Podcasts about national health service nhs

How can we better support those giving birth? And those supporting them?In Part 2 of this honest and empowering conversation, Hannah and consultant midwife Maria Buaki-Sogo explore how we can bring more humanity, agency and nervous system awareness into maternity care.They discuss the importance of clear boundaries for both birthing people and care providers, the role of yoga in restoring trust in the body, and how small changes in language, presence and practice can make a big difference.Whether you're a yoga teacher, birth worker or someone who cares deeply about how we support people through pregnancy and postpartum, this episode offers insight, inspiration and practical tools.Topics covered:Creating safety through nervous system-aware careBoundaries as a form of support and sustainabilityThe intersection of yoga, birth and self-trustEmpowerment through language and presenceSupporting care providers as well as birthing peopleAbout MariaMaria is both a practicing nurse and a midwife, last working as a Consultant Midwife.Maria moved to the UK in 2010 from Spain, where she trained as a Registered Nurse and worked for three years as an A&E resus nurse. On arrival in the UK, Maria worked at Imperial College NHS Foundation Trust, gaining significant experience as a theatre nurse across a variety of specialties, from trauma-emergency cases to elective procedures.Her midwifery experience includes various roles within a maternity setting, including low risk and high-risk pregnancy care, emergency obstetric care and the post-operative management of women who have undergone caesarean sections.Her midwifery roles comprise of rotational midwifery (providing antenatal care, intrapartum care, and postnatal care), community midwifery care, caseload midwifery care for vulnerable women, homebirth midwifery services and research nursing and midwifery.Maria is also a former Lead Nurse for North Thames Genomic Medicine, where she led the nursing workforce in the North Thames Region to explore and re-design clinical pathways of care to implement routine genetic testing in the National Health Service (NHS) via national transformational projects reporting back to NHSE/I (National Health Service England and Improvement).She is also an Adult Nursing Lecturer, teaching applied physiology.It is Maria's passion for research that has led her to pursue a career as clinical academic and to complete a PhD following achievement of an MSc in Research in Midwifery Studies in 2018, as she believes research is of great importance in developing clinical practice, standards, and advances in care.Maria is also a passionate advocate for the incredible charity Borne - you can find out more about their incredible ⁠work here. ⁠Learn more with Alba Yoga Academy⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Learn more about our Yoga Teacher Training here.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Watch our extensive library of YouTube videos.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Hannah on Instagram.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Celest on Instagram ⁠⁠⁠⁠⁠

What if the way we support birth needs to evolve just as much as the science itself?In this episode, Hannah speaks with consultant midwife, nurse, researcher and yoga advocate Maria Buaki-Sogo about her journey from emergency medicine to holistic maternity support. Drawing on years of frontline experience across hospitals, homes and communities, Maria shares how her perspective on birth has shifted and what she's learned about truly supporting women through one of life's most transformative experiences.Together, they explore what's working, what's not, and how we might rethink maternity care with compassion, communication and collaboration at the centre.Topics covered:Lessons from emergency and community-based birth workSupporting midwives in high-pressure systemsWhat holistic, woman-centred care really looks likeThe role of advocacy in everyday maternity workWhy nervous system awareness matters in birthAbout MariaMaria is both a practicing nurse and a midwife, last working as a Consultant Midwife.Maria moved to the UK in 2010 from Spain, where she trained as a Registered Nurse and worked for three years as an A&E resus nurse. On arrival in the UK, Maria worked at Imperial College NHS Foundation Trust, gaining significant experience as a theatre nurse across a variety of specialties, from trauma-emergency cases to elective procedures.Her midwifery experience includes various roles within a maternity setting, including low risk and high-risk pregnancy care, emergency obstetric care and the post-operative management of women who have undergone caesarean sections.Her midwifery roles comprise of rotational midwifery (providing antenatal care, intrapartum care, and postnatal care), community midwifery care, caseload midwifery care for vulnerable women, homebirth midwifery services and research nursing and midwifery.Maria is also a former Lead Nurse for North Thames Genomic Medicine, where she led the nursing workforce in the North Thames Region to explore and re-design clinical pathways of care to implement routine genetic testing in the National Health Service (NHS) via national transformational projects reporting back to NHSE/I (National Health Service England and Improvement).She is also an Adult Nursing Lecturer, teaching applied physiology.It is Maria's passion for research that has led her to pursue a career as clinical academic and to complete a PhD following achievement of an MSc in Research in Midwifery Studies in 2018, as she believes research is of great importance in developing clinical practice, standards, and advances in care.Maria is also a passionate advocate for the incredible charity Borne - you can find out more about their incredible work here. Learn more with Alba Yoga Academy⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Learn more about our Yoga Teacher Training here.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Watch our extensive library of YouTube videos.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Hannah on Instagram.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Celest on Instagram ⁠⁠⁠⁠⁠

Listen to ASCO's Journal of Clinical Oncology Art of Oncology article, "Writing a Medical Memoir: Lessons From a Long, Steep Road” by David Marks, consultant at University Hospitals Bristol NHS Foundation Trust. The article is followed by an interview with Marks and host Dr. Mikkael Sekeres. Marks shares his challenging journey of writing a memoir describing his patients and career. Transcript Narrator: Writing a Medical Memoir: Lessons From a Long, Steep Road, by David Marks, PhD, MBBS, FRACP, FRCPath  The purpose of this essay is to take hematologist/oncologist readers of the Journal on my challenging journey of trying to write a memoir describing my patients and career. This piece is not just for those who might wish to write a book, it also can be generalized to other creative writing such as short stories or other narrative pieces intended for publication. My experience is that many of my colleagues have considered doing this but do not know where to start and that many embarking on this journey lack the self-confidence most writers require. I also describe other issues that unexpectably arose, particularly my struggle to get the book to its intended target audience, and of writing about myself in such a personal way. In my book of semifiction, I tell the stories of my patients with leukemia, but also describe what it is like to be a physician looking after young patients with curable but life-threatening diseases. I recount my medical career and working in the United Kingdom's National Health Service (NHS), a very different health system to the one I experienced when I worked in Philadelphia during the early 1990s. Telling the stories of my patients with leukemia (and my story) was my main motivation but I also wanted to challenge my creative writing skills in a longer format. As a young person, I wrote essays and some poetry. As a hemato-oncologist, the major outputs of my writing have been over 300 scientific papers and a 230-page PhD thesis. The discipline required to write papers does help with writing a nonfiction book, and as with writing scientific papers, the first step is having a novel idea. I admired the work of Siddhartha Mukherjee (“The Emperor of all Maladies”) and Mikkael Sekeres (“When Blood Breaks Down”), but I wanted to write about my patients and their effect upon me from a more personal perspective. I obtained written consent from the patients I wrote about; nearly all of them were happy for me to use their first name; they trusted me to tell their stories. All of the patients' stories have a substantial basis in fact. I also wrote about colleagues and other people I encountered professionally, but those parts were semifiction. Names, places, times, and details of events were changed to preserve anonymity. For example, one subchapter titled “A tale of two managers” comprises events that relate to a number of interactions with NHS medical managers over 30 years. The managers I wrote about represent a combination of many people, but it would not have been possible to write this while still working at my hospital. I had wanted to write a book for years but like most transplanters never had the sustained free time to jot down more than a few ideas. In the second UK lockdown of 2020 when we were only allowed to go out to work and for an hour of exercise, we all had more time on our hands. A columnist in the Guardian said that people should have a “lockdown achievement”; this would be mine. This is how I went about it. I knew enough about writing to know that I could not just go and write a book. I considered a university writing degree, but they were all online: There was not the nourishment of meeting and interacting with fellow writers. I joined two virtual writing groups and got some private sessions with the group's leader. We had to write something every week, submitted on time, and open for discussion. In one writing group, there was a no negative criticism rule, which I found frustrating, as I knew my writing was not good enough and that I needed to improve. I had no shortage of ideas, stories to tell, and patients and anecdotes to write about. I have a pretty good memory for key conversations with patients but learned that I did not have to slavishly stick to what was said. I also wrote about myself: my emotions and the obstacles I encountered. To understand how I guided my patients' journeys, my readers would need to understand me and my background. I carried a notebook around and constantly wrote down ideas, interesting events, and phrases. Every chapter underwent several drafts and even then much was totally discarded. I was disciplined and tried to write something every day, realizing that if I did not make progress, I might give up. Most days the words flowed; refining and editing what I wrote was the difficult part. Very different to Graham Greene in Antibes. He would go to his local café, write 200-400 words, then stop work for the day and have his first glass of wine with lunch before an afternoon siesta. How would I tell the story? My story was chronological (in the main), but I felt no need for the patient stories to be strictly in time order. The stories had titles and I did not avoid spoilers. “Too late” is the story of a patient with acute promyelocytic leukemia who died before she could receive specialist medical attention. This had a devastating effect on the GP who saw her that morning. So, there were plenty of patient stories to tell, but I needed to learn the craft of writing. Visual description of scenes, plots, and giving hints of what is to come—I had to learn all these techniques. Everything I wrote was looked at at least once by my mentor and beta readers, but I also submitted my work for professional review by an experienced editor at Cornerstones. This person saw merit in my work but said that the stories about myself would only interest readers if I was “somebody like David Attenborough.” Other readers said the stories about me were the most interesting parts. So far, I have focused on the mechanics and logistics of writing, but there is more to it than that. My oncology colleague Sam Guglani, who has successfully published in the medical area, was very useful. I asked him how his second book was progressing. “Not very well.” “Why?” “It takes a lot of time and I'm not very confident.” Sam writes such lovely prose; Histories was positively reviewed yet even he still has self-doubt. Hematologists/oncologists, transplanters, and chimeric antigen receptor T cell physicians are often confident people. Most of the time we know what to do clinically, and when we give medical advice, we are secure in our knowledge. This is because we have undergone prolonged training in the areas we practice in and possess the scientific basis for our decisions. This is not the case when doctors take on creative writing. Few of us have training; it is out of our comfort zone. Nearly all new writers are insecure, in a constant state of worry that our outpourings are not “good enough,” that “nobody will like it.” Even high-quality memoirs may be hard to get published. I did not enter this thinking I would fail, and I have received feedback that I “can write.” But when you look at people who can really write, who have already been published, and earn a living from writing, you think that you will never be as good. Does this matter for a medical memoir? Yes, it does. I came to realize to improve it is important to surround yourself with people who read a lot and preferably with some who are well-regarded published writers. These people should offer unrestrained feedback, and you should take note. However, I learned you do not need to do everything they say—it is not like responding to the reviewers of scientific papers—your book should retain your individual stamp and cover what you think is important. I found there are risks in writing a memoir. Private matters become public knowledge to your family and friends. In a hospital you have lots of work relationships, not all of which are perfect. It can be a tense environment; you often have to keep quiet. Writing about them in a book, even if colleagues and events are disguised or anonymized, runs the risk of colleagues recognizing themselves and not being happy with how they are portrayed. Writing a book's first draft is hard; getting it to its final draft even harder but perhaps not harder than writing a major paper for JCO or Blood. (For me writing the discussion section of a paper was the most difficult task). However, finding an agent is perhaps the hardest of all. Every agent has their own laborious submission system. About a third of agents do not respond at all; they may not even read your book. Another third may send you a response (after up to 3 months) saying that the book is “not for me.” Three agents told me that their own experiences with cancer made it impossible for them to read the book while others said it was a worthwhile project but it was not their area of interest. That encouraged me. It required resilience to get Life Blood published. I did not have the skills to self-publish, but I found a publisher that would accept the book, provided I contributed to the costs of publishing. This was not easy either because my book did not have as much final editing as a conventional publisher provides. Getting the book to its target audience was another major challenge. A number of hematologic journals agreed to consider reviews of the book, and my colleagues were generous in offering to review it. However, I wanted my book to be read by people with cancer and their families: nearly all of us at some point in our lives. A digital marketing consultant helped me publicize the book on social media and construct a user-friendly Web site. I hope this reflection offers some encouragement for budding authors who are hematologists/oncologists. However, as all writers reading this will know, writing is a lonely pursuit; it is something you do on your own for long periods and you cannot be sure your work will ever see the light of day. One of the main ingredients is persistence; this is probably the main difference between people who finish books and those who do not. Of course there may be benefits to physicians from writing per se, even if it is never published, although most hematologists/oncologists I know are quite goal oriented. Was it all worthwhile? Yes, I think so. Writing about my career stirred up lots of memories and has been quite cathartic. Physicians often feel they have insufficient time to reflect on their practice. It made me reflect on my achievements and what I could have done better. Could I have worked harder for my patients (rarely) or thought of therapeutic interventions earlier (sometimes)? What about my professional relationships? In my efforts to do the best for my patients, was I sometimes too impatient (yes)? I hope the book inspires young people contemplating a career in hematology/oncology but also gives them a realistic idea of the commitment it requires; even relatively successful doctors encounter adversity. To all my hematologic/oncologic and transplant colleagues worldwide, if you think you have a book in you, find the time and the intellectual space, start writing but also get help. In telling the story of your patients you honor them; it is a very satisfying thing to do but there are risks. I have had lots of feedback from friends and colleagues, the great majority of it positive, but when my book was published, I prepared myself for more critical reviews. I learned a lot from writing Life Blood; at the end, I was a stronger, more secure writer and hematologist/oncologist, more confident that the story of my patients and career was worth telling and relevant to a wider audience. Dr. Mikkael Sekeres: Hello, and welcome to JCO's Cancer Stories: The Art of Oncology, which features essays and personal reflections from authors exploring their experience in the oncology field. I'm your host, Dr. Mikkael Sekeres. I'm Professor of Medicine and Chief of the Division of Hematology at the Sylvester Comprehensive Cancer Center, University of Miami. And what a pleasure it is today to be joined by Professor David Marks, a consultant at University Hospitals Bristol NHS Foundation Trust in the UK. In this episode, we will be discussing his Art of Oncology article, "Writing a Medical Memoir: Lessons from a Long, Steep Road." Our guest's disclosures will be linked in the transcript. David, welcome to our podcast, and thanks so much for joining us. Professor David Marks: Thank you very much for inviting me. It's a real honor. Dr. Mikkael Sekeres: David, I really enjoyed your piece. We've never had a "how to write a memoir" sort of piece in Art of Oncology, so it was a great opportunity. And, you know, I think 30 years ago, it was extraordinarily rare to have a doctor who also was a writer. It's become more common, and as we've grown, still among our elite core of doctor-writers, we've also birthed some folks who actually write in long form—actual books, like you did. Professor David Marks: I'd sort of become aware that I wasn't the only person doing this, that there were lots of people who liked creative writing, but they had difficulties sort of turning that into a product. This was the reason for sort of writing this. I'm hardly an expert; I've only written one book, but I sort of hope that my experiences might encourage others. Dr. Mikkael Sekeres: I think it's a terrific idea. And before we get started about the book, I, of course, know you because you and I run in some of the same academic circles, but I wonder if you could tell our listeners a little bit about yourself. Professor David Marks: So, I'm Australian. That's where I did my internal medical and hematology training in Melbourne. And then I did a PhD to do with acute lymphoblastic leukemia at the University of Melbourne. I then moved to London for three years to do some specialist training in bone marrow transplantation and some lab work, before spending three years in Philadelphia, where I did transplant, leukemia, and some more lab work. And then, mainly for family reasons, moved back to the UK to take up a post in Bristol. I have retired from patient-facing practice now, although I still give medical advice, and I'm doing some consulting for a CAR T-cell company based in LA. Dr. Mikkael Sekeres: Great. And can I ask you, what drew you to focus on treating people with leukemia and doing research in that area? Professor David Marks: I think leukemia is just such a compelling disease. From really the first patient I ever looked after, there was a person who is both life-threateningly ill, has had their life turned upside down. Yet, there is—increasingly now—there's an opportunity to cure them or, at the very least, prolong their life significantly. And also, its sort of proximity to scientific research—that was the attraction for me. Dr. Mikkael Sekeres: There is something compelling about cancer stories in general. I think we talk about the privilege of doing what we do, and I think part of that is being invited into people's lives at probably one of the most dramatic moments of those lives. We're, of course, unwelcome visitors; nobody wants a diagnosis of cancer and having to have that initial conversation with an oncologist. But I wonder if, as doctors and as writers, we feel compelled to share that story and really celebrate what our patients are going through. Professor David Marks: So, that absolutely is one of my main motivations. I thought- there aren't, to my mind, all that many books out there that sort of try and tell things from both the patient with leukemia's point of view and the doctors looking after them. And I thought that their stories should be told. It's such a dramatic and frightening time, but I think the struggles that people go through in dealing with this—I think this is something I sort of felt people should have the opportunity to learn about. Dr. Mikkael Sekeres: Yeah, we're really honoring our patients, aren't we? Professor David Marks: Absolutely. When you think of the patients you've looked after, their courage, their steadfastness in dealing with things, of just battling on when they're not well and they're scared of things like dying—you've just got to admire that. Dr. Mikkael Sekeres: Yeah, yeah. David, you have a tremendous number of academic publications and have been transformative in how we treat people who have acute lymphoblastic leukemia. How did you first get into writing narrative medicine? Professor David Marks: Although I have written quite a lot scientifically, although that is incredibly different to creative writing, some of the same sort of care that one needs with a scientific paper, you do need for creative writing. I always liked English at school, and, you know, even as a teenager, I wrote some, you know, some poetry; it frankly wasn't very good, but I had a go. I came to a point where I wanted to write about my patients and a bit about my career. I had trouble finding the time; I had trouble finding the sort of intellectual space. But then COVID and lockdown occurred, and, you know, all of us had a lot more time; you know, we weren't even allowed to leave the house apart from working. So, at that point, I started writing. Prior to that, though, I had sort of kept a notebook, a quite big notebook, about stories I wanted to tell and events in my career and life that I wanted to tell. So there was something of a starting point there to go from. But when I first started writing, I realized that I just didn't know enough about writing. I needed to learn the craft of writing, and so I also joined a couple of writing groups. Dr. Mikkael Sekeres: That's—I find that absolutely fascinating. I think there are a lot of people who want to write, and there are some who have the confidence to go ahead and start writing, right? Whether they know the craft or not. And there are others who pause and say, "Wait a second, I've done a lot of reading, I've done a lot of academic writing, but I'm not sure I know how to do this in a creative way." So, what was your first step? Professor David Marks: I had sort of notes on these stories I wanted to write, and I did just try and write the sort of two- to five-page story, but I then sort of realized that it was just—it just wasn't very good. And I needed to learn really all the basic things that writers need, like developing a plot, like giving hints of what's to come, using visual description. Those things are obviously completely different to scientific writing, and I—it was a bit like going back to school, really. Dr. Mikkael Sekeres: And how did you even find writing groups that were at the right level for someone who was starting on this journey? Professor David Marks: So, I got a recommendation of a sort of local group in Bristol and a very established sort of mentor who has actually mentored me, Alison Powell. But it is difficult because some people on the group had written and published a couple of books; they were way ahead of me. And some people were just really starting out. But there were enough people at my level to give me sort of useful criticism and feedback. But yes, finding the right writing group where there's a free interchange of ideas—that is difficult. And, of course, my—what I was writing about was pretty much different to what everybody else was writing about. Dr. Mikkael Sekeres: So, you joined a writing group that wasn't specific to people in healthcare? Professor David Marks: There was something at my hospital; it was a quite informal group that I joined, and that had a whole number of healthcare professionals, but that didn't keep going. So, I joined a group that was really a mixture of people writing memoirs and also some people writing fiction. And I actually found a lot of the things that people writing fiction write, I needed to learn. A lot of those skills still apply to a sort of non-fictional or semi-fiction book. Dr. Mikkael Sekeres: You write in your Art of Oncology piece—I think a very insightful portion of it—where you're identifying people who can give you feedback about your writing, and you're looking for honest feedback. Because there are a lot of people where you might show them a piece and they say, "Gee, this is David Marks, I better say something nice. I mean, it's David Marks after all.” Right? So, you don't want that sort of obsequiousness when you're handing over a piece of writing because you need truth to be told if it's compelling or if it's not compelling. How did you identify the people who could give you that honest feedback, but also people you trust? Because there are also people who might read a piece and might be jealous and say, "Gee, David's already going on this journey, and I wish I had done this years ago," and they might not give you the right kind of feedback. Professor David Marks: Yeah, I mean, one of the writing groups I joined, there was a sort of "no criticism, no negative criticism" rule, and I did not find that to be useful because I knew my writing, frankly, wasn't good enough. So, funnily enough, my wife—she's very lucky—she has this reading group that she's had for 25 years, and these are—they're all women of her age, and they are just big, big readers. And those were my principal beta readers. And I sort of know them, and they knew that I wanted direction about, you know, what was working and what was not working. And so they were fairly honest. If they liked something, they said it. And if there was a chapter they just didn't think worked, they told me. And I was really very grateful for that. The other thing I did at a sort of critical moment in the book, when I just thought I was not on track, is I sent it to a professional editor at Cornerstones. And that person I'd never met, so they had no—you know, they didn't need to sort of please me. And that review was very helpful. I didn't agree with all of it, but it was incredibly useful. Dr. Mikkael Sekeres: That's fascinating. So, I've submitted pieces in venues where people can post comments, and I always force myself to read the comments. And sometimes that hurts a little bit when you get some comments back and think, "Oh my word, I didn't mean that." Sometimes those comments illuminate things that you never intended for people to take away from the piece. And sometimes you get comments where people really like one aspect, and you didn't even know that would resonate with them. So, any comments you can think of that you got back where you thought, "Oh my word, I never intended that," or the opposite, where the comments were actually quite complimentary and you didn't anticipate it? Professor David Marks: I was reviewed by an independent reviewer for The Lancet Haematology. And you've read my book, so you sort of know that looking after people with leukemia, you do encounter quite a lot of people who die. And she sort of, almost as a criticism, said, "Professor David Marks seems to have encountered an extraordinary number of people who've died." And I thought—almost as a sort of criticism—and I thought, "I'm sort of sorry, but that's the area we occupy, unfortunately." There's lots of success, but there is, you know, sometimes we don't succeed. So I found that—I found that hard to read. But when you open yourself up as a writer, when you talk about your personal things, you've got to develop a bit of a thick skin. And I really haven't ego about my writing. I sort of still feel it's very much in its formative stages, so I'm quite open to criticism. Dr. Mikkael Sekeres: And were there comments that you got that were—you were pleasantly surprised that people liked one aspect of the book, and you didn't know it would really hit with them that way? Professor David Marks: I think they particularly liked the patient stories. There's one thing in the book about a young woman who has this amazing experience of being rescued by CAR T-cell therapy. This young lady's still alive. And that very much sort of captured the imagination of the readers. They really identified her and wanted to sort of know about her and, you know, was she still okay and so on. Dr. Mikkael Sekeres: I remember there was a piece I wrote, and included a patient, and it was an entree to write about a medical topic, and my editor got back to me and said, "What happened to the patient?" Right? People get invested in this. We've done this our entire careers for, for decades for some people who've been in the field for that long, and you forget that it's still a diagnosis, a disease that most people don't encounter in their lives, and they get invested in the patients we describe and are rooting for them and hope that they do okay. Professor David Marks: Yeah, I found people got very involved with the patients, and I've had actually several sort of inquiries; they want to know if the patients are still okay. And I think that I can definitely understand that from a sort of human level. Dr. Mikkael Sekeres: So, you wrote a memoir. How long did it take you? Professor David Marks: I suppose from the time I really started writing properly, I'd say about two and a half years. So, quite a long time. Dr. Mikkael Sekeres: Two and a half years. That can be daunting to some people. What advice would you give them if they're thinking about going down this path? Professor David Marks: I think it's a very rewarding thing to do. It is hard work, as you and I know, and it's sort of extra work. The only way to find out if you can do it is to try to do it. And try and find some time to do it, but get help. You know, seek the company of other people who are more experienced writers and sort of find a mentor. Somehow, you've got to, I guess, believe in yourself, really, and trust yourself that what you're writing about is worthwhile. And yeah, I don't know that I have specific advice for people about that aspect of things. Dr. Mikkael Sekeres: Well, I think that's a great place actually to end: to tell people to believe in themselves and trust in themselves. And I want to encourage everyone listening to this podcast to please check out Professor David Marks' book, Lifeblood: Tales of Leukemia Patients and Their Doctor. It's a terrific read. David, thank you so much for joining us today. Professor David Marks: Thanks very much, Mikkael. It's been a pleasure. Dr. Mikkael Sekeres: It's been delightful from my perspective. Until next time, thank you for listening to JCO's Cancer Stories: The Art of Oncology. Don't forget to give us a rating or review, and be sure to subscribe so you never miss an episode. You can find all of ASCO's shows at asco.org/podcasts. Until next time, thank you, everyone.   The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.   Show Notes: Like, share and subscribe so you never miss an episode and leave a rating or review. ADD URLhttps://ascopubs.org/journal/jco/cancer-stories-podcast Guest Bio: Professor David Marks is a consultant at University Hospitals Bristol NHS Foundation Trust in the UK.   Additional Reading: Life Blood: Stories of Leukaemia Patients and Their Doctor, by David Marks

