Podcasts about patients

The Nurses Report on America Out Loud with Kimberly Overton, BSN, RN, BC-FMP – Nurses are taught from the very beginning of their careers that patient advocacy is one of their highest responsibilities. We are expected to speak up when something doesn't seem right, question unsafe practices, and always put the patient's well-being first. But what happens when raising those concerns creates conflict?

Kiera and Kristy share tips on having financial conversations with patients, including the type of mindset to adopt so it's not so intimidating, key language to use to get everyone on the same page, the power of a litmus test, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review       Kiera (00:00) Hello, Dental A Team   listeners. This is Kiera, and today's a lucky day. I'm so excited. I get one of my faves podcasting with me today. I get the one and only Kristy Treasure. If you don't know Kristy, she's one of our dynamite consultants and she just drives offices to success faster than most people I've ever met. She's absolutely dynamite. And today we're gonna be talking about how to have financial conversations with patients. This is right up her alley. Things she's obsessed about talking about. Kristy, welcome to the show. How are you today?   DAT- Kristy (00:26) Good, thank you. Pleasure pleasure to be here.   Kiera (00:29) I love it. Kristy, it's so fun to talk. You love talking all things money, numbers, metrics. Like that's your jam. How did you even get into numbers and metrics, Kristy? Like, walk us through for those of you who don't know Kristy, she was an office manager. She's been like every position in the practice. She grew this exponentially large practice. But for some reason, her niche is numbers. So, Kristy, how did you get into numbers? Like, why are you this like obsessive woman about numbers? How did that like passion and obsession come to be for you?   DAT- Kristy (00:56) It's so funny. I think at one time I actually thought about getting into accounting, but I never did. Yeah. But in the dental world, you know, really   Kiera (01:02) I could see it, I could see it.   DAT- Kristy (01:07) the numbers are really only a measure of how well we're taking care of our patients and getting them healthy. And so from the dental realm, you know, oral wellness is a passion of mine. Maybe I should have been a hygienist too in a different life. But with that being said, the numbers don't lie. And so   Kiera (01:25) Mm-hmm.   DAT- Kristy (01:26) the you know, being in OM and practice administration, it it was the guide to let me know if we were winning or not. And so it it's not so much about the number, but where is it trending, you know? And so being able sorry, Kiera, being able   Kiera (01:38) Mm-hmm. How do you no, no   DAT- Kristy (01:42) to give that back and have teams know where they stand too, I think is hugely important.   Kiera (01:49) So, how do you get teams on board with this? Like that was gonna be my follow-up when I was about to cut you off. Sorry on that. Like, I agree with you. It's ch it's shell, but how do you get your teams on board? Cause I think this is a common piece and a common like fear of offices is they don't want to tell their teams. They don't want their teams to talk about numbers. Doctors are afraid if teams look at numbers and they're gonna think they want to buy a new boat, which I'm like, go for it, buy the boat, like live your life. But how do you get teams on board to look at these numbers and doctors not to be afraid to share numbers with their with their teams?   DAT- Kristy (02:18) Yeah. I think first and foremost we start out by talking about why did we all get into dentistry? Because usually it's about caring for our patients. And Kiera, I think there's also a misunderstanding that just because a practice may be collecting six million dollars doesn't mean the practice is financially healthy. And so when teams understand there's numbers inside the practice and numbers outside of the practice, I think it helps them   understand and just like they have to manage their finances, you know, what's in the bank? How am I gonna pay my mortgage? Like getting them on board to understand that helps them also drive for the success. And I don't know, you've been in dentistry a long time too. And I truly haven't met a doctor that isn't willing to give back when the practice   Kiera (03:05) Mm-hmm.   DAT- Kristy (03:05) is profitable. So typically, you know, when teams are on board and we're rowing in the same direction for a goal, it's a win win.   Kiera (03:14) Yeah. I hope the doctors heard that. I hope the teams heard that of it is a win-win. It's a good way for us all to get aligned and be on the same page with each other. And like doctors, it is a business at the end of the day. And having a practice and having the numbers tell you, I love numbers because I feel like they're the non-emotional facts of the business. They're able to tell us, are we winning? Are we losing? It's just like a scoreboard in sports. Like it's up on the board. We know if that team is winning or if they're not winning.   and for us not to have like visibility into our business to know are we on track, are we off track? To me feels like what do we do when we're flying blind? Like I can't imagine a sports team like playing against each other and there's no score up on the board. It's just like hoops versus hoops. Like that's fun for a while, but the drive and the like, how do I protect my craft and how do I become a better player? And how do I know if we're actually playing as a team or we're just out here all open? Like those are the ways that you can actually see if you're winning or not. So   Kristy,   I'm gonna pivot us now to financial conversations with patients because it's all things money. We just gave you guys some tips on how you can talk to your teams about this, teams why you need to look at the numbers, how it is a scoreboard of the success of your practice. They don't lie. Every number tells a story, every number t ties to a system of what is broken, what can we improve, how can we improve it? It actually makes like your job easier as a team member because then we're not trying to solve the whole practice. We're just refining based on what the numbers are telling us.   So now pivoting that to patients, I think so many treatment coordinators, doctors, hygienists, like everyone in the practice is so scared to talk money with patients. So Kristy, like let's dig into that. How can people like what is that? Why are people afraid of this? Any tips on how we can have these financial conversations with patients?   DAT- Kristy (04:56) Yeah. I think first and foremost is understanding that, you know, we're in it to get patients healthy. And we   Kiera (05:04) Mm-hmm.   DAT- Kristy (05:04) all understand that if there's active infection going on, it's not gonna get any better than it is today. And so   Kiera (05:12) Right.   DAT- Kristy (05:13) coming from the you know, reframing our brains and coming from the space of taking us back to why we got into dentistry and caring for people, their oral health   equates to their overall health. And if we can get them healthy as quickly as possible, all the better. But I also like to tell my teams, we play the healthcare advocate, but it's always in the patient's hands. So when we can put it back to the patients and say, you know, I'm here for you. And truly this is your journey. You get to be in the driver's seat. And we're going to do this in your timeframe.   And within your budget. It takes that pressure off and it really makes it a relational thing. And we can be the guide to getting them healthy.   Kiera (06:03) That's amazing. And I think Kristy, as you said that, like it's just a reframe, right? Like I think we have the reframe right now. Like you you're telling yourself a story. You're telling yourself a story of, like people have to pay money and it's uncomfortable and they w but there's also another story of we're doing this amazing service and they're paying for a great service, just like Kristy. You used to cut hair. Like people, you give a good haircut, people want to pay you for a great and they even tip you.   Like no one has tipped me in my career for not sucking up their uvula. I would love to have a tip jar. Like you're welcome patients. I didn't suction that up. but like they want to, they want to pay for a service. And I think in dentistry we get kind of weird because like we are in healthcare and when we go to the doctor, but like never once have I ever gone to the doctor and been like, I'm just not gonna pay for it. Like, I know I have a copay, I know I have this.   And so I think for us to reframe it of we've done great dentistry, we've done a great service. People naturally know, like when I go to the grocery store, I buy groceries. When I get my haircut, I pay for my haircut. When I go to the dentist, I pay for my cleaning. I pay for my my care. Like that's what I pay for. And so I I love that you talk about Kristy of like this is just why we're even in dentistry. We did this to get patients back to health. We're here to serve.   I think that there's this space of having confidence in who you are and not being afraid of asking for money. Like it's okay. You did great work. You brought them back to health. Like you did something amazing for them. They are more than happy. It's the gift of reciprocity. And that worked so hard for me. But when we've done something good, people naturally, as a byproduct, want to pay for it. and so helping us, like you said, let's just do a reframe. Like, what if for the next week everybody in our practice just thought like every patient wants to pay us?   Like I promise you, it will be that you've just like activated that and you'll start to see more patients want to pay you. More patients are not having financial conversations of issues with you. It's not a conversation, like they're not rejecting you. They just want like they're just asking questions. And I think we often take those questions as rejection rather like it's confrontation rather than just conversations.   DAT- Kristy (08:11) Yeah, I love that you say that, Kiera. And I tell teams every day, number one, when you take a step back and figure out why are they here, because we all know every single patient walks in and what do they say? I hate coming to the dentist. And I'm thinking to myself, there is nobody standing outside this door with, you know, holding a gun to you saying, You have to go to the dentist. So they're   Kiera (08:32) Mm.   DAT- Kristy (08:33) here for a reason and we just need to figure out what that reason is. People's motivation can be different, you know.   We talk about wellness, longevity, cosmetic, right? And the last one on that list that we tend to shy away from is the cost. But every   Kiera (08:47) Mm-hmm.   DAT- Kristy (08:50) day I tell my teams, it truly doesn't matter if it's 6,000 or 60,000. I know I maybe exaggerated that a little bit, but it's about fitting it in their budget and finding them away. So when you take that pressure off yourself and realize we're tying it back to what they really walked in the door for.   and help them again as that guide to getting what they want. Truly the money is just about finding a way to fit it in their budget. And if we have the tools in our tool belt to do that, it makes it so easy.   Kiera (09:23) Mm-hmm. Well, and like you said, Kristy, it's it's just finding the solution, right? Everything we want in life, we figure it out. We find a way. Like people want to buy a car, so what do they do? They figure out how to pay for it. It's just tying it back to something that they want, need, and deserve. I will throw that like and deserve. I think so many patients don't feel like they deserve, they deserve to have a healthy mouth. They deserve to get this beautiful smile back. And I think actually like   Our   mouths are slightly hidden and they can be hidden. Like you can keep your mouth more closed. You don't have to smile in photos. but the confidence that you have to be able to be unapologetically smiley and to have confidence in your teeth and your smile and your breath and your health and all of that is a gift that I don't think that we realize because in dentistry we just do this day in, day out. but I was the girl who had my smile completely obliterated by someone in my life, and I didn't have that confidence anymore.   And I know what it feels like to be able to speak with confidence and to have my smile perfect and to speak where you don't feel as confident. And I will say that people might give you the push of finance at the top. And I just want to say, like, whenever, like to me, I don't know how you feel, Kristy. To me, objections are just a way for me, like, I haven't educated them enough. And there's just a question. That's all an objection is, is it's just a a a question packaged in a different way. So someone's like, it's cost. I'm like, fantastic. Let's talk about that.   Like, why am I taking this as you don't like me? Like we can make this up all day long, but instead it's just them giving me information. My job is to find the solution with them. There's always a solution. Let's talk about it. And I will promise you, every single one of you listening, and Kristy, you know this just as well as I do, it will never be cheaper or more predictable than it is today. So if it is cost, high five is the best day of your life because we get to make it like the most cost effective we possibly can.   We wait longer in dentistry, it just gets more expensive. That's how it works, that's how it operates. And also, like we lose our options and our our choice the longer we wait. And so let's take care of it now. Let's get it taken care of. And really, like you said, Kristy, they're here at the dentist. Like they chose to come. There's a reason they're here. So I think for us, like, I feel like thinking about cost as an objection is just a pair of sunglasses of a filter you choose to put on. And I'm like, what if I put on the filter of   Every patient wants to say yes to me today. What if I put on the filter of everyone's here and they want to get something done today? What if I put on the filter of everybody has like finances? I'm gonna help them find the way to make this like fit within their budget. I feel we get to choose these pairs of sunglasses, aka filters every day when we walk into the office. And for a lot of you, you might be picking up this like, people don't like insurance, people have this. Like, you're choosing to put on the black sunglasses, the dark gray sunglasses, the brown sunglasses.   Well, there's a whole other pair of sunglasses of yellow and green and pink and purple that are brighter, that are lighter, that are also available for you. And I don't think that that's just like Mary Poppins over here skipping through life. I know it's an actual fact because treatment planning and presenting and talking about finances is 80% the what you think about, 20% skill. It's not   DAT- Kristy (12:31) Yeah.   Kiera (12:31) the reverse. And I think so many people think it's 80% skill, 20% like how you think.   Kristy, break that down. Do you agree with that? 'Cause I do, but that could be Kiera's like la la land over here that I live in.   DAT- Kristy (12:41) Yeah, no, I 1000% agree with you. I'm I'm gonna age myself a little bit here, Kiera, because I remember when I first got into dentistry, crowns were three hundred and eighty-five dollars at the office hours. And yeah, I mean yeah, a hundred percent, right? But   Kiera (12:51) my gosh. It's okay. How much were haircuts, Kristy?   DAT- Kristy (12:59) with that, you know, the same patients that today when you say fifteen hundred dollars for a crown, they said the same thing back then. It's so expensive.   Kiera (13:08) Yep.   DAT- Kristy (13:09) And you said something earlier.   My favorite comeback is you are worth it. You are   Kiera (13:14) Mm-hmm.   DAT- Kristy (13:15) worth it. I I literally maybe only had one person ever tell me, No, I'm not. I'm gonna die tomorrow. But I said, But you're gonna die with a healthy smile, right? And you know, truly people will go spend three thousand dollars on a couch and not bad an eye. So   Kiera (13:29) Mm-hmm.   