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Hosted by Michael Tetreault | Editor-in-Chief, Concierge Medicine Today Episode Overview In one of the most comprehensive episodes in DocPreneur Leadership Podcast history, host Michael Tetreault takes an honest, evidence-based, and encouraging look at the cash-pay and subscription-based primary care landscape — who it serves, how it works, where it's heading, and what every physician and advanced practice clinician needs to understand before making a career-defining decision. This episode doesn't take sides. It takes a clear-eyed look at the full picture — including the parts that don't always make it into the conference keynote. What's Covered in This Episode The Foundation Not all subscription-based primary care models are the same. Two models operating in this space share surface-level similarities but are structurally distinct businesses with different economic logic, different patient populations, and different long-term trajectories. Understanding which one you're considering — and why — changes everything about how you plan. A Lesson From Healthcare History Before committing to any practice model, it helps to understand what happened to the movements that came before it. This episode traces three instructive parallels: the micropractice and ideal medical practice movement of the early 2000s; the decades-long fight for healthcare price transparency and what happened when physicians finally got it; and the rise and reality check of retail health — what scaled, what didn't, and why. The common thread in every model that has achieved durable scale in American healthcare is the same: structural fit with the economic environment, not ideological purity. Two Pathways, One Brand Name The episode walks through both economic models in the cash-pay primary care space — the purist, cash-only, no-insurance model and the employer-integrated model — explaining how each works, who each serves, and what the financial picture actually looks like for physicians considering either path. The revenue math is done out loud. The sustainability data from peer-reviewed research is cited. The patient demographic fit for each model is examined honestly and specifically. Who Each Model Serves — and Where Other Models Fit Better A detailed breakdown of the patient populations each model genuinely serves well — and an honest, evidence-based look at the patient populations where other models may be a better structural fit. Including Medicare-eligible patients, patients with complex chronic disease, lower-income households, and employees of small and mid-sized businesses. The Overlooked Opportunity — NPs, PAs, and Advanced Practice Clinicians One of the most significant and underexplored opportunities in subscription-based healthcare delivery today is the direct-care model as a pathway for nurse practitioners, physician assistants, and other advanced practice clinicians. The evidence on NP and PA-led primary care outcomes is strong and peer-reviewed. The physician shortage projections make the need urgent. And the organizational infrastructure for advanced practice clinician-led direct-care practices is largely unbuilt — which means the opportunity belongs to whoever moves first. The Organizational Landscape An honest look at what the multiplicity of organizations, coalitions, and alliances in the cash-pay primary care space tells us — and what research on professional association dynamics says about the long-term implications of organizational fragmentation for legislative effectiveness and individual practice planning. One Brand, Two Directions Drawing on four documented historical parallels from the history of American medicine — the AMA and managed care, osteopathic medicine's identity divide, family medicine's emergence as a separate specialty, and the micropractice movement — the episode makes the case that two communities with genuinely different economic interests and regulatory priorities currently sharing a brand name may, consistent with historical precedent, find their own distinct professional homes over time. This is presented as pattern recognition grounded in verified historical evidence — and as practical planning context for physicians building practices today. The Tax and Structuring Update A clear, practical summary of the 2025 "One Big Beautiful Bill" Act changes — effective January 2026 — and what they mean for HSA eligibility of cash-pay membership fees. What qualifies, what doesn't, and why legal counsel is essential before making any representations to patients about tax-advantaged payment options. Eight Questions Before You Commit A practical pre-decision checklist — eight specific questions every physician or advanced practice clinician should be able to answer clearly before committing to any cash-pay practice pathway. Key Takeaways Cash-pay primary care and concierge medicine are not the same model, do not serve the same patient populations, and should not be evaluated as interchangeable alternatives. The purist cash-pay model has grown from approximately 100 practices in 2009 to over 2,100 by 2023 — real and meaningful growth. The financial sustainability data, however, reflects consistent challenges that peer-reviewed research has documented specifically in lower-income markets and solo practice settings. The employer-integrated pathway has stronger structural sustainability — multiple revenue streams, embedded benefit relationships, and documented employer cost reductions of 12 to 20 percent over three to five years. A December 2025 Johns Hopkins study found concierge and cash-pay primary care practices combined grew 83.1 percent between 2018 and 2023. The employer-integrated model is the primary driver of that growth trajectory. Concierge medicine — particularly the PCM model — is not retreating. The global concierge medicine market is projected to surpass $34 billion by 2032 and is growing at a compound annual rate that outpaces most healthcare market segments. The National Academy of Medicine's 2021 Future of Nursing report, AAMC physician shortage projections, and peer-reviewed NP/PA outcomes research collectively point to advanced practice clinician-led direct-care models as one of the most significant underexplored opportunities in subscription-based healthcare delivery. Pattern recognition from healthcare history — price transparency, retail health, the micropractice movement — consistently shows that the distance between a compelling healthcare idea and durable scaled impact is longer and more complicated than early advocacy suggests. Models that have achieved durable scale in American primary care share one characteristic: structural fit with the economic environment, not independence from it. Sources and Citations All claims in this episode are supported by published, verifiable sources. Full citations below. Micropractice and Practice Model History Moore, G. (2002). "Accountability and Improvement in Physician Practice." Family Medicine. Moore, G. & Showstack, J. (2003). "Primary Care Medicine in Crisis." Health Affairs. healthaffairs.org AAFP TransforMED Initiative. (2006). aafp.org Nutting, P.A. et al. (2010). "Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home." Annals of Family Medicine. Rittenhouse, D.R. et al. (2009). "Primary Care and Accountable Care." New England Journal of Medicine. Rittenhouse, D.R. & Shortell, S.M. (2009). "The Patient-Centered Medical Home." JAMA. Price Transparency Research Pathak, Y. & Muhlestein, D. (2024). "Public Awareness and Use of Price Transparency: Report From a National Survey." West Health Institute / Gallup. pmc.ncbi.nlm.nih.gov Parente, S.T. (2023). "Estimating the Impact of New Health Price Transparency Policies." Inquiry.pmc.ncbi.nlm.nih.gov ScienceDirect. (2025). "Outcomes of Price Transparency Policies for Healthcare Services in the United States: A Systematic Review." sciencedirect.com Retail Health Fein, A.J. (2017). "Retail Clinic Check Up: CVS Retrenches, Walgreens Outsources, Kroger Expands." Drug Channels. drugchannels.net CNBC. (2024). "Why Walmart, Walgreens, CVS Retail Health Clinic Experiment Is Struggling." cnbc.com Healthcare Finance News. (2023). "Retail Clinics Seeing Utilization Soar, Popularity Grow." healthcarefinancenews.com MedCity News. (2023). "Retail Clinics Are Gaining Momentum." medcitynews.com Cash-Pay and Subscription Primary Care Market Data MedCity News. (March 2026). "DPC Is Scaling — The Financing Architecture Isn't Ready." medcitynews.com Johns Hopkins. (December 2025). Study on concierge and cash-pay practice growth 2018–2023. As cited in MedCity News, March 2026. Liaw, W. et al. (2024). "Direct Primary Care: Financial Analysis and Potential to Reshape the U.S. Healthcare Landscape." Journal of General Internal Medicine. springer.com Lujan, D.Y. (2025). "Why Direct Primary Care Models Fail." KevinMD. kevinmd.com Doan, L. et al. (2019). "Physician Perspectives on Direct Primary Care." Family Medicine. Eskew, P.M. & Klink, K. (2015). "Direct Primary Care: Practice Distribution and Cost Across the Nation." Health Affairs. healthaffairs.org Tseng, P. et al. (2018). "Administrative Costs Associated With Physician Billing and Insurance-Related Activities." JAMA Internal Medicine. Medscape Physician Compensation Report. (2023). medscape.com Employer-Integrated Model Spann, S.J. et al. (2020). "Employer-Sponsored Direct Primary Care." Journal of Occupational and Environmental Medicine. National Alliance of Healthcare Purchaser Coalitions. (2021). purchaseralliance.org Kaiser Family Foundation. (2023). Employer Health Benefits Annual Survey. kff.org National Business Group on Health. (2022). businessgrouphealth.org Employers Health Coalition. (2022). employershealthcoalition.org Patient Demographics and Population Health Anderson, G.F. (2010). "Chronic Conditions: Making the Case for Ongoing Care." Johns Hopkins Bloomberg School of Public Health. Tikkanen, R. & Abrams, M.K. (2020). "U.S. Health Care from a Global Perspective." Commonwealth Fund.commonwealthfund.org Collins, S.R. et al. (2022). "Paying for It: How Health Insurance and Healthcare Costs Are Shaping the Lives of American Adults." Commonwealth Fund. commonwealthfund.org Bureau of Labor Statistics. (2023). "Contingent and Alternative Employment Arrangements." bls.gov Petterson, S. et al. (2012). "Unequal Distribution of the U.S. Primary Care Workforce." Annals of Family Medicine. Advanced Practice Clinicians and Nursing Laurant, M. et al. (2019). "Revision of Professional Roles and Quality Improvement in Primary Care." New England Journal of Medicine. Naylor, M.D. & Kurtzman, E.T. (2010). "The Role of Nurse Practitioners in Reinventing Primary Care." Health Affairs. healthaffairs.org National Academy of Medicine. (2021). "The Future of Nursing 2020–2030." nationalacademies.org AAMC. (2021). "The Complexities of Physician Supply and Demand: Projections from 2019–2034." aamc.org Legal, Tax, and Compliance Eischen, J. (2025). Legal Commentary on Cash Practice Structuring. eischenlawoffice.com DLA Piper. (2025). "Paying for Direct Primary Care Arrangements With HSAs." dlapiper.com IRS Notice 26-05. irs.gov CMS. "Opt-Out Affidavits and Private Contracts." cms.gov Organizational and Professional Identity Research Hoff, T.J. (2010). Practice Under Pressure: Primary Care Physicians and Their Medicine in the Twenty-First Century. Rutgers University Press. Scott, W.R. (2008). Institutions and Organizations: Ideas and Interests. SAGE Publications. Freidson, E. (2001). Professionalism: The Third Logic. University of Chicago Press. Wolinsky, H. & Brune, T. (1994). The Serpent on the Staff: The Unhealthy Politics of the American Medical Association. Putnam. Gevitz, N. (2004). The DOs: Osteopathic Medicine in America. Johns Hopkins University Press. Stephens, G.G. (1989). "Family Medicine as Counterculture." Journal of Family Practice. Colwill, J.M. (1992). "Where Have All the Primary Care Applicants Gone?" New England Journal of Medicine. Meltzer, D.O. & Chung, J.W. (2014). "The Population-Based Physician Workforce." Health Affairs.healthaffairs.org Bodenheimer, T. & Pham, H.H. (2010). "Primary Care: Current Problems and Proposed Solutions." Health Affairs. healthaffairs.org Grumbach, K. & Grundy, P. (2010). "Outcomes of Implementing Patient Centered Medical Home Interventions." JAMA. Concierge Medicine Market Data Grand View Research. (2022). Concierge Medicine Market Size & Growth Report. grandviewresearch.com Precedence Research. (2023). U.S. Concierge Medicine Market Size and Forecast. globenewswire.com MDVIP. (2020). Personalized Primary Care Reduces ER Visits, Hospitalizations, and Outpatient Expenditures.mdvip.com AAPP / Software Advice. (2023). "Concierge Medicine Salary and Definition." softwareadvice.com Disclaimer The DocPreneur Leadership Podcast is produced by Concierge Medicine Today, LLC, an independent healthcare leadership publication. This episode and its accompanying summary are intended for educational and informational purposes only. Nothing in this episode or summary constitutes medical, legal, financial, or accounting advice. The information presented reflects publicly available research, published data, and editorial observation, and is not intended to replace the guidance of qualified medical, legal, financial, or business professionals. All factual claims are supported by named, verifiable third-party sources, which are cited in full above. Concierge Medicine Today makes no guarantee regarding the completeness or currency of external sources cited and encourages listeners to verify information independently. References to specific organizations, publications, legal decisions, or market data are provided for educational context only. Mention of any organization, publication, or individual does not constitute endorsement, and no commercial relationship exists between Concierge Medicine Today and any source cited in this episode unless otherwise disclosed. Physicians, nurse practitioners, physician assistants, and other clinicians considering any practice model change are strongly encouraged to seek qualified legal counsel with specific experience in healthcare compliance, tax structuring, and the applicable regulatory environment in their state before making any practice or business decisions. © 2007–2026 Concierge Medicine Today, LLC. All rights reserved. Reproduction or distribution of this content without written permission is prohibited.

