Podcasts about NP

INR is one of the most commonly tested lab values on NP boards, especially when warfarin is involved. In this minisode, I review normal and therapeutic INR ranges, explain what high and low values mean, and walk through the safety-focused thinking behind common exam questions, including when to adjust therapy, when vitamin K is needed, and how diet and medication changes can affect INR levels.             Follow us on Instagram: instagram.com/smnpreviewsofficial

Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and three-time NAACP Image Award-winning television Executive Producer Rushion McDonald interviewed Alaysia Miller. A certified nurse practitioner, travel nurse practitioner, and founder of NP Luxe CPR, a Florida-based CPR training company. Alaysia discusses her journey from nurse to travel nurse practitioner, how frontline burnout pushed her into entrepreneurship, and why she launched a CPR education business. She explains the financial and lifestyle advantages of travel nursing, the importance of mentorship, the realities of entrepreneurship, and the major CPR survival gap in Black and underserved communities. Rushion and Alaysia also dive into leadership, negotiating contracts, building a lucrative CPR business, and empowering community health through education.

When your body starts to feel unfamiliar — your sleep changes, anxiety appears out of nowhere, migraines intensify, weight shifts, hormones fluctuate — it can be hard to know where to begin. In this episode of The SEAM Podcast, Amy Cohen Epstein sits down with Carley Cassity, NP, for a smart, candid conversation about preventive medicine, perimenopause, and why so many women are looking for a different kind of care.The SEAM Podcast is produced by the Lynne Cohen Foundation, a nonprofit dedicated to breast and ovarian cancer prevention, early detection, and expanded access to preventive care. https://lynnecohenfoundation.org/ Hosted on Acast. See acast.com/privacy for more information.

NP-144 - https://www.truthcommunitychurch.orgClick the icon below to listen.            

If you've been diagnosed with IBS, or you have ongoing belly issues that testing keeps coming back "clear" on, this episode is for you. IBS is often given as a label once the serious causes are ruled out, but a label doesn't tell you what to do next. Your bowel isn't simply "irritable." Something is irritating it, and identifying that something is where real progress starts. I'm Dr. E, the NP with the PhD. In this episode I break down what IBS actually is, why it matters well beyond your stomach, and a practical, step-by-step way to start calming and repairing your gut. I cover the medical rule-out you shouldn't skip, how to use a food diary and elimination diet to pinpoint your triggers, why bloating and gas trace back to your microbiome, what SIBO is and how it's tested, how antibiotics and acid-blocking drugs can quietly set off IBS symptoms, and the correct order to eliminate, repair, reinoculate, and reintroduce foods so that probiotics actually help rather than make things worse. If you've already cut the obvious foods, tried the gut-friendly supplements, and you're still uncomfortable, the problem usually isn't you. Let's dig in. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Still second guessing yourself in the exam room? Click here!: https://freechapter.lpages.co/self-gaslighting-habits-to-watch-for/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters: 0:00 Introduction: What Is IBS? 1:03 Get the Workup First & IBS Red Flags 5:01 Finding Your Triggers: Food Diary & Elimination Diet 9:07 The Microbiome, Bloating, SIBO & Medications 15:28 How to Treat IBS: The Order of Healing 17:35 The Wrap-Up: Your Action Plan Learn more about your ad choices. Visit megaphone.fm/adchoices

The future of Nurse Practitioners is changing faster than ever, creating new opportunities, new challenges, and exciting possibilities for the profession. As healthcare continues to evolve, understanding these trends can help you prepare for the career you're stepping into.     In this episode, Alex and I explore the future of Nurse Practitioners and the major forces shaping healthcare today. From expanding autonomy and telehealth to artificial intelligence, personalized medicine, and NP entrepreneurship, we discuss how the profession is evolving and what these changes could mean for your future practice.                                      Get full show notes, transcript, and more information here: https://blog.npreviews.com/future-of-nurse-practitioners-AI-autonomy                  Follow us on Instagram: instagram.com/smnpreviewsofficial

In Dear Future APP mini-series episode of the Friends of NPACE Podcast, if you are a preceptor of students the National Organization of Nurse Practitioner Faculty (NONPF) has resources for you! NONPF Chief Executive Officer Dr. Mary Beth Bigley joins NPACE Executive Director Terri Schmitt to discuss resources and why supporting preceptors is so important to the future of the NP profession. We dive into the pivotal role of preceptors in nurse practitioner education and explore how NONPF supports both faculty and students. Dr. Bigley shares her insights on the challenges faced by new educators and the importance of clinical placements for advanced practice students. We also discuss the latest initiatives at NONPF, including resources for preceptors and the emerging focus on diagnostic reasoning in clinical practice. Join us for an enlightening conversation that underscores the significance of mentorship and continuous education in shaping the future of healthcare.

NP-143 - https://www.truthcommunitychurch.orgClick the icon below to listen.            

What really separates roflumilast (Zoryve) from other PDE4 inhibitors — and why does it matter for your patients with atopic dermatitis, psoriasis, or seborrheic dermatitis? In this episode, Dr. Ted Lane sits down with Dr. Chris Bunick, Associate Professor of Dermatology at Yale School of Medicine and Editor-in-Chief of Dermatology Times, for a deep dive into the biochemistry, formulation science, and clinical implications behind this breakthrough topical treatment. In this episode, you'll learn: Why roflumilast binds PDE4 with 200x more potency than apremilast — and 1,000x more than crisaborole How cyclic AMP inhibition controls upstream cytokine pathways (TH1, TH2, TH17) across multiple inflammatory skin diseases The science behind the Crotofos emulsifier — and why the right emulsifier protects the skin barrier instead of stripping ceramides Why formulating at pH 5.5 matters for filaggrin, keratin, and barrier integrity How the roflumilast foam is specifically engineered for scalp conditions and hair-bearing areas What's next in topical formulation innovation — from targeted dermal delivery to longevity skincare Whether you're a dermatologist, resident, PA, NP, or skincare enthusiast who wants to understand the why behind cutting-edge topicals, this episode is packed with clinical and scientific insight you won't find anywhere else.

