Podcasts about ICU

We explore the fascinating intricacies and unique features of the burned critically ill patient, with Clint Leonard, NP in the burn ICU at Vanderbilt and ABLS instructor. Learn more at the Intensive Care Academy! Want to work at the University of Kentucky? UK's Anesthesia Critical Care department is hosting a hiring webinar on November 20, … Continue reading "Lightning rounds 57: Burn critical care with Clint Leonard"

In this episode of the NCS Podcast Masterclass series, host Jon Rosenberg, MD, is joined by Harald Sauthoff, MD, ICU Director at Westchester Medical Center and a leader in point-of-care ultrasound (POCUS). They explore how POCUS has transformed bedside evaluation and management in the ICU, from rapid shock assessment to informed fluid management. Dr. Sauthoff shares how ultrasound can quickly identify shock etiology, assess fluid responsiveness and tolerance and detect pulmonary congestion. He also discusses using Doppler and the VExUS score to refine hemodynamic understanding and tailor treatment to individual patients. The conversation closes with insights on building sustainable ultrasound training programs, from boot camps and image portfolios to pathways toward critical care echocardiography certification. The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.

Most nursing job postings are bogus. Search online and you'll see thousands of listings — hybrid roles, travel gigs, or “remote” jobs that still require hospital shifts. For nurses who are already burnt out, it's overwhelming.That's why David Rosenbeck launched Go Beyond the Bedside. A board-certified nurse practitioner who worked ER, ICU, and oncology, David experienced firsthand how draining the profession can be. After burning himself out, he started searching for remote work. The problem? Out of 27,000 postings, only a handful were legitimate. After months of filtering, emails, and calls, he finally landed a real remote role in 2022 — one that gave him the freedom to travel to 30 states and 7 countries while still using his nursing expertise.Friends and colleagues wanted in. They didn't just want remote jobs — they wanted someone to cut through the noise. So David and his partner built Go Beyond the Bedside, a platform that filters thousands of listings into a concise, daily-updated list of legitimate remote nursing opportunities. For just $15 a month, nurses gain access to roles in medical advising, consulting, law firms, and beyond — jobs that let them use their degree without 12-hour shifts or crushing burnout.The mission is clear: keep nurses in the profession by giving them better options. Remote work isn't a side perk. For many, it's a lifeline — and Go Beyond the Bedside is showing nurses how to grab it.Subscribe to Young Boss with Isabelle Guarino wherever you get your podcasts, and be sure to like, share and follow on Instagram and TikTok.And remember, youth is your power.

Show Notes: What does it take to move ICU rehab forward — and who's leading the charge? In this episode, co-hosts Dr. Leo Arguelles and Dr. Daniel Young sit down with Dr. Monica Silva Damasceno (MD Anderson Cancer Center) and Dr. Vinh Tran (University of New Mexico) — two clinicians who shared the stage at CSM's ICU Rehab panel alongside Dale Needham, Jen Ryan, and Chris Wells. Together, they unpack what's changing in critical care physical therapy — from dismantling barriers and writing mobility into unit culture, to building true interprofessional collaboration that lasts beyond a single champion. Monica shares her journey from Brazil to Houston Methodist's Critical Care Fellowship, and how mentorship shaped her vision for ICU practice. Vinh reflects on his path from cardiac medicine to academia, bridging implementation science with bedside experience. The conversation highlights the power of structure, communication, and persistence in advancing early mobility — especially in smaller hospitals where “doing more with less” is a daily reality. Today's Guests: Monica Damasceno PT, DPT, CCS monicasdapt@gmail.com linkedin.com/in/monica-silva-damasceno-pt-dpt-ccs-03989965 Vihn Tran PT, DPT, PhD, CCS https://www.linkedin.com/in/vinh-tran-169015200/ Guest Quotes: 15:25 Vihn “ I agree in the shorter duration just because by necessity, if they're in the ICU, they're medically unstable, right? So you're limited on how aggressive you can be, although I do think we can be more aggressive than the average person thinks. So yeah, I think that seems reasonable to, to shorter sessions, but perhaps more frequently. With a caveat that there is potential out there to do longer sessions in certain really niche or precise circumstances.” 20:24   Advice for those therapists that working like the smaller kind of rural community hospitals that wanna kind of make a dent and or wanna start implementing more ICU rehab? Vihn “ ..really, it's not just a PT or rehab driven process, right. Like we in rehab can just flick a switch and all of a sudden this happens. It requires an extensive amount of collaboration between providers, nurses, techs, your own staff, your equipment managers. Everyone needs to be on board with what the overall aim is. So in order to really get the ball rolling first to me, like identify champions in, in allied communities. So whether it's a nursing manager that potentially sees the value in early mobility, perhaps it's a Mutually beneficial relationship where we can provide higher quality therapy or an earlier timeframe. At the same time, we can relieve some of the mobility tasks that nursing might have to do or help them do it in a more safe aspect.” Monica “ ..having an agreement with your team and having the the champions. One from or  multiple people from different groups, a doctor, nurses, and then have a plan of what you see for your unit in the future with this, those people, and create your practices like every day. Cultivating that practice of mobility and encouraging and helping each other.” 29:06 Monica “ one of the strategies to try to encourage more mobility is asking. What is the mobility plan during the rounds? Any rounds you have to have an answer. Then, then you think about mobility.” Rapid Responses:  What's your go-to karaoke song?  Monica: “it is Mariah Carey. It's song Mariah Carey. Always Mariah Carey. Yeah. Any song that I can find? Mariah Carey. Which is the hardest to sing. Can you imagine talking about the scales there? Vihn: I'm from St. Louis and I love Nelly, so I just gotta go with Nelly.” You know you work in acute care when… Vihn: “ When you don't care what you're wearing in the work or how you look, I should say that way.” Monica: “ The scrubs have extra scrubs, I would say and all. And also having the safety pins in your pocket to secure the lines.” Links: https://orcid.org/0009-0009-6275-4362

