Podcasts about Moral injury

Bill Thach has had 9 lines of treatment, over 1,000 doses of chemo, and more scans than an airport. He runs ultramarathons for fun. He jokes about being his own Porta Potty. He became a father, then got cancer while his daughter was 5 months old. Today she is 8. He hides the worst of it so she can believe he stands strong, even when he knows that hiding has a cost.We talk about the illusion of strength, what it means to look fine when your body is falling apart, and how a random postcard in an MD Anderson waiting room led him to Man Up to Cancer, where he now leads Diversity and AYA Engagement. Fatherhood. Rage. Sex. Denial. Humor. Survival. All that and why the words good morning can act like a lifeline.RELATED LINKSFight Colorectal CancerCURE TodayINCA AllianceMan Up to CancerWeeViewsYouTubeLinkedInFEEDBACKLike 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.

Moral injury is what happens when our values, beliefs, and sense of right and wrong are fractured by experiences we never chose, systems we did not control, and situations that forced impossible decisions. In this episode, Dr. Deb explores moral injury as a deeply human experience that impacts identity, meaning, trust, and connection. This conversation moves beyond fear based trauma and into the space of shame, guilt, grief, anger, betrayal, and disillusionment, offering a grounded, trauma informed understanding of how moral injury forms and how healing becomes possible. In this episode: • What moral injury is and how it differs from fear based trauma • How values conflicts impact identity and meaning • Why shame, guilt, grief, and betrayal are common • How moral injury shows up in the nervous system • The role of connection, agency, and meaning in healing Reflection: Where have your values and experiences felt misaligned? What parts of you adapted to survive morally challenging environments? What does integrity feel like in your body? If you or someone you know is struggling, support is available. In the U.S., you can call or text 988 to reach the Suicide and Crisis Lifeline. It is available 24/7 and free and confidential. Follow, subscribe, and leave a review to support PTSD and Beyond. Join us on Ko-Fi to help keep these conversations going.

SPONSORS: 1) MIRACLE BRAND: Upgrade your sleep with Miracle Made—go to https://trymiracle.com/julian and use code JULIAN to save over 40% and get a free 3-piece towel set. 2) AMENTARA: Go to https://www.amentara.com/go/JULIAN and use code JD22 for 22% off your first order. JOIN PATREON FOR EARLY UNCENSORED EPISODE RELEASES: https://www.patreon.com/JulianDorey (***TIMESTAMPS in description below) ~ Jesse Hamel is a former Air Force Lt. Colonel & AC-130 Gunship Combat Aviator. He is now CEO of Victus Technologies, a drone warfare company he founded while studying at MIT. JESSE's LINKS: X: https://x.com/jhMITgunship VICTUS: https://www.getvictus.ai/ FOLLOW JULIAN DOREY INSTAGRAM (Podcast): https://www.instagram.com/juliandoreypodcast/ INSTAGRAM (Personal): https://www.instagram.com/julianddorey/ X: https://twitter.com/julianddorey JULIAN YT CHANNELS - SUBSCRIBE to Julian Dorey Clips YT: https://www.youtube.com/@juliandoreyclips - SUBSCRIBE to Julian Dorey Daily YT: https://www.youtube.com/@JulianDoreyDaily - SUBSCRIBE to Best of JDP: https://www.youtube.com/@bestofJDP ****TIMESTAMPS**** 0:00 – Intro 01:22 – Jesse's Air Force Background, 9/11, AC-130 Gunship, Combat Years 12:35 – Warfighters & Technology, Drones vs Human Trust, The Agentic Age 23:56 – West Coast Tech Power, CCP Exploiting Open Systems, Planning for 6G 34:31 – 6G, Humans & Machines, AI, Bio-Hybrid Hellscape 48:33 – AI Arms Race: U.S. vs China, Nuclear War 59:25 – Zooming Out on Power, Governance Problems, 1984, Corruption, Term Limits 01:12:20 – Palantir, War Has Changed, Bringing Our Team Home 01:22:00 – Snowden, Moral Tradeoffs, Combat, Mission Planning, Risk of Inaction 01:31:41 – Founders & Stress, Military, Resilience, Suffering, Slaying the Daily Dragon 01:41:45 – Turning Suffering Into Growth, Anxiety, CNS Limits, Breaking Bad Habits 01:57:03 – Mortality, Meaning, Being vs Doing, The Arc of Change 02:06:38 – AC-130 Squadrons, Dawn of Drone Warfare, Afghanistan, MQ-9 Integration 02:16:54 – Predators & Reapers, Psychological Cost of Killing, First Kill 02:27:21 – Moral Injury, The Charring of the Conscience, Faith, Kierkegaard, Purity of Heart 02:37:08 – Never Arriving at the Truth, Lifelong Learning 02:40:18 – Next Ep CREDITS: - Host, Editor & Producer: Julian Dorey - COO, Producer & Editor: Alessi Allaman - https://www.youtube.com/@UCyLKzv5fKxGmVQg3cMJJzyQ - In-Studio Producer: Joey Deef - https://www.instagram.com/joeydeef/ Julian Dorey Podcast Episode 377 - Jesse Hamel Music by Artlist.io Learn more about your ad choices. Visit podcastchoices.com/adchoices

Shannon Burkett has lived about six lives. Broadway actor. SNL alum. Nurse. Filmmaker. Advocate. Cancer survivor. And the kind of person who makes you question what you've done with your day. She wrote and produced My Vagina—the stop-motion musical kind, not the cry-for-help kind—and built a global movement after her son was poisoned by lead dust in their New York apartment. Out of that came LEAD: How This Story Ends Is Up to Us, a documentary born from rage, science, and maternal defiance. We talked about everything from The Goonies to Patrick Stewart to the quiet rage of parenting in a country that treats public health like a hobby. This episode is about art, anger, resilience, and what happens when an unstoppable theater nerd turned science geek Jersey girl collides with an immovable healthcare system.RELATED LINKSShannon Burkett Official SiteLEAD: How This Story Ends Is Up to UsEnd Lead PoisoningLinkedIn: Shannon BurkettBroadwayWorld ProfileFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship 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.

What happens when the work you are asked to do conflicts with the values you hold most deeply? In this episode, we explore moral injury at work and examine how it shows up across the higher education workplace and beyond.Our guest, Dr. Meg Hancock, draws from her recent study, Changing Industry: A Qualitative Study on Moral Injury within Former Sport Employees, which uses college athletics as a powerful case example. Through conversations about NIL, the transfer portal, and increasing commercialization, the discussion opens up to a broader look at how organizational change, value misalignment, and institutional pressures can leave employees feeling disillusioned or morally compromised in many professional settings.Together, we unpack what moral injury looks like, why it is different from burnout, and what leaders and employees across industries can learn from these experiences. Dr. Hancock joins us to share her research, insights, and practical takeaways for navigating values-based conflict at work.Learn more about The Pipeline Project here.Send a CARDGram: https://tinyurl.com/CARDGramsCheck out the Employee Success Center website here. 

