Podcasts about Moral injury

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.

What if burnout isn't just about exhaustion—but something much deeper? In this powerful episode, Julie and Ginger speak with Sheri Kreher, a Licensed Clinical Social Worker and the Trauma, Illness, and Grief (TIG) Coordinator for 24 school districts in New York. Sheri brings two decades of mental health experience and a deep understanding of the emotional toll today's educators are carrying.Together, we explore the growing wave of vicarious trauma, moral injury, and systemic despair among school staff—and why the solution lies beyond individual self-care. Sheri introduces the idea of Active Hope—a framework that acknowledges the pain, honors the grief, and offers a path forward rooted in connection, validation, and systems change.If you've ever found yourself thinking, “What's wrong with me that I can't do this job anymore?”—this episode will help you reframe that question and begin to heal.________________________________________In This Episode, We Explore:• Why burnout in education is often a symptom of deeper, systemic wounds• The role of moral injury and betrayal in driving educator hopelessness• How vicarious trauma shows up—and why it's not a sign of weakness• What it means to practice Active Hope in school systems that feel broken• How administrators can be a protective factor for staff• Why naming, witnessing, and validating pain is essential to healing• What it takes to build school climates of cohesion, care, and courage"What looks like burnout is often unprocessed grief and betrayal. Educators don't just need more resilience—they need to be seen, heard, and believed." — Sheri Kreher________________________________________ Resources:• Active Hope (by Joanna Macy & Chris Johnstone)• Active Hope Book Link: https://a.co/d/6dZ6xbi

Show SummaryOn today's episode, we're featuring a conversation with Dr Ed Tick, internationally recognized educator, author and expert on the military, veterans, PTSD, Viet Nam, and the psychology, spirituality and history of global trauma, warrior traditions, and military-related issues. Provide FeedbackAs a dedicated member of the audience, we would like to hear from you about the show. Please take a few minutes to share your thoughts about the show in this short feedback survey. By doing so, you will be entered to receive a signed copy of one of our host's three books on military and veteran mental health. About Today's GuestEdward Tick, PhD is a nonfiction writer and poet. He is a transformational healer, holistic psychotherapist, educator, consultant and international journey guide. Dr. Tick has been working to heal the invisible wounds of war and violent trauma for over forty years. He is honored for his groundbreaking work in the spiritual, holistic, and community-based healing of veterans and other survivors of severe violence who suffer Post-Traumatic Stress Disorder (PTSD) and moral injury. He has published breakthrough books in this field, including the award-winning War and the Soul. His work introduced the ancient concept of soul wounding and how to heal it to our modern military, veteran and trauma studies worlds. Dr. Tick is an internationally recognized educator, author and expert on the military, veterans, PTSD, Viet Nam, and the psychology, spirituality and history of global trauma, warrior traditions, and military-related issues. For four decades he has conducted trainings, retreats and workshops across the country and overseas. He has trained staff, taught and worked with wounded warriors at major Department of Defense and Veteran Administration facilities and at colleges, universities, hospitals, health care and community centers across the country and overseas. Defense Dept. and VA facilities use his pioneering work and he has served as the US military's subject matter expert trainer on PTSD and Moral Injury for the past decade. Ed cofounded the nonprofit Soldier's Heart, Inc. with his partner Kate Dahlstedt and for 13 years served as its director from their national offices in Troy, New York. He now consults internationally on these issues. Links Mentioned During the EpisodeDr. Tick's Web SiteBooks by Dr. Tick Close Encounters in War Journal  Healing a Soldier's Heart on PBSPsychArmor Resource of the WeekThis week's PsychArmor Resource of the Week is a previous podcast episode on the topic of Moral Injury, episode 188 with Dr. Shira Maguen. In this episode, we discuss the diagnosis and treatment of Moral Injury as well as how the clinical community have come to understand the concept.    You can find the resource here:  https://psycharmor.org/podcast/dr-shira-maguen Episode Partner: Are you an organization that engages with or supports the military affiliated community? Would you like to partner with an engaged and dynamic audience of like-minded professionals? Reach out to Inquire about Partnership Opportunities Contact Us and Join Us on Social Media Email PsychArmorPsychArmor on XPsychArmor on FacebookPsychArmor on YouTubePsychArmor on LinkedInPsychArmor on InstagramTheme MusicOur theme music Don't Kill the Messenger was written and performed by Navy Veteran Jerry Maniscalco, in cooperation with Operation Encore, a non profit committed to supporting singer/songwriter and musicians across the military and Veteran communities.Producer and Host Duane France is a retired Army Noncommissioned Officer, combat veteran, and clinical mental health counselor for service members, veterans, and their families.  You can find more about the work that he is doing at www.veteranmentalhealth.com  

In this episode, Lauren explores what it means for organizations to truly reset after burnout. She shares how leaders and teams can move from short-term fixes to lasting change by addressing root causes, rebuilding trust, and fostering compassion-driven accountability. Through small, consistent practices and reflective leadership, Lauren shows how organizations can build cultures that support well-being, connection, and sustainable growth.Sign up for the University of Pennsylvania Behavior Breakthrough Accredited CourseLearn about the Staff Sustainability System a proven system to reduce burnout at the rootResourcesJim Kwik's WebsiteOther related resources from Five Ives: Blog Post: Why Traditional Employee Wellness Programs Fail (And What Works Instead)Survive Mode: Recognizing When Your Organization is in CrisisWhat are the Five Ives?Podcast:Stage 1: Relieve — Stabilizing in Survival ModeWhy Women in Leadership MicromanageUnderstanding Burnout & Turnover in Trauma Impacted OrganizationsThe Five Ives Hot Seat: Honest Answers for Hard QuestionsThe Regulated Team: Creating Cultures that BreatheNo Off Switch: Why Regulation Belongs in All Your RolesCan't Sleep, Can't Think? Resetting Rhythms That Rule Your DayPart 2: Regulation in the Real WorldPart 1: Regulation in the Real WorldHive- The Last Stage of the Five IvesThrive- The Fourth Stage of the Five IvesStrive- The Third Stage of the Five IvesRevive- The Second Stage of the Five IvesSurvive- The First Stage of the Five IvesOur Online Programs: Behavior BreakthroughPolicing Under PressureBoard Governance TrainingUniversity of Pennsylvania Behavior Breakthrough Accredited CourseSubscribe to our mailing list and find out more about Stress, Trauma, Behavior and the Brain!Check out our Facebook Group – Five Ives!Five Ives Website websiteThe Behavior Hub blogIf you're looking for support as you grow your organization's capacity for caring for staff and the community, we would love to be part of that journey. Schedule a free discovery call and let us be your guideAs an Amazon Associate, I earn from qualifying purchases. 