DAT- Kristy (13:30) when you turn it about them and what they really came in for, what they want, and find that solution to get them.   It it's just a win win and it's so rewarding as a treatment coordinator to have that relationship with the patient because once you do it one time, they come back to you, they look for you, they know your name, they know you're gonna help them get what what they want in the end.   Kiera (13:54) Mm-hmm. You're exactly right. And I think Kristy, like so many people don't realize that they're worth it. And like you said, like people are willing to shell out money left and right. Like it's wild. I don't know if people have seen the memes, they or the reels. They make me giggle when it's like the patient who's asking for the discount and they're driving like all these amazing, like beautiful cars, huge house. And I like to me that just like that cracks the code of our limiting beliefs.   Their beliefs   DAT- Kristy (14:19) Yeah.   Kiera (14:20) that we've chosen to pick up. Like I feel like they're pebbles in my pocket, their beliefs in my pocket. What beliefs am I putting in? Because it's a lot of times like I'm I'm projecting, I'm putting my own assumptions on other people when that's not real. I have a friend going through a pretty severe medical situation and we were talking about it. And one of our other friends was just like a hot mess express. And my friend was like who's going through the actual medical issue, she's like, That friend's projecting on me. Like   I actually don't feel any of that. But that friend saying, like, I'm sure you're so scared, or I'm sure you're so this or that. And she's like, I'm none of those, but she's projecting on me. And I think going into our financial pieces, how many times are we projecting our own limiting beliefs? Like you might think that Starbucks is expensive, but for someone, Starbucks is just part of their daily budget. Like that's that's that's just it's like brushing our teeth. They don't even bat an eye at it. Like you said, they're willing to drop money on a couch, they're willing to do this. It's the value of what people value. And so   For me, it'd be another question of how can you create more value of dentistry? I will tell you as a girl who's had her smile be available and not available, it is one of the greatest gifts you can ever give a patient. And maybe that's why I'm so like passionate about this topic, is because I'm like, I know what that feels like to not feel confident, to not feel like your smile is your own, to not feel comfortable talking to people, to not like I'm modeled for half of my life. Like, you want to believe like.   I I very uncomfortable in my own skin. And so to have that taken away and stripped away is something that I feel we don't if you've never had that taken away from you, you don't even know the gift you're able to give somebody, but I do. And so it's like, let's give that value of the health, like whatever it is. For some people, it's health. For some people, it's guys, I want to look really good in my coffin. Like I'm not gonna lie to you. I am such a vain human. Like I want my teeth to be pretty. I want to look gorgeous. I'd be your 90-year-old, like getting like veneers, braces.   Please don't limit that because you wouldn't pay for it. Like, if that's not your job, but your job is to present it to me. Your job is to find solutions with me. And your job is to help me see the value and what this is. And like Kristy said, to show me that I'm worth it, that I'm deserving of that. And that I agree, Kristy, is the best comeback. Like, no person is going to deny that. And that's probably one of the few places that they've heard that they're worth this treatment. And I also just want to break down like such a limiting belief.   Dentistry, we think is so expensive. Like when you said $1,500, I'm do you want to know how much it is to get Scorpion anti-venom serum? Like that stuff is like, I think it's $10,000 a teeny tiny vial. And you have to have three of those minimum. That's $30,000. That's expensive. Like, let's please put into like the scale of expense. Like medical   DAT- Kristy (17:01) Mm-hmm.   Kiera (17:01) bills are very expensive. $1,500 for a crown that's gonna last you for the next, I don't know, five, 10, 15 years.   That is a very low cost to be able to eat great subsidence for our body. Like, so again, please just please just also put that out there. There's financing options. You can do care credit. You can have other things. Please don't give them a smorgasborg. Like less is more. Let's make decisions very easy for them. Like, are we doing personal savings or do we want to talk financing options? Like, don't project and dump on them. Like let them choose from what it is. Perfect. Let's talk through this. Let's see where we're at. Let's come up with solutions that way you can afford this.   But I'm not going to project that onto them. I'm going to make them ask the questions. And I'm going to assume that they freaking just want dentistry done. Like, why not assume that? Like, I know this sounds so silly and Kristy and I are having a good giggle over here. But Kristy, I really think it's that black and white. Like you said, no one forces person to come to the dentist. They're at the dentist. They clearly want something done. Let's just find the solution to help them get it done. And to be confident and to assume they want to do that, finding the solutions, building the value, teaching them that they are worth it.   And   then putting on those sunglasses of those filters of that you're able you're able to get the dentistry done and let's just find the solution together. Those are my thoughts, Kristy. What are yours? I know this is my rant.   DAT- Kristy (18:17) Yeah, I agree with you, Kiera.   Yeah. I 100% agree with you. And I also challenge people to start at the comprehensive level. Cause many times we tap our patients out. We we say, we're gonna scare them with the number. We don't wanna like show everything up front. And we'll just find a financial solution for this first phase. Sometimes you tap them out and they never come back for the rest. So again, if we put our advocate hat on and we go with the intent, like   purely in our heart. Our intent is to get you healthy and well. If you start at the hole, you can always go backward, but it's really hard to start with one tooth or one procedure and then go up comprehensively. I'll never forget, Kiera, the day I had a elderly lady come up and tell me about her fixed budget. I'm sure we've all heard those, right? And she had to have four   Kiera (19:07) Yes.   DAT- Kristy (19:09) crowns, one in every quadrant. And I was like, boy, how am I gonna fit this in $200 a month?   And you know, in the long run, I would have been better to find a solution to fix all four than to just start with the broken one. Because literally one month later, after we found the solution for the one, all I was doing was eating bread. Kristy and I was like, gosh, what am I gonna do? It's gonna be another payment,   Kiera (19:31) Mm.   DAT- Kristy (19:34) you know? So I also challenge people start at the hole and work backward. Cause again   As a advocate, our job is to help them get healthy. And if we can do it quicker, why would we not? You know, then   Kiera (19:49) Mm-hmm.   DAT- Kristy (19:49) then we've achieved and I always like to use a litmus test. What's best for the practice, best for the patient? If you can answer   Kiera (19:55) Mm-hmm. I agree.   DAT- Kristy (19:56) yes to that, we've done well.   Kiera (19:58) Mm-hmm. And I think people often get a little funny on that. And they think, like, if it's best for the practice, then it's not best for the patient. And I'm like, no, there is a world where it's both. It's an and, not an or. It's best for both of us. It's best for each other. And I just I agree with you, Kristy. I throw this out of I do believe it's our moral obligation to tell patients really what's going on, not what we think   DAT- Kristy (20:20) Mm-hmm.   Kiera (20:20) they want to hear. Like I would be so angry, and I am still angry. Do you know how many hygienists never offered me fluoride?   Like I'm still angry about it to this day because I'm like, that's the most proactive preventative thing that I can ever do for my mouth. And you chose because you didn't think I'd want it or you was afraid to talk money to me, that you never offered it to me. Like, how many other times do we just not offer to people that we don't tell them what's really going on? Like you said, give them the comprehensive plan. Now, with that said, dentists, when you're doing a comprehensive plan, please don't   Don't talk so many words that they get lost. And there's there's an art of being comprehensive and using it in patient jargon that they can understand. So being very clear of perfect, here's everything going on. Your next visit's going to be this. This is when I want to see you back. Like this is the whole plan for treatment coordinators. Here's the whole plan. We're going to start with phase one. We're going to schedule out phase one, phase two, phase three, phase four. Like, let's make it very simple for them. Please don't get into the like.   All right, we're gonna do like seven crowns and it's gonna take 17 hours. Like they they don't need to know all that. They just need to know like where do we start? What's what does what does complete look like? also when they know about what the total is going to be, but also that we're able to break it down if they need to. Like, let's break it down. We're we're gonna do this in chunks. I do the same thing with implants, like our implants are 25, 70 grand. Like we have an office that does 150,000 per like full mouth, so it's 75,000 per arch.   some of you might be listening, like, my gosh, like, yes, guys, this is real. Like they really can do this. And they really do. And they have several patients that say yes to them. Again, I think it's your value. I think it's your confidence. I want people to realize they're buying your confidence. So you being confident in your treatment planning where you're doing it out of moral obligation and what's ultimately best for the patient. Patients trust, they believe, and they know you're genuine. That's how this doctor's able to charge 75 grand per arch for doing it.   He's a phenomenal dentist. Like I would trust him too. I'd pay for him over several others that are much cheaper than him. People, there are some that want to go for the cheapest. but I think that most people, when they look at their mouths, they recognize that it is an investment. They recognize that it is a and I think if you can present it that way and you can show them that this is long term preventative for you and it's long term care for you. I think people are able to see that. It's much better than even like your couch analogy. Couches like wear out.   And you have to replace them. Your teeth do   DAT- Kristy (22:42) Sure.   Kiera (22:43) wear out, but they have a lot longer lifespan on them than others. So, Kristy, I think it's a brilliant way to talk about comprehensive as well.   DAT- Kristy (22:50) thank you. And you know, true truly, Kiera, it it is an investment in their health. And I hope that and I challenge people to even speak that way, you know, use use power words instead of out of pocket. And I always share with my teams, like I literally see a guy with his pocket hanging out. Like   Kiera (23:07) Right.   DAT- Kristy (23:08) you're sending a negative connotation. Say, you know, and and the total is this.   Kiera (23:14) Mm-hmm.   DAT- Kristy (23:15) It's an investment into your health, you know.   Kiera (23:17) Mm-hmm.   DAT- Kristy (23:18) And   I'm here to find a solution with you. So I I love it. It it definitely is a passion. And like I said, when you can meet the patient where they are, find what they want and tie it back, it's always a win. I was gonna share with you when you were talking earlier, you and people don't forget about the cosmetic things, just like the fluoride. I'm with you, Kiera. I don't have a problem with decay, but if they don't offer me, I'm not coming back because I feel like you haven't really treated me, you know. But I was   Kiera (23:46) Mm-hmm.   DAT- Kristy (23:47) gonna share.   My mother-in-law, she was playing cards and she had always come to the office that I worked at. And and one day she left and came back for the hygienist because she loved the hygienist. And doctor comes in my office like, and I'm like, What? You never offered, you never asked her. She had this bright, sparkly front bridge, and nobody ever stopped, even when they got her healthy, to say, Hey, what you're doing at home's great. Now's the time to ask.   Is there anything you'd like to change about the shape, size, and color for your teeth? So going back to what you said, it's our job to share the possibilities. And again, it takes the pressure off of us because the patient's always in the driver's seat. They get to say   Kiera (24:30) Mm-hmm.   DAT- Kristy (24:30) yes or no. And it's okay.   Kiera (24:32) Mm-hmm. Kristy, I love that. I love that it's why are we not sharing more? I think people are so afraid that you're going to overwhelm. And I'm like, whatever you think is what people will feel. So if you think you're   DAT- Kristy (24:43) Mm-hmm.   Kiera (24:44) going to overwhelm them, you're going to overwhelm them. If you think you're pushing on them, you're going to. There is another pair of sunglasses, aka filter, if you want to. Like Kristy said, like, give them the options. Do you know how many people I wish would just fix my lateral for me? Like now, all of you are going to look at it. Don't worry. I'm taking contributions. You want to like.   Fix my ortho for me. I will happily be your patient. No one talks to me about it. Cause they assume Kiera's teeth are beautiful. She works in dentistry. I do love my teeth, but I would love to just do a slight correction on that, but no one asks. And so again, like talking to them about possibilities, just letting them know like patients in the driver's seat, they don't have to, but if they never know what it is, right? To me, it's almost like dreams and goals and and big ideas.   The reason we achieve things is because we've seen them from someone else. We've seen that someone has the house or the car or the life or the kids or the nanny or the healthy fitness or the whatever it is. We've all seen somebody that has it and therefore we want to achieve it. If we don't even know it exists and we don't know it's a possibility, guess what? They'll be talking to their friends and then they come back and they're like, Dr. Johns did my like whole mouth. And you're like, Well, we do that too. You didn't choose to share. So when it comes to finances, when it comes to talking these things, I think my whole overarching thing is like,   Let's put on the filters and assume the best. Let's share with people. Kristy, it was absolutely a fantastic podcast. There were so many nuggets in here. Kristy, you're so easy for me to podcast with because you and I just have so much passion for it. So we just rally. But Kristy, I just want to say thank you for sharing your perspectives. And I hope everybody picks up one or two nuggets, one or two perspectives, one or two beliefs, and you implement today. You can sit here all day long. You might have heard this before, but you can pick up one of these tools, try it out today, try it on for size, like get a little uncomfortable in the in the new realm.   And try it out because I promise you, those patients need you, they're coming to you, they trust you, and you have a moral obligation to help and serve them. Kristy, any last thoughts as we wrap up today?   DAT- Kristy (26:35) No, the only thing I say is please share your wins. We want to hear your stories.   Kiera (26:39) Absolutely.   Reach out Hello@TheDentalATeam.com if you need help getting your team on board. Kristy's a freaking dynamite, amazing at doing this. Our consulting team is absolutely incredible. So reach out Hello@TheDentalATeam.com. As always, thank you, Kristy. Thank you all. Thanks for listening. And I'll catch you next time on the Dental A Team Podcast.  