No Agenda Episode 1837 - "Moral Injury" "Moral Injury" Executive Producers: Damaskin Jeffrey Alicea Sir Mark Bendykowski Associate Executive Producers: David Byrne La Jolla Salt Corporation Matthew Martell Linda Lu, Duchess of jobs & writer of winning résumés Strike Become a member of the 1838 Club, support the show here Boost us with with Podcasting 2.0 Certified apps: Podverse - Podfriend - Breez - Sphinx - Podstation - Curiocaster - Fountain Art By: Baron Darren O'Neill End of Show Mixes: deezlaughs EOS endofshow.1.25.26.mp3 MVP EOS DJT and Oprah.mp3 MVP EOS Real Glitchy Slop.mp3 Mark van Dijk - Systems Master Ryan Bemrose - Program Director Back Office Jae Dvorak Chapters: Dreb Scott Clip Custodian: Neal Jones Clip Collectors: Steve Jones & Dave Ackerman NEW: Gitmo Jams Sign Up for the newsletter No Agenda Peerage ShowNotes Archive of links and Assets (clips etc) 1837.noagendanotes.com Directory Archive of Shownotes (includes all audio and video assets used) archive.noagendanotes.com RSS Podcast Feed Full Summaries in PDF No Agenda Lite in opus format Last Modified 01/25/2026 16:22:53This page created with the FreedomController Last Modified 01/25/2026 16:22:53 by Freedom Controller

Send us a textThe ground under therapy keeps moving, and we're digging into why. We sit down with returning guest Marie Sloane, LPC, to trace how telehealth became the default, why insurance cuts and clawbacks are reshaping private practice, and what it really costs to keep care accessible without burning clinicians to ash. Marie shares the realities of leaving agency life, navigating panels directly versus using intermediaries, and the surprising leverage you can gain by simply asking for a rate increase. We get candid about the trade-offs of platforms like Alma and Headway, the tension between sustainability and access, and the quiet math behind student loans, healthcare, and the hours a therapist can truly carry.Then we turn to the culture shift powered by TikTok and social media. Openness is rising and stigma is falling, which can jumpstart meaningful therapy. But there's a catch: self-diagnosis trends and algorithm-friendly “advice” blur traits with disorders and can worsen compulsions. We talk about how licensed voices can step into the feed with clear, compassionate education—translating buzzwords into grounded care and helping people move from scrolls to sessions.The heart of this conversation is moral injury. Beyond burnout, it's the pain of acting against your values—or watching systems do it—because the rules demand it. Teachers triaging classrooms without aides, clinicians pushed to see nine or ten clients a day, frontline staff who lived the pandemic up close while hearing it denied. We name the guilt, shame, and betrayal that follow, and why “do more self-care” falls flat when the workload itself is inhumane. If you've felt that strain and wondered what to call it, you're not alone—and naming it is a step toward changing it.If this episode resonates, share it with a colleague, subscribe for more real talk on the future of care, and leave a review with the one shift you'd make to improve access and sustainability. Your voice helps shape the system we all rely on.For more about Marie, check out her website: Marie Sloane: counseling and consulting services – Online Therapy for People in Arizona, Texas and MinnesotaThis podcast is meant to be a resource for the general public, as well as fellow therapists/psychologists. It is NOT meant to replace the meaningful work of individual or family therapy. Please seek professional help in your area if you are struggling. #breakthestigma #makewordsmatter #thingsyoulearnintherapy #thingsyoulearnintherapypodcastIf you or someone you know is struggling with mental health concerns, please contact 988 or seek a treatment provider in your area.If you are a therapist or psychologist and want to be a guest on the show, please complete this form to apply: https://forms.gle/ooy8QirpgL2JSLhP6Feel free to share your thoughts at www.makewordsmatterforgood.com or email me at Beth@makewordsmatterforgood.comSupport the showwww.bethtrammell.com

Discover the invisible wounds of moral injury and learn how to support peers struggling with it. This episode of Surviving Your Shift explores the differences between moral injury and PTSD, common scenarios in public safety, and practical steps for listening, validating, and referring. Are you supporting a peer who's struggling with moral injury, but you're not sure what it is or how to help?Moral injury is a hidden wound that affects many first responders and healthcare workers. It's different from PTSD, and it requires a unique approach to support.BY THE TIME YOU FINISH LISTENING, YOU'LL LEARN:What moral injury is and how it differs from PTSDCommon moral injury scenarios in public safetyHow to listen and validate without judgment or fixingWhen to suggest professional help or spiritual supportHow to support yourself when you're the one struggling with moral injuryUse this episode to enhance your peer support skills, improve your team's well-being, and create a safer, more compassionate work environment. Share it with your colleagues, and start conversations about moral injury in your department.Share This Episode:https://www.survivingyourshift.com/54Connect with BartLinkedIn: linkedin.com/in/bartlegerFacebook Page: facebook.com/survivingyourshiftWebsite: www.survivingyourshift.comWant to find out how I can help you build a peer support program in your organization or provide training? Schedule a no-obligation call or Zoom meeting with me here.

Michael Kramer was 19 when cancer ambushed his life. He went from surfing Florida beaches to chemo, radiation, and a bone marrow transplant that left him alive but carrying a chronic disease. He had necrosis in his knees and elbows, lost his ability to surf for years, and found himself stuck in hospitals instead of the ocean. Yet he adapted. Michael picked up a guitar, built Lego sets, led support groups, and started sharing his story on Instagram and TikTok.We talk about masculinity, identity, and what happens when the thing that defines you gets stripped away. He opens up about dating in Miami, freezing sperm at a children's hospital, awkward Uber-for-sperm moments with his brother, and how meditation became survival. Michael lost his father to cancer when he was a teen, and that grief shaped how he lives and advocates today. He is funny, grounded, and honest about the realities of survivorship in your twenties. This episode shows what resilience looks like when you refuse to walk it off and choose to speak it out loud instead.RELATED LINKSMichael Kramer on InstagramMichael Kramer on TikTokMichael and Mom Inspire on YouTubeAshlee Cramer's BookUniversity of Miami Sylvester Comprehensive Cancer CenterStupid Cancer FEEDBACKLike this episode? Rate and review Walk It Off on your favorite podcast platform. For guest suggestions or sponsorship inquiries, email podcast@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, you will discover:What moral injury isSigns of having a moral injuryThe spiritual perspectiveHow it differs from burnout, shame and traumaHow competence plays into thisIntegrating and healingWhy moral injury shows that your values are intactReconnecting with present valuesFeeling a need for atonementYou are more than your worst momentNext Sunday's Topic: Your Angels Want You To Give Yourself GraceThe Angel Room is a weekly podcast- A place for those who love angels and want to know more about them. Enjoy spiritual, healing, personal growth, enlightening and empowering topics. Named one of the top 10 Healing With Angels Podcasts in 2025 by PlayerFM.Named one of Top 10 Best Angel Podcasts by Feedspot. ListenNotes.com ranks it in the top 3% of most popular shows globally. Host, Ivory LaNoue is a respected angel communicator based in central Arizona. She is also the author of Let Your Angels Lead, Archangel Sachiel's Guide to Abundance and other spirituality books. Learn more on her website.You can learn more about Ivory and her services at IvoryAngelic.com.Email: ivoryangelic@outlook.comYouTube Channel: Ivory LaNoue