“Perimenopause likes to really throw us through a loop, and things that might have previously been stable no longer feel so predictable.” - Vanessa Weiland, NP, HT, MSCPEven with the expanding conversation on perimenopause, our clients and patients with chronic illness are still being left out. The one-size-fits-all approach doesn't address those with hypermobility syndromes, mast cell activation syndrome, dysautonomia, or complex chronic illness. In perimenopause, conditions you've dealt with for years can change significantly. Symptoms that were manageable for years suddenly become more intense, pain patterns shift, sleep becomes less reliable, and many women find themselves wondering whether this is "just perimenopause" or something else entirely.What makes this phase especially challenging is that hormones don't operate in isolation. Estrogen, progesterone, connective tissue health, immune function, mast cells, autonomic regulation, sleep, and stress physiology interact simultaneously. Myopically looking at menopause through the lens of hot flashes and hormone replacement therapy makes us miss the much more complex reality facing women who are already navigating chronic health conditions. For these patients, finding stability often requires a more personalized and layered approach.In today's episode, I'm joined by Vanessa Weiland, a nurse practitioner, menopause specialist, and founder of Phases Clinic, known online as Bendy Menopause. Vanessa shares her journey with hypermobility and chronic pain and explains why perimenopause can be such a pivotal transition for women with connective tissue disorders and related conditions. We discuss the relationship between hormones, mast cells, and the nervous system, why standard menopause protocols don't always work for this population, how progesterone, estrogen, and testosterone can affect symptoms differently, practical strategies for building a supportive clinical team, the overlap between hypermobility, long Covid, trauma, chronic pain, and neurodiversity, why small, individualized changes over time are often the key to helping these patients feel better, and more.Enjoy the episode, and let's innovate and integrate together!---Learn more or watch the video version of this conversation at https://integrativewomenshealthinstitute.com/bendy-menopause-strategies-for-care-with-heds-and-other-hypermobility-spectrum-disorders-with-vanessa-weiland/.Connect with me and access our entire platform at IntegrativeWomensHealthInstitute.com (https://integrativewomenshealthinstitute.com/).Find and follow us @integrativewomenshealth on YouTube (https://www.youtube.com/@integrativewomenshealth) and Instagram (https://www.instagram.com/integrativewomenshealth/).

Send us Fan MailDo you wake up tired or with a headache, even after sleeping all night? You might need a sleep study. Or you just might need to improve your sleep hygiene. Terri Carroll, NP, is a nurse practitioner with Texas Tech Physicians Amarillo Sleep Clinic. She tells us why we need a good night's sleep, gives us tips on how to get restful sleep, explains what happens during a sleep study and who is a good candidate for a sleep study. About Inspire:Sleeping Better, Living Longer: A New Era in Sleep Apnea Care 

O tym, że przed drugą wojną światową Harry Jelínek jednemu amerykańskiemu milionerowi sprzedał ikoniczny zamek Karlštejn a drugiemu praską linię tramwajową nr 1, wiedzą w Czechach pewnie wszyscy. Wiedza o tym, czym zajmował się podczas niemieckiej okupacji już tak powszechna nie jest.Tymczasem Josef "Harry"Jelínek to nie uroczy łobuz, potrafiący naciągnąć pazernych biznesmenów zza oceanu. To przede wszystkim donosiciel Gestapo, wydawca gadzinowej, antysemickiej literatury i sprawny trybik w propagandowej machinie III Rzeszy. Do tego szantażysta. Wieczny oportunista bez kręgosłupa i cienia moralności.Jest też w życiorysie oszusta, tym okupacyjnym i powojennym kilka wątków polskich. Np. uciec z Czech przed wyzwoleniem niemieckiemu konfidentowi pomogli zapewne współpracujący z nazistami żołnierze Brygady Świętokrzyskiej NSZ.Co ciekawe - okupacyjna część życia Harrego - chociaż znacznie mniej znana, jest nieźle udokumentowana przez historyków. O tej głośniejszej - przedwojennej tak naprawdę to wiadomo całkiem niewiele - nie da się wykluczyć, że chociażby opowieś o naciągnięciu na 30 tysięcy dolarów Wrigleya - barona gum do życia, Jelinek sobie wymyślił.Generalnie "Harry" nie był specjalnie sympatyczną postacią, ale niewątpliwie był postacią ciekawą. A jej losy wpisują się w kawał historii Czech. W odcinku przywołuję profesora Piotra M. Majewskiego, historyka z Uniwersytetu Warszawskiego, autora szeregu badań i książek o Czechosłowacji przed wojną i w czasie okupacji, poświęconych również postaci Jelinka. Tutaj znajdziecie kilka rozmów z profesorem:O Powstaniu praskimO zamachu na protektora RzeszyO Układzie monachijskimO czechosłowackiej II republice***Jeśli podcast Wam się podoba i chcecie pomóc go rozwijać, możecie zostać Patronami lub Patronkami Czechostacji w serwisie Patronite. W tym tygodniu zdecydował się na to:WojtekBardzo Ci dziękuję

