Podcasts about medically

Tell us whatcha' think! Send a text to us, here! Thank you for sharing your thoughts on our podcast. In this pivotal episode, as the U.S. heads into a presidential election year, the conversation around parental rights takes center stage. We delve into the controversial stance of libertarian candidate Chase Oliver, who advocates for parental consent in administering gender-affirming treatments to minors. Meanwhile, we contrast the American debate with developments in Europe where countries like Sweden, Norway, and France have begun to classify such treatments as experimental. These nations recommend prioritizing psychological support and are cautious about the physical interventions, pointing out the significant risks and uncertain benefits associated with them. Join us as we explore these complex issues and their implications on parental rights and child welfare.Emperor's New Clothes:  https://www.buzzsprout.com/1095743/episodes/10101227Support the showIf you need assistance with a situation in your area, please fill out our free consultation form.DONATE TODAY!www.ParentsRightsInEducation.com

I make audio documentaries, and I recently spent some time in a town called Le Roy, New York. It's a town about 50 miles outside of Buffalo. It's a small town. Its claim to fame is that it's the birthplace of Jell-O.我制作音频纪录片，最近在纽约州一个叫勒罗伊的小镇待了一段时间。这个镇位于布法罗市外约50英里，是个小地方，最出名的是它是果冻（Jell-O）的诞生地。There's a museum and everything.那里甚至有个博物馆，应有尽有。Anyway, in 2011, at the beginning of the school year, something strange happened in Le Roy. A student at Le Roy Junior-Senior High School, a cheerleader, she wakes up from a nap with a stutter, like a severe stammer, trouble speaking. And pretty soon, that turns into head tics and facial twitches, and then blurting out sounds and words. Symptoms that you'd associate with something like Tourette's syndrome.2011年开学季，勒罗伊发生了一件怪事。当地初高中联合学校的一名啦啦队员午睡醒来后突然严重口吃，说话困难。很快，症状演变成头部抽动、面部痉挛，并开始不受控制地发出怪声和词语——类似妥瑞氏症的症状。A couple of weeks later, while she's dealing with that, another student at the school comes down with the same symptoms: tics, spasms, barks, blurting out sounds and words. And it happens from 0 to 60 overnight, out of nowhere. And then it happens to another student. And then two more.几周后，就在她还在应对这些症状时，另一名学生也出现了同样的抽搐、痉挛、怪叫和言语失控。症状一夜之间突然爆发，毫无预兆。接着是第三个、第四个……This is Rose. Rose was in eighth grade at the time of the outbreak. At first it was whispers. It was like, "Oh, it's this one girl. We don't know what's going on, blah blah blah." And the next thing I know, it's like doubling and tripling, and it's all these girls.这是罗斯，疫情爆发时她正读八年级。起初只是窃窃私语，比如"噢，就是这个女孩，我们也不知道怎么回事"之类的。但很快，患者数量成倍增加，而且全是女生。Jessica was a senior at the time. And I remember thinking, were they making it up? What is going on?杰西卡当时是高三学生。我记得我在想：她们是不是装的？到底发生了什么？People thought they were faking it. Everybody thought they might be faking it. And then my friend came to school the one day, and I was at my locker. And she came up to me and she was stuttering super bad. I'm like, "What are you doing? Stop fucking around. Why are you talking like that?"大家都觉得她们在装病。直到有一天，我在储物柜前遇到朋友，她口吃得厉害。我问："你在干嘛？别闹了，为什么这样说话？"And she's like, "I can't." She's, like, twitching, she's crying at that point, just trying to get out her words, and I'm like, "Holy shit. This is real. What happened?"她却说："我控制不了。"她抽搐着，哭了起来，拼命想说出话。我这才意识到："天啊，这是真的。到底怎么了？"Within weeks, the case count hits double digits. All at the high school. All girls. An investigation begins. They test for Lyme disease. They test for heavy metals in the blood. Back at the school, they test for the water safety. They test for the air quality. They test for mold. And the only thing spreading faster than the contagion are the theories about what's causing it.几周内，病例数突破两位数，全是高中女生。调查随即展开：莱姆病检测、血液重金属检测、学校水质检测、空气质量检测、霉菌检测……而传播得比疫情更快的，是各种病因猜测。I remember hearing at some point, since it was all girls, it must be a bad batch of tampons.我记得有人猜测，既然全是女生，可能是某批卫生棉条有问题。The tampon theory does not pan out. In fact, none of them do. After a month-long investigation, the state and the school board and the and the doctors involved, they come up with what they think is the answer. The outbreak ripping through the high school is a mass psychogenic illness, otherwise known as mass hysteria.卫生棉条理论被推翻，其他猜测也均不成立。经过一个月的调查，州政府、校方和医生们得出结论：这场席卷校园的疫情是"群体性心因性疾病"，即"群体癔症"。Emily was in eighth grade when she came down with the symptoms herself. This is what her doctor told her. Emily: She basically said, "It's all in your head. You're fine." How are you, as a medical professional, going to look your patient in the eye and be like, you're fine. Stop thinking about it. You're fine, you're fine.艾米莉八年级时也出现了症状。她的医生告诉她："这完全是心理作用，你没事。"作为一个医疗专业人士，怎么能看着病人的眼睛说"你没事，别多想"？And she should be skeptical, right? Especially because she's a woman. Even the word hysteria has its roots in the Greek for uterus. For centuries, doctors would blame the wandering womb for all sorts of problems that women were having with their bodies, without really understanding what it was medically.她当然该怀疑——尤其因为她是女性。"癔症"（hysteria）一词本就源于希腊语的"子宫"。几个世纪以来，医生们总把女性身体问题归咎于"子宫游走"，却从未真正理解医学原理。Back in Le Roy, this is how Jessica reacted to the diagnosis. I thought, "That's bullshit. I don't believe that. Seeing all these girls, they're not making it up. I just don't believe that that's the thing. After all of this, that's all it is? I just don't know how to believe that.在勒罗伊，杰西卡对诊断结果的反应是："胡扯！我不信。我亲眼看到那些女孩的痛苦，她们不是装的。经历了这么多，结果就这？我实在无法接受。"I love that. "I don't know how to believe that." Not just "I don't believe that." "I don't know how to believe it." Here's what I have come to believe. I think we all need to start learning how to believe in mass hysteria, because while it is very rare, it is also very real. So say neurologists, psychoanalysts, sociologists, so says the NIH.我喜欢这个说法——"我不知道该怎么相信"，而不仅仅是"我不信"。我的观点是：我们都需要学会接受"群体癔症"的存在，因为它虽罕见，却真实存在。神经学家、心理分析师、社会学家乃至美国国立卫生研究院（NIH）都证实了这点。And it's a very specific type of contagion that says a lot about how we're connected as people. Mass psychogenic illness is the rapid spread of real physical symptoms from one person to the other. But those symptoms don't seem to have any organic cause. So you've got a limp, but your x-ray is normal. Or you've got neurological symptoms, but your MRI doesn't show anything. Medically, these symptoms shouldn't be happening. But then they begin to spread from person to person. But it's not random.这是一种特殊的"传染"，深刻揭示了人类的联结方式。群体性心因性疾病会让真实症状快速传播，但这些症状却无器质性病因。比如你跛行，但X光正常；或有神经症状，但MRI无异常。医学上这些症状本不该出现，但它们却开始人际传播——且并非随机发生。

Cécile Lejeune started racing triathlons in her native France at 12 years old and quickly began picking up national titles. After gaining the attention of international recruiters, she moved to the US to race track in college. Soon, however, a chronic series of stress fractures took her out of competition and forced her into early retirement. Now, after just one year racing gravel, she's become a top contender in the Grand Prix, even nabbing fifth at her first Unbound earlier this year. Cécile sat down with Payson at the studio in Durango to talk about learning the ins and outs of gravel racing at the front of the peloton, her early introduction to professional cycling racing on the road in Europe, and how she hopes gravel will evolve. She also talks about the culture shock of moving from France to Arizona for college, the eating disorder that likely contributed to her chronic stress fractures, and how she's navigated her diagnosis of RED-S, relative energy deficiency in sport. Instagram: @withpacepodcastYouTube: Payson McElveen Email: howdy@withpace.cc

Meet Christian Meador—a former Army paratrooper with the 82nd Airborne who joined the military at 26 to pay off student loans and pursue law enforcement. After serving in Iraq, he transitioned into satellite communications with the 19th Special Forces Group in the Utah National Guard. Medically retired in 2014, Christian has spent the last decade in telecommunications, while also serving as a city councilman and board president of a tourism alliance. His story is one of grit, growth, and giving back.Iraq combat veteran, 82nd Airborne, Utah National Guard, 19th Special Forces Group, satellite communications, Army veteran career path, military to civilian transition, telecommunications expert, veteran leadership, city council veteran, tourism alliance president, veteran reinvention, public service podcast guest, military communications specialist

