Podcasts about patients

Doris Zallen, PhD, is Professor Emerita of Science Studies and Humanities at Virginia Tech. Her research explores personal, family, and societal issues arising from advances in genetic testing and gene therapy. Zallen is the author of two books about genetic testing and is developing an online tool to help people make informed choices about testing. Zallen […] The post Genetic Testing; Conversation with a Researcher and Patient Advocate (HLOL #260) appeared first on Health Literacy Out Loud Podcast.

This meditation draws upon the timeless wisdom of Seneca the Younger, guiding you to cultivate patience through the Stoic principles of acceptance, discernment, and inner strength. You will explore the profound difference between what you can control and what lies beyond your influence, learning to meet life's inevitable challenges with a calm and unconquerable mind. This practice is an invitation to transform impatience into resilient tranquility, anchoring your peace in the only place it can truly be found: within yourself. THIS WEEK'S THEME: "The Patient Heart: Cultivating Inner Stillness" Welcome to "The Patient Heart: Cultivating Inner Stillness," a 7-part meditation series designed to help you rediscover the profound power and peace found in patience. In a world that often demands instant gratification, true tranquility lies in our ability to wait, to observe, and to trust in the natural unfolding of life. Drawing upon the timeless wisdom of ancient traditions, this series will guide you to cultivate patience not as passive waiting, but as an active, compassionate engagement with the present moment. Each episode offers a unique lens to understand and embody this vital virtue, fostering inner resilience and a deeper connection to the rhythm of existence. YOUR MEDITATION JOURNEY DURING THIS WEEK'S SERIES This is episode 7 of a 7-day meditation series titled, "The Patient Heart: Cultivating Inner Stillness" episodes 3311-3316. Day 1:  Patience Visualization Day 2:  Patience Affirmation: "I unfold with patience, presence, and peace." Day 3:  Patience Breathing Visualization Day 4:  Lotus Mudra for Patience Day 5:  Fourth Chakra focus for Patience Day 6:  Patience flow meditation combining the week's techniques. Day 7:  Weekly review meditation and closure. WEEKLY CHALLENGE: The Pause Pivot Challenge THE PAUSE (Awareness): When you feel that familiar tug of impatience (the urge to rush, frustration, annoyance, a sigh, tapping your foot, etc.), immediately internally say to yourself: "Aha! A Patience Opportunity!" Take one deep, intentional breath. Notice the sensations in your body and mind without judgment. This is your "Pause." THE PIVOT (Choice): After that single breath, consciously choose a patient response, even if it's small. This isn't about solving the problem instantly, but shifting your internal state. SHARE YOUR MEDITATION JOURNEY WITH YOUR FELLOW MEDITATORS   Let's connect and inspire each other! Please share a little about how meditation has helped you by reaching out to me at Mary@SipandOm.com or better yet -- direct message me at https://www.instagram.com/sip.and.om. We'd love to hear about your meditation ritual!  SUBSCRIBE, LEAVE A REVIEW + TAKE OUR SURVEY SUBSCRIBE so you don't miss a single episode. Consistency is the KEY to a successful meditation ritual. SHARE the podcast with someone who could use a little extra support. I'd be honored if you left me a podcast review. If you do, please email me at Mary@sipandom.com and let me know a little about yourself and how meditation has helped you. I'd love to share your journey to inspire fellow meditators on the podcast! SURVEY: Help us get to know more about how best to serve you by taking our demographics survey: https://survey.libsyn.com/thedailymeditationpodcast FOR DAILY EXTRA SUPPORT OUTSIDE THE PODCAST Each day's meditation techniques posted at: sip.and.om Instagram https://www.instagram.com/sip.and.om/ sip and om Facebook https://www.facebook.com/SipandOm/ A DIFFERENT MEDITATION TECHNIQUE EVERY DAY FOCUSED ON A WEEKLY THEME: Get ready for an exciting journey with a new meditation technique daily, perfectly tailored to the week's theme! Infuse these powerful practices into the most stressful moments of your day to master difficult emotions. These dynamic techniques will help you tame the "monkey mind," keeping your thoughts from interrupting your meditation and bringing peace and focus to your life. FREE TOOLS: For free meditation tools to help you meditate please head over to my website at www.SipandOm.com, and there you'll find free resources to help you on your Meditation Journey. Enjoy access to more than 3,000 guided meditations without ads on the Sip and Om app. Try it for 7 days of free access to the full app! Listen on iTunes for 1-Week Free! https://itunes.apple.com/us/app/sip-and-om/id1216664612?platform=iphone&preserveScrollPosition=true#platform/iphone   1-week Free Access to the Android app! https://play.google.com/store/apps/details?id=com.sipandom.sipandom   ***All meditations are Mary Meckley's original copyrighted content unless otherwise stated, and may not be shared without her written permission.   RESOURCES Music composed by Christopher Lloyd Clark licensed by RoyaltyFreeMusic.com, and also by musician Greg Keller.   I'D LOVE TO HEAR FROM YOU I'd love your feedback! Please let me know how you're enjoying the meditations by leaving me a review on iTunes.   **All of the information shared on this podcast is for your enjoyment only. Please don't consider the meditation techniques, herbal tea information, or other information shared by Mary Meckley or any of her guests as a replacement for any medical or psychological treatment. That being said, please enjoy any peace, energy, or clarity you may experience as you meditate. SHARE YOUR MEDITATION JOURNEY WITH YOUR FELLOW MEDITATORS   Let's connect and inspire each other! Please share a little about how meditation has helped you by reaching out to me at Mary@SipandOm.com or better yet -- direct message me at https://www.instagram.com/sip.and.om. We'd love to hear about your meditation ritual!  SUBSCRIBE, LEAVE A REVIEW + TAKE OUR SURVEY SUBSCRIBE so you don't miss a single episode. Consistency is the KEY to a successful meditation ritual. SHARE the podcast with someone who could use a little extra support. I'd be honored if you left me a podcast review. If you do, please email me at Mary@sipandom.com and let me know a little about yourself and how meditation has helped you. I'd love to share your journey to inspire fellow meditators on the podcast! SURVEY: Help us get to know more about how best to serve you by taking our demographics survey: https://survey.libsyn.com/thedailymeditationpodcast FOR DAILY EXTRA SUPPORT OUTSIDE THE PODCAST Each day's meditation techniques posted at: sip.and.om Instagram https://www.instagram.com/sip.and.om/ sip and om Facebook https://www.facebook.com/SipandOm/ A DIFFERENT MEDITATION TECHNIQUE EVERY DAY FOCUSED ON A WEEKLY THEME: Get ready for an exciting journey with a new meditation technique daily, perfectly tailored to the week's theme! Infuse these powerful practices into the most stressful moments of your day to master difficult emotions. These dynamic techniques will help you tame the "monkey mind," keeping your thoughts from interrupting your meditation and bringing peace and focus to your life. FREE TOOLS: For free meditation tools to help you meditate please head over to my website at www.SipandOm.com, and there you'll find free resources to help you on your Meditation Journey. Enjoy access to more than 3,000 guided meditations without ads on the Sip and Om app. Try it for 7 days of free access to the full app! Listen on iTunes for 1-Week Free! https://itunes.apple.com/us/app/sip-and-om/id1216664612?platform=iphone&preserveScrollPosition=true#platform/iphone   1-week Free Access to the Android app! https://play.google.com/store/apps/details?id=com.sipandom.sipandom   ***All meditations are Mary Meckley's original copyrighted content unless otherwise stated, and may not be shared without her written permission.   RESOURCES Music composed by Christopher Lloyd Clark licensed by RoyaltyFreeMusic.com, and also by musician Greg Keller.   I'D LOVE TO HEAR FROM YOU I'd love your feedback! Please let me know how you're enjoying the meditations by leaving me a review on iTunes.   **All of the information shared on this podcast is for your enjoyment only. Please don't consider the meditation techniques, herbal tea information, or other information shared by Mary Meckley or any of her guests as a replacement for any medical or psychological treatment. That being said, please enjoy any peace, energy, or clarity you may experience as you meditate.  

Episode 2651: Vinnie Tortorich talks with Dr. Amy Gutman about her TED Talk, how "kind" lies are the hurting kind, her journey from being vegan, and more. https://vinnietortorich.com/2025/05/the-hurting-kind-dr-amy-gutman-episode-2651 PLEASE SUPPORT OUR SPONSORS YOU CAN WATCH ALL THE PODCAST EPISODES ON YOUTUBE -  The Hurting Kind Dr. Amy Gutman is an emergency room physician. (9:30) Vinnie shares a recent episode of back pain. (10:00) Dr. Amy did a TED talk on pain perception. (16:00) They discuss Vinnie's back pain further, leading to insurance issues. She shares the subject of her TED Talk “Patients Are Hurt by Kind Lies.” (36:00)     Patient satisfaction is based on the idea that “happy patients have better outcomes,” but this is not always the case. (44:30) Physicians hesitate to counsel their patients because of the way funding works for hospitals. (45:15) It's a sick-care problem. (47:00) There is fear and pushback on the ideas around shaming. (50:00) Many doctors' offices avoid weighing patients because it supposedly “shames” a person. However, many treatments require knowing the patient's weight for proper prescription dosage or treatment. Doctors' hands are often tied because of the limited time they are allowed to spend with a patient. Dr. Amy had been vegan for 37 years and was beginning to get very ill, and she describes what issues she was battling. (57:00) She came across Vinnie's documentaries and started to make changes in her diet. She also discovered Dr. Tro Kalayjian and Dr. Terry Wahls. She felt better within days. They discuss the politicization of food. (1:10:00) Amy's TED Talk was labeled with a triggering warning because she talks about obesity and drug abuse. Her goal is to open up the conversation between doctors and their patients. (1:19:00) You can find Dr. Amy Gutman on social media at: On X: @ToughLoveMD  On Instagram:   On LinkedIn: More News If you are interested in the NSNG® VIP group, closed for registration, but you can get on the wait list - Don't forget to check out Serena Scott Thomas on Days of Our Lives on the Peacock channel.  “Dirty Keto” is available on Amazon! You can purchase or rent it . Make sure you watch, rate, and review it! Eat Happy Italian, Anna's next cookbook, is available!  You can go to  You can order it from .  Anna's recipes are in her cookbooks, website, and Substack–they will spice up your day!  Don't forget you can invest in Anna's Eat Happy Kitchen through StartEngine.  Details are at Eat Happy Kitchen.  There's a new NSNG® Foods promo code you can use! The promo code ONLY works on the NSNG® Foods website, NOT on Amazon. https://nsngfoods.com/   PURCHASE  DIRTY KETO (2024) The documentary launched in August 2024! Order it TODAY! This is Vinnie's fourth documentary in just over five years. Visit my new Documentaries HQ to find my films everywhere:  Then, please share my fact-based, health-focused documentary series with your friends and family. Additionally, the more views, the better it ranks, so please watch it again with a new friend! REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! PURCHASE BEYOND IMPOSSIBLE (2022) Visit my new Documentaries HQ to find my films everywhere:  REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! FAT: A DOCUMENTARY 2 (2021) Visit my new Documentaries HQ to find my films everywhere:  FAT: A DOCUMENTARY (2019) Visit my new Documentaries HQ to find my films everywhere: 

Most big goals in life require sustained effort and long-term patience. Be guided as you connect with your deeper aspirations, understanding that growth and mastery take time. Ancient Wisdom Weave: Inspired by Confucian ethics on persistent self-cultivation and the enduring commitment to virtue and lifelong learning. THIS WEEK'S THEME: "The Patient Heart: Cultivating Inner Stillness" Welcome to "The Patient Heart: Cultivating Inner Stillness," a 7-part meditation series designed to help you rediscover the profound power and peace found in patience. In a world that often demands instant gratification, true tranquility lies in our ability to wait, to observe, and to trust in the natural unfolding of life. Drawing upon the timeless wisdom of ancient traditions, this series will guide you to cultivate patience not as passive waiting, but as an active, compassionate engagement with the present moment. Each episode offers a unique lens to understand and embody this vital virtue, fostering inner resilience and a deeper connection to the rhythm of existence. YOUR MEDITATION JOURNEY DURING THIS WEEK'S SERIES This is episode 6 of a 7-day meditation series titled, "The Patient Heart: Cultivating Inner Stillness" episodes 3311-3316. Day 1:  Patience Visualization Day 2:  Patience Affirmation: "I unfold with patience, presence, and peace." Day 3:  Patience Breathing Visualization Day 4:  Lotus Mudra for Patience Day 5:  Fourth Chakra focus for Patience Day 6:  Patience flow meditation combining the week's techniques. Day 7:  Weekly review meditation and closure. WEEKLY CHALLENGE: The Pause Pivot Challenge THE PAUSE (Awareness): When you feel that familiar tug of impatience (the urge to rush, frustration, annoyance, a sigh, tapping your foot, etc.), immediately internally say to yourself: "Aha! A Patience Opportunity!" Take one deep, intentional breath. Notice the sensations in your body and mind without judgment. This is your "Pause." THE PIVOT (Choice): After that single breath, consciously choose a patient response, even if it's small. This isn't about solving the problem instantly, but shifting your internal state. SHARE YOUR MEDITATION JOURNEY WITH YOUR FELLOW MEDITATORS   Let's connect and inspire each other! Please share a little about how meditation has helped you by reaching out to me at Mary@SipandOm.com or better yet -- direct message me at https://www.instagram.com/sip.and.om. We'd love to hear about your meditation ritual!  SUBSCRIBE, LEAVE A REVIEW + TAKE OUR SURVEY SUBSCRIBE so you don't miss a single episode. Consistency is the KEY to a successful meditation ritual. SHARE the podcast with someone who could use a little extra support. I'd be honored if you left me a podcast review. If you do, please email me at Mary@sipandom.com and let me know a little about yourself and how meditation has helped you. I'd love to share your journey to inspire fellow meditators on the podcast! SURVEY: Help us get to know more about how best to serve you by taking our demographics survey: https://survey.libsyn.com/thedailymeditationpodcast FOR DAILY EXTRA SUPPORT OUTSIDE THE PODCAST Each day's meditation techniques posted at: sip.and.om Instagram https://www.instagram.com/sip.and.om/ sip and om Facebook https://www.facebook.com/SipandOm/ A DIFFERENT MEDITATION TECHNIQUE EVERY DAY FOCUSED ON A WEEKLY THEME: Get ready for an exciting journey with a new meditation technique daily, perfectly tailored to the week's theme! Infuse these powerful practices into the most stressful moments of your day to master difficult emotions. These dynamic techniques will help you tame the "monkey mind," keeping your thoughts from interrupting your meditation and bringing peace and focus to your life. FREE TOOLS: For free meditation tools to help you meditate please head over to my website at www.SipandOm.com, and there you'll find free resources to help you on your Meditation Journey. Enjoy access to more than 3,000 guided meditations without ads on the Sip and Om app. Try it for 7 days of free access to the full app! Listen on iTunes for 1-Week Free! https://itunes.apple.com/us/app/sip-and-om/id1216664612?platform=iphone&preserveScrollPosition=true#platform/iphone   1-week Free Access to the Android app! https://play.google.com/store/apps/details?id=com.sipandom.sipandom   ***All meditations are Mary Meckley's original copyrighted content unless otherwise stated, and may not be shared without her written permission.   RESOURCES Music composed by Christopher Lloyd Clark licensed by RoyaltyFreeMusic.com, and also by musician Greg Keller.   I'D LOVE TO HEAR FROM YOU I'd love your feedback! Please let me know how you're enjoying the meditations by leaving me a review on iTunes.   **All of the information shared on this podcast is for your enjoyment only. Please don't consider the meditation techniques, herbal tea information, or other information shared by Mary Meckley or any of her guests as a replacement for any medical or psychological treatment. That being said, please enjoy any peace, energy, or clarity you may experience as you meditate. SHARE YOUR MEDITATION JOURNEY WITH YOUR FELLOW MEDITATORS   Let's connect and inspire each other! Please share a little about how meditation has helped you by reaching out to me at Mary@SipandOm.com or better yet -- direct message me at https://www.instagram.com/sip.and.om. We'd love to hear about your meditation ritual!  SUBSCRIBE, LEAVE A REVIEW + TAKE OUR SURVEY SUBSCRIBE so you don't miss a single episode. Consistency is the KEY to a successful meditation ritual. SHARE the podcast with someone who could use a little extra support. I'd be honored if you left me a podcast review. If you do, please email me at Mary@sipandom.com and let me know a little about yourself and how meditation has helped you. I'd love to share your journey to inspire fellow meditators on the podcast! SURVEY: Help us get to know more about how best to serve you by taking our demographics survey: https://survey.libsyn.com/thedailymeditationpodcast FOR DAILY EXTRA SUPPORT OUTSIDE THE PODCAST Each day's meditation techniques posted at: sip.and.om Instagram https://www.instagram.com/sip.and.om/ sip and om Facebook https://www.facebook.com/SipandOm/ A DIFFERENT MEDITATION TECHNIQUE EVERY DAY FOCUSED ON A WEEKLY THEME: Get ready for an exciting journey with a new meditation technique daily, perfectly tailored to the week's theme! Infuse these powerful practices into the most stressful moments of your day to master difficult emotions. These dynamic techniques will help you tame the "monkey mind," keeping your thoughts from interrupting your meditation and bringing peace and focus to your life. FREE TOOLS: For free meditation tools to help you meditate please head over to my website at www.SipandOm.com, and there you'll find free resources to help you on your Meditation Journey. Enjoy access to more than 3,000 guided meditations without ads on the Sip and Om app. Try it for 7 days of free access to the full app! Listen on iTunes for 1-Week Free! https://itunes.apple.com/us/app/sip-and-om/id1216664612?platform=iphone&preserveScrollPosition=true#platform/iphone   1-week Free Access to the Android app! https://play.google.com/store/apps/details?id=com.sipandom.sipandom   ***All meditations are Mary Meckley's original copyrighted content unless otherwise stated, and may not be shared without her written permission.   RESOURCES Music composed by Christopher Lloyd Clark licensed by RoyaltyFreeMusic.com, and also by musician Greg Keller.   I'D LOVE TO HEAR FROM YOU I'd love your feedback! Please let me know how you're enjoying the meditations by leaving me a review on iTunes.   **All of the information shared on this podcast is for your enjoyment only. Please don't consider the meditation techniques, herbal tea information, or other information shared by Mary Meckley or any of her guests as a replacement for any medical or psychological treatment. That being said, please enjoy any peace, energy, or clarity you may experience as you meditate.  

