Podcasts about newborns

Send us a textHere are the takeaways from our Postpartum Thriving Kit:Postpartum is often misunderstood and requires more societal attention.Preparation for postpartum should start during pregnancy.Resting and caring for oneself is crucial in the early postpartum period.Physical recovery varies between vaginal and cesarean births.Lactation support is essential for breastfeeding success.Emotional well-being is as important as physical recovery.Professional support can help navigate postpartum challenges.Creating a comfortable environment aids in recovery.Having essential items readily available can ease the transition.Rest is a form of productivity during the postpartum period. Newborns require a lot of contact and sleep.Understanding the fourth trimester can ease postpartum challenges.Newborns typically do not sleep through the night for weeks.It's important to embrace the 24-hour clock mentality for newborns.Partner communication is crucial for shared responsibilities.Mental health strategies are essential for postpartum recovery.Anxiety can be common in the early postpartum period.Professional support can significantly aid in postpartum recovery.Breathwork and relaxation techniques can help manage stress.Building a supportive community is vital for new parents.Support the showWant to show your support? Want to help us continue doing this important and impactful work: Support the Show (we greatly appreciate it!)Don't miss new episodes: Join the Aligned Birth CommunityInstagram: Aligned Birth Email: alignedbirthpodcast@gmail.com Find us online:Sunrise Chiropractic and Wellness North Atlanta Birth Services Editing: Godfrey SoundMusic: "Freedom” by RoaDisclaimer: The information shared, obtained, and discussed in this podcast is not intended as medical advice and should not be relied upon as a substitute for professional consultation with a qualified healthcare provider familiar with your individual medical needs. By listening to this podcast you agree not to use this podcast as medical advice to treat any medical condition in either yourself or others. Consult your own physician for any medical issues that you may be having. This disclaimer includes all guests or contributors to the podcast.

Submit your question and we'll answer it in a future episode!Join our Patreon Community!https://www.patreon.com/badassbreastfeedingpodcastAre you still breastfeeding and planning on having your next baby? How will thatwork? How does sleep look? Can you tandem nurse? Today Dianne and Abbyanswer these questions and more, getting you as ready as possible for babynumber 2.If you are a new listener, we would love to hear from you.  Please consider leavingus a review on iTunes or sending us an email with your suggestions and commentsto badassbreastfeedingpodcast@gmail.com. You can also add your email to ourlist and have episodes sent right to your inbox!Things we talked about:The email behind the episode [7:12]Milk supply with pregnancy [9:44]The chaos of having a new baby [12:15]What Abby did to manage [15:00]Do things you can plan for [20:47]Let the baby have the full breast [23:09]Newborns act like newborns; your toddler might be the challenge [25:00]Figure out what will work for you [26:32]What partners can do [29:13]What's the bottom line [36:10]Links to information we discussed or episodes you should check out!https://badassbreastfeedingpodcast.com/episode/common-newborn-questions/https://badassbreastfeedingpodcast.com/episode/gassy-babies/Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/Check out Dianne's blog here:https://diannecassidyconsulting.com/milklytheblog/Follow our Podcast:https://badassbreastfeedingpodcast.comHere is how you can connect with Dianne and Abby:AbbyTheuring ,https://www.thebadassbreastfeeder.comDianne Cassidy @diannecassidyibclc, http://www.diannecassidyconsulting.comMusic we use:Music: Levels of Greatness from We Used to Paint Stars in the Sky (2012)courtesy of Scott Holmes at freemusicarchive.org/music/Scott_Holmes