Cela ressemble à une blague cruelle. Pourtant, c'est une histoire vraie, bien que surprenante. En Angleterre, certains patients souffrant d'obésité extrême ont été pris en charge… dans des établissements zoologiques. Pas pour être exposés comme des curiosités, bien sûr, mais pour une raison bien plus technique : l'incapacité du système de santé traditionnel à gérer des corps hors norme.L'histoire remonte à plusieurs années, mais elle continue de faire parler. Dans certains cas extrêmes, le National Health Service (NHS), le système de santé public britannique, a dû solliciter l'aide de zoos ou de cliniques vétérinaires spécialisées pour réaliser des examens médicaux sur des personnes en situation d'obésité morbide. Pourquoi ? Tout simplement parce que les équipements classiques — scanners, tables d'opération, brancards — ne supportaient pas leur poids ou leur taille.Dans un rapport rendu public par les autorités sanitaires britanniques, on apprend que des scanners vétérinaires conçus pour des animaux de plusieurs centaines de kilos ont été utilisés pour permettre des examens chez certains patients obèses. Dans un zoo du sud de l'Angleterre, un scanner normalement réservé aux rhinocéros et aux ours a ainsi servi à imager le corps d'un patient humain, pour la bonne et simple raison que l'appareil était le seul à pouvoir accueillir sa corpulence.Ce recours aux zoos n'est évidemment pas une solution banale ni souhaitée. Il met en lumière un malaise plus profond : celui d'un système de santé dépassé par l'évolution rapide des besoins liés à l'obésité. Aujourd'hui, au Royaume-Uni, près d'un adulte sur trois est obèse. Pour les cas les plus sévères, les conséquences médicales sont multiples : hypertension, diabète, apnée du sommeil, maladies cardiovasculaires… Et pourtant, ces patients sont parfois littéralement hors des normes prévues par les hôpitaux.Dans certains hôpitaux anglais, le personnel a même dû faire appel à des équipes de secours spécialisées pour déplacer des patients très obèses, avec des engins utilisés d'ordinaire… pour déplacer des chevaux ou des vaches.Face à cette réalité, certains établissements hospitaliers britanniques ont commencé à s'adapter. On voit apparaître des unités "bariatriques" équipées de lits renforcés, de fauteuils XXL, de toilettes adaptées, et surtout, de machines capables d'accueillir des patients pesant jusqu'à 350 kilos. Mais cela reste coûteux, lent à se généraliser… et encore trop rare.L'image du patient humain transporté dans un zoo pour passer un scanner reste marquante. Elle choque, elle amuse parfois, mais elle révèle surtout un déséquilibre : notre système de santé est encore trop souvent conçu pour des corps "moyens", alors que la réalité démographique évolue rapidement.Alors, oui, certains patients britanniques ont été soignés au zoo. Pas par mépris, ni par manque d'humanité, mais parce que la médecine moderne a parfois besoin… de s'agrandir un peu. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

This week on The Genetics Podcast, Patrick is joined by Raghib Ali, CEO, CMO, and Principal Investigator of Our Future Health UK. As a clinical epidemiologist with a passion for reducing health inequalities, Raghib offers fresh insights into the priorities, challenges, and transformative impact of the groundbreaking genomics initiative, Our Future Health. Show Notes: 0:00 Intro to The Genetics Podcast01:00 Welcome to Raghib and background on Our Future Health (OFH)03:57 Diseases that are a priority for OFH or are likely to benefit from its impact06:07 Challenges and opportunities for implementing change in the National Health Service (NHS), a partner of OFH, based on study findings09:20 Factors that contributed to the rapid recruitment of participants to OFH14:12 Efforts to ensure diversity of OFH participants and facilitate accessibility for all16:35 Why OFH chose to use arrays for genomic profiling18:57 Navigating the obstacles and opportunities in public and private partners22:28 Strengths and weaknesses of the medical record system in the UK 25:54 Efforts to rapidly provide results from OFH and integrating other datasets and techniques in the future28:43 Raghib's unique educational and training journey 31:49 The importance of evaluating components beyond genetics for a full picture of health33:28 Aims and findings of the first prospective cohort study in the UAE35:26 The potential contribution of epigenetic inheritance to disease risk 37:43 How Raghib overcame adversity early in life40:56 Closing remarks Find out moreOur Future Health (https://ourfuturehealth.org.uk/)Please consider rating and reviewing us on your chosen podcast listening platform! https://drive.google.com/file/d/1Bp2_wVNSzntTs_zuoizU8bX1dvao4jfj/view?usp=share_link

