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Approximately four in 10 Americans are obese, putting millions at increased risk of developing diabetes, heart disease, liver cancer, and other chronic illnesses. For many years it's seemed that we're losing the battle against this modern epidemic. However, the tide may be turning with the recent approval of a revelatory new class of medications. In today's episode, Dan and Derek dive deep into this new type of treatments. They discuss their discovery, the biology behind them, the pivotal clinical trials showing their efficacy, and the promises and perils of this powerful new tool in the fight against obesity.Wilding et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. The New England Journal of Medicine, March 2021. DOI: 10.1056/NEJMoa2032183The information presented here is not medical advice. Consult your physician for any questions regarding your personal health.

Episode page with video and more What do you do when you are chosen as Jim Murray's US Micro Whiskey of the Year? You pop in to join Mark and Jamie on Lean Whiskey to talk about it. At least that's what our friend David Meier of Glenns Creek Distilling did in Episode 38. While we were able to drink, and celebrate, the success of OCD #5, we also explored David's continued learning, problem solving, and improvement of whiskey production. We also learned that he was featured on an episode of Moonshiners: American Spirit, more of a documentary exploring the production of American spirits than the original show.  After David departs, Mark and Jamie discuss a recent report featured on NBC outlining that 1 in 4 hospital visits result in adverse events. This comes from a recent study on patient safety published in the New England Journal of Medicine. We break down the statistics, explore the real meaning behind those numbers, and discuss the causes and contributing factors. Throughout the dialogue we cover process improvement, problem solving, near misses, organizational learning, and psychological safety. We also spend time looking at Dr. Don Berwick's editorial about the study, and at least try to summarize his contributions to patient safety.  Mark and Jamie wrap up the first episode of 2023 talking about books. We hope everyone has a wonderful 2023. Happy New Year, and Cheers!  Glenns Creek Distilling's OCD #5 selected US Micro Whiskey of the Year Jim Murray's Whisky Bible website Moonshiners: American Spirit Glenn's Creek Distilling  NBC's reporting that 1 in 4 patients experience adverse effects, and the New England Journal of Medicine published study behind the statistic Patient safety advocate Don Berwick's Commentary in the New England Journal of Medicine Upcoming webinar hosted by Mark on the proposed National Patient Safety Board The Economist's reporting on today's healthcare system challenges around the world Jamie's book recommendation Ikigai Mark's future read: If I Betray These Words: Moral Injury in Medicine and Why It's So Hard for Clinicians to Put Patients First  Podcast feed at LeanWhiskey.com or leanblog.org/leanwhiskey or jflinch.com/leanwhiskey  Please review us and follow!   

The Context of White Supremacy welcomes Dr. Paul S. Chan and Dr. Anezi I. Uzendu. In October of 2022, The New England Journal of Medicine released a report showing that black and "hispanic" people are less likely to receive CPR from bystanders in any environment. This was reported prior to Damar Hamlin, 24-year-old black male who nearly died on the tackle football field before being resuscitated by highly decorated medical staff. The night of the tragic injury, Gus tweeted that if Hamlin experienced cardiac arrest away from the stadium, he would be substantially less likely to get help. Dr. Chan co-authored the report that confirms Gus's social media outburst. We'll discuss potential strategies to combat this problem - including: teaching non-white children CPR in school or even during the upcoming Super Bowl with Hamlin leading the instructions. Dr. Uzendu makes this information painfully relevant by relating his own near-death experience when he suffered cardiac arrest during a basketball contest at the age of 25-years-old. Approximately 90% of cardiac arrest patients who suffer attacks away from a medical institution die. #SuperLucky We'll hear about the White Supremacy Dr. Uzendu endured during med school, where there were 8 black students out of 100. Whites whittled that number down to 2, and then placed them both on "probation." We'll also discuss the significance of black people being less likely than White people to receive CPR than someone classified as White even in wealthy, predominantly black areas. #ICantBreathe #ZekeUpshaw #TheCOWS13 INVEST in The COWS – http://paypal.me/TheCOWS Cash App: https://cash.app/$TheCOWS CALL IN NUMBER: 605.313.5164 CODE 564943#

Status Epilepticus is one of the most common pediatric neurologic emergencies and requires prompt, targeted treatment to reduce patient morbidity and mortality. On this podcast, Pediatric Critical Care Physician, Dr. Renuka Mehta, Pediatric Resident Physician, Dr. Yvonne Ibe, and medical student, Emily Austin will discuss management for status epilepticus and rapid interventions that can be potentially lifesaving—because in seizure management, time is brain.  FREE CME Credit (requires sign-in):  Link Coming Soon! Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia. An additional thanks to Dr. Lorna Bell, Dr. George Hsu, and Dr. Rebecca Yang who provided editing and peer review of today's discussion. If you have any comments, suggestions, or feedback- you can email us at mcgpediatricpodcast@augusta.edu Remember that all content during this episode is intended for educational purposes only. It should not be used as medical advice to diagnose or treat any particular patient. Clinical vignette cases presented are based on hypothetical patient scenarios. Thank you for your support! References: Alldredge, B. K., Gelb, A. M., Isaacs, S. M., Corry, M. D., Allen, F., Ulrich, S., Gottwald, M. D., O'Neil, N., Neuhaus, J. M., Segal, M. R., & Lowenstein, D. H. (2001). A Comparison of Lorazepam, Diazepam, and Placebo for the Treatment of Out-of-Hospital Status Epilepticus. New England Journal of Medicine, 345(9), 631–637. https://doi.org/10.1056/NEJMoa002141  Chamberlain, J. M., Kapur, J., Shinnar, S., Elm, J., Holsti, M., Babcock, L., Rogers, A., Barsan, W., Cloyd, J., Lowenstein, D., Bleck, T. P., Conwit, R., Meinzer, C., Cock, H., Fountain, N. B., Underwood, E., Connor, J. T., Silbergleit, R., Neurological Emergencies Treatment Trials, & Pediatric Emergency Care Applied Research Network investigators. (2020). Efficacy of levetiracetam, fosphenytoin, and valproate for established status epilepticus by age group (ESETT): a double-blind, responsive-adaptive, randomised controlled trial. Lancet (London, England), 395(10231), 1217–1224. https://doi.org/10.1016/S0140-6736(20)30611-5  Chamberlain, J. M., Okada, P., Holsti, M., Mahajan, P., Brown, K. M., Vance, C., Gonzalez, V., Lichenstein, R., Stanley, R., Brousseau, D. C., Grubenhoff, J., Zemek, R., Johnson, D. W., Clemons, T. E., & Baren, J. (2014). Lorazepam vs Diazepam for Pediatric Status Epilepticus: A Randomized Clinical Trial. JAMA, 311(16), 1652. https://doi.org/10.1001/jama.2014.2625  Chen, J., Xie, L., Hu, Y., Lan, X., & Jiang, L. (2018). Nonconvulsive status epilepticus after cessation of convulsive status epilepticus in pediatric intensive care unit patients. Epilepsy & Behavior: E&B, 82, 68–73. https://doi.org/10.1016/j.yebeh.2018.02.008  Fine, A., & Wirrell, E. C. (2020). Seizures in Children. Pediatrics in Review, 41(7), 321–347. https://doi.org/10.1542/pir.2019-0134  Glauser, T., Shinnar, S., Gloss, D., Alldredge, B., Arya, R., Bainbridge, J., Bare, M., Bleck, T., Dodson, W. E., Garrity, L., Jagoda, A., Lowenstein, D., Pellock, J., Riviello, J., Sloan, E., & Treiman, D. M. (2016). Evidence-Based Guideline: Treatment of Convulsive Status Epilepticus in Children and Adults: Report of the Guideline Committee of the American Epilepsy Society. Epilepsy Currents, 16(1), 48–61. https://doi.org/10.5698/1535-7597-16.1.48  Hanhan, U. A., Fiallos, M. R., & Orlowski, J. P. (2001). Status epilepticus. Pediatric Clinics of North America, 48(3), 683–694. https://doi.org/10.1016/s0031-3955(05)70334-5  Kapur, J., Elm, J., Chamberlain, J. M., Barsan, W., Cloyd, J., Lowenstein, D., Shinnar, S., Conwit, R., Meinzer, C., Cock, H., Fountain, N., Connor, J. T., Silbergleit, R., & NETT and PECARN Investigators. (2019). Randomized Trial of Three Anticonvulsant Medications for Status Epilepticus. The New England Journal of Medicine, 381(22), 2103–2113. https://doi.org/10.1056/NEJMoa1905795  Lyttle, M. D., Rainford, N. E. A., Gamble, C., Messahel, S., Humphreys, A., Hickey, H., Woolfall, K., Roper, L., Noblet, J., Lee, E. D., Potter, S., Tate, P., Iyer, A., Evans, V., Appleton, R. E., Pereira, M., Hardwick, S., Messahel, S., Noblet, J., … Hobden, G. (2019). Levetiracetam versus phenytoin for second-line treatment of paediatric convulsive status epilepticus (EcLiPSE): a multicentre, open-label, randomised trial. The Lancet, 393(10186), 2125–2134. https://doi.org/10.1016/S0140-6736(19)30724-X  Raspall‐Chaure, M., Chin, R. F. M., Neville, B. G., Bedford, H., & Scott, R. C. (2007). The Epidemiology of Convulsive Status Epilepticus in Children: A Critical Review. Epilepsia, 48(9), 1652–1663. https://doi.org/https://doi.org/10.1111/j.1528-1167.2007.01175.x  Riviello, J. J., Ashwal, S., Hirtz, D., Glauser, T., Ballaban-Gil, K., Kelley, K., Morton, L. D., Phillips, S., Sloan, E., Shinnar, S., American Academy of Neurology Subcommittee, & Practice Committee of the Child Neurology Society. (2006). Practice parameter: diagnostic assessment of the child with status epilepticus (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society. Neurology, 67(9), 1542–1550. https://doi.org/10.1212/01.wnl.0000243197.05519.3d  Sánchez Fernández, I., Abend, N. S., Agadi, S., An, S., Arya, R., Brenton, J. N., Carpenter, J. L., Chapman, K. E., Gaillard, W. D., Glauser, T. A., Goodkin, H. P., Kapur, K., Mikati, M. A., Peariso, K., Ream, M., Riviello, J., Tasker, R. C., & Loddenkemper, T. (2015). Time from convulsive status epilepticus onset to anticonvulsant administration in children. Neurology, 84(23), 2304–2311. https://doi.org/10.1212/WNL.0000000000001673  Trinka, E., Cock, H., Hesdorffer, D., Rossetti, A. O., Scheffer, I. E., Shinnar, S., Shorvon, S., & Lowenstein, D. H. (2015). A definition and classification of status epilepticus--Report of the ILAE Task Force on Classification of Status Epilepticus. Epilepsia, 56(10), 1515–1523. https://doi.org/10.1111/epi.13121  Welch, R. D., Nicholas, K., Durkalski-Mauldin, V. L., Lowenstein, D. H., Conwit, R., Mahajan, P. V., Lewandowski, C., Silbergleit, R., & Neurological Emergencies Treatment Trials (NETT) Network Investigators. (2015). Intramuscular midazolam versus intravenous lorazepam for the prehospital treatment of status epilepticus in the pediatric population. Epilepsia, 56(2), 254–262. https://doi.org/10.1111/epi.12905 

Resumo da semana: - Risco de demência é maior em pessoas com sinais anteriores de sofrimento psicológico (JAMA Network Open) - Novo exame de sangue detecta neurodegeneração da doença de Alzheimer, distinguindo-a de outras demências (Brain) - Medicamentos para epilepsia podem aumentar o risco de Parkinson, com associação mais forte observada para o valproato de sódio (JAMA Neurology) - Estimular o tronco cerebral pode tornar os implantes cocleares mais eficazes (Nature) - Terapia genética restaurou o sistema imunológico em crianças com doença rara (The New England Journal of Medicine) - Diabetes materno durante a gravidez aumenta o risco de transtornos do neurodesenvolvimento na prole (Developmental Medicine & Child Neurology) - FDA aprova novo medicamento para HIV para adultos com opções limitadas de tratamento (Food and Drug Administration) - O poder das relações entre médicos: pacientes podem receber tratamento melhor se seu médico de atenção primária e especialistas estudaram juntos (JAMA Internal Medicine) Veja mais notícias em news.med.br Este podcast é oferecido por HiDoctor – o software médico mais usado em consultórios e clínicas no país.

“Intention to Treat,” hosted by health care journalist Rachel Gotbaum, draws on the world-class expertise of the New England Journal of Medicine to present breaking news and incisive analysis of critical and timely issues in medicine and health care. Through interviews with NEJM editors, specialized experts, physicians, and affected patients, each episode explores a story-behind-the-story, giving listeners needed context and a deeper understanding of complex research, cutting-edge medical interventions, and urgent health policy debates that affect patients and the clinicians who care for them. Practicing clinicians, biomedical researchers, medical trainees, patients, and anyone with an interest in health will find unique insights in “Intention to Treat.”

When someone asks you for help, what do you say? For many, the answer is typically “yes” - especially for women! And many of us have an “if not me, then who?” mindset - especially high-capacity leader types. Reality is that when we consistently say yes and prioritize the needs of others, we often find ourselves exhausted, overcommitted, and empty. Anyone? Today, we are talking about much-needed boundaries. Ironically, it's a misunderstood concept.   Dr. Sasha Shillcutt is with us today to offer her insight. Dr. Shillcutt is a renowned cardiac anesthesiologist, professor at the University of Nebraska Medical Center, bestselling author, and CEO/Founder of Brave Enough. Sasha's TEDx talk titled Resilience: The Art of Failing Forward has been viewed by more than 50K. Her writing has been published in both the prestigious New England Journal of Medicine and JAMA. She's the author of the new book, Brave Boundaries: Strategies to Say No, Stand Strong and Take Control of Your Time (HCI Books, September 6) and host of The Brave Enough Show podcast.    Sasha is also a Christian, wife, and mother, who has walked through seasons of loneliness, anxiety, and complete burnout. She has written this book, Brave Boundaries, out of a tender place in her heart for the woman who has found herself in a similar place.    To connect with Dr. Sasha Shillcutt, visit: Websites becomebraveenough.com   Social Media  Facebook - @sasha.shillcutt Twitter - @SashaShillcutt Instagram - @becomebraveenough   Resources  Book - Brave Boundaries: Strategies to Say No, Stand Strong, and Take Control of Your Time: The Key to Living Empowered Podcast - The Brave Enough Show TEDx - Resilience:The Art of Failing Forward www.ted.com/talks/sasha_shillcutt_resilience_the_art_of_failing_forward   If you want to know more about Living Wholehearted and the resources we offer, from our books and e-Courses, to our professional counseling and leadership development services, go to livingwholehearted.com and sign up for our monthly newsletters. Each month you will be connected with resources and on-going support for your journey toward living more wholehearted. The application process for our next wholehearted leadership cohort is open for the month of January. If you get our newsletter, you would already know! That's www.livingwholehearted.com or follow us on instagram @living_wholehearted.   To connect with Jeff and Terra Mattson and Living Wholehearted, go to: Instagram @TerraMattson @Living_Wholehearted @MyCourageousGirls #living_wholeheartedpodcast  #shrinkingtheintegritygap   Facebook @WeAreLivingWholehearted @MyCourageousGirls   Websites LivingWholehearted.com TerraMattson.com  MyCourageousGirls.com MyCourageousBook.com   Resources Shrinking the Integrity Gap        https://davidccook.org/shrinking-integrity-gap-book/ Shrinking the Integrity Gap e-Course        https://www.livingwholeheartedstore.com/e-courses Courageous: Being Daughters Rooted in Grace       https://mycourageousgirls.com/shop/p/book-courageous-being-daughters-rooted-in-grace Dear Mattsons        https://www.youtube.com/playlist?list=PLdPzQ_cUwCbRc-MQ40KL3a6ze06CiY38l Helping Moms Raise Confident Daughters        http://cpguides.org/

