Podcasts about Moral injury

In 1987, Mary P. Lovato, a member of Kewa Pueblo in New Mexico, was diagnosed with acute leukemia. To receive a bone marrow transplant, she had to travel more than 800 miles from home because specialized cancer care was unavailable through the Indian Health Service. When she returned, she discovered another obstacle: many in her community feared cancer so deeply that they avoided speaking about it altogether.This episode examines how cancer survivorship exposed profound inequities in the American healthcare system. Long before health equity became a national priority, advocates from underserved communities were confronting disparities rooted in geography, poverty, racism, language, underfunded healthcare systems, and historical mistrust of medical institutions. Their work demonstrated that scientific advances alone cannot improve survival if patients cannot reach, afford, or trust the care available to them.The story follows pioneers including Mary P. Lovato, who built the first national Native-led cancer support and education program for Indigenous communities, and Maimah Karmo, founder of the Tigerlily Foundation, whose breast cancer diagnosis inspired a movement to improve early detection, clinical trial participation, and representation for Black women. Their advocacy challenged longstanding barriers to culturally competent care while highlighting persistent inequities in access to screening, fertility preservation, navigation, and innovative treatments.The episode also explores why diversity in clinical research matters. For decades, many cancer clinical trials disproportionately enrolled White patients, limiting both access to promising therapies and the scientific understanding of how treatments perform across different populations. Researchers, patient advocates, and community leaders responded by redesigning outreach, improving patient navigation, reducing logistical barriers, and insisting that affected communities help shape the research itself.Cancer survivorship cannot be measured solely by scientific breakthroughs. It also depends on whether every patient has a meaningful opportunity to benefit from them. The pursuit of health equity remains one of the defining challenges and enduring responsibilities of modern oncology.RELATED LINKSNational Cancer Institute | Cancer Health Disparities⁠Indian Health Service⁠Tigerlily Foundation⁠National Cancer Institute | Cancer Clinical Trials⁠American Indian Cancer Foundation⁠Abramson Cancer Center | University of Pennsylvania⁠FEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In 2000, Katie Couric underwent a live colonoscopy on national television following the death of her husband, Jay Monahan, from colorectal cancer at age 42. The broadcast demystified a procedure many Americans feared, led to an estimated 20% increase in colonoscopy screenings, and became one of the clearest examples of how public storytelling can change healthcare behavior.This episode examines how celebrities, journalists, filmmakers, and entertainers helped reshape the public conversation about cancer during a period when survivorship was becoming increasingly visible. As breakthroughs in targeted therapies, immunotherapy, and early detection allowed more people to live beyond cancer, public figures used their platforms to encourage screening, reduce stigma, and accelerate research. Their influence extended far beyond awareness campaigns, helping transform cancer from a private diagnosis into a national public health conversation.Central to this story is Laura Ziskin, the Hollywood producer behind Pretty Woman and the Spider-Man films, whose metastatic breast cancer diagnosis inspired the creation of Stand Up To Cancer. Working alongside Couric and leaders from entertainment, journalism, and biomedical research, Ziskin championed a new funding model that required multidisciplinary scientific collaboration, helping accelerate discoveries that contributed to multiple FDA-approved cancer therapies. The episode also highlights the advocacy of actor Patrick Dempsey, whose family's experience with ovarian cancer led to the creation of the Dempsey Center, expanding support for patients and caregivers beyond medical treatment.The story also asks what celebrity advocacy often leaves unsaid. Financial toxicity, caregiver burden, chronic pain, mental health, and the long-term effects of treatment rarely receive the same attention as dramatic diagnoses or breakthrough cures. As cancer survivorship continues to evolve, the greatest challenge may not be convincing people to care about cancer, but helping them understand what it truly means to live with and beyond it.RELATED LINKSStand Up To Cancer⁠Katie Couric Media⁠Dempsey Center⁠American Association for Cancer Research⁠National Cancer Institute⁠Dana-Farber Cancer Institute | Adult Survivorship Program⁠FEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

You Can't Pizza Party Your Way Out of Burnout: Moral Injury, Compassion Fatigue, and Treating Healthcare Workers - An Interview with Kimberly Johnson, PhD, LMHCD, and Lucy Li, MD Kimberly Johnson, PhD, and Lucy Li, MD, of the Emotional PPE Project on healthcare worker mental health and moral injury. Curt and Katie talk with Kimberly Johnson, PhD, LMHCD, a counselor educator at Touro University with more than thirty years of clinical experience in trauma, crisis, and disaster mental health, and Lucy Li, MD, a pediatric anesthesiologist at the Children's Hospital of Philadelphia. Both serve on the board of the Emotional PPE Project, a volunteer-run nonprofit reducing the barriers that keep healthcare workers from accessing mental health care. Healthcare workers rarely arrive in therapy looking the way the distress would suggest. They mask, they overcompensate, and they spend session time explaining the job before they get to what the job has done to them. Kimberly describes the trifecta therapists often flatten into ordinary workplace burnout: burnout, compassion fatigue and complex trauma, and moral injury braided together, frequently presenting subclinically. Lucy describes the same terrain from inside medicine, including what shifted for her after her friend and co-resident died by suicide during residency. They also walk through the Emotional PPE Project's directory of volunteer therapists and its ePPE 101 training for mental health professionals who want to work with healthcare workers well. In this episode, we discuss: - Why healthcare workers are a heterogeneous population, not a single clinical profile - How burnout, complex trauma, and moral injury show up together and subclinically - The intake questions that surface occupational risk factors early - Why moral injury sits where occupational, vocational, and personal identity stop aligning - What stigma costs healthcare workers, their patients, and the workforce - How the Emotional PPE Project connects healthcare workers to free, confidential care - Why the same barriers show up for therapists as healthcare providers Timestamps: - 02:38 - What therapists get wrong with healthcare workers - 07:11 - Professional humility and the questions worth asking early - 09:24 - Burnout, trauma, and moral injury as a trifecta - 15:30 - Where moral injury actually lives - 17:43 - Stigma and the fear of seeking care - 22:00 - The second victim effect and being sent home - 25:10 - Beyond pizza parties: what structural support looks like - 33:27 - Inside the Emotional PPE Project and ePPE 101 Guest Bios: Kimberly Johnson, PhD, LMHCD is Director of Special Projects and Assistant Professor in Clinical Mental Health Counseling at Touro University, a licensed therapist in New York, a certified Compassion Fatigue Therapist and Educator and Field Traumatologist, and a Diplomate with the American Academy of Experts in Traumatic Stress. Lucy Li, MD is an attending anesthesiologist in Pediatric Anesthesiology at the Children's Hospital of Philadelphia and a board member of the Emotional PPE Project. She completed her anesthesiology residency at Massachusetts General Hospital, where she was chief resident, and focuses on physician mental health and wellness. Learn more at emotionalppe.org Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

In 2006, a landmark report titled Closing the Gap: Research and Care Imperatives for Adolescents and Young Adults with Cancer confirmed what young survivors had been saying for years. While survival rates for children and older adults had steadily improved, adolescents and young adults had experienced decades of stalled progress. They had become cancer's lost generation.This episode explores how young adult survivors transformed their shared isolation into one of the most influential grassroots movements in cancer advocacy. Diagnosed during the years typically devoted to education, careers, relationships, and starting families, patients between the ages of 15 and 39 confronted challenges that extended far beyond treatment. Fertility preservation, sexual health, employment, financial toxicity, insurance, and long-term quality of life were rarely discussed in oncology clinics, leaving many to navigate survivorship alone.The episode follows advocates including Tamika Felder, Lindsay Avner, Heidi Adams, Doug Ulman, and Dr. Archie Bleyer, whose research and advocacy fundamentally changed how medicine understands adolescent and young adult cancer. Through organizations including Planet Cancer, Fertile Hope, the Lance Armstrong Foundation, and later Stupid Cancer, survivors built online communities, educational resources, conferences, and national partnerships that challenged long-standing assumptions about cancer care. Their work helped establish fertility preservation as a standard discussion before treatment, expanded research dedicated to adolescent and young adult oncology, and elevated quality of life as a critical clinical outcome alongside survival.The movement also demonstrated the power of lived experience to reshape medicine. Survivors became researchers, educators, nonprofit founders, and policy advocates, insisting that cancer care account not only for years of life saved, but for the lives patients hoped to build afterward.What began as a search for peers evolved into a national movement that permanently transformed adolescent and young adult oncology. Today, dedicated research programs, clinical fellowships, survivorship resources, and patient advocacy organizations continue to build on the foundation these young cancer mavericks created.RELATED LINKSNational Cancer Institute | Adolescent and Young Adult (AYA) Cancer Program⁠Closing the Gap: Research and Care Imperatives for Adolescents and Young Adults with Cancer⁠American Society of Clinical Oncology | Fertility Preservation Guidelines⁠Stupid Cancer⁠Livestrong Foundation⁠Journal of Adolescent and Young Adult Oncology⁠FEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Find us at www.crisisinvesting.com  Find Bill at https://substack.com/@cgpodcast  The U.S. Military Is a Trillion-Dollar Paper Tiger—Drones, Carriers, and Strategic Failure The hosts interview retired U.S. Army officer and military historian Bill Buppert, fellow at the Libertarian Institute and host of the Chasing Ghosts podcast, about U.S. military shortcomings and strategic failures since 1945. Buppert argues the Pentagon fields expensive "exquisite platforms" that are unfit for 21st-century peer conflict, citing lost influence in the Middle East and Africa and recurring defeats or stalemates in Iraq and Afghanistan. He critiques procurement and consolidation after the 1993 "Last Supper," and highlights troubled systems including the Zumwalt, Littoral Combat Ship, Ford-class EMALS, aircraft carriers, and the F-35's low readiness rates. He emphasizes the revolution of cheap FPV/UAV warfare, salvo competition in air defense, depleted munitions stockpiles (including Stingers), limited U.S. homeland missile defense, and vulnerabilities such as container-launched drones. The conversation also covers Ukraine's prospects against Russia, NATO red lines, Iran's terrain and history, and the importance of considering moral injury in war. 00:00 Meet Bill Buppert 01:52 Paper Tiger Pentagon 04:56 Iraq War Blowback 06:24 Rakes and Stupidity 10:22 Bureaucracy and Budgets 12:05 Navy Procurement Fails 14:05 Carrier and EMALS Risks 18:49 Drones Change Warfare 24:13 Defense Industry Monopoly 27:20 Salvo Competition IAMD 31:46 Carriers vs China Math 36:28 F-35 Readiness Disaster 39:56 Homeland Missile Defense Limits 42:58 Smuggled Nukes and Drones 44:22 Homeland Attack Scenarios 46:06 Civil Defense Blind Spot 47:12 Empire Mindset and 9/11 48:25 Bring Policy Home 51:14 Bureaucracy and Defense Waste 53:07 Drones Change Warfare 54:43 Why COIN Fails 56:58 Ukraine Forecast and NATO 59:57 Iran Nukes and Regional Power 01:08:09 Homeschooling and Trades 01:11:29 Iran Terrain and History 01:14:12 Moral Injury and Farewell

COVID Mandate Moral Injury, mRNA Cancer Treatment, Pancreatic Cancer Surge, Natural Thyroid Access, Cereal Toys Return, Michael Boldin, Tenth Amendment Center, Constitution Enforcement, Constitution's Original Purpose, Franklin's Welfare Warning, 17th Amendment, and MORE! https://robertscottbell.com/covid-mandate-moral-injury-mrna-cancer-treatment-pancreatic-cancer-surge-natural-thyroid-access-cereal-toys-return-michael-boldin-tenth-amendment-center-constitution-enforcement-constitution/ Purpose and Character The use of copyrighted material on the website is for non-commercial, educational purposes, and is intended to provide benefit to the public through information, critique, teaching, scholarship, or research. Nature of Copyrighted Material Weensure that the copyrighted material used is for supplementary and illustrative purposes and that it contributes significantly to the user's understanding of the content in a non-detrimental way to the commercial value of the original content. Amount and Substantiality Our website uses only the necessary amount of copyrighted material to achieve the intended purpose and does not substitute for the original market of the copyrighted works. Effect on Market Value The use of copyrighted material on our website does not in any way diminish or affect the market value of the original work. We believe that our use constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the U.S. Copyright Law. If you believe that any content on the website violates your copyright, please contact us providing the necessary information, and we will take appropriate action to address your concern.

