Podcasts about national health system

Fare sport in gravidanza non solo è possibile, ma anche consigliato. In questo episodio, esploriamo come adattare l'attività fisica alle diverse fasi della gestazione per trarne il massimo beneficio. Scopri le indicazioni su quali esercizi prediligere e come mantenere il giusto equilibrio tra allenamento e benessere. Segui Postura Da Paura su Instagram e Facebook per trovare altri consigli e informazioni per vivere una vita più equilibrata e serena. Per noi il movimento è una medicina naturale, visita il sito www.posturadapaura.com per trovare il programma di allenamento più adatto alle tue esigenze. Come promesso ecco le fonti citate durante la puntata: Miranda, M. D., and C. Navío. “Benefits of exercise for pregnant women.” Journal of sport and health research 5.2 (2013): 229-232. Haakstad, Lene AH, et al. “Why do pregnant women stop exercising in the third trimester?.” Acta obstetricia et gynecologica Scandinavica 88.11 (2009): 1267-1275. National Health System, “Exercise during pregnancy”, https://www.nhs.uk/pregnancy/keeping-well/exercise/, Aggiornato 16/07/2022 Committee on Obstetric Practice, “Physical Activity and Exercise During Pregnancy and the Postpartum Period”, American College of Obstetricians and Gynecologists, 2020 American College of Obstetricians and Gynecologists, “Exercise during pregnancy. FAQ”. Aggiornato Marzo 2022

Fare sport durante la gravidanza è altamente consigliato, ma alcune attività possono essere rischiose. Esploriamo quali esercizi evitare, dalle attività con urti o cadute agli sport in condizioni climatiche estreme. Scopri come mantenerti attiva in modo sicuro con esercizi a basso impatto e rafforza muscoli e ossa per affrontare al meglio la gestazione. Segui Postura Da Paura su Instagram e Facebook per trovare altri consigli e informazioni per vivere una vita più equilibrata e serena. Per noi il movimento è una medicina naturale, visita il sito www.posturadapaura.com per trovare il programma di allenamento più adatto alle tue esigenze. Come promesso ecco le fonti citate durante la puntata: Miranda, M. D., and C. Navío. “Benefits of exercise for pregnant women.” Journal of sport and health research 5.2 (2013): 229-232. Haakstad, Lene AH, et al. “Why do pregnant women stop exercising in the third trimester?.” Acta obstetricia et gynecologica Scandinavica 88.11 (2009): 1267-1275. National Health System, “Exercise during pregnancy”, https://www.nhs.uk/pregnancy/keeping-well/exercise/, Aggiornato 16/07/2022 Committee on Obstetric Practice, “Physical Activity and Exercise During Pregnancy and the Postpartum Period”, American College of Obstetricians and Gynecologists, 2020 American College of Obstetricians and Gynecologists, “Exercise during pregnancy. FAQ”. Aggiornato Marzo 2022

Today we listen to a conversation that began at the North Carolina Hospital Association's winter meeting between Bamboo Health Senior Director of Growth, Ellen Solomon, and CHESS Director of Value-based Operations, Rachel Holder. Ellen and Rachel get together for the podcast to continue the discussion on the topic of Navigating Value-based Care through Real Time Intelligence.RH: Thanks so much, Ellen, for joining us today. So can you give us a really brief introduction about yourself, your role, and tell us a little bit about Bamboo Health?ES: Yeah, sure. Thank you so much for having me, Rachel. It was great getting to chat with you at the North Carolina Healthcare Association winter meeting. But for folks that don't know me, my name is Ellen Solomon. I'm senior director of National Health System growth at Bamboo Health. I've been here for six years and I currently live in Charlotte, but I always love calling out to my North Carolina customers. I was born and raised in a small town of Reidsville, NC And so in terms of what we do, folks in North Carolina may remember us as patient ping or Appriss Health. We've since come together and rebranded as Bamboo Health back in 2021. And I'll first start again with sort of who we are at a very high level and then I'll go into North Carolina as well as obviously how we work with you guys, Rachel. But in one sentence, Bamboo Health is an intelligent care collaboration network across all 50 states. The problem we work to solve is that as you know better than me, healthcare was built on silos. Those silos could be the EMR that you use, your geographic location, state lines or the setting of care, whether that's acute post, acute, ambulatory. And those silos make engaging patients and coordinating care in real time very difficult. And even more difficult when you're actually trying to bend the cost curve and improve patient outcomes like readmissions, Ed utilization, post acute length of stay and many others. And so in short, I compare Bamboo Health to expedia.com. You have all these hotel chains, you have all these airline companies that are competing for your business. They operate their own platforms, their own tools and they don't really want to share with each other. But Expedia brings them together in a really simple way and that's where Bamboo Health sits. And so today in North Carolina, we support our customers really in three use cases. The first one which we'll drill into more I believe in, in this discussion and how chess uses Bamboo is we enable value based care use cases through our engaged admission discharge and transfer or ADT network. And in North Carolina specifically over 80% of the hospitals in the state participate. We have over 800 post acutes, over 50 provider organizations. And this actually started back in 2017 when we partnered with NCHA who's really been instrumental in helping us build out this ENGAGE network. That network does extend to all 50 states. Secondly, we partner with the state of North Carolina as well as 45 other states to support prescription drug monitoring or PDMP program to help continue to curb the opioid epidemic. And then lastly, we're rolling out a behavioral health referral network also known as BH scan in the state. So I think the, So what their common thread between all those use cases is it's real time actionable and through an engaged network. And so Rachel, I know when we spoke at NCHA, Chess has been such a long standing bamboo partner. You all have really been with us from the beginning. I'd love if you could share more about some of the challenges you're hearing from your value partners as they're transitioning into more risk and value based care.RH: Yeah. Thanks so much Ellen. So I think gone are the days that just a high AWV rate and some...

Climate change is threatening human health across the globe. Extreme weather events like wildfires and heat waves are causing immediate and long-term health risks, with sometimes deadly results. According to this year's Lancet Countdown report, which tracks the effects of climate change on human health, the impacts are getting worse.  To address this growing crisis, the recent UN Conference on Climate Change, or COP28, featured its first ever Health Day. Discussions there established the issue as a vital factor in climate negotiations. But the final agreement from the climate talks does not include the phasing out of fossil fuels, which is language many health experts were hoping to see included.  So, how do researchers track the connection between climate change and human health? What are the key indicators? And what do they warn will be the consequences of continuing to burn fossil fuels?  This week host Bill Loveless talks with Dr. Marina Romanello about the intersection of health and climate change.  Marina is the executive director of the Lancet Countdown, and a climate change and health researcher at University College London. She has also carried out research in the Buenos Aires Institute of Technology, University of Cambridge, and the Francis Crick Institute. From 2020-2021, Marina helped England's National Health System develop net-zero commitments.

Welcome back to episode four of our Health and Fitness mini series! Troy Burden and Amanda DiGiacomo had the opportunity to sit down with Stacy Kuwahara the Director for Kern Behavioral Health and Recovery Services and Anna Marie Frank the Founder of Happy Whole You to discuss the importance of mental health. Anna outlined the services she offers at Happy Whole You and how she strives to help others with their mental health journey after struggling with it herself during her younger years. Stacy explains the common issues she comes across in her field of expertise and how they can be prevented with early intervention. If you have questions regarding mental health please listen to this week's episode and reach out to either Anna Marie Frank or Stacy Kuwahara.  Stacy Kuwahara is the Behavioral Health Director for Kern Behavioral Health and Recovery Services. She oversees the Kern County Mental Health Plan, responsible for providing a full array of mental health and substance use services for Medi-Cal Beneficiaries in Kern. She is a licensed Marriage Family Therapist and has over 20 years' experience working in the mental health field. Prior to working in the county, she has worked throughout California for private organizations and spent time working for the National Health System in England. She holds a Master's degree in Counseling Psychology from Pacifica Graduate Institute. Anna Marie is a doctor of Traditional Naturopathy, with a PhD in Holistic Medicine. She is also a certified brain health professional, ICF certified coach, certified master herbalist, and lover of life! She is also an author, speaker, employee wellness consultant, and mindset/Quantum Body Energy Coding coach. Her mission is to end mental health stigmas and help all people upgrade their brains and biology through lifestyle choices while rewiring their neuro pathways using holistic modalities. Anna Marie healed her own brain after years of depression and challenges with dyslexia and ADD. She is the creator and owner of Happy Whole You. A brain health-focused wellness center located in Bakersfield, California, and Raleigh, North Carolina. Anna Marie is also the formulator of her own brain nutraceutical line which includes, “Happy You, Calm You, & Bright You.” And she is the author of the self-improvement book, “Stop Bullying Yourself!” a guide to greater health, wealth, happiness, and success. Additionally, Anna Marie has training from the Gerson Institute, Amen clinics, Integrative nutrition institute, Mindvalley, the National Wellness Institute, WELCOA Wellness Council of America, and more. She is a lifelong learner and continues to expand in the field of wellbeing.  LEARN MORE ABOUT KERN COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES:  Website: www.kernbhrs.org/ Email: kburton@kleinlaw.com Phone Numbers:  The access & Assessment Center: 661-686-8080 24 Hour Crisis Hotline Toll Free: 1-800-991-5272 24 Hour Substance Use: 1-866-266-4898 Assisted Outpatient Treatment: 844-360-8251 Family Advocacy Services: 844-360-8250 Instagram: kernbhrs Facebook: Kern_Behavioral_Health_and_Recovery_Services LinkedIn: KernBehabioralHealthandRecoveryServices Twitter: https://twitter.com/KernBHRS LEARN MORE ABOUT HAPPY WHOLE YOU:  Website: https://happywholeyou.com/  Email: info@happywholeyou.com Phone Number: 661-337-0216 Instagram: happywholeyou Facebook: Happy_Whole_You LinkedIn: Anna_Marie_Frank    

This is a republishing of an archived episode with Karen Treisman.Dr Karen Treisman, MBE, is a Highly Specialist Clinical Psychologist and trauma specialist who has worked in the National Health System and children's social services for several years. Karen has also worked cross-culturally in both Africa and Asia with groups ranging from former child soldiers to survivors of the Rwandan Genocide. She also is the author of 11 books/workbooks, including the bestselling book, “The Therapeutic Treasure Box,” and of 5 sets of therapeutic card decks.Karen has extensive experience in the areas of trauma, parenting, adversity (ACE's) and attachment, and works clinically using a range of therapeutic approaches with families, systems, and children in or on the edge of care, unaccompanied asylum-seeking young people, and adopted children.Karen also specialises in supporting organisations and systems to move towards becoming, and to sustain adversity, culturally and, trauma-informed, infused, and responsive practice. This work focuses on creating meaningful and multi-layered cultural and paradigm shifts across whole systems. Karen was awarded a Winston Churchill Fellowship Travel Award which involved visiting several places in the USA to further study whole systems, and organisational approaches to trauma-informed and trauma-responsive care. This topic is also the focus of Dr Treisman's new books (2 volumes) entitled “A Treasure Box for Creating Trauma-Informed Organizations: A Ready-to-Use Resource For Trauma, Adversity, and Culturally Informed, Infused and Responsive Systems”In addition to holding a doctorate in Clinical Psychology, Karen has undergone a range of specialist training courses including in EMDR, Narrative Therapy, Narrative Exposure Therapy, Trauma-focused CBT, Dyadic Developmental Psychotherapy, Systemic Psychotherapy, Video Interaction Guidance, Sensory Approaches, and Theraplay.Karen has previously worked in both Milton Keynes's and Kensington and Chelsea's children-in-care and fostering services; and within the National Implementation Service for evidence-based interventions for looked-after children, children on the edge of care, and children in custody at the Michael Rutter Centre in the Maudsley Hospital; and as Clinical Lead for a court assessment and intensive intervention team for children on the edge of care and in proceedings in Islington.Karen is an external consultant, trainer, speaker, and assessor to a variety of UK and International local authorities/child welfare, health care teams, schools, charities, and organisations including Barnardos, PAC-UK, AdoptionPlus, BAAT, Pause, Action Trauma, Candle Trust, Grandparents Plus, Three Steps Ireland, MedicaCPD, and the Fostering Network. Karen is also an expert witness and regularly undergoes a variety of assessments for court. Additionally, Karen is also an associate editor for the Journal of Child and Adolescent Trauma and a reviewer for the Journal of Adoption and Fostering; and for several book publishers.Karen was also awarded the 2018 Psychology Professional of the Year Award for Excellence in Attachment and Trauma; Youth Psychology Professional of the Year 2020; and an MBE for Outstanding Services for Children. She is also on the Queens 2020 Honours list.In This EpisodeSafe Hands Thinking Minds WebsiteKaren's books on Amazon---What's new with The Trauma Therapist Project!The Trauma 5: gold nuggets from my 700+ interviewsThe Trauma Therapist Newsletter: a monthly resource of information and inspiration dedicated to trauma therapists.This show is part of the Spreaker Prime Network, if you are interested in advertising on this podcast, contact us at https://www.spreaker.com/show/5739761/advertisement

What gets you out of bed in the morning? What drives your team? In this episode of the Power Hour Podcast, Bethany sits down with Gavin Rebello, an optometrist and renowned expert on leadership and management from the National Health System in the United Kingdom. Together, Gavin and Bethany discuss 7 key psychological factors that drive motivation and how success as a business leader requires creating and cultivating an environment where all members of the team feel empowered to work towards common goals, have opportunities for personal growth, and understand the positive impact their work has on people's lives.  If you have ever had trouble fueling your motivation or want to create more purpose-driven teamwork for your practice, you're not going to want to miss this episode!  

UK correspondent Harriet Line joins Kathryn to talk about the National Health System marking 75 years - amid warnings that unless there are drastic changes it might not make it to 100. The King and Queen were in Scotland for a special service where Charles was presented with the symbols of his authority there. And three Just Stop Oil protesters have been arrested after their activities stopped play during the third day of Wimbledon.

This webinar will help to discuss the state of minority health, post pandemic, during National Minority Health Month. Where do we find ourselves now in terms of health equity? Is community engagement with trusted voices being continued by health policy makers & providers? Do we have a sustainability model for promoting engagement & health equity? Moderator Laura Lee Hall, Ph.D. President, Center for Sustainable Health Care Quality and Equity National Minority Quality Forum Panelists Daniel B. Fagbuyi, MD Assistant Professor of Pediatrics and Emergency Medicine George Washington Univ. School of Medicine Dr. Daniel B. Fagbuyi, known as “Dr. Dan” by his patients, is a distinguished ER Physician, Biodefense Expert, Chief Medical Officer, War Veteran, Asst. Professor and Media Expert, providing strategic leadership in public health literacy, biodefense, disaster preparedness, emergency management, and business continuity of operations both nationally and internationally. He served as Medical Director for Disaster Preparedness at Children's National Health System. Dr. Fagbuyi is board certified and one of the first and youngest African Americans appointed by the US Secretary of Health and Human Services, Kathleen Sebelius (Obama Administration) to the National Biodefense Science Board to provide expert advice and guidance on complex issues of preventing, preparing for, and responding to adverse health effects of public health emergencies. Under the leadership of Gen. David Petraeus, Dr. Fagbuyi (MAJOR) was a unique asset, possessing skills that enabled him to be involved in both combat and civil military operations. During civil operations, he was appointed “liaison” between the US Army and the Iraqi Ministry of Health, providing health and infrastructure assessments to the US government culminating in the rebuilding of damaged medical treatment facilities and the provision of medical treatments, food, water, and basic human essentials, ultimately winning the “hearts and minds.” As medical expert, Dr. Fagbuyi seeks to empower the public by providing timely, tangible, and easy to digest public health information and education. He has had appearances in both lay and professional media including: The Washington Post, NPR, CNN, MSNBC, CNBC, CBS, ABC, NBC, FOX 5, WUSA 9, ABC WJLA 7, Associated Press, Science, Today Show and more. Stephen B. Thomas, PhD Professor, Health Policy and Management Director, Center for Health Equity One of the nation's leading scholars in the effort to eliminate racial and ethnic health disparities, Dr. Stephen B. Thomas has applied his expertise to address a variety of conditions from which minorities generally face far poorer outcomes, including cardiovascular disease, diabetes, obesity and HIV/AIDS. Dr. Thomas has received numerous awards for his professional accomplishments, and over the years, his work has become recognized as one of the scholarly contributions leading to the 1997 Presidential Apology to Survivors of the Syphilis Study Done at Tuskegee. His current research focuses on the translation of evidence-based science on chronic disease into community-based interventions designed to eliminate racial and ethnic disparities in health and health care. In 2014, Democratic Gov. O'Malley appointed Dr. Thomas to the Maryland Health Care Commission, an independent regulatory agency whose mission is to plan for health system needs, promote informed decision-making, increase accountability, and improve access to quality medical and dental care. In 2019, Republican Gov. Larry Hogan appointed him to a new full term on the Commission. Originally Published on April 28, 2023

In this episode, are joined by Mary Daymont, Vice President of Revenue Cycle and Care Management at Children's National Health System, to discuss her nursing background & how that shapes her perspective, her focus on leveraging technology to reduce workload burdens across the system, how she's thinking about growth and adding value to her organization, and more.

