Podcasts about Moral injury

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.

Es gibt eine Facette menschlicher Versehrtheit, die häufig nicht klar gesehen wird: Die moralische Verletzung. Ich spreche in dieser Folge darüber, was hinter dem Begriff steckt & wie typische Symptome aussehen können.  In dieser Folge erfährst du: weshalb moralische Verletzungen so tief mit unseren Werten verbunden sind wie sich unser innerer Kompass für Moral und Integrität entwickelt auf welchen Ebenen moralische Verletzungen entstehen können wie typische Symptome moralischer Verletzungen aussehen können wodurch ein heilsamer Umgang mit moralischen Verletzungen möglich werden kann Shownotes: Toxische Scham | Vom Schämen und Beschämtsein // Podcast #36 Trauma & Schuld // Podcast #77 Ich freue mich sehr, dir meinen Postkartenkalender vorzustellen! Ein traumasensibler Begleiter durch das Jahr - Mit sanften Übungen, Reflexionsfragen, Platz für Gedanken und Postkarten zum Versenden: https://www.verenakoenig.de/buecher/postkartenkalender-verbunden-mit-dir/  Interessierst du dich für mein Buch „Trauma und Beziehungen"? Hier findest du mehr Informationen dazu: www.verenakoenig.de/buecher/trauma-und-beziehungen/  3 traumasensible Meditationen – Komme im Hier und Jetzt an und finde Sicherheit in deiner Präsenz. Trage dich hier ein und wir schicken dir den Link zu den Meditationen zu: https://www.verenakoenig.de/geschenke/3-traumasensible-meditationen/  Kennst du schon mein wunderschönes Kartendeck? Ob in akuten Stresssituationen, als tägliches Ritual oder spontane Inspiration – 56 Impulse helfen dir zu mehr Selbstregulation und Sicherheit im Hier und Jetzt: https://www.verenakoenig.de/buecher/kartendeck-verbinde-dich-mit-dir-selbst/  Wünschst du dir mehr Nervensystem-Regulation und Selbstbestimmung? Dann trage dich in unsere unverbindliche Interessentenliste für den Kurs „Nervensystemkompass" ein: https://www.verenakoenig.de/online-kurse/nervensystemkompass/  Interessierst du dich auch für meine Ausbildung NI Neurosystemische Integration®? Trage dich jetzt in die Warteliste ein, um keine Neuigkeiten zu verpassen! https://www.verenakoenig.de/akademie/ni-ausbildung/  Wenn du teilen möchtest, was dich in dieser Folge bewegt hat oder wenn du gerne etwas anmerken möchtest, dann folge mir auf Instagram oder Facebook. Dort findest du jede Menge weiterführende Inspiration.  Verena auf Instagram: https://www.instagram.com/verenakoenig.official/   Verena auf Facebook: https://www.facebook.com/verenakoenig.de   Verpasse keine Neuigkeiten mehr! Erhalte jeden Freitag eine Mail mit dem aktuellen Podcast und interessanter Inspiration: https://verenakoenig.de/tinlanmeldung 

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.

Check us out: https://www.determinetruth.com What happens when the place that was supposed to feel spiritually safe becomes the source of deep pain? In this episode of the Determined Truth Podcast, we continue our conversation on religious trauma, spiritual abuse, PTSD, and moral injury with licensed trauma clinician Eric Winton. Together, we explore: The difference between church hurt, religious trauma, and moral injury Why some people struggle to even walk into a church building How trauma impacts the brain, emotions, relationships, and faith The danger of minimizing deep wounds with clichés like “just forgive and move on” Why healing often requires both safe community and trained professional help What pastors and church leaders need to understand about trauma-informed care How churches can become places of compassion instead of additional harm Why there is still real hope and healing after spiritual abuse This is an honest, nuanced, and compassionate conversation for: Pastors and church leaders Survivors of spiritual abuse or religious trauma Christians wrestling with deconstruction Anyone trying to understand PTSD, trauma, shame, and healing within faith communities If this conversation resonates with you, know this: you are not weak, crazy, or alone. Healing is possible.

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

Can a Republican candidate who is against Trump and rejects MAGA politics still win in deep red South Carolina?Marine veteran and congressional candidate Sam Gibbons says yes.In this revealing conversation with Bob Gatty on Lean to the Left, Gibbons explains why he's challenging longtime Congressman Joe Wilson in South Carolina's 2nd Congressional District — and why he believes Donald Trump has “bastardized” the Republican Party.Gibbons discusses:Why he opposes Trump's policies and leadership styleHis strong criticism of war with IranConcerns about Pete Hegseth and military leadershipImmigration, tariffs, and economic chaosOrganizing South Carolina “No Kings” ralliesWhy he believes Republicans have been “sold a lie”The future of the GOP beyond MAGA politicsA Marine veteran, teacher, and conservative who says he values honor, duty, and transparency, Gibbons offers a rare perspective from inside the Republican base in one of America's reddest states.Do you think voters are ready for Republicans who reject Trumpism?

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.

Dr. Michael Valdovinos is a board-certified clinical psychologist and U.S. Air Force veteran. His new book is Moral Injuries: When Good Conscience Suffers in a World of Hurt. His writing has appeared in The Guardian and Time Magazine. Valdovinos argues that the Age of Trump has inflicted a collective moral injury on millions of Americans — the psychological wound that comes from witnessing or being powerless to stop something that violates your deepest sense of right and wrong. He warns that a reckoning will soon be upon us all. Our collective exhaustion, confusion, and dread are normal responses to a profoundly abnormal social and political environment. Drawing on hard-earned experience as an instructor in the military's SERE program (survival, evasion, resistance, and escape) and work with the special operations community, Valdovinos offers wisdom many of us desperately need right now: Keep moving. Do not betray your values. Surrender is not an option. Chauncey DeVega reconvenes the secular church family, "marks out" over WrestleMania 42, and honors some of his favorite actors who have recently left this dimension of space and time and transitioned to the next Patrick Muldoon, Valerie Perrine, Matt DeCaro, and TV legend Sid Krofft. Knowing is half the battle. He explains how authoritarians use "hypernormalization" to disorient the public, drain their emotions, and ultimately create a state of learned helplessness among a targeted population. And Chauncey reflects on the failed assassination attempt at the White House Correspondents' dinner, the dangerous allure of conspiracism, and how too many people are lost in the surreal in this increasingly sick society. WHERE CAN YOU FIND ME? On Twitter: https://twitter.com/chaunceydevega On Facebook: https://www.facebook.com/chauncey.devega My email: chaunceydevega@gmail.com HOW CAN YOU SUPPORT THE CHAUNCEY DEVEGA SHOW? Via Paypal at ChaunceyDeVega.com: Patreon: https://www.patreon.com/thechaunceydevegashow https://www.patreon.com/TheTruthReportPodcast

The healthcare crisis in the United States is worsening - the prices of insurance and care are rising, more people are becoming uninsured and life expectancy is declining. The Republicans don't have a solution to the crisis and Democrats are, once again, pushing a false solution. In an election year, we have an opportunity to push for a healthcare system that puts patients over profits. Clearing the FOG speaks with Dr. Ana Malinow of NationalSinglePayer.com about a new campaign: the Declaration of Independence from the Medical-Industrial Complex. Dr. Malinow also describes the current state of the US healthcare system, how it compares to other countries, and a new report on Moral Injury in physicians. For more information, visit PopularResistance.org.