EP-119 Scientific Approach Needed - Gender-Affirming Care Highlighting the UK's NHS Cass Review on gender-affirming care with a focus on the often cited “suicide ideation” propaganda in Washington State politics. Beginning in 2020 the National Health Service (NHS) in England commissioned a comprehensive multi-year review of gender-affirming care for children and adolescents. The scientific review, published in 2024, was a complete rebuke of the prevailing approach to gender-affirming care in the UK. As a result of the review, the UK medical establishment and policy makers changed their approach to treatment for gender dysphoria in youth. Despite the updated science, activists and policymakers in Washington State continue to use emotional propaganda and pseudoscience to guide their campaigns and legislation. The science has been reviewed. We must change our ways. “She blinded me with science!” - Thomas Dolby ‧ 1982 Information war “Save the children” has been a manipulative political ploy for decades. Both major political parties have used it as a vehicle for inserting ideology into policy. It may seem trite from an experienced lens of political analysis, but the effectiveness proves its longevity as a tactic. There is a pernicious use of junk science fueling political propaganda regarding “youth gender care” in our society. The “save the children” slogan has been tied into a gordian knot of misinformation. The claims of science are used to tighten this twisted knot weaving through our community. It's often hard to know who to trust when information outlets contradict each other with claims of factual science: “Not that science, this science. Not this science, that science.” How do parents and community members inform themselves when the information space is littered with manipulation and a constant barrage of conflicting data sets? How are they to participate when each extreme faction emotionally invokes the language of “save the children” at every turn? In the end, the very object of manipulation must be the guiding light forging a path forward to truth and reason - science. Pseudoscience, popularized through political propaganda, states that youth gender-affirming care is necessary to combat teen suicide rates. This basic emotional plea invokes the time-honored manipulation of the “save the children” mantra. But the NHS Review debunked the pseudoscience; and it presented a peer-reviewed scientific assessment of youth gender-affirming care and the holistic issue of gender dysphoria. National Health Service Commissioned Cass Review The Cass Review was an independent review of the UK's NHS gender identity services for children and young people. The scientific endeavor culminated with a lengthy 388-page review led by Dr Hilary Cass. The mission for the Cass Review as stated in the document: “The Review was commissioned by NHS England to make recommendations on how to improve NHS gender identity services, and ensure that children and young people who are questioning their gender identity or experiencing gender dysphoria receive a high standard of care, that meets their needs, is safe, holistic and effective.” Trust the Science! Advocates for gender-affirming care often cite research to support their stance that such interventions, including puberty blockers and hormone treatments, are crucial in reducing suicide risk among transgender youth. The often-quoted study is titled “Pubertal Suppression for Transgender Youth and Risk of Suicidal Ideation.” This study suggested that transgender and gender non-conforming youth who received puberty blockers exhibited lower rates of suicidal ideation compared to those who did not. However, the Cass Review highlights a significant methodological flaw in the study: The study did not adequately account for the underlying mental health conditions of the participants. This oversight could lead to a false correlation between the treatment and reduced suicide ideation. Other factors or concurrent treatments might be affecting the outcomes. The Cass Review notes that many studies, including this one, fail to control for these psychiatric comorbidities, which are known to influence suicide risk independently of gender dysphoria. The Cass Review delves into the actual data concerning suicide risks among transgender youth, offering a more nuanced perspective. It points out that while there is a narrative suggesting an elevated suicide risk specifically due to gender dysphoria, the evidence does not support such a direct causation. Instead, the review finds that: "Suicide risk appears to be comparable to other young people with a similar range of mental health and psychosocial challenges." (page 186). This suggests that the increased risk of suicide in transgender youth might be more aligned with the general profile of mental health issues rather than solely due to gender dysphoria. The review underscores that studies reporting reduced suicidality with gender-affirming treatments often had significant methodological limitations, such as small sample sizes, lack of long-term follow-up, and absence of controls for concurrent mental health treatments. Quality of Evidence: The review found that only 2% of the studies examined were of high quality, with the majority suffering from issues like selection bias, lack of control groups, and inadequate statistical analysis. This has led to an overemphasis on potentially misleading results. Longitudinal Data: There's a stark absence of long-term follow-up data for those who have undergone gender-affirming treatments. This lack of data makes it impossible to assess the actual impact on mental health outcomes and suicide risk associated with gender-affirming medical treatments. Psychosocial Interventions: The review notes that while there's a focus on medical interventions like puberty blockers, psychosocial interventions, which have a robust evidence base for treating mental health in general adolescent populations, are often overlooked or underutilized in this cohort. Scientific Recommendations Given the findings, the Cass Review offers several recommendations to address the care of transgender youth more holistically and scientifically: Evidence-Based Approach: There is a call for more robust, long-term studies that can accurately assess the benefits and risks of all types of interventions for gender dysphoria, including but not limited to medical treatments. Comprehensive Care: The review recommends a shift towards a model of care that includes broader mental health support, acknowledging that gender dysphoria often coexists with other mental health issues that require attention. Research and Monitoring: Establishing a research program to monitor outcomes of transgender care, ensuring that interventions are based on high-quality evidence rather than anecdotal or poorly supported claims. Professional Training: Enhancing the skills of professionals in this field to deal with the complexity of gender dysphoria within the context of adolescence and mental health. Science Wins Last year, the NHS in England did a complete about-face regarding gender-affirming care and the way children and adolescents are treated for gender dysphoria. The Cass Review discovered that established policies and guidelines were developed from pseudoscience that created fear bias based on child suicide ideation and ignored fundamental underlying factors associated with gender confusion. By debunking flawed research and highlighting the lack of high-quality evidence, the Cass Review challenges the narrative that has driven much of the policy and public discourse on transgender youth care. However, Washington State policymakers remain in a blindfolded bubble of ignorance regarding the science associated with gender dysphoria. While the Cass Review suggests a scientific, evidence-based approach, urging caution against rushing to medical interventions without considering the full spectrum of an individual's mental health needs, Washington State political leaders have rushed to protect a mill of treatments and policies steeped in misinformation. The scientific recommendations by the Cass Review not only promise better outcomes for transgender youth, but also align with ethical medical practices that prioritize long-term well-being over short-term relief or ideological pressures. The UK has changed direction as a result of the scientific Cass Review. Washington State Democrat policymakers must adhere to their sloganeering to “trust the science.” A clear-eyed reassessment of the basic care for children and adolescents afflicted with gender dysphoria must be undertaken. Yes. This all must occur in Washington State to …. “Save the Children.” Outro Music Credit - Boomcrickets 2001 - Vancouver Washington

The UK's National Health Service (NHS) is set to initiate the world's largest trial of AI-assisted breast cancer screening, aiming to improve diagnostic accuracy and reduce waiting times for patients.What this means: If successful, this could revolutionize breast cancer detection, leading to earlier diagnoses, better patient outcomes, and a global shift toward AI-driven healthcare solutions. [Listen] Reference: https://www.theguardian.com/society/2025/feb/04/nhs-to-launch-worlds-biggest-trial-of-ai-breast-cancer-diagnosis

Having ADD or ADHD is a gift, not a curse. Hear from people all around the globe, from every walk of life, in every profession, from Rock Stars to CEOs, from Teachers to Politicians, who have learned how to unlock the gifts of their ADD and ADHD diagnosis, and use it to their personal and professional advantage, to build businesses, become millionaires, or simply better their lives. Our guest today is Cat Duval. Cat is a transformational coach, speaker, and founder of Nine Lives Yoga, specializing in helping neurodiverse entrepreneurs—especially ADHDpreneurs—overcome burnout and thrive. With over a decade of experience and a global reach of 25,000 clients in 11 countries, Cat integrates neuroscience, mindfulness, and yoga philosophy to empower individuals to unlock their potential. Her signature 4 Pillars of Happiness framework—Peace, Purpose, Power, and Play—guides clients to create routines that prioritize well-being, growth, and connection. Cat's work has supported progressive business owners and blue chip companies like Microsoft, Unilever, and the National Health Service (NHS.) Her latest project, ADHDpreneurs, is geared towards spreading the practices to boldly go from flux to flow, no matter your stage of business.  [You are now safely here] 00:40 - Thank you for listening and for subscribing!! 01:03 - Introducing and welcoming Cat Duval!  01:52 - Cat's story and how she ended up working with ADHDers. 03:45 - Using yoga to slow down with ADHD.  06:03 - Finding mental balance through flow states.  10:03 - Visualization and how Cat discovered yoga. 12:53 - Connecting with Cat and accessing her exclusive Flow Hacks Action Pack for Faster Than Normal Listeners.  13:36 - Thanks so much for listening to Faster Than Normal. Please join us again very soon! Connect with Cat Website: www.catduval.co.uk Facebook: Cat Duval Instagram: @cat.duval YouTube: @CatDuvalNineLivesYoga LinkedIn: Cat Duval Get access to Cat's Flow Hacks Action Pack created just for Father Than Normal Listeners here!  Know anyone doing wonderful things with #ADHD? We would love to have them on and listen to how they are using their #neurodiversity to their advantage. Shoot me an email and we will get them booked! My link tree is here if you're looking for something specific. https://linktr.ee/petershankman  

Explore the dire state of the UK's National Health Service (NHS) in our latest podcast episode. Delve into the heart of the crisis with episodes that dissect the funding shortages, staffing crises, and the overwhelming demand that has left patients waiting for care. We bring you firsthand accounts from healthcare workers, analyses from policy experts, and testimonies from those directly affected by the system's shortcomings. This series uncovers the truth behind long waiting lists, the impact of underfunding, and the urgent need for systemic reform. Tune in to understand why the NHS is teetering on the brink and what might be done to save it. Join us for an unflinching look at one of Britain's most cherished institutions, now facing its greatest challenge yet.Become a supporter of this podcast: https://www.spreaker.com/podcast/mark-and-pete--1245374/support.

In this episode in our 'Thriving at Work' series, Richard is joined by Hazel Anderson-Turner for a discussion all about burnout. Hazel describes what prompted her to write a book on the topic, as well as her significant experience coaching and training professionals on how to avoid burnout in the UK's National Health Service (NHS). Richard and Hazel discuss the benefits of using Acceptance and Commitment Coaching methods, the futility of self-blame when it comes to burnout, the key role that organisational context plays and what Hazel hopes readers will take away from her book. Do get in touch with your questions and comments - you can email us at 'podcast at worklifepsych dot com' or join the online discussion on our Community at worklifepsych.club. As ever, thanks for listening! Resources for this episode Our Psychological Flexibility hub, where you can learn all about ACT: https://www.worklifepsych.com/psychologicalflexibility Hazel's book is called 'Coaching through Burnout' and you can order it here: https://www.waterstones.com/book/coaching-through-burnout/hazel-anderson-turner/joe-oliver/9781916529380  Hazel's LinkedIn profile is here: https://www.linkedin.com/in/hazel-anderson-turner/ Our 'Thriving at Work' hub: https://www.worklifepsych.com/thrivingatwork 

How can healthcare systems worldwide overcome workforce challenges while adapting to shifting demographics, advancing technologies, and evolving patient expectations? In this episode, Dr. Navina Evans, the Chief Workforce, Training, and Education Officer at the new NHS England, discusses the challenges and evolution of workforce planning in the National Health Service (NHS) amid global pressures on healthcare systems. She highlights the importance of addressing workforce recruitment, retention, and reform to ensure sustainability, emphasizing the need for flexible career pathways and adaptability to changing demographics and technological advancements. Dr. Evans outlines the NHS's focus on multi-professional training, prevention, and addressing health inequalities while balancing the need for specialized and generalist skills. She also notes the importance of creating a workforce that reflects the evolving needs of patients, integrating community-based care, and leveraging advancements in AI and remote technologies. To meet future demands, she stresses the value of a dynamic, long-term workforce plan that adapts continuously to shifts in population needs and healthcare innovations. Tune in and learn about the future of healthcare workforce planning, uncovering innovative strategies to tackle burnout, boost retention, and meet the changing needs of patients and providers alike! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

A new research group designed to advance AI accountability research has launched at Trinity College Dublin. The AI Accountability Lab (AIAL) will be led by Dr Abeba Birhane, Research Fellow in the ADAPT Research Ireland Centre at the School of Computer Science and Statistics in Trinity. It will focus on critical issues across broad topics, such as the examination of opaque technological ecologies and the execution of audits on specific models and training datasets. As AI technologies continue to shape society, the AIAL will examine their broader impacts and hold powerful entities accountable for technological harms, advocating for policies rooted in evidence. Research will specifically address potential corporate capture of current regulatory processes, outline justice-driven model evaluation, as well as audits of deployed models, specifically those used on vulnerable groups. Speaking about the work of the AIAL, Dr Birhane said: "The AI Accountability Lab aims to foster transparency and accountability in the development and use of AI systems. And we have a broad and comprehensive view of AI accountability. This includes better understanding and critical scrutiny of the wider AI ecology - for example, via systematic studies of possible corporate capture, to the evaluation of specific AI models, tools, and training datasets." The AIAL is supported by a grant of just under €1.5 million from three groups: the AI Collaborative, an Initiative of the Omidyar Group; Luminate; and the John D. and Catherine T. MacArthur Foundation. AI technologies, despite their supposed potential, have been shown to encode and exacerbate existing societal norms and inequalities, disproportionately affecting vulnerable groups. In sectors such as healthcare, education, and law enforcement, deployment of AI technologies without thorough evaluation can not only have nuanced but catastrophic impact on individuals and groups but can also alter social fabrics. For example, in healthcare, a liver allocation algorithm used by the UK's National Health Service (NHS) has been found to discriminate by age. No matter how iIl, patients under the age of 45 seem currently unable to receive a transplant, due to the predictive logic underlying the algorithm. Additionally, incorporating AI algorithms without proper evaluation has a direct or implicit impact on people. For example, a decision support algorithm used by the Danish child protection services to aid child protection deployed without formal evaluation has been found to suffer from numerous issues, including information leakage, inconsistent risk scores, and age-based discrimination. Furthermore, errors in facial recognition technologies have led to misidentification and the arrest of innocent people in the UK and the US. In education, the use of student data for purposes beyond schooling drew criticism in the UK. Secret agreements allowing authorities to monitor benefit claims raised fears of increased surveillance, eroding public trust in technology, and disproportionate targeting of low-income families (source Schools Week). These few examples illustrate the need for transparency, accountability, and robust oversight of AI systems, which are central topics the AI Accountability Lab seeks to address through research and evidence-driven policy advocacy. The AIAL will be housed in the School of Computer Science and Statistics at Trinity. Professor Gregory O'Hare, Professor of Artificial Intelligence and Head of School of Computer Science & Statistics at Trinity, said: "The new dawn of AI associated with generative AI has heralded a velocity of AI adoption hitherto fore not witnessed. The provenance of such systems is however fundamental. The AI Accountability Lab will be at the forefront of research that will examine such systems; through algorithmic auditability it will create a National and European Centre of Excellence in this space, delivering thought leadership and informing best practice." Professor John...

In this episode, Ellie from the United Kingdom and National Health Service (NHS) shares her lived experience of atypical severe self-injury while participating in a psychiatric inpatient stay for an acute increase in severity of eating disorder symptoms. She discusses how she has used her experiences as a patient and recipient of mental healthcare in the UK to bring about systemic change, participate as a co-producer and research, and advocate for those with lived experience of nonsuicidal self-injury (NSSI) and self-harm.  While participating in our interview while in inpatient care, we invite her live-in care provider (i.e., carer), Shami, to join our conversation and offer her own insights.Connect with Ellie on LinkedIn here and on Twitter/X @EllieWildbore or @elliewildbore.bsky.social.  Visit her blog at https://balancingontheborderline.home.blog/. Here are two links to Ellie being interviewed about lived experience research and her work on YouTube with the Mental Elf: https://youtu.be/HezHKYrF7zM and https://youtu.be/IA91M6fGaQo. Read the pre-print of her article referenced in this episode available for free here. Learn more about Atypical Severe Self-Injury by listening to our episode with Dr. Barry Walsh on the topic from Season 1 here. Want to have a bigger role on the podcast?:Should you or someone you know be interviewed on the podcast? We want to know! Please fill out this Google doc form, and we will be in touch with more details if it's a good fit.Want to hear your question and have it answered on the podcast? Please send an audio clip of your question (60 seconds or less) to @DocWesters on Instagram or Twitter/X, or email us at thepsychologyofselfinjury@gmail.comWant to be involved in research? Send us a message at thepsychologyofselfinjury@gmail.com and we will see if we can match you to an active study.Want to interact with us through comments and polls? You can on Spotify!Follow Dr. Westers on Instagram and Twitter/X (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter/X (@ITripleS).The Psychology of Self-Injury podcast has been rated as one of the "10 Best Self Harm Podcasts" and "20 Best Clinical Psychology Podcasts" by Feedspot  and one of the Top 100 Psychology Podcasts by Goodpods. It has also been featured in Audible's "Best Mental Health Podcasts to Defy Stigma and Begin to Heal." Goodpods Top 100 Parents Podcasts Listen now to The Psychology of Self-Injury: ExploringSelf-Harm & Mental Health podcast Goodpods Top 100 Research Podcasts Listen now to The Psychology of Self-Injury: ExploringSelf-Harm & Mental Health podcast 

