Podcasts about Providers

SummaryIn this episode, Sean Weiss and Terry Fletcher discuss the new year and the importance of compliance in healthcare. They highlight the upcoming legislative changes affecting telehealth, the roles of medical students, and the challenges of documentation and accountability in healthcare practices. The conversation emphasizes the need for proper training, understanding of roles, and the importance of doing the right thing in healthcare to avoid risks and ensure compliance.TakeawaysJanuary 30th is a critical date for telehealth funding.Medical students have limited roles compared to licensed providers.Documentation must be accurate and compliant with regulations.Providers must personally perform key components of services.Using medical students for billing can lead to compliance issues.Training and understanding roles are essential in healthcare.Fraud and abuse can result in significant penalties.Healthcare providers must be proactive in audits and compliance.Integrity in healthcare is crucial, even when not being watched.Proper billing practices are necessary to avoid legal repercussions.

President Donald Trump's administration says it's freezing $185 million in child care funds nationwide this year amid allegations of potential fraud in Minnesota.State officials say they are continuing to investigate the allegations but have not substantiated them so far.MPR News guest host Catharine Richert will examine what the funding freeze could mean for children, families, child care providers and Minnesota politics.

Send us a textThat years-long struggle to conceive doesn't disappear when the baby arrives—it becomes the root cause of challenging postpartum recovery. Fertility specialist Gabriela Rosa is here to expose the devastating link between unresolved fertility trauma and intense perinatal mental health struggles. . We dive deep into the physiological and emotional barriers, highlighting the profound impact of pre-conception health and the shocking reality that the male factor accounts for up to 50% of fertility issues, yet remains frequently ignored. Learn how to shift focus from treating symptoms like postpartum anxiety to addressing the arduous, traumatizing path to pregnancy for true holistic family healing.Check out the episode on the blog HERE. Key time stamps: 04:15: The unresolved trauma of infertility and how it fuels guilt and resentment in the fourth trimester.09:32: Need for trauma-informed perinatal mental health for previously infertile mothers.10:19: Infertility is never "one thing" but systemic, biochemical obstacles.14:27: The concept of transgenerational fertility and lifetime exposures.16:00: Endocrine disruptors and their impact on reproductive lifespan.19:00: Why miscarriages are common but not normal—a call for root-cause investigation.25:52: The critical need to address male factor infertility 27:10: How Gabriela Rosa achieved a 78.8% live birth rate by treating both partners.30:45: The conflicting interests in the healthcare system that promote IVF overuse over prevention.35:18: The massive cost savings of implementing preventative medicine in the perinatal period.36:44: Inspire Study for reproductive grief and trauma.Connect with Gabriela Gabriela Rosa is a renowned fertility specialist, reproductive health educator, and Harvard University-awarded scholar. She is the founder and CEO of The Rosa Institute, the world's first virtual and holistic fertility clinic, serving patients globally. Gabriela's innovative methodology addresses biochemical obstacles to help couples overcome infertility and recurrent miscarriages. With her team, she has educated over 140,000 couples in more than 110 countries. She also hosts the TalkSex with Gabriela Rosa podcast. For more information, visit www.fertilitybreakthrough.com.Website | IG NEXT STEPS:

Ready to stop the leaks and start growing? Download our free 2026 Margin Protection Playbook and follow along: https://natrevmd.com/2026-margin-protection-playbook/  Been told to grow revenue and margin in 2026, but you can't add providers or new service lines? This episode is for you. We're not talking about vague “growth strategies.” We're giving you six concrete, operator-level moves you can make with the team and resources you already have to stop revenue leaks and grow your practice. In this episode, you'll learn: How to set a concrete 2026 revenue and visit goal (and the exact math to get there) How to audit your capacity and find out how much money you're losing to no-shows and open slots A simple plan to get more patients on the schedule without spending a dime on marketing How to attack patient and insurance AR that's killing your cash flow Where to find the “hidden money” in your practice (think unsigned charts and unbilled claims) The three metrics you should run your entire 2026 around If your practice is collecting over $150,000 per month and you want our team to do this for you, book a call on our website: https://natrevmd.com/ 