What if the thing you're most ashamed of isn't proof that you're a bad person…but proof that you care deeply about being a good one? If there's something you did (or didn't do) that you still replay in your mind years later, I want you to hear this: There may be a name for what you're carrying. Moral injury. And no, healing it does not mean pretending it was okay. In this episode, I'm talking with Dr. Jaimie Lusk, a board-certified psychologist, Marine Corps veteran, longtime VA clinician, and leading expert on moral injury. Together, we unpack why some experiences turn into crushing guilt and shame, and how to finally start loosening their grip. You'll learn: Why guilt that won't go away may actually be evidence of your conscience What moral injury is and why it can leave you feeling fundamentally “bad” The “million-dollar question” that can completely change how you see what happened How to separate your actual responsibility from the responsibility you've taken on What to say when someone you love is withdrawing under the weight of shame Why healing isn't about erasing the past, but about deciding what you do with it now How to find the right kind of professional help for moral injury You cannot go back and change what happened. But you do not have to spend the rest of your life punishing yourself for it. Xoxo, Dr. Lisa Marie Bobby Growing Self Special thanks to this month's sponsors of the podcast: Shopify —  Every self-made person started somewhere. Yours starts free at shopify.com/lhs Quince — Quality products you'll actually use that feel like luxury without the price tag. Get free shipping and 365-day returns at ⁠quince.com/lhs⁠ Skylight — Stay connected with the people you love through beautiful digital calendars and photo frames designed for real family life. Learn more at skylightcal.com/lhs.

In 2006, the Institute of Medicine published From Cancer Patient to Cancer Survivor: Lost in Transition, concluding that millions of Americans were surviving cancer only to find themselves navigating a healthcare system unprepared for life after treatment. The report challenged oncology to recognize that curing cancer was not the end of care, but the beginning of survivorship.This episode explores how the growing cancer survivorship movement exposed the long-term consequences of cancer treatment that medicine had largely overlooked. As survival rates improved following the National Cancer Act of 1971, millions of survivors faced chronic fatigue, neuropathy, infertility, cognitive impairment, financial hardship, employment discrimination, anxiety, depression, and post-traumatic stress. These were not rare complications. They became defining features of survivorship for many patients.Drawing on the work of oncologist Dr. Patricia Ganz, survivor advocate Ellen Stovall, and researchers, clinicians, and survivors across the country, the episode examines how survivorship research expanded beyond recurrence and mortality to include quality of life, psychosocial care, rehabilitation, and long-term follow-up. Their efforts helped establish survivorship care plans, multidisciplinary survivorship clinics, and a broader understanding that cancer affects every aspect of a person's life long after treatment ends.The episode also confronts persistent inequities in survivorship care. Insurance coverage often ends when treatment stops, supportive services remain inconsistent, financial toxicity continues to drive medical hardship, and racial, geographic, and socioeconomic disparities still influence who receives comprehensive follow-up care. For many survivors, finishing treatment simply marks the beginning of another struggle.Modern oncology increasingly recognizes that surviving cancer is measured by more than years of life. It is also measured by quality of life, dignity, access to care, and the ability to rebuild a future after treatment. That evolution remains one of the most significant legacies of the cancer survivorship movement.RELATED LINKSNational Academy of Medicine | ⁠From Cancer Patient to Cancer Survivor: Lost in Transition⁠National Cancer Institute Office of Cancer Survivorship⁠American Society of Clinical Oncology | Survivorship Compendium⁠CancerCare⁠HopeWell Cancer Support⁠National Coalition for Cancer Survivorship⁠FEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In 1967, breast surgeon Dr. Harold P. Freeman arrived at Harlem Hospital expecting to treat cancer. Instead, he confronted a healthcare system where poverty, racism, lack of insurance, and institutional barriers often determined who lived long enough to receive treatment. Patients frequently arrived with advanced disease, not because medicine lacked answers, but because access to care had failed them.This episode explores how cancer survivorship expanded beyond medical breakthroughs to include healthcare access, health equity, and organized advocacy. Building on the early work of the National Coalition for Cancer Survivorship (NCCS), it examines the recognition that surviving cancer depended not only on research, but also on whether patients could navigate a fragmented healthcare system.Freeman responded by creating one of the nation's first patient navigation programs at Harlem Hospital in 1990. Community-based navigators helped patients overcome practical barriers including insurance, transportation, appointments, communication, and fear. The model dramatically improved timely diagnosis and treatment, increased breast cancer survival in Harlem, and ultimately inspired the Patient Navigator Outreach and Chronic Disease Prevention Act of 2005, establishing navigation as a cornerstone of modern oncology care.The episode also follows cancer survivor Ellen Stovall, whose leadership transformed survivorship into a national policy movement. Through the NCCS, she united advocates across cancer types, fought for insurance protections, expanded access to clinical trials, helped shape the creation of the Office of Cancer Survivorship at the National Cancer Institute, and organized the landmark 1998 National March for Cancer Survivorship in Washington, D.C. Her work reframed survivorship as a public policy issue rather than a personal experience.Together, Freeman and Stovall demonstrated that scientific progress alone could not eliminate disparities in cancer outcomes. Their work established two enduring principles that continue to shape oncology today: patients need someone to help them navigate care, and survivors must have a voice in the policies that govern it. Modern cancer survivorship depends on both.RELATED LINKSNational Coalition for Cancer Survivorship⁠Harold P. Freeman Patient Navigation Institute⁠National Cancer Institute Office of Cancer Survivorship⁠Patient Navigator Outreach and Chronic Disease Prevention Act of 2005⁠American Cancer Society⁠Tuskegee Study Timeline | Centers for Disease Control and Prevention⁠FEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Welcome to a very, very, very special bonus episode of Out of Patients, and one unlike anything published on this feed before. For nearly 20 years, Matthew Zachary has handed these microphones to patients, caregivers, doctors, advocates, troublemakers, and people with something worth saying. This time, he handed them to his daughter. Hannah Greenzweig grew up around this show, and now she has commandeered the studio with 3 of her wonderfully creative high school friends to talk about something they built entirely themselves. There is an enormous amount of Dad Pride baked into this episode, along with the strange and wonderful realization that sometimes your kid grows up, takes your chair, takes your microphone, and produces a better show without you.Hannah Greenzweig, Michael Aidinov, Gwendolyn Baldini, and Astronomy are student artists from the Roundabout Youth Ensemble at James Madison High School in Brooklyn. Working alongside teaching artists from Roundabout Theatre Company, they spent a school year creating an original play from the ground up, writing every scene, developing every character, and producing the performance themselves.Instead of discussing a Broadway production, they dissect one they invented.Their play, Subject Matter, began with a room full of improbable ideas. Murderous bounce houses, pirate family sagas, underwater adventures, courtroom dance battles, and birthday parties at math museums all competed before the group settled on an absurd rivalry between New York's fictional History Museum and Math Museum. From there, they built a fully staged comedy about institutional competition, sabotage, oversized personalities, and the unexpected discovery that history and mathematics need each other more than either side wants to admit.The conversation pulls back the curtain on a creative process most audiences never see. The students explain how scenes evolved through constant rewrites, how characters emerged from improvisation, how costumes came together with last minute ingenuity, and how rehearsals often collapsed into uncontrollable laughter. They recount cutting favorite ideas, solving production problems with limited resources, and trusting each other enough to keep rewriting until the story worked.The episode also captures something harder to script: teenagers speaking honestly about collaboration without adults translating their experience. They celebrate classmates who stepped into unexpected roles, teachers who quietly held the production together, and the strange joy of creating something that exists only because everyone showed up.It is a conversation about theater, friendship, education, creativity, and what happens when 4 young artists get the microphones and the adults get out of the way.RELATED LINKSRoundabout Theatre CompanyRoundabout Youth EnsembleJames Madison High SchoolFEEDBACKLike this bonus episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

A man is struck by a car on the streets of Los Angeles. In the emergency department, a CT scan ordered to look for traumatic injuries reveals something nobody expected: a mass in his colon. Days later, sitting across from Dr. Belinda Waltman, he calls the accident “a blessing in disguise.” Then he changes the subject. He is less worried about cancer than about whether he can afford to miss another day of work. In this season finale of Standard Deviation, host Dr. Oliver Bogler explores what happens when biomedical science collides with the realities of the healthcare safety net. Dr. Waltman, a primary care physician in Los Angeles County, specializes in expedited cancer workups for uninsured and underinsured patients. Every diagnosis arrives carrying another set of questions about housing, transportation, food insecurity, wages, and survival that rarely appear in medical records or scientific literature. For years, Waltman carried those stories without knowing how to bring them into the academic record. As a full-time clinician without a research lab, grant funding, or publication pipeline, she faced barriers familiar to many working scientists and physicians whose most important observations happen outside traditional research settings. With support from the Life Science Editors Foundation's JEDI program, those experiences became The Margins Matter, a narrative medicine essay published in JAMA that argues the social realities surrounding cancer care are not background details. They are part of the disease itself. Bogler traces how editorial mentorship transformed lived clinical experience into published scholarship while asking a larger question about who gets to shape the scientific record. The conversation examines cancer care, Medicaid, health-related social needs, medical publishing, and the structural incentives that determine which stories become evidence and which disappear from view.The result is a conversation about documentation, visibility, and why the margins of medicine often determine who survives long enough to benefit from its advances.RELATED LINKSDr. Belinda Waltman⁠The Margins Matter | JAMA⁠The Margins Matter | PubMed⁠Life Science Editors Foundation⁠FEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In 1986, 23 survivors, physicians, nurses, attorneys, and community organizers gathered in Albuquerque, New Mexico, for a weekend that would permanently change the language and politics of cancer. Working late into the night, they debated not only strategy, but identity, ultimately declaring that from the moment of diagnosis, every person with cancer is a survivor.This episode traces the social and political forces that gave birth to the modern cancer survivorship movement. As advances in early detection and treatment allowed more people to live beyond cancer, survivors discovered that finishing treatment did not mean returning to normal life. Many faced employment discrimination, loss of insurance, social stigma, infertility, chronic health complications, and a healthcare system that viewed survival as the end of care rather than the beginning of a new chapter.Against the backdrop of the civil rights, disability rights, and community health movements of the 1960s and 1970s, physicians, activists, and survivors challenged medicine's paternalistic culture and demanded a greater voice in decisions affecting their lives. Central to this story are physician and survivor Dr. Fitzhugh Mullan, whose landmark 1985 essay, Seasons of Survival, redefined survivorship as a lifelong continuum, and community organizer Katherine Logan, whose determination united dozens of grassroots organizations into what became the National Coalition for Cancer Survivorship.The coalition's founding established principles that continue to shape oncology today. Survivors were no longer defined solely by disease or treatment outcomes. Their experiences became evidence. Their voices became essential to clinical research, healthcare policy, and patient advocacy. By redefining survivorship as an ongoing experience rather than a destination, the movement challenged medicine to recognize the lasting physical, emotional, financial, and social consequences of cancer.The ideas forged during that weekend in Albuquerque became the foundation of modern cancer survivorship. Nearly 40 years later, the coalition's defining principle, that survivorship begins at diagnosis, continues to influence cancer care, research, policy, and the way millions of people understand life after cancer.RELATED LINKSNational Coalition for Cancer Survivorship⁠National Cancer Institute Office of Cancer Survivorship⁠The New England Journal of Medicine⁠Americans with Disabilities Act (ADA.gov)⁠Library of Congress | Civil Rights History Project⁠White Coat, Clenched Fist by Fitzhugh Mullan⁠FEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

