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You Don't Want To Miss This One! SummaryIn this episode, Sean and Terry discuss the critical importance of proper documentation in healthcare, particularly focusing on the discrepancies that arise when dealing with cash patients versus insured patients. They emphasize that documentation should be consistent and thorough, regardless of the patient's financial status, to mitigate compliance risks and protect both providers and patients. The conversation also touches on the broader implications of healthcare practices, including the influence of insurance companies and pharmaceutical companies on treatment options.TakeawaysDocumentation should be universal across all patient types.Cash patients often receive inadequate documentation.Proper documentation protects against medical liability risks.Providers must document services regardless of insurance coverage.Documentation is essential for continuity of care.Inadequate records can harm patient care and outcomes.Compliance risks increase with poor documentation practices.Providers are responsible for documentation even after retirement.Audits can go back six years, regardless of provider status.Be proactive in documentation to prepare for audits.
Send us a textIf you're a postpartum provider, you know the juggle: supporting new moms while often navigating your own intense motherhood journey, battling burnout, and feeling stretched thin. This episode gets real with midwife Corina Fitch & Maranda who share their deeply personal struggles with postpartum mental health – from depression to bipolar disorder – and how those experiences completely shifted their approach to holistic postpartum care. If you're a doula, midwife, or any birth worker focused on maternal wellness and improving our current system, you'll want to hear this. They explore how understanding and embracing matrescence is crucial not just for your clients to thrive, but for you as well.Check out this episode on the blog HERE. Key time stamps: 0:43 Postpartum recovery is a multi-year transformation, not just weeks2:13 Corina's own postpartum depression fueled her passion for maternal wellness4:00 Even birth professionals face their own postpartum struggles10:48 Personal healing ignited innovative holistic maternal support programs17:05 Postpartum University grew from provider demand for root-cause healing for moms19:58 Many moms turn to alternative support after traditional healthcare fails them22:43 Postpartum University addresses the gap in provider education27:19 New laws push for extended, comprehensive postpartum care plans31:33 Pregnancy causes immediate brain changes & motherhood's lifelong impact.Connect with Corina: Corina Fitch is a Certified Professional Midwife and Neonatal Intensive Care nurse with over 27 years of experience in the field of maternal health. She is also a Certified Feminine Power Transformational Facilitator and has been leading women's circles and ceremonies for over 2 decades. Corina has three daughters, each one bringing deeper meaning to her work. In 2017, after experiencing postpartum depression following the birth of her third daughter, Corina founded MotherFly, an organization dedicated to supporting maternal wellness and thriving. Website | IG NEXT STEPS:
Riley Nickols, PhD, CEDS-C is a counseling and sport psychologist who specializes in working with athletes to address mental health and sport performance concerns. Currently, Dr. Nickols is the Senior Program Advisor for Athlete EDGE at EDCare in Denver, CO where specialized intensive eating disorder treatment is provided for athletes.He is also the founder of Mind Body Endurance, a group of providers with compassion and an expertise working with athletes, our providers aim to improve mental health, address sport concerns, optimize performance, facilitate healing, and restore freedom for athletes.In this episode we dive into athlete-specific eating disorder treatment and the need for higher levels of care for high-performance athletes.Listen to hear about:How eating disorders in athletes often go unnoticed or get misdiagnosedHow to approach an athlete who you are concerned about as a parent, coach, or friendWhy standard eating disorder treatment isn't always effective for athletesHow the treatment team collaborates to create an effective, sport-aligned recovery planWhen a higher level of care might be necessary for an athleteBalancing medical safety and psychological healing with an athlete's desire to keep trainingAnd so much more! Stay connected:Athlete Edge at ED Care on instagram: https://www.instagram.com/athlete_edge_at_edcare/Athlete Edge at ED Care website: https://eatingdisorder.care/athlete-edge/Mindy Body Endurance website: https://mindbodyendurance.com/Stevie's instagram: https://www.instagram.com/stevielynlyn/Stevie's website: https://stevielynrd.com/Join Dr. Nickols at the 4th annual virtual workshop: 2025 Eating Disorders in Sport:A Treatment Playbook for Providers on 7/25/25 use code STEVIE25 for 25% off
Dr. Harish Kinni, a triple-board-certified emergency medicine and critical care physician and assistant professor at the Mayo Clinic, provides an overview of the fundamentals of ventilator care for emergency department professionals. We will review key modes that we should know, the variables to set, how to adjust them for your patient's needs, and provide troubleshooting tips and tricks for when things suddenly go awry. This is sure to be one of the most helpful chapters of Always on EM, but don't let it take your breath away! CONTACTS X - @AlwaysOnEM; @VenkBellamkonda YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com REFERENCES & LINKS Swart P, Nijbroek SGLH, Paulus F, Neto AS, Schultz MJ. Sex Differences in Use of Low Tidal Volume Ventilation in COVID-19-Insights From the PRoVENT-COVID Study. Front Med (Lausanne). 2022 Jan 3;8:780005. doi: 10.3389/fmed.2021.780005. PMID: 35300177; PMCID: PMC8923734. McNicholas BA, Madotto F, Pham T, Rezoagli E, Masterson CH, Horie S, Bellani G, Brochard L, Laffey JG; LUNG SAFE Investigators and the ESICM Trials Group. Demographics, management and outcome of females and males with acute respiratory distress syndrome in the LUNG SAFE prospective cohort study. Eur Respir J. 2019 Oct 17;54(4):1900609. doi: 10.1183/13993003.00609-2019. PMID: 31346004. Swart P, Deliberato RO, Johnson AEW, Pollard TJ, Bulgarelli L, Pelosi P, de Abreu MG, Schultz MJ, Neto AS. Impact of sex on use of low tidal volume ventilation in invasively ventilated ICU patients-A mediation analysis using two observational cohorts. PLoS One. 2021 Jul 14;16(7):e0253933. doi: 10.1371/journal.pone.0253933. PMID: 34260619; PMCID: PMC8279424. Evans, Laura1; Rhodes, Andrew2; Alhazzani, Waleed3; Antonelli, Massimo4; Coopersmith, Craig M.5; French, Craig6; Machado, Flávia R.7; Mcintyre, Lauralyn8; Ostermann, Marlies9; Prescott, Hallie C.10; Schorr, Christa11; Simpson, Steven12; Wiersinga, W. Joost13; Alshamsi, Fayez14; Angus, Derek C.15; Arabi, Yaseen16; Azevedo, Luciano17; Beale, Richard18; Beilman, Gregory19; Belley-Cote, Emilie20; Burry, Lisa21; Cecconi, Maurizio22; Centofanti, John23; Coz Yataco, Angel24; De Waele, Jan25; Dellinger, R. Phillip26; Doi, Kent27; Du, Bin28; Estenssoro, Elisa29; Ferrer, Ricard30; Gomersall, Charles31; Hodgson, Carol32; Hylander Møller, Morten33; Iwashyna, Theodore34; Jacob, Shevin35; Kleinpell, Ruth36; Klompas, Michael37; Koh, Younsuck38; Kumar, Anand39; Kwizera, Arthur40; Lobo, Suzana41; Masur, Henry42; McGloughlin, Steven43; Mehta, Sangeeta44; Mehta, Yatin45; Mer, Mervyn46; Nunnally, Mark47; Oczkowski, Simon48; Osborn, Tiffany49; Papathanassoglou, Elizabeth50; Perner, Anders51; Puskarich, Michael52; Roberts, Jason53; Schweickert, William54; Seckel, Maureen55; Sevransky, Jonathan56; Sprung, Charles L.57; Welte, Tobias58; Zimmerman, Janice59; Levy, Mitchell60. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Critical Care Medicine 49(11):p e1063-e1143, November 2021. | DOI: 10.1097/CCM.0000000000005337 Fan E, Del Sorbo L, Goligher EC, Hodgson CL, Munshi L, Walkey AJ, Adhikari NKJ, Amato MBP, Branson R, Brower RG, Ferguson ND, Gajic O, Gattinoni L, Hess D, Mancebo J, Meade MO, McAuley DF, Pesenti A, Ranieri VM, Rubenfeld GD, Rubin E, Seckel M, Slutsky AS, Talmor D, Thompson BT, Wunsch H, Uleryk E, Brozek J, Brochard LJ; American Thoracic Society, European Society of Intensive Care Medicine, and Society of Critical Care Medicine. An Official American Thoracic Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine Clinical Practice Guideline: Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome. Am J Respir Crit Care Med. 2017 May 1;195(9):1253-1263. doi: 10.1164/rccm.201703-0548ST. Erratum in: Am J Respir Crit Care Med. 2017 Jun 1;195(11):1540. doi: 10.1164/rccm.19511erratum. PMID: 28459336. Alhazzani W, Møller MH, Arabi YM, Loeb M, Gong MN, Fan E, Oczkowski S, Levy MM, Derde L, Dzierba A, Du B, Aboodi M, Wunsch H, Cecconi M, Koh Y, Chertow DS, Maitland K, Alshamsi F, Belley-Cote E, Greco M, Laundy M, Morgan JS, Kesecioglu J, McGeer A, Mermel L, Mammen MJ, Alexander PE, Arrington A, Centofanti JE, Citerio G, Baw B, Memish ZA, Hammond N, Hayden FG, Evans L, Rhodes A. Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19). Crit Care Med. 2020 Jun;48(6):e440-e469. doi: 10.1097/CCM.0000000000004363. PMID: 32224769; PMCID: PMC7176264. Wang W, Scharfstein D, Wang C, Daniels C, Needham D, Brower R, NHLBI ARDS Clinical Network. Estimating the Causal Effect of Low Tidal Volume Ventilation on Survival in Patients with Acute Lung Injury. J R Stat Soc Ser C Appl Stat. 2011. PMC: PMC3197806 Brower RG, Thompson BT, NIH/NHLBI/ARDSNetwork. Tidal volumes in acute respiratory distress syndrome--one size does not fit all. Crit Care Med. 2006. Hager DN, Krishman JA, Hayden D, Brower RG, ARDSNet NIH / NHLBI. Tidal Volume Reduction in Patients with acute Lung Injury When Plateau Pressures Are Not High. Am J Resp Crit Care Med. 2005. Rubenfeld GD, Cooper C, Carter G, Thompson BT, Hudson LD. Barriers to providing lung protective ventilation to patients with acute lung injury. Crit Care Med. 2004. Chatburn RL, El-Khatib M, Mireles-Cabodevila E. A taxonomy for mechanical ventilation: 10 fundamental maxims. Respir Care. 2014 Nov;59(11):1747-63. doi: 10.4187/respcare.03057. Epub 2014 Aug 12. PMID: 25118309. Guo L, Wang W, Zhao N, Guo L, Chi C, Hou W, Wu A, Tong H, Wang Y, Wang C, Li E. Mechanical ventilation strategies for intensive care unit patients without acute lung injury or acute respiratory distress syndrome: a systematic review and network meta-analysis. Crit Care. 2016 Jul 22;20(1):226. doi: 10.1186/s13054-016-1396-0. PMID: 27448995; PMCID: PMC4957383. Rice TW, Wheeler AP, Bernard GR, Hayden DL, Schoenfeld DA, Ware LB, NIH NHLBI ARDS Network. Comparison of the Sp02/FI02 Ratio and the PaO 2/FI02 in Patients with Acute Lung Injury or ARDS. Chest. 2007. Zhang G, Burla MJ, Caesar BB, Falank CR, Kyros P, Zucco VC, Strumilowska A, Cullinane DC, Sheppard FR. Emergency Department SpO2/FiO2 Ratios Correlate with Mechanical Ventilation and Intensive Care Unit Requirements in COVID-19 Patients. West J Emerg Med. 2024 May;25(3):325-331. doi: 10.5811/westjem.17975. PMID: 38801037; PMCID: PMC11112664. WANT TO WORK AT MAYO? EM Physicians: https://jobs.mayoclinic.org/emergencymedicine EM NP PAs: https://jobs.mayoclinic.org/em-nppa-jobs Nursing/Techs/PAC: https://jobs.mayoclinic.org/Nursing-Emergency-Medicine EMTs/Paramedics: https://jobs.mayoclinic.org/ambulanceservice All groups above combined into one link: https://jobs.mayoclinic.org/EM-Jobs
(Originally published 4/28/23): Many lawyers take on pro bono cases unaware of the vicarious trauma they can experience when helping clients in extreme situations. Hear Akin Pro Bono partner Lauren Connell and interactive learning expert Ken Rosenblad discuss the types of training that can help lawyers manage their mental health — and become more effective advocates. Want to hear about new Pursuing Justice releases? Subscribe to our monthly pro bono emails Explore our Pro Bono programs and resources Learn about our Pro Bono Memberships and Scholarships for qualified organizations and individuals Please note: CLE is not offered for listening to this podcast, and the views and opinions expressed within represent those of the speakers and not necessarily those of PLI.
Host: Dr. Ashlee Gethner, LCSW – Child of a Police Officer Jennifer Woosley Saylor, LPCC S – Child of a Police Officer Guest: Chief Deputy Justin Miller, Kenosha Sheriff’s Office Episode Overview: In this insightful episode, Ashlee and Jennifer, welcome Chief Deputy Justin Miller from the Kenosha County Sheriff’s Office. Chief Deputy Miller shares his journey from serving as a Navy psychiatric technician to law enforcement leadership, opening up about how personal experiences and organizational gaps in mental health support shaped his mission to prioritize officer wellness. Key Topics Covered The Struggle for Support: Chief Deputy Miller recounts moments where, due to budget cuts, Employee Assistance Programs (EAP) and peer support teams were unavailable, leaving officers without organizational resources for mental well-being. Personal Impact: He discusses the life events that first drew his attention to the importance of officer mental health, from the suicide of a significant other to his own family losses, and the organizational culture’s lack of compassion. Culture Shift in Law Enforcement: The conversation delves into the challenges of changing a deeply ingrained “rub dirt on it” mindset, and how being promoted doesn’t always mean having a real voice for change. Innovative Wellness Initiatives: Chief Deputy Miller outlines current strategies in his department. Breaking the Stigma: Chief Deputy Miller explains how officer education, transparency, and leadership modeling are critical for long-term cultural change. Family & Community Impact: The importance of involving officer families in wellness programs—offering access to resources, education, and community-building events. Advice for Leaders & Providers: For law enforcement administrators - Be humble, open to new ideas, prioritize serving your people, and build cultures where feedback leads to actionable change. For mental health professionals - There’s a pressing need for more providers trained to understand first responder culture, as well as resources tailored for both officers and their families. From Struggle to Success: Chief Deputy Miller shares that Kenosha has achieved zero vacancies in both patrol and corrections—a rarity in the current law enforcement climate—and credits a strong, invested culture of wellness and leadership development. Resources Mentioned: Cortico Wellness App Smart Dollar (Ramsey Solutions) The Fearless Organization by Amy C. Edmondson The Ideal Team Player by Patrick Lencioni If this episode resonated with you or if you have stories to share about living with a first responder, reach out to Ashlee and Jennifer on their social media platforms! Thank you for tuning in! Don't forget to subscribe, rate, and review "When The Call Hits Home" on your favorite podcast platforms! Follow Us: - Facebook: When The Call Hits Home Podcast - Instagram: @whenthecallhitshome - Whenthecallhitshome.com --- This podcast does not contain medical / health advice. It is not intended to be a substitute for professional medical or mental health advice, diagnosis or treatment and should not be relied on as health or personal advice. The information contained in this podcast is for general information purposes only. The information is provided by Training Velocity LLC and while we endeavour to keep the information up to date and correct, we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the Podcast or the information, products, services, or related graphics contained in the podcast for any purpose. Any reliance you place on such information is strictly at your own risk. WE ARE NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS PODCAST. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have heard on this podcast.
Send us a textAs a postpartum provider, functional health practitioner, and perinatal nutritionist, you're likely being asked daily: "What's the best postnatal vitamin?" But here's the uncomfortable truth: the supplement market, especially for postpartum nutrition, is a wild west, riddled with misleading practices and products that could be doing more harm than good. Forget the simple brand recommendations. This episode pulls back the curtain on white labeling in supplements, reveals why so many popular brands are problematic, and empowers you to identify high-quality, bioavailable nutrients your clients actually need. We're challenging the "pill for every ill" mentality and arming you with the science to truly nourish depleted postpartum moms at the root.Check out this episode on the blog HERE. Key Time Stamps: 00:54: The Postnatal Supplement White Labeling Scam (Why Most Brands are Problematic)04:31: Spotting a Fake: How to Identify Low-Quality Postpartum Supplements08:22: Beyond Folic Acid: Crucial Checks for High-Quality Postpartum Vitamins10:42: Food First: Why Real Food Outperforms Postpartum Supplements (Science-Backed)13:25: The Supplement Trap: How Isolated Nutrients Can Harm Postpartum Moms15:20: When Supplements Are Needed: A Provider's Guide for Postpartum Depletion18:50: Topical Magnesium & Beyond: Optimal Delivery Methods for Postpartum Absorption27:21: Your Checklist: What to Look for in a Truly Effective Postpartum Supplement28:38: Advanced Biochemistry: Navigating Nutrient Interactions in Postpartum Supplements31:14: The P5P Controversy: Understanding B6 Risks for Postpartum Mental Health36:50: Herbs as Medicine: Ancient Wisdom for Modern Postpartum Nourishment40:17: Precision Matters: Empowering Postpartum Providers in Supplement AssessmentNEXT STEPS:
Peter Fegan has revealed on 4BC Breakfast how much profit the big energy companies are making on your power bill.See omnystudio.com/listener for privacy information.
