Podcast appearances and mentions of riley children

Special Patreon Release: Janelle Rupp Conversations with your Teen About Sex Puberty and Identity   *DISCLAIMER* This episode contains adult themes and is not intended for little ears.   "Walk with the wise and become wise, for a companion of fools suffers harm." Proverbs 13:20 (NIV)   *Transcript Below*   Questions We Discuss: Perhaps one of the most asked questions by Christian singles is, "How far is too far?" How do you respond to that question? Knowing the importance of educating ourselves as adults, what is the most popular sexual behavior among teens? What are some wise and age-appropriate guidelines recommend for teaching our kids about sex and sexuality?   Janelle Rupp is a Christ-follower, wife & mom of three (in that order).  Upon graduating from Cedarville University with a Bachelor's of Science in Nursing and a Minor in Biblical Studies, she worked nine years as a Pediatric ICU nurse before transitioning into nine years of nursing education for the Empower Life Center of Peoria, Illinois. There she specialized in Sexual Health with an emphasis on Sexual-Risk Avoidance. After moving to the Atlanta, Georgia area, Janelle developed a Biblically-based, Christian & Home school curriculum entitled “Remember Whose You Are: Rooting Human Sexuality in Gospel Identity." Using an expositional study of Genesis 1-3 alongside evidence-based scientific research, the four-unit program builds on itself to establish how gospel identity determines holy & healthy & holy sexuality. With a passion for both science & Scripture, Janelle is currently teaching the curriculum at North Cobb Christian School while watching the Lord grow the program at schools nation-wide.  She can be reached at jrupp.rememberwhoseyouare@gmail.com.   Recommended website for Parents: axis.org   Thank you to our sponsor: Daisy Kings Use code SAVVY to Save!   Connect with The Savvy Sauce on Facebook, Instagram or Our Website   Gospel Scripture: (all NIV) Romans 3:23 “for all have sinned and fall short of the glory of God,”   Romans 3:24 “and are justified freely by his grace through the redemption that came by Christ Jesus.”   Romans 3:25 (a) “God presented him as a sacrifice of atonement, through faith in his blood.”   Hebrews 9:22 (b) “without the shedding of blood there is no forgiveness.”   Romans 5:8 “But God demonstrates his own love for us in this: While we were still sinners, Christ died for us.”   Romans 5:11 “Not only is this so, but we also rejoice in God through our Lord Jesus Christ, through whom we have now received reconciliation.”   John 3:16 “For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.”   Romans 10:9 “That if you confess with your mouth, “Jesus is Lord,” and believe in your heart that God raised him from the dead, you will be saved.”   Luke 15:10 says “In the same way, I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.”   Romans 8:1 “Therefore, there is now no condemnation for those who are in Christ Jesus”   Ephesians 1:13–14 “And you also were included in Christ when you heard the word of truth, the gospel of your salvation. Having believed, you were marked in him with a seal, the promised Holy Spirit, who is a deposit guaranteeing our inheritance until the redemption of those who are God's possession- to the praise of his glory.”   Ephesians 1:15–23 “For this reason, ever since I heard about your faith in the Lord Jesus and your love for all the saints, I have not stopped giving thanks for you, remembering you in my prayers. I keep asking that the God of our Lord Jesus Christ, the glorious Father, may give you the spirit of wisdom and revelation, so that you may know him better. I pray also that the eyes of your heart may be enlightened in order that you may know the hope to which he has called you, the riches of his glorious inheritance in the saints, and his incomparably great power for us who believe. That power is like the working of his mighty strength, which he exerted in Christ when he raised him from the dead and seated him at his right hand in the heavenly realms, far above all rule and authority, power and dominion, and every title that can be given, not only in the present age but also in the one to come. And God placed all things under his feet and appointed him to be head over everything for the church, which is his body, the fullness of him who fills everything in every way.”   Ephesians 2:8–10 “For it is by grace you have been saved, through faith – and this not from yourselves, it is the gift of God – not by works, so that no one can boast. For we are God‘s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do.“   Ephesians 2:13 “But now in Christ Jesus you who once were far away have been brought near through the blood of Christ.“   Philippians 1:6 “being confident of this, that he who began a good work in you will carry it on to completion until the day of Christ Jesus.”   *Transcript*   Music: (0:00 – 0:09)   Laura Dugger: (0:09 - 1:31) Welcome to The Savvy Sauce, where we have practical chats for intentional living. I'm your host, Laura Dugger, and I'm so glad you're here. Today's message is not intended for little ears.   We'll be discussing some adult themes, and I want you to be aware before you listen to this message.   Thank you to Daisy King's, a skincare brand that meets simplicity. Their tallow-based products are made with wholesome, God-given ingredients to deeply nourish, restore, and protect your skin.   There are no toxins, no fillers, just pure, effective skincare. Visit DaisyKings.com to nourish, restore, and glow.   Janelle Rupp is my guest today, and she packed so much knowledge and inspiration into this time by educating us on a healthy view of sex, sharing God's holy and awe-inspiring design of our bodies, and ways that all of this points to Him.   She also is going to include meaningful conversations to have with our children throughout the years that they're in our home. Here's our chat. Welcome to The Savvy Sauce, Janelle.   Janelle Rupp: (1:32 - 1:35) Thanks so much, Laura. I'm so glad to be with you today.   Laura Dugger: (1:35 - 1:42) Will you just get us started by telling us a little bit about your faith journey and where it's brought you to today?   Janelle Rupp: (1:43 - 4:51) Sure. I was raised in a Christian home. I remember from a young age actually being struck with the realization that God loved me so much that He sent His own son for me.   But it really was probably more in my teenage years that I realized the depth of my sin, that it was great, and that Jesus was that bridge between who God was and who I was. Also, early on in my life, I knew I wanted to be a nurse, which is actually kind of interesting because there was no one in my family who was a nurse or in healthcare. But I had watched my mom care well for others in her family who had a myriad of mental and physical health problems.   So, I do think that the compassion that God put in my heart at a young age did find its place in a healthcare setting just over time and experiences I watched her. I really felt like my dream job would be to work in preventative healthcare, specifically with teenagers. And I had a heart for girls in really tough situations like teenage pregnancy.   It's a very marginalized group of humanity. And so, after college, I ended up in the pediatric intensive care unit at Riley Children's Hospital in Indianapolis for about seven years. And during that time, I met my husband.   We got married. We had our first child. And then while pregnant with our second, we decided to move closer to my extended family back in Illinois.   And a few years after I had our second child, I actually ended up landing that dream job that I felt like the Lord had laid on my heart way back in college. And so, I started the Empower Life Center in Peoria, Illinois in 2008. And I worked there for nearly 10 years as a nurse educator, teaching parenting and newborn classes.   But my primary role was a sexual risk avoidance educator, specializing in sexually transmitted disease and infections. And I would teach in public schools and private schools and charter schools. It's a junior high and high school level and also a guest lecturer at Bradley University in Peoria, Illinois.   And I always tell people that no one grows up and hopes to be a sex teacher one day. I did not envision that God would put me in that area of education, but he did. And so, after 10 years of doing that, when our family then transitioned down to Atlanta, Georgia for a job transfer for my husband, we had chosen to put our kids, now three kids at that point, in Christian education.   And within months, the middle school principal had heard about my background and approached me to create a curriculum for their fifth through eighth graders that was centered on a biblical view of sex and sexuality. So, I spent a series of months developing that curriculum. I then decided to go ahead and accept a teaching job to teach that curriculum.   And it's entitled Remember Whose You Are. And it's designed as a four unit developmentally appropriate program for Christian schools or homeschool environments. And currently we're in the beginning stages of equipping and training other schools to implement it at their school as well.   Laura Dugger: (4:52 - 5:17) Wow, that is so interesting to hear how you got interested in teaching others this healthy view of God and sex. And at the foundation of your teaching, you begin with a theology of God. So, I'd love to zero in on just one of your points that God is a relational God.   