Podcasts about l'arc

On this episode, Shelby and Cassidy chat about the results of their LARC test, Spring Fling 2025 and other hot topics in the barrel racing department!!

On this episode, Shelby and Cassidy chat with fellow barrel racer, pro rodeo money earner and accomplished trainer, Kennedy Smith about her experience conditioning and rehabbing horses while utilizing a new tool called the LARC Test.Connect with Kennedy today to book your horse in for a test following your next run. Call or Text - (403)963-0440⁠Facebook Page - Kennedy Smith Larc Test Technician⁠

Henning und Gerd fahren nach K'Gari, ehemals Fraser Island. Dann geht es zur Mini-Insel Lady Elliot am südlichen Zipfel des Great Barrier Reefs. In Turtle Sands sind sie Zeugen einer Schildkröten-Geburt. Und mit LARC gibt es ein Abenteuer in pink.

Scared? Got questions about the continued assault on your reproductive rights? THE FBK LINES ARE OPEN! Just call or text (201) 574-7402, leave your questions or concerns, and Lizz and Moji will pick a few to address on the pod! The good news trickled in this week with the Supreme Court saying hell-to-the-no to anti-abortion stalkers!! Woooohoooooo! PLUS, your Feminist Buzzkills got all the tea to fill you in on why Justices Sam ALEAKo and Ginny's husband are throwing a tantrum about not having the opportunity to shame us further. OH and what happens when a hermit friar and two laypeople walk onto a sidewalk in front of an abortion clinic in New Jersey? Tune in and find out. THIS WEEK'S GUESTS ARE POPPIN'! 17 states are coming for federal disability rights and the Buzzkills are raging about it. We're joined by Executive Director and Co-Founder of the Mississippi Reproductive Freedom Fund, Laurie Bertram Roberts, AKA “The Abortion Lady of Mississippi.” She's a dope disability rights and reproductive justice activist who's doing huge things for the South. She yaps with us to share her own reproductive injustice story, explore the alarming movement threatening disability rights and Section 504, delve into the intersections of reproductive rights and disability rights as components of Reproductive Justice, and remind us why we can't abandon the South.  PLUS comedian, writer and activist and our very own AAF board member, Joyelle Nicole Johnson stops by AGAIN to help us laugh through the pain of the Trumpocalypse. The Feminist Buzzkills fav hops in the mix to tells us how sharing her abortion story has empowered others, what baby crawl races are doing for her serotonin this month, meeting Ketanji Brown Jackson (eeep!), her OnlyFans journey, and why we all have to incorporate more dick dragging into our lives this year – specifically the pink ones.  Times are heavy, but knowledge is power, y'all. We gotchu.  OPERATION SAVE ABORTION: You can still join the 10,000+ womb warriors fighting the patriarchy by listening to our OpSave pod series and Mifepristone Panel by clicking HERE for episodes, your toolkit, marching orders, and more. HOSTS:Lizz Winstead IG: @LizzWinstead Bluesky: @LizzWinstead.bsky.socialMoji Alawode-El IG: @Mojilocks Bluesky: @Mojilocks.bsky.social SPECIAL GUESTS:Joyelle Nicole Johnson IG: @JoyelleNicoleLaurie Bertram Roberts IG: @TheSmartStatistic @MRFF_Funds_Abortions Bluesky: @SmartStatistic.bsky.social TikTok: @SmartStatistic  GUEST LINKS:Mississippi Reproductive Freedom FundDONATE: Mississippi Reproductive Freedom FundJoyelle Nicole Johnson WebsiteJoyelle's OnlyFansNew Orleans' Baby Crawl RaceJoyelle's LinktreeWATCH: “Love Joy” on PeacockLISTEN: Joyelle's Album “Yell Joy” NEWS DUMP:Idaho Town Hall Meeting Turns Chaotic After Woman Is Forcibly Removed for Shouting at SpeakersMontana Abortion ‘Trafficking' Bill Gets Voted Down in Republican-Dominated Committee UPDATE: Since taping, this was STRUCK DOWN!!New Abortion Clinic Trial in New Jersey Involves a Hermit, a Friar and Two LaypeopleCamden Diocese Finalizes $87M Abuse SettlementJustice Thomas Urges Supreme Court to Reconsider Free Speech Rules Near Abortion ClinicsThe 504 Sit-In17 Red States Are Suing to End Federal Disability Protections EPISODE LINKS:The Miscarriage + Abortion Hotline / Text or Call: 1-833-246-2632Indiana Supreme Court Lets Preliminary Block to Abortion Ban Stand for Religious Objectors ADOPT-A-CLINIC WISHLIST: Abortion Action Missouri's Clinic Support Wish ListJoin us in Washington DC at SCOTUSMichael Shannon & Jason Narducy R.E.M. Tour TicketsBuy a Michael Shannon & Jason Narducy Tour Poster to Benefit AAF!EMAIL your abobo questions to The Feminist BuzzkillsOperation Save AbortionAAF's Abortion-Themed Rage Playlist SHOULD I BE SCARED? Text or call us with the abortion news that is scaring you: (201) 574-7402 FOLLOW US:Listen to us ~ FBK PodcastInstagram ~ @AbortionFrontBluesky ~ @AbortionFrontTikTok ~ @AbortionFrontFacebook ~ @AbortionFrontYouTube ~ @AbortionAccessFrontTALK TO THE CHARLEY BOT FOR ABOBO OPTIONS & RESOURCES HERE!PATREON HERE! Support our work, get exclusive merch and more! DONATE TO AAF HERE!ACTIVIST CALENDAR HERE!VOLUNTEER WITH US HERE!ADOPT-A-CLINIC HERE!EXPOSE FAKE CLINICS HERE!GET ABOBO PILLS FROM PLAN C PILLS HERE!When BS is poppin', we pop off!

Making the Case for Long-Acting Reversible Contraception (CE) Long-acting reversible contraception (LARC) is a very effective means of preventing an unintended pregnancy. The CDC recommends that clinicians provide patients with information about the effectiveness of all contraceptive options that they are medically eligible for. However, primary care providers and nurse practitioners report discussing LARC in less than half of their contraceptive counseling encounters. On today's episode, nurse practitioners Barb Dehn and Dr. Joan Zaccardi discuss the vital role of the NP in contraceptive counseling and the importance of including LARC as a contraceptive option. A participation code will be provided at the END of the podcast – make sure to write this code down. One you have listened to the podcast and have the participation code, return to this activity in the CE Center. Click on the "Next Steps" button of the activity and Enter the participation code that was provided Complete the post-test Complete the activity evaluation This will award your CE credit and certificate of completion. 0.75 CE, 0.5 RX, will be available through December 31, 2025.   This activity is partially supported by an educational grant from CooperSurgical. The remainder is funded by AANP. Resources: U.S. Selected Practice Recommendations for Contraceptive Use, 2024 (cdc.gov)

The City of Indianapolis announced yesterday it received roughly twelve million dollars to support homelessness and housing initiatives. The governor signed a bill Monday that requires hospitals to ensure Medicaid members have the option during a delivery visit to get a long-acting reversible contraceptive — also known as a LARC. Lawmakers passed a flurry of bills this year that will have a wide impact on education in Indiana, including efforts to promote work-based learning and advance policies for school curricula. New federal data estimates that fewer than 1 in 10 Indiana community college students go on to earn bachelor's degrees. Want to go deeper on the stories you hear on WFYI News Now? Visit wfyi.org/news and follow us on social media to get comprehensive analysis and local news daily. Subscribe to WFYI News Now wherever you get your podcasts. Today's episode of WFYI News Now was produced by Darian Benson, Abriana Herron, Drew Daudelin and Kendall Antron with support from Sarah Neal-Estes.

The standardized assessment known as IREAD-3, or the Indiana Reading Evaluation and Determination, will be given to all third graders and most second graders during a testing window open March 4–15.  A Senate committee approved a bill Thursday that would increase access to postpartum, long-acting reversible contraceptives, also known as LARCs, for people on Medicaid. Language to disqualify candidates for Indiana attorney general if they face certain sanctions to their law license was removed from a bill on the Senate floor this week. A bill that provides tax breaks for developers and homeowners that preserve wetlands is awaiting Governor Eric Holcomb's signature. It passed the state House on Tuesday. The Indiana University Board of Trustees is keeping the Kinsey Institute at IU.  Want to go deeper on the stories you hear on WFYI News Now? Visit wfyi.org/news and follow us on social media to get comprehensive analysis and local news daily. Subscribe to WFYI News Now wherever you get your podcasts. Today's episode of WFYI News Now was produced by Darian Benson, Abriana Herron, Drew Daudelin and Kendall Antron with support from Sarah Neal-Estes.

Welcome to Geek News Anime Night where we take on a recently released anime, and analyze it episode by episode! This episode Raphtalia reunites with Larc & crew and while making their way to friendly territory, Raphtalia receives the honor of becoming the new Katana Hero!  #anime #podcast #shieldhero

Moldován András a Cápák között befektetői közül talán az egyik legmegosztóbb személy. Kíváncsi voltam, hogy ki ő valójában, milyen az üzleti szemléletmódja. Természetesen rákérdeztem, hogy a műsorban látható megnyilvánulása hova is tehető, hogy kell értsük. Beszéltünk még a korábbi befektetéseiről, üzleti döntéseiről. A hazai cégvezetőkről, vezetői szemléletmódokról is mély beszélgetést hallhatsz. Beleláthatsz abba is, hogy milyen vezető Moldován András. Egy biztos, sok ponton meg fogsz lepődni! A beszélgetés témái: (0:00) Milyen Moldován András? Az őszinteség elveszett (8:01) Kérdések, amit mindennap feltesz András a kollégáinak (11:29) A vállalkozók hazudnak a Cápák közöttben? (14:23) Első befektetése, egyből sikeres lett (19:18) A tetoválós és a roller befektetés + a Munch (23:44) Kellenek az őrült feltalálók a műsorba?! (28:06) A cégvezetők 70%-ának nincs üzleti ismerete, tudása (34:20) Cápa tervek - “Félidőnél nem fáradunk el” (39:49) Kína hatása Európára, BYD, TikTok, Temu-val fűszerezve (46:08) Vegyük emberszámba az embereket. Üzleti témák iránt érdeklődsz? Vállalkozó, cégvezető vagy? Irány a Minner.hu! https://minner.hu