Send us a textStrength without silence. That's the thread running through our conversation with Jeff Dill, a former battalion chief turned licensed counselor and the founder of the Firefighter Behavioral Health Alliance. Jeff has spent years validating firefighter and EMS suicide data, building workshops from real-world stories, and leading behavioral health efforts for Las Vegas Fire and Rescue. He brings hard-won clarity on what actually helps: simple language, daily habits, and policies that protect people when the job wears them thin.We break down the internal size up, a practical check-in that asks, “Why am I acting this way? Why am I feeling this way?” It helps catch irritability, isolation, and sleep loss before they morph into bigger risks. Jeff draws a vital line between PTSD and moral injury—showing how betrayal, guilt, and shame often sit beneath the surface while treatment chases fear and trauma. Forgiveness becomes a survival skill, not a pass for bad behavior, and we talk about how to practice it without forgetting or restoring unsafe trust.From there, we get tactical. Sleep debt, high call volumes, and 24-hour shifts push good people into impulsive decisions. Cultural brainwashing tells responders to be brave, strong, and self-reliant—until that story keeps them from getting help. We dig into the data, including surprising patterns among women in fire and EMS, and outline what a proactive program looks like: family education, annual mental health checkups, vetted clinicians outside insurance for privacy, real-time aftercare after tough calls, and telehealth to reach rural members. Leaders will hear budget-smart ways to protect training from the chopping block, and crews will gain language for checking on a partner without making it awkward.You can reach Jeff at the following websites:For the Firefighter Behavioral Alliance (FFBA), please go to: https://www.ffbha.org For the moral injury white paper, download it by clicking: https://www.ffbha.org/wp-content/uploads/2023/02/Moral-Injury-White-Paper-2-9-23.pdf For the Firefighter Behavioral Alliance (FFBA) Facebook page, please go to https://www.facebook.com/FirefighterBehavioralHealthAllianceIf you're a firefighter, EMT, dispatcher, or cop—or you love someone who is—you'll walk away with tools you can use today and a clearer picture of how to build a healthier culture tomorrow. Subscribe, share this with your crew, and leave a review so others can find it. You're not alone.Support the showYouTube Channel For The Podcast

Daniel Garza had momentum. Acting roles, directing gigs, national tours lined up. Then anal cancer stopped everything. Radiation wrecked his body, stripped him of control, and left him in diapers, staring down despair. His partner, Christian Ramirez, carried him through the darkest nights, changed his wounds, fought hospitals, and paid the price with his own health. Christian still lives with permanent damage from caregiving, but he stayed anyway.Together they talk with me about masculinity, sex, shame, friendship, and survival. They describe the friendships that vanished, the laughter that kept them alive, and the brutal reality of caregiving no one prepares you for. We get into survivor guilt, PTSD, and why even rocks need rocks. Daniel is now an actor, director, and comedian living with HIV. Christian continues to tell the unfiltered truth about what it takes to be a caregiver and stay whole. This episode gives voice to both sides of the cancer experience, the survivor and the one who stands guard. RELATED LINKSDaniel Garza IMDbDaniel Garza on InstagramDaniel Garza on FacebookChristian Ramirez on LinkedInLilmesican Productions Inc (Daniel & Christian)Stupid Cancer FEEDBACKLike this episode? Rate and review Walk It Off on your favorite podcast platform. For guest suggestions or sponsorship inquiries, email podcast@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What happens when trauma doesn't just wound the mind—but breaks the soul?

Trevor Maxwell lived the archetype of masculinity in rural Maine. Big, strong, splitting wood, raising kids, and carrying the load. Then cancer ripped that script apart. In 2018 he was bedridden, emasculated, ashamed, and convinced his family would be better off without him. His wife refused to let him disappear. That moment forced Trevor to face his depression, get help, and rebuild himself. Out of that came Man Up To Cancer, now the largest community for men with cancer, a place where men stop pretending they are bulletproof and start being honest with each other.Eric Charsky joins the conversation. A veteran with five cancers, forty-nine surgeries, and the scars to prove it, Eric lays out what happens when the military's invincible mindset collides with mortality. Together, we talk masculinity, vulnerability, sex, shame, and survival. This episode is blunt, raw, and overdue.RELATED LINKSMan Up To CancerTrevor Maxwell on LinkedInDempsey CenterEric Charsky on LinkedInStupid Cancer FEEDBACKLike this episode? Rate and review Walk It Off on your favorite podcast platform. For guest suggestions or sponsorship inquiries, email podcast@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The most anticipated annual tradition on Out of Patients returns with the 2025 Holiday Podcast Spectacular starring Matthew's twins Koby and Hannah. Now 15 and a half and deep into sophomore year, the twins deliver another unfiltered year end recap that longtime listeners wait for every December. What began as a novelty in 2018 has become a time capsule of adolescence, parenting, and how fast childhood burns off.This year's recap covers real moments from 2025 A subway ride home with a bloodied face after running full speed into that tree that grows in Brooklyn. Broadway obsessions fueled by James Madison High School's Roundabout Youth Ensemble access, including Chess, & Juliet, Good Night and Good Luck, and Pirates of Penzance holding court on Broadway. A Disneylanmd trip where the Millennium Falcon triggered a full system reboot. A New York Auto Show pilgrimage capped by a Bugatti sighting. All the things.The twins talk school pressure, AP classes, learner permit anxiety, pop culture fixation, musical theater devotion, and the strange clarity that comes with turning 15. The humor stays sharp, the details stay specific, and the passage of time stays undefeated. This episode lands where the show works best: family, honesty, and letting young people speak for themselves.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 this Research Seminar, Dr Zairu Nisha (University of Delhi) explores infertility among Muslim women in India through feminist bioethics and phenomenology. She introduces the concept of the body as a site of moral injury, showing how reproductive expectations, religious belief, and assisted reproductive technologies shape women's moral identities and lived experiences.Drawing on thinkers such as Maurice Merleau-Ponty and Simone de Beauvoir, Dr Nisha challenges mind–body dualism and argues that the body is not separate from the self, but a moral subject formed through relationships with others. When infertility disrupts social and religious expectations of womanhood and motherhood, women experience guilt, shame, and alienation — not because of moral failure, but because they are caught between conflicting moral worlds.Read more or watch the full seminar:Audio Chapters:0:00 - Introduction2:40 - Self and Body Dichotomy04:53 - The Lived-Body in a Lived World07:35 - Embodiment and Moral Injury 12:27 - Female Body and Reproduction15:30 - Infertility and Moral Problem17:55 - Technology and Motherhood22:24 - Muslim Women and Reproduction25:26 - Conclusion: Towards Moral Repair

Send us a textWe explore how a well-seasoned pediatrician, Dr. Joe Sherman, MD, shifted into coaching after recognizing a life mismatch and burnout, and how self-awareness, discernment, and self-compassion can restore a sustainable life in medicine. We share practical reflection habits, identify transferable skills, and highlight peer support that reduces isolation.• vocation versus role identity beyond the white coat• discernment as a daily practice • small, workable habits for reflection and awareness• structure versus mindset when assessing job fit• moral injury from insurance and systemic pressures• courage to pivot and learn from less-than-ideal workplaces• transferable physician skills across non-clinical work• team culture, shared mission, and belonging at work• mentorship, coaching, and global peer support options• self-compassion as the base for sustainable serviceContact Dr. Sherman:  joshermanmd.com or email Joe@joshermanmd.comCheck out Physicians Anonymous; it's free, confidential, and open to medical students, residents, and physicians worldwide.The book that Joe mentioned in the podcast: Let Your Life Speak: Listening for the Voice of Vocation by Parker Palmer.If you enjoyed this episode, be sure to subscribe, leave a review, and share it with someone who'd love it too.Though I am a physician, this is not medical advice. This is only a tool that physicians can use to get ideas on how to deal with burnout and/or know they are not alone. If you are in need of medical assistance talk to your physician.Learn more about female physicians' journey through burnout to thriving!https://www.theworthyphysician.com/booksLet's connect for speaking opportunities!https://www.theworthyphysician.com/dr-shahhaque-md-as-a-speakerCheck out the free resources from The Worthy Physician:https://www.theworthyphysician.com/freebie-downloadsBattle of the Boxes21 Day Self Focus Journal

Jason Gilley walked into adulthood with a fastball, a college roster spot, and a head of curls that deserved its own agent. Cancer crashed that party and took him on a tour of chemo chairs, pediatric wards, metal taste, numb legs, PTSD, and the kind of late night panic that rewires a kid before he even knows who he is.I sat with him in the studio and heard a story I know in my bones. He grew up fast. He learned how to stare down mortality at nineteen. He found anchors in baseball, therapy, and the strange friendships cancer hands you when it tears your plans apart. He owns the fear and the humor without slogans or shortcuts. Listeners will meet a young man who refuses to let cancer shrink his world. He fights for the life he wants. He names the truth without apology. He reminds us that survivorship stays messy and sacred at the same time. This conversation will stay with you.RELATED LINKS• Jason Gilley on IG• Athletek Baseball Podcast• EMDR information• Children's Healthcare of AtlantaFEEDBACKLike 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.