W języku greckim istniało słowo angelos oznaczające posłańca. W Nowym Testamencie użyto go jako tłumaczenie hebrajskiego terminu malah, czyli posłaniec. Oczywiście Biblia używa tych terminów malah i angelos w odniesieniu do posłańców duchowych, czyli aniołów. Ale czasami te terminy odnoszą się do ludzi. Gdy jednak Jezus wybierał apostołów użył innego słowa. Greckie słowo angelos to po prostu posłaniec przynoszący jakąś wieść, ale słowo apostolos oznacza kogoś kto jest oficjalnym przedstawicielem. Termin ten oznacza wysłanego, delegata czy emisariusza. W świecie greckim i żydowskim miał silniejsze znaczenie niż zwykły posłaniec, bo wskazywał na osobę działającą z upoważnienia tego, kto ją wysłał.Co ciekawe tego słowa użyto też wobec Jezusa w Hebrajczyków 3:1 w przekładzie Biblii Tysiąclecia czytamy: “Dlatego, bracia święci, uczestnicy powołania niebieskiego, zwróćcie uwagę na Apostoła i Arcykapłana naszego wyznania, Jezusa”. Biblia Warszawska tłumaczy to jako posłańca, czytamy tam: “zważcie na Jezusa, posłańca i arcykapłana naszego wyznania”.Tego słowa używano też wobec innych wysłanników. O Tytusie w 2 Koryntian 8:23 czytamy: “Co do Tytusa, jest on moim towarzyszem i współpracownikiem wśród was; co zaś do naszych braci, są oni posłańcami zborów, chwałą Chrystusową”. Tytus został nazwany “posłańcem zborów”. W przekładzie Biblii Wujka lub Biblii gdańskiej przeczytamy w tym miejscu, że był apostołem zborów. Dokładnie w ten sam sposób Paweł był apostołem. Jednak w tej audycji skupię się na 12 apostołach wybranych przez Jezusa. Listę 12 apostołów wymieniają trzej ewangeliści: Mateusz w rozdziale 10 (Mateusza 10:2-4), Marek w 3 (Marka 3:16-19), a Łukasz w 6 (Łukasza 6:13-16). Listę 11 apostołów (bez Judasza) wymieniono jeszcze w Dziejach Apostolskich 1:13. Wszystkie te listy są dość podobne. Ewangelista Jan opisuje jak Jan Chrzciciel wskazał dwóm swoim uczniom Jezusa, którzy zaraz poszli za nim. W Jana 1:40 czytamy: “Andrzej, brat Szymona Piotra, był jednym z tych dwóch, którzy to słyszeli od Jana i poszli za nim”. On zaraz poszedł po swojego brata Szymona, któremu Jezus od razu zmienił imię na Kefas, czyli Piotr. Prawdopodobnie drugim uczniem był sam Jan, który przyprowadził swojego brata Jakuba. Ta czwórka zawsze znajduje się na początku każdej listy apostołów.Później Jezus udał się do Galilei, być może idąc z czterema pierwszymi uczniami. Kolejnym był Filip. W Jana 1:44 czytamy: “Filip był z Betsaidy, miasta Andrzeja i Piotra”. Filip odszukał Natanaela. W kolejnym rozdziale Jan opisuje wesele w Kanie Galilejskiej. Co ciekawe właśnie stamtąd pochodził ten Natanael o czym czytamy w Jana 21:2. Tak więc Piotr, Andrzej, Jakub i Jan zostali uczniami Jezusa prawdopodobnie nad Jordanem gdzie działał Jan Chrzciciel. Potem udali się razem do Galilei idąc przez Betsaidę gdzie być może uczniem został Filip, a potem poszli do Kany gdzie uczniem został Natanael. Myślę, że tak to mogło wyglądać, ale to tylko przypuszczenia.Jak czytaliśmy w Jana 1:44 Piotr i Andrzej pochodzili z Betsaidy, z której był też Filip. Później jednak chyba przenieśli się do Kafarnaum. Tam mieszkała teściowa Piotra. Być może więc Piotr pochodził z Betsaidy, ale po ślubie przeniósł się do żony do Kafarnaum. Wydaje się, że po tym jak tych 6 uczniów spędziło czas z Jezusem wrócili oni do swoich zajęć, w tym pierwsza czwórka do rybołówstwa. W Łukasza 5:3 czytamy o Jezusie “A wszedłszy do jednej z tych łodzi, należącej do Szymona, prosił go, aby nieco odjechał od brzegu; i usiadłszy, nauczał rzesze z łodzi”.Ewangelia Jana wyjaśnia, że Jezus znał już Szymona Piotra, a więc jego prośba, aby wykorzystać tę łódź do wygłoszenia kazania do ludzi na brzegu nie była zaskoczeniem. Także późniejsze słowa Jezusa do Piotra i pozostałych, aby pozostawili rybołówstwo i stali się rybakami ludzi. Ich decyzja, że od razu porzucili wszystko i poszli za nim też jest bardziej zrozumiała gdy uświadomimy sobie, że oni już znali Jezusa i spędzili z nim jakiś czas, np. wesele w Kanie Galilejskiej. Tych czterech mieszkało wtedy w Kafarnaum.Jezus oczywiście obchodził wszystkie miasta i wioski, ale jego bazą, czyli miastem gdzie przebywał chyba najwięcej jest Kafarnaum. W Mateusza 4:13 czytamy: “opuściwszy Nazaret, przyszedł i zamieszkał w Kafarnaum”. W Marka 2:1 czytamy: “I znowu, po kilku dniach, przyszedł do Kafarnaum i usłyszano, że jest w domu”. Jest to ważne aby zrozumieć gdzie został powołany Mateusz, w jego Ewangelii czyli w Mateusza 9:9 czytamy: “odchodząc stamtąd, ujrzał Jezus człowieka, siedzącego przy cle, imieniem Mateusz, i rzekł do niego: Pójdź za mną. A on wstał i poszedł za nim”. Gdzie to było? Pierwszy werset tego rozdziału mówi: “przeprawił się na drugi brzeg i przybył do swego miasta” czyli do Kafarnaum.Ostatni apostoł, którego chyba znamy pochodzenie to Judasz. W Łukasza 6:16 czytamy: “I Judasza Jakubowego, i Judasza Iskariotę, który został zdrajcą”. Co oznacza ten przydomek? W Jana 6:71 czytamy: “mówił o Judaszu, synu Szymona z Kariotu, bo ten miał go wydać, a był jednym z dwunastu”. Iskariot to był przydomek oznaczający kogoś z Kariotu. Isz Kariot dosłownie znaczy człowiek z Kariot. Była to miejscowość na południu Judy. Wygląda na to, że Judasz był jedynym Judejczykiem spośród apostołów. Skąd wiemy, że był jedynym Judejczykiem?Po wydaniu Jezusa, Judasz popełnił samobójstwo. Gdy później opisano spotkanie zmartwychwstałego Jezusa z uczniami nazwano ich Galilejczykami. W Dziejach Apostolskich 1:11 czytamy: “I rzekli: Mężowie galilejscy, czemu stoicie, patrząc w niebo? Ten Jezus, który od was został wzięty w górę do nieba, tak przyjdzie, jak go widzieliście idącego do nieba”. Większość uczniów pochodziła z północy z Galilei. Dużo mniej z południa, z Judy. Wygląda na to, że na ostatnim spotkaniu z Jezusem byli tylko Galilejczycy. Było ono na północy więc nic w tym dziwnego.Właśnie Judaszowi powierzono wspólną sakiewkę. W Jana 12:6 czytamy: “A to rzekł nie dlatego, iż się troszczył o ubogich, lecz ponieważ był złodziejem, i mając sakiewkę, sprzeniewierzał to, co wkładano”. Oczywiście dostał on to zadanie zanim zaczął kraść. Zachodzi jednak pytanie, czemu wspólną kasą zajmował się Judasz, a nie były poborca podatkowy Mateusz. Warto przypomnieć, że ludzie byli wtedy uprzedzeni do poborców. Być może także inni apostołowie nie ufali Mateuszowi. Jak jednak traktowano Judasza i jak on traktował innych apostołów?Judasz jako jedyny prawdopodobnie pochodził z Judy. Mówił prawdopodobnie innym dialektem niż apostołowie z Galilei. Możemy sobie wyobrazić Jezusa w Polsce jak wybiera 11 apostołów z Podlasia i jednego z Warszawy. Nie wiemy czy to był powód zdrady Judasza, ale być może zdradził bo czuł się lepszy. Tak jak czasem Warszawiak wywyższa się ponad kogoś z Podlasia. Oczywiście nie wszyscy Warszawiacy wyśmiewają ludzi z prowincji i podobnie nie wszyscy Judejczycy wyśmiewali gwarę galilejską. Biblia wymienia chciwość oraz wpływ Szatana jako powód zdrady Judasza.Po śmierci Judasza pozostało 11 apostołów. Doszli oni do wniosku, że potrzebny jest ktoś na miejsce zdrajcy. Jakie były kryteria? W Dziejach Apostolskich 1:21 czytamy: “Trzeba więc, aby jeden z tych mężów, którzy chodzili z nami przez cały czas, kiedy Pan Jezus przebywał między nami”. Było dwóch uczniów, którzy byli z Jezusem od samego początku, a nie zostali wybrani do grona 12 apostołów. Spośród tej dwójki wybrano Macieja. Wygląda na to, że ich głównym zadaniem było świadczenie o służbie i zmartwychwstaniu Jezusa. Gdy dużo później apostoł Jakub został ścięty nie wybrano nikogo na jego miejsce.Gdy po śmierci Szczepana wybuchło prześladowanie, chrześcijanie się rozproszyli, ale jak podają Dzieje Apostolskie 8:1, apostołowie pozostali w Jerozolimie. Później jednak Herod Agrypa I kazał ściąć apostoła Jakuba, brata Jana (Dzieje 12:2). Jak czytamy dalej w tym 12 rozdziale, apostoł Piotr wydostał się z więzienia i opuścił Jerozolimę. Być może był to moment, gdy również pozostali apostołowie zaczęli opuszczać miasto i podejmować działalność w innych regionach. Piotr pisał później swoje listy z Babilonu. Bibliści dyskutują, czy należy rozumieć tę nazwę dosłownie, czy symbolicznie. Z kolei apostoł Jan pod koniec życia przebywał na wyspie Patmos niedaleko Efezu, na zachodnim wybrzeżu dzisiejszej Turcji. O szczegółach działalności większości apostołów wiemy niewiele, ponieważ Dzieje Apostolskie skupiają się głównie na działalności apostoła Pawła.W zasadzie nie wiemy co później działo się z apostołami, bo Dzieje Apostolskie skupiają się na apostole Pawle. Ale jak już mówiłem był on apostołem czyli posłańcem zborów, a nie apostołem należącym do 12-ki wybranej przez Jezusa. Podsumowując. Słowo apostolos ma podobne znaczenie do słowa angelos. Oba oznaczają posłańców. Jednak apostolos to posłaniec, który ma prawo reprezentować tego, który go posłał i nawet podejmować decyzje w jego imieniu. Biblia używa tego słowa wobec samego Jezusa czy wysłanników zborów. Np. zbór w Antiochii Syryjskiej wysłał Barnabę i Pawła czyli byli oni apostołami tego zboru. Oczywiście nam słowo apostoł kojarzy się głównie z 12 uczniami wybranymi przez Jezusa. Wydaje się, że 11-u było Galilejczykami, a tylko Judasz pochodził z Judy. Na jego miejsce wybrano Macieja, który od samego początku także podążał za Jezusem.