EA767 - Monster Fuckery w/Ember Solaris, recorded classes, and Leather Archives Renovation This week on the Erotic Awakening Podcast, episode 766, Dawn shares various relationship styles for groups……   …plus, shares about her most recent long-distance trip to South Dakota… Jay Wiseman is having a sale on his books and more…..and free shipping by Dawn on the Kinkstarter Cards.   LINKS MENTIONED:   Ember Solaris https://fetlife.com/xSolaris Kink Starter Cards https://www.eroticawakening.com/store/ Recorded Classes https://www.eroticawakening.com/store/ Leather Archives and Museum https://leatherarchives.org/ Scissortail https://fetlife.com/events/2026/09/25/scissortail-leather-conference-midwest-power-exchange-contest-sjvqwm Kinky Holiday Bazaar https://fetlife.com/events/2026/11/21/kinky-holiday-bazaar-ogivu7 SEEK submissive retreat https://fetlife.com/events/2026/10/08/submissive-seek-retreat-2026-zdjhi5 TRANSCRIPT   1:07 Monster Fuckery w/Ember Solaris   3:01 Monster Lore   13:10 Risk of Moral Injury   17:57 Disavowing Social Norms   19:04 Reign of Blood   19:44 Where Dawn will be   21:26 Leather Archives and Museum Renovation   25:00 Kink Starter Cards free shipping   25:45 Organizing Recorded Classes Enjoy!!!   Dawn   ************************************************************   Enjoy the podcast and the education Dawn shares?   Join the patrons who help make it possible, for as little as $2/month.   Discounted/Free books, kink starter cards, online classes; early access to the show, and more!    https://www.patreon.com/eroticawakening   *****************************************   Fetlife - @Erotic_Awakening   Fetlife - @Dawn_Awakening Instagram - @eroticawakening Youtube - @eroticawakeningpodcast TikTok - @eapodcastdawn Newsletter - www.eroticawakening.com Discord - https://discord.gg/WQtSM56V39   ******************************************** 767 - #leatherarchives #monsterfckery #kinkstartercards #powerexchange #polyamory #livingms #polyamorytoolkit #kinkeducation #onlinekinkeducation #eroticawakeningpodcast #podcast #bdsm #domsub #submission #heartsandcollars

Sustainability Is a Fundamental Responsibility: Therapist Burnout, Moral Injury, and the Systems We Practice Within Therapist burnout, sustainability, and moral injury, and why fixing burnout can't land on individual clinicians alone. Curt Widhalm, LMFT, and Katie Vernoy, LMFT kick off a series of discussions on modern therapist principles with the one that shapes almost everything they cover: sustainability is a fundamental responsibility, paired with the reminder that therapists are human first. Nine years into the show, they revisit a question they keep returning to. If therapist burnout is a systemic problem, why does the job of solving it keep landing on individual clinicians? It is a framing the show has argued for since 2017, and it still cuts against most of the advice therapists are sold about fixing their own burnout by charging their worth and tightening their own schedules. This episode holds a both/and at its center. You are responsible for practicing competently and staying well enough to do the work, and yet shrinking reimbursement, vertically integrating insurance companies, inconsistent platforms, and constant collective crisis sit far outside any one therapist's control. Curt and Katie talk honestly about martyrdom, moral injury, and the polished corporate language now reshaping the field, then name the four places where sustainability tends to break down: too much work, not enough of the right work, work that betrays your values, and isolation. They also name what is shifting fastest right now, from AI and insurance chatbots to platforms that lower fees and fragment how clinicians document their work. Burnout is not a personal failing, and sustainability is not something you can white-knuckle alone. This conversation makes the case for navigating the system as it is, a refusal to accept that it has to stay that way, and building community on purpose, through consultation groups, networks, and professional relationships, as one of the few reliable protections therapists have. It is honest company for a problem the profession has not solved, plus a look at the collective work that might eventually move it. In this episode, we discuss: - Why therapist burnout is a systemic problem, not an individual failing - How to hold the both/and of working within the system while working to change it - The four ways sustainability breaks down, and how to spot them in your own practice - Why moral injury and isolation can be harder to carry than sheer overwork - How consultation and community become a real strategy for sustainability - What collective action, including guild-style organizing, could eventually require Timestamps: - 01:17 - The principle: sustainability is a fundamental responsibility, and therapists are human first - 04:41 - Nine years in: why systemic burnout still isn't fixed - 06:47 - Martyrdom, sacrificial helping, and band-aiding a broken system - 10:21 - What years of burnout and advocacy episodes have taught us - 16:31 - Seductive corporate language and the insurance chatbot future - 20:33 - Four ways sustainability gets hindered - 23:36 - Isolation and strategically building community - 26:31 - Building the plane while flying it: delayed competence and shared trauma - 32:10 - No more therapist martyrdom, and a word from Audre Lorde Full show notes and transcript: mtsgpodcast.com Join the Modern Therapist Community Patreon: https://www.patreon.com/c/mtsgpodcast Facebook Group: https://www.facebook.com/groups/therapyreimagined Modern Therapist's Survival Guide Creative Credits Voice Over by DW McCann: https://www.facebook.com/McCannDW/ Music by Crystal Grooms Mangano: https://groomsymusic.com/

Prior to becoming an anesthesiologist, Alyssa Burgart trained in bioethics. She now counts herself among a growing number of certified clinical bioethicists who help doctors, nurses, patients, and their families handle ethically complex medical decisions at the bedside. Bioethicists are critical to care, Burgart argues, helping patients facing difficult choices to clarify personal values and weigh a complex array of risks and benefits, as well as emotions and familial, cultural, and religious norms. While much of her work is in pediatrics and maternal-fetal cases, she also studies how moral distress and moral injury impact clinicians, contributing to burnout among doctors and nurses. Having a strong ethical community brings resilience to these challenging environments, Burgart tells host Russ Altman in this episode of Stanford Engineering's The Future of Everything podcast. Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your question. You can send questions to thefutureofeverything@stanford.edu. Episode Reference Links: Stanford Profile: Alyssa Burgart Connect With Us: Episode Transcripts >>> The Future of Everything Website Connect with Russ >>> Threads / Bluesky / Mastodon Connect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / Facebook Chapters: (00:00:00) Introduction Russ Altman introduces guest Alyssa Burgart, a professor of anesthesiology and perioperative pain at Stanford University. (00:03:16) Path into Bioethics & Anesthesiology How Burgart became a bioethicist and then chose anesthesiology. (00:05:18) What Bioethics Means How bioethics helps connect medical decisions to values, risks, and benefits. (00:07:03) Making Hard Decisions Manageable How ethics consultation helps clinicians act with integrity. (00:08:33) Ethics Consults A detailed explanation of hospital ethics services  (00:12:23) Pediatric Ethics Examples of Dr. Burgart's work with children, families, and clinicians (00:15:45) Culture, Faith, and Trust Navigating cultural and religious differences as a bioethicist. (00:17:57) Family Decision-Making How ethics consultants help families and care teams honor a patient's voice. (00:21:55) Moral Injury What is moral injury and how do clinicians specifically experience it? (00:24:52) Institutional Betrayal Why barriers like policies, laws, and denied approvals can create moral strain. (00:26:37) Moral Distress What is moral distress and how does it manifest itself in healthcare. (00:28:28) Moral Residue When clinicians experience repeated moral strain and cannot recover between incidents. (00:29:33) Treating Moral Injury & Distress Strategies for helping clinicians manage these parts of their work. (00:33:54) Future In a Minute Rapid-fire Q&A: clinical bioethics, human dignity, and moral resilience. (00:36:15) Conclusion Connect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>>Twitter/X / Instagram / LinkedIn / Facebook Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In 1971, President Richard Nixon signed the National Cancer Act, transforming cancer research with an unprecedented federal investment and launching what became known as the War on Cancer. The legislation did not emerge from scientific discovery alone. It was the culmination of decades of relentless advocacy by researchers, philanthropists, journalists, and patients who believed cancer demanded the same national commitment that had put astronauts on the Moon.This episode traces the origins of the cancer survivorship movement by returning to a time when cancer was rarely discussed in public, many physicians withheld diagnoses from their patients, and surgery offered few lasting cures. It follows the pioneering work of pathologist Dr. Sidney Farber, whose early chemotherapy research challenged conventional thinking, and Mary Lasker, whose political strategy, fundraising, and public campaigns helped transform cancer from a private tragedy into a national public health priority. Together, they built the coalition that reshaped federal support for oncology research and forever changed the relationship between science, government, and the American public.The story then turns to journalist and breast cancer survivor Rose Kushner, whose refusal to accept the standard one-step radical mastectomy challenged nearly a century of surgical dogma. Working alongside surgeon Dr. Bernard Fisher, Kushner helped bring evidence-based medicine to breast cancer treatment through randomized clinical trials that demonstrated less invasive surgery could achieve equivalent outcomes. Their efforts changed clinical practice, strengthened informed consent, and helped establish the principle that patients should participate in decisions about their own care.The breakthroughs explored in this episode extended far beyond new treatments. They redefined the role of patients in medicine, accelerated clinical research, and laid the foundation for modern cancer survivorship. The movement that followed would not simply help more people live longer. It would change what surviving cancer meant.RELATED LINKSNational Cancer Institute⁠National Cancer Act of 1971⁠American Cancer Society⁠Dana-Farber Cancer Institute⁠National Library of Medicine⁠The New England Journal of Medicine⁠FEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Let me know what you think of this episode? Some trauma is fueled by fear. Some trauma is fueled by guilt, shame, and the quiet sentence, “I can't be forgiven.” That's where the idea of moral injury changes the entire conversation about PTSD, spiritual health, and what real healing requires. We talk with Navy chaplain Larry Blant, who brings 25 years of pastoral ministry, years of police and fire chaplaincy, and combat experience with Marines in Helmand Province, Afghanistan. Larry explains PTSD as fear-based trauma and moral injury as the deeper wound that forms when you do something, are ordered to do something, or fail to prevent something that violates your core moral and spiritual beliefs. If you've ever heard someone say, “My soul feels shattered,” Larry helps us name what's happening and why a quick fix rarely works. We also get practical: how to find a safe place to tell the story, why many people pull away from family and church, and how programs like Building Spiritual Strength bring pastoral counseling and mental health care together for veterans and active duty service members. Along the way, Larry shares what he learned as an ICU chaplain during COVID, what effective VA support can look like, and how grace can rebuild a person's faith, relationships, and sense of self even when the memories don't disappear. If you care about veterans, first responders, trauma recovery, spiritual care, or church leadership, this conversation offers language, warning signs, and a hopeful path forward. Subscribe, share this with someone who needs it, and leave a review so more people can find these resources.Support the showWant to be a financial supporter of the show, click here, https://www.buzzsprout.com/1754677/supporters/newFollow and subscribe to the podcast here, and get weekly updates on when new episodes are released.  https://podcasts.apple.com/us/podcast/dorsey-ross-show/id1495921329Social Media Links,  Instagram https://www.instagram.com/dorsey.ross/Facebook https://www.facebook.com/DROCKROSS/ My Book Amazon Book Overcomer https://bit.ly/4h7NGIPWant to be a guest on Dorsey Ross Show? Send Dorsey Ross a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/1615423845838x127949785844303500Affiliate Link For Podmatch https://www.joinpodmatch.com/dorseyross