Winter pressure doesn't just affect patient flow. It affects people. This second episode in the Best Bits of 2025 series focuses on the human side of emergency medicine: culture, moral injury, compassion, and the small but meaningful behaviours that help clinicians stay grounded when work is relentless. The clips in this episode are drawn from full St Emlyn's podcast episodes released during 2025 and reflect some of the most thoughtful conversations of the year. In this episode, we explore: What a genuine learning culture looks like on shift — and why it matters more than workload Moral injury in emergency and prehospital care, and how it differs from day-to-day moral distress Compassionate resuscitation and “the pause” after a death Why small, practical actions can counter hopelessness, even when systems are broken The EPICC framework and the role of self-compassion in clinical practice This episode is designed for listening on shift, on the way home, or during a quieter moment over Christmas and New Year. Featured episodes Clips in this episode are taken from the following full St Emlyn's episodes: Episode 256 — Monthly Update (November 2024): Learning culture in emergency medicine Episode 261 — Moral Injury with Caroline Leech (recorded at Tactical Trauma 24) Episode 258 — Compassionate Resuscitation with Matt Hooper (London Trauma Conference) Episode 264 — High Performance Teams with Dan Dworkis (Tactical Trauma 24) Episode 271 — Monthly Update (April and May 2025): EPICC and self-compassion All full episodes are available in the podcast feed. About MedPod Learn MedPod Learn is a medical podcast player designed to help turn listening into structured learning, with optional reflection and tools to support CPD and appraisal. Available on the App Store and Google Play.

Dr. Marissa Russo trained to become a cancer biologist. She spent four years studying one of the deadliest brain tumors in adults and built her entire research career around a simple, urgent goal: open her own lab and improve the odds for patients with almost no shot at survival. In 2024 she applied for an F31 diversity grant through the NIH. The reviewers liked her work. Her resubmission was strong. Then the grant system started glitching. Dates vanished. Study sections disappeared. Emails went silent. When she finally reached a program officer, the message was clear: scrub the DEI language, withdraw, and resubmit. She rewrote the application in ten days. It failed. She had to start over. Again. This time with her identity erased.Marissa left the lab. She found new purpose as a science communicator, working at STAT News through the AAAS Mass Media Fellowship. Her story captures what happens when talent collides with institutional sabotage. Not every scientist gets to choose a Plan B. She made hers count.RELATED LINKSMarissa Russo at STAT NewsNIH F31 grant story in STATAAAS Mass Media FellowshipContact Marissa RussoFEEDBACKLike 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.

Scott Capozza and I could have been cloned in a bad lab experiment. Both diagnosed with cancer in our early twenties. Both raised on dial-up and mixtapes. Both now boy-girl twin dads with speech-therapist wives and a lifelong grudge against insurance companies. Scott is the first and only full-time oncology physical therapist at Yale New Haven Health, which means if he catches a cold, cancer rehab in Connecticut flatlines. He's part of a small, stubborn tribe of providers who believe movement belongs in cancer care, not just after it. We talked about sperm banking in the nineties, marathon training during chemo, and what it means to be told you're “otherwise healthy” when your lungs, ears, and fertility disagree. Scott's proof that survivorship is not a finish line. It's an endurance event with no medals, just perspective.RELATED LINKSScott Capozza on LinkedIn: https://www.linkedin.com/in/scott-capozza-a68873257Yale New Haven Health: https://www.ynhh.orgExercising Through Cancer: https://www.exercisingthroughcancer.com/team/scott-capozza-pt-msptProfiles in Survivorship – Yale Medicine: https://medicine.yale.edu/news-article/profiles-in-survivorship-scott-capozzaFEEDBACKLike 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.

00:01 – A Chapter Ends, a New One Begins00:31 – Discovering Authenticity & Purpose00:59 – Rebuilding Identity After Narrative Collapse01:12 – Military Service & Not Fitting the Mold02:27 – Early Encounters With Yoga03:56 – Breathwork & Breakthroughs05:42 – Universal Human Struggles07:07 – Loss of Community & Civilian Isolation09:44 – Yoga, Shared Practice & Social Bonding11:10 – Finding Belonging in Yoga Community14:03 – Mastery, Practice & Non-Competitiveness18:14 – Injury, Aging & Sustainable Growth20:39 – Identity, Being vs. Doing23:28 – Self-Advocacy & Listening to Inner Needs26:01 – Mind–Body Connection27:09 – Asking for Help & Vulnerability28:59 – Rites of Passage & Community Breakdown31:21 – Hero's Journey & Trust35:28 – Shadow Work & Vulnerability41:27 – Conscious Connected Breathwork (Deep Dive)50:08 – What to Expect in a Breathwork Session55:04 – Marcus' Personal Experience55:28 – Chris' Breathwork Style57:25 – How to Try Breathwork To learn more about Mission 22's impact and programs, visit www.mission22.org or find us on social media. IG: @mission_22. Tiktok: @_mission22

Dr. MaryAnn Wilbur trained her whole life to care for patients, then left medicine behind when it became a machine that punished empathy and rewarded throughput. She didn't burn out. She got out. A gynecologic oncologist, public health researcher, and no-bullshit single mom, MaryAnn walked straight off the cliff her career breadcrumbed her to—and lived to write the book.In this episode, we talk about what happens when doctors are forced to choose between their ethics and their employment, why medicine now operates like a low-resource war zone, and how the system breaks the very people it claims to elevate. We cover moral injury, medical gaslighting, and why she refused to lie on surgical charts just to boost hospital revenue.Her escape plan? Tell the truth, organize the exodus, and build something that actually works. If you've ever wondered why your doctor disappeared, this is your answer. If you're a clinician hiding your own suffering, this is your permission slip.RELATED LINKSMaryAnn Wilbur on LinkedInMedicine ForwardClinician Burnout FoundationThe Doctor Is No Longer In (Book)Suck It Up, Buttercup (Documentary)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.

Episode 5 of Standard Deviation with Oliver Bogler on the Out of Patients podcast feed pulls you straight into the story of Dr Ethan Moitra, a psychologist who fights for LGBTQ mental health while the system throws every obstacle it can find at him.Ethan built a study that tracked how COVID 19 tore through an already vulnerable community. He secured an NIH grant. He built a team. He reached 180 participants. Then he opened an email on a Saturday and learned that Washington had erased his work with one sentence about taxpayer priorities. The funding vanished. The timeline collapsed. His team scattered. Participants who trusted him sat in limbo.A federal court eventually forced the government to reinstate the grant, but the damage stayed baked into the process. Ethan had to push through months of paperwork while his university kept the original deadline as if the shutdown had not happened. The system handed him a win that felt like a warning.I brought Ethan on because his story shows how politics reaches into science and punishes the people who serve communities already carrying too much trauma. His honesty lands hard because he names the fear now spreading across academia and how young scientists question whether they can afford to care about the wrong population.You will hear what this ordeal did to him, what it cost his team, and why he refuses to walk away.RELATED LINKSFaculty PageNIH Grant DetailsScientific PresentationBoston Globe CoverageFEEDBACKLike 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.

