Podcasts about Moral injury

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.

Dr. Hillary Melchiors sits down with clinical psychologist Dr. Kerry Makin-Byrd for a grounded, experience-led conversation about burnout, moral injury, and the emotional weight of long-term birth and mental health work. Dr. Makin-Byrd reflects on moving from Colorado to New Zealand and how that shift reshaped her clinical practice and her own recovery. Taking apart the myth that burnout is a personal failing, they make the case that systemic factors, not individual shortcomings, drive the exhaustion so many birth workers carry. Covering boundary-setting in a field that rarely rewards it, they directly and practically confront the value of professional support for providers, and what "good enough" care actually looks like when perfection stays just out of reach. This one episode won't define burnout for you, but speaks honestly about what to do when you're in it, why it is not your fault, and what might actually help.                        

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.  

Everything You Trusted ....Was Designed to Keep You AsleepBeloved,There's a particular kind of pain that comes not from physical injury, but from something far deeper—the shattering of trust in what we believed was good, true, and safe.It has a name: moral injury.And if you've been feeling confused or depressed, listen or read to the end.Moral injury happens when someone or something we deeply trusted—an authority figure, an institution, a system we built our lives around—reveals itself to be the opposite of what we believed it to be.

Summary In this conversation, Kate Eves shares her extensive experience in researching and investigating deaths in custody, discussing the complexities and challenges faced by professionals in this field. She highlights the importance of understanding the human stories behind the statistics, the impact of media narratives on public perception, and the need for transparency and accountability in death investigations. The discussion also touches on the emotional toll of this work, the inquest process, and the lessons that can be learned from past investigations. Keywords death, custody, investigations, mental health, media narratives, transparency, accountability, inquests, criminal justice, coping mechanisms Bio: Kate has over 25 years' experience of conducting research, inspections and investigations within custodial environments, in the UK and the US. Kate has worked with HM Inspectorate of Prisons, the Prisons and Probation Ombudsman, the Forum for Preventing Deaths in Custody and HM Prison Service, where she led on the national strategy for reducing violence in custody. Kate has also worked with numerous prison and jail systems in the United States to improve detention conditions and increase accountability following deaths and serious violence. Kate recently chaired the UK government's first statutory inquiry into mistreatment in immigration detention, during which she found evidence of abuse contrary to international human rights legislation. She is a member of the Independent Advisory Panel on Deaths in Custody, a group of experts who advise the UK government on the prevention of deaths in all forms of state custody. Takeaways Kate Eves transitioned from law to criminology, focusing on the aftermath of criminal cases. Investigating deaths in custody requires a balance of objectivity and empathy. The emotional impact of reviewing traumatic cases can be significant for professionals. Media narratives shape public understanding of policing-related deaths. Transparency in death investigations is crucial for accountability. Inquests serve as a fact-finding exercise but can be intimidating for families. Blame and shame can complicate the inquest process. Learning from past investigations is often hindered by systemic issues. Coping mechanisms are essential for professionals in high-stress roles. Death is the ultimate leveller, affecting everyone regardless of status.  sound bites "I think it is really easy to kind of forget that." "The ultimate leveler, isn't it?" "You just have to be very aware of it." Chapters 00:00 Introduction to Kate Eves and Her Career 08:00 Exploring Policing Related Deaths 15:48 Investigating Deaths in Custody 20:45 Challenges in Death Investigation 23:57 The Inquest Process and Its Emotional Toll 26:42 Understanding Inquests and Their Challenges 30:18 The Role of Blame and Shame in Inquests 33:49 Learning from Inquests: Challenges and Opportunities 35:28 Confronting Death: Perspectives and Insights 40:40 Finding Hope in Difficult Work 45:26 Coping with Moral Injury in Challenging Environments