Dr. DebWhat if I told you that the stomach acid medication you’re taking for heartburn is actually causing the problem it’s supposed to solve that your doctor learned virtually nothing about nutrition, despite spending 8 years in medical school. That the very system claiming to heal you was deliberately designed over a hundred years ago by an oil tycoon, John D. Rockefeller, to create lifelong customers, not healthy people. Last week a patient spent thousands of dollars on tests and treatments for acid reflux, only to discover she needed more stomach acid, not less. The medication keeping her sick was designed to do exactly that. Today we’re exposing the greatest medical deception in modern history, how a petroleum empire systematically destroyed natural healing wisdom turned medicine into a profit machine. And why the treatments, keeping millions sick were engineered that way from the beginning. This isn’t about conspiracy theories. This is a documented history that explains why you feel so lost about your own body’s needs welcome back to let’s talk wellness. Now the show where we uncover the root causes of chronic illness, explore cutting edge regenerative medicine, and empower you with the tools to heal. I’m Dr. Deb. And today we’re diving into how the Rockefeller Medical Empire systematically destroyed natural healing wisdom and replaced it with profit driven systems that keeps you dependent on treatments instead of achieving true health. If you or someone you love has been running to the doctor for every minor ailment, taking acid blockers that seem to make digestive problems worse, or feeling confused about basic body functions that our ancestors understood instinctively. This episode is for you. So, as usual, grab a cup of coffee, tea, or whatever helps you unwind. Settle in and let’s get started on your journey to reclaiming your health sovereignty all right. So here we are talking about the Rockefeller Medical Revolution. Now, what if your symptoms aren’t true diagnosis, but rather the predictable result of a medical system designed over a hundred years ago to create lifelong customers instead of healthy people. Now I learned this when I was in naturopathic school over 20 years ago. And it hasn’t been talked about a lot until recently. Recently. People are exposing the truth about what actually happened in our medical system. And today I want to take you back to the early 19 hundreds to understand how we lost the basic health wisdom that sustained humanity for thousands of years. Yes, I said that thousands of years. This isn’t conspiracy theory. This is documented history. That explains why you feel so lost when it comes to your own body’s needs. You know by the turn of the 20th century. According to meridian health Clinic’s documentation. Rockefeller controlled 90% of all petroleum refineries in America and through ownership of the Standard Oil Corporation. But Rockefeller saw an opportunity that went far beyond oil. He recognized that petrochemicals could be the foundation for a completely new medical system. And here’s what most people don’t know. Natural and herbal medicines were very popular in America during the early 19 hundreds. According to Staywell, Copper’s historical analysis, almost one half of medical colleges and doctors in America were practicing holistic medicine, using extensive knowledge from Europe and native American traditions. People understood that food was medicine, that the body had natural healing mechanisms, and that supporting these mechanisms was the key to health. But there was a problem with the Rockefeller’s business plan. Natural medicines couldn’t be patented. They couldn’t make a lot of money off of them, because they couldn’t hold a patent. Petrochemicals, however, could be patented, could be owned, and could be sold for high profits. So Rockefeller and Andrew Carnegie devised a systematic plan to eliminate natural medicine and replace it with petrochemical based pharmaceuticals and according to E. Richard Brown’s comprehensive academic documentation in Rockefeller, medicine men. Medicine, and capitalism in America. They employed the services of Abraham Flexner, who proceeded to visit and assess every single medical school in us and in Canada. Within a very short time of this development, medical schools all around the us began to collapse or consolidate. The numbers are staggering. By 1910 30 schools had merged, and 21 had closed their doors of the 166 medical colleges operating in 19 0, 4, a hundred 33 had survived by 1910 and a hundred 4 by 1915, 15 years later, only 76 schools of medicine existed in the Us. And they all followed the same curriculum. This wasn’t just about changing medical education. According to Staywell’s copper historical analysis. Rockefeller and Carnegie influenced insurance companies to stop covering holistic treatments. Medical professionals were trained in the new pharmaceutical model and natural solutions became outdated or forgotten. Not only that alternative healthcare practitioners who wanted to stay practicing in alternative medicine were imprisoned for doing so as documented by the potency number 710. The goal was clear, create a system where scientists would study how plants cure disease, identify which chemicals in the plants were effective and then recreate a similar but not identical chemical in the laboratory that would be patented. E. Richard Brown’s documents. The story of how a powerful professional elite gained virtual homogeny in the western theater of healing by effectively taking control of the ethos and practice of Western medicine. The result, according to the healthcare spending data, the United States now spends 17.6% of its Gdp on health care 4.9 trillion dollars in 2023, or 14,570 per person nearly twice as much as the average Oecd country. But it doesn’t focus on cure. But on symptoms, and thus creating recurring clients. This systematic destruction of natural medicine explains why today’s healthcare providers often seem baffled by simple questions about nutrition why they immediately reach for a prescription medication for minor ailments, and why so many people feel disconnected from their own body’s wisdom. We’ve been trained over 4 generations to believe that our bodies are broken, and that symptoms are diseases rather than messages, and that external interventions are always superior to supporting natural healing processes. But here’s what they couldn’t eliminate your body’s innate wisdom. Your digestive system still functions the same way it did a hundred years ago. Your immune system still follows the same patterns. The principles of nutrition, movement and stress management haven’t changed. We’ve just forgotten how to listen and respond. We’re gonna take a small break here and hear from our sponsor. When we come back. We’re gonna talk about the acid reflux deception, and why your cure is making you sicker, so don’t go away all right, welcome back. So I want to give you a perfect example of how Rockefeller medicine has turned natural body wisdom upside down, the treatment of acid, reflux, and heartburn. Every single day in my practice I see patients who’ve been taking acid blocker medications, proton pump inhibitors like prilosec nexium or prevacid for years, not for weeks, years, and sometimes even decades. They come to me because their digestive problems are getting worse, not better. They have bloating and gas and nutrition deficiencies. And we’re seeing many more increased food sensitivities. And here’s what’s happening in the Us. Most people often attribute their digestive problems to too much stomach acid. And they use medications to suppress the stomach acid, but, in fact symptoms of chronic acid, reflux, heartburn, or gerd, can also be caused by too little stomach acid, a condition called hyper. Sorry hypochlorhydria normal stomach acid has a Ph level of one to 2, which is highly acidic. Hydrochloric acid plays an important role in your digestion and your immunity. It helps to break down proteins and absorb essential nutrients, and it helps control viruses and bacteria that might otherwise infect your stomach. But here’s the crucial part that most people don’t understand, and, according to Cleveland clinic, your stomach secretes lower amounts of hydrochloric acid. As you age. Hypochlorhydria is more common in people over the age of 40, and even more common over the age of 65. Webmd states that the stomach acid can produce less acid as a result of aging and being 65 or older is a risk factor for developing hypochlorhydria. We’ve been treating this in my practice for a long time. It’s 1 of the main foundations that we learn as naturopathic practitioners and as naturopathic doctors, and there are times where people need these medications, but they were designed to be used short term not long term in a 2,013 review published in Medical News today, they found that hypochlorhydria is the main change in the stomach acid of older adults. and when you have hypochlorydria, poor digestion from the lack of stomach, acid can create gas bubbles that rise into your esophagus or throat, carrying stomach acid with them. You experience heartburn and assume that you have too much acid. So you take acid blockers which makes the underlying problem worse. Now, here’s something that will shock you. PPI’s protein pump inhibitors were originally studied and approved by the FDA for short-term use only according to research published in us pharmacists, most cases of peptic ulcers resolve in 6 to 8 weeks with PPI therapy, which is what these medications were created for. Originally the American family physician reports that for erosive esophagitis. Omeprazole is indicated for short term 4 to 8 weeks. That’s it. Treatment and healing and done if needed. An additional 4 to 8 weeks of therapy may be considered and the University of Minnesota College of Pharmacy, States. Guidelines recommended a treatment duration of 8 weeks with standard once a day dosing for a PPI for Gerd. The Canadian family physician, published guidelines where a team of healthcare professionals recommended prescribing Ppis in adults who suffer from heartburn and who have completed a minimum treatment of 4 weeks in which symptoms were relieved. Yet people are taking these medications for years, even decades far beyond their intended duration of use and a study published in Pmc. Found that the threshold for defining long-term PPI use varied from 2 weeks to 7 years of PPI use. But the most common definition was greater than one year or 6 months, according to the research in clinical context, use of Ppis for more than 8 weeks could be reasonably defined as long-term use. Now let’s talk about what these acid blocker medications are actually doing to your body when used. Long term. The research on long term PPI use is absolutely alarming. According to the comprehensive review published in pubmed central Pmc. Long-term use of ppis have been associated with serious adverse effects, including kidney disease, cardiovascular disease fractures because you’re not absorbing your nutrients, and you’re being depleted. Infections, including C. Diff pneumonia, micronutrient deficiencies and hypomagnesium a low level of magnesium anemia, vitamin, b, deficiency, hypocalcemia, low calcium, low potassium. and even cancers, including gastric cancer, pancreatic cancer, colorectal cancer. And hepatic cancer and we are seeing all of these cancers on a rise, and we are now linking them back to some of these medications. Mayo clinic proceedings published research showing that recent studies regarding long-term use of PPI medication have noted potential adverse effects, including risks of fracture, pneumonia, C diff, which is a diarrhea. It’s a bacteria, low magnesium, low b 12 chronic kidney disease and even dementia. And a 2024 study published in nature communications, analyzing over 2 million participants from 5 cohorts found that PPI use correlated with increased risk of 15 leading global diseases, such as ischemic heart disease. Diabetes, respiratory infections, chronic kidney disease. And these associations showed dose response relationships and consistency across different PPI types. Now think about this. You take a medication for heartburn that was designed for 4 to 8 weeks of use, and when used long term, it actually increases your risk of life, threatening infections, kidney disease, and dementia. This is the predictable result of suppressing a natural body function that exists for important reasons. Hci plays a key role in many physiological processes. It triggers, intestinal hormones, prepares folate and B 12 for absorption, and it’s essential for absorption of minerals, including calcium, magnesium, potassium, zinc, and iron. And when you block acid production, you create a cascade of nutritional deficiencies and immune system problems that often manifest as seemingly unrelated health issues. So what’s the natural approach? Instead of suppressing stomach acid, we need to support healthy acid production and address the root cause of reflux healthcare. Providers may prescribe hcl supplements like betaine, hydrochloric acid. Bhcl is what it’s called. Sometimes it’s called betaine it’s often combined with enzymes like pepsin or amylase or lipase, and it’s used to treat hydrochloric acid deficiency, hypochlorhydria. These supplements can help your digestion and sometimes help your stomach acid gradually return back to normal levels where you may not need to use them all the time. Simple strategies include consuming protein at the beginning of the meal to stimulate Hcl production, consume fluids separately at least 30 min away from meals, if you can, and address the underlying cause like chronic stress and H. Pylori infections. This is such a sore subject for me. So many people walk around with an H. Pylori infection. It’s a bacterial infection in the stomach that can cause stomach ulcers, causes a lot of stomach pain and burning. and nobody is treating the infection. It’s a bacterial infection. We don’t treat this anymore with antibiotics or antimicrobials. We treat it with Ppis. But, Ppis don’t fix the problem. You have to get rid of the bacteria once the bacteria is gone, the gut lining can heal. Now it is a common bacteria. It can reoccur quite frequently. It’s highly contagious, so you can pick it up from other people, and it may need multiple courses of treatment over a person’s lifetime. But you’re actually treating the problem. You’re getting rid of the bacteria that’s creating the issue instead of suppressing the acid. That’s not fixing the bacteria which then leads to a whole host of other problems that we just talked about. There are natural approaches to increase stomach acid, including addressing zinc deficiency. And since the stomach uses zinc to produce Hcl. Taking probiotics to help support healthy gut bacteria and using digestive bitters before meals can be really helpful. This is exactly what I mean about reclaiming the body’s wisdom. Instead of suppressing natural functions, we support them instead of creating drug dependency, we restore normal physiology. Instead of treating symptoms indefinitely, we address the root cause and help the body heal itself. In many cultures. Bitters is a common thing to use before or after a meal. But yet in the American culture we don’t do that anymore. We’ve not passed on that tradition. So very few people understand how to use bitters, or what bitters are, or why they’re important. And these basic things that can be used in your food and cooking and taking could replace thousands of dollars of medication that you don’t really need. That can create many more problems along the way. Now, why does your doctor know nothing about nutrition. Well, I want to address something that might shock you all. The reason your doctor seems baffled when you ask about nutrition isn’t because they’re not intelligent. It’s because they literally never learned this in medical school statistics on nutritional education in medical schools are staggering and help explain why we have such a health literacy crisis in America. According to recent research published in multiple academic journals, only 27% of Us. Medical schools actually offer students. The recommended 25 h of nutritional training across 4 years of medical school. That means 73% of the medical schools don’t even meet the minimum standards set in 1985. But wait, it gets worse. A 2021 survey of medical schools in the Us. And the Uk. Found that most students receive an average of only 11 h of nutritional training throughout their entire medical program. and another recent study showed that in 2023 a survey of more than a thousand Us. Medical students. About 58% of these respondents said they received no formal nutritional education while in medical school. For 4 years those who did averaged only 3 h. I’m going to say this again because it’s it’s huge 3 h of nutritional education per year. So let me put this in perspective during 4 years of medical school most students spend fewer than 20 h on nutrition that’s completely disproportionate to its health benefits for patients to compare. They’ll spend hundreds of hours learning about pharmaceutical interventions, but virtually no time learning how food affects health and disease. Now, could this be? Why, when we talk about nutrition to lower cholesterol levels or control your diabetes, they blow you off, and they don’t answer you. It’s because they don’t understand. But yet what they’ll say is, people won’t change their diet. That’s why you have to take medication. That’s not true. I will tell you. I work with people every single day who are willing to change their diet. They’re just confused by all the information that’s out there today about nutrition. And what diet is the right diet to follow? Do I do, Paleo? Do I do? Aip? Do I do carnivore? Do I do, Keto? Do I do? Low carb? There’s so many diets out there today? It’s confusing people. So I digress. But let’s go back. So here’s the kicker. The limited time medical students do spend on nutrition office often focuses on nutrients think proteins and carbohydrates rather than training in topics such as motivational interviewing or meal planning, and as one Stanford researcher noted, we physicians often sound like chemists rather than counselors who can speak with patients about diet. Isn’t that true? We can speak super high level up here, but we can’t talk basics about nutrition. And this explains why only 14% of the physicians believe they were adequately trained in nutritional counseling. Once they entered practice and without foundational concepts of nutrition in undergrad work. Graduate medical education unsurprisingly falls short of meeting patients, needs for nutritional guidance in clinical practice, and meanwhile diet, sensitive chronic diseases continue to escalate. Although they are largely preventable and treatable by nutritional therapies and dietary. Lifestyle changes. Now think about this. Diet. Related diseases are the number one cause of death in the Us. The number one cause. Yet many doctors receive little to no nutritional education in medical school, and according to current health statistics from 2017 to march of 2020. Obesity prevalence was 19.7% among us children and adolescents affecting approximately 14.7 million young people. About 352,000 Americans, under the age of 20, have been diagnosed with diabetes. Let me say this again, because these numbers are astounding to me. 352,000 Americans, under the age of 20, have been diagnosed with diabetes with 5,300 youth diagnosed with type, 2 diabetes annually. Yet the very professionals we turn to for health. Guidance were never taught how food affects these conditions and what drug has come to the rescue Glp. One S. Ozempic wegovy. They’re great for weight loss. They’re great for treating diabetes. But why are they here? Well, these numbers are. Why, they’re here. This is staggering to put 352,000 Americans under the age of 20 on a glp, one that they’re going to be on for the rest of their lives at a minimum of $1,200 per month. All we have to do is do the math, you guys, and we can see exactly what’s happening to our country, and who is getting rich, and who is getting the short end of the stick. You’ve become a moneymaker to the pharmaceutical industry because nobody has taught you how to eat properly, how to live, how to have a healthy lifestyle, and how to prevent disease, or how to actually reverse type 2 diabetes, because it’s reversible in many cases, especially young people. And we do none of that. All we do is prescribe medications. Metformin. Glp, one for the rest of your life from 20 years old to 75, or 80, you’re going to be taking medications that are making the pharmaceutical companies more wealth and creating a disease on top of a disease on top of a disease. These deficiencies in nutritional education happen at all levels of medical training, and there’s been little improvement, despite decades of calls for reform. In 1985, the National Academy of Sciences report that they recommended at least 25 h of nutritional education in medical school. But a 2015 study showed only 29% of medical schools met this goal, and a 2023 study suggests the problem has become even worse. Only 7.8% of medical students reported 20 or more hours of nutritional education across all 4 years of medical school. This systemic lack of nutrition, nutritional education has been attributed to several factors a dearth of qualified instructors for nutritional courses, since most physicians do not understand nutrition well enough to teach it competition for curriculum time, with schools focusing on pharmaceutical interventions rather than lifestyle medicine and a lack of external incentives that support schools, teaching nutrition. And ironically, many medical schools are part of universities that have nutrition departments with Phd. Trained professors who could fill this gap by teaching nutrition in medical schools but those classes are often taught by physicians who may not have adequate nutritional training themselves. This explains so much about what I see in my practice. Patients come to me confused and frustrated because their primary care doctors can’t answer basic questions about how food affects their health conditions. And these doctors aren’t incompetent. They simply were never taught this information. And the result is that these physicians graduate, knowing how to prescribe medications for diabetes, but not how dietary changes can prevent or reverse it. They can treat high blood pressure with pharmaceuticals, but they may not know that specific nutritional approaches can be equally or more effective. This isn’t the doctor’s fault. It’s the predictable result of medical education systems that was deliberately designed to focus on patentable treatments rather than natural healing approaches. And remember this traces back to the Rockefeller influence on medical education. You can’t patent an apple or a vegetable. But you can patent a drug now. Why can’t we trust most medical studies? Well this just gets even better. I need to address something that’s crucial for you to understand as you navigate health information. Why so much of the medical research you hear about in the news is biased, and why peer Review isn’t the gold standard of truth you’ve been told it is. The corruption in medical research by pharmaceutical companies is not a conspiracy theory. It’s well documented scientific fact, according to research, published in frontiers, in research, metrics and analytics. When pharmaceutical and other companies sponsor research, there is a bias. A systematic tendency towards results serving their interests. But the bias is not seen in the formal factors routinely associated with low quality science. A Cochrane Review analyzed 75 studies of the association between industry, funding, and trial results, and these authors concluded that trials funded by a drug or device company were more likely to have positive conclusions and statistically significant results, and that this association could not be explained by differences in risk of bias between industry and non-industry funded trials. So think about that. According to the Cochrane collaboration, industry funding itself should be considered a standard risk of bias, a factor in clinical trials. Studies published in science and engineering ethics show that industry supported research is much more likely to yield positive outcomes than research with any other sponsorship. And here’s how the bias gets introduced through choice of compartor agents, multiple publications of positive trials and non-publication of negative trials reinterpreting data submitted to regulatory agencies, discordance between results and conclusions, conflict of interest leading to more positive conclusions, ghostwriting and the use of seating trials. Research, published in the American Journal of Medicine. Found that a result favorable to drug study was reported by all industry, supported studies compared with two-thirds of studies, not industry, supported all industry, supported studies showed favorable results. That’s not science that’s marketing, masquerading as research. And according to research, published in sciencedirect the peer review system which we’re told ensures quality. Science has a major limitation. It has proved to be unable to deal with conflicts of interest, especially in big science contexts where prestigious scientists may have similar biases and conflicts of interest are widely shared among peer reviewers. Even government funded research can have conflicts of interest. Research published in pubmed States that there are significant benefits to authors and investigators in participating in government funded research and to journals in publishing it, which creates potentially biased information that are rarely acknowledged. And, according to research, published in frontiers in research, metrics, and analytics, the pharmaceutical industry has essentially co-opted medical knowledge systems for their particular interests. Using its very substantial resources. Pharmaceutical companies take their own research and smoothly integrate it into medical science. Taking advantage of the legitimacy of medical institutions. And this corruption means that much of what passes for medical science is actually influenced by commercial interests rather than pursuant of truth. Research published in Pmc. Shows that industry funding affects the results of clinical trials in predictable directions, serving the interests of the funders rather than the patients. So where can we get this reliable, unbiased Health information, because this is critically important, because your health decisions should be based on the best available evidence, not marketing disguised as science. And so here are some sources that I recommend for trustworthy health and nutritional information. They’re independent academic sources. According to Harvard Chan School of public health their nutritional, sourced, implicitly states their content is free from industry, influence, or support. The Linus Pauling Institute, Micronutrient Information Center at Oregon State University, which, according to the Glendale Community college Research Guide provides scientifically accurate information about vitamins, minerals, and other dietary factors. This Institute has been around for decades. I’ve used it a lot. I’ve gotten a lot of great information from them. Very, very trustworthy. According to the Glendale Community College of Nutrition Resource guide Tufts, University of Human Nutritional Research Center on aging is one of 6 human nutrition research centers supported by the United States Department of Agriculture, the Usda. Their peer reviewed journals with strong editorial independence though you must still check funding resources. And how do you evaluate this information? Online? Well, according to medlineplus and various health literacy guides when evaluating health information medical schools and large professional or nonprofit organizations are generally reliable sources, but remember, it is tainted by the Rockefeller method. So, for example, the American College of cardiology. Excuse me. Professional organization and the American Heart Institute a nonprofit are both reliable sources. Sorry about that of information on heart health and watch out for ads designed to look like neutral health information. If the site is funded by ads they should be clearly marked as advertisements. Excuse me, I guess I’m talking just a little too much now. So when the fear of medicine becomes deadly. Now, I want to address something critically important that often gets lost in conversations about health, sovereignty, and questioning the medical establishment. And while I’ve spent most of this episode explaining how the Rockefeller medical system has created dependency and suppressed natural healing wisdom. There’s a dangerous pendulum swing happening that I see in my practice. People becoming so fearful of pharmaceutical interventions that they refuse lifesaving treatments when they’re genuinely needed. This is where balance and clinical judgment become absolutely essential. Yes, we need to reclaim our basic health literacy and reduce our dependency on unnecessary medical interventions. But there are serious bacterial infections that require immediate antibiotic treatment, and the consequences of avoiding treatment can be devastating or even fatal. So let me share some examples from research that illustrate when antibiotic fear becomes dangerous. Let’s talk about Lyme disease, and when natural approaches might not be enough. The International Lyme Disease Association ilads has conducted extensive research on chronic lyme disease, and their findings are sobering. Ileds defines chronic lyme disease as a multi-system illness that results from an active and ongoing infection of pathogenic members of the Borrelia Brdorferi complex. And, according to ilads research published in their treatment guidelines, the consequences of untreated persistent lyme infection far outweigh the potential consequences of long-term antibiotic therapy in well-designed trials of antibiotic retreatment in patients with severe fatigue, 64% in the treatment arm obtained clinically significant and sustained benefit from additional antibiotic therapy. Ilas emphasizes that cases of chronic borrelia require individualized treatment plans, and when necessary antibiotic therapy should be extended their research demonstrates that 20 days of prophylactic antibiotic treatment may be highly effective for preventing the onset of lyme disease. After known tick bites and patients with early Lyme disease may be best served by receiving 4 to 6 weeks of antibiotic therapy. Research published in Pmc. Shows that patients with untreated infections may go on to develop chronic, debilitating, multisystem illnesses that is difficult to manage, and numerous studies have documented persistent Borrelia, burgdorferi infection in patients with persistent symptoms of neurological lyme disease following short course. Antibiotic treatment and animal models have demonstrated that short course. Antibiotic therapy may fail to eradicate lyme spirochetes short course is a 1 day. One pill treatment of doxycycline. Or less than 20 days of antibiotics, is considered a short course. It’s not long enough to kill the bacteria. The bacteria’s life cycle is about 21 days, so if you don’t treat the infection long enough, the likelihood of that infection returning is significant. They’ve also done studies in the petri dish, where they show doxycycline being put into a petri dish with active lyme and doxycycline does not kill the infection, it just slows the replication of it. Therefore, using only doxycycline, which is common practice in lyme disease may not completely eradicate that infection for you. So let’s talk about another life threatening emergency. C. Diff clostridia difficile infection, which represents another example where antibiotic treatment is absolutely essential, despite the fact that C diff itself is often triggered by antibiotic use. According to Cleveland clinic C. Diff is estimated to cause almost half a million infections in the United States each year, with 500,000 infections, causing 15,000 deaths each year. Studies reported by Pmc. Found thirty-day Cdi. Mortality rates ranging from 6 to 11% and hospitalized Cdi patients have significantly increased the risk of mortality and complications. Research published in Pmc shows that 16.5% of Cdi patients experience sepsis and that this increases with reoccurrences 27.3% of patients with their 1st reoccurrence experience sepsis. While 33.1% with 2 reoccurrences and 43.2% with 3 or more reoccurrences. Mortality associated with sepsis is very high within hospital 30 days and 12 month mortality rates of 24%, 30% and 58% respectively. According to the Cdc treatment for C diff infection usually involves taking a specific antibiotic, such as vancomycin for at least 10 days, and while this seems counterintuitive, treating an antibiotic associated infection with more antibiotics. It’s often lifesaving. Now let’s talk about preventing devastating complications. Strep throat infections. Provide perhaps the clearest example of when antibiotic treatment prevents serious long-term consequences, and, according to Mayo clinic, if untreated strep throat can cause complications such as kidney inflammation and rheumatic fever. Rheumatic fever can lead to painful and inflamed joints, and a specific type of rash of heart valve damage. We also know that strep can cause pans pandas, which is a systemic infection, often causing problems with severe Ocd. And anxiety and affecting mostly young people. The research is unambiguous. According to the Cleveland clinic. Rheumatic fever is a rare complication of untreated strep, throat, or scarlet fever that most commonly affects children and teens, and in severe cases it can lead to serious health problems that can affect your child’s heart. Joints and organs. And research also shows that the rate of development of rheumatic fever in individuals with untreated strep infections is estimated to be 3%. The incidence of reoccurrence with a subsequent untreated infection is substantially greater. About 50% the rate of development is far lower in individuals who have received antibiotic treatment. And according to the World health organization, rheumatic heart disease results from the inflammation and scarring of the heart valves caused by rheumatic fever, and if rheumatic fever is not treated promptly, rheumatic heart disease may occur, and rheumatic heart disease weakens the valves between the chambers of the heart, and severe rheumatic heart disease can require heart surgery and result in death. The who states that rheumatic heart disease remains the leading cause of maternal cardiac complications during pregnancy. And additionally, according to the National Kidney foundation. After your child has either had throat or skin strep infection, they can develop post strep glomerial nephritis. The Strep bacteria travels to the kidneys and makes the filtering units of the kidneys inflamed, causing the kidneys to be able to unable or less able to fill and filter urine. This can develop one to 2 weeks after an untreated throat infection, or 3 to 4 weeks after an untreated skin infection. We need to find balance. And here’s what I want you to understand. Questioning the medical establishment and developing health literacy doesn’t mean rejecting all medical interventions. It means developing the wisdom to know when they’re necessary and lifesaving versus when they’re unnecessary and potentially harmful. When I see patients with confirmed lyme disease, serious strep infections or life. Threatening conditions like C diff. I don’t hesitate to recommend appropriate therapy but I also work to support their overall health address, root causes, protect and restore their gut microbiome and help them recover their natural resilience. The goal isn’t to avoid all medical interventions. It’s to use them wisely when truly needed, while simultaneously supporting your body’s inherent healing capacity and addressing the lifestyle factors that created the vulnerability. In the 1st place. All of this can be extremely overwhelming, and it can be frightening to understand or learn. But remember, the power that you have is knowledge. The more you learn about what’s actually happening in your health, in understanding nutrition. in learning what your body wants to be fed, and how it feels, and working with practitioners who are holistic in nature, natural, integrative, functional, whatever we want to call that these days. The more you can learn from them, the more control you have over your own health and what I would urge you to do is to teach your children what you’re learning. Teach them how to live a healthy lifestyle, teach them how to keep a clean environment. This is how we take back our own health. So thank you for joining me today on, let’s talk wellness. Now, if this episode resonated with you. Please share it with someone who could benefit from understanding how the Rockefeller medical system has shaped our approach to health, and how to reclaim your body’s wisdom while using medical care appropriately when truly needed. Remember, wellness isn’t just about feeling good. It’s about understanding your body, trusting its wisdom, supporting its natural healing capacity, and knowing when to seek appropriate medical intervention. If you’re ready to explore how functional medicine can help you develop this deeper health knowledge while addressing root causes rather than just managing symptoms. You can get more information from serenityhealthcarecenter.com, or reach out directly to us through our social media channels until next time. I’m Dr. Dab, reminding you that your body is your wisest teacher. Learn to listen, trust the process, use medical care wisely when needed, and take care of your body, mind, and spirit. Be well, and we’ll see you on the next episode.The post Episode 250 -The Great Medical Deception first appeared on Let's Talk Wellness Now.

