HPP Podcast features the work of the Chicago Queer Latine Collaborative. Pedro A. Serrano, Harita S. Shah, and Gregory Phillips II share how The Collaborative utilized a health communication campaign to engage LGBTQ citizens in PrEP awareness and uptake. The authors share the relevant background information, the context for the work, how The Collaborative was developed, and how to effectively engage similar communities. Best practices for engaging relevant stakeholders and optimizing financial investments are shared by the authors. To read the full article, visit: The Chicago Queer Latine Collaborative: Catalyzing Health Equity Through Community-Engaged Opportunities.

What happens an artist realizes that they can never be the only one with questions?From that reckoning, artist Eric Gottesman spent the next twenty-five years rethinking what an artist with a camera, or a big idea is actually for. In this conversation with Bill Cleveland, Gottesman traces his path from documentary photographer to collaborative image-maker in Addis Ababa's AIDS-affected communities, and eventually to co-founding For Freedoms, the artist-led initiative that has turned billboards, town halls, and even a Super PAC into tools for civic discourse.This is a conversation about authorship, collectivity, and the culture of inquiry at the heart of both artmaking and a thriving democracy.In this episode we explore:How asking the right question often matters more than delivering the right answer.Why Eric Gottesman says he has never made art alone. And why he thinks that's true for everyone.A “composite nation:” Drawing on Frederick Douglass, Gottesman is now developing projects that imagine an American identity built from multiplicity and complexity rather than a single official story.Notable MentionsPeopleEric Gottesman — Artist, educator, writer, and organizer whose collaborative work addresses nationalism, migration, structural violence, history, and civic life. He is a co-founder of For Freedoms.Wendy Ewald — Photographer and one of Gottesman's mentors. Her decades of co-authored photography projects challenge conventional divisions between photographer, subject, observer, and author.Hank Willis Thomas — Conceptual artist and For Freedoms co-founder whose work examines identity, history, media, popular culture, and representation.Claudia L. Peña — Executive director of For Freedoms, UCLA law lecturer, and practitioner of transformative and restorative justice. She appears with Gottesman and Thomas in the episode's Skoll World Forum excerpt.Baalu Girma — Influential Ethiopian journalist and novelist who disappeared after publishing Oromay, his critique of the Derg regime and its military campaign in Eritrea.Emily Shur — Photographer who worked with Hank Willis Thomas, Eric Gottesman, and Wyatt Gallery to create contemporary photographic versions of Norman Rockwell's Four Freedoms.Wyatt Gallery — Photographer, For Freedoms co-founder, and producer of the contemporary Four Freedoms project.Marc Bamuthi Joseph — Spoken-word artist, writer, librettist, and cultural strategist who developed the six questions at the heart of America, the Beautiful.aja monet — Poet, recording artist, storyteller, and organizer appearing in the October 3, 2026, America(!) the Beautiful(?) performance, which is part of For Freedom's America, the Beautiful project.Derek Goldman — Director, playwright, educator, and co-founder of Georgetown University's Laboratory for Global Performance and Politics. Gottesman and Cleveland cite his emphasis on care in cultural work.Ariel Fristoe — Founder and artistic director of Out of Hand Theater, whose work brings theater, social justice, and civic engagement together.Organizations, Institutions, and PlacesFor Freedoms — Artist-led civic organization founded in 2016. It uses public art, billboards, exhibitions, town halls, and artist commissions to encourage listening, inquiry, belonging, and civic participation.Center for Documentary Studies at Duke University — The center at Duke University where Gottesman began his work in Ethiopia in partnership with Save the Children.Save the Children — International humanitarian organization that sent Gottesman to photograph the effects of drought in Ethiopia shortly after his graduation from Duke.The Charles F. Kettering Foundation — The Charles F. Kettering Foundation, headquartered in Dayton, Ohio, is a nonpartisan, nonprofit, operating foundation with a mission to advance inclusive democracies worldwide by fostering citizen engagement, promoting government accountability, and countering authoritarianism.Democracy and the Arts — The Kettering Foundation's focus area for integrating the power of the arts into democratic life locally, nationally, and globally.Corcoran School of the Arts & Design — George Washington University school where Gottesman serves as the W.W. Corcoran Visiting Professor in Community Engagement and where For Freedoms has been in residence.Future Currents — Organization that helps movement leaders prepare for uncertain conditions and collaboratively imagine more inclusive, just, and democratic futures.U.S. Agency for International Development — Federal agency to which evidence of the Ethiopian drought was submitted to help prompt an international aid response. The episode conversation takes note of the agency's dismantling and changed status.Addis Ababa, Ethiopia — The city in which Gottesman began collaborating with people living with HIV and with children whose parents had died of AIDS.Somali Region, Ethiopia — The drought-affected eastern region where Gottesman first confronted the power imbalances and ethical contradictions of humanitarian photography.Sheshatshiu, Labrador, Canada — Innu community where Gottesman later collaborated with Wendy Ewald and young residents on a cross-generational photographic and community-curated project.Projects, Artworks, and EventsFor Freedoms at the 2024 Skoll World Forum — The episode includes an excerpt from this presentation by Eric Gottesman, Hank Willis Thomas, and Claudia Peña about art, interdependence, democracy, and social change. The forum took place in Oxford (not London as stated in the podcast).Contemporary Four Freedoms — For Freedoms' expansive reimagining of Rockwell's four paintings. More than 100 participants created 82 images representing a broader range of American identities; its Freedom of Worship appeared on the cover of TIME.Question Bridge: Black Males — Collaborative project...

