Podcasts about hospitalization

(00:00:00) Authenticity, Grief, And Purpose (00:00:55) Meet Stephen: Trek, Diagnosis, And Work (00:02:04) Hospitalization And The Two Lies Of Depression (00:04:52) Medication, Perspective, And Self-Talk As Opinion (00:06:00) Daily Function: Rest Breaks And Zero Days (00:08:23) Fulfillment Over Happiness (00:09:01) Identity Shift: I Have It, I'm Not It (00:12:01) Reframing Negative Self-Talk For Everyone (00:14:59) From Stigma To Self-Acceptance (00:17:20) The Acceptance Ladder Explained (00:20:19) Children's Books And Finding Self Within (00:23:10) Speaking, Resources, And Perspective Shift (00:25:21) Closing Reflections And Takeaways We explore how perspective turns pain into purpose, from hospitalization and stigma to practical tools that make tough days workable. Stephen Nawotniak shares the Acceptance Ladder, reframing self-talk, and small habits that change how we move through depression and bipolar.• two lies of depression and how to challenge them• medication as intensity-softener, not magic cure• negative self-talk as opinion rather than fact• fulfillment over happiness as a daily aim• zero days, rest breaks and night-before prep• identity shift from I am to I have• community stigma vs self-stigma and selective disclosure• the Acceptance Ladder from curse to gift• turning pain into purpose through service and craft• children's books that guide an inner journey• personal growth vs illness management framingIf this conversation resonates, share it with someone who needs real, usable tools. Subscribe for new episodes, leave a review to help others find the show, and tell us: which rung of the Acceptance Ladder are you on today?Become a supporter of this podcast: https://www.spreaker.com/podcast/bereaved-but-still-me--2108929/support.

Author and recovery advocate Dennis “D.J.” Quinn joins Rich to share a deeply human mentoring journey—from Big Brothers Big Sisters to a 13-year bond with “Mike,” a foster-adopted child whose life was later upended by severe mental illness. Dennis unpacks how “just showing up” can anchor a life, the hard hospital visits, the gratitude that birthed his memoir Stick Figures, and why mentorship and recovery work still matter today.Guest Bio:  Dennis “D.J.” Quinn is an author, longtime mentor, and recovery advocate. Raised in Montana and a former Northwest Airlines flight attendant for 26 years, he has spent decades volunteering with Big Brothers Big Sisters and bringing recovery meetings into juvenile detention centers. He lives in Gig Harbor, Washington, and is the author of Stick Figures, a memoir honoring his 13-year mentoring journey with Mike. Main Topics: ·         Growing up in Montana: big family values, faith, and community·         26 years as a flight attendant: exposure to diverse lives and cultures·         Big Brothers Big Sisters: first match, what real mentorship looks like·         Meeting Mike: foster care, disability, progress—and the onset of mental illness·         Hospitalizations and hard days: “ministry of presence” and boundaries·         Writing Stick Figures: the calendar drawings that became a memoir·         Inclusion in mentoring: local BBBS policy change and why it mattered·         Recovery work with incarcerated teens: hope, honesty, and resources·         Gratitude and “a lucky life”: what Mike taught Dennis (and us)·         How to start mentoring or volunteering—time, commitment, payoff Resources mentioned: ·         Dennis “D.J.” Quinn — Website: djquinnauthor.com (signed copies available)·         Dennis “D.J.” Quinn — Books: Stick Figures (also on Amazon)·         Big Brothers Big Sisters (one-to-one youth mentoring)·         Boys & Girls Club (youth development, group-based)·         Places/notes referenced: Northwest Airlines, Disneyland, juvenile detention programming·         Supporter: Full Circle Boards·         Supporter: Sincerely Sawyer Photography Send us a texthttps://harfordcountyhealth.comSupport the showRate & Review on Apple Podcasts Follow the Conversations with Rich Bennett podcast on Social Media:Facebook – Conversations with Rich Bennett Facebook Group (Join the conversation) – Conversations with Rich Bennett podcast group | FacebookTwitter – Conversations with Rich Bennett Instagram – @conversationswithrichbennettTikTok – CWRB (@conversationsrichbennett) | TikTok Sponsors, Affiliates, and ways we pay the bills:Hosted on BuzzsproutSquadCast Subscribe by Email