In this thought-provoking episode of the Rocket Chiro Podcast, Jerry Kennedy welcomes returning guest Shaq Smith for an unstructured but incredibly relevant conversation about a cultural shift in healthcare trust—especially among Gen Z—and what that means for chiropractors moving forward. Together, they unpack a global study by Edelman shared via Axios that reveals rising distrust in the medical establishment, and how younger generations are increasingly turning to social media, family, and AI instead of doctors for healthcare advice. This episode is not about fear or doom. It's about opportunity. Jerry and Shaq discuss how chiropractors can thrive in this new environment—by becoming approachable, authentic, and collaborative. If you want to know how to build real trust in a skeptical world, this episode is for you. Topics Covered Breakdown of the Edelman Study 16,000 adults surveyed across 16 countries Trust in traditional medical advice is plummeting Gen Z (ages 18–34) showed the sharpest decline in trust People now turn to friends, family, social media, and AI tools like ChatGPT for guidance Why This Matters for Chiropractors Many chiropractors misinterpret this shift as negative Jerry argues it's actually a massive opportunity People are more open than ever to alternative care But they're also more skeptical and cautious Key Insights for Chiropractors Approachability Over Authority Don't try to act like a hospital or medical institution Be authentic, human, and real Patients are drawn to approachable, relatable personalities—especially online Be a Trusted Peer, Not Just a Provider The age of “the man in the white coat” is fading Trust is built through transparency, consistency, and care Shaq shares real-world examples from social media and ad performance Collaborative Decision-Making is Crucial Chiropractic is a participation sport Patients don't want to be told what to do—they want to be heard Jerry shares the idea of “unburdening yourself” from outcomes, while still leading responsibly Office Design, Language, and Branding Your tone, attire, and environment matter more than ever Don't fake it. Be yourself—but be your best self Your online persona should match the in-office experience Retention Through Relationship True retention isn't just about visit numbers It's about maintaining a long-term doctor-patient relationship “If they're going to see a chiropractor five times in the next 20 years—make sure it's you.” Practical Takeaways Be visible and real online—smile in your photos, show personality in your videos Ditch manipulative sales tactics—people will bolt if they sense even a whiff of deception Use AI tools to enhance patient understanding, not replace your role Build trust over time—especially with younger patients who are used to doing their own research Engage in local Facebook groups or community platforms to stay involved without relying solely on ads About the Guest Shaq Smith is a marketing and social media strategist who specializes in helping chiropractors create content and ads that convert. Known for his sharp insights and practical advice, Shaq brings a younger generational perspective to the conversation—especially relevant for understanding Gen Z patient behavior. Final Thoughts This episode challenges chiropractors to stop chasing mainstream status and start leaning into what makes them different. Trust isn't dead—it's just shifting. And chiropractors who embrace approachability, authenticity, and patient participation will thrive in this new era.   Want Help Growing Your Practice? Jerry offers business coaching, website design, SEO, and Google Ads services specifically for chiropractors. If you're ready for less stress and more momentum, visit RocketChiro.com. Free New Patient Search Review: https://rocketchiro.com/chiropractic-practice-assessment Best chiropractic websites: https://rocketchiro.com/best-chiropractic-websites Chiropractic SEO: https://rocketchiro.com/chiropractic-seo Coaching for Chiropractors: https://rocketchiro.com/join

This week's topics include the worldwide burden of skin cancers, risk of a second stroke when a person is taking anticoagulants, patients supporting each other for weight loss maintenance, and imaging for dense breasts.Program notes:0:45 Dense breast tissue imaging1:40 MRI and contrast enhanced mammography superior2:40 Giving IV contrast with mammography2:53 Burden of skin cancer in older adults worldwide3:52 Greater disease burden in men4:53 More likely to have exam and biopsy5:48 Atrial fibrillation, recurrent stroke risk and anticoagulants6:50 One in six will recur7:50 Atrial appendage occulsion?8:20 Patient delivered weight loss management9:20 Five percent or greater initial weight loss10:20 Reduced the amount of weight regain11:22 Much less than a professional's care12:49 End

Am Dienstag dem 27. Mai wurde die modernisierte Laborstraße in der UMG eingeweiht. Die neue Laborstraße soll ab jetzt doppelt so schnell wie zuvor die Proben von den Patient:innen auswerten. Johanna Hawighorst war vor Ort.

Patience extends beyond yourself to your interactions with others. This session focuses on cultivating a deep, compassionate presence when engaging with those around you, especially when faced with differing opinions, or challenging behaviors. Ancient Wisdom Weave: Draw on the Buddhist concept of (compassion) and the importance of loving-kindness in all relationships. THIS WEEK'S THEME: "The Patient Heart: Cultivating Inner Stillness" Welcome to "The Patient Heart: Cultivating Inner Stillness," a 7-part meditation series designed to help you rediscover the profound power and peace found in patience. In a world that often demands instant gratification, true tranquility lies in our ability to wait, to observe, and to trust in the natural unfolding of life. Drawing upon the timeless wisdom of ancient traditions, this series will guide you to cultivate patience not as passive waiting, but as an active, compassionate engagement with the present moment. Each episode offers a unique lens to understand and embody this vital virtue, fostering inner resilience and a deeper connection to the rhythm of existence. YOUR MEDITATION JOURNEY DURING THIS WEEK'S SERIES This is episode 5 of a 7-day meditation series titled, "The Patient Heart: Cultivating Inner Stillness" episodes 3311-3316. Day 1:  Patience Visualization Day 2:  Patience Affirmation: "I unfold with patience, presence, and peace." Day 3:  Patience Breathing Visualization Day 4:  Lotus Mudra for Patience Day 5:  Fourth Chakra focus for Patience Day 6:  Patience flow meditation combining the week's techniques. Day 7:  Weekly review meditation and closure. WEEKLY CHALLENGE: The Pause Pivot Challenge THE PAUSE (Awareness): When you feel that familiar tug of impatience (the urge to rush, frustration, annoyance, a sigh, tapping your foot, etc.), immediately internally say to yourself: "Aha! A Patience Opportunity!" Take one deep, intentional breath. Notice the sensations in your body and mind without judgment. This is your "Pause." THE PIVOT (Choice): After that single breath, consciously choose a patient response, even if it's small. This isn't about solving the problem instantly, but shifting your internal state. SHARE YOUR MEDITATION JOURNEY WITH YOUR FELLOW MEDITATORS   Let's connect and inspire each other! Please share a little about how meditation has helped you by reaching out to me at Mary@SipandOm.com or better yet -- direct message me at https://www.instagram.com/sip.and.om. We'd love to hear about your meditation ritual!  SUBSCRIBE, LEAVE A REVIEW + TAKE OUR SURVEY SUBSCRIBE so you don't miss a single episode. Consistency is the KEY to a successful meditation ritual. SHARE the podcast with someone who could use a little extra support. I'd be honored if you left me a podcast review. If you do, please email me at Mary@sipandom.com and let me know a little about yourself and how meditation has helped you. I'd love to share your journey to inspire fellow meditators on the podcast! SURVEY: Help us get to know more about how best to serve you by taking our demographics survey: https://survey.libsyn.com/thedailymeditationpodcast FOR DAILY EXTRA SUPPORT OUTSIDE THE PODCAST Each day's meditation techniques posted at: sip.and.om Instagram https://www.instagram.com/sip.and.om/ sip and om Facebook https://www.facebook.com/SipandOm/ A DIFFERENT MEDITATION TECHNIQUE EVERY DAY FOCUSED ON A WEEKLY THEME: Get ready for an exciting journey with a new meditation technique daily, perfectly tailored to the week's theme! Infuse these powerful practices into the most stressful moments of your day to master difficult emotions. These dynamic techniques will help you tame the "monkey mind," keeping your thoughts from interrupting your meditation and bringing peace and focus to your life. FREE TOOLS: For free meditation tools to help you meditate please head over to my website at www.SipandOm.com, and there you'll find free resources to help you on your Meditation Journey. Enjoy access to more than 3,000 guided meditations without ads on the Sip and Om app. Try it for 7 days of free access to the full app! Listen on iTunes for 1-Week Free! https://itunes.apple.com/us/app/sip-and-om/id1216664612?platform=iphone&preserveScrollPosition=true#platform/iphone   1-week Free Access to the Android app! https://play.google.com/store/apps/details?id=com.sipandom.sipandom   ***All meditations are Mary Meckley's original copyrighted content unless otherwise stated, and may not be shared without her written permission.   RESOURCES Music composed by Christopher Lloyd Clark licensed by RoyaltyFreeMusic.com, and also by musician Greg Keller.   I'D LOVE TO HEAR FROM YOU I'd love your feedback! Please let me know how you're enjoying the meditations by leaving me a review on iTunes.   **All of the information shared on this podcast is for your enjoyment only. Please don't consider the meditation techniques, herbal tea information, or other information shared by Mary Meckley or any of her guests as a replacement for any medical or psychological treatment. That being said, please enjoy any peace, energy, or clarity you may experience as you meditate. SHARE YOUR MEDITATION JOURNEY WITH YOUR FELLOW MEDITATORS   Let's connect and inspire each other! Please share a little about how meditation has helped you by reaching out to me at Mary@SipandOm.com or better yet -- direct message me at https://www.instagram.com/sip.and.om. We'd love to hear about your meditation ritual!  SUBSCRIBE, LEAVE A REVIEW + TAKE OUR SURVEY SUBSCRIBE so you don't miss a single episode. Consistency is the KEY to a successful meditation ritual. SHARE the podcast with someone who could use a little extra support. I'd be honored if you left me a podcast review. If you do, please email me at Mary@sipandom.com and let me know a little about yourself and how meditation has helped you. I'd love to share your journey to inspire fellow meditators on the podcast! SURVEY: Help us get to know more about how best to serve you by taking our demographics survey: https://survey.libsyn.com/thedailymeditationpodcast FOR DAILY EXTRA SUPPORT OUTSIDE THE PODCAST Each day's meditation techniques posted at: sip.and.om Instagram https://www.instagram.com/sip.and.om/ sip and om Facebook https://www.facebook.com/SipandOm/ A DIFFERENT MEDITATION TECHNIQUE EVERY DAY FOCUSED ON A WEEKLY THEME: Get ready for an exciting journey with a new meditation technique daily, perfectly tailored to the week's theme! Infuse these powerful practices into the most stressful moments of your day to master difficult emotions. These dynamic techniques will help you tame the "monkey mind," keeping your thoughts from interrupting your meditation and bringing peace and focus to your life. FREE TOOLS: For free meditation tools to help you meditate please head over to my website at www.SipandOm.com, and there you'll find free resources to help you on your Meditation Journey. Enjoy access to more than 3,000 guided meditations without ads on the Sip and Om app. Try it for 7 days of free access to the full app! Listen on iTunes for 1-Week Free! https://itunes.apple.com/us/app/sip-and-om/id1216664612?platform=iphone&preserveScrollPosition=true#platform/iphone   1-week Free Access to the Android app! https://play.google.com/store/apps/details?id=com.sipandom.sipandom   ***All meditations are Mary Meckley's original copyrighted content unless otherwise stated, and may not be shared without her written permission.   RESOURCES Music composed by Christopher Lloyd Clark licensed by RoyaltyFreeMusic.com, and also by musician Greg Keller.   I'D LOVE TO HEAR FROM YOU I'd love your feedback! Please let me know how you're enjoying the meditations by leaving me a review on iTunes.   **All of the information shared on this podcast is for your enjoyment only. Please don't consider the meditation techniques, herbal tea information, or other information shared by Mary Meckley or any of her guests as a replacement for any medical or psychological treatment. That being said, please enjoy any peace, energy, or clarity you may experience as you meditate.  

Read Online“When a woman is in labor, she is in anguish because her hour has arrived; but when she has given birth to a child, she no longer remembers the pain because of her joy that a child has been born into the world.”  John 16:21This truth can certainly be extended to any form of anguish we experience for a good reason. Note that the pain experienced in childbirth is pain for a good and holy reason. Therefore, the pain is forgotten, in a sense, when the mother sees and holds her newborn child. That suffering is forgotten in the sense that it is transformed into joy by the birth of a child.There is much in life that can cause anguish. In today's Gospel, Jesus goes on to say to His disciples: “So you also are now in anguish.” He says this because He had just finished speaking to them about His coming departure to the Father and about the suffering that they would all experience in the form of persecution. But then He says to them that after He departs and they no longer see Him, they will then see Him again and will rejoice. And He says, “On that day you will not question me about anything.” This is an important line to understand.Anguish, or any form of suffering, can tempt us to question our lives and even to question God. It is clear that after Jesus was killed, the disciples questioned everything. They were confused and frightened. All appeared to be lost. Then, to a lesser degree, after Jesus ascended into Heaven and prior to Him sending the Holy Spirit, the disciples would have also experienced confusion. Why did Jesus leave them? Why didn't He stay longer? Who was going to lead them now? These and many other similar questions would have arisen in their minds.So also with us, when things do not go as planned, or when things take a painful turn in our lives, we can immediately question and even doubt the perfect plan of God. If things fall apart because of our sin, then repentance is the remedy. But if things fall apart, in the sense that life becomes difficult, then we should especially listen to the words of Jesus today.When anguish in life happens because we are fulfilling God's will, we must see that anguish as a means to a much greater good. Just as the pains of childbirth lead to the gift of a child, so the pains of bringing forth God's will in our lives will lead to the presence of God Himself. Patient endurance is a virtue that is especially important in this case. For example, the anguish of overcoming an addiction, or of praying when we don't feel like praying, or of forgiving someone who hurt us are all examples of anguish turning into blessings. Very often, combatting our own selfish will is difficult. But the fruit of engaging in such a battle within us is joy. There is joy found in victory over sin. Joy is found in persevering in prayer. Joy is found in every difficulty we endure for the Kingdom of God. But the joy is not always our first experience. It is only experienced when we patiently endure the situation.Reflect, today, upon any form of anguish you are currently enduring for the glory of God, or anything you are currently avoiding because it seems difficult to do. Do not shy away from these difficulties. See them as a means to a glorious end. Endure the “labor pains” of the purification and mission God is calling you to by looking beyond the difficulties you initially experience so that you will see the end result that awaits you.My glorious Lord, You endured Your passion with perfect virtue. You never wavered from fulfilling the will of the Father, and the fruit of Your perseverance was the glory of the Resurrection. Please help me to patiently endure the crosses in my life and give me hope to see that from them You will bring forth the good fruit of eternal joy. Jesus, I trust in You.Image: Image via Adobe StockSource of content: catholic-daily-reflections.comCopyright © 2025 My Catholic Life! Inc. All rights reserved. Used with permission via RSS feed.