Hour 1 (9.02) Timmy kicks off Wednesday with news of a 150-acre wildfire burning in San Juan Capistrano, taking shots at Orange County transplants who never want to move back to LA, and noting that, unlike LA County, at least OC has fire trucks that work. Andy Riesmeyer reports on the latest on "Hooters: The Movie," because of course that’s happening. With the 2028 Summer Olympics just two years away, Timmy doesn’t think LA is ready: The Olympic Committee wants an exclusive roadway network that could turn Sunset Boulevard into a permit-only zone for weeks, giving athletes, coaches, and officials the streets while locals risk $300 fines. Timmy even flashes back to driving a limo during the 1984 Olympics. The hour closes on a serious Orange County story — Laguna Beach is set to lose its only emergency room after officials cite a $350 million seismic retrofit, and Timmy warns that closing that ER will cost lives unless the community fights to keep it open. #Hootersthemovie #TimConwayJr #SanJuanCapistranofire #OrangeCounty #LACounty #AndyRiesmeyer #Hooters #SummerOlympics #LA28 #OlympicCommittee #KTLA #KFI #SunsetBoulevard #1984Olympics #exclusiveroadwaynetworks #LagunaBeachhospital #retrofit See omnystudio.com/listener for privacy information.

In 1971, the National Cancer Act transformed cancer into a national research priority. More than 50 years later, the next frontier is no longer defined solely by scientific discovery, but by how quickly knowledge, lived experience, and patient voices can reshape healthcare itself.The concluding chapter of The Cancer Mavericks: A History of Survivorship explores how the cancer advocacy movement continues to evolve in an era of digital communities, social media, precision medicine, and grassroots activism. Building on the work of pioneers such as Mary Lasker, Rose Kushner, and the generations of survivors who followed, today's advocates are expanding the movement beyond awareness to demand health equity, trusted information, patient-centered research, and meaningful representation in healthcare decision-making.The episode examines how technology has transformed advocacy from local support groups into global communities capable of organizing in real time. Researchers, policymakers, nonprofit leaders, and survivors reflect on the growing influence of digital storytelling, online education, and peer-to-peer networks that connect patients across diagnoses, generations, and geographic boundaries. At the same time, they acknowledge new responsibilities: ensuring accurate medical information, combating misinformation, protecting trust, and keeping patients at the center of innovation.The story also looks ahead to the next generation of advocates. Young leaders are applying lessons learned from decades of cancer activism while drawing inspiration from broader movements for social justice, public health, and community organizing. Their work reflects a simple but enduring truth: meaningful change rarely begins inside institutions. It begins when ordinary people refuse to accept that the system cannot improve.Cancer survivorship has never been a finished story. Every generation inherits the progress achieved by those who came before while confronting challenges uniquely its own. The future of survivorship will be shaped not only by scientific breakthroughs, but by those willing to listen, organize, educate, and ensure that every patient's voice helps define what comes next.RELATED LINKSNational Cancer Institute⁠Cancer Moonshot⁠Centers for Disease Control and Prevention | Division of Cancer Prevention and Control⁠HopeLab⁠Tigerlily Foundation⁠Stupid Cancer⁠FEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Some organizations run at the speed of the crisis in front of them. Others play a long game measured in decades. The Student Press Law Center does both at once, and Gary Green has spent the last year making sure his small but mighty team knows exactly how.Gary is the executive director of the Student Press Law Center, which since 1974 has managed the hotline that a student journalist calls when someone with authority wants a story to go away — and censorship has been the leading reason for those calls ever since. Last year alone, students and their advisers reached out nearly a thousand times, from across 46 states, with calls up more than 42% in two years. Gary will tell you he could hire ten more people and still be redlining, given the increased demand in student press legal services.So he did something that sounds backward in a moment like this one. Last year, he slowed the organization down. Over the better part of a year, SPLC asked students, advisers, board members, and funders what they actually needed, and turned those answers into a three-year strategic plan called To Our Future, built to stay nimble in a landscape no one can predict five years out.The phrase that anchors this conversation isn't in the strategic plan, though. It's one Carrie brings to it: patient urgency. It's what it takes to answer today's hotline crisis while quietly working, state by state, toward student press freedom laws in all fifty — a New Voices movement that, as Gary says, may take another fifty years to finish.Underneath all of it is a promise Gary makes plainly: SPLC turns no one away. Every student journalist, every call. That matters more than ever now that students working through news-academic partnerships filed more than 44,000 local stories last year — in many communities, the only account of the county commission or the school board that exists anywhere. Plenty of those newsrooms have had SPLC's number for decades.This conversation is about everyone else: the newsrooms that have never heard of it, and have no idea there's been someone standing beside them all along. (00:00) - Welcome to Mission Forward (09:19) - The Strategic Planning Process (21:25) - Patient Urgency (28:04) - Hope (30:21) - Get Involved

Leave an Amazon Rating or Review for my New York Times Bestselling book, Make Money Easy! Check out the full episode: https://greatness.lnk.to/1972DM Trauma, anxiety, thyroid issues, hormones can all fragment your focus, but that's not the same as ADHD. Dr. Sasha Hamdani shares that the real tell is a lifelong pattern starting in childhood, not just a rough patch or a stressful season. The original ADHD data came from hyperactive young boys, so the criteria still misses so many other presentations. Europe added emotional regulation to the ADHD criteria back in 2019. The US still hasn't. You can't observe emotional turbulence on a chart, so doctors label it anxiety or depression instead. Patients show up on their 10th antidepressant, still exhausted, still unseen, finally asking if it's actually ADHD. One doctor told a patient they couldn't even discuss ADHD until the anxiety and depression were under control first. That's the trap. Sign up for the Greatness newsletter: http://www.greatness.com/newsletter Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

How the 340B Drug Discount Program Quietly Raises Costs for Self-Insured Employers. Episode 527. Why should a self-insured employer care about the 340B charity program? That's the single question Stacey Richter puts to Shawn Gremminger, president and CEO of the National Alliance of Healthcare Purchaser Coalitions, in this episode—and his answer traces four ways the $68 billion program quietly drives up what employers and plan sponsors pay for drugs and medical care. From supercharged hospital consolidation to disappearing PBM rebates, Gremminger lays out why 340B, once treated as a niche topic, now sits squarely at the center of the drug pricing debate. WHAT YOU'LL LEARN ✅ Why 340B—now the second-largest drug purchasing program in the country at roughly $68 billion a year—matters directly to self-insured employers, not just to pharma and hospitals ✅ How 340B-driven hospital consolidation pushes up prices for all services, not just drugs, since hospital spend typically makes up 55–58% of total employer health plan costs ✅ Why 340B hospitals tend to mark up drugs even more aggressively than non-340B hospitals, and why 340B clinics disproportionately prescribe higher-priced drugs over cheaper alternatives ✅ How the Inflation Reduction Act's drug price caps are reportedly pushing some 340B entities to nonmedically switch patients toward non-IRA, higher-margin drugs ✅ Why employers lose access to PBM-negotiated rebates entirely whenever a drug is purchased through the 340B channel instead of the traditional channel ✅ Why Shawn Gremminger argues employers, purchasers, and policymakers need to stop treating 340B as a separate, carved-out issue from the broader drug pricing debate WHY THIS MATTERS Hospital spend already makes up more than half of a typical self-insured employer's healthcare costs, and 340B's distortions—inflated markups, prescribing skewed toward higher-priced drugs, and vanishing rebates—flow straight into that spend. A recent study found that for every point increase in hospital prices, non-healthcare employers respond by cutting payroll and jobs for middle-class workers. As 340B has grown from a niche $5–10 billion program into a $68 billion one, treating it as someone else's problem is no longer an option for anyone trying to understand or control drug pricing. MENTIONED IN THIS EPISODE Article: Brian Reid's Cost Curve Weekend newsletter, on pharma-hospital data-requirement lawsuits LinkedIn Post by Peter Hayes Article: "Reforming 340B to Serve the Interests of Patients, Not Institutions," by Anthony DiGiorgio, DO, MHA Article: "How a Company Makes Millions Off a Hospital Program Meant to Help the Poor," New York Times EP448 (Part 1 and Part 2) with Shawn Gremminger: Apple Podcasts | Spotify | Other Apps Study: Zack Cooper, PhD, on rising healthcare prices driving unemployment and job losses LinkedIn Post by Shawn Gremminger === LINKS ===

That split second after a patient asks “Can't you just fill it?” can quietly decide the whole case. If you hesitate, even with good intentions, you can accidentally turn your best clinical recommendation into an “upgrade” and make the compromised option feel like the default. We dig into why that happens and how to communicate treatment plans with calm confidence, so your patients feel informed instead of sold. We unpack the difference between what you technically could do and what you would actually recommend, using a simple analogy that makes the point stick. From crown vs filling conversations to new patient exams, we talk about the trap of negotiating against your own diagnosis, and why trying to keep everyone happy can chip away at your authority, your case acceptance, and your enjoyment of dentistry. We also get practical about objections. “Just a filling” is often a placeholder for something else: fear, mistrust, confusion, low perceived value, or money. You'll hear how to stop diagnosing the patient's wallet, ask better questions, and give real patient autonomy by presenting the ideal plan clearly, then letting them choose with full understanding of risks, benefits, and alternatives. If you want better communication, stronger trust, and a practice that runs smoother without you feeling slimy, this is for you. Subscribe for more dentistry practice management strategies, share this with a dentist who needs it, and leave a quick review so more practice owners can find the show.Join Us at our Upcoming Retreat October 2nd and 3rd.  Click Here to Register If you are ready to increase your new patients and start growing your practice, visit www.relevanceonlinemarketing.com and see what you've been missing with your current company. Take Control of Your Practice and Your LifeWe help dentists take more time off while making more money through systematization, team empowerment, and creating leadership teams.Ready to build a practice that works for you? Visit www.DentalPracticeHeroes.com to learn more.

This week, we feature new research on acute myeloid leukemia, achondroplasia, pediatric septic shock, and RAS-mutant lung cancer. We also review the evaluation and management of pulmonary nodules and follow a diagnostic case of recurrent fractures. Perspectives explore reproductive health care, the human–animal bond in health care access, and on creating space for patients' voices in clinical decision making.

In this episode, Ezekiel Emanuel, MD, PhD, Architect, ACA, and Miriam Paramore, Health Tech CEO of RxUtility, discuss strategies to make prescription drugs more affordable, including generic drug access, price transparency, PBM reform and direct-to-consumer pricing. They also explore how healthcare can reduce administrative complexity while improving access, adherence and outcomes.

Healthcare marketing has had a caregiver persona for fifteen years. She was worried, researching options, wanting a second opinion. That was a fair description of the job in 2010. Today most family caregivers help with bathing, dressing and mobility, and many now handle injections, wound care, catheters and oxygen equipment at home. Eleven percent were trained for any of it. Chris Boyer and Reed Smith open on new research projecting how much bigger this population gets by 2040, and on why the explanation everyone reaches for turns out to be wrong. The rest of the first half is about why none of this reaches anyone's numbers. One caregiver arrives in a health system as three unlinked records. The one tool built to let her in goes unmarketed and almost unused, and the workaround hospital staff recommend instead would get a marketer fired. Then Chris turns to why every fix built for her quietly stops working around week three. Jessica Hulter and Lamarque Polvado of CareStarter built software that asked a clinic checkout desk for sixty seconds. Staff used it for two weeks, then stopped, and nobody could make them start again. What they did in response put the human somewhere other than where healthcare usually puts her, and Jessica is that human. If your organization has a caregiver persona, go find out what year the data underneath it came from. Healthcare's Long Walk Toward the Patient, the free eBook marking 500 episodes: https://www.touchpointpodcastbook.com The Future Availability of Family Caregivers: Implications for Late-Life Care Gaps, Population Research and Policy Review, volume 45, article 33, published online June 1 2026. Pairs the National Health and Aging Trends Study with kinship projections through 2040: https://link.springer.com/article/10.1007/s11113-026-10016-4 AARP Public Policy Institute, The Aging of the Baby Boom and the Growing Care Gap, 2013. Source of the caregiver support ratio, 6.6 in 1990, 7.2 in 2010, projected near 4 by 2030: https://www.aarp.org/content/dam/aarp/research/public_policy_institute/ltc/2013/baby-boom-and-the-growing-care-gap-insight-AARP-ppi-ltc.pdf AARP and the National Alliance for Caregiving, Caregiving in the US 2025. Fielded in 2024, published July 2025, 6,858 family caregivers on a nationally representative online survey: https://www.caregivingintheus.org/wp-content/uploads/2026/03/caregiving-in-us-2025.doi_.10.26419-2fppi.00373.001.pdf Security and Privacy Risks Associated With Adult Patient Portal Accounts in US Hospitals, JAMA Network Open, 2020. Survey of 102 US hospitals on proxy account availability: https://pubmed.ncbi.nlm.nih.gov/32364562/ Administrative burden as an organizational design problem, narrative review, The Healthcare Executive, August 2026. Source of the argument that burden work moves rather than disappears: https://www.thehealthcareexecutive.net/article/operations-quality-safety/administrative-burden-workflow-redesign-hospitals/ CareStarter: https://carestarter.co PIC6, the innovation unit: https://pic6.co PCSI, whose mission is to enhance the lives of people with disabilities: https://www.pcsi.org Jessica Hulter on LinkedIn, where she invited listeners to reach out directly: https://www.linkedin.com/in/jessica-hulter/ AFWERX, the Air Force innovation arm whose SBIR program funded the Travis Air Force Base work: https://afwerx.com/ Exceptional Family Member Program, Military OneSource overview: https://www.militaryonesource.mil/family-relationships/special-needs/exceptional-family-member-program/ GAO-18-348, DoD Should Improve Its Oversight of the Exceptional Family Member Program, May 2018: https://www.gao.gov/products/gao-18-348 Montclair Police Department cargo theft investigation, two pickups about an hour apart on August 17 at the Anheuser-Busch distribution center on Brooks Street in Montclair California, roughly $70,000 in product including about 40,000 pounds of Pabst Blue Ribbon. Pabst posted a reward and a return deadline on Instagram: https://ktla.com/news/california/40000-pounds-of-pabst-blue-ribbon-stolen-in-massive-california-beer-heist/ TP499, "The Experience Ends Where the Bill Begins," the Cassandra Skinner episode Chris calls back to on what looks like noncompliance TP482, "The Pilot That Never Graduates," the episode Chris calls back to on initiatives that never survive past the trial Reed Smith on LinkedIn: https://www.linkedin.com/in/reedtsmith/ Chris Boyer on LinkedIn: https://www.linkedin.com/in/chrisboyer/ Chris Boyer website: http://www.christopherboyer.com/ Chris Boyer on BlueSky: https://bsky.app/profile/chrisboyer.bsky.social Reed Smith on BlueSky: https://bsky.app/profile/reedsmith.bsky.social Recommendations from this episode: Chris: Ted Lasso season four on Apple TV+. Ten episodes, premiered August 5 2026 with new episodes weekly on Wednesdays through October 7. Jason Sudeikis, Hannah Waddingham, Juno Temple, Brett Goldstein and Brendan Hunt return, with Ted taking over AFC Richmond's second division women's team Reed: College football, and SEC Shorts, the weekly comedy sketch series on YouTube and Instagram that plays off the prior weekend's SEC results: https://www.youtube.com/@SECShorts MENTIONS FROM THE SHOW Learn more about your ad choices. Visit megaphone.fm/adchoices

This week on the 5BytesPodcast, we cover claims that a staggering 284 million records were stolen in a cyberattack on healthcare giant McKesson, while Meta's ambitious plans to reshape its workforce around AI reportedly ran into trouble. We also discuss Meta testing robots inside its data centres, critical ServiceNow vulnerabilities, a new PowerShell-based attack technique, Microsoft's latest Windows headaches, Tim Cook stepping down as Apple CEO, and much more. Reference Links: https://www.rorymon.com/blog/metas-ai-overhaul-stumbles-284-million-patient-records-allegedly-stolen/

Send us Fan MailAn 11-year-old looks a microphone in the face and calmly explains ulcerative colitis, colonoscopies, and anxiety like it's a skill she's been training for. Penny joins us live to share what diagnosis felt like in fourth grade, what she's learned about still living a full life, and why the prep can be harder than the procedure. Her honesty about nausea, fear of vomiting, and the way anxious thoughts snowball will sound painfully familiar to a lot of people with inflammatory bowel disease.We're also joined by Penny's mom, Sonia, a registered dietitian with digestive health training and an eating disorder specialty. We talk about food labels, restaurant unknowns, and finding a healthy balance that protects both the gut and the mind. Sonia shares what it's like to be both a clinician and a parent, how mental health support helps, and what it took to advocate for the right testing and the right IBD specialist.Then, still live from the Focus GI conference, we sit down with Grishelda and Rony Valme. Roni is a GI nurse, a creative on the conference media team, and an IBD patient himself. He tells his diagnosis story, breaks down how urgency reshapes travel, and gives the most practical “where do I go” bathroom advice you'll hear all week. We also dig into a message every new GI provider needs: believe patients, even when scopes and labs don't match the symptoms.If you want real-world ulcerative colitis and Crohn's disease coping strategies, patient-to-provider empathy, and practical IBD travel tips, hit play. Subscribe, leave a review, and share this with someone who needs to feel less alone.Links: FOCUS GIRony and Grishelda Valme's business!- Valme Photography and DesignSonia's practice- Colibri Nutrition TherapyLet's get social!!Follow us on Instagram!Follow us on Facebook!Follow us on Twitter!

