Podcasts about PICC

En un programa anterior, les hablamos sobre el informe del PICC (Panel Intergubernamental de las Naciones Unidas sobre el Cambio Climático) diseñado para asustar a la gente con las advertencias acerca de la destrucción de nuestro planeta si los gobiernos del mundo no toman medidas serias para combatir el calentamiento global provocado por el hombre… To support this ministry financially, visit: https://www.oneplace.com/donate/1235/29

El último día de Marzo del 2014, el Panel Intergubernamental de las Naciones Unidas sobre el Cambio Climático (PICC) publicó un informe que advierte que los efectos del cambio climático ya se están produciendo en todos los continentes… To support this ministry financially, visit: https://www.oneplace.com/donate/1235/29

In this episode, we're joined by two wonderful members of Pine Island Community Church's Hugs Program and Food Pantry team — Pat Downes and LaDonna Lippincott. Alongside their dear friend Dort Koetje, these women are affectionately known as “the Marthas” for their heart of service and gift for hospitality. Each week, they spend Mondays cooking meals with love and care, and on Tuesdays, they bring the prepared dishes to the church, setting up and serving them right next to the Food Pantry. It's a labor of love, fueled by faith and a deep commitment to serving God's people. Tune in to hear their inspiring story — and to discover the special reason they've earned the name “the Marthas.”

Former All Whites goalkeeper Jake Gleeson says he contemplated taking his life after prolonged surgeries turned into a battle for survival and forced his early retirement. In August 2018, while contracted to the Portland Timbers in the United States, Gleeson had surgery to treat stress fractures in both legs. It should have been a routine procedure, but he developed osteomyelitis from an infection. What followed was not only a physical struggle but an emotional descent that would push him to the brink. Fourteen surgeries later, and nearly five years after Gleeson began legal action, a jury found doctor Richard Edelson guilty of medical negligence for failing to properly disinfect the plates inserted into Gleeson's legs before the initial operation. Gleeson, now 34, was awarded US$20.4 million (NZ$35.7m) in damages. What was meant to be a three-month stint on the sidelines turned into a nightmare of medical complications and forced Gleeson to retire, having made 59 appearances for the Timbers and winning eight caps for the All Whites between 2011 and 2014. The fallout has been brutal for Gleeson, who struggles to complete mundane tasks such as exercising. The mental toll has been equally devastating. Speaking to Newstalk ZB's Jason Pine on Weekend Sport, Gleeson says he reached a point where he considered taking his life. “I'd been prescribed so many opioids, like painkillers and anti-anxiety medication, I filled this pill jar up with enough pills that I know that if I took it all at once it would kill me. “I drove out a few times to different places around Portland with that. I had that around me for ... a few months and there were some close calls where I thought that that was going to be the day. “There were points I just didn't want to live any more. Simple as that. “But I never went through with it, which I'm happy about. The last few years have been a slow climb out of a very deep, dark hole.” After his initial surgery, things appeared normal but, after two weeks, an infection on his right leg appeared. Antibiotics initially worked, but the infection worsened and he needed a second operation. At this point, pus was coming out of the wound and Gleeson was given a PICC line - a type of catheter - that was pumping antibiotics from his leg to an artery near the heart. It was a further two weeks before the plate in his right leg came out. Days later, problems began in his left leg. Portland Timbers goalkeeper Jake Gleeson shows his disappointment after the the 4-1 loss against Real Salt Lake in 2017. Photo / Getty Images “I saw that same redness, same warmth, same everything that was a sign of infection, and they pulled that plate out straight away. “Because I developed osteomyelitis in my right leg, essentially the infection had travelled through my blood and settled on the foreign hardware on my left leg. “If they had just removed the plate on the first surgery, or even checked the underside of it to know that that's where the infection was, we could have avoided a lot more of the surgeries that I went through.” Gleeson had another appointment with Edelson, who was pleased with the recovery of the left leg, but problems were still occurring with the right. Despite raising concerns, Gleeson was told “it's just bad blood flow, the wound will heal and you're fine”. An angry Gleeson consulted another team doctor and was immediately rushed to hospital, where he had three surgeries in five days to clear the osteomyelitis and dead bone. “They had to go in and chunk out parts of my bone and there was dead tissue in there,” he recalls. “My body had gone septic and I had a 40-degree temperature, cuddling a bag of ice on my couch with all this medicine still coursing through me every week.” It was at this point that he found out Edelson had not properly sanitised an orthopaedic plate, after realising he was missing one and bringing one in from an outside facility during the surgery. As Gleeson improved after working with a new doctor, he opted to have metal rods inserted into both legs in February 2019 in an effort to save his career. He had four more operations but the rod in his right leg became immediately infected. Three weeks later, doctors said the rods had to come out. In July 2020, Gleeson formally began legal action. Finally, on March 29, a Multnomah County jury in Portland agreed that Edelson had violated his duty of care and awarded NZ$35.7m to Gleeson. “This is the first step and, once again, a very long path,” says Gleeson. “I don't think it's sunk in yet. I'm very tired still. “The money is a bonus once we figure out what it all looks like, because I'm not currently sitting with a huge cheque in my account. “Once it settles and is confirmed, I've already started conversations with some local groups around here to highlight this, and I want to kind of utilise it also to bring attention to mental health, especially for athletes. “I would like to go somewhere nice with my fiancée and throw my phone in a lockbox somewhere and take a week to take some deep breaths and start to put this all behind us as we move forward with our lives.” He says the Timbers club was poorly managed at the time and “swept me under the rug”. The figures involved have since gone and he is excited about attending his first Timbers match since the ordeal later this month. He says he would do anything to be able to step onto the pitch one last time, but is looking forward to be involved again in the sport he loves, having initially walked away from it. He is also looking forward to seeing the All Whites in action at next year's World Cup, which is being co-hosted by the USA, Canada and Mexico. “I couldn't be more excited for the All Whites and the boys on the team that I know and all the young guns coming through. “They're an impressive bunch, so I'll be there supporting them for sure. Hopefully they can cause some upsets.” SUICIDE AND DEPRESSION Where to get help:• Lifeline: Call 0800 543 354 or text 4357 (HELP) (available 24/7)• Suicide Crisis Helpline: Call 0508 828 865 (0508 TAUTOKO) (available 24/7)• Youth services: (06) 3555 906• Youthline: Call 0800 376 633 or text 234• What's Up: Call 0800 942 8787 (11am to 11pm) or webchat (11am to 10.30pm)• Depression helpline: Call 0800 111 757 or text 4202 (available 24/7)• Helpline: Need to talk? Call or text 1737• Aoake te Rā (Bereaved by Suicide Service): Call or text 1737If it is an emergency and you feel like you or someone else is at risk, call 111 See omnystudio.com/listener for privacy information.

This week's topics include catheter material for PICC lines, a diabetes medication for kidney stones, driver mutation clearance and relapse prediction, and exercise and heart failure.

In this episode we talk about this years NFL Matchups and give my Picc'Em on the first round of the playoffs.

Did you know that Multi-Organ Dysfunction Syndrome (MODS) can result from both infectious and non-infectious causes? In our latest episode, we delve deep into the pathophysiology of MODS, exploring how different organs interact and fail in sequence. We discuss key concepts like organ functional reserve and the kinetics of organ injury, which aren't as straightforward as they seem. Tune in to learn about the non-linear progression of organ damage and how it impacts management strategies in pediatric critical care.We break down the case into key elements:Patient Background: A 15-year-old girl with chronic TPN dependence and a PICC line presented with septic shock and respiratory failure.Initial Presentation: Blood cultures confirmed Gram-negative rod bacteremia. She developed multi-system complications, including acute kidney injury (AKI), thrombocytopenia, and cardiac dysfunction.Management: Broad-spectrum antibiotics, mechanical ventilation, vasoactive agents, and supportive care for MODS.Key Case Highlights:Clinical case of a 15-year-old girl with sepsis from a gram-negative rodDependence on total parenteral nutrition (TPN) and prolonged PICC line useDiscussion of septic shock, acute respiratory failure, and acute kidney injuryOverview of multiple organ dysfunction syndrome (MODS) and its definitionsPathophysiology of MODS, including organ functional reserve and kinetics of organ injuryMolecular mechanisms involved in MODS, such as mitochondrial dysfunction and immune responsesSpecific phenotypes of sepsis-induced MODS, including TAMOF and IPMOFManagement strategies for MODS, emphasizing multidisciplinary approachesRole and complications of therapeutic plasma exchange (TPE) in treating MODSImportance of recognizing signs of MODS and timely intervention in pediatric patientsSegment 1: MODS Definitions and PhenotypesKey Definition: MODS is the progressive failure of two or more organ systems due to systemic insults (infectious or non-infectious).Phenotypes:TAMOF (Thrombocytopenia-Associated Multi-Organ Failure): Characterized by thrombocytopenia, hemolysis, and decreased ADAMTS13 activity.Immunoparalysis: Persistent immunosuppression and risk of secondary infections.Sequential Liver Failure: Often associated with viral triggers.Segment 2: Pathophysiology of MODSMolecular Insights:Mitochondrial dysfunction and damage-associated molecular patterns (DAMPs)Innate and adaptive immune dysregulationMicrocirculatory dysfunction and ischemia-reperfusion injuryOrgan Interactions: MODS evolves through complex multi-organ interdependenciesSegment 3: Diagnosis and Evidence-Based ManagementKey Diagnostic Pearls:MODS is not solely infection-driven; it requires a shared mechanism and predictable outcomes.Use biomarkers like ADAMTS13 and TNF-α response for phenotypic classification.Management Highlights:Supportive Care: Multisystem approach including lung-protective ventilation, renal replacement therapy, and hemodynamic support.Therapeutic Plasma Exchange (TPE): Especially effective in TAMOF by restoring ADAMTS13 and removing inflammatory mediators.Segment 4: Practical Tips for IntensivistsEarly recognition of MODS phenotypes for targeted therapyImportance of multidisciplinary teamwork in critical care settingsMonitoring for complications like TMA and immunoparalysis during prolonged ICU staysFollow Us:Twitter: @PICUDocOnCallEmail:

Dr. Jerry Brown, TIME Person of the Year, joins Mike Shanley to discuss Dr. Brown's work during the Ebola crisis, COVID-19 response and lessons learned for global pandemic preparedness, becoming TIME Person of the Year, and the role of international aid donors and implementing partners. Co-host: Care Africa Medical Foundation (CAMF) focuses on building clinics in rural Liberia, starting with their hometown of Buchanan in Grand Bassa County, where they have organized free health fairs to provide essential health resources. In addition to their nonprofit efforts, Henry and Gormah run successful businesses that cater to the aging population and assist the homeless in Colorado, creating over 60 local jobs. CAMF plans to open its first medical center in Grand Bassa County in the spring of 2025, addressing urgent healthcare needs. However, the lack of reliable electricity poses a significant challenge to operating medical equipment. As a registered 501(C)(3) organization, CAMF aims to make a lasting impact on healthcare in Africa and inspire others with its dedication to health and community service. https://www.linkedin.com/in/care-africa-medical-foundation-536206336/ https://www.camedfoundation.org/about/ Biography Jerry Fahnloe Brown was born on October 18, 1968. Dr. Brown has worked in several capacities as physician. He worked as Escort Doctor for MERCI on boats repatriating Sierra Leonean Refugees back to Sierra Leone. He then worked as the County Health Officer for Grand Bassa County and Medical Director for the Buchanan Government Hospital from 2006 to 2008 after working as a Volunteer Physician at the ELWA Hospital and General Practitioner from 2004 to 2006. In March 2014 he was employed as Medical Director and General Surgeon at the ELWA Hospital a position he held until February 2018 when he was appointed by the President of Liberia to serve as the Chief Medical Officer of the John F. Kennedy Medical Center, the premier teaching and referral hospital. During those years at ELWA, he worked tirelessly performing varieties of surgeries in this low resource setting. He became Clinical Supervisor and Clinician at the ELWA II Ebola Treatment Unit from July 2014 to June 2015. Under his leadership and guidance this unit produced the highest number of Ebola survivors changing the survival rate from ten percent to seventy percent of Ebola Patients at his Center. From October 2014 to December 2016, he served as Principal Investigator on two research projects with the Clinical Research Management on convalescent plasma and the sequelae of Ebola in survivors. In 2018, he was appointed by the President of Liberia as the Chief Executive Officer of the John F. Kennedy Medical Center, the premier referral hospital in Liberia, a position held until January 30, 2024, due to the political transition of power. While at JFKMC, he established the only active functional Intensive Care Unit in country with support from partners such as Project Cure International and NOCAL. Under his leadership JFKMC, obtained accreditation for training specialists in the areas of pediatrics, internal medicine, general surgery, ophthalmology and psychiatric. He also established the only histopathology unit; a state of the art executive private ward; a dialysis center among others. On May 23, 2019, he was elected Civilian Representative and Advisor to APORA. He also serves as Acting Faculty Head, Department of Surgery, A. M. Dogliotti College of Medicine for two years, and is currently a Part-Time Faculty member, in the Department of Surgery, Liberia College of Physician and Surgeon. In March 2020, he was appointed by the president of Liberia to serve as the Head of the National Case Management Pillar of COVID-19. He coordinated the management of COVID-19 patients across the country and the care of patients with COVID-19 vaccine related complications. He supervised the drafting of Liberia COVID-19 Clinical Guidelines. Dr. Brown has received many honors to include, Time Person of the Year in 2014; among Time 100 Most Influential Persons, 2014; Civil Servant of the Year, 2014, Republic of Liberia; President of Liberia Highest Honor, Star of Africa in 2015; Golden Key Awards, 2018; He has spoken as several places to include Keynote Speaker, PICC 2016, 8th World Congress on Pediatric Intensive and Critical Care, Toronto Canada, June 2016; keynote Speaker, Case Western University, Ohio, October 2015; Keynote Speaker, Risky Business Conference, London, UK, May 2017; Speaker, American Society of Tropical Medicine and Hygiene, (ASTMH) 64TH Annual Meeting, ASTMH Ebola 360 symposium, October 2015; Pepperdine University, Dean Honorary Speaker—Leadership June 2017.    Thank you for tuning into this episode of the Aid Market Podcast. Learn more about working with USAID by visiting our homepage: Konektid International and AidKonekt. To connect with our team, message the host Mike Shanley on LinkedIn  

Join us for an enlightening conversation with Carla Wrenn as she explores the critical intersection of gut health and oncology care. Drawing from her extensive clinical experience, Carla shares powerful insights into how practitioners can support oncology patients through evidence-based microbiome interventions.From groundbreaking research on microbiome patterns in cancer screening to practical strategies for managing treatment side effects, this episode offers valuable guidance for healthcare practitioners working with cancer patients. Carla's thoughtful discussion bridges the gap between conventional cancer treatments and integrative support, emphasizing safety, efficacy, and patient well-being.Key Episode Highlights:The emerging role of microbiome patterns in cancer detection and treatment, with specific bacterial signatures potentially serving as future screening tools.Critical safety guidelines for probiotic use in cancer care, including essential monitoring protocols for neutropenic patients and those with PICC lines.Practical strategies for supporting four distinct patient groups: newly diagnosed, post-treatment, end-stage, and those seeking preventive care.Evidence-based interventions for managing treatment side effects, including innovative approaches like glutamine supplementation and coffee/honey rinses for oral complications.The surprising connection between oral health and cancer outcomes, particularly in breast cancer, highlighting the importance of dental care during treatment.How proper microbiome support may enhance conventional treatment efficacy, with insights into implementing integrative strategies that align with current research.This episode is essential listening for practitioners seeking to enhance their oncology support protocols through evidence-based integrative approaches.Shownotes and references are available on the Designs for Health websiteRegister as a Designs for Health Practitioner and discover quality practitioner- only supplements at www.designsforhealth.com.au Follow us on Socials Instagram: Designsforhealthaus Facebook: Designsforhealthaus DISCLAIMER: The Information provided in the Wellness by Designs podcast is for educational purposes only; the information presented is not intended to be used as medical advice; please seek the advice of a qualified healthcare professional if what you have heard here today raises questions or concerns relating to your health

One frustrating thing about Hannah's care is that we rarely had the opportunity to talk privately with her healthcare providers.  Hannah was always present, listening attentively, while her doctors and nurses talked with us about her most recent scans, blood work results, treatment plans, etc.  I always wondered how honest they were really being when Hannah was sitting right there with us soaking it all in.When Hannah was taken back to have her PICC line inserted, I had a rare few minutes alone with her primary care nurse.  The nurse spent part of that time reviewing the at-home care that the PICC line was going to entail, then asked if I had any questions.  I did have a question ... a burning question ... but I wasn't sure I could pull myself together well enough to ask it.Thank you for joining me for another bonus episode of the While We're Waiting podcast in this year-long series in which I share our family's experiences as our teenage daughter Hannah battled glioblastoma brain cancer from February 2008 through February 2009.  My desire is to process through the events of those twelve months with the perspective that 16 years has brought … and point listeners to hope in Jesus along the way.I would love to hear your thoughts on the show. Click here to send me a message!** IMPORTANT** - All views expressed by guests on this podcast are theirs alone, and may not represent the Statement of Faith and Statement of Beliefs of the While We're Waiting ministry. We'd love for you to connect with us here at While We're Waiting! Click HERE to visit our website and learn about our free While We're Waiting Weekends for bereaved parentsClick HERE to learn more about our network of While We're Waiting support groups all across the country. Click HERE to subscribe to our YouTube channelClick HERE to follow our public Facebook pageClick HERE to follow us on Instagram Click HERE to follow us on Twitter Click HERE to make a tax-deductible donation to the While We're Waiting ministryContact Jill by email at: jill@whilewerewaiting.org

https://www.artscroll.com/ Books/lemynh.html  Living Emunah on Yamim Noraim Gaining faith from the Days of Awe A man told that from the moment his baby came home after his Brit Milah, he wouldn't stop crying. Nothing could calm him down. He would eat, doze, and immediately wake up crying again. It was obvious that something was hurting him, but nobody knew what it was. All different kinds of advice began coming their way. One person suggested one type of doctor, another suggested a type of counselor, another an allergy specialist. All of those professionals were prepared to see their baby, but for a high cost and a lot of effort on their part. The man said to himself, "Let me first set up a meeting with the Healer of All Flesh." The man wanted to dedicate an hour to the meeting, no less than he would if he were meeting some professional. He prepared for the meeting. He got dressed up. He took time out from work and sat at a table saying Tehillim . He had a full one-hour meeting with the greatest doctor of all. Before the hour was up, his mother-in-law called his wife and told her about a new idea she had just heard about, something they could try right away. His wife listened to the advice and immediately the baby was quiet. The baby slept for several hours and since then has been calm and happy. The problem was resolved. When we have the right approach with Hashem, all of His messengers suddenly "change their tune". A man told me he had to go with his father on Shabbat to the hospital in a Hatzalah truck, because the Hatzalah told them he needed a PICC line to get certain vital nutrients. They arrived at the hospital and had to wait for the cardiovascular team to arrive. They waited there the entire night, but the team still didn't come. In the morning, the man went to see if there was some type of Bikur Cholim room where he could find food for Shabbat. From the time that he left the hospital room until the time he got back was about 45 minutes. When he got back, the nurse told him he had missed the cardiovascular team. They were not able to put in the PICC line without his permission and so they left. She said they would be back the following day. The man couldn't believe his ears. He was waiting the entire night for them, and now he missed them? He started to cry. The nurse apologized, but said they were there more than a half hour ago and this was their last stop before they went home. The man was going to have a fit, but instead he decided to take the emunah approach. He went into a corner and began speaking to Hashem. He said, "Hashem, you brought me away from my family for Shabbat. I don't have my shul. I don't have my learning. I don't have my seudot, and now we didn't get the PICC line either. If you want me to come here just to spend the entire Shabbat in a hospital, then I'm going to do it b'simcha ." He strengthened himself and accepted the will of Hashem with happiness. Just a few minutes later, the cardiovascular team showed up. They said they decided to come back and try one more time. This man made the correct approach with Hashem and, suddenly, the messengers followed suit. Another man said he lost a business account and tried his hardest to accept it with love. Instead of not going out to learn that night, he pushed himself to add a second class. The next day his mortgage company called him and told him about an escrow surplus check that they sent a full year ago that never got cashed. The amount was more than the commission that he usually earned for the entire year from the account he lost. It's true we have to make hishtadlut in the way of the world, but when we first go to Hashem and accomplish what we need to with Him, everything else falls into place afterward.

