Podcasts about outpatient

Jeder Mensch trägt verschiedene innere Anteile in sich: etwa den inneren Kritiker, den reifen Erwachsenen oder das innere Kind, das sich nicht geborgen fühlte. Wir können lernen, mit diesen Anteilen umzugehen – und dabei hilft die Schematherapie.**********An dieser Stelle findet ihr die Übung:40:17 - Meditation**********Quellen aus der Folge:Bamelis, L. L., Evers, S. M., Spinhoven, P., & Arntz, A. (2014). Results of a multicenter randomized controlled trial of the clinical effectiveness of schema therapy for personality disorders. American journal of psychiatry, 171(3), 305-322.Carter, J. D., McIntosh, V. V., Jordan, J., Porter, R. J., Frampton, C. M., & Joyce, P. R. (2013). Psychotherapy for depression: a randomized clinical trial comparing schema therapy and cognitive behavior therapy. Journal of affective disorders, 151(2), 500-505.Giesen-Bloo, J., Van Dyck, R., Spinhoven, P., Van Tilburg, W., Dirksen, C., Van Asselt, T., ... & Arntz, A. (2006). Outpatient psychotherapy for borderline personality disorder: randomized trial of schema-focused therapy vs transference-focused psychotherapy. Archives of general psychiatry, 63(6), 649-658.**********Dianes und Main Huongs Empfehlungen:Roediger, E. (2023). Raus aus den Lebensfallen: Das Schematherapie-Begleitbuch 3. Junfermann Verlag.Roediger, E., & Valente, M. (2025). Schematherapie: kontextuell-prozessbasiert-interpersonal. Schattauer.Roediger, E., Frank-Noyon, E. & Behary, W. (2022) Passt doch! Paarkonflikte verstehen und lösen mit der Schematherapie. Beltz. **********Mehr zum Thema bei Deutschlandfunk Nova:Inneres Kind: Wie wir loslassen und nach vorne schauenMentale Gesundheit: Dem inneren Kritiker Einhalt gebietenMentale Gesundheit: Welche Form der Psychotherapie ist die richtige für mich?**********Den Artikel zum Stück findet ihr hier.**********Ihr könnt uns auch auf diesen Kanälen folgen: TikTok und Instagram .**********Ihr habt Anregungen, Ideen, Themenwünsche? Dann schreibt uns gern unter achtsam@deutschlandfunknova.de