Have you ever experienced mysterious physical symptoms that doctors just can't explain?This week, I'm joined by Clinical Psychologist, Dr Hannah Sugarman. We unravel the complexities of medically unexplained symptoms (MUS). We demystify what these symptoms are, discuss the stigma and psychological impact around diagnoses like Functional Neurological Disorder and chronic pain, and explore how the mind and body are deeply connected, even when tests come back clear.Highlights include:8:46 Defining medically unexplained symptoms (MUS) and common presentations15:09 The healthcare system's shortcomings22:24 Trauma, stress and physical symptoms28:42 Finding support and resources33:25 Hope for managing symptomsWant more?Check out our exclusive mini interview with Hannah over on SubstackThis week's guest:Dr. Hannah Sugarman is a Clinical Psychologist with over 15 years of experience. From the beginning of her career, she's been fascinated by how the brain influences our thoughts, emotions, and behaviours. Early on, much of her work focused on neuropsychology, supporting people with neurological conditions and brain injuries. Over time, her passion grew for understanding the complex and often misunderstood link between the mind and body, especially for those dealing with physical symptoms that don't have clear medical explanations. In addition to her neuropsychology work with individuals, families, and professionals, Hannah works with individual adults experiencing mental health problems and medically unexplained symptoms in one to one therapy. Hannah is currently in independent practice, working with clients remotely, in the community and in person at Central Health London. Hannah is passionate about supporting individuals who are dealing with symptoms that medical tests can't seem to explain. WebsiteInstagramTell us what you thought of this episode! -> JOIN OUR SUBSTACK NEED THERAPY? SOCIALS DISCLAIMER

In this episode of Conversation with the Experts, host Camille Foley speaks with consultant psychiatrist Dr. Andrew Court and paediatrician Dr. Alex Cussen about Medically Unexplained Symptoms (MUS) in young people, real physical symptoms like pain or fatigue that don't have a clear medical cause. The episode also provides suggestions for service delivery for MUS presentations and provides insights from families and young people with lived experience of MUS.

If medically assisted weight loss is part of your revenue stream, this episode is non-negotiable. I sat down with attorney, spa owner, and compliance educator Courtney Walker to unpack the current chaos around GLP-1s—semaglutide, tirzepatide, and the like. From cease and desist letters to compounding confusion to trademark traps, Courtney breaks down what's really going on and how you can move forward with confidence. Whether you're all-in on weight loss programs or just exploring, you need to know your legal and operational options. What you'll learn during this episode: What's changing around compounded GLP-1s—and why it matters for spa owners The real difference between legal risk vs. operational compliance How cease and desist letters work—and what to do if you receive one What pharmaceutical companies are targeting next How to vet pharmacies, avoid marketing violations, and stay in your lane legally Resources Mentioned in Episode #EP 440:  Legal Clarity on GLP-1s in Medically Assisted Weight Loss with Courtney Walker Courtney on Instagram: @itscourtapproved www.courtapprovedaesthetics.com Keep the conversation going inside the Spa Marketing Made Easy Community by clicking here. IG / @addoaesthetics WEB / addoaesthetics.com YOUTUBE / @addoaesthetics LINKEDIN / @addoaesthetics   ABOUT THE SPA MARKETING MADE EASY HOST      About Your Host, Daniela Woerner Daniela Woerner is the founder and CEO of Addo Aesthetics, a leading community for aesthetic professionals, and the creator of the Growth Factor® Framework—a proven system that has helped 582 six- and seven-figure spa owners scale their businesses with strategy and systems. With nearly two decades in the aesthetics industry, Daniela has trained alongside top physician-dispensed brands, consulted with leading dermatologists, and helped thousands of spa professionals streamline their operations and maximize profitability. Her mission? To transform overworked aesthetic professionals into Spa CEOs—building a business and life they love with the strategic systems needed for long-term financial growth. As the host of the Spa Marketing Made Easy podcast, Daniela brings expert insights, real-world strategies, and in-depth conversations to help spa owners elevate their marketing, optimize their operations, and create sustainable success. With over 400 published episodes, 1 million+ downloads, and a ranking in the top 1% of all podcasts worldwide, Spa Marketing Made Easy is the go-to resource for spa and aesthetic professionals looking to level up. Tune in each week for actionable strategies, expert interviews, and inspiration to help you build a thriving, systemized, and scalable spa business!  

Want to learn the #keystoresilience after suffering life-altering trauma? Listen now to this interview with Kijuan Amey, #Author and #ResilienceCoach to learn how Kijuan turned his #painintopurpose, and now helps others do the same!About Kijuan:Kijuan Amey, the visionary behind Amey Motivation, hails from Durham, NC, where his#ResilienceJourney and success began. After graduating from Southern High School, hededicated a decade of his life to the #USAirForce, achieving the rank of Staff Sergeant as anIn-flight Refueling Specialist. Medically retired, he transitioned into academia, earning adegree and founding Amey Motivation LLC. Formerly served as the vice president for theCarolina regional group of the Blinded Veterans Association, Kijuan is also a mentor andambassador for the Air Force #woundedwarriorproject. Beyond his remarkable military career, Kijuan is a man of many talents, boasting over 25 years of drumming expertise, on-stage acting, and now, an upcoming bestseller, “Don't Focus on Why Me.” However, life took an unexpected turn on May 5th, 2017, when a motorcycle accident claimed his eyesight. Yet, as Kijuan profoundly states, “I may have lost my sight, but I did not lose myvision.”Now armed with an inspiring story of #overcomingadversity, Kijuan has become amotivational force, empowering others to reach their #highestpotential. Whetheraddressing a crowd of 1,500 or engaging in one-on-one sessions, Kijuan is well-equippedfor any speaking engagement. He's not just a speaker; he's a catalyst for transformation,ready for the task ahead! Contact him at (919) 641-8150 | kijuan@ameymotivation.com |AmeyMotivation.com#WhyNotMe  #FromTraumaToTriumph #LiveUnfiltered #FaithOverFear #SpeakYourTruth #TruthHeals #BreakTheSilence #MentalHealthAwareness #VulnerabilityIsStrength #KeepSeekingHelp #SurvivorSupport #TruthTelling #DontGiveUp #SpiritualHealing #DivinePurpose #PurposeThroughService #ServeWithLove #FaithAndPurpose #LiveToServe #liveyourbestlife _____________________________________ABOUT SAMIA:Samia Bano is the #HappinessExpert, author, speaker, podcaster & coach for coaches and healers. Samia is most known for her book, 'Make Change Fun and Easy' and her #podcast of the same name. With the help of her signature Follow Your Heart Process™, a unique combination of #PositivePsychology and the #spiritual wisdom of our most effective #ChangeMakers, Samia helps you overcome #LimitingBeliefs, your chains of fear, to develop a #PositiveMindset and create the impact and income you desire with fun and ease…Samia's advanced signature programs include the Happiness 101 Class and the Transformative Action Training.Samia is also a Certified #ReikiHealer and Crisis Counselor working to promote #MentalHealthAwareness.Samia models #HeartCenteredLeadership and business that is both #SociallyResponsible and #EnvironmentallyFriendly.Samia is a practicing #Muslim with an inter-spiritual approach. As someone who has a love and appreciation for diversity, she is a #BridgeBuilder between people of different faiths and cultures. Although Samia currently lives in California, USA, she has lived in 3 other countries and speaks Hindi, Urdu, and English fluently.  Want to learn even more about Samia? Visit www.academyofthriving.com :)To Book your Free HAPPINESS 101 EXPLORATION CALL with Samia, click: https://my.timetrade.com/book/JX9XJ