Are you advocating for your child or change? As every parent knows systems can be very tricky to navigate and change. The better we can understand them, the better we can relate with the people we deal with and more likely we are to get what we want. Listen in asDirector of Foster Care and Permanency Michelle shares her inside knowledge on systems, change and more.Here is a bit about Michelle from her website:"I'm often asked what brought me to this work; child protection, public service, and anti-oppression efforts. The answer is the same for all: my community's needs, desires, and experiences gave my career direction. Describing myself as a mixed kid from the projects doesn't always get a favorable reaction, but it's the truth and holds no shame for me. Neither do any of the other identities that make me the person I am today.I hold a Master's degree in public administration from Metropolitan State University and an undergraduate in psychology and women studies. My public services career started with my first professional job out of college as an alternative response case manager on the east side of Saint Paul. That position was my introduction to child protection; quickly discovering the disparities, I realized the change needed would have to come from within the system causing these poor outcomes. Finding my way to spaces and fighting for a seat at the table among decision-makers was not the solution I thought it would be.As a child protection worker, I found that policies, practices, and statutes interfered with my ability to make decisions in the best interest of families. As a supervisor, I found some of the same challenges, and the team I supported described transgressions in moral code during supervision. As a manager, I started to draw the connection between staff retention and outcomes for families. It became clear that staff supported in making decisions that align with their values remain in high-stakes decision-making positions. The unnamed emotions and blame the system placed on professionals led me to the term Moral Injury. Once I found the name of my experience, I felt empowered, becoming driven to inform the workforce and hold systems responsible."Here are some links for more infohttps://mn.gov/dhs/partners-and-providers/program-overviews/child-protection-foster-care-adoption/african-american-child-well-being/https://www.linkedin.com/in/michelle-d-seymore-42b0983b/https://www.revisor.mn.gov/statutes/cite/260.692#:~:text=The%20African%20American%20Child%20and,in%20the%20child%20welfare%20system;https://www.michelledseymore.com/ Guests and the host are not (unless mentioned) licensed pscyho-therapists and speak from their own opinion only. Seek qualified advice if you need help.

Chelsea J. Smith walks into a studio and suddenly I feel like a smurf. She's six-foot-three of sharp humor, dancer's poise, and radioactive charm. A working actor and thyroid cancer survivor, Chelsea is the kind of guest who laughs while dropping truth bombs about what it means to be told you're “lucky” to have the “good cancer.” We talk about turning trauma into art, how Shakespeare saved her sanity during the pandemic, and why bartending might be the best acting class money can't buy. She drops the polite bullshit, dismantles survivor guilt with punchline precision, and reminds every listener that grace and rage can live in the same body. If you've ever been told to “walk it off” while your body betrayed you, this one hits close.RELATED LINKS• Chelsea J. Smith Website• Chelsea on Instagram• Chelsea on Backstage• Chelsea on YouTube• Cancer Hope Network• Artichokes and Grace – Book by Chelsea's motherFEEDBACKLike 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.

Our own JACK GILROY is producing another play and he wants it to come to YOUR TOWN. It is a two person play about a drone pilot and HER daughter in college and the struggles they have reconciling what Mom is doing with what the daughter sees as reality. Jack talks about the play and the relevance today as we face continuing confrontations in the Middle East, Africa, Ukraine, and the escalating tensions with Venezuela and the Caribbean. Find out how you can get this important play into your town along with ideas for getting students active in peace from elementary through college.

What is a  Moral Injury - and How does it take a toll? One of the most striking aspects of Matthew's story is his emphasis on moral injury, a concept that's often overlooked in traditional PTSD treatment. As Dr. Dave, our resident psychiatrist, explained, moral injury occurs when someone witnesses or participates in actions that violate their deeply held moral beliefs. This can leave lasting scars that are difficult to heal without proper support and understanding. Follow the podcast:  Listen on Apple Podcasts (link: https://apple.co/3s1YH7h)  Listen on iHeart (link: https://ihr.fm/3MEY7FM)  Listen on Spotify (Link: https://spoti.fi/3yMmQCE)  Connect with Mathew Blades:  Twitter - twitter.com/MathewBlades Instagram - instagram.com/MathewBladesmedia/  Facebook - facebook.com/mathewbladesmedia/  Website - learnfrompeoplewholivedit.com/ Additional Credits: LFPWLI is managed by IMS LLC

In this episode of the Tactical Living Podcast, hosts Coach Ashlie Walton and Sergeant Clint Walton dive into one of the most emotionally exhausting realities of modern policing — the weight of constant public scrutiny. From viral videos to media narratives, today's officers live under a microscope where every move, every word, and every split-second decision can be judged, dissected, or weaponized online (Amazon Affiliate). This level of exposure doesn't just change how officers do their jobs — it fundamentally alters how they see themselves, their community, and their sense of worth. We unpack the psychological cost of this relentless pressure and explore what officers, departments, and families can do to protect mental health in an era where perception often overshadows truth.

When Julia Stalder heard the words ductal carcinoma in situ, she was told she had the “best kind of breast cancer.” Which is like saying you got hit by the nicest bus. Julia's a lawyer turned mediator who now runs DCIS Understood, a new nonprofit born out of her own diagnosis. Instead of panicking and letting the system chew her up, she asked questions the industry would rather avoid. Why do women lose breasts for conditions that may never become invasive? Why is prostate cancer allowed patience while breast cancer gets the knife? We talked about doctors' fear of uncertainty, the epidemic of overtreatment, and what happens when you build a movement while still in the waiting room. Funny, fierce, unfiltered—this one sticks.RELATED LINKS• DCIS Understood• Stalder Mediation• Julia's story in CURE Today• PreludeDx DCISionRT feature• Julia on LinkedInFEEDBACKLike 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.

What is the Moral Injury to Veterans?

Dr. Rachel Gatlin entered neuroscience with curiosity and optimism. Then came chaos. She started her PhD at the University of Utah in March 2020—right as the world shut down. Her lab barely existed. Her advisor was on leave. Her project focused on isolation stress in mice, and then every human on earth became her control group. Rachel fought through supply shortages, grant freezes, and the brutal postdoc job market that treats scientists like disposable parts. When her first offer vanished under a hiring freeze, she doubled down, rewrote her plan, and won her own NIH training grant. Her story is about survival in the most literal sense—how to keep your brain intact when the system built to train you keeps collapsing.RELATED LINKS• Dr. Rachel Gatlin on LinkedIn• Dr. Gatlin's Paper Preprint• Dr. Eric Nestler on Wikipedia• News Coverage: Class of 2025 – PhD Students Redefine PrioritiesFEEDBACKLike 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.