The treatment landscape for Lyme disease has undergone significant evolution over the years, offering a wider array of options to manage this multifaceted illness. When I first began treating Lyme disease in 1987, the primary antibiotic prescribed was doxycycline. This choice was driven by doxycycline's effectiveness not only against Lyme disease itself but also against co-infections such as Ehrlichia and Anaplasmosis. These co-infections, often transmitted by the same ticks that carry Lyme, present additional challenges in patient management. However, when patients couldn't tolerate doxycycline due to side effects or failed to respond to the treatment, rifampin emerged as a viable alternative. For pediatric patients, the treatment approach required special consideration. amoxicillin was commonly used to avoid the risk of dental staining associated with doxycycline, which can be a concern for growing children. However, the limitation of amoxicillin lies in its inability to combat co-infections like Ehrlichia or Anaplasmosis. Over time, other antibiotics related to amoxicillin, such as Pen VK, IM Bicillin, Omnicef, and Ceftin, became available. Of these, Ceftin (cefuroxime axetil) is notably the only one FDA-approved specifically for Lyme disease, reinforcing its role in the treatment regimen. When dealing with neurologic Lyme disease, which can involve the central nervous system and present with symptoms such as memory loss, cognitive difficulties, and neuropathy, the approach often necessitates more aggressive treatment. Intravenous (IV) antibiotics like ceftriaxone (Rocephin) and Claforan were preferred due to their ability to cross the blood-brain barrier, a crucial factor in effectively treating neurological manifestations. These IV antibiotics are essential for some patients, particularly those with severe or persistent symptoms, but they are not without risks. The use of PICC lines for IV administration carries potential complications, including infections and blood clots. Interestingly, in my experience, many patients with chronic neurologic Lyme have shown significant improvement with oral antibiotics, allowing them to avoid the complexities and risks associated with IV treatments. For patients who are allergic to or unable to tolerate doxycycline, or for those who are sun-sensitive—a common side effect of doxycycline—Zithromax (azithromycin) and Biaxin (clarithromycin) have emerged as effective alternatives. These antibiotics belong to the macrolide class and have shown efficacy comparable to doxycycline in the majority of clinical studies, offering additional options for patient care. In the treatment of co-infections like Bartonella, the approach becomes more nuanced. Bartonella, initially identified as the causative agent of cat scratch fever, has been a subject of ongoing debate in the context of Lyme disease. This bacterium is traditionally associated with transmission through cat scratches, where the bacteria are introduced under the skin from cat saliva or flea feces. However, there is growing evidence suggesting that Bartonella may also be transmitted via tick bites, complicating the clinical picture for Lyme disease patients. In treating suspected Bartonella co-infections, I have employed antibiotics from the doxycycline, Zithromax, and rifampin families, drawing on research related to cat scratch fever. Additionally, I have used Bactrim (trimethoprim-sulfamethoxazole) in some cases. However, I generally avoid fluoroquinolones like ciprofloxacin due to their association with severe side effects, including joint pain, tendonitis, and tendon ruptures. Babesia, another common co-infection found in Lyme disease patients, requires a different treatment approach altogether. Babesia is a parasite that infects red blood cells, causing symptoms similar to malaria. For treating Babesia, I often prescribe atovaquone, availa

DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.       Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome to "Ditch the Lab Coat," the podcast where we dive into pressing health issues with scientific skepticism and heartfelt curiosity. I'm your host, Dr. Mark Bonta, and in this episode, we are back with our second part to the two-part series focused on the intricate world of addiction treatment.Joining us today are two distinguished guests: Dr. Jon Mong, a general internal medicine and addictions physician, and Dr. Wiplove Lamba, an addiction psychiatrist. Together, Dr. Mong and Dr. Lamba will shed light on the promise and perils of new treatment approaches, underscore the necessity of comprehensive support systems, and point to the pivotal role of social supports and stable housing in fostering sustainable recovery.We also tackle the cultural and historical context of the opioid crisis, including the profound impact of Purdue Pharma and the Sackler family. Dispelling misconceptions about fentanyl, you'll learn about the real risks, the invaluable role of naloxone, and practical steps for overdose prevention.This episode is not just about groundbreaking therapies; we will discuss the critical need for rigorous, high-quality data to back new treatments and reflect on the significant influence of private companies in the field. Our guests will emphasize the paramount importance of addressing the root causes of substance use, building life skills, and creating supportive networks to prevent relapses.Lastly, this episode will feature discussions on opioid tolerance, withdrawal management, and the nuanced balance between the risks of prescribing medications versus the risks of untreated withdrawal. You'll gain insights into how healthcare teams can shift their perceptions and practices to better support patients with substance use disordersStay tuned as we unravel these topics and much more. So, grab your headphones and get ready for an enlightening conversation on addiction treatment with Dr. Jon Mong and Dr. Wiplove Lamba. Let's dive in!04:17 Challenges and future of addiction treatment discussed.09:36 Understanding withdrawal challenges in hospitals with unknown dosages.12:02 Provide proper care despite addiction-related complications.16:20 Colleague's guarded due to personal trauma, concerns.20:05 Conversations led hospital to adopt PICC lines.21:54 New grads integrate social responsibility with medical care.27:20 Risk from checking on overdose is minimal.29:15 There can't be too much widely accessible Narcan.34:00 Need rigorous study for psychedelics in treatment.35:39 Concerned new treatments overshadow foundational patient support measures.41:40 "Cured" involves functional life, stability, coping mechanisms.42:52 Substance use disorder: Patients can achieve long-term remission.46:01 Meet needs without substances to avoid relapse.

Augie Shanahan, CEO of Piccolo Medical, joins this episode to discuss the challenges and opportunities in the field of central venous catheter placement. He highlights the limitations of current Peripherally inserted central catheter (PICC) technologies and the need for more accurate and reliable navigation methods.Piccolo Medical is developing innovative solutions to address these challenges, including their proprietary ionic dilution technology that provides real-time blood flow visualization. This technology has the potential to improve the accuracy and safety of catheter placement, especially in patients with arrhythmias.Augie shares insights into the company's journey, from its origins as a spin-out from the TheraNova incubator to its recent FDA clearance for the Easy Guide Connector. As an engineer turned CEO, Augie has plenty of great perspectives of the numerous challenges in successfully developing a novel medical, insights sure to leave you informed and inspired.Be sure to join us on September 25-26 at MEDevice Boston where you can hear from other innovators leading the charge to help improve patient lives (use the code IMPACT to get your free expo pass and 20% conference ticket discount at the checkout).

Send us a Text Message.In this episode of Investing RN, we sit down with Jumer Adalin, a nurse and social media strategist, to discuss his journey from working in the ICU to launching a successful Instagram consulting business. Jumer shares his personal story, including the challenges of being a foreign-educated nurse in the U.S., and how he transitioned to becoming a PICC nurse and, eventually, a social media consultant. We dive deep into the importance of building a personal brand, creating a content strategy that works, and how social media can be more than just a tool for selling—it can be a gateway to freedom and financial independence.Whether you're a nurse looking to break free from the grind of bedside nursing or someone interested in leveraging social media to build a brand, this episode is packed with actionable insights and inspiration.Timestamps:00:00] - Highlight/Introduction[01:22] - Welcoming Jumer Adalin to the Podcast[05:30] - Jumer's Journey: From the Philippines to the U.S. Nursing Scene[10:12] - Challenges of Being a Foreign-Educated Nurse in the U.S.[14:30] - Transitioning from ICU to PICC Nursing[18:45] - Burnout and Finding a New Path in 2020[24:15] - Launching a Social Media Consulting Business[28:30] - Importance of Building a Personal Brand[35:50] - How to Create a Content Strategy That Works[42:20] - The Role of AI in Social Media and Marketing[50:15] - Balancing Authenticity and AI in Online Business[55:45] - Final Thoughts and Where to Find Jumer OnlineAbout the Guest:Jumer Adalin is a nurse and social media consultant who transitioned from working in the ICU to helping nurse entrepreneurs build successful online brands. With a deep understanding of the challenges faced by healthcare professionals, Jumer specializes in teaching nurses how to effectively use Instagram to grow their businesses and create financial freedom. His program, Scrubs to Social Academy, empowers nurses to leverage social media as a powerful marketing tool, helping them attract clients and achieve their business goals.Links & Resources:Follow Jumer Adalin on Instagram: www.instagram.com/jumeradalin/Jumer's Website: www.jumeradalin.comBe sure to follow us on instagram here Subscribe to our YouTube channel here Click the link, share your contact details, and we'll help you get started on your investment journey. Start now!

In our broadcast on August 12, 2024, co-hosts Wendy Rose Williams and Gregg Kirk analyze and discuss Gregg's personal story of Lyme disease diagnosis, treatment, and resulting spiritual awakening.During the course of the broadcast, Gregg's debunks some myths about the illness and gives tips on diagnosis and treatments before going into the details of his own struggles through the disease that lasted 12 years. He also focuses on the mental, emotional, and even spiritual components that helped him through a near-death experience from a botched PICC-line insertion. From there Gregg gives insight on some of the lessons he learned that helped him turn this seemingly disastrous situation into one of the most uplifting events of his life.To view the 85-minute broadcast in its entirety: Gregg's Lyme Story -- 8/12/24 - YouTubeCONTACT WAKING UP SPIRITUALLY HERE...Our website: https://wakingupspiritually.com/Wendy Rose Williams' website: https://www.wendyrosewilliams.com/Gregg Kirk's website: https://greggkirk.comWaking Up Spiritually YouTube channel: https://www.youtube.com/@wakingupspiritually6114/videosWaking Up Spiritually Facebook page (ask to be invited): https://www.facebook.com/groups/wakingupspirituallyEmail us: wakingupspiritually@gmail.com

The Provincial Initiation Coordinating Committee (PICC) has urged prospective principals of customary initiation schools, to apply for permits in order to operate during the upcoming 2024 Summer initiation season. The Committee says applications are open for both male and female initiation schools. The call follows recent concerns by the Commission for Gender Equality, which noted what it calls a concerning rise in the number of illegal initiation schools in the Gauteng province. The commission also cited a range of unlawful activities, including the kidnapping and abduction of teenage boys, in some instances. For more on this Elvis Presslin spoke to Kiba Kekana, Gauteng Provincial Initiation Coordinating Committee Spokesperson 

In this podcast, Pastor Michelle Browne and Jen Jennings speak about the Pine Island Community Church.  Pastor Michelle describes the many services the community church offers and Jen, the Manager of the PICC Thrift Store, shares how she enjoys managing the thrift store.  You will hear how much these wonderful individuals love supporting the Pine Island community.  They will tell you, ‘Loving our neighbors is something we take seriously at PICC.  We believe in LOVE in ACTION.  We are a serving community'. To listen to the podcast, use your favorite podcast app or go to our website, https://pineislandexperience.com For more information, email pineislandexperience@gmail.com

Ospiti: Impallomeni:" Se torna con il rinnovo di Kvara, De Laurentis fa un capolavoro." Brambati:"Se Kvara non rimane è un bel casino." De Canio:" Sono fiducioso che Kvara possa rimanere, deve fare un patto." Maracana Con Marco Piccari e Stefano Impallomeni.

Ospiti: Impallomeni:" Se torna con il rinnovo di Kvara, De Laurentis fa un capolavoro." Brambati:"Se Kvara non rimane è un bel casino." De Canio:" Sono fiducioso che Kvara possa rimanere, deve fare un patto." Maracana Con Marco Piccari e Stefano Impallomeni.

