POPULARITY
2 episodes with ithrive
3 episodes with ithrive
2 episodes with ithrive
2 episodes with ithrive
2 episodes with ithrive
3 episodes with ithrive
2 episodes with ithrive
Mugdha Pradhan is the CEO & Founder of iThrive, TedX speaker, Healer & Spiritual Coach. In 2017 despite having a Master's in Nutrition she struggled with her own personal health issues, learning the nuances of Functional Medicine which then transformed her health. She lost 37 kgs and reversing an autoimmune condition. Moving from Canada to India, she introduced Functional Nutrition through iThrive - Healing & Beyond 2019. With her expertise in Functional Nutrition, her ability to build strong teams and beautiful cultures, and her passion for scientific research and evidence-based work, iThrive has raised two rounds of funding so far. She not only helps people solve their physical health issues but also complex mental, emotional, and spiritual health issues with an 'invite-only' program called Embracing The Human Experience. How do you know if you have leptin resistance? What is the connection between blue light and leptin resistance? What are the top ways to reduce leptin resistance and improve sleep? For more on Mugdha Pradhan you can follow her: Website: www.ithrivein.com Instagram: https://www.instagram.com/mugdhapradhan/ Facebook: https://www.facebook.com/mugdha.pradhan/ -For more on Deepa: Deepa is an Allied Functional Medicine Practitioner, Ayurvedic Practitioner, Author and a Yogini at OHA Health. Having a son with a rare adrenal disorder gave her insight into the working of the adrenals. Her articles have been shared by Dr Mark Hyman, MD, a 17 times NY Times Bestselling Author. She also gave the opening speech on Health Hacks at Amazon Web Services & YourStory HeathTech 2019 to heads of healthcare start-ups in India. She is in the YourStory100 Digital Influencers Of 2020. She is the author of the book How To Sleep Better-The Miraculous 10-Step Protocol To Recharge Your Mind & Body by HarperCollins with a foreword by Dr Mark Hyman which HarperCollins said was one of the most promising debut voices of 2023 and a superb debut book that you must read and Cosmopolitan referred to as one of the five books you must pick up. She has been featured in Femina, Scroll, Mint Lounge, the award winning podcast 15-Minute Matrixand UK Health Radio discussing sleep.
This episode features a conversation with Susan Rivers, Executive Director and Chief Scientist at iThrive Games. Through programs and partnerships, iThrive uses gaming and game design to promote social and emotional learning and positive youth development. In part one of their conversation, Susan and Jason talk about the founding of iThrive games, the aspects of gaming and game design that directly impact the learning and development of young people, the importance and utility of play in adolescent development, and how schools, especially middle schools, don't make enough time and space for it, and iThrive's core co-design approach that undergirds all of its program offerings that enable adolescents to be full participants in the game design process. In part two, they talk about the large suite of game-based curriculum products that iThrive offers for free that weave together social and emotional learning and youth development and how these offerings can help teachers tap into the developmental needs of adolescents to engage them in learning core academic content. They talk about how iThrive connects the game development experience with social issues that young people care about, how iThrive works with a variety of partners to bring the co-design process into their own offerings for young people, and the impact that iThrive is seeing among youth. Susan also shares how iThrive deals with concerns and push back from educators, parents and others on the impact of technology and gaming on young people, and what iThrive is planning to work on in the future with new partners and in new communities.Additional Readings and ResourcesiThrive GamesCo-Design ApproachCurriculumGame Design Studio ToolkitDisaster MindYale Center for Emotional IntelligenceEmotional Intelligence: Why it Can Matter More Than IQ by Daniel GoldmanSocial PsychologyCadence FordHistory Co:Lab
Mugdha Pradhan, a Functional Nutritionist, TEDx speaker, and recipient of the 40 over 40 award, is the driving force behind iThrive. Despite holding a Master's degree in Food Science and Nutrition, her health took a downturn in 2019. This challenging period led her to the world of Functional Medicine, marking a pivotal turning point in her life. Armed with a combination of modern functional medicine principles and ancient nutritional wisdom, Mugdha proactively addressed the root causes of her health issues, successfully overcoming a myriad of health challenges. Having personally undergone a transformative journey with Functional Medicine, Mugdha is dedicated to assisting others in achieving optimal well-being. Grounded in an evidence-based approach, she has effectively guided individuals through even the most perplexing health cases. Beyond physical health, Mugdha extends her expertise to address complex mental, emotional, and spiritual well-being. Her mission is to foster healthier, happier, and lifestyle-disease-free communities globally. In our conversation through this podcast, Mugdha shared the fascinating details of her journey, recounting the pivotal moment in her life when she faced health and personal rock bottom. Her remarkable resilience and subsequent creation of a new, fulfilling life make for a captivating narrative. Join me in this episode to hear Mugdha's inspiring journey.
Mugdha Pradhan CEO & Founder of iThrive, TedX speaker, Healer & Spiritual CoachIn 2017 despite having a Master's in Nutrition she struggled with her own personal health issues, learning the nuances of Functional Medicine transformed her health- from losing 37 kg's to reversing an autoimmune condition, healed herself. She moved from Canada to introduce Functional Nutrition for the first time in India through iThrive - Healing & Beyond 2019. Her vision is to create healthier, happier, lifestyle disease-free communities across the world every single day.With her expertise in Functional Nutrition, her ability to build strong teams and beautiful cultures, and her passion for scientific research and evidence-based work, iThrive has raised two rounds of funding so far.
Iss baar suniye kuchh interesting baatein. Aap janenge:1. Kaise choose karein conventional ya alternative medicine 2. Bio-individuality kya hoti hai3. Food aur emotions ka connection4. Mindful eating aur Intuitive eating ka fark5. Functional Nutrition ke principles6. Beemariyon ki jad ko samjhein7. Body se kaisa ho relationshipMugdha Pradhan founder aur CEO hain, ek startup company, iThrive ki. Saath hi woh ek Tedx speaker bhi hain. Canada se India shift hone ke baad, unhone India mein pehli baar Functional Nutrition ko introduce kiya, iThrive - Healing and Beyond ke through. Khud ki personal weight loss aur disease reversal ki successful journey ke baad ve yahi vision rakhti hain ki duniya bhar mein happy, healthy, disease-free communities banayein. Physical health issues ke saath-saath, ve logon ko complex emotional aur spiritual health issues ko samajh kar solve karne mein bhi help karti hain. Unke startup ke through ve iThrive Academy chalaati hain jis mein ‘Embracing the Human Experience' naam ka invite-only program offer karti hain. Agar aap unse connect hona chahein toh neeche diye gaye links par se kar sakte hain:Website : www.ithrive.inE-mail : hello@ithrive.inInstagram : @mugdhapradhan_official @ithrive.in_--If you like the show please subscribe & do not forget to press the 'bell' icon. Connect with me across Social Media platforms ; @MonalWhispers :· Website : http://monalwhispers.com/ · Instagram : https://www.instagram.com/monalwhispers/ · Youtube : https://www.youtube.com/channel/UCX-6FlXJM82GnDIpAkluvkg · Facebook : https://www.facebook.com/MonalJ.ww Thank you,MonalJwww.monalwhispers.com
In today's episode, I have the pleasure of inviting Mugdha Pradhan. Mugdha Pradhan is the dynamic CEO of iThrive, a renowned nutritionist, and a captivating TEDx speaker. With her unwavering passion for holistic well-being and innovative solutions, Mugdha is revolutionizing how we approach health in the digital age. Her groundbreaking work at iThrive paves the way for a brighter, healthier future, while her thought-provoking TEDx talks captivate audiences worldwide. Get ready to be inspired and empowered by an extraordinary visionary changing the game in health, nutrition, and beyond as she empowers others to thrive in every aspect of life. Connect with Mugdha Pradhan today and embark on a transformational adventure to a healthy lifestyle. If you would like to reach out to Mugdha, then you can connect with her on the LinkedIn Page: https://www.linkedin.com/in/mugdhapradhan/ The Podcast is available in the following locations: Anchor FM: https://anchor.fm/anees-merchantSpotify: https://open.spotify.com/show/7J60vbVgw8vaLs05x4gYj3Apple: https://podcasts.apple.com/us/podcast/masters-decoded/id1497451286Google: https://www.google.com/podcasts?feed=aHR0cHM6Ly9hbmNob3IuZm0vcy8xMzZiN2EwYy9wb2RjYXN0L3Jzcw%3D%3DAmazon: https://music.amazon.com/podcasts/2873effc-3ea4-4123-b823-044ca31387bd/Masters-DecodedStitcher: https://www.stitcher.com/podcast/masters-decodedBreaker: https://www.breaker.audio/masters-decodedOvercast: https://overcast.fm/itunes1497451286/masters-decodedPocket Cast: https://pca.st/f2isa733Radio Public: https://radiopublic.com/masters-decoded-Gb497NIHeart: https://www.iheart.com/podcast/269-masters-decoded-59418392
Mugdha Pradhan, Founder and CEO of, iThrive shared her entrepreneurial journey with us where she talked about how she lost 37kgs of unproductive weight and reversed her autoimmune disease through her knowledge of functional nutrition. An accidental entrepreneur and nutrition advocate Mughdha found her calling after a tough battle that she faced in her personal life. She started her company iThrive with the vision to make this planet disease free and to create healthier communities all around. Along with reversing chronic illness and lifestyles, iThrive is also building its army of functional nutritionists through iThrive Academy. Listen to know more about Mughdha's journey and expand your Dhandho Ni Soch.