Ever wondered how healthcare systems shape public health across the globe? Join us as we welcome back Dr. Natalie Grinvalds, an expert with firsthand experience in both the American and UK healthcare systems, for a compelling exploration of their structural differences. Natalie, with her unique journey from the U.S. to England, shares invaluable insights into how exercise professionals can bridge the gap between medical care and wellness, offering a holistic approach that could transform health outcomes. This episode promises to unravel the contrasts between a privatized, for-profit model and a universal, tax-funded healthcare system.Our discussion takes a deep dive into the heart of the UK's National Health Service (NHS), tracing its evolution and examining the pressing challenges it faces today. From long wait times exacerbated by the COVID-19 pandemic to the urgent need for digital transformation, we explore how the NHS is adapting to meet modern demands. We also spotlight the vital role fitness professionals could play in this landscape, supporting the shift towards community care and prevention—key elements in achieving broader public health goals.Finally, we tackle the economic and social impacts of physical inactivity in both the United States and the United Kingdom, highlighting innovative solutions like the UK's exercise referral schemes. Dr. Grinvalds offers inspiring examples of collaboration between allied healthcare professionals, emphasizing the potential for lifestyle medicine to revolutionize our approach to wellness. By examining the strengths of each system, we uncover opportunities for mutual learning and improvement, paving the way for a future where integrated healthcare is not just a goal, but a reality.Show Notes Page: https://wellnessparadoxpod.com/episode136Our Guest: Dr. Natalie Grinvalds, PhDDr. Grinvalds currently works as a Research Associate with Sheffield Hallam University Advanced Wellbeing Research Centre (AWRC) on a one-year project focused understanding the lifestyle support needs (including physical activity, nutrition, and psychological support) people living with metastatic breast cancer. In this role, she utilizes a range of skills that include research methods, stakeholder engagement, leadership, project management, relationship building and topical expertise in physical activity, nutrition, health, and wellbeing.Her qualifications include a PhD in Physical Activity, Health and Wellbeing, an MPH in Behavioural, Social and Community Health and a BSc in Applied Health Sciences, Public Health, and Nutrition Science. Dr. Grinvalds runs her own business, Resilience Fitness + Wellbeing, focused on fitness instruction, workplace wellbeing and health coaching. Her aim is to help people build resilience through physical activity and develop and maintain healthy lifestyle behaviours.Follow us on social at the links below: https://www.facebook.com/wellnessparadox https://www.instagram.com/wellnessparadox/ https://www.linkedin.com/company/wellness-paradox-podcast https://twitter.com/WellnessParadox

Imagine if the UK's National Health Service (NHS) could save billions of pounds simply by changing what patients eat. Dr. Shireen Kassam, a renowned consultant hematologist, is on a mission to make this a reality. As a featured guest on the NHA Health Science Podcast, hosted by Dr. Frank Sabatino, she discusses her ongoing efforts to revolutionize healthcare in the UK by advocating for plant-based nutrition and lifestyle medicine. Pushing for Change in the NHS: A Tough Road Ahead In 2022, Dr. Kassam made headlines when she argued for integrating plant-based lifestyle medicine into the NHS. The potential impact? A massive reduction in healthcare costs and a healthier population. But influencing a system as large and complex as the NHS is no small feat. “We try to get the message out, but it's tough to reach the people in power,” Dr. Kassam explains. “It's about starting grassroots movements, building awareness, and slowly turning the tide.” Despite the challenges, her nonprofit organization, Plant-Based Health Professionals UK, is pushing forward, spreading the message of how plant-based diets can prevent and reverse chronic diseases. A Bold New Campaign: Plants First Healthcare One of the most exciting initiatives Dr. Kassam is leading the Plants First Healthcare campaign that launched to coincide with World Food Day. This groundbreaking campaign aims to make plant-based meals the default in UK healthcare institutions. It's inspired by the success of New York City hospitals, which have already adopted greener, plant-based menus. The campaign includes a detailed policy report from the UK Health Alliance on Climate Change and an open letter to all healthcare institutions in the UK. Dr. Kassam hopes to spark meaningful changes that will improve patient outcomes and reduce the environmental impact of the healthcare system. Full post: www.HealthScience.org/106-Dr-Shireen-Kassam 

In this interview for MIA Radio, Brooke Siem speaks with David Taylor and Mark Horowitz about their publication of the Maudsley Deprescribing Guidelines, which is of particular note since the Maudsley Prescribing Guidelines is a leading text in medicine worldwide. David Taylor is the Director of Pharmacy and Pathology at Maudsley Hospital and a Professor of Psychopharmacology at King's College in London. He is also the editor-in-chief of the journal Therapeutic Advances in Psychopharmacology. Beyond academia, he contributes significantly to public health policy as a member of the United Kingdom's Department of Transport expert panel that introduced drug-driving regulations. He is also a current member of the UK government's Advisory Council on the Misuse of Drugs and is the only pharmacist to have been made an honorary fellow of the Royal College of Psychiatrists. David is the lead author of the Maudsley Prescribing Guidelines, a role he has held since their inception in 1993. The Maudsley Prescribing Guidelines have achieved significant success, with over 300,000 copies sold across 14 editions and translations into 12 languages. David has also authored 450 clinical papers published in prominent journals such as The Lancet, BMJ, British Journal of Psychiatry, and Journal of Clinical Psychiatry. His work has been cited over 25,000 times. Mark Horowitz is a clinical research fellow in psychiatry at the National Health Service (NHS) in London. He is a Visiting Lecturer in Psychopharmacology at King's College London and an Honorary Clinical Research Fellow at University College London, in addition to being a trainee psychiatrist. Mark holds a PhD from the Institute of Psychiatry, Psychology, and Neuroscience at King's College London, specializing in the neurobiology of depression and antidepressant action. He is the lead author of the Maudsley Deprescribing Guidelines and an associate editor of Therapeutic Advances in Psychopharmacology. Mark co-authored the recent Royal College of Psychiatry's guidance on stopping antidepressants, and his work has informed the recent NICE guidelines on the safe tapering of psychiatric medications, including antidepressants, benzodiazepines, and z-drugs. He has collaborated with the NHS to develop national guidance for safe deprescribing for clinicians and has been commissioned by Health Education England to prepare a teaching module on how to safely stop antidepressants. Mark has published several papers on safe approaches to tapering psychiatric medications, with contributions in The Lancet Psychiatry, JAMA Psychiatry, and Schizophrenia Bulletin. His interest lies in rational psychopharmacology and the deprescribing of psychiatric medications, which is deeply informed by his personal experiences of the challenges associated with coming off psychiatric medications. *** Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow. https://www.madinamerica.com/donate/ To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850 © Mad in America 2024. Produced by James Moore https://www.jmaudio.org

Today, I am joined by doctors Daisy Lund and Clare Day. Drs Lund and Day are two plant-based health professionals working as Family Physicians within the National Health Service ( NHS) in London, UK. They have their own podcast with the aim to improve nutritional education about the benefits of a whole-foods plant based diet for individual and planetary health. Dr Day has worked as an NHS General Practitioner ( Family Medicine Physician) in a range of settings including community and prison healthcare, having qualified as a doctor in 2011.  Prior to studying Graduate Medicine she studied Science Communication and Policy, joined the Civil Service and worked at HM Treasury as a Policy Advisor.  She has been vegan for a number of years and is convinced of the benefits for long term health of eating whole food plant based. Explanations of how dietary change can help long term conditions is something she tries to put at the very centre of consultations with curious patients. She also does plant-based teaching for trainee GPs and colleagues. Like the rest of us she is learning everyday about food and health, and most importantly the barriers to change for individuals.  Dr Lund is a practising General Practitioner ( Family Medicine Physician) with over 20 years' experience of working in the NHS. She is a GP trainer and medical educator at Imperial College in London, UK. Dr Lund has an interest in preventative medicine and holistic health and incorporates diet and lifestyle into her consultations. She has completed the Plant-Based Nutrition Certificate at the University of Winchester and is passionate about nutrition education for health care professionals. Together with a GP colleague, Dr Claire Day, she co-hosts ‘In a Nutshell' the Plant Based Health Professionals UK podcast. Check out the podcast In a Nutshell here: https://linktr.ee/inanutshellpodcast Find out more about the work of The Plant- Based Health Professionals UK here : https://plantbasedhealthprofessionals.com/ Mentioned in this episode: Vivisection: https://aavs.org/animals-science/ Animal Liberation - Peter Singer: https://www.petersinger.info/ Check out Peter Singer on Did You Bring the Hummus: https://www.didyoubringthehummus.com/podcast/episode/326036f1/episode-75-animal-liberation-now-with-philosopher-peter-singer Melanie Joy: https://www.melaniejoy.org/ The Game Changers film: https://gamechangersmovie.com/ What the Health film: https://www.whatthehealthfilm.com/ Eating You Alive film: https://www.eatingyoualive.com/ Dr. Ron Weiss - Ethos Primary Care: https://www.ethosprimarycare.com/ To connect with me:Follow me on Facebook and Instagram @didyoubringthehummus For more info on my Public Speaking for Activists 101 program: ⁠https://www.didyoubringthehummus.com/publicspeakingforactivists⁠ Contact me here or send me an email at info@didyoubringthehummus.com Join my mailing list and get 3 free recipes just for signing up! https://www.didyoubringthehummus.com/3recipepdf Join my Podcast Fan Facebook Group: https://www.facebook.com/groups/didyoubringthehummus/ Book a free 30 minute call with me: https://www.didyoubringthehummus.com/book-online To be a guest on the podcast: https://www.didyoubringthehummus.com/beaguest ©2024 Kimberly Winters - Did You Bring the Hummus LLC Theme Song ©2020 JP Winters ⁠@musicbyjpw⁠ --- Send in a voice message: https://podcasters.spotify.com/pod/show/kimberly-winters/message

Mike is a dietitian who has been living in the UK since 2014. His current job title is Advanced Specialist Dietitian. He has a background in sports science. In the fourth quarter of 2020, Mike adopted a carnivore diet. Prior to that, he was obese, pre-diabetic, had irritable bowel syndrome (IBS), and was taking selective serotonin reuptake inhibitors (SSRIs). By following a very low-carb carnivore diet, he was able to reverse all of those health issues. Mike currently works for the National Health Service (NHS), where he helps people put their diabetes, polycystic ovary syndrome (PCOS), obesity, and gastrointestinal issues into remission. He primarily uses variations of low-carb diets to achieve these results. Twitter: @thelowcarb_rd Timestamps: 00:00 Trailer. 00:44 Introduction. 03:31 Shifted to carnivore diet due to health. 07:08 Dietitian guidelines, script, NHS divided into teams. 11:23 Advocating low-carb diets for optimal athletic performance. 15:21 Two universities delaying research; ketogenic diet study. 17:38 Saturated fat and cardiovascular health: 10% guideline. 19:31 Low-carb diets improve health and weight. 23:15 Research on human lungs and saturated fat. 27:28 Debunking weight loss myth in Crohn's disease. 29:52 IBS growing problem, especially in children. 30:54 Patients and doctors debate the impact of diet. 35:07 Desire to maintain status quo for financial benefit. 37:13 Doctor saves money with low-carb diabetes diet. 41:38 Manual from 1912 discusses dieting practices. 45:31 Study findings show 30% tire weight loss. 46:56 Pharmaceutical industry promotes drugs over lifestyle intervention. 49:09 Where to find Mike. See open positions at Revero: https://jobs.lever.co/Revero/ Join Carnivore Diet for a free 30 day trial: https://carnivore.diet/join/ Carnivore Shirts: https://merch.carnivore.diet Subscribe to our Newsletter: https://carnivore.diet/subscribe/ . ‪#revero #shawnbaker #Carnivorediet #MeatHeals #HealthCreation   #humanfood #AnimalBased #ZeroCarb #DietCoach  #FatAdapted #Carnivore #sugarfree  ‪

Yes, the elite and ruling class predators, as they have done during COVID and are continuing to do more vigorously with the genetic jabs, want to kill people worldwide. They especially want to eliminate citizens of the constitutional democracies that stand in the way of their dominating the world.   Involuntary “euthanasia” (murder) has become one of the numerous strategies for crushing and killing us. By killing older people, they also cull the population, getting rid of “unproductive” or “useless” citizens, in the style of many modern dictators, from Hitler and Stalin to Mao and Xi Jinping, and on to Bill Gates, the global cabal that supports population control.   During COVID in Great Britain, under orders from the National Health Service (NHS) and the British government, special protocols during COVID gave Do Not Resuscitate orders (DNR) to every patient entering care homes. The government also gave so-called treatment protocols to these patients with the short-acting benzodiazepine midazolam, combined with morphine — a deadly combination that suppresses breathing and causes death. They gave the combo in sufficient strength to kill otherwise healthy people — and hundreds of thousands of died in the British care homes.   Jacqui Deevoy, a British journalist, is our highly articulate and scrupulously accurate guest who addresses these issues. The comparison with the mass murder in U.S. nursing homes, especially those in progressive states, is eerie and enlightening. Using COVID as a justification for the deadly jabs and for systematic murder are global strategies. Hearing our British journalist guest address euthanasia reminds us that these strategies are indeed global.   We conclude with a discussion of how murderous human leadership has been since the dawn of civilization as people with violent intentions toward other people began taking over villages, tribes, nations, and empires — killing hundreds of millions along the way. The growing power of the global predators is enabling them, our latest bloodthirsty leaders, to begin imposing a new wave of mass murder on humanity.   Jacqui Deevoy has two films out about medicalized murder and related issues, “A Good Death?” (2021) and  “Playing God” (April 2024).       Learn more about Dr. Peter Breggin's work: https://breggin.com/   See more from Dr. Breggin's long history of being a reformer in psychiatry: https://breggin.com/Psychiatry-as-an-Instrument-of-Social-and-Political-Control   Psychiatric Drug Withdrawal, the how-to manual @ https://breggin.com/a-guide-for-prescribers-therapists-patients-and-their-families/   Get a copy of Dr. Breggin's latest book: WHO ARE THE “THEY” - THESE GLOBAL PREDATORS? WHAT ARE THEIR MOTIVES AND THEIR PLANS FOR US? HOW CAN WE DEFEND AGAINST THEM? Covid-19 and the Global Predators: We are the Prey Get a copy: https://www.wearetheprey.com/   “No other book so comprehensively covers the details of COVID-19 criminal conduct as well as its origins in a network of global predators seeking wealth and power at the expense of human freedom and prosperity, under cover of false public health policies.”   ~ Robert F Kennedy, Jr Author of #1 bestseller The Real Anthony Fauci and Founder, Chairman and Chief Legal Counsel for Children's Health Defense.

This episode delves into the challenges faced by healthcare professionals within the UK's National Health Service (NHS), focusing on the inflexibility of training pathways. The paper uncovers themes of rigid career advancement, limited work-life balance, and systemic barriers hindering diversity. By offering real-world perspectives, it sheds light on the urgent need for reform in medical education to foster inclusivity and adaptability.You will not only gain a deeper understanding of the complexities within the healthcare system and be inspired to advocate for change but also gotten a thorugh recap on Conceptual and Theoretical Framework. Episode Host Lara VarpioEpisode notes is to be found on our websiteArticle discussed todayChekar CK, Brewster L, Lambert M, Patel T. Gender, flexibility and workforce in the NHS: A qualitative study. Int J Health Plann Manage. 2024 Feb 7. doi: 10.1002/hpm.3784. Epub ahead of print. PMID: 38321952.Hosts: Lara Varpio, Jason Frank, Jonathan Sherbino, Linda SnellTechnical Producer: Samuel LundbergWeb Manager: Alex AlexanderssonExecutive Producer: Teresa SöröProduction of Teaching and Learning at Karolinska Institutet

In this episode of Better Thinking, Nesh Nikolic speaks with Dr Mark Horowitz about exploring expert strategies for tapering off SSRIs and managing withdrawal symptoms. Dr Mark Horowitz MBBS PhD is a Clinical Research Fellow in Psychiatry in the National Health Service (NHS) in England and an Honorary Research Fellow at University College London (UCL) and a trainee psychiatrist. He runs a deprescribing clinic in the NHS helping people to stop psychiatric medications. He co-authored the Royal College of Psychiatry guidance on “Stopping Antidepressants”, and his work informed the recent National Institute for Clinical Excellence (NICE) guidelines on safe discontinuation of psychiatric medications. He also published work on how to safely taper antipsychotics in JAMA Psychiatry and Schizophrenia Bulletin. He has authored chapters of the Maudsley Prescribing Guidelines on how to stop mood stabilisers, antidepressants, antipsychotics, benzodiazepines, z-drugs and gabapentinoids. He is currently writing the Maudsley Deprescribing Guidelines in Psychiatry which will be published in 2023. He is Co-Investigator on the RELEASE trial in Australia evaluating the effect of gradual, hyperbolic tapering of antidepressants compared to care as usual. He has an interest in rational psychopharmacology and deprescribing psychiatric medication. He has experienced the difficulty of coming off psychiatric medications first-hand which has informed much of his work. His work can be found at https://markhorowitz.org/ Episode link at https://neshnikolic.com/podcast/mark-horowitzSee omnystudio.com/listener for privacy information.