What if your healthcare team already knew what happened during your hospital stay — before you even explained it? What if someone on your care team noticed you were struggling on a Saturday and simply showed up? In this episode, Jamie sits down with Christopher Laffey, Nurse Practitioner at Your Health, to break down what a truly connected, proactive model of care actually looks like when it's working. Christopher practices in North Charleston, SC, where his team — nurses, therapists, social workers, community health workers, and more — functions less like a traditional office practice and more like a living, breathing safety net woven around each patient's real life. What you'll hear in this episode: Why most patients are failing not because nobody cares, but because the system itself is fragmented — and what doing it differently actually looks like on a Tuesday morning The real difference between "patient-centered" as a marketing phrase and patient-centered as a daily practice (hint: it involves seeing the medication bottles on the kitchen table) A powerful real-life story of a bedbound patient whose caregiver suddenly disappeared — and how the team mobilized over a weekend, on their own time, to prevent a hospitalization The single mindset shift every clinician needs to make the transition from visit-based thinking to longitudinal care Why "value-based care" doesn't mean discounted care — it means the organization is accountable for your outcomes, not just your appointments If you've ever left a doctor's appointment feeling more confused than when you walked in, this episode will show you what healthcare can feel like when it's actually designed around you. www.YourHealth.Org

NP-142 - https://www.truthcommunitychurch.orgClick the icon below to listen.            

Husk at bruge koden "BILKLUBBEN" og få 100 kr. i rabat på din første ordre fra aioss.Afsnit 233 sendes fra Classic Car House i Lyngby. Dine værter i denne uge er Anders Richter, Nils Petter Bro og gæstemedvært Simon Kirketerp, investorredaktør på Børsen.Richter har været på flyvetur i et Hercules fly med en Ferrari ombord.NP har testet den opdaterede Volvo EX90Simon Kirketerp gør os klogere på bilaktier og aktier generelt.Brevkassen er som altid fyldt med spørgsmål fra alle jer lyttere.Denne uges udgave af verdens sværeste bilquiz har temaet "Biler fra film om aktiehandlere".Afsnit 233 er publiceret d. 8. juni, 2026. 

Why Your Thyroid Is the "Check Engine Light" Your thyroid is the check engine light, not the engine. With Hashimoto's, the real story is happening in your gut, your immune system, and your stress physiology, often years before your thyroid shows it. If you have Hashimoto's and you're only chasing your thyroid numbers, you're missing the bigger question: why is your immune system attacking your thyroid in the first place? In this episode of the Medical Disruptor, I break down what Hashimoto's actually is, what the standard "replace the hormone" approach misses, and why your low-functioning thyroid is often a check engine light for something deeper, including gut health, gluten, infections, chronic stress, and toxins. I'm Dr. E, the NP with the PhD, and I help humans go from medically gaslit to medically empowered. We'll cover leaky gut and the gluten-to-TPO connection, the gut microbiome's role in converting T4 to T3, infections like EBV and H. pylori, how chronic stress and cortisol affect your thyroid, endocrine-disrupting toxins, and the smartest next steps to take before you reach for supplements. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Feeling "normal but not okay"? Grab my free guide to track your symptoms, spot your patterns, and get taken seriously https://freechapter.lpages.co/normal-but-not-okay-handout/ Check us out on social media: https://www.instagram.com/drefratlamandrehttps://www.facebook.com/drefratlamandrehttps://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters: 00:00 - Introduction 02:28 - Where Standard Treatment Falls Short 04:47 - The Gut, Gluten & Leaky Gut Connection 08:31 - Infections, Stress & Toxins 11:37 - What To Do Next: 5 Smart Steps 13:39 - Supplements That Actually Help Learn more about your ad choices. Visit megaphone.fm/adchoices