Want to learn the #keystoresilience after suffering life-altering trauma?Listen now to this interview with Kijuan Amey, #Author and #ResilienceCoach to learn how Kijuan turned his #painintopurpose, and now helps others do the same!About Kijuan:Kijuan Amey, the visionary behind Amey Motivation, hails from Durham, NC, where his journey of resilience and success began. After graduating from Southern High School, he dedicated a decade of his life to the #USAirForce, achieving the rank of Staff Sergeant as an In-flight Refueling Specialist.Medically retired, he transitioned into academia, earning a degree and founding Amey Motivation LLC. Formerly served as the vice president for the Carolina regional group of the Blinded Veterans Association, Kijuan is also a mentor and ambassador for the Air Force Wounded Warriors program.Beyond his remarkable military career, Kijuan is a man of many talents, boasting over 25 years of drumming expertise, on-stage acting, and now, an upcoming bestseller, “Don't Focus on Why Me.”However, life took an unexpected turn on May 5th, 2017, when a motorcycle accident claimed his eyesight. Yet, as Kijuan profoundly states, “I may have lost my sight, but I did not lose my vision.”Now armed with an inspiring story of #overcomingadversity, Kijuan has become a motivational force, empowering others to reach their #highestpotential. Whether addressing a crowd of 1,500 or engaging in one-on-one sessions, Kijuan is well-equipped for any speaking engagement. He's not just a speaker; he's a catalyst for transformation, ready for the task ahead! Contact him at (919) 641-8150 | kijuan@ameymotivation.com |AmeyMotivation.com#WhyNotMe #FromTraumaToTriumph #ResilienceJourney #LiveUnfiltered #FaithOverFear #SpeakYourTruth #TruthHeals #BreakTheSilence #MentalHealthAwareness #VulnerabilityIsStrength #KeepSeekingHelp #SurvivorSupport #TruthTelling #DontGiveUp #SpiritualHealing #DivinePurpose #PurposeThroughService #ServeWithLove #FaithAndPurpose #LiveToServe #liveyourbestlife_____________________________________ABOUT SAMIA:Samia Bano is the #HappinessExpert, author, speaker, podcaster & coach for coaches and healers. Samia is most known for her book, 'Make Change Fun and Easy' and her #podcast of the same name. With the help of her signature Follow Your Heart Process™, a unique combination of #PositivePsychology and the #spiritual wisdom of our most effective #ChangeMakers, Samia helps you overcome #LimitingBeliefs, your chains of fear, to develop a #PositiveMindset and create the impact and income you desire with fun and ease…Samia's advanced signature programs include the Happiness 101 Class and the Transformative Action Training.Samia is also a Certified #ReikiHealer and Crisis Counselor working to promote #MentalHealthAwareness.Samia models #HeartCenteredLeadership and business that is both #SociallyResponsible and #EnvironmentallyFriendly.Samia is a practicing #Muslim with an inter-spiritual approach. As someone who has a love and appreciation for diversity, she is a #BridgeBuilder between people of different faiths and cultures. Although Samia currently lives in California, USA, she has lived in 3 other countries and speaks Hindi, Urdu, and English fluently.  Want to learn even more about Samia? Visit www.academyofthriving.com :)To Book your Free HAPPINESS 101 EXPLORATION CALL with Samia, click: https://my.timetrade.com/book/JX9XJ

On the pod: Hack Hater Is back! MoBeast traded in a nissan for a horse Three things not to say to your partner What can you never say to your partner Catch The Jimmy & Nath Show with Emma live on the 1041 2Day Monday to Friday from 6am-9am! Follow us on Instagram and TikTok @thejimmyandnathshowwithemma Want your jokes to be on our pod? Send them in a voice note here: hello@jimmyandnath.com Subscribe on LiSTNR: https://play.listnr.com/podcast/the-jimmy-and-nath-showSee omnystudio.com/listener for privacy information.

(4:10) Bible Study: Genesis 12:1-9 Father explains the importance of the sacred name of God and why it matters to us? Matthew 7:1-5 What does it mean to stop judging less we be judged? (22:06) Break 1 (22:54) Letters: What should you give a diocesan priest for a gift? Father discusses slavery and other topics. Send him a letter at simon@relevantradio.com (34:14) Break 2 (34:48) Word of the Day Abraham (37:16) Phones: Billy - my brother in law converted to Islam. how do we deal with this? Especially about dietary changes. Brian - I'm writing a paper about how the Catholic Church is the same before Constantine. What arguments are there? Judy - How to deal w/a friend who has chosen to do a Medically assisted death? Anna - I was reading Psalm 103:10, could you explain?

Welcome to a Wide World of Sports update. A snapshot of the latest sport stories from the 9News team including: Eagles flag hero medically retired after facing AFL concussion panel Former best batter in the world dropped from the Australian Cricket team Messi scores match-winner as Inter Miami beats Porto at FIFA Club World Cup The biggest sport stories in less than 5 minutes delivered twice a day, with reports from the 9News team across Australia and overseas. Subscribe now to make it part of your daily news diet.See omnystudio.com/listener for privacy information.

Welcome to a Wide World of Sports update. A snapshot of the latest sport stories from the 9News team including: Eagles flag hero medically retired after facing AFL concussion panel Former best batter in the world dropped from the Australian Cricket team Messi scores match-winner as Inter Miami beats Porto at FIFA Club World Cup The biggest sport stories in less than 5 minutes delivered twice a day, with reports from the 9News team across Australia and overseas. Subscribe now to make it part of your daily news diet.See omnystudio.com/listener for privacy information.

Welcome to a Wide World of Sports update. A snapshot of the latest sport stories from the 9News team including: Eagles flag hero medically retired after facing AFL concussion panel Former best batter in the world dropped from the Australian Cricket team Messi scores match-winner as Inter Miami beats Porto at FIFA Club World Cup The biggest sport stories in less than 5 minutes delivered twice a day, with reports from the 9News team across Australia and overseas. Subscribe now to make it part of your daily news diet.See omnystudio.com/listener for privacy information.

Send us a textOn this episode we discuss the passing of the legendary Brian Wilson and his lasting contribution to music. We also hear new music from the “sons of the Beatles”, and a sort reunion of the Police. We talk cover songs that were bigger/better than the originals, we play MixTape and dedicate our Wall of Tunes segment to our favorite Beach Boys songs. #brianwilson #beatles https://www.facebook.com/obrienanddoug/ https://instagram.com/obrien_and_doug

What happens when doctors say it's over, but God says not yet?

Gerry Powell is the visionary founder of Rythmia, the world-renowned plant medicine center in Costa Rica. In this raw and revealing episode, Gerry opens up about his wild journey—from building and selling a $100M business to hitting rock bottom with addiction, ego, and emptiness.What followed was a complete transformation through ayahuasca, humility, and service. Gerry shares the deep lessons he's learned about healing, letting go of control, and living with purpose. If you've ever questioned the path you're on, this episode will shake you up in the best way.00:00 Introduction02:00 The beauty of the challenges of life03:31 Plant medicine and the fear of doing it the wrong way05:57 Gerry's story and how he got here11:47 Ayahuasca and what it truly does for you17:04 Discussing plant medicine appropriately23:47 Creating Rythmia and what a retreat looks like28:05 Where can Rythmia go from here30:13 What Ayahuasca can be35:45 Discussing religion and god40:29 Human nature: why people are good45:08 God loves you47:54 The gift of prayer51:03 The medicine guides everything52:43 Where you can check out Gerry and Rythmia53:45 OutroCheck out my Online Men's Coaching Community We Are The They and see how it's changing men's lives across the globe!Get my FREE guide with 45 Days of Simple Tips to Become a Better ManPick up my USA Today bestselling book Be One: How to Be a Healthy Man in Toxic Times

AP correspondent Julie Walker reports New York lawmakers approve a bill that would allow medically assisted suicide.

Joe Beamer is joined by State Senator Pat Gallivan to discuss the bill regarding medically assisted suicide.

While menopause is typically a natural transition, medically-induced menopause is another scenario altogether, coming at a time in a woman's life when she is already undergoing serious health challenges. To understand more on the subject, we’re joined on the podcast by Professor Martha Hickey, Professor of Obstetrics and Gynaecology at the University of Melbourne (since Feb 2010) and Adjunct Professor of Obstetrics, Gynaecology and Reproductive Sciences at Yale University, CT. She is the lead in a world-first study, What Happens After Menopause (WHAM), that explores just how women who experience medically-induced menopause are affected. The findings might surprise you!See omnystudio.com/listener for privacy information.

Discount Code for 20% off: ONCEUPONAGENE Chelsea and Amber of Lemon Cake—two fellow rare moms on a mission—pop in to remind you that even when seizures, meltdowns, and endless therapies feel like they're winning, there's still room for belly laughs, tiny victories, and yes, a slice of cake. I had so much fun chatting with these bright lights as they shared how a spontaneous Instagram Live turned into a lifeline for parents of medically complex kids. They unpacked those “garage-floor” prayers, served up bite-sized self-care hacks and showed us how to keep carving out joy in the thick of it. Their brand-new 57-page e-book, "Finding Joy in the Journey", is bursting with real-life stories, practical worksheets (including a simple medical binder template), and reminders that you're never alone. Grab your copy at makinglemoncake.com and use code ONCEUPONAGENE for 20 % off—because we all deserve a little extra sweetness in our day. You can also find them on Instagram at https://www.instagram.com/makinglemoncake/ to join the Cake Pop community, soak up their bright energy, and maybe one day snag that killer lemon cake recipe. These women are lifting others in the thick of it, and I'm here for every ounce of their glow.