In this illuminating conversation of Be It Till You See It, aesthetic nurse and biohacker Rachel Varga joins Lesley Logan to discuss how to achieve lasting radiance by aligning health, mindset, and beauty. She shares how lowering inflammation, managing stress, and purifying your environment can help you look and feel your best—proving that confidence and feeling at peace are the real anti-aging secrets.If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast https://lesleylogan.co/podcast/. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co mailto:beit@lesleylogan.co. And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe https://lesleylogan.co/podcast/#follow-subscribe-free.In this episode you will learn about:How Rachel's nursing career evolved into a holistic approach to beauty and biohacking.The science behind lowering inflammation to boost vitality and radiance.Why redefining vanity as self-respect empowers confidence and self-care.Everyday habits that support graceful aging through stress management and sleep.How cultivating peace and integrity supports inner and outer radiance.Episode References/Links:The School of Radiance Website - theschoolofradiance.comPromo Code: LesleyLogan15 for 15% off one-on-one sessions, tutorial, and membershipSchool of Radiance Podcast - https://www.theschoolofradiance.com/podcastsInstagram: @RachelVargaOfficial - https://www.instagram.com/rachelvargaofficialGuest Bio:Rachel Varga, BSN, RN, CANS, is a Double Board Certified Aesthetic Nurse Specialist. Since 2011, Rachel has been offering medical aesthetic rejuvenation in the specialty of Oculoplastics and is known for providing a natural and healthy-looking transformation and educating through her show "The School of Radiance" podcast. She has performed over 20,000 rejuvenation procedures and is also a trainer for other practitioners on rejuvenation procedures including medical grade skin care, laser skin rejuvenation, injectables including neuromodulators and dermal fillers, and slowing aging in general. Rachel is passionate about delivering the highest standard of care, with a focus on what the patient's specific rejuvenation goals are, and a tailored approach to suit their needs, values, and lifestyle. She has published multiple research articles on rejuvenation protocols for the eyelids, jawline, and overall skin health transformation. Rachel is known for her gentle touch, natural-looking results, and making her patients feel comfortable, and at ease with her caring bedside manner that originated in pediatric nursing before beginning her career in medical aesthetics in 2011. She will guide you in creating your customized rejuvenation plan and skincare routine to achieve your goals through one-on-one sessions, expert 7-week seasonal skincare tutorials, and year-long membership for the deeper layers of being beautifully radiant at TheSchoolofRadiance.com. Rachel Varga is one of the first to blend Western approaches to skin care and rejuvenation, functional insights, and biohacking optimization strategies. By blending the best of these worlds and observing what her most radiant patients are doing she will also help guide you on your path to healthy skin and vibrancy for many years… If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox. https://lovethepodcast.com/BITYSIDEALS! DEALS! DEALS! DEALS! https://onlinepilatesclasses.com/memberships/perks/#equipmentCheck out all our Preferred Vendors & Special Deals from Clair Sparrow, Sensate, Lyfefuel BeeKeeper's Naturals, Sauna Space, HigherDose, AG1 and ToeSox https://onlinepilatesclasses.com/memberships/perks/#equipmentBe in the know with all the workshops at OPC https://workshops.onlinepilatesclasses.com/lp-workshop-waitlistBe It Till You See It Podcast Survey https://pod.lesleylogan.co/be-it-podcasts-surveyBe a part of Lesley's Pilates Mentorship https://lesleylogan.co/elevate/FREE Ditching Busy Webinar https://ditchingbusy.com/Resources:Watch the Be It Till You See It podcast on YouTube! https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-gLesley Logan website https://lesleylogan.co/Be It Till You See It Podcast https://lesleylogan.co/podcast/Online Pilates Classes by Lesley Logan https://onlinepilatesclasses.com/Online Pilates Classes by Lesley Logan on YouTube https://www.youtube.com/channel/UCjogqXLnfyhS5VlU4rdzlnQProfitable Pilates https://profitablepilates.com/about/Follow Us on Social Media:Instagram https://www.instagram.com/lesley.logan/The Be It Till You See It Podcast YouTube channel https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-gFacebook https://www.facebook.com/llogan.pilatesLinkedIn https://www.linkedin.com/in/lesley-logan/The OPC YouTube Channel https://www.youtube.com/@OnlinePilatesClasses Episode Transcript:Rachel Varga 0:00  I take this approach of longer lasting beauty through biohacking, because when we reduce inflammation and toxins on all fronts, we then set our body up for success, for being our most radiant versions. And the more radiant we are, the more high vibe we are, the more we can get what we desire out of life, in both our personal and professional lives, and be great people, because our bodies are operating properly.Lesley Logan 0:32  Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started. Lesley Logan 1:11  Hi, Be It babe. Okay, this is gonna be a really fun conversation. I wanted to have this conversation for a while, and it's really like, I'm intrigued by all this, right? I want to, I want to actually look and feel good for as long as possible, but not in like, a crazy, like, change how I look dramatic way, but like, as in a no, this is like, I want to look like me. And so when I met our guest today, because I was on her amazing podcast, Rachel Varga, she's the host of the School of Radiance, and I was like, oh, I vibe with this person. I really like what they're saying. It's intelligent. It's from a place of research and science and methodologies, and she is so knowledgeable about biohacking and things we can do when it comes to med spas and what we're doing with to support ourselves and how we feel and how we look, and then we go on a wide range of topics. We don't hit everything I want to talk about, so I'm going to have to do this again. But I really think you're going to, one, learn a ton and have a lot of permission get granted, because maybe it's not something you have to do to you, maybe it's something you would get to do around you, or maybe it's about changing something in your environment, right? So now I'm going to let Rachel Varga give you all of her amazing wisdom. Lesley Logan 2:26  All right, Be It babe, this conversation is one I've been really wanting to have, but it had to be with a special person, and so I've been waiting the 500 plus episodes to find the person who we can have a conversation about radiance and how we how our how we can age the way we want to, and look good doing it without feeling like we're being vain or going too far. And so Rachel Varga is our guest today. Rachel, can you tell, can you tell everyone who you are and what you rock at? Rachel Varga 2:51  Yes, Lesley, so great to be here, and we had a fantastic interview on my show recently, the School of Radiance podcast. And, so technically, I'm a nurse, and I've been an esthetics nurse since 2011 so I've been in the game for the rejuvenation side of things for a while. Been in that game, published research papers. You can look my name up on PubMed, Rachel Varga, you'll see my eye rejuvenation papers, jawline rejuvenation papers. And then I also teach other doctors and nurses internationally how to do rejuvenation from the non surgical side of things that like injectables. And I know we're going to talk a little bit about that, what we can do that's cleaner options, what's actually going to work and give us the results that we desire. And so I love to teach, and I love to talk about what we can actually do at home. So on this podcast, we'll talk about the lifestyle side of things, and kind of delineate what we can do at home and then what's available in the clinic. But I take this approach of longer lasting beauty through biohacking, because when we reduce inflammation and toxins on all fronts, we then set our body up for success, for being our most radiant versions. And the more radiant we are, the more high vibe we are, the more we can get what we desire out of life, in both our personal and professional lives, and be great people, because our bodies are operating properly.Lesley Logan 4:23  I love this because I love that you can they it's almost like a there's a few different prongs. So if you're someone who's like, I don't want to do surgery, I don't want to do the injectables like people start to look like cat ladies at some point. And I'm sure that's not all injectables do that. I'm sure there's a point which one could stop. But the idea that we there's things we could do at home, it sounds why wouldn't you, like, Why? Why wouldn't you want to do something at home? So before we get into that, though, I do want to kind of know, like, did you always want to get into esthetics? Was this something that you could wear, like, interested as a kid? Like, were you doing makeup? Like, how? Like, what was the journey that got you here?Rachel Varga 4:59  Yeah. Okay, well, practically speaking, my mom's an RN, and I saw how hard she worked, but I also saw that it was a great job. It's a great way to be in that nurturing, supportive, healthy role in the family. It's like something happens to the kiddos, like you know what's going on, or your partner or yourself. It's just great knowledge to have from a nursing perspective for yourself and those you love. My father's are carpenter and so I always had this eye for, oh, that bumper is a little not so straight, or that picture is a little canted. So I had this eye for symmetry and proportions from that, and then also the health side of things. But I saw my mother really struggle as a night nurse. And she did night nursing, so shift work, it's just brutal in extended care for her pretty well entire career, she got breast cancer. She was, at one point, weighed 220 pounds. So she was the type of woman, great woman over gave, did the shift work. So I learned early in my career that I didn't want to be that kind of nurse. And did Pediatric Nursing, pediatric ICU care for a couple years. And during that time in my nursing education, I'd had a few rejuvenation procedures myself too, both surgically and non surgically, and to myself, the aftercare information like the pre post care wasn't great, and for me, going through nursing training, I was obviously watching all the vlogs online. There aren't really a lot of professionals actually talking about this stuff, and I think it's kind of interesting, and people want to know how to get the most out of what they're investing in in the clinic, and, of course, at home, and how to recover before and after non surgical or non surgical rejuvenation options. And thought I wanted to be a doctor. So did all the med school prerequisites, chem, Organic Chem, biochem. And while I was doing prerequisites and applying to med school, which I did for one year, I got a job as an esthetics nurse, did my injectable training, started in ocular plastics in 2011 and just loved the field. I loved the pace. The hours were great, and I would get access to anything and everything. Then something happened. I met my good friend Dave Asprey. Actually helped get his face ready for superhuman so when you look at that book cover, that's my work. Oh, what's this biohacking stuff? This is pretty cool. Started to do some of it myself, cold plunging, intermittent fasting, more protein, adding antioxidants, amino acids, all sorts of great stuff that's in the biohacking world, red light therapy. And then I was in two car crashes. I had to really lean into the biohacking and recovery side of things and supplementation so that I wasn't hurting all the time, and so that I would recover faster. And partner has been a pro athlete as well, so very in tune with the athletic recovery side of things too. Then something interesting happened. The better I cared for myself from an inflammation perspective, I didn't need as much rejuvenation. Scars were fading after just a couple of days post breakout, instead of for months, and I'd have to laser that redness away. I didn't need to do neuromodulators every three months, I would actually go anywhere from like, a year to a year and a half in between.Lesley Logan 8:45  For the people who are like, what's a neuromodulator,Rachel Varga 8:49  The brand names that you probably know about are Botox, Xeomin, Dysport, Nuceiva, Jeuveau. There's always new ones growing up. So the technical term for those is neuromodulators. And then I also started to notice, oh, wow, I'm not burning in the sun in 10 minutes anymore. These deoxidants, this reducing inflammation, is actually allowing me to go outside and enjoy my life more. And I as a researcher, put together a paper for the biohacking community a couple years ago. What are some of the biohacks that actually can support slowing aging in sort of like a methodical framework, kind of way, because there's so many bright, shiny objects in the in the biohacking and wellness space, like, what actually should we start with?Lesley Logan 9:42  This is insane. So this journey that you went on, like, first of all, you met the person. Like, yeah, you were like, you just met them. And then you needed what they had. Like, thank goodness you met them, because you put, who knows how long would have taken you to stumble upon biohacking in that way. And then it got you to see how it worked on the things that you already do. I can it's interesting to me because, like, I think some people in your field would be like, what is the need for me if I could just biohack my way to blemish-free skin that can be out in the sun, you know what I mean. But obviously, like, there's, there's kind of a place for everything. You know, there's also like, what works for you and what helps with what you need. And so I love the idea for those at home who are like, well, what are some like, what are like? Maybe they could Google what an antioxidant is. But like, what are some things that they should be thinking about when it comes to inflammation and things that can affect how they look? Because I think sometimes people go, Oh, I'm just older. And we were taught like, Oh, you're 40, so now you're 50. Like, these things happen. But from what I understand in biohacking, you can actually do a whole lot. It's not about the age, it's kind of about what you're eating and what you're doing.Rachel Varga 10:54  Yeah, you could actually test instead of guess what your biological age is. And I do this usually about once a year, and my biological age, last time I tested it was nine years younger than my chronological age. So doing something right. Lesley Logan 11:11  I love that. Rachel Varga 11:14  When I started to speak on the anti aging, the functional, integrative and wellness sides of things, being an aesthetic nurse, like a traditionally trained nurse, and then in the specialty of aesthetic medicine, I was kind of the odd one out, a little bit misunderstood, especially in the rare community that I'm in, people didn't really get it. It's more like a California and Florida kind of thing, where people in there, in those states in particular, really big into anti aging medicine, and so that was a bit tough for me. But you know what, some of us were just pioneers in the space. And Dave is more of a disruptor, and I'm more of like an encourager. If I can do it, you can do it too. Lesley Logan 11:59  Yeah. And I think, like, you know, the I, what a great place where you can go, okay, here are your options. We can do these things, and here's how often you'd have to do them, and we can absolutely do them, or we can do this thing, and then this is how often, or you could also do this at home. And then it would make whatever we're doing here would support that, or it would reduce your need for that, is that what I'm hearing, like, the biohacking, like, really supports what you do?Rachel Varga 12:26  Bingo. So for me to speak on things, because I am a traditionally trained RN, I have to be able to speak on things that are published in the literature. There wasn't really anything, and I knew this worked. I would see it in my before and after photos. See, you know, 70 to 90 year olds looking fantastic, and they barely need anything. They were aging better. So the jawline paper that I wrote, I basically put in that paper an algorithm for rejuvenation, starting with skin care, then getting into maybe at home peels and at home dermarolling, doing some in-clinic lasers for reds, browns and collagen, you know, resurfacing pore size, polishing the skin, and then the non surgical injectables. So say you guys all probably hear the word Botox, so neuromodulators and fillers and then surgery. So to start from a space of least invasive, you know, do some things, see if you're happy with those results, you might not need the surgery, but surgery definitely does have a place, coming from ocular plastic surgery for the eyelids. And so I wrote a paper on that, basically an algorithm do least invasive to most invasive, and then the Oxidative Stress Status and Its Impacts on Skin Aging paper that was more like a framework of what's the lifestyle stuff that we can do to actually clean up and purify our environment by purifying our air, water, lighting, electromagnetics, testing, instead of guessing the foods that we're eating and then getting into detoxing. And when you do all those things, you should actually be able to get better results from your treatments. And if you go on message boards for people that have issues after injectables or lasers, chances are there was a degree of autoimmune conditions running in the background, or their toxic bucket was really full. They had rejuvenation bucket tipped over, and they had a manifestation of some underlying things that were happening. And then also, during the process of writing those papers, I came across some data. This is why it's not a nice to do. It's a need to do, to look after yourself, that autoimmune conditions, or, more precisely, deaths of unknown causes, which I reached back to the source of you know, what does this category actually mean, autoimmune condition or someone passing away before diagnosis, it actually doubled in 2019 compared to the data six years earlier in Canada, this is Canadian information, and then it doubled again in 2021. So autoimmune stuff for skin is like, eczema, psoriasis, those are typically the skin stuff that we see. Lesley Logan 15:25  It's interesting that you brought that up because it is like, I think people are like, there's so many people with autoimmune it's like, well, now that we know what to test for. The thing about tests, that's the thing, when we it was all, there, it has probably been there for a really long time. The doubling in such a short period of time is scary, but also it, you know, if the tests weren't right arranging or the doctors don't know to test for these things. But I love that you brought that. I like how you bring that up. It's like if you had stuff run in the background, if you were already inflamed, and then you do something that can add to that, like, it is just like the needle that broke the haystack. And so then the things get the blame when it's a whole host of things that are going on. And so I think this is really cool. You know it's and I don't want to be ignorant, so I think it's really, to me, what I find interesting is that, like, I would never have associated a biohacker with someone who would also be doing any of these treatments. Like I would, you know what I mean? Like, I think people think you're either nothing goes in your body except for these things, or you're, like, whatever, It's a free rein, I can do whatever I want. And so to find someone who sits in the middle, I actually think it gives people a lot more permission. And I actually one of the things I want to talk with you about is, like, just permission, like, I think a lot of people feel bad or feel embarrassed or feel like they shouldn't talk about that they want to make any changes to how they look, because we do live in a place now where, thankfully, people are more accepting and people have been taught to not hate their bodies like we should love our bodies. In fact, your body is listening to you. So part of biohacking would actually be to not talk about the things you don't like about your body because your body's listening. But how can we think about like is it vain for us to want to want to change things on our face, or to want to look a little younger, to want to look a little fresher? Is that? Is that a bad thing? Like, should we not be wanting to change these things? We just be happy with how we look?Rachel Varga 17:11  I think that there's a similarity here with this concept of imposter syndrome. Everyone who starts to do something new is like, Oh my gosh. I don't know of like, Can I do this? Am I gonna get laughed at? I think it's that's just as common as the shadow side of beauty, which is, is this vain? Am I doing something that's selfish to care for myself? One of the reframes that I love to talk about is self-care, self-love. I get so many sweet downloads when I'm doing my skincare, I'm blow drying my hair, I'm doing my beautification, my makeup, putting on a cute outfit, looking at myself in the mirror, it's like, Oh, wow. I had three hours of sleep last night. How the heck do I look this good? Well, there's some biohacks that I did to hack a bad sleep and why I had a bad sleep, which is hilarious. So we can definitely talk about that. But the vanity component is essentially the shadow side of beauty and radiance at its core. So I love to investigate the psychological, the energetic things behind everything as well, because everything is energy. And we're seeing a shift now, though. In about 2018, a number of my clients started to ask me, Rachel, what can I do for healthier skin I want to improve my skin health. So I really started to notice the shift. And then now fast forward to the year that we are in now, every med spa, well, the ones that are, you know, up with the current times, are doing things like NAD infusions, they're offering weight loss, they're offering hormone support, and all of these different things that we're now seeing a really exciting time in the med spa industry, the functional space, integrative and biohacking space, coming together. It's almost like this bifurcation point a couple years ago, but I did see the writings on the wall back in about 2018 that this was going to happen, and now this is what the most notable med spas in the world are doing, is they're incorporating all these things because people want to go to a one-stop shop and not necessarily just look at rejuvenation as being vain, but a form of self-care. They're doing other things as well that they're investing time and energy in, or they might have a health spending account that makes them feel better, because when you feel better, you look better, and when you look better, you feel better. So what I like to suggest, if someone is really grappling with, okay, money's tight or I feel vain about doing this, feel like that money should go to my kids or whatever. But if something's bothering you for a while, say, for example, lines between the brows, or lines to the forehead, or hooded upper eyelids, lower eye bags, melasma, pigmentation, red acne scars, large pores, acne scarring, losing sharpness to the jaw, lines, jowls, fullness to the neck, the list goes on. But if something is really bothering you and you're looking at yourself in the mirror, be like, I really love to do something about that, because it's the one thing that kind of bugs me. I think that the benefit of knowing that, hey, there are some really great health non surgical, or surgical things that we can do to actually support those things. But my angle is, okay, what's the least toxic thing that we can do to give the best results? What is going to give the most long term benefits? So that's why sometimes surgery, like eyelid surgery, is one of the most common surgeries performed to remove excess eyelid tissue. That's actually probably even going to cost less money than trying to do all these other non surgical things, and you have a longer result. So it just depends on everybody's situation. But the vanity thing is something I think every single person grapples with, if they're completely honest with themselves, and then they do it. They do their rejuvenation, they bump up their at home skincare routine, they purify their environment, like, Oh, I feel better. I'm gonna keep doing this, because it's something I do for myself, kind of like getting your (inaudible) you always feel so much better after you have, you know, fresh highlights or whatever. Lesley Logan 21:36  Yeah, yeah. Well, I think, like, there's a difference between doing something because you think it's going to get you people's reaction from people, and doing something for yourself. You know, I think if you are do making changes to yourself, because for other people, that would be a problem, but if you're doing it for yourself, like you said, you don't like the way your pores are. I have my mom, she has talked about the eyelid surgery, and I saw her recently in person. I was like, Oh, poor thing. I don't know. Can you see? Get like, you know, like, and that's not a vain thing. It's also like a necessity, necessity thing, but also like in being it till you see it, some of these things are taking up so much brain space that they're holding us back from coming out and showing people who we are like, if you're not putting yourself out there because you have a scar or you have you don't like the way something looks, that that does bother me, because it does mean that the world is missing out on what your gift is. You know, there are people that you're the only person who can do what you do, and if you're hiding yourself for whatever reason, then that is a bummer, because those people miss out on it and they end up getting swindled by somebody else. So I, I'm of the place, like, if it's for you and it's going to help you show up as the best version of yourself, like, you know, you really do have to look, look into that. But I also love your approach of, like, what's the least invasive, least toxic, most long lasting. And I think if we, I think if we go with that approach, as opposed to quick fixes, then we all, and that goes for everything, not just even for the things you do with your face.Rachel Varga 23:11  100% Oh, you touched on so many beautiful things. So we're gonna back this, because there's some nuggets here for everybody. What happens when you go into the wild, you know, if you're, if you're anything like me, you're working from home, you're going to the gym, you're going to the grocery store, going to church, you know, some work in social events, but that's kind of what the lifestyle looks like. But when we and sometimes I want speeches, and that's super fun, I get all glammed up when you go out into the wild and you see two kinds of people, you see the one person that I just have my hair and, like, a cute little dancer's button I got my workout outfit on. You would love it. It's, like, very Pilates appropriate. Lesley Logan 23:56  I saw it when you (inaudible) I was like, that's so cute. I need a little shawl for my my one my jumpsuit.Rachel Varga 24:02  Oh and I love my body, and I work hard. I lift weights, work on the flexibility, stability, cardio, strength, all those things. I feel fantastic because it brings me in my body as well. W e're very grounding at the end of the day, when you see that individual that they got a little bit of makeup on, they brush their hair, they don something cute, even if it's a little bun, and they have a smile, and they're bright, and they're connecting. Compared to the other person that's just schlepping it. They got their PJ pants on or their sweat pants, they're not put together at all, and they just look like they legitimately rolled out of bed. It's like, okay, something's going on with that person. Oh, this person's really showing up for themselves. They're, you know, putting effort into their appearance. What that actually communicates when you show the world that you're valuable because you value yourself, that's powerful. And if you're showing the world that you just rolled out of bed, your life's a mess, people aren't actually going to value you in the same way. I know that sounds really brutal, but you will be more valued in your relationships. In the professional space, you'll have better relationships. You'll probably be able to make more money, because there's also research to show that people actually who care for themselves the way that they look, earn higher income. But the cool part here that you touched on for you know, reactions for other people is it for yourself. I've seen that where ladies have come to me and their boyfriends in the waiting room and they say, I want to get my lips done. And their lips are already like fantasy lips, if you know what I mean. And I just say to them, no, that's gonna go. If I do anymore, it's gonna really put your lips out of the ideal ratios that actually creates beautiful lips. So you're not a candidate for this treatment. Obviously, there's some body dysmorphia that can have too. However, when we do rejuvenation in a way that looks natural, feels good for us. You know, the body's just like, yes, I want to do this. But thinking about it for a while, it helps to build confidence. Something very interesting about confidence, actually, is that the more confident we are, the better able we're going to be in showing up and building our community. And community is a deep survival need. We're not meant to go through life on our own. We're not meant to over give. We're meant to be supported and receive from those around us, and obviously have it be reciprocated. But the there's the value component, there's the confidence component, there's the community component as well. So there's a lot of really beautiful things actually, about beauty and what it does to our lives.Lesley Logan 27:00  Yeah, and I do, I find it's like, so I used to work at a studio when I lived in L.A., I'd have to, like, leave the house and obviously, how I run and how I shop at the gym, different things, but anything before 7 a.m. that's what different. But when I would go to my studio, I would get dressed to work, go to work, I would teach the whole thing. When I started working from home, I noticed like, oh, I'm not in front of the camera today, so I would just kind of like, still be in the same clothes I did my walk and my workout in, and I was like, starting to slowly feel down about myself and having to give myself more pep talks. And I was doing my fake eyelashes, and they kept getting bigger and wrong, and I kept giving them feedback. And I was like, I don't really like how this is looking. So then I got rid of the fake eyelashes, and now I'm like, well, now I'm a bald eagle, and now I think I'm over at and and I was like, hold on. I also could learn how to do makeup for my natural lashes, and I could get dressed each day, like, how would if I got dressed each day? And what I realized is, by using the clothes in my closet and getting dressed and having a routine of putting my makeup on and and things like that. All those things actually made me feel better. So that whole little haze that, like cloud that was kind of like following around, kind of like an oppression commercial. I don't know if you havethem in Canada, but we have them here, where they're, like, trying to sell you like this cloud that just like hovers over this girl as she walks around, the cloud's gone. I was like, oh, over time, I slowly became used to not doing these things that felt like a waste of time or like not a big deal who's seeing me, and the more I actually spent time with myself. It's not to go back to the vanity topic, It's not vain. It actually just made it easier for me to show up as myself and put myself out there. Because I wasn't going, Oh God, my hair is a mess. Like, like, I, like, got ready for the day, just like, as if I went out into the world to go to work. And so I would say, like, it's really easy for us to go, oh, the world expects us to look a certain way. And really, I actually think the world is quite obsessed with people who are confidently walking in front of them, people who are confidently walking in a room like it. Actually, I'm always amazed, like the people who are famous or infamous and things like that, like some of them, I would never consider like a natural form of beauty, but people are excited about them because they're so calm they walk in, they have their head held high. And so I think if we just go back to like, what are you doing for yourself to help you show up to be the person you want to be, like, those things can't be wrong.Rachel Varga 29:25  Very well said, the, I love this show so much. I love connecting with you, Lesley, I think you're fantastic. You're hitting the nail on the head of, like, really deep topics around beauty and rejuvenation and not enough people are kind of talking about this stuff, the concept of feeling down and self-talk. Let's break that down for a second. A lot of us say, Oh, my fine lines and wrinkles, or, you know, my elevens, or my acne scars, or from an injury perspective, because a lot of you listening are ahletic and sometimes injuries can happen when you're doing new things and pushing your limits and building your strength and your resilience and your readiness and adaptability and all those good things. So instead of saying my whiplash, I detach from it, and I don't say my I say, oh, you know, I'm experiencing this or, Oh, I have a blemish, but I'm not reinforcing it into my identity, because a lot of people have these things that they reinforce into their identity, and then it's like, stuck in their field, if you will. Now we're gonna go just a little bit woo.Lesley Logan 30:39  Oh, you know, we used to only be a one woo show, and considering where the world is right now, Brad and I have gone two woos. We're woo woo in it.Rachel Varga 30:50  Yeah, very much grounded in the 3d science, I published papers. I just the other day, was teaching 60 doctors in Vancouver. Super fun. I just can't help but notice this group of patients that I observed in my career. This is why I talk about radiance, men and women aged 60 to 90 that had never done any rejuvenation. They would come to see me, either on a video call like this, or in the clinic, and I would look at them and be like, Wow, you look fantastic. Like, yeah, you know a couple of things like, bother me. I'd love to do something about it, but it was just how they carried themselves. So I started to kind of unpack this. What is this? What is this that I'm noticing it's like this inner glow, this inner vibration, and what are the components in their life that are contributing to that, which you can ground to the key determinants of health, which are recognized globally as being important factors to determining how healthy you're probably going to be depending on the environment around you. They had a certain vibe to them. Their skin shown differently. Their voice was different. They were very present. They had a family life, they had a spiritual practice. They had hobbies, they had a community. So I coined this radiance, and then I started to dive into some Ayurvedic texts, and came across the definition of radiance, which I think is one of the best definitions of that word that I've ever come across. It's the electromagnetic projection of all of your body systems. The radiant body is the 10th body, and then we have our body, mind, spirit, energy. There's some other bodies in there, but the radiant body is basically that electromagnetic projection of you and a reflection of how all your operating systems are running into the world. And when you begin to hone and cultivate this radiant energy, it's kind of like you become a queen, and you enter a room and everybody notices you for all the right reasons, you become a magnet. And with that, when you step into that very powerful, radiant, queen, feminine and (inaudible) energy, you also repel vibes of certain people that aren't going to be in your highest it's like you're a magnet, but you're also very attractive.Lesley Logan 33:22  Yeah, just like magnets also repel the other side. Rachel Varga 33:25  Exactly. Yes. So magnetic to the right people, the right situations, the right opportunities, and telling yourself (inaudible) oh, you know, there's great things coming just around the corner that are better than I even imagined. And I say that all the time, and it happens all the time. So this becomes you. You become like this force. And one of the most cool things about this as a woman is you get respected, and you are revered by men, not just idolized for looking a certain way, but actually respected and revered, and this is getting into some of the more powerful layers of beauty and radiance. And what you mentioned with your self talk, you probably felt some guilt and shame, right? And those are the lowest vibrations we can possibly sit in. The highest ones are peace love, joy, then there's pre enlightenment, then there's enlightenment. So peace, love, joy, channel your inner (inaudible) that is actually setting the stage for all of your cells and inner machinery and operating systems and field, the human biofield, is an emerging body of science to shine brighter, to slow aging, to feel better, to look better.Lesley Logan 34:47  I love this, and I really do believe in it, because there was years ago I listened to a podcast where they said your cells are listening to you, and how you talk about yourself is what you produce. So if you, going back to your like, my scars, my this, it's so important that you do, you don't hold on to those things, because the body is listening and like they actually did some scientific studies, multiple ones. One of them was they took these people, they blindfolded them, they set them in a chair. They were in a room where they could hear a fire burning, right? And they could hear this hot and they could hear like this, when you put, like, water goes right, that whole thing. And they're like, okay, we're gonna take this (inaudible) and we're gonna brand you, right? And these people are like, Oh my God, they're telling, they're describing what the branding mark is going to be. All these things. I don't even know how they clear this, because it sounds like trauma and torture and all the things, however they did it. And what they would do is they would like make the sound, and then they touch the person with a pen, a pen, and the person develop the welt in the shape of the description of what the branding was going to be. Right? Like, now, whether it lasts or not, wasn't part of the thing, but like they the body was like, so prepared for what it was told it was going to become. And another doctor was trying to figure out if it was a scraping of the knee or the drain of the knee that actually was healing these knee issues. So of course, he has to take three groups of people, one where nothing happens, one where they scrape and one where they drain, and then compare the three and the people who had nothing they were just put into they were put under anesthesia. They played, they played a video of a knee surgery happening so that they would hear in their subconscious they were sent to do all the same post surgical protocol as everyone else. They had the same results as the people who had had surgery, because they told themselves, I had surgery, my knee is fixed, and their body did these things. And so I became so conscious of like, what are we actually talking to ourselves about? Because before we go into all the things we could do to change our bodies, before we go into the biohacking foods, and then what type of treatments we could do, how you're talking to yourself, is literally free. It's a, it's a, it's a free thing you can change. It costs nothing.Rachel Varga 37:01  when you think of a monk, what are they doing all the time? Lesley Logan 37:03  Oh, we get to see them in Cambodia all the time. They are meditating and they're praying. They give blessings. That's what they're doing, just sitting there meditating.Rachel Varga 37:15  And you said something very profound, giving. Lesley Logan 37:19  Blessings. Rachel Varga 37:23  Who you are, depending on what really your reason is for being here. For mine, it's really to activate and initiate men and women around me to be their best versions. I'm very clear on that. So for me and my presence, that's how I serve. That's how I offer. It's how can we be in this state where we engage with others and we brighten their day, we say something kind to them, the way that we move through life is like an offering and a blessing. We first need to fill our cup first, though, that's very important. One of the things that you can channel next time you're in your Pilates or a heavy lifting situation, I do this all the time at the gym. I actually do breath work because for activity as women, especially if you're around that pre perimenopausal, perimenopausal, menopausal and postmenopausal, the body's going through transmissions, and what breaks down collagen and elastin quickly is elevated cortisol, which results in a drop of estrogen. When estrogen falls, collagen, elastin, fall too the more at peace you are, the more in that parasympathetic state you are, the less you're in the sympathetic state with high cortisol, adrenaline, you're going to age slower. You're going to have a slowness of the collagen elastic breakdown. And you could actually just do things to stimulate it, right? Like good skincare, sunscreen on the high real estate areas, mineral only at home, dermarolling, in clinic, lasers to get that collagen back up. Consuming collagen is also great. 10 to 12 grams a day is what's in the literature to actually create those visible skin changes in a month. But what I do when I work out is something hilarious, and I actually did bench press with the bodybuilder gym (inaudible) crew at the gym. I was included. They respect me. They revere me. They see my dedication and hard work. So, you know, I was right there with them get it spotted and encouraged, and here I am elevating their presence as well. But when I work out, and I was actually sharing this with one of the bodybuilders, because they'll do like smelling salts to get them in the sympathetic state, which could be good for the masculine, but for the feminine, we don't want that. We want to keep that cortisol down, what I do, actually, between sets of working out, is go right into parasympathetic breathing. Breathe in for four seconds, hold it for four seconds, exhale for four seconds. And you can do this, do like four to five cycles of that. You can drop into that at any point during the day when you get some news of a task that you need to do. I run like 13 businesses. So there's always, you know, these kind of small fires, and I have to figure out, like, who to delegate what I need to do, blah, blah, blah. But there's always something. So no matter what, I just always drop into that. Have those dates, have that honey, so I have that glycogen. Take those adaptogens to support the adrenals. Do the self care. But the biggest thing, I think, for beauty and slowing aging is, what do you think creates peace?Lesley Logan 41:05  What do I think creates peace? In someone's life?Rachel Varga 41:07  Yeah, what do you think creates peace in someone's life? Lesley Logan 41:10  Oh, my gosh. Well, I don't, to be honest, my mind is (inaudible) a few places. One, good sleep, that helps with peace. Two, not taking things personally, that could take, I think that could cover a lot of things. Maybe the whole four agreements would create peace and then self love.Rachel Varga 41:29  That's beautiful. What actually builds our confidence when you make a decision and we're happy with those decisions that we're making, or making them out of integrity. People who make really bad decisions, they have to live with guilt and shame, and they have terrible sleep. They're tossing and turning, and they got night sweats. All sorts of stuff goes on in someone's nervous system when they constantly have that guilt and shame, operating in the background. Ask for forgiveness, but move towards operating in integrity in every single thing that you do, you will have more peace because you're making better decisions. I wouldn't I can't picture a monk acting out of integrity, right? That's like against their code. So to have that, I just think it's gorgeous. Not taking things personally is also great. So you're recognizing that not everybody is taking as good care of you. You might have different values or lifestyles or what's important to you. So not taking things personally and just kind of witnessing that everyone's on their own journey, and just let go, but just have that knowing that the decisions you're making are out of integrity, and self love is such a beautiful component to that as well because you're telling your body when you're doing your skincare in the am and pm, you're washing your face, you're putting great things on that aren't toxic, and you're doing a lot of the personal development stuff as well, to be the best human that you can be, to be the best woman partner that success in your career, and just be a light in the world and think that and bring beauty. Literally, I've done this. I've just had a terrible day, something's going on, and I put on a cute outfit, do my hair and makeup, and I go engage with someone. They're like, Wow, you look so pretty today. It was like, it brightens my day. My beauty brightened their day. And then send and receive. I give them a compliment of something that I see is beautiful in them, too.Lesley Logan 43:35  Yeah, oh my gosh. You know, so many good things. And there was like five, five other things I wanted to get to in today's episodes. We're just gonna have to have you back. We're just gonna have to have you back because I was like, really hoping we could talk about, like, is Gua Sha really working? What are the things I should be doing? So we're just gonna have to do this again, and we're gonna take a brief break and find out how people can find you, follow you, work with you. And you already gave us some good stuff, but some Be It Action Items. Lesley Logan 43:58  All right, Rachel, where do they hang out? Where do you hang out? Where can people like stalk you in the best way, get more information, work with you, talk with you, where can we send them?Rachel Varga 44:08  Absolutely, I hang out on Instagram. I love to engage with those who are you? They say yes to themselves. They know they're worth it, and they're curious about some of the different options I share a ton of very entertaining education, like, I shared some sleep stuff like, why (inaudible) sleeps because I took creatine too late after my workout. But how did I hack that not so great sleep? I took a little bit more in the next day because it fires up your ATP, anyways, funny stuff like that. As a biohacker and also in the med spa space is over @RachelVargaOfficial, that's my Instagram handle. And then the podcast, really great show, the School of Radiance podcast. And then theschoolofradiance.com is my website, where you can book a one-on-one. You can join my seasonal skin tutorials, where I actually show you how to do Gua Sha, do your skincare, your makeup, your dermarolling peels, retinols, what rejuvenation is great to do that time of year, so basic and advanced stuff over six weeks, great. Not a YouTube tutorial. It's way better. Lesley Logan 45:13  I'm already in. I'm like, hold on, I need to. Rachel Varga 45:15  Super fun, super fun, right? And then the membership is more of that high level. How do we actually activate this radiance and stuff so we can enjoy our lives better and make more money in the process? Those are the two key metrics you're gonna get benefits from.Lesley Logan 45:30  Amazing. You guys, we have a promo code for you in the show notes and everything, so make sure that you check that out. I already have an appointment booked because I am really excited. And it's, again, not because of it's like, oh, I'm trying to be vain. I'm trying to be something that the world wants. No, it's so that when I look in the mirror, I feel awesome about myself, and I can show up more and more and do all the things. And so I'm just so grateful that our paths crossed. You have given us a lot of great tips. Ladies, get on the creatine. Okay, it's really amazing. There's tons of research. Oh yeah, muscles also, just like, apparently, tons of work on the Alzheimer space, which I'm very excited about. Thank God I've been doing creatine for years. But bold, executable, intrinsic or targeted steps our listeners can take to be it till they see it. What do you have for us? Rachel Varga 46:16  Yeah, the skincare checklist, actually, over at theschoolofradiance.com when you sign up for my newsletter, I have a free 30 minute biohacking lesson too, and use promo code LesleyLogan15 for 15% off of your one-on-one here with m. Creatine, creatine, creatine, yes, high protein, one gram to 1.5 grams of protein per pound of body weight, huge when I started to lift heavy and do those two things, and keep up with the flexibility, mobility that just gave me more inner power, activation, if you will, great for the skin too, and caring for yourself, not just your skincare, not just your rejuvenation, but purifying your environment, air, water, lighting, electromagnetics, eating the right food, then detoxing is a key part, but it's what we do every single day.Lesley Logan 47:07  I love that you brought those things up, because I do a lot of people go on detox all the time, but they don't fix their don't check their water problem. When I lived in L.A., all the water stuff said the pipes were great. Everything is great. You guys, I had arsenic and cadmium in my system. So how, right? So we had to, like, we lived in a 500 square foot apartment and had, like, a $5,000 water system put in, and yes, I took it with me when we moved. But I think it's really important so that you all can support things. Right? These are things you can do at home, with your for yourself and in your environment to help you feel really good. So I am obsessed with these tips. I really am obsessed with you. I can't wait for more conversations together and how people are going to use these tips in your life. You guys, let us know. Tag Rachel Varga, tag the Be It Pod. Share this with the friend who needs to hear it. Sometimes we have friends who are actually overly picking on themselves, and maybe I actually think the words that we talked about here today can really support that and help them understand like, you know what is needed, what is necessary, what is helpful, and then also, if you're starting to feel a little bit out of it yourself, like I, I'm gonna tell you right now, it's really okay to care about how you want to put your hair or how you want to dress, because those things actually help us show up more in the world. And we're we are allowed to take up space. So Rachel, thank you so, so much. And until next time everyone, Be It Till You See It. Lesley Logan 48:23  That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day. Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @BeItPod.Brad Crowell 49:06  It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 49:10  It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 49:15  Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 49:22  Special thanks to Melissa Solomon for creating our visuals. Brad Crowell 49:25  Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time.Support this podcast at — https://redcircle.com/be-it-till-you-see-it/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