Interview starts at 30:30   Unveiling Earth's Hidden Mechanisms: A Deep Dive with Roger Cunningham Join us as we explore groundbreaking theories on Earth's past, including the enigmatic inversion, the role of ancient monuments aligned with mysterious poles, and the scientific implications of the Earth's magnetic and rotational shifts. This episode offers a compelling blend of scientific insights, historical mythology, and cutting-edge hypotheses about our planet's dynamic history. It's not doomer prediction but a call to re-examine evidence across disciplines. Main Topics: The scientific and cultural significance of ancient megalithic monuments and their alignments with the supposed ancestral North Pole. The Earth rotation hypothesis (ECDO) and its evidence from geological, archaeological, and satellite data. The impact of geomagnetic excursions and cosmic events on climate, sea levels, and civilization resets. The questioning of mainstream climate models and the validation of internal geophysical processes as primary heat sources. The potential role of ancient knowledge and features like spiral motifs and star alignments in understanding Earth's past rotations and pole shifts. https://x.com/EthicalSkeptic theethicalskeptic.com   Become a Lord or Lady with 1k donations over time. And a Noble with any donation. Leave Serfdom behind and help Grimerica stick to 0 ads and sponsors and fully listener supported. Thanks for listening!! Help support the show, because we can't do it without ya. https://www.simulationmaps.com/#products Suite of Interactive Maps! DisasterMap, VolcanoSim, AsteroidSim, ShipwreckMap, UFOMap etc https://www.amazon.com/Unlearned-School-Failed-What-About/dp/1998704904/ref=sr_1_3?sr=8-3   Support the show directly: https://open.spotify.com/show/2punSyd9Cw76ZtvHxMKenI?si=ImKxfMHgQZ-oshl499O4dQ&nd=1&dlsi=4c25fa9c78674de3 Watch or Listen on Spotify https://grimericacbd.com/ CBD / THC Gummies and Tinctures http://www.grimerica.ca/support https://www.patreon.com/grimerica http://www.grimericaoutlawed.ca/support   Our audio book website: www.adultbrain.ca Check out our next trip/conference/meetup - Contact at the Cabin www.contactatthecabin.com www.grimerica.ca/shrooms and Micro Dosing Darren's book www.acanadianshame.ca Join the chat / hangout with a bunch of fellow Grimericans Https://t.me.grimerica grimerica.ca/chats   Discord Chats https://itunes.apple.com/ca/podcast/grimerica-outlawed Sign up for our newsletter https://grimerica.substack.com/ SPAM Graham = and send him your synchronicities, feedback, strange experiences and psychedelic trip reports!! graham@grimerica.com Purchase swag, with partial proceeds donated to the show: www.grimerica.ca/swag Send us a postcard or letter http://www.grimerica.ca/contact/ Episode ART - Napolean Duheme's site http://www.lostbreadcomic.com/ MUSIC https://brokeforfree.bandcamp.com/ - Something Galactic Felix's Site sirfelix.bandcamp.com - Should I     In this episode: Roger Cunningham discusses his book on the inversion theory and the hidden mechanisms driving Earth's historical cataclysms (00:01). Insights on the rapid rise of book sales and the signature signing process (00:21). The technical details behind ancient site alignments with the hypothesized North Pole (02:36). Scientific confirmation of city and monument alignments to NP prime and the implications for understanding Earth's magnetic history (04:23). The significance of ancient star motifs and their correlation to Earth's rotational changes over millennia (15:06). Evidence from geophysical data supporting the hypothesis of a shifted North Pole and its impact on climate and civilization (31:37). The critique of current climate science, with a focus on internal Earth processes over surface-level models (36:34). The ongoing debates about Earth's growth, tectonics, and the potential for frequent pole flips over millions of years (44:53). Considerations of ancient mythology, biblical references, and mythic ages tied to Earth's cyclical upheavals (52:33). The outlook on UFOs, UAPs, and the scientific openness to non-human intelligences from a geophysical and extraterrestrial perspective (66:57). Practical insights for modern survival strategies in light of catastrophic Earth events and geological shifts (74:07).  

GFR is one of the most important kidney lab values to know for NP boards because it tells you how well the kidneys are functioning and helps determine chronic kidney disease staging. In this minisode, I break down the key GFR cutoffs, explain how to think of CKD stages as a simple ladder, and review the clinical decisions that often show up on exams, including medication adjustments, kidney protection strategies, and when dialysis becomes necessary.          Follow us on Instagram: instagram.com/smnpreviewsofficial

John Manna became a nurse after witnessing the huge impact nurses could have on their patients on an overseas trip. Now an NP specializing in lifestyle medicine, he joins NP Pulse to share the six pillars of whole-person care, and walks us through the latest updates in GLP-1 usage, diabetes treatment and the importance of diet and exercise.

What actually creates long-term health?In this episode, Christa Elza, NP joins us to discuss the future of functional medicine, preventative healthcare, longevity, cardiovascular prevention, metabolic health, GLP-1s, genetics and why personalized medicine is changing the way practitioners approach disease.Christa shares her own journey from emergency medicine into functional medicine, why root-cause healthcare matters and how early testing, lifestyle interventions, genomics and preventative strategies can dramatically improve healthspan.We also discuss:The foundations of longevity medicineWhy prevention matters more than treatmentFunctional medicine vs conventional careThe truth about GLP-1 medicationsCardiovascular disease preventionGenetics & personalized healthcareStress, nervous system regulation & chronic diseaseHow practitioners can better support patientsThe importance of muscle, movement & metabolic healthHealthspan vs lifespan

NP-141 - https://www.truthcommunitychurch.orgClick the icon below to listen.            

Big news for nurse practitioners and physician assistants in dermatology! Dr. Patti Farris is joined by PA and dermatology leader Kristin Rygg to announce a brand-new NP/PA track at the 2026 Science of Skin Summit — a first-of-its-kind opportunity for advanced practice providers to learn alongside their physician colleagues. In this episode, you'll hear: Why this NP/PA-dedicated track was created and what makes it different A full breakdown of the September 10th agenda — from immunology and inflammatory skin disease to biologics, GLP-1s, and advanced skincare ingredients How the curriculum is designed for every career stage, from new grads to seasoned practitioners What to expect at the full Summit (September 17–20, 2026), including case-based learning, product theaters, and a longevity track How NPs and PAs will be featured on the main stage for the first time Whether you're a PA, NP, dermatologist, or practice owner, this episode is your inside look at a summit built for collaboration, clinical excellence, and professional growth.

NP-140 - https://www.truthcommunitychurch.orgClick the icon below to listen.            