In this episode, are joined by Mary Daymont, Vice President of Revenue Cycle and Care Management at Children's National Health System, to discuss her nursing background & how that shapes her perspective, her focus on leveraging technology to reduce workload burdens across the system, how she's thinking about growth and adding value to her organization, and more.

In this episode, are joined by Mary Daymont, Vice President of Revenue Cycle and Care Management at Children's National Health System, to discuss her nursing background & how that shapes her perspective, her focus on leveraging technology to reduce workload burdens across the system, how she's thinking about growth and adding value to her organization, and more.

Dozens, and possibly hundreds, of Russian soldiers were killed early New Year's Day by a Ukrainian strike using the US-supplied HIMARS rocket launcher. The question is whether Ukraine also used US intelligence data to target the Russians. 5) Russia admits 63 soldiers killed in missile strike, but Ukraine says 400; 4) Thousands pay respects to Pope Emeritus Benedict XVI; 3) UK's National Health System accused of allowing men who identify as trans to treat women requesting same-sex care; 2) Woman arrested for praying silently near abortion clinic; 1) John Piper gestures so wildly while preaching his Apple Watch tries to call 911.

Dozens, and possibly hundreds, of Russian soldiers were killed early New Year's Day by a Ukrainian strike using the US-supplied HIMARS rocket launcher. The question is whether Ukraine also used US intelligence data to target the Russians.5) Russia admits 63 soldiers killed in missile strike, but Ukraine says 400; 4) Thousands pay respects to Pope Emeritus Benedict XVI; 3) UK's National Health System accused of allowing men who identify as trans to treat women requesting same-sex care; 2) Woman arrested for praying silently near abortion clinic; 1) John Piper gestures so wildly while preaching his Apple Watch tries to call 911.

Introduction The magic of Harry Potter captivated a generation of dreamers and stood as a gateway to another world; for one Paige Steffy, it was also a glimpse into her future. Paige graduated from UC Davis with a double major in psychology and Spanish, then worked in the admissions office at Willamette University. Her next adventure wasn't quite Hogwarts, but, for her Master's program, Paige moved to the U.K. and attended Royal Holloway, University of London. Today, Paige is taking the lessons she's learned and using them to guide international students through the Unibuddy, student ambassador program, platform. Join us for part one of our two-part interview! Episode Summary 03:20 - Paige gives a recap of her background, her educational journey, and the work she does in student education. 07:05 - Paige speaks about the influence that her love for stories has had on her career.  08:09 - Inspiration is all around; Paige mentions how not only her teachers, but the story of Harry Potter fostered her interests. 09:24 - Why did Paige decide to continue her studies in the U.K., rather than the U.S.? 11:44 - Simon ties in how Steve Jobs' Stanford commencement speech relates to Paige's own story. 12:37 - Paige shares how her study abroad opened her eyes to the wonders of being an international student. 16:55 - Paige and Simon speak on the National Health System in the U.K. vs. the U.S. 19:36 - How has Paige's experience in the U.K. shaped her ability to help international students looking to take on similar challenges? 20:53 - Who is someone dead or alive that Paige would like to spend a day with? Links UC DavisWillamette UniversityRoyal Holloway, University of London Harry PotterSteve Jobs Stanford Commencement SpeechNational Health ServicePrincess DianaGuest InformationLinkedin ResourcesUnibuddyConnect With UsInstagramFacebook Twitter Tumblr Find our Podcasts here