Psalm 119:67, which says, “Before I was afflicted I went astray, but now I keep your word.”   *Transcription Below*   Doug Rumbold is a child of the living God, a loving husband to Jessica, and father to Jada, Oliver, and Pierce. Currently he is the Pastor of Counseling & Discipleship at Northfield Christian Fellowship where he has pastored since 2006. He desires for others to be transformed into Christlikeness through authentic relationships. He holds a biblical counseling certificate from CCEF, a Bachelor's in Youth Ministry/ Adolescent Studies, and a Master's of Ministry in Theology.   Connect with Doug on Instagram, Facebook, or schedule a counseling session through his website or order Doug's Book.   Presence over Pain Podcast When did you experienced your first major loss? What are the three types of suffering you see laid out in the Bible? Will you share one of your conversations with the Lord where He responded with alliteration?   Thank You to Our Sponsors: Chick-fil-A East Peoria and The Savvy Sauce Charities (and donate online here)   Connect with The Savvy Sauce on Facebook or Instagram or Our Website   Gospel Scripture: (all NIV)   Romans 3:23 “for all have sinned and fall short of the glory of God,”   Romans 3:24 “and are justified freely by his grace through the redemption that came by Christ Jesus.”   Romans 3:25 (a) “God presented him as a sacrifice of atonement, through faith in his blood.”   Hebrews 9:22 (b) “without the shedding of blood there is no forgiveness.”   Romans 5:8 “But God demonstrates his own love for us in this: While we were still sinners, Christ died for us.”   Romans 5:11 “Not only is this so, but we also rejoice in God through our Lord Jesus Christ, through whom we have now received reconciliation.”   John 3:16 “For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.”   Romans 10:9 “That if you confess with your mouth, “Jesus is Lord,” and believe in your heart that God raised him from the dead, you will be saved.”   Luke 15:10 says “In the same way, I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.”   Romans 8:1 “Therefore, there is now no condemnation for those who are in Christ Jesus”   Ephesians 1:13–14 “And you also were included in Christ when you heard the word of truth, the gospel of your salvation. Having believed, you were marked in him with a seal, the promised Holy Spirit, who is a deposit guaranteeing our inheritance until the redemption of those who are God's possession- to the praise of his glory.”   Ephesians 1:15–23 “For this reason, ever since I heard about your faith in the Lord Jesus and your love for all the saints, I have not stopped giving thanks for you, remembering you in my prayers. I keep asking that the God of our Lord Jesus Christ, the glorious Father, may give you the spirit of wisdom and revelation, so that you may know him better. I pray also that the eyes of your heart may be enlightened in order that you may know the hope to which he has called you, the riches of his glorious inheritance in the saints, and his incomparably great power for us who believe. That power is like the working of his mighty strength, which he exerted in Christ when he raised him from the dead and seated him at his right hand in the heavenly realms, far above all rule and authority, power and dominion, and every title that can be given, not only in the present age but also in the one to come. And God placed all things under his feet and appointed him to be head over everything for the church, which is his body, the fullness of him who fills everything in every way.”   Ephesians 2:8–10 “For it is by grace you have been saved, through faith – and this not from yourselves, it is the gift of God – not by works, so that no one can boast. For we are God‘s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do.“   Ephesians 2:13 “But now in Christ Jesus you who once were far away have been brought near through the blood of Christ.“   Philippians 1:6 “being confident of this, that he who began a good work in you will carry it on to completion until the day of Christ Jesus.”   *Transcription*   Music: (0:00 – 0:09)   Laura Dugger: (0:09 - 1:38) Welcome to The Savvy Sauce, where we have practical chats for intentional living. I'm your host, Laura Dugger, and I'm so glad you're here.    I want to say a huge thank you to today's sponsors for this episode, Chick-fil-A East Peoria, and Savvy Sauce Charities.   Are you interested in a free college education for you or someone you know? Stay tuned for details coming later in this episode from today's sponsor, Chick-fil-A, East Peoria. You can also visit their website today at https://www.chick-fil-a.com/locations/il/east-peoria.    Doug Rumbold is my guest today. He is a pastor of counseling and discipleship, and he has recently written a book entitled Presence Over Pain. With Doug's biblical foundation and his sense of humor, he's now going to share some personal stories of suffering and God's continued faithfulness.   He illustrates how a yearness of God is oftentimes born through trial. So, regardless of what each of us are walking through today, Doug's going to remind us that we have the opportunity to turn toward Christ. Here's our chat.   Welcome to The Savvy Sauce, Doug.   Doug Rumbold: (1:39 - 1:42) It's exciting to be here, even virtually.   Laura Dugger: (1:42 - 2:02) Well, and its always kind of special to have a local friend join me as a guest on the podcast. But for those who don't know you yet, I think it would be really helpful to hear your story and gain some context around what led you to write this book. So, will you just begin by sharing your story with us?   Doug Rumbold: (2:03 - 6:09) Yeah, I love stories in general. I think when I look at Scripture, three-quarters of it, roughly, is a narrative. It's a story.   And so, God's heart for story is just critical, even in His communication of truth and His love for us. So, it means everybody's story matters. So, my little story matters.   And I think mine's an interesting one. To begin with, I was born and raised in Morton, Illinois. And I was born the seventh of eight children.   So, my parent's kind of did this, like, unbelievable quantity of births in a short amount of time. I'm not a woman, so I don't understand how this works. But I assume that having eight children in 10 years is crazy.   And they somehow managed to do that. So, I grew up in a loving Christian home. My dad was a phenomenal example of intention and direct when it came to conflict, merciful and forgiving when it needed to be called upon.   My mom was and still is somebody who she could have a conversation with anyone. I love my mom, her ability to just dive deep into conversation. I remember my college years.   My friends from college would actually love to come home to be with my parents, which is kind of odd. A bunch of college guys like, “Hey, can we come back from the big city of Chicago and go hang with your parents in the farm town?” Sure.   Yeah, enjoy. So, I grew up seventh of eight. My oldest sister passed away before I was born at the age of four.   She was actually buried on her fourth birthday, sadly. She passed away from leukemia. And then my youngest brother passed away my freshman year of college, which I talk about in the book a little bit.   So, for all of my growing up years, there were seven of us, not eight. And then the family just kind of continued to expand. Everybody eventually got married and had children.   And now on my side of the family, there's 35 grandkids. So, those are like pre-Medicaid type family backgrounds. You know, like you get together and everybody's going to take a Tylenol before because it's gonna be nice and loud and crazy.   But I would say from just a believing perspective at eight years old, I remember being in the basement of my church in Morton. My Sunday school teacher just giving a really compelling description, not just of how like, oh, you're going to burn, but more of a what does it look like to be separated from God for eternity? What might that be like?   And I was terrified but also had enough of these people pleasing mentality that I also didn't want to be the person who asked another question and held the class up. So, later on, I found out that it was easier for me to have that conversation. I think my mom discovered me kind of in tears, maybe even later that day.   And it was like, I don't think I know Jesus. And she's like, well, we can like, let's have a conversation. What's that look like?   And let's pray together. And so, at eight was when that became a reality in my life. And then really at 15 years old, coming home from a mission trip to Mexico, I ended up having just an awesome experience there and got baptized by a minister from our church.   His name was Dwayne. He was awesome. And then as I think through just, I mean, I mentioned it already, our family is really well acquainted with loss.   My oldest sister, my youngest brother, and then just some of our ongoing journey. My wife has an ongoing illness that requires a lot. It is a challenge for sure for her.   And then I think all of that kind of balls up together to frame a lot of where the content from my book comes from. Just living a life of non-ease has really kind of brought me to this place of if it's not going to go away or if it hasn't been taken away, what is it that sustains and how do I move through it and past it?   Laura Dugger: (6:09 - 6:32) And I definitely want to hear more elements of the book. But first, I'm just thinking through this. You said seven of eight and your youngest brother and you all are close in age.   So, to bring us into your story further, what age were you when you suffered that major loss of your brother and how did he pass away?   Doug Rumbold: (6:32 - 9:06) Yeah, that's a great question. So, my parents had all of us in 10 years. So, in 1969, they were married.   1970 is when they started cranking out children. And then 1980 was when my brother after me was born. And then it was 1997.   So, it's actually Halloween night of 1997. So, I was a freshman in college. I just moved away.   This was before cell phones. It's almost hard to imagine. But I was lying in my bed at night.   And my brother, my other brother, Ed, was at college with me as well as my sister, Jennifer, in the West suburbs in Elgin. And my brother tried to contact me because Ben had been in a car accident. So, he had been taking a walk with this girl he was getting to know.   And we live out in the country in Morton. So, you'll recognize these road names just because we're local. But if you know Tennessee, Tennessee and Harding, there's that intersection.   And my family grew up on Harding. But going down Tennessee Avenue, going north, a gentleman who actually ended up being our neighbor was coming over top of the hill. And he was changing a cassette tape, also a relic of the past.   And he was changing the cassette tape. And my brother was walking on the side of the road with traffic. So, his back was to oncoming traffic.   And the car struck him from behind. And he was essentially and effectively dead at the scene, but kind of for the benefit. And I will talk about this in the book a little bit.   The benefit of us, my other two siblings and I in Chicago, they, you know, rushed him straight to the hospital and then put him on life support. But he never had brain activity or anything from the moment that he arrived at the hospital till the following morning. We were asked, you know, how we wanted to continue.   And probably in the hardest decision that I've watched my dad make was to pull the power cord on life support. I mean, my dad was all about responsibility and he wasn't going to let somebody else do that. And my dad was also very quick in his ability to make a decision, even if the decision was hard.   And so, he just knew this was not, you know, technically Ben could have survived on life support. But he would have none of the vitality that he had had his entire 17 years prior. And so, that just was not an option.   Laura Dugger: (9:07 - 9:29) Goodness, Doug, I can't imagine that's one of those decisions you hope to never have to make as a parent. And then with your family grieving this sudden loss and then also working through forgiveness of a neighbor. What did that look like?   Doug Rumbold: (9:30 - 14:14) That's actually one of the most redeeming. I mean, again, God does this where he just kind of the Genesis 50 moment where it's like what the devil intended for harm. God meant for good.   And I remember his name was Mark. He's since passed. It happened in 97.   And I remember him coming to the door, you know, how people come to your house, and they provide condolences after a loss. And so, Ben was well known at high school. He worked with special needs children and was in the performing arts.   And so, he was just really well liked. And so, there was a high school kid. So, there's a steady stream of people coming, grieving kids, all that.   And I remember coming back from college and I remember not saying, I literally did not say a word for three days. My way of processing then was very inward. And so, I just remember being very silent.   I should correct myself. I didn't say a word other than what I'm about to tell you. Mark came to the house and Mark was in his mid-40s at the time.   And he was crushed. I mean, can you imagine what that would be like? And so, he shows up at the house.   And as he's coming up to the door, I remember my dad saying he pulls all of us kids aside. He says, “I want to tell you something. Mark is here.   He's coming up to the door. And right now, you have a choice. Forgiveness is never about how you feel.   It's about obedience. If you will forgive him now, I promise you will never struggle with bitterness toward him in this way. But it is an act of your will.   You must choose to forgive. But I'm not going to make you do so, like if you don't want to forgive him, that's fine. But I'm telling you right now, forgiveness is key.”   And I remember walking out to the door and greeting Mark and just giving him a hug and then looking at him in the eyes as a 19-year-old freshman in college and saying, “hey, Mark, I've done what you've done 100 times. You know, I've swerved off the side of the road. And so, I just want to let you know, I hold no ill will against you, and I completely forgive you.”   And he didn't really know what to say, just kind of mumbled some level of gratitude, I think. But it was kind of quiet. I had no idea the power in that moment that was happening where I was not bound to hold it against him.   And my dad was right. How many years are we removed from this? And I still had I never once thought, oh, what a jerk.   I can't believe you. I never struggled with anger toward God over the loss of my brother. These were things that I think could have happened had I held on to not being forgiven and not released Mark from that.   And probably the greater redemption happened over the years where over the next seven years, he would see my parents or my family around town, and he would always kind of hang his head. And my dad would always make it a point to say hi and to try to contact him and be kind. But Mark was just sullen, and it was difficult.   And then later on, Mark ended up having a pretty aggressive form of cancer. And by this point, my wife and I got married in January before. And I'll never forget.   We went to Carolina Beach. We lived in North Carolina at the time for just a quick getaway, the two of us. And we were coming back.   And on the drive back, I remember receiving a call from my dad and he's crying on the phone. He says, “Well, Mark just passed away.” And he goes, “but before he did, he invited your mother and I up to his hospital room.”   And when we walked in the room, he looked at me, he said, “Gary, I have I have often wondered why and how. Why would you forgive me? How did you muster the strength to do such a thing?”   And my dad, in his simplicity or whatever, was like, “Well, it's easy. I've you know, I've been forgiven. Do you know how much I've done?   Do you know what hurt I've caused other people?” And he says, “It's only natural that I should forgive you for what happened. It wasn't your intention.   Jesus forgave me. And so, I forgive you. Just real simple.”   And in that moment, Mark then began to ask what motivates. And my dad got to explain a relationship with Jesus Christ. And so, literally on his deathbed, just prior to passing, Mark turned his heart over to the Lord.   I mean, it was awesome. And so, just such a powerful story of forgiveness.   Laura Dugger: (14:16 - 19:48) And now a brief message from our sponsor. Did you know you can go to college tuition free just by being a team member at Chick-fil-A East Peoria? Yes, you heard that right.   Free college education. All Chick-fil-A East Peoria team members in good standing are immediately eligible for a free college education through Point University. Point University is a fully accredited private Christian college located in West Point, Georgia.   This online self-paced program includes 13 associates degrees, 17 bachelor's degrees and two master's programs, including an MBA. College courses are fully transferable both in and out of this program. This could even be a great option to complete your general education courses and then transfer to the college of your choice and save money in the process.   So, if you're looking for an affordable college option while simultaneously gaining valuable work experience and earning an income, Chick-fil-A East Peoria is the place for you. You don't have to go into debt to get a great education. To apply today, please go to https://www.chick-fil-a.com/locations/il/east-peoria and click on the career tab. You can also call the restaurant at 309-694-1044 to find out more. And if you aren't located near Chick-fil-A East Peoria, make sure you check with your local Chick-fil-A restaurant to see if they also participate in the Elevate program with Point University. Thanks for your sponsorship.   Are you utilizing Savvy Sauce Charities to full capacity? Other than our special Patreon release episodes, our content is now available in video form in addition to our audio only. And we have written transcriptions for every episode.   Visit our website today, thesavvysauce.com, to access all these forms of interviews. And while you're there, make sure you sign up for our email list to receive encouragement, questions, and recommended resources about once a month to promote your own practical chats for intentional living. I also want to remind you about the financial side of Savvy Sauce Charities.   As you know, we recently became a non-profit, which means all your financial support is now tax deductible. There are multiple ways to give, and we would be so honored if you would share your financial support with us so that we can continue producing free content that is accessible to the general public. Your money will go to support creatively getting the gospel message of Jesus Christ to the nations as we continue to share the good news on every episode.   And I say this is reaching the nations because The Savvy Sauce podcast is downloaded in all 50 United States as well as over 100 countries around the world. Your financial support also supports practical needs such as aiding our team to continue producing helpful content that is practical and uplifting and always pointing to Jesus. Your financial support furthermore will help us continue to expand our reach and secure future projects we have planned for this ministry.   If your ears are hearing this message right now, I am specifically asking you to give. We are so grateful for any amount, and our team will continue to seek to be good stewards of the gifts offered to us. So, if you want to write a check or set up an ongoing payment with your bank that delivers a check to us each month, this is the most beneficial way to give because no percentages are taken out for processing fees.   You can make your check-out to Savvy Sauce Charities at P.O. Box 101 Roanoke, Illinois 61561. Additionally, with our new website, we now have a donate button. There are processing fees that we cover for these donations, but we wanted to offer listeners a seamless way to share their finances with us when we share our content with them.   So, just visit thesavvysauce.com and find the donate page under the tab support. Another way to find it is simply type in donate to the search bar on our website and just click the first picture shown. We are all about sharing around here, sharing resources, sharing joy and sharing the good news about Jesus Christ.   We ask that you also will share by sharing financially, sharing The Savvy Sauce podcast episodes, and sharing a five-star rating and review. You can also share any of our social media posts on Instagram or Facebook. We are grateful for all of it, and we just love partnering together with you.   Now, back to the show. What are the three types of suffering you see laid out in the Bible?   Doug Rumbold: (19:50 - 21:29) Yeah, I'm not a theologian by any stretch, and so I'm sure I might be missing some. But I think when I look at all of Scripture, I guess I just kind of come away with three different forms of suffering. I see the first one that you kind of come across is the most poignant one is the suffering of Job.   Here's somebody who didn't do anything wrong, and he experiences catastrophic pain. So, the suffering that God allows in his sovereignty is the first form. The second one is the suffering that I caused.   Now, obviously, this is the one we first confront in Scripture, in the narrative. We see it in Genesis 3. But the story that most poignantly points this out to me is the story of David and Bathsheba.   Here's a king who has everything he needs and wants, and he should be out protecting and defending his kingdom. And instead, he's on his rooftop looking and taking what is not his. And so, there's suffering that I cause.   My pastor in college used to say, “You choose to sin, you choose to suffer.” And I think it's an apt description. And then the third form of suffering is the suffering that my faith brings.   I think about the apostles where they are called in by the council and arrested and beaten and told not to speak in the name. And what do they do? They walk out rejoicing, like, yes, we've been counted worthy to suffer.   Like, yeah, that's so different than the American version of Christianity at the present moment. We don't necessarily think that way. So, in short order, the suffering that God allows in his sovereignty, the suffering I cause in my sin, and the suffering my faith brings with persecution would be the three.   Laura Dugger: (21:30 - 21:42) Well, and I loved one of your quotes where you write, the earnest desire of my heart is that you come to understand the presence of God in and through suffering, no matter its cause.   Doug Rumbold: (21:43 - 22:03) Well, when I think about that, think of your own life, Laura. When you go back through ever since you just you surrendered your heart to Jesus, can you point to where were the deepest learning moments for you? What do you think? How would you answer that question?   Laura Dugger: (22:04 - 22:26) I do feel like I may be an anomaly here because some of it is from those seasons of grief or searing loss. But also, I would say in the really good times, the gratitude and joy that he provides, those have been some of my greatest leaps in faith.   Doug Rumbold: (22:28 - 24:32) Yeah, I think that's huge. I think it's one of those reasons why you see in Scripture this idea of we're supposed to be people who are thanking God even through our suffering. I think it's that rhythm or that habit of gratitude that can transform even what may appear hard or difficult.   In the book, that quote that you just read, I think comes from this idea that God communicates his presence to us in different ways because of the form of suffering or hardship that we're facing. If I'm somebody who is suffering because of what God has allowed, I look at the idea of our daughter with cancer, for example, and I think, okay, the hardship that she faced, it would not make sense for her to frame her life and her hardship with suffering in terms of confession and forgiveness of sin. She didn't sin to get sick.   And so, the idea of how God's going to communicate his presence to her in the suffering that he allows is more about what does it mean to endure with patience and joy? How does she endure hardship with patience and joy? In those ways, in that way, rather, I think that's how God begins to communicate his presence to her.   His nearness to her means he's not far because something is wrong with her and she needs to be discarded. It's more that he is quite near, and it's the recognition of that. It's this like my heart can be glossed over by the pain I'm facing, whether God allows it, I cause it, or my faith brings it.   It can be glossed over if I have an inward curve, if I have like this inward turn of sin and I can miss. How does God want to communicate his presence to me through this? I think that overall, most of us focus more on the suffering that we're experiencing at times than we do on God's provided presence.   Laura Dugger: (24:33 - 24:54) And that reminds me of something else where you later write about Psalm 119:67, which says, “Before I was afflicted, I went astray, but now I keep your word.” So, Doug, how did you experience the truth of this scripture through your experience with your daughter Jada?   Doug Rumbold: (24:56 - 27:57) Yeah, I think probably the safest and quickest description is pain has a way of getting our attention. Like your toe is just fine when you're walking to the kitchen at 2:00 a.m. to grab a drink of water and go back to bed. And then your toe makes its presence known when you kick the chair, right?   And you're like, oh, and then you're acutely aware of it. You know, you go back to bed and it's throbbing. You might put some ice on it.   Now it's cold. And pain is like that where it gets my attention when it's hit. And so, I was not aware, I don't think, of the depth of my self-reliance until every bit of control was removed from me.   So, particularly when I think of Jada's challenge, you know that before I was afflicted, I went astray, but now I keep your word. There's this mercy in suffering that says ever so slightly, we are people who easily turn to ourselves and our resources before we will turn to God. My wife would say it this way, and I agree with her.   I think it's an excellent understanding of parenting. We both view parenting as a form of stewardship. So, if I get paid, which I do, you know, for my work as a pastor, I get paid, I steward that money.   It's not my money. The Lord owns the cattle on a thousand hills, right? So, if he owns everything, he owns even the finances that are put into my back pocket.   And the way that I steward it is the degree to which I am surrendered to him. And so, parenting is like that. God has given you the currency of children, and you have children that you are to steward back to God as an offering to him.   And my wife would say this, I just didn't know. I'm supposed to lay them down every day before the feet of God in full reliance and trust that he is a better parent than I will ever be. What happened in particular with our daughter showed how quickly we will take them back again, how quickly we will be people who will say, “Oh, well, I actually think I can make a better decision here than the Lord will.”   We would never say that out loud, but our control and our actions will illustrate that every day. It's one of the reasons why it's so easy to get offended when your kid sins against you. It's one of the reasons why it's so easy to be overwhelmed when your kid is far from you.   We can get to a place where though we are to steward our children back to God, like finances given to us, like children given to us, there's this idea we are supposed to be stewards. And so, I learned that I went astray from God. And I still do every day.   It's a thousand opportunities to return to him. Does that make sense or am I talking crazy?   Laura Dugger: (27:58 - 28:24) No, that makes that makes sense. And even I think you're talking about something probably a lot of us are relating to as parents of certain times where we really grasp we are not in control. So, will you even take us to that day where that first became a realization for you? Because you're a parent of I believe she was a five-year-old at the time. Is that right?   Doug Rumbold: (28:25 - 37:11) Yes, that day was awful. I would never want to repeat it. Jessica had it's not really a day, but a kind of a progression from kind of like a Thanksgiving time frame until January.   So, the short order is my wife was pregnant with our youngest and her date for delivery was supposed to be right after January 1st, because I remember thinking, are you kidding me? I'm going to miss the cutoff for claiming this dependent. And anyway, Thanksgiving, we had gone down to visit some dear friends of ours.   So, a shout out to John and Katrina. I'm sure they'll listen to this who live in Oklahoma. It's where I did my internship in college on like this orphan boys ranch.   It was awesome. I loved it and grew a great friendship with them. So, we were down there visiting them.   And my wife has this gallbladder attack. And the way she describes it, she felt like she was dying. And of course, she didn't wake me up because, you know, women can apparently experience pain and not make a big deal of it.   Men, that doesn't work. So, there's definitely a gender difference there. And so, she realizes as she's homeschooling Jada, this is not tenable.   I can't keep this up, especially if I'm going to have a child and everything. And so, we decided, oh, no big deal. We'll have just come back from our trip and decided we were going to put Jada in public school just for the last part of kindergarten.   And Jessica was going to give birth to the child and hopefully get the treatment that she needed because we took an ultrasound, and they discovered a bunch of gallstones. And it was rough. And so, we get back, and we go to the school, get the forms.   And basically, it was just filling out a couple of forms. Oh, yes. A bunch of check marks here, and a bunch of check marks there.   Get the dental form and all that. You need one last thing that we can't just sign away. You need to do a quick physical.   Now, Jada was feeling great doing everything. You know, all of her markers were fine. We go to a doctor from our church at the Tremont Medical Clinic and he performed just a simple physical.   And Jada was, you know, everything was just fine. And as he's palpating around her stomach, he's just kind of pressing there. And I don't know how doctors do this where they, you know, press on your stomach and they're like, OK, your organs are in the right place.   OK, I trust you. So, his face, like his countenance, just shifted. And Jessica and I were both in the room and he just kind of looks at me because I just can't reconcile this.   But to rule anything out, we're just going to have her get an ultrasound and be on our way. I remember thinking I had a hernia when I was young, maybe six months or something. I can't remember how old I was.   And so, Jessica and I went home that night and I mean, we were shedding tears like, oh, my goodness. Our sweet daughter has a hernia. Can't believe it.   What does this mean? She's going to have surgery, all this stuff. And never were we prepared for what happened next.   You know, the next morning she wakes up, and she takes Jada and Oliver, who's two at the time, to get the ultrasound in Peoria at a place called Peoria Imaging. And I stayed home. I was writing a sermon.   So, I'm sitting there working on a sermon from Mark, Chapter eight. And Jessica goes and I'm not hearing from her. I'm not hearing from her.   And then about three hours later, I got a call and she's like, so, they did an ultrasound and then they did like another one. And then they ordered a CT, and they just got done with the CT. And she goes and I just looked out in the waiting room and it's full and nobody's coming in.   