In this episode, Kelsi Sheren discusses the troubling rise of euthanasia deaths in Canada under the Medical Assistance in Dying (MAID) program. She highlights the alarming statistics, the social factors contributing to individuals choosing euthanasia, and the ethical implications of expanding the program to include those with mental illness and minors. Kelsi calls for a reevaluation of how society addresses mental health and social support, urging listeners to advocate for compassion and treatment rather than death as a solution.00:00 Introduction and Overview of MAID01:25 The Alarming Rise of Euthanasia in Canada05:05 Social Factors Influencing Euthanasia Choices09:35 Ethical Concerns and the Future of MAID11:02 Call to Action and ConclusionSubstack: https://substack.com/@kelsisheren - - - - - - - - - - - -SUPPORT OUR SPONSORS - - - - - - - - - - - -RHO Nutrition - Code: KELSI20 -  https://rhonutrition.com/KELSIXX-XY Athletics - Code: KELSI20 - https://www.xx-xyathletics.com/?sca_ref=7336247.FtJS2YUK4OKetone IQ- 30% off with code KELSI - https://ketone.com/KELSIGood Livin- 20% off with code KELSI - https://www.itsgoodlivin.com/?ref=KELSIBrass & Unity - 20% off with code UNITY - http://brassandunity.com - - - - - - - - - - - - -SHOPB&U Jewelry & Eyewear: https://brassandunity.com - - - - - - - - - - - - -Follow #thekelsisherenperspective- - - - - - - - - - - - -CHARITYHeroic Hearts Project - https://www.heroicheartsproject.orgHonour House Society - https://www.honourhouse.caAll Secure Foundation - http://allsecurefoundation.orgDefenders of Freedom -https://www.defendersoffreedom.usBoot Campaign - https://bootcampaign.org

Connect with A : ‪@thisisapariera‬ 0:00 Intro 1:05 Inner work 2:10 Coming out transgender3:05 Queer 4:10 Medically transitioning 5:10 Mental health challenges 6:30 Life or death 7:00 They did not understand 8:00 Beginning hormones 9:20 Injecting with the wrong needle 10:10 Discussion / support 11:20 Ages 18-70 12:00 Non binary 13:05 Deep voice from hormones 14:05 Shame and feeling hopeless 15:00 Darkest and lowest moments 16:00 Feeling so ashamed 17:10 Authenticity 18:30 Top surgery 20:50 The trans experience 21:05 Grieve 22:40 Expression of our soul 23:10 Your souls truth 24:10 Feeling rushed 25:10 The process is rushed 26:40 One day at a time 27:20 Shame ridden 28:10 Change the beliefs 29:20 Peel back the layers 30:10 Peer pressure 31:15 Narrative around the trans community 32:20 Minors should have requirements 34:30 Change is not a bad thing 35:45 Evolve into your true self 36:50 Distance yourself from the familiar 37:10 Got though the storm 38:20 Was it that bad ? 39:00 Supporting a loved one 40:05 Community 41:30 Your services

Mark, Lawrence, Sarahlyn, and Al discuss The Pitt and other medical dramas like ER, Gray's Anatomy, ad nauseam.  Doctors and patients grappling with life and death stakes seems a strong premise for drama, but how many of these shows do we need? We talk about the gore, the pacing, the characters, the politics, and the other considerations that make The Pitt a great show (at this point). For more, visit prettymuchpop.com. Hear this ad-free with bonus content at patreon.com/prettymuchpop or by subscribing via Apple Podcasts to the Mark Lintertainment Channel.

Today we're lighting up and dabbing a heavy-hitting strain that's as wild as its name — Purple Platinum Garlic. This potent hybrid is a cross between GMO (Garlic Cookies) and Platinum OG, and it packs some serious flavor and effects.We're not just sparking flower either — we're dabbing the concentrate using the Sykloud by Bomb Erigs, one of our favorite portable rigs. If you want to try it yourself, hit up Bomb's site and use the code cannabisschool at checkout for 10% off. It's smooth, tasty, and makes concentrates way more fun to sesh with.Now back to the strain. Purple Platinum Garlic isn't your everyday smoke — THC levels on this one hit between 30–35%, so it's definitely one of those “clear your schedule” strains. There's barely any CBD (about 0.01–1%), so all the effects are dialed in from the THC and terpene combo.And speaking of terpenes, here's what's in the mix — and what they do for you:Caryophyllene – spicy, peppery, and known to help reduce inflammation and stress. It's the only terpene that actually interacts with your endocannabinoid system like cannabinoids do.Limonene – bright, citrusy, and often associated with boosting mood and easing anxiety. It gives you that “sunshine in your brain” kind of feeling.Humulene – earthy and woody, and may help curb your appetite (yep, a rare anti-munchie terp).Myrcene – herbal and musky. This one's the most common cannabis terp and usually behind that heavy, sedative body high that makes you feel like melted butter.Flavor-wise, Purple Platinum Garlic lives up to the name. It kicks off with a big garlic-and-herb inhale, then smooths out into sweet, creamy notes on the exhale. There's even a little sage-y earth vibe in the background. It's weird. It's tasty. And if you're a fan of the funky stuff, it's a must-try.The high starts up top — a fast cerebral rush that'll have you feeling floaty and giggly. Then the body high rolls in slowly and fully. You're not locked to the couch at first, but don't be surprised if you end up there with snacks and a dumb grin on your face. Perfect for unwinding at night, de-stressing, or sinking into some creative work if you catch the head high early enough.Looks-wise, this strain is a stunner. Dense, chunky buds that are forest green with deep purple tones, loud orange hairs, and a thick, frosty layer of trichomes. Definitely a “pull this out to impress your friends” kind of flower.If you're growing it, Purple Platinum Garlic flowers in about 8–9 weeks. Indoor growers can expect about 400g/m², while outdoors you can pull around 500g per plant with a harvest window in early October. It grows solid and sturdy, like it knows it's a powerhouse.Medically, it's great for stress, anxiety, depression, chronic pain, and appetite loss — but again, go easy if you're sensitive to high-THC strains. This one doesn't sneak up on you… it kicks the door down.Whether you're here for the garlic funk, the relaxing body high, or just trying something new on the dab rig, Purple Platinum Garlic brings the full experience. And the Sykloud by Bomb Erigs made the sesh even smoother.Light it. Dab it. Let it take you for a ride.

