Podcasts about MDS

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Latest podcast episodes about MDS

Oncology Today with Dr Neil Love
Higher-Risk Myelodysplastic Syndromes with Dr Amy DeZern

Oncology Today with Dr Neil Love

Play Episode Listen Later Nov 15, 2022 43:42


Dr Amy DeZern from The Sidney Kimmel Comprehensive Cancer Center in Baltimore, Maryland, discusses recent therapeutic advances in higher-risk myelodysplastic syndromes. CME information and select publications here (http://www.researchtopractice.com/OncologyTodayHigherRiskMDS22).

ASCO Daily News
Developing the Next Generation of Prostate Cancer Researchers

ASCO Daily News

Play Episode Listen Later Nov 15, 2022 15:07


Dr. Charles Ryan, president and CEO of the Prostate Cancer Foundation (PCF), joins ASCO Daily News Editor-in-Chief Dr. Neeraj Agarwal, of the University of Utah Huntsman Cancer Institute, to assess impactful prostate cancer research from the PCF's recent conference and discuss Dr. Ryan's vision for the future, including increasing access to cutting-edge care. TRANSCRIPT Dr. Neeraj Agarwal: Welcome, to the ASCO Daily News Podcast. I'm Dr. Neeraj Agarwal, the editor-in-chief of the ASCO Daily News, and director of the Genitourinary Cancers Program at the University of Utah Huntsman Cancer Institute. Today, we'll be discussing compelling research that was featured at the recent Prostate Cancer Foundation Scientific Retreat, and I'm very pleased to welcome Dr. Charles Ryan, the president, and CEO of the Prostate Cancer Foundation. Our full disclosures are available on the transcript of this episode, and disclosures relating to all episodes of the ASCO Daily News Podcast are available on our transcripts at: asco.org/podcasts. Dr. Ryan, thank you for taking the time to be with us today. Dr. Charles Ryan: Dr. Agarwal, thank you. It's my pleasure to be with you. Dr. Neeraj Agarwal: So, Dr. Ryan, before I discuss the PCF meeting, I would like to ask you, what made you move to the PCF as the president and CEO when you had a flourishing career as a division chief of a large academic program, and as one of the top and internationally recognized investigators in prostate cancer? Dr. Charles Ryan: Well, thanks. That's a fair question, I guess. And it took me about three minutes to make the decision when I was offered the position, simply because the Prostate Cancer Foundation has been one of my intellectual homes for my entire career. I've been at the University of Wisconsin, Memorial Sloan Kettering Cancer Center, UCSF, and the University of Minnesota, and all those institutions were affected by the Prostate Cancer Foundation, or previously, CaP CURE. So, I was involved in their research during my time at all those institutions. In addition to my own personal legacy with the PCF, but more importantly, is the fact that it is an organization that funds the deepest scientific inquiry into prostate cancer and the ways that it can cause suffering and death for men with the disease and has made tremendous progress in identifying factors that lead to that lethality. It's also a community of scholars, a community of researchers, that is a platform really for collaboration. And it's also an organization with a world reach - we fund research in 28 countries around the world, and we fund research going from the scope of very basic research to correlative research, to quality of life, and health services research. Dr. Neeraj Agarwal: That is truly impressive and inspiring. So, what is the mission of the Prostate Cancer Foundation formally? Dr. Charles Ryan: Formally, it's pretty simple. The mission of the Prostate Cancer Foundation is to reduce the death and suffering from prostate cancer. Dr. Neeraj Agarwal: So, the 29th PCF Scientific Retreat was recently held on October 27 to October 29th in Carlsbad, California. What were the goals and objectives of this meeting? Dr. Charles Ryan: The meeting, we call it the retreat, it's an annual event and it always has several goals. One is, it's where we announce and hand out, if you will, our awardees of our various awards that we give. It's also a reporting-in process where those who have been using PCF funding are called to come and discuss their work. We also want it to be an open forum for individuals to come and interact - it's really a collaboration and an interaction vehicle as much as anything. So, when you come to our scientific retreat, we all stay at the same hotel, we all share meals together, nobody goes out for dinner. You don't leave the campus, essentially, of the hotel where we are. We have many, many round tables set out, it's designed to be interactive. We have a big room where people are giving their talks, but if you step outside of the room, there are likely to be many, many conversations happening, and those conversations range from collaborations being formed to people looking for jobs, to people getting advice and mentoring, and even people sharing, as I've done over the years, compelling and challenging patient stories around prostate cancer, and really engaging in what communities do - which is, share ideals, share a mission, and share a passion for what they do. Dr. Neeraj Agarwal: Very interesting. Very inspiring. Please tell us some of the highlights of the meeting. Dr. Charles Ryan: Sure. Well, there are many highlights. There are many things happening in prostate cancer research. Most notably, there are a number of papers and investigators that are looking at how prostate cancer evolves, and probably the most significant set of observations that have been made in the field in the last decade, have been understanding the diverse and numerous mechanisms that underlie the evolution of prostate cancer from a disease that responds to hormonal manipulation, to one that becomes resistant to hormonal manipulation. And so, a lot of the work that's happening now is identifying, for example, the evolution of neuroendocrine prostate cancer, or mixed types of prostate cancer, or this sort of evolution of it under constant therapy. And that is allowing the exposure of new targets that we can exploit for new therapy development, and that feeds into some of the grant-making process that's going on in the background. And so, you have a lot of individuals who are looking at this or that mechanism pathway related to disease resistance that they can exploit, and whether they can create small molecules to do that, or antibodies to do that, et cetera. At the same time, we have a strong component of discussion of how prostate cancer affects different populations. So, we had some really nice talks looking at healthcare disparities and different populations across the world, and how they're affected by prostate cancer, and how care delivery may be impacted in those groups of patients. And then you have topics ranging around survivorship and other factors that are looking at what is life like for a man with advanced prostate cancer, which is in many cases, you know, men who get prostate cancer, who have recurrent disease, who end up going on systemic therapy are frequently on the treatment for 5, 10, 15 years. And so, survivorship, and how they live their life, and what the complications are of that treatment, is tremendously important because it's such a daily experience for these men undergoing treatment. Dr. Neeraj Agarwal: So, how does the Prostate Cancer Foundation support and build the next generation of prostate cancer researchers? Dr. Charles Ryan: Right. So, the PCF supports the next generation in a very specific way, in addition to the informal way of bringing people together and inducing collaborations. We have a program called the Young Investigator Program. It started formally in 2008, but before that, there were one-off, if you will, Young Investigator Awards being given. So, our Young Investigator Awardees receive $75,000 per year to support their work, and we awarded 34 of those this year. The range is somewhere from 25 to 34 per year. We get over 100 applications for them every year. It's a straightforward application - they need to have a project that's going to be about three years in length, they need to be mentored, and they are best served by describing a mentorship plan for themselves and how that mentorship relationship will help them grow in their careers. Now, once you become a Young Investigator, it's not that we just write you a check and wish you well, we do that, but we also have annual check-ins. So, we try to visit the sites of our Young Investigators, see them in their home institution, and meet with their colleagues and their mentors. And that's one of the things I do, or Howard Soule does-- Howard Soule, is our chief scientific officer, one of those things we try to do. We also bring them to the scientific retreat that we just had last week, and we have them present their data. So, a vast number of the individuals who are presenting at the scientific retreat are in fact, Young Investigators, or they were Young Investigators when they started the projects that they are presenting. And then, the other thing we do is we have another retreat specifically for the Young Investigators, and that's called the Coffey-Holden Retreat, and that's named after Don Coffey, the late researcher from Johns Hopkins, who is really considered to be one of the grandfathers of prostate cancer research, and Stuart or Skip Holden, who is one of the founders of the Prostate Cancer Foundation, and a urologist at UCLA. So, that event that we do is designed for people to come to give highlights of the work that they're doing; it's designed to be incredibly interactive. In fact, we have 15 or so minutes of presentation, followed by sometimes 25 minutes of questions for each presenter. There's always a line of people who are waiting to ask questions, and it's designed to engage and have that dialogue with the Young Investigators, to make their science better, and to get it known. And so, the Young Investigator Program, it's about 30 individuals per year on average, and the average age is about 30. Many of these are postdoctoral PhDs, and many of them are fellows, or early-stage faculty, MDs. And I like to think that if somebody's going to work until the age of 70, we're stimulating, or launching a 40-year career with these Young Investigator awards. So, I like to think that if we give 25 out, times 40 years, that's 1,000 years of research that we're sort of stimulating with this Young Investigator program. And I bring that up for the reason that we're very proud of the fact that many of our Young Investigators may start out in prostate cancer, and their ideas, their science, takes them elsewhere. And that's what science does. And we, of course, are very, very focused on solving the problem of prostate cancer, and we want people to do that. But we also understand that by launching a scientist, by launching a scientific career, you may end up with people going off in different directions. And so, we have many examples of that. And in my talk this year, I actually highlighted a person who, let's say she won an investigator award when she was young, it was before the formal Young Investigator Award was named, and this was a person who is creating conjugates for the delivery of chemotherapy to prostate cancer cells. And this was Carolyn Bertozzi up at UC Berkeley, and she just won the Nobel Prize. She didn't win the Nobel Prize for research she did on prostate cancer, but at some point, at one point in her career, this was a direction she was going, and she got two grants from us in 1999 and 2000, that helped her work continue on and go the direction that it did. Dr. Neeraj Agarwal: Yeah. And congratulations. Dr. Charles Ryan: Sure. I'll take credit for that one. Dr. Neeraj Agarwal: Being the President and the CEO, you deserve the credit. Dr. Charles Ryan: Sure. That's my job. Dr. Neeraj Agarwal: So, we are coming to the end of the interview, but let me ask you this; the prostate cancer field is so constantly evolving. What is your vision for PCF going forward? Dr. Charles Ryan: Well, my vision for the organization is that we are going to continue on our mission to reduce the death and suffering from prostate cancer. But that's a fairly general statement, and one of the ways you can do that is you can research cancer at a molecular level, and you could try to develop new therapies - we're going to continue to do that. But there's also a real problem, especially, in the United States, and actually globally, with individuals with prostate cancer who are not receiving the cutting-edge care, not receiving the cutting-edge therapy. We have some data that in the United States, maybe upwards of 50% of men with metastatic hormone-sensitive prostate cancer are not getting the therapies that are supported by the latest findings from randomized phase III trials. And this may be for economic reasons, it may be communications or an education deficit with their treating clinicians, and there may be other factors as well. So, as we think about the vision of this, we need to be mindful of that, because if we only focus on studying the cancer molecularly, and we don't address what's happening on the other end, then we're not completing the story, and we're not completing the mission. And so, I've started calling Prostate Cancer Foundation the Global Public Square of Prostate Cancer, because I think of four sides of that square - funding research, as of what we just got done talking about, education and communication, is another one, and we do that in the same way that you are doing this today - through podcasts, and web content, and in-person meetings, as well as applied discovery, which is helping our researchers take their discoveries or their findings out into the clinic. Now, you might think, "Well, that's a small molecule, becoming a company going into a phase I clinical trial." Certainly, that's part of it, but it's also the epidemiologist who is making observations about diet and exercise, who is then empowered to do a clinical trial of exercise and diet intervention. It's also the health services researcher who is able to use their data to go talk to payers or talk to organizations about how care may be delivered differently. So, that's applied discovery. And then finally, supporting the patient is part of what we do. So, we also hold patient webinars every month, we've held patient summits at various points around the country where we bring patients together and talk to them about the latest research or about the factors we've discussed, such as survivorship, or quality of life after treatment, or treatment complications, and things like that. Dr. Neeraj Agarwal: That's wonderful. Thank you so much for sharing your insights. Any final remarks, Dr. Ryan? Dr. Charles Ryan: Dr. Agarwal, thank you so much. It's always a pleasure to speak to another Genitourinary Oncologist, of course, about the field, and the opportunity to talk about the Prostate Cancer Foundation and what we're doing, and the directions we are trying to grow. We've had a great collaboration with ASCO over the years, and I hope that that continues as well. I hope anybody who is interested would come and visit us at: pcf.org, and they can also check us out on: urotoday.com, where we have a lot of content that might be of interest to them. Dr. Neeraj Agarwal: Thank you, Dr. Ryan, for taking the time to be with us on the ASCO Daily News Podcast today. And thank you to our listeners for joining us today. If you value the insights that you hear on the ASCO Daily News Podcast, please take a moment to rate, review, and subscribe, wherever you get your podcast. Thank you very much. Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy, should not be construed as an ASCO endorsement. Follow today's Speakers: Dr. Neeraj Agarwal @neerajaimms Dr. Charles Ryan @charlesryanmd Want more related content? Listen to our podcast on therapeutic advances in prostate cancer and other GU cancers.   Advances in Genitourinary Cancers at #ASCO22 Follow ASCO on social media: @ASCO on Twitter ASCO on Facebook ASCO on LinkedIn   Disclosures: Dr. Neeraj Agarwal:  Consulting or Advisory Role: Pfizer, Medivation/Astellas, Bristol-Myers Squibb, AstraZeneca, Nektar, Lilly, Bayer, Pharmacyclics, Foundation Medicine, Astellas Pharma, Lilly, Exelixis, AstraZeneca, Pfizer, Merck, Novartis, Eisai, Seattle Genetics, EMD Serono, Janssen Oncology, AVEO, Calithera Biosciences, MEI Pharma, Genentech, Astellas Pharma, Foundation Medicine, Gilead Sciences  Research Funding (Inst.): Bayer, Bristol-Myers Squibb, Takeda, Pfizer, Exelixis, Amgen, AstraZeneca, Calithera Biosciences, Celldex, Eisai, Genentech, Immunomedics, Janssen, Merck , Lilly, Nektar, ORIC Pharmaceuticals, crispr therapeutics, Arvinas   Dr. Charles Ryan: Honoraria: Janssen Oncology, Bayer Consulting or Advisory Role: Bayer, Dendreon, AAA, Myovant Sciences, Roivant, Clovis Oncology  

The Ecomcrew Ecommerce Podcast
E475: Restructuring an Ecommerce Company to Focus On What You Enjoy the Most [Under the Hood Part 2 with Jamie Graham]

The Ecomcrew Ecommerce Podcast

Play Episode Listen Later Nov 7, 2022 42:38


Mike talks to long-time Premium member Jamie Graham about restructuring the business and moving towards the EOS model, which entails moving from a high-level Amazon director position to a Training Manager, to spend less time on the business.   Jamie Graham is a Premium member that I was able to meet in an MDS event back in 2018. He and his wife Kayleigh own a beauty brand that's grown up to 6 million pounds in revenue, with a profit margin of 10%.   In this episode, the majority of the discussion was focused on these four points: Restructuring to focus on what you enjoy the most Restructuring an ecommerce department: by marketplace or by discipline?  Creating a 3-year business plan and how to incentivize employees to stay on track Focusing on growing the off-Amazon channel of the business   Jamie and I also went over how close he is to making a life-changing amount of money as he approaches the endgame with almost 5 years in the business and 7 million pounds of revenue every year.    If you're interested, you can check out the previous Under the Hood episode here. I'm looking forward to hearing back from Jamie over the next couple of months. With Q4 coming into full swing in just a few weeks, he'll definitely be having his hands full.   Under the Hood is a segment where we do an hour-long coaching call with one of our listeners. We take a look at their businesses, provide honest feedback, offer our best business advice, and answer whatever questions they have. In exchange for the free coaching, we will turn the call into a podcast episode so that our community can benefit as well. It's a win-win!   Get more information about Million Dollar Sellers on EcomCrew.com/MDS.   Finally, if you enjoyed listening and think this episode has been useful to you, please take a moment to leave us a review on iTunes.   If you have any questions or comments, feel free to leave them below. Happy selling!

True Stride
EP110: Your Path Without Comparison

True Stride

Play Episode Listen Later Nov 3, 2022 26:28


We can get caught up in wishful thinking when we enter a crisis. We compare ourselves to those around us wishing things could be different. In the middle of wishing, we can't know what someone else's path actually looks like and we can't appreciate our own path. This episode talks about embracing your path without comparison. A friend is going through a major life change similar to a situation I had in my journey. This lovely friend shared on social media that she is dealing with a health crisis. After seeing her post, I reached out to offer support in various forms, including listening and sharing my experience since I could relate to some of her situation and expressed concerns.  I'm here to spend quality solo time with you for EP110's Wise Walk as we discover our True Stride. For over two decades, I have managed my medical diagnosis by trying holistic and medical healthcare that align with my needs. Even thinking about it today, it was a process and journey to relearn my body. What I know now is that so much of life is about the mindset of embracing information without judgment. On our Wise Walk, I talk about how to “be you” on your path. You should accept your baseline before creating a plan to move forward. Come with me as we reflect on these Wise Walk questions: Where in your life are you attached to being “normal”, and are you hard on yourself when you fall short of these standards? When you need to make changes for a goal, are you being kind to yourself in that process? Are you too focused on comparison to the point you don't appreciate where you are? Are you acknowledging your baseline? There's no need to place unrealistic expectations on yourself. There's also no need to rush results or beat yourself down for not getting the results you want. It takes consistent, kind, incremental effort to get to where you want to go. Go inward, figure out your baseline, and then choose a direction from that starting point. Invest in knowing yourself and your baseline with these Wise Walk questions: Can you look at your life as a garden that you are tending? How are you going to make this experience your own? Can you eliminate your need to compare yourself to others since your life circumstances are different? Will you encourage yourself to make incremental shifts? Join this inspiring community to uncover a new sense of freedom, and be sure to follow and review the True Stride podcast as we continue to exchange our light and Heart Value with each other.   In this episode: [00:23] - Welcome to the show! [02:29] - Mary Tess talks about managing a disease for over two decades in a way that aligns with her needs. [04:03] - What is MDS? [06:24] - Mary Tess talks about the highs and lows of relearning her body to deal with her medical diagnosis. [08:47] - How do you find your “normal” after a crisis? [11:13] - Stop comparing yourself to others. [13:58] - Are you still processing what's going on with you? [16:27] - No two journeys are the same. [19:09] - You may get frustrated from time to time. [21:50] - Mary Tess encourages you to share with the support around you. [24:25] - Thank you for listening!   Memorable Quotes: “No two journeys are the same. No two individuals are the same.” - Mary Tess   Links and Resources: Mary Tess Rooney Email Facebook | LinkedIn | Twitter | Instagram Heart Value

Assuming Positions
Episode 225: Episode 225: Head of the Helm - Doctors (Rebroadcast)

Assuming Positions

Play Episode Listen Later Oct 27, 2022 43:03


We're taking a break to go on an interstellar journey, so we are slingshotting around the Sun and going back in time to rebroadcast our Head of the Helm series! We scoured science fiction pop media and put together a fantasy sci-fi crew to explore the outer reaches of space. This week we're giving some scifi Doctors a call to be a our build-a-crew's new medical officers. Report to Sick Bay with us as we examine which space MDs are fit for the role. Get to listening!