*Please note, today's guest will remain anonymous to protect her privacy.“We're supposed to be constant caregivers. And we're supposed to do that even when it makes our lives really difficult...this constant caregiving as what a good person, a good nurse, a good doctor, a good woman, a good mother would do is setting expectations that are just not attainable in modern life.”Alongside the upcoming release of her book, Guilt Free: Reclaiming Your Life from Unreasonable Expectations, on January 27, 2026, Dr. Reid is creating a space for authentic discussions and stories about the experience of guilt across the various roles women inhabit:* As mothers balancing family needs with personal aspirations* As daughters navigating complex family dynamics* As friends trying to show up meaningfully in others' lives* As partners working to maintain healthy relationships* In careers while striving for work-life harmonyIn this episode, she sits down with an ICU nurse who's been through it all: night shifts, day shifts, burnout, and everything in between. She opens up about what it really feels like when you realize, “oh my gosh, I'm burnt out”—and more importantly, the guilt that comes with it.The Comparison Trap“All day, I would be like, so-and-so is handling this so much better than I do,” she shares. “Or how is it that so-and-so not only has time to get her work done, but to help everybody else and is so generous with that help when I am constantly so overwhelmed by my own work?”Sound familiar? We dig into why comparison becomes such a crushing weight and introduce a key framework from the book Guilt Free: guilt is the mismatch between our expectations of ourselves and how well we believe we're meeting them.Find Dr. Reid on Instagram: @jenreidmd, LinkedIn, and YouTubeYou can also preorder Dr. Reid's book, Guilt Free! (If you are in the UK, you can order here and here.)Also check out Dr. Reid's regular contributions to Psychology Today: Think Like a Shrink.Seeking a mental health provider? Try Psychology TodayNational Suicide Prevention Lifeline: 1-800-273-8255Dial 988 for mental health crisis supportSAMHSA's National Helpline - 1-800-662-HELP (4357)-a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.Disclaimer:The views expressed on this podcast reflect those of the host and guests, and are not associated with any organization or academic site. Also, AI may have been used to create the transcript and notes, based only on the specific discussion of the host and guest and reviewed for accuracy.The information and other content provided on this podcast or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.If you or any other person has a medical concern, you should consult with your health care provider or seek other professional medical treatment. Never disregard professional medical advice or delay in seeking it because of something that have read on this website, blog or in any linked materials. If you think you may have a medical emergency, call your doctor or emergency services (911) immediately. You can also access the National Suicide Help Line at 1-800-273-8255 or call 988 for mental health emergencies. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit amindofherown.substack.com