Summary In this conversation, Kate Eves shares her extensive experience in researching and investigating deaths in custody, discussing the complexities and challenges faced by professionals in this field. She highlights the importance of understanding the human stories behind the statistics, the impact of media narratives on public perception, and the need for transparency and accountability in death investigations. The discussion also touches on the emotional toll of this work, the inquest process, and the lessons that can be learned from past investigations. Keywords death, custody, investigations, mental health, media narratives, transparency, accountability, inquests, criminal justice, coping mechanisms Bio: Kate has over 25 years' experience of conducting research, inspections and investigations within custodial environments, in the UK and the US. Kate has worked with HM Inspectorate of Prisons, the Prisons and Probation Ombudsman, the Forum for Preventing Deaths in Custody and HM Prison Service, where she led on the national strategy for reducing violence in custody. Kate has also worked with numerous prison and jail systems in the United States to improve detention conditions and increase accountability following deaths and serious violence. Kate recently chaired the UK government's first statutory inquiry into mistreatment in immigration detention, during which she found evidence of abuse contrary to international human rights legislation. She is a member of the Independent Advisory Panel on Deaths in Custody, a group of experts who advise the UK government on the prevention of deaths in all forms of state custody. Takeaways Kate Eves transitioned from law to criminology, focusing on the aftermath of criminal cases. Investigating deaths in custody requires a balance of objectivity and empathy. The emotional impact of reviewing traumatic cases can be significant for professionals. Media narratives shape public understanding of policing-related deaths. Transparency in death investigations is crucial for accountability. Inquests serve as a fact-finding exercise but can be intimidating for families. Blame and shame can complicate the inquest process. Learning from past investigations is often hindered by systemic issues. Coping mechanisms are essential for professionals in high-stress roles. Death is the ultimate leveller, affecting everyone regardless of status.  sound bites "I think it is really easy to kind of forget that." "The ultimate leveler, isn't it?" "You just have to be very aware of it." Chapters 00:00 Introduction to Kate Eves and Her Career 08:00 Exploring Policing Related Deaths 15:48 Investigating Deaths in Custody 20:45 Challenges in Death Investigation 23:57 The Inquest Process and Its Emotional Toll 26:42 Understanding Inquests and Their Challenges 30:18 The Role of Blame and Shame in Inquests 33:49 Learning from Inquests: Challenges and Opportunities 35:28 Confronting Death: Perspectives and Insights 40:40 Finding Hope in Difficult Work 45:26 Coping with Moral Injury in Challenging Environments

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.

"My wife would come back to check on me late at night, asleep at the keyboard, and she would be like, 'Is he dead?' The burnout, what we call moral injury, is more real than anybody knows." - Will SteelmanThe American healthcare system is crushing its doctors. Faced with "assembly line" quotas of 25+ patients a day, hours of unpaid administrative work ("pajama time"), and a suicide rate higher than that of veterans, physicians are fleeing the profession in droves.My guest this week is Dr. Will Steelman, a board-certified internal medicine physician who lived through this crisis firsthand. After 12 years as a hospitalist, Dr. Steelman reached his breaking point during the pandemic and realized the only way to save his career, and his life, was to exit the system entirely.In this episode, we explore why Direct Primary Care (DPC) is the only viable path forward for the future of medicine. Will explains how DPC restores the doctor-patient relationship by reducing patient panels from 3,000 to 600, allowing for 90-minute visits, true price transparency, and a focus on root-cause resolution. We also discuss the clinical benefits of having time to care, including using ketogenic therapies to treat mental illness and reversing chronic metabolic disease, rather than just managing it with pills.If you want to understand why your doctor is exhausted, why your premiums are going up, and why DPC is the solution we can't afford to ignore, listen to this episode.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: The Link Between Diet & Mental Clarity (00:04:18) The Road to Burnout: 12 Years as a Hospitalist (00:09:17) "Is He Dead?": The Reality of Physician Suicide & Moral Injury (00:11:08) The Way Forward: Concierge vs. Direct Primary Care (00:15:35) The Math of Failure: Why 2,500 Patients is Unsustainable (00:21:16) "Click Fatigue" and the Administrative Burden (00:23:58) Leaving the System: Launching Steelman Medical Group (00:32:06) Saving the Profession: Why DPC Offers Work-Life Balance (00:40:12) True Transparency: Why DPC Lab Costs Are Dropping (00:48:58) The Luxury of Time: Treating Mental Health with Ketogenic Diets (00:59:32) The Statin Controversy & Insulin ResistanceKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