This is The Briefing, a daily analysis of news and events from a Christian worldview.On today's edition of The Briefing, Dr. Mohler discusses the trend of the rise of church attendance, the life and legacy of Ted Turner, and the politics, morality, and ridiculous fashions of the Met Gala.Part I (00:13 – 13:38)Church Attendance is Higher in New Report– What is Going on with the Trend of the Rise in Church Attendance?Study: In-person worship attendance in U.S rises for first time in decades by NPR (Jason DeRose)Worship attendance at churches up for the first time in decades, according to new report by Religion News Service (Bob Smietana)Signs of Rebound Amid Uneven Recovery: The Changing Congregational Landscape by Hartford Institute for Religion Research“This Place Means Everything to Me”: Key Findings From a National Survey of Post-Pandemic United States by Hartford Institute for Religion ResearchPart II (13:38 – 22:58)Media Titan “Mouth of the South” Dies at 87: The Life and Legacy of Ted TurnerTed Turner, Creator of CNN and the 24-Hour News Cycle, Dies at 87 by The New York Times (Jonathan Kandell)Part III (22:58 – 27:37)Carnality, Consumerism, and the Cultural Elites at Their Most Elite: The Politics, Morality, and Ridiculous Fashions of the Met GalaMet Gala isn’t frivolous. Fashion matters more than ever. by USA Today (Kofi Mframa)Sign up to receive The Briefing in your inbox every weekday morning.Follow Dr. Mohler:X | Instagram | Facebook | YouTubeFor more information on The Southern Baptist Theological Seminary, go to sbts.edu.For more information on Boyce College, just go to BoyceCollege.com.To write Dr. Mohler or submit a question for The Mailbox, go here.

【主播的话】去年一个偶然的机会，我在纽约认识了高琴教授，还发现我们是邻居。在那之前，我已经对高琴教授的有所耳闻。她是著作丰硕的社会政策学者，在哥伦比亚大学社会工作学院任教，是讲席教授，同时担任博士项目主管副院长，以研究中国贫困问题见长。她常年组织大规模的社会调查，用数据来研究贫困的根源、影响与政策应对。她同时还是哥大“亚裔美国人”项目主任。在哥大——一个竞争激烈、精英云集、以全球化和多元化闻名、但却仍然主要由白人学者执掌的常春藤高校——能做到管理层的亚裔女性，仍然少之又少。这背后所需要的努力与卓越，超出常人想象。认识之后，邻里的便利让我们多了一些深聊的机会。串门这件事，在硕大的纽约并不常见——跟朋友约着喝个咖啡，通勤很可能要一小时以上。我们俩都来自县城，分享着从小地方到北京再到美国的点滴，在繁华的纽约这也不常见——能在这里留下扎根的华人朋友，大多数还是出身于中国的大城市，有着较好的家庭支持。我带着初到纽约的许多困惑，向她寻求过职业上的建议、也分享过生活的琐碎。而她也总是在极其繁忙的日程中挤出时间，跟我见面或者电话。我渐渐感到，她的本人比外在那些光鲜的标签还要闪光。她告诉我，自己如何开始对贫困问题感兴趣：在并不发达的山西县城长大，她从小就对贫困问题有切身感知。有乞丐上门讨食，奶奶永远会为他们准备食物，不让这些人空手而归。她那时就播下了种子，想知道：穷人为什么会如此贫穷？有什么办法可以改变他们的境遇吗？后来她离开山西、去了北京、上了北大；又离开中国、到了纽约，加入哥大，成为了全球知名的贫困和不平等研究学者。通过研究政策、改变政策的方式，为这些根深蒂固的贫困问题提出解法。在与高琴老师的数次聊天中，我时常感到启发与鼓舞。便向她发出邀请，到播客上来做一次分享，希望更多的人——特别是那些在世界不同地方被贫困、阶层、社会地位、性别种族偏见、历史周期暂时困住了的人——可以听到她的故事。【本期主播】王磬：微博@王磬【本期嘉宾】高琴：哥伦比亚大学莫里斯 · 罗素社会政策与社会工作实务讲席教授，社会工作学院博士教育主管副院长，哥大中国社会政策研究中心的创始主任，哥大“亚裔美国人”项目主任【本期剧透】01:41 童年种子：从山西农村到县城的人生跃迁07:15 从贵州/山西到北京，贫富差距与视野巨变10:33 不仅要看贫困率的“面”，更要看贫困人口具体的感受和体验的“深度”16:32 低收入人口如何界定？低收入意味着什么？21:07 中国低保制度的缘起与发展25:29 福利会养懒汉吗？中、美、欧的福利观有何不同？29:52 在美华人日渐增多，如何做这个群体的社会调查？37:37 亚裔美国人研究项目：从社会科学视角补齐历史缺失42:07 亚裔女性学者需要找到自己的勇气与能动性50:04 如何向学界证明亚裔课题的重要性？56:57 纽约生活与归属感：在第二故乡回馈社会【Get In Touch】高琴教授最近也刚刚开设了专门助力亚裔女性在美国职场发展的教练与培训服务。如果对此类服务感兴趣，欢迎发邮件咨询：gaocoaching@gmail.com【相关阅读】福利、工作与贫困：中国的社会救助Welfare, Work, and Poverty: Social Assistance in China作者：高琴出版社：Oxford University Press出版时间：2017年本书对中国主要的社会救助项目——“最低生活保障制度”（简称“低保”）自1993年建立以来的影响和成效进行了系统且全面的评估。低保制度肩负着双重功能：既要为贫困人口提供基础的安全网，又要维护社会的政治稳定。书中利用大量的实证研究证据，分析了这一全球覆盖人口最多的福利项目的实际运作情况。该书为政治学家、经济学家、社会学家、公共政策研究者以及社会工作者提供了理解当代中国社会转型和安全网构建的重要参考文献。Poverty Tracker纽约市贫困追踪者项目由哥伦比亚大学贫困与社会政策中心（Center on Poverty and Social Policy, CPSP）与纽约最大的扶贫慈善机构罗宾汉基金会（Robin Hood Foundation）共同发起。通过长期、高频的追踪，动态观察纽约居民如何进入贫困、如何挣扎以及如何脱贫。该项目于2012年启动，追踪一个由约 3,000 至 4,000 户纽约市家庭组成的代表性样本。项目最初每三个月（季度）进行一次调研，以捕获短期生活波动（如一次突发的医疗支出或失业）。自2022年起，调研频率调整为每年三次（即每四个月一次）。除了传统的“收入贫困”指标，它还衡量物质匮乏（如食物不足、无力支付账单）、健康状况以及社会流动性。其数据多次被纽约市政府用于评估最低工资政策、带薪家事假以及税收减免的效果，是美国地方政府制定反贫困政策的重要实证基础。根据其2026年3月发布的最新年度报告显示，由于通货膨胀和生活成本上升，纽约市的贫困率已攀升至 26%（约220万人）。罗宾汉基金会研究报告页面：https://robinhood.org/reports/poverty-tracker-annual-report-vol-8/哥伦比亚大学官方页面：https://povertycenter.columbia.edu/node/191全美华人调查National Survey of Chinese Americans该研究由哥伦比亚大学社会工作学院（高琴教授团队）与百人会（Committee of 100）于2022年联合开展首轮调查。它是目前针对美国华裔群体规模最大、覆盖面最广的社会调查之一，样本量接近 6,500名华裔成年人。调查不仅关注人口普查式的基本数据，更深入探讨了以下议题：身份认同与归属感：华裔如何看待自己在美身份以及“永久外国人”的刻板印象。歧视与心理健康：量化反亚裔仇恨（Anti-Asian Hate）对华裔日常生活、心理安全感的影响。政治参与度：华裔在选举、社区事务中的参与现状及政治偏好。经济贡献与差距：打破“模范少数族裔”的单一叙事，揭示华裔内部巨大的经济差距与贫困问题。该调查的数据为政策制定者、社区组织和学术界提供了极具价值的实证支持，旨在消除对华裔群体的误解，推动针对该群体的社会服务与政策改善。哥大中国社会政策中心研究报告发布页面：https://chinacenter.socialwork.columbia.edu/news/full-report-the-state-of-chinese-americans百人会官方项目主页 (State of Chinese Americans)：https://www.committee100.org/our-work/state-of-chinese-americans-survey/【本期音乐】Goldberg Variations, BWV. 988 - Variation 18. Canon on the sixthGoldberg Variations, BWV. 988 - Variation 7【节目制作】方改则【Logo设计】刘刘（ins: imjanuary)【互动方式】小红书@不合时宜微博@不合时宜TheWeirdo商务合作可发邮件至 hibuheshiyi@126.com 或微博私信会员计划咨询可添加微信：hibuheshiyi3 或发送邮件至 hibuhehsiyi@gmail.com

If you haven't experienced alcohol addiction yourself, chances are someone close to you has. According to the National Survey on Drug Use and Health, roughly 29 million people in the United States are living with alcohol use disorder. It affects people from every walk of life, including many who never expected to struggle with substance use.Today's guest on Grieving Out Loud, Katie Lain, says her path into addiction wasn't sudden. It happened gradually, after spending more time around people who drank frequently, until she found herself caught in it.Katie eventually found her way out with the help of treatment and a medication that isn't often part of the conversation. In this episode, she shares her story, how she reached out for help and what ultimately made the difference.Learn more about Katie's story and the Sinclair Method at Thrive Alcohol Recovery.Related Episodes:After a two-decades' long alcohol addiction, a husband and father finds recover through Emily's HopeAlcohol and women: A dangerous combinationA Wife's Battle With Addiction, A Husband's Journey to Love Her Through ItSend us Fan MailBehind every number is a story of a life cut short, a family shattered, and a community devastated.They were...daughterssonsmothersfathersfriendswiveshusbandscousinsboyfriendsgirlfriends.They were More Than Just A Number. Support the showConnect with AngelaFollow Grieving Out LoudFollow Emily's HopeRead Angela's BlogSubscribe to Grieving Out Loud/Emily's Hope UpdatesSuggest a GuestFor more episodes and information, just go to our website, emilyshope.charityWishing you faith, hope and courage!Podcast producers:Casey Wonnenberg King & Kayli Fitz