Will you elaborate on that and share how it ties into this topic we're discussing today?   Janelle Rupp: (5:18 - 7:13) For sure. One of my goals in teaching this is just to help my students see God for who he is, fall in love with who he is. And God being relational is one of the places where I always notice that beginning to take shape.   I find evidence for that in Genesis 1:26, where it says, “and God said, let us make man in our image after our likeness.” The definition of the word relational means a desire to pursue relationship or connection with another. And before we think of God pursuing relationship with us, it's actually really critical to look at that verse and note that God is already relational within himself. So, we see evidence in that verse that he's referring to himself in a plural sense.   And when we take that alongside other areas of Scripture as well, we see God existing as Trinity, Father, Son and Spirit, three in one, indicating that God does not need humanity for relationship. He only desires humanity for relationship. And one day, actually, when I was teaching that to a group of fifth grade boys last year, I said, God does not need you, but he wants you.   One of the fifth grade boys, in all complete sincerity, said, “Aww.” And it was one of the sweetest things I had ever heard because it was this very honest verbal expression of what it felt like to know that we are wanted by the God of the universe. I tell my students, “You know, someone only wants relationship with you when they love you.”   And so, while 1 John 4:8 tells us, “that God is love.” It's pretty amazing that way back in the first chapter of Genesis, as we find God creating man and creating woman, He's still incredibly loving that He even desired to create it in the first place. So, I think God being relational is such an important aspect to the who and the why of who He is.   Laura Dugger: (7:14 - 7:28) Absolutely. And I really envision this chat being a time when parents can listen alongside their teen or their tween or whenever it's age appropriate. So, will you just give us a glimpse of what you do teach in schools?   Janelle Rupp: (7:29 - 13:04) I would be happy too. The very first unit is just the who and the why of God. We focus on 10 characteristics of God, and then we transition to the who and the why of humanity.   What do all humans have in common? And we highlight eight characteristics that we all share in common. And then unit two, it's centered on the who and the why of me.   And specifically looking at Genesis 1:27, identity means that we're made in the image of God and that we are made male and female. So, Genesis 1:27 says, “So God made man in his own image, in the image of God, he made them male and female, he created them.” So, here we really want to introduce what does it mean to be made in the image of God as a social being, emotional being, a spiritual being, an intellectual being?   But also, what does it mean to be made with this physical body, male or female? And so, we introduced the reproductive system with an emphasis on puberty and human growth and development. And within that introduction, in that unit, I do something that's historically not been done in Christian settings, which is that I am teaching both the male and the female reproductive system to both genders.   And this next sentence may sound a little odd to some of your listeners. I know my students sometimes giggle when I say it, but I see the glory of God when I study the anatomy of both the male and the female reproductive systems and the intricacies of the design in order to see how they both work perfectly together. To me, it's awe-inspiring.   And so, I believe females have every right to see and begin to grasp the design of a male reproductive system. We use really basic anatomical diagrams for that. And then males equally have every right to see and begin to understand the basics of the female reproductive system using a diagram.   And my approach to that is clinical and scientific. It's definitely from an anatomy perspective. But I also make sure to take the time to point out some of, again, the beauty of the design.   For example, females, when they are born, are born with all the eggs that they will ever, ever have in their ovaries. And this design is super perfect because it means that you and I are not going to be 70 years old and find out that we're unexpectedly pregnant. Eventually, those eggs will run out about in our mid-40s.   And I always thank God for that design. It is a good design. Another one is just the female cervix.   The female cervix doesn't reach full maturity and protection until our early to mid-20s, where it then provides this wonderful protective barrier between the external and internal anatomy of the female reproductive system. When you explain things like that, I literally watch the kids have what I call light bulb moments, where they begin to see the why behind the design. And it's so important.   They've never taken the time to look at that and to hear it. In fact, I often call the reproductive system the forgotten body system. Christian kids in particular, they will get through a whole unit on the body having never talked about the reproductive system.   And if they are, then usually they're taught just about their own gender and they're missing that overarching beauty of what God designed. So, I think it's really important to highlight that reproductive system and for both genders. But in Unit 3, we move from the foundation of just gospel identity as made in His image and male and female into then specifically human sexuality.   And we use mostly Genesis 2 as we look through this about how God designed marriage and God designed sex, which is super clear in Genesis 2:24 and says, “Therefore, a man shall leave his father and mother and take hold of his wife and they will become one flesh.” And so, God's design for marriage and sex is clear that it's between a man and a woman. And also that that man and woman should follow the order of this verse.   First, that they leave and leaving might be dating. It might be courting. It might be pursuing a relationship.   However, we set those boundaries for our kids. And then second, that they would take hold and experience the intimacy and blessing of marriage, referencing that connection that God put Adam and Eve in through marriage. And third and last in that order, but that they become one flesh, which is referencing sex.   And so, after explaining that very good design, we transition into Genesis 3. And honestly, I love how Moses starts off the chapter here, Genesis 3, by saying, “Now the serpent.” And I always tell the kids that I hear that music in my head of dun, dun, dun. Like you just know that everything is going to change.   This good design is going to change and it's not changing for the better. And so, we start then looking at all the distortions that sin has caused within the overall topic of sex. And that means not just looking at premarital sex, but also adultery, pornography, sexting, gender identity, sexual identity.   And honestly, that list just keeps on growing every year that I teach. And so, then unit four, that last unit, is what I call the now what unit. In light of taking everything that we know now about gospel identity and human sexuality, I really encourage the kids to start really thinking about how they practically should be living in relationships with someone that they're attracted to and that they want to pursue.   And we use the entire Bible to help us answer that question. We actually end that unit with the question and answer panel discussion, using questions that the students have come up with through the course of that week. And it's always a sweet time of conversation focused on, again, gospel identity and human sexuality.   Laura Dugger: (13:06 - 13:19) Oh my goodness, that is so amazing and comprehensive. If parents are listening and they're wondering just about that diagram, what age do you recommend showing something like that? How would you respond to that question?   Janelle Rupp: (13:20 - 14:08) That's an excellent question. So, we're doing that in sixth grade. You know, it always depends on what your child's exposure and experience is, what their environment is, and their curiosity.   I think each child is so different. But in general, sixth grade would be age 11, 12, I think that's 10 to 12 for sure. But even you could probably push it as you're talking about puberty, which is where we interject it, just because it gives reference to what is a period for a girl?   Or what are the changes as a male that I'm having inside my body right now? Where's that coming from? So, I think starting as young as eight or nine to 10.   No later really than 12, I think would be really, really important.   Laura Dugger: (14:09 - 14:16) Thank you. That is helpful. I'm assuming that you're everybody's favorite teacher and that this is their favorite course to take.   Janelle Rupp: (14:17 - 14:48) We have a lot of fun. And I love when the kids buy into it. You know, sometimes I'll find that kids come in and they're a little hesitant to talk about this or they feel awkward by it.   