Dr. Luis Raez and Michael Reff share the newest update to the medically integrated dispensing pharmacy standards from NCODA and ASCO. They review updates to domain one, on key patient-centered quality standards on health equity and social determinants of health, drug access, patient safety, education, and adherence to maximize treatment outcomes and domain two, on key operational quality standards on logistics, care coordination, and waste prevention. We also cover the impact of these updated standards for clinicians, oncology practices, and people receiving oral anti-cancer medications. Read the complete standards, “Medically Integrated Dispensing Pharmacy: ASCO-NCODA Standards.” Transcript These standards, clinical tools, and resources are available on ASCO.org.  Read the full text of the guideline and review authors' disclosures of potential conflicts of interest in the JCO Oncology Practice. Brittany Harvey: Hello, and welcome to the ASCO Guidelines podcast, one of ASCO's podcasts delivering timely information to keep you up to date on the latest changes, challenges, and advances in oncology. You can find all the shows, including this one, at asco.org/podcasts.  My name is Brittany Harvey, and today I'm interviewing Michael Reff from the Network of Collaborative Oncology Development and Advancement and Dr. Luis Raez from Memorial Cancer Institute and Florida Atlantic University, co-chairs on "Medically Integrated Dispensing Pharmacy: American Society of Clinical Oncology – Network of Collaborative Oncology Development and Advancement Association Standards Update." Thank you for being here, Michael and Dr. Raez. Dr. Luis Raez: Thanks for inviting us. Michael Reff: Thank you for having us. Brittany Harvey: Then, before we discuss these standards, I'd like to note that ASCO takes great care in the development of its standards and ensuring that the ASCO Conflict of Interest policy is followed for each guidance product. The disclosures of potential conflicts of interest for the expert panel, including Michael and Dr. Luis Raez who have joined us here today, are available online with the publication of the standards in JCO Oncology Practice, which is linked in the show notes. So then, to dive into the content here, Michael, I'd like to start with what prompted an update to these ASCO-NCODA standards and what is the scope of this update? Michael Reff: Thank you, Brittany. What led NCODA and ASCO to endeavor in this, and it started back in 2019 as the amount of oral anticancer medications became more and more prevalent in cancer treatment, we saw the need providing a blueprint for excellence in care for patients prescribed oral anticancer medications, specifically in the outpatient setting. And the update was driven by the rapid growth of these oral oncolytics starting back in the mid to late 2015 through 2019 or so, and then continued on into the 2020s where we are today. We saw the increase in the complexity of the management of these patients with these therapies basically outside the traditional clinical settings. And we wanted to make sure that with more cancer treatments that are taken at home than just at the clinic, like in the oral setting, new challenges had emerged around patient safety, access, adherence, and overall treatment success. The updates now address patient-centered and operational interventions designed to improve access, safety, quality, accountability, and outcomes of oral anticancer and other supportive care medications prescribed for the cancer patient. Dr. Luis Raez: As Mike said, these guidelines help improve patient care tremendously, but also help us a lot as an oncologist, you know, community oncologists that- now that we have opportunity to dispense these oral oncolytics, we need help to create our medical integrated pharmacies, and NCODA is providing here a way that, how to do this safely, efficaciously, good quality, you know? So that's why I think we always do everything for the patients, but also this helps a lot to the doctors. And there are a lot of what we call specialty pharmacies or medical integrated pharmacies now nationwide. Michael Reff: I'll build on what Dr. Raez had mentioned. This is the impetus. If you looked at the innovation that was coming from the pharmaceutical companies, many of it coming in the oral form for anticancer medications, and based on that, taking a look at the infrastructure that is in place in these practices, whether it's in the community or the IDN or health system settings, this amount of innovation that was coming needed to be addressed by taking a look at the medically integrated oncology team. And these standards address not just the pharmacy component, but also the whole continuum of care, starting with a medical oncologist or the hematologist, with the pharmacists, nurses, the pharmacy technicians, others that are involved in the care of the patient. And there were no standards involved. And when we approached ASCO back in 2018 to eventually publish the first version of these standards, the need was identified, and we worked collaboratively with ASCO to create the first set and then the revisions as we talked about. One thing to note regarding the revision plus the original standards, we had a cross-section of the care team on the committee, and we did that very purposefully. So, the ASCO-NCODA team curated a committee to help develop these original standards and the revision of these standards with medical oncologists both from community and health systems, pharmacists from both community and health systems, and also nurses. And we also included a patient that currently has and currently receives oral anticancer medication. And so NCODA and ASCO are very proud of the committee that we put together because of the experts in their field, but also extended the invitation to a current patient. And we embedded everybody's expertise in the curation of these standards. Brittany Harvey: Absolutely. I appreciate that background and context and how it's critical to improve patient care. And these standards really help oncologists, and we're looking across the continuum of care to provide optimal care for our patients. So then next, Dr. Raez, I'd like to review the key points of the revised standards for our listeners. So for Domain 1, what are the key patient-centered quality standards on health equity and social determinants of health, drug access, patient safety, education, and adherence to maximize treatment outcomes? Dr. Luis Raez: Yeah, this was a great effort, you know, at the multidisciplinary team. And as you can read in the standard, there were more than 240 publications reviewed; more than 55 of them are quoted here. And the standards are in two groups, as you said. With the group one, I'll briefly mention some of them. For example, SDOH, social determinants of health, is very important because as doctors, we prescribe, and sometimes patients don't get the medication, you know? And we prescribe assuming that 100% of the patients will get the medication. But something simple like the patient doesn't have insurance, the patient is underinsured. I have a patient that we didn't have an address to send the medication because he's homeless. Something that as a doctor you say, "Oh, oh my God, this is outside my realm," but it's not outside reality. So that's why, even if we don't think that this is part of our expertise dealing with social determinants of health, the fact that the patients have food insecurity, they don't have transportation, they don't have insurance, they don't have a caregiver, impact tremendously in the outcomes of the therapy. So that's why, basically, in this standard, we want to call attention that SDOH, social determinants of health, needs to be identified. There are in the literature countless examples of why this is important. For example, in the guidelines, we quote two or three examples of prostate cancer studies that, for example, we quote a study of 27,000 people with prostate cancer that were taking oral oncolytics, and how come the fact that the elderly, seniors, the fact that they have high prescription costs, and how all of this affected the adherence to the medication. And that's why it's important to identify the SDOH. And in other sections of the guidelines, we said how to address them, no? Another important thing in this domain is the cultural, you know, we need to be culturally sensitive and to take care of all of these social factors. For example, here in South Florida, we deal with the Haitian culture, Filipino culture, Latin culture, and American culture, and it's a blend, but it's not easy to go from one to the other. Another one is the fact that we have to include new technologies. A lot of patients, for example, we use EMR, EMR Epic, and now Epic has everything in the phone. The fact that we can have now the patient can see her prescription medication over the phone, the fact that they can use the phone to request from you a refill, and from your phone, you send the refill to the pharmacy, and you notify from your phone to the patient that the refill is sent, and the patient can check in his phone that the refill is ready. These things are amazing because that's why it's important that we incorporate these technologies to the patient care, and in this specific case, of dispensation of oral therapies, no? Another crucial point is education. You cannot be sending a patient a package of 300 pills without education. So that's why in our guidelines, mainly pharmacy, clinical pharmacies, or in some centers like mine, we have advanced practice providers, it's mandatory in our centers to have like a one hour of education before you send the prescription. So the patient is aware about side effects and contraindications, all of these things. They provide them also materials and also consent. You know, in the old times, you don't give chemo without a consent. Now, a lot of people say, "Oh, it's only a pill." There is a lot of benefits or side effects that can come from the pill, so you need to consent everybody, you know? So, another aspect is adherence. I already told about that, but we need to provide patients with a baseline assessment, no? So, you cannot send again the prescription and hope, "Oh, I'll figure it out what happened next month when the patient comes back." I tell you, the patient is homeless, where are you going to send it? If the patient is telling you, "I don't have insurance," what good is it for you to send a prescription? The patient will not get it. So that's why you need to do a baseline assessment of adherence. You need to do a calendar. You need to do electronic support, I mentioned already with the EMR and the phones. For example, my MIP, my specialty pharmacist, sends me a message in the EMR, "Dr. Raez, the insurance is not covering, the patient has a high copayment, we are going to delay the dispensation of the medication." So there needs to be a communication. Or sometimes there is a confusion with the insurance, and I cannot wait for the poor patient to call three, four weeks later, "Oh, I didn't get the medication," to know what happened, no? My MIP is very good. They send the clinical pharmacist a message, "Hey, you know, the insurance doesn't believe that the pill is adequate, or you need to provide more documentation. You need to prove the mutation, the genetic aberration." So if you provide us that, the insurance may approve. So that communication with the doctor is very important to improve adherence. And one important thing that we have in this one that we didn't have in the anterior is the tracking of outside medications. A lot of times you say, "Okay, the insurance allowed us to provide the medication it's 100% responsible." But then the insurance says, "Oh, no, no, don't worry. CVS will provide the medication." So it says, "Well, it's you know, it's not my responsibility. CVS will provide the medication, they have to take care." But we know that outside our specialty pharmacies or MIPs, the care is not very good. So that's why we are taking our ownership that, "Okay, the insurance said the patient will get the medication from some outside pharmacy." But our clinical pharmacists track that. What happened? Did the patient get it? The patient didn't get it. The copayment is still high. So even if you get the medication from somewhere else, if the copayment is high, we, our clinical pharmacists, help the patient to navigate and get the foundation or the copayment or finally the maker, the industry partner, provides the drug for free, but somebody needs to do the paperwork. And that's why this is very important. We cannot abort our responsibility because, "Oh, the insurance said somebody else will give it." I work for the public healthcare system, so my patients, some of them don't have insurance, they are underinsured. So we see these problems every day. And finally, the standards talk about the importance of safety, documentation, verification, monitoring, refills, you know, you need to keep track of refills. We already mentioned how important is the technology to facilitate the refills, and the quality. Brittany Harvey: Yes, thank you for touching on those highlights for Domain 1. It's important that all patients have access to care and these oral anticancer medications, and not only just access to care, but safe and effective care. It's really important, as you mentioned, Dr. Raez, to meet patients where they're at and incorporate technology. And I also want to note the coordination with external pharmacies that you mentioned in tracking outside medications as well. It's not only important for multidisciplinary care within the oncology practice itself, but also external to the oncology practice. That's why we put together this multidisciplinary panel to develop these standards. So then, expanding on that, Dr. Raez, for Domain 2, what are the key operational quality standards? Those on logistics, care coordination, and waste prevention. Dr. Luis Raez: Yeah, we have a lot of standards here, but maybe we can summarize in five or six points, no? For example, financial toxicity in cost and waste are very important because the patients, yeah, you put them on therapy, but as you can understand, if there is disease progression, the patient don't need the medications. And sometimes you get refills even if the patient has disease progression. If you do a dose reduction, the same problem. Or you discontinue medication and the patient keeps getting the drugs. So, you're talking about drugs that are between 20 and 30 thousand dollars per month. This is a lot of money. There are studies that we're quoting in the standards that the waste could be from 1 to 3 or 4 thousand per patient, no? Another aspect is dispensing. When you dispense the medication, this is not as easy as, "I'll ship to your house a bag of medications." You know, there needs to be a diagram, a decision tree. You need to train the staff to know what we're doing. There needs to be an auditing of the process. They need to be even packaging and shipping, you know? For example, I'm in Florida today and outside in summer it's going to be 95 degrees. So, everybody leaves the package outside your house, and sometimes you go the whole day until when you come at 6:00 p.m. There are medications that cannot be left outside there, you know? I don't know, it sounds like a joke, but I have a patient that the medication used to be stolen because people thought that that was something important, you know? And of course, it's important because it's a $20,000 medication. So, the poor patient, because he lives in an area that is not safe, has to come and pick up in person. All of these things sound very trivial, but that's real life that affects adherence. Another important thing is shortage. This is something that we just suffered two or three years ago, and we have to think about what happens in the next shortage. What happens if there's going to be a shortage? What do we do or how are we going to do that? Now we know it's something that is happening probably very soon again, and something that we have to consider. Another standard is the care coordination. You need to have probably, if it's possible, a coordinator. I know that for small practices it's very hard, but for big cancer centers, you should have a coordinator of this. I already mentioned before, the communication between the physicians and the doctors to coordinate the care, no? You need to write the prescription again, you need to provide more information, or to be notified, "Hey, you know, the patient is throwing up in the first week, you need to see the patient, please," no? So, this type of communication needs to exist so we can serve the patient better. It's also important, you know, we're improving quality and we're improving care. It's important to try to collect patient-reported outcomes. This is something that now we have the opportunity, if we do things well, to do it and show that we're providing a better care. The other thing is that we already mentioned SDOH in the other standard. In this standard, we mention mainly SDOH to partner. For example, we collect in my center SDOH, and I always get frustrated when the patient doesn't have transportation. But I didn't know that there are local institutions that provide free Uber rides, free Lyft rides. So that's why it's important to partner with these institutions. I have a local grocery chain that provides free food for the patients, and I didn't know that. It's important to be aware what the patient needs and what resources do you have to fulfill the SDOH. That's the part that we mention in here. So that's why, in summary, those are the six probably most important points here. I'll ask Mike for some comments. Michael Reff: Thank you, Dr. Raez. Brittany, to answer your question, and as was pointed out on logistics, care coordination, and prevention of waste, certainly that is an aspect that has changed in the revision that we're here to talk about. There's really two components to waste, and it's cost avoidance and then waste prevention. And as Dr. Raez mentioned several times, the importance of the medically integrated team and having the ability for that practice to fill that prescription internally and have robust documentation. Cost avoidance is a critical component that the medically integrated pharmacy, or the MIP, can help the total cost of care. And that is by preventing errant fills or waste that can occur by intervening in the care of the cancer patient, as we do every day. But when the practice has access to the medication and can fill that prescription in-house in the medically integrated pharmacy, that team, that care coordination that takes place, can prevent those errant fills or additional fills when there's dose reductions, there's holidays, there's things that happen in real time. And it's impossible for a mail-order pharmacy that's in another state that has lead times, when a prescription needs to be mailed 7 days or 10 days before the patient will run out of the medication, it's impossible for them to logistically coordinate that care like we can internally within the medically integrated pharmacy. So, we prevent waste and overall cost of care by cost avoidance and having that coordination or that continuity of care that we talk about. And we prevent waste from the mail-order pharmacies by taking that prescription internally and filling it, but also doing it in a way that's more sustainable and cost-effective for all stakeholders in the oncology ecosystem. Brittany Harvey: Absolutely. Thank you both for reviewing those key standards for Domain 2 and touching on the importance of distribution logistics and all the things that a medically integrated pharmacy needs to think through in getting oral anticancer agents to patients. Following that, Michael, we've touched on this a little bit earlier, but how will these updated standards impact clinicians and oncology practices? Michael Reff: Yes, and as Dr. Raez and I have discussed throughout this podcast, these additional standards are there to help support that continuity of care by educating the clinicians that are in the oral anticancer medication space to elevate their provision for these oral therapies. What I mean by that is the practice has to perform at a certain level in order for them to, as I call it, deserve the right to fill that prescription by having the processes and procedures in place. And these standards, these updated or revised standards, are the blueprint for better patient care and to help the practices execute on that journey of continuous improvement. Dr. Luis Raez: Yeah, I only want to add, we have practical examples in the guidelines. We quote a couple of studies that have been successful. And this year, for example, I am a lung cancer doctor, we are presenting in World Lung our standards of adherence to oral oncolytics for EGFR therapy, following the NCODA-ASCO standards. We're around 95% of adherence. We are a healthcare system that is public. We have people with no insurance and a lot of social determinants of health. We are trying to show that it's feasible, even in the most difficult circumstance, when you follow the standards, to be successful. Brittany Harvey: Definitely, these standards can help clinicians and oncology practices succeed in providing these medications. So then beyond that, and to wrap us up, Michael, what do these revised standards mean for patients who are receiving oral anticancer medications? Michael Reff: Yes, great point and question, Brittany, because we have covered the benefits to the clinicians and the practices themselves. But how is this going to support better patient care? And it does it in a whole host of ways. I'll cover just a few of them. What I'm about to share with you relates back to what we call at NCODA the "core claims." Like, what's the core claims of having a medically integrated pharmacy within the practice? And there are seven different core claims that we feel practices that are focused on the continuity of care can deliver better outcomes that are embedded in these standards. And it's talking about abandonment, adherence, access and affordability, speed to therapy or time to fill, as we call it, education, patient satisfaction, and cost avoidance that we covered earlier. So those are the core claims that a practice that follows these revised standards can help elevate. So, faster and more affordable access to the oral cancer medications; individualized support to address barriers like transportation, finance, language, or health literacy, and so on; clear, patient-friendly education; something that is near and dear to all clinicians' hearts, and of course, the patient that was on our panel or on our committee, to empower them to manage side effects and recognize when to seek help; and a stronger partnership with a care team, with regular follow-ups focused on their experience, challenges, and successes; and then, greater overall safety through proactive monitoring for medication errors or complications. So all of these aspects, or tenets, as I'll call them, are baked into these quality standards that are totally aligned with NCODA's core claims document that, again, talks about abandonment, adherence, access and affordability, speed to therapy, education, satisfaction for the patients, and also cost avoidance. Dr. Luis Raez: I only want to add and invite the community to adhere to these standards, to practice the standards. You will be providing the best patient care that we can nowadays. Brittany Harvey: Definitely. I think these standards are very important. And Michael, I thank you for touching on those key claims from NCODA. I think those, along with these updated standards, will improve outcomes for patients everywhere. So I want to thank you both so much for your work to update these standards and all the time you put into it. And thank you for your time today too, Michael and Dr. Raez. Michael Reff: I'd like to thank not only the committee, my esteemed committee that helped support the standards and the revision. Many of the original healthcare providers and patient that were on the first go of the standards were part of the second standards. We revised it, of course, and we got additional support from the new committee. And certainly ASCO and their partnership and collaboration with NCODA has been tremendous. And we look forward to the oncology community at large adopting these standards, again, to work together, we do become stronger, and it will improve cancer care for patients receiving oral anticancer medications. So thank you, Brittany. Dr. Luis Raez: I only want to say the same thing. Actually, there is probably more people in NCODA that is not in the publication that has helped. Same in ASCO. Also, we want to give thanks to Dr. Stephen Grubbs, our leader in quality. He's retiring. We're going to miss him, but he has been a key collaborator with Mike organizing these standards for the last five or six years. So, looking forward to these standards in practice. Brittany Harvey: Absolutely. A big thank you to the entire panel and everyone who contributed to this, and NCODA as well. And then finally, thank you to all of our listeners for tuning in to the ASCO Guidelines podcast. To read the complete standards, go to www.asco.org/standards. I also encourage you to check out the companion episode on these standards on the PQI podcast by NCODA, which you can find on Apple Podcasts and Spotify. You can also find many of our standards and interactive resources in the free ASCO Guidelines app, which is available in the Apple App Store or the Google Play Store. If you have enjoyed what you've heard today, please rate and review the podcast and be sure to subscribe so you never miss an episode.   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.