Ladies, if you have ever been told your labs look normal while your body says otherwise, this one is for you. Dr. Amy Loden is a physician who nearly died from preeclampsia and now builds her practice around what medicine misses in women. She breaks down why pregnancy complications are a warning sign, what perimenopause is really doing to you, and why heart disease deserves your attention more than you think. You will walk away knowing what to ask for and why it matters.If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast https://lesleylogan.co/podcast/. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co mailto:beit@lesleylogan.co. And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe https://lesleylogan.co/podcast/#follow-subscribe-free.In this episode you will learn about:How pregnancy complications reveal health risks that were already there.Why perimenopause symptoms get dismissed as normal aging.The heart disease signs that look nothing like the classic ones.Why good quality sleep matters more than hours in bed.How to eat and move to protect your metabolic health.Episode References/Links:Vitality Medical and Wellness - https://www.vitalitymwc.orgDr. Amy's TEDx talk on pregnancy - https://beitpod.com/amytedxDr. Amy Tiffany on Instagram - https://www.instagram.com/dramytiffanyDr. Amy Loden on LinkedIn - https://www.linkedin.com/in/amy-lodenThe Postpartum Pivot by Dr. Amy Loden - https://vitalitymwc.org/read-the-bookSubmit your wins or questions - https://beitpod.com/questionsGuest Bio:Dr. Amy Loden Tiffany is a St. Louis-based physician entrepreneur, author, and TEDx speaker dedicated to women's metabolic, hormonal, and cardiovascular health. After surviving severe preeclampsia and experiencing burnout in traditional, high-volume medicine, she pivoted her career toward a personalized, root-cause approach to patient care. As the founder of Vitality, she guides women through major life transitions—from postpartum to perimenopause—to help them recognize subtle warning signs and prevent long-term illness. Through her clinical work and her book, The Postpartum Pivot, Dr. Loden empowers high-achieving women to listen to their bodies, optimize performance, and take control of their long-term health.  If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox. https://lovethepodcast.com/BITYSIDEALS! DEALS! DEALS! 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Then we have to ask, what are we stressing it for? And the way I'm looking at this is a little bit different than how I was trained, which again was if you got the problem, the solution is in the pregnancy. So what if we started looking at pregnancy from the perspective of this is an unveiling, an unveiling of what was already there, and that nothing's actually gone wrong. Lesley Logan 0:29  Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started. Lesley Logan 1:11  Oh my God, Be It babe. Get ready. Get your notepad out. Get ready. If you're driving, listen. You're gonna re-listen. You're gonna share this episode with everybody. I am so freaking stoked about the guest that we have. I fell in love with her with every single answer, and we need women like this in the medical world. So Dr. Amy Loden is our guest today. We're going to talk everything from postpartum to perimenopause and heart health, because ladies, you can't be it till you see it if you get sick, cannot. And I know it's confusing. There's so much information out there in the world, and it's like, who do we trust? What do we do? And I'm just so grateful I found her, and you're gonna love it. So make sure you get ready to hit share on this episode for women in your life and the men who need to know about what women are going through. My mind is blown on the episode. Here's Dr. Amy Loden.Lesley Logan 1:54  All right, Be It babe, I'm excited. I'm super stoked. We're gonna talk about all things women, health-related, with an amazing professional person who actually studies this stuff, not what I've read, and then I'm asserting to you because I don't want to be that influencer. I think those people need to take a little step back and let the professionals do it. We have Dr. Amy Loden here on the show, who's going to tell us everything we need to know. But Dr. Amy, we tell everyone who you are and what you rock at, kind of how you got here.Amy Loden Tiffany, MD, MBA 2:20  Sure, thanks for inviting me. I'm happy to be here, Dr. Amy Loden. I am in St. Louis, Missouri. I help primarily women over 40, but certainly anyone who's like, "How are my hormones working for my life or not? How is my weight in the mirror matching the weight in my head or not?" And all the things that come with life transitions from postpartum to perimenopause, beyond, my goal is that women who've interacted with our team will have a better care experience because it's the care experience we want each of us to have had ourselves, and because each of us are not only professionals within the medical nursing communities, we're patients too, or daughters and sisters and mothers and neighbors and all the things. We know how much it sucks to be patient, right? And so we've tried to redesign what is the best thing for our ladies. Now, in full transparency, we do have a few dudes, but most of them have had their arms twisted by our rock-star ladies, and they are the ones that are coming because they're forced to. And eventually, they decide they like us, but we're pretty cool too. So that's who we serve, and that's what we do. And happy to go into any detail or rabbit hole you want to chase?Lesley Logan 3:21  Oh my God, Amy! I love that. When people ask about the people who listen to this podcast, we have mostly women and a few good men because there are some men out there, including my husband. They want to be interested. They want to. They want their partners, the women, their lives. They want to get what's going on. They don't want them to feel like an alien or like they're alone in this journey. So I think that's really, really cool. I also just want to highlight. I love that you brought up your patients too, because as someone who I feel very lucky to go through my perimenopause journey in today's time when people actually are talking about it, versus even 10 years ago, generations were not talking about this stuff, and I just feel it's really nice because then there's information I would never have known about HRT unless my girlfriend had told me about it. Oh, that could be going on, and then I could talk to someone. Can we go back though? Yeah, I feel like to be a doctor like yourself, who has empathy and understands, like you must have gone through a journey as well. You don't just want to do this Amy Loden Tiffany, MD, MBA 4:13  Because you wanted to do this. That's true. Lesley Logan 4:16  Maybe there are a few. There might be a few, but typically, like there there has there's a story there that got you to be like I want to care about this. So can you tell us a little bit more about that?Amy Loden Tiffany, MD, MBA 4:24  Absolutely, yeah. So definitely with the traditional college to medical school road, really didn't understand that there's a and I say this with all the love in my heart, but there is a bit of brainwashing to be a good doctor, right? And what is a good doctor was who you've been told it is. It's not necessarily an external criteria. It's who does academic medical center say, and that was very different. I learned through transferring all of my non-medical student fears into the actual application of those fears, and then being a patient and living those fears. That I realized there's a whole lot we're not talking about. There's a whole lot that we're not being told, both as doctors and as women, as patients, and it's hard to realize you don't know what you don't know if you've been told you're the expert and you know everything, right? And most doctors don't go around saying they know everything, but there's enough patients who feel like that's what's communicated, that that's the language I'm using.Lesley Logan 5:18  Yeah.Amy Loden Tiffany, MD, MBA 5:19  And that's really frustrating as a patient, so I didn't realize how frustrating though it was until I was a patient, and I'm a mom of five kids, my third and fourth are twins, and really I am so grateful to live in the United States in a time in history where complicated pregnancies does not mean that mom dies, because I developed severe preeclampsia with heart failure, and my twins came 31 weeks instead of at least 37, and I nearly died the night they were born. They nearly died the night they were born, and I just am grateful that God let me be in this situation that I had the help I needed. Historically, these are not good situations. We see this on TV and in movies frequently. And something like 70,000 women a year across the globe die of the same disease I had, preeclampsia. So it's not nothing, even in our day and age, in certain countries, and even in countries where you have advanced medical care and they do everything right. It can still happen. So, that for me was the pinnacle of this isn't working. What we're telling people to do isn't working because I had done all the things.Lesley Logan 6:30  Right, you were a doctor. You did all the things. I did all the things. You enjoyed all the appointments. You were probably doing, and this is your third and fourth. So you knew what it should feel like. You knew what you should be eating. You knew all the vitamins to take.Amy Loden Tiffany, MD, MBA 6:41  Correct, and it didn't work, right? It didn't work, and so I think that is the fundamental kind of if you place a pivot on why did I change how I think about healthcare as a doctor, it was because of my experience as a patient for myself. My husband had cancer twice, so being the advocate for him in those types of things, guiding my children and now my parents through healthcare, you start to carry a lot of stories, and you start to see, wow, they're not doing what I think is just the bare minimum. And if they're not doing that for me or for my family, I know they're not doing it for everybody else.Lesley Logan 7:11  Yeah.Amy Loden Tiffany, MD, MBA 7:12  And then at the same time, holding a ton of grace in my heart because that's—they're doing what they were taught.Lesley Logan 7:17  Right?Amy Loden Tiffany, MD, MBA 7:17  Right. And they can't do differently if they don't know differently. You can't be better if you don't know to be better.Lesley Logan 7:23  Yeah.Amy Loden Tiffany, MD, MBA 7:23  So that is a really tight tension. But I thought I would just keep plodding through and just be a better doctor in that context of me being a patient until a little—I guess it was two years later. My daughter at that time, my oldest, was seven, and I had about 3000 patients. I was working somewhere between 65 and 80 hours a week, and had four kids at that time. And my daughter came up to me one night, and I'm opening the computer. I'm doing work like I do every night, and she says, "You're gonna make my birthday gifts. Like, can I help?" Right, totally innocent seven-year-old looking forward to her birthday knows that her mom shops online, right? And so she's like, "I want to pick my birthday presents," and I kind of stared at her. I was like, "No, no, I'm going to work. We'll do that later," and go watch whatever show. It's probably Paw Patrol for all I know, right? That's in the background. Go watch it. It's gonna be bedtime soon. And she just stands there, and I haven't even looked at her at this point. My eyes are on my computer. I'm just telling her this as I'm going. I'm totally not in the moment, right?Lesley Logan 8:19  Of course, because like you have so many, you have 3000 patients and four kids.Amy Loden Tiffany, MD, MBA 8:23   I can't keep up. I can't keep up. Right? I'm barely getting enough sleep. I'm not exercising, and I'm just trying to survive. And she doesn't move. And so I remember not totally slow motion, but I remember turning to her and feeling like I was going to be like, "What?" Right? What do you need? And she's just got out of the shower, so her hair's wet. She's got her pink pajamas on, bright big blue eyes, and they're full of tears. And there are just silent tears tracking down her face, and I'm horrified. Oh my gosh, what's wrong? Right now, I'm in fix-it mode.Lesley Logan 8:55  Yeah.Amy Loden Tiffany, MD, MBA 8:55  And she still doesn't really budge, and she just says in a very sad voice, "Mommy. Why do you love your job more than me?"Lesley Logan 9:05  Oh.Amy Loden Tiffany, MD, MBA 9:07  Yes. So the twins tried to kill me. She did kill me, right? Like, that was a knife in my heart because nothing ever had I wanted to be better than a so-called good doctor than to be a good mom.Lesley Logan 9:17  Yeah.Amy Loden Tiffany, MD, MBA 9:18  And that was for me the moment that I realized I'm not doing either of these well, and I'm not showing up how I want to be personally or professionally. I'm certainly not taking care of my health. I'm not doing the things I'm telling my patients to do. Like, it was a moment where I really felt the failures. I felt all the feelings, and I told my husband that night, "This is not working anymore." And he actually thought I thought was talking about our marriage, and so he was like, "Oh my gosh, what's wrong with our marriage?" Right? No, but I need to, like, redo. We have to redo this. I either have to retire, or I have to do something different.Lesley Logan 9:51  Yeah.Amy Loden Tiffany, MD, MBA 9:51  And he was like, "You're not retiring. You will drive me crazy. Go find something different to do, and I will make sure our family is okay." And so I did. And this June will be five years of having Vitality here in St. Louis and serving women and trying to lean into all the pain and the things and the feelings they're dealing with from all the things and the feelings I dealt with having walked that path.Lesley Logan 10:13  Yeah. Oh, Dr. Amy, I love that you shared that whole story because I think there's so many women who are listening here and, like, they don't have, they may have one kid or they have no kids, but, like, I think we can all relate to, like, having just too much on the plate because.Amy Loden Tiffany, MD, MBA 10:27  Right.Lesley Logan 10:28  Hello, my high-achieving woman. I see you, everyone here listening. We call recovering perfectionists and overachievers. There's nothing wrong with being a high achiever, but what happens is we tend to just keep saying yes to things, and we're like, yeah, we can fit that one more thing in, that one more thing. All of a sudden, it just comes to, like, a volcano breaking point. Yes, and because we don't, we don't see the signs early that we are at the breaking point. We don't, you know, we, it's almost, it's actually proven to be not true. But everyone uses the frog in the boiling water, right? Like, we just kind of, like, you don't realize how hot it's getting until it's until your daughter is crying in front of you. Oh, exactly.Amy Loden Tiffany, MD, MBA 11:05  Yes, it was awful. I never want to relive that moment.Lesley Logan 11:08  Yeah, but also, like, thank goodness for her because that she felt brave enough to say that. Like, what a badass she is. I mean, she's just going to be, like, she's just going to be a girl who speaks her mind. She does.Amy Loden Tiffany, MD, MBA 11:18  She's 13 now, and she heard me tell that story once, and now she's like, "Well, you have to credit me for opening your business because I hadn't said what I did." I was like, "Won't you just tone it down a notch, please?"Lesley Logan 11:27  It's called balance, babe. It's called balance. Yes. Okay. So, can we, like, let's get to some of the health stuff that I think our listeners want to—I want to definitely get into perimenopause, but I do want to, because we started with a pregnancy, and I have had family members who, you know, have had preeclampsia in their, and it's scary. So, how are pregnancy complications connected to long-term heart risk? I don't think anyone's thought about that. I just thought, like, if it's because I don't have kids, like it's going to screw up your pelvic floor, and you might have to rebuild your abs and these other things. But I didn't know it can affect your heart long term.Amy Loden Tiffany, MD, MBA 12:01  I had no idea. I'm so glad you brought that up. So I actually did a TEDx talk on this very topic, where the idea is pregnancy is so much more than just the birth of a kid. That's how we think about pregnancy in our culture. That's even how we think of it medically, right? Like if you have preeclampsia, you have gestational diabetes, you have high blood pressure, whatever in pregnancy, the answer is end the pregnancy, deliver the kid if they're old enough, right? Like, get, move it along and it's gone. But that I strongly believe is not true. We can't test this in a lab, so you have to do a little bit of extrapolation here. But if we're going to call pregnancy a stress test, which is becoming an increasingly common term, is pregnancy a stress test of a woman's metabolism and her cardiovascular system? Then we have to ask, what are we stressing it for? And the way I'm looking at this is a little bit different than how I was trained, which again was, if you got the problem, the solution is in the pregnancy. So, what if we started looking at pregnancy from the perspective of this is an unveiling, an unveiling of what was already there, and that nothing's actually gone wrong. It's scary. It's horrifying. And yes, absolutely, people die. So how can I say nothing's gone wrong? What I mean is nothing has gone wrong in the context of the situation we put your body in. It's exactly responding the way it should for the context it's in. So if I have underlying insulin resistance, and then I put a pregnancy on top of that or perimenopause, and I'm starting to have more insulin resistance. Well, of course I'm going to develop gestational diabetes. If I'm having a lot more fluid retention and I'm putting up a low weight, of course my blood pressure is going to go up, right? If I've got underlying inflammation, of course preeclampsia is going to develop. So I think we need to stop and think about it as it's not done; it is unmasked.Lesley Logan 13:42  Got it. Amy Loden Tiffany, MD, MBA 13:42  And then once you know it's unmasked, you treat it.Lesley Logan 13:45  I see. I see. Because again, we think of pregnancy as just the baby, so you have the baby, but it's well, but there's a problem, an underlying problem that the pregnancy revealed is what you're saying. And so great if having the baby is the safest thing for both people, we do that. But also, you still have this underlying issue.Amy Loden Tiffany, MD, MBA 14:01  Yes, it's still there. Correct.Lesley Logan 14:03  Yes, and I don't think anyone does that. I think they're just, "Okay. Now you don't have gestational diabetes anymore." But I have had clients who had it, and then afterwards, so what do we got? Oh, I'm fine. Are you correct? I don't think so. I'm not a doctor, but they're not fine. Don't just be diabetes. Yeah, for a moment. Yes.Amy Loden Tiffany, MD, MBA 14:19  So I actually experienced this as a patient too. I went in after my first pregnancy with gestational diabetes. At the time, I was living in New York City. I walked everywhere. I was a normal weight. I ate pretty clean, and despite being in residency, I'd got decent sleep. I didn't have any other kids. It's my first kid, so I got decent sleep. Right, but I had the baby after having had gestational diabetes. I go see my OB, and she's, "Oh, just follow up with your primary doctor." I go see my primary doctor, and he's, "Your weight's normal, your labs are normal. We're done," and that is how I was trained too. So again, lots of love in my heart. They're not; they're just not told. But for more than 10 years, we've known that women who have these high-risk pregnancies are at high risk not just for diabetes, but heart disease, stroke, kidney failure, dementia. Listen, I can't treat dementia well in the clinic, right? So why wouldn't I want all hands on deck trying to prevent it?Lesley Logan 15:07  Yeah.Amy Loden Tiffany, MD, MBA 15:07  But that's not how our medical professionals are trained—nurses, advanced practice providers, any of them. And so we're asking people and expecting people to fill in a gap they don't know exists, and so all these reproductive-age women are falling into it. And then where it gets really interesting is some of the same things you have immediately postpartum in all your different types of hormone fluctuations are matched intermittently for 10 to 15 years before menopause when you're in the perimenopausal years.Lesley Logan 15:32  What?Amy Loden Tiffany, MD, MBA 15:33  Correct, but that's why these women are feeling, "I'm going to my doctor, I'm putting on weight, I'm doing all the things, it's not working," and they're being gaslit, partly because their doctors don't know what they don't know, and partly because we're not acknowledging this is the same physiologic status of hormones that are different than baseline. So we're not in a country, and we don't have the testing that would promote or facilitate checking what is your normal hormone level at 18, so that we know what 18 should look like, and then by 45, you know, we're not. So we're trying to patchwork together a whole bunch of tests, and different labs have different testing, and different people say different things about testing. It's very confusing.Lesley Logan 16:10  Yeah.Amy Loden Tiffany, MD, MBA 16:11  And you end up with women suffering. And at the end of the day, that's the problem I'm trying to solve: is how do we stop these women from suffering? Because they are called to live big lives, to be ambitious for a purpose, for a calling. They have a lot to do, and their health is one of their biggest assets. It should not be a liability.Lesley Logan 16:27  Yeah.Amy Loden Tiffany, MD, MBA 16:27  And that's what's happening, especially for women who are trying to not work just in the home but outside the home. Right? There's a lot they're carrying. Yeah. So that's, I don't remember. Sorry, I'm having a total perimenopause moment. I don't remember where we started with that question here. I'll stop there. Lesley Logan 16:42  Don't worry, babe. I got my focus meds on the ADHD today, so I'm tracking. So we're good. But we were talking about the postpartum, and then we got into those hormones that switch as, and they can repeat into perimenopause. And I think this is fascinating. I love that you brought up. It doesn't matter if you're in the home or out of the home. We have big lives. Correct. We can't have our health be a liability, and I think for a lot of us, it feels like, like my girlfriend's a weight-loss coach for women over 40 who feel like their body gave a middle finger. That's what her coaching is, and it's all about not going to yo-yo diet. That's not going to work. We have to figure out what is the underlying issues, and it can only go so far because you said we don't test our hormones at 18. We don't do that, so we don't know what is normal for us, and I remember I was having a lot of health issues, digestive issues in my 30s, and no doctor could help me. In fact, one doctor sending me to, I was in this weird part where they study HIV and Ebola in the hospital, and she's like, "Do you know why you're here?" I don't know why I'm here. I don't. This scares the hell out of me. This feels like a department I should not be in. I'm not in any pain. I feel like I'm taking someone's spot, and so because he could, he just couldn't figure out what's going on my stomach. So I found someone who did an actual test of everything. He's so range normal. We don't know what normal is for you. We just know what the average person of this population of people that who knows who they were that were tested. So what is normal for you might not be the average. And I was, "Oh well, that's the first time anyone said anything that makes sense. That's the first time." So you can be in range, but for your hormones, but it wasn't in range for you because maybe you were used to higher testosterone, you're used to higher things. And so I love that people like you exist. I'm sorry for the frustration of your own journey, but also without people like you, women like me wouldn't have someone going, "Hey, actually, maybe you should be on testosterone right now," even though the, this is what it is. Mine was actually zero, but people, you know, we can actually get you help because I feel so much better because someone finally was listening to me and thought, "Yes, we're not going to compare you to a random person. We got to compare you to how you're used to feeling."Amy Loden Tiffany, MD, MBA 18:42  Correct. And for most people, that can't happen in the traditional system.Lesley Logan 18:47  Yeah.Amy Loden Tiffany, MD, MBA 18:47  You can't do that in a 10-minute visit.Lesley Logan 18:49  Right.Amy Loden Tiffany, MD, MBA 18:50  You can't do it when your doctor has 3000 patients, 10-minute visits, and they really don't actually know who you are.Lesley Logan 18:55  Yeah.Amy Loden Tiffany, MD, MBA 18:56  You just can't. So we've got a little bit of unrealistic expectations as a society, and then you know any women's magazine or journal article you read says, "Talk to your doctor about this." So then you go in, I'm all prepared. I have my list. I've done it too, folks. Right? This is not a criticism, but they, they can't. They don't have the ability to process it, and the way they're paid is based on the questions they ask you for insurance. So every incentive is misaligned, and at the end of the day, women, people are being screwed.Lesley Logan 19:22  Yeah, yeah. No, it's so true. So I'm glad we talked about the postpartum. I want to get into now. We're in the perimenopause, and yep, this is hard because you mentioned the hormone shift of people after postpartum is its own crazy world. I keep checking on my sister-in-law every day. How are you feeling? Are you feeling okay? Right. You feel okay? She's, "I'm fine." Are you fine? Let me just, I just want you to know. It's okay if you feel different, right? I think I'm crazy, but I know that that people don't realize how they're feeling, and it's hard to get to the doctor until it's too late. So I'm just, I'm on her. But for people like me, we didn't have children, so we have never experienced a crazy shift. We just start to experience, "I don't feel like my, anymore," and all the symptoms are so different for every single person. I'm not having hot flashes, but I'm, I got to keep my hair still here. But my inflammation was insane. I was putting on weight and working out and eating the same. And I don't understand what's going on. You know, so can we talk a little bit about what, I don't know where you want to start with that. So you tell me where you want to start with my post, my perimenopausal people who are not necessarily attributing these changes to that.Amy Loden Tiffany, MD, MBA 20:27  So I think the biggest confusion I see in the exam room conversations is that there's just question of, am I in perimenopause or not? And it's more of a less of a yes-no and more of, are you on the spectrum, and where on the spectrum are you? And so if you think of it as a sliding scale, because some months those ovaries are working really great, and you feel all the feels, and you're 18 again, but a lot of months maybe you're more like 20 or 25, right? And then maybe out of the blue, I feel like I got run over by shock. Nothing's working for two or three months, and then we're back to 25, right? And so it's ups and downs. You're like, what is happening? It is a roller coaster, and it runs anywhere from 10 to 15 years before you actually go through menopause. So I think of it as reverse adolescence, and I think it's completely ironic that God lets us have teenage girls when moms are going through perimenopause because that is just double-adolescence whammy, right?Lesley Logan 21:19  And no wonder, no wonder marriages don't survive certain things. Right, you have a daughter going through puberty and a wife with a pair of menopause. Good luck to the husband. Correct, becauseAmy Loden Tiffany, MD, MBA 21:28  I want to have sex. I don't want to have sex. I have pimples all over my face. I don't want to go to the house. I do. My belly's bloated. It's not like my mood's up. All the things, and it's all in reverse. So it's a it's a period of a woman's life that I think needs to be acknowledged, and then within the healthcare system, there's more noise about it over the last five years. You're seeing more and more people talk about this, but there's not a lot of standardization, and so you're getting chiropractic, functional medicine, traditional medicine. You're getting all sorts of different recommendations. So my hope is that over the next decade, we start to see some standardization, and we start to say this is what is normal for this population. You still have to apply it to the person. You cannot take population data and apply it to individuals and say that you're going to have good luck, bye. We'll see you in a year. That doesn't work. What I do think is that women need to know what's normal for that time, and then they need to decide, do they want to do something about it beyond what their body is experiencing? And here's some really interesting data that I hope your listeners suddenly stop and listen. If they don't hear anything I've said yet, this will be really important for women who have hot flashes and night sweats. Either one, they're actually the same thing. We call them vasomotor symptoms. When you have those at a certain degree, so that they're happening most days of the week, more than 10 times a day would be an easy target to kind of pay attention to. You have that, and you choose not to take hormones. You actually have an increased risk for cardiovascular disease and stroke. That does not mean every woman in that category can or should take it. There may be reasons they can't, but the hormones we use today are different than what in the Women's Health Initiative that came out in the early 2000s. So you're getting a lot of confusion because women are reading about data from that, not realizing that it has changed, and that study is not going to be redone. It was a huge study. We're not going to see data like that, so we have to make really informed decisions. But cardiovascular disease, hear me, ladies. Cardiovascular disease, which includes stroke and heart failure, kills more women every year than all your cancers combined. Yeah, I get the women and they come in religiously for their mammograms or their Pap tests, right? But they don't know that the bigger risk is that they're going to die of heart disease, cardiovascular stroke, and we know that one in eight women, roughly, have breast cancer risk, and those women get it. One in two women are getting heart disease. So there's one inLesley Logan 23:50  Two.Amy Loden Tiffany, MD, MBA 23:51  One in two. So that means there's two of us on this call, right? We already know I'm going to get it because I had preeclampsia. So I'm the one. Lesley Logan 23:56  I was going to say. I hope it's not maybe. I hope it's not you. But, like, thank God you know that because I think it's one and two, especially if you don't know. Because if you know that you're at risk, you do. Then you can you do something. I am. I'm double the risk for breast cancer, so I have to do an MRI and a mammogram every six months, and I have some decisions I might have to make in my life. But because I know.Amy Loden Tiffany, MD, MBA 24:18  Right, I can take.Lesley Logan 24:20  I can take action. Yeah, correct.Amy Loden Tiffany, MD, MBA 24:22  And you know, using that same kind of history, if someone comes in my office and says that I don't want to take hormones because I was a breast cancer, I'm like, that's fine. But let's look at all the facts. Let's lay it out like your financial advisor does, and then you can make an informed decision. Because just acting out of fear or reacting is not wise either.Lesley Logan 24:38  I actually really appreciate you mentioning that because it's true. If I'm, I'm very lucky in that I still get to do the HRT that I'm on, even with my risk. But also they're checking me every six months, and I'm checking me. So if anything's going to happen, we're going to catch it so much more quicker. Whereas the hard stuff, there's only so much you can do with that. And so if you're, especially if you're not aware. Say there's all conversations, but I liked the way you laid it out with the wealth manager. I just met with mine. He laid out here's where we're being aggressive. Here's where we're doing this. Here's what's going on here. We're going to move this over here because we're going to risk-manage these risks. And I think that's that's a better way to look at it because we're not going to, every single one of us is unfortunately going to experience something because it's a body. We're not a machine. Amy Loden Tiffany, MD, MBA 25:21  It wears out.Lesley Logan 25:22  I did not know it was one in two, girl.Amy Loden Tiffany, MD, MBA 25:26  Yeah, and what's even more disturbing, you may have heard a lot of women have by now that women's heart disease presents differently than men.Lesley Logan 25:32  Yeah, can you tell us just in case my people haven't heard because I didn't know it was one in two? So let's go over the signs.Amy Loden Tiffany, MD, MBA 25:38  A lot of times people think of what's the so-called traditional? It's the jaw pain, the radiation of pain from your chest up to your jaw, to your back, down your left arm. Very classic symptoms. Classic because it was studied in men, and then we have these so-called atypical for women because they're not typical compared to men, but they're classic for women. And so, got a little bit of lingo here that it doesn't make total sense. But for women, sometimes it's they just feel a lot more anxious than they've been for unclear reasons. They have this sense that something bad is on the horizon. They can't really place why their sleep is different. Maybe they're having some shortness of breath they didn't used to have. Maybe they go up the stairs in their house, with a laundry basket, and they're huffing and puffing when six months ago they weren't. So it can be very subtle differences. It could be a new fatigue. Check labs are normal, but the fatigue's still there. That worries me when I hear women say this. Unfortunately, the number one sign that you have heart disease is sudden death.Lesley Logan 26:33  Oh.Amy Loden Tiffany, MD, MBA 26:34  So let that sink in for a second. So we can't always wait on what the signs are.Lesley Logan 26:39  Yeah, we can't fix that. Right. Correct. Okay, so that's hard because our signs are also. I feel like high-achieving women would so easily brush away that anxiety.Amy Loden Tiffany, MD, MBA 26:51  All the stuff. Correct. Because I have a lot of tabs open.Lesley Logan 26:54  Yeah, I got this going on, or I haven't been working out, so of course I'm out of breath going up the stairs. They would just so easily.Amy Loden Tiffany, MD, MBA 26:58  It's May, it's graduation season. It's wedding season, right? This is just aging, and that's not the story at all. The problem is 10-minute visit with your doctor who has 3000 patients. They don't know who you are. They're not going to notice that this is different for you.Lesley Logan 27:13  Yeah.Amy Loden Tiffany, MD, MBA 27:13  Decreased exercise tolerance is a big one. And so, if you could walk three miles every day in your neighborhood, now you're like, "Wow, I'm really struggling to get through one." I'm worried about that. I want to know what's going on and why.Lesley Logan 27:25  Yeah. So I guess since one getting a 10-minute visit is hard. I, where I live in, I live in Las Vegas. Last I heard, we are short general practitioners by 1400. I don't have one. I go to a women's clinic, and I'm really grateful. It's a, it's also a student-teacher thing. So I actually, they've caught things because the students are asking the questions because they'reAmy Loden Tiffany, MD, MBA 27:44  Yes, yes.Lesley Logan 27:46  I love them. I'm so grateful for them, but are there things that women can do to check their heart, or is it just being, is it just noticing the one mile versus a three mile? What can we, what are the signs we need to be checking on?Amy Loden Tiffany, MD, MBA 27:57  Certainly be aware of what your body is telling you. Again, if you have to remember nothing else, this is another one: is that your body is smart; it will talk to you, but you have to listen.Lesley Logan 28:05  Yeah.Amy Loden Tiffany, MD, MBA 28:06  So that's really essential. If something's different, say something. You're right. There's a big collapse, if you will, of how much support we have in healthcare, whether it's nurse practitioners or chiropractor or whatever. And the issue is not all of them are trained the same way. So when I worked in the OB/GYN clinic, it became apparent to both of us, on both sides of it, that OBs know stuff about women's health. I don't know, but I know stuff about metabolic and heart health that the OBs aren't taught, and most women use their OBs as their primary care, at least to a certain age.Lesley Logan 28:32  Right.Amy Loden Tiffany, MD, MBA 28:33  And again, you don't know what you don't know, so you don't realize what you're not looking for that you should be. And our system's not set up for good collaboration. So if I could tell women, here's a checklist of things I want to make sure you get, your doctor is going to give you some resistance, most likely because they don't realize that lipoprotein with a little a, it's like in parentheses at the end of it, not the big A. Lipoprotein little a. If you have that mutation, and 10 to 20% of our population does, you have a different rate of plaque development, at least risk for that than the average risk will miss. If you have high insulin levels, you have a higher risk that you're going to be on a pathway toward diabetes. Those are not things that are standard checks. So knowing that there's other tests you can ask for, and even if your insurance doesn't cover it, they're not expensive tests. Just get it once, right? Have an idea of what's going on in your body once gives you a ton of information. I offer a lot of our patients to wear different glucose monitors, even if they're not on diabetes. And all my physicians who are listening to this are probably like, "You do what?" But the reason is, if you can figure out that your glucose and insulin are high before you develop diabetes or pre-diabetes, if you figured out that insulin-resistant stage, that's a lot easier to fix, and our doctors aren't even taught about what is insulin resistance, what is the criteria for it, and how do we reverse it?Lesley Logan 29:47  Right, because there's some prevention we can do if we have information.Amy Loden Tiffany, MD, MBA 29:50  There's a ton, and it's things women can do in their homes or their businesses. It's not stuff I'm doing in the exam room.Lesley Logan 29:56  Yeah, and that's also, you know, you're listening to this podcast, you're kind of a go. Anyway, so you're gonna, you'll take the action. Our health insurance is very bizarre. I thought it was crap because, but it has a lot of preventative stuff that goes on with it. Hey, we want to put this thing in your house and check your heart and some other levels every, I don't know, two or three times a week. They keep calling them. I have two adults. We have two ADHD adults in this household. The box is here. One of us will open it when it becomes the pressure. I just have to hang tight. We'll get there. But I'm really impressed by that because we don't have access to a regular doctor. So what information can we gather so we could be watching it and monitoring it? So we can advocate for ourselves if something comes up. So having that prevention is really amazing. Okay, so we talked a little bit about the perimenopause and the different things. What are some simple shifts that women can make now to protect their future? I mean, obviously we have a wide range of women, so the now is different. But what are some things that they could be doing? Because I do think that they are getting information from the magazines and the Instagrams, and we should get it from the person who's experienced it and has seen it. You know, so you.Amy Loden Tiffany, MD, MBA 31:00  Some easy things, and I say easy relative because they're easy to do, which means they're easy not to do. So acknowledging that, right? It's real. Number one, understanding that just because you get eight hours of sleep, if they're not high-quality hours, you've got a metabolic risk from your sleep not being normal. That's important to understand because you spend a third of your life asleep, right?Lesley Logan 31:19  What's a metabolic risk? Just in case my people. So.Amy Loden Tiffany, MD, MBA 31:22  If you don't get good-quality sleep, your cortisol goes up. It's one of your stress hormones, and when cortisol goes up, glucose goes up. When glucose goes up, insulin goes up. Insulin's your fat-storing hormone. So even without your sex hormones being involved, or the ghrelin and leptin you're hearing about with weight and GLPs and all that, just those, you're not getting good sleep. It's going to be a problem. Insulin resistance is going to go up. Insulin resistance means your cells are not listening to the insulin your body is giving it, so your body works harder to get more insulin, and the cells work harder to ignore it, and it just keeps going in a vicious cycle. So if we consider that that's the root cause of a lot of these problems we've been talking about, we fix that. Number one is get good sleep, get good-quality sleep, and it's not, not just enough time in bed.Lesley Logan 32:02  Yeah, so.Amy Loden Tiffany, MD, MBA 32:03  That's important. Number two is most people don't realize that they're doing it backwards. They're, if they're, if they're even able to get exercise in their life right now, right? So we're going to make the assumption that you figured out some exercise regimen you like. We're, we're at that level, but they're doing it at the wrong time, and they're doing it in a way that they're sabotaging their end result. So rather than going to the gym and then going and eating dinner, or going to the gym first thing in the morning and skipping breakfast and all these things, you need to eat protein and fat, and then you need to move your thighs. I don't care if that's jumping jacks, going for a walk, running up the stairs, something where your thighs are moving regularly for 10 minutes. So make it whatever you like doing. This can be the mom at home who's doing all sorts of fun class activity with her kid, right? Like moving the baby around or the teenager can be equally fun to move around for what it's worth. And then it could be the CEO who's getting ready for a meeting and has 10 minutes after eating whatever lunch she had in the five-minute break she did, right? So looking at what makes sense in your life, but 10 minutes of physical activity, ideally after every meal, that's not realistic, but that's ideal. And then you start with the one meal a day you can do, and you do it most days of the week to start with, because most of us have to figure out how to make it a habit.Lesley Logan 33:15  Yeah.Amy Loden Tiffany, MD, MBA 33:15  But movement for 10 minutes after eating, it's, it's crucial. I cannot stress that enough.Lesley Logan 33:20  I didn't realize it was. It makes total sense moving your body after eating because I like to go for a walk after I have lunch. Otherwise, I'm tired. Correct. I can't go back to work now. Amy Loden Tiffany, MD, MBA 33:30  The reason you're tired though is because your glucose goes up and your insulin went up to match it. When you walk right after you eat, glucose still goes up, but it's less, and so you have less insulin spike. Insulin is the bright driver here, and so you've got to do the movement after. And if it helps to understand why, think back to what our ancestors did 1000 years ago. Right? We weren't checking hormones. We weren't checking insulin. We weren't talking about hacks. We were trying to survive most of the time. Yeah. But the things they did is they, if they, what, after they ate, they moved around. Right? Like they were building their shelters. They were taking care of the kids. They were moving in the community, helping build, create, relocate, whatever. They were always moving, and they did not get the whole three square meals a day. That's bogus. You don't need three meals a day, okay? And most of my ladies don't realize that they're eating their nutrients potentially in the wrong order for their body. That they're eating them in the wrong time for the cycle of the month they're in, they're not getting enough protein, not getting enough fat for their hormones and their brain, and it doesn't happen quickly, right? It's months, years, maybe even a couple decades before they're, I don't know what happened, but my body in the mirror is not the body in my head. This is not who I am. There's a disconnect, and they finally are at that place where they have to do something, where the body is forcing them to stop because they've pushed it as hot as you know.Lesley Logan 34:44  Oh my God, that's a whole episode. We're having you back. I'm just telling you right now because I want to have a whole episode on the whole. Because what I do know is if you eat certain things, if you work out too late, if you get your cortisol up, sleep that. I have been trying to figure out sleep for over a decade, and I, I get good-quality sleep most of the time. But I'm obsessed with it because I'm like, I don't want Alzheimer's. I do not want heart problems. It doesn't really matter what I'm doing at the gym if I'm not sleeping. None of that matters. Doesn't matter what you're, If you don't get good sleep, all the rest is gonna just fall apart anyways. So it's interesting. It makes sense about the food because I remember when I was having problems with my cycle and I had my one of my doctor friends, she said you should try seed cycling because I just, the worst cramps and, like, the worst everything was just the worst in the world, and so I tried seed cycling and my goodness, you know, I'm not a woo-woo girl, but the seed cycling makes, I got, I had no more zits, my boobs didn't hurt as bad, everything leveled out, and I didn't need any extra hormones for it. I was, whoa, so now there must be more. We need to know about it. So we'll have to have you back for that. I can talk to you forever. So we'll just, this is part one of many. I'm just going to take a brief break and then find out if people can find you, follow you, and work with you. All right, Dr. Amy Loden, where do you hang out? You mentioned St. Louis. Can people work with you if they're not in St. Louis? How does this work?Amy Loden Tiffany, MD, MBA 36:03  Yes, absolutely. Best way to get into contact with our office is just going to our website, www.vitalitymwc.org. They can sign up for a consultation, and we can go through what their options are. There is also lots of opportunity if you don't want to work with us directly, but you want to continue the conversation and hear what we're seeing. I do all the social media I can so that people can hear what's being said in their exam rooms and have it in their real lives too. So you can do that on follow me at Dr. Amy Tiffany, whether it's on Instagram or TikTok or Facebook. You find it where they're also on LinkedIn at Dr. Amy Loden. So lots of places depends on what their needs are. One special offer I do have for your audience: we talked about pregnancy and perimenopausal bit through this conversation, they can contact my office for a free physical copy of my book, The Postpartum Pivot. And before you stop listening, ladies, and you think, "Well, I'm not postpartum." If you've had a baby, you're postpartum even it's 20 years ago. Your body's different than it was before that baby, and so you can understand what does this look like for perimenopause and other types of areas that we go through as we grow less young, but grow more wise.Lesley Logan 37:03  Oh my God! Every one of my female females, that's where your Christmas present is. Sorry, just gonna get a doctor because they don't. It's, if their doctor doesn't tell them, they don't know, right? And then they are just going through it. And I feel so bad because every woman in my life is such a badass, and then they get their body doesn't keep up with what they're wanting to do in life, and then it just becomes not just like a liability, but like this hangup. So you are amazing. Okay, you've given us some great stuff already. I mean, we're gonna have to rewind, and I'll listen to this. I've got, you know, getting my notepad out, but our bold, executable, intrinsic, or targeted steps people can take to be it till they see it. What do you have for us?Amy Loden Tiffany, MD, MBA 37:37  I want each one. When you be it as you see it, I want you to be true to what your body's telling you, and recognize nothing's gone wrong. Listen when things are happening and they seem like it's a crisis. Nothing's gone wrong. Your body's talking to you. Listen, and when you listen, you become more wise. You become a better version of yourself.Lesley Logan 37:55  Okay, I really love that. We talked about that earlier, but it's true. Some of us think our body is against us, and it's doing something to us. But really, it's like, hello. The alarm bells. Amy Loden Tiffany, MD, MBA 38:05  It's doing exactly what it should do for the situation we've put it in. That doesn't mean we like it. You get diabetes. No one's like, oh yeah, my body did exactly what it's supposed to do. But if we understand that, then it becomes a neutral thought. It's not bad or wrong. It's I didn't listen, so now I'm going to stop, and the best place to reverse is as soon as you realize you're going in the direction. Right? It's not to keep going in the wrong direction. So nothing has gone wrong. We just need to listen. We need to turn around, create a better story.Lesley Logan 38:33  Love it. Love it. This is and then so enlightening. This is so fun. Thank you so much for being you and your and and the journey that you've been on is something we can all benefit from. So thank you for that, you guys. We all need to share this episode with all the women in our lives, and I would love for you to make sure that Dr. Amy knows your favorite takeaways. Send them to the Be It Pod as well. And since I'm going to have her back, not that I even like asked her beforehand, but I'm just going to tell her she's doing that. You can send your questions, and we'll make sure we get that. So, beitpod.com/questions. Until next time, my loves, Be It Till You See It. Lesley Logan 39:03  That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day. Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @BeItPod.Brad Crowell 39:45  It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 39:50  It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 39:54  Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 40:02  Special thanks to Melissa Solomon for creating our visuals.Brad Crowell 40:05  Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What if the miracle you've been praying for doesn't come by God removing the hardship—but by God sending someone to meet you right in the middle of it?Today's conversation is one I won't soon forget.I'm joined by Zahara McCoy, founder of Children of Grace, whose story began in a small village in Uganda. After losing her father to HIV at just seven years old, becoming a caregiver for her sick mother at nine, and then losing her mother at ten, Zahara suddenly found herself orphaned and facing a future filled with uncertainty.She wondered if God saw her.She wondered if He had a plan.She wondered what would become of her life.And then came a knock at the door.Through a sponsorship program, an ordinary woman named Marianne McCoy chose to invest in a little girl she had never met. Zahara was given the opportunity to return to school, receive meals, and begin dreaming about a future again. Eventually, that relationship brought Zahara to the United States and changed the trajectory of her life. But this story isn't simply about Zahara being rescued.As Zahara says so beautifully in our conversation, she wasn't rescued from something—she was rescued for something.God eventually brought her back to Uganda, where the experiences that once caused her so much pain became the very places from which she could recognize the needs of other children. Today, through Children of Grace, Zahara is helping provide education, healthcare, mentorship, discipleship, guidance, and hope to children facing circumstances much like the ones she once faced herself.We also talk about something I think every one of us needs to hear:You don't have to solve the entire problem.You don't have to have a huge platform.You don't have to have endless resources.You simply have to be willing to ask God, “What can I do with what You've placed in my hands?”Because sometimes the answer to someone's prayer looks like an ordinary person deciding to say yes.And to that one person, your yes could change everything.Zahara encourages listeners not simply to hear her story and think, Wow, what an incredible journey. Her challenge is much bigger.Let the story move you to action.Sponsor a child.Go on a mission trip.Use your gifts.Serve.Give.Pray.Ask God where He wants your yes.Because there is room for every one of us in Kingdom work.Anchor Verse: John 16:33Connect With Zahara & Children of GraceWebsite: https://www.childrenofgrace.comChildren of Grace IG: https://www.instagram.com/childrenofgraceZahara's IG: https://www.instagram.com/zaharamccoy/**And after you listen, take a minute and ask God:“Whose life could You change through my yes?”***If this episode encouraged or challenged you, would you take a minute to rate and review Anchored by the Sword, share this episode with a friend, and send it to someone who needs the reminder that God can use ordinary people to do extraordinary Kingdom work? Every share helps these stories of hope, freedom, and God's faithfulness reach someone who may desperately need to hear them.***