Christian College Sex Comedy: Part 26 A New Student (tribal) Council   In 30 parts, By FinalStand. Listen to the podcast at Explicit Novels.             If you can't look in a mirror and laugh at yourself, cut off the light             "Can we put other restrictions on you?" Simone Brady prodded.   "This is not the 'Zane' show," Virginia Goodswell interjected. "We need to decide when the new Student government will meet, I suggest Tuesday nights, and how we are going to conduct business."   "We can start by deciding where we meet," Chastity spoke up. "I vote for Zane's place."   "What's wrong with the Assembly Hall, where we've always met?" Rhaine countered.   "Rhaine, you are drinking a Doctor Pepper, KayLeigh, you are drinking a grape juice, and Joy was eating a bowl of vanilla ice cream with chocolate syrup when I got here," Hope snickered. "You have hot plates and microwaves too, if needed."   Rhaine, Joy, and KayLeigh, all Traditionalists, looked guilty. They also looked like they treasured their creature comforts because they weren't running for the door.   "It is a nice place," KayLeigh admitted.   "And you don't get to come back up here otherwise," Rio grinned evilly. "This floor is devoted to the freshman class."   "There are a lot of upperclassmen up here right now," Rhaine pointed out.   "Those are what you would call 'friends'," Rio sneered. "If you weren't freaking evil, you might have some."   "Please don't put it that way," I requested of Rio. Rio had every reason to be cranky. Mercy looked even more exhausted sitting at her side.   "Zane will arrange the room to fit your needs," Christina finally spoke, "I guarantee it."   "You think you can control him?" Rhaine shot back.   "I'm not afraid of him; he's not some wild beast. I ask him to do things for me and he does," Christina chided Rhaine. "He is like any other freshman; it is that simple."   "He's rather mouthy for a freshman," Hannah joked.   "Well, maybe if you put my mouth to other uses," I bantered back. There was a moment of silence followed by Dana Gorman taking up her bottled water and walking over to me. She smiled down at my seated form while she poured out the remaining water onto my crown.   "Cool off, Casanova," Dana cautioned me playfully before returning to her seat.   "Exactly why do you keep her around again?" Rio slapped my shoulder.   "Can you imagine how insufferable Christina would be if Coach didn't keep her in line?" I smiled. Christina rolled her eyes while Rio chuckled. Virginia stood up and cleared her throat.   "I want to make sure that all the ladies, plus Zane, plan to make this experiment work. It is rather pointless to proceed if any of you can't be honest now," Virginia, my Spiritual Advisor, poled the audience. Most of the girls looked around to see who would do what but no one jumped.   "I think it is safe to say that we students will stay true to the Vice Chancellor's plan, though this is not an endorsement of Zane, his conduct, or even his continued presence here," Rhaine spoke for the group.   "With that settled, we can call it a night," Doctor Kennedy declared. "Ladies, consider what issues we need to deal with so we can bring them up next Tuesday night, 9 pm."   "Who do we send the itinerary to?" Simone inquired.   "Zane," Hudson Lane volunteered me.   "I nominate Faith De Young (of Christina's inner circle) to be our Secretary of Record, if she wants the job," I said. Faith looked completely taken off-guard but nodded quickly.   "I'll do it," she made clear. The meeting broke up soon after with most of the student leadership departing. Dana, Hudson, and Christina & company hung around a little longer.   "Not the Glamorous Gremlin?" Rio teased me on my choice of Secretary. She gasped and nearly fell over right after that. Iona smiled softly and shook her head. She realized that she was still a freshman and her day would come.   "Ah, here's one of the controllers," Heaven gave a devilish smile as she handed the device over to Rio. Miraculously, the other three sexual wonders were also handed over, ending the threat of torture for the day.   "I see a spanking machine in you bitches' future," Rio snarled at Chastity, Hope, Heaven, Faith, and Christina.   "I swear, I tried to get one of those damn things all day long," Valarie griped. "You would think that after setting this up, someone would have given me one, but no, I am a freshman so I don't get to play the game."   "It was you!" Rio screamed, and lunged at Valarie, who comically batted her away as Vivian and Mercy intervened.   "Yes," Val laughed, "but it was Iona who figured out how to have captured your days by enlisting the aid of classmates with video phones. I can tell today's footage is going to be a classic."   "Why did you do it?" Vivian asked Valarie.   "I had revenge on Rio and made Mercy ecstatically happy; it was a win-win," Val grinned vindictively. It was a credit to Rio's berserk nature that no one asked what Rio had done to warrant revenge; everyone automatically assumed that Valarie was justified.   "Everyone's sympathy is under-whelming," Rio grumbled. "Come on, Mercy, let's get these things off."   "Do we have to?" Mercy pleaded softly. Hell, I imagine she could barely stand but apparently, her limit to sexual overstimulation was unconsciousness. Rio used one finger to hook Mercy's collar and pulled her close.   "How dare you talk back," Rio whispered, but I was close enough to hear. "I was going to settle for the vibrating nipple clamps that arrived today but now I'm thinking a few dozen paddle blows, to each cheek, are in your future, you annoying little bitch."   Annoying was Mercy and Rio's code word for 'love'; Rio simply couldn't stand the 'L' word.   "Vibrating nipple clamps?" Christina was both confused and amused. "Where do you people come up with this stuff?"   "Adam and Eve," Rio shot back without batting an eye. "Wait until I have Mercy's nipples and lips pierced; then the real fun begins."   "I don't think Mercy should have her lips pierced," Vivian suggested forcefully. "They'd be glaringly obvious." Rio groaned and sighed.   "Not those lips," Rio clarified. "The other ones, you know, labia, cunt lips, cunt etc." There was a pregnant pause in the room. "Attach vibrator wires to those bad boys and Wow! Let the magic begin."   Mercy and Rio really were made for each other; they were both salivating at the prospect. Thankfully, I saw Cassandra hovering around and looking ready for me to start playing towel boy.   "Ladies, one last duty to perform and then my day is done," I attempted my exit.   "Zane, is it alright if I spend the night?" Hope ambushed me.   "Of course," I smiled, because I'm a fucking idiot who is an embarrassment to the very concept of the mentally challenged and a parody of every teen boy date flick. I was already spending time with Iona, Paige, Barbie Lynn, and now Hope.   Maybe I can find a way to have a secret government space array shoot an earthquake laser at my feet so a pit opens up underneath me and I plummet to a fiery death at the Earth's core. Maybe I watch too much bad TV.   "Iona, did my Viagra arrive yet," I teased my buddy. "I'm going to need a pill tonight."   "Oh, Zane, I don't think we have any but I'll go online and see what I can get for you," Iona replied in all seriousness.   "I know some guys who smuggle them in from Mexico," Valarie offered. "I'll make some calls."   "That is so cool!" Barbie Lynn clapped her hands. "Now he'll never go down. I can ride him all night long." She hugged me while a fearful vision of my desiccated, sperm-drained husk lying open-eyed and lifeless on my bed danced before my eyes.   "Zane?" Cassandra called out.   "Oh, yes, towel boy and bikini selection," I muttered. I gravitated her way, took her hand, and led her to my room.   "What's that about?" Vivian mused.   "Handmaiden's Duty," Iona informed the ladies. "He picks out a bikini for her and acts as pool boy while she's in the Jacuzzi."   "I hope someone cleans that thing from time to time," Faith shuddered.   "Every morning at ten o'clock it is drained and cleaned, and the filter cleaned every Monday," Iona droned on without even looking up. The rest of that exchange was lost as I retreated to my bedroom.   What followed could be blamed on Cassandra accidently dropping her drink in the Jacuzzi and me having to retrieve it; it was an unopened soda can. Or maybe it could be blamed on the surprisingly conservative (for my room) white and black striped bikini she wore. Whatever was the catalyst, inside five minutes I had Cassandra out of her suit, front to front, her crotch pressing me against the side of the Jacuzzi with my head barely above water while she rode my face in a pattern and energy that reminded me of Hawaii's North Shore.   Cassandra was pounding the back of my head against the wood wall as she drove her cunt over my lips and tongue again and again.   "Oh, Baby, you are so much better than my fingers," she communicated with an erotic growl. "Keep it up, keep it up!" She was the one in the control of the sexual rhythm so I was not sure what else I might do but keep licking and sucking as hard as I could.   I was finally able to run a hand along her chocolate flesh until I managed to push against her sternum and got her to roll her shoulders back. That allowed me to start massaging and stroking one of her breasts while my other hand got between her legs from behind and gently penetrated her cunt.   "Za, za, za, Zane!" she screamed out. Note to self: Add earplugs to my Must Have List.   Cassandra slathered my nose, lips, and chin with her rather scalding, light to the tongue and tasty fluids. If she wasn't still trying to give me a concussion with her hips I might have enjoyed it more. As her orgasm dissipated, she slid down my body with a sated sigh. Her legs were outside mine so as she descended, her cunt came to rest on my Speedo-encased cock. Saying that my cock was hard would be like saying snow is cold or the English love their soccer; pretty much a given.   Her eyes grew wide when she realized where she rested. She's a senior and a virgin in a Christian Girl's school, she began humping me, of course. Being Cassandra, she began humping me hard and thumping her way to another climax.   "Zane, I am totally rethinking you being allowed on campus," Cassandra panted.   "Is this a good thing or a bad thing?" I wondered. At this time I had one finger lightly in her cunt as my other hand tenderly tweaked one of her nipples.   "Oh, I think every junior and senior should have their own personal freshman boy to keep under control with a strong hand," she grinned while she kept working my rod over with her cunt.   "Wouldn't it be nice if we developed a peaceful, platonic relationship based on mutual trust and respect?" I suggested hopefully. Cassandra gave a deep, throaty laugh.   "You're funny, but no," she grinned evilly. "After all, if that was the case, I couldn't do this: Zane, suck my other nipple, suck it hard, while I play with your fat phallus." Oh yeah, I love the way this is going (insert internalized weeping).   She worked out my cock painfully fast and began rubbing it deeply between her labia, to the point I felt the tightness of her vaginal walls on my cockhead.   "Zane, you know a whole lot about the sex stuff," she stated. "What's a cock ring?" Oh, HELL No! I have enough difficulty ejaculating as is. The last thing I need is something that allows another to make the prospects of my ejaculation even dimmer.   "It's a device, a ring, that is placed over the base of the cock to restrict blood flow, thus allowing longer erections," I grudgingly confessed. "Thinking about getting one, as a Christmas present, for someone out of state?"   "So, you could have intercourse, for a long time, and not ejaculate, so a girl would be, safe, in fucking you raw?" Cassandra's voice was becoming more strained.   "Technically, yes, but a little music, some hand-holding, and dinner at McDonald's would suffice in getting me aroused," I tried to explain. "There is no need for, something like that."   "Zane, clearly God put you, on this campus as a test for, true believers," Cassandra related, "And every woman here needs, to be tested, A Lot!" she screamed out her second orgasm of the night.   My hands raced down to grab each luscious buttock before her spasms caused her to slip down my cock and make her virginity a thing of the past. When my cock slapped against my stomach, I held Cassandra tight until she calmed down.   "You need to stay on campus during the weekends," Cassandra moaned with content exhaustion, "so we can use you more often."   "Why do you think I flee campus every weekend?" I thought. If she had her way, I'd be walking around with an IV in my arm and popping Viagra like M&M's. I chose life! If you think I am a coward, step up and take my place. I'll sneak back into the cemetery at night and put a flower on your headstone. You can take that permanent smile etched on your face to your grave, He-Man.   "I have to ask: What brought this on?" I inquired.   "I received one of Mercy's controls and we shared the next class," Cassandra confessed. "She glowed with such pleasure I thought she would pass out. I was suddenly curious."   "I had nothing to do with that," I groaned. "I swear, it wasn't me." Cassandra placed one hand on each side of my face.   "Zane, it wasn't you, I know that," she smiled, "but it is your presence that allowed something like that, her ability to experience that level of pleasure, that I want to experience. I have to go now. I need to report to the other girls what it was like so we can figure out what to do with you next."   You know, if I had been paranoid, I would have been right, people are plotting against me. Cassandra stood up and stepped onto the bench so that I was once more facing her puffy, somewhat abused cunt lips before she swung one leg over me and exited the tub. I closed my eyes and let my head hang over the side, facing up.   "Towel boy," Cassandra taunted me. I looked at her. Cassandra was dripping wet and she was extending a towel my way. I pulled my own tired ass out of the Jacuzzi and tenderly buffed her excellent body until she was dry. She gave me one last kiss, dressed, and virtually skipped out of my domain, happy, arrogant and plotting my demise.   I cleaned up, dealt with the Jacuzzi, and took in my surroundings. The only witnesses to my congress and conversation with Cassandra were Dana Gorman and Hudson Lane, my voyeuristic adult female 'friends'.   Dana pulled me over as I walked passed her. Hudson Lane had gone off to get some drinks.   "You and Gabrielle, ?"   "You have no respect for my survival instincts, do you?" I chuckled.   "Not really," Dana smirked.   "Fine," I groaned in feigned annoyance. "She wanted to talk so we talked, nothing else happened."   "She beat you up, didn't she?" Gorman persisted.   Another deep sigh on my part came out before I confessed, "Yes. Why do you ask?"   "I wanted to smack you around from the first day I met you," Dana laughed. "I think Ms. Black has done admirably not beating you black and blue before now."   "Has yet another girl beaten Zane up?" Hudson angled around to sit next to Dana. "The consistency of the femdom attitudes at this school is frightening."   "Don't throw stones, Ms. Lane," Dana warned her. "You, Zane, and Ms. Messier, the lawyer Ms. Buchanan hired to help Zane when he went to jail, I was head of security when it happened and I know when Ms. Messier arrived on campus, where she stayed, and when she, and you, left this dorm."   "You never said anything to Chancellor Bazz?" Hudson worried.   "No," Dana responded. "You three are adults, and ruining your career here wouldn't have made expelling Zane any easier. I wasn't the sex police."   "Thank you," Hudson smiled. "I now have another reason to be happy Zane championed your cause with the Board of Directors." She touched Dana on her thigh.   "It's not going to happen, Lane," Dana informed the lawyer while opening her V-8. "I've had a long time to figure out that I'm not attracted to women." Wow, Dana knew that Hudson was bi-sexual and didn't care. That was another big plus for Dana in my book.   "That's what Brigitte Messier thought as well," Hudson winked. "It turns out a little bit of Zane goes a long way to loosening up a girl's morals and expanding their horizons."   "I repeat, it is not going to happen," Dana shook her head. "Zane's a student and I'm a teacher. Perhaps the day he graduates, I'll kidnap him for a long, frustration-relieving weekend. I haven't had sex in eight years and watching him work really stresses my resolve."   "You could always join me in the hot tub," I offered. I wasn't sure how serious I was. I also wasn't sure how bad a concussion Cassandra had given me.   "Zane, do you have any idea of what I would do to you if I focused all my pent up sexual fury onto that body of yours?" Dana threatened. I gulped.   "Does it start with me tying you down?" I suggested sweetly. Hudson was looking really intrigued by this. I was beginning to believe she had this erotic attraction to 'turning' straight girls, most likely mirroring her own Law School experiences.   "What do you think?" she glared. Dana was becoming seriously aroused.   "I guess my only other question is if I can outrun you," I joked. Dana kept staring.   "Zane," Hudson snickered, "do you realize that your swimsuit is basically transparent when wet?"   "No, I didn't," I gulped once more. My package was less than a foot from Dana's lips. "Sorry, I'll be going to bed now," I backed up.   "That's a really nice ass," Dana sighed as I turned away.   "It is even nicer to touch," Hudson commented.   "It's not happening, Lane," Dana grumbled.   "Oh, you will come around," Hudson Lane laughed softly. "I have faith in Zane." Dana growled in rebuttal.   When I rounded the first cut-back leading to my bedroom, I heard and smelled sex, suddenly, sneaking off to Gabrielle Black's place and hiding out for the night sounded like a good idea, barring her killing me, of course. I sorted out the noises as I moved around until the room came into full view.   Reminder number one: Check the God Damn air filters!   Where the fuck do I begin?   On the far side of the bed, Mercy was on her knees, head down on a pillow with her painfully ecstatic face looking toward me. That was how I could tell she had been gagged. Her wrists were handcuffed behind her back, she was moaning and sweating up a storm, and her whole aura emanated with tantric excitement.   In case you might be wondering where her Mistress was: Rio was straddling Mercy's back, ass resting on Mercy's neck (by the tension in her thighs, Rio wasn't pressing down hard thankfully) and facing her playmate's highly vulnerable posterior.   "Hold out a little longer, my slut," Rio egged Mercy on quietly as she paddled those beautiful exposed ass cheeks, apparently in a random fashion.   And now it gets weird(er): Behind Mercy, facing Rio, wielding a strap-on with firm, slow, and steady strokes, was Paige. For the love of the Almighty, should I be quarantined as an immorality contagion? It wasn't like Paige was an angel but she was taking a few giant steps to proficiently wielding an artificial cock into a bound girl's bunghole. The fact that Rio and Paige despised each other continued warping my perception of events.   Barbie Lynn (farthest away in the closest group), Vivian, and Valarie were on the near side of the sheets. They weren't actually having sex but were talking in low voices with the occasional running of a hand through a companion's hair or tracing a finger from hip to thigh. It was sensual without being pornographic. It also appeared to be something they all three were enjoying.   In the middle section of my sleeping platform (it is an awesomely big bed) was Iona and Hope, who were doing a little more than cuddling together in quiet conversation. Hope stroked Iona's head compassionately as Iona gently teased and suckled on Hope's left breast. Every ounce of my experience cried out to me that Iona had initiated the sexual contact. That boggled the mind, right up there with Hope allowing a near stranger such intimate contact.   "Hey, Lover," Barbie Lynn gifted me with a sultry leer, "are you going to take that off or are you going to allow him to bust out on his own?" Bathing suit, cock, raging erection; got it. I yanked off my speedo fast enough to make my skin burn. I wrapped it up in a towel before tossing them in the clothes hamper.   I quickly plotted out my journey, figuring out where I was supposed to end up. I was giving up the illusion that I controlled events because if I was created in God's image and that was the reason God wanted men to rule over women, then I think God was really Goddess and Heaven's soul had it right, change sides.   Valarie gave me a fearless grin as I climbed over her on my way to the middle. She shifted so that her breasts swayed from side to side. I took in the view before kissing her and moving on.   "Try to settle things down by eleven, Zane," Vivian requested. I nodded and then kissed the tip of her nose, which she returned by kissing my forehead. It was very motherly of her, barring the fact that the sheets barely covered her pubic region and every exposed bit of her looked scrumptious.   My last hurdle was Barbie Lynn, and that was an obstacle in more than just the physical sense. She knew how to stretch and yawn just right for making my blood boil with lust and my vision cloud with desire.   "You will come back to me, Zane," she said with brazen tenderness. "Now go on and take care of the others who need you now." Best Blonde Bombshell ever.   As I settled behind Hope who was still facing Iona, I took it slow to let her instincts understand that I wasn't a threat but desirous of her.   "What's going on here?" I inquired delicately. "Hope, I didn't think you liked Iona all that much? And Iona, you have become much more confident in the past month; I like it."   "Zane, Iona is one of the bravest freshmen I've ever met. She's never backed down from a challenge and is smart enough to fight the battles she can win and send others to win the one's she can't," Hope explained. "I have admired her for some time."   "I know you wanted Hope to be put at ease," Iona related. "She's surrounded by people she has minimal familiarity with. I reasoned that I could help her adjust by doing what you do."   "Sexy, clever, lethal girls; this is definitely going on my Santa Wish List," I grinned. I was trying to settle in behind Hope when she wiggled around onto her back and indicated she wanted me to move between her and Iona. I was hardly in the mood to refuse and soon, both ladies were nestled in my arms. I was thinking about the next step when the situation around Mercy increased in energy and volume.   Hope pushed halfway over my chest and Iona turned away from me so they could watch the proceedings. Mercy was shivering like a leaf in a thunderstorm. Rio moved up so that her face was inches away from Paige's. I could see Paige contemplating her next action before she leaned into Rio. They each placed a hand behind the other's head to keep them close as they kissed.   "You smart-ass hooker," Rio snickered. "What flavor is that?" Mercy was cresting toward her orgasm unattended while Rio made small talk with Paige.   "Mango, lip balm and mouth wash," Paige beamed triumphantly. Rio snorted.   "Really start hammering the bitch," Rio ordered/requested. Paige nodded. She slowly drew back until only the tip of the fake phallus remained in Mercy's rectum before savagely slamming it all the way in as hard as she could.   Mercy squealed through her gag and began to violently spasm. Rio dismounted Mercy and flopped beside her partner's head.   "Don't you dare lose it, Cum-Bunny," Rio pressed Mercy. "Disappoint me and you will get nothing until the weekend. I won't let you touch anyone, even yourself. Are we clear?"   Mercy sobbed and nodded while her body teetered on the precipice of total collapse. Paige was displeased with Mercy's resistance and began spanking her thighs and buttocks hard enough to leave imprints. Rio kept stroking Mercy's hair and urging her to hang on. At the pinnacle of the moment I knew Mercy could not go on, Rio spoke softly into her ear.   "You annoying whore," she said, "I am so proud to be with you. Don't ever leave, now cum." Mercy's resulting climax was so powerful that her muscle spasms knocked Paige back on her heels knocking the strap-on mostly out of her ass. Mercy squirted, really squirted, onto Paige's lap, with even more juice shooting and coating Mercy's thighs and my sheets.   Up front, Mercy was cursing up a storm through her gag, grinding the fabric between her teeth with tears streaming out of her clenched eyes. Before her thrashing subsided, Rio had pulled the gag off and was kissing her fiercely on the lips, again and again. Mercy curled into a ball and Rio immediately wrapped her arms and legs around her Sub, keeping her presence light but comforting.   Rio saw our attention being directed their way and mouthed: 'Best Bitch Ever!' using her eyes to exaggerate the force of the words. Paige was still looking over the sticky mess that she had become.   "Put the contraption to soak in the big sink and take a shower," I suggested. Paige could see no flaw in my suggestion so she gave me a wink, unstrapped the device, and made her way out of the room.   When my eyes snapped back from watching a naked Paige exit, I saw that Hope's focus was on me.   "That looked fun," Hope stated clinically. "It is not for me but it definitely looked like they all felt, cleaner in a spiritual sense when they were done. I would never have suspected. In fact, I thought being bound was debasing and weak."   "It is called bondage and it is part of a sexual practice called BDSM, bondage, discipline, sadomasochism," I explained. "It definitely isn't for everyone, and certainly isn't as bizarre as Iona's furry fetish."   "Zane," Hope glared, "I saw a CSI episode on furries and you can't be an Asian or Asian-American high school girl in the United States and not know about cosplay; Iona and I are not into either one of those lifestyles I'm pretty sure."   While Hope was distracting me with her knowledge of other sexual subcultures, Iona snuck a hand beneath me and pinched my right ass cheek.   "Ow," I jumped. "What was that for, Beautiful?" I pleaded to Iona.   "I wanted to?" she responded meekly.   "That sounds like a perfectly good reason to me," I smiled. I would be somewhat offended if it was someone else but Iona was special; like Rio, she would always have my back, but unlike my chaotic fiend, she never abused my trust (or so I thought).   "Do me a favor?" Iona requested.   "Sure, anything for you," I answered right off the bat.   "Make her happy," Iona's eyes sparkled as the flickered to Hope. "Tickle my ear when you finish."   "Sure," I sighed with feigned regret, "if I have to."   "Thank you, Iona," Hope snorted in amusement, "I've got it from here."   "Nite-nite," Iona yawned, then rolled over and pretended to drop off to sleep. Like that was going to happen anytime soon!   "What no-, Hope got out before I rolled on top of her. I used one leg to wedge hers open, then settled between them as I lowered my body down. Hope looked at me quizzically.   "Touch me wherever you like," I instructed. I showed her what I meant by kissing her cheek, then edging around to suck on her earlobe.   Hope led off with her fingertips running along the muscles of my forearms and following a twisted trail up to my shoulders. With equal care, she began rubbing her toes along my calves, up to my knees and lower thighs. This had the added benefit of rotating her hips so that her pubic hair scratched along the veins of the base of my cock.   "You know this is going to make field work with you far more difficult," Hope murmured.   "Now you know what I've been going through for a month," I teased her back. "Now you know how I feel naked under your touch and so do I."   "You touch yourself much?" Hope giggled. Iona did her best to smother her own mirthful reaction.   "Maybe you should come to my bed more often to keep my hands otherwise occupied," I suggested. Hope arched her back, thrusting her breasts into my chest and laughed lyrically.   "Touch ," Hope conceded. "I wondered if I was imposing on your hospitality, wanting to spend tonight with you. Now I'm feeling as if I've been lured in and seduced by your masculine wiles."   "Zane, manipulating somebody!" Valarie gave a comedic gasp. "Well, there is always a first time for our ham-handed Lothario to launch a plot that doesn't involve him getting an extra fish stick for dinner."   "Ham-handed," Barbie Lynn mused. "His fingers are smoking but hardly ham-like," which she emphasized by rubbing her hand over her crotch.   "Do you often stick smoked country ham between your thighs, Barbie-Baby?" Valarie taunted.   "Only when your magic tongue and fingers aren't available," Barbie Lynn volleyed right back.   "Oh, you did not say that!" Valarie choked. She vaulted on top of Barbie Lynn and the two started wrestling. Vivian scooted toward the edge and fended off the combatants from rolling over her.   "When we graduate and drag you back to our dungeon to live, are you going to miss other bed partners having these mid-coital conversations?" Hope smirked.   "You underestimate your ability to focus my attention," I countered. When you are in bed with someone, you are in bed with THAT person, or so I believe. Hope's look sizzled, her body heated up, and she pulled me so close and tight, I couldn't make out any details beyond her eyes.   "I hate them," Hope purred.   "Who?" I worried. You don't want one good friend to hate another good friend. You really don't want a good friend with marksmanship skills out the ass not liking someone you have become attached to.   "Christina and Heaven," she sighed, but I knew she wasn't serious. "Christina because you would rather be with her and Heaven because she has you."   "Hope," I maneuvered so I could stroke her cheek, "I can't promise you or anyone else anything beyond this school year. Neither one of us qualifies as 'normal' by any definition of the word. I certainly like being with you, if that matters, and not just in bed. You are beautiful, intense, and serious in a way we shouldn't be."   "Serious is not the most intimate of descriptions," Hope joked, "but I think I know what you mean. As chaotic as your life is, I think we balance each other out." I didn't need words to agree with that; I let us return to our game of touch, kiss, and lick. We were getting back into a playful tempo when the fight between Valarie and Barbie Lynn ended.   There was no hot, spontaneous lesbian eruption; it devolved into Valarie having Barbie Lynn pinned with her wrists on the pillow held over her head. Valarie was trying to administer a 'Wet Willy' (sticking a finger, or tongue, into your opponent's ear) and finally succeeding.   "I give, I give," squealed Barbie Lynn. "Anything, just stop."   "Anything?" Valarie prodded suggestively. Barbie Lynn's very ample bosom heaved with each deep breath she took, which had the effect of rubbing them in circles against Valarie's dangling breasts.   "Come with me to the Southwest this summer," Valarie demanded. Barbie Lynn was still giving it serious thought when Paige came traipsing back in, drying her hair.   "Where in the Southwest?" Paige inquired. Valarie sat up on Barbie Lynn and looked over her shoulder at the albino lass.   "West of Laredo, East of the Pacific, South of Denver and North of Mexico," Valarie answered. "Sant Fe, Vegas, the Painted Desert, places like that." I didn't see coming what happened next.   "Valarie, would you consider allowing to me come along?" Paige asked politely.   "You really want to impress Zane that much?" Valarie divined Paige's intention.   "That, and he's most likely going with Rio as well," Paige responded, "so you are going to need all the help you can get." Rio didn't respond verbally, Mercy was still recovering, but glared with venom.   "What do you add to our little expedition?" Valarie asked.   "I'll do it," Barbie Lynn interjected. "I wasn't sure what I was going to do after graduation but seeing more of the world will do me good, and I hear it is cold in the desserts at night and I don't want Zane to catch a chill," she adds with a smile.   "I speak Spanish, plus a strong understanding of electronics, botany, and computers," Paige continued with a twinge of annoyance toward Barbie.   "Fine, both are in. We are getting our rides tomorrow afternoon at five," Valarie announced.   "Zane," Hope whispered, "I appreciate the silence of our first date now more than ever."   "We can go back to your place?" I offered.   "Oh, Chastity would love that," Hope snickered playfully. "I'm afraid if you don't ravish her in the next few weeks, she is going to rape Heaven."   "I'll keep that in mind, but right now I want to be where I am, with you," I kissed Hope's nose.   "Can I try something, Zane?" Hope turned serious and introspective.   "Of course," I said.   "Paige, come over here with me," Barbie Lynn suggested. The blonde wiggled over so that Valarie fell to the far side and indicated that Paige should join her.   "You only want to sex up my body," Paige accused Barbie Lynn, as she hopped onto the foot of the bed and put her fists defiantly on her hips.   "But of course I do, Paige-shugah," Barbie Lynn licked her lips, "now get over here and give me a taste."   "Oh. In that case, Paige scampered over and reclined next to the dynamite blonde. Barbie Lynn had a strong, subtly alluring persona while Paige was constantly aggressive.   "A naked Paige Zeller sexual molesting an equally naked Barbie Lynn Masters will go down as yet another thing I never thought I'd see," Hope mused.   "Be careful who you think is molesting who," I cautioned Hope. A few seconds later Paige shook and fluttered. Barbie Lynn had slid a stealthy hand between Paige's thighs.   "Oh, someone's been a bad little kitty," Barbie Lynn cooed, "A bad, soaking wet little kitty." Paige hiccupped, then shuddered again. "Does kitty need to be petted," Barbie asked as she stroked Paige's love box, "or does kitty need to be spanked?" And Barbie Lynn spanked Paige's cunt lightly, making Paige jerk.   "Master, I stand corrected," Hope nodded her head to me in respect of my sexual insight.   "You wanted to do something?" I brought Hope back on track.   "Yes, Zane, yes I did," Hope smiled. "Please lie on your back and close your eyes." It was my turn to nod as I complied with her wishes. She settled her haunches on my crotch and waited a moment.   First was a kiss, followed in slow progression by a finger, nose, earlobe, toe, two fingers coated in her juices, two fingers coated in Paige's juices, a nipple (most likely the right), her other nipple coated in Barbie Lynn's juices, Valarie's tongue (given away by the movement toward me), Hope's tongue, her other big toe, and ending with her lips and tongue. The anticipation of what was coming next was fun. As Hope reclined on top of me, Mercy finally began to stir.   "Were you a good little tramp tonight?" Rio panted hungrily at her partner.   "Yes, I, was I?" Mercy rasped. She was fighting to stay awake, her fatigue a heavy burden to bear.   "The Slut will say 'Yes Mistress; yes I was allowed to be good tonight'," Rio nuzzled Mercy's neck, ear, and jaw.   "Yes, Mistress," Mercy purred. "My wonderfully annoying Mistress allowed me to be good tonight." Rio spanked Mercy's burning hot ass flank hard. Mercy flinched and cried out in pain.   "Did I tell you to adlib, you annoying, frustrating skank," Rio taunted her, "or is my whore clever enough to sneak in an undeserved spanking?"   Mercy buried her face in a pillow but I could swear she was smiling.   "Nipple clamps for you in the morning, and I'm getting those bitches pierced on Saturday, got it?" Rio clarified the point by rolling each nipple between her forefinger and thumb. Mercy nodded but kept her face in the pillow. "Fine, let's get underneath the covers. Snuggle up with me to keep me warm, and you had better suckle my nipples.   Rio took up her normal sleeping area, avoiding the wet spot, with Mercy at her side, her tongue playing with Rio's left nipple.   "Mercy," Rio whispered. Mercy kept tongue-flicking the nipple but looked up.   "You rock," Rio said even softer. Mercy pulled more of her weary body over Rio as the nipple play continued and Rio began stroking her paramour's hair lovingly. In that relationship, it was getting harder to determine who the 'better' half was.   I searched around blindly for some lube, which had 'mystically' migrated under Barbie Lynn's pillow.   "Hope, put some oil on my cock and on your ass cleft," I told my Korean princess. She barely broke her iron mask of indifference before taking the bottle and doing as directed. I caught sight of Valarie, Vivian, and Barbie Lynn all peeking my way.   I imagined it was the curiosity about my apparent decision to 'break' Hope in anally.   "Hope, point my cock up and mount it," I directed. In theme with the game the two of us played, Hope took my commands without question, even to the point where her virginity was in question.   "Push it back," I stopped Hope's decent as it contacted her rather moist slit. She pushed back a little. Being a virgin, she probably wasn't sure where in the cunt, a cock should penetrate. "Farther back," I insisted, then again, "no, still farther." I felt my rod separate her ass cheeks as Hope slid on down. Only when her now soaking mound settled on my pubic bone did she figure out the game.   "Ah, that's cold," Valarie whispered to Vivian and Barbie Lynn.   "No ass sex for Hope tonight," lamented Barbie Lynn. My precious blonde really loved anal sex. I put my hands on Hope's hips to support her.   "Now ride me, Hope," I smiled. "Give me everything you've got."   Hope started out slow, working out a rhythm that pushed my shaft and cockhead as deep along her ass crack as possible. She even stopped for a moment and applied more lube. Soon she was thrusting hard back and up quickly, then allowing a long, leisurely ride back to my crotch. She bounced down on me again and again, her resounding impact on my crotch becoming a wetter, smacking sound.   Hope was powerful, vibrant, and strong; she needed little of the guidance provided by my hands on her hips. I decided to move my right hand to her finely groomed pubic hair, then to her soft pubic flesh itself. I alternated between splitting her lips open and massaging her clit. With my left hand, I coaxed stimulation from her right areola and nipple.   This time, instead of scarring me, Hope wrapped her fingers in her hair. She gave a few desperate convulsions, then her whole body tensed backwards.   "Zane! Oh, fuck!" she screamed. Her ass cheeks tried to squeeze my cock in a steel-tight vise but fortunately, the lube caused it to pop free before those buns of steel could turn my man-meat into ground beef (sometimes I visualize too graphically).   "I wouldn't believe it if I wasn't seeing it with my own eyes," Vivian sighed. "A girl comes to a boy