Avoid the V@X Plague (Audio) David Eells - 1/8/23   God Showed Us His Cure for Every Disease David Eells - 1/8/23   God has totally borne our curse according to Galatians 3:13-14, Christ redeemed us from the curse of the law, having become a curse for us; for it is written, Cursed is everyone that hangeth on a tree: 14 that upon the Gentiles might come the blessing of Abraham in Christ Jesus; that we might receive the promise of the Spirit through faith.   This curse is delineated in Deu. 28 as all sickness and plagues. God has taken the curse of sin and of death and  put it upon His Son for those who believe. He has blessed us because of our Passover Lamb. When we eat the words of the Passover in Exo. 12, we find that the destroyer angel passes over us but still destroys the wicked.   This is proven in God's Word in Exo. 15:26 …If thou wilt diligently hearken to the voice of Jehovah thy God, and wilt do that which is right in his eyes, and wilt give ear to his commandments, and keep all his statutes, I will put none of the diseases upon thee, which I have put upon the Egyptians: for I am Jehovah that healeth thee.   And Psa. 103:2-4 Bless Jehovah, O my soul, And forget not all his benefits: 3 Who forgiveth all thine iniquities; Who healeth all thy diseases; 4 Who redeemeth thy life from destruction; Who crowneth thee with lovingkindness and tender mercies.   And 1Pe. 2:24 who his own self bare our sins in his body upon the tree, that we, having died unto sins, might live unto righteousness; by whose stripes ye were healed. (You will notice that you do not have to talk God into this. He says it has already been done. The only thing left is to repent and believe. Heb. 4:2 For indeed we have had good tidings preached unto us, even as also they: but the word of hearing did not profit them, because it was not united by faith with them that heard.)   And if this is not enough, Jesus said in Mar. 11:24-26 Therefore I say unto you, All things whatsoever ye pray and ask for, believe that ye receive them, and ye shall have them. (You will notice that Jesus also told us that we are to believe it's already done.)     25 And whensoever ye stand praying, forgive, if ye have aught against anyone; that your Father also who is in heaven may forgive you your trespasses. 26 But if ye do not forgive, neither will your Father who is in heaven forgive your trespasses. (You will notice that unforgiveness is one of the reasons people don't get delivered from the curse. In fact it will deliver them over to the demons who administer the curse. Mat. 18:34-35 And his lord was wroth, and delivered him to the tormentors, till he should pay all that was due. 35 So shall also my heavenly Father do unto you, if ye forgive not everyone his brother from your hearts. Unforgiveness comes in many forms. Bitterness, criticism, anger, hurt feelings and offense, faction, slander, railing, etc.)   So, as long as we have forgiven everybody from the heart, He sets us free and provides us everything necessary to protect us or heal us in this world through His promises. He is raising up children to walk as sons of God in these days to demonstrate the provision of His great salvation. Here is a book that goes into this subject in much more detail:   Learn from God's Vaccine Book 7 simple steps to be immune fromplagues/pestilences Considering that God showed us the free cure for every disease in these pages if we believe Him; could He be angry enough to show us that trusting in men is very destructive. Let's see why God is angry. (Hos.9:11) [The vax is another false flag 911.] As for Ephraim [God called them the "fullness of the nations” and millions of them are being robbed of their children.], their glory shall fly away like a bird: there shall be no birth, and none with child, and no conception.(12) Though they bring up their children [and get them vaxed], yet will I bereave them, so that not a man shall be left: [depopulation agenda of the D/S is to bring down the population of the world to 500,000,000] yea, woe also to them when I depart from them!(13) Ephraim, like as I have seen Tyre (An island type of the U.S. “in the midst of the sea”), is planted in a pleasant place: but Ephraim shall bring out his children to the slayer.(14) Give them, O Jehovah-what wilt thou give? give them a miscarrying womb and dry breasts.[Miscarriages are up 4070% and there is still a baby formula shortage here in the U.S.. This does not include the babies born with every kind of sickness because their immune system is destroyed. And the babies can pass on the plague of the vax as well as the grownups. The death rate is climbing geometrically.](15) All their wickedness is in Gilgal; for there I hated them: because of the wickedness of their doings I will drive them out of my house; I will love them no more; all their princes are revolters. (Foolish “Christian leaders” do not believe or teach what God says about God'sVaccine, so they are guilty of much blood.)  (16) Ephraim is smitten, their root is dried up, they shall bear no fruit: yea, though they bring forth, yet will I slay the beloved fruit of their womb. (Man can't escape the curse. It is there to send men to God for His salvation. Man's methods only shift the curse from one area of our lives to another. Jer. 17:5-9 Thus saith Jehovah: Cursed is the man that trusteth in man, and maketh flesh his arm, and whose heart departeth from Jehovah. (Now multitudes who have taken the vaccine have discovered this to be true.) 6 For he shall be like the heath in the desert, and shall not see when good cometh, but shall inhabit the parched places in the wilderness, a salt land and not inhabited. 7 Blessed is the man that trusteth in Jehovah, and whose trust Jehovah is. 8 For he shall be as a tree planted by the waters, that spreadeth out its roots by the river, and shall not fear when heat cometh, but its leaf shall be green; and shall not be careful in the year of drought, neither shall cease from yielding fruit. 9 The heart is deceitful above all things, and it is exceedingly corrupt: who can know it?) Would any sane person trust a Rockefeller/Gates Depopulationist to make a vaccine for Covid 19 when no one, not even the CDC has ever isolated Covid 19. They have never had a sample of it and admit it.  And here is a clue: as the statistics for C-19 go up the statistics for the flu go down so now they're calling the Flu Covid 19. When mixed with 5G, as happened in Wuhan, it killed them. Same in Europe. They had just put in 5G in both places and turned it up when the slaughter began.    Pictures of damage to lungs from 5G and so-called C-19 are identical. C-19 is not the problem, the vax is. Rockefeller dictated that Remdesivir, and respirators was the cure, but the tests proved it deadly. While the CDC scared everyone away from the successful treatments such as Ivermectin and Hydroxychloroquine and others that cost almost nothing, big Pharma made a huge amount of money with their poisons. Follow the money!   God has the answer, and we are having success praying over people who believe in God's Words.     Pfizer's COVID Vaccine Causes Miscarriages, Stillbirths 1/21/22 - by: Mary Villareal (Natural News) After initially being denied, the Public Health and Medical Professionals for Transparency finally gained access to documents containing Pfizer's data on their COVID-19 vaccine, revealing that the big pharma company received over 150,000 reports of serious adverse events, including miscarriages and stillbirths, within three months of vaccine rollout. What is especially concerning about the data found are the number of pregnant and lactating women who received the shots in the first few months of the rollout. The data states that of 270 “unique pregnancies” exposed to the vaccine, “no outcome was provided for 238 pregnancies,” leaving only 32 with known outcomes. Out of these, 32 known outcomes, 23 resulted in spontaneous abortions (miscarriages), two premature births with neonatal deaths, two spontaneous abortions with intrauterine death, one spontaneous abortion with neonatal death and one pregnancy with “normal outcome.”(Likely, this person became a believer or received the placebo.) This means that of 32 pregnancies with known outcomes, 28 resulted in fetal death. If results are to be based only on the known outcomes of the vaccines in pregnant and lactating women, there is an 87.5 percent pregnancy loss rate. Public health agencies remain adamant that pregnant women and their children are more likely to die of the virus than from the vaccine, but there is little evidence that proves such claims, as the study they usually refer to comes from the Centers for Disease Control and Prevention (CDC) itself. A comparison of stillbirth rates in 1,249,634 deliveries at 736 hospitals from March 2020 to September 2021 among women with and without COVID infections established that there was indeed a surge in stillbirths, but not during the height of the first deadly wave of the virus: only during the period when the delta variant was dominant, or after pregnant women were pressured into getting vaccinated. (Related: UK now pushing pregnant women to take covid vaccines despite miscarriage, infertility risks.) Despite the numbers (only 0.98 percent of COVID-19 affected deliveries pre-delta compared to 2.70 percent after vaccines were introduced) the CDC still won't consider that the experimental injections could be the reason for the increasing stillbirth rates. Because the COVID-19 vaccines are said to be highly effective and vaccination among pregnant women was approximately 30 percent as of July 2021, most women with COVID-19 at delivery were likely to be unvaccinated, according to the CDC. This information does not sound very scientific because science isn't usually an assumption based on a slogan added to the guesstimates. Another study that experts heavily relied on was a study that was later corrected when analysts recognized the error in their data collections, adding the possibility of an 82 percent miscarriage rate in early pregnancy despite concluding that COVID shots were safe and effective. Too much unknown information to definitively say vaccines are “for the good of all” The Pfizer vaccine has already been approved by the Food and Drug Administration (FDA) and these COVID vaccines have already caused 1.8 million adverse events that included deaths, miscarriages, bells palsy, heart attacks and various permanent disabilities, to name a few. While research continues regarding how natural immunity from COVID is more robust than vaccines, 79 percent of fully vaccinated individuals had been infected with any one of the variants of the virus. This means that injecting bodies with foreign substances that have been rushed through development causes harm or even death, negating any “duty to seek to preserve our bodies.” If previous studies are any indication, it shows that vaccines are anything but safe and effective. In mid-2021, Dr. Simone Gold, founder of America's Frontline Doctors previously explained that there is a known potential mid-pregnancy fertility risk with the use of the vaccine. She acknowledged that while getting COVID-19 has been associated with a high risk of mid-pregnancy miscarriage because “the placenta fails,” She noted that the vaccine may do the exact same thing. “It's lunacy to get this experimental vaccine if you're a young female,” she said. “It's that simple … I would flat out forbid any young female from getting this vaccine, and I think it's very unethical for any physician to offer this to a young female,” she said.  Vaccine Shedding is NOT a Conspiracy Theory 12/08/2022 - By Kevin Hughes Ohio-based lawyer Tom Renz discussed a variety of topics during a recent episode of “Another Renz Rant.” Renz shared that renowned cardiologist Dr. Peter McCullough has been talking about the possibility of vaccine shedding – meaning, the unvaccinated can also be infected with diseases caused by the vaccines. Renz said this appears terrifying, but it is not a conspiracy theory. The lead counsel in three major cases concerning the COVID lockdowns, mask mandates and false death/case data told his viewers that McCullough doesn't say anything he can't back up with evidence. Renz, a patriot and freedom fighter, said he has been talking about vaccine shedding since early 2021 shortly after the jabs came out. He cited that there was a document about “reportable safety events” in studies at Pfizer. “If a pregnant woman came in contact with someone who was vaccinated… (that is considered a) reportable safety event. Why is that? Why were they tracking that? Well, they didn't answer. No contact and they were specific contacts, didn't necessarily mean anything more than just being around it. I mean literally shedding [when] you get near someone who was recently vaccinated. They were concerned – why?” Renz asked. (Related: Truth confirmed: Research proves two more “conspiracy theories” related to vaccine shedding, pregnant women to be true all along.) Renz also mentioned that when Comirnaty was fraudulently approved by the Food and Drug Administration (FDA), Pfizer did a bunch of post-authorization studies on it. These post-authorization studies include vaccine shedding, as well as viral and bacterial gene therapy products. The Ohio-based lawyer asked why Pfizer is concerned about shedding if it is not possible and why it is calling the vaccine a gene therapy product if it is not. He pointed out that Pfizer and the FDA are lying, and the American people are trusting liars. “Everything about the jabs has been a lie,” he said. DON'T SHED ON ME!  The Covid “Vaccinated” are a Health Threat to the Unvaccinated, Warns Dr. Peter McCullough 12/07/2022 - By Ethan Huff Is it possible as an unvaccinated person to become contaminated with covid chemicals through exposure to others who have been jabbed? The answer is yes, according to Dr. Peter McCullough. In a recent interview with Action Canada's Tanya Gaw, McCullough discussed the risks that covid “vaccinated” people pose to the “unvaccinated.” In a nutshell, he likened the situation to non-smokers inhaling the second-hand smoke of smokers. Citing a paper recently published in the TMR journal Infectious Diseases Research, McCullough shared details about how messenger RNA (mRNA) can transfer from the fully jabbed to the unjabbed since these chemicals persist in the blood for at least two weeks – and likely much longer – post-injection. Another study recently published found that mRNA remains in the lymph nodes of the fully jabbed for months, which further backs McCullough's claims. There is also another recent medical study that McCullough called the “most disturbing” that shows mRNA poisons can transfer from breast milk to babies. “It seems the body can't clear it,” McCullough stated soberly. (Related: McCullough faces losing his medical license for breaking the script on covid.) Do mRNA Poisons Stay in the Body Permanently? McCullough Thinks So... If an unvaccinated person gets close to a vaccinated person, either through sexual activity or even just kissing, the so-called “vaccine” can transfer through this route as well. It is currently unknown how long an unvaccinated person should wait before engaging in this type of contact with a vaccinated person. In McCullough's estimation, these poisons could remain for years, or maybe even permanently, making the fully jabbed an indefinite public health risk. “This is very disturbing,” McCullough stated. Early on in the “pandemic,” McCullough advised that the unvaccinated should wait at least a month before having close contact with someone who got jabbed for the Fauci Flu. Now he has bumped that to 90 days or more. After each shot, mRNA accumulates even more “with no ability for the body to get rid of it,” McCullough maintains. “It looks like they permanently install into the human genome through what we call reverse transcription,” he explained. In other words, mRNA poisons reprogram human genes and turn a person, it seems, into a non-human automaton with strange, foreign DNA. At best, mRNA turns the fully vaccinated into fully transhuman beings that look human but that have non-human genetic blueprints. Autopsies of deceased fully jabbed bodies show the presence of this altered genetic material throughout the vital organs. This, McCullough says, is proof all on its own. “So I can tell you everyone who's taken the vaccine has this material in their brain, their heart, adrenal glands, reproductive organs,” McCullough said. “It's really a terrible thought. My heart goes out to anyone taking the vaccine, yeah.” You can watch the interview between Gaw and McCullough at the RAIR Foundation website. “If a war is to be fought, it's with this NWO (New World Order) fascist system,” wrote a commenter in response to McCullough's claims and revelations. “They are already at war with us.” “This is just the start of ‘the beginning of sorrows' Jesus prophesied in Matthew 24:8,” wrote another, pointing to the Holy Scriptures for guidance about what comes next. “Much more is on the way in the form of continued pestilence[s], war[s], famine[s] and natural disaster[s]. What makes these different than in past sorrows is the intensity and frequency. Then to stop this mass death there will be enforced false worship worldwide (Matt.24:9-11, Rev.13:11-18). The last counsel and warning is found in Rev.14:6-12.”   COVID VACCINE SHEDDING: UNDERSTANDING WHAT IS HAPPENING IN THE UNSEEN REALM. (Video)   Fix the World Project - 5/6/21   In this presentation we review the most recent phenomenon of non vaccinated people who are experiencing extreme health effects after being in close proximity with a vaccinated person for a short period of time. Specifically, hundreds of thousands of reports have been given and then censored by MSM of women's menstrual cycles being severely affected including miscarriages when a non vaccinated person are around someone who has had a Covid Injection. People are waking up to this new bioweapon unleashed on the public and we have reports of doctors, stores and schools telling vaccinated people to stay away.   Watch the presentation on Bitchute at this link here: https://www.bitchute.com/video/5JqnXOmdSxY9/    We believe the key to understanding what is happening lies in the unseen realm. In this presentation we do a deep dive into areas of science that are overlooked in order to explain in plain terms what is happening in the unseen realm when it comes to COVID Vaccine shedding.(Video)   Big Pharma's Rape of All Mankind:  Exposing the Dangers of the Masks and PCR Tests Banned.Video Link - 4/27/21 (Transcribed by Eve Brast) “People are finding strange fibers inside their masks and in the covid 19(PCR) test swabs. Many people are pointing out the similarities between these fibers and Morgellons disease, (which is)a mysterious, unexplained skin condition characterized by small fibers emerging from skin sores. But the fibers we are seeing in the masks and test swabs seem to be different.  Many have suggested that they are normal constructive fibers, but upon close examination, they do exhibit strange qualities. In the video, (we see that)when exposed to wind, this fiber behaves exactly as one would expect,but when breathed upon it acts differently. It appears to come to life.  The fibers appear to behave similar to how “theragrippers” are described. Similar to parasitic worms, theragrippers were created at Johns Hopkins University. Theragrippers are as small as a grain of dust and are designed to deliver medication into the host's body. They operate like small compressed springs with a temperature triggered coating that releases the stored energy autonomously at body temperature (i.e. compressed springs with temperature controlled coating). These fibers can easily be described as spring-like and while (people are)wearing a mask(they) can easily spring towards their mouths as the people breathe, as if the masks (and PCR tests) are a delivery system loaded with drugs ready to be delivered into the host's bloodstream. Under magnification the PCR test swabs appear to have glasslike fibers. In one experiment the PCR test swab was rubbed against a piece of raw meat to emulate the tissue inside our nasal cavity. These microfibers deeply penetrated themselves into the flesh. Is this happening inside of our nasal cavity when we are being swabbed with the PCR tests?…  DARPA has been developing BCI's (Brain Computer Interfaces) since the 1960's and now they are ready to inject our military with a technology that will continuously test their blood. “It's not a dreaded government microchip to track your every move but, a tissue-like gel, engineered to continuously test your blood. The overwhelming desire of the “Powers That Be” seems to be putting something inside of us, putting an experimental vaccine inside of us; putting the remnants of an aborted child inside of us. How is that any different than rape? How is it that anyone is okay with this? (Narrated by Greg Reese with infowars.com.)   Are Vaccines Fueling New Covid Variants? 1/4/23 - by: Ethan Huff (Natural News) There is another new covid “variant” (or so we are told) that is spreading across the Northeast. And The Wall Street Journal (WSJ) admits that covid “vaccines” are making people more susceptible to it. XBB, as they are calling this latest variant, is not necessarily any deadlier than previous variants. It is also a lot different, we are told, than previous variants in that it evades “protection” from the injections. “Growing evidence also suggests that repeated vaccinations may make people more susceptible to XBB and could be fueling the virus's rapid evolution,” writes Allysia Finley, admitting what many of us have known for years now. XBB supposedly belongs to the Omicron (anagram for Moronic) family of variants, which comes with “numerous descendants,” according to Finley, “many of which have popped up in different regions of the world curiously bearing some of the same mutations.” A study published on December 19 explains that the rapid and simultaneous emergence of all these variants possessing “enormous growth advantages is unprecedented.” The reason, we now know, is the jabs. “Under selective evolutionary pressures, the virus appears to have developed mutations that enable it to transmit more easily and escape antibodies elicited by vaccines and prior infection,” Finley clarifies. (Related: Here is more proof showing that covid injections are spreading more variants). Pre-print Study Says Covid Bi-valent “Booster” Jab Responsible for Spreading New Variants Another study currently in pre-print contains similar revelations. This one looked at the so-called bi-valent “booster” jab for covid, which authorities are pushing on the masses as the solution to all the new variants. Workers at the Cleveland Clinic were used to assess the efficacy of bivalent boosters, which were found to provide “modest protection.” The key sentence in that study, though, is one specifying that “the virus strains dominant in the community were those represented in the vaccine.”   This would seem to suggest that the variants supposedly covered by bi-valent boosters at any given time just so happen to be the very same ones that continue to spread like wildfire, particularly among the “fully vaccinated.” In Finley's article, it is further admitted that covid “vaccines” provide poor and inadequate protection against new “strains” of the virus that come along. As opposed to natural immunity, which is generalized, but jab “immunity” is strain-specific (or so we are told), meaning when new strains come along there is no available protection against them. “Bi-valent vaccines that target the Wuhan and BA.5 variants (or breakthrough infections with the latter) prompt the immune system to produce antibodies that target viral regions the two strains have in common,” Finley writes. “XBB has evolved to elude antibodies induced by the vaccines and break through infections.” This “immune imprinting” caused by the injections, as they are calling it, was also addressed in a New England Journal of Medicine (NEJM) study published last month. That one, along with another one published this month in Cell, both show that those who get injected are only protected against older strains of the virus because their immune systems were imprinted, aka damaged, to not generally recognize all mutations of viral invaders. “A bi-valent booster only slightly increased antibodies against XBB,” Finley writes. “Experts nevertheless claim that boosters improve protection against XBB. That's disinformation, to use their favored term.” “It might not be a coincidence that XBB surged this fall in Singapore, which has among the highest vaccination and booster rates in the world. Over the past several weeks a XBB strain has become predominant in New York, New Jersey, Connecticut and Massachusetts, making up about three-quarters of virus samples that have been genetically sequenced.” The latest news about covid jabs can be found at Immunization.news.   HOSPITALS MOBBED with Every Room and Even HALLWAYS Occupied With Portable Cots … Has the Spike Protein Apocalypse Begun?   12/17/22 - by: S.D. Wells (Natural News) The hospitals in Virginia are full, with nearly every room occupied, including the emergency rooms, and even portable cots in the halls are becoming the norm for the overflow. As witnessed by investigative reporters and journalists, several hospitals in major cities of Virginia are full past capacity, so not only is every room occupied, but many portable cots, with patients on them, are lined up along the walls of the long halls and numbered. It's like a horror scene from a pandemic movie, and people are walking up and down the halls while patients are sleeping on cots with IV tubes in their arms, with people around them coughing and sneezing and carrying on about the bad conditions. It's most likely a fire hazard also, with hardly enough staff members to assist the overflow of patients if an emergency evacuation situation should arise. One can only guess at the reasons for the mobbing of hospitals right now, but complaints can be heard in the waiting rooms, and at the check-in desk in the emergency rooms. Patients are lined up for check-in, complaining of chest pains, high blood pressure, trouble breathing, and other symptoms that all seem to relate to spike protein syndrome – a critical illness caused by millions of prions that clog the vascular system and strain the heart and cleansing organs. Big Pharma raking in the bucks as patients sleep on cots in hallways of major hospitals as the scamdemic rages on Should you or a loved one spend the night in the hallway on a cot at an overcrowded hospital for any reason, the average cost of that overnight stay ranges from a whopping $9,300 on up to $13,600, depending on the type of coverage, or non-coverage, that you have. This is according to data collected from the Agency for Healthcare Research and Quality, even though the quality of care when sleeping in the hallway at the emergency room leaves much to be desired. Imagine how much money the hospitals are making with every room full, and all the hallways crowded with cots against the wall, spread out about every 10 feet with a sick person, even overnight. Police are having to battle ‘crazy' people in fits of rage. In the middle of the night, police are having to escort crazed patients from the premises during “emergency lockdowns” in the emergency areas of hospitals. Patients can't even rest properly in the halls, with all the critical care machines beeping, opening of supply closets, nurses talking at full volume, and no emergency call buttons for the patients in the hallways to call for help. How can anyone get well or recover from surgery in conditions like this? Someone could go to the emergency room because the spike proteins are causing tiny clogs in their vascular system, driving their heart to beat at irregular rhythms. They spend a night or two on a cot in the hallway, it costs them $25,000, and the doctors can't figure out what's wrong, after running very expensive CAT scans and other diagnostic tests. Then, after being exposed to lots of sick patients roaming the hallways with Fauci Flu and other RSVs, plus the risk of getting a superbug infection (think MRSA here) from the IVs and the dirty, crowded conditions, the visit to the hospital might serve as a ‘shovel' for digging your own grave. A ‘spike' (pardon the pun) in illnesses has led to a shortage of hospital beds across Virginia, including for pediatric hospitalizations. For example, the Children's Hospital of Richmond says they are operating at greater than 95 percent capacity. Could it have to do with compromised immune systems due to the Wuhan Flu injections and “boosters?” Since the deadly Covid jabs have been administered to teens and kids, there has been a 40 percent increase in pediatric hospitalizations. Looks like the Spike Protein Apocalypse has begun. How much worse can these hospital conditions become? Sounds like it's time to blame those darned video games, referee whistles, and cold showers again. Bookmark Vaccines.news to your favorite independent websites for updates on experimental gene therapy injections the CDC and fake news claim are “safe and effective” when they're really dangerous and health-damaging. Experts Estimate 20 Million are Already Dead Due to COVID Vaccination & Over 2 Billion Injured The Liberty Beacon (Link) - 10/1/22 Europe Reloaded Editor's note: These calculations, provided by Peter Halligan on his Substack account (linked to below), are based on the Lazarus Report or as is more commonly known, the Harvard-Pilgrim study from 2011, which estimated that less than 1% of vaccine adverse events are ever reported. To our knowledge, this claim has stood the test of time. As many independent doctors have noted, this ‘vaccine' has been the deadliest so far produced. THE EXPOSE Peeling back the layers of deception and obfuscation reveals a shocking truth that may not be all that shocking to our informed readers: Covid-19 “vaccines” are injuring and killing far more people than the government is letting on. Estimates compiled from pieced-together data suggest that as many as 20 million people worldwide have died so far from the shots, while another 2.2 billion have suffered injuries – and we are only just getting started. “Add the EUDRA and VAERS adverse event data on deaths and “events” together, multiply by an under-reporting factor of 40, globalize the EU+US one-eighth share of 12.5 billion global doses.   