This time we get to hear from Paige Lewis, a clearly unstoppable leader and executive coach. Paige grew up in the Phoenix area until she went to college at the University of Texas where she learned about advertising and business. After college she spent a year in Japan selling products for Estee Lauder after which she returned to the U.S. Through an introduction from a friend she secured a position at Disney in Home Entertainment. Later she moved to DreamWorks and then to Universal where again she specialized in Home Entertainment. At Universal she rose to the position of Senior Vice President.   Paige thought she had reached the “pinnacle of her career”, but over a short time she became seriously ill and was hospitalized for a week. As she describes that time now, she experienced serious burnout. She quit her position at Universal and began an analysis of her life which lead her to realize that she truly enjoyed mentoring people. She became a certified coach and has spent the past six years with her own business coaching and helping mainly senior level women to not “make the same mistakes she made”.   I think you are going to hear some good observations from Paige. She has wonderful life advice we all can use. I hope very much you enjoy what she has to say.     About the Guest:   Paige Lewis is a leadership coach who spent over two decades as a highly regarded leader in marketing, building some of the world's most iconic entertainment brands for Disney, DreamWorks and Universal Pictures.  After being promoted to Senior Vice President of Marketing at Universal Pictures, Paige had reached what she thought was the pinnacle of her career.  But she ended up in the hospital with a deadly infection brought on by extreme burnout.    Soon after, she left the corporate world to heal her body and figure out why she had reached a breaking point without realizing what was happening along the way. She has turned her experience into her mission: turning executive burnout into career success. With a unique ability to transform complex challenges into actionable insights and the real-world business experience as a former executive, Paige is a trusted guide for leaders seeking to excel without compromising well-being. She is dedicated to helping organizations and people realize their greatest purpose and impact without sacrificing their productivity, health, values and most meaningful relationships.     Paige is one of the elite Founding Los Angeles coaches at CHIEF, a network recognized by Fast Company's Most Innovative Companies list, created to drive more women into positions of power and keep them there. She has coached over 200 individuals and groups across Fortune 100 companies, nonprofits, media and marketing agencies, and start ups. She holds an MBA from the Thunderbird School of Global Management and a Bachelor of Science in Advertising from the University of Texas at Austin. ** ** Ways to connect with Paige:   Website: ** https://paigeonecoaching.com; PaigeOneCoaching.com LinkedIn: https://www.linkedin.com/in/paige-lewis/;  Paige Lewis Sandford | LinkedIn     About the Host: Michael Hingson is a New York Times best-selling author, international lecturer, and Chief Vision Officer for accessiBe. Michael, blind since birth, survived the 9/11 attacks with the help of his guide dog Roselle. This story is the subject of his best-selling book, Thunder Dog.   Michael gives over 100 presentations around the world each year speaking to influential groups such as Exxon Mobile, AT&T, Federal Express, Scripps College, Rutgers University, Children's Hospital, and the American Red Cross just to name a few. He is Ambassador for the National Braille Literacy Campaign for the National Federation of the Blind and also serves as Ambassador for the American Humane Association's 2012 Hero Dog Awards.   https://michaelhingson.com https://www.facebook.com/michael.hingson.author.speaker/ https://twitter.com/mhingson https://www.youtube.com/user/mhingson https://www.linkedin.com/in/michaelhingson/   accessiBe Links https://accessibe.com/ https://www.youtube.com/c/accessiBe https://www.linkedin.com/company/accessibe/mycompany/   https://www.facebook.com/accessibe/       Thanks for listening!   Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below!   Subscribe to the podcast   If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can also subscribe in your favorite podcast app.   Leave us an Apple Podcasts review   Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts.     Transcription Notes:** Michael Hingson ** 00:00 Access Cast and accessiBe Initiative presents Unstoppable Mindset. The podcast where inclusion, diversity and the unexpected meet. Hi, I'm Michael Hingson, Chief Vision Officer for accessiBe and the author of the number one New York Times bestselling book, Thunder dog, the story of a blind man, his guide dog and the triumph of trust. Thanks for joining me on my podcast as we explore our own blinding fears of inclusion unacceptance and our resistance to change. We will discover the idea that no matter the situation, or the people we encounter, our own fears, and prejudices often are our strongest barriers to moving forward. The unstoppable mindset podcast is sponsored by accessiBe, that's a c c e s s i capital B e. Visit www.accessibe.com to learn how you can make your website accessible for persons with disabilities. And to help make the internet fully inclusive by the year 2025. Glad you dropped by we're happy to meet you and to have you here with us.   Michael Hingson ** 01:21 Well, hi, and we want to welcome you to unstoppable mindset. This is our latest episode, needless to say, and we're really glad that you're here with us today we get to chat with Paige Lewis Sanford and I'm sure you're all familiar with Paige. Oh, you're not? Well, you will be by the time we're done here. Paige is a fascinating individual. She's worked to help improve and greatly increase the brands of organizations such as Disney and DreamWorks universal and my gosh, I don't know what all and hopefully, her influence will rub off and help unstoppable mindset but we're gonna see about that. So Paige, welcome to unstoppable mindset. And whatever happens, we're glad you're here.   Paige Lewis ** 02:07 Thank you for having me. I'm excited to be here. Well,   Michael Hingson ** 02:11 it'll be a lot of fun. And we'll, we'll make it useful and fun in some way or another. And as I told you earlier, one of the rules of the podcast is we got to have fun. So that's as good as it gets. Well tell me a little about kind of the early page growing up and all that sort of stuff.   Paige Lewis ** 02:28 Well, I am a Phoenician, I grew up in Phoenix, Arizona. So I am a lover of the sun to this day, and had a really a really lovely childhood. I have a younger brother. He's 14 months younger, we were very close. And we spent a lot of our days inventing things and laughing a lot. My parents instilled a lot of curiosity in us. I'm grateful they exposed us to a lot of things. So whatever we wanted to try. We got to try even gymnastics, which I failed at. I was terrible. But thanks to my parents, I have a strong love of music. I have a lot of curiosity. And yeah, I am they made me who I am today.   Michael Hingson ** 03:15 So you grew up in in Phoenix in Arizona who have been there a number of times we've spent part of our honeymoon my wife and I a long time ago, at the point Tampa to hotel.   Paige Lewis ** 03:29 Oh, yes, I think I had a prom there.   Michael Hingson ** 03:35 Well, and our last night of the honeymoon, we went to the restaurant. At the point HEPA to which was up on the top of a mountain. And I think one way you look in there you see Phoenix and the other way, I think a Scottsdale if I recall,   Paige Lewis ** 03:50 a Scottsdale or Paradise Valley. Yes.   Michael Hingson ** 03:53 And I think it was a restaurant called a different point of view, which was cute.   03:58 Yes, yeah,   Michael Hingson ** 04:00 I've been there. My wife bought a lobster and she thought it would just kind of be a typical. So it ended up being a three pound lobster. And she didn't know what to do with it all.   Paige Lewis ** 04:10 Oh, my goodness. That's a lot of lobster was   Michael Hingson ** 04:12 a lot of lobster. But it was our honeymoon. So it was worth it. And the other thing is that that was when they made Caesar salad right at your table and actually created the dressing right at the table using rye eggs and everything's still the best dressing I've ever had.   Paige Lewis ** 04:27 Amazing, amazing. Well, I hope you were not there in the summer, because that can be brutal.   Michael Hingson ** 04:33 It was no Well, we got married on November 27 1982. So it would have been we'll see that was a Saturday. And so it would have been probably the well the third or the fourth that we went so of December so No it wasn't. It wasn't in the hot part or the hottest part.   Paige Lewis ** 04:57 That's good. That's actually a person Big time of year to beat. Yeah. Yeah, it   Michael Hingson ** 05:01 was great. We very much enjoyed our time there. So. So did you go to college in Arizona? Or did you go to college or what? I   Paige Lewis ** 05:10 did not stay in Arizona. I was 17 when I graduated high school, and I really, really, really wanted to leave Arizona. And I was very interested in getting a degree in advertising. And I'll tell you why. And it sounds silly now. But I was very determined and stubborn at that age. I always know. I know. I know, ask my mother she uses could not change my mind. So I was fascinated with how people described products. So if you looked at a box of cereal or a bottle of suntan lotion, how did they come up with the coffee? I was fascinated by how they would construct that, which seems very simple, but so I was really determined to find a good school and advertising. And one of them was the University of Texas at Austin. I also wanted a very traditional college college experience. I wanted the football I wanted to, you know, big Grecian looking buildings and grassy lawns and never thought I would like Texas, but fell in love fell in love with the campus. And so that is what I what I chose. In retrospect, it was way too big for me was 49,000. undergrad. I knew nobody. This is a this is a theme in my life is I put myself in situations where I don't know any anyone. It's uncomfortable. But I loved it. I did. I did enjoy it. I learned a lot. I had a minor in Japanese at that point, too. And after I graduated, I wanted to become conversationally fluent in Japanese. And surprisingly, in college, we didn't do a lot of speaking Japanese. It was a lot of fun and writing. Yeah. So I had an opportunity to go to Tokyo and work for one of the divisions of Estee Lauder, so cosmetics company. And some of you may remember the line prescriptives. Michael, I would not assume you would know this line. They had just opened in Japan. And so I got a job working in a department store selling makeup in Japanese. My Japanese was not very good. So it was trial by fire. Well,   Michael Hingson ** 07:37 my wife loved white linen. And when I worked in the World Trade Center, I discovered that there was an Estee Lauder second store in the tower one on the 46th floor. I think it was so little bit familiar with Estee Lauder and invaded the store often. Okay,   Paige Lewis ** 08:02 yes. So. So yeah, so I did that I knew nobody. And this was before the time of cell phones or even relatively affordable international phone plans. So I took two giant duffel bags, and my parents put me on a plane. And I showed up and they arranged for someone to meet me, a friend of a friend of a friend and I spent a year in Japan.   Michael Hingson ** 08:30 So why Japanese in the first place? Well, when I was   Paige Lewis ** 08:34 think I was a senior in high school, my high school turned into an international magnet program. And they offered what they thought were going to be the emerging important business languages of the world, which were Japanese, and Russian, in addition to what they already had French and Spanish. So I decided to Japanese my brother took Russian, I thought it would be handy no matter what I ended up doing. So that's why I went with it.   Michael Hingson ** 09:03 I took a year of Japanese in college as well. I did it was in graduate school. It was one year and we talked some but you're right. It was a lot of reading and writing. And I actually learned Japanese Braille, which was was kind of fun. I don't remember a lot of that now. But still, it was fascinating to you know, to take and people said it was simpler than Chinese and given everything I've learned I think that's probably very true. But I've spent time since in Japan when thunder dog our book was published. I was also published in Japanese. So in 2012 I went and spent two weeks over there and literally with the publisher of the book in Japan we traveled all around Japan took the bullet train from Tokyo to Hiroshima and all sorts of places in between which is a lot of fun.   Paige Lewis ** 09:53 Did you use any of your Japanese while you were there?   Michael Hingson ** 09:56 No, I didn't remember enough. It had been way too long. So, so I didn't didn't practice up enough to keep it going all that well.   Paige Lewis ** 10:06 I understand that 100% Yeah, but that's okay.   Michael Hingson ** 10:11 But I understood a lot about the customs and the people. And that was a big help as well.   Paige Lewis ** 10:16 Yes, absolutely.   Michael Hingson ** 10:18 So what did you do after a year in Japan?   Paige Lewis ** 10:23 Well, I came back. Yeah, it was a, it was a great growing experience. But it was challenging. And I missed, I missed America. So I came back. And I worked for a promotions company. And while I was there, the CEO introduced me one to Disney and to to his graduate school, which was an internationally focused MBA program. So I ended up going to Thunderbird. Some of you may have heard of it. It's the International Business School of International Management. It's now part of ASU and finished my International MBA studied more Japanese. And then at the end, when I was interviewing for jobs, there was a job at Disney. And I really thought I was going to do international business and work with Japanese companies. And you know, maybe Toyota or something like that. But this job at Disney came up. And I was fascinated by it. So luckily, I ended up getting it. It was in the home entertainment division of Disney, which was back then it was VHS tapes. You gotta remember those VHS? I do? Yes. The very, very beginning of DVD. So I took the job and I moved to LA and again, didn't didn't know anyone that my brother was there, but really didn't know anyone   Michael Hingson ** 12:01 and VHS and not beta. Yeah, that VHS had won   Paige Lewis ** 12:05 the war. So beta was gone. Yes. It was VHS. Yes. Thank you for remembering that   Michael Hingson ** 12:11 show. Your brother was in LA. He was in LA. Yes, it was he.   Paige Lewis ** 12:18 He went to school at Loyola Marymount to study Recording Arts. So he's a composer and he writes music for commercials. Okay. Yeah, he has a very cool job. Very successful.   Michael Hingson ** 12:33 So what did you do in home entertainment at Disney.   Paige Lewis ** 12:37 I started out in retail marketing, which means I was helping selling movies to the big brick and mortar retailers. So Walmart, Toys R Us, target all of those. And I did that for a few years. And then I moved into brand management, and was actually working on the strategy for selling some of the new releases. And I was there a couple of years and then a few of the Disney people moved over to DreamWorks. Everyone remembers DreamWorks. When DreamWorks started, Jeffrey Katzenberg went over there. And then a couple of people I knew from Disney, and they recruited me to come over to their home entertainment division, which was very small, very entrepreneurial, but a very exciting time to be there. As they were building the business and figuring out I got to work on track and the prince of Egypt and Gladiator Saving Private Ryan, a lot of those really great fun movies.   Michael Hingson ** 13:39 So that that kept you busy for a while.   Paige Lewis ** 13:44 And then I moved over to universal and spent 16 years at Universal Pictures and home entertainment. et   Michael Hingson ** 13:53 phone home.   Paige Lewis ** 13:56 Yes, exactly. Exactly. I didn't get to work on that movie. But I mainly worked on the family movies, so a lot of animated movies. Shrek continue with Shrek and Despicable Me. I actually worked on a lot of the Barbie movies, which was which was really fun. And I eventually worked my way up into to senior vice president which was my pinnacle, which was what I really wanted to achieve in my career. But then, as we talked about a little bit, some bad things happened at that point in my career,   Michael Hingson ** 14:34 what kinds of things happened that you want to talk about? Well,   Paige Lewis ** 14:40 I ended up in a very dangerous burnout situation. So I had been promoted to senior vice president. And soon after that a couple of major things happened in my life. My father died and then a couple of very close friends passed away So that sort of shifted how I approach life and what I thought about my priorities. At the same time, universal was having its biggest year ever. So it was the year of Jurassic World and the latest Fast and Furious movie. I think another Despicable Me It was, it was just a very, very busy year. And I noticed I started having these symptoms, so I was getting sick a lot. I was really irritable and cranky. People actually had to come mention to me that I was acting a little out of character. I was getting strange things like I had this rash on my face for no reason. And then, you know, I just ignored all this and kept, kept working because I was an achiever, and I just wanted to get the job done. So then I started having I had this pain, and I'll just say it on my butt on my right, but and it got so painful that I couldn't sit. And I thought, Okay, well, maybe a spider bit me or something. And then at one point, it got so bad that I couldn't I had to work from home, lying down. And at that point, a kind colleague said, you know, Paige, I think you might want to have that looked at. So I was like, alright, and you know, it was getting bigger and more and more painful. And so I went to my dermatologist, she took a look, she called in her colleagues to get a second opinion. And then they said, Alright, we've called the er, at the hospital next door, we need you to go there right now. So what I learned is that I had contracted Mersa, which is, yeah, an anti bot, antibiotic resistant staph infection. And it's so dangerous that if it gets into your bloodstream, it can kill you. So I was admitted to the hospital for a week, they gave me a very heavy duty antibiotic that works on this. It's so strong that it made my veins collapse. So they had to put in a PICC line. And it really, it was, you know, like they say, it was what it was my wake up call.   Michael Hingson ** 17:20 What year was this? That this was 2016. Okay, so that was your wake up call? That was   Paige Lewis ** 17:28 my wake up call. And then I went, and I had to take a month off of disability? Well,   Michael Hingson ** 17:34 certainly, that's understandable, given the severity of it, and so on. And what did you do her think about during that month, and then going forward?   Paige Lewis ** 17:45 Well, I realized, as I you know, wine there in the hospital, that something wasn't working, obviously. And I really, I really didn't understand how this happened. How did I get a staph infection on my butt. And I just, I just figured I really needed to make a change I wanted to live, I did realize that. And I wanted to get healthy. I mean, something was really, really out of whack. So this is what really did it for me. I came back in January. And this was the time when Carrie Fisher and Debbie Reynolds had passed away. And I went into the meeting into a meeting. And this was the first meeting my first day back. And what was brought up was, you know, Debbie Reynolds just died. Do we have any movies we can put out and leverage this. And that just hit me as being so distasteful. And I realized, this is not the business I want to be in anymore. This doesn't fit. So about a week later, I went in, I quit. I quit my job, nothing lined up. No idea what was I was gonna do. But I knew it was the right thing to do. Yeah,   Michael Hingson ** 19:08 that, that just certainly seems like a pretty insensitive thing to say. I understand. Some people do that. But gee, when do you draw the line and recognize maybe it's a time to just let people mourn? I mean, look at Debbie Reynolds for such a long time, and I are going to do is try to promote you in the brand. T does that really make sense?   Paige Lewis ** 19:33 Yeah, it just it just seems a little gross to me. So I quit and then I realized that I needed to figure things out. So the antibiotics I realized, after doing a lot of research had completely wiped out all the good bacteria in my gut. And I learned that you have to have that good bacteria to stay healthy. So and I also was a diet coke addict, big time diet coke addict. And I learned that one Diet Coke can destroy your gut biome. So I quit. I quit Diet Coke, it was not easy. I will tell you. I don't know if you drink it. It's   Michael Hingson ** 20:18 no, I'm more of a water drinker. I got to say, Okay. I've never been that much of a soda drinker.   Paige Lewis ** 20:24 That's a lot better for you. Yeah. So I figured out my health. And then I started trying to figure out why this all happens.   Michael Hingson ** 20:33 Now, I was just gonna ask you what you decided about why it occurred? Well,   Paige Lewis ** 20:38 one, I learned a lot about burnout. And that stress can kill you. And that this staph infection was a literal sign, it was a literal pain in my butt that my work was a pain in my butt. And I needed I needed to find something different and, and after really thinking about things, I realized my values had shifted. So my values were no longer aligned with the work I was doing. And that caused a lot of friction, and disengagement, and stress. And so then I wanted to figure out, okay, all right, I understand that this job. Marketing movies isn't a good fit anymore. But what is, so I let curiosity kind of leaves me and I did some research. I found this great book, I don't know if you've heard of it. It's called What color's your parachute? It's been around forever, I think, in my 20s, forever. And so I picked it up again. And it had me really think about what am I good at doing? How do I use my brain? What really drives me? And I also did some work, figuring out what my new values were. And I realized, I really like the mentoring part of what I do at work. I like solving problems. And I like helping people rise to their full potential. So then I started looking into, well, do I want to become a therapist? I'm not sure I want to go back to school again for that long and spend all that money. So then I started talking to coaches, executive coaches, and I realized, well, they do a lot of what I think I want to do. And they also can give you specific direction, and steps to take. So unlike the therapist model, where it's just a lot of questions, you can actually draw upon your experience and share that to help people. And so So I actually, because every day, what I would do is I would get up and I would read, I would read articles, and I would just sort of follow the breadcrumbs. And I stumbled upon a woman who wrote a really great article, I reached out to her, she was a coach. And she was so motivating in that one conversation, that I ended up writing an article and ended up deciding I wanted to go get my coaching certificate. So this was this was end of 2017 into 2018. So I ended up getting my coaching certificate and started working with women so that they wouldn't end up like, like I was, I really don't don't, there was no reason I needed to hit that level of burnout. Tell   Michael Hingson ** 23:46 me? Well, first of all, a little bit about why do you think you actually contracted versus and why do you think that? Or how do you think that happened? Do you really know?   Paige Lewis ** 23:58 I think my immune system was so beaten down and compromised. That it happened. I don't know how it got there. I honestly don't know. I promise you I'm a clean person. I take showers. I know like wandering around rubbing myself and dirt. I just I just think, you know, there were there were signs leading up to it other smaller illnesses and my body fine was like, Okay, you're done. But I don't know, I don't know the source. Good question. Well, so   Michael Hingson ** 24:31 you went off and you started to study about being a coach and so on. What does it mean to get a coaching certificate? What's the process?   Paige Lewis ** 24:39 Oh, that's a good question. Well, there are lots of different coaching programs and the one I chose is based on human needs psychology and behavior. So I had been through a lot of leadership programs through my my days as a marketing executive. So I knew a lot of the traditional Leadership, procedures, methods, whatever you models, whatever you want to call them. So I really wanted to get into almost kind of going back to why I got into marketing, why people do what they do what's driving them. So I learned all about the six core needs and what motivates people and really had to get into their brains and change behaviors and habits. So it was 100 hours of training. I think I did it pretty quickly. I was motivated, I think I did in about four months, and then was and then was certified. And then there are all different types of coaching programs, some people do mindfulness route, some people just do a very traditional corporate route. So I wanted to kind of balance out what I already knew.   Michael Hingson ** 25:47 Well, so you went ahead and did that. And you got certified, and have been coaching ever since. I have, I've   Paige Lewis ** 25:56 been coaching for about six years, and also doing excuse me marketing consulting, because I like to keep my toe and in that part of the world also.   Michael Hingson ** 26:06 So what Tell me a little bit about the the coaching program or what you do, then how do you help people? And where do you where do you help people all over? Or where does that all come from?   Paige Lewis ** 26:21 Well, luckily, I do everything virtually. So I can help people no matter where they are. My specialty is helping women executives, I want to help them excel in their careers without impacting their well being. Someone once told me, when you become a coach, your message becomes your message. So clearly, yeah, my my story of burnout is something that really drives me and it's a passion, a passion of mine. So I typically work with women executives, who are director level all the way up to C suite. And they come to me one because they aren't loving their job anymore. They don't know why they want a career change. They're in some sort of toxic work environments and don't know how to manage it, they are experiencing signs of burnout, they don't have the tools or skills to deal with it, I help a lot of people who are wanting just to jump jump a level or two in their career. So helping them with executive presence and managing teams, a lot of your traditional leadership development skills. So I love it tremendously. And it fits really nicely with my values.   Michael Hingson ** 27:44 I had a conversation yesterday with two women who also are very heavily involved in leadership and, and coaching. But a lot of corporate leadership training, they have developed a program that they describe basically is, well the company is missing logic. And the program is based on polarity, they talk about the fact that everything is really about polarity, and like breathing is polarity exhaling and inhaling, you got to do them both. And whether you're dealing with work, or life and polarity, again, you've got to really understand that both are part of what your world ought to be. And so many people get stressed out because they don't really look at trying to balance polarity, which is really pretty fascinating. We had a great discussion about it.   Paige Lewis ** 28:42 That's an interesting way to think about it. I have stopped saying work life balance, and I call it work life harmony, because it's never equally balanced.   Michael Hingson ** 28:52 Right. But at the same time, what what Tracy and Michelle would say is that you need both poles. And it's a matter of finding how to, to have a well, I keep saying balance, but to have some sort of that making both poles work to help each other because one or the other isn't going to work.   Paige Lewis ** 29:19 That's that makes a lot of sense. Yeah, I agree with them.   Michael Hingson ** 29:22 It's a lot of very fascinating discussion, but in your case. So you do that and you don't necessarily use those terms, but it sounds like you end up getting to the same place. So you've been doing that now. Six years. Yes,   Paige Lewis ** 29:36 that is true. Six years. It's gone quickly.   Michael Hingson ** 29:40 So you think you have now found a niche that's going to last a while?   Paige Lewis ** 29:46 I think so. We still have a long way to go and getting women to an equal playing field as men. Unfortunately it isn't. It is improving. But there are a lot of things that still Need to improve. So, for example, women experienced burnout much more than men 43% of women or executives experienced burnout men only 31%. And I think it just it has to do with the kind of silence responsibilities a lot of women take on, whether that's Child Care caring for elderly parents, it's taking more on at work, that's sort of outside the your job responsibility or your job description. And women also don't think that corporations are quite there yet. And having good strategies and good programs to have gender equity in the in the workplace. I mean, 92% of women don't believe that companies are kind of walking the talk in that area. So yeah, I think there will be a need for a while it would be my dream, if there isn't a need. For this, that means that women women are equal in the workplace in terms of opportunities and roles and pay. Yeah, that's a good piece of news. I have a good piece of news, though, that I just learned, sorry to interrupt you is that there was there were, you know, people would say for a really long time, and there were stats to back it up that women were afraid to negotiate for salary or promotions, it's actually changed. And women are just as likely, if not more, to negotiate for increased salary or promotion, whatever. So. So that's some good news. And a common belief that is now has now changed. And   Michael Hingson ** 31:42 should, by any standard, we haven't seen a lot of that yet, in the world of persons with disabilities, where we're still even though we're by any definition, the second largest minority, or maybe the largest minority will be the second because there are more women than men, although people keep saying women are the minority, but in physical sense, there are more women than men. So either way, you look at it disabilities as the second largest minority, but the most excluded from any of the conversations or any of the real involvement in the workforce, which is why we continue to face an unemployment rate in the 60 to 70% range among employable persons with disabilities, like, especially with blind people. And the reality is, it's fear, it's a lack of education. And it's not understanding that, just because we may do things in a different way, it doesn't mean that the technology and the tools that we need shouldn't be part of the cost of doing business. But yet, that's what happens. Those   Paige Lewis ** 32:49 are staggering numbers, Michael, but your company is doing a lot to help with that. Well,   Michael Hingson ** 32:54 accessiBe is doing a lot to help with that and is being pretty successful. And the number of people using the technology are are growing, or is growing, and excessive. He's working on some programs to really teach more people about Internet access and website development with access and accessibility. So hopefully, that will continue. And we'll be able to make more strides, but it is a thing that we face on a regular basis.   Paige Lewis ** 33:24 Yes, it is. So for   Michael Hingson ** 33:27 what you're doing and so on. You've talked a little bit about burnout, are there different kinds of burnout? And do you deal with them all the same way? How does that address get addressed?   Paige Lewis ** 33:39 Yeah, that's a great question. I think people generalize the term burnout and and the, you know, when someone is just stressed, they'll say I'm burned out that the actual technical definition of it from the World Health Organization is that burnout is chronic stress in the workplace that hasn't been successfully managed, which puts a lot of onus on on the person, right? If you haven't successfully managed it, the company's not really helping you set up any systems to help you with that you person has to have to deal with it. But   Michael Hingson ** 34:15 which is also I'd seems to be not totally fair either. Right?   Paige Lewis ** 34:19 Right. And there's not a lot of progress in that area. Everyone is going to be burned out at some point in time. Everyone, everyone's going to face it. But there are different types. There's physical burnout, which is you're tired, you're getting sick a lot like I was you're not moving around a lot. You've kind of forgotten to exercise or even stand up from your desk and those those signs can show up like headaches or just different physical things. And then there's emotional, which I also had, that can show up as being you're cranky, you're short tempered, you're impatient. and you're not spending time with the relationships that you know are strong. Yeah, just maybe a little bit of a change in your demeanor. Then there's there's mind, there's mind related burnout, which is, when you're kind of in that fight or flight mode, and you're spending a lot of time putting out fires at work, you're distracted. You can't focus. That's that type. And then the last one is burnout of the Spirit, which often can show up as being bored. So a lot of people get really bored or uninterested in their job or whatever is important to them, and they don't realize that it's burnout. And so that could be you're doing a lot of things at work that just really aren't aligned with what you do. Well, what you like doing. And so you just kind of just kind of check out.   Michael Hingson ** 35:59 Do you find, though, that people that are, that are in that situation? Oftentimes haven't really sat down and analyzed what they really want to do or analyzed? Am I really doing the right thing? And that contributes to that? Yeah, yeah.   Paige Lewis ** 36:17 100%, like, I didn't know, I had no idea. I just kept a lot of people, you know, they're on the treadmill. They just keep going every day. And it's rare that people stop and they reflect and they reassess. It's only when people get into a state of burnout, sadly, that they need to wake up and realize, okay, something isn't working. But there are always signals, they're always signals. And oftentimes, it's more than one one type of burnout that's hitting at the same time.   Michael Hingson ** 36:50 But you just you distinguish between emotional, mind and spiritual, if you will, they're they're all three different even though in one sense, it seems like they're all sort of mental in one way.   Paige Lewis ** 37:03 They are sort of mental in one way, but they come out in different ways. And they the route of them is different. So there are two main ways to, to sort of manage burnout, the traditional way that everyone thinks is how you, you manage burnout, unfortunately, this is what companies kind of latch on to is just go take some time off, go to a spa, get a massage, and that'll cure everything. This self care really only works for the body and the emotional burnout. Because that's you're just exhausted, those two are fall under exhaustion. And with that, you actually do need to take a timeout, and take care of yourself. You only need 15 minutes, but it could be you know, take a walk, walk away from your computer, or your phone, don't take your phone with you on your walk. You know, just leave it alone. Don't let anyone interrupt you. Call call a friend, just do something that's enjoyable for you that is, will reboot your system. For the mind in the spirit burnout, which you know, is you're just distracted and you're or you're bored. Or you're in fight or flight mode, you actually are having cynical detachment. So, okay, yeah, it's different. So you so self care actually does not work. Because when you're in this space, you're focused too much inward, and on yourself, and you've lost perspective. So what you do when you have that type of burnout is you need to clarify things. And it could be clarifying your role. So role clarity, write down the three to four most important things in your job. And then ask yourself are you spending time on the high value activities, because you may not be the other. There are three parts of this. The second one is relational clarity. So you may have lost perspective about other people in your life. So a way to break yourself out of this is write a note of thanks to someone, maybe someone on your team, remind yourself that you are not alone and all this. And then the last one is perspective, clarity. So a lot of people just completely lost perspective. So go do something totally different. Go watch a or listen to a comedy video. Call your mom and ask about you know, bring up an old memory just something that reminds you that work isn't everything because these two types mind and spirit burnout, as these are a lot of the workaholics too, and they keep working, working, working and they've just lost complete perspective about everything else in the world.   Michael Hingson ** 39:55 One of the things that I realized during In the pandemic is that although, on September 11, I escaped and wasn't afraid. And I knew why I wasn't afraid, which is that I prepared and knew what to do in the case of an emergency. And as I now say, that created a mindset. But what I realized is that, the fact is, we can control fear, and we can control a lot of what we do. But we have to be mindful. And we really need to keep things in perspective. And one of the best ways to do that is to be introspective in our lives. And really practice that, until it gets to the point of being a habit, and you develop that whole introspective and self analytical muscle. And I, so we're writing a book about all of that. And we're going to, I'm going to, it'll be out next year, and we're going to talk about how to control fear and not let it as I would say, blind you or paralyze you or overwhelm you, but how do we get people to start to be more introspective in their lives and in what they do, and recognize that that's an extremely valuable thing to do.   Paige Lewis ** 41:08 You make a really, really good point. I think a lot of it like, to your point about habits, a lot of us have, you know, that inner critic, who is just saying, you know, you're not good at this, you shouldn't try to do this. You always done it this way. If you can take yourself out of that, and almost become an observer. And look at your thoughts and what how you talk to yourself as just another person, you can even name it, that kind of helps you take yourself out of it so that you can change your habits. Because a lot of the what we tell ourselves are just habits. They're not even true anymore. They're based on beliefs that you you made up a long, long time ago and had value back then. But they're not even true anymore. So I think we just need to be aware and stop ourselves. And remind ourselves, when we're thinking things, you ask yourself, Is this really true? Or is this just the habit?   Michael Hingson ** 42:14 Good point. And I also learned that along the way, I always used to say, and I still do this, but I record presentations that I give, so I can go back and listen to them. And I always say that, I love to do that. Because I'm my own worst critic, I'm nobody's going to be as hard on me as I am. And I learned, that's the wrong thing to say. And that's the wrong way to approach it. Because in reality, even teachers can't teach me they can present me with information. But ultimately, I have to teach myself. And in fact, it's not that I'm my own. I'm my own worst critic. I'm my own best teacher. And if I turn it around and use that terminology, then it becomes more of a positive process, to look at things and think about them and teach yourself even when something doesn't go well. And even when it does go well. What can I better learn to even make it go better next time. I'm my own best teacher is such a more positive thing to say.   Paige Lewis ** 43:19 I love how you reframe that, that's a great way to look at it. And, and also, you know, we talked ourselves worse than we would talk to our friends. Yeah. Which is just crazy.   Michael Hingson ** 43:32 In reality, we should talk to ourselves and really get better at thinking about things and saying, Okay, well, how do I deal with it? Don't hide from it. And no matter what it is, allow yourself to teach yourself how to deal with it.   Paige Lewis ** 43:50 And it's practice it. And then it will become a habit. Yeah. And just like we talked down to ourselves and criticize ourselves. It's just the habit. Yeah.   Michael Hingson ** 44:05 And it is a habit that we can break.   Paige Lewis ** 44:08 Absolutely. And it's just practice. It's just practice, and it's micro micro steps. You don't have to get it perfect the first time. And we forget, you know, we're not supposed to be perfect beings. We're supposed to be in this world to try new things and learn from them. And we just are so hard on ourselves that we have to be perfect at every single thing we do. And oftentimes, other people aren't even paying attention. And they forget about it   Michael Hingson ** 44:38 much more quickly than we do. And yes, there's a lesson there too.   Paige Lewis ** 44:42 Yes, and I always I always tell my clients like when they're all worked up about something or ruminating and countless something go, Well, this really matter. In two weeks. Will this matter in three months in a year? No. No one will remember you probably won't ever remember To your point, learn from it, and just let it go. It's hard, it's practice, I get it. But just to put things in perspective, it usually is not as important as we think.   Michael Hingson ** 45:12 And if it really affects you, and you're thinking about it a lot, then take a step back, as you said, and think about why is this affecting me so much? It's appropriate to do that. It's appropriate to help to understand you better.   Paige Lewis ** 45:31 Yes. And I'll give you a tip that I give my clients that I actually learned from my dad, for people who ruminate a lot of worry a lot. Actually schedule worry time in your day. And don't do it right before bed? No, no, because then you won't sleep well, but schedule it at a time. Have no distractions, sit there for 20 minutes and worry about everything. And you have to sit there even if you've run out of things to worry make it up like, my my sock is starting to unravel, you know, stupid things. My dog is panting more than usual. Whatever it is,   Michael Hingson ** 46:14 I can't figure out anything to worry about. I'm worried about that. Right? Exactly.   Paige Lewis ** 46:18 I'm worried about that I have to sit here. And Paige said I can't move for 20 minutes. So you do that every day. And what'll end up happening is one, you'll realize you don't really have that much to worry about to you train yourself that you can only worry during a certain period of time. So you're not spending your whole day worrying and ruining your day. And if you start thinking about something out, or you're worried time you say, okay, Paige, no, you're scheduled to worry about that at 10am, from 10am to 1020. And it's remarkable how people improve with the ruminating and the worrying.   Michael Hingson ** 46:56 So what mostly do you coach about what what is your specialty, if you will, overall,   Paige Lewis ** 47:01 my specialty is helping women leaders excel in their careers without impacting their well being. So a lot of that is what we've talked about today, how to handle burnout, how to manage your thoughts, how to improve your leadership skills. You know, I mainly work with pretty senior women who don't have anyone else to talk to, and this is this is a theme that I've come across a lot, and I felt myself is a lot of women leaders don't think that they have people they can talk to at their companies or within their industries.   Michael Hingson ** 47:44 Yeah, that was what I was gonna get to. Is it true that they don't, or they just don't think they do have people to talk to?   Paige Lewis ** 47:54 Well, a lot of times, it's difficult to talk to people, I do work with an amazing organization called chief. And they're a private network for women. But what they've done is they have put together peer based groups, they curate these groups of women at similar points in their career, similar levels, so that they have a safe space of peers from whom they can learn, get different perspectives. Because I, when I was first, you know, talking with Chief about coming on, as one of their first coaches, I said, if this had existed when I was at Universal, and burning out, I would not have burned out, because a lot of a lot of the struggle is feeling like you're the only one and not having the tools and the skills to manage through it.   Michael Hingson ** 48:46 And a lot of times we don't look for people to talk with, because we just feel that we're an island in the middle. And oh, I don't want to talk to people who work for me because that that wouldn't be good. I mean, there are just so many excuses that we can come up with.   Paige Lewis ** 49:05 Yeah, or you're embarrassed and you are you're embarrassed. You know, I'm the only one who's dealing with this, I must be crazy. Imposter Syndrome comes in a lot. So, no, almost everyone is going through the same things. And it's just really reassuring and helpful to know that other people are going through it, and can share some ways that they have managed it. It's these these meetings are so powerful, I can't even tell you they really, really are amazing.   Michael Hingson ** 49:39 What do you say to people who are thinking of a career change or who don't know where to start? You know, because I'm sure that comes up and what you do?   Paige Lewis ** 49:48 It does and it can be really scary. And I think I think people don't give themselves enough credit. What what helps most of my clients and help me is having a having a mindset of curiosity. Because I know for a fact that people have transferable skills, it's just getting curious and following the breadcrumbs to find out what else is out there that aligns with my values that motivates me. And that uses my skill set I can do. So one, one of the exercises I have people do is to think about sample some activity that they're doing. It doesn't have to be related to work where they are completely what you would say in flow, meaning they lose track of time they forget to eat, they know that they're kicking ass and what they're doing. And they are loving it. So it could be for example, gardening. Who knows it could be gardening. And so then what I asked them to do is, okay, really, really dissect what you're doing. What, like, how are you using your brain? Maybe you are researching the different kinds of plants that work in your soil, maybe you are laying out where they go, maybe you are looking at the different seasons? And what works best and what time of year? And then how are you interacting with people? are you collaborating with the you know, the gardener at the nursery? Are you talking with friends who have who've made great gardens? And then what skills are you using, researching, maybe strategizing, maybe organizing, and then what you'll end up seeing, and it's something totally unrelated to your job is here, all the things? And the way here are all the different ways of thinking parallel the skills I use, and here's what I love doing, and you find this intersection. And then you use your curiosity to find out okay, what industries are interesting, and what are the jobs? You reach out to people, it's curiosity. If you lean into curiosity, you cannot go wrong. And   Michael Hingson ** 52:16 all too often, we don't.   Paige Lewis ** 52:21 Correct, we kind of block ourselves. And   Michael Hingson ** 52:24 many times were discouraged from it. I mentioned earlier, the whole concept of if I've been talking to people this morning about people with disabilities, and then somebody said, What can we better do to improve the world for people with disabilities, and my response was, include us in the conversation and so many times, I can be somewhere and when when I went to my wife was live with her, she was in a wheelchair, and people would come with their children, and we'd be in a store, whatever. And a child would ask a question and say, I want to go meet that person, I want to go look at that wheelchair. And the mother would say no, don't do that. They might not like it, or that dog might bite you. And we we we discourage curiosity, especially in children, who are the most curious people of all? Mm hmm.   Paige Lewis ** 53:12 Yes. And wouldn't it be great if we could bottle that curiosity and take it with us? Our whole lives? Yeah.   Michael Hingson ** 53:20 It's important to do that. I think I think you use the term superpower, everybody has a superpower? Or how do you how do you teach people to to find their superpower? What does that mean?   Paige Lewis ** 53:34 Yes, this is this is an important piece of finding a career that works for you. And so if you think about a Venn diagram, I'm a big fan of Venn diagrams, there are three components. So they're, they're your values, you have to get really clear on what your values are, what you are good at doing and what you love doing. So when what you love doing intersects with your values, you have a passion for what you're doing. So let's say your values are adventure, and learn learning and experiencing new cultures, you may be passionate about traveling. So you can kind of see how those work. Now, when your values connect with what you're good at doing, you're going to be engaged. So if you're really connected and aligned with your values at what you're doing for work, you'll be engaged, you'll be interested, you'll be connected, you'll still be excited to go in every day and do your job. And then what you what you love doing and what you're good at doing intersect. And I've mentioned this a little bit for you're in flow. So that's when you just are just completely happy because you're doing what you love and you know you're doing your best at it. So the superpower comes in when those three things connect, when your values, what you're good at doing and what you love doing connect. And I truly believe everyone can figure this out. Once you know that, you can find a career that meets that 80% of the time, if you have that, you will be happy, you'll be happy in what you're doing. So it's a little bit like the Japanese term of ek guy, which is finding your purpose. I don't know if you're familiar with that. Remember that. And that actually has been attributed to longer life. So this idea of IKI guy or finding your superpower, and living to that will make you happier. But it also helps extend your life because you're getting up every day, and you're doing what you love doing and what you're good at doing.   Michael Hingson ** 55:56 And I find that when people are happy, they self motivate themselves. And in general, they have better days. Yes,   Paige Lewis ** 56:06 yes. And the bad days can roll off a little easier. Yeah.   Michael Hingson ** 56:11 You need to learn to live more like dogs, you know, and live in the moment and forget all the other things. And there are so many things we can't control. And we worry about them. Dogs don't   Paige Lewis ** 56:20 write, I would like to come back as a dog. Dogs have the best lives. And I think we we also have this culture of busyness being the new status quo. And we forget that we're human beings and not human doings. And I think that's where people get in trouble.   Michael Hingson ** 56:44 We so greatly overanalyze everything and not necessarily in the right way. And again, as we talked about, we don't step back and really look at it, which is part of the problem.   56:55 Yes, yes.   Michael Hingson ** 56:58 Have you written a book or anything about all of this?   Paige Lewis ** 57:01 I've written some articles. I have not written a book. I have not written a book? Well, if   Michael Hingson ** 57:06 you do, you'll have to let us know.   Paige Lewis ** 57:08 I will, I will do that. Well, if people   Michael Hingson ** 57:11 want to reach out and get in touch with you, maybe explore using your services and skills. How do they do that?   Paige Lewis ** 57:19 Well, you can reach out via my website, which is page one coaching.com. And it's spelled out I'll spell it. It's P a i g e o n e. c o a c h i n g.com. And you can also find me on LinkedIn at Paige Lewis Sanford, my new married name, yeah, you can. Yeah, you can also email me at page at patreon coaching.com.   Michael Hingson ** 57:44 So what is your husband do?   Paige Lewis ** 57:45 He is a naturopathic doctor. Oh, so he focuses on root cause? And getting to you know, the bottom of what is causing your symptoms and, and managing that and addressing that versus just throwing things like antibiotics all the time, which, you know, don't always work out. Not very good for you overall, long term. No.   Michael Hingson ** 58:10 And ultimately, we have to take a little bit more mental control over ourselves. And that's another whole story. Yes,   Paige Lewis ** 58:20 I totally agree with that. Well, gee,   Michael Hingson ** 58:21 maybe we should explore getting him to come on and chat sometime. Oh,   Paige Lewis ** 58:25 I think he would love it.   Michael Hingson ** 58:26 I'll leave that to you to set up. Yeah. I want I want to thank you for being here. And I know, you've given us a lot of really wonderful ideas. And I'm very grateful for you being here. I'm glad we had the opportunity to meet and hopefully we will do more of this anytime you want to come back on. You just need to let us know.   Paige Lewis ** 58:46 Right? I would love it. Thank you for having me. It's been great talking with you.   Michael Hingson ** 58:51 Well, this has been fun and I hope that you enjoyed it listening out there. Reach out to Paige she I'm sure we'd love to hear from you and if she can help you in any of the decisions that you need to make. That's what coaches do. So reach out to Paige. You are also always welcome to reach out to me, we'd love to get your thoughts on what you heard today. You can email me at Michael M i c h a e l h i at accessibe A c c e s s i b e.com Or go to our podcast page www dot Michael hingson.com/podcast and Michael Hingson is m i c h a e l h i n g s o n.com/podcast. Of course as we asked and I really appreciate y'all doing it, please give us a five star rating wherever you're listening to us. We love your ratings. We appreciate your reviews, and any thoughts that you have and for all of you listening and Paige, as we sort of alluded to just now if you know of anyone else who would be a good guest for unstoppable mindset. love to have you let us know. We're always looking for guests. I believe everyone has a story to tell and this is As a way to get the opportunity to tell your story and help us all learn that we're more unstoppable than we think we are. So again, Paige, I want to just thank you one last time. Really appreciate you being here and hope that you had fun.   Paige Lewis ** 1:00:14 I did. Thank you so much.   Michael Hingson ** 1:00:20 You have been listening to the Unstoppable Mindset podcast. Thanks for dropping by. I hope that you'll join us again next week, and in future weeks for upcoming episodes. To subscribe to our podcast and to learn about upcoming episodes, please visit www dot Michael hingson.com slash podcast. Michael Hingson is spelled m i c h a e l h i n g s o n. While you're on the site., please use the form there to recommend people who we ought to interview in upcoming editions of the show. And also, we ask you and urge you to invite your friends to join us in the future. If you know of any one or any organization needing a speaker for an event, please email me at speaker at Michael hingson.com. I appreciate it very much. To learn more about the concept of blinded by fear, please visit www dot Michael hingson.com forward slash blinded by fear and while you're there, feel free to pick up a copy of my free eBook entitled blinded by fear. The unstoppable mindset podcast is provided by access cast an initiative of accessiBe and is sponsored by accessiBe. Please visit www.accessibe.com . AccessiBe is spelled a c c e s s i b e. There you can learn all about how you can make your website inclusive for all persons with disabilities and how you can help make the internet fully inclusive by 2025. Thanks again for Listening. Please come back and visit us again next week.