Episode 76: Addiction This episode was recorded on February 19, 2026, March 12, 2026, and April 12, 2026,  and posted on April 18, 2026. Introduction Welcome to No Bodies Episode 76 Introductions to our panel of living dead talking heads - Lonely of Lonely Horror Club, Mike aka That Horror Teacher, Billy D of Halloween Babies Podcast, and Kenan aka Plague Doctor Al Welcome our special guests - Hannah & Matt from Horror Hour with the Hannas Today's Topic: Cults in Horror Addiction in Horror - 0:8:30 Defining addiction Exploring our experiences with addiction and addiction representation Feature Length Review 1 - 0:25:40 Evil Dead (2013) Segment 1 - 0:48:15 Fighting the Dragon: Journeys Through Addiction in Mandy (2018) Feature Length Review 2 - 1:08:30 Resolution (2012) Segment 2 - 1:30:45 Ghost in the Machine: Addiction & Generational Trauma in Lorelai (2019) by Harvester Games Best & Worsts of Addiction Horror - 1:49:30 Suzie's Deep Cuts - 2:02:50 Closing Thoughts - 2:07:45 Is there an addiction or element of addiction that you feel isn't talked about enough that you would want to feature in a horror film? Thank You to Our Guests! Follow Hannah & Matt's show Horror Hour with the Hanna's and their new show Welcome to Twin Peaks whenever you get your podcasts. Hannah & Matt's on Instagram at @horrorhourwiththehannas and @welcometotwinpeakspodcast Keep Up with Your Hosts Check out our instagram antics and drop a follow @nobodieshorrorpodcast.  Subscribe to our YouTube channel for exclusive video episodes coming soon! Take part in our audience engagement challenge - The Coroner's Report! Comment, share, or interact with any Coroner's Report post on our socials to be featured in an upcoming episode.  Lonely - read more from Lonely and keep up with her filmstagram chaos @lonelyhorrorclub on Instagram and www.lonelyhorrorclub.com. Mike - Follow Mike's reviews @thathorrorteacher on Instagram.  Billy D - follow Billy on Instagram @halloweenbabiespodcast and listen to Halloween Babies wherever you get your podcasts.  Kenan - Check out Kenan's Healthline discussions on YouTube here and here, and follow his horrific anatomy musings on Instagram @plaguedoctoral.  Music Credits No Bodies Theme - LHC Theme by Jacob Pini @jacob.pini Epic Optimist Theme - Main Titles from Who Shot Mamba? by Daniel J. Coe Apothecary Theme - The Apothecary of Alluring Anatomy & Astonishing Aromas by Billy Davis Fighting the Dragon Theme - Fighting the Dragon by Billy Davis Ghost in the Machine Theme - Ghost in the Machine by Billy Davis Leave us a message at (617) 431-4322‬ and we just might answer you on the show! Sources Hanson, M. (2025, July 21). NCDAS: Substance Abuse and Addiction Statistics [2025]. NCDAS. https://drugabusestatistics.org/  LMSW, S. M. (2025, December 23). Substance Use Disorder (SUD) | Understanding Addiction. American Addiction Centers. https://americanaddictioncenters.org/rehab-guide/substance-use-disorder  McGrath, C. (2024, July 21). 'Talk to Me' and the Never-Ending Nightmare of Addiction. Medium. Retrieved April 17, 2026, from https://medium.com/theuglymonster/talk-to-me-and-the-never-ending-nightmare-of-addiction-d5afc0ea79e1  National Institute on Drug Abuse (NIDA). (2020, July 6). Drug misuse and addiction. National Institute on Drug Abuse. https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drug-misuse-addiction  SAMHSA releases annual National Survey on Drug Use and Health. (2026, January 16). SAMHSA. https://www.samhsa.gov/newsroom/press-announcements/20250728/samhsa-releases-annual-national-survey-on-drug-use-and-health

Anal sex has become more and more popular in recent years, and that's true for young people in particular. In August 2022, The Guardian reported on a survey conducted by National Survey of Sexual Attitudes and Lifestyle, which found that 28.5% of 16 to 24-year-olds were engaging in anal sex, up from a previous figure of just 12.5% from “recent decades”. Anal sex doesn't come without its risks though. For one thing, doing it unprotected carries significantly higher risks of sexually transmitted infection, including HIV. According to the NHS, that's because “the lining of the anus is thin and can easily be damaged”. What kind of other issues are we talking about? Why are more people having anal sex than before? What's the safest way to have anal? In under 3 minutes, we answer your questions! To listen to the last episodes, you can click here: ⁠⁠Why are famous women being targeted by transvestigations?⁠⁠ ⁠⁠What is premium mediocre - the illusion of luxury?⁠⁠ ⁠⁠Is your employer tracking you while you work from home?⁠⁠ A podcast written and realised by Joseph Chance. First Broadcast: 22/5/2024 Learn more about your ad choices. Visit megaphone.fm/adchoices

Class Size Matters' testimony on the DOE's preliminary budget for FY 2027, https://classsizematters.org/testimony-on-the-doe-preliminary-education-budget-for-fy-2027/ Class Size Working Group final report, https://drive.google.com/file/d/1gSiFUcuLOjJ49PLCMptkroFjXBHow2b_/view AI Moratorium Coalition rejects DOE's inadequate AI guidance, https://studentprivacymatters.org/ai-moratorium-coalition-rejects-doe-inadequate-ai-guidance/ Daily News, NYC public schools to release guidelines for AI use in classroom, https://www.nydailynews.com/2026/03/23/nyc-public-schools-ai-guidelines-classroom/?share=chnlnm3clrwhc0scoy2y Gothamist, NYC schools get AI guidance using 'red light, green light' model. https://gothamist.com/news/nyc-schools-get-ai-guidance-using-red-light-green-light-model Petition calling for an AI moratorium, https://actionnetwork.org/petitions/please-enact-a-two-year-moratorium-on-the-use-of-ai-in-nyc-public-schools?clear_id=true EdWeek, The State of Teaching 2026, https://www.edweek.org/the-state-of-teaching/2026

The Schooldays.ie Teachers of Ireland Survey 2026, which gathered responses from 1,838 teachers across Early Years, Preschool, Primary, Secondary and Special Education, provides one of the most comprehensive snapshots of the profession in Ireland today. The research found that nearly three quarters of teachers describe themselves as either extremely proud or very proud to be teachers, highlighting the enduring passion many educators feel for their work despite the daily challenges of the classroom. At the same time, the findings reveal growing concerns about workload, resources and whether teachers' voices are being heard by policymakers. Richard Murphy, Owner of Schooldays.ie, said the survey aims to give teachers a platform to share their experiences and perspectives; "This research provides a valuable snapshot of the teaching landscape in Ireland today and highlights both the dedication of teachers and the challenges they face. By listening to their voices, we can help inform future discussions about education policy and the supports needed for both teachers and students." Teachers motivated by desire to make a difference According to the survey, the primary motivations for entering the profession are rooted in purpose rather than lifestyle. 41.1% cited a love of learning and education. 28.1% of teachers said they chose the profession because of a desire to make a difference. 24.2% said they were inspired by a teacher from their own schooldays. Interestingly, factors often associated with teaching — such as job stability or summer holidays – were far less influential in motivating people to pursue the profession. Commenting on the findings around teacher motivation and commitment, Dr Declan Fahie, Director of School Placement, Deputy Director of the Professional Master of Education (PME), UCD, said: "I am not surprised by the findings that, despite the daily challenges of navigating an ever-evolving educational landscape, the vast majority of teachers remain deeply committed to both their profession and to the pupils they teach. "Contrary to popular belief, long summer holidays were not a significant motivation for entering the profession; rather, more intrinsic factor – such as a love of learning and a desire to make a difference – were far more influential. Emphasising the vital role teachers play in young people's lives, almost a quarter of respondents reported that they were inspired to teach by a teacher from their own schooldays." Teachers going above and beyond The survey also highlights the level of dedication within the profession. More than three quarters (75.8%) of teachers say they go above and beyond their contracted hours every day, with a fifth (21.1%) doing so a few times a week. When asked what gives them the most satisfaction in their role, 55.4% of teachers said seeing students progress was the most rewarding aspect of their job, followed by supporting children emotionally and building relationships with families. Teachers also reported that the profession strengthens a range of essential skills including patience, communication, emotional resilience and problem-solving. Almost all teachers stated they were proud of their profession with nearly 40% of teachers stating they feel extremely proud to be a teacher, while a further 33.8% said they are very proud. Concerns over senior cycle reforms and resources The survey also examined teachers' views on the introduction of Continuous Assessment Components as part of Senior Cycle reform. While many teachers see potential benefits in reducing pressure on a single final exam and recognising a broader range of student strengths, concerns remain around the practical implementation of the new system. However, concerns remain. In response to what their biggest concern is about the move towards continuous assessment, a third (32.9%) said consistency and fairness across schools, over a quarter (25.9%) said increased workload for teachers, 22.4% pointed to time and r...