Recorded at AIDS 2026 in Rio de Janeiro at the Roche Diagnostics booth, host Ben Plumley speaks with Professor Pedro Cahn (Fundación Huésped, Argentina) and Dr. Rupa Patel (Whitman-Walker Health, Washington, DC) about why diagnostics—often overlooked in the HIV continuum—are the essential entry point to prevention and care, especially amid reduced funding. They discuss late diagnosis and loss to follow-up, structural barriers like clinic access and hours, and the need for community-led, person-centered delivery models including outreach brigades, mobile and home-based services, and task shifting to peers and other health workers. The conversation covers integrating point-of-care and lab testing, the promise and risks of self-testing with real-time linkage to support, and linking HIV diagnostics with broader health needs such as TB, STIs, diabetes, and cancer screening to advance equity and progress toward 95-95-95. 00:00 Welcome and Setup 01:22 Live Booth Kickoff 02:20 Why Diagnostics Matter 07:11 Late Diagnosis and Equity 12:15 Reimagining Care Delivery 19:28 Outreach Testing in Practice 22:53 Point of Care vs Lab 27:28 Self Testing Debate 34:35 Building Integrated Platforms 38:30 Policy and Provider Barriers 43:43 Closing Calls to Action Guests: Professor Pedro Cahn Scientific Director Fundación Huésped, Argentina Dr. Rupa R. Patel Biomedical HIV Prevention Clinical and Research Lead Whitman Walker Institute and Health, Washington D.C. Roche Diagnostics https://diagnostics.roche.com AIDS 2026 https://www.iasociety.org/conferences/aids2026 Check Out Ben's Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health. #hivaids #HIV #AIDS #globalhealth #AIDS2026 #RocheDiagnostics

CHEST September 2026, Volume 170, Issue 3 CHEST® journal's Editor in Chief Peter Mazzone, MD, MPH, FCCP, highlights key research published in the journal CHEST September 2026 issue, including an exploration of the association of menopause with lung function in women with and without HIV, a study of the integration of deep learning based on low-dose CT imaging with clinical data for lung cancer risk prediction, and more.  Moderator:    Peter Mazzone, MD, MPH, FCCP

The crisis almost never arrives all at once. It builds — quietly, gradually — and then one day, people break.Dr. Adjoa Smalls-Mantey has stood in two of the most extreme places a human can be. As an emergency psychiatrist in New York City, she sits with people at the absolute edge of crisis. Off the clock, she looks for her own edge on the sides of mountains —. A physician-scientist trained at Oxford and Columbia with a PhD in HIV immunology, an award-winning author, and a national mental health policy voice, she joins Jon and Will to talk about what actually brings people into the ER, why economic stress is now hitting the middle class and young adults, and the single lesson the mountains taught her that changes everything: ask for help early.IN THIS EPISODE YOU'LL LEARN:What gets in the way when we need to ask for help?   The most common crises that bring people to the psychiatric ER — and how the demographics are shiftingWhy economic stress is now breaking middle-class professionals and young adults who can't find workCrises build gradually, then people break — and why to call 988 and ask for help earlyWhat mountaineering taught her about asking for help: inexperience delays it, and delay costs the whole teamPut your own mask on first, ask the right person, and keep the ask time-limitedMore about Dr. Adjoa Smalls-Mantey:1.  Instagram & Youtube: doctoradjoa2.  Children's book: Anjali the Brave (All About Vaccines) — on Amazon3.  New York Mental Health Foundation — launching soon 4.  New York County Psychiatric Society (branch of the American Psychiatric Association) — Dr. Smalls-Mantey is immediate past president5.  If you or someone you know is in crisis, call or text 988 (Suicide & Crisis Lifeline) Check out our Awareness-to-action Self Mastery COURSE & COMMUNITY:12 modules on attention, presence & performance. Work at your own pace plus a community built for Inspiration and connection.1.  www.focusnowtraining.com/a2a-CourseJOIN US IN PERSON — Future Events and Retreats.1.  Live in-person event: Warrior Defined. We will be in Charlotte, NC, September 25, 2026 more info HERE: Or mentalkingmindfulness.comGET MORE FROM MTM:Text MTM to 33777 — free weekly newsletter1.  Subscribe: mentalkingmindfulness.com2.  FNT: focusnowtraining.comBRING FNT TO YOUR TEAM:1.  focusnowtraining.com/contactProduced by Robert Lopez | https://www.cratesaudio.com/

Dr. Doris Macharia, President of the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF), joins Alberto Lidji on the Do One Better Podcast for a conversation about the global effort to end pediatric HIV and the challenge of reaching the children and families who remain underserved. EGPAF has been working for more than three decades to improve outcomes for children and mothers affected by HIV. Today, its work spans 12 countries in Africa, working alongside governments and communities to strengthen HIV prevention, testing, treatment, and care. In this conversation, Dr. Macharia explains what she means by reaching the “last mile” and why the final stretch toward ending pediatric HIV can be among the most difficult. Alberto and Doris explore the barriers that continue to stand in the way, from poverty, stigma, and conflict to gaps in healthcare systems, diagnostics, treatment access, and follow-up. They also discuss how African health systems can become more resilient and sustainable, why reducing families' out-of-pocket healthcare costs matters, and how philanthropy can help sustain hard-won progress. In this episode: Why children continue to lag behind adults in knowing their HIV status What it really means to reach the “last mile” The importance of strong primary healthcare systems How diagnostics, treatment, and community-based care can improve outcomes The challenges created by poverty, stigma, conflict, and limited resources Why sustaining progress may be as important as achieving it The distinctive role philanthropy can play in addressing complex global health challenges Visit our Knowledge Hub at Lidji.org for information on 350+ case studies and interviews with remarkable leaders in philanthropy, sustainability and social entrepreneurship.   