Hány megatonna egy meteorrobbanás és hogyan vezetett áramot a kilincsbe Mr. Univerzum, mennyibe kerül podcastot gyártani, tényleg a bazmeg hajtja-e be a csavart, Stallone vagy Schwarzenegger szebb, vannak-e még szubkultúrák, kinek drukkol Viktor a Star Warsban, milyen tárgyakat érdemes eltenni 30 évre, hogyan keresnék ma az Andokban lezuhant focicsapatot, szeretnék-e varázsceruzát, miért van egyes amerikai tűzhelyek kezelőlapja a falnál, leírható-e matematikailag a szegénység, nem túl nagy vízpazarlás-e a kimosható vattapamacs-helyettesítő, szabad-e lőni a szanitécre, fürdethet-e apuka lánycsecsemőt, objektíve oké-e farmerhez edzőcipőt viselni, tényleg a rándulás-e a kirándulás szótöve, tényleg rabszolgát jelent-e a "szláv" szó, érdemes-e egyházi adót fizetni, miért pirulunk el mi és az állatok, mit tennénk a Clark Ádám tér közepére, miért pont így áll a kurzor nyíl, mit tegyünk a káromkodó kiskamasszal, vannak-e területileg változó elnevezései a coitus interruptusnak, hogyan lehet megmérni egy felhő súlyát? Zenék: Postmodern Jukebox - The Final Countdown; Toxic; Thriller --- Send in a voice message: https://podcasters.spotify.com/pod/show/csunyarosszmajom/message

In this Episode of Open Late, Drea focuses on the pain of loving the wrong person and the struggle of letting go. She discusses the science and chemical aspects of attachment and trauma bonding. Also, she emphasizes the importance of recognizing unhealed wounds and taking responsibility for one's part in unhealthy relationships. The roller coaster of unhealthy relationships and the attraction to chaos are explored. The episode also offers advice on seeking support, practicing self-care, expressing oneself, and journaling. The journey of healing and self-worth is highlighted, along with the importance of planting seeds for change and treating oneself well. In this Episode of Open Late: The Pain of Loving the Wrong Person Unhealed Wounds and Trauma Bonding The Roller Coaster of Unhealthy Relationships Support and Self-Care Support Group: Sex and Love Addicts Anonymous (S.L.A.A.) https://slaafws.org/ Books: Love is a Choice https://a.co/d/50Y9mUG When You Love Too Much https://a.co/d/atg9Zci Connect with Drea: • Instagram: https://www.instagram.com/openlatethepodcast/  https://www.instagram.com/thedrearenee/  • Website:  https://www.openlatepodcast.com/  • YouTube: https://www.youtube.com/@openlatepodcast/videos 5:58 If it's reinforcing the beliefs that you have about yourself, then you know, we're going to go towards it. And I can tell you, in my experience when I've had these moments in my life, I always knew in the beginning and I think there was a part of me, like I said before, that wanted to just run for myself and said, person gave me something to do, and I want to give grace to everyone that's in the beginning of this, or just kind of starting the awareness of these patterns in your life because this isn't a conscious thing. 10:12 That's the true LARC, love and relationship codependency aspect. That is it right there. It consumes everything. It's the first thing you think about. You know, you can't eat, you can't move, can't go to work, you can't do the things it's taking over your life. And I know what that's like. As I was on that journey, I definitely realized those moments where it was getting better, but I'm still in the throes of it. 11:22 I remember waking up and you just feel like and elephant is on your chest. Like taking a shower and just having the hardest cry of all time. And it seemed like that pain was just never, ever going to go away and your brain is just on loop, constantly trying to figure out how you got there, what happened, what you could have done differently 12:08 The rollercoaster can be exciting sometimes, right? You're up now down. They're telling you it's over. You're telling them it's over. You're back together. Nobody knows. But then it's like, Is that it? Is that your life? And I'm sure some of us have asked ourselves, are we ever going to be in a healthy place? 19:30 When you start engaging in those self esteem acts, that's when that stuff starts to change and it's organic. It's like when these things start to happen, you almost don't even know. What ends up happening Is those actions no longer feel in alignment in your self, which is growing. You want to find your power within yourself.  22:30 If you are experiencing that immense pain of letting someone go, you are not alone. And there are things that you can do to get yourself through this space in your life and just remember like it does not have to be perfect motion changes emotion 100%. Learn more about your ad choices. Visit megaphone.fm/adchoices

This episode of Nursing Australia presents:  The latest Nursing Australia News (02:36) Pharmacists prescribing scope extended, Ballooning demand for Ozempic bites again, and CPR gender bias revealed. 1. Purple House: Sarah's Story (05:25) Meet Sarah Brown, CEO of Purple House. Before the Purple House was established Pintupi people from the Western Desert of Central Australia were forced to leave their country and families to seek treatment for end-stage renal failure in Alice Springs or Darwin. Far from home, they suffered great loneliness and hardship, and weren't around to pass on cultural knowledge in their communities.  Discover Purple House  #yes23 2. Navigating Medical Abortions (20:40) In 1996, the Australian government stifled access to RU-486. Despite some eventual revisions, barriers to access still remained, until today. The space around abortion care in Australia continues to evolve. So, what is the latest?  The Australian Contraception and Abortion Primary Care Practitioner Support Network (AusCAPPs) is an online community of practice interested in increasing women's access to long-acting reversible contraceptives (LARC) and medical abortion. GPs, practice nurses and pharmacists are invited to join. There is no cost to do so.  3. Early Detection & Management of CKD (34:38) Early detection and management of chronic kidney disease (CKD), so, how can this preserve vital renal function? What can health professionals and patients do to prevent this silent killer? Access Chronic Disease Management Tools here Kidney Health Australia   Refer your workplace for an APNA Corporate Membership   Subscribe to The Connect (our weekly newsletter)  APNA Online Learning Hub   Astra Zeneca's Chronic Disease Management Tools Hosted by: Matthew St Ledger & Mitch Wall Produced by: Leith Alexander & Matthew St Ledger

In the latest installment of the ongoing series, Coding with Ann, Ann Finn, of Ann Finn LLC, discusses updated guidance on common LARC miscodes with the CTC-SRH.

Today, Nick and Fei discuss some of the clinical challenges of LARC. What do you do if you can't find IUD strings? How do you deal with a deeply implanted Nexplanon? Listen to the episode today to find out!  Check out committee opinion 672 for further reading.  Check out the website for the Rosh Review question of the week.  Twitter: @creogsovercoff1 Instagram: @creogsovercoffee Facebook: www.facebook.com/creogsovercoffee Website: www.creogsovercoffee.com Patreon: www.patreon.com/creogsovercoffee You can find the OBG Project at: www.obgproject.com

There are a lot of inventors and products out there, but only a few innovators and solutions. In order to develop a true solution, entrepreneurs need to think big and allow themselves to escape the conventions of the past.In this episode of Logistics with Purpose, Kristi Porter and Maureen Woolshlager are joined by Sam Berman, the Founder and CEO of the Logistics Advanced Research Center (LARC). Sam is a serial entrepreneur, where he has developed skills in supply chain management, marketing, and consulting in product development. He understands the challenges faced by early-stage startups and is committed to fostering an ecosystem of innovation and entrepreneurship by mentoring budding entrepreneurs. Listen in as he talks about his unique perspective on the energy and destruction required to create something new.Additional Links & Resources:Learn more about Logistics with Purpose: https://supplychainnow.com/program/logistics-with-purposeLearn more about Vector Global Logistics: https://vectorgl.com/Subscribe to Logistics with Purpose: https://logistics-with-purpose.captivate.fm/listenThis episode was hosted by Kristi Porter and Maureen Woolshlager. For additional information, please visit our dedicated show page at: https://supplychainnow.com/action-action-action-logistics-advanced-research-center-lwp85

Caris Precision Oncology Alliance™ Chairman, Dr. Chadi Nabhan, sits down with Dr. Salma Jabbour, Clinical Chief, Radiation Oncology and Vice Chair of Clinical Research & Faculty Development at RWJUH/Rutgers Cancer Institute. Together they discuss a plenary presentation that was given at ASCO 2023 on rectal cancer titled, the PROSPECT (Preoperative Radiation or Selective Preoperative Radiation and Evaluation before Chemotherapy and TME) trial. The PROSPECT trial attempts to challenge the current treatment paradigm by individualizing treatment through the use of radiotherapy selectively rather than reflexively. This is a randomized phase III trial of neoadjuvant chemoradiation versus neoadjuvant FOLFOX chemotherapy with selective use of chemoradiation, followed by total mesorectal excision (TME) for the treatment of locally advanced rectal cancer (LARC). For more information, please visit: www.CarisLifeSciences.com/POA-Intro/

Einer der einflussreichsten Fashion-Designer unserer Zeit ist zurück. Welcome back Ingo Wilts! Ein Jahr nach seinem Abschied als Chief Brand Officer und Vorstand von Hugo Boss zieht es ihn in die Herzkammer der internationalen Fashion-Welt nach Paris: als neuer Brand Manager von Hechter Paris. Sein neues Office: nur 800 Meter vom L‘Arc de Triomphe entfernt. In der Avenue Hoche, eine ehemalige Privat-Allee aus dem Jahr 1822. Französische Kultur in bester Instagram-Qualität. Und genau dort habe ich ihn besucht. Im beeindruckenden Headquarter von Hechter Paris. Ingo Wilts ist der neue Brand Manager der französischen Lifestylemarke. Für ihn, der über Jahrzehnte die Chefetagen der Welt eingekleidet hat, ein Home-Coming. Denn bereits Anfang der 90iger hat er für das Haus gearbeitet. Das Unternehmen: 1962 von Designer Daniel Hechter gegründet. Heute in Besitz der Aulbach-Gruppe, ein Familienunternehmen aus dem bayerischen Miltenberg. In TOMorrow erklärt Ingo, warum er sich nach 20 Jahren als Creative Director von big Playern wie Tommy Hilfiger und Hugo Boss bewusst gegen eine Karriere im Großkonzern entschieden hat. Und jetzt ganz neue Wege gehen möchte. Super spannend – seine Weltreise. In Zeiten von new Work träumen alle davon: Ingo hat es gemacht und sein Karriere-Gap-Year auf den Westindischen Inseln, Havanna, Peru, Chile, Kambodscha, Australien und Neuseeland verbracht. Was er da erlebt hat. Und wie ihn das auch geprägt hat. Das Leben und die Karriere ganz neu designt: Warum er heute Wohnsitze in Amsterdam und New York hat, seine neue Liebe zum französischen Lifestyle und seine Pläne mit Hechter Paris – das alles jetzt hier in TOMorrow. Also gehen wir auf Fashion-Weltreise: Viel Spaß in Paris, viel Spaß mit dem neuen Boss von Hechter Paris, Ingo Wilts.