Rebecca A. Wheeler Walston, J.D., Master of Arts in CounselingEmail: asolidfoundationcoaching@gmail.comPhone:  +1.5104686137Website: Rebuildingmyfoundation.comI have been doing story work for nearly a decade. I earned a Master of Arts in Counseling from Reformed Theological Seminary and trained in story work at The Allender Center at The Seattle School of Theology and Psychology. I have served as a story facilitator and trainer at both The Allender Center and the Art of Living Counseling Center. I currently see clients for one-on-one story coaching and work as a speaker and facilitator with Hope & Anchor, an initiative of The Impact Movement, Inc., bringing the power of story work to college students.By all accounts, I should not be the person that I am today. I should not have survived the difficulties and the struggles that I have faced. At best, I should be beaten down by life‘s struggles, perhaps bitter. I should have given in and given up long ago. But I was invited to do the good work of (re)building a solid foundation. More than once in my life, I have witnessed God send someone my way at just the right moment to help me understand my own story, and to find the strength to step away from the seemingly inevitable ending of living life in defeat. More than once I have been invited and challenged to find the resilience that lies within me to overcome the difficult moment. To trust in the goodness and the power of a kind gesture. What follows is a snapshot of a pivotal invitation to trust the kindness of another in my own story. May it invite you to receive to the pivotal invitation of kindness in your own story. Listen with me… Rebecca (01:12):Say, oh, this is for black women, and then what? Because I quoted a couple of black people that count. I don't want to do that. And also I'm still trying to process. When you run a group like that for, and it's not embedded in something like a story workshop or a larger kind of thing, the balance of how do you give people the information and still leave room to process all of that. I'm still trying to figure out what does it look like? What does it feel like? What does it sound like? And I won't be able to figure, it's not like I can figure it out before the group and you know what I mean? You just have to roll with it. So yeah,Danielle (02:01):All those things. That's so hard, man. Man, dude, that's so hard. It's so hard to categorize it. Even What's the right time of day to hold this? What are the right words to say to tell people, this is how you can show up. And even when you say all those things and you think you've created some clarity or safety or space, they still show up in their own way, of course. And they may not have read your email. They may have signed all this stuff and it may not be what they want. Or maybe it changes and it becomes something even more beautiful. I don't know. That's how I've experienced it.Rebecca (02:39):It's all those things, and I think, and this is what I want to do, this is taking this work into a community and a space that is never going to show up in Seattle for all a thousand reasons. And soDanielle (02:56):Thousands of dollar reasons,Rebecca (02:58):Right? Thousands of dollar reasons. And so this is what I want to do. And so the million dollar question, how do you actually do that with some integrity? How do you do it in a way that actually, I don't even know if I could say I know that I want it to produce a particular result is just when I started doing this on my own, I had a lot of people reach out to me and go like, this is amazing. This is a brilliant, this is something I've been looking for without knowing that's what I've been looking for. Do you know what I mean? I think that that's true, sort of that evangelical refugee space. That's true right now. I think it's appealing on those levels. I think for people who would not necessarily go to therapy for the hundred of reasons why that's an uncomfortable thing. Culturally, this feels like it has a little more oxygen in the room,Danielle  (04:20):And I'll turn my screen off. I'll make the call and then yeah, then I want to hear a little bit about your business, more about your group, and I, I'd love to just, I want to focus this whole season on what is reality in the realm of faith, culture, life therapy, religion, if you're in a religion versus a faith. Yeah. Just those what is our reality? Because I think even as you talk about group, it's like what is the reality for that group of people for accessing care? So that's the overall season theme.Speaker 2 (05:00):Okay.Speaker 1 (05:02):How does that sound for you?Speaker 2 (05:03):That sounds great.Speaker 1 (05:04):Yeah. I know you have a lot of thoughts,Speaker 2 (05:07):But we do good bouncing off each other's thoughts. Me and you were good.Speaker 1 (05:13):So tell me how you started your own business.Speaker 2 (05:16):That's a good question. There's probably a long answer and a short answer. The long one is that I went and got a master's in marriage and family from a seminary 20 plus years ago, and by the time I finished my degree, I chose to go back to being a full-time attorney. And there's a story there, as there always is, that has to do with me almost being kicked out of theSpeaker 3 (05:55):ProgramSpeaker 2 (05:56):Because someone lodged a complaint against me as a person. The stated reason behind the claim was that my disability was a distraction to clients,(06:09):And I was absolutely undone and totally shredded, all just completely undone by the entire ordeal experience, all of it. It just really undid me in a way that I don't know if I could have put the pieces together then, but I think that played a huge part in me going, I'm going to go back to my original career, which was being an attorney, and I will put this down and I don't know. And so it's 20 plus years later, I still have that whatever was the inclination inside of me that made me say, this work is the kind of work I want to do is still there. And so I think this time around I felt empowered, I felt supported. I felt like I had people and community around me, people like you and lots of people that was like, I can actually do this, and I don't necessarily need the permission of an institution or the rubber stamp of another person to actually take what I have learned about living life and offer it to someone else. So I find myself now the owner and practitioner of solid foundation story Coaching, and we're going to see where the Lord leads and we're going to see where we end up.Speaker 1 (07:38):Okay. When in any moment, I might have to hop off here, you said nine 10 to nine 15, but what do you imagine then for your first offerings? I know you jumped in a little bit at the beginning and we kind of touched on it, but what are your first, what's your desire? What are you trying to offer?Speaker 2 (08:00):That's a good confusion too. I think a couple of things. I come from a very conservative evangelical Christian background that is also, there's these parallel roots in my background that are rooted in the black church. And every once in a while I can feel my evangelical why and what and why, and what I think the short answer is just care. You asked me what do you want to offer? And that I think my answer is care for a lot of reasons. When I look at my own story and my own life and my own path, there are lots of ways and places where I can identify. I didn't have the care that I needed. I didn't have the support that I needed to get where I wanted to go, sort of maybe unscathed, maybe in the shortest path possible with the least amount of obstacles as a woman, as a person of color, as a black American woman in the church, in as a person with a disability, all kinds of ways in which there were places in ways that I needed care that I didn't get. And even with all that being said, once, twice, maybe three times the exact right care at the exact right moment from the person who was capable and willing to give it, and it only takes one person at just the right time to offer just a few minutes of care and what is impossible becomes possible,(10:01):And what is too painful to breathe through becomes something that you can now face head on. So I think in some way, maybe it's paying forward what those people who offered me care gave to me, and now it's my chance to give it back.Rebecca (10:37):Right? Yeah. I mean, if I were going to go for the obvious, the things that we are most comfortable talking about at this moment in our country's history, to women who have faced misogyny in its most simplistic and its most complex and twisted ways to black folks and all that we have faced and struggled through to people of color. There are all kinds of ways in which out of my own story, there are corners that I recognize. And what do I mean by that, right? I have lived my life as an African-American woman, and so there are corners in life that I have come to recognize. That moment when you recognize that somehow this moment, which should be simple and just human has become racialized, and you catch it by a glance, a look, a silence that lasts too long, and you go like, oh, I know exactly where I am.(11:53):I may not know the person in front of me, but I know people like them, and this experience begins to feel familiar, and I know what this corner looks like, and I know what it sounds like, and I know where the dip in the sidewalk is, and I know where there's this pothole that if you step in it the wrong way, you're going to twist your ankle. I know exactly how long you have to cross the street before that flashing red hand comes up. The ways in which, because you've been here before because you've struggled in a familiar moment, you know what it looks like and sounds like and feels like,(12:33):And because it is familiar, then perhaps you can offer something of wisdom or kindness to someone who's new to that corner who doesn't quite know how to navigate it. So I can say that about being black, about being a woman. There are all kinds of things in my own story that have made these corners familiar to me. So yes to all of those things, all of those kinds of people, that there's something I have in common with the parallels of their story that I can say, Hey, I know this corner and I have a flashlight and I can shine my light in front of your path so you can take another step.Danielle (13:17):How do you feel in your body as you say that?Rebecca (13:22):I feel good. It feels like me. You say, how do you feel in your body? Why would you ask that question? What do we mean by that? Which is part of this work, which is being able to recognize when I'm comfortable in my own skin and when I'm not, and being able to recognize why that might be true in any given moment. And so this part feels good to me. It feels like steps I was trying to take 20 years ago that got hijacked and sidetracked by what happened to me in grad school. And it feels like work that I was meant to do because of the corners that I know. So I feel good. I can breathe deep.Danielle (14:12):How do you know when you feel good? What tells you you're feeling goodRebecca (14:16):For me? That I can take a full deep breath. I have come to recognize that shallow breathing means I am not comfortable, so I can take a deep breath and it doesn't feel restricted to me that that's probably, for me, the most notable thing is to say that. And because I am not doing a lot of self editing, I feel okay saying what I have say. I don't have a lot of self-talk of like, Ooh, don't say that or don't say that. Yeah,Danielle (14:57):Which feels like something you can give your participants. I think I mentioned to you, I really wanted to hear about what you're up to business, but it really feels to me like a special kind of work in this season. And I know I mentioned, I was like, well, what's the reality of this season? Could you speak about the intersection of your work and what you see as the reality of our current climate?Rebecca (15:29):So when you first said that to me, my first reaction is go like, oh, I know what my reality is as a black woman, as a mother of two kids, as somebody that lives a mile from where the first enslaved Africans set foot on us soil. I have a very clear sense of my reality, but I'm also going like, and I'm sitting across from you, Danielle, who I know in this moment is living a very different reality as a Latino woman. And so the one thing, or sort of the second thought that comes to my mind after my first reaction, I know what my reality is, is something that I learned recently. I did a webinar and I moderated a panel, and one of the individuals on the panel is a Latino pastor. I'll call him Pastor Carlos. And one of the things that he said to me is that if my truth in any given moment is crafted at the expense of another human, my truth cannot be the absolute truth.Yeah. Now I'm paraphrasing a little bit. So Pastor Carlos, if you hear this, and please forgive me for the paraphrase, but what settled in me from his remarks is that if my truth in any given moment comes at the expense of another person, my truth cannot stand as the absolute truth. And he went on to say something of truth must always be defined in the context of community that we cannot discern what is reality, if you will, in a given moment without having that discussion and framing those contours in the context of community and connectedness to other people. So I could tell you my truth as a black American woman in 2025, and I already know, I know my sense of what is true in my world is going to look and sound and feel different than what is true for you in this moment. Right?Danielle (18:03):Talking about reality, I feel that even despite our different truths, you and I find ourselves touching ground like physical ground, touching energy, spirituality in the same way, not thinking the same. I don't mean that, but living in a space where you and I can connect and affirm one another's actual experiences in the world, actual day to day. I can tell you about a neighbor, you could tell me about work or one of your kids, and there's a sense that you haven't lived that exact, you're not with me in my house, I'm not with your kid in their school, but there's a sense that we can touch into a reality. We're in the ground somewhere together. So I'm wondering, what do you think makes that possible for us to share that space?Rebecca (18:57):I mean, it might be I part the willingness to share, and I don't mean, well, maybe I mean that in both senses of the word, the willingness to be shared in terms of vulnerable, I'm willing to tell you. And so when you ask me, Hey, how are you? When I say, Hey, Danielle, what's up with you? It's more than just the flippant, oh, I'm good. I'm cool. Right? It is this intentional move to slow down for 60 seconds or 60 minutes and go like, here's really happening with me.(19:38):And the other sort of piece of that, when I say the word share, I mean the willingness for there to be a little wiggle room in what I understand to be true. And that's not to say that I will take your truth and replace it with mine and obliterate my experience, not suggesting that I'm saying that my truth and your truth are going to butt up against each other and in the place where they touch, what do we do with that friction? Does that friction become a point of contention, a point of disagreement, a point of anger, of judgment where I villainize you and demonize you and other you? Or does that place where my truth and your truth rub up against each other? Does that become a place of learning? Does that become a place of flexibility of saying like, huh, I never thought about it the way you thought about it. Say more. And my experience between you and I is that there has been a willingness for years to go. What do you know about the world that I don't know? What do you see that I don't see? And how does your perspective actually alter if even just a little bit what I believe or know to be true of the world?Danielle (21:04):Yes, I agree with you. I think we find ourselves in a time though where the sharing of our reality feels unique, where groups, even groups, we would call them bipoc or black, indigenous people of color. You even see skirmishes between groups. And so I think it's laid in one with so much fear. Number two, with so much hypervigilance. And again, I'm not saying none of those things aren't warranted, but I think a group like yours or therapy or somatic work hopefully opens us up to be able to see the humanity of another person.That make sense or what do you thinking when I sayRebecca (21:49):No, it does. When you were talking about in this moment, it feels unique for groups to kind of share their experience. It caused me to kind of think about why is that right? And I don't think that's an accident. I don't think it is a coincidence. I think that there are powers that are crafting these sort of larger narratives that suggest that we have to be at odds with each other, that there isn't a way for us to see each other and recognize one another's humanity without there being this catastrophic threat to my own humanity. And I think part of why it feels so unique in this moment is because I think we're having to do some pretty significant work to fight against that larger narrative that would suggest that we can't be friends, that we must be enemies.Danielle(22:49):Yeah. What do you feel as you say that? I mean, when you say that I feel like I want to cry, I want to be angry, I want to be choked up, and those are all familiar for me. They're familiar for me.Rebecca (23:08):Well, mostly I feel a kind of loss. And what do I mean by that? I saw this clip on Instagram recently where it's a family. They're probably white, Caucasian American family sitting down to dinner at a table, the table's full of food,(23:33):And there's a bowl of strawberries on the table, which in my house during this time of year, there's forever. There's always strawberries in my house anyway. And so somebody says the blessing over the food, dear God, thank you for the food and the hands that prepared it, this sort of common blessing that is also an everyday occurrence at my house. Literally the words, God bless the food and the hands that prepared it. And then it cuts, the video cuts from the scene of this family, it tucked away safely in their kitchen to a migrant worker in a strawberry field who is being pursued by ice agents. And he says, you're welcome very much for the strawberries. And then the video ends that makes me want to cry, and it makes me think of you. And because that's not a thought I ever thought about when my kids pray, thank you for the hands that prepared it. The thought that went through my mind is like they're praying for me as the mom who cooked the food, who washed the strawberries and sliced them and put them in a bowl and set them on the table, never occurred to me until I saw that video I about the person who picked the strawberries and placed them in the container that found its way to my grocery store that found its way to my kitchen table.(25:08):And so now I wonder, what else do I not know? What else have I missed my entire life? What else did I not catch? And what does that mean for this moment in history when there are literally ice checkpoints in the city where I live?Danielle (25:39):I think to survive this moment and what I hear from my people, we have to take ourselves out of the reality of the moment somehow. You still had to get up and you had to make yourself some scrambled eggs. You have to eat your strawberry, you get to eat your strawberry. We're both at work today, et cetera. And whenever we touch into that other space, we have to let the energy process through us or we won't make it. And I think that process allows us to share a reality, the movement of energy allowing it. It's not like we can live in that state all the time, but I think there's certain segments of the population that don't allow anything in. They can't because otherwise it would contradict their view of faith or what's happened.Rebecca (26:31):Yes. Which I think is why I would do something like offer a group a story group, because it is the opportunity to intentionally take a few minutes to create the space to allow that to process through us.Danielle (26:49):So how do people then, Rebecca, find you? They're enjoying this conversation. I want to hear more from her. I,Rebecca (27:01):So I have a website. It's called Rebuilding my foundation.com. I have Instagram solid foundation Coach is my Instagram site. So two me an email, check out the website, join a group,Danielle (27:26):Join a group. What about people like, Hey, I want to hang out with Danielle and Rebecca. What does that look like? Oh,Rebecca (27:35):Yeah. I mean, we're good for at least once a year doing something together. So it sounds like maybe we need to pull a conversation together, maybe a group together, maybe like a two hour seminar workshop space, which we did last year. We did one with a few other of our friends and colleagues called Defiant Resilience. Again, to create this space where people could process what was happening in this moment in history with people who are safe ish, right? We can't ever really promise safety, but we create some sense of parameters that allow you to take a step or two.Danielle (28:25):Rebecca, what do you say to that person? I get these calls all the time. Well, I can't go to therapy. It's too much money. Or I don't know about group. I don't trust people. If people get stuck, what is one way you even got yourself unstuck to even start?Rebecca  (28:40):Oh, yeah, true. First thing I'd say is if group sounds too risky and not going to lie, you and I both know it's risky.(28:55):You're taking some risk. So if that feels too big of a step, guess what? You get to be where you are. And then I'd say try it one-on-one session. Try it once, see how it feels. It is definitely something that I do. I know it's something you do too, where before you would recommend even that somebody step into a group that you might meet with them 2, 3, 4 times one-on-one once or twice to kind of see, this is what it would feel like to talk to another person about things that we have been taught you're not supposed to talk about. And slowly give a person the opportunity to decide for themselves what good care.You're allowed to say, this doesn't feel like good care to me, so I'm not going to do it today or tomorrow. And how amazing it can be to have somebody go, I love that you advocated for yourself, and I absolutely intend to respect that boundary because for so many of us, we either were taught not to set boundaries or when they were set, we have the common experience of them just being obliterated on a regular basis. So even that opportunity to reach out once, try and decide it's not for you, can actually be a moment of empowerment.Danielle (30:25):Yeah, I guess I think when I'm stuck, it's usually like we call some of those sticky points, like trauma points even. So I wouldn't say it doesn't always have to be major, some huge event, but I think there's often been, for me, there's a fear of getting help, whether it's a medical doctor or a therapist or a group or whatever it may be. Or if I have to call the county for something, I'm like, are they going to listen me? Are they going to believe me in all these kinds of situations and will they care what I have to say?Rebecca (30:58):Yeah. I think too, when you say fear of getting help, I go like, oh yeah, ding, ding. Right? I mean, some of that, at least for me, the narrative that can be around black women is that we have it all together at all times. We got it under control. And so the notion that I wouldn't have it under control all by myself, like 24 hours a day, seven days a week, the notion that I would have to request that someone else step in and assist means admitting something about myself that I don't feel comfortable admitting that I've been taught is not where I'm allowed to live. And so that also I think can be part of this fear. I don't know if that's true for you. Tell me how does that land?Danielle (31:49):Yeah, absolutely true. But it goes across so many realms where sometimes advocating for yourself, whether it's getting a question answered at a shoe store, to buying paint, to getting, I don't know, going to the er, the common themes I had my gallbladder recently removed, and two nurses told me that if I had been a man, I would've been seen faster. Because men, they believe men more about abdominal pain, and I think it's because there's maybe more expression by men of what pain is. And I don't know this for sure. I don't have a scientific research behind it, but part of me wondered, is it because my pain was indicated by my blood pressure, not by me telling them that's how they knew it. So I think that's one reason we have to really pay attention to our bodies, and I think wherever we are, we're not used to being believed, or even if someone knows, if they care, again, whether it's from going to pay a parking ticket, so going to the doctor, I just think across the board, people that are female are generally not as welcome to express how they're feeling and what's going on. Just some thoughts.Rebecca (33:11):Yeah. Again, right. It is that part where there's this larger story at play that impacts how we move individually and what we feel like we're permitted to do or not do, say or not say. You and I have talked about this before, that question of will they believe me is a kind of anticipatory intelligenceYou're trying to anticipate how you will be received, how your words will be believed, how your story will be read in any given context, and who has time, your gallbladder. And so I would imagine you're in this excruciating pain and you're having to not only tend to that, but are you going to believe me? Right? And what if the blood pressure indicator had not been there, right?Danielle (34:07):Yeah. Yeah. All of us are different. Okay. Rebecca, I'm going to put all your info in the notes. People are going to light up your phone. They're going to light up your email, and I do believe we'll be doing something collaborative in the future. Absolutely. Yeah. With other co-conspirators.Thank you for joining us today. Thank you for tuning in. Thank you for listening to the raw conversations we're having, and I just encourage you to get in conversations with your friends, your family, people around you, people you really disagree with, maybe even people you don't like. Try to hold yourself there. Try to have those conversations. Try to be able to receive the difficult comments. Try to be able to say the difficult things. Let's keep working on moving towards one another.   Kitsap County & Washington State Crisis and Mental Health ResourcesIf you or someone else is in immediate danger, please call 911.This resource list provides crisis and mental health contacts for Kitsap County and across Washington State.Kitsap County / Local ResourcesResourceContact InfoWhat They OfferSalish Regional Crisis Line / Kitsap Mental Health 24/7 Crisis Call LinePhone: 1‑888‑910‑0416Website: https://www.kitsapmentalhealth.org/crisis-24-7-services/24/7 emotional support for suicide or mental health crises; mobile crisis outreach; connection to services.KMHS Youth Mobile Crisis Outreach TeamEmergencies via Salish Crisis Line: 1‑888‑910‑0416Website: https://sync.salishbehavioralhealth.org/youth-mobile-crisis-outreach-team/Crisis outreach for minors and youth experiencing behavioral health emergencies.Kitsap Mental Health Services (KMHS)Main: 360‑373‑5031; Toll‑free: 888‑816‑0488; TDD: 360‑478‑2715Website: https://www.kitsapmentalhealth.org/crisis-24-7-services/Outpatient, inpatient, crisis triage, substance use treatment, stabilization, behavioral health services.Kitsap County Suicide Prevention / “Need Help Now”Call the Salish Regional Crisis Line at 1‑888‑910‑0416Website: https://www.kitsap.gov/hs/Pages/Suicide-Prevention-Website.aspx24/7/365 emotional support; connects people to resources; suicide prevention assistance.Crisis Clinic of the PeninsulasPhone: 360‑479‑3033 or 1‑800‑843‑4793Website: https://www.bainbridgewa.gov/607/Mental-Health-ResourcesLocal crisis intervention services, referrals, and emotional support.NAMI Kitsap CountyWebsite: https://namikitsap.org/Peer support groups, education, and resources for individuals and families affected by mental illness.Statewide & National Crisis ResourcesResourceContact InfoWhat They Offer988 Suicide & Crisis Lifeline (WA‑988)Call or text 988; Website: https://wa988.org/Free, 24/7 support for suicidal thoughts, emotional distress, relationship problems, and substance concerns.Washington Recovery Help Line1‑866‑789‑1511Website: https://doh.wa.gov/you-and-your-family/injury-and-violence-prevention/suicide-prevention/hotline-text-and-chat-resourcesHelp for mental health, substance use, and problem gambling; 24/7 statewide support.WA Warm Line877‑500‑9276Website: https://www.crisisconnections.org/wa-warm-line/Peer-support line for emotional or mental health distress; support outside of crisis moments.Native & Strong Crisis LifelineDial 988 then press 4Website: https://doh.wa.gov/you-and-your-family/injury-and-violence-prevention/suicide-prevention/hotline-text-and-chat-resourcesCulturally relevant crisis counseling by Indigenous counselors.Additional Helpful Tools & Tips• Behavioral Health Services Access: Request assessments and access to outpatient, residential, or inpatient care through the Salish Behavioral Health Organization. Website: https://www.kitsap.gov/hs/Pages/SBHO-Get-Behaviroal-Health-Services.aspx• Deaf / Hard of Hearing: Use your preferred relay service (for example dial 711 then the appropriate number) to access crisis services.• Warning Signs & Risk Factors: If someone is talking about harming themselves, giving away possessions, expressing hopelessness, or showing extreme behavior changes, contact crisis resources immediately.Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that. Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that.