But I think, you know, coming at it from both a clinical perspective, but also a biblical perspective, doing my best to keep them at ease and have fun as we have these conversations. Eventually, they loosen up over time. And it ends up being a really sweet time to talk about stuff that really, really matters in life.   Laura Dugger: (14:48 - 15:05) It does. And you're sharing so much truth. And it is the truth that sets us free.   And I can see where that would overcome so much confusion. So, let's even get really practical. When you're teaching these young people about sex, how do you define it?   Janelle Rupp: (15:06 - 19:12) This is such a great question. No one's ever actually asked me this. And I think it's so, so important.   The CDC definition of sex, it is very complete in its definition. It does a really good job covering what I believe are really important distinctives within that definition. And so, that definition is, quote, “Sex is defined as any part of your body and or specifically your reproductive area coming into contact with another person's body and or specifically their reproductive area.”   And one of the key points that I want to point out from this definition includes this phrase, reproductive area. I find my students have no reference for that, and even adults often don't. But simply put, the reproductive area is anything on the outside of the body that covers the reproductive system organs on the inside of the body.   So, this area actually extends from the belly button down to the genitals. A lot of times we only reference those genitals, but it actually extends belly button down to the genitals. And so, again, people are often surprised by that.   But at the same time, you know, whether it's called the reproductive area or maybe a private area, people do commonly recognize the importance of keeping that area safe and private. I often stick with that phrase, reproductive area, to reference the importance of trust when it comes to keeping things safe and private as a jumping off point to just help the kids see that a person is trustworthy if they keep you safe and if they keep things private. And again, such an important thing that we need to teach our children is that if someone pushes past what feels safe for us or pushes past areas on our body that are private, our children need to know, and we need to know those are not trustworthy people.   And furthermore, we should then give our children permission to tell someone that they do trust, hopefully us, but somebody that they do trust, somebody that keeps things safe and private about any person whose words or actions don't prove trustworthy. And as a side note, giving kids appropriate anatomical names is so important for this as well. But if you aren't using those terms and they don't understand it, we're speaking a language that they can't understand and maybe aren't able to convey.   And so, I think additionally, as children get older and you continue to reference that reproductive area as an area you keep private, I think it's super important to keep going back to theology and to Scripture. And in Genesis 1 and 2, we don't see anything having to be kept private because there was nothing that needed to be private. And in fact, the end of Genesis 2 says in verse 25, “And the man and his wife were both naked and were not ashamed.” My students giggle when we get to that verse because that sounds so foreign to them.   But reminding them that again, God's design was so good that there was nothing to be held back. They were fully intimately known by God and fully intimately known by each other and also without sin. But then when sin enters in Genesis 3, as Eve is tempted and enticed by the serpent, Adam is tempted, and enticed by Eve.   We see in that instant that sin changes every single thing because it causes Adam and Eve to then feel ashamed before God. They want to hide from God. It causes them to feel ashamed between each other.   They want to blame each other and it causes them to lose their sense of identity and purpose. And this is what happens to us, too, when sex and sin become entwined. It causes shame.   It causes us to hide. It makes us want to blame others. It causes us to question our identity and question our purpose.   But even though sexual sin changes the heart of man, it does not change the heart of God. And so, if our heart's desire is to love God in return for the love He's shown us, then our heart's desire should be to orient our lives around His design for our lives. And I would say even especially orienting our lives around His design for marriage and sex.   Laura Dugger: (19:13 - 19:23) Perhaps one of the most asked questions by Christian Singles is, How far is too far? So, how do you respond to that question?   Janelle Rupp: (19:24 - 25:50) Yes, I mean, this is the question that inevitably somebody's going to ask in my classes every single year. And no doubt, I mean, I think everyone has asked that question at some point or another in their lives. I certainly did.   And I was told that that was the wrong question. And I want to explain why first and then tell you how I answer it. But the reason was because when we look at Scripture in terms of holiness, which is having our heart completely for God versus idolatry, which means having our heart turned to something else, we see over and over and over in Scripture that we can't serve two masters.   We can't serve both holiness and idolatry. Matthew 6:24 is a great example. It's talking about the idolatry of money.   But it does say that whenever our heart is going after two things, we will either end up being devoted to the one and hate the other or devoted to the other and thus hate the one. And so, in other words, as we apply it to this question, we actually can't just straddle the line of both holiness and idolatry. And a lot of times that's where this heart of motivation of how far is too far is like, what line is the line that I can get to and still be holy?   But we really can't try to find and live on that line, because healthy and holy sexuality and sexual immorality doesn't exist. It is one or it is the other. And so, that's an important truth of Scripture.   I'm always in complete agreement with everything that I just said. But I also recognize that the Bible is really, really clear on how to give us direction in terms of setting boundaries and learning how to escape and endure temptation rather than to be enticed by it. And so, I teach my students a method to answer this question using an acronym called GRAY, G-R-A-Y, just to help them think biblically and critically about this question.   And actually it can be applied to any what I call the gray areas of life where Scripture may not specifically be very black and white about what we can and can't do. For example, another easy gray area topic within this same kind of umbrella idea would be dating. We aren't specifically told if we're to encourage our kids towards dating or courting or maybe arrange marriages.   Right. And yet I believe that there's four specific steps that we can use to determine the heart of God for our lives when it comes to gray areas of life. And so, the G in gray stands for go to God and it refers to prayer.   James 1:5 encourages believers to ask God for wisdom. It says, “He will give it generously to anyone who asks.” And I think praying for wisdom is such a foundational place to start on any topic, but specifically this one.   And then the R in the acronym stands for read the word. I always encourage my students and I would encourage parents as well, actively study the word of God, finding verses that give direction for decision making on this question. How far is too far?   One that I think jumped out at me is First Corinthians 10:23. As it's again, speaking of idolatry of the heart and it says, “all things are lawful, but not all things are helpful. All things are lawful. I can do all things, but not all things are building up. And so, let no one seek his own good, but the good of his neighbor.”   So, when you apply that verse to this question of how far is too far, you begin to see that the question isn't so much is kissing OK, is anything done with our clothes on OK? But the question is more what behavior is helpful for me as I try to honor Christ with my body? What behavior builds up my desire to honor Christ with my life and or what behavior seeks to honor the person that I'm with?   And so, again, I think reading scripture can help us be able to know how to reframe that question and create boundaries. And then the A in gray stands for ask for advice. And here I encourage teens to seek out someone who is doing relationships well.   In other words, is there a couple that they admire, someone older than them that they admire, maybe a friend or sibling or a friend of a sibling, a teacher, a parent, a youth group leader? I found in my own life that God often gives wisdom through people like that. And actually, in the last 10 years, as I've been teaching this type of material, I found that asking couples that I respect this very same question.   How did you answer? How far is too far? It brings some of the best responses and encouragement that then I can share with my students to help them learn and grow.   So, I think asking for advice is a vital part of this. And then lastly, the Y stands for yield. It is the last step.   And yet it's such an important part of answering this question. Yield just simply means to wait. And you and I both know this generation does not like to wait.   