In this episode, KJK Student Defense attorneys Susan Stone and Kristina Supler talk with Dr. Michelle Fourcier, a Professor of Pediatrics, Assistant Dean of Medicine at The Warren Alpert Medical School of Brown University.  Dr. Forcier specializes in gender, sexual and reproductive health.  In this episode, they talk about what all the terms of LGBTQ+ mean, how pediatricians work with both parents and children about gender identity, and resources for parents to learn more about this complicated issue. Links: PubMed Website Show Notes: (04:12) Understanding the Gender Terminology within LGBTQ+ (06:59)  How Does Type of Care Different from Heteronormative (09:27)  Assigned Gender versus Gender Identity: What is the Difference? (12:16)  Is the Child Just Playing With Identities?  Or Do We Need to Act? (15:02)  When Does a Physician Decide if Hormones are Required? (16:44)  Do We Want Puberty in Children to Happen Later? (18:11)  How Pediatricians Work With Children to Keep Them Safe (19:15)  What are the Side Effects of Hormones? (20:52)  Blockers: What Do They Do? (22:43)  Conversations with Parents Who Are Not on Board with Hormones or Blockers (24:45)  When Do Children Go Through Surgery? (25:32)  When Surgery for Minors may be Necessary (27:46)  What are LARCs?  How Do They Prevent STIs? (30:36)  Dual Method for Birth Control and STI prevention (31:46)  Consider This Thought If Your 14 Year Old Child is Sexually Active (34:19)  Resources for Parents to Learn More Transcript: Susan Stone: So everybody out there listening to this podcast know that my, this is Susan and my daughter got married this weekend, and I'm a little tired.  But  Kristina Supler: though you think everyone knows that. Everyone doesn't actually know that.  Susan Stone: I know, but I felt the need. This is Real Talk guys out there on listening land. I am exhausted. But I had to come into work today cuz they knew that we had, the books, the recording of this podcast. And we're gonna talk about pediatric health for the L G P. Lg, I told you I'm tired. BTQ Plus community and I, Kristina, I just wanna have a conversation about the health needs and not a political conversation.  Kristina Supler: Yeah. I'm really looking forward to today's episode because I think there's so muchto talk about and learn to have more real conversations about the issues versus some of the politicized language that has pushed people into corners and people have in many ways shut down and are not open to learning new information. Susan Stone: and I think we're just forgetting that we're still talking about kids. So why don't you kick off the guest so we can just launch in and talk about whatever the health needs are of the kids and guys, let's leave the politics out. Okay? For once.  Kristina Supler: Today we are really happy to be joined by Dr. Michelle Fourier, who is an associate professor of pediatrics and an assistant dean at the medical school at Brown University. And with extensive training and experience in adolescent health and sexual healthcare, she's dedicated her career to addressing the unique needs of the LGBTQ plus youth.  Susan Stone: That is the guest we needed for today's podcast, a Doctor.  Perfect.  Dr. Michelle Forcier: So let's jump in.  Susan Stone: Let's just jump in. Dr. Fourier, can you explain exactly what you do for that population? Dr. Michelle Forcier: I have been a pediatrician for about 25 plus years. And I've been providing gender, sex and reproductive justice care, basically across the lifespanfor this period of time. And it's been a pretty exciting, community, pretty wonderful and satisfying community to work for and to work with. And the way I look at providing care for the L G B T Q community is that it really is primary care. Basically gender and sexuality are part of human identity. And they're there before we leave the womb. There's a neat study about in utero masturbation, which is kind of cool. So we get started early and we are gendered and sexual persons, until we die. So if we look at gender and sexuality as being a ubiquitous part of the human experience, and we look at biology as absolutely diversity is a part of biology. It's one of the basic tenets of biology. Then we understand that both sex and gender are gonna be diverse experiences for a range of different people and folks. And my role has been to provide care for some of our most marginalized community members, which is the L B G T Q I A plus. Sometimes it's easier just to say rainbow population. I like that.  Kristina Supler: Before we dive in further, just to get some terminology nailed down for our listeners who maybe aren't as familiar. you've spoken about gender and sex and we're referencing the plus, but can you just define those terms for our listeners, particularly the plus as well? Dr. Michelle Forcier: Sure. For many gender has been considered in this very binary, traditional way of male, female. Or heterosexual and homosexual. Sexuality is about who we love and who we're attracted to and who we have different sexual behaviors with. Gender is who we are. It's a part of our identity in terms of being masculine, feminine, non-binary and all the other ways that we could express, a gendered self. And the world for many years has been pretty limited in terms of only discussing these binary identities. I think with time, with improved social discourse, with the advent of the internet and increasing knowledge spread in, in diverse ways and diverse communities, we understand that there are many, many ways to be sexual and many ways to be gendered. So the L stands for lesbian, which are persons, we might say women who are attracted to or have sex with women. Gay usually is referenced to either, males or females who are attracted to the same gender partner, bisexual, historically has been the term for people who identify as being attracted to both males and females. But now we have even more inclusive terms, which are things like pansexual, which means gender doesn't factor into who I'm attracted to. Transgender or gender diverse are persons whose gender identity doesn't exactly match the gender they were assigned by their parts, chromosomes or hormones and birth. I is another. Initial for intersex or persons who have differences, in sexual development in the parts and organs they were born with. And A can mean asexual or persons who really don't have a sexual affinity or an interest in, sexual activity.  allied, And the plus means there are probably a million different ways, and we know there are a million different ways people may identify in terms of how they see themselves as a gendered person and their gender expression and gender role and gender self in the world, as well as their sexual, um, attraction, their sexual behaviors and their sexual identity in the world. Susan Stone: That's a lot. That's a lot. But here's messy. Something that comes into my mind, because you are a pediatrician. How do those differences make a difference in terms of just treatment for well visits? What is, what type of care is specific and unique to that population as opposed to what I would call a heteronormative child. Dr. Michelle Forcier: Sure. to be honest, in any visit, and again whether it's children or whether it's adults, we should be talking about these aspects of selfhood and behavior and health needs across the lifespan. Of course, we should do it in a developmentally appropriate way. So if we're gonna talk to a six year old about their gender identity, we might ask them, they're like, what is it like to be a boy or a girl? How does that feel to you? How do you express boyness? How do you express girlness, For a 16 year old, that may have very different words in terms of, how do you view your gender identity? What parts of it are comfortable for you, what parts are not comfortable? Do you have any questions? Again, the same with sexuality. Who might you have a crush on versus, a full sexual history forlater teen or young adult who's sexually active with one or more partners. So it's all about, again, using the language of the patient and understanding where they are developmentally to continue to talk about these aspects of both selfhood and wellness during health visits. Susan Stone: Well, I guess I wanna press you on that because I'm a mother of three. And I would say for the first 14 years of, checkups. It's, you know, height, weight, weight, vaccinations,  Kristina Supler: poking and prodding,  Susan Stone: poking and prodding, talking about school and milestones. We really,  Kristina Supler: or at least that was your experience with your child's children's pediatrician. Susan Stone: Yeah, but I just don't rem I don't think conversations regarding sex came into play until when the making a decision about the H P V vaccine or maybe when does menstruation start for that being the end of growth? I guess that's what I'm confused. Or birth control when that comes in. But other than that, I think of, how big is the baby? Dr. Michelle Forcier: And I'm thrilled that you ask about this. Because what I'm proposing is a slightly more advanced model of care in the sense that, again, if we know that there is gender diversity in the world and some youth present as gender diverse, gender exploratory as early as four, five, and six. Shouldn't we be talking to parents about, say again, educating people? Your child who is assigned male or female at birth. But we don't know what their gender identity may be later down the line. And that's the one or two sentences that a pediatrician can have with a parent to, again, describe and educate the difference between an assigned gender at birth and the fact that potentially two or three of probably more percent of the population of young people are going to be, or exploring gender, or at least talking about it over time. Then when we know that many youth undergo puberty and it's considered normal. As early as seven or eight year old, you can start having breast buds. By age seven or eight, it's considered within the normal range. You can be having a period by the age of 10. So if you're waiting for the magic number of teen years, 13, you've missed a whole bunch of folks that have already started many and of the stages of puberty and actually maybe completely, adult in their hormones and progressing toward adulthood very quickly in terms of their bodies.  So by waiting till kids are teens until quote unquote, they're ready to be sexual or ready to go through the process of puberty, we've missed the boat in preparing both parents and kids for helping their children approach adolescence, approach the changes of puberty. Approach the concepts of being a gendered or a sexual person in a healthy and supportive way.  Think about it. Wouldn't it be easy as a parent or easier as a parent to talk about sexuality when it's theoretical? Versus you're coming in because your daughter's pregnant and you didn't even know she was having sex? I would prefer to talk with kids in a developmentally appropriate way over time. So that kids are prepared to make decisions and that we're not going back and saying, okay, now we need to deal with an issue. Now we need to deal with a problem. Now we need to deal with some sort of health need versus let's talk about anticipatory guidance. Let's have our kids be healthy.  Susan Stone: I know that you are involved in giving T blockers or hormones.  Kristina Supler: Oh, I was gonna ask about that.  Susan Stone: Yeah. I'm really curious, when do you decide that's appropriate? What are the side effects? Are they safe and are they safe? And also, how do you know, and this is a lot, that a child's just not playing with identities and trying on what suit fits because there is discussion versus this is real and we need to act.  Dr. Michelle Forcier: Sure. So we know that gender play trying on identities is common among kids. It's how again, we explore and figure ourselves out. But every kid that plays with their gender identity and gender rules and gender expression doesn't get hormones and doesn't go to a clinician to go get hormones. So if a child is really thinking hard and long about their gender identity, and oftentimes they'll think about it quite a bit before they even talk to their parents, they'll have that conversation with their parents about maybe the gender they were B with were born with doesn't quite fit them. Or maybe it absolutely doesn't fit them. And we have kids really at young ages, just like they know their cisgender identity. We have some kids at very young ages know their transgender identity. Regardless as a parent, in some ways, it really shouldn't matter what their gender identity is. What you want is to create a home situation and ideally again, or early clinical situation where kids and parents have lots of information so they can explore gender in whatever ways make sense for that child in a safe and healthy way. If you look at the studies by Kay Olson, the Trans Youth, project, she shows that kids that grow up in supportive environments, kids who present early as gender diverse and exploring gender identity, she demonstrates that they look just like their cisgender peers in terms of anxiety and depression growing up in supportive households. Now a supportive household doesn't care. The endpoint is a happy and safe child. It doesn't matter which directions the child goes in terms of gender identity, because as an accepting and loving parent, I don't care what their gender identity is. I want my child to be authentic. I want my child to feel safe. I want my child to feel loved. I want my child to feel heard and respected. And it doesn't matter what their gender identity is. They're my child.  Kristina Supler: Is there an average age when the research shows children start to explore gender identity and conversations are starting to be had within households or is it different for everyone? Dr. Michelle Forcier: It's different for everyone. I've had 80 year old patients come to me and say, now is the time that they're ready to start their gender affirmation process.  Susan Stone: But I do wanna press back on the question. Yeah. Because there are parents who do want to help their child. Yep. Good hormones are a health option. And I think Kristina's question was a good one. When does a physician make, how does a physician, and when does a physician make a choice that this is appropriate and are they safe?  Dr. Michelle Forcier: It's not based on age. It's based on need. And so a patient will go through a very thorough evaluation. People don't just walk in clinic and get a shot of puberty blockers, people. Kristina Supler: What do those evaluations entail?  Dr. Michelle Forcier: Oh, long history. About home, about activities, about the family medical history, their medical history, their social history, substances, self harm and mental health issues, exposures at home, in school,  Kristina Supler: it's like I assume questionnaires are given to children and parents as well. Dr. Michelle Forcier: It depends. And I mean, I find that most kids would rather talk to me than fill out a piece of paper.  Susan Stone: Yeah. So we talk. So if you make the decision that it's appropriate, what are the, the benefits and what are the risks?  Dr. Michelle Forcier: So the benefits, again, just remember we're not having the same conversation about, say, kids that are using the same medication for precocious puberty. Again, just to remind yourself in the context of avoiding political chatter, same medicine, kids not talking about it at all. So these are very safe medicines that have been around for many, many years. And we've used them in first, studied them with precocious puberty. Again, completely reversible.  Susan Stone: because Provo, is it true doctor, that precocious puberty, which just for our listeners who mm-hmm. don't know what that is, that's the onset of pub. Pub of puberty, very, very early at life. And we wanna delay that as much as possible because they're now finding that, especially for females, you want a puberty go in later and menopause to be later.  Dr. Michelle Forcier: Well, you want puberty to be later for a couple reasons. Number one, it would be really, really weird to have a fully feminized body at age six. Horrible. Yes. So they're social as well as biological consequences. And these kids use puberty blockers far longer than many of our trans kids. Again without all the bruja about safety and effectiveness. So puberty blockers basically are an hormone analog, and they fool glands in the brain to shut down and stop secreting the hormones that trigger ovaries and testes to secrete testosterone and estrogen, the sort of puberty hormones that start to create adult body and adult sort of physiology. And by putting this temporary pause on those brain gland signals, the ovaries and testes just sort of rust. They stop secreting. And when we take away that hormone, the ovaries and testes start secreting again. So it's sort of like putting a pause button on your Spotify or your, your music player. Pause, lift it back up. The music starts right back where it was. It just has a delay in time.  Susan Stone: Have children ever gone back but forth and said to you, you were, they were on the medication and then said they changed their mind? Or do you see that when kids are evaluated, you make that choice, they're happier, more fulfilled, and they'll stay on it long-term? Or is it across the board?  