EPISODE DESCRIPTIONBefore she was raising millions to preserve fertility for cancer patients, Tracy Weiss was filming reenactments in her apartment for the Maury Povich Show using her grandmother's china. Her origin story includes Jerry Springer, cervical cancer, and a full-body allergic reaction to bullshit. Now, she's Executive Director of The Chick Mission, where she weaponizes sarcasm, spreadsheets, and the rage of every woman who's ever been told “you're fine” while actively bleeding out in a one-stall office bathroom.We get into all of it. The diagnosis. The misdiagnosis. The second opinion that saved her life. Why fertility preservation is still a luxury item. Why half of oncologists still don't mention it. And what it takes to turn permission to be pissed into a platform that actually pays for women's futures.This episode is blunt, hilarious, and very Jewish. There's chopped liver, Carrie Bradshaw slander, and more than one “fuck you” to the status quo. You've been warned.RELATED LINKSThe Chick MissionTracy Weiss on LinkedInFertility Preservation Interview (Dr. Aimee Podcast)Tracy's Story in Authority MagazineNBC DFW FeatureStork'd Podcast EpisodeNuDetroit ProfileChick Mission 2024 Gala RecapFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship, email podcast@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

For those who work in an ICU - or with any patients for that matter -the concepts of burnout and moral injury are no stranger. In order to mitigate the effects of these forces, it's important to understand them. Join Nick and Cyrus, as they sit down with an incredible guest, Dr. Venktesh Ramnath, with the hopes of doing just that. On this episode we step away from the pressors and central lines and focus on the contributors to burn out and moral injury in the medical field while developing some strategies to combat them. Listen, watch, learn and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.

Kyle surprises Wayne with a new term that is being utilized in trauma work—moral injury. This happens when someone, either... The post The Pain of Moral Injury (#1010) first appeared on The God Journey.

During the Civil War, “Soldier's Heart” was the name given to the symptoms we now associate with post-traumatic stress disorder, or PTSD. While the condition has had many names in the decades – and wars – that have followed, its toll on soldiers has not abated. Between 11 and 15 percent of Vietnam War veterans are still suffering from PTSD, 50 years after the end of the war. The new documentary “Healing a Soldier's Heart” follows four veterans reckoning with PTSD and with moral injury – the psychological harm we experience when we violate our moral code. We talk with the filmmaker, a Vietnam War veteran and a psychologist about what it looks like to heal. Related link(s): Watch the documentary “Healing a Soldier's Heart” Moral Injury – PTSD: National Center for PTSD For Family and Friends – PTSD: National Center for PTSD Moral Injury and Distress Scale (MIDS) – PTSD Guests: Shira Maguen, professor of psychiatry and behavioral sciences, UCSF Medical School; staff psychologist, San Francisco VA Medical Center PTSD Program Stephen Olsson, director and producer, “Healing A Soldier's Heart” Levie Isaacks, decorated Vietnam Army platoon leader (Bronze Star for heroism) and veteran Learn more about your ad choices. Visit megaphone.fm/adchoices

EPISODE DESCRIPTION:Libby Amber Shayo didn't just survive the pandemic—she branded it. Armed with a bun, a New York accent, and enough generational trauma to sell out a two-drink-minimum crowd, she turned her Jewish mom impressions into the viral sensation known as Sheryl Cohen. What started as one-off TikToks became a career in full technicolor: stand-up, sketch, podcasting, and Jewish community building.We covered everything. Jew camp lore. COVID courtship. Hannah Montana. Holocaust comedy. Dating app postmortems. And the raw, relentless grief that comes with being Jewish online in 2025. Libby's alter ego lets her say the quiet parts out loud, but the real Libby? She's got receipts, range, and a righteous sense of purpose.If you're burnt out on algorithm-friendly “influencers,” meet a creator who actually stands for something. She doesn't flinch. She doesn't filter. And she damn well earned her platform.This is the most Jewish episode I've ever recorded. And yes, there will be guilt.RELATED LINKSLibby's Website: https://libbyambershayo.comInstagram: https://www.instagram.com/libbyambershayoTikTok: https://www.tiktok.com/@libbyambershayoLinkedIn: https://www.linkedin.com/in/libby-walkerSchmuckboys Podcast: https://jewishjournal.com/podcasts/schmuckboysForbes Feature: Modern Mrs. Maisel Vibes https://www.forbes.com/sites/joshweissMedium Profile: https://medium.com/@libbyambershayoFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform.For guest suggestions or sponsorship, email podcast@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 this episode of the St Emlyn's podcast, hosts Iain Beardsell and Simon Carley review blog posts from August and September. They reflect on their experience at the BASICs Conference, highlighting discussions on resuscitation science and new resuscitation council guidelines. Topics covered include the physiological-targeted resuscitation, arterial line placements during cardiac arrest, the PECan abdominal trauma rule in pediatric emergency care, intra-arrest stellate ganglion blocks, hydrofluoric acid burns treatment, and pediatric status epilepticus. They also delve into the evidence trial on moving patients with refractory out-of-hospital cardiac arrest to hospitals for specialised care, and review discussions on moral injury among emergency responders. Additionally, they mention the upcoming Geckos Global Health and Emergency Care Research Summit and explore the potential future of emergency medicine by 2038. 00:00 Introduction and Conference Highlights 02:55 Arterial Line Placement During Cardiac Arrest 05:27 Pediatric Abdominal Trauma Rule 10:25 Intra-Arrest Stellate Ganglion Blocks 14:35 Moral Injury in Emergency Responders 23:22 Hydrofluoric Acid Burns Treatment 25:38 Ketamine for Pediatric Status Epilepticus 28:57 Refractory Out-of-Hospital Cardiac Arrest 33:59 Global Health and Emergency Care Research 35:09 Conclusion and Future Episodes

What if the guilt you've been trying to shake is a guiding light for better relationships? We spend so much energy trying not to feel guilty, about losing our temper, missing a call, falling short in some way, but guilt isn't proof that you're broken. It's proof that you care. In this episode, I talk with psychologist Dr. Chris Moore about how guilt can actually help you heal your relationships, reconnect with your empathy, and live in alignment with your values. Here's a peek at what we cover: 00:00 Guilt Is Good: Why Feeling Guilty Can Heal Relationships 01:54 The Guilt Cocktail: Empathy, Anxiety, and Self-Anger 08:24 Guilt vs. Shame: How to Tell the Difference 13:43 Turning Guilt Into Repair: Apology and Forgiveness 16:48 When You Can't Fix It: Guilt, Grief, and Self-Forgiveness 23:27 Moral Injury, Trauma, and Survivor Guilt 28:37 Chronic Guilt: Why Women Feel It More 33:12 How to Reframe Guilt and Use It as a Guide 41:13 Guilt Means You Care If something in this conversation stirred your heart, maybe an old regret or a relationship you'd love to mend, you don't have to sort through it alone. You can schedule a consultation with me or a member of my team at Growing Self. It's a warm, private space to talk about what's been weighing on you, get help managing guilt in a healthy way, and start moving forward with self-forgiveness and clarity. xoxo, Dr. Lisa Marie BobbyGrowing Self

PLEASE LISTEN TO THE FIRST FIFTEEN MINUTES and if you want to turn it off you have my blessing, but I can not emphasize too much how important this show is for Veterans and those who care about Veterans (meaning everyone else). Dr. Kelly Denton-Borhaug rejoins Harvey and Jim to review and to update her work and study on Moral Injury. She is the author of two books with a third near completion. Her second book, "And Then Your Soul is Gone: Moral Injury and US War Culture, is the go to book on Moral Injury and how you can figure out why you feel this way. In this episode she expands on that book and also traces the road to recovery for those of us who suffer from Moral Injury. Please listen to at least the first fifteen minutes... and then the rest. PEACE

On Thursday, Joel was joined by former chaplain of the Erie VA Medical Center, Rev. David Fugate and Jim Hertner, retired real estate broker and former Navy Medic serving US Marines in the Vietnam War. We discussed the hidden wounds of war, including PTSD and moral injury.