Timestamps: 00:10 - Introduction to The Holistic Kids' Show 00:41 - Meet Heather Morgan, CEO of Neuro Biologics 01:03 - Heather's Journey: From Teacher to Health Advocate 01:36 - What Makes a Quality Supplement? 02:40 - Why Neurobiology Matters for Kids 03:07 - What is Nutrigenomics? 03:50 - The Impact of Toxins and Modern Life 04:59 - Supporting Focus, Mood, and Sleep 06:02 - Personalized Nutrition: Genetic Testing for Kids 07:33 - Helping Kids with Focus and Autism 07:54 - The Role of B Vitamins and Individual Needs 08:52 - Can Genetics Help Improve Focus? 10:23 - Diet, Individuality, and Making Better Choices 10:45 - What Foods Are Best? Whole Foods vs. Processed 11:59 - How Neuro Biologics Supports Families and Providers 14:24 - One Thing Anyone Can Do for Their Genetics 16:56 - Where to Learn More: Neurobiologics.com 17:43 - Closing Thoughts & Key Takeaways   Description: Join the Holistic Kids as they welcome Heather Morgan, CEO of Neuro Biologics, for an enlightening conversation on the power of nutrigenomics and neurobiology in children's health. Discover how your genes and nutrition interact to influence focus, mood, and overall well-being. Heather shares her journey from teaching to leading a cutting-edge health company, and explains how personalized nutrition and genetic testing can help kids and families thrive. In this episode, you'll learn: What nutrigenomics is and why it matters for kids and teens How genetic testing can reveal your unique nutritional needs The impact of diet and environment on brain health, focus, and mood Practical tips for supporting children with special needs, anxiety, or attention challenges Why whole foods and individualized supplements make a difference Empower your family with science-backed strategies to optimize health from the inside out. Tune in and get inspired to take charge of your wellness journey! For more information, visit neurobiologics.com and follow us for more episodes of The Holistic Kids' Show.   ---- Learn more about Dr. Madiha Saeed at https://holisticmommd.com, or follow her on social media @HolisticMomMD

Episode #115 of the Whitening Wednesday Podcast, the only teeth whitening podcast

Send us a textThe truth is out: If your clients are struggling with slow healing, relentless fatigue, or impaired milk production, the cold food in their diet is the root cause. For generations, reductionist nutrition dismissed the ancient, global wisdom of warming foods as mere cultural folklore. They were wrong. This episode is your urgent intervention, proving with hard science that ice water and cold cereal actively deplete the new mother's energy reserves, fueling everything from anxiety to postpartum depression.Maranda dives into the non-negotiable physiology—from digestive enzyme function to nervous system regulation—that proves traditional postpartum care systems (like TCM and Ayurveda) understood holistic health far better than modern medicine. Discover the concrete, scientific mechanisms that validate the Warming Foods Principle and learn how to integrate this critical postpartum nutrition strategy immediately, giving your clients the rapid, foundational recovery they deserve. It's time to stop letting modern convenience trump functional healing!Check out the episode on the blog HERE. Key time stamps: 00:30: The universal consensus: Traditional postpartum care systems across the globe mandate warm foods.04:15: Examples from TCM, Ayurveda, Latin American, African, and European traditions.11:47: Why modern medicine dismissed this ancient wisdom as superstition (reductionism, male-dominated science).19:50: Physiological mechanism 1: Cold food impairs digestive enzyme function at 98.6°F.21:20: Physiological mechanism 2: Cold causes vasoconstriction, impairing blood flow and nutrient absorption.23:45: Physiological mechanism 3: Cold forces metabolic energy expenditure (thermogenesis) the mother can't afford.26:38: Physiological mechanism 4: Cold activates sympathetic "fight or flight," warm supports parasympathetic "rest and digest."29:10: The role of warming spices (ginger, cinnamon, turmeric) in promoting gastric secretions.31:45: The link between warm foods, optimal blood flow, and robust milk production.34:23: Addressing objections: Hot climates and the difference between "refreshing" and "beneficial."36:50: The power of the Three Pillars of Knowledge (Science, Stories, Practice) for optimal perinatal health education.NEXT STEPS:

Voor veel huishoudens is snel internet, televisie en telefonie tegen een scherpe prijs vanzelfsprekend. Providers lokken klanten met kortingen en tijdelijke deals. Maar achter die prijzenslag zit een markt waarin een paar grote spelers de glasvezelnetwerken in handen hebben. Paul van Wanrooij begon op zijn negentiende een eigen provider. Zesentwintig jaar later leidt hij TriNed nog altijd. Hoe houd je zo’n bedrijf overeind in een steeds verder consoliderende sector? Paul van Wanrooij, oprichter en algemeen directeur van glasvezelprovider TriNed is te gast in BNR Zakendoen. Macro met Mujagić Elke dag een intrigerende gedachtewisseling over de stand van de macro-economie. Op maandag en vrijdag gaat presentator Thomas van Zijl in gesprek met econoom Arnoud Boot, de rest van de week praat Van Zijl met econoom Edin Mujagić. Ook altijd terug te vinden als je een aflevering gemist hebt. Blik op de wereld Wat speelt zich vandaag af op het wereldtoneel? Het laatste nieuws uit bijvoorbeeld Oekraïne, het Midden-Oosten, de Verenigde Staten of Brussel hoor je iedere werkdag om 12.10 van onze vaste experts en eigen redacteuren en verslaggevers. Ook los te vinden als podcast. Beleggerspanel Het beursjaar 2025 zit er bijna op. Wat viel er allemaal te halen? En: Edelmetalen bereikten recordstanden kunnen zij de rally volhouden in 2026? Dat en meer bespreken we om 11.30 in het beleggerspanel met: Karel Mercx, beleggingsspecialist bij Beleggers Belangen en Koen Bender van Mercurius Vermogensbeheer en pensioenpotje.nl Luister | Beleggerspanel Zakenlunch Elke dag, tijdens de lunch, geniet je mee van het laatste zakelijke nieuws, actuele informatie over de financiële markten en ander economische actualiteiten. Op een ontspannen manier word je als luisteraar bijgepraat over alles wat er speelt in de wereld van het bedrijfsleven en de beurs. En altijd terug te vinden als podcast, mocht je de lunch gemist hebben. Contact & Abonneren BNR Zakendoen zendt elke werkdag live uit van 11:00 tot 13:30 uur. Je kunt de redactie bereiken via e-mail. Abonneren op de podcast van BNR Zakendoen kan via bnr.nl/zakendoen, of via Apple Podcast en Spotify. See omnystudio.com/listener for privacy information.