Ever had the *nudge* to start creating content to share your passion and impact as a NURSE but the thought of being seeen on social media makes you want to ~vomit~?Then you are ready to dive into an episode that's all about igniting your passion and finding your purpose beyond the nursing scrubs. In this episode we're peeling back the curtain on the life of a nurse, Jumer, who is making waves as a content creator himself and helping other nurses do the same WITHOUT the burnout. We're joined by the incredible Jumer Adalin, an Instagram strategist and content creator extraordinaire, who shares their journey from a burnout ICU pandemic nurse to now a PICC nurse + content creator. Jumer spills the tea on how he turned his creative itch into a thriving online presence, and how you, too, can leverage your nursing skills to build a brand that resonates with your true self. Get ready to be inspired and learn how to step into the spotlight WITHOUT fear!

Kristin Hansen is an enthusiastic, energetic, and highly skilled PICC nurse. However, she admits that it wasn't always easy for her to transition from starting IVs on premature babies in the NICU to placing PICC lines on adults. But with practice and persistence, she learned everything about this interesting nursing specialty and we are so lucky she is sharing her knowledge with us. Kristin explained the criteria for becoming a PICC candidate, the technologies used, the teamwork required, professional organizations, and much more. If you have decent IV skills, can work independently, and have an affinity for bright, shiny objects, PICC nursing could be for you. And if your hospital doesn't have a PICC team, step up and start one! In the five-minute snippet: well, you'll just have to hear this one for yourself. For Kristin's bio, visit my website (link below)InstagramProfessional Organizations:Certified PICC Ultrasound InserterVascular Access Certification (VA-BC)Vascular Access SocietySociety for Vascular Nursing (SVN)Association for Vascular Access (AVA)Infusion Nurse SocietyKristin's go-to for teaching:The IV Guy InstagramContact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comGive me feedback! Leave me a review! https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast Email: theconversingnursepodcast@gmail.comThank you and I'll see you soon!