The consequences of the Coronavirus Pandemic on our society; the devastating effects of lockdowns on children, including anxiety, depression, and delayed language development. Today is primary election day in several states across the nation! The conversation shifts to the topic of the Democratic Party's shift towards Marxist-Islamist ideology, with Seth discussing the rise of candidates like Democratic candidate for U.S. Senate in Michigan Abdul El-Sayed, who has ties to the Muslim Brotherhood. We’re joined by Don Spini from Sun Valley Wealth. We’re not modeling healthy behavior. A man was arrested at President Trump’s Rancho Palos Verdes golf club with weapons and ammunition in his possession.See omnystudio.com/listener for privacy information.

Long before cancer survivors organized into a movement, Hollywood had already shaped how Americans understood the disease. Films rarely used the word “cancer,” physicians often withheld diagnoses from patients, and the people who survived were almost nowhere to be found on screen.Recorded before The Cancer Mavericks: A History of Survivorship became a documentary series, this bonus conversation explores where the project first began. Matthew Zachary sits down with his mother, Roz Greenzweig, a retired educator and lifelong film enthusiast whose memories of classic cinema became an unexpected lens for understanding how cancer was portrayed throughout the twentieth century.Together, they revisit landmark films including Dark Victory, Love Story, and other iconic portrayals that reflected an era when cancer was treated as unspeakable, inevitable, and almost always fatal. Their conversation contrasts those carefully constructed Hollywood narratives with the lived reality of a family confronting a brain cancer diagnosis in 1995, revealing how popular culture both reflected and reinforced the fears surrounding the disease.The discussion also foreshadows many of the themes explored throughout the documentary series: the evolution of patient advocacy, the emergence of cancer survivorship, the role of caregivers, and the power of storytelling to influence public understanding. Before policy changed, before advocacy organizations grew into national movements, conversations like these were already challenging long-held assumptions about what cancer looked like and who had the right to tell its story.Consider this the prologue to The Cancer Mavericks. Before the movement found its history, it began with a family trying to make sense of the stories they had inherited.RELATED LINKSAmerican Cancer Society⁠National Cancer Institute⁠American Film Institute⁠ER (NBC)⁠50/50 (Official)⁠Chasing Life (ABC Family Archive)⁠FEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Questions? Email podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

You've Been Treating Burnout. It's Actually Moral Injury.August 3rd, 2026. Luke Carignan is flying solo, and he has something to say. Three stories. One thread. An uncomfortable conclusion the research is forcing.

What happens when a drone mom has a discussion with her peace loving daughter? Listen to this play by Jack Gilroy of Award winning VFP Chapter 90 in Upstate New York. Jack has developed a 43 minute play that tracks a war widowed Mom from Creech to an Air Force base in NY as a drone pilot, suffering from PTSD, Moral Injury, and a daughter, a student at Fordham University, that she can no longer understand. This play is heart wrenching as it explores the concepts of patriotism, truth telling, peace making, and Mom/Daughter love and respect. Please listen and share and find out how you can host the play locally. And if that is not enough Jack is also trying to get the POPE to convene a peace conference before it is too late. We get the update.

On this Iron Sights episode recorded live on the vendor floor at TTPOA Conference, Scott Howell sits down for a collab with the TTPOA Podcast hosts Brandon Hernandez and Matt Smith. Their guests are Brad Ortiz, Director of Sales for the Law Enforcement Division at Silencer Shop and former officer, and Dewayne Manson, Project Manager at the American Warrior Association, to dig into the thing the Law Enforcement community has been slow to confront: the compounding weight of moral injury, and why the reactive system built to support officers is failing the people who need it most.The conversation goes deep on what moral injury actually is, how it differs from PTSD, and why the officer who has never been in a critical incident can be just as broken as the one who has. Brad and Dewayne walk through what a culturally competent clinician actually looks like, why baseline brain and blood health mapping belongs in the academy, and how the American Warrior Association's R3 program is embedding proactive resilience training directly into TTPOA's regional structure, the first partnership of its kind nationally.But this episode isn't just about mental health. It's about identity. What happens to the guy who IS the job when the job ends? Brad gets personal about his own struggles stepping away from full-time law enforcement, Dewayne shares the moment his teenage son had to pick him up after a DUI, and Scott connects it all to the broader truth that your calling and your identity are not the same thing, and that confusing the two is costing officers their health, their relationships, and sometimes their lives before and after retirement.The back half gets into the business world and how everything these men learned going through doors, managing teams, and serving their communities translates directly into relationship-based sales, leadership under pressure, and building something that outlasts the badge. If you've ever told yourself you're not capable of anything outside law enforcement, this one is going to challenge that story hard.In this episode:• Moral injury is NOT PTSD: it is the cumulative damage caused when you perpetrate something, fail to prevent something, or are ordered to act against your moral compass, and it compounds silently over an entire career without a single critical incident ever being the trigger• Culturally competent clinicians are practitioners who have lived the lifestyle or are married to someone who has: Dewayne walked out of his first VA appointment when the counselor opened with pronouns, then found a female therapist married to a 20-year infantry veteran and experienced a completely different outcome• The American Warrior Association's R3 program is building proactive resilience frameworks inside agencies, including regional resiliency coordinators, vetted clinician networks, and fully funded Warriors Refuge retreats where flights and lodging are free to eligible officers and spouses• Brad Ortiz's Sound Off program at Silencer Shop donates $2 per purchase to a vetted nonprofit fund, and every individual officer purchase routes through silencershop.com where buyers work directly with Brad and Chris• The inflection point analogy: moral injury deposits are made silently every shift, just like compounding interest, and what looks like a single critical incident blowing up is actually the hockey-stick moment on a years-long accumulation nobody was tracking• Social media pile-ons after a justified OIS caused Brad more lasting moral injury than the shooting itself, a blind spot no clinician or debrief ever addressed until he found the right cultural fit in counseling• Baseline blood panels and brain mapping done at the academy level would give officers a before-and-after reference for physiological change across a career: the greater endocrine system and brain health are being completely ignored while TRT gets all the attention• The law enforcement skill set transfers directly into business leadership: problem-solving under pressure, decision-making without perfect information, ownership of mistakes, and relationship-first sales are all things operators have already built on the job, they just don't recognize it as a resumeChapters:0:39 Iron Sights mission statement and welcome2:02 Introducing Brad Ortiz and Dewayne Manson2:49 Brad's background: The Uncommon Line podcast9:40 American Warrior Association programs overview11:43 Resilience training inside TTPOA: the first of its kind12:08 What moral injury actually is and why it's not PTSD14:20 Culturally competent clinicians: Dewayne's personal story31:52 Compounding critical incidents over a career38:37 Social media pile-ons as a hidden source of moral injury44:55 Identity vs. calling: challenging how officers define themselves1:12:18 Relationship-first sales, legacy brands losing ground, and the business parallel1:21:46 How to access AWA, R3, and SoundOff resourcesMentioned:Brad Ortiz — Director of Sales for the Law Enforcement Division at Silencer Shop, former law enforcement officer and fugitive investigator, and former host of The Uncommon Line podcast, joined as a guest to discuss the SoundOff program and the AWA partnership.Dewayne Manson — Representative of the American Warrior Association, infantry veteran who served in Afghanistan and contracted there through 2020, shared his personal journey through moral injury and recovery as context for AWA's R3 program.Matt Smith — Co-host of the TTPOA podcast with 21 years on SWAT, co-hosted this live conference episode alongside Scott Howell and competed in the TTPOA shooting competition the day prior.Brandon Hernandez — Region 7 Director and Director of Training for TTPOA, co-host of the TTPOA podcast, referred to on air as the celebrity of the group when a passerby stopped to greet him.Anna Heil — Associated with the American Warrior Association, attended a TTPOA show in St. Louis and briefed other state organizations on the AWA partnership afterward.Chris — Works alongside Brad Ortiz at Silencer Shop on the SoundOff individual officer program, mentioned as a direct point of contact buyers will reach at soundsoftshop.com.Neil Noakes — Former Chief of Police of the Fort Worth Police Department, cited as an example of a career officer who, when asked how many critical incidents he had been on, simply said he had lost count.Simon Sinek — Author and speaker known for the concept of finding your 'why,' referenced when Brad Ortiz challenged every officer in the room to examine the deeper reason behind their career and identity.