Yes! You are in! Are you a strong man? Are you a strong woman? What is a strong man? Whoa, lot's of questions. That's what we do here. Getting Real and Pursuing Truth, oh and if you dig that opening hook, that is Marcus Rogers, Best Life, please buy/subscribe his music, here you go...Thank you Robert D. Wooten, making his debut as the play of the day on FriDudes. NPHX not your debut yet major kudos for having that strong man speak. I strongly encourage you to listen to the rest of that message, which can be found at this link in the show description...https://youtu.be/5bneMdVZHxM?si=nhoBZHQ4eDIFhkHGWays of the world will judge and say what is toxic. Toxic masculinity? You know what I call toxic? Saying that if you are a certain gender or race that you are automatically toxic. That is discrimination. The Dr. Reverend Martin Luther King Jr., a black life with whom we celebrate and even honor with a national holiday says, "Let us select by content of character...not by color of skin.". Gender can apply to that statement too."I have a dream that my four little children will one day live in a nation where they will not be judged by the color of their skin, but by the content of their character." Didn't we just have an episode on about not judging? Yes! And I so appreciate MLK Jr.'s words. If we are to be judged, let it not by something trivial like skin color or gender, etc. Character. ISo let's get real and pursue some truth more. We know the danger verse of judging (if not, back up one episode). We know that verse that we are all flawed...Rom 3:23. So we know there is no perfect character. Yet we also know there are stronger characters than others. We know a stronger character will show fruits of the spirit...Galatians 5:22 NLTBut the Holy Spirit produces this kind of fruit in our lives: love, joy, peace, patience, kindness, goodness, faithfulnessNLT: New Living Translationhttps://www.bible.com/bible/116/gal.5.22So a Strong Man = Strong Character. Same with a strong woman. Think about your favorite people. Do you love people that take advantage of you or treat you with respect, the fruits mentioned above with character? Yes, I love rhetorical questions. Confession, at times, I have not been a Strong Man. Avid listener, you know my dirt....if not back up, perhaps even to episode 1...if you dare. Yet a Strong Man will confess in order to be healed, James 5:16. A strong man will turn where needed and correct what can be corrected. In progress right now.Are you worthy to be served/submitted? Many religious like to point out wives submit to your husbands. Not many point how it opens in Ephesians 5. 21 And further, submit to one another out of reverence for Christ. Eph 5:21https://www.bible.com/bible/116/EPH.5.NLTConfession, it is much easier to serve one another when we have our A games. However, on the days we don't, what did/does your Jesus Christ do for you? Does he forgive you? If you believe and choose John 3:16 and Rom 8:1, then, yes, absolutely. That's a Strong and Amazing Grace Savior.Matt 22: 36-40
Do patients and their healthcare teams view the impact of indolent systemic mastocytosis on quality of life in the same way? In this episode of The Itch Review, we unpack key findings from a May 4, 2025, descriptive study from The Journal of the Advanced Practitioner in Oncology, “Patient and Advanced Practitioner Perspectives on Symptom Burden and Symptom Management in Indolent Systemic Mastocytosis.” Is there a disconnect between what patients feel and what providers think when it comes to indolent systemic mastocytosis (ISM)? A new study suggests yes, revealing a mismatch between how patients and advanced practitioners (APs) perceive disease control and what that means for care. This episode dives into whether research like this could help bridge the gap between patient experience and clinical perspective. What we cover in our episode about the indolent systemic mastocytosis: Understanding ISM: What makes indolent systemic mastocytosis a unique multisystem condition? Symptom burden explained: Frequency, severity, duration, distress, and functional interference. Patient vs practitioner views: Understanding the most impactful symptoms differs from patient to AP. Practical tools: The Indolent Systemic Mastocytosis-Symptom Assessment Form (ISM-SAF) is a validated instrument that can be used to determine symptoms and severity. Barriers and solutions: Why tracking symptoms is hard and how clinics can improve coordination. AP-focused Toolkit: Resources to help nurse practitioners, PAs, and pharmacists provide patient-centered ISM care. GET THE INFOGRAPHIC HERE *** The Itch Review, hosted by Dr. Gupta, Kortney, and Dr. Blaiss, explores the latest allergy and immunology studies, breaking down complex research in conversations accessible to clinicians, patients, and caregivers. Each episode provides key insights from journal articles and includes a one-page infographic in the show notes for easy reference. *** This podcast is made in partnership with The Allergy & Asthma Network. Thanks to Blueprint Medicines for sponsoring today's episode. This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.
Overview: We explore the complexities of trust, cultural values, and intergenerational dynamics within the Filipino community, especially in accessing mental health and healthcare services. We discuss how deep-rooted traditions like family obligation, community support, and the stigma surrounding mental health influence care-seeking behaviors across generations. Through community-driven initiatives like Little Manila Rising, we highlight how culturally rooted, trauma-informed approaches—such as engaging churches, honoring ancestral spaces, and providing culturally competent care—foster healing, advocacy, and stronger relationships between healthcare providers and the community. Three Takeaways: Leveraging Churches and Food as Cultural ConnectorsBoth Hannah and Raj highlight practical strategies for bridging generational divides: churches are vital hubs for reaching elders (who may trust faith leaders more than therapists), while food acts as a unifier across age groups, providing a non-threatening entry point for community dialogue and engagement. Healing Hinges on Intergenerational Dialogue and Community-Led SpacesSpaces intentionally created for both young and old to share—such as wellness panels and focus groups—are potent for mutual understanding. There's a recurring theme that healing happens when the community is not just “served” but is leading and hosting the work, drawing on ancestral memory and lived experience Culturally Responsive Healthcare Goes Beyond ‘Cultural Competency'Tessa and Hannah stress that healthcare providers must go beyond textbook cultural competency. This includes offering trauma-informed care, involving families in treatment, actively engaging with community organizations (like Little Manila Rising), and educating themselves rather than outsourcing the labor of education to the community. Providers who do this, even if not sharing ethnic identity with patients, can vastly improve trust and outcomes. Resources: Little Manila Rising Next Step: Visit our website, Healthcare for Humans, and join our community to enjoy exclusive benefits at https://www.healthcareforhumans.org/support/ Support Our Mission: Non-clinicians, explore exclusive content and contribute to our collective journey. Be an Active Participant: Go beyond listening. Shape our narrative by co-creating episodes with us. Be part of our community by visiting https://www.healthcareforhumans.org/support/. Follow us on Instagram @healthcareforhumanspodcast
How can providers and the public health system help parents get their children off the juice? David W. Johnson and special guest Ann Somers Hogg debate the roles of providers and the public health system to help on, “Providers, Public Health, and Sugary Drinks,” the latest episode of the 4sight Health Roundup podcast, moderated by David Burda. Listen.Learn more about why America's kids are drowning in sugar from Ann Somers Hogg and the Christensen Institute.
People around the world got a first look at pictures and videos from the new Rubin Observatory in Chile on Monday. We take you to a watch party on Penn State’s University Park campus, to meet some of the professors who helped bring the project to life. UPMC is among the hospital systems in Pennsylvania no longer providing certain gender-affirming care for transgender patients next month. Providers are urging UPMC to reverse its decision. Suicide is the leading cause of gun-related deaths in Pennsylvania. The state is offering one million dollars in grants to help communities prevent these deaths. An intense and nearly historic weather pattern is cooking much of the U.S. under a dangerous heat dome this week with triple-digit temperatures in places that haven't been so hot in more than a decade. That includes the entire 19-county WITF listening area, which remains under an extreme heat advisory through 8 pm Wednesday. A Lancaster County police chief is fired, in the wake of a video of an off-duty traffic stop he conducted - in which he drew a gun and grappled with a motorcyclist. And in the town of New Berlin, Union County, a central Pennsylvania tradition is being put on hold this year. Support WITF: https://www.witf.org/support/give-now/See omnystudio.com/listener for privacy information.