Instinct gratification is their thing. And yet teaching them that there's so much value in yielding when we don't have clear answers to critical questions like this. So, I actually love to literally walk this out in front of the classroom.   I will demonstrate how, when I yield, I hold back on decisions such as how far is too far. I am always allowing myself room to continue to walk forward as I feel more certainty over the answer or I feel more led with the wisdom that God is continuing to give. However, if I walk forward without clarity, if I'm pushing boundaries that are perhaps lawful, I can.   But they're not to my benefit, not to my partner's benefit. Then it's very realistic that I am going to push farther than I am able to handle. It's going to bring harm to the relationship that I am in.   And I can't ever go back. The truth is that the line between being enticed by sin versus escaping and enduring the temptation to turn from sin. It's a thin line.   And so, helping teenagers with these four steps, I think just think more critically about where to set those boundaries is important. And then I do usually go on to encourage students to be really specific in writing out those boundaries. I'm a big fan that writing is remembering.   It stores in our long-term memory. And then to even share those boundaries in order to have accountability with them.   Laura Dugger: (25:51 - 27:47) And now a brief message from our sponsor. I would like to specifically address the ladies. Because let's talk skin care.   As moms, as women, we spend so much time caring for everyone else. But what about us? If you're tired of dull or dry skin and products filled with chemicals and fillers, it is time for something better.   God designed our skin to thrive with real nourishing ingredients. 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But I think this is really helpful having you share statistics.   So, what are some statistics you think we need to be aware of to educate us on sexuality and youth in America right now?   Janelle Rupp: (27:49 - 29:55) Yes, you know, this is constantly changing. And so, I do look for these on the regular. And so, the ones I'm currently kind of using as I educate this year, the average age of first pornography exposure is currently 11 years old.   And 1 out of every 10 visitors to porn sites are actually under the age of 10. And 22% of those are regular visitors to those sites. It's not that they're just there once.   They're regular visitors. When you talk about that next age group, 11 to 17-year-olds, 53% of them are accessing pornography. In addition, 1 out of every 14 are receiving sexually explicit material through social media, through texting.   And 1 out of every 17 are sending it, which is an interesting thing. I always tell my students that means that as people are receiving it, they're sending it to more than one person. And so, you know, somehow we could think that it's a conversation maybe staying between two people.   And almost in every case, that is not the reality. 41% of teens are engaging in sexual behavior and oral sex and vaginal sex and anal sex and what I call outer course. Every 11 minutes, CPS finds evidence of sexual abuse claims.   And 2 out of every 3 of those are age 12 to 17 years old. And then lastly, and this is kind of newer from a research study that is an important one, but identifying as LGBTQ+, has actually risen in teens on average by 4% in the last 5 years. Girls being higher than boys.   Girls averaging about 5% increase and boys at 3%. And I think, you know, you give those 9 quick statistics, and I'll be honest, you know, even every time I have to say them, I get that sinking feeling in my stomach. It takes a lot to shock me after 10 years of working with teens on this topic.   But it never feels good to say those out loud. I think it just reflects such brokenness on behalf of our culture's view of sex and sexuality.   Laura Dugger: (29:57 - 30:09) Wow, that is sobering. And if that reality feels alarming or overwhelming to a parent listening, then how would you advise them to educate their son or daughter?   Janelle Rupp: (30:10 - 33:09) Yeah, I think the scariest thing is when we allow those feelings that we're having to really just cripple us and our ability to parent our children through them. I had a mom come up last year, and she said, I'm just really exhausted by it all. I'm tired of checking up on my kid.   And, you know, as a mom of teenagers, I hear that. I resonate with that. But I think we need to fight through those feelings and encourage each other to fight through those feelings in order to parent with intention and godliness when it comes to these subjects.   I developed this Remember Who's You Are curriculum for students, but I 100% believe that parents are to be the first go-to for our kids on these topics, whether they feel like they have all the answers or not. It's really not the role of the school, nor of the church, nor of the youth pastor. It is primarily and foundationally the role of parents, with ideally then the school and the church, you know, locking arms with parents, coming alongside with a similar message.   And so, when it comes to equipping parents, which is something I feel strongly about as well, in order to have these ongoing conversations, I break down educating parents with three regular statements to help them kind of combat those feelings of overwhelmed or anxiousness when it comes to these topics. And the first regular statement would be to regularly educate yourself. We can't teach what we don't know.   And so, parents need to have answers to questions, and I'm going to give a series of questions here that I think need to be answered as examples, but there's certainly more. But questions like, what is God's design? Again, what is the reproductive area?   What does sexting mean? What does sending nudes mean? Because that's becoming actually a more popular phrase right now than using the phrase sexting.   Why is not porn good for our brains if it actually keeps us from not having sex outside of God's design? That's a question I've been asked. And a follow-up to that, what does the Bible say about masturbation?   How does a condom work? I've been asked that one. What is the most popular sexual behavior among teens?   Those are some toughies. You don't just kind of like pop out an answer to that without dedicating some time to researching those answers. I don't think that this needs to be an overwhelming amount of time.   In fact, I actually just encourage parents to set aside 15 to 20 minutes once a week, maybe even once every other week, but just put it on the calendar so that you really devote yourself to that time. You know, I think we dedicate ourselves as parents to things we care about. And I don't mean to say this harshly, but many moms spend much more time exercising than they do in their Bibles and figuring out answers to these questions and apologetic type answers.   And parents, you know, we spend a lot of time talking to our kids about sports and grades. And yet these are topics that have lasting relational impacts for their lives, not just in our family, but in their family to come. And so, we have to be diligent to set aside time and regularly educate ourselves.   Laura Dugger: (33:09 - 33:38) Janelle, I love all of this that you're saying. And I just want to pause on this first step of educating ourselves as the adults and as the parents. So, listening to something like this, hopefully people feel encouraged already doing a great job educating yourself.   And so, let's just answer a couple of those questions because it can be hard to know where do I go to find out these answers. I'm careful to Google this because something may pop up that I don't want to see.   Janelle Rupp: (33:38 - 33:38) Right.   Laura Dugger: (33:38 - 33:46) So, let's go with two of them. One of them you said is what is the most popular sexual behavior among teens right now?   Janelle Rupp: (33:47 - 34:46) Yeah, I think that this one is a little bit shocking for parents. And they often are unaware of where their teens are at as they are pushing boundaries on sexual behavior. You know, when I was growing up, oral sex became, and that's mouth to genitals, but that became a really popular sexual behavior.   And I remember hearing people say, well, that makes me feel a virgin because I now have not had vaginal sex. And so, again, just continuing to push these boundaries. So, now today's teenagers are past oral sex.   That's become just something that's normal and acceptable. And the most popular sexual behavior right now that you'll actually they will talk about and do would be anal sex right now, which is the anal area, which is obviously I always point this out, not actually the reproductive system, but in fact, the expiratory or the end of the digestive system. But that is the most popular sexual behavior among teens currently.   Laura Dugger: (34:47 - 35:14) That is really helpful to hear. And even years ago, when I was practicing as a marriage and family therapist, something that we learned was that the rise in pornography exposure was also corresponding or correlating with this rise in pressure for women to engage in anal sex. And that was a lot of times where it was coming from.   I'm assuming very similar with teens.   