Trumped locked up the nomination yesterday and is now focused on Biden & November election. With the vote on the TikTok bill looming, some say it is an attack on Free Speech. Is it really? We dive in. Also, The National Health Service (NHS), the UK's socialized healthcare provider, has banned the prescription of puberty blockers in England.GUEST: Josh FirestineUse promo code CROWDER for 20% off at www.cbdistillery.comSources: https://www.louderwithcrowder.com/sources-march-13-2024Join MugClub to watch this show every day! http://louderwithcrowder.com/mugclubWatch the FREE show on MugClub NOW:GET TODAY'S SHOW NOTES with SOURCES: https://www.louderwithcrowder.com/sources/NEW MERCH! https://crowdershop.com/Subscribe to my podcast: https://rss.com/podcasts/louder-with-crowder/FOLLOW ME: Website: https://louderwithcrowder.com Twitter: https://twitter.com/scrowder Instagram: http://www.instagram.com/louderwithcrowder Facebook: https://www.facebook.com/stevencrowderofficialMusic by @Pogo

This week's episode focuses on innovations in diabetes technology, such as flash glucose monitoring and hybrid closed loop systems. Jonathan and Partha Kar, National Specialty Advisor in Diabetes for the National Health Service (NHS), UK, discuss promising innovations on the horizon, such as immunotherapy, as well as the importance of exercising caution on social media, and Partha's Type 1 diabetes comic book. Use the following timestamps to navigate the content in this episode:  (00:00)-Introduction (02:40)-Partha's love of comic books (04:30)-Why diabetes? (06:09)-Promoting technology in Type 1 Diabetes  (08:25)-Patient responsibility (10:05)-Labelling patients with diabetes (11:28)-Hybrid closed loop systems (14:40)-Impact on the NHS and global healthcare (16:04)-Pioneering the diabetes ‘super six' model (18:02)-Social media and combatting pseudoscience (21:15)-Considering racism (24:06)-Diabetes on ‘the big screen' (27:31)-Game changing drugs for diabetes (29:40)-Innovation: stem cells and immunotherapy (31:24)-Partha's three wishes for healthcare (32:40)-Concluding remarks

Imagine a tax-funded health care system, a source of national pride, offering universal coverage and free health care to 54 million people. In this episode, Helen Bevan, Strategic Adviser for the National Health Service Horizons in England sheds light on the incredible work happening within the National Health Service (NHS) in the UK.  Helen shares the concept of task shifting, where certain procedures and responsibilities are being moved from one profession to another within the health care system. She highlights the positive outcomes and better utilization of resources that can be achieved when nurses are well-trained to perform certain procedures under the supervision of doctors. Helen delves into the implementation of integrated care systems by the NHS in the UK. These systems aim to provide care closer to people's homes, support self-care, and bridge the gap between health care and social care. She is working on self-referral systems in health care. Currently, people need to go through a GP for certain services, but Helen believes patients should be able to directly access services they know they need. This empowers patients to make their own health care decisions. Get ready for an insightful discussion on the future of health care and the importance of solidarity. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, #49 of the Eatweeds podcast, I sit down with Helen Kearney at the Betonica herb school on a lazy Summer day in the Devon countryside.We dive into the added value herbalists bring to the strained National Health Service (NHS) and discuss Helen's path from being inspired by her grandmother to becoming a medical herbalist and educator.We tackle the evolution of medicine since World War II, highlighting the crucial role of self-care and the struggle for herbal medicine's legal recognition.Helen shares the comprehensive training that goes into becoming a skilled herbalist and how Betonica equips students with necessary business skills to make the practice successful.Our discussion also spans the integration of herbal medicine into the NHS, social prescribing, and the need for herbalists to actively engage with their communities.I wrap up the conversation by exploring how herbalism is becoming more inclusive, the shift in gender dynamics in the field, and Betonica's community-focused principles.Helen details her vision for Betonica as more than just a school; it's a place that connects and builds community in response to healthcare challenges.Join me in this episode for a direct discussion on personal experiences and insights into the future of medical herbalism.Connect With Helen Kearney and the Betonica Herb School Betonica on Facebook Betonica on Instagram Betonica School of Herbal Medicine website Back MatterFollow me (Robin Harford), for the latest updates and insights around foraging and wild food on Facebook, Instagram, and YouTube.And if you're ready to discover the secrets of Britain and Ireland's wild plants, get my bestselling foraging book. In it I teach you how to safely thrive from nature's larder.

Topics illuminated:  Trust, Surrender, Community, Transformation, Forgiveness, Journey, Emotions, Healing, Magic, Calibraves Inside today's episode, Dr. Hiba Khaled & Rebecca Boatman share.. How trust, surrender, and facing challenges are pathways to magical opportunities. The importance of surrounding yourself with a supportive community. Hiba's life-changing experience inside Rebecca's Meet the Frequency membership and how Calibrave's changed her life The El Camino hike – a powerful journey of forgiveness and self-discovery. How embracing all emotions leads to a sense of joy and lightness in life. The deep value of forgiveness & inner healing  This episode will have you feel like you're sitting on the closet floor, cozied up, listening to your two girlfriend's chit chat about the deeper things in life, Hiba's story is truly incredible. Tune in.  About Dr. Hiba: Dr. Hiba Khaled, MD MMSc MedEd Hiba is co-founder of Embers, a wellbeing company that helps individuals and organizations recover from and prevent burnout. She is a leadership and wellbeing consultant as well as an educator.  Hiba trained as a physician in the National Health Service (NHS) in the UK, before obtaining a Master's degree in Medical Education from Harvard Medical School. Through her work at Harvard Kennedy School, she coached students from diverse backgrounds to help them achieve transformational results.  Having experienced and recovered from burnout herself, she is passionate about helping clients in demanding careers recover from burnout while empowering them to build the capacity to thrive in their work and lives. A surfer, tea enthusiast, and avid reader. Continued support: Join our online Meet The Frequency membership and use code “ILLUMINATE” for $20 off Click here to get instant access Get more dating, relationship & communication inspo from Rebecca's IG! Click here Dr.Hiba's website: www.emberscc.com Dr.Hiba's IG: @thehibakhaled  Dr.Hiba's company IG: @embers_cc Dr.Hiba's LinkedIn: https://www.linkedin.com/in/hiba-khaled-4294151b0/

This week, Jennifer Dixon joins Jonathan to share the mission of The Health Foundation, which she is Chief Executive Office of. The pair discuss the resource allocation formula that was created, taking into account the needs of the population, as well as the future of national strategy in health and healthcare. They further explore underfunding in the National Health Service (NHS), and the importance of investing in community care.   Use the following timestamps to navigate the content in this episode:  (00:00)-Introduction  (02:05)-Dixon's route into medicine   (03:57)-The Health Foundation  (08:00)-Future strategies for national healthcare systems   (14:05)-'The thermostat is set too cold', Europe versus the USA   (18:32)-Dixon's publications   (24:40)-Telehealth and artificial intelligence as tools in healthcare   (26:50)-'Money is too tight to mention' and the NHS as a ‘political hot potato'  (32:24)-The highs and lows with global healthcare provision   (24:40)-Future services  (37:46)-Use of social media and Dixon's ‘a-ha!' moments   (42:08)-Dixon's three wishes 

Dr. Lauren Shure discusses social justice in the field of psychology, and the importance of inclusive mental health care. Lauren Shure is a Professor of Counseling at Barry University. She is also a Past-President of the Counselors for Social Justice (CSJ). Dr. Shure holds a B.S. in psychology, M.Ed. and Ed.S.in marriage and family counseling, and Ph.D. in counselor education with a specialization in clinical mental health counseling from the University of Florida. She is a Licensed Mental Health Counselor (LMHC) in Florida with extensive experience in crisis intervention and the treatment of trauma, as well as a Qualified Supervisor for Registered Mental Health Counseling and Marriage and Family Therapy Interns. Ever since serving as a Qualified Social Worker (QSW) for the National Health Service (NHS) in London, England in 2005 with a very diverse group of colleagues and clients, she has pursued education, training, and experiences to learn how to most effectively create spaces to promote justice, equity, inclusion, and belonging for all. This includes using her professional counseling skills and knowledge in a progressively decolonized way to promote connection, healing, and wellness through the utilization of interventions, such as restorative justice, community needs assessments, trauma-informed care, and other strengths-based approaches to promote social justice and empowerment. For more about Lauren: https://www.barry.edu/en/c-vitae/professors/lauren-shure-ph-d/ https://www.instagram.com/healthyhappylifehacks/ Follow Different Brains on social media: https://twitter.com/diffbrains https://www.facebook.com/different.brains/ https://www.instagram.com/diffbrains/ Check out more episodes of Exploring Different Brains! http://differentbrains.org/category/edb/

The mental health care systems in the USA and UK exhibit distinct approaches and challenges. In the USA, mental health care often relies on a mix of private insurance and public programs, leading to variations in accessibility and quality. While there's a range of services available, including therapy and medication, the costs can be prohibitive for many individuals. In contrast, the UK's National Health Service (NHS) offers a more centralized approach with free or low-cost mental health services.Josh and Casey go into depth on the differences and what each system offers a young man in need of mental health treatment. To start, the guys give their first impressions on which system they think is bitter, including their perspectives before researching the differences and where they would rather live. Next, the guys do a more in-depth breakdown with some help from ChatGPT summarizing all of the differences between the two systems. Moving on, Casey breaks down how and when the U.S. started taking mental health seriously at a government level before getting into some statistics on how much mental healthcare in the U.S. costs per person and as taxpayers. Switching gears to the U.K. Josh breaks down their healthcare setup including the proper process to see a therapist before breaking down some wait time and spending statistics. The guys end the episode giving their final opinions on which system is better for which people and if they would still prefer to stay in the U.S.Timestamps:0:00 - Intro1:45 - Main differences between systems3:06 - Where we would rather live4:05 - ChatGPT's breakdown9:05 - U.S. gov't mental health policy13:30 - U.S. mental health statistics16:56 - U.K. gov't mental health policy20:42 - U.K. mental health statistics21:53 - Our final takes_______________________________________________________________________________________________Full, video episodes available on YouTube (@SharedExps)! We also have a YouTube clips channel for episode highlights (@SharedExpsClips)!Please help support us by reviewing and sharing our episodes! To keep updated, check out the Instagram (@SharedExps), Facebook (@SharedExps), and Tik Tok(@SharedExps).Check out Josh's Book HEREJosh's Instagram: @joshsbkr ( CLICK HERE )Casey's Instagram: @casey_eisenberg ( CLICK HERE )If you have questions that you'd like answered on the podcast, you can reach out via email at sharedexps@gmail.com.Disclaimer: The information, opinions, and recommendations presented in this Podcast are for general information only and any reliance on the information provided in this Podcast is done at your own risk.

Ellen Calteau  Ellen Calteau is the Food Addiction Resources (FAR) Operations Manager for the Public Health Collaboration (www.phcuk.org), where she delivers educational courses for those self-reporting food addiction and manages the other programmes offered by FAR, including providing education to Health Professionals, identifying, managing and signposting patients with food addiction, and delivering guest lectures for universities and to other organisations across the country. Ellen is an experienced Registered Dietitian with 5 years of working across the Midlands within the National Health Service (NHS). Her areas of expertise reside in supporting patients with food addiction and, more specifically, obesity, disordered eating and eating disorders.  Ellen works part-time with Coventry University in the Centre of Intelligent Healthcare. Her research area is in Behavioural Sciences. She is currently conducting a Feasibility, Randomised Controlled Trial of a brief intervention that involves screening for food addiction among people who access dietetic services. Ellen is passionate about the potential for 12-step programmes, specifically Overeaters Anonymous, and strengthening the research evidence-base underpinning these programmes. After many years of failed traditional diets, Ellen's personal story is that she discovered that she herself has processed-food addiction and, after following a real food low-carb lifestyle, has maintained an 11-stone weight loss for 12 years at the time of writing. Ellen's Top Tips Start Slowly – look at the labels if in the first 5 ingredients there is wheat flour or sugar – don't eat it. Find a support network of like-minded people. Practise saying NO to the foods you can't eat Bonus Tip NO – Is a complete sentence Resources Mentioned PHC UK FAR – Food Addiction Resources Connect with Ellen Calteau on social media Twitter: https://twitter.com/PHCukorg Facebook Page: https://www.facebook.com/PHCukorg/?locale=en_GB Instagram: https://www.instagram.com/phcukorg/?hl=en LinkedIn: https://uk.linkedin.com/company/public-health-collaboration YouTube:https://www.youtube.com/channel/UCZO0WD6hn02_6b0_MNTKPgQ Website Details: https://phcuk.org/ and https://phcuk.org/far The Fabulously Keto Diet & Lifestyle Journal: A 12-week journal to support new habits – Jackie Fletcher If you have enjoyed listening to this episode - Leave us a review By leaving us a review on your favourite podcast platform, you help us to be found by others. Support Jackie Help Jackie make more episodes by supporting her If you wish to support her by just pledging £1 or £2 a month go to: https://fabulouslyketo.thrivecart.com/support-the-podcast/ Or You can get some extra benefits by supporting her on Patreon: https://www.patreon.com/FabulouslyKeto Connect with us on social media https://www.facebook.com/FabulouslyKeto https://www.instagram.com/FabulouslyKeto1 https://twitter.com/FabulouslyKeto Facebook

This episodes guest is the exciting and inspiring Titilayo Ameh, a registered Psychotherapist (MBACP) and Counsellor, a mental health and well-being workshop leader, an advocate for vulnerable youth, a successful podcast host, and a facilitator of hundreds of clients to eliminate stress and create balanced lifestyles so they can live engaged with their loved ones while pursuing their passions and purpose with joy. Listen in to this conversation covering biofeedback therapy, misalignment and imbalances, equality, masculine and feminine energy, and Titilayo's plans for the future.    KEY TAKEAWAYS Titilayo specialises in coaching areas of personal development, anxiety, depression, stress, burnout, addiction, trauma and inner-child healing. Having gained insight into many different cultures during her 18 years experience in international counselling, Titilayo can apply all she has learned to her diverse clients. Biofeedback machines access a unique energy blueprint and analyse you to find your stresses. The yin-yang, female/male energy needs to be in balance as too much masculine energy creates burnout, and too much feminine energy creates depression. Strong, clear boundaries assertively communicated save you from the stress of triggers. BEST MOMENTS ‘I understand what it's like to feel so lost and just the hope of knowing I can do something that I love, so I got into counselling.' ‘In this program, we're helping people cleanse their toxins, physical and emotional. We'll be balancing their bodies and we're really helping them pursue their passions in alignment.' ‘Giving a voice to what it can be like for a brown woman and the inner turmoil that you go through that you can't really explain to those around you.'   ‘There are days of rest where I'm just nurturing, self-caring and making sure I'm looking after myself.' ‘You have the right to feel safe and comfortable.' EPISODE RESOURCES https://www.titilayoamehill.com/ ABOUT THE GUEST Titilayo is a counsellor and psychotherapist registered with the British Association of Counselling and Psychotherapy (MBACP). She has a Bachelor's degree in Integrative Counselling from the University of Surrey. She trained in mental health with the National Health Service(NHS) in the UK and possesses over 15 years of experience working in paediatric clinics, corporate organisations, educational settings, and youth services. She is a certified Paws B Mindfulness Curriculum Teacher and a certified Positive Discipline Parent Educator trained to teach in schools and corporate organisations. CONTACT METHOD   IG: https://www.instagram.com/dr.omo_uk/ LinkedIn:  https://www.linkedin.com/in/dr-omo-okonkwo-65b8a542/ Facebook: https://www.facebook.com/omo.okonkwo   PODCAST DESCRIPTION   Power in Diversity Podcast is a space where professional women from diverse backgrounds, eager to grow as leaders, come to be inspired and gain wisdom from other leaders. As my guests share their journey, I hope that it will give you; an aspiring or established female leader; meaning to your journey, illuminating your path and equipping you with a greater understanding of how to carve and navigate your success pathway with greater ease. Power in Diversity Podcast is also designed to equip not only individuals but, crucially, organisations who must learn to create diverse and inclusive organisations practically and not merely as a tick box exercise; especially now in this ever-changing world, everyone's diverse insight is vital to solving world issues. I hope that this podcast allows organisations to appreciate the real barriers female and ethnic minority groups face in stepping into leadership, barriers sadly I and many others have faced, and many continue to face. I'm proud to be British and proud of my African Heritage, my tribe, part of the Benin Empire. I feel blessed to be a woman. This is a non-judgmental space, but a space to learn and to become aware of the gifts and Power in Diversity.    This show was brought to you by Progressive Media