Contributor: Travis Barlock, MD Educational Pearls: Quick Statistics on Electrical Burns: Electrical burns compose roughly 2 to 9% of all burns that come into emergency departments. The majority of patients who receive electrical burns are male, typically aged 20's to 30's, accounting for 80 to 90% of all electrical burn victims. The majority of burns are linked to occupational exposure. The upper extremities are more commonly impacted by electrical burns, accounting for 70 to 90% of entry points into the body during an exposure. What are some of the key considerations in electrical burns? Unlike chemical or fire/heat related burns, electrical burns have the potential to cause significant internal damage that may not be physically appreciated externally. This damage can include, but is not limited to: Cardiac dysthymias (PVCs, SVT, AV block, to more serious ventricular dysrhythmias such as ventricular fibrillation or ventricular tachycardia). Deep tissue injury resulting in rhabdomyolysis from the initial surge of electricity Rare cases of compartment syndrome What are the treatment considerations for patients who suffer electrical burns? Remembering that cutaneous findings associated with burns may underestimate the severity of the injury, with deeper structures being more likely to be involved as the voltage of the burn injury is directly correlated to severity. Manage the patient's airway, breathing, and circulation as always, and conduct further workup into potential cardiac involvement with EKGs, as well as analysis of the extremities where entry occurred for muscle breakdown and compartment syndrome. Clinical Pearl on Voltage and Current: Voltage can be thought of being equivalent to pressure in a fluid/liquid system. Higher voltages are equivalent to higher pressures, but the ultimate damage delivered to the system is from the rate of delivery/speed of the electrical energy surging (current) through the body. Current is dependent on the tissue it is travelling through, with different tissues having differing electrical resistances. Tissues like the stratum corneum of the skin and the human bone confer the most resistance (thus lower current) whereas skeletal muscle confers lower electrical resistance (thus higher current) due to water and electrolyte content, which is why injuries like rhabdomyolysis are possible and increase with increasing voltage. References Khor D, AlQasas T, Galet C, et al. Electrical injuries and outcomes: A retrospective review. Burns. 2023;49(7):1739-1744. doi:10.1016/j.burns.2023.03.015 Durdu T, Ozensoy HS, Erturk N, Yılmaz YB. Impact of Voltage Level on Hospitalization and Mortality in Electrical Injury Cases: A Retrospective Analysis from a Turkish Emergency Department. Med Sci Monit. 2025;31:e947675. doi:10.12659/MSM.947675 Karray R, Chakroun-Walha O, Mechri F, et al. Outcomes of electrical injuries in the emergency department: epidemiology, severity predictors, and chronic sequelae. Eur J Trauma Emerg Surg. 2025;51(1):85. doi:10.1007/s00068-025-02766-1 Faes TJ, van der Meij HA, de Munck JC, Heethaar RM. The electric resistivity of human tissues (100 Hz-10 MHz): a meta-analysis of review studies. Physiol Meas. 1999;20(4):R1-10. doi:10.1088/0967-3334/20/4/201 Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan and Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate

OPTION-STEMI: Timing of Complete Revascularization During Index Hospitalization in Patients with STEMI and Multivessel Disease

Brigitte Bardot, 91, Shuts Down Rumors She Died After Hospitalization: 'Which Idiot Started This Fake News?'Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Impact of Food Desert Residence on Ischemic Stroke and Hospitalization Risk in Atrial Fibrillation Patients.

Paris speaks with Daniela Skinner, an artist, corporate professional and mother who shares her journey navigating bipolar to raise her now 9 year old son. Diagnosed at 27, Daniela recounts her challenging experiences with postpartum mania, hospitalizations and navigating life as a new mother under immense stress. She details her struggles, the pivotal role of finding the right medication and how she managed to rebuild her life through creative practices and strong family ties. Daniela opens up about her fears, coping strategies and how she found balance, ultimately showing that it's possible to lead a full, meaningful life with bipolar. This episode is a compelling testament to resilience, offering hope and insightful advice to others on a similar path.Stay connected with Daniela here! Learn to support someone you love with bipolar here!00:00 Introduction and Guest Introduction01:27 Daniela's Bipolar Diagnosis and Early Episodes03:34 Postpartum Challenges and Manic Episode07:42 Hospitalization and Personal Struggles10:16 Custody Battle and Road to Recovery14:03 Finding Stability and Creative Reconnection18:46 Living Well with Bipolar24:53 Motherhood and Family Conversations33:32 Final Thoughts and Closing Remarks