And now they said that she needs an MRI. And I'm like, “What?” This doesn't seem like a hernia.   And she said, “Honey, I just asked the nurse, and they won't commit.” “Like they won't say anything,” I asked.   I kept asking if it's a hernia. And finally, I just asked one of the nurses, “Is it bad?” And the nurse said, “That she thinks it's significant.”   And I'm like, oh. And I remember that day then calling my dad or my parents and just kind of giving them updates along the way. Like, okay, you know, Jay is going in for a quick ultrasound, probably a hernia.   But then I remember calling my dad and my dad's on the phone with me right after I got off with Jess. And I just said, “So, it went from just a quick ultrasound to CT to an MRI.” And I said, “They just finished the MRI or they're in process.”   And they said, “That after the MRI, they want to send her to the hospital for blood work.” And my dad's only response was, “Oh, boy. I mean, it was just like,” and his voice quivered.   You know, the quiver of like the I don't know if I'm ready for this sort of quiver. And I can only imagine what's going through his head, having already lost two children and particularly one to cancer. He knows that feeling.   So, the day only got longer from there. I got a ride over there with my sister-in-law to Puri Imaging. And then we went to the hospital together and had to get blood drawn and all that stuff.   And that's a whole story in and of itself, the trauma of that for her. But I remember leaving the hospital and Jessica and I know at this point with the full weight of this is not a hernia, but we still don't have answers. Like every time I'm asking a question to a doctor or a nurse, they are deferring and deferring and deferring.   And my anger internally is kind of growing. And so, I'm a little, I'm not aggressive, but I'm assertive. And I remember driving away from OSF in Peoria.   And as we're driving away, Jade is just in the back seat looking out the window. And Jessica and I are in the front seat, just crying, but trying to hold it together, you know. And I look in my rearview mirror.   I'm like, “Hey, sweetie.” And she's like, “Yeah.” “Like, what are you thinking about?”   She goes well. I just can't decide what smoothie I want at Smoothie King. That was the day where they, you know, the scan that she had to have was an NPO, which means she can't have any food or liquid unless it's clear.   And so, she was starving. And at this point it was like 6:30 at night. So, she's super hungry.   And so, we went to the first location and the second location. They were all closed between Christmas and New Year's. So, no Smoothie King for her.   And that was the last time we remember eating at McDonald's as a family. And then that night the diagnosis finally came. We got back home.   We were home for 10 minutes. And we received a call from what ended up being her surgeon from Illinois Medical Clinic. And we were asked to come back into an after-hours appointment, which those are never good.   And so, we walk in the door. We sit down. There's not even a secretary.   The lights in the building are off. We were walking down this hallway to this last, you know, exam room. And Jada is just sitting there on the table.   Jessica is about ready to pop pregnancy-wise. And the doctor walks in and says, so, I assume you know why you're here. And I said, actually, we haven't been able to get a straight answer.   And we have no idea what's happening. And she goes, are you kidding me? She's like, I have to be the one to tell you this, that your daughter has kidney cancer.   And I think the thing that caught me was Jessica sitting on a chair kind of at the foot of the exam table. And instinctively, I mean, it was like it wasn't even – it was no coaching. There was no – Jada just kind of crumbled and her body just kind of fell onto Jess.   And Jess's mom has walked through cancer twice. And so, Jessica has lived this journey as well, just the difficulty of it. And so, for her, she's just like I know what this required of me when my mom had it.   And I had to take care of her when I was in junior high and then again when I was in college. And now I'm pregnant and now my daughter has cancer. It was unreal.   And then I wrote about it in the book, but the walk from the front door to the van where Jada's face was buried in my neck. And the warmth of her tears and just her body just kind of melted into mine as we're walking back to the van. And it's like I never want to forget that because the usefulness of it, how helpful it is for me to recall some things, to live in that place of like this is what you redeem, this is what you restore.   But it was hard as heck. And so, that would be what I remember from the day of diagnosis.   Laura Dugger: (37:13 - 37:26) It is so hard to imagine what that would look like to get that news. And I'm just wondering for you and Jess, what did your faith look like and what were your conversations like with the Lord at that point?   Doug Rumbold: (37:29 - 39:10) You know, I – because of the loss of my brother earlier, I don't – I mean that's a great question. And I don't mean this how it might sound or come across, but my faith was never – I don't think that my faith was an issue in terms of am I still going to cling to Jesus. It was just more of a – it was just – it was so hard.   I really wish I had words for it. I talk about this in another podcast that I did. I remember just feeling so overwhelmed and more of a feeling like we were treading water in the middle of an ocean.   And someone – you're like begging for a life raft and they hand you a cinder block. And you're like, not helpful. So, my faith, our conversations with the Lord, they were hard, and we were certainly super sad.   My wife would probably talk about how she was broken and quiet and learning afresh what it means to surrender. But she is methodical and consistent in her pursuit of the Lord and extremely faithful. And so, hers was sitting in solitude and just waiting and cry and lament and work through it all and then come out the other side stronger.   I process things a little bit more verbally. But I think our faith was strong. We were just shattered for the pain that she was experiencing for sure.   Laura Dugger: (39:11 - 39:35) That's a great way of putting it. And just like He promises, I have spoken – Mark and I have talked with you and Jess before. And you've shared how God continued to be an ever-present help in these times of trouble.   But will you share one of your conversations with the Lord where he responded to you with alliteration?   Doug Rumbold: (39:35 - 45:50) Yeah, the one that I think of is – and I write about it a little bit in my book. But I just remember thinking kind of two questions that I would ask. One was right after Pierce was born and we obviously weren't having any sleep.   So, if you look at the timeline, Jada was diagnosed on the 30th of December. The 2nd of January was Jessica and my anniversary. The 3rd was Jada's surgery.   The 10th was when her pathology came back. And the diagnosis went from 95, 98% cure rate, survival rate just fine to like 40 to 60% survival rate. And a different stage of cancer and the size of the tumor was much larger than they originally anticipated.   And so, we came home that night from the pathology report and wept and wept and wept. And then Jessica started labor that night. And it was a blizzard.   Our midwife didn't make the birth. And then Pierce is born on the morning of the 11th, which is the same morning that Jada and I were supposed to go back in now to have more MRIs, more blood work to determine had the cancer metastasized throughout her whole body instead of just in that one tumor. And it was assumed that it had and so, that's why they were checking everything.   And so, it was an urgent, you need to get there for this. I just kind of felt like the one question, one of two questions I was asking, but one of them was with conversation with the Lord was when will you relent? Won't you just relent?   So, I was never like struggling in my faith to the degree that I was going to toss it, but I was angry with God. I was like, come on, like, how does this work? Can you give, throw me a bone, basically.   So, that was one conversation. But the conversation that's most poignant is after he started to frame those things up a little bit and give more of a trellis to build on. I remember treatment had begun, which timeline, if you're looking at it, the 11th is when Pierce is born.   The 13th is when Jada started treatment. So, from like the 13th to the 18th, she had radiation. And then after that, for the rest of the year, eight months, whatever, she had chemo.   I remember one morning I never slept at the hospital. It was just not comfortable. It was always beeping, stuff like that.   So, I would often go down to the playroom. There's an activity room at the end of the hall on the sixth floor there at OSF. And I'd be down there with a lackluster cup of coffee and my Bible and journal.   And I'd watch the sunrise over the city of Peoria. And it would just be kind of like; I really couldn't hardly read. It would be more of me just like, because no one was awake.   That was the only time when it was semi quiet. And I would just have these out loud conversations with the Lord. Like, what's happening?   And the conversation, the question that I kept asking was, Lord, how in the world are we going to do this? How in the world are we going to make it through? That's really when he began to kind of press back in.   And I'm not, I don't know how to explain this, but more of a, I had a very tangible sense that as I'm sitting there on the sixth floor, that he was almost in the chair next to me. And he's just, he's like, okay, tell me more about your struggle. What's it like?   Help me to understand the pain of your heart. And so, I'm, I'm unloading these things to Him. And all of a sudden I noticed the time and it's like, oh, Jada is going to be waking up soon.   I need to get back there before they do rounds, you know, and the whole dance starts again. And so, I kind of like, oh, I want to return. It's like when you wake up from a dream and you're like, oh no, I want to finish the dream.   And you try to go back to sleep quickly. That's a little bit of how that conversation was working out. And I remember going back to the room and jotting a few more things down in my journal.   And then after that it goes, okay. The day was now full of motion. And I had forgotten about the conversation quite honestly.   And until that evening, I was like, okay, I'm just gonna, I told Jada, I'm like, “Honey, I'm going to run home real quick and shower, get a change of clothes and maybe get some real food. And then I'll be back. Okay.”   Don't worry. And so, I hopped in my car, I turned on my headlights, and I got out of the parking garage, and I got on 74. And right as I was getting on the bridge to cross over the Illinois to go back toward Tremont, it was, I mean, I don't know how people feel about this.   So, sorry if I start a theological controversy on your podcast, but, um, I, as I'm sitting there as audible as you and I talking back and forth, there's this sense of my spirit of like, you asked how you're going to get through Christ community and confession. But there was really beyond that, there was really no discussion. You know, it was more just like those three words got tossed out.   And so, I remember driving down the highway and almost like, uh, you're in a zone where it's like, you see the headlights, you know, going like right past you and, and nothing is distracting to me. And I remember thinking some of those things made sense to me, like, you know, yes, Christ suffered. Yes.   I need community around me, things like that. But confession was the one that I struggled with the most. Like what do you mean by that?   You know, because I had a courtroom idea of confession, like, okay, I got caught doing something I shouldn't have. I need to confess. What I did was wrong.   And there definitely is that element. But I came to learn later that confession is the Hebrew word. One of the Hebrew words for it actually means praise.   And so, there's this, there's this idea of caught up, being caught up in understanding the presence of God and you're confessing. It's the word that actually, more accurately, fits is declaration. And so, I'm like, oh, wow.   Okay. So, what you're saying then is these scriptures that I've been studying for years now, I I'm actually, it's about declaring them in praise over my life, over my circumstances, over my daughter as a way of help to get us through. Okay.   Laura Dugger: (45:51 - 47:09) By now, I hope you've checked out our updated website, thesavvysauce.com so that you can have access to all the additional freebies we are offering, including all of our previous articles and all of our previous episodes, which now include transcriptions. You will be equipped to have your own practical chats for intentional living. When you read all the recommended questions in the articles or gain insight from expert guests and past episodes, as you read through the transcriptions, because many people have shared with us that they want to take notes on previous episodes, or maybe their spouse prefers to read our conversations rather than listen to them.   We heard all of that and we now have provided transcripts for all our episodes. Just visit thesavvysauce.com. All of this is conveniently located under the tab show notes on our website.   Happy reading. And I just want to go back to something that you said, because you use the word relent. God, how long until you relent?   And yet he flipped that word and taught you that he will relentlessly continue to pursue you with his presence.   Doug Rumbold: (47:10 - 49:26) I'm glad that you draw that out because I think the relentless pursuit is in that question of when will you relent? It was one of our darker moments, even in marriage where my wife and I were both stretched to the max, totally thin and struggling. And it was an argument, you know, where I'm lying on the ground after my wife and I had just kind of like, I need you to take care of this.   And she's asking me to take care of something I'm not wanting to, and I'm holding my ground and I'm tired. She's tired. And aren't your best moments between midnight and 7am anyway?   And so, I remember laying on the ground. That moment was laying on the ground at the foot of my son's crib in our bedroom. And he was not sleeping.   He's a newborn. Newborns don't sleep easily. And I remember pounding the ground and actually saying, you know, when, when will you relent God?   Like when will you let up? And to see the connection between my question was the assumption that God had left the building that God had kind of punched the clock. Okay.   I'll be back by five. You know, like when instead, the way that He wants to communicate His presence to me in my suffering shows that He's relentlessly digging through every bit of self-reliance that I've set up to try to manufacture outcomes. And so, there, there's a way that His relentless presence is like, like waves on a shore one after the other, the rhythmic nature of it, the dependable nature of it, you can't stop it.   Nature of it is the way that He can and will use any circumstance trial in your life to communicate His presence to you. So, yeah, that's right. Its relenting is a releasing and letting go, but relentless pursuit is also this like dogged pursuit of us.   it's been said before that, that God or Christ is the hound of heaven, you know, like a blood hound with your scent who won't give up until He finds you. And so, similar to our experience for sure.   Laura Dugger: (49:27 - 50:00) Well, and you go into these stories and then also offer hope and offer so much scripture where you have poured over to help us make sense of suffering. And even see things where it's a very upside-down economy as God often has, where there's blessing in the affliction, but yet to close the loop on this story. Can you give us a picture of where your family is at today? Even the ages of your children and Jada's status?   Doug Rumbold: (50:01 - 52:27) Yeah, for sure. So, it's been a long journey for sure. Jada now is 18 and we are in preparation for her.   She is going to be going to Arizona Christian University in the fall. So, a nice short 24-hour drive away. And so, again, we're learning afresh what it looks like to lay down our children, but we're super excited about it.   We are super excited about the new friends she'll make. My wife and I have always said Jada is a spread your wings and fly sort of girl and cancer only proved that. So, we're super excited about that for her.   Our son, Oliver, who was two at the time, is now 14 where he's a freshman. He turns 15 this summer and I'm sure we'll be driving soon after. No concerns there.   And then my son, Pierce, is in sixth grade. And yeah, they all have their own interest's kind of across the board. Jada loves music and singing and playing piano.    Oliver is relationally. He's just this guy who enjoys mature conversation. So, like when we get together with our life group, you'll find him talking to the adult men just because he fits there. He's more of an old soul.   Pierce is our creative kid. He's always doing trick shots. And I mean, it's pretty crazy the stuff that he does. He's kind of fun like that and loves fishing and things of this nature.    So, yeah, all of my kids are very interesting and different like that. My wife is doing homeschooling for the boys, and she continues to be somebody who is a silent influencer in the lives of many, usually and primarily through prayer.   But I am amazed at how often the Lord uses her in the lives of other people to bring about change and transformation. She's just an excellent gifted counselor of people with the word of God and prayer. So, that's kind of where our family's at.   I've been at the time that Jada was ill, I was the youth pastor at Northfield and I'm still at Northfield though. I'm in a different role. I'm pastor of counseling and discipleship here at Northfield.   So, I have never left this community. So, I'm trying to think if there's anything else update wise. I don't think so.   I think it's pretty much it.   Laura Dugger: (52:27 - 52:30) And so, Jada is in remission.   Doug Rumbold: (52:30 - 55:11) Yes. She did have one other occurrence where she started having really acute headaches in 2013. Then, those acute headaches turned into taking her back for a checkup and the checkup revealed a lesion on her frontal lobe. So, a brain tumor.   We had to wait eight weeks to scan again. Those eight weeks were the hardest and worst that I think we've faced even from the first cancer. It was like, “Oh my goodness, we're going to have to go through this again.”   And then we had this season of waiting, you know, the eight weeks and then she was going back in for another scan to determine scope and growth. Also, you know, what type of craniotomy or brain surgery they were going to perform, to address it or whether it was going to be treated medically. Or how was that going to happen? And so, that all took place. Then, they did the scan, and we had to wait.   Normally we would have these scans, and it would be like a four-to-eight-hour turnaround. And you know that same day or even the next day we get a call from the St. Jude office, and they would say all clear. This one went one day, that was two days.   And I called and they said, “Oh, well, you know, the doctor will call you.” And I'm like, “Come on Beth.” You know, she was the head nurse that I've had relationship with for a while.   And she's like, “No, you know, the doctor will tell you.” And I'm like, “That's never good.” And come to find out, we had to wait until the end of that week.   So, it was not one day, not two days, not three days, not four days, but five. So, it went from Monday to Friday. And on Friday, the doctor called me after hours.   And I thought for sure it was, you know, here we go treatment time. And, um, she called back and said, the reason it's taken so long is because I had to have conference calls with, uh, Memphis, DC, LA, all these different cancer centers and looking at the imaging together. But when, when we laid the last image that shows the lesion over the newest one, the newest one shows nothing like it's completely gone.   And she goes, and it's definitely here. It's definitely something that requires intervention. And now it doesn't.   And so, she goes, I just wanted to confirm the anomaly. I'm like, that's not an anomaly. That's a healing.   And so, uh, Jada has been in remission, ever since. So, she's been, she's been doing good. In fact, her last cancer follow-up appointment was like three weeks ago and got the all clear.   So, praise God.   Laura Dugger: (55:11 - 55:44) Praise God. What an awesome, miraculous healing. I'm so thankful you shared that and really Doug with your unique career that you're in and the journey that you and Jess have been through and your love of scripture, you're putting all of this together and it really is such a gift, this book that you've written.   So, can you tell us just a little bit more of who this book is for and what people could expect to find when they read it?   Doug Rumbold: (55:45 - 57:54) Yeah. So, the book is for anyone because, and you would know this as well, but you're either heading into a trial, you're in the middle of a trial or you're on the backside of a trial. And there's never a moment in which you can say, “Oh, okay, well now I've learned and now I've arrived and now we're good.”   I do think that the preparation of our heart for trial is critical because it's going to come like we are going to face suffering of some form at some point. And so, it's good to know how to approach it. It's for anybody who wants to learn and grow and be encouraged.   But specifically, one of the things that I struggled with during our trial, and it's ongoing, you know, because of some of the stuff that we mentioned before ongoing health issues in our family and stuff like that. But I, what I found was people would be like, “Oh, here's a book.” It's only 320 pages on suffering.   I'm like, really? Thanks for that. I've got no capacity to do that.   So, I purposely wanted to write a book that you could personally sit and read like in an afternoon. It's so, it's short. It's like, you know, a hundred pages and it's digestible.   So, you could jump from one chapter to the eighth chapter if you wanted, and you would, you would still hopefully gain something. So, I wanted to make it uniquely accessible and heart focused. So, you'll find kind of like throughout the chapters, I have these like, so, truth to life.   And what I'm basically doing is trying to say, “Okay, we talked about something at a 30,000-foot view. What does it look like boots on the ground here?” I don't usually just spell it out for you.   I usually ask questions that are going to force you to address heart issues because scripture is pretty clear that all of our conduct flows from a heart that's filled with good or bad. So, people can expect to be challenged. They can expect to not have something that's too long and too hard to read, but they can also expect to find it kind of built around story a little bit.   That's one of the reasons why I use those different stories from scripture. I think we relate well and explain things well in a story.   Laura Dugger: (57:55 - 58:14) Definitely agree. We learn so much from Jesus's stories. Those stick with us and yours do too.   So, thank you for sharing all of those today. And if anyone desires more help and healing after today's conversation, where would you direct them?   Doug Rumbold: (58:15 - 59:59) The first thing that I would do is just encourage prayer. The idea of silence and solitude is where you can be begun to become aware of the healing that you may need and being able to just journal it down and have it right in front of you. That is probably one of the first steps.   Second thing I would say is to lean into community. COVID has kind of wrecked things in some ways where some people have gotten used to this idea of either online attendance or whatever. Nothing, nothing, nothing replaces the body of Christ in the tangible way.   And so, the idea of being with and around other like-minded believers is critical. But in terms of myself, the book that I wrote, it's available on Walmart, Amazon, Barnes and Noble. You can just search Presence Over Pain in a search engine and find it pretty easily.   I am currently in the works of working through like an audio version of it because some people prefer that. So, that will be forthcoming. You can find me on Facebook or Instagram.   I provide biblical counseling in person or virtually so, people can contact me through those platforms if they want to have a conversation. And the cool thing is those things happen. There's a number of different connections that God has made where people have either read the book or they know someone who read the book and my name was recommended and here I am a couple of months later having a conversation with someone who found me online.   And I love technology for that purpose. How can we come together and build around something in Christ? It's pretty awesome.   Laura Dugger: (59:59 - 1:00:31) That is awesome. And we will certainly add all of those links in the show notes for today's episode. In addition to the link to your own podcast where you dig a little bit deeper into the book.   And the name of that is also Presence Over Pain podcast. And Doug, you know that our podcast is called The Savvy Sauce because savvy is synonymous with practical knowledge. And so, as my final question for you today, what is your Savvy Sauce?   Doug Rumbold: (1:00:32 - 1:04:48) I love the question because practical is helpful. So, I think probably just some brief stories and then a couple of suggestions. So, I remember when I was younger, all seven of us children kind of growing up in the same house.   My dad had such a passion for us to know the word of God that he wanted us to all like sit down at the same time. And he was going to read a chapter of Proverbs. Well, can you imagine seven kids on a Tuesday morning trying to get ready for school?   And then your father saying, “Okay, everybody sit down.” Like nobody's going to be able to do that. And so, after a few failed attempts, what my dad did was he would, he would have a section that he was going to read, and he would start with the oldest child, and he would follow them around literally like follow them.   And he would just, he would read the word of God to them and then he would move to the next one and to the next one and to the next one and the next one. And I have memories of like even walking out the door, going to get on the bus and my dad following me right up to the door, reading the last bit of Proverbs to us. And so, practically speaking, you really cannot underestimate the value of intentionally diving into God's word daily personally.   Like don't let somebody else do it for you. It's so, personal. It's so, needed.   And just when you feel like it's not going to matter, the fruit of it will come forth. So, that's, that's one. And then the other story that kind of points to a practical reality is my wife grew up through her parents splitting up when she was, I think, second or third grade.   And just the difficulty of that, like the life of a single mom as she and her sister watched her mom go through that. But Jessica tells a story often of like not understanding and now understanding, but like she would knock on her mom's door and she would hear her mom crying and she would, she'd open the door and her mom would be face down on the floor, just, just praying and weeping. And she's like, hold on, honey.   Mommy just needs to be with Jesus. And it communicated this idea. And my wife has carried this on in our own family and in her practice of just like prayer and particularly prayers of lament are huge.   And so, practically speaking, what's that look like? I mean, I have an exercise. I'm sure you are being a counselor by nature would, would appreciate this.   But one of the things that you can do to learn how to lament is to look at a good number of the Psalms are lament Psalms. Like they're sad Psalms. Like Lord, my life stinks.   The wheels have fallen off and you're nowhere to be found. So, being honest with God is critical, but a simple assignment would be to read a lament Psalm, like Psalm 13 or Psalm 88 or Psalm 77, Psalm 42, any of those. And then as you read that Psalm, just the simple assignment is to like write your own Psalm of lament and then read it back to the Lord. You know, Lord, I felt like you were absent when my daughter was diagnosed with cancer, but I am going to trust in your unfailing love.   Like you see those pictures all throughout the Psalm. So, that's a practical, simple way to engage God. I think the last thing that I would say in terms of practical is the idea of rest from a perspective, you know, biblically it's called Sabbath.   Do you have a 24-hour period of rest? Because what you do when you Sabbath is you say something to God and to everyone else. It doesn't depend on me.   When I choose to rest, I'm choosing not to be productive. I'm choosing not to perform. I'm choosing only to receive.   I'm choosing to rest. I'm choosing to fall back into his arms. Rhythmically reminding ourselves of that for me, the way that that works out is like, you know, I'm a pastor.   So, Sundays are a workday. So, once I get home after Sunday until like noon, the following day is the time when it's like, okay, this is where I'm not going to be on my screen. I'm going to take a walk with the family.   We're going to have dinner together. Things that are filling and receiving are critically helpful. And I would say savvy.   Laura Dugger: (1:04:49 - 1:05:08) That's so good. And Doug, Mark and I are just so grateful to know you and Jess. We learn from both of you, and we've learned from your stories. They've been so impactful today.   So, thank you for writing this resource and thank you for being my guest today.   Doug Rumbold: (1:05:09 - 1:05:11) It was a total pleasure. Thank you for having me on.   Laura Dugger: (1:05:12 - 1:08:54) One more thing before you go. Have you heard the term gospel before?   It simply means good news. And I want to share the best news with you. But it starts with the bad news.   Every single one of us were born sinners, but Christ desires to rescue us from our sin, which is something we cannot do for ourselves. This means there is absolutely no chance we can make it to heaven on our own. So, for you and for me, it means we deserve death, and we can never pay back the sacrifice we owe to be saved.   We need a savior. But God loved us so much, he made a way for his only son to willingly die in our place as the perfect substitute. This gives us hope of life forever in right relationship with him.   That is good news. Jesus lived the perfect life we could never live and died in our place for our sin. This was God's plan to make a way to reconcile with us so that God can look at us and see Jesus.   We can be covered and justified through the work Jesus finished if we choose to receive what He has done for us. Romans 10:9 says, “That if you confess with your mouth Jesus is Lord and believe in your heart that God raised him from the dead, you will be saved.” So, would you pray with me now?   Heavenly Father, thank you for sending Jesus to take our place. I pray someone today right now is touched and chooses to turn their life over to you. Will you clearly guide them and help them take their next step in faith to declare you as Lord of their life?   We trust you to work and change lives now for eternity. In Jesus' name we pray. Amen.   If you prayed that prayer, you are declaring him for me, so me for him. You get the opportunity to live your life for him. And at this podcast, we're called The Savvy Sauce for a reason.   We want to give you practical tools to im