17 ‘This decision is by the decree of the watchers,And the sentence by the word of the holy ones,In order that the living may knowThat the Most High rules in the kingdom of men,Gives it to whomever He will,And sets over it the lowest of men.'Daniel 4:17✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞27 For as many of you as were baptized into Christ have put on Christ. 28 There is neither Jew nor Greek, there is neither slave nor free, there is neither male nor female; for you are all one in Christ Jesus. 29 And if you are Christ's, then you are Abraham's seed, and heirs according to the promise.Galatians 3:27-29✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞6 And because you are sons, God has sent forth the Spirit of His Son into your hearts, crying out, “Abba, Father!” 7 Therefore you are no longer a slave but a son, and if a son, then an heir of God through Christ.Galatians 4:6-7✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞17 (as it is written, “I have made you a father of many nations”) in the presence of Him whom he believed—God, who gives life to the dead and calls those things which do not exist as though they did;Romans 4:17✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞26 Then God said, “Let Us make man in Our image, according to Our likeness; let them have dominion over the fish of the sea, over the birds of the air, and over the cattle, over all the earth and over every creeping thing that creeps on the earth.” 27 So God created man in His own image; in the image of God He created him; male and female He created them. 28 Then God blessed them, and God said to them, “Be fruitful and multiply; fill the earth and subdue it; have dominion over the fish of the sea, over the birds of the air, and over every living thing that moves on the earth.”Genesis 1:26-28✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞16 And the Lord God commanded the man, saying, “Of every tree of the garden you may freely eat; 17 but of the tree of the knowledge of good and evil you shall not eat, for in the day that you eat of it you shall surely die.”Genesis 2:16-17✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞5 Then the Lord saw that the wickedness of man was great in the earth, and that every intent of the thoughts of his heart was only evil continually. 6 And the Lord was sorry that He had made man on the earth, and He was grieved in His heart. 7 So the Lord said, “I will destroy man whom I have created from the face of the earth, both man and beast, creeping thing and birds of the air, for I am sorry that I have made them.” 8 But Noah found grace in the eyes of the Lord.Genesis 6:5-8✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞16 “Go out of the ark, you and your wife, and your sons and your sons' wives with you. 17 Bring out with you every living thing of all flesh that is with you: birds and cattle and every creeping thing that creeps on the earth, so that they may abound on the earth, and be fruitful and multiply on the earth.” 18 So Noah went out, and his sons and his wife and his sons' wives with him.Genesis 8:16-18✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞1 So God blessed Noah and his sons, and said to them: “Be fruitful and multiply, and fill the earth. 2 And the fear of you and the dread of you shall be on every beast of the earth, on every bird of the air, on all that move on the earth, and on all the fish of the sea. They are given into your hand. 3 Every moving thing that lives shall be food for you. I have given you all things, even as the green herbs.Genesis 9:1-3✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞21 Then he drank of the wine and was drunk, and became uncovered in his tent. 22 And Ham, the father of Canaan, saw the nakedness of his father, and told his two brothers outside. 23 But Shem and Japheth took a garment, laid it on both their shoulders, and went backward and covered the nakedness of their father. Their faces were turned away, and they did not see their father's nakedness.Genesis 9:21-23✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞17 When they saw Him, they worshiped Him; but some doubted.18 And Jesus came and spoke to them, saying, “All authority has been given to Me in heaven and on earth. 19 Go therefore and make disciples of all the nations, baptizing them in the name of the Father and of the Son and of the Holy Spirit, 20 teaching them to observe all things that I have commanded you; and lo, I am with you always, even to the end of the age.” Amen.Matthew 28:17-20✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞29 For whom He foreknew, He also predestined to be conformed to the image of His Son, that He might be the firstborn among many brethren.Romans 8:29✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞19 For the earnest expectation of the creation eagerly waits for the revealing of the sons of God.Romans 8:19✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞21 because the creation itself also will be delivered from the bondage of corruption into the glorious liberty of the children of God.Romans 8:21✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞ ✞20 For the creation was subjected to futility, not willingly, but because of Him who subjected it in hope; 21 because the creation itself also will be delivered from the bondage of corruption into the glorious liberty of the children of God.Romans 8:20-21

Have you ever met a radio DJ who went on to become a NURSE? In this episode, I interview Jumer, a nurse who grew up in the Philippines, worked as a radio DJ while in nursing school, and moved to the US to practice as a PICC nurse. He's now earning six figures per year while learning how to monetize social media and showing others how to do the same. Want to unlock the secrets to skyrocketing your nursing income or business in only 5 minutes a week? Join 2,000+ driven nurses leveling up their skills with my weekly newsletter - https://bit.ly/NtR-NewsletterYT --- Support this podcast: https://podcasters.spotify.com/pod/show/nurses-to-riches/support

In oncology we are always asking questions about which treatment option is best. And that focus on the next best treatment may prevent us from rethinking some fundamentals of current practice. Three recent studies illustrate this and made me ask: Do we need a Port or PICC for every testicular cancer patient? Study: https://doi.org/10.1200/OP.23.00580 Editorial: https://doi.org/10.1200/OP.23.00730 Is vaginal estrogen safe if breast cancer patients? Study: https://jamanetwork.com/journals/jamaoncology/article-abstract/2811413 Does paclitaxel work differently than we always thought? Study: https://doi.org/10.1371/journal.pbio.3002339