Dr. Michelle Forcier: It's across the board. as a pediatrician, we wanna keep asking kids, is this the right path for you? Should we be doing this? Does this still help you figure out who you need to be, where you need to go? Or are, have you figured some of these things out and don't need puberty blockers anymore? Or have you figured these things out and now need gender hormones? It all depends on the child. So our job is not to push someone forward through gender hormones or puberty blockers. It's to keep asking kids, what do you need? And that's medicine 1 0 1 patient. Sure. What do you need? Where are we now? Things change in our body. Things change in our heart and mind. We have to keep talking and listening to kids to find out what they need. So if they need to stop, they should. And if they need to, start again because stopping actually demonstrated that they are really uncomfortable with the changes of puberty. Then, yeah, we can honor that request and honor their experience.  Kristina Supler: So what are the, what are some of the risks though, that can be attendant to taking these hormones?  Dr. Michelle Forcier: Well, the way I tell kids and parents having to come to the doctor to get a shot kind of stinks. So that's a risk and that's a bummer. Let's see if kids start these medicines very early in puberty, there's very little change in their internal hormone environment. So they don't have side effects like say, menopause, some hot flashes and some little bit of irritability as hormones are shifting.  Is growth impacted?  Growth usually, is, that's a great question. Impacted in the sense that, trans boys may have the potential to grow a little bit taller because we're gonna block estrogen's effect on growth plates. And for trans girls, again, we can work with them to look at again, their potential height or their, high trajectory to figure out how tall they are gonna be. And will that factor into, again, starting estrogen or gender hormones so we can use it again to inform our patients what their options are. So that they can be in a body that's comfortable and safe for them. Susan Stone: Well, is, are those blockers different than hor gender hormones to help, let's say in a trans. Would it be a child who identifies as trans male wanting to be female? I hope, again, I'm terms right and forgive me if I'm getting 'em wrong. So if you want to help someone develop the other way, or maybe a female by birth sex, who wants to be a male, is that a different type of hormone or medication protocol? Dr. Michelle Forcier: So blockers are used basically just to stop the current gonads, ovaries and testes from secreting, estrogen and testosterone. If a patient is either way past the beginning of puberty or a patient is on gender blockers, you know, puberty blockers, they can start the other hormones in the past referred to as cross-gender hormones to basically start the puberty that makes sense for them. So if I am identifying as female, and I have been on puberty blockers, At age, say 13 or 14 or 15 or 16, whenever again that child, that patient says it's appropriate for them, they have parent support and we all have a plan. They may start estrogen so that they can develop just like their peers. Which we think, again, has a positive health benefit in terms of, again, that congruence.  Socially with my body is developing just like my friends. I feel normal, I feel accepted, I feel like,I'm a part of my community. So for boys puberty usually happens a little bit later, so sometimes they might start their male testosterone hormones a little bit later, say, than females. But again, It's all dependent on when we first see a patient, how far they've gone through puberty, what they understand of their gender identity and where they are in terms of making a plan to affirm their gender identity or not, or just learn more and explore. Kristina Supler: What do you say to parents who are in your office with the child and the parent you can tell, just isn't on board with the child's desire to start hormone therapy or whatever the circumstance may be. What sort of conversations do you have?  Dr. Michelle Forcier: Would that ever happen? Never. So yes, that happens quite frequently. We have parents that want us to say, this is just a phase or a fad. Let me tell you, being transgender or gender diverse is hard in our culture. It's hard. And when we see kids in our clinic, the vast majority of the time, they're there for real issues, real goals, and real pain. And we need again to start with taking our patients at their word and carefully explore what they mean by their experience, their dysphoria or their goals. So I tell parents, listen, you and I are coming from the same place. I want a safe kid, a kid who's around alive participating in the world, the kid who's healthy. Who's mentally and physically healthy. We may come at it from slightly different approaches. You're coming at it as I expected my child to be cisgender and to I wanna walk them down the aisle, at their wedding and they're gonna have a baby and provide me with grandchildren. And my job as that child's pediatrician is to say, your child is telling me that their body, if it's to continue to develop, say, into a female body, is gonna create such harm, such discomfort with their physical self, such anxiety and depression because in their heart and head they identify as male. And so we have to really listen to your, your child and hear what they say in terms of how do we explore the identity you were assigned at birth with the identity that you are telling me you experience now.  Susan Stone: When do you talk about surgery? When does that enter into the conversation? Because it's, I think, One, I think it's a very different conversation. When do you start maybe blockers or hormones versus when do you actually put a child through radical surgery that you can't reverse?  Dr. Michelle Forcier: Most children don't go through quote unquote radical surgeries. In fact, children have far more radical surgeries for lots of other issues or problems, and they ascent to the process of surgery for whatever their healthcare needs, along with the consent of their parents. So I think that's the first thing to take that. would some children  Susan Stone: wa, I would say would wanna com complete the process right?  Dr. Michelle Forcier: But many children don't have necessarily the support or the resources to necessarily go through some of the more major and intensive surgeries. Vaginoplasty and phalloplasty creating a vagina and a penis are very intensive. People don't usually do that until after age 18.  Susan Stone: Okay. So it's not really a pediatric issue then?  Dr. Michelle Forcier: No. Now say there are some youth, and this is the more quote unquote common surgery, although again, with blockers, we don't have to do this quite as often now is say a child's developed breast at age seven or eight and say they identify longstanding as a trans male. Why? When they come see me at age 16, or they come see me at age 14 and by age 16 they're gender dysphoria regarding their adult size breasts, which they've had now for eight years is killing them. They're not showering. They're wearing a binder 24 7. They have suicidality and again, nothing's changed in their gender identity. Why would I say you need to wait two more years until the magic number of 18 to have a male chest construction knowing that nothing has changed from age six to now 16, and you have had eight years of female breast tissue That's harmful. The harm in that is far greater than the harm of saying you're 16, you've been through years of care with us. You're gonna be as assessed by a surgeon. The surgeon may require other information before they do your surgery. And then through this long standing process, not I come in the clinic and tomorrow I have my chest removed, oftentimes months to years I get my chest surgery and I no longer have to wear a binder 24 7 and I can take a shower. And look in the mirror.  Susan Stone: So it can be a pediatric issue. Yeah. Something that a pediatrician. Okay. That's all I wanted to understand. Yeah. Is this something that pediatricians deal with versus not? Dr. Michelle Forcier: Not too often. And most of the time when we get to the point of surgery, again, there may be a number of people involved including gender specialists as well as including mental health people as well as the team that works with the surgeon. So we're talking about a whole lot of people.  Kristina Supler: Dr. Forcier can you tell our listeners a little bit. I, in preparing for today, we came across the term or pneumonic I had never seen before. Lark. Susan Stone: I looked it up too.  Kristina Supler: How do you work with this population in terms of contraception and tell our listeners what a lark is and yeah,  Susan Stone: Because a lark is not a bird, guys. It's an acronym.  Dr. Michelle Forcier: No, and it's wonderful. It's a long acting, completely reversible contraception. They are a little device we can put in the arm or an intrauterine device we put in the uterus. So the I U D, right? Yeah, exactly. They're so effective in terms of preventing pregnancy.  Now we know that young people may not identify, they may identify as straight, but they have either same sex relationships. We also know that young women who have sex with women are actually at increased risk for STIs in pregnancy because they're not prepared.  Susan Stone: Wait, wait. So I was gonna say, if you have a child who tells you that they're interested in only sex with their own matching sex, not gender. Mm-hmm. Because that can be an identity issue. Yeah. You know what? I have to be honest with you, Dr. I would think, why do I need to go down the contraception path?  Dr. Michelle Forcier: Because the data says that young women who have sex with women get STIs and get pregnant because they're exploring well, but wait.  Susan Stone: But long act larks won't prevent an sti I only condom use. Correct. Or dances. They're not  Dr. Michelle Forcier: having sex barriers prevent  Susan Stone: STIs. yes. But given we all know, we can all say that. But we are in the world. World and teens engage in sexual activity. I like the idea of a lark in terms of, you don't have to depend on taking that pill and memory. You got, I gotta be honest with you though, it's not as good though in terms of St I. Infection prevention, is it?  Dr. Michelle Forcier: No, it's purpose is not to prevent STIs. To be like asking your microwave to show you a TV show. Your microwave isn't gonna play Netflix. It's a D, it's a d it's a device for a different purpose. So we need, so I feel like I'm missing about this. Talk about them as separate  Susan Stone: pieces. Help me out. help me out. I'm getting confused.  Dr. Michelle Forcier: I dunno.  Kristina Supler: I'll ask the dumb question. so I mean it's essentially an i u d . Dr. Michelle Forcier: What's essentially an i u D? A lark. Well, no, there's one that goes in the arm or and there's one that goes in the uterus. There, there are different kinds of long, I was confused. Thank you. Yeah. Got it. Cause it's just about the location of the implant. Some young people don't want people putting things in their uteruses. They don't want a pelvic exam. They're freaked out. And so that little rod in the arm that suppresses ovulation, wonderful. Very effective, very easy to put in and take out. Nice.  Kristina Supler: So it's really about patient comfort and what the patient is more,open to.  Dr. Michelle Forcier: Shouldn't that be patient care 1 0 1 anyway?  Susan Stone: Yes. Yeah. But, but, but we still need to insist that students are mindful of using condoms or other ways of preventing disease. So what do you recommend a LARC plus what Dr. Michelle Forcier: I mean the lit well number when the literature shows that, dual methods are wonderful and especially dual methods of STI protection with some sort of barrier method or condom, internal external condom. Or again, a lark in terms of a long-acting reversible contraceptive.  So again,think about the story. You have a parent coming in and she's worried about her teen being sexually active, right? And she says, I don't wanna, I don't wanna allow her to have birth control, even though she tells me this is what she wants, cuz that's gonna give her permission to have sex. Do you really think the parent allowing birth control gives that child permission to have sex? Or do you think that child's gonna make that decision to have sex on their own?  Susan Stone: You're talking to two lawyers whose whole practice is dealing with students and issue sex issue. So and and I have to gather that people who listen to our podcast are well on the way of understand. I guess our questions are focused differently because really our parents all are very supportive of their students and their choices. We're very lucky that by large, by and large, not all of 'em, but. By and large. Yeah.  Dr. Michelle Forcier: but I think the main thing is your kid's telling you they need something and you may not agree with the fact that you want them to be sexually active. Most of us aren't super excited to think about like our 14 year old being sexually active, but I'm not a 14 year old. But if my 14 year old is sexually active, I would really wanna make sure they had good birth control and I would really wanna make sure they understood things like consent. Saying no, saying you need to use a condom. And walking away from that encounter feeling empowered and safe. We don't how Advocacy, yeah. Yeah. If we don't talk about sex and how to manage it, how are young people gonna make thoughtful decisions? And safe decisions.  Kristina Supler: What are some of the most promising or not promising, pressing health issues facing the lgbtq plus community today?  Dr. Michelle Forcier: I thought we weren't gonna talk about politics and legislation. so I'm gonna say health issue. Health issue. Health. Health issue. Yeah. Those are health issues though. Because those are about geographic and political access to care and a state by state basis.  Kristina Supler: So Access's huge. Yeah, funda fundamentally just, it's not even access so much access, the medicine or the science, it's access. Dr. Michelle Forcier: Sure. The science is actually a lot less exciting because the science is pretty consistent. In terms of avail, like different types of availability and access to care for larks is really important. The safety of abortion, the benefits, short term and long term of gender affirmative care.  The science, again, we're not seeing there's like a huge variance in terms of different outcomes in different studies. The outcomes are pretty consistent in terms of access to care improves outcomes. And a whole host of these sexual gender health issues.  Susan Stone: I have to tell you something. I learned something today because, I learned a lot. I did not know what a lot of these acronyms meant, and they're missing, I have to be honest with you. I like taking worries off the table and I did not think you had to worry about pregnancy when you have a child. I thought that, that's, a huge benefit is that's one issue off the table. Or I didn't think about the s t I issue. So I thank you for educating me.  Kristina Supler: Absolutely. I think that this has been a really good discussion with a lot of information for our listeners. And if, parents out there listeners want to learn more about you or any of your research or any good literature, where would you direct them?  Dr. Michelle Forcier: PubMed has lots of good information in terms of all the research. Not just me, but all the research that supports sort of making these types of decisions. Up to date is a nice summary of different information about gender, sexuality, and reproductive healthcare. I'm happy to come on with you guys if you ever wanna have a question and answer session. This is really important stuff and I'm really excited to talk science and to talk evidence and to talk about listening to kids. So I'm, I so appreciate what you're doing and happy to be helpful in any way.  Susan Stone: Thank you, and I'm concerned. I can't imagine, doctor, how many doctors in your area are across the country?  Dr. Michelle Forcier: I wish, that's what, that's why we keep talking about this healthcare being primary care. Primary care, pediatricians, family, medicine doc, nurse practitioners, we all should be comfortable talking about gender and sexuality because they're a part of our lives and they're a part of primary care. Yeah. So we're,  Susan Stone: I can, we're doing more and more training. Yes. Yeah. We do need more discussion about this. Because like I said, when I think of a well visit with the child, I do think of weight, health, and, pumping meningitis, getting,yeah. Yeah. So thank you.  Dr. Michelle Forcier: My 14 year old did not wanna talk about pooping and peeing. There were more pressing and more pertinent issues relevant to her life. Oh, than age 14.  Susan Stone: You need to spend a day at my house because, Pooping is an everyday conversation.  Dr. Michelle Forcier: Okay. And not that, I think it's time to wrap it up.  Kristina Supler: Time to wrap it up. Dr. Forcier thanks so much for joining us and we, hope our listeners enjoyed this episode. Dr. Michelle Forcier: Thank you. Bye-bye. Bye-bye. 