Janelle Rupp: (35:15 - 35:59) Yes, absolutely. And as our culture continues to kind of push the envelope on trying to get teenagers and adults to accept pornography is a natural part of human sexuality. I think we will just continue to see that behavior pushed more and more and more just among teens and relationships in general, which is really devastating.   I think of so many of these behaviors that are very degrading, particularly to women, but even to men. And again, that women, that girls would be thinking that that is considered an acceptable part of a relationship is such a tragedy, really. And again, just so reflective of the brokenness of our culture.   Laura Dugger: (36:00 - 36:19) And you bring up another question I want to follow up with, Ben, because porn is so destructive for a lifetime. But how do you answer that question if parents want to educate themselves of somebody making an argument of why not pornography if it keeps them from engaging in penetrative sex?   Janelle Rupp: (36:20 - 38:18) Yeah, so, there's some excellent websites that you can find that talk about the damaging effects of pornography. And I found, you know, good resources. Anyone's welcome to email me.   I'll include that later. But to get some of those resources. But it really does change and alter, actually, the connections that are created in the brain.   And one of the, I think, more interesting studies on pornography in the brain, as they looked at men who were watching and engaging in pornography, it would continually light up an area of the brain and stimulate it, which is an area of the brain that is usually lit and stimulated when a man would use power tools. And that's concerning on, I think, a couple of levels. One, that is degrading.   And again, this human made in the image of God to something that is to be just used. Right. And then second, anytime we engage in pornography, we are we're engaging more with a screen than a person.   And so, that intimacy level, that is something that's so precious about sex. You know, sex isn't just for making babies. It isn't just for this intimate connection.   It isn't just for pleasure. But it is to be wholly represented, all three of those when we look at God's design. But when we engage with pornography, we're completely reducing it down to one person's pleasure, one person's use.   And so, again, those connections that are supposed to exist between people now exist between a person and their screen. And you'll see across the board, these are people who easily get addicted. It's meant to be addicted, experience increased levels of depression, anxiety, suicide.   Grades go down for teenagers. They lose friends. So much research showing the devastating impact of pornography.   Laura Dugger: (38:19 - 38:32) That is really helpful. Thank you for sharing that. And back to that greater question. So, when you're advising parents to educate themselves, that's the first step. What's the next step in the process?   Janelle Rupp: (38:33 - 41:29) So, the second step that I recommend is to regularly to enter in. We aren't called to be our kids' best friends. We're called to step into their lives.   And that means stepping into friendships and relationships. It actually means stepping into their phone. You know, the amount of parents that tell me, I feel really bad because it's their phone.   And yet it's something that the parent is paying for, right? And so, that is a part of our lives, too. Theirs and ours.   But stepping into social media pages, their schools, their activities. And I think we don't have to be creepy about it. And that's what I think parents most, they're like, I don't want to creep my kid out or make them pull away.   I just think we have to be really intentional beforehand that we're developing this relationship of trust and communication. So, Josh McDowell has said rules without relationship equal rebellion. And so, the flip side of that is that when I have rules where I'm entering in and I have relationships where I'm entering in, that will equal trust.   And so, we need to keep entering in because we want to keep earning their trust. It goes both ways. We want that trust and communication.   So, entering in out of a desire for relationship, but also entering in with boundaries and rules for our kids in order to continue to build that trust between us. And then the third regularly statement is to regularly extend grace to yourself. Guilt and shame cannot go away without grace.   And a lot of us live with guilt and shame when it comes to these subjects. I often hear that that's one of the key reasons that parents will hesitate to talk to their child. They'll say to me, I don't want them to ask me about what I did.   And the only remedy for shame is grace. It's why God's plan to extend grace in sending Jesus. It's the best plan for our world because we're literally drowning in guilt and shame over these subjects.   And so, as parents, we first have to learn and work through accepting grace for ourselves. But for the purpose of extending it to others, it's very, very hard to extend grace when we haven't accepted it ourselves. And so, I think it starts with us.   And then again, it extends out to our kids. My husband and I were working through something that was happening with our teenagers this year. And I thought it was so profound.   As he said this statement, by God's grace, our kids will never get caught up in it. But it's also that same grace that will provide a way for our kids to get out of it. And so, we need to remember God's grace is greater than all of our sins.   And we can rest in that even if we don't do everything perfectly as a parent. Even if we forget to answer one of the questions. Even if our kids choose a path that is different than what we had taught them.   God's grace is greater than all of our sins.   Laura Dugger: (41:30 - 43:53) And I don't think we can hear that enough. So, thank you for that reminder.   Did you know that we are now accepting donations online through Venmo?   It's just one of our additional ways that you can give to support the work of the Savvy Sauce Charities and keep us on the air where we can keep providing this content for free. We pray that you'll consider partnering with us and generously donating before your end. Thanks for your support.   Well, Janelle, I think that you're so wise to teach parents that there's obviously no formula, and that's why it's so vitally important to keep in step with the spirit as we have these conversations with our children. But also, I'm sure that you've learned some wise and age-appropriate guidelines for teaching our kids about sex and sexuality.   So, will you share those with us for the different age ranges?   Janelle Rupp: (43:55 - 50:10) Yes, I think you're exactly right. There isn't a set formula because, again, as I mentioned before, every kid is different. Every experience and exposure is different.   But there are some general guidelines in order to, again, have these regular conversations with our kids. So, beginning ages kind of three to seven, I think focusing on what it means to be made in God's image, what it means to have a male part versus female part, how that kind of defines each gender. And understanding also what is private and safe within that is important.   So, one of the things that I did with my kids is very early on, as we were bathing in those ages, we would say, Thank you, God, for our fingers and our noses, and thank you, God, for our toes, and say, Thank you, God, for a penis because you're a boy, and thank you, God, for a vagina because you're a girl, and thank you for parts that we can't see inside of us. And I would name some of those parts as well, because I think it just helps them start recognizing, again, the beauty of what it means to be created by God. And also highlighting safe pictures and unsafe pictures, safe touch and unsafe touch, and stuff that I touched on before.   I think that's important as well. But then I personally believe this is one of the best ages to begin forming a framework on the sanctity of human life, that all life is created by God and for God in the image of God. And therefore, all life should be treated with dignity, respect, and love, regardless of size, regardless of gender, regardless of skin color, regardless of neediness or challenges.   It's a really natural and important tie-in to the subject at this age. And then when you get into that next age, age 8 to 10, I kind of think of it a little bit like preteen. Just continuing on with that conversation but bringing up this word puberty.   And kids always look terrified when I say that word. And I always tell them, then puberty is not a scary word. And I'm sorry that you have this vision that it is.   But puberty really is just human growth and development that make us male and make us female. And so, I think teaching our kids not to be even afraid of that word. There are parts that we need to keep private.   And yes, we don't need to talk about that with everybody. But these are not wrong or bad parts. They're parts that are created by God for God.   And God is a good God. And God is a sovereign God. And so, He created it for our good with us in mind.   And so, just continuing to engage and encourage our kids on those ideas at age 10. And then 10 to 12, and some educators would say sex should be introduced by age 10. I found that based on just, again, the exposure that my kids had, we had this type of a conversation as they headed into more age 11.   