In this deeply moving episode of The Surviving Siblings® Podcast, host Maya Roffler sits down with Tommy, a surviving sibling who lost two brothers—John to addiction and Tim to cancer. Tommy shares a powerful testimony of family, trauma, guilt, grief, and recovery offering a rare and vulnerable glimpse into what it means to survive sibling loss from two very different but equally devastating causes. Raised in Queens, New York, Tommy opens up about growing up in a family marked by love, loyalty, and generational addiction. He candidly recounts the progression of his brother John's substance use following a workplace injury and the day he tragically discovered his brother unresponsive. Just two days later, Tommy's beloved Aunt Angela, like a second mother to him, died by suicide. Years later, after achieving long-term sobriety, Tommy would face unimaginable grief again, this time, losing his twin brother Tim to 9/11-related cancer after witnessing his hard-fought battle to get sober. With 30+ years of recovery, Tommy now dedicates his life to helping families through his organization, Sober Companion Los Angeles, supporting others impacted by addiction and loss. This episode holds space for anyone navigating complex grief, guilt, and healing after losing a sibling to addiction, overdose, or cancer—and reminds us that asking for help is an act of strength.   In This Episode: (0:00:00) – Meet Tommy and His Family in Queens Tommy introduces his close-knit, working-class New York family, their upbringing in Queens, and the presence of generational addiction beginning with his parents. (0:02:00) – Early Drinking, Generational Patterns, and Family Dynamics He shares how his father's alcoholism shaped his childhood and how both he and his brothers began drinking in adolescence. (0:05:00) – John's Injury, Prescription Pills, and Spiraling Addiction Tommy recalls the moment his brother was prescribed opioids after a construction injury, which rapidly escalated into addiction. (0:09:00) – The Day Everything Changed Tommy recounts in vivid detail the day he and his father found John unconscious, brought him home, and later discovered he had died of an overdose. (0:11:00) – Guilt, Grief, and a Second Tragedy Two days after John's death, their Aunt Angela, who helped raise them died by suicide, compounding the trauma and sorrow for the entire family. (0:14:00) – The Emotional Fallout and Drinking Resumes Tommy shares how he relapsed after John's death and reflects on the toll it took on both his parents and his own mental health. (0:18:00) – Twin Bond and Tim's Role in His Healing He describes the twin bond he shared with Tim, how they held each other up in the wake of loss, and how the absence of John left a deep void. (0:20:00) – Tommy's Turning Point and Path to Sobriety After years of drinking and legal trouble, Tommy made the decision to get sober in 1994—walking into a 12-step meeting and never looking back. (0:27:00) – Tim's Parallel Journey and Struggles While Tommy stayed sober, Tim continued to struggle with alcohol for years, finally making progress in late 2019 after joining a recovery program. (0:28:00) – 9/11, First Response, and a Cancer Diagnosis Tommy shares how Tim responded to the September 11 attacks, working at Ground Zero—and how years later, he was diagnosed with 9/11-related cancer. (0:33:00) – Hospitalization, Final Days, and the Last Promise Tommy recounts Tim's rapid decline, the powerful final conversations they shared, and the promise he made at his brother's bedside before removing life support. (0:36:00) – Coping with Losing a Twin He opens up about the heartbreak of losing Tim, what it meant to lose his “person,” and the impact on his life, sobriety, and ongoing grief. (0:38:00) – Sober Companion Los Angeles: From Grief to Purpose Tommy shares how he turned his pain into purpose by founding Sober Companion LA to help families in crisis, offering interventions, support, and 24/7 recovery coaching nationwide. (0:43:00) – Advice for Siblings Struggling with Guilt and “Could I Have Saved Them?” Tommy speaks directly to listeners who've lost a sibling to addiction—offering compassionate, practical advice on releasing guilt, seeking professional help, and finding peace in grief. (0:51:00) – The Night He Almost Relapsed — and Chose Life He reflects on the night of Tim's death, when he stood outside a bar ready to drink—but made a different choice, asked for help, and recommitted to his sobriety. (0:55:00) – Continuing the Mission and Staying Sober Together Tommy concludes by encouraging siblings to reach out, stay connected, and know they are not alone in grief or in healing.

I woke up Friday morning w/ a very sore left shoulder. I tried stretching it, but my left chest hurt too. Isn't pain on one side a sign of a heart attack? Chest pain, arm/shoulder pain, and my breathing is pretty shallow now that I think about it, but I don't think I'm having a heart attack because that'd be terribly inconvenient. But it'd also be very dumb if I died cause I didn't go to the ER. So I get my phone to call an Uber, when I suddenly feel very dizzy and nauseous. My wife is on a video call w/ a client, and I tell her: "Baby?" "Baby?" "Baby?" She's probably annoyed at me interrupting; I need to escalate "I think I'm having a heart attack" "I think my husband is having a heart attack"[1] I call 911[2] "911. This call is being recorded. What's your [...] ---Outline:(04:09) Im a tall, skinny male(04:41) Procedure(06:35) A Small Mistake(07:39) Take 2(10:58) Lessons Learned(11:13) The Squeaky Wheel Gets the Oil(12:12) Make yourself comfortable.(12:42) Short Form Videos Are for Not Wanting to Exist(12:59) Point Out Anything Suspicious(13:23) Ask and Follow Up by Setting Timers.(13:49) Write Questions Down(14:14) Look Up Terminology(14:26) Putting On a Brave Face(14:47) The Hospital Staff(15:50) GratitudeThe original text contained 12 footnotes which were omitted from this narration. --- First published: October 9th, 2025 Source: https://www.lesswrong.com/posts/5kSbx2vPTRhjiNHfe/hospitalization-a-review --- Narrated by TYPE III AUDIO. ---Images from the article:

Three of our favorite segments from the week, in case you missed them.Christopher Eisgruber, president of Princeton University, talks about issues of free speech (First) | A 30 Issues in 30 Days debate about involuntary hospitalization of New Yorkers with severe and untreated mental illnesses (Starts at 29:48) | Your favored (and least favored) seasons (Starts at 1:17:46)If you don't subscribe to the Brian Lehrer Show on iTunes, you can do that here.

Brian Stettin, senior advisor on severe mental illness for the Office of the New York City Mayor, and Michael F. Hogan,  PhD, consultant at Hogan Health Solutions and New York State Commissioner of Mental Health from 2007-2012, debate whether the city and state's policy of involuntarily hospitalizing New Yorkers displaying signs of severe mental illness is humane and effective ahead of the November mayoral election.

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In this episode of the Fit the Fight Fire podcast, Blake Stinnett shares the profound impact of faith, adversity, and personal growth. Blake shares his journey from the fire service to ministry, the challenges he faced when feeling called to leave a job he loved, and the life-altering accident that tested his faith. Through pain and recovery, Blake emphasizes the importance of community support, the power of prayer, and finding purpose in difficult times. The conversation highlights how adversity can lead to personal growth and the importance of leaning on faith during challenging seasons.Chapters00:00 Introduction to Faith and Testing01:04 The Journey of Faith and Ministry05:15 Crossroads: Leaving the Fire Service10:05 The Struggle of Obedience14:40 Identity and Mental Health21:23 Finding Joy in Obedience23:09 The Accident and Its Impact31:20 The Accident and Immediate Aftermath34:40 Emergency Response and Support35:57 Hospitalization and Recovery Journey39:34 Reflections on Faith and Gratitude43:36 Facing Ongoing Challenges and Surgeries49:42 Mental and Physical Resilience56:31 Purpose in Pain and Encouragement for Others For only $5 a month, the cost of a cup of coffee, you will receive a workout of the day, daily inspiration, and much more! Head over to www.patreon.com/fittofightfire to surround yourself with a community of like-minded firefighters on the same mission: to become the best version of themselves so that they can serve their family and community at the highest level.

Prolonged hospitalizations can result from many different barriers and delays within the hospital setting.However, a new challenge is emerging.And this new hurdle appears to be identified more and more commonly. So, what's happening?During the next live edition of Talk Ten Tuesdays, Dr. Juliet B. Ugarte Hopkins, Chief Medical Officer at Phoenix Medical Management, Inc., will reveal this new culprit that appears to be standing between many a patient and a safe discharge.The popular Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:• CDI Report: Cheryl Ericson, Senior Director of Clinical Policy and Education for the vaunted Brundage Group, will have the latest clinical documentation integrity (CDI) updates.• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.• The Coding Report: Amy Jo Combs, with First Class Solutions, will substitute for Christine Geiger to report on the latest coding news.• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.• MyTalk: Angela Comfort, veteran healthcare subject-matter expert, will co-host the long-running and popular weekly Internet broadcast. Comfort is the Assistant Vice President of Revenue Integrity for Montefiore Health.

Tessa Cox from the Charlotte Lozier Institute visits with new info on how mental health hospitalizations have doubled for post-abortive women. Bill Donahue stops by discuss the Cardinal Cupich story, Charlie Kirk, and the FBI investigation on anti-Catholic Bigotry. Plus, author Anthony DeStefano is Teresa's guest in the second hour, where they go through his newest book for kids and adults "All Hallow's Eve" which educates us on the meaning behind the holiday. Also, a visit to the heel of Italy and a look at Padre Pio on Shrines and Wonders!

Send us a textWelcome back Rounds Table Listeners! We are back today with a special Rapid Fire Podcast. This week, Drs. Mike and John Fralick discuss some of the top papers from the 2025 European Society of Cardiology (ESC) Congress. Hot off the presses, here we go!Increasing the Potassium Level in Patients at High Risk for Ventricular Arrhythmias (0:00 - 5:23)Digitoxin in Patients with Heart Failure and Reduced Ejection Fraction (5:24 - 10:23)RSV Prefusion F Vaccine for Prevention of Hospitalization in Older Adults (10:24 - 16:09)Apixaban for Extended Treatment of Provoked Venous Thromboembolism (16:10 - 20:55)The Good Stuff (20:56 - 22:53):Thrombo Trial Files (https://thrombotrialfiles.substack.com/)John Candy: I Like Me at the Toronto International Film Festival The I'm Pharmacy podcast is now live on www.medicinepods.com Questions? Comments? Feedback? We'd love to hear from you! @roundstable @InternAtWork @MedicinePods

Louisiana is dealing with its worst whooping cough outbreak in decades. Hospitalizations have continued to rise over the summer, and two babies have died. Health reporter Rosemary Westwood joins us for more on the outbreak and why the disease is so dangerous for young babies.The Louisiana Association of Business and Industry (LABI) has released its annual scorecard, an analysis of the legislature's performance on a number of policy issues from a business and industry perspective including tort reform, education, energy diversity and taxes.Will Green, President and CEO of the LABI, joins us to break down the results. According to the Louisiana Policy Institute for Children, early childcare providers continue to face low pay and longer hours than K-12 educators. Mattilyn Karst Batson, research & policy director for the Louisiana Policy Institute for Children, tells us more about these challenges.—-Today's episode of Louisiana Considered was hosted by Adam Vos. Our managing producer is Alana Schreiber. We get production support from Garrett Pittman and our assistant producer, Aubry Procell.You can listen to Louisiana Considered Monday through Friday at noon and 7 p.m. It's available on Spotify, the NPR App and wherever you get your podcasts. Louisiana Considered wants to hear from you!Please fill out our pitch line to let us know what kinds of story ideas you have for our show. And while you're at it, fill out our listener survey! We want to keep bringing you the kinds of conversations you'd like to listen to.Louisiana Considered is made possible with support from our listeners. Thank you!