Check out Stuart's Youtube Channel  "Message for Our Time"https://www.youtube.com/channel/UC8gzU1q2-yIUDH8so1zV8dQTo request  Stuart's phamplet "The Biggest Lie of All"  email him below.spagatner52@sky.comBooks mentionedWhen Your Money Fails Paperback – January 1, 1981https://www.amazon.com/When-Money-Fails-Stewart-Relfe/dp/0960798609Well, welcome to remnant revolution. I'm Gary Duncan, your host and I'm here with Stuart's Magana. He is a YouTube sensation assay because I follow him a lot, but he's a pastor out of is it England, Stewart, England. And so I'm talking to him across the pond, as they say, right, we're gonna have a great conversation about church and some of the things that are going on in our country. And I just love his heart in his message. He's very Bible centered, but he's very timely in things that are going on in this very age and very day. And so you can get great wisdom from a lot of what he says, But he backs it up with every bit of the Bible. So Stuart, it's a pleasure. Thank you for coming on the podcast and looking forward to our conversation. Thank you. So first of all, I don't know a lot about about let me let me start with how I found you. Because you have a YouTube channel. Let me share the screen for us. That this site right here, it's called messages for our time. And he's got a bunch of them. How long have you been doing this? Two years? 2020? Since 2020, 2:02  right? Yes, May 2020. Yeah. 2:05  And so very timely. You know, y'all go check him out and subscribe up there in that little right hand corner, hit that little bell right there too, as you see. And you'll get notified every time he puts one out. You do it almost every day, right? 2:19  I do. Yes. Strangled myself. I don't know how it ended up every day, actually. It's just become like that, really. I was I started once a week. 2:30  I like it. Tell us a little bit about yourself first. And then we'll get into more about your YouTube and then more specifically about some topics that you show some topics that a lot of people don't talk about, but you do. 2:42  I try. Well, I started my Christian walk 50 years ago, and this month, actually 1972 I come out of the era I like to call it I suppose shouldn't say I like to call but sex, drugs and rock'n'roll 1960s tells you my age. I just had my 70th birthday. And it was quite a time to be living or really, I suppose the 60s revolution and all that, and didn't do me an awful lot of good. And I ended up so it's a long, long story. I ended up leaving England, I was born in a place called Hove in Sussex. It's a rather a sleepy town next to a very lively town called Brighton. And it's on the south coast. And I've got myself into the drug scene got very messed up, mixed up with all kinds of people. And I was helped to get away from people, certain people that were causing me an awful lot of influence, bad influence in my life. And I was a runaway from my hometown, and ended up going up north. And this is an awfully long story that attaches to that I got involved in being accommodated by a spiritist. But he didn't actually practice Spiritism on me, he actually helped me an awful lot to get my life straight and for about six months, and encouraged me to go and join my parents who had emigrated to South Africa. I stayed behind when they went and I had the two years on my own where I was creating all sorts of havoc for myself on the drug scene, even became a salesman at one point. And I'd mess my head up with about 65 LSD trips and nearly blew my brains out. And I ended up in Cape Town in 1971. Rather, I suppose, high and dry from that experience and caused me a lot of mental damage. I ended up in a group therapy session and cut a long story short and then one of the ladies in the session said to me, why don't you go to the church that I've been going to what we know here is the Assemblies of God pain To costal church. Now I'm a Jew, grew up in a Jewish home, and wasn't a very orthodox Jewish home. But I did have what's known as the General bar mitzvah. At all Jewish boys have my father died when I was 11. And he's dying wish was I had the bar mitzvah. And I went ahead with that. And then ended up for, as I say, in this group therapy session, and then going to this church never heard the gospel in my life before with this being a Jew, you don't hear the New Testament. And I heard the words of Jesus in the Gospel for the very first time, from the book of Matthew, If any man would come after Me, let him deny himself, take up his cross, and follow me. And when I heard the words, follow me, something just happened. It was a bit like, you know, when Jesus called them, the fisherman, and he said, Follow me and you, any of you have ever watched the Jesus of Nazareth film, you know, you see them get up, and suddenly they're transfixed, and they go out to follow Jesus. And it was a bit like that, for me, it was like a Damascus Road thing, you know, just just happened to me inside. I didn't even understand what had happened to me, because I've never read the New Testament. And it took a while to get to appreciate to understand. And for the penny to drop from, it actually went the opposite way around, it went from my heart to my head, Jesus Christ as the Messiah, not just as the Gentiles, but as the Jews. And when that hit me, then I began to experience that fullness of joy, that fullness of understanding that I 6:34  become what was then known as a completed June, I found my Messiah. And I slowly started to get healed of the effects of all the drugs and the LSD, all that stuff. And ended up going into the, in the Methodist Church, actually, it was in Cape Town, and became a Methodist lay preacher, and then actually became a candidate for the Methodist ministry. But I didn't last very long in that and other influences came in. And I also realized, I probably wouldn't be able to stay with us, I discovered that I was a bit of a radical, I wasn't prepared to baptize babies, and follow a book that was full of rules and regulations that were twice the size of the Bible. So I left the Methodist Church and really started going to independent charismatic fellowships. And I've been a lay preacher for three years. And so I'd have that experience. And although I left the institutional church, I don't know the as it says, in the Scripture, the gifts and calling of God are irrevocable. And I knew that the Lord had always be with me wherever I went, whether I was in an institution, as a pastor, or whether I was independent, and ran a small house church from there and went on and off, and that kind of thing. And my life sort of went on from there. And, and it was really another situation to get involved with understanding what I termed at the time, understanding the world through understanding the prophetic message of the Bible through current events. And it was the the current and if that was like a new stage in my life, I can't experience Christ got to understand read the scriptures, I was always sort of squirrel away up in the loft of the church and get my Bible out and diligently read it, as I never read the New Testament. So it was a brand new book to me as a Jew. And that was where I went from there and then began to get interested, as I say, in in prophecy, and understanding in time events. And really, that's what sort of launched me on that road. 8:51  So how, how did you go from from there to go on onto YouTube? Was it kind of the YouTube thing was more like, I'm just gonna, I'm gonna record my thoughts. 9:01  I think I remember I mentioned that we chatted earlier about going around the United States. When I was in the it was about 1980 81. I came across a book. If you can see it there. Yes. Money, Money fails was Mary Stewart Ralph, and she was from Montgomery, Alabama. She was quite an accomplished lady. And she'd written this book, bringing people into an awareness of what in those days were the beginnings of the whole sort of, technocratic takeover I suppose you could call it the the barcodes Okay. Understanding the barcodes you might see the picture on the front there the Yeah, 9:49  I'll put a is in circulation. We'll put a link to it on 9:52  every much downside because I've tried to find it myself and I haven't. It is very, very old. But it What struck me with it was not just her, she began to sort of reveal the the beginnings of what she felt was a 666. System. This was in the early 80s. And what was her 10:12  name again, 10:13  Mary Stewart Ralph, she's possibly passed on now. I mean, this is so long ago, okay. And she wrote this book explaining the the way the 666 actually, is revealed inside the barcodes with what you call what's called a guard bars, you know, the first one, the second one in the middle, and then the third one at the end, which don't have numbers on. And I began to I actually wrote another I wrote my first pamphlet, on this particular thing. And I thought, well, this, this is very prophetic. This is looking like, we're beginning to see the system of the beast coming in the Antichrist. And I started distributing a leaflet, or pamphlet, very small one. But the idea behind it was to get people to see that, to accept Christ really a gospel tract. And that was the survey using the tools of what was happening in, in the world of computers that were actually beginning to see the emerging, we now call the mark of the beast. And I went in on my trip to America to try and find it, and went to my gallery. And unfortunately, I wasn't successful. But in the back of the book, where we've spoken before about the whole issue of endtime events and the tribulation, and when will it take place and all that sort of thing, pre trib, mid trip, post trip, whatever, she actually in the back of her book, she gives a detailed, expose a of what she understands to be mid trib, pre wrath. And I began to read this. And that was where my understanding came from, I think at the very beginning. And I studied the Scripture and the things that she put forward in that book. And that was how I began to see that and went for many years, really just just speaking about these things wherever I could art to various groups, spoke to individuals. And it's kind of gone on from there. So I've always had that awareness of the the sense that we are reaching the end of time, I always felt myself that we wouldn't even get to the year 2000. That's, of course longer. 12:33  Is there a frustration when you see what's going on trying to get people to understand what's going on to really wake them up. Because I'm definitely in that myself. It's kind of like there's, there's this curtain that's been drawn back, that you can't cover back up. And so once that curtains opened, you see stuff and you continually see. So I 12:54  think that the COVID situation really was the curtain for me kind of to draw that that's where I suppose all the other spirit column spiritual emotions came in, you know, where I began to get, I got angry with what I could see around me. I was actually working as a volunteer on the on the reception desk at my local hospital, at the time with COVID broke out. And it was really then that I started to see well, what's actually going on here, it took me about a month to realize that something wasn't right. And I was working on the front desk. And of course, like many of the hospitals around the world, they literally shut their doors unless you were a COVID patient. And they emptied the wards out of elderly people, as anyone can put it and put them into care homes. And I would my job was to to receive sort of like gifts to people who were sick, because they weren't, no visitors were allowed. And I will take them up to the walls. And I would notice as I was passing the walls that they were empty. And that staff were just walking about on their mobile phones doing pretty little. And that really started to disturb me. Then they came along and said, Well, you know, you need to start wearing masks. This was two months after the whole thing started. And I just felt no, this is all wrong. This is not how you tackle a virus. This is not what are you doing to the National Health System. And that was really what prompted me to start the YouTube channel, I suppose in a way but it was also coupled with the fact that I'm a poet. And I've got a couple of unpublished manuscripts actually, I'm keep promising myself, I'll do something with them. I used to belong to poetry circles with the city of Norwich, which is about 27 miles from where I live. And I thought well, one day I'll sit down I'll start a YouTube channel. This was May 2020. I started with a poem about COVID-19 and I just recited it. I don't think I've seen that. Yet. That was the how the thing started. And it really went on from there. But it's kind of it had a very slow growth, up until about, I suppose about four or five months ago, really. 15:20  As close to when I ran across you and started started falling as well, what actually 15:24  happened there was it was strange, it was two things really. I met another brother who has a channel. And he has quite a large channel at that time. This was about let's say, four or five months ago. And he had 19,000 subscribers at the time. And he came across one of my videos and thanking him, if I can remember rightly, he messaged me to say I know where you are. And I thought as far as strength, what do you mean? He said, Well, I can. When I stand on the beach, I can see the wind tout the Windham turbine. Actually, where we live here in Lowestoft, this the largest wind turbine in the UK, so you can't miss it. I said, Well, that means you must be up in Great Yarmouth, which is 10 miles north of us. And he says, Yes, he says, I put one of your videos on my channel. I mean, I was getting like 30 views. And even then I had to send out videos on Messenger to get them watched. And he's got about 1500 views. And it kind of went from there. And then I just started doing it. And then from that particular video, people just started to find it. And then I did this particular one called the beast, the beast in the church, the beast systems in the church. And that just seemed to go sort of viral, and it's now had something like 263,000 views. 17:01  Now is that the one where you have the pamphlet about the line, 17:04  one that was dealt with the a&r A and O productions, Alfred Amiga picked that one up, and then they use that one. 17:13  That's, that's how I found you. Rice, is I heard your voice on that video that they put out. And I'm like, wow, this guy gets it. He gets it. I gotta get hold on and talk to him. So yeah, hold that. 17:30  Yeah, that was where it really where the whole thing came in with was writing. But what I wanted to do with the pamphlet was the whole idea was having so having written something along these lines, many, many decades ago, I'd actually written another one in between these two, which have a similar graphic to this actually, except that it had them. They'd have the symbols and things like Freemasonry, Buddhism, Hinduism, and all that stuff. 17:58  And what's the name of that particular pamphlet? 18:00  That wasn't good. That one is out of print. I've only gotten on the one, 18:03  the one you're holding up that this is like, ask if people can't see. That's the biggest lie of all, the biggest lie of all, and we'll have a link right you can we put a link in the show notes, so they can email you to get a copy of that, or how's that working? 18:19  Yeah, I mean, what's been happening is people have when I've mentioned that people have said, Can I get a copy? So I've, I've, I've asked them to email me directly. And then then I've just sent sent a copy on PDF. 18:34  Okay. Yeah, we'll talk off air about how we can set that up. But 18:39  yes, I'm awfully technical with adding links, and I'm still trying to, to work out I've got a rumble channel, and I'm still trying to work out how to sync it with YouTube. Which is another situation I'm also on a channel called RT N tv.org. Okay, which is connected to a ministry, which also includes there are several other people on the platform, one of whom is Jacob prasch, who's a very, very learned brother in the Lord. He's got the Greek and the Hebrew and all that and, and does some great Bible studies. But it's getting back to the pamphlet, the idea behind it was to draw all the strands together, of what was happening not just with COVID but with the what we now know as the great reset, you know, through the World Economic Forum. And I wanted to sort of bring in the whole idea of what what is happening to lifestyles. How is that how our lifestyles changing, you know, the the emergence of a cashless society. The whole issue with regard to the the economy with the way we've seen the systematic destruction of the economy, and of course, healthcare in the UK, as I mentioned before, And, of course, the emergence of technology within the transhuman agenda artificial intelligence, and also with the virus the the way that we've people have responded to the virus and the way that lockdowns came in, was very early on, I saw that the lock downs, were going to cause a lot more damage than they were good. And, of course, now we see what it's all starting to sort of emerge. Now, of course, with a vaccine. I knew I knew straight away that that was something I wasn't going to touch. I wasn't going to put anything like that in my body. So I suppose once you've had a taste of, as you say, taken the red pill, every time something fresh or new comes up, you you kind of red pill starts to do its work inside you. And God says, you know, something's wrong there. You know, don't don't take that road. And of course, it also includes the politics and what's been going on in the world. You know, with the the woke movement, black lives matter. How emergence of that. And of course, now, in a way, I think, the pamphlets a little out of date, because now as we've moved into this Ukraine situation, we've got a new COVID, as it were to deal with distraction, and you distraction and distraction and a half. I listened to the podcast that you sent me with these, Laura rose on the scalpel. Wow, why not? Amazing, is incredible. To think what the Ukraine is really being used for at the moment. platform of the Ukraine. And, of course, it goes, 21:47  it goes back before before Oh, but Biden? Yeah, I mean, before Obama, you know, and how we've got our tentacles into Ukraine. And it's just, you know, yes, people are being killed needlessly, and it's just, it's tragic. It's a war. I mean, it's, that's what his war does. They kill innocent people. But how, how our leadership in our administration is manipulating the populace. On who's the bad guy and who's the good guy. You know, yeah, Putin has got his own deal. He's definitely bad as well. I mean, there's we're not standing up for Putin. It's the manipulation is incredible. Once you take the red pill, you start seeing past this, you become viewed as being too political. And that doesn't belong in the church. I believe Jesus, all he did was go towards the government at the beginning. That's who he fought with most of the time was the god of the 22:44  old prophets to the old prophets, Jeremiah, Isaiah, they spoken to these situations going on in their in their time in Israel and Judah. And 22:53  unlike you in 2020, the flip switched for me, we're in a war. We've been in a war for quite a long time. But now the war is so tangible, and so demonic, demonic and the censorship, and all the things that get all of that is demonically political. Have you seen the movie The document in 2000 meals yet? 23:16  No, I haven't seen it. Oh, yeah. You 23:19  want to you want another red pill type? Look up 2000 mules that Dinesh D'Souza 23:25  Yeah, I've heard of him on the Alex Jones Show. 23:29  In the documentary they do their with voter fraud, ballot harvesting. I mean, they got them red handed. I mean, they got video they got everything. And I mean, we all kind of got a feel that it was rigged. But now we're showing coming out with the proof truth feel like God's pushing me to ask a question. Where's the church? The individual like you and me and one or two other people you know when two people come together there's the church you know, we are the body of Christ. But in the in the bigger picture you know, the the coming together on Sundays walk sees warfare that is happening in the world and in America. We're not addressing that. It's incredible, how we're just ignoring it. And we're just sticking with the basics of 24:19  is it's a complete blanket of lies. And the more they tell the lies, the less people that are not as you won't say red pill, don't don't understand. They don't listen, they're actually getting differ. And the lies are getting louder and more blatant. And I mean, I see that I mean, the Church of England over here and my wife is still a member of the Church of England. I don't go because people possibly might not agree with me here but they've now got an in the whole parish area around here. They're all led by ladies. And they are lady Vickers, you know, as we call them, because over here Lady ministers, I believe in 25:04  how does that exactly work for? I don't want to say, being the Church of England, is it one big church basically, or attempt, give me a little history on that 25:13  underseen is the the queen is the head of the church, as it were, to the state church. She's this sort of, as I call her, you know, the head of the church. But it's the Archbishop of Canterbury, who is the head of the actual he's the, what we call the primate. And he is extremely woke, and extremely globalist. And he's a big friend of Klaus Schwab. And all these friends in the World Economic Forum. And it trickles down the the the movement towards getting women in the priesthood and all that's been running a long time, it runs alongside the LGBT, whatever how many letters you want to add to that movement. And that, of course, has now taken the Church of England over there are many there are some Church of England, separate churches that are on the fringe, we have one here in the town that is kind of on the fringe, they haven't gone that way. And they've said that they weren't weren't prepared to. And you know, like marrying men and marrying women together and that kind of thing. But the I mean, when the COVID started the local church here, I mean, they, they they didn't they actually obeyed the rules, twice as much as what the government even required them to do. And you know, you go in there today, they're still wearing masks, and my wife experiences a situation where a lady will, she'll walk up to a particular lady who was a friend of hers, and she'll say, Keep your distance, keep your distance. There is this fear, that's endemic fear that's got into them now. And of course, they're older. Some of them are older people. And it's very sad, and it's angry, really, to see that 26:54  talk, talk about the fear, because I think that's, if I look back on 2020, that is probably the the weapon that, that Satan has used the most to destroy lives just to separate churches, separate people is fear. I mean, it's definitely a spiritual demonic attack on everybody. 27:19  Yeah, it is, I can't, myself understand it. I mean, it's, it's I worked in the hospital. Obvious, obviously, you're aware of, if there's something going on in there, you're aware that you can, you can catch it. But at the same time, there's fear. And there's fear, you know, there's a respectful kind of recognition of something when when it's not, you know, when you could possibly catch it. But this is something that really challenges the faith, as far as I'm concerned. And the fear is so intense on many of these Christians in these churches that it's bigger than I say is more, it's more fear that for the virus than it is the fear of God. And it's the government, you see, as put this out this propaganda message, might you must protect your family. I mean, we there's a church we go into quite often he is down by the sea. And there's always open, if you want to go in for prayer. And as you go in on the door is a picture of an emoticon with a mask on. And it says Love your neighbor, wear a mask. So it's conditioning, you see, I'm not loving my neighbor. If I don't do that, and people get conditioned, and in a way that what it's highlighted for me is that if people can fear something like this, that is basically for 90% of people. It's a low grade experience. I mean, they manipulated the figures, incredibly over here. They said initially, it was 150,000 deaths. It's turned out that it's officially about 20,000. That's really, with the actual COVID. Yeah, and because initially, they said it's 150,000 with it. And of course, there's a difference or think of it and with and I understood that quite early in the thing. We have a wonderful news, internet news service here, which I'll give a plug to is called the UK column. So if any of your viewers are interested in what is going on in the UK, or if they have friends and relatives, it's a new service. And I think two or three of them are Christians. One is x GCHQ, which is this other British Secret Service. And he's a Christian, he broadcasts from Holland. And they really give you a lot of the facts behind the facts. And of course, all these they were tracking the adverse reactions to the vaccine. And what we have what's known you have the various system we are what's known as the yellow card system. And we have officially something like 2000 deaths recorded on the yellow card system, which they say is possibly only 10% of the actual deaths. And they they really do give a plug in there the only news service, we have GB news, which is a new channel, which kind of as a halfway house, people think of it, there's a bit of controlled opposition. You kind of have the right kind of puppets on there to give you a little bit of a flavor of yes, we are a little bit red pills, but they haven't swallowed the whole thing. 30:20  Yeah. Sounds like Fox Fox News. 30:23  Yes. I mean, I was watching Fox the other night, I did a little bit of a rant on one of my videos about Piers Morgan. And if you know Piers Morgan, yeah, thank goodness gracious. Yeah. I mean, that man, he was pushing a vaccine over here. Like it was like he had shares in the thing. And, you know, he was talking the other day about the queen. And I did have a respect for the queen, I have to say, until she went on a Zoom meeting, and said that people mustn't be selfish, and then just take the job. And that's the only time she's opened her mouth and 70 years to actually give an opinion about anything. Wow. I'm not impressed. And of course, as I've met her son, Prince Charles and his wife, I used to be part of a crisis helpline service. And one day the he he and his wife came to visit the visit the service called Samaritans. And I thought, You know what it is when you shake someone's hand, and it's a little bit? Yeah. That's Prince Charles, is it? Right? He looks very well. well fed. And well, well, gende up, you know, but I wasn't impressed. Not 31:36  a firm handshake. Ah, he's, he's, 31:38  he's a big shaker remover with Klaus Schwab. 31:41  You know, I mean, we're Christians that are starting to wake up, where are they supposed to go? If there's not a lot of places that really, 31:49  Jesus said, Where two or three are gathered together in my name there? Am I in the midst of you, and we have to start looking at what is the true church? There has to be? I think there's a coming divorce really, with the institution? Yes, you may belong to one of these large churches that all the time has been fantastic, emanating the gifts of the Spirit, preaching the gospel. And then all of a sudden, this, this whole new thing has now come in this globalist aware thing has come in and people are changing. This is what I'm hearing all the time people have, mindsets are changing. And I think the important thing is to seek out people who you can relate to, I mean, there, I lead a small house church. So that's really what I'm doing at the moment, we're only about a dozen people. And there are still people in it that belong to the mainstream churches. But they are the one or two people that have recently joined and found that they haven't been able to relate very easily to the people in their church. And particularly ladies was the only lady in the church wasn't prepared to wear a mask. And they would like to sit here at the back of the church, if she was a leper or something. And then for a friend, one of the brothers is of whose mind, who's my musician, he invited her along. And so it's like the one that adds to the one that adds to the one, as the Lord leads you to speak to one or two people in the church you go to, it may lead you to form a group. And then it's a case of the more the church goes apostate, the more we have to look to what Revelation says, come out of my people. 33:36  So the argument that I can, in my mind, I'm hearing is that, you know, they talk about well, there's a great, there'll be a great falling away. That's right. And I can see well, Where were those people will point to you and say, Well, you're the ones fallen away. And I mean, like that that's a tough pill to swallow. Because I've already experienced that, you know, you're the one falling away, is the church hasn't changed. You've changed your turn, right, I've changed. And the problem I have is it's church didn't change with me because they're not as 34:13  minority. It's the seminar. Yeah. I mean, it's the, as Jesus said, The road is narrow, not many will find it. And if we know that, what the truth is, and even if we're standing with just one or two people, then that is the courage that the Lord has to give us to move to step out and say, Look, you know, show people from the scriptures, what's happening, show them, you know, you can challenge them, that look, these are the current events that are going on, related to Revelation 13 You know, the rest of Revelation where we're going to see some people are jumping the gun a little bit would say this that we have to be careful. And a lot of people that say to me on my comments on the video, oh, you must recognize the jab is the mark of the beast. So look steady on. This is a pyramid. This is this is a growing pyramid of experience, the new things are coming in constantly new technologies, new merge things. biotech, nanotech was kind of stuck. And it's emerging, sort of bit by bit, you know, the Antichrist isn't going to announce himself on TV one day and say, Hello, I'm the Antichrist, you know, I'm gonna be sitting in the temple fairly soon. I don't think that's gonna happen. I think it's a slow process, and the Lord will give discernment to those who are awake. And we're starting to see what John said many antichrist and there are going to be more and more of these people, these runner ups, the harare's these are these are runner ups runners up to the Antichrist, because the Antichrist has to be a political figure, as well, as you know, he has to have strategy. And, I mean, it's possible that the one of the men that we've seen now is the one we don't know yet. We focus so much on the Antichrist. And of course, he also has the False Prophet. And of course, this Satan of the satanic trinity. And 36:22  how do we answer? Because I get this question, you know, I get this comment a lot, you know, well, we all know how it's gonna end. So we don't need to really worry about what's going on. Or, you know, don't pick a fight, because you already you've already won the war. And I'm like, well, it's some, you know, we're the salt and light. So if we don't stand up, which we haven't, and that's why we have all the debased stuff going on in our school systems because Christians haven't stood up. 36:51  No, I mean, tell it to the people in China, who are locked up in their apartment blocks. And, you know, they can't they jumping out of their apartment blocks commit suicide, because they can't stand the lockdowns anymore. The people that have already committed suicide, people who was his son, some of what's going on in the world, we had it on the news the other day, it's now nine 10%, inflation, it's probably double that really. And things are running away. I would say to people look, the train's coming. Look at the inflation rate. Look at look at the state of the of the economics, look at all these things that are happening. Look at the kind of people that we've got in leadership. You know, I mean, as far as I'm concerned, it only takes it must take a fool to believe that Joe Biden got 80 million legitimate votes. 37:40  Well, there's a lot of fools in in, in charge right now. I want to show you I want to show you this chart, because he talked about inflation. And sorry, for those listening on the podcast. Go to my YouTube channel, and you can see what I'm talking about. But check out this. Did you see this chart? Yes. This is the M, the M one money supply? And look at in 2020. We went from willians of dollars in printed money. Yeah. Around four to look at that. In one, one. Less than one year. 38:22  Yeah, that is incredible. We have straight line up. 38:26  Great lineup. And you wonder why and they're blaming it. I mean, this is the biggest lie is that every time you talk, you hear somebody interviewed in the administration? Well, it's because of Putin. You know, it's because of supply and demand. No, it's because you've been printing money like a drunken sailor. Yeah, the prices of real estate in my my area. have just gone sky and young people, there's no way that the average home is $400,000. And about three years ago, it was probably half that. And how are these kids, these young people or anybody about matter? How any of these people gonna be able to afford a house. And here's the funny news. 39:14  I don't want you to afford a house. 39:17  Because while Schwab has already told us that has any 39:21  This is the game, isn't it? The globalist systems is one way. But you see these even these men are puppets. This is satanic. You see, this is they've been moving this office for SWAT for decades, goes back centuries, doesn't it? This this plan, it moves us people die and as new people come in, this is how the enemy is working his way up 39:43  to as you said, the church has been asleep through it all. 39:47  Yeah, I was watching something of video the other day. I think it was Australia where they created this new housing area of what rental apartments and people are saying how wonderful it is to Rent, don't have the city of having my own property. And these are wealthy people that are prepared to rent properties. 40:10  In it in history when when civilizations or nations fall that the rich begin to gather up the land, and take the land and own land. And we're seeing a lot of that happening now is that the rich are buying up land, Bill Gates owns the largest amount of farmland in America, Bezos owns the bunch of it. So if you start looking at all these billionaires, they're putting their money in the land, and who's going to own the land? And who's going to rent, you know, and I'm thinking about my grandchildren. If we have any, you know, if we make it that far, there's an urgency to our culture right now. That I'm not seeing in the church. And that's, that's the biggest thing that bothers me is we're not seeing it in the voice of the church, in the leadership of the church. And I know people get tired to hear me rail about the church been, we're the only ones that can solve the spiritual problem. No, I can. But I mean, we're the vessel that is to address this, 41:26  making them aware of what's actually happening. The sight of people that are you aware of what's happening with the farmers, I'm hearing things like we're getting paid to destroy crops? And what, what do they want to replace it with, obviously, with genetically modified food. It's just seems unbelievable that farmers aren't prepared to do that. 41:49  It's like David and Goliath. You know, that giant is so huge, and you've got the world land up against this giant, and we're all just standing there, I'm just gonna live my life, I'm not gonna worry about it, I'm just gonna do my thing. And it can all go to heck in a handbasket. 42:09  That thing is going to come to an end that don't realize that that as inflation grows, and as the situation tightens, that when it's only possibly when people feel the circumstances, right, starting to affect their lives, that they can't do what they did before. And the restrictions come in different forms, you know, maybe climate lock downs or something like that. And that people then will start to see because they they will expose themselves, and they're doing that, then, I think as that happens, and they start to get affected, and they see that it will affect their children. And I think with the education thing, I think it needs to be highlighted more and more. 42:51  The default Epoch Times. 42:54  You know, I've received emails from them, but I haven't spent a lot of time looking at 42:59  them. Yeah, that is my news source. I'm telling you, they do some excellent news. And they really focus on Channel law. And then they just did I just saw a a piece yesterday. You talked about siege warfare. It's it's there is a concerted planned effort by China to attack America on all fronts. I mean, you're in they listed there's like 37 fronts that they're attacking assault technology. I can't remember that. But if anything in culture, you can think about being attacked. They've got a plan to attack, because they want to be the number one dominant country in the world. And they first have to take down America. And they go into great detail about how they're doing this. You know, the great the silk, China's Silk Road. Have you ever heard that one? Yeah. Yeah. Where they're buying up ports all around the world. And they tried bombed the LA port in Los Angeles. And luckily, we kicked them out of that one. Yeah. So if we just pay attention to China, we will know what's coming our way because our president has his connections. They're so 44:13  cool. She has these Ukrainian connections as well. 44:17  So I guess we're gonna be wrapping up here, but how do we proceed? I know for one thing yell go to the of our time is, for our time messages for our time. YouTube channel, the steward is it's a really refreshing view. You know, I love the accent that always helps. You know, if I'm listening to my Bible app, I gotta get an English guy to, you know, to read it for me. You always go back to the Bible, you're always bringing in verses you're bringing in. You're bringing in the Word of God into your messages, and that's very refreshing. It's very helpful to it's encouraging. 44:52  Good things come out of lockdowns See, hadn't been for the lockdown. We wouldn't have been able to start our house church and and And then the channel wouldn't have happened really? 45:02  Are we in a time of judgment? Do you feel like they were actually in a time of judgment? 45:10  Yes, I think that Well, I certainly think the leaders that we've got we system, nations deserve the leaders they get. And I mean, Trump did a lot of good. Unfortunately, he was, I feel he was ignorant to a lot of stuff in his promotion of a vaccine and not getting rid of certain people. And I think that, yeah, I just think that we have to be aware that there will be all kinds of voices in these days, leading us into all sorts of directions. And I think possibly, people put their trust in man, a little bit too much. But yeah, we get the leaders we deserve. And I think there is a judgement. I mean, I come across YouTube channels of people prophesying all kinds of destruction for the Western world. Of course, you don't want to really receive it. And so you know, and yet there are people speaking with authoritative voice, of real judgment of real destruction of third world war. We can only go one day at a time, really. And I think in the end, it comes down to when the Ark door is closing. Are we on the inside? And how many people can we help inside? Before it does close? And there'll be a remnant saved and says it will be with Israel will be a remnant saved? 46:39  Because we are in a days of no army? Yeah, 46:43  well, this is, as it were, in the days of Noah. And, you know, we just have to get more and more awareness, more and more discipline, because truth and lies will get closer together. You know, there'll be weaving winter weaving all the time, and we have to be able to discern the difference. 47:05  One thing I one thing I experienced, was, as I was kind of on this continued journey of figuring out, you know, is it a break away from the church? Is it? Am I wrong and thinking the way I do because of what happened in 2020. And then you can run across voices, like you said, there's certain voices out there that just tend to bash people that you see a lot. And and so I imagine, you know, if you're a new Christian, that's coming into this, and you're seeing this dividing line, the split between people within the congregation, just the back and forth of, you know, like me saying that, that we need to be what we won't need wake up. Well, then another guy saying, What do you mean, wake up, I just woke up. But now you're in the system of the organized, happy go lucky church. And you're just partially woke up? I guess, you know, thank goodness, you found Jesus. But there's, when you get into this this, like, oh, my gosh, how can anybody rely or feel like Jesus is going to solve the problem when the church is all messed up? Does that make sense? I mean, yeah, I think has to go back to an individual relationship. 48:24  Yeah, it is. It's that and even men that you may have trusted, or women you may have trusted over many years that, as it says, as we said earlier, and Thessalonians is a great falling away, and many will turn away from from sound doctrine and follow doctrines of devils. And it's happening to churches as well. I mean, Hillsong Church, we've seen what's happened to that with our pastors. So the downfall of these vast organizations. So I think that's, yeah, we just have to be clearly aware of what's happening. And it starts with, with with us, our individual walk, and then people will be attracted to the truth if they see the truth. 49:12  Because we are, we're in a war. We're in a heavy spiritual war. And we need to have the mindset of that warrior. And, and I think you're one of the generals out there on YouTube, that's, that's helping lead the charge. And just want to thank you and bless you for just what you do every day, you know, just given the word given your perspective and your understanding. And so I guess we'll wrap it up here, but still, it's been a pleasure. We could talk all day I'm sure. 49:48  We're having man. Appreciate it. 49:51  Thank you. Go check out his his site, and I think you've got your email on there if they want to reach out to you You can put it in show notes if you want as well, candy. Okay. Bless you, sir. Thank you. Thank Transcribed by https://otter.ai 