Harm reduction approaches are well-established public health interventions that can reduce mortality associated with substance use. Concepts related to harm reduction and overdose prevention have been virtually absent in the nursing education literature. This study by Dr. Brayden Kameg and colleagues evaluated changes in nursing students' perceptions toward people who use drugs and knowledge, beliefs, and attitudes about overdose prevention following an opioid overdose prevention workshop using simulation. A total of 569 students participated in the workshop. Competence and readiness to manage an overdose increased among participants (P < .01).

This week, we're revisiting a previous conversation with Megan Kamm, Senior Vice President of Client Delivery, and Josh Schroeder, Vice President of Site & Field Operations, to discuss how strong planning, site partnerships, and cross-functional collaboration drive successful trial execution. From feasibility and study startup to patient-centered decision-making, biometrics strategy, and global expansion, they share insights into the operational challenges—and opportunities—behind bringing innovative therapies to patients faster.   01:18 Megan Kamm and Josh Schroeder discuss how their expanded leadership roles have created new opportunities to collaborate across functions and support trial delivery. 03:12 The conversation explores the early decisions that shape trial success, from feasibility planning to selecting the right sites and regions.  04:22 Megan explains how site engagement and thoughtful study design help reduce burden and support successful trial execution. 05:28 Josh and Megan share how project teams, CRAs, and other functions work together to keep studies running smoothly. 06:15 The discussion highlights common challenges during study startup and how proactive planning can reduce delays and enrollment risks. 10:23 Josh and Megan provide examples of how strong collaboration helped accelerate enrollment and deliver data more efficiently. 12:32 Megan discusses how biometrics teams contribute from protocol development through data analysis, helping guide study strategy.  13:32 Josh explains how endpoint priorities and statistical planning influence monitoring strategies throughout a trial. 14:43 The conversation turns to leadership, focusing on training, alignment, and consistent decision-making across global teams. 16:02 Megan and Josh reflect on what sets CTI apart, highlighting a culture centered on patients and collaboration.  18:26 The discussion looks at the future of clinical research, including advances in technology, AI, and trial operations. 20:32 Josh shares insights into CTI's growth in China and the operational considerations that come with expanding into the region.

Stephanie A. Robinson, PhD, and Renda Soylemez Wiener, MD, MPH, join CHEST® Journal Podcast Moderator Alice Gallo De Moraes, MD, FCCP, to discuss their research into how the method of shared decision-making, in-person or telehealth, affects patients' perceptions of quality of shared decision-making for lung cancer screening. DOI: 10.1016/j.chest.2026.03.034 Disclaimer: The purpose of this activity is to expand the reach of CHEST content through awareness, critique, and discussion. All articles have undergone peer review for methodologic rigor and audience relevance. Any views asserted are those of the speakers and are not endorsed by CHEST. Listeners should be aware that speakers' opinions may vary and are advised to read the full corresponding journal article(s) for complete context. This content should not be used as a basis for medical advice or treatment, nor should it substitute the judgment used by clinicians in the practice of evidence-based medicine. 

Too busy to read the Lens? Listen to our weekly summary here! In this week's issueChildren with neurodevelopmental disorders may have a higher risk of amblyopia, strabismus, and myopia.IOP stress testing may predict glaucoma progression.Patients with metastatic melanoma had a higher risk of developing noninfectious uveitis.

OSF St. Luke Discusses Mobile Primary Care, Community Outreach, and Hog Days on Wake Up Tri-Counties Samantha Rux talks about OSF OnCall Primary Care on the Go, upcoming community events, and her favorite Hog Days food. Samantha Rux of OSF St. Luke Medical Center recently joined Ken Peele on Wake Up Tri-Counties to discuss a new mobile healthcare initiative from OSF OnCall, community outreach, and the upcoming Hog Days celebration. Rux explained that OSF OnCall, the digital health arm of OSF HealthCare, has been working to transform healthcare access, particularly in rural and underserved communities. Many residents in the area are already familiar with the OSF OnCall King Caravan, a mobile health clinic that serves Henry County and regularly appears at community events. Depending on the available mission partners, the caravan can offer a variety of services, including healthcare navigation and visits with an advanced practice provider. However, Rux said OSF OnCall has recently launched a new concept designed to provide greater consistency in primary care: OSF OnCall Primary Care on the Go. Bringing Primary Care Directly to Communities The new mobile clinic is designed to provide a primary care experience similar to what patients would receive at a traditional brick-and-mortar office—except the clinic can travel to underserved areas. The program is initially launching in the Rockford area, with several permanent stops planned on the city's west side. An advanced practice provider will be available at the mobile clinic, with services including Preventative care Chronic disease management Wellness visits Treatment for common illnesses Lab draws EKGs Other primary care services Rux explained that one of the major differences between Primary Care on the Go and the King Caravan is consistency. While services on the King Caravan can vary depending on the event and mission partners available, Primary Care on the Go is designed around a regular schedule and consistent primary care services. Patients will be able to establish care and schedule appointments, with billing and insurance handled similarly to a traditional primary care office. The mobile service is scheduled to launch August 17th. Those interested in using the service can find clinic locations, schedules, and appointment availability through OSF MyChart and the OSF OnCall website once the service launches. Potential Expansion Rux said the program currently has three permanent stops in the Rockford area, but OSF hopes to expand the service as the program grows. Another potential opportunity is bringing the mobile clinics directly to employers and major manufacturing facilities. Rux noted that people often struggle to find time for routine healthcare appointments between work and responsibilities at home. Having primary care available at or near a workplace could make it easier for employees to receive care without taking significant time away from work. No specific timeline has been announced for expansion into other communities, but Rux said she expects the program could grow quickly if it demonstrates strong results and helps patients who have struggled to access healthcare. OSF St. Luke Preparing for Hog Days The conversation also turned toward Hog Days, one of Kewanee's biggest community celebrations. OSF St. Luke Medical Center is a major sponsor of the Hog Days Stampede, and the OSF OnCall King Caravan will also be present during the festivities. Rux said OSF St. Luke enjoys being involved in Hog Days and getting out into the community to show its support. She also reminded listeners that flu shot season is approaching. Residents can receive flu vaccinations through retail pharmacies or ask about getting a flu shot when making an appointment with their primary care provider.

A Batavia chiropractor accused of secretly filming dozens of patients is expected to enter a plea Thursday.

Seasonal allergies are affecting many people across the area, and Samantha Rux of OSF St. Luke Medical Center recently joined Ken Peele on Wake Up Tri-Counties to discuss allergy prevention, when to seek medical care, and several upcoming OSF community activities. Rux said seasonal allergies can develop at different points in a person's life. Some people experience them as children and eventually grow out of them, while others may not develop noticeable symptoms until adulthood. Common symptoms can include a stuffy or congested nose, itchy eyes, and other irritation caused by allergens in the air. Preventing and Managing Seasonal Allergies Rux emphasized that people who know they suffer from seasonal allergies should be proactive about managing their symptoms. One important step is beginning an antihistamine routine before symptoms become severe, particularly during the spring and fall allergy seasons. Rux noted that medications can take some time to become fully effective. Other steps people can take include: Keeping windows closed when allergens are high Wearing a mask when doing outdoor chores Paying attention to pollen counts Starting allergy medication before symptoms become severe Working with a primary care provider to determine the best treatment Rux also explained that there are many different potential allergens in the air, so determining exactly what triggers a person's symptoms can be helpful. A primary care provider can discuss symptoms and, when appropriate, arrange allergy testing. Severe or untreated allergies can sometimes contribute to additional problems, including sinus infections. She added that primary care providers can help determine whether symptoms are simply allergies or whether something else may be developing. OSF St. Luke Offers Same-Day Care Options Rux reminded listeners that OSF Medical Group has primary care offices in Kewanee, Galva, and Sheffield. The offices offer primary care services and may have same-day appointment availability depending on the time of day and scheduling needs. Patients can call 309-852-7700 to inquire about an appointment. OSF patients can also use OSF MyChart to access services and schedule appointments online. Preparing for the New School Year With school back in session, Rux also reminded parents about school and sports physicals. Students who decide to participate in sports after initially not planning to do so may need a sports physical. OSF providers can help accommodate those appointments. OSF St. Luke will also continue working with local schools and plans to participate in upcoming activities, including a high school career fair in September. OSF Getting Involved in Hog Days Hog Days is another major event on OSF St. Luke's community calendar. OSF St. Luke is a major sponsor of the Hog Days Stampede, and the OSF OnCall King Caravan will be located near the Stampede finish line. Rux said the mobile health clinic will be available for community members who may want to learn more about the services offered or take advantage of available screenings. OSF will also have an entry in the Hog Days Parade, with mission partners participating along the parade route. Finding OSF Information Online Rux encouraged residents to keep up with OSF St. Luke's latest information through its website and social media channels. Information is available at OSFHealthCare.org, OSFStLuke.org, and on Facebook at OSF St. Luke Medical Center.

Le sujet fort de l'actualité foot du jour vu par Jérôme Rothen et la Dream Team.

Your thyroid labs are “normal”… so why do you still feel exhausted, foggy, frustrated with your weight, or just not like yourself? In this episode of Thyroid-Healthy Bites, I'm joined by thyroid and hormone health expert McCall McPherson, PA-C, founder of Modern Thyroid Clinic, to explore why so many thyroid patients continue to struggle even after they've been diagnosed and treated. We talk about why TSH doesn't always tell the whole story, “normal” vs. optimal thyroid lab ranges, thyroid antibodies and Hashimoto's, and why some patients do well on levothyroxine while others may need a different approach. We also dig into how to sort out thyroid symptoms from other health issues, the role of nutrition and lifestyle, why weight loss can be so challenging with thyroid disease, GLP-1 medications, and how to find a thyroid specialist who can help you get the care you need. If you've ever been told “everything looks fine” when you most definitely do not feel fine, this conversation is for you. HYPOTHYROID CHEF RESOURCES:

John Maytham is joined by Professor Kevin Naidoo, Director of the Scientific Computing Research Unit at the University of Cape Town, to explain this major South African-led discovery and what it could mean for the future of cancer treatment. Presenter John Maytham is an actor and author-turned-talk radio veteran and seasoned journalist. His show serves a round-up of local and international news coupled with the latest in business, sport, traffic and weather. The host’s eclectic interests mean the program often surprises the audience with intriguing book reviews and inspiring interviews profiling artists. A daily highlight is Rapid Fire, just after 5:30pm. CapeTalk fans call in, to stump the presenter with their general knowledge questions. Another firm favourite is the humorous Thursday crossing with award-winning journalist Rebecca Davis, called “Plan B”. Thank you for listening to a podcast from Afternoon Drive with John Maytham Listen live on Primedia+ weekdays from 15:00 and 18:00 (SA Time) to Afternoon Drive with John Maytham broadcast on CapeTalk https://buff.ly/NnFM3Nk For more from the show go to https://buff.ly/BSFy4Cn or find all the catch-up podcasts here https://buff.ly/n8nWt4x Subscribe to the CapeTalk Daily and Weekly Newsletters https://buff.ly/sbvVZD5 Follow us on social media: CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.

Olympic and World Champion sprinter Twanisha "TeeTee" Terry joins the show to talk about navigating the mental and physical hurdles of forced rest. Sidelined by a lower back injury during what was supposed to be a dominant year, TeeTee opens up about shifting from “Phenomenal 2026” to “Patient 2026,” working through the frustration of moving recovery timelines, and finding clarity alongside her Star Athletics training group. She also discusses the mental shift between running the 4x100m relay versus the open 100m, how she cultivates passions outside of track—from crocheting and Lego building to authoring children’s books and running her nonprofit—and why staying true to yourself is the ultimate measure of success. IN THIS EPISODE Navigating Forced Rest & Injury: TeeTee breaks down the lower back injury that halted her season, managing timeline pushbacks, and the mental shift required to embrace “Patient 2026.” The Power of Communication & Clear Milestones: How transparent conversations with coaches Dennis Mitchell and Sharif Lewis, alongside PT Brian, helped align everyone on realistic recovery goals. The Need for a True Reset: Why asking for a complete week off to visit family and her college coach helped reset her mental drive. Open 100m vs. 4x100m Relay Mindset: Breaking out of robotic “technical mode” in individual blocks to channel the unmatched confidence she brings to the second leg of the relay. Track & Field’s Accessibility Hurdle: Why the gap between the everyday running boom and track fandom comes down to broadcasting paywalls, fragmented meet schedules, and media access. Life Beyond the Oval: How writing children’s books, crocheting, building Legos, and running Starting Blocks for Dreams provide balance and identity beyond athletics. Academic Discipline: Earning a bachelor’s degree from USC in three years, completing a master’s in one, and balancing 20-unit semesters during heavy training blocks. Learning Healthy Selfishness: Why the natural “team mom” and eldest of seven had to learn to protect her own cup before pouring into others. QUOTABLE MOMENTS "I really was on go all those years, so I’m definitely looking at it as a moment to be able to step back and just rest. Even though it was a forced rest, I’m okay with it." "You have to see yourself working for something. I know you’re not competing, but aim as if you’re working to compete... because that will help your healing." "Comparison is the thief of joy. Make sure you’re focusing on yourself and trusting your own journey." "I never know who’s watching. You want to make sure you’re you, through and through, and you just stay true to who you are." SOCIAL@teeteeterry_@hurdlepodcast@emilyabbate@iheartwomenssports JOIN: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The Daily Hurdle IG Channel⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ SIGN UP: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Weekly Hurdle Newsletter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ASK ME A QUESTION: Email hello@hurdle.us to with your questions! Emily answers them every Friday on the show. Listen to Hurdle with Emily Abbate on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.See omnystudio.com/listener for privacy information.