SummaryIn this conversation, Sean Weiss and Terry Fletcher discuss the complexities of accountability in healthcare billing and coding. They explore the challenges providers face in ensuring compliance, the role of coders, and the importance of accurate documentation. The discussion highlights the need for clear communication and responsibility among all parties involved in the billing process, emphasizing that while providers have ultimate responsibility, everyone in the chain must be held accountable for their actions.TakeawaysProviders must ensure accuracy in claims submitted to insurance companies.The buck stops with the provider, regardless of third-party involvement.Coders should not make clinical decisions without proper credentials.There is a significant issue with billing compliance in healthcare.Providers need to educate their staff regularly on coding and billing guidelines.The importance of maintaining meticulous documentation cannot be overstated.Everyone involved in the billing process shares responsibility for compliance.Bad advice from consultants or attorneys can lead to serious consequences.The healthcare billing process is often a vicious cycle of blame.Providers should be proactive in understanding their billing practices.
Engaging with “bad actors” in medical billing can have serious consequences for both patients and healthcare providers. More and more providers are engaging without checking. Here's what could happen. Terry discusses it all with examples. Legal repercussions: Providers can face hefty fines, civil or criminal charges, and even loss of their medical license for engaging […] The post Watch out for “bad actors” on billing advice appeared first on Terry Fletcher Consulting, Inc..
Send us a textEver had a gut feeling that your client's postpartum depression or anxiety wasn't just about hormones? What if the real root is an unspoken birth experience, a wound that's been hiding in plain sight? This episode is a must-listen for anyone in perinatal mental health, functional health, or holistic postpartum care. Dr. Maya Weir peels back the layers of birth trauma, exploring its deep neurological effects, how it secretly shows up in the postpartum period, and why therapy alone often don't work. Transform how you support your postpartum clients, understand maternal trauma at its core, and add powerful somatic healing techniques to your toolbox. Check out the episode on the blog HERE. Key Time Stamps1:47 Redefining birth trauma as more than just emergencies3:00 Why grief is often at the heart of the trauma5:38 Trauma vs. mourning: Recognizing the deep emotional layers8:33 The surprising physiological & neurological signs of birth trauma10:17 Common hidden symptoms of living with unresolved birth trauma12:04 Misdiagnosing PPD/Anxiety when it's actually birth trauma13:54: Why talk therapy often falls short for birth trauma healing14:43 How somatic work helps the brain process trauma + bilateral stimulation and resourcing16:41 Exploring intergenerational healing and ancestral connections18:59 Why past traumas resurface intensely in postpartum20:10 Healing in parenthood21:27 Cultural wisdom about maternal healing and family patterns25:07 Integrating family constellation work26:09: A powerful somatic practice for any birth provider: 10-tap regulation.Connect with Dr. Maya Weir Dr. Maya Weir is a clinical psychologist specializing in birth trauma treatment and the emotional landscape of early parenthood. Her own experience of becoming a parent revealed how physically, emotionally, and psychologically intense the transition can be. She helps parents make sense of their journey, heal from birth trauma, and find more grounded, connected ways to move forward. Website | IGNEXT STEPS:
Today's episode features NH Mom Hub. Too many pregnant and postpartum moms in NH are falling through the cracks. Providers don't always know what's available, and moms are left to navigate systems alone. NH Mom Hub is changing that.The NH Mom Hub connects mothers and healthcare providers to compassionate, evidence-based mental health support. Through peer support, care navigation, and community collaboration, they ensure that no mother faces perinatal mental health challenges alone.For more information on NH Mom Hub please visit https://www.hopeonhavenhill.org/momhub/or https://www.facebook.com/profile.php?id=61575151827233NH Mom Hub Warmline - 603-403-3400Hope on Haven Hill - https://www.hopeonhavenhill.org/National Maternal Mental Health Hotline - 1-833-TLC-MAMA 852-6262988 Suicide and Crisis Lifeline Be sure to follow Dose of Good on social media for the latest updates on the Podcasthttps://www.facebook.com/profile.php?id=61552349588905https://www.instagram.com/dose_of_good_podcast/https://www.youtube.com/@DoseOfGoodPodcastIf you could rate and review the podcast in your podcast app, it would help more people discover Dose of Good. Also, make sure you subscribe so you never miss an episode.
Healthcare providers are under increasing pressure to meet consumer expectations without adding an administrative burden. According to a survey conducted by The Harris Poll in June 2024, 18% of the 2,092 American adults who were surveyed had received an unexpected medical bill of $1,000 or more in the past year, and 50% said they would not or weren't sure they could pay it. Moreover, 10% said they would delay or avoid essentials such as food or rent as a result. This financial uncertainty remains a leading reason patients delay or avoid care, underscoring the urgency of enhancing the patient financial journey to safeguard outcomes and revenue.What strategies can help health systems deliver a personalized patient experience while reducing operational complexity?On Highway to Health, host David Kemp speaks to Nicole Rogas, the President of RevSpring, about how the company is transforming the patient financial journey using data, automation, and empathy. Rogas shares how RevSpring is evolving far beyond its print roots, using analytics and adaptive technology to make financial engagement more personalized and accessible for patients, while easing the workload for providers.Key Highlights from the Episode:Personalized Communication at Scale: RevSpring's Engage IQ™ platform uses behavioral data, financial analytics, and communication preferences to tailor how and when patients are engaged via text, email, print, or voice.The Biggest Social Determinant: Rogas emphasizes that financial access is one of the most overlooked social determinants of health. When patients cannot understand or afford their care, it disrupts treatment adherence and outcomes.Empathy and Innovation in Leadership: Rogas reflects on her journey from Experian to Simpler and now RevSpring, underscoring how authentic leadership and mission-driven teams create the conditions for lasting transformation.Nicole Rogas is a veteran healthcare technology executive with over two decades of leadership experience spanning revenue cycle management, healthcare operations, and patient engagement. She spent 19 years at Experian Health, rising from sales roles to Chief Commercial Officer, where she led national growth strategies, client success, and post-acquisition integrations. Now President of RevSpring, she continues to drive innovation in patient financial engagement by leveraging data, technology, and a people-first leadership philosophy.
In this episode, I sit down with Erin Sullivan Wagner for a raw and powerful conversation about something that's too often ignored—sexual health in the context of cancer. Erin shares her personal experience with anal cancer, and what it was like to navigate the trauma of diagnosis and treatment while also feeling abandoned when it came to intimacy and her sexual well-being. We talk about the gaps in cancer care, especially when it comes to women. Why is it that sexual health is often dismissed or completely left out of the conversation? Erin and I unpack how deeply cultural biases and medical liability fears impact the way sexual health is (or isn't) addressed—especially for women. We also dive into the concept of prehabilitation—starting sexual health conversations before treatment begins—and why it's critical that providers get educated and empowered to offer resources, referrals, and support for their patients. Because survivorship isn't just about staying alive—it's about staying connected to your body, your relationships, and your pleasure. This is the conversation I wish every oncology team would hear. Cancer profoundly affects sexual health, yet it's often ignored. Erin's story is a powerful reminder of the trauma that comes with being left in the dark. There's a huge disconnect in how cancer care approaches female sexuality. Male sexual health gets prioritized—female sexual health, not so much. So many patients feel invisible when it comes to intimacy concerns. These conversations need to happen early, not after damage has been done. Cultural discomfort and medical fear of liability keep people from addressing sex. Women are rarely told what to expect sexually after cancer treatment. Quality of life includes sex, pleasure, and connection. We have to normalize sexual health in survivorship care. When we ignore it, the damage can be long-lasting and irreversible. Emotional intimacy matters as much as physical recovery. Prehabilitation should be standard practice. Providers need training—patients need validation and direction. Advocacy matters. This change starts with conversations like this. Youtube video - Erins Story https://www.aftercancer.co/ https://allofmeiowa.org/ Want more honest, empowering conversations like this one?Preorder my Next Book share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. 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 To learn more about GennaMD by Solv Wellness, visit gennaMD.com for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.com. 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 Learn more about your ad choices. Visit podcastchoices.com/adchoices