In this weeks episode I had the pleasure of talking to Anna Maria DiDioAnna Maria DiDio, MSW is an adoptive mother and was inspired to write her memoir, Love at the Border, An Adoption Adventure after her own family journey to Mexico.  Now her L.I.F.E.* ( *Love Inspires Families Everywhere ) Adventures children's books feature stories about adoption, foster care, stepchildren, and all blended families from the point of view of the child.  Anna Maria hopes that her books encourage open and honest exploration of what children are thinking and feeling within their own unique families. Anna Maria holds a BA in Psychology from Villanova University and an MSW in Family Specialization from the University of Pennsylvania. For over twenty years, Anna Maria DiDio has devoted her time and talents to many non-profit organizations focusing on women, girls, and families globally. She is currently President of Women International Leaders (WIL) of Greater Philadelphia, which provides micro loans and empowerment grants to women in under-resourced countries. Anna Maria is at her most creative when she is traveling and experiencing new people, places, and things to eat and then writing about it! She can be found at home in Philadelphia walking everywhere, swimming laps, reading biographies, or baking chocolate chip cookies. Anna Maria's books can be found on Amazon, travel writing and other essays on The Bean's Talk – her Medium publication. More information can be found on her website AMDiDio.com.Her book can be found on the Amazon websiteYou can connect with Anna Maria in all the usual places;Her websiteFacebookInstagramLinkedInIn the news this week This article from the Guardian website which tells us something almost every woman already knows and that is that women's  gynaecological issues tend to be put on the backburner by our National Health System or seen as "not serious enough" to warrant treatment or even "benign". I also highlight this accompanying article which shows that, unremarkably, post-partum health is still completely ignored even when people in the health sector make up a list of "top 4 ways". Remember to follow us on Instagram and Facebook for the competitions, wisdom and cute videos. And, of course, you can always find us on our YouTube channel if you like your podcast in video form with little pictures :) Visit healthypostnatalbody.com and get 3 months completely FREE access. No sales, no commitment, no BS. Email peter@healthypostnatalbody.com if you have any questions or comments Playing us out this week;  "Change for Me" by EILOH

Some diseases run in the family, when more than one person has the same kind of illness passed down through genes. One of those genes, called APOL1, has variations that are linked to an increased risk for kidney disease, especially in under-resourced communities of color. In today's bonus episode, we discuss how a clinical research study is looking to understand the effect of APOL1 on kidney transplant outcomes from living and deceased donors, and why it's important for you to be part of this research study. In this episode, you will hear from: Marva Moxey-Mims, MD, FASN Dr. Moxey-Mims is Professor of Pediatrics at George Washington University School of Medicine and Chief of the Division of Nephrology at Children's National Health System, Washington, D.C.  Dr. Moxey-Mims serves as the Study Chair of the APOLLO Steering Committee and Chair of the Publications & Presentation Committee. Jonah Odim, MD Dr. Odim is Chief of the Clinical Transplantation Section at the National Institute of Allergy and Infectious Diseases (NIAID). Dr. Odim serves as a representative of the National Institutes of Health (NIH) on the APOLLO Steering Committee and member of the Dissemination Working Group. Glenda V. Roberts  Glenda is the Director of External Relations & Patient Engagement for the Center for Dialysis Innovation at the University of Washington Kidney Research Institute.  Glenda serves as a member of the APOLLO Community Advisory Committee, the Recruitment Committee, and the Dissemination Working Group. Sylvia E. Rosas, MD, MSCE Dr. Rosas is a nephrologist and epidemiologist at the Joslin Diabetes Center and the Beth Israel Deaconess Medical Center. Sylvia serves as the Principal Investigator of APOLLO Clinical Center 09 (Harvard University) and member of the Dissemination Working Group. Krista Lentine, MD, PhD, FAST, FAST Dr. Lentine is Medical Director of Living Donation, Co-Director of Clinical Research, and Mid-America Transplant/Jane A. Beckman Endowed Chair in Transplantation at Saint Louis University (SLU). Krista serves as co-Principal Investigator for APOLLO Clinical Center 03 (Johns Hopkins | SLU), member of the Data, Ancillary Studies, and Publications & Presentation Committees, and chair of the Dissemination Working Group. Denay Richards Ms. Richards and her family were born in the Caribbean when her mother was diagnosed with ESRD. They moved to the United States, where her mother was told that she had about 3 months to live. On August 29th, 2000, Denay's father donated a kidney to her and in 2020 they celebrated their 20 year - “kidneyversary.” As a child, Denay loved helping her mother with the dialysis process, organizing medications, and attending hospital visits. It was this exposure to the medical field that encouraged Denay to pursue a career in surgery. In 2019 she graduated from Princeton University with a degree in Molecular Biology and as of 2021 is an MD/PhD student in a dual degree program with Robert Wood Johnson Medical School and Princeton University. In 2019, she earned a double board qualification as a fitness nutrition specialist and personal trainer under the International Sports Sciences Association. In 2020, Denay was diagnosed with an APOL1 mutation that is more prevalent in the African American community and has been linked to early kidney failure. Denay says that her diagnosis has empowered her to expand education about renal health, fitness/nutrition, and genetic predispositions for kidney failure to the world, especially disenfranchised populations that are at greater risk.   Genetics and kidney disease: https://www.kidney.org/atoz/content/genetics-kidney-disease

My guest Dr. Joelle Simpson, MD, MPH, is the Division Chief of the Emergency Medicine Department at Children's National Hospital in Washington D.C. She is also the Medical Director for Emergency Preparedness at Children's National Health System. In this role, Joelle provides strategic leadership for Children's National's disaster preparedness, response, and community outreach efforts. She is the Program Director for the Emergency Medical Services for Children (EMSC) State Partnership program in Washington DC working on a current national project to improve the “pediatric readiness” of local emergency departments. She is also an appointed member of the DC Mayor's Emergency Medical Services Advisory Council for DC serving as a pediatric advocate in the development of prehospital policies and protocols. Dr. Simpson also founded the Pediatric Medical Reserve Corp of DC which provides specialized pediatric support services to the DC community in preparation for, response to, and recovery from disaster, pandemic, and mass-casualty events involving children and families. On a regional level, she participates in the National Capital Region planning for pediatric surge and disaster response. Locally, she represents Children's National at the DC Department of Health – Health and Medical Coalition which coordinates multiple agencies and organizations around emergency preparedness for Washington DC. She serves on the pediatric emergency medicine and disaster committees for the American Academy of Pediatrics and the American College of Emergency Physicians. She received the ‘Washington Woman of Excellence' 2021 Award where she was recognized for various roles, including her leadership and significant accomplishments as medical director for Emergency Preparedness at Children's National; her work as an Emergency Department physician leading the D.C. Pediatric Medical Reserves Corps; and for her expertise and leadership in impacting the outcomes for children and the community during the COVID-19 health emergency. In this episode we talk about: Thinking about your career and leadership journey who or what may have been instrumental in that decision? What does a day as a women physician on the frontlines look like and what challenges do you face? Define for us what self-care means to you and what self-care looks like when it comes to being a woman on the front lines during this pandemic? Why is diversity in leadership as it pertains to having more women physicians vital to healthcare? When we look at the pandemic and how the lid has been lifted and exposed in healthcare ad workplace disparities, how would the ability to retain women in healthcare leadership diversity help reduce those disparities and improve care? What has been your experience with someone who is hesitant about getting vaccinated? What would you like to share about the importance of talking about this? What do you want people to know about this pandemic and how we can all move forward to a safer and healthy environment? If you're ready to transition into a leadership role and need support during your career journey join us on Facebook www.leadingladiesincharge.com If you are a women physician leader and looking to join a group of high-performing leaders and up-level your career, join our Physicians Rising Up Leadership Circle Mastermind. Learn more here at www.physiciansrisingup.com Follow Dr. Joelle Simpson LinkedIn: https://www.linkedin.com/in/joelle-simpson-md-mph-611b91a/

This episode features Rebecca F. Cady Chief Risk Officer at Children's National Health System. Here she discusses her pride in Children's National Health System, her career journey, the role of Chief Risk Officer, and more.

Special guest:  American Diabetes Association Ambassador- Anthony Wilson has long known about a heart condition that caused his heart to race, but the EMS professional was unaware of his type 2 diabetes until the day he nearly died. An Emergency Medical Technician for more than 33 years and current operations manager of an ambulance service, Anthony has always had a passion for helping others. As a national ambassador for Know Diabetes by Heart, Anthony adds his voice to the landmark collaboration between American Diabetes Association and the American Heart Association to educate people like him about the link between type 2 diabetes and heart disease and stroke.  His professional experiences in EMS and personal experience with a diabetes crisis make Anthony well-aware of the dual threats of type 2 diabetes and cardiovascular disease. Helping one person get tested for diabetes or encouraging one person living with type 2 to take care of their cardiovascular health is his goal.   Special Guest: Stephanie Chung, M.B.B.S., Clinical researcher from the National Institute of Diabetes and Digestive and Kidney Diseases, part of the NIH. Dr. Chung is an Adjunct Assistant Professor of Pediatrics, The George Washington University School of Medicine and Health Sciences, The Children's National Health System.  She is a Pediatric Endocrinologist – Faculty, National Institutes of Health Clinical Center/ Eunice Kennedy Shriver Fellowship Training Program NICHD, NIH.  The Institute;'s overall goal is to minimize the burden of diabetes health disparities across the lifespan through improving diabetes prevention and management. By elucidating the complex association of biological, social and environmental factors to the pathogenesis of cardiometabolic diseases, we will evaluate current paradigms and promote the development of novel screening and therapeutic strategies.

New negative record of 7,335 cases in the country, suffocating the National Health System with hospitals and intensive care units being full. - Νέο αρνητικό ρεκόρ 7.335 κρουσμάτων στη χώρα, με ασφυξία στο Εθνικό Σύστημα Υγείας με τα νοσοκομεία και εντατικές μονάδες να είναι γεμάτα.

Speed is essential. The news, trends in media, new content - it all changes daily! Scopio uses AI to help sort through the most important images, tag, titles and feature them fast. So that they are delivered straight to our site where you can use it to tell your story! Scopio Founder, Christina Hawatmeh, and co-founder, Nour Chamoun, visits with Farhana Faruqe from Children's National Health System, AI & Ethics Journal, featured at Data Science Connect Conference 2021, to talk about how can they train AI to make a difference in the stock images industry. --- Send in a voice message: https://anchor.fm/scopio/message Support this podcast: https://anchor.fm/scopio/support