In this episode, host Dr. Diana Velazquez-Pimentel interviews emergency medicine doctor-entrepreneur Dr. Robbie Huddleston about the process of building Surgery Hero, a digital health clinic that helps patients prepare for and recover from elective surgery. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/S1CISd --- SHOW NOTES First, Dr. Huddleston explains the process of “pre-habilitation,” in which patients actively prepare for a medical intervention ahead of time. This concept was first introduced in the oncology world. Where patients were encouraged to improve functional capacity and physiological reserve prior to starting chemotherapy. Surgery Hero recognizes that there are physiological and mental ways to prepare its members. The company offers one-on-one health coaching to help optimize lifestyle behaviors, as well as a digital platform for member education over the surgical procedures and recovery processes. Surgery Hero has partnered with the National Health Service (NHS) in the UK to receive patient referrals and work towards improving perioperative outcomes. Dr. Huddleston emphasizes the need to collect data over quantitative hospital measures, such as length of stay, but also patient-reported improvements in health literacy. Surgery Hero is currently running a clinical trial over the effects of preoperative health coaching to support patients undergoing lower limb arthroplasties. Finally, they discuss the challenges of product adoption. To make the digital platform as easy for patients to understand as possible, all education materials are written in a clear and non-complex manner. Additionally, there is flexibility built into the system so that different institutions can enroll patients in the way that works best for them. On the horizon, Dr. Huddleston would like to expand Surgery Hero to cover nonelective surgeries and new modalities of health coaching. --- RESOURCES Surgery Hero: https://www.surgeryhero.com/ Robbie@SurgeryHero.com Phreesia Patient Activation Measure: https://www.phreesia.com/patient-activation-measure/ Center for Perioperative Care (CPOC): https://cpoc.org.uk/ Evidence-Based Perioperative Medicine (EBPOM): https://ebpom.org/product/ebpom-london-world-congress-2023/ Coaching for Health by Arti Maini and Jenny Rogers: https://www.amazon.com/Coaching-Health-Education-Humanities-Counselling/dp/0335262309

2023 marks 75 years of the National Health Service (NHS) in the UK. Often heralded as one of the greatest post-war institutions, providing free health care at the point of use, however to what extent is the NHS truly a product of the Second World War? Turns out the answer, like most things in history, is a lot more complicated. It's a story that involves both the world wars as well as the ongoing struggle between communist and capitalist ideologies that defined the Cold War.To help navigate this topic, James Patton Rogers is joined by author of Sick Note: A History of the British Welfare State and historian, Dr Gareth Millward.This episode was produced by Elena Guthrie and edited by Annie Coloe.Discover the past on History Hit with ad-free original podcasts and documentaries released weekly presented by world renowned historians like Dan Snow, Suzannah Lipscomb, Lucy Worsley, Matt Lewis, Tristan Hughes and more. Get 50% off your first 3 months with code WARFARE. Download the app on your smart TV or in the app store or sign up here.You can take part in our listener survey here.For more Warfare content, subscribe to our Warfare Wednesday newsletter here. Hosted on Acast. See acast.com/privacy for more information.

Has Critical Social Justice completely captured clinical psychology? So many people seek out therapy in hopes of improving their lives and the lives of those around them through traditional therapeutic practice. What happens when those practices are no longer taught and therapists are instead activists seeking to derail the normative behavior of others? In this week's episode, I am joined by British psychotherapist Dr. Carole Sherwood to get her perspective on how critical therapy has captured psychology by overhauling psychology training courses worldwide. Dr. Sherwood offers her advice to see through the fallacies of Critical Social Justice in hopes that therapists can return to their traditional roles of helping patients cope with mental illness. Dr. Carole Sherwood is a clinical psychologist. She worked for the National Health Service (NHS) in the UK, specializing in sexual health, chronic pain, cancer, palliative care, and trauma. Dr. Sherwood has grown increasingly concerned about the incursion of Critical Social Justice into clinical psychology. In 2022 she co-authored an independent report, The Politicization of Clinical Psychology Training Courses in the UK, with Dr. Kirsty Miller. She also contributed to the book Cynical Therapies: Perspectives on the Antitherapeutic Nature of Critical Social Justice, edited by Dr. Val Thomas. Dr. Sherwood is on the steering committee of Critical Therapy Antidote, an organization that is committed to preserving the healing ethos of therapy. She is also on the Advisory Council of Don't Divide Us, the UK's common-sense voice on race. In this episode I mention a recent episode: 51. Wokeness Versus the Counseling Profession with Christine Sefine ★ Support this podcast on Patreon ★

In this episode we kick off a mini-series on human factors in practice. I will be speaking with a cross section of clinicians on what human factors means to them and the impact it can and has had on their practice. In this episode I discuss the fundamentals of human factors including; a working definition of human factors, why human factors are important, the history of human factors, the main domains of human factors, Individual Human factors & mitigation, task human factors & mitigation, environmental/System human factors F& mitigation, NASA's approach to human factors and finally three seminal cases in human factors. Medical errors can have significant costs both in terms of patient health outcomes and financial costs. While it is difficult to estimate the precise global costs of medical errors, studies have suggested that they can be substantial. In the United States alone, medical errors have been estimated to cost between $17 billion and $29 billion annually in direct costs, such as additional medical expenses, lost income, and disability. This figure does not include the indirect costs associated with lost productivity or quality of life. A study in the UK estimated that preventable medical errors cost the National Health Service (NHS) around £1 billion each year. On a global scale, a report by the World Health Organization (WHO) estimated that 10% of hospital admissions worldwide result in adverse events, and around half of these are due to errors. These errors are estimated to cause between 6 and 10% of hospital admissions in developed countries, and up to 20% of admissions in developing countries. The report also estimated that medication errors alone affect at least 1.5 million people globally each year, resulting in 100,000 deaths annually.  Here are the links mentioned in the episode: REMOTE MEDICAL EMERGENCIES RGS - https://www.rgs.org/CMSPages/GetFile.aspx?nodeguid=6643dce6-a321-4002-b117-28d26897ab59&lang=en-GB   https://www.youtube.com/watch?v=5C59910SWyw  To err is human documentary    https://emcrit.org/wp-content/uploads/ElaineBromileyAnonymousReport.pdf  – Elaine Bromiley report https://www.theverge.com/2019/5/2/18518176/boeing-737-max-crash-problems-human-error-mcas-faa  - The Boeing 737 human factors   https://sma.nasa.gov/sma-disciplines/human-factors  https://www.dmp.wa.gov.au/Documents/Safety/MSH_TB_HOF_Woodside_HOFOilnGas.pdf Please feel free to reach out to me on eoinwalker@hotmail.com for future content and feedback

The British National Health Service (NHS) Serial Murderers (Part1) - Lucy Letby & so many others    The Black Spy Podcast Season 9, Episode 0001 This week's Black Spy Podcast discusses the unbelievable number of murders committed by on duty NHS medical staff in the UK. Furthermore, the Black Spy discusses the fact that even though these murders are frequent they receive very little overall press analysis and unlike the hounding received by the police for one (1) murder (performed by an off duty officer), the institution of the NHS is seldom challenged by established British mass media!  So what is the frequency of murders by on duty NHS staff and why  do the British media treat the two public bodies so differently?  In an insightful, interesting and powerful discussion by the Black Spy, Carlton King and his regular journalist podcast partner, Firgas Esack, the present case of Lucy Letby accused of allegedly murdering 10 babies and attempting to murder a further 7, is put under the microscope.  So, when I say NHS murders, the NHS murderers below are an example of this literally unbelievable phenomena of UK medics murdering their patients whilst on duty in hospitals etc, over the last two decades.  Carlton asks Firgas, why no great hue and cry in media(TV, radio or printed press) or demonstrations from pressure groups about these NHS murders?      •    Nurse Beverley Allitt murdered 4 infants, at Grantham hospital, attempted to murder three others and caused grievous bodily harm to a further six infants no demonstrations were held and no great inquiry was sought into the NHS or its leadership!     •    Nurse Lucy Letby's alleged murders of 7 babies and a further attempted murder of 10 more happened at the same time as Sarah Everarad's murder by a police officer.  This single murder by a police officer totally and utterly gains practically all of the press coverage. Letby's 7 murders and 10 attempted murders of babies, are seemingly all but overlooked by a police bating British press! In this case babies seem not to matter too much to the press and definitely the press seems totally unwilling to hold NHS leadership, even at the most junior level of hospital management, to account.     •    Nurse Colin Campbell Norris murdered 10 of his patients and attempted to murder at least one other.     •    Nurse Benjamin Geen  murdered at least 2 patients in an Oxfordshire hospital where many other victims did not die, but sustained grave life threatening symptoms at his hands.     •    Nurse Victorino Chua of Stockport  Stepping Hill hospital murdered 2 of his patients and 21 others potential murder victims suffered life threatening hypoglycemia attacks at his hands.      •    Dr Harold Shipman, from his Manchester surgery, murdered at least 250 of his patients. Yet it is though that over a decade he might well have murdered up to 500 patients.     •    Surgeon Simon Bramhall regularly signed his initials on patients livers as he operated on them.      •    Surgeon Ian Patterson was found guilty of operating on countless patients, mainly women, for seemingly no reason. He disfigured his patients by removing their breast etc., which was allegedly done for financial gain according to the relatively little press there was in comparison to the David Carrick police case.  Note there is no suggestion that doctors and nurses can not be trusted despite the gravity of the offences and multiple serial murders undertaken by the above medics performing their daily duties.  Also, at no stage have NHS chiefs appeared on TV, radio or written in periodicals apologising for the the ‘canteen culture' of their profession, that keeps allowing mass murder in hospitals and via doctors surgeries.  Once again, we hope listeners will learn from today's podcast whilst also being entertained!  Don't forget to subscribe to The Black Spy Podcast to never miss an episode.     To contact the Black Spy or donate to The Black Spy Podcast utilise the following: To donate - Patreon.com/TheBlackSpyPodcast Email: carltonking2003@gmail.com Facebook: The Black Spy Podcast Facebook: Carlton King Author Twitter@Carlton_King Instagram@carltonkingauthor To read Carlton's Autobiography: “Black Ops – The incredible true story of a British secret agent” Click the link below: https://www.amazon.co.uk/dp/BO1MTV2GDF/ref=cm_sw_r_cp_awdb_WNZ5MT89T9C14CB53651 Carlton is available for speaking events. For this purpose use the contact details above

Clinicians are problem solvers by nature but taking an idea for a new innovation from concept to commercial market is not a skill widely taught in medical school. In 2015, England's National Health Service (NHS) launched a Clinical Entrepreneur Programme to help provide just that type of knowledge and expertise. Our host, Dr. Daniel Kraft, speaks with Dr. Tony Young, the founder of that program who is an avid entrepreneur himself. Young is helping the NHS retain some of their brightest talent by fostering an entrepreneurial spirit in his colleagues and making connections where he can. The program has trained more than 1,000 clinical entrepreneurs, who've founded more than 350 startups, raised more than $500 million pounds, and impacted more than 100 million patients and professionals in the UK and beyond. You'll hear all about Dr. Young's career journey and the incredible innovations his colleagues are bringing to operating rooms as well as remote parts of the world. However, “the greatest medical innovation of all time,” says Young, “are the people who work in our Health Services, because they help put everything into action.” Learn moreNHS Clinical Entrepreneur Programme  

Get ready for a very British conversation about cannabis! It's hard to get a medical marijuana prescription through the National Health Service (NHS.) So, since weed was medically legalized in 2018, thousands of UK residents have been paying to get a prescription from one of 18 private cannabis clinics, which allow for a much longer list of qualifying conditions.Whereas most US states require doctors to make a recommendation for a card that needs to be renewed every year, UK cannabis patients meet with specialist teams and get 28-day-long tailor-made prescriptions. They also get several follow-up phone calls, and there are no cannabis dispensaries to navigate; instead, products are selected by the medical team and mailed to patients' homes from special cannabis pharmacies.The British patients' experience sounds very different from what the typical American medical marijuana patient gets, but is it better?In this episode, host Brit Smith talks to London-based Registered Nurse Sophie Hayes, a medical cannabis specialist who is the Clinical Trial Manager at LVL Health; an organization dedicated to conducting clinical research into cannabis medicines in the UK.Brit and Nurse Sophie discuss the process and cost of getting a cannabis prescription through a private practice in the UK, the dosing and other medical advice given to patients, and why British residents might want to get a medical cannabis prescription instead of relying on the underground market.They also cover the legal concerns for patients, what kinds of products UK patients will get through the post, the cost of buying legal versus illegal weed on the British Isles, and the three current UK cannabis studies.Find the winter 2023 medical marijuana issue of Different Leaf the magazine at Differentleaf.comLocate your nearest in-person seller at DifferentLeaf.com/on-the-newsstandFollow us on social media @DifferentLeaf and find host Brit Smith @BritTheBritishCheck out XDifferentLeaf.com for our fabulous new merch line

On this special episode of the show, I'm interviewing a doctor whose photograph went viral. In 2019, Doctor Gordon Caldwell, a retired Consultant Physician and Clinical Lead with the UK's National Health Service (NHS) had a photograph taken of himself lying next to a long line of forms. The photograph's purpose was to highlight the amount of paperwork medical professionals need to fill in. Gordon is a tireless campaigner against bureaucracy, and he wanted to make the point that time spent filling in forms is time not spent looking after patients. I saw the photograph and posted it on LinkedIn with some comments (link below). The level of responses I received made me realise he'd struck a chord. So I invited him onto the show! Fortunately, Gordon agreed, and during our discussion we explored: The genesis of the photograph and why Gordon felt motivated to take itThe reasons why there is so much bureaucracy within the NHSThe impact this has on patient careWhat Gordon sees as ways to improve itThe original article I saw about Gordon's campaign in The Telegraph: https://www.telegraph.co.uk/news/2023/01/21/pictured-doctor-shows-army-pointless-forms-burying-nhs-hospitals/A subsequent piece he wrote for The Spectator: https://www.spectator.co.uk/article/the-nhs-is-drowning-in-paperwork/To pre-order my new book ‘Humanising Rules: Bringing Behavioural Science to Ethics & Compliance' visit https://www.human-risk.com/humanizing-rules-book

Felicity is a formerly registered midwife with the National Health Service (NHS), the publicly funded healthcare system in England. She had wanted to be a mother ever since she was a little girl, and midwifery seemed like the most aligned career for her- until she woke up to the reality that she was assisting in the violence and sabotage of mothers and babies in birth by attending them in the hospital. In this episode, we discuss the brainwashing that took place in her schooling and trainings, the toll medical midwifery took on her spirit, and her life now as a Radical Birth Keeper School graduate, after surrendering her license, and starting a business attending births fully outside of the medical system. Watch this episode on YouTube: youtu.be/UM8-1zeuUtI APPLY FOR THE RADICAL BIRTH KEEPER SCHOOL: www.radicalbirthkeeperschool.com GET THE COMPLETE GUIDE TO FREEBIRTH: www.freebirthsocietycourses.com/cgtf JOIN THE FREE BIRTH SOCIETY PRIVATE MEMBERSHIP: www.freebirthsocietycourses.com/membership VIEW ALL THE FREE BIRTH SOCIETY COURSES: www.freebirthsocietycourses.com JOIN THE FREE BIRTH SOCIETY NEWSLETTER: www.freebirthsocietycourses.com/opt-in-pr…ions-gift FOLLOW FREE BIRTH SOCIETY ON INSTAGRAM: www.instagram.com/freebirthsociety/ SUPPORT THE PODCAST: www.paypal.com/donate/?hosted_bu…_id=2YJBSCNYXT52Y SUBMIT YOUR FREEBIRTH STORY! www.freebirthsociety.com/story-submission Connect with Felicity: www.instagram.com/felicityinbirth/