Summary In this episode, Shelby and Courtney discuss Shelby's upcoming hospital visit as she gets ready to have Baby #2! They share insights on hospital experiences, home renovations, health and fitness, and family dynamics. Shelby and Courtney emphasize the importance of perspective during labor, the joy of DIY projects (both crafty and "serious"), and the humorous challenges of family life, all while navigating the ups and downs of life in their 30s. In this episode, Shelby and Courtney discuss various personal experiences and insights, ranging from family dynamics with newborns to the fascinating life cycle of plants. Courtney gives a butter update, they share anticipation surrounding the upcoming Taylor Swift movie "Life of a Showgirl", and the potential of farm stands as a business (if only those pesky HOAs would leave Courtney alone!). The conversation also touches on the latest season of Dancing with the Stars, highlighting standout performances and predictions for the competition.   Takeaways It's important to prepare for a new baby, but don't overthink it. Comfort items for the hospital can make a big difference. Perspective is key during labor and delivery. Home renovations can be spontaneous and rewarding. Facebook Marketplace finds can lead to great home decor solutions. Health and fitness journeys can be motivating and impactful - Go Peloton! DIY projects can refresh your living space without spending much. Skincare routines are essential for self-care, even when busy. Family dynamics can be humorous and challenging at times. Meeting new family members can be a joyful experience. Brooks is adapting to family changes with a new brother. The life cycle of certain plants can be surprising and fascinating. Making homemade butter can be a fun but labor-intensive process. Anticipation for the Taylor Swift movie Life of a Showgirl is high among fans. Farm stands can be a lucrative business opportunity for bakers. Dancing with the Stars features a mix of talent and experience. Family dynamics can shift dramatically with the arrival of a new baby. The process of making butter reveals interesting culinary techniques. The excitement around Taylor Swift's new album is palpable. Community engagement through farm stands can foster local connections.    