In 2020, developmental biologist Dr. Crystal Rogers drove the country roads outside Davis, California crying between grant rejections, wondering whether she was about to lose her lab, her career, and the scientific future she had spent years building. She had already done what academia tells young scientists to do. She earned the credentials. She landed a faculty position at UC Davis. She built a lab. Then the real test began.On this episode of Standard Deviation, Dr. Oliver Bogler examines the unspoken rules that determine which scientists survive academic research and which quietly disappear from it. The conversation follows Crystal Rogers and cancer biologist Dr. Michelle Mendoza as they collide with the “Hidden Curriculum” of biomedical science: the unwritten rhetoric, institutional signaling, and grant writing strategies that often decide who receives funding, tenure, and long term stability.Michelle Mendoza entered a tenure track position at the Huntsman Cancer Institute while raising 3 children, navigating a divorce, and trying to secure major NIH funding during COVID. What looked like objective scientific review turned out to depend heavily on persuasion, presentation, and insider fluency. Established researchers could promise massive research agendas based on reputation alone. Junior investigators faced a completely different standard.Oliver traces how the Life Science Editors Foundation and its JEDI program intervened by pairing scientists with former editors from journals including Cell and Nature. The work had little to do with commas or grammar. Editors challenged logic, structure, and scientific framing before grant reviewers could destroy an application in public.Both researchers eventually secured career defining grants. One realized she would keep her job and not have to move her family. The other celebrated by ordering a personalized “DEV BIO” license plate and driving through Davis blasting nineties hip hop and Beyoncé.The episode exposes how biomedical research funding rewards institutional fluency as much as scientific talent, and how hidden systems inside academic medicine continue shaping who gets to stay in science long enough to make discoveries.RELATED LINKSDr. Crystal Rogers LinkedInDr. Crystal Rogers Faculty PageDr. Crystal Rogers LabDr. Michelle Mendoza LinkedInDr. Michelle Mendoza Faculty PageHuntsman Cancer Institute Mendoza LabLife 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 2008, Katy Talento walked away from Capitol Hill and into a Catholic convent. Within a year, she walked out. Within another decade, she sat inside the White House shaping health policy. Somewhere in between, she got labeled “infertile” after a single cycle of testing and spent years believing it.That label stuck. The pain that came before it never got investigated. Doctors offered birth control and moved on. No one asked why her body was struggling. No one followed the thread.Talento built her career inside the very systems she now critiques. She worked on federal health policy, global disease programs, and later advised the Trump administration on healthcare reform. She helped advance price transparency rules in a system where hospitals can still list 457 different prices for the same service.Then she left.Now she builds employer health plans that bypass insurers, PBMs, and traditional networks. Her approach replaces insurance contracts with direct payment, nurse navigators, and cost sharing models that promise simplicity but raise hard questions about risk and protection.This conversation sits in that tension.Talento describes a healthcare system shaped by layered incentives, where insurers, hospitals, and intermediaries profit from complexity. She argues that employers hold the leverage to disrupt it. The host pushes on what happens when patients fall outside those structures, when contracts disappear, and when community based models fail.The episode moves through infertility, misdiagnosis, insurance design, and the mechanics of employer sponsored care. It tracks how policy decisions made in Washington ripple into exam rooms, billing departments, and family lives.It also confronts a harder truth.Even insiders who understand the system can still get caught in it.RELATED LINKSAllBetter HealthKaty TalentoThem Before UsAn Arm and a LegRelentless Health ValueFEEDBACKLike 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 episode, Pastor Jack King sits down with Navy Veteran and former VA Chaplain Jim Taylor to discuss the grueling reality of life on a submarine and the spiritual transformation that led Jim to dedicate his life to healing veterans. They explore the concept of "Moral Injury" and how the church can better equip itself to help those returning from service with wounds that are deeper than psychological trauma. -- Jim's 30-year military career, transitioning from an aircraft carrier to the high-pressure environment of ballistic missile and fast-attack submarines. -- The physical and mental toll of 18-hour workdays and 92-day underwater deployments where oxygen and water are manufactured on-site. -- A raw look at "altar experiences," including a supernatural vision of Christ that provided Jim with a lasting peace during a season of extreme personal and financial hardship. -- The definition of "Moral Injury" and why it requires a different approach than standard PTSD treatments within the church. -- The importance of family sacrifice in military service, including Jim's wife, Mary, and their shared journey through seminary while living in a tent. Scriptures for Further Study -- Numbers 6:24-26 -- Psalm 107:23-30 -- John 14:27 -- Philippians 4:7 This is episode 1275. ******* This is the radio program with the music removed. By the way, I have written a new book, and you can find it here: https://www.amazon.com/Dreams-Visions-Stories-Faith-Pastor/dp/161493536X

In a wooded campground cabin in the early 2000s, 19 year old Ben Unger stood in the doorway and watched 20 naked men form a circle around a crying teenager. A counselor held up two tangerines and shouted, “These are your balls.” The exercise claimed to cure same sex attraction by forcing young men to “reclaim” their masculinity from overbearing mothers. Phones had been confiscated. Parents had paid thousands of dollars. Religion supplied the script. Pseudoscience supplied the props.Ben had grown up in an Orthodox Jewish community in Brooklyn and later studied in Israel to become a rabbi. When he admitted he felt attracted to men, rabbis told him to eat 7 figs a day, immerse in a ritual bath 5 times daily, or marry a woman and trust that “if there's friction, it works.” At 19, he entered conversion therapy through an organization called Jews Offering New Alternatives to Homosexuality, known as JONAH. He left with depression, religious trauma, and 6 months of silence toward the mother he had been taught to blame.Years later, represented by the Southern Poverty Law Center, Ben helped sue JONAH for consumer fraud in a landmark New Jersey case. The argument centered on evidence, not theology. Sexual orientation cannot be changed. The jury deliberated for 3 hours and ruled against the organization. The verdict helped reshape how states regulate conversion therapy and protect minors from psychological harm disguised as treatment.Today, Ben runs Buff Personal Training in New York City, a gym built on autonomy, mental health, and self respect. His story traces the arc from institutional control to self authorship. The conversation examines religion, LGBTQ rights, conversion therapy, consumer protection law, and the lasting cost of being told your identity is a disorder.RELATED LINKSBen Unger on LinkedInBen Unger on InstagramBUF Personal TrainingSouthern Poverty Law CenterJONAHFEEDBACKLike 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.