I think it for sure should be talked about before age 12. But at that point, you want to make sure you're including just a framework on what biblical sex and marriage is and what it's purposed for. Again, purpose for procreation, making babies, purpose for intimacy, even purpose for pleasure.   Listen, no 10 to 12-year-old is going to understand that part yet, which is fine because you're going to revisit it later when they're kids. This is a regular thing, right? But you want them to hear it from you.   You want them to hear it from you first so they understand that you are trustworthy. And so, they should be taught that sex is best seen in that context of marriage. One man, one woman that have left their father and mother, they've taken hold of each other in marriage.   And as a result, then a parent and actually ideally both parents, mom and dad, are able to help a child understand that framework and also recognize basic deviations outside of that framework. Not just that sex before marriage is outside, but also sex outside of marriage, the sexual and gender identity confusion. Anything that's falling outside of God's design for marriage and sex is a deviation from what he designed.   And then in that kind of 13 and older, recommendations that I make is always that you begin to establish a really good framework on how to have God-honoring relationships with someone of the opposite gender. I actually highly recommend Ephesians chapter 5 as you make this plan with your child. And a couple key points that it talks about within that chapter is that we treat those in the faith, those that share our common belief in Jesus Christ as brothers and sisters in Christ, in friendship and in a possible relationship, but one that has a lot of purpose and a plan in place.   But then we treat those who are not sharing our faith with love, but yet an understanding that those aren't relationships that I can pursue because I can't have an expectation that they are going to bring me closer to Christ, whereas the other should. And so, as parents within that, again, 13 and older category, you really need to start paying very much attention and entering in into those relationships that they have with their friends and their peers, because this is the second biggest impact maker on their decision-making next to you. Proverbs 13:20 says, “He who walks with the wise will be wise, but a companion of fools suffers harm.”   I really believe in parents. If you need to change up their environment in order to help them form more God-honoring relationships in step with that Ephesians 5, we should not be afraid to do so. And again, continuing to expand on those other frameworks before, because regular conversations, but you're just getting into greater detail, more fine-tuning.   And I actually think at this age, too, you're digging deep into the truth of Scripture with your child. So, you let them come alongside you as you're learning how to answer these questions so that they can continue to refine who they are in Christ and to refine how to keep accountable with the Word of God and to refine how to set boundaries and how to navigate relationships in what I call purposeful dating versus purposeless dating. And purposeful dating, really just the overarching idea there is just that in the end, if it does end, that there may be sadness, but that there is also learning that comes so that I am lessening the brokenness and damage that may come as a result as well.   Laura Dugger: (50:11 - 50:30) And I love how also in your teaching, you lay out specific guidelines that don't fit within an age category, but they're more so for children who are at cell phone age or where they have unattended internet use. So, will you share some of those guidelines with us now, too?   Janelle Rupp: (50:31 - 54:54) Yes, for sure. You know, I always say when you introduce a cell phone to your child, especially one that has internet included with that phone, it does change a little of those guidelines that I just mentioned in that you need to increase the speed and the ages or decrease the ages, technically, in which you are discussing these things. Just because you're giving them a lot of access to things that will speak an opposite message from what you would be saying.   And so, when I encourage parents to look at a couple things as they're making the decisions about when to give a cell phone, I think you're specifically looking at does your child understand what it means to be indwelled by the Holy Spirit? And are they showing evidence of the fruits of his work in their lives? In other words, do I see evidence of the Spirit in the life of my child?   And so, that means does he or she recognize self-control? They know when they have it and they know when they don't. Do they recognize how to be a peacemaker?   Do they recognize how to be loving in what they say and what they do? Do they recognize and show faithfulness, kindness, gentleness, joy, patience, all of those fruits of the Spirit? And do they recognize and show that not just in person with someone, but even behind the screen when they don't see that person face to face?   And listen, no parent is going to say, oh, yeah, 100% of the time my kid is showing evidence of the fruits of the Spirit. But if I can honestly say yes, my child is showing that he is growing in evidence of that. And then you decide this is the age for him to have a phone.   Most educators, I'll just be super clear, most educators that work with teens, they recommend an age of anywhere from 13 to 15. But when you do give that, those same adults that work with those teens will also say the following, that a device should not be allowed in a private room or a private place. There should be a family charging place.   And we are on phones when we are around other people. And then that you should also have no phone zones for us. The dinner table is one of our very most important ones so that we are learning how to, again, continue to engage in conversation with one another without our phones, which is growing the relationship building that we want to grow.   And so, we hold to those boundaries. Understanding that an all access, unmonitored pass to the Internet does break down identity. It does work against.   And there's so much evidence to this. You know, even five years ago, I was less inclined to say hard and fast rules on the use of cell phones for teens. However, more and more and more and more, we continue to see research study after research study.   There's documentaries. Now there's reports about the dangers of the unlimited, unmonitored access to screens and how it hurts our kids emotionally, intellectually, socially, spiritually and even physically. I mean, I think of less sleep.   Right. Something that I've learned over these 10 years is that no kid stumbles into pornography with the use of their phone on purpose. So, so, so many times the first time is an accident and it happens again because that Internet use is unmonitored.   And so, here's another hard truth as well. It often also happens because someone else in the house or the family may be viewing pornography and it's in that browser history or it's in the logarithm of the device they're using. And so, understanding what drives that first use, but then the ramifications of that first look.   So, even if it's an inadvertent look, the hook to pornography is so addicting. And again, we talked about the damaging effects on our brains, our emotions and our relationship. So, I just think monitoring phones and Internet access is, yes, exhausting.   I mean, I feel it. But at the same time, the risk is so great that there's no way that we can stop while they are in our home. Because the worry and the regret of, oh, I should have done X, Y, Z, I think outweighs any type of temporary exhaustion for me in my day to have to check and monitor phone use.   Laura Dugger: (54:55 - 55:21) That's such a good point. It's going to cost us energy on one side or the other. But that is a wise choice to go with the hard choice first and hopefully more of an easier or more fruitful path.   When you reflect on our conversation so far, what hope do we all have for the gospel of grace impacting us specifically as it relates to our sexuality?   Janelle Rupp: (55:23 - 58:58) When I hear that question, I really love it. I instantly think shame is a result of sin, connecting that to the grace that is shown from our Creator and our Redeemer. And all of that, again, is really on display in Genesis 3.   And so, I want to take us there as I answer that question. I tell my students shame has two definitions. There is shame as a verb to shame someone.   And then there is shame as a noun to feel shame as a result of something that we have done wrong. Shame as a verb is something we never want to do. That's not a good thing, right?   But shame as a noun is actually a God-given gift that is meant to bring us back into relationship with God. And you look at how Adam and Eve in Genesis 3. It makes me chuckle, honestly, because as they feel the shame of their sin, their next step is to create garments to cover themselves.   And their shame was so great, but they went ahead and put these fig leaves on top of their bodies, these parts that now have to be private because of shame. And I just think to myself, those fig leaves had to have been so insufficient. We do this too, though.   We come up with ways to clothe ourselves to cover up the shame that we feel. It might be past sexual sin. It might be present sexual sin.   