Pippa Hudson speaks to Tersia de Kock, Executive Director and Audiologist at the HearX Foundation, about a campaign, Hold My Hand, to ensure every newborn gets a hearing screening. Lunch with Pippa Hudson is CapeTalk’s mid-afternoon show. This 2-hour respite from hard news encourages the audience to take the time to explore, taste, read, and reflect. The show - presented by former journalist, baker and water sports enthusiast Pippa Hudson - is unashamedly lifestyle driven. Popular features include a daily profile interview #OnTheCouch at 1:10 pm. Consumer issues are in the spotlight every Wednesday while the team also unpacks all things related to health, wealth & the environment. Thank you for listening to a podcast from Lunch with Pippa Hudson Listen live on Primedia+ weekdays between 13:00 and 15:00 (SA Time) to Lunch with Pippa Hudson broadcast on CapeTalk https://buff.ly/NnFM3Nk For more from the show, go to https://buff.ly/MdSlWEs or find all the catch-up podcasts here https://buff.ly/fDJWe69 Subscribe to the CapeTalk Daily and Weekly Newsletters https://buff.ly/sbvVZD5 Follow us on social media: CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.

First up on the podcast, freelance science journalist Leslie Roberts joins host Sarah Crespi to talk about the long journey to a vaccine for group B streptococcus, a microbe that sickens 400,000 babies a year and kills at least 91,000. Next on the show, there are about 250,000 agricultural drones employed on farms in China. Countries such as South Korea, Turkey, and Thailand are swiftly increasing agricultural drone use, whereas the United States and Russia are proceeding more slowly. Food policy researcher Ben Belton discusses what appears to drive drone use in agriculture and how they might make farming more productive and sustainable. Finally, Science Books Editor Valerie Thompson brings books on the secrets rocks have to tell about humanity and the mystery surrounding a Druid preserved in a bog for thousands of years. This week's episode was produced with help from Podigy. Authors: Sarah Crespi; Valerie Thompson; Leslie Roberts Learn more about your ad choices. Visit megaphone.fm/adchoices

First up on the podcast, freelance science journalist Leslie Roberts joins host Sarah Crespi to talk about the long journey to a vaccine for group B streptococcus, a microbe that sickens 400,000 babies a year and kills at least 91,000. Next on the show, there are about 250,000 agricultural drones employed on farms in China. Countries such as South Korea, Turkey, and Thailand are swiftly increasing agricultural drone use, whereas the United States and Russia are proceeding more slowly. Food policy researcher Ben Belton discusses what appears to drive drone use in agriculture and how they might make farming more productive and sustainable. Finally, Science Books Editor Valerie Thompson brings books on the secrets rocks have to tell about humanity and the mystery surrounding a Druid preserved in a bog for thousands of years. This week's episode was produced with help from Podigy. Authors: Sarah Crespi; Valerie Thompson; Leslie Roberts Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of It Happened To Me, we share a story of love, loss, and advocacy in the rare disease community. We are joined by Jordan Kruse, whose son, Pruitt, was born with ornithine transcarbamylase (OTC) deficiency, and Dr. Susan Berry, a geneticist at M Health Fairview and professor at the University of Minnesota Medical School, who specializes in rare metabolic disorders like OTC deficiency and helped Pruitt.  OTC deficiency is a rare urea cycle disorder (UCD) that prevents the body from properly removing ammonia from the blood. This dangerous buildup can cause severe complications, and in Pruitt's case, tragically ended his life at only six months old.  Through her grief, Jordan founded The Brave Little One Foundation, honoring Pruitt's legacy by supporting families facing medical hardship and raising awareness about rare genetic conditions. Together, she and Dr. Berry shed light on: What OTC deficiency is and how it affects the body Why newborn screening doesn't always catch the condition The role of geneticists and medications in diagnosing and managing OTC deficiency Jordan's experience advocating for Pruitt's care in a complex medical system The importance of foundations and rare disease organizations in offering resources and hope What families and healthcare providers need to know about navigating rare disease diagnoses Resources: The Brave Little One Foundation National Urea Cycle Disorders Foundation (NUCDF)  The Rare Diseases Clinical Research Network (RDCRN Consortia) The Future of Personalized Medicine is Here: Baby KJ received a first-of-its-kind personalized gene editing therapy at CHOP to treat his urea cycle disorder Ornithine transcarbamylase deficiency explained by MedlinePlus    Stay tuned for the next new episode of “It Happened To Me”! In the meantime, you can listen to our previous episodes on Apple Podcasts, Spotify, streaming on the website, or any other podcast player by searching, “It Happened To Me”.    “It Happened To Me” is created and hosted by Cathy Gildenhorn and Beth Glassman. DNA Today's Kira Dineen is our executive producer and marketing lead. Amanda Andreoli is our associate producer. Ashlyn Enokian is our graphic designer.   See what else we are up to on Twitter, Instagram, Facebook, YouTube and our website, ItHappenedToMePod.com. Questions/inquiries can be sent to ItHappenedToMePod@gmail.com. 

How can we tell when a newborn is in pain? Tina Ho, associate professor of pediatrics at the University of South Florida, helps determine this. Tina Ho joined USF in 2016 as a neonatologist in the Morsani College of Medicine Pediatrics Department, Neonatology Division and the Jennifer Leigh Muma NICU at Muma Children's Hospital at […]

It's Wednesday, September 3rd, A.D. 2025. This is The Worldview in 5 Minutes heard on 140 radio stations and at www.TheWorldview.com.  I'm Adam McManus. (Adam@TheWorldview.com) By Jonathan Clark Turkish persecution of Christians heats up The Turkish Association of Protestant Churches reports Christians in Turkey faced increased persecution last year. The persecution often came in the form of hateful speech either in person or online. And, iIn two cases, assailants fired guns at church buildings.  Turkey also banned many foreign Christians from entering the country in recent years. Nine of these Christians appealed the ban. However, a court ruled against them and published their names. Media outlets branded the Christians as enemies of the state. Many social media comments called for them to be put to death. Turkey is ranked 45th on the Open Doors' World Watch List of the most difficult countries worldwide to be a Christian.  2.5 million acres of European Union burned The European Union is experiencing its worst wildfire season since records began in 2006. Nearly 2.5 million acres of land have burned so far this year. Spain and Portugal account for over two-thirds of that area. Between the two countries, over 1.5 million acres have burned with much of it happening in just two weeks. Birth rates in England and Wales continue to fall The U.K. Office for National Statistics reported last week that birth rates fell to a new low in England and Wales. Other developed countries are also seeing low birth rates like the United States, France, and Italy. However, there appears to be a political gap in fertility. John Burn-Murdoch of the Financial Times wrote, “From the US to Europe and beyond, people who identify as conservative are having almost as many children as they were decades ago. The decline is overwhelmingly among those on the progressive left, in effect nudging each successive generation's politics further to the right.” Quebec, Canada to ban public prayers Quebec, Canada's largest province, is planning to ban public prayer. Quebec's Secularism Minister Jean-François Roberge said, “The premier of Quebec has given me the mandate to strengthen secularism . . . This fall, we will therefore introduce a bill to strengthen secularism in Quebec, in particular by banning street prayers.” The move comes in response to Muslim prayer gatherings. However, it would apply to all religions including Christianity. Nearly 65% of Quebec's population identifies as Christian. Psalm 10:4 says, “The wicked, in the haughtiness of his countenance, does not seek [the Lord]. All his thoughts are, ‘There is no God.'” Univ of Michigan fired Christian doctor who objected to transgender surgeries In the United States, a federal court ruled in favor of a Christian in a religious liberty case. Back in 2021, the University of Michigan Health-West fired Valerie Kloosterman for her beliefs. The Christian physician assistant refused to support transgender procedures or pronoun usage. The latest ruling allows her case against the university to move forward.  Kayla Toney, counsel at First Liberty Institute, said, “Today's decision is a reckoning for institutions that discriminate and punish caring people of faith.” Bill Gates funds embalming of deceased newborns to harvest organs Modernity News reports the Bill & Melinda Gates Foundation is funding a new gruesome project. The project involves embalming deceased newborn babies who died in neonatal intensive care units. Researchers would harvest tissues and organs from the babies for artificial intelligence development. LifeNews noted, “The Gates Foundation's involvement is seen as particularly troubling given its history of funding abortion.” 150th anniversary of Japan Bible Society And finally, the Japan Bible Society is celebrating its 150th anniversary this year. In the 1870s, American and European Bible societies established branches in Japan. These early Bible societies translated the Scriptures into Japanese in the 1880s. Their work laid the foundation for the current Japan Bible Society. Bible distribution in Japan picked up in the 1940s as 2.3 million copies of the Bible were distributed. After World War II, the Japan Bible Society became a fully self-supporting Bible Society.  Its website says, “Since then, the Japan Bible Society has not only been serving the Japanese people but also other Bible Societies that are not yet independent.” Psalm 22:27 says, “All the ends of the world shall remember and turn to the LORD, and all the families of the nations shall worship before You.” Close And that's The Worldview on this Wednesday, September 3rd, in the year of our Lord 2025. Follow us on X or subscribe for free by Spotify, Amazon Music, or by iTunes or email to our unique Christian newscast at www.TheWorldview.com.  I'm Adam McManus (Adam@TheWorldview.com). Seize the day for Jesus Christ.

Send us a textIn this Tech Tuesday episode, Ben speaks with Laurence Gulliver, General Manager for Humidification at Fisher & Paykel Healthcare. With nearly two decades at the company and a background in mechanical engineering and product development, Laurence has helped guide innovations that have shaped respiratory support for neonatal, pediatric, and adult patients worldwide.The conversation explores the role of humidification in neonatal respiratory care and why it is often overlooked despite its impact on mucociliary function, secretion management, bronchoconstriction, and thermoregulation. Laurence explains the engineering challenges of delivering consistent humidity through ventilator circuits, the burden of condensation management, and how newer platforms like the F&P 950 are designed to improve performance and usability.They also discuss Fisher & Paykel's approach to product development, which relies heavily on feedback from caregivers to ensure technology addresses real-world challenges. The episode closes with a broader look at CPAP therapy, opportunities for further innovation in a seemingly simple modality, and the global vision that drives Fisher & Paykel to design solutions adaptable to diverse healthcare settings.This conversation highlights how thoughtful engineering and collaboration with caregivers translate into meaningful improvements in neonatal outcomes.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textIn this episode of The Incubator Podcast, Dr. Guilherme Sant'Anna, Professor of Pediatrics at McGill University, joins Ben and Daphna to discuss his team's work on implementing an early bubble CPAP protocol in the delivery room. Although CPAP has long been considered standard practice for preterm infants, Dr. Sant'Anna explains why intubation rates remain high in the most immature babies and how his group sought to change this pattern.The conversation reviews the background of the protocol, which began at McGill in 2014, and the cultural shift required to adopt bubble CPAP as the default approach. Dr. Sant'Anna describes the importance of multidisciplinary training, technical details such as proper prong sizing, fixation, humidification, and suctioning, as well as the challenges of sustaining practice change over a decade.The results of this initiative are striking: lower rates of delivery room intubation, reduced severe BPD, and improvements in outcomes particularly for infants born before 28 weeks. Dr. Sant'Anna also reflects on lessons learned, the global implications of bubble CPAP in resource-limited settings, and the importance of sharing knowledge to improve care everywhere.This episode highlights how attention to detail, persistence, and team culture can transform neonatal respiratory care.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Gentle Baby Sleep Sounds with White Noise | Help Newborns Sleep All Night gentle baby sleep sounds with white noise 8 hours, baby sleep white noise overnight, 8 hour baby sleep aid, infant all night sleep sounds, long white noise for babies, baby calming sounds 8 hours, colic relief baby sleep white noise, baby bedtime routine sounds, newborn overnight white noise, baby sleep comfort all night, white noise infant therapy 8 hours, baby soothing sounds for sleep, calm baby all night white noise, newborn deep sleep sounds 8 hours, infant colicky baby relief sound, baby sleep aid continuous noise, baby nap and night sleep sounds, overnight baby white noise therapy, baby calming sound 8 hours, baby long rest sleep aid, deep baby sleep noise 8 hours, peaceful night sounds for infants, infant relaxation white noise track, baby sleep training 8 hours noise, crying baby overnight comfort, baby soothing womb-like noise 8 hours, baby rest peacefully sounds, infant night routine sound aid, best white noise for overnight sleep baby, baby relaxation therapy 8 hours, baby comfort long play sounds, white noise newborn 8 hours sleep, baby night noise for calm sleep, long baby sleep sounds white noise, baby overnight sleep aid track Learn more about your ad choices. Visit megaphone.fm/adchoices

BABY SLEEP WHITE NOISE | Womb Sounds To Relax Newborns & Stop Crying baby sleep white noise, womb sounds for babies, soothe crying baby sounds, white noise for colicky infant, baby sleep aid sounds, newborn sleep sounds, colic relief baby white noise, baby calming womb sounds, stop crying baby sounds, infant sleep white noise, baby deep sleep sounds, womb noises for sleep, baby sleep relaxation sounds, crying infant calming white noise, soothing sounds for babies, best white noise for baby sleep, baby sleep training sounds, newborn calming womb sounds, colicky baby sleep help, womb sounds baby sleep aid, sleep sounds for babies, calm baby instantly white noise, baby sleep all night sounds, colicky infant soothing sounds, newborn comfort womb noise, white noise for infant sleep, baby sleep natural aid, infant calming sound effects, womb sounds for crying baby, baby bedtime white noise, relax baby with womb sounds, baby sleep music alternative, baby white noise colic relief, soothe infant crying white noise, baby sleep long hours Learn more about your ad choices. Visit megaphone.fm/adchoices

Listen in to Bernadette & Mary Holland as they discuss this weeks ‘Most Read News and Views' from The Defender Newsletter published by Children's Health Defense.Mary Holland serves as President and General Counsel of Children's Health Defense. She left the faculty of the New York University School of Law where she served for 17 years, most recently directing its Graduate Lawyering Program. Mary received her Master of Arts and Juris Doctor Degrees from Columbia University, and her undergraduate degree from Harvard. She has worked in international, public, and private law. Mary is the co-author of “Vaccine Epidemic” and “The HPV Vaccine on Trial: Seeking Justice for a Generation Betrayed.” 