In this episode of FYI – For Your Innovation, Brett Winton and ARK analyst Nemo Despot sit down with Generate Biomedicines CEO Mike Nally and CFO Jason Silvers to explore how generative AI is transforming the discovery and development of protein-based therapeutics. Founded in 2018 by Flagship Pioneering, Generate Biomedicines is building a “self-driving lab” that combines machine learning, cryo-electron microscopy (cryo-EM), and high-throughput wet lab automation to dramatically accelerate drug development. The conversation dives into how Generate is reimagining protein therapeutics — going beyond trial-and-error methods to a data-first, design-driven model for creating novel medicines. The team discusses the company's proprietary approach to integrating structural biology with functional data, the economic implications of reducing time-to-market from 13 years to under 9, and how their platform could unlock treatments for diseases that have been historically undruggable. They also touch on strategic partnerships, scalability, and how AI is shifting the biotech business model from artisanal science to an industrialized, data-driven enterprise.Key Points From This Episode:00:01:30 Why Generate Biomedicines is rethinking protein drug discovery from first principles00:04:40 How their structure-first approach differs from peers like AbSci and Recursion00:07:04 Using cryo-EM to build proprietary protein interaction datasets00:10:57 Traditional drug discovery is random, expensive, and inefficient — here's how Generate is changing that00:16:58 From concept to clinic in 18–24 months: Accelerating timelines through AI00:20:47 Going beyond efficiency: Unlocking access to undruggable biology00:24:48 Turning cryo-EM into a high-throughput data engine for model training00:31:20 The long-term vision: Patient-specific protein therapeutics00:40:00 Why scalability gives Generate an edge over traditional biotech00:47:52 The future of biotech as a research & development (R&D) sharing economy00:54:19 Adapting fast: Keeping pace with generative AI advances across the stack01:00:16 The KPI (key performance indicator) for platform success: Rate of improvement

It's Thursday, May 29th, A.D. 2025. This is The Worldview in 5 Minutes heard on 125 radio stations and at www.TheWorldview.com.  I'm Adam McManus. (Adam@TheWorldview.com) By Jonathan Clark Christianity growing in Asia despite persecution International Christian Concern reports that Christianity is growing in Asia despite severe persecution. In 2024, there were 415 million Christians in Asia, making up 8% of the continent's population. That's up from 3% in 2010. Since 2020, Christianity's growth rate in Asia has been 1.6% per year. The church is growing in Communist, Buddhist, and Islam-dominated countries like China, Laos, Malaysia, Indonesia, Vietnam, and Myanmar. All this growth continues despite persecution in the from of harassment, anti-conversion laws, restrictions on Bibles, arrests, imprisonments, and even violence and murder.  In 2 Corinthians 4:8-10, the Apostle Paul wrote, “We are hard-pressed on every side, yet not crushed .  … persecuted, but not forsaken … always carrying about in the body the dying of the Lord Jesus, that the life of Jesus also may be manifested in our body.” 50% of kids in United Kingdom do not live with both biological parents Research from the Marriage Foundation found that nearly half of children in the United Kingdom do not live with both of their biological parents. The report showed a record 45% of teenagers are not living with both parents by the age of 14.  This trend is not driven by divorce which is at its lowest level since 1970. Instead, family breakdown is driven by a collapse in marriage rates. Harry Benson, the Research Director for the Marriage Foundation, said, “The level of family breakdown in the UK is at epidemic proportions and is set to get worse.” French House voted to legalize assisted suicide France's National Assembly voted in favor of a bill to legalize assisted suicide on Tuesday.  The measure allows adult patients with painful and incurable illness to take a lethal substance. The bill must also pass in France's Senate. Matt Vallière, the Executive Director of the Patients' Rights Action Fund, warned, “The French National Assembly cast a fateful and terrible vote that will put a great many at risk of deadly harm and discrimination under an unprecedented euthanasia regime.” Proverbs 12:10 says, “The tender mercies of the wicked are cruel.” Supremes declines case of Christian kid's t-shirt affirming 2 genders In the United States, the Supreme Court declined to hear a free speech case Tuesday. The case involves a Massachusetts public school student named Liam Morrison. In 2023, he wore a T-shirt to class that said, “There are only 2 genders.” In response, the school banned him from wearing the shirt. The Morrison family challenged the decision; however, the courts ruled against them. Supreme Court Justice Samuel Alito authored a dissenting opinion to the court's decision to not hear the case. He said the free speech case “presents an issue of great importance for our Nation's youth.” Listen to viral comments from Liam, the boy at the epicenter. He made them before his school board. MORRISON: “What did my shirt say? Five simple words. ‘There are only two genders.' Nothing harmful, nothing threatening. Just a statement I believe to be a fact. “I have been told that my shirt was targeting a protected class. Who is this protected class? Are their feelings more important than my rights? … “Not one person, staff or student, told me that they were bothered by what I was wearing. Actually, just the opposite. Several kids told me that they supported my actions and that they wanted one too.” Defense Secretary Hegseth affirms homeschooling for military families Earlier this month, U.S. Defense Secretary Pete Hegseth  ordered the department to review how well it supports homeschooling for military families.  The directive follows an executive order from President Donald Trump on supporting school choice in the military.  Hegseth wrote, “Homeschooling offers an individualized approach for students and highlights the significant role parents play in the educational process.” Liberal Presbyterian Church (USA) keeps losing members The Presbyterian Church (USA) lost nearly 50,000 members last year according to its latest report.  The liberal denomination has been losing a similar number of members each year since the COVID-19 pandemic. Their unbiblical stands have cemented their own demise. In 2014, it voted to allow pastors to marry two homosexual men or two lesbians.  Plus, PC(USA) contends that there should be no laws restricting abortion. At its current rate of decline, the PC(USA) will likely fall below one million members this year. Protestors harass Christians promoting Biblically-defined family, sexuality And finally, MayDay USA held a prayer event in Seattle, Washington last Saturday. The group gathers Christians to seek God, proclaim the Gospel, and promote the “sacredness of gender and family as defined by God.” In response, violent rioters, including Antifa members, showed up to harass the Christians. This ended in police making over 20 arrests.  Sadly, Seattle Mayor Bruce Harrell blamed the Christians for the violence.  In response, FBI Deputy Director Dan Bongino  announced, “We have asked our team to fully investigate allegations of targeted violence against religious groups at the Seattle concert. Freedom of religion isn't a suggestion.” Close And that's The Worldview on this Thursday, May 29th, in the year of our Lord 2025. Subscribe for free by Spotify, Amazon Music or by iTunes or email to our unique Christian newscast at www.TheWorldview.com. Or get the Generations app through Google Play or The App Store. I'm Adam McManus (Adam@TheWorldview.com). Seize the day for Jesus Christ.

In this episode of Management Unfiltered, Zach Shelley interviews Whitnee Baldwin, an office manager and dental consultant. Whitnee shares her insights on hiring for customer service skills and the importance of building trust with patients. They discuss effective communication and leadership in dental practices, highlighting how these factors enhance patient experience and team morale, ultimately contributing to the practice's success.

In this episode, Dr. Zanotti discusses the science of hope. He's joined by Dr. Stephen Trzeciak, a physician-scientist, the Edward D. Viner Endowed Chief of Medicine at Cooper University Health Care, and Professor and Chair of Medicine at Cooper Medical School of Rowan University in Camden, New Jersey. Dr. Trzeciak is a practicing intensivist and a clinical researcher with more than 100 publications in the scientific literature. In addition, he is co-author of two excellent books: Wonder Drug: 7 Scientifically Proven Ways That Serving Others Is the Best Medicine for Yourself (2022) and Compassionomics: The Revolutionary Scientific Evidence that Caring Makes a Difference (2019). Additional resources: Recovery Expectations and Long-term Prognosis of Patients with Coronary Heart Disease Barefoot JC, et al. JAMA Internal Medicine 2011: https://pubmed.ncbi.nlm.nih.gov/21357800/ Optimism and Rehospitalization After Coronary Artery Bypass Graft Surgery. Scheler MF, et al. JAMA Int Med 1999: https://pubmed.ncbi.nlm.nih.gov/10219928/ The median is not the message. By Jay Gould: https://journalofethics.ama-assn.org/sites/joedb/files/2018-05/mnar1-1301.pdf Books mentioned in this episode: Man's Search for Meaning. By Viktor E. Frankl: https://bit.ly/3SqsNyt Wonder Drug: 7 Scientifically Proven Ways That Serving Others Is the Best Medicine for Yourself. By Stephen Trzeciak and Anthony Mazzarelli: https://bit.ly/4kiyA5q Compassionomics: The Revolutionary Scientific Evidence that Caring Makes a Difference. By Stephen Trzeciak and Anthony Mazzarelli: https://bit.ly/43ul5IE

In this episode, CANCER BUZZ speaks with Lauren Hughes, RN, director of infusion services at Highlands Oncology about her program's receipt of a 2025 ACCC Innovator Award. Highlands Oncology's innovation, Improving Care Between Clinic Visits: A Sustainable Model for Remote Patient Monitoring, ensures continuous support and symptom management for patients between clinic visits. An early contributor to real-world evidence on the impact of remote patient monitoring, Hughes will discuss how Highlands Oncology significantly reduced emergency department visits and hospitalizations while increasing treatment adherence and patient engagement.     Lauren Hughes, RN Director of Infusion Services Highlands Oncology Fayetteville, Arkansas   “[Patients] like the ease and simplicity of being able to pick up [their] phone, go to an app, and send a quick message...We've heard time and time again [from patients that even though] it's an app...it still feels personal. They feel like they're being checked on and cared for when they're on site...and after hours.” - Lauren Hughes   This podcast is part of a special series featuring the 2025 ACCC Innovator Award winners. For a deeper dive into this topic and other content that will help your team reimagine how care is delivered at your cancer program or practice, register today for the ACCC 42nd National Oncology Conference, October 15-17 in Denver, Colorado.   Resources: Technology-Enabled Assessments Support Remote Care of Oncology Patients and Improve the Care Team Experience Remote Patient Monitoring: The New Frontier in Telemedicine Opportunities Ochsner Chemotherapy Care Companion: Improving Outcomes through Digital Medicine ePROs: Lighting the Way to Improved Outcomes Efficiency and Patient Experience

Patience is not merely waiting, but mindful waiting. This meditation invites you to fully inhabit the present moment, even when it feels like a period of waiting or uncertainty. You'll be guided as you practice observing sensations, thoughts, and feelings without rushing to the next moment, finding richness in the space between. Ancient Wisdom Weave: Echoes of Buddhist mindfulness practices, emphasizing living fully in the present moment and seeing waiting as an opportunity for deep awareness. THIS WEEK'S THEME: "The Patient Heart: Cultivating Inner Stillness" Welcome to "The Patient Heart: Cultivating Inner Stillness," a 7-part meditation series designed to help you rediscover the profound power and peace found in patience. In a world that often demands instant gratification, true tranquility lies in our ability to wait, to observe, and to trust in the natural unfolding of life. Drawing upon the timeless wisdom of ancient traditions, this series will guide you to cultivate patience not as passive waiting, but as an active, compassionate engagement with the present moment. Each episode offers a unique lens to understand and embody this vital virtue, fostering inner resilience and a deeper connection to the rhythm of existence. YOUR MEDITATION JOURNEY DURING THIS WEEK'S SERIES This is episode 4 of a 7-day meditation series titled, "The Patient Heart: Cultivating Inner Stillness" episodes 3311-3316. Day 1:  Patience Visualization Day 2:  Patience Affirmation: "I unfold with patience, presence, and peace." Day 3:  Patience Breathing Visualization Day 4:  Lotus Mudra for Patience Day 5:  Fourth Chakra focus for Patience Day 6:  Patience flow meditation combining the week's techniques. Day 7:  Weekly review meditation and closure. WEEKLY CHALLENGE: The Pause Pivot Challenge THE PAUSE (Awareness): When you feel that familiar tug of impatience (the urge to rush, frustration, annoyance, a sigh, tapping your foot, etc.), immediately internally say to yourself: "Aha! A Patience Opportunity!" Take one deep, intentional breath. Notice the sensations in your body and mind without judgment. This is your "Pause." THE PIVOT (Choice): After that single breath, consciously choose a patient response, even if it's small. This isn't about solving the problem instantly, but shifting your internal state. SHARE YOUR MEDITATION JOURNEY WITH YOUR FELLOW MEDITATORS   Let's connect and inspire each other! Please share a little about how meditation has helped you by reaching out to me at Mary@SipandOm.com or better yet -- direct message me at https://www.instagram.com/sip.and.om. We'd love to hear about your meditation ritual!  SUBSCRIBE, LEAVE A REVIEW + TAKE OUR SURVEY SUBSCRIBE so you don't miss a single episode. Consistency is the KEY to a successful meditation ritual. SHARE the podcast with someone who could use a little extra support. I'd be honored if you left me a podcast review. If you do, please email me at Mary@sipandom.com and let me know a little about yourself and how meditation has helped you. I'd love to share your journey to inspire fellow meditators on the podcast! SURVEY: Help us get to know more about how best to serve you by taking our demographics survey: https://survey.libsyn.com/thedailymeditationpodcast FOR DAILY EXTRA SUPPORT OUTSIDE THE PODCAST Each day's meditation techniques posted at: sip.and.om Instagram https://www.instagram.com/sip.and.om/ sip and om Facebook https://www.facebook.com/SipandOm/ A DIFFERENT MEDITATION TECHNIQUE EVERY DAY FOCUSED ON A WEEKLY THEME: Get ready for an exciting journey with a new meditation technique daily, perfectly tailored to the week's theme! Infuse these powerful practices into the most stressful moments of your day to master difficult emotions. These dynamic techniques will help you tame the "monkey mind," keeping your thoughts from interrupting your meditation and bringing peace and focus to your life. FREE TOOLS: For free meditation tools to help you meditate please head over to my website at www.SipandOm.com, and there you'll find free resources to help you on your Meditation Journey. Enjoy access to more than 3,000 guided meditations without ads on the Sip and Om app. Try it for 7 days of free access to the full app! Listen on iTunes for 1-Week Free! https://itunes.apple.com/us/app/sip-and-om/id1216664612?platform=iphone&preserveScrollPosition=true#platform/iphone   1-week Free Access to the Android app! https://play.google.com/store/apps/details?id=com.sipandom.sipandom   ***All meditations are Mary Meckley's original copyrighted content unless otherwise stated, and may not be shared without her written permission.   RESOURCES Music composed by Christopher Lloyd Clark licensed by RoyaltyFreeMusic.com, and also by musician Greg Keller.   I'D LOVE TO HEAR FROM YOU I'd love your feedback! Please let me know how you're enjoying the meditations by leaving me a review on iTunes.   **All of the information shared on this podcast is for your enjoyment only. Please don't consider the meditation techniques, herbal tea information, or other information shared by Mary Meckley or any of her guests as a replacement for any medical or psychological treatment. That being said, please enjoy any peace, energy, or clarity you may experience as you meditate. SHARE YOUR MEDITATION JOURNEY WITH YOUR FELLOW MEDITATORS   Let's connect and inspire each other! Please share a little about how meditation has helped you by reaching out to me at Mary@SipandOm.com or better yet -- direct message me at https://www.instagram.com/sip.and.om. We'd love to hear about your meditation ritual!  SUBSCRIBE, LEAVE A REVIEW + TAKE OUR SURVEY SUBSCRIBE so you don't miss a single episode. Consistency is the KEY to a successful meditation ritual. SHARE the podcast with someone who could use a little extra support. I'd be honored if you left me a podcast review. If you do, please email me at Mary@sipandom.com and let me know a little about yourself and how meditation has helped you. I'd love to share your journey to inspire fellow meditators on the podcast! SURVEY: Help us get to know more about how best to serve you by taking our demographics survey: https://survey.libsyn.com/thedailymeditationpodcast FOR DAILY EXTRA SUPPORT OUTSIDE THE PODCAST Each day's meditation techniques posted at: sip.and.om Instagram https://www.instagram.com/sip.and.om/ sip and om Facebook https://www.facebook.com/SipandOm/ A DIFFERENT MEDITATION TECHNIQUE EVERY DAY FOCUSED ON A WEEKLY THEME: Get ready for an exciting journey with a new meditation technique daily, perfectly tailored to the week's theme! Infuse these powerful practices into the most stressful moments of your day to master difficult emotions. These dynamic techniques will help you tame the "monkey mind," keeping your thoughts from interrupting your meditation and bringing peace and focus to your life. FREE TOOLS: For free meditation tools to help you meditate please head over to my website at www.SipandOm.com, and there you'll find free resources to help you on your Meditation Journey. Enjoy access to more than 3,000 guided meditations without ads on the Sip and Om app. Try it for 7 days of free access to the full app! Listen on iTunes for 1-Week Free! https://itunes.apple.com/us/app/sip-and-om/id1216664612?platform=iphone&preserveScrollPosition=true#platform/iphone   1-week Free Access to the Android app! https://play.google.com/store/apps/details?id=com.sipandom.sipandom   ***All meditations are Mary Meckley's original copyrighted content unless otherwise stated, and may not be shared without her written permission.   RESOURCES Music composed by Christopher Lloyd Clark licensed by RoyaltyFreeMusic.com, and also by musician Greg Keller.   I'D LOVE TO HEAR FROM YOU I'd love your feedback! Please let me know how you're enjoying the meditations by leaving me a review on iTunes.   **All of the information shared on this podcast is for your enjoyment only. Please don't consider the meditation techniques, herbal tea information, or other information shared by Mary Meckley or any of her guests as a replacement for any medical or psychological treatment. That being said, please enjoy any peace, energy, or clarity you may experience as you meditate.  