Brighton Rock Podcast
“Foxy Bingo” Man City MDS & Analysis

Brighton Rock Podcast

Play Episode Listen Later Oct 24, 2022 62:20


Pete and Russ buggered off to Newport in Wales to tick off their shared 85th ground visited out of The 92. So after a brief intro from there the pod went off to Manchester in the company of guest MDS host Alastair, who spoke with (now local to there) friend of the show Dominic Wales and (already long standing local to there) Nick Ansley - his niece is a Team GB hockey star, you know! After all that, Russ cast a critical - and we mean critical - eye over the game, having watched the 90 mins in full via Sky's selection of it as game of the day. Stand or Fall! UTA! P*ss right off Lee Mason and Craig Pawson!!! Learn more about your ad choices. Visit megaphone.fm/adchoices

The Natural Health Rising Podcast
36: Naturopathic Approach To Treating Acne with Dr. Aalia Avelin

The Natural Health Rising Podcast

Play Episode Listen Later Oct 21, 2022 60:36


Dr. Aalia Avelin is a Naturopathic Physician and Kundalini Yoga Instructor. She is a Co-Owner and Operator of A.W. Health Institute, the Founder of Kundalini Mastery, and the Founder of The Radiant Skin Method. She focuses on women's health, regenerative aesthetics, and GI health. In this episode, Dr. Avelin and I go into detail about: The difference between MDs, DOs, and Naturopathic Medical Doctors Why the liver needs support in today's world Treating acne and other skin problems naturally What Kundalini Yoga is all about And more Website: https://www.awhealthinstitute.org/ Instagram: https://www.instagram.com/p/CHwCz3ygaj3 Koze Red Light: https://kozehealth.com?sca_ref=1608869.lx4GjVPZDp Thrive Market: https://www.anrdoezrs.net/click-100223128-14359325 Reach out to Rachel here: Instagram: https://www.instagram.com/naturalhealthrising/ Website: https://naturalhealthrising.com/ Book a call to apply to work with me here: https://naturalhealthrising.com/contact-me/ FREE 3-day nutrition & detox guide (this leads to email list sign up): https://naturalhealthrising.clickfunnels.com/energy-reboot-3-day-detox3f644vcm --- Support this podcast: https://anchor.fm/rachel-smith11/support

PeerView Clinical Pharmacology CME/CNE/CPE Audio Podcast
Guillermo Garcia-Manero, MD; Gail J. Roboz, MD - The “Innovation Moment” Arrives for MDS: Guidance on Building Personalized Management Plans to Improve Patient Outcomes

PeerView Clinical Pharmacology CME/CNE/CPE Audio Podcast

Play Episode Listen Later Oct 20, 2022 64:16


Go online to PeerView.com/EEX860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. Are you prepared for the “innovation moment” in myelodysplastic syndromes (MDS)? In this “Clinical Consults” program, two leading experts use case-based instruction to illuminate modern, personalized treatment for patients with MDS, including individuals presenting with lower- or higher-risk disease. Throughout, “mini lectures” support the panelists' case-based decisions. Learn about the evidence supporting optimized risk assessment, the use of mutational analyses to augment baseline findings, and the integration of novel therapeutics into existing treatment plans. Don't delay, seize the “innovation moment” for your patients with MDS today! Upon completion of this activity, participants should be better able to: Cite patient- and disease-related features, including age, molecular/cytogenetic features, and risk assessment, that influence prognosis and guide treatment decisions for MDS; Describe current efficacy and safety evidence related to approved and emerging treatments for newly diagnosed or relapsed/refractory and low-, intermediate-, and high-risk MDS; Develop risk-adapted, personalized treatment plans that incorporate novel therapeutics for patients with MDS; Manage the unique spectrum of adverse events associated with novel and emerging therapies for MDS

Research To Practice | Oncology Videos
Myelodysplastic Syndromes | Exploring Current Considerations and Promising Investigational Approaches for Patients with Myelodysplastic Syndromes

Research To Practice | Oncology Videos

Play Episode Listen Later Oct 19, 2022 60:21


Featuring perspectives from Drs Guillermo Garcia-Manero, Gail Roboz and David Sallman, including the following topics: Prologue: A vision for the future (0:00) Classification and prognosis of myelodysplastic syndromes (MDS) (23:34) Current management of lower-risk MDS (25:57) Current management of higher-risk MDS (38:16) MDS-Acute Myeloid Leukemia continuum and overlap: Venetoclax and other targeted therapy (46:38) CME information and select publications

The Startup CPG Podcast
#65 Mid-Day Squares - National Target Launch, Business Therapy, and Dance Vibes with Jake Karls

The Startup CPG Podcast

Play Episode Listen Later Oct 18, 2022 49:57


What does it take to build the next household chocolate brand name like Hershey or Cadbury? The team at Mid-Day Squares is on the road to find out, and today we're joined by Jake Karls, Co-Founder and Rainmaker. If you aren't familiar with Mid-Day Squares, head to your nearest Target produce section, grab a square of incredible functional chocolate, and give their product a little quick merchandising love in Startup CPG community fashion. My favorite flavor on the market is Peanut Butta, but as you may have heard in our Expo East recap, I got to try the new Cookie Dough flavor and it was my favorite bite of the show, maybe my new favorite MDS in general and, P. S., this new flavor that we talk about in the episode drops December 22nd this year. Mid-Day Squares is on the road to $100 million in revenue and entertains die-hard fans (like myself) with their innovative use of social media as reality television. There are so many incredible interviews with the Mid-Day Squares team, including their own podcast and I'll link a few favorites in the show notes, so I asked Jake if he'd go in deep for our Startup CPG community about mental health, navigating challenges, and how to celebrate wins and build momentum. And of course, he delivered. Listen in to hear from Jake about: - Their recent national US Target launch - How the Mid-Day Squares team is structured, including working with two other co-founders and co-CEOs - Why Mid-Day Squares is on the “road to $100 million” and to be “world-class” and what those mean - How and why they intentionally work with a business therapist regularly and why founder conflict kills so many brands if left unresolved - How they navigated really tough decisions and situations recently with changing pack sizes and pausing US e-commerce shipments - What it looks like to regularly celebrate wins as a team and keep the momentum rolling - Jake's daily dance habit and how he now brings it to people around the world - And more! This episode was sponsored by Mondelēz International - applications for the 2023 SnackFutures CoLab program are open now! Go to applycolab.com

Brighton Rock Podcast
The Dogma Boys & Bees Matchday Special

Brighton Rock Podcast

Play Episode Listen Later Oct 15, 2022 79:30


Russ popped down The Gladstone with his new fanzine chums Parker, Rich and James on Thursday night for some tikka pies and tasty alements to ease our post-Spuds woes. Under discussion were Spurs, the Dogma fanzine of course, Paul Barber's handcuffs, tins of warm John Smith and thoughts ahead of our visit to Brentford. After two parts of that old waffle, we moved to Friday and Part 3: our latest Matchday special (MDS). If you would like to check out Dogma, they can be found at www.dogma brighton.com Stand or fall!   UTA! Oh Enoch Mwepu! @BrightonRockPod brightonrockpodcast@gmail.com Part of the Sport Social Podcast Network that can be found in all their glory at this rather suitable address: www.sport-social.co.uk  Please follow us for automatic downloads of new episodes and if you want to make us really happy please rate us five stars on Apple and any other platforms that provide the opportunity to do so! Why not write a review while you are at it?! ;0).  All this helps our rankings and improves our chances of getting exciting guests onto the show. Also we are now on Patreon, so if you happen to be inclined to extreme acts of generosity we'd greatly appreciate any monthly donations, great or small, to help us run the pod as well as we can. Go to www.patreon.com/BrightonRockPod for details and to sign up. NB Our content will remain freely accessible to all listeners regardless. Humble thanks! Learn more about your ad choices. Visit megaphone.fm/adchoices

Life Matters
293: October Is Election Month

Life Matters

Play Episode Listen Later Oct 13, 2022 27:58


In this episode of Life Matters, Brian Johnston pointedly focuses on elections in 2022. This is the first election since the overturn of Roe versus Wade. Because of that, the disposition of the elected representatives will be of considerable importance.  As usual, Brian goes into extraordinary depths to help individuals understand the details of the Right To Life fight for legal protection of the innocent.  First, Brian explains the history of PACs. PACs were formed in the 1980s in response to public employee unions forced withdrawal of money from union members, and the use of that money for political purposes. This gave the political left multiple millions to use at election time. This is actually government money.  PACs were formed to allow normal people to also “unionize” - that is to say, join together in a group and pool their resources together to impact particular elections. California Prolife, National Right to Life and various state affiliates have organized pro-life PACs. This is the time of year that these tools MUST come into play. Because of the importance of elections now in the wake of Roe v. Wade, pro-lifers need to focus sharply on electing pro-life representatives. The link to the CaliforniaProlife PAC is as follows:  https://www.efundraisingconnections.com/c/CaliforniaProLifeCouncil Brian also takes a moment to read directly from the Dobbs decision of earlier this summer. This decision is inescapable in its power and significance. There was never a right to abortion in the Constitution. The Supreme Court had wrongly held it in both Roe v. Wade and Casey and those decisions were overturned.  The Supreme Court explicitly returned to the people and their representatives, the authority to protect the lives of those in their jurisdiction.  Roe versus Wade and its progeny had given abortionists alone the authority to decide the propriety of an abortion and which child should be killed in which manner. This untrammeled right to abortion being given to MDs was a gross violation of the US Constitution. In affirming the authority of the people and their voting power in electing representatives, the Supreme Court has renewed this basic principle of the Constitution: we have been given a government of the people, by the people and for the people. This principle was reiterated by Lincoln in his desire to ensure that the self-evident truth of the humanity of then-slaves would be recognized, and their right to life (as he expressed in the Lincoln-Douglas debates) that their right to life could be affirmed and insured under the constitutional principles of The United States of America. Each and every affiliate of the National Right to Life Committee has focused on this duty of the people to speak up, and to elect representatives who would speak up for the innocent.  In the last several decades, the voting process has been altered and in particular during the Covid epidemic. Instead of a particular voting day (today marked as November 8, 2022) many states are practicing early voting and absentee voting.  Due to the serious questions regarding the tallying of these ballots, it is strongly suggested that our method of electing our representatives be returned to its original accountable model where abuses, false votes, ballot stuffing, and other questionable forms of electioneering are harder to implement. For this reason California Prolife is adhering to and suggesting the policies of the Election Integrity Project of California. While the state is still asserting one can send in an absentee ballot and it can be tracked electronically, it is only able to track its reception, but not the fact that it has been tallied. Voter IntegrityProject points out that the envelopes provided for this process indicate the political party of the recipient.  When that is the case, even if that envelope arrives safely at a voter registrars office, it no longer has the qualities of an “Australian ballot,” a ‘secret' ballot. In other words, those who would seek malfeasance could easily not count certain disfavorable ballots if they are cognizant that they're from Republicans or, from a particular precinct.  For this reason California Prolife strongly suggests that pro-life voters follow the guidelines of the Election Integrity Project and walk their ballot personally to their local voting precinct. The instructions on how to process that ballot are available at this website:  https://www.eip-ca.com/index.htm The exciting news is that there are many many concerned pro-life individuals now running for office all the way down the ballot. The non-aligned/nonpartisan offices of the county and city level, school board, city councils, various service districts - these races are often won by a handful of votes and when concerned citizens vote with knowledge they can win many of these races. These newly elected representatives, though it may be a small office, become the future representatives up the ballot. Brian points out he knows many members of Congress and state representatives. Nearly all of them began by running for office on the local level. The pro-life community must understand the need to be involved in local politics.  For this reason California Prolife has been coordinating with West Virginians For Life, and providing a very specific voter look-up tool. This is an app available for any computer or smart phone which upon entering ones ballot mailing address, all of the relevant offices from governor to constitutional office or state wide, to ballot measures, to state offices, to county city and local offices including school boards and special service districts, all of these are than made known to that pro-life voter. This voting tool is available at the following URL address:  https://vote.californiaprolife.org/ Finally, we must be reminded that the Supreme Court has returned to us, as the people, the ability to speak up for innocent life. A corrupt abortion law and government is attempting to silence further discussion. In California, Michigan and Vermont, constitutional propositions have been placed on the ballot that will forever silence the ability of the people and their elected representatives to put into place pro-life laws protecting young mothers and their babies.  This is a top-down, imperious and forced view of government, which Roe v. Wade had represented.   This corrupt, simplistic view of government power suppresses freedom of expression and the right to protect the lives of those who cannot protect themselves.

The Short Coat
Physician Associate vs. Assistant: What’s in a name?

The Short Coat

Play Episode Listen Later Oct 13, 2022 49:43


Physician Assistants have been an important partner to MDs for 50 years. A big crowd is in the studio to talk about physician assistants during National PA Week! PA2 students Ariele and Hannah join M2s Chandler, Hend, and Sophie to talk about the partnership in learning they have at the University of Iowa Carver College of Medicine, as well as their future partnerships with physicians. The gang explores these roles and more in an improv game of General Hazepital.

Million Dollar Session
KOURKS Sous-Marin en Eaux Troubles

Million Dollar Session

Play Episode Listen Later Oct 12, 2022 2:48


Black Sheep Chiropractic Podcast
401: Do Chiropractors Make More Money Than The Average Small-Business Owner

Black Sheep Chiropractic Podcast

Play Episode Listen Later Oct 11, 2022 36:27


How much money should chiropractors make per hour? How do chiropractors compare to MDs? Do chiropractors make more money than other small-business owners? How do they compare? In this week's chiropractic podcast, I talk about how much money chiropractors make and how they compare to other small-business owners. I also discuss a few things that a chiropractor should think about as they are trying to build a successful practice. Let's talk about it.

Unbiased Science
Oops, Naturopathy Did It Again—It's Not That Innocent! (Part 2)

Unbiased Science

Play Episode Listen Later Oct 5, 2022 29:51 Very Popular


On this week's episode of the pod, we continue our conversation about the practice of naturopathy. We kick things off with a deep dive on the training received by NDs and how it compares to the training received by MDs and DOs. We discuss the US Department of Health and Human Services' stance on naturopathy and present statements from some of the major national medical and scientific associations. We continue on to discuss the anti-vaccine sentiment and rhetoric within the naturopathic community, naturopathic "treatments" for COVID-19, cancer, and more. We discuss the potential harms of naturopathy and the unproven and even disproven "treatments" that are often implemented-- some of which have cost people their lives. You don't want to miss this! Check us out on Substack and Instagram: www.theunbiasedscipod.substack.com https://www.instagram.com/unbiasedscipod PLEASE NOTE: The discussion and information provided in this podcast are for general educational, scientific, and informational purposes only and are not intended as, and should not be treated as, medical or other professional advice for any particular individual or individuals. Every person and medical issue is different, and diagnosis and treatment requires consideration of specific facts often unique to the individual. As such, the information contained in this podcast should not be used as a substitute for consultation with and/or treatment by a doctor or other medical professional. If you are experiencing any medical issue or have any medical concern, you should consult with a doctor or other medical professional. Further, due to the inherent limitations of a podcast such as this as well as ongoing scientific developments, we do not guarantee the completeness or accuracy of the information or analysis provided in this podcast, although, of course we always endeavor to provide comprehensive information and analysis. In no event may Unbiased Science or any of the participants in this podcast be held liable to the listener or anyone else for any decision allegedly made or action allegedly taken or not taken allegedly in reliance on the discussion or information in this podcast or for any damages allegedly resulting from such reliance. Learn more about your ad choices. Visit megaphone.fm/adchoices

The Cabral Concept
2434: Herbs That Ease Menopausal Symptoms (WW)

The Cabral Concept

Play Episode Listen Later Oct 5, 2022 23:07


Unfortunately, a vast majority of doctors in the conventional medicine space do not feel adequately prepared to help women transition through menopause…   So, it's no surprise that women would look for alternative options on how they can help ease the symptoms…   The problem is that most conventionally trained MDs are simply not aware of the numerous resources that provide insight into a holistic approach to menopause and the years of science that back them up, so their doctors simply dismiss them…   So on today's #CabralConcept 2434 I want to share with you the research behind the specific herbs that ease menopausal symptoms, so you can make the best decision for you – Enjoy the show and let me know what you thought in the comments!   - - - For Everything Mentioned In Today's Show: StephenCabral.com/2434 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!

Rebalance Your Hormones
Herbs That Ease Menopausal Symptoms

Rebalance Your Hormones

Play Episode Listen Later Oct 5, 2022 21:04


Unfortunately, a vast majority of doctors in the conventional medicine space do not feel adequately prepared to help women transition through menopause…   So, it's no surprise that women would look for alternative options on how they can help ease the symptoms…   The problem is that most conventionally trained MDs are simply not aware of the numerous resources that provide insight into a holistic approach to menopause and the years of science that back them up, so their doctors simply dismiss them…   So on today's #CabralConcept 2434 I want to share with you the research behind the specific herbs that ease menopausal symptoms, so you can make the best decision for you – Enjoy the show and let me know what you thought in the comments!   - - - For Everything Mentioned In Today's Show: StephenCabral.com/2434 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!

Ba'al Busters Broadcast
Dr Ardis Dose of Reality 10.3.22 "Atlas Aligned" with reading from Robert Sepehr book

Ba'al Busters Broadcast

Play Episode Listen Later Oct 4, 2022 89:06


For all things Dr Ardis: https://theDrArdisShow.comSupport Ba'al Busters: https://tipeeestream.com/baal-busters/donationThere you can ask a question for DR ARDISToday we began with a reading from Robert Sepehr's 1666 Redemption Through Sin regarding a little known piece to the puzzle essential to understanding the psychology, goals, and motivations of the governments of the world, save Russia, who's not onboard with their globalist, evil insanity. From there Dr Ardis gives us a Lesson in Chiropractic and Nutrition supplementation that can benefit all of us. He helps dispel the myths of MDs in their continued, envious slander of chiropractors.VISIT https://GiveSendGo.com/BaalBusters and HELP Support the Fam so I can do these shows.https://www.tipeeestream.com/baal-busters/donationor https://paypal.me/BaalBusters Support Those Whom Support FreedomBA'AL BUSTERS shirts and merch https://my-store-c960b1.creator-spring.com/Get Expert Advice from Dr Glidden on Naturopathic Remedieshttps://riseupintohealth.com/?via=baalbusters

כל תכני עושים היסטוריה
Personalized treatment of MDS [MDS Patient & Family Report]

כל תכני עושים היסטוריה

Play Episode Listen Later Sep 28, 2022 17:34


Drs. Rafael Bejar (San Diego) and Moshe Mittelman (Tel Aviv) discuss the trend towards adjusting the appropriate treatment to the particular MDS patient, a trend that is associated with higher rate of successful treatments and less toxicity. They also address several frequently asked questions.

כל תכני עושים היסטוריה
The role of genetics in MDS management [MDS Professional Report]

כל תכני עושים היסטוריה

Play Episode Listen Later Sep 28, 2022 22:02


Drs. Rafael Bejar (San Diego) and Moshe Mittelman (Tel Aviv) discuss several papers highlighting the role of genetics in MDS diagnosis, follow up and prediction of treatment. They also discuss the role of the newly approved luspatercept in the treatment of anemic transfusion-dependent patients with lower-risk MDS