Voor veel huishoudens is snel internet, televisie en telefonie tegen een scherpe prijs vanzelfsprekend. Providers lokken klanten met kortingen en tijdelijke deals. Maar achter die prijzenslag zit een markt waarin een paar grote spelers de glasvezelnetwerken in handen hebben. Paul van Wanrooij begon op zijn negentiende een eigen provider. Zesentwintig jaar later leidt hij TriNed nog altijd. Hoe houd je zo'n bedrijf overeind in een steeds verder consoliderende sector?

Send us a textWhen your clients say they're "drowning" or they "can't trust themselves," we can't just chalk it up to a simple chemical imbalance. We have to get real about postpartum anxiety (PPA). The clinical model, with its standard screening tools like the Edinburgh scale, is missing the deeper, unrecognized crisis of identity and boundaries that fuels so much of the mental load and perinatal mental health struggle.Carley Schweet joins Maranda us today to share her own journey through undiagnosed PPA and the profound psychological and neurological rewiring that happens in the mother's brain. They talk about radical self-care, the power of reconnecting with maternal intuition, and how setting and honoring boundaries is the key to moving from feeling "not enough" to thriving in motherhood. This conversation is your key to recognizing the subtle, yet debilitating, non-clinical signs of PPA and giving your clients permission to choose differently so they can heal at the root.Check out this episode on the blog HERE: Key time stamps: 01:47 Carley's personal struggle with undiagnosed postpartum anxiety 02:56 The  fear of losing a child that silences mothers & mental health. 03:40 The creation of Hello Postpartum gift boxes to honor the mother07:12 Standard clinical scales miss the identity shift and deeper trauma. 08:25 Postpartum anxiety can start 3+ years after birth. 09:48 Carley's coaching background + boundaries and people-pleasing. 11:13 Motherhood as a mirror for untrue narratives and lack of self-care. 13:53 The challenge of boundary setting is a consistent theme16:14 Psychological and neurological rewiring in the mother's brain 17:21 The biggest hormonal drop occurs after the placenta detaches. 17:40 The power of giving yourself permission to choose differently 19:36 How Chat GPT and AI contribute to intuitive disconnection 21:52 The daily practice of disconnection Connect with Carley:  In 2020, Carley founded Hello Postpartum, a platform dedicated to curating thoughtful gift boxes for new moms while uplifting other women-owned businesses. As a mom of two, published author, entrepreneur, and holistic self-care coach, Carley brings a passionate and intentional perspective to all she does. She currently lives outside of Seattle, where she runs her business and enjoys life with her family.   Website | IG  NEXT STEPS:

Detransitioner Soren Aldaco speaks with The Center Square about her medical transition as a minor and voices support for new HHS actions aimed at restricting federal funding for gender-related drugs and surgeries for children, as Washington officials and advocacy groups respond. https://www.clarkcountytoday.com/news/watch-detransitioner-to-providers-please-just-stop-gender-surgeries-on-minors/ #WashingtonState #HHS #GenderCare #PublicPolicy #HealthcareDebate #TheCenterSquare

Drawing on observations from 2025 events ranging from SXSW EDU and Latitude59 to BORDERLAND at Slush, this article explores how technology providers—from defense to legal tech—are undermining productivity. It examines the rise of "sticky complexity," the failure to apply the TLTF "trifurcation" model internally, and offers a path back to outcome-driven execution. The post When Process Replaces Progress: How Technology Providers Undermine Productivity from the Inside appeared first on ComplexDiscovery.

X: @JCats2013 @ileaderssummit @americasrt1776 @NatashaSrdoc @JoelAnandUSA @supertalk @JTitMVirginia Join America's Roundtable (https://americasrt.com/) radio co-hosts Natasha Srdoc and Joel Anand Samy with John Catsimatidis, a leading national business figure and senior lay leader in the Greek Orthodox Church community. John Catsimatidis is the Chairman and CEO, The Red Apple Group and Owner of the Iconic 77 WABC Radio in New York City. The Red Apple Group is a conglomerate that owns and operates assets in the energy, real estate, finance, insurance, and supermarket industries. 77 WABC Radio is heard in 50 states and 173 countries. John is the author of Wall Street Journal Bestseller and Publishers Weekly Bestseller — “How Far Do You Want to Go: Lessons from a Common-Sense Billionaire.” As a leading American entrepreneur, John Catsimatidis will provide insights into the state of the US economy as inflation drops, nationwide gas prices fall under $2.80 per gallon and rent prices coming down. John will explain how free market principles applied by House Republicans in Congress with President Trump's "The One, Big, Beautiful Bill" will cut taxes for Americans earning under $50,000 by 14.9%. John will also highlight the benefits for 4 million tipped workers like waitresses, barbers, hairstylists, and taxi drivers who will not pay taxes on tips. For those working overtime - once again, this group of hard-working Americans will not be taxed on overtime. A major savings and great benefit for senior citizens who will not have to pay taxes on social security. Natasha Srdoc and John Catsimatidis discuss key economic data of economic growth rates and how changes at the Federal Reserve Bank may usher in an era of lower interest rates that will further help working families. Joel Anand and John Catsimatidis discuss the major fraud and money laundering unveiled in Minnesota with federal taxpayer funds abused. According to published reports: "A Minnesota safety net program was so easy to scam, it attracted tourists, Assistant U.S. Attorney Joe Thompson said Thursday. The extent of fraud in Minnesota human services programs — which has become infamous across the country — is even higher than the public knew. Providers in 14 “high-risk,” state-run Medicaid programs being audited by the state have billed $18 billion since 2018, and “half or more” is possibly fraudulent, Thompson said." The conversation on America's Roundtable will also focus on the horrific terrorist attack in Sydney, Australia, with 15 innocent civilians murdered and over 40 injured as the Jewish community gathered for the first day of Hanukkah. The brazen manifestation of anti-Semitism in the West, including America is brought to the forefront. The concerns of the waves of socialism battering America will be highlighted as the Democratic Party becomes more influenced by the Democratic Socialist Party's agenda which pushes communism and socialism, dangerous ideologies that have failed and left billions of people around the world in poverty. The conversation will also bring to the forefront economic forecasts for 2026 and what Americans can expect in the New Year. americasrt.com (https://americasrt.com/) https://ileaderssummit.org/ | https://jerusalemleaderssummit.com/ America's Roundtable on Apple Podcasts: https://podcasts.apple.com/us/podcast/americas-roundtable/id1518878472 X: @JCats2013 @ileaderssummit @americasrt1776 @NatashaSrdoc @JoelAnandUSA @supertalk @JTitMVirginia America's Roundtable is co-hosted by Natasha Srdoc and Joel Anand Samy, co-founders of International Leaders Summit and the Jerusalem Leaders Summit. America's Roundtable (https://americasrt.com/) radio program focuses on America's economy, healthcare reform, rule of law, security and trade, and its strategic partnership with rule of law nations around the world. The radio program features high-ranking US administration officials, cabinet members, members of Congress, state government officials, distinguished diplomats, business and media leaders and influential thinkers from around the world. Tune into America's Roundtable Radio program from Washington, DC via live streaming on Saturday mornings via 68 radio stations at 7:30 A.M. (ET) on Lanser Broadcasting Corporation covering the Michigan and the Midwest market, and at 7:30 A.M. (CT) on SuperTalk Mississippi — SuperTalk.FM reaching listeners in every county within the State of Mississippi, and neighboring states in the South including Alabama, Arkansas, Louisiana and Tennessee. Tune into WTON in Central Virginia on Sunday mornings at 9:30 A.M. (ET). Listen to America's Roundtable on digital platforms including Apple Podcasts, Spotify, Amazon, Google and other key online platforms. Listen live, Saturdays at 7:30 A.M. (CT) on SuperTalk | https://www.supertalk.fm

Doug Green, Publisher of Technology Reseller News, spoke with Travis Volk, Vice President of Global Technology Solutions and GTM, Carrier at Radware, about how artificial intelligence is reshaping the security landscape for telecom providers as the industry heads into 2026. The discussion focused on the accelerating pace of attacks, the shrinking window to respond to vulnerabilities, and why traditional, human-paced security models are no longer sufficient. Volk explained that telecom networks are now facing machine-speed attacks, where newly disclosed vulnerabilities are often exploited within hours, not weeks or months. “Recent CVEs are being exploited at breakneck speeds,” he noted, emphasizing that nearly a third of disclosed vulnerabilities are weaponized within 24 hours. This reality is forcing providers to rethink patching, maintenance, and runtime protection strategies—especially as attackers increasingly chain small flaws into large-scale, sophisticated attacks. A key theme of the conversation was the convergence of offensive and defensive security. As applications become more API-driven and agentic, service providers must adopt continuous, automated testing and inline protection that can detect business-logic attacks in real time. Volk highlighted Radware's use of AI-driven analytics and visualization to map API flows, identify abnormal behavior, and enforce protections such as object-level authorization at scale—capabilities that are critical for encrypted, high-value workloads. Looking ahead, Volk described “good” security in 2026 as a living, observable system that prioritizes risk, automates both pre-runtime and runtime defenses, and enables data-driven decisions without adding operational complexity. Radware is already delivering these capabilities through flexible deployment models—virtual, physical, containerized, and cloud-based—allowing carriers to implement unified policy frameworks today. As Volk put it, AI is no longer optional: it is essential to keeping networks secure, resilient, and available in an era where attacks move faster than humans can respond. Learn more about Radware at https://www.radware.com/. Software Mind Telco Days 2025: On-demand online conference Engaging Customers, Harnessing Data

'Tis the season for corporate gifts. But have you had one from your KiwiSaver provider? It turns out, some people have been treated to a few early Christmas presents - an umbrella in one case and a bottle of wine for another lucky saver. Money correspondent Susan Edmunds has been looking at what's on offer and spoke to Lisa Owen.

PREVIEW: Bob Zimmerman questions Amazon's perplexing launch strategy for its LEO constellation, asking why the company is utilizing more costly, non-reusable launch providers like ULA and Blue Origin instead of the more cost-effective SpaceX reusable boosters. He speculates that historical contracts or potential personal conflicts between billionaires may explain the decision. 1958

Episode Summary    Join us for a compelling conversation with Dr. Alexander Villahermosa, a neurosurgery resident at UT Health San Antonio and former 18 Delta Special Forces Medical Sergeant. Motivated by the events of 9/11, he enlisted with an 18 X-ray contract, embarking on a remarkable journey that took him from the battlefield to the operating room. Dr. Villahermosa shares stories from his deployments to Iraq, Afghanistan, and other austere environments, highlighting how mentorship from military physicians in Balad inspired him to pursue a medical degree.    Dr. Villahermosa provides a candid look at the Enlisted to Medical Degree Program (EMDP2), detailing his experience as part of its second class. He discusses the academic challenges of transitioning from an operational tempo to learning calculus and hard sciences, and how the program's cohort-based support system prepares active-duty soldiers for the rigors of medical school at the Uniformed Services University.   The discussion moves to the intense reality of surgical residency, where days often start at 4:00 AM and involve complex perioperative care. Dr. Villahermosa highlights the unique perspective military training brings to civilian medicine, specifically the ability to operate without advanced navigation technology—a skill emphasized by military mentors who understand downrange limitations. He also shares insights on "expectation management" regarding physical fitness while maintaining a grueling training schedule.   Finally, Dr. Villahermosa reflects on leadership lessons learned while rising from the rank of Master Sergeant to Captain, emphasizing that mentorship and staying humble are keys to success. He concludes with a crucial medical takeaway for combat medics: the best brain care starts with the basics of airway, respiration, and circulation as outlined in TCCC guidelines.     Chapters (00:00-06:00) From Enlistment to Special Forces Medic (06:00-19:30) The Path to Medical School and EMDP2 (19:30-28:30) Choosing Neurosurgery and Residency Reality (28:30-33:00) Military vs. Civilian Surgical Training (33:00-39:40) Leadership, Advice, and TBI Care   Chapter Summaries (00:00-06:00) From Enlistment to Special Forces Medic Dr. Villahermosa describes enlisting after 9/11 with the initial intent of joining the infantry, only to switch to an 18X contract to avoid a long wait for basic training. He recounts his deployments to Iraq and how mentorship from a group surgeon and an anesthesiologist in Balad first sparked his interest in becoming a physician. (06:00-19:30) The Path to Medical School and EMDP2 This section covers the process of completing undergraduate prerequisites through the Enlisted to Medical Degree Program (EMDP2), including the challenges of mastering mathematics and hard sciences. Dr. Villahermosa explains how the program's cohort system and partnership with the Uniformed Services University provided the structure and support necessary for success. (19:30-28:30) Choosing Neurosurgery and Residency Reality Initially uninterested in surgery, Dr. Villahermosa describes falling in love with the specialty during a third-year clerkship after being fascinated by spine and trauma cases. He details the daily grind of residency, which involves early mornings, long hours, and the need to seize small windows of time for physical fitness and self-care. (28:30-33:00) Military vs. Civilian Surgical Training The discussion focuses on the specific mindset instilled by military neurosurgeons, such as the ability to perform spine surgery using anatomic landmarks rather than relying solely on advanced navigation systems. This training ensures readiness for deployed environments where high-tech equipment may not be available or functional. (33:00-39:40) Leadership, Advice, and TBI Care Dr. Villahermosa reflects on the importance of humility and teamwork, noting that, regardless of rank or experience, there is always something to learn from others. He concludes by emphasizing that the best initial care for traumatic brain injury is adherence to TCCC protocols, specifically preventing hypotension and hypoxia.   Take Home Messages The Power of Mentorship: Career paths are often significantly altered by leaders who take the time to invest in their subordinates and encourage them to pursue higher goals. Dr. Villahermosa's journey to medical school began specifically because a group surgeon and an anesthesiologist took him under their wing during a combat deployment. Leaders should actively identify and encourage potential in those they lead, as this support can fundamentally change the trajectory of a service member's life. Back to Basics for Brain Injury: The most effective initial treatment for traumatic brain injury (TBI) lies in the fundamental principles of Tactical Combat Casualty Care (TCCC). Preventing secondary brain injury caused by hypotension and hypoxia is critical, meaning that controlling hemorrhage and managing the airway are the best ways to protect the brain in the pre-hospital setting. Providers should trust these protocols rather than feeling helpless without advanced neurosurgical capabilities, as stabilizing the patient's physiology is the first step in saving the brain. Operating in Austere Environments: While modern civilian neurosurgery often relies on advanced navigation technology and robotics, military surgeons must maintain the skill to operate using anatomic landmarks. Dr. Villahermosa highlights that downrange environments may lack functional high-tech equipment, making it essential to master manual techniques for spine and brain procedures. This training approach ensures that military surgeons remain adaptable and can deliver life-saving care regardless of the resources available in the field. Resilience Through Expectation Management: Surviving a demanding residency program or rigorous military training requires adjusting one's expectations regarding fitness and rest. Rather than waiting for large blocks of free time that may never come, trainees must learn to seize small, available moments for self-care, whether that is a short fifteen-minute run or catching up on sleep. Taking advantage of these brief breaks when they present themselves is crucial for maintaining long-term physical and mental performance when the schedule is unpredictable. Humility and Teamwork in Leadership: Success in high-stakes environments like the military and medicine demands humility and the recognition that no single person knows everything. Dr. Villahermosa emphasizes that rank and experience do not preclude the need to learn from others, including the newest members of the team who may bring fresh perspectives. Acknowledging one's role within the larger mission fosters a collaborative environment that improves patient outcomes and ensures the job gets done effectively.   Episode Keywords special forces medic, green beret, neurosurgery resident, military medicine, combat medic, trauma surgery, medical school, emdp2, enlisted to medical degree, uniformed services university, 18 delta, surgical training, traumatic brain injury, TCCC, tactical combat casualty care, military podcast, veteran stories, medical career, doctor journey, Brooke Army Medical Center, UT health San Antonio, neurosurgeon training, army special operations, combat veteran, medicine podcast, army doctor   Honoring the Legacy and Preserving the History of Military Medicine   The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