"My wife would come back to check on me late at night, asleep at the keyboard, and she would be like, 'Is he dead?' The burnout, what we call moral injury, is more real than anybody knows." - Will SteelmanThe American healthcare system is crushing its doctors. Faced with "assembly line" quotas of 25+ patients a day, hours of unpaid administrative work ("pajama time"), and a suicide rate higher than that of veterans, physicians are fleeing the profession in droves.My guest this week is Dr. Will Steelman, a board-certified internal medicine physician who lived through this crisis firsthand. After 12 years as a hospitalist, Dr. Steelman reached his breaking point during the pandemic and realized the only way to save his career, and his life, was to exit the system entirely.In this episode, we explore why Direct Primary Care (DPC) is the only viable path forward for the future of medicine. Will explains how DPC restores the doctor-patient relationship by reducing patient panels from 3,000 to 600, allowing for 90-minute visits, true price transparency, and a focus on root-cause resolution. We also discuss the clinical benefits of having time to care, including using ketogenic therapies to treat mental illness and reversing chronic metabolic disease, rather than just managing it with pills.If you want to understand why your doctor is exhausted, why your premiums are going up, and why DPC is the solution we can't afford to ignore, listen to this episode.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: The Link Between Diet & Mental Clarity (00:04:18) The Road to Burnout: 12 Years as a Hospitalist (00:09:17) "Is He Dead?": The Reality of Physician Suicide & Moral Injury (00:11:08) The Way Forward: Concierge vs. Direct Primary Care (00:15:35) The Math of Failure: Why 2,500 Patients is Unsustainable (00:21:16) "Click Fatigue" and the Administrative Burden (00:23:58) Leaving the System: Launching Steelman Medical Group (00:32:06) Saving the Profession: Why DPC Offers Work-Life Balance (00:40:12) True Transparency: Why DPC Lab Costs Are Dropping (00:48:58) The Luxury of Time: Treating Mental Health with Ketogenic Diets (00:59:32) The Statin Controversy & Insulin ResistanceKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

In this insightful episode of The Better Life, Dr. Pinkston sits down with two powerhouse leaders in the nursing world: Dr. Nyempu Karmue-Hall, founder of the global nonprofit Nurses in Charge, and Michelle DeStefano, an executive coach and former Chief Nursing Officer. Together, they dive deep into the current global nursing crisis, addressing the "moral injury" and burnout that skyrocketed during the pandemic. They discuss a bold new grassroots movement designed to move nurses from the "bedside to the boardroom," ensuring their voices are heard where healthcare decisions are actually made. Key highlights from this episode include: The Mission of Nurses in Charge: How this 501(c)3 organization is connecting and empowering nurses across 22 nations. Leadership & Change Management: Details on the upcoming intensive, “From Talk to Action,” designed to give emerging nurse leaders a blueprint for sustainable organizational change. Healing the Profession: Reconnecting with the original "intention" of nursing to overcome burnout and lateral violence. Future-Proofing Careers: The importance of mentorship, research, and the evolving role of nurses in the modern medical landscape. Whether you are a bedside nurse, a nurse practitioner, or a healthcare executive, this episode is a call to action to reclaim the excellence and respect the nursing profession deserves. See omnystudio.com/listener for privacy information.