Some wounds aren't visible. Some can't be diagnosed with a scan or measured by a test. Yet they can profoundly shape who we are, how we see the world, and how we connect with others.In this very special episode of Friends Talking Nerdy, Professor Aubrey and Tim the Nerd welcome Milly Morrow, MSW, M.Div., for a thoughtful and deeply compassionate conversation about moral injury—a concept that is gaining recognition for its profound impact on mental health, identity, relationships, and community.Moral injury occurs when a person experiences, witnesses, or participates in events that violate their deeply held moral beliefs or values. While it is often discussed alongside Post-Traumatic Stress Disorder (PTSD), Milly explains why moral injury is a distinct experience, rooted not simply in fear or trauma, but in questions of meaning, betrayal, responsibility, and the struggle to reconcile what has happened with one's sense of self.Drawing from her extensive background in clinical social work, community-based care, pastoral ministry, and Internal Family Systems (IFS), Milly shares how grief, spirituality, trauma, and moral frameworks intersect in the healing process. She offers insights into why moral injury can affect anyone—not just military veterans—including healthcare professionals, first responders, educators, clergy, caregivers, community leaders, and anyone who has carried the weight of impossible decisions or witnessed profound injustice.Throughout the conversation, Professor Aubrey, Tim The Nerd, and Milly explore how shame differs from moral injury, why healing cannot happen in isolation, and how supportive communities play an essential role in helping people rediscover hope, purpose, and connection. Rather than asking people to "move on" from suffering, Milly encourages a different approach: making meaning from difficult experiences while honoring the values and relationships that continue to shape our lives.Our guest, Milly Morrow, MSW, M.Div., specializes in community-centered care for those who care for others. Her work supports individuals, families, caregivers, educators, healthcare professionals, clergy, frontline workers, and community leaders navigating grief and moral injury at the complex intersection of spirituality and mental health. With a trauma-informed, strengths-based approach, Milly is passionate about helping people integrate life's most difficult experiences while reconnecting with purpose, resilience, and authentic community.As Milly reminds us throughout this conversation:"Change is inevitable. Transformation is a choice. The choice to let suffering and change transform you requires connection, community, and deep courage. You do not have to do it alone."If this conversation resonates with you, please consider sharing it with someone who may benefit from hearing it. Conversations like these remind us that healing is rarely a solitary journey—and that understanding one another is often the first step toward hope.Support Friends Talking Nerdy on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Patreon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.As always, we wish to thank Christopher Lazarek for his wonderful theme song. Head to his ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for information on how to purchase his EP, Here's To You, which is available on all digital platforms.Head to Friends Talking Nerdy's⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠for more information on where to find us online.

Rebecca Bloom is a former employee benefits and executive compensation attorney who spent more than 25 years helping women navigate cancer, work, insurance, disability coverage, and financial survival. She is the founder and author of When Women Get Sick, a book built from decades inside the legal, workplace, and patient advocacy systems most people only discover after diagnosis.Bloom started in Big Law at Simpson Thacher handling employee benefits and compensation work she originally chose to pay off student loans. Then her mother was diagnosed with breast cancer. Suddenly the language she used in corporate law offices became the language of survival at home. Explanation of benefits forms. Coverage disputes. Second opinions. Disability protections. Medical leave. Bills no one could explain.That collision changed the direction of her life.In this episode, Bloom explains how serious illness quietly turns patients into unpaid administrators managing paperwork, logistics, financial risk, and emotional labor while trying to survive treatment. She breaks down how employer based health insurance shapes nearly every aspect of cancer care in America and why women often carry the invisible burden of protecting everyone else from discomfort while they themselves fall apart.The conversation digs into workplace power, the illusion of the healthcare “safety net,” caregiver exhaustion, and the class divide hiding underneath patient empowerment culture. Bloom explains why educated, insured women with resources still struggle to navigate healthcare bureaucracy and what happens to patients without those advantages.This episode explores cancer care, health insurance, employee benefits, patient advocacy, workplace protections, caregiving, and the structural incentives that force sick people to become project managers of their own survival.RELATED LINKSRebecca BloomWhen Women Get SickBay Area Cancer ConnectionsSimpson Thacher & BartlettFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Recorded LIVE on the floor at the AAFP Co-sponsored DPC Summit in New Orleans, Dr. Angela Andrews of Direct Primary Care of West Michigan and Dr. Nicholas Jones of Clear Health Direct Primary Care in Eugene, Oregon sit down with Dr. Maryal Concepcion for an honest roundtable on what changes between year one and year three of direct primary care practice ownership.Both opened in November 2023. Both came to New Orleans with a list. What they say out loud is what most physicians only think: the workflows you built on day one and never revisited, the boundaries you are usually the first to cross, and the succession question this movement has not solved yet.IN THIS EPISODEPhysician owned regional DPC networks, and using them for call coverage, internal locums, and physician funded startup loans instead of banksWhy you do not need a nonprofit to do nonprofit workRevisiting the workflows you built when you were solo, and what to automate, eliminate, or documentEmployers as the next phase of DPC growth, and the arrival of employed DPC positionsBoundaries, moral injury, and why the physician is usually the first one to violate the boundaryHow to handle one star reviews and trolls without losing your weekendSuccession planning, and what happens to patients when a DPC physician gets sick or closesOregon's corporate practice of medicine law, the non compete ban, and what advocacy looks like when you own your practiceGetting onto your state chapter committees, and why DPC needs representation at AAFP and state academiesSpouses, kids, and the family roles that quietly keep practices runningChoosing an EHR you will not have to leave in three yearsMENTIONED IN THIS EPISODEDr. Emily Holt, Dr. Esther Khatibi, Dr. Julie Gunther, Dr. Timothy Blain, Dr. Phil Eskew, Dr. Jill Scherer, Dr. Clodagh Ryan, Dr. Neil Douglas, Dr. Hailey Miller, Dr. Amy Tressan, and Shaunna SandersRESOURCESThe Toolkit Magazine, including this year's Battle of the Support Stack and last year's Battle of the EHRs: toolkit.mydpcstory.comThe Physician Owner's Planner Limited First Edition Bundle: mydpcstory.com/shopPHYSICIAN OWNER'S PLANNER BUNDLEFifteen available. Each one includes the printed Physician Owner's Planner in a binder, the digital bundle with our Medicare and Medicare Advantage Open Enrollment Guide, the yellow "Insurance is not healthcare" T-shirt, and a personal website review from Dr. Maryal Concepcion and Nathalia Hyland, head of marketing and strategy at My DPC Story. Limited shirt sizes remain. mydpcstory.com/shopCooperative of American Physicians or CAP. Learn more about the medical malpractice company used by Dr. Maryal Concepcion since 2021 at capphysicians.com or by calling 800-356-5672.Guava Health. A premium patient experience, pulling data from EHRs and wearables, helping  see the full picture and uncover root causes to deliver personalized care. ZION HealthShare. Get peace of mind for major medical events without going back into the insurance maze.  Hint AI helps you move faster through every stage of the patient visit. Hint AI Chat lets you ask questions about a patient's chart and instantly surface relevant notes, labs, and clinical history. Learn more at hint.com/ai.Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

In July 1969, Job Gonzalez was lowered into a tunnel where his enemy was waiting. When he resurfaced minutes later, he was out of the frying pan and into the fire. His valor that day earned him a Silver Star recommendation that lost its way in the chaos. A mechanical engineer, Job describes trauma in the only language that fits: the point where a material bends and can't spring back.

Edward Tick, Ph.D. is an archetypal psychotherapist, author, educator, poet, international pilgrimageguide, and activist. He has pioneered archetypal and culturally based healing for almost half a century. He is a “thought leader” on healing the invisible woundsof war and violence, and on ancient Greeceand the origins of medicine and psychotherapy. Hewas the U.S. military's subject matter expert on PTSD and Moral Injury for a decade.Among his ten books, The Practice of Dream Healing and War and the Soul are modern classics, and his books have been translated into several languages. Warrior's Return istranslated into both Russian and Ukrainian, and used for their contemporary healing alongwith Ed's zoom support, even as the war proceeds. The documentary “Healing a Soldier's Heart,” was a PBS special last Veterans Day weekend. In addition to his privatepractice Ed has lead more than 40 pilgrimages to Greeceand Viet Nam for holistic and spirituallybased healing, the psycho-spiritual-cultural healing of war trauma, and restoration ancient healing practices for our times. His newest book is Passage to Poros: Inthe Sanctuary of the Sea God and includes stories and testimonies from warriors who have taken these journeys for healing.#drdanamzallag, #drdanpodcast, #Happinessjourneywithdrdan,#ddanmotivation, #inspiringinterviews, #drdancbt, #drdantherapy,#drdancoaching, #drdanhappiness

Vasanta Pundarika built her career inside healthcare investment banking before launching Lotuspring, an advisory firm focused on women's health and behavioral health. She spent nearly 20 years advising healthcare systems, treatment providers, and growth stage companies on mergers, financing, and operational strategy while watching the industry repeatedly misunderstand the people it claimed to serve.The conversation starts unexpectedly with anthropology, bread, and language. Vasanta explains how she spent years changing the pronunciation of her own name to make other people comfortable before eventually reclaiming it. That thread opens into a much larger discussion about adaptation, identity, and what institutions quietly train people to tolerate.From there, the discussion moves into behavioral health, women delaying care, and the invisible labor that healthcare business models routinely ignore. During COVID, Vasanta noticed men's behavioral health units refilled faster than women's units. The reason had nothing to do with demand. Women were still home managing caregiving responsibilities, children, aging parents, and households while their own mental health collapsed in the background.The episode examines what happens when healthcare companies become “snazzy big brands” before building real clinical substance underneath. Vasanta describes the tension between mission and margin inside healthcare startups, private equity backed care models, and behavioral health expansion. The conversation pushes on who benefits when healthcare scales aggressively, who absorbs the operational pressure, and how patient trust erodes long before executives notice it on a dashboard.They also discuss patient advocacy culture, anthropology as systems analysis, healthcare capitalism, prior authorization, investor language, and why some clinically excellent companies never survive long enough to scale.RELATED LINKSVasanta PundarikaLotuspringWomen's Health HorizonsSakhi for South Asian SurvivorsNACDPrinceton University Anthropology DepartmentFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Send us Fan MailPeaches sits down with retired Sergeant Major Taamir Ransome, an Army EOD veteran and author of Mind of a Soldier, to talk about EOD, transition, veteran suicide, purpose after service, and what happens when the war is over but the fight is not.Taamir walks through growing up in New Jersey, joining the Army with a GED, starting out in radar repair, attempting SFAS, and eventually finding his way into Explosive Ordnance Disposal. He explains the differences between Army, Navy, Marine Corps, and Air Force EOD, what makes the career field so small, and why EOD school is one of the hardest technical schools in the military.The conversation also gets into deployments, working around Special Operations Forces, wild stories from Iraq, and the reality that the military creates people who are calibrated differently than the rest of society.Then the episode turns toward Taamir's book, Mind of a Soldier: 34 Laws for the War After the War. He talks about veteran suicide, transition, moral injury, finding purpose, nonprofits, service dogs, mentorship, and why veterans need to find a new pack and a new mission after leaving the uniform behind.This one is about more than war stories. It is about what comes next.Check out Mind of a Soldier: Available on AmazonFind Taamir: Mind of a Shadow Soldier on YouTubeCheck out Tasty Gains: TastyGains.comTrain with us: OperatorTrainingSummit.comChapters:00:00 - Intro, Tasty Gains, Ones Ready, and Operator Training Summit04:05 - Meet Retired SGM Taamir Ransome05:07 - Growing Up in New Jersey05:40 - Family Military History and Crazy Uncle Jerry07:39 - Joining the Army With a GED09:39 - The Cheat Code for Getting Mom On Board10:23 - GEDs, Recruiting, and the Military12:05 - From Radar Repair to EOD12:23 - SFAS, the 82nd, and Finding EOD13:27 - Army, Navy, Marine, and Air Force EOD Differences16:32 - Why Navy EOD Supports SOF18:07 - Taamir's EOD Career19:23 - How Small the EOD Community Is21:01 - EOD School and Joint Service Training21:42 - Deployment Stories and EOD Reality24:26 - Iraq, Targeting, and Wild Stories27:19 - Mind of a Soldier28:00 - Why Veterans Are Killing Themselves29:16 - Being Calibrated Differently After War30:10 - Suicide, Policy, and Personal Responsibility31:37 - Purpose, Pack, and Fighting the Noise34:44 - Finding a New Mission35:25 - Moral Injury and Mentoring the Next Generation40:48 - STEM, AI, and Teaching Kids42:05 - Training Service Dogs for Veterans43:05 - Conventional Veterans and SOF Access44:28 - Veteran Nonprofits and Finding Help47:51 - VFW, DAV, and the Next Generation49:11 - Podcasts, Trust, and Reaching Veterans53:09 - Quiet Professional vs. Silent Professional54:34 - The Price of Service55:21 - Where to Find TaamirSupport the showJoin this channel to get access to perks: HEREBuzzsprout Subscription page:  HERERegister for our Operator Training Summit:  OperatorTrainingSummit.comFind an Air Force Recruiter: AirForce.comCollabs:Ones Ready - OnesReady.com 18A Fitness - Promo Code:  ONESREADY ATACLete - Follow the URL (no promo code):  ATACLeteDanger Close Apparel - Promo Code:  ONESREADYDFND Apparel...