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Medically required to wear paint on his face. There is a cheerleader outside and I do not need help from them. Looking for a junior rat on site. I am going to ambush them with my emotional issues. There was … Continue reading →

Send us a textToday we interviewed Cally, who shared her experiences across two very different births. Her first pregnancy took place during COVID, where limited access to care led her to an OB by default. Red flags emerged throughout the pregnancy, but she continued with the same provider. After a long posterior labour that ended in an epidural and Syntocinon, she began to reflect more deeply on her birth choices.We also spoke about her breastfeeding journey—navigating early challenges, pumping and bottle-feeding for nearly two years—and her experience with a medically managed miscarriage, which she approached with intention and care.In her third pregnancy, Cally initially returned to her OB but switched to a private midwife at 26 weeks after feeling unsupported in her birth preferences. She went on to plan a homebirth that honoured her values and autonomy. When a postpartum hemorrhage occurred, it was swiftly and effectively managed by her midwifery team at home—including resuscitation—demonstrating the high level of skill and preparedness within well-supported homebirth care.Links:Mama Midwives Core & Floor Restore Free Antenatal ClassesThe Pink Elephant Support Network Red Nose  Info on APGAR Score Ten years of publicly funded homebirth services in Victoria Mothers & Babies Report - APGAR dataNational Core Maternity Indicators - APGARWhat is Medical management of miscarriage Support the show@homebirthstoriesaustralia Support the show by buying us a coffee! Please be advised that this podcast may contain explicit language. Listener discretion is advised.The information, statistics, and research presented in this podcast are for informational purposes only and are not intended to constitute or replace medical or midwifery advice. All information discussed can be found online and is provided in the links in the show notes. It is always recommended to conduct your own research and make informed decisions. We advise you to discuss any topics or concerns with your healthcare provider. While we strive to incorporate the most up-to-date research in our episodes, we do not warrant or guarantee the accuracy of the information discussed on the show.