Matt Hampton and Dr Tom Ingegno came into my world the way the best guests always do. They found me first. They pulled me onto their Irreverent Health Podcast, a show that blends medicine, curiosity, and unapologetic nonsense the same way Gen X kids blended Saturday morning cartoons with nuclear-war anxiety. We recorded together, we went off the rails together, and by the end I told them the rule. If you ever come to New York, you sit in my studio. No exceptions.They showed up. They took the hot seat. They told Alexa to shut up. They joked about Postmates. They compared bifocals before I even hit record. From there it turned into a full blown eighties time machine powered by weed policy, AI diagnostics, acupuncture philosophy, art school trauma, cannabis data science, paranormal detours, and the kind of deep cut pop culture references only Gen X survivors can decode.Matt builds AI systems. Tom heals people with needles and a lifetime of East Asian medicine. Together they make healthcare funny without pretending it works. They remind you that curiosity carries weight when the system collapses under its own stupidity.This episode is a reunion of three loudmouths raised on Atari, late night cable, and the hard lesson that you either tell the truth or get flattened by it. Go subscribe to Irreverent Health. These guys earned it.RELATED LINKS• Irreverent Health Podcast• Matt Hampton – Consilium Institute• Envoy Design• Dr. Tom Ingegno – Charm City Integrative Health• The Cupping Book• You Got Sick—Now What?• Matt Hampton on LinkedIn• Dr. Tom Ingegno on LinkedInFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What happens when danger comes from where you least expect it? Bart Womack dedicated nearly three decades of his life to serving the United States Army, rising to the highest enlisted ranks and leading soldiers in combat, training, and some of the most sacred roles in military service. But one moment forever changed his understanding of trust, leadership, and survival when he became a firsthand survivor of a deadly insider attack carried out by a fellow American soldier. This episode explores the psychological impact of betrayal, the long road to healing after trauma, and how Bart transformed one of the darkest moments of his life into a mission focused on prevention, awareness, and leadership. His story is not just about military service — it's about resilience, responsibility, and choosing purpose after devastation. Guest Bio Command Sergeant Major (Ret.) Bart E. Womack served over 29 years in the United States Army, holding elite roles including Drill Sergeant, Ranger Instructor, and Sergeant of the Guard at the Tomb of the Unknown Soldier. A two-time combat veteran, Bart retired after serving as both Commandant of the 101st Airborne Division Noncommissioned Officers Academy and Command Sergeant Major of the 101st Airborne Division. Following his military career, Bart transitioned into film, consulting, and veteran advocacy, working in Hollywood as a military technical advisor and supporting veterans through education and mentorship. He is the author of Embedded Enemy, which recounts his survival of a deadly insider attack, and he now serves as a speaker and security consultant focused on mitigating insider threats and active shooter incidents. You'll hear About Bart's rise through the Army and leadership at the highest enlisted levels The insider attack that reshaped his understanding of trust and safety The emotional and psychological aftermath of surviving betrayal Turning trauma into advocacy, education, and prevention What leaders must understand about insider threats today Chapters 00:00 Welcome and Introduction 02:10 Bart's Early Military Path and Commitment to Service 05:20 Leadership Roles and Life in the 101st Airborne Division 08:30 Combat Experience and the Reality of Trust in Uniform 12:10 The Insider Attack and the Moment Everything Changed 16:30 Surviving Trauma, Shock, and Moral Injury 20:10 Writing Embedded Enemy and Processing the Experience 24:10 From Survivor to Advocate and Educator 27:30 Leadership Lessons for Organizations and Communities 30:30 Bart's Message on Vigilance, Awareness, and Responsibility 33:00 Chuck's Closing Reflections Chuck's Challenge This week, reflect on how you assess trust and awareness in your own environment. Whether at work, school, or in your community, ask yourself what proactive steps can be taken to protect people and create safer spaces without sacrificing humanity or connection. Connect with Bart Womack LinkedIn: https://www.linkedin.com/in/bart-womack-28170417/ Link to book to purchase book on Amazon  Connect with Chuck Check out the website: https://www.thecompassionateconnection.com/ Linked In: https://www.linkedin.com/in/chuck-thuss-a9aa044/ Follow on Instagram: @warriorsunmasked Join the Warriors Unmasked community by subscribing to the show. Together, we're breaking stigmas and shining a light on mental health, one story at a time.

COVID changed everything — and for many PTs, it left emotional wounds that haven't healed. Kristin Walls and Lisa Kohler join us to unpack “moral injury” — how it's different from burnout, how it showed up in outpatient and acute care settings, and why it matters for the future of physical therapy.They preview their CSM talk, highlight new research on provider wellness, and share initiatives like the Wellness Committee and a national survey on professional sustainability.In this episode:Defining moral injury for PTsCSM talk preview: The Invisible WoundEthics vs. morals in clinical practicePost-traumatic growth and how to achieve itWhy PT needs moral communities — now more than everLinks:Kristin & Lisa's CSM Talk: Thursday Feb 12 @ 8amLAMP Leadership Series (TED-style talks)Wellness Committee (OPTA)PT Pintcast on YouTube: https://youtube.com/@ptpintcastWebsite: https://ptpintcast.com