Episode 215: Meth-associated HFrEF.   Abishak and Zat (medical students) explain the cardiotoxic effect of methamphetamine and the diagnosis and treatment of heart failure with reduced ejection fraction (HFrEF). Dr. Arreaza adds insight into the reversibility of meth-associated HFrEF.   Written by Abishak Govindarajan, MSIV and Zat Akbar Shaw. American University of the Caribbean. Edits and comments by Hector Arreaza, MD. Welcome Dr. Arreaza: Welcome to Rio Bravo qWeek. My name is Hector Arreaza, family physician, faculty and associate program director of the Clinica Sierra Vista/Rio Bravo Family Medicine Residency Program. Today we will explore heart failure with reduced ejection fraction, a high-yield and clinically relevant topic in medicine. We will discuss the role of methamphetamine use in the development of HFrEF. This is a pressing issue because about 0.8% of the population 12 and older in the US reported using methamphetamine within the past 12 months in 2024 (National Survey on Drug Use and Health, NSDUH), that's about ≈2.4 million people!We are joined by two aspiring physicians who will help explore this topic. By the way, we will refer to methamphetamine in this episode as “meth”. [Abishak and Akbar introduce themselves] Abishak: [Introduce yourself] The role of meth in HFrEF Dr. Arreaza: Meth is a growing problem in many places, including Bakersfield, where we live. Meth is also known as Meth Crystal, Poor man's cocaine, Ice, Glass, Crank, Speed, Chalk, and Tina. How does meth contribute to the development of HFrEF? Abishak: So, first, let's understand how methamphetamine works. It has a chemical structure similar to dopamine and norepinephrine, and it gets taken up through the neuron transporter proteins. Once it enters the synaptic vesicles (storage sacs for neurotransmitters), it displaces and forces the release of large amounts of dopamine, norepinephrine, and serotonin into the synapse (the space between neurons). Additionally, meth blocks the reuptake of those neurotransmitters into the neuron, ensuring they remain in the synapse for a prolonged period. All this causes a downstream effect of increased sympathetic pathways in the body. Diagnosis Dr. Arreaza: The diagnosis starts with collecting a good history and performing a complete physical exam, and then we confirm with an echocardiogram.  Abishak: Yes, diagnosis requires both symptoms consistent with heart failure and objective evidence of reduced ejection fraction. Echocardiography is the primary diagnostic tool. We also measure BNP. In certain cases, cardiac MRI is used to evaluate myocardial fibrosis and exclude infiltrative or inflammatory etiologies. Coronary angiography may be performed if ischemic disease is suspected.Guideline-Directed Medical Therapy Dr. Arreaza: GDMT Guideline-Directed Medical Therapy started around 1987 when ACE inhibitors were proven to improve mortality in patients with heart failure. Then, during the following decades, many medications have been added to GDMT. Until around 2019–2022 we came out with the main 4 groups of medications that we know as GDMT. Let's talk about GDMT. Akbar: There are four core pillars in GDMT. First, an angiotensin receptor-neprilysin inhibitor, such as sacubitril with valsartan (Entresto), is preferred over ACE inhibitors when tolerated. This medication reduces mortality and heart failure hospitalizations. Second, evidence-based beta blockers including carvedilol, metoprolol succinate, or bisoprolol are used to reduce sympathetic overactivity and improve ventricular remodeling. Third, mineralocorticoid receptor antagonists such as spironolactone or eplerenone reduce fibrosis and improve survival. The Fourth pillar is SGLT2 inhibitors such as dapagliflozin or empagliflozin, which provide significant reductions in heart failure hospitalizations and cardiovascular mortality, regardless of diabetes status. Abishak: Other main parts of the treatment are diuretics, which are used for symptom control but do not reduce long-term mortality. Dr. Arreaza: As a recap: The current 4 pillars of GDMT are: ARNI/ACEi + β-blocker + MRA + SGLT2i)  Beta Blocker Considerations Dr. Arreaza: Sometimes we may be concerned about using beta blockers in active meth users. What did you read about it? Abishak: Historically, there was concern about unopposed alpha stimulation. However, in chronic heart failure, beta blockers remain essential. Carvedilol is often favored because it provides both alpha and beta blockade. Careful titration and close monitoring are critical.Reversibility and Remodeling Dr. Arreaza: Regarding meth-associated HFrEF, we have good news for meth users. Tell us about how reversible this condition is.  Akbar: It can be reversible. One of the most important aspects of this condition is that significant reverse remodeling may occur if the patient stops methamphetamine use and adheres to medical therapy. The Left ventricular ejection fraction can improve substantially and, in some cases, normalize. On the other end of the spectrum, continued meth use may lead to progressive fibrosis, ventricular dilation, and potentially irreversible damage, leading to death.Complications of meth-associated HFrEF Abishak: These patients are at increased risk for ventricular arrhythmias, sudden cardiac death, left ventricular thrombus formation, and progressive pulmonary hypertension. If the ejection fraction remains below 35 percent after at least three months of optimized therapy, implantable cardioverter-defibrillator (known as ICD) placement should be considered for primary prevention.Addiction Treatment as Core Therapy Dr. Arreaza: It sounds like GDMT cannot be done without talking about meth use disorder treatment. Akbar: Absolutely. Treating the myocardium without addressing the substance use disorder is ineffective. Primary care providers can be trained to manage addictions, but if resources are available, you can place a referral to addiction medicine, psychiatric support, behavioral therapy, and social support services. This is an essential part of the treatment. Sustained abstinence is the single most powerful predictor of recovery.Prognosis Abishak: Prognosis is highly dependent on abstinence. Patients who stop using methamphetamine often experience meaningful improvement in EF and even return to normal.  Dr. Arreaza: Yes, the key factor is complete abstinence, plus standard heart failure treatment. If the damage is mostly functional and inflammatory, recovery is possible. If there is extensive fibrosis (scar) recovery is less likely. Observational studies have shown that patients with meth-associated cardiomyopathy who stop using meth have significant improvement in EF over 3–12 months, fewer hospitalizations, and lower mortality. Akbar: Absolutely. Not all meth-associated cardiomyopathy behaves the same way. The extent of fibrosis determines recovery potential. Cardiac MRI with late gadolinium enhancement can help us estimate scar burden. Patients with minimal fibrosis often have better improvement with abstinence and medical therapy. Dr. Arreaza: So, MRI can actually help us determine the prognosis. Abishak: Yes, very much so. If MRI shows extensive fibrosis, the likelihood of full EF recovery is lower. That information helps us counsel patients more accurately. Akbar: Another key issue is right ventricular involvement. Methamphetamine can affect both ventricles. When the right ventricle fails, patients may develop severe peripheral edema, ascites, and hepatic congestion. Right ventricular dysfunction also worsens prognosis significantly. Dr. Arreaza: And pulmonary hypertension can also worsen the whole picture.  Akbar: That's correct. Meth is associated with pulmonary arterial hypertension independently of left-sided heart failure. In some patients, you may see a combined picture of both pulmonary vascular disease and right ventricular dysfunction. That can make management more complicated because pulmonary pressures may remain elevated even after EF improves. Dr. Arreaza: Tells us about the role of BNP in monitoring these patients.  Abishak: Serial BNP levels can help track response to therapy. Additionally, troponin may be elevated at times in meth users due to myocardial injury. Monitoring renal function is critical because many heart failure medications affect kidney function and potassium levels. Akbar:Other lifestyle modifications include sodium restriction, regular follow-ups, vaccination, and avoidance of other cardiotoxic substances such as alcohol or cocaine. Sleep disorders, especially OSA, should be evaluated because untreated OSA worsens heart failure outcomes. Dr. Arreaza: WhatIs there any role for wearable devices or remote monitoring? Abishak: Yes, increasingly so. Remote weight monitoring, blood pressure tracking, and symptom reporting can reduce hospitalization. In select patients, implantable hemodynamic monitors may help detect rising filling pressures before symptoms occur. Dr. Arreaza: It was a great discussion. Thank you, Abishak and Akbar for bringing all that valuable information to us. Let's wrap it up.     

Recently, the Jewish Federation of North America released a poll they conducted last year that shows that while 88% of respondents said they “believe Israel has the right to exist as a Jewish, democratic state,” only 37% identified as “Zionist.” A small number identified as “anti-Zionist” and “non-Zionist,” 7% and 8% respectively, with a plurality answering “not sure” (18%) or “none of these” (30%). These numbers are confusing; they seem to indicate that while Zionist identification is waning—perhaps due to the stink of the term amid the genocide—the underlying commitment to a Jewish state, albeit one paradoxically imagined as “democratic,” is not. At the recent Conference on the Jewish Left at Boston University, nearly every presentation discussed or confronted questions about the terms “Zionist” and “anti-Zionist,” and whether they had enough of an agreed-upon meaning within the community to be useful terms to organize around. On this episode of On the Nose, editor-in-chief Arielle Angel speaks with Ari Lev Fornari, senior rabbi at Kol Tzedek in Philadelphia; Dove Kent, interim executive director of Diaspora Alliance and former executive director of Jews For Racial and Economic Justice; and Fadi Quran, the senior director at Avaaz and a Ramallah-based strategist and organizer. They try to make sense of the recent polling numbers and discuss different strategic considerations about using the Z-word in organizing contexts, including how to welcome newcomers to the Palestine liberation movement without coddling them.Thanks to Jesse Brenneman for producing and to Nathan Salsburg for the use of his song “VIII (All That Were Calculated Have Passed).”Media Mentioned and Further ReadingJFNA Survey of Jewish Life since October 7 – Zionism Findings“The ‘Zionism' gap: What JFNA data really shows about Jews, Israel and Zionism today,” Mimi Kravetz, JTACombined Jewish Philanthropies' 2025 Greater Boston Jewish Community Study“Do American Jews Really Know What ‘Zionism' Means?,” Mira Sucharov, HaaretzJewish Electorate Institute July 2021 National Survey of Jewish VotersSynagogues Rising2026 Conference on the Jewish Left sessions on YouTubeTranscript forthcoming.

Nursing education programs across the US continue to face ongoing shortages of nursing faculty. This study examined salary differences between nursing faculty and other nurses using 2022 National Sample Survey of Registered Nurses data and identified specific factors contributing to these disparities. The adjusted annual salary of nursing faculty was $18,346 less than staff nurses, $19,863 less than charge nurses, and $27,526 less than front-line managers. Persistent salary disparities between nursing faculty and other nursing roles discourage nurses from pursuing academic careers. This article is OPEN Access: download the article and share widely.

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EP.156

In this holiday-season conversation, Sylvie Légère sits down with Dr. Dan Lustig, President & CEO of Haymarket Center, and Heather Way Kitzes, Haymarket's Vice President of Development & Strategic Expansion, to explore the realities of addiction: what it is, how it works, why it's exploding in the U.S., and what families and communities can do. They discuss how addiction is intertwined with trauma, exploitation, mental health, and systemic barriers to care — and what evidence-based treatment looks like. The episode also addresses the stigma around rehab centers and offers grounded guidance for families who feel powerless watching loved ones struggle.This is Part One of a two-part series on addiction. Part Two will spotlight recovery with The Phenix founder Scott Strode.Key Topics Covered● What addiction actually is: clarification of terms● Why some people become addicted and others don't● Substance use disorder as a mental health condition● The role of trauma, trafficking & exploitation in addiction● Why addiction has surged: potency, access, stress & isolation● How to evaluate quality rehab centers (and red flags to avoid)● What rehab centers bring to communities● What families can realistically do to support a loved one● The importance of open, honest conversations to reduce stigma● A preview of Part Two on recoveryKey Statistics (SAMHSA)● Nearly 50 million Americans have a past-year substance use disorder● Fewer than 1 in 5 receive treatment(Source: SAMHSA – the Substance Abuse and Mental Health Services Administration, whichconducts the annual National Survey on Drug Use and Health)Resources MentionedHaymarket CenterSAMHSA NSDUH DataThe Phenix / Scott Strode (Part Two)About Our GuestsDr. Dan Lustig, Psy.D., CAADC, CODPIIPresident & CEO, Haymarket CenterA clinician, researcher, and behavioral health executive with over 20 years at Haymarket. Leads trauma-informed, evidence-based care and major federal initiatives (SAMHSA, CDC, ACF). Member of Illinois SUPR Advisory Council. Expert in co-occurring mental health & substance use disorders.Heather Way KitzesVice President of Development & Strategic Expansion, Haymarket CenterA civic and nonprofit leader with nearly two decades building strong Chicago communities. Formerly with the Chicago Cubs and Lakeview Chamber of Commerce. Deep expertise in public-private partnerships, economic development, and community advocacy.