What if the only thing standing between you and the next level of your life wasn't strategy—but belief? In this electric crossover episode, Dr. Lauryn shares the mic with Dr. Jessica Emery, host of The Happy CEO, for a raw, empowering conversation on what it really takes to break free from the traditional healthcare mold and step into something more. Whether you're a chiropractor, dentist, or any kind of provider, this is your permission slip to think bigger.Together, Lauryn and Jessica unpack the mindset shifts required to build a personal brand, create new income streams, and expand your identity beyond your degree. They explore why hustle isn't always bad, how to balance masculine and feminine energy in business, and why fear keeps so many providers stuck. If you've ever felt called to something more but didn't know how to start, this episode is your blueprint.Key Takeaways:Mindset is the Foundation of Expansion: Healthcare providers often operate from a place of scarcity and fear, but growth begins when you believe you're capable of more than your credentials or clinical role.You Are the Brand: Personal branding is no longer optional—especially in 2025. Lauryn and Jessica explain how your authenticity, energy, and story are the most powerful tools for building trust and expanding your influence.Freedom Requires Strategy and Self-Work: From building multiple income streams to understanding your human design, providers need both business systems and personal insight to avoid burnout and scale sustainably.Start Before You're Ready: The path to success isn't about waiting for the right time—it's about creating space, investing in yourself, and stepping into rooms that expand your vision.About the Guest: Dr. Jessica Emery is a multi-passionate entrepreneur, brand strategist, and former cosmetic dentist who has successfully built multiple seven-figure businesses. After founding and scaling Sugar Fix Dental Loft in Chicago, she transitioned into coaching and content creation, helping healthcare professionals grow magnetic personal brands through her company, Happy CEO. Known for her vibrant energy and signature blend of mindset and marketing, Jessica now empowers women to live boldly, create impact, and turn their dream lives into reality.Follow Jessica: Website | Instagram Listen to Happy CEO: Spotify | AppleResources:Join the waitlist for Multipassionate EntrepreneurFor those interested in building a profitable personal brand in just two hours a week, check out Dr. Lauryn's new membership group Beyond Brick & Mortar!Sign up for the Weekly Slay newsletter!Follow She Slays and Dr. Lauryn: Instagram | X | LinkedIn |
Purchase this Podcourse here! Neuroplastic symptoms - also known as psychophysiologic or mind-body symptoms - represent a significant portion of clinical presentations, yet they are frequently misunderstood or overlooked in both medical and mental health settings. In this informative and practical Podcourse, which qualifies for one continuing education contact hour, Dr. David Clarke, a pioneer in the field of mind-body medicine, joins me, to explore the prevalence, psychosocial origins, and effective treatment strategies for neuroplastic symptoms. Through clinical examples, research findings, and actionable therapeutic approaches, participants will gain a comprehensive understanding of how unresolved emotional conflicts, trauma, and personality traits contribute to chronic, non-structural physical symptoms. Dr. Clarke also outlines simple, accessible methods therapists can use to assess and address these symptoms in their practice—even without extensive medical training. This course is ideal for mental health professionals seeking to broaden their clinical skills and improve outcomes for clients presenting with unexplained pain, fatigue, and other somatic complaints. By listening to this episode, you'll be able to: Describe the prevalence and nature of neuroplastic symptoms. Assess the psychosocial causes of neuroplastic symptoms. Develop strategies for the successful treatment of neuroplastic symptoms. If you are a therapist or counselor looking for continuing education, check out my NBCC Approved $5 Podcourses and other continuing education offerings.Plus, get your first Podcourse half off. Check out all my Counselor Resources. Coping with Political Stress eBook & Workbook: This 62-page guide is packed with reflection exercises, grounding practices, and strategies to help you manage media consumption and reconnect with your values. You can edit the ebook workbook with your branding and share with your clients. Not a therapist but want the guide, click HERE. Get Deep-Dive Therapist Conversation Framework (Printable PDF) Navigating Politics in Therapy Without Taking Sides: For my fellow therapists, this printable guide includes 97 essential questions to help you navigate political conversations in sessions with compassion and without taking sides. Get my Solution-Focused Therapy Guide: 72 Questions for Adult Clients + Therapist Prompts: This comprehensive, therapist-designed framework helps you confidently guide clients through strengths-based, forward-looking conversations using the principles of Solution-Focused Therapy (SFT). This tool supports adult clients in clarifying what they want, accessing their resources, and taking meaningful steps toward change. The Therapy Show with Lisa Mustard is for informational and entertainment purposes only and should not be considered a substitute for professional advice. Always consult with your own healthcare provider regarding any personal health or medical conditions.
In this conversation, the focus is on children's airway health, emphasizing its critical role in overall health and development. Brianna Reiser shares her personal journey and experiences with her children's airway issues, highlighting the importance of early diagnosis and treatment. The discussion covers various treatment approaches, including myofunctional therapy and the use of dental appliances, while also addressing the challenges of accessibility and the need for education in airway health for both parents and dental professionals. Want to see more of The Holistic Dentistry Show? Watch our episodes on YouTube! Do you have a mouth- or body-related question for Dr. Sanda? Send her a message on Instagram! Remember, you're not healthy until your mouth is healthy. So take care of it in the most natural way. Key Takeaways: (00:00) Introduction to Airway Health (00:54) Brianna's Personal Journey with Airway Health (02:53) Understanding Children's Airway Health (04:03) Identifying Symptoms in Children (06:59) Consulting Professionals for Solutions (08:20) Treatment Approaches for Airway Issues (10:13) The Role of Appliances in Treatment (12:24) Virtual Care and Accessibility (15:27) Educating Families and Providers (18:32) Conclusion and Resources Guest Info In this episode, we dive into an amazing opportunity for parents! Our friends at Toothpillow are offering a free video assessment with a licensed Airway Dentist in your state in addition to $200 off treatment. Here's how to claim your free consultation: Visit Toothpillow's Website Select “Is my child a candidate?” and fill out the online assessment form. When asked, “Who can we thank for referring you?”, be sure to list Holistic Dentistry to receive $200 off treatment. Check the box for a $50 virtual assessment and use the promo code Holistic Dentistry to waive the fee! Links Mentioned in This Episode: Toothpillow Website: www.toothpillow.com Toothpillow Instagram: Follow Toothpillow Brianna Reiser's Instagram: Follow Brianna Reiser Connect With Us: AskDrSanda | YouTube BeverlyHillsDentalHealth.com | Instagram DrSandaMoldovan.com | Instagram Orasana.com | Instagram
The state's budget is due in the next two weeks, but House members have already approved Governor Josh Shapiro’s proposal for spending on transit. Legislation approved by the state House of Representatives would increase oversight of hospital sales and acquisitions in Pennsylvania when they involve for-profit and private equity firms. Water providers in Pennsylvania say they’re reducing toxic chemicals known as PFAs from drinking water. It's happening at the same time the Trump administration is threatening to weaken federal regulations set just last year. Researchers at the University of Pennsylvania believe they’ve found a treatment that fights glioblastoma, the deadliest form of brain cancer. Jere Bagenstose is sentenced to 4 to 10 years in prison... for killing his estranged wife Maryann Bagenstose in 1984. The sentencing Tuesday brings an end to one of Lancaster County's oldest unsolved homicide cases. Now an update to a story we told you about earlier this week. The Adams County Commissioners are calling a controversial social media post by the Adams County sheriff “unacceptable.” Former staff at Lancaster County's Field of Screams are speaking out against what they describe as a hostile work environment. In a report by our partners at Spotlight PA, about 20 current and former volunteers who worked at Field of Screams covering a 15-year period through last year... describe a hostile environment where some unpaid adult staff sexually harassed, forcibly grabbed and groped young volunteers, and pressured teenagers into sex. Harrisburg's Juneteeth celebrations today include the city's Juneteenth Jubilee. This free event, held at Soldiers and Sailors Grove behind the Capitol kicks off at noon and features music, performances, children's activities and free food. Today is also Jubilee Day in Mechanicsburg, the longest-running one-day street fair on the East Coast. Support WITF: https://www.witf.org/support/give-now/See omnystudio.com/listener for privacy information.
SummaryIn this episode, the hosts discuss various pressing issues in healthcare, including the recent increase in CMS investigations into Medicare risk adjustment data, the challenges faced by providers in complying with insurance requests, and the implications of Medicaid eligibility changes. They also delve into the role of GLP-1 medications in weight loss and the importance of patient advocacy in navigating healthcare decisions. The conversation emphasizes the need for healthcare professionals to engage in meaningful dialogue with insurers and to advocate for their patients' needs.TakeawaysThe increase in CMS investigators for Medicare risk adjustment data is significant.Providers have the right to push back against unrealistic insurance requests.Medicaid is a state program designed for low-income individuals and specific groups.Work requirements for Medicaid eligibility are being proposed, affecting millions.GLP-1 medications are becoming popular for weight loss but come with high costs.Patients should advocate for themselves and ask questions about their treatment plans.Insurance companies often request excessive documentation, creating administrative burdens.The healthcare system is facing challenges with compliance and documentation accuracy.Understanding the implications of HCC coding is crucial for providers.The long-term effects of new medications are still largely unknown.