On 3 September 2025 the docudrama the Voice of Hind Rajab had its world premiere during the 82nd Venice International Film Festival. The movie directed by Kaouther Ben Hania received 24 minutes of standing ovation and won the Grand Jury Prize.For our colleague Nisreen Qawas, MHPSS director for the Palestinian Red Crescent Society, the voice of Hind Rajab was the person at the other end of the emergency call she received on 29th of January 2024 – the day five-year old Hind was killed alongside her family members and the Palestinian Red Crescent Society team that was sent to rescue her.    This was not the first or likely the last time Nisreen was losing colleagues in the line of duty, and not the first or likely the last time she had to deal with the loss and the feeling of responsibility. MHPSS Hub Director, Sarah Harrison interviewed Nisreen about moral injury in the line of duty.   Find more information about the work of Palestine Red Crescent Society: Website: Palestine Red Crescent SocietyLinkedIn: https://www.linkedin.com/in/palestine-red-crescent-society-prcs-2083371b5/Facebook: https://www.facebook.com/PalestineRCS  Find more information about Hind Rajab:   The Voice of Hind Rajab official trailer: https://www.youtube.com/watch?v=Q_RC04CZpAY Hind Under Siege official trailer: https://www.youtube.com/watch?v=loucaVTr85k The Killing of Hind Rajab Forensic Architecture: https://forensic-architecture.org/investigation/the-killing-of-hind-rajab  The podcast Heartbeat of Humanity is mainly for staff and volunteers in the Red Cross Red Crescent Movement, especially staff and volunteers working in mental health and psychosocial support services.Listen to the podcast here or subscribe on Apple Podcast, Spotify, Google Podcast or wherever you find your podcasts. Find more episodes of Heartbeat of Humanity.

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.

Jennifer J. Brown is a scientist, a writer, and a mother who never got the luxury of separating those roles. Her memoir When the Baby Is Not OK: Hopes & Genes is a punch to the gut of polite society and a medical system that expects parents to smile through trauma. She wrote it because she had to. Because the people who gave her the diagnosis didn't give her the truth. Because a Harvard-educated geneticist with two daughters born with PKU still couldn't get a straight answer from the very system she trained in.We sat down in the studio to talk about the unbearable loneliness of rare disease parenting, the disconnect between medical knowledge and human connection, and what it means to weaponize science against silence. She talks about bias in the NICU, the failure of healthcare communication, and why “resilience” is a lazy word. Her daughters are grown now. One's a playwright. One's an artist. And Jennifer is still raising hell.This is a conversation about control, trauma, survival, and rewriting the script when the world hands you someone else's lines.Bring tissues. Then bring receipts.RELATED LINKS• When the Baby Is Not OK (Book)• Jennifer's Website• Jennifer on LinkedInFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship inquiries, visit outofpatients.show.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Healthcare is broken — and everyone feels it. Appointments are rushed. Costs keep rising. Clinicians are burned out. Patients are frustrated. And the system seems to be hurting the very people it's supposed to help. In this episode of The Health Feast, I'm joined by Dr. Todd Otten — a board-certified family doctor and Navy veteran — who nearly left medicine after seeing how deeply the system was failing both his patients and his peers. But instead of walking away, he chose to speak out. Todd co-wrote Ripple of Change with one of his patients and is now producing a powerful new documentary, Suck It Up, Buttercup, to reveal what's really happening inside healthcare — and what needs to change. Whether you're a clinician on the edge of burnout or a patient who's felt dismissed and discouraged, this conversation will help you make sense of your experience — and give you a glimpse of what better could look like. What We Cover: What's actually causing clinician burnout — and why it's not just long hours The hidden trauma of medical training What “moral injury” means — and why it's driving people out of medicine How broken incentives lead to bad outcomes for both patients and doctors Why Dr. Otten nearly left medicine — and what pulled him back The power of solidarity, and why we need collective change What you can do — even if you feel powerless in the system

The atmosphere of the emergency department can be a hard thing to put into words, with intense emotions washing over patients and staff alike. This month we feature a poem, powerfully illustrating the drama and stress inside the ED bubble. One of the recurring sources of uncertainty for patients is the question, “How long until I'm seen, doc?”, and there's a paper following up on that issue with a personalised approach. A framework that has been employed by NHS England, aimed at dealing with the problem, is Same Day Emergency Care (SDEC). The next paper finds there is a limited evidence on the impact of SDECs, as well as confusion around their definition. Another paper on the subject of patient flow shows that while digital solutions are promising, you can't replace a streaming nurse for critical decisions. To finish the episode is a 10-year retrospective review on the use of blood in paediatric trauma, drawing on the data of the Trauma Audit Research Network. Read the highlights: October 2025 primary survey Whose turn is it? Poetry: the art of expression “How long until I am seen, doc?” Modelling paediatric emergency department waiting times to make personalised predictions Impact of same day emergency care services on urgent and emergency care delivery outcomes: a systematic review Blood product use in paediatric trauma: lessons from the TARN data The EMJ podcast is hosted by: Prof. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody) Dr. Sarah Edwards, EMJ Senior Associate Editor and Social Media Editor, Royal Derby Hospital, UK (@drsarahedwards) You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast Apple (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.

In this episode, Dr. Debi sits down with Tim Wienecke, Air Force veteran, licensed clinician, and host of American Masculinity. Tim brings a rare and necessary perspective on the often-overlooked intersection of men, betrayal, and moral injury—a form of trauma that arises when individuals are forced to act against their own values, often within systems they once trusted.  Together, we explore:  What moral injury is and how it differs from (yet intertwines with) betrayal trauma.  How men process betrayal differently from women, often turning to control or isolation instead of vulnerability.  The heavy repercussions of military service, including drone operations, systemic failures, and the lifelong burden of collateral consequences.  The side-by-side bonding style of men and why creating safe, non-confrontational spaces is critical for healing.  The difference between boundaries and control—and why confusing the two can lead to unhealthy, even abusive, dynamics.  How shame operates as a silencer for men and why true healing requires trusted groups who can reflect compassion and accountability.  Practical tools for supporting men through betrayal, including reflective listening, meeting them in their own language (emotional, kinetic, or thought-based), and recognizing control behaviors early.  Tim also shares deeply personal insights from his own service, how he came to understand moral injury in his work with veterans and first responders, and why America's conversation around masculinity needs far more nuance than the oversimplified narratives we often hear.  Whether you're a clinician, a partner, or someone healing from betrayal yourself, this conversation opens up vital new ways of understanding how men carry trauma, how it shows up, and what can truly help them heal.  Learn More About Tim Wienecke  Visit americanmasculinity.com for his counseling services, podcast, and tools designed for men navigating betrayal, moral injury, and masculinity in today's world.  More Resources  The PBT Institute: Break free from the pain of betrayal and find safety, love, and trust again.  For the betrayed – Reclaim: Heal from your betrayal and take your life back.  For the betrayer – Rebuild: Heal yourself and help heal the heart you broke.  Take the Post Betrayal Syndrome Quiz – Post-Betrayal Syndrome Quiz 

This episode of Standard Deviation features Oliver Bogler in conversation with Dr Na Zhao, a cancer biologist caught in the crossfire of science, politics, and survival. Na's life reads like a brutal lab experiment in persistence.She grew up in China, lost her mother and aunt to breast cancer before she turned twelve, then came to the United States to chase science as both an immigrant and a survivor's daughter. She worked two decades to reach the brink of independence as a cancer researcher, only to watch offers and grants vanish in the political chaos of 2025.Oliver brings her story into sharp focus, tracing the impossible climb toward a tenure-track position and the human cost of a system that pulls the ladder up just as people like Na reach for it. This conversation pulls back the curtain on the NIH funding crisis, the toll on early-career scientists, and what happens when personal tragedy fuels professional ambition.Listeners will walk away with a raw sense of how fragile the future of cancer research really is, and why people like Na refuse to stop climbing.RELATED LINKSDr Zhao at Baylor College of MedicineDr Zhao on LinkedInDr Zhao's Science articleIndirect Costs explained by US CongressFEEDBACKLike this episode? Rate and review Out of Patients 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.