Welcome back to Healthy, Wealthy, And Wise! In today's thought-provoking episode, we dive into a topic not often discussed within the pet care industry: the moral injury fueling burnout among groomers, veterinary staff, and shelter workers. Michelle Knowles, Mary Oquendo, and Denise Heroux explore the emotional toll that comes from witnessing or participating in practices that conflict with personal ethics, and how this unique strain of burnout impacts animal care professionals everywhere.Together, we unpack the evolution of grooming—from a product-centric, high-turnover corporate model to a more compassionate, fear-free approach centered on each animal's well-being. Our hosts shed light on the urgent need for better behavioral training, shifting industry standards, and the grassroots movement toward gentle handling as a new norm.Listen in as we discuss practical steps industry leaders can take to create positive change—empowering staff to speak up, integrating mindful animal care into workplace training, and moving beyond “just a trim” to truly prioritize the welfare of both pets and professionals. Whether you're a groomer, a pet parent, or simply passionate about animal welfare, this episode offers a timely call for connection, empathy, and transformative action within the industry.

Today we’re talking moral injury and how it’s impacting our doctors and the healthcare we get from them. What’s moral injury? Well, you may not have heard the term before, but trust us, if you’ve been watching The Pitt, you’ve already gotten a taste! Moral injury is the trauma that happens when someone knows the right thing to do but is prevented from doing it on a regular basis thanks to factors beyond their control. Researchers coined the term to describe combat veterans experiencing PTSD because they had been forced to do things in war that ran contrary to their sense of morality, but more and more, the folks who study this phenomenon are seeing it show up in unexpected groups of people — including the folks who provide your healthcare! In this episode we talk with Dr. Diljeet Singh of Physicians for a National Health Program about their new report on how working in an unjust healthcare systems is hurting doctors, and what that tells us about why we need Medicare for All! Plus, as always, we’ve got the latest healthcare news! https://www.youtube.com/live/1Is9NJOQXw4?si=_LMZENeLk25C7gnN In addition to being a badass lady, Dr. Diljeet Singh is a physician, an advocate, and the president of Physicians for a National Health Program, the national organization bringing together doctors to fight for change in our healthcare system! You can read the PNHP report on moral injury among doctors here! Follow and support the pod! Don't forget to like this episode and subscribe to The Medicare for All Podcast on Apple Podcasts, Google Podcasts, or your favorite podcast platform! This show is a project of the Healthcare-NOW Education Fund! Chip in here to support our work!

Brad Power spent years advising major corporations on systems design, process engineering, and decision making before lymphoma shoved him into the patient side of American healthcare. Instead of accepting the experience at face value, he started reverse engineering the machinery around cancer itself. Brad is the founder of Cancer Patient Lab and Open Cancer AI, two projects built around a blunt reality most patients discover too late: the healthcare system rewards people who know how to navigate it. Everyone else risks getting steamrolled by information asymmetry, insurance barriers, administrative friction, and institutional incentives designed around efficiency instead of human survival.The conversation starts with Harvard Business Review and Tumblr blogs before moving directly into the darker architecture underneath modern cancer care. Power explains how hospitals optimize for throughput, how insurance companies reward operational consistency over personalized medicine, and why many patients quietly end up needing a crash course in oncology, reimbursement policy, and behavioral psychology while fighting for their lives.The discussion digs into CAR-T therapy, functional testing, AI assisted decision support, and the growing collision between personalized medicine and standardized care pathways. Power argues that engaged patients often get better outcomes because they learn how to push for off guideline treatments, contest denials, and ask smarter questions. The counterpoint lands hard: patients should never have needed to become experts in the first place.The episode also explores the cultural consequences of AI entering cancer care. OpenAI advertising, data privacy, trust erosion, pharmaceutical influence, and “agentic AI” all collide inside a healthcare economy already drowning in distrust. Power sees artificial intelligence as a force multiplier for patient literacy and access. The larger system still decides who gets approved, who gets delayed, and who gets left behind.By the end, the conversation lands exactly where modern healthcare keeps forcing people to land: survival increasingly depends on learning how the machine works before the machine works on you.RELATED LINKSBrad PowerCancer Patient LabOpen Cancer AIHarvard Business ReviewResearch to the PeopleCAR T Cell TherapyFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

By the time the paper hit version 71, Dr. Nirosha Murugan had already done the hard part. The data were real. The experiment had worked. A team of researchers had used a wearable bioreactor to trigger limb regeneration in frogs, a result with obvious implications for regenerative medicine. But the science still wasn't getting over the line. The problem wasn't the work. It was the translation.On this episode of Standard Deviation, host Oliver Bogler talks with Dr. Nirosha Murugan, a biophysicist and Tier II Canada Research Chair in Tissue Biophysics at Wilfrid Laurier University, about what happens when a scientist working at the edges of quantum biology, bioelectricity, and tissue regeneration runs headfirst into the unwritten rules of academic publishing. Murugan's research asks biologists to think beyond molecules and chemistry alone, and to consider the physical signals, electromagnetic fields, and invisible forces that shape development and healing. It is ambitious science. It is also exactly the kind of work that can make gatekeepers nervous.Bogler follows Murugan through the less glamorous part of discovery: the hidden curriculum of getting a paper published, securing scientific credibility, and learning that data do not simply “speak for themselves.” Murugan describes how jargon buried the pitch of her own work, how a lack of editorial support left her at a disadvantage, and how the JEDI program at the Life Science Editors Foundation paired her with a former journal editor who taught her how to structure a manuscript, write a cover letter, and survive peer review.The result was publication in Science Advances, but the larger story is about power. Who gets taught the rules of biomedical research. Who has access to grant writers, editors, and institutional polish. Who is left to brute-force their way through the maze. And how one scientist, having finally found the map, now makes sure her own trainees do not have to learn it the hard way.RELATED LINKSDr. Nirosha Murugan⁠Wilfrid Laurier University⁠Life Science Editors Foundation⁠JEDI Program⁠Science Advances paper on limb regeneration⁠FEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Jess Peatross trained in conventional medicine and worked as a hospitalist before she started questioning why so many chronically ill patients kept getting worse inside the healthcare system she trusted. Her perspective carries weight because she spent years following every protocol exactly as taught before walking away from hospital medicine entirely.Raised in Huntington, West Virginia during the opioid crisis, she entered medicine believing the system existed to heal people. Instead, she found hospitals driven by billing codes, liability management, and pharmaceutical dependence while patients with chronic illness, autoimmune disease, mold exposure, and chronic pain cycled endlessly through appointments and prescriptions.Dr. Peatross explains what pushed her toward functional medicine, cannabis therapy, and prevention focused care after watching patients improve only after leaving conventional treatment pipelines behind. The conversation tackles physician burnout, chronic illness stigma, healthcare incentives, and the growing collapse of trust between patients and institutions.The discussion also moves into supplements, environmental toxins, ultra processed food, and the uncomfortable economics behind keeping people permanently sick but continuously billable. Dr. Peatross describes the professional backlash that comes with challenging medical orthodoxy while Matthew connects her experience to the broader erosion of public trust across American healthcare.Together they unpack what happens when patients stop believing the system can help them and start searching elsewhere for answers.RELATED LINKSDr. Jess PeatrossInstagramMarshall UniversityBrave New WeedFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This week, Kirsty and Navy Chaplain, Larry Brant, talk about how secure relationships, resilience, and how compassionate presence can help us heal from trauma, navigate moral injury, and find hope through meaningful human connection.   Show Notes:  https://www.linkedin.com/in/larry-brant-09394544/ https://www.facebook.com/larry.brant.5/ https://www.instagram.com/larrybrant/ Connect with the Attachment Theory in Action Podcast: ATIA Podcast Website: https://www.attachmenttheoryinaction.com/  ATIA Podcast Facebook Group: https://www.facebook.com/share/g/19Xm5Nhk2K/    Attachment Theory in Action Podcast is brought to you by Chaddock Follow us on Facebook: https://www.facebook.com/ChaddockLearningNetwork/ Follow us on LinkedIn: https://www.linkedin.com/company/chaddocklearningnetwork/ Follow us on Instagram: https://www.instagram.com/chaddocklearningnetwork/   Connect with our Podcast Host: Follow Kirsty on Facebook: https://www.facebook.com/krugglesatchaddock Connect with Kirsty on LinkedIn: https://www.linkedin.com/in/kirstynolan84/  

What if the things we say and do to support our bravest are actually the things putting them at risk?Dr. Shauna Springer is back. A Harvard-trained psychologist and Chief Psychologist at Stella Mental Health, she's spent over a decade as a trusted “doc” to warfighters and first responders. Her new book, Fallout: 10 Common Beliefs That Kill Our Bravest and the Truths That Can Save Them, dismantles the well-intentioned myths quietly costing lives — from suicide awareness campaigns to the idea that resilience can simply be taught. In this episode, Shauna aka Doc joins Jon and Will to dig into why connection beats every tool and treatment, why grief and trauma need completely different approaches, and the innovative biological treatment changing how PTSD is healed.IN THIS EPISODE:1.  Why suicide awareness campaigns can increase risk instead of preventing it2.  The difference between grief, trauma, and moral injury — and why they need different treatment3.  Elasticity vs. resilience: a better framework for sustainable peak performance4.  Why suicide often feels selfless, not selfish, to a warrior — and how that changes prevention5.  The dual sympathetic reset (DSR/SGB): treating PTSD as a physiological injury firstMore about Dr. Shauna Springer:Check out her website to connect and learn more plus find her latest books.: https://www.thinlineadvisory.comEmail: doc@thinlineadvisory.comLinkedIn: https://www.linkedin.com/in/docshaunaspringer/Column: Mental Edge Mondays — https://www.crackyl.com/mental-edge-mondays-the-body-keeps-the-score-but/Stella Mental Health: dual sympathetic reset / stellate ganglion block treatment - https://stellamentalhealth.com/treatments/sgb-dual-sympathetic-reset- GET MORE FROM MTM:Text MTM to 33777 — free weekly newsletterSubscribe & Episodes: https://mentalkingmindfulness.com/FREE APP: https://focusnowtrainingapp.com/FREE Assessment: https://focusnowtraining.com/assessment-pageA2A COURSE:12 modules on attention, presence & performance. Self-paced. Built for people who hate the word mindfulness.https://focusnowtraining.com/a2a-courseBRING FNT TO YOUR TEAM:Custom training for your organization. In-person or online.https://focusnowtraining.com/contact-usProduced by Robert Lopez | https://www.cratesaudio.com/