SummaryIn this episode, Sean Weiss discusses the complexities surrounding ancillary providers and their billing practices, particularly focusing on CMS and commercial payer rules. He explains the definitions and roles of ancillary staff, the intricacies of incident to billing, and the compliance requirements for split shared services. The conversation emphasizes the importance of understanding these regulations to ensure proper reimbursement and avoid potential pitfalls in healthcare billing.TakeawaysUnderstanding the roles of ancillary staff is crucial for compliance.CMS defines ancillary staff as non-independent billers.Incident to billing allows non-physician services to be billed under a physician's NPI.Direct supervision by a physician is required for incident to billing.Split shared services have specific requirements for billing under a physician's NPI.Documentation must capture substantive portions of services provided.Regular audits of staff roles and job descriptions are necessary.Understanding payer guidelines can help avoid billing denials.Compliance gaps can lead to recoupments and legal issues.Healthcare attorneys can assist with complex compliance issues.

Send us a textLet's expose the standard advice that is making new mothers miserable: the push for high-fiber, raw fruits and vegetables immediately postpartum. It sounds healthy, but it's the root cause of crippling postpartum bloating, gas, and poor nutrient absorption!Get ready for a physiological truth: the postpartum digestive system is temporarily compromised. Loading it with complex plant matter is sabotage. You'll uncover the ancient wisdom of traditional cultures (Chinese, Ayurvedic) that prioritized warm, cooked, easily digestible foods for thousands of years. This episode is your guide to strategic postpartum nutrition that maximizes healing and finally ends the cycle of depletion and discomfort.Check out this episode on the blog HERE. Key time stamps: 02:50: Why the postpartum digestive system is temporarily compromised.04:05: The body prioritizes critical healing over complex digestion. 05:40: Traditional cultures prioritize warm, cooked, easily digestible foods. 07:15: Why cold, raw foods dampen the digestive "fire." 08:20: The flaw in modern nutrition: ignoring digestibility and absorption. 08:50: Fiber requires significant digestive capacity the postpartum body lacks. 10:10: How high-fiber foods cause bloating, gas, and inflammation in a compromised gut. 11:00: Raw vegetables are problematic: they require high energy and are "cooling." 12:50: The benefits of cooking: increased nutrient bioavailability and reduced anti-nutrients. 13:30: The real causes of postpartum constipation (hormones, fear, magnesium deficiency). 14:55: How high fiber impairs nutrient absorption (binding effect) for depleted mothers. 16:00: The correct progression: simple/cooked → complex/raw. 17:00: Immediate relief: Switching to cooked, warm food resolves bloating in days. 17:55: The importance of respecting digestive capacity and natural progression.NEXT STEPS:

Cancer screening is evolving beyond a single-organ approach to an approach that evaluates multiple organs throughout the entirety of the body with a simple blood test. In this episode, Dr. Michelle Beidelschies shares how Cancerguard can help health systems detect more cancers earlier, reduce late-stage diagnoses, and improve outcomes. We explore the clinical, operational, and financial implications of adopting multi-cancer early detection testing at scale. Information presented is not clinical, diagnostic, or treatment advice for any particular patient. Providers should use their clinical judgement and experience when deciding how to diagnose or treat patients. Exact Sciences does not recommend or endorse any particular course of treatment or medical choice. The Cancerguard test was developed, and the performance characteristics validated by Exact Sciences Laboratories following College of American Pathologists (CAP) and Clinical Laboratory Improvement Amendments (CLIA) regulations. This test has not been cleared or approved by the US Food and Drug Administration. The test is performed at Exact Sciences Laboratories. Exact Sciences Laboratories is accredited by CAP, certified under CLIA regulations, and qualified to perform high-complexity clinical laboratory testing.

Rural Health News is a weekly segment of Rural Health Today, a podcast by Hillsdale Hospital. News sources for this episode: American Hospital Association, “Dueling Senate bills to address health care affordability fail to pass,” December 11, 2025, https://www.aha.org/news/headline/2025-12-11-dueling-senate-bills-address-health-care-affordability-fail-pass. Chris Stein, “Senate rejects dual healthcare bills as Obamacare tax credits expiration nears,” December 11, 2025, https://www.theguardian.com/us-news/2025/dec/11/senate-vote-obamacare-tax-credit-bills, The Guardian. U.S. Department of Health and Human Services, “HHS' Cleanup of Federal Nursing Home Minimum Staffing Standards Rule Expands Access to Rural and Tribal Health Care,” December 2, 2025, https://www.hhs.gov/press-room/hhs-cleanup-federal-nursing-home-minimum-staffing-standards-rule-expands-access-rural-tribal-health-care.html.  Arielle Zionts and Phillip Reese, “Rural Health Providers Could be Collateral Damage from $100k Trump Visa Fee,” December 9, 2025, https://kffhealthnews.org/news/article/h1b-visa-fee-rural-hospitals-foreign-worker-shortages-north-dakota/, KFF Health News. Rick Pollack, “Exempting Health Care Personnel from H-1B Visa Fees Is Good for Patients and Providers,” October 17, 2025, https://www.aha.org/news/perspective/2025-10-17-exempting-health-care-personnel-h-1b-visa-fees-good-patients-and-providers, American Hospital Association. Federation of State Medical Boards, “Physician Licensure in 2024,” 2025, https://www.fsmb.org/u.s.-medical-regulatory-trends-and-actions/u.s.-medical-licensing-and-disciplinary-data/physician-licensure/. Scott Hulver et al., “What Role Do Immigrants Play in the Hospital Workforce?,” June 17, 2025, https://www.kff.org/racial-equity-and-health-policy/what-role-do-immigrants-play-in-the-hospital-workforce/, KFF Health News. Visas & Immigration Team, ”$100,000 H-1B Sponsorship Fee Hits Rural U.S. Hospitals Hard,” December 9, 2025, https://www.visahq.com/news/2025-12-08/us/100000-h-1b-sponsorship-fee-hits-rural-us-hospitals-hard/, Visa HQ. Rural Health Information Hub, “In Rural Communities, Where Child Care Is Often Scarce, Healthcare Organizations Are Finding Creative Ways to Help,” December 10, 2025, https://www.ruralhealthinfo.org/rural-monitor/child-care?utm_source=racupdate&utm_medium=email&utm_campaign=update121025. Rasheed Malik et al., “America's Child Care Deserts in 2018,” December 6, 2018, https://www.americanprogress.org/article/americas-child-care-deserts-2018/, The Center for American Progress. Jazmin Orozco Rodriguez and KFF Health News, “Child Care Gaps in Rural America Threaten to Undercut Small Communities,” December 27, 2023, https://dailyyonder.com/child-care-gaps-in-rural-america-threaten-to-undercut-small-communities/2023/12/27/, The Daily Yonder. Rural Health Today is a production of Hillsdale Hospital in Hillsdale, Michigan and a member of the Health Podcast Network. Our host is JJ Hodshire, our producer is Kyrsten Newlon, and our audio engineer is Kenji Ulmer. Special thanks to our special guests for sharing their expertise on the show, and also to the Hillsdale Hospital marketing team. If you want to submit a question for us to answer on the podcast or learn more about Rural Health Today, visit ruralhealthtoday.com.

This episode, from our November National Conference, explores one of healthcare's most persistent challenges: how hospitals and health plans can move from operating at cross-purposes to truly rowing in the same direction. Our guests are Danielle Lloyd, SVP of Private Market Innovations and Quality Initiatives, AHIP and Molly Smith, Group VP for Public Policy, American Hospital Association. Led by moderator Stephan Rubin from Optum, Danielle and Molly dig into the misconceptions that providers and payers often hold about each other and discuss how better data transparency, shared incentives, and policy alignment — including recent CMS rules such as 0057F — can help bridge long-standing divides. The 3 examine the future of prior authorization, the promise and limits of interoperability initiatives like TEFCA and the CMS Aligned Network, and why value-based care still struggles to scale despite years of policy focus. Finally, they look ahead to the role of AI, automation, and emerging data standards in reshaping care delivery and payment, and ask what real payer-provider collaboration must look like to deliver a more seamless, efficient, and patient-centered healthcare system.

In this episode of the Atomic Anesthesia Podcast, host Dr. Rhea Temmermand speaks with Michael Hoess, CRNA and Lead CRNA for Education at Cooper University Hospital, about the crucial role of CRNAs in austere and tactical medical environments. Drawing on over a decade of trauma and resuscitation experience, Mike shares how CRNAs contribute to training military and government medical teams operating in resource-limited or remote conditions. The discussion explores how core anesthesia principles adapt when blood banks, ventilators, or full surgical teams aren't available, emphasizing the importance of airway control, hemodynamic management, and damage control resuscitation in the field. Mike also discusses building resilience through high-stress simulations, developing adaptive leadership skills, and fostering mission readiness for both seasoned CRNAs and students. Listeners gain insight into how these lessons from austere medicine can strengthen everyday anesthesia practice and prepare clinicians for the challenges of modern conflict and disaster response.If you want to reach out to Michael, you can contact him at michael.p.hoess@gmail.com or hoess-michael@cooperhealth.eduArticles:Austere Resuscitative and Surgical Care Teams: Supporting Far-Forward Trauma Care on the Future BattlefieldMilitary and Civilian Surgery Partner for Innovation, EffectivenessA Western trainer says talk of 'golden hour' would be laughable to Ukrainian forces.Want to learn more? Grab our Cardiac Pharm Course --> [HERE]⚛️ CONNECT:

Value-based enterprises depend on timely, accurate data, yet the rules that govern how that data moves between the Centers for Medicare & Medicaid Services (CMS), accountable care organizations, payors, and providers remain complex and often inconsistent. On this episode, Epstein Becker Green attorneys Kevin Malone and Karen Mandelbaum unpack the regulatory frameworks shaping data exchange in value-based care. They outline how federal privacy laws, CMS rules, the Health Insurance Portability and Accountability Act (HIPAA), and state requirements intersect; why CMS-sourced data operates under a different regime than Medicare Advantage; and where organizations face the biggest operational hurdles when using, sharing, and governing data across large networks. Key Takeaways: Distinct Legal Frameworks: CMS data is controlled by the Privacy Act, while Medicare Advantage data falls under HIPAA. Disclosure Tracking Requirements: CMS data use agreements demand strict tracking and downstream compliance. Operational Data Challenges: Silos and uneven data quality remain major barriers to effective value-based care. Tune in to learn how today's rules shape data access, data quality, and the real-world mechanics of value-based care. Visit our site for related resources and email contact information: https://www.ebglaw.com/dhc92 Subscribe for email notifications: https://www.ebglaw.com/subscribe. Visit: http://diagnosinghealthcare.com. - This podcast is presented by Epstein Becker & Green, P.C. All rights are reserved. This audio recording includes information about legal issues and legal developments. Such materials are for informational purposes only and may not reflect the most current legal developments. These informational materials are not intended, and should not be taken, as legal advice on any particular set of facts or circumstances, and these materials are not a substitute for the advice of competent counsel. The content reflects the personal views and opinions of the participants. No attorney-client relationship has been created by this audio recording. This audio recording may be considered attorney advertising in some jurisdictions under the applicable law and ethical rules. The determination of the need for legal services and the choice of a lawyer are extremely important decisions and should not be based solely upon advertisements or self-proclaimed expertise. No representation is made that the quality of the legal services to be performed is greater than the quality of legal services performed by other lawyers.