Katie Henry has seen some things. From nonprofit bootstraps to Big Pharma boardrooms, she's been inside the machine—and still believes we can fix it. We go deep on her winding road from folding sweaters at J.Crew to launching a vibrator-based advocacy campaign that accidentally changed the sexual health narrative in breast cancer.Katie doesn't pull punches. She's a born problem solver with zero tolerance for pink fluff and performative empathy. We talk survivor semantics, band camp trauma, nonprofit burnout, and why “Didi” is the grandparent alter ego you never saw coming.She's Murphy Brown with a marimba. Veronica Sawyer in pharma. Carla Tortelli with an oncology Rolodex. And she still calls herself a learner.This is one of the most honest, hilarious, and refreshingly real conversations I've had. Period.RELATED LINKS:Katie Henry on LinkedInKatie Henry on ResearchGateLiving Beyond Breast CancerNational Breast Cancer CoalitionFEEDBACK:Like 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.

In this episode, Lauren launches a new series on staff sustainability and explores the hidden costs of burnout and turnover in trauma-impacted organizations. She shares why quick fixes like pizza parties or gift cards fall flat and how deeper systemic change is needed.Through the lens of the nervous system, Lauren reframes burnout as a collective issue rather than an individual failing. She explains how creating cultures of belonging, safety, and regulation can shift organizations from survival toward thriving.Sign up for the University of Pennsylvania Behavior Breakthrough Accredited CourseLearn about the Staff Sustainability System a proven system to reduce burnout at the rootOther related resources from Five Ives: Blog Post: Why Traditional Employee Wellness Programs Fail (And What Works Instead)Survive Mode: Recognizing When Your Organization is in CrisisWhat are the Five Ives?Podcast:The Five Ives Hot Seat: Honest Answers for Hard QuestionsThe Regulated Team: Creating Cultures that BreatheNo Off Switch: Why Regulation Belongs in All Your Roles"Why Wasn't I Good Enough?": Walking Away From What Wasn't Meant For YouCan't Sleep, Can't Think? Resetting Rhythms That Rule Your DayTaming Transitions: Tiny Rituals That Calm Big ShiftsSpaces that RegulatePart 2: Regulation in the Real WorldPart 1: Regulation in the Real WorldHive- The Last Stage of the Five IvesThrive- The Fourth Stage of the Five IvesStrive- The Third Stage of the Five IvesRevive- The Second Stage of the Five IvesSurvive- The First Stage of the Five IvesOur Online Programs: Behavior BreakthroughPolicing Under PressureBoard Governance TrainingUniversity of Pennsylvania Behavior Breakthrough Accredited CourseSubscribe to our mailing list and find out more about Stress, Trauma, Behavior and the Brain!Check out our Facebook Group – Five Ives!Five Ives Website websiteThe Behavior Hub blogIf you're looking for support as you grow your organization's capacity for caring for staff and the community, we would love to be part of that journey. Schedule a free discovery call and let us be your guideAs an Amazon Associate, I earn from qualifying purchases. 

The message was delivered on Sunday, September 28, 2025, at All Souls Unitarian Church in Tulsa, Oklahoma, by Rev. Randy Lewis, Assistant Minister. DESCRIPTION: What if your vision could reshape the world around you? In a landscape where justice often feels far away and truth is obscured, imagine the power of collective hope and unwavering determination. Picture a future where dignity prevails, and every voice matters—where the stories of those who came before us inspire us to act. Can you see it? This is a call to recognize the strength within our shared struggle and to envision a reality that transcends current limitations. As we navigate the challenges ahead, we must ask ourselves: What legacy will we leave for future generations? SUBSCRIBE TO AUDIO PODCAST: WATCH THIS MESSAGE ON YOUTUBE: GIVE A DONATION TO HELP US SPREAD THIS LOVE BEYOND BELIEF: or text AllSoulsTulsa to 73256 LET'S CONNECT: Facebook: Instagram: All Souls Church Website:

The Hidden Lightness with Jimmy Hinton – Gaslighting is rampant, Ashley explains. When nurses speak up about dangerous situations or unethical care, they're often dismissed, silenced, or retaliated against. Meanwhile, patients and families who experience mismanagement or neglect are left confused and powerless. These are not abstract problems—they're deeply human ones, leaving lasting scars on...

We don't just suffer from physical and psychological injuries – we also suffer from moral injuries. Often this is because we stood by while awful events were taking place. The effects of moral injury were terrible for the generation who were forced into the Vietnam War and returned to find that they were reviled rather than admired, and for those of us who feel powerless to change the circumstances we find ourselves in today, the sense of moral injury is similar.Here is the study Steve mentionsAnd his article in Psychiatric Times

*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/

In this episode of Tap'd Talks HR, Anthony speaks with Dr. Natalie Isaia, Clinical Psychologist and Founder of Empresa Psychology, about a hidden but powerful challenge in the HR profession: moral injury. They explore what moral injury is, why HR professionals are particularly vulnerable, and how it differs from burnout. Natalie shares practical tools, from naming emotions to practicing “moral repair” and self-compassion, that can help HR leaders protect their own wellbeing while supporting their organisations. If you've ever felt torn between business needs and people-first values, this conversation will give you language, insights, and strategies to better navigate those conflicts. You can visit Natalie's website at: https://empresapsychology.co.uk/

Scott interviews Dr. Anas Ahmed about his experience working in one of the only hospitals left in Gaza.   Discussed on the show: “'I Saw the Bodies of Children': Moral Injury and Mental Strain Breaking IDF Soldiers” (Haaretz) The Hundred Years' War on Palestine by Rashid Khalidi Dr. Anas Ahmed is a physician practicing in Ohio. In early 2025, he joined up with the Palestinian American Medical Association and traveled into Gaza to work in a hospital. For more on Scott's work: Check out The Libertarian Institute: https://www.libertarianinstitute.org Check out Scott's other show, Provoked, with Darryl Cooper https://youtube.com/@Provoked_Show Read Scott's books: Provoked: How Washington Started the New Cold War with Russia and the Catastrophe in Ukraine https://amzn.to/47jMtg7 (The audiobook of Provoked is being published in sections at https://scotthortonshow.com) Enough Already: Time to End the War on Terrorism: https://amzn.to/3tgMCdw Fool's Errand: Time to End the War in Afghanistan https://amzn.to/3HRufs0 Follow Scott on X @scotthortonshow And check out Scott's full interview archives: https://scotthorton.org/all-interviews This episode of the Scott Horton Show is sponsored by: Roberts and Roberts Brokerage Incorporated https://rrbi.co Moon Does Artisan Coffee https://scotthorton.org/coffee; Tom Woods' Liberty Classroom https://www.libertyclassroom.com/dap/a/?a=1616 and Dissident Media https://dissidentmedia.com You can also support Scott's work by making a one-time or recurring donation at https://scotthorton.org/donate/ https://scotthortonshow.com or https://patreon.com/scotthortonshow Learn more about your ad choices. Visit megaphone.fm/adchoices