Healing with Angelica Podcast with Special Guest Jazmon Stewart AG Episode 39: The Healing Powers Of Farming Agriculture and farming has now been more of a priority then ever before due to a high rise of inflation! Agriculture plays a critical role in the entire life of a given economy. Agriculture and farming is the backbone of the economic system of a given country. In addition to providing food and raw material, it also provides employment opportunities to a very large percentage of the population. Me and my special guest will be discussing the importance of farming and agriculture and why learning how to produce your own food is crucial right now! Also my guest will be discussing her journey into being a agriculturalists and so much more! Exclusive Guest : Jazmon Stewart, agriculturist and founder of iThrive. iThrive focuses on improving the quality of life for minority communities, one garden at a time. Exclusive Guest Info: https://www.ithrivedayton.com/ IG @ithrivedayton More info about The Host, Angelica X Website https://linktr.ee/healwithangelica Heyyyyyyy you? Are you ready to heal? Join me in my 1:1 coaching program including a 30 minute intense healing call to begin your steps to heal today for FREE! ⬇️⬇️⬇️ https://calendly.com/healingwithangelica/balance-your-life Including a guide to healing ebook ”Heal Yourself” Ebook ⬇️⬇️⬇️ https://payhip.com/b/PK23F Heyyyy! Would you like to advertise your business on my podcast and YouTube channel to reach more potential clients/customers? ⬇️⬇️⬇️ Email: healwithangelica@yahoo.com Also remember too. . . Subscribe to podcast: (Available on all podcast streams) https://anchor.fm/healingwithangelica Subscribe to Youtube channel: https://youtube.com/channel/UCGGovfyBC92zSj1GITVnUIg & If you have generous heart please donate what you can afford, to continue the support of this platform to get the message out to those in need of healing. ❤️
Managing your Accounts Receivables well so you are paid promptly by your customers can be the difference between operating smoothly and being tight on cash. We recently had a glitch in our accounting system that prevented a bunch of invoices from being sent out. We didn't notice the problem for several weeks, which delayed payments and almost caused us to have to dip into our savings account so we had money to operate. It was a good reminder that in business invoicing clients and staying on top of your receivables is extremely important. So here you go, I hope you like it. What To Expect From Episode 115 If you have listened to this podcast for very long, you probably know that I also own a factoring company, iThrive Funding. Factoring companies are usually pretty good at managing receivables and I think iThrive Funding does an exceptional job at it. In this episode, Craig and I bring in a guest, Farrah, from iThrive Funding to help share some of the best practices iThrive uses to keep its average days to pay low. Here is a snapshot of what we cover. The Process Gather the paperwork and create the invoice Make sure the invoice and accompanying paperwork are sent to the right place (This is the number one mistake people make) 7 Days after the invoice is sent, send an email that confirms they received all the paperwork and that they have all the info the need to send a payment 25 Days after the invoice is sent, send an email asking for a payment status 35 Days after the invoice was sent you should have received the payment, if you haven't make a PHONE CALL to see what is going on Call every other business day until you have a resolution Tips and Tricks Identify issues early, step 3 is the key Make sure you are sending the invoice to the right place (We explain this one in detail so make sure you listen) Make sure all the paperwork is in order, common issues include:Missing pages of the bill of lading or rate confirmation Scans or pictures of paperwork that are difficult to read Missing signatures Missing BOLs (Bills of Lading) when there are multiple drops Unresolved claims, shortages, etc Free Credit Checks iThrive Funding is offering a free version of credit checks. The website to get the credit checks can be accessed by clicking here. Before you can use the system you have to get in contact with Farrah by calling her at (385) 430-2315 or you can send her an email at farrah@ithrivefunding.com. She will get you the login information you will need and give you some tips and tricks for using the system. Impact Tip Do something today that will strengthen your personal finances. Why do you put your oxygen mask on before your child's, even though it is kind of counter intuitive. If you don't take care of yourself first (If you're not strong) you can't help anyone. Same goes for finances. Your personal finances are the adult and your business is your kid. If you can't manage your personal finances, you aren't going to be able to manage your much more complicated business finances. If you have bad personal spending habits, your personal finances are going to bleed your business dry. Make sure your house is in order.
Watch this episode on YouTube- https://youtu.be/ngvXIBKtVPA In this conversation, you'll learn how you can prevent and reverse diseases with everyday food. Also: Foods that we eat daily that are causing harm to our body Why Mugdha wants your Seed oils (Mustard oil, Sunflower oil, etc) out of the kitchen? Veganism and its impact on health Gluten-free foods, brown vs white rice and a lot. Let food be thy medicine and medicine be thy food. Hippocrates, the father of medicine said this in 300 BC. In this episode, we dive deep into the concept of functional nutrition. This episode is your masterclass on preventing diseases and staying healthy by making the right food choices. Mugdha Pradhan, founder of iThrive, a Functional Nutrition based company that helps people to reverse their chronic illness. We have a telegram community for our listeners. Join here- https://theinspiringtalk.com/telegram For brand collaborations and opportunities, send us an email at hi@wyn.studio Send me a voice message: https://theinspiringtalk.com/speak Connect with Mugdha Pradhan Website Instagram Follow the Inspiring Talk on Facebook http://theinspiringtalk.com/facebook Twitter http://theinspiringtalk.com/twitter Instagram http://theinspiringtalk.com/instagram
Heal with Angelica Watters's Podcast with Exclusive Guest Jazmon Stewart AG Episode 10:The Healing Powers Of Farming Agriculture and farming has now been more of a priority then ever before due to a high rise of inflation! Agriculture plays a critical role in the entire life of a given economy. Agriculture and farming is the backbone of the economic system of a given country. In addition to providing food and raw material, it also provides employment opportunities to a very large percentage of the population. Me and my special guest will be discussing the importance of farming and agriculture and why learning how to produce your own food is crucial right now! Also my guest will be discussing her journey into being a agriculturalists and so much more! Exclusive Guest : Jazmon Stewart, agriculturist and founder of iThrive. iThrive focuses on improving the quality of life for minority communities, one garden at a time. Exclusive Guest Info: https://www.ithrivedayton.com/ IG @ithrivedayton More info about The Host, Angelica Watters Shop ebooks, merchandise and more here
Mentorship is often thought of as unidirectional - flowing from the mentor to mentee. In this upcoming season, I interviewed a baker's dozen of my mentors - people who were there to guide me through some of my biggest leadership challenges - to find out about their biggest leadership challenges. If my military mentors taught me anything, it was this: leaders don't ask the people to do anything they aren't willing to do themselves. That goes for cleaning toilets, answering the phones, or disclosing your biggest leadership challenges to your podcast listeners. So we're launching season four with my dear friend, Dr. Susan Rivers, Executive Director and Chief Scientist of iThrive, who agreed to interview me about the hardest challenges I've faced as a leader. Susan invites me to go behind the scenes into some challenges I've shared a hundred times before and she draws out some new stories I've never shared before. I'm so grateful to Susan for her generous listening, her keen insights, and her ability to help me make sense of some of the hardest moments I've experienced. Show Highlights: The pain of not being able to tell the truth about my sexual orientation while I served in the military Why authenticity is so important to me now How I worked through my fears by being humble and letting go of the need to be blameless Reckoning with decades of socialization as a white person in the United States and the negative impact that has on showing up fully in community Differentiating between impact and intent to take responsibility for my actions The big question: How do I take healthy responsibility for the whole web of life? Learning to listen to what my body is trying to tell me Pre-order Becky's Book Impact With Integrity: Repair the World Without Breaking Yourself
Paul Darvasi, Ph.D., is an educator, game designer, speaker, and writer who works at the intersection of games, culture, and learning. His efforts directly or indirectly aim to envision and implement better ways to teach and learn. He is a passionate advocate of media and digital literacy, design thinking, experiential learning, virtual simulations and digital games for learning, and locative experiences. He has designed pervasive games that include The Ward Game; Blind Protocol, a cyber warfare simulation that instructs on online security, privacy and surveillance, and a series of archival and library orientation games for McGill University. He lectures at the University of Toronto, where he is a founding member of the Play Lab. Paul writes for a variety of publications about progressive and innovative education models, and his research explores how commercial video games can be leveraged for instruction. He wrote a widely circulated white paper for UNESCO about how digital games can support peace education and conflict resolution and helped global youth develop games to prevent violent extremism in the Digital Games for Peace initiative run by UNCCT, UNESCO, and UNAOC. Paul is a frequently invited keynote speaker and panelist, who has lectured and presented at conferences and universities around the world. He has shared his expertise with the US Department of Education, UNESCO, the National Association of Secondary School Principals (NASSP), Epic Games, US presidential libraries, foundry10, Consumers International, iThrive, and Connected Camps, among others. His work has been featured on PBS, NPR, CBC, the Huffington Post, Polygon, Killscreen, Gamasutra, Sterne, Endgadget, Edsurge, Edutopia, and MindShift.
What does it take to create marketing strategies and sales copies that produce great results? Most copywriting freelancers follow the three-step formula: getting good, getting connected, and getting paid. But sometimes, this is easier said than done. Meanwhile, for business owners, the biggest challenge is capturing a target market. You need to know how you can form a connection with your ideal customers. You should also make sure that they choose you over your competitors. In today's episode, Jon Reyes tackles both issues that these freelancers and entrepreneurs face. He discusses the fundamentals of writing a copy, business, and entrepreneurship in general. He also talks about the biggest challenges he faced, as well as the habits he developed to succeed. What does a copywriter do to create effective marketing strategies? How does writing a copy capture your target market, and how do you connect with them? Stay tuned to learn more about Jon's time-tested and effective strategies that freelancers and entrepreneurs will surely benefit from. Here are three reasons why you should listen to the full episode: Discover the things you need to do when you start out in business. What does a copywriter do and how can they overcome the challenges they go through? Understand why Jon puts so much emphasis on the importance of believing in your product or service. Resources John Carlton's The Freelance Course Greg Glassman's video on CrossFit Learn more about Jon's mentorship course and find downloadable files for freelancers here! Connect with Jon: Website | LinkedIn | Facebook Episode Highlights How Jon Got Started in Sales and Marketing for Business Growing up, Jon did not have a background in business. Over time, he developed self-esteem issues. He felt inferior and didn't think he was smart, resulting in social anxiety. Jon decided to rebuild and reinvent himself into someone he liked. He wanted to do something important in his life. He graduated with a degree in advertising and a minor in psychology. He wanted to find a job in sales but ended up not liking it. As Jon was exploring opportunities, he came across internet marketing and copywriting. Challenges in Writing a Copy Jon likens copywriting to public speaking. When he was starting out, he was second-guessing his writing and unfamiliar with the business world. To address this issue, Jon resolved to get good at writing a copy. Jon also values good fundamentals. Through this, he can stay sharp and focused in the industry. If You Are Starting Out or Struggling in Writing a Copy As a freelancer, your skill set should match your rates. Hone your skill set by doing free projects, keeping a portfolio, and gaining testimonies. This way, you can serve the world of business and keep yourself humble. Never sell yourself short. Remember to keep the balance between knowing your worth and being humble. You also need to take time to learn new things and build your skills. This is true for all practices. Writing a Copy: Habits That Jon Developed Throughout His Career If you are new to a business, you need to understand your target market. After this, figure out how you can connect to your market. Form a human-to-human connection with your audience. Tell the story in a way that speaks to people's pain points. If you can move people through words and win them over, that's how you build a longer-term following. For Jon, you have to understand the crowd you are selling to. Know what their motivations and pain points are before you start writing a copy. The Importance of an Outside Perspective If you're marketing something that you are passionate about, chances are you'll be too focused on the good points. When you fall into this trap you don't see the perspective of your target market anymore. So you need outside expertise to connect the dots between your perspective and your target's. Coaches can also help you bring out your potential. Remember that there is always going to be someone better than us, no matter how good we get at anything. Situations Where Jon Does His Best Work Jon works best at influencer marketing, personal growth, and self-help. He sometimes works in the health and fitness space as well. In everything he does, he works the best with someone who believes in what they sell. Jon also looks for scalability when working with companies. He cannot work with people who sell and/or market an inferior product or service. How to Work with Jon Jon gets prospects from his extensive connections. You can also reach out to him on social media. Before working with someone new, Jon makes sure that they're a good fit. He does this because he prefers to build relationships. Two Powerful Quotes “You should never sell yourself short and always know your worth. But you have to remember that there is that balance between marketing and selling yourself and that confidence in your skillset.” “How can you connect to someone through writing or even through a video script that makes them feel like you're talking just to them? So it's kind of a unique dialling in, a unique message.” About Jon Jon Reyes is the copywriter behind today's top industry leaders. These industry leaders include Brian Tracy International, Brain.Fm, Conscious Copy, Mimosa Mastermind, the Fairall Group, and iThrive. He is a B2B consultant, strategic advisor, and high-powered copywriter for hire with a multimillion-dollar track record. Through his marketing strategies and sales copywriting skills, Jon has helped generate over 40 million dollars in sales for his clients. Jon is also the founder of Copy Blueprints, an agency that integrates full-service copywriting funnels with collaboration and coaching principles. It is also a platform where he supports other copywriters through accelerated mentorships, helping them take more control of their income and career growth by leveraging the power of writing. You may connect with Jon through his website or reach out to him on LinkedIn or Facebook. Enjoyed This Podcast? If you enjoyed the podcast, be sure to subscribe and share it with your friends! Post a review and share it! If you enjoyed tuning in, then leave us a review. You can also share this with your family and friends. For episode updates, visit our website. You may also tune in on Apple Podcasts. PS. Do you already have a successful business, meaning you're up, running, and paying your bills with some profit left over? Are you interested in growing your business, automating/streamlining things, and staying one step ahead of your competition?