  Technology leaders live in a world of exploding cloud and data usage. It is a challenge to know where the responsibility for the Clout Service Provider begins. Today, we sat with three experienced cloud management professionals to learn best practices in this ever-changing environment.   Jeff Maxon from Kansas has provided great insight into separating infrastructure from applications. His rule-of-thumb is that when architecture moves to the applications itself, the responsibility shifts from the cloud provider to the customer.   When a system is configured, and a client is solid, one can be lulled into thinking it is safe. Michael Gregg from Palo Alto suggests that regularly testing clients for compliance should be part of a systematic process.   He reminds listeners that breaches occur. Few have appropriate remediation and recovery plans in place. Mistakes will happen; there must be strategies in place to recover.   The panel underscored the critical role of collaboration and continuous improvement in achieving and maintaining cybersecurity.        

Send us a textPostpartum providers, the PPD and exhaustion your clients face are direct outcomes of the medicalized birth model. Renowned OB-turned-advocate Dr. Stu Fischbein joins us to expose why standard practices (like the "six-week checkup") create pervasive obstetrical trauma. This episode cuts through the noise to reveal the root cause of the postpartum crisis and shows you how to fight for the holistic care your clients deserve.Check out this episode on the blog HEREKey time stamps: 01:44: Dr. Stu's unique perspective: 28 years in hospital OB vs. 12+ years in home birth04:52: OB residency teaches providers to view pregnancy as an illness08:00: The hospital model is designed for efficiency and profit11:48: The "see you in six weeks" model is driven by financial reimbursement15:04: The medical system separates mother and baby as two entities20:50: The economic and societal benefit of paid parental leave23:44: subsidizing midwifery care for a year is an important social change26:40: Why women must not abdicate responsibility for their birth care29:44: Obstetrical abuse behaviors are similar to domestic abuse35:07: Obstetrical trauma makes postpartum recovery more difficult. 38:40: cognitive dissonance that prevents doctors from seeing the problem. 44:45: Why families cannot rely on the system for postpartum support. 46:00: The critical role of the husband in defending the mother48:38: Why medicine ignores what it can't quantify or bill for 50:40: The danger of licensing doulas and regulating quality. 54:17: Why midwifery schools are becoming medicalized Connect with Dr. StuStuart James Fischbein MD is a published author of the book “Fearless Pregnancy, Wisdom & Reassurance from a Doctor, A Midwife and A Mom” and peer-reviewed papers Homebirth with an Obstetrician, A Series of 135 Out of Hospital Births, Breech Birth at Home and Twin Home Birth. He spent 28 years assisting women with hospital birthing and, then for the next 12+ years, was a homebirth obstetrician who worked directly with midwives.  He now lectures globally, advocating for informed consent and reteaching breech & twin birth skills. Host of the weekly Birthing Instincts Podcast with Blyss Young. Website | IG  NEXT STEPS:

For weeks, King County homelessness service providers have been staring down a majorly disruptive change to how they currently operate. The federal Department of Housing and Urban Development said in November that it intended to redirect billions of dollars in grants that house homeless people. This was in line with President Trump’s rejection of “housing first,” the practice that aims to get people stabilized in long-term housing before addressing mental health issues or addiction. It's guided policy in this region and across the United States for decades. The Trump Administration’s announcement put $65 million in federal grant money for King County in doubt. And it left local leaders scrambling. The county called providers together last week to discuss the change. Washington state and roughly 20 states sued, and later, so did King County and local homeless service providers. But yesterday, 90 minutes before a court hearing, HUD withdrew the new requirements around grants. Sounds like a rollercoaster, right? Providers in the area are breathing a sigh of relief. Though, the last-minute shift signifies the complicated task of planning homelessness response, one that relies on federal dollars, when massive changes are taking place in Washington, D.C. GUEST: Kelly Kinnison, CEO of the King County Regional Homelessness Authority RELATED LINKS KCRHA: Changes to Federal Funding will Increase Unsheltered Homelessness in King County Seattle Times: King County has 3 plans for Trump’s homelessness funding changes Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to kuow.org/donate/soundsidenotes Soundside is a production of KUOW in Seattle, a proud member of the NPR Network.See omnystudio.com/listener for privacy information.

The managed service provider (MSP) market is projected to grow significantly, with a valuation increase from $337.6 billion in 2024 to $406.74 billion in 2025, driven by the complexity of modern IT infrastructures and rising cybersecurity threats. However, small businesses in the United States are facing severe challenges, shedding jobs at pandemic-level rates, with a net loss of 120,000 jobs reported in November 2025. This trend highlights a growing divide between small and large enterprises, as larger firms adapt more effectively to economic pressures, while small businesses struggle to maintain stability and are increasingly cautious about spending on new initiatives.The impact of artificial intelligence (AI) on the labor market is becoming more pronounced, with a study from the Massachusetts Institute of Technology indicating that AI could replace 11.7% of the U.S. workforce, equating to approximately $1.2 trillion in wages. As companies begin to manage digital employees alongside human workers, the need for effective governance and accountability frameworks becomes critical. Forrester predicts that by 2026, businesses will increasingly integrate AI into their workforce strategies, necessitating a shift in how leadership orchestrates workflows and manages costs.Windows 11 adoption has stalled, with its market share at 53.7% as of November 2025, indicating a growing indifference among consumers and businesses towards operating systems. This trend suggests that the value proposition for MSPs must evolve beyond device management and OS-level work, focusing instead on higher-level services such as identity management, application governance, and automation. As the market shifts, MSPs must adapt to provide solutions that drive business outcomes rather than relying on traditional refresh cycles and OS migrations.For MSPs and IT service leaders, the current landscape presents both challenges and opportunities. The need for clarity in navigating AI complexities and the integration of digital agents into workflows is paramount. Providers that can assist customers in managing these transitions and focus on outcomes rather than tools will position themselves as strategic partners. The future of the MSP market will depend on the ability to evolve and meet the demands of a changing workforce, ensuring that they remain relevant in an increasingly automated environment. Four things to know today 00:00 Small businesses are losing jobs, midmarket firms are reorganizing with AI — and MSPs must shift how they deliver value06:52 The MSP Market Is Growing Fast — but the real opportunity is helping customers manage AI, not devices10:07 Windows 11 Slowdown Shows Customers Don't Care About OS Upgrades — and MSP Value Lives Higher Up the Stack12:08 Slowing ChatGPT Growth and Rising Gemini Use Signal AI Models Becoming Commodities for Business Users This is the Business of Tech.    Supported by:  https://cometbackup.com/?utm_source=mspradio&utm_medium=podcast&utm_campaign=sponsorshiphttps://scalepad.com/dave/

What if the problem is not your motivation to recover, but a system that makes eating disorder treatment almost impossible to afford? In this conversation, I sit down again with Leslie Jordan Garcia @liberatiwellness. Leslie is a wellness strategist, certified eating disorder recovery coach, and Treatment Access Program Manager at Project HEAL. In this episode, we discuss real, concrete pathways to free and low-cost eating disorder care. We also talk about why you cannot separate eating disorder recovery from social justice, intersectionality, and body hierarchies. Leslie breaks down how Project HEAL removes financial and systemic barriers, how people from marginalized communities can apply, and how providers can join the Healer's Circle to offer justice-focused, values-aligned care. In this episode, we talk about What Project HEAL is and how it works to remove financial and systemic barriers to eating disorder care in the United States The four major Project HEAL programs and how to apply for: Community Care groups for BIPOC folks Cash assistance that covers tertiary costs like rent, pet boarding, and transportation Outpatient treatment placement with sliding scale and pro bono providers Insurance navigation support and help with single case agreements Who qualifies for Project HEAL services, including people in all U.S. states and territories, and how they prioritize folks from communities that are historically and systemically marginalized How Leslie matches people with “unicorn providers” who are fat positive, HAES aligned, queer affirming, trauma aware, and non Christian based when needed The difference it makes when someone helps you navigate insurance, access care, and complete applications, especially when executive functioning is low or things feel overwhelming How economic precarity, layoffs, food insecurity, and shifting insurance policies are driving an uptick in applications for eating disorder treatment assistance Why intersectional, identity affirming care is not optional in eating disorder recovery, especially for BIPOC, queer, trans, disabled, and fat clients How Leslie's social justice consulting work with universities, community colleges, and health organizations helps them: Reimagine intake forms and client facing processes Address promotion and salary inequities Create transformational circles where teams talk about harm, stereotypes, and systemic barriers How body hierarchies, food moralization, school fitness testing, and lunch shaming fuel eating disorders for kids and adults Why many people use eating disorders as a survival tool in the context of trauma, capitalism, surveillance, and unsafe systems What true equity and belonging could mean for decreasing the occurrence and severity of eating disorders About our guest: Leslie Jordan Garcia Leslie Jordan Garcia is a wellness strategist, certified eating disorder recovery coach, and social justice consultant dedicated to healing and liberation. She holds dual master's degrees in business and public health and has more than a decade of experience across military, public health, and nonprofit sectors. Through her practice, Liberati Wellness, Leslie offers HAES aligned eating disorder recovery support, inclusive movement support, and equity and identity affirming care. Leslie also partners with organizations like Austin Health Commons and the Hogg Foundation to embed equity and justice into health systems and helping professions. She currently serves as the Treatment Access Program Manager at Project HEAL, where she manages cash assistance and treatment placement and works to match clients with values aligned, culturally responsive providers. You can find Leslie's coaching and consulting work at Liberati Wellness and on Instagram at @liberatiwellness. Inside Project HEAL's pathways to care In this episode, Leslie explains how Project HEAL supports people who are struggling with eating disorders and facing financial and systemic barriers to treatment. She walks us through the main programs: Informed ED (for professionals) A learning program for clinicians and dietitians who are newer to eating disorder treatment. It helps them build skills, reduce harm, and align their work with justice focused values so they can better support clients whose eating disorders are uncovered in general mental health or medical settings. Community Care A free, BIPOC only, 8 week support and process group focused on body liberation, community care, and healing from white supremacist body hierarchies. Cash Assistance Program A program that does not pay individuals directly, but instead covers tertiary costs that often block access to care. This can include rent, transportation, pet boarding, or other essential expenses so that people can actually attend the level of care their team recommends. Treatment Placement Leslie coordinates outpatient treatment placement, connecting people with dietitians, therapists, and other providers who offer sliding scale or pro bono care, especially when insurance does not cover enough dietitian sessions or mental health support. Insurance Navigation Project HEAL helps people understand their insurance benefits, locate in network providers, and pursue options like single case agreements when an appropriate provider is out of network. Leslie also mentions a time limited clinical assessment program for people who know they are struggling in their relationship with food and body but have never had a formal diagnosis. All of these services are free to applicants, and one application can cover multiple programs at once. Who can apply to Project HEAL Leslie shares that Project HEAL is U.S. based, and that includes all 50 states, Alaska, Hawaii, and U.S. territories such as Guam. Anyone in those locations can apply. Project HEAL prioritizes people from communities that have been historically and systemically marginalized, including: BIPOC communities Queer and trans communities People in larger bodies Disabled and chronically ill folks People navigating religious trauma and other layered identities Leslie's role includes reading applications through an intersectional lens, tracking diversity demographics, and making sure that people who face the largest gaps in access are not overlooked. She also notes that if the application itself feels overwhelming, Project HEAL can connect applicants with someone who will help them complete it, which is especially important when executive functioning is low. Intersectionality, social justice, and eating disorder recovery Throughout the conversation, Leslie and I look at how eating disorders are never just about appearance. They are deeply tied to: Trauma and chronic stress How we perceive our bodies and how we believe others perceive our bodies Economic instability, job insecurity, and food insecurity Surveillance of bodies in workplaces, schools, and medical settings Racism, anti-fat bias, ableism, transmisia, and other forms of oppression Leslie talks about clients who restrict food so their children can eat when jobs cut hours, and how people in larger bodies often avoid eating at work because of constant surveillance and judgment, only to experience intense hunger and binge episodes later. We explore how body hierarchies, moralization of food, school fitness testing, and lunch policing create conditions where an eating disorder can become a primary coping strategy. Leslie describes how, over time, this can become deeply embedded, with the brain chemistry colluding with the eating disorder to create a sense of safety that the larger system fails to provide. For Leslie, social justice work is inseparable from eating disorder work. If people had secure access to food, safe housing, living wages, and genuine body equity, many would not need to rely on eating disorders to feel safer, visible, or invisible. Justice work inside systems Leslie also describes her justice work with institutions, including: Facilitating Transformational Circles where diverse team members connect as humans and then talk honestly about processes that exclude or harm people Supporting clinics that operate in queer neighborhoods yet do not see queer clients, and helping them examine what in their client facing processes is pushing people away Working with community colleges on salary and promotion inequities, examining reviews, ranking systems, and feedback processes that keep certain groups from advancing Helping organizations rework intake forms, policies, and internal culture so that equity, belonging, and justicebecome real practices rather than buzzwords She reminds us that what often gets labeled as “DEI” is actually about justice, accessibility, and belonging for everyone, including veterans, people who breastfeed, people who need ramps and accessible bathrooms, and more. How to connect with Project HEAL and Leslie To apply for Project HEAL's Treatment Access programs Visit the Project HEAL website at projectheal.org and look for the section on Treatment Access. One application lets you indicate which services you want, including cash assistance, treatment placement, insurance navigation, and clinical assessment while that program is still active. Both individuals seeking care and providers who want to join the Healer's Circle start on the same site. Providers can share their identities, specialties, body size, languages spoken, and communities they love to serve, which helps Leslie make strong intersectional matches. To work with Leslie as a coach or consultant You can learn more about Leslie's equity and identity affirming eating disorder recovery coaching and social justice consulting at: Website: Liberati Wellness liberatiwellness.com Instagram: @liberatiwellness She currently has a reduced capacity for one to one clients but continues to support individuals and teams through coaching, collaboration with therapists and dietitians, and organizational justice work. If this episode resonated with you If you are struggling with an eating disorder and feel blocked by money, insurance, or access, I hope this episode helps you feel less alone and more resourced. There are people and organizations actively working to break financial barriers to care. If you know someone who could benefit from free or low-cost eating disorder support, especially someone from a marginalized community, please consider sharing this episode with them. You can also support this work by: Following @liberatiwellness and @projectheal Sharing Project HEAL's application info with your community If you are a provider, applying to join the Healer's Circle and offering sliding scale or pro bono care And as always, thank you for listening and for being part of this conversation about justice, embodiment, and eating disorder recovery.