Reality and Faith Prompts1. What are the formations or structures for how you know you are in reality in regards to your faith? Do you have indicators? Internal senses? External resources? 2. Who are you in active dialogue with in regards to your faith? Who that is living and who that is passed on? 3. When you encounter dissonance with your reality of faith, how do you stay grounded in your experience?TranscriptsDanielle (00:00):To my computer. So thank you Starlet. Thank you Tamis for being with me. I've given already full introductions. I've recorded those separately. So the theme of the conversation and kind of what we're getting into on this podcast this season is I had this vision for talking about the themes have been race, faith, culture, church in the past on my podcast. But what I really think the question is, where is our reality and where are our touchpoints in those different realms? And so today there's going to be more info on this in the future, but where do we find reality and how do we form our reality when we integrate faith? So one of the questions I was asking Tamis and Starlet was what are the formations or structures for how you know are in reality in regards to your faith? Do you have indicators? Do you have internal senses? Do you have external resources? And so that's where I want to jump off from and it's free flow. I don't do a whole lot of editing, but yeah, just curious where your mind goes when you hear that, what comes to mind and we'll jump from there.Starlette (01:12):I immediately thought of baptism, baptismal waters. My baptismal identity forms and shapes me. It keeps me in touch with my body. It keeps me from being disembodied. Also, it keeps me from being swindled out of authority over my body due to the dangerous irrationalism of white body supremacy. So that's one thing. Protest also keeps me grounded. I have found that acts of defiance, minor personal rebellions, they do well for me. They keep me spiritually that I feel like it keeps me in step with Jesus. And I always feel like I'm catching up that I'm almost stepping on his feet. So for me, baptismal identity and protesting, those are the two things come to me immediately.Tamice (02:04):Whoa, that's so deep. Wow, I never thought about that. But I never thought about protests being a thing that groundsBecause I mean I've just been, for me I would say I've been working on the right so, and y'all know me, so I got acronyms for days. But I mean I think that the radical ethical spirituality that's tethered to my tradition, that's a rule of life, but it's also a litmus test. So for me, if you can't tell the truth, we don't have conversations about non-violence and loving enemies. I don't get to ethical spirituality unless you come through the front door of truth telling and truth telling in that sense of the r. And the rest arrest mix tape is radical. Angela Davis says radical and that's grasping stuff at the root. So before we have conversations about forgiveness for instance, or Jesus or scripture or what is right and what is moral, it's very important that we first tell the truth about the foundations of those realities and what we even mean by those terms and whose those terms serve and where they come from. I talk about it asking to see the manager. We need see the manager(03:24):Me that grounds me is now if something comes in and it calls me to move in a different way or corrects me or checks me in a certain way, I say yes to it if it comes through the door of truth telling because it means I also got to be true and tell the truth to myself. So that keeps me grounded. That kind of acronym is kind of how I move, but it's also how I keep toxic ways of doing religion out. And I also have come back into relationship with trees and grass and the waters and that's been really powerful for moving down into different types of intelligence. For me, the earth has been pulling me into a different way of knowing and being in that part brings me to ancestors. Just like you starlet my ancestors, I keep finding them in the trees and in the water and in the wind. So it's like, well I need them real bad right now. So that's where I'm kind of grounding myself these days.But to your point about grounding and protest, I feel most compelled to show up in spaces where the ground is crying out screaming. I feel like it beckons me there. And we talked about the most recent news of Trey being found and you talked about truth telling and what resonated immediately. And it didn't sit right with me that African-American people, people of African descent know not to take their lives in that way because of the traumatic history that when you say things like you don't suspect any foul play, it sounds like what has historically been named as at the hands of persons unknown where that no one is held responsible for the death of African-American people. That's what ties it in for me. And I feel like it's an ancestral pool that they didn't leave this way, they didn't leave in the way that they were supposed to, that something stinks and that they're crying out to say, can you hear me? Come over here Terry a while here. Don't leave him here. Don't let up on it because we didn't call him here somebody. So I love that you said that you are, feel yourself being grounded in and call back to the earth because I do feel like it speaks to us,But there are telltale signs in it and that the trees will tell us too. And so I didn't have a hand in this. It was forced on me and I saw it all come and talk to me. Put your hand here, put your head here and you can hear me scream and then you can hear me scream, you can hear him scream. He was calling out the whole time. That's what I believe in. That's how I test reality. I tested against what the earth is saying like you said, but I think we have to walk the ground a bit. We have to pace the ground a bit. We can't just go off of what people are saying. Back to your point about truth telling, don't trust nobody I don't trust. I don't trust anybody that's going to stop because you can't fix a lie. So if you're going to come in with deception, there's not much else I can do with you. There's not much I can say to you. And I find that white body supremacy is a supreme deception. So if we can't start there in a conversation, there's nothing that I can say to youTamice (06:46):That's facts. It's interesting that you talked about baptism, you talked about grounding and I had this story pop up and while you were talking again it popped up again. So I'm going to tell it. So we are not going to talk about who and all the things that happened recently, but I had made some comments online around that and around just the choice to be blind. So I've been talking a lot about John nine and this passage where it is very clear to everyone else what's happening, but the people who refuse to see, refuse to see.So in that, I was kind of pulled into that. I was in Mississippi, I was doing some stuff for the book and this lady, a chaplain, her name is Sally Bevin, actually Sally Bevel, she walked up to me, she kept calling me, she was like, Tam me, she want to come. I have my whole family there. We were at the Mississippi Book Fair and she kept saying, Tam me, she want to come join, dah, dah, dah. Then my family walked off and they started to peruse and then she asked me again and I was like, no, I'm good. And I was screaming. I mean I'm looking in the screen and the third time she did it, it pulled me out and I was like, this woman is trying to pull me into being present. And she said to me, this is funny, starlet. I said, I feel like I need to be washed and I need a baptism because this phone feels like so on right now and the wickedness is pulling me. So she poured, she got some ice, cold water, it was 95 degrees, poured cold water on my hands, had me wash my hands and she took the cold water. She put a cross on my forehead. And you know what she said to me? She said, remember your baptism?She said, remember your baptism? And when I was baptized, even though it was by a man who will not also be named, when I was baptized the wind, there was a whirlwind at my baptism. It was in 2004, that same wind hit in Mississippi and then I felt like I was supposed to take my shoes off. So I walked around the Mississippi Festival with no shoes on, not knowing that the earth was about to receive two people who did not deserve to be hung from trees. And there's something very, I feel real talk, I feel afraid for white supremacy right now in the name of my ancestors and I feel like I'm calling on everything right now. And that's also grounding me.Starlette (09:36):I was with Mother Moses last week. I went to Dorchester County just to be with her because the people were here. Take me. I said, I'll leave them all here. I know you said there are a few here, but give me the names, give me the last names of the people because I don't have time for this. I see why she left people. I see why she was packing. So to your point, I think it's important that we talk to the ancestors faithfully, religiously. We sit down at their feet and listen for a bit about how they got over and how they got through it and let them bear witness to us. And she does it for me every time, every single time she grounds, she grounds meDanielle (10:23):Listening to you all. I was like, oh wait. It is like Luke 19 where Jesus is coming in on the show and he didn't ride in on the fanciest plane on a donkey. And if you're familiar with that culture that is not the most elevated animal, not the elevated animal to ride, it's not the elevated animal. You don't eat it. Not saying that it isn't eaten at times, but it's not right. So he rides in on that and then people are saying glory to God in the highest and they're praising him and the Pharisees are like, don't do that because it's shameful and I don't remember the exact words, but he's basically be quiet. The rocks are going to tell the story of what happened here. He's walking his way. It kind of reminds me to me. So what you're saying, he's walking away, he's going to walk and he's going to walk that way and he's going to walk to his death. He's walking it in two scenarios that Jesus goes in to talk about. Your eyes are going to be blind to peace, to the real way to peace. It's going to be a wall put around you and you're going to miss out. People are going to destroy you because you missed your chance.Starlette (11:50):Point again creation. And if you're going to be a rock headed people, then I'll recruit this rock choir. They get ready to rock out on you. If there's nothing you're going to say. So even then he says that creation will bear witness against you. You ain't got to do it. You ain't got to do it. I can call these rock. You can be rock headed if you want to. You can be stony hearted if you want to. I can recruit choir members from the ground,Tamice (12:16):But not even that because y'all know I'm into the quantum and metaphysics. Not even that they actually do speak of course, like words are frequencies. So when you hold a certain type of element in your hand, that thing has a frequency to it. That's alright that they said whatever, I don't need it from you. Everything else is tapped into this.Starlette (12:39):Right. In fact, it's the rocks are tapped into a reality. The same reality that me and this donkey and these people throwing stuff at my feet are tapped into.You are not tapped into reality. And so that's why he makes the left and not the right because typically when a person is coming to Saka city, they head towards the temple. He went the other direction because he is like it was a big fuck. I don't use power like this. And actually what I'm about to do is raise you on power. This is a whole different type of power. And that's what I feel like our ancestors, the realities that the alternative intelligence in the world you're talking about ai, the alternative intelligence in the world is what gives me every bit of confidence to look this beast in the face and call it what it is. This isTamice (13:52):And not going to bow to it. And I will go down proclaiming it what it is. I will not call wickedness good.And Jesus said, Jesus was so when he talks about the kingdom of heaven suffering violence and the violence taken it by force, it's that it's like there's something so much more violent about being right and righteous. Y'all have to use violence because you can't tell the truth.Danielle (14:29):Do you see the split two? There's two entirely different realities happening. Two different kingdoms, two entirely different ways of living in this era and they're using quote J, but it's not the same person. It can't be, you cannot mix white Jesus and brown Jesus. They don't go together. TheyStarlette (15:00):Don't, what is it? Michael O. Emerson and Glenn e Bracy. The second they have this new book called The Religion of Whiteness, and they talk about the fact that European Americans who are racialized as white Tahi says those who believe they are white. He says that there's a group of people, the European Americans who are racialized as white, who turn to scripture to enforce their supremacy. And then there's another group of people who turn to scripture to support and affirm our sibling.It is two different kingdoms. It's funny, it came to me the other day because we talk about, I've talked about how for whiteness, the perception of goodness is more important than the possession of it.You know what I mean? So mostly what they do is seek to be absolved. Right? So it's just, and usually with the being absolved means I'm less bad than that, so make that thing more bad than me and it's a really terrible way to live a life, but it is how whiteness functions, and I'm thinking about this in the context of all that is happening in the world because it's like you cannot be good and racist period. And that's as clear as you cannot love God and mammon you will end up hating one and loving the other. You cannot love God. You cannotStarlette (16:29):Love God and hate your next of kin your sibling. Dr. Angela Parker says something really important During the Wild Goose Festival, she asked the participants there predominantly European American people, those racialized as white. She said, do you all Terry, do you Terry, do you wait for the Holy Spirit? Do you sit with yourself and wait for God to move? And it talked, it spoke to me about power dynamic. Do you feel like God is doing the moving and you wait for the spirit to anoint you, to fill you, to inspire you, to baptize you with fire? You Terry, do you wait a while or do you just the other end of that that she doesn't say, do you just get up? I gave my life to Jesus and it's done right handed fellowship, give me my certificate and walk out the door. You have to sit with yourself and I don't know what your tradition is.I was raised Pentecostal holiness and I had to tear all night long. I was on my knees calling on the name of Jesus and I swear that Baba couldn't hear me. Which octave do you want me to go in? I lost my voice. You know them people, them mothers circled me with a sheet and told me I didn't get it that night that I had to come back the next day after I sweat out my down, I sweat out my press. Okay. I pressed my way trying to get to that man and they told me he didn't hear me. He not coming to get you today. I don't hear a change. They were looking for an evidence of tongues. They didn't hear an evidence, a change speech. You still sound the way that you did when you came in here. And I think that white body supremacy, that's where the problem lies with me. There's no difference. I don't hear a change in speech. You're still talking to people as if you can look down your nose with them. You have not been submerged in the water. You did not go down in the water. White supremacy, white body supremacy has not been drowned out.Terry, you need to Terry A. Little while longer. I'll let you know when you've gotten free. When you've been lifted, there's a cloud of witnesses. Those mothers rubbing your back, snapping your back and saying, call on him. Call him like you want him. Call him like you need him and they'll tell you when they see evidence, they'll let you, you know when you've been tied up, tangled up. That's what we would say. Wrapped up in Jesus and I had to come back a second night and call on the Lord and then they waited a while. They looked, they said, don't touch her, leave her alone. He got her now, leave her alone. But there was an affirmation, there was a process. You couldn't just get up there and confess these ABCs and salvation, nah, nah, nah, nah, nah, nah. Why do you think they'll let you know when you got it?Danielle (18:56):Why do you think that happened? Why? I have a question for You'all. Why do you think that became the reality of the prayer in that moment? And we're talking about Africans that have been brought here and enslaved. Why do you think that happened on our soil that way? Why question?Tamice (19:12):I mean I'm wondering about it because when stylists talk and I keep thinking the Terry in and of itself is a refusal. It says what I see is not real. What's in front of me is not right. I'm going to wait for something else.I'm saying, the slave Bible, them taking stuff out of the Bible and it's like, but I feel like the ground, there was something about the ground that indigenous people, that indigenous people were able to help them tap into over here. It was waiting on that.Starlette (19:49):We didn't have punishment. We had a percussion session. So they ring shouted me. I didn't know what it was at the time. We didn't have all the fancy stuff. Everybody had put me in key. We didn't have, we had this and feet them people