Yohan Tengra is the founder of Anarchy for Freedom India. He is a proponent of libertarian and anarchist values. He works for a health startup called iThrive, in the field of functional medicine and nutrition science. This is part 2 of my conversation with Yohan, where we discuss anarchy, agorism, libertarianism, taxation, natural rights and more. Recorded June 24, 2021 Instagram: https://www.instagram.com/thelabyrinth.podcast/ Podcaster: Pratham Padav | Instagram: @prathampadav | Twitter: @whoispadav Guest: Yohan Tengra | Twitter: @ytengra | Instagram: @tengra | YouTube: Anarchy for Freedom India | Website: https://anarchyforfreedom.in/
Yohan Tengra is the founder of Anarchy for Freedom India. He is a proponent of libertarian and anarchist values. He works for a health startup called iThrive, in the field of functional medicine and nutrition science. This is part 1 of my conversation with Yohan, where we discuss covid lockdowns, restrictions, police brutality, vaccines, PCR testing, personal liberties and the great reset. References: NYT article on pseudo-epidemics: https://www.nytimes.com/2007/01/22/health/22whoop.html WBCSD article on climate lockdown: https://www.wbcsd.org/Overview/Panorama/Articles/Avoiding-a-climate-lockdown World Economic Forum's the great reset agenda: https://www.weforum.org/great-reset/ Recorded June 16, 2021 Instagram: https://www.instagram.com/thelabyrinth.podcast/ Podcaster: Pratham Padav | Instagram: @prathampadav | Twitter: @whoispadav Guest: Yohan Tengra | Twitter: @ytengra | Instagram: @tengra | YouTube: Anarchy for Freedom India | Website: https://anarchyforfreedom.in/
Many children and adults with mitochondrial disease experience significant gastrointestinal or digestive issues as part of their daily disease challenges. When considering the pros and cons of a feeding tube and struggling to identify the best diet for dysmotility, many parents, patients and families are confused by all of the possibilities. On December 4th, 2015, Thrive RX Clinical Specialist Kristen R. Roberts PhD RD shares about diet, dysmotility and tube feeding. Topics for this presentation include: What are the benefits of nutrition support for someone with dysmotility? What type of assessment is needed in order to determine if a feeding tube (and enteral nutrition, or tube feeding) is right for me/my child? What strategies can help improve overall tolerance to diet and enteral nutrition in a person with mitochondrial disease and dysmotility? What are some examples of specific situations when enteral nutrition should be considered? This presentation is appropriate for adult patients, parents of affected children, caregivers, family members and healthcare providers. About the Speaker Kristen Roberts is an Assistant Professor of Clinical Medicine at The Ohio State University Wexner Medical Center and a Registered Dietitian specializing in gastrointestinal nutrition, intestinal failure and home nutrition support. She received her bachelor’s degree in Dietetics at Bowling Green State University and her Master’s degree and internship in Human Nutrition at Arizona State University. She completed her PhD in Human Nutrition at The Ohio State University where she studied the impact of dietary interventions for disease prevention. Kristen has spent most of her clinical years working with intestinal failure patients and specializing in intestinal rehabilitation and home parenteral nutrition. She is an active member in The Ohio Society for Parenteral and Enteral Nutrition and is the coauthor of the iThrive program, which is a nutritional guide for consumers with intestinal dysmotility. Kristen has spoken nationally on the management of acid/base imbalances in clinical practice, improving nutrition support education for physicians and the management of intestinal failure patients. In addition to these presentations, she has published several articles and book chapters dedicated to the clinical management of intestinal failure. To view the accompanying slides, click here.
38 Minutes. Oriana Guevara is a life and personal performance coach. She helps executives, entrepreneurs, and professionals find their true authentic thriving selves. In this episode, we discuss managing relationships, 10x'ing personal care, and work/life balance You can find her at CoachOriana.com and @CoachOriana on social media. Produced at Venture X Downtown Orlando by the BrandCrumbs team. Venture X - https://orlando.venturex.com/podcast/ BrandCrumbs - https://brandcrumbsmedia.com/connect
full show notes @ https://thesternmethod.com/lise-alschuler Lise Alschuler is a naturopathic doctor with board certification in naturopathic oncology. She is the co-author of a book I highly recommend called The Definitive Guide to Cancer. She co-created iTHRIVE, a cancer survivorship programme and co-hosts a radio show, Five To Thrive Live! on the Cancer Support Network. In 2008, Dr. Lise was diagnosed with breast cancer. She integrated natural supplements, diet, exercise and other lifestyle changes throughout her treatment and is 10 years cancer free! She now incorporates the learnings of her own, firsthand experience into her work to help others facing the challenges of this disease. ***Resources Mentioned*** Dr Lise’s Website Dr Lise’s Book - The Definitive Guide to Cancer Five to Thrive Live – radio show / podcast iTHRIVE: Free survivorship programme ListenAndCare.com Cortisol Manager Suntheanine Nature's Way lavender product *** In This Episode: The topic of this podcast is one that’s particularly close to home for Teddy and I. When Teddy was pregnant with Ryder, she experienced immense amounts of stress from a negative work environment. We often wonder about the impact this stress had on our son and if it was responsible, at least in part, for his cancer. So it’s a topic I was really excited to explore, and there’s no one better to do this with than Dr. Lise Alschuler. In this episode Dr. Lise explains the potential negative effects that stress can have on the body, including cancer progression and relapse, and what we can do to mitigate stress and anxiety in our lives. What led you to becoming a naturopathic doctor specializing in cancer? Took an undergrad class at medical school. Many people diagnosed with cancer shared their journey Each person was unique, authentic, honest, courageous Wanted to treat these kinds of people, so decided to get into oncology Passion was in integrative medicine. Pulled out of medical school to study naturopathic medicine Offered position at cancer hospital and discovered integrative oncology Fascinated with the transformative element that a cancer diagnosis invokes in people Dr. Lise’s father was diagnosed with pancreatic cancer. Lived past his prognosis using integrative oncology Two years later Dr. Lise was diagnosed with breast cancer and experienced integrative oncology firsthand She felt healthy throughout conventional treatment despite side effects Can you talk to the importance of mindset and effective stress mitigation strategies? We often try to create linear relationship between cause and effect Cancer is multifactorial – can't appoint blame to any one thing Take control of what we can. Modify our relationship to stress Latest research shows correlation between high levels of stress and cancer progression or recurrence, rather than initial diagnosis Cancer rates increase amongst individuals who have experienced significant stressors in their lives e.g. death of loved one or marriage break up Cancer cells have been growing for 10-20 years before they get large enough to be identified as a tumor. Stress can accelerate what's already present Stress is just one factor behind tumor acceleration All changeable through stress modification What are you finding on the relationship between stress and prognosis? Studies look at impact of the biomarkers of stress on cancer patient outcomes Study on advanced breast cancer patients Divided study participants by their circadian rhythms – healthy circadian patterns indicative of a healthy stress response Study showed women with flat circadian rhythms had chronic stress and died sooner – highly statistically significant. Had less immune function Cortisol suppresses our natural killer cells and other essential bodily functions Similar results seen on studies of people with colon and lung cancer The importance of social networks Feeling socially isolated has a negative effect on prognosis Not the quantity but the quality of connections with others How do we know if it’s mental or external stressors behind the disruption of circadian rhythm as opposed to environmental influences e.g exposure to too much blue light? Inflammatory cytokines are elevated throughout the body when there is a constant stress response When stress mitigation strategies are implemented a positive change seen in circadian rhythms and inflammatory cytokines reduced “Psychological wellbeing is like a firehose on inflammatory cytokines” Note for parents of young children Clear link between early childhood stress and adult susceptibility to cancer An elevated stress response system becomes hardwired Start stress modification techniques early e.g. meditation through guided imagery, creative play, good rest How do you counsel people to get their mental well being under control? Step back and look at the bigger picture – where is identifiable stress coming from? What you change to bring more of yourself into the world in a positive way? Other factors: Sleep – enough, quality, hygiene, light exposure in the morning Melatonin controls circadian rhythms and sleep. Often deficient in people with chronic disease Aren’t there negative effects of supplementing something your body produces naturally? Melatonin has a very short halflife. We don’t habituate to it Melatonin has anti-cancer properties and is a potent antioxidant. Restores health of the pineal gland, reenabling melatonin production In theory the body could develop resistance to melatonin. Long term users should take breaks and adjust dosage Long-term use of any supplementation poses risks in terms of resistance With kids, be conservative with anything in the hormone category Back to stress mitigation strategies Avoid sleep medication if you have cancer. Try a natural first Regular, daily, vigorous exercise at the edge of your fitness Exercise creates healthier circadian rhythms, fewer inflammatory cytokines, healthier immune systems, blood sugar control What would say to someone going through conventional treatment where the last thing they feel like doing is exercise? Still need to exercise but drop the intensity General rule of thumb: recovery time after exercise should be no more than half the exercise time when on treatment. If longer to recover then over doing it If lost muscle mass tai chi, yoga, walking are better options Rebounding What’s next after exercise? Diet. Correlation between Mediterranean or anti inflammatory diet and lower stress hormones and inflammatory cytokines Plant-led diet with no process foods – more resilience to stress Refined sugar is a stressor Majority of diet should be plant-based Too much meat is carcinogenic Plants and herbal medicine Two for one – manage stress and anti-cancer potential Diverse gut microbiome – prebiotics, high fibre fermets Lower anxiety and better stress response, immune function and response to conventional treatment Adaptogens – plants that can reinstate circadian rhythm e.g. American Ginseng Ashwagandha, Holy Basil Brands Dr Lise recommends: Gaia Herbs, Vital Nutrients (Verified Quality is their consumer brand), Pure Encapsulations, Integrative Therapeutics (product called Cortisol Manager) and Solaray To reduce anxiety, Dr Lise recommends L-theanine (in particular, products containing Suntheanine) and lavender extract. Silexan is a lavender oil formula that is used in supplements. Dr Lise recommends a Nature's Way product. Mindfulness and meditation Mindfulness starts with breathing. Exercises like the 4, 7, 8 breath Great meditation apps. 10 minute guided meditations Tai chi, yoga or qigong – moving meditation Explore different types of meditation Headspace and Calm apps are mindful meditation There are other types e.g transcendental meditation and loving-kindness meditation Follow Dr Lise https://www.drlise.net/ If you have a question or comment about this episode let us know below!!