Have you ever wanted more data and feedback from your horse? How do you know if your fitness plan is working? Dr. Tula with LARC testing will explain how LARC testing can give you insight to your horse's fitness through measuring the cardiovascular, respiratory, and muscluar systems. 

In this episode, Dr. Christopher Tookey and Dr. Rose Wolbrink talk about the different interuterine devices (IUDs) available both for birth control and heavy menstral bleeding.  A disclaimer, we're providing general guidance but everyone is different and you should always discuss with your health care professional management of any disease and therapy before trying anything you discover from a source on the internet (including this podcast)

We have come a long way in our understanding regarding the safety of intrauterine contraception. Once withheld from adolescents and immediately postpartum patients, the safety in both populations is now well established. Postpartum IUD/IUS placement is a balance between risk of expulsion and patient loss to follow up. In this episode, we will summarize a new RCT from JAMA discussing this very subject. Is it better to place immediately Postpartum, at 2 weeks after delivery, or as an interval procedure at 6 to 8 weeks? We will summarize this Level I evidence and also provide helpful resources for increased accessibility of LARC options, including the new (April 2023) ACOG Committee Statement on this very issue.

Guest: Edmund Kim, MD The COVID-19 pandemic impacted the way contraceptive care was offered to patients, with many offices turning to telemedicine.1 Telemedicine can be used while still offering long-acting reversible contraception (LARC) options by implementing a hybrid model for care.2,3 This type of approach consists first of a telemedicine appointment to counsel patients on all appropriate contraceptive options and, if necessary, an in-person appointment to initiate any contraceptive method that requires placement by a healthcare provider.2,3 To learn more about how you can incorporate this model into your practice, tune in to hear Dr. Edmund Kim share his approach and how the use of a hybrid model has enabled him to continue to offer all contraceptive options, including LARCs.2-4 References:1. Comfort AB, Rao L, Goodman S, et al. Assessing differences in contraceptive provision through telemedicine among reproductive health providers during the COVID-19 pandemic in the United States. Reprod Health. 2022;19(1):99.2. Stifani BM, Madden T, Micks E, et al. Society of Family Planning clinical recommendations: contraceptive care in the context of pandemic response. Contraception. 2022;113:1–12.3. Prioritization of in-person and virtual visits during COVID-19: a decision-making guide for staff. Family Planning National Training Center. Accessed December 15, 2022.

Guest: Edmund Kim, MD The COVID-19 pandemic impacted the way contraceptive care was offered to patients, with many offices turning to telemedicine.1 Telemedicine can be used while still offering long-acting reversible contraception (LARC) options by implementing a hybrid model for care.2,3 This type of approach consists first of a telemedicine appointment to counsel patients on all appropriate contraceptive options and, if necessary, an in-person appointment to initiate any contraceptive method that requires placement by a healthcare provider.2,3 To learn more about how you can incorporate this model into your practice, tune in to hear Dr. Edmund Kim share his approach and how the use of a hybrid model has enabled him to continue to offer all contraceptive options, including LARCs.2-4 References:1. Comfort AB, Rao L, Goodman S, et al. Assessing differences in contraceptive provision through telemedicine among reproductive health providers during the COVID-19 pandemic in the United States. Reprod Health. 2022;19(1):99.2. Stifani BM, Madden T, Micks E, et al. Society of Family Planning clinical recommendations: contraceptive care in the context of pandemic response. Contraception. 2022;113:1–12.3. Prioritization of in-person and virtual visits during COVID-19: a decision-making guide for staff. Family Planning National Training Center. Accessed December 15, 2022.