In this episode, Trevor sits down with Darrin Smith to talk about what actually matters when choosing the right health provider — and no, it's not just fancy letters behind their name. We dig into why vibe and energy matter in the treatment room, the power of truly being heard, and how the best care comes from a team that knows how to collaborate (not compete). We also pull back the curtain on some of the cracks in the traditional healthcare model and share what to look for if you want care that prioritizes you, not a quota. If you've ever felt stuck, rushed, or like your rehab plan was copy-pasted off Google, this one's for you. It's time to take ownership of your health with people who actually give a sh*t. Chapters 00:00 Introduction and Background 03:39 Finding the Right Provider 09:20 Setting Expectations and Goals 13:10 The Importance of Vibe and Energy 20:14 Empowerment and Ownership in Health 25:58 Navigating Patient Care and Team Dynamics 32:51 The Importance of Personalized Treatment Plans 39:25 Understanding Movement and Patient Education 45:30 Key Takeaways for Effective Healthcare Engagement
The founder of one of the country's longest-running alternative education organisations, is urging a re-think on how the sector is viewed.
At our Midweek Interactive Service, Pastor Yomi Badejo-Okusanya led a heartfelt conversation in honour of fathers and father figures. We reflected on Genesis 1:28, where God created and blessed man, and were reminded that fathers are called to reflect God's very nature. As carriers of His likeness, fathers are to embody Unconditional Love (Eph 5:25), remain Faithful (Heb 10:23), show Mercy (Matt 5:7), and serve as Providers who care deeply for their families (2 Cor 9:10, Gal 6:1). We declare blessing over all fathers: that they will lead with grace, love with intention, provide with wisdom, and restore with gentleness. May every father mirror the heart of our Heavenly Father and raise a godly generation with boldness and faith.
In this Becker's Healthcare Podcast, Dr. Gregg Miller, Chief Medical Officer at Vituity, discusses how to build a resilient healthcare workforce amid provider burnout and rising expectations. He shares practical strategies for empowering physicians and advanced providers through cultural pillars like engagement, shared decision-making, and well-being. Listeners will gain actionable insights for cultivating a supportive environment that helps clinicians move from surviving to thriving.This episode is sponsored by Vituity.
Send us a textDad brain is real: Men's brains change after baby arrives too!Ever wonder what happens to dads when a new baby enters the picture? We all know about the wild ride moms go through, but what about the silent, powerful transformation happening in partners? If you're a postpartum provider, perinatal mental health professional, or advocate for new parents, this episode is an absolute must-listen. We're discussing the biological brain changes in men after childbirth, the paternal identity shift, and why understanding these nuances is crucial for holistic postpartum care. You're about to uncover insights that will profoundly impact how you support new families, fathers in the postpartum period, and ultimately, maternal well-being. This isn't just about men's struggles; it's about empowering all parents to thrive in early parenthood.Check out the episode on the blog: https://postpartumu.com/podcast/what-happens-to-dads-after-baby-the-science-behind-dad-brain-ep-220/Key Time Stamps: 00:00: Intro: Unpacking fatherhood's unseen transformation. 03:17: The science of men's brain changes after baby. 04:34: Real-life impacts of paternal brain shifts. 06:13: Navigating increased anxiety and identity shifts in new fathers. 07:57: Relational strain and libido changes for dads. 09:32: Acknowledging male birth trauma and secondary trauma. 12:04: The invisible load: Financial stress and protector instincts in new fathers. 14:42: The societal pressure for men to "be strong." 15:29: Why "postpartum" is specific to mothers: The biological truth.18:05: The dangers of mislabeling paternal mental health.18:46: Accurate terms for paternal perinatal mental health. 19:14: Supporting fathers: Witnessing, educating, and partnership skills. 21:01: The vital balance: Supporting fathers without excusing absence. 22:11: Why a mother's postpartum journey is unique. 23:15: Holding both truths: Fathers change, postpartum is for mothers. 25:20: Call to action for providers and lasting impact on postpartum health.NEXT STEPS:
In this episode of The Pulling Curls Podcast, Hilary welcomes certified nurse midwife Juli Pyle to dive into the topic of informed consent in labor and delivery. Together, they break down what informed consent really means, the key components every patient should know, and how it plays out during childbirth. Juli and Hilary share personal stories from both sides—provider and patient—highlighting why these conversations matter and how they can empower you to make the best choices for your birth experience. Whether you're planning your first delivery or looking to better understand your options, this episode provides practical tips for having more effective, respectful discussions with your care team. Big thanks to our sponsor The Online Prenatal Class for Couples -- if you want to learn to communicate better, it is the class for you! Today's guest is Today's guest is Juli Pyle (she/her) a certified nurse midwife who practices at a community hospital in rural Pennsylvania. Juli was a stay at mom for many years to five children before deciding to return to school to pursue a degree in nursing. She graduated from Colorado Mesa University with a bachelors of science in nursing degree in 2016 and then began her nursing career as a labor and delivery nurse. She quickly discovered that this was her true passion (as she had suspected since having her own children) and quickly gained a reputation for professionalism, compassion and expertise among colleagues and patients. She then returned to Frontier Nursing University to complete a Master's degree in Nursing with an emphasis in midwifery. In 2020, she graduated and began as a certified nurse-midwife at a small community hospital in central Pennsylvania where she has been since that time. Her focus as a CNM is to provide evidence-based education to all birthing families, give true autonomy and informed consent throughout their time with her and to share love, understanding, empathy and true shared-decision making. When not immersed in the birthing world, she enjoys spending time refinishing furniture, gardening, raising and breeding different types of chickens, hiking and vacationing with her family. Links for you: Julie's previous Episodes: The Best Providers for Your Baby's Arrival: A Deep Dive with CNM Juli Pyle -- Episode 204 What Your Providers Think When You're in Labor with CNM Juli Pyle – Episode 189 Timestamps: 00:00 "Informed Consent Importance in Medicine" 04:20 Balancing Patient Communication and Time 09:24 Respectful Informed Consent Dynamic 10:29 Patient Choice in Labor Induction 14:06 Informed Consent for Episiotomy Decisions 18:17 Informed Consent for Induction 22:31 Labor Induction and Position Choices 25:56 Documenting Risk in Patient Decisions 29:16 Holistic Prenatal Care Approach 32:33 Nurses' Role in Informed Consent 35:45 Patient Communication with Providers 37:21 Importance of Informed Consent Keypoints: Informed consent in labor and delivery is a crucial and often misunderstood part of medical care, emphasizing the patient's right to understand and make decisions about what happens to their body. There are five main components of informed consent: patient understanding, absence of coercion, full disclosure of risks/benefits/alternatives, the right to decline, and documentation of the discussion. Time pressure, provider biases, and regional/cultural differences often affect how effectively informed consent is communicated in hospitals. Patients are encouraged to ask, at any point, for the risks, benefits, and alternatives to a procedure—it's their right, even for routine interventions. Some medical staff may overwhelm patients with information, while others may inadvertently minimize discussion; finding the right balance to suit each patient is key. Regional culture, age, language, and personal preference play huge roles in how much information patients want or are comfortable with during labor and delivery. Informed consent isn't just for major decisions like C-sections or epidurals—it can and should apply to things like cervical exams and labor positions, even in less formal, conversational ways. Declining a recommended intervention (e.g., breaking water, episiotomy, induction) is absolutely an option for patients, and the birth experience should support their decision, barring emergency situations. The benefits of midwifery care are highlighted, including a more holistic and consistent approach to informed consent and labor support, but ultimately provider style matters more than title. Good communication and shared decision-making between providers and patients help prevent birth trauma and litigation, reinforcing the importance of patients feeling informed and respected during their birth experience. Producer: Drew Erickson Keywords: informed consent, labor and delivery, childbirth, induction, epidural, c-section, certified nurse midwife, obstetrician, patient rights, shared decision making, medical risks, medical benefits, alternatives to treatment, refusal of treatment, documentation, birth trauma, labor nurse, pregnancy, patient-provider communication, cervical exam, water breaking, episiotomy, pain management, delivery positions, hospital protocols, regional differences in care, language barriers, birth plan, stillbirth risk, maternal fetal medicine
In this episode, number 322, I sit down with sex therapist Dr. Juliana Hauser for a deeply personal and powerful conversation about her experience with surgical menopause. She opens up about the decision-making process around her hysterectomy—what led her there, what she wishes she'd known beforehand, and how it impacted her physically, emotionally, and sexually. We discuss the importance of thoroughly understanding your hysterectomy options—not all procedures are the same, and having the right information can make a significant difference. Dr. Hauser shares how guided imagery became a key part of her healing process, and we dive into the complicated (and often frustrating) world of hormone therapy. She also brings up the role of doulas—not just for birth, but for menopause—highlighting how emotional support can be just as essential as medical care. We explore why open communication in relationships matters so much, especially when it comes to sexual confidence and intimacy post-surgery. This conversation is raw, real, and full of wisdom for anyone navigating hormonal changes, recovery after hysterectomy, or simply learning to advocate for themselves in a system that doesn't always listen. https://dr-juliana.com/ https://flourishwholehealth.com/ Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and "Menopause Moment: Science, Hormones and Mindset for Optimal Longevity" 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 To learn more about GennaMD by Solv Wellness, visit gennaMD.com for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.com. 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 Learn more about your ad choices. Visit podcastchoices.com/adchoices
Adoption of artificial intelligence tools by healthcare providers is growing. When will people start to adopt? 4sight Health's David W. Johnson and Robert Pearl, M.D., former CEO of the Permanente Medical Group, debate the acceptance and adoption of artificial intelligence tools in healthcare by providers and patients on, “When Will AI Adoption by Providers Meet AI Acceptance by Patients?” this special episode of the 4sight Health Roundup podcast, moderated by David Burda.