And we try our best to hide it. We try our best to make ourselves look presentable with our covering so that people won't see our sin and see our shame. I mean, all of that is that feeling that comes from that feeling of shame as a result of sin.   But what's beautiful when we look at Genesis 3, when Adam finally comes clean about his sin and shame. And I will say, listen, he doesn't do it perfectly because God has to literally say, where are you? Knowing where he is, but like basically saying, Adam, come out, come clean, right?   But as Adam does come clean about his sin and the shame that he's feeling, right? What does God do? God covers Adam and Eve with garments that He provides and He makes from the very first shedding of blood that we see recorded in Scripture.   And I'm doing it now. I weep every single time that I talk about this part, because God knows how to deal with shame so much better than we do. He knows how to deal with our shame in a way and cover us in a way that is a once for always.   And it's Genesis 3 is just a beautiful foreshadowing of how Christ is going to be sent. And there he comes in Matthew, right? To cover shame forever.   And so, as we remember that Jesus spilled his blood on a cross and then resurrected, conquering death and sin and the grave. We also get covered by that blood so that we no longer have to hide. We no longer have to feel that shame.   And we can stand, Romans 8 says, without condemnation. “Therefore, there is no condemnation for those who are in Christ,” because Christ has covered us with garments completely and perfectly for forever. And so, our hope in this for our own sin, our past sin, any present sin, any future sin, and our hope for any sin that may rise up out of the heart of our child.   It's in the gospel that the gracious and loving covering that God gives us through Jesus is complete, making us right before God for all time.   Laura Dugger: (58:58 - 1:00:05) I love that so much, Janelle. And it makes me think of, I can't remember the research study, but they tracked people's brains when they were feeling like shame or regret or guilt. And found that sometimes people who struggle with anxious thoughts, that they have an over-functioning part of their brain where they can have those feelings of shame, sometimes when they haven't done anything shameful.   So, there's almost like a real guilt or a false guilt. And all of this conversation brings me to 2 Corinthians 7:10, where God addressed that first, because in the Bible it says, “Godly sorrow brings repentance that leads to salvation and leaves no regret, but worldly sorrow brings death.” And so, if we're going like even a level deeper to tease out that shame, sometimes we've felt that before.   Maybe, let's say, if something was done to us, and that's not the same shame that requires repentance, which is the godly sorrow. So, does that make sense?   Janelle Rupp: (1:00:05 - 1:00:28) Yes, exactly. That's exactly my point. And getting the kids to understand the difference between those shames but then seeing shame as not something that I have to push against.   Because if it is that godly shame that comes after me making a wrong choice, that is that shame to bring me closer to God in and through repentance. And again, that's a beautiful thing.   Laura Dugger: (1:00:29 - 1:00:39) It is, and it leads to freedom, which we may not think of in the moment, but that confession and bringing something to the light, that that is the best way to live.   Janelle Rupp: (1:00:39 - 1:00:40) Exactly.   Laura Dugger: (1:00:40 - 1:00:48) Are there any other important takeaways that you want parents and their children to be aware of as it applies to sex and sexuality?   Janelle Rupp: (1:00:49 - 1:02:44) Yes, you know, I think of two things here. The first being that, you know, sexual sin is really just one of many sins that Christ covers that he died for. You know, the blood of Christ covers the adulterer just as much as it covers the gossiper.   It covers the pregnant teenager and her boyfriend just as much as it covers you and I. And I think in the past, the church has overemphasized this sin and underemphasized others. But yet on the flip side, I mean, I think we really can't deny these are sins.   And even when we look at Scripture, it doesn't deny this. These are sins that carry a greater consequence and potential for enticing us towards, again, more habitual, ongoing sin in ways that just affect us deeper than other sins, which is why 1 Corinthians 6:18 says “Flee from sexual immorality.” And I'm going to pause there for just a second, because the Greek word for sexual immorality is the word pornea.   And you and I can't hear the word pornea without immediately thinking of porn. And so, I think it's fascinating that the root word for pornography is literally translated as sexual immorality. It's really an important thing.   But 1 Corinthians 6:18, again, it starts saying “Flee from sexual immorality. Every other sin a person commits is outside of the body, but the sexually immoral person sins against his own body.” And this means that sexual sin at its root is a problem of identity, which is, again, why you have to link that human sexuality with gospel identity.   Our aim cannot be for our children to make it to marriage having never had sex or never getting pregnant. To me, that's a low fruit. That is a low aim.   Our aim needs to be raising children with a gospel identity that is rooted in the creative and redemptive work of Jesus Christ and seeing the outgrowth from there.   Laura Dugger: (1:02:44 - 1:02:56) Wow. Well said. And if we boil all of this down, what is just one action step that you first recommend for anyone who finishes this message today?   Janelle Rupp: (1:02:57 - 1:04:19) Yeah, I'm going to give you a three-in-one just tying back to those three key regularly statements. One of the primary resources that I love to recommend in terms of educating ourselves is for parents to go to axis.org. That is A-X-I-S dot org, and sign up to receive their free Culture Translator weekly newsletter. And that will be sent to your email on a weekly basis for free.   And it gives a whole rundown of what's been happening in teen culture for that week. And just by simply opening up your email, you're going to start educating yourself. And they also have a host of other excellent resources and podcasts and a ton of material on their website that I would recommend.   But that's just one little step. And then for the enter in, I would recommend scheduling a date now. Put it on your calendar.   Find a time to take your child on a shopping date, an ice cream date, so that you can begin to enter into their lives and keep building that relationship with them. And then lastly, between now and that date, just open up God's Word. Reflect on the grace of God.   Let it wash over your heart. Let it wash over your mind. Get engaged with worship.   All of those will equip you well to do that hard work of entering in with your child when you meet them for that date.   Laura Dugger: (1:04:20 - 1:04:29) I've loved this chat so much. And if anybody's wondering about

In episode 97 of the Summits Podcast, co-hosts Vince Todd, Jr. and Daniel Abdallah are joined by Courtney Roberts, President/CEO of Riley Children's Foundation. Tune in as Courtney shares about caregiving through her father's pancreatic cancer journey and the future of pediatric care at Riley Children's Health. “We want to ensure at Riley Children's Foundation that we are able, through philanthropic support, to ensure that every kid in the state of Indiana and beyond has access to the world-class care at Riley.”

In this episode of Caring Greatly, Liz and Shannon revisit the mastery model of human-centered leadership in this new context. Shannon shares her views on what's the same, what has changed, and how leaders can continue to find joy in their work and use that joy to help improve the safety and wellbeing of their teams.  Shannon Connor Phillips, MD, MPH, has a diverse range of healthcare experience. Before retiring in 2024 she served on the Board of Directors at the National Quality Forum and was Chief Health Officer at Joyous, a tech company focused on improving operations and culture through two-way, AI-supported human conversations. Before that Shannon was the President of Intermountain Medical Group. She was also the Chief Patient Experience Officer at Intermountain Health, where she designed and led programs to help improve patient and care team experience, safety and quality. Because of this work, she was named a “CXO to Know” and “Patient Safety Expert to Know” by Becker's Hospital Review. Shannon also worked at Cleveland Clinic, where she served as Physician Lead for the Office of Clinical Transformation and Associate Chief Quality Officer. She also served as Patient Safety Officer at Cleveland Clinic Children's Hospital. Prior to Cleveland Clinic, Shannon worked at Riley Children's Health and Children's Hospital of Philadelphia as a pediatrician. Dr. Shannon Phillips is a leader who cares greatly. Disclaimer: The views and opinions expressed in this podcast are those of the speakers and do not necessarily reflect the views or positions of Stryker. The provided resources may contain links to external websites or third-party content. We do not endorse, control or assume any responsibility for the accuracy, relevance, legality or quality of the information found on these external sites. 