Hur kommer det sig att så många som skulle behöva ett preventivmedel inte har ett? Hur vet man vilket som passar bäst? Och hur kan vi bemöta gamla myter och föreställningar om preventivmedel? Idag finns det många sätt att skydda sig mot en oönskad graviditet. I det här avsnittet pratar vi om våra mest effektiva preventivmedel, LARC, det vill säga långtidsverkande preventivmedel. Gäst i programmet är tidigare mödrahälsovårdsöverläkaren och gynekologen Joy Ellis.  Joy Ellis

Episode 132: Harm Reduction and Reproductive HealthMeghana explains how to implement harm reduction strategies in at-risk populations such as unhoused patients and injected drug users. Dr. Arreaza adds comments about PrEP for HIV and Expedited Partner Therapy (EPT)  Written by Meghana Munnangi, MPH, third-year osteopathic medical student, College of Osteopathic Medicine of the Pacific Western University of Health Sciences. Comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Arreaza: It can be frustrating for physicians trying to change “risky” behaviors in their patients and turn those behaviors into “healthy” behaviors. Doctors deal with this issue every day, but after reading more about the principle of harm reduction, I'm feeling more prepared to help our patients reduce their risks.What is harm reduction?Meghana: Harm reduction is a set of evidence-based interventions that arose within the public health community to reduce the harms associated with risky health behaviors. Most commonly, harm reduction refers to the policies and programs that aim to minimize the negative impacts associated with substance use disorder. The goal is to “meet people where they are” and to provide compassionate, judgment-free interventions and resources to at-risk populations.Examples of people who are part of the “at-risk population.”Some examples are injection-drug users and sex workers. With America experiencing the largest substance use and overdose epidemic we have ever faced, it is exceedingly important we provide services such as clean needle exchange, overdose reversal training, safer sex kits, and more to prevent unnecessary injury, disease, and death. Arreaza: In some countries where prostitution is legal, women are required to have regular check-ups to continue work. I see that as a harm-reduction strategy. I disagree with having sexual workers, but if we are unable to eliminate them, then harm reduction may be the way to go. Why is harm reduction important in medicine?Meghana: Healthcare providers have a unique opportunity to improve the quality of life and limit the negative outcomes associated with risky health behaviors by incorporating harm reduction strategies into their practice. Harm reduction interventions not only decrease health risks in an individual but also in the community. Examples of harm reduction strategies. Meghana: Studies have shown that areas that have introduced clean needle exchange interventions have lower HIV seroprevalence compared to areas that do not have similar interventions [1]. It is critical  as health care providers to respect our patient's choices and provide supportive care that will not deter patients from accessing care in the future. Patients who engage in risky activities often face stigma and are treated poorly by the medical system making behavioral changes even more difficult [2]. Understanding that many patients may not be willing to change their behaviors and using a practical approach to medical counseling can strengthen physician-patient relationships. Arreaza: I can think of another example. Pre-exposure prophylaxis for HIV in patients who have multiple sex partners. You wish those patients would have more insight into the risks associated with having multiple sexual partners, but if you cannot change them, you can still reduce the risk.What is harm reduction in the context of the reproductive health field?Meghana: Within Harm Reduction programs, there are many important strategies targeted toward improving sexual and reproductive health. Individuals who inject drugs and sex workers have limited access to family planning services and HIV testing. Studies have shown that individuals with substance use disorder have higher rates of unintended pregnancies, pregnancy-related mortality and morbidity, and lower rates of contraceptive use compared to the general population [3,4]. Harm reduction within the reproductive health field must include expanding access to condoms, contraceptive methods, STI and HIV testing, and prenatal care. Reproductive health harm reduction strategies can reduce rates of STIs, HIV, and unintended pregnancies. In addition to expanding access to condoms, STI screening, treatment, and partner therapy must be offered and encouraged to all patients. Arreaza: As a reminder to our listeners, Expedited Partner Therapy (EPT) consists in treating the partner(s) of a patient with chlamydia or gonorrhea. You, as a physician, treat a patient with STI, but you also give a prescription or medication to that patient, and he/she takes the prescription or medication to his/her partner(s) without me (the doctor) seeing the partner in the clinic or hospital. This is a harm-reduction strategy. It is permissible in 46 states in the US and potentially allowable in Alabama, Kansas, Oklahoma, and South Dakota. It is prohibited in 0 states. Meghana: Regarding birth control, a recent study by Dr. Frank and Dr. Morrison from the University of Michigan suggests that long-acting reversible contraceptives (LARCs) such as the Intrauterine Device (IUD) or the “Implant” should be offered and easily accessible to women with substance use disorder [5].  In America, around 45% of all pregnancies are unintended, and among women with substance use disorders, this number is doubled [6,7]. More so, women with substance use disorders are 25% less likely to use any form of contraception and are more likely to use less effective methods [5]. Patient autonomy is important.Meghana: Autonomy is one of the fundamental principles of ethics in medicine, so it is important that all contraceptive decisions are made without any form of coercion. Also, all discussions must take into consideration previous trauma, such as intimate partner violence. Contraceptive counseling should be comprehensive, and patients should be educated on all methods, including emergency contraception and barrier methods.  Patients should not be coerced into choosing a LARC simply because they engage in risky health behaviors and should be offered the same methods as the general population [8]. Arreaza: Let's remember to offer Nexplanon to unhoused patients. On the topic of emergency contraception, you can listen to episode 129. Now, please give us a conclusion.“If you can't fly then run, if you can't run then walk, if you can't walk then crawl, but whatever you do you have to keep moving forward.”― Martin Luther King Jr.Meghana: Overall, family physicians are in a unique position to incorporate harm reduction strategies into their practice to improve the quality of life of their patients and to improve health outcomes in their community. Reproductive health harm reduction strategies should be considered and offered to all patients who engage in risky health behaviors. Individuals with substance use disorder and sex workers should be routinely tested for STIs, including HIV and Hepatitis C, as well as offered pregnancy testing and prenatal care if needed. Comprehensive contraceptive counseling, including condom use and emergency contraception, should be discussed with all patients, and conversations should be stigma-free and collaborative. Incorporating reproductive health interventions into already existing harm reduction programs is key to improving the overall health and well-being of our most vulnerable communities. _____________________Conclusion: Now we conclude episode number 132, “Harm Reduction and Reproductive Health.” Meghana gave us an excellent introduction to the principles of harm reduction in medicine. Applied to reproductive health, we can reduce risk by improving access to condoms, HIV and STI tests, and birth control methods, especially IUD and subdermal implants. Dr. Arreaza also reminded us of strategies such as pre-exposure prophylaxis for HIV (PrEP) and Expedited Partner Therapy for STIs. This week we thank Hector Arreaza and Meghana Munnangi. Audio editing by Adrianne Silva.Even without trying, every night, you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you. Send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Amundsen EJ. Measuring effectiveness of needle and syringe exchange programmes for prevention of HIV among injecting drug users. Addiction. 2006;101:911–2. Available at: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1360-0443.2006.01519.x?sid=nlm%3ApubmedNyblade L, Stockton MA, Giger K, et al.; Stigma in health facilities: why it matters and how we can change it. BMC Med. 2019;17(1):25. Available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376713/.Woodhams E. Partners in contraceptive choice and knowledge. November 18, 2021. Available at https://picck.org/enduring-sud/.Patel P. Forced sterilization of women as discrimination. Public Health Rev. 2017;38:15. Available at https://publichealthreviews.biomedcentral.com/articles/10.1186/s40985-017-0060-9Frank CJ, Morrison L. Harm reduction for patients with substance use disorders. Am Fam Physician. 2022;105(1):90-92. Preview available at https://www.aafp.org/pubs/afp/issues/2022/0100/p90.html.Heil SH, Jones HE, Arria A, et al.; Unintended pregnancy in opioid-abusing women. J Subst Abuse Treat. 2011;40(2):199-202. Preview available at https://pubmed.ncbi.nlm.nih.gov/21036512/.Terplan M, Hand DJ, Hutchinson M, et al.; Contraceptive use and method choice among women with opioid and other substance use disorders: a systematic review. Prev Med. 2015;80:23-31. Preview available at https://www.sciencedirect.com/science/article/abs/pii/S0091743515001140?via%3DihubBaca-Atlas MH, Nimalendran R, Baca-Atlas SN. Applying Harm Reduction Principles to Reproductive Health. Am Fam Physician. 2023 Jan;107(1):Online. PMID: 36689956. Available at https://www.aafp.org/pubs/afp/issues/2023/0100/letter-reproductive-health.html.Royalty-free music used for this episode: “Gushito - Burn Flow." Downloaded on October 13, 2022, from https://www.videvo.net/

Rob McConnell Interviews - MARC ST. GERMAIN – MUFON Author and UFO InvestigatorTo listen to all our XZBN shows, with our compliments go to: www.spreaker.com/user/xzoneradiotv. This episode of The ‘X' Zone with Rob McConnell is brought to you by BEAUTIFUL MIND COFFEE - For the coffee that your brain will love, visit Beautiful Mind Coffee, www.beautifulmindcoffee.ca.

Host Jeremy C. Park talks with Jenny Matthews, Executive Director of A Step Ahead Foundation of Middle Tennessee, who highlights the nonprofit organization's mission and efforts to prevent unplanned pregnancies by providing education about and access to free long-acting reversible contraception (LARC).During the interview, Jenny shares some of their history and growth over the last seven years, how they have served more than 2,500 clients with their free healthcare services over that time period, how they have expanded to now serve 29 counties, how they partner with organizations in the community that work with women who may want to know about their free resources, and how their call center helps women navigate the process. She discusses the benefits of being able to plan a family, and how educational, economic, and health outcomes are improved for families. Jenny also talks about how the community can support their efforts and get involved.Our mission is to prevent unplanned pregnancies by providing education about and access to free long-acting reversible contraception (LARC).  When people can plan their families, we know educational, economic, and health outcomes are improved for families. We remove barriers to LARC and have a call center that helps women navigate the process. We cover a well woman exam, STI testing, the cost of the device, removal at any time. The client never receives a bill. The only requirement to participate in our program is that the client be a resident or student in one of the 29 counties we serve.Facebook:              www.facebook.com/astepaheadmiddletnTwitter:                  twitter.com/astepaheadmidtnWebsite:                www.astepaheadmiddletn.orgInstagram:             astepaheadmiddletn

In January 2023, a new publication in Obstetrics and Gynecology- the Green Journal, will highlight the disheartening statements being made on social media (TikTok) regarding IUDs. IUDs are highly effective forms of contraception and the progesterone releasing variety have significant non-contraceptive benefits. Most of the dissatisfaction stated on social media surrounds pain during insertion. Do you offer topical lidocaine for IUD insertion? Ever consider lavender aromatherapy? What about music as a non-pharmacological intervention? Are these options evidence-based? In this episode, we will review the soon to be released January 2023 publication and also summarize a 2020 systematic review analyzing both pharmacological and non-pharmacological strategies to reduce pain and anxiety during IUD insertions.