VAERS (take only the US data) 13,972 deaths and 854,084 adverse reactions to 5 August 2022 VAERS Summary for COVID-19 Vaccines through 8/5/2022 – VAERS Analysis EUDRA (ignore the headline and scoot to the first image on the landing page) – 46,999 deaths and 4,731,833 injuries 76,789 Deaths, 6,089,773 Injuries Reported in U.S. and European Databases Following COVID-19 Vaccines – Vaccine Impact Number of US injections = around 600m (increased to 608 million in the last few weeks) CDC COVID Data Tracker: Vaccinations in the US Number of EU injections = around 900m (increased to 915 million in the last few weeks) Number of global injections = around 12 billion (increased to 12.5 billion in the last few weeks) Coronavirus (COVID-19) Vaccinations – Our World in Data The Lazarus Report showing less than one in 100 vaccination injuries are reported – see page 6 of 7 that states – “..fewer than 1% of vaccine adverse events are reported. Low reporting rates preclude or slow the identification of “problem” drugs and vaccines that endanger public health.” Electronic Support for Public Health–Vaccine Adverse Event Reporting System (ESP:VAERS) (ahrq.gov) Using a one in 100 under-reporting factor (URF) would make the injections horribly deadly and injurious (1.4 million deaths and 85 million injuries for the 600 million doses administered). A more recent attempt at estimating the URF is around 40, here: Determining the VAERS Under-Reporting Multiplier (healthimpactnews.com) So, EU+US deaths = 13,972 + 46,999 = 60,971 deaths and EU+US injuries = 854,084 + 6,089,773 = 6,943,857 (multiple per person, half of which are “serious”). Multiply by 40 for URF and then by 8 to “globalize” Global deaths are around 19.5 million SO FAR and global injuries are around 2.2 billion. In the coming months and years, these figures will balloon even higher as lingering spike proteins progressively damage the bodies of the “fully vaccinated,” leaving them prone not only to every illness that comes along (autoimmune disease) but also to deadly clots (i.e., myocarditis and pericarditis). It requires a bit of digging to come up with the aforementioned figures as governments work overtime to keep all pertinent data hidden, or at least confusing. The way post-injection injuries and deaths are calculated varies from country to country and even from municipality to municipality, making it difficult to come up with accurate numbers. The safety and effectiveness claims for the shots are also highly skewed, one way being how “cases” of the Fauci Flu are determined. All throughout the alleged pandemic, illnesses and deaths were falsely attributed to the “virus” so that later the injections could be framed as the “cure.” In 2020, before the official launch of the vaccines, the annualized rate of covid “cases” was around 70 million – and keep in mind that the official definition of a “case” is still just as murky today as it was at the beginning of the “pandemic”. Following the launch of Operation Warp Speed in the USA, the annualized number of Covid cases increased nearly fivefold to 330 million. The annualized mortality rate also increased from 1.7 million pre-Operation Warp Speed to 2.9 million post-Operation Warp Speed. This is significant because it shows that the shots are not “saving lives” as is still being claimed. The opposite is actually true as many more people are getting sick and dying in the injection era. “Rather than a 95% (or 91% in the trials) reduction in cases and deaths, there has been a 370% INCREASE in the annualized case rate,” writes Peter Halligan on his Substack.  “Annualized Deaths have INCREASED by 180%.” Halligan looked at data in the government's Vaccine Adverse Event Reporting System (VAERS) to come up with the 20 million dead and 2.2 billion injured figures. Since VAERS only captures a very small percentage of actual vaccine-related adverse events, Halligan extrapolated true figure estimates using multiplication. The “butcher's bill from the battlefield,” as he calls it, points to these figures being far more accurate than anything the government or Big Pharma are admitting. And were these figures to spread widely across the population, there would surely be a whole lot of angry folks with a lot of questions for the powers that be. Source Published to The Liberty Beacon from EuropeReloaded.com   More Than 25% of Americans Believe They Personally Know Someone Who Died from Covid “Vaccines”   1/3/23 by: Ethan Huff   (Natural News) It is official: most people living in the United States today agree that covid “vaccines” are to blame for higher-than-normal rates of unexplained and sudden death. Further, 28 percent, or more than one in four, say they know someone who died suddenly, likely from the injections. We know this from the latest Rasmussen Reports national telephone and online survey, which found that 49 percent of American adults believe that covid jab side effects are responsible for a significant number of unexplained deaths throughout the country. More than one in four, the survey also found, have been personally affected in some way by shot damage. Forty-eight percent of Americans told pollsters that they believe there are legitimate reasons to be concerned about the safety of covid injections, while 15 percent are unsure. Only 37 percent say that concerns about jab safety are the product of wild “conspiracy theories.” (Related: Since post-covid jab deaths are not being autopsied, there is no way to really know the true number of injection-caused deaths.) If you're a Democrat, chances are you got vaccinated and believe fully in the “safety and effectiveness” of the shots The poll included 1,000 American adults, 71 percent of whom say that they personally received at least one covid injection. Only 26 percent of respondents have clean, untainted blood that was not affected by the shots. Of those who never got injected, 77 percent told Rasmussen that they believe it is at least somewhat likely that covid jab side effects are associated with the uptick in unexplained deaths. Of those who took the jab(s), just 38 percent feel the same way. Forty-five percent of unvaccinated respondents told pollsters that they think they personally know someone who died because of the jabs while only 22 percent of fully jabbed adults believe the same thing. Among the fully vaccinated, 46 percent said people who worry about the safety of the jabs are spreading conspiracy theories. Just 15 percent of the unvaccinated share that same belief. “Sixty-nine percent (69%) of those who haven't gotten the COVID-19 vaccine think there are legitimate reasons to be concerned about the safety of COVID-19 vaccines, as do 40% of those who have gotten vaccinated against the virus,” Rasmussen further reported. As you might expect, the fully vaccinated lean heavily in the direction of being Democrats. Eighty-five percent of the fully jabbed who participated in the survey identify as left-wing, after all. A majority of Republicans, 63 percent, are also vaccinated, as are a majority of people not affiliated with either major party. The unvaccinated, meanwhile, remain a minority in the U.S. “More Republicans (60%) than Democrats (44%) or the unaffiliated (43%) think there are legitimate reasons to be concerned about the safety of COVID-19 vaccines,” Rasmussen further reported. “However, there is less political difference in the number who suspect someone they know might have died from vaccine side effects – 33% of Democrats and 26% of both Republicans and the unaffiliated.” What might come as a surprise to some is the fact that younger Americans tend to be less vaccinated than older Americans. The vast majority of people who complied with Operation Warp Speed are elderly – and the elderly are also less likely than younger Americans to believe that the shots are unsafe. While 35 percent of adults under 40 in the U.S. believe they personally know someone who died from covid jabs, only 28 percent of those between the ages of 40 and 64 believe that. Meanwhile, just 14 percent of Americans aged 65 and older believe there is anything to fear about the injections, showing that previous generations are far more trusting of the establishment then newer generations. EXCESS MORTALITY: Over 2400 Americans are DYING Each Day Following Vaccine Mandates… Ed Dowd Unveils Alarming, Evidence-Based Data   11/16/22 by: Mike Adams   (Natural News) Today we feature an interview with Ed Dowd, author of Unknown Causes: The Epidemic of Sudden Deaths in 2021 & 2022. Ed Dowd, along with his team of analysts, has assembled the most comprehensive and compelling data revealing excess mortality following the introduction of covid vaccines. His website where some of these results are presented is TheyLiedPeopleDied.com. Ed Dowd is also head of The Humanity Project found at this link:http://phinancetechnologies.com/HumanityProjects/Humanity%20Projects.asp Today he joins me in an interview to discuss his findings, warning that sooner or later, the medical and scientific community will be unable to ignore the fact that over 2,400 Americans are dying each day — almost certainly from vaccines — which comes to about 900,000 Americans killed in a year. Here's just one chart from Ed Dowd that shows excess deaths following the introduction of covid-19 “vaccines” (experimental mRNA injections): Across the population, Ed Dowd explains in the interview, excess mortality is running about 32%. Around 7,700 Americans routinely die each day, and 32% of that comes to 2,400+ deaths per day. That's only counting America. Global deaths are, of course, far higher. Credible estimates of global deaths from covid-19 vaccines have been compiled by other analysts and experts, and they claim that at least 20 million people have already been killed worldwide from covid-19 vaccines, making the scale of this “vaccine holocaust” more than triple the size of the historical Holocaust atrocity. If you want to watch the interview with Ed Dowd, here's the standalone interview video: Brighteon.com/fedc3b74-6f5b-42c8-9386-8f8abbd8ef91   7,500 Americans are Killed or Disabled EACH DAY as Vax Jabs Take Heavy Toll… USA Imploding Under “De-civilization” Assault   12/29/22 - by: Mike Adams   (Natural News) Ed Dowd, author of Cause Unknown ... shared updated and slightly horrifying numbers about post-vaccine excess fatalities and excess disability claims. The short version of ... is that each day in America, there are about 2,500 excess deaths and 5,000 excess disability victims due to covid-19 vaccines. This means, on average, about 7,500 Americans are removed from the potential labor pool each day. Granted, not all 7,500 are currently working, but most of them theoretically could contribute to the work force if they chose to. ... We look at the macroeconomic implications of this daily removal of 7,500 people from the potential labor pool and what it means for America's economy and military security, among other things. ... The De-civilization of the USA One of the more startling realizations in all this is that the United States of America is suffering the early stages of a “decivilization” event, not merely a temporary bump in the road. That term refers to the dismantling of the critical, complex pillars of a modern advanced civilization, rendering it unable to function. The sudden collapse of Southwest Airlines' flight schedule now being witnessed across the country is an excellent example of this. Here's an airline company that can hardly fly planes because it can't schedule its own crew members to show up. Reportedly, Southwest Airlines failed to invest in its IT systems and after “years of neglect,” the crew scheduling systems have cratered. Now the airline has cancelled more than 10,000 flights and may not survive much longer as a viable business entity. The level of rank incompetence that Southwest Airlines demonstrates here is also widely demonstrated by banks, government offices, utility companies and many other service providers. But many people miss the reasons behind it all. One of the primary reasons is that the covid vaccine is removing competent, experienced people from the work force by killing or injuring them. In fact, as Ed Dowd reveals, the vaccine did the most damage among those who are employed. 2021 was a very dangerous year to have a job, it turns out, as the Biden regime forced employers across the country to mandate vaccines for all their workers. Many workers complied with the jab mandates and have since died or become disabled as a result. The fact that 7,500 additional Americans are suffering this fate every day points to not merely an economic recession or depression, but a decivilization outcome that risks ending western civilization as we know it, forcing the vaccine survivors into an existence they hardly recognize. The “glacial Mad Max” Ed Dowd calls this the “glacial Mad Max” scenario: It's going to get very bad but not all at once. The slow, steady erosion of the pillars of civilization will become increasingly apparent over time as another 2.7 million people are killed or disabled by the vaccines each year. And that's based on current rates of mortality and disability… rates that may become significantly worse among those who continue to take the mRNA jabs that obliterate their immune systems and caused their bodies to generate mysterious fibrous clots (which are not simply blood clots, by the way). “Globalization is over,” Dowd declares in the interview (below). And that means the era of cheap, easy stuff is also coming to an end. The world we once knew, where we could visit a local Walmart or Target store and pick up foreign-made goods on the cheap, is over. From here, things are going to become a lot more expensive and less available. Rather than a global expansion into long, complex supply chains and economies of scale, we are living through the early stages of a global contraction and the collapse of globalism itself. The world is about to become a lot more local, with all the global supply chain efficiencies vanishing in short order. And this is colliding with the fact that the U.S. work culture is practically non-existent among younger Americans. They have grown up never expecting to actually produce anything. They are consumers, after all, not factory workers or creators of anything real (your favorite celebrity NFT or crypto coin doesn't count). Thus, at a time when globalization is collapsing and when Americans are going to have to grow, manufacture and process things at the local level, there's hardly any local work knowledge remaining that could accomplish such a transition. Those who know how to do anything — the working class of America — are being systematically annihilated by the jabs, leaving behind the non-working welfare class who possess no practical skills and believe they are deserving of never-ending universal basic income subsidies so they can continue to be consumers. Their world is about to come to a frustrating end, and America as a whole is going to witness the ravages of the reversal of the globalization miracle that made goods affordable, readily available and easily replaced. Why the Pentagon can't fight a war with Russia Part of the definition of a nation is the ability to project power for the purposes of both defending your own shores and also extracting resources from other nations (via trade, coercion, or otherwise). This has been accomplished throughout history under various empires such as the British Empire, and the U.S. empire mastered the art of global resources extraction with its 1944 Bretton Woods agreement and the positioning of the dollar as the world reserve currency. But to project power, a nation must maintain a degree of domestic industrialization so that it can manufacture munitions and weapons of war. This requires a long, complex supply chain of steel, polymers, oil, rubber, electronics and the like. More importantly, it requires a skilled and willing labor force that's able to work in munitions factories. No such work force currently exists among American culture. Soy boys don't build bombs, and woke idiots can't run lathes. In the USA, the productive labor force is being decimated by the jab. The culture wars have also sapped any last shred of work ethic out of the youth, rendering a generation of virtue signaling snowflakes who are incapable of using their hands to do anything other than play video games… As a result, there's nobody left in America to run the war factories. That is, until you consider the illegals who are crossing over the open borders by the millions. My contention is that the DoD plans to recruit illegals to run the munitions factories, because otherwise the United States has near-zero ability to run the industrial manufacturing necessary to sustain any real war effort with Russia or China. After killing Americans with the bioweapon, the Pentagon will recruit illegals to man the munitions factories After having sent the vast majority of its supply of artillery shells, drones, anti-tank systems and now even artillery pieces to Ukraine, the United States of America has very little left to defend itself against an invasion force from an enemy nation like China. Granted, the Pacific Ocean is a large moat, but given advances in the scale and efficiency of maritime transportation, it's no longer the formidable chasm it was in World War II. China has the capability to sail hundreds of millions of tons of military equipment to invasion forces that might assault the West Coast of America, and China has the blackmail to force Joe Biden to order America to stand down its own military as such an invasion takes place. The loss of the ability to defend your own borders is part of the decivilization now accelerating in the United States. And the vaccine fatalities and disabilities only accelerate this alarming phenomenon. Combined with the anti-fertility effects of the mRNA jab, it now looks like the USA will be utterly unable to achieve a sustainable reproduction rate to maintain its labor force.  The Americans people are being deliberately killed off and replaced by illegal migrants, and those migrants are both willing to work and capable of reproduction — two critical properties that are being stripped away from Americans via the weaponization of the vaccine. The end result of all this is not in doubt: The economic, military and demographic collapse of the United States of America — a top goal of one world government globalist types who have long regarded the USA (and its Constitution) as a thorn in the side of global domination. Thus, the positioning of the vaccine as a depopulation weapon is just one part of an engineered collapse event designed to take down America and terrorize the world with another set of carefully planned (and previously simulated) crisis events. You are being annihilated, then replaced Those who fail to understand the macroeconomic and geopolitical implications of the vaccine depopulation scheme are missing the bigger picture. It isn't merely about killing people off, it's about killing certain people so they can be replaced by a foreign workforce that's still willing to run the munitions factories and sweep the floors. The robot takeover, after all, hasn't arrived yet. Until it does, the globalists are happy to make do with a migrant takeover, just as long as they can keep the weapons factories operating as long as possible. The vaccines targeted the most competent, first world professionals on purpose. As those people are swept out of the way, they will be replaced by obedient, low-education illegals who will be granted amnesty, then work permits, and then voting rights to help keep the uniparty in power as they engineer the total collapse of western civilization — a process now accelerating by the day across Western Europe, by the way. Note carefully that both Democrats and RINO Republicans are all in favor of amnesty. This should be no surprise once you understand the reality of the replacement effort now under way. In summary, we are not merely watching genocide; we are witnessing the permanent rejiggering of the economic order by malicious, anti-human Luciferians who celebrate death and destruction. Every person who takes another booster shot is inadvertently working on their behalf, by the way, helping to achieve their malicious aims. And to top it all off, the oblivious masses have no idea any of this is happening, even as their own family, friends and coworkers are being maimed or killed by the vaccines. The global vaccine holocaust is being carried out right under the noses of the ignorant, and thanks to CIA-controlled narratives across media and tech platforms, those who don't possess the mental capacity to question false authority are instead spellbound by it, and they will soon be destroyed by it. Praise Delivers Us from Our Enemies Anna Stewart - 1/3/23 (David's notes in red)   I dreamed I was sitting on a bench outside of a building that was elevated off of the ground. The building was made up of four parts with a pathway intersection dividing it through the middle. I seemed to be on the east side of the building. A large man was sitting with me, and I had my head on his shoulder, but I never saw his face (the Lord). Other believers were also there with us.    Then we came under siege from the enemy. Men were patrolling and not allowing anyone to leave the bench. The enemy seemed to be “the French” but they looked more like ancient Roman soldiers. (The French and Roman overlords of history terrorized and persecuted people who didn't agree with their ideology, such as Christians today, as we will see.)   At one point a group of soldiers stampeded their horses right past us, while the horsemen cracked long scourging whips at us. The cracks of the whips were so loud and I could see the metal on the ends of the whips, but I wasn't afraid. No one was hurt by them.    Then … Michael, said that we needed to praise the Lord. I got up and raised my arms and started walking around the building singing Revelation Song. Others joined me. As we got to the south side of the building I could see that the enemy filled the huge open space before the building. They were firing gunshots at us and using many forms of ancient artillery.    I thought to myself that I would rather die praising the Lord than sitting on the bench. (Sitting on the bench means you're not in the game; You're a serf.) I didn't look at the enemy but just focused on praising the Lord. It was in the back of my mind that the Lord might even supernaturally keep us from enemy fire as a testimony.    After three or four times around the house, I finally looked down where the enemy had been and saw that they were scattering and fleeing. Praise the Lord! (Let's try it on the Beast of our day like in Psalm 149:6-9 Let the high praises of God be in their mouth, And a two-edged sword in their hand; 7 To execute vengeance upon the nations, And punishments upon the peoples; 8 To bind their kings with chains, And their nobles with fetters of iron; 9 To execute upon them the judgment written: This honor have all his saints. Praise ye Jehovah.)   Only One  Wings of Prophesy - 10/20/11 (Reposted 1/1/23) (David's notes in red)   (Though this word has been reposted once, it is such a serious and powerful word, I feel it warrants us being reminded again.)   “The days ahead will require you to determine and decide who and what is really your god. Many of you think you know already but you have never truly been made to choose only one. You think you will choose Me above all others, but you see not the gods lurking within your mind and heart. Gods the enemy used to tempt you away from Me.”   (At this point I heard heartbreaking sadness in the voice of the Lord, like you hear in the voice of someone who just found out their spouse was unfaithful).   “Some of you have allowed these gods to invade your lives. You have welcomed them. Some of you are even aware of their presence, yet you do nothing to cleanse your hearts of them, thinking I will understand and excuse your idolatry.   Did I not say in My Word thou shalt have no other gods before Me?” (At this point I heard serious anger in the Lord's voice)“And so you shall not. If you are Mine, act like it.   Days coming will bring hard circumstances that will require you to choose which god you will serve. Only one. Think hard and decide well, My children, for this choice cannot be undone.   Some of My children have already chosen. They have followed Me wherever I led them, laying aside their own dreams and desires and taking up My cross. For them this choice has already been made and the days to come will be far easier than for others.   For those who have remained enmeshed in the world and all of its temptations, the times to come will be very hard indeed; for you have lived a soft life, putting your faith in what you can see instead of Me. Your faith is flimsy. It is like a reed that bends with every new wind of doctrine. You are easily deceived because you have not built your house of faith on the Rock of My Son.   You must choose which god you will serve for the rest of your earthly lives. That is the god you will serve in eternity as well.   My children, many of you underestimate the importance and lateness of the time you live in. You do not see My Son's return approaching. Did I not say like a thief in the night? Yet many of you do nothing to prepare yourselves for His soon return.   Will His Bride not ready herself for her Groom? Will yo be found not dressed when the wedding party arrives? Will you be left behind?    You must think on these things now while there is still time and choose well. In the days soon coming, chaos shall abound in many nations. There will be very little time to think later for some of you who read this word. Your lives will be cut short because of “this disaster” or “that uprising”.   Do not make the mistake of thinking you have more time than you do. Some decisions should not be put off until another time. Do not be like the “rich man” in My Word who stored up in his barns and set himself to enjoy his worldly pleasures, whose soul was required of him that night, for you know not the seriousness of all that is about to transpire.   Do not wait. Choose now. Which god will you serve?   I have given you all you need to survive and prosper in this time. You need only ask to receive of what I have for you.   Adversity has risen up against you time and time again. Many of you have prayed and asked why this is so. Adversity is your teacher, My children. Adversity brings hardship that prepares you for what is harder still that is yet to come.   Trust Me. I can see further down the road into your future, you cannot. This is why you must allow Me to guide your paths and not try to understand every tiny nuance of what happens. It is not always for you to understand, but for you to simply obey Me in faith, trusting that I love you. I know what is best for all concerned.   This next year will bring many changes you cannot see from where you are. I am trying to position each of you to be ready for these changes but some of you resist My paths. This will cause further hardship to come into your lives. Often what My children suffer is a result of not obeying Me at some earlier time.   Some of what is to come is far worse than My children are expecting. I am trying to protect you by guiding your paths to a safer place. Obey Me and all shall be well. Resist and you are left with the results of your own way.   Come up high with Me. Let us commune together as you worship Me in Spirit and in truth. Allow Me to prepare you for all that is to come.”   Mat. 6:24 No man can serve two masters: for either he will hate the one, and love the other; or else he will hold to one, and despise the other. Ye cannot serve God and mammon.   Exo. 20:3 Thou shalt have no other gods before me.   Mat. 11:7 And as these went their way, Jesus began to say unto the multitudes concerning John, What went ye out into the wilderness to behold? a reed shaken with the wind?   Jas 4:4 Ye adulteresses, know ye not that the friendship of the world is enmity with God? Whosoever therefore would be a friend of the world maketh himself an enemy of God.   1Pe. 2:7-8 For you therefore that believe is the preciousness: but for such as disbelieve, The stone which the builders rejected, The same was made the head of the corner; 8 and, A stone of stumbling, and a rock of offence; for they stumble at the word, being disobedient: whereunto also they were appointed.   Luk 12:16-20 And he spake a parable unto them, saying, The ground of a certain rich man brought forth plentifully: 17 and he reasoned within himself, saying, What shall I do, because I have not where to bestow my fruits? 18 And he said, This will I do: I will pull down my barns, and build greater; and there will I bestow all my grain and my goods. 19 And I will say to my soul, Soul, thou hast much goods laid up for many years; take thine ease, eat, drink, be merry. 20 But God said unto him, Thou foolish one, this night is thy soul required of thee; and the things which thou hast prepared, whose shall they be?   Jos. 24:15 And if it seem evil unto you to serve Jehovah, choose you this day whom ye will serve; whether the gods which your fathers served that were beyond the River, or the gods of the Amorites, in whose land ye dwell: but as for me and my house, we will serve Jehovah.   Isa. 30:20 And though the Lord give you the bread of adversity and the water of affliction, yet shall not thy teachers be hidden anymore, but thine eyes shall see thy teachers;   Pro. 3:5-7 Trust in Jehovah with all thy heart, And lean not upon thine own understanding: 6 In all thy ways acknowledge him, And he will direct thy paths. 7 Be not wise in thine own eyes; Fear Jehovah, and depart from evil:   Joh. 4:23 But the hour cometh, and now is, when the true worshippers shall worship the Father in spirit and truth: for such doth the Father seek to be his worshippers.   Video Links to other informative videos:   "A Very Large Increase In Deaths"!! Funeral Directors And Embalmers Talk About New Death Trends!! | Alternative | Before It's News   Funeral Directors and Embalmers Alarmed By Freakishly Large Blood Clots Clogging Veins in Vaccinated Bodies | Christian Research Network   Dr. Sherri Tenpenny: 4 Phases Of Jab-Related Death!! The Worst Is Yet To Come!! - O.N.E. News   https://amg-news.com/the-plan-the-who-has-a-plan-of-10-years-of-infectious-diseases-starting-from-2020-to-2030-are-you-ready/   I would like to leave you with God's promise of protection in His Word. Please believe it and confess it!   Psa. 91:5-11 Thou shalt not be afraid for the terror by night, Nor for the arrow that flieth by day; 6 For the pestilence that walketh in darkness, Nor for the destruction that wasteth at noonday. 7 A thousand shall fall at thy side, And ten thousand at thy right hand; But it shall not come nigh thee. 8 Only with thine eyes shalt thou behold, And see the reward of the wicked. 9 For thou, O Jehovah, art my refuge! Thou hast made the Most High thy habitation; 10 There shall no evil befall thee, Neither shall any plague come nigh thy tent. 11 For he will give his angels charge over thee, To keep thee in all thy ways.   SERVICES Ubbs Outreach Friday Night Worship CONTACT Share Your Testimony Request Prayer Technical Support Questions   SUPPORT US We are a non-profit organisation based in United States. Our goal is to empower and equip people to discover more about Christianity and point them to a life of happiness, peace and purpose. Donate