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Senior Deputy Editor Rob Lott interviews Shuyue (Amy) Deng of Tufts University to discuss her recent paper that takes a closer look at the estimated impact of medically tailored meals on health care use and expenditures in the US.Order the April 2025 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast Subscribe to UnitedHealthcare's Community & State newsletter.

“My situation does not define who I am, I define who I am!” You're going to love Episode 60 of the 'Transformation Starts Today' podcast with Kijuan Amey. Here's some background about Kijuan: Kijuan Amey, the visionary behind Amey Motivation, hails from Durham, NC, where his journey of resilience and success began. After graduating from Southern High School, he dedicated a decade of his life to the US Air Force, achieving the rank of Staff Sergeant as an In-flight Refueling Specialist. Medically retired, he transitioned into academia, earning a degree and founding Amey Motivation LLC. Beyond his remarkable military career, Kijuan is a man of many talents, boasting over 25 years of drumming expertise, on-stage acting, and now, an upcoming bestseller, “Don't Focus on Why Me.” However, life took an unexpected turn on May 5th, 2017, when a motorcycle accident claimed his eyesight. Yet, as Kijuan profoundly states, “I may have lost my sight, but I did not lose my vision.” Now armed with an inspiring story of overcoming adversity, Kijuan has become a motivational force, empowering others to reach their highest potential. Here are some ways to connect with Kijuan: AmeyMotivation.com IG: https://www.instagram.com/kijuanamey/ Facebook: https://www.facebook.com/kijuanamey Linkedin: https://www.linkedin.com/in/kijuan-amey-783889121/ 'Don't Focus On Why Me' Book:  https://www.amazon.com/Dont-Focus-Why-Me-Motorcycle/dp/1737036614/ref=sr_1_1?crid=16Z5YOZY01IZZ&dib=eyJ2IjoiMSJ9.cy94Jy2W4gXZHmmmRBKvDw.2r5hMSjyBZpROVxa_H7IfIbv5bb9BlS7jVHkR6JK1k0&dib_tag=se&keywords=kijuan+amey&qid=1745293716&sprefix=kijuan+ame%2Caps%2C90&sr=8-1 Dr. Jamil Sayegh – Spiritual wisdom teacher, energy healer, life-transformation coach, integrative naturopathic physician Learn more about if or how I can help you: https://linktr.ee/drjamilsayegh

Tune in to the Habit-Based Lifestyle Podcast, where host Jesse Ewell guides you on a journey to realign with the habits that unlock your full potential. In this episode, Jesse Ewell reveals the critical mistakes health professionals make when implementing weight loss programs. Learn how to transform your approach from selling supplements to delivering genuine client transformations. Shownotes: Key Mistakes in Weight Loss Programs Selling products instead of transformation Non-scalable, one-on-one programs Lack of accountability and coaching Failing to position as a results-based offer Core Principles of Successful Weight Loss Programs Focus on lifestyle change, not quick fixes Create scalable, virtual delivery models Implement structured accountability Emphasize habit-based approaches VIP Weight Loss System Highlights 12-week transformation program Medically supported approach Habit-based methodology Potential to generate $20-50k monthly for practitioners Recommended Strategies Sell transformation, not just supplements Build virtual, scalable coaching systems Provide consistent client accountability Position programs around client results   Click the link below and learn how Jesse and his team can help you achieve similar transformative results. To find out more about the VIP weight loss system email me directly or reach out on socila media. Learn more about Jesse though the following links:   VIP WEIGHT LOSS SYSTEM HBL Lifestyle Secrets Group on Facebook Personal Website HBL Website Instagram Email

Dr James Thorp, MD, Chief of Maternal & Prenatal Health-TWC. twc.health/GRUBER Promo code: GRUBER Why are we so Medically Bound to China? Isn't a healthcare system that relies on a foreign supply chain to provide critical prescription drugs a national security threat?

A couple in Tennessee just adopted a fourth child with a serious medical condition. STORY: https://www.newschannel5.com/news/they-are-absolutely-angels-on-earth-family-fosters-and-adopts-medically-complex-children

SEASON 4 of Mind Your Own Karma is highlighting the effects of trauma and stress on the body, and talking about all the ways it can be unraveled. Healing is possible, and I believe that among all this juicy information I have for you this season, you'll find the right healing combination for you. Neuroplastic Symptoms: How Hidden Trauma Can Cause Chronic Pain and Medically Unexplained Symptoms with Dr. David ClarkeHave you ever experienced chronic pain, fatigue, or other mysterious symptoms—only to be told by doctors that everything looks “normal”? If so, you're not alone. Many people suffer from physical symptoms that don't show up on standard medical tests, leaving them frustrated and without answers.In this episode, I sit down with Dr. David Clarke, a leading expert in the mind-body connection and a key figure at the Association for Treatment of Neuroplastic Symptoms (ATNS). We dive deep into how unresolved trauma, stress, and suppressed emotions can manifest as real, debilitating physical symptoms. If you've ever been told “It's all in your head,” this conversation will change the way you think about your health.What You'll Learn in This Episode:✅ Why modern medicine often overlooks the mind-body connection.✅ How emotional stress can create very real physical symptoms✅ The science behind neuroplastic symptoms.✅ What to do if you think you could be suffering with neuroplastic symptoms. Resources & Links Mentioned:

If the choice between being sedated or awake and mobile was provided prior to intubation with the risks disclosed, what would the general public choose? Do patients and families have a right to know the risks of continuous sedation? I interviewed strangers in airports throughout the USA to learn more about their preferences. www.DaytonICUConsulting.com

It may be challenging to consider how there is joy in working with ill youth, and even chronically and terminally medically ill children. To her own surprise, Cloe Southard, LMSW has certainly found that joy. She gives us a new perspective about this work and engages in conversation about ethical dilemmas including the debateable issue of sustaining life vs. quality of life. She also is quite transparent about her countertransferential challenges.

Chelsea Christer is the Writer & Director of "Out For Delivery," a dark comedy that takes on issues of terminal illness, suicide, and end of life care. Although the world is already jaded about these issues, Out For Delivery explores what would it look like to take it one step further.  The highlighted charity for this month is TRANScending Barriers Atlanta, a nonprofit organization assisting Black Transgendered people with advocacy and legal assistance.  www.transcendingbarriersatl.org to learn more.  

Trish St John is the founder of Sensual Solutions in Vancouver, Canada, an intimate care service for adults with disabilities. With everyone trying to be more sex-positive, we ask the question, why then is it so uncomfortable to think about someone with a spinal cord injury having sex? In this episode, she shares how she went from HR executive to sex surrogacy agency owner, why we prefer people with disabilities to be asexual, how her service works & how it's legal.This episode originally aired October 24, 2022.If you liked this episode, you'll also like episode 156: SHOULD SEX BE SAVED FOR MARRIAGE?Guest: https://www.facebook.com/intimacycoaches | http://www.sensualsolutions.ca/ | https://twitter.com/SolutionSensualHost:  https://www.meredithforreal.com/  | https://www.instagram.com/meredithforreal/  | meredith@meredithforreal.com | https://www.youtube.com/meredithforreal  | https://www.facebook.com/meredithforrealthecuriousintrovert Sponsors: https://www.jordanharbinger.com/starterpacks/ | https://uwf.edu/university-advancement/departments/historic-trust/ 

April 4, 2025 - Assemblymember Phil Steck, a Capital Region Democrat, talks about legislation allowing parents with medically fragile children to be paid for providing their children with home care if they obtain minimum training.