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to outcomesrocket.com The most critical factor for converting leads in aesthetic practices is the speed of response, a challenge increasingly met by AI-powered tools.  In this episode, Dr. Shitel Patel, Founder and CEO of AD Vital, shares how his company is transforming patient management in aesthetic practices and med spas. AD Vital, a specialized CRM built by a plastic surgeon, bridges communication gaps between patients, staff, and EMRs in cash-pay specialties like plastic surgery, dermatology, and ophthalmology. Dr. Patel explains how practices can match the efficiency gains private equity seeks, such as rapid inquiry response, with tools like AI chatbots and voice AI. He advocates for empowering all employees with AI to boost their capabilities and overall practice productivity. Tune in and learn how innovative technology and strategic AI adoption can transform patient management, boost conversions, and scale aesthetic practices effectively! Resources: Connect with and follow Dr. Shitel Patel on LinkedIn. Follow the Ad Vital on LinkedIn and Instagram, and explore their website.

Featuring articles on pulmonary arterial hypertension, oral semaglutide and cardiovascular outcomes, giant-cell arteritis, the loss of subsidized drug coverage and mortality, and neutralizing venom toxins; a review article on cancer of unknown primary site; a case report of a man with fever, nausea, and respiratory failure; and Perspectives on primary care and the free market, federal cuts at the VA, the GINA gap, and the meaning of goodbye.

In this episode, hosts Brad and Michael share the story of a plastic surgeon whose hands-on approach helped create a thriving practice. Things took a turn when an unhappy patient uncovered weak spots in its operations and the risks of a practice built around one person. Tune in to learn how contracts, delegation, and internal protocols can foster sustainable growth while protecting your practice along the way.Watch full episodes of our podcast on our YouTube channel: https://www.youtube.com/@byrdadatto  Stay connected for the latest business and health care legal updates:WebsiteFacebookInstagramLinkedIn

This week on Health Matters, Courtney Allison is joined by Dr. Sonja Blum, a neurologist with NewYork-Presbyterian and Weill Cornell Medicine.Dr. Blum shares simple ways to protect your brain health as you age.They explore the science behind nutrition and exercise in relation to the brain, as well as the  importance of social engagement, mental health, and quality sleep. They also speak about evidence that shows how meditation benefits the brain. Plus, they touch on whether or not brain puzzles actually help with cognitive function, and the unique brain health challenges faced by women.___Dr. Sonja Blum, M.D., Ph.D. is an Associate Professor of Clinical Neurology at Weill Cornell Medicine and Associate Attending at NewYork-Presbyterian/Weill Cornell Medical Center, and the Director of Memory Disorders and Cognitive Neurology Division at NewYork-Presbyterian and Weill Cornell Medicine. Dr. Blum sees adults of all ages who are having memory, attention, language, and other cognitive concerns, or who have a family history of dementia and concerned about their risks. Dr. Blum also has expertise in traumatic brain injury (TBI), including recovery from disorders of consciousness (DOC) and the long-term effects of moderate to severe TBI, as well as concussions. Her research focuses on mechanisms of cognitive aging and long-term memory dysfunction, and traumatic brain injury. Dr. Blum trained as a physician scientist completing the MD/PhD program at the University of Texas McGovern Medical School in Houston. She completed her neurology residency and behavioral neurology fellowship at the Columbia University Neurological Institute in New York City.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org

Technology is no longer a “nice-to-have” in optometry — it's the edge that separates growing practices from stagnant ones.  In this episode of Power Hour, Eugene Shatsman brings together two leading innovators transforming how care is delivered and experienced: Grant Schmid, VP of Business Development at Altris AI, and Steven Marinkovich, Sr. Director of Sales at Adit. Together, they unpack how AI and automation are already reshaping clinical decisions, patient communication, and what the fully tech-enabled practice will look like by 2028. 

This Day in Maine Wednesday, May 28, 2025

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Risk of Myocardial Infarction in Patients With Aortic Stenosis: Insights From the VALVENOR Registry.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Genotype-Negative Patients With Familial Hypertrophic Cardiomyopathy: Traveling to the “Middle Earth”.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Very Long-Term Outcomes of Cardiac Resynchronization Therapy in Patients With Ischemic and Nonischemic Cardiomyopathy.

Bret speaks with Dr. Lon Jones, DO on the subject of the mismatch between modern humans and the environment they live in. Find Dr. Lon Jones, DO at https://commonsensemedicine.org*****Join DarkHorse on Locals! Get access to our Discord server, exclusive live streams, live chats for all streams, and early access to many podcasts: https://darkhorse.locals.comCheck out the DHP store! Epic tabby, digital book burning, saddle up the dire wolves, and more: https://www.darkhorsestore.orgTheme Music: Thank you to Martin Molin of Wintergatan for providing us the rights to use their excellent music.*****Mentioned in this episode:- Common Sense Medicine: Making America Healthy Again by Dr. Lon Jones, DO https://amzn.to/4kd4mka (commission earned)- No More Allergies, Asthma or Sinus Infections: The Revolutionary Approach by Dr. Lon Jones, DO https://amzn.to/4dKaa2o (commission earned)- George Williams Paper: Pleiotropy, Natural Selection, and the Evolution of Senescence https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1558-5646.1957.tb02911.x - Patient education: Ear infections (otitis media) in children (Beyond the Basics) https://www.uptodate.com/contents/ear-infections-otitis-media-in-children-beyond-the-basics/print - Indirect health effects of relative humidity in indoor environments https://pmc.ncbi.nlm.nih.gov/articles/PMC1474709/ - Turku sugar studies V: Final report on the effect of sucrose, fructose and xylitol diets on the caries incidence in man https://www.tandfonline.com/doi/abs/10.3109/00016357608997711 - Paul W. Ewald: Evolution of Disease https://amzn.to/4dzIzRj (commission earned)- Commonsense Medicine: Healing from the Inside Out and Stopping the Next Pandemic https://amzn.to/4kE9kX7 (commission earned)- How Bacteria Stick https://www.scientificamerican.com/article/how-bacteria-stick Support the show

Meghan and Melisa share the results of But Am I Wrong: Unethical Patient Posting. Listen to Full Episodes: https://podcasts.apple.com/us/podcast/dont-blame-me-but-am-i-wrong/id1223800566 Join our Patreon: https://www.patreon.com/dontblameme Buy Our Merch https://crowdmade.com/collections/sister-sign Call In for DBM - 310-694-0976 (3 minutes or less) Write In for DBM - meghanpodcast@gmail.com (300 words or less) Write in for BAIW - butamiwrongpod@gmail.com DBM Submission Form BAIW Submission Form Follow Us! instagram.com/meghanandmelisa @meghanrienks instagram.com/meghanrienks https://twitter.com/meghanrienks @sheisnotmelissa instagram.com/sheisnotmelissa instagram.com/diamondmprint.productions Learn more about your ad choices. Visit megaphone.fm/adchoices

Life inevitably presents challenges that tests your patience. Today's meditation focuses on developing an inner strength and resilience, allowing you to remain calm and steady even amidst external difficulties. You'll explore how to distinguish what is within your control from what is not, and find equanimity in the face of the uncontrollable. Ancient Wisdom Weave: Rooted in Stoic philosophy, particularly the teachings of Marcus Aurelius and Epictetus, on developing inner tranquility and accepting what cannot be changed. THIS WEEK'S THEME: "The Patient Heart: Cultivating Inner Stillness" Welcome to "The Patient Heart: Cultivating Inner Stillness," a 7-part meditation series designed to help you rediscover the profound power and peace found in patience. In a world that often demands instant gratification, true tranquility lies in our ability to wait, to observe, and to trust in the natural unfolding of life. Drawing upon the timeless wisdom of ancient traditions, this series will guide you to cultivate patience not as passive waiting, but as an active, compassionate engagement with the present moment. Each episode offers a unique lens to understand and embody this vital virtue, fostering inner resilience and a deeper connection to the rhythm of existence. YOUR MEDITATION JOURNEY DURING THIS WEEK'S SERIES This is episode 2 of a 7-day meditation series titled, "The Patient Heart: Cultivating Inner Stillness" episodes 3311-3316. Day 1:  Patience Visualization Day 2:  Patience Affirmation: "I unfold with patience, presence, and peace." Day 3:  Patience Breathing Visualization Day 4:  Lotus Mudra for Patience Day 5:  Fourth Chakra focus for Patience Day 6:  Patience flow meditation combining the week's techniques. Day 7:  Weekly review meditation and closure. WEEKLY CHALLENGE: The Pause Pivot Challenge THE PAUSE (Awareness): When you feel that familiar tug of impatience (the urge to rush, frustration, annoyance, a sigh, tapping your foot, etc.), immediately internally say to yourself: "Aha! A Patience Opportunity!" Take one deep, intentional breath. Notice the sensations in your body and mind without judgment. This is your "Pause." THE PIVOT (Choice): After that single breath, consciously choose a patient response, even if it's small. This isn't about solving the problem instantly, but shifting your internal state. SHARE YOUR MEDITATION JOURNEY WITH YOUR FELLOW MEDITATORS   Let's connect and inspire each other! Please share a little about how meditation has helped you by reaching out to me at Mary@SipandOm.com or better yet -- direct message me at https://www.instagram.com/sip.and.om. We'd love to hear about your meditation ritual!  SUBSCRIBE, LEAVE A REVIEW + TAKE OUR SURVEY SUBSCRIBE so you don't miss a single episode. Consistency is the KEY to a successful meditation ritual. SHARE the podcast with someone who could use a little extra support. I'd be honored if you left me a podcast review. If you do, please email me at Mary@sipandom.com and let me know a little about yourself and how meditation has helped you. I'd love to share your journey to inspire fellow meditators on the podcast! SURVEY: Help us get to know more about how best to serve you by taking our demographics survey: https://survey.libsyn.com/thedailymeditationpodcast FOR DAILY EXTRA SUPPORT OUTSIDE THE PODCAST Each day's meditation techniques posted at: sip.and.om Instagram https://www.instagram.com/sip.and.om/ sip and om Facebook https://www.facebook.com/SipandOm/ A DIFFERENT MEDITATION TECHNIQUE EVERY DAY FOCUSED ON A WEEKLY THEME: Get ready for an exciting journey with a new meditation technique daily, perfectly tailored to the week's theme! Infuse these powerful practices into the most stressful moments of your day to master difficult emotions. These dynamic techniques will help you tame the "monkey mind," keeping your thoughts from interrupting your meditation and bringing peace and focus to your life. FREE TOOLS: For free meditation tools to help you meditate please head over to my website at www.SipandOm.com, and there you'll find free resources to help you on your Meditation Journey. Enjoy access to more than 3,000 guided meditations without ads on the Sip and Om app. Try it for 7 days of free access to the full app! Listen on iTunes for 1-Week Free! https://itunes.apple.com/us/app/sip-and-om/id1216664612?platform=iphone&preserveScrollPosition=true#platform/iphone   1-week Free Access to the Android app! https://play.google.com/store/apps/details?id=com.sipandom.sipandom   ***All meditations are Mary Meckley's original copyrighted content unless otherwise stated, and may not be shared without her written permission.   RESOURCES Music composed by Christopher Lloyd Clark licensed by RoyaltyFreeMusic.com, and also by musician Greg Keller.   I'D LOVE TO HEAR FROM YOU I'd love your feedback! Please let me know how you're enjoying the meditations by leaving me a review on iTunes.   **All of the information shared on this podcast is for your enjoyment only. Please don't consider the meditation techniques, herbal tea information, or other information shared by Mary Meckley or any of her guests as a replacement for any medical or psychological treatment. That being said, please enjoy any peace, energy, or clarity you may experience as you meditate. SHARE YOUR MEDITATION JOURNEY WITH YOUR FELLOW MEDITATORS   Let's connect and inspire each other! Please share a little about how meditation has helped you by reaching out to me at Mary@SipandOm.com or better yet -- direct message me at https://www.instagram.com/sip.and.om. We'd love to hear about your meditation ritual!  SUBSCRIBE, LEAVE A REVIEW + TAKE OUR SURVEY SUBSCRIBE so you don't miss a single episode. Consistency is the KEY to a successful meditation ritual. SHARE the podcast with someone who could use a little extra support. I'd be honored if you left me a podcast review. If you do, please email me at Mary@sipandom.com and let me know a little about yourself and how meditation has helped you. I'd love to share your journey to inspire fellow meditators on the podcast! SURVEY: Help us get to know more about how best to serve you by taking our demographics survey: https://survey.libsyn.com/thedailymeditationpodcast FOR DAILY EXTRA SUPPORT OUTSIDE THE PODCAST Each day's meditation techniques posted at: sip.and.om Instagram https://www.instagram.com/sip.and.om/ sip and om Facebook https://www.facebook.com/SipandOm/ A DIFFERENT MEDITATION TECHNIQUE EVERY DAY FOCUSED ON A WEEKLY THEME: Get ready for an exciting journey with a new meditation technique daily, perfectly tailored to the week's theme! Infuse these powerful practices into the most stressful moments of your day to master difficult emotions. These dynamic techniques will help you tame the "monkey mind," keeping your thoughts from interrupting your meditation and bringing peace and focus to your life. FREE TOOLS: For free meditation tools to help you meditate please head over to my website at www.SipandOm.com, and there you'll find free resources to help you on your Meditation Journey. Enjoy access to more than 3,000 guided meditations without ads on the Sip and Om app. Try it for 7 days of free access to the full app! Listen on iTunes for 1-Week Free! https://itunes.apple.com/us/app/sip-and-om/id1216664612?platform=iphone&preserveScrollPosition=true#platform/iphone   1-week Free Access to the Android app! https://play.google.com/store/apps/details?id=com.sipandom.sipandom   ***All meditations are Mary Meckley's original copyrighted content unless otherwise stated, and may not be shared without her written permission.   RESOURCES Music composed by Christopher Lloyd Clark licensed by RoyaltyFreeMusic.com, and also by musician Greg Keller.   I'D LOVE TO HEAR FROM YOU I'd love your feedback! Please let me know how you're enjoying the meditations by leaving me a review on iTunes.   **All of the information shared on this podcast is for your enjoyment only. Please don't consider the meditation techniques, herbal tea information, or other information shared by Mary Meckley or any of her guests as a replacement for any medical or psychological treatment. That being said, please enjoy any peace, energy, or clarity you may experience as you meditate.  

EPISODE DESCRIPTIONLisa Shufro is the storyteller's storyteller. A musician turned innovation strategist, TEDMed curator, and unapologetic truth-teller, Lisa doesn't just craft narratives—she engineers constellations out of chaos. We go way back to the early TEDMed days, where she taught doctors, scientists, and technocrats how not to bore an audience to death. In this episode, we talk about how storytelling in healthcare has been weaponized, misunderstood, misused, and still holds the power to change lives—if done right. Lisa challenges the idea that storytelling should be persuasive and instead argues it should be connective. We get into AI, the myth of objectivity, musical scars, Richard Simmons, the Vegas healthcare experiment, and the real reason your startup pitch is still trash. If you've ever been told to “just tell your story,” this episode is the permission slip to do it your way. With a bow, not a violin.RELATED LINKSLisa Shufro's WebsiteLinkedInSuper Curious ArchiveEight Principles for Storytelling in InnovationStoryCorps InterviewCoursera Instructor ProfileWhatMatters ProjectFEEDBACKLike this episode? Rate and review Out of Patients on your favorite podcast platform. For guest suggestions or sponsorship inquiries, email podcast@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In the second hour, Leila Rahimi and Ramie Makhlouf were joined by SiriusXM NBA Radio host Brian Geltzeiler to discuss the NBA playoffs. He also urged the Bulls to be patient as they build their team. Later, Circa CEO Derek Stevens joined the show to the Circa Millions and Circa Survivor contests.