Welcome to TUESDAY MORNING RUNNING BACK with Matt Forte for September 1, 2026. CFB is back! Plus 3 teams we love and 3 teams we're concerned with in the NFL this year. Matt brags on his son and then we hear what we learned at church. Packed show -- Tune in!Have a question? Got a guest suggestion? Want to advertise with us? Email us - jason@sportsspectrum.comWATCH all of our podcast episodes on our YouTube page:https://www.youtube.com/SportsSpectrumMagazineSign up for our Sports Spectrum Magazine and receive 15% off a 1-year subscription by using the code PODCAST15https://www.theincrease.com/products/sports-spectrum-magazine Do you know Christ personally? Click below to learn how you can commit your life to Him.https://sportsspectrum.com/gospel/

Tiff and Pam talk about the current intersection of technology in the practice, and how using and understanding AI as a tool for busywork means you can focus on the tasks that really need that human touch. They talk about why training AI could be just as critical as training humans, where to look first when incorporating the software into your practice, how a staff member can serve as quality check for automated tasks, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Tiffanie (00:01) Hello, Dental A Team listeners. This is Tiff back with you here on the podcast. And we are in the studio today. I have myself and I have Miss Pam with me. And Pam is one of our prize possession consultants here at the Dental A Team. We have had Pam on our team for a little while now. And if you are special enough and blessed enough to work with her, you know exactly who she is and you have some solid foundational systems. Pam is a systems guru. She busts them out.   And she holds accountability like I've never seen before. And when she learns something, she learns it forever. And I love getting to watch you, Pam, progress in your Dental A Team journey. I watch you like taking notes all the time on the systems that we, you know, hold tried and true. Yesterday Dana was talking about a couple of systems during our collaboration and I was like, gosh.   She's just over there feverishly writing and I love it because I know exactly what's gonna happen. You're gonna like go back, you're gonna relearn   Pamela (00:54) I was. Yes, I was.   Tiffanie (00:58) it, and you're gonna teach it. And it was just really cool. So I love that, Pam. Thank you. And I love that you have these skill sets that you're able to then take and you help so many practices implement the same skill sets, like not just our systems, but how to retain it. You know how you retain it.   But then you're also looking for how are other people retaining the things that they're learning so that you can help them grow in their learning as well. So it's just really cool to watch, Pam. Thank you for everything you do and thank   Pamela (01:27) Thank you.   Tiffanie (01:28) you for being here today. How are you?   Pamela (01:31) you know, I'm doing fabulous and thank you. I appreciate all those kind words, Tiff. That was very nice. I think it's a unique and great time to be in dentistry. So v we've seen a lot of changes over the years and now we're to a stage that is changing very, very quickly.   Tiffanie (01:50) I agree. I I love that you said that, Pam, because something that I think we've said in dentistry for a long time is that dentistry is really progressive in a lot of ways. I think there's a lot of things in dentistry that haven't changed and haven't progressed, like Rick canals, things like that are still being done similarly to how they were thirty years ago. But so much in dentistry is so progressive and it's changing all the time. But I I think we've always said that. But I think in the last five, six years that has   Like us saying that before doesn't even make sense anymore. Like the progression we're seeing now is wild.   Pamela (02:26) It's it's crazy. you know, I was thinking about this, and there are so many systems that we have done for years that we're not perfecting, right? That we still could perfect and are in addition to any AI stuff we have. But the interesting thing is is that now something that has been in scarcity our entire human existence or now or soon will become like an abundant commodity, which is intelligence, right?   Tiffanie (02:53) Yeah. Yeah.   Pamela (02:55) So   I think that it's really wild to be thinking about that intelligence is a commodity and we can buy it.   Tiffanie (03:03) Yeah, I think that's amazing. That was a great perspective. And you are not wrong. I listen to a lot of   Pamela (03:07) Yeah.   Tiffanie (03:09) podcasts and I know you do too that speak to that same thing. And I think both of our households house many conversations around that same thing. I think we we share that.   Pamela (03:18) That is so true. It's so true.   Tiffanie (03:22) Yeah. So with that, Pam, I think that's a great start. What are you seeing? expand on that for me. Like what are you seeing as far as I love that like intelligence is is a   purchasable at this point. What are you seeing with your practices or just the research you're doing and the things you're hearing and and listening to within the dental world, narrow that down for us. What are you seeing from your perspective how that's changing dentistry?   Pamela (03:48) Yeah,   well I I think the the question is is how do we react to that reality, right? And a lot of practices are have not gotten into the AI and are now saying, okay, I want my insurance verification done, I want, you know, RCM done, the revenue cycle management done by AI, but it is a little daunting. Right? It is like I had one practice say   yo well we have this company that's doing our RCM and and I said do you are you like what are you doing with it and they said nothing they do it and I'm like dear goodness gracious like there are you have to manage it unfortunately I think we're at a real a space where we're not the Ironman like Jarvis runs everything   Tiffanie (04:43) Yeah.   Pamela (04:43) you know stage we're at the   Alexis and we have a lot of really smart AI tools. Most of them, I'm well, they're all sitting on top of separate systems and what we are contributing. I don't think we're pardon me quite to the point where it's an operating system as opposed to, you know, pieces. So I'm seeing practices now take those pieces, try to learn them, and then develop their skills even more in the stuff that they were doing.   So what I mean by that is how are we, how are they actually doing at clean claims, right? Are they   Tiffanie (05:23) Yeah.   Pamela (05:24) getting the clean the claims clean before they send them in? how are they doing on you know managing the online scheduling? Are they reacting to that? And is all the patient's insurance information accurate before it goes to the AI?   So that's that's what I'm seeing. That's a s a little bit of a struggle.   Tiffanie (05:47) Yeah. I think something you pointed out there was that a lot of people a lot of people seem to be jumping headfirst and just like handing the keys over rather than allowing it to be a tool that they use still with oversight. And I noticed recently, even just on my chat GPT that I use down at the bottom, it's like, Hey FYI, these may be inaccurate. Like this is not to be taken as truth. Yeah. And I'm like, well   Pamela (06:11) Yes, I j I saw that, yeah. So true.   Tiffanie (06:16) We need that reminder though, kind of like the McDonald's coffee cup that now has, you know, since nineteen ninety or whatever it was, says that the contents are hot. Like humanity needs those reminders 'cause I think we're so it's like a it's a catch to me too, 'cause I do think we're so quick to jump onto things and try them. But   Pamela (06:34) Mm-hmm.   Tiffanie (06:34) at the same time we're like second guessing and   thinking we can't and thinking they don't work, but we do latch on to certain things where we're just like, wait, that was expected. I expected to be able to drink my coffee as soon as you handed it to me. You know, that it wasn't gonna be scalding hot, that I could just just go. And same with the AI. I think there's so many aspects of it that we just expected all of the truth to be on the internet somewhere. We've been primed that the truth is on the internet and   we just expected it to be true that now chat is like, hey, wait a second, like, hey, I'm just like your buddy who did the research online, the same as your friend next door. Like this   Pamela (07:09) Right.   Tiffanie (07:13) could be wrong. And I think it's an interesting thought because to your point of view, handing over your cycle management, your your revenue and all of that data, handing that over to AI and expecting it to just be perfect from here on out with no mistakes is wild.   Right, but we're doing it. So many of us are doing it. Similarly to the online scheduling. I know we have a lot of practices and we have some doctors that have spoken for us at our events. we had one last September that our doctor focused on AI, and she pointed out the facts of needing to train their AI the same as they're training a human. Like you get a   Pamela (07:51) Yeah, yes. Yes.   Tiffanie (07:54) result and you're like, you got that result, you're fired, you're done, we give up.   You say, actually,   Let's tweak it to be what we want it to be. So we're saying yes and okay, cool. And let's do it this way. Let's move it this direction. with that statement, you also said insurance verifications, making sure they're accurate. And it made me think too, we've always said, you know, good information in is good information out, bad information in is bad information out. And I think   That's the same with any of it, with any of the AI tools or any of it, right? The it can only scour the internet for so much information and find so much truth. With the good information in, that goes as far as everything. So whatever it is that we're asking and training these systems and these tools to produce is what we're going to get. So we're not spending the time with the AI and we're not spending the time saying, This is the result that I want, this is how I want you to get there.   we're doing a disservice to ourselves just the same as so many people we were just talking about this. So many people are still misusing or underutilizing tools that we've had for gosh, at this point I always say 30 years, but at this point I think it's going on like 40 years, right? Like we've had these tools for   Pamela (09:12) Exactly, yeah.   Tiffanie (09:14) a long time. We're still   Pamela (09:16) Yeah.   Tiffanie (09:16) misusing them because I know both of us have walked into offices where they're like changing the prices in the treatment plan.   And they're doing all this math and there's a calculator. I still have offices that have the calculators that have the tape, and I'm like, where are you even where do you buy the tape anymore? Right. But they do, they have this running tab. And I'm like, what are you doing? And they say, Well, it's never right. We always have a balance. And I'm like, Okay, this is like a band-aid fix, right? So no matter what technology you have, there's so much tech that saves us so much time. And that's the point of this conversation is what kind of tech is out there that can   save our team   Pamela (09:52) Mm.   Tiffanie (09:53) time. And a lot of that time is for the administrative team, gives them the the chance to do other things, right? So automating things gets rid of busy work, allows them to do other things. But if we're not utilizing the tool correctly from the get-go, it's not saving the time because we're going back and fixing it anyway. So maybe we're saving time on we have an online scheduling app and it works. So our team maybe doesn't have to answer as many new patient calls.   But then that same person is over here calculating by hand a treatment plan estimate. It's like, cool, well, we just like took nonsensical   Pamela (10:28) Yeah.   Tiffanie (10:29) time and put it into a nonsensical time suck again. So, Pam, how   Pamela (10:33) Yeah. Yeah.   Tiffanie (10:35) are you helping the chain offices to really utilize the tools to actually save the time? And when they're not, so like that situation, how do we how do we get to the bottom of it? Because for me,   When I see somebody calculating treatment plan estimates because they always have a bill at the end, I'm like, cool, that's like a band-aid over this massive gash on your arm and it stopped the bleeding   Pamela (10:59) Mm-hmm.   Tiffanie (11:00) in that one spot, but it's not fixed. Like you still need stitches. How do we get to the bottom of it? And how do you help practices really figure out what truly is going to save them time and how they can get there?   Pamela (11:14) Yeah,   I think it goes back to basics. Before we layer on that AI piece of it, we have to have those basics in place. And you're right, there are a lot of practices and you know that are struggling with that. They're still doing things by hand. So, you know, have going back to the basics and having that correct verbiage, I think, is super important. to with the patient of knowing that.   There may be, it is an estimation, and there may be a difference when once your insurance pays. And you can offer to the patient, you know, if you would like to call, I don't like doing predeterminations, pre-D, I'm kind of against them. A lot of people still do them for larger treatment. I understand that. but for if you are to, you know, tell a patient, look, if if it's a credit.   we will get that credit right back to you within the month, right? have   Tiffanie (12:12) Mm-hmm.   Pamela (12:13) some sort of verbiage that gives you a little bit of out, but also be confident when you're prevent presenting those numbers if you've done the homework. So I think that's where it goes is back to the basics, making sure the basics are correct before you, you know, are giving that treatment plan to the patient. And then your verbiage is super important. And trusting it.   Tiffanie (12:36) Yeah, I totally agree.   And trusting it exactly. Being able to trust the system is huge. So making sure I think you're you're like spot on back to the basics, right? So making sure your verbiage is in line and making sure that the information that we're putting into the computer system is as accurate as possible. And you can use AI tools for that too, right? So we have   Pamela (12:55) Right. Right.   Tiffanie (12:56) AI tools this day and age that do insurance verifications and they upload it into the system.   They do all of the pieces. But then again, back to what we said earlier and how you said like this practice is like, we don't even look at it, right? Same thing. Like if you're if you're paying for an AI bot to go scour, get the information, put it into your system, and then you're turning around and you're like, well, it's always wrong, right? I I always have a balance or a credit. And so I calculate it just to double check, like, okay, maybe we need to look to see.   Further back, where is that miscalculation coming from? Because the insurance data in the system, the patient's data in the system, the right fee schedules, all of those pieces are feeding the tech and the intelligence, the information that it's spouting out to you. So it can only do so much. So if you've   Pamela (13:47) Right.   Tiffanie (13:48) got, you know, you didn't mark the you didn't you didn't tell the bot that you needed to mark that there was a downgrade. So you're you're having   crowns come back and there's two hundred dollar balance because it was downgraded, right? Well, stop hand calculating that and tell the bot to do it differently. Tell the system to do it differently. Whatever your system   Pamela (14:06) That's right. That's right.   Tiffanie (14:08) is, there's a little button somewhere that you you click it and it says downgrades, right? Account for downgrades, etc. So utilizing those tools from the ground zero, I think is just massive and it's something that's been severely underutilized for a really long time.   that needs to be right first. Because then if we go in and we layer these AI bots on top of that, that data is what they're working with. Just like Dentrix can only give you a treatment plan based on the information that you put in there. You put the fee schedule, you put the percentages, you put the treatment plan. You did all the buttons, you clicked and you put the treatment plan. It spouts out these numbers based on the information you put in it. The bot's going to do the same thing. So I think that's our soapbox bot.   Pamela (14:55) yeah.   Tiffanie (14:55) situation there,   like we go on forever. Go for it.   Pamela (14:59) Yeah, no, I I agree and a lot. a lot of practices are struggling with this and they're because they're getting this AI and saying, Hey, it's not worth it. Like I'm still having to call the insurance company, I'm still having to, you know, calculate by hand, right? And I think it it does go back, like we said, to the basics and really digging down on that. And I mean continue to use AI, but like you said.   it's so interesting. You have to teach it, right? And you may not be able to look to say, this is the exact to the penny downgrade amount, but once you have taught it, you do need to trust it. Yeah. Yeah.   Tiffanie (15:40) Yeah, I agree. I love   it. Okay, what kind of tools? I've I've got a few, you know, that I'm I've been seeing the online scheduling, I think, is finally making it headway. It's been a tool that we've had for a really long time, but we've   Pamela (15:55) Yes.   Tiffanie (15:55) all been very afraid of it for good reasons. That's fine. But what are some other tools that you're seeing them implement? So AI bots, like what are what are your practices using them for that people could start looking at?   Make sure their foundations are correct. Start looking into how could we automate some busy work to give my team back time? What are you seeing out there in in dentistry right now, Pam?   Pamela (16:17) Yeah.   definitely the RCM, the revenue cycle management. I think that AI does a really great job with that. But the thing I I spoke about earlier is I the and getting to the root of the problem, if you don't want to have to manage it more, then you have to make sure your claims are clean. And what does that mean? And that's going back to basics, truly, as well. Like, are we taking all the photos? Are we taking   you know, all the blood points when probing. Are we doing are we doing everything we can do to make sure that they have as much information as they have. So I think RCM is kind of the number one I'm seeing. insurance verification, where a lot of practices are moving there. I think there's still a little struggle with that because we don't get the patient information a as quickly. And you know, I think most of the most of them say put it in two days before.   Tiffanie (17:15) Yeah.   Pamela (17:16) Patient communication, so even filling the schedule, right? texting people to say on an ASAP list, you know, those kind of things are being utilized very well. schedule optimum schedule optimization as well. So I think there are programs out there that help you say fill that schedule and say, here's the patients that would work in this hole, right? So I think it's   We have to accept that AI is here, right? so I think very, very to your point is yes, training it, but also yes, we do have to learn it. And it it will be it's one of those things. We're kind of lifelong learners, people in dentistry, because we always have new things coming. And so we have to look at it like this. This is just a a piece to learn, and the more we can learn about it, the better.   that we are gonna get. We can't just be afraid of it. I say dig right in, figure that, you know, whatever you're using, figure it out. Call the company, ask questions, ask the right questions, you know, what what how do I get my insurance verification better? You know, and let them help you and tell you because they know everyone doesn't know. And if you just like one and done, I'm leaving it alone, you're probably not gonna have   as good of experience as you could have with it. Yeah. And so I think doctors   Tiffanie (18:43) Yeah. Yeah, I love those.   Pamela (18:45) need to be a little bit aware aware. It takes time to learn. It's not just plug   Tiffanie (18:50) Yeah.   Pamela (18:50) and play.   Tiffanie (18:51) Yeah. And to piggyback off that, it sounds like making sure we still have KPIs in place, there's still somebody overseeing results, that somebody's still verifying that that employee, right, is doing the job right is key because if we're if we do have an AI bot that's helping with revenue cycle management, and then we're not looking at AR numbers, we're not seeing, you know, our over ninety.   decrease or or is it increasing like we're not watching those KPI points. That's how it gets lost. Just the same as somebody with a great resume comes in and says, hey, I'm gonna clean up your AR for you. Pay me X amount of dollars and we stick them in a corner and never look at it. Right? It's the same thing. So making sure those KPIs are in place. I think there's a ton of AI style tools that have come out for front office administrative work, which makes sense. You know, that's that's where AI   is in the administrative world right now as the recording of this podcast at least but something that I see a lot of practices using too and I think you have a few that are using them the like Pearl and Overjet AI systems for that second opinion at least I know a lot of doctors are liking that second opinion which has helped it's not I I think of it as busy work now but that like co-diagnosing space and really just that confidence   in what I'm diagnosing seems to come across a lot more from the doctors and those tools have been super beneficial as well. So I think there's starting to be this massive shift in the AI tech kind of industry where there is going to be more coming out for the the back office as well. And I think Pam, a lot of insurances are actually using systems like Pearl and Overjet, those AI tools to read x-rays and process claims a lot faster too.   Which to your point then they gotta be super clean. You're okay.   Pamela (20:45) Well, yeah, and and sorry, I totally did not mean to interrupt you,   but that that brings up something that I've thought about and I've heard from practices, a lot of claims are being denied, right?   Tiffanie (20:58) Yeah.   Pamela (20:58) More. I think it's up like by twenty percent over the last few   Tiffanie (21:01) I agree.   Pamela (21:01) years. And that's probably because they are using AI to read the x rays, and   Tiffanie (21:09) Yeah.   Pamela (21:09) there is no way the human eye can be as good as   an the AI assistance, you know, the tech   Tiffanie (21:19) Yeah. Yeah.   Pamela (21:20) the the radiology it it it that is going to become an AI job. So just in general.   Tiffanie (21:25) For sure.   Pamela (21:26) And so reading reading X rays, they're they're proficient. They're they're extremely intelligent at it. And so we need to jump on that bandwagon to make sure that we are seeing everything too. But   yeah, that's   Tiffanie (21:40) Yeah, agreed.   Pamela (21:41) very, very true.   Tiffanie (21:42) Yeah. And the same as the other AI tools, they have their variances as well. And you train those   Pamela (21:47) Mm-hmm.   Tiffanie (21:47) tools too. And you train yourself to see like, okay, well, this variance of that is like that's that's pretty extreme. I'm not like my practice doesn't diagnose that way. Cool, that's a watch for you, right? But at least it's being pointed out and you can compare. You can look at okay, what did last time look like versus this time? Which is super cool because that's not something you can do.   with just our eyes of that kind of comparison.   Pamela (22:11) Yeah.   Tiffanie (22:12) So whether you're diagnosing off of it or using it as a tool to see progress and change, train it, train it and train yourself just the same as you're training your scheduling bots.   Pamela (22:22) I I agree a hundred percent. And it it does have to be managed, right? It it does have to we have to learn it and we have to manage and it i it's just not a one and done. Just yeah. So very sh very   Tiffanie (22:33) Yeah. Yeah. Well, I love it.   There's so much tech to be found. I think some key ones that we can kind of action item here to go explore at least. I love the online scheduling tools if you're not using them yet. I think they're worth it. they weren't always. They have turned a corner. They are worth it. and Pam, I think even the scheduling   bots that answer, you know, new patient calls, things like that are taking over and they're doing really phenomenally. And then I think I would push to make sure your insurance information is accurate. obviously, you know, Pearl or Overjet kind of tools, those are phenomenal too. But I think starting with those scheduling and those insurances, if you're not using those tools yet, I think it's worth looking into because I really do think that revenue cycle management, all of those pieces are   hugely beneficial at this point. So do your homework. Go ahead.   Pamela (23:30) I agree and I think I think   it yeah, do your homework and I think it's exciting what's happening in with the voice activation. I don't think it's quite   Tiffanie (23:38) Mm-hmm.   Pamela (23:39) there yet, but that is something I know dental offices are very hungry for. I know it's a little intimidating, but when it gets better, and I I think it's developed huge amount from when I was in the office because it d had   Tiffanie (23:53) Yeah.   Pamela (23:54) just started. and you know, I think   Offices are really looking forward to that and doctors are looking for their notes to help with their notes, right?   Tiffanie (24:05) Yeah.   Pamela (24:05) So I think those are the two big areas that we want to watch   Tiffanie (24:08) Yeah.   Pamela (24:09) and really keep abreast of what's going on and you know, keep automating and you can do it slow and it shouldn't be intimidating.   Tiffanie (24:18) Yeah, I completely agree. I think slow is fast these days. Everything's changing so much. It's worth it to do   Pamela (24:24) Yeah.   Tiffanie (24:25) your due diligence and make sure that you're using it correctly and to its full extent. So I love it. Thank you so much, Pam. This was a lot of fun. I know that the AI tech world is your jam. you do a lot of introspective work on it and just it's a big conversation topic for you. So thank you for   Being on here with me today and being willing to share your knowledge.   Pamela (24:49) Thank you, thank you. I love AI and I can't wait to buy a robot.   Tiffanie (24:54) Yeah, no right. That's what a our   we have an almost 13-year-old in the house and he's ready to buy one, ready to build them, ready to go. I love it. I love it. Of course.   Pamela (25:02) I know, it's it's very cool. Well thank you for the time, Tiffanie. It was great to talk about this.   Tiffanie (25:09) Thanks, fam. Awesome. Okay, listeners, share this with a buddy. share some information you might have. You might be trying something in your practice now. Drop us a five-star review below and call that out. People do read through those comments.   or if you're on our socials, put it in the comments section. You guys have some conversations about this. There's a lot to be learned here and there's so much to be shared. I know we had a doctor speaking on how she's using AI, but then we also just had a massive conversation in our doctor's only mastermind last Tuesday about AI tools, AI bots, kind of how different practices are using them. So it's a huge conversation. Get it rolling in there, get on board with some other doctors and share these tools with each other.   Hello@TheDentalATeam.com. If you need anything from us at all, we are always happy to share all of the knowledge that we have and we're always happy to help you in your practice on your journey towards an amazing rest of the year. Thanks so much guys and we'll catch you next time.  