Some war stories do not stay in the past. They follow you into work, marriage, fatherhood, sleep, and the quiet moments when your mind starts replaying what happened and what it meant. This conversation goes straight at that weight by unpacking moral injury, the kind of wound that hits when combat collides with your deepest values. It gets into why so many veterans carry pain that standard conversations about PTSD do not fully explain, and why healing takes more than time. Dr. Edward Tick brings nearly five decades of work with veterans into a discussion about what war can do to the soul, the body, the family, and the community around the veteran. He explains why early support matters, why civilians need to stop relying on a Hollywood version of war, and why veterans often need a path to atonement, service, and reconciliation to move forward. You will hear powerful stories about returning to Vietnam, facing the damage left behind, building something good in response, and finding a way to live with dignity after events that still cut deep. This episode is for veterans who have ever felt trapped between what they had to do and who they believed they were. It is also for families, friends, and civilians who want to understand how to stand beside a veteran without turning away from the hard parts. Stay with this one through the stories about immediate healing, community rituals, and the kind of service that helps a man believe he can still be a force for good. Timestamps: 00:13:04 - What moral injury is and why it cuts so deep 00:20:40 - Why troops should be taught that killing hurts 00:25:49 - Healing journeys back to Vietnam and the role of atonement 00:36:34 - Marines don't kill children, and the moment that changed everything 00:47:00 - Why civilians must help take the war out of returning veterans Links & Resources Veteran Suicide & Crisis Line: Dial 988, then press 1 Website: https://www.edwardtick.com/ Follow Edward Tick, PhD on Facebook: https://www.facebook.com/EdwardTickAuthor/ Follow Edward Tick, PhD on Instagram: https://www.instagram.com/mentorthesoul.guide/ Follow Edward Tick, PhD on LinkedIn: https://www.linkedin.com/in/edward-tick-ph-d-59177111/

In 2003, Marine infantryman Ryan Roberts helped recover the remains of 18 comrades killed in the battle of Nasiriyah, many by friendly fire. The next day, his fire team stopped a vehicle at a checkpoint. When he opened the back door, he found two children aged four and six.He had joined the military to protect the innocent. In doing the right thing, he violated that core value. And no one — not in 17 years of VA care and private treatment — ever gave him the language for what that did to him.On this episode of Tango Alpha Lima, Roberts and Dr. Lynette Averill, trauma scientist at Baylor College of Medicine, explain why moral injury is not a variant of PTSD. It's a categorically different wound, rooted not in fear but in the violation of values. And the healthcare system has largely been missing it.Together they discuss what healing actually requires, the promise of emerging psychedelic-assisted therapies, and why peer support and community may be the most critical ingredients the clinical world keeps leaving out.Also on this episode: the new DoD zero visible mold policy, a tribute to military caregivers for Military Caregiver Month, and resources for those supporting veterans at home.Your stories. Your service. Your community. This is Tango Alpha Lima.Learn more about VA Caregiver support resourcesFind an American Legion Service OfficerTask & Purpose: Pentagon issues standards for barracks

Examine the 1872 Skeleton Cave Massacre in Arizona's Salt River Canyon, where U.S. forces under Lt. Col. George Crook attacked Yavapai families sheltering in a cave, resulting in approximately 76 deaths, primarily women and children.
This episode analyzes the event through the lenses of moral injury to soldiers, the dynamics of asymmetrical warfare in rugged terrain, and how dehumanizing perceptions of the “enemy” enabled lethal force against non-combatants.
Essential listening for military historians, ethicists, psychologists, students of American history, and those exploring the psychological and ethical costs of frontier conflict.

Welcome to The Unfinished Circle - a podcast for people living inside questions that don't resolve neatly. This isn't a place for quick answers. It's a place to stay with the questions.  This month we are focusing on RAGING WHILE TIRED - The challenge of staying engaged when we're exhausted from being angry. In this episode we ask: Why does caring about the world sometimes become a form of suffering or feel like it's breaking you? *SAVE THE DATE* Join our Zoom gathering on Monday, Mar 18, 2026 from 7:30-9:00pm ET as we share and process our experiences of raging while tired. More info coming soon.

The Sonography Lounge – Episode 52 Moral Injury in Sonography with Kevin D. Evans, PhD, MA, RDMS, RVS, FSDMS, FAIUMIn this episode of The Sonography Lounge, we welcome Kevin D. Evans, PhD, MA, RDMS, RVS, FSDMS, FAIUM—Professor, Faculty Emeritus, Academy Professor, Director of the Laboratory for Investigatory Imaging, Editor-in-Chief of the Journal of Diagnostic Medical Sonography, and Board Secretary of OSU Total Health & Wellness Community Care, Inc.—for an important conversation on Moral Injury in Ultrasound and the lasting impact COVID-19 had on sonographers and healthcare professionals everywhere.During the pandemic, sonographers faced extraordinary challenges—balancing patient care, personal safety, overwhelming workloads, and the emotional weight of serving on the front lines. Many experienced not only physical exhaustion, but also moral injury: the deep mental and emotional strain that occurs when professional responsibilities, personal values, and healthcare system limitations collide.Dr. Evans shares insight into both the short- and long-term effects these experiences have had on sonographers, from burnout and compassion fatigue to career uncertainty and personal recovery. He also discusses his ongoing advocacy efforts to support sonographers and other healthcare workers by creating resources, encouraging open conversations, and helping professionals rebuild both their careers and their well-being after such an unprecedented time.This episode is a powerful reminder that caring for the caregiver is just as important as caring for the patient. Through awareness, support, and meaningful conversations, healthcare professionals can begin the process of healing and regaining balance in both life and career.If you or someone you know is experiencing emotional distress, burnout, or crisis, help is available 24/7.Text HOME to 741741 to connect with a volunteer Crisis Counselor. Trained counselors provide free, confidential support via text message anytime, day or night.https://www.crisistextline.org/Call or text 988 for free, confidential, 24/7 support for people in distress. The 988 Lifeline also provides prevention and crisis resources for individuals and their loved ones.https://988lifeline.org/Seeking support is a sign of strength, and no one should have to navigate difficult times alone. Emergent Support Resources Crisis Text Line 988 Suicide & Crisis Lifeline__This Episode has been brought to you by Gulfcoast Ultrasound Institute . CME Resources available at www.gcus.com