Steven Shein, MD, FCCM, is the Chief of Pediatric Critical Care at University Hospitals Rainbow Babies & Children's Hospital in Cleveland, Ohio, and holds the Linsalata Family Distinguished Chair in Pediatric Critical Care and Emergency Medicine. He is also the Co-Director of the PICU Clinical, Basic & Translational Research Program and an Associate Director of the Pediatric Critical Care Medicine Fellowship program. His research focuses on critical bronchiolitis and long-term neuro-cognitive morbidity after critical illness. Jatinder Dhami, MD, is a Pediatric Intensivist at University Hospitals Rainbow Babies & Children's Hospital in Cleveland, Ohio. She completed her pediatrics residency at Penn State in Hershey, PA, and her PICU fellowship at Riley Children's Hospital in Indianapolis, Indiana. She is interested in clinical ethics in pediatric critical illness.Learning Objective:By the end of this podcast, listeners should be able to discuss an evidence-based and expert-guided approach to managing critical bronchiolitis.References:Managing Critical Bronchiolitis David G. Speicher, MD; and Steven L. Shein, MD, FCCMZurca et al. Management of Critical Bronchiolitis. Hosp Pediatr. 2023Plint et al. Epinephrine and dexamethasone in children with bronchiolitis. N Engl J Med. 2009.Schramm et al. Clinical Examination Does Not Predict Response to Albuterol in Ventilated Infants With Bronchiolitis. Pediatr Crit Care Med. 2017Shein at al. Antibiotic Prescription in Young Children With Respiratory Syncytial Virus-Associated Respiratory Failure and Associated Outcomes. Pediatr Crit Care Med. 2019.Gelbart et al. Pragmatic Randomized Trial of Corticosteroids and Inhaled Epinephrine for Bronchiolitis in Children in Intensive Care. J Pediatr. 2022.Shein et al. Derivation and Validation of an Objective Effort of Breathing Score in Critically Ill Children. Pediatr Crit Care Med. 2019.Shein SL, Rotta AT. Long-term NeurocognitQuestions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

This is the WFHB Local News for Monday, October 6th, 2025. In today's newscast, Bloomington police arrested a third person in connection with the recent attack outside Upstairs Pub on a man experiencing homelessness. You’ll also hear from Mena Morcos from IU Dance Marathon, kicking off their 2025 fundraising for Riley Children’s Hospital this Thursday …

Indianapolis Public Schools is getting a 10.5 million dollar grant over the next five years to support the district's literacy programs. Two local nonprofits that serve Hoosiers experiencing homelessness announced a merger. A house that's been standing in Fishers since the late 1800s is soon to be torn down. Surgeons at Riley Children's Hospital in Indianapolis performed the state's first successful fetal spinal surgery on a severe spinal cord defect. Cookie Monster will be at the Indianapolis Motor Speedway this weekend as the Grand Marshal for the Brickyard 400. Want to go deeper on the stories you hear on WFYI News Now? Visit wfyi.org/news and follow us on social media to get comprehensive analysis and local news daily. Subscribe to WFYI News Now wherever you get your podcasts. WFYI News Now is produced by Drew Daudelin, Zach Bundy and Abriana Herron, with support from News Director Sarah Neal-Estes.

Inside INdiana Business Radio for the morning of July 18, 2025. Pike County releases a housing study calling for hundreds of new units to support economic growth. Riley Children's Foundation appoints Courtney Roberts as its new CEO. Also: IU Health tops out its $421 million Fort Wayne hospital, Indiana reviews emergency alert systems, a Terre Haute community center faces closure, and six Hoosier credit unions land on Forbes' best-in-state list. Get the latest business news from throughout the state at InsideINdianaBusiness.com.

Step inside the evolving world of fetal therapy where precision, teamwork, and full-spectrum care matter most. In this episode of the BackTable OBGYN Podcast, Dr. Anthony Shanks, Vice Chair of Education in the OB department at Indiana University School of Medicine, interviews Dr. Hiba Mustafa, a distinguished maternal-fetal medicine specialist and fetal interventionalist at Riley Children's Hospital. They discuss Dr. Mustafa's expertise in fetal diagnosis and therapy, her training journey through various fellowships, and her role in directing multiple fetal medicine programs. --- SYNPOSIS Dr. Mustafa elaborates on the intricacies of fetal interventions, including procedures for complications in monochorionic twins, spina bifida repair, and new emerging therapies. They also touch on research methodologies like the Delphi consensus technique and summarize key findings from recent studies on conditions such as hemolytic disease, gastroschisis, lower urinary tract obstructions, and preterm birth in twin pregnancies. Dr. Mustafa shares insights on how to stay sharp in the field, the importance of teamwork in surgical procedures, and advice for those aspiring to enter the field of fetal therapy. --- TIMESTAMPS 00:00 - Introduction02:45 - The Role of a Fetal Interventionalist04:00 - Dr. Mustafa's Training Journey07:42 - Fetal Surgery Fellowships16:43 - Conditions Treated by Fetal Interventionalists21:17 - Monitoring and Referrals for Monochorionic Twins30:04 - Understanding Percutaneous Procedures31:10 - Navigating the Equator in Fetal Surgery32:31 - Laser Surgery Techniques and Outcomes33:18 - The Importance of Placenta Delivery33:47 - In Utero Spina Bifida Repair36:19 - Minimally Invasive Techniques for Spina Bifida38:28 - Maintaining Skills in Fetal Interventions42:11 - Delphi Consensus Technique in Medical Research46:19 - Key Takeaways from Recent Research51:55 - Future of Fetal Therapy and Personal Insights

Leona Kleaving Obituary Leona Ruth Kleaving, 100, of Tell City passed away peacefully at the Heartford House, surrounded by her family, on Saturday, June 7, 2025. She was born February 25, 1925, in Spencer County, IN, daughter of the late Charles and Anna (Bauer) Huebschman. Leona graduated from Troy High School in 1943 and then spent the next 9 years working at General Electric as a solderer. She was united in marriage to Alva P. Kleaving on April 7, 1951, and they shared 56 years together before his passing in 2008. Leona lived the life of a farmer's wife for many years where she enjoyed gardening, taking care of her flowers, sewing, and canning. She liked to play euchre and was still playing until about a year ago. Leona was well known for baking pies and her delicious cinnamon rolls. She was a member of the Emmanuel Lutheran Church in Tell City. Leona is survived by her 3 children, Kathy (TO) O'Bryan of Owensboro, KY, Wayne (Donna) Kleaving, and Tina (Rob) Gladish, both of Tell City; six grandchildren, David Coakley of