Podcasts about ICU

Episode 179 of Limb Lengthening LIVE is an open mic discussion! Patients are invited to join the stream, share their stories, updates, and ask questions in real time._____________________Audio Podcast - will be available within 24-48hrs after stream endsTimestamps - Timestamps – LL LIVE 179 (Fat Embolism Episode)0:00 – Intro1:03 – Sam joins - Overdoing it after nail removal: tibia stress fracture & surgeon's plan8:43 – Comeback goal: training for the alumni soccer tournament in May10:07 – Vita joins: starting tibia lengthening11:18 – Fat Embolism #1 – Surgery day, sudden breathing issues & ICU rush13:38 – Fat Embolism #2 – CAT scans, oxygen, ICU stay & getting discharged18:19 – Fat Embolism #3 – What FES actually felt like, lingering high heart rate & recovery outlook21:19 – Early tibia recovery: brutal knee pain, swelling, dangling legs & calf-pump tips24:21 – Dorsiflexion, night splints, strong pre-hab & first PT session after tibias33:13 – Rare but real: honest talk on severe complications & why full-service centers matter37:04 – Q&A: nail strength in tibias vs femurs, falling on the nail & running again after LL51:01 – Q&A: bone healing, driving after surgery, painkillers & addiction concerns1:00:44 – Q&A: proportions, quad vs single-segment, length goals & athleticism trade-offs1:24:01 – Q&A: height dysphoria, “constant pain for life” myth, TSA/air travel & future tech1:41:10 – Closing: core-training priority, easy nutrition during LL, air-fryer hack1:42:00 - Outro______________________Find Links to Everything Here and Below: https://sleekbio.com/cyborg4life

Your pneumonia patient is hypotensive, tachycardic, and not responding to fluids… what did you miss? It could be sepsis-induced cardiomyopathy, a common under-recognized shock state you could see at the bedside.In this episode, Dr. Mahmoud Ibrahim MD and host Sarah Lorenzini use a case study to highlight how nurses, intensivists and the ICU team can work together to recognize the signs of sepsis-induced cardiomyopathy early and give patients a better chance at recovery. You'll learn the diagnostic clues that your patient's heart is in trouble, how to approach controversial treatments like sodium bicarb, and what has to happen before intubation in a dual shock state.Topics discussed in this episode:What the initial bedside assessment says about the patientTreatment priorities for the  intensivist and nurseSigns that point to more than just sepsisWhy fluids aren't always the answerBlood pressure management: vasopressors and inotropesPathophysiology of sepsis-induced cardiomyopathyHow a sepsis-induced cardiomyopathy diagnosis changes treatmentThe vasopressin debate for sepsis-induced cardiomyopathyClues your intervention isn't working and what to do nextHow to prepare the patient for high-risk intubationWhat you need to know about administering sodium bicarbWhy collaboration matters at every step for patient recoveryConnect with Dr. Ibrahim:Instagram: https://www.instagram.com/icuboy_meded/Facebook: https://www.facebook.com/share/1Dg1ZTyfsN/TikTok: https://www.tiktok.com/@icuboy_mededThreads: https://www.threads.com/@icuboy_mededX: https://x.com/icuboy_mededLearn more about the different phenotypes in sepsis induced cardiomyopathy:https://journal.chestnet.org/article/S0012-3692(25)05143-8/abstractMentioned in this episode:CONNECT

Marine Staff Sergeant Octavio was leading a convoy in Iraq when a daisy-chain IED of 80mm mortars blew his vehicle apart, killing Captain Maloney and Lance Corporal Help and leaving Octavio with third-degree burns over 70% of his body, a shattered arm, and a long road through ICU, skin grafts, and daily wound care.Today, Pastor Octavio leads Front Sight Military Outreach in Ontario, CA. A church and ministry for veterans and their families, a “city of refuge” for those still fighting battles in their minds and hearts.If you're a veteran, active duty, or a family member who's struggling, you're not alone. Reach out to Front Sight Military Outreach:Instagram: @FrontSightMilitaryOutreachFacebook: Front Sight Military Outreach

Jared Maynard (@jared.unbreakable) is a strength coach, physical therapist, and powerlifter whose story is one of the most powerful comebacks in the sport. In 2023, Jared was diagnosed with a rare and often fatal immune condition (HLH), spent weeks in the ICU, lost over 40 lbs of muscle, and had to relearn basic functions — walking, talking, breathing on his own. A year later, he returned to the platform and pulled a lifetime deadlift PR while navigating progressive vision loss.In this episode, Jared and Cam dive into resilience, rebuilding from rock bottom, the flaws in powerlifting rehab, and the mindset behind Jared's message: “You're not done yet.”

In this episode of the Training Science Podcast, host Dr. Paul Laursen sits down with neuroscientist and performance expert Dr. Tommy Wood to explore the science behind The Stimulated Mind, Tommy's groundbreaking approach to optimizing brain health and cognitive performance.They dive into the key pillars of a thriving brain: environment, nutrition, metabolic health, sleep, and exercise. From the neonatal ICU to Formula 1 racing, Dr. Wood connects how our environment, movement, and mindset shape cognitive longevity and peak performance. Whether you're a coach, athlete, or simply striving to think and feel better, this conversation will help you unlock the full potential of your mind and body.References:Substack: https://www.betterbrain.fitness/The Stimulated Mind by Dr. Tommy Wood: https://www.penguinrandomhouse.com/books/751292/the-stimulated-mind-by-dr-tommy-wood/_____________________ Today's speakers:Prof Paul Laursen  https://www.paullaursen.com/   Instagram: https://www.instagram.com/drtommywood/_____________________ 

This week, Aebhric OKelly and Sam Coffman continue their discussion on the Guerrilla Medic and what to grow in their garden to supplement their ICU. Sam discusses the unique advantages of herbal remedies in treating viral infections. They discuss easy-to-find herbal medicine from your camp kitchen.TakeawaysHerbs can address specific health niches that pharmaceuticals cannot.Herbal formulas are effective for various viral infections.Herbs can help repair and restore tissue health.The mucosa and lymph movement are supported by herbal remedies.Herbs can slow down and stop virus shedding.Pharmaceuticals lack the holistic approach that herbs provide.Herbs can enhance the body's terrain for better health.Herbal remedies can be more effective in certain health conditions.The use of herbs can lead to better overall health outcomes.Understanding the unique benefits of herbs is crucial for health.Chapters00:00 Introduction to Medicinal Herbs10:46 Key Herbs for Upper Respiratory Health14:10 Herbs for Gut and Liver Support17:42 Common Kitchen Herbs to Support your ICU26:56 Honey as Medicine31:26 More Kitchen Herbs35:44 Improvised Medicine Workshop at SOMSA

00:01:25 — China's First Cryogenic Wife Knight opens with the story of a man freezing his deceased wife, framing it as a warning about the growing obsession with technological immortality and the moral vacuum behind it. 00:52:28 — Hollywood Panics Over AI Actors Knight highlights how digital performers threaten the traditional film industry, exposing how fragile and artificial celebrity identity really is. 01:14:30 — Bitcoin Flash-Crash Exposes Crypto Fragility Bitcoin's sudden collapse with no clear trigger demonstrates how unstable and speculative the crypto ecosystem remains despite mainstream hype. 01:30:16 — Pompeo Joins Corrupt Ukraine Arms Firm Knight reveals Mike Pompeo's new advisory role in a scandal-plagued Ukrainian weapons company, illustrating how political insiders cash in on endless-war networks. 02:06:44 — Hospitals Paid to Kill Patients Zoe describes how federal COVID incentives rewarded deadly protocols — ventilators, remdesivir, and inflated diagnoses — turning hospitals into profit-driven death machines. 02:10:05 — COVID Diagnosed Without Tests or Exams Official coding rules allowed doctors to declare COVID based purely on opinion, bypassing examinations and PCR testing, guaranteeing inflated case numbers. 02:18:37 — COVID Protocols Created the Deaths Zoe explains that most fatalities were caused by hospital protocols — organ shutdown, sedation, remdesivir toxicity — not the virus itself. 02:21:01 — Vaccine Injuries Exploded Immediately She recounts severe neurological, cardiovascular, and clotting disorders occurring right after vaccination, all dismissed or unreported by medical staff. 02:34:38 — PCR Was a DNA Data-Mining Operation Zoe details how PCR samples were routed to global gene banks, turning COVID testing into a worldwide DNA-harvesting and sequencing program. 02:49:44 — Palantir & Tiberius Used to Track Vaccine Compliance Operation Warp Speed used Palantir's real-time data systems to monitor ICU beds, ventilators, demographics, and vaccination rates, creating a national surveillance infrastructure. Money should have intrinsic value AND transactional privacy: Go to https://davidknight.gold/ for great deals on physical gold/silverFor 10% off Gerald Celente's prescient Trends Journal, go to https://trendsjournal.com/ and enter the code KNIGHTFind out more about the show and where you can watch it at TheDavidKnightShow.com If you would like to support the show and our family please consider subscribing monthly here: SubscribeStar https://www.subscribestar.com/the-david-knight-showOr you can send a donation throughMail: David Knight POB 994 Kodak, TN 37764Zelle: @DavidKnightShow@protonmail.comCash App at: $davidknightshowBTC to: bc1qkuec29hkuye4xse9unh7nptvu3y9qmv24vanh7Become a supporter of this podcast: https://www.spreaker.com/podcast/the-david-knight-show--2653468/support.

00:01:25 — China's First Cryogenic Wife Knight opens with the story of a man freezing his deceased wife, framing it as a warning about the growing obsession with technological immortality and the moral vacuum behind it. 00:52:28 — Hollywood Panics Over AI Actors Knight highlights how digital performers threaten the traditional film industry, exposing how fragile and artificial celebrity identity really is. 01:14:30 — Bitcoin Flash-Crash Exposes Crypto Fragility Bitcoin's sudden collapse with no clear trigger demonstrates how unstable and speculative the crypto ecosystem remains despite mainstream hype. 01:30:16 — Pompeo Joins Corrupt Ukraine Arms Firm Knight reveals Mike Pompeo's new advisory role in a scandal-plagued Ukrainian weapons company, illustrating how political insiders cash in on endless-war networks. 02:06:44 — Hospitals Paid to Kill Patients Zoe describes how federal COVID incentives rewarded deadly protocols — ventilators, remdesivir, and inflated diagnoses — turning hospitals into profit-driven death machines. 02:10:05 — COVID Diagnosed Without Tests or Exams Official coding rules allowed doctors to declare COVID based purely on opinion, bypassing examinations and PCR testing, guaranteeing inflated case numbers. 02:18:37 — COVID Protocols Created the Deaths Zoe explains that most fatalities were caused by hospital protocols — organ shutdown, sedation, remdesivir toxicity — not the virus itself. 02:21:01 — Vaccine Injuries Exploded Immediately She recounts severe neurological, cardiovascular, and clotting disorders occurring right after vaccination, all dismissed or unreported by medical staff. 02:34:38 — PCR Was a DNA Data-Mining Operation Zoe details how PCR samples were routed to global gene banks, turning COVID testing into a worldwide DNA-harvesting and sequencing program. 02:49:44 — Palantir & Tiberius Used to Track Vaccine Compliance Operation Warp Speed used Palantir's real-time data systems to monitor ICU beds, ventilators, demographics, and vaccination rates, creating a national surveillance infrastructure. Money should have intrinsic value AND transactional privacy: Go to https://davidknight.gold/ for great deals on physical gold/silverFor 10% off Gerald Celente's prescient Trends Journal, go to https://trendsjournal.com/ and enter the code KNIGHTFind out more about the show and where you can watch it at TheDavidKnightShow.com If you would like to support the show and our family please consider subscribing monthly here: SubscribeStar https://www.subscribestar.com/the-david-knight-showOr you can send a donation throughMail: David Knight POB 994 Kodak, TN 37764Zelle: @DavidKnightShow@protonmail.comCash App at: $davidknightshowBTC to: bc1qkuec29hkuye4xse9unh7nptvu3y9qmv24vanh7Become a supporter of this podcast: https://www.spreaker.com/podcast/the-real-david-knight-show--5282736/support.

On this episode of NOON Max, an ER nurse working at a Level 1 trauma center, shares his journey from starting his career during the pandemic to overseeing trauma and critical care today. He discusses the challenges of resource limitations, managing high-acuity cases, and how the pandemic reshaped resilience in healthcare. He also reflects on his future goals in pediatric ICU and transport medicine, the value of nurse-driven recommendations, and the unique stories that have shaped his path in emergency care.Today's Sponsor is: JumpMedicAre you looking for top-notch first aid kits? Look no further than JumpMedic! Owned by a seasoned paramedic with over a decade of EMS experience, their kits are user-friendly and packed with essential supplies. From the most popular Pro Gen 2 to the compact Hard Shell Kit, they've got you covered. You can even Customize your own kit with their Build A Bag option! Enter the code NOON10 and enjoy 10% off your order! Free US shipping, and everything is HSA/FSA approved. Visit JumpMedic.com and follow @JumpMedicUSA on Instagram. Stay prepared with JumpMedic!Podcast: ⁠https://open.spotify.com/show/1vAokfqG5aifoRBKk9MAUh?si=T8DipSBCQzWfOeiBW3h-Vw⁠FB Page: https://m.facebook.com/groups/nineoneonenonsense/?ref=shareInstagram: ⁠https://www.instagram.com/911nonsense/⁠X: ⁠https://twitter.com/911Nonsense⁠Bonfire Merch: https://www.bonfire.com/store/nine-one-one-nonsense/?utm_source=copy_link&utm_medium=store_page_share&utm_campaign=nine-one-one-nonsense&utm_content=defaultContent Warning: This episode contains discussions about death, including graphic and potentially triggering details. Listener discretion is advised. The episode also covers sensitive topics and may not be suitable for all audiences. If you or someone you know is struggling with suicidal thoughts or mental health issues, please seek help immediately. You can contact the Suicide & Crisis Lifeline by dialing 988 from anywhere in the U.S. #911Podcast #ParamedicLife #FirstResponderStories #EMSFamily #EmergencyCalls #SavingLives #BehindTheSiren #FirstResponderLife #911nonsense #ParamedicPodcast #PodcastLaunch #PodcastLife #PodcastCommunity #TrueStoryPodcast #NewPodcastAlert #PodcastAddict #PodcastEpisode #PodcastPromotion #PodcastHost #PodcastRecommendations #RealLifeHeroes #EmergencyServices #TrueStories #BehindTheScenes #LifeOnTheLine #AdrenalineRush #HumanStories #OnTheJob #EverydayHeroes #TrueLife

Dr. Linda Duska and Dr. Kathleen Moore discuss key studies in the evolving controversy over radical upfront surgery versus neoadjuvant chemotherapy in advanced ovarian cancer. TRANSCRIPT Dr. Linda Duska: Hello, and welcome to the ASCO Daily News Podcast. I am your guest host, Dr. Linda Duska. I am a professor of obstetrics and gynecology at the University of Virginia School of Medicine.  On today's episode, we will explore the management of advanced ovarian cancer, specifically with respect to a question that has really stirred some controversy over time, going all the way back more than 20 years: Should we be doing radical upfront surgery in advanced ovarian cancer, or should we be doing neoadjuvant chemotherapy? So, there was a lot of hype about the TRUST study, also called ENGOT ov33/AGO-OVAR OP7, a Phase 3 randomized study that compares upfront surgery with neoadjuvant chemotherapy followed by interval surgery. So, I want to talk about that study today. And joining me for the discussion is Dr. Kathleen Moore, a professor also of obstetrics and gynecology at the University of Oklahoma and the deputy director of the Stephenson Cancer Center, also at the University of Oklahoma Health Sciences.  Dr. Moore, it is so great to be speaking with you today. Thanks for doing this. Dr. Kathleen Moore: Yeah, it's fun to be here. This is going to be fun. Dr. Linda Duska: FYI for our listeners, both of our full disclosures are available in the transcript of this episode.  So let's just jump right in. We already alluded to the fact that the TRUST study addresses a question we have been grappling with in our field. Here's the thing, we have four prior randomized trials on this exact same topic. So, share with me why we needed another one and what maybe was different about this one? Dr. Kathleen Moore: That is, I think, the key question. So we have to level-set kind of our history. Let's start with, why is this even a question? Like, why are we even talking about this today? When we are taking care of a patient with newly diagnosed ovarian cancer, the aim of surgery in advanced ovarian cancer ideally is to prolong a patient's likelihood of disease-free survival, or if you want to use the term "remission," you can use the term "remission." And I think we can all agree that our objective is to improve overall survival in a way that also does not compromise her quality of life through surgical complications, which can have a big effect. The standard for many decades, certainly my entire career, which is now over 20 years, has been to pursue what we call primary cytoreductive surgery, meaning you get a diagnosis and we go right to the operating room with a goal of achieving what we call "no gross residual." That is very different – in the olden days, you would say "optimal" and get down to some predefined small amount of tumor. Now, the goal is you remove everything you can see.  The alternative strategy to that is neoadjuvant chemotherapy followed by interval cytoreductive surgery, and that has been the, quote-unquote, "safer" route because you chemically cytoreduce the cancer, and so, the resulting surgery, I will tell you, is not necessarily easy at all. It can still be very radical surgeries, but they tend to be less radical, less need for bowel resections, splenectomy, radical procedures, and in a short-term look, would be considered safer from a postoperative consideration. Dr. Linda Duska: Well, and also maybe more likely to be successful, right? Because there's less disease, maybe, theoretically. Dr. Kathleen Moore: More likely to be successful in getting to no gross residual. Dr. Linda Duska: Right. Yeah, exactly. Dr. Kathleen Moore: I agree with that. And so, so if the end game, regardless of timing, is you get to no gross residual and you help a patient and there's no difference in overall survival, then it's a no-brainer. We would not be having this conversation. But there remains a question around, while it may be more likely to get to no gross residual, it may be, and I think we can all agree, a less radical, safer surgery, do you lose survival in the long term by this approach? This has become an increasing concern because of the increase in rates of use of neoadjuvant, not only in this country, but abroad. And so, you mentioned the four prior studies. We will not be able to go through them completely. Dr. Linda Duska: Let's talk about the two modern ones, the two from 2020 because neither one of them showed a difference in overall survival, which I think we can agree is, at the end of the day, yes, PFS would be great, but OS is what we're looking for. Dr. Kathleen Moore: OS is definitely what we're looking for. I do think a marked improvement in PFS, like a real prolongation in disease-free survival, for me would be also enough. A modest improvement does not really cut it, but if you are really, really prolonging PFS, you should see that-  Dr. Linda Duska: -manifest in OS. Dr. Kathleen Moore: Yeah, yeah. Okay. So let's talk about the two modern ones. The older ones are EORTC and CHORUS, which I think we've talked about. The two more modern ones are SCORPION and JCOG0602. So, SCORPION was interesting. SCORPION was a very small study, though. So one could say it's underpowered. 170 patients. And they looked at only patients that were incredibly high risk. So, they had to have a Fagotti score, I believe, of over 9, but they were not looking at just low volume disease. Like, those patients were not enrolled in SCORPION. It was patients where you really were questioning, "Should I go to the OR or should I do neoadjuvant? Like, what's the better thing?" It is easy when it's low volume. You're like, "We're going." These were the patients who were like, "Hm, you know, what should I do?" High volume. Patients were young, about 55. The criticism of the older studies, there are many criticisms, but one of them is that, the criticism that is lobbied is that they did not really try. Whatever surgery you got, they did not really try with median operative times of 180 minutes for primary cytoreduction, 120 for neoadjuvant. Like, you and I both know, if you're in a big primary debulking, you're there all day. It's 6 hours. Dr. Linda Duska: Right, and there was no quality control for those studies, either. Dr. Kathleen Moore: No quality control. So, SCORPION, they went 451-minute median for surgery. Like, they really went for it versus four hours and then 253 for the interval, 4 hours. They really went for it on both arms. Complete gross resection was achieved in 50% of the primary cytoreduced. So even though they went for it with these very long surgeries, they only got to the goal half the time. It was almost 80% in the interval group. So they were more successful there. And there was absolutely no difference in PFS or OS. They were right about 15 months PFS, right about 40 months OS.  JCOG0602, of course, done in Japan, a big study, 300 patients, a little bit older population. Surprisingly more stage IV disease in this study than were in SCORPION. SCORPION did not have a lot of stage IV, despite being very bulky tumors. So a third of patients were stage IV. They also had relatively shorter operative times, I would say, 240 minutes for primary, 302 for interval. So still kind of short. Complete gross resection was not achieved very often. 30% of primary cytoreduction. That is not acceptable. Dr. Linda Duska: Well, so let's talk about TRUST. What was different about TRUST? Why was this an important study for us to see? Dr. Kathleen Moore: So the criticism of all of these, and I am not trying to throw shade at anyone, but the criticism of all of these is if you are putting surgery to the test, you are putting the surgeon to the test. And you are assuming that all surgeons are trained equally and are willing to do what it takes to get someone to no gross residual. Dr. Linda Duska: And are in a center that can support the post-op care for those patients. Dr. Kathleen Moore: Which can be ICU care, prolonged time. Absolutely. So when you just open these broadly, you're assuming everyone has the surgical skills and is comfortable doing that and has backup. Everybody has an ICU. Everyone has a blood bank, and you are willing to do that. And that assumption could be wrong. And so what TRUST said is, "Okay, we are only going to open this at centers that have shown they can achieve a certain level of primary cytoreduction to no gross residual disease." And so there was quality criteria. It was based on – it was mostly a European study – so ESGO criteria were used to only allow certified centers to participate. They had to have a surgical volume of over 36 cytoreductive surgeries per year. So you could not be a low volume surgeon. Your complete resection rates that were reported had to be greater than 50% in the upfront setting. I told you on the JCOG, it was 30%. Dr. Linda Duska: Right. So these were the best of the best. This was the best possible surgical situation you could put these patients in, right? Dr. Kathleen Moore: Absolutely. And you support all the things so you could mitigate postoperative complications as well. Dr. Linda Duska: So we are asking the question now again in the ideal situation, right? Dr. Kathleen Moore: Right. Dr. Linda Duska: Which, we can talk about, may or may not be generalizable to real life, but that's a separate issue because we certainly don't have those conditions everywhere where people get cared for with ovarian cancer. But how would you interpret the results of this study? Did it show us anything different? Dr. Kathleen Moore: I am going to say how we should interpret it and then what I am thinking about. It is a negative study. It was designed to show improvement in overall survival in these ideal settings in patients with FIGO stage IIIB and C, they excluded A, these low volume tumors that should absolutely be getting surgery. So FIGO stage IIIB and C and IVA and B that were fit enough to undergo radical surgery randomized to primary cytoreduction or neoadjuvant with interval, and were all given the correct chemo. Dr. Linda Duska: And they were allowed bevacizumab and PARP, also. They could have bevacizumab and PARP. Dr. Kathleen Moore: They were allowed bevacizumab and PARP. Not many of them got PARP, but it was distributed equally, so that would not be a confounder. And so that was important. Overall survival is the endpoint. It was a big study. You know, it was almost 600 patients. So appropriately powered. So let's look at what they reported. When they looked at the patients who were enrolled, this is a large study, almost 600 patients, 345 in the primary cytoreductive arm and 343 in the neoadjuvant arm. Complete resection in these patients was 70% in the primary cytoreductive arm and 85% in the neoadjuvant arm. So in both arms, it was very high. So your selection of site and surgeon worked. You got people to their optimal outcome. So that is very different than any other study that has been reported to date. But what we saw when we looked at overall survival was no statistical difference. The median was, and I know we do not like to talk about medians, but the median in the primary cytoreductive arm was 54 months versus 48 months in the neoadjuvant arm with a hazard ratio of 0.89 and, of course, the confidence interval crossed one. So this is not statistically significant. And that was the primary endpoint. Dr. Linda Duska: I know you are getting to this. They did look at PFS, and that was statistically significant, but to your point about what are we looking for for a reasonable PFS difference? It was about two months difference. When I think about this study, and I know you are coming to this, what I thought was most interesting about this trial, besides the fact that the OS, the primary endpoint was negative, was the subgroup analyses that they did. And, of course, these are hypothesis-generating only. But if you look at, for example, specifically only the stage III group, that group did seem to potentially, again, hypothesis generating, but they did seem to benefit from upfront surgery.  And then one other thing that I want to touch on before we run out of time is, do we think it matters if the patient is BRCA germline positive? Do we think it matters if there is something in particular about that patient from a biomarker standpoint that is different? I am hopeful that more data will be coming out of this study that will help inform this. Of course, unpowered, hypothesis-generating only, but it's just really interesting. What do you think of their subset analysis? Dr. Kathleen Moore: Yeah, I think the subsets are what we are going to be talking about, but we have to emphasize that this was a negative trial as designed. Dr. Linda Duska: Absolutely. Yes. Dr. Kathleen Moore: So we cannot be apologists and be like, "But this or that." It was a negative trial as designed. Now, I am a human and a clinician, and I want what is best for my patients. So I am going to, like, go down the path of subset analyses. So if you look at the stage III tumors that got complete cytoreduction, which was 70% of the cases, your PFS was almost 28 months versus 21.8 months. Dr. Linda Duska: Yes, it becomes more significant. Dr. Kathleen Moore: Yeah, that hazard ratio is 0.69. Again, it is a subset. So even though the P value here is statistically significant, it actually should not have a P value because it is an exploratory analysis. So we have to be very careful. But the hazard ratio is 0.69. So the hypothesis is in this setting, if you're stage III and you go for it and you get someone to no gross residual versus an interval cytoreduction, you could potentially have a 31% reduction in the rate of progression for that patient who got primary cytoreduction. And you see a similar trend in the stage III patients, if you look at overall survival, although the post-progression survival is so long, it's a little bit narrow of a margin.  But I do think there are some nuggets here that, one of our colleagues who is really one of the experts in surgical studies, Dr. Mario Leitao, posted this on X, and I think it really resonated after this because we were all saying, "But what about the subsets?" He is like, "It's a negative study." But at the end of the day, you are going to sit with your patient. The patient should be seen by a GYN oncologist or surgical oncologist with specialty in cytoreduction and a medical oncologist, you know, if that person does not give chemo, and the decision should be made about what to do for that individual patient in that setting. Dr. Linda Duska: Agreed. And along those lines, if you look carefully at their data, the patients who had an upfront cytoreduction had almost twice the risk of having a stoma than the patients who had an interval cytoreduction. And they also had a higher risk of needing to have a bowel resection. The numbers were small, but still, when you look at the surgical complications, as you've already said, they're higher in the upfront group than they are in the interval group. That needs to be taken into account as well when counseling a patient, right? When you have a patient in front of you who says to you, "Dr. Moore, you can take out whatever you want, but whatever you do, don't make me a bag." As long as the patient understands what that means and what they're asking us to do, I think that we need to think about that. Dr. Kathleen Moore: I think that is a great point. And I have definitely seen in our practice, patients who say, "I absolutely would not want an ostomy. It's a nonstarter for me." And we do make different decisions. And you have to just say, "That's the decision we've made," and you kind of move on, and you can't look back and say, "Well, I wish I would have, could have, should have done something else." That is what the patient wants. Ultimately, that patient, her family, autonomous beings, they need to be fully counseled, and you need to counsel that patient as to the site that you are in, her volume of disease, and what you think you can achieve. In my opinion, a patient with stage III cancer who you have the site and the capabilities to get to no gross residual should go to the OR first. That is what I believe. I do not anymore think that for stage IV. I think that this is pretty convincing to me that that is probably a harmful thing. However, I want you to react to this. I think I am going to be a little unpopular in saying this, but for me, one of the biggest take-homes from TRUST was that whether or not, and we can talk about the subsets and the stage III looked better, and I think it did, but both groups did really well. Like, really well. And these were patients with large volume disease. This was not cherry-picked small volume stage IIIs that you could have done an optimal just by doing a hysterectomy. You know, these were patients that needed radical surgery. And both did well. And so what it speaks to me is that anytime you are going to operate on someone with ovary, whether it be frontline, whether it be a primary or interval, you need a high-volume surgeon. That is what I think this means to me. Like, I would want high volume surgeon at a center that could do these surgeries, getting that patient, my family member, me, to no gross residual. That is important. And you and I are both in training centers. I think we ought to take a really strong look at, are we preparing people to do the surgeries that are necessary to get someone to no gross residual 70% and 85% of the time? Dr. Linda Duska: We are going to run out of time, but I want to address that and ask you a provocative question. So, I completely agree with what you said, that surgery is important. But I also think one of the reasons these patients in this study did so well is because all of the incredible new therapies that we have for patients. Because OS is not just about surgery. It is about surgery, but it is also about all of the amazing new therapies we have that you and others have helped us to get through clinical research. And so, how much of that do you think, like, for example, if you look at the PFS and OS rates from CHORUS and EORTC, I get it that they're, that they're not the same. It's different patients, different populations, can't do cross-trial comparisons. But the OS, as you said, in this study was 54 months and 48 months, which is, compared to 2010, we're doing much, much better. It is not just the surgery, it is also all the amazing treatment options we have for these patients, including PARP, including MIRV, including lots of other new therapies. How do you fit that into thinking about all of this? Dr. Kathleen Moore: I do think we are seeing, and we know this just from epidemiologic data that the prevalence of ovarian cancer in many of the countries where the study was done is increasing, despite a decrease in incidence. And why is that? Because people are living longer. Dr. Linda Duska: People are living longer, yeah. Dr. Kathleen Moore: Which is phenomenal. That is what we want. And we do have, I think, better supportive care now. PARP inhibitors in the frontline, which not many of these patients had. Now some of them, this is mainly in Europe, will have gotten them in the first maintenance setting, and I do think that impacts outcome. We do not have that data yet, you know, to kind of see what, I would be really interested to see. We do not do this well because in ovarian cancer, post-progression survival can be so long, we do not do well of tracking what people get when they come off a clinical trial to see how that could impact – you know, how many of them got another surgery? How many of them got a PARP? I think this group probably missed the ADC wave for the most part, because this, mirvetuximab is just very recently available in Europe. Dr. Linda Duska: Unless they were on trial. Dr. Kathleen Moore: Unless they were on trial. But I mean, I think we will have to see. 600 patients, I would bet a lot of them missed the ADC wave. So, I do not know that we can say we know what drove these phenomenal – these are some of the best curves we've seen outside of BRCA. And then coming back to your point about the BRCA population here, that is a really critical question that I do not know that we're ever going to answer. There have been hypotheses around a tumor that is driven by BRCA, if you surgically cytoreduced it, and then chemically cytoreduced it with chemo, and so you're starting PARP with nothing visible and likely still homogeneous clones. Is that the group we cured? And then if you give chemo first before surgery, it allows more rapid development of heterogeneity and more clonal evolution that those are patients who are less likely to be cured, even if they do get cytoreduced to nothing at interval with use of PARP inhibitor in the front line. That is a question that many have brought up as something we would like to understand better. Like, if you are BRCA, should you always just go for it or not? I do not know that we're ever going to really get to that. We are trying to look at some of the other studies and just see if you got neoadjuvant and you had BRCA, was anyone cured? I think that is a question on SOLO1 I would like to know the answer to, and I don't yet, that may help us get to that. But that's sort of something we do think about. You should have a fair number of them in TRUST. It wasn't a stratification factor, as I remember. Dr. Linda Duska: No, it wasn't. They stratified by center, age, and ECOG status Dr. Kathleen Moore: So you would hope with randomization that you would have an equal number in each arm. And they may be able to pull that out and do a very exploratory look. But I would be interested to see just completely hypothesis-generating what this looks like for the patients with BRCA, and I hope that they will present that. I know they're busy at work. They have translational work. They have a lot pending with TRUST. It's an incredibly rich resource that I think is going to teach us a lot, and I am excited to see what they do next. Dr. Linda Duska: So, outside of TRUST, we are out of time. I just want to give you a moment if there were any other messages that you want to share with our listeners before we wrap up. Dr. Kathleen Moore: It's an exciting time to be in GYN oncology. For so long, it was just chemo, and then the PARP inhibitors nudged us along quite a bit. We did move more patients, I believe, to the cure fraction. When we ultimately see OS, I think we'll be able to say that definitively, and that is exciting. But, you know, that is the minority of our patients. And while HRD positive benefits tremendously from PARP, I am not as sure we've moved as many to the cure fraction. Time will tell. But 50% of our patients have these tumors that are less HRD. They have a worse prognosis. I think we can say that and recur more quickly. And so the advent of these antibody-drug conjugates, and we could name 20 of them in development in GYN right now, targeting tumor-associated antigens because we're not really driven by mutations other than BRCA. We do not have a lot of things to come after. We're not lung cancer. We are not breast cancer. But we do have a lot of proteins on the surface of our cancers, and we are finally able to leverage that with some very active regimens. And we're in the early phases, I would say, of really understanding how best to use those, how best to position them, and which one to select for whom in a setting where there is going to be obvious overlap of the targets. So we're going to be really working this problem. It is a good problem. A lot of drugs that work pretty well. How do you individualize for a patient, the patient in front of you with three different markers? How do you optimize it? Where do you put them to really prolong survival? And then we finally have cell surface. We saw at ASCO, CDK2 come into play here for the first time, we've got a cell cycle inhibitor. We've been working on WEE1 and ATR for a long time. CDK2s may hit. Response rates were respectable in a resistant population that was cyclin E overexpressing. We've been working on that biomarker for a long time with a toxicity profile that was surprisingly clean, which I like to see for our patients. So that is a different platform. I think we have got bispecifics on the rise. So there is a pipeline of things behind the ADCs, which is important because we need more than one thing, that makes me feel like in the future, I am probably not going to be using doxil ever for platinum-resistant disease. So, I am going to be excited to retire some of those things. We will say, "Remember when we used to use doxil for platinum-resistant disease?" Dr. Linda Duska: I will be retired by then, but thanks for that thought. Dr. Kathleen Moore: I will remind you. Dr. Linda Duska: You are right. It is such an incredibly exciting time to be taking care of ovarian cancer patients with all the opportunities.  And I want to thank you for sharing your valuable insights with us on this podcast today and for your great work to advance care for patients with GYN cancers. Dr. Kathleen Moore: Likewise. Thanks for having me. Dr. Linda Duska: And thank you to our listeners for your time today. You will find links to the TRUST study and other studies discussed today in the transcript of this episode. Finally, if you value the insights that you hear on the ASCO Daily News Podcast, please take a moment to rate, review, and subscribe wherever you get your podcasts. Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. More on today's speakers:   Dr. Linda Duska  @Lduska Dr. Kathleen Moore Follow ASCO on social media:     @ASCO on X (formerly Twitter) ASCO on Bluesky   ASCO on Facebook     ASCO on LinkedIn     Disclosures of Potential Conflicts of Interest:    Dr. Linda Duska:   Consulting or Advisory Role: Regeneron, Inovio Pharmaceuticals, Merck, Ellipses Pharma  Research Funding (Inst.): GlaxoSmithKline, Millenium, Bristol-Myers Squibb, Aeterna Zentaris, Novartis, Abbvie, Tesaro, Cerulean Pharma, Aduro Biotech, Advaxis, Ludwig Institute for Cancer Research, Leap Therapeutics  Patents, Royalties, Other Intellectual Property: UptToDate, Editor, British Journal of Ob/Gyn  Dr. Kathleen Moore: Leadership: GOG Partners, NRG Ovarian Committee Chair Honoraria: Astellas Medivation, Clearity Foundation, IDEOlogy Health, Medscape, Great Debates and Updates, OncLive/MJH Life Sciences, MD Outlook, Curio Science, Plexus, University of Florida, University of Arkansas for Medical Sciences, Congress Chanel, BIOPHARM, CEA/CCO, Physician Education Resource (PER), Research to Practice, Med Learning Group, Peerview, Peerview, PeerVoice, CME Outfitters, Virtual Incision Consulting/Advisory Role: Genentech/Roche, Immunogen, AstraZeneca, Merck, Eisai, Verastem/Pharmacyclics, AADi, Caris Life Sciences, Iovance Biotherapeutics, Janssen Oncology, Regeneron, zentalis, Daiichi Sankyo Europe GmbH, BioNTech SE, Immunocore, Seagen, Takeda Science Foundation, Zymeworks, Profound Bio, ADC Therapeutics, Third Arc, Loxo/Lilly, Bristol Myers Squibb Foundation, Tango Therapeutics, Abbvie, T Knife, F Hoffman La Roche, Tubulis GmbH, Clovis Oncology, Kivu, Genmab/Seagen, Kivu, Genmab/Seagen, Whitehawk, OnCusp Therapeutics, Natera, BeiGene, Karyopharm Therapeutics, Day One Biopharmaceuticals, Debiopharm Group, Foundation Medicine, Novocure Research Funding (Inst.): Mersana, GSK/Tesaro, Duality Biologics, Mersana, GSK/Tesaro, Duality Biologics, Merck, Regeneron, Verasatem, AstraZeneca, Immunogen, Daiichi Sankyo/Lilly, Immunocore, Torl Biotherapeutics, Allarity Therapeutics, IDEAYA Biosciences, Zymeworks, Schrodinger Other Relationship (Inst.): GOG Partners

A man goes into a coma, wakes up totally paralyzed, gets fired from his job in the hospital… and somehow his investments are doing better than before.In this episode, AJ Osborne walks us through the day his body shut down from Guillain-Barré syndrome, what it felt like to wake up trapped in his own head, and the moment he realized his real estate investments were quietly keeping his family afloat while he fought to stay alive. He talks about the guilt, the pain, the look on his kids' faces the first time they saw him in the ICU—and the pride of knowing he'd built something that took care of them when he couldn't.From there, we dig into how that experience reshaped his entire mission: why he doubled down on self-storage, how he built a business that works without him, and why most people are stuck on the “earn a paycheck, hope it works out” treadmill. AJ breaks down supply and demand in housing and storage in plain English, what investors get wrong about cycles, and why owning assets (not just having a job) is the real line between security and chaos.We also get into working with family (without blowing it up), why the education system trains employees instead of owners, and how younger investors can still win in a world of high prices, high rates, and wild inequality—if they're willing to change the playbook.If this conversation punches you in the gut a little, don't just nod and move on. Share this episode with someone who's depending 100% on their job, then take one concrete step toward owning an asset this week—no matter how small. To learn more or connect with AJ, visit cedarcreekcapital.com or find him on Instagram and YouTube by searching “AJ Osborne Self Storage” or “Cedar Creek Capital.” And make sure you're subscribed to REIA Radio and plugged into your local REIA so you're not trying to figure this game out alone.You can Join the Omaha REIA - https://omahareia.com/join-todayOmaha REIA on Facebook - https://www.facebook.com/groups/OmahaREIACheck out the National REIA - https://nationalreia.org/ Find Ted Kaasch at www.tedkaasch.com Owen Dashner on Facebook https://www.facebook.com/owen.dashner Instagram - https://www.instagram.com/odawg2424/ Red Ladder Property Solutions - www.sellmyhouseinomahafast.com Liquid Lending Solutions - www.liquidlendingsolutions.com Owen's Blogs - www.otowninvestor.com www.reiquicktips.com Propstream - https://trial.propstreampro.com/reianebraska/Timber Creek Virtual - https://timbercreekvirtual.com/services/MagicDoor - https://magicdoor.com/reia/...

What do you do when life suddenly takes an unwanted turn? In Season 12, Episode 2 of the Candace Cameron Bure Podcast, Candace and co-host Ruth Chou Simons talk about crisis, grief, and depending on God when life feels out of control. Ruth shares the story of her son Judah's mountain biking accident and how God met her in the ICU. Candace opens up about her 10-year break from acting, the fear she'd never work again, and how God used that season to deepen her understanding of the gospel. They also discuss motherhood, grief, identity, and freedom from anxiety through Christ. Listener questions include how to keep faith during a cancer diagnosis and how to find motivation to live when life is falling apart.   00:00 – Tour announcement 03:10 – Season 12 intro 05:00 – How Candace and Ruth met 10:30 – Motherhood is sanctifying 14:30 – Judah's accident 21:30 – Preparing your heart for crisis 24:30 – Candace's 10-year hiatus 28:30 – When the gospel “clicked” 33:00 – Grief & eternal hope 37:00 – Listener Q: cancer diagnosis 41:00 – Listener Q: no motivation to live 45:00 – Advent guide + Together Community • Download the free Advent guide at Candace.com  • Submit questions at Candace.com  • Join The Together Community at Candace.com/together  • Subscribe, like, and comment on YouTube  Connect with Candace and Ruth Candace on Instagram @candacecbure  Follow the Podcast on Instagram @candacecameronburepodcast  Follow the Podcast on TikTok @ccbpodcast Follow Ruth Chou Simons on Instagram: @ruthchousimons Website: https://ruthchousimons.com/ YouTube: https://www.youtube.com/c/RuthChouSimons Sponsors For This Episode  -Grand Canyon University: https://www.gcu.edu/ -WeShare weshare.org/candace -Harper Collins nivapplicationbible.com -IFCJ ifcj.org-A'Del Natural Cosmetics https://adelnaturalcosmetics.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Joe Moore sits down with Dr. Jason Konner, a longtime oncologist who recently left his full-time clinical role at Memorial Sloan Kettering to devote himself to the emerging intersection of cancer care and psychedelics. Dr Konner shares how, after more than two decades treating people, he hit a wall. The accumulated grief, constant exposure to death, and intensity of oncology left him deeply burned out, though he didn't have that language for it at the time. A chance moment in a yoga class, overhearing someone say "ayahuasca retreat" just before he was scheduled for hernia surgery, became the turning point. Within a week, he was in the jungle. That first week with ayahuasca, followed later by work with mushrooms, "absolutely transformed" his life. His fear of death lifted. The burnout he hadn't even recognized in himself was both revealed and relieved. When he returned to his practice, Konner describes feeling like he suddenly had a "superpower": he could stay present, connected, and compassionate with patients facing advanced disease without collapsing under the emotional weight. He and Joe explore what this third path looks like: not the classic binary between either hardening and distancing as self-protection, or staying open-hearted and getting shattered. Instead, psychedelics helped him hold deep relationship with patients and families while maintaining inner stability and meaning. This opened space for authentic conversations about spirituality, fear, grief, and what it means to live with (or die from) cancer. From there, Dr Konner zooms out to critique the broader oncology system: The lack of training and support for oncologists around their own emotional and existential load, How little space there is for relational work even though it's central to healing, Why many support groups and standard psychiatric approaches (like reflexively prescribing SSRIs) often miss the mark for people dealing with cancer, How caregivers, partners, family members, and others are deeply affected but rarely truly supported. Joe and Jason then dig into psychedelics and oncology as a frontier: easing existential distress in patients with terminal cancer, the neglected suffering of caregivers, the potential role of psychedelics in helping people relate differently to death, and what it might mean for ICU use, aggressive end-of-life interventions, and overall healthcare costs if more people could make decisions from a place of peace rather than terror. Dr Konner also shares a striking ovarian cancer case that hinted at powerful immune changes after shamanic work, and why he believes we need new research paradigms that can honor the integrity of retreat and ceremonial settings while still learning from them. Finally, he talks about his early-stage project, Psychedelic Oncology, and his hope that the first wave of change starts with clinicians themselves becoming more psychedelic-literate—and, where appropriate, doing their own inner work—so better options can eventually reach the people who need them most. Learn more - https://psychedeliconcology.com/

“OMM helps us look beyond the place where pain shows up and understand what may be contributing to it.” —Dr. Drew RoseIn this episode of the Real Health Podcast, Ron Hunninghake, MD, sits down with Drew Rose, DO, to explore how Osteopathic Manipulative Medicine (OMM) offers a hands-on way of understanding the body's structure and movement patterns. Dr. Drew explains how structure and function are interconnected, why touch can offer insight that standard testing may not provide, and how OMM can be used as part of an individualized approach for people navigating chronic pain, headaches, fatigue, inflammatory conditions, COPD, fibromyalgia, and other complex concerns.He also shares lessons from his years practicing hospital and ICU medicine, including why one-size-fits-all care often falls short—and how osteopathic principles offer a deeper perspective on what the body may be signaling.Highlights include:→ What OMM is and how it differs from chiropractic care→ Why osteopathic medicine focuses on structure and function→ How foot and gait mechanics can influence low back pain→ What NASA research revealed about cranial motion→ How hands-on assessment can offer a different perspective than imaging alone→ Using OMM within individualized care for chronic and complex concerns→ The role of lymphatic flow, fascia, and subtle motion→ How OMM complements the Riordan Clinic approach to whole-person careAbout Drew Rose, DODrew Rose, DO, is an internal medicine physician with advanced training in Osteopathic Manipulative Medicine. Before joining Riordan Clinic, he spent six years practicing hospital and ICU medicine in Kansas. He brings a whole-person, hands-on approach to patient care, integrating structural evaluation, osteopathic principles, and nutritional insights to support alignment, mobility, and overall well-being. Learn more about Dr. Drew or schedule a new patient appointment.Episode Links & ResourcesLearn more about the Riordan ClinicListen to more episodes of the Real Health PodcastEpisode Chapters00:00 Welcome + introducing OMM01:10 MD vs DO vs chiropractic training02:46 Structure, function, and whole-body evaluation04:18 Low back pain and the kinetic chain06:01 Foot mechanics and alignment07:34 Cranial motion, NASA research, and headaches10:14 OMM and migraines12:19 Foundational osteopathic principles14:11 OMM in chronic and complex experience17:22 Nervous system sensitization and subtle motion20:05 Individualized care in hospital medicine22:12 How OMM complements whole-person careDisclaimerThe information contained on the Real Health Podcast and the resources mentioned are for educational purposes only. They are not intended as and shall not be understood or construed as medical or health advice. The information contained on this podcast is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. Information provided by hosts and guests on the Real Health Podcast or the use of any products or services mentioned does not create a practitioner-patient relationship between you and any persons affiliated with this podcast.Topics we explore in this episode:osteopathic medicine, OMM, osteopathic manipulative medicine, cranial motion, cranial rhythmic impulse, chronic pain, migraines, headaches, low back pain, gait mechanics, kinetic chain, lymphatic flow, fascia, COPD, fibromyalgia, chronic fatigue, integrative medicine, functional medicine, hands-on medicine, individualized care, whole-person health, Riordan Clinic providers, structural alignment, root-cause perspective

Thomas Crooks may have identified as non-binary. Ted Cruz sets stage for 2028. Paul Finebaum maybe closer to Senate Run. Operation Charlotte Web. Rev. Jesse Jackson moved out of ICU. Could Alabama Public Television cut ties with PBS.See omnystudio.com/listener for privacy information.

Thomas Crooks may have identified as non-binary. Ted Cruz sets stage for 2028. Paul Finebaum maybe closer to Senate Run. Operation Charlotte Web. Rev. Jesse Jackson moved out of ICU. Could Alabama Public Television cut ties with PBS.See omnystudio.com/listener for privacy information.

Thomas Crooks may have identified as non-binary. Ted Cruz sets stage for 2028. Paul Finebaum maybe closer to Senate Run. Operation Charlotte Web. Rev. Jesse Jackson moved out of ICU. Could Alabama Public Television cut ties with PBS.See omnystudio.com/listener for privacy information.

Thomas Crooks may have identified as non-binary. Ted Cruz sets stage for 2028. Paul Finebaum maybe closer to Senate Run. Operation Charlotte Web. Rev. Jesse Jackson moved out of ICU. Could Alabama Public Television cut ties with PBS.See omnystudio.com/listener for privacy information.

If you've ever felt trapped by stress or grief, episode 388 of Grief and Happiness offers a science-backed way out. Stanford physician Dr. Greg Hammer shares the four-step practice that helped him find peace after losing his son—and that can rewire your brain for calm and gratitude. Blending neuroscience, mindfulness, and lived experience, he proves that happiness isn't luck—it's something you can train.In This Episode, You Will Learn:(01:01) Dr. Greg Hammer's path from ICU medicine to mindfulness and wellness(03:37) Why A Mindful Teen was written for parents, not teens(04:32) The modern pressures today's teens face—and how to help(07:21) The GAIN method: Gratitude, Acceptance, Intention, Non-Judgment(10:40) How acceptance helped Dr. Hammer heal after losing his son(15:51) The science behind mindful breathing and calm(19:47) How listing “three good things” boosts happiness and sleep(22:50) Facing grief vs. suppressing it—how to tell the difference(27:40) Healing through writing letters to lost loved ones(29:44) Why parents must model gratitude and openness(37:51) Forgiving yourself and letting go of judgment(43:20) Why most of what we stress about doesn't matterDr. Greg Hammer is a Stanford physician, wellness expert, and bestselling author devoted to helping people build happiness and resilience through mindfulness and science. After 35 years as a professor and pediatric intensive-care specialist at Stanford, he shifted his focus to stress reduction and well-being. His book Gain Without Pain introduced the GAIN method—Gratitude, Acceptance, Intention, and Non-Judgment—as a practical path to balance and fulfillment, followed by A Mindful Teen, guiding parents and educators to better support today's youth.In this episode, Dr. Hammer shares how his GAIN practice turns grief, stress, and self-criticism into calm and connection. Drawing on personal loss and decades of experience, he shows how gratitude and acceptance can rewire the brain toward positivity, and how mindful breathing resets the body by activating the vagus nerve. Addressing modern teen pressures—from social media to anxiety about the future—he urges adults to lead by example through compassion, presence, and forgiveness.Connect with Dr. Greg Hammer:WebsiteA Mindful Teen WebsiteLinkedInInstagramYouTubeLet's Connect: WebsiteLinkedInFacebookInstagramTwitterThe Grief and Happiness AllianceBook: Loving and Living Your Way Through Grief Hosted on Acast. See acast.com/privacy for more information.