Paul Darvasi is an educator, game designer, speaker and writer whose work looks at the intersection of games, culture and learning. He teaches English and media studies, is a doctoral candidate at York University, and a founding member of the Play Lab at the University of Toronto. His research explores how commercial video games can be used as texts for critical analysis by adolescents. He has designed pervasive games that include The Ward Game, based on Ken Kesey’s One Flew Over the Cuckoo’s Nest, and Blind Protocol, a cyber warfare simulation that instructs on online security, privacy and surveillance. Paul has worked with the Canadian Royal Military College, the US Department of Education, UNESCO, foundry10, Consumers International, iThrive, and Connected Camps and has participated in several international research projects. He recently wrote a working paper for UNESCO on how commercial video games can be used for peace education and conflict resolution. Paul’s work has been featured on PBS, NPR, CBC, the Huffington Post, Polygon, Killscreen, Gamasutra, Sterne, Endgadget, Edsurge, Edutopia, and MindShift.
We are replaying one of the most popular shows for you this week! * * * Today, we’re talking about Jon McMahon’s docuseries and his journey to conquer obesity and reverse diabetes. Imagine being over 357 pounds with triglycerides topping out at 2170 and making the decision to turn it all around. That is exactly what Jon did. We couldn’t wait to share his personal story and applaud his bravery in sharing his journey with the world in hopes of inspiring others to do the same. * * * About Jon At 312 pounds with advanced type 2 diabetes and all of its complications, Jon’s future looked bleak and he knew it. The question that remained for him was this: “Do I want to live?” His answer was yes. And in 2017, Jon embarked out on a quest to get to the heart of the problem underlying the epidemic of diabetes and how people are successfully reversing it without medication. The result was a nine-part documentary series, iThrive: Rising from The Depths of Diabetes and Obesity. The series has inspired hundreds of thousands of people to transform their lives and has given Jon his life’s mission of helping others rise from the death, from the depths, and reclaim their health. * * * How Bad is the Diabetes Problem? In a paper written by Dr. David Matthews, in 2010, he says, “What is coming is the black plague.” Neil Barnard, from the Physicians Committee on Responsible Medicine, says, “It’s going to be worse than the black plague. Millions and millions and millions of people are going to suffer long, and then they’re going to die in a lot of pain.” Google search results “Diabetes in Mexico” - “Diabetes in Mexico, an epidemic and the number-one killer.” “Diabetes in China,” China’s the most populous country with the most diabetics in the world, 109 million, and that’s not even pre-diabetes. “Diabetes in India,” oh, India and China are in competition for the “Diabetes capitol of the world.” “Diabetes in America,” over 100 million people in America with diabetes. Pre-diabetes - 86 million in the United States with pre-diabetes. 90 percent of them, says the Centers for Disease Control, don’t even know it. Wes Youngberg said even the standards for measuring pre-diabetes are too lax. Just between three countries, 300-400 million people. And that’s not counting all the ones with pre-diabetes, another 200-300 million people. Myths Around Type-2 Diabetes You have to be fat. Obesity is highly correlated with it. Wes Youngberg says, “If you think you’re skinny and you’re off the hook, think again.” 20 or 30 percent of those with diabetes are in their healthy BMI range. You have to be old, in your 40s or 50s to get diabetes. Young people are getting diabetes now in college, in their teens, now in high school. Epigenetics - gene expression can be turned on by your environment and what you do. If you take one parent that is obese, one parent out of two that’s obese, their child is four times more likely to be obese. If both parents are obese, this obesity risk factor increases the child’s risk factor for diabetes, not by 1 ½ times, or 1 ¾ or 2 times, by 30 times. If both parents are obese during the conception, the birth, and the raising of the child, the child is 15 times the likelihood to be obese. Jon’s Mission Wake people up. When they’re awake, inspire them. If people ever wanted to change the world, it would be by changing ourselves from the inside out. We Are All Individuals We have individualized needs, and our genes are different. In large ways, we’re similar, but in small ways, we have a lot of variance. Jon’s Journey A friend said to Jon, “Jon, I’m not going to bug you anymore. I’m not going to ask you what you ate. I’m not going to ask you how you’re doing, what your weight is, how you’re—if you’re following—you’re reaching your goals, or whatever. Because I care more about you than you care about yourself. Jon, you’ve got to decide whether you want to live.” Jon was intentional about his decision. “I want to live.” Educated himself on type 2 diabetes and obesity. Interviewed people on nutrition and the psychology of food addiction. Susan Pierce-Thompson, and Dr. Doug Lyle and Allen Goldhamer Our drives Wanting the richest food and seeking out the richest food in the environment. Foods are manufactured to stimulate the dopamine pathway exactly like cocaine, heroin or nicotine. Law of the conservation of energy - whatever’s more convenient for us, that’s what we’re going to do. Manage our environment, and make it work for us He took time to learn about his personality traits about how he can navigate through to his goal. Movement matters - walking an hour a day, or half hour a day, or some simple exercises. Once the body gets a little free of some of the toxins, free of some of the weight, it wants to move. Ask for help. Connection and community are key. Outcome Jon lost 100 pounds Jon reversed, reversed his diabetes and obesity. He is not obese, and he is not diabetic. Jon’s A1C, I the words of his doctor, is better than most kids in college that come through his office. It’s 4.6. One Last Bit of Advice from Jon “You are not alone, you are not broken, and you are not bad and wrong. You are okay. You can actually do it. If I can do it, anybody can do it.” Deeper Dive Resources iThrive! Rising from The Depths of Diabetes and Obesity https://go.ithriveseries.com/report?ref=202839&a_bid=9ee07978&chan=Report20190722A Dr. David Matthews Paper on Diabetes https://www.ncbi.nlm.nih.gov/pubmed/21166840 Dr. Barnard and the Physicians Committee for Responsible Medicine https://www.pcrm.org/health-topics/diabetes Comparisons of Diabetes and Black Death https://southcoastherald.co.za/290964/turning-tide-lifestyle-diseases-diabetes-modern-plague-part-1/ Google search results https://lmgtfy.com/?q=diabetes+in+Mexico https://lmgtfy.com/?q=diabetes+in+China https://lmgtfy.com/?q=diabetes+in+America CDC report on pre-diabetes https://www.cdc.gov/media/releases/2017/p0718-diabetes-report.html Dr. Wes Youngberg http://dryoungberg.com/ Epigenetics https://www.whatisepigenetics.com/what-is-epigenetics/ Empowering You Organically podcasts with Dr. Susan Pierce-Thompson https://empoweringyouorganically.com/podcast/episode-10-effective-goal-setting-in-the-new-year/ https://empoweringyouorganically.com/podcast/episode-9-coping-with-the-holiday-hangover/ https://empoweringyouorganically.com/podcast/episode-12-sugar-addiction-its-a-real-thing/
We are replaying one of the most popular shows for you this week! * * * Today, we’re talking about Jon McMahon’s docuseries and his journey to conquer obesity and reverse diabetes. Imagine being over 357 pounds with triglycerides topping out at 2170 and making the decision to turn it all around. That is exactly what Jon did. We couldn’t wait to share his personal story and applaud his bravery in sharing his journey with the world in hopes of inspiring others to do the same. * * * About Jon At 312 pounds with advanced type 2 diabetes and all of its complications, Jon’s future looked bleak and he knew it. The question that remained for him was this: “Do I want to live?” His answer was yes. And in 2017, Jon embarked out on a quest to get to the heart of the problem underlying the epidemic of diabetes and how people are successfully reversing it without medication. The result was a nine-part documentary series, iThrive: Rising from The Depths of Diabetes and Obesity. The series has inspired hundreds of thousands of people to transform their lives and has given Jon his life’s mission of helping others rise from the death, from the depths, and reclaim their health. * * * How Bad is the Diabetes Problem? In a paper written by Dr. David Matthews, in 2010, he says, “What is coming is the black plague.” Neil Barnard, from the Physicians Committee on Responsible Medicine, says, “It’s going to be worse than the black plague. Millions and millions and millions of people are going to suffer long, and then they’re going to die in a lot of pain.” Google search results “Diabetes in Mexico” - “Diabetes in Mexico, an epidemic and the number-one killer.” “Diabetes in China,” China’s the most populous country with the most diabetics in the world, 109 million, and that’s not even pre-diabetes. “Diabetes in India,” oh, India and China are in competition for the “Diabetes capitol of the world.” “Diabetes in America,” over 100 million people in America with diabetes. Pre-diabetes - 86 million in the United States with pre-diabetes. 90 percent of them, says the Centers for Disease Control, don’t even know it. Wes Youngberg said even the standards for measuring pre-diabetes are too lax. Just between three countries, 300-400 million people. And that’s not counting all the ones with pre-diabetes, another 200-300 million people. Myths Around Type-2 Diabetes You have to be fat. Obesity is highly correlated with it. Wes Youngberg says, “If you think you’re skinny and you’re off the hook, think again.” 20 or 30 percent of those with diabetes are in their healthy BMI range. You have to be old, in your 40s or 50s to get diabetes. Young people are getting diabetes now in college, in their teens, now in high school. Epigenetics - gene expression can be turned on by your environment and what you do. If you take one parent that is obese, one parent out of two that’s obese, their child is four times more likely to be obese. If both parents are obese, this obesity risk factor increases the child’s risk factor for diabetes, not by 1 ½ times, or 1 ¾ or 2 times, by 30 times. If both parents are obese during the conception, the birth, and the raising of the child, the child is 15 times the likelihood to be obese. Jon’s Mission Wake people up. When they’re awake, inspire them. If people ever wanted to change the world, it would be by changing ourselves from the inside out. We Are All Individuals We have individualized needs, and our genes are different. In large ways, we’re similar, but in small ways, we have a lot of variance. Jon’s Journey A friend said to Jon, “Jon, I’m not going to bug you anymore. I’m not going to ask you what you ate. I’m not going to ask you how you’re doing, what your weight is, how you’re—if you’re following—you’re reaching your goals, or whatever. Because I care more about you than you care about yourself. Jon, you’ve got to decide whether you want to live.” Jon was intentional about his decision. “I want to live.” Educated himself on type 2 diabetes and obesity. Interviewed people on nutrition and the psychology of food addiction. Susan Pierce-Thompson, and Dr. Doug Lyle and Allen Goldhamer Our drives Wanting the richest food and seeking out the richest food in the environment. Foods are manufactured to stimulate the dopamine pathway exactly like cocaine, heroin or nicotine. Law of the conservation of energy - whatever’s more convenient for us, that’s what we’re going to do. Manage our environment, and make it work for us He took time to learn about his personality traits about how he can navigate through to his goal. Movement matters - walking an hour a day, or half hour a day, or some simple exercises. Once the body gets a little free of some of the toxins, free of some of the weight, it wants to move. Ask for help. Connection and community are key. Outcome Jon lost 100 pounds Jon reversed, reversed his diabetes and obesity. He is not obese, and he is not diabetic. Jon’s A1C, I the words of his doctor, is better than most kids in college that come through his office. It’s 4.6. One Last Bit of Advice from Jon “You are not alone, you are not broken, and you are not bad and wrong. You are okay. You can actually do it. If I can do it, anybody can do it.” Deeper Dive Resources iThrive! Rising from The Depths of Diabetes and Obesity https://go.ithriveseries.com/report?ref=202839&a_bid=9ee07978&chan=Report20190722A Dr. David Matthews Paper on Diabetes https://www.ncbi.nlm.nih.gov/pubmed/21166840 Dr. Barnard and the Physicians Committee for Responsible Medicine https://www.pcrm.org/health-topics/diabetes Comparisons of Diabetes and Black Death https://southcoastherald.co.za/290964/turning-tide-lifestyle-diseases-diabetes-modern-plague-part-1/ Google search results https://lmgtfy.com/?q=diabetes+in+Mexico https://lmgtfy.com/?q=diabetes+in+China https://lmgtfy.com/?q=diabetes+in+America CDC report on pre-diabetes https://www.cdc.gov/media/releases/2017/p0718-diabetes-report.html Dr. Wes Youngberg http://dryoungberg.com/ Epigenetics https://www.whatisepigenetics.com/what-is-epigenetics/ Empowering You Organically podcasts with Dr. Susan Pierce-Thompson https://empoweringyouorganically.com/podcast/episode-10-effective-goal-setting-in-the-new-year/ https://empoweringyouorganically.com/podcast/episode-9-coping-with-the-holiday-hangover/ https://empoweringyouorganically.com/podcast/episode-12-sugar-addiction-its-a-real-thing/