Older people with undiagnosed dementia who get hospitalized experience worse outcomes than other groups of older adults who require hospitalization, a study by Halima Amjad, a dementia and geriatrics expert at Johns Hopkins, and colleagues has shown. Amjad: Focusing on … People with dementia but no diagnosis can have more problematic hospitalizations, Elizabeth Tracey reports Read More »

Here's a 300-word iTunes/Podcast Apps summary for Episode 562: What happens when your carefully planned vacation in France takes an unexpected turn? In Unexpected France: History, Nature, and a Bit of Chaos, host Annie Sargent talks with traveler Gregg Furey about a journey filled with breathtaking discoveries, surprising challenges, and a few classic French travel mishaps. Listen to this episode ad-free Gregg's trip took him to places most visitors overlook. He explored the prehistoric caves of Arcy-sur-Cure, where ancient paintings connect today's traveler with humanity's earliest stories. He visited the soaring cathedrals of Laon and Bourges, each one a masterpiece of Gothic architecture. At the battlefield of Alésia, Gregg learned how Julius Caesar defeated Vercingetorix and how that moment still shapes French identity. And in Colombey-les-Deux-Églises, he reflected on the life of General Charles de Gaulle at the Croix de Lorraine memorial and museum. But not everything went according to plan. Gregg ended up in a hospital in Sarlat after unexpected health issues. Instead of panic, he found efficient doctors, affordable treatment, and an eye-opening look at how the French healthcare system really works. This detour disrupted his schedule but turned into one of the most memorable parts of the trip. This conversation is about more than just sightseeing. It's about handling the unpredictable. It's about staying flexible, finding humor when things go wrong, and discovering that mishaps often make the best stories. Annie and Gregg remind us that France is more than Paris and the Riviera. Smaller towns, Roman ruins, and quiet villages hold just as much magic. Subscribe to the Join Us in France Travel Podcast to hear more stories like this one. Learn how to plan smarter, travel deeper, and embrace the unexpected side of France. Table of Contents for this Episode [00:00:31] Today's Episode [00:01:02] Support the Podcast [00:01:33] Strikes and Political Difficulties in France [00:01:55] Air Quality in Paris, ETIAS and EES requirements [00:02:40] Gregg and Annie [00:02:52] Greg's Unique Travel Experiences [00:03:39] Exploring Small Towns Near Paris [00:05:04] Visiting Melun [00:06:46] Hospitalization in France [00:13:07] Medical “Deserts” [00:15:28] Discovering Laon [00:17:09]  Disque de Stationnement [00:22:49] Exploring Vézelay and Nearby Caves [00:23:04] Exploring Neolithic Art in French Caves [00:26:50] The Historical Significance of Vézelay [00:30:25] The Battle of Alesia and Roman Conquest [00:35:31] Charles de Gaulle's Legacy in Colombey-les-Deux-Églises [00:40:13] Final Thoughts and Future Travels [00:41:50] Thank You Patrons! [00:42:49] Tour Review [00:43:25] Podcast Listeners Discounts [00:44:34] Strikes Coming Up [00:47:20] Political Uncertainty [00:48:44] Air Quality in Paris [00:50:33] EES and ETIAS [00:52:25] Next Week on the Podcast [00:52:47] Copyright More episodes about going off the beaten path in France

Special edition of the JAMA Editor's Summary featuring the JAMA Network articles published at the 2025 European Society of Cardiology Congress. Hosted by JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, with JAMA Executive Editor Gregory Curfman, MD, JAMA Senior Editor Philip Greenland, MD, and JAMA Cardiology Editor Robert O. Bonow, MD, MS. Related Content: Remote Screening for Asymptomatic Atrial Fibrillation Long-Term Anticoagulation Discontinuation After Catheter Ablation for Atrial Fibrillation Systolic Blood Pressure and Microaxial Flow Pump–Associated Survival in Infarct-Related Cardiogenic Shock Helicobacter pylori Screening After Acute Myocardial Infarction Physiology-Guided Complete Revascularization in Older Patients With Myocardial Infarction Fractional Flow Reserve–Guided Complete vs Culprit-Only Revascularization in Non–ST-Elevation Myocardial Infarction and Multivessel Disease Transcatheter or Surgical Treatment of Patients With Aortic Stenosis at Low to Intermediate Risk Semaglutide and Tirzepatide in Patients With Heart Failure With Preserved Ejection Fraction Bivalent RSV Prefusion F Protein–Based Vaccine for Preventing Cardiovascular Hospitalizations in Older Adults High-Dose vs Standard-Dose Influenza Vaccine and Cardiovascular Outcomes in Older Adults Risk of Myocarditis or Pericarditis With High-Dose vs Standard-Dose Influenza Vaccine Clonal Hematopoiesis and Risk of New-Onset Myocarditis and Pericarditis Participation of Women in Cardiovascular Trials From 2017 to 2023 Prevalence, Determinants, and Time Trends of Cardiovascular Health in the WHO African Region

Just read the latest from NEJM? The PIpELINe Trial

In this Mini Mikkipedia episode, Mikki dives into new research from Dr. Fuchs and Professor Luc van Loon on the critical role of protein and activity in preserving muscle during hospitalization. She explains just how quickly muscle mass can decline with bed rest or critical illness, why standard hospital meals fall short nutritionally, and how inadequate protein and energy intake accelerate muscle loss. Mikki outlines practical strategies—from protein targets and essential amino acids to simple activity or electrical stimulation—to help mitigate muscle wasting. She also highlights the importance of “prehabilitation” before elective surgery. Whether you're an athlete, a caregiver, or someone preparing for surgery, this episode offers valuable insights on protecting strength when it matters most.✨ Episode Highlights:Why muscle loss in hospital can reach 3% per day in ICU patientsThe role of protein intake (1.2–1.5 g/kg+) in slowing muscle atrophyHow energy balance influences anabolic resistance and recoveryPractical strategies: protein powders, amino acids, and even bedside activityThe case for prehabilitation before elective surgeryhttps://journals.lww.com/co-clinicalnutrition/fulltext/9900/muscle_preservation_during_hospitalization__energy.233.aspx Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwillidenSave 20% on all Nuzest Products WORLDWIDE with the code MIKKI at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz supplement: MIKKI saves you 25% at www.curranz.co.nz or www.curranz.co.uk off your first order

ICE arrested Jemmy Jimenez-Rosa in Boston as she and her family returned home to the U.S. after a vacation in Mexico. Rosa, who has a green card, was held for 10 days and moved between detention facilities. She's one of many with no violent criminal convictions caught up in the administration’s immigration crackdown. Amna Nawaz spoke with Jemmy's husband, Marcel Rosa, and attorney Todd Pomerleau. PBS News is supported by - https://www.pbs.org/newshour/about/funders. Hosted on Acast. See acast.com/privacy

What leads someone to join a nonprofit board when they don’t have a personal connection to the cause? For Tina Saenz, it was a Board Fellows program. She gained a new perspective on women’s health through work with the Rose. Being from a rural area, Tina also saw firsthand the challenges women face getting care. Today, I serve as both a board member and a patient. Learn how volunteering expanded her understanding of healthcare access Hear why company support matters for nonprofit involvement Understand why insured women coming to The Rose makes a difference Support The Rose HERE. Subscribe to Let’s Talk About Your Breasts on Apple Podcasts, Spotify, iHeart, and wherever you get your podcasts. Key Questions Answered 1. How did Tina Saenz first become involved with The Rose? 2. Why did Tina initially hesitate to join The Rose’s board after the fellowship ended, and what changed her mind? 3. How did Tina’s therapist have a personal connection to The Rose? 4. How does Tina relate to The Rose’s mission from her own life experience? 5. What challenges did Tina’s family face with rural healthcare? 6. What led Tina to pursue a career in engineering, specifically chemical engineering? 7. What is the gender representation like in the engineering field Tina works in? 8. How does Tina’s employer, Novus International, support employee community engagement? 9. What surprised Tina about joining The Rose’s board from an operations perspective? 10. What was Tina’s personal experience like getting her first mammogram at The Rose? Timestamped Overview 00:00 Rejoining the Rose Board 05:59 Rural Health Care Challenges 06:47 Hospitalization and Surgery Scheduling 11:36 Novus International: Holistic Employee Support 13:53 Streamlining Operations for Women 19:14 Effortless and Professional Appointments 22:43 Mammogram Referrals and Health Checks 24:22 Encouraging Women's Health Self-Checks 27:00 Gratitude for Support and ServiceSee omnystudio.com/listener for privacy information.

A multi-site randomized trial found that the suicide-prevention app OTX202 reduced repeat suicide attempts by 58% and sustained lower suicidal ideation through 24 weeks, especially in high-risk patients with prior attempts. A phase 3 trial showed canagliflozin significantly improved glycemic control in children and adolescents with type 2 diabetes, with safety comparable to adults. Finally, the SWIFT-SEG liquid biopsy detected multiple myeloma tumor cells in over 90% of cases, offering a less invasive alternative to bone marrow biopsies for diagnosis, monitoring, and precision treatment.

As I have told many of my patients, I would write immediately when NC sees its first Measles case. Well, North Carolina has its first measles case: The North Carolina Department of Health and Human Services has confirmed a case of measles in a child who was visiting Forsyth and Guilford counties. The child became ill while traveling to NC from another country where measles outbreaks have recently been reported. To protect the individual and their family's privacy, no additional information about this individual will be released. This is the first confirmed case of measles in the state in 2025. NCDHHS is recommending all unvaccinated individuals ages one year and older receive measles vaccination to protect themselves and those around them. (NCDHHS) So, it is finally in NC. If you are still on the fence of whether to vaccinate, the issue is now truly pressing. From the CDC: U.S. Hospitalizations in 2025 12% of cases hospitalized (148 of 1227) Percent of Age Group Hospitalized Under 5 years: 20% (72 of 355 cases) 50% of the total hospitalized. Highest risk bucket. 5-19 years: 8% (35 of 455) 20+ years: 10% (40 of 404) Age unknown: 8% (1 of 13) Deaths 3 And a story on Insurance Hell. Enjoy, Dr. M

In this episode of the “Bad Boys” series, host Jim Chapman brings you part 3 of his look inside the tragic story of Aaron Hernandez who's fall from NFL star of the New England Patriots to murderer shocked the world of pro football.Timestamps:06:58 The Night of the Shooting14:24 The Drive to Connecticut20:34 Arriving at the Safe House26:10 Seeking Shelter31:38 Cleaning Up the Evidence39:05 The Trip to Miami48:11 Super Bowl Party Plans53:06 Night in the Hotel56:32 Suspicions and Paranoia57:58 Return to Tootsie's1:00:56 Cell Phone Crisis1:04:33 The Shocking Turn1:15:00 Hospitalization and Recovery1:16:10 Interactions with Law Enforcement1:40:17 Threats and Text MessagesFor commercial free early releases, bonus episodes, quarterly gifts and rare files join us on Patreon! Https://www.patreon.com/exposedpodcastfilesFollow “Crime Wire Weekly” on it's new channel HERE:Apple Podcasts   https://podcasts.apple.com/us/podcast/the-crime-wire-weekly/id1815864889Spotify https://open.spotify.com/show/3zyrgjtW6gLUVbicJaYXV9?si=0dbf4983938344a2Amazon Music https://music.amazon.com/podcasts/3738411d-828e-4138-9976-223ab5de2c87/the-crime-wire-weeklyBecome a supporter of this podcast: https://www.spreaker.com/podcast/exposed-scandalous-files-of-the-elite--6073723/support.