When the system kills a $2.4 million study on Black maternal health with one Friday afternoon email, the message is loud and clear: stop asking questions that make power uncomfortable. Dr. Jaime Slaughter-Acey, an epidemiologist at UNC, built a groundbreaking project called LIFE-2 to uncover how racism and stress shape the biology of pregnancy. It was science rooted in community, humanity, and truth. Then NIH pulled the plug, calling her work “DEI.” Jaime didn't quit. She fought back, turning her grief into art and her outrage into action. This episode is about the cost of integrity, the politics of science, and what happens when researchers refuse to stay silent.RELATED LINKS• The Guardian article• NIH Grant• Jaime's LinkedIn Post• Jaime's Website• Faculty PageFEEDBACKLike 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.

EPISODE DESCRIPTIONAllison Applebaum was supposed to become a concert pianist. She chose ballet instead. Then 9/11 hit, and she ran straight into a psych ward—on purpose. What followed was one of the most quietly revolutionary acts in modern medicine: founding the country's first mental health clinic for caregivers. Because the system had decided that if you love someone dying, you don't get care. You get to wait in the hallway.She's a clinical psychologist. A former dancer. A daughter who sat next to her dad—legendary arranger of Stand By Me—through every ER visit, hallway wait, and impossible choice. Now she's training hospitals across the country to finally treat caregivers like patients. With names. With needs. With billing codes.We talked about music, grief, psycho-oncology, the real cost of invisible labor, and why no one gives a shit about the person driving you to chemo. This one's for the ones in the waiting room.RELATED LINKSAllisonApplebaum.comStand By Me – The BookLinkedInInstagramThe Elbaum Family Center for Caregiving at Mount SinaiFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship, email podcast@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 this rerun episode of BS Free MD, Drs. May and Tim Hindmarsh revisit one of their most transformative conversations — with Dr. Lida Fatemi, an internal medicine physician, palliative and hospice expert, and leader in the responsible use of psychedelic medicine for trauma healing and burnout recovery.Dr. Fatemi shares her extraordinary story — from growing up during war and oppression in Iran to becoming a national voice on mental health, trauma, and consciousness in medicine. Together, they explore how unresolved trauma manifests as burnout, the moral injury in modern medicine, and how psychedelic-assisted therapy (including psilocybin and LSD) can serve as tools for emotional and spiritual healing when approached responsibly.The discussion takes listeners through:Dr. Fatemi's immigration journey and early life in Iran under a repressive regime.The turning point in her medical career that led to burnout — and her awakening to deeper purpose.The role of psilocybin and psychedelic-assisted coaching in rewiring trauma patterns.Misconceptions about psychedelics, safety considerations, and what “conscious life practices” mean.The intersection of faith, healing, and self-rediscovery in becoming whole again.This powerful conversation blends science, spirituality, and humanity — inviting listeners to consider what true healing looks like beyond symptom management and system metrics.ABOUT THE GUESTDr. Fatemi is an award-winning academic physician specializing in internal medicine, palliative care, and hospice medicine. She is the founder of Conscious Physician, a psilocybin-assisted coaching and certification program for healthcare professionals facing burnout. Her bestselling book Thriving After Burnout and her forthcoming title Trauma to Self-Love explore how conscious practices and plant medicine can help professionals reconnect to meaning, joy, and balance.Connect with Dr. Fatemi:

EPISODE DESCRIPTIONRebecca V. Nellis never meant to run a nonprofit. She just never left. Twenty years later, she's still helming Cancer and Careers after a Craigslist maternity-leave temp job turned into a lifelong mission.In this 60-minute doubleheader, we cover everything from theater nerdom and improv rules for surviving bureaucracy, to hanging up on Jon Bon Jovi, to navigating cancer while working—or working while surviving cancer. Same thing.Rebecca's path is part Second City, part Prague hostel, part Upper East Side grant writer, and somehow all of that makes perfect sense. She breaks down how theater kids become nonprofit lifers, how “sample sale feminism” helped shape a cancer rights org, and how you know when the work is finally worth staying for.Also: Cleavon Little. Tap Dance Kid. 42 countries. And one extremely awkward moment involving a room full of women's handbags and one very confused Matthew.If you've ever had to hide your diagnosis to keep a job—or wanted to burn the whole HR system down—this one's for you.RELATED LINKSCancer and CareersRebecca Nellis on LinkedIn2024 Cancer and Careers Research ReportWorking with Cancer Pledge (Publicis)CEW FoundationI'm Not Rappaport – Broadway InfoFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship opportunities, email podcast@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Sally Wolf is back in the studio and this time we left cancer at the door. She turned 50, brought a 1993 Newsday valedictorian article as a prop, and sat down with me for a half hour of pure Gen X therapy. We dug into VHS tracking, Red Dawn paranoia, Michael J. Fox, Bette Midler, and how growing up with no helmets and playgrounds built over concrete somehow didn't kill us.We laughed about being Jewish kids in the suburbs, the crushes we had on thirty-year-olds playing teenagers, and what it means to hit 50 with your humor intact. This episode is part nostalgia trip, part roast of our own generation, and part meditation on the privilege of being alive long enough to look back at it all. If you ever watched Different Strokes “very special episodes” or had a Family Ties lunchbox, this one's for you.RELATED LINKSSally Wolf Official WebsiteSally Wolf on LinkedInSally Wolf on InstagramCosmopolitan Essay: “What It's Like to Have the ‘Good' Cancer”Oprah Daily: “Five Things I Wish Everyone Understood About My Metastatic Breast Cancer Diagnosis”Allure Breast Cancer Photo ShootTom Wilson's “Stop Asking Me the Question” SongFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship inquiries, email podcast@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Have you ever found yourself holding onto feelings of guilt or shame long after a difficult experience or mistake? In this episode, Jill sits down with Dr. Carolyn Allard, a leading voice in trauma-focused psychology and research. Together, they unpack the complex nature of guilt and shame, especially when these emotions become non-adaptive in the face of trauma or hardship. Carolyn, who is also the author of Transform Your Guilt and Shame: Evidence-Based Strategies to Heal from Trauma and Adversity, shares how to recognize the difference between guilt and shame and introduces the idea of “non-adaptive guilt and shame” (NAGS). You'll gain insight into how these emotions link to moral injury and other trauma responses, and walk away with actionable tools such as hindsight bias and justification analysis to better understand, challenge, and manage them.Listen and Learn: How guilt and shame differ lies in focus, as guilt is about actions and shame is about identity, and why they matterHow moral injury can emerge from situations where individuals face impossible choices that conflict with their values, leading to lasting feelings of guilt and shameWhy we feel non-adaptive guilt and shame often comes down to distorted beliefs about responsibility, justification, and values, and how understanding these patterns helps us break free from self-blame and move toward self-compassionHow hindsight bias can trick us into unfair self-judgment, and by reflecting on our choices and context at the time, we can gain a clearer, kinder perspectiveUnderstanding the difference between accountability (being answerable) and responsibility (having control or intention) and how this helps us untangle guilt and shame, process mistakes effectively, and break the self-reinforcing cycles of trauma that impair our ability to act according to our valuesResources: Transform Your Guilt and Shame: Evidence-Based Strategies to Heal from Trauma and Adversity: https://bookshop.org/a/30734/9781433843419 Carolyn's Website: https://www.carolynallardphd.com/Connect with Carolyn on Social Media: Bluesky: https://bsky.app/profile/carolynallardphd.bsky.social Facebook:https://www.facebook.com/p/Carolyn-Allard-PhD LinkedInhttps://www.linkedin.com/in/carolyn-allard-99749155/About Carolyn B. AllardCarolyn B. Allard ,PhD, ABPP, is internationally recognized for her trauma-focused research and clinical expertise. She is a licensed, board-certified clinical psychologist, Distinguished Professor and Program Director of the Clinical Psychology PhD Program at Alliant International University. Before that, she directed a trauma clinic at the VA San Diego Healthcare System and served as clinical faculty at the University of California San Diego. Carolyn also serves on the executive council of the American Psychological Association's Trauma Division and its scientific journal's editorial board, and has over 200 scientific publications and presentations. For over 20 years, she has been providing therapy, training and consultation in empirically supported therapy for posttraumatic distress; and conducting research focused on socio-cultural and contextual predictors of posttraumatic distress and treatment outcomes. She co-developed Trauma Informed Guilt Reduction (TrIGR), the evidence-based therapy that is the basis of her latest book, Transform Your Guilt and Shame, a self-guided workbook. Besides making psychology accessible, Carolyn is passionate about traveling and promoting compassion. Visit CarolynAllardPhD.com for more information.Related Episodes:118. Moral Injury and Shame with Lauren Borges and Jacob Farnsworth416. Trauma and PTSD Treatment with Robyn Walser383. What My Bones Know: C-PTSD with Stephanie Foo417. Busting Trauma Treatment Myths with Emi Nietfeld405. Taming the Inner Critic with Holly Yates and Shawn Whooley341. Self-Forgiveness with Grant Dewar279. ACT for Healing Black Racial Trauma with Jennifer Shepard PayneSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Nikki Maphis didn't just lose a grant. She lost a lifeline. An early-career Alzheimer's researcher driven by her grandmother's diagnosis, Nikki poured years into her work—only to watch it vanish when the NIH's MOSAIC program got axed overnight. Her application wasn't rejected. It was deleted. No feedback. No score. Just gone.In this episode, Oliver Bogler pulls back the curtain on what happens when politics and science collide and promising scientists get crushed in the crossfire. Nikki shares how she's fighting to stay in the field, teaching the next generation, and rewriting her grant for a world where even the word “diversity” can get you blacklisted. The conversation is raw, human, and maddening—a reminder that the real “war on science” doesn't happen in labs. It happens in inboxes.RELATED LINKS:• Dr. Nikki Maphis LinkedIn page• Dr. Nikki Maphis' page at the University of New Mexico• Vanguard News Group coverage• Nature article• PNAS: Contribution of NIH funding to new drug approvals 2010–2016FEEDBACK:Like this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship inquiries, visit outofpatients.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Carla Tardiff has spent 17 years as the CEO of Family Reach, a nonprofit that shouldn't have to exist but absolutely does—because in America, cancer comes with a price tag your insurance doesn't cover.We talk about shame, fear, burnout, Wegmans, Syracuse, celebrity telethons, and the godforsaken reality of choosing between food and treatment. Carla's a lifer in this fight, holding the line between humanity and bureaucracy, between data and decency. She's also sharp as hell, deeply funny, and more purpose-driven than half of Congress on a good day.This episode is about the work no one wants to do, the stuff no one wants to say, and why staying angry might be the only way to stay sane.Come for the laughs. Stay for the rage. And find out why Family Reach is the only adult in the room.RELATED LINKSFamily ReachFinancial Resource CenterCarla on LinkedInMorgridge Foundation ProfileAuthority Magazine InterviewSyracuse University FeatureFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship inquiries, email podcast@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