In 1987, Mary P. Lovato, a member of Kewa Pueblo in New Mexico, was diagnosed with acute leukemia. To receive a bone marrow transplant, she had to travel more than 800 miles from home because specialized cancer care was unavailable through the Indian Health Service. When she returned, she discovered another obstacle: many in her community feared cancer so deeply that they avoided speaking about it altogether.This episode examines how cancer survivorship exposed profound inequities in the American healthcare system. Long before health equity became a national priority, advocates from underserved communities were confronting disparities rooted in geography, poverty, racism, language, underfunded healthcare systems, and historical mistrust of medical institutions. Their work demonstrated that scientific advances alone cannot improve survival if patients cannot reach, afford, or trust the care available to them.The story follows pioneers including Mary P. Lovato, who built the first national Native-led cancer support and education program for Indigenous communities, and Maimah Karmo, founder of the Tigerlily Foundation, whose breast cancer diagnosis inspired a movement to improve early detection, clinical trial participation, and representation for Black women. Their advocacy challenged longstanding barriers to culturally competent care while highlighting persistent inequities in access to screening, fertility preservation, navigation, and innovative treatments.The episode also explores why diversity in clinical research matters. For decades, many cancer clinical trials disproportionately enrolled White patients, limiting both access to promising therapies and the scientific understanding of how treatments perform across different populations. Researchers, patient advocates, and community leaders responded by redesigning outreach, improving patient navigation, reducing logistical barriers, and insisting that affected communities help shape the research itself.Cancer survivorship cannot be measured solely by scientific breakthroughs. It also depends on whether every patient has a meaningful opportunity to benefit from them. The pursuit of health equity remains one of the defining challenges and enduring responsibilities of modern oncology.RELATED LINKSNational Cancer Institute | Cancer Health Disparities⁠Indian Health Service⁠Tigerlily Foundation⁠National Cancer Institute | Cancer Clinical Trials⁠American Indian Cancer Foundation⁠Abramson Cancer Center | University of Pennsylvania⁠FEEDBACKLike this episode? Rate and review The Cancer Mavericks: A History of Survivorship on your favorite podcast platform. For more information, visit CancerMavericks.com. Please send any questions to podcasts@matthewzachary.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Read the full notes and transcript at Dr. Aimee's website. After 20 years of practicing medicine, I've learned that not everything is sunshine and rainbows. To help myself and my fertility patients, I've adopted a "float through life" mindset—emphasizing mindfulness, calmness, adaptability, and acceptance. Whether you're going through IVF or simply exploring your fertility options, cultivating a positive mindset can help you feel more grounded and supported in the process. In this episode, I share how mindfulness and a flexible mindset can be powerful tools for fertility patients. Instead of being consumed by stress or uncertainty, you'll learn how to approach IVF and your fertility journey with more ease, presence, and hope. This shift toward a positive mindset doesn't mean ignoring challenges—it means embracing tools that allow you to move through them with greater strength and grace. In this episode, we cover: How to embrace situations as they come without spiraling when plans change The power of mindfulness and accepting impermanence in difficult times Ways to stay flexible, cultivate gratitude, and detach from rigid outcomes Why humor, lightheartedness, and community support matter in tough moments Practical steps for prioritizing self-care, limiting overthinking, and trusting the journey Would you like to learn more about IVF? Click here to join Dr. Aimee for The IVF Class. Join the class, and you'll get to join Dr. Aimee for a live class call where she will explain IVF and there will be time to ask her your questions live on Zoom. Subscribe to my YouTube channel for more fertility tips!Subscribe to the newsletter to get updates Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

What happens when we look at perinatal patient safety as more than protocols, checklists, and clinical outcomes? In this episode of the Birth Trauma Mama Podcast, Kayleigh sits down with Cheniqua Morales, a perinatal patient safety nurse, to talk about the human side of making birth safer. Cheniqua shares how her experiences as a doula, labor and delivery nurse, educator, and patient safety leader shaped the way she approaches this work and why relationships, trust, communication, and actively listening to patients have to come before the toolkit.Together, Kayleigh and Cheniqua explore the power dynamics within healthcare, the importance of returning autonomy to patients, the role of simulation in preparing clinical teams for emergencies, and why patient stories can move clinicians in ways that data alone often can't. Cheniqua also shares powerful examples from her work advocating for women of color and explains why there is hope for change happening behind the scenes in hospitals every day.✨ In this episode, we talk about:

Get the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs.                                                                                                 =============== Dr. Bart Kaczmarek is a family physician in Windsor, Ontario, who built a system to solve a problem most physicians just accept: wasted time, broken team coordination, and a practice that runs the physician rather than the other way around. He now sees 80 patients a day, bills five times the Ontario family practice average, and is home by 4:30PM. In this episode, he walks through the framework he developed to reorganize a family practice without extra funding, and the software tool, DoctorFlow. He built it out of necessity and now offers it to other clinics. Both apply to physicians practicing in the US and Canada. The free CRAFT manuscript and more information on DoctorFlow are in the show notes, and links are available at nonclinicalphysicians.com/great-income-with-no-burnout/.