circled around me. We don't do that no more.Danielle (20:06):We don't do that no more. But don't you think if you're a person that is, and I believe Africans came here with faith already. Oh yes, there's evidence of that. So put that aside, but don't you think then even if you have that faith and it's not so different than our time and you're confronted with slave owners and plantation owners also preaching quote the same faith that you're going to have to test it out on your neighbor when they're getting saved. You're going to have to make sure they didn't catch that bug.Don't you think there's something in there? Block it. Don't you think if you know faith internally already like we do and run into someone that's white that's preaching the same thing, we have to wait it out with them. Don't you think our ancestors knew that when they were here they were waiting it out. I just noticed my spirit match that spirit. We have to wait it out. Yes, because and let's say they didn't know Jesus. Some people didn't know Jesus and they met Jesus here for whatever reason, and your example is still the white man. You have to wait it out to make sure you're not reflecting that evilness. I mean that's what I'm thinking. That's it's the absolutelyStarlette (21:20):Truth. There's a book titled Slave Testimony, and I know this because I just read about it. There's a testimony of an enslaved African-American, he's unnamed. It was written on June 26th, 1821. He's talking to Master John. He said, I want permission to speak to you if you please. He talked about, he said, where is it? Where is it? A few words. I hope that you will not think Me too bull. Sir, I make my wants known to you because you are, I believe the oldest and most experienced that I know of. He says in the first place, I want you to tell me the reason why you always preach to the white folks and keep your back to us is because they sit up on the hill. We have no chance among them there. We must be forgotten because we are near enough. We are not near enough without getting in the edge of the swamp behind you. He was calling him to account. He said, when you sell me, do you make sure that I'm sold to a Christian or heathen?He said, we are charged with inattention because of where their position. He said it's impossible for us to pay good attention with this chance. In fact, some of us scarce think that we are preached to it all. He says, money appears to be the object. We are carried to market and sold to the highest bidder. Never once inquired whether you sold to a heathen or a Christian. If the question was put, did you sell to a Christian, what would the answer be? I can tell you, I can tell what he was, gave me my price. That's all I was interested in. So I don't want people to believe that Africans who were enslaved did not talk back, did not speak back. They took him to task. He said, everybody's not literate. There's about one in 50 people who are, and I'm one of them and I may not be able to speak very well, but this is what I want to tell you. I can tell the difference. I know that you're not preaching to me the same. I know that when you talk about salvation, you're not extending it to me.Yikes. You need to know that our people, these ancestors, not only were they having come to Jesus meetings, but they were having come to your senses, meeting with their oppressor and they wrote it down. They wrote it down. I get sick of the narratives that we are not our answer. Yes we are. Yes I am. I'm here because of them. I think they called me. I think they call me here. I think the fussing that I make, the anger that I possess this need to resist every damn thing. I think they make me do thatTamice (23:35):Indeed, I think. But I didn't get my voice until they took the MLE off, had an honor with my ancestors and they came and they told me it's time. Take that mle off, MLE off. Shoot. Why Jesus ain't tell me to take no muzzle off. I'm going to tell you that now.Danielle (23:52):That's why I mean many indigenous people said, Jesus didn't come back for me because if that guy's bringing me Jesus, then now Jesus didn't come back for me.Starlette (24:07):Come on.Make it plain. Danielle, go ahead. Go ahead. Walk heavy today. Yeah, I meanDanielle (24:17):I like this conversation. Why Jesus, why Jesus didn't come back for us, the three of us. He didn't come back for us. It didn't come back from kids. He didn't come back for my husband. Nope. And so then therefore that we're not going to find a freedom through that. No, that's no desire to be in that.Tamice (24:33):None. And that's what I mean and making it very, very plain to people like, listen, I actually don't want to be in heaven with your Jesus heaven. With your Jesus would be hell. I actually have one,Starlette (24:47):The one that they had for us, they had an N word heaven for us where they would continue to be served and they wrote it down. It's bad for people who are blio foes who like to read those testimonies. It is bad for people who like to read white body supremacy For Phil. Yeah, they had one for us. They had separate creation narratives known as polygenetic, but they also had separate alon whereby they thought that there was a white heaven and an inward heaven.I didn't even know that. Starla, I didn't even know that because they said they want to make sure their favorite slave was there to serve them. Oh yes, the delusion. People tell me that they're white. I really do push back for a reason. What do you mean by that? I disagree with all of it. What part of it do you find agreeable? The relationship of ruling that you maintain over me? The privilege. White power. Which part of it? Which part of it is good for you and for me? How does it help us maintain relationship as Christians?Danielle (25:47):I think that's the reality and the dissonance we live in. Right?Starlette (25:51):That's it. But I think there needs to be a separation.Are you a white supremacist or not?Tamice (26:03):That's what I'm saying. That's why I keep saying, listen, at this point, you can't be good and racist. Let me just say that. Oh no, you got to pickStarlette (26:12):And I need to hear itTamice (26:13):Both. Yeah. I need you to public confession of it.Starlette (26:19):Someone sent me a dm. I just want to thank you for your work and I completely agree. I quickly turned back around. I said, say it publicly. Get out of my dms. Say it publicly. Put it on your page. Don't congratulate me. Within two minutes or so. I'm so sorry. I didn't mean to disturb you. You are right. Okay. Okay. Okay. Did he post anything? No. Say it publicly. Denounce them. Come out from among them.Very, very plain. As a white supremacist or na, as a kid, as children. HowDanielle (26:56):Hard is it? I think that's what made this moment so real and it's a kind of a reality. Fresher actually for everybody to be honest, because it's a reality. All certain things have been said. All manner of things have been said by people. This is just one example of many people that have said these things. Not the only person that's lived and died and said these things. And then when you say, Hey, this was said, someone's like, they didn't say that. You're like, no, some people put all their content on the internet receipts. They did it themselves. That's not true. And I went to a prayer vigil. I didn't go. I sat outside a prayer vigil this weekend and I listened in and they were praying for the resurrection like Jesus of certain people that have passed on. I kid you, I sat there in the car with a friend of mine and then my youngest daughter had come with me just to hang out. She's like, what are they praying for? I was like, they're like, they were praying for a certain person to be resurrected from the dead just like Jesus. And I was so confused. I'm so confused how we got that far, honestly. But I told my kid, I said, this is a moment of reality for you. This is a moment to know. People think like this.Starlette (28:13):Also, white bodyDanielle (28:14):Supremacy is heresy. Yes. It's not even related to the Bible. Not at all.Why I steal away. This is why even the mistranslated Bible, even the Bible that you could take,Starlette (28:33):ThisThe version Danielle started. If you wouldn't have said that, I wouldn't have said that. This is exactly why I steal away. This is exactly why I leave. Because you can't argue with people like that. Now we're resurrected. IAll I need, it's like away. This is exactly why, because I can't hear what Howard Thurman calls the sound of the genuine in that. It's just not going to happen.Danielle (29:01):Can you imagine what would've happened if we would've prayed for George Floyd to be resurrected? Listen, what would've happenedStarlette (29:08):That he called the scumbag.Danielle (29:10):Yeah, but what would've happened if we would've played for their resurrection? Adam, Adam Polito. ThatStarlette (29:19):Was foundTamice (29:19):Psychosis.Starlette (29:21):Yeah. What would've happened? See, don't push me now. I feel like I need to pack. As soon as I said fill away, it's like people keep saying, what are you going to do if gets worse? I'm going to leave my, I'll sell all this crapAbout this stuff. This booby trap of capitalism. I'll it all don't about none of it. What matters most to me is my sense of ness. And when you get to talking, I almost said talking out the side of your neck. Jesus God, today, lemme God Jesus of your neck. You just need to know that's a cultural thing. That's going to have to be reevaluated. God. It just came right on out. Oh Lord. When you start saying things that go against my sense of ness that you think that I have to defend my personhood, that you want to tell me that I don't exist as a person. I don't exist as a human. Back to your reality testament. It's time for me to leave. I'm not staying here and fighting a race war or a civil war. You mamas are just violent. It's what you've always been.Tamice (30:28):Why would I stand in the middle? Why would I stand in the middle of what I know is a confrontation with yourself?Starlette (30:36):Oh, okay. Alright. I'm going to justTamice (30:38):You all. What happened last week is it, it is a confrontation with a really disturbed self and they're trying to flip it. Oh yes. They're trying to make it. Yes. But this is like, I'm trying to tell people out here, this is beyond you, Jack, that was a prophetic witness against you because now you see that what you're fighting is the mirror. Keep me out of it. I won't fight your wars. Keep me out of it. Look, James Baldwin said, y'all have to decide and figure out why you needed a nigger in the first place.I'm not a nigger. I'm a man. But you, the white people need to figure out why you created the nigger in the first place. Fuck, this is not my problem. This is a y'all and I don't have anything invested in this. All I'm trying to do is raise my kids, man. Come on. Get out of here with that. I'm sorry.Danielle (31:48):No, you keep going and then go back to starlet. Why do you think then they made her Terry? They had to make sure she doesn't buy into that. That's my opinion.Tamice (32:00):It's funny too because I see, I mean, I wasn't Pentecostal. I feel like who's coming to mind as soon as you said that de y'all know I'm hip hop. Right? So KRS one.Starlette (32:12):Yes. Consciousness.Tamice (32:14):The mind. Oh yes, the mind, the imagination. He was, I mean from day one, trying to embed that in the youth. Like, Hey, the battlefield is the mind. Are you going to internalize this bullshit?Are you going to let them name you?Starlette (32:34):This is the word.Tamice (32:34):Are you going to let them tell you what is real for the people of God? That's That's what I'm saying, man. Hip hop, hip hop's, refusal has been refusal from day one. That's why I trust it.Because in seen it, it came from the bottom of this place. It's from the bottom of your shoe. It tells the truth about all of this. So when I listen to hip hop, I know I'm getting the truth.Starlette (32:57):Yeah. EnemyObjection. What did public enemy say? Can't trust it. Can't trust it. No, no, no, no. You got to play it back. We got to run all that back.Danielle (33:11):I just think how it's so weaponized, the dirt, the bottom of the shoe, all of that stuff. But that's where we actually, that's what got it. Our bodies hitting the road, hitting the pavement, hitting the grass, hitting the dirt. That's how we know we're in reality because we've been forced to in many ways and have a mindset that we are familiar with despite socioeconomic changes. We're familiar with that bottom place.Tamice (33:38):Yeah. I mean, bottom place is where God is at. That's what y'all don't understand. God comes from black, dark dirt, like God is coming from darkness and hiddenness and mystery. You don't love darkness. You don't love GodStarlette (33:56):Talk. Now this bottom place is not to be confused with the sunken place that some of y'all are in. I just want to be clear. I just want to be clear and I'm not coming to get you. Fall was the wrong day. TodayI think it's good though because there's so much intimidation in other communities at times. I'm not saying there's not through the lynchings, ongoing lynchings and violence too and the threats against colleges. But it's good for us to be reminded of our different cultural perspectives and hear people talk with power. Why do you think Martin Luther King and Cesar Chavez wrote letters to each other? They knew something about that and knew something about it. They knew something about it. They knew something about why it's important to maintain the bonds. Why we're different, why we're similar. They knew something about it. So I see it as a benefit and a growth in our reality. That is actually what threatens that, that relationship, that bond, that connection, that speaking life into one another. That's what threatens that kingdom that you're talking about. Yeah.You just can't fake an encounter either.When I was tear, no matter what I've decolonized and divested from and decentered, I cannot deny that experience. I know that God was present. I know that God touched me. So when mother even made sister, even made, my grandmother would call me when I was in college, first person to go to college. In our family, she would say before she asked about classes or anything else, and she really didn't know what to ask. She only had a sixth grade education. But her first question was always you yet holding on?Right. She holding on. And I said, yes ma'am. Yes ma'am. Then she would, because it didn't matter if you couldn't keep the faith. There really wasn't nothing else for her to talk to you about. She was going to get ready to evangelize and get you back because you backslid. But that was her first thing. But what I've learned since then is that I can let go.The amazing thing is that the spirit is guiding me. I didn't let go all together. You got it. You got it. If it's real, if you're real, prove it. Demonstrate it. I'm getting chills now talk to me without me saying anything, touch me. I shouldn't have to do anything. Eugene Peterson says that prayer is answering speech. In fact, the only reason why I'm praying is because you said something to me first. It's not really on me to do anything. Even with the tear. I was already touched. I was already called. The reason why I was on my knees and pleading is because I'd already been compelled. Something had had already touched me. FirstThey called Holy Spirit. The hound of heaven. Damn right was already on my heels. I was already filled before I could even refuse. I was like, I don't want this. I'm going to always be star Jonah, get your people. I prefer fish guts. Throw me overboard. I don't like these people. Certified prophet because I don't want to do it. I never want to do it. I'm not interested at all. I have no too much history. I've had to deal with too much white body supremacy and prejudice and racism to want anything to do with the church. I see it for what? It's I'll never join one. By the way, are we recording? Is it on? I'm never joining a church ever. Until you all desegregate.You desegregate. Then we can talk about your ministry of reconciliation. Until then, you don't have one. Don't talk to me about a community day or a pulpit swap. I don't want to hear it. All Your praise. What did he say? A clinging, stumble, put away from me. Your conferences, all your multiracial. I don't want to hear none of it. Desegregate that part desegregate you, hypocrites, woe unto all of you white supremacists. If nobody ever told you that's not God. It's not of God. So I don't, for me, my reality is so above me, I know that Paul, because when I don't want to say anything, somebody is in my ear. Somebody was talking to me this morning. Somebody was writing a note in my ear. I had to get up. I said, please. I'm like, now I'm not even awake all the way. Stop talking to me. You can't fake that as much as I push against the Holy Spirit. You can't fake that. I don't want to do it. I don't want to say it. I'm of saying it. And yet I get up in the morning and it's like, say this, that post that. Write that. Somebody else is doing that. That's not me.As the mothers say, my flesh is weak. My flesh is not willing at all. I want to, all of y'all can go on. I'll pack this up and move somewhere else. Let them fight it to the death. I'm not going to, this is just my flesh speaking. Forgive me. Okay. This Raceless gospel is a calling friends. It's a calling. It's a calling, which means you coming into it. I'm an itinerant prophet. I'm heavy into the Hebrew scriptures. I come up with every excuse. My throat hurts. I got a speech impediment. The people don't like me. I'm not educated. It don't work. You need to know