Her Brilliant Health Radio
Why Whole Body Cleaning Is Essential And Here's How

Her Brilliant Health Radio

Play Episode Listen Later Sep 27, 2022 41:42


Have you ever wondered about the toxins that have been building up in your body and the effects they have on your overall health?   In this episode of The Hormone Prescription Podcast, we interview Diane Kazer, a certified detox specialist, toxins expert, courage coach, and holistic beauty expert. She shares with us why whole body cleansing is essential and provides tips on how to get started.   In this episode, you'll learn: The sobering statistics regarding toxicity in our environment and in our body The ABCs of detoxing: what, when, where, how, and why Simple tips to get started with whole body cleansing Boosting your mitochondria for better health And much more!   So tune in and learn how you can start feeling your best by detoxing your body!   (00:00): What kind of health are you woman affecting Diane Kazer?   (00:06): So the big question is how do women over 40, like us keep weight off, have great energy balance. Our hormones and our moods feel sexy and confident and master midlife. If you're like most of us, you are not getting the answers you need and remain confused and pretty hopeless to ever feel like yourself. Again. As an OB GYN, I had to discover for myself the truth about what creates a rock, solid metabolism, lasting weight loss, and supercharged energy. After 40 in order to lose a hundred pounds and fix my fatigue. Now I'm on a mission. This podcast is designed to share the natural tools you need for impactful results. And to give you clarity on the answers to your midlife metabolism challenges, join me for tangible natural strategies to crush the hormone imbalances you are facing and help you get unstuck from the sidelines of life. My name is Dr. Kyrin Dunston welcome to The Hormone Prescription Podcast.   (00:59): Hi, everybody. Welcome back to another episode of The Hormone Prescription Podcast my guest today. She is so creative and so passionate and has created so many programs to help women with their health. She's gonna talk to you about the ABCs of detox. She's gonna talk to you about some sobering statistics regarding toxicity in our environment and in our body, and really highlight for you the things that are currently poisoning you in your environment, but mostly tell you what to do about it. She's got actionable tips. So you wanna make sure to listen up. I'll tell you a little bit about her and then we'll get started. Diane Kazer is a pro soccer player turned functional diagnostic nutrition practitioner. She's a certified detox specialist, toxins expert, courage coach, and holistic beauty expert. Diane had many challenging health conditions and has built recovery protocols to successfully overcome them.   (01:58): With this experience. She's helped thousands of clients around the world as their last resort from failed attempts at everything she created, the cleanse heal like night holistic health Institute and warrior detox programs. She certifies coaches and teaching, teaches clients to activate their intuition, to self-heal, empowering them with lifelong tools to reverse autoimmune disease, breast implant illness, hormonal imbalances, chronic pain, gut infections, emotional trauma, and perfectionism through functional medicine labs, custom detox and mastering mindset. She's the author of killer breast, creator of the ex plant solution, producer of the nontoxic beauty summit and the Ionics 10 part dying to be beautiful. Docu-series her mission is to inspire you to embrace your natural beauty and God-given gifts. Shedding the S H I that releases you to live your best life with love, laughter and liberation. Diane will not let you fail. Welcome Diane to the podcast. Thank   (03:05): You so much for having me, Dr. Karen, great to be with you.   (03:08): Yes. Super excited to have you here and talk about all the things related to why a cleansing of your whole body is essential to vitality over 40. What made you become so passionate about this particular topic for women over 40?   (03:27): Yeah. Thanks for the question. I think one of the things that I hear so much and part of what I believed, because it's all that I knew or heard is that you aged, you get older, it's just nothing you can do about it. You're destined to the genetics that you were provided. There's nothing you can do other than take HRT or biodentical hormones. And what that looks like from there is all downhill. It's all downhill after 40, and that you need to take hormone replacement therapy. And that's all that there is. And that you're kind of destined to your sleeping nine hours at night and a little bit of weight gain that won't go away just because you're simply aging and what I've learned as a functional diagnostic nutrition practitioner and working with a lot of women of all ages, of course, a lot of them over 40 at this point, I'm 44 almost is that the toxins are such a big drain to aging.   (04:19): They are such a big drain to the beauty blocks and beauty builders that I call like parasites also robbing us of nutrients. And these are the things that are building blocks to provide beauty, energy and immunity that we're after. And so there's not just a silver bullet. And for me, it was a lot of different toxins like breast and plants, a lot of birth control over the years, not having my period for seven, eight years. And this is a lot of women too. Who've experienced the same thing and were told that these are the only answers for you to build your beauty or to feel younger or to, uh, maintain our youth. And so after doing, doing that Botox, that one almost destroyed me. A lot of the things that I was doing were very mainstream. And then I, I came to realize that there were several women that I worked with were doing the same thing. And we started removing those blocks to their beauty, their immunity, their vitality, and they started to look better, feel better, feel better. And it, it wasn't as   (05:14): Expensive. Yeah. And you know, you said that peop women are offered HRT, but that since the women's health initiative study in 2002 women aren't even getting that benefit. So they're in a worse position than they were. That's one of the reasons why I do what I do, but I agree with you. It's not just about getting a prescription for hormones. I always say, there's the prescription you need a written prescription for, but there's also the life prescription, the dietary prescription, the supplement prescription, the cleanse prescription, all the things that you need to clear out of your body. So what do you think is most important for a woman to know about cleansing her body? I think it's really clear that cleansing is important. I think most women know that it's in the general public. You hear about it on social media. You hear about it on TV. You hear it about on the radio, but when an woman goes to start doing it, I don't think she knows what to do. So where does she even begin?   (06:15): Yeah. When it comes to cleansing    (06:17): Yes. Cleansing. Right? She's like, I wanna cleanse, but then right. How do you do that? What's important. Yeah. Yeah. What does she have to know?   (06:26): It's a great question. And I can go so many different ways with this. And, and I want to kind of take myself even back to when I first started doing this about 12 years ago, is that it's such a big field and it could be intimidating. It could be daunting. So the first thing I want to share with everybody is that we're trained to think it needs to be perfect. We're trained to think it needs to be linear. We're trained that it needs to happen very quickly. And none of these are true when it comes to cleansing your body. Because when you go to start cleansing your body, it's kind of like, imagine a home that's, that's sat for a long time and it hasn't gotten any TLC and you go in there and you start remodeling a 1970s home and you go, you start with the, the bathroom.   (07:03): And then of course the next thing you know, you're, you've spent six figures under remodeling the entire house. And you start to see when you pull the walls back, oh, there's some mold there. You start to look underneath the, the floors and you see, you know, pieces of wood or fragments that you don't want there that might be hazardous to your health asbestos in the roof. So it's kind of similar to that. And it's not meant to scare you. It's meant to aware you that cleansing is a journey. It's, it's a lifelong journey. I always like to say my favorite thing to say to people is ABC always be cleansing because it's not a destiny. It's not like, okay. It's like, when you say in the psychology field, it's like, well, I'm, I'm healed. I'm awake. I'm finally done. I'm woke. And it's like, no, our whole life isn't awakening. Just like a tree. Our whole life is blossoming. And so the same thing can be true with cleansing. We are exposed to over 75,000 toxins on a regular basis. And the average person, according to the EPA has over 700 in their body. I can see a lot of head nods over there, giving yourself chiropractic, adjust, right? Doc   (08:05): oh my gosh. Like preach Diane preach. Yeah. There's   (08:10): So many. And this is also, you know, what's been hidden, hidden in plain sight. It, it, from so many of us are not made aware of these because there are a lot of MDs. Obviously not like you talking, they're not talking about this, that are saying that your liver talks, your liver cleanses toxins on their own. You don't need to do anything additional, but the average person has over 700 of these poisons inside of them at any given time. The average baby is born with over 275 of these poisons in their body before they have even taken their first breath. And this is where I obviously get really passionate because where are these coming from? They're obviously coming from mom and this is not meant to shame or blame anybody, but the onus is on, on us when it comes to these things. When I tell women, Hey, before you go spend 15,000, 20,000 on IVF therapy, because you can't get pregnant, sit with somebody who, you know, is an expert at cleansing and work with them for three, ideally six months to really clean out your beautiful nest, go to your room and clean your womb.   (09:18): it's like   (09:19): What I like. So   (09:20): Clean your womb before you start to create something new, because this could be a lifelong sentence to a child, a brand new baby that maybe perhaps you weren't aware of with these poisons. And it's not too late. If you have had a baby, that's not what I'm saying at all. It's just to give these babies a great chance of cleansing. And so I wanted to start with those statistics because it's that important to understand that this is not just somebody who has had silver fillings or somebody who's had breast implants or somebody who's had Botox or somebody who's been exposed to asbestos cold. You know, this is not just one in a hundred people. We are constantly surrounded with these things. So the first place I like to start is by saying, what are the things that are currently poisoning you now? Like, what are the things in your environment? And you can do that and ask that question concurrent to I'm also going to be cleansing my body. Now. Here's what I'll say. Did you wanna interject anything Dr. Kirin? Cuz I just kind of went off   (10:17): Pretty big camera. No, I'm like, I'm like, I'm right with you. Preach. Tell it like it is and go right where you're going. I love it.   (10:24): Okay, great. So, so it first starts with awareness that wow cleansing is really, truly in my perspective. And hopefully you're hearing some of this too. The number one thing that is contributing to our illness today, symptoms, sickness, suffering, stuckness. And so that aside now you're here and you're going okay, what do I do? Where do I start toxins in environment. Very key. Secondly, here's what I'd like to say. That is very unconventional and UN mainstream. That needs to be is that start with ensuring that you're ready for the toxin game. Yeah, the detox game. Right? So I played professional soccer and I can say this because I know for me, if I hadn't been practicing for the championship game for the state cup, whatever it was that I was competing in and you guys who were athletes can, can get this or also kind of maybe preparing for your first date, you get ready. You wanna feel your best. You wanna feel confident, whatever it is, you wanna feel ready, strong and confident going into something that can be a game changer, lifesaver for you. Right. So what does that look like inside of the body is some something we call mitochondria and maybe have you talked about this on your show at all before? Oh   (11:36): Yeah. We love mitochondria here, but you go right ahead and talk about whatever you want with mitochondria is super important.   (11:44): Yeah. And we can, you know, get, it can get really clinical and overwhelming and super scientific. And that's not how I like to talk. I like to talk like I'm talking to maybe an eight year old because it's, we have so much information to process these days. And the reason why so many have brain Fogg and neurological dysfunction and have a hard time conceptualizing or, or retaining information and turning it into wisdom and applying it is because we are so bogged down with toxicity, neurotoxins that end up in our brain and 65% or around there of your brain is fat. And the number one place that toxins go is into fat. Like they're in the brain.   (12:22): I know most people don't realize that toxins love your brain. And one of the things that people are most afraid of is getting dementia second only to cancer. And they don't realize that the toxins. And I think it's the fact that you can't see them. And these statistics, like you said, 700 traces of 700 toxic chemicals in most adult humans on this planet. But most people, you can't feel it. It's not like that mercury that's floating around. You're like, oh I have mercury. Right? You might know that you're more sluggish. You're more tired. You're waking up in the middle of the night. You can't lose the extra few pounds that you've gained. Right? So you see it as these symptoms, but it's not linked directly to because your doctor's not telling you. And so you don't have this cognitive awareness of what these toxins are doing to you.   (13:16): And so what Diane and I are saying is you got to pull back the veil, that's covering your eyes and know that just cuz your doctor's not talking about it. You're not hearing about on the six o'clock news. You know, red alert, toxins are killing humans, causing cancer, causing dementia, accumulating in your brain. I'm so glad you're hearing us talk about it so that you know about it so that you are aware so that you can do something about it. And you know, I'm, I'm gonna end the episode by challenging you to do something about it. So, but first let's give you some more information (13:49): Yeah. I, and I love that. You just stated one of my favorite things to do is to, and I'm so happy that you're doing this as an MD. We need more of you. We need absolutely more of you Karen, to step up to this awareness and support patients with it. So it's more of a, a complete, comprehensive healing approach versus just here's a pill. And that's your only one thing. And that's what this six o'clock news will program, literally with the anchor anchoring into your mind, programming you with the program that talk to your doctor. Do you have this long list of symptoms, talk to your doctor, then you're gonna get diarrhea and death and dementia and disease weird. So it's the one thing, and this is singularity approach and it's not working. And it hasn't, unless there are people who are constantly watching and, and, and getting hypnotized by those.   (14:35): But I don't have eyes that are hypnotized. And I'm so glad that you don't and the people that you're influencing don't because you just said that very thing is getting into people's mind and going, you know what I'm thinking? You know what I fear now teach me how I can prevent this from manifesting, right? Because I say manifesting or a woman manifesting because we create a reality. We do create a disease. We are not victims of this. What we are victims of is this world that has so many chemicals and poisons that less than 2% of them have actually been tested and approved for safety. And every single year, there are several thousands more that are getting approved, that people are not aware of 2000 plus new chemicals are approved. And so this is why I say always be cleansing because it's not just about what's in your body. Now it's about what they're continuing, continuing to, to roll out and beauty products, personal care products, you know, there's a PTs and the pearls and all the things that people think are fine. And they're like, oh, dove, because it's on a beauty commercial, but yet dove is contains several toxic ingredients. However, they did a cue. He   (15:40): Looked so gentle on the commercial with the white dove and all the ladies look happy and you're being hypnotized. Y'all   (15:49): Brainwashed body washed beauty, washed all the washing, but it's really actually detoxifying. It's the opposite. It's upside down world. So whatever the TV says, do the opposite and it doesn't make your skin soft. The thing that I get frustrated by is that there is this thing called beauty wash. I called it, I call it beauty washing. I kind of coined these terms is I did not. My non-toxic beauty summit and wrote my book killer breast and my movie dying to be beautiful. And what I call it is, is beauty washing because these dove commercials, like you said, okay, skin, soft skin sat, you know, we're all smiling and happy and my teeth are super white. All of these are lies. They're all lies. And it's all, you know, they take average two hours to Photoshop. One picture in a magazine, just give us some, just thought two hours.   (16:35): We have all these filters on our phones. This is an unrealistic, we're going down a terrible path of what beauty isn't, it's, it's fake. It's a bunch of lies. And I don't know if you really wanna be a deceiver and a manipulator, but this is not how we, we can build beauty from the inside out of where I'm going with this. And then dove also did a study and found that 96% of women do not think they're beautiful and that yeah. And so we'll do all of these extreme things to buy our beauty. But what we're actually doing is we're cheating our temples and we're causing our body to be ugly on the inside. Bringing on a lot of these parasites that we'll get to today, detoxifying our temple. And then on the outside, our skin and hair only has toxins to build the fabric of our temple, right?   (17:26): So if a body cannot find a potassium, magnesium, calcium, all these minerals that comprise our beauty iron, it will use a heavy metal to build that. So then when you go on a detox, you start losing your hair and you're like, why am I losing my hair? The detox didn't work. No, it actually is. But if you're not draining well, which I'm gonna get to next. If you're not draining well, meaning you're not eliminating your toxins quickly enough, they will actually get forced through your skin and through your hair. And then you're gonna go, oh, my skin is terrible. My hair's falling out. I need to go buy some cream mm-hmm or lotions or pills. You you're gonna do extreme things like I did with like ACUTA, which is something they used and have been using for pancreatic chemo patients. How does that end up as a drug? And then it ends up as a skin, acne healer, but it's not a healer. It's a poisoner. So it's   (18:18): A poison. And, and I'm glad you brought that up because most people think, oh, I, I hear people say it all the time. I have acne. I have to go on the bird control pill and I might need Accutane. What am I, what most people don't realize is that your skin is an accessory detox organ. Like it didn't sign up for that. Your body didn't go. I'm gonna make skin so we can detox. No, you've got kidneys for that liver for that lungs, for that, it only kicks in with and starts trying to detox. They don't realize acne is your body trying to detox X eczema, psoriasis, all it's trying to push it out. Or like you said, losing your hair. So yes. Please talk about drainage.   (18:57): Yes, yes, yes, yes. Okay. So going back to my mitochondria, before you focus on drainage, we need to make sure that you're ready for this championship game known as detox. Detox is deeper than cleansing. So I can say you can always be cleansing, but you can do a bit more of a ritualistic routine detox and I'll get to that. Mm-hmm but mitochondria is the energy that your little cells make and you have trillions of them. They're all over your body. They're everywhere. And so a lot of people get into this reductionist at question of, well, how do I do this? And how do I do this? And they'll end up taking 20 plus pills a day, right? If you don't have mitochondrial health, you are not breaking down these high quality expensive, or maybe not expensive, but just any supplements. You're not breaking them down.   (19:42): And they end up just get getting backed up in your system. Especially if you don't have healthy drainage, which you won't, if you don't have healthy mitochondria production from your cells, that's what makes literally 90% of the energy that you get every day and that you need every day to do what your basic functions are. 90% comes from your mitochondria, which is ATP made in the cells. So your cells have to be healthy in order for you to be well and wealthy, cuz you can't be wealthy, whatever way you define it without being healthy. How do you have healthy cells? Well, I'll start by saying here's what not to do. Cuz I always talk about blockers and builders, blockers and builders. What are the things that are blocking sell health and what are the things that build sell health? Because everybody wants to ask a question, what do I do?   (20:32): What do I do? We have way too many of what do I do? We don't have enough of what do I undo? That's what detox truly is, is what do I undo? What do I stop doing in your life? That is depleting cells. And the one thing I will say about that and we can move on a drainage is that outside of your cell membrane is made of fat. The inside of your membrane is made of protein. So if you are not getting enough healthy fats and enough healthy proteins on a daily basis, you do not have healthy cells and fats, someone might say, oh, sunflower oil, SA flour oil. A lot of these things that you hear people read on a label that sound better than canola oil or better than vegetable oil or better than estrogen blocking soy oil, GMO, soy oil. These are all things that are very unhealthy oils.   (21:16): When people get smarter, they move onto the next green washing thing on the label. Now with sunflower oil. So you have this sunflowers yeah. Flowers and it's pretty and it's colorful. And that sounds healthy. I'm gonna tell you that that's not as healthy as things like omegas. The things that you can get from salmon and a healthy ratio of omega 360 9. That's probably beyond the show today of the topic, but just getting the idea that healthy oils, avocado oils, healthy, organic coconut oils. These are things that help build a healthy structure of the outside of the cell and then enough protein so that you can and, and ignite the inside of the cells. Why that's so important is healthy. Mitochondria. Not only give you energy, but here's how they do it. They push out the bad stuff from the cells, which a lot of them are trapped in when you don't have healthy cells. (22:03): And then the good stuff can't get in. So all these healthy supplements, the vitamins, the hormones, the minerals, they can't get in the cells. So they end up just leaving the body. That's a very reductionist, simplistic state that is important to first, start with energy, make sure that you're ready for the championship game. Make sure that your mitochondria optimized, because those are the things that also communicate to your organs. Like your liver will take and filter the things that will be either fat soluble or water soluble. If they're fat soluble, they leave through the colon. If they're water soluble, they leave through your kidneys. So you poop them or pee them out, right? To speak to like an eight year old. And the thing that's important there is that your liver can only function as well. Is your mitochondria, AKA or cell energy. Powerhouses can communicate the liver to tell them, to let go of the toxins and to convert T4, to T3 for iodine molecules to three iodine molecules in the liver.   (22:58): 70% of that are so happens in the liver. So you, if you're not a liver, you're a dire. That's one of my favorite things to say to, I love that, right? And you've got to take care and love on your liver. So this, you can see here, why MI country is so important because it dictates the power and the consistency of drainage that starts in. Of course it goes through your toxins, go through your lymphatic system, go into the blood, go in the liver and then transport out through poop and pee or sweat or breath. Those are the four main elimination pathways. It could, if you're a woman, it will also come through your ovaries through your cycle. If you're still cycling, if you're over 40, you might not be. And then you also drain it through your hair too. So what I say is, if you really wanna maintain and build your beauty, also know that the better that you're taking care of your liver and your lymphatic system and your gallbladder and all of the elimination organs that are in, in this space between your thyroid down to your ovaries, the more that your body has building blocks to make healthy skin and healthy hair.   (24:10): So that's what drainage is. And I can talk a little bit more about how to do that if you'd like Dr. Karen, it's up to you. But I kind of just said a mouth wall on that too. So I'll let you interact.    (24:18): Yeah. We only have so much time and we've you've number one. I'm gonna just reiterate for everyone was stop poisoning yourself with whatever you're poisoning yourself with. Number two is get your mitochondria online. So they're working for you. They're helping jazz up your liver. What other steps? Why don't we go through all the steps? And then if you wanna come back and give more details about each cuz I know everybody's listening going, this is more than I've heard about cleansing in a long time. Cuz I literally, I can't stand it when I go to the health food store. And I see people asking the clerk who basically has no medical training and holding up a supplement and saying, is this a good detox supplement? And so first off the concept that I need a supplement, that's the first thing I should do wrong. The second concept that there's only one supplement that I need to take that's wrong. And so I'd love for them to get an overview of the steps and then we can come back and add details.   (25:17): Yeah. Yeah. Okay. Thanks. So that's why I say ABC always be cleansing cuz it is a lifestyle. It isn't just a thing that you do once in a while. It's not just colon session once and you're done. It's not that you just sit in a sauna or that you go to a seven day retreat and you cleanse your body and you do it once a year. And then what are you having a   (25:36): Retreat? You wouldn't take a shower once a year and go, oh I did. I took a shower in 20 brushing your   (25:46): Teeth. I'm like, please don't think that just what, what would it be like if you just brush your teeth bill once a year?   (25:51): I know. So point taken, okay, go ahead.   (25:55): And 75% of disease begins in the mouth and we swallow the equivalent of one liter of water every day. And so whatever's going on in your mouth. It becomes part of your gut and whatever's in your gut then becomes all over, you know, every cell of your body because we can poison ourself without realizing it because it we've also been lied to you about that. You know, mercury, silver fillings, you know, get those suckers out. Those are what I call the arsonists. They're constantly starting fires in your body and they live in the body. So that would be breast and implant, silver fillings. So things that are living inside of you that are constantly just, just dripping out toxins, get those suckers out, do it with a biological dentist, do it with a trained, uh, surgeon who knows how to do an N block, total capsule ectomy.   (26:38): I talk about all of that book in my book, killer breast. I'll have you put all the links below so that, um, find their way there and bonuses I have for the book, everything. So the first thing to do to feed your mitochondria, um, and ensure that you have enough energy being produced, the powerhouses of your cells, the power plants is to ensure that you're not eating crap. And here's what I say. Eat fast food, eat fast food all day long every day. And what I mean by that is it stands for something. I like to make words that, that, that sound fun for you guys to remember. Yeah. Fermented foods, antioxidants, super foods and tox and binders because a lot of people will go say, oh, activated charcoal. I did a cleanse because it does have a stronger bond. It does attach to, to toxins.   (27:24): But if you don't have strong mitochondria and you're not draining well, then all it's gonna do is hold into the toxins and not go anywhere. So toxin binders, the most effective ones are the ones that you take in supplement form that are carbon based. Those have a carbon strong bond on them and they're also leaving a healthy residue after they talk detox. What I mean by eating a diet with toxin binders, you wanna get things like spirolina cilantro, chlorella. You wanna get those in your diet in supplement form. They're not gonna be as strong as going after a lot of the toxins that we've been thrown in the last few years. Okay? So just keep that in mind, eat a fast food diet. That is the best way to boost your mitochondria. And of course you are not going to get by on five hours of sleep.   (28:09): You're just not, you need a good seven to nine hours. You need your beauty sleep. There's a reason you set sleep for a very long time. And a lot of your human growth hormone is made when you're sleeping to 95% plus a thought burning happens while you sleep because 98% of human growth hormone is being produced while you sleep. But if you don't get that sleep, then you have Houston a problem. And so the reason why a lot of people today are not able to get sleep. Restful sleep is one thing and they are suckers. They're energy suckers, they're nutrient suckers. They are vitality drainers, and they eat your iron. No wonder why your hair is falling out. It's not just from aging and those are called parasites. So I don't know if you wanna spend more time in the mitochondrial space, Dr. Kyrin, but have   (28:57): Let's we got a few more minutes. Let's jump into parasites real briefly. And then we're gonna have to wrap up, but go ahead.   (29:03): Yes, parasites. So I say first to detox, your start to detox your environment. And at the same time, you can start to detox your body and then you can also start to detox the bugs. And so the reason why you have so many talkin your body, what many people don't realize about parasites is that we all have them. It's said that we're 98% bug. So we have a symbiotic relationship with parasites and it's not all bad. I want everybody to know that parasites are not all bad parasites have. In fact, on the bad side, killed more humans than anything else in human history. The average person has at least one infection inside of them. That is not healthy for us. The, the ideal ratio of healthy microbes to unhealthy microbes would be somewhere along the lines of based on the microbe, the human microbe project we've had around for now eight years, a good ratio is 80% good bug and 20% bad, but the average person has the opposite.   (30:05): And now we have more 80% bad and 20% good. So why is it, how did all of a sudden these parasites get so obese in our body? And the reason for that is because their job is to be the bottom feeders in your body. That's their job. We don't just catch bugs. We create them. That is so, so critically important because a lot of people want to say, you got me sick, or you got me sick or that, that dog or that horse. Sure. We pass parasites between animals and each other all day long. But when you have a strong immune system, you can fight them off. When you have a strong immune system, you can call them to action. So imagine when you have a party, you need a housekeeper to come and clean up this mess, right? Whatever, you cannot excrete properly because your mitochondria is off or your drainage pathways are not optimized.   (30:52): The parasites need to come up, but clean 'em up. So they go eat them up. They're the bottom feeders of the fish tank. And when they gobble up, they could grow to be hundreds. If not thousands of times, their size of their original body. They're like chia, pets. They get bigger. And what they clean up is the heavy metals and the environmental toxins and the mold and the Canda and the bacteria and viruses. Anything. We cannot excrete becomes property of the parasites. And then, and also they end up eating your nutrients. They end up eating your B vitamins, your magnesium, your vitamin D all these supplements that you take, that you're thinking they're going, where they need to go. They can't get in the cells, which are your cells. If they're going into these parasitic cells. So they also eat, like I said, your iron.   (31:35): And that's one of the primary things that, that helps us to create new hair. Right? And like, I, like I was mentioning earlier women over the age of 40, 80% of us have stagnant bile. 25% of us have some type of diagnosed or undiagnosed thyroid disease. Thyroid disease means your metabolism is sluggish mitochondria as absolutely sluggish. 80% of us have stagnant bile flow. What does that mean? Bile carries out fat sayable toxins out of the, the bowels, whatever does not get excreted. 95% of that bowel gets recirculated back up to the gallbladder. If the gallbladder then becomes the housing unit for all of these toxins, no wonder why we so many gallbladders being removed, right? It's not the gallbladder's fault. It's because toxin so drew, they are there to clean up the mess that we cannot excrete. So what we need to, to do is go, okay, again, start with mitochondrial, open up the drainage pathways.   (32:27): Think up to the parasites. When you go up to the parasites, you gotta start with those first two steps. When you go to the parasites, also get that when you go to kill them, they're releasing all of that toxic waste, Canda mold bacteria. So we also want to have, like I said, the toxin binder, which is the tea and fast food it's toxin binder that is very strong carbon based that attaches to that waste. And that, because now your, your elimination pathways are open, can carry that waste out and let them go. And there's all kinds of parasites. So there's a lot of people who are taking the IR. And I'm not saying the full word just in case, but they're taking a lot of things, thinking, check, I'm done. I take the IR or I take, you know, wormwood or I take clove, which is great. It goes after some of the eggs, but the, the best parasite cleanse is one that has a multidisciplinary approach, many different types of herbs to go after all the different life cycles, the parasites, every single one of us needs to go after this because it truly is the root cause of so many issues that people don't even realize today.   (33:25): It is so true. And we could talk about parasites for hours, days, weeks, long time. And I know everybody wants to hear more, but we do have to wrap up. So let's do that. We've got links for Diane in the show notes. She has a great event coming up that you may wanna participate in because hopefully you've gotten what we're saying. If you've been paying attention, you can't help it. And you've heard that we're swimming in the sea of toxins. They're in you. You've got to get them out. If you want any hope of having balanced hormones. You know, I, I always say the harm. The name of the podcast is the hormone prescription. I tie everything to hormones. So some of you are sitting there thinking Hurin, didn't tie this into hormones. So let me do that for you real quick, before we go.   (34:12): So toxicity feeds directly into your cortisol stress hormone. These are stresses, right? When you think of stress, you think, oh, you know, I gotta pay my mortgage. Oh my kids' new shoes. You think of life, psychosocial stressors, your body doesn't see it that way. It, yes, adds that, but it also takes blood sugar stress, which you've heard me talk about. And it takes toxicity stress. So it, you have toxicity, you've got a cortisol problem and that's gonna unbalance your insulin, your thyroid, your sex hormones. All right. So we did it. All right. So let's wrap up. Diane has a great event coming up for you where I think she's gonna guide you through all this. I don't know you guys right now ready? Like, okay, we get it, but we need a guide. Diane's gonna guide you through this. So tell them all about it.   (35:04): Yeah, absolutely. And, and what I'll say is that the full moon is the absolute, best time to go after parasites and people might be thinking, what do you mean the full moon? That sounds scary. I'm like, well, yeah, parasites in the body not being eliminated are absolutely scary. What they do, your hormones is absolutely scary. So we actually have them coming up in September. And so what, what I'm gonna say is September 27th, and then we'll probably have another one after that, just in case if you're listening to this, and if you're hearing this any other time later, then you you're gonna find out how to get ahold of me and do this on your own. Perhaps the thing with parasites around the full moon is that on the full moon, they increase your serotonin and they decrease your melatonin. So you might think, oh, serotonin, that makes me happy.   (35:44): No, it actually makes the parasites happy. And so that's why we are whacked out and we're not ourselves. And the melatonin drops, no wonder why you can't sleep. So that's another way it affects your hormones. And that's your firefighter to, to put out inflammation when you sleep is the melatonin. So there's a reason why many of the people I work with in this cleanse sleep better. They have more energy. Their hair starts to come back and all the things we talked about get reversed today. So that's coming up September 27th. If you guys buy one of the kits and, and what's gonna happen is I, I've never done this before in terms of a webinar and just hosting it. Like this is a compliment for, for the people who get a parasite full moon kit. So step one, like I mentioned is mitochondrial support sub two drainage.   (36:21): But if you are just like, just tell me what to do, Diane, there's gonna be a couple links below. I put together one kit that is the drainage kit. And then also the step two would be the parasite cleanse kit. So that is a full kit. And you actually save money by bundling them where it's a few supplements. These are supplements that work, they won't get mucked up on your body. So I would actually do that. There is one, that's just a standalone parasite kit, and you could do that. And that has four different supplements in it. Uh, the binder I mentioned in three different types of parasite herbs, but I would start with liver and it goes liver lymph and gallbladder flow. So you're gonna experience major openings, major poops, major releases, probably a lot, some weight loss, hormone optimization, because we do have one supplement in there that will actually help to support better sleep before you go into the parasite cleanse kit.   (37:10): So if you guys get either one or both of those kits, like I said, the duo kit has a $25 off when you bundle it together. And then we also have a special for Dr. Kirin too. If you use a special supplement, uh, or a special link below, uh, that she'll put, and then if you use the coupon code full moon, 10, you'll get an additional 10% off. And what that's going to enroll you to get is an invite to special invite for only people who are serious about this, a two hour webinar with me telling you exactly what to eat, exactly what to do exactly what not to do. That's a long list, but I'll tell you the main ones not to do so that we can ensure the greatest success for this go round. And in the future, you're gonna want your whole family to consider this. And one of you can do it. And then you can also guide people to do it later on, because this is how you become your own best doctor. Especially also having doctors like Dr. Karenna follow as well. So it's, don't worry. This is for people to start asking questions. If, if, if I have this condition or if I have this symptom of this, we all need to get rid of parasite. You guys. So this is   (38:09): Everybody needs to detox. Y'all, there's no question, but I have this, but I'm on this medication, but I have this medical problem. Everybody needs to detox. If you are human and you are on the face of this planet, living and breathing, you've got toxicity. You need to detox. We do have to wrap it up. Thank you so much, Diane. We will have all the links in the show notes, full disclosure that we do receive affiliate commissions or may for anything that you purchase. But as you guys have been following me for a long time, no, I will never give you anything that I don't think is amazing. Right? So thanks. Appreciate. It's not about the money. It's about you getting what you need and if we happen to make a living, so we can continue to do what we do then that's awesome. So any last words, Diane,   (38:59): Uh, thank you for being a, a light in the dark as an MD. That's bringing this to fruition because we truly can be our own best doctor. And it takes somebody really getting out of their ego to say, I'm not the only solution you are the solution. So I just wanted to honor you for bringing this topic forth, because it really is in my perspective and my experience and my own empathy and my own healing journey, the greatest way that we can not only get rid of the parasites in our body, but also raise our vibe so that we reduce parasitic energies that suck the life out of us. And that we wonder how we can think smarter, think more positive, attract more things that are beautiful in our life. You can only raise your vibe to the extent that you're getting the things rid of it out of, in you, out of your body so that you can start to thrive again. And it's, uh, it's a beautiful life cycle as above so below. And, uh, it's an inside out journey   (39:57): As within, so without, as above so below, thank you so much, Diane, everybody click the links and check it out. And it's just like living in your house. If it was a disaster, you would know it. You would clean it up if it was dirty, but it's on the inside and you can't see it and you don't know, but now, you know, so what are you gonna do about it? I really appreciate you all for joining me for another episode of the hormone prescription. And once again, don't let this just be infotainment, just more information that you take, and then you do nothing about really your health can change tremendously just by taking one step at a time. All you need to do is take the one step that's in front of you. So what are you gonna do with this information? And I would encourage you to check Diane's information and products out and her program. And you will know if it's right for you and if it is by all means, do it. And if it's not keeping, keep looking for the answers that are out there for you, because you deserve brilliant health at every age. And I'll see you again next week until then peace, love and hormones. Y'all   (41:03): Thank you so much for listening. I know that incredible vitality occurs for women over 40. When we learn to speak hormone and balance these vital regulators to create the health and the life that we deserve. If you're enjoying this podcast, I'd love it. If you give me a review and subscribe, it really does help this podcast out so much. You can visit the hormone prescription.com, where we have some free gifts for you, and you can sign up to have a hormone evaluation with me on the podcast to gain clarity into your personal situation until next time, remember, take small steps each day to balance your hormones and watch the wonderful changes in your health that begin to unfold for you. Talk to you soon.   ► Get free access to Diane Kazer's Module #1 of The Warrior Cleanse Program: CLICK HERE.   ► Feeling tired? Can't seem to lose weight, no matter how hard you try? It might be time to check your hormones.   Most people don't even know that their hormones could be the culprit behind their problems. But at Her Hormone Club, we specialize in hormone testing and treatment. We can help you figure out what's going on with your hormones and get you back on track.   We offer advanced hormone testing and treatment from Board Certified Practitioners, so you can feel confident that you're getting the best possible care. Plus, our convenient online consultation process makes it easy to get started.   Try Her Hormone Club for 30 days and see how it can help you feel better than before.   CLICK HERE to sign up.  