https://psychiatry.dev/wp-content/uploads/speaker/post-11384.mp3?cb=1673009453.mp3 Playback speed: 0.8x 1x 1.3x 1.6x 2x Download: Lecanemab in Early Alzheimer’s Disease – PubMed Randomized Controlled Trial Christopher H van Dyck et al. The New England Journal of Medicine.Full EntryLecanemab in Early Alzheimer's Disease – PubMed

Podcast Notes: Alice Dreger General: The Index Case by Molly Macallen, the first novel in the Maddy Shanks series. Published on Lulu. Visit Alice's website: https://alicedreger.com/ Follow: Follow Alice on Twitter https://twitter.com/AliceDreger?s=20&t=CDzQ-0LkFfFGhqph0trBOQ Articles and books: Alice's non-fiction books: https://alicedreger.com/books/ Alice's writing https://alicedreger.com/writing/ References: Visiting Your Leg Alice's essay on the politics of anatomy. One of Us Alice's book on anatomy and political and social identity. Dr Oz can't afford me Alice's essay on exploitation by the entertainment industry. Lavish Dwarf Entertainment Alice's essay on the entertainment agency. The New England Journal of Medicine. Altered Carbon the novel by Richard Morgan. The Immortal Life of Henrietta Lacks by Rebecca Skloot Alice's paper on the J Michael Bailey controversy. Alice and Colin Wright take part in a discussion about biological sex. Alice in Genderland by Richard Novic. Iona's essay on age gaps and relationships. Timestamps: 00.00 Opening and introductions. 4.17 Why a pseudonym for novel writing? 7.56 The themes of the book. 9.17 Alice reads the blurb from the novel. 11.26 Iona reads an excerpt from the novel. 16.46 Alice discusses how she and her protagonist's areas of study echo each other; the politics of anatomy, how the body interacts with the world, the history of science and of medicine. How science has dealt with “interesting” bodies over the course of modern history. 21.57 How power works in relationships between doctors and people with “interesting” bodies. Alice discusses how her non-fiction book One of Us addresses this, with reference to Eng and Chang Bunker, the original “Siamese twins”. 26.58 Alice talks about the historical and contemporary exhibition of bodies; how some individuals are exhibited and exploited and how some with “unusual” bodies make money from their own bodies. 30.13 Iona reads more. Alice discusses the shift of science away from storytelling to depersonalised, anonymised specimens. 35.09 The New England Journal of Medicine as an outlier to this phenomenon. 36.55 Iona refers to Altered Carbon, the novel, and the ethical and philosophical questions about what it means to be a person and about bodily intergration. 40.00 Iona and Alice talk about eugenics, disabilities and autism research and about anatomy and identity and what personhood is. How identity has changed over time away from the body and towards external signifiers. How this is explored in the novel. 43.16 Who has the right to use dead bodies? How the government may control bodies, eg: dying people isolated during the covid pandemic. 47.00 How the order of the books in the series came about. The Difficult Subject, book two, will be coming out soon. Themes around sexuality. 48.35 Alice's enjoyment of fiction writing vs. enjoyment of non-fiction writing. 51.13 Michael Bailey and his writing on autogynephilia and transgender identities. Do we have an innate sense of gender? Alice's recent debate with Colin Wright. How The Difficult Subject relates to these themes. 58.41 The unethical relationship in the novel. How power works in this relationship. Sex scenes and sexuality in the novels. 1.01.45 The abusive relationship in the series and Alice's own experience. Controversy around the framing of trauma. 1.08.45 More on the development of the series. The Worst Thing will be book three. Reception of the first novel. 1.15.00 Why self-publish? Published via Lulu. 1.19.55 Summing up and outro.