In episode 20 of the NCTCFP's popular Coding with Ann series, Ann Finn, of Ann Finn LLC, provides updated guidance on common miscodes for LARC services in family planning settings.

In episode 516, James and Mike invite Nicolas Dugré to the podcast yet again, and this time we talk about the evidence around the latest long-acting implantable reversible contraception. As always, we talk about the efficacy, the harm and all the rest of the issues around the use of these forms of contraception.

This week I had Mougie Maher in the studio, Shane Curley couldn't make it, both are Sleeping Out For Simon next Friday. I was at LARC's Culture Night on Friday and took some recordings, it was a brilliant night. Entertaining us that night was Padraig Connaughton and Tom Murphy with the Grey Lake Quartet.

In episode 516, James and Mike invite Nicolas Dugré to the podcast yet again, and this time we talk about the evidence around the latest long-acting implantable reversible contraception. As always, we talk about the efficacy, the harm and all the rest of the issues around the use of these forms of contraception. Show Notes […]

Are the rules for gay sex different than straight sex? GRANDMA CLAIR'S: SEVEN RULES FOR SAFE SEX: 1) If you can become pregnant get a LARC. 2) When dating go slowly, start with your hands and wait awhile before you move to oral or intercourse. 3) Only have intercourse inside of a monogamous and romantic relationship. 4) ALWAYS use condoms, to protect against STIs. 5) Avoid hook-up sex. And if you do have hook-up sex use only your hands. 6) Wait on oral sex until you are in a long-term, monogamous relationship and have both been tested for STIs. 7) Try to wait until you are 19 to have intercourse. REPORTS USED: (Capitalization in tiny URLs matters) Hook-up Sex Flunks Out, But Romance Rocks: http://tiny.cc/RomanceRocks Romantic Sex Lowers Teen Delinquency http://tiny.cc/SexAndDelinquency Queer Youth and School Engagement https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2835305/ LARCs Success: http://tiny.cc/NYTLARCS http://tiny.cc/LARCSgraduate http://tiny.cc/OBGYNAdvice http://tiny.cc/YesLARCS STIs risks: Oral and Anal Sex verses using hands (fingering) http://tiny.cc/sti1 http://tiny.cc/sti2 http://tiny.cc/sti3 Kissing and STIs http://tiny.cc/KissingRisks http://tiny.cc/Kiss4Gonorrhoea Percent of Americans Having Premarital Sex https://www.cdc.gov/nchs/nsfg/key_statistics/p.htm http://tiny.cc/Guttmacher2006 http://tiny.cc/TeenSexStats Teens and STIs https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5002249/ Late Bloomers Rock: Delaying First Intercourse Beyond High School Is Beneficial http://tiny.cc/DoesTrueLoveWait http://tiny.cc/HeritageTeenSex http://tiny.cc/57studiesonTeenSex A Book of Charts http://tiny.cc/HeritageCharts Early Sex in El Salvador and Peru Has Poor Outcomes http://tiny.cc/TeenSexPeru Children of Teen Moms https://www.ncbi.nlm.nih.gov/books/NBK219236/ https://voxeu.org/article/why-children-teen-mothers-do-worse-life Graduation Rates for Teen Moms: http://tiny.cc/TeenMomsInSchool #premaritalsex #teensex #Christiansex #gaysex #safesex

Are the rules for gay sex different than straight sex? GRANDMA CLAIR'S: SEVEN RULES FOR SAFE SEX: 1) If you can become pregnant get a LARC. 2) When dating go slowly, start with your hands and wait awhile before you move to oral or intercourse. 3) Only have intercourse inside of a monogamous and romantic relationship. 4) ALWAYS use condoms, to protect against STIs. 5) Avoid hook-up sex. And if you do have hook-up sex use only your hands. 6) Wait on oral sex until you are in a long-term, monogamous relationship and have both been tested for STIs. 7) Try to wait until you are 19 to have intercourse. REPORTS USED: (Capitalization in tiny URLs matters) Hook-up Sex Flunks Out, But Romance Rocks: http://tiny.cc/RomanceRocks Romantic Sex Lowers Teen Delinquency http://tiny.cc/SexAndDelinquency Queer Youth and School Engagement https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2835305/ LARCs Success: http://tiny.cc/NYTLARCS http://tiny.cc/LARCSgraduate http://tiny.cc/OBGYNAdvice http://tiny.cc/YesLARCS STIs risks: Oral and Anal Sex verses using hands (fingering) http://tiny.cc/sti1 http://tiny.cc/sti2 http://tiny.cc/sti3 Kissing and STIs http://tiny.cc/KissingRisks http://tiny.cc/Kiss4Gonorrhoea Percent of Americans Having Premarital Sex https://www.cdc.gov/nchs/nsfg/key_statistics/p.htm http://tiny.cc/Guttmacher2006 http://tiny.cc/TeenSexStats Teens and STIs https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5002249/ Late Bloomers Rock: Delaying First Intercourse Beyond High School Is Beneficial http://tiny.cc/DoesTrueLoveWait http://tiny.cc/HeritageTeenSex http://tiny.cc/57studiesonTeenSex A Book of Charts http://tiny.cc/HeritageCharts Early Sex in El Salvador and Peru Has Poor Outcomes http://tiny.cc/TeenSexPeru Children of Teen Moms https://www.ncbi.nlm.nih.gov/books/NBK219236/ https://voxeu.org/article/why-children-teen-mothers-do-worse-life Graduation Rates for Teen Moms: http://tiny.cc/TeenMomsInSchool #premaritalsex #teensex #Christiansex #gaysex #safesex

Im zweiten Teil der Doppelfolge sprechen wir über die Inszenierung von Kunst in den sozialen Medien.  Wir gehen aus von einem Post von @iamcardib, in dem sie vor dem von Christo und Jeanne-Claude verhüllten L‘Arc de Triomphe posiert und gehen über zu der bildenden Künstlerin @chloewise und den Strategien der Selbstinszenierung von jungen Künstler:innen bei Instagram. Wir besprechen das reziproke Verhältnis von Kunst und Mode, analysieren die Schnittstellen der Sozialfiguren „Künstler:in“ und „Influencer:in“ und hinterfragen die Argumentation von Kunst als Investment. Mit Jasper Landmann!

The etonogestrel implant is the most effective LARC available. Well, how many years AFTER the FDA approval of 3 years does the implant remain effective? Also, currently, the usual and customary standard is for the provider and patient to palpate the implant area after insertion. But what happens when the insert is non-palpable? In the session, we will review the evidence-based protocol to find this nonpalpable implant. Can you order a serum etonogestrel level? Do these things “migrate”? Can a patient still use it for birth control after 3 years? Listen in, and find out.

Menetrend: 1:10 - Hírmagyarázó rovat: Kevin Spacey egy magyar filmben 22:55 - A játékos 55:50 - Ál/arc 1:16:20 - Coen-sorozat: Nem vénnek való vidék 2:01:05 - Ajánljuk még

Get cosy and settle in to the latest edition of Dissident Island Radio! Episode 261 features: - Jake from London Renters Union retrospecting on what happened since and as a result of the Rent Strike of May 2020. - Meli, a member of the Glasgow Student Housing Coop that's affiliated with Student Co-op Homes on the process, challenges and inspirations of organising student housing cooperatives. - Clarrie Pope, co-author of recently published graphic novel "Welcome Home", discussing her book, squatting, cultures of resistance and more. - ACAB Andy updates us on the LARC cop raid (and being cross with Extinction Rebellion), #killthebill Bristol trials, bicycletripping-up-woman case, Brendan the Baliff Basher case, the attorney general review of the Colston Statue trial and key points we can take away from the recently passed Police Crime Sentencing and Courts Act. - Music from Wormholes Between - DJ set from Lastboss from Bad Sekta featuring Jungle, Breakcore and Grime.   Timestamps: 00:02:38 Jake from London Renters Union 00:25:33 Clarrie Pope, author of "Welcome Home" 00:53:31 Meli from Glasgow Student Housing Coop 01:16:51 ACAB Andy legal update 01:26:40 DJ Lastboss Links to material cited in the show: - Jake's article about the pandemic rent strike. - Buy "Welcome Home" direct from Minor Compositions for discounted price of £12 + P&P here or at this place or try your local infoshop (like 56a Infoshop) or a radical bookseller near you. - Clarrie will be at MayDay Rooms on 24 June and 56a on 26 June - Listen to the Minor Compositions Podcast with Clarrie Pope and Alan Moore (but after you read the book!)