À Londres, le King's College Hospital accueille ses patients en soins intensifs sur le toit de l'hôpital depuis mai 2026. Le lieu est évidemment équipé de tout le matériel nécessaire. Les malades peuvent profiter de la vue et respirer à l'air libre. Ecoutez RTL autour du monde du 01 septembre 2026.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Somewhere between "you don't qualify" and "here's your full dose," there's a whole conversation nobody is having. GLP-1 microdosing has quietly become one of the most requested and least understood protocols in metabolic medicine. Patients are asking for it. Clinics are offering it. The research to fully back it doesn't exist yet. We get honest about all three at once. We cover what microdosing actually means, why the approved doses are the approved doses, why so many women in perimenopause feel the standard protocol wasn't built for their body, and where the real risk lives — which is almost never where people think it is. Not a pitch. Not a warning label. The conversation you'd get with ninety minutes instead of eleven. Book a consultation: HERE· Follow: @culturecollectivebrands The new Wellness aesthetic Fusion Method: HERE  Education only, not medical advice. GLP-1 receptor agonists are prescription medications with real contraindications. Talk to your own licensed provider.

Send us Fan Mail Dr. Emily Ward knew in March 2020 that she was done. She left her gastroenterology partnership in 2023. The reason for the gap was not fear. The practice worked, the money was good, and staying was the rational choice every morning until it was not. She joins Heather to walk through what she built after that, and the part nobody puts in the announcement post: how you actually get paid once you step outside the systems that normally do the paying. THE BACKGROUND Board certified in internal medicine and pediatrics before gastroenterology, with early microbiome research behind her. Ten years in private practice, most of it colonoscopy after colonoscopy with very little conversation attached. THE FIRST PIVOT GutsyRx, an online gut and rectal health marketplace for women, built for the patient she was in 2020: postpartum, perimenopausal, and unable to find anyone to talk to about it. THE SECOND PIVOT The community kept asking when she was coming back to see people in person. She opened a cash-pay concierge clinic in 2025. No payer contracts, opted out of Medicare. THE THREE PAYMENT PATHWAYS Pathway 1: her own cash-pay endoscopy center. She got as far as a pro forma with a consultant who had launched endoscopists before. His read was that she would need payer contracts for the numbers to work, which defeated the point. Pathway 2: employment at a facility, patients paying her consultation fee and running the procedure through insurance. Compliance gets murky against a Medicare opt-out, and she loses the scheduling control that makes high-touch care possible. Pathway 3: the hybrid, and the one she runs. Patients pay her professional fee directly. Facility, anesthesia, and pathology go through insurance or cash, patient's choice. Every patient so far has chosen insurance for that portion. WHAT SHE WOULD DO DIFFERENTLY She would not have built the WordPress and custom e-commerce platform to the depth she did. That capital would have moved further inside the in-person practice. THREE ACTIONS THIS WEEK • Write down which parts of your week you would keep if the revenue stayed flat. That is the list worth building around. • If you run any cash-pay service alongside insurance, confirm the two sides reconcile independently and nothing is being written off into the gap. • Before your next platform investment, ask what the same build would cost eighteen months from now. The answer has changed. OUR GUEST Dr. Emily Ward, MD, GutsyRx gutsyrx.com  |  Instagram @gutsyrx_guthealth  |  LinkedIn: [insert profile URL] FREE RESOURCE Practice Financial Health Dashboard for Physicians eligibility.natrevmd.com/free-practice-financial-health-dashboard-for-physicians-natrevmd RECOVER DIAGNOSTIC eligibility.natrevmd.com/recover-quiz-lp MORE FROM US Payment Posting Audit Checklist: eligibility.natrevmd.com/payment-posting-checklist Everything else: natrevmd.com MENTIONED The 6 Types of Working Genius by Patrick Lencioni

What if the symptoms we associate with PMOS are actually signs of a much bigger metabolic picture? In this episode of the IRH Clinician's Corner, Margaret Floyd Barry sits down with one of IRH's most esteemed faculty members, Sara Fields, to unpack a major shift in women's health: the renaming of PCOS (Polycystic Ovarian Syndrome) to PMOS (Polyendocrine Metabolic Ovarian Syndrome). Together, they explore what this new name truly means for clinicians and clients alike, why it's a long-overdue change, and how it reflects a deeper understanding of the metabolic and endocrine complexities behind this common condition. Inside this episode, we explore: Why PCOS is becoming PMOS The symptoms practitioners may be missing Insulin resistance as a key driver The gut–hormone connection Essential testing for suspected PMOS Addressing root causes, not just androgen levels The Clinician's Corner is brought to you by the Institute of Restorative Health: https://instituteofrestorativehealth.com/ Upcoming Event: Margaret Floyd Barry is teaching a free session on September 15 for practitioners who want a smaller, structured offer to bring new clients in the door. She's walking through how to build a challenge-style entry point using CGM data, tested across real client volume in her own corporate wellness practice. If you've been asking too much, too soon, of new clients before they know you, this is worth an hour. Register Here! Follow us on IG: https://www.instagram.com/instituteofrestorativehealth/ Join our email list here: https://instituteofrestorativehealth.com/join-our-email-list/ Book a call with the admissions team to continue your training: https://instituteofrestorativehealth.com/study-with-us/?utm_source=email Connect with Sara Fields: Website: https://sarafieldswellness.com/ Instagram: https://www.instagram.com/sarafieldswellness/ Timestamps:  00:00 Expanding the conversation on diagnosis 08:48 Shifting focus to endocrine aspects 12:33 Patient involvement in global initiative 22:06 Understanding insulin resistance in PCOS 25:56 Hormonal Imbalances in PMOS 28:55 PCOS diagnosis criteria updates 34:59 Gut Health and Hormonal Balance 40:45 Importance of gut testing 48:43 Developing client treatment protocols 52:02 Addressing sleep apnea in PMOS 58:32 Connecting the dots on symptoms 01:03:26 Broadening diagnostic perspectives Guest bio:  Sara Fields has been an instructor with IRH since March 2019. She teaches and mentors across all four levels—GI Healing, Hormones, Blood Chemistry, and Clinical Mastery—and has played a supportive role in the organization's leadership team. Sara has been immersed in the world of food and nutrition for over 20 years. Her journey has taken her through organic farming, sustainable agriculture, specialty food retail, and, ultimately, to certifications as a Functional Nutritional Therapy Practitioner (2014) and Restorative Health Practitioner (2015). Her passion for the tools she learned at IRH led her to become the very first intern and, eventually, a lead instructor for all of the courses. In her private practice, Sara Fields Wellness, she and her team take a gut-centric approach to supporting clients with chronic and complex health concerns, including skin conditions, autoimmunity, digestive issues, and metabolic challenges. She has also developed and taught fertility and prenatal nutrition classes for a local childbirth education organization, hosted community wellness meetups, and taught garden lessons at her children's elementary school. Keywords: functional health practitioners, polycystic ovarian syndrome, PCOS, PMOS, polyendocrine metabolic ovarian syndrome, metabolic health, endocrine system, reproductive hormones, insulin resistance, blood sugar dysregulation, testosterone, DHEAS, sex hormone binding globulin, luteinizing hormone, follicle stimulating hormone, estradiol, progesterone, ovulatory cycles, cardiometabolic health, gut health, microbiome, estrobolome, estrogen detoxification, beta-glucuronidase, visceral fat, lipid panel, hs-CRP, adrenal hormones, HPO axis, blood testing Disclaimer: The views expressed in the IRH Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of the Institute of Restorative Health, LLC. The Institute of Restorative Health, LLC does not specifically endorse or approve of any of the information or opinions expressed in the IRH Clinician's Corner series. The information and opinions expressed in the IRH Clinician's Corner series are for educational purposes only and should not be construed as medical advice. If you have any medical concerns, please consult with a qualified healthcare professional. The Institute of Restorative Health, LLC is not liable for any damages or injuries that may result from the use of the information or opinions expressed in the IRH Clinician's Corner series. By viewing or listening to this information, you agree to hold the Institute of Restorative Health, LLC harmless from any and all claims, demands, and causes of action arising out of or in connection with your participation. Thank you for your understanding.  

Mixing almond milk and chocolate protein powder into your daily smoothie can spike your kidney stone risk. The internet says you need huge amounts of protein every day. You do need protein to keep your muscles strong as you age. But you have to get it safely. We break down what protein powders do to your kidneys and what to buy instead.We look at what is hiding on nutrition labels. You will learn why collagen and spinach powders can raise oxalate levels in your body. We share simple swaps, like choosing vanilla over chocolate and using pea or coconut milk instead of nut milks. We also explain why drinks with very high calcium should be split into two servings so your body can absorb them.Skipping meals for a protein shake is not a lasting way to lose weight. It often causes binges and raises your stone risk later. We share safe choices like whey isolate, egg white powder, and pumpkin seed powder. You can hit your daily protein goals, protect your kidneys, and stay strong.Get Featured!Leave us a voice message at call.show/kidneystonediet to be featured on the show!Chapters(00:00) - Protein Needs and Safety for Older Adults (03:30) - Avoiding High Oxalate Ingredients in Shakes (05:45) - Managing Calcium and Collagen in Protein Drinks (07:45) - Meal Replacement Shakes and Weight Loss Risks (11:30) - Safe Protein Powders for Kidney Stone Prevention ——When you're ready, here's how I can helpSince 1998, I've helped thousands of patients prevent kidney stones. With my Kidney Stone Diet All-Access Pass, you get access to every prevention tool I've ever created:Weekly Kidney Stone Diet Meal Plans​4 meals per day, 7 days per weekWeekly Kidney Stone Prevention Group Consultations3 video calls per week with me and the Kidney Stone Diet communityAll of my Kidney Stone Diet EbooksLow Oxalate Protein Bars, Kidney Stone Safe Smoothies, Kidney Stone Safe Snacks & Desserts, and the Low Oxalate CookbookPlus, 20% Off Private ConsultationsAnd, as a BONUS, you'll get my flagship Kidney Stone Prevention Course (normally $249) absolutely free!LEARN MORE!——WHO IS JILL HARRIS? _Since 1998, Jill Harris has been the #1 kidney stone prevention nurse helping patients prevent kidney stones. Drawing from her work with world-renowned University of Chicago nephrologist, Dr. Fred Coe, and the thousands of patients she's worked with directly, she created the Kidney Stone Diet®. With a simple, self-guided online video course, meal plans, cookbooks, group consultations, and private consultations, Kidney Stone Diet® is Jill's effort to help as many patients as possible prevent kidney stones for good.

Send us Fan MailThis podcast is a DNP project recording on Medical Assistant education on the 2026-2027 flu vaccine.  Alexanda Barrow, a DNP student at the University of Florida, and her faculty mentor, Michael Maymi, DNP, discuss evidence-based education about this year's vaccine.  Below is the reference list used to provide the education.                                                                    ReferencesAmerican Academy of Pediatrics Committee on Infectious Diseases. (2025). Recommendations for prevention and control of influenza in children, 2025–2026: Policy statement. Pediatrics, 156(6), e2025073620. https://doi.org/10.1542/peds.2025-073620Çeri, A., Sancak, E., & Sayan, E. (2025). Navigating challenging family dynamics in pediatric practice: Strategies for effective communication and collaboration. Pediatrics in Review,46(10), 535–544. https://doi.org/10.1542/pir.2025-006760Food and Drug Administration. (2026). Influenza vaccine composition for the 2026–2027 U.S. influenza season. https://www.fda.gov/vaccines-blood-biologics/vaccines/influenza-vaccine-composition-2026-2027-us-influenza-seasonGarzon, D. L., Dirks, M., Driessnack, M., Duderstadt, K. G., & Gaylord, N. M. (Eds.). (2025). Burn's pediatric primary care (8th ed.). Elsevier. Jacobson, R. M., St Sauver, J. L., Griffin, J. M., MacLaughlin, K. L., & Finney Rutten, L. J. (2020). How health care providers should address vaccine hesitancy in the clinical setting: Evidence for presumptive language in making a strong recommendation. Human Vaccines & Immunotherapeutics, 16(9), 2131–2135. https://doi.org/10.1080/21645515.2020.1735226Kaiser Family Foundation. (2025). Child flu vaccination rates by age. https://www.kff.org/state-health-policy-data/state-indicator/child-flu-vaccination-rates-by-age/Reinhart, K., Huang, S., Kniss, K., Reed, C., & Budd, A. (2025). Influenza-associated pediatric deaths—United States, 2024–25 influenza season. MMWR. Morbidity and Mortality Weekly Report, 74, 565–569. https://doi.org/10.15585/mmwr.mm7436a2Sakleshpur, S., & Steed, A. L. (2022). Influenza: Toward understanding the immune response in the young. Frontiers in Pediatrics, 10, 953150. https://doi.org/10.3389/fped.2022.953150Trombetta, C. M., Kistner, O., Montomoli, E., Viviani, S., & Marchi, S. (2022). Influenza viruses and vaccines: The role of vaccine effectiveness studies for evaluation of the benefits of influenza vaccines. Vaccines, 10(5), 714.https://doi.org/10.3390/vaccines10050714Vidyasagar, N., Bernstein, K., & Alcocer Alkureishi, M. (2026). Motivational interviewing: A tool for pediatricians. Pediatrics in Review, 47(1), 59–63.https://doi.org/10.1542/pir.2024-006685