Dr. Eric Forman is the medical and lab director at Columbia University Fertility Center where he oversees the medical practice as well as IVF embryology and andrology labs, while also actively seeing patients. He set the standard for eSETs (elective single embryo transfers) across the globe. And, he revolutionized how we freeze eggs, with his research proving that the rapid vitrification technology does not increase the risk of genetic abnormalities in embryos. Dr. Forman is joining me today on the Egg Whisperer Show podcast to discuss a hot topic in fertility medicine: PGT-A. We are going to discuss preimplantation genetic testing (PGT), the science behind this testing, and a recent paper, published in the New England Journal of Medicine (Live Birth with or Without Preimplantation Genetic Testing for Aneuploidy). Do you have questions about IVF? Join Dr. Aimee for The IVF Class at The Egg Whisperer School. Listen on Dr. Aimee's website Subscribe to my YouTube channel for more fertility tips!  Subscribe to the newsletter to get updates  Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

Søren Thorgaard Skou (PT, MSc, PhD) has vast experience within the field of osteoarthritis and other chronic conditions and has been the principal investigator of several high-quality randomized controlled trials on surgical and non-surgical treatment, one of which was published in The New England Journal of Medicine (impact factor of 79.26), the highest ranked of all general medical journals. Currently, he is the principal investigator of a randomized, controlled trial of meniscal surgery vs. exercise therapy and education for young people with a meniscal tear (DREAM) and a 5-year EU-funded project (MOBILIZE, grant agreement No 801790) with the overall aim of improving health in people with more than one chronic condition (i.e. multimorbidity) through personalized exercise therapy and education. Furthermore, he is the co-lead of Exercise First, a research program funded by Region Zealand aimed at developing, testing and implementing initaitives that support that the individual patient received the right prevention and treatment at the right time and to increase self-management using e-health.  He is one of the main architects and leader of the implementation of the highly successful treatment program Good Life With osteoArthritis in Denmark (GLA:D) for patients with knee and hip osteoarthritis. Furthermore, he is a recipient of a prestigious ERC Starting Grant from the European Research Council, and a postdoc grant and a Sapere Aude Research Talent Award from the Independent Research Fund Denmark.  --- Follow Professor Søren Skou on Twitter https://twitter.com/STSkou He is affiliated with both University of Southern Denmark and the research unit PROgrez at Slagelse Hospital, Denmark (@PROgrezDK) _____________________ This podcast episode is sponsored by Fibion Inc. | Better Sleep, Sedentary Behaviour and Physical Activity Research with Less Hassle --- Learn more about Fibion Sleep and Circadian Rhythm Solutions: https://sleepmeasurements.fibion.com/ --- Collect, store and manage SB and PA data easily and remotely - Discover ground-breaking Fibion SENS: https://sens.fibion.com/ --- SB and PA measurements, analysis, and feedback made easy.  Learn more about Fibion Research : fibion.com/research --- Fibion Kids - Activity tracking designed for children. https://fibionkids.fibion.com/ --- Collect self-report physical activity data easily and cost-effectively https://mimove.fibion.com/ --- Follow the podcast on Twitter https://twitter.com/PA_Researcher Follow host Dr Olli Tikkanen on Twitter https://twitter.com/ollitikkanen Follow Fibion on Twitter https://twitter.com/fibion https://www.youtube.com/@PA_Researcher

Dr. Robert Gaynes, distinguished physician and professor of infectious diseases at Emory University, joins Meet the Microbiologist for the 2nd episode in a unique 3-part series, in which we share the impact of scientists at the heart of various paradigm shifts throughout scientific history. Here we discuss the life and career of Tony Fauci, the scientist who has been recognized as America's Top Infectious Diseases Doctor and “voice of science” during the COVID-19 pandemic. Ashley's Biggest Takeaways Fauci was born in Brooklyn, New York. He was a 2nd generation American whose parents came from Italy. Fauci's father was a pharmacist in Brooklyn and was very influential in his life. During high school, Fauci worked behind the counter at the family pharmacy and even delivered prescriptions by bicycle. He attended a Jesuit high school in Manhattan, and attended the College of Holy Cross. After college, Fauci attended Cornell Medical School in Manhattan, which was his first choice of medical school. Fauci graduated first in his class in medical school in the mid 1960's, right in the midst of the Vietnam War. During that time, after completing their initial residency training, virtually all doctors were drafted into one of the military services or the U.S. Public Health Service. Fauci accepted into the NIH program within the U.S. Public Health Service, where he acquired training and a fellowship in Clinical Immunology and Infectious Diseases. Fauci became the Director of the National Institute of Allergy and Infectious Disease (NIAID) in 1984. Fauci served as advisor to 7 U.S. presidents, including Ronald Regan, George H.W. Bush, Bill Clinton, George W. Bush, Barack Obama, Donald Trump and Joe Biden. 15 years after the creation of PEPFAR, Fauci reported, in the New England Journal of Medicine, that PEPFAR funded programs had provided antiretroviral therapy to 13.3 M people, averted 2.2 M perinatal HIV infections and provided care for more than 6.4 M orphans and vulnerable children. The first edition of "Germ Theory: Medical Pioneers in Infectious Diseases" is available now. The 2nd edition will publish in the spring of 2023.