Send us a textJoin Dr. Daphna Yasova Barbeau as she kicks off The Incubator's live coverage from the Children's Hospitals Neonatal Consortium (CHNC) 2025 Symposium in Denver. This opening episode sets the stage for two days of conversations focused on improving care for high-risk infants through data sharing, collaboration, and quality improvement across Level IV NICUs. Daphna introduces the mission behind CHNC and its powerful Children's Hospitals Neonatal Database (CHND)—a resource driving benchmarking and innovation nationwide. Tune in for context, purpose, and the energy that fuels this year's meeting before diving into interviews with CHNC leaders and attendeesSupport the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Get ready for an incredible conversation as we sit down with Andrea Delaney, known to thousands as @youforgotaboutdre across TikTok and Instagram!

What does verticalization therapy look like at the bedside?What does it take to get the entire ICU team engaged in optimizing verticalization beds?Jessica Cafferty, OTR/L and Jennifer Babb, PT, DPT join us to share case studies and insights into verticalization therapy in their ICUs! Get CE for listening to this episode and more! SapienCE Reflecting Learning | Unleash Your Inner Sagewww.DaytonICUConsulting.com

SOFA-2 is here — a major advance in assessing organ dysfunction in critical illness

In this inspiring episode of Moving Medicine Forward,Amanda King, Senior Clinical Scientist at CTI, discusses her remarkable journey from pediatric ICU nurse practitioner to leading-edge oncology researcher. Amanda shares how personal loss fueled her passion for patient-centered careand clinical research, and how her work at the NIH and CTI is shaping the future of medicine. From the complexities of oncology trials to the emotional weight of working with vulnerable patients, Amanda offers a candid look at thechallenges and triumphs of advancing therapeutic options. Whether you're in healthcare or simply curious about the human stories behind medical innovation, this episode is a must-listen.00:30 Meet Amanda King: her background and passionfor patient-centered care. 01:07 Amanda's clinical roots in pediatric ICU andtransition to research. 02:00 Pursuing a PhD and discovering a love forclinical trials at the NIH. 02:34 The motivation behind Amanda's shift toclinical research. 03:34 Why Amanda joined CTI and what drew her toindustry research. 05:10 Amanda's role as a Senior Clinical Scientistand her impact on trial safety. 06:35 Deep dive into Amanda's work at the NIH and theimportance of patient outcomes data. 09:21 Challenges in oncology trials: balancingsafety, complexity, and emotional toll. 11:39 The rewards of working in oncology and Amanda'spersonal connection to cancer research. 13:08 Advice for young people interested in clinicalresearch and the importance of mentorship. 15:14 Amanda's vision for the future of medicine:innovation meets compassion. 16:10 Closing thoughts and how to stay connected withCTI.

Rethinking "default lines" in the ICU

TWS News 1: ICU to NICU – 00:26 Pulling Strings – 3:41 Would You Rather – 8:34 TWS News 2: Grocery Buddy – 11:33 Stryperized Game – 14:32 People’s Challenge – 18:09 Random Acts of Audio: Scammer Car Crash – 21:31 TMI – 23:32 Living Out Faith – 26:04 Rock Report: Tom Brady’s Dog – 31:54 What You Thought Would Be Easy – 34:33 You can join our Wally Show Poddies Facebook group at www.facebook.com/groups/WallyShowPoddies

Welcome to another insightful episode of the Legal Nurse Podcast with your host, Pat Iyer. Today, we're diving into one of the most critical—and challenging—roles nurses play: patient advocacy. Pat Iyer is joined by Catherine Andrades, a seasoned critical care nurse, rapid response team member, ballet instructor, and self-proclaimed houseplant negotiator. Together, they explore not only the ethical foundations that require nurses to advocate fiercely for their patients, but also the complex realities nurses face when standing up for those in their care. In this episode, Catherine Andrades brings real-world experience from the ICU, sharing hard-hitting stories of rapid response scenarios, the dangers of nurse burnout, and the haunting impact of workplace bullying. She and Pat Iyer unpack the power structures within healthcare, how policies sometimes fail at the bedside, and why patient advocacy is more important than ever—especially when facing intimidating colleagues or unresponsive physicians. Listen in as they discuss practical strategies for navigating the chain of command, uncovering hidden patterns in medical records, and protecting both patients and nurses from catastrophic outcomes. Whether you're a nurse, an attorney, or a legal nurse consultant, you'll come away with crucial insights into how advocating for patients isn't just a professional duty—it's a matter of life and death. What you'll learn in this episode on Mastering Money Mindset: Here are five intriguing questions that this podcast answers: Where does the nurse's role as a patient advocate originate, and how is it defined by the American Nurses Association? What are the consequences when nurses fail to act as patient advocates, especially in critical situations? How does bullying or intimidating behavior by physician's impact patient safety and nursing advocacy? What steps should nurses take when a physician does not respond or refuses to assist with an escalating patient emergency? How can legal nurse consultants identify issues of failed advocacy or chain of command breakdowns when reviewing medical records in malpractice cases? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. https://youtu.be/IW7Vpo0vCpc Grow Your LNC Business 12th LNC SUCCESS® ONLINE CONFERENCE November 13, 14 & 15, 2025 Gain Specialized Skills That Attorneys Value Learn advanced techniques in deposition analysis, case screening, and report writing to provide high-impact services that attorneys need and trust. Stay Competitive with Cutting-Edge Strategies Discover how AI tools, LinkedIn marketing, and expert insights can help you streamline your workflow, attract more clients, and position yourself as a top-tier LNC. Build Meaningful Connections with Experts & Peers Network with experienced LNCs, attorneys, and industry leaders who can provide guidance, referrals, and opportunities to grow your legal nurse consulting business. Register now- Limited spots available Your Presenters for Patient Advocacy Under Pressure: Navigating Bullying, Burnout, and Chain of Command in Hospitals Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast, Pat addresses critical challenges that legal nurse consultants face, such as difficulty in landing clients and lack of response from attorneys. Through her insightful episodes, she emphasizes the importance of effectively communicating one's value to potential clients. With a wealth of experience, Pat has empowered countless consultants to overcome these...