Episode 164In this episode, I talk about how moral injury can be connected to or trigger deconstruction. This is a topic that has been deeply significant in my own journey of interior integration and healing.Moral injury is the damage done to one's conscience or moral compass when we perpetrate, witness, or fail to prevent acts that transgress our own moral beliefs and values. Originally studied in war veterans, this concept has helped me understand the trauma I've experienced in relation to the Catholic Church and spiritual harm.I share how moral injury doesn't just happen when we're directly involved in something wrong—it can occur when we're spectators to injustice, when institutions we trust betray their stated values, or when spiritual leaders remain silent in the face of harm. I also explore how we often defend ourselves against moral injury through rationalisation, and how the journey of interior integration requires us to become more embodied and truthful about reality.This episode is deeply personal as I reflect on my own experiences of deconstruction—not as a total loss of faith, but as a necessary dismantling of religious frameworks that could no longer hold the truth I was encountering in my relationship with God.Watch this recording on YouTube.CHAPTER MARKERS0:00 Introduction: Moral Injury and Deconstruction2:41 What is Moral Injury?3:26 Origins in War Veterans Studies5:13 Moral Injury as Spectators7:45 Current Events and Personal Experience10:57 Betrayal by Spiritual Leaders22:54 Cognitive Dissonance and Defense Mechanisms31:23 Interior Integration Journey33:42 Naming Harm in Family Relationships42:39 Becoming Embodied and Seeing Truth46:09 Deconstructing the Church51:25 Relationship with God Through DeconstructionSupport the showSUBSCRIBE | FOLLOW | SUPPORTSocial Media:Follow Ann Yeong on Instagram or Facebook.Newsletter:Subscribe to Begin Again for Ann's updates and reflections.Support the Show:Monthly Support (starting at USD$3)One-time DonationLeave a Review:If this podcast has blessed you, please leave a review by clicking here.

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

Medical missionaries often feel powerful emotional burden from moral injury, and it is a leading cause of departure from the mission field. But we have learned proven methods of preventing and dealing with moral injury. Use God’s powerful methods to protect yourself and your team, and to grow in wisdom and spirit!

Bill Thach has had 9 lines of treatment, over 1,000 doses of chemo, and more scans than an airport. He runs ultramarathons for fun. He jokes about being his own Porta Potty. He became a father, then got cancer while his daughter was 5 months old. Today she is 8. He hides the worst of it so she can believe he stands strong, even when he knows that hiding has a cost.We talk about the illusion of strength, what it means to look fine when your body is falling apart, and how a random postcard in an MD Anderson waiting room led him to Man Up to Cancer, where he now leads Diversity and AYA Engagement. Fatherhood. Rage. Sex. Denial. Humor. Survival. All that and why the words good morning can act like a lifeline.RELATED LINKSFight Colorectal CancerCURE TodayINCA AllianceMan Up to CancerWeeViewsYouTubeLinkedInFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Are you experiencing burnout, or is something deeper happening when you feel that gut-wrenching sensation of knowing what's right but being unable to do it? In this episode, Dr. Jo Braid draws from her experience chairing an expert panel at the MPLA conference in 2025 to clarify the crucial distinctions between moral distress, moral injury, and burnout. Understanding these differences isn't just academic—it's essential for addressing what you're actually experiencing and finding the right interventions. You'll learn to recognize the physical and emotional signs of each condition, discover why moral distress often gets misdiagnosed as individual weakness when it's actually a system problem, and gain practical tools for responding appropriately to each situation. Join Dr. Braid as she gives you the vocabulary to name your experience and the framework to address it effectively, because when you can accurately identify what you're facing, you can take the right steps toward recovery. Join the free Healthcare Leadership Hub: https://bit.ly/3LAIDqq Connect with Dr Jo on Instagram: https://www.instagram.com/burnoutrecoverydr Connect with Dr Jo on LinkedIn: https://www.linkedin.com/in/drjobraid Website: https://drjobraid.com Thank you to our sponsors:MIGA: https://miga.com.au & Heidi Health: https://heidihealth.com See omnystudio.com/listener for privacy information.

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

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

Shannon Burkett has lived about six lives. Broadway actor. SNL alum. Nurse. Filmmaker. Advocate. Cancer survivor. And the kind of person who makes you question what you've done with your day. She wrote and produced My Vagina—the stop-motion musical kind, not the cry-for-help kind—and built a global movement after her son was poisoned by lead dust in their New York apartment. Out of that came LEAD: How This Story Ends Is Up to Us, a documentary born from rage, science, and maternal defiance. We talked about everything from The Goonies to Patrick Stewart to the quiet rage of parenting in a country that treats public health like a hobby. This episode is about art, anger, resilience, and what happens when an unstoppable theater nerd turned science geek Jersey girl collides with an immovable healthcare system.RELATED LINKSShannon Burkett Official SiteLEAD: How This Story Ends Is Up to UsEnd Lead PoisoningLinkedIn: Shannon BurkettBroadwayWorld ProfileFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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