Drew Flugstad-Clarke never planned to work in brain cancer. She planned to play Division I soccer at Georgetown. She planned to paint. She even tried investment banking, answering emails at 4am in a cubicle that never slept. Then in June 2022 her father, Jim, was diagnosed with glioblastoma at 57. He died 1 day shy of 7 months later, just before his 58th birthday. His symptoms began with emotion, not seizures. A steady HR executive suddenly cried. His golf game slipped. By the time he entered the hospital for a scan, he did not leave without surgery. A subway poster for a 5K became a lifeline. Drew showed up. She found a community. She later joined the American Brain Tumor Association as Community Manager for the Eastern Region. This conversation walks through anticipatory grief, caregiving in real time, strategic numbness, and what it costs to curate hope when the median survival clock is already ticking.RELATED LINKSDrew Clark Flukestad on LinkedInTopor StudiosAmerican Brain Tumor AssociationGeorgetown University Women's SoccerFEEDBACKLike 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.

Military service leaves invisible wounds. In this special series devoted to widening our circle of empathy for people who are often misunderstood, listen to this unflinching episode featuring Benjamin Sledge, a Purple Heart combat veteran and author of Where Cowards Go to Die. Benjamin recounts why 9/11 inspired him to join the U.S. military and how combat in Afghanistan and Iraq changed his life. He also talks about PTSD, the invisible wounds many veterans carry after they come home, and the people who kept him alive, both on and off the battlefield.Together, we explore:The human cost of combat and what it does to one's mind, body, and soulThe long road to recovery from moral injury and PTSDWhat civilians often misunderstand about military vets How empathy can be life-saving for vets carrying invisible woundsThis is a soul-stirring conversation about courage, suffering, healing and resilience that you don't want to miss.00:00 Preview01:00 Introduction 07:12 Benjamin's backstory13:17 Military service as a path to purpose18:03 What is healthy masculinity?24:04 Fighting in Afghanistan's mountains29:53 The “Don't Die Policy:” How soldiers cope with fear30:57 How Benjamin earned his Purple Heart 40:43 The hidden cost of war43:11 “Moral injury” and “soul repair”46:33 How to heal from combat50:22 What civilians get wrong about veterans55:27 Benjamin Sledge's book: Where Cowards Go to Die01:00:08  How veterans find their way out of depression01:03:03  Inside the battle of Ramadi (the Iraq war's most violent city)01:11:26  How brotherhood in war creates lifelong bonds01:18:43  How empathy shows up in the military01:22:10  Reasons why everyone should have a veteran friend01:25:16  Benjamin Sledge's Purposeful Empathy storyCONNECT WITH BENJAMIN✩ LinkedIn https://www.linkedin.com/in/benjamin-sledge/✩ Instagram https://www.instagram.com/benjamincsledge/ ✩ Website https://benjaminsledge.com/CONNECT WITH ANITA✩ Email purposefulempathy@gmail.com ✩ Website https://www.anitanowak.com✩ Buy a copy of Purposeful Empathy http://tiny.cc/PurposefulEmpathyCA✩ LinkedIn https://www.linkedin.com/in/anitanowak/✩ Instagram https://tinyurl.com/anitanowakinstagram✩ Podcast Audio https://tinyurl.com/PurposefulEmpathyPodcast✩ Bluesky https://bsky.app/profile/anitanowak.bsky.socialBENJAMIN'S WORK✩ Where Cowards Go to Die by Benjamin Sledge https://www.amazon.com/Where-Cowards-Die-Benjamin-Sledge/dp/168451164X✩ Rewrite: The Journey from Self-Harm to Healinghttps://www.amazon.com/ReWrite-Journey-Self-Harm-Benjamin-Sledge/dp/0999154508✩ Benjamin's article: Today's Problem with Masculinity Isn't What You Think https://humanparts.medium.com/todays-problem-with-masculinity-isn-t-what-you-think-b43e80edcf60SHOW NOTES✩ Life Together by Dietrich Bonhoefferhttps://tinyurl.com/udytxuzf ✩ The Stand by Stephen Kinghttps://www.amazon.com/Stand-Stephen-King/dp/0307743683Video edited by Jad Misri, Green Horizon Studio

Janine Durso spent 30 years inside pharmaceutical advertising shaping healthcare narratives before becoming a belief strategist and founder of The Believist. In November 2024, during a routine Zoom coaching session, she felt what she called a sharp, terrible pain in the right side of her head. Within hours she was in surgery for a ruptured brain aneurysm. She does not remember the ambulance, the ICU, or the first weeks that followed. She spent 5 weeks in intensive care, then 10 days relearning how to walk, calculate simple change, and manage basic cognition. Doctors later placed a stent and continue monitoring a second unruptured aneurysm.This episode traces the moment she told her husband something broke in my brain, the 14 days doctors called touch and go, and the slow mental rebuild that followed. It also examines insurance barriers that require 2 direct relatives with aneurysms before screening coverage, and why she now lobbies in Washington for change.RELATED LINKSJanine DursoThe BelievistBrain Aneurysm FoundationWhite Plains HospitalDr. Jared CooperFEEDBACKLike 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.

Rebecca Benghiat holds a JD, passed the bar, and skipped corporate law to build mental health systems instead. She now serves as Chief of Staff and Head of Impact at Inner Foundation, where she helps direct capital toward emerging adults ages 18 to 30 and asks a hard question every day: Is this actually working?In this conversation, she dismantles the myth of easy fixes. She explains why mental health measurement resists clean metrics, why a PHQ 9 score starts a conversation but never finishes one, and why “scale” often flatters institutions more than it helps people. She breaks down how impact investing shapes care delivery, why schools need networked systems not slogans, and why friction might be developmentally necessary.The stakes are real. Vulnerable families navigate snake oil, glossy apps, and pay to play algorithms while carrying the burden of choice in crisis. Benghiat lives inside that complexity and refuses to simplify it.RELATED LINKSRebecca BenghiatInner FoundationAspen Ideas HealthThe Jed 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 this episode of Social Work Talks, we discuss Moral Injury and how it manifests in social work with Pari Thibodeau, PhD, LCSW. Pari is a licensed clinical social worker providing therapeutic interventions for adults coping with trauma at the Stress, Trauma, Adversity Research & Treatment Center at the University of Colorado School of Medicine. Pari is also a doctorate-level social work researcher in the space of workforce well-being, with a special focus on the well-being and mental health of behavioral health providers. Pari examines the concept of moral injury as a metric of well-being. Our host for this conversation is NASW Staffer, Josh Klapperick, MSW.   According to the U.S. Department of Veterans Affairs, moral injury occurs "when individuals perpetrate, fail to prevent, or witness acts that violate their own ethical code, often leading to intense guilt, shame, and betrayal."