Jared Maynard is a Canadian physiotherapist, strength coach, and competitive powerlifter who specializes in resilience through strength training. In January 2023, what began as a mild cold quickly escalated into Secondary Hemophagocytic Lymphohistiocytosis (HLH), a rare and deadly hyper-inflammatory disorder. Despite being strong and healthy, Jared rapidly suffered multi-organ failure, including liver and kidney failure, requiring him to be placed on life support in the ICU for five weeks. Facing fatality odds often described as worse than a coin flip, doctors prepared his family for the worst, but he made a miraculous turnaround, earning him the nickname "Miracle Man" from ICU staff. Jared's survival was critically aided by his years of consistent strength training, with doctors confirming that the 40 pounds of muscle mass he lost served as a vital nutritional reserve during his illness. His harrowing recovery required him to relearn basic functions like walking, talking, and swallowing. Just over a year after leaving the hospital, Jared made a powerful return to the powerlifting platform on May 25, 2024, achieving a lifetime personal record deadlift of 501.5 lbs and a PR DOTS score. Jared continues to compete and uses his story—which includes facing the progressive genetic eye disease, Choroideremia (CHM)—to share the transformative power of strength and inspire others to persevere. Contact Links for Jared Maynard Instagram: @jared.rebuild_stronger Website: https://www.rebuildstrongeronline.com/ Podcast: Rebuild Stronger Podcast Prior Instagram Handle (Now redirecting): @jared.unbreakable_strength   Become an elitefts channel member for early access to Dave Tate's Table Talk podcast and other perks. @eliteftsofficial  Support Dave Tate's Table Talk: FULL Crew Access: https://www.elitefts.com/join-the-crew Limited Edition Apparel -https://www.elitefts.com/shop/apparel... Programs & More -https://www.elitefts.com/shop/dave-ta... TYAO Application -https://www.elitefts.com/dave-tate-s-... Best-selling elitefts Products: Pro Resistance Training Bands: https://www.elitefts.com/shop/bands.html Specialty Barbells: https://www.elitefts.com/shop/bars-we... Wraps, Straps, Sleeves: https://www.elitefts.com/shop/power-g...  Sponsors:  Get an extra 10% OFF at elitefts (CODE: TABLE TALK): https://www.elitefts.com/  Get 10% OFF Your Next Marek Health Labs (CODE: TABLETALK): https://marekhealth.com/  Get a free 8-count Sample Pack of LMNT's most popular drink mix flavors: https://partners.drinklmnt.com/free-g...  Get 10% OFF at Granite Nutrition (CODE TABLETALK): https://granitenutrition.com/?utm_sou...  Support Massenomics! https://www.massenomics.com/  Save 20% on monthly, yearly, or lifetime MASS Research Review (CODE ELITEFTS20): https://massresearchreview.com/  Get 10% OFF RP Hypertrophy App (CODE: TABLE TALK) :https://go.rpstrength.com/hypertrophy...

Send us a textA single pricing decision can change the fate of a company—and the families it serves. Camille sits down with Mary Fusillo, CEO of Family Solutions International, to trace her path from ER nurse and ICU leader to fertility entrepreneur who rethought pricing, unbundled services, and built a national program that gives intended parents real choice without losing the human touch.We walk through the evolution of egg donation, from early, limited options to today's transparent, data-rich matching with deep health histories and video profiles. Mary breaks down who uses donor eggs now—women facing diminished ovarian reserve, single dads, and same-sex couples—and why fresh donor cycles often deliver stronger pregnancy rates than frozen eggs. If you're career-focused and considering kids later, you'll get actionable guidance on timelines, realistic success odds, and the true costs of egg freezing, plus how employer benefits can help. For donors, Mary explains safety, physiology, and the ethical guardrails that cap cycles to protect health and genetic diversity.On the business side, Mary shares the hard-won lessons: why being “the cheapest” slowed growth, how a simple whiteboard session revealed the power of raising prices slightly above average, and how unbundling legal, psych, and escrow fees clarified value while improving margins. Cutting credit card fees, automating CRM touchpoints, and keeping interviews personal turned a scrappy startup into a trusted resource. She also opens up about boundaries, timers, and a weekend ritual of real rest that kept her present for her twins and resilient through 18 years of entrepreneurship.If you're building a service brand or navigating fertility choices, this conversation blends strategy, science, and empathy. Hit follow, share with a friend who needs it, and leave a quick review—your support helps more people find clear answers and the courage to value their work.

Join Cyrus & Nick as the FINALLY tackle mechanical ventilation. In this episode - first of many we suspect - we lay the foundations for mechanical ventilation. If you stick with us through this one you'll come away with a great introduction to vents to include why we use them, what we adjust, and about a number of the primary vent modes you'll likely seen in your ICU. We've got something for everyone with this episode so please give it a listen and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.

In this episode of the NCS Podcast Perspectives series, Nicholas Morris, MD, speaks with Andrew Kofke, MD, emeritus professor of anesthesiology and critical care at the University of Pennsylvania. Dr. Kofke reflects on his remarkable path from a teenage ambulance volunteer to a pioneering leader in neuroanesthesia and neurocritical care. He discusses the origins of Penn's neuro ICU program, his collaborations with influential figures like Peter Safar and Alan Ropper and his research on cerebral blood flow and opioid neurotoxicity. Dr. Kofke also shares insights on the evolution of multimodal neuroprotection, the future of noninvasive cerebral monitoring and how curiosity and physiology have guided his decades-long career. The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.

A burned map with the target house circled. A blackened hunting knife in a roadside ash ring. And a timeline that narrows to minutes before a panicked evidence dump. We take you from Bonnie Von Stein's bandaged hospital bed to a midnight search on a rural road, where a farmer's tip turns a hazy home invasion into a meticulously planned attack.We walk through the Sunday night dinner that anchors the timeline, the medical details that undermine a simple narrative, and the tension around who could have known about a recent inheritance, a planned shift to Treasuries, and a life insurance stack that now looms large. Bonnie opens up about money, keys, and house routines; the detectives track painters, housekeepers, lawn crews, and a pet sitter with a key. Then the evidence shifts the ground: charred jeans, a Reebok sole, and two sheets of paper, one a hand-drawn map of Smallwood with Lawson Road labeled and the Von Stein address marked. The attack looks planned by someone unfamiliar with the neighborhood and hurried enough to leave the knife and map where a passing farmer might notice a fire.As storms roll over a packed chapel, the investigation grinds on. A missing blunt weapon suggests a second dump site; a daylight grid search comes up empty. Relatives worry that Chris and Angela seem oddly calm; a peer describes Chris as fragile, unlucky, and rumored to use drugs. Nothing proves involvement, but the fire's timing, the map's intent, and the drive toward Raleigh tighten the circle. Through it all, Bonnie cooperates fully, even providing a blood sample, while her doctor expects a quick discharge and treats her as a victim without hesitation.This chapter is about planning, proximity, and the secrets that make or break a case. Follow the evidence from ICU to asphalt and decide what matters most: the money trail, the map, or the missing club. If this deep dive gripped you, follow the show, share it with a friend, and leave a review telling us which clue you think the detectives should chase next.Send us a text Support the show

Lessons from Rwanda's Marburg Virus Outbreak and Building Resilient Systems in Global EM. Hosts: Tsion Firew, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Marburg_Virus.mp3 Download Leave a Comment Tags: Global Health, Infectious Diseases Show Notes Context and the Rwanda Marburg Experience The Threat: Marburg Virus Disease is from the same family as Ebola and has historically had a reported fatality rate as high as 90%. The Outbreak (Sept. 2024): Rwanda declared an MVD outbreak. The initial cases involved a miner, his pregnant wife (who fell ill and died after having a baby), and the baby (who also died). Healthcare Worker Impact: The wife was treated at an epicenter hospital. Eight HCWs were exposed to a nurse who was coding in the ICU; all eight developed symptoms, tested positive within a week, and four of them died. The Turning Point: The outbreak happened in city referral hospitals where advanced medical interventions (dialysis, mechanical ventilation) were available. Rapid Therapeutics Access: Within 10 days of identifying Marburg, novel therapies (experimental drugs and monoclonal antibodies) and an experimental vaccine were made available through diplomacy with the US government/CDC and agencies like WHO, Africa CDC, CEPI and more. The Outcome: This coordinated effort—combini...

 Confused About Hormones or HRT? Dr. Nicole Lovat Helps You Navigate Midlife Health with Confidence and Clarity  Midlife health is not one-size-fits-all — and “normal” doesn't always mean optimal. When you understand your hormones, you can advocate for care that helps you feel your best — inside and out. 

On Episode 89 of Astonishing Healthcare, we are talking about some "visual treats," as the title suggests! Our guest, Andrew Tsang, has been posting some very cool things on LinkedIn of late, including Sankey and other dynamic charts highlighting where the money flows in healthcare (from the premium dollars to the care plan members receive), and which stakeholders win or lose in different scenarios via a 5-Way Seesaw he developed using AI! If you're a [healthcare] data nerd, this episode is definitely for you, and you'll want to check out:How many layers are between your employer's healthcare dollars and care? on LinkedIn (you can see where every $100 an employer spends goes!)What would happen if power actually shifted in healthcare? on LinkedIn (5-Way Seesaw)Andrew discussed how and why:A significant portion of the healthcare premium is consumed by administrative layers and middlemen before ever funding patient care.Employers can combat wasteful spending by demanding full access to their claims data, then identifying and eliminating things that extract value from their plans (or don't work for their populations).Integrated care models (like Kaiser Permanente) and direct primary care help eliminate friction by aligning provider and payer incentives, allowing doctors to focus on practicing medicine (vs. revenue cycle management).New technologies like AI-powered prior authorizations may reduce administrative costs for payers but risk creating new burdens for providers and patients, if we're not careful.Hospitals face a fundamental conflict: core, life-saving services like ICU and emergency care are often unprofitable and must be cross-subsidized by higher-margin procedures.Related ContentHow to obtain Rx data and what to do with itAH030 - Plan Sponsors Need a Source of Truth; Get Your Data Now & Find It, with Jeff HoganCapital Rx Unveils Healthcare's First Unified Pharmacy and Medical Claims Processing PlatformPharmacy Benefits 101: Prior AuthorizationsAH048 - High-Cost Orphan Drugs, Securing Claims Data, and More, with Dr. Eric BrickerFor more content and information about this episode, including the show notes and transcript, please visit Judi Health - Insights.

This week's episode is a special cross-over with CMDA's Voice of Advocacy podcast, hosted by Dr. Brick Lantz, CMDA's Vice President of Advocacy and Bioethics. Joined by Dr. Gary Ott, a renowned cardiac transplant surgeon at Providence Heart and Vascular Clinic, they explore the ethical boundaries of life, death, and medical innovation – examining how we define death in the ICU era, the differences between brain death and donation after circulatory death (DCD), and how emerging technologies like “heart-in-a-box” systems and normothermic regional perfusion (NRP) are reshaping transplant medicine. With decades of experience and deep faith, Dr. Ott challenges us to uphold the sanctity of life and reflects on the Gospel image at the heart of transplantation – one life given so another may live.