Jackie Celske was born in Chicago. Around the age of 4 she and her family including two siblings moved to just outside London England for her father's job. One pretty unique fact about Jackie's family is that her brother, one year younger than she, was born with autism. In one sense, due to the specifics of his situation, Jackie's brother Matt was fortunate as his diagnosis came when he was two years old. However, as with many children with disabilities, including me for that matter, Matt's and Jackie's parents were advised to send him to a home as he could never amount to anything. Jackie's parents rejected that advice. When the family moved to England Jackie went to a girls school and Matt was put in special segregated classes. Jackie's younger sister also was put in a different classroom environment. As Jackie will tell us, she flourished pretty well, but Matt did not. When Jackie was 14, the family moved to a small town in Illinois. For Matt it was a wonderful change because his aunt taught 5th grade and Matt was put into a much more integrated school environment. Life wasn't so great for Jackie. She experienced a brutal sexual assault while in her sophomore high school year. As she will explain, it really wasn't until the past two years that she was able to really move beyond that experience and heal. Jackie went to college and then secured employment. Jackie's degrees revolved around communications which clearly she demonstrates by how she and I interact. Jackie will tell you about her chronic illness that stemmed in part from her assault and how only through the use of an experimental treatment she seems to be in remission or cured. Jackie's latest major step on her life journey is that a month ago she left teaching in a higher education institution and started her own business, The Prose Co. She will tell you about her new marketing and PR agency. Be sure to check it out. By any standard, Jackie is unstoppable. Her story will be well worth your time. About the Guest: Having grown up in London, England with a sibling with Autism, Jackie Celske learned at a young age that the way we communicate matters. She believes the right words heal us, inspire us, and unite us. Most importantly, the right words - the right stories - have the power to change the world. Jackie has spent the last 13 years of her career providing professional marketing, communications, and PR services in industries spanning non-profit and healthcare to financial services, manufacturing, and higher education. No matter the field, she has always been inspired by the stories that highlight the people and purpose behind brands. Three weeks ago, this passion led her to leave her full-time job and start her own business titled The PROSE Co. On a mission to change the world with stories that get write to the heart of it, The PROSE Co. is a marketing communications agency specializing in creating compelling content that connects with your audience and helps you stand out from the crowd. Whether you need advertising and copywriting support, fund development strategies, social media and event management or team-building workshops (and more!), The PROSE Co. is a one-stop shop for all your branding and content needs. Jackie holds a master's degree in Public Relations and Digital Communication from Johns Hopkins University and a bachelor's degree in Communication Studies and Psychology from Augustana College. A relentless advocate for women and other survivors in her community, Jackie participates as a member and past president of Junior League of the Quad Cities, serves on the board of directors for Argrow's House, and sits on both the YWCA of the Quad Cities YES SHE CAN Advisory Committee and Family Resources Stewardship Committee. She also loves spending time learning and growing with her mentee through Lead(h)er. When she's not working, you can find her traveling the world, playing with her rescue doodle, or writing her next parody song. Ways to connect with Jackie: Here is a link to my LinkedIn page: https://www.linkedin.com/in/jacquelinecelske/. Here is a link to my new business website, The PROSE Co.: https://theproseco.com Here is a link to my goFundMe for my experimental medical treatment. It lays out my story in more detail: https://www.gofundme.com/jackies-medical-treatment-expenses About the Host: Michael Hingson is a New York Times best-selling author, international lecturer, and Chief Vision Officer for accessiBe. Michael, blind since birth, survived the 9/11 attacks with the help of his guide dog Roselle. This story is the subject of his best-selling book, Thunder Dog. Michael gives over 100 presentations around the world each year speaking to influential groups such as Exxon Mobile, AT&T, Federal Express, Scripps College, Rutgers University, Children's Hospital, and the American Red Cross just to name a few. He is Ambassador for the National Braille Literacy Campaign for the National Federation of the Blind and also serves as Ambassador for the American Humane Association's 2012 Hero Dog Awards. https://michaelhingson.com https://www.facebook.com/michael.hingson.author.speaker/ https://twitter.com/mhingson https://www.youtube.com/user/mhingson https://www.linkedin.com/in/michaelhingson/ accessiBe Links https://accessibe.com/ https://www.youtube.com/c/accessiBe https://www.linkedin.com/company/accessibe/mycompany/ https://www.facebook.com/accessibe/ Thanks for listening! Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below! Subscribe to the podcast If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can also subscribe in your favorite podcast app. Leave us an Apple Podcasts review Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts. Transcription Notes **Michael Hingson ** 00:00 Access Cast and accessiBe Initiative presents Unstoppable Mindset. The podcast where inclusion, diversity and the unexpected meet. Hi, I'm Michael Hingson, Chief Vision Officer for accessiBe and the author of the number one New York Times bestselling book, Thunder dog, the story of a blind man, his guide dog and the triumph of trust. Thanks for joining me on my podcast as we explore our own blinding fears of inclusion unacceptance and our resistance to change. We will discover the idea that no matter the situation, or the people we encounter, our own fears, and prejudices often are our strongest barriers to moving forward. The unstoppable mindset podcast is sponsored by accessiBe, that's a c c e s s i  capital B e. Visit www.accessibe.com to learn how you can make your website accessible for persons with disabilities. And to help make the internet fully inclusive by the year 2025. Glad you dropped by we're happy to meet you and to have you here with us. **Michael Hingson ** 01:21 Welcome once again to unstoppable mindset. You know these are really fun things to do these episodes and getting a chance to meet so many people. Today I get to talk to a communications expert and a person who I've gotten to know a little bit since we started chatting and exchanging email several months ago, but Jackie Celske blew me away last week when she said I need to update my bio and all of that because I've just changed I quit my job. I've started my own company. And everything is now different. And I went okay, perfect. Exciting. No wonder we didn't do it before now. So Jackie, welcome to unstoppable mindset. **Jackie Celske ** 02:02 Thank you so much for having me. I'm really excited for our conversation today. Well, **Michael Hingson ** 02:06 we are as well. And I certainly hope our audience is going to be as excited as I am. But let's start with the younger Jackie, you grew up in London. Were you born in England and then grew up or what? **Jackie Celske ** 02:20 No, I actually was born in Chicago, Illinois. Good place. Yes. My well, great other than Chicago sports. I'm a Wisconsin sports fan, ironically. **Michael Hingson ** 02:31 But Wisconsin doesn't have Garrett Popcorn. Oh, that **Jackie Celske ** 02:35 is true. That is true. It's a hard. Ooh, toss up there. Yeah, I didn't spend a lot of time in Chicago. I'm the oldest of three. We my parents had three kids and three years. So we are all really close in age. And thanks to them and their adventurous spirit. They believed that moving halfway across the world with three kids under five and one who was newly diagnosed with autism was a fantastic I DIA and adventure. So there we were, we went from Chicago to just south of London. Actually, we were about 30 minutes outside of the city in the country. And I spent the majority of my formative years there. We were there for almost a decade. So I grew up in all girls school school uniforms. I promise I did have a really great British accent back in the day. I've unfortunately, lost it, which makes my story a lot less cool. But we you could go back and get it. I could you know, it's hard to fake. Sometimes it comes out naturally, but I can't force it. Yeah. I've realized that the hard way. It sounds really silly if I tried to just make it be. **Michael Hingson ** 03:45 So you go ahead. So you you live there until you're but probably close to 15 or so. Yeah, **Jackie Celske ** 03:51 closer to 14. So I moved back to the states, middle of junior high. So talk about shock to the system. And we actually we did not move back to Chicago. So my relatives were all in a very small farming community in Western Illinois. So we moved to the small farming town in the middle of my junior high years. And, you know, I went from all girls school to boys in the classroom who were riding their tractors to school and everybody looking exactly the same. And the whole town being pretty much made up of about five different families. So completely opposite experiences. But I haven't ventured too far from that little community since we moved back. So I now live about 45 minutes 15 minutes north of that little town and have made this area my home since then. **Michael Hingson ** 04:44 So what kind of work did your parents do when you're growing up that cause them to move to England and then back and so on? **Jackie Celske ** 04:54 Yeah, great question. My, you know, we always get asked if my dad is in the military, he was Not he actually worked in finance. So in Chicago, he worked on the Chicago Board of Options Exchange floor and was a stock, an options trader. And so I always forget exactly which job opportunity it was that took him over there. But I think he was offered a originally a one year opportunity to work for a bank, over in the UK, and we went for the year and then my parents just really loved it and ended up staying a lot longer. **Michael Hingson ** 05:28 What's not to love and what a great adventure. It **Jackie Celske ** 05:32 sure was, you know, I wouldn't trade it for anything. I love England, I still try to go back about once a year. I've got a lot of great friends over there. Well, **Michael Hingson ** 05:40 and I'm glad that you, you have friends, you have people that you know, and that you have those memories, and you keep building on them, which is which is really great. But when he moved or when they moved back and brought you are back to the States, was he still doing finance or what did he do? When you guys moved to the little town in Illinois? What town? Was it? **Jackie Celske ** 06:03 The name of the town is Alito **Michael Hingson ** 06:05 Lido. Okay. Yeah. So when you move to Alito, what, what did he do? So **Jackie Celske ** 06:11 at my dad actually quit the work that he was doing at the time. So it was we moved in the year 2000, which, you know, if you're familiar with the stock market, trading floors were becoming obsolete at that time, the, that whole industry was completely changing. So I think my dad was ahead of the curve there a little bit and saw that coming and decided, you know, we just need to make a change. And so and in addition to his job changes, I have a younger sibling with autism. My brother Matt, who is just the coolest person I've ever met, and Matt was in a special school for kids with autism over in the UK, their special education system is drastically different than what we're used to here in the US. And so the conversation opened up to, you know, do we move back here and potentially explore transitioning Matt into mainstream school. And that was how we identified Alito as the place to go, I had an aunt, who at the time was a fifth grade teacher, and Matt would have been going into fifth grade that year. And we decided as a family that it made a lot of sense to help him through that transition with somebody he knows and, you know, familiar family member. And so I think those two things combined lots of things changing in my dad's career and world and just the needs of our unique family. **Michael Hingson ** 07:39 So what did he go into for a career? **Jackie Celske ** 07:43 Oh, golly, that could be a whole other podcast interview. He's, if you think my announcement last week was a shock. My dad's been all over. I think I get a little bit of that from him. But he ended up actually becoming mayor of our little town Alito, for a while while I was in high school. And that took us on a host of other adventures. The Lido actually has a sister city in Spain, a lado Spain and so we were able to go over there and they treated us like we were the president of the United States. It was just the coolest trip of all time, from little dinky Alito, Illinois, but so he he was in politics and local government for a while. He has started a few different businesses. I guess kind of there's been a running theme in the construction world. So he has since now moved to Florida, and received his general contractor's license. So he's running a business down there building really beautiful homes in the southwest area of Florida. **Michael Hingson ** 08:48 And your mom. Yeah, **Jackie Celske ** 08:50 my mom. So my mom while we were growing up was actually a stay at home mom, with everything going on with my brother. She was just the champion for us kids growing up. And in England, the school system is different also. So we had three kids go into three different schools in our lives were just pretty chaotic over there. And then when we moved back here, my mom ended up in higher education. So she actually has her doctorate in instructional design. And so she is is really into all things training and does a lot of advocacy work and she now since they moved to Florida works for their amazing church and their community. We're in Florida today. They are in Cape Coral, which is right next to Fort Myers, right. Okay. **Michael Hingson ** 09:40 I was in Fort Myers speaking a few years ago it's been three or four years but it was a good time of year it wasn't too hot and to humans, so **Jackie Celske ** 09:49 I kept roughly when it's not too hot. **Michael Hingson ** 09:53 Yeah, when the book when the bugs have decided that it's not the great weather it is a lovely place in a good time to be there. **Jackie Celske ** 09:59 Yes. It is I always say I have great vacation spots. Thanks to my family. I've got family in Florida and family in Nashville, Tennessee area. **Michael Hingson ** 10:07 And friends in London and yes, exactly. I **Jackie Celske ** 10:10 know there. You're right. Yes, exactly. **Michael Hingson ** 10:13 So for you, so you have a brother and as your other sibling, a brother or sister, **Jackie Celske ** 10:19 my youngest sibling is a sister. **Michael Hingson ** 10:21 So you have a sister and a brother. That's pretty cool. **Jackie Celske ** 10:23 I know best of both worlds, one of each. And we are all very close. We call ourselves the Celski trio. So my poor brother in law is trying to assimilate into that club, most of his life, and he puts up with us pretty well. We all have our challenges. Yes, yes, for sure. What **Michael Hingson ** 10:41 was it like when you move back to the US as a young teenager in terms of assimilating back into the culture of the US as opposed to what you had experienced in England, **Jackie Celske ** 10:51 it was incredibly difficult. So if you can imagine I had a very noticeable British accent. I had never been, you know, I had a brother, but I had a brother with autism and special needs. And so my experience around boys for preteen boys was very minimal. And the educational system in the UK is drastically different as well, they're a little bit advanced in some ways. So they start school sooner. So I was actually a couple of grades ahead, book wise, if you want to say it that way. But maturity level was the same as any other kid my age. So my parents, you know, what I'm thankful for this did decide to keep me in the grade level for my age, instead of accelerating my education in high school at age, you know, 13 or 14, being too early or too young for that. So I was able to at least hang out with kids my age, but it just was incredibly difficult to be in a place where I stood out so much, I remember we moved in August of that year of so right before the school year started, by Christmas, I had a completely a complete American accent, I just forced myself to change my outward identity very quickly, because it made it difficult for people to see me as me, I just, I was too different. You know, and I think, that experience at an early age. And now also, in my adult years, seeing how I'm treated differently in both countries, when I appear as either American or British. You know, I remember what it's like to be in England as a Brit, and how people treat you and now how they treat me as an American tourist when I go and same here. And so I think I just became hyper aware at a young age that about this, the concept of identity, and this idea of communication and the way we interact with each other and why that matters. And it also happened to be at the forefront of social media and instant messaging. And so I was kind of in the middle of this first wave of digital communication, which was amazing, I was able to stay in touch with some of my friends in England, but I was also being introduced to some of that cyber bullying and that anonymous kind of attack. And it was really easy for people to, you know, have negative comments, or essentially just pick on me as a young kid for what I sounded like, or what I looked like, or the things that I wanted to wear. And you know, I had grown up with school uniforms. So I had no idea. I had no concept of cool clothing I didn't, I had to figure out a whole different way to really express outwardly who I was as a person. And I remember being so excited about my first day of school and Aledo wearing this glittery butterfly shirt that I picked out at Walmart and I had no idea that you absolutely do not buy your shirts from Walmart as a 13 year old kid. So it just was all downhill from there. It was a really, for me, it was incredibly challenging. And I think I struggled a lot more than both of my siblings after talking to them about their experience. They just seemed to assimilate a little bit quicker because they were younger. And some of those preteen cultural norms hadn't really started for them yet. **Michael Hingson ** 14:36 Now you move back, you said in 2000. Yes. Okay. So what immediately comes to mind, I want to come back and talk about Matt a little bit in a sec. But one of the things that must have been in ways you look back on it fascinating, although I don't know whether that be the right word to use or not is. So the next year of course, September 11 happened What was that like? So you and all the folks in Lido? Oh **Jackie Celske ** 15:03 gosh, yeah, that's a great question. I just remember being very scared. You know, we, my parents are very proud Americans and did. As much as I became a very British child, I was also a very proud American child who just happened to live in the UK. So, I mean, we celebrated Fourth of July and Thanksgiving and things over there that are a little bit frowned upon for the typical Brits. But you know, I did have a very lot of pride about being American, even at that age. And despite the fact that I grew up in a different country. And so I think I shared similar emotions, as many of the people in our town and in some ways, I almost think that United that little community a lot more than it had ever been, or at least for a really long time, because that was just one moment in history. I remember us all being the same. United Yes, yes. **Michael Hingson ** 16:12 We're, we're a mirror Americans, generally well respected and, and welcomed, let's say pre 2000 wings, do you think **Jackie Celske ** 16:23 I, you know, in my case, I was a child. So it's a little bit harder to know, for sure. I mean, our friends over there in the UK, were they just welcomed us with open arms. And I had a very positive experience being American over there. I think the area in which we lived was also, it's just very common to have what we would probably call transplant families. So our group of friends were all families who had moved from other countries. And so we were all in some ways, going through the same experiences together, and sharing in those learning curves, or, you know, celebrating our heritage and things together, which was really special. And then moving to small town, Illinois, completely different. There was nobody had really ever left that city, it was almost the opposite. So new people didn't come in and people didn't leave. And so from my experience, and where we just happen to live in the UK, I always had a very positive. **Michael Hingson ** 17:30 Well, I'll tell you why. I'll tell you why I asked the question. The one of my salespeople who I hired why I always say as the best sales guy ever hired, when we were doing product trainings for him at the time, and quantum wasn't international company, the blast, best place for him to go to get the media training to be able to start to really sell or, and he had actually been selling for a while. But then the training opportunity came along was London. So he went over and visited the quantum folks in London. And whenever he would go to a bar, he was a sports guy. So he liked to go to sports bars and stuff. But if he went into a bar, and they discovered they had a Yank in their midst, he said, I was treated like royalty everywhere I went. And, and so you know, I'm curious. And the reason for thinking about all of this was, Do you think that's changed a lot over the years that, that it's any different or people still, probably whatever they were about the same as they were before in terms of dealing with Americans and all that. I mean, our world has just gotten so crazy in so many different ways. I'm just curious to get your perceptions on internationally or in England, if things are different than they used to be, do you think? Yeah, **Jackie Celske ** 18:58 I would say yes. A resounding yes. I mean, I feel the differences when I go over and visit. And you know, I'm obviously very familiar with where I'm going, when I'm over there. I'm not necessarily going as a tourist, I'm going most of the time just to visit people and maybe go back to my favorite places. But I tend to perceive that the Brits think we are just kind of arrogant and annoying and would prefer we just kind of get out of the way and not be there a lot of the times and so with my friend group over there, it's just a running joke and especially with the political climate of our current politics, so yes, that definitely, I think contributes to it. I mean, I will say the last election, my I had several friends saying we're just over here eating our bowl of popcorn watching the US like it's a movie right now. So it's almost as if they don't take us too seriously. But I do think There is respect for the independent lifestyle that we live in some of the autonomy we have in, in our culture over here that they don't always experience over in the UK or in Europe in general. And vice versa, I've learned, I've developed a very deep respect for the way that they value work life balance, that we don't get right here, in my personal opinion. So I agree. Yeah, I think I have the luxury of having exposure to both sides and getting to understand what is really great about both countries, and not everybody gets to experience it that way. **Michael Hingson ** 20:43 So what is it? What would you say the work life balance is like over there as opposed to here? **Jackie Celske ** 20:50 Very healthy, they just value relationships and people in a different way, in my opinion, I they get a lot more time off work, they are nobody there is overworked, which I think can be perceived as almost laziness, sometimes to us. But you know, there's nobody getting physically and mentally unwell from work. I mean, I'm sure there are I shouldn't make extreme claims like that. But the cases of you know, mental health concerns from work or physical. You know, well being issues and concerns that can come from overly stressed workloads, they just don't seem to have that same experience there. And my friends are just always traveling always on vacation, they typically work shorter work weeks, they get much more time off with their kids. You know, both both the women and men getting up to a year off when, after giving birth. A lot more quality time with the people that are important to you. And I, in my opinion, that's really what life is about. You **Michael Hingson ** 22:05 traveled much to other places other than just London or England into other parts of Europe. **Jackie Celske ** 22:10 I have Yeah, I have. And I think you know, it's not true across the entirety. But I've been to probably 10 or more other countries, so. And a lot of my friends from the UK actually live all across the world now too. So I kind of get their indirect experience from the new places that they've moved to as well. Maybe **Michael Hingson ** 22:34 you think about the whole thing that's been in the news occasionally, over the past few months about the whole issue in France, where they want to raise the minimum retirement age from 62 to 64. That's gotten pretty violent. **Jackie Celske ** 22:49 Yes, it has. Yeah. And I don't know what I don't know if I have a specific personal opinion yet. I think I'm still forming that myself. Every I don't. And I also am not as familiar with France as I would be with the UK and how that's all structured. But gosh, yeah, it's just in Europe is interesting, because similar to the US, when you think about how different all of our states are, you know, that's what it's like over there, it's just on a more extreme level, you're not just crossing a border to another state, you're crossing a border to a different world, almost, they speak a completely different language and have completely different cultural norms. And so, within a matter of, you know, hours, you can be in a completely different place that just where people don't think like you act like you talk like you. And that's something that I don't think Americans can really even fathom unless they've left the US, or **Michael Hingson ** 23:48 they don't spend enough time thinking about the possibility. That's the case. And as a result, they're less prone and think, in large part, to understand it. And I know for me, I have a hard time understanding the whole issue of just so you're moving from 62 to 64 is the minimum retirement age. Why is it so violent, but at the same time, I also realize that's a marked difference for them. And it's no different than with anyone else. A lot of times, no matter what we say we really don't like a lot of change. No, **Jackie Celske ** 24:30 I know humans don't really appreciate change. We certainly do. Yeah. Yes, yeah, it's the change is hard. Change is very hard. Yeah. **Michael Hingson ** 24:41 Well, tell me a little bit more about growing up with math that had to have some influence in shaping your life and your outlooks and so on. Having a brother who has autism, what was that like? **Jackie Celske ** 24:54 Yeah, you know, I actually think Matt helped me find My life, passion and my life's work. So his specific diagnosis, I think when he was about two or three, in the early 90s was a time when people didn't really understand autism much at all. And so my mom will recount the doctor saying, you know, your son is going to be institutionalized, and he's never going to do any of the things that you think he's going to be able to do. And my mom just looked at them in the eye and said, No, you're wrong. And **Michael Hingson ** 25:34 where have I heard that story? We'll see, same thing my parents did. Yeah, **Jackie Celske ** 25:40 I remember that. When we first connected I remember you sharing something similar and the power in those words, man when I think about it now. Thank God for my mom. Right. I mean, Matt was very behind at when we were in the UK, he, like I said, he went to a school for children with autism, and most of them were nonverbal. So Matt was developing very slowly, he was nonverbal for quite a while, and then when he did begin to speak, it didn't, you know, it didn't often make a lot of sense, we used a what they call over there Makaton sign language to communicate with him. We had a very, I would love to see one of these now. But we had almost like a digital tablet, from the 90s that had pictures on it. So he could press things that he wanted to, you know, if he wanted french fries that day or something, but he had a lot of the just stereotypical repetitive behaviors. He was incredibly tactfully defensive. And so you couldn't even touch him with the tip of your finger without him screaming. And so my mom, she dedicated her a solid 1015 years of her life, to just care for my brother and find the best resources for him. I mean, she would brush his body with a hairbrush several times a day, she would take him to the movie theater and train him on how to adapt to the overstimulation of the loud sound. You know, we laugh about it now that Matt would only eat Mcdonald's chicken nuggets, we would go to McDonald's and buy like 4020 packs of nuggets and have a freezer full of those chicken nuggets for years. That's all guity. And by he started to show these just magnificent gifts. And one of them was his ability to understand directions. So we would go on a road trip as a family, we'd come home, and before he could even really speak, he would take printer paper, lay it out on the floor. And he would to scale draw out and map out the trip that we had just taken. And I remember, as he began to communicate verbally a little bit more, I remember him just randomly saying things like, oh, you know, there was 34,000 dotted yellow lines on that street that we just drove by. It just hit the way that his brain worked, he would memorize the TV Guide. You know, most people don't remember having TV guys, but you know, those giant thick books that would tell you everything that's on the TV for the month on every channel. And Matt would memorize that. And we could ask him, you know, next next week on Saturday, what is on at 8pm on these three channels, and he would know, he just had a photographic memory. So he could read Yes, he could read. Yes. So he started to to show abilities in his communication that I think were being stunted at the school that he was at. And that was kind of the catalyst for my parents in their decision to you know, he's never going to be pushed and challenged in the way that he needs to be unless he is surrounded by all types of kids, not just kids who have autism. And we need to find a way to get them into mainstream schooling. And so they don't do that. As far as I know, at least in the region we were at in the UK, they that wasn't an option for him with his diagnosis. So moving to Alito, he transitioned at first into fifth grade with my aunt as his teacher and he had a full time aide. And, you know, I remember I remember I was just saying he was tactfully defensive as a child and you couldn't hug him. You couldn't touch him. Well, by the time he was a senior in high school, he was an AB student with no aid, a varsity wrestler. He was the lead in the school musical and just an all around stellar, teenage kid just have All the things that a kid should be doing, you know, you're **Michael Hingson ** 30:03 absolutely right. He needed to be in that environment just stimulating. Yeah. Yeah, it was the musical. **Jackie Celske ** 30:11 He was in well, he was in the musical every year, but he was guest on and Beauty and the Beast. Oh, okay. And he did a great job. He did a wonderful job. **Michael Hingson ** 30:21 Even though he didn't get the girl in the end. No. **Jackie Celske ** 30:23 And he played the wizard and the Wizard of Oz as well, trying to think which other ones but he he would always be in the talent shows. And yeah, he's got perfect pitch is another just wonderful gift with his autism. So his musical talent is just absolutely phenomenal. And he went on to get a four year college degree, and he is just a lovely young man. Now he get a major in music business. Makes sense? Yes. Yes. He's not doing that professionally right now. But he has a lot of interests in that field still. So on the side, he and I dabble in kind of writing songs and making little music videos and mashups, and things just for fun, as well, right? **Michael Hingson ** 31:12 Well, you, you obviously had a lot of challenges to overcome and moving back and just being a teenager and going through all the things that you did, much less Matt, but Matt sounds like, as I would describe it a whole lot more of a blessing than, than a lot of people might think. And so yeah, he had autism. And so what, he's come through it, you've come through it, and it's made a whole big difference in your life and how you look at things, which is really cool. So what kinds of did well have challenges or what major things happen to you personally, as a teenager, and in school, and and growing up? Once you move back? **Jackie Celske ** 31:55 Yeah, I, I mentioned that, you know, Matt helped me identify this curiosity, I would say about communication and words and stories. And, you know, one thing that was really challenging for me moving back to the states, coming from the education system that I was in, I gravitated towards older groups. So as a freshman in high school, for example, my core group of friends were all of the seniors. And that just felt more natural to me, that's kind of at the level I had been at in school in the UK. And so I was hanging out with kids that were just probably too old for me at 13 and 14 years old, and getting exposed to things at too young of an age, not that kid should be exposed to anything bad as a teenager, but just hanging with the crowd that I shouldn't have been with yet. And unfortunately, as a sophomore in high school, I found myself at a party with some friends and was we still don't know a lot of the details about that event. But I remember waking up, away from the party away from my friends, I had been drugged with something and was very brutally sexually assaulted that evening by multiple people who know me and knew me well enough to drop me off at my house at the end of the evening. **Michael Hingson ** 33:25 Even though they did what they did, yes, **Jackie Celske ** 33:27 yes. And so that for me, that was the turning point in my life. And I honestly would say I would say, I'm not sure I've, I really even began to fully wholly heal from that until about a year or two ago. It just changed the trajectory of, of everything for me. And the first time I talked to an adult about it, you know, the words were basically, I don't believe you. And you know, I talked about the power of words. I mean, those words changed the trajectory of the next several years for me as well. And so I found myself pretty shortly after that event, just having really extreme physical medical challenges that were unexplainable. I was at the doctor all the time, I was getting sick all the time. And it wasn't until I was 19 when I had a part of my intestines collapsed, so I needed a pretty immediate surgery. And the doctor asked my mom to leave the room. And it was that doctor who actually asked, all right, what has happened here because we don't see internal damage like this. In somebody or age and less. There's been a lot of trauma. And that was the first time I really started opening up so that had been three years. **Michael Hingson ** 34:56 What were your parents thinking or thoughts about it? So **Jackie Celske ** 35:00 I, my mom knew a little bit, my dad actually did not even know me. I never shared it with him until I was in my 20s it was a very difficult thing for me to talk about. And I, like I said, when I started to speak up, it was not well received, I was not getting the support I needed, I was not given access to resources to heal and get help. And so that just really shut me down. And my coping mechanism was to just, you know, get involved in everything in school and be tried to be the perfect student and the perfect teenager and the perfect big sister and I just distracted myself with all of those things in life, and my physical health became such a distraction, honestly, that I didn't understand the connection between the mental health aspect of what I had gone through, and how that was impacting my body, on a physical level for many, many years, and my family was amazing at supporting me and getting the help I needed physically. But we just didn't connect the dots for a really long time. And it took a lot of really hard years and multiple surgeries and multiple doctor visits and trips to different medical systems to really figure that out. **Michael Hingson ** 36:33 And I would imagine no more parties for Jackie for a while. No, **Jackie Celske ** 36:37 no. Yeah, it was. It, you know, in some ways, I remember every detail of the event. And in some ways, I don't it's, they I've learned now that that's really common for sexual assault and trauma survivors to remember very specific details, but not the actual moment of the. So I've written a lot about that and spoken a lot on that. As part of just my advocacy and awareness, **Michael Hingson ** 37:07 and your healing, yes to talking about it helps. And I mean, I, it's not my place to make you just talk a lot about it. But talking about that kind of thing, or whatever goes on in your life always has to help. I know that. And I love to say this that I chose to let people interview me after September 11. And I believe that I did so much better by allowing the media to come into our home and ask me questions, because I got to ask all sorts of questions, some even really intelligent questions, but a lot of questions just about September 11, and anything you could possibly imagine. And occasionally, even now, I'll get a question that I have been asked before, but it doesn't happen very often. But still talking about it was the best thing. **Jackie Celske ** 38:00 Yeah, it's I, I'm a big advocate for either writing or, or verbally talking through your story. For me, support groups. And that kind of community was the best way for me to do that. Because I could sit in a room. And if I didn't feel like speaking, there was still someone next to me, who had a similar lived experience and their words often helped me process, what was going on in my brain. And you know, maybe they were at a different stage of that processing than I was. And so listening and learning from what worked with other for other people, was a huge healing step for me. And that's why I'm just such a big advocate for stories and words. Now, I mean, words are so powerful. And the stories we tell are so powerful, and they're, they're what bring us together. They're what, you know, we said at the beginning, it's what unites us it it's what makes us better, more self aware human beings. And we just go about the world as better people that way. And **Michael Hingson ** 39:07 I'm a firm believer that everyone has a story to tell. And sometimes people save when we discuss them coming on the podcast. Oh, my story isn't interesting. It's just like everybody else. And I said, No cheer story. And sometimes they'll not want to come on. They just don't want to get past that. But I've been blessed that lots of people do come on and tell their stories. And the reality is everyone's story is different. And my job is to help people communicate and tell their story and help to inspire because I think that most of us could be a whole lot more unstoppable than we think we can and I mean that in a very positive way in stories help that. **Jackie Celske ** 39:46 I 100% agree and honestly, that was what made me really excited to be on your podcast because I have not written a book. I have not founded a nonprofit. I have not On on to transform this trauma into something above and beyond, I have just learned how to find my own purpose in it, how to heal so that I am the best version of myself. And I just choose to, you know, use it as part of the one chapter in how I got to who Jackie is today. And I haven't done anything more than that with it. And I think that's an equally important for people to hear. Because you know, there are people out there doing amazing things from the trauma that they've experienced in life. But it's also amazing, to just keep going, and to survive through it and to be on the other side of it. And to keep learning about yourself and learning about what helps you feel better, and how to help other people feel better, that is equally amazing and powerful. So it's not about what you do to change the world. You know, in a big grandiose way we can change the world, in our own small ways every single day when we choose to take care of ourselves. **Michael Hingson ** 41:13 And amazing is such a sometimes overly used word. And the fact is, what you just said is absolutely correct. It doesn't need to be that amazing as well. Because you go out and you speak and you do all sorts of different things to tell the world about what you do or don't do. Ultimately, it's how you feel it's in your brain that really matters in the fact that you're able to move forward. And also, I think it's it's good that you recognize that, that it's really how you approach it and how you feel with it. And that the amazing part is that you do it. And it's something that we all ought to learn a lot more about, and grow to understand. Yeah, **Jackie Celske ** 41:57 I think so too. I've listened to several of your guests, interviews, as well. And I've learned a lot from their perspective and experiences to on just different resources or different tips and tricks on you know how to minimize stress or how to focus on, you know, I listened to I think it was Jennifer's interview that was a day or two ago. And I also tried EMDR. And I was listening to her experience with EMDR. And how it was it was different from mine. And that was really interesting to me to just know that we both benefited from it for different reasons. And, and she goes and shares that as a resource to other people. And I do the same. And so it's those small moments of exchange in those small stories, I think that are the most impactful. **Michael Hingson ** 42:42 Yeah, I talked with someone just yesterday about sound wellness and how different sounds affects us. And what affects some of us one way with a particular sound or set of sounds is totally different to someone else. Like I'm not a great fan of heavy metal, and that kind of music. But some other people are. And that's okay. I can appreciate it. It is still whether I like to think so or not. Heavy Metal is music, and I appreciate that it's music. It's different than what I like, but that's okay. **Jackie Celske ** 43:18 Yeah, exactly. We just need to be okay with it being okay. Right. That's, that's the lesson I think **Michael Hingson ** 43:25 I haven't really totally come to grips of thinking that rap is music in the same way that heavy metal and other kinds of music or music because it's so much more talking. And yes, there's a there's music in the background. But the main part of it isn't necessarily singing. But that may be me. And it may be that the definition of music is just changing from what it used to be. But I'm, I'm still working on that. **Jackie Celske ** 43:50 Well, you'll have to hang out with me a little bit more because I like to write parody rap songs for fun. I've been known to do a surprise parody rap speech or for internal communications, messaging it at work or something, I will dress up and help communicate a message in a very unique and memorable way just for fun. And so I think, you know, I've never been a fan of rap myself. But getting to put a little jakie twist on it like that has made me appreciate it and have a lot of fun with it. **Michael Hingson ** 44:22 I think rap is absolutely an art form. I'm just not sure that I would classify it as music. I think it's an art form. It's a wonderful art form. I've listened to some rap, you know, rap songs or rap music or whatever you want to call it. And clearly the people are very intelligent. They're talking about their life experiences, and are doing it in a very articulate way. So I think it's an art form. I'm just not sure I put it in the category of music as such. **Jackie Celske ** 44:50 And that's where words matter, right? Whether it's music at all. Yeah. **Michael Hingson ** 44:58 It does. Well, you been through a lot? What kind of advice would you give to someone who's maybe been through some of the kinds of things that you have? Whether they've gotten the support or not? What would you encourage people to do to help them move through some of this stuff a little bit more effectively? **Jackie Celske ** 45:14 Yeah, that's an excellent question. I think, to me, it always depends on where you're at in your journey. I think if you are actively surviving something really hard, right? Now, then, first and foremost, you need to take care of yourself, and you need to sleep and you need to eat well, and you need to get some exercise and all the basic foundational things to just keep yourself well. And give your body and your mind the best chance at making it through the challenge ahead of you. I think if you are somebody who is, you know, maybe a little bit further along the journey, and just wants to continue healing and continue growing, I am a huge believer in practicing gratitude. And, you know, again, I think somebody recently on your podcast was talking about morning and evening routines and making intentional time in the day to stop and just appreciate the good that is happening around you. However small or however big. I'm a huge believer in the power of humor, I think the ability to laugh at ourselves is what humbles us, it's what makes stories and human connection a little bit more approachable when we talk about hard subjects like this. So, you know, for me, I battled this autoimmune disease for almost 20 years after that sexual assault that I really am only just now, realizing what that is, and what that means. But one of the organs that was significantly affected was my bladder. And so I genuinely used to pee my pants, quite often, I used to have accidents at work or in professional settings. And I just had to laugh about it. And it, it became something that, you know, my friends and peers and co workers could ask about because it was I made it a safe thing to talk about. And when I had an implant put on my spinal cord to help regulate some of those issues. I named him Pedro. So that when I started talking about Pedro, people would say, well, who's Pedro, and then it would open a conversation, right, so that I could approach really tough subjects. But, you know, I love I love the power of humor, and jokes. And so if you think about the word humor, and humility that both of those words, actually the origin is the same, and it comes from humanity. So when you want to go back to the power of words, you know, those are two powerful words right there. It's what our shared human experience is all about. So and then I guess, ultimately, I would always encourage people to just find ways to mitigate and control and minimize your stress. If I've learned anything, in the last couple of years, or even the last couple of weeks, with some of the big life changes I made, it's that the energy you surround yourself with is really important. Whether that's the people or your work environment, your home and where you live, just making sure that you're creating happy spaces for yourself and safe spaces for you to be yourself where you can be vulnerable. When you need to be when you can be authentic, and your true self and your best self. I think that is really important. **Michael Hingson ** 48:38 You went off to college, and you learned a lot about communications, and certainly learned a lot about how to interact with people. And that certainly has to help shape some of your thinking. But you you have come a long way in in your, your journey in terms of getting better and improving and so on. But you You keep saying especially in the last couple of years, how come so much so quickly lately? **Jackie Celske ** 49:07 Yeah, great question as it again, probably a podcast interview all on, its on its own, but I can shorten it to the best of my ability. So early in 2022. Actually, my medical condition was deteriorating really quickly. So I mentioned I had what we understood to be at the time, actually a neurological disease. So for about 20 years, my doctors were suggesting that I had something wrong with my nervous system. And we were treating it as such. So I would have days where my legs would not work or certain organs would be shutting down for no reason, no apparent reason and it wasn't until early 2022 I just became so sick and so unwell that my doctors here locally who had seen me for about 16 years, threw their hands up in the air and we're out of ideas and I did not know what the next step was going to be. So I decided to quit my job here in Iowa, I moved to Florida where to be with my family. And I just prayed that I would find a new doctor down there who might have a different idea. And man did I get lucky I was at such a point of desperation I had, I've found one doctor down there, we tried a couple additional surgeries. So I had two surgeries and 2022. And the implant that I had on my spinal cord was replaced in hopes that that would maybe make a difference. It did not. And so I found myself calling doctors to try to have organs removed. I mean, I was at a very desperate level, just not well, and I came across an article in a medical journal, about a woman who sounded very similar to me. And she was claiming that she had been cured by this doctor by this experimental treatment. And so I called their office completely in tears. And he, I understood him to be a leukemia doctor, so he specialized in bone marrow transplants, and I just thought, you know, he's not going to see me, I don't have cancer, this isn't going to work out. And to my surprise, they, he and his receptionist are both from the UK, ironically. And we just bonded over the phone about that. And they said, You know what, come on, in we, we would love to speak with you. So I drove about three and a half hours to the other side of the state of Florida and met with his team. And he was able to do some testing on my immune system. It was the first time in about 20 years that any doctor had identified on paper, what was actually wrong with me. So my immune system had been so severely damaged from all of the trauma and all of the stress that my body had been under for the last two decades, that it had aged to the point of, you know, I should have been about 90 to 100 years old with what the data was showing. So all of the illnesses I was acquiring inside my body had nowhere to go, my body wasn't fighting them. And then those, that bacteria that those viruses were living in my nervous system, which is what was causing all of the physical symptoms I was experiencing. So he offered to try the experimental treatment. But you know, obviously, we couldn't guarantee it would work. But it was a combination of infusions and injections for multiple weeks at a time. So I would get a PICC line put into my arm, similar to chemotherapy type treatment. And I was all on board. The only challenge in my way was that, of course, insurance did not cover it. And it was going to be a crazy expense for me and my family. And we decided, You know what, let's just tell Jackie's story. And let's see what happens. And this just beautiful community was formed around me sharing my story, and we were able to raise, I think we're up to about $45,000 in my GoFundMe, my friends back home hosted a benefit for me, and we raised another 10 or so $1,000 to help me pay for that first round of treatment, which cost a little over 80,000 the first time. And that was the biggest blessing I could have ever asked for because I came out of that treatment with almost all of the damage to my immune system reversed. And unfortunately, we just we couldn't do any more at the time financially. So I was feeling a lot better, I decided to move back home. And what we found was that because we didn't complete the entirety of the treatment, I just continued to regress after moving back home. So earlier in 2023, March, I went back down and we completed another round and we extended it this time. So I had to take a second mortgage out on my house to make that happen and you know, make a big gamble on myself, but it paid off because going for that extra amount of treatment, we were able to hopefully knock on wood permanently reverse the damage in my immune system. And it has so far cured me of almost all of the physical impairments that I had been battling for about 20 years. **Michael Hingson ** 54:28 On top of everything else you decided to go off and start your own business and quit what you're doing before What were you doing and what did you quit? Yeah, 54:37 I did. So I like I said I was kind of in and out. I went from Iowa to Florida. I went to Florida over the last year and a half and so I moved back to Iowa for a while and started a job in higher education. discovered pretty quickly that that just was not for me. The particular culture of the place that I worked was a I'm very toxic and very unhealthy. And I started to develop stress and do seizures and other symptoms that were, you know, a clear sign that my body was not going to be well in this environment. And so I, in talking to my family and loved ones, I remember saying, you know, everyone was encouraging me to leave, I kept thinking, wow, that looks bad, I've been putting jobs right and left, I'm not sticking around anywhere very long. I don't have a plan B. And somebody just said, Well, you have to be alive to have a plan B. There you go. And it was those words, again, going back to the power of words, that convinced me that I just, I needed to make a change, and I would figure it out. And so that's what I did. I went in and quit pretty much the next day. A couple days later, I incorporated my own LLC, the PROSE, CO, and PROSE, which means written and spoken language. And I started my own communications and marketing firm. And now I'm a month into that, actually, this week will be an official month of full entrepreneurship. And I have already, you know, replaced my full time job income. And I'm already doing full time work with a host of different clients, wonderful, awesome clients that believe in me and chose to take this leap with me. So it's been an exciting couple of months. **Michael Hingson ** 56:28 That is really exciting. And so what what are you doing for customers now? Exactly? Yeah, 56:36 great question. So I chose the PROSE CO. A, because PROSE stands for basically communication. But PROSE is also an acronym for the different services that I provide. So P would be promotional communications, which was everything from website content, advertising and events. Are stands for relational communications. So for my nonprofit clients, that's a lot of fundraising and stewardship strategy. For others. It's more public and media relations. O stands for organizational. So that's all things internal communications, from newsletters to change management, we laughed earlier about how difficult changes, helping to navigate that for some of our clients from a messaging standpoint, S is social media. So I do a lot of social media management, community management. And I love analytics. So diving into digital analytics is kind of my my thing. And then E stands for executive. So anything that we we call it transformational or inspirational. So I do everything from speech writing, to strategic planning, and brand strategy workshops. And I keep saying there's just a giant plus sign on the end of that too, because already in my short month, I've had a lot of custom projects pop up that weren't in that original scope that I had designed or imagined. So it's just kind of ever evolving right now. But mainly, you know, the miss the mission of the Prosecco is to change the world through stories. That's what I want to do. And anything that's going to help tell a client's brand story and help engage their clients in a way that goes beyond just creating a positive affinity towards that brand. But transforming that into some sort of action and change that's going to move that mission forward is really ultimately what my goal is with this company. **Michael Hingson ** 58:32 And you certainly have done something major to get rid of a lot of stress over which you don't have any control over, you're going to have challenges because you're going to have deadlines, and you're going to have people who want different things. But you are the one who set that up, which makes it just so much better than stress in an office environment where as you said, it can be very toxic. **Jackie Celske ** 58:56 Yes, it sure does. I, you know, it's a little bit more, there's new challenges, right, which is kind of the fun of it. But it's I'm asking myself silly things like do I want to just wear pajamas today? Or do I want to put normal pants on and go to the coffee shop, but it's it's a little bit of a different level of stress. But, you know, ultimately, I I want to provide the top quality service to clients that I can. And I'm very fortunate to have a great network, the community that I live in, where there's several other freelancers. And we've all started partnering together so that we can still provide a full service agency experience, just at a lesser cost for clients essentially without that overhead. So it really does feel community and team driven, which is not what I was expecting branching off on my own. I thought I would be giving that part up and it almost feels like I've gained more of that than I had before. And it also feels like we're really solving problems and we're really meeting a need in our commune. Any that maybe wasn't there before. So it's, it's exciting to be a part of it. **Michael Hingson ** 1:00:03 That is super cool if people want to reach out to you and learn more about pros CO and maybe, hopefully work with you and use your services and so on, how do they do that? And how do they reach out to you and learn more about you, I 1:00:16 would love for people to reach out and just connect at a minimum share your stories doesn't have to be for business purposes, formally, but my website is the proseco.com I keep joking that it's basically the prosecco.com without the extra c, because I do love my Prosecco and wine. So it's a good fit. But there's a contact form on there. If folks want to reach out and just get connected there. They can also email me info at the pros wcco.com Or feel free to look me up on social media. I'm, I'm on most of them. And I'm Jackie Celske, I think I'm the only one in the world. So I'm pretty easy to find whether that's a good thing or bad thing. So selfkey is spelled C E L, S K E. **Michael Hingson ** 1:01:02 So its J A C K I E C E L S K E. Yes, perfect. Well, this has been absolutely wonderful. And I am so glad that we finally made connections. And if you want to come back on in the future, and continue the discussion and tell more of the story, whether you write a book or not, we're glad to have you come back on but I bet one of these days you'll decide to sit down and write it or find someone to help write a book and and help inspire other people. But whatever you do, you've already done such amazing stuff. And you've been so committed to making it happen. And that's as good as anybody could ask for. So I really appreciate you being on and giving us so much of your time. Well, **Jackie Celske ** 1:01:47 thank you so much. I think yeah, I've surprised myself in the last few weeks and months for sure. So who knows, I might surprise myself and do something like that one day, we'll **Michael Hingson ** 1:01:57 see. If you want to talk about it ever. Don't hesitate to reach out. **Jackie Celske ** 1:02:01 I thank you very much. And thank you for the platform and opportunity to just be part of this community that you're building. It's it's been really special to me. So thank you. Well, **Michael Hingson ** 1:02:09 this has been fun. Well, I hope that you've enjoyed listening to us and that you enjoyed everything that Jackie had to say I'd love to hear from you. Please feel free to reach out you can email me, Michaelhi m i c h a e l h i accessibe A C C E S S I B E.com. Or go to or and go to our website, www dot Michael hingson H i n g s o n.com/podcast. Check out more episodes if you're new. And if you've heard a bunch you can always go find them there easily anyway, we really appreciate it. Wherever you're listening, please give us a five star rating. We all do appreciate that. And we do really want to hear your thoughts. And Jackie for you and all of you listening if you know of anyone else who we ought to have as a guest on unstoppable mindset, bring them on, we'd love to hear from other people. And we'd love to bring more people on and help inspire and motivate all of us because that's really what it's all about, and having fun. So you can't do better than that. But Jackie, once more. I want to thank you for being on and hope we can do this again.  **Jackie Celske ** 1:03:15 I would love that. Thank you so much.  **Michael Hingson ** 1:03:20 You have been listening to the Unstoppable Mindset podcast. Thanks for dropping by. I hope that you'll join us again next week, and in future weeks for upcoming episodes. To subscribe to our podcast and to learn about upcoming episodes, please visit www dot Michael hingson.com slash podcast. Michael Hingson is spelled m i c h a e l h i n g s o n. While you're on the site., please use the form there to recommend people who we ought to interview in upcoming editions of the show. And also, we ask you and urge you to invite your friends to join us in the future. If you know of any one or any organization needing a speaker for an event, please email me at speaker at Michael hingson.com. I appreciate it very much. To learn more about the concept of blinded by fear, please visit www dot Michael hingson.com forward slash blinded by fear and while you're there, feel free to pick up a copy of my free eBook entitled blinded by fear. The unstoppable mindset podcast is provided by access cast an initiative of accessiBe and is sponsored by accessiBe. Please visit www.accessibe.com . AccessiBe is spelled a c c e s s i b e. There you can learn all about how you can make your website inclusive for all persons with disabilities and how you can help make the internet fully inclusive by 2025. Thanks again for Listening. Please come back and visit us again next week.