Today, we’re talking about Jon McMahon’s docuseries and his journey to conquer obesity and reverse diabetes. Imagine being over 357 pounds with triglycerides topping out at 2170 and making the decision to turn it all around. That is exactly what Jon did. We couldn’t wait to share his personal story and applaud his bravery in sharing his journey with the world in hopes of inspiring others to do the same. * * * About Jon At 312 pounds with advanced type 2 diabetes and all of its complications, Jon’s future looked bleak and he knew it. The question that remained for him was this: “Do I want to live?” His answer was yes. And in 2017, Jon embarked out on a quest to get to the heart of the problem underlying the epidemic of diabetes and how people are successfully reversing it without medication. The result was a nine-part documentary series, iThrive: Rising from The Depths of Diabetes and Obesity. The series has inspired hundreds of thousands of people to transform their lives and has given Jon his life’s mission of helping others rise from the death, from the depths, and reclaim their health. * * * How Bad is the Diabetes Problem? In a paper written by Dr. David Matthews, in 2010, he says, “What is coming is the black plague.” Neil Barnard, from the Physicians Committee on Responsible Medicine, says, “It’s going to be worse than the black plague. Millions and millions and millions of people are going to suffer long, and then they’re going to die in a lot of pain.” Google search results “Diabetes in Mexico” - “Diabetes in Mexico, an epidemic and the number-one killer.” “Diabetes in China,” China’s the most populous country with the most diabetics in the world, 109 million, and that’s not even pre-diabetes. “Diabetes in India,” oh, India and China are in competition for the “Diabetes capitol of the world.” “Diabetes in America,” over 100 million people in America with diabetes. Pre-diabetes - 86 million in the United States with pre-diabetes. 90 percent of them, says the Centers for Disease Control, don’t even know it. Wes Youngberg said even the standards for measuring pre-diabetes are too lax. Just between three countries, 300-400 million people. And that’s not counting all the ones with pre-diabetes, another 200-300 million people. Myths Around Type-2 Diabetes You have to be fat. Obesity is highly correlated with it. Wes Youngberg says, “If you think you’re skinny and you’re off the hook, think again.” 20 or 30 percent of those with diabetes are in their healthy BMI range. You have to be old, in your 40s or 50s to get diabetes. Young people are getting diabetes now in college, in their teens, now in high school. Epigenetics - gene expression can be turned on by your environment and what you do. If you take one parent that is obese, one parent out of two that’s obese, their child is four times more likely to be obese. If both parents are obese, this obesity risk factor increases the child’s risk factor for diabetes, not by 1 ½ times, or 1 ¾ or 2 times, by 30 times. If both parents are obese during the conception, the birth, and the raising of the child, the child is 15 times the likelihood to be obese. Jon’s Mission Wake people up. When they’re awake, inspire them. If people ever wanted to change the world, it would be by changing ourselves from the inside out. We Are All Individuals We have individualized needs, and our genes are different. In large ways, we’re similar, but in small ways, we have a lot of variance. Jon’s Journey A friend said to Jon, “Jon, I’m not going to bug you anymore. I’m not going to ask you what you ate. I’m not going to ask you how you’re doing, what your weight is, how you’re—if you’re following—you’re reaching your goals, or whatever. Because I care more about you than you care about yourself. Jon, you’ve got to decide whether you want to live.” Jon was intentional about his decision. “I want to live.” Educated himself on type 2 diabetes and obesity. Interviewed people on nutrition and the psychology of food addiction. Susan Pierce-Thompson, and Dr. Doug Lyle and Allen Goldhamer Our drives Wanting the richest food and seeking out the richest food in the environment. Foods are manufactured to stimulate the dopamine pathway exactly like cocaine, heroin or nicotine. Law of the conservation of energy - whatever’s more convenient for us, that’s what we’re going to do. Manage our environment, and make it work for us He took time to learn about his personality traits about how he can navigate through to his goal. Movement matters - walking an hour a day, or half hour a day, or some simple exercises. Once the body gets a little free of some of the toxins, free of some of the weight, it wants to move. Ask for help. Connection and community are key. Outcome Jon lost 100 pounds Jon reversed, reversed his diabetes and obesity. He is not obese, and he is not diabetic. Jon’s A1C, I the words of his doctor, is better than most kids in college that come through his office. It’s 4.6. One Last Bit of Advice from Jon “You are not alone, you are not broken, and you are not bad and wrong. You are okay. You can actually do it. If I can do it, anybody can do it.” Deeper Dive Resources iThrive! Rising from The Depths of Diabetes and Obesity https://go.ithriveseries.com/report?ref=202839&a_bid=9ee07978&chan=Report20190722A Dr. David Matthews Paper on Diabetes https://www.ncbi.nlm.nih.gov/pubmed/21166840 Dr. Barnard and the Physicians Committee for Responsible Medicine https://www.pcrm.org/health-topics/diabetes Comparisons of Diabetes and Black Death https://southcoastherald.co.za/290964/turning-tide-lifestyle-diseases-diabetes-modern-plague-part-1/ Google search results https://lmgtfy.com/?q=diabetes+in+Mexico https://lmgtfy.com/?q=diabetes+in+China https://lmgtfy.com/?q=diabetes+in+America CDC report on pre-diabetes https://www.cdc.gov/media/releases/2017/p0718-diabetes-report.html Dr. Wes Youngberg http://dryoungberg.com/ Epigenetics https://www.whatisepigenetics.com/what-is-epigenetics/ Empowering You Organically podcasts with Dr. Susan Pierce-Thompson https://empoweringyouorganically.com/podcast/episode-10-effective-goal-setting-in-the-new-year/ https://empoweringyouorganically.com/podcast/episode-9-coping-with-the-holiday-hangover/ https://empoweringyouorganically.com/podcast/episode-12-sugar-addiction-its-a-real-thing/
Today, we’re talking about Jon McMahon’s docuseries and his journey to conquer obesity and reverse diabetes. Imagine being over 357 pounds with triglycerides topping out at 2170 and making the decision to turn it all around. That is exactly what Jon did. We couldn’t wait to share his personal story and applaud his bravery in sharing his journey with the world in hopes of inspiring others to do the same. * * * About Jon At 312 pounds with advanced type 2 diabetes and all of its complications, Jon’s future looked bleak and he knew it. The question that remained for him was this: “Do I want to live?” His answer was yes. And in 2017, Jon embarked out on a quest to get to the heart of the problem underlying the epidemic of diabetes and how people are successfully reversing it without medication. The result was a nine-part documentary series, iThrive: Rising from The Depths of Diabetes and Obesity. The series has inspired hundreds of thousands of people to transform their lives and has given Jon his life’s mission of helping others rise from the death, from the depths, and reclaim their health. * * * How Bad is the Diabetes Problem? In a paper written by Dr. David Matthews, in 2010, he says, “What is coming is the black plague.” Neil Barnard, from the Physicians Committee on Responsible Medicine, says, “It’s going to be worse than the black plague. Millions and millions and millions of people are going to suffer long, and then they’re going to die in a lot of pain.” Google search results “Diabetes in Mexico” - “Diabetes in Mexico, an epidemic and the number-one killer.” “Diabetes in China,” China’s the most populous country with the most diabetics in the world, 109 million, and that’s not even pre-diabetes. “Diabetes in India,” oh, India and China are in competition for the “Diabetes capitol of the world.” “Diabetes in America,” over 100 million people in America with diabetes. Pre-diabetes - 86 million in the United States with pre-diabetes. 90 percent of them, says the Centers for Disease Control, don’t even know it. Wes Youngberg said even the standards for measuring pre-diabetes are too lax. Just between three countries, 300-400 million people. And that’s not counting all the ones with pre-diabetes, another 200-300 million people. Myths Around Type-2 Diabetes You have to be fat. Obesity is highly correlated with it. Wes Youngberg says, “If you think you’re skinny and you’re off the hook, think again.” 20 or 30 percent of those with diabetes are in their healthy BMI range. You have to be old, in your 40s or 50s to get diabetes. Young people are getting diabetes now in college, in their teens, now in high school. Epigenetics - gene expression can be turned on by your environment and what you do. If you take one parent that is obese, one parent out of two that’s obese, their child is four times more likely to be obese. If both parents are obese, this obesity risk factor increases the child’s risk factor for diabetes, not by 1 ½ times, or 1 ¾ or 2 times, by 30 times. If both parents are obese during the conception, the birth, and the raising of the child, the child is 15 times the likelihood to be obese. Jon’s Mission Wake people up. When they’re awake, inspire them. If people ever wanted to change the world, it would be by changing ourselves from the inside out. We Are All Individuals We have individualized needs, and our genes are different. In large ways, we’re similar, but in small ways, we have a lot of variance. Jon’s Journey A friend said to Jon, “Jon, I’m not going to bug you anymore. I’m not going to ask you what you ate. I’m not going to ask you how you’re doing, what your weight is, how you’re—if you’re following—you’re reaching your goals, or whatever. Because I care more about you than you care about yourself. Jon, you’ve got to decide whether you want to live.” Jon was intentional about his decision. “I want to live.” Educated himself on type 2 diabetes and obesity. Interviewed people on nutrition and the psychology of food addiction. Susan Pierce-Thompson, and Dr. Doug Lyle and Allen Goldhamer Our drives Wanting the richest food and seeking out the richest food in the environment. Foods are manufactured to stimulate the dopamine pathway exactly like cocaine, heroin or nicotine. Law of the conservation of energy - whatever’s more convenient for us, that’s what we’re going to do. Manage our environment, and make it work for us He took time to learn about his personality traits about how he can navigate through to his goal. Movement matters - walking an hour a day, or half hour a day, or some simple exercises. Once the body gets a little free of some of the toxins, free of some of the weight, it wants to move. Ask for help. Connection and community are key. Outcome Jon lost 100 pounds Jon reversed, reversed his diabetes and obesity. He is not obese, and he is not diabetic. Jon’s A1C, I the words of his doctor, is better than most kids in college that come through his office. It’s 4.6. One Last Bit of Advice from Jon “You are not alone, you are not broken, and you are not bad and wrong. You are okay. You can actually do it. If I can do it, anybody can do it.” Deeper Dive Resources iThrive! Rising from The Depths of Diabetes and Obesity https://go.ithriveseries.com/report?ref=202839&a_bid=9ee07978&chan=Report20190722A Dr. David Matthews Paper on Diabetes https://www.ncbi.nlm.nih.gov/pubmed/21166840 Dr. Barnard and the Physicians Committee for Responsible Medicine https://www.pcrm.org/health-topics/diabetes Comparisons of Diabetes and Black Death https://southcoastherald.co.za/290964/turning-tide-lifestyle-diseases-diabetes-modern-plague-part-1/ Google search results https://lmgtfy.com/?q=diabetes+in+Mexico https://lmgtfy.com/?q=diabetes+in+China https://lmgtfy.com/?q=diabetes+in+America CDC report on pre-diabetes https://www.cdc.gov/media/releases/2017/p0718-diabetes-report.html Dr. Wes Youngberg http://dryoungberg.com/ Epigenetics https://www.whatisepigenetics.com/what-is-epigenetics/ Empowering You Organically podcasts with Dr. Susan Pierce-Thompson https://empoweringyouorganically.com/podcast/episode-10-effective-goal-setting-in-the-new-year/ https://empoweringyouorganically.com/podcast/episode-9-coping-with-the-holiday-hangover/ https://empoweringyouorganically.com/podcast/episode-12-sugar-addiction-its-a-real-thing/
In which we discuss what we as individuals have gotten out of RPGs, and what other people can get from them. * We now have a lost episode! * Dixie was an awkward child/teen/adult* RPGs helped her find "her people," her aesthetic, and confidence* Eddy was a similarly awkward kid, and RPGs helped him, too* On being "not enough" for certain subcultures/communities* Surprise, Matthew was also awkward!* Another surprise, RPGs helped his confidence, too!* Speech therapy for all (three of us)* Vampire/character voices* Two digressions in quick succession* RPGs as therapy tools* The Wraith: The Oblivion curse* How RPGs can affect players and GMs* RPGs and trauma rules/The X-Card* Which Onyx Path games are the most emotionally heavy?* What does "fun" mean?* Learning real-world things via RPGs* We all love Britain* Eddy and Dixie are going to conventions* Stay tuned after the music for your new favorite ringtone Links:* Windows 10 bug: https://www.forbes.com/sites/jasonevangelho/2018/10/06/microsoft-confirms-windows-10-update-mistake-was-your-data-lost/#472b15a9665b* Anthrax & Public Enemy - Bring the Noise: https://youtu.be/kl1hgXfX5-U* Nicholas Briggs Interview: https://inews.co.uk/culture/television/doctor-who-voice-of-the-daleks-nicholas-briggs-interview/* iThrive: http://ithrivegames.org/* Bodhana Group: https://www.thebodhanagroup.org/* A Theory of Fun for Game Design by Raph Koster: https://www.theoryoffun.com/ * Save Against Fear: https://www.thebodhanagroup.org/about-the-convention* High Level Games Con: https://hlgcon.com/