when people come to you and say, y'all need to get together, God speaking to you, the Pendo is coming. That's not like an invitation. That's kind of like a threat whether you want it or not. You're getting together.Everybody up. There's a meal ready, there's a banquet that is set and the food is getting cold and you are the reason why the drinks are watered down. That's go. You don't hear me calling you. ComeWhat I keep hearing. You have to know that God is speaking to people and saying that there's an invitation coming and you better get right. You better get washed up. Tam me said, you better let somebody pour that water over your hands. You better get washed up and get ready for dinner. I'm calling you. Come on in this house. Come on in this house. And this house is for everybody. Martin Luther King called it the world house. Everybody's coming in and you ain't got to like it doesn't matter. Get somewhere and sit down. That's that old church mother coming out of me and lemme just confess. I didn't even want to be on here this morning. I told God I didn't feel like talking. I told the Lord and you see what happened.Promise you. I'm a child. I'm full of disobedience.I was not in the mood. I said, I don't want to talk to nobody. I'm an introvert. I don't want to deal with none of this. Get somebody else to do it and look at it.Tamice (40:39):Yeah. It's funny because I woke up this morning, I was like, I'm not, I forgot. And then after all of the news today, I was like, I just don't have it in you, but this is, wait a minute. And it was three minutes past the time. Come on. And I was like, oh, well shoot. The house is empty. Nobody's here right now. I was like, well, lemme just log on. So this is definitely, it feels like definitely our calling do feel. I feel that way. I don't have time to bullshitSo I can't get out of it. I can't go to bed. I might as well say something. It won't let me go. I cannot do deceit. I can't do it. I can't sit idly by while people lie on God. I can't do that. I can't do it. It won't let up. And I'm trying to get in my body, get in this grass and get a little space. But I'm telling you, it won't let me go. And I feel it's important, Dee, you can't stop doing what you're doing. That's right. I mean is this thing of it is beyond me. It is living out of me. It's coming through me. And there has to be a reason for this. There's got to be a reason for this. And I don't know what it is because I know my eschatology is different, but I feel like, buddy, we got to manifest this kingdom. We have to manifest it until it pushes all that shit back. Come on. I'm telling you. Till it scurries it away or renders it and null and void, I'm talking. I mean, I want the type of light and glory on my being. That wicked logic disintegrate, wicked people drop dead. I mean that just in the Bible. In the Bible where Hert falls, headlong and worms eat em. Y'all celebrate that. Why can't I think about that? It's in your scriptures or daykin and the thing breaks and the legs of this false God break. I want that. I'm here for that. I'm going after that.Danielle (43:14):You think that this is what the definition of Terry is? That we're all Terry serious. I'm rocking the whole time. I'm serious. Right. That's what I told my kids. I said, in one sense, this is a one person of many that thinks this way. So we can't devote all our conversation in our house to this man. And I said in the other sense, because Starlet was asking me before he got here, how you doing? I said, we got up and I took calls from this person and that person and I told my kids, we're still advocating and doing what we can for the neighbors that need papers. And so we're going to continue doing that. That is the right thing to do. No matter what anybody else is doing in the world, we can do this.Tamice (43:56):Yeah, that's a good call. I mean, I'm headed to, I ain't going to say where I'm going no more, but I'm headed somewhere and going to be with people who are doing some innovation, right. Thinking how do we build a different world? How do our skillsets and passions coalesce and become something other than this? So I'm excited about that. And it's like that fire, it doesn't just drive me to want to rebuke. It does drive me to want to rebuild and rethink how we do everything. And I'm willing, I mean, I know that I don't know about y'all, but I feel like this, I'm getting out of dodge, but also I'm seeking the piece of the city. I feel both. I feel like I'm not holding hands with ridiculousness and I'm not moving in foolishness. But also I'm finna seek the piece of the city. My G I'm not running from delusion. Why would I? I'm in the truth. So I don't know how that maps onto a practical life, but we're finna figure it out. Out in it. I mean, the response of leadership to what has happened is a very clear sign where we are in terms of fascism. That's a very clear sign.What else y'all are looking for To tell you what it is.Danielle (45:36):But also we're the leaders. We are, we're the leaders. They're a leader of something, but they're not the leader of us. We're the leaders. We're the leaders. So no matter what they say, no matter what hate they spew, I really love Cesar Chavez. He's like, I still go out and feed the farm worker and I don't make them get on the boycott line because if they're pushed under the dirt, then they can't see hope. So people that have more economic power, a little more privilege than the other guy, we're the leaders. We're the ones that keep showing up in love. And love is a dangerous thing for these folks. They can't understand it. They can't grasp it. It is violent for them to feel love. Bodies actually reject it. And the more we show up, you're innovating. You're speaking Starla, you're preaching. We're the leaders. They're leaders of something. They're not leaders of us. We're leaders of freedom.Tamice (46:31):Come on now. D, we're leaders of give us thisStarlette (46:34):Bomb. We're leaders of compassion. You coming in here with the Holy Ghosts, acting like one of them church mothers. We were in the room together. She put our hand on us. YouDanielle (46:43):We're the ones that can remember Trey. We're the ones that can call for justice. We don't need them to do it. They've never done it. Right. Anyway. They have never showed up for a Mexican kid. They've never showed up for a black kid. They've never done it. Right. Anyway, we're the ones that can do it now. We have access to technology. We have access to our neighbors. We can bring a meal to a friend. We can give dollars to someone that needs gas. We're the the one doing it. We're the one that doing itTamice (47:11):Fill usDanielle (47:12):Up. They cannot take away our love.Starlette (47:15):Receive the benediction.Danielle: Yeah. They can't take it away. I'm telling you, if I saw someone shooting someone I hate, I would try to save that person. I don't own guns. I don't believe in guns, period. My family, that's my personal family's belief.And I would do that. I've thought about it many times. I thought would I do it? And I think I would because I actually believe that. I believe that people should not be shot dead. I believe that for the white kid. I believe that for the Mexican kid. I believe that for the black kid, we're the people that can show up. They're not going to come out here. They're inviting us to different kind of war. We're not in that war. That's right. We have love on our side and you cannot defeat love, kill love. You can'tTamice (48:04):Kill love and you can't kill life. That's the only reason somebody would ask you to be nonviolent. That's the only way somebody would've the audacity to ask that of you. Especially if you're oppressed. If the true is truth is that you can't kill love or life, damn man. It's hard out here for a pimp.Starlette (48:38):Really. Really? Yeah. Because what I really want to say isTamice (49:27):I can't. Your testimony a lie. No. Your testimony. That would be a lie. And like I said, truth telling is important. But there are days where I could be that I could go there, but I witnessed what happened that day. I watched the video. It's just not normal to watch that happen to anybody. And I don't care who you are. And the fact that we're there is just objectively just wow. And the fact that all of the spin and do y'all not realize what just happened? Just as a actual event. Right. What? You know, I'm saying how has this turned into diatribes? Right? We need reform. I, whichDanielle (50:29):Which, okay, so I have to cut us off. I have a client coming, but I want to hear from you, given all the nuance and complexity, how are you going to take care of your body this week or even just today? It doesn't have to be genius. Just one or two things you're going to do. Oh, I'm going toTamice (50:51):Take a nap. Yeah, you taking a nap? Y'all be so proud of me. I literally just said no to five things. I was like, I'm not coming to this. I'm not doing that. I won't be at this. I'm grieving. I'm go sit in the grass. Yeah, that's what I'm doing today. And I have stuff coming up. I'm like, Nope, I'm not available.Starlette (51:14):What about you Danielle? What are you going to do?Danielle (51:16):I'm going to eat scrambled eggs with no salt. I love that. I've grown my liver back so I have to have no salt. But I do love scrambled eggs. Scrambled eggs. That's the truth. Four. Four scrambled eggs.Starlette (51:31):And we thank you for your truth. BIO:The Reverend Dr. Starlette Thomas is a poet, practical theologian, and itinerant prophet for a coming undivided “kin-dom.” She is the director of The Raceless Gospel Initiative, named for her work and witness and an associate editor at Good Faith Media. Starlette regularly writes on the sociopolitical construct of race and its longstanding membership in the North American church. Her writings have been featured in Sojourners, Red Letter Christians, Free Black Thought, Word & Way, Plough, Baptist News Global and Nurturing Faith Journal among others. She is a frequent guest on podcasts and has her own. The Raceless Gospel podcast takes her listeners to a virtual church service where she and her guests tackle that taboo trinity— race, religion, and politics. Starlette is also an activist who bears witness against police brutality and most recently the cultural erasure of the Black Lives Matter Plaza in Washington, D.C. It was erected in memory of the 2020 protests that brought the world together through this shared declaration of somebodiness after the gruesome murder of George Perry Floyd, Jr. Her act of resistance caught the attention of the Associated Press. An image of her reclaiming the rubble went viral and in May, she was featured in a CNN article.Starlette has spoken before the World Council of Churches North America and the United Methodist Church's Council of Bishops on the color- coded caste system of race and its abolition. She has also authored and presented papers to the members of the Baptist World Alliance in Zurich, Switzerland and Nassau, Bahamas to this end. She has cast a vision for the future of religion at the National Museum of African American History and Culture's “Forward Conference: Religions Envisioning Change.” Her paper was titled “Press Forward: A Raceless Gospel for Ex- Colored People Who Have Lost Faith in White Supremacy.” She has lectured at The Queen's Foundation in Birmingham, U.K. on a baptismal pedagogy for antiracist theological education, leadership and ministries. Starlette's research interests have been supported by the Louisville Institute and the Lilly Foundation. Examining the work of the Reverend Dr. Clarence Jordan, whose farm turned “demonstration plot” in Americus, Georgia refused to agree to the social arrangements of segregation because of his Christian convictions, Starlette now takes this dirt to the church. Her thesis is titled, “Afraid of Koinonia: How life on this farm reveals the fear of Christian community.” A full circle moment, she was recently invited to write the introduction to Jordan's newest collection of writings, The Inconvenient Gospel: A Southern Prophet Tackles War, Wealth, Race and Religion.Starlette is a member of the Christian Community Development Association, the Peace & Justice Studies Association, and the Koinonia Advisory Council. A womanist in ministry, she has served as a pastor as well as a denominational leader. An unrepentant academician and bibliophile, Starlette holds degrees from Buffalo State College, Colgate Rochester Crozer Divinity School and Wesley Theological Seminary. Last year, she was awarded an honorary doctorate in Sacred Theology for her work and witness as a public theologian from Wayland Baptist Theological Seminary. She is the author of "Take Me to the Water": The Raceless Gospel as Baptismal Pedagogy for a Desegregated Church and a contributing author of the book Faith Forward: A Dialogue on Children, Youth & a New Kind of Christianity. Dr. Tamice Spencer - HelmsGod is not a weapon.  Authenticity is not a phase.Meet  Tamice Spencer-Helms (they/she). Tamice is a nonprofit leader, scholar-practitioner, pastor, and theoactivist based in Richmond, Virginia. For decades, Tamice has been guided by a singular purpose: to confront and heal what they call “diseased imagination”—the spiritual and social dis-ease that stifles agency, creativity, and collective flourishing. As a pastor for spiritual fugitives,  Tamice grounds their work at the intersection of social transformation, soulful leadership, womanist and queer liberation theologies, and cultural critique.A recognized voice in theoactivism, Tamice's work bridges the intellectual and the embodied, infusing rigorous scholarship with lived experience and spiritual practice. They hold two master's degrees (theology and leadership) and a doctorate in Social Transformation. Their frameworks, such as R.E.S.T. Mixtape and Soulful Leadership, which are research and evidence-based interventions that invite others into courageous truth-telling, radical belonging, and the kind of liberating leadership our times demand.​Whether facilitating retreats, speaking from the stage, consulting for organizations, or curating digital sanctuaries, Tamice's presence is both refuge and revolution. Their commitment is to help individuals and communities heal, reimagine, and build spaces where every person is seen, known, and liberated—where diseased imagination gives way to new possibilities. Kitsap County & Washington State Crisis and Mental Health ResourcesIf you or someone else is in immediate danger, please call 911.This resource list provides crisis and mental health contacts for Kitsap County and across Washington State.Kitsap County / Local ResourcesResourceContact InfoWhat They OfferSalish Regional Crisis Line / Kitsap Mental Health 24/7 Crisis Call LinePhone: 1‑888‑910‑0416Website: https://www.kitsapmentalhealth.org/crisis-24-7-services/24/7 emotional support for suicide or mental health crises; mobile crisis outreach; connection to services.KMHS Youth Mobile Crisis Outreach TeamEmergencies via Salish Crisis Line: 1‑888‑910‑0416Website: https://sync.salishbehavioralhealth.org/youth-mobile-crisis-outreach-team/Crisis outreach for minors and youth experiencing behavioral health emergencies.Kitsap Mental Health Services (KMHS)Main: 360‑373‑5031; Toll‑free: 888‑816‑0488; TDD: 360‑478‑2715Website: https://www.kitsapmentalhealth.org/crisis-24-7-services/Outpatient, inpatient, crisis triage, substance use treatment, stabilization, behavioral health services.Kitsap County Suicide Prevention / “Need Help Now”Call the Salish Regional Crisis Line at 1‑888‑910‑0416Website: https://www.kitsap.gov/hs/Pages/Suicide-Prevention-Website.aspx24/7/365 emotional support; connects people to resources; suicide prevention assistance.Crisis Clinic of the PeninsulasPhone: 360‑479‑3033 or 1‑800‑843‑4793Website: https://www.bainbridgewa.gov/607/Mental-Health-ResourcesLocal crisis intervention services, referrals, and emotional support.NAMI Kitsap CountyWebsite: https://namikitsap.org/Peer support groups, education, and resources for individuals and families affected by mental illness.Statewide & National Crisis ResourcesResourceContact InfoWhat They Offer988 Suicide & Crisis Lifeline (WA‑988)Call or text 988; Website: https://wa988.org/Free, 24/7 support for suicidal thoughts, emotional distress, relationship problems, and substance concerns.Washington Recovery Help Line1‑866‑789‑1511Website: https://doh.wa.gov/you-and-your-family/injury-and-violence-prevention/suicide-prevention/hotline-text-and-chat-resourcesHelp for mental health, substance use, and problem gambling; 24/7 statewide support.WA Warm Line877‑500‑9276Website: https://www.crisisconnections.org/wa-warm-line/Peer-support line for emotional or mental health distress; support outside of crisis moments.Native & Strong Crisis LifelineDial 988 then press 4Website: https://doh.wa.gov/you-and-your-family/injury-and-violence-prevention/suicide-prevention/hotline-text-and-chat-resourcesCulturally relevant crisis counseling by Indigenous counselors.Additional Helpful Tools & Tips• Behavioral Health Services Access: Request assessments and access to outpatient, residential, or inpatient care through the Salish Behavioral Health Organization. Website: https://www.kitsap.gov/hs/Pages/SBHO-Get-Behaviroal-Health-Services.aspx• Deaf / Hard of Hearing: Use your preferred relay service (for example dial 711 then the appropriate number) to access crisis services.• Warning Signs & Risk Factors: If someone is talking about harming themselves, giving away possessions, expressing hopelessness, or showing extreme behavior changes, contact crisis resources immediately. Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that.