OverviewLast episode as of Dec 2023Emily Ana Levy is a distinguished social impact entrepreneur, renowned patient advocate, healthcare Key Opinion Leader, and acclaimed international public speaker. Emily's journey led her to co-found Mighty Well in 2016. It's a startup driven by her personal experiences as a patient grappling with chronic neurological Lyme disease and autoimmune conditions, along with the challenges of managing vascular access devices. Mighty Well's direct-to-patient brand offers innovative medical products and comprehensive digital learning on vascular access, empowering patients to confidently navigate their health journey. With an unwavering commitment, Levy and her team have successfully launched seven adaptive medical products, notably the Class 1 FDA-registered PICCPerfect® Pro. Emily and Mighty Well's impact has been featured across various media outlets such as The New York Times, The Wall Street Journal, Who What Wear, The Boston Globe, PBS, Forbes, and more. In 2021, inspired by her transformative healing journey in the Amazon and stepping into her gifts as a seer, medium, and deathwalker, Emily established Hamsa Healing. In her practice, she is dedicated to facilitating clients in experiencing profound healing practices from the Amazon and the spiritual realm — practices that played a vital role in saving her life and putting her chronic illnesses into remission. Currently residing in Providence, the heart of the Ocean State of Rhode Island, Emily finds solace in cold water plunges that invigorate her senses and ground her in the present moment. She cherishes moments at home with her two adopted poodles, a warm blanket, and a cup of tea; valuing introspection over bustling networking events. Emily remains devoted to self-discovery, eager to share her insights with folks who, like her, have felt marginalized within a business and medical system that often overlooks their needs for visibility, understanding, and validation. What started as an entrepreneurial journey to 'turn sickness into strength' has now become one of learning strength from sickness.Key LinksMighty WellDr. Casey Kelley on UP - Ep 118TakeawayTune in as Emily shares:* that she'd blocked out a memory of being bitten by a tick at the age of six; she was bitten again at the age of 12, alongside having confirmed EBV* what her initial symptoms were like* how she was overlooked because of her age and gender — and initially put on birth control to control her “hormones”* that she finally found a Lyme-literate NP in her home state when in college — and received the diagnosis of Lyme and tick-borne illnesses at the age of 19* her additional diagnoses: POTS/dysautonomia, Hashimoto's disease, CIDP (chronic inflammatory demyelinating neuropathy), C-PTSD, and Gilbert's syndrome* that she went to see Dr. Casey Kelley after hearing her episode of the show!* how her lived experience informs the creation of adaptive devices and wearables for Mighty Well* how she was able to embody her identity as a disabled person — coming from a family of athletes* that she had a lot of Lyme support in college, but also felt “othered” in the sense that she had to advocate for her health for the first time* what a typical day was like for her before remission* her rumination on the invisibility of her diagnoses — and their few visible signifiers, which included her PICC line and chest port, as well as her occasional use of a cane* how exhausting it can be to tell people your life story when you live with invisible illness and have to provide validation to others* the epidemic affecting women in healthcare: acute infections, especially those presenting with multiple and varied symptoms — and how important it is to listen to and include women, both in treatment and in research* how her family background in textiles informed the Mighty Well product line* her advice for fellow spoonies and entrepreneurs* why living near the water is so important for her* that she has trained her dog, Olive, as a medical alert service animal* her belief that ketamine therapy saved her life, with regard to the diagnosis of C-PTSD* her endorsement of plant medicines and herbs, and why she has moved in that direction where her ongoing treatment is concerned Get full access to Uninvisible Pod at uninvisiblepod.substack.com/subscribe

Welcome back to another compelling episode of The Winners Paradigm! In today's installment, we delve into the captivating world of overcoming adversity with our special guest, Matt Fleming. Join us as we explore the transformative power of pushing oneself, finding accountability, and making positive changes. From battling addiction to conquering physical challenges, our guests share their personal experiences and offer invaluable insights into the journey of personal growth. Get ready to be inspired, motivated, and equipped with the tools you need to thrive. So sit back, relax, and let The Winners Paradigm guide you on a path to greatness. Let's dive in! Timestamps: [00:03:02] Openness and lessons in personal growth. [00:04:54] Struggling with health issues, but finding motivation. [00:09:57] Antibiotics and PICC line for infection. MRI for back pain, found something. [00:13:25] Struggle with body image, finding grace. [00:14:23] Grateful for life despite past struggles. [00:17:26] Bro, crazy thoughts mess me up mentally. Antidepressants don't work. Relatable struggles with workouts. [00:21:43] Achieved fitness goals despite setbacks and limitations. [00:26:29] Ditch drugs, find healthy friends in gym. [00:27:49] Big dude's happiness inspires self-reflection in gym. You'll Learn: 1.How did I use burpees as a way to improve his fitness journey?  2. What role did accountability play in Matt's ability to overcome adversity during marathon training? 3. How do both speakers observe unhealthy habits in most people and why do they believe it's important to strive for improvement? 4. What personal obstacle did I face in his fitness journey and how did he seek help to overcome it? 5.How did I find motivation and respect through his interactions with bodybuilders at the gym? The Journey of Sobriety: "Getting sober won't solve all your problems, but it will make it possible to start solving all of your problems."— Matt Fleming 00:07:1600:07:19 Connect With Matt https://www.instagram.com/mattflemingofficial/ Top Recommended Resources:www.thewinnersparadigm.com Now Sponsored By My Fit Life   DISCOUNT CODE: TWP20 For 20% OFF https://myfitlife.net/?ref=3Ogi6ygr  Get More Involved with The Winning Community: Click Here to join our Facebook group where we discuss what it takes to calibrate your mindset and get to the next level Thanks for Rocking With US! To share your thoughts: Leave a note in the comment section below. To help out the show: Leave a 5 Star Rating and honest review on Apple Podcast. Your ratings and  reviews really help and I read each one. Subscribe on Apple Podcast --- Support this podcast: https://podcasters.spotify.com/pod/show/thewinnersparadigm/support

Welcome back to another compelling episode of The Winners Paradigm! In today's installment, we delve into the captivating world of overcoming adversity with our special guest, Matt Fleming. Join us as we explore the transformative power of pushing oneself, finding accountability, and making positive changes. From battling addiction to conquering physical challenges, our guests share their personal experiences and offer invaluable insights into the journey of personal growth. Get ready to be inspired, motivated, and equipped with the tools you need to thrive. So sit back, relax, and let The Winners Paradigm guide you on a path to greatness. Let's dive in! Timestamps: [00:03:02] Openness and lessons in personal growth. [00:04:54] Struggling with health issues, but finding motivation. [00:09:57] Antibiotics and PICC line for infection. MRI for back pain, found something. [00:13:25] Struggle with body image, finding grace. [00:14:23] Grateful for life despite past struggles. [00:17:26] Bro, crazy thoughts mess me up mentally. Antidepressants don't work. Relatable struggles with workouts. [00:21:43] Achieved fitness goals despite setbacks and limitations. [00:26:29] Ditch drugs, find healthy friends in gym. [00:27:49] Big dude's happiness inspires self-reflection in gym. You'll Learn: 1.How did I use burpees as a way to improve his fitness journey?  2. What role did accountability play in Matt's ability to overcome adversity during marathon training? 3. How do both speakers observe unhealthy habits in most people and why do they believe it's important to strive for improvement? 4. What personal obstacle did I face in his fitness journey and how did he seek help to overcome it? 5.How did I find motivation and respect through his interactions with bodybuilders at the gym? The Journey of Sobriety: "Getting sober won't solve all your problems, but it will make it possible to start solving all of your problems."— Matt Fleming 00:07:1600:07:19 Connect With Matt https://www.instagram.com/mattflemingofficial/ Top Recommended Resources:www.thewinnersparadigm.com Now Sponsored By My Fit Life   DISCOUNT CODE: TWP20 For 20% OFF https://myfitlife.net/?ref=3Ogi6ygr  Get More Involved with The Winning Community: Click Here to join our Facebook group where we discuss what it takes to calibrate your mindset and get to the next level Thanks for Rocking With US! To share your thoughts: Leave a note in the comment section below. To help out the show: Leave a 5 Star Rating and honest review on Apple Podcast. Your ratings and  reviews really help and I read each one. Subscribe on Apple Podcast --- Support this podcast: https://podcasters.spotify.com/pod/show/thewinnersparadigm/support

Parental Advisory: This episode might contain expletives, particularly on some back pains that cannot be avoided during this year's Cinemalaya 2023 at its new venue, the PICC. But goddamn what a beautiful venue! Anyway in this bonus track, the Wednesday group bare it all... from foot fetishes to pseudo-film reviewers and their rating systems. We bare it all... somewhat, in this track. Listen first to our part 1 review before listening to this bonus track. We also tried our best to discuss about Founder's Donuts, as well as the guests' favorite Cinemalaya 2023 film that was not featured in this list. Stay tuned as we talk about Part 2 featuring the Friday group with the members of the Society of Filipino Film Reviewers.

Parental Advisory: This episode might contain expletives, particularly on some back pains that cannot be avoided during this year's Cinemalaya 2023 at its new venue, the PICC. But goddamn what a beautiful venue! Anyway in this bonus track, the Wednesday group bare it all... from foot fetishes to pseudo-film reviewers and their rating systems. We bare it all... somewhat, in this track. Listen first to our part 1 review before listening to this bonus track. We also tried our best to discuss about Founder's Donuts, as well as the guests' favorite Cinemalaya 2023 film that was not featured in this list. Stay tuned as we talk about Part 2 featuring the Friday group with the members of the Society of Filipino Film Reviewers.

If you have a catheter or PICC line and you're worried about it getting wet in the shower, consider ordering some Shower Shield Catheter Covers from Cool Relief! Go to https://www.coolrelief.net/collections/shower-shield-catheter-cover-wound-protective-products/Shower-Shield to find out more. Cool Relief LLC City: Oklahoma City Address: 1312 NW 14th St Website https://www.coolrelief.net Phone +1-800-475-1609 Email dgrunder@coolrelief.net

In this episode, Kyle Molina, PharmD, BCIDP, discusses key considerations for successful implementation of long-acting lipoglycopeptides into clinical practice. Listen as he gives perspectives on:Reasons to consider use of long-acting lipoglycopeptides (eg, poor adherence to oral antibiotics, PICC-related costs and complications)Data supporting and challenging cost effectiveness of long-acting lipoglycopeptides Identifying the target patient populationSelecting the right location to provide long-acting lipoglycopeptides Strategies to maximize institutional impact with key stakeholders (eg, hospital avoidance, reduced ED and hospital length of stay) Key characteristics of available long-acting lipoglycopeptides Addressing logistical challenges, including navigating the reimbursement process Faculty:Kyle Molina, PharmD, BCIDPInfectious Diseases Clinical PharmacistScripps Green HospitalLa Jolla, CaliforniaLink to full program: CCO: https://bit.ly/3J4mg8hProCE: https://bit.ly/3P0vB4E

Teresa Benson joins us today to tell her story. In 2011 an injury started a cascade of unexpected events. She spent 7yrs of trips to neurologists, pulmonologists, endocrinologists, gastroenterologists, and cardiologist before she turned to an integrative health facility for help. She then started their ozone treatments , IV treatments, lymph massages, herbal protocols, antibiotics and pills to try and stop the uncovered lyme disease that had started to destroy her organs. When these treatments were not stopping the progression they suggested her fly down to Sanoviv Medical Center in Mexico for help. It was there she was treated for lyme disease, mold, mycotoxins and co-infections. She went to the center in a wheelchair and after the 3 week protocol she left walking and feeling great. Shortly after returning, family trauma occurred in her life and it threw her body back into a spiral. This spiral caused her body to shut down once again. She then went back to the integrative medicine clinic where they installed a PICC line through which she was given non-stop IV's. When this did not stop the progression she ended up in a local hospital in 2019 showing signs of Parkinsons and Dementia. At this point she knew she needed to head back to Mexico in 2019 to stop the lyme from attacking her brain further. She left the facility feeling great, once again. Once again after arriving home, she had yet more family trauma. Her sister passed away from untreated lyme disease and it emotionally and physically was too much for Teresa to handle. The lyme in her body came back with vengeance. She was down to 69lbs and had a feeding tube put in. She was told she had 2 adult tape worms and 30 hatching eggs and the treatments could not stop the parasites. They were literally killing her. Her immune system was shot and she could not fight anymore. She was dying of lyme disease before her families eyes when she was introduced to energy work through a friend of her moms. She immediately started working with him over the phone. She had told God that if he healed her body that she would use the rest of her life helping others heal. Within 6 weeks of energy medicine back in 2020 she was completely healed of all her symptoms and has been healthy ever since. She kept up her deal with God and currently has an EES healing studio called E1evate here in Winston Salem, NC. Her mission is to help others with the power of energy medicine and that is exactly what she is doing. Her website is: https://e1evateusa.com/ If you are not in NC, you can find a center near you with the following websites: https://www.unifydhealing.com/ OR https://www.eesystem.com/ A bit about EES. The Energy Enhancement SystemTM (EESystemTM) generates multiple bio-active life enhancing energy fields, including “scalar waves” which can allow cell regeneration, improve immune function, provide relief from pain, detoxify the body, elevate moods, and assist in balancing right and left hemispheres of the brain to increase energy levels. This stunning technology, developed over 20 years by Dr. Sandra Rose Michael, Ph.D, DNM, DCSJl, uses custom-installed computers to generate morphogenic energy fields that can promote healing. The EESystem has been recognized at dozens of medical, scientific and professional conferences around the world. The EESystem has been installed throughout the United States and internationally to promote wellness, healing, relaxation, purification and rejuvenation. This ecologically & environmentally safe system is used by individuals, doctors, and therapists as well as Meditation and Wellness Centers to improve human development and psychological well-being. To understand more about this technology here are other videos by Jason Shurka: https://www.youtube.com/@JasonShurka26 OR https://youtu.be/Yd3gMgcazvg

Joseph Sirintrapun, MD, FCAP and Jochen Lennerz, MD, PhD, FCAP discuss implementing digital pathology at Massachusetts General Hospital and the creation of the Pathology Innovation Collaborative Community (PIcc). Dr. Lennerz shares the challenges and easy wins Massachusetts General experienced during the process, where he sees digital pathology heading in the next 5 to 10 years, and the importance of regulatory science. This episode is part of a series of conversations featuring institutions at varying degrees of digital pathology implementation. For more information about PIcc, visit: https://pathologyinnovationcc.org/ For more information about digital pathology, visit the Digital and Computational Pathology Committee resource center: https://www.cap.org/member-resources/councils-committees/digital-pathology-topic-center

Must be nice --- Send in a voice message: https://podcasters.spotify.com/pod/show/augustus-beauford/message Support this podcast: https://podcasters.spotify.com/pod/show/augustus-beauford/support

ENTERTAINMENT: PICC's successful return to live events | May 3, 2023Subscribe to The Manila Times Channel - https://tmt.ph/YTSubscribe Visit our website at https://www.manilatimes.net Follow us: Facebook - https://tmt.ph/facebook Instagram - https://tmt.ph/instagram Twitter - https://tmt.ph/twitter DailyMotion - https://tmt.ph/dailymotion Subscribe to our Digital Edition - https://tmt.ph/digital Check out our Podcasts: Spotify - https://tmt.ph/spotify Apple Podcasts - https://tmt.ph/applepodcasts Amazon Music - https://tmt.ph/amazonmusic Deezer: https://tmt.ph/deezer Stitcher: https://tmt.ph/stitcherTune In: https://tmt.ph/tunein #TheManilaTimes #ENTERTAINMENT Hosted on Acast. See acast.com/privacy for more information.

On episode #21 of the Infectious Disease Puscast, Daniel and Sara review the infectious disease literature for the previous two weeks, 1/18/23 – 2/1/23. Hosts: Daniel Griffin and Sara Dong Subscribe (free): Apple Podcasts, Google Podcasts, RSS, email Become a patron of Puscast! Links for this episode The impact of cold temperature in the pattern of influenza virus infection (OFID) Janssen to discontinue Phase 3 Mosaico HIV vaccine clinical trial (JNJ) Randomized trial of vaccines for Zaire Ebola virus disease (NEJM) PD-1 blockade and lenalidomide combination therapy for Epstein-Barr virus infection (CMI) Outcomes of Daptomycin plus Ceftaroline vs alternative therapy for persistent MRSA bacteremia (IJAA) Detection of a novel strain of multidrug-non-susceptible Neisseria gonorrhoeae (The Lancet) Impact of a device to reduce blood culture contamination and false-positive central-line bloodstream infections (ICHE) Addition of anaerobic coverage for treatment of biliary tract infections (JAC) High dose Cefepime vs Carbapenems for bacteremia caused by Enterobacterales(OFID) Assessing the diagnostic performance of IGRAs for Mycobacterium tuberculosis (CID) Infective endocarditis after transcatheter aortic valve replacement (JACC) Discordant clinical and microbiological outcomes are associated with late clinical relapse in clinical trials for complicated UTIs (CID) Real-world use of bezlotoxumab and fecal microbiota transplantation for the treatment of Cdiff (OFID) Blastomycosis in New England (OFID) Management of invasive candidiasis in hematopoietic cell transplant recipients (TCT) Short course of Antifungal therapy in patients with uncomplicated Candida Bloodstream infection (OFID) Parasites and childhood stunting (Cell) Comparing complication rates of midline catheter vs. PICC line (OFID) Novel prion strain as the cause of chronic wasting disease in a moose (EID) Agreement of respiratory viruses' detection between nasopharyngeal swab and bronchoalveolar lavage in adults with pneumonia (CMI) Music is by Ronald Jenkees

A peripherally inserted central catheter or “PICC” is a thin, soft, flexible tube — an intravenous (IV) line. Treatments, such as IV medications, can be given though a PICC. Blood for laboratory tests can also be withdrawn from a PICC....But are there any dangers associated with this?..... Websites from this episode: Research and Information: www.clevelandclinic.org Living With A Disability: www.famousapple.com/group

Ospiti: Mattioli:" Massi uomo squadra. Martinez super. La Juve esce a pezzi dal Mondiale." Impallomeni:" Lukaku e Martinez si devono riscattare. Garbo:" La Juve approccia al campionato con troppe incognite." - Maracanà con Marco Piccari

EMS is well-trained in peripheral intravenous as well as intraosseous access. However, central lines remain off-limits for many clinicians in various response areas. If accessing these types of lines is allowed, it's usually permitted when the patient is (nearly) dead. This isn't very surprising since the scope of practice of the EMS clinician usually focuses on emergent treatments. Unless it's learned during a critical care class, little thought is typically given to topics like central, dialysis, and PICC lines in EMS. Why not?

There are many terms and acronyms commonly used in neonatology that most people are not familiar with. Even medical clinicians who are not familiar with the NICU, are unlikely to know about UACs or UVCs. And most NICU parents probably did not know that you can access a newborn's venous and/or arterial system through their umbilicus until the providers explained the procedure to them.  For our 40th podcast episode, we reviewed some of those common NICU acronyms, but specifically the different venous and arterial line options commonly used in the NICU. These terms may be casually discussed during conversations between NICU clinicians, but it is important that as a parent, you understand the different peripheral and central lines infants in the NICU commonly need. Not only should you understand what they are, but you should also know when they are used or why one option is chosen over another. Additionally, it is imperative that you know the potential complications with each line, so you know what questions to ask when the NICU providers speak with you about each option.Start listening and get ready to become empowered as we review peripheral and arterial lines common to the NICU!Our NICU Roadmap: A Comprehensive NICU Journal: https://empoweringnicuparents.com/nicujournal/NeoTech: https://www.neotechproducts.com/NICU Mama Hats: https://empoweringnicuparents.com/hats/NICU Milestone Cards: https://empoweringnicuparents.com/nicuproducts/Empowering NICU Parents Show Notes: https://empoweringnicuparents.com/shownotes/Episode 40 Show Notes: https://empoweringnicuparents.com/episode40Empowering NICU Parents Instagram: https://www.instagram.com/empoweringnicuparents/Empowering NICU Parents FB Group: https://www.facebook.com/groups/empoweringnicuparentsPinterest Page: https://pin.it/36MJjmH

Casey Fillian is a 45-year-old personal trainer, massage therapist, and competitive runner from Marlboro, New Jersey.   Ms. Fillian is also a Lyme disease pioneer: during her childhood she was one of the first people in the United States diagnosed with Lyme. After suffering a tick bite while attending a summer camp, she “developed a fever, general malaise… a bad flu, [her] knee blew up to 3 times its size, and [her] torso was covered in a rash”.   Although her parents did not believe the “knee swelling was related to the flu”, the family pediatrician “was suspicious of a new disease [thought] only in Connecticut at the time”. “He sent us to Yale University Hospital and the doctors were able to confirm and start me on an oral antibiotic protocol” followed by “admission to Monmouth Medical Center… for IV therapy”.   Her childhood experience inspired her to make “fitness and exercise a priority in [her] life”. She pursued a career as a fitness professor and trained for and ran in several distance and marathon events. In 2017 after returning home from a marathon training event, she discovered a tick embedded on her hip.   The second/adult tick bite was followed by a bullseye rash, sepsis, and chronic illness. She has since treated with 3 courses of antibiotics via PICC line and herbal supplements allowing her to return part time to work serving the senior population in a fitness facility for people 62 and older.   If you would like to learn how a Lyme disease pioneer was twice knocked down by Lyme but got up each time twice as strong, then tune in now! PS Adina Bercowicz, founder and president of Lyme TV, special guest co-hosted this interview with Rich from Tick Boot Camp!

This month we've got two New in EM papers, we look at a scaphoid fracture guideline, explore the RCEMLearning Induction Package and tell you about some new articles in New Online. Be sure to check out the papers and links below! (01:25) New in EM – Midline catheters vs. PICC lines Safety and Outcomes of Midline Catheters vs Peripherally Inserted Central Catheters for Patients With Short-term Indications: A Multicenter Study (14:37) Guidelines for EM – RCEM Suspected Scaphoid Fractures Guideline for the Management of Suspected Scaphoid Fractures in the Emergency Department (43:29) New in EM – Immobilisation of torus fractures in children Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK (01:00:14) RCEM Induction Package RCEMLearning Induction Section ED Starter Pack Booklet Sign your department up to the RCEMLearning Induction Package (01:02:51) New Online – new articles on RCEMLearning for your CPD Heat Related Illness - Jonathan Baird The Climate Crisis – How will air pollution affect my patient's health? - Joanna Quinn Endocarditis - Joydeep Grover

Amanda Damian is a single mom to her 9 year old son, Max. She willingly stepped up to get her jab in early March 2021.Immediately after receiving her first shot of Moderna, she got numbness and tingling in her throat. That progressed to severe tachycardia, back pain, shortness of breath and syncopic episodes landing her in the ER. That first ER visit was met with lack of knowledge on how to treat the symptoms along with being sent home with a referral to cardiology. She returned to the ER more 5 times after that event for continuous syncopic episodes, rash and cardiac issues. The symptoms progressed and she woke up weeks later with bilateral limb paralysis and was hospitalized for a week. Many tests were done including MRI's, CT scans, bloodwork and Lumbar Puncture which showed abnormalities. The neurologist that she saw in the hospital refused to connect these symptoms with the vaccine and later wrote in her chart, "bilateral weakness due to lack of effort".  She was discharged to have surgery at a different hospital to have a medical device removed so that further MRI testing could be performed. She has sent her blood to researchers across the country to try and help figure out what is happening in her body since no one in the medical doctor community has been able to figure it out. This has been met with much frustration from her and her team of doctors.Since then, mobility has slowly returned, but it is very inconsistent. Some days her legs can support her; other days, they cannot. She has been diagnosed with seizures, Guillian Barre Syndrome, Mast Cell Activation Syndrome, and vasculitis.Amanda was the event director for Defeat the Mandates DC, as well as Defeat the Mandates LA.  She is also on the board for React19.  She has temporarily moved across the country to undergo treatment with an amazing doctor in Portland, OR. She has been in treatment for 2 months and is making progress.  Amanda is at the leading forefront of research for the injured and is committed to successfully finding treatment options. She has an incredible team of committed doctors who treat her daily with a multitude of therapies--weekly testing, IR Sauna, IV nutrition through PICC line, IV Ozone, and HBOT treatments.   Her team of doctors believes in the success of her treatments, and she is looking forward to the day her body is healed from this horrific nightmare.https://www.lifefunder.com/amandadamianSupport the show

196. Medical Update -- PICC lines, PRE-Diabetes, Sleep in the Hospital, Ortho Surgery!

This episode of the ICHE Podcast features two segments. In the first segment, David P. Calfee, interviews Diego Schaps and Deverick J. Anderson about two articles they published in the April issue on medical transport-associated infections. In the second segment, Dr. Calfee interviews Amanda Ullman and Tricia Kleidon to discuss their analysis of 42,562 hospitalized medical patients to determine whether antimicrobial and antithrombogenic PICC materials prevent catheter complications. The full April issue of ICHE is available here: https://www.cambridge.org/iche.

On this episode of the Two Much Lyme Podcast, Maddy and Julia talk to Emily Levy, Lyme Warriror and Co-Founder of the Mighty Well adaptive wear company and community. Emily started the company out of necessity after beginning IV therapies and struggling to find comfortable covers to keep her PICC line safe. Mighty Well has expanded to all types of products that make the lives of patients so much easier. Emily speaks to the challenges of starting a business while chronically ill, the tips she has for anyone with an idea, and how she ultimately combined her passion and illness into a company that fights to ensure patients live with confidence, comfort, and dignity. Learn more about Mighty Well: https://mighty-well.com/pages/our-mission The Global Lyme Alliance: https://www.globallymealliance.org/donate-today/?hsLang=en Connect with Us:  Instagram: @two.muchlyme podcast  Website: twomuchlymepodcast.com

Today we are joined by Dr. Brian Locke to talk about the newest big trial on IV fluids in critically ill patients and a meta-analysis that looks at all the similar trials. Is this question finally settled?We also look at PICC lines vs midlines, IV L-ornithine L-aspartate in acute treatment of hepatic encephalopathy, a new ward-based program for delirium prevention in older inpatients, post-discharge thromboprophylaxis for high risk COVID patients, and whether mindfulness training can help burnout in residents.Balanced Multielectrolyte Solution vs Normal Saline in Critically Ill Patients (PLUS)Balanced Crystalloid vs Normal Saline Meta-analysisPICC lines vs MidlinesApixaban vs Rivaroxaban for Recurrent VTE LOLA for Hepatic EncephalopathyEat-Walk-Engage in Older Inpatients (CHERISH)Rivaroxaban for Post-discharge Prophylaxis in High Risk COVID patients (MICHELLE)Mindfulness Training and BurnoutMusic from Uppbeat (free for Creators!):https://uppbeat.io/t/soundroll/dopeLicense code: NP8HLP5WKGKXFW2R