In this episode of Quality Talks, NCQA President Peggy O'Kane speaks with Dr. Farzad Mostashari, Co-founder and CEO of Aledade. Farzad brings decades of experience in health IT, policy and primary care transformation to a candid and energizing conversation about what's holding back US health care and how we can move it forward.Farzad and Peggy explore the structural flaws in our system, from fragmented care and fee-for-service incentives to the undervaluing of primary care. They discuss how ACOs, Medicare Advantage and data-driven models can help shift the system toward better outcomes and lower costs.Peggy and Farzad explore:The Issue of Incentives: Farzad argues that while good care happens daily, it often occurs despite the system—not because of it. Misaligned financial incentives and lack of structural support hinder progress.The Key to Accountable Care: Access, point-of-care intelligence, care transitions and targeted wraparound services form the core of Farzad's actionable framework for improving outcomes.Medicare Advantage and ACOs: A nuanced discussion of how MA and ACOs compare, what each gets right, and how to align incentives across Medicare.What Works? A call for smarter learning networks that identify and spread what's truly effective in improving care and reducing cost.This conversation offers a timely and practical roadmap for advancing value-based care. Farzad's clarity, humor and strategic insight make complex topics accessible—and energizing. Whether you're a policymaker, provider or health system leader, this episode delivers ideas worth implementing. Key Quote:The most expensive thing in health care is the thing that no one wants. It isn't the fancy doctor's office or the upgraded scan. It's the hospitalization.Hospitalizations are ridiculously expensive and the cost has been going up. There's classic charts that show inflation and TVs are down 98% in cost, and hospitalizations are up. Like, the thing in the American economy that has had the most inflation over the past two decades is hospitalization. And no one wants that. No one wants to be hospitalized. And, look, if you need to be hospitalized, you're gonna be hospitalized. That's where we can break apart that concept of not needing a hospitalization is the highest quality hospitalization. What's the highest quality hospitalization? The one you didn't have!-- Farzad Mostashari, MDTime Stamps:(01:20) Distinguishing Incentives in Health Care(06:25) Unlocking the Potential of Primary Care(09:31) Thinking Holistically About Accountability (15:22) Measurement, Medicare, ACOs and More(26:07) The Doctor's Role in the Era of AI(33:04) Peggy's ReflectionsLinks:Connect with Farzad Mostashari

Neuroscientist Dr. Adrienne Benediktsson opens up about her journey with bipolar disorder - from the terrifying moment of trying to jump out of a plane mid-air to retracing lost memories after a psychotic episode. Dr. Benediktsson shares how harrowing experiences with depression and mania led her to discover new ways of living - and thriving - with bipolar disorder, offering a powerful reminder that hope, healing, and a meaningful life are possible.(00:00) Introduction(02:11) Early Signs & School(06:22) What Triggered My Mania(12:07) Jumping Out of My Plane(22:13) Hospitalization & Diagnosis(28:55) Forgetting My Entire Life(34:01) Bill Clinton Induced Psychosis(38:35) Recovery & Getting My Life Back(44:05) Pregnancies & Relapses(51:49) My Supports Saved Me(54:43) You Must Love Yourself AgainDr. Adrienne Benediktsson is an Associate Professor of Biology at Mount Royal University in Calgary and a dedicated neuroscientist specializing in the study of brain cells called astrocytes. Diagnosed with bipolar I disorder during her graduate studies, Adrienne has spent nearly two decades blending her lived experience with rigorous scientific research. Her work aims to deepen understanding of bipolar disorder's biology while breaking down stigma. Passionate about community support, she actively engages in peer advocacy and is committed to fostering acceptance and hope for others living with bipolar disorder.- - -This episode is hosted by Dr. ⁠⁠⁠⁠⁠⁠Erin Michalak⁠⁠⁠⁠⁠⁠ and produced by Caden Poh. #talkBD Bipolar Disorder PodcasttalkBD gathers researchers, people with lived experience, healthcare providers, and top bipolar disorder experts from around the world to discuss and answer the most important questions about living with bipolar disorder. Learn more about talkBD: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://talkBD.live⁠⁠⁠⁠Follow Us

Tropical cyclones don't just shake buildings — they shake hearts too. A powerful multicountry study in Science Advances links

President Trump signed an executive order that makes it easier for states to remove homeless encampments and force unhoused people into mental health or addiction treatment programs. Homeless rates have been steadily rising since 2017. A federal count found that more than 770,000 people are living in shelters or outside on a single night. Lisa Desjardins discussed more with David Ovalle. PBS News is supported by - https://www.pbs.org/newshour/about/funders

In episode 247 of Outside the Round, host Matt Burrill sits down with the legendary Colt Ford for a raw, reflective, and inspiring conversation. Colt opens up about surviving a life-threatening health scare, his journey back to the stage, and how it's deepened his appreciation for music and life. From the early days of blending country and hip-hop to collaborating with artists like Brantley Gilbert, Colt shares stories of hustle, heartbreak, and hard-earned success. They dive into the power of staying authentic, building a loyal fanbase without chasing trends, and the pride Colt feels seeing artists he helped mentor thrive today. With new music in the works, renewed purpose, and a lifetime of stories, Colt proves he's not just back—he's better than ever. Follow on Social Media:Colt Ford (Guest): @coltfordmusic Matt Burrill (Host): @mattburrilll Outside The Round (Podcast): @outsidetheround Raised Rowdy (Network): @raisedrowdy   Chapters (00:00:00) - Colt Ford on CMA Fest(00:02:59) - Gavin at his last ever concert(00:06:21) - Cole Ford on Starting His Own Label(00:10:07) - Brentley on his New Album(00:13:09) - Cole Ford on His Contribution to the Music(00:16:32) - Charlie Daniels on His Comments About His Career(00:20:22) - Colton Ford on His Love for Jamie Johnson(00:24:28) - Walker Hayes on Winning a Grammy(00:26:53) - Jason Aldean on His Mental Health(00:30:33) - Luke on His Recovery From COVID(00:34:21) - Tyler Ford on His Mental Health(00:37:21) - Brantley on Falling Down On The Cruise(00:42:15) - Chris Jansen on ECMO(00:46:15) - Colt Ford on His Fight(00:50:21) - Living on a Heart Surgery Ward(00:53:23) - Colt Ford on His Condition in the Hospital(00:56:37) - David Bowie on His Time in the Dark(00:57:05) - Toby Keith on His Icon status(01:00:24) - Eddie on His Heart Surgery(01:04:36) - Bob Rock on His Cancer Treatment(01:08:33) - Brantley on His Brother's Hospitalization(01:12:13) - Brantley on The Tattoos Tour(01:15:43) - Ric Flair Thanks His Crew(01:18:11) - Colt Ford on His New Music(01:21:49) - Taylor Phillips(01:22:35) - Jay Webb on his New Album(01:24:57) - Colt Jones on His New Album(01:28:45) - Don Lewis Played at Country Concert(01:31:25) - Colt Ford on His New Music

Research Examines the Association Between Periodontal Care and Acute Myocardial Infarction HospitalizationBy Today's RDH ResearchOriginal article published on Today's RDH: https://www.todaysrdh.com/research-examines-the-association-between-periodontal-care-and-acute-myocardial-infarction-hospitalization/Need CE? Start earning CE credits today at ⁠⁠⁠⁠⁠⁠⁠https://rdh.tv/ce⁠⁠⁠⁠⁠⁠⁠Get daily dental hygiene articles at ⁠⁠⁠⁠⁠⁠⁠https://www.todaysrdh.com⁠⁠⁠⁠⁠⁠⁠ Follow Today's RDH on Facebook: ⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/TodaysRDH/⁠⁠⁠⁠⁠⁠⁠Follow Kara RDH on Facebook: ⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/DentalHygieneKaraRDH/⁠⁠⁠⁠⁠⁠⁠Follow Kara RDH on Instagram: ⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/kara_rdh/

About this episode: Asthma can cause sometimes debilitating symptoms for children who have it, and some—particularly Black and Hispanic children—can experience higher rates of diagnoses, hospitalizations and emergency department visits. In this episode: pediatrician and immunology researcher Dr. Elizabeth Matsui talks about the known causes behind childhood asthma and how it impacts youths, and how factors like poor housing conditions and barriers to care and medication worsen conditions and undermine long-term lung development. Guest: Dr. Elizabeth Matsui is a pediatric allergist-immunologist and epidemiologist and a leading researcher on the connection between asthma and environmental conditions. Host: Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs at the Johns Hopkins Bloomberg School of Public Health. Show links and related content: The Role of Neighborhood Air Pollution in Disparate Racial and Ethnic Asthma Acute Care Use—American Journal of Respiratory and Critical Care Medicine Association of a Housing Mobility Program With Childhood Asthma Symptoms and Exacerbations—JAMA Do upper respiratory viruses contribute to racial and ethnic disparities in emergency department visits for asthma?—The Journal of Allergy and Clinical Immunology Tackling Housing Injustice—and Improving Childhood Asthma—Public Health On Call (June 2023) Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌JohnsHopkinsSPH on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University

Spain's Aitana Bonmatí was recently hospitalized for viral meningitis and has now been cleared to return and play for her country in the Women's EURO tournament which kicks off tomorrow. She will however miss Spain's opening match on Thursday. Morning Footy is available for free on the Audacy app as well as Apple Podcasts, Spotify and wherever else you listen to podcasts.  Visit the ⁠⁠⁠betting arena on CBSSports.com⁠⁠⁠ for all the latest in ⁠⁠⁠sportsbook reviews⁠⁠⁠ and ⁠⁠⁠sportsbook promos⁠⁠⁠ for ⁠⁠⁠betting on soccer⁠⁠⁠ For more soccer coverage from CBS Sports, visit ⁠⁠⁠https://www.cbssports.com/soccer/⁠⁠⁠ To hear more from the CBS Sports Podcast Network, visit ⁠⁠⁠https://www.cbssports.com/podcasts/⁠⁠⁠ Watch UEFA Champions League, UEFA Europa League, UEFA Europa Conference League, Serie A, Coppa Italia, EFL, NWSL, Scottish Premiership, Argentine Primera División by subscribing Paramount Plus: ⁠⁠⁠https://www.paramountplus.com/home/⁠⁠⁠ Visit the betting arena on CBS Sports.com: ⁠⁠⁠https://www.cbssports.com/betting/⁠⁠⁠ For all the latest in sportsbook reviews: ⁠⁠⁠https://www.cbssports.com/betting/sportsbooks/⁠⁠⁠ And sportsbook promos: ⁠⁠⁠https://www.cbssports.com/betting/promos/⁠⁠⁠ For betting on soccer: ⁠⁠⁠https://www.cbssports.com/betting/soccer/ To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

While San Diego County's COVID-19 case numbers remain low, hospitalizations increased slightly in the last month. Then, today the San Diego City Council will consider whether to override Mayor Todd Gloria's partial veto of the council's budget. Plus, a profile of a rock and roll legend who got her start in National City.

We usually cover a different guest and topic each episode, but this week, we're peeling back the curtain to get to know Alyssa: the show's producer, right-hand lady, and longtime member of the community. In this special mini episode, Alyssa shares more about herself, from her life as a caregiver and mom to her love of swimming, salted caramel ice cream, and why getting dressed up feels like the ultimate chore.She talks about going from listener to producer, how she copes with heavy topics, and why she'd rather talk about her hatred of dishes than accept too many compliments. You'llalso hear plenty of lighter tidbits, from her favorite childhood memories to why banana-flavored candy is absolutely not it.This episode is equal parts heartfelt and fun—an honest, vulnerable glimpse into the person behind the scenes.Links:Listen to 140: Alyssa's Story.Hear Alyssa's other episodes: 187: Do You Miss Who You Were? BONUS: The Political Climate, 180: Does it get easier?, 179: Exhaustion, 174: Silencing, 171: Financial Strain, 170: Hospitalizations,  125: Travel w/ Disabled KidsFollow Alyssa on Instagram @caffeinated_caregivers!Follow us on Instagram @the_rare_life!Join The Rare Life newsletter and never miss an update!Fill out our contact form to joinupcoming discussion groups!Donate to the podcast or Contact me about sponsoring an episode.Follow the Facebook page. Join the Facebook group Parents of Children with Rare Conditions.Access the transcript on the website here. And if you love this podcast, pleaseleave us a rating or review in your favorite podcast app! 