Matt Barr been medically certified to have the world's biggest dick and he called in to talk all about it. Tune in to hear all the details including the documentary he was in about having the world's biggest dick and why he decided to be featured in it, the official stats of his dick, how he hides it in his pants considering it's so big, how and when he realized he was bigger then everyone else and how he felt about it when he was younger, how and why getting hard is harder for him, how much it measures when he's at full shrinkage and not hard, how and when word got out about his big dick and the consequences he faced, how and why he doesn't enjoy blowjobs and what he actually prefers, how many girls he had anal with, why he hasn't started an Onlyfans, how he was offered to do porn and was hired to work at sex parties and what went down, the negatives and positives he's experienced because he has such a of dick, how most women react when he first starts dating them, how he thought about penis reduction surgery and why he didn't ultimately go through with it, the Fleshy male sex toys he recommends, the book he wrote about his life story and when it will be out plus a whole lot more. You can find his book and info here: https://biggestpenisbook.com/ You can get 20% off Fleshy toys  here: https://shrsl.com/4vbkz **To see pics of MATT BARR and my other female guests + gain access to my PRIVATE Discord channel where people get super XX naughty + hear anonymous confessions + get all the episodes early and AD FREE, join my Patreon! It's only $7 a month and you can cancel at any time. You can sign up here: https://www.patreon.com/StrictlyAnonymousPodcast MY BOOK IS NOW OUT FOR PRE-ORDER!!!! Strictly Anonymous Confessions: Secret Sex Lives of Total Strangers. A bunch of short, super sexy, TRUE stories. GET YOUR COPY NOW: https://amzn.to/4i7hBCd To Join SDC and get a FREE Trial! click here: https://www.sdc.com/?ref=37712 or go to SDC.com and use my code 37712 Want to be on the show? Email me at strictlyanonymouspodcast@gmail.com or go to http://www.strictlyanonymouspodcast.com and click on "Be on the Show" Have something quick you want to confess while remaining anonymous? Call the CONFESSIONS hotline at 347-420-3579. You can call 24/7. All voices are changed. Sponsors:  https://butterwellness.com/ For 20% off your Butter Wellness perineum massager use code STRICTLY https://bluechew.com Get your first month of the new Blewchew Max FREE! use code: STRICTLYANON https://viia.co/STRICTLYANON Try VIIA and use code STRICTLYANON for great SEX and sleep https://www.dipseastories.com/strictlyanon Hear the hottest stories on Dipsea and get a 30-day FREE trial https://beducate.me/march2025 Use code anonymous to get an additional 10% off the campaign's current discount - that's 60% off Follow me! Instagram https://www.instagram.com/strictanonymous/ Twitter https://twitter.com/strictanonymous?lang=en Website http://www.strictlyanonymouspodcast.com/ Everything else https://linktr.ee/Strictlyanonymouspodcas Learn more about your ad choices. Visit megaphone.fm/adchoices

Have you ever left a doctor's appointment feeling more defeated than when you arrived? Perhaps a diagnosis felt like a life sentence, or a well-meaning comment planted a seed of fear that lingered for months. This isn't just bad bedside manner; it's a phenomenon I call “medical hexing.” It's the subtle, and sometimes not-so-subtle, way that language in medical settings can disempower us, shaping our beliefs and even our health outcomes. Today, we're diving deep into the power of words in medicine – how they can both heal and profoundly harm. In this episode I give you the down-low on:The Concept of Medical Hexing: How negative language and disempowering beliefs, often unintentionally, can act as a "medical hex," influencing our health beyond just our physical symptoms.The Nocebo Effect's Reality: This isn't just "woo-woo." The "evil twin" of the placebo effect, has a neurobiological basis, demonstrating how negative expectations can directly impact our physiology.Words as Physiological Triggers: The language used by healthcare providers directly impacts our brain and body, triggering stress responses, altering hormone levels, and even influencing our immune systems.The Power Imbalance: The traditional doctor-patient power dynamic can amplify the nocebo effect, making us more susceptible to negative suggestions and limiting our ability to advocate for ourselves.Reclaiming Your Agency: It's crucial to recognize your own expertise in your body and health, to question negative prognoses, and to seek out providers who foster trust and empowerment.The Body's Innate Healing Capacity: We must shift away from a disease-focused model and recognize the body's remarkable ability to heal, a capacity that can be enhanced or diminished by our beliefs.For a deeper dive into advocating for yourself within the medical system, be sure to read my book, "Hormone Intelligence." It includes a full chapter dedicated to empowering you to get the supportive, respectful healthcare you deserve. Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplementsMentioned in this episode:Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

Reimagining Pediatric Care with Imagine Pediatrics For families of medically complex kids, the healthcare system often feels broken—long hospital stays, insurance battles for basic needs, and constant caregiving without real support. But what if there was a better way? In this episode, I'm joined by Taylor Beery, co-founder of Imagine Pediatrics, Jody Copp, a full-time rare disease dad of two boys with Combined oxidative phosphorylation deficiency type 13 associated with a mutation in the PNPT1 gene and whose family has experienced firsthand the impact of their care model. Imagine Pediatrics is changing the game by providing 24/7, in-home, virtual-first medical care designed to keep kids safe at home—not in the hospital. He also has a rad foundation that we will chat about in a future episode: Raising Wheels Foundation If you are in Texas, Florida, and District of Columbia you have access to Imagine Pediatrics! We discuss:

In the second hour of "Connections with Evan Dawson" on 3/18/25, we explore how possible Medicaid cuts could affect medically complex kids, and how the Ronald McDonald House supports their families.

Today on Crime & Entertainment, we have, Bri Jaynes. Bri takes us down a insane world of being medically trafficked by rehab facilities that are supposed to help struggling addicts get clean. Flow Bri here ~https://www.instagram.com/brijaynes?i...Follow her podcast Recovery Uncovered ~ https://www.instagram.com/recoveryunc...Links to Crime & EntertainmentLike us on Facebook -    / crimeandentertainment  Follow us on Instagram -   / crimenentertainment  Listen on Spotify - https://open.spotify.com/show/4T67Bs5...Listen on Apple Music - https://podcasts.apple.com/us/podcast...Listen on Stitcher - https://www.stitcher.com/show/crime-e...Listen on Google Podcast -https://podcasts.google.com/feed/aHR0...Listen on Amazon Music -

Humanoid Robots in the Workforce. AI-powered robots are becoming more common for tasks like stacking and sorting, though their abilities remain limited.Medically Assisted Suicide and Alzheimer's: Quebec now allows terminally ill patients to choose assisted death years in advance, sparking ethical debates.Christianity's Resilience in America: New research challenges the idea of Christianity's decline, showing signs of resilience and growth.Planned Parenthood Allegations: Reports reveal botched care, lawsuits, and toxic work environments, raising safety concerns.==========Think Biblically: Conversations on Faith and Culture is a podcast from Talbot School of Theology at Biola University, which offers degrees both online and on campus in Southern California. Find all episodes of Think Biblically at: https://www.biola.edu/think-biblically. Watch video episodes at: https://bit.ly/think-biblically-video. To submit comments, ask questions, or make suggestions on issues you'd like us to cover or guests you'd like us to have on the podcast, email us at thinkbiblically@biola.edu.

Joel Embiid was ruled out for the rest of the 2024-25 season, with the Sixers saying he is medically unable to play with the condition in his left knee. Where do Daryl Morey and the Sixers go from here?

The INN Between is the only end-of-life and recuperative care facility of its kind in the U.S. And it's housed in a quiet neighborhood in Sugarhouse.

Wisdom Nutrition https://trywisdomnow.com/toddStock up on Wisdom for 33% off plus free shipping. Visit trywisdomnow.com/toddAlan's Soaps https://www.alansartisansoaps.comUse coupon code ‘TODD' to save an additional 10% off the bundle price.Bioptimizers https://Bioptimizers.com/ToddEnter promo code TODD to get 10% off any order.Bonefrog https://bonefrogcoffee.com/toddMake Bonefrog Cold Brew at home!  Use code TODD at checkout to receive 10% off your first purchase and 15% on subscriptions.Bulwark Capital Bulwark Capital Management (bulwarkcapitalmgmt.com)Don't miss the next live Webinar Thursday January 30th at 3:30pm pacific.  Sign up today by calling 866-779-RISK or go to KnowYourRiskRadio.com.Renue Healthcare https://renue.healthcare/toddYour journey to a better life starts at Renue Healthcare. Visit renue.healthcare/ToddIt's really important to be able to name and describe your enemy. This has profound meaning for President Trump, who is up against a Deep State that is already burrowing in, disguising their DEI titles. Let's take a look at the CIA from a documentary that came out several years ago, where the Supreme Court said it was OK to medically torture Canadians.Episode Links:This was a class at the entirely lefist University of Washington: President Kennedy and Crisis Acting: The Impact of Operation Northwoods on Modern ConspiracyOperation Northwood MemorandaCIA's secret brainwashing experiment: Former patients sue U.S. government (1984) - The Fifth Estate Supreme Court won't hear appeal in Montreal MK-ULTRA brainwashing case; Decision to uphold immunity for U.S. government a setback for class action