This show was one of the most popular episodes in the past 12 months. So, here it is again for your listening pleasure. Mostly this whole episode is about the so-called “Big Three” PBMs that provide between the three of them pharmacy benefit services for 95% of insured Americans. PBM stands for pharmacy benefit manager, and the Big Three PBMs being ESI, otherwise known as Express Scripts; OptumRx, which is a part (a big profitable part) of UnitedHealth Group; and then also CVS. Yes, CVS is not just for your retail pharmacy needs; they are also a huge pharmacy benefit manager. Now, we get to the GoodRx part of our story. If you don't know how GoodRx works, I would strongly encourage you to go back and listen to “An Expert Explains” with Dr. Ge Bai from last year (AEE13). That said, here's the super short semi-reductive version to keep us all level set here. If you already know how GoodRx works, you can skip forward about four minutes. So, first of all, let's all understand that GoodRx's business model only exists because the pharmacy supply chain dominated by these three big PBMs that we just talked about is such a cluster. GoodRx profits from that dysfunction. So, as I said, here's the short version of how they do that. It all hinges on so-called spread pricing, and this is what I mean by that. Patient goes into pharmacy with a prescription for generic drug X. The patient has insurance—good news! Pharmacist checks the computer and sees that this patient should be charged, I don't know, $50 for drug X. The patient's insurance carrier picks up, say, $30 of the $50 cost; and the patient is left with, say, a co-pay of $20. Who did that little math there in the computer? The PBM (the pharmacy benefit manager) did that math. That's their thing, these PBMs. They adjudicate claims. That's what this math is called. Anybody who goes into a pharmacy with a prescription, it's the PBM on the back end who figures out how much the patient owes and how much their insurance will pay and what the patient responsibility is, etc. Goodness, you might say. How much are the PBMs being paid to perform this useful service? Turns out, it's free. That's right … the Big Three PBMs do all this adjudication for free. No charge to plan sponsors. Isn't that nice? Except it's actually not free if you dig into it. The PBM is certainly getting paid by means of arbitrage. They're taking a little something something out of the middle of every single transaction. Here's what that looks like in the example aforementioned. Recall the patient's insurance paid $30, and the patient themselves paid $20. The question is, how much did that drug cost the PBM? Remember, that's commerce: Buy low, sell high, and all that. You buy something, and then you sell it for more than you bought it for. OK, so we're talking about a generic drug here. They're cheap (usually). So, let's just say drug X costs, I don't know, $5. The PBM pays the pharmacy $5 for that generic script—and you can see how much money the PBM just made right there. The patient and their plan sponsor got charged $50, and the PBM's cost of goods was $5. Multiply that profit margin by the billions of generic prescriptions in this country that run through insurance, and you have a tidy little business model there. UHG, the parent company of OptumRx, made $24 billion in profit in 2021. Not all of that was from generic drug arbitrage (ie, taking advantage of spread pricing), but some of it was. And $24 billion is an awfully big amount when you consider whose paychecks all those pennies were lifted from. PBM services are anything but free. PBMs are collecting massive windfalls in the so-called spread between what the patient and the plan pay and what the PBM is actually buying those drugs for. Here's another wrinkle: When a PBM contracts with a pharmacy, part of their contractual terms is that the pharmacy's list price for drugs cannot be lower than a certain amount usually having something to do with the PBM's rates. So, pharmacy list prices become artificially high as a result, meaning that cash-pay patients who just wander into a pharmacy and try to pay cash pay an artificially high price. Into this mess swoops GoodRx with a killer idea. They see all that money on the table that PBMs are cleaning up in that spread. They want a piece of that action. And in the beginning, PBMs were fully on board with this. They were fully on board because the market GoodRx was going after was the uninsured market, meaning untapped turf for PBMs. And because PBMs make so much money off of each transaction, PBMs are always hungry for more transactions (the Big Three PBMs, anyway). They love more transactions. The more more more with the transactions, the more more more with the money. So, GoodRx goes to the PBMs and says, “Hey … if a cash-pay patient shows up in a pharmacy, what price would you charge them for you to adjudicate that claim? You know how much money you have to pay the pharmacy, so what can the patient price be? What spread are you willing to accept? GoodRx will take a little off the top, but you can keep your spread on this new frontier of patients that you haven't historically had access to because … uninsured. Oh, by the way, we, GoodRx … we're gonna go around to all your competitors, too (just saying)—the other two PBMs—and we're gonna show their prices, too, in our GoodRx app at different pharmacies. So, you're gonna have to compete with other PBMs in this model.” This is why GoodRx cash prices for generics are so very very often less than what the patient will pay if they use their insurance. In the GoodRx app, PBMs have competition. So, by not using their insurance, patients often pay less for generic drugs—which, by the way, are 90% of the scripts written in this country—and also, as an added bonus, patients don't have to jump through all the weird and arduous prior auths or step therapies or other hurdles that a PBM might toss in the mix. So, from a patient perspective, using GoodRx could save money, save time, and you could get your drugs faster because you don't have to wait around for some prior auth to go through. But this was not what PBMs had originally thought they were signing up for. They were working with GoodRx to gain new market share from the uninsured market, not lose market share to more and more patients forgoing their insurance, meaning forgoing shelling out to the PBM their spread on the transaction. Cue my conversation today with Dr. Ge Bai. Ge Bai, PhD, CPA, is a professor of accounting at Johns Hopkins Carey Business School and a professor of health policy and management at Johns Hopkins Bloomberg School of Public Health. In this healthcare podcast, Ge Bai and I discuss the reactions of the Big Three PBMs to consumers getting all consumer-y when it comes to buying their generic drugs—despite the fact that, in my interview with Dr. Sunita Desai (EP334), she said that studies have shown that 67% of patients are unaware that they might be able to get a better price by not using their insurance and shopping around on GoodRx or Amazon or at a cost-plus pharmacy like Blueberry in Pittsburgh or Mark Cuban's new thing. Despite that, it means 33% (one-third) of patients are aware that they can price shop and potentially get a better price not using their insurance on generic drugs; and apparently, it's making some people at some PBMs nervous. Check the ESI (Express Scripts) blog post about their new prescription benefit that automatically applies discounts. Hmmm … sounds like a defensive play to me? What do we make of this? That's my first question to Dr. Ge Bai in this episode. Also, if you're really intrigued by generic drug goings-on, go back and listen to the show with Dr. Steven Quimby (EP344) when you have a chance. It's about the high cost of generic drugs, and we go deep into supply chain machinations.   You can learn more on Ge's Web site at Johns Hopkins University. You can also connect with her on LinkedIn. Ge Bai, PhD, CPA, is professor of accounting at the Johns Hopkins Carey Business School and professor of health policy and management at the Johns Hopkins Bloomberg School of Public Health. She is an expert on healthcare pricing, policy, and management. Dr. Bai has testified before the House Ways and Means Committee, written for the Wall Street Journal, and published her studies in leading academic journals such as the New England Journal of Medicine, JAMA, JAMA Internal Medicine, Annals of Internal Medicine, and Health Affairs. Her work has been widely featured on ABC, CBS, NBC, Fox News, CNN, and NPR and in the Los Angeles Times, New York Times, Wall Street Journal, Washington Post, and other media outlets and used in government regulations and congressional testimonies.   08:39 What is ESI doing by automatically applying discounts to generic drugs? 09:53 Why are PBMs losing money when consumers don't use their benefit? 10:40 “GoodRx disrupted the ongoing game.” 10:58 How are PBMs using the Amazon discount card to discourage their patients from moving away from using their benefits? 12:07 Amazon pricing versus GoodRx pricing. 12:44 How much money is a PBM really making? 13:54 EP344 with Steven Quimby, MD. 14:24 EP334 with Sunita Desai, PhD. 14:37 How is future fear playing into the PBM business model? 16:49 Is there a negative consequence to subtracting from the bottom line in a PBM model? 17:44 “I think to have strong PBMs does not mean necessarily bad things for patients.” 19:33 What happens if everyone uses Amazon for drugs? 22:33 If every PBM gets their own discount cards, what will happen? 25:32 “We are actually witnessing a potential sea change.” 26:19 How do cost-plus pharmacies factor into the current market? 29:09 Is a profit shortfall inevitable? 29:28 “PBMs have to give a slice of their profit back to consumers. That's just reality.” 30:05 Can anything be done on the PBM side to generate a higher margin in the generic space? 31:34 “Naive plan sponsors are a big problem.” You can learn more on Ge's Web site at Johns Hopkins University. You can also connect with her on LinkedIn.   @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing What is ESI doing by automatically applying discounts to generic drugs? @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing Why are PBMs losing money when consumers don't use their benefit? @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing “GoodRx disrupted the ongoing game.” @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing How are PBMs using the Amazon discount card to discourage their patients from moving away from using their benefits? @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing Amazon pricing versus GoodRx pricing. @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing How much money is a PBM really making? @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing How is future fear playing into the PBM business model? @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing Is there a negative consequence to subtracting from the bottom line in a PBM model? @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing “I think to have strong PBMs does not mean necessarily bad things for patients.” @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing What happens if everyone uses Amazon for drugs? @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing If every PBM gets their own discount cards, what will happen? @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing “We are actually witnessing a potential sea change.” @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing How do cost-plus pharmacies factor into the current market? @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing Is a profit shortfall inevitable? @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing “PBMs have to give a slice of their profit back to consumers. That's just reality.” @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing Can anything be done on the PBM side to generate a higher margin in the generic space? @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing “Naive plan sponsors are a big problem.” @GeBaiDC of @JohnsHopkins discusses #PBMs on our #healthcarepodcast. #healthcare #podcast #healthcarepricing Recent past interviews: Click a guest's name for their latest RHV episode! Dave Dierk and Stacey Richter (INBW37), Merrill Goozner, Betsy Seals (EP387), Stacey Richter (INBW36), Dr Eric Bricker (Encore! EP351), Al Lewis, Dan Mendelson, Wendell Potter, Nick Stefanizzi, Brian Klepper (Encore! EP335), Dr Aaron Mitchell (EP382), Karen Root, Mark Miller, AJ Loiacono, Josh LaRosa, Stacey Richter (INBW35), Rebecca Etz (Encore! EP295), Olivia Webb (Encore! EP337), Mike Baldzicki, Lisa Bari, Betsy Seals (EP375), Dave Chase, Cora Opsahl (EP373), Cora Opsahl (EP372), Dr Mark Fendrick (Encore! EP308), Erik Davis and Autumn Yongchu (EP371), Erik Davis and Autumn Yongchu (EP370), Keith Hartman

About Our Guest William Cherniak, MD, is an Emergency physician with training in family medicine and global public health. He is a cofounder and board chair of Bridge to Health Medical and Dental Canada & USA and the founder and CEO of Rocket Doctor Inc. Bill has had research published in the New England Journal of Medicine, the Lancet, Academic Medicine, PLOS ONE and given numerous speeches in Europe and North America on global health and development. Bill completed his medical school at the University of Calgary and residency at the University of Toronto. He completed a cancer fellowship at the U.S. Federal Government's Center for Global Health in the National Cancer Institute/National Institutes of Health as well as a Master in Public Health at the Johns Hopkins Bloomberg School of Public Health, with a concentration in health in crisis and humanitarian assistance, while a Sommer Scholar with a full-scholarship. He is an Adjunct Professor with Northwestern University, Associate Faculty at the Johns Hopkins Bloomberg School of Public Health and an Assistant Professor at the University of Toronto's Department of Family and Community Medicine, Division of Emergency Medicine.