On this episode of The Wholesome Fertility Podcast, I am joined by Dr. Nirali Jain (eggspert_md), a board-certified OB/GYN and reproductive endocrinologist at Reproductive Medical Associates (RMA). Dr. Jain shares her expert insights on fertility preservation for individuals undergoing cancer treatment, a crucial yet often overlooked aspect of reproductive care. We explore what options are available for fertility preservation, including egg and sperm freezing, and why it's so important to initiate these discussions before starting chemotherapy or radiation. Dr. Jain also explains the difference between Letrozole and Clomid, the impact of estrogen-sensitive cancers on IVF treatments, and innovative approaches like random-start cycles and DuoStim protocols. Whether you're facing a cancer diagnosis or simply thinking proactively about your reproductive future, this conversation is filled with knowledge and reassurance. Key Takeaways: Why it's essential to discuss fertility before starting cancer treatment. The role of Letrozole in estrogen-sensitive cancers and fertility preservation. Differences between Letrozole and Clomid, and why Letrozole is often preferred. How new protocols like DuoStim and random-start cycles are improving outcomes. Why fertility preservation is important even for those without a cancer diagnosis. Guest Bio: Dr. Nirali Jain (@eggspert_md) is a board-certified OB/GYN and fertility specialist at Reproductive Medicine Associates (RMA) in Basking Ridge, New Jersey. She earned both her undergraduate degree in neurobiology (with a minor in dance!) and her medical degree from Northwestern University, before completing her residency at Weill Cornell/NYP, where she served as co-Chief Resident, and her fellowship in reproductive endocrinology and infertility at NYU Langone. Deeply passionate about women's health and fertility preservation, Dr. Jain blends the latest research and cutting-edge treatments with compassionate, patient-centered care. Her interests include third-party reproduction and oncofertility, and she is especially passionate about supporting patients navigating fertility preservation through a cancer diagnosis. Outside of the clinic, Dr. Jain is a trained dancer, a dedicated global traveler, and an adventurer working toward hiking all seven continents with her husband. Her diverse experiences, from international medical rotations to personal connections with friends and family navigating infertility, have shaped her into a warm, resourceful, and determined advocate for her patients. Links and Resources: Visit RMA websiteFollow Dr. Nirali Jain on Instagram For more information about Michelle, visit www.michelleoravitz.com To learn more about ancient wisdom and fertility, you can get Michelle's book at: https://www.michelleoravitz.com/thewayoffertility The Wholesome Fertility facebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/ Instagram: @thewholesomelotusfertility Facebook: https://www.facebook.com/thewholesomelotus/ Disclaimer: The information shared on this podcast is for educational and informational purposes only and is not intended as medical advice. Please consult with your healthcare provider before making any changes to your health or fertility care. --  Transcript:   # TWF-Jain-Nirali (Video) ​[00:00:00]  **Michelle Oravitz:** Welcome to the podcast Jain.  **Dr. Nirali Jain:** Thanks so much for having me **Michelle Oravitz:** Yeah, so. **Michelle Oravitz:** I'm very excited to talk about this topic, which, um, actually you don't really hear a lot of people talking about, which is how to preserve your fertility if you're going through a cancer diagnosis and if you have to go through treatments. 'cause obviously that can impact a lot on fertility. **Michelle Oravitz:** I have, um, seen actually like a colleague of mine go through. And she also preserved her fertility and, and now she has a baby boy. so it's really nice. **Michelle Oravitz:** to **riverside_nirali_jain_raw-video-cfr_michelle_oravitz's _0181:** so nice. **Michelle Oravitz:** So I'd love for you first to introduce yourself and kind Of give us a background on how you got into this work. **Dr. Nirali Jain:** Of course. Um, so I am Dr. Narly Jane. I am, um, an OB GYN by training, and then I did an additional, after completing four years of residency in OB GYN and getting board certified in that, I did an additional training in reproductive endocrinology and [00:01:00] infertility or otherwise known as REI. So now I'm a fertility specialist. **Dr. Nirali Jain:** Um, I trained at Northwestern in Chicago, so I went to undergrad and medical school there. And then, um, home has always been New Jersey for me, so I moved back out east to New Jersey. Um, I did all my training actually in New York City at Cornell for residency and NYU for fellowship. Um, and then moved to the suburbs. **Dr. Nirali Jain:** Um, and now I'm a fertility specialist in, in Basking Ridge at Reproductive Medical Associates.  **Michelle Oravitz:** Very impressive background. That's awesome.  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** I'd love to hear just really. About what your process is. If a person has been diagnosed with cancer, like what is the process? What are some of the things that you address if they are trying to preserve fertility, and what are some of the concerns going  **Dr. Nirali Jain:** yeah, yeah. All great questions. So, you know, there's a lot of us, uh, the Reis. Are a very small, [00:02:00] there's a very small number of us. So in terms of specializing in fertility preservation, technically we all are certified to treat patients with cancer and kind of move them through fertility preservation before starting chemotherapy. **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** Um, luckily we've been working closely with oncologists in the past several years just to establish some type of streamlined system because having a diagnosis of cancer and hearing all that information. Especially when you're young is so hard. So I think that's, that's where my interest started in terms of being able to speak to and counsel cancer patients. **Dr. Nirali Jain:** I think it is a very specific niche that you really have to be comfortable with in our field. Um, I. So I'll kind of walk you through, you know, what it, what does it look like, right? Um, you go into your oncologist's office suspecting that you have this, this lump. I'll take breast cancer, for example. It could really be any kind of cancer. **Dr. Nirali Jain:** Um, but breast cancer in a reproductive age patient or someone that's in those years where you're starting [00:03:00] to think about building a family, planning a family, um, or if you have kids at home, that's usually the type of patient that we see come in with a breast cancer diagnosis. So. Kinda just taking that, for example, um, the minute that you're diagnosed, it's really your oncologist's responsibility to counsel you on what treatment options are going to be offered to you. **Dr. Nirali Jain:** And then based off of the treatment options, it's important to know how that affects your reproduction. So how does it affect your ovaries in the short term, in the long term, um, in any way possible. So. Once a patient is initially referred from their oncologist to myself or any other fertility specialist, they come into my office and we just have a 30 minute conversation really talking about family planning goals. **Dr. Nirali Jain:** Any kids that they've had in the past either naturally conceived or through um, IVF, and then we talk about where they're at in their relationship. Are they married, are they not? Are they with a partner, [00:04:00] a male partner, a female partner, whatever it might be. It's important to know the social standpoint, um, especially in this sensitive phase of life. **Dr. Nirali Jain:** So patient patients usually spend anywhere from 30 minutes to an hour. Um, just kind of talking through where they're at, how they're feeling, what their ultimate childbearing goals are. And then from there we do an ultrasound and that's when I'm really able to see, you know, the, the reproductive status. **Dr. Nirali Jain:** So what do the ovaries look like? What does the uterus look like? Is there something that I need to be concerned about from a baseline GYN standpoint? Um, and all of those conversations are happening in real time. So. I think one of the things is patients come in and they're like, I'm already so overwhelmed with all this information from my oncologist, and now my fertility specialist is throwing all this information at me. **Dr. Nirali Jain:** Luckily, the way I like to frame it is you come in and you just let go. Like you let us do the work because in the background we're the ones talking to your oncologist. We're the [00:05:00] ones giving that feedback and creating a timeline with your oncologist. Um, and really I think just getting in the door is the hardest part. **Dr. Nirali Jain:** So once patients are here to see us, we go through the whole workup. We do anything that we would do for a normal patient that came in for fertility preservation. And then based off of where they're at in their journey, we talk about what makes sense for them, whether that means freezing embryos, freezing eggs, they're very similar in terms of the, the few weeks leading up to the egg retrievals. **Dr. Nirali Jain:** So I have that whole conversation just at the initial visit. And then from there we talk about the timeline behind the scenes and make sure that it works with their lives before moving forward. **Michelle Oravitz:** So for people listening to this, why, and this might be an obvious question, but to some it might not be,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** why would somebody want to preserve. eggs or sperm. 'cause I've had actually some couples  **Dr. Nirali Jain:** Yep. **Michelle Oravitz:** come to me where the husband preserved the sperm and they had to go through IVF just because he was going [00:06:00] through cancer treatments. So he had to preserve the sperm ahead of time.  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** people need to consider doing that before doing cancer treatments?  **Dr. Nirali Jain:** So there are certain cancer treatments that do affect the ovaries and the sperm health, and you know, for men and women, it affects your reproductive organs. In a similar way, um, depending on the type of chemotherapeutic agent, there are some that are more dangerous in terms of, um, being toxic to your ovaries or toxic to your sperm. **Dr. Nirali Jain:** And those are the instances where we are really thinking about what's the long-term impact because there's medications that oncologists do give patients, and our oncologists are amazing, the ones that we work with, Memorial Sloan Kettering from Reproductive Medical Associates through RMA, um, and. **Dr. Nirali Jain:** They're just so good at what they do and are so well-trained, so they know in the back of their mind, is this going to impact your ovaries or your sperm health or not? Um, and I [00:07:00] think that any chemotherapy, you know, your ovaries are these, these small organs that are constantly turning over follicles every month. **Dr. Nirali Jain:** So every month we're losing those eggs, and if they don't become. If an egg isn't ovulated, it doesn't become a baby, it's just gonna die off. So I counsel even patients that don't have cancer, I counsel them on fertility preservation as young as possible. You know, between the ages of 28 and 35, that's like the best time to preserve your fertility. **Dr. Nirali Jain:** So in cancer patients, there's an extra level added to that where even if they are a little bit younger, a little bit older. Your eggs are not gonna be the same quality. There's gonna be higher level of chromosomal errors, more DNA breakage, um, and, and bigger issues that lead to issues with conceiving naturally afterwards. **Dr. Nirali Jain:** So I think that it's important to consider how that chemotherapy is going to affect them or how surgery would affect them if it was, for example, a GYN cancer where [00:08:00] we're removing a whole ovary, you know, what, what do we have to do to preserve your fertility in that case? And those are important conversations to have. **Michelle Oravitz:** Yeah. for sure. I know that a lot of people are also concerned, you know, with going through the IVF process, you're taking in a lot of estrogen, a lot of hormones, and many cancers are actually estrogen sensitive. So I wanted to talk to you about that. 'cause I know that the data shows that it's. It's been fine, which some people might find surprising, but I wanted you to address that and just kind of **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** from your perspective.  **Dr. Nirali Jain:** That's so interesting that you asked that question because I actually, my whole I I graduated fellowship last year and my entire, like passion project in fellowship was looking at one of the drugs that we use to suppress the estrogen levels specifically in cancer patients. Um, and I had presented this at a few of our reproductive meetings. **Dr. Nirali Jain:** Um, A SRM is one of our annual meetings where all of the reiss get together. A lot of male fertility [00:09:00] specialists come and we kinda just talk about. Specific things and fertility preservation for cancer patients is, has been an ongoing topic of interest for all of us. Um, and it's important to know that there are different medications that we can offer. **Dr. Nirali Jain:** Letrozole is the one that I, um, have a particular love for and I, uh, you know, I use all the time for my patients, um, for different reasons, but it suppresses the exposure that your body has to estrogen. And there's mixed data, um, out there in terms of, you know, does Letrozole suppression actually impact, you know, does it help or. **Dr. Nirali Jain:** Or does it have no impact on your future risk of cancer after treatment? Um, and that honestly is still up for debate. But what we do know is that there's no increased risk of cancer recurrence in patients that have undergone fertility preservation with or without Letrozole. Um, Letrozole is one of those things that we can give, and the way it works is basically. **Dr. Nirali Jain:** It masks that [00:10:00] conversion. It, it doesn't allow for conversion from those androgens in the male hormones over to estrogen. Um, and so your body doesn't really see that estrogen exposure. It stays nice and low throughout your cycle, and it does help with actually ovarian maturation and getting mature eggs harvested and, um, helps a little bit with, with quality too. **Dr. Nirali Jain:** So I think that it's really nice in terms of having that available to us, but know that. It's not, it's not essential that you have it, really, the data showing plus minus. Um, but there are certain things that we can do to protect the ovaries, protect your exposure to estrogen. Um, and so that shouldn't be top of mind of concern when we're going through fertility preservation, even with an estrogen sensitive cancer. **Michelle Oravitz:** Actually, so, uh, on a different topic, kind of going back to that, so Letrozole versus Clomid, I, it's like a, the questions I personally feel just based on what I've heard and like my own research that Letrozole would be kind of like the more. [00:11:00] Um, the, it's, it's a little better, but I know that it really depends on the person as well.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** they might do better with Clom, but I'd love to hear your perspective and kind of pick your brain on this.  **Dr. Nirali Jain:** totally. You're choosing all the, all the right questions because these are all of my, my specific interests and niches. So  **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** Letrozole is basically, you know, we use Letrozole and Clomid in. Patients that don't have cancer and patients that come in for an intrauterine insemination, that's kind of the most common scenario where we're thinking about, you know, which medication is better? **Dr. Nirali Jain:** Letrozole or Clomid and Clomid used to be the, the most common medication that we use, we dose patients, you know, have 50 milligrams of Clomid, give them five days of the medication. It's an oral pill. Feels really easy and. The way it works is really, it recruits more than one follicle, so it really helps with the release of, um, more than one follicle growing more than one follicle in the ovary. **Dr. Nirali Jain:** Um, but it has a little bit [00:12:00] higher of a risk of twins because that's exactly what it's good at. Um, Clomid, not so much in the cancer. In the cancer front, it's not really used there because it's considered, from a scientific perspective, it's considered like a selective estrogen receptor modulator. So it doesn't necessarily suppress your estrogen levels in the same way that Letrozole does versus. **Dr. Nirali Jain:** Letrozole is an aromatase inhibitor, so it really blocks the chemical conversion of one drug or one hormone to the other hormone. Um, the reason we love Letrozole so much, and I don't mean to like gush over Letrozole, but um, it's a mono follicular agent, so it works really well at recruiting one follicle  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** you know, every OB-GYN's nightmare in a way is having multiples when you didn't intend on having multiples at all. **Michelle Oravitz:** so  **Dr. Nirali Jain:** Um. **Michelle Oravitz:** were saying that, um, there's more of a chance of twins, it's Clomid, not letrozole.  **Dr. Nirali Jain:** Yes, there's a higher chance with Clomid versus Letrozole. And I mean, don't get me wrong, there's a chance of twins with [00:13:00] any type of assisted reproductive technology. Even when we're doing single embryo transfers, there's a chance that it's gonna split. So, um, the chance is always there just like it is in the natural world. **Dr. Nirali Jain:** But we know for a fact that. CLO is really good at recruiting many follicles. It's good for certain patients that don't respond well to Letrozole. Um, but Letrozole is kind of our, our go-to drug these days just because of all the benefits that we've seen.  **Michelle Oravitz:** Awesome.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** These are all fun things to ask because I, I love talking to our eis 'cause there's so much information that I'm always  **Dr. Nirali Jain:** totally. **Michelle Oravitz:** learn a lot from my patients in my own research, but it's really cool. Picking your guys' brains. So another question I have, and I have actually talked to Dr. Andrea Elli, he's been on,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** and he does a lot of endometriosis and, and immune related work as well,  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** so. I'd love to know just from your perspective. One thing that I do know from, based on what I've heard is that the, [00:14:00] guess like you were just saying, that breast cancer or estrogen sensitive breast cancer doesn't seem to be affected by IVF cycles, however, and endometriosis lesions do get affected.  **Dr. Nirali Jain:** Yeah. **Dr. Nirali Jain:** that's a great question. So, you know, every, there are so many complex G mind diagnoses that the, that our patients come in with. Um, and endometriosis is a big one because there is clear data that endometriosis is linked to infertility. So we think about, you know, when a patient comes in with endometriosis, we really do think about the different treatment options and what are the short-term and long-term impacts of the hormones that we're giving 'em. **Dr. Nirali Jain:** Um, these days, again, kind of going back to Letrozole, we, letrozole is something that I give all of my endometriosis patients because it helps suppress their estrogen because we know.  **Michelle Oravitz:** interesting.  **Dr. Nirali Jain:** is very responsive to estrogen and leads to this dysfunctional regulation of all the endometrial tissue that can really flare in a, [00:15:00] in a cycle, or shortly after a cycle. **Dr. Nirali Jain:** I. So we really, for endometriosis patients, the, the best treatment is being on birth control because we don't see that hormonal fluctuation. The up and down of the estrogen and the progesterone, that's what leads to those flares. Um, so I really, I watch patients closely after their cycles too, because you definitely can have an endometriosis flare and we say the best treatment for endometriosis is pregnancy, right? **Dr. Nirali Jain:** That's when you're suppressed, that's when you're at your lowest. Um, and patients, my endo patients feel so good in pregnancy because they have. Hormones that are nice in that baseline, they're not getting periods of course. Um, and that's truly, truly the best treatment.  **Michelle Oravitz:** That's interesting.  **Dr. Nirali Jain:** But it is important to consider when you're going through infertility treatments. **Dr. Nirali Jain:** How does my endometriosis affect the short and long-term effects of the fertility medications? And really not to, not to say that they're bad in any way. I think a lot of endometriosis patients go through IVF and have success and do really, really well, and that's kind of the push that they need. [00:16:00] Um, but it's important to be mindful of the bigger picture here. **Dr. Nirali Jain:** It's not just, you're not just a number of. A patient with endo coming in, getting the same protocol. It's really individualized to the extent of your lesions, what symptoms you're having, what grade of endometriosis, where your lesions are. So we're the RAs are thinking about everything before we actually start your protocol. **Michelle Oravitz:** It's crazy how in depth it is, and it's, it, there's just so, it's so multifaceted,  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** when it's females  **Dr. Nirali Jain:** totally. **Michelle Oravitz:** are a little, I mean, they can, you know, there, there's definitely a number of things, but it's not as complicated and interconnected  **Dr. Nirali Jain:** Exactly. Exactly. That's so true. **Michelle Oravitz:** And so one question I actually have, this is kind of really off topic, but something that I was curious about. **Michelle Oravitz:** 'cause I heard about a while  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** a, a type of cancer treatment that was used. I'm not sure exactly what it was, but for some reason it actually caused follicles to grow, [00:17:00] or to multiply. And they were **Dr. Nirali Jain:** Interesting. **Michelle Oravitz:** this definitely. Puts, um, the whole idea of like a woman being born with all the follicles she'll ever have on its head, I thought that was really Interesting. **Michelle Oravitz:** Now I learned a little bit about it. I don't think it really went further than that,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** one of those things that they're like, Hmm, this is interesting. I don't know, it was kind of a random side effect of this chemo drug. I dunno if it was a chemo drug or a cancer drug.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** ever heard of that. **Michelle Oravitz:** So I was just **Dr. Nirali Jain:** I haven't, I mean, that's interesting. I feel like I'd have to look into that because that would be definitely a point of interest for a lot of Reis. But it kind of does go back to the point of, you know, women are really born with all the eggs we're ever gonna have. So it's about a million, and then it just goes down from there. **Dr. Nirali Jain:** And the, by the time you start having periods, I like to kind of show my patients a chart, but you have a couple hundred thousand eggs and you ovulate one egg a month. That's, you know. Able to [00:18:00] progress into a fertilized egg and then into a, an embryo into a baby, um, if that's your goal. But otherwise, patients that are having periods and not trying to actually get pregnant, we're losing hundreds of eggs a month. **Dr. Nirali Jain:** So.  **Michelle Oravitz:** Mm.  **Dr. Nirali Jain:** It's important to kind of think about that decline, and it's important to know that that rate can be faster in patients with cancer, patients with low ovarian reserve. And sometimes when you have the two compounded, that's when a fertility specialist is definitely, you know, in the queue to, to have a discussion with you in terms of what that means and how you can reach your family building goals despite being faced with that, with that challenge. **Michelle Oravitz:** Yeah. **Michelle Oravitz:** I mean, 'cause we know oxidative stress is one of the things that can cause, uh,  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** quality eggs, but it's also can cause cancer. **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** um, similar, you know, like things that really deplete the body could definitely impact. Um, and then what are your thoughts? I know I'm asking you all kinds of random questions, **Dr. Nirali Jain:** I love it. **Michelle Oravitz:** are your thoughts about doing low simulation in certain [00:19:00] circumstances versus high stem? **Michelle Oravitz:** Sometimes people don't respond as well to higher stems.  **Dr. Nirali Jain:** Yeah, that's a great point. I think that it kind of all goes back to creating an individualized protocol. If. A patient's going to a practice and basically just getting a protocol saying, this is our standard. We start with our standard of, you know, I, I think about the standard, which is 300 of the FSH or that pen that you dial up, and then 150 units of that powder vial. **Dr. Nirali Jain:** And we have patients mixing powders all the time, and that's kind of our blanket protocol that we give patients. But that's not really what's happening behind the scenes. And if you're given a protocol that's, and being told, you know, this is kind of what we give to everyone, it's probably not the right fit for you. **Michelle Oravitz:** Yeah, I  **Dr. Nirali Jain:** Um, there are certain patients that respond to a much lower dose and do really, really well, and then some patients that need a much higher dose. Um, and I think it's, that's kind of like the fun part of being an REI of being able to individualize the [00:20:00] protocol to the patient. Um, and I know for a fact there are so many, luckily, you know, we have so many leaders in REI that have been. **Dr. Nirali Jain:** Have dedicated their entire careers to researching these different protocols and how they can help different patients. Um, patients with lower a MH, you know, might benefit from a duo stim protocol, for example. That's kind of the first one that comes to mind, but a protocol where we're using those follicles from the second half of a cycle. **Dr. Nirali Jain:** I would've never thought that those were the follicles that  **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** would be better than the first half of the cycle,  **Michelle Oravitz:** Wait,  **Dr. Nirali Jain:** but, **Michelle Oravitz:** that. Explain that. Um, because I think that that's kind of a unique  **Dr. Nirali Jain:** mm-hmm.  **Michelle Oravitz:** that I haven't heard of.  **Dr. Nirali Jain:** Yeah, so there's this new day. It's still kind of developing, but um, kind of going back to, you know, what's an individualized protocol? Duo STEM is one of the newer protocols that we've started using. I, I've used it once or twice in patients. Um, but it goes back to the research that shows that you might actually have two different periods of time in a menstrual cycle where you could potentially recruit [00:21:00] follicles. **Dr. Nirali Jain:** You could have a follicular phase where there's a certain cohort of follicles recruited, and then you have a follicle that forms creates a corpus glut.  **Michelle Oravitz:** um, protocols  **Dr. Nirali Jain:** Yep. And then you basically go through the follicular protocol and then a few days after a retrieval, instead of waiting for a new follicular cohort or follicular recruitment from the first half of your menstrual cycle, you actually use the luteal phase and you recruit those follicles that would've actually died off or have been prematurely recruited in a prior cycle. **Dr. Nirali Jain:** So **Michelle Oravitz:** that's So  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** you just do a similar, I guess, um, medicine,  **Dr. Nirali Jain:** go right back into it.  **Michelle Oravitz:** do the same exact thing, but right after ovulation.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** Fascinating. That's really interesting.  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** has been your experience with that?  **Dr. Nirali Jain:** I think it's, honestly, it's mixed. Um, so far, you know, our data from fertility and sterility and A SRM, it, it shows support for these DUO STEM [00:22:00] protocols, saying that if patients don't have that great quality of eggs or if they have a very low number, maybe they'd benefit from starting the meds earlier and recruiting follicles. **Dr. Nirali Jain:** A little bit earlier. Um, so we've seen positive results so far. A lot of work to be done in terms of really understanding it. Um, and of course, as a new attending, I have a lot more experience to kind of build on. Um, but I, I have seen success from it. **Michelle Oravitz:** That's fascinating. Are there any other new technologies, like new add-ons, um, that you've seen, that you've found to be really cool or interesting?  **Dr. Nirali Jain:** I think the biggest thing, actually, kind of going back to our whole topic for today is fertility preservation cancer patients. One of the biggest things that I've learned recently is that we used to start fertility, um, patients. You know, only in the beginning of the cycle days, two or three is technically like when most. **Dr. Nirali Jain:** Most clinics, um, start patients, but for our cancer patients, sometimes you don't have that time. You don't wanna wait a full month to [00:23:00] restart, um, your, you know, your menstrual cycle and then do the fertility preservation and then delay chemotherapy a full month. So we started doing what we call random starts. **Dr. Nirali Jain:** So you basically start a patient whenever they come in. You know, it could be the day after your consultation, the day of your consultation. I've kind of seen all of the above. Um, and we've seen really good success with random starts, per se. Um, and we've been doing a lot more of that, where it's not as dependent on where you're at in your cycle. **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** Um, obviously there's a difference in outcomes. You might not be a great candidate for it, so definitely it's worth talking to your doctor about it. But it kind of gives relief to our cancer patients where if you have a new cancer diagnosis and you're like, oh, I just finished my period, like, I can't even start a cycle until next month. **Dr. Nirali Jain:** That's not always true. Um, so it's always worth it to go into see a fertility specialist and just get, you know, get the data that you need right away, and then you can make a decision later on. **Michelle Oravitz:** For sure. Um, Yeah. **Michelle Oravitz:** and I wanted to kind of cover a lot of different topics 'cause I know that [00:24:00] some people are gonna wanna hear what you have to say that don't necessarily, or, uh, have cancer. But it is important. I, I think that, you know, if you get to thirties and you haven't gotten married or you don't have a partner, I think it's really important to preserve your fertility in general.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** important thing. And then if you were going through a cancer diagnosis and you decided to preserve your fertility, um, guess more for women because they're eventually going to be thinking about transfers after they go through treatment. So what are some of the things that they would need to consider as far as that goes? **Michelle Oravitz:** Like after the  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** then they go through the cancer treatments. Um, and then what, how long should they  **Dr. Nirali Jain:** yeah. Like what does it look like? So I've had patients that come back, you know, in my fellowship training I did a, a couple research projects on patients that came back to pursue an embryo transfer, um, after chemotherapy agent. And basically compared them to how they did, um, [00:25:00] compared to patients that didn't have cancer and just froze their embryos or froze their eggs and then came back to pursue a transfer and. **Dr. Nirali Jain:** I think the, the most reassuring thing from the preliminary data that we have is saying that there's no difference in pregnancy rates and no difference in life birth,  **Michelle Oravitz:** Awesome.  **Dr. Nirali Jain:** of whether they had chemotherapy or not. After freezing those eggs and going through fertility preservation.  **Michelle Oravitz:** Amazing.  **Dr. Nirali Jain:** Um, in terms of where your body needs to be, I think the oncologist, we, we wait for their green light. **Dr. Nirali Jain:** We wait for their signal to say, you know, she's safe to carry a pregnancy.  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** And then once we do that, we basically treat you like any other patient. So if you're coming in for a cycle, if you're having periods, then it's reasonable to try a natural cycle protocol, wait for your body to naturally ovulate an egg. **Dr. Nirali Jain:** And instead of obviously hoping that egg will fertilize, we, um, use a corpus luteum. We use the progesterone from the corpus luteum to really support this embryo being implanted into the uterus. Um. Yeah. [00:26:00] And then there's also another side. I mean, some patients don't get their periods back and they always ask like, what if I never get my period back? **Dr. Nirali Jain:** What if I'm just like in menopause because of the chemotherapy agents? And for that, we can start you on a synthetic protocol or basically an estrogen dependent protocol where you take an estrogen pill for a certain number of days. We monitor your lining, then we start progesterone, um, to support your hormones from that perspective instead of relying on your ovaries to release the progesterone that they need, um, and then doing the embryo transfer a few, few days after progesterone starts. **Dr. Nirali Jain:** So there's definitely different protocols depending on where your menstrual health is at after the chemotherapy or after the cancer treatment. Um, but it's important to kind of just know that. That there's options. It doesn't mean that it's the end of the road if you all of a sudden stop getting your period. **Michelle Oravitz:** Yeah, for sure. I mean, 'cause you, technically speaking, you can really control a lot of that. More so for transfers  **Dr. Nirali Jain:** Yep. **Michelle Oravitz:** Retrievals really is kind of like what [00:27:00] eggs you have, what the quality is. But people can be in complete menopause and you guys can still control their cycles for transfer, which is kind of. A huge difference  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** in the  **Dr. Nirali Jain:** exactly. That's exactly right. Yeah. **Michelle Oravitz:** interesting. Any other, um, new, new things that you're, you guys are excited about? I always like to hear about like the new and upcoming things  **Dr. Nirali Jain:** Of course.  **Michelle Oravitz:** actually before, which I thought was fascinating. Yeah.  **Dr. Nirali Jain:** I feel like there's always like updates and, and new data and things like that coming out, but just know, I think it's important for patients to know, like we're constantly, we're, the reason I chose to even pursue this field was because it's new. Right. There's something that we are discovering every day, every year, and that's what makes our, our conferences so important to attend, um, to really just stay up to date. **Dr. Nirali Jain:** Um, but we are, uh, constantly updating our embryology standards, the way we thaw our eggs, and the success rate associated with a thaw and [00:28:00] how we treat our embryos and the media that we use, right? Like, so we're really thinking about the basic science perspective every single day, and that's what makes this field so unique. **Michelle Oravitz:** It is really awesome. And so do you guys specialize specifically on, um. Egg freezing and, and I mean specific fertility preservation in patients that do that have cancer that are going through treatments, do you guys specialize specifically in that? I mean, I know you do range  **Dr. Nirali Jain:** Yeah. Yeah, because it's such a small community, we all have our own niches and we all kind of have our own interests and  **Michelle Oravitz:** Yeah.  **Dr. Nirali Jain:** no like specific training. There are a couple courses that you take that I took in in training as well, just to kind of understand what it sounds like to, I. Council of fertility preservation, patient with and without cancer. **Dr. Nirali Jain:** Um, and then, you know, you kind of just learn by experience and you form a niche for something that you're passionate about. 'cause that's what makes you, you know, really thorough in, in your treatment. [00:29:00] So that's one of my interests. Um, and, but I would say,  **Michelle Oravitz:** training for that. It's just like  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** just know how to treat that in  **Dr. Nirali Jain:** exactly.  **Michelle Oravitz:** especially if you're interested in doing that.  **Dr. Nirali Jain:** Exactly. That's exactly right. It's kind of, it just comes with the experience comes with your mentors and who you're surrounded by, and everyone kind of helps each other get to that point. But there are several specialists in our practice at RMA that specialize specifically in fertility preservation in cancer patients. **Dr. Nirali Jain:** So we have a close communication with our oncologist and they know who to refer to within the practice because everyone has their own little interests.  **Michelle Oravitz:** Amazing.  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** Um, definitely. I, like I said, I really enjoy picking your brain because it's a lot of fun for me. I, I do  **Dr. Nirali Jain:** Totally.  **Michelle Oravitz:** acupuncture, so  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** and I, I think that it's just so crazy that our fields don't work together. I mean, we kind of do, but I think, I just feel like it would be so great  **Dr. Nirali Jain:** exactly.[00:30:00]  **Michelle Oravitz:** the expertise because you guys have immense. Benefits like in, in, uh, technology and incredible innovations and, and then the natural aspect of really understanding the, the body. And I, I just think that it would work so amazing together if it was more of like a thing. 'cause it, I know in China they actually combine the two  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** eastern.  **Dr. Nirali Jain:** Yeah, I mean I think that that's so important and there is data that shows, you know, there's actually a recent study that came out just a few weeks ago on the benefits of acupuncture for fertility patients. And we know that, I mean, I recommend it to all of my patients, specifically the day of the embryo transfer. **Dr. Nirali Jain:** We, luckily, we offer it on site at RMA and we have acupuncturists that come in and, and do a session before and after the embryo transfer, and I think. A lot of that is targeted towards stress relief. But I also think that holistically it's important to feel at your best when we're doing something that's so crucial to your, to your health. **Dr. Nirali Jain:** So to really focus on the diet, focus on stress relief, [00:31:00] focus on meditation, yoga, whatever it takes to get to your best wellbeing when you're going through fertility treatments, um, is so important. So I appreciate  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** like you that really specialize in the other side of. Of this, because I do consider it still part of the holistic medicine that we need to really maximize success for our patients. **Michelle Oravitz:** Awesome. Well,  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** Jane, this is such a pleasure Of talking to you. You've given us some, so much great information and we've definitely dived into a, do a topic that I don't typically, I haven't yet spoken about. But, um, that being said, it's such an important topic to talk about. And thank you so much for coming on today. **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** course. **Michelle Oravitz:** I get off, how can people find you?  **Dr. Nirali Jain:** That's a great question. So I have, um, a social media page. I, it's called Expert nc. So like EGG,  **Michelle Oravitz:** I  **Dr. Nirali Jain:** um, expert nc. Try, tried to make it a little bit humorous. Um, but I'm all over social [00:32:00] media and would love to hear from anyone that is listening. I, you know, every, every day I get different, um, dms and I'm happy to respond. **Dr. Nirali Jain:** I love hearing about everyone else's. Stories and things like that. Um, so that is kind of my main, main social media platform. Um, and then through like RMA and Reproductive Medical Associates, we also have a YouTube channel. We have an Instagram page, um, of our office available, um, as well that is public. **Dr. Nirali Jain:** So you can find us pretty easily if you just kind of hit Google. But um, yeah, I'm kind of developing my social media platform as the expert and I hope it grows.  **Michelle Oravitz:** Love it. Great.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** was such a pleasure talking to you. Thank you. so much **Dr. Nirali Jain:** Thank you. **Michelle Oravitz:** today.  **Dr. Nirali Jain:** Of course. Thank you so much for having me.  [00:33:00]   