 Download Episode. Scott interviews Dr. Anas Ahmed about his experience working in one of the only hospitals left in Gaza.   Discussed on the show: “'I Saw the Bodies of Children': Moral Injury and Mental Strain Breaking IDF Soldiers” (Haaretz) The Hundred Years' War on Palestine by Rashid Khalidi Dr. Anas Ahmed is a physician […]

Sophie Sargent walked into the studio already owning the mic. A pandemic-era media rebel raised in New Hampshire, trained in Homeland Security (yep), and shaped by rejection, she's built a career out of DM'ing her way into rooms and then owning them. At 25, she's juggling chronic illness, chronic overachievement, and a generation that gets dismissed before it even speaks.We talk Lyme disease, Lyme denial, and the healthcare gaslighting that comes when you “look fine” but your body says otherwise. We dive into rejection as a career accelerant, mental health as content porn, and what it means to chase purpose without sacrificing identity. Sophie's a former morning radio host, country music interviewer, and Boston-based creator with a real voice—and she uses it.No fake podcast voice. No daddy-daughter moment. Just two loudmouths from different planets figuring out what it means to be seen, believed, and taken seriously in a system designed to do the opposite.Spoiler: She's smarter than I was at 25. And she'll probably be your boss someday.RELATED LINKSSophie on InstagramSophie on YouTubeSophie on LinkedInMedium article: “Redefining Rejection”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 you hand a mic to the most extroverted, uncensored Gen Z career coach in New York? You get Olivia Battinelli—adjunct professor, student advisor, mentor, speaker, and unfiltered truth-teller on everything from invisible illness to resume crimes.We talked about growing up Jewish-Italian in Westchester, surviving the Big Four's corporate Kool-Aid, and quitting a job after 7 months because the shower goals weren't working out. She runs NYU Steinhardt's internship program by day, roasts Takis and “rate my professor” trolls by night, and somehow makes room for maple syrup takes, career coaching, and a boyfriend named Dom who sounds like a supporting character from The Sopranos.She teaches kids how to talk to humans. She's allergic to BS. And she might be the most Alexis Rose-meets-Maeve Wiley-mashup ever dropped into your feed. Welcome to her first podcast interview. It's pure gold.RELATED LINKS:Olivia Battinelli on LinkedInOlivia's Liv It Up Coaching WebsiteOlivia on InstagramNYU Steinhardt Faculty PageFEEDBACK:Like 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.

This episode is sponsored by Invivyd, Inc.Marc Elia is a biotech investor, the Chairman of the Board at Invivyd, and a Long COVID patient who decided to challenge the system while still stuck inside it. He's not here for corporate platitudes, regulatory shoulder shrugs, or vaccine-era gaslighting. This is not a conversation about politics, but it's about power and choice and the right to receive care and treatment no matter your condition.In this episode, we cover everything from broken clinical pathways to meme coins and the eternal shame of being old enough to remember Eastern Airlines. Marc talks about what it means to build tools instead of just complaining, what Long COVID has done to his body and his patience, and why the illusion of “choice” in healthcare is a luxury most patients don't have.This conversation doesn't ask for empathy. It demands it.RELATED LINKSMarc Elia on LinkedInInvivyd Company SiteMarc's Bio at InvivydFEEDBACKLike this episode? Rate and review Out of Patients 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.

Healthcare workers give their all, but too often, the system gives little back when it comes to protecting their mental health. In this Hope Illuminated episode, I sit down with Corey Feist, Co-Founder & CEO of the Dr. Lorna Breen Heroes' Foundation, to talk about moral injury, systemic solutions, and the strategies that actually work.Together, we unpack how confidential peer support, equal privacy protections in mental health care, and humane re-entry pathways can restore dignity and safety to those who care for us. Corey's work has helped drive landmark federal legislation, shift national culture, and spark movements that reach over 1.5 million healthcare workers.This episode isn't just for healthcare leaders. If you care about building psychologically safe workplaces —in medicine or beyond — you'll walk away with actionable strategies for protecting wellbeing, reducing stigma, and honoring the humanity of workers everywhere. For more information on this episode go to https://www.sallyspencerthomas.com/hope-illuminated-podcast/153

After years of carrying the weight of lead, Shannon and Cooper find a path out from under the darkness and into the sunlight.LEAD: how this story ends is up to us is an audio docudrama series that tells the true story of one child, his mysterious lead poisoning, and his mother's unwavering fight to keep him safe. A true story written by Shannon Burkett. Directed by Alan Taylor. Starring Merritt Wever, Alessandro Nivola, Cynthia Nixon, and Cooper Burkett.Lead was produced by Shannon Burkett. Co-produced by Jenny Maguire. Featuring Amy Acker, Tom Butler, Dennis T. Carnegie, James Carpinello, Geneva Carr, Dann Fink, Alice Kris, Adriane Lenox, Katie O'Sullivan, Greg Pirenti, Armando Riesco, Shirley Rumierk, Thom Sesma, and Lana Young. Music by Peter Salett. “Joy In Resistance” written by Abena Koomson-Davis and performed by Resistance Revival Chorus. Casting by Alaine Alldaffer and Lisa Donadio. Sound Design by Andy Kris. Recording Engineer Krissopher Chevannes.For corresponding visuals and more information on how to protect children from lead exposure please go to https://endleadpoisoning.org.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What does it take to lead emergency medicine through unprecedented challenges like workforce shortages and systemic burnout?In this Heartline Echo Episode, Dr. Andrea Austin sits down with Dr. Gillian Schmitz to explore her career trajectory, from civilian roles in military medicine to becoming ACEP's past president. Gillian reflects on her path, inspired by her father's military service, and how she balanced family life with a demanding career. They discuss the hidden opportunities in government jobs like those at the VA or Uniformed Services University, the resilience of EM physicians, and the impact of events like the FM talk that reshaped her focus on advocacy.You'll hear how they:Navigate civilian careers in military and VA settings, highlighting opportunities for academic and clinical rolesAddress burnout and moral injury in EM, emphasizing resilience, teamwork, and the need for systemic supportExplore leadership in organized medicine, from grassroots involvement to national policy influenceDiscuss evolving reimbursement models, like the shift to thought-process-based documentation for better compensationIf you're an EM physician facing burnout or seeking ways to amplify your voice in healthcare policy, this episode offers inspiration, practical advice, and a call to action for involvement in organized medicine.About the Guests“Emergency physicians are resilient—we adapt to challenging situations with little information and make the best of it.” – Dr. Gillian SchmitzDr. Gillian Schmitz is a professor at the Uniformed Services University and an emergency physician at Brooke Army Medical Center in San Antonio, Texas. As the  past president and a member of the Board of Directors of the American College of Emergency Physicians (ACEP), she has been a leading voice in addressing workforce challenges, burnout, and policy reform in emergency medicine. A civilian working in military medicine, Gillian's career blends clinical practice, academic teaching, and advocacy, inspired by her commitment to serving those who serve the country. Her work focuses on fostering resilience, improving team dynamics, and advocating for systemic changes to support emergency physicians.