Text the Show or Leave a VoicemailMoral distress, mismanaged, can lead to dysfunction and what we call moral injury.  Today's guest is Dr. Jaimie Lusk, a Marine Corps Iraq veteran and a psychologist from Portland, Oregon, with expertise on moral injury.  Dr Lusk talks to us today about moral distress and injury and what we can do about it, including how ritual impacts your recovery after taking a human life.Resources:Dr Lusk's website is https://www.drjaimielusk.comTransform Your Guilt and Shame by Carolyn B. AllardDr. Shira Maguen's research on the Impact of KillingEverett Worthington's website on forgiveness is https://www.evworthington-forgiveness.comFor more on Moral Injury listen to Hey Chaplain Episode 020 with Chaplain Debra FontesMusic is "Back to Portland" by TrackTribeHey Chaplain podcast episode 145Tags:Veterans, Betrayal, Guilt, Health, Hunting, Killing, Moral Distress, Moral Injury, Parenting, Police, Psychology, Responsibility, Ritual, Shame, Transgression, Trauma, Values, Portland, Oregon Support the showThanks for Listening!  And, as always, pray for peace in our city.Subscribe/Follow here:Apple Podcasts: https://podcasts.apple.com/us/podcast/hey-chaplain/id1570155168Spotify: https://open.spotify.com/show/2CGK9A3BmbFEUEnx3fYZOYEmail us at: heychaplain44@gmail.comYou can help keep the show ad-free by buying me a virtual coffee!https://www.buymeacoffee.com/heychaplain

Mark Wales joined the military as a wide-eyed 17-year-old recruit, and quickly rose through the ranks, eventually leading one of Australia's most elite special forces troops in some of the most dangerous combat environments on earth. He saw the war in Afghanistan evolve from targeted counter-terrorism into something far more complicated, and ultimately, far less certain. In this episode of I Catch Killers, Mark opens up about what it takes to earn a place in the SAS, the psychological toll of repeated deployments, and how he watched the Afghan war slowly lose its sense of purpose from the inside. Mark speaks candidly about kill lists, mission creep, the counterinsurgency strategies that were doomed before they started, and the moment he knew the war was effectively over… long before the politicians admitted it. Gary and Mark also tackle the recent war crimes allegations, the complex environment that shaped those events, the chain of command responsibility that rarely gets discussed, and why, no matter how it unfolds, almost nobody comes out of this saga looking good. Subscribe to our new Youtube channel. Follow I Catch Killers:Instagram: @icatchkillersTiktok: @icatchkillerspodcastFacebook: @icatchkillersSee omnystudio.com/listener for privacy information.

Farla Efros is a senior retail executive and former CEO who built and sold companies before facing her own breast cancer diagnosis. She brings that same operational mindset into a healthcare system that expects patients to manage complexity while they are at their most vulnerable.She was on a client call in Spain when the diagnosis came through. A clear mammogram had missed it. An MRI caught it. Within hours, she was ordering binders, building a plan, and structuring her treatment like a turnaround strategy. Every appointment became a meeting. Every doctor faced an agenda with dozens of questions. She paid out of pocket for PET scans that were denied and hired a third party firm to validate her treatment path when her own doctors resisted outside input. The conversation tracks what happens when a high-functioning executive enters a system built on delay, denial, and fragmentation. Efros describes negotiating for tests, managing physician relationships, and assembling an “executive board” of advisors across conventional and alternative care. She calls the experience “the worst client I ever had,” exposing how administrative burden shifts onto patients and families.The tension sits between what worked for her and what is inaccessible to most. Her approach requires confidence, time, and fluency in navigating power. The system rewards that behavior while quietly failing patients who cannot replicate it. Insurance coverage still left her paying out of pocket. Doctors pushed standard protocols over precision medicine. Survivorship offered little support once treatment ended.This episode examines how cancer care operates as a series of incentives rather than a coordinated system, and why patients are forced to become operators just to get through it.RELATED LINKSFarla EfrosFarla Efros on LinkedInF*ck CancerF*ck Cancer on AmazonAccentureCTOAMPULL QUOTES“I treated cancer like the worst client I ever had.”“They wouldn't approve the test, so I paid for it myself.”“Every appointment was a negotiation.”FEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In 2020, Emily Mendenhall drove from Washington, DC to Okoboji, Iowa, a town of 800 that swells to 200,000 every summer, and walked into a pandemic that looked nothing like the one dominating national headlines. Inside gas stations and bars, masks marked you as an outsider. In one stop, a man told her family they would not be served if they kept theirs on. Her 6 year old daughter cried, confused. Mendenhall, a medical anthropologist at Georgetown University, did what she always does. She started asking questions. Over months, she interviewed neighbors, former classmates, and local officials, including her own brother in law who helped lead the local COVID response. The result became Unmasked, a case study in how community identity, economics, and politics shaped public health decisions in real time. That work led directly into her latest book, Invisible Illness: A History, from Hysteria to Long COVID, where she tracks a much older problem. Patients with chronic illness, especially women, often fail to meet medicine's demand for proof. Without a clear diagnosis, they lose access to care, insurance coverage, and legitimacy. Mendenhall argues that long COVID did not create this failure. It exposed it.This conversation centers on how healthcare systems reward certainty and punish complexity. Long COVID clinics send patients to 17 specialists without resolution. Insurance structures require diagnoses that many conditions cannot provide. Medical training still struggles to integrate trauma, mental health, and chronic disease into a coherent model of care.Mendenhall brings lived experience into the conversation. After COVID, she dealt with months of fatigue and escalating anxiety that altered her baseline health. She does not claim the label of long COVID, but she understands how quickly the system becomes harder to navigate once symptoms stop fitting clean categories. The stakes are not theoretical. In the United States, access to healthcare, disability benefits, and treatment still depends on whether a condition can be measured, coded, and reimbursed. For millions living with invisible illness, the burden of proof becomes the illness itself.RELATED LINKSEmily MendenhallInvisible Illness: A History, from Hysteria to Long COVIDScience PoliticsGeorgetown UniversityFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Kyle Morgan opens up with raw honesty about his decade with 1st SFOD-D (Delta Force). He details the legendary Radisson Blu Hotel hostage rescue in Mali that he led, the intense pre- and post-Radisson deployments, the personal toll of repeated blast injuries and combat trauma, his struggles with alcohol, opioids, ego, and moral injury, multiple DUIs, and the difficult path to redemption, sobriety, faith, and retirement. Learn more about your ad choices. Visit podcastchoices.com/adchoices

At 25, Jace Yawnick was building a career in health and wellness sales, chasing growth, status, and the usual young adult fantasy of getting somewhere fast. Then his body stopped cooperating. Fatigue turned into chemotherapy. The diagnosis was primary mediastinal B cell non Hodgkin lymphoma, and the rest of his life split into before and after. Now in remission, he talks about cancer the way people actually live it, not the way nonprofits package it. He gets into survivorship, mental health, young adult isolation, and the deadening absurdity of prior authorization. One of the sharpest parts of the conversation lands on a simple American insult disguised as policy: treatment innovation means very little when insurance can still deny the scan, the drug, or the next step. Jace has seen that firsthand, including during routine monitoring after active treatment. This episode tracks what happens when a young cancer patient becomes a public voice and refuses to play mascot. It covers oncology, insurance, remission, advocacy, and the long mental hangover that follows survival. It also names the part too many institutions dodge: the system works great right up until it doesn't, and when it fails, patients get handed the bill, the panic, and a camera if they want anyone to care. RELATED LINKSJace Beats CancerJace Yawnick on LinkedImConquer Cancer ArticleCURE Today ArticlePyure BrandsFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

At 20 years old, newly arrived from Puerto Rico and trying to build a future in science, Benjamin Suarez Jimenez found himself sitting in front of two senior faculty members accused of plagiarism. He knew the material. He had done the work. His mistake came from failing to cite class notes during an exam because nobody had told him that was expected. In a matter of minutes, he watched what felt like his entire career flash before him.On this episode of Standard Deviation, host Oliver Bogler examines the hidden architecture of academic science through the experiences of Dr. Benjamin Suarez Jimenez, Assistant Professor at the University of Rochester and a neuroscientist studying PTSD, anxiety, trauma, and spatial cognition through virtual reality and video game environments.Benjamin traces his path from Puerto Rico to the mainland United States, through the NIH, Columbia University, and eventually to leading his own laboratory. Along the way, he encountered a series of barriers that had little to do with scientific ability and everything to do with access to unwritten rules. From academic gatekeeping to grant writing expectations, he learned that success in biomedical research often depends on knowledge that never appears in a textbook.Oliver explores how those invisible obstacles shape careers, influence research funding, and determine who gains access to opportunity. The conversation also examines the Justice, Equity, Diversity, and Inclusion Program at the Life Science Editors Foundation, which pairs scientists from underrepresented backgrounds with experienced scientific editors. Through that mentorship, Benjamin transformed a critical grant proposal into a successful pilot award that helped launch an NIH R01 application.The discussion extends beyond one scientist's experience. Benjamin describes helping a former mentee navigate dissertation roadblocks that threatened her graduation, illustrating how institutional bureaucracy can delay careers and discourage talented researchers. Together, they explore the hidden administrative burden, cultural barriers, and bias that many scientists carry alongside their research, and what happens when someone who receives support turns around and opens the door for others.RELATED LINKSLife Science Editors FoundationBenjamin Suarez Jimenez LabDr. Benjamin Suarez JimenezBenjamin Suarez JimenezFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Sarah Matt trained as a burn surgeon, working in a field where patients arrive with catastrophic injuries and survival depends on speed, skill, and resources. She left the bedside after confronting a limit that medicine does not like to admit. One physician can only see so many people in a day. The system surrounding those patients decides the rest. She moved into health technology, held leadership roles in startups, and built global infrastructure at Oracle to scale care across populations. Then she watched billions of dollars in digital health and AI initiatives stall out when they hit real clinical environments.This episode follows that pivot from surgeon to strategist and back into direct patient care in rural New York, where she now treats uninsured patients, migrant workers, and communities pushed to the margins. The conversation centers on a persistent failure across healthcare systems. Products get built for regulators, executives, and investors instead of the people who use them. The result shows up in failed adoption, broken workflows, prior authorization delays, and rising physician burnout.The discussion cuts through health policy language and lands on lived consequence. The system rewards speed over usability, scale over trust, and compliance over care. Patients absorb the fallout. Physicians carry the liability. The incentives remain intact.RELATED LINKSDr. Sarah MattThe Borderless Healthcare RevolutionThe Clinical RealistJessica FedererSovatoFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In the late 1980s, a child exposed to fallout from the Chernobyl disaster lay in a hospital bed while doctors told his family there were no clear answers and no reliable path forward. Decades later, that same child, Yan Leyfman, walks into exam rooms as a hematology oncology fellow, expected to deliver clarity inside a system that still runs on delay, uncertainty, and institutional self preservation.This episode traces the throughline from early life shaped by radiation exposure and hospice level uncertainty to a career inside academic medicine, translational research, and oncology media. Yan built his identity around survival and usefulness, moving from patient to physician while carrying the memory of what it feels like to sit on the other side of the table. He helped launch MedNews Week during the COVID crisis to push back on misinformation and expand access to medical knowledge, stepping into a public role while still in training.The conversation stays grounded in the friction between personal narrative and system reality. Clinical training demands efficiency, hierarchy, and emotional distance. Cancer care demands time, clarity, and human connection. Those forces collide in real patient encounters where prior authorization delays, insurance barriers, and fragmented care pathways shape outcomes as much as any treatment protocol.Yan speaks openly about mentorship, belonging, and the drive to make meaning out of survival. The discussion pushes further into what the healthcare system actually rewards, what it quietly strips away, and how quickly empathy can erode under institutional pressure. The episode also examines the role of medical media, where education, industry influence, and narrative control often blur together.This is a conversation about identity under construction, about what happens when someone who remembers powerlessness steps into a role that carries authority, and about whether that memory can survive long enough to change anything.RELATED LINKSYan Leyfman on LinkedInYan Leyfman on InstagramSurviving ChernobylFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