Health Net's Regional Medical Director Dr. Anshul Dixit and Vivant Health's Utilization Management Review Supervisor Kathleen Loredo share how they partner together with Dignity Health's greater Sacramento hospitals, including one recent effort that reduced unnecessary hospital stays by 400 while increasing provider show up rates by 20% after discharge.

Scaling your implant practice isn't just about technical skill. How well you communicate and educate is also key. In this episode, Dr. Grant Stucki is joined by Drs. Tom Stone and Vic Martel to discover how they built thriving oral surgery and implant referral networks using DrTalk, a software platform designed to streamline secure communication and deliver on-demand education to referring dentists. From simplifying complex procedures to delivering virtual case mentoring, they discuss how consistent outreach, operational efficiency, and trust-based relationships have become essential drivers of exponential practice growth. Whether you're an OMS, periodontist, or GP, tune in to discover how DrTalk can help you stay top-of-mind, build loyalty, and create a five-star experience that keeps patients (and referrals) coming back!Key Points From This Episode:Dr. Stone's career journey and evolution toward dental implants.An introduction to DrTalk as a practice growth platform.The shift from extractions to implant-focused care.Simplifying systems to enable implant practice growth.Supporting GPs through education to foster referral loyalty.Communication as the foundation of marketing and growth.Streamlining referrals with HIPAA-compliant tech: making your practice easy to refer to.Case mentoring and treatment planning to uncover hidden implant cases.How DrTalk delivers year-round, scalable virtual education.Building trust through consistent, personalized interactions.Patient-centric advice for surgeons trying to grow their implant practice.Customer experience, loyalty, and responsiveness as long-term referral drivers.Insight into the evolving role of AI in dental implant technology and education.Motivation behind our guests' innovation and lessons learned from their setbacks.Recommended books, TV shows, unexpected takeaways, forceps for tooth 14, and more!Links Mentioned in Today's Episode:DrTalk — https://www.drtalk.com/Dr. Tom Stone on LinkedIn —https://www.linkedin.com/in/thomas-l-stone-md-dds-facs-9b387718/Dr. Tom Stone Email — tstone5400@gmail.com Dr. Vic Martel on LinkedIn — https://www.linkedin.com/in/victor-martel-dmd-91431922/Dr. Vic Martel on Instagram — https://www.instagram.com/drvicmartel/Dr. Vic Martel Email — martelvic@gmail.comMartel Academy — https://www.martelacademy.com/Outlive: The Science and Art of Longevity — https://www.amazon.com/dp/0593236599The Peter Attia Drive Podcast — https://peterattiamd.com/podcast/Yellowstone — https://www.netflix.com/title/802387381883 — https://www.paramountplus.com/shows/1883/ 1923 — https://www.paramountplus.com/shows/1923/Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. G

THE CASE Dr Ashville is training to be a family physician and gets a phone call from a disgruntled patient called Jane Brown. She got a message saying “As your Cardiovascular risk is now 10% it is recommended you take a statin medication”. She is a bit cross she didn't get a proper conversation about […]

This is the first chapter of a new mini-series of bonus episodes in collaboration with Fresh Clinics. After 300 episodes we've decided to try something different - recording in a new studio, getting back to real life and in person recordings and to work with Fresh Clinics and some of their brand partners. Three episodes will be published on Wednesday's (today, June 18th & July 9th) and a new killer feature is that you'll be able to watch the entire video of these podcasts either on Spotify or our YouTube channel. In chapter 1 we host both of the co-founders of Fresh Clinics, Dr John Delaney & Dr John Holbrook. In this episode we discuss the findings of their comprehensive survey of around 200 Australian clinics, highlighting trends and challenges in the industry. Key topics include the impact of new regulations, the role of business skills in clinical practices, and the evolving landscape of marketing strategies within the aesthetics sector. Our conversation touches on the integration of wellness and regenerative health with aesthetics, the importance of product quality over price, and the future growth of the industry.  00:00 Introduction to the New Miniseries  00:29 Our Guests 01:50 State of Medical Aesthetics: Survey Insights 09:00 Business Challenges in Aesthetics 17:02 Regulatory Concerns and Their Impact 24:23 Entrepreneurship and Business Strategy 32:57 Addressing Price Increases and Business Diligence 33:27 Mastering Financial Conversations with Patients 34:00 Case Study: Financial Discrepancies and Solutions 34:54 The Role of Social Media in Marketing 36:54 Building Local Community and Patient Referrals 38:45 Realigning Business Expectations and Industry Maturation 41:12 Trends in Aesthetic Treatments and Hybrid Healthcare 44:09 Blurring Lines Between Wellness and Aesthetics 47:45 Importance of Skincare in Clinics 52:42 Choosing Suppliers: Quality Over Price 58:26 Challenges and Opportunities in Product Training 01:01:19 Future Growth and Technological Integration 01:04:30 Special Offers and Upcoming Events   APPLY FOR OUR IA COMPETITION THE STATE OF MEDICAL AESTHETICS REPORT MORE INFORMATION ABOUT THE FRESH LIFE CONFERENCE JOIN OUR PATREON AS A FREE MEMBER TO DOWNLOAD THE STATE OF MEDICAL AESTHETICS REPORT SUBSCRIBE TO OUR PATREON FOR EXCLUSIVE PODCASTS, WEEKLY EDUCATIONAL CONTENT & JOIN OUR WHATSAPP COMMUNITY CLICK HERE TO BROWSE OUR IA OFFERS FOR DISCOUNTS & SPECIALS CLICK HERE IF YOU'RE A BRAND OR COMPANY & WANT TO WORK WITH US CLICK HERE TO APPLY TO BE A GUEST ON OUR PODCAST CONTACT US  

In this bonus episode of our series, “Insight Unpacked: American Healthcare and Its Web of Misaligned Incentives,” a healthcare economist must make critical decisions with partial information. Also: Do you have advice on how to be a good healthcare consumer? Any lessons you learned the hard way? Professor David Dranove wants to hear from you. Send him an email at d-dranove@kellogg.northwestern.edu, and write "shopping for healthcare" in the subject line.

Key Topics Covered:Louie's life before Biote: chronic pain, insulin injections, and emotional burnoutThe Biote breakthrough: How hormone pellets restored energy, strength, and mental clarityThe mind-body connection: How physical pain can cloud joy—and how healing can restore itBrooke's dual perspective: A provider and patient on a mission to change the way we ageHormones and healing: Why lab-driven, personalized care is the future of primary careLouie's transformation: From sepsis and retirement at 48 to hunting, walking, and thriving againThe mission: How Biote fits into the larger vision of Your Health to help people not just survive, but thriveFeatured Guests:Brooke Howard, FNP – Director of Biote at Your Health, Primary Care ProviderLouie McKenzie – Your Health patient and Biote success storyWhy It Matters:This episode isn't just about hormone therapy—it's about hope, personalized care, and rediscovering what it means to feel truly alive again. www.YourHealth.Org

Your Before & After gallery is one of the most powerful marketing tools in your practice. Is it telling the right story?In this episode of The Technology of Beauty, Dr. Grant Stevens sits down with Candace Crowe, Founder and CEO of BRAG Book, to discuss the evolution of aesthetic marketing and the critical role that visual storytelling plays in patient decision-making.Candace shares the journey behind BRAG Book, a purpose-built software designed to help aesthetic practices take control of their Before & After galleries. With features like image quality scoring, SEO optimization, customizable watermarks, and a clean drag-and-drop interface, BRAG Book ensures that practices can present results with precision, consistency, and professionalism.Whether you're a solo practitioner or part of a multi-location group, this episode offers a masterclass in the value of authentic imagery and the technologies shaping the future of aesthetics. Tune in to learn how Candace Crowe is helping elevate industry standards and redefining digital patient engagement on the latest episode of The Technology of Beauty.» Apple Podcasts | https://podcasts.apple.com/us/podcast/technology-of-beauty/id1510898426» Spotify | https://open.spotify.com/show/0hEIiwccpZUUHuMhlyCOAm» Recent episodes | https://www.influxmarketing.com/technology-of-beauty/» Instagram | https://www.instagram.com/thetechnologyofbeauty/» LinkedIn | https://www.linkedin.com/company/the-technology-of-beauty/The Technology of Beauty is produced by Influx Marketing, The Digital Agency for Aesthetic Practices. https://www.influxmarketing.com/Want more aesthetic insights? Subscribe to Next Level Practices, the show where we discuss the ever-changing world of digital marketing and patient acquisition and bring you the latest ideas, strategies, and tactics to help you take your practice to the next level. https://www.influxmarketing.com/next-level-practices/

More than a third of patients released from the hospital never fill their discharge prescriptions, but “meds-to-beds” programs can help improve that statistic. That is the approach Renown Health in Reno, Nev., took with the help of its 340B savings. Renown Vice President of Pharmacy Services Adam Porath joins us to describe how this meds-to-beds program improves patient care.Hospital readmissions down, patient convenience upRenown Health's 340B-funded program offers medication to patients who are being discharged from the hospital, either through bedside delivery, pneumatic tube, or a unique discharge lounge. The effort began as a pilot for Medicaid patients in 2016, and it demonstrated patients in the program were 25% less likely to be readmitted to the hospital once discharged. These health improvements plus the added convenience of medication access for patients convinced the system to expand the program.340B pricing to patients who cannot payPorath says Renown Health refers patients who cannot afford discharge medications to its social services team, which can authorize providing the drugs to those patients at the 340B-discounted rate. The team also will work with patients to see if they qualify for coverage such as Medicaid or other programs to reduce their out-of-pocket costs. Porath said Renown's meds-to-beds program provides drugs free of charge to about 30 patients per month.The keys to successRenown Health's meds-to-beds program has been a success, with more than 80% of eligible patients participating as of the end of 2024. The hospital expanded the services to all patients and started operating it 24/7 in April 2024. Porath said the keys to success include regular reporting to stakeholders and innovations to handle a large volume of patients discharging at once. Such changes allow all parties to stay in the loop with the development of the program and to celebrate successes as they occur.ResourcesRead Our Analysis of the First Federal Court Decision on RebatesSecond Federal Judge Allows 340B Health, Member Hospitals To Intervene in Rebate Lawsuit

TRIGGER/CONTENT WARNING: eating disorders, weightDina dishes with Quinn Haisley (they/she), a non-binary, queer, and neurodivergent eating disorder dietitian who shares her expertise in working with LGBTQ+ and neurodivergent populations.After originally majoring in philosophy for their undergrad degree, Quinn chose to shift gears and returned to school to study nutrition, receiving an associate's degree from LaGuardia Community College and an MS from New York University, where they also completed their dietetic internship.Quinn started working in the eating disorder field 5 years ago and now works full-time at their own private practice. Quinn is passionate about breaking out of the cookie-cutter eating disorder treatment model and bringing social justice into ED recovery.Learn more about Quinn at www.practiceerosnutrition.com and https://www.instagram.com/practice_eros_nutrition/.----Check out our podcast in video format on DishWithDinaTV: https://www.youtube.com/user/DishWithDina?sub_confirmation=1Join our mailing list to stay connected, stay informed, receive exclusive offers, and be a part of the DishWithDina community: ⁠https://forms.gle/932HAWCu1r42dPCo9If you enjoyed this podcast, please subscribe, leave a review, and share it with others! You can also submit listener feedback or request to be a guest on a future episode by completing this form: ⁠https://forms.gle/EFYX7Gshbjx9cCKfA----DISCLAIMER: The purpose of this podcast is to entertain, educate, and inform, but it is not to be taken as medical advice. Please seek prompt, qualified medical care for any specific health issues and consult your physician or health practitioner before starting a new fitness regimen, herbal therapy, or other self-directed treatment.

This week on CodeWACK! Medicare for All is back in the spotlight! With two new bills recently introduced in Congress, what makes these proposals different from earlier versions— and why are some advocates feeling hopeful, even in the current political climate? What would a truly public, universal health care system look like, and how could it help curb the soaring costs, corporate greed, and bureaucracy plaguing our current system? To unpack this, we spoke with Rachel Madley, Director of Policy and Advocacy at the Center for Health and Democracy. A former health policy advisor to Congresswoman Pramila Jayapal — lead sponsor of the House Medicare for All bill — Rachel helped shape and reintroduce the landmark legislation in 2023. She's also a former FDA staffer and holds a PhD in Microbiology and Immunology from Columbia University, where she was active in both Physicians for a National Health Program and Students for a National Health Program. Check out the Transcript and Show Notes for more! And please keep Code WACK! on the air with a tax-deductible donation at heal-ca.org/donate.

Interview with Tricia M. Leahey, PhD, author of Patient-Delivered Continuous Care for Weight Loss Maintenance: A Randomized Clinical Trial, and Kathryn M. Ross, PhD, MPH, author of Mentor and Peer Support for Long-Term Weight Loss Maintenance: You've Got a Friend in Me. Hosted by Eve Rittenberg, MD. Related Content: Patient-Delivered Continuous Care for Weight Loss Maintenance Mentor and Peer Support for Long-Term Weight Loss Maintenance

Let's start your week strong with a quick tip you can incorporate right away. In this Mo's Monday Minute shortie episode, I'm talking about something that affects all nurses on a pretty regular basis. And that is working with difficult or challenging patients. But with the right mindset and approach, you'd be surprised how often you can turn things around. Listen in for my best tips! ___________________ FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! 20 Secrets of Successful Nursing Students – Learn key strategies that will help you be a successful nursing student with this FREE guide! All Straight A Nursing Resources - Check out everything Straight A Nursing has to offer, including free resources and online courses to help you succeed!

Nature operates on its own timeline, a profound lesson in patience. In this meditation, we'll draw inspiration from the natural world – the slow growth of a tree, the changing seasons, the persistent flow of water – to cultivate a deeper trust in the innate rhythm of life and the unfolding of events. Ancient Wisdom Weave: Inspired by Taoist philosophy and the concept of wu wei (effortless action or non-doing), trusting the natural flow of the Dao. THIS WEEK'S THEME: "The Patient Heart: Cultivating Inner Stillness" Welcome to "The Patient Heart: Cultivating Inner Stillness," a 7-part meditation series designed to help you rediscover the profound power and peace found in patience. In a world that often demands instant gratification, true tranquility lies in our ability to wait, to observe, and to trust in the natural unfolding of life. Drawing upon the timeless wisdom of ancient traditions, this series will guide you to cultivate patience not as passive waiting, but as an active, compassionate engagement with the present moment. Each episode offers a unique lens to understand and embody this vital virtue, fostering inner resilience and a deeper connection to the rhythm of existence. YOUR MEDITATION JOURNEY DURING THIS WEEK'S SERIES This is episode 2 of a 7-day meditation series titled, "The Patient Heart: Cultivating Inner Stillness" episodes 3311-3316. Day 1:  Patience Visualization Day 2:  Patience Affirmation: "I unfold with patience, presence, and peace." Day 3:  Patience Breathing Visualization Day 4:  Lotus Mudra for Patience Day 5:  Fourth Chakra focus for Patience Day 6:  Patience flow meditation combining the week's techniques. Day 7:  Weekly review meditation and closure. WEEKLY CHALLENGE: The Pause Pivot Challenge THE PAUSE (Awareness): When you feel that familiar tug of impatience (the urge to rush, frustration, annoyance, a sigh, tapping your foot, etc.), immediately internally say to yourself: "Aha! A Patience Opportunity!" Take one deep, intentional breath. Notice the sensations in your body and mind without judgment. This is your "Pause." THE PIVOT (Choice): After that single breath, consciously choose a patient response, even if it's small. This isn't about solving the problem instantly, but shifting your internal state. SHARE YOUR MEDITATION JOURNEY WITH YOUR FELLOW MEDITATORS   Let's connect and inspire each other! Please share a little about how meditation has helped you by reaching out to me at Mary@SipandOm.com or better yet -- direct message me at https://www.instagram.com/sip.and.om. We'd love to hear about your meditation ritual!  SUBSCRIBE, LEAVE A REVIEW + TAKE OUR SURVEY SUBSCRIBE so you don't miss a single episode. Consistency is the KEY to a successful meditation ritual. SHARE the podcast with someone who could use a little extra support. I'd be honored if you left me a podcast review. If you do, please email me at Mary@sipandom.com and let me know a little about yourself and how meditation has helped you. I'd love to share your journey to inspire fellow meditators on the podcast! SURVEY: Help us get to know more about how best to serve you by taking our demographics survey: https://survey.libsyn.com/thedailymeditationpodcast FOR DAILY EXTRA SUPPORT OUTSIDE THE PODCAST Each day's meditation techniques posted at: sip.and.om Instagram https://www.instagram.com/sip.and.om/ sip and om Facebook https://www.facebook.com/SipandOm/ A DIFFERENT MEDITATION TECHNIQUE EVERY DAY FOCUSED ON A WEEKLY THEME: Get ready for an exciting journey with a new meditation technique daily, perfectly tailored to the week's theme! Infuse these powerful practices into the most stressful moments of your day to master difficult emotions. These dynamic techniques will help you tame the "monkey mind," keeping your thoughts from interrupting your meditation and bringing peace and focus to your life. FREE TOOLS: For free meditation tools to help you meditate please head over to my website at www.SipandOm.com, and there you'll find free resources to help you on your Meditation Journey. Enjoy access to more than 3,000 guided meditations without ads on the Sip and Om app. Try it for 7 days of free access to the full app! Listen on iTunes for 1-Week Free! https://itunes.apple.com/us/app/sip-and-om/id1216664612?platform=iphone&preserveScrollPosition=true#platform/iphone   1-week Free Access to the Android app! https://play.google.com/store/apps/details?id=com.sipandom.sipandom   ***All meditations are Mary Meckley's original copyrighted content unless otherwise stated, and may not be shared without her written permission.   RESOURCES Music composed by Christopher Lloyd Clark licensed by RoyaltyFreeMusic.com, and also by musician Greg Keller.   I'D LOVE TO HEAR FROM YOU I'd love your feedback! Please let me know how you're enjoying the meditations by leaving me a review on iTunes.   **All of the information shared on this podcast is for your enjoyment only. Please don't consider the meditation techniques, herbal tea information, or other information shared by Mary Meckley or any of her guests as a replacement for any medical or psychological treatment. That being said, please enjoy any peace, energy, or clarity you may experience as you meditate. SHARE YOUR MEDITATION JOURNEY WITH YOUR FELLOW MEDITATORS   Let's connect and inspire each other! Please share a little about how meditation has helped you by reaching out to me at Mary@SipandOm.com or better yet -- direct message me at https://www.instagram.com/sip.and.om. We'd love to hear about your meditation ritual!  SUBSCRIBE, LEAVE A REVIEW + TAKE OUR SURVEY SUBSCRIBE so you don't miss a single episode. Consistency is the KEY to a successful meditation ritual. SHARE the podcast with someone who could use a little extra support. I'd be honored if you left me a podcast review. If you do, please email me at Mary@sipandom.com and let me know a little about yourself and how meditation has helped you. I'd love to share your journey to inspire fellow meditators on the podcast! SURVEY: Help us get to know more about how best to serve you by taking our demographics survey: https://survey.libsyn.com/thedailymeditationpodcast FOR DAILY EXTRA SUPPORT OUTSIDE THE PODCAST Each day's meditation techniques posted at: sip.and.om Instagram https://www.instagram.com/sip.and.om/ sip and om Facebook https://www.facebook.com/SipandOm/ A DIFFERENT MEDITATION TECHNIQUE EVERY DAY FOCUSED ON A WEEKLY THEME: Get ready for an exciting journey with a new meditation technique daily, perfectly tailored to the week's theme! Infuse these powerful practices into the most stressful moments of your day to master difficult emotions. These dynamic techniques will help you tame the "monkey mind," keeping your thoughts from interrupting your meditation and bringing peace and focus to your life. FREE TOOLS: For free meditation tools to help you meditate please head over to my website at www.SipandOm.com, and there you'll find free resources to help you on your Meditation Journey. Enjoy access to more than 3,000 guided meditations without ads on the Sip and Om app. Try it for 7 days of free access to the full app! Listen on iTunes for 1-Week Free! https://itunes.apple.com/us/app/sip-and-om/id1216664612?platform=iphone&preserveScrollPosition=true#platform/iphone   1-week Free Access to the Android app! https://play.google.com/store/apps/details?id=com.sipandom.sipandom   ***All meditations are Mary Meckley's original copyrighted content unless otherwise stated, and may not be shared without her written permission.   RESOURCES Music composed by Christopher Lloyd Clark licensed by RoyaltyFreeMusic.com, and also by musician Greg Keller.   I'D LOVE TO HEAR FROM YOU I'd love your feedback! Please let me know how you're enjoying the meditations by leaving me a review on iTunes.   **All of the information shared on this podcast is for your enjoyment only. Please don't consider the meditation techniques, herbal tea information, or other information shared by Mary Meckley or any of her guests as a replacement for any medical or psychological treatment. That being said, please enjoy any peace, energy, or clarity you may experience as you meditate.  