Family physician Jonathan Bushman discusses his article, "The hidden moral injury behind value-based health care." He shares the story of a young physician who was told to remove her most complex patients from her panel to protect the health system's performance metrics. Jonathan uses this powerful example to explain moral injury: a deep, ethical wound that is fundamentally different from burnout. The conversation exposes how value-based payment models, even in not-for-profit systems, can incentivize data manipulation and force doctors to choose between their patients' well-being and their employer's bottom line. He argues that this crisis of integrity is a primary reason many physicians are leaving employed positions for independent models like direct primary care (DPC), where they can answer directly to their patients instead of a spreadsheet. His core message is an urgent call to confront the reality that when "value" becomes code for "profitable," the entire system's moral compass is at risk. Careers by KevinMD is your gateway to health care success. We connect you with real-time, exclusive resources like job boards, news updates, and salary insights, all tailored for health care professionals. With expertise in uniting top talent and leading employers across the nation's largest health care hiring network, we're your partner in shaping health care's future. Fulfill your health care journey at KevinMD.com/careers. VISIT SPONSOR → https://kevinmd.com/careers Discovering disability insurance? Pattern understands your concerns. Over 20,000 doctors trust us for straightforward, affordable coverage. We handle everything from quotes to paperwork. Say goodbye to insurance stress – visit Pattern today at KevinMD.com/pattern. VISIT SPONSOR → https://kevinmd.com/pattern SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

The deficits from the lead poisoning continue to intensify, Shannon channels her anger and grief into holding the people who hurt her son responsible.LEAD how this story ends is up to us is a true story written and produced by Shannon Burkett. Co-produced by Jenny Maguire. Directed by Alan Taylor. Starring Merritt Wever, Alessandro Nivola, Cynthia Nixon, and Cooper Burkett.EP4 features Eboni Booth, Sasha Eden, Kevin Kane, April Matthis, Alysia Reiner, and Mandy Siegfried. Casting by Alaine Alldaffer and Lisa Donadio. Music by Peter Salett. Sound Design by Andy Kris. Recording Engineer Krissopher Chevannes.For corresponding visuals and more information on how to protect children from lead exposure please go to https://endleadpoisoning.org.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Like Pepsi in 1984, coffee is the "Choice of a New Generation"... but maybe not in the same way as we of older generations are comfortable with. The ways digital natives are consuming coffee today may be unique, but as with all coffee consumers before and after, they are seeking the identity, belonging, utility, and promises associated with coffee and the community it has always facilitated.  The question we need to ask is how do we in the world f coffee shops acknowledge, welcome, include, adn understand these very important consumers? To help us explore this we are chatting with friend of the show and deep thinker extraordinaire, Kosta Kallivrousis!  Kosta Kallivrousis has spent over 14 years working across the specialty-coffee supply chain. His unique combination of experience as a barista, licensed Q grader, and in strategic sales at both roasted and green coffee companies has given him a 360°-view of the specialty-coffee world. Kosta is passionate about building equitable sourcing relationships between coffee producers and buyers, challenging industry norms around taste and value, and advocating for greater connection and community in the coffee industry.   Links:  KOSTA ON INSTAGRAM:  https://www.instagram.com/espresso_patronus/   Other Links: The barista mag piece Kosta wrote about cafe raves The death of a millennial brand with Euguene Healey Postmillennials desire era's and not fixed identities by Eugene Healey How Gen Z expects brands to interact with them by Ogilvy.    Related episodes:  321 : Marketing and Moral Injury w/ Josh Tarlo of Kiss the Hippo 393 : The Tyranny of Taste w/ Kosta Kallivrousis SHIFT BREAK: Quality Still Matters Some Tips on Signature Drinks Menu Simplicity as Hospitality 274 : Crafting Specialty Drinks in your Shop w/ Matt Foster” 548: Cool Ideas For Customer Engagement    Insights into the specialty coffee industry and its challenges. KEY HOLDER COACHING GROUPS!  Are you a coffee shop owner looking to join a community of other owners to help bring perspective, insight, encouragement, and accountability in a well curated setting?  Then you need to apply to join Key holder Coaching Groups!  Applications are now open for fall 2025 Cohort: Click below to learn more: APPLY TO KEY HOLDER COACHING GROUPS   KEYS TO THE SHOP ALSO OFFERS 1:1 CONSULTING AND COACHING! If you are a cafe owner and want to work one on one with me to bring your shop to its next level and help bring you joy and freedom in the process then email  chris@keystothshop.com of book a free call now:  https://calendly.com/chrisdeferio/30min      SPONSORS Want a beautiful coffee shop? All your hard surface, stone, Tile and brick needs!  www.arto.com Visit @artobrick The world loves plant based beverages and baristas love the Barista Series!  www.pacificfoodservice.com    