Are we witnessing rising Islamic militancy in Bangladesh? Or could it become a model for other developing countries? A nationwide celebration is underway. It's Victory Day for Bangladesh's 176 million people. Fifty-four years ago today -- December 16th, 1971 -- the former state of East Pakistan became the modern, independent nation of Bangladesh.   But few people are pleased with the trajectory Bangladesh is currently on. What's been happening this past 15 months has shaken this country to its core. On August 5th, 2024 protests over government job quotas escalated into a wider anti-government movement, with a resulting violent crackdown leading to the ousting of the long-time ruler, Sheikh Hasina. She now faces the death penalty if she returns. Her whole political party, the Awami League, has been banned too.   Now the Muslim-majority state faces perhaps the most significant fork-in-the-road moment since its independence. The February 2026 election. Can the caretaker leader and Nobel Peace Prize laureate Muhammad Yunus pull it off? Will it be free and fair?  It is possible that stability and democracy will be restored. It is also possible that an Islamist takeover and the cancellation of Democracy will ensue. To find out how the election could not only reshape contemporary Bangladesh's political foundations but also South Asian stability, security cooperation and geopolitical rivalries, Disorder co-host Mark Lobel is joined by three experts on the ground in the country. 1- Debapriya Bhattacharya-- Economist, public policy analyst and Distinguished Fellow at the Centre for Policy Dialogue in Dhaka, Aasha Mehreen Amin -- joint editor at The Daily Star, and Iftekharuz Zaman -- Executive Director of Transparency International Bangladesh. Although we don't hear about it much in the Western press, investors and policymakers the world over certainly have their eyes peeled on South Asia's second largest economy and what it decides to do next. We hope you the Orderers enjoy this exclusive journalistic content.  If you like more deepdives like this and appreciate the effort we are putting in please: PLEASE join our Mega Orderers Club, and get ad free listening, early episode releases, bonus content and exclusive access to live events, visit https://disorder.supportingcast.fm/  Producer: George McDonagh Subscribe to our Substack - https://natoandtheged.substack.com/ [Join the pay for substack for the 8 Jan event] Disorder on YouTube - https://www.youtube.com/@DisorderShow Show Notes Links: You can get in touch with Mark, to host or speak at your event here: https://www.mark-lobel.com/getintouch  Aasha's 'No Strings Attached' column: https://www.thedailystar.net/author/aasha-mehreen-amin  National Survey of Bangladesh: https://www.iri.org/resources/national-survey-of-bangladesh-september-october-2025/  Citizen's Platform for SDGs, Bangladesh: https://bdplatform4sdgs.net/  Pls Join the Mega Orderers Club for ad-free listening and early release of the episodes, via this link: https://disorder.supportingcast.fm/ Join us at our live event in RUSI on January 8th https://my.rusi.org/events/disorder-podcast-live-what-disorder-will-2026-bring.html (You need to join RUSI or the Mega Orderers Club or Paid for Substack to attend) Learn more about your ad choices. Visit megaphone.fm/adchoices

People in Clare urged to contribute to a survey intended to shape the future of primary school education. The Department of Education and Youth is carrying out the Parents' Survey on School Patronage – giving families across Ireland the chance to have their say on the kind of schools they want in their communities. Parents of children up to the age of 12 are encouraged to take part and use their voice to help shape the future of education. The survey was launched on November 4th and runs until December 16th but so far just 32% of eligible respondents in Clare have participated which is the second-lowest rate nationwide. Alan Morrissey spoke with David Quinn, Principal of Ennis Educate Together on Tuesday's Morning Focus. Photo (c) anilakkus from Getty Images via Canva

In this episode, Sam and Ryan Burge discuss how pastors become pastors. Using data from the National Survey of Religious Leaders, the cohosts reveal that clergy often come to ministry through winding, unconventional paths—many after careers in other fields. Far from being single-focused, pastors frequently juggle multiple responsibilities: leading congregations, working as chaplains, and even holding non-ministry jobs. The numbers reveal both the beauty and burden of this calling: most clergy work 50+ hours a week, with a quarter clocking over 60. Yet despite financial pressures and demanding schedules, these leaders remain deeply committed to serving their communities and churches. The post The Burge Report: How Do Pastors Actually End Up in Ministry? appeared first on Church Answers.

Family, this week on Queer News Anna DeShawn continues to bring you the stories that matter most to our community. In top news, we have an update on the Supreme Court's decision to toss out Kim Davis's appeal on marriage equality and Anna takes a look at future Supreme Court cases. In politics, Texas issued a partial drag performance ban because they can't stop thinking about us. In culture & entertainment, we recognize Transgender Awareness Week by highlighting some great work. The director of Balmain steps down and some of our favorite queer artists are nominated for Grammy's. Let's get into it. Want to support this podcast?

There's a lot that we can learn from a nationally representative sample of public health workers from local and state health departments. In this episode of the Public Health Insight Podcast, we dive into the nation's largest public health workforce survey, the PH WINS, to uncover what's really happening on the frontlines. Guests, Kay Schaffer and Jamila Porter, from the De Beaumont Foundation as they break down the data, reveal surprising gaps between intention and action, and share how real feedback and research are shaping the future of public health.References for Our Discussion◼️From Words to Action: Equipping the Public Health Workforce to Advance Health Equity◼️40 Under 40 Spotlight: Jamila Porter◼️PH WINS DashboardGuest◼️Jamila Porter DrPH, MPH, Chief of Staff◼️Kay Schaffer, Research and Evaluation OfficerHost & Producer(s)◼️ Gordon Thane, BMSc, MPH, PMP®Production Notes◼️ Music from Johnny Harris x Tom Fox: The Music RoomSubscribe to the NewsletterSubscribe to The Insight newsletter so you don't miss out on the latest podcast episodes, live events, job skills, learning opportunities, and other engaging professional development content here.Leave Us Some FeedbackIf you enjoy our podcasts, be sure to subscribe and leave us a rating on Apple Podcast or Spotify, and spread the word to your friends to help us get discovered by more people. You can also interact directly with the podcast episodes on Spotify using the new “comment” feature! We'd love to hear what you think.Send us a Text Message to let us know what you think.

Hi everyone! Today we're exploring the connection between ADHD and bullying. Research consistently shows that children with ADHD are more vulnerable to bullying than their neurotypical peers. For instance, a study utilizing data from the National Survey of Children's Health found that 47% of children with ADHD reported being victims of bullying, more than double the prevalence in the general population PMC.This increased susceptibility isn't just a childhood issue—it extends into adolescence and adulthood, affecting self-esteem and mental health. Adolescents with ADHD who experience bullying are at a significantly higher risk for anxiety and depression compared to their peers without ADHD. My guest today, Brooke Schnittman, knows this firsthand. Brooke is an ADHD coach, speaker, and host of the podcast, Successful with ADHD. She works to help adults turn their challenges into strengths. In our conversation, she shares her own story of being bullied from childhood into adulthood, how it shaped her understanding of ADHD, and what helped her begin to rebuild a sense of self-worth.This episode isn't just about surviving bullying - it's about understanding how those experiences shape the brain and the stories we tell ourselves, and how healing becomes possible through awareness, coaching, and connection. I also share some additional strategies - both for parents and adults - that can help build proactive protection and resilience in environments where bullying or exclusion might occur. I hope you enjoy!Here are the show notes: Learn More About Brookehttps://www.coachingwithbrooke.com/about-brookeSuccessfull with ADHD Podcasthttps://podcasts.apple.com/us/podcast/successfull-with-adhd/id1674069554Bullying: What Parents and Teachers of Children with ADHD Need to Knowhttps://chadd.org/wp-content/uploads/2018/06/ATTN_06_12_Bullying.pdfBullying Resource Centerhttps://www.aacap.org/aacap/Families_and_Youth/Resource_Centers/Bullying_Resource_Center/Home.aspxHow to Demobilize a Bully in 5 Stepshttps://www.additudemag.com/stop-bullying-adhd-upstander/?srsltid=AfmBOoozI6FRhewOLn8ICHuypgxNjYuz4icT8UfTDNIPcYINmIxqmwt3Put Down the Stick, Pick Up a Feather: Adult ADHD & Self-Criticismhttps://chadd.org/attention-article/put-down-the-stick-pick-up-a-feather-adult-adhd-self-criticism/Learn More About Our MAP Programhttps://map.worksmartcoaching.comLearn More About 1:1 Coachinghttps://www.beyondbooksmart.com/how-it-worksGet in Touchpodcast@beyondbooksmart.comInstagram/Facebook/Tiktok: @beyondbooksmartcoachingwww.beyondbooksmart.com

A recent 2024 report estimates that 23.5 million people in the United States are in recovery from a substance use disorder based on data from the 2024 National Survey on Drug Use and Health. Anyone going through recovery will tell you that having support and hope are essential to overcoming their addiction, whether or not they've served time behind the wall. For John Sullivan and Charlie Worpek, the Northampton Recovery Center offered each the transformative power of a community of Angels. Together, they share their inspiring journeys of recovery, resilience, and hope. John and Charlie each navigate their own stories, shedding light and tears on the challenges and triumphs they faced on the path to sobriety. This episode is a testament to the strength of the human spirit and the importance of finding a supportive community in a time of darkness. 

In this episode of The Lebanese Physicians Podcast, I speak with Dr. Michelle Cherro, Child and Adolescent Psychiatry Fellow at Mass General in Boston and lead author of the 2025 PLOS One study, “Predictors of suicide attempts among adolescents with suicidal ideations and a plan.” Dr. Cherro discusses the motivations behind her team's work with co-authors Dr. Hala Itani, Dr. Elie Ghossoub, and Dr. Fadi Maalouf at the American University of Beirut, exploring what drives some adolescents from suicidal thoughts and planning to an actual suicide attempt.   We unpack the study's key findings, that female adolescents, antisocial behaviors, and substance use strongly predict attempts, and discuss how these insights can inform prevention efforts in Lebanon where the rates are not higher than elsewhere despite the unstable economic and political situation.   Tune in for a compelling conversation bridging U.S.-based data with Lebanese mental-health realities, and for practical reflections on what clinicians, schools, and families can do to protect at-risk youth.  

In this episode, Thom dives into a surprising and encouraging statistic from the 2023 FACT study—79% of church attenders say that church is “very important” in their lives. With so many articles and headlines announcing the decline of religion in America, this number offers a different perspective—one filled with hope, mission, and responsibility. The data comes from “This Place Means Everything to Me: Key Findings from a National Survey of Church Attenders in Post-Pandemic United States” (2023 FACT study, published by the Hartford Institute for Religion Research). The study is one of the most comprehensive post-pandemic surveys of active churchgoers in the United States. The post The Church Number: 79% The Number of Church Attenders Who Say Church Is “Very Important” to Their Lives appeared first on Church Answers.