Send us a textGuest speaker Ellen Vaughn joins The Extra Mile to talk about Sacred Selections, the real costs and joys of adoption, walking with vulnerable children and families, and how the Bible's picture of adoption shapes our identity in Christ. We also hear Ellen's personal story about her brother Kevin and a practical call to “go the extra mile."Chapters (timestamps):00:00 Intro — show & guest setup01:08 Meet Ellen + Sacred Selections overview04:15 Fun family fundraisers (the flamingo story)06:05 Adoption realities: trauma, identity, medical history10:20 Explaining adoption to kids (age-appropriate conversations)12:35 Ellen's family story: adopting Kevin & 9/11 travel delay18:10 Faith lens: earthly adoption vs. adoption as sons of God22:05 Why Sacred Selections began26:20 The cost of adoption30:10 Funding convictions34:25 Newborns vs. older child adoption; resilience & stability38:55 “To the work”: hard work, good work, trust in God41:40 A word to someone considering abortion or adoption46:00 Host reflection: the gospel and adoption of the Gentiles49:20 “Go the Extra Mile”: discipling kids & setting another place at the table52:30 Event note: Ellen speaking Nov 153:00 Closing=====Searching for answers to life's questions? Need help finding a church? Drop us a line. We would love to help you find a congregation that practices the love of Christ. The Extra Mile Podcast is a work of Milwaukee Ave Church of Christ in Lubbock, TX. Assembly times:9:30 AM - Classes for all ages10:30 AM - Sunday Morning Assembly5:00 PM - Sunday Evening Assembly7:00 PM - Wednesday Evening AssemblyEmail us:  the.emile.pod@gmail.comInstagram: @extramilepodcastSpotify: https://open.spotify.com/show/546CHn6Qvdh807yhYC5sHL?si=j6-jHRTiRh6_Non9E9URagApple Podcasts: https://podcasts.apple.com/us/podcast/the-extra-mile-podcast/id1550189689Google Play: https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5idXp6c3Byb3V0LmNvbS8xMjgwNTI1LnJzcwWe would love to hear from you! Email: the.emile.pod@gmail.com Instagram: @extramilepodcast

Deep Dive in DDH is a three part limited series where experts in the field of DDH have been invited to discuss the controversies in the management of hip dysplasia. Episode 1 discusses the management of DDH in infants under 6 months of age from stable sonographic dysplasia through refractory developmental hip dislocation. We are joined by Kishore Mulpuri from BC Children's hospital, Simon Kelley from Texas Children's Hospital, and Wudbhav Sankar from Children's hospital of Philadelphia as we discuss areas of consensus and discord in Pavlik harness treatment, second line therapy, and what to do when problems arise. Hosted by Will Morris (Scottish Rite for Children). Edited by Carter Clement (Manning Family Children's Hospital). Music by A. A. Aalto. Referenced Publications Behman AL, Bradley CS, Maddock CL, Sharma S, Kelley SP. Testing of an Ultrasound-Limited Imaging Protocol for Pavlik harness Supervision (TULIPPS) in developmental dysplasia of the hip: a randomized controlled trial. Bone Joint J. 2022 Sep;104-B(9):1081-1088. doi: 10.1302/0301-620X.104B9.BJJ-2022-0350.R2. PMID: 36047018. Gans I, Flynn JM, Sankar WN. Abduction bracing for residual acetabular dysplasia in infantile DDH. J Pediatr Orthop. 2013 Oct-Nov;33(7):714-8. doi: 10.1097/BPO.0b013e31829d5704. PMID: 23812157. Swarup I, Talwar D, Sankar WN. Part-time Abduction Bracing in Infants With Residual Acetabular Dysplasia: Does Compliance Monitoring Support a Dose-dependent Relationship? J Pediatr Orthop. 2021 Feb 1;41(2):e125-e129. doi: 10.1097/BPO.0000000000001704. PMID: 33165268. Striano B, Schaeffer EK, Matheney TH, Upasani VV, Price CT, Mulpuri K, Sankar WN; International Hip Dysplasia Institute. Ultrasound Characteristics of Clinically Dislocated But Reducible Hips With DDH. J Pediatr Orthop. 2019 Oct;39(9):453-457. doi: 10.1097/BPO.0000000000001048. PMID: 31503230. Harper P, Joseph BM, Clarke NMP, Herrera-Soto J, Sankar WN, Schaeffer EK, Mulpuri K, Aarvold A; International Hip Dysplasia Institute (IHDI). Even Experts Can Be Fooled: Reliability of Clinical Examination for Diagnosing Hip Dislocations in Newborns. J Pediatr Orthop. 2020 Sep;40(8):408-412. doi: 10.1097/BPO.0000000000001602. PMID: 32555048; PMCID: PMC7458090. Murnaghan ML, Browne RH, Sucato DJ, Birch J. Femoral nerve palsy in Pavlik harness treatment for developmental dysplasia of the hip. J Bone Joint Surg Am. 2011 Mar 2;93(5):493-9. doi: 10.2106/JBJS.J.01210. PMID: 21368082.

Today, Clark explains the “Trump Account” for newborns - including how the account works and how best to manage one. Later - Get the lowdown on something we all need to protect ourselves from - cell phone sim swapping fraud. Trump Accounts: Segment 1 Ask Clark: Segment 2 Warning: Sim Swapping: Segment 3 Ask Clark: Segment 4 Mentioned on the show: Should You Start a 'Trump Account' for Your Child? What Is Umbrella Insurance and Do You Need It? How To Improve Your Credit Score in 5 Key Areas Credit Score Experts: How To Take Your Score from ‘Good' To ‘Exceptional' Axios: How Scattered Spider hackers are wreaking havoc on corporate America SIM Card Swapping: The Dangerous Cell Phone Scam Clark Howard's Guide to Saving Money on Your Wedding Are Money Market Funds a Safe Place To Stash My Savings? Clark.com resources Episode transcripts Community.Clark.com  /  Ask Clark Clark.com daily money newsletter Consumer Action Center Free Helpline: 636-492-5275 Learn more about your ad choices: megaphone.fm/adchoices Learn more about your ad choices. Visit megaphone.fm/adchoices

In this eye-opening episode, we explore how our toxic environment is fueling an epidemic of chronic illness—starting before birth. Shocking studies reveal that newborns are now born with over 200 toxic chemicals in their bodies, setting the stage for lifelong health issues like obesity, cancer, and diabetes. Dr. Stewart Lonky, a renowned physician and expert in environmental medicine, breaks down the science behind "toxic fat" and how these hidden chemicals disrupt our biology.With over 40 years of clinical and research experience, Dr. Lonky shares his groundbreaking approach to identifying, preventing, and eliminating toxins through his AIPE protocol. He also discusses the connection between detoxification, oxygen, and metabolic health, offering real-world strategies to outsmart modern chronic disease. His books Invisible Killers and Outsmarting Obesity reflect his lifelong commitment to uncovering the root causes of chronic diseaseThis is a must-listen for anyone looking to take control of their health in an increasingly toxic world.Get his NEW book “Outsmarting Obesity” NOW: https://www.goodreads.com/book/show/218104915-outsmarting-obesityJoin us as we explore:Why the real battle NOT weight loss but weight maintenance. Despite over $3 trillion spent on weight loss in the last 50 years, adult obesity has jumped from 8% to 43%, and childhood obesity from 5% to 21%Why BMI is NOT the right data pointAdipose tissue, healthy vs unhealthy, toxic fat, why the size of our fat cells matter and the epigenetic nature of obesity.Newborns now carry over 200 toxic chemicals at birth—Dr. Lonky explains how these toxins play a key role in the rise of obesity and metabolic syndrome.Dr Lonky's unique AIPE treatment paradigmHow to safely and effectively use binders like zeolite, activated charcoal and bentonite. Contact: Website: https://drlonky.comMentions:DEXA SCAN - Our local partner ProScan, https://madetothrive.co.za/special-deals/proscan-dexa-scan/App - Yuka, scans food & personal care products to decipher their ingredients and evaluate their impact on your health.Study - Zeolite, Flowers J, Lonky SA, Deitsch EJ. Clinical evidence supporting the use of an activated clinoptilolite suspension as an agent to increase urinary excretion of toxic heavy metals. Nutrition and Dietary Supplements. 2009;1:11-18.Support the showFollow Steve's socials: Instagram | LinkedIn | YouTube | Facebook | Twitter | TikTokSupport the show on Patreon:As much as we love doing it, there are costs involved and any contribution will allow us to keep going and keep finding the best guests in the world to share their health expertise with you. I'd be grateful and feel so blessed by your support: https://www.patreon.com/MadeToThriveShowSend me a WhatsApp to +27 64 871 0308. Disclaimer: Please see the link for our disclaimer policy for all of our content: https://madetothrive.co.za/terms-and-conditions-and-privacy-policy/

Nurses for Newborns www.nursesfornewborns.orgPostpartum support international www.postpartum.netNational Preeclampsia Foundation www.preeclampsia.orgTN.Gov for Evidence-based home visitation by county in TennesseeNo content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.

Guest: Professor Lorenzo Fabrizi, Professor of Developmental Systems Neuroscience at University College London

Join us on September 3rd for Baby Tribe Live! Tickets available now: https://smockalley.ticketsolve.com/ticketbooth/shows/873656691 Unlock the secrets of hypoxic ischemic encephalopathy (HIE) in newborns and understand the critical nuances of this life-altering condition. Join us as we navigate through the complexities of encephalopathy, explaining how it affects the brain function of infants and the symptoms that manifest as a result. Learn about the innovative treatment of therapeutic hypothermia, a revolutionary method that offers hope and healing for newborns. Meet Betsy Pilon, a mother whose compelling story and advocacy work sheds light on the personal side of HIE. Her journey with her son Max, who was born with this condition, highlights the importance of a strong support system and the challenges faced by families navigating the healthcare landscape. We discuss the emotional turbulence and communication hurdles often encountered within the NICU, emphasizing the need for improved support and understanding for parents. Explore the critical role of early intervention and diagnosis for infants at risk of conditions like cerebral palsy. We delve into the significance of early physiotherapy and the impact of organizations like Hope for HIE, which provide essential resources and community for affected families. As we discuss global collaboration efforts in HIE research, you'll gain insight into how international partnerships and technological advancements are paving the way for better outcomes. Hope for HIE: https://hopeforhie.org/ Proudly sponsored by: https://www.happytummy.ie/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Glen unpacks key provisions of the recent US tax/spending bill with help from his expert friends: the Defense Credit Union Council's Jason Stverak on $1,000 newborn accounts, and credit union lifer Lou Grilli on the “no tax on tips” details. Also- has Big Tech determined that regulation isn't so bad after all?    Links related to this episode:   The DCUC's call for the US Treasury to include credit unions in the newborn account rollout:  https://www.dcuc.org/news/dcuc-to-treasury-include-credit-unions-in-trump-accounts-rollout-for-newborns  Bloomberg's coverage of JPM Chase's plan to charge for open banking data: https://www.bloomberg.com/news/articles/2025-07-11/jpmorgan-tells-fintechs-they-have-to-pay-up-for-customer-data?embedded-checkout=true  The Wall Street Journal on tech firms' desire for federal AI regulation, and why it's unlikely by 2026:  https://www.wsj.com/articles/after-setback-tech-firms-renew-push-for-federal-ai-regulation-cc2b26d5  Labor/Employment law firm Littler's take on the “No Tax on Tips” provision: https://www.littler.com/news-analysis/asap/what-employers-need-know-about-no-tax-tips-and-no-tax-overtime   Today's newborns are tomorrow's youth bankers; for more on that topic, check out our recent CU Town Hall featuring Marcell King, CEO of Incent: https://www.youtube.com/watch?v=5GkfKtp26Xw  The Defense Credit Union Council: https://www.dcuc.org/  World Credit Union Conference: https://www.woccu.org/#trendingnow    Check out https://www.bigmerger.ai/ for details on how BIG has turbocharged its 20 years of credit union M&A experience with an AI-assisted framework that delivers successful conversions with remarkable speed, full data privacy and zero member downtime. Read about how BIG enabled the UCCU/TransWest core system merger in just 5 months. Join us on Bluesky!  @bigfintech.bsky.social;  @154advisors.bsky.social (Glen); @jbfintech.bsky.social (John) And connect on LinkedIn for insights like the Friday Fintech Five: https://www.linkedin.com/company/best-innovation-group/  https://www.linkedin.com/in/jbfintech/ https://www.linkedin.com/in/glensarvady/

Send us a textIn this episode of The Incubator Podcast, Ben and Daphna sit down with certified birth doula and lactation counselor Latoya Southwell for a wide-ranging conversation about the role doulas play in supporting families before, during, and after birth. LaToya shares her personal and professional path into birth work, and how her experiences shaped a culturally sensitive, trauma-informed approach to supporting laboring people—particularly those from historically marginalized communities.The conversation covers what doulas do (and don't do), how they differ from midwives, and how they advocate for safe, informed, and emotionally grounded birth experiences. LaToya talks candidly about how she prepares clients for unexpected outcomes, including C-sections and NICU admissions, and how doulas can collaborate with healthcare teams rather than be in conflict with them.She also introduces the Baby Café initiative—an informal peer support network she co-founded to reduce isolation and provide postpartum support for new mothers—and explains why preparing families for postpartum is just as critical as planning for labor.This episode is a practical introduction to the real work of birth doulas—and an invitation to rethink how care teams can work together to improve outcomes and experiences for parents and babies alike. Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Until now there has been no approved treatment for malaria in newborns and infants weighing less than 4.5kg. We hear from families and clinicians firsthand what this new formulation, due to be approved across eight African countries, means for them.We are joined by Professor Damian Bailey as we become pickle juice detectives to find out why it is becoming more common for athletes to drink the briny solution in a bid to tackle cramps.Gastric cancer is the fifth leading cause of cancer-related deaths worldwide, researchers from the International Agency for Research on Cancer have predicted that the bacteria Helicobacter pylori may be responsible for over 11 million future gastric cancer cases in people born between 2008 and 2017. How can we prepare for a future where socially assistive robots are integrated into healthcare and the home? Professor Helen Meese joins us to explain some of the practical and ethical concerns that accompany the rise of helpful robots in clinical and home settings.Presenter: Claudia Hammond Producer: Katie Tomsett Studio Managers: Searle Whittney & Duncan Hannant

Start Your Transformation Now  In this episode of the Jim Fortin Podcast, Jim shares an intimate and powerful conversation with Don Xavier, a sorcerer and spiritual teacher, about the concept of cosmic seniority. Through personal anecdotes and ancient wisdom, Jim explains that we are not just passive beings in a chaotic world—we are divine co-creators with the universe itself. Drawing from a dinner dialogue with Don avier, this episode explores the immense creative and healing power that lives within us, and how we unknowingly give it away to external forces like fear, ego, and the 3D world. Jim breaks down what it means to reclaim our seniority—the energetic authority we carry as conscious souls on this planet. He dives into how dis-ease begins in the mind, how modern medicine often strips us of our power, and why it's vital to recognize that we are in charge of our reality. Whether you're navigating a health crisis, financial difficulty, or spiritual confusion, this episode will remind you that you already have everything within you to transform your life—if you learn to manage your energy and remember who you truly are. If you've ever felt disconnected from your purpose, your health, or your power—this episode is your call to remember. It's time to stop giving your energy away and start living from your cosmic seniority. What You'll Discover in This Episode:  Don Xavier on Disease and Divine Intelligence (03:00) Illness begins in the mind and manifests in the body—your health is a reflection of your harmony with the universe.  The Power of Seniority and Energetic Responsibility (10:00) Your energy is your power, and reclaiming it is the key to healing, creating, and living fully.  Why You Are on This Planet but Not of This Planet (13:30) Understanding your divine origin shifts how you approach life, fear, and your sense of belonging.  How Modern Medicine Can Strip Away Your Power (18:00) Jim shares how giving seniority to doctors and institutions can limit healing and keep us in “mediocrity.”  We're Always Creating—Even as Newborns (16:30) You are a creator from birth, and your energy impacts others and yourself from the start.  Matter Creates Matter—And Why That's Empowering (26:00) You can shape your physical reality when you consciously co-create with the universe through your energy.  Listen, apply, and enjoy!  Transformational Takeaway  You are not here to surrender your power to external forces—you are here to master it. The universe lives within you, in your organs, in your consciousness, and in your ability to choose. Every moment, you're either evolving or devolving. The difference? Your awareness of your seniority. You are the artist of your life, painting with the brush of divine intelligence. So choose presence over panic, soul over struggle, and power over passivity. Life is not happening to you—it's happening through you. Remember who you are.  Let's Connect:  Instagram | Facebook | YouTube | LinkedIn  LIKED THE EPISODE?  If you're the kind of person who likes to help others, then share this with your friends and family. If you have found value, they will too. Please leave a review on Apple Podcasts so we can reach more people.  Listening on Spotify? Please leave a comment below. We would love to hear from you!  With gratitude, Jim 