The Leadership Tales Podcast with Colin Hunter
Giving Leaders Purpose and Tangible Goals with Leadership Developers Johnathan and Melissa Nightingale

The Leadership Tales Podcast with Colin Hunter

Play Episode Listen Later Sep 19, 2022 61:34


Husband and wife team Jonathan and Melissa Nightingale are a Toronto-based leadership development initiative called Raw Signal Group. With backgrounds in engineering at Mozilla, experience in public relations, and tech start-ups development, Jonathan and Melissa started Raw Signal Group in 2017 with the aim to bring pragmatic, focused leadership techniques to bosses, CEOs and MDs in all fields.  In today's episode, you'll learn the benefits of working towards tangible goals, improving your leadership techniques, and how parenting and management are intrinsically linked.  Links mentioned: https://www.rawsignal.ca/ (Raw Signal Group) https://twitter.com/shappy (Melissa's Twitter) https://twitter.com/johnath (Jonathan's Twitter)

The Todd Herman Show
Fauci refuses document demands, a German Doctor was diagnosed as insane for telling Covid truths and an American MD was just released from prison for reading a speech about Covid in our Capital - Episode 327 - Hour 1 Fauci Refuses Document Demands

The Todd Herman Show

Play Episode Listen Later Sep 15, 2022 60:57


THE THESIS: The Party knows they lied, they know they have killed people and made them sicker, perhaps for life. But, that is not about to tamper their obsession with getting every single one of us injected with the mRNA sequences. None of this can be excluded as healthcare.  THE SCRIPTURE & SCRIPTURAL RESOURCES:  We must be grounded in solid, Biblical worldviews and we must keep in our hearts and minds the Word of God. His Word is applicable to all times. By living in it, we will more easily spot the lies of this fallen world.  Hebrews 4:12 12 For the word of God is alive and active. Sharper than any double-edged sword, it penetrates even to dividing soul and spirit, joints and marrow; it judges the thoughts and attitudes of the heart. Yes, it seems overwhelming. But, please remember, what God says He will do a thing, it is already done. He does not operate in timelines, He is timeless. These battles for earthly power amount to nothing in the face of The Lord.  Scriptures to Remind You that God Has Already Won the Battle for You THE NEWS & COMMENT: Yeah, sure . . . it was Covid to blame for a 94 year old woman dying. But, The Party has to keep the fear building.  Hey, look! The same mRNA that The Party injected into to people with Covid as the reason, is now going to be used to fight cancer. That's convenient since, according to Dr. Ryan Cole and data from Ethical Skpetic's analsysis of public and private health data, AND insurance company reporting, cancer has radically increased since the injection coercion drive began.  [AUDIO] - Joe Biden on curing cancer: "To prevent cancers, scientists are exploring whether mRNA vaccine technology that brought us safe and effective COVID-19 vaccines could be used to stop cancer cells when they first arise." Little bits at a time, Party members are telling little bits of the truth . . .  [AUDIO] - Australian “health” officials are starting to let the truth dribble-out But, dissident doctors brave enough to speak the full truth are Godsends [AUDIO] - Dr. Meryl Nass: Insanity of the new covid boosters: Interview with The New American, Dr. Maryl Nass detailed the disastrous safety and efficacy data for the Omicron boosters that were not even tested in humans, and warned people against taking them, calling it "insanity." . . . Whistleblowers are Godsent. This woman proves that Isreali “health” officials repeatedly falsified data to pretend the mRNA injections worked and, maybe worse, to pretend they aren't harmful. That is NOT an act of delivering healthcare. They are killing people and they know it or they wouldn't have tried so desperately to hide it.  CATASTROPHIC Israeli cover-up of COVID vaccine harms: Yaffa Shir-Raz, health researcher in Israel, blows the whistle and releases twitter (10 posts) of what she uncovered & what Israel is hiding Just as many of us said early on: when you shove what can most charitably be called a non-neutralizing agent into people's bodies during an outbreak, you will make things worse. This is epidemiology 101. When that agent invites a host of illnesses by deranging the immune system, it is even easier to predict.  ‘Unethical' and up to 98 Times Worse Than the Disease: Top Scientists Publish Paradigm-Shifting Study About COVID-19 Vaccines A team of nine experts from Harvard, Johns Hopkins, and other top universities has published paradigm-shifting research about the efficacy and safety of the COVID-19 vaccines and why mandating vaccines for college students is unethical. This 50-page study, which was published on The Social Science Research Network at the end of August, analyzed CDC and industry-sponsored data on vaccine adverse events, and concluded that mandates for COVID-19 boosters for young people may cause 18 to 98 actual serious adverse events for each COVID-19 infection-related hospitalization theoretically prevented. The paper is co-authored by Dr. Stefan Baral, an epidemiology professor at Johns Hopkins University; surgeon Martin Adel Makary, M.D., a professor at Johns Hopkins known for his books exposing medical malfeasance, including “Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Heath Care”; and Dr. Vinayak Prasad, a hematologist-oncologist, who is a professor in the UCSF Department of Epidemiology and Biostatistics, as well as the author of over 350 academic and peer-reviewed articles. The Party is still pushing the mRNA and pretending its safe and effective at the same time they are creating a food shortage and pretending they are shocked. Incidentally, did you know the government has a voluntary program for you to register your garden? Good thing that will always be voluntary---RIGHT?   The USDA is encouraging people to register their garden under the guise of a community program called “The People's Garden”. They're literally creating a map of anyone who grows their own produce. Guess what that map will be used for later? https://www.nrcs.usda.gov/wps/portal/nrcs/detail/national/newsroom/releases/?cid=NRCSEPRD1952625 The character of The Party has been on full display. There is no honor among thieves and here is the boss-man of Pfizer announcing that he was just following orders . . .  [AUDIO] - Pfizer boss Albert Bourla backs down completely and now maintains that the "mRNA vaccine" technology was not sufficiently proven when they launched the Covid one. He says they "convinced him" but he wasn't sure. More on the character of Pfizer . . .  No Whites Allowed: Pfizer Fellowship Flagrantly Violates the Law, Lawyers Say; The 'Breakthrough Fellowship' prohibits whites and Asians from applying, a restriction that is 'flagrantly illegal' Pfizer's cartel head gets billions. Truth-telling MDs get thrown into psych wards and diagnosed with “Corona ‘Insanity.'” [AUDIO] - Dr. Thomas Binder, MD, explains his brutal encounter with police and subsequent placement in a psychiatric unit for speaking the truth. Full interview coming soon via TLAV! . . . OR, in D.C., they get tossed into prison and kept in solitary for eight days for refusing the mRNA injections. [AUDIO] - Dr. Simone Gold is out of prison, here is her message.  The lead sociopath of the CDC--and, yes, I fully believe Fauci is a sociopath--is slow-walking release of his emails that will likely prove he was helping to run the government censorship program they execute through State-actors, Facebook, Twitter, YouTube, LinkedIn, Vimeo, Scrid'd, etc . . .  [AUDIO] - Fauci has been court-ordered to turn over emails regarding his potential collusion with Big Tech to censor viewpoints he deemed ‘misinformation'. “All of America should be appalled that ‘America's Doctor' doesn't want to divulge his communications with Big Tech.” There is a rage building and it makes sense; this firefighter is right about all of this. Still, I get you to give this to Jesus. The Enemy wants us unraged, please don't take the bait.  [AUDIO] - "I could run into a burning building for this city but I couldn't eat in a restaurant"  It was all nonsense. Most of us knew it. When installing a tyrannical state, disciplining people to do the ridiculous is a major goal. That creates great soldiers for harming neighbors.  [AUDIO] - Dr. Paul Alexander: “I asked (CDC Director) Dr. Redfield about the Science the CDC used to make Six Feet Social Distancing Rules etc... ”He said there is no Science, We Made it Up” The rage will be hard to contain as the proof of their murders and murders-to-come builds. Please,”take every thought captive to Christ.“ A new study in NEJM shows not only that Pfizer vaccine effectiveness becomes negative within five months but that the vaccines destroy any protection a person would have had from natural immunity.See omnystudio.com/listener for privacy information.

VJHemOnc Podcast
Improving the efficiency of drug approvals in MDS

VJHemOnc Podcast

Play Episode Listen Later Sep 14, 2022 16:02


In recent years, the treatment and management of myelodysplastic syndromes (MDS) has improved, and several clinical trials are investigating novel... The post Improving the efficiency of drug approvals in MDS appeared first on VJHemOnc.