This podcast is about product strategy and my guest on the podcast is Nadia Muller, Founder and CEO or iThrive, a personal coach on your smartphone that helps you to transform counterproductive habits on order to thrive.It’s a common fact healthy and happy employees are generally more productive, but many people still experience stress and burnout issues. This is what iThrive is designed to transform, and doing so it promises to increase productivity at work with 400%This triggered me, hence I invited Nadia to my podcast. We explore what it means to make people thrive and how technology can play a fundamental role in that transformation. We thereby discuss what is required to win the hearts of the user by creating a solution they trust and actually want to use on a day to day basis.Here are some of her quotes:Thriving means that people are strong, they're successful, they're healthy, they're imbalancedThe idea is to help people to move towards secure attachment, towards that's thriving, towards the balance.When you look at longitudinal studies that have been studying people for a long time seeing how they're changing their behavior, it is this that actually only 10 percent of the time we succeed on our own.People that were able to succeed they had either coach or a supportive partner or they had a mentor or something else that was really strong supporting figure in their life.That's basically what we are aiming to do with Jean and doing it on a really low entry barrier ways. Everywhere available, 24/7, it doesn't cost muchwhen an employee is happy, less sick the productivity goes up. It has a positive effect on the entire team which again inspires higher productivity is on you. It's just amazing what happens in an organization when you have thriving people.By listening to this interview, you will learn three thingsThat a strong way to grow adoption of your solutions is to understand what makes the user tick – what motivates them.How real value can be created by not just focusing on getting things fixed, but to actually focus on changing the underlying behaviors that cause the issue in the first placeThat your business gets really convincing for a customer when you’re able to convince them about the upside your solution will bring them beyond the notion of just cost reduction See acast.com/privacy for privacy and opt-out information.
https://learntruehealth.com/ithrive to get the docuseries for free! Fasting For Healing http://learntruehealth.com/fasting-for-healing Fasting is a fantastic way to heal naturally from several health conditions. According to my guest today, Dr. Alan Goldhamer, fasting is safe and effective when done right. So read on to learn everything you need to know about this healing method. Discovering Fasting Dr. Alan Goldhamer recalls that when he was in 4th grade, his best friend Doug always beat him in basketball. He wanted to get healthier to beat his best friend, and he happened to find a book about fasting by Herbert Shelton. Herbert Shelton was American author, naturopath, alternative medicine advocate, pacifist, and vegetarian. He was also a supporter of and fasting. But Dr. Alan Goldhamer still failed in beating Doug despite his efforts to fast and adopt a plant-based diet. Because apparently, his best friend Doug took the same program. Pursuing A Medical Degree As Dr. Alan Goldhamer got older, he met a chiropractor when he was 16 years old. That chiropractor said he had the best job in the world. He further explained that it's because the body did all the healing, the patient did all the work, and all he had to do was take credit for the good results. Since then, Dr. Alan Goldhamer decided that pursuing a medical degree was his calling. Dr. Alan Goldhamer eventually went to a chiropractic school in Oregon. But he says it didn't give him the background that he wanted, which was to be able to take on certain kinds of treatments and specific conditions. Due to his desire to learn more, Dr. Alan Goldhamer, later on, went to Pacific College of Osteopathic Medicine in Australia. He did his residency there and worked with hundreds of patients who kept getting well. TrueNorth Health Center In 1984, Dr. Alan Goldhamer felt it was time to go back to the United States with his wife who is also a doctor. Together they opened the TrueNorth Health Center. Fast forward today, it's been 33 years since they have been helping people recover their health using diet and lifestyle modification. He shares that usually when people have diabetes, heart conditions or autoimmune disease, their physician will usually recommend taking 1 to 5 drugs. If you do exactly as you were told, Dr. Alan Goldhamer says those doctors will guarantee you'll never get well. According to him, that's the promise of conventional treatments for health conditions. Track Record "We have a program that ends the disease. But only if you also eat well, exercise and go to bed on time," said Dr. Alan Goldhamer. "Our alternative approach can get you healthy enough to eliminate the need for medications." Most of Dr. Alan Goldhamer's patients were entirely able to remove medications by eliminating the reason why they needed the medication. Dr. Alan Goldhamer says it's really because of a management strategy towards healthy living. Dr. Alan Goldhamer's patients who have diabetes, autoimmune disease, cancer, obesity and metabolic syndrome have benefited from fasting. The TrueNorth Health Center has also dealt with patients suffering from kidney diseases, although their fasting program is modified. Furthermore, Dr. Alan Goldhamer also reveals that his team has done a fasting safety study. Hence, they assure everyone that fasting is safe as long as you follow the appropriate protocols. In Dr. Alan Goldhamer's center, patients are appropriately screened and then undergo a physical exam, lab assessment, and monitoring. The center's patients are also seen twice a day by the center's staff of doctors wherein they evaluate every patient's clinical presentation. "We had 174 consecutive patients who underwent fasting, and we have seen a wide variety of conditions," said Dr. Alan Goldhamer. What Is Fasting? Dr. Alan Goldhamer says that fasting has been around for a long time. Virtually most religious traditions recognize it as an essential component for a good reason. "Fasting is a biological adaptation. If it weren't for fasting and the ability to fast, our species could not have done what we have done, which is wandering away from the tropics," Dr. Alan Goldhamer said. Dr. Alan Goldhamer also reveals that because of the biological adaptation of fasting, human beings can go up to 70 days without eating. This is because our brain has changed from burning glucose to fat. So if you didn't burn fat, we would have to break our proteins down to provide glucose. And after a period, we would eventually die. "We are capable of doing fasting. And at our TrueNorth Health Center, we have water fasting programs from 5 to 40 days. But we do not make our patients do fasting any longer than necessary to get the problem solved," said Dr. Alan Goldhamer. The Truth About Salt Dr. Alan Goldhamer says sodium is an essential nutrient without which we die. He says it is such a critical nutrient that our body is designed to detect it in minimal quantities. In fact, when you can taste natural sodium, you know that particular food is healthy for you. "Salt tells you vegetables are good. But when you concentrate it, it artificially stimulates the dopamine production in the brain, and that leads to overeating. That's why people are fat and sick cause they eat salt or sugar," explains Dr. Alan Goldhamer. Furthermore, Dr. Alan Goldhamer says salt has a whole bunch of problems when it is introduced in high concentration. Typically we'd be getting about have a milligram of sodium per calorie. But Dr. Alan Goldhamer says people in our culture are often eating 2 to 5 milligrams of sodium per calorie or even more. "When we put salt in the food, the body has to hold fluid to neutralize and compensate for it. That's why blood pressure goes up. And it is also why many people aged 65 or older have hypertension," said Dr. Alan Goldhamer. Dr. Alan Goldhamer also shares that salt also helps us get fat. Salt makes us eat more before we feel satisfied. And there's a lot of physiological consequences of excess sodium. Among the physical effects of salt include: Fluid retention Joint pains Edema Swelling Non-healing of wounds Congestive heart failure Respiratory issues "Avoid added salt. Get all the salt you need by eating whole plant foods, seeds, nuts, and fruits. You don't have to add highly processed foods which are full of chemicals," said Dr. Alan Goldhamer. GMO In episode 133 of the Learn True Health, Jeffrey Smith was my guest. He is the creator of anti-GMO documentaries and GMO awareness. Jeffery Smith discussed that there was a study in Canada. The study found that eating GMO foods, specifically B2 corn, created the B2 toxin which explodes the stomach of insects. They discovered that when we eat that type of corn, GMO genes get into the bacteria of the gut. Over time, the gut started creating the B2 toxin inside of people. Even if they no longer eat corn, their body was still very concentrated with the B2 toxin. "We have to figure out how to make plants more resistant to chemicals produced by companies. A great way to reset is through fasting and whole foods plant diet. Only then will clinical symptoms begin to improve," Dr. Alan Goldhamer said. Dr. Alan Goldhamer also shares that his team just completed a study with their colleague, Luigi Fontana at Washington University. For the first time, they looked at the microbiome before and after fasting. They are already done with sample collection and data is currently being processed. Dr. Alan Goldhamer's Diet Dr. Alan Goldhamer usually eats any of the following for breakfast: fresh fruit, leafy greens like lettuce, cucumber, and celery. Sometimes he alternates between oatmeal, cornmeal, nuts or seeds. For lunch or dinner, he usually indulges in large salads and steamed vegetables. He pairs it with a serving of complex carbohydrates like potatoes, rice beans, sweet potato, and squash. If he goes hungry between mealtimes, he usually satisfies his hunger pangs with another salad. Ideally, the diet has to be very nutrient-rich and low density. Dr. Alan Goldhamer stresses that whether raw or cooked, he is more concerned about what his patients are eating rather than how they are preparing it. Best Diet Choices Dr. Alan Goldhamer believes that raw foods and vegetables are not always possible to get enough total calories in, without overdoing the sugar or the fat. He says that it is vital to see sufficient calories in the diet which is 10 to 12% of calories from protein, 5 to 18% from fat, and the balance of complex carbohydrates. As far as juicing is concerned, Dr. Alan Goldhamer believes that it is indeed suitable for people who can't eat whole foods. But he says the best solution to gain optimal health is to eat whole foods. "We're advocating a whole plant food diet with limited amounts of concentrated high-fat foods," said Dr. Alan Goldhamer. "You also have to eliminate foods like meat, fried foods, eggs, salt, oil, and sugar. It's not about changing the food that you have to worry about but rather changing the palate." Bio Dr. Alan Goldhamer is a graduate of Western States Chiropractic College and the Pacific College of Osteopathic Medicine and for 34 years has been the director of the TrueNorth Health Center in Santa Rosa CA. TrueNorth is the largest facility in the world specializing in medically supervised water-only fasting. He is the author of the Health Promoting Cookbook and the co-author of The Pleasure Trap. Dr. Alan Goldhamer is the principal investigator in numerous studies involving fasting that have been published in the peer-reviewed medical literature. Get To Know Dr. Alan Goldhamer! Official Website Books by Dr. Alan Goldhamer The Health Promoting Cookbook The Pleasure Trap Recommended Link: Learn True Health - Episode 133 The Links You Are Looking For: Support Us on Patreon & Join the Learn True Health Book Club!!! 