Health New Zealand will switch to longer-term contracts for mental health support, after the minister intervened over concerns about funding running out. Russell Palmer reports.
Buy Now, Pay Later providers like Afterpay and Zip have been hit with new government regulations. The new laws classify the products as a form of credit, requiring responsible lending obligations, credit checks and further protections for customers, but what does that mean for the roughly 40 per cent of Australians who use the products? - Ang mga kumpanyang nagbibigay ng Buy Now, Pay Later (BNPL) gaya ng Afterpay at Zip ay sakop na ngayon ng bagong batas. Pero ano ang epekto nito sa higit 40% ng mga Australyanong gumagamit ng ganitong paraan ng pagbabayad?
Brindha Sridhar, Vice President, Customer Experience Strategy, MetroPlusHealth, discusses how one of New York City's largest public health plans is transforming the healthcare experience for its diverse and underserved populations. Brindha shares how her team is working to improve member and provider engagement across a city where 90% of members are Medicaid beneficiaries and 30% report a preferred language other than English. Brindha dives into initiatives aimed at addressing care disparities, including multilingual communication strategies, culturally aligned member onboarding, and integrated provider support. She also outlines how MetroPlusHealth is using real-time member feedback to fuel continuous improvement and why building a high-touch, relationship-driven experience, especially for vulnerable communities, requires both systemic change and frontline empathy. This conversation offers practical ideas and replicable strategies for any health plan seeking to improve equity, access, and engagement. This session was recorded as part of the Healthcare Engagement Virtual Summit: Strategies for Plans to Engage Consumers and Providers on May 8, 2025, co-sponsored by Bright Spots in Healthcare, TytoCare and Navina. For more information on the summit and to see the full video, please go to: https://www.tytocare.com/virtual-summit-healthcare-engagement-strategies-for-plans-to-engage-consumers-and-providers/ About Bright Spots Ventures Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.
Discover how you can join the course today!:https://sevenfigurecrm.com/how-to-find-and-purchase-books-of-businessesOn this episode of the Seven Figures or Bust podcast, we dive into a hot topic: should CMS be more concerned about healthcare providers than agents? We break down the current priorities of CMS and explore whether agents are being unfairly targeted while larger issues with providers go unchecked. Don't miss this thought-provoking conversation!Gets Leads from Lead heroes here: https://leadheroes.com/Learn more about getting your own VA with Hire Heroes here: https://app.hireheroes.com/signup?fpr=christian43Join our free private Facebook group for insurance agents: https://www.facebook.com/groups/551409828919739/Welcome to the Christian Brindle channel brought to you by Christian Brindle & Christian Brindle Insurance Services. This channel is here for the sole purpose of bringing training, tips, success stories, and personal development from Christian Brindle. Christian is a published author, hosts the ever popular Everything Medicare Podcast, and made six figures in the Medicare business by the time he was 25 years old.
Send us a textAs a postpartum provider or professional, it can feel like the standard "bounce back" narrative after birth just doesn't quite capture the profound shifts your clients are experiencing and you sense a deeper transformation happening beyond postpartum depression and anxiety. Get ready to have your understanding of motherhood completely reframed with Jessie Harrold as she shared the concept of matrescence – the essential and often overlooked developmental transition into motherhood. Forget the outdated idea of simply "recovering"; this conversation unveils how becoming a mother is a radical rewiring on biological, psychological, social, and even spiritual levels, a journey that can take years and demands a whole new level of support and understanding. This is critical postpartum education for all who work with new mothers.Check out this episode on the blog HERE. Key Time Stamps: 02:19: Diving into the definition and significance of matrescence. 05:02: Comparing matrescence to adolescence 07:20: "losing yourself" as a necessary part of mother becoming. 10:52: The growth and reprioritization during matrescence. 13:20: The normative matrescence experiences & postpartum depression. 15:39: Matrescence as a developmental model 16:48: Grieving pre-baby identities. 21:52: Connecting matrescence to adult development 23:37: Mindfulness when navigating postpartum changes. 24:42: The importance of community and tradition in the healing process25:40: Exploring "mother powers" as during this transition 27:38: The challenges of building community in modern motherhoodConnect with Jessie: Jessie Harrold is a coach and doula who has been supporting women through radical life transformations and other rites of passage for over fifteen years. Jessie specializes in matrescence, or the transition to motherhood. She's the founder of the internationally acclaimed matrescence support program MotherSHIFT and The Village. She is the author of Mothershift: Reclaiming Motherhood as a Rite of Passage. Website | NEXT STEPS:
While the fall of Roe V. Wade reawakened the abortion debate, training providers has been complicated for decades. Today, we go to one of the remaining training programs to learn how providers are safeguarding reproductive healthcare.
Obstructive sleep apnea (OSA) is an increasingly common diagnosis. Yet most behavioral health providers are unaware that they can play a role in both the assessment and treatment of OSA in their patients. Today we're joined by an expert in the subfield of sleep psychology, Dr. Phil Gehrman. He shares basic information about what OSA is, how providers can effectively screen for it, and how they can facilitate treatment for this dangerous condition. Despite what you might have heard before, Dr. Gehrman posits that behavioral health providers can play “a huge potential role that really is untapped.” Dr. Phil Gehrman is Professor of Psychology in the Department of Psychiatry of the University of Pennsylvania School of Medicine. He directs the Sleep, Neurobiology and Psychopathology lab at Penn. He has an active research program exploring the mechanisms and treatment of sleep and circadian dysregulation in the context of mental health disorders. Dr. Gehrman's clinical specialization is on the delivery of cognitive behavioral and chronotherapeutic interventions for insomnia, circadian rhythm disorders, and other sleep disorders. The overarching goal of his work is to advance the understanding of the links between sleep and mental illness through translational research that spans biology to therapeutics.Resources mentioned in this episode: STOP Screening tool for Obstructive Sleep Apnea: https://deploymentpsych.org/content/insomnia-toolsMotivational Interviewing for CPAP Adherence: Rapelli G, Pietrabissa G, Manzoni GM, Bastoni I, Scarpina F, Tovaglieri I, Perger E, Garbarino S, Fanari P, Lombardi C and Castelnuovo G (2021) Improving CPAP Adherence in Adults With Obstructive Sleep Apnea Syndrome: A Scoping Review of Motivational Interventions. Front. Psychol. 12:705364. doi: 10.3389/fpsyg.2021.705364Motivational Interviewing resources: https://deploymentpsych.org/Clinical-Skills-ResourcesSystematic desensitization: https://www.veterantraining.va.gov/insomnia/docs/PAP_Desensitization.pdfPractical for Your Practice voice mail: speakpipe.com/cdpp4pPractical for Your Practice email: cdp-podcast-ggg@usuhs.edu Calls-to-action: Incorporate the STOP into your practiceBecome familiar with behavioral and motivational approaches listed aboveConnect with your local sleep medicine clinicReach out to us via Speakpipe with your questions and commentsSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email at https://deploymentpsych.org/CDP-MED-Opt-In
Welcome back! In this episode 321, I sit down with the incredible Dr. Tiffany Moon—an anesthesiologist, mom, entrepreneur, and yes, former Real Housewife. We delve into what it truly means to find joy in midlife and how social media often distorts our perception of happiness. Tiffany gets real about the pressure so many professionals—especially women in medicine—feel to "do it all" and how that expectation can lead straight to burnout. We talk about the addiction to busyness, the cultural layers that shape how we view therapy, and the wild (and often hilarious) intersection of medicine and reality TV. We also touch on AI's growing presence in healthcare and what it means to redefine professionalism in today's world. This one's about self-trust, self-acceptance, and not waiting to enjoy your life. Dr. Tiffany brings humor, honesty, and a refreshing dose of perspective to a conversation that every working woman—especially in medicine—needs to hear. Joy Prescriptions by Dr. Moon Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and "Menopause Moment: Science, Hormones and Mindset for Optimal Longevity" 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 To learn more about GennaMD by Solv Wellness, visit gennaMD.com for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.com. 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 Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode of Health Talks, we chat with Gorana Micevic, a Physician Assistant at Access Community Health Network in Chciago. Gorana shares her journey from training at SIU School of Medicine to serving both rural and urban communities through family and addiction medicine. She discusses leading a nationally recognized COVID-19 testing program in rural Illinois, completing Rush University's addiction medicine fellowship, and building a patient panel for opioid use disorder (OUD) treatment at federally qualified health centers (FQHCs). Gorana offers encouragement for providers who may feel uncertain about treating OUD, and reminds us that education, empathy, and collaboration are key to making an impact.Throughout the episode, Gorana emphasizes the importance of education both for patients and providers. She reflects on how increasing clinician confidence around initiating OUD treatment could reduce barriers to care, and stresses the need for more training programs to include addiction medicine and integrated behavioral health: “I'm a strong believer in the power of integrated behavioral health. Some of the most meaningful progress I've seen with patients has happened alongside behavioral health consultants—professionals trained in trauma, anxiety, depression, and recovery. It's the combination of medical and emotional care that truly transforms outcomes.”