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

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

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

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

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

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

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

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

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

The most anticipated annual tradition on Out of Patients returns with the 2025 Holiday Podcast Spectacular starring Matthew's twins Koby and Hannah. Now 15 and a half and deep into sophomore year, the twins deliver another unfiltered year end recap that longtime listeners wait for every December. What began as a novelty in 2018 has become a time capsule of adolescence, parenting, and how fast childhood burns off.This year's recap covers real moments from 2025 A subway ride home with a bloodied face after running full speed into that tree that grows in Brooklyn. Broadway obsessions fueled by James Madison High School's Roundabout Youth Ensemble access, including Chess, & Juliet, Good Night and Good Luck, and Pirates of Penzance holding court on Broadway. A Disneylanmd trip where the Millennium Falcon triggered a full system reboot. A New York Auto Show pilgrimage capped by a Bugatti sighting. All the things.The twins talk school pressure, AP classes, learner permit anxiety, pop culture fixation, musical theater devotion, and the strange clarity that comes with turning 15. The humor stays sharp, the details stay specific, and the passage of time stays undefeated. This episode lands where the show works best: family, honesty, and letting young people speak for themselves.FEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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

Jason Gilley walked into adulthood with a fastball, a college roster spot, and a head of curls that deserved its own agent. Cancer crashed that party and took him on a tour of chemo chairs, pediatric wards, metal taste, numb legs, PTSD, and the kind of late night panic that rewires a kid before he even knows who he is.I sat with him in the studio and heard a story I know in my bones. He grew up fast. He learned how to stare down mortality at nineteen. He found anchors in baseball, therapy, and the strange friendships cancer hands you when it tears your plans apart. He owns the fear and the humor without slogans or shortcuts. Listeners will meet a young man who refuses to let cancer shrink his world. He fights for the life he wants. He names the truth without apology. He reminds us that survivorship stays messy and sacred at the same time. This conversation will stay with you.RELATED LINKS• Jason Gilley on IG• Athletek Baseball Podcast• EMDR information• Children's Healthcare of AtlantaFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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

Dr. Marissa Russo trained to become a cancer biologist. She spent four years studying one of the deadliest brain tumors in adults and built her entire research career around a simple, urgent goal: open her own lab and improve the odds for patients with almost no shot at survival. In 2024 she applied for an F31 diversity grant through the NIH. The reviewers liked her work. Her resubmission was strong. Then the grant system started glitching. Dates vanished. Study sections disappeared. Emails went silent. When she finally reached a program officer, the message was clear: scrub the DEI language, withdraw, and resubmit. She rewrote the application in ten days. It failed. She had to start over. Again. This time with her identity erased.Marissa left the lab. She found new purpose as a science communicator, working at STAT News through the AAAS Mass Media Fellowship. Her story captures what happens when talent collides with institutional sabotage. Not every scientist gets to choose a Plan B. She made hers count.RELATED LINKSMarissa Russo at STAT NewsNIH F31 grant story in STATAAAS Mass Media FellowshipContact Marissa RussoFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Scott Capozza and I could have been cloned in a bad lab experiment. Both diagnosed with cancer in our early twenties. Both raised on dial-up and mixtapes. Both now boy-girl twin dads with speech-therapist wives and a lifelong grudge against insurance companies. Scott is the first and only full-time oncology physical therapist at Yale New Haven Health, which means if he catches a cold, cancer rehab in Connecticut flatlines. He's part of a small, stubborn tribe of providers who believe movement belongs in cancer care, not just after it. We talked about sperm banking in the nineties, marathon training during chemo, and what it means to be told you're “otherwise healthy” when your lungs, ears, and fertility disagree. Scott's proof that survivorship is not a finish line. It's an endurance event with no medals, just perspective.RELATED LINKSScott Capozza on LinkedIn: https://www.linkedin.com/in/scott-capozza-a68873257Yale New Haven Health: https://www.ynhh.orgExercising Through Cancer: https://www.exercisingthroughcancer.com/team/scott-capozza-pt-msptProfiles in Survivorship – Yale Medicine: https://medicine.yale.edu/news-article/profiles-in-survivorship-scott-capozzaFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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