Today is World Digestive Day and the perfect opportunity for me to launch a new mini-series in the Gut Doctor Podcast. Advanced Practice Providers are the backbone of gastroenterology, transforming patient care today and tomorrow. Welcome to the APP Playbook, a special mini-series where I sit down with leading APPs to unpack the critical insights, clinical strategies, and their unique perspectives shaping patient care today. Today's inaugural episode kicks off with a true powerhouse: Monica Nandwani, NP! Our conversation delves into the practical management of acid reflux disease, focusing on the approach to diagnosis, patient history, lifestyle changes, medication therapy, and the role of PCABs. It also covers the criteria for routine upper endoscopy and provides final tips for managing GERD effectively.This episode is supported by sponsorship funding from Phathom Pharmaceuticals.

Michele Scarlet sits down with RN, Nurse Practitioner, and Functional Diagnostic Nutrition Practitioner Connie Wade for an honest conversation about what 25 years inside the emergency room taught her about the limits of conventional medicine, why her own doctor told her she was not "sick enough" to treat, and how she finally healed the symptoms she had been "swiping away" for years. In this powerful Health Detective Podcast episode, Connie shares her personal journey through psoriasis, debilitating joint pain at 48, chronic reflux, daily ibuprofen use, estrogen dominance, heavy painful periods, more than 20 years of night shift, H. pylori, an overwhelmed liver and gallbladder, food sensitivities to her favorite foods, and a depleted gut microbiome. Together, Michele and Connie unpack how functional lab testing gave Connie the vindication she had been looking for, why she healed in three months once she addressed the root causes, and why she chose to keep working in the ER while building her functional health practice on the side. This episode dives deep into: Why her doctor said "she wasn't sick enough" and sent her home with ibuprofen The functional labs that finally explained her symptoms after years of being dismissed How 20 plus years of night shift flatlined her cortisol and disrupted her hormones H. pylori, food sensitivities, and the gut findings that changed everything Why psoriasis, joint pain, and heavy periods are not just "normal aging" The reframe that helped Connie cut gluten, sugar, and dairy without feeling deprived Why so many nurses are leaving bedside nursing and the third option most do not consider How to build a functional nursing side practice without leaving your license or your job Why going all in or all out of conventional medicine limits your reach as a clinician The four simple daily practices Connie recommends to every patient How to ask your family for support when you start your healing journey Michele and Connie also discuss why the body is constantly trying to send messages, why most of us swipe them away for years, and why functional lab testing catches dysfunction long before conventional labs ever turn "abnormal." If you are a woman struggling with joint pain, psoriasis, hormone imbalance, or symptoms your doctor keeps dismissing, or you are a nurse, NP, or clinician quietly exploring functional medicine as a career path, this episode will change how you view your body and what is possible.

Diabetes can feel like one of the biggest and most overwhelming topics to study for NP boards. Between insulin types, medication classes, complications, and diagnostic criteria, it is easy to get lost in the details and spend hours studying without knowing what actually matters most.     In this episode, Alex and I walk through a practical diabetes review for NP boards and focus on the highest-yield concepts you should prioritize during your prep. This is not meant to be a complete deep dive into every diabetes medication or clinical nuance. Instead, we focus on the core concepts, common board-style presentations, medication side effects, and complications most important to understand for exams.                                   Get full show notes, transcript, and more information here: https://blog.npreviews.com/diabetes-review-for-np-boards               Follow us on Instagram: instagram.com/smnpreviewsofficial

Sponsored by the Institute for Functional Nursing. Learn more about our programs at www.fxnursing.com How should nurses list credentials after their name? In this episode of the Functional Nurse Podcast, Dr. Brigitte Sager explains how nurses, nurse practitioners, and advanced practice nurses can understand and display their professional credentials with more clarity and confidence. If you have ever wondered whether RN, BSN, MSN, DNP, APRN, NP, board certification, holistic nursing certification, or your other credentials should come first, this episode will help you make sense of the “alphabet soup” after a nurse's name. Brigitte breaks down the difference between academic degrees, nursing licensure, advanced practice titles, national board certifications, specialty certifications, and program-created certificates. You'll also hear how credentialing applies to nurses entering functional, holistic, and integrative healthcare. Brigitte discusses holistic nursing board certification through AHNCC, the Institute for Functional Medicine's certification process, and the future need for a true functional nursing board certification. This episode is especially helpful for RNs, NPs, APRNs, nurse entrepreneurs, holistic nurses, functional medicine nurses, integrative health professionals, and nurses pursuing advanced education or specialty training. Whether you are updating your email signature, website bio, resume, professional title, or social media profile, this conversation will help you think more carefully about credibility, professionalism, and how to represent your qualifications accurately. In this episode: How to list nursing credentials after your name The difference between degrees, licenses, certifications, and certificates Where RN, NP, APRN, MSN, DNP, and board certifications fit Why credential order matters for nurses and nurse practitioners What holistic nursing certification means How IFM certification fits into functional medicine education Why functional nursing needs clearer professional standards How nurses can communicate credibility in functional and integrative healthcare Learn more about the Institute for Functional Nursing: www.fxnursing.com

Elisa Martinez, N.P. discusses the role of cultural sensitivity and language in improving patient outcomes with diabetes and insulin management. She shares the value in practical phrasing and motivational approaches to helping patients adhere to treatment. She highlights the importance of reducing diabetes stigma to help enhance patient outcomes.To schedule with Elisa Martinez, NP 

Pediatric urinary tract infections, or UTIs, don't always follow a script. While they're one of the most common diagnoses, they're also one of the most nuanced. They can be subtle, inconsistent and easy to over — or under — diagnose. Aside from clear urinary symptoms, they can show up as a fever without a source, vague abdominal pain, new incontinence or a child who simply isn't acting like themselves. And in those moments, the decisions pediatricians make such as who to test, how to collect a sample or how to interpret results, carry real clinical weight. To dive into this topic, we are joined by Kevin Olson, PA, and Meghan Rommel, NP, who practice in the Department of Pediatric Urology at Children's Hospital Colorado. Some highlights from this episode include: The challenges of diagnosis and the importance of getting it right  How UTIs present differently across ages   When to use antibiotics versus when more discovery is needed  Approaching recurrent UTIs in children  For more information on Children's Colorado, visit: childrenscolorado.org. 

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Czabe is out here grindin' on a holiday weekend, but the good content just couldn't be ignored. Also, it's still fucking raining in DC. So why not podcast? The Indy 500 was incredible from start to finish. More on Kyle Busch and his shocking death. The Knicks are rollin', and courtside seats for the finals are already selling for more than a 4-bedroom house! Kenny Atkinson is spinning a disaster for the Cavs in the media. Still too many Jalens in the NBA. All Drug Games. "What was that?" NP, no problem. MORE....Our Sponsors:* Check out Troll Co Clothing and use my code CZABE25 for a great deal: https://www.trollcoclothing.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

NP-138 - https://www.truthcommunitychurch.orgClick the icon below to listen.            