THE GOOD DEATH VIRTUAL BOOK TOUR: Suzanne B. O'Brien RN in Conversation with Jennifer A. O'Brien. Discover the powerful journey of caregiving with Jennifer, a seasoned healthcare administrator with nearly 40 years of experience, whose personal losses and the tender care of her late husband, a hospice doctor battling cancer, shaped her profound perspective on end-of-life care. In this heartfelt conversation, Jennifer shares the wisdom behind her books The Hospice Doctor's Widow and Care Boss, offering invaluable insights into the true meaning of presence during life's most precious moments. Together, we explore the misunderstood nuances of hospice and palliative care, the importance of advanced care planning, and the moral challenges faced by healthcare professionals. This episode invites us to reframe death not as an adversary but as a natural part of life, empowering caregivers and families to lead with compassion, clarity, and courage in the face of life's final chapter.   (00:02) Navigating the End-of-Life Care Journey (13:01) Clarifying Hospice and Palliative Care (27:41) Exploring Advanced Care Planning Options (32:10) Empowering Caregivers Through Leadership and Vision    Register to join us for FREE: THE GOOD DEATH BOOK CLUB EXPERIENCE: 12 MONTH FREE DEATH AND DYING COURSE  Or visit our website here!  GET THE GOOD DEATH BOOK Here     Meet our guest: Jennifer A. O'Brien Interim Healthcare CEO, Author Website: www.jenniferaobrien.com LinkedIn: Jennifer O'Brien Facebook Group: Hospice Doctor's Widow - Jennifer A. O'Brien, MSOD Instagram: @hospicedoctorswidow    Please Share! Know someone who is a caregiver, healthcare worker, or spiritual seeker? Share this episode and invite them to join this sacred and supportive experience.    Listen & Subscribe: Available on Apple Podcasts • Spotify • Google Podcasts • YouTube       JOIN MY FREE TRAINING AND MEMBERSHIP SITE   This is a community-supported group hosted by Suzanne B. O'Brien RN, founder of the International Doulagivers Institute for training those who want to be professional End of Life Doulas, Doulagiver Practitioners and for anyone wanting more EOL education Join Here: 4491664174178077   ⚑ SUBSCRIBE TO MY CHANNEL ⚑ If you want to do great things you need to have a great environment. Create the life you want by surrounding yourself with positivity and watching daily.  Click here to subscribe!   ツ  CONNECT WITH ME  ツ Leave a comment on this video and it'll get a response. Or you can connect with me on different social platforms too: Instagram Facebook TikTok Website Podcast     #deathdoula #deathdoultraining #dyingwell #death #life #deatheducation #doulagivers #hospice #hospicecare #hospicenurse #deathdoula #soulmidwife #deathmidwife #endoflifeplanning #healthcareproxy #funerals #fearofdeath #endoflifedoula #thegooddeath #hospice #grief #deathawareness #birth #endoflife #deathpositivity #consciousdying #dying #advanceplanning #deathpositive #gooddeath #consciousliving #endoflifedirective #palliativecare #advancedirective #livefully #suzannebobrien. #lifecafe #consciousness #awarenes

For years, traditional therapies have fallen short for veterans battling the invisible wounds of war: PTSD, depression, and anxiety. Now, there's a new path forward. Join us on this episode of the DAV Podcast as we dive into the groundbreaking world of psychedelic-assisted therapy. From this year's National Convention, Matt Saintsing hosts a panel exploring this innovative shift in mental healthcare. At DAV, we're not just supporting this research—we're actively advocating for it to bring hope and healing to those who have given so much.

What happens when the demands of academic emergency medicine collide with personal health and family priorities? In this Heartline Echo Episode, Dr. Andrea Austin speaks with Dr. Shannon McNamara about her transition from simulation director and ED physician to urgent care provider amid burnout, moral injury, and the pandemic.Shannon recounts her nomadic upbringing, love for emergency medicine's complexity, and challenges in dysfunctional systems—including chronic illness, night shifts, and institutional politics. She discusses stepping away from academics, embracing urgent care for autonomy and balance, and applying simulation principles like huddles and debriefs to real-world teams. The conversation explores dehumanizing healthcare conditions, the need for career mobility in EM, and redefining emergency medicine as a mindset, not a location.You'll hear how they:Address moral injury from boarding, resource shortages, and systemic inequitiesUse complexity science to foster team communication and adaptability in high-pressure environmentsAdvocate for off-ramps in EM careers, from telemedicine to specialized outpatient practicesInspire hope through personal routines, boundaries, and upstream solutions for patient care.If you're grappling with burnout or envisioning new paths in medicine, this episode provides honest insights and practical strategies for change.About the Guests“Emergency medicine is a mindset, not a place.” – Dr. Shannon McNamaraDr. Shannon McNamara is an emergency medicine physician, simulation educator, and writer with experience in academic centers across Philadelphia and New York. After facing burnout and long COVID, she transitioned to urgent care while maintaining her passion for humanizing healthcare through complexity principles and team dynamics. She runs the Plus Delta newsletter and speaks on resilience, career transitions, and innovative medical education.

The effects of the neurotoxin are taking their toll on Cooper as Shannon desperately tries to navigate the severity of their new reality.LEAD how this story ends is up to us is a true story written and produced by Shannon Burkett. Co-produced by Jenny Maguire. Directed by Alan Taylor. Starring Merritt Wever, Alessandro Nivola, Cynthia Nixon, and Cooper Burkett.E43 features Jenny Maguire, JD Mollison, Laith Nakli, Deirdre O'Connell, Carolyn Baeumler, Zach Shaffer, and Monique Woodley. Casting by Alaine Alldaffer and Lisa Donadio. Music by Peter Salett. Sound Design by Andy Kris. Recording Engineer Krissopher Chevannes.For corresponding visuals and more information on how to protect children from lead exposure please go to https://endleadpoisoning.org.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

As the lead wreaks havoc on Cooper's development, Shannon searches for answers. Desperate to get a handle on what was happening to her son, she grabs onto a lifeboat - nursing school. Andy tries to piece together the past to make sense of the present.LEAD how this story ends is up to us is a true story written and produced by Shannon Burkett. Co-produced by Jenny Maguire. Directed by Alan Taylor. Starring Merritt Wever, Alessandro Nivola, Cynthia Nixon, and Cooper BurkettEP2 features Keith Nobbs and Frank Wood. Music by Peter Salett. Sound Design by Andy Kris. Recording Engineer Krissopher Chevannes. Casting by Alaine Alldaffer and Lisa Donadio.For corresponding visuals and more information on how to protect children from lead exposure please go to https://endleadpoisoning.org.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Disclaimer: This episode discusses sensitive and potentially distressing topics, including domestic violence, rape, suicide and death. Listener discretion is advised.After nearly 200 forensic exams and 16 years in nursing, Leah Helmbrecht opens up about the emotional toll of working with survivors of sexual assault, domestic violence, and human trafficking. In this raw and powerful episode, Leah shares the moments that shaped her career—and the one that led her to walk away from forensic nursing. She talks about the weight of vicarious trauma, the importance of setting personal boundaries, and why self-care isn't optional in a system that too often fails both patients and providers. Though she stepped away from the role, Leah continues to advocate fiercely for survivor support and systemic change.If you or someone you know is at risk of suicide please call the 988 Suicide & Crisis Lifeline at 988, text TALK to 988, or go to SpeakingOfSuicide.com/resources for additional resources. If you or someone you know is in a domestic violence relationship, please reach out to the National Domestic Violence Hotline at 1-800-799-7233 or text the word START to 88788. >>When Caring Turns to Trauma: A Forensic Nurse's Breaking PointJump Ahead to Listen:[00:01:06] Vicarious trauma in nursing.[00:07:45] Forensic nurse examiner experience.[00:12:45] Systematic betrayal of assault victims.[00:15:29] Vicarious trauma in healthcare workers.[00:20:49] Self-compassion in challenging times.[00:25:15] Red flags in relationships.[00:27:48] Love in abusive relationships.Connect With Leah on social media:Instagram: @offtheclocknurseTikTok: @offtheclocknurseFB: Off The Clock Nurse TravelsFor more information, full transcript and videos visit Nurse.org/podcastJoin our newsletter at nurse.org/joinInstagram: @nurse_orgTikTok: @nurse.orgFacebook: @nurse.orgYouTube: Nurse.org