5 Core Life
213. Extend Your Life with Deep Thinking + Improving Your Mindset | Dr. Caroline Leaf

5 Core Life

Play Episode Listen Later Sep 13, 2022 48:51


213. In this episode of Gamify Your Habits, Will digs deep into how our brain grows and is constantly changing with Cognitive Neuroscientist and author of 18 books, Dr. Caroline Leaf. She discussed how deeper thinking equals a longer life and how we are harming ourselves when we don't grow or challenge ourselves. Caroline also provides insights into what she's learned from a career of research and clinical trials on depression and anxiety. Are you ready to fire on all cylinders? Let's go! MORE ABOUT DR. CAROLINE LEAF: Dr. Caroline Leaf is a communication pathologist and cognitive neuroscientist with a Masters and PhD in Communication Pathology and a BSc Logopaedics, specializing in cognitive and metacognitive neuropsychology. Since the early 1980's, she has researched the mind-brain connection, the nature of mental health, and the formation of memory. She was one of the first in her field to study how the brain can change (neuroplasticity) with directed mind input. Dr. Leaf is also the bestselling author of Switch on Your Brain, Think Learn Succeed, Think and Eat Yourself Smart, and many more. She teaches at academic, medical and neuroscience conferences, churches, and to various audiences around the world. Dr. Leaf is also involved in the global ECHO movement, which trains physicians worldwide on the mind-brain-body connection, mental health and how to avoid physician burnout. She runs the “Integrated Mind Network”, which is a panel of top neurosurgeons, neurologists, MDs, OBGYN's, endocrinologists, MDs, and neuroscientists with whom she consults with, and does research and clinical trials. She is also part of a mental health initiative in Washington, DC. For more information about Dr. Leaf and her work, head to her website at www.drleaf.com MORE ABOUT 5 CORE LIFE: The show consists of interviews and discussions with top entrepreneurs, top leaders in their field, and regular folks on what it means to live a #5CoreLIfe. Click the link to learn more about The 5 Core Life Podcast: www.mooremomentum.com/5-core-life-podcast WHAT'S YOUR CORE SCORE? Take the FREE Life Evaluator Quiz to see where you currently stand in your five cores: www.mooremomentum.com/free-li... Like and Subscribe! FIND ME ON FACEBOOK, IG or TWITTER: @mooremomentum JOIN MY GROUP To CREATE A MILLION-DOLLAR BUSINESS ⬇️ www.facebook.com/groups/buildamilliondollarbiz/ SIGN UP FOR OUR WEEKLY BLOG AS WELL! www.mooremomentum.com/blog --- Send in a voice message: https://anchor.fm/5corelife/message

Ecommerce Mindset
Why Amazon Sellers Need User Generated Content with Ian Sells

Ecommerce Mindset

Play Episode Listen Later Sep 12, 2022 38:13


Ian Sells, co-founder of MDS and Joinbrands.com shares the benefits of user-generated content for Amazon sellers. This episode is brought to you by my Amazon marketing and advertising agency IncrementumDigital.com. Visit 8fig.co to learn more about growth capital solutions for your ecommerce brand. Join the E-commerce Mindset Group https://www.facebook.com/groups/ecommercemindsetgroup/ on facebook to continue the conversation and follow Liran & Incrementum Digital on social media: Youtube: https://www.youtube.com/channel/UC7MFYjY6F6i6Z3aI299gtmA Subscribe Linkedin Newsletter: https://www.linkedin.com/newsletters/incrementum-digital-weekly-6922971660962734080/ https://www.facebook.com/lhirschkorn https://www.instagram.com/liranhirschkorn/ https://www.linkedin.com/in/liranhirschkorn/ --- Send in a voice message: https://anchor.fm/liran-hirschkorn0/message

Modern Day Sniper Podcast
MDS Episode #0074: PRS UK

Modern Day Sniper Podcast

Play Episode Listen Later Sep 9, 2022 102:36 Very Popular


In this episode Caylen and Phil welcome the boys from Precision Rifle Series UK, Andy, Trez, and John. With the PRS UK boys hosting four MDS classes this coming spring, the episode details all that will be covered in those classes, the venue we'll be using, and some tips on traveling to the UK with rifles and ammunition. The conversation also touches on some of the challenges the PRS UK has with developing a larger shooter community and the constraints that rifle shooters face in the UK's populated areas.    To register for our upcoming UK classes, find the links here:  https://www.precisionrifleseries-uk.com/modern-day-sniper-training-courses/   To register for our other stateside upcoming events, head over to: https://www.tickettailor.com/events/moderndayrifleman   Join the Modern Day Rifleman Network:     https://www.mdsschoolhouse.com     www.moderndayrifleman.com     Moderndaysniper.com     MDS Instagram      

Physicians Off The Beaten Path
31- Physician-Scientist Series: Mansur Shomali (Welldoc)

Physicians Off The Beaten Path

Play Episode Listen Later Sep 7, 2022 40:57


How can AI innovation help in transforming the future of Endocrinology? What are the main problems we have with the US healthcare system, and what roles can MDs have in solving these problems? In this episode, we answer all these questions and more, with our guest, Mansur Shomali, M.D. He is Chief Medical Officer at Welldoc, a healthcare technology company that develops solutions to transform the management of chronic disease. Mansur received his undergraduate degree in biomedical engineering at the Johns Hopkins University and his medical degree from McGill University in Montreal, Canada.

Oh, My Health...There Is Hope!
Episode 416: Aging is a disease? with Chris Mirabile

Oh, My Health...There Is Hope!

Play Episode Listen Later Sep 5, 2022 29:28


In this episode of Oh My Heath ... There's HOPE! Jana talks with Chris Mirabile.    As a serial entrepreneur, brain tumor survivor, and the youngest winner of [NYU Stern's business plan competition]Chris is known for beating the odds.   Determined to crack the code to longevity, Chris became a self-proclaimed “citizen scientist,” experimenting with supplements, diet, and exercise — research that led him to create [NOVOS], the first science-backed nutraceutical company and public benefit platform that addresses all ten mechanisms of aging.   As its Co-Founder and CEO, he's working alongside the world's top longevity scientists and MDs to help millions of people take control of their healthspans and lifespans — and stay younger, and longer.   “Younger for Longer”   This 30-minute episode is on: * Surviving life is sometimes more work than one might think * Facing mortality at a young age can transform your perspective * We are not our grandma's grandma anymore! * Learning about longevity medicine * How do we start flipping those switches and turning things around for us   This episode is about: In this episode, Jana and Chris discuss how surviving life might be more challenging than you might think. How facing mortality at a young age can definitely change your perspective. We aren't our grandma's, grandma anymore. With education and science, we are able to start flipping that switch on aging and learning to thrive longer.   Get in touch with Chris: https://novoslabs.com/  https://slowmyage.com   https://www.instagram.com/slowmyage/    Get in touch with Jana and listen to more Podcasts: https://www.janashort.com/    Show Music ‘Hold On' by Amy Gerhartz https://www.amygerhartz.com/music.    Get Your Free Copy of Best Holistic Life Magazine! One of the fastest-growing independent magazines centered around holistic living. https://www.bestholisticlife.com/    Grab your gift today: https://www.janashort.com/becoming-the-next-influencers-download-offer/  Connect with Jana Short: https://www.janashort.com/contact/ 

Catalog & Cocktails
Catalog & Cocktails: Bonus Episode with John Kutay

Catalog & Cocktails

Play Episode Listen Later Sep 3, 2022 61:25


Lucid Streaming; how to take full advantage of data streamingData streaming, Stream Processing, Real-time analytics, operational analytics — what is this? What's the difference?Most important use cases for data streamingThere are lots of misconceptions especially for the MDS crowd (not as much enterprise) between fast batch vs streamingMemory-first processing (in-memory) vs disk space batch jobsChange data capture (and only capture of change)Data warehouses are now tying to support streaming more (like Snowflake)This will be a big deal to make it so that more streaming can happen Streaming warehouses (Rockset, Materialize) vs data streamingLineage - transformed data - can I trust this data I'm looking atHow does data streaming and lineage come together? What's unique about lineage in a streaming context?If time: what does it mean to do streaming data products in a data mesh context?

Confessions of a Male Gynecologist
6: Knock Knock Credentials

Confessions of a Male Gynecologist

Play Episode Listen Later Sep 1, 2022 34:28


Many patients are choosing providers outside of the traditional medical system because of negative experiences with MDs. In a time where there are so many doctors, experts, and gurus to choose from, there's no need to stay with a provider that is failing you. At the same time, figuring out who is well-positioned to help you has become quite confusing. From doctors who aren't medical doctors to specialists advising outside of their specialty, how are you supposed to know what to look for? With this episode, I want to get you thinking about your providers and to be empowered in choosing whose advice you follow. I'm sharing what the letters behind providers' names mean, the differences between similar-sounding specialties, and the red flags that you should be aware of when selecting a provider.   Highlights The confusion caused by non-medical practitioners with the title “Dr.” Core tenet for credential clarity: Always clarify what type of Dr. you are Getting clear on the training and experience behind: MD: Medical Doctor; 4 years of undergrad, 4 years of medical school, residency and possibly fellowship DO: Doctor of Osteopathic Medicine; similar training path to MDs but with an additional study on manipulative therapy Naturopath/Naturopathic Doctor: operate on the six principles of naturopathic medicine; usually a 4-year program Chiropractic Physician/Doctor of Chiropractic: Focus on the musculoskeletal anatomy DPT: Doctor of Physical Therapy; Graduate degree; required to indicate that they are physical therapists when using the title of Dr. Clinical Nutritionist: analyzes a person's diet along with their medical history; often licensed and can usually order labs Registered Dietitian (RDN): food and nutrition experts; internship after completing their degree; can sometimes order labs Certified Nutritional Consultant (CNC): educates clients on their lifestyle and dietary habits; can sit for a certified board exam after completing education and experience requirements Functional Diagnostic Nutrition (FDN)/Integrative Functional Nutritionist: receive nutrition training but don't necessarily have a medical background Traditional Chinese Medicine (TCM) practitioners: lengthy degree requirement; aim to find the energetic body aspect of your illness and correct it from that angle Acupuncturist: degree program differentiated them from someone who does needling Keys differences between: Psychologists vs. psychiatrists Plastic surgeon vs. cosmetic surgeon Nurse practitioners (NP) vs. physician assistants (PA)     Resources Dr. Shawn Tassone's Practice https://www.drshawntassone.com/ Dr. Shawn Tassone's Book | The Hormone Balance Bible https://tassonemd.com/hormone-balance-bible/ Dr. Shawn Tassone's Integrative Hormonal Mapping System | Hormone Archetype Quiz https://tassonemd.lpages.co/hormonearchetypequiz/   Learn more at https://tassonemd.com/podcast/.     Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.

Not Just a Chiropractor for Stamford, Darien, Norwalk and New Canaan
Stamford, Darien, Norwalk, New Canaan CT - Neck Pain & trouble Sleeping

Not Just a Chiropractor for Stamford, Darien, Norwalk and New Canaan

Play Episode Listen Later Sep 1, 2022 11:18


Is your neck pain causing you to lose sleep?Rarely do people take note of how they sleep when they are having pain. The pain is the big draw and is what usually gets you to act. But if you pay close attention you may notice that you are not getting quality sleep when your neck hurts. I am going to tell you why in as simple a way I can think of.Nerves help the brain control your entire body. When a nerve is compressed it limits the functionality of nerve transmission to and from the brain. Chances are when your spinal bones are misaligned they can cause you to have pain. The displaced spinal bones also can cause you to lose sleep. The cervical bones in your neck want to be in the right place. When they are not it makes it difficult for you to get comfortable enough to obtain restful REM sleep.Now for the complicated explanation, I warned you about earlier. At the top of your neck lies that brain stem. The brain stem is a relay point for most of the nerves in your body. They go through the brain stem and then upwards to the various parts of the brain. There is a nerve bundle called the Reticular Activating System. It deals with your awake and sleep cycles. That is the extent of the complicated explanation.When spinal bones compress the Reticular Activating System it becomes harder for your body to drift off to restful sleep. What is the takeaway? A chiropractor can really help put the vertebra where they belong. Most of us rely on Advil to quell the pain. So if you reach for Advil the pain will subside but you still may have pressure on your nerves. Now restful sleep becomes more problematic as your body tends to heal when you sleep. My advice is don't ignore pain if your neck hurts and if you want to get better sleep. Again, this is where a chiropractor can really help. Now I know most MDs will tell you to stay away from chiropractors. They may understand medicine but they are lacking in the mechanics of your body and how they relate to nervous system function. It is all about structure and function. The body is a biomechanical wonder that needs attention you can not get from medicine alone.If you have neck pain and would like to sleep better call me. Dr.Brian McKay 203-656-3636 Core Health Darien is located at 551 Post Road in Darien. 

The Gary Null Show
The Gary Null Show - 08.30.22

The Gary Null Show

Play Episode Listen Later Aug 30, 2022 54:53


HEALTH NEWS Low magnesium linked to diabetic retinopathy Exercise Outweighs Genetics When It Comes To Longer Life Guarana found to have higher antioxidant potential than green tea Study links caesareans and cardiovascular risk Black tea drinkers live longer Unhealthy diet during pregnancy could be linked to ADHD Low magnesium linked to diabetic retinopathy Soochow University (China), August 26 2022.  A study reported August 22, 2022, in Biological Trace Element Research found an association between low magnesium and a higher risk of diabetic retinopathy, a major visual complication of long-term diabetes. “Low magnesium consumption has been linked to an increased risk of type 2 diabetic mellitus,” authors Yuan Chen of Soochow University in China and colleagues noted. The body's tight regulation of serum magnesium makes it a poor measure of total body magnesium status. Plasma magnesium also poorly reflects the body's true magnesium status because of the kidneys' reabsorption of the mineral. “The magnesium depletion score (MDS) index was recently proposed as a method of measuring magnesium shortage that took into consideration the pathophysiological factors influencing the kidneys' reabsorption capability and was proven to be more sensitive and reliable than other clinical predictors of magnesium,” Chen and associates wrote. The study utilized data obtained from 4,308 men and women enrolled in the National Health and Nutrition Examination Survey (NHANES) 2005–2018. Diabetes was present in 10.7% of the participants. Dietary questionnaire responses were used to estimate the amount of magnesium consumed each day.  Greater magnesium intake and lower magnesium depletion scores were associated with a decreased risk of diabetic retinopathy. A high amount of magnesium intake was associated with a reduced risk of diabetic retinopathy when the magnesium depletion score was at a middle level or lower. “Our research indicates that magnesium deficiency predicts a higher risk of diabetic retinopathy in diabetic individuals and that magnesium supplementation may reduce the risk of diabetic retinopathy,” they concluded.     Exercise Outweighs Genetics When It Comes To Longer Life University of California at San Diego, August 26, 2022 If living into your 90s seems to run in the family, don't just assume that means you will too. Our genetics make us who we are, but new research from the University of California, San Diego finds exercise trumps genes when it comes to promoting a longer life. You don't need a medical degree to know that forgoing physical activity in favor of stagnation isn't the wisest choice for your health and longevity. But, certain people are genetically predisposed to live longer than others. The research team at UCSD set out to determine if such individuals don't have to move quite as much as the rest of us to live just as long. This research project began a decade ago. In 2012, as part of the Women's Health Initiative Objective Physical Activity and Cardiovascular Health study (OPACH), study authors began keeping track of the physical activity habits among 5,446 older U.S. women (ages 63 or older). Subjects were tracked up until 2020, and wore a research-grade accelerometer for up to seven days. That device measured how much time they spent moving, the intensity of that physical activity, and their usual amount of sedentary time. Sure enough, higher levels of light physical activity and moderate-to-vigorous physical activity were associated with a lower risk of dying during the tracking period. Additionally, more time spent sedentary was associated with a higher risk of mortality. Importantly, this observed connection between exercise and a longer life remained consistent even among women determined to have different levels of genetic predisposition for longevity. “Our study showed that, even if you aren't likely to live long based on your genes, you can still extend your lifespan by engaging in positive lifestyle behaviors such as regular exercise and sitting less,” explains senior study author Aladdin H. Shadyab, Ph.D., assistant professor at the Herbert Wertheim School of Public Health and Human Longevity Science at UC San Diego. “Conversely, even if your genes predispose you to a long life, remaining physically active is still important to achieve longevity.”   Guarana found to have higher antioxidant potential than green tea University of São Paulo's Public Health School (Brazil), August 25, 2022   The millions of people who consume green tea all over the world benefit from the catechins it contains. Catechins are a class of chemical compounds with anti-oxidant and anti-inflammatory properties, among other healthy ingredients.  Researchers at the University of São Paulo's Public Health School (FSP-USP) have discovered that guarana (Paullinia cupana) is a worthy competitor, at least as far as catechins are concerned: the seeds of the tropical shrub, used in fizzy drinks that are among the most popular in Brazil, as well as in over-the-counter supplements, contain more than ten times the amount of catechins found in green tea.   A clinical trial with healthy human volunteers has demonstrated that guarana is a rich source of catechins, which, when properly absorbed, reduce the oxidative stress associated with the development of neurodegenerative and cardiovascular disorders, as well as diabetes, cancer, inflammation and premature aging due to cell death, among other conditions harmful to health and wellbeing.   The month-long study was conducted in two stages. After selecting volunteers who were healthy but slightly overweight and with a moderately elevated risk of cardiovascular disease, the researchers measured baseline parameters on the first day and evaluated the same items again on day 15 after a the implementation of a controlled diet. The participants were then asked to take guarana at home every morning before breakfast for the next fortnight. They were given bottles containing guarana seed powder and instructed to prepare a daily drink with the contents of one bottle (3 g of guarana powder) in 300 mL of water.   The oxidative stress markers included oxidation of low-density lipoprotein (LDL), popularly known as bad cholesterol. LDL is essential to an organism's proper functioning because it is the main particle that carries cholesterol to cells. Cholesterol is a structural component of all cell membranes and is used to manufacture steroid hormones (estrogen and testosterone). When oxidized, however, LDL causes atherosclerosis and increases the risk of cardiovascular disease. The tests performed by Yonekura's team showed an increase in oxidation resistance of the LDL in the blood samples taken from the volunteers after they drank guarana.   They also performed a comet assay, also called single cell gel electrophoresis (SCGE), a technique for quantifying and analyzing DNA damage in individual cells due to various factors, including oxidative stress. In this case, lymphocyte DNA in blood samples taken one hour after guarana intake was less damaged than expected when submitted to an oxidizing environment, indicating the presence of anti-oxidant substances or enhanced performance of the lymphocytes' enzymatic anti-oxidant system.   "All these markers depend on the presence of catechins in the bloodstream," Yonekura said. "The improvement in the parameters we assessed was associated with a rise in the concentration of plasma catechins after guarana intake, showing that guarana was indeed responsible for this effect."   Moreover, she went on, the guarana catechins strengthened the cells' native anti-oxidant enzymes, especially glutathione peroxidase, catalase, and superoxide dismutase, which combine to convert superoxide into peroxide and finally into water, protecting cells from the oxidative damage caused by their own metabolism of outside factors.   The tests showed increased glutathione peroxidase and catalase activity both shortly after guarana ingestion and on the following day.     Study links caesareans and cardiovascular risk James Cook University (New Zealand), August 25, 2022 A new Australian and New Zealand Journal of Public Health study has found Australian children who were born via cesarean section (C-section) have a greater risk of cardiovascular disease and obesity, and it's sparked a call to limit the increasingly popular practice "C-section births have risen across the world with a disproportionately higher rate in developed countries. In Australia, the C-section birth rate has increased from 18.5% in 1990 to 36% in 2019 and nearly half of Australian babies are projected to be cesarean born by 2045," said Dr. Begum. She said the study found a relationship between C-section births and cardiovascular disease (CVD) risk factors in children. "Four out of six individual CVD risk components and the composite index of the five CVD risk components showed a positive association with C-section birth. Our study also provided a direct relationship between C-section and increased overweight and obesity among children at 10–12 years of age," said Dr. Fatima. "There's an altered microbial load from C-section birth as compared to vaginal birth. This altered microbial ecosystem hampers the 'gut-brain axis' and releases some pathogenic toxins that cause metabolic damage," said Dr. Begum. She said it was also possible the fetal stress from physiological or pharmacological induction of labor during a C-section could also have an effect.   Black tea drinkers live longer National Institutes of Health, August 29 2022.  The Annals of Internal Medicine reported a lower risk of dying from any cause during a median follow-up period of 11.2 years among men and women who regularly drank black tea in comparison with those who did not consume the beverage.  The study included 498,03 participants in the UK Biobank, a prospective study of people residing in the United Kingdom. Questionnaires completed upon enrollment provided information concerning tea and coffee intake. Eighty-five percent of the participants reported drinking tea, among whom 89% drank black tea. During up to 14 years of follow-up, 29,783 deaths occurred. Compared to participants who did not drink tea, those who consumed 1 cup or fewer per day had a 5% lower risk of mortality and 2 to 3 cups was associated with a 13% lower risk. Tea intake was associated with decreased risks of death from cardiovascular disease, ischemic heart disease and stroke. “In this study of nearly 500,000 participants in the UK Biobank where black tea drinking was common, higher tea intake was associated with modestly lower risk for all-cause mortality and mortality from all cardiovascular disease, ischemic heart disease, and stroke, with lower risks seen for drinking 2 or more cups per day,” Maki Inoue-Choi, PhD, and colleagues at the NIH concluded. “These findings provide reassurance to tea drinkers and suggest that black tea can be part of a healthy diet.”     Unhealthy diet during pregnancy could be linked to ADHD King's College London and the University of Bristol , August 26, 2022   New research led by scientists from King's College London and the University of Bristol has found that a high-fat, high-sugar diet during pregnancy may be linked to symptoms of ADHD in children who show conduct problems early in life.   Published today in the Journal of Child Psychology and Psychiatry, this study is the first to indicate that epigenetic changes evident at birth may explain the link between unhealthy diet, conduct problems and ADHD.   In this new study of participants from the Bristol-based 'Children of the 90s' cohort, 83 children with early-onset conduct problems were compared with 81 children who had low levels of conduct problems. The researchers assessed how the mothers' nutrition affected epigenetic changes (or DNA methylation) of IGF2, a gene involved in fetal development and the brain development of areas implicated in ADHD - the cerebellum and hippocampus. Notably, DNA methylation of IGF2 had previously been found in children of mothers who were exposed to famine in the Netherlands during World War II.   The researchers from King's and Bristol found that poor prenatal nutrition, comprising high fat and sugar diets of processed food and confectionary, was associated with higher IGF2 methylation in children with early onset conduct problems and those with low conduct problems.   Higher IGF2 methylation was also associated with higher ADHD symptoms between the ages of 7 and 13, but only for children who showed an early onset of conduct problems.   Dr Edward Barker from King's College London said: 'Our finding that poor prenatal nutrition was associated with higher IGF2 methylation highlights the critical importance of a healthy diet during pregnancy.   'These results suggest that promoting a healthy prenatal diet may ultimately lower ADHD symptoms and conduct problems in children. This is encouraging given that nutritional and epigenetic risk factors can be altered.'