In this podcast episode, we're joined by Stacy Agosto, a Behavioral Health and Substance Use Disorders Consultant at IPHCA. Stacy shares her insights on how involving loved ones in addiction treatment can improve outcomes, reduce stigma, and strengthen long-term recovery. She also offers practical tips and real-world resources that healthcare providers can share with patients and their families, along with inspiring stories of recovery where community made the difference.
Send us a textProviders, let's challenge the standard 6-week checkup and the conversation around "default birth control". What if it's not just "standard care" but a MAJOR factor in the rise of postpartum depression and anxiety we're seeing? Is hormonal birth control a silent driver of postpartum depression and anxiety? It's time to connect the dots. New research links hormonal birth control postpartum to increased maternal mental health risks. Understanding the biological reality of postpartum, including postpartum brain rewiring, shows why synthetic hormones disrupt a healing body. This is a call to action for anyone supporting new mothers. For postpartum providers and perinatal mental health professionals focused on holistic support and evidence-based care, this knowledge is essential for informed consent and optimizing postpartum recovery. Check out this episode on the blog: https://postpartumu.com/podcast/the-link-between-hormonal-birth-control-and-postpartum-depression-ep-218/Key Time Stamps: 2:37 hormonal birth control postpartum and mental health3:34 Key finding: 49% increased postpartum depression risk linked to hormonal contraception5:12 Highlighting birth control as default postpartum care.6:48 Diving into the biological reasons behind the link.7:52 The complex postpartum body state: hormones, nutrients, sleep, inflammation.11:48 Synthetic hormones interfere with delicate postpartum healing.13:11 Exploring postpartum brain rewiring and changes.15:26 How hormonal birth control can alter brain structure/function.17:14 The "neurological collision" of postpartum brain changes and birth control.20:34 Lack of provider training in postpartum brain science and hormone impacts.25:07 Systemic issue: medicating women through a sacred transformation.27:56 What holistic postpartum care and informed consent should look like instead.31:09 The need for ongoing postpartum support (recovery takes years!).NEXT STEPS:
In this insightful episode, Kim Barrus, AVP of Quality and Accreditation at Select Health, shares three compelling case studies showcasing how her team is improving care access, streamlining provider engagement, and addressing health disparities across four states. Kim walks us through: A groundbreaking hybrid clinic model in rural Nevada, created in partnership with the city of Wells and Intermountain Health, to bring primary, urgent, and behavioral care to medically underserved communities. The development of Select Health's Quality Provider Plus Program, which consolidates risk adjustment and quality initiatives into a unified, less burdensome experience for provider partners—improving data sharing, reporting, and overall engagement. A remote blood pressure monitoring initiative targeting rural members with hypertension, using disparity analytics to identify high-need populations and improve outcomes through education, mailed BP cuffs, and clinician collaboration. If you're exploring ways to improve access to care, streamline provider relationships, and address social and geographic health disparities—this session is a must-listen. This session was part of the the Healthcare Engagement Virtual Summit: Strategies for Plans to Engage Consumers and Providers on May 8, 2025, co-sponsored by Bright Spots in Healthcare, TytoCare and Navina. For more information on the summit and to see the full video, please go to: https://www.tytocare.com/virtual-summit-healthcare-engagement-strategies-for-plans-to-engage-consumers-and-providers/
In this episode of the You Are Not Broken podcast, I'm diving into the brand-new clinical guidelines for Genitourinary Syndrome of Menopause (GSM)—because you deserve facts, not fear. We're breaking down what GSM actually is, why it's so often overlooked, and how these updated recommendations can help you and your clinician make informed, collaborative decisions about your care. I walk you through the full range of treatment options—yes, including hormones—and explain why vaginal estrogen remains a safe, effective choice, even for breast cancer survivors. We also talk about: Why education around hormonal changes in midlife isn't optional The role of pelvic exams (and how to make them less intimidating) Non-hormonal treatments that actually work Why this all matters: GSM impacts your quality of life, intimacy, and overall health This episode is your call to action. Use these new guidelines as a springboard for conversations with your healthcare provider—especially if they're not up to speed. Your body. Your voice. Your choice. AUA 2025 GSM Guidelines Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and "Menopause Moment: Science, Hormones and Mindset for Optimal Longevity" 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 To learn more about GennaMD by Solv Wellness, visit gennaMD.com for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.com. 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 Learn more about your ad choices. Visit podcastchoices.com/adchoices
We have a special guest on today's episode whose voice will be familiar to regular listeners. Last year at this time, Dr. Raven Baxter occupied the Raise the Line host chair for a special ten-part series we produced in collaboration with the Cohen Center for Recovery from Complex Chronic Illness (CoRe) at Mount Sinai in New York City, where she serves as the Director of Science Communication. The series explored the latest understandings of post-acute infection syndromes -- such as Chronic Lyme and Long COVID -- with an array of experts from the Center and other researchers and providers. In this episode, we check-in with Dr. Baxter to get an update on the work of the Cohen Center, especially with regard to its mission to educate providers. “We're building programs so that clinicians can earn credit for learning about chronic illnesses that are infection associated, and we've also developed a 200-page provider manual. I really think that we will be able to shift the narrative that currently exists,” Dr. Baxter tells host Michael Carrese. That narrative includes lingering skepticism among providers of some infection-associated illnesses, which Dr. Baxter witnessed herself as a Long COVID patient, an experience that has added meaningful perspective to her work. Dr. Baxter is also working on her own time to advance knowledge and combat misinformation through a robust social media presence as “The Science Maven” and helps other scientists and clinicians to do the same. "If we're not there to fill in that void, other people will fill it for us and the narrative may not be consistent with the truth or facts." This is a great opportunity to learn about the art and science of communications that can reach clinicians and patients alike.Mentioned in this episode:Cohen Center for Recovery from Complex Chronic IllnessThe Science Maven If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/raisethelinepodcast
Hey friends! In this episode, I'm joined by the amazing Dr. Heather Quaile, DNP, as we dive into all things ISSWSH — that's short for the International Society for the Study of Women's Sexual Health (try saying that five times fast). We talk about how this incredible organization has exploded in size and why that matters for women everywhere. We get into the power of staying curious in sexual medicine, why funding research is still such a grind, and how hormones — yes, especially testosterone — play a huge role in sexual function. Heather and I also share some of our favorite takeaways from recent ISSWSH conferences, like new ways of looking at orgasm and sexual dysfunction that actually make sense. We don't shy away from the hard stuff either — off-label meds, outdated guidelines, and the frustrating lack of clarity around hormone therapy. But more than anything, this convo is about how we, as healthcare professionals, need to collaborate and push for change that reflects real women's needs. If you're curious about the future of female sexual medicine or just want to hear two clinicians geek out over the latest research, this episode is for you. Let's get into it! www.isswsh.org https://theshowcenter.com/ Sedona in October - ONE slot left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and "Menopause Moment: Science, Hormones and Mindset for Optimal Longevity" 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 To learn more about GennaMD by Solv Wellness, visit gennaMD.com for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.com. 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 Learn more about your ad choices. Visit podcastchoices.com/adchoices
This episode is the audio from a lecture I gave to a large group of physicians on how (and why) to prescribe hormones - both systemic and local. The end of the podcast is a Q&A where I discuss contradictions and myths. Weather you are a prescriber or just want to go deeper in your knowledge, I hope you enjoy being a fly on the wall for this conversation. Sedona in October - only two slots left: https://www.ascendretreats.com/menopause-and-sexual-health-2025 Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and "Menopause Moment: Science, Hormones and Mindset for Optimal Longevity" 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 To learn more about GennaMD by Solv Wellness, visit gennaMD.com for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.com. 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 Learn more about your ad choices. Visit podcastchoices.com/adchoices