In this episode of The Self-Driven Child Podcast, I sit down once again with my good friend and New York Times bestselling author Jeff Selingo. You probably know Jeff from his book Who Gets In and Why, which cracked open the mysterious college admissions process. But now, he's back with a powerful new guide, Dream School: Finding the College That's Right for You.We explore the realities behind the college admissions frenzy—the pressures, the myths, and the real indicators of student success. Jeff and I dive deep into why so many students and families narrow their college lists too soon, how prestige bias and community pressure shape decision-making, and what really matters when it comes to finding the best college fit. Whether you're a parent, student, educator, or just curious about higher education, this episode is a roadmap to cutting through the noise and focusing on what will actually help kids thrive. Episode Highlights:[1:55] - Welcoming back Jeff Selingo and his new book Dream School [3:41] - Unpacking the narrative arc from elite admissions to finding fit [5:27] - Why students and parents fixate on prestige and how that narrows options [7:40] - Grade inflation and the overconfidence trap [10:44] - Why balanced college lists matter more than ever [13:49] - Conformist bias and how schools like Archer are challenging the status quo [16:38] - Misconceptions around adding more "backup" schools [18:21] - Is college worth it? A nuanced look at ROI and student outcomes [23:06] - Why regional job markets matter more than college name [26:45] - The value of being a "big fish" at a smaller school [30:56] - Faculty incentives, mentorship, and why engagement matters [34:50] - Hands-on learning and mentors as keys to student success [37:09] - How to spot signs of strong faculty engagement on campus visits [41:23] - Belonging uncertainty and how it affects student retention [45:47] - First-year programming that fosters connection and success [46:59] - Extracurriculars as a path to discovery, not just admissions [49:59] - Bringing joy back to the college search [51:55] - Finite vs. infinite games and redefining what college is really aboutLinks & Resources:·         Jeff Selingo's new book: Dream School: Finding the College That's Right for You·         College Scorecard: https://collegescorecard.ed.gov ·         National Survey of Student Engagement (NSSE): https://nsse.indiana.edu ·         The Craziest Year Ever in College Admission with Jeff Selingo: https://podcasts.apple.com/us/podcast/the-craziest-year-ever-in-college-admission-with/id1676859533?i=1000650463806 ·         Who Gets In and Why with Jeff Selingo: https://podcasts.apple.com/us/podcast/who-gets-in-and-why-with-jeff-selingo/id1676859533?i=1000613195766  If this episode has helped you, remember to rate, follow, and share the Self-Driven Child Podcast. Your support helps us reach more people and create more content that makes a difference. If you have a high school aged student and would like to talk about putting a tutoring or college plan together, reach out to Ned's company, PrepMatters at www.prepmatters.com

In this Complex Care Journal Club podcast episode, Dr. Robbie Dembo and Ms. Kate Honsberger discuss a mixed methods study of oral health experiences and disparities among children with special health care needs. They describe oral health problems faced by children with medical complexity, barriers to high-quality dental care reported by family caregivers, and strategies for disseminating findings from their study. SPEAKERS Robbie Dembo, PhD Senior Research Scientist Principal Investigator National Opinion Research Center (NORC) University of Chicago Kate Honsberger, BA Director, Health Care Programs National Opinion Research Center (NORC) University of Chicago HOST Kristina Malik, MD Assistant Professor of Pediatrics, University of Colorado School of Medicine Medical Director, KidStreet Pediatrician, Special Care Clinic, Children's Hospital Colorado DATE Initial publication date: August 11, 2025. JOURNAL CLUB ARTICLE NORC at the University of Chicago. Oral Health Among Children with Special Health Care Needs. Accessed August 4, 2025. https://www.norc.org/research/projects/oral-health-children-special-health-care-needs.html OTHER ARTICLES REFERENCED Child and Adolescent Health Measurement Initiative. Shared care planning for children with special health care needs. Accessed August 4, 2025. https://www.cahmi.org/our-work-in-action/engagement-in-action/cshcn Cohen E, Kuo DZ, Agrawal R, Berry JG, Bhagat SK, Simon TD, Srivastava R. Children with medical complexity: an emerging population for clinical and research initiatives. Pediatrics. 2011 Mar;127(3):529-38. doi: 10.1542/peds.2010-0910. Epub 2011 Feb 21. PMID: 21339266; PMCID: PMC3387912. Yu JA, McKernan G, Hagerman T, Schenker Y, Houtrow A. Identifying children with medical complexity from the National Survey of Children's Health combined 2016–17 data set. Hospital Pediatrics. 2021;11(2):192- 197. doi:10.1542/hpeds.2020-0180 TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/9767nfr2rj79c2hft2cc3g8/Dembo_and_Hornsberget_final_8-7-25‌ Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Dembo R, Honsberger K, Malik K. Brushing Up on High-Quality Oral Health Care for Children with Medical Complexity. 08/2025. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/brushing-up-on-high-quality.

Joseph Gfroerer spent nearly 40 years working as a statistician for the National Institute on Drug Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration (SAMHSA). Starting in 1988, when the American drug war was taking its current shape, he led the National Survey on Drug Use and Health (NSDUH), one of the federal government's largest and most important ongoing health surveys that tracks Americans' use of illegal drugs, prescription drugs, alcohol and tobacco. War Stories from the Drug Survey: How Culture, Politics, and Statistics Shaped the National Survey on Drug Use and Health (Cambridge UP, 2018), written after he retired, shows where the survey came from, details how it gathers information, and tracks the impact that the shifting cultural and political climate surrounding drug use played on how these statistics were understood. Gfroerer provides necessary insight on what drug use statistics have meant, how they've been used (and misused), and what this means for our understanding of drug use in America today. Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

Joseph Gfroerer spent nearly 40 years working as a statistician for the National Institute on Drug Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration (SAMHSA). Starting in 1988, when the American drug war was taking its current shape, he led the National Survey on Drug Use and Health (NSDUH), one of the federal government's largest and most important ongoing health surveys that tracks Americans' use of illegal drugs, prescription drugs, alcohol and tobacco. War Stories from the Drug Survey: How Culture, Politics, and Statistics Shaped the National Survey on Drug Use and Health (Cambridge UP, 2018), written after he retired, shows where the survey came from, details how it gathers information, and tracks the impact that the shifting cultural and political climate surrounding drug use played on how these statistics were understood. Gfroerer provides necessary insight on what drug use statistics have meant, how they've been used (and misused), and what this means for our understanding of drug use in America today. Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/political-science

Joseph Gfroerer spent nearly 40 years working as a statistician for the National Institute on Drug Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration (SAMHSA). Starting in 1988, when the American drug war was taking its current shape, he led the National Survey on Drug Use and Health (NSDUH), one of the federal government's largest and most important ongoing health surveys that tracks Americans' use of illegal drugs, prescription drugs, alcohol and tobacco. War Stories from the Drug Survey: How Culture, Politics, and Statistics Shaped the National Survey on Drug Use and Health (Cambridge UP, 2018), written after he retired, shows where the survey came from, details how it gathers information, and tracks the impact that the shifting cultural and political climate surrounding drug use played on how these statistics were understood. Gfroerer provides necessary insight on what drug use statistics have meant, how they've been used (and misused), and what this means for our understanding of drug use in America today. Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Joseph Gfroerer spent nearly 40 years working as a statistician for the National Institute on Drug Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration (SAMHSA). Starting in 1988, when the American drug war was taking its current shape, he led the National Survey on Drug Use and Health (NSDUH), one of the federal government's largest and most important ongoing health surveys that tracks Americans' use of illegal drugs, prescription drugs, alcohol and tobacco. War Stories from the Drug Survey: How Culture, Politics, and Statistics Shaped the National Survey on Drug Use and Health (Cambridge UP, 2018), written after he retired, shows where the survey came from, details how it gathers information, and tracks the impact that the shifting cultural and political climate surrounding drug use played on how these statistics were understood. Gfroerer provides necessary insight on what drug use statistics have meant, how they've been used (and misused), and what this means for our understanding of drug use in America today. Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/sociology

Joseph Gfroerer spent nearly 40 years working as a statistician for the National Institute on Drug Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration (SAMHSA). Starting in 1988, when the American drug war was taking its current shape, he led the National Survey on Drug Use and Health (NSDUH), one of the federal government's largest and most important ongoing health surveys that tracks Americans' use of illegal drugs, prescription drugs, alcohol and tobacco. War Stories from the Drug Survey: How Culture, Politics, and Statistics Shaped the National Survey on Drug Use and Health (Cambridge UP, 2018), written after he retired, shows where the survey came from, details how it gathers information, and tracks the impact that the shifting cultural and political climate surrounding drug use played on how these statistics were understood. Gfroerer provides necessary insight on what drug use statistics have meant, how they've been used (and misused), and what this means for our understanding of drug use in America today. Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/public-policy

Joseph Gfroerer spent nearly 40 years working as a statistician for the National Institute on Drug Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration (SAMHSA). Starting in 1988, when the American drug war was taking its current shape, he led the National Survey on Drug Use and Health (NSDUH), one of the federal government's largest and most important ongoing health surveys that tracks Americans' use of illegal drugs, prescription drugs, alcohol and tobacco. War Stories from the Drug Survey: How Culture, Politics, and Statistics Shaped the National Survey on Drug Use and Health (Cambridge UP, 2018), written after he retired, shows where the survey came from, details how it gathers information, and tracks the impact that the shifting cultural and political climate surrounding drug use played on how these statistics were understood. Gfroerer provides necessary insight on what drug use statistics have meant, how they've been used (and misused), and what this means for our understanding of drug use in America today. Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/science-technology-and-society

Joseph Gfroerer spent nearly 40 years working as a statistician for the National Institute on Drug Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration (SAMHSA). Starting in 1988, when the American drug war was taking its current shape, he led the National Survey on Drug Use and Health (NSDUH), one of the federal government's largest and most important ongoing health surveys that tracks Americans' use of illegal drugs, prescription drugs, alcohol and tobacco. War Stories from the Drug Survey: How Culture, Politics, and Statistics Shaped the National Survey on Drug Use and Health (Cambridge UP, 2018), written after he retired, shows where the survey came from, details how it gathers information, and tracks the impact that the shifting cultural and political climate surrounding drug use played on how these statistics were understood. Gfroerer provides necessary insight on what drug use statistics have meant, how they've been used (and misused), and what this means for our understanding of drug use in America today. Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press.

Joseph Gfroerer spent nearly 40 years working as a statistician for the National Institute on Drug Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration (SAMHSA). Starting in 1988, when the American drug war was taking its current shape, he led the National Survey on Drug Use and Health (NSDUH), one of the federal government's largest and most important ongoing health surveys that tracks Americans' use of illegal drugs, prescription drugs, alcohol and tobacco. War Stories from the Drug Survey: How Culture, Politics, and Statistics Shaped the National Survey on Drug Use and Health (Cambridge UP, 2018), written after he retired, shows where the survey came from, details how it gathers information, and tracks the impact that the shifting cultural and political climate surrounding drug use played on how these statistics were understood. Gfroerer provides necessary insight on what drug use statistics have meant, how they've been used (and misused), and what this means for our understanding of drug use in America today. Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press. Learn more about your ad choices. Visit megaphone.fm/adchoices