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In this interview, Natural Medicine Journal Publisher Karolyn Gazella discusses the challenges and solutions associated with enhanced integrative care for cancer survivors with integrative oncologist Dr. Matt Mumber. More than 15.5 million cancer survivors are currently living in the United States, with more than two-thirds alive five years after their diagnosis. And yet, most survivors report side effects long after treatment and many experience significant distress and fear of recurrence. Mumber describes how an integrative approach can help all practitioners serve the special needs of cancer survivors in their practice. About the Expert Matt Mumber, MD, is a board certified radiation oncologist with the Harbin Clinic in Rome, Georgia. He received his medical doctorate from the University of Virginia and he also did a fellowship in integrative medicine with the University of Arizona. He is the coauthor of the book Sustainable Wellnessand the editor of the textbook Integrative Oncology: Principles and Practice. Mumber is the director of medical affairs of the iTHRIVE Plan. About the Sponsor iTHRIVE is an online web application that creates personalized wellness plans for cancer survivors that focuses on five key areas: diet, movement, environment, rejuvenation, and spirit. Cancer centers, hospitals, and clinics can license the iTHRIVE Plan to help meet the special needs of their cancer survivors. iTHRIVE also helps cancer centers meet the Commission on Cancer Mandate. For more information, visit iTHRIVEplan.com. Transcript Karolyn Gazella: Hello, I'm Karolyn Gazella, the publisher of the Natural Medicine Journal. Today our topic is cancer survivorship. My guest is radiation oncologist, Dr. Matt Mumber, who's also the editor of the textbook, Integrative Oncology. Before we begin, I'd like to thank the sponsor of this podcast, who is iTHRIVE Plan. That's ithriveplan.com. Dr. Mumber, thank you so much joining me. Matt Mumber: Oh, thanks for having me. It's always good talking with you. Gazella: Yeah, well, you know I've been reading research clearly showing that cancer survivors say they have unmet needs and they have special needs. Take us through what some of those needs are, specific to cancer survivors. Mumber: The diagnosis of cancer is really a whole-person diagnosis. People wonder about, first thing they wonder, "Gosh, am I to somehow blame for this diagnosis?" I think people think about that. Of course, various levels of lifestyle and choices they've made throughout their life. Whether they're smokers, how they've generally eaten, what environment they live in. What their family history is, so they think about all of that, obviously. Then stress weighs in on it. When people get the diagnosis, they have a lot of stress. Then people maybe even think about compounding the fact their lives are stressful, well maybe my stress caused the cancer. That type of thing. That all impacts them and then the physical aspect of it. Of course, we're all, as whole people, we have a physical body that we inhabit. We have our minds and our spirits, our heart, our emotions, and pretty much all of those are impacted by cancer diagnosis. The physical aspects, people can feel different, they can have symptoms related to the cancer or actual problems. Bleeding, pain and other issues that are outside of normal function. Then, for example, just the fatigue that comes along with having a cancer diagnosis, because fatigue is multifactorial, too, and tends to weigh on people emotionally. Then that has a physical ramification. The stress and so forth can cause problems with how we eat, drink, move. How we sleep at night. How we relate to others. Different things like sexuality and other aspects that we take for granted as just people walking around being healthy. One of my teachers says that he really enjoys, every now and then, takes time to enjoy the fact that he doesn't have a toothache, because when he has a toothache, it's kind of all-encompassing, so we can be happy our non-toothacheness. I think people with cancer often feel that way. "Gosh, if I could just get a break from having cancer," because once you have cancer you're kind of a cancer patient and you're a cancer survivor, so it really does define who you are. It's a very much of whole person oriented type of thing. Of course there's all the practical matters, financial, social, and so forth. It really does affect people in a multifactorial way. Perhaps because of the general stigma that's associated with a diagnosis of cancer, for then has been for decades, perhaps more than most of other types of chronic illnesses. Gazella: I think you may be right, and then there's this issue of fear of reoccurrence. I read in one study saying that upwards of 90% of cancer patients, even if it's not valid, they're afraid. They're so afraid of a reoccurrence of getting cancer again. Mumber: That's right. No doubt. Gazella: You've just mentioned a lot of factors. Is this the reason why the American College of Surgeon created the Commission on Cancer Mandate, and you can talk to us a little bout about that Commission on Cancer Mandate? Mumber: The Commission on Cancer is a wonderful organization, their real mission is to make all of the hospitals that participate in their system as good as they can be. First things they start with were very conventional, let's make sure we have accurate data. Let's make sure people are being treated in facilities that have up-to-date conventional types of processes and that they're recorded and they're followed over time so we can then get feedback and learn and grow with regards to how we're doing in the conventional care of cancer patients. Then about the time that the Institute of Medicine started to branch out and look at things like cancer survivorship and psycho-social screening, and integrative approaches ... what I would call integrative approaches. They started saying, "Gosh, this is just as important as the conventional. We've got that under control. We've got that to the point where we have standards, we really need to create some standards that affect more of this whole person, outside of the what we do to people," type of scenario. That's really when they started to build these criteria, starting with patient navigation, trying to identify access to caring disparities that people face. Then moving on to actual distress screening, so that we can find a way to identify the stress, almost like another vital sign. Recognize distress and then intervene early before it becomes a problem. Then moving past when we've gone through active treatment and people that have been treated definitely and curatively and they've done active treatment. Like I said, they're always cancer patients. Cancer survivors now. How do we address that survivorship such that we can make sure they're getting appropriate screenings, that they understand what's been done to them and ultimately what they need to do in order to stay connected, to try to decrease recurrence rates and to function in a way that gives them the best chance of surviving long term. Gazella: Speaking of these special needs, it certainly seems that because of the sheer number of cancer survivors, pretty soon there's going to be 20 million cancer survivors alive in the United States alone. It certainly seems like their care is spilling out into other medical disciplines, well beyond oncology. I'm wondering what role can general practitioners or integrative practitioners play when it comes to meeting the special needs. Physical, mental, emotional, special needs of cancer survivors. Mumber: Medicine, I think is evolving. Medicine has evolved from being purely focused on the downhill, what we do to somebody, and has really become more of a partnership where we are able to focus on the commonalities that make us all human and to do so in a way that is therapeutic. For the physician, the physician can bring the power of themselves as they are, what they do to help stay healthy. They can bring in a compassionate way to the doctor patient interaction. Primary care has led the way in this, with the primary care patient center medical home concept. That's now actually something that's billable and is paid for through Medicare, where you can get a group of people together and you can give them ideas and ways to help prevent certain illnesses, for example diabetes, heart disease. Haven't done it so much with cancer yet, because that hasn't filtered into the primary care mechanism, but it's happening and it's a good way for that to happen, because there's only so many oncologists available and there's a much larger pool of primary care doctors. Prevention has really been in the purview of primary care physicians. There's really 3 types of prevention. Primary prevention in order to try to prevent diseases before they come up. Secondary prevention to prevent disease when people are high risk group, for example prevent heart disease or lung disease from people that are already smokers. Then finally tertiary prevention, which means when people already have an illness or have a diagnosis, for example, cancer, we try to decrease the chance of that recurring or having it again. The primary care center medical home is mainly focused on the primary prevention, somewhat in the secondary prevention and then it also filters over into the tertiary prevention. In each of those groups, one of the foundational principles that I found to be true in my life is that there's tremendous power in getting groups of people together with similar experience. It's kind of like if I went, no matter how compassionate I am, if I went and tried to sit down with a group of pregnant women and talk with them about what it's like to be pregnant and to be able to have a baby and so forth, I would just be ... There's no way I would add anything that would mean anything to anybody, but if you get a group of pregnant women together, they're going to be able to speak a language that women who have gone through that experience will have. I think that's a very powerful thing and that's filtering into medicine more and more, it's getting reimbursed by Medicare through the primary care patient center medical home. It's filtering into oncology care. Certainly there are specialty oncology medical homes, as well. However they tend to focus more on what to do during therapy, how to support patients during therapy and it really hasn't filtered over into the tertiary prevention model. I think as a field, medicine in general is evolving a very positive way, mainly it costs so much to have illness, right? If we can prevent it, the ounce of prevention, right? I think that's a good thing. I do think that's the wave of the future. How it's going to filter into oncology versus primary care, with regards to that tertiary prevention piece, I think that's still to be worked out. Gazella: Yeah, I would agree. We're making progress though. It is all about serving these special needs of cancer survivors. Now you are the lead investigator on a study that combined patient navigators with an online tool. Can you tell us a little bit about that research and what the outcomes were? Mumber: Yeah, yeah, so my research is mainly focused on the application and implementation of integrative approaches, especially those that focus on people being able to make and embrace long-term change, kind of what I think of as the difference between translation, which is just giving people information and hoping that they'll understand it. Maybe apply it, versus transformation, which is being able to actually apply information in one's life and make a major change in life. Initially, we started looking at, can we approach this with physicians, for example with integrative medicine approach. We did a study about a dozen or so years ago that was a computer-based educational program, did it in conjunction with the University of Arizona and the Georgia Center of Oncology Research and Education and GSSACO, Georgia's State Society of the American Society for Clinical Oncology. Basically, we did a prostate cancer where they did integrative medicine, educational module, to educate physicians and provides, nurses, other providers associated with prostate cancer about different complementary alternative methods associated with prostate cancer. We found that that web based educational intervention was very successful. Kind of fast forward to this most recent study, the next logical step would be is there anything we can do to improve upon the ability of this translational information delivery to move more towards a transformational approach. Or what people think of is generally a transformational approach. The study that we did was, basically, a randomized trial, a small pilot trial. We had 24 people, 24 patient navigators in the state of Georgia that were randomized in this trial to give 1 of either 2 arms. One was an educational, web-based modality that looked at educating about integrative oncology for a patient navigators. We had a bunch of didactic presentation. We had a weekly video presentation that people could watch with regards to how they eat, drink, move, manage their stress, based upon our sustainable wellness book that we had ... Heather Reed and I had written. Then there were a variety of materials that were present. There was the ability to chat online. That was one arm of the study. The other arm of the study was to do all that, but to also to have the opportunity to do a residential retreat, which I've been facilitating those types of educational types of retreats for years. Focusing more on a variety of contemplative practices and a personal experience and providing those contemplative practices with people that have similar experience. In this case, patient navigators. The word contemplative is often kind of confusing. It sounds kind of mysterious and mystical. Contemplative is a good way of thinking about, contemplative practice when we can be in a position in which our body and our mind and our heart are in the same place at the same time. That's likely a contemplative practice. One of the features of it are that the result of that is that it brings about a certain level of awareness. It brings about a sense of communion and it brings about a sense of connection. We would sit with people. We had a three day residential retreat that Heather and I facilitated and basically just experienced a variety of things, like yoga, meditation, massages. Everybody