Will the youth mental health epidemic require the same kind of public health mobilization that transformed the global fight against HIV? Then, the decision to put a child on psychiatric medication can be daunting. What should parents know?

Healthcare can't ask communities to trust systems that haven't earned their trust. In this episode, Harold Phillips, the CEO of NMAC (formerly the National Minority AIDS Council), discusses what HIV reveals about stigma, trust, racial justice, and the communities still being left behind by healthcare. Drawing on his lived experience with HIV and decades of public health leadership, Phillips explores why healthcare must treat the whole person rather than simply the diagnosis. He explains how stigma, misinformation, and mistrust can keep people from accessing care even when effective treatments and prevention tools are available. Phillips also examines the difference between outreach and genuine community partnership, emphasizing the importance of listening to communities and using their lived experiences to shape healthcare systems and policy. Tune in to hear Harold Phillips share what healthcare leaders can learn from communities that have historically been left behind, and how those lessons can help build more equitable, trustworthy systems. IHI Spotlight - Sylvia Trent-Adams: This episode's IHI Spotlight features Sylvia Trent-Adams, President and CEO at the Institute of Healthcare Improvement, who talks about the lessons HIV has taught her about dignity, trust, equity, and person-centered care. Drawing on her experience as a nurse caring for soldiers living with or affected by HIV, she emphasizes that treating a diagnosis and truly seeing a person are not the same thing. She also discusses why healthcare organizations must listen to marginalized communities and act on what they hear, making equity an essential part of quality and safety rather than a separate initiative. About Harold Phillips: Harold J. Phillips is a nationally recognized HIV policy leader and public health strategist with over 30 years of experience advancing equity, access, and innovation in the fight against HIV/AIDS. In 2025, he was appointed CEO of NMAC, where he leads eNorts to center racial justice and community leadership in the national response to HIV. Previously, Phillips served as Director of the White House Office of National AIDS Policy (2021–2024), overseeing the implementation of the National HIV/AIDS Strategy and shaping federal policy to accelerate progress toward ending the epidemic. He also held senior roles at the Health Resources and Services Administration's HIV/AIDS Bureau, where he managed key programs including Ryan White, AIDS Education and Training Centers, and PEPFAR-funded initiatives. As a Black gay man living with HIV, Phillips brings lived experience and visionary leadership to his work. His career has been defined by a commitment to uplifting marginalized voices, modernizing HIV policy, and building sustainable systems of care. Things You'll Learn: HIV continues to reveal how stigma, misinformation, and mistrust can create barriers to healthcare access. Treating the whole person requires healthcare systems to address the social and personal circumstances that shape health outcomes. Lived experience should inform healthcare policy, system design, and shared decision-making. Genuine community partnership requires ongoing listening, responsiveness, and action, not one-time outreach or consultation. Healthcare organizations can build trust by listening to communities, adapting their services, and creating systems that center historically marginalized populations. Resources: Connect with and follow Harold Phillips on LinkedIn. Follow NMAC on LinkedIn and explore their website!

As Fierce Pharma Week approaches, the Fierce Pharma Marketing team is taking stock of some of the biggest trends reshaping how drugmakers and healthcare agencies reach audiences. In this week’s episode of “The Top Line,” Fierce’s Ben Adams and Zoey Becker discuss how pharma marketing is evolving across social media, creative work and agency strategy. They dig into the changing approach to HIV marketing, pharma’s experiments with platforms including Snapchat, and what a collaboration with MrBeast says about the industry’s efforts to reach new audiences. They also examine how healthcare agencies are putting AI to work, pharma’s return to the winner’s circle at Cannes and why Novo Nordisk built a maze along the River Thames in London this summer. The conversation comes as Fierce Pharma Week approaches Sept. 14-17 in Philadelphia. To learn more about the topics in this episode: YouTuber MrBeast welcomes Amgen to the channel, kicking off pediatric cancer funding effort Inside agency view: Real Chemistry’s Frank Mazzola on audience nuance and rewarding creativity Snapchat creates ad format to support pharma disclosure needs Novo Nordisk asks public to ‘Meet Me in the Middle’ in new obesity experience installation Women’s ‘new health ecosystem’ takes shape on Reddit: report See omnystudio.com/listener for privacy information.

In this podcast, featuring audio from a live webinar, experts Claudia P. Cortes, MD, and Chloe Orkin, MBChB, FRCP, MD, explore advancements in HIV prevention and treatment presented at the 26th International AIDS Conference (AIDS 2026). To download the accompanying slides and view more conference coverage, visit the program page. Topics covered include: New clinical trial and real-world data for available and emerging initial antiretroviral therapy (ART) regimens for people living with HIV Long-acting options for ART and HIV pre-exposure prophylaxis (PrEP). Get access to all of our new podcasts by subscribing to the Decera Clinical Education Infectious Disease Podcast on Apple Podcasts, YouTube Music, or Spotify. Presenters:Claudia P. Cortes, MD Full Professor Director for Centre for HIV AIDS Integral Research – CHAIR Universidad De Chile Santiago, Chile Chloe Orkin, MBChB, FRCP, MD Professor of Infection and Inequities Dean for Healthcare Transformation Faculty of Medicine and Dentistry Queen Mary University of London Honorary Consultant Physician, Barts Health NHS Trust London, United Kingdom Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

The world's largest HIV-focused meeting took place in late July — and as ever, the science came fast and furious, to the tune of more than 2,500 presentations. When a conference is this large, distilling what's likely to have the greatest import for HIV clinicians in the U.S. is one heck of a tall order. Thankfully, our guest this month is very much up to the task: Paul Sax, M.D., a professor of medicine at Harvard Medical School, the clinical director of the Division of Infectious Diseases at Brigham and Women's Hospital in Boston, and the editor-in-chief of Clinical Infectious Diseases.   Support the pod by reading the transcript on TheBodyPro: https://www.thebodypro.com/podcast/hiv/future-hiv-care-paul-sax-international-aids-conference-aug-2026   Read more from Dr. Sax at NEJM Voices: https://voices.nejm.org/browse/voices-series/paul-sax   Or at his personal Substack, PaulSaxMD: https://paulsaxmd.substack.com/   The host and executive producer of this podcast is Myles Helfand; our senior production manager is Alina Mogollon-Volk; our senior producer is Lizzie Warren; and our audio editor is Kim Buikema. Special thanks to Alina Mogollon-Volk this month for her audio editing assistance.

In this episode: More hilariously vague Grindr phrases translated Why “not on here much” rarely means what it says The difference between losing interest and genuinely ghosting someone Why men initiate conversations they have no intention of continuing Whether apps provide validation even when no hookup happens The endless cycle of taps, photos, attention and disappearing Why possibility can feel more exciting than actually meeting App fatigue and the exhaustion of repetitive conversations When silence becomes disrespectful Whether brutal honesty is really better than no response Maybe sex isn't what prevents gay men from forming meaningful connections. Maybe the real obstacle is how easily we've learned to treat one another as temporary squares on a screen. And remember: “Hey stranger” is not an apology. Hot Topic: Remembering Dolly and a Texas Federal judge blocks anti-drag ban while citing Dolly... Hot Topic: Tim Curry also dies the same day as Dolly who played the film version of Frank-N-Furter of 'Rocky Horror Picture Show". Hot Topic: Gay Georgia elects first Black, Gay Congressman Everton Blair Hot Topic: Good news for those living with HIV - a potential new weekly pill would replace daily pill... Advice: Do you try to not get emotionally attached to people... Thirst Trap: Which adult performer took the hottest shot of the week and why? Follow Steve V's new Substack features weekly articles. 20% Off now through end of August! https://substack.com/@thenakedtruthsteve Follow Stevie on IG: @iam_stevev Follow Kodi on IG: @mistahmaurice Rate and Review us! Wanna drop a weekly or one time tip to TAGSPODCAST - Show your love for the show and support TAGS! Visit our website: tagspodcast.com Needs some advice for a sex or relationship conundrum? Ask TAGS! DM US ON IG or https://www.talkaboutgaysex.com/contact Follow Of a Certain Age on IG: @ofacertainagepod Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

For decades, community-based organizations have been on the front lines of providing HIV prevention, receiving funding directly from the federal government. Now, the Trump administration is changing course.Mentioned in this episode:Social Media tags

CVS Health operates one of healthcare's largest consumer platforms, with businesses spanning health insurance, pharmacy benefits, retail pharmacy, care delivery and digital channels. This creates a rare opportunity to understand the full journey people navigate as they seek care, fill prescriptions, manage coverage and work to stay healthy. The company's overarching goal is not simply to improve each touchpoint. It is to remove the fragmentation that forces patients to piece care together on their own across multiple channels and organizations.In this episode of Healthcare is Hard, Keith Figlioli talked to CVS Health's head of enterprise customer experience, insights and innovation, Sri Narasimhan, to learn how the company uses customer signals, AI, and agentic twins to make healthcare more proactive and consumer-centered.Sri brings an unusually broad background to this challenge. He worked in Bangladesh and India on tuberculosis control, HIV initiatives and public health during college, but then decided to branch out so he could ultimately bring a more diverse skillset back to the healthcare industry. He started an economic consulting firm before going to business school. Then he joined GE, where he learned about commercial functions and consumer value. After GE, he worked at the tech company Medallia, where he sharpened skills around speed of innovation, and then moved to Wells Fargo where he worked as head of customer experience for branch banking, learning how to operate in a highly regulated environment.In 2021, Sri joined CVS Health where his work now sits at the intersection of consumer strategy and AI. During this interview, Sri shared his vast knowledge and experience to discuss topics including:Navigating bureaucracy. Sri points out that patients do not benchmark healthcare against other health plans, pharmacies or health systems. They compare it with the simple experiences they have everywhere else. He says most people want answers to four questions: Is it covered? What will it cost? When can I get it? And can I trust the answer? Healthcare's tendency to bury those questions in process and bureaucracy is a major source of frustration that Sri is focused on addressing.AI versus primary care. Trust grows when people get something valuable, and Sri expects consumers to increasingly turn to AI for quick answers about symptoms, diagnoses and side effects as those tools become more useful and accurate. But for serious health issues, he believes the provider relationship will remain essential. AI may change the questions patients bring to clinicians – and which interactions require a clinician at all – but people will still want a trusted human when the stakes are high.Agentic twins revolutionizing consumer research. Sri calls this technology one of the most transformational capabilities he has seen because it allows CVS Health to simulate the reactions of roughly 150,000 individual consumers in minutes. Through consented interviews, behavioral data and other context, CVS Health built digital twins of actual consumers that simulate how they think and act. Instead of recruiting a new panel, running a focus group or launching a small pilot every time the company wants to test an idea, CVS can assemble the relevant population from its bank of agentic twins and pressure-test messages, choices and scenarios before going live. As Sri puts it, “I have 150,000 patients in the room with us."To hear Sri and Keith discuss these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Welcome back tribe!This week we have two very special guest hosts and two very special guests.OUR HOSTS: Prateek is originally from Baijnath, a small town in India and moved to Ireland in 2021. He has a background in Human Resources and is currently studying International Business.​Prateek is a HIV activist and has been a proud member of the PozVibe tribe for the past four years. During this time, he has contributed to several meaningful initiatives, including the Out of the Shadows film project and was Festival Manager for the Queer Spectrum Film Festival. Ajay Kumar is an up and coming fashion designer new to the Dublin fashion scene. Ajay has been living in Ireland for over 6 years and originally came to the country to pursue a masters degree but fashion is Ajay's true passion. He is also a HIV activist, proud member of PozVibe Tribe and believes in uplifting each other through any medium possible.OUR GUESTS:Kaushik is a student of sociology and an amateur ceramicist, interested in critical race theory, body politics, sculpture and the intersection between them all. They have also worked at a mental health helpline and for homelessness and addiction services. They are an ally of the Poz Vibe Tribe and love supporting members of the community. They are also co-facilitator of the Queer POC support group with QAPI at Outhouse who aim to promote community and give support to individuals from a migrant and asylum background.Chayan is a technology professional based in Dublin with a passion for music, dance and the arts. They say they love exploring movement and storytelling and the ways they come together through performance.We hope you love the episode. Peace and Pozitivity,Veda and Robbie.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Poz Vibe Podcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ is a⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Veda⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Lady and⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Robbie Lawlor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ production. Thanks to ⁠our sponsors ⁠⁠⁠⁠⁠⁠Dublin Pride ⁠⁠⁠⁠⁠⁠who make this series possible. We'd also like to thank The Boiler House, Man 2 Man, Gay Health Network and The George for all their help and support.Episodes are produced by Veda and Robbie with production assistance from ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Esther O'Moore Donohoe⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and Adrian Duggan. Video editing, artwork, social media assets and⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ merch⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ all created by Lavender The Queen.⁠⁠ ⁠⁠⁠⁠

Hundreds missing, including tourists, after massive flood strikes Nepal and Tibet; Alabama's rural 'legal deserts' leave thousands without attorneys; AI helps close the Spanish legal information gap in Illinois; HIV stigma persists despite advancements in treatment and prevention; California considers penalties for high-cost hospitals.

Feb 13, 2013Adam and Drew examine the differences between employees and spouses as well as Adam wanting to expose his children to quality entertainment. They also take calls on HIV transmission, social anxiety and Al-Anon.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

PEPFAR, or the President's Emergency Program for AIDS Relief, started in 2003 and is the largest country-to-country bilateral investment in addressing any single disease. PEPFAR is not only funding, but expertise, and has saved millions of lives since the Bush administration. Dr. Jennifer Sherwood, Director of Research in the Foundation for AIDS Research (amfAR) public policy office, talks to us about attacks to PEPFAR, the populations that are impacted, and some recent protections to PEPFAR's crucial work. Early in 2025, a pause on new funding going out into the field was announced, in combination with a stop-work order. Soon after, a PEPFAR waiver was announced, yet it included extremely specific restrictions. amfAR completed a survey across 46 different countries asking about grant status, service provision, and more. It found that nearly 80% of organizations surveyed had grant cuts or eliminations. Because of the cuts, amfAR documented 1,700 site closures, including drop-in clinics that are essential to key populations. Local organizations were also disproportionately impacted by closures and grant impacts. The term “key populations” refers to populations that are at high risk of acquiring HIV and experiencing additional, structural barriers to care. Often, this is sex workers, men who have sex with men, other gay and bisexual men, transgender individuals, and those that use or inject drugs. Programs particular to key populations were absolutely decimated, as strongly documented in amfAR's survey. These impacts are also being exacerbated by the recent expansion of the Global Gag Rule.For more information check out Babes in Bookland: https://womensmemoirpodcast.com/Support the showFollow Us on Social: Twitter: @rePROsFightBack Instagram: @reprosfbFacebook: rePROs Fight Back Bluesky: @reprosfightback.bsky.socialBuy rePROs Merch: Bonfire store Email us: jennie@reprosfightback.comRate and Review on Apple PodcastThanks for listening & keep fighting back!

Send us Fan MailDr Tristina Anderson was told she might only have a couple of years to live. Today, nearly 30 years later, she is sharing the story she kept private for decades.In this episode of the Brandon T Adams Audio Experience, I sit down with Dr Tristina Anderson, an award-winning author, international speaker, global C-suite consultant, and former airline CEO whose life story is now becoming the film Fearless.At 25 years old, while nearly six months pregnant, Tristina unexpectedly learned that she was HIV positive and had contracted it from her then-husband. At the time, she was told she might only have a few years to live and that her unborn child could also be affected. Her son was ultimately born HIV negative, and six years later, her daughter was born HIV negative as well.For years, Tristina kept her diagnosis private while building businesses, owning an airline, leading organizations, and raising her family. Today, she is using her story to show others what can happen when you stop allowing fear to make your decisions and find the courage to live authentically.Connect with Dr TristinaFollow Dr Tristina on InstagramContact me: www.brandontadams.comText me: (563) 217-6850Here's To Your Success!

A flash rainbow rewind remembers lesbian purges in the military leading to the conclusion of Pat Bond's classic tale of lesbians in the U.S. military during World War II, Murder in the WAC. In the news this week, Russia's crackdown forces the Russian LGBT Network to shut down while England offers new hope to people with drug-resistant HIV. A U.S. federal judge blocks the Trump administration from excluding gender-affirming care from the Affordable Care Act and Ohio makes it harder for trans people to change gender markers on state IDs. Canada unveils a powerful new monument honoring victims and survivors of the historic LGBT Purge. Featured speakers: Dara Adkison is Executive Director of trans equity organization, Visual artists Shawna Dempsey and Lorri Millan, Pat Bond. Credits: Associate Producer/Host Lucia Chappelle, Producer Brian DeShazor, News writer Jeb Backe, Murder in the WAC was recorded and produced by Katherine Davenport and Frieda Werden of WINGS, the Women's International News Gathering Service. NewsWrap reporters Tanya Kane-Parry and RET. a music: 14th Army WAC Band, Gail Belmont of the WAC Band and theme music by Kim Wilson.