Is your kid's bedtime routine a sweet dream…or a beautiful nightmare? In this episode, the Mamas are joined by Brandi Jordan - pediatric sleep specialist, postpartum doula, lactation consultant, and professional baby whisperer. Brandi breaks down how sleep actually works, from healthy newborn sleep habits to setting boundaries with big kids who still crawl into your bed. She talks about dream feeds, developmental milestones, co-sleeping vs. the cry-it-out method, and how to create the right environment for restful sleep - for your little ones and yourself. Because yes, Village, your sleep matters too.Check out Brandi's agency - The Cradle Company, her podcast "Dear Doula", and follow her on Instagram @brandi_jordan_official for more tips.________________________ We love getting Listener Letters! Send any thoughts or questions for the Mamas at podcasts@blacklove.com.Make sure you connect with our Mamas:Ashley - @watermeloneggrollsCodie - @codiecoMelanie - @melaniefiona________________________ LOVE BLACK LOVE? Subscribe to our channel: https://www.youtube.com/c/blacklove?s...For more Black Love interviews and articles, visit http://www.BlackLove.comFollow Facebook: blacklovedoc Instagram: blacklove Tiktok: blackloveinc#BlackLoveDoc #blacklove #blacklovemagic

Send us a textIn this episode of From the Heart, Dr. Nim Goldshtrom and Dr. Adrianne Bischoff walk through a complex neonatal case involving sudden decompensation shortly after birth. With few early clues and no clear diagnosis, the team discusses how to approach circulatory shock, differentiate pulmonary hypertension from congenital heart disease, and manage critically ill neonates before imaging is available.Using this case as a reverse journal club, the hosts break down relevant literature and decision-making pathways: when to start prostaglandin, when epinephrine makes sense even without low blood pressure, and why relying only on numbers like MAP can be misleading. They also examine the role of therapeutic hypothermia in unstable infants and the potential cardiovascular consequences of cooling.Later, the conversation focuses on left ventricular dysfunction, balancing systemic and pulmonary circulation via the ductus, and using bedside markers like lactate and perfusion to guide treatment when echo isn't immediately available. The episode closes with thoughts on autoregulation, cerebral protection, and the evolving role of emerging technologies in neonatal hemodynamics.A real-world deep dive into diagnostic uncertainty, evolving physiology, and decision-making under pressure in the NICU. Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

(The Center Square) – After 35 years, the Pediatric Interim Care Center in Kent – the only specialized medical facility in western Washington caring for drug-exposed babies – stopped accepting new intakes on Monday. That's because the Department of Children, Youth & Families canceled its contract with the Pediatric Interim Care Center, or PICC, citing state budget cuts.

(The Center Square) – After 35 years, the Pediatric Interim Care Center in Kent – the only specialized medical facility in western Washington caring for drug-exposed babies – stopped accepting new intakes on Monday. That's because the Department of Children, Youth & Families canceled its contract with the Pediatric Interim Care Center, or PICC, citing state budget cuts. Support this podcast: https://secure.anedot.com/franklin-news-foundation/ce052532-b1e4-41c4-945c-d7ce2f52c38a?source_code=xxxxxx Read more: https://www.thecentersquare.com/washington/article_13e3550b-a955-4a27-a29a-5ba079f2282a.html

Longevity, Success, Healthy Living, and Nutrition Made Simple Join Our Health Club Community FREE https://www.drasa.com/health-club   Visit Us At Our Health Club Retreats https://www.drasa.com/retreats/ It's Dr. Asa Here... Ask Me Your Question! Text Me: 407-255-7076 Call Me: 888-283-7272 Send me a DM: @DrAsa We are here to help you live your best life. You don't have to live lower than your potential for the rest of your life! Also our Health Club Providers are here to help guide and teach you on how quickly you can reach your health and wellness goals at: https://www.drasa.com/find-a-provider

Newborns cannot blow their noses, and they are not great at breathing through their mouths either—so even a little mucus can sound dramatic. Pediatrician Cindy Gellner, MD, shares what is normal when it comes to newborn sneezing and snorting, how to use saline and suction safely, and when to check in with your pediatrician.

The House-approved Big Beautiful Bill introduces "Trump Accounts," formerly known as "MAGA Accounts," tax-advantaged investment accounts that the government would seed with $1,000 investments for newborns. Today, Nicole explains how these accounts would work, who is eligible, and the economic impact. For Nicole's overview of the other economic proposals in the Big Beautiful Bill, listen here.

This episode is brought to you by Chili Pad, Cured Nutrition, and Fatty15. Dr. Michael Breus, PhD, the renowned 'Sleep Doctor', is back on the show to share transformative insights and strategies to revolutionize your sleep. Dr. Breus delves into the science of sleep, discussing the crucial role of melatonin, the impact of alcohol on sleep quality, and the benefits of consistent wake-up times. This episode also holds practical advice for new parents, such as implementing an on-call system to improve rest and understanding chronotypes to optimize sleep schedules. You will learn about dream therapy, effective breathing techniques, and how to manage middle-of-the-night wakefulness. We also cover sleep optimization tools like blackout curtains and mouth tape, and emphasize the foundational importance of air, hydration, and sleep for overall wellness. With evidence-based strategies and personal anecdotes, this episode offers actionable insights to enhance your sleep and health journey. Follow Michael @thesleepdoctor Follow Chase @chase_chewning ----- In this episode we discuss... (00:01) Top Sleep Tips for New Parents and Newborns (12:09) Newborn Sleep Health Tips (19:49) How to Properly Use Melatonin (30:42) Safe Supplements for Sleep Health (35:13) What is Dream Therapy? (45:02) Improving Sleep Quality Through Self-Awareness (54:35) Best Daily Habits That Help Sleep (01:05:07) Sleep Accessories and Techniques (01:17:47) Optimizing Basic Wellness (01:25:26) Sleep Testing ----- Episode resources: Save up to $315 on the Chili Pad cooling mattress topper at https://www.Sleep.Me/everforward  Save 20% on any natural sleep aid with code EVERFORWARD at https://www.CuredNutrition.com Save an additional 15% on the 90-day starter kit of C15:0 essential fatty acid with code EVERFORWARD at https://www.Fatty15.com/everforward  Watch and subscribe on YouTube Dr. Breus' first appearance on the show in EFR 024: How to improve every area of your life through the power of when Learn more at SleepDoctor.com

The Trump Administration is looking to incentivize parents with "Trump Accounts". In these accounts, The U.S. Government will put $1,000 into an tax-deferred investment accounts for parents to contribute to. Greg and Holly discuss what these accounts are and if this will actually move the needle on birthrates or if this is too little too late.

Pregnancy can sometimes feel like a long nine months - but the arrival of baby (and all the planning that comes with it) often sneaks up faster than expected! One area that can catch many off guard is preparing for maternity leave. It's a major pause in a person's career, often at a pivotal moment, and transitioning into - and out of - it can be more complex than it appears. That's exactly why today's guest, Sonja Baikogli Foley, co-founded Maturn, Canada's first comprehensive program designed to support self-identifying women through the full arc of maternity leave. Born from a desire to help women make this time intentional and empowering, Maturn offers guidance, tools, and community for a smoother transition. Join Sonja and Dr. Alicia as they explore how to prepare for maternity leave and reclaim this significant chapter with confidence and clarity. Consider becoming a Maturn Member! Canada's first comprehensive program supporting mothers throughout their entire maternity leave with the *exact* tools, connections and compassionate resources required so you can transition back to work with greater ease and less self-doubt. Newborn Sleep 101: Newborns are sweet little packages who tend to not like their parents to sleep! But we can help them sleep better and as a result parents can sleep better as well! *This episode is a re-release. Original release date: March 2, 2022.

Pregnancy can sometimes feel like a long nine months - but the arrival of baby (and all the planning that comes with it) often sneaks up faster than expected! One area that can catch many off guard is preparing for maternity leave. It's a major pause in a person's career, often at a pivotal moment, and transitioning into - and out of - it can be more complex than it appears. That's exactly why today's guest, Sonja Baikogli Foley, co-founded Maturn, Canada's first comprehensive program designed to support self-identifying women through the full arc of maternity leave. Born from a desire to help women make this time intentional and empowering, Maturn offers guidance, tools, and community for a smoother transition. Join Sonja and Dr. Alicia as they explore how to prepare for maternity leave and reclaim this significant chapter with confidence and clarity. Consider becoming a Maturn Member! Canada's first comprehensive program supporting mothers throughout their entire maternity leave with the *exact* tools, connections and compassionate resources required so you can transition back to work with greater ease and less self-doubt. Newborn Sleep 101: Newborns are sweet little packages who tend to not like their parents to sleep! But we can help them sleep better and as a result parents can sleep better as well!  *This episode is a re-release. Original release date: March 2, 2022.  

We begin with the lawsuit California is bringing against President Donald Trump. Trump has announced a key feature of his “big, beautiful bill” for newborns. Health and Human Services Secretary Robert F Kennedy Jr. has dismissed top vaccine experts. A potential presidential candidate in Colombia is in critical condition after he was allegedly shot by a teenager. Plus, a judge has ruled on Justin Baldoni's defamation lawsuit. Learn more about your ad choices. Visit podcastchoices.com/adchoices

For more information about Hamilton Medical Center's NICU, visit www.vitruvianhealth.com/services/nicu or call 706.272.6000.This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.