Medical Device Success - Your Success is Our Mission!
Episode 97 – Trade Shows and Events, What's changed and what you should do. Part 1

Medical Device Success - Your Success is Our Mission!

Play Episode Listen Later Aug 28, 2022 54:38


I am honored to have two event planning experts, Lauren Dustman, Senior Manager, Global Events at Hyperfine and Kimberly Stanséll, Meeting, Trade Show and Event Strategy Consultant to guide us today in this conversation. Combined, these ladies manage about 100 shows and events annually. Today's episode is the first of two episodes about medical trade shows.  Last week we talked about industry trade shows. Today, we cover the 2022 trade show and event experience year to date and what we think will happen this fall. How have trade shows changed and what should you consider doing differently this fall to optimize them?  Of course, we talk about alternatives to traditional trade show activity. This is a great conversation full of pointed advice. The second episode focuses on trade shows in 2023.  Yes, it is August and 2023 will come sooner than you think. A quick bit of housekeeping. First, I have changed the podcast art.  This is what you see when you go to the library of your podcast player of choice and look for the MDS podcast.  I felt like the original art was dated and needed to be refreshed.  So, don't freak out when you don't see the old art. Second, in the show notes you will see a link to a podcast survey. Please please take the survey.  It will help me provide a better podcast for you.  The most important questions are at the end of the survey.  Thank you in advance!! Finally, I have accepted a sponsor for several episodes.  So, you will hear a couple of ads in my voice during these episodes. They are short, to the point and of value for many listeners Now Go Win Your Week! Lauren Dustman LinkedIn Profile link Kimberly Stanséll LinkedIn Profile link Medical Device Success Podcast Survey link Promo code for free BIOMEDevice Boston Expo Pass – MDS22 BIOMEDevice Boston website link Ted Newill's LinkedIn Profile link  More Medical Device Success podcasts link Medical Device Success website link  MedTech Leaders Community link Link to Ted's contact page 

Student Nurse Anesthesia Podcast
E91: 2022 Conference Series - Joseph Rodriguez DNAP, CRNA

Student Nurse Anesthesia Podcast

Play Episode Listen Later Aug 26, 2022 43:45


Please enjoy this pre-recorded session from our 2022 Student Conference. "Finding Your First Job" - Joseph Rodriguez DNAP, CRNAJoseph A. Rodriguez, DNAP, CRNA, is co-founder and managing partner at Arizona Anesthesia Solutions, a multi-state group over 100 CRNAs and MDs, based in Phoenix, AZ.  Dr. Rodriguez is the former president of the Arizona Association of Nurse Anesthesiology and currently on the board of directors for the American Association of Nurse Anesthesiology.  Dr. Rodriguez has led policy reform at the state and federal level, and led significant reform within the association itself.  He currently lectures at National University, and has written for the The Washington Times, Anesthesiology News, The Arizona Capitol Times, and Outpatient Surgery.  He speaks nationally on business and leadership.  Support the show

Million Dollar Session
LA RENTRÉÉ 2022/2023

Million Dollar Session

Play Episode Listen Later Aug 22, 2022 4:11


Le 29 AOÜT 2022

The Richard Syrett Show
The Richard Syrett Show - Aug 18, 2022 - More Legal Action Needed Against WRDSB, & Ex-CIA Chief Implies Trump Should Be Executed

The Richard Syrett Show

Play Episode Listen Later Aug 18, 2022 77:43


Today on the Richard Syrett Show: Tom Korski, reporter for Blacklocks discusses the manager who was the contact for SNC-Lavalin lobbyists. Sue-Ann Levy, journalist for the True North Contributor wants more legal action against the woke Waterloo school board. Then writer & caWsbar member, Mia Ashton brings up the Canadian specialist urging MDs to slow down treatment for transgender patients after a U.K. clinic closed.Columnist & political analyst Drew Allen talks about the ex CIA chief implying Trump should be executed & Biden allowing an astronomical number of illegal aliens. Then Cheryl Chumley, Washington examiner shares her thoughts on the FBI raid on Trump's Mar-a-Lago home.

F3 Omaha - Paradise Island
60: Pitch A Tent - KOA

F3 Omaha - Paradise Island

Play Episode Listen Later Aug 14, 2022 37:51


Pony & Plague talk to our man KOA on this week's episode. As one of the few physicians in F3Omaha we discuss barriers to getting other MDs to post. We also talk about his experience as Site-Q of The Sandlot and he shares some creative solutions to the 2nd F. This man is a great example of invigorated male community leadership! Give it a listen

Health Coach Academy
How to Utilize Genetic Testing in Your Health Coaching Practice

Health Coach Academy

Play Episode Listen Later Aug 10, 2022 29:19


One thing that health coaches can utilize is more data. And since one of the basic tenets of health coaching is the concept of bio-individuality, nothing can give us more precise data than genetic testing. Imagine being able to help clients get specific results that are unique only to them, without the time it takes for trial and error? The value of this is priceless. To discuss how a health coach can get their hands on this, we invited Joe Cohen to the show. Joe is the founder of SelfDecode, the ultimate biotech software platform for DNA and lab-based health recommendations. Joe leads a team of MDs, PhDs and engineers to help thousands of people take their health into their own hands with the health data they obtain through specialized testing.

Cha Cha Music Review Podcast
Cha Cha Album Review Series- Burna Boy Love Damini

Cha Cha Music Review Podcast

Play Episode Listen Later Aug 5, 2022 26:05


Ladies and Gentlemen of the Cha Cha Nation, I'm back like I never left with another episode of the Cha Cha Album Review Series on Cha Cha Music Review Podcast and today I will be talking about Burna Boy's new album titled Love Damini. Artiste: Burna Boy Album: Love Damini Track: 19 Total length: 60:34 Features: Ladysmith Black Mambazo, J Hus, Vict0ny, Popcaan, Blxst, Kehlani, Ed Sheeran, J Balvin, Khalid Producers: The Elements, P2J, Telz Danitello, MdS, Chopstix, Kel-P, Off & Out, Ruuben, Kvng Vinci, Jae5, Anju Blaxx, Smith, Blxst, Sellars, The Monsters & Strangerz, Jon Bellion, FnZ, Noble, Kleinman, Uzowuru, Skread, ATG Link: https://open.spotify.com/album/1xaHgMftad2egI7Q4DX7Bc?si=XKO3-2CIQpOMTezMFgfqWw --- Send in a voice message: https://anchor.fm/hafeestonova1/message Support this podcast: https://anchor.fm/hafeestonova1/support

Prime Talk - eCommerce Podcast
PT125- Nick Shucet - Partnership Manager at MDS

Prime Talk - eCommerce Podcast

Play Episode Listen Later Aug 2, 2022 60:43


In this Prime Talk Podcast Sponsored by GETIDA – Nick Shucet - partnership manager at MDS -, talks about how eCommerce and a seller community turned a life around and also more information about his life's journey. #NickShucet #ecombroker About Nick Shucet of MDS- https://www.romanstide.com We're a full-service, results-driven Amazon Brand Management Agency dedicated to helping brands maximize their sales potential in the Amazon marketplace. We offer a complete, end-to-end service that takes all the hassle from your shoulders — so you can crush your competitors and focus on the fun. Find out more about GETIDA: https://getida.com/ Please subscribe to our channel and share your thoughts and comments below. Stay safe and healthy in the meantime!

The Pulse
When to Trust Your Intuition

The Pulse

Play Episode Listen Later Jul 29, 2022 49:12 Very Popular


It's when a dark alleyway makes the hairs stand up on the back of our neck; when a mother just knows that something's wrong with her kid; when you meet someone, and can tell they'll either be your best friend — or your worst nightmare. On the surface, intuition can seem a bit like magic — this unexplainable knowledge that pops in our heads, based on nothing but a feeling. But scientists say there's more to intuition than just gut instinct. It's about how our brains use years of accrued information to make predictions about what's going to happen next — all on a subconscious level. But if we don't know exactly how intuition works, how can we trust it — and should we trust it? On this episode, we explore intuition — what it is, how we can harness it, and when to avoid it. We hear stories about the edge that human doctors have over AI, one woman's incredible feat of motherly intuition, and why some people call intuitive eating the antidote to diet culture. Also heard on this week’s episode: We talk with David Jaison, who offers us a peek behind the curtain of “mentalism” — a kind of performance art that uses a mix of psychology, showmanship, and intuition to surprise audiences. Neuroscientist Joel Pearson breaks down the emerging science behind intuition — where it comes from, how it works, and when we should (and shouldn’t) trust our gut feelings. Pearson is the founder and director of Future Minds Lab at the University of New South Wales in Sydney. Artificial intelligence may not have the best bedside manner, but it's getting better and better at diagnosing and treating patients. So what does that mean for traditional MDs? Reporter Jad Sleiman explores the edge that human doctors have over AI — at least for now. When Katie Pratt was 3 years old, she was diagnosed with a Chiari malformation, a rare condition in which the cerebellum bulges through an opening in the skull into the spinal canal. Katie's mom, Wendy, had a hunch about what the solution would be — but it wasn't until doctors opened up Katie's skull that they discovered she was right. Katie interviews her mom about the experience, and her incredible flash of mother's intuition. You might've heard of intuitive eating, a practice that proponents are calling an antidote to both diet culture and disordered eating. Reporter Liz Tung talks with Elyse Resch, one of the founders of intuitive eating, and one young woman about how intuitive eating changed her relationship with food.

Dr. Westin Childs Podcast: Thyroid | Weight loss | Hormones
Which is the Best Type of Doctor to See for Your Thyroid? (Endos vs Holistic vs PCP vs Ob/Gyn)

Dr. Westin Childs Podcast: Thyroid | Weight loss | Hormones

Play Episode Listen Later Jul 26, 2022 14:20


Which is the best type of doctor to see if you have a thyroid problem? It's a question that many thyroid patients ask. Why? Because so many thyroid patients don't feel like their regular doctors are either helping them or listening to them when they talk about how they feel. With that in mind, let's talk about the various types of doctors that you CAN see if you have a thyroid problem. You can place them into 2 large groups. Conventional doctors and holistic doctors. As a brief spoiler, it's often the case that thyroid patients will feel much better when seeing holistic doctors over conventional doctors but this isn't always true (for reasons discussed in the video). When looking for a doctor to treat your thyroid, I recommend sticking to MDs and/or DOs or practitioners that prescribe thyroid medication. This will make it easier for you to get what you need. Conventional doctors include: Family practice and PCPs - Family practice doctors can be good but they are often very busy and have a lot to keep in mind so they may not be up to date on the research. Endocrinologists - Endos may be one of the worst types of doctors to see because they are often very set in their ways. General surgeons - Avoid if possible. Oncologists - Avoid if possible. Ob/GYN - Can actually be better than endos and PCP's in the right setting. They may be more inclined to provide T3 medications for fertility purposes. NP and PAs - Similar to PCP's and family practice doctors but your mileage may vary. If you can find a good NP or PA then stick with them! Alternative doctors and holistic doctors: Look for MDs and DO's that specialize in integrative medicine, functional medicine, or anti-aging medicine - These specialties tend to be the most open-minded when it comes to using alternative thyroid medications and comprehensive lab testing. Doctors that specialize in bioidentical hormone management - Doctors that specialize in bio-identical hormone management can also be great options. Naturopaths - Naturopaths, if they can prescribe medication, are also worth exploring if you can find one near you. Chiropractors - Some chiropractors are very knowledgeable in thyroid health but they can't prescribe medications. Health coaches - Health coaches are great for helping to optimize diet and other lifestyle factors which can influence your thyroid. What type of doctor are you currently seeing? Download my free thyroid resources here (including hypothyroid symptoms checklist, the complete list of thyroid lab tests + optimal ranges, foods you should avoid if you have thyroid disease, and more): https://www.restartmed.com/start-here/ Disclaimer: Dr. Westin Childs received his Doctor of Osteopathic Medicine from Rocky Vista University College of Osteopathic medicine in 2013. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Childs is no longer practicing medicine and does not hold an active medical license so he can focus on helping people through videos, blog posts, research, and supplement formulation. To read more about why he is no longer licensed please see this page: https://www.restartmed.com/what-happe... This video is for general informational, educational, and entertainment purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Childs and you. You should not make any changes to your medications or health regimens without first consulting a physician. If you have any questions please consult with your current primary care provider. Restart Medical LLC and Dr. Westin Childs are not liable or responsible for any advice, course of treatment, diagnosis, or any other information, services, or product you obtain through this website or video. #thyroid #hypothyroidism #hashimoto's

Under The Hood show
Do You Drive To Get Better Mileage or Go All Out?

Under The Hood show

Play Episode Listen Later Jul 20, 2022 79:36 Very Popular


Hyper mileing for fuel economy. Fuel mileage in Arizona is incredible. 2016 Ram 1500 MDS failure. 2017 doors leaking water. 2015 Durango 5.7 Trans blows fuses. 2004 Lincoln Town Car transmission codes. 2008 Mercedes extended idle time. Fuel additive in a diesel. 99 Chrysler Town and Country dies at idle. Computers. 2021 F150 groan in steering.

The Smartest Amazon Seller
Episode 164: How to live like a Million Dollar Seller

The Smartest Amazon Seller

Play Episode Listen Later Jul 19, 2022 33:03


Join Scott as he chats with Nick Shucet from Million Dollar Sellers to talk about the Million Dollar Seller group and how it can help your amazon business (0:57 - 8:32) Nick's start in selling on amazon and his tips for starting up(8:32 - 9:47) How Nick came across MDS(9:47 - 15:28) What MDS is and how it functions(15:28 - 21:24) What are interactions like with MDS(21:24 - 23:00) How does MDS help it's members progress their business? (23:00 - 26:24) How big is MDS?(26:24 - 27:45) What is the process like to join MDS? (27:45 - 29:41) What Nick is focusing on in his Amazon business(29:41 - 31:32) SMART HACK! Nick's smart hack to life and business MDS Website: https://www.milliondollarsellers.com/

Healthcare Unfiltered
Nuances of the Newest Leukemia Classification

Healthcare Unfiltered

Play Episode Listen Later Jul 19, 2022 58:47


Returning guests Sanam Loghavi, MD, hematopathologist and molecular pathologist, University of Texas MD Anderson Center, and Aaron Goodman, MD, hematologist, University of California San Diego, break down the latest classification system updates in leukemia. They begin by explaining what triggers a new classification and why it is needed, how soon clinicians should adopt it, and the relationship as well as differences between the ICC and WHO classification systems. Then, the experts go into the details of the changes that have been made to AML and MDS diagnoses and how these are likely to impact clinical trials, among other important points. Check out Chadi's website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

Healthy Wealthy & Smart
598: The Implication of the Dobbs Verdict for Physical Therapists