Same-day PrEP decreases barriers to PrEP uptake, minimizes the number of people lost at early points in the care continuum, and accelerates the onset of protection. Tune in to this podcast featuring highlights from a live webinar to learn how rapid-start PrEP can take your practice from zero to protected with experts Kenneth H. Mayer, MD and Sarah E. Rowan, MD, FIDSA. For more activities on this topic and to download the accompanying slides, visit the program page. Topics covered in this podcast include: Supporting Evidence for Same-Day Prep Recommended Testing and Monitoring PrEP Options for Same-Day Initiation Recommendations for Implementation in Varied Practice Settings nPEP as an Option for Same-Day PrEP Considerations for Paying for PrEP Get access to all of our new podcasts by subscribing to the Decera Clinical Education Infectious Disease Podcast on Apple Podcasts, YouTube Music, or Spotify. Presenters: Kenneth H. Mayer, MD Medical Researcher Director Fenway Health Co-Director The Fenway Institute Professor of Medicine Harvard Medical School Attending Physician Infectious Disease Division Beth Israel Deaconess Hospital Boston, Massachusetts Sarah E. Rowan, MD Director, Division of Sexual Health, HIV, and Viral Hepatitis Public Health Institute at Denver Health Medical Director, Denver Prevention Training Center Associate Director, Mentored Scholarly Activity Program Associate Professor of Medicine Division of Infectious Diseases University of Colorado School of Medicine Denver, Colorado Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In episode 85 of Going anti-Viral, Dr Andrea Gramatica joins host Dr Michael Saag to discuss the work of amfAR and how HIV research drives breakthroughs for other diseases. Dr Gramatica is Vice President of Research at amfAR and an expert in immunology and HIV virology with a research focus on viral persistence and immune modulation. Dr Gramatica is responsible for shaping the strategic direction of amfAR's research programs, including building upon existing research into HIV and other viral diseases, as well as addressing emerging public health challenges. Dr Gramatica discusses the history and impact of amfAR in HIV research, highlighting how philanthropic funding accelerated scientific breakthroughs. Dr Saag and Dr Gramatica also discuss amfAR's expanding research interest into cancer immunology and other diseases and discuss the outlook for the future and the use of AI in discovering new therapies.0:00 – Introduction 1:27 – What is amfAR and its role in the early response to HIV 4:28 – Key early grants and their impact on HIV treatment8:29 – amfAR's role in supporting early investigators 11:42 – amfAR's expanding research interest into cancer immunology and other diseases 16:38 – The next five to ten years in HIV research and the role in advancing research using AI21:52 – How to apply for grants at amfAR Resources:amfAR  – https://www.amfar.org/ amfAR on YouTube - https://www.youtube.com/@amfAR __________________________________________________Produced by IAS-USA, Going anti–Viral is a podcast for clinicians involved in research and care in HIV, its complications, and other viral infections. This podcast is intended as a technical source of information for specialists in this field, but anyone listening will enjoy learning more about the state of modern medicine around viral infections.Going anti-Viral's host is Dr Michael Saag, a physician, prominent HIV researcher at the University of Alabama at Birmingham, and volunteer IAS–USA board member. In most episodes, Dr Saag interviews an expert in infectious diseases or emerging pandemics about their area of specialty and current developments in the field. Other episodes are drawn from the IAS–USA vast catalogue of panel discussions, Dialogues, and other audio from various meetings and conferences. Email podcast@iasusa.org to send feedback, show suggestions, or questions to be answered on a later episode.Follow Going anti-Viral on: Apple Podcasts YouTubeXFacebookInstagram...

Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Schenita D. Randolph. A nurse scientist, Associate Professor at Duke University School of Nursing, and Founding Director of the HEAT Lab (Health Equity, Advocacy, and Trust Lab). The conversation focuses on health disparities impacting Black communities, HIV prevention, the role of nurse scientists, systemic barriers in healthcare, and the importance of community-driven solutions to improve health outcomes. Dr. Randolph also discusses her journey from North Carolina A&T State University to becoming a nationally recognized researcher and advocate for health equity. Purpose of the Interview The interview was designed to: Highlight the critical work being done to address health inequities in Black communities. Educate listeners about HIV prevention and awareness, particularly among Black women. Explain the role of nurse scientists in research, healthcare innovation, and public health. Discuss the impact of systemic barriers on healthcare access and outcomes. Promote community partnerships as a strategy for improving public health. Encourage greater awareness, testing, prevention, and engagement around HIV and other health challenges. Key Takeaways 1. HBCUs Play a Vital Role in Developing Healthcare Leaders Dr. Randolph credited North Carolina A&T State University for laying the foundation for her nursing career and leadership journey. She emphasized the significant impact HBCUs have had on educating healthcare professionals and advancing minority representation in nursing. Lesson: HBCUs continue to be powerful institutions for developing future leaders across multiple professions, including healthcare. 2. Nursing Is Much More Than Bedside Care Dr. Randolph challenged common misconceptions about nursing, explaining that nurses serve as entrepreneurs, researchers, policymakers, educators, scientists, and healthcare innovators. As a nurse scientist, her work focuses on developing evidence-based interventions that reduce health disparities and improve outcomes for underserved communities. Lesson: Nursing encompasses a broad range of leadership, research, and public health roles beyond traditional patient care. 3. Nurse Scientists Are Underrepresented Dr. Randolph revealed that less than one percent of nurse scientists are Black, highlighting the need for greater representation in healthcare research and academic leadership. Lesson: Diverse voices in science and research are essential for addressing health challenges that disproportionately affect underserved populations. 4. The HEAT Lab Uses Community Partnerships to Address Health Inequities The HEAT Lab brings together researchers, healthcare professionals, entrepreneurs, community advocates, business owners, and local organizations to address health disparities through collaboration. Rather than imposing solutions, the lab works directly with communities to develop culturally relevant interventions. Lesson: Meaningful change happens when communities are actively involved in creating solutions. 5. HIV Remains a Significant Public Health Challenge Dr. Randolph emphasized that HIV remains a major issue, particularly among Black women in the Southern United States. She noted that Black women account for a significant percentage of new HIV diagnoses and that prevention efforts must continue despite advances in treatment. Lesson: HIV is still a critical public health concern and requires continued education, prevention, and awareness. 6. Prevention Tools Exist but Are Underutilized A major focus of Dr. Randolph's work centers on increasing awareness and access to PrEP (Pre-Exposure Prophylaxis), a medication that significantly reduces the risk of HIV infection. She noted that many women do not realize PrEP is an option for them because healthcare providers often fail to discuss it and public messaging has historically focused on other populations. Lesson: Awareness and access are often just as important as medical innovation. 7. Health Disparities Are Influenced by Systemic Barriers The discussion explored how factors such as healthcare access, economic inequities, education, housing, food access, and systemic racism contribute to unequal health outcomes. Dr. Randolph stressed that health disparities are not solely the result of personal decisions but are shaped by broader systems and structural barriers. Lesson: Effective health solutions must address both individual behavior and systemic obstacles. 8. Medical Distrust Has Real Consequences Dr. Randolph explained that negative healthcare experiences often influence whether people seek treatment, trust providers, or engage in preventive care. Building trust is a crucial component of improving health outcomes in underserved communities. Lesson: Trust is a critical factor in healthcare engagement and adherence. 9. Community Leadership Is Essential The HEAT Lab works closely with barbers, beauty salons, community organizations, and local leaders to spread health information and reach people where they are. Dr. Randolph believes trusted community voices can often be more effective than traditional healthcare messaging. Lesson: Community-based outreach is an important tool for improving public health awareness. 10. Black Communities Must Become More Proactive About Health Throughout the conversation, both Dr. Randolph and McDonald stressed the need for greater community engagement, health advocacy, routine testing, education, and shared responsibility. Lesson: Improving health outcomes requires collective action and community empowerment. Notable Quotes Dr. Schenita Randolph on Nursing "Nursing is so much more than the bedside." Dr. Schenita Randolph on Representation "Less than 1% of nurse scientists are Black." Dr. Schenita Randolph on Community Partnerships "Our shared vision is to address the health inequities that exist specifically in Black communities." Dr. Schenita Randolph on Health Equity "We partner with the community to address these inequities." Dr. Schenita Randolph on HIV "HIV impacts everyone." Dr. Schenita Randolph on Modern Treatment Options "We are not in the same times that we were previously." Dr. Schenita Randolph on Prevention "Getting tested is very important." Dr. Schenita Randolph on Community Empowerment "I hope that we as a community can be empowered and that we can support one another for our health." Dr. Schenita Randolph on Collective Responsibility "We are truly our brother's and our sister's keeper." Rushion McDonald on Healthcare Challenges "People of color, we are in denial, denial, denial." Overall Message The interview underscores the importance of health equity, community engagement, and culturally responsive healthcare solutions. Dr. Schenita Randolph demonstrates how research, education, and partnerships can be used to address persistent health disparities affecting Black communities. Her work through the HEAT Lab reflects a commitment to empowering individuals with knowledge, increasing access to preventive care, and creating community-driven strategies that improve long-term health outcomes. Ultimately, the conversation encourages listeners to become proactive advocates for their own health and the health of those around them. #BEST #STRAW #SHMS Money Making Conversations Master Class with Rushion McDonald is America's premier entrepreneurship, business leadership, financial literacy, and wealth-building podcast featuring successful entrepreneurs, executives, founders, celebrities, and industry experts sharing actionable insights for professional and financial success. Business Podcast Entrepreneurship Small Business Business Growth Financial Literacy Wealth Building Black Entrepreneurs Minority Business Leadership Executive Leadership Business Funding Marketing Strategies Personal Development Startup Advice Sales Training CEO Interviews Founder Stories Professional Development Economic Empowerment Business Success Networking Brand Building Innovation How to start a business Small business funding Entrepreneur success stories Business leadership podcast Wealth building strategies Black entrepreneur podcast Minority business development Marketing for small businesses Business growth strategies Startup funding opportunities Executive leadership training Financial literacy education Success mindset podcastSupport the show: https://www.steveharveyfm.com/See omnystudio.com/listener for privacy information.

Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Schenita D. Randolph. A nurse scientist, Associate Professor at Duke University School of Nursing, and Founding Director of the HEAT Lab (Health Equity, Advocacy, and Trust Lab). The conversation focuses on health disparities impacting Black communities, HIV prevention, the role of nurse scientists, systemic barriers in healthcare, and the importance of community-driven solutions to improve health outcomes. Dr. Randolph also discusses her journey from North Carolina A&T State University to becoming a nationally recognized researcher and advocate for health equity. Purpose of the Interview The interview was designed to: Highlight the critical work being done to address health inequities in Black communities. Educate listeners about HIV prevention and awareness, particularly among Black women. Explain the role of nurse scientists in research, healthcare innovation, and public health. Discuss the impact of systemic barriers on healthcare access and outcomes. Promote community partnerships as a strategy for improving public health. Encourage greater awareness, testing, prevention, and engagement around HIV and other health challenges. Key Takeaways 1. HBCUs Play a Vital Role in Developing Healthcare Leaders Dr. Randolph credited North Carolina A&T State University for laying the foundation for her nursing career and leadership journey. She emphasized the significant impact HBCUs have had on educating healthcare professionals and advancing minority representation in nursing. Lesson: HBCUs continue to be powerful institutions for developing future leaders across multiple professions, including healthcare. 2. Nursing Is Much More Than Bedside Care Dr. Randolph challenged common misconceptions about nursing, explaining that nurses serve as entrepreneurs, researchers, policymakers, educators, scientists, and healthcare innovators. As a nurse scientist, her work focuses on developing evidence-based interventions that reduce health disparities and improve outcomes for underserved communities. Lesson: Nursing encompasses a broad range of leadership, research, and public health roles beyond traditional patient care. 3. Nurse Scientists Are Underrepresented Dr. Randolph revealed that less than one percent of nurse scientists are Black, highlighting the need for greater representation in healthcare research and academic leadership. Lesson: Diverse voices in science and research are essential for addressing health challenges that disproportionately affect underserved populations. 4. The HEAT Lab Uses Community Partnerships to Address Health Inequities The HEAT Lab brings together researchers, healthcare professionals, entrepreneurs, community advocates, business owners, and local organizations to address health disparities through collaboration. Rather than imposing solutions, the lab works directly with communities to develop culturally relevant interventions. Lesson: Meaningful change happens when communities are actively involved in creating solutions. 5. HIV Remains a Significant Public Health Challenge Dr. Randolph emphasized that HIV remains a major issue, particularly among Black women in the Southern United States. She noted that Black women account for a significant percentage of new HIV diagnoses and that prevention efforts must continue despite advances in treatment. Lesson: HIV is still a critical public health concern and requires continued education, prevention, and awareness. 6. Prevention Tools Exist but Are Underutilized A major focus of Dr. Randolph's work centers on increasing awareness and access to PrEP (Pre-Exposure Prophylaxis), a medication that significantly reduces the risk of HIV infection. She noted that many women do not realize PrEP is an option for them because healthcare providers often fail to discuss it and public messaging has historically focused on other populations. Lesson: Awareness and access are often just as important as medical innovation. 7. Health Disparities Are Influenced by Systemic Barriers The discussion explored how factors such as healthcare access, economic inequities, education, housing, food access, and systemic racism contribute to unequal health outcomes. Dr. Randolph stressed that health disparities are not solely the result of personal decisions but are shaped by broader systems and structural barriers. Lesson: Effective health solutions must address both individual behavior and systemic obstacles. 8. Medical Distrust Has Real Consequences Dr. Randolph explained that negative healthcare experiences often influence whether people seek treatment, trust providers, or engage in preventive care. Building trust is a crucial component of improving health outcomes in underserved communities. Lesson: Trust is a critical factor in healthcare engagement and adherence. 9. Community Leadership Is Essential The HEAT Lab works closely with barbers, beauty salons, community organizations, and local leaders to spread health information and reach people where they are. Dr. Randolph believes trusted community voices can often be more effective than traditional healthcare messaging. Lesson: Community-based outreach is an important tool for improving public health awareness. 10. Black Communities Must Become More Proactive About Health Throughout the conversation, both Dr. Randolph and McDonald stressed the need for greater community engagement, health advocacy, routine testing, education, and shared responsibility. Lesson: Improving health outcomes requires collective action and community empowerment. Notable Quotes Dr. Schenita Randolph on Nursing "Nursing is so much more than the bedside." Dr. Schenita Randolph on Representation "Less than 1% of nurse scientists are Black." Dr. Schenita Randolph on Community Partnerships "Our shared vision is to address the health inequities that exist specifically in Black communities." Dr. Schenita Randolph on Health Equity "We partner with the community to address these inequities." Dr. Schenita Randolph on HIV "HIV impacts everyone." Dr. Schenita Randolph on Modern Treatment Options "We are not in the same times that we were previously." Dr. Schenita Randolph on Prevention "Getting tested is very important." Dr. Schenita Randolph on Community Empowerment "I hope that we as a community can be empowered and that we can support one another for our health." Dr. Schenita Randolph on Collective Responsibility "We are truly our brother's and our sister's keeper." Rushion McDonald on Healthcare Challenges "People of color, we are in denial, denial, denial." Overall Message The interview underscores the importance of health equity, community engagement, and culturally responsive healthcare solutions. Dr. Schenita Randolph demonstrates how research, education, and partnerships can be used to address persistent health disparities affecting Black communities. Her work through the HEAT Lab reflects a commitment to empowering individuals with knowledge, increasing access to preventive care, and creating community-driven strategies that improve long-term health outcomes. Ultimately, the conversation encourages listeners to become proactive advocates for their own health and the health of those around them. #BEST #STRAW #SHMS Money Making Conversations Master Class with Rushion McDonald is America's premier entrepreneurship, business leadership, financial literacy, and wealth-building podcast featuring successful entrepreneurs, executives, founders, celebrities, and industry experts sharing actionable insights for professional and financial success. Business Podcast Entrepreneurship Small Business Business Growth Financial Literacy Wealth Building Black Entrepreneurs Minority Business Leadership Executive Leadership Business Funding Marketing Strategies Personal Development Startup Advice Sales Training CEO Interviews Founder Stories Professional Development Economic Empowerment Business Success Networking Brand Building Innovation How to start a business Small business funding Entrepreneur success stories Business leadership podcast Wealth building strategies Black entrepreneur podcast Minority business development Marketing for small businesses Business growth strategies Startup funding opportunities Executive leadership training Financial literacy education Success mindset podcastSee omnystudio.com/listener for privacy information.

Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Schenita D. Randolph. A nurse scientist, Associate Professor at Duke University School of Nursing, and Founding Director of the HEAT Lab (Health Equity, Advocacy, and Trust Lab). The conversation focuses on health disparities impacting Black communities, HIV prevention, the role of nurse scientists, systemic barriers in healthcare, and the importance of community-driven solutions to improve health outcomes. Dr. Randolph also discusses her journey from North Carolina A&T State University to becoming a nationally recognized researcher and advocate for health equity. Purpose of the Interview The interview was designed to: Highlight the critical work being done to address health inequities in Black communities. Educate listeners about HIV prevention and awareness, particularly among Black women. Explain the role of nurse scientists in research, healthcare innovation, and public health. Discuss the impact of systemic barriers on healthcare access and outcomes. Promote community partnerships as a strategy for improving public health. Encourage greater awareness, testing, prevention, and engagement around HIV and other health challenges. Key Takeaways 1. HBCUs Play a Vital Role in Developing Healthcare Leaders Dr. Randolph credited North Carolina A&T State University for laying the foundation for her nursing career and leadership journey. She emphasized the significant impact HBCUs have had on educating healthcare professionals and advancing minority representation in nursing. Lesson: HBCUs continue to be powerful institutions for developing future leaders across multiple professions, including healthcare. 2. Nursing Is Much More Than Bedside Care Dr. Randolph challenged common misconceptions about nursing, explaining that nurses serve as entrepreneurs, researchers, policymakers, educators, scientists, and healthcare innovators. As a nurse scientist, her work focuses on developing evidence-based interventions that reduce health disparities and improve outcomes for underserved communities. Lesson: Nursing encompasses a broad range of leadership, research, and public health roles beyond traditional patient care. 3. Nurse Scientists Are Underrepresented Dr. Randolph revealed that less than one percent of nurse scientists are Black, highlighting the need for greater representation in healthcare research and academic leadership. Lesson: Diverse voices in science and research are essential for addressing health challenges that disproportionately affect underserved populations. 4. The HEAT Lab Uses Community Partnerships to Address Health Inequities The HEAT Lab brings together researchers, healthcare professionals, entrepreneurs, community advocates, business owners, and local organizations to address health disparities through collaboration. Rather than imposing solutions, the lab works directly with communities to develop culturally relevant interventions. Lesson: Meaningful change happens when communities are actively involved in creating solutions. 5. HIV Remains a Significant Public Health Challenge Dr. Randolph emphasized that HIV remains a major issue, particularly among Black women in the Southern United States. She noted that Black women account for a significant percentage of new HIV diagnoses and that prevention efforts must continue despite advances in treatment. Lesson: HIV is still a critical public health concern and requires continued education, prevention, and awareness. 6. Prevention Tools Exist but Are Underutilized A major focus of Dr. Randolph's work centers on increasing awareness and access to PrEP (Pre-Exposure Prophylaxis), a medication that significantly reduces the risk of HIV infection. She noted that many women do not realize PrEP is an option for them because healthcare providers often fail to discuss it and public messaging has historically focused on other populations. Lesson: Awareness and access are often just as important as medical innovation. 7. Health Disparities Are Influenced by Systemic Barriers The discussion explored how factors such as healthcare access, economic inequities, education, housing, food access, and systemic racism contribute to unequal health outcomes. Dr. Randolph stressed that health disparities are not solely the result of personal decisions but are shaped by broader systems and structural barriers. Lesson: Effective health solutions must address both individual behavior and systemic obstacles. 8. Medical Distrust Has Real Consequences Dr. Randolph explained that negative healthcare experiences often influence whether people seek treatment, trust providers, or engage in preventive care. Building trust is a crucial component of improving health outcomes in underserved communities. Lesson: Trust is a critical factor in healthcare engagement and adherence. 9. Community Leadership Is Essential The HEAT Lab works closely with barbers, beauty salons, community organizations, and local leaders to spread health information and reach people where they are. Dr. Randolph believes trusted community voices can often be more effective than traditional healthcare messaging. Lesson: Community-based outreach is an important tool for improving public health awareness. 10. Black Communities Must Become More Proactive About Health Throughout the conversation, both Dr. Randolph and McDonald stressed the need for greater community engagement, health advocacy, routine testing, education, and shared responsibility. Lesson: Improving health outcomes requires collective action and community empowerment. Notable Quotes Dr. Schenita Randolph on Nursing "Nursing is so much more than the bedside." Dr. Schenita Randolph on Representation "Less than 1% of nurse scientists are Black." Dr. Schenita Randolph on Community Partnerships "Our shared vision is to address the health inequities that exist specifically in Black communities." Dr. Schenita Randolph on Health Equity "We partner with the community to address these inequities." Dr. Schenita Randolph on HIV "HIV impacts everyone." Dr. Schenita Randolph on Modern Treatment Options "We are not in the same times that we were previously." Dr. Schenita Randolph on Prevention "Getting tested is very important." Dr. Schenita Randolph on Community Empowerment "I hope that we as a community can be empowered and that we can support one another for our health." Dr. Schenita Randolph on Collective Responsibility "We are truly our brother's and our sister's keeper." Rushion McDonald on Healthcare Challenges "People of color, we are in denial, denial, denial." Overall Message The interview underscores the importance of health equity, community engagement, and culturally responsive healthcare solutions. Dr. Schenita Randolph demonstrates how research, education, and partnerships can be used to address persistent health disparities affecting Black communities. Her work through the HEAT Lab reflects a commitment to empowering individuals with knowledge, increasing access to preventive care, and creating community-driven strategies that improve long-term health outcomes. Ultimately, the conversation encourages listeners to become proactive advocates for their own health and the health of those around them. #BEST #STRAW #SHMS Money Making Conversations Master Class with Rushion McDonald is America's premier entrepreneurship, business leadership, financial literacy, and wealth-building podcast featuring successful entrepreneurs, executives, founders, celebrities, and industry experts sharing actionable insights for professional and financial success. Business Podcast Entrepreneurship Small Business Business Growth Financial Literacy Wealth Building Black Entrepreneurs Minority Business Leadership Executive Leadership Business Funding Marketing Strategies Personal Development Startup Advice Sales Training CEO Interviews Founder Stories Professional Development Economic Empowerment Business Success Networking Brand Building Innovation How to start a business Small business funding Entrepreneur success stories Business leadership podcast Wealth building strategies Black entrepreneur podcast Minority business development Marketing for small businesses Business growth strategies Startup funding opportunities Executive leadership training Financial literacy education Success mindset podcastSteve Harvey Morning Show Online: http://www.steveharveyfm.com/See omnystudio.com/listener for privacy information.

Despite a range of effective prevention tools, HIV incidence continues to rise in Canada, with stark disparities across ethnicity, gender, Indigeneity and geography. Updated Canadian guidelines on HIV pre- and post-exposure prophylaxis reflect scientific advances since 2017 and address both new formulations and persistent barriers to equitable access.Dr. Darrell Tan, lead author and clinician scientist at St. Michael's Hospital, outlines several prophylaxis options now available. Daily oral tenofovir disoproxil fumarate with emtricitabine is close to 100 per cent effective with perfect adherence and remains forgiving of occasional missed doses. Long-acting injectable cabotegravir, administered every two months, shows even greater effectiveness in trials largely because it reduces the adherence challenges associated with daily pills, though cost and availability continue to limit uptake.Natasha Lawrence, a community health worker at Women's Health in Women's Hands Community Health Centre in Toronto, reports that most women she serves have never heard of pre-exposure prophylaxis. Many people perceive their HIV risk as low until discussions explore relationship dynamics, including uncertainty about partner fidelity or difficulty negotiating condom use. She highlights how power imbalances and gender-based violence shape women's risk and may limit the practicality of daily pills. Long-acting injectables can offer greater privacy and autonomy for some women, reducing the risk of partner detection. Public health messaging, she stresses, must be co-designed with communities to ensure cultural relevance and avoid stigma.Clinicians should initiate sexual health conversations routinely, not only when patients raise concerns. Pre-exposure prophylaxis can be discussed during visits for contraception, mental health or other routine care. When patients express interest, access should not be limited by rigid criteria. Long-acting options may be especially helpful for women who face safety or privacy concerns in their relationships.For more information from our sponsor, go to md.ca/lifeplanComments or questions? Text us.Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.You can find Blair and Mojola on X  @BlairBigham and @DrmojolaomoleX (in English):  @CMAJ X (en français): @JAMC FacebookInstagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions

The greatest mysteries have a shadowy figure at the center—someone who sets things in motion and holds the key to how the story unfolds. In epidemiology, this central character is known as Patient Zero—the case at the heart of an outbreak. This hour, Radiolab digs up an episode we first produced in 2011 and hunts for Patient Zeroes from all over the map. We start with the story of perhaps the most iconic Patient Zero of all time: Typhoid Mary. Then, we dive into a molecular detective story to pinpoint the beginning of the AIDS, and we re-imagine the moment the virus that caused the global pandemic sprang to life. After that, we're left wondering if you can trace the spread of an idea the way you can trace the spread of a disease. In the end, we find ourselves faced with a choice between competing claims about the origin of the high five.  Signup for our newsletter!! It includes short essays, recommendations, and details about other ways to interact with the show. Sign up (https://radiolab.org/newsletter)! Radiolab is supported by listeners like you. Support Radiolab by becoming a member of The Lab (https://members.radiolab.org/) today. Follow our show on Instagram, Twitter and Facebook @radiolab, and share your thoughts with us by emailing radiolab@wnyc.org.Leadership support for Radiolab's science programming is provided by the Simons Foundation and the John Templeton Foundation. Foundational support for Radiolab was provided by the Alfred P. Sloan Foundation. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Penn State frats are facing yet another scandal –– this time a cocaine trafficking ring that investigators say involved students, alumni, and one Pittsburgh-area dad. Contributors Sophia Lo and Colin Williams join host Megan Harris to talk about the players, the drugs, and how much money they allegedly made. Plus, the e-scooter crackdown around Pittsburgh is picking up steam again. Pitt has says they'll impound your scooters, while lawmakers are considering whether PA's rules for e-scooters and e-bikes need an update. Plus, a win for HIV research and prevention, literal loss of life for local Kratom users, new regulations for Pennsylvania data centers, and a couple chances to see the Oscar Mayer Wienermobile.  And on today's member's-only bonus segment, some trip inspiration from Colin's recent sojourn abroad. Don't have access yet? Join today (it's the last day to claim your exclusive City Cast Pittsburgh merch!) at membership.citycast.fm/pittsburgh Notes and references from today's show: Alleged leader of Penn State drug-trafficking crew 'begged' people not to talk about his involvement [Post-Gazette]  Penn State fraternity members, pledges accused in ‘highly-profitable' cocaine trafficking operation [WTAE]  Father charged in suspected cocaine ring at Penn State is Pittsburgh attorney [TribLive] Man killed while riding Spin Scooter in Pittsburgh [WPXI] E-bike regulations becoming popular in Pittsburgh suburbs [TribLive] Marshall updates e-bike ordinance on use in recreation areas [TribLive] Shapiro feels heat of election year controversy, toughens Pennsylvania's data center rules [Post-Gazette] Allegheny County hits historic low number of new HIV diagnoses [Pittsburgh City Paper] Kratom deaths mount in Pittsburgh region as lawmakers grapple with how to regulate it [Post-Gazette] PODCAST: Taxing Pool Tables, School Closure Aftermath & Breweries in Bankruptcy (Bonus Feed) [City Cast Pittsburgh] Looking for a Wienermobile near you? [Oscar Mayer Wienermobile] Learn more about the sponsors of this Friday, August 21st episode: Experience Butler County uTest Become a member of City Cast Pittsburgh at membership.citycast.fm. Want more Pittsburgh news?  Sign up for our daily morning newsletter. We're on Instagram @CityCastPgh. Text or leave us a voicemail at 412-212-8893. Interested in advertising with City Cast? Find more info here. 

Welcome back to the show! This is a special episode brought to us by our Queer News contributor Darian Aaron, Senior Director of Local News: U.S. South for GLAAD. This episode digs into GLAAD's newly released 2026 HIV Stigma Report with a powerful intergenerational conversation taking root down South.   While Gen Z is the most out generation in history, GLAAD's latest report reveals a startling knowledge gap: only 31% of Gen Z feel knowledgeable about HIV, compared to 60% of Gen X. To bridge this divide, four generations of Black Southerners, Baby Boomers, Gen X, Millennials, and Gen Z, gathered at the ArtsXchange in East Point, Georgia, to put real faces, history, and radical honesty behind the data.   Darian was joined by Jerrell Hardnett, Associate Director of Education & Advocacy at GLAAD and author of the report, alongside Black Southern advocates to unpack what it takes to break historic silos. They discuss the systemic failures of sexual health education, the promise of modern prevention like PrEP, and why sharing stories of thriving, joyful lives today is the ultimate antidote to lingering epidemic-era shame.   As GLAAD CEO Sarah Kate Ellis notes in the report: "Ending HIV stigma is possible. But it will require all of us to choose truth over misinformation, visibility over silence, and empathy over fear."   Follow GLAAD @glaad and learn more at glaad.org/hiv.   We want to thank Darian for bringing these stories to Queer News.  Want to support this podcast?

Handjobs get a bad rap, but today we're bringing them back! In this episode, certified sexologist Ashley Manta joins us to explore why hand jobs deserve more respect. We break down her go-to techniques: the Pepper Grinder, the Bottle Rocket, why a baby bottle warmer might be the most underrated tool in your nightstand, and how foreskin changes the game. We also get into what to do when your partner goes soft, why mindset matters, as well as cannabis and sex and what it's like inside Desire Cruises and Hedonism. ✨ Special Offers: ✨Splash Blanket! | Use code Jordan15ProDx Health | Use JordanDnelle to save 25%Thank you to our Sponsors: Splash Blanket, Prodx, PhexxJump to the Good Stuff:05:35 – Ashley — sexologist, author, Betty Dodson mentee07:02 – Why hand jobs get such bad PR09:00 – The 3 non-negotiables: two hands, lube, time10:35 – Setting the scene - the "giver's mindset"12:20 – Best positions18:45 – The baby bottle warmer lube hack22:23 – Signature moves: the Pepper Grinder & Bottle Rocket27:06 – Foreskin 10130:55 – Inside Desire Cruises & Hedonism49:31 – Cannabis, CBD myths, and the indica/sativa debatePleasure Highlights:Two hands, lube, and time are the foundation.Confidence matters more than technique.Soft doesn't mean over.Most CBD-only products are underdosed marketing.Consent and intentionality around substances are non-negotiable.Connect with Ashley Manta:Instagram @cannasexualWebsite: ashleymanta.comCourses: elevatedintimacy.comBook:  Merry Jane's The CBD Solution: Sex: How Cannabis, CBD, and Other Plant Allies Can Improve Your Everyday LifeEnhance your self-awareness by acknowledging and understanding your behavior patterns, and foster a deeper connection with your inner self. Get the Unleashing My Power: A Women's Empowerment and Gratitude Journal to reclaim your power through daily gratitude. Learn more HERE.Connect with Jordan D'Nelle:Facebook @‌jordandnelleInstagram @‌jordandnelleInstagram @‌TheVVVPodcastTikTok @‌jordandnelleYoutube @jordandnelleWebsite: Jordan D'Nelle⁠⁠Email: JordanDnelle@VaginasVulvasandVibrators.comLove this Episode? Join the Patreon: patreon.JordanDnelle.comLeave a review on iTunes.Subscribe & Follow on socials!Listen and Subscribe to the Podcast:Apple PodcastSpotify PodcastYoutube @jordandnelle*Disclaimer: This podcast is for informational and/or entertainment purposes only and is not a substitute for medical advice, diagnosis, or treatment. The views and opinions expressed are my own, or those of my guests, and do not necessarily reflect the views of any organizations or institutions with which I am affiliated.Vaginas, Vulvas, and Vibrators, the unapologetic women's sexual wellness podcast, normalizing pleasure, bodies, and sexual health through expert, shame-free conversations.PhexxINDICATIONPhexx® is an on-demand prescription birth control used to prevent pregnancy. Phexx is not effective when used after sex.IMPORTANT SAFETY INFORMATIONRare cases (0.36%) of bladder and kidney infection have been reported. If you have a history of urinary tract problems that keep coming back, you should not use Phexx.Contact your healthcare provider if you are experiencing genitourinary side effects such as vaginal burning, itching, discharge, genital discomfort (including in male partners), yeast infection, urinary tract infection or bacterial vaginosis.Phexx does not protect against any sexually transmitted infections, including HIV. Avoid using Phexx with a vaginal ring.Avoid Phexx if you or your sexual partner is allergic to lactic acid, citric acid, potassium bitartrate, or any of the Ingredients in Phexx. Stop using Phexx If you develop an allergic reaction.For more information about Phexx, talk to your healthcare provider and see full Product Informationat www.phexx.com.Please report side effects by contacting Evofem Biosciences® toll-free at 1-833-EVFMBIO or contact FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.EVFM-PHX-000068

Trump posted a map of the Strait of Hormuz labeled "New US Territory" while the 60-day negotiating window with Iran expired with no talks scheduled. A preservation trust told the Supreme Court the White House is racing to pour concrete on a $400 million ballroom before a judge can stop it. Court filings in Minnesota describe federal agents recording meetings in churches and union halls. And Disney sued the FCC over a license review the agency has not ordered in fifty years. The thread: power is testing how much it can finish before anyone can stop it. The other half: a preservation trust said no, a media company sued, DNC members reversed a rule from the floor, and Alaska voters put contribution limits on their own politicians. The check only works when somebody insists on it. Plus the last primary night of the cycle, where money lost everywhere. Angie Nixon beat Alex Vindman by double digits against a 16-to-1 spending gap. Trump's endorsed governor pick lost in Wyoming on the same ballot that sent Harriet Hageman to the Senate nomination. And a full breakdown of what data centers actually do to your water, your power bill, and your county's job numbers, using the August 10 Brookings update and Congressional Research Service report R48646. CHAPTERS 00:00 Stream start 07:20 Cold open: who insisted 08:53 Follow the Money: This Week in Trump Corruption 09:16 Truth API: selling early access to his own announcements 13:51 The ballroom and the race against the injunction 17:02 Pirro convenes a special grand jury 18:54 Nuanced News 19:28 Iran, the Strait of Hormuz, and the "New US Territory" map 29:31 Flock cameras and Operation Puppet Master 39:20 Disney and ABC sue the FCC 43:39 Ten more stories you should know 54:45 Research on a Dime: the last primary night of the cycle 55:28 Florida: Angie Nixon upsets Alex Vindman 1:00:30 Wyoming: Hageman wins, Trump's governor pick loses 1:06:00 Why nobody is talking about independent candidates 1:09:41 Montana and Idaho: when the ballot rule hurts 1:11:45 The reform scoreboard 1:15:20 Breakdown in the Public 1:15:41 Americans are turning against AI, starting with the young 1:18:12 Mobilizers, connectors, spectators, outsiders 1:19:05 Trump approval: read the spread, not the number 1:19:52 Data centers: what Americans actually think 1:24:48 Data centers and jobs: the Brookings numbers 1:29:45 Who the subsidies actually go to 1:39:24 Data centers and water 1:44:20 Data centers and your power bill 1:51:10 Good News 1:52:31 A one-time treatment cleared HIV in newborn primates 1:54:14 British solar had its best month ever 1:55:56 Rapa Nui is now running its own ocean 1:57:10 Rapid fire good news LINKS Podcast website: https://www.purplepoliticalbreakdown.com ALIVE Podcast Network: https://alivepodcastnetwork.com/ Catch a lot of great podcasts led by amazing Black voices. Substack: https://open.substack.com/pub/purplepoliticalbreakdown All links: https://linktr.ee/purplepoliticalbreakdown Join the Discord: https://discord.gg/ptPAsZtHC9 THIS WEEK'S RESOURCES Independent Center: Resources for independent political thinking and civic engagement. https://www.independentcenter.org/ Equal Vote Coalition & STAR Voting: Voting methods that ensure every vote counts equally, eliminating wasted votes and strategic voting. https://www.equal.vote/star r/policysolutions: Community for people who want to argue about policy instead of teams. https://www.reddit.com/r/policysolutions/ OtherWeb: AI-based platform that filters news without paywalls, clickbait, or junk. https://otherweb.com/ Political Solutions Without Political Bias. Subscribe, rate, and share if you believe in purple politics.