This week "In the News...." Did wearing a CGM in the water disqualify a high school swimmer? What his family says happened and why they're suing. The ADA wants to start using the word "remission" instead of "reversed" for type 2 diabetes - we'll talk about why. Dexcom says they are no long smoothing data, new migraine and diabetes research and T1Interntioanl is out with their latest survey results about the price and use of insulin. Join us Live on Facebook each Wednesday at 4:30pm EDT! Check out Stacey's book: The World's Worst Diabetes Mom! Join the Diabetes Connections Facebook Group! Sign up for our newsletter here ----- Use this link to get one free download and one free month of Audible, available to Diabetes Connections listeners! ----- Get the App and listen to Diabetes Connections wherever you go! Click here for iPhone      Click here for Android Episode transcript below   Hello and welcome to Diabetes Connections In the News! I'm Stacey Simms and these are the top diabetes stories and headlines of the past seven days.  As always, I'm going to link up my sources in the Facebook comments – where we are live – and in the show notes at d-c dot com when this airs as a podcast.. so you can read more if you want, whenever you want. XX In the News is brought to you by Real Good Foods! Find them in your local grocery store, Target or Costco. Real Food You Feel Good About Eating. XX Top story this week.. A discrimination complaint against the Colorado High School Activities Association has been filed with the U.S. Department of Justice. At issue? A student was disqualified for wearing his continuous glucose monitor.  Ethan Orr is a 16-year-old swimmer whose team qualified for the state championships. According to his attorney Orr wore a blood glucose monitor taped to his arm during seven prior matches, including the one in which his team qualified for the state championships, with no issue. But at this meet, the ref said Orr would not be allowed to swim in his last race because of his glucose monitor and tape. They didn't have a sub so the whole team was disqualified. The attorney says, “This is simply blatant discrimination against a kid with a disability, and it led to unnecessary and unfair consequences to him, his teammates, and the school,” According to the lawsuit, Orr is protected under two federal laws – the Americans with Disabilities Act and Section 504 of the Rehabilitation Act of 1973. I've reached out to the local reporter on this story and hope to talk to the family soon XX People with type 2 diabetes should be considered in remission after sustaining normal blood glucose levels for three months or more without medication. That's a new consensus statement from the American Diabetes Association® and several other international groups. They recommend testing every year to determine long term maintenance. The real news here – as I see it – is trying to get people to stop saying “Reversal” or “cure” when it comes to diabetes. The statement here doesn't seem to be about the science, but says the word remission “strikes an appropriate balance” between the diabetes not being active and progressive, but also recognizing improvement may not be permanent. https://www.diabetes.org/newsroom/press-releases/2021/international-experts-outline-diabetes-remission-diagnosis-criteria XX Got lots of comments and questions about some changes noticed on the Dexcom G6 app recently. Turns out, Dexcom has removed what's called data smoothing from its most recent update. As of August 9th they say “The Dexcom G6 app used to smooth all but your current reading on your trend graph. With data smoothing, there can be some differences between the G6 reading you see in real time (the white circle) and the G6 readings you see in the past on your graph (black dots). I'm showing a photo here – I'll post this with the podcast episode for those listening.   To avoid these differences, we removed data smoothing from the Dexcom G6 app in the 1.9 release, but the Follow app and Receiver continue to smooth past CGM data. We will remove smoothing in an upcoming Follow app release to match the G6 app, but we don't plan to remove data smoothing from the Receiver.”   These differences don't affect the real-time glucose data, alarm, or alerts. Honestly, I'm not sure why they're doing this or why they smoothed in the first place.. but we'll follow up and try to find out more XX Not a lot of answers here, but this is interesting.. apparently, people with type 2 diabetes are unlikely to develop migraines and people who get regular migraines are less likely to develop diabetes. To find out why.. scientists are looking at two small proteins that are linked to migraine and drive production of insulin. This team from the University of Tennessee says some of the newer treatments for migraines could increase the risk of diabetes because of the use of these proteins. They want to figure out how to prevent that.   https://www.fiercebiotech.com/research/mouse-study-shows-how-causes-behind-migraine-pain-can-improve-diabetes-treatment XX T1International is out with results of their 2020 global out of pocket cost survey for people with type 1 diabetes. Worldwide, one out of every four respondents reported having under-used their insulin at least once within the last year due to high cost. 63.2% of participants reported disruption of insulin supplies and 25.3% reported an increase of insulin prices related to the COVID-19 pandemic. They've conducted this survey every two years since 2016, adding additional questions each year. This time, the Results were published as a research paper in the Journal of Diabetes Research and Clinical Practice, linked in the show notes. https://www.t1international.com/access-survey/ XX More to come, including news about a rare form of diabetes, but first, I want to tell you about one of our great sponsors who helps make Diabetes Connections possible. Real Good Foods. Where the mission is Be Real Good They make nutritious foods— grain free, high in protein, never added sugar and from real ingredients— I was in Target this week and I saw the new Entrée bowls, I bought the Lemon Chicken and the Lasagna. The Lemon chicken was great! It uses hearts of palm pasta instead of regular noodles which I thought sounded odd but really tasted good. They keep adding to the menu line! You can buy online or find a store near you with their locator right on the website. I'll put a link in the FB comments and as always at d-c dot com. Back to the news… XX This is from the UK but I think it's an important reminder that there are more than 2 types of diabetes. It's new plan to discover and treat mono-genetic diabetes. That's caused by a single gene mutation – although the specific gene affected can differ. The condition occurs in two types, neonatal – which can occur within the first six months of life – and MODY that develops later, often before the age of 25. About 2% of all diabetes cases are thought to be monogenetic… the National Health System in England is forming a new training and treatment program to make sure these patients received the correct treatment sooner. https://www.theguardian.com/society/2021/aug/30/nhs-england-to-train-staff-in-all-trusts-to-spot-rare-type-of-diabetes XX And finally, thousands of people in the path of Hurricane Ida are still without power and possibly need help getting their medication. I want to make you aware of the Diabetes Disaster Response Coalition (DDRC). This is a coalition of lots of diabetes groups – if you need immediate help or want to plan for an emergency, they have the resources. Physicians and health care providers can call 1-314-INSULIN to report diabetes supply shortages and request support.  People with diabetes and their loved ones can call 1-800-DIABETES (800.342.2383) is available to support people with diabetes and their loved ones for more information. https://diabetesdisasterresponse.org XX Please join me wherever you get podcasts for our next episode -Tuesday –  we're talking to the folks from Walmart about their deal with Novo to sell their own brand of Novolog Insulin.. The episode out right now is with MannKind, makers of Afrezza inhalable insulin. That's In the News for this week.. if you like it, please share it! Thanks for joining me! See you back here soon.      

The safe adoption of AI can benefit mammography departments as they strive to deliver on the goals of the national breast screening program. Dr. Christopher Austin, Chief Medical Officer at Kheiron Medical Technologies, discusses the challenges that face Australia's breast screening programs and how AI can help address those challenges, learnings from the UK's National Health System's adoption of AI in breast screening, and how those learnings can benefit Australian radiologists and women. Dr. Christopher Austin serves as chief medical officer at Kheiron Medical Technologies where he contributes his extensive knowledge and expertise as a trained radiologist, epidemiologist, strategist and innovator with more than 20 years of combined clinical and industry expertise on a global level. He is a recognized thought leader in artificial intelligence and radiology, having worked with leading academic organizations to develop deep learning algorithms. Prior to joining Kheiron, Dr. Austin held healthcare management roles at GE Healthcare, serving as medical director of imaging AI and analytics, and as global radiology solutions director, where he was responsible for developing innovative solutions and AI strategy for diagnostic imaging. Previously, he held clinical and executive roles at a wide range of healthcare organizations including the University College London Hospital NHS Trust Foundation, NHS of Greater Glasgow and Clyde, and Doctor Career Choices. He earned his medical degree at The University of Glasgow and underwent his radiology training at the University College Hospital of London. He also holds a Master of Science degree in epidemiology at the University of London, and studied biomedical and clinical informatics at Oregon Health Sciences University. #ArtificialIntelligence #Radiology #Kheiron

TAA 023: Meet Hope Gordon, who crowdfunded the costs of her amputationHope was suffering from Complex Regional Pain Syndrom for years when she decided to have her leg amputated. As an amputation was against the guidelines of the National Health System, she needed to cover the costs by herself. That's when she decided to launch a crowdfunding campaign. Five years later, Hope is a happy young woman living a life free from pain. She is a member of the British National Canoe Team and has her eyes on this years' world championship.For more information, visit The Active Amputee.The music - as always - is Urbana-Metronica (wooh-yeah mix) by spinningmerkaba (c) copyright 2011 Licensed under a Creative Commons Attribution (3.0) license. http://dig.ccmixter.org/files/jlbrock44/33345 Ft: Morusque, Jeris, CSoul, Alex BerozaTo learn more about The Active Amputee, check out the following linksThe Active Amputee BlogThe Active Amputee on InstagramThe Active Amputee on YouTubeThe Active Amputee on TwitterThe Active Amputee on LinkedInThe Active Amputee on Pinterest

If patients ever figured out how to organize around the privacy of their data how would that impact how healthcare data is handled.Sir Timothy Berners-Lee, known as the founder of the world wide web has an idea for health data, pods.  FTA:"We are on a mission to change the way the web works, to make it a better place for all of us," said Berners-Lee in a November YouTube video with Technology Intelligence Live. "It's a mid-course correction to restore the values of individual and group empowerment that the internet used to have and seems to have lost.""This is the opposite way that apps are built," Berners-Lee said. "You don't have to hand your data over and then it's locked away in that app forever."----Today we look at  the concept, then it's application to healthcare, and then we are going to ask what this might mean to your local health system.The National Health System in the UK is one of the first clients of this pod concept.  Could it work in the US?

Adam Gaffney joins us to discuss how the pandemic has highlighted the need for Medicare for All and more comprehensive coordination of healthcare resource distribution. Adam Gaffney is the most recent past president of Physicians for a National Health Program and a pulmonary specialist at Cambridge Health Alliance / Harvard Medical School. This interview is part of Medicare for All Week 2021, our second annual limited series on building the movement for health justice. Every day from February 8-13 we'll be airing a new interview on single payer and the need for a national health system in America. To support Death Panel and make series like Medicare for All Week possible, become a patron at patreon.com/deathpanelpod Episode Transcript: bit.ly/M4AWeek-AdamGaffney-Transcript [PDF] twww.deathpanel.net/m4aw202-adam-gaffney [html]

This week, Shannon sits down with FOX News Chief Political Anchor Bret Baier to discuss the early actions taken by President Biden against the Keystone XL pipeline, whether or not Democrats will vote to get rid of the Senate filibuster and the likelihood of an impeachment conviction in the Senate. Later, Bret tells Shannon about his charity event, the All-Star panel, to raise money for Children’s National Health System. Follow Shannon on Twitter: @ShannonBream

Welcome to Episode 104 of Building My Legacy.In this podcast, we talk with “The Female Money Doctor” Nikki Ramskill who is laying the foundation for her legacy now while still working full-time at her career. Nikki, an obstetrician/gynecologist who became a family physician, discovered that many of her patients had money issues that impacted their health. Even in the United Kingdom, where health care is free, Nikki saw patients who were unable to work and didn’t have money set aside for an emergency. As a result, they couldn’t take care of their family or even think about planning for the future. Her solution was to set up the blog, The Female Money Doctor. Today through her blog, a Facebook group for women, and online interaction with individuals, Nikki provides the help needed by many people, particularly women, who are stressed out by money concerns. While, in the past, many of the people who sought her help faced a personal crisis, such as an accident or serious illness, today many more of us have been affected by the COVID pandemic. That makes this the perfect time to learn more about how to prepare yourself financially for a loss or reduction in your income.So if you want to know:– How the eight personality types relate to money management– The importance of carrying on with your plans — even in light of the continuing effects of the COVID pandemic– How a money coach can help you– The top things you should think about now with respect to your finances– Why many women would rather talk about death than money– Why your children need to learn about money management when they’re young About Dr. Nikki RamskillDr. Nikki Ramskill, aka “The Female Money Doctor,” has more than 10 years of experience as a doctor and women’s health specialist with Great Britain’s National Health System. After seeing firsthand the impact that poor money management skills had on the mental health of her patients and even her colleagues, she made it her mission to change that … because she believes that we cannot be truly healthy while a money nightmare is going on in the background. When Nikki decided to become a money coach — in addition to working as a family physician — she became a certified Sacred Money Archetypes coach through the program offered by Kendall Summerhawk, the “money guru for women entrepreneurs.” Nikki’s online programs now help women from all over the world organize their finances and build wealth for the future they truly deserve. You can find her blog at thefemalemoneydoctor.com and email her at info@thefemalemoneydoctor.com About Lois Sonstegard, PhDWorking with business leaders for more than 30 years, Lois has learned that successful leaders have a passion to leave a meaningful legacy. Leaders often ask: When does one begin to think about legacy? Is there a “best” approach? Is there a process or steps one should follow?Lois is dedicated not only to developing leaders but to helping them build a meaningful legacy. Learn more about how Lois can help your organization with Leadership Consulting and Executive Coaching: https://build2morrow.com/Thanks for Tuning In!Thanks so much for being with us this week. Have some feedback you’d like to share? Please leave a note in the comments section below!If you enjoyed this episode, please share it with your friends by using the social media buttons you see at the bottom of the post.Don’t forget to subscribe to the show on iTunes to get automatic episode updates.And, finally, please take a minute to leave us an honest review and rating on iTunes. They really help us out when it comes to the ranking of the show, and I make it a point to read every single one of the reviews we get.Please leave a review right now. Thanks for listening!Building My Legacyhttps://businessinnovatorsradio.com/building-my-legacy/Source: https://businessinnovatorsradio.com/episode-104-dr-nikki-ramskill-on-managing-money-building-my-legacy-with-lois-sonstegard

Welcome to Episode 104 of Building My Legacy.In this podcast, we talk with “The Female Money Doctor” Nikki Ramskill who is laying the foundation for her legacy now while still working full-time at her career. Nikki, an obstetrician/gynecologist who became a family physician, discovered that many of her patients had money issues that impacted their health. Even in the United Kingdom, where health care is free, Nikki saw patients who were unable to work and didn’t have money set aside for an emergency. As a result, they couldn’t take care of their family or even think about planning for the future. Her solution was to set up the blog, The Female Money Doctor. Today through her blog, a Facebook group for women, and online interaction with individuals, Nikki provides the help needed by many people, particularly women, who are stressed out by money concerns. While, in the past, many of the people who sought her help faced a personal crisis, such as an accident or serious illness, today many more of us have been affected by the COVID pandemic. That makes this the perfect time to learn more about how to prepare yourself financially for a loss or reduction in your income.So if you want to know:– How the eight personality types relate to money management– The importance of carrying on with your plans — even in light of the continuing effects of the COVID pandemic– How a money coach can help you– The top things you should think about now with respect to your finances– Why many women would rather talk about death than money– Why your children need to learn about money management when they’re young About Dr. Nikki RamskillDr. Nikki Ramskill, aka “The Female Money Doctor,” has more than 10 years of experience as a doctor and women’s health specialist with Great Britain’s National Health System. After seeing firsthand the impact that poor money management skills had on the mental health of her patients and even her colleagues, she made it her mission to change that … because she believes that we cannot be truly healthy while a money nightmare is going on in the background. When Nikki decided to become a money coach — in addition to working as a family physician — she became a certified Sacred Money Archetypes coach through the program offered by Kendall Summerhawk, the “money guru for women entrepreneurs.” Nikki’s online programs now help women from all over the world organize their finances and build wealth for the future they truly deserve. You can find her blog at thefemalemoneydoctor.com and email her at info@thefemalemoneydoctor.com About Lois Sonstegard, PhDWorking with business leaders for more than 30 years, Lois has learned that successful leaders have a passion to leave a meaningful legacy. Leaders often ask: When does one begin to think about legacy? Is there a “best” approach? Is there a process or steps one should follow?Lois is dedicated not only to developing leaders but to helping them build a meaningful legacy. Learn more about how Lois can help your organization with Leadership Consulting and Executive Coaching: https://build2morrow.com/Thanks for Tuning In!Thanks so much for being with us this week. Have some feedback you’d like to share? Please leave a note in the comments section below!If you enjoyed this episode, please share it with your friends by using the social media buttons you see at the bottom of the post.Don’t forget to subscribe to the show on iTunes to get automatic episode updates.And, finally, please take a minute to leave us an honest review and rating on iTunes. They really help us out when it comes to the ranking of the show, and I make it a point to read every single one of the reviews we get.Please leave a review right now. Thanks for listening!Building My Legacyhttps://businessinnovatorsradio.com/building-my-legacy/Source: https://businessinnovatorsradio.com/episode-104-dr-nikki-ramskill-on-managing-money-building-my-legacy-with-lois-sonstegard

Bill & Mike Got Your Tech Tuesday Connected With Browns Head Coach Kevin Stefanski Recaps The Browns 2020 season - Orange & Browns Report's Fred Greetham Talked Browns - Cavs VS Nets Tomorrow - Jim Chones Previewed The Game - President Donald Trump is preparing to issue around 100 pardons and commutations on his final full day in office Tuesday. Who is the President considering to be pardoning? - NBC Radio Michael Bower Talked It - ABC News Alex Castellanos & NBC Radio Bill Zimpfer talked With a little more than 24 hours until Donald J. Trump is no longer the Commander In Chief - look back at his 4 years in office-Wednesday’s inauguration more arrests have been made and state Capitol buildings - Fox News Chief Political Anchor and executive editor of Special Report Bret Baier spoke about President-elect Biden’s Inauguration, the riots in Capitol Hill and the “Bret Baier and the All Stars: An Evening Benefitting Children’s National Health System in Naples.” - Tim Dimoff SACS Consulting On Wednesday’s inauguration Security

Fox News Chief Political Anchor and executive editor of Special Report Bret Baier spoke to Bill about President-elect Biden’s Inauguration, the riots in Capitol Hill during the 2020 Presidential election Certification, and the “Bret Baier and the All Stars: An Evening Benefitting Children’s National Health System in Naples.”