Send us a textIn this week's Journal Club, Ben and Daphna dive into the latest report from the American Academy of Pediatrics on the management of patent ductus arteriosus (PDA) in preterm infants. They dissect the nuances of prophylactic versus selective treatment, review recent meta-analyses, and explore why early intervention might not yield better outcomes despite effective PDA closure. They also break down new echocardiographic criteria for diagnosing a hemodynamically significant PDA and discuss the role of transcatheter procedures.The conversation then shifts to MRI timing and classification in neonatal encephalopathy, highlighting recent Canadian consensus recommendations for standardizing imaging protocols post-therapeutic hypothermia. The episode wraps up with a look at the TOHOP trial on permissive hypotension, challenging long-standing blood pressure treatment thresholds in preterm infants.Listeners will gain a pragmatic view of evolving clinical practices and research gaps in neonatal care, particularly for infants with PDA and hypoxic-ischemic encephalopathy. If you're looking to stay current on evidence-based recommendations without the fluff, this episode is for you. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Episode 193: Gestational Diabetes IntroJesica Mendoza (OMSIII) describes the pathophysiology of gestational diabetes and the right timing and method of screening for it. Dr. Arreaza adds insight into the need for culturally-appropriate foods, such as vegetables in Mexican cuisine.    Written by Jesica Mendoza, OMSIII, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific. Editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.DefinitionGestational diabetes mellitus (GDM) is a condition that occurs to previously non-diabetic pregnant women, caused by glucose intolerance at around the 24th week of gestation. PathophysiologyGDM arises due to an underlying pancreatic beta cell dysfunction in the mother which leads to a decrease in the amount of insulin produced and thus leads to higher blood sugar levels during pregnancy. The placenta of the fetus will produce hPL (human placental lactogen) to ensure a steady supply of sugars to the fetus, creating an anti-insulin effect. However, hPL readily crosses the placental barrier causing the mothers insulin requirement to increase, when the mother's pancreas cannot increase production of insulin to that level needed to counter the effect of hPL they become diabetic, and this leads to gestational diabetes. So, basically the placenta is asking for more glucose for the baby and the mother's pancreas struggles to keep the glucose level within normal limits in the body of the mother. If left untreated, high levels of glucose in the mother can cause glucotoxicity in the mother.“Glucotoxicity” refers to the toxic effect of glucose. Glucose is the main fuel for cell functions, but when it is high in the bloodstream, it causes toxicity to organs. Prevalence of GDM.The CDC reports mean prevenance of GDM is 6.9%. In U.S. mothers the prevenance increased from 6.0% in 2016 to 8.3% in 2021. Many different factors have played a role in increasing gestational diabetes in American mothers, some of those being the ongoing obesity epidemic with excess body weight being a known risk factor for insulin resistance. Another being advanced maternal age (AMA) as more American women have children later in life their body becomes less sensitive to insulin and requires a higher insulin output on top of the insulin that is required for the fetus. The “American diet” is also something that has a big effect in diabetes development. With the increase of high-carb foods that are readily available, the diet of Americans has declined and is affecting the metabolic health of mothers as they carry and deliver their children. Despite ongoing awareness of GDM, 6% to 9% of pregnant women in the United States are diagnosed with gestational diabetes, and the prevalence continues to increase worldwide. It is estimated that in 2017 18.4 million pregnancies were affected by GDM in the world, which then continued to increase to 1 in 6 births to women with GDM in 2019. It was also found that women living in low-income communities were disproportionately affected due to limited healthcare access. Additionally, women with GDM had a 1.4-fold increase in likelihood of undergoing a c-section, with 15% increase in risk of requiring blood transfusion. Screening for GDMGestational diabetes is screened between the 24th to 28th week of gestation in all women without known pregestational diabetes. In women who have high-risk for GDM the screening occurs during the first trimester, these women usually have at least one of the following: BMI > 30, prior history of GDM, known impaired glucose metabolism, and/or a strong family history of diabetes. The screening during the first trimester is to detect “pregestational diabetes” because we have to keep a good glycemic control to improve outcomes of pregnancy. So, if it's positive, you start treatment immediately. If these women are found to have a normal glucose, they repeat the testing again as done normally, at 24-28 weeks of gestation. How do we screen?The screening itself consists of two types of approaches. The two-step approach includes a 50-gram oral glucose tolerance test (OGTT), where blood glucose is measured in an hour and if it is below 140 they are considered to not have GDM, however if the reading is greater than 140 they must then do a 3-hour, 100g oral glucose tolerance test. The 3-hour OGTT includes measuring the blood sugars at Fasting which should be less than 95, at 1 hour at less than 180, at 2 hours at less than 155, and at 3 hours at less than 140. If 2 or more of these values exceed the threshold the patient is diagnosed with gestational diabetes mellitus. The one-step approach includes 75g after an overnight fast. Blood glucose is measured while fasting which should be less than 92, at 1 hour less than 180 and at 2 hours less than 153. If any one of these values is exceeded, the patient is diagnosed with GDM.If the mother is found to be GDM positive during pregnancy she will also need continued screening post-partum to monitor for any development of overt diabetes. The testing is usually 75g 2-hour OGTT at 6-12 weeks postpartum. If this testing is normal, then they are tested using HbA1c every 3 years. If the post-partum testing shows pre-diabetes, annual testing is recommended using HbA1c measurements. Maternal complications Women with GDM are at an increased risk for future cardiovascular disease, T2DM, and chronic kidney disease. GDM is also associated with increased likelihood of developing pre-eclampsia following delivery. Pre-eclampsia is a complication seen in pregnancy characterized by high blood pressure, proteinuria, vision changes, and liver involvement (high LFTs). Pre-eclampsia can then progress to eclampsia or HELLP syndrome, both of which can include end organ damage. Additionally, she can develop polyhydramnios which leads to overstretching of the uterus and can induce pre-term labor, placental abruption, and or uterine atony, all of which additionally put the mother at increased risk for c-section. All of these maternal complications that stem from GDM lead to complications and extended hospitalization. Child's complications Although there is an increased set of risks for the mother, the neonate can also develop a variety of risks due to the increased glucose while in utero. While the fetus is growing, the placenta is the source of nutrition for the fetus. As the levels of glucose in the mother increase so does the amount of glucose filtered through the placenta and into the fetal circulation. Over time the glucose leads to oxidative stress and inflammation with activation of TGF-b which leads to fibroblast activation and fibrosis of the placenta. This fibrosis decreases the nutrient and oxygen exchange for the fetus. As the fetus attempts to grow in this restrictive environment its development is affected. The fetus can develop IUGR (intrauterine growth restriction) leading to a small for gestation age newborn which can then lead to another set of complications. The low oxygen environment can lead to increased EPO production and polycythemia at birth which can then lead to increased clotting that can travel to the newborn brain. Newborns can also be born with fetal acidosis due to the anerobic metabolism and lactic acid buildup in fetal tissues which can cause fetal encephalopathy leading to cerebral palsy and developmental delay. And the most severe of newborn complications to gestational diabetes can lead to fetal demise. Furthermore, the increase of glucose can also lead to macrosomia in the infant which can often lead to a traumatic delivery and delivery complications such as shoulder dystocia and brachial plexus injury. Brachial plexus injury sometimes resolves without sequela, but other times can lead to permanent weakness or paralysis of the affected arm. The baby can be born too small or too big.Additionally, once the fetus is born the cutting of the umbilical cord leads to a rapid deceleration in blood glucose in the fetal circulation and hypoglycemic episodes can occur, that often lead to NICU admission. The insulin that is created by the fetus in utero to accommodate the large quantities of glucose is known to affect lung maturation as well. The insulin produced inhibits surfactant production in the fetus. Upon birth some of the newborns also have to be placed on PEEP for ventilation and some children require treatment with surfactant to prevent alveolar collapse and/or progression to NRDS created by the low surfactant levels. Additionally, neonates who are macrosomic, which is usually seen in GDM mothers, are larger and stronger and when put on PEEP to help increase ventilation the newborn's stronger respiratory effort can lead to higher pulmonary pressures and barotrauma such as neonatal pneumothorax.Long term complications to the child of a mother with GDM also occur. As the child grows, they are also at an increased risk for developing early onset obesity because of the increased adipose storage triggered by the increase in insulin in response to the high glucose in utero. This then can lead to a higher chance of developing type 2 diabetes mellitus in the child. With diabetes, also comes an increase in cardiovascular risk as the child ages and becomes an adult. The effects of GDM go beyond the fetal life but continue through adulthood.What can be done?Gestational Diabetes Mellitus has many severe and lifelong consequences for both the mother and the child and prevention of GDM would help enhance the quality of life of both. Many of the ways to prevent GDM complications include patient education and dietary modifications with a diet rich in whole grains, fruits, vegetables and lean proteins. Benefits of some vegetables in the Mexican cuisine that may be beneficial: Nopales, Chayote, and Jicama. Those are good alternatives for highly processed carbs.Mothers are usually offered nutritional counseling to help them develop a tailored eating plan. This and 30 minutes of moderate exercise daily is recommended to increase insulin sensitivity and lower the post-prandial glucose levels. If within 2 weeks of implementing lifestyle changes alone the glucose measurements remain high, then medications like insulin can be put onboard to manage the GDM. If they require insulin, I think it is time to refer to a higher level of care, if available, high risk OB clinic.Conclusion: Now we conclude episode number ###, “[TITLE].” [summary here]. _____________________References:Eades CE, Burrows KA, Andreeva R, Stansfield DR, Evans JM. Prevalence of gestational diabetes in the United States and Canada: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2024 Mar 15;24(1):204. doi: 10.1186/s12884-024-06378-2. PMID: 38491497; PMCID: PMC10941381. https://pubmed.ncbi.nlm.nih.gov/38491497/QuickStats: Percentage of Mothers with Gestational Diabetes,* by Maternal Age — National Vital Statistics System, United States, 2016 and 2021. Weekly / January 6, 2023 / 72(1);16. https://www.cdc.gov/mmwr/volumes/72/wr/mm7201a4.htm?utmAkinyemi OA, Weldeslase TA, Odusanya E, Akueme NT, Omokhodion OV, Fasokun ME, Makanjuola D, Fakorede M, Ogundipe T. Profiles and Outcomes of Women with Gestational Diabetes Mellitus in the United States. Cureus. 2023 Jul 4;15(7):e41360. doi: 10.7759/cureus.41360. PMID: 37546039; PMCID: PMC10399637. https://pmc.ncbi.nlm.nih.gov/articles/PMC10399637/?utmPerlman, J. M. (2006). Summary proceedings from the neurology group on hypoxic-ischemic encephalopathy. Pediatrics, 117(3), S28–S33.DOI: 10.1542/peds.2005-0620C.Low, J. A. (1997). Intrapartum fetal asphyxia: definition, diagnosis, and classification. American Journal of Obstetrics and Gynecology, 176(5), 957–959.DOI: 10.1016/S0002-9378(97)70609-0.Hallman, M., Gluck, L., & Liggins, G. (1985). Role of insulin in delaying surfactant production in the fetal lung. Journal of Pediatrics, 106(5), 786–790.DOI: 10.1016/S0022-3476(85)80227-0.Sweet, D. G., Carnielli, V., Greisen, G., et al. (2019). European Consensus Guidelines on the Management of Respiratory Distress Syndrome – 2019 Update. Neonatology, 115(4), 432–450.DOI: 10.1159/000499361.Raju, T. N. K., et al. (1999). Respiratory distress in term infants: when to suspect surfactant deficiency. Pediatrics, 103(5), 903–909.DOI: 10.1542/peds.103.5.903.Burns, C. M., Rutherford, M. A., Boardman, J. P., & Cowan, F. M. (2008). Patterns of cerebral injury and neurodevelopmental outcomes after symptomatic neonatal hypoglycemia. Pediatrics, 122(1), 65–74.DOI: 10.1542/peds.2007-2822.Dabelea, D., et al. (2000). Long-term impact of maternal diabetes on obesity in childhood. Diabetes Care, 23(10), 1534–1540.DOI: 10.2337/diacare.23.10.1534.Dashe, J. S., et al. (2002). "Hydramnios: Etiology and outcome." Obstetrics & Gynecology, 100(5 Pt 1), 957–962.DOI: 10.1016/S0029-7844(02)02279-6.Long-term cost-effectiveness of implementing a lifestyle intervention during pregnancy to prevent gestational diabetes mellitus: a decision-analytic modelling study. Diabetologia.American College of Obstetricians and Gynecologists. (2018). Practice Bulletin No. 190: Gestational Diabetes Mellitus. Obstetrics & Gynecology, 131(2), e49–e64. https://doi.org/10.1097/AOG.0000000000002501Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

Join us in episode 184 of the Channel 23 podcast, where we dive deep into the heart of the JFW family. This week's episode brings a mix of emotions as we discuss safety, spirituality, and support within our fleet. We welcome special guest Mike Cisneros, who shares insights into his long driving career and personal anecdotes. The episode opens with a heartfelt prayer for the fleet's well-being and a dedication to a team member overcoming medical challenges. We then navigate through various discussions, including the consequences of a recent company accident, the importance of engagement and safety on the road, and how simple acts like looking out for each other can make a big difference. This episode isn't just about trucks; it's about embracing a culture of care, being vigilant on the road, and celebrating our community through humor and shared experiences. Don't miss out on a special feature with insights from Tucker Carlson's podcast, tying in life lessons on health and personal growth. Calley & Casey Means: The Truth About Ozempic, the Pill, and How Big Pharma Keeps You Sick The Tucker Carlson Show Whistleblowers Calley and Casey Means expose how Big Pharma co-opted government agencies and the food industry to poison America and keep us sick. Buy Casey and Calley's book, “Good Energy” here - https://www.caseymeans.com/goodenergy (00:00) Art of the Surge (00:54) Who Are Casey and Calley Means? (10:16) Seed Oils and the Lies of the Food Pyramid (25:20) Vaccines for Newborns (39:41) Why Is the Medical Industry Ignoring This? (49:38) The Spiritual Crisis (1:21:35) The Birth Control Pill (1:36:12) The Rise of Dementia (1:43:27) Why Obamacare Is Harmful and How to Fix the Medical Industry Paid partnerships with:  Liberty Safe https://LibertySafe.com/Tucker Promo code “Tucker”  Meriwether Farms https://MeriwetherFarms.com/Tucker Use promo code “Tucker” to save  Unplugged Get $25 off a new phone with code "Tucker"  https://Unplugged.com/Tucker Learn more about your ad choices. Visit megaphone.fm/adchoices Listen on Apple Podcasts: https://podcasts.apple.com/us/podcast/the-tucker-carlson-show/id1719657632?i=1000665653719     Links to Help find Ambyr's Mom https://medium.com/@amarianacarolus428/the-strange-disappearance-of-terri-ann-ackerman-89559cc7ceee https://www.iheart.com/podcast/the-troubleshooter-20710606/episode/the-troubleshooter-04-25-23-113838662/ https://kdvr.com/news/colorado-cold-cases/cold-case-where-is-terri-ackerman/ News story https://apps.colorado.gov/apps/coldcase/casedetail.html?id=356000- Picture and description of her https://charleyproject.org/case/terri-anne-ackerman https://www.lochbuie.org/police Help Find Terri Ackerman Facebook Page https://www.thevanishedpodcast.com/episodes/2021/7/12/episode-295-terri-ackerman https://www.youtube.com/watch?v=dDJQfwbwwNs&t=244s https://www.youtube.com/watch?v=dgejVtc7juE&t=199s

Send us a textIn this week's Journal Club, Ben and Daphna unpack a wide range of recent neonatal studies with pragmatic, practice-centered discussion. First, they explore a study on low-dose dexamethasone for BPD in preterm infants, showing potential benefits in brain development and motor outcomes—despite ongoing concerns about long-term effects. Next, they discuss a large dataset analysis of oxygen and respiratory support trajectories in extremely preterm infants, offering real-world FiO2 trends and benchmarks that may help frame clinical decisions and counseling.They also examine the diagnostic limits of consumer-grade pulse oximeters, like the Owlet, comparing their accuracy to hospital-grade monitors—raising real concerns about missed events. A safe sleep initiative study offers evidence that modeling and education during birth hospitalization can improve post-discharge sleep practices, especially across different demographic groups. Finally, they review parent engagement with NICU-focused online health communities, identifying both the benefits and potential friction these platforms create in team-family communication.From cerebral oxygenation during kangaroo care to the use of enemas in ELBW infants, this episode covers it all—with a focus on what clinicians can take back to the bedside.Listen in and join the conversation.  As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textIn this episode of At The Bench, Drs. Misty Good and Betsy Crouch speak with Dr. Stephanie Gaw, a maternal-fetal medicine specialist at UCSF, about her path to becoming a physician-scientist and her translational research on placental infections. Dr. Gaw shares how early lab experiences, time in the Peace Corps, and a pivot from infectious disease to OB-GYN shaped her focus on maternal immunity and global health.The conversation covers Dr. Gaw's work on sepsis in pregnancy, COVID-19 and RSV vaccine responses, and congenital infections like syphilis. She also discusses her approach to building and managing a large placental biorepository, and the importance of thoughtful sample collection for reliable research outcomes. The episode includes practical insights on balancing clinical duties with research, the benefits of peer mentorship, and how clinical observations can drive lab-based investigation.This discussion offers a clear look into the realities and rewards of bridging bedside observations with bench research in maternal-fetal medicine. It's a valuable listen for early-career physician-scientists and anyone interested in the complexities of immunology, placental biology, and perinatal infection.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

After passing on a visit from Bobby and the crew for his show Too Much Access, Bobby says he is not sure if he can continue to be a Cubs fan. Plus, Kickoff Kevin is doing his final show before going on paternity leave, and his fandom for the Celtics is already putting him in a dilemma. And the guys discuss their celebrity crushes from decades before they were born! Download the DraftKings Sportsbook App today: https://dkng.co/bobbysports If you or someone you know has a gambling problem, crisis counseling and referral services can be accessed by calling 1-800-GAMBLER (1-800-426-2537) (IL/IN/MI/NJ/PA/WV/WY), 1-800-NEXT STEP (AZ), 1-800-522-4700 (CO/NH), 888-789-7777/visit http://ccpg.org/chat (CT), 1-800-BETS OFF (IA), 1-877-770-STOP (7867) (LA), 877-8-HOPENY/text HOPENY (467369) (NY), visit OPGR.org (OR), call/text TN REDLINE 1-800-889-9789 (TN), or 1-888-532-3500 (VA). 21+ (18+ WY). Physically present in AZ/CO/CT/IL/IN/IA/LA/MI/NJ/ NY/PA/TN/VA/WV/WY only. N/A in NH/OR/ON. New customers only. Valid 1 per new customer. Min. $5 deposit. Min $5 wager. $200 issued as eight (8) $25 free bets. Ends 9/19/22. See http://draftkings.com/sportsbook for details. Follow the Show: @BobbyBonesSports Follow the Crew: @MrBobbyBones @ProducerEddie @KickoffKevin @MikeDeestro @ReidYarberrySee omnystudio.com/listener for privacy information.