Lyssa Rome is a speech-language pathologist in the San Francisco Bay Area. She is on staff at the Aphasia Center of California, where she facilitates groups for people with aphasia and their care partners. She owns an LPAA-focused private practice and specializes in working with people with aphasia, dysarthria, and other neurogenic communication impairments. She has worked in acute hospital, skilled nursing, and continuum of care settings. Prior to becoming an SLP, Lyssa was a public radio journalist, editor, and podcast producer. In this episode, Lyssa Rome interviews Jasvinder Sekhon about her work on enabling SLPs to feel confident and competent in counseling people with post-stroke aphasia and their families.   Gap Areas This episode focuses on on Gap Area 8: Insufficient attention to depression and low mood across the continuum of care.   Guest info   Jasvinder Sekhon is a speech-language pathologist currently working clinically in Melbourne, Australia. Since graduating from La Trobe University in the early 1990s, Jas has worked across the continuum of care in public health services in Victoria, Australia and briefly in Singapore. Jas has been involved in the aphasia community for many years and co-convened the inaugural online Australian Aphasia Association national conference in 2021.   Jas has recently completed her PhD, where she investigated counselling education that enabled SLPs to feel confident and competent using counselling to support the psychological wellbeing of individuals with aphasia and their families after stroke. Jas' supervisors for her doctorate were Professors Jennifer Oates and Miranda Rose from La Trobe University and Professor Ian Kneebone from University Technology of Sydney. Her studies sit under the research program Optimising Mental Health and Wellbeing of the Aphasia Centre for Research Excellence and Rehabilitation. The director of this CRE is Professor Miranda Rose.    Listener Take-aways In today's episode you will: Learn about the stepped model for psychological care. Understand how speech-language pathologists can support psychological well-being for people with post-stroke aphasia. Identify the role of speech-language pathologists within an interdisciplinary team providing psychological care for people with post-stroke aphasia. Show notes edited for conciseness Lyssa Rome Welcome to the Aphasia Access Conversations Podcast. I'm Lyssa Rome. I'm a speech language pathologist on staff at the Aphasia Center of California, and I see clients with aphasia and other neurogenic communication impairments in my LPAA-focused private practice.   Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources.   I'm pleased to be today's host for an episode featuring Jasvinder Sekhon. Jas is a speech language pathologist and PhD candidate at La Trobe University in Australia, and recently submitted her thesis. She currently works part time as the senior SLP at a not-for-profit community health organization in Melbourne. Her studies are part of the research program, Optimizing Mental Health and Wellbeing at the Aphasia Center for Research Excellence. She has been involved in the aphasia community in Melbourne for many years, and is a member of the Australian Aphasia Association. She co-convened the first online Australian Aphasia Association national conference in June, 2021.   Today we'll be discussing Jas's research, which focuses on enabling SLPs to feel confident and competent in counseling people with post-stroke aphasia and their families.   In the Aphasia Access Conversations Podcast, we've been highlighting the gap areas identified in the State of Aphasia report by Dr. Nina Simmons-Mackie. In this episode, we'll be focusing on Gap Area 8, insufficient attention to depression and low mood across the continuum of care. For more information about the gap areas, you can listen to episode number 62, with Dr. Liz Hoover, or go to the Aphasia Access website.   So Jas, what led you to want to study counseling training for speech language pathologists?   Jasvinder Sekhon Firstly, thank you so much to the listeners and to Lyssa for this opportunity. So my impetus for my PhD arose from observing a range of emotional issues occurring frequently in people with aphasia and their families. My clients had issues such as depression, worry, frustration, low confidence, and distress. And despite my many years of experience in the field, there were many times that I felt inadequate to respond adequately or effectively to my clients' emotions.   So in doing this research, I found that I was not alone. Survey studies of SLP practice and post-stroke aphasia rehabilitation from Australia, the US, UK, and South Africa have found that the majority of speech pathologists feel that they have low knowledge, skills, and confidence to assess or manage emotional and psychological well-being in their clients with post-stroke aphasia—and this includes their families. So working with colleagues on the stroke team who had mental health training, such as psychologists and social workers, I learned many counseling techniques, and also learned about counseling approaches and brief therapies that I thought could be useful for speech pathologists in their work.   As part of my PhD studies, I've also undertaken further reading and some short courses in counseling. And I am privileged to have had the supervision of professors Miranda Rose and Jennifer Oates of La Trobe University, and Professor Ian Kneebone, from University of Technology, Sydney, who have a wealth of professional and research experience in the fields of psychology, stroke, and counseling, and speech-language pathology.     Lyssa Rome So can you tell us about an experience that for you points to the value of incorporating the Life Participation Approach to Aphasia into your clinical work? Jas Jasvinder Sekhon Thanks. Yes. So early in my career, I focused on impairment-level therapies. And I think there's evidence to say that's the area that we are most trained in. But I also felt something was missing. An example was one day a client I was treating in her home, literally sent me packing. After day in, day out, I was focusing on just impairment therapy, which was the comfort area. After she threw me out and after tending to my wounded ego and reflecting, I realized that I had not found out what was meaningful to her and what she wanted out of her rehabilitation. I was being very clinician-directed, and I drove the focus of therapy. She was a busy, active, courageous single mother of two teenage girls and had stuff to do and places to go. And I was not addressing her needs, or her wants, for her to fully participate in her life. And my therapy was not aimed at helping her to achieve these life participation goals.   So since then, I have pursued a holistic, biopsychosocial view of aphasia rehabilitation, and I now spend time to ensure I hear the person's story, understand their needs, wants, and goals from speech therapy, and I collaboratively set out an action plan towards meeting these goals. The assessment and management of psychological well-being is an important part of post-stroke aphasia rehabilitation and comes up often in speech therapy. I have certainly found counseling skills to be essential in my clinical practice.   Lyssa Rome Thank you. I feel like most of us in clinical practice would recognize how common it is for people with aphasia to also be dealing with low mood or anxiety. Certainly I, and I think others, worry at times about whether we're really meeting the emotional needs of the people whom we're working with. I know that there's been some attention to this for years. It seems like increasingly researchers in the aphasia community have been thinking more and more about these issues and recognizing their importance. I know this last summer, and IARC, Linda Worrall's keynote address, and other sessions focused on counseling for people with aphasia. Here in the US, ASHA has a new special interest group that's focused on counseling. And those are just two examples. I think that there are many more. I'm wondering how you see awareness of this issue changing?   Jasvinder Sekhon Yeah, the emotional and psychological issues associated with communication disorders have been well-recognized for decades, as you said, and probably since the establishment of the discipline of SLP. The presence of psychological issues after stroke and aphasia is not new. The need for psychological care in post-stroke aphasia is also not new. I think what is changing is, in awareness, I guess, is who is responsible for providing psychological care in stroke services, how this is done, and when this is provided. This includes describing and defining psychological care, that is within the scope of the stroke team, which includes SLPs, and identifying training or education gaps to fulfill these expected roles, and ensuring that the provision of psychological care is ethical and effective.   Thankfully, we have a model that provides evidence-based guidelines that addresses many of these questions. And this model is the stepped model for psychological care after stroke by the UK Government. Professor Ian Kneebone was part of the group that helped develop the psychological care model. Also, the work by Dr. Caroline Baker in translating the stepped model for post-stroke aphasia rehabilitation, highlighted further evidence for rehabilitation interventions specifically to prevent and treat depression in people with mild or no depression within the scope of speech language pathologists.   Lyssa Rome So can you tell us a little bit more about this stepped model?   Jasvinder Sekhon The stepped model for psychological care is a framework for interdisciplinary psychological care after stroke. The stepped model outlines the role and responsibility for the multidisciplinary team in the assessment and management of emotional and cognitive conditions after stroke. Central to this model is that the whole team take responsibility for the identification and management of psychological issues, with clearly established referral pathways to specialist support services in the case of more severe psychological concerns.   There are four levels of the stepped model, and SLPs have a role and responsibility to support psychological care at level one and level two, for those who are experienced and trained. So at level one, there is no psychological disorder present and it's applicable to most or all stroke survivors. So level two describes stroke survivors with mild and transient psychological issues, and can be addressed by experienced speech language pathologists with adequate training, and who are supported by clinical psychologists or neuropsychologists with special expertise in stroke. At level three, and level four, the assessment and management of psychological issues require specialist psychology staff. So the model actually helps speech-language pathologists define their scope of practice in psychological care, and this includes counseling.   Lyssa Rome So that leads me to wonder about the definition of counseling within speech-language pathology. How would you how should we be thinking about it?   Jasvinder Sekhon Counseling is broadly defined as a purposeful conversation arising from the intention of one person, family, or couple, to reflect on and resolve a problem with the help of another person, and in this instance, the speech-language pathologist, to assist in resolving or progressing that problem. It may be helpful to think of all counseling interventions as methods of learning. All approaches used in counseling are intended to help people change. That is, to help them think differently, to help them feel differently, to help them act differently. In other words, in the case of post-stroke aphasia, counseling aims to help the client progress their goal within their rehabilitation journey.   Lyssa Rome Thank you. That's really helpful, I think, to think about it as ways to think differently, feel differently, act differently. And in service of those goals, and the goal of helping people change, I'm wondering what kinds of psychological interventions can speech-language pathologists be expected to provide?   Jasvinder Sekhon So at level one, emotional and psychological issues are mild and transient and don't impact discipline-specific therapy for example, aphasia therapy. At level one, emotional problems resolve quickly, and speech pathologists, as I mentioned before, definitely can support psychological well-being at this level.   Key interventions at level one, include counseling skills, such as active listening, normalizing the emotions and the experience, building effective relationships, providing psychological advice and information to family and peers to facilitate adjustment and build the skills for self-management and for autonomy with the communication issue. Goal-setting, problem-solving, peer support, motivational interviewing, managing stress, routine assessment and review of mood are also recommended at level one. Enabling peer support and positive relationships, including by providing communication partner training, aphasia choirs, and self-management workbooks are also identified at level one.   Lyssa Rome You've just described a bunch of different kinds of interventions that we as SLPs might be providing. But you also said before that many SLPs don't feel confident to assess and manage psychological well-being very effectively. So I'm wondering if you could say a little bit more about that.   Jasvinder Sekhon Yeah, we conducted a systematic review of SLP counseling education in post-stroke aphasia, and found that most universities reported to provide counseling education to SLP students. However, few actually provided counseling education specifically for supporting the psychological well-being in post-stroke aphasia. So it's possible that many speech pathologists may have very little preparation to address the significant emotional and mood issues in people with aphasia after stroke.   We found after speech pathology qualifications, speech pathologists reported a range of counseling education that they received. Some, again, with no training, up to PhD qualifications in counseling. But speech pathologists did report that they received counseling education from working in stroke care—so from their peers in stroke care—and also, many speech pathologists sought further education, professional development, in-services from external sources, counseling courses. So counseling, education and experience, we found, was positively correlated with feeling more knowledgeable, more skilled, and confident for supporting psychological well-being in post-stroke aphasia rehabilitation.   Lyssa Rome With that in mind, and in order to help prepare SLPs to fill that role as you just were describing, you created a counseling education program. Can you tell me a little bit more about that?   Jasvinder Sekhon We designed a counseling education program based on our systematic review of counseling education that speech pathologists currently receive and the stepped model for psychological care after stroke. Our program consisted of seven hours of self-paced learning and it was an online module and a workshop which was three hours, where clinicians practiced their counseling skills with peers. Topics included speech pathologists' role and responsibilities for supporting psychological well-being in post-stroke aphasia rehabilitation within that multidisciplinary team model and within the stepped model for psychological care. We included counseling theory and foundations of counseling skills, and how to apply these to speech pathology practice and specifically to the issues that we were describing common to post-stroke aphasia rehabilitation.   We trialed our counseling education program with 49 practicing speech pathologists in Australia. We measured these outcomes before and after the training program, and also after five weeks of completing the training to see if the effects were maintained. Thankfully, the results of the trial were positive and we did find significant and large effects of the program on speech pathologists' self-efficacy and self-rated competency for counseling in post-stroke aphasia. Also, these effects were maintained at five weeks follow-up for both of the outcomes.   Lyssa Rome That's so exciting. So for those of us who didn't get to participate in your research and who would like to get started now, or would like to brush up on our counseling skills, or deepen our counseling skills, what resources can I and other speech-language pathologists access to help them feel more confident in this area.   Jasvinder Sekhon If you have access to stroke mental health professionals, for example, psychologists or social workers, have a chat with them and organize some training in those level one interventions that were described. Maybe discuss sourcing counseling education from external providers, or your team. Interventions that you could look at sourcing for these inservices could include problem-solving and solution-focused approaches, motivational interviewing, counseling training, foundation counseling skills, for example, behavioral activation, and person-centered counseling. Family sensitive and family therapeutic approaches are also vital and support speech pathologists to provide that level one intervention.   There may be short courses for supporting mental health after stroke available via your National Stroke Association or via ASHA. The new special interest group that you mentioned would also be a fabulous resource for that peer support and professional development. For example, Speech Pathology Australia has teamed up with a local national mental health organization, called Lifeline Australia, to run counseling courses for speech pathologists.   As we have preliminary evidence that our online counseling education program was feasible and effective for improving speech pathologists' confidence for counseling to support psychological well-being in post-stroke aphasia, we are seeking further funding to make this program into a short professional development course for SLPs, and hopefully it will be widely available for anyone who would like to take on this further education.   Lyssa Rome I look forward to that. So when speech-language pathologists are better prepared to address the psychological well-being for our clients who have aphasia, how will our practice look different?   Jasvinder Sekhon It's a great question and a big question. I think ideally, speech pathologists will feel prepared and confident in their role and feel prepared and knowledgeable in their scope of practice in counseling. I think practice guidelines for counseling will be clearer, and clearer in defining scope and boundaries, skills required, and processes for that interdisciplinary practice when addressing the psychological wellbeing of people with aphasia and their families after stroke. Speech pathologists will be able to conduct appropriate screening for social and psychological issues and to know when and how and who to refer to as required.   I think speech pathologists who are appropriately trained will also be able to use a range of counseling skills to support the client to learn communication strategies for participating in conversations relating to all aspects of their lives, as well as strategies for supporting social and psychological well-being. These include strategies for maintaining social networks, building new networks with support from peers, and strategies for coping, adjusting, self-care strategies, and also living well with aphasia. Speech pathologists will also know how to support their own mental health and that of the stroke team members. We also will be able to measure competence for counseling in clinical training and professional practice. This is an area still in its infancy.   I think finally, most importantly, the psychological well-being of people with aphasia and their families will be effectively and efficiently supported from the start of their stroke rehabilitation journey. And risk for mood disorders will be minimized or prevented and positive outcomes enhanced for all domains of health and well-being.   Lyssa Rome I look forward to that day. Jas Sekhon, thank you so much for being our guest on this podcast.   Jasvinder Sekhon It has been my pleasure, Lyssa. Thank you again to Aphasia Access for this opportunity. If anyone has any further questions or comments or would like to find out where things are with our counseling education program, please don't hesitate to contact me via the email, which will be available with this podcast, or through La Trobe University. Thank you again.   Lyssa Rome Great. We'll have that information in the show notes for today's episode. For more information on Aphasia Access and to access our growing library of materials, go to www.aphasiaaccess.org. For a more user-friendly experience, members can sign up for the Aphasia Access Academy, which is free and provides resources searchable by topic or author. If you have an idea for a future podcast series topic, email us at info@ aphasiaaccess.org. Thanks again for your ongoing support of Aphasia Access.     References and Resources Jasvinder Sekhon on Twitter: @holistic_commn Email: J.Sekhon@latrobe.edu.au   Australian Aphasia Association https://aphasia.org.au/   Centre for Research Excellence in Aphasia Recovery and Rehabilitation, La Trobe University https://www.latrobe.edu.au/research/centres/health/aphasia   Lifeline (Australia) https://www.lifeline.org.au/   Psychological Care After Stroke (NHS) https://www.nice.org.uk/media/default/sharedlearning/531_strokepsychologicalsupportfinal.pdf   Speech Pathology Australia https://www.speechpathologyaustralia.org.au/     Baker, C., Worrall, L., Rose, M., Hudson, K., Ryan, B., & O'Byrne, L. (2018). A systematic review of rehabilitation interventions to prevent and treat depression in post-stroke aphasia. Disability and Rehabilitation, 40(16), 1870–1892. https://doi.org/10.1080/09638288.2017.1315181   Baker, C., Worrall, L., Rose, M., & Ryan, B. (2021). Stroke health professionals' management of depression after post-stroke aphasia: A qualitative study. Disability and Rehabilitation, 43(2), 217–228. https://doi.org/10.1080/09638288.2019.1621394   Doud, A. K., Hoepner, J. K., & Holland, A. L. (2020). A survey of counseling curricula among accredited communication sciences and disorders graduate student programs. American Journal of Speech-Language Pathology, 29(2), 789–803. https://doi.org/10.1044/2020_AJSLP-19-00042   Kneebone, I. I. (2016). Stepped psychological care after stroke. Disability and Rehabilitation, 38(18), 1836–1843. https://doi.org/10.3109/09638288.2015.1107764   National Health Service (NHS), UK. (2011). Psychological care after stroke: improving stroke services for people with cognitive and mood disorders. https://www.nice.org.uk/media/default/sharedlearning/531_strokepsychologicalsupportfinal.pdf   Nash, J., Krüger, E., Vorster, C., Graham, M. A., & Pillay, B. S. (2021). Psychosocial care of people with aphasia: Practices of speech-language pathologists in South Africa. International Journal of Speech-Language Pathology, ahead-of-print, 1–11. https://doi.org/10.1080/17549507.2021.1987521   Northcott, S., Simpson, A., Moss, B., Ahmed, N., & Hilari, K. (2017). How do speech-and-language therapists address the psychosocial well-being of people with aphasia? Results of a UK online survey. International Journal of Language & Communication Disorders, 52(3), 356–373. https://doi.org/10.1111/1460-6984.12278   Parkinson, K. & Rae, J., P. (1996). The Understanding and Use of Counselling by Speech and Language Therapists at Different Levels of Experience. European Journal of Disorders of Communication, 31(2), 140–52. https://doi.org/10.1111/j.1460-6984.1995.tb01757.x   Sekhon, J., Douglas, J., & Rose, M. (2015). Current Australian speech-language pathology practice in addressing psychological well-being in people with aphasia after stroke. International Journal of Speech-Language Pathology, 17(3), 252–262. https://doi.org/10.3109/17549507.2015.1024170   Sekhon, J. K., Oates, J., Kneebone, I., & Rose, M. (2019). Counselling training for speech–language therapists working with people affected by post‐stroke aphasia: A systematic review. International Journal of Language & Communication Disorders, 54(3), 321-346. https://doi.org/10.1111/1460-6984.12455   Sekhon, J. K., Oates, J., Kneebone, I., & Rose, M. L. (2021). Counselling education for speech-language pathology students in Australia: A survey of education in post-stroke aphasia. Aphasiology, ahead-of-print, 1-30. https://doi.org/10.1080/02687038.2021.1967280   Victorino, K. R., & Hinkle, M. S. (2019). The development of a self-efficacy measurement tool for counseling in speech-language pathology. American Journal of Speech-Language Pathology, 28(1), 108–120. https://doi.org/10.1044/2018_AJSLP-18-0012