Professor Esme Fuller-Thomson is cross-appointed to the Faculties of Social Work, Medicine, and Nursing at the University of Toronto. She is also Director of the Institute for Life Course & Aging.  She has published more than 170 articles in peer-reviewed journals including the New England Journal of Medicine, The Lancet, and Cancer. Her research examines ADHD and mental health, the association between early adversities and adult physical and health outcomes, and disparities in health. She has recently been focused on resilience and flourishing mental health.  Her work has widely cited in the media including the New York Times, Forbes, Wall Street Journal, Time Magazine and CNN. We're thrilled to welcome her back and hear about her latest research in our last episode of 2022. Thank you for joining us all year long! We hope you have a happy, healthy and safe holiday season, everyone. Enjoy!  In this episode Peter and Professor Esme Fuller-Thomson discuss:   01:20 - Thank you so much for listening and for subscribing! 01:15 - Intro and welcome back Dr. Esme Fuller-Thomson! 01:57 - Since our last visit HERE, she has completed some new research on Anxiety and ADHD 03:00 - Women with ADHD were 5x more prone to anxiety, compared to women without ADHD 04:20 - What is the percentage of researchers who study ADHD and Anxiety? 05:45 - On budget, finance and anxiety + ADHD 07:17 - Are you one of the people perhaps more at risk for anxiety? Ref: Research Aug. 31, 2021 08:00 - ADHD and finding moderation with controlled substances/impulse control 09:40 - And now for the new good news!  11:00 - Ref: Corey Keys at Emory University and his three pillars of “Excellent Mental Health” 13:00 - More than 2 out of 5 are flourishing w/ excellent mental health; how do we get more of us here? 15:12 - On keeping perspective and not hyper-focusing on the bad stuff. 17:25 - A look at the factors in the study of those flourishing with ADHD 18:29 - 300 years ago, exercise was a mandatory part our daily life because we needed it to simply exist 19:40 - People who use spirituality to cope w/ their day to day troubles were much more likely to be in complete mental health. 20:43 - Point | Counterpoint on relationships and marriage 21:17 - Happiness and chronic pain 22:00 - Remember, just a few years ago it was still rare for Women to get an ADHD diagnosis 23:56 - What is CBT and can it be helpful? Ref: Cognitive Behavioral Therapy  00:00 - How can people find more about you?  Just type in Fuller-Thompson + ADHD, HERE on Google Scholar, or via https://socialwork.utoronto.ca/profiles/esme-fuller-thomson/ 25:00 - Thank you Esme! 25:18 - “Thank you Peter for what you do for the whole community of people with ADHD. We all appreciate it!!” 25:28 - The Faster Than Normal book is still being printed, and this is awesome, THANK YOU and I'm so happy it's helping!!!!   26:07 - Happy Holidays!!  Guys, as always thanks so much for subscribing! Faster Than Normal is for YOU! We want to know what you'd like to hear! Do you have a cool friend with a great story? We'd love to learn about, and from them. I'm www.petershankman.com and you can reach out anytime via email at peter@shankman.com or @petershankman on all of the socials. You can also find us at @FasterNormal on all of the socials. It really helps when you drop us a review on iTunes and of course, subscribe to the podcast if you haven't already! As you know, the more reviews we get, the more people we can reach. Help us to show the world that ADHD is a gift, not a curse!  26:35 - Faster Than Normal Podcast info & credits. — TRANSCRIPT via Descript and then corrected.. somewhat: [00:00:40] Peter: High, high, high. Hope you're well. This will probably be last episode will be recorded before Christmas and the holiday break. I hope that you are all going somewhere warm or if. You are doing something that keeps you busy or maybe going somewhere cold if you live in a warm area right now, like to all my friends in Australia anyway, I'm not, I'm in New York City, it's 12 degrees or some crap like that. Um, I am getting outta here later in the week for about a week and, and gonna bury my head in the sand somewhere warm. So that's nice. Anyway, we have a g returning guest. We. Esme. Okay, I gotta stop you right here. Cause first of all, you understand I love this person. This person is one of the few people who's out there doing hardcore research on girls, women, and adhd. So I want to welcome back Esme Fuller Thompson, Dr. Esme Fuller Thompson. She's an incredible guest. We had her right, we think about God two or three years ago, I think it was pre pandemic. So it's wonderful to have you back as we welcome and you got tons of new stuff to talk about.  [00:01:36] Dr.Fuller-Thompson: Absolutely. And some of it is really positive because last time I came it was all about the negatives. And I still have some, I remember. Yeah. But I promised you that I had in the works, um, some research on flourishing among h adhd. So do you wanna start with the bad stuff or the good stuff? Which one?  [00:01:52] Peter: Let's get the bad stuff outta the way.  [00:01:54] Dr.Fuller-Thompson: Okay, so, um, when I was with you, which I think was about two years ago, we were talking a lot about women with h ADHD which is dear to my heart. Um, I think it's a neglected population. People really haven't been looking at it, but we, we, in that time we talked about, um, depression and suicidality. But we didn't really know very much about anxiety. So I worked on a paper that came out, um, uh, almost a year ago on generalized anxiety disorder among A D H D and life. It, it's not too surprising that the rates are higher among people, um, with adhd cause life is anxiety producing because things are sometimes quite chaotic, right? So yes, indeed. Um, We found that people with A D H D had four times higher odds of anxiety disorders compared to their peers without [00:02:52] Peter: Wow. Four times higher odds of anxiety disorders when you have ADHD. Wow.  [00:02:57] Dr.Fuller-Thompson: Yes. Yeah, so I mean, I was expecting maybe double, but. Four times and it's women. Insane. Were even worse. Women, women with a adhd were five times compared to women without h adhd. Now these are young, relatively young, like 20 to 39 year olds. And um, ooh, you know, that, that, that's hard. It's hard to, to manage. Uh, that doesn't mean that they actually have it necessarily at this moment, but they've had anxiety disorders. So some have overcome it, but, but it's, um, it's a significant barrier that, that a lot of people with a d h ADHD have to go through. And as I said, women have, um, a harder time with it even than men, even though women in general have higher anxiety., Women with ADHD proportionately are doing worse than women without ADHD compared to men with ADHD versus men without, so interesting. It's, it's, uh, it's a real issue and I think it's neglected. I don't think, I think the other behaviors, you know, the, the depression and substance abuse, those ones tend to get more attention, but anxiety can be crippling. And I think we need to think about it as, as clinicians and also as as people with A D H D and, and also people who love people with A D H D, that keeping an eye on that anxiety and thinking about interventions to help with it because there are some really good interventions.  [00:04:18] Peter: I know for a lot of people who are getting help with A D H D and they're getting help, uh, you know, whether it's medication, whether it's, uh, D B T or whatever, you know, there are a lot of. What do you think the percentage of of psychologists or or therapists are that put together the link between ADHD and anxiety?  [00:04:38] Dr.Fuller-Thompson: Well, certainly I know with, um, some of my research on women and other people's research that women are much less likely to get the correct diagnosis and Right. So they might have, they, so sometimes they might be that anxiety or the depression or flagged and they haven't put it together that it's A D H D. If people are brought in young, uh, be maybe because of school related stuff for A D H D, they may not be screening for, um, depression or anxiety. So it's, I what I, my plug is if you have people presenting with anxiety and depression, think about A D H D. If you have, um, have patients or clients with a D H D think about depression and anxiety. Not that everybody has it, and we'll get the good news at the end. But it is more, much more likely to occur. And among those with, uh, among women are more vulnerable than men. But there's other things too. Um, low income is very anxiety producing, whether you have ADHD or not.  [00:05:40] Peter: Wondering, and I completely, I mean that, that's a given. There's no question about that.  [00:05:43] Dr.Fuller-Thompson: Absolutely. But, People with A D H D may have harder time managing budgets and, and making sure that the money makes it all the way through to the end of the month. And so that, that's very anxiety producing. So now going from middle class to upper class, that doesn't make a huge difference. But being really close to the line and not having enough to make ends meet is desperately anxiety Produc. Yep.  [00:06:11] Peter: I believe it. And what's interesting is that I think, you know, especially now in this sort of worldwide financial crisis we're in, you know, that certainly doesn't help. It's, it's tough enough when, when we're all doing moderately well, [00:06:22] Dr.Fuller-Thompson: Yes. Yeah. So, uh, I, now, my, I should have comment that my research is based on, uh, representative samples, but before the pandemic, right? So everybody got more anxious, more depressed, and more, you know, during the depress the, um, pandemic and being locked at home is. Great for people who like a lot of the stimulation and activities. So I'm guessing that these estimates are perhaps, um, underestimates of the magnitude of the problem in probably, yeah. The pandemic. So I, I, as I said, there'll be a while before we get that kind of information out, but it seems logical to think it's not getting better anyway.  [00:07:06] Peter: Hmm. Unreal. Unreal. , but you said you had good news. [00:07:11] Dr.Fuller-Thompson: All right, well let me just finish the other people at risk, cuz those are kind of Okay. More, more bad news. Let's go over that. More bad news. Okay. Um, so the, uh, people who had more close relationships were much less likely to have anxiety. So almost every study I've done in ADHD, social support, having a confidant, having, uh, a spouse on your side. All of those things are really, really protective. So, um, the idea of building and building a so social support network and reaching out to that network and investing in it really helps on all those fronts. Um, . And then the, uh, the other negative news in August in 2021, I published on substance use disorder. And we touched on this briefly, I think two years ago when we talked about it, but some people, uh, uh, we found that people with A D H D were much more likely to have had a substance use disorder at some point in their life. And we're looking at 20 to 39 year olds and. Almost half had a substance use disorder. I don't think that'll be too surprising to you having talked with so many of your guests, but Yeah, not at all. So the issue is, I mean, some people are able to consume in moderation, but people with A D H D are probably many of them. find Moderation a hard piece. It's kind of an all nothing piece.  [00:08:35] Peter: People are able to, people with ADHD are some are able to consume with, what'd you say? [00:08:39] Dr.Fuller-Thompson: With moderation? Say, oh, I'll just have a glass. But that's,  [00:08:42] Peter: why are you, why are you making up words? I've never heard this word. Moderation. What is that?  [00:08:48] Dr.Fuller-Thompson: So my point is that, um, among people with substance use issues and a D H D and impulse control issues, perhaps abstinence is a good strategy. Not, you know, some people can do it without the abstinence kind of piece, but, um, You know, it, it can get you into, if you have impulse control and drinking and drink, this is all types, uh, it's higher for everything, cannabis, uh, heavy drugs and alcohol. So, um, generally the. The idea is that, uh, A D H D makes it harder to manage, uh, substances in general and makes you more vulnerable to, um, addictions. So that makes perfect sense. Yeah, totally makes sense. So those are the bad news, but can I get to the good news? Can I share with you,  [00:09:39] Peter: for God's sake? Yes. [00:09:40] Dr.Fuller-Thompson: After all of this. Okay. So, So, uh, you know, I'm, I'm more than a quarter century into my career, and so I, I have spent the first 20 some years looking at negative things, depression, anxiety, um, uh, suicidality, and, you know, that's a bit of a Debbie Downer. When you go to parties and you say, oh, what do you do? I'm looking at depression, anxiety, thanks, geez. But, and then, but it's a little bit of. Whack-a-Mole Pro, uh, uh, problems, you know, that little kid's game where it's politics of course. Yeah. Very, uh, politically incorrect, where just spit poor moles on the head and yeah, one goes down and the other pops up. So, you know, here I am, I'm like, okay, I'm focusing on say A D H D and anxiety. And so, you know, you think about interventions and many really good interventions and maybe anxiety goes down, but depression pops up or maybe depression goes down and substance abuse pops up. So, um, I, I started thinking, well, I need to really look at it holistically. And if I said to you, how are you doing today? And you said, I'm not suicidal. Well, that's not really where we want you to be. We want you to be flourishing, right? So, um, I started looking around and there's an amazing researcher at Emory University called Corey Keys, and he came up with this concept. Excellent mental health. So when I ask you what does mental health mean to you? Not just it's, it's the absence of mental illness. Sure. But that's not really enough. Just not being suicidal or not being depressed. It's really more than that. So his idea has, Three pillars. The first one is, no mental illness in the past year. No substance dependence, no um, depression, no anxiety, no bipolar, and no serious suicidal thought. So that's a great place that's getting you to, that's pillar one is getting you to neutral, which is great. Um, and certainly if people are, are, are, have any of those issues, getting them out of that is, is your first plan as a clinician or as a family member. But then, then pillar two. How often in the last month have you been happy? And you have to say every day or almost every day. Like if you're just happy twice a week, it doesn't make it. And they also ask how, how often you are satisfied with your life and you have to be daily or almost daily. So you can see that one of you have to be at least one of these. So pillar two is happy or satisfied on an almost daily level. So no mental illness and you're happy and satisfied. And then pillar three is about psychological wellbeing and social wellbeing. I have warm and supportive relationships. Life is getting better for peace pull. Like me, I like most parts of my personality. And in the last month you have to agree to the majority of those six of the 11 questions. at least, uh, daily or almost daily. You have to agree to that. So this is really, really, really high, right? You're not mentally ill. You have no substance dependence, you have no suicidal thoughts. You're happy and or satisfied, and you have warm and you, you have great social or psych and or psychological wellbeing. Like, isn't this what we're hoping for?  [00:12:54] Peter: Yeah, one would think,  [00:12:56] Dr.Fuller-Thompson: all right, so among those with ADHD, this is a really, really high bar. More than two and five are flourishing, are absolutely flourishing, are hitting this incredibly high bar.  [00:13:12] Peter: Interesting, interesting. That's more than two and okay. . I wouldn't, I would not have thought that ,  [00:13:20] Dr.Fuller-Thompson: neither would I. And in fact, when I talk to anybody else, they all say, oh no, it's gotta be 10% or something like that. But, and you know, some of the blame is to us who are researchers, cuz we've just focused on the negatives. Like I started the conversation with, but without looking at, well there are some people who are completely free of mental illness and are flourishing, and why don't we spend more time thinking about who those people are and how they got there and how can we help more people get to that point.  [00:13:51] Peter: Really, really interesting thoughts. I, you know, it's interesting. I think that a lot of, and I mean, look, I, I'm not the doctor you are, but I think there's, I wonder if a part of the reason that people with A D H D tend to find themselves in positive spaces more often is because, , we're very, very good at changing the subject. In other words, we're in a bad mood for as long as that bad mood can hold our attention. .  [00:14:16] Dr.Fuller-Thompson: Okay, well, so fine. But, but at least, at least, uh, almost daily in the past month, uh, past week, months, uh, you have to have been happy. So you're saying the, it's the, uh, [00:14:28] Peter: well, cause you have, you have to be happy 24 7. I mean, no one's happy. No, no,  [00:14:32] Dr.Fuller-Thompson: no, no. You have, just have to have happy. Right. Yeah. Or you have, you have happy moments. Oh, well then, now I have to admit that people with a d, ADHD have a much lower rate than people without H adhd. But I, my, what I was focusing on, and I think, I think partly as we said, because we do all this negative research about all the negatives, people feel that they are, they don't have in front of them our potential to flourish. That they, you know, that, that that is not a trajectory for them. And I'm saying, wow, many, many, many people are getting to that incredibly high level of functioning and just, you know, life is good.  [00:15:12] Peter: Yeah. It's really, you know, it's fascinating. I think that that, you know, we spend a lot of time complaining. Oh, this is this and this. I mean, we got on the phone today, Peter, how you been? Oh my God, these last six months. You know, but, but in retrospect it's not bad. It's, there's day-to-day annoyances in the minutiae, but. , I'm here. I have my health. I'm, I'm, I'm my kid's doing well, you know, all those kinda things. I'm happy and, and I think that I at least look. Again, I'm, I'm looking at a sample of, of one or maybe two here, but I think that A D H D helps you stay happy because there's constantly something exciting. Something shiny just over the next hill. I know it sounds ridiculous. [00:15:59] Dr.Fuller-Thompson: No, but life is, I mean, let's be honest, it's fun to hang around with people with adhd, life, Ising. Right?  [00:16:06] Peter: Well, it's fun to hang around with people with adhd as long as those people with ADHD are on the right path or understand their path. I think that that there have been times when I've hung out with people who were probably undiagnosed adhd. You know, I take, I, I, I turn my head for a second. I look back and everyone's railing fat lines of cocaine. So I think that ADHD does have some negatives there in terms of the fun of hanging out with them. But yes, I mean, you know, my, my girlfriend tells me constantly that the reason, one of the reasons she, she, she loves hanging out is she never knows what's gonna happen next. You know, we're, we're sitting in a cafe one day and the next day we're flying somewhere because I read an article about a waterpark or whatever. So I think. You know, you have to, you have to sort of know yourself, but yes, I totally get that.  [00:16:53] Dr.Fuller-Thompson: Mm-hmm. , so, so again, this was based on a sample, a representative sample of Canadians prior to the pandemic. So I'm pretty confident that the way that data was gathered, it's a really solid national study. So I'm, I'm, I'm confident with those numbers. But I wanted to talk a little bit about what was a hindrance or a help. Apparently I looked at what, what we call the factors associated with A D H D. So what are the characteristics of those, sorry, factors associated with flourishing among those with A D H D. Okay. And so, alright, right, let's just talk about it. Physical activity. I know this is one of your things. If you were pH physically active, they were four times more likely to be in the state of flourishing four times.  [00:17:40] Peter: I'm sorry that that's just a, that's just duh. Of course you, you, you, you box for an hour. You go for a run, you're chock full of do you're high as a kite. Of course you're gonna be happier and at the very least you're gonna be happier. Cause, cause it's over, You did it,  [00:17:54] Dr.Fuller-Thompson: but our, our lifestyle is not conducive to exercise. It's an effort. It's an organi. You have to be organized, you have to get out, you have to do exercise. The, the way you know modern life is it's easier to sit on your couch and it's hard to get that momentum to get up and out, but, Boy, oh boy. Four times the odds. This is, this is a winner. do not pass Go without exercise. Right.  [00:18:21] Peter: Well, you know what's interesting and that brings up a whole nother series of, of questions. One of the reasons that A D H D you might argue, and again, uh, this could be an argument. One of the reasons a d ADHD has flourished in the past a hundred years, um, is because 300 years ago, 400 years ago, exercise was part of our daily life because we needed to exist. Right. We exercised cause we'd exercise, we wouldn't catch. The, the, the, the, the, the Saber tooth tiger and have dinner. Right? And then we discovered farming, and then we realized we didn't have to walk so much. So the the premise of, you know, having all your food delivered by a messenger, by a, by a, by a GrubHub, um, that's a relatively new concept for our brains. Our brains are, are very, very slow creatures. So that, that's a very, very big part of it. You know, I would be willing to argue that that ADHD or, you know, People were probably a bit happier back then because they had to exercise, they had to work out, or they didn't exist.  [00:19:09] Dr.Fuller-Thompson: Yeah, absolutely. So now it's an effort you have to put . Structured in your day that you're gonna get to exercise. But this is, you know, I almost never see odds this high, like do this four times. You know, usually something improves it maybe 20%. If you're really, really lucky, it doubles it. But four times. Wow. This is a keeper for sure. You know? Now. Um, the other thing that was really interesting, and I haven't done much research on it, but um, I'd love to do more people who use spirituality to cope with their day to day troubles. Were much more likely to be in complete mental health.  [00:19:51] Peter: Say it. Say that again, slower.  [00:19:53] Dr.Fuller-Thompson: So, people who use spirituality or religion, so it may be an organized religion, or it might be spirituality as well. Okay. And if it was very protective. So people who use spirituality were much more likely to be in this happy sat life, satisfied, mentally healthy space. [00:20:10] Peter: Okay. I believe that if you think there's something bigger than you, regardless of what it is,  [00:20:15] Dr.Fuller-Thompson: all right, now, the and. And also that you have something to turn to, right? So that you have some right, and it, it's concenter as well. I mean, I don't know exactly why. I just know when you had do these sort of survey research, you don't know the reasons, you just know the association. So, but, um, being married is very protective and I think that's getting back to the confidant, having people on your side, um, and possibly to stabilize you too .  [00:20:43] Peter: Well, and you know.. There, there are, there, there are outliers of all different studies. Yes. Some not as, some, not as accurate as others, but No, I hear what you're saying. Um, I don't, I don't fit into that. But, um, I would, I would argue the caveat of with the right person.,  [00:20:59] Dr.Fuller-Thompson: right? I would definitely, um, and also, and I mean, being married or being in a, in a committed relationship kind of thing is helpful. Um, if it's, if you're right, if it's with the right person. And the thing is, when you do rep representative samples, usually the ones who aren't with the right person may no longer be with them. So I you don't see them in your analysis. Right. Um, now, Not, again, this is another no-brainer, but people who were in chronic pain were less likely to be in complete mental health. Now that seems completely obvious, but I was surprised how many people, these are relatively young people with ADHD are in chronic pain, perhaps because it risk taking behaviors or i, I don't know why, but, um, that's worth getting treated. You know, you've got your mental health stuff going on, but there's, if there's physical pain, Life is really hard and it's hard to be happy with it. Right. Um, and, uh, again, my poor women with h d they're less likely to be flourishing than men with h d, which is in keeping with all the, the higher prevalence of the negative things that we talked about earlier. Right. Um, so they're less likely to be all, um, completely flourishing. , you know, still many women were, but it's just, um, women with ADHD seem to be struggling more. Um, but there's a couple reasons for that. It's because, so remember I, this study was done almost 10 years ago, so women with a d d were not diagnosed very often. So I have a feeling that the women in my study who were diagnosed with adhd, they were probably fairly far along the spectrum with ADHD to actually get the diagnosis. So they may be. They may be, um, worse off than the av the average woman who would be worse off than the average man just because the people with milder symptoms would, uh, women can often, uh, mask the symptoms better than men because, especially girls, and so they were less likely to be diagnosed. So I have a feeling the women that we have, We're, we're pretty far along, and maybe that's why they're doing poorly. But it may be, it's just there may be less acceptance for women with ADHD related symptoms in society too. Um, we're still working on why women are vulnerable and trying to get a picture of that. But, uh, when more and more women are getting, um, diagnosed, I think there'll be, um, There'll be more understanding and more interventions. And then the other thing I just wanted to talk about, and I, I plugged this ev every time I talk to, uh, uh, you know, people with, uh, ADHD and any mental health CRI crisis. So even though though two 42% were doing really well that means that, you know, a little bit more than half had at least one of these other problems that that wasn't flourishing to the extent that they would like to, or we would all like them to. So, um, I just wanted to suggest that cognitive behavioral therapy, it's also called CBT is relatively short, relatively in inexpensive. It's a, it's a form of talk therapy. You can have it in a group session, eight weeks to 16 weeks, and it's been shown with people with A D H D and people with depression and people with anxiety and people with substance dependence. It's really, really helpful and what it does is it helps you capture your dysfunctional thoughts. So if you're telling yourself negative messages, which you may have heard in childhood, oh, you can't do this. You know, you're never gonna achieve. You tell yourself these types of messages many times an hour, that is gonna pull your, your mood down, your ability to function. So it helps you grab these thoughts and look at them objectively and reevaluate. And it can, it's, it really is kind of almost like you're reprogramming your own brain with more positive messaging, and that is helpful for, for almost every negative mental health outcome and certainly promotes better mental health.  [00:25:02] Peter: No question about it. What a phenomenal interview. We're well passed our time but that was totally worth it. Thank you, Esme it's wonderful to have you back. As always, [00:25:11] Dr.Fuller-Thompson: my pleasure.  [00:25:11] Peter: You're welcome here anytime you want. Really, really good stuff. Thank you again for taking the time. It's, it's great to talk to you again [00:25:18] Dr.Fuller-Thompson: And thank you Peter for what you do for the whole community of people with ADHD. We all appreciate it.  [00:25:24] Peter: That means a lot. Thank you. Okay guys. Fast than normal is for you. And I got some good news actually. So it turns out that Faster Than Normal, the book, which most of you know about and have read and probably brought you here, um, is still printing. It's, it's gone into like it's fourth or something, printing, and I've written five books and all five books I've gotten advances on, right? Uh, progressively more and more money. And then this Faster Than Normal I get a really nice advance and I thought, wow, there's a really nice advance. There's no way I'll ever make it back because I've never made an advance back in any of my previous. I beat my advance for Faster Than Normal. So, so finally, like five years later, I am actually earning royalties and, and I owe that to everyone who has ever listened to everyone who has ever bought a copy of Fast Than Normal. Thank you. It means the world to me.  We will see you again next week. We actually probably won't because next week is a holiday. We're probably gonna take a couple weeks off and we'll be back in the new year. We have, uh, sponsors coming up. We have new sponsors for the for the podcast. Lot of cool stuff. New guests, amazing guests, amazing repeat guests like Esme. Lots of people coming on the podcast, so, so stay tuned. As always, Faster Than Normal is for you. A D H D. All sorts of neurodiversity can be gifts as long as you know how to use them. Have a safe and wonderful holiday guys. We will see you soon. Credits: You've been listening to the Faster Than Normal podcast. We're available on iTunes, Stitcher and Google play and of course at www.FasterThanNormal.com I'm your host, Peter Shankman and you can find me at shankman.com and @petershankman on all of the socials. If you like what you've heard, why not head over to your favorite podcast platform of choice and leave us a review, come more people who leave positive reviews, the more the podcast has shown, and the more people we can help understand that ADHD is a gift, not a curse. Opening and closing themes were composed and produced by Steven Byrom who also produces this podcast, and the opening introduction was recorded by Bernie Wagenblast. Thank you so much for listening. We'll see you in January- Happy Holidays!! 