In this hauntingly hillarious episode, The Gritty Nurse, Amie Archibald-Varley and guest Co-Host, Matthew Shepherd, discuss why every nurse has a ghost story and the rituals nurses follow religiously. From haunted hospital basements to eerie night shifts, this Halloween special explores the myths, rituals, and real-life experiences that make the nursing profession both fascinating and frightening. Tune in for a mix of humor, horror, and heartfelt stories that will leave you questioning what goes bump in the night. Did you have an unlucky room? Do you prepare a room when a code is called in the emerge and you work in ICU? Tell us your rituals or if you have a ghost story or heard one! Please Like and SUBSCRIBE on Apple Podcasts and Youtube!! Takeaways Every nurse has a ghost story. Nursing rituals often serve as coping mechanisms. The 'Q word' is taboo on night shifts. Full moons are believed to affect hospital activity. The rule of threes is a common superstition. Some hospital rooms are deemed unlucky. Opening windows for spirits is a practiced ritual. Nurses' intuition is a valuable tool. Shared experiences create community among nurses. Humor helps nurses cope with the supernatural. Where to Listen / Watch * Listen on Apple Podcasts – : The Gritty Nurse Podcast on Apple Apple Podcasts  https://podcasts.apple.com/ca/podcast/the-gritty-nurse/id1493290782 * Watch on YouTube –  https://www.youtube.com/@thegrittynursepodcast Thank you to Hospital News for being a collaborative partner with the Gritty Nurse! www.hospitalnews.com   

SOFA-2, validated in more than 3 million intensive care unit (ICU) patients, incorporates contemporary organ support treatments, showing strong predictive validity for ICU mortality in diverse international settings. Coauthor Mervyn Singer, MD, joins JAMA Associate Editor Christopher W. Seymour, MD, MSc, to discuss. Related Content: Rationale and Methodological Approach Underlying the Development of the Sequential Organ Failure Assessment (SOFA)–2 Score Development and Validation of the Sequential Organ Failure Assessment (SOFA)-2 Score A Revision to Organ Failure Assessment in Critically Ill Patients

Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Dr. Andrew Lee, Vice President, Clinical Research at Uniquity Bio, about Thymic Stromal Lymphopoietin (TSLP) and eosinophilic esophagitis (EOE). Disclaimer: The information provided in this podcast is designed to support, not replace, the relationship between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:49] Co-host Ryan Piansky introduces the episode, brought to you thanks to the support of Education Partners Bristol Myers Squibb, GSK, Sanofi, Regeneron, and Takeda. Ryan introduces co-host Holly Knotowicz.   [1:13] Holly introduces today's topic, Thymic Stromal Lymphopoietin (TSLP) and eosinophilic esophagitis (EOE), and today's guest, Dr. Andrew Lee, Vice President, Clinical Research at Uniquity Bio.   [1:36] Dr. Lee has nearly 20 years of experience in the clinical development of new vaccines, biologics, and drugs. Holly welcomes Dr. Lee.   [1:52] Dr. Lee trained in internal medicine and infectious diseases.   [1:58] Dr. Lee has been fascinated by the immune system and how it can protect people against infections, what happens when immunity is damaged, as in HIV and AIDS, and how to apply that knowledge to boost immunity with vaccines to prevent infections.   [2:16] Dr. Lee led the clinical development for a pediatric combination vaccine for infants and toddlers. It is approved in the U.S. and the EU.   [2:29] Dr. Lee led the Phase 3 Program for a monoclonal antibody to prevent RSV, a serious infection in infants. That antibody was approved in June 2025 for use in the U.S.   [2:44] In his current company, Dr. Lee leads research into approaches to counteract an overactive immune system. They're looking at anti-inflammatory approaches to diseases like asthma, EoE, and COPD.   [2:58] Dr. Lee directs the ongoing Phase 2 studies that they are running in those areas.   [3:28] Dr. Lee sees drug development as a chance to apply cutting-edge research to benefit people. He trained at Bellevue Hospital in New York City in the 1990s.   [3:40] When Dr. Lee started as an intern, there were dedicated ICU wards for AIDS patients because many of the sickest patients were dying of AIDS and its complications.    [3:52] Before the end of Dr. Lee's residency, they shut down those wards because the patients were on anti-retroviral medications and were doing so well that they were treated as outpatients. They didn't need dedicated ICUs for AIDS patients anymore.   [4:09] For Dr. Lee, that was a powerful example of how pharmaceutical research and drug regimen can impact patients' lives for the better by following the science. That's what drove Dr. Lee to go in the direction of research.   [4:48] Dr. Lee explains Thymic Stromal Lymphopoietin (TSLP). TSLP serves as an alarm signal for Type 2 or TH2 inflammation, a branch of the immune responses responsible for allergic responses and also immunity against parasites.   [5:17] When the cells that line the GI tract and the cells that line the airways in our lungs receive an insult or an injury, they get a danger signal, then they make TSLP.   [5:28] This signal activates other immune cells, like eosinophils and dendritic cells, which make other inflammatory signals or cytokines like IL-4, IL-13, and IL-5.   [5:47] That cascade leads to inflammation, which is designed to protect the body in response to the danger signal, but in some diseases, when there's continued exposure to allergens or irritants, that inflammation goes from being protective to being harmful.   [6:15] That continued inflammation, over the years, can lead to things like the thickened esophagus with EoE, or lungs that are less pliant and less able to expand, in respiratory diseases.   [6:48] Dr. Lee says he thinks of TSLP as being a master switch for this branch of immune responses. If you turn on TSLP, that turns on a lot of steps that lead to generating an allergic type of response.   [7:06] It's also the same type of immune response that can fight off parasite infections. It's the first step in a cascade of other steps generating that type of immune response.   [7:30] Dr. Lee says people have natural genetic variation in the genes that incur TSLP.   [7:38] Observational studies have found that some people with genetic variations that lead to higher levels of TSLP in their bodies had an increased risk for allergic inflammatory diseases like EoE, atopic dermatitis, and asthma.   [8:13] Studies like the one just mentioned point to TSLP being important for increased risk of developing atopic types of diseases like EoE and others. There's been some work done in the laboratory that shows that TSLP is important for activating eosinophils.    [8:38] There's accumulating evidence that TSLP activation leads to eosinophil activation, other immune cells, or white blood cells getting activated.   [9:07] Like a cascade, those cells turn on T-cells and B-cells, which are like vector cells. They lead to direct responses to fight off infections, in case that's the signal that leads to the turning on TSLP.   [9:48] Ryan refers to a paper published in the American Journal of Gastroenterology exploring the role of TSLP in an experimental mouse model of eosinophilic esophagitis. Ryan asks what the researchers were aiming to find.   [10:00] Dr. Lee says the researchers were looking at the genetic studies we talked about, the observational studies that are beginning to link more TSLP with more risk for EoE and those types of diseases.   [10:12] The other type of evidence that's accumulating is from in vitro (in glass) experiments or test tube experiments, where you take a couple of cells that you think are relevant to what's going on.   [10:28] For example, you could get some esophageal cells and a couple of immune cells, and put TSLP into the mix, and you see that TSLP leads to activation of those immune cells and that leads to some effects on the esophageal cells.   [10:42] Those are nice studies, but they're very simplified compared to what you can do in the body. These researchers were interested in extending those initial observations from other studies, but working in the more realistic situation of a mouse model.   [11:00] You have the whole body of the mouse being involved. You can explore what TSLP is doing and model a disease that closely mimics what's happening with EoE in humans.   [12:23] They recreated the situation of what seems to be happening in EoE in people. We haven't identified it specifically, but there's some sort of food allergen in patients with EoE that the immune system is set off by.   [12:55] What researchers are observing in this paper is that in these mice that were treated with oxazolone, there is inflammation in the esophagus, an increase in TSLP levels, and eosinophils going into the esophageal tissues.   [13:15] Dr. Lee says, that's one of the main ways we diagnose EoE; we take a biopsy of the esophagus and count how many eosinophils there are. Researchers saw similar findings. The eosinophil count in the esophageal tissues went way up in these mice.    [13:34] Researchers also saw other findings in these mice that are very similar to EoE in humans, such as the esophageal cells lining the esophagus proliferating. They even saw that new blood vessels were being created in that tissue that's getting inflamed.   [14:00] Dr. Lee thinks it's a very nice paper because it shows that correlation: Increase TSLP and you see these eosinophils going to the esophagus, and these changes that are very reminiscent of what we see in people with EoE.   [14:51] In this paper, the mice made the TSLP, and researchers were able to measure the TSLP in the esophageal tissue. The researchers didn't introduce TSLP into the mice. The mice made the TSLP in response to being repeatedly exposed to oxazolone.   [15:20] That's key to the importance of the laboratory work. The fact that the TSLP is made by the mice is important. It makes it a very realistic model for what we're seeing in people.   [15:41] In science, we like to see correlation. The researchers showed a nice correlation.   [15:46] When TSLP went up in these mice, and the mice were making more TSLP on their own, at the same time, they saw all these changes in the esophagus that look a lot like what EoE looks like in people.    [16:01] They saw the eosinophils coming into the esophagus. They saw the inflammation go up in the esophagus. What Dr. Lee liked about this paper is that they continued the story.   [16:15] The researchers took something that decreases TSLP levels, an antibody that binds to and blocks TSLP, and when they did that, they saw the TSLP levels come down to half the peak level.   [16:35] Then they saw improvement in the inflammation in the esophagus. They saw that the amount of eosinophils decreased, and the multiplication of the esophageal cells went down. The number of new blood vessels went down after the TSLP was reduced.   [16:53] Dr. Lee says, you see correlation. The second part is evidence for causation. When you take TSLP away, things get better. That gives us a lot of confidence that this is a real finding. It's not just observational. There is causation evidence here.   [18:26] Ryan asks if cutting TSLP also help reduce other immune response cells. Dr. Lee says TSLP is the master regulator for this Type 2 inflammation. It definitely touches and influences other cells besides eosinophils.   [18:44] TSLP affects dendritic cells, which are an important type of immune cell, like a coordinating cell that instructs other cells within the immune system what to do. In this paper, they looked at a lot of other effects of TSLP on the tissues of the body.   [19:10] Dr. Lee says, There's a lot of research on TSLP, and one of the reasons we're excited about the promise of TSLP is that it's so far upstream; so much of the beginning, that it's affecting other cells.   [19:29] Its effects could be quite broad. If we're able to successfully block TSLP, we could block a lot of different effects.   [19:40] One treatment for EoE is dupilumab, which blocks IL-4 and IL-13 specifically, and that works well, but TSLP has the potential to have an even greater effect than blocking IL-4 and IL-13, since it is one step before turning on IL-4 and IL-13.    [20:14] That's one of the reasons researchers are excited about the promise of blocking TSLP. There are studies ongoing of TSLP blockers in people with EoE.   [20:34] Ryan asks if there are negative repercussions from blocking TSLP. Dr. Lee says in this study and in people, we are not completely blocking TSLP by any means. There will still be residual TSLP activated, even with very potent drugs.   [21:01] In the study, they block TSLP about 50%‒60%. TSLP is involved in immunity against parasites. In studies with people, they make sure not to include anybody who has an active parasitic infection. A person under treatment should not be in a study.   [21:27] Dr. Lee says we haven't seen any problems with parasitic infections becoming more severe, but that is a theoretical possibility, so for that reason, in studies with TSLP blockers, we generally exclude patients with known parasitic infections.   [22:17] What excited Dr. Lee in this paper was that they showed that when you block TSLP in the mice, then you get real effects in their tissues. Eosinophils went away. The thickening of the basal layers in the esophagus got much better.   [22:38] That kind of real effect reflected in the tissue is super exciting to see. That gives us more confidence that this could work in people, since we're seeing it in a realistic whole-body model in the mice.   [23:12] Dr. Lee says there are ongoing clinical studies on TSLP blockers for EoE. His company is studying an antibody that blocks TSLP in eczema, COPD, and EoE. One of the exciting things about immunology is that it affects many different parts of the body.   [23:42] EoE is associated with other immune-type disorders. There's a high percentage of patients with EoE who have other diseases. EoE coexists with asthma, atopic dermatitis, and chronic rhinitis.   [24:09] It's exciting that if you figure out something that's promising for one disease that TSLP affects, it could have very broad-ranging implications for a variety of diseases.   [24:22] Ryan shares his experience of his doctor talking to him about a TSLP blocker, tezepelumab, as a potential option when it's out of clinical trials. It would target something a little higher up the chain and help with some of his remaining symptoms.   [24:59] Ryan is excited to hear that this research is so encouraging and how it could potentially help treat EoE, asthma, and other conditions, all at once.   [25:16] Dr. Lee says that being in these later-stage studies is super exciting. If these late-stage trials are successful, the next step is to apply for regulatory approval with the various agencies around the world.   [26:40] Dr. Lee shares one takeaway for listeners to remember. Think of TSLP as an alarm that turns on inflammation. He compares TSLP to turning on an alarm during a robbery. There are multiple steps designed to protect the bank and the money.   [27:20] To extend that analogy, with TSLP, once you turn it on, all these other steps are going to happen. Inflammation is designed to protect the body. It's a protective response. If there's an infection, it can clear the infection.   [27:38] If the infection persists, as in HIV, the immune response, which is protective and beneficial, eventually becomes damaging. It becomes dysfunctional. In EoE, if you continually eat the allergic food, the inflammation becomes damaging to the esophagus.   [28:27] Long-term inflammation leads to replacing the normal esophageal tissue with fibrotic tissue, and that's why the esophagus eventually gets hardened and less able to let the food go through.   [28:40] In respiratory diseases, the soft tissue of the lung gets replaced with thicker tissue, and the lung is not able to expand.   [28:54] Dr. Lee says he people to think about TSLP as this master alarm switch. We hope that if you could turn off that TSLP, you could then avoid a lot of the complications that we see with chronic inflammation in these conditions.   [29:14] We're hopeful that you could even take away the symptoms that you see in these diseases, make patients feel better, and with extended treatment, you could begin to reverse some of the damage resulting from inflammation.   [29:32] Ryan likes that analogy and how Dr. Lee has concisely explained these complicated concepts.   [29:51] Dr. Lee thanks Holly and Ryan and adds one more plea to listeners. Please consider getting involved with research. Clinical trials cannot be done without patients. We need patients to advance new treatments.   [30:27] Researchers like Dr. Lee spend a lot of time thinking about how to make the studies not only informative but also fair to patients who decide to become involved. It's a lot of work and a fair amount of time commitment.   [30:44] If you don't want to be in a study, you can help by being on a patient feedback panel and reviewing protocols and informed consents. Follow your interests. Think about getting involved with research, however you can.   [31:06] Ryan and Holly are very grateful for the community, with so many wonderful clinicians and researchers, and so many patients who are willing to volunteer their time and their data to help researchers find better solutions going forward.   [31:26] Ryan thanks Dr. Lee for coming on and putting out that call to action. It's a great reminder for listeners and the patients in the community to look for those opportunities. Chat with your physician. Go to APFED's website. There's a link to active clinical trials.   [31:47] For our listeners who want to learn more about eosinophilic disorders, we encourage you to visit apfed.org and check out the links in the show notes below.   [31:53] For those looking to find specialists who treat eosinophilic disorders, we encourage you to use APFED's Specialist Finder at apfed.org/specialist.   [32:01] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at apfed.org/connections.   [32:11] Ryan thanks Dr. Andrew Lee for joining us today. We learned a lot. Holly also thanks APFED's Education Partners Bristol Myers Squibb, GSK, Sanofi, Regeneron, and Takeda for supporting this episode.   Mentioned in This Episode: Andrew Lee, M.D., VP Clinical Research, Uniquity Bio   "A Mouse Model for Eosinophilic Esophagitis (EoE)" Current Protocols, Wiley Online Library   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/specialist apfed.org/connections apfed.org/research/clinical-trials   Education Partners: This episode of APFED's podcast is brought to you thanks to the support of Bristol Myers Squibb, GSK, Sanofi, Regeneron, and Takeda.   Tweetables:   "I see drug development as a chance to apply cutting-edge research to benefit people." — Andrew Lee, M.D.   "When the cells that line the GI tract and the cells that line the airways in our lungs receive an insult or an injury, they get a danger signal, then they make TSLP." — Andrew Lee, M.D.   "Observational studies have found that some people with genetic variations that lead to higher levels of TSLP in their bodies had an increased risk for allergic inflammatory diseases like EoE, atopic dermatitis, and asthma." — Andrew Lee, M.D.   "There's a lot of research on TSLP, and one of the reasons we're excited about the promise of TSLP is that it's so far upstream; so much of the beginning, that it's affecting other cells." — Andrew Lee, M.D.   "Please consider getting involved with research. We can't do these clinical trials without patients. We need patients to advance new treatments for patients." — Andrew Lee, M.D.