Healthy Wealthy & Smart

Play Episode Listen Later Jul 18, 2022 66:22


In this episode, Founder of Enhanced Recovery After Delivery™, Dr. Rebeca Segraves, Co-Founder of Entropy Physiotherapy, Dr. Sarah Haag, Owner and Founder of Reform Physical Therapy, Dr. Abby Bales, and Co-Owner of Entropy Physiotherapy, Dr. Sandy Hilton, talk about the consequences of overturning Roe v. Wade. Today, they talk about the importance of taking proactive measure in communities, and the legal and ethical obligations of healthcare practitioners. How do physical therapists get the trust of communities who already don't trust healthcare? Hear about red-flagged multipurpose drugs, advocating for young people's education, providing physical therapy care during and after delivery, and get everyone's words of encouragement for healthcare providers and patients, all on today's episode of The Healthy, Wealthy & Smart Podcast.   Key Takeaways “Our insurance-based system is not ready to handle the far-reaching consequences of forced birth at a young age and botched abortions.” “We do need to know abortive procedures so that we can recognize when someone has been through an unsafe situation.” “We really need to take into consideration the ramifications of what this will do.” “This is not good healthcare and we need to do more.” “We're going to have to know our rules, our laws, and what we're willing to do and go through so that we can provide the care that we know our patients deserve.” “We're looking at the criminalization of healthcare. That is not healthcare.” “We know who this criminalization of healthcare is going to affect the most. It's going to affect poor, marginalized people of color.” “We can no longer choose to stay in our lane.” “We need to have a public health physio on the labour and delivery, and on maternity floors.” “We don't get to have an opinion on the right or wrongness of this. We have a problem ahead of us that is happening already as we speak.” “We need to create more innovators in our field, and education is the way to do that.” “This is frustrating and new, and we're not going to abandon you. We're going to figure it out and be there to help.” “Our clinics are still safe. We are still treating you based on what you are dealing with, and we will not be dictated by anybody else.” “If you need help, there is help.” “If we believe in the autonomy of an individual to know all of the information before making a decision, then we still believe in the autonomy of an individual to know all of the information that is best for their body.” “This affects everyone. We're dedicated to advocating for you.”   More about Dr. Rebeca Segraves Rebeca Segraves, PT, DPT, WCS  is a physical therapist and Board-Certified Women's Health Clinical Specialist who has served individuals and families within the hospital and home during pregnancy and immediately postpartum. She has extensive experience with optimizing function during long-term hospitalizations for high-risk pregnancy and following perinatal loss and pregnancy termination. In the hospital and home health settings, she has worked with maternal care teams to maximize early recovery after delivery, including Caesarean section, birth-related injuries, and following obstetric critical care interventions. She is the founder of Enhanced Recovery After Delivery™, an obstetrics clinical pathway that maximizes mental and physical function during pregnancy and immediately postpartum with hospital and in-home occupational and physical therapy before and after birth. Her vision is that every person will have access to an obstetric rehab therapist during pregnancy and within the first 6 weeks after birth, perinatal loss, and pregnancy termination regardless of their location or ability to pay.   More About Dr. Sarah Haag Dr. Sarah Haag, PT, DPT, MS graduated from Marquette University in 2002 with a Master of Physical Therapy. She went on to complete Doctor of Physical Therapy and Master of Science in Women's Health from Rosalind Franklin University in 2008. Sarah has pursued an interest in treating the spine, pelvis with a specialization in women's and men's health, becoming a Board-Certified Women's Health Clinical Specialist in 2009 and Certification in Mechanical Diagnosis Therapy from the McKenzie Institute in 2010. Sarah joined the faculty of Rosalind Franklin in 2019. In her roles at Rosalind Franklin, she is the physical therapy faculty liaison for the Interprofessional Community Clinic and teaching in the College of Health Professions. Sarah cofounded Entropy Physiotherapy and Wellness with Dr. Sandy Hilton, in Chicago, Illinois in 2013. Entropy was designed to be a clinic where people would come for help, but not feel like ‘patients' when addressing persistent health issues.   More About Dr. Abby Bales Dr. Abby Bales, PT, DPT, CSCS is the owner and founder of Reform Physical Therapy in New York City, a practice specializing in women's health and orthopedic physical therapy. Dr. Bales received her doctorate in physical therapy from New York University and has advanced training through the renowned Herman and Wallace Pelvic Rehabilitation Institute, Grey Institute, Barral Institute, and Postural Restoration Institute, among others. She also holds her Certified Strength and Conditioning Specialist certification from the NSCA and guest lectures in the physical therapy departments at both NYU and Columbia University, as well as at conferences around the country. Dr. Bales has a special interest in and works with adult and adolescent athletes with a history of RED-S (formerly known as the Female Athlete Triad) and hypothalamic amenorrhea. A lifelong athlete, marathon runner, and fitness professional, Dr. Bales is passionate about educating athletes, coaches, and physical therapists about the lifespan of the female athlete. Her extensive knowledge of and collaboration with endocrinologists, sports medicine specialists, pediatricians, and Ob/gyns has brought professional athletes, dancers, and weekend warriors alike to seek out her expertise. With an undergraduate degree in both pre-med and musical theatre, a background in sports and dance, 20 years of Pilates experience and training, Dr. Bales has lent her extensive knowledge as a consultant to the top fitness studios in New York City and is a founding advisor and consultant for The Mirror and the Olympya app. She built Reform Physical Therapy to support female athletes of all ages and stages in their lives. Dr. Bales is a mom of two and lives with her husband and family in New York.   More About Dr. Sandy Hilton Sandra (Sandy) Hilton graduated with a Master of Science in Physical Therapy from Pacific University in 1988. She received her Doctor of Physical Therapy degree from Des Moines University in 2013. Sandy has contributed to multiple book chapters, papers, and co-authored “Why Pelvic Pain Hurts”. She is an international instructor and speaker on treating pelvic pain for professionals and for public education. Sandy is a regular contributor on health-related podcasts and is co-host of the Pain Science and Sensibility Podcast with Cory Blickenstaff. Sandy was the Director of Programming for the Section on Women's Health of the American Physical Therapy Association from 2012 - 2017. She is now on the board of the Abdominal and Pelvic Pain special interest group, a part of the International Association for the Study of Pain.   Suggested Keywords Healthy, Wealthy, Smart, Roe v Wade, Abortion, Trauma, Sexual Trauma, Pregnancy, Advocacy, Pelvic Health, Healthcare, Education, Treatment, Empowerment,   To learn more, follow our guests at: Website:          https://enhancedrecoverywellness.com                         https://enhancedrecoveryafterdelivery.com                         https://www.entropy.physio                         https://reformptnyc.com Instagram:       @sandyhiltonpt                         @reformptnyc                         @enhancedrecoveryandwellness Twitter:            @RebecaSegraves                         @SandyHiltonPT                         @Abby_NYC                         @SarahHaagPT LinkedIn:         Sandy Hilton                         Sarah Haag                         Abby Bales                         Rebeca Segraves   Subscribe to Healthy, Wealthy & Smart: Website:                      https://podcast.healthywealthysmart.com Apple Podcasts:          https://podcasts.apple.com/us/podcast/healthy-wealthy-smart/id532717264 Spotify:                        https://open.spotify.com/show/6ELmKwE4mSZXBB8TiQvp73 SoundCloud:               https://soundcloud.com/healthywealthysmart Stitcher:                       https://www.stitcher.com/show/healthy-wealthy-smart iHeart Radio:               https://www.iheart.com/podcast/263-healthy-wealthy-smart-27628927   Read the Full Transcript Here:  00:07 Welcome to the healthy, wealthy and smart podcast. Each week we interview the best and brightest in physical therapy, wellness and entrepreneurship. We give you cutting edge information you need to live your best life healthy, wealthy and smart. The information in this podcast is for entertainment purposes only and should not be used as personalized medical advice. And now, here's your host, Dr. Karen Litzy. Hey everybody,   00:36 welcome back to the podcast. I am your host, Karen Litzy. And on today's episode, I am very fortunate to have for pretty remarkable physical therapists who also happen to be pelvic health specialists. On to discuss the recent Supreme Court ruling in the dobs case that overturned the landmark ruling of Roe vs. Wade. How will this reversal of Roe v Wade affect the patients that we may see on a regular basis in all facets, facets of the physical therapy world. So to help have this discussion, I am very excited to welcome onto the podcast, Dr. Rebecca Seagraves and Dr. Abby bales and to welcome back to the podcast Dr. Sandy Hilton, and Dr. Sarah Hague. So regardless of where you fall on this decision, it is important that the physical therapy world be prepared to care for these patients. So I want to thank all four of these remarkable physical therapists for coming on to the podcast. Once the podcast starts, they will talk a little bit more about themselves, and then we will get right into our discussion. So thank you everyone for tuning in. And thanks to Abby, Rebecca, Sandy, and Sarah.   02:03 I, my name is Rebecca Seagraves, I'm a private practice pelvic health therapist who provides hospital based and home based pelvic health services and I teach occupational and physical therapists to provide their services earlier in the hospital so that women don't have to suffer.   02:20 Perfect Sarah, go ahead.   02:22 I am Sarah Haig. And I'm a physical therapist at entropy physiotherapy in Chicago, and I'm also assistant professor and at a university where I do get to teach a variety of health care providers.   02:35 Perfect, Abby, go ahead. My name is Abby bales. I'm a physical therapist, I specialize in pelvic health for the pregnant and postpartum athlete. I have my practice in New York City called perform physical therapy, and I do in home visits and I have a small clinic location.   02:54 Perfect and Sandy. Go ahead.   02:56 Sandy Hilton. I'm a pelvic health physical therapist. I'm currently in Chicago with Sara entropy. And I'm in Chicago and online. Because we can see people for consultations wherever they are, and we may be needing to do more of that.   03:13 So the first question I have for all of you lovely ladies, is how will the recent Supreme Court ruling in the dobs case, which was overturning Roe v. Wade? How is that going to affect people who give birth that we see in our clinics in the hospital setting in an outpatient setting in a home setting? So let's start with Sara, go ahead. I'll start with you. And then we'll just kind of go around. And and and also feel free to chime in and you know, the conversation as you see fit? Got?   03:58 That's such a big question. And I get to go first. So the question was how, how is this decision going to affect people who give birth? And I would say it just it affects everyone in in kind of different ways. Because I would say what this will undoubtedly do is result in us seeing people who didn't want to give birth. And and I think, you know, the effects of that are going to be far reaching and that we I think maybe we in this little group can have an idea of, of the vastness of this decision, but I think that even we will be surprised at what happens. I think that how it will affect people who give birth. Gosh, I'm kind of speechless because there's so many different ways. But when we're looking at that person in front of us with whatever they need to do For whatever they need assistance with after giving birth, we're going to have to just amplify exponentially our consideration for where they are and how they felt going into the birth, how they got pregnant in the first place. And, and kind of how they see themselves going forward. We talk about treating women in the fourth trimester. And it's, I mean, I'm in that fourth trimester, myself, and I can tell you that it would be harder to ask for help. And I'm really fortunate that I, that I have that I do have support, and that I do have the ability to seek help. I have a million great friends that I can reach out to for help, but I'm just how the how it's gonna affect the women, I'll say, I'm scared, but it's not about me. I'm very concerned for other women who won't be able to access the care that they that they need.   06:05 Yeah, Sandy, go ahead. What do you think? How do you feel this decision will affect people who can give birth, especially as they come to see physical therapist, whether that be during pregnancy? As Sarah just said, the fourth trimester, or perhaps after a procedure, or abortion that maybe didn't go? Well? Because it wasn't safe?   06:30 Yeah, so I work a lot with pain. One of my concerns is, but what is the future gonna hold for some people who did not want to be pregnant not added some sort of convenience or concern for finances, both of which, you know, your spot in life determines whether or not you have the the ability to raise another person at that moment. So there are individual decisions that people should make, in my opinion, but also, there's the if something happens to you, that you did not give permission to happen. And then you are dealing with the consequences. In this instance, pregnancy, and you happen to have back pain or have hip pain, or have a chronic condition, or a pelvic pain history, where you didn't not want to be pregnant. How's that going to affect the pain and the dysfunction that you're, you are already happening? And will it sensitize people to worse outcomes and recovery afterwards, because this is a, you know, there's a perceived injustice scale, I want to pull that back out. I hadn't been using it very often in the clinic just didn't seem to change the course of care. But I think that when I'm working with the people pre post, during pregnancy, I think I'm going to pull my perceived injustice scale back out and see if that might be a nice way to find out. If I need to hook someone up to a counselor, a financial counselor, psychologist, sexual therapist, anyone who might be able to support this person, we already don't have good support systems for pregnancy. I just am astounded at how much what a bad choice it is to add more need to a system that isn't currently handling the demand. I know we're gonna need to get creative because these people will need help. But I am a little awestruck at the possible quantum s we're gonna walk into   08:51 an abbey you had mentioned before we started recording about you know, some of the folks that you see that may have a history of different kinds of trauma, and how that may affect their abilities are to kind of wrap their head around being pregnant and then being forced to give birth because now they don't have any alternative. So how do you feel like that's going to play out in the physical therapy world, if they even get to physical therapy if they even get to a pelvic health therapist?   09:34 Yeah, that's, that's one of the things that I was I was thinking about as everyone was chiming in was, we really are just at the precipice in our niche of our profession, where people who give birth are seeking or even hearing about pelvic health and postpartum care, pregnancy care there. Just barely hearing about it. And my I have, you know, a concern, a very deep concern that these people will go into hiding if they have had an abortion in the past, because are we obligated to report that, and what is the statute of limitations on that, and the shame that they might feel for having had an abortion, or having had give birth and didn't want to, and the trauma that my patients who have, for the most part, not everyone who have wanted pregnancies that either the birth is traumatic, the pregnancy is traumatic, they get to a successful delivery, or they have a loss during the pregnancy, the trauma that they are experiencing, and for the most part, I'm seeing adults, and I cannot comprehend children, because it's this gonna be a lot of children who are forced to give birth, or who are having unsafe abortions, and the trauma that they're going to experience, and how, how much it takes for a person who has sexual trauma or birth trauma to get to my clinic, how these young people how these people who feel that shame, I don't know how they're going to get to me, or any of us, except for a real team based approach with pediatricians, with hospitals, with OB GYN, with your gynecologist with people who might see them first before us. I just don't know how they get to us to be able to treat and help treat that trauma. And like Sandy said, that pelvic pain that might be a result of the trauma if if it's unwanted sexual intercourse, I just don't know how we get to them. And that is something that we struggle with now, with, for the most part, wanted pregnancies. And I don't know how we get there. And I don't think we're prepared as a profession. for that. I think the advocacy for getting ourselves into pediatricians offices into into family medicine offices, is going to be so crucial in getting to these patients. But there aren't enough of us. We are not prepared. And our insurance based system is not ready to handle the far reaching consequences of forced birth at a young age and botched abortions. It is not ready to handle that.   12:52 Rebecca, go ahead. I'm curious to hear your thoughts around this because of your work in acute care systems.   13:00 Absolutely. I believe that I'm beyond the argument of whether this is right, or whether this is wrong. I think that as a profession, we're going to have to quickly change to a mindset of can we be prepared enough to handle what Abby was saying the amount of trauma, the amount of mental health I think, comes to mind when when someone's autonomy is taken away from them in any regard. I was very vocal as to how dangerous it was to force, you know, mandates on people even last year. And now here we are, we're at a point in our profession where we have to now separate our own personal beliefs and be committed to the oath of doing no further harm because this will result in harm, having treated individuals after an unplanned cesarean section or a cesarean hysterectomy, because of severe blood loss. They had no choice in those procedures. And they had no choice in the kind of recovery or rehabilitation they would get. I had to fight an advocate for our services, physical and occupational therapy services to be offered to individuals. So when you're looking someone in the eye who has lost autonomy over their body as last choice has gone through trauma that changes you it changes me really as a profession, even on this a professional or even on this issue. I'm now pivoting as quickly as I can't decide, do I have the skills that's going to be needed to address maybe hemorrhage events from an unsafe abortion that's performed? Maybe the mental health of having to try All across state lines so that you can find a provider that will treat you maybe the, you know, the shame around, you know, even finding Well, you know, is there a safe space for me to be treated for my pelvic health trauma from you know, maybe needing to carry this pregnancy longer than then I would have wanted to, there's, there's so much around this that we really have to start looking at with a clinical eye with a very empathetic or sympathetic eye as pelvic health therapists because of the fact that there's so few of us. And because now we're in a scenario where there will be more people who will be needing services but not knowing who to turn to. So my my biggest hope from this conversation, and many more that we'll have is that there's some how going to be a way to designate ourselves as a safe space for anyone, no matter what choice they've made for their body, period, I'm really done with being on one end of the spectrum with this, I'm a professional that doesn't have that opportunity to just, you know, be extreme on this, I advocate for the person and for their choice over their body period.   16:17 I think we need to, and it's just beautifully, beautifully said, the the getting getting some small systemic procedures in place in the communities we live in, is most likely the first step is reach out to the pediatricians and the chiropractors and the massage therapists and the trainers and the school athletic trainers and whoever you find that can have a connection with people and let them know on an individual basis. So like how do you tell people hey, I'm a trustworthy clinic to come to is not usually by writing it on your website. But if you can make connections in your community and be a trusted provider, that's going to go further, I suspect. I'm assuming there's going to be a fair bit of mistrust. And we have to earn it once it's lost. We've got to earn it back. So yeah, I like the proactiveness of that.   17:22 I, I totally agree on something you said Sandy sparked something that I would love for a health care lawyer to start weighing in on is we want, I am a safe space. I think every patient I have ever met who sees me cries. And I hold I hold that part of what I do. Very close to me, it's it's an honor to be someone that my patients open up to. And I know all of you on this call feel the same way because we we are that place that they they I love hearing birth stories. I love it. Even it just gives me an insight into that person into that experience. I feel like I'm there with them. And I understand better what they have gone through. But what happens when the legal system is going to come for us? Or them through us? What happens to that? How do we continue to be a safe space where they can share their sexual trauma, their birth trauma, their birth history, their pregnancy history, their menstruation, history, their sexual history? All of those really, really intimate things? How do we continue to be that for our patients?   18:56 I think we've had to do this I've had to do this previously, for in some very, in situations of incest in for the most part, we need a trigger warning on this. But, you know, there you have an individual that is a minor, or, or for some reason not independent that is being abused in what is supposed to be their safe space. And then that person, the abuser can be like, Oh, look, I'm helping you get better. And they're actually not safe. So there's some things and if the person you're treating is a minor, that adult has access to their records. And so I've worked in places not I don't know how to do with an EMR but I've worked in places where we have our chart that we write down the official record and sticky notes, which are the things that will not get put in the official record. But we need to have written down so people know it. And we've had to do that in situations where the patient wasn't safe. We all knew the patient wasn't safe. was being worked on to get them safe, but they were not yet safe. And you had to make sure there was nothing in their records that was going to make them more unsafe. I don't know how to do it as an EMR, if someone has a clever way to do that, that'd be great. Or we go back to EMR plus paper charts.   20:18 Even to to add to your point, Abby, if we're looking now at possible, you know, jurisdiction, you know, lead legal their jurisdiction or subpoena of documentation, you know, after having intervened for someone who may have had to make a choice that their state did not condone? Yeah, no, I, I'm completely, you know, on guard against that now, and that those are things that I'm thinking about now and thinking about, well, what would my profession do? Would we back, you know, you know, efforts on Capitol Hill to advocate for, you know, someone who, who has lost their, their autonomy, or lost their ability to, to at least have a safer procedure, and we've had to intervene in that way. You know, I think about that now, and I, that makes me fearful that this is such a hot topic issue that, you know, we might not as an organization want to choose size, but we as professionals on the ground as pelvic health therapists, I don't think that we have that luxury and turning someone away. And so So yeah, I think more conversations like this need to be had so that we can form a unified front of at least, you know, pelvic health specialists that can really help with the the after effects of this.   21:38 And I think a big barrier to that legal aspect of it is, you know, what is our legal responsibility. And what happens, if we don't do XYZ is because a lot of the laws and a lot of these states, some of these trigger laws and other laws being that are being passed, the rules seem to be a bit murky. They're not clear. And so I agree, I think the APTA or the section on pelvic health needs to come out with clear guidelines as to what we as healthcare professionals, can and should do. But here's the other thing that I don't understand and maybe someone else can. What about HIPAA? Isn't that a thing? Where did the HIPAA laws come in to protect the privacy between the provider and the patient? And I don't know the answer that I'm not a lawyer, but we have protection through hip isn't that the point of a HIPAA HIPAA laws? I don't know what   22:44 you would think so. But unfortunately, one of the justices who shall not be named has decided that abortion does not fall under HIPAA, because it involves the life of another being in so I can only state what has been stated or restate. But yes, the those are the very things that I'm afraid we're up against as professionals.   23:12 Yeah, I think they're going to try to make us mandatory reporters. for it. I think they're gonna try to make all healthcare we are mandatory. For some things, the thing that's good for some things. Yeah, the   23:24 thing that bothers me about that is the where I'm in Illinois right now, Illinois is a designated, look, we're not, we're not going to infringe on people's right to health care. Just great. But some of the laws and I've lost track, I was trying to keep track of how many have are voting on or have already voted on laws that would have civil penalties, penalties of providers from other states, regardless of the Practice Act of that provider, to be able to have a civil lawsuit against that provider. So that's fun. And then we go back to what ABBY You had mentioned before we started recording about medicine, that that is considered an abort efficient, I have a really hard time with that word. But that is also used for other conditions that we see in our clinics for pain for function and things like that. And then where's our role?   24:33 Right, so does someone want to talk about these more specific on what those medications are and what they're for? So that people listening are like, Okay, well, what medications, you know, so do you want to kind of go into maybe what those medications are, what they're for and how they tie back into our profession. Because, you know, a lot of people will say, well, this isn't our lane. So we're trying to do these podcasts. so people understand it's very much within our lane.   25:03 Well, I yeah, it's just from a pharmacology standpoint, the one of the probably most popular well known drugs that's used for abortion is under the generic name of Cytotec misoprostol, and that's a drug that's not only only used for abortion, but if individual suffers a miscarriage is used to help with retained placenta and making sure that the uterus clears. What other people don't know is is also used for induction. So the same drug is used for three or four different purposes. It's also used for postpartum hemorrhage. So measle Postel, or Cytotec is a drug as pelvic health therapists we should be very familiar with. And we should be familiar with it. Not only you know, for, you know, this this topic, but it's also been a drug that's been linked with the uterus going into hyperstimulation. So actually putting someone at risk for bleeding too heavily. And all of this has a lot of implications on someone's mental health, who's suffered a miscarriage who's gone through an abortion that maybe was not safely performed, which I have had very close experience with someone who's been given misoprostol Cytotec, it didn't take well, she continued bleeding through the weekend, because she lived in a state where emergency physicians could opt out of knowing a board of medications. So as professionals, we do need to know, a board of procedures so that we can recognize when someone has been through an unsafe situation it is, it is our oath as metal as medical professionals to know those things, not to necessarily have a stance on those things that will prevent us from providing high quality and safe care.   26:52 Another one of the medications is methotrexate, and it's used to treat inflammatory bowel disease. And as public health specialists, we'd see people who have IBD, Crohn's and Colitis, who have had surgery who are in flareups who are being treated like that treated with that medication. And it is again used in in abortions. And when you're on that medication, you have to take pregnancy tests in order to still be able to get your prescription for that medication. And as a person who I myself have inflammatory bowel disease and have been on that medication before, I can tell you that you don't go on those medications lightly. It is you are counseled when you are of an age where you could possibly get pregnant, and taking those medications. And it's very serious to take them. And you also have to get to a certain stage of very serious disease in order to take that it's not the first line of defense. So if we start removing medications, or they start to be red flagged on EMRs, or org charts, and we become mandatory reporters for seeing that medication, God forbid, on someone's you know, they're when they're telling us what type of medications they're taking, that there would be an inquiry into that for for any reason is just it's it's horrifying. I mean, it's, we treat these patients and they trust us, and we want them to trust us. But as we get farther and farther down this rabbit hole of, of going after providers, pharmacists, people who help give them information to go to a different state, I just it is. Like I said before, the breadth and the depth of this decision, reverberates everywhere. And if if PTS think that they are in orthopedic clinics, that they are somehow immune from it, you're absolutely not. And for those clinics who have taken on or encourage one of their one of their therapists to take on women's health because it's now a buzz issue. It's really cool. You are now going to see that in your clinic. And you know, like Rebecca was saying before, you know any number of us who have really strong and long term relationships with patients who are pregnant who are in postpartum I have intervened and sent patients to the hospital on the phone with them because they have remnants of conception and they have a fever and someone's blowing them off and not letting them into the IDI and sending them home. And we we are seeing those patients, they have an ectopic they're, they're bleeding, is it normal, they're calling me they're not calling their OB they can't get their OB on the phone. They're texting me and saying what should I do? And they have that trust with me and what happens when they don't? And they're bleeding and they're not asking someone that question and they don't know where to go for help. And so I know I took this in a different direction and we talked about pharmacology, but I just thing that I have those patients whose lives I have saved by sending them to the emergency department, because they are sick, they have an infection, they are bleeding, they have an ectopic, it is not normal. And I don't know what happens when they no longer have that trust with us not not because we're not trustworthy, but because they're scared.   