loves massage. We did some creative art therapy, like picture drawing and interpretation of those things. We randomized the trial and the outcome measure was do people learn better when they have this in person interaction, then they do when they have more of an online interaction. It was a very small study. The numbers hint that there's a slight increase in educational benefit with the in person interaction, in addition to the online interaction. However both interactions resulted in, just like our previous study, significant learning and ability to actually apply these integrative modalities. It was the next step in research with a more focused group. I do think that's it a pretty exciting trial, because it does show the value of somehow having that link to that group of similars. Now whether or not that needs to be based in person or whether it could be based online, with like an online chat that's real active, that's kind of another question, research question, but it was an interesting study. Gazella: Yeah, sounds very interesting. You know the point with some of the emerging research is to reduce the burden of care. It reminds me of research that was presented at this year's ASCO [American Society of Clinical Oncology] with Dr. Hess from Switzerland, who used the web-based modification tool for cancer survivors and she demonstrated that distress was significantly reduced and quality of life significantly enhanced without a face to face visit. I'm just curious, is this in part the way of the future? Mumber: I think it could be. I think, of course, that intervention what they did was really more of a psychologist or psychiatrist doing counseling with the individual. They did a good bit of that. They tried to, instead of having to take the patient's time because there's some access to care and disparity issues, in that study, 70% of the patients had an online presence. They were open to using that modality. The counselors would basically do counseling with the patient, instead of them being in a room, basically do it online. I think as time goes on and as people have more penetrance and more of an online life, I do think that that's going to become more applicable. The current ... It depends on where you are, I guess. It depends on the age of your population and penetrance of internet use and so forth, but I do think that's a positive study. I do think it addresses some of the barriers that can occur, relative to actual time for both the therapist and for the patient, to actually sit down and do it, it's a heck of a lot easier than if you have to travel. Let's say you had to travel 45 minutes. There's also a stigma, I think, to especially the psychological counseling piece where people say, "Gosh, I've got to go to a counselor." It's almost like they're admitting some kind of a weakness. That gets over that barrier as well. I do think it's going to have applicability in multiple methods. Just in the research that we did, relative to the many uses of the internet and how they pertain to educating people and bringing along. There's absolutely no doubt that the internet has revolutionized the ability to educate people, there's no doubt about it. It makes perfect sense that it would have the ability to be applied in this specific situation, to reduce the stress, to do things with cancer patients that require, in the past, that required face to face interactions, but to do so in a way that's much more practical and less costly, ultimately, than actually having to take the time to do that. Yeah, I think it has significant potential benefit. Gazella: Yeah, I would agree. I'd like to talk briefly about the iTHRIVE Plan, which is an online tool. Now you in your clinic, the Harbin Clinic in Georgia, you're using the iTHRIVE plan in conjunction with a nonprofit called Cancer Navigators. I'm wondering what your experience has been with the patients who are using the iTHRIVE plan, in particular. Mumber: Yeah, I think the folks that are using it really enjoy it. Basically, it's a plan that when we set them up, we just basically say, "Look, this is a plan that's written by cancer survivors for cancer survivors." What it does is it evaluates you in 5 different domains of your health, how you eat, how you drink, how you move your body, your spirituality and then how your environment affects you and what things in your environment may be lurking that you're not even aware of that could potentially influence you. Basically, it's written in a way that there's a nice melding of really good, hard science that each one of the little action steps that are given, are discrete action steps. It's really hard for a patient, when they sit in a room for 15 minutes at a follow up visit where we're talking about, "Well, gosh, you got to do your screening here. You've got to come back for this appointment. Got any questions? Okay, hey, by the way, make sure to eat better, drink pretty of fluids. Exercise. Manage your …" It's such a big elephant, it's hard to bite off. What you do is you start off with one discrete action step. Each of those steps, to the extent people happen to have like a little scientific citation with them. It's very, very valuable. The people that have been involved in it, they may not like every one of the steps, because everybody's different. Everybody has their own way of doing things. People have different expertise and so forth, but what I tell them is, "Gosh, if you have a set of action steps and one or two really hit home, that's a big deal," because just think about the difference between saying, "Oh, go ahead, eat better, drink better, move better, etc. Handle your stress," and then giving people an option of let's say 30 different steps that pertain to one of those topics. They can go around, in their own time, on their phone and look at each one of those steps and say, "I'm going to try that." It might really hit home and it might stick with them for the rest of their life. It's a really beneficial thing. The feedback we've gotten has been very good. It has helped us, as well, in identifying people that are in distress that we wouldn't have known otherwise. As a part of that, they'll take a 15-minute survey that evaluates them in those 5 domains. Then one of the domains ... Then it has different symptom complexes like fatigue and pain and so forth. If they reach a certain threshold, then our nurse is identified. Our nurse calls them up and what that's done is it's allowed us to get them to specific services they would not have gotten to otherwise. It's a very beneficial thing on multiple levels. On the patient navigation level, to go back to the COC, well, what a great tool for being able to intervene and educate and identify access to care and disparities issue. Some of those could be a person can't travel to do various things, so this is a great way of addressing that. The second piece, distress screening, we can identify distress, and appropriately manage it. The third thing, of course, this is a survivorship piece. Really the weakest part of survivorship, in the COC platform, has been that tertiary prevention piece. How you take care of yourself in order to decrease the chances of them coming back. Gazella: Right, and I'd like to talk a little bit about that, because you and I and Dr. Lise Alschuler wrote a paper that was published in the Natural Medicine Journal that shined a light on emerging research that's showing that survivorship care plans that only focus on the treatment summary and the follow up care are actually causing more distress, because they're not focusing on proactive prevention strategies that can empower the patient. What do you think is the solution to that, because that's kind of troubling, that even after the mandate, these SCPs are causing more distress? Mumber: I think what's happened is that they've followed the general history of the medical model, ultimately. That is that we figure out what needs to be done and in our infinite wisdom, we then deliver it. We deliver it in the best way that we can, unfortunately the initial way we deliver almost everything in medicine is from the top down. From somebody who knows something better to somebody that doesn't know anything. Somebody who needs help to somebody's who's going to be stronger and has the ability to get the help. Somebody who's broken to somebody who's going to get fixed. It's not unusual, it's a normal part of the evolutionary process of the way medicine is delivered over time. In the initial part of this, it's very important for us to get the conventional part right. It is very important that people get to their screenings, to make sure that people understand how important it is to eat well, to drink well, to manage your stress, to understand what radiation and chemo they got. How that might place them at greater risk, etc. those are all very important pieces of the puzzle. However, if all we do is try to deliver information downhill and to a person that literally, all they know is what we're telling them, for the most part, it's going to create distress. It's going to create more distress than if we didn't tell them anything. It's almost like ignorance is bliss to a certain extent. When we overload people with information, without any real applicability of how it means something in their life, it tends to cause more distress. I think it's very important and over time, I think what we'll see is a progression for engaging the patient, engaging the patient in their own care. Engaging the whole person in their own care. That's where I think that it's going to evolve over time, naturally. Gazella: I would agree with that. What would you like to see happen in the future, when it comes to getting these special needs met? Physical, mental, emotional needs met for cancer survivors in the future? Mumber: Well, I think from a standpoint of Medicine. Medicine with a big 'M'. Not just medicine that we use to fix people, but medicine that serves the needs of all the participants that are involved. Not just the patient, doctor, community member, all aspects of the community in general. All people involved in it at all levels of their being. Physically, mentally, emotionally, spiritually, and all levels at which they experience life. As an individual person, as a family member, as a community member, etc. That's an integrative approach, a whole approach that addresses everyone at all levels of their being and experience. That, again, that's a huge elephant. What we're starting with is the ground foundational stuff of what's the science of all these things. What do we need to make sure people have done in order to have just a basement, foundational understanding of what's required for basic science survivorship. Basic science 101. That's the level we're at right now. Going from not doing that at all to doing that is a big step. That's a big step. We don't want to minimize that. It's going to take time. However, ultimately, what's going to happen is that it's going to evolve over time and it's going to progress to the point where we look at the person not just as a patient and as a body, but we look at the patient as somebody who's a responsible participant in their care. We take therapeutic advantage of their physical presence. Their emotional presence. Their mental and spiritual presence. We optimize their environmental existence such that it impacts everybody in the system. That is where medicine, that's what I'd like to see. I guess to say I'd like to see that is maybe a little self-centered. I think everybody would like to see that, right? It's just a matter of patiently, one step at a time, applying tools that we have that are capable of making incremental change at each of those areas. For me, I have a lot of people, a lot of colleagues say, "Gosh, I'd look to do some kind of integrative approach." I think starting small and then growing organically with it makes sense and using tools that apply to yourself as an individual, as well as the patient, is a good place to start. Using systems that are in place that can increase communication, break down some of those access to care disparity barriers and move things forward in a way of increasing patient responsibility and participation in their health. Gazella: I think that's great advice to practitioners who are looking to have a more integrative approach. Well, once again, I would like to thank the sponsor of this interview, which is iTHRIVE Plan. That's ithriveplan.com. Dr. Mumber, I'd like to thank you for joining me today. Mumber: Happy to be here. Thanks a lot. Gazella: Have a great day. Mumber: Alright, you too.
Join iBloom (your go-to place for Christian Life Coaching for Women) this week as we continue exploring our 2010 theme of Inspiring YOU to live a life you LOVE!. iBloom Founder & President, Kelly Thorne and iBloom Associate, Betsy Ringer will be sharing how women around the world are moving from just surviving to THRIVING! You won’t want to miss this because you’ll also discover how you can participate in a nationwide contest to WIN a FREE 1-year membership to iBloom's newest coaching program- iThrive!
Join iBloom (your go-to place for Christian Life Coaching for Women) this week as we continue exploring our 2010 theme of Inspiring YOU to live a life you LOVE!. iBloom Founder & President, Kelly Thorne and iBloom Associate, Betsy Ringer will be sharing how women around the world are moving from just surviving to THRIVING! You won’t want to miss this because you’ll also discover how you can participate in a nationwide contest to WIN a FREE 1-year membership to iBloom's newest coaching program- iThrive!
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