At age 12, Dr. Chrystal Starbird stood by a pond after turning her mother in to the police. She watched tadpoles and fish move beneath the surface and found a strange kind of order. Science became her refuge long before it became her career. Years later, she built that refuge into a profession. She now serves as an Assistant Professor at the University of North Carolina, studies structural biology tied to cancer and Alzheimer's disease, and won Cell's first Rising Black Scientist Award in 2020. On paper, she fits the model of success. In practice, she had to fight for basic access at every stage.Conference travel required upfront cash she did not have. Networking favored pedigree over merit. Mentorship often depended on who knew your name in the room. Chrystal learned those rules, then chose to break them open for others.Oliver Bogler examines what Chrystal calls the advocacy tax. She has delivered over 70 invited talks. Nearly 40 percent focus on equity, mentorship, and policy. Academic reward systems do not count that labor toward tenure. She still does it.Through her leadership at the Life Science Editors Foundation, Chrystal helped build the JEDI program, which pairs underrepresented scientists with editors from journals like Cell and Nature. The program has supported over 100 awardees with more than 1,000 hours of mentorship. This episode exposes how biomedical science rewards output while ignoring the work required to make the system accessible. It also shows what happens when the people most affected refuse to step back.RELATED LINKSDr. Chrystal StarbirdStarbird LabLife Science Editors FoundationJEDI ProgramFEEDBACKLike 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 19, Jansher Naim went from sharp stomach pain to a Stage 4 fibrolamellar diagnosis that few doctors see and even fewer young adults survive. He pushed through 41 rounds of chemotherapy, a Whipple surgery, and months of isolation while his friends kept moving through normal college life. In the studio, Jansher sits beside his mother Sadia Siddiqui, who refused early defeat and helped overhaul his care team when the first plan offered little optimism. Now a Computer Science student at Columbia, Jansher lives in the uneasy space between remission and risk, managing fertility decisions, travel for ongoing care, and the strange pressure to look fine at 22. Together they describe what it takes to grow up fast inside a system that rarely knows what to do with young adults who refuse to disappear.RELATED LINKSJansher NaimSadia SiddiquiFibroFighters FoundationColumbia 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.

What's the deal with theories of atonement? In this latest Stuff We Didn't Get in Sunday School Episode, Erin and Evan discuss popular atonement theories and answer listener questions about topics like atonement in other religions, what sin has to do with all this, how to talk with kids about these topics, and so much more! We also know that these topics can be tough and confusing, so we've found TV show comparisons for each theory! MENTIONSMore Nerdy Content: What's That Mean 2: Weird Stuff with Animals | Ask-A-Bible Scholar | Heretic Hoedown: Peter AbelardPenal Substitutionary Atonement Theory: PSA Debate from Christianity Today | 10 Problems with PSA | NT Wright on PSA | Ephesians 2:1-10 | 1 Peter 3:18Christus Victor: Learn more hereRansom Theory: Matthew 20:28 | Learn more hereRecapitulation Theory: Romans 5 | 1 Corinthians 15 | Learn more hereMoral Influence: John 15:13 | Romans 5:8 | 1 John 4:9–11 | Learn more here | Heretic Hoedown: Peter AbelardScapegoat Theory: Learn more hereExample Theory: 1 Peter 2:21–23 | Philippians 2:5–8 | John 13:15 | Faustus SocinusSatisfaction Theory: Learn more hereElect and Effective Theory: John 10:11, 15 | John 6:37–39 | Ephesians 1:4–7 | MonergismVicarious Repentance Theory: Learn more here Moral Government Theory: Learn more hereSin Deep Dive: Not The Way It's Supposed to Be by Cornelius Plantiga Jr. | What Are Sin, Iniquity, and Transgression in the Bible? By Shara Drimalla | Bible Project Sin VideosMeredith Anne Miller: Substack | Teaching Kids about Easter | Jackie Hill Perry Needs Some Kids Church Training | How To Talk About Easter with Very Young Kids | 3 Things I Never Include When Telling Kids the Easter StoryEvan's Resources: Simply Jesus by NT Wright | This Article from Marianne Meye Thompson | The Day the Revolution Began by NT Wright | Penal Substitution and Atonement Video | Ask NT Wright Anything Podcast | The Epidemic of Moral Injury by Rita Nakashima Brock Evan's Resources: The Very Good Gospel by Lisa Sharon Harper | The Wood Between the Worlds by Brian Zahnd | The Nature of the Atonement: Four Views | The Cross and the Kaleidoscope by Alex Early and Enoch Wan | The Crucifixion by Fleming Rutledge | The Mosaic of Atonement by Joshua McNall | Five Views on the Extent of the Atonement | Atonement in Christianity by William E. BurnsPalette Cleanser: The Spicy NOs of Easter on Patreon The Faith Adjacent Seminary: Support us on Patreon. I've Got Questions by Erin Moon: Order Here | Guided Journal Subscribe to our Newsletter: The Dish from Faith AdjacentFaith Adjacent Merch: Shop HereShop our Amazon Link: amazon.com/shop/faithadjacentFollow Faith Adjacent on Socials: Instagram See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Need help? Check out these resources: www.firstresponderwellness.co/resources or Dial 988 for immediate help.    126 - The Hidden Injury Behind the Anger with Jeff Casselman What happens when the trauma isn't just emotional — but neurological? In this powerful episode, Conrad Weaver talks with retired police officer and Army veteran Jeff Casselman about the devastating intersection of PTSD, cumulative concussions, and traumatic brain injury. Jeff opens up about blackout rage, memory loss, seizures, personality changes, and the painful impact those injuries had on his career, marriage, and identity. This is an honest conversation about what policing can cost when injuries go unseen, symptoms get misread, and officers keep pushing through. If you serve in law enforcement, lead first responders, support officer wellness, or love someone in the job, this episode is a wake-up call you need to hear. CONNECT WITH JEFF Book: A Survival Guide for Cops with TBI & PTSD: Accountability, Moral Injury, and the Cost at Home Order here: https://a.co/d/0c2d9zqn LinkedIn +++++ FIRST RESPONDER WELLNESS PODCAST Order the PTSD911 Film and Educational Toolkit here: https://ptsd911movie.com/toolkit/ Web site:  https://ptsd911movie.com/ Instagram: https://www.instagram.com/ptsd911movie/ Facebook: https://www.facebook.com/ptsd911movie/ YouTube: https://www.youtube.com/channel/UClQ8jxjxYqHgFQixBK4Bl0Q Listen on Apple Podcasts: https://podcasts.apple.com/us/podcast/first-responder-wellness-podcast/id1535675703 Listen on Spotify: https://open.spotify.com/show/2wW72dLZOKkO1QYUPzL2ih Purchase the PTSD911 film for your public safety agency or organization: https://ptsd911movie.com/toolkit/ The First Responder Wellness Podcast is a production of First Responder Wellness Solutions, LLC Copyright ©2026 First Responder Wellness Solutions, LLC - All rights Reserved.