Send us Fan MailThis podcast is a DNP project recording on provider education on the 2026-2027 flu vaccine.  Alexanda Barrow, a DNP student at the University of Florida, and her faculty mentor, Michael Maymi, DNP, discuss evidence-based education about this year's vaccine.  Below is the reference list used to provide the education.                                                                    ReferencesAmerican Academy of Pediatrics Committee on Infectious Diseases. (2025). Recommendations for prevention and control of influenza in children, 2025–2026: Policy statement. Pediatrics, 156(6), e2025073620. https://doi.org/10.1542/peds.2025-073620Çeri, A., Sancak, E., & Sayan, E. (2025). Navigating challenging family dynamics in pediatric practice: Strategies for effective communication and collaboration. Pediatrics in Review,46(10), 535–544. https://doi.org/10.1542/pir.2025-006760Food and Drug Administration. (2026). Influenza vaccine composition for the 2026–2027 U.S. influenza season. https://www.fda.gov/vaccines-blood-biologics/vaccines/influenza-vaccine-composition-2026-2027-us-influenza-seasonGarzon, D. L., Dirks, M., Driessnack, M., Duderstadt, K. G., & Gaylord, N. M. (Eds.). (2025). Burn's pediatric primary care (8th ed.). Elsevier. Jacobson, R. M., St Sauver, J. L., Griffin, J. M., MacLaughlin, K. L., & Finney Rutten, L. J. (2020). How health care providers should address vaccine hesitancy in the clinical setting: Evidence for presumptive language in making a strong recommendation. Human Vaccines & Immunotherapeutics, 16(9), 2131–2135. https://doi.org/10.1080/21645515.2020.1735226Kaiser Family Foundation. (2025). Child flu vaccination rates by age. https://www.kff.org/state-health-policy-data/state-indicator/child-flu-vaccination-rates-by-age/Reinhart, K., Huang, S., Kniss, K., Reed, C., & Budd, A. (2025). Influenza-associated pediatric deaths—United States, 2024–25 influenza season. MMWR. Morbidity and Mortality Weekly Report, 74, 565–569. https://doi.org/10.15585/mmwr.mm7436a2Sakleshpur, S., & Steed, A. L. (2022). Influenza: Toward understanding the immune response in the young. Frontiers in Pediatrics, 10, 953150. https://doi.org/10.3389/fped.2022.953150Trombetta, C. M., Kistner, O., Montomoli, E., Viviani, S., & Marchi, S. (2022). Influenza viruses and vaccines: The role of vaccine effectiveness studies for evaluation of the benefits of influenza vaccines. Vaccines, 10(5), 714.https://doi.org/10.3390/vaccines10050714Vidyasagar, N., Bernstein, K., & Alcocer Alkureishi, M. (2026). Motivational interviewing: A tool for pediatricians. Pediatrics in Review, 47(1), 59–63.https://doi.org/10.1542/pir.2024-006685

Please visit answersincme.com/JKK860 to participate, download slides and supporting materials, complete the post test, and get a certificate. Presented by Alison J. Birtle, FRCP, FRCR, MD; and Niklas Klümper, MD. In this activity, experts in oncology discuss systemic therapies for locally advanced and metastatic urothelial carcinoma. Upon completion of this activity, participants should be better able to: Assess the evidence for recommended systemic treatment regimens for patients with LA/mUC in the context of treatment guidelines; Propose appropriate patient assessment strategies to guide systemic therapy decisions; and Formulate individualized treatment strategies to optimize outcomes for patients with LA/mUC using recommended first-line systemic treatments.

In this episode, Jackie Sanders and Andrew Johnston sit down with Jill Sirko, PhD, cofounder of KaiAvora Health, to discuss the challenge of translating research into information clinicians and patients can actually use. Jill shares her unconventional path from studying medieval literature and systems of power to working in health care, patient advocacy, and oral health research. She explains how her experience navigating a fragmented health-care system after the birth of her daughter ultimately changed the direction of her career and shaped her interest in making complex health information more accessible.   The conversation explores why it can take years for research findings to make their way into clinical practice, the growing challenge of distinguishing credible science from misinformation, and the responsibility researchers and communicators have to make evidence understandable without oversimplifying it.   Jill also discusses the work behind KaiAvora Health and its focus on helping people better understand the connections between oral and systemic health, particularly in women's health. For dental hygienists, the conversation highlights an important opportunity: helping patients recognize that oral health involves much more than their teeth and giving them evidence-based information that helps connect what happens in the mouth with the rest of the body.   Resources:   KaiAvora Health: https://www.kaiavorahealth.com/   Jill Sirko on LinkedIn: https://www.linkedin.com/in/jillsirko/   KaiAvora Health on LinkedIn: https://www.linkedin.com/company/kaiavora-health/

Send us Fan MailWhat happens when growing your business makes it harder to deliver the work you built the company to do? Deanna Woodroffe explains why Vibrant Health of Colorado moved from an insurance based practice serving roughly 7,000 patients to a direct primary care model capped at 1,000, and how that difficult decision changed patient care, provider burnout, and her relationship with the business itself.SHOW NOTESGrowth is usually treated as evidence that a business is working, but Deanna's experience raises a harder question: what if the economics driving growth are quietly undermining quality, capacity, and the people delivering the service? Her transition away from insurance based care offers founders a useful case study in redesigning a business model when more customers, more employees, and more revenue no longer produce a better company.Key TakeawaysInsurance reimbursement created a growth treadmill: as expenses rose without corresponding increases in reimbursement, maintaining the practice meant adding providers and seeing more patients.Deanna chose to reduce the practice from approximately 7,000 patients to a planned cap of 1,000, trading volume for time, accessibility, deeper patient relationships, and greater clinical capacity.A business model change can be financially sound and still provoke criticism. Deanna discusses learning to make consequential decisions without allowing the desire to keep everyone happy to determine the future of the company.Healthcare taught her a lesson that applies far beyond medicine: caring deeply about the work does not remove the obligation to understand cash flow, overhead, staffing, pricing, and the economics required to keep delivering it.GUEST CONTACT & CONNECTDeanna Woodroffe is the owner of Vibrant Health of Colorado, a two location Colorado medical practice combining traditional, functional, and integrative care. A nurse practitioner with more than 20 years in women's health, she leads an all female nurse practitioner team serving patients in Denver and Eagle.Website: Vibrant Health of ColoradoFacebook: Vibrant Health of ColoradoInstagram: @vibranthealthofcoloradoJoin the proveHER community for continued conversations with women building and leading businesses, and read the companion Blogcast for key ideas from the episode.---Subscribe and ReviewIf you loved this episode, drop us a review, share it with a badass woman in your life, and subscribe to Badass Women in Business wherever you get your podcasts.Stay badass. Stay bold. Build it your way.Keep up with more content from Aggie and Cristy here:Facebook: Empowered Women Leaders  Instagram: @badass_women_in_businessLinkedIn: ProveHer - Badass Women in BusinessWebsite: Badasswomeninbusinesspodcast.comAthena: athenaac.com

Dr. Heon-Jeong Lee (Korea University, Seoul) joins AJP Audio to discuss an app-based intervention designed to help individuals with mood disorders regulate their circadian rhythms to prevent recurrence of mood episodes.  Afterwards, Dr. Ned Kalin will join us again to discuss the rest of the September issue of the Journal, which takes a close look at clinical treatment. 00:44     Findings 01:42     How the app works 03:05     Differences between the app and traditional lifestyle advice 04:14     Ethics surrounding shame treatment arms 05:43     Broader applicability of the intervention 06:50     Limitations 08:19     Immediate clinical implications 09:33     Further research 10:08     Kalin interview 10:27     Yeom et al. 16:02     Schacht et al. 20:31     Khosravani et al. 24:52     Peterson et al. Transcript Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org

Dr. Basu, President of the American Society of Plastic Surgeons, discusses what patients really want from aesthetic and reconstructive surgery—confidence, balance, and a more authentic version of themselves. He also covers the organization's mission around patient advocacy and ethics, plus practical guidance like choosing a board-certified plastic surgeon and doing homework before and after consultations.

Balancing patient care responsibilities with teaching can be challenging, particularly in busy practice environments where time and resources are limited. This course reviews practical strategies for integrating learners into daily workflow, including delegation, layered learning, and approaches for managing multiple learners. You will be better prepared to create meaningful learning experiences while maintaining efficiency, supporting learner engagement, and reducing the risk of preceptor burnout. HostKate Newman PharmD,Director of Experiential EducationClinical Associate Professor, Pharmacy PracticeSouthern Illinois University - EdwardsvilleGuestDawn Dankenbring, PharmD, BCPSAssistant Director of Experiential Education, Clinical AssistantProfessor of Pharmacy PracticeSIUE School of PharmacyGet CE: CLICK HERE TO CPE CREDIT FOR THE COURSE!CPE Information Learning ObjectivesAt the end of this course, preceptors will be able to:1. Describe strategies for integrating learners into workflow in busy pharmacy practice settings.2. Explain approaches to balancing patient care responsibilities with effective precepting and learner engagement.0.075 CEU/0.75 HrUAN: 0107-0000-26-310-H99-PInitial release date: 8/24/2026Expiration date: 8/24/2029Additional CPE details can be found here.The speakers have no relevant financial relationships with ineligible companies to disclose.The examples shared in this episode are intended to illustrate approaches to experiential learning, service development, and patient care innovation and are not endorsements of any specific service, product, or practice model. Certain examples discussed may no longer be viable, appropriate, or permissible under current regulatory requirements. Pharmacists should exercise professional judgment and ensure compliance with applicable laws, regulations, payer requirements, and evidence-based standards when evaluating or implementing patient care services.This program has been:Approved by the Minnesota Board of Pharmacy as education for Minnesota pharmacy preceptors.Reviewed by the Texas Consortium on Experiential Programs and has been designated as preceptor education and training for Texas preceptors.Follow CEimpact on Social Media:LinkedInInstagram

Dr. Basu, President of the American Society of Plastic Surgeons, discusses what patients really want from aesthetic and reconstructive surgery—confidence, balance, and a more authentic version of themselves. He also covers the organization's mission around patient advocacy and ethics, plus practical guidance like choosing a board-certified plastic surgeon and doing homework before and after consultations.

Health care gets blamed on villains, but the harder truth is that most people are reacting to the incentives right in front of them. From the 2026 Mackinac Policy Conference, we sit down with Matt Elliott, founder of Blue Lake Ideas and former president of Bank of America Michigan, to ask the question that quietly reshapes every other debate: who is the customer in health care?Matt brings a leadership lens he calls the “Power of And” thinking that refuses to collapse decisions into either-or. If Michigan wants a stronger future, we have to execute today and invest for tomorrow. We have to take care of people and still deliver results. That mindset matters when the state is facing what many leaders describe as a “house on fire” moment: slipping educational and economic outcomes, rising cost pressure, and real threats to access, especially for rural hospitals that often serve as the largest employer in town.We also get concrete about health care cost transparency and pricing signals. Patients rarely see the real price of care, there often isn't a usable price sheet, and even providers can be constrained by contracts and regulation. We talk about how benefit design and tax policy shape behavior, why clarity has to come before solutions, and what “winning” should mean if we want a health care system that works for patients and communities.Subscribe, share this conversation with someone who debates health care policy, and leave a review with your answer: who do you think the customer really is?Support the showEngage the conversation on Substack at The Common Bridge!

Contributor: Aaron Lessen, MD Educational Pearls:  Blunt cerebrovascular injury (BCVI) BCVI is a traumatic injury to the carotid or vertebral arteries Patients may initially have no neurologic symptoms In some cases, a thrombus can form at the site of the injury and later cause ischemic stroke, sometimes hours after the original trauma CT angiography (CTA) of the neck is a useful screening tool for BCVI HIstorically, CTA was reserved for patients with high-risk mechanisms or neurologic symptoms CTA screening has expanded as understanding of BCVIs and their prevention progresses The Denver criteria were developed to identify patients with increased risk for BCVI High-risk findings include cervical spine injuries and severe facial or skull-base fractures Screening practices still vary between trauma centers, though expansion of proactive CTA is an increasingly common practice   References Kim DY, et al. Evaluation and management of blunt cerebrovascular injury: A practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2020. Biffl WL, et al. Screening for and treatment of blunt cerebrovascular injuries: Western Trauma Association critical decisions algorithm. J Trauma. 2009. Brommeland T, et al. Best practice guidelines for blunt cerebrovascular injury. Scand J Trauma Resusc Emerg Med. 2018. Harper PR, et al. Routine CTA screening identifies blunt cerebrovascular injuries missed by clinical risk factors. Trauma Surg Acute Care Open. 2022.   Summarized by Sam Pahl | Edited by Sam Pahl & Ahmed Abdel-Hafiz, NREMT-P   Donate: https://emergencymedicalminute.org/donate/   Join our mailing list: http://eepurl.com/c9ouHf  

Cost, timing, pain, insurance. These objections don't mean a patient is saying "no."In this episode, the DPH coaches share how they handle the most common patient objections and turn them into a "yes." You'll learn how to present treatment plans big and small — with confidence, and without being salesy or putting patients on the defensive.Topics discussed:(00:00) Introduction(01:51) Why even obvious treatment gets turned down(04:42) Defining an objection (and why they happen)(06:47) Handling cost objections without getting defensive(13:10) When an objection stops you cold(16:54) What happens when you're not confident in your diagnosis(20:24) How to respond to 'I need to talk to my spouse'(23:49) The wrong way to uncover objectionsThis episode was produced by Podcast Boutique https://www.podcastboutique.comJoin Us at our Upcoming Retreat October 2nd and 3rd.  Click Here to Register Join Us at our Upcoming Retreat October 2nd and 3rd.  Click Here to Register If you are ready to increase your new patients and start growing your practice, visit www.relevanceonlinemarketing.com and see what you've been missing with your current company. Take Control of Your Practice and Your LifeWe help dentists take more time off while making more money through systematization, team empowerment, and creating leadership teams.Ready to build a practice that works for you? Visit www.DentalPracticeHeroes.com to learn more.

In this episode of The Egg Whisperer Show, I welcome Dr. Katie Lee, a holistic and integrative functional dentist, to answer real-life questions about the surprising connection between oral health and fertility. We cover practical advice, debunk myths, and provide actionable tips for optimizing both dental and reproductive health. Plus, we're talking about how visiting a dentist is so important as part of your fertility journey that I'm considering adding a "D" (for dentist) to The TUSHY Method.  Welcome to "TUSHY-D!" We dive into how the oral microbiome affects hormones, fertility, and pregnancy outcomes, including topics like gum inflammation, dental anxiety, and systemic inflammation markers. Dr. Katie also shares simple, evidence-based strategies couples can implement to protect their oral and reproductive health, plus the top products and tests she recommends for anyone planning a pregnancy. In this episode, we cover: Daily habits and oral care tips that support fertility and overall reproductive health Safety of dental procedures, X-rays, and managing dental anxiety before IVF How oral microbiome imbalances, gum inflammation, and systemic inflammation affect hormones and fertility Partner oral health, PCOS, and other conditions that influence conception Recommended natural oral care products, testing options, and actionable strategies for preconception planning Read the full show notes on Dr. Aimee's website. Do you have questions about IVF? Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, September 14 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom. Click to find The Egg Whisperer Show podcast on your favorite podcasting app.   Watch videos of Dr. Aimee answer Ask the Egg Whisperer Questions on YouTube.  Sign up for The Egg Whisperer newsletter to get updates  Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.