Can you believe it!? Nearly 3 years since it all began; Mr & Mrs Whitehall are back for SERIES 9!!!! There's an awful lot to catch up on, in terms of general family Whitehall updates and that's before we even arrive at the emails and Whatsapps... Get ready for pigeons (as promised, but not delivered at the end of Series 8!), AI art and a grumpy DL who has no time for small talk after his knee operation...You can email your questions, thoughts or problems to TheWitteringWhitehalls@gmail.comOr, perhaps you'd like to send a WhatsApp message or Voice note? Why not?! Send them in to +447712147236This episode contains explicit language and adult themes that may not be suitable for all listeners.Please review Global's Privacy Policy: https://global.com/legal/privacy-policy/

Not every mushroom is a mushroom and in this episode Tom Viola helps us dive deep into the topic of "magic mushrooms". There is a great chance you will not encounter this with your patients.. but just in case, we bring you some quick facts for the every day clinician!  Resources: Be sure to reach out to him if you have any questions by emailing TomViola@tomviola.com, visit his website TomViola.com or check out his social media - @pharmacologydeclassified

Every five minutes, someone somewhere in the world is diagnosed with MS. But getting that diagnosis can be challenging. And the evidence is clear that early intervention makes a difference. The sooner someone can begin a disease-modifying therapy, the better their outcome is going to be. World MS Day is May 30th, and this year, World MS Day is focused on eliminating the obstacles that get in the way of a timely and accurate diagnosis.    I thought World MS Day would be the perfect time to invite Meredith O'Brien to join me to discuss her new book, Uncomfortably Numb 2: An Anthology for Newly-Diagnosed MS Patients. We'll also explain how the drastic cuts to Medicaid funding that were approved by the U.S. House of Representatives will affect hundreds of thousands of people with MS, and how the additional changes made to the Affordable Care Act will leave millions of Americans without health insurance. We're sharing the results of a study that may have identified how B-cells infected by the Epstein-Barr Virus migrate into the brain. And we'll explain why that could be the activity that triggers MS. We'll tell you about a study that makes the case for treating pediatric MS with Ocrevus. And we'll share the results of a study that discovered an association between inflammation-causing molecules and frailty among people with relapsing forms of MS. We have a lot to talk about! Are you ready for RealTalk MS??! This Week: World MS Day   :22 U.S. House of Representatives Vote to Gut Healthcare in America  2:29 Get involved! Become an MS Activist today!  3:38 A research team has demonstrated how EBV-infected B-cells migrate to the brain  4:28 Researchers demonstrate the efficacy of Ocrevus in treating pediatric MS  7:13 Researchers show an association between frailty and an inflammatory molecule  8:57 Meredith O'Brien discusses her new book, Uncomfortably Numb 2: An Anthology for Newly-Diagnosed MS Patients  11:05 Share this episode  24:51 Have you downloaded the free RealTalk MS app?  25:12 SHARE THIS EPISODE OF REALTALK MS Just copy this link & paste it into your text or email: https://realtalkms.com/404 ADD YOUR VOICE TO THE CONVERSATION I've always thought about the RealTalk MS podcast as a conversation. And this is your opportunity to join the conversation by sharing your feedback, questions, and suggestions for topics that we can discuss in future podcast episodes. Please shoot me an email or call the RealTalk MS Listener Hotline and share your thoughts! Email: jon@realtalkms.com Phone: (310) 526-2283 And don't forget to join us in the RealTalk MS Facebook group! LINKS If your podcast app doesn't allow you to click on these links, you'll find them in the show notes in the RealTalk MS app or at www.RealTalkMS.com Become an MS Activist Web: https://nationalmssociety.org/advocacy World MS Day https://worldmsday.org Uncomfortably Numb 2: An Anthology for Newly-Diagnosed MS Patients https://amazon.com/Uncomfortably-Numb-Anthology-Newly-Diagnosed-Patients/dp/1954332580/ref=sr_1_1 STUDY: Epstein-Barr Virus Induces Aberrant B Cell Migration and Diapedesis Via FAK-Dependent Chemotaxis Pathways https://nature.com/articles/s41467-025-59813-z STUDY: Ocrelizumab for Relapsing Pediatric Multiple Sclerosis https://sciencedirect.com/science/article/abs/pii/s2211034825002810 STUDY: Association Between Frailty and Inflammatory Cytokines in Patients with Multiple Sclerosis: A Case-Control Study https://sciencedirect.com/science/article/abs/pii/s1043466625000924 Join the RealTalk MS Facebook Group https://facebook.com/groups/realtalkms Download the RealTalk MS App for iOS Devices https://itunes.apple.com/us/app/realtalk-ms/id1436917200 Download the RealTalk MS App for Android Deviceshttps://play.google.com/store/apps/details?id=tv.wizzard.android.realtalk Give RealTalk MS a rating and review http://www.realtalkms.com/review Follow RealTalk MS on Twitter, @RealTalkMS_jon, and subscribe to our newsletter at our website, RealTalkMS.com. RealTalk MS Episode 404 Guest: Meredith O'Brien Privacy Policy

Before we can cultivate patience, we must first understand its opposite. This session will invite you to mindfully observe the physical sensations, thoughts, and emotions that arise when impatience takes hold, allowing you to create a gentle space for recognition without judgment. Ancient Wisdom Weave: Drawing on Buddhist principles of observing suffering and its origins, you will be guided to begin to see impatience as a form of subtle aversion to the present moment. THIS WEEK'S THEME: "The Patient Heart: Cultivating Inner Stillness" Welcome to "The Patient Heart: Cultivating Inner Stillness," a 7-part meditation series designed to help you rediscover the profound power and peace found in patience. In a world that often demands instant gratification, true tranquility lies in our ability to wait, to observe, and to trust in the natural unfolding of life. Drawing upon the timeless wisdom of ancient traditions, this series will guide you to cultivate patience not as passive waiting, but as an active, compassionate engagement with the present moment. Each episode offers a unique lens to understand and embody this vital virtue, fostering inner resilience and a deeper connection to the rhythm of existence. YOUR MEDITATION JOURNEY DURING THIS WEEK'S SERIES This is episode 1 of a 7-day meditation series titled, "The Patient Heart: Cultivating Inner Stillness" episodes 3311-3316. Day 1:  Patience Visualization Day 2:  Patience Affirmation: "I unfold with patience, presence, and peace." Day 3:  Patience Breathing Visualization Day 4:  Lotus Mudra for Patience Day 5:  Fourth Chakra focus for Patience Day 6:  Patience flow meditation combining the week's techniques. Day 7:  Weekly review meditation and closure. WEEKLY CHALLENGE: The Pause Pivot Challenge THE PAUSE (Awareness): When you feel that familiar tug of impatience (the urge to rush, frustration, annoyance, a sigh, tapping your foot, etc.), immediately internally say to yourself: "Aha! A Patience Opportunity!" Take one deep, intentional breath. Notice the sensations in your body and mind without judgment. This is your "Pause." THE PIVOT (Choice): After that single breath, consciously choose a patient response, even if it's small. This isn't about solving the problem instantly, but shifting your internal state. SHARE YOUR MEDITATION JOURNEY WITH YOUR FELLOW MEDITATORS   Let's connect and inspire each other! Please share a little about how meditation has helped you by reaching out to me at Mary@SipandOm.com or better yet -- direct message me at https://www.instagram.com/sip.and.om. We'd love to hear about your meditation ritual!  SUBSCRIBE, LEAVE A REVIEW + TAKE OUR SURVEY SUBSCRIBE so you don't miss a single episode. Consistency is the KEY to a successful meditation ritual. SHARE the podcast with someone who could use a little extra support. I'd be honored if you left me a podcast review. If you do, please email me at Mary@sipandom.com and let me know a little about yourself and how meditation has helped you. I'd love to share your journey to inspire fellow meditators on the podcast! SURVEY: Help us get to know more about how best to serve you by taking our demographics survey: https://survey.libsyn.com/thedailymeditationpodcast FOR DAILY EXTRA SUPPORT OUTSIDE THE PODCAST Each day's meditation techniques posted at: sip.and.om Instagram https://www.instagram.com/sip.and.om/ sip and om Facebook https://www.facebook.com/SipandOm/ A DIFFERENT MEDITATION TECHNIQUE EVERY DAY FOCUSED ON A WEEKLY THEME: Get ready for an exciting journey with a new meditation technique daily, perfectly tailored to the week's theme! Infuse these powerful practices into the most stressful moments of your day to master difficult emotions. These dynamic techniques will help you tame the "monkey mind," keeping your thoughts from interrupting your meditation and bringing peace and focus to your life. FREE TOOLS: For free meditation tools to help you meditate please head over to my website at www.SipandOm.com, and there you'll find free resources to help you on your Meditation Journey. Enjoy access to more than 3,000 guided meditations without ads on the Sip and Om app. Try it for 7 days of free access to the full app! Listen on iTunes for 1-Week Free! https://itunes.apple.com/us/app/sip-and-om/id1216664612?platform=iphone&preserveScrollPosition=true#platform/iphone   1-week Free Access to the Android app! https://play.google.com/store/apps/details?id=com.sipandom.sipandom   ***All meditations are Mary Meckley's original copyrighted content unless otherwise stated, and may not be shared without her written permission.   RESOURCES Music composed by Christopher Lloyd Clark licensed by RoyaltyFreeMusic.com, and also by musician Greg Keller.   I'D LOVE TO HEAR FROM YOU I'd love your feedback! Please let me know how you're enjoying the meditations by leaving me a review on iTunes.   **All of the information shared on this podcast is for your enjoyment only. Please don't consider the meditation techniques, herbal tea information, or other information shared by Mary Meckley or any of her guests as a replacement for any medical or psychological treatment. That being said, please enjoy any peace, energy, or clarity you may experience as you meditate. SHARE YOUR MEDITATION JOURNEY WITH YOUR FELLOW MEDITATORS   Let's connect and inspire each other! Please share a little about how meditation has helped you by reaching out to me at Mary@SipandOm.com or better yet -- direct message me at https://www.instagram.com/sip.and.om. We'd love to hear about your meditation ritual!  SUBSCRIBE, LEAVE A REVIEW + TAKE OUR SURVEY SUBSCRIBE so you don't miss a single episode. Consistency is the KEY to a successful meditation ritual. SHARE the podcast with someone who could use a little extra support. I'd be honored if you left me a podcast review. If you do, please email me at Mary@sipandom.com and let me know a little about yourself and how meditation has helped you. I'd love to share your journey to inspire fellow meditators on the podcast! SURVEY: Help us get to know more about how best to serve you by taking our demographics survey: https://survey.libsyn.com/thedailymeditationpodcast FOR DAILY EXTRA SUPPORT OUTSIDE THE PODCAST Each day's meditation techniques posted at: sip.and.om Instagram https://www.instagram.com/sip.and.om/ sip and om Facebook https://www.facebook.com/SipandOm/ A DIFFERENT MEDITATION TECHNIQUE EVERY DAY FOCUSED ON A WEEKLY THEME: Get ready for an exciting journey with a new meditation technique daily, perfectly tailored to the week's theme! Infuse these powerful practices into the most stressful moments of your day to master difficult emotions. These dynamic techniques will help you tame the "monkey mind," keeping your thoughts from interrupting your meditation and bringing peace and focus to your life. FREE TOOLS: For free meditation tools to help you meditate please head over to my website at www.SipandOm.com, and there you'll find free resources to help you on your Meditation Journey. Enjoy access to more than 3,000 guided meditations without ads on the Sip and Om app. Try it for 7 days of free access to the full app! Listen on iTunes for 1-Week Free! https://itunes.apple.com/us/app/sip-and-om/id1216664612?platform=iphone&preserveScrollPosition=true#platform/iphone   1-week Free Access to the Android app! https://play.google.com/store/apps/details?id=com.sipandom.sipandom   ***All meditations are Mary Meckley's original copyrighted content unless otherwise stated, and may not be shared without her written permission.   RESOURCES Music composed by Christopher Lloyd Clark licensed by RoyaltyFreeMusic.com, and also by musician Greg Keller.   I'D LOVE TO HEAR FROM YOU I'd love your feedback! Please let me know how you're enjoying the meditations by leaving me a review on iTunes.   **All of the information shared on this podcast is for your enjoyment only. Please don't consider the meditation techniques, herbal tea information, or other information shared by Mary Meckley or any of her guests as a replacement for any medical or psychological treatment. That being said, please enjoy any peace, energy, or clarity you may experience as you meditate.  

Story at-a-glance New data from the largest clinical trial on this topic shows no improvement in symptoms, hospitalizations, or survival with fluid restriction in chronic heart failure patients Patients who drank more than the advised limit of 1,500 ml had no higher risk of death, hospitalization, kidney injury, or emergency interventions Fluid-restricted patients reported much higher thirst distress, which contributes to stress hormone release, reduced treatment compliance, and increased emotional strain Over-restricting both water and salt leads to dangerously low sodium levels, while getting enough potassium helps your kidneys manage hydration and prevent harmful fluid buildup Researchers recommend giving fluid goals based on your symptoms, medications, and how you feel — this allows you more control and fewer restrictions