Trump posted Wednesday, "MOST CRUSHING ECONOMIC OPERATION EVER"; it will be aimed at crushing Iran's economy; A study finds an 'awareness gap' in Americans' understanding of HIV in Georgia; A Washington official cautions: to avoid disaster scams, 'pause and check the cause.' Anti-hunger groups say Ohio food programs reduce waste and help farmers.

With recent heat waves in many regions of the world, including parts of Asia, Europe and North America, Claudia Hammond speaks to Eran Bendavid, Professor of Medicine and Health Policy at Stanford University, about his global study which suggests that older people face dangers from heat exposure at much lower temperatures than previously thought. Claudia is joined by genito-urinary consultant and HIV expert, Vanessa Apea to discuss the ongoing mpox outbreak in Madagascar. It is the largest ever outbreak of mpox in the country, with authorities dividing vaccine doses into fifths in order to try and offer some protection to as many people as possible.In addition, Claudia and Vanessa discuss how inflammatory activity may be underrecognised in people with darker skin tones and they also investigate how the immune system adapts as people reach more than 110 years old!And we hear from Dr. Sriman Swarup, practicing oncologist based in Phoenix, Arizona, about what doctors minding their own business on a flight really think when they hear the words on the tannoy “Is there a doctor on board?”Presenter: Claudia Hammond Producers: Jonathan Blackwell & Georgia Christie

What if safer sex didn't have to be rooted in fear? In this episode of Please Me!, Eve Hall and Robert Johnson explore how modern sexual health tools are changing the way we think about STIs, HPV, HIV prevention, STI testing, and sexual freedom. Robert shares practical insights on HPV vaccination, PrEP, DoxyPEP, routine STI screening, three-site testing, and communicating openly with sexual partners. They also discuss how advances in sexual health have made it possible to approach intimacy with more knowledge, confidence, and eradicate shame. In This Episode: HPV vaccination and sexual health prevention HIV prevention and PrEP DoxyPEP for STI prevention Why routine STI testing matters Three-site testing for gonorrhea and chlamydia HPV, herpes, and other common STIs How to talk to partners about STI status and testing Sharing test results and informed consent Sexual health breakthroughs from hepatitis vaccines to modern HIV prevention Medications that may support sexual function, blood flow, lubrication, and sensitivity Building a healthier, more confident approach to sexual longevity Connect with Robert Robert Johnson (Shameless Care)Website: shamelesscare.com  Podcast: Sex Is Good Podcast Connect with Eve: Reach out for questions, partnerships, retreats, speaking engagements, or collaborations. Boudoir posters of Eve are also available by request, with donations starting at $150. Only five signed copies of each image will be available.  Contact - Please Me!  Explore the Sexual Longevity Protocol:  https://pleaseme.online/the-sexual-longevity-protocol/ A science-based course by Eve, a Sexual Health Physical Therapist to help you improve sexual function, confidence, and pleasure for life. Lifetime access for just $47. Affiliate Deals & Partners:• Join the Please Me! Media Newsletter:(1) Eve Hall | Substack  • Become a Patreon of Please Me! Media: https://www.patreon.com/PleaseMePodcast • Parlor Games Bioidentical Hormones: Parlor Games | Shop  • Shameless Care: Sex Positive Healthcare: (Code: PLEASEME): STD Testing, STD Prevention, and ED Meds - Shameless Care  • Become a member for free monthly webinars (Code: PLEASEME): SDC Swingers Lifestyle: Seek, Discover, Connect | SDC.com  • Lady Pump: Lady Pump – TheLadyPump  • Penis Pump: Auto GRO Pump - Dr. Joel Kaplan  • Cakes Nipple Covers: (Code: CAKES-PLEASEME 10% off) Sticky Starter Pack | Our Best Sticky Offer, $33 Savings – CAKES body  Thank you for supporting my affiliate partners. Every purchase helps support the Please Me! Media mission. The Mom Economy Anthology Book is A USA Bestseller: I'm proud to be part of this collaboration. My chapter is deeply personal and shares what I most want my daughters—and the next generation of women—to know. The Kindle edition is available now for $1.99, with the paperback available as this episode drops. Purchase the Kindle version here:  https://a.co/d/01HpPGN2  The Mom Economy Magazine:  Check out my featured article of this magazine for only $2.99 here:  The Mom Economy Magazine | July 2026 Edition | She Rises Studios  Be a Guest On Please Me! A Sexuality Podcast: :Be a Guest on Please  Me! PodcastShare your story or expertise on relationships, sexual health, and personal growth

This week we talk about the liver, viral infections, and the NHS.We also discuss blood scandals, needle usage, and Nobel Prizes.Recommended Book: A World Appears by Michael PollanTranscriptThe term “hepatitis” refers to the inflammation of the liver, which can result from all kinds of things, including environmental toxins, the consumption of alcohol, or autoimmune diseases. It can also result from viral infections, and the most prominent liver-inflaming viruses are called viral hepatitis.There are five types of viral hepatitis, A, B, C, D, and E, and each of these viruses are distinct, not part of the same viral family, they're just similarly named because they impact the same organ.Hepatitis A and E are primarily spread through contaminated food and water, and generally resolve on their own, untreated, and cause relatively mild symptoms. Hepatitis B and C are spread through blood and other bodily fluids, and can linger in a host's body for decades before even showing symptoms. Hepatitis D is a parasite of Hepatitis B, and thus only infects people who carry Hepatitis B.Now again, these are all different conditions that just happen to inflame the liver, so impact and treatment also vary quite a lot. As I mentioned, A and E generally present with mild symptoms and tend to go away on their own, while B and C can stick around a long time. There's a vaccine for B, but no cure; you can treat it, but that treatment involves suppressing it, and keeping it suppressed, forever. Hep C, in contrast, is curable, and has been since 2014 using what are called direct-acting antiviral pills, but these pills, which are taken for 8 to 12 weeks, are expensive—ranging from $22-95k without insurance, though that price is often reduced substantially for those with insurance, down to as low as $5. This category of drug coverage is often rejected by insurance companies, though, in part because they're so expensive, that expense the result of little competition in this space; few companies make this type of drug, so those that do can charge more or less whatever they like.Some people with Hepatitis C clear it on their own; about 30% of people who contract it, in fact, clear it within a few months, medication-free. Which is good, because our understanding of this virus is relatively new. Up until 1989, Hep C didn't even have its own name: it was established as its own thing, not Hep A and not Hep B, back in the 1970s, and doctors knew that something that wasn't those two viruses, that was being spread by transfusions, was causing hepatitis symptoms, but they didn't know any real specifics, so they just called it “non-A, non-B hepatitis,” and that name stuck for more than a decade.In 1989 the virus was cloned using molecular techniques (as opposed to simply growing the virus, which wasn't proving fruitful in trying to isolate and identify the thing), and the folks who managed that cloning, and the person who later proved that the genome they cloned, alone, caused the disease, received a Nobel Prize in Medicine for their efforts in 2020.By 1991, antibody tests were available for Hep C, and many countries began screening donated blood for this virus, to ensure it wasn't working its way into their blood supply.And one instance of that screening process, or I suppose, an event that led up to mass screening, and the consequences that followed, are what I'd like to talk about today. The UK's efforts in trying to eliminate Hep C, and England's recently announced near-success in that pursuit.—Hepatitis C is an RNA virus with high genetic variability that makes developing a reliable vaccine difficult. And though somewhere between a quarter and a third of all cases clear on their own, those that don't clear on their own become chronic, lying in wait for twenty to thirty years, slowly accumulating fibrosis—thick scar tissue in the liver—which eventually results in cirrhosis, which means a liver that's so heavily scarred that the organ is no longer fully functional and the damage is permanent. From there, infected people often experience liver failure or hepatocellular (huh-pah-toe) carcinoma, liver cancer.So this virus is a sleeper, and unless it's caught by accident somewhere along the way, it slowly causes damage over time until the damage is too severe to reverse. About 80% of people who have it don't know they have it, and in some parts of the world medical injections are the most common transmitter, but in higher-income areas, it's usually transmitted by injectable drugs.Pre-2014 treatments for Hep C were pretty horrible, involving a combination antiviral therapy called pegylated interferon plus ribavirin that was injected weekly for six months to a year, and this was terribly tolerated by pretty much everyone, causing anemia, depression, and flu-like symptoms for the duration. It also only cured about 50% of people who received the full treatment, and a lot of people had to stop because it caused such ridiculous side effects.Another antiviral called Sofosbuvir (so-FAS-buh-vir), which kept Hep C from replicating in its host, hit the market in late-2013, and that led to a series of direct-acting antivirals that reduced the treatment period dramatically, allowing most people, 95%, to cure their Hep C entirely by taking generally well-tolerated pills for 8 to 12 weeks.These pills were staggeringly expensive from the get-go, with an entire treatment course initially costing about $84,000, or $1,000 a pill. This led to rationing, and saving these pills for the worst-impacted people who already had severe liver damage. There were also pretty stringent requirements attached to their distribution, including that people who received them could no longer drink alcohol, because it was considered a waste to give these crazy expensive, liver-saving drugs to people who would just go and hurt their liver more, anyway.In the UK, the demand for this treatment type was different than in most other countries, in large part because of something that happened back in the 1970s and 80s.The UK's publicly funded healthcare system, the NHS, was in the midst of a shortage of clotting factor, which are plasma proteins and ions that help blood clot and which are used for medical purposes. So they imported a bunch of plasma products from the US, and those products were sourced from the blood of paid donors—and that donor pool included prisoners and people who used injectable drugs. Just one Hep C contaminated blood donation could contaminate an entire batch of blood, and remember, they only started screening the blood supply for Hep C in 1991, and they didn't start treating their blood supply for Hep C until a little before that, 1985, so this was well before they had any idea what was in those blood products they were importing and administering.Consequently, between 1970 and the early 1990s, more than 30,000 NHS patients received transfusions or other blood product treatments contaminated with Hep B, Hep C, or HIV, and about a tenth of those people, around 3,000 patients, have since died of those conditions.The UK government leaned on denial and a refusal to look into the details of this for years, but in 2017 it announced an independent public inquiry into the matter, and in May of 2024, that inquiry concluded that this whole scandal was avoidable, that patients were knowingly exposed to “unacceptable risks,” and that there was a big cover up by government officials, doctors, and other people working with the NHS.As of mid-2026, only a little over 3,200 people of the more than 18,500 who registered claims, demanding compensation from the government because they were impacted by this scandal, have been paid out. The expected total expense for the UK government is on the order of 12.8 billion pounds, but a lot of people who are probably due a payout, and who are in poor and deteriorating health as a consequence of all this, don't yet have a sense of when they'll receive their payment.Back in 2016, before all that came to a head, the UK set itself an aggressive goal: to eliminate Hep C by the WHO's 2030 target, or before. It then ran a competitive tender for antivirals, inviting medical suppliers to submit competing bids, resulting in the largest single medicine procurement program in the NHS' history. The pharmaceutical companies that won their bids were also obliged, as part of the agreement, to help fund efforts to identify undiagnosed but infected patients, in addition to supplying antiviral pills, and this combination of investment and application led to the deployment of new tests and scanning machines, free postal test kits, the hiring of specialists, and services that focused on prisons and drug users.The impact of all this has been significant: a more than 61% decline in infections from 2015 to 2024, nearly half of all drug users with Hep C had cleared the virus in that time, and deaths from Hep C are down 36% over the past decade.The WHO treatment-coverage target—the percentage of people who are diagnosed getting treatment—was 80%, and England has hit 81.5%, which was recently announced to much fanfare. It hasn't yet hit the diagnosis target, however, which is to diagnose 90% of people who are estimated to have Hep C; they've hit 84.6%, which is still quite a lot of progress, even if they're not yet where they'd like to be. That's all based on models, of course, as are the assumed number of infections among people who use injectable drugs, which is also a spot where England is currently flagging; there's no centralized system in England to monitor needle and syringe provisions, and reinfection rates are around 8.8 per 100 person-years among people who had injected within three years of receiving treatment, and that rate is even higher for people who have ever been to prison, around 9.4 per 100.What that means in practice is that the English government overall has done a pretty astounding and effective job at negotiating their relationships with pharma companies and getting detection on track at that scale, but on more ground-level issues that are, interestingly, a lot cheaper to implement, but at times more politically complicated because of public sentiment about drug use and drug users, they're doing a lot less well—and important to note here is that these outcomes vary a bit across the four programs being run across the UK. Scotland and Wales are doing relatively better and worse in some regards compared to England, for instance.Also worth noting here that while England is broadly doing a great job with Hep C diagnosis and treatment, they aren't the first to achieve those WHO-set goals: Egypt reached Gold tier status according to the WHO's Hep C guidelines in October of 2023, at that point having diagnosed 87% of people who have the virus, and treating 93% of those who were diagnosed. They managed to cut incidence of the virus by 97% in just 8 years, leaning on a system of high-yield testing—they tested more than 60 million people during those 8 years—alongside a production scheme that included local manufacturing of antivirals, making them more available and affordable.All of which are generally good signs about where Hep C testing and treatment is going, at least in these regions. And it paints a optimistic picture for other countries that might want to replicate some of what's working within their own borders.Show Noteshttps://www.bbc.com/news/articles/c75gk620r22ohttps://en.wikipedia.org/wiki/Infected_blood_scandal_in_the_United_Kingdomhttps://en.wikipedia.org/wiki/Hepatitis_Chttps://en.wikipedia.org/wiki/Viral_hepatitishttps://en.wikipedia.org/wiki/Hepatitis_Bhttps://www.healthline.com/health/hepatitis-c/treatment-costshttps://www.who.int/news-room/fact-sheets/detail/hepatitis-chttps://publichealthscotland.scot/publications/surveillance-of-hepatitis-c-in-scotland/surveillance-of-hepatitis-c-in-scotland-progress-on-elimination-of-hepatitis-c-as-a-major-public-health-concern-2025-update/https://www.emro.who.int/media/news/egypt-becomes-the-first-country-to-achieve-who-validation-on-the-path-to-elimination-of-hepatitis-c.htmlhttps://www.gov.uk/government/publications/hepatitis-c-in-england-and-the-uk/hepatitis-c-in-england-2025https://www.england.nhs.uk/2026/08/100000-people-receive-treatment-to-cure-deadly-hep-c-virus-on-nhs-in-just-ten-years/https://www.hepctrust.org.uk/blog/2019/04/hepatitis-c-trust-welcomes-elimination-deal-hepatitis-c-and-calls-government-backed/https://commonslibrary.parliament.uk/research-briefings/cbp-10099/https://www.who.int/teams/global-hiv-hepatitis-and-stis-programmes/hepatitis/reports/global-hepatitis-report-2026 This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit letsknowthings.substack.com/subscribe

8.17.2026 #RolandMartinUnfiltered: Black Candidate Hit With Fake HIV Smear. Trump Takes Credit For Crime Drop. NABJ Dings Stephen A. A Black Democratic congressional candidate is the targeted in a smear campaign that falsely alerted people by text message that he can't give blood because he is HIV positive.Shevrin Jones, Florida's first out LGBTQ+ Black senator, is here to set the record straight. A former professional basketball player is running to become South Carolina's first Black governor. Dr. Jermaine Johnson will explain why he's the best man for the job. The Trump administration is bragging and taking the credit for violent crime going down, but those crimes have been declining since 2022 - when he wasn't in office. We'll talk to the Senior Director for Public Safety from the Center for American Progress about the numbers. Attorney General Todd Blanche is considering seeking the Supreme Court's intervention to compel states to hand over voter rolls. California prosecutors told jurors Tupac Shakur's 1996 killing was 'an act of revenge' during today's opening statements. The defense says time, corruption, and a lack of facts will be challenges in the case. Saturday, the National Association of Black Journalists gave out its Thumb Down Award, including one to Stephen A. Smith. It's time for a little history lesson. I'll talk to the former president and founder of NABJ about why he began the acknowledgment. Black Star Network Partner: ChapterChapter and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. Chapter Advisory, LLC represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan’s contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent 50 organizations which offer 18,160 products nationwide. We search and recommend all plans, even those we don’t directly offer. You can contact a licensed Chapter agent to find out the number of products available in your specific area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options. ____ Download the Black Star Network app at http://www.blackstarnetwork.com! We're on iOS, AppleTV, Android, AndroidTV, Roku, FireTV, and SamsungTV. The #BlackStarNetwork is a news reporting platform covered under Copyright Disclaimer Under Section 107 of the Copyright Act 1976, allowance is made for "fair use" for purposes such as criticism, comment, news reporting, teaching, scholarship, and research.See omnystudio.com/listener for privacy information.