A mysterious dust fills a young family's apartment. The truth begins to unravel when the mother gets a call from the pediatrician - the monster deep within the walls has been unleashed. LEAD how this story ends is up to us is a true story written and produced by Shannon Burkett. Co-produced by Jenny Maguire. Directed by Alan Taylor. Starring Merritt Wever, Alessandro Nivola, Cynthia Nixon, and Cooper Burkett. EP1 features Zak Orth, Jenny Maguire, Daphne Gaines, and Micheal Gaston. Music by Peter Salett. Sound Design by Andy Kris. Recording Engineer Krissopher Chevannes. Casting by Alaine Alldaffer and Lisa Donadio.For corresponding visuals and more information on how to protect children from lead exposure please go to https://endleadpoisoning.org.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Marc LiVecche, McDonald Distinguished Scholar of Ethics, War, and Public Life at Providence and author of The Good Kill: Just War and Moral Injury, joins the show to discuss Just War Theory and whether the atomic bombings of Hiroshima and Nagasaki fit in that framework.  ▪️ Times     •      01:23 Introduction     •      01:30 Misspent youth     •      07:51 Moral injury        •      13:27 Conflicting views     •      19:15 Richard Frank            •      28:53 Right not moral          •      39:12 Not the same     •      40:36 Gifts from heaven Follow along on Instagram, X @schoolofwarpod, and YouTube @SchoolofWarPodcast Find a transcript of today's episode on our School of War Substack

THIS WEEK ON CODE WACK! Most of us know that our profit-driven healthcare system results in moral injury. How is moral harming physicians? And how is it harming patients? Dr. Diljeet Singh is an integrative gynecologic oncologist and the president of Physicians for a National Health Program. She's leading a powerful new project with the Robert Wood Johnson Foundation to find out. By gathering stories from doctors and patients across the country, her team is uncovering how corporate control and financial pressures are fueling moral injury in medicine—and what it will take to make things right. From physicians losing autonomy to entire communities losing access to care, the stakes are real—and deeply personal. This is the second episode in a two-part series. Check out the Transcript and Show Notes for more! And please keep Code WACK! on the air with a tax-deductible donation.

Lexi Silver is 15 years old. She lost both of her parents before she turned 11. That should tell you enough—but it doesn't. Because Lexi isn't here for your pity. She's not a sob story. She's not a trauma statistic. She's a writer, an advocate, and one of the most emotionally intelligent people you'll ever hear speak into a microphone.In this episode, Lexi breaks down what grief actually feels like when you're a kid and the adults around you just don't get it. She talks about losing her mom on Christmas morning, her dad nine months later, how the system let her down, and how Instagram trolls tell her she's faking it for attention. She also explains why she writes, what Experience Camps gave her, how she channels anger into poems, and what to say—and not say—to someone grieving.Her life isn't a Netflix drama. But it should be.And by the way, she's not “so strong.” She's just human. You'll never forget this conversation.RELATED LINKS• Lexi on Instagram: @meet.my.grief• Buy her book: The Girl Behind Grief's Shadow• Experience CampsFEEDBACKLike this episode? Rate and review Out of Patients 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.

THIS WEEK ON CODE WACK! Most of us know that our profit-driven healthcare system results in moral injury. How is moral harming physicians? And how is it harming patients?  Dr. Diljeet Singh is an integrative gynecologic oncologist and the president of Physicians for a National Health Program. She's leading a powerful new project with the Robert Wood Johnson Foundation to find out. By gathering stories from doctors and patients across the country, her team is uncovering how corporate control and financial pressures are fueling moral injury in medicine—and what it will take to make things right. From physicians losing autonomy to entire communities losing access to care, the stakes are real—and deeply personal. This is the second episode in a two-part series. Check out the Transcript and Show Notes for more! And please keep Code WACK! on the air with a tax-deductible donation.

What happens when doctors feel forced to act against their own moral compass? When financial barriers—not clinical judgment—determine the care a patient receives? We're talking about moral injury in medicine—how it's affecting physicians, harming patients, and why it's getting worse under our profit-driven healthcare system. Joining us is Dr. Diljeet Singh, an integrative gynecologic oncologist and president of Physicians for a National Health Program. She shares powerful stories from her own practice—and from the front lines of American healthcare—that reveal a deeper crisis than just burnout. This is the first episode in a two-part series. Check out the Transcript and Show Notes for more! And please keep Code WACK! on the air with a tax-deductible donation.

    Army Chaplain Major Paul Belcher joins us to share his groundbreaking insights into the intersection of trauma and spirituality within military contexts. Through his unique journey and experiences, Major Belcher developed the Traumatic Impact Spiritual Assessment Tool, a much-needed approach to help service members navigate the spiritual repercussions of trauma. His tool aims to bridge the gaps left by existing methods and emphasizes the significance of spirituality beyond organized religion, offering a fresh perspective on maintaining combat readiness and preventing further harm.      We explore the metaphorical rebar and heartwood as symbols of the spiritual and emotional strength that service members need to endure life's challenges. Chaplain Belcher sheds light on the critical role of spiritual foundations, especially for those from disadvantaged backgrounds, and how they contribute to personal and unit resilience. He shares practical advice for military commanders and medical professionals on preparing themselves and their units for the uncertainties of military life. Through personal stories and experiences, we uncover how maintaining one's core beliefs and unique identity can fortify resilience amid adversity.      Our conversation also addresses the profound impact of personal values like compassion, particularly in medical crises where chaplains play an essential role. Chaplain Belcher illustrates the importance of a multidisciplinary approach, integrating spiritual care with medical intervention, to offer holistic support to those in need. His firsthand experiences highlight the invaluable role chaplains play, from supporting families in high-stress situations to helping individuals rediscover hope and purpose. Tune in to learn about the necessity of spiritual care in fostering resilience and the collaborative efforts required to support service members holistically.   Chapters: (00:04) Impact of Trauma on Military Spirituality (16:55) Exploring Trauma and Spirituality in Military (26:59) Strength Through Spiritual Foundations (31:29) Strengthening the Core for Resilience (35:29) Navigating Trauma and Spiritual Care (48:38) Navigating Trauma and Spiritual Support   Chapter Summaries: (00:04) Impact of Trauma on Military Spirituality Chaplain Belcher discusses trauma's impact on service members' spirituality and the need for innovative approaches in military medicine.   (16:55) Exploring Trauma and Spirituality in the Military Traumatic Impact Spiritual Assessment Tool highlights the importance of faith and community support for soldiers in combat environments.   (26:59) Strength Through Spiritual Foundations Finding our inner rebar that supports us through life's challenges, empowering us to find inner strength and protect our core integrity.   (31:29) Strengthening the Core for Resilience Nature's analogy of wooden ship masts for resilience, emphasizing core beliefs and uniqueness, and practical advice for military and medical professionals.   (35:29) Navigating Trauma and Spiritual Care Compassion and personal values shape identity and purpose, with chaplains providing holistic support for trauma through collaboration with medical providers.   (48:38) Navigating Trauma and Spiritual Support Faith, personal struggles, and medical crises intersect, with chaplains providing crucial support and integrating spiritual care into medical practice.   Take Home Messages: The Intersection of Trauma and Spirituality: The episode emphasizes the crucial role of spirituality in addressing trauma within the military. It highlights the development of a specialized tool designed to assess the spiritual impact of trauma on service members, offering a new perspective beyond traditional methods. Importance of Spiritual Foundations: Listeners are encouraged to recognize the significance of maintaining a strong spiritual foundation, akin to the metaphorical rebar and heartwood, which can enhance resilience and combat readiness, especially for those from disadvantaged backgrounds. Holistic Healing Through Multidisciplinary Approaches: The discussion highlights the importance of integrating spiritual care with medical interventions. It promotes collaboration between chaplains and medical professionals to provide comprehensive support to service members, addressing both physical and spiritual needs. The Role of Core Values in Resilience: The episode illustrates how personal values, such as compassion, can shape identity and purpose. It explores how reconnecting with these values can help individuals navigate challenges like depression and PTSD, ultimately fostering hope and resilience. Confidentiality and Communication in Spiritual Care: The podcast addresses the challenges of maintaining confidentiality while providing spiritual support in medical settings. It highlights the delicate balance required for effective communication between chaplains and medical providers, ensuring holistic care for those in need.   Episode Keywords: Spiritual Resilience, Major Paul Belcher, Military Trauma, Navigating Trauma, Spiritual Care, Chaplains' Role, Faith and Medicine, Holistic Healing, Combat Readiness, Traumatic Impact Spiritual Assessment Tool, Military Healthcare, War Docs Podcast, Service Member Wellness, PTSD, Moral Injury, Resilience in Military, Spiritual Support, Emotional Strength, Community Support, Multidisciplinary Approach   Hashtags: #SpiritualResilience #MilitaryTrauma #FaithAndHealing #CombatReadiness #ChaplainsInAction #HolisticSupport #SpiritualFoundations #TraumaCare #ResilienceBuilding #MilitaryMedicine   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