Anal sex has become more and more popular in recent years, and that's true for young people in particular. In August 2022, The Guardian reported on a survey conducted by National Survey of Sexual Attitudes and Lifestyle, which found that 28.5% of 16 to 24-year-olds were engaging in anal sex, up from a previous figure of just 12.5% from “recent decades”. Anal sex doesn't come without its risks though. For one thing, doing it unprotected carries significantly higher risks of sexually transmitted infection, including HIV. According to the NHS, that's because “the lining of the anus is thin and can easily be damaged”. What kind of other issues are we talking about? Why are more people having anal sex than before? What's the safest way to have anal? In under 3 minutes, we answer your questions! To listen to the last episodes, you can click here: ⁠Why are famous women being targeted by transvestigations?⁠ ⁠What is premium mediocre - the illusion of luxury?⁠ ⁠Is your employer tracking you while you work from home?⁠ A podcast written and realised by Joseph Chance. First Broadcast: 22/5/2024 Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, we review trending data across hunter age, hunter recruitment, decoy use, and reaping as Dr. Zach Steele, Post-doctoral associate and interdisciplinary ecologist specializing in human dimensions, walks us through his newest publication.  Resources: Harris, A. (2006). Turkey hunting in 2006: an analysis of hunter demographics, trends, and economic impacts. USFWS Report, 7. Maryland Spring Turkey Hunter Survey – Results Summary. August 2017 Steele, Z.T., & M.A. Lashley. (2025). Reviewing human dimensions of wild turkey (Meleagris gallopavo) hunting research and synthesizing future directions. Zenodo. U.S. Department of the Interior, U.S. Fish and Wildlife Service, and U.S. Department of Commerce, U.S. Census Bureau. 2011 National Survey of Fishing, Hunting, and Wildlife-Associated Recreation. U.S. Department of the Interior, U.S. Fish and Wildlife Service, and U.S. Department of Commerce, U.S. Census Bureau. 2016 National Survey of Fishing, Hunting, and Wildlife-Associated Recreation.   We've launched a comprehensive online wild turkey course featuring experts across multiple institutions that specialize in habitat management and population management for wild turkeys. Enroll Now!    Dr. Marcus Lashley @DrDisturbance, Publications Dr. Will Gulsby @dr_will_gulsby, Publications Turkeys for Tomorrow @turkeysfortomorrow  UF Game Lab @ufgamelab, YouTube   Want to help support the podcast? Our friends at Grounded Brand have an option to donate directly to Wild Turkey Science at checkout. Thank you in advance for your support!   Donate to wild turkey research: UF Turkey Donation Fund , Auburn Turkey Donation Fund  Do you have a topic you'd like us to cover? Leave us a review or send us an email at wildturkeyscience@gmail.com!   Please help us by taking our (QUICK) listener survey - Thank you!  Check out the NEW DrDisturbance YouTube channel! DrDisturbance YouTube Watch these podcasts on YouTube Leave a podcast rating for a chance to win free gear! Get a 10% discount  at Grounded Brand by using the code ‘TurkeyScience' at checkout! This podcast is made possible by Turkeys for Tomorrow, a grassroots organization dedicated to the wild turkey. To learn more about TFT, go to turkeysfortomorrow.org.    Music by Artlist.io Produced & edited by Charlotte Nowak  

In this episode, we review trending data across hunter age, hunter recruitment, decoy use, and reaping as Dr. Zach Steele, Post-doctoral associate and interdisciplinary ecologist specializing in human dimensions, walks us through his newest publication.  Resources: Harris, A. (2006). Turkey hunting in 2006: an analysis of hunter demographics, trends, and economic impacts. USFWS Report, 7. Maryland Spring Turkey Hunter Survey – Results Summary. August 2017 Steele, Z.T., & M.A. Lashley. (2025). Reviewing human dimensions of wild turkey (Meleagris gallopavo) hunting research and synthesizing future directions. Zenodo. U.S. Department of the Interior, U.S. Fish and Wildlife Service, and U.S. Department of Commerce, U.S. Census Bureau. 2011 National Survey of Fishing, Hunting, and Wildlife-Associated Recreation. U.S. Department of the Interior, U.S. Fish and Wildlife Service, and U.S. Department of Commerce, U.S. Census Bureau. 2016 National Survey of Fishing, Hunting, and Wildlife-Associated Recreation.   We've launched a comprehensive online wild turkey course featuring experts across multiple institutions that specialize in habitat management and population management for wild turkeys. Enroll Now!    Dr. Marcus Lashley @DrDisturbance, Publications Dr. Will Gulsby @dr_will_gulsby, Publications Turkeys for Tomorrow @turkeysfortomorrow  UF Game Lab @ufgamelab, YouTube   Want to help support the podcast? Our friends at Grounded Brand have an option to donate directly to Wild Turkey Science at checkout. Thank you in advance for your support!   Donate to wild turkey research: UF Turkey Donation Fund , Auburn Turkey Donation Fund  Do you have a topic you'd like us to cover? Leave us a review or send us an email at wildturkeyscience@gmail.com!   Please help us by taking our (QUICK) listener survey - Thank you!  Check out the NEW DrDisturbance YouTube channel! DrDisturbance YouTube Watch these podcasts on YouTube Leave a podcast rating for a chance to win free gear! Get a 10% discount  at Grounded Brand by using the code ‘TurkeyScience' at checkout! This podcast is made possible by Turkeys for Tomorrow, a grassroots organization dedicated to the wild turkey. To learn more about TFT, go to turkeysfortomorrow.org.    Music by Artlist.io Produced & edited by Charlotte Nowak  

Martin Clunes joins Jack and Seann to tell them all about his many dogs. From working with Dodger on Doc Martin, to being trapped in the snow and rescued by dogs, and taking his dogs to visit hospice patients, Martin's stories are unmissable. Now he's a dad of two, Seann is very very tired, much to Jack and Sara's amusement. Sara has a surprise for Jack. And Jack's granddog Nellie has a celebrity crush. You can take part in Dogs Trust's National Survey here: https://www.dogstrust.org.uk/about-us/what-we-do/national-dog-survey-0?utm_source=google&utm_medium=cpc&utm_campaign=NDS%7CPure%20Brand&utm_id=20146320847&gad_source=1&gad_campaignid=20146320847&gbraid=0AAAAADCwwbtOxM7CrJjdQz5FgJ0mD9Fcd&gclid=CjwKCAjwo4rCBhAbEiwAxhJlCVHAWreHR31xc1gY0NXqcMy01jpC8o1hHCWPMrweL4_Mh3VpqcC6ShoC4ZcQAvD_BwE Make sure you subscribe to our YouTube channel https://www.youtube.com/@OMDpod where you'll be able to watch this episode in full. And follow us on instagram @omdpod @juniperomd Learn more about your ad choices. Visit podcastchoices.com/adchoices

This week your kick off pride month celebrating queer history, discuss what's at stake for our queer youth and what words of affirmation we have for those who are scared of what the future might look like. We also examine whether Joho might just be a native New Yorker. Send us an email with your thoughts/comments about the show: BlackFatFemmePod@gmail.com. Also, don’t forget to watch and subscribe on YouTube! Buy DoctorJonPaul's book here! Meet DoctorJonPaul on their book tour in a city near you. Reports Mentioned: 2023 LGBTQ+ Youth Report 2024 U.S. National Survey on the Mental Health of LGBTQ+ Young People Follow the show on social: Instagram | BlueSky | Tik-Tok Follow DoctorJonPaul: BlueSky | Instagram | Website | Tik-Tok Follow Jordan: Instagram | Website | Tik-Tok Follow Melanie: LinkedInSee omnystudio.com/listener for privacy information.

Self-care is seen as a necessary part of life, but how can young Christians learn to reconcile a culture that prizes “self-care” while following a Saviour who calls them to “lose their life” for the sake of his kingdom? What constitutes “good self-care” practices vs. “bad self-care” practices?In this episode, Scott and Shawn use the “think like Jesus framework” to consider how Jesus would think about self-care, and they discover some vital truths that can help you keep your “self-care” from becoming “self-ish care”.

Last week, two Israeli Embassy staff were shot and killed after leaving an event at the Capital Jewish Museum in DC, Washington. Once arrested, the shooter reportedly said “I did it for Palestine, I did it for Gaza.” The murders have raised questions about how far-reaching antisemitism is in the USA. Was this, for example, an act against Israel's war or an attack on innocent Jewish people living and working in America? And does White House messaging have a part to play in this tragedy? Rohan Venkat and Emily Tamkin discuss. Here are the Cycle Recommendations from this episode:Certainty and Strange Thoughts - The Ideas LetterEven if the Capital Jewish Museum shooter ‘did it for Gaza,' his actions were antisemitic - ForwardMay 2025 National Survey of Jewish VotersYes to Transfer: 82% of Jewish Israelis Back Expelling Gazans - HaaretzPoll analysis: Trump's approach to universities, Israel-Palestine, and antisemitism - BrookingsAnti-Jewish attitudes have increased among anti-Israel Americans - Good AuthoritySubscribe below to our contributors' Substacks:ET Write Home by Emily TamkinIndia Inside Out by Rohan VenkatDividing Lines by Tom Hamilton Hosted on Acast. See acast.com/privacy for more information.

As more states legalize marijuana, its use is on the rise across the country. A recent analysis of National Survey on Drug Use and Health data shows that daily marijuana consumption has now surpassed daily alcohol use. But for one grieving mother, the growing acceptance of the drug comes with an urgent warning—where it comes from matters, and one bad decision can be deadly. Paula Santos-Young says she lost her son, Andrew, after he unknowingly consumed marijuana laced with a deadly substance. Hear her heartbreaking story, how she's raising awareness about the growing danger, and what she says all Americans need to know. If you liked this episode, listen to Mother Blames Cannabis-induced Psychosis for Son's Death next!Send us a textThe Emily's Hope Substance Use Prevention Curriculum has been carefully designed to address growing concerns surrounding substance use and overdose in our communities. Our curriculum focuses on age-appropriate and evidence-based content that educates children about the risks of substance use while empowering them to make healthy choices. Support the showConnect with Angela Follow Grieving Out Loud Follow Emily's Hope Read Angela's Blog Subscribe to Grieving Out Loud/Emily's Hope Updates Suggest a Guest For more episodes and information, just go to our website, emilyshope.charityWishing you faith, hope and courage!Podcast producers:Casey Wonnenberg King & Marley Miller

National Council of State Boards of Nursing research director Brandan Martin joins Lisa Dent to discuss the the results of NCSBN’s latest research. A national survey of 800,000 nurses outlines how the profession is faring since the COVID-19 pandemic and what challenges remain. Martin goes into detail on the issues plaguing the profession and the possible […]

Show NotesThink back to how you made decisions growing up. Whether it was the clothes you wore, where you hung out, who your friends were, and even how you coped with the struggles you faced—who did you confide in?  Was it a friend, a sibling, a parent, a mentor or other trusted adult? It's likely that peer influence—or how much your personal circle can affect what you do and think— had a big impact.  Peer influence has the power to shape nearly every decision a young person makes, and social media often plays an outsized role in how those everyday conversations occur. Approximately 95% of youth ages 13 to 17 report using a social media platform—according to recent data reported by the Office of the Surgeon General.  Social media can also help researchers understand the context of certain health-related behaviors by offering real-time insights into trends, interactions and peer influences within online communities.  For example, it can shed light on the challenges faced by vulnerable groups, such as youth experiencing homelessness, who may turn to digital platforms for support, connection, or expression of their struggles.In this episode, Jordyn speaks with Associate Professor of Social Work Anamika Barman-Adhikari about how the social networks of young people experiencing homelessness can influence behaviors like substance use.Anamika Barman-Adhikari is an associate professor of social work at the University of Denver. Her experiences in research, policy and clinical services have collectively helped her to formulate an academic agenda, which is devoted to the prevention of HIV and substance use among high-risk youth and other vulnerable populations. Barman-Adhikari's research interests are broadly centered on understanding the social-contextual determinants of risk and protective behaviors among vulnerable populations, such as unhoused and minority youth.More InformationSubstance use and sentiment and topical tendencies: a study using social media conversations of youth experiencing homelessnessHarnessing Social Media to Identify Homeless Youth At-Risk of Substance UseIdentifying Marijuana Use Behaviors Among Youth Experiencing Homelessness Using a Machine Learning–Based Framework: Development and Evaluation StudySocial Media and Youth Mental Health – The U.S. Surgeon General's AdvisoryKey Substance Use and Mental Health Indicators in the United States: Results from the 2023 National Survey on Drug Use and Health - Substance Abuse and Mental Health Services Administration (SAMHSA)

In 2024, the CDC reported that 1 in 29 middle school and 1 in 13 high school students used e-cigarettes monthly, with 8% using tobacco products. These statistics are especially troubling, given than 9 in 10 adults who smoke daily first tried smoking by the age of 18.On this episode of Shrinking it Down, Gene and Khadijah are joined by Dr. Randi Schuster of the MGH Center for Addiction Medicine to discuss ways to recognize the signs of teen nicotine use and strategies parents and schools can use to combat the new forms of nicotine.Media ListRandi Schuster, Ph.D. (Center for Addiction Medicine)Center for Addiction Medicine (MGH)iDECIDETruth Initiative: freedom from nicotine addictionSmoking and Tobacco Use | Smoking and Tobacco Use (CDC)Tobacco/Nicotine and Vaping | National Institute on Drug Abuse (NIDA)Highlights for the 2021 National Survey on Drug Use and Health (SAMSA)My Life My Quit Hosted on Acast. See acast.com/privacy for more information.