In this episode of Agile&Me, Ryan Buckley joins Richard Leaver to get real about the pressures and opportunities for outpatient physical therapy clinics in 2025 and 2026.There's real reason to be optimistic about the coming months and years as practices adopt new technology and look forward to rebounding demand for patients.To learn more about us, visit our website at https://www.allianceptp.com/

In this episode, Ashley Hilliard, MBA, MSN, RN, CPAN, Administrator of Piedmont Outpatient Surgery Center, shares insights on new ASC procedure codes, reimbursement challenges, and the impact of North Carolina's changing certificate of need laws on future growth.

Welcome to Season 2 of the Orthobullets Podcast. Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Dr. Courtney Bell and is titled⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ "⁠⁠⁠⁠⁠Dealing with Intraoperative Complications in Outpatient TKA MCL Injury, Extensor Injury, Fracture."Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

In this episode, Ashley Hilliard, MBA, MSN, RN, CPAN, Administrator of Piedmont Outpatient Surgery Center, shares insights on new ASC procedure codes, reimbursement challenges, and the impact of North Carolina's changing certificate of need laws on future growth.

In this episode, Ashley Hilliard, MBA, MSN, RN, CPAN, Administrator of Piedmont Outpatient Surgery Center, shares insights on new ASC procedure codes, reimbursement challenges, and the impact of North Carolina's changing certificate of need laws on future growth.

The Arise Podcast – Edited TranscriptSpeaker 1 (00:29):Welcome to the Rise Podcast. As part of this process, we're going to talk about what reality is—how to find it, and how to ground yourself in it. I'll have some regular co-hosts with me, as I mentioned earlier, and we'll continue to explore faith, gender, race, sex, the church—all in the context of discovering reality.Today is September 10, 2025. As I pushed to get this episode out, plans shifted and things got canceled. I was busy with the kids, checking the news, scrolling Instagram, running errands, picking up sandwiches—just an ordinary day. Then I saw the headline: Charlie Kirk had been shot.Interestingly, Charlie Kirk and I disagree on almost everything, but I've occasionally listened to his podcast. I also listen to the Midas Touch podcast and others across the spectrum to understand what people are thinking and believing.(01:47)I ask myself: what reality am I living in, and whose voices am I letting in? When I have the capacity, I listen to people like Charlie Kirk, sometimes tune in to Fox News, check X/Twitter, or look at Truth Social—just to gauge different perspectives.I live on Squamish land—land of cedar and clear salt water—here in Poulsbo, Washington. Kitsap County is an interesting rural mix. We're near Seattle, often labeled “ultra-liberal,” but that doesn't exempt us from racism, elitism, or entrenched power structures. And our rural neighbors may identify as fiscally or socially conservative. You might meet someone who voted very differently from you—someone who will happily bring you cookies, or someone who might actually despise you.(02:48)This mix, I think, is closer to reality than living in silos. We may choose echo chambers for news, but we still rub shoulders at coffee shops, restaurants, gyms, and schools with people who think differently.I keep asking: how do we find a shared space to even talk? How do we locate common reality?Back in 2020, when George Floyd was murdered, I saw deep fractures emerge. I was just starting therapy groups on race and whiteness. Our diverse group gathered to talk about racism at a time when the country seemed ready for those conversations.(04:54)But quickly I noticed what I call splitting—fracturing when someone said something others couldn't accept or even register in their bodies. It sometimes caused silence or confusion, and often led to sharp, even violent words meant to wound. And often the person speaking didn't realize the harm.This fascinated me as a therapist. From a psychological perspective, I began to wonder: which part of ourselves shows up in everyday interactions? At a store, maybe just a polite hello. With a friend, maybe a brief check-in that still doesn't touch the day's deeper feelings.(07:07)Sometimes those layers of relationship reveal unspoken emotions—feelings inside that remain hidden. Healthy boundaries are normal, but there's no guarantee that with those we love we suddenly share every vulnerable part of ourselves.Now add politics, faith, love, gender, culture: more layers. Many of these parts trace back to childhood—traumas, arguments, experiences at school or with caregivers.(08:15)So when I see splitting—what some call polarization, black-and-white or binary thinking, or even “boundaries as weapons”—I see people wrestling with what it means to be a neighbor and to engage someone who thinks radically differently.I feel the temptation myself to label everything all good or all bad. Children need that kind of distinction to learn what's safe and unsafe, but adults must grow beyond it. Two things can be true at the same time: you hurt me, and I still love you and will show up. Yet our world increasingly tells us that can't be true.(11:05)This pressure to split is intense—internally, from media, from social circles, from family. Sometimes I want to run away into the woods, start a farm, keep my kids home, just stay safe. Today, after news of a school shooting and Charlie Kirk's murder, that desire feels even stronger.There are days I simply cannot engage with people who think differently. Other days, I have more capacity.So where is reality? For me, it's grounding in faith—literally planting my feet on the earth, hugging a tree, touching grass.(13:30)I ask: who is God? Who is Jesus? And who have I been told God and Jesus are? I grew up in a rigid evangelical structure—shaped by purity culture and fear of punishment. I remember hearing, “If God calls you and you don't act, He'll move on and you'll be left behind.” Even now, at 47, that idea haunts me.When I meet people from that tradition, I feel the urge to split—making my perspective all right and theirs all wrong. I have to remind myself of their humanity and of God's love for them.Earlier this year, I chose to resist those splits. I called people where relationships felt scratchy or unresolved, inviting conversation. Not everyone responded, but the practice helped loosen old binds.(16:55)I also keep listening to multiple viewpoints. I never “followed” Charlie Kirk, but I'd check his posts and sometimes feel genuine tenderness when he shared about his family. That's part of loving your enemies—remembering their humanity, even when you feel anger or rage.I grew up surrounded by conservative media. I even remember the early days of Fox News. As a teen reading Time magazine, I once told my parents that Michael Dukakis's policies aligned more with my faith than his opponent's. Over time I drifted toward trickle-down economics, but that early instinct still stands out.(21:22)All of us are socialized into certain beliefs. I went from conservative evangelical spaces to a conservative liberal-arts college. People warned I might “lose my faith,” yet those history classes deepened it. Today many claim that consuming certain media will “distort your reality.” Political violence is rising. I listen to both progressive and conservative podcasts to understand different lives. Yet when I cite something I've heard, I'm often told it's “AI-generated” or “fake,” even when it's a direct quote. Liberals do this too, around issues like Palestine, policing, or healthcare.(24:47)It's painful to be around people who think differently. The question is: how do we converse without devolving into hate or shouting?Today is September 11. Between Charlie Kirk's assassination, yesterday's school shooting, and attempted political killings, it's clear our nation is split into competing realities that shape everything—from how we see safety to how we practice faith and empathy.This podcast is about examining those realities and how we process them.(26:44)Sometimes we retreat inward to cope with trauma—what psychology might call dissociation or a psychic retreat. I understand the instinct to step back for safety.Maybe these divisions always existed, and I just see them more clearly now while raising my children. That responsibility feels heavy.(29:12)I often turn to elders and their words—Cesar Chavez, Dolores Huerta, Martin Luther King Jr.'s “Letter from Birmingham Jail.” They remind me others have endured violence and hatred and still held onto hope and faith.I fight for that same hope now.(30:04)To ground ourselves we can:- Connect with the earth: literally touch the ground, trees, water.- Stay in community: share meals, exchange help, build fences together.- Nourish faith: draw on spiritual wisdom.- Cherish family: use loved ones as emotional barometers.- Engage work and service: notice how they shape and sustain us.- Face issues of race and justice: ask if we contribute to harm or to healing.Your grounding pillars may differ, but these guide me.(32:40)I invite you to this journey. You may agree or disagree—that's okay. We need space to coexist when it feels like only one side can survive.Violence won't change hearts. Bullets cannot replace ballots. Money cannot buy joy or transformation. Only sustained dialogue and care can.(34:05)I'll share some quotes from Dolores Huerta and Cesar Chavez in the show notes. Please stay curious and seek the mental-health support you need. Don't be alone in your grief or fear. If you feel triggered or overwhelmed, reach out—to a therapist, pastor, trusted friend, or crisis helpline.A special guest and new co-host will join me next week. I look forward to continuing the conversation.   Crisis Resources:Kitsap County & Washington State Crisis and Mental Health ResourcesIf you or someone else is in immediate danger, please call 911.This resource list provides crisis and mental health contacts for Kitsap County and across Washington State.Kitsap County / Local ResourcesResource Contact Info What They OfferSalish Regional Crisis Line / Kitsap Mental Health 24/7 Crisis Call Line Phone: 1‑888‑910‑0416Website: https://www.kitsapmentalhealth.org/crisis-24-7-services/ 24/7 emotional support for suicide or mental health crises; mobile crisis outreach; connection to services.KMHS Youth Mobile Crisis Outreach Team Emergencies via Salish Crisis Line: 1‑888‑910‑0416Website: https://sync.salishbehavioralhealth.org/youth-mobile-crisis-outreach-team/ Crisis outreach for minors and youth experiencing behavioral health emergencies.Kitsap Mental Health Services (KMHS) Main: 360‑373‑5031; Toll‑free: 888‑816‑0488; TDD: 360‑478‑2715Website: https://www.kitsapmentalhealth.org/crisis-24-7-services/ Outpatient, inpatient, crisis triage, substance use treatment, stabilization, behavioral health services.Kitsap County Suicide Prevention / “Need Help Now” Call the Salish Regional Crisis Line at 1‑888‑910‑0416Website: https://www.kitsap.gov/hs/Pages/Suicide-Prevention-Website.aspx 24/7/365 emotional support; connects people to resources; suicide prevention assistance.Crisis Clinic of the Peninsulas Phone: 360‑479‑3033 or 1‑800‑843‑4793Website: https://www.bainbridgewa.gov/607/Mental-Health-Resources Local crisis intervention services, referrals, and emotional support.NAMI Kitsap County Website: https://namikitsap.org/ Peer support groups, education, and resources for individuals and families affected by mental illness.Statewide & National Crisis ResourcesResource Contact Info What They Offer988 Suicide & Crisis Lifeline (WA‑988) Call or text 988; Website: https://wa988.org/ Free, 24/7 support for suicidal thoughts, emotional distress, relationship problems, and substance concerns.Washington Recovery Help Line 1‑866‑789‑1511Website: https://doh.wa.gov/you-and-your-family/injury-and-violence-prevention/suicide-prevention/hotline-text-and-chat-resources Help for mental health, substance use, and problem gambling; 24/7 statewide support.WA Warm Line 877‑500‑9276Website: https://www.crisisconnections.org/wa-warm-line/ Peer-support line for emotional or mental health distress; support outside of crisis moments.Native & Strong Crisis Lifeline Dial 988 then press 4Website: https://doh.wa.gov/you-and-your-family/injury-and-violence-prevention/suicide-prevention/hotline-text-and-chat-resources Culturally relevant crisis counseling by Indigenous counselors.Additional Helpful Tools & Tips• Behavioral Health Services Access: Request assessments and access to outpatient, residential, or inpatient care through the Salish Behavioral Health Organization. Website: https://www.kitsap.gov/hs/Pages/SBHO-Get-Behaviroal-Health-Services.aspx• Deaf / Hard of Hearing: Use your preferred relay service (for example dial 711 then the appropriate number) to access crisis services.• Warning Signs & Risk Factors: If someone is talking about harming themselves, giving away possessions, expressing hopelessness, or showing extreme behavior changes, contact crisis resources immediately.  Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that.

Dr. Kimbra Bell, MD, Medical Director for the new Northwestern Medicine Bronzeville Outpatient Center, joins John Williams to talk about the grand opening of the new facility tomorrow. Dr. Bell talks about the variety of care that will be available at the center, why this type of facility is needed in Bronzeville, how many people […]

Dr. Kimbra Bell, MD, Medical Director for the new Northwestern Medicine Bronzeville Outpatient Center, joins John Williams to talk about the grand opening of the new facility tomorrow. Dr. Bell talks about the variety of care that will be available at the center, why this type of facility is needed in Bronzeville, how many people […]

Dr. Kimbra Bell, MD, Medical Director for the new Northwestern Medicine Bronzeville Outpatient Center, joins John Williams to talk about the grand opening of the new facility tomorrow. Dr. Bell talks about the variety of care that will be available at the center, why this type of facility is needed in Bronzeville, how many people […]

Insurers pull Medicare Advantage plans as profit pressures mount: This from the "Medicare Advantage Minute" In the "Your Medicare Benefits 2025" we learn how Medicare is likely to cover Outpatient hospital services. Friend of the podcase, Steve sent an article addressing "Targeted Medicare Cuts" and how they can save money while reducing risk. How about a side trip to Social Security Land? Someone named Rusty has an advisory column and fielded a question from a reader about when the best time might be to start collecting Social Security benefits might be. Normally Democrats are on the opposite side of almost every possible subject from me but we now find ourselves connected like Siamese twins over support for the freedom from prior authorization in Original Medicare.                                        I am dazed and confused by my unexpected alliance! Finally, we have a new member of the podcast audience who hangs her hat in South Dakota ...er Nebraska sometimes. I expect her to join the ranks of my happy clients as well!   Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                   Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; SIMPLEST & EASIEST GUIDE EVER!" "MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE" "MEDICARE FOR THE LAZY MAN: BARE BONES!" For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to  help future readers. Official website: https://www.MedicareForTheLazyMan.com.

In this episode, Dr. Ashvin Dewan, Orthopaedic Surgeon and advisor at LeanTaaS, shares how innovation, automation, and AI are transforming surgical workflows to improve access, reduce staff burnout, and optimize care delivery in outpatient settings. He highlights key operational challenges and how data-driven tools are helping practices scale best practices without sacrificing quality.This episode is sponsored by LeanTaaS.