Michelle Andrews built a career inside the pharma machine long before anyone knew what “DTC” meant. She helped launch Rituxan and watched Allegra commercials teach America how to ask for pills by name. Then she landed in the cancer fun house herself, stage 4 breast cancer, and learned exactly how hollow all the “journey” slide decks feel when you're the one circling the drain.We talk about what happens when the insider becomes the customer, why pill organizers and wheat field brochures still piss her off, and how she fired doctors who couldn't handle her will to live. You'll hear about the dawn of pharma advertising, the pre-Google advocacy hustle, and what she wants every brand team to finally admit about patient experience.If you've ever wondered who decided windsurfing was the best way to sell allergy meds—or what happens when you stop caring if you make people uncomfortable—listen up.RELATED LINKSMichelle Andrews on LinkedInTrinity Life Sciences – Strategic AdvisoryJade Magazine – Ticking Time Bombs ArticleNIHCM Foundation – Breast Cancer StoryFEEDBACKLike 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.

THIS WEEK ON CODE WACK! What happens when doctors feel forced to act against their own moral compass? When financial barriers—not clinical judgment—determine the care a patient receives? We're talking about moral injury in medicine—how it's affecting physicians, harming patients, and why it's getting worse under our profit-driven healthcare system. Joining us is Dr. Diljeet Singh, an integrative gynecologic oncologist and president of Physicians for a National Health Program. She shares powerful stories from her own practice—and from the front lines of American healthcare—that reveal a deeper crisis than just burnout. This is the first episode in a two-part series. Check out the Transcript and Show Notes for more! And please keep Code WACK! on the air with a tax-deductible donation.   

Dr. Anne Marie Morse walks into the studio like a one-woman Jersey Broadway show and leaves behind the best damn TED Talk you've never heard. She's a neurologist, sleep medicine doc, narcolepsy expert, founder of D.A.M.M. Good Sleep, and full-time myth buster in a white coat. We talk about why sleep isn't a luxury, why your mattress does matter, and how melatonin is the new Flintstones vitamin with a marketing budget. We unpack the BS around sleep hygiene, blow up the medical gaslighting around “disorders,” and dig into how a former aspiring butterfly became one of the loudest voices for patient-centered science. Also: naps, kids, burnout, CPAPs, co-sleeping, airport pods, the DeLorean, and Carl Sagan. If you think you're getting by on five hours of sleep and vibes, you're not. This episode will make you want to take a nap—and then call your doctor.RELATED LINKSdammgoodsleep.com: https://www.dammgoodsleep.comLinkedIn: https://www.linkedin.com/in/anne-marie-morse-753b2821/Instagram: https://www.instagram.com/dammgoodsleepDocWire News Author Page: https://www.docwirenews.com/author/anne-marie-morseSleep Review Interview: https://sleepreviewmag.com/practice-management/marketing/word-of-mouth/sleep-advocacy-anne-marie-morse/Geisinger Bio: https://providers.geisinger.org/provider/anne-marie-morse/756868SWHR Profile: https://swhr.org/team/anne-marie-morse-do-faasm/FEEDBACKLike 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.

Gigi Robinson grew up with Ehlers-Danlos syndrome, a disease that turns your joints into overcooked spaghetti. Instead of letting it sideline her, she built a career out of telling the truth about invisible illness. We talk about what it takes to grow up faster than you should, why chronic illness is the worst unpaid internship, and how she turned her story into a business. You'll hear about her days schlepping to physical therapy before sunrise, documenting the sterile absurdity of waiting rooms, and finding purpose in the mess. Gigi's not interested in pity or polished narratives. She wants you to see what resilience really looks like, even when it's ugly. If you think you know what an influencer does, think again. This conversation will challenge your assumptions about work, health, and what it means to be seen.RELATED LINKSGigi Robinson Website: https://www.gigirobinson.comLinkedIn: https://www.linkedin.com/in/gigirobinsonInstagram: https://www.instagram.com/itsgigirobinsonTikTok: @itsgigirobinsonA Kids Book About Chronic Illness: https://akidsco.com/products/a-kids-book-about-chronic-illnessFEEDBACKLike this episode? Rate and review Out of Patients 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.

Episode Description:If you've ever wondered what happens when a Bronx-born pediatric nurse with stage 4 colon cancer survives, raises a kid, becomes a policy shark, and fights like hell for the ignored, meet Vanessa Ghigliotty. She's not inspirational. She's a bulldozer. We go way back—like pre-Stupid Cancer back—when there was no “young adult cancer movement,” just a handful of pissed-off survivors building something out of nothing. This episode is personal. Vanessa and I built the plane while flying it. She fought to be heard, showed up in chemo dragging her kid to IEP meetings, and never stopped screaming for the rest of us to get what we needed. We talk war stories, progress, side-eyeing advocacy fads, TikTok activism, gatekeeping, policy wins, and why being loud is still necessary. And yeah—she's a damn good mom. Probably a better one than you. You'll laugh. You'll cry. You'll want to scream into a pillow. Come for the nostalgia. Stay for the righteous anger and iced coffee.RELATED LINKSVanessa on LinkedInColorectal Cancer Alliance: Vanessa's StoryZenOnco Interview with VanessaFEEDBACKLike 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.