Osteoporosis is often called a “silent disease,” but its impact can be life‑changing. In this episode of Docs in a Pod, hosts Carmenn Miles and Dr. Tamika Perry welcome Candice Moore, NP break down what osteoporosis really is, who is most at risk, and why early awareness matters. Docs in a Pod focuses on health issues affecting adults. Clinicians and other health partners discuss stories, topics and tips to help you live healthier. Docs in a Pod airs on Saturdays in the following cities:  7:00 to 7:30 am CT:  San Antonio (930 AM The Answer)  DFW (660 AM, 92.9 FM [Dallas], 95.5 FM [Arlington], 99.9 FM [Fort Worth])  6:30 to 7:00 pm CT: 

Dr. Tommy Wood and Dr. Gillett discuss brain health and Dementia prevention. Follow Dr. Tommy Wood ► https://www.instagram.com/drtommywood/?hl=en► https://www.drtommywood.com/Buy his book: https://www.amazon.com/Stimulated-Mind-Future-Proof-Brain-Dementia/dp/0593797817 For High-quality labs:► http://sagebio.com/Code: Sarcasm12 For information on the Gillett Health clinic, lab panels, and health coaching:► https://GillettHealth.comFollow Gillett Health for more content from James and Kyle► https://instagram.com/gilletthealth► https://www.tiktok.com/@gilletthealth► https://twitter.com/gilletthealth► https://www.facebook.com/gilletthealthFollow Kyle Gillett, MD► https://instagram.com/kylegillettmdFollow James O'Hara, NP► https://Instagram.com/jamesoharanpFor 10% off Gorilla Mind products, including SIGMA: Use code “GH10”► https://gorillamind.com/For discounts on high-quality supplements►https://www.thorne.com/u/GillettHealth#brainhealth #exercise #braintest #dementiaAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In this urgent episode, host Amie Archibald-Varley sits down with Dr. Michelle Acorn, CEO of the Nurse Practitioners' Association of Ontario (NPAO), to rip the band-aid off a system that refuses to evolve. Dr. Acorn pulls no punches: Nurse Practitioners are trained, capable, and ready — and they're being held back by outdated policy, inadequate funding, and a government content to watch the primary care crisis deepen rather than act. What you'll hear in this episode: The full scope of what Ontario's inaction actually means for patients on the ground Why NPs remain one of the most underleveraged solutions in Canada's healthcare system The funding reforms and regulatory barriers that must be dismantled — now What a truly patient-centered, NP-inclusive system could look like — and the path to get there Why this moment is a turning point This is the conversation healthcare needs to have. The one that doesn't end with "we'll study it further." If you care about access to care, about equity, about a system that finally treats Nurse Practitioners as the leaders they are — this episode is required listening. Subscribe, share, and turn up the volume. The gritty truth can't wait. Update: The April 1st Deadline Has Come and Gone. Ontario's Patients Are Paying for It. The federal government drew a line in the sand: by April 1, 2026, provinces must ensure that medically necessary services delivered by Nurse Practitioners are publicly covered. Ontario blinked — and millions of patients are now left holding the bill. As reported by CBC News, Ontario failed to meet the federal deadline, leaving Ontarians without primary care and forcing them to pay out-of-pocket for services that should never cost them a dime. This isn't a bureaucratic hiccup. This is a political choice — and people without a family doctor are the ones suffering the consequences. The Gritty Nurse isn't here for polite conversation. We're here to start the revolution. More About Dr. Michelle Acorn Dr. Acorn has over 35 years of nursing, health systems and leadership expertise. NP Acorn transitioned to her NPAO CEO role in 2024. She previously was the inaugural Chief Nurse with the International Council of Nurses, a former Provincial Chief Nursing Officer in Ontario, and has served as a NPAO President. Dr. Acorn was inducted as an inaugural Fellow of the Canadian Academy of Nursing (FCAN), Fellow of the American Academy of Nursing (FAAN), Fellow of the Faculty of Nursing and Midwifery Royal College of Surgeons of Ireland (FFNMRCSI, Ad Eundem), and Fellow of the Queens Nursing Institute in the United Kingdom.  NP Acorn has received prestigious recognitions including the Nurse Practitioner Association of Canada Award of Excellence and Premier's Award Nominee for Outstanding Scholars and Leaders. She was named one of the top 20 visionary CEOs in Canada (2024), and top 25 women of influence in Canada (2025) and received a King Charles III Coronation Medal (2025). Michelle received the inaugural Canadian Nurses Association highest merit Sapphire Award in 2025. Dr. Acorn upholds all the NP advanced practice role domains. She is diploma to post-doctoral educationally prepared, is a Doctor of Nurse Practitioner/ Nursing Practice, dually registered as both a Primary Health Care and Adult Nurse Practitioner, and a certified Global Nurse Consultant. Dr. Acorn's diverse clinical expertise includes practicing in the Emergency, as a Hospitalist, innovating GAIN (Geriatric Assessment and Intervention Networks), and pioneering the most responsible provider (MRP) impacts of a NP–led model of inpatient hospital care as well as NP primary care models in corrections.  NP Michelle continues to practice in the community enhancing access to care for health equity seeking populations.  Michelle is recognized as a credible clinician, thought leader, mentor, teacher and scholar locally to globally. https://www.npao.org/dipl-team-member/michelle-acorn/ * Listen on Apple Podcasts – : The Gritty Nurse Podcast on Apple Apple Podcasts  https://podcasts.apple.com/ca/podcast/the-gritty-nurse/id1493290782 * Watch on YouTube –  https://www.youtube.com/@thegrittynursepodcast Stay Connected: Website: grittynurse.com Instagram: @grittynursepod TikTok: @thegrittynursepodcast Facebook: https://www.facebook.com/profile.php?id=100064212216482 X (Twitter): @GrittyNurse Collaborations & Inquiries: For sponsorship opportunities or to book Amie for speaking engagements, visit: grittynurse.com/contact Thank you to Hospital News for being a collaborative partner with the Gritty Nurse! www.hospitalnews.com 

Medication dosages can feel overwhelming, but for NP boards, it's all about recognizing the high-yield patterns that show up again and again. In this minisode, Kaitlyn breaks down the key dosage concepts you need to know for statins, levothyroxine, and metformin, including recognizing when a treatment is aggressive, when to start low and go slow, and how to safely adjust medications so you can approach dosage questions with more confidence on exam day.       Follow us on Instagram: instagram.com/smnpreviewsofficial

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

NP-137 - https://www.truthcommunitychurch.orgClick the icon below to listen.            