Dr. Morse gives a presentation about what parents need to know about the Gender Ideology to help people navigate our turbulent times.   Subscribe to the newsletter and get the 5 Myths Report: https://ruthinstitute.org/refute-the-top-five-myths/   The Sexual State: https://thesexualstate.com/   Main Resource Center: https://ruthinstitute.org/resource-centers/   Healing from the Sexual Revolution:https://ruthinstitute.org/healing-from-the-sexual-revolution/   Parent Resource Center: https://ruthinstitute.org/resource-centers/parent-resources/   Counseling Freedom for All: https://ruthinstitute.org/counseling-freedom-for-all/   YouTube channel: https://www.youtube.com/RuthInstitute   Related Playlists:   Gay No More Testionieshttps://www.youtube.com/playlist?list=PLSi2OoPf_APvpYetZ--PHACCS1oTkhJ9f   Counseling Freedom for All: Experts Defending Choice: https://www.youtube.com/playlist?list=PLSi2OoPf_APt0rwnPIw_jFIrbMWEqNJMM   Advice for Parents of LGBT+ Children: https://www.youtube.com/playlist?list=PLSi2OoPf_APu5qIvFpqlppaYPWfPWOM-D   Clergy Sex Abuse: https://www.youtube.com/playlist?list=PLSi2OoPf_APtqWhe1N9SH2_5oG0PLXM7M   Ex-Gay Visibility Panel: https://www.youtube.com/watch?v=UI9-J225ZEg Luis Ruiz: Pulse Nightclub Survivor: https://www.youtube.com/watch?v=g_z-vtkyvJo   Nancy Charles Pt. 1: https://www.youtube.com/watch?v=99S1_mv903I Nancy Charles Pt. 2: https://www.youtube.com/watch?v=GrWIe0ld2Nk   Ken Williams: https://www.youtube.com/watch?v=LxiQfFwH36Q   Charlene Cothran at the 5th Summit: https://www.youtube.com/watch?v=7Rna7CFzzkM   Marco Casanova: https://www.youtube.com/watch?v=gSh7nlhZ6XQ   Nancy Charles Advice for Parents: https://www.youtube.com/watch?v=w2MVtjGDmTs   Daisy Strongin Advice for Parents: https://www.youtube.com/watch?v=WhQcupSWXZ0   James Parker advice for parents: https://www.youtube.com/watch?v=vEm_SZS3iPc   APA on What Causes Sexual Orientation: http://www.apa.org/topics/lgbt/orientation.aspx   Leaving Pride Behind: https://www.ncregister.com/commentaries/leaving-pride-behind-fiducia-supplicans   The Social organization of Sexuality: Sexual Practices in the United States: https://press.uchicago.edu/ucp/books/book/chicago/S/bo3626005.html   Judith P. Andersen and John Blosnich, “Disparities in Adverse Childhood Experiences among Sexual Minority and Heterosexual Adults: Results from a Multi-State Probability-Based Sample,” PLOS ONE 8, no. 1 (2013): e54691, http://dx.doi.org/10.1371/journal.pone.0054691   “Special report on Sexuality and Gender” The New Atlantis, Lawrence S. Mayer and Paul McHugh. http://www.thenewatlantis.com/publications/number-50-fall-2016   UK data: Sexual Identity–Behavior Discordant Heterosexuals in Britain: Findings from the National Survey of Sexual Attitudes and Lifestyle 2010–2012, Maria Clatrava, D. Paul Sullins and Steph James, Sexes, 2023, Vol 4, No. 4. https://www.mdpi.com/2411-5118/4/4/39     US data: “How many Homosexual Desistors are there in the US?” Donald Paul Sullins, SSRN, August 6, 2024. https://papers.ssrn.com/sol3/papers.cfm?abstract_id=4910854   The trans-minded client: https://www.youtube.com/watch?v=tV3a36ALLLA   Gender Ideology's Verbal Engineering: https://www.ncregister.com/commentaries/gender-ideology-s-verbal-engineering   Ruth Institute Parent Resource Center: https://ruthinstitute.org/resource-centers/parent-resources/   Ruth Institute Transgender Resource Center: https://ruthinstitute.org/resource-center/transgender/   Ruth Institute statement on therapy bans: https://ruthinstitute.org/wp-content/uploads/2022/05/Ruth-Institute-Statement-on-Therapy.-Banspdf.pdf   Desist, Detrans, & Detox: https://sophiainstitute.com/product/desist-detrans-detox/ref/61/ A Practical Response to Gender Distress: https://www.amazon.com/Practical-Response-Gender-Distress-Families   Transformation, A Former Transgender Responds to LGBTQ: https://www.amazon.com/dp/1625862601/ref=sr_1_2?crid=2DYF18PSUU7HB&keywords=linda+seiler&qid=1690328087&sprefix=linda+sei%2Caps%2C546&sr=8-2

Chances are, you or someone you know is battling substance use disorder. The latest numbers from the U.S. National Survey on Drug Use and Health show that nearly 49 million Americans struggle with addiction. Getting help is tough. First, there's the hard part: admitting there's a problem and deciding to seek treatment, especially with the stigma surrounding addiction. Then comes another huge challenge—figuring out how to pay for the help you need.In this episode of Grieving Out Loud, you'll meet a hardworking mom who spent years hiding her struggle with alcohol addiction. When she finally decided it was time to get help, the cost almost stopped her in her tracks. But thanks to an Emily's Hope Treatment Scholarship, her life has completely turned around. Now she's not just living a joy-filled life—she's sharing her story to remind others they're never alone, and there's always hope.Find more information about this episode at https://emilyshope.charity/episode/melissa-carter/Send us a textThe Emily's Hope Substance Use Prevention Curriculum has been carefully designed to address growing concerns surrounding substance use and overdose in our communities. Our curriculum focuses on age-appropriate and evidence-based content that educates children about the risks of substance use while empowering them to make healthy choices. Support the showFor more episodes and to read Angela's blog, just go to our website, emilyshope.charityWishing you faith, hope and courage! Podcast producers: Casey Wonnenberg King & Marley Miller

Owen Flanagan's newest book details his 20-year dependence on alcohol and pills — and outlines his research on what addiction can tell us about the nature of consciousness. SOURCES:Owen Flanagan, philosopher, neurobiologist, and professor emeritus at Duke University. RESOURCES:What Is It Like to Be an Addict?: Understanding Substance Abuse, by Owen Flanagan (2025).Consciousness Reconsidered, by Owen Flanagan (1993).Against Happiness, by Owen Flanagan, Joseph E. LeDoux, Bobby Bingle, Daniel M. Haybron, Batja Mesquita, Michele Moody-Adams, Songyao Ren, Anna Sun, and Yolonda Y. Wilson. (2023).The Bodhisattva's Brain: Buddhism Naturalized, by Owen Flanagan (2013).The Really Hard Problem: Meaning in a Material World, by Owen Flanagan (2009).Big Book, by Alcoholics Anonymous."Impact of the DSM-IV to DSM-5 Changes on the National Survey on Drug Use and Health," by Cristie Glasheen, Kathryn Batts, Rhonda Karg, Jonaki Bose, Sarra Hedden, and Kathryn Piscopo (Substance Abuse and Mental Health Services Administration, 2016). EXTRAS:"Professor Carl Hart Argues All Drugs Should Be Legal — Can He Convince Steve?" by People I (Mostly) Admire (2021).Drug Use for Grown-Ups: Chasing Liberty in the Land of Fear, by Carl Hart (2021).

The COVID pandemic has complicated everything from school to work to grocery shopping. The need to physically distance from people not in our homes has made it difficult to maintain friendships or causal relationships while being stuck at home with a significant other for months on end can make even the biggest house seem tiny. COVID's impact on relationships and sex is the focus of this episode of Stats and Stories with guest Debby Herbenick. Herbenick is a sex educator, sex advice columnist, author, research scientist, children's book author, blogger, television personality, professor, and human sexuality expert in the media. Dr. Herbenick is a professor at the Indiana University School of Public Health and was lead investigator of the National Survey of Sexual Health and Behavior.

In the UnitedStates, a staggering one in five children—equivalent to over 14.5 millionkids—have been identified as having special healthcare needs, as highlighted bythe National Survey of Children's Health. According to thePew Research Center, as of 2023, approximately 3.05 million children are livingwith single fathers across the nation, a notable decline from the peak numberrecorded in 2005. Aaron DeVries, a dedicated advocate for inclusion, shares a personalconnection to this cause as the father of a daughter with a disability. He haswitnessed firsthand the life-changing effects of inclusive education and theimportance of nurturing supportive communities. Aaron's missionis clear: to empower families, ensuring that every child, regardless of theirabilities, is fully embraced and supported in their environment. His passionfor championing inclusion drives his work. Alongside his parenting journey, heis the enthusiastic host of The Inclusive Dad Podcast, where he delves intotopics surrounding inclusion, offering practical insights and resources. If you'reinterested in sharing your experiences or insights, he invites you to be aguest on his podcast, which focuses on inclusion and advocacy from theperspective of a parent. Recently, Aaron joined me to discuss these significantthemes further. For additionalinformation, visit https://theinclusivedad.com/. To listen to the podcast, gotohttps://podcasts.apple.com/us/podcast/inclusion-and-disability-advocacy-from-a/id1371390804.

Nearly 49 million Americans, or about 17% of the population, are battling addiction, according to the latest National Survey on Drug Use and Health. Now, picture ten of your closest friends—nearly two of them could be quietly fighting this hidden battle. Yet, addiction often remains a silent struggle, weighed down by stigma and shame.For years, Michele Hein kept her son's struggle with substance use disorder private. But after Tyler's tragic death from fentanyl poisoning, she's speaking out to anyone who will listen. On today's episode of Grieving Out Loud, hear Michele's emotional plea to others navigating the same heartbreaking journey. Michele started the Fentanyl Free Communities Foundation in Minneapolis. Send us a textThe Emily's Hope Substance Use Prevention Curriculum has been carefully designed to address growing concerns surrounding substance use and overdose in our communities. Our curriculum focuses on age-appropriate and evidence-based content that educates children about the risks of substance use while empowering them to make healthy choices. Support the showFor more episodes and to read Angela's blog, just go to our website, emilyshope.charityWishing you faith, hope and courage! Podcast producers: Casey Wonnenberg & Kayli Fitz