Dr. Chris Chen, MD, CEO of ChenMed, joins the CareTalk Podcast to discuss his experience with COVID-19, improving primary for seniors and more. About Dr. Chris Chen, MD: Dr. Christopher Chen is the CEO of ChenMed, a physician practice that aims to bring concierge-style medicine and better health outcomes to the neediest populations – low-income seniors managing multiple complex chronic conditions. Dr. Chen oversees ChenMed's operations through its senior medical centers throughout the southeastern United States and Chicago, as well as its portfolio affiliated primary care practices and groups. Raised in South Florida, home to ChenMed's headquarters, Dr. Chen graduated from the University of Miami's Honors Program in Medicine. Dr. Chen went on to complete his medical training at Beth Israel Deaconess, a major Harvard University teaching hospital in Boston, Massachusetts. His clinical skills and research accomplishments then led to a specialty position at Cornell University Medical College in Manhattan, New York, where he studied cardiology.Dr. Chen brought these valuable skills and experiences with him to ChenMed, where he has served as CEO since 2009. Under Dr. Chen's leadership, ChenMed has grown from four senior medical centers in Florida in 2010 to the 59 it operates in eight U.S. states today. ChenMed's innovative, physician-led model focuses on accountability and scalability, and the model has proven results. ChenMed patients have 33 percent fewer hospital days per year than the national average. As a fully capitated Medicare Advantage provider, ChenMed have succeeded in providing better care to patients at a lower cost by focusing on prevention, patient behavior modification, and practical solutions like increasing patient access to physicians and specialists and providing courtesy transportation, on-site imaging, and medication. Patient satisfaction is high, with Net Promoter Scores in the low-to-mid 90s.  Dr. Chen's guidance has led to accolades for ChenMed from numerous sources including the White House, the Department of Health and Human Services, the U.K. National Health System, and publications such as Health Affairs, Forbes® Magazine, and The Economist®. In addition, the company was named “Best Primary Care System in the U.S.” by Medical Economics. Dr. Chen and ChenMed have earned private working discussions with President Obama, key cabinet members, senators, and congressmen. Honors like these reflect ChenMed's innovative and compassionate approach to caring for seniors with complex diseases, as well as ChenMed's notable results in achieving better health care outcomes.Watch this episode on YouTube: https://youtu.be/FKDSB88edy4

Look, bottom line, value-based care has to be the future of health care delivery in this country. That’s just inarguable at this point. Nobody disagrees except for health care industry stakeholders trying to reap as much reward as possible while the going is good. And they’ve been really successful with their reaping thus far. Here’s the thing, though: There’s speculation that health insurance premiums may go up, like, 4% to 40% next year if the status quo remains the status quo. Is this the moment when we all start to get real about value-based care? Not because it would be a nice thing to get up and running, but because we have to. Health care costs are already too high in this country. You can’t just add 40% and think that somebody’s gonna find that kind of change in the bottom of their pocket, which has already been turned inside out. But also because on the provider side of the equation, it’s less risky. Here’s what I mean by less risky: All of those health systems struggling right now because of the decrease in elective procedures—if they had all had a significant portion of their revenue derived from value-based agreements where they were contracted to take care of populations, they’d all still be getting paid their global/capitated payments right now and actually able to take care of patients who need care instead of sitting on the sidelines watching their bank accounts dwindle. In this health care podcast, I speak with Eric Weaver, who is the newly minted executive director of the Accountable Care Learning Collaborative based in Utah. We talk about how life could have been a lot different for PCPs and also specialists, by the way, and health systems had we lived in a value-based world instead of an FFS (fee-for-service) one. Considering that this pandemic might consist of waves that extend for months if not years, this might be a call to action for providers to get meetings set up with payers, like, right now to switch up payment terms into value. But it’s also a call to action for purchasers of health care like employers and commercial carriers. When I was talking to Guy Culpepper, a PCP, in episode 272, he really wants value-based contracts; but he can’t get them alone. Purchasers and payers have to be willing to come to the table and offer them.  So come on, everybody! Let’s belly up to the conference room table—or your little Zoom Brady Bunch box, as the case may be. Now’s the time to really flip the switch to payment models that work for patients and enable physicians at the same time to provide the kind of care that’s in alignment with their values. One acronym heads-up in this conversation that I have with Eric Weaver coming up: APM stands for advanced payment model, which is, at its simplest level, a kind of value-based payment model. You can learn more at accountablecarelc.org. You can also connect with Eric on Twitter at @Eric_S_Weaver or on LinkedIn.  Eric Weaver, DHA, MHA, is nationally recognized for his work in payment and delivery transformation. He is the recently appointed executive director of the Accountable Care Learning Collaborative (ACLC), a nonprofit organization founded by former Secretary of Health and Human Services Mike Leavitt and former Administrator of the Centers for Medicare and Medicaid Services Dr. Mark McClellan. With a mission to accelerate the readiness of health care organizations transitioning to value-based payment, the ACLC has defined the standards for high-value organizations and the workforce skills and competencies needed to advance value-based care. Dr. Weaver has been recognized for his contribution to the health care industry by receiving the ACHE Robert S. Hudgens Award for Young Healthcare Executive of the Year and the Modern Healthcare “Up & Comers” Award in 2016. Prior to assuming his new leadership role with the ACLC earlier this month, Dr. Weaver was a senior vice president for Innovista Health Solutions, a population health MSO, and was the president and CEO of Austin, Texas–based Integrated ACO—one of the more successful physician-led accountable care organizations in the country. For more information on Dr. Weaver and his vision for the future of the ACLC, you may access this video. If you are a provider organization looking to succeed in value-based care, you can obtain a free membership to the ACLC at accountablecarelc.org/join-us.  03:23 Is this pandemic an inflection point for value-based care? 04:10 “If United Kingdom built their National Health System post-World War II, why can’t we rebuild ours?” 04:40 “If it’s ever gonna happen, it’s gonna happen now. I just think we need to wake up.” 05:04 Do volume decreases equal payment decreases? 06:10 Where value-based care plays into specialty care vs primary care. 06:21 “There just hasn’t been a value on cognitive services as there has been on procedural volume-based care.” 06:55 “I really think that independents have to be in the driver’s seat here.” 06:59 The possible silver lining in this pandemic. 08:07 Why it’s mostly about economic incentive … with a couple of caveats. 12:21 More or less hospitals when this shakes out? 14:01 “There has to be some standard of measurement for quality, and we all know that.” 17:00 Where the patient experience plays into the value-based care equation. 21:54 “We have to be thinking about the consumer and the patient.” 22:25 Where employers land in this equation. 25:14 What happens to the value-based care measures that were in place and aren’t anymore? 27:20 How carriers buying providers impacts value-based care. 29:54 “I really think we’re … [looking at] a new normal.” 30:49 “We have to go all in.” You can learn more at accountablecarelc.org. You can also connect with Eric on Twitter at @Eric_S_Weaver or on LinkedIn.  Check out our newest #healthcarepodcast with @Eric_S_Weaver of @The_ACLC as he discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs Is this pandemic an inflection point for value-based care? @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs “If United Kingdom built their National Health System post-World War II, why can’t we rebuild ours?” @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs “If it’s ever gonna happen, it’s gonna happen now. I just think we need to wake up.” @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs Do volume decreases equal payment decreases? @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs Where value-based care plays into specialty care vs primary care. @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs “There just hasn’t been a value on cognitive services as there has been on procedural volume-based care.” @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs “I really think that independents have to be in the driver’s seat here.” @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs Why it’s mostly about economic incentive … with a couple of caveats. @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs “There has to be some standard of measurement for quality, and we all know that.” @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs Where the patient experience plays into the value-based care equation. @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs “We have to be thinking about the consumer and the patient.” @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs Where do #employers land in this equation? @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs “I really think we’re … [looking at] a new normal.” @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs “We have to go all in.” @Eric_S_Weaver of @The_ACLC discusses transitioning from #feeforservice to #valuebasedcare during #covid19. #healthcare #podcast #digitalhealth #ffs

This is Coronavirus 411, the latest COVID-19 info and new hotspots… Just the facts… for Thursday April 16th, 2020. There are more than 2 million global cases of COVID-19, nearly 1/3 are in the U.S. 22 million Americans have filed for unemployment over the last 4 weeks. New guidelines for preventing the spread of the virus and reopening the economy will be announced today, according to the President. New York, Connecticut and Maryland will require residents to wear a mask in public. The mayor of Los Angeles said concerts and sporting events may not be allowed in the city until 2021. Idaho will allow some non-essential businesses to open after April 30th if they can ensure social distancing and protection of customers and employees. The Navy is considering re-instating the Captain of the USS Theodore Roosevelt, who was removed for failure to follow the chain of command in regard to the COVID-19 outbreak on his ship. At least 668 crew members of France’s Charles De Gaulle aircraft carrier have tested positive for the virus. British Health Minister Dorries, wrote on Twitter, “There is only one way we can “exit” a full lockdown and that is when we have a vaccine”. The Australian Prime Minster, said restrictions will remain in place for at least 4 more weeks. Prime Minister Trudeau, said the lockdown in Canada will last many more weeks. Germany will reopen non-essential businesses next week. Emirates airline, based in Dubai, has started testing passengers for COVID-19 prior to boarding. A 99 year old war veteran from northern England, Tom Moore, raised more than 15 million dollars for the National Health System, by walking 100 lengths of his garden, reports CNN. See acast.com/privacy for privacy and opt-out information.

As we see gay folks living longer, there’s a new found appreciation for silver daddies and even grandpas as sex symbols.But even though Dwayne Jonson and Paul Mason make aging look delicious, getting older isn’t always as sexy as it looks- your back hurts, the D don’t work and the text size on your phone is now set to “billboard.”Today, gay publishing pioneer and now comedian Louis Weisberg joins us to look at aging and raging gracefully. What are the never ending ways your body betrays you and how to ride the rapids when going into your golden girls years?LOUIS WEISBERG: https://www.facebook.com/louis.weisbergPlus–➤ A medical fetish site donates disposable scrubs to the UK’s National Health System.➤ Queen Elizabeth is doing fine, despite the rumors.➤ Film and Music studio executive David Geffen gets slammed online after flaunting his half a billion dollar yacht in a coronavirus ‘Stay Safe’ Instagram post.____________________FEAST OF FUN IS MADE POSSIBLE BECAUSE OF FABULOUS PEOPLE LIKE YOU.LISTEN TO THOUSANDS LEGENDARY SHOWS 
with NO ADS:★ feastoffun.com/plus

This has been a challenging and scary time to say the least, so to gain some clarity on the Coronavirus and Celiac Disease we reached out to Dr. Benny Kerzner, Pediatric Gastroenterologist and creator of the Division of Gastroenterology, Hepatology and Nutrition at Children's National Health System.  Dr. Kerzner helps shed some light on how the virus impacts those of us with celiac disease.

Karen Gray of Scotland had to break the law in the United Kingdom to get cannabis medicine for her 6 year old son. Doctors had tried every prescription medication under the sun to help control Murray’s seizures, and they just seemed to get worse. His seizures ran the gamut – from absconce to myclonic to tonic clonic to drop seizures. At the time of administering cannabis oil to Murray he was lying in a hospital bed unresponsive. Karen had traveled to Holland to get prescription grade very low THC cannabis oil for him. She dosed Murray with the oil unbeknownst to his doctors who would have had to take the oil from her and report her to the authorities. After Murray’s release from the hospital and feeling emboldened by the success they’d seen, Karen decided to purchase a cannabis oil with more THC – a 20:1 ratio of CBD to THC, respectively. After switching Murray’s medication he has been seizure free since June of 2019. Unfortunately for the Gray family the UK’s National Health System does not cover the cost of Murray’s plant based medicine, so the family spends 1400 pounds PER MONTH for his medication. Full show notes can be found at www.cannabishealsme.com/99 Help us get these stories out to more people! Become a Patron http://www.patreon.com/chmpodcast Rate/review us on your podcast app Tell THREE people about the show every week --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

Dr. Linda Fu, general pediatrician at Children’s National Health System and an associate professor of pediatrics at the George Washington University School of Medicine, joins NCL’s Executive Director Sally Greenberg and Patricia Kelmar, NCL’s director of health policy, for a dialogue about vaccines in America and debunk the myths that have stoked the current anti-vaccine sentiment.

Hello! Welcome to Playlist Profiles, The podcast that explores inspiring people and big ideas through the music that touches our lives. Thank you SO much for listening! I have officially been doing this for a YEAR which is unbelievable. It has been a pleasure sitting down with every guest and learning more about them through the music that they love--I hope you, the listener, have learned something new, too! Don’t forget to subscribe wherever you listen--I am putting out a new episode each week in October! Today's guest is Nikita Kachroo. Nikita grew up in New Jersey and graduated from Penn State University where she was on the executive team for THON--the largest student-run philanthropic event in the WORLD. Nikita now works in Washington D.C. as the Population Health Project Lead for Impact DC through Children’s National Health System. She is also doing 5,000 other incredible things with her time, as well as continuing to be one of the sweetest people I know. I am so excited for you all to hear talk about building healthier communities and staying confident during such a confusing time of life. Enjoy the episode! Nikita's Playlist: Landslide - Fleetwood Mac Malibu - Miley Cyrus Me Too - Meghan Trainor --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/playlistprofiles/message Support this podcast: https://anchor.fm/playlistprofiles/support

In this episode, Dr Tony Nader addresses the third International Ayurveda Congress, hosted by the Brazilian Government in Rio de Janeiro, Brazil. The Congress, attended by thousands of Government Leaders and Senior Delegates, is an important step in the integration of traditional and complementary medicines, such as Ayurveda, into the National Health System. Ultimately, the development of consciousness is the most essential approach to ensure that all methods of treatment become effective.

The Celiac Disease Program at Children’s National Health System hosts the Washington DC Gluten-Free Expo & Education Day. With nearly 2,000 attendees, this annual event brings the best of the gluten-free industry to Washington DC. The event features an exhibit hall with 60+ gluten-free food manufacturers and restaurants, a cooking stage with interactive demos and a full day of educational sessions with options for adults and kids. Learn more and registration here: http://www.dcglutenfreeexpo.com See acast.com/privacy for privacy and opt-out information.

We discuss whether or not the National Institute for Health and Care Excellence, (NICE), will recommend funding of Spinraza in England’s National Health System for all SMA patients. Also, SMA News Today’s Director of Multichannel Content, Michael Morale, discusses how he treats each day as a blessing while living with SMA. Are you interested in understanding gene therapy? ExploreGeneTherapy.com has helpful information about gene therapy, including its history and how it is being investigated for the treatment of genetic diseases. Visit www.exploregenetherapy.com

The CCA hosted a conference on The State of Celiac bringing together researchers, doctors, dietitians, food producers, influencers and others who had a stake in the future of celiac disease and the gluten free diet.  I was fortunate to attend this event and was able to have short interviews with some of the speakers and attendees.  During this last week of Celiac Awareness Month, the podcast will consist of five interviews each highlighting one of the speakers and topics that I found of interest.  This episode is a discussion with Dr. Jocelyn Silvester, MD, PhD Attending Physician, Division of Gastroenterology & Nutrition, Department of Pediatrics at Boston Children's Hospital.  Dr. Silvester speaks with me about her work in research with celiac patients.  She is also featured on podcasts on the app Gluten-Free Guide produced with the Celiac Disease Program at Children's National Health System.  This app is free to download on a smartphone and along with the podcasts is a great resource on celiac disease and the gluten free diet, particularly geared to children. For more information on celiac disease and the gluten free diet please check out the CCA website at www.celiac.ca.   Sue's Websites and Social Media – Podcast https://acanadianceliacpodcast.libsyn.com Podcast Blog – https://www.acanadianceliacblog.com Facebook - @acanadianceliacpodcast Twitter – CeliacPodcastCA Email – acdnceliacpodcast@gmail.com Baking Website – https://www.suesglutenfreebaking.com Instagram - @suesgfbaking YouTube - https://www.youtube.com/playlist?list=PLUVGfpD4eJwwSc_YjkGagza06yYe3ApzL      (search Sues Gluten Free Baking) Email – sue@suesglutenfreebaking.com Other Podcast – Gluten Free Weigh In – https://glutenfreeweighin.libsyn.com

The CCA hosted a conference on The State of Celiac bringing together researchers, doctors, dietitians, food producers, influencers and others who had a stake in the future of celiac disease and the gluten free diet.  I was fortunate to attend this event and was able to have short interviews with some of the speakers and attendees.  During this last week of Celiac Awareness Month, the podcast will consist of five interviews each highlighting one of the speakers and topics that I found of interest.  This episode is a discussion with Dr. Jocelyn Silvester, MD, PhD Attending Physician, Division of Gastroenterology & Nutrition, Department of Pediatrics at Boston Children's Hospital.  Dr. Silvester speaks with me about her work in research with celiac patients.  She is also featured on podcasts on the app Gluten-Free Guide produced with the Celiac Disease Program at Children's National Health System.  This app is free to download on a smartphone and along with the podcasts is a great resource on celiac disease and the gluten free diet, particularly geared to children. For more information on celiac disease and the gluten free diet please check out the CCA website at www.celiac.ca.   Sue's Websites and Social Media – Podcast https://acanadianceliacpodcast.libsyn.com Podcast Blog – https://www.acanadianceliacblog.com Facebook - @acanadianceliacpodcast Twitter – CeliacPodcastCA Email – acdnceliacpodcast@gmail.com Baking Website – https://www.suesglutenfreebaking.com Instagram - @suesgfbaking YouTube - https://www.youtube.com/playlist?list=PLUVGfpD4eJwwSc_YjkGagza06yYe3ApzL      (search Sues Gluten Free Baking) Email – sue@suesglutenfreebaking.com Other Podcast – Gluten Free Weigh In – https://glutenfreeweighin.libsyn.com