Some of Logan Health's medical staff are unionizing. They say the Kalispell-based hospital system has chronically understaffed its primary care clinics, degrading working conditions.

At least 280 childcare spaces were affected by the Eaton and Palisades fires in January. LAist reporter Libby Rainey and early childhood senior reporter Elly Yu followed two women who ran childcare businesses out of their homes until the Eaton Fire destroyed them. In this episode of Imperfect Paradise, they look at how these two childcare providers are rebuilding their lives and businesses, the catch-22 they found themselves in around government assistance, and the state of the child care industry at large. For more, you can read Libby’s latest reporting on Felisa Wright and Elly’s story on Francisca Gunawardena on LAist.com. This LAist podcast is supported by Amazon Autos. Buying a car used to be a whole day affair. Now, at Amazon Autos, you can shop for a new, used, or certified pre-owned car whenever, wherever. You can browse hundreds of vehicles from top local dealers, all in one place. Amazon.com/autos Grow your business no matter what stage you’re in. Sign up for a one-dollar-per-month trial period at SHOPIFY.COM/paradise Visit www.preppi.com/LAist to receive a FREE Preppi Emergency Kit (with any purchase over $100) and be prepared for the next wildfire, earthquake or emergency! Support for this podcast is made possible by Gordon and Dona Crawford, who believe that quality journalism makes Los Angeles a better place to live.

At least 280 childcare spaces were affected by the Eaton and Palisades fires in January. LAist reporter Libby Rainey and early childhood senior reporter Elly Yu followed two women who ran childcare businesses out of their homes until the Eaton Fire destroyed them. In this episode of Imperfect Paradise, they look at how these two childcare providers are rebuilding their lives and businesses, the catch-22 they found themselves in around government assistance, and the state of the child care industry at large. For more, you can read Libby’s latest reporting on Felisa Wright and Elly’s story on Francisca Gunawardena on LAist.com. This LAist podcast is supported by Amazon Autos. Buying a car used to be a whole day affair. Now, at Amazon Autos, you can shop for a new, used, or certified pre-owned car whenever, wherever. You can browse hundreds of vehicles from top local dealers, all in one place. Amazon.com/autos Grow your business no matter what stage you’re in. Sign up for a one-dollar-per-month trial period at SHOPIFY.COM/paradise Visit www.preppi.com/LAist to receive a FREE Preppi Emergency Kit (with any purchase over $100) and be prepared for the next wildfire, earthquake or emergency! Support for this podcast is made possible by Gordon and Dona Crawford, who believe that quality journalism makes Los Angeles a better place to live.

At least 280 childcare spaces were affected by the Eaton and Palisades fires in January. LAist reporter Libby Rainey and early childhood senior reporter Elly Yu followed two women who ran childcare businesses out of their homes until the Eaton Fire destroyed them. In this episode of Imperfect Paradise, they look at how these two childcare providers are rebuilding their lives and businesses, the catch-22 they found themselves in around government assistance, and the state of the child care industry at large. For more, you can read Libby’s latest reporting on Felisa Wright and Elly’s story on Francisca Gunawardena on LAist.com. This LAist podcast is supported by Amazon Autos. Buying a car used to be a whole day affair. Now, at Amazon Autos, you can shop for a new, used, or certified pre-owned car whenever, wherever. You can browse hundreds of vehicles from top local dealers, all in one place. Amazon.com/autos Grow your business no matter what stage you’re in. Sign up for a one-dollar-per-month trial period at SHOPIFY.COM/paradise Visit www.preppi.com/LAist to receive a FREE Preppi Emergency Kit (with any purchase over $100) and be prepared for the next wildfire, earthquake or emergency! Support for this podcast is made possible by Gordon and Dona Crawford, who believe that quality journalism makes Los Angeles a better place to live.

At least 280 childcare spaces were affected by the Eaton and Palisades fires in January. LAist reporter Libby Rainey and early childhood senior reporter Elly Yu followed two women who ran childcare businesses out of their homes until the Eaton Fire destroyed them. In this episode of Imperfect Paradise, they look at how these two childcare providers are rebuilding their lives and businesses, the catch-22 they found themselves in around government assistance, and the state of the child care industry at large. For more, you can read Libby’s latest reporting on Felisa Wright and Elly’s story on Francisca Gunawardena on LAist.com. This LAist podcast is supported by Amazon Autos. Buying a car used to be a whole day affair. Now, at Amazon Autos, you can shop for a new, used, or certified pre-owned car whenever, wherever. You can browse hundreds of vehicles from top local dealers, all in one place. Amazon.com/autos Grow your business no matter what stage you’re in. Sign up for a one-dollar-per-month trial period at SHOPIFY.COM/paradise Visit www.preppi.com/LAist to receive a FREE Preppi Emergency Kit (with any purchase over $100) and be prepared for the next wildfire, earthquake or emergency! Support for this podcast is made possible by Gordon and Dona Crawford, who believe that quality journalism makes Los Angeles a better place to live.Support LAist Today: https://LAist.com/join

At least 280 childcare spaces were affected by the Eaton and Palisades fires in January. LAist reporter Libby Rainey and early childhood senior reporter Elly Yu followed two women who ran childcare businesses out of their homes until the Eaton Fire destroyed them. In this episode of Imperfect Paradise, they look at how these two childcare providers are rebuilding their lives and businesses, the catch-22 they found themselves in around government assistance, and the state of the child care industry at large. For more, you can read Libby’s latest reporting on Felisa Wright and Elly’s story on Francisca Gunawardena on LAist.com. This LAist podcast is supported by Amazon Autos. Buying a car used to be a whole day affair. Now, at Amazon Autos, you can shop for a new, used, or certified pre-owned car whenever, wherever. You can browse hundreds of vehicles from top local dealers, all in one place. Amazon.com/autos Grow your business no matter what stage you’re in. Sign up for a one-dollar-per-month trial period at SHOPIFY.COM/paradise Visit www.preppi.com/LAist to receive a FREE Preppi Emergency Kit (with any purchase over $100) and be prepared for the next wildfire, earthquake or emergency! Support for this podcast is made possible by Gordon and Dona Crawford, who believe that quality journalism makes Los Angeles a better place to live.

At least 280 childcare spaces were affected by the Eaton and Palisades fires in January. LAist reporter Libby Rainey and early childhood senior reporter Elly Yu followed two women who ran childcare businesses out of their homes until the Eaton Fire destroyed them. In this episode of Imperfect Paradise, they look at how these two childcare providers are rebuilding their lives and businesses, the catch-22 they found themselves in around government assistance, and the state of the child care industry at large. For more, you can read Libby’s latest reporting on Felisa Wright and Elly’s story on Francisca Gunawardena on LAist.com. This LAist podcast is supported by Amazon Autos. Buying a car used to be a whole day affair. Now, at Amazon Autos, you can shop for a new, used, or certified pre-owned car whenever, wherever. You can browse hundreds of vehicles from top local dealers, all in one place. Amazon.com/autos Grow your business no matter what stage you’re in. Sign up for a one-dollar-per-month trial period at SHOPIFY.COM/paradise Visit www.preppi.com/LAist to receive a FREE Preppi Emergency Kit (with any purchase over $100) and be prepared for the next wildfire, earthquake or emergency! Support for this podcast is made possible by Gordon and Dona Crawford, who believe that quality journalism makes Los Angeles a better place to live.

Host Brian Walsh takes up ImpactAlpha's top stories with editor David Bank. Up this week: The ambitious strategy behind New Mexico's $67 billion sovereign wealth fund; How the residential solar industry plans to stay competitive by eliminating dealer fees; And, how cities are building durable capital stacks for climate action, as federal support evaporates.Story links:“How New Mexico's $67 billion fund is using oil and gas revenues to build a clean energy economy,” by David Bank.“With tax credits expiring, cutting ‘dealer fees' could keep solar affordable,” by David Bank. “PosiGen bankruptcy highlights solar industry woes — and puts Brookfield in the hot seat,” by Amy Cortese.“Building durable financing for the energy transition and climate action in local communities,” by HIP Investors' Nick Gower.

Host Brian Walsh takes up ImpactAlpha's top stories with editor David Bank. Up this week: The ambitious strategy behind New Mexico's $67 billion sovereign wealth fund; How the residential solar industry plans to stay competitive by eliminating dealer fees; And, how cities are building durable capital stacks for climate action, as federal support evaporates.Story links:“⁠How New Mexico's $67 billion fund is using oil and gas revenues to build a clean energy economy⁠,” by David Bank.“⁠With tax credits expiring, cutting ‘dealer fees' could keep solar affordable⁠,” by David Bank. “⁠PosiGen bankruptcy highlights solar industry woes — and puts Brookfield in the hot seat⁠,” by Amy Cortese.“⁠Building durable financing for the energy transition and climate action in local communities⁠,” by HIP Investors' Nick Gower.

In this episode, Patrick Velliky, Chief External Affairs Officer at HaloMD, joins the podcast to discuss emerging trends in independent dispute resolution under the No Surprises Act. He shares insights on arbitration outcomes, key financial metrics, and how providers and facilities can use IDR to strengthen payer negotiations and stabilize revenue.This episode is sponsored by HaloMD.

In Montana, abortion access has been at times illegal, legal, and stuck in limbo. Providers have weathered bombings and arson, advocates and opponents have battled it out in court, and citizens have passed a constitutional amendment affirming a woman's right to choose. One listener wants to know more about the history of reproductive rights in Montana. MTPR's Aaron Bolton reports on the underground networks, political violence and landmark court cases that got us to where we are today.

