Podcasts about improving access

What if the symptoms of heart disease are present, but the usual suspects aren't to blame? This intriguing question sets the stage for my conversation with Dr. Samit Shah, as we dive into the complex world of ischemia with non-obstructive coronary arteries (INOCA). Dr. Shah shares his groundbreaking work on invasive coronary function testing, a crucial development in the past decade that helps us understand symptoms like chest pain and shortness of breath without coronary blockages. DISCOVER ANOCA program is creating standardized protocols for provocative testing, ensuring that patients receive precise diagnoses and effective care.Our discussion takes a closer look at the nuanced challenges of diagnosing and treating myocardial bridging, vasospasm, and microvascular dysfunction. With a compelling case study, we illustrate how provocative testing can identify the root causes of symptoms, leading to non-surgical treatment paths. Dr. Shah introduces the Discover Inoka study, which standardizes the use of intravascular imaging for myocardial bridges. By establishing these testing protocols, the medical community is better equipped to treat such conditions with newfound enthusiasm.As we wrap the conversation, we confront the ongoing challenges and future opportunities in making provocative testing widely accessible. The importance of understanding conditions before major interventions and the role of the Microvascular Network in connecting patients to specialized care are emphasized. We also spotlight advancements in studying myocardial bridging, where surgical unroofing is now tracked in clinical trials, offering unprecedented insights into patient outcomes and enhancing cardiac care. Dr. Shah's insights are driving forward a crucial conversation on improving diagnoses and offering hope to patients with challenging cardiac conditions.CHAPTER TIMESTAMPS(00:00) Discover ANOCA Clinical Trial Overview(08:41) Advance in Diagnosis and Treatment(14:07) Improving Access to Provocative Testing(27:24) Myocardial Bridging Clinical Trial OutcomesDiscover INOCA clinical trials application and information is available HERE.For more information about myocardial bridging and microvascular testing, visit the microvascular network, HEREWhite paper on chest pain. American Heart Assochttps://www.ahajournals.org/doi/10.1161/CIR.0000000000001029https://www.microvascularnetwork.com/https://www.jscai.org/article/S2772-9303(24)01512-6/fulltexthttps://www.jscai.org/article/S2772-9303(25)01048-8/fulltext

Discover how non-profit medical centers are revolutionizing care for injured veterans through cutting-edge exosome therapy, addressing critical healthcare gaps when VA services fall short - especially crucial for the 52% of veterans reporting inadequate support. Learn more at https://operationrescue.health/ Veracor Group LLC City: Miami Address: 1395 Brickell Avenue Website: https://veracorgroup.com/

2025 marks 120 years for United Way of Greater Atlanta. Milton J. Little, Jr., president and CEO of UWGA, discusses their long-standing mission, their resiliency, and their ongoing efforts to improve economic mobility across 13 metro counties by providing access to services and resources. Plus, Grant Wallace, known for his lawncare and glass recycling businesses featured on “Closer Look,” returns to the program to share his latest venture: The Southern Shmooze. The serial entrepreneur talks with Rose about his new business directory that was born from a Facebook group. He also shares how it’s helping Atlanta area residents connect with business owners.See omnystudio.com/listener for privacy information.

Tom Zaubler, MD, discusses how AI can help behavioral health practitioners track their patients' well-being longitudinally and devote more time to developing trusting clinical relationships. Let us know what you thought of this week's episode on Twitter: @physicianswkly Want to share your medical expertise, research, or unique experience in medicine on the PW podcast? Email us at editorial@physweekly.com! Thanks for listening!

The regular cycle for Charlottesville Community Engagement begins and ends with a sonic version that collects stories from the past week and presents them in audible form. The information gathering for this newsletter mostly takes place by recording audio of government meetings in the Thomas Jefferson Planning District. As I write each story, I clip out the audio the way I might have done if I had continued to pursue a career in public radio. There is a satisfaction to be able to share this with anyone who might want to hear.In this edition of the program:* Local primary races set for City Council, Jack Jouett seat on Albemarle Board* Albemarle Architectural Review Board reviews draft actions for Comprehensive Plan* Albemarle Supervisors skeptical of proposal to use dedicated housing fund proceeds as debt service* Albemarle Supervisors vote to add another $1 million to affordable housing fund, $200,000 to emergency fund in FY2026 budget* Deputy City Manager Ratliff provides update on Charlottesville's strategic plan* Former City Council appeals to Council to move forward with improvements to support Dogwood MemorialCharlottesville Community Engagement is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.First shout-out: Piedmont Master Gardeners seek items for Green Elephant SaleIf you are cleaning out your garage or basement this winter and have garden implements or yard ornaments you no longer need, the Piedmont Master Gardeners will take them off your handsThe Piedmont Master Gardeners are seeking donations of new and used garden tools, hoses, decorative items, outdoor furniture, and virtually anything else that can be used to maintain or enjoy a home landscape. From February 1 through April 30, these "Green Elephant" donations may be dropped off at 402 Albemarle Square between 10 a.m. and noon on Wednesdays or Saturdays. The Master Gardeners are not able to accept plastic pots or opened chemicals.The Green Elephants will be offered for sale to the public during PMG's Spring Plant Sale, scheduled for 10 a.m. to 2 p.m. Saturday, May 3, at Albemarle Square Shopping Center. Proceeds will support the many free and low-cost horticulture education programs the Piedmont Master Gardeners offer to the community.To arrange a pickup of large items or for more information, contact the Piedmont Master Gardeners at greenelephant@piedmontmastergardeners.org.The weekly look at the spreadsheetSecond-shout out: Charlottesville Area Tree StewardsThe next shout-out is one I'm very interested in. There is now a big school behind my house and I'd like to plant some trees to screen my property. I really have no idea how to do such a thing, but you can bet where I'll be the morning of April 12, 2025!That's when the Charlottesville Area Tree Stewards will be holding their annual tree sale at the Virginia Department of Forestry at 900 Natural Resources Drive in Charlottesville. The group has their own tree nursery, entirely run by volunteers. They plant saplings obtained from multiple sources and nurture them until they are large enough to be planted out. They concentrate on native trees, some of which are hard to find from commercial sources.They don't have a list yet, but stay tuned to this space for details. But, this is a good day to get that on your calendar! Click here for more details! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit communityengagement.substack.com/subscribe

Brandon Franklin returns to the podcast after a very long hiatus. You'll have to go back to Session 36 to hear his first appearance as a matter of fact. It turns out that he's been doing a lot of innovative clinical work in that time. Currently, he is the Chief Behavior Analyst for the Lee Specialty Clinic and a Behavioral Consultant at Kramer Behavioral Health. In these roles, Brandon has implemented various interventions to help individuals with intellectual disabilities access routine medical and dental care. If you're not familiar with this topic, it might sound pretty mundane, but as you'll hear, these populations really struggle to attend and participate in routine medical appointments, which, not surprisingly, has downstream negative health consequences. As such, interventions that improve on the current statistics can truly be considered life-saving. In this podcast, we get into the following: Common phobias associated with medical treatments. Brandon's personal experience with aerophobia (the fear of flying), and what he did to improve it. The basics of desensitization strategies. How he and his team members use these strategies to improve the rate of successful medical appointment visits. And finally, the research on this topic that he is doing for his dissertation. Brandon has generously compiled a list of references, which you can find here. He's passionate about this topic and is willing to talk with anyone about it, so feel free to hit him up on LinkedIn. Here's all of Brandon's contact info. Here's all the desensitization resources you could ask for. This podcast is brought to you by: Frontera. Consider taking a demo of Frontera's Assessment Builder and see how the ethical application of AI technologies can help you serve clients and save you time! Your first assessment report is free. And if you use code BOP25 you'll get an additional five assessments for just $100. So head to fronterahealth.com to check it out! The Profound Autism Summit. The Profound Autism Summit is a two-day conference taking place on April 10th and 11th in Boston, MA. Following on the massive success of the 2024 Summit, the 2025 event brings together leaders from the areas of research, medicine, treatment, advocacy, and education to discuss the needs and support of those with Profound Autism across disciplines and throughout the lifespan. HRIC Recruting. Cut out the middleman and speak directly with Barbara Voss, who's been placing BCBAs in great jobs all across the US for 15 years.  CEUs from Behavioral Observations. Learn from your favorite podcast guests while you're commuting, walking the dog, or whatever else you do while listening to podcasts. New events are being added all the time, so check them out here.  The Behavioral Toolbox. Check out our courses for school-based and other behavioral professionals, including our newest one, Motivational Interviewing: Getting Educator Buy-In.

Public-Private Collaboration Key to Improving Access to Higher Education by Radio Islam

Today's guest is a giant and well-respected figure in British Columbian Emergency Medicine. In addition to his many research and quality improvement projects, Dr. Jim Christenson helped create the British Columbia Emergency Medicine Network improving the quality of emergency care across the province. But far from slowing down in retirement, he's continued pioneering work, turning his attention to the rural, indigenous communities on the west coast of Vancouver Island. In this insightful and moving interview Dr. Christenson talks about the current state of healthcare in these remote communities, the challenges of addressing inequity, his personal motivation for this work and some of the incredible and heartwarming encounters he's experienced on the way. Links: Northern Health PQI E-mail us!

Kisha A. Brown is a passionate civil rights attorney and the founder/CEO of Justis Connection, an online platform designed to connect lawyers of color with communities needing legal resources.    She has extensive experience across the federal, state, local, nonprofit, and private sectors and focuses on civil rights, police reform, and empowerment.   Kisha realizes that people often ask for legal referrals, but the process is inefficient, requiring multiple steps and often not connecting people of color with lawyers of color.    Kisha emphasizes that many people, especially from marginalized communities, lack access to legal professionals and knowledge about their rights.   Justis Connection helps people find the right lawyer for their specific legal needs, considering factors like language needs, budget, and proximity to public transportation.   Kisha connects her work to the legacies of influential Black leaders like Thurgood Marshall, believing that lawyers of color are responsible for serving their communities.   In addition, references Dr. Martin Luther King Jr.'s "The Drum Major Instinct" speech, emphasizing that leadership is about serving others.    Website: Justis Connection  LinkedIn: Kisha A. Brown, Esq.   Check out our CEO Hack Buzz Newsletter–our premium newsletter with hacks and nuggets to level up your organization. Sign up HERE.  I AM CEO Handbook Volume 3 is HERE and it's FREE. Get your copy here: http://cbnation.co/iamceo3. Get the 100+ things that you can learn from 1600 business podcasts we recorded. Hear Gresh's story, learn the 16 business pillars from the podcast, find out about CBNation Architects and why you might be one and so much more. Did we mention it was FREE? Download it today!

Canada's healthcare system is at a crossroads. Explore how empowering healthcare workers, embracing industry collaboration, and fostering a culture of innovation can transform patient access and system efficiency. Discover the importance of reducing barriers to innovative medicines and developing a mandate for healthcare innovation to ensure a more effective and patient-centered future.Read the full interview and key takeaways: https://thefutureeconomy.ca/interviews/innovating-healthcare-transforming-patient-access-and-system-efficiency/Subscribe for exclusive previews of upcoming episodes and updates on new releases: https://bit.ly/3ri2IUu Follow us on social media: https://linkin.bio/thefutureeconomy.ca=====About TheFutureEconomy.ca=====TheFutureEconomy.ca is a Canadian online media outlet and thought leadership platform that produces interviews, panels and op-eds featuring leaders from industry, government, academia and more to define a strong vision for our future economy.Our content emphasizes our interviewees' insights and calls-to-action on what we must do now to improve the competitiveness and sustainability of Canada's future economy.Check out our website: https://thefutureeconomy.ca/ #FutureOfHealth #HealthcareInnovation #CanadianHealthcare #RocheCanada #InnovativeMedicines

The 27th Chief Justice of the Supreme Court of Texas, the Honorable Nathan L. Hecht retired from the bench at the end of 2024 as the longest-serving member in the history of the Texas Supreme Court. In this conversation, Hecht reflects on how his time on the bench shaped his perspective on access to justice. He describes the current challenges that civil courts face and shares what recent innovations he finds most exciting. Learn more about your ad choices. Visit megaphone.fm/adchoices

The 27th Chief Justice of the Supreme Court of Texas, the Honorable Nathan L. Hecht retired from the bench at the end of 2024 as the longest-serving member in the history of the Texas Supreme Court. In this conversation, Hecht reflects on how his time on the bench shaped his perspective on access to justice. He describes the current challenges that civil courts face and shares what recent innovations he finds most exciting.

People always ask how they can get in involved... and sometimes the time requirement seems daunting. In this episode, I visit with Kelli Bingham to learn what they do at Harmony Health to help create dental health equity in communities that need it. She explains what they do and how we all could be a part of it at a level we feel comfortable with.  Resources: https://harmonyhealthfoundation.org/ kelli@harmonyhealthfoundation.org    

People always ask how they can get in involved... and sometimes the time requirement seems daunting. In this episode, I visit with Kelli Bingham to learn what they do at Harmony Health to help create dental health equity in communities that need it. She explains what they do and how we all could be a part of it at a level we feel comfortable with.  Resources: https://harmonyhealthfoundation.org/ kelli@harmonyhealthfoundation.org    

How can you tell if your sniffles are just allergies or something worse? Should men be living in colder climates? The medical field is helping to increase access to clean water. Your smart watch may not be as great for your health as you thought. Learn More: https://radiohealthjournal.org/medical-notes-why-hopeful-fathers-should-live-in-cold-weather-how-dialysis-is-improving-access-to-clean-water-and-the-dangers-of-using-a-smartwatch Learn more about your ad choices. Visit megaphone.fm/adchoices

Kristin Peterson, Chief of Policy at the Washington State Department of Health, tells us why the data-sharing agreement with the Tulalip Tribe is historic; Dr. Kim Baker, Assistant Professor and Assistant Dean of Practice at UT Health Houston School of Public Health, explains the success of the Own Every Piece campaign; several members of the ASTHO team collaborated on a recent Journal of Public Health Management and Practice article that focuses on efforts to improve access to care; and an ASTHO report explores the reasons cancer prevention messaging has often not resonated with its intended audience. Washington State Department of Health News Release: DOH and Tulalip Tribe sign historic Tribal-specific data sharing agreement UT Health Houston School of Public Health Web Page: “Own Every Piece” Campaign Promotes Reproductive Wellness and Birth Control Access to More than 3 Million Women Journal of Public Health Management and Practice Article: Public Health Agency Approaches to Improving Access to Care ASTHO Report: Improving Public Health Messaging – Exploring the Reach and Effectiveness of Cancer Prevention Communications  

As World Antimicrobial Resistance Awareness Week (WAAW) kicked off around the globe, the Australian Antimicrobial Resistance Network (AAMRNet) was meeting in Canberra to explore how Australia can better support the development of and access to new antimicrobial technologies. Key clinicians, researchers, industry and government representatives gathered to discuss how a subscription-style funding model for new antimicrobials might be adapted to be fit-for-purpose in Australia.It's an idea turned into reality by the UK's National Health Service (the NHS) after it successfully piloted a world-first subscription reimbursement model, with the goal to improve access to much needed antibiotics, and at the same time incentivize the pharmaceutical industry to develop new antibiotics to tackle superbugs. David Glover, Assistant Director of Medicines Analysis at NHS England joined the workshop to explain the UK model in detail.Afterwards he had a chat with Caroline Duell for the MTPConnect Podcast about the impetus for this pioneering approach, why paying manufacturers a fixed fee for antimicrobials can boost drug development and why this UK model, which is now being expanded, benefits governments, companies and patients. 

In this episode of the Tyler Tech Podcast, we conclude our special two-part series on the concept of access, focusing on how technology can help organizations break down barriers and provide access to essential services, resources, and opportunities. Four experts from Tyler Technologies share unique insights into enhancing accessibility in the public sector.Kristine Lim, product manager in Tyler's Data & Insights Division, discusses the importance of practical data governance and how data-driven tools can measure and improve access to public services. Daren Jackson, senior vice president of disbursements, provides a thoughtful perspective on how payment technology fosters financial access, urging governments to adopt a broader approach to problem-solving.Urvi Pandya, general manager of Workforce Case Management, shares strategies for creating safe and accessible work environments, emphasizing the role of community collaboration in simplifying data management. Finally, industry engagement consultant Kim Martin highlights innovations in student transportation systems, demonstrating how technology can enhance service delivery for students and their families.Be sure to subscribe to the Tyler Tech Podcast for more insights into the technologies shaping the public sector today!We also detail our latest white paper about how AI is empowering public sector agencies to tackle workforce shortages, modernize outdated systems, and navigate budget constraints. You can download that here: Revolutionizing the Government Workforce With AILearn more about the topics discussed in this episode with these resources:Download: Driving Financial Equity With TechnologySuccess Story: Chattanooga's New Public Safety VisionPodcast: Student Transportation Tech SolutionsVideo: Introduction to Workforce Case ManagementBlog: Transforming Government Payments Through a Unified PlatformBlog: Building Trust Through Effective Case ManagementBlog: Unified Case Management Streamlines ProcessesBlog: Harnessing Data and Insights for Community DevelopmentBlog: Data, Equity, and PolicingListen to other episodes of the podcast.Let us know what you think about the Tyler Tech Podcast in this survey!

Chronic Lyme disease, characterized by persistent symptoms that can linger for months or even years, is a growing concern for both patients and healthcare providers. Traditionally, Lyme disease has been seen as a straightforward infection—diagnosed early, treated with antibiotics, and resolved. However, for a significant number of people, Lyme disease can evolve into a chronic condition, marked by ongoing fatigue, pain, and cognitive issues. But what if much of this chronic suffering could be prevented? Recent insights suggest that the progression to chronic Lyme disease might be mitigated, or even prevented, by focusing on several key factors. This approach is similar to how we prevent other chronic diseases like type 2 diabetes or heart disease: through early detection and appropriate treatment. **The Importance of Early Diagnosis and Treatment** One of the most critical steps in preventing chronic Lyme disease is the early diagnosis and treatment of the infection. When a patient presents with a tick bite or early symptoms of Lyme disease, such as the characteristic erythema migrans rash, it's vital to begin treatment promptly. Early intervention with antibiotics like doxycycline can significantly reduce the risk of the infection progressing to a chronic stage. Moreover, it's essential to maintain a vigilant follow-up process. Even after initial treatment, patients should be asked to return for evaluation if symptoms persist or recur. Lyme disease can sometimes be insidious, with symptoms reappearing after what seems like successful treatment. Regular follow-ups allow healthcare providers to monitor the patient's progress and catch any signs of relapse early. **Look for Co-Infections** Co-infections are another critical factor in the progression of Lyme disease to a chronic condition. Ticks often carry more than just Borrelia burgdorferi, the bacteria responsible for Lyme disease—they can also transmit other pathogens like Babesia, Bartonella, and Anaplasma. These co-infections can complicate the clinical picture and may require different treatments. It's important to test for and consider co-infections, especially if a patient's symptoms do not resolve with standard Lyme treatment. Addressing all possible infections early on can prevent the persistence and worsening of symptoms. **Consider Retreatment** In cases where initial treatment does not fully resolve the symptoms, it may be necessary to consider retreatment. Clinical judgment plays a crucial role here. While some cases of Lyme disease respond well to the standard course of antibiotics, others may require a more prolonged or alternative treatment approach. Retreatment should be considered for patients who continue to experience significant symptoms, particularly if they show signs of ongoing infection or co-infections. **Follow-Up Care is Crucial** Consistent follow-up care is essential in managing Lyme disease and preventing its progression to a chronic state. Even after symptoms appear to have resolved, patients should be monitored for any signs of recurrence or new symptoms. Chronic Lyme disease can sometimes develop months or even years after the initial infection, making long-term follow-up a key component of care. **Environmental Awareness and Preventive Measures**  **Raising Awareness and Improving Access to Care** 

Ototoxicity monitoring is a vital tool for preserving hearing in patients undergoing treatments with ototoxic medications, such as those used for cancer or tuberculosis. Bob Traynor and Renee Lafrancois from Shoebox Audiometry discuss the practical applications of this monitoring and how accessible tools are making it easier for clinicians to integrate into patient care. Renee explains the global implications of ototoxicity monitoring, especially in low-resource areas where access to audiological care is limited. This episode explores the importance of collaboration between audiologists and oncologists to ensure patients' hearing is monitored during treatment, despite logistical challenges. Looking ahead, Bob and Renee preview a follow-up episode where they will dive deeper into case studies and specific procedures for remote ototoxicity monitoring using automated audiometry. The upcoming episode will explore how these tools are making a difference in various clinical settings. **Learn more about Shoebox here: https://www.shoebox.md Be sure to subscribe to our YouTube channel for the latest episodes each week, and follow This Week in Hearing on LinkedIn and X (formerly Twitter): https://www.linkedin.com/company/this-week-in-hearing/ https://twitter.com/WeekinHearing

Palliative care is an essential component to high-quality care for patients with cancer. How can access to palliative care be expanded? Eduardo Bruera, MD, from MD Anderson Cancer Center speaks with JAMA Editor in Chief Kirsten Bibbins-Domingo about 2 new trials in JAMA that address access to care and what more it will take for executives, insurers, and regulators to support palliative care programs. Related Content: Improving Palliative Care Access for Patients With Cancer Telehealth vs In-Person Early Palliative Care for Patients With Advanced Lung Cancer

More people die from contaminated drinking water and poor sanitation than from water-related disasters. What are the consequences if we don't provide safe drinking water, especially for children, and what technologies and policies can accelerate that change? In the first of a series of VoxDev Talks based on J-PAL Policy Insights, Pascaline Dupas of Princeton, also Scientific Director for J-PAL Africa, explains the importance of clean water to Tim Phillips. Check out the full show notes on VoxDev: https://voxdev.org/topic/health/improving-access-and-usage-clean-water

The Quality Corner Show chats with Dave McCormick, Director, Immunization Division of the Indiana Department of Health about the Vaccines for Children Program (VFC) and improving access to immunizations for Indiana adolescents.Podcast Host Nick Dorich asks why this age range is an area for improvement and how pharmacies can make a difference. McCormick explains how pharmacies in Indiana can provide immunizations for children 11 and older and how their expanded hours allows more flexibility for families.For more information on the VFC program visit https://www.in.gov/health/immunization/vaccines-for-children/

Send us a Text Message.In this episode of the Global Neonatal Podcast, the hosts interview Dr. Emily Njuguna  and Kimberly Mansen MSPH RDN  from PATH to discuss the importance of human milk in low and middle-income countries (LMICs) and the strategies used to support lactation. The guests highlight the challenges faced by mothers in LMICs and  emphasize the importance of early lactation support for mothers of the most vulnerable newborns. Emily and Kimberly  discuss the three-pronged approach of kangaroo mother care, lactation support, and human milk banks in providing human milk for babies in LMICs. They also shared examples of successful initiatives, such as the establishment of a human milk bank in Kenya, and discussed plans for scaling up these programs in other countries. Resources mentioned in episode:PATH Newborn Nutrition page: https://www.path.org/who-we-are/programs/maternal-newborn-child-health-and-nutrition/newborn-nutrition/Article on potential effectiveness of human milk banking and lactation support on neonatal outcomes at the Pumwani Maternity Hospital in Kenyahttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10750015/  Contact:   Kimberly Mansen https://www.linkedin.com/in/kimberly-mansen/kamundson@path.org Emily Njuguna MD https://www.linkedin.com/in/emily-m-njuguna-062b7724/?originalSubdomain=keenjuguna@path.org Episode Webpage Link:  https://www.the-incubator.org/post/213-closing-the-gap-improving-access-to-human-milk-in-lmicsAs 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!

With fire season escalating across the West this week, many people are downloading Watch Duty App for the first time. But what is Watch Duty all about? Why was it created? Where does their information come from? What do agency employees think about it?We spoke to Watch Duty CEO John Mills about the Watch Duty app as well as fire technology more broadly, and gave him a chance to respond to some listener questions from PIOs, wildland firefighters, community resilience experts and others in the Life with Fire community. His responses are about as no-BS as they come, and he provided an honest assessment of where the app is currently and where he'd like it to be in the near and far-off future. A few things they're adding in the near future include a version of the app just for first responders, which John speaks to in the episode, while in the longer term he's looking forward to exploring how Watch Duty can provide more opportunities for community education about wildfire and wildfire resilience. Timestamps: 07:33 - Interview starts, John explains his background in Silicon Valley10:10 - The Beginnings Of Watch Duty 12:12 - John's experiences of the Walbridge Fire 13:21 - Watch Duty's Functionality 16:20 - How they find reporters/contributors for Watch Duty 18:06 - Concerns and Questions from PIOs/PAOs 21:07 - Gaining Trust And Users 22:25 - The Future of The App25:01 - Upcoming Watch Duty Features   26:48 - Public Education Features 29:40 - Watch Duty's Role In The Fire Tech Space 34:48 - John's Thoughts On the Fire Tech Industry 42:39 - Watch Duty's Main Benefit Is Efficiency 47:16 - How People Use Watch Duty 49:50 - The Reason They Don't Allow Comments on Watch Duty50:49 - Outro 

In this episode, Donna Bailey, CEO, guides us through the pivotal role of Community Behavioral Health (CBH). CBH funds crucial mental health treatment for Medicaid recipients in Philadelphia, ensuring accessibility and support. We focus on CBH's efforts in supporting pregnant or parenting individuals, including collaborations with the Joseph J Peters Institute (JJPI). We explore NNCC's successful collaboration with JJPI, connecting over 200 clients to essential therapy services. This highlights CBH's extensive provider network and its impact on mental health outcomes. The conversation emphasizes preemptive engagement in mental health services and overcoming systemic barriers, addressing social determinants of health crucial to tackling mental health challenges. As we observe Black Maternal Mental Health Week 2024 (July 19-26), this episode underscores the need for equitable mental health care access. Join us as we discuss fostering comprehensive care for all Philadelphians.

Sue Yom, our Editor in Chief, hosts a discussion of two related articles, Temporal Evolution and Diagnostic Diversification of Patients Receiving Proton Therapy in the United States: A Ten-Year Trend Analysis (2012-21) from the National Association for Proton Therapy and Improving Access to Proton Therapy in the United States and Around the World, from the July 15, 2024 issue. Guests are first authors Dr. William Hartsell, former Medical Director of the Northwestern Medicine Proton Center, now practicing in the Advocate and Alexian systems in the Chicago area, and Dr. Derek Tsang, Associate Professor at the University of Toronto and Clinician Investigator in the Radiation Medicine Program at Princess Margaret Cancer Centre.

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Joshua Brumley is the CEO of Brumley Law Firm.Joshua has practiced as an attorney with the Washington State Bar Association since 2015. He has served as a pro-tem Judge and is the owner of Brumley Law Firm whose mission is to empower their community by providing client-focused service, one car crash at a time.Founded on the principles of integrity, compassion, and expertise, the Brumley Law Firm practices in personal injury law, with a dedicated team for car accidents in Kent, Washington. Their commitment is to empower and support their clients through some of the most challenging times of their lives.Connect with Joshua on LinkedIn: https://www.linkedin.com/in/joshuabrumley/Visit Brumley Law Firm: https://brumleylawfirm.com/On This Episode, We Discuss…Finding a Niche in the Law IndustryHow Law Firms Can Support Their Communities Victims Facing Language and Economic BarriersStrategies for Improving Access to Justice

Douglas Weber, MD, explains how zuranolone has changed the landscape for postpartum depression treatment, addressing a gap in care within the specialty.

This episode is brought to you by Anthem Blue Cross Blue Shield's MyHealthBenefitFinder.com What if understanding the full spectrum of your health insurance could change your life? Join us for an eye-opening conversation into the world of health care and insurance with Dr. Darrell Gray II, MD. Dr. Gray shares invaluable insights on the necessity of health literacy, the critical role of primary care providers, and the importance of preventive measures that can potentially save your life. Through personal anecdotes, he illustrates the unpredictable nature of health issues and the importance of being prepared with the right health coverage. Navigating the complex world of healthcare benefits can be daunting, but Dr. Gray breaks it down with practical advice and tools like Anthem's MyHealthBenefitFinder.com. We explore common misconceptions about insurance coverage, and Dr. Gray emphasizes how knowing the specifics of your plan can significantly impact your healthcare experience. From lactation support and low to no-cost medications to transportation assistance, understanding these benefits can lead to better health outcomes. We also discuss the evolving healthcare system's efforts to reduce barriers and stigma, ensuring broader access to necessary care. For those self-employed or in between jobs, this episode offers crucial information on affordable health insurance options and subsidies provided by the Affordable Care Act. Dr. Gray also touches on the mental health impacts of grief, the rising awareness of mental health and substance use disorders post-pandemic, and how insurance can support access to mental health providers and addiction treatment. Tune in to empower yourself and your loved ones with the knowledge to maximize your health benefits and prioritize your well-being. Follow Darrell @dmgraymd  Follow Chase @chase_chewning ----- In this episode we discuss… (01:00) Navigating Healthcare Benefits for Optimal Health (06:27) How to Access Healthcare Benefits (16:28) Exploring Healthcare Benefits to Maximize Personal Use (22:24) Understanding the Importance of Health Insurance for Everyone (36:08) How to Leverage Benefits in Employment (42:06) Preventative Measures and What to Look For in Insurance Options for Wellness (47:02) Improving Access to Make Sure You Get to Keep Using Your Benefits (59:54) Empowering Others and Building Healthy, More Educated Communities ----- Episode resources: Learn more at MyHealthBenefitFinder.com  Watch and subscribe on YouTube

Did you know that in the state of NC pharmacists can prescribe certain contraception? Listen to this episode of "Just Us: Before, Birth, and Beyond" to hear pharmacists from across the state discuss the house bill that made this possible, why this change is so beneficial to patients, the impact this has on rural patients, and so much more. Thank you to Anna Baird, PharmD, Roshni Pattabiraman, PharmD, Rathika Nimalendran, PharmD, and Dr. Ashley Navarro for their expertise on this topic. Enjoy! Podcast Survey: https://redcap.mahec.net/redcap/surveys/?s=XTM8T3RPNK Facebook: Just Us: Before, Birth and Beyond Podcast  Resources: https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H96v5.pdf (House bill 96)Please provide feedback here:https://redcap.mahec.net/redcap/surveys/?s=XTM8T3RPNK

We're back! Let's Talk about CBT has been on hiatus for a little while but now it is back with a brand-new host Helen Macdonald, the Senior Clinical Advisor for the BABCP. Each episode Helen will be talking to experts in the different fields of CBT and also to those who have experienced CBT, what it was like for them and how it helped. This episode Helen is talking to one of the BABCP's Experts by Experience, Paul Edwards. Paul experienced PTSD after working for many years in the police. He talks to Helen about the first time he went for CBT and what you can expect when you first see a CBT therapist. The conversation covers various topics, including anxiety, depression, phobias, living with a long-term health condition, and the role of measures and outcomes in therapy. In this conversation, Helen MacDonald and Paul discuss the importance of seeking help for mental health struggles and the role of CBT in managing anxiety and other conditions. They also talk about the importance of finding an accredited and registered therapy and how you can find one. If you liked this episode and want to hear more, please do subscribe wherever you get your podcasts. You can follow us at @BABCPpodcasts on X or email us at podcasts@babcp.com. Useful links: For more on CBT the BABCP website is www.babcp.com Accredited therapists can be found at www.cbtregisteruk.com Credits: Music is Autmn Coffee by Bosnow from Uppbeat Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/bosnow/autumn-coffee License code: 3F32NRBYH67P5MIF   Transcript: Helen: Hello, and welcome to Let's Talk About CBT, the podcast where we talk about cognitive and behavioural psychotherapies, what they are, what they can do, and what they can't. I'm Helen Macdonald, your host. I'm the senior clinical advisor for the British Association for Behavioural and Cognitive Psychotherapies. I'm really delighted today to be joined by Paul Edwards, who is going to talk to us about his experience of CBT. And Paul, I would like to start by asking you to introduce yourself and tell us a bit about you. Paul: Helen, thank you. I guess the first thing it probably is important to tell the listeners is how we met and why I'm talking to you now. So, we originally met about four years ago when you were at the other side of a desk at a university doing an assessment on accreditation of a CBT course, and I was sitting there as somebody who uses his own lived experience, to talk to the students, about what it's like from this side of the fence or this side of the desk or this side of the couch, I suppose, And then from that I was asked if I'd like to apply for a role that was being advertised by the BABCP, as advising as a lived experience person. And I guess my background is, is a little bit that I actually was diagnosed with PTSD back in 2009 now, as a result of work that I undertook as a police officer and unfortunately, still suffered until 2016 when I had to retire and had to reach out. to another, another psychologist because I'd already had dealings with psychologists, but, they were no longer available to me. And I actually found what was called at the time, the IAPT service, which was the Improving Access to Psychological Therapies. And after about 18 months treatment, I said, can I give something back and can I volunteer? And my life just changed. So, we met. Yeah, four years ago, probably now. Helen: thank you so much, Paul. And we're really grateful to you for sharing those experiences. And you said about having PTSD, Post Traumatic Stress Disorder, and how it ultimately led to you having to retire. And then you found someone who could help. Would you like to just tell us a bit about what someone might not know about being on the receiving end of CBT? Paul: I feel that actual CBT is like a physiotherapy for the brain. And it's about if you go to the doctors and they diagnose you with a calf strain, they'll send you to the physio and they'll give you a series of exercises to do in between your sessions with your physio to hopefully make your calf better. And CBT is very much, for me, like that, in as much that you have your sessions with your therapist, but it's your hard work in between those sessions to utilize the tools and exercises that you've been given, to make you better. And then when you go back to your next session, you discuss that and you see, over time that you're honing those tools to actually sometimes realising that you're not using those tools at all, but you are, you're using them on a daily basis, but they become so ingrained in changing the way you think positively and also taking out the negativity about how you can improve. And, and yeah, it works sometimes, and it doesn't work sometimes and it's bloody hard work and it is shattering, but it works for me. Helen: Thank you, Paul. And I think it's really important when you say it's hard work, the way you described it there sounds like the therapist was like the coach telling you how to or working with you to. look at how you were thinking and what you were doing and agreeing things that you could change and practice that were going to lead to a better quality of life. At the same time though, you're thinking about things that are really difficult. Paul: Yeah. Helen: And when you say it was shattering and it was really difficult, was it worth it? Paul: Oh God. Yeah, absolutely. I remember way back in about 2018, it would be, that there was, there was a fantastic person who helped me when I was coming up for retirement. And we talked about what I was going to do when I, when I left the police and I was, you know, I said, you know, well, I don't know, but maybe I've always fancied being a TV extra and, That was it. And I saw her about 18 months later, and she said, God, Paul, you look so much better. You're not grey anymore. You know, what have you done about this? And it was like, she said I was a different person. Do I still struggle? Yes. Have I got a different outlook on life? Yes. Do I still have to take care of myself? Yes. But, I've got a great life now. I'm living the dream is my, is my phrase. It is such a better place to be where I am now. Helen: I'm really pleased to hear that, Paul. So, the hard work that you put into changing things for the better has really paid off and that doesn't mean that everything's perfect or that you're just doing positive thinking in the face of difficulty, you've got a different approach to handling those difficulties and you've got a better quality of life. Paul: Yeah, absolutely. And don't get me wrong, I had some great psychologists before 2016, but I concentrated on other things and we dealt with other traumas and dealt with it in other ways and using other, other ways of working. I became subjected to probably re traumatising myself because of the horrendous things I'd seen and heard. So, it was about just changing my thought processes and, and my psychologist said, Well, you know, we don't want to re traumatise you, let's look at something different. Let's look at a different part and see if we can change that. And, and that was, very difficult, but it meant that I had to look into myself again and be honest with myself and start thinking about my honesty and what I was going to tell my psychologist because I wanted to protect that psychologist because I didn't want them to hear and talk about the things that I'd had to witness because I didn't think it was fair, but I then understood that I needed to and that my psychologist would be taken care of. Which was, which was lovely. So, I became able to be honest with myself, which therefore I can be honest with my therapist. Helen: Thank you, Paul. And what I'm hearing there is that one of your instincts, if you like, in that situation was to protect the therapist from hearing difficult stuff. And actually the therapist themselves have their own opportunity to talk about what's difficult for them. So, the person who's coming for therapy can speak freely, although I'm saying that it's quite difficult to do. And certainly Post Traumatic Stress Disorder isn't the only thing that people go for CBT about, there are a number of different anxiety difficulties, depression, and also a wider range of things, including how to live well with a long term health condition and your experience could perhaps really help in terms of somebody going for their first session, not knowing what to expect. As a CBT therapist, I have never had somebody lie down on a couch. So, tell us a little bit about what you think people should know if they are thinking of going for CBT or if they think that somebody they care about might benefit from CBT. What's it like going for that first appointment? Paul: Bloody difficult. It's very difficult because by the very nature of the illnesses that we have that we want to go and speak to a psychologist, often we're either losing confidence or we're, we're anxious about going. So I have a phrase now and it's called smiley eyes and it, and it was developed because the very first time that I walked up to the, the place that I had my CBT in 2016, the receptionist opened the door and had these most amazing engaging smiley eyes and it, it drew me in. And I thought, wow. And then when I walked through the door and saw the psychologist again, it was like having a chat. It was, I feel that for me, I know now, I know now. And I've spoken to a number of psychologists who say it's not just having a chat. It is to me. And that is the gift of a very good psychologist, that they are giving you all these wonderful things. But it's got to be a collaboration. It's got to be like having a chat. We don't want to be lectured, often. I didn't want to have homework because I hated homework at school. So, it was a matter of going in and, and talking with my psychologist about how it worked for me as an individual, and that was the one thing that with the three psychologists that I saw, they all treated me as an individual, which I think is very, very important, because what works for one person doesn't work for another. Helen: So it's really important that you trust the person and you make a connection. A good therapist will make you feel at ease, make you feel as safe as you can to talk about difficult stuff. And it's important that you do get on with each other because you're working closely together. You use the word collaboration and it's definitely got to be about working together. Although you said earlier, you're not sure about the word expert, you're the expert on what's happening to you, even though the therapist will have some expertise in what might help, the kind of things to do and so there was something very important about that initial warmth and greeting from the service as well as the therapist. Paul: Oh, absolutely. And you know, as I said earlier, I'm honoured to speak at some universities to students who are learning how to be therapists. And the one thing I always say to them is think about if somebody tells you their innermost thoughts, they might never have told anybody and they might have only just realised it and accepted it themselves. So think about if you were sitting, thinking about, should I put in this thesis to my lecturer? I'm not sure about it. And how nervous you feel. Think about that person on the other side of the, you know, your therapy room or your zoom call or your telephone call, thinking about that. What they're going to be feeling. So to get through the door, we've probably been through where we've got to admit it to ourselves. We then got to admit it to somebody else. Sometimes we've then got to book the appointment. We then got to get in the car to get the appointment or turn on the computer. And then we've got to actually physically get there and walk through. And then when we're asked the question, we're going to tell you. We've been through a lot of steps every single time that we go for therapy. It's not just the first time, it's every time because things develop. So, you know, it's, it's fantastic to have the ability to want to tell someone that. So when I say it's fantastic to have the ability, I mean, in the therapist, having the ability to, to make it that you want to tell them that because you trust them. Helen: So that first appointment, it might take quite a bit of determination to turn up in spite of probably feeling nervous and not completely knowing what to expect, but a good therapist will really make the effort to connect with you and then gently try to find out what the main things are that you have come for help with and give you space to work out how you want to say what you want to say so that you both got , a shared understanding of what's going on.So your therapist really does know, or has a good sense of what might help. So, when you think about that very first session and what your expectations were and what you know now about having CBT, what would you say are the main things that are different? Paul: Oh, well, I don't actually remember my first session because I was so poorly. I found out afterwards there was three of us in the room because the psychologist had a student in there, but I was, I, I didn't know, but I still remember those smiley eyes and I remember the smiley eyes of the receptionist. And I remember the smiley eyes of my therapist. And I knew I was in the right place. I felt that this person cared for me and was interested and, you know, please don't think that the, the psychologist before I didn't feel that, you know, they were fantastic, but I was in a different place. I didn't accept it myself. I had different boundaries. I wanted to stay in the police. I, you know, I thought, well, if I, you know, if I admit this, I'm not going to have my, my job and I can't do my job. So a hundred percent of me was giving to my job. And unfortunately, that meant that the rest of my life couldn't cope, but my job and my professionalism never waned because I made sure of that, but it meant that I hadn't got the room in my head and the space in my head for family and friends. And it was at the point that I realized that. It wasn't going to be helpful for the rest of my life that I had to say, you know what, I'm going to have to, something's going to have to give now. And unfortunately, that was, you know, my career, but up until that point, I'm proud to say that I worked at the highest level and I gave a hundred percent. Now I realised that I have to have a life work balance rather than a work life balance, because I put life first. And I say that to everybody have a life work balance. It doesn't mean you can't have a good work ethic. It doesn't mean you can't work hard. It's just what's important in that. So what's the difference between the first session then and the first session now? Well, I didn't remember the first session. Now, I know that that psychologist was there to help me and there to test me and to look at my weaknesses. Look at my issues, but also look at my strengths and make me realize I'd got some because I didn't realise I had. Helen: That's really important, Paul, and thank you for sharing what that was like. I really appreciate that you've been so open and up front with me about those experiences. Paul: So let's turn this round to you then Helen as a therapist And you talked about lots of conditions, and things that people could have help with seeing a CBT therapist because obviously I have PTSD and I have the associated anxiety and depression and I still deal with that. What are the other things that people can have help with that they, some that they do have heard, have heard of, but other things that they might not know can be helped by CBT? Helen: Well, that's a really good question. And I would say that CBT is particularly good at helping people with anxiety and depression. So different kinds of anxiety, many people will have heard, for example, of Obsessive-Compulsive Disorder, OCD, or Generalized Anxiety Disorder where people worry a lot, and it's very ordinary to worry, but when it gets out of hand, other things like phobias, for example, where the anxiety is much more than you'd expect for the amount of danger people sometimes worry too much about getting ill or being ill, so they might have an illness anxiety. Those are very common anxiety difficulties that people have. CBT, I mean, you've already mentioned this, but CBT is also very good for depression. Whether that's a relatively short term episode of really low mood, or whether it's more severe and ongoing, then perhaps the less well known things that CBT is good for. For example, helping people live well if they have a psychotic disorder, maybe hearing voices, for example, or having beliefs that are quite extreme and unusual, and want to have help with that. It's also very good for living with a long term health condition where there isn't anything medical that can cure the condition, but for example, living well with something like diabetes or long term pain. Paul: interestingly, you spoke about phobias then, Is the work that a good therapist doing just in the, the consulting room or just over, the, this telephone or, or do you do other things? I'm thinking of somebody I knew who had a phobia of, particular escalators and heights, and they were told to go out and do that. You know, try and go on an escalator and, they managed to get up to the top floor of Selfridges in Birmingham because that's where the shoes were and that helped. But would you just, you know, would you just talk about these things, or do you go out and about or do you encourage people to, to do these with you and without? Helen: Again, that's, that's a really good point, Paul, and the psychotherapy answer is it depends. So let's think about some examples. So sometimes you will be mostly in the therapist's office or, and as you've mentioned, sometimes on the phone or it can be on a video call. but sometimes it's really, really useful to go out and do something together. And when you said about somebody who's afraid of being on an escalator, sometimes it really helps to find a way of doing that step by step and doing it together. So, whether that's together with someone else that you trust or with the therapist, you might start off by finding what's the easiest escalator that we've got locally that we can use and let's do that together. And let me walk up the stairs and wait for you and you do it on your own, but I'll be there waiting. Then you do it on your own and come back down and meet me. Then go and do it with a friend and then do it on your own. So, there's a process of doing this step by step. So you are facing the fear, you are challenging how difficult it is to do this when you're anxious. But you find a place where you can take the anxiety with you successfully, so we don't drop you in the deep end. We don't suddenly say, right, you're going all the way to the fifth floor now. We start one step at a time, but we do know that you want to get to the shoes or whatever your own personal goal and motivation is there's got to be a good reason to do it gives you something to aim towards, but also when you've done it, there's a real sense of achievement. And if I'm honest as a therapist, it's delightful for me as well as for the person I'm working with when we do achieve that. Sometimes it isn't necessarily that we're facing a phobia, but it might be that we're testing out something. Maybe, I believe that it's really harmful for me to leave something untidy or only check something once. We might do an experiment and test out what it's like to change what we're doing at the moment and see what happens. And again, it's about agreeing it together. It's not my job to tell somebody what to go and do. It's my job to work with somebody to make sure that they've got the tools they need to take their anxiety with them. And sometimes that anxiety will get less, it'll get more manageable. Sometimes it goes away altogether, but that's not something I would promise. What I would do is work my very hardest to make the anxiety so that the person can manage it successfully and live their life to the full, even if they do still have some. Paul: And, and for me, I think one of the things that I remember is that my, you know, my mental health manifested itself in physical symptoms as well. So it was like when I was thinking about things, I was feeling sick, I was feeling tearful. and that's, that's to be expected at times, isn't it? And, and even when you're facing your fears or you're talking through what you're experiencing. It's, it's, it's a normal thing. And, and even when I had pure CBT, it can be exhausting. And I said to my therapist, please. Tell people that, you know, your therapy doesn't end in the session. And it's okay to say to people, well, go and have a little walk around, make sure you can get somebody to pick you up or make sure you can get home or make sure you've got a bit of a safe space for half an hour afterwards and you haven't got to, you know, maybe pick the kids up or whatever, because that that's important time for you as well. Helen: That's a really important message. Yes, I agree with you there, Paul, is making sure that you're okay, give yourself a bit of space and processing time and trying to make it so that you don't have to dash straight off to pick up the kids or go back to work immediately, trying to arrange it so that you've got a little bit of breathing space to just make sure you're okay, maybe make a note of important things that you want to think about later, but not immediately dashing off to do something that requires all your concentration. And I agree with you, it is tiring. You said at the beginning it's just having a chat and now you've talked about all the things that you actually do in a session. It's a tiring chat and tiring to talk about how it feels, tiring to think about different ways of doing things, tiring to challenge some of the assumptions that we make about things. Yes it is having a chat, but really can be quite tiring. Paul: And I think that the one thing that you said in there as well, you know, you talk about what would you recommend. Take a pen and paper. Because often you cannot remember. everything you put it in there. So, make notes if you need to. Your therapist will be making notes, so why can't you? And also, you know, I think about some of the tasks I was given in between my sessions, rather than calling it my homework, my tasks I was given in between sessions to, I suffered particularly with, staying awake at night thinking about conversations I was going to have with the person I was going to see the next day and it manifested itself I would actually make up the conversations with every single possible answer that I could have- and guess what- 99 times out of 100 I never even saw the person let alone had the conversation. So it was about even if I'm thinking in the middle of the night, you know, what I'm going to do, just write it down, get rid of it, you know, and I guess that's, you know, coming back again, Helen to put in the, the ball in your court and saying, well, what, what techniques are there for people? Helen: Well, one of the things that you're saying there about keeping a note and writing things down can be very useful, partly to make sure that we don't forget things, but also so that it isn't going round and round in your head. The, and because it's very individual, there may be a combination of things like step by step facing something that makes you anxious, step by step changing what you're doing to improve your mood. So perhaps testing out what it's like to do something that you perhaps think you're not going to enjoy, but to see whether it actually gives you some sense of satisfaction or gives you some positive feedback, testing out whether a different way of doing something works better. So there's a combination of understanding what's going on, testing out different ways of doing things, making plans to balance what things you're doing. Sometimes there may be things about resting better. So you said about getting a better night's sleep and a lot of people will feel that they could manage everything a bit better if they slept better. So that can be important. Testing out different ways of approaching things, asking is that reasonable to say that to myself? Sometimes people are thinking quite harsh things about themselves or thinking that they can't change things. But with that approach of, well, let's see, if we test something out different and see if that works. So there's a combination of different things that the therapist might do but it should always be very much the, you're a team, you're working together, your therapist is right there alongside you. Even when you've agreed you're going to do something between sessions, it's that the therapist has agreed this with you. You've thought about what might happen if you do this and how you're going to handle it. And as you've said, sometimes it's a surprise that it goes much better than we thought it was going to. So, so we're testing our predictions and sometimes it's a surprise. It's almost like being a scientist. You're doing experiments, you're testing things out, you're seeing what happens if you do this. And the therapist will have some ideas about the kind of things that will work. but you're the one doing, doing the actual doing of it. Paul: And little things like, you know, I, I remember, I was taught a lovely technique and it's called the 5, 4, 3, 2, 1, technique about when you're anxious. And it's about, I guess it's about grounding yourself in the here and now and not, trying to worry about what you're anxious about so you try and get back into what is there now. Can you just explain that? I mean, I know I know I'm really fortunate. I practice it so much. I probably call it the 2-1 So could you just explain how what that is in a more eloquent way than myself? Helen: I think you explained that really well, Paul, but what we're talking about is doing things that help you manage anxiety when it's starting to get in the way and bringing yourself back to in the here and now. And for example, it might be, can I describe things that I can see around me? Can I see five things that are green? Can I feel my feet on the floor? Tell whether it's windy and all of those things will help to make me aware of being in the here and now and that the anxiety is a feeling, but I don't have to be carried away by it. Paul: And there's another lovely one that, I, you know, when people are worrying about things and, it's basically about putting something in a box and only giving yourself a certain time during the day to worry about those things when you open the box and often when you've got that time to yourself. So give yourself a specific time where you, you know, are not worrying about the kids or in going to sport or doing whatever. So you've got yourself half an hour and that's your worry time in essence. And, you know, I use it on my phone and it's like, well, what am I worrying about? I'll put that in my worry box and then I'll only allow myself to look at that between seven and half past tonight. And by the time I've got there, I'll be done. I'm not worrying about the five things. I might be worrying slightly about one of them, but that's more manageable. And then I can deal with that. So what's the thought behind? I guess I've explained it, but what, what's the psychological thought behind that? And, and who would have devised that? I mean, who are these people who have devised CBT in the past? Because we haven't even explored that yet. Helen: Well, so firstly, the, the worry box idea, Paul, is it's a really clever psychological technique is that we can tell ourselves that we're going to worry about this properly later. Right now, we're busy doing something else, but we've made an appointment with ourselves where we can worry properly about it. And like you've said, if we reassure ourselves that actually, we are, we're going to deal with what's going on through our mind. It reassures our mind and allows it not to run away with us. And then when we do come to it, we can check, well, how much of a problem is this really? And if it's not really much of a problem, it's easier to let it go. And if it really is a problem, we've made space to actually think about, well, what can I do about it then? so that technique and so many of the other techniques that are part of Cognitive and Behavioural psychotherapies have been developed in two directions, I suppose. In one direction, it's about working with real people and seeing what happens to them, and checking what works, and then looking at lots of other people and seeing whether those sorts of things work. So, we would call that practice based evidence. So, it's from doing the actual work of working with people. From the other direction, then, there is more laboratory kind of science about understanding as much as we can about how people behave and why we do what we do, and then if that is the case, then this particular technique ought to work. Let's ask people if they're willing to test it out and see whether it works, and if it works, we can include that in our toolkit. Either way, CBT is developed from trying to work out what it is that works and doing that. So, so that's why we think that evidence is important, why it's important to be scientific about it as far as we can, even though it's also really, really important that we're working with human beings here. We're working with people and never losing sight of. That connection and collaboration and working together. So although we don't often use the word art and science, it is very much that combination Paul: And I guess that's where the measures and outcomes, you know, come into the science part and the evidence base. So, so for me, it's about just a question of if I wanted to read up on the history of CBT, which actually I have done a little. Who are the people who have probably started it and made the most influence in the last 50 years, because BABCP is 50 years old now, so I guess we're going back before that to the start of CBT maybe, but who's been influential in that last 50 years as well? Helen: Well, there are so many really incredible researchers and therapists, it's very hard to name just a few. One of the most influential though would be Professor Aaron T. Beck, who was one of the first people to really look into the way that people think has a big impact on how they feel. And so challenging, testing out whether those thoughts make sense and experimenting with doing things differently, very much influenced by his work and, and he's very, very well known in our field, from, The Behavioural side, there've been some laboratory experiments with animals a hundred years ago. And I must admit nowadays, I'm not sure that we would regard it as very ethical. Understanding from people-there was somebody called BF Skinner, who very much helped us to understand that we do things because we get a reward from them and we stop doing things because we don't or because they feel, they make us feel worse. But that's a long time ago now. And more recently in the field, we have many researchers all over the world, a combination of people in the States, in the UK, but also in the wider global network. There's some incredible work being done in Japan, in India, you name it. There's some incredible work going on in CBT and it all adds to how can we help people better with their mental health? Paul: and I think that for me as the patient and, and being part of the BABCP family, as I like to, to think I'm part of now, I've been very honoured to meet some very learned people who are members of the BABCP. And it, it astounds me that, you know, when I talk to them, although it shouldn't, they're just the most amazing people and I'm very lucky that I've got a couple of signed books as well from people that I take around, when I do my TV extra work. And one of them is a fascinating book by Helen Macdonald, believe it or not on long term conditions that, that I thoroughly recommend people, read, and another one and another area that I don't think we've touched on that. I was honoured to speak with is, a guy called, Professor Glenn Waller, who writes about eating disorders. So eating disorders. It's one of those things that people maybe don't think about when they think of CBT, but certainly Glenn Waller has been very informative in that. And how, how do you feel about the work in that area? And, and how important that may be. I know we'll probably go on in a bit about how people can access, CBT and, you know, and NHS and private, but I think for me is the certain things that maybe we need to bring into the CBT family in NHS services and eating disorders for me would be one is, you know, what are your thoughts about those areas and other areas that you'd like to see brought into more primary care? Helen: Again, thank you for bringing that up, Paul. And very much so eating disorders are important. and CBT has a really good evidence base there and eating disorders is a really good example of where somebody working in CBT in combination with a team of other professionals, can be particularly helpful. So perhaps working with occupational therapists, social workers, doctors, for example. And you mentioned our book about persistent pain, which is another example of working together with a team. So we wrote that book together with a doctor and with a physiotherapist. Paul: Yeah, yeah. Helen: And so sometimes depending on what the difficulties are, working together as a team of professionals is the best way forward. There are other areas which I haven't mentioned for example people with personality issues which again can be seen as quite severe but there is help available and at the moment there is more training available for people to be able to become therapists to help with those issues. And whether it's in primary care in the NHS or in secondary care or in hospital services, there are CBT therapists more available than they used to be and this is developing all the time. And I did notice just then, Paul, that you said about, whether you access CBT on the NHS and, and you received CBT through the NHS, but there are other ways of accessing CBT. Paul: That was going to be my very next question is how do we as patients feel, happy that the therapist we are seeing is professionally trained, has got a, a good background and for want of a phrase that I'm going to pinch off, do what it says on the tin. But do what it says on the tin because I, I am aware that CBT therapists aren't protected by title. So unfortunately, there are people who, could advertise as CBT therapist when they haven't had specific training or they don't have continual development. So, The NHS, if you're accessing through the NHS, through NHS Talking Therapies or anything, they will be accredited. So, you know, you can do that online, you can do it via your GP. More so for the protection of the public and the making sure that the public are happy. What have the BABCP done to ensure that the psychotherapists that they have within them do what they say it does on the tin. Helen: yes, that's a number of very important points you're making there, Paul. And first point, do check that your therapist is qualified. You mentioned accredited. So a CBT psychotherapist will, or should be, Accredited which means that they can be on the CBT Register UK and Ireland. That's a register which is recognised by the Professional Standards Authority, which is the nearest you can get to being on a register like doctors and nurses. But at the moment, anyone can actually call themselves a psychotherapist. So it's important to check our register at BABCP. We have CBT therapists, but we have other people who use Cognitive and Behavioural therapies. Some of those people are called Wellbeing Practitioners that are probably most well known in England. We also have people who are called Evidence Based Parent Trainers who work with the parents of children and on that register, everybody has met the qualifications, the professional development, they're having supervision, and they have to show that they work in a professional and ethical way and that covers the whole of Ireland, Scotland, Wales and England. So do check that your therapist is on that Register and feel free to ask your therapist any other questions about specialist areas. For example, if they have qualifications to work particularly with children, particularly with eating disorders, or particularly from, with people from different backgrounds. Do feel free to ask and a good therapist will always be happy to answer those questions and provide you with any evidence that you need to feel comfortable you're working with the right person. Paul: that's the key, isn't it? Because if it's your hard-earned money, you want to make sure that you've got the right person. And for me, I would say if they're not prepared to answer the question, look on that register and find somebody who will, because there's many fantastic therapists out there. Helen: And what we'll do is make sure that all of those links, any information about us that we've spoken in this episode will be linked to on our show page. Paul, we're just about out of time. So, what would you say are the absolute key messages that you want our listeners to take away from this episode? What the most important messages, Paul: If you're struggling, don't wait. If you're struggling, please don't wait. Don't wait until you think that you're at the end of your tether for want of a better phrase, you know, nip it in the bud if you can at the start, but even if you are further down the line, please just reach out. And like you say, Helen, there's, there's various ways you can reach out. You can reach out via the NHS. You can reach out privately. I think we could probably talk for another hour or two about a CBT from my perspective and, and how much it's, it has meant to me. But also what I will say is I wish I'd have known now what, or should I say I wish I knew then what I knew now about being able to, to, to open myself up, more than, you know, telling someone and protecting them as well, because there was stuff that I had to re-enter therapy in 2021. And it took me till then to tell my therapist something because I was like disgusted with myself for having seen and heard it so much. But actually, it was really important in my continual development, but yeah, don't wait, just, just, you know, reach out and understand that you will have to work hard yourself, but it is worth it at the end. If you want to run a marathon. You're not going to run a marathon by just doing the training sessions when you see your PT once a week. And you are going to get cramp, and you are going to get muscle sores, and you are going to get hard work in between. But when you complete that marathon, or even a half marathon, or even 5k, or even 100 meters, it's really worth it. Helen: Paul, thank you so much for joining us today. We're really grateful for you speaking with me and it's wonderful to hear all your experiences and for you to share that, to encourage people to seek help if they need it and what might work. Thank you. Paul: Pleasure. Thanks Helen.

Listen to the new episode with WellSpan's Dr. Ken Rogers, Vice President and Chief Medical Officer, WellSpan Behavioral Health, as we discuss the innovative programs and partnerships being cultivated by our behavioral health team aimed at improving access to care

This week we hear from Joshua Hughes, who is the Fresh Moves Logistics Coordinator for the Fresh Moves Mobile Market, one of the many programs of the non-profit Urban Growers Collective in Chicago. Host Katie Kulla talks with Joshua about the UGC and their work in general, but more specifically about how the organization is working to “close the food access gap.” Expanding access to food is something we've talked about before on this podcast and it's something that motivates many farmers and organizations to think outside the box when it comes to marketing and distributing produce — UGC and the Fresh Moves Mobile Market represent some truly innovative thinking on the part of many people committed to evolving food systems. As the manager of UGC's Fresh Moves Mobile Market, Joshua works to further assist the development of food security in Chicago as a continued action in social justice. Joshua has worked in food access with UGC since late 2019 through the height of the pandemic and emergency food distribution. He has helped lead the Fresh Moves Mobile Market to create new sustainable systems to better serve Chicago's South and West Side communities. Connect With Guest:Website: https://www.urbangrowerscollective.org Podcast Sponsors:Huge thanks to our podcast sponsors as they make this podcast FREE to everyone with their generous support: Local Line is the all-in-one sales platform for direct-market farms and food hubs of all sizes. Increase your sales and streamline your processes with features including e-commerce, inventory management, subscriptions, online payments, and more! Get 15% off marketing services and one premium feature for a year with the code Growing4market at https://hubs.la/Q02bpWQV0 Bootstrap Farmer offers a complete range of growing supplies including heat mats, ground cover, frost blankets, silage tarps, irrigation, and trellising. They also make all-metal, all-inclusive greenhouse frames, constructed of steel made in the USA and fabricated in Texas. Their heavy-duty, Midwest-made propagation and microgreens trays will last for years and are available in a full range of colors, great for keeping farm seedlings separate from retail, or just for fun. For all that and more, check out Bootstrap Farmer at bootstrapfarmer.com. BCS two-wheel tractors are designed and built in Italy where small-scale farming has been a way of life for generations. Discover the beauty of BCS on your farm with PTO-driven implements for soil-working, shredding cover crops, spreading compost, mowing under fences, clearing snow, and more – all powered by a single, gear-driven machine that's tailored to the size and scale of your operation. To learn more, view sale pricing, or locate your nearest dealer, visit BCS America Subscribe To Our Magazine - FREE 28-Day Trial:Our Website: www.GrowingForMarket.com 

Imagine carrying a relentless storm of anxiety, compelled by thoughts that clash with your core values—a reality for many living with Obsessive-Compulsive Disorder. Joined by Stephen Smith, CEO and Co-Founder of NoCD, we confront the cold truth about OCD, unmasking the fears and secretive struggles that countless individuals endure. Gone are the misconceptions and casual stigmas; instead, our conversation serves as a beacon of understanding and a call to action for heightened awareness and empathy. This episode offers firsthand narratives and expert insights into the labyrinth of OCD subtypes, from harm-based to relationship OCD. We discuss the transformative effect of specialized treatment, particularly exposure response prevention (ERP), and how it stands as a testament to hope for those grappling with this disorder. Stephen's journey with NoCD shines a light on the importance of immediate, accessible support, detailing how ERP is revolutionizing care by meeting people where they are, amidst their deepest fears. Follow nOCD @treatmyocd Follow Chase @chase_chewning ----- In this episode we discuss... (00:00) Understanding OCD (12:18) Understanding and Treating Different OCD Subtypes (18:54) Understanding OCD and Effective Treatment (26:51) OCD Treatment and Co-Morbid Conditions (34:38) Improving Access to OCD Treatment (39:45) Accessing OCD Treatment With NoCD (48:43) Access NoCD Resources for Mental Health ----- Episode resources: This episode is sponsored by nOCD, to learn more about their treatment options visit TreatMyOCD.com Watch and subscribe on YouTube

Jaime Basnett is the ALS research program manager at NextGen Precision Health. She spoke about challenges rural ALS patients can face seeking care and what NextGen is doing to help.

Magnetic Resonance Imaging (MRI) plays a vital role in modern healthcare diagnostics, but most Africans can't afford or access it. In this episode, I chat with Dr Johnes Obungoloch, a biomedical engineer and senior lecturer at the Mbarara University of Science and Technology, Uganda. We discuss how he and his team are developing what they call a low-field MRI system. Their dream is to democratize access to MRI across Africa. MedxTek Africa is produced and hosted by ⁠⁠Dr. Sam Oti⁠⁠, and co-edited by ⁠⁠Veronica Ojiambo⁠⁠. If you have any thoughts on this episode, or recommendations of African health innovators that you'd like us to host on the show, please reach out directly by email: sam.oti@alumni.harvard.edu or find us on Twitter or LinkedIn. Please note that the MedxTek Africa Podcast is distinct from Dr. Oti's role as a Senior Program Specialist at Canada's International Development Research Centre. The information provided in this podcast is not medical advice, nor should it be construed or applied as a replacement for medical advice. The MedxTek Africa Podcast, its production team, guests and partners assume no liability for the application of the podcast's content.

Why is access to health care important? What are the effects of food insecurity on health? What are the benefits of a diverse workforce in health care? Our guest is Ketul Patel, CEO, Virginia Mason Franciscan Health, and President, Northwest Region of CommonSpirit. American Medical Association CXO Todd Unger hosts.

As the need for access to guideline-concordant biomarker testing for underserved populations continues to grow, hear what care teams need to know about coverage for Medicaid beneficiaries and the legislative outlook for 2024. In this episode, CANCER BUZZ speaks with Hilary Gee Goeckner, MSW, director of State and Local Campaigns for the American Cancer Society Cancer Action Network (ASC CAN), who shares policy perspectives and the latest on state legislation to expand coverage for biomarker testing for Medicaid beneficiaries.    “There are a lot of challenges around implementation—getting the legislation passed is just the first step…It is also important for providers to be aware of the new rules that affect many plans and their states so they are able to order testing that may not have been covered or rejected previously.” –Hilary Gee Goeckner, MSW   Hilary Gee Goeckner, MSW Director, State and Local Campaigns, Access to Care American Cancer Society Cancer Action Network Washington, D.C. This episode was developed in connection with the ACCC education program Improving Access to Biomarker Testing in Medicaid Populations and is made possible with support by Foundation Medicine and Exact Sciences. Resources: The Cost of Biomarker Testing: Moving from Support-Based to Sustainable Solutions  Comprehensive Cancer Care: The Role of Biomarker Testing  Biomarker Testing for Medicaid Beneficiaries (Podcast)  Access to Biomarker Testing - American Cancer Society Cancer Action Network   The Road to Comprehensive Biomarker Testing for All – ACCC Buzz Blog  Improving Access to Biomarker Testing in Medicaid Populations  Precision Medicine in Rural and Underserved Areas – ACCC Buzz Blog  Patient Perceptions of Biomarker Testing – Oncology Issues  Cancer Diagnostics - Biomarkers  Eliminating Precision Medicine Disparities    

#BRNAM #1673 | Improving access to hearing care in low- and middle- income settings | Shelly Chadha, MBBS, MS, PhD, Technical Lead for ear and hearing care  World Health Organization   | #Tunein: broadcastretirementnetwork.com #JustTheFacts

In this empowering episode of the Healthy Projects Podcast, host Corey Dion Lewis is joined by public health advocate and podcast co-host ELG to shed light on a crucial health topic - colorectal cancer. Recorded during Colorectal Cancer Awareness Month, this discussion gets into personal experiences with colonoscopies, the significance of early screening, and overcoming healthcare barriers in the Black community. Together, they tackle the stigmas surrounding preventive health measures and share actionable advice for taking ownership of one's health journey. Whether you're considering a colonoscopy, seeking to understand the social determinants of health, or simply aiming to live a healthier life, this episode offers valuable insights and motivation to prioritize your well-being.Show Notes:0:00 - Introduction to the Episode and Guests0:28 - ELG's Experience with Colorectal Cancer Screening1:35 - The Importance of Colonoscopy and Early Detection4:27 - The Procedure Explained: What to Expect During a Colonoscopy5:26 - The Significance of Finding and Removing Polyps6:29 - Personal Motivations for Undergoing Screening7:19 - Colorectal Cancer Statistics and Risks in the Black Community8:34 - Addressing Healthcare Disparities and Encouraging Screening10:28 - Combatting Stigmas and Misconceptions About Medical Procedures12:48 - The Role of Community and Family in Promoting Health Awareness14:10 - Strategies for Improving Access to Preventive Health Services16:43 - The Power of Hope and Community Support in Health Outcomes18:18 - Sharing Personal Stories to Break Stigmas and Encourage Action20:49 - Closing Thoughts and Where to Connect with ELGConnect with ELG:LinkedInUpcoming Projects:National Minority Health Month Short Film: A project aimed at showcasing the power of family support and healthy lifestyle choices in improving quality of life.Listen, learn, and let's take action together towards a healthier future. Thank you for tuning into the Healthy Project podcast. See you in the next episode! ★ Support this podcast ★

Dr. Robert Findling is Chair of the Department of Psychiatry at the Virginia Commonwealth University School of Medicine. Here he discusses recent advances in pediatric mental health, including his own research on aggression and schizophrenia in young people. Dr. Findling also shares his thoughts on the crisis of teen suicide, the lingering impact of COVID-19 on children's mental health, and the need for early and collaborative interventions.00:00 Introduction00:46 Clinical and Research Journey02:56 Aggression with impulsivity and reactivity (AIR)06:48 Precision Pediatric Psychiatry15:34 Schizophrenia20:31 What Kids Need to Thrive23:10 Teen Suicide25:09 Role of Schools and Primary Care30:58 Loneliness Epidemic Among Children32:32 Improving Access to Pediatric Mental Health Care40:00 Bipolar Disorder43:24 Future Research and Hope for Young Patients45:11 Conclusion: Importance of Early InterventionVisit our website for more insights on psychiatry.Podcast producer: Jon Earle

Credits: 0.75 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-cme-ce/podcast/hiv-101-improving-access-to-screening-and-prevention  Overview: In the first episode of the three-part HIV 101 series, get a baseline understanding of HIV care today and learn just how simple HIV treatment is. Dr. Simmons and his guest cover topics such as syndemics, a status-neutral approach to screening, Undetectable = Untransmittable, and treatment as prevention. You will also learn about the critical role of primary care clinicians in improving access to care and reducing HIV-related stigma. 

University of Vermont Health Network CEO Sunny Eappen talks about the network's challenges and how it is working to improve access to health care for rural Vermonters.

What if we all had access to quality healthcare? What if healthcare was more transparent? What if we were able to remove some of the barriers to seeking and receiving care? Would heart disease still be the #1 killer? In this episode we dive into these topics with Dr. Eva Imperial, a physician for our virtual health team AND the founder and CEO of iHLTH, a female, minority owned lab business. Her mission is to make healthcare more transparent, accessible, and affordable for everyone. Along with our discussion on quality healthcare and accessibility, we also talk about some of the very basics for heart health, when to seek in-person care, how you can make virtual care work for you, and (every coach's favorite) how you can take some baby steps to establish habits that will help improve your health. Don't forget to check out our webinar series on Heart Health! You can learn more about Dr. Imperial and iHLTH via the website, or on Instagram: @ihlth_ --- Send in a voice message: https://podcasters.spotify.com/pod/show/tacoboutwellnesswehwc/message

https://www.kare11.com/article/news/local/islamic-legal-solves-donated-breast-milk-quandary-for-muslim-parents/89-5fb4a3f3-3646-4601-89c0-a2de6c9ef684As 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!

Last month the Giraffe Laugh Early Learning Center broke ground on a new facility, which will help alleviate the shortage of childcare options and provide help for families struggling economically by meeting them where they live.

This episode takes an in-depth look at how the court systems have evolved, key factors such as AI driving the evolution of an electronic court system, and tips on how to begin modernizing your court system. The episode features Tyler's President of the Courts & Justice Division, Brian McGrath.Learn more about the resources discussed in this episode:Choctaw Nation Expands Judicial ServiceWhite Paper: The Evolution of an Advanced CourtHow Virtual Courts are Improving Access to JusticeIntegrated Software for Courts & Justice AgenciesTyler Technologies Acquires Computing System InnovationsTyler Buys AI-Backed Court Document Tech Provider CSILet us know what you think about the Tyler Tech Podcast in this survey! 

In this week's episode of the Gaining Health Podcast, host Karli Burridge speaks with Jenny Westercamp, Founder and CEO of All Access Dietitians. They discuss how Jenny became interested in the field of nutrition, why she left her job as the head dietitian of the Chicago Bulls, and how she is making an impact when it comes to providing improved access to dietitian services with All Access Dietetics. Jenny is the Founder and CEO of All Access Dietitians. She has 13 years of experience working with professional athletes and individuals. Previously, she was the Team Nutritionist for Chicago Bulls (2017-2022) and Minor League Nutritionist for the Chicago Cubs (2016, 2017 seasons). She is excited to share her Dietitian Coach Approach to those that want to take their health to the next level.In addition, Jenny runs All Access Dietetics, the nation's leader in supporting future dietitians through the process of applying to dietetics graduate programs, passing the RD exam, and launching their careers.She has been interviewed for a variety of media outlets including Good Morning America, Today's Dietitian, and Men's Fitness. Jenny previously served as the President of the Chicago Food and Nutrition Network and was co-author of the book, Green Foods for Men. She was also highlighted as one of the top 10 dietitians creating an impact in the field by Today's Dietitian.Education: Bachelor of Science in Food Science and Human Nutrition – University of Illinois Urbana-Champaign; Dietetic Internship – Massachusetts General Hospital; National Board Certified Health and Wellness Coach Training – Wellcoaches.Links and Contact information:  Website: allaccessdietitians.comReferrals: allaccessdietitians.com/referrals Instagram: instagram.com/allaccessdietitiansLinkedIn: linkedin.com/in/jennywesterkampSupport the showThe Gaining Health Podcast will release a new episode monthly, every second Wednesday of the month. Episodes including interviews with obesity experts as well as scientific updates and new guidelines for the management of obesity.If you're a clinician or organization looking to start or optimize an obesity management program, and you want additional support and resources, check out the Gaining Health website! We offer monthly and annual Memberships, which include live group coaching, a community forum to ask questions and post resources, pre-recorded Master Classes, digital resources inlcuding patient education materials and office forms, and much more! We also sell our popular Gaining Health products, including a book on developing an obesity management program, editable forms and templates, and patient education materials in our Gaining Health Shop! If you are loving this podcast, please consider supporting us on Patreon