MOPs & MOEs is proudly sponsored by Teamworks — the performance operations platform trusted by elite military units and professional sports organizations worldwide. Teamworks brings your scheduling, communications, athlete monitoring, and readiness data into one unified system — so your leaders stay informed, your people stay connected, and your unit stays ready. No more scattered spreadsheets or missed messages. Just one platform built for organizations where performance is the mission. Learn more at teamworkstactical.comWe are also supported by TrainHeroic — the coaching and programming platform built for strength and conditioning coaches who train serious athletes. Whether you're programming for a military unit, a tactical team, or individual athletes, TrainHeroic gives you the tools to build and deliver professional training programs, track athlete progress, and communicate directly with your people — all through one app. Your athletes get world-class programming on their phone; you get the visibility to actually coach them. Start your free trial at trainheroic.comThis week Drew and Alex sit down with Libby Alders — chaplain, researcher, library technician, and self-described tri-vocational nerd — to actually figure out what it is, why it matters, and why the military keeps trying to slap a number on something that might not need one.This one goes deep. Grab a coffee.What we get into:What spiritual fitness actually means — Libby breaks it down to four things: knowing what you believe, understanding that beliefs should evolve, being able to coexist with people who believe differently, and being able to recognize harmful or radicalizing ideologies when they show up.The Spiritual Fitness Survey — an 18-question tool with three subscales: horizontal (community and belonging), mixed (purpose and meaning), and vertical (relationship to the transcendent or divine). Moral injury versus PTSD, and why the difference matters for who you call. Libby's shorthand: shame points toward moral injury and the chaplain. Guilt and fear point toward PTSD and psych. Why the research on religion reducing PTSD risk might be missing a confounding variable — moral injury. If the thing that gives your life meaning is also the thing that got violated, you don't have a protective factor. You have an opening.The 724th Special Tactics case study — how Libby and former podcast guest Chris ran focus groups instead of surveys, built a communication tool instead of a formal metric, and ended up with leadership asking to do their own version because the unit couldn't stop talking about it. Capability-based blueprinting — what it is, why more of the military should use it.The interdisciplinary team problem — why nobody knows when to call the chaplain, why over-specialization and over-generalization are both failure modes, and what "informed consumer" training actually looks like in practice.The table theology tangent — why the ritual of eating together is a human performance intervention that no macro calculator captures.Mentioned in this episode:Dr. Harold Koenig, Duke University — geriatric psychiatrist and pioneer in spirituality, religion, and health researchDr. Warren Kinghorn, Duke — another key name at the intersection of mental health and spiritual healthCapability-Based Blueprinting — developed within CHAMP, Dr. Chamberlain's workMatt Larson — former podcast guest, moral injury talk from the H2F Symposium coming soon to the MOPs & MOEs InstagramCharles Vogel, The Art of Community — former podcast guest, Yale Divinity School; the ritual of meals chapter alone is worth the readAllen Frances, Saving Normal — Drew and Alex's white whale guest. Chaired the DSM-IV committee. By DSM-V, had renounced the whole enterprise. If you know him, please help.Rants and Rituals — Libby's upcoming podcast. No one take that name.Views expressed are those of the speakers and do not represent any official organization.

Matthew Zachary is a brain cancer survivor, healthcare advocate, founder of Stupid Cancer and We the Patients, and host of Out of Patients. In April 2026, he returned to the stage at Merkin Hall near Lincoln Center for his first solo public piano concert in almost 22 years while launching his debut book, We the Patients: Understanding, Navigating, and Surviving America's Healthcare Nightmare.What unfolded became far larger than a concert.Over 2 hours, survivors, clinicians, advocates, nonprofit founders, journalists, pharmaceutical sponsors, and healthcare insiders gathered in one room to reflect on 30 years of survivorship, institutional failure, accidental advocacy, and the emotional afterlife of cancer. The evening moved through original piano performances, live chapter readings, and deeply personal conversations about infertility, disability, financial toxicity, insurance denials, grief, burnout, and what happens when patients spend decades navigating systems designed around transactions instead of continuity.Guests including Wendell Potter, Maimah Karmo, Craig Lustig, Shelly Fuld Nasso, Tamika Felder, and others reflected on how the modern cancer advocacy movement emerged largely because patients built parallel systems where healthcare infrastructure failed to meet human needs. The conversation explored how prior authorization, reimbursement incentives, administrative fragmentation, and institutional distrust continue shaping the patient experience across oncology and survivorship.The performance also marked a deeply personal milestone. After brain cancer compromised his left hand at age 21, Zachary spent 6 months rehabilitating both hands to return to public performance for the first time in over 2 decades. The result became part concert, part civic gathering, and part historical record of a generation of survivors who refused to disappear quietly.RELATED LINKSMZLIVE Official WebsiteMZLIVE YouTube VideoFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In December 1996, a 37 year old pharmaceutical executive sat in a Borders bookstore reading medical textbooks on the floor, trying to understand a disease she had never heard of. Multiple myeloma carried a three year prognosis. Her daughter was 18 months old. Her father had just died of cancer. Within weeks, she pushed her doctors to say the quiet part clearly. This would likely end her life before her child entered kindergarten.Kathy Giusti refused to accept passive survival. She built a plan while the system offered fragments. She interviewed oncologists and fertility specialists at the same time. She pursued IVF to have a second child while preparing for treatment. She stayed employed to keep insurance coverage. Every decision carried financial, medical, and emotional risk.That same urgency exposed a deeper failure. Cancer research moved slowly. Academic centers guarded data. Clinical trials lacked coordination. Patients entered a system that demanded compliance without providing clarity. Giusti responded by building the Multiple Myeloma Research Foundation, not as a support group, but as an operating engine to accelerate drug development, fund research, and force collaboration across institutions.This episode tracks the tension between individual agency and systemic failure. Giusti describes how patients navigate diagnosis, insurance barriers, and fragmented care in real time. She explains how data, genomics, and clinical trials reshape cancer treatment while still leaving patients responsible for decisions they are not trained to make. She addresses disparities in access, the limits of early detection, and the reality that progress in oncology often depends on speed, funding, and alignment of incentives.The conversation moves between lived experience and structural critique. It names the cost of delay, the burden placed on patients to act as their own advocate, and the tradeoffs required to push a system forward that still protects itself first.⸻RELATED LINKSKathy GiustiMultiple Myeloma Research FoundationFatal to FearlessAmerican Society of Hematology⸻FEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Send us Fan MailIn this enlightening episode of Living the Dream with Curveball, we are honored to host Larry Brant, a dedicated Navy chaplain with an impressive 16 years of military service and over 25 years as a local minister. Larry shares his unique journey, from pursuing a career in music to answering the call of chaplaincy, and discusses his specialization in PTSD and moral injury, shedding light on these often misunderstood topics.Larry defines PTSD as fear-based trauma, explaining its emotional and mental impacts, while contrasting it with moral injury, which stems from actions taken or not taken that conflict with one's moral beliefs. He emphasizes that both issues can affect individuals from all walks of life, not just veterans, and shares poignant examples from various fields, including first responders and healthcare professionals.Listeners will gain valuable insights into how trauma can affect spirituality, the importance of community support, and the path to healing through storytelling and connection. Larry also discusses his recent book, *Restoring the Broken*, aimed at educating ministry leaders about moral injury and providing a safe space for those suffering to share their experiences.Join us for a profound conversation that highlights the power of compassion, understanding, and the possibility of restoration for those grappling with the effects of trauma.What You'll Learn in This Episode:- The definitions and differences between PTSD and moral injury- How trauma impacts spirituality and personal beliefs- Examples of PTSD and moral injury outside the military context- The significance of community and storytelling in healing- Insights from Larry's book and how it can help othersFor more information on Larry Brandt and his work, visit www.restoring-the-broken.com and connect with him via email at ChapsBrandt@yahoo.com.Support the show

At 19, Shlomit woke up unable to speak. The right side of her body went numb. An emergency room sent her home and called it stress. That moment did not end in a diagnosis that changed policy or triggered reform. It sent her into a decade long pursuit of understanding how the brain fails language and how the healthcare system fails patients who cannot advocate for themselves.Shlomit trained as a speech language pathologist and spent years inside acute care hospitals and ICUs, performing endoscopies and treating patients with brain injury, stroke, and dysphagia. She watched medical teams rotate in and out, deliver dense updates, and leave families nodding without comprehension. She stayed behind and translated. Every day, patients told her she was the only one who explained what was happening. That gap is not an accident. Hospital systems optimize for throughput, not understanding. Patients move through beds based on cost, not readiness. Discharge planning becomes a financial decision wrapped in clinical language. A stay under 48 hours can shift the insurance burden dramatically, leaving patients exposed to higher out of pocket costs. Shlomit left the system and built Patient Path NYC, a private patient advocacy service. She now spends 15 to 20 hours a week per client reading charts, coordinating care teams, and translating medical decisions into plain language. Her work sits in the uncomfortable space between healthcare policy and lived experience. Families pay out of pocket to understand their own care. Hospitals benefit from the clarity she provides while maintaining the same structural incentives that created the confusion.This conversation tracks the human cost of fragmented care, the economics behind discharge decisions, and the quiet reality that patients who cannot communicate clearly often lose control of their own outcomes.RELATED LINKSShlomit LibertyShlomit Liberty on LinkedInPatient Path NYCBoard Certified Patient AdvocateFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.