ONS member Pam Hinds, RN, PhD, FAAN, 2019 ONS Congress Mara Mogenson Flaherty lecturer, director of nursing research and quality outcomes at Children's National Health System, and professor of pediatrics at George Washington University in Washington, DC, joins Chris Pirschel, ONS staff writer, to discuss navigating difficult decisions in pediatric oncology, working with parents of seriously ill children, and how nurses support families during this cancer journey. Music Credit: "Fireflies and Stardust" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0 Episode Notes: Check out these resources from today's episode: Complete this evaluation for free nursing continuing professional development. How Oncology Nurses Can Support Childhood Cancer Survivors When a Child Is Dying, Parents Need to Hear “We've Done Everything We Could” Pediatric resources on ONS.org Episode 29: Why Pediatric Patients With Cancer Need Creative Play

Expats Living and Working Abroad in Cyprus have a number of different ways of qualifying for the new Cyprus Health System. Read the blog https://proactpartnership.com/blog/4-ways-to-qualify-for-the-cyprus-national-health-system

If there was a proven way to predict at what age you will die, would you like to know it? Craig is on with Jack Heath and Justin talking about the AI predicting the lifespan of patients.  These and more tech tips, news, and updates visit - CraigPeterson.com --- Related Articles  Health Industry Is Using Artificial Intelligence To Predict When Someone Will Die With Unsettling Accuracy --- Below is a rush transcript of this segment, it might contain errors. Airing date: 04/01/2019 Artificial Intelligence Predicting Lifespan Craig Peterson 0:00 Hey, good morning, everybody. Craig Peterson here. I had a discussion this morning with Mr. Jack Heath about this new artificial intelligence that they put together and tested over in the UK. And it really is concerning with all of our talk here about socialized medicine, Medicaid, Medicare for all, all of these government sponsored health care programs. What does it mean to you, particularly as you get a little bit older? So here we go with Mr. Jack Heath. Jack Heath 0:34 Joining us now some Tech Talk on this April Fools. So that means all what Craig Peterson is going to say is serious, including artificial intelligence. Good morning, Craig. Craig 0:44 Yeah, this is this is definitely not a April 1st kind of type of joke. I was just talking about Justin and I said, you know, I couldn't come up with one this morning. You know, the reality is just so unreal. Why do you need to come up with something fake? Jack  1:02 Well, that's what some of the posts are this morning is that the news is so surreal at some point. What's going on in parts of the world or this cut, you know, you look at Great Britain, what's going on in Parliament over the Brexit. You look at Venezuela, you look at the migrant crisis, you look at politics of the day, who needs any April Fools, right? Craig 1:19 Yeah, absolutely. And the article this morning that you're talking about that, of course, is up on my website, as well and NBC has been reporting on is talking about these artificial intelligence programs that are being designed and nowadays to do a number of different things. Now, you mentioned that they are significantly more accurate than predictions delivered by pretty much anyone, including the doctors in predicting how long someone will live. And this is a study that was done over in Britain as well, at the National Institute of Health. And, of course, they have death panels over there. And you know, they will call them that, but it's socialized medicine, they want to know, is it worth spending money on someone? Or should they just not bother spending the money because they're going to die fairly soon. And you know, it's just not worth putting money into old people. That is not an April Fool's joke. That is what they're trying to do. And they found that they could get their programs, these algorithms, identifying 76% of the time when a subject was going to die. It was in. Yeah, Isn't that crazy? But there's good things to they're using AI now, it's better at spotting skin cancer than most doctors are early signs of Alzheimer's disease, onset of autism in six months old, six months old now. Jack 2:46 I'm not surprised the advances in technology. Amazing. But you know, you've heard of sometimes to know if you've heard of, and Justin, genetic screening, or some families are signing up for this. So say a family has a history, some cancer or heart disease. And you know, you could do this genetic screening, and they can kind of forecast. But I guess I guess it would be good to know, but can I ask you a question? Would you really want to know?  Justin 3:07 Hell yeah. Jack 3:07 You would? Justin 3:08  Let me know what I can do to avoid it. Jack 3:10 Well avoid it. But what if it was inevitable? I mean, what if you, I'm being hypothetical, but what if something said, well, chances are 90% chance that by this date and this age, you'll probably be passed away? I don't know if I'd want to know that. Justin 3:23  Oh I would. Let me go skydiving. Let me go hit the casino. Let me do all that stuff. Right Craig? Craig 3:28  You know you do want to prepare for that though. You know, bottom line. And we've had for a long time, this is not a new problem, a long time people have known Hey, listen, you you have this major history is probably best that you don't have children and many people, many couples have gone without children for that very reason. Jack 3:45 The other thing is, and I know you tend to rely on the science and, you know, the technology side of things Craig Peterson, check out Craig Peterson with an O-N.com Craig. It's not always a perfect science. Sometimes they get this stuff wrong. So imagine going through one these tests or something and being told, well, you're probably not gonna live much beyond 59 or 60 years old, then all of a sudden you get to be 72. Oops, we were wrong in that one. Craig 4:11 Oops. Sorry about that. And that's bound to happen, especially with some of the newer technologies. And it really concerns me, jack, when you've got the National Health System in a country using it to predict when the patients are going to die, and using that to ration health care. Because again, it may have been 77% accurate, but when you get right down to it, is it accurate because they've decided to remove care from some of these patients, and so that it's become predictive in a very negative way. Jack 4:45 Yeah. All right, Craig, good stuff. Check it out. Craig Peterson, of course Tech Talk airs on our Saturday mornings on these iHeart News talk stations. Thank you, Craig. Take care. --- More stories and tech updates at: www.craigpeterson.com Don't miss an episode from Craig. Subscribe and give us a rating: www.craigpeterson.com/itunes Message Input: Message #techtalk Follow me on Twitter for the latest in tech at: www.twitter.com/craigpeterson For questions, call or text: 855-385-5553

Join us today as we speak with Dr. Kurt Newman from Children's National Health System about innovations in pediatrics. Blog: https://medium.com/kurt-newman-md Book: https://www.amazon.com/Healing-Children-Surgeons-Frontiers-Pediatric/dp/0525428836 TED Talk: https://www.youtube.com/watch?v=9cO1KKVWySk&feature=youtu.be

Given the recent push from the progressive arm of the Democratic party for Medicare for all, it is useful to look at nations that already have that model.  Dr Hussain Gandhi is a General Practitioner (GP) in Nottingham, England.  We discuss the UK health system and the pros and cons of universal state-funded healthcare for populations and individuals.    Aside from his practice, he is the representative to the Royal College of General Practitioners (RCGP) council, treasurer of GP Survival, local LMC representative and owner of eGPlearning - which aims to support clinicians with technology-enhanced primary care and learning. Use the following link to find your platform of choice - linktr.ee/drgandalf52 and find out more about health tech, med tech, social media use as a clinician and more, or better yet subscribe to his weekly updates at bit.ly/eGPleariningYouTube He also co-hosts the eGPlearning Podblast - the UK's leading primary care focused health tech podcast on various platforms here: linktr.ee/egplearning.

Hosted by David and Nycci Nellis. On today's show; • Less than 4% of the federal government's funding for cancer research is goes toward pediatric cancer research at the Children's National Health System. Chance for Life's Brad and Callie Nierenberg are in to tell us about the organization's many good works and about some upcoming events. • Born in Iran, Najmieh Batmanglij has spent 35 years cooking, traveling, and adapting authentic Persian recipes to tastes and techniques in the West. Hailed as “the guru of Persian cuisine” by The Washington Post, her cookbook “Food of Life” was called “the definitive book on Iranian cooking” by the Los Angeles Times. Her “Silk Road Cooking” was selected as one of the 10 best vegetarian cookbooks of 2004 by The New York Times; and her book “From Persia to Napa: Wine at the Persian Table” won the Gourmand Cookbook Award for the best wine history book of 2007. Her newest cookbook is “Cooking in Iran: Regional Recipes & Kitchen Secrets.” It's out now, and it is a masterpiece. Najmieh is in to tell us all about it. • Whenever you're craving a taste of good health, Flower Child complies, with farm-fresh grains, greens and wraps, along with refreshing flavored lemonades, kombucha, organic wines and beer. Flower Child's Jessica Mulroy and Monica Copeland give us the 411. • Noe Landini is the owner of Junction Bakery & Bistro. Opened in 2016 in Del Ray, Junction creates breads, pastries and specialty desserts in-house daily, along with breakfast, lunch, brunch and now dinner. Noe is in with Chef James Duke to tell us all about it. • Any regular listener knows we always have a drink segment. And, if we're gonna have something to drink, it's gotta be good. That's why the City Winery's beverage director, Sam Miller, is in today with a tasty sampling of great wines, produced right here in D.C.

Hosted by David and Nycci Nellis. On today’s show; • Less than 4% of the federal government’s funding for cancer research is goes toward pediatric cancer research at the Children’s National Health System. Chance for Life’s Brad and Callie Nierenberg are in to tell us about the organization’s many good works and about some upcoming events. • Born in Iran, Najmieh Batmanglij has spent 35 years cooking, traveling, and adapting authentic Persian recipes to tastes and techniques in the West. Hailed as “the guru of Persian cuisine” by The Washington Post, her cookbook “Food of Life” was called “the definitive book on Iranian cooking” by the Los Angeles Times. Her “Silk Road Cooking” was selected as one of the 10 best vegetarian cookbooks of 2004 by The New York Times; and her book “From Persia to Napa: Wine at the Persian Table” won the Gourmand Cookbook Award for the best wine history book of 2007. Her newest cookbook is “Cooking in Iran: Regional Recipes & Kitchen Secrets.” It’s out now, and it is a masterpiece. Najmieh is in to tell us all about it. • Whenever you’re craving a taste of good health, Flower Child complies, with farm-fresh grains, greens and wraps, along with refreshing flavored lemonades, kombucha, organic wines and beer. Flower Child’s Jessica Mulroy and Monica Copeland give us the 411. • Noe Landini is the owner of Junction Bakery & Bistro. Opened in 2016 in Del Ray, Junction creates breads, pastries and specialty desserts in-house daily, along with breakfast, lunch, brunch and now dinner. Noe is in with Chef James Duke to tell us all about it. • Any regular listener knows we always have a drink segment. And, if we’re gonna have something to drink, it’s gotta be good. That’s why the City Winery’s beverage director, Sam Miller, is in today with a tasty sampling of great wines, produced right here in D.C.

Gary and Dee discuss topics of the day and politics.  Lyn is off this week doing some DIY.  We start with Good News!  There is now an FDA approved generic for the epi pen.  NYU is making medical school free to all students.  What will a “No Deal” Brexit mean to the UK’s National Health System?  What will the lack of cooperation and collaboration imply for fighting future pandemics?  There is a school district in Colorado that is holding classes only four days a week.  They repeatedly asked for tax increases to properly fund the school system.  The voters repeatedly denied them.  People will be scrambling for child care coverage among other things.  We consider the candidate in Florida with a fake degree.  Gary reviews a list of items and activities that millennials are “killing.”  We finish up reviewing some of the many editorials that were published in answer to the Boston Globe’s call about the repeated attacks this Republican Administration has launched on the media. Like listening to Peak Reality Check?  Why not support this podcast! https://www.patreon.com/DeirdreL #GoodNews #Brexit #4DaySchool #FakeDegrees #MillennialsKilling #EnemyPeople The post Peak Reality Check, August 17, 2018 appeared first on Studio 809 Radio.

On this week's Tech Nation, Andreas Weigand, former chief scientist at Amazon, and author of “Data for the People.” Then on Tech Nation Health, Dr. Marshall Summar, Director of the Rare Disease Institute and Chief of Genetics and Metabolism at Children's National Health System in Washington, DC. They talk about treating rare diseases in the very young, and the efforts to support families, local Pediatricians and the patients themselves, nationwide and around the world.

On this week’s Tech Nation, Andreas Weigand, former chief scientist at Amazon, and author of “Data for the People.” Then on Tech Nation Health, Dr. Marshall Summar, Director of the Rare Disease Institute and Chief of Genetics and Metabolism at Children’s National Health System in Washington, DC. They talk about treating rare diseases in the very young, and the efforts to support families, local pediatricians and the patients themselves, nationwide and around the world.

On this week’s Tech Nation Health, Dr. Marshall Summar, Director of the Rare Disease Institute and Chief of Genetics and Metabolism at Children’s National Health System in Washington, DC. They talk about treating rare diseases in the very young, and the efforts to support families, local pediatricians and the patients themselves, nationwide and around the world.

Kurt Newman, President and Chief Executive Officer of the Children’s National Health System, discusses how the organization’s work helps to mold future generations throughout the Washington DC metropolitan area. This interview was produced in collaboration with WHUT (Howard University Television).

In this edition of The Humanist Report podcast, we shine a spotlight on the games Trump is playing on Americans. After a relentless corporate PR campaign, Americans are being told that one-time $1,000 bonuses from corporations suggests trickle-down economics works well for average workers (spoiler: it doesn't). So we'll tackle the misconception that Trump's tax reform plan is good for normal, non-wealthy Americans, we'll discuss the benefits of universal healthcare and the backlash Trump received from citizens in the UK after he attacked their National Health System. Additionally, we'll talk about the influence Trump's donors have on him, the “evidence” Ajit Pai is giving us to prove that his repeal of net neutrality is beneficial, and New Jersey's enforcement of net neutrality. Also, we'll tackle the Democratic Party's ongoing cheating of progressives and shielding of corporate Democrats. All of these topics—and THEN some—are covered in this episode. Enjoy!

WBZ's Doug Cope speaks with Dr. Kavita Parikh at Children's National Health System in Washington, D.C. about their review that shows almost 40% of parents falsely believe their child doesn't know where weapons are stored in the house.

In this lively discussion, Catherine Bollard, MBChB, MD, FRACP, FRCPA, from the Children's National Health System and George Washington University,... The post Latest advances and current challenges in immunotherapies for lymphoma appeared first on VJHemOnc.

In this lively discussion, Catherine Bollard, MBChB, MD, FRACP, FRCPA, from the Children's National Health System and George Washington University,... The post Latest advances and current challenges in immunotherapies for lymphoma appeared first on VJHemOnc.

Kurt Newman, M.D., President and Chief Executive Officer, Children’s National Health System joins Rich Bendis to discuss quality of care, medical innovation, and the future of healthcare.

WBZ's Doug Cope speaks with Dr. Kavita Parikh at Children's National Health System in Washington, D.C. about their review that shows almost 40% of parents falsely believe their child doesn't know where weapons are stored in the house.