Iran Response For Surrender, Anne Burrell Cause Of Death, Hulk Hogan Hospitalization clarification, plus the Lakers sell for a record amount, game time and more! #AnneBurrell #HulkHogan #IranGet more AoA and become a member to get exclusive access to perks:https://www.youtube.com/channel/UCOfx0OFE-uMTmJXGPpP7elQ/joinGet Erin C's book here: https://amzn.to/3ITDoO7Get Merch here - https://bit.ly/AnthonyMerchSubscribe to the Anthony On Air Podcast here:Facebook - https://bit.ly/AntOnAirFBYouTube - https://bit.ly/AntOnAirYTApple Podcast - https://bit.ly/AntOnAirAppleSpotify - https://bit.ly/AntOnAirSpotTwitter - https://bit.ly/AntOnAirTwitterInstagram - https://bit.ly/AntOnAirInstaTikTok - https://www.tiktok.com/@anthonyradioDiscord - https://discord.gg/78V469aV22Get more at https://www.AnthonyOnAir.com

Happy Pride Month! Happy Men's Mental Health Awareness Month!!TJ Rumler is a licensed social worker from Greenville, South Carolina with over 15 years of social work experience. TJ is also a military veteran. We discuss his work in developing a curriculum for a partial hospitalization program for adolescents in South Carolina. We discuss what is a partial hospitalization program. The program is scheduled to open sometime this summer.TJ also has a trauma informed training program. We discuss how business is going and if his business is affected in any way by the current administration. TJ can be found on instagram at   / tjrumlerconsulting  Follow the podcast in Instagram:  / thesocialworkrantspodcast  The podcast is sponsored by Bas Moreno Consulting, providing financial education and counseling for people of color in the sandwich generation who are struggling with their finances while caregiving which affects your mental health. Go to Basmorenoconsulting.com to book your free 45 minute consultation.

Circulation 1999;100:2312-2318Background: The CONSENSUS and SOLVD trials established the effectiveness of angiotensin converting enzyme inhibitors (ACEi) in reducing mortality and morbidity in patients with systolic heart failure. Both trials used enalapril with a target dose of 20mg twice a day (max dose) in the CONSENSUS trial and 10mg twice a day (medium dose) in the SOLVD trials. In real-world settings, ACEi are sometimes prescribed at lower doses, likely reflecting concerns about adverse effects or patients' tolerance. It was unclear whether the benefit from low doses of ACEi is comparable to high doses.Cardiology Trial's Substack is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber.The Assessment of Treatment with Lisinopril and Survival (ATLAS) trial sought to assess the efficacy and safety of low vs high doses of ACE inhibition in patients with systolic heart failure.Patients: Eligible patients had left ventricular ejection fraction of 30% or less and had NYHA class II, III or IV despite treatment with diuretics for two or more months.Patients were excluded if they had any of the following: Acute coronary syndrome or revascularization procedure within 2 months, history of sustained or symptomatic ventricular tachycardia, known intolerance to ACEi, serum creatinine >2.5 mg/dL, or any noncardiac condition that could limit survival.Baseline characteristics: The trial randomized 3,164 patients – 1,596 randomized to the low-dose arm and 1,568 to the high dose arm.The average age of patients was 64 years and 80% were men. The average left ventricular ejection fraction was 23%. Cardiomyopathy was ischemic in 65% of the patients. The NYHA class was II in 16% of the patients, III in 77% and IV in 7%.Data on baseline comorbid conditions were not provided in the main manuscript.Procedures: The study was double blinded. At the beginning of the study, all patients received open-label lisinopril for four weeks to assess who is able to tolerate the drug. Patients who were able to tolerate lisinopril 12.5 mg to15 mg daily for two or more weeks were randomized in a 1:1 ratio to receive low-dose or high-dose ACEi. The target dose of lisinopril in the lose dose group was 2.5 to 5.0mg daily and was 32.5 to 35mg daily in the high dose group.All patients received open-label lisinopril 2.5 to 5mg daily. This dose was selected by the investigator. In addition, patients received up to three 10mg tablets of lisinopril or matching placebo.Endpoints: The primary endpoint was all-cause mortality. Secondary end points included cardiovascular mortality, all-cause hospitalization and cardiovascular hospitalizations.Analysis was performed based on the intention-to-treat principle. The estimated sample size was 3,000 patients. This sample size had 90% power at 5% alpha to detect 15% relative risk difference in the mortality between both treatment groups assuming 19% 1-year mortality in the high dose group.Results: Of the 3,793 patients who entered the initial open-label tolerability phase, 83.4% were randomized. A total of 176/3,793 (4.6%) were withdrawn for possible side effects. The median follow-up time was 46 months.Target doses were achieved in 92.7% of the patients in the low-dose group and 91.3% in the high-dose group. Study medication was discontinued by 30.6% of patients in the low-dose group and 27.2% in the high-dose group.All-cause mortality was not significantly different between both treatment groups (44.9% with low dose vs 42.5% with high dose, HR: 0.92, 95% CI: 0.82 – 1.03; p= 0.128). Cardiovascular mortality was numerically lower in the high dose group but this was not statistically significant (37.2% vs 40.2%, HR: 0.90, 95% CI: 0.81 – 1.01; p= 0.073). All-cause hospitalization was lower in the high dose group (3,819 hospitalizations vs 4,397; p= 0.021). Hospitalizations for cardiac causes and hospitalizations for heart failure were also lower in the high dose group (2,456 vs 2,923; p= 0.05) and (1,199 vs 1,576; p= 0.002), respectively.Patients in the high-dose group experienced more dizziness (19% vs 12%), more hypotension (11% vs 7%), more worsening renal function (10% vs 7%), and more hyperkalemia (6% vs 4%), but reported less cough (11% vs 13%) and had less hypokalemia (1% vs 3%).There were no significant subgroup interactions for the primary outcome.Conclusion: In patients with systolic heart failure, high dose ACE inhibition did not significantly reduce mortality compared to low-dose but it led to significantly less hospitalizations. In this trial of 3,164 patients and with a median follow up of 46 months, there were 578 less hospitalizations in the high dose group.Based on these results, we recommend up-titrating ACEi and use higher doses if tolerated. Although, side effects were more common in the high dose group, these can generally be managed with reducing the dose in the outpatient settings.Cardiology Trial's Substack is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber. Get full access to Cardiology Trial's Substack at cardiologytrials.substack.com/subscribe

**Episode Title: From Covid Through Near-Death and Beyond with Holly Porter …Navigating Life's Transformations!**Episode Description:In this compelling episode of "How I Made It Through," host Bernadette Thompson sits down with Holly Porter, a dynamic serial entrepreneur, retreat strategist, and founder of Retreat R and R. Holly shares her extraordinary journey from being a successful businesswoman to experiencing a life-altering near-death experience (NDE) during the COVID-19 pandemic. This episode delves into Holly's transformative experiences, including her out-of-body experiences, spiritual transformations, and the profound insights she gained from her NDE.Holly recounts her harrowing battle with COVID-19, which left her hospitalized for 70 days, including 52 days on a ventilator. Amidst this life-threatening ordeal, Holly experienced a series of spiritually transformative events that reshaped her purpose and outlook on life. She describes the ethereal beauty and overwhelming love she encountered during her NDE, the messages she received, and how these experiences have influenced her personal and professional life.Listeners will be captivated by Holly's resilience and the profound lessons she learned about love, purpose, and the interconnectedness of all things. Her story is a testament to the power of spiritual experiences in guiding us through life's challenges and helping us find meaning in adversity.**Chapter Markers:**- **[00:00]** - Introduction to Holly Porter- **[03:00]** - Holly's Background and Entrepreneurial Journey- **[06:00]** - The Onset of Holly's COVID-19 Experience- **[09:00]** - Hospitalization and Near-Death Experience- **[12:00]** - Out-of-Body and Spiritual Transformative Experiences- **[15:00]** - The Message of Love and Life Review- **[18:00]** - Post-NDE Challenges and Personal Growth- **[21:00]** - Hypnosis and Further Revelations- **[24:00]** - The Role of Spiritual Guidance in Holly's Life- **[27:00]** - Reflections on Love, Purpose, and Transformation- **[30:00]** - Conclusion and Final Thoughts**More about Holly**More about Holly: Bio Holly Porter is a serial entrepreneur, retreat strategist, philanthropist, and founder & CEO of Retreat RnR. A 15x best-selling author and award-winning speaker, she brings decades of experience in events, real estate, and personal transformation. Holly empowers leaders to create impact through retreats and to lead with purpose, presence, and passion. Instagram: https://www.instagram.com/hollyporterinternational/ Facebook: https://www.facebook.com/HOLLYANNPORTER LinkedIn: https://www.linkedin.com/in/hollyporter TikTok: https://www.tiktok.com/@hollyaporter TikTok https://www.tiktok.com/@retreatrnr Youtube: https://youtube.com/@retreatrnr **To connect with Bernadette Thompson **Bernadette Thompson is Intuitive Ancestral Healer, A certified grief and trauma facilitator, End-of-Life Doula, and trained genealogist. She teaches how to exploring the grief journey with through Intuitive Ancestral Healing readings, opening to the deep connection with ancestors and understanding how we can communicate with loved ones in Spirit. She is the owner of Tell Me Our Story, Ancestral HealingWebsite: https://www.tellmeourstory.comhttps://www.instagram.com/tellmeourstoryancestralhealing/- More about Near-Death Experiences: https://iands.org/ If Holly's story resonated with you, we encourage you to explore more about her work and the profound impact of spiritually transformative experiences. Visit Retreat R and R to learn how Holly is empowering leaders to create meaningful retreats. Don't forget to Reach out to Bernadette@tellmeourstory.com with questions and subscribe to "How I Made It Through" for more inspiring stories of resilience and transformation. If you enjoyed this episode, please leave us a review and share it with others who might find it enlightening. Your support helps us continue to bring powerful stories to light.

No one expects to be here. But many of us are.In this episode, Alyssa Nutile and I open up a raw and rarely discussed topic: abortion after a prenatal diagnosis. We talk about how these decisions are shaped by love, by fear, by systemic failures, and by the weight of what it means to bring a child into the world when you know what they might face.We also explore what it means to carry both love and grief into that decision-making space and why so many parents are left feeling like there was never really a choice at all.It’s a heavy conversation. And it’s also a deeply human one. If you’ve been there, are there, or just want to understand this conversation better, this episode is for you. Links:Hear Alyssa’s other episodes: 187: Do You Miss Who You Were? BONUS: The Political Climate, 180: Does it get easier?, 179: Exhaustion, 174: Silencing, 171: Financial Strain, 170: Hospitalizations, 140: Alyssa’s Story, 125: Travel w/ Disabled KidsJoin The Rare Life newsletter and never miss an update!Fill out our contact form to join upcoming discussion groups!Follow Alyssa at @caffeinated_caregivers!Follow us on Instagram @the_rare_life!Donate to the podcast or Contact me about sponsoring an episode.Follow the Facebook page.Join the Facebook group Parents of Children with Rare Conditions.Access the transcript on the website here.And if you love this podcast, please leave us a rating or review in your favorite podcast app!