*Content warning: disturbing abuse of children, disability abuse, emotional and physical violence involving children, murder, death, suicide, neglect, kidnapping, abduction, isolation, torture, distressing topics.  *Free + Confidential Resources + Safety Tips:  somethingwaswrong.com/resources    Snag your ticket for the live Home for the Holidays event here: https://events.humanitix.com/swwxtgi  Check out our brand new SWW Sticker Shop!: https://brokencyclemedia.com/sticker-shop Support The Gathering Inn  *SWW S23 Theme Song & Artwork:  The S24 cover art is by the Amazing Sara Stewart Follow Something Was Wrong: Website: somethingwaswrong.com  IG: instagram.com/somethingwaswrongpodcast TikTok: tiktok.com/@somethingwaswrongpodcast  Follow Tiffany Reese: Website: tiffanyreese.me  IG: instagram.com/lookieboo *Sources  "Accused killer John Free's death was a suicide, say officials." 7 News, WWNY, March 18, 2025, https://www.wwnytv.com/2025/03/18  Aldrete, Isabella, "Audit: Seven care facilities for children fail state standards." The Nevada Independent, September 20, 2024, https://thenevadaindependent.com/article  Anderson, Kayla, "New teen treatment center opens in Hawthorne." Mineral County Independent-News, December 13, 2022, https://mcindependentnews.com/2022/12/  Aurora Center for Healing. Alignable, n.d., https://www.alignable.com/hawthorne-nv  Dunn, Kenneth, "Nevada health officials suspend Aurora Center license in Hawthorne." KRNV, May 9 2025, https://mynews4.com/news/local/nevada-health  “FULL INTERVIEW with a former Academy at Ivy Ridge Worker.” YouTube, uploaded by 7News | WWNY | Watertown, May 2, 2024, https://www.youtube.com/watch Hofmann, Will, "Asheville Academy violated NC law, will face fines after child suicides report says." Asheville Citizen Times, June 18, 2025, https://www.yahoo.com/news  Jones, Andrew R., "Asheville Academy Gives Up Its License Following Two Suicides in May." Asheville.com, June 10, 2025, https://www.asheville.com/news/2025/06  Kenton, Luke, "Ex Ivy Ridge students say John Free sent ‘threatening' messages weeks before the dorm parent was charged with murder." The U.S. Sun, May 23 2024 https://www.the-sun.com/news  Kudisch, Jordan, "Asheville Academy faces $45,000 in fines after state investigation into child safety violations." Spectrum Local News, Jun. 18, 2025, https://spectrumlocalnews  Legislature, OR. “ORS 419a.245 – Use of Restraints during Transport.” OregonLaws, oregon.public.law/statutes/ors_419a.245. Accessed 23 Sept. 2025.  Nguyen, Jenny, et al. “Understanding Well-Being in Adult Survivors of the Troubled Teen Industry: The Roles of Moral Injury and Meaning-Making.” RANGE: Undergraduate Research Journal (2025), University of Utah, 1 July 2025, uen.pressbooks.pub/range26i1/chapter/jnguyen/ Rutherford, Diane, "Former Ivy Ridge worker denies sexual assault accusation, admits to mistakes." 7 News, WWNY, May 1, 2024, https://www.wwnytv.com/2024/05/01 Rutherford, Diane, "Grand jury indicts former Ivy Ridge worker on murder charges." 7 News, WWNY, January 6, 2025, https://www.wwnytv.com/2025/01/06/grand-jury  Salamone, Olivia, "Former Ivy Ridge dorm parent John Free charged with murder weeks after detailing harrowing abuse academy victims faced." The U.S. Sun, May 22 2024,https://www.the-sun.com/news/11442849/ivy-ridge-dorm-parent-murder-arrest-john-free/  Salter, Jim. “Rules Sought for ‘gooning,' Taking Troubled Kids to Care.” Youth Today, 30 Sept. 2022, youthtoday.org/2022/09/rules-sought-for-gooning-taking-troubled-kids-to-care/