Dr. Carolyn Lam:               Welcome to Circulation on the Run. Your weekly podcast summary and backstage pass to the journal and its editors. I'm Dr. Carolyn Lam, Associate Editor from the National Heart Center and Duke National University of Singapore. This week's journal features novel results from the NCDR IMPACT Registry that informs us on risk prediction in patients with congenital heart disease undergoing cardiac catheterization. We'll be taking a deep dive into this right after these summaries.                                                 The first original paper provides pre-clinical data showing that delayed repolarization may underlie ventricular arrhythmias in heart failure with preserved ejection fraction or HFpEF. First author Dr. Cho, co-corresponding authors Dr. Marban, and Cingolani from Cedars-Sinai Heart Institute and their colleagues, induced HFpEF in Dahl salt-sensitive rats by feeding them a high-salt diet from seven weeks of age. They showed that susceptibility to ventricular arrhythmias was markedly increased in rats with HFpEF.                                                 Underlying abnormalities included QTc prolongation, delayed repolarization from down-regulation of potassium currents, and multiple re-entry circuits during ventricular arrhythmias. These findings are consistent with the hypothesis that potassium current down-regulation may lead to abnormal repolarization in HFpEF, which in turn predisposes to ventricular arrhythmias and sudden cardiac death.                                                 The next paper shows that genetic testing can help to identify patients with pulmonary veno-occlusive disease who were misclassified as pulmonary arterial hypertension. Now, heterozygous mutations in the gene encoding the bone morphogenetic protein receptor type II or BMPR2 are the commonest genetic cause of pulmonary arterial hypertension. Whereas biallelic mutations in the eukaryotic translation initiation factor 2 alpha kinase 4 gene or EIF2AK4 gene are described in pulmonary veno-occlusive disease and pulmonary capillary hemangiomatosis.                                                 In the current study, first author Dr. Hadinnapola, corresponding author Dr. Morrell, and colleagues from University of Cambridge performed whole genome sequencing on the DNA from 864 patients with pulmonary arterial hypertension, as well as 16 patients with pulmonary veno-occlusive disease all recruited to the NIHR BioResource – Rare Diseases study. They found that 1% of patients with a clinical diagnosis of pulmonary arterial hypertension actually carry the biallelic EIF2AK4 mutations. Patients who are diagnosed clinically with pulmonary arterial hypertension, but who had a transfer coefficient for carbon monoxide of less than 50% predicted and an age of diagnosis of less than 50 years were much more likely to carry these biallelic EIF2AK4 mutation. In fact, the diagnostic yield for genetic testing in this group was 53%.                                                 Radiological assessment alone was unable to distinguish reliably between these patients and those with idiopathic pulmonary arterial hypertension. Importantly, these patients with biallelic EIF2AK4 mutations had a worst prognosis compared to other patients with pulmonary arterial hypertension. Thus in summary, younger patients diagnosed with idiopathic pulmonary arterial hypertension but with a low transfer coefficient for carbon monoxide, have a high frequency of biallelic EIF2AK4 mutations and should be reclassified as pulmonary veno-occlusive disease or pulmonary capillary hemangiomatosis. They have a poor prognosis and genetic testing can therefore identify these misclassified patients allowing appropriate management and early referral for lung transplantation.                                                 The next study identifies a novel molecular target for the treatment of pathological cardiac hypertrophy. This target is SIRT2 [inaudible 00:04:33] poorly characterized member of the Sirtuin family of proteins, which is a family of class III NAD-dependent deacetylases that regulate metabolism and age-related diseases including diabetes and cardiovascular diseases. In the current study, first authors Dr. Tang and Chen, corresponding authors Dr. Chen and Liu from the Chinese Academy of Medical Sciences in Peking Union Medical College used wild-type and Sirt2 knockout mice, and showed that SIRT2 protein levels and activity were reduced during pathological cardiac hypertrophy.                                                 SIRT2 deficiency promoted aging and angiotensin II induced pathological cardiac hypertrophy, and blunted metformin-mediated cardioprotective effects. On the other hand, SIRT2 overexpression repressed pathological cardiac hypertrophy. The molecular pathway involved deacetylation of liver kinase B1 at lysine 48 by SIRT2 to activate AMP-activated protein kinase sickling, which prevented hypertrophy of cardiomyocytes. Thus, SIRT2 is a potential target for therapeutic interventions in aging and stress-induced cardiac hypertrophy.                                                 The next study is the largest comparison of the prognostic value of coronary artery calcium with functional stress testing in patients with stable chest pain. In this study from first and corresponding author Dr. Budoff from Los Angeles Biomedical Research Institute and colleagues, authors looked at the PROMISE trial where patients with stable chest pain or dyspnea, and intermediate pre-test probability for obstructive coronary artery disease were randomized to functional testing or anatomic testing.                                                 Their main finding was that these chest pain populations referred for testing had a low event rate and both tests had different strengths. Coronary artery calcium had a high sensitivity for future cardiovascular events whereas functional testing had a high specificity. The clinical implications are that a normal coronary artery calcium score has a very low event rate and perhaps maybe used to avoid further cardiac testing in a stable chest pain population. On the other hand, an abnormal functional test result including information on exercise and symptoms has a moderate prognostic value.                                                 Of note, coronary CT angiography provided better prognostic and discriminatory power than either coronary artery calcium or functional testing. The implications of these important results are discussed in an accompanying editorial by Dr. David Newby from Edinburgh entitled, Can I Have My Cake and Eat It? On that intriguing note, we've come to the end of today's summaries, now for our feature discussion.                                                 For today's feature discussion, we are talking about an increasingly important population that is pediatric and adult patients with congenital heart disease undergoing cardiac catheterization. A little bit out of my usual comfort zone, but then you see, I'm with two spectacular experts today, Dr. Gerard Martin from Children's National Health System in Washington DC, one of the authors of today's feature paper; and Dr. Gerald Greil, Associate Editor from UT Southwestern. Welcome gentlemen. Dr. Gerard Martin:           Thank you Carolyn. Dr. Gerald Greil:                Thank you Carol. Dr. Carolyn Lam:               Gerard, no that would be Dr. Martin. Enlighten people like me who don't think about this every day, why the importance of looking at cardiac catheterization, and adverse outcomes in this particular population? Dr. Gerard Martin:           Carolyn, that's because of the tremendous advances in medicine, and particularly medicine that's dealing with children with congenital heart defects. Cardiac catheterization was once purely a diagnostic study. Now, it's a less invasive definitive treatment option for many of our pediatric and adult patients with congenital heart defects. As you may or may not know, congenital heart defects are the most common birth defects that impact nearly one out of every hundred live births.                                                 As I mentioned, we have these tremendous advances. As a result of that, there are now over a million children living with congenital heart defects. In the USA alone, improvements in care over the past 50 years, there are now more adults than children living with congenital heart defects. Dr. Carolyn Lam:               Wow. Now, I understand. I mean, cardiac catheterization not just meeting diagnostic but therapeutic, and such an important patient population. Tell us about your study? Dr. Gerard Martin:           As we said, cardiac catheterization is now replacing surgery for some of our defects. For some of the more complex defects, catheterization is providing treatments that make the surgery easier. Now in surgery, we've had registries for many years. These registries provided measurement of survival that allow comparison of programs, and we didn't have that ability with cardiac catheterization. The American College of Cardiology developed the IMPACT Registry. That was to solely provide measurements of the outcomes of catheterization procedures in the children and adults with congenital heart disease.                                                 Now, one aspect of the quality of the program is your rate of adverse outcomes; but simply measuring the number of adverse outcomes does not provide enough discrimination to compare programs. I think you can probably imagine that adverse outcomes will increase based upon the complexity of the type of patients you see, or the types of procedures that you might be performing. What we wanted to do was to create a risk standardization tool for our population where we can measure variation and performance between programs. If we can do that, then we can learn from the best performers to improve all the others. Dr. Carolyn Lam:               That's beautifully put. Could you tell us what you found? Dr. Gerard Martin:           Sure. The IMPACT Registry began on about 2011 and has grown from 50 sites to 111 sites in 2017. That's the majority of the sites in the United States that perform cardiac catheterization on children. We have now over 115,000 procedures. What we wanted to do with this is to look at some of the early procedures that were included and to see how adverse events were occurring. When we created the registry though, we used data variables from a previous research study in Boston called the CHARM.                                                 They created a tool to risk standardized outcomes during procedures. They did it by coming up with four categories of procedures, and some four markers of hemodynamic vulnerability. We tested their methodology with IMPACT, and it didn't really performed particularly well. In this study, what we did was to increase the number of risk categories. We took the nearly 200 types of procedures we do in the cath lab and divided them into six categories. We also increased the indicators of hemodynamic vulnerability from four to six.                                                 Now, what I mean by hemodynamic vulnerability? What is the patient's oxygen level when they go into the procedure? What is their blood pressure when they're in the procedure? Do they have one ventricle, or do they have two ventricles? What is the resistance in the lung vessels? All these are critically important. Lastly, we looked at some baseline patient characteristics. In other words, was age important? Sex, genetic conditions, or other comorbid conditions like the level of mechanical support that the patients were on. Then we put all that into our model to see if we could come up with a risk score. Dr. Carolyn Lam:               Right. The final adjustment model? Which factors that they include in the end? Dr. Gerard Martin:           We did find that there are lot of adverse events that do occur. We found major adverse events occurring in about same 7% of our patients. Most common adverse events were bleeding, or rhythm disturbances that require some medicine, or cardioversion during the procedure, or death during the hospitalizations. We did find that these major events were more common in the youngest patients or neonates, children under a month of age, or in patients with genetic disorders, or single ventricle physiology, and also patients that went to the cath lab with their kidneys not working very well.                                                 In the end, we did create a risk adjustment model that included the type of procedure that was done, the number of hemodynamic vulnerability indicators, and whether or not the patient had renal insufficiency, or single ventricle physiology, or coagulation, and we found really good discrimination. Our discrimination had a C-stat of 0.76 in the derivation cohort, and 0.75 in the validation cohort. The slope of the curve was excellent, so we really think we have something now that we can use as a tool. Dr. Carolyn Lam:               Gerald, you're a pediatric cardiologist. Could you give us your perspective on how important these results are? Dr. Gerald Greil:                I think it's the largest and the first study, which kinds of give us a calibration in our field how successful interventions are. How we can make centers better without finger pointing on specific centers, and how to advance the field as a whole? From that perspective, I'm quite excited that the group offered us to publish this paper in circulation. I was kind of asking a question to Dr. Martin because obviously, all essentials are closely monitored. There's obviously data publicly available. Do you think there's a risk that this way to monitor centers within the United States or probably worldwide, that it's potentially preventing innovation or risky procedures? Dr. Gerard Martin:           I think that, that's a good question. I think it's one thing that whenever we talk about transparency or public reporting, it's an argument against it. I think that having a model like this, actually levels the playing field. In other words, centers that are risk averse who aren't particularly innovative, you'll be able to look at those centers, see what type of patients they're doing and look at their adverse events for a low-risk population. Then, you can also look and see some other centers that are doing more complicated procedures, higher risk, and you can see what their adverse event rate is.                                                 Certainly, this is only talking about the adverse events. This has to be put together with the outcome of the procedure. In other words, if you're trying to relieve an obstruction, did you relieve it? Did you meet the intended goal of the procedure? This is only half of the story. The other part of it is, did you get the intended goal of the procedure? When you put the two of them together, perhaps some of those centers that are risk averse have lower complications, but maybe their success rate is lower. This will be able to tell the public everything they know, and they'll be able to tell their providers what they need to know to get better. Dr. Carolyn Lam:               I have to agree. Your paper does highlight, I think. Gerard, just one other question. What do you think our next steps? Dr. Gerard Martin:           The next step is to test the data. We have a new version of IMPACT that has rolled out, version 2 that has new procedures in it. Now, we have to test the data and we actually have to look for variability. Can we see a variation between the programs? Then, once we see if there's variation, if we see there is best performers and those performers that could improve, a question then is how do we take from what the best performers are doing to try and lift those that need to improve up. That's going to be the true hard work for this registry. Dr. Carolyn Lam:               Thank you so much for publishing it with us. Thank you so much audience for listening with us today. Don't forget to tune in again next week.  

As a parent, it's never easy to hear that your child has a chronic medical condition like celiac disease. Parents often feel overwhelmed, sad, anxious and extremely guilty, especially when their child is diagnosed with a genetic condition that they may have passed on to them. To help parents cope with these feelings and help their families adjust to the gluten-free lifestyle, we've brought Dr. Shayna Coburn from Children's National Health System into the podcast studio to talk about managing emotions and determining when it's time to seek professional help. 

Meal delivery services are popping up like hot cakes and claiming to cater to various lifestyles, but are they suitable for a gluten-free diet? On this episode of the podcast, Vanessa talks about her experiences with three different services and how they accommodate (or don't accommodate) gluten-free diets, the costs, and pros/cons of various services. Note: The Celiac Program Children's National Health System does not support or endorse any of these services. The information in this podcast is purely informational to help individuals living a gluten-free lifestyle determine the proper questions to ask to ensure a safe gluten-free meal. 

You've probably gotten a coupon in the mail for a grocery delivery service and were likely tempted by the  $75 off grocery deals. But are these services providing safe gluten-free foods? On this episode of the podcast, Vanessa Weisbrod and Joyana McMahon from the Celiac Disease Program at Children's National Health System discuss the pros and cons of online grocery shopping, how various services work, positive and time-saving benefits, and potential areas for concern.

WBZ's Doug Cope speaks with Dr. Kavita Parikh at Children's National Health System in Washington, D.C. about their review that shows almost 40% of parents falsely believe their child doesn't know where weapons are stored in the house.

WBZ's Doug Cope speaks with Doctor Marcee White, a pediatrician at the Children's National Health System who is responding to a report by Safe Kids Worldwide, says more kids are being poisoned because parents don't store their prescriptions properly.

WBZ's Doug Cope speaks with Dr. Kavita Parikh at Children's National Health System in Washington, D.C. about their review that shows almost 40% of parents falsely believe their child doesn't know where weapons are stored in the house.

WBZ's Doug Cope speaks with Dr. Kavita Parikh at Children's National Health System in Washington, D.C. about their review that shows almost 40% of parents falsely believe their child doesn't know where weapons are stored in the house.

WBZ's Doug Cope speaks with Doctor Marcee White, a pediatrician at the Children's National Health System who is responding to a report by Safe Kids Worldwide, says more kids are being poisoned because parents don't store their prescriptions properly.

WBZ's Doug Cope speaks with Dr. Kavita Parikh at Children's National Health System in Washington, D.C. about their review that shows almost 40% of parents falsely believe their child doesn't know where weapons are stored in the house.

WBZ's Doug Cope speaks with Doctor Marcee White, a pediatrician at the Children's National Health System who is responding to a report by Safe Kids Worldwide, says more kids are being poisoned because parents don't store their prescriptions properly.

WBZ's Doug Cope speaks with Dr. Kavita Parikh at Children's National Health System in Washington, D.C. about their review that shows almost 40% of parents falsely believe their child doesn't know where weapons are stored in the house.

WBZ's Doug Cope speaks with Doctor Marcee White, a pediatrician at the Children's National Health System who is responding to a report by Safe Kids Worldwide, says more kids are being poisoned because parents don't store their prescriptions properly.

Cost, coverage, choice - some of the trade-offs needed to make a healthy nation. As the US Congress struggles to repeal and replace the Affordable Care Act - widely known as Obamacare - we ask what makes for a good healthcare system and how does society as a whole get value for money? Is it an insurance based system, like many used world wide, or is a single payer system like Britain's National Health System better and more fair? (Photo: People protesting against the repeal of the Affordable Care Act. Credit: Getty Images)

On this week’s Tech Nation Health, Dr. Marshall Summar, Director of the Rare Disease Institute and Chief of Genetics and Metabolism at Children’s National Health System in Washington, DC. They talk about treating rare diseases in the very young, and the efforts to support families, local pediatricians and the patients themselves, nationwide and around the world.

Dr. Benny Kerzner from the Celiac Disease Program at Children's National Health System discusses best practices for the managment of pediatric celiac disease to help parents ensure that their children are getting the best possible follow-up care.  Thank you to the Walter and Jean Boek Global Autoimmune Institute for supporting this podcast.

This is a special edition of The Child Repair Guide featuring a guest-host, Dr. Amanda Thompson. Dr. Thompson is a pediatric psychologist and Medical Director of Patient Support Services in the Center for Cancer and Blood Disorders at Children's National Health System in Washington, DC. My interview with Dr. Thompson on How to Talk to Kids About Death, Grief, and Loss is a powerful episode and a listener-favorite. In this episode, she guides you through another challenging experience of parenting: telling your kids about a loved one's serious illness. You can find the full text of this episode at www.drstevesilvestro.com/40 If you find this or any other episode of The Child Repair Guide helpful, please share with your friends and leave a review on your podcast app!

A new paper published in the prestigious journal Pediatrics establishes best practices for the diagnosis, treatment and management of celiac disease in children. The protocol was put together by a team of pediatric medical experts led by the late Dr. John Snyder of the Celiac Disease Program at Children's National Health System. Program Founder Blair Raber joins us to discuss the paper and its impact on the celiac disease community.  Thank you to the Walter and Jean Boek Global Autoimmune Institute for supporting this podcast.

Heart digital media editor Dr. James Rudd is joined by Dr Michelle Ploutz from the Department of Pediatric Cardiology, Children’s National Health System, Washington, DC, to discuss her recent paper in Heart, entitled "Handheld echocardiographic screening for rheumatic heart disease by non-experts". They cover using echocardiography, performed by trained local nurses, to diagnose rheumatic heart disease in Uganda. The need for this approach, and how it fared in this study of 1000 African school children are revealed. Read the full article here: http://heart.bmj.com/content/102/1/35.full.

The EIC of the British Medical Journal discusses criticisms of changes to the National Health Service in England.

The EIC of the British Medical Journal discusses criticisms of changes to the National Health Service in England.

The EIC of the British Medical Journal discusses criticisms of changes to the National Health Service in England.

The EIC of the British Medical Journal discusses criticisms of changes to the National Health Service in England.