In this episode, meet nurse practitioner and Everyday Wellness podcast host Cynthia Thurlow, cofounder of lifestyle clothing brand Faherty, Kerry Docherty, and professor and double board-certified Gynecologic Oncologist and OB/GYN, Dr. Kemi Doll. Hear Cynthia Thurlow on what she's learned about the transition from perimenopause to menopause, Kerry Docherty on the experience of narrating her memoir, and Dr. Kemi Doll on her powerful research, and what she's most excited for listeners to hear. The Menopause Gut by Cynthia Thurlow, NP: https://www.penguinrandomhouse.com/books/777129/the-menopause-gut-by-cynthia-thurlow-np/audio Selfish by Kerry Docherty: https://www.penguinrandomhouse.com/books/775631/selfish-by-kerry-docherty/audio A Terrible Strength by Dr. Kemi Doll, MD, MSCR: https://www.penguinrandomhouse.com/books/775526/a-terrible-strength-by-kemi-doll-md-mscr/audio

NP-136 - https://www.truthcommunitychurch.orgClick the icon below to listen.            

In this episode of the Friends of NPACE Podcast we continue our conversation with an incredible group of leaders in NP practice and education — individuals who have shaped programs, mentored generations of clinicians, influenced policy, and practiced at the highest levels of our profession. And we're asking them two powerful questions: 1st: What do you wish you had known before becoming a nurse practitioner? 2nd: What are the five most important pieces of advice you would give an NP student today? Tune into new episodes bi-weekly on Wednesday!

NP-135 - https://www.truthcommunitychurch.orgClick the icon below to listen.            

NP-134 - https://www.truthcommunitychurch.orgClick the icon below to listen.            

Belly fat in perimenopause isn't just about eating less and moving more — and if that's still the advice you're getting, this conversation is long overdue. Nurse practitioner and metabolic health expert Cynthia Thurlow breaks down the real drivers behind midlife body composition changes: muscle loss, declining insulin sensitivity, shifting hormones, a changing gut microbiome, and the one factor almost everyone overlooks — chronic stress and unresolved trauma. There's a fascinating deep dive into the estrobolome and how the gut processes and clears oestrogen, why fibre has become the most polarising word in nutrition, and what bitter greens have to do with your gallbladder. Practical, evidence-led and genuinely eye-opening. The good news? These changes are not permanent. There's a lot that can be done — and it starts with understanding what's actually going on. Informed, honest and packed with actionable insight for women navigating midlife health. 5 KEY TAKEAWAYS Belly fat in perimenopause has multiple root causes — muscle loss, declining oestrogen and testosterone, reduced insulin sensitivity, and a less diverse gut microbiome all play a role. Addressing just one without the others will only get you so far. The abdomen has 40 times more cortisol receptors than other areas of the body. Chronic stress — including unresolved childhood trauma — directly contributes to visceral fat accumulation and metabolic disease risk. The estrobolome — the part of the gut microbiome responsible for processing oestrogen — depends heavily on fibre intake. Without sufficient fibre, oestrogen gets recirculated rather than excreted, amplifying hormonal imbalance. Short-chain fatty acids, produced when gut bacteria ferment dietary fibre, are critical signalling molecules that reduce inflammation, protect the gut lining, and support the body's own natural GLP-1 production. Body composition changes in perimenopause are not inevitable or permanent. Practical steps — deep breathing before meals, nutrient-dense whole foods, adequate hydration, and addressing stress — can meaningfully shift outcomes. QUOTES "We have 40 times more cortisol receptors in our abdomen — so when someone says they went through a stressful period and noticed body composition changes, I understand physiologically exactly why that happens." "The gut is this main communicator with the rest of the body — when I think about how many things about body composition are impacted by gut health, it is literally everything." "If your body does not feel safe, that will absolutely contribute. Unresolved stress and trauma are not separate from metabolic health." "Fiber has become the new F word because it is very polarising — but if you look at the research, it is missing from most people's diets." "These do not have to be permanent issues. There are definitely things we can do to buffer up against the changes that are happening." VALUABLE RESOURCES • Take the BioSyncing Quiz to help you understand what's actually happening in your body — and how to fix it.

H. pylori treatment is highly testable on NP boards, and with the right memory tricks, it can be easy points. In this minisode, I simplify triple and quadruple therapy using quick mnemonics, review key treatment adjustments for penicillin allergies, and walk through high-yield exam pearls on ulcer causes and diagnostic testing so you can confidently tackle H. pylori questions on exam day.       Follow us on Instagram: instagram.com/smnpreviewsofficial

NP-133 - https://www.truthcommunitychurch.orgClick the icon below to listen.            

NP-132 - https://www.truthcommunitychurch.orgClick the icon below to listen.            

What do you do when you cannot use a first-line antibiotic? Knowing alternative antibiotics for NP boards is essential for answering exam questions and making safe clinical decisions.     In this episode, Alex and I cover alternative antibiotics for NP boards through a rapid-fire pharmacology review. We walk through common scenarios and help you understand how to choose the best alternative when first-line options are not appropriate.                        Get full show notes, transcript, and more information here: https://blog.npreviews.com/alternative-antibiotics-for-np-boards            Follow us on Instagram: instagram.com/smnpreviewsofficial

“Every single lifestyle choice we make can either drive inflammation up or drive it down.” Cynthia Thurlow, NP, is a perimenopause and menopause expert, nutrition educator, and nurse practitioner with nearly 20 years of experience in the ER and clinical cardiology. Now, she works to help women live vibrant and healthy lives. Her new book, the Menopause Gut, comes out on April 28.  This podcast was created in partnership with CocoaVia. Their 500 mg Cocoa Flavanols Capsules and Powder include the most studied and clinically proven extract in the market—at levels shown to support cardiovascular health.* Use code MBG2026 for 20% at cocoavia.com. Valid on all products: Single, bulk, or subscription of CocoaVia excluding stick packs. New customers only. 00:00 - Why women chronically undereat protein  03:19 - Fiber: the missing link in gut health 09:00 - Healthy fats & targeted nutrients 13:08 - The importance of healthy blood flow 17:52 - 5 metabolic markers you need to track 21:47 - The Boston Heart test 26:19 - The genetic aspect of cholesterol 28:50 - Advancements in cardio testing 33:25 - AI in medicine 35:17 - Hormones, inflammation, & your diet 39:42 - Discussing her new book You can find Thurlow at her website: https://www.cynthiathurlow.com/  And get her new book, The Menopause Gut, here: https://a.co/d/01BKJHc8  We hope you enjoy this episode, and feel free to watch the full video on YouTube! Whether it's an article or podcast, we want to know what we can do to help here at mindbodygreen. Let us know at: podcast@mindbodygreen.com. *These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease. Learn more about your ad choices. Visit megaphone.fm/adchoices