Multimodal analgesia refers to a pain medication strategy that targets multiple chemical pathways to achieve adequate pain relief. This concept has grown in popularity over the years particularly in light of the recognition that opioids have major downsides including dependence. We welcome Dr. J. Preston Van Buren, DO from the Naval Medical Center in San Diego to discuss his team's findings after implementing a focused multimodal analgesia strategy with a reduced number of prescribed opioid tablets following Sports Medicine surgery compared to a more traditional, opioid-heavy regimen that has been classically employed. 

The key to conquering autoimmune diseases and type 1 diabetes may lie not in replacing lost cells, but in retraining the immune system using cells already within the body.Biotech is increasingly exploring stem cell therapies, but a quieter revolution is brewing: stromal cell therapy. These master “coordinators” aren't about rebuilding tissues molecule by molecule - instead, they orchestrate an anti-inflammatory response, offering new hope for conditions once considered incurable.In this episode of the Smart Biotech Scientist Podcast, host David Brühlmann speaks with Lindsay Davies, a leading expert in advanced therapies. She is the CSO at NextCell Pharma, consultant at CellTherEx, and co-founder of QVance, a QC analytics provider for ATMPs. Recently elected Vice President Elect for Europe at ISCT, Lindsay also chairs its European Industry Committee and serves on multiple task forces. With over 20 years bridging academia and industry, she's helped shape the full lifecycle of cell-based therapies, from development to commercialization.Here are three reasons why you can't miss this episode:Stromal Cells - The Unsung Heroes: Discover the essential distinction between stem cells (the “builders”) and stromal cells (the “coordinators”), and how harnessing the latter's unique immune-modulatory powers is unlocking treatments for diabetes, COVID-19, and autoimmune diseases.A Manufacturing Mindset Shift: Lindsay explains why scaling out cell therapies defies the “plug-and-play” approaches of traditional biologics manufacturing. With cell quality so sensitive to environmental shifts, the key lies in process simplicity, early regulatory collaboration, and deep biological understanding - especially when donor variability enters the mix.Allogeneic Therapies Made Real: Thanks to umbilical cord-derived stromal cells, treatments can be manufactured at scale, stored frozen, and delivered on demand - no patient matching required. The result? Outpatient infusions, no side effects, and effects lasting up to five years, dramatically simplifying lives for those with chronic inflammatory conditions.Ready to rethink how cell therapies are changing medicine - and what it could mean for your bioprocessing strategy? Hit play and find out how Lindsay Davis is redefining what's possible in advanced therapy manufacturing.Connect with Lindsay Davis:LinkedIn: www.linkedin.com/in/lindsay-c-daviesWebsite: www.nextcellpharma.comIf you're interested in breakthroughs in cell therapy, here's what some of our previous guests have shared from the front lines of innovation:Episodes 105-106: From Proteins to Cell Therapy: Why ATMPs Aren't Just Complex Biologics with Oliver KraemerEpisodes 109-110: Spinning Like Earth: Designing Low-Shear Bioreactors for Better Cell Culture with Olivier DetournayEpisodes 125-126: How to Enhance Cell Engineering Using Mechanical Intracellular Delivery with Armon ShareiNext step:Book a free consultation to help you get started on any questions you may have about bioprocess development: https://bruehlmann-consulting.com/callDevelop bioprocessing technologies better, faster, at a fraction of the cost with our 1:1 Strategy Call: The quickest anJoin 500+ CGT leaders at Advanced Therapies Europe 2025 (September 2-4, Barcelona) for live case studies, regulatory insights, and exclusive collaboration opportunities. As a Smart Biotech Scientist listeners you'll save 20% with code SMARTPODCAST20 – Register hereSupport the show

Today we're joined by Keith Parrott, President and CEO, for the RMC Health System. We'll be discussing National Wellness Month this August, as well as plans for the hospital and clinic locations, the BlueCross BlueShield distinctions held by RMC and what they mean, and how RMC's service lines and community screenings can help keep you and your business healthy!If you would like to contribute to RMC's continued growth and improvement (namely previous donations of new beds for Labor & Delivery, the renovation of the Outpatient department, and new equipment for Respiratory Therapy as a few examples), please consider donating to the RMC Foundation, which is their 501c3 fundraising arm.Need a primary care physician or specialist? Check out all the physicians affiliated with RMC here.For more information about the Alabama Employer Health Consortium, visit their website here.--Be sure to follow us on Spotify, Apple Podcasts, or wherever your listen to podcasts.Follow us on:FacebookInstagramYouTubeLinkedIn Hosted on Acast. See acast.com/privacy for more information.

Welcome to Season 2 of the Orthobullets Podcast.Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Dr. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Lucas Anderson and is titled⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ "Blood Management in Outpatient/ASC DA THA."⁠⁠⁠⁠Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

The need for mental health services continues to grow across the country, and especially here in Idaho, but one Caldwell program is stepping up to meet that need.

In this episode, we are joined by Jonathan Lemuel, the Director of Forensic Services at Bluebonnet Trails Community Services. He tells us about BBTCS's Outpatient Competency Restoration program, which helps defendants who are found incompetent to stand trial achieve the ability to participate in their own defense in a community-based setting.If you have an innovation in mental health that you'd like to see on the podcast, email JCMH@txcourts.gov with the subject line "Reimagining Justice."*Disclaimer: The views, thoughts, and opinions expressed are the speaker's own and do not represent the views, thoughts, and opinions of the JCMH, the Supreme Court of Texas, or the Texas Court of Criminal Appeals. The material and information presented here are for general information purposes only.

Deborah Godes and Marla Kugel join Julia Grabo to discuss the major policies proposed in the recently released calendar year 2026 Medicare Hospital Outpatient Prospective Payment System proposed rule.

In episode 54 of Law in the Family, hosts Jen Ryan and Amanda Frett speak with licensed Clinical Psychologist Dr. Adam Assoian, Founder of Ally Psychological Services, about Imposter Syndrome, and how it affects attorneys. Dr. Adam sheds light on how the high-stakes, high-performance culture within the legal profession often fosters feelings of inadequacy—even among successful, competent attorneys, and shares tips and advice on how to deal with the anxieties and challenges that arise for attorneys dealing with Imposter Syndrome, so they can best represent their clients and maintain their own mental well-being. The discussion underscores that recognizing and addressing Imposter Syndrome is not just a personal benefit—it's essential for attorneys to function at their best and serve their clients with confidence and clarity.Ally Psychological Services of Bucks County, PADr. Adam Assoian is a licensed Clinical Psychologist and the Owner and Clinical Director of Ally Psychological Services in Doylestown. Before opening his practice in 2019, he worked in a variety of settings, including a Community Mental Health Center for low-income individuals, a College Counseling Center, a Psychiatric Hospital, two different private practices, a Residential Treatment Facility for adolescents, and an Outpatient facility that provided therapeutic services for adults and adolescents involved in the legal system for behavioral problems. Outside of his work, Dr. Adam spent several years volunteering as the Clinical Director for Mental Health initiatives within the Special Olympics of Pennsylvania and currently serves as the President of the Central Bucks School District Education Foundation.Host Jennifer R. Ryan is a partner at Boyd & Early Family Law, servicing Montgomery, Bucks, Chester, Philadelphia and Delaware counties. Host Amanda Frett is an attorney at Obermayer Rebmann Maxwell & Hippel in Doylestown, Pennsylvania. *audio editing, voice over & music by ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Nick DeMatteo

This episode features Dr. Robert E. Mayle, a fellowship trained, board-certified orthopaedic surgeon who specializes in hip and knee replacement and practices out of California Pacific Orthopaedics. Dr. Mayle shares how his team built a high-efficiency outpatient joint replacement program by adopting data-driven technologies, fostering a culture of transparency, and continuously refining clinical and operational workflows.This episode is sponsored by Johnson & Johnson.

This episode features Dr. Robert E. Mayle, a fellowship trained, board-certified orthopaedic surgeon who specializes in hip and knee replacement and practices out of California Pacific Orthopaedics. Dr. Mayle shares how his team built a high-efficiency outpatient joint replacement program by adopting data-driven technologies, fostering a culture of transparency, and continuously refining clinical and operational workflows.This episode is sponsored by Johnson & Johnson.

This episode features Dr. Robert E. Mayle, a fellowship trained, board-certified orthopaedic surgeon who specializes in hip and knee replacement and practices out of California Pacific Orthopaedics. Dr. Mayle shares how his team built a high-efficiency outpatient joint replacement program by adopting data-driven technologies, fostering a culture of transparency, and continuously refining clinical and operational workflows.This episode is sponsored by Johnson & Johnson.

Don't let uncertainty around mental healthcare pricing stop you from getting help. Understanding how outpatient programs and therapies are billed can make all the difference.More information is available at https://amfmtreatment.com/cost/outpatient/ A Mission for Michael (AMFM) City: San Juan Capistrano Address: 30310 Rancho Viejo Rd. Website: https://amfmtreatment.com/

Dr. Trey Bateman and Dr. Gregg Day discuss the study design, findings, and clinical implications of using plasma biomarkers in real-world patient care.  Show reference: https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.70316 

Dr. Trey Bateman talks with Dr. Gregg Day about the study design, findings, and clinical implications of using plasma biomarkers in real-world patient care.  Read the related article in Alzheimer's & Dementia.  Disclosures can be found at Neurology.org. 

Today's guest is Taylor Wiggins, DNP, RN, a CDI leader with over a decade of nursing experience and background in risk adjustment and outpatient documentation strategy. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form!  CEU info: Each ACDIS Podcast episode offers 0.5 ACDIS CEU which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first four days from the time of publication. To receive your 0.5 CEU, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/outpatient-cdi-substance-use-disorders) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Sunday, July 20, at 11:00 p.m. Eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEU for this week's episode. ACDIS update: Respond to the 2025 CDI Week Industry Survey by July 18! (https://www.surveymonkey.com/r/2025-CDI-Week-Industry-Survey) Download the 2025 CDI Week official poster and fact sheet! (http://bit.ly/40kbeEx) Apply to speak at one of ACDIS' 2026 events, including the 2026 ACDIS Conference, by July 21! (https://bit.ly/4jLYDkr) Get suggestions for session topics at the 2026 ACDIS conference! (https://bit.ly/42WIBiu Register for ACDIS Encore: Clinical & Coding Online, happening August 12-14! (https://bit.ly/3SKItN6) Submit your articles to the September/October edition of the CDI Journal (focused on how CDI impacts all areas of healthcare) by Friday, August 1! (https://www.surveymonkey.com/r/CDI-journal)

Pippa speaks to Rachel Nussbaum, one of the co-founders of the Enable Centre and Jenna Mills, an intern biokineticist, who provide physical and cognitive rehabilitation. 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 1:10pm. 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.

In this episode of JACC This Week, Editor-in-Chief Dr. Harlan Krumholz summarizes key studies from the July 15 issue, focused on cardiovascular interventions. Topics include new insights on plaque vulnerability in acute coronary syndromes, virtual flow reserve after PCI, long-term data on FFR-guided revascularization, and stent thrombosis risk. This issue delivers high-impact, practice-relevant research for interventionalists, imaging specialists, and general cardiologists alike.

Christin and leaders from Crossroads outpatient discuss the unique features, services, and support offered at each location, as well as the growing need for accessible outpatient treatment options. Whether you're curious about what outpatient looks like or you're looking to take the next step in your own recovery, this episode sheds light on the incredible work being done every day across our outpatient network. Tune in to hear how these programs are changing lives and offering hope for long-term recovery.

Granulomatosis with Polyangiitis (GPA) – Recognition and Management in the ED Hosts: Phoebe Draper, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/GPA.mp3 Download Leave a Comment Tags: Rheumatology Show Notes Background A vasculitis affecting small blood vessels causing inflammation and necrosis Affects upper respiratory tract (sinusitis, otitis media, saddle nose deformity), lungs (nodules, alveolar hemorrhage), and kidneys (rapidly progressive glomerulonephritis) Can lead to multi-organ failure, pulmonary hemorrhage, renal failure Red Flag Symptoms: Chronic sinus symptoms Hemoptysis (especially bright red blood) New pulmonary complaints Renal dysfunction Constitutional symptoms (fatigue, weight loss, fever) Workup in the ED: CBC, CMP for anemia and AKI Urinalysis with microscopy (hematuria, RBC casts) Chest imaging (CXR or CT for nodules, cavitary lesions) ANCA testing (not immediately available but important diagnostically) Management: Stable patients: Outpatient workup, urgent rheumatology consult, prednisone 1 mg/kg/day Unstable patients: High-dose IV steroids (methylprednisolone 1 g daily x3 days), consider plasma exchange, cyclophosphamide or rituximab initiation, ICU admission Conditions that Mimic GPA: Goodpasture syndrome (anti-GBM antibodies) TB, fungal infections Lung malignancy Other vasculitides (EGPA, MPA, lupus)

HSE Mid West is welcoming the publication of national healthcare performance data by the Minister for Health, Jennifer Carroll MacNeill, which highlights the work being delivered across Outpatient and Inpatient services at University Hospital Limerick and throughout the Midwest region. The data points to real improvements in outpatient and inpatient services, waiting list reductions, and efficient patient care. For more on this, Alan Morrissey was joined by, Sandra Broderick, Regional Executive Officer, HSE Mid West.