In this episode I welcome on one of my hero's in medicine, Dr. Mark Pimentel. Without hesitation, he changed my career trajectory for the better when I first came across his work in 2007. Since then he has been a mentor, adviser, and educator of me as I have dedicated myself to helping patients dealing with Irritable Bowel syndrome, Small Intestinal Bacterial Overgrowth, and Intestinal Methanogen Overgrowth. We covered so many amazing topics in this episode including: Highlights from the last 5 years of Dr. Pimentel's research His career trajectory from IBS starting as a psychosomatic disorder to know a disorder with a defined pathophysiology The latest 2021-22 research that identified the key microbes involved with hydrogen overgrowth sibo, intestinal methanogen overgrowth, and hydrogen sulfide overgrowth The role of bile acids in Irritable bowel syndrome The role of stomach acid in IBS/SIBO/IMO The role of the migrating motor complex in IBS Post-infectious Irritable bowel syndrome What makes a good GI Doctor the Medically Associated Science and Technology Program (MAST) at Cedar Sinai and more. about Dr. Pimentel: Mark Pimentel, MD, FRCP (Fellows of the Royal College of Physicians – Canada) Mark Pimentel, MD, is a Professor of Medicine at Cedars-Sinai. Dr. Pimentel is also the Executive Director of the Medically Associated Science and Technology (MAST) program at Cedars-Sinai, an enterprise of physicians and researchers dedicated to the study of the gut microbiome in order to develop effective diagnostic tools and therapies to improve patient care. Dr. Pimentel is also a Professor of Medicine at the Geffen School of Medicine, University of California, Los Angeles (UCLA.) As a physician and researcher, Dr. Pimentel has served as a principal investigator or co-investigator for numerous basic science, translational and clinical investigations of irritable bowel syndrome (IBS) and the relationship between gut flora composition and human disease. This research led to the first ever blood tests for IBS, ibs-smart™, the only licensed and patented serologic diagnostic for irritable bowel syndrome. The test measures the levels of two validated IBS biomarkers, anti-CdtB and anti-vinculin. A pioneering expert in IBS, Dr. Pimentel's work has been published in the New England Journal of Medicine, Annals of Internal Medicine, American Journal of Physiology, American Journal of Medicine, American Journal of Gastroenterology and Digestive Diseases and Sciences, among others. Dr. Pimentel has presented at national and international medical conferences and advisory boards. He is a diplomate of the American Board of Internal Medicine (Gastroenterology,) a fellow of the Royal College of Physicians and Surgeons of Canada and a member of the American Gastroenterological Association, the American College of Gastroenterology, and the American Neurogastroenterology and Motility Society. Dr. Pimentel completed 3 years of an undergraduate degree in honors microbiology and biochemistry at the University of Manitoba, Canada. This was followed by his medical degree, and his BSc (Med) from the University of Manitoba Health Sciences Center in Winnipeg, Manitoba, Canada, where he also completed a residency in internal medicine. His medical training includes a fellowship in gastroenterology at the UCLA Affiliated Training Program. papers referenced https://journals.lww.com/ajg/pages/articleviewer.aspx?year=2022&issue=12000&article=00029&type=Fulltext https://pubmed.ncbi.nlm.nih.gov/33534012/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9145321/ #ibs #sibo #imo #irritablebowelsyndrome #dysbiosis

Hussein Rassoul is an Orthopedic Surgery Resident. In this episode, Hussein and I talk about private healthcare employment, medical insurance, the business of medicine, medical practice laws, health coverage network, the time period to become a doctor, medical practice patterns, commoditization of medicine, hip surgeries, carpal tunnel syndrome, UCSD, competition in the medical field, medical residency matching program, orthopedic surgery, and Platelet-Rich Plasma (PRP) injections.The New England Journal of Medicine: https://bit.ly/3UUhsW6The Lancet Journal: https://bit.ly/3PifKfUThe University of California, San Diego: https://bit.ly/3FmzQRSOrthopedic Surgery: https://bit.ly/3FdwmAQNephrology: https://bit.ly/3HnEBgCGastroenterology: https://bit.ly/3FK72UPNursing Schools in the United States: https://bit.ly/3Wrgq5lTimeframe for Becoming a Doctor in the US: https://bit.ly/3FnZYvoGuide to Becoming a Doctor in the US: https://bit.ly/3UUil0SUSA Government Health Insurance: https://bit.ly/3W409mqHealth Insurance in the United States: https://bit.ly/3FfgBcOHealthcare Networks in the United States: https://bit.ly/3BtZ3seHealth Insurance Network Types in USA: https://bit.ly/3HtscryState Specific Requirements for Initial Medical Licensure: https://bit.ly/3Plvw9OEssentials of a State Medical and Osteopathic Practice Act: https://bit.ly/3UNp7FFHip Replacement Surgery: https://bit.ly/3FlZJRzAmerican Hip Institute & Orthopedic Specialists: https://bit.ly/3FsdJcSCarpal Tunnel Syndrome: https://bit.ly/3Bu06ZfCarpal Tunnel Surgery: https://bit.ly/3hiHDIkAnesthesiology: https://bit.ly/3iWMlfaHealthcare Labor Statistics in the US: https://bit.ly/3uEfGOiCommoditization of Health: https://bit.ly/3hgiMVwResidency (medicine): https://bit.ly/3iZdRZqList of Medical Journals: https://bit.ly/3BrOrtQUS Healthcare Reimbursement: https://bit.ly/3UQEPzYAffordable Care Act (ACA): https://bit.ly/3iVpjWcRoe Vs Wade Overturned: https://bit.ly/3iUvN7MAnesthesia: https://bit.ly/3BsuSlvPhysiology: https://bit.ly/3YcWu7LAnatomy: https://bit.ly/3HthQYBClinical Anatomy: https://bit.ly/3FiiyVPPharmacology: https://bit.ly/3BnLZ7FB

Dr. Erin Zagadailov is the founder and creator of Lady Grantham Apiary, a bees first flower farm in Grantham, NH with a mission to promote pollinator conservation and locally grown flowers. Taking a sabbatical from biotech, she is a pharmacist and health economist with expertise in developing and commercializing treatments for oncology and rare diseases. Her research has been published in the New England Journal of Medicine, The Lancet, and other scientific journals. In her spare time, Dr. Zagadailov volunteers with the New Hampshire Women's Foundation. Visit Lady Grantham Apiary on Instagram  Lady Grantham Apiary Get your official Lady Grantham Apiary Merch! Learn about creating a backyard pollinator heaven: Grantham Garden Club  Apimaye Hives

The Science Behind The Psychedelics Boom There's been an explosion of new research into therapeutic uses for psychedelics. This includes drugs like psilocybin, the hallucinogenic chemical found in “magic mushrooms,” and ketamine—which was originally used as an anesthetic, and later became a popular party drug also known as “special K.” Esketamine, a form of ketamine, was approved by the FDA in 2019 for use in treatment resistant depression. And just last month Colorado residents voted to legalize medicinal use of psilocybin. Following on the heels of Oregon's legalization in 2020, which is now in the process of being implemented. A recent study published in the New England Journal of Medicine showed promising results in using psilocybin to help patients with treatment-resistant depression. About a third of those who received the highest dose were in remission 3 weeks later. This was the largest look at psilocybin's effect on depression to date, involving 233 participants across ten countries in Europe. Ira talks with Dr. Steve Levine, senior vice president of patient access and medical affairs at COMPASS Pathways, the company that funded the study. Later, Ira takes a closer look into the latest psychedelic research and takes listener calls with Dr. Gerard Sanacora, professor of psychiatry and director of the Yale Depression Research Program at the Yale School of Medicine, and Dr. Alissa Bazinet, Clinical Psychologist, Co-Founder and Director of Research and Development at the Sequoia Center, and Associate Director of the Social Neuroscience and Psychotherapy Lab at Oregon Health and Science University.     How Will AI Image Generators Affect Artists? Back in August, controversy erupted around the winning submission of the Colorado State Fair's art content. The winning painting wasn't made by a human, but by an artificial intelligence app called Midjourney, which takes text prompts and turns them into striking imagery, with the help of a neural network and an enormous database of images. AI-based text-to-image generators have been around for years, but their outputs were rudimentary and rough. The State Fair work showed this technology had taken a giant leap forward in its sophistication. Realistic, near-instant image generation was suddenly here—and reactions were just as potent as their creations. Tech enthusiasts lauded the achievement, while artists were largely concerned and critical. If anyone could make a painting in just a few seconds, why would someone need to commission an artist to produce an illustration, or even bother spending years learning art at all? Read the rest on sciencefriday.com. Transcripts for each segment will be available the week after the show airs on sciencefriday.com.  

Julie Cantor, MD | JD, is the founder of the Harlen Collection, a line of women's handbags that are functional in the extreme, exquisitely crafted, and thoroughly modern. The Harlen Collection is a collaboration of artists, artisans, and designers from Los Angeles, New York, Florence, and Milan. Dr. Julie Cantor is also a practicing litigator whose focus is on protecting civil rights. She has practiced with two elite firms for the better part of 15 years and has taught her seminar, Reproductive Rights, Medical Ethics & the Law at the UCLA School of Law. She has been featured in the New England Journal of Medicine and the NBC News THINK platform. Listen in as Dr. Julie Cantor talks about protecting civil rights and how to make a difference as an entrepreneur. Timestamped show notes 03:49 - Entrepreneurial journey 12:35 - Distinguishing yourself 17:33 - Roe v Wade 27:40 - Working twice as hard to get half as far 29:46 - “A dissent is an appeal to the intelligence of a future day.” 35:34 - What can people do? 36:26 - Activism 45:56 - The universe bends toward justice 51:28 - Inspiring women Links The Harlen Collection: https://harlencollection.com/ Dr. Julie Cantor's Website: https://www.juliecantor.com/

Craig Fowler, Founder & President of the Athenic Group, which helps Hospitals, Medical Practice Owners, UCs, Nurses, PAs, Doctors and others solve their healthcare recruiting challenges through dedicated Physician Search and the training and development of your recruiting the right medical staff to fit in well in your practice environment and remain committed for years to come. Craig is a 20+ year veteran of the physician recruiting industry; including holding senior leadership roles with several of the largest retained physician recruiting firms in the country. He is a former President of the National Association of Physician Recruiters (NAPR) and is a sought after speaker and trainer on physician recruitment processes and trends. He has also received accolades from respected healthcare organizations and associations such as: TEAMHealth, Tenet Healthcare, Piedmont Healthcare, Memorial Hermann Hospital, UT Chattanooga, Medical College of Georgia, Physician Hospitals of America, American Academy of Private Physicians, Concierge Medicine Today Forum. Some of his media credits include: NBC News, New England Journal of Medicine, Becker's Healthcare, Neurology Today, MGMA, NAMPC, Concierge Medicine Today, NAPR, and AAPPR (formerly ASPR). ATHENIC GROUP 220 N Jeff Davis Dr, Ste 4 Fayetteville, GA 30214 Office: 404-580-3443 cfowler@athenicgroup.com Recruitment Services Our recruitment services division functions as a boutique search firm specializing in physician and provider recruitment. We use the same resources large retained firms' use, but we take a more tailored and personal approach. Training & Development Our training and development division offers a range of services to help improve your recruitment team's performance, therefore decreasing your need for outsourced recruitment. Services range from skills evaluation, rookie recruiter training, team development, training workshops and ongoing coaching. Complementary Services Our primary focus is to help your practice, facility and community by improving the lives of those who seek healthcare from you. Other complementary services that we offer include: Expert Marketing Services, Succession Planning/Consulting for the Concierge and Direct Primary Care Practice, Expert Witness Testimony Services, and Search Evaluation & Consultation Services. www.AthenicGroup.com Let's get started ... This Podcast Is Recorded By The DocPreneur Leadership Podcast/Produced/Hosted by Concierge Medicine Today, LLC. 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Spanish episode #3   |   Episodio #3 en español Un reciente ensayo clínico para el cáncer de recto dirigido por Memorial Sloan Kettering ha captado la atención de médicos oncólogos y científicos del cáncer alrededor del mundo. Como un milagro, en un subconjunto de pacientes con la composición genética adecuada, una infusión intravenosa de inmunoterapia provocó una remisión completa. Los médicos se sorprendieron. El cáncer desapareció en todos los pacientes inscritos en el ensayo clínico. Los resultados son tan impresionantes que se publicaron en The New England Journal of Medicine y se presentaron en la reunión de oncólogos clínicos más grande del país en junio de 2022. En este episodio, la Dra. Diane Reidy-Lagunes habla con los diseñadores de este estudio, los Dres. Andrea Cercek y Luis Diaz, sobre lo que significa esta noticia innovadora para los pacientes con cáncer y la comunidad científica en el futuro. Más información sobre el Centro para el cáncer colorrectal y gastrointestinal de aparición temprana de MSK. Breakthrough Rectal Cancer Drug Trial: What It Means For You A recent clinical trial for rectal cancer headed up by Memorial Sloan Kettering has grabbed the attention of medical oncologists and cancer scientists around the world. Like a miracle, in a subset of patients with the right genetic makeup, an IV infusion of an immunotherapy caused a complete remission. The doctors were shocked. The cancer disappeared in every single patient enrolled on trial. The results are so impressive they were published in The New England Journal of Medicine and featured at the nation's largest gathering of clinical oncologists in June 2022. In this episode, Dr. Diane Reidy-Lagunes speaks with the designers of this study, Drs. Andrea Cercek and Luis Diaz, on what this groundbreaking news means for cancer patients and the scientific community moving forward. Learn more about MSK's Center for Young Onset Colorectal and Gastrointestinal CancerSee omnystudio.com/listener for privacy information.

Iran's national soccer team faces retribution in the Islamic Republic after coming up short in Tuesday's showdown against the United States. Internet users in China will soon be held liable for liking posts deemed illegal or harmful, sparking fears that the world's second largest economy plans to control social media like never before. In a phase III clinical trial, with results published Tuesday in the New England Journal of Medicine, the drug, Lecanemab -- developed by Eisai and Biogen Inc. -- slowed the rate of cognitive decline by 27% in patients in the early stages of the disease, making it the first drug of its kind to produce such positive trial results, the study showed.See omnystudio.com/listener for privacy information.