Biden's Afghanistan blunder allows the GOP to pivot away from their election insanity and escape culpability from the real story. Mass death is coming to MAGA country. ICU's are full and health care systems on verge of collapse. Kurt Eichenwald joins Mea Culpa to discuss it all. 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

In this episode, you'll discover:How to tell the difference between your thoughts and your higher self speakingWhy time isn't linear and what that means for healing this lifetimeWhat actually happens when you access the part of you that remembers everythingWhat if you've been having the same conversation across multiple lifetimes, and you just don't remember?Your higher self does. It remembers every version of you that ever existed. Every life you've lived. Every person you've loved or hurt or learned from. It chose the body you're in right now. It picked your parents, your challenges, the exact circumstances that would force you to grow. And it's been trying to talk to you this entire time.Most people think the subconscious is just the part of your brain that stores habits and childhood memories. But Dolores Cannon discovered something else entirely. A level of consciousness that exists outside of time. That can access any moment that ever was or ever will be. She called it the subconscious because she didn't have another word for it. But it's nothing like what psychology describes. It's the part of you that's eternal.Today our guest is Julia Cannon, daughter of Dolores Cannon and the woman who worked alongside her mother to develop and teach Quantum Healing Hypnosis Technique worldwide. Julia spent decades as an ICU and home health nurse before being pulled into the world her mother created, bringing both medical expertise and spiritual depth to this work.Links from the episode:Show Notes: mindlove.com/425Join the Mind Love CollectiveSign up for The Morning Mind Love for short daily notes to wake up inspiredSupport Mind Love SponsorsSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

How to take charge of your health, build muscle, and prevent disease — for life. What if you could detect disease years before symptoms appear?

We've all heard the phrase breast is best. But is it really that simple? In this episode, I sit down with an expert to talk honestly about what the research actually says about breastfeeding and where the science gets murky. We break down what's fact, what's myth, and why so much of the “breast is best” messaging comes from data that's more correlation than causation. From IQ to obesity to immune health, we unpack what studies really measure (and what they don't). I also share my own story as a pediatrician who planned to breastfeed but ended up formula-feeding my son after a difficult birth and ICU stay. That experience shaped how I talk to parents today because feeding your baby should never come with shame. We discuss: Why most breastfeeding research isn't based on randomized trials How socioeconomic factors shape the data we see on long-term “benefits” The difference between short-term and long-term outcomes What sibling studies tell us about IQ, weight, and immunity Why guilt over feeding choices can actually take away from connection The importance of supporting all feeding journeys—breast, bottle, or both Want more? Listen to the full, original episode. Our podcasts are also now on YouTube. If you prefer a video podcast with closed captioning, check us out there and ⁠subscribe to PedsDocTalk⁠. Get trusted pediatric advice, relatable parenting insights, and evidence-based tips delivered straight to your inbox—join thousands of parents who rely on the PDT newsletter to stay informed, supported, and confident. ⁠⁠⁠⁠Join the newsletter⁠⁠⁠⁠! And don't forget to follow ⁠⁠⁠⁠@pedsdoctalkpodcast⁠⁠⁠⁠ on Instagram—our new space just for parents looking for real talk and real support. We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on the ⁠PedsDocTalk Podcast Sponsorships⁠ page of the website.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

Show notes at pharmacyjoe.com/episode1073. In this episode, I'll discuss 5 steps an ED or ICU pharmacist can take to prevent awareness with paralysis. The post 1073: How an ED or ICU pharmacist can help prevent awareness with paralysis appeared first on Pharmacy Joe.

We've all heard the phrase breast is best. But is it really that simple? In this episode, I sit down with an expert to talk honestly about what the research actually says about breastfeeding and where the science gets murky. We break down what's fact, what's myth, and why so much of the “breast is best” messaging comes from data that's more correlation than causation. From IQ to obesity to immune health, we unpack what studies really measure (and what they don't). I also share my own story as a pediatrician who planned to breastfeed but ended up formula-feeding my son after a difficult birth and ICU stay. That experience shaped how I talk to parents today because feeding your baby should never come with shame. We discuss: Why most breastfeeding research isn't based on randomized trials How socioeconomic factors shape the data we see on long-term “benefits” The difference between short-term and long-term outcomes What sibling studies tell us about IQ, weight, and immunity Why guilt over feeding choices can actually take away from connection The importance of supporting all feeding journeys—breast, bottle, or both Want more? Listen to the full, original episode. Our podcasts are also now on YouTube. If you prefer a video podcast with closed captioning, check us out there and ⁠subscribe to PedsDocTalk⁠. Get trusted pediatric advice, relatable parenting insights, and evidence-based tips delivered straight to your inbox—join thousands of parents who rely on the PDT newsletter to stay informed, supported, and confident. ⁠⁠⁠⁠Join the newsletter⁠⁠⁠⁠! And don't forget to follow ⁠⁠⁠⁠@pedsdoctalkpodcast⁠⁠⁠⁠ on Instagram—our new space just for parents looking for real talk and real support. We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on the ⁠PedsDocTalk Podcast Sponsorships⁠ page of the website.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

Chapters00:00 - Intentions Behind the Book02:23 - The Journey of Eleanorah06:13 - Patterns of Identity and Belonging09:41 - Navigating Relationships and Growth14:19 - The Battlefield of Nursing22:18 - The Complexity of Life and Death25:50 - Embracing Uncertainty and Questions30:13 - Finding Home Within Oneself33:44 - The Healing Power of Writing---Thank you for reading this article or listening to the podcast. I greatly appreciate all of you who engage with and listen to what I share. If you'd like to support the work I do, you can leave a 5-star review on either Apple or Spotify, or head to the Uncomfortably, Beautifully Human Substack using the link below, where you'll find more poetry, meditations, and much more.Out guest today is Mariah Friend.Mariah is a poet, former ICU nurse, and creator of Heartbeats—a nurturing community where creative caregivers find their rhythm and permission to honor all of life's seasons as sacred. Drawing from her experiences with grief, motherhood, and professional burnout, she accompanies others through life's natural cycles with compassion and intuitive wisdom as a peer, never an expert. In her work as a community builder, tarot reader, and creativity champion, Mariah creates spaces where the "both/and" of the human experience is honored: joy intertwined with grief, rest alongside creation, solitude beside belonging. Like nature, she believes our lives ebb and flow in cycles with opportunities to embrace and embody their distinct wisdom.Through seasonal journal prompts, Connection Circles, and creative championing, she creates authentic, welcoming spaces to remember and celebrate our belonging while sharing tools and resources to collaborate, circulate abundance, and cultivate generous reciprocity. We were never meant to navigate the journey alone. Mariah invites you to join Heartbeats and discover your resonance with the pulse of life.Connect with Mariah & the Heartbeat's Communityhttps://thebarefootbeat.substack.com/www.thebarefootbeat.comhttps://www.instagram.com/mariah.m.friend---what theme would you like me to share a poem or conversation about next week? Let me know in the comments or reaching out to me my email emma@emmaevelyncampbell.com

What happens when doctors stop healing and start judging? Imagine walking into a hospital with your sick child and being told, “Sorry, you didn't comply — no treatment.” It sounds dystopian, but this terrifying “comply or die” mindset is quietly creeping into modern healthcare. In this episode, we expose how politics, moral grandstanding, and cancel culture are rewriting the Hippocratic Oath. Studio Sponsor: Cardio Miracle - "Unlock the secret to a healthier heart, increased energy levels, and transform your cardiovascular fitness like never before.": CardioMiracle.com/TBNS Medicine used to be about one simple principle: care for the person in front of you. But now? Some healthcare professionals openly admit they're “out of compassion” for patients who think differently, vote differently, or reject certain treatments. This isn't medicine — it's moral policing with a stethoscope. We dive deep into the stories that prove it — from doctors refusing patients over vaccine status to hospitals debating ICU priority based on compliance. Brian connects the dots between compassion fatigue, political tribalism, and the erosion of trust that's leaving millions afraid to even see a doctor. But this isn't just about COVID. It's about where this thinking leads next — because once care becomes conditional, no one is safe. Today it's the unvaccinated. Tomorrow it could be your lifestyle, your politics, or your faith. The line keeps moving, and it's time to say enough. By the end of this episode, you'll see exactly how we got here — and how we can fix it. From restoring medical ethics to defending the right to care for everyone, this conversation isn't just about saving patients… it's about saving the soul of healthcare itself. ❤️ Order Cardio Miracle (CardioMiracle.com/TBNS) for 15% off and take a step towards better heart health and overall well-being!

Reasa Selph, mother, and advocate for patient safety. In December 2023, her 11-year-old son, Nicholas, was discharged from a Dallas-area ER despite clear signs of sepsis. Just two days later, he collapsed in septic shock and spent over a month in the pediatric ICU at Cook Children's, undergoing multiple surgeries to save his life. Today, Nicholas is 12 and living with permanent injuries that changed the course of his young life. What happened to him was preventable, and she has turned her family's experience into a mission: raising awareness about sepsis, fighting for hospital accountability, and empowering parents to advocate for their children in moments of crisis. Website: https://reasaspieces.com/ Facebook: https://www.facebook.com/FightForNicholas You may also contact him through email, Jamesperduespeaks@comcast.net

Christian Balmer, an anesthesiologist and critical care doctor from Switzerland, joins us to look at the readiness of surgical teams in his organization to recognize and deal with cases that have gone beyond the capacity of the peripheral center to handle. Far from being a readiness plan around technical skills, the team discovers that it is the gray areas between intersecting teams and intersection institutions where the process of caring for the patient breaks down. Do the ICU teams at both hospitals agree about when is the right time to transfer the patient? Do the surgeons have training on stepping back and declaring that there is a crisis that needs to be managed via transport? Are there communication plans in place to make sure that the ICU has available beds, and to help the main hospital trust that when the peripheral group sends a patient, that patient has a real need for the ICU bed? Finally, we discuss aligning training programs from healthcare schools all the way to the hospital—if health systems are looking for teams that can talk to one another, work with patients, and provide care in a particular way, how can we make sure that the schools that are training future healthcare workers are in communication and prioritizing the skills and ability to learn that they will need to be ready for the job? -------------- Host & Co-Producer: Chris Roussin, PhD, Senior Director, CMS-ALPS (https://harvardmedsim.org/chris-roussin/) Producer: James Lipshaw, MFA, EdM, Assistant Director, Media (https://harvardmedsim.org/james-lipshaw/) Consulting and readiness with CMS-ALPS: https://harvardmedsim.org/alps-applied-learning-for-performance-and-safety Readiness Planning in Advances in Simulation: https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-024-00317-z Dare to Be Ready on Spotify: https://open.spotify.com/show/72gzzWGegiXd9i2G6UJ0kP Dare to Be Ready on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-center-for-medical-simulation/id1279266822

What happens when doctors stop healing and start judging? Imagine walking into a hospital with your sick child and being told, “Sorry, you didn't comply — no treatment.” It sounds dystopian, but this terrifying “comply or die” mindset is quietly creeping into modern healthcare. In this episode, we expose how politics, moral grandstanding, and cancel culture are rewriting the Hippocratic Oath.Studio Sponsor: ⁠Cardio Miracle⁠ - "Unlock the secret to a healthier heart, increased energy levels, and transform your cardiovascular fitness like never before.": ⁠CardioMiracle.com/TBNS⁠Medicine used to be about one simple principle: care for the person in front of you. But now? Some healthcare professionals openly admit they're “out of compassion” for patients who think differently, vote differently, or reject certain treatments. This isn't medicine — it's moral policing with a stethoscope.We dive deep into the stories that prove it — from doctors refusing patients over vaccine status to hospitals debating ICU priority based on compliance. Brian connects the dots between compassion fatigue, political tribalism, and the erosion of trust that's leaving millions afraid to even see a doctor.But this isn't just about COVID. It's about where this thinking leads next — because once care becomes conditional, no one is safe. Today it's the unvaccinated. Tomorrow it could be your lifestyle, your politics, or your faith. The line keeps moving, and it's time to say enough.By the end of this episode, you'll see exactly how we got here — and how we can fix it. From restoring medical ethics to defending the right to care for everyone, this conversation isn't just about saving patients… it's about saving the soul of healthcare itself. Order ⁠Cardio Miracle⁠ (⁠CardioMiracle.com/TBNS⁠) for 15% off and take a step towards better heart health and overall well-being!Submit Listener Questions to ⁠brian@briannicholsshow.com⁠ to hear your questions and perspectives answered and shared each and every week! WATCH The Brian Nichols Show, available on ⁠YouTube⁠ & ⁠Rumble⁠. With over 1030 episodes featuring local candidates, elected officials, economists, CEOs, and more, each show educates, enlightens, and informs.Follow Brian on social media: X.com/Twitter ⁠(https://www.briannicholsshow.com/twitter⁠) & Facebook (⁠https://www.briannicholsshow.com/facebook⁠) Don't forget to like, share, and subscribe to ⁠The Brian Nichols Show ⁠for more captivating interviews and insights into common sense solutions for local problems! Learn more about your ad choices. Visit megaphone.fm/adchoices

In this deeply moving listener story episode, Kayleigh is joined by Meghan, who shares the heartbreaking and powerful story of her son, Max.