Jessica Federer built her career inside the rooms where science, money, and power collide. As the first female Chief Digital Officer at Bayer, she helped steer a 120,000 person global company through the rise of digital medicine while confronting a harder truth: women were excluded from U.S. clinical trials until 1993. In this conversation, she explains how decades of “first in man” research shaped drug development, why women experience side effects at nearly 2x the rate of men, and how guidance on sex based differences did not arrive from the FDA until December 2025. She shares what it means to sit on a Yale Institutional Review Board, why clinical trial stipends over $3,000 get taxed, and why she believes participants deserve tax credits instead. From GLP 1 profits to $40,000,000 women's health funds that barely move the needle, this episode names the gaps and the opportunity hiding inside them. RELATED LINKSJessica Federer on LinkedInJessica Federer on InstagramYale School of Public HealthHealth of Women Investor SummitFEEDBACKLike 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.

Guilt can feel uncomfortable and easy to push away, but it is one of those emotions that actually serves an important purpose in our lives.For this episode, Debbie sits down with developmental psychologist Chris Moore, author of The Power of Guilt, to unpack what guilt really is and why it plays such an important role in our lives and relationships. Informed by both research and personal experience, Chris offers a perspective that might completely change how you see this emotion.You'll come away with an understanding of where guilt comes from, how it shows up in everyday life, from childhood to parenting to relationships, and why some people feel it more than others. They also get into topics like apology, forgiveness, and how guilt can actually help us repair and strengthen connections. Listen and Learn: How a single life-altering mistake shaped how Chris understands guilt, responsibility, and forgivenessHow guilt quietly reveals the hidden ways our most important relationships shape what we feel and why we're driven to repair something we might not fully understand yetDoes the guilt you feel over small things like unfinished chores reveal deeper, hidden influences from the relationships that shaped your internal rules and standards?Why feelings like guilt begin much earlier than we assume and later grow into something far more complex and central to relationshipsWhy some people feel guilt far more intensely than others, and how personality, relationships, and even gender differences quietly shape that experience in ways you might not expectWhy feeling like you are never doing enough as a parent might actually come from the very nature of caring for someone vulnerable, and what that reveals about guilt being more automatic than accurateHow guilt can quietly become a tool of control when forgiveness is withheldHow ideas like restorative justice and even collective guilt reshape the way we understand responsibility and emotional repair in societyWhy guilt, though uncomfortable, can actually serve as a powerful internal signal that helps us recognize when a valued relationship may need attention and guide us toward repairing and strengthening itResources:The Power of Guilt: Why We Feel It and Its Surprising Ability to Healhttps://bookshop.org/a/30734/9781637747728Chris' Website: https://www.chrislmoore.comConnect with Chris on Social Media:https://www.facebook.com/mfwguilthttps://www.instagram.com/chrismooreauthorphd/About Chris MooreDr. Chris Moore is a professor of psychology and former dean of science at Dalhousie University in Canada, as well as a former Canada Research Chair at the University of Toronto. He holds a PhD in developmental psychology from the University of Cambridge and an MFA in creative nonfiction from the University of King's College. He has spent his career studying human social understanding and relations, and has published well over 100 research papers, edited 5 books and special issues of academic journals, and authored The Development of Commonsense Psychology (Psychology Press, 2006). He has had numerous invitations to present at academic conferences and universities around the world and has enjoyed many research collaborations in Canada, the United States, Australia, Germany, China, and the UK. Moore's work has been cited in mainstream print publications such as Psychology Today, Today's Parent, and the New York Times. His research has also been featured in a variety of TV documentaries, including The Nature of Things and the Baby Human series on Discovery Health. His new book, The Power of Guilt: Why We Feel It and Its Surprising Ability to Heal, is his first for a general audience. He lives in Nova Scotia with his family.Related episodes: 430. Nonadaptive Guilt and Shame with Carolyn Allard 118. Moral Injury and Shame with Lauren Borges and Jacob Farnsworth 320. Anger and Forgiveness with Robyn Walser 358. How to Keep House While Drowning with KC Davis 341. Self-Forgiveness with Grant Dewar See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Let's get into all our feels about AI.

Monique Gore Massey spent 2.5 years cycling through New York City emergency rooms while her body shut down. Fevers hit 105. Her weight dropped from 122 pounds to 72 in 3 months. Hair fell out in clumps. No one ran an ANA test. Doctors blamed stress, old sports injuries, migraines. When a physician finally named it lupus, she added that she hoped it was not. Months later, Monique heard the words “get your affairs in order.”In this episode, Monique details living with lupus nephritis, pericarditis, fibromyalgia, and the daily math of survival. She recounts arriving at a patient conference shortly after coming off crutches and requesting elevator access for support, only to face resistance at a health summit that claimed to center patients. She breaks down what it costs when industry extracts lived experience for free and calls it engagement. Listeners will hear what invisible illness looks like in real time, how bias delays diagnosis, and why advocacy without strategy leaves patients exploited instead of respected.RELATED LINKSMonique Gore MasseyLupus Foundation of AmericaFEEDBACKLike 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.