Millions of people start taking antidepressants every year. But how many stop? Despite what we have heard for years, the process of withdrawing from antidepressant medications can be long, unpleasant, and even dangerous. Today's guest is one of the foremost researchers in “deprescribing” or withdrawing from antidepressants. Join us as Dr. Mark Horowitz from University College London explains the possible side effects of withdrawal, how to taper slowly and safely, and why you might want to consider going off antidepressants. To learn more -- or read the transcript -- visit the official episode page. Guest Bio Dr. Mark Horowitz, MBBS, PhD, is a Clinical Research Fellow in Psychiatry at the National Health Service (NHS) in England, an Honorary Clinical Research Fellow at University College London, and is a training psychiatrist. He has a PhD from the Institute of Psychiatry, Psychology and Neuroscience at King's College London in the neurobiology of depression and antidepressant action. He is an associate editor of the journal Therapeutic Advances in Psychopharmacology. He co-authored the recent Royal College of Psychiatry guidance on “Stopping Antidepressants,” and his work informed the recent NICE guidelines on safe tapering of psychiatric medications. He has written several papers about safe approaches to tapering psychiatric medications, including publications in The Lancet Psychiatry, JAMA Psychiatry, and Schizophrenia Bulletin. He has an interest in rational psychopharmacology and deprescribing psychiatric medication and co-founded Outro Health, the first personalized, clinician-guided service for coming off antidepressants. He has experienced the difficulty of withdrawing from psychiatric medications firsthand, which has informed much of his work. Inside Mental Health Podcast Host Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can't imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

A daily news briefing from Catholic News Agency, powered by artificial intelligence. Ask your smart speaker to play “Catholic News,” or listen every morning wherever you get podcasts. www.catholicnewsagency.com - On All Souls' Day, Pope Francis urged Christians not to “compromise with the Gospel” but to take Jesus' words seriously when he says we will be judged by how we treat the poor. “Often, out of convenience or comfort, we tend to tone down Jesus' message, to water down his words. Let's face it, we have gotten pretty good at compromising with the Gospel,” the pope said in Saint Peter's Basilica on November 2. Pope Francis offered Mass on All Souls' Day for the repose of the souls of more than 150 deceased bishops and cardinals who died in the past year. In his homily, the pope reflected on Jesus' words in the Gospel of Matthew: “For I was hungry and you gave me food, I was thirsty and you gave me drink, a stranger and you welcomed me, naked and you clothed me, ill and you cared for me, in prison and you visited me.” The pope said that these words in the Gospel help prepare for death and the final judgment. “The best careers, the greatest achievements, the most prestigious titles and awards, the accumulated wealth and earthly gains, all will vanish in an instant, everything,” he said. The pope said that All Souls' Day is a good occasion to ask “if our desires have anything to do with heaven.” https://www.catholicnewsagency.com/news/252710/pope-francis-on-all-souls-day-do-you-desire-heaven-above-everything-else England's National Health Service (NHS) has issued new guidance for the treatment of children with gender dysphoria, warning that the condition is often a temporary “phase” and restricting the use of puberty blockers and sex-changing hormones. The NHS's revised treatment policy was released last week after a review of existing policies found that gender transitioning may have “significant effects on the [child's] psychological function.” The change follows the closing of what was the world's largest child-gender clinic, Tavistock Clinic, due to concerns raised by an independent review and complaints from patient families. The NHS' full guidance represents a shift away from a “gender-affirming care” model that encourages the medical and social transition of a child into the opposite sex, often with the use of puberty blockers and hormone drugs. https://www.catholicnewsagency.com/news/252706/england-s-health-service-puts-brakes-on-transgender-treatments-for-children Today, the Church marks All Souls Day. Today and throughout the month of November, the Church makes a special effort to remember, honor and pray for the dead, especially those in purgatory. Purgatory is a place where the souls go who die in friendship with God but are still imperfectly purified, and he Church teaches that souls in Purgatory rely on the prayers of souls still on Earth to relieve some of their temporal suffering and speed their journey to Heaven. There are many different cultural traditions around this period, but one of the most consistently honored is the practice of visiting cemeteries. https://www.catholicnewsagency.com/saint/all-souls-day-41

The CyberPHIx Roundup is your quick source for keeping up with the latest cybersecurity news, trends, and industry-leading practices, specifically for the healthcare industry.  In this episode, our host Brian Selfridge highlights the following topics trending in healthcare cybersecurity this week:  New Ponemon study that links increased mortality rates and poorer patient outcomes following cyber attacks Massive third-party breach cripples Britain's National Health Service (NHS) via ransomware breach that takes down 111 services (akin to 911 services in the US) FBI warning and increased reporting of financial processing attacks against healthcare providers via phishing and social engineering Ambry Genetics settles class action lawsuit for $12.5m following 2020 breach of over 230,000 patient records OCR announces $300k settlement related to improper disposal of specimen containers with PHI on labels New FBI report on medical device security vulnerabilities and recommendations for healthcare organizations Updates on cyberwarfare trends stemming from the Russia/Ukraine conflict; Ukraine issues warning to allies of potential new cyberattacks from Russia President Biden signs new cybersecurity guidelines following CISA recommendations New federal cybersecurity requirements from the Office of Management and Budget (OMB) and NIST accreditation for third-party vendor risk management Healthcare sector leads all industries in fixing software security flaws; report highlights and analysis

Climate change can have a devastating impact on our health. When people are injured or exposed to disease related to floods or fires, it's up to health systems to pick up the pieces. But health care itself is one of the world's most carbon-intensive industries, responsible for 4.5 percent of all greenhouse gas emissions. What can health systems do to address climate change? In the United Kingdom, the National Health Service (NHS) has set some ambitious goals to reduce its carbon footprint. On this encore episode of The Dose, Nick Watts, the NHS's chief sustainability officer, talks about how the health service is meeting these goals, and whether its efforts could be replicated in countries like the United States. A low-carbon health care system, he says, is actually just a good health care system. This encore episode was originally released on 1/28/2022.

Das Gesundheitssystem in den USA ist das teuerste der Welt. Millionen von Amerikaner:innen können sich keine Krankenversicherung leisten. Zwar hat der britische National Health Service (NHS) auch seine Macken, ist bei der Bevölkerung jedoch beliebter als Fish & Chips oder die Queen herself. SRF USA-Korrespondent Matthias Kündig und Grossbritannien-Korrespondent Patrik Wülser vergleichen das Gesundheitssystem in ihren Ländern, welches unterschiedlicher nicht sein könnte. Dabei geht es nicht nur um Politik und Postleitzahl-Medizin, sondern auch um die Erfahrungen der Korrespondenten mit Parasitenbehandlungen und Impfungen in der Nachbarschaftskirche begleitet von Bach-Orgelspiel.

Personality or wealth are often assumed to be prerequisites to gaining power, something that is only garnered by having control over others. An organization chart in a company, however, does not illustrate who has power within the workplace, it only tells you who has authority. And as we learn in this episode, authority and power are not the same.   By using workplace illustrations from the National Health Service (NHS) in the United Kingdom to a cigarette factory in France, Julie Battilana walks us through the precise definitions of power and authority. By understanding exactly what power is and how it really works, Julie breaks down the critical steps to successfully acquiring power and using it to disrupt hierarchies; by innovating, agitating and orchestrating.    Julie Battilana is the Joseph C. Wilson Professor of Business Administration in the Organizational Behavior unit at Harvard Business School and the Alan L. Gleitsman Professor of Social Innovation at Harvard Kennedy School, where she is also the founder and faculty chair of the Social Innovation and Change Initiative.   We value support from our listeners through our Patreon page: https://www.patreon.com/behavioralgrooves. If donating isn't an option for you, don't worry, you can't write us a podcast review on your podcast player which will help other listeners find our show. Thank you.   © 2022  Behavioral Grooves   Topics   (3:32) Welcome and speed round questions. (7:29) Power and authority are NOT the same. (11:59) Who are the most effective change makers? (14:37) Power is having an influence over others but is also a freedom from the influence of others. (16:15) How can we choose the right leaders? (20:18) Empowering the powerless. (25:57) The power of collectivism. (30:17) Abuse of power by Putin. (36:02) How technology plays a part in abuse of power. (41:38) What checks on power are needed? (45:29) Is there hope for the future?  (52:20) What music does Julie listen to. (54:55) Grooving Session discussing what we learnt from Julie.   Links Leading Human Workbook and Playbook: https://www.behavioralgrooves-store.com/products/copy-of-the-leading-human-playbook-workbook-package  Groovy Snacks Newsletter: https://behavioralgrooves.com/newsletter-signup/  “Power, for All: How It Really Works and Why It's Everyone's Business” by Julie Battilana and Tiziana Casciaro: https://amzn.to/3tRykRM Julie Battilana, PhD: https://www.hbs.edu/faculty/Pages/profile.aspx?facId=382192  Fragrance De Soie tea: https://www.mariagefreres.com/FR/2-rose-de-soie-T8669.html?fbclid=IwAR2Zl2GOegLbbuXY5HRgPOICdbkcfAAgcWRamd9mt4plFsgSL_pARoD__UM  Vanessa Bohns, Episode 253. Why You Don‘t Need to be Powerful to be Influential: https://behavioralgrooves.com/episode/influence-vanessa-bohns/ LaTosha Brown: https://en.wikipedia.org/wiki/LaTosha_Brown  Jean Rogers, founder of Sustainability Accounting Standards Board (SASB): https://rogersassociatesllc.com/index.php/about-me/  Social Innovation Change Initiative at Harvard Kennedy School: https://sici.hks.harvard.edu/  Barefoot College: https://www.barefootcollege.org/     Musical Links Stromae “Sante”: https://www.youtube.com/watch?v=P3QS83ubhHE

Joanne, personal breakthrough coach, holistic mentor and community builder, was formerly employed by the National Health Service (NHS) in the UK. She hit rock bottom in July 2020 during the early days of the COVID-19 pandemic, feeling mentally and physically burnt-out, exhausted and despondent. She recognized that she was surviving from one day to the next, constantly looking for a way to break out of the system as she felt both lonely and unfulfilled in her life and career. She soon learned that she needed to surrender control so that she could stop hanging on for dear life and break the fight, flight, freeze pattern, which can cause so many roadblocks in one's life. Today, through a combination of therapy, online support groups and the work that she does coaching her own clients, her lifepath is to move away from judgment and towards joy. She has realized the importance of “resting on the mountain” of life before making the final ascent to the summit. Connect with Joanne at personalbreakthroughs.co.uk. Contact Us: Email: amgits.reverse@gmail.com Instagram: @brushcreekthrivers Facebook: From Survivor to Thriver

She is a diabetes hero without a cape. she will be dropping by the Café this weekend.Boma Tonye Oburoh nee Iyagba mostly known as “Tonye” is a registered UK independent prescriber clinical pharmacist with a special interest in diabetes and hypertension management and the founder of Diabetes Consults. Tonye graduated from the University of East Anglia, United Kingdom and is a member of the General Pharmaceutical Society of Great Britain (GPHC). She has a wealth of experience working in hospital settings both within the National Health Service (NHS) in the United Kingdom and the private sector and has chaired and also spoken on the Diabetes UK platform and hosts a variety of diabetes and health related events on her social media platforms. Tonye has undergone a variety of professional diabetes specialist training such as Programme for Injectable therapies (PITSTOP), Meeting educational requirement improving treatment (MERIT) just to name a few). Tonye currently works within the primary care setting in the United Kingdom with other healthcare professionals such as Endocrinologist, Diabetologist, Nephrologist, Podiatrist, Diabetes Specialist Nurses (DSN's), Cardiologists, General Practitioners with Special interest in Diabetes, Clinical Pharmacist, etc. to collaboratively improve the delivery of efficient and impactful diabetes care services to local communities in Kent, United Kingdom. As part of her daily routine she manages other routine chronic diseases as well as triage and treatment of minor ailments. Tonye is an active member of a variety of associations such as Diabetes UK, UKCPA (Clinical Pharmacy association UK), and Primary Care Diabetes Society (PCDS) to name a few. To Tonye authenticity, compassion, dependability go a long way. She is giving of herself but within her ability. She hates to see injustice and believes everyone deserves a chance at what is right. Tonye is happily married with one daughter. She adores her family (immediate and extended and extends that love to friends and all she meets. At home her friends and family refer to her as Tonyelicuous because she has an infectious personality and smile. You can't have music and see Tonye sitting still (except she's not ready to display herself lol). She is a lover of God and actively involved in church life. She has a community spirit and embraces diversity so has many friends from all works of life.Support the show