For critically ill patients, what are some practical ways speech-language pathologists can address barriers to communication?Today on the podcast, we talk effective communication between critically ill patients and providers in the ICU, emphasizing the role of augmentative and alternative communication.Guests include speech-language pathologist Tami Altschuler and nursing professor Mary Beth Happ, who describe practical ways SLPs and others working in the ICU can collaborate to create greater access to communication. Both share moving stories that bring this work to life.Plus, SLP Chris Ross shares her personal experience of being unable to communicate during a stay in the ICU.Learn More:ASHA: Communication AccessSPEACS-2 Communication Training ProgramASHA Voices: Creating ‘Ramps' to Communication Access in Health CareCommunication Access in Health Services Special CollectionAugmentative and Alternative CommunicationTranscript

Send us a textA wedding week. A sudden collapse. An operating room that opened into something luminous.In this deeply moving conversation, Mike McKinsey shares the near-death experience that transformed the ruptured appendix into a profound awakening of meaning, faith, and purpose. He recalls the moment he says Jesus took his hand, the breathtaking landscape of living light and domed cities, and the jolt back to a hospital bed.It's a story told with honesty and detail — one that gently reminds us there's more to life than the body.We explore what came after the vision just as much as the vision itself: pneumonia, ICU nights, and a second encounter that arrived as a quiet but unmistakable voice — tell our story, expect valleys, keep walking. Over two decades, Mike has learned to live by that guidance, listening for small promptings, testing them through action, and meeting scepticism with empathy. His message now reaches millions through podcasts, books, and the near-death experience community.

My guest today is Dr. Jenny Prohaska, a clinical psychologist who has spent her career on the front lines of trauma and high-stakes performance. Jenny trained in neuro -rehabilitation psychology at the University of Kansas Medical Center, working with patients and staff in trauma, ICU, and burn units, where she built her expertise in how the brain and body adapt to extreme stress. For more than a decade, Jenny has brought that expertise into policing and tactical operations. She's force science certified and consults on more than 30 officer -involved shootings a year, as well as hundreds of other critical incidents. Jenny's conducted thousands of pre-hire psychological evaluations, giving her deep expertise in what makes officers and teams thrive or deteriorate under pressure. She's also built and trained more than two dozen peer support teams across the country and today consults for more than 50 public safety agencies. Jenny's also a sought-after speaker for national organizations. She's a founder of tactical longevity, a first -of -its -kind, pre-incident anti -fragility training framework designed to prepare officers and tactical teams to withstand the cumulative stress of their job. I'm excited to talk to Jenny because I've been a fan of her work for a number of years, and I believe that antifragility and prehabilitation programs promoting this concept of tactical longevity and talking about it and teaching. LinksTactical Longevity | Anti-Fragility Training BooksWhat Happened to You? Bruce D. Perry and Oprah Winfrey – ISBN-13 – 978-1250223180

Hannah Sussman and Swapna Deshpande tell stories about coming to terms with mortality. 

“He doesn't hit you, so it must not be abuse.” Yeah, no. That tired old line needs to die.This week, I sat down with Dr. Christine Cocchiola, a powerhouse expert on coercive control, the kind of abuse that doesn't leave bruises but instead, destroys lives. Christine breaks down how abusers don't need fists to dominate; they weaponize EVERYTHING from the court system, to churches, to your very own kids.If you've ever been dismissed, disbelieved, or labeled “too angry,” this episode is a masterclass in seeing the invisible, calling it what it is, and taking your power back, even if you have to fake it ‘til you make it from the ICU of your life.What You'll Learn: Why coercive control isn't a form of abuse, it IS abuse. Period. Full stop.How abusers hide behind charisma, charm, and a well-timed Bible verse.The horrifying way the legal system often rewards abusers and punishes protective moms.How abuse affects children, even when it's subtle, and especially when it's court-sanctioned.Why your anger is holy fire, not a character defect.How to start healing and parenting differently, even while walking through hell with a diaper bag.Read the full show notes and/or ask Natalie a question hereRelated Resources:Check out Dr. Christine Cocchiola's website.Connect with her on Instagram and Facebook.  Read FRAMED: Women in the Family Court Underworld, Dr. Cocchiola's co-authored book. Get her free map called Clinical Implications for Children Who Are Coercively ControlledWatch her recent TED Talk: It's All Coercive ControlChristine M. Cocchiola, DSW, LCSW is an expert on the experiences of adult and child victims of coercive control. A college professor teaching social work, she received her doctorate in clinical social work from New York University working under the tutelage of Dr. Evan Stark. She presents nationally and internationally on the concept of coercive control with a focus on educating professionals, advocates, and protective parents, on the experiences of children and best intervention strategies for adult and child victims of coercive control/narcissistic abuse. Her Clinician Certification Training is ASWB approved for 14 CE's. Dr. C is the creator of The Protective Parenting Program, a therapeutic evidence based attachment focused program for parents of children harmed by abusers and the co-author of FRAMED: Women in the Family Court Underworld.

Guest: Hannah Patten MSP, CCC-SLPEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/brain-injury-and-the-pediatric-slpPediatric brain injuries can happen for many different reasons, and they may affect speech, language, feeding, and even result in dysphagia. For many SLPs, working with children who have a brain injury can feel overwhelming, especially if this is a new population for you.In this episode of First Bite, Michelle Dawson, MS, CCC-SLP, CLC, BCS-S, sits down with Hannah Patten, MSP, CCC-SLP, from the Mayo Clinic. Hannah shares the most common causes of pediatric brain injuries, current evidence-based approaches for evaluation and treatment, and practical interventions that can make a real difference.You will leave with functional resources, new ideas, and the confidence to bring hope and support to these little ones and their families.About the Guest(s): Hannah Patten is a speech-language pathologist at Mayo Clinic in Rochester, Minnesota, working in acute care and as part of the Aerodigestive Clinic. She is involved in research projects examining the relationship between oropharyngeal dysphagia and aspiration-related lung disease. She previously worked at Children's Healthcare of Atlanta in inpatient rehabilitation and completed her clinical fellowship at the Charlie Norwood VA Medical Center. Her clinical interests include dysphagia across the lifespan, dysphagia evaluation and treatment in the ICU, pediatric and neonatal feeding and swallowing dysfunction, and tracheostomy and ventilator dependence.

In this episode, Mike Fancher, Division Vice President for Kindred Hospitals Coastal Region, shares strategies for improving ICU to long-term acute care transitions, addressing compounding capacity challenges, and emphasizing proactive processes, transparency, and stronger collaboration among hospitals, LTACs, and payers to boost efficiency and outcomes.This episode is sponsored by ScionHealth.

Join Nick and Cyrus as they teach a master class on hypoxemia for everyone and anyone who is ICU adjacent! We discuss why oxygen is so crucial, share some very interesting animal physiology and - perhaps most importantly- discuss the 6 causes of hypoxemia you MUST know… and what you can do about them! Take a listen, let us know what you think, and leave us a review! Hosted on Acast. See acast.com/privacy for more information.

The first of our two guests tonight is Jessie from Minnesota, USA. After losing her beloved dog, Jessie turned to the CIA's Gateway Process meditation searching for comfort, and instead opened a doorway to something far stranger. What began as moments of peace soon gave way to visions of crystal spiders and encounters with shadowed figures that seemed to watch from beyond the veil. Then we move on to Soumil in Nashik, India. In a quiet village beside the backwaters of a dam, a still night beneath the stars became extraordinary when two silent objects flew in perfect tandem above the water. Years later, after a near-fatal stroke, Soumil found himself visited by three magenta-robed beings in the ICU, figures that seemed to heal him in silence.More information on this episode on the podcast website:https://ufochroniclespodcast.com/ep-356-in-the-stillness-of-night/The Gateway Intermediate Workbook:Link to the document itself is 21-page version released via the CIA's FOIA archives. https://cia.gov/readingroom/docs/cia-rdp96-00788r001700210023-7.pdHidden Cults (Promo)It is a documentary-style podcast that digs deep into the world's most extreme, elusive, and explosive fringe groups. Listen on all podcast apps: Spotify: https://open.spotify.com/show/4Q0kbgXrdzP0TvIk5xylx1Apple Podcasts: https://podcasts.apple.com/us/podcast/hidden-cults/id1816362029If you enjoy this podcast, please support the show with a virtual coffee:https://ko-fi.com/ufochroniclespodcastFollow and Subscribe on X to get ad free episodesX: https://x.com/UFOchronpodcast/Want to share your encounter on the show?Email: UFOChronicles@gmail.comOr Fill out Guest Form:https://forms.gle/uGQ8PTVRkcjy4nxS7Podcast Merchandise:https://www.teepublic.com/user/ufo-chronicles-podcastHelp Support UFO CHRONICLES by becoming a Patron:https://patreon.com/UFOChroniclespodcastAll Links for Podcast:https://linktr.ee/UFOChroniclesPodcastThank you for listening!Like share and subscribe it really helps me when people share the show on social media, it means we can reach more people and more witnesses and without your amazing support, it wouldn't be possible.Become a supporter of this podcast: https://www.spreaker.com/podcast/ufo-chronicles-podcast--3395068/support.

What if the cure for our anxious, overconnected lives is right outside the door? In this deeply human conversation, Ruth Chou Simons—artist, author, and mom of six—joins Ginny to explore how beauty, especially in nature, becomes a real antidote to hurry, worry, and screen-saturated living. From Jesus' invitation to “consider the lilies” to the way wildflowers preach resilience, individuality, and dependence, Ruth shows how getting outside forms our souls as much as it strengthens our kids. You'll hear vivid stories: morning glories as a picture of friendships that ebb and bloom; the extra-beautiful columbine as a reminder not to shrink back; the ache of a changing home as children launch, and the bluebell pointing us toward a truer, lasting home. Ruth also shares the moment her son suffered a serious mountain-biking injury—and how she painted wildflowers in the ICU, choosing to shift her gaze from fear to the faithful Gardener. Together, she and Ginny talk about making unhurried lives in hurried times, giving our families “dosing and spacing” for wisdom, and packing a small “to-go” kit of tactile hobbies so we reach for creation, not just a screen, when life turns. Listen in if you're longing for a gentler rhythm, a sturdier hope, and a practical way to invite beauty into your ordinary days—starting with one walk, one flower, one moment of attention. Get your copy of The Way of the Wildflower here Learn more about your ad choices. Visit megaphone.fm/adchoices

Get The Self-Image Method today: https://schoolofselfimage.com/pod-sim  If you're ready to become the woman of your dreams in a sustainable way, this podcast shows you how. In this episode, I'm sharing four simple ways to raise your self-image and elevate your life. You'll learn how small, intentional steps create lasting change and why embracing failure encourages growth and self-confidence. I'll also talk about the power of awareness, how your choices are the building blocks that shape you into who you want to be, how repetition turns your chosen vibe into your natural state, and why deciding how you want to feel will make you unstoppable. Did you enjoy this episode? Subscribe to the podcast and leave a 5-star review! You can also listen to this show on YouTube and on all your favorite podcast platforms. Tonya Leigh is a Master Self-Image Coach, former critical care nurse, and the visionary founder of the School of Self-Image – a global movement for women ready to stop playing small and start living boldly. Her life changed one night at 2AM, when a doctor asked her a single, powerful question: “Who do you want to be?” That moment sparked a reinvention that took her from the ICU to sipping champagne in Paris, from burnout to building an international brand that has helped thousands of women redefine success, style, and self-worth. At the heart of her work is the Self-Image Method® – her signature framework for identity reinvention. With this step-by-step process, women learn how to align their mindset, style, and surroundings with the woman they are becoming. Tonya's philosophy is simple yet life-changing: a woman's life always rises to the level of her self-image. And with her signature blend of elegance, mindset, and practical tools, she has become the go-to mentor for women who crave more – and are ready to create it. How to Connect with Tonya Leigh  Website: https://schoolofselfimage.com/ Instagram: https://www.instagram.com/schoolofselfimage/ Facebook: https://www.facebook.com/TonyaLeighOfficial/ LinkedIn: https://www.linkedin.com/in/tonyaleighofficial/ Pinterest: https://ph.pinterest.com/tonyaofficial/ Twitter: https://x.com/tonyaleigh YouTube: https://schoolofselfimage.com/yt-tl #selfimage #unlockyourhigherself #transformation