Mark and Brian talk about Moral Injury vs PTSI, Peer Support vs Supporting your Peers, Alternative Healing Modalities, some harsh truths and much more!From Brian's LinkedIn:In 2022, I moved back into the Recovery Peer Specialist industry to work with fellow Veterans & Emergency Responders who are struggling with Suicidality, Moral Injury, Trauma, Grief, and Substance Misuse via the concept program Project: REBIRTH; the first national peer support model for Warriors developed exclusively for Recovery Community Organizations.Project: REBIRTH is now the Nation's largest network of Certified Peer Specialists for Veterans & Emergency Responders, and is our country's first Warrior Recovery Community Organization (WARRCO). I led the organization with our core values of integrity and fidelity of service delivery, and was supported through my vast knowledge and experience in multiple Warrior industries and communities.#Healing#Veteran#FirstResponder#PTSD#PeerSupportMERCH: ⁠https://www.wgy6.ca/Operation-Tango-Romeo.html⁠Sponsored by ShopVeteran.ca by Canadian Legacy Project-Support Veteran owned businesses and register your Veteran owned business for free.All opinions expressed by the guest belong to only the guest and are not always reflected by the host.The OTR podcast: The Trauma Recovery Podcast for Veterans, First Responders, and their families.Creator and Host Mark MeinckeSponsored by ⁠ShopVeteran.ca⁠ by Canadian Legacy ProjectProduced by Jessika DupuisSupport a Hero ⁠HERE⁠Recover Out Loud!Book your Guest Appearance ⁠HERE⁠Find the OTR podcast onFacebookInstagramSpotifyYoutube#Healing#Veteran#FirstResponder#PTSD#PeerSupport

Welcome to the Hangar Z Podcast, brought to you by Vertical HeliCASTS, in partnership with Vertical Valor.Today we're joined by a familiar and respected voice in the public safety community, Dr. Tania Glenn. Following her appearances on episodes 176 and 177 of the Hangar Z Podcast, she returns to the show to dive into one of the most critical topics facing our profession: mental wellness.Dr. Glenn brings more than 30 years of experience working with first responders and members of our military, supporting those who operate in high-risk, high-stress environments. She's the author of 10 books, including two for children, and is a sought-after keynote speaker and instructor, presenting across the country on resilience, wellness, and performance. Dr. Glenn has also contributed insightful articles to Vertical Valor, further connecting her work to the aviation and public safety communities.We're excited to have her back to continue this important conversation. For more information about Dr. Glenn and her team, visit TaniaGlenn.com. Be sure to also visit smashingthestigma.com to view her latest documentary, Warriors and Healers.Thank you to our sponsors Robinson Helicopter, SHOTOVER Systems and Wysong Enterprises.

In this episode, we are having a conversation on a powerful concept many child welfare workers feel but don't always have language for: moral injury. We unpack the difference between simple burnout and the deeper, soul-level injury that happens when we know what compassionate, ethical care should look like, yet are forced to operate inside systems that often make that impossible.  We reflect on how this plays out across social work, foster care, and kinship care, where both workers and families can feel powerless, conflicted, and even complicit while trying to do the right thing. This is a heavy but important conversation for those serving in helping professions, and we end by encouraging those carrying these burdens, naming that moral injury is real, and reminding you that ultimate justice and restoration belong to God.  Episode Highlights:  Social Work Appreciation Month  Moral Injury  The Weight of Child Welfare  Soul Care    Find More on Hope Bridge/Links from this Episode: Follow The Christian Social Worker on Instagram Follow Socialworkaholic on Instagram   The Legacy Scholarship from The Christ Foundation  Visit Our Website  Follow us on Instagram Follow us on Facebook Join us for our Annual Benefit Dinner!

Teresa Baglietto has lived through the kind of compounded harm that exposes how thin the safety net really is. In this episode she walks through a life shaped by medical neglect, personal violence, and the exhausting labor of self advocacy. She nearly died after a C section when hospital staff failed to confirm she had urinated before discharge, spending 15 days hospitalized and separated from her newborn while facing the possibility of permanent damage. In 2013 she discovered an aggressive breast cancer and waited weeks for test results and surgery while administrators stalled and passed responsibility. Care only moved forward after she threatened public exposure. Teresa also speaks openly about surviving rape in high school, losing her father to cancer at age 48 when she was 10, and growing up without reliable adults in the room. She explains why it took 7 years to write her book, why she launched a podcast, and how sales grit becomes a survival tool when patients must fight systems designed to delay them. The conversation stays specific, unsentimental, and grounded in consequence.RELATED LINKSTeresa Baglietto on LinkedInThe Ripple Effect by Teresa BagliettoIn Shock PodcastIn Shock Podcast on InstagramCanvas Rebel interview with Teresa BagliettoFEEDBACKLike 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.

Science likes to call itself a meritocracy. Angela Anderson and Brandi Mattson know better. Both served as editors at elite journals (Cell and Neuron), where a single decision could determine who gets tenure, funding, or obscurity. They watched brilliant data get filtered out because the authors did not know the unwritten rules controlled by 5 dominant publishing houses with profit margins higher than Google.In 2020, amid pandemic shutdowns and national reckoning over racial injustice, they co-founded a nonprofit to expose that hidden curriculum. Through the JEDI program, they provide 10 hours of free editorial consulting to scientists who lack access to elite networks. In 1 year alone, 25 awards helped researchers salvage canceled grants, secure NSF career funding, and rebuild careers derailed by rejection.This episode pulls back the curtain on the multibillion dollar publishing engine that profits from taxpayer funded science and reveals who gets heard, who gets sidelined, and how insiders are choosing to redistribute power.RELATED LINKSAngela AndersonBrandy MattsonLife Science EditorsLife Science Editors FoundationCellNeuronNational Science 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.

Joined on this episode by the one and only Jake Ryks, and here is a taste of the talking points we we're planning to cover: the importance of training, inspiring the next generation to care, taking pride in the job, recruitment and retention, when it's time to promote, what it means to truly be a “master firefighter,” department morale, leading by example, and what it means to be “the senior man.”We'll also talk about firehouse culture (hazing vs. just having fun), the importance of caring about the little things, not rushing your career goals, Jake's mental health journey and his experience at the IAFF Center of Excellence, the fire story behind the awards he received in 2024, why the fire service matters so much to him, who should—and shouldn't—be a firefighter, and how to walk the line between safe and “too safe,” and risky vs. “too risky.”Enjoy!!!

Today's episode of Out of Patients welcomes Dr Pamela Buchanan, an emergency room physician with over 20 years inside American medicine who refuses to sugarcoat what the job demands and what it destroys. She worked straight through COVID as protocols changed by the day and deaths arrived faster than anyone could process. She logged 80 to 100 hour weeks. She isolated from her family to avoid bringing the virus home. Over time, survival began to feel negotiable.Dr Buchanan speaks openly about burnout as emotional flatline and about physician suicide as a predictable outcome that leadership prefers to ignore. She describes the ER as the catch all for a broken system and explains why chronic care collapses there by design. She shares the reality of trying to access mental health care while still practicing medicine, calling dozens of therapists, getting nowhere, and spending $10,000 to $15,000 out of pocket just to stay alive and functional.Listeners will hear how neurodivergence shaped her career in emergency medicine, how race and trust intersect inside hospital walls, and why doctors are leaving in waves. This conversation carries clarity, anger, humor, and hard earned truth from someone who stayed long enough to name the damage.RELATED LINKSDr Pamela BuchananStrong MedicineDr Pamela Buchanan on LinkedInDr Pamela Buchanan on InstagramEmotional Flatline articleKevinMD essay by Dr Pamela BuchananFEEDBACKLike 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.