Welcome to Season 2 of the Orthobullets Podcast.Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Dr. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Stefan Kreuzer⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠and is titled⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ "Evolution of Outpatient Joint Arthroplasty Procedural Selection & Execution."⁠⁠⁠⁠Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

In this episode of Nutrition Pearls: the Podcast, co-hosts Megan Murphy and Jen Smith speak with Megan Horsley on her involvement with an intensive tube feed weaning program.  Megan is a pediatric dietitian at Cincinnati Children's Hospital Medical Center. She has 18 years of experience in pediatrics with a focus in cardiology and currently practices as a Lead dietitian as well as a cardiac float, serving all areas of cardiology (the Critical Cardiac Intensive Care Unit, the Acute Care Cardiology Unit and Outpatient Cardiology). Her most recent work has involved establishing a tube wean program in 2020 for heart patients which focuses on optimizing oral skills and getting them safely off their feeding tube.She is a Certified Nutrition Support Clinician and in addition maintains her Certification as a Specialist in Pediatric Nutrition. She is involved in many projects, research, and quality improvement work, including the National Pediatric Cardiology Quality Improvement Collaborative (NPC-QIC), the Advanced Cardiac Therapies Improving Outcomes Network (ACTION) and the Pediatric Cardiac Intensive Care Society (PCICS). She has also served as a board member of the Congenital Heart Alliance of Cincinnati since 2017 and is a member of the Prolacta Clinical Advisory Board (PCAB) since 2019. Megan has eighteen years of professional practice in pediatric nutrition and twenty-one years of personal experience as a heart mom herself. She plans on continuing to concentrate her efforts on improving the nutritional care, experience and outcomes for all children affected by congenital heart disease.Nutrition Pearls is supported by an educational grant from Mead Johnson Nutrition.Resources:Tool Kit: NPC-QIC Tube Weaning — NPC-QICKaskie, S., Horsley, M., & Marcuccio, E. (2024). Experiences in Tube Weaning Children with Congenital Heart Disease and Oral Feeding Aversion. Pediatric Cardiology. https://doi.org/10.1007/s00246-024-03515-8Wong, J., Loomba, R., Allen, K. Y., Chan, T., Coolidge, N., Del Grippo, E., Horsley, M., Slater, N., Spader-Cloud, M., Steltzer, M., & Marcuccio, E. (2024). Structured Tube Weaning Using the Hunger Provocation Method in Infants with Single Ventricle Heart Defects: A Multicenter Study. Pediatric Cardiology. https://doi.org/10.1007/s00246-024-03558-xHorsley, M., Hill, G. D., Kaskie, S., Schnautz, M., Brown, J., & Marcuccio, E. (2022). Evaluation of an Outpatient and Telehealth Initiative to Reduce Tube Dependency in Infants with Complex Congenital Heart Disease. Pediatric Cardiology, 43(7), 1429–1437. https://doi.org/10.1007/s00246-022-02864-6Weaning from a feeding tube in children with congenital heart disease: A review of the literature: www.sciencedirect.com/science/article/abs/pii/S1058981321000801?via%3DihubCardiology Feeding Tube Wean ClinicProduced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Doug Truppe is a creative talent agent specializing in the representation, marketing, and management of award-winning commercial Photographers and Directors. Gabriel Most is a licensed social worker and registered nurse who is interested in how our minds work and helps clients restore balance in their lives and move forward mindfully.  Together, they've created the blog series Leading Life to empower, elevate and foster a sense of community for those employed in the advertising industry. On this episode, I talk to the duo about how they came up with Leading Life, what they've learned from the process, and what they have planned for the project in the future. Content warning: We discuss the subject of suicide in this interview.   Discover the Leading Life blog here.     About our guests: Doug Truppe Represents is a creative talent agency specializing in the representation, marketing, and management of award-winning commercial Photographers and Directors domestically and internationally in a variety of categories. Doug's mission is that we provide the best services to ensure our client's goals are achieved with the greatest success. We devote a high level of attention to every project and handle all aspects of negotiations, management and production services. It is our commitment to excellence that has culminated in many years of service to our loyal clients. Doug's website. Gabriel Most LCSW, RN has always been interested in how our minds work and what motivates us. He has worked as an LCSW in Hospital, Hospice, and Outpatient settings for over twenty years with adults, couples, and families. For the last ten years, he has also worked as a Registered nurse (RN) as an adjunct to his Therapeutic practice, incorporating wellness techniques and practices for daily life. He has also taught Mental Health Care to RN students. "As someone who was born outside of the U.S., whose first language was not English, and as a gay person, I suffered from low self-esteem and the challenges of identifying with a marginalized sexual orientation. It was only when I went to college and volunteered as a peer counselor working with those challenged by addiction, depression, grief, and PTSD that I began the journey of being comfortable in my skin. Through my mental health journey, I embarked on the work of finding my voice, feeling relaxed and proud of my own identity, and then advocating for those who also felt marginalized, unseen, or stereotyped. This process also allowed me to fine-tune my skills when it came to questions of self-identity. I took this passion and went to Hunter College School of Social Work to obtain my LCSW and then later my RN at Phillips Beth Israel School of Nursing so that I could help people explore the connections between caring for the mind and body as a partnership to ensure maximum success and life balance." Gabriel's website.

Dr. Katie Krulisky and Dr. Leah Blank discuss the impact of outpatient follow-up on readmission rates for older adults with epilepsy or seizures.  Show reference: https://www.neurology.org/doi/10.1212/WNL.0000000000213638 

Dr. Katie Krulisky talks with Dr. Leah Blank about the impact of outpatient follow-up on readmission rates for older adults with epilepsy or seizures. Read the related article in Neurology®.  Disclosures can be found at Neurology.org. 

In this episode of the Well Within Reach podcast, we delve into the vital role of outpatient mental health services. Host Liz Unruh and expert Rachel LaGesse discuss how these programs operate, who they serve, and how they can be life-changing for individuals and families. Discover how outpatient care is tailored to meet diverse community needs!

Signing yourself up for therapy may sound easy enough, but will it really help you with your mental illnesses? Mission Connection (866-706-5017) says it depends on the type of therapy you get. Learn more at https://missionconnectionhealthcare.com/virginia/outpatient-mental-health-center-in-arlington/ Mission Connection City: San Juan Capistrano Address: 30310 Rancho Viejo Rd. Website: https://missionconnectionhealthcare.com/

A teen is using substances—how do you decide what kind of treatment makes sense? Outpatient therapy? A more structured program? We're breaking it down.CME: Take the CME Post-Test for this EpisodePublished On: 06/02/2025Duration: 20 minutes, 08 secondsJoshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

In this episode, we dive into the rapidly evolving world of ambient listening AI in healthcare. From outpatient clinics to inpatient wards and operating rooms, this technology is reshaping how care is delivered, documented, and experienced. We explore how ambient listening AI is improving clinic flow by streamlining documentation and reducing interruptions, allowing clinicians to stay more present with their patients. The technology is increasingly adaptive to individual provider styles, learning preferences and workflows to deliver more personalized support. Plus, we share practical tips for new users to get the most out of their ambient listening AI systems from day one. Join us as we hear from experts on the front lines and debate the future of ambient listening AI in medicine—where the walls really do have ears, but for all the right reasons. Host:  - Nicole Petcka, MD – General Surgery Resident, Emory University, @npetcka2022 Guests:  - Samuel R. Torres Landa Fernández, MD – Minimally Invasive Surgery Fellow, Emory University  - Anastasios Nikolaos (Nick​) Panagopoulos, MD – Internal Medicine Resident, Emory University  - Joe Sharma, MD - McGarity Chair in Endocrine Surgery and Professor of Surgery, Vice-chair for Patient Safety, Quality and Innovation, Emory University  Resources:  Enhancing Accuracy of Operative Reports with Automated Artificial Intelligence Analysis of Surgical Video Khanna A, Wolf T, Frank I, Krueger A, Shah P, Sharma V, Gettman MT, Boorjian SA, Asselmann D, Tollefson MK. Enhancing Accuracy of Operative Reports with Automated Artificial Intelligence Analysis of Surgical Video. J Am Coll Surg. 2025 May 1;240(5):739-746. doi: 10.1097/XCS.0000000000001352. Epub 2025 Apr 16. PMID: 39918224. https://pubmed.ncbi.nlm.nih.gov/39918224/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Niall McKay talks to Harriet Medeley about her diagnosis of Primary Sclerosing Cholangitis (PSC) and how it inspired her to write Outpatient, an award-winning comedy play which opened in London this month. They discuss how her diagnosis, her life as an artist and mother and turning a life changing disease into art and comedy.

Bringing Prostate Artery Embolization (PAE) to the OBL setting means balancing cost efficiency, quality care, and a high procedure volume. What should you know and how can you get started? This week, host Dr. Ally Baheti explores outpatient PAE with Dr. Stephen “Andy” Vartanian, an independent interventional radiologist and medical director of PrecisionIR.---SYNPOSISThe doctors discuss Dr. Vartanian's unique career path and extensive experience with prostate artery embolization (PAE). They discuss his approach to the procedure, best practices, and how he was able to set himself up for success in the transition to an OBL. Dr. Vartanian shares insights into patient workup, collaboration with urologists, and his perspective on the financial and operational challenges of managing an independent practice. The doctors then touch on other outpatient procedures like uterine fibroid embolization (UFE) and genicular artery embolization (GAE) and the difficulties in patient acquisition for these treatments. This episode offers a unique look into factors to consider when optimizing your practice patterns for PAE in an OBL setting.---TIMESTAMPS00:00 - Introduction05:38 - OBL Setting and PAE10:02 - Approach to PAE, Techniques, and Tools21:38 - Post-Procedure Care and Managing Patient Expectations25:32 - Advice to IRs Interested in PAE27:37 - Challenges and Strategies in Uterine Fibroid Embolization (UFE)33:14 - Running an OBL: Insights and Experiences36:40 - Future Plans and Business Reflections---RESOURCESPrecisionIR: https://myprecisionir.com/

Garrett Butler, MD. Husband, father, son, friend, and family doc in rural WV. Undergraduate in Physics from Johns Hopkins University. Undergraduate in Molecular and Cell Biology from Towson University. MD from West Virginia University School of Medicine. Family Medicine residency at WVU SOM. Hospitalist at Vandalia Health Davis Medical Center. Outpatient family physician at Vandalia Health Broaddus Family Care. Hospitalist at Vandalia Health Broaddus Hospital. Medical director of Mansfield Place nursing home. Work With Us: Arétē by RAPID Health Optimization Links: Dr. Garrett Butler - Old Fellow Manor Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram

In this episode of the SHEA Podcast, host Dr. Jonathan Ryder, Assistant Professor in the Division of Infectious Diseases at the University of Nebraska Medical Center, speaks with Dr. Milner Staub, Assistant Professor of Medicine in the Division of Infectious Diseases at Vanderbilt University Medical Center. Their conversation explores practical, high-impact strategies for improving antimicrobial stewardship in outpatient and ambulatory care settings. With the majority of antibiotic prescribing occurring outside of hospitals, outpatient stewardship is a critical area for reducing unnecessary antibiotic use and improving patient outcomes. Dr. Staub shares insights into her work and research, which focus on helping providers and patients optimize antibiotic prescribing in ambulatory settings. She highlights stewardship interventions that are relatively easy to implement but offer strong returns on investment. A significant part of the discussion centers around the persistent impact of penicillin allergy labels and how outpatient settings can better address this issue. Dr. Staub also discusses antibiotic overuse for acute uncomplicated bronchitis (AUB), offering recommendations for interventions to reduce inappropriate prescribing. The episode concludes with a look ahead at where more research is needed to test assumptions and develop new stewardship strategies. Listeners are encouraged to explore SHEA's free CDC-supported Penicillin Allergy Delabeling Course for more information. Thank you for tuning in to the SHEA Podcast.

In this episode of the Becker's Healthcare Podcast, Erika Spicer Mason is joined by Purvi Bhatt of ECG Management Consultants and Catherine Nabavi of Siemens Healthineers to explore how health systems are evolving their strategies in response to tighter reimbursements, growing outpatient demand, and shifting regulatory landscapes. The discussion dives into payer negotiations, the impact of changing Certificate of Need (CON) laws, and the expanding role of AI and digital RCM tools in driving outpatient efficiency. Tune in for expert insights on aligning data-driven innovation with financial and operational sustainability in today's dynamic healthcare environment.This episode is sponsored by Siemens Healthineers.

We're taking a break this week, but we'll be back next week with a brand-new episode.  Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) breaks down the nuances of treating this common cardiac condition.  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction  03:22 Case Presentation: Newly Diagnosed Heart Failure 07:26 Using Physical Exam Findings to Guide Diuresis 11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure 15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients 22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy 28:02 Consideration of Other Medications 40:02 Referral to Advanced Heart Failure Specialist 49:11 Optimizing Therapy and Follow-Up 55:33 Conclusion and Book Recommendation Credits Writer and Producer: Deborah Gorth MD, PhD Infographic and Cover Art: Zoya Surani Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Emi Okamoto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Michelle Kittleson MD, PhD Sponsor: Mint Mobile  Get your summer savings and shop premium wireless plans at MINTMOBILE. com/CURB. Sponsor: American College of Physicians Order ACP MKSAP today at acponline.org. Curbsiders Listeners who use promo code  CORECS will receive a MKSAP gift pack with their subscription. Sponsor: Panacea Legal Learn more and schedule your free consultation at Panacea.Legal.

Outpatient CDI is not a traditional discipline—and so it stands to reason that its practitioners don't always hail from traditional backgrounds. One such person is Glenda Bocskovits. I'd call her a former transcriptionist, but she still practices that craft with the Mayo Clinic. But Glenda has since expanded her career into cutting edge practice as an outpatient CDI specialist with Catholic Health. We get into Glenda's unique career path, the obstacles of breaking into CDI as a non-clinician, and address the eternal question: What is the ROI of OP CDI? We cover the following topics:  Transcription: That's still done? It is (hear why). The ROI of outpatient CDI  Catholic Health's thorough process of OP CDI chart review: Prospective, current/pre-bill, and retrospective Common conditions requiring clarification and what continues to trip up providers A day in the life of: What Glenda's job entails Obstacles of getting into CDI as a non-nurse and strategies for landing elusive interviews Glenda's career motivations and song selection for the Off the Record Spotify playlist