En Ivoox puedes encontrar sólo algunos de los audios de Mindalia. Para escuchar las 4 grabaciones diarias que publicamos entra en https://www.mindaliatelevision.com. Si deseas ver el vídeo perteneciente a este audio, pincha aquí: https://youtu.be/7R4EARYTV7o El arcángel Miguel nos enseña a circular la energía vital en nuestro interior. Para sintonizarnos con la luz divina que cada humano porta. Nos da instrucciones para encenderla desde nuestros órganos y nuestros chakras. Ingrith Schaill Es mentora de terapeutas Angélicos. Líder espiritual y entrenadora de canalizadores angélicos. Creadora de formación específica que educa a toda persona que desee aprender a canalizar con el mundo angélico. Da clases a nivel online y presencial en Estados Unidos en cursos y eventos. Escritora y oradora inspiracional con más de 25 años al servicio de la formación espiritual en la comunidad latina a nivel internacional. Infórmate de todo el programa en: http://television.mindalia.com/catego... ***CON PREGUNTAS AL FINAL DE LA CONFERENCIA PARA RESOLVER TUS DUDAS **** Si te parece interesante.... ¡COMPÁRTELO!! :-) DURACIÓN: 45m Aproximadamente -----------INFORMACIÓN SOBRE MINDALIA---------- Mindalia.com es una ONG internacional sin ánimo de lucro. Nuestra misión es la difusión universal de contenidos para la mejora de la consciencia espiritual, mental y física. -Apóyanos con tu donación mediante Paypal https://www.mindaliatelevision.com/ha... -Colabora con el mundo suscribiéndote a este canal, dejándonos un comentario de energía positiva en nuestros vídeos y compartiéndolos. De esta forma, este conocimiento llegará a mucha más gente. - Sitio web: https://www.mindalia.com - Facebook: https://www.facebook.com/mindalia.ayuda/ - Twitter: http://twitter.com/mindaliacom - Instagram: https://www.instagram.com/mindalia_com/ - Twitch: https://www.twitch.tv/mindaliacom - Vaughn: https://vaughn.live/mindalia - VK: https://vk.com/mindaliacom - Odysee: https://odysee.com/@Mindalia.com *Mindalia.com no se hace responsable de las opiniones vertidas en este vídeo, ni necesariamente participa de ellas. *Mindalia.com no se responsabiliza de la fiabilidad de las informaciones de este vídeo, cualquiera sea su origen. *Este vídeo es exclusivamente informativo.

Ryan Meliker with LARC Analytics joins Michael to discuss the hotel sector's recovery from covid, including drive-to and convention performance, major markets, and cap rate trends. Brought to you by: Bull Realty -  https://www.bullrealty.com/ Commercial Agent Success Strategies - https://www.commercialagentsuccess.com/ Barnes Creative Studios - https://www.barnescreativestudios.com/

Lodging Analytics Research & Consulting issues a quarterly U.S. Lodging Industry Outlook that's essential reading in the hotel business, and Ryan stops by to talk about LARC's Q1 report, coming trends in 2022, markets to watch, the pandemic's impact on commercial real estate, Airbnb regulation, and the Tuscan sun.See what else LARC is up to at https://www.larcanalytics.com

Today in Paris marks the unveiling of the infamous CHRISTO AND JEANNE-CLAUDE'S posthumous dream project -- "L‘Arc de Triomphe, Wrapped”.  Artlaws is thrilled to present a special event interview with celebrated artist and photographer Simon Chaput who knew Christo and Jeanne-Claude intimately, as both friend and colleague.  After meeting the artist couple in New York in 1983, Simon quickly became an integral part of their life and  their work. Christo and Jeanne-Claude were an unparalleled artistic duo celebrated for their magnificent, monumental, and ephemeral environmental installations often unprecedented in scale -- such as "Running Fence" down the California coast, "The Gates" in New York's Central Park,  and "Wrapped Coast" in Australia.  Also known for wrapping architecture and natural elements in fabric -- such as “Surrounded Islands” in Miami and the “Wrapped Reichstag” in Berlin -- their poetic public works transcended traditional boundaries of painting, sculpture, and architecture.  What stands behind each work has always been a powerful call for freedom and beauty.  "L'Arc de Triomphe, Wrapped" -- a project first conceived by the artists sixty years ago -- has today been fully realized.  We spoke with Simon leading up  to and en route  to this unprecedented  event. 

Executive Director, Nikki Gibbs and Partnership & Training Coordinator, Deborah Townsend from A Step Ahead Foundation discuss the foundation's mission to "empower women to reach their life's goals by eliminating barriers to voluntary, long-acting, reversible birth control through educational programming, services, and funding.

Episode 3: We are joined by Nikki Zite, MD, MPH and Megan Lacy, MPH, to discuss Immediate Postpartum Long Acting Reversible Contraception (IPP LARC) in Tennessee, the successes of the TIPQC improvement project and what the future holds for IPP LARC in our state. Learn more about our IPP LARC Project & View our Impact Statement: https://tipqc.org/immediate-postpartum-long-acting-reversible-contraception/ No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient.  Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.  

On this episode, we hear from birth control expert, Emily Aytes. She uncovers some of the most common questions she receives. Interestingly, Emily shares that both young and older people ask her about birth control as it isn't widely discussed from her experience. Her personal opinion is that having a birth control conversation with your partner early on allows you to enjoy sex and delve into other parts of your relationship. Long acting reversible contraception If you have ever wondered what a LARC is, Emily explains the acronym to us : LONG ACTING REVERSIBLE CONTRACEPTIVE. This includes IUDs which can last between 3-12 years. Emily shares the side effects of the IUD and unpacks NEXPLANON, the copper and plastic iud. Benefits of this include not having to remember anything as these methods provide protection without any further human intervention once they are implanted. If you change your mind and decide to remove the device, rest assured that it's relatively easy to continue where you left off. The shot is another commonly taken contraceptive in this category and contains Progesterone. Again, Emily discusses the side effects and notes that this method too is pretty effective. Other Birth Control Methods The pill has proven to be a highly effective method from Emily's findings, however she notes the side effects and the fact that human intervention is required everyday, opening up a window for error and loss of effectiveness. Touching on condom use, Emily explains how human error can result in a lack of effectiveness while doubling up on methods eg IUD plus a condom, can increase effectiveness. On the positive side, condoms are accessible without prescription and offer a wide range to suit your personal preference. Planned Parenthood website is recommended if you are interested in a more natural method that does not require any external intervention. Common Questions One of the most common questions Emily gets asked is around how pregnancy occurs. For this reason, she explains the biological process for us in an easy to understand way. We learn more about emergency contraceptive including the morning after pill : Plan B ( no script required) and Ella ( which requires a script) and the Copper T which is extremely effective. Another common question Emily gets is whether you can get pregnant during your period. While it is possible, she explains it is not likely. For a more behavioural method of contraceptive, Emily discusses withdrawal which is only 78% effective. Background Emily Aytes (she/they pronouns) is a community outreach educator with Planned Parenthood in Indiana state. As an educator, her role includes offering comprehensive, inclusive, and medically accurate sexual health information to her local community and beyond. The majority of her work in the community is with young people in middle and high school classrooms teaching about relationships, consent, birth control methods, STIs, gender, and communication skills. Emily is passionate about all folks having access to sexual health information so that they can make their own informed decisions. She also enjoys teaching about racial and social justice, LGBTQ+ identities, and sexual pleasure Resources and Links https://www.plannedparenthood.org/learn/birth-control https://www.bedsider.org/methods More info: Book and New Course – https://sexwithoutstress.com Podcast Website – https://www.intimacywithease.com/ Sex Health Quiz – http://sexhealthquiz.com/ Better Sex with Jessa Zimmerman https://businessinnovatorsradio.com/better-sex/ Source: https://businessinnovatorsradio.com/142-birth-control-emily-aytesMore info and resources: How Big a Problem is Your Sex Life? Quiz – https://www.sexlifequiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to make sex easy and fun for both of you: https://intimacywithease.com/masterclass Secret Podcast for the Higher Desire Partner: https://www.intimacywithease.com/hdppodcast Secret Podcast for the Lower Desire Partner: https://www.intimacywithease.com/ldppodcast

Let's talk birth control. When I was about 18 I got on the pill. I wasn't sexually active but I thought it would help me with my acne. I didn't ever reconsider my birth control options for at least a decade. A couple years ago I decided that I really needed to reexamine everything in my life that was on auto pilot and make sure that it was still the best thing for me. I discovered the IUD which can be inserted in one quick appointment and last from 3-10 years. Mine was covered by insurance. It got a bad rap back in the 80s due to a faulty device on the market but that has long since been re-engineered. There's also no user error. With the pill, you need to take it at the same time every day. That gets tricky when you are crossing time zones and an international date line. The contraceptive methods with the highest efficacy are implants, IUDS and sterilization. Implants and IUDS are long acting reversible contraceptive (LARC) methods. If you and/or your partner haven't reconsidered birth control options in awhile perhaps it's time to take a look.   https://www.who.int/en/news-room/fact-sheets/detail/family-planning-contraception   https://www.guttmacher.org/fact-sheet/contraceptive-use-united-states   https://www.washingtonpost.com/national/health-science/why-do-some-doctors-refuse-to-give-women-iuds/2017/10/12/ee1e881e-a3c9-11e7-b14f-f41773cd5a14_story.html?noredirect=on&utm_term=.2ab1e62313f4   Want answers? Send your questions, comments and thoughts about life to universe@thelinlife.com   Thank you so much for listening to The Lin Life Universe. I hope you've been enjoying it. Please leave a review! 

In this episode, Eliza Buyers, MD, talks about reproductive health in teenagers. Dr. Buyers is a pediatric and adolescent gynecologist at Children's Colorado and a senior instructor of obstetrics and gynecology at the University of Colorado School of Medicine. In this episode: How to talk to teens and their parents about reproductive health Implementing a universal screening approach in your practice Dealing with push back from parents Setting up one-on-one time with adolescent patients Misconceptions about teens and their reproductive health Long-acting reversible contraceptive (LARC) methods Non-contraceptive benefits of LARC Importance of hormonal therapy Reversing long-term hormonal care and contraception Talking to teens about screening for sexually transmitted diseases When to send a patient to a specialist

In this episode, Eliza Buyers, MD, talks about reproductive health in teenagers. Dr. Buyers is a pediatric and adolescent gynecologist at Children's Colorado and a senior instructor of obstetrics and gynecology at the University of Colorado School of Medicine. In this episode: How to talk to teens and their parents about reproductive health Implementing a universal screening approach in your practice Dealing with push back from parents Setting up one-on-one time with adolescent patients Misconceptions about teens and their reproductive health Long-acting reversible contraceptive (LARC) methods Non-contraceptive benefits of LARC Importance of hormonal therapy Reversing long-term hormonal care and contraception Talking to teens about screening for sexually transmitted diseases When to send a patient to a specialist

LARC? Like the bird? In this episode, Corbin and Katee discuss long acting reversible contraception (LARC) and the impact these devices have on women's lives. They also find out what happens when states provide any birth control option for free when they discuss the Colorado Family Planning Initiative and its implications. References: http://www.larc4co.com/ http://www.astho.org/Maternal-and-Child-Health/Long-Acting-Reversible-Contraception/Iowa-Initiative-Title-X-Issue-Brief/ https://www.theguardian.com/us-news/2015/may/06/colorado-contraception-family-planning-republicans … Continue reading LARC: the state bird of birth control →