Burnout Recovery in a Failing System – An Interview with Shaina Siber, LCSW Therapists are navigating hiring freezes, wage stagnation, insurance instability, identity-level threats, and mounting systemic uncertainty — all while supporting clients experiencing the same instability. What happens when burnout isn't just about workload, but about working inside a system that feels like it's failing? Curt and Katie talk with Shaina Siber, LCSW, about moral injury, burnout as a fawning trauma response, and how therapists can move from control strategies to agency using Acceptance and Commitment Therapy (ACT) and Compassion-Focused Therapy (CFT). Shaina shares how psychological flexibility, compassionate prioritization, and values-based action can help therapists recover from burnout without abandoning their humanity. In this episode, we discuss: • Burnout as a trauma response • Moral injury in modern mental health care • The “K-shaped” labor market and therapist stagnation • Moving from overcontrol to agency • Sustainable contribution without collapsing Guest Bio: Shaina Siber, LCSW is the founder of Affirm Mental Health, host of The Affirming Minds Podcast, and author of the forthcoming Routledge book Using ACT and CFT for Burnout Recovery: The Beyond Burnout Blueprint (available for pre-order February 25, 2026). She brings over 15 years of clinical and leadership experience and specializes in trauma-informed, LGBTQ+, and culturally responsive care. Full show notes and resources: mtsgpodcast.com Join our community: Facebook Group: https://www.facebook.com/groups/therapyreimagined Linktree: https://linktr.ee/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/

Dr. Barbara Paldus is the Founder and CEO of CODEX Labs, the sponsor of this episode.She grew up around Nobel Prize winners, built biotech manufacturing equipment for vaccines and cancer therapeutics, and then sold her company after an 8 year old threatened suicide.Her son's severe eczema pushed her into an unregulated $100,000,000,000 skincare market where parents are told to trust labels that nobody verifies. She explains how corticosteroid ladders leave patients with years long withdrawal, why U.S. ingredient oversight lags Europe, and how chemotherapy destroys the same skin and gut barriers seen in inflammatory disease.The conversation tracks the real stakes behind “clean” marketing: a child's immune system, hospital infections like MRSA, and patients trying to survive treatment without new damage. She also details the research path from Irish medical manuscripts to microbiome science and why sick populations become the only reliable regulators when policy fails.RELATED LINKSBarbara PaldusCodex LabsSekhmet VenturesDr Peter LioFEEDBACKLike 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 Eugene Manley grew up in Detroit in the 1980s cycling through emergency rooms 20 to 30 times a year with asthma and anaphylaxis while hospital staff talked past his family and buried them in paperwork they could not decode. He responded by earning a BS in mechanical engineering an MS in biomedical engineering and a PhD in molecular biology cell biology and biochemistry. Along the way he tore his ACL training for a jiu jitsu black belt worked 86 straight days in a lab during his doctorate and learned how academic and clinical systems punish people who refuse to shrink.In this episode Manley walks through a recent post surgery ordeal at Mount Sinai Queens where staff falsified records attempted an illegal discharge and nearly sent him home on the wrong blood thinner. He explains how medical racism shows up in charts staffing and decision making and why measurable equity fails without accountability. Listeners hear how his STEMM and Cancer Health Equity Foundation builds pipelines for underrepresented students challenges clinical trial design and teaches patients how to protect themselves when institutions lie. RELATED LINKS• Eugene Manley Jr• STEMM and Cancer Health Equity Foundation• Village Voice• LUNGevity 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.

Jenny Opalinski has spent more than a decade inside hospitals where people lose the ability to speak, breathe, swallow, and sometimes survive. A medical speech language pathologist by training, she worked in ICU, neuro rehab, and long term acute care settings, including a Level 1 trauma center, where she watched clinicians absorb 10 to 15 traumatic events in a single shift and then get told to move the crash cart faster next time.That lived reality pushed her to co found The Wellness Shift, an advocacy and education platform focused on healthcare worker burnout, suicide, and assault. In this conversation, Opalinski walks through the moment that changed everything for her: standing in a hospital hallway listening to a family wail after a failed code, followed by a debrief that addressed logistics and ignored grief entirely.She also explains how that work led to Humanity Rx, her podcast about the human cost of medicine, and Dragon's Breath: Calming Tricks for Big Feelings, a children's book that translates evidence based breathing and regulation strategies into language kids can actually use. The episode covers moral injury, time scarcity, false wellness, respiratory muscle training, and why empathy keeps getting treated as an optional expense instead of clinical infrastructure.RELATED LINKSJenny Opalinski on LinkedInThe Wellness ShiftHumanity RxDragon's Breath: Calming Tricks for Big FeelingsAspire Respiratory ProductsFEEDBACKLike 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.

IVF doesn't just break hearts—it can fracture your sense of self. In this episode, we unpack moral injury in infertility and fertility treatment, and why surviving impossible IVF decisions isn't a personal failure—it's a human response to an overwhelming system.  

Sarah Gromko and Matthew Zachary go back to SUNY Binghamton in the early 1990s, when they were barely 19 and living inside rehearsal rooms. She starred in campus musical theater productions. He served as pianist and music director for many of those shows and played rehearsal piano for the THEA101 repertory company. This episode reunites two former theater nerds who grew up and took very different paths through art, illness, and work that still circles the same truth.Gromko trained as a singer and composer, studied film scoring at Berklee College of Music, worked in New York and New Orleans, then moved into healthcare as a speech language pathologist and recognized vocologist. She explains aphasia, apraxia, dysarthria, and dysphagia with clarity earned from the clinic. She recounts helping a 16 year old gunshot survivor in New Orleans speak again using Melodic Intonation Therapy. The conversation covers voice banking for ALS, gender affirming voice care, and the damage caused when medicine confuses speech loss with intelligence loss. The result feels like an epic reunion powered by 1990s nostalgia and sharpened by decades of lived consequence.RELATED LINKSSarah GromkoGramco VoiceMelodic Intonation 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.

Mike Ritland wraps up the interview with original Delta Force operator Mike Vining. Hear raw accounts of Urgent Fury in Grenada, Desert Storm bunker-busting, prison riot support, hardened target planning (Tahuna, Taji), moral injury, leadership lessons, retirement adventures, and his upcoming memoir Blasting Through. A legendary career summed up in one powerful close. Learn more about your ad choices. Visit podcastchoices.com/adchoices

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