If you're the kind of person who is pathologically nice, physically incapable of saying "no," and constantly burning out to keep everyone else happy, you might actually have a Type C personality. Debbie Sorensen chats with psychologist Kore Glied and former Wall Street exec Anna White to break down how this conflict-avoidant, super-pleaser trait differs from Types A and B and why hiding your true feelings takes such a heavy toll on your health, career, and relationships.You'll hear Anna open up about her own experience grinding straight through maternity leave until chronic fatigue hit, how these habits usually stem from early criticism or neglect, and how you can change these Type C patterns with a simple SASS framework. Tune in to find out how to Spot your hidden rules, Accept your own worth, Sit with tough emotions, and Say no thoughtfully. Listen and Learn:What defines the Type C personalityAnna shares her personal story of growing up as a Type C personality and a cautionary story of how her "Type C" tendency to put work obligations above her own needs led her to work through a seven-week maternity leave How a personal journey through chronic illness and a chance discovery of the "Type C" personality traits How Type C personality traits develop, how cultural expectations and social rewards reinforce them, and how understanding these origins can help reduce feelings of blame and shame How Type C personalities are driven by guilt and recognizing the subtle patterns that prevent you from asserting your own worth How Type C personality traits can lead to unbalanced relationships, career burnout, and vulnerability to toxic dynamics in both the workplace and at home How Type C personality traits can impact parenting and healthThe practical "SASS" framework to build resilience and break people-pleasing habits Resources:https://thetypecpersonality.com/ Debbie's burnout appearance on the Type C personality podcast: https://open.spotify.com/episode/6d7AIsfXM18njrNzZvd6Kd To preorder Kore and Anna's book: https://www.amazon.com/dp/006349244X Kore's Website https://www.drkorenissenson.com Anna's care package company, Rest & Heal: https://restandheal.comAbout Kore Glied and Anna White Dr. Kore Glied is a clinical psychologist based in New York City who specializes in helping adults manage anxiety disorders, including obsessive compulsive disorder, and insomnia. Before starting her private practice, she spent many years as an Assistant Professor of Psychology at several major New York City hospitals, including Montefiore Hospital, NYU Medical Center, and most recently, Mount Sinai Hospital. Dr. Glied uses evidence-based approaches such as Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) to help clients get unstuck and build healthier, more fulfilling lives. Dr. Glied provides training and supervision in (ACT). She has published research on anxiety, trauma, and HIV-related health and has been invited to present her work at national conferences. In addition to her clinical work, Dr. Glied leads corporate wellness workshops focused on managing stress, anxiety, and building healthier relationships. She lives in Manhattan with her husband, two sons, and their dog. As a working mom, she understands the challenges of balancing career, family, and everything in between—and she's the first to admit she doesn't have it all figured out.Anna White is a former investments executive who spent 20 years working for a range of Wall Street firms in capital markets, private equity, equity research, and asset management. She experienced severe burnout at one point in her career which led to a chronic illness that was difficult to diagnose, treat, and recover from. Type C traits were a significant contributor to her declining health. After leaving corporate life, she founded a specialty care package company, Rest & Heal, which focuses on supporting women who have suffered hardship and/or illness through carefully curated gift packages meant to soothe, educate and re-energize the spirit. She holds a B.S. and M.B.A. in Business Administration from the University of North Carolina at Chapel Hill.Related Episodes: 447. Fawning with Ingrid Clayton 362. Adult Bullies and High Conflict People with Bill Eddy – Psychologists Off the Clock 276. Assertive Communication Skills with Randy Paterson 186. Set Boundaries Find Peace with Nedra Tawwab 199. Belonging From the Inside Out with Meg McKelvie163. The Likeability Trap with Alicia Menendez399. Likable Badass with Alison Fragale 250. Anxiety and Perfectionism with Clarissa Ong 226. ACT for Perfectionism with Jennifer Kemp See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Peter J. Katsufrakis, MD, MBA, is president and CEO of NBME. Dr. Katsufrakis previously served as senior vice president of Assessment Programs at the National Board of Medical Examiners and is recognized nationally in the medical education and assessment community, both for his work at the NBME and in past roles advancing professionalism, HIV education, clinical training, and medical education administration. Prior to joining the NBME, Dr. Katsufrakis's positions included associate dean for student affairs and associate professor of clinical family medicine at the Keck School of Medicine at the University of Southern California, where he received several teaching and outstanding service awards for his work. He has also served as a clinical associate professor of family and community medicine, at Sidney Kimmel Medical College at Thomas Jefferson University. Dr. Katsufrakis is licensed to practice medicine in Pennsylvania and is a diplomate of the American Board of Family Medicine. He is a member of the American Academy of Family Physicians and has served many organizations as a member, including the International AIDS Society, the American Academy of HIV Medicine, and the Association of American Medical Colleges Group on Student Affairs in many roles on committees and task forces.

Recorded at the AIDS 2026 conference in Rio de Janeiro, Ben and Dr. mike Reid discuss how climate disruption will exacerbate existing infectious diseases, enable emerging threats, and worsen non-infectious conditions, arguing global health must anticipate and mitigate climate-health impacts. They note health was sidelined at COP Egypt 2025 and that few national climate plans include health adaptation budgets. Case studies contrast Pakistan's 2022 floods—2.6 million new malaria cases, fivefold dengue increase, and 20% of primary care facilities underwater—with Mozambique's Cyclone Idai response, where PEPFAR-supported HIV infrastructure enabled faster recovery through reliable supply chains, information systems, energy backups, and workforce support. They emphasize integrated, resilient primary care and scaled community health workforces (e.g., Ethiopia), including community-delivered mental health care, amid shrinking donor support. mike explains applying Kate Raworth's “donut economics” to climate-health financing, referencing the Bridgetown Initiative and proposing climate-health bonds, while also highlighting greener delivery, regional manufacturing, and lower-emission prevention tools like lenacapavir and cabotegravir. 00:00 Live from Rio 00:52 Climate-Driven Disease 03:26 Health Plans Missing 05:31 Resilient Systems 06:10 Pakistan Flood Case 08:00 Mozambique Cyclone Ida 11:35 Primary Care Backbone 12:27 Community Health Workforce 14:22 Conference Funding Shift 17:09 Donut Economics Explained 20:55 Cameroon Donut Priorities 22:25 Why Leaders Ignore Health 23:32 Financing Climate Health 29:57 Sustainable Global Health 32:09 One Key Investment 33:34 Rio Networking Surprise 35:02 Wrap-Up and Credits Learn more about the book: https://bit.ly/redefining-global-health More from UCSF Institute for Global Health Sciences: https://globalhealthsciences.ucsf.edu Check Out mike Reid's Substack: https://substack.com/@reimaginingglobalhealth Check Out Ben's Substack: https://substack.com/@benplumley1 Join the Conversation! What would it take for global health to avoid decline? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health — and look out for a dedicated sub channel for Redefining Global Health in the 21st Century under A Shot in the Arm's YouTube home. Redefining Global Health in the 21st Century: The Podcast (Playlist on Youtube) https://bit.ly/rgh-book A Shot in the Arm Podcast Youtube (Main Channel) https://youtube.com/@shotarmpodcast

In the mid-1980s, author Emil Wilson's father brought home an ailing coworker to live in their home in small-town Oregon. But when it is eventually revealed that this coworker has HIV, everyone's lives are upended. Wilson has written and illustrated a graphic novel based on this true story, titled The Nightingales. He discusses the novel, and his family's story.    Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

LISTEN WITHOUT ADS on PATREON: Buy discount Tickets to DopeyCon only n Patreon: www.patreon.com/dopeypodcast Summary On this Dopey Greatest Hits, Dave brings back one of the wildest and most cinematic stories in the show's history: Louie Mandrapilias, author of Flew Too High. First, Dave gives a DopeyCon update and plays a voicemail from Hannah, who manipulated her dog's medical records to build a second Xanax prescription in her pet's name. What began with six bars for an anxious dog eventually became regular prescriptions that Hannah took for herself—until her veterinarian offered to double the dosage and Hannah realized how far the scheme had gone. Then Louie takes us from 1970s New York City to India, Bolivia and Bangkok. A young gay art student arrives in Manhattan, takes MDA, dances at Studio 54, sees Andy Warhol, shoots his first speedball and falls in love with a small-time drug dealer. That relationship sends him to India, where he visits an opium den, joins Bhagwan Shree Rajneesh's ashram and begins an unexpected romance with a German woman. When Louie becomes stranded with an unpaid hotel bill, he tracks down an opium-addicted dealer named Tascar and agrees to smuggle pure heroin back to New York inside a condom wrapped in electrical tape and hidden in his body. At JFK, DEA agents strip-search him but somehow fail to find it. Louie sells half the heroin for $50,000—and quickly becomes addicted to the rest. Next comes a trip to Bolivia for a kilo of pure cocaine. Unable to conceal the package the way he planned, Louie divides it between his cowboy boots and skin-tight jeans. This time, the DEA immediately notices. He is arrested, faces federal charges and avoids prison after his father puts up the family home and helps him receive probation. But even that isn't Louie's bottom. After returning to drugs, he joins an elaborate Bangkok heroin-smuggling operation that hides the shipment inside an airplane lavatory for another courier to retrieve on a domestic leg of the flight. By Christmas 1983, Louie is living in luxury but feels completely dead inside. A seemingly minor argument produces a life-changing realization: “You don't have to live like this.” He returns home, kicks heroin and enters treatment on January 1, 1984. A year later, he tests HIV-positive at a time when the diagnosis was widely considered a death sentence. Louie stays sober, builds a creative life, finds an HIV-positive recovery community in Los Angeles—and remains sober 40 years later. All that and more on this brand new yet old Classic Episode of that good old Dopey Show! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Subtitle: A Nasal Spray Longevity Screen, Why Less Protein May Age You Better, Cadaver Skin Injectables, Art's Effect on Biological Age, and Which Anti-Aging Interventions Actually Move the Needle Nasal Spray Ingredient Emerges As Unexpected Longevity Candidate In Massive Drug Screen Researchers mapped 2,358 longevity-associated genes across the body's broader protein and signaling networks, then screened 6,442 approved drugs to see which ones nudged those aging pathways in a healthier direction. Oxymetazoline, the active ingredient in nasal sprays like Afrin, was among 21 standout candidates, with a predicted pathway running through the ACKR3 receptor and connecting to major aging proteins including NF-kB, TP53, and AKT1. Host Dave Asprey explains why this computational screen is a promising research lead rather than a protocol, and why chronic use of a vasoconstricting nasal spray carries real risks regardless of what a network analysis suggests. Sources: https://www.inc.com/lucia-auerbach/scientists-screened-6442-drugs-for-longevity-common-nasal-spray-emerged-as-a-surprising-candidate/91381000 https://www.sciencealert.com/medications-already-in-pharmacies-may-slow-aging-and-scientists-are-narrowing-them-down https://pmc.ncbi.nlm.nih.gov/articles/PMC12425021/ ~~ New Review Of 350+ Studies Asks Whether Less Protein Means Longer Life A review spanning more than 350 studies found that protein restriction consistently extended lifespan and improved metabolic health across mice, rats, flies, and fish, with smaller human studies showing improvements in body fat and fasting glucose even when total calorie intake rose. Researchers point to FGF21, a liver hormone that rises under protein or amino acid scarcity and boosts energy expenditure and glucose regulation, as a key mechanism. Host Dave Asprey breaks down why blanket protein advice fails older adults preserving muscle and highly active people just as badly as it fails everyone else, and why matching intake to actual biology beats maximizing protein at every meal. Sources: https://www.medicalnewstoday.com/articles/why-reducing-protein-intake-could-promote-healthy-aging-new-research https://time.com/article/2026/08/03/eat-less-protein-age-better-live-longer/ https://www.sciencedaily.com/releases/2026/08/260801042811.htm https://www.cell.com/cell-reports-blue/fulltext/S2949-8821(26)00079-9 https://pmc.ncbi.nlm.nih.gov/articles/PMC8991228/ https://www.eurekalert.org/news-releases/1137190 ~~ Processed Cadaver Skin Injectable Enters The Anti-Aging Market As Elravie Re2O A new injectable called Elravie Re2O, short for "return to your 20s," is made from donated human skin processed to remove living cells and most genetic material, leaving a collagen-rich extracellular matrix that gets injected into the face and neck as a biological scaffold rather than a simple filler. Human-derived tissue matrices already have a track record in burn and wound care, but this specific product is not yet FDA-approved and lacks comparative trial data against existing fillers. Host Dave Asprey separates legitimate regenerative medicine from a novel cosmetic product still waiting on long-term safety and consistency data. Sources: https://nypost.com/2026/07/21/health/the-hottest-new-anti-aging-treatment-cadaver-skin/ https://www.newsobserver.com/living/article316698211.html https://www.miamiherald.com/living/article316698295.html https://pmc.ncbi.nlm.nih.gov/articles/PMC12985180/ https://laboderm-skin.com/elravie-re2o-application/ ~~ UCL Study Finds Weekly Arts Engagement Tracks With Slower Epigenetic Aging A University College London study of more than 3,500 adults found that people who engaged weekly with arts and culture, including painting, music, museums, and theater, showed a roughly four percent slower pace of aging on the DunedinPACE clock and appeared about one biological year younger on PhenoAge, with the effect holding after adjusting for income, education, smoking, and physical activity. Benefits appeared whether people were actively creating art or simply attending performances and exhibits. Host Dave Asprey argues this expands what counts as a health input beyond molecules and devices, since novelty, meaning, and social connection influence the nervous system too. Sources: https://www.npr.org/2026/05/12/nx-s1-5818172/study-arts-slow-biological-aging https://www.news-medical.net/news/20260511/Regular-arts-engagement-may-help-slow-biological-aging-process.aspx https://studyfinds.com/arts-culture-may-slow-aging/ ~~ Review Of 41 Human Studies Ranks Which Interventions Actually Shift Epigenetic Clocks A review of 41 human studies testing interventions against newer-generation epigenetic clocks found favorable changes for exercise, caloric restriction, omega-3s, plant-rich diets, multivitamins, semaglutide, pitavastatin, and ketamine, while nicotinamide riboside, rapamycin, and senolytics showed no detected clock improvement in the studies reviewed. Semaglutide produced the strongest single result, slowing DunedinPACE by about nine percent in a trial of adults with HIV-associated fat redistribution, though a separate fatty liver study produced mixed outcomes. Host Dave Asprey explains why a strong mechanistic story does not guarantee a moved biomarker, and why clinical outcomes, functional measures, and safety data all matter alongside any single clock reading. Sources: https://www.frontiersin.org/journals/genetics/articles/10.3389/fgene.2026.1836446/full https://pubmed.ncbi.nlm.nih.gov/42294499/ https://www.news-medical.net/news/20260616/Semaglutide-omega-3s-and-diet-shift-epigenetic-aging-clocks-in-human-studies.aspx https://www.nature.com/articles/s41514-026-00383-9 https://pmc.ncbi.nlm.nih.gov/articles/PMC12338914/ https://medicalxpress.com/news/2026-06-popular-glp-drug-biological-aging.html https://www.creativebiomart.net/blog/semaglutide-may-slow-epigenetic-aging-in-humans https://www.aging-us.com/article/202913/text https://superpower.com/guides/can-you-reverse-epigenetic-age https://www.nature.com/articles/d41586-026-01836-7 https://www.businessinsider.com/first-ever-reverse-aging-drug-was-just-injected-into-a-human-2026-6 ~~ This episode is designed for biohackers, longevity enthusiasts, and high-performance listeners who want mechanism-level insights into a computational drug-repurposing screen, the case for eating less protein, a new regenerative injectable made from human tissue, the biological effect of creative engagement, and a data-driven ranking of which longevity interventions actually move epigenetic clocks. Host Dave Asprey connects computational biology, nutrition science, regenerative medicine, and biomarker research into practical frameworks for evaluating what belongs in a real longevity protocol versus what belongs on a watch list. New episodes every Tuesday, Thursday, Friday, and Sunday. Keywords: oxymetazoline longevity, drug repurposing screen aging, ACKR3 receptor aging pathway, protein restriction longevity, FGF21 hormone aging, low protein diet healthspan, cadaver skin injectable, Elravie Re2O, extracellular matrix regenerative medicine, anti-aging injectable 2026, arts engagement biological age, DunedinPACE epigenetic clock, PhenoAge biological age, epigenetic clock interventions, semaglutide epigenetic aging, rapamycin epigenetic clock, senolytics human trials, biological age testing, biohacking news 2026, Dave Asprey, The Human Upgrade Thank you to our sponsors! - KILLSwitch | If you're ready for the best sleep of your life, order now at https://www.switchsupplements.com/and use code DAVE for 20% off - Beyond Wonderland Conference | Oct 13 - 14, 2026. Get your ticket now at wonderlandconference.com. - iRestore | Reverse hair loss at www.irestore.com/DAVE and get exclusive savings on the iRestore Elite, use code DAVE Resources: • Get My 2026 Clean Nicotine Roadmap | Enroll for free at https://daveasprey.com/2026-clean-nicotine-roadmap/ • Get My 2026 Biohacking Trends Report: https://daveasprey.com/2026-biohacking-trends-report/ • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Join My Substack (Live Access To Podcast Recordings): https://substack.daveasprey.com/ • Upgrade Labs: https://upgradelabs.com Timestamps: 00:00 – Intro 00:19 – Anti-Aging Drug Screening 01:43 – Protein Restriction & Aging 03:36 – New Skin Injectable 05:23 – Arts & Longevity 07:30 – Biohacking Interventions Reviewed 08:51 – Semaglutide & Aging Clocks 09:29 – Closing Thoughts See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.