Dr. MaryAnn Wilbur trained her whole life to care for patients, then left medicine behind when it became a machine that punished empathy and rewarded throughput. She didn't burn out. She got out. A gynecologic oncologist, public health researcher, and no-bullshit single mom, MaryAnn walked straight off the cliff her career breadcrumbed her to—and lived to write the book.In this episode, we talk about what happens when doctors are forced to choose between their ethics and their employment, why medicine now operates like a low-resource war zone, and how the system breaks the very people it claims to elevate. We cover moral injury, medical gaslighting, and why she refused to lie on surgical charts just to boost hospital revenue.Her escape plan? Tell the truth, organize the exodus, and build something that actually works. If you've ever wondered why your doctor disappeared, this is your answer. If you're a clinician hiding your own suffering, this is your permission slip.RELATED LINKSMaryAnn Wilbur on LinkedInMedicine ForwardClinician Burnout FoundationThe Doctor Is No Longer In (Book)Suck It Up, Buttercup (Documentary)FEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Episode 5 of Standard Deviation with Oliver Bogler on the Out of Patients podcast feed pulls you straight into the story of Dr Ethan Moitra, a psychologist who fights for LGBTQ mental health while the system throws every obstacle it can find at him.Ethan built a study that tracked how COVID 19 tore through an already vulnerable community. He secured an NIH grant. He built a team. He reached 180 participants. Then he opened an email on a Saturday and learned that Washington had erased his work with one sentence about taxpayer priorities. The funding vanished. The timeline collapsed. His team scattered. Participants who trusted him sat in limbo.A federal court eventually forced the government to reinstate the grant, but the damage stayed baked into the process. Ethan had to push through months of paperwork while his university kept the original deadline as if the shutdown had not happened. The system handed him a win that felt like a warning.I brought Ethan on because his story shows how politics reaches into science and punishes the people who serve communities already carrying too much trauma. His honesty lands hard because he names the fear now spreading across academia and how young scientists question whether they can afford to care about the wrong population.You will hear what this ordeal did to him, what it cost his team, and why he refuses to walk away.RELATED LINKSFaculty PageNIH Grant DetailsScientific PresentationBoston Globe CoverageFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Chelsea J. Smith walks into a studio and suddenly I feel like a smurf. She's six-foot-three of sharp humor, dancer's poise, and radioactive charm. A working actor and thyroid cancer survivor, Chelsea is the kind of guest who laughs while dropping truth bombs about what it means to be told you're “lucky” to have the “good cancer.” We talk about turning trauma into art, how Shakespeare saved her sanity during the pandemic, and why bartending might be the best acting class money can't buy. She drops the polite bullshit, dismantles survivor guilt with punchline precision, and reminds every listener that grace and rage can live in the same body. If you've ever been told to “walk it off” while your body betrayed you, this one hits close.RELATED LINKS• Chelsea J. Smith Website• Chelsea on Instagram• Chelsea on Backstage• Chelsea on YouTube• Cancer Hope Network• Artichokes and Grace – Book by Chelsea's motherFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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

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

When Julia Stalder heard the words ductal carcinoma in situ, she was told she had the “best kind of breast cancer.” Which is like saying you got hit by the nicest bus. Julia's a lawyer turned mediator who now runs DCIS Understood, a new nonprofit born out of her own diagnosis. Instead of panicking and letting the system chew her up, she asked questions the industry would rather avoid. Why do women lose breasts for conditions that may never become invasive? Why is prostate cancer allowed patience while breast cancer gets the knife? We talked about doctors' fear of uncertainty, the epidemic of overtreatment, and what happens when you build a movement while still in the waiting room. Funny, fierce, unfiltered—this one sticks.RELATED LINKS• DCIS Understood• Stalder Mediation• Julia's story in CURE Today• PreludeDx DCISionRT feature• Julia on LinkedInFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Rachel Gatlin entered neuroscience with curiosity and optimism. Then came chaos. She started her PhD at the University of Utah in March 2020—right as the world shut down. Her lab barely existed. Her advisor was on leave. Her project focused on isolation stress in mice, and then every human on earth became her control group. Rachel fought through supply shortages, grant freezes, and the brutal postdoc job market that treats scientists like disposable parts. When her first offer vanished under a hiring freeze, she doubled down, rewrote her plan, and won her own NIH training grant. Her story is about survival in the most literal sense—how to keep your brain intact when the system built to train you keeps collapsing.RELATED LINKS• Dr. Rachel Gatlin on LinkedIn• Dr. Gatlin's Paper Preprint• Dr. Eric Nestler on Wikipedia• News Coverage: Class of 2025 – PhD Students Redefine PrioritiesFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship email podcasts@matthewzachary.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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

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

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

*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/