How do we measure what truly matters in acute care — and why does it finally feel possible to do it well? In this week's episode, co-hosts Dr. Nicole Neveau and Dr. Leo Arguelles sit down with Dr. Caitlyn Crandall and Dr. Lindsey Fresenko, two contributors to the new clinical practice guideline, “A Core Set of Outcome Measures to Assess Physical Function for Adults Participating in Physical Therapist Treatment in the Hospital.” Together, they unpack how this Core Outcome Measures (COMs) Set was built, what makes each measure clinically feasible, and how the guideline is already reshaping evaluation, communication, and discharge planning across hospital-based physical therapy. Caitlyn and Lindsey share what surprised them during development, how psychometric rigor and real-world feasibility shaped the final set, and why standardized measurement doesn't replace clinical reasoning — it strengthens it. They also preview their upcoming APTA Acute Care webinar and reflect on how a shared measurement language can help clinicians advocate for staffing, demonstrate value, and elevate patient care. Whether you're an ICU therapist, med-surg clinician, educator, or student, this conversation offers a clearer, more confident path for integrating outcome measures in acute care. Today's Guests: Dr. Caitlyn Crandall, PT, DPT, CCS, RYT Email: caitlyn.crandall@unchealth.unc.edu LinkedIn: https://www.linkedin.com/in/caitlyn-crandall-dpt Instagram: @CaitlynCrandall   Dr. Lindsey Fresenko, PT, DPT, PhD Email: lindsey.fresenko@utoledo.edu Publications: • PTJ CPG: https://academic.oup.com/ptj/article/105/6/pzaf076/8140951 • CC&E Journal: https://journals.lww.com/ccejournal/fulltext/2024/12000/rehabilitation_and_social_determinants_of_health.8.aspx Guest Quotes: Caitlyn: “These outcome measures aren't meant to replace clinical decision-making — they're meant to support it.” Lindsey: “The importance of having an evidence-based core outcome measure set is now utilizing it in practice.” Caitlyn: “Parts of these outcome measures are already what we're doing. The COMs help organize and standardize it.” Rapid Responses: What's the dumbest way you've injured yourself? • Caitlyn: “I fell off my horse — he stopped, I kept going.” • Lindsey: “I stepped on my own pinky toe in middle school and broke it.” You know you work in acute care when… • Caitlyn: “You've led a parade down the hallway with ECMO, an IABP, and half the team following behind.” • Lindsey: “Carrying socks in your pocket is an everyday thing.” Links: A Core Set of Outcome Measures to Assess Physical Function for Adults Participating in Physical Therapist Treatment in the Hospital- https://pubmed.ncbi.nlm.nih.gov/40403754/

In this episode, host Rosie Moss sits down with writer and solo parent Emma Charlesworth, whose husband Charlie died of COVID-19 during the first UK lockdown. Emma's memoir, Daddy Going to Be Okay?, grew from voice notes and late night blog posts into a powerful account of grief, parenting through trauma, and finding connection in the darkest days.Emma shares the story of Charlie's final days in hospital, the painful reality of ICU restrictions, and the moment she had to answer her daughter's impossible question about whether Daddy would come home. Together, Rosie and Emma talk about the invisible work of widowhood, the small moments that keep you going, and the way grief shifts and reshapes your life long after the world expects you to be fine.This is a raw and hopeful conversation about love, honesty, resilience, and the courage it takes to tell your story.Key themes from the episode include:• Emma's account of losing her husband Charlie during the earliest days of COVID-19 and the emotional toll of ICU restrictions and isolation.• Parenting her daughter Rebekah through grief and choosing honesty over false reassurance when asked, “Is Daddy going to be okay?”• How social media became a lifeline that humanised the statistics dominating the headlines.• Writing as survival, beginning with private notes and blog posts that grew into an award-winning blog and eventually a book.• The invisible labour of widowhood, from solo parenting and finances to the fear that appearing “fine” will make your pain invisible.• The way grief shows up years later in unexpected moments and the role of symbols, like tattoos and travel, in marking resilience.• Emma's belief that grief never ends, but it does change. “Grief is a book on the shelf. It is still there, but surrounded by other stories now.”The episode closes with a conversation about the meaning behind her book's title and the small joys, like a bouncing Tigger, that sit beside heartbreak in the story of love, loss, and carrying on.#widowhood #grief #soloparenting #covidgrief #bereavement #parentingafterloss #widowedmum #memoir #loss #resilience #mentalhealth #trauma #storytelling #widowcommunity #griefsupport #WidowedAF #RosieMoss #EmmaCharlesworth

In this episode of the Business of Aesthetics Podcast, host Don Adeesha sits down with Morgan Curry, CEO and founder of Refine Aesthetics, to explore the pivotal transition every founder must face: evolving from a solo "artisan" to a scalable "architect". A former cardiac ICU nurse, Morgan shares her journey of rebuilding her career in a new city where she knew no one, transforming her practice into a trusted name in natural, regenerative aesthetics. She challenges the common founder trap of thinking "it's easier if I do it myself," arguing instead that true growth begins when you codify your personal authenticity into systems that allow your brand's soul to thrive without your presence in every room. A key focus of the conversation is Morgan's counterintuitive approach to leadership and retention. Rather than fearing that training staff will lead them to leave, she views deep mentorship as the ultimate retention strategy, noting that "people don't leave when you pour into them". She details how she operates with transparency to turn employees into collaborators and hires for shared values and personality over just resume credentials. Morgan also breaks down her "education over sales" philosophy, explaining how using storytelling to lower patient guards and focusing on restoration rather than alteration builds implicit trust, allowing her to command loyalty in a conservative market without ever feeling "salesy". Looking ahead, Morgan discusses the industry's shift away from "filler-heavy" approaches toward regenerative aesthetics and functional medicine, which requires "intentionality" and deep education. She advises practice owners to "nail down their niche" and invest heavily in their team to pivot effectively for the future. The episode serves as a masterclass for any aesthetic leader ready to stop relying on personal grit and start building a business designed to endure.

Seeing a loved one decline in the ICU is a heart-wrenching situation no one is truly prepared for. Dr. Kathryn Butler will offer your family help to navigate end- of-life decisions in a godly way.

For those who work in an ICU - or with any patients for that matter -the concepts of burnout and moral injury are no stranger. In order to mitigate the effects of these forces, it's important to understand them. Join Nick and Cyrus, as they sit down with an incredible guest, Dr. Venktesh Ramnath, with the hopes of doing just that. On this episode we step away from the pressors and central lines and focus on the contributors to burn out and moral injury in the medical field while developing some strategies to combat them. Listen, watch, learn and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.

Jay Williams is one of the most accomplished college basketball players of all time. And with predictions of becoming the next Michael Jordan, he was drafted number two overall by the Chicago Bulls in the 2002 NBA draft. At just 21 years-old, he achieved his dream of playing in the NBA and became a multimillionaire. But months away from his second season, he suffered a devastating motorcycle accident leading to 10 surgeries, several months in the ICU, and unclear of whether he would walk again, let alone play the sport he loved. But in spite of all that, Jay leveraged the darkness in his life as a stepping stone to claw his way toward physical and mental reconstruction. Today, not only is he thriving, but he has carved an incredible new path as one of the most popular ESPN analysts. Listen in as this sought after motivational speaker, entrepreneur, and member of the board of USA Basketball opens up to Tom Bilyeu about what it means to redefine the narrative of the comeback story in this episode of Impact Theory. Original air date: 7-18-17 SHOW NOTES Jay walks through his mental reconstruction and building up a board of accountability. [3:30] Jay talks about setting his own performance standards and learning to appreciate the process. [9:15] Jay describes his relationship with his accident and the steps he took toward making peace. [12:00] Tom and Jay dig into cultivating belief and why you have to be crazy to be great. [15:39] Jay shares details about his mental and physical recovery and rebuilding self-identity. [20:36] Jay discusses how he leveraged darkness and anger to recalibrate his life. [24:15] Jay opens up about setting audacious goals and redefining the narrative for the comeback story. [31:30] Jay reveals his heartfelt desire for impact over financial gain. [36:40] Tom and Jay discuss the power of choosing to stay stuck. [39:48] Jay demystifies the notion of clawing your way out and shares the best advice he's given himself. [44:30] Jay gives his advice for people who are in pain and how to focus on the silver lining. [48:05] Jay defines the impact that he wants to have on the world. [53:53] SUPPORT OUR SPONSORS: Get 5 free AG1 Travel Packs and a FREE 1 year supply of Vitamin D with your first purchase at⁠ https://impacttheory.co/AG1pod.⁠ Secure your digital life with proactive protection for your assets, identity, family, and tech – Go to⁠ https://impacttheory.co/aurapod⁠ to start your free two-week trial. ********************************************************************** What's up, everybody? It's Tom Bilyeu here: If you want my help... 1. STARTING a business: JOIN ME HERE: ⁠https://tombilyeu.com/zero-to-founder?utm_campaign=Podcast%20Offer&utm_source=podca[%E2%80%A6]d%20end%20of%20show&utm_content=podcast%20ad%20end%20of%20show⁠ 2. SCALING a business: see if you qualify here: ⁠https://tombilyeu.com/call⁠ 3. Get my battle-tested strategies and insights delivered weekly to your inbox:⁠ https://tombilyeu.com/⁠ ********************************************************************** LISTEN TO IMPACT THEORY & MINDSET PLAYBOOK AD FREE + BONUS EPISODES on APPLE PODCASTS:⁠ apple.co/impacttheory⁠ ********************************************************************** FOLLOW TOM: Instagram:⁠ https://www.instagram.com/tombilyeu/⁠ Tik Tok:⁠ https://www.tiktok.com/@tombilyeu?lang=en⁠ Twitter:⁠ https://twitter.com/tombilyeu⁠ YouTube:⁠ https://www.youtube.com/@TomBilyeu⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Seeing a loved one decline in the ICU is a heart-wrenching situation no one is truly prepared for. Dr. Kathryn Butler will offer your family help to navigate end- of-life decisions in a godly way.

John Stewart Hill, founder of The Good Contractors List, who, in 2011, was broke, hopeless, and praying for death during a deep personal crisis. That moment of despair culminated in a massive heart attack. As he was wheeled into the ICU, he heard a clear, life-altering voice: “Well, John, do you want to stay or go?”John shares the three simple requests he made upon surrendering his life, requests that led him—despite having no money or business experience—to found a company that has since backed over $5 billion in projects. Learn how he built a "Kingdom-minded" business model focused on integrity, proving that faith can restore trust in the darkest of industries.The story doesn't end there. In 2022, John received a heart transplant, only to discover his donor was named Christian Wachal (Wachal means "Watchman"). John literally carries the heart of a Christian Watchman.In this powerful interview, you will hear:How to turn tragedy into purpose and business into ministry.The profound power of surrender—and how it unlocks success even when you feel unqualified.The meaning behind building for God's glory, not your own.This conversation offers hope to anyone who feels disqualified or forgotten. Hit subscribe and let John Stewart Hill inspire you to start living your true purpose. Available on all podcast streaming services:spotify: https://open.spotify.com/show/71jAuFEpE62eXOJQsQmx74apple podcast: https://podcasts.apple.com/us/podcast/the-highest-point-podcast/id1573678608pandora: https://pandora.com/podcast/the-highest-point-podcast/PC:1000637890iHeart: https://www.iheart.com/podcast/269-the-highest-point-podcast-83744185/ Support the show:https://www.cash.app/$highestpointenthttps://www.paypal.com/paypalme/highestpointpodcast

At 70 years old, Bee Kilgore is proof that adventure doesn't come with an expiration date. A retired trauma ICU nurse of 20 years who completed three international medical missions, she's also a mountain climber and a regular on 100-mile cattle drives. Bee began competing in tennis at age eight and was a highly-ranked player from the ages of 8-21 before transitioning to pickleball five years ago. Since then, she has embraced the sport as another avenue to live boldly, traveling the world to play, compete, and teach in places including Japan, Mallorca, and England. Her achievements include three national titles, six U.S. Open titles, and the 2024 English Open Women's 65's Singles Championship, and she is currently ranked #6 in the Masters Senior Pro Women's Doubles division. Here at the Huntsman World Senior Games, she competed at the top level and earned gold in all three doubles events in the combined 60's to 70's. Pickleball has given Bee new purpose, lasting friendships, and an ever-widening world to explore.Send us a text

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

Show notes at pharmacyjoe.com/episode1078. In this episode, I'll discuss the prediction of hypotension from propofol when used as an ICU sedative. The post 1078: Here Is How You Can Predict Hypotension From Propofol appeared first on Pharmacy Joe.

ACIM Quote:"Choose once again if you would take your place among the saviors of the world, or would remain in hell, and hold your brothers there." (ACIM, T-31.VIII.1:5)Today's Guest:Adam Rizvi joins Tam and Matt to discuss miraculous experiences as an ICU Doctor.Adam's New Book :"Love Does Not Know Death" can be found on Amazon here: https://www.amazon.com/Love-Does-Not-Know-Death/dp/B0FP47WL7X/Adam's Website: Lovedoesnotknowdeath.comAbout Today's Guest:Dr. Adam Rizvi is a critical care physician and neurologist whose work bridges medicine and non-dual wisdom. Author of Love Does Not Know Death, he draws from years in the ICU and decades of contemplative study to show how forgiveness transforms fear into peace. He lives in California, where he teaches, writes, and co-hosts the podcast Letters to the Sky.Think your Forgiveness Story May Inspire Others? Submit your forgiveness story to be considered as a guest on Miracle Voices. Simply fill out this form. https://www.miraclevoices.org/formWant To Support This Podcast?Consider making a donation at https://acim.org/donate-miracles-voices-podcast/Closing ACIM Quote: "When you want only love you will see nothing else." (ACIM, T-12.VII.8:1)

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 1952, Copenhagen's Blegdam Hospital was overwhelmed by polio patients. Under immense pressure and surrounded by loss, two doctors were faced with a seemingly unanswerable question: What can we do if patients become too paralyzed to breathe? A saga of innovation followed leading to the modern intensive care unit, or ICU. In this episode, Rotary magazine senior editor Geoff Johnson sits down with Dr. Hannah Wunsch. Dr. Wunsch documented the epidemic for her book: The Autumn Ghost.

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

Kristen Pyrc, M.D. and Wini King welcome a truly inspiring mother-daughter duo to Raising Joy: Emerson Bucci and her mother, Ashlee. In an episode that celebrates the power of the human spirit, they share Emerson's incredible journey of survival and recovery.In August 2024, at just 12 years old, Emerson faced a very rare and life-threatening allergic reaction to the common antibiotic Bactrim. Her lungs were severely compromised, leading to a 36-day stay in the ICU at Cook Children's and being placed on ECMO life support.Tune in to hear:·         The terrifying process of searching for a diagnosis, the family's emergency transfer, and the very real possibility of a lung transplant.·         How Emerson, despite being on life support, remained fully awake and even did schoolwork.·         The inspiring story behind Emerson's life-affirming catchphrase, "I got this," which became the family's mantra and even inspired a special tattoo.·         Emerson's deep faith and remarkable maturity in viewing her ordeal as "temporary".·         How this experience has inspired Emerson to pursue a future career as a physical therapist to help others walk their own road to recovery.This conversation is a powerful testimony to family love, perseverance, and the miracle of hope.

In this podcast episode we want to introduce you to our BCEN friend, Kristi Bonny. Kristi Bonny brings over 25 years of experience in healthcare, beginning her career as a firefighter/paramedic before transitioning into nursing. Her diverse background spans roles in the ICU, Emergency Department, Quality Management, and Trauma Services. Currently serving as a Trauma Clinician at an ACS-verified Level II Trauma Center, Kristi specializes in Performance Improvement—blending her love of data and process refinement with hands-on clinical care. Known for her balance of analytical insight and frontline expertise, Kristi embodies the best of both the “nerdy nurse” and the dedicated clinician. What began with a spark to follow in her mother's nursing footsteps has evolved into a remarkable career dedicated to improving trauma care. Recently honored as the 2025 Distinguished TCRN Award winner, it's easy to see why her passion and expertise stand out. This episode is called “Beyond the harbor: courage, compassion, and continuous improvement in trauma care.” Kristi can be contacted on LinkedIn @KristiBonny or by email at KristiBonny@texashealth.org BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. We invite you to visit us online at bcen.org for additional information about emergency nursing certification, education, and much more. Episode introduction created using elevenlabs.io

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!

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

Achieving Financial Freedom as a Nurse: A 15-Year Journey of Salary Progression and Smart Investing Ellaine, a nurse practitioner and founder of Nursing FlowSheet, discusses her 15-year journey towards financial freedom and the importance of combining income growth with investing. She shares her personal salary progression from a bedside ICU nurse earning $28 per hour to a nurse practitioner making $250,000 to $270,000 annually. Ellaine emphasizes that merely increasing income is not sufficient—investing wisely is crucial to building wealth. She offers practical advice on avoiding lifestyle creep, using raises purposefully, and tracking expenses. Ellaine also advocates for job switching as a significant income lever in nursing, supported by data showing that job switchers earn more than those who stay put. Lastly, she stresses investing in assets, particularly the stock market, to combat inflation and secure financial freedom. 00:00 Introduction: The Journey to Financial Freedom 00:39 The Reality of Chasing Income 00:56 Key Truths About Income and Investment 01:20 My Salary Progression as a Nurse 11:03 The Importance of Job Switching 14:08 Avoiding the Salary Trap 18:23 The Power of Investing 19:23 Conclusion: Building Financial Freedom FREE INVESTING CLASS: Enroll Here Scrubs and Stocks Podcast is a podcast hosted by Ellaine Maala, RN, NP who is a finance educator, nurse, and owner of NursingFlowsheet LLC, which is a finance and career blog for nurses. This podcast is created to help nurses build wealth through investing in the stock market, real estate or in their own businesses.Nurses deserve options whether they want to retire early or work until retirement.If you want to connect with Ellaine, follow her on:Instagram: @nursewhoinvestsTikTok: @nursewhoinvestsBlog: nursingflowsheet.com , nursewhoinvests.comDownload my free investment cheatsheet

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

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

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.

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