30:26 The heavy silence of all of us going   30:31 you know, it's, it's not wrong. And I think the like, it just keeps going through my head. It's just like, so what do we do? I mean, Karen, you mentioned like, it'd be great if somebody came out with a list of, of guidance for us. And I just, that just won't happen. Because there's different laws in different states, different practice acts in different states. And no one, you know, like you even if you talk to a lawyer, they're going to say, this would be the interpretation. But also, as of yet, there's no like case law, to give us any sort of any sort of guidance. So that was a lot of words to say, it's really hard. I can tell you in Illinois, like two or three weeks ago, I'd be like, like, I'm happy, I feel like Illinois is a pretty safe space. We have, we have elections for our governor this year. And I have never been so worried, so motivated to vote. And so motivated to to really make sure to talk to people about it's not just like this, this category or this category, it's like we really need to take into consideration the ramifications of what this will do, I think there was a lot of this probably won't affect me a whole lot. But I think I'm guessing I think a lot of us on this call maybe I think all of us on all of us on this call, have lived our lives with Roe v. Wade. And, as all of this is coming up, and just thinking about how it impacts so many people, and how our healthcare system is already doing not a good job of taking care of so many people, the fact that we would do this with no, no scientific, back ground, no support scientifically. Like I pulled up the ACOG statement, and, and they condemn this devastating decision. And I really, I was like, it gave me gave me goosebumps. And this was referred to in our art Association's statement. And it makes me sad that we didn't condemn it. Hope that's not too political. But I'm really sad that we didn't take a stronger stance to say, this is not good health care. And we need to do more. Again, and that's like, again, so many words, to say we're gonna have to make up our own minds, we're gonna have to know, our rules, our laws and what we're willing to do, and go through, so that we can provide the care that we know our patients deserve. And that's going to be really hard. Because, you know, if I talk to someone, and if I call Rebecca in Washington State, she's going to have something different than if I talk to Abby in New York. And you know, that so it'll be, it'll be really hard even to find that support. That support there's going to be so much support, I think, from this community, but that knowledge and that, that confidence, we have to pull together so we have to pull together with all the other providers, but also we're gonna have to sit down and figure this out to   33:59 the clarity. So it's, I think a practical step forward would be each state to get get, like, every state, come up with a thing. So pelvic health therapists in that state come up with what seems to work for them get a lovely healthcare lawyer to to work with them with it. And then we could have a clearinghouse of sorts of all of the state statements. I don't know that that needs to go through a particular organization. I I know that they're in the field of physical therapy, two thirds of PTS aren't members. And we need this information to be out there for every single person so that they know   34:44 that we'll have to be grassroots there's I don't think that there's going to be widespread Association support from anywhere. But that being said, I think it's a great idea.   34:58 What are we going to do about it? Hang on issues that are too divisive, you're absolutely right, individual entities are going to have to take this on and just put those resources out to therapists who need them need the legal support, need the need to know how and how to circumvent issues in their states. And, you know, like I said before, even how to just provide that emotional support, there's going to be needed for their, their, their patients, so, and that's okay, if the organizations that were part of are not willing to take a heavy stance, you know, even like last year, if you're not willing to take a heavy stance, on an issue where someone feels their autonomy, and their choice is being threatened, then it's okay, well, we'll take it from here. But, you know, that's, that's really where these grassroots efforts come from and abound, because there are a group of individuals who are willing to say, No, this is wrong. And I'm going to do something about this so that our future generations don't have to suffer.   36:02 Yeah, and I think, you know, we're really looking at the criminalization of health care.   36:09 That is not healthcare.   36:12 And we also know who this criminalization of healthcare is going to affect the most. And it's going to affect poor, marginalized people of color, it is not going to affect the wealthy white folks in any state, they'll be fine. So how do we, as physical therapist, deal with that? How do we, how do we get the trust of those communities who already don't trust health care, so now they're going to stay away even more, we already have the highest mortality, maternal mortality rates in the developed world, I can only imagine that will get worse because people, as we've all heard today are going to be afraid to seek health care. So where do we go from here as health care providers? I,   37:10 Karen, you're speaking something that's very near and dear to my heart, I act as if you had to take this on, I am very adamant that we can no longer choose to stay in our lane, we do not have that luxury. And I as a black female, you know, physical therapist, I don't have the luxury to ignore that because of the color of my skin, and not my doctor's degree, not my board certification and women's health, you know, not my faculty position, I when I walk into a hospital, and I either choose to give birth or have a procedure, I will be judged by none other than the color of my skin. That is what the data is telling me is that I am three times likely to have a very severe outcome. If I were to have a pregnancy that did not go as planned or or don't choose a procedure, you know, that affects the rest of my function in my health. And so given the data on this, you're absolutely right there, there is going to be very specific populations that are going to receive the most blowback from this. And as a pelvic health therapist, I had to go into the hospital to find them, because I knew that people of color and of marginalized backgrounds, were not going to find me in my clinic. And we're not going to pay necessarily private pay services to receive that care. But I needed to go where they were most likely to be and that was the hospital setting or in their home. And so, again, as a field of a very dispersed and you know, not very many of us at all, we're going to have to pivot into these areas that we were not necessarily comfortable in being if we're going to address the populations that are going to be most affected by the decisions our lawmakers are making for our bodies.   39:11 You know, there's something that I think about, often when I hear this type of conversation come up in, in sexual health and in in whenever I am speaking with one of my patients and talking about their menstruation history, and, and them not knowing how their body works from such a young age is I just wonder if we should be offering programs for young people like very young pre ministration you know, people with uteruses and their parents, and grandparents and online, online like little anonymous. Yep. nonnamous   39:51 for it's just   39:52 Yes. Yes, it's it's just, you know, Andrew Huberman talks a lot about having data Back to free content that scientific, that's factual. And I think about that a lot. And I think, to my mind, where I go with this, because I do think about the lifespan of a person, is that creating something that someone can access anonymously at any age, and then maybe creating something where it's offered at a school? You know, it's it's ministration health. And it doesn't have to be under the guise of, you know, this happened with Roe v. Wade, but this it could be menstruation, health, what is a person who menstruating what can you expect? What you know, and going through the lifespan with them, but offering them? You know, I think I think about this with my own children, as our pediatrician always asks the question of the visit, who is allowed to see under your clothes who is allowed to touch you? And it's like, you and my, I have a five year old. So it's Mom, when when when I go number two, a mom or dad when I go number two? And that's it. And you know, I think about that, and I think about how we can educate young people on a variety of things within this topic, and kind of include other stuff, too, that's normal, not normal, depending on their age. Absolutely, there   41:22 was what I was excited about in pelvic health. Before this was people like Frank to physician and his PhD students and postdocs are working on a series of research about how if we identify young girls that are starting their period, and having painful periods, treat them and educate them, then that they will not go on to have as much pelvic pain conditions and issues in the future. So we look at the early childhood events kind of thing, but also period pain. And How exciting would it be if we could get education to young girls about just how their bodies work. And to know that just because you all your aunties have horrible periods doesn't mean that you're stuck with this, just like maybe they just didn't know, let's help you out and constipation information and those basic health self care for preventative problems. So I was super excited about all that. And now it's like, oh, now we have to do it. Because in that we can do little pieces of information. So people have knowledge about their body, that's going to be a little bit of armor for them, that they're going to need and free and available in short, and you know, slide it past all the YouTube sensors. This is this is doable, but it's gonna take time money doing, but we can do it. Well, it sounds like, ladies,   42:52 we've got a lot of work to do. One other thing I wanted to touch upon. And we've said this a couple of times, but I think it's worth repeating again and again and again. And that's that expanding out to other providers. So it's expanding out, as Rebecca said, expanding out to our colleagues in acute care, meaning you can see someone right after a procedure right after birth right after a C section. And, and sadly, as we were saying, I think we they may start seeing more women, I'm not even set children under the age of 18. In these positions of force birth on a skeletally immature body. So the only place to reach these children would be maybe in that acute care setting. How what does the profession need to do in order to make that happen? And not not shy away from it, but give them the information that they need. Moving forward?   44:07 I was just gonna say that I've given birth in the hospital twice. Not at any time was I offered a physical therapist, or did a physical therapist come by and I am in New York City. I gave birth in New York City, planned Solarians because of my illnesses. And nobody came by I did get lactation nurses, any manner of people who were seeing me I was on their service. But that has been something that we needed anyway. We mean to have a pelvic health physio on the labor and delivery and on the maternity floors, who is coming by educating as to what they can start with what they can expect. When can they have an exam if they want to have one? Who is a trusted provider for them to have one. And we need to get the hospitals to expand acute care, physical therapy to labor and delivery and, and the maternity floors. As a routine, it's not something you should have to call for, it should be routine clearance for discharge the same way you have to watch the shaking baby video to get discharged.   45:27 I'm happy older than all of you. I don't have it either. But taking baby video is not something that even existed back in the day. But that makes sense. I mean, I once upon a time was a burn therapist, and I was on call at a regional Trauma Center. And you know, it's like you're needed your, your pager goes off, because that's how long ago it was. And you just came in, did your thing, went back home went back to bed. There is no reason other than lack of will, that PTS couldn't be doing that right now.   46:03 I'm now of the opinion where it's unethical to not offer physical or occupational therapy within 24 to 48 hours of someone who had no idea who did not have a planned delivery the way they expected it who has now and a massively long road to recovery. After a major abdominal surgery, I'm now of the opinion that is unethical for our medical systems to not offer that those rehabilitative services. And I've treated individuals who had a cesarean section but suffered a stillbirth. So the very thought of not providing services to someone who has any kind of procedure that's affecting, you know, their their their not only their pelvic health, but their mental function. That to me is now given the you know, these these, this recent decision on overturning Roe v Wade, is now now we're never, you know, either we're going to now pivot again as pelvic health therapists and start training our acute care colleagues, as we did with our orthopedic colleagues, as we've done with, you know, our neurology colleagues, whatever we've had to do as pelvic health therapists to bring attention to half of the population, you know, who are undergoing procedures, and they're not being informed on how to recover, we will have to start educating and kind of really grow beyond just the clinics and beyond what we can do in our community or community. But we are going to have to start educating our other colleagues in these other settings, we don't have a choice, we know too much, but we can't be everywhere. And not all of us can be in the hospital setting, we're going to have to train the individuals who are used to seeing anything that walks through the door and tell them get over to the obstetric unit. Okay, there's someone there waiting for you.   48:06 Yeah, I totally agree. I mean, when I think back I remember as a student working in acute care and how we had someone who's dedicated to the ICU, we had someone dedicated to the medical floor, we had somebody who was dedicated to the ortho floor, and most of the time they had their OCS, their, their, the one for for, for ICU care, the one for NeuroCare, or they have a specialty. And I think it is just remnants of the bygone era of it's natural, your body will heal kind of BS from the past. It's just remnants of that and it's just, we don't need the APTA to give us permission to do this, this is internal, this is I'm going into a hospital, and I'm presenting you with a program. And here is what this what you can build this visit for here's the ICD 10 code for this visit here is here is here are two people who are going to give you know, one seminar to all of your PT OTs, to you know, so that you are aware of what the possible complications and when to refer out and that kind of thing. And then here are two therapists who are acute care therapists who are going to also float to the maternity floor one of them every day, so that we can hit the we can get to these patients at that point, and that is just that's just people who present a program who have an idea, who get it in front of the board that that it is not permission from anybody else to do it. And, you know, it really it fires me up to to create a world in which you know, when you know people who are the heads of departments and chairs and you know on the boards of directors You know, being in big, big cities or small cities, when you know those people, you know, you can, your passion can fire them up. And if you can fire people up, and you can advocate for your patients and you can in that can spread, you can make that happen. And this is, you know, I feel radicalized by this, I mean, I'm burning my bra all over the place with this kind of thing. And I just feel like, if we can, if we can get to young people, and if we can get to day zero, of delivery, day one, post delivery, or post trauma, then then maybe we can make a dent, maybe we can, maybe we can try, maybe we can really make a go of this for these people. Because, like I keep feeling and saying I, we are not prepared for the volume.   50:54 If individuals are going to be forced to carry a pregnancy, that they may not want to turn because it's affecting their health, we're going to have to be prepared for this. Again, this is not an option really, for us as pelvic health therapists, because we know what's down the road, we've seen mothers who have or you know, or individuals who have suffered strokes or preeclampsia or seizures, or, you know, honestly, long term health issues because of what pregnancies have done to their body. And now if they want the choice to say, you know, I'm not ready, they don't have it anymore. So we really don't have a choice. We have to start expanding our services into these other settings, making our neurologic clinical specialists in the hospital, see people before they have a stroke before they have a seizure actually provide services that can help someone monitor their own signs and symptoms after they've had now a procedure or given birth or even had, you know, a stillbirth, unfortunately, because the doctor had to decide, well, yes, now we will perform the abortion because you know, your health is like on the cliff, I mean, we're going to be seeing these and we just have to prepare. And if it's not our organizations that are laying the foundations, we will, we'll take it from here,   52:15 we need to reach out across so many barriers, like athletic trainers, they're gonna see the young girls, they're gonna see their track stars that is not reds, it's pregnancy. And it could be a very short lived traumatic pregnancy, in girls that are just not develop. They're developed enough to get pregnant, they're not developed enough to carry a healthy baby to term. Kind of just makes me like. But Rebecca is right as we don't get to have an opinion on the right or wrongness of this, we have a problem ahead of us now, that that is happening already, as we speak, that people are going to need help. I love that we have more technology than my grandma did when she was fighting this battle. And we have YouTube and we have podcasts and we have ways to get information out. But we need to use every single one of them in our sports colleague or athletic trainer colleagues. They need to know the signs. Because they may be the ones that see it first.   53:21 Yeah. And Sarah as being the most recent new mother here. What kind of care did you get when you were in the hospital?   53:36 I was sitting here thinking about that. And I mean, I will say that the care I had while I was there, that I had an uncomplicated delivery in spite of a very large baby. And I was fortunate enough to leave the hospital without needing additional help. But I wasn't offered physio. Nobody really they're just really curious to make sure you're paying enough. And that's about it if you're the mom and my six week visit was actually telehealth and that was the last time I had contact with a health care professional regarding my own health so it is minimal even if you're a very fortunate white woman in a large metropolitan area and but I'm working now further north and with a pro bono clinic clinic and in an area where we do a lot of work with communities of color and I'm I'm like I honestly don't even know the hospitals up here yet. But I'm gonna I have so many post it notes of things that are gonna start happening and start inquiring because Rebecca like we need to get into the hospitals like if if I can Do that. And honestly, up until now, like my world and entropy was, and pre this decision was it, there's so many people out there who need help with pelvic issues in general, like we can do this forever. And we set our clinic up so that people who weren't doing well in the traditional health care system could find us and afford us. At least some people could, I realized that it wasn't in companies, encompassing everybody who could possibly need help, but we were doing trying to figure out another way. And so again, like, like, again, the offer of assistance I got was minimal. But also I didn't need much. And I was in a position where also, I knew I could, I could ask for it if I wanted it. And I could probably get it if I needed it. And I'm just thinking about, again, some of the communities I'm interacting with now, in some of my other roles and responsibilities, and I cannot wait to take a look and see, how can we get in there? How can we be on that floor? How can we? What What can we make, make happen like, because it needs to happen, these are these, this is the place where I'm scared to start seeing the stats,   56:21 wouldn't it be amazing if you can get the student clinic part of that somehow somehow and get, you know, young beyond that bias, but younger, most younger but but like the physicians the the in training the PTs and training the PAs the you know, and get like Rebecca had said, let's get let's get the team up to speed here, because there aren't enough pelvic health therapists already. And they're heavens, we need, we need to get everybody caught up.   56:58 And there's so much I was telling you that being around student health care, providing your future health care providers is really energizing and also really interesting. I mean, the ideas that come up with in the in the connections they make and and the proposals they make are just amazing. But two things that I've noticed that I think probably we run into in the real world, real world, outside school world as well, is one. The that's being able to have enough people and enough support to keep it sustainable. So you have this idea, you have the proposal, you made the proposal, how are we going to keep it going and finding the funding or the energy or the volunteers to keep it going. Things ebb and flow, you get a great proposal, you're like yes. And then I literally today was like, I wonder what's up with that one, because it was an idea for a clinic to help was basically for trans people to our tree transitioning and might not have the support that they need. And also I was reached, they come up here for women's health clinic. And I'm going to reach out to them now. Because this again, this decision changes that because it is a pro bono clinic that they would like to set this up in and before it was going to be much more more wellness. And now it could turn out to be essential health care. So that's one thing. But then the other thing is still the education, that in school, we're not taught about what everyone else can do. And I think again, figuring out a way to make sure that future physicians really know what physical therapists have to offer, especially in this space. Most people know that if their their shoulder, their rotator cuff repair, they should send them to pt. But really, we need to get in with OB GYN news, we need to get in with the pediatricians. And I don't want to say unfortunately, but in this regard, unfortunately, we're going to have to really make sure that they know what we're doing. And again, I'm already kind of trying to think like how can we make this just part of how we do health care.   59:20 So I think I'm following in your footsteps by going into education and by by being a part of our doctor of physical therapy programs. You know, I especially chose the program in Washington state not because you know, of just the the the opportunity to teach doctors or incoming doctors but it was also an opportunity to teach doctors of osteopathic medicine and occupational therapy therapists. It was you know, very intimate program and opportunity to make pelvic health or women's health or reproductive health apart of cardiopulmonary content, a part of neurology content, a part of our foundations a part of musculoskeletal and not a special elective course that we get two days of training on, I had the opportunity to literally insert our care, our specialized and unique care and every aspect of the curriculum, as it should be, because we are dealing with, you know, more or less issues that every therapist generalists or specialists should be equipped to handle. So in the wake of Roe v Wade, to me, this is an opportunity unlike any other for pelvic health therapists to really get into these educational spaces where incoming doctors are, you know, MDS or PA programs, or NP programs are our therapy practices, and start where students are most riled up and having those ideas so that they can go out and become each one of us, you know, go into hospitals and say no, to obstetric units being ignored, go into hospitals and give and services to physicians. You know, we need to create more innovators in our field and education is the way to do that.   1:01:12 I just wrote down check Indiana and Ohio, and then I wrote border clinics, because Because Illinois is a it's like a not a prohibition state. Having so many flashbacks, because Illinois, is, is currently dedicated to maintaining health care access for everyone. We have cities that are on the border. And I was thought of that when you were talking, Sarah, because you're up next to Wisconsin now. But we have we have the southern part of the state and the western part of the state. And those those border towns are going to have a higher influx than I will see in Chicago, maybe. But I would anticipate that they would,   1:01:56 you know, and again, this is where laws are murky. Every state is different. It's I mean, it's a shitshow. For lack of better way of putting it I don't think there's any other way to put it at this point. Because that's kind of what what we're dealing with because no one's prepared, period. So as we wrap things up, I'll go around to each of you. And just kind of what do you want the listeners to take away? Go ahead, Sandy,   1:02:33 this is this is frustrating and new, and we're not going to abandon you. We're gonna figure it out and be there to help.   1:02:41 I would say that our clinics are still safe, it is still a safe place for you to open up and tell us what you wouldn't tell anybody else. It's still safe with us. And we still have you as an entire person with all of your history. We are still treating you based on what you are dealing with and not. We will not be dictated by anybody else. Our care won't be mandated or dictated by anybody. Sarah, go ahead.   1:03:22 What I would say is I would echo your safe. If you need help, there is help. And I'm sorry, that that this just made it harder than it already was. And I would say to healthcare providers, please let remember, let us remember why we're doing what we're doing. And, you know, we do need to stand up, we do need to continue to provide the best care for our patients. Because to be honest, I've been thinking like, I think it's a legal question. It's a professional question. But ultimately, if we can't give the best care possible, I'm not sure I should do this.   1:04:01 Ahead, Rebecca,   1:04:02 for our health care providers, in the wake of Roe v. Wade, being overturned, wherever we are, you know, as an organization or on our stance, if we believed in the autonomy of an individual to know all of the information before making a decision, then we still believe in the autonomy of an individual to know all of the information that is best for their body. And that is the oath that's the that's the that's the promise that we've made as professionals to people that we're serving, and to the people that we're serving to those who are there listening to this. You have safe spaces with providers that you trust and we're going to continue to educate one another, our field and also you we're going to put together resources that really bring During this education to your families so that you don't have to feel like you're in the dark and you're alone. This is not something that is per individual or per person. This affects everyone. And we're dedicated to advocating for you.   1:05:18 Perfect, and on that we will wrap things up. Thank you ladies so much for a really candid and robust discussion. I feel like there are lots to do. I think we've got some, some great ideas here. And perhaps with some help and some grassroots movements, we can turn them into a reality. So thank you to Rebecca to Sarah to Abby and to Sandy, for taking the time out of your schedules because I know we're all busy to talk about this very important topic. So thank you all so so much, and everyone thanks so much for listening, have a great couple of days and stay healthy, wealthy and smart.   1:06:03 Thank you for listening and please subscribe to the podcast at podcast dot healthy, wealthy smart.com And don't forget to follow us on social media