Many med spa owners hesitate to partner with a private equity–backed group because they fear losing control of their practice, but the reality is far more nuanced. In this episode, guest John Wheeler, CEO of Alpha Aesthetics Partners and co-founder of Esthetics Center, explains why partnering with a private equity–backed platform is not an exit, but a chance to access broader resources, structure, and support. Tune in to learn what changes come with joining a platform, including new performance expectations, operational structure, and support systems.  Chapters00:00 Intro00:39 Banter03:16 Guest Background11:03 What is Alpha Aesthetic Partners?14:35 Can a Private Equity-Backed Platform Help My Practice?22:07 How can I discuss benchmarks with my providers?25:13 Where is aesthetic practice consolidation headed in the next five years?27:07 Access+27:41 Legal Takeaways29:20 OutroWatch full episodes of our podcast on our YouTube channel: https://www.youtube.com/@byrdadatto  Stay connected for the latest business and health care legal updates: WebsiteFacebookInstagramLinkedIn

Today's guest is Kelly Rice, MSHI, BSN, RN, CCDS, CDIP, CCS, CRC, a clinical documentation education specialist with HCPro and ACDIS. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form!  CEU info: Each ACDIS Podcast episode offers 0.5 ACDIS CEU which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first four days from the time of publication. To receive your 0.5 CEU, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/engaging-providers-remote-environment) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Sunday, December 7, at 11:00 p.m. Eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEU for this week's episode. Today's sponsor: Today's show is brought to you by HCPro's Provider Education Microlearning Series. Click here to learn more! (https://bit.ly/49DrqUN) ACDIS update: Submit your poster presentation proposal for the 2026 ACDIS conference by December 12! (https://www.surveymonkey.com/r/26poster) Submit your 2026 ACDIS Achievement Award nominations by December 12! (https://www.surveymonkey.com/r/26award) Register for the ACDIS & JustCoding Virtual Seminar, coming up on December 10, 12-3:20 p.m. Eastern! (https://bit.ly/43UUa9W)

Steven Delperdang of Google Cloud talks about trust; evolution of visibility; & and the big opportunities for logistics providers taking an AI-first approach. IN THIS EPISODE WE DISCUSS:   [03.08] After years spent at Caterpillar and Penske, how Steven is now using the 'One Google' approach to run Google's own internal supply chain and solve the legacy pain points he faced in his past roles, and exactly what's so transformative about this approach. "In my previous roles, many of the frustrations stemmed from fragmented systems and data siloes. You have a warehouse management system here, a transportation management system there, various auxiliary 1P and 3P systems – and often a lot of manual effort to stitch it all together." "Siloes are a major barrier, and consolidating data is critical. Logistics is simply a chain of interconnected events… so without that centralized view, you're only seeing a piece of the puzzle." "It's this centralized access that means we can perform more sophisticated analysis and our AI tools can draw on a much richer data set." [07.00] Why trust is such a big hurdle for providers who are already drowning in data, and the areas Google Cloud focus on to build that trust. [10.44] The evolution of visibility, why consolidating disparate data is so critical, and how Google is tackling disparate data problems to achieve true centralized access. "Everybody has basic visibility now, but that leap from dots on a map to true actionable insights is crucial. Basic visibility tells us what's happening. Our target for visibility tells you why it's happening, what's likely to happen next, and what you should do about it." [13.33] How Steven's experience of using Google Cloud to power Google's own global supply chain helps him strategize, and the business outcomes Google has achieved that other organizations can replicate. [16.12] The practical, day-to-day logistics problems Steven's team is currently solving with AI. "AI can help us cut through the noise." [21.21] How integrating Gemini AI has changed Steven's tools, and why he's seeing faster, better quality insights. [23.13] How the day-to-day work of Google Cloud's own analysts and developers has shifted with the addition of new AI capabilities. "For us, it's been a really significant shift up the value chain. Three years ago, a large proportion of my teams time was consumed by manual data extraction, cleansing, building bespoke reports for leaders. Today, we have less firefighting and the team can focus on more strategic work, more complex and impactful problems." [26.40] How Google is making high-powered AI tools usable for everyday logistics operators. [29.57] How Steven's past award-winning work at Caterpillar would have been different if he had had the Google Cloud tools that exist today. [32.47] From hyper-personalized insights to AI-driven collaboration, the biggest untapped opportunity for logistics providers ready to embrace an AI-first approach.   RESOURCES AND LINKS MENTIONED:   Head over to Google Cloud's website now to find out more and discover how they could help you too. You can also connect with Google Cloud and keep up to date with the latest over on LinkedIn, X (Twitter) or YouTube, or you can connect with Steven on LinkedIn. Check out our other podcasts HERE.

Send us a text Stop Starving Postpartum Mothers: The Dangerous Lie of the 300-500 Calorie Postpartum Diet RecommendationThe 300-500 calorie recommendation for breastfeeding?  It's fundamentally flawed, based on decades-old data scaled down from men, and is actively keeping postpartum mothers nutritionally depleted. Maranda is exposing this colossal gap in maternal health. Learn the real metabolic demands of healing, the truth about nutrient depletion, and the 1100–1600 extra calories needed for holistic recovery. This is the key to unlocking lasting solutions for your clients struggling with exhaustion and mood disorders.Check out this episode on the blog HERE: https://postpartumu.com/podcast/the-300-500-calorie-myth-why-standard-postpartum-nutrition-advice-is-starving-mothers-ep-244/Key time stamps: 02:12: Defining the 300-500 calorie myth and its inadequate nature.03:45: The shocking history: RDAs based on male bodies, not women.06:40: The massive nutrient depletion caused by pregnancy and birth.08:15: Milk production costs 500-700 calories—consuming the entire recommendation.09:30: Energetic demands: Tissue healing, blood rebuilding, hormone recalibration.10:18: The shocking truth: Moms need 1100–1600 extra calories a day.11:55: The focus of current science is accommodating weight loss, not healing.13:00: 80% of postpartum women are depleted in key nutrients.14:50: Why the body literally cannibalizes bones and teeth for milk.16:30: The solution: Focusing on nutrients, not just calories.17:00: Protein needed: 80 to 120 grams per day for tissue repair.17:55: Importance of therapeutic micronutrients (beyond RDA levels).18:40: The damaging effect of calorie restriction on postpartum hunger signals.19:50: Restricting calories triggers a stress response and leads to weight retention.20:45: The myth that breastfeeding guarantees automatic weight loss.21:40: Prolactin, the lactation hormone, triggers fat storage—it's protective.22:30: The 300-500 calorie recommendation needs to die.NEXT STEPS:

GSM = genitourinary syndrome of menopause - it is a mouthful - and a very common experience. Today Dr. Corinne Menn and Dr. Casperson talk all about it. This audio is taken from an IG live - follow us both there! In a world where women's health often takes a backseat, the conversation surrounding vaginal hormones is crucial yet frequently misunderstood. We dive deep into the complexities of vaginal estrogen, dispelling common myths and providing clarity on its importance for women, especially those facing menopausal challenges. Dr. Menn's IG To my fellow clinicians: listen to the You Are Not Broken podcast on ⁠Pinnacle's network to earn FREE CME credit⁠ Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠ To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠via4her.com⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at ⁠⁠hcp.solvwellness.com⁠⁠. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Conversación con los autores del caso clínico publicado en International Journal of Emergency Medicine (2025) En este episodio del ECCpodcast, conversamos con los autores del caso "Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting"—un fenómeno sorprendente y todavía poco comprendido: la conciencia inducida por RCP (CPRIC). Hablamos con Jose Daniel Yusty-Prada y Jose Luis Piñeros-Alvarez, quienes documentaron la historia de un paciente de 80 años que, sin haber recuperado pulso, comenzó a moverse, hacer sonidos y quitarse el equipo… durante las compresiones torácicas. Este caso abre una conversación fundamental sobre la fisiología, el manejo clínico, la ética y la capacitación necesaria para enfrentar CPRIC en entornos reales. Contexto del Caso El paciente colapsó en un área pública, rápidamente reconocido como un paro cardíaco presenciado. Los testigos iniciaron compresiones inmediatas, y un equipo BLS llegó con un AED, confirmando un ritmo desfibrilable. Durante los ciclos iniciales de RCP, el paciente comenzó a: flexionar las piernas, mover brazos, intentar remover el BVM y los parches, vocalizar sonidos, y mover la cabeza. Todo esto sin pulso palpable y sin signos de perfusión sostenida. Los movimientos desaparecían al detener las compresiones y reaparecían al reanudarlas: un patrón clásico de CPRIC. Esto provocó interrupciones prematuras por parte del equipo, dudas entre los testigos e incluso conflictos psicológicos en los rescatistas, quienes inicialmente pensaron que el paciente "despertaba". Finalmente, tras múltiples desfibrilaciones y sin sedación disponible en protocolo, se logró ROSC. ¿Qué es CPR-Induced Consciousness (CPRIC)? Los autores explican que CPRIC es un fenómeno real, probablemente subdiagnosticado, en el cual un paciente sin pulso presenta: Formas interferentes Intentar quitarse dispositivos Empujar a los rescatistas Movimientos coordinados Vocalizaciones Mover cabeza, brazos o piernas Formas no interferentes Parpadeo Mirada fija o seguimiento Suspiros Movimientos mínimos La evidencia señala que CPRIC ocurre más en: paros presenciados, ritmos desfibrilables, paro de causa cardiaca, CPR de alta calidad, y pacientes sin daño cerebral previo severo. Cada vez vemos más casos porque estamos dando mejor RCP, con mayor perfusión cerebral y más equipos con feedback. Retos del Caso: Técnica, logística y psicología Uno de los aspectos más valiosos del episodio es cuando los autores discuten cómo el fenómeno impacta al equipo. 1. Interrupciones prematuras Los movimientos llevaron al equipo a detener compresiones 30–40 segundos antes del análisis del AED, y esto puede comprometer el éxito de la desfibrilación. 2. Manejo de vía aérea Los movimientos orales hicieron imposible avanzar más allá del OPA + BVM. Intentar insertar una supraglótica se volvió riesgoso. 3. Interferencia del público Familiares y testigos gritaban que el paciente estaba "despertando" y pedían detener la RCP. Esto modificó la toma de decisiones del equipo. 4. Dilema ético y emocional Los autores describen la experiencia como "desconcertante", incluso sabiendo que el paciente estaba en VF refractaria.   Sedación en CPRIC: ¿Cuándo? ¿Cómo? ¿Con qué? El artículo y los autores coinciden en que la evidencia actual favorece el uso de ketamina para manejar CPRIC interferente: 0.5–1 mg/kg IV o bolos de 50–100 mg Ventajas: No compromete presión arterial No deprime respiración Inicio muy rápido Ayuda en estrés psicológico post-evento Sin embargo: La mayoría de los sistemas en Latinoamérica no tienen protocolos Providers temen administrar sedación en pleno paro No existe guía formal de AHA o ERC ILCOR solo tiene un best practice statement Los autores recalcan que la sedación debe considerarse solo si CPRIC interfiere con las maniobras. Lecciones para EMS y emergencias Los autores destacan tres grandes enseñanzas: 1. CPRIC no es ROSC Si no hay pulso, no hay circulación espontánea, aunque el paciente hable o se mueva. 2. La educación pública es crucial Los testigos pueden ejercer presión equivocada. Es necesario explicar durante la escena qué está pasando. 3. Los sistemas deben crear protocolos ya Incluyendo: reconocimiento temprano decisiones sobre sedación documentación comunicación con familiares entrenamiento en simulación Por qué este caso es importante Este artículo es uno de los pocos reportes en un paciente geriátrico, resalta desafíos culturales en Latinoamérica y propone la urgente necesidad de estandarización internacional. CPRIC seguirá aumentando porque la RCP sigue mejorando. Y si no lo reconocemos, aumentarán: interrupciones innecesarias, conflictos en escena, mala calidad de RCP, y peor pronóstico. Llamado a la acción para la comunidad Si este episodio te hizo reflexionar: ðŸ'‰ Únete al ECCnetwork: https://ecctrainings.circle.so ðŸ'‰ Conoce nuestros cursos premium: ACLS, Manejo Avanzado de Vía Aérea, Emergency Nursing, Critical Care, TCCC-CMC www.ecctrainings.com ðŸ'‰ Lee el artículo completo: https://link.springer.com/article/10.1186/s12245-025-01032-w Yusty-Prada, J.D., Portuguez-Jaramillo, N.E. & Piñeros-Alvarez, J.L. Cardiopulmonary resuscitation-induced consciousness in an elderly patient: a case report in the prehospital setting. Int J Emerg Med 18, 230 (2025). https://doi.org/10.1186/s12245-025-01032-w

SummaryIn this episode, Sean M Weiss and Terry Fletcher discuss the complexities of compliance in healthcare, particularly as the year comes to a close. They explore the importance of understanding revenue cycle management, the disconnect between clinical and payer policies, and the necessity of reading contracts thoroughly. The conversation emphasizes the need for common sense in clinical practices and the critical role of compliance programs in healthcare settings.TakeawaysThe importance of understanding revenue cycle management as the year ends.There is often a disconnect between clinical policies and payer policies.Providers must read and understand their contracts before signing.Medicare sets the standard for many insurance companies' policies.Insurance companies prioritize profit over patient care.Common sense is crucial in clinical practices and billing.Services should only be billed once completed, not prematurely.A written compliance plan is essential for healthcare practices.Compliance programs should be dynamic and regularly updated.Payer policies must align with clinical practices for effective compliance.

In this episode of the You Are Not Broken podcast, Dr. Alexandra Dubinskaya, a urogynecologist, discusses the role of vibrators in women's health, particularly in addressing sexual health issues. She shares her journey into the field of urogynecology, the importance of sexual health, and her groundbreaking research on vibrators. The conversation explores the implications of her findings, the cultural perceptions surrounding sexual health, and practical recommendations for healthcare providers. Dr. Dubinskaya emphasizes the need for further research and the potential benefits of vibrators in improving blood flow and addressing conditions like lichen sclerosis and atrophy. Takeaways Vibrators can improve blood flow to the pelvic area. Cultural perceptions of sexual health impact women's experiences. Research on vibrators is a new frontier in women's health. Vibrators can help with conditions like lichen sclerosis and atrophy. The importance of sexual health in urogynecology cannot be overstated. Women often feel more comfortable using vibrators externally. The 'use it or lose it' concept needs a nuanced approach. Healthcare providers should recommend vibrators as a common practice. Better questionnaires are needed to assess solo sexual activity. Future research should focus on creating user-friendly vibrators. https://drurogyn.com/ To my fellow clinicians: listen to the You Are Not Broken podcast on ⁠Pinnacle's network to earn FREE CME credit⁠ Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠ To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient materials or samples at hcp.solvwellness.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Maine Family Planning clinics treat STDs, bronchitis and tick bites. Because they also provide abortions, they've been hit by a new federal law that cuts them out of Medicaid. Now, they're cutting back on services to try to survive.For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.This episode was produced by Connor Donevan and Ava Berger, with audio engineering by Jimmy Keeley. It was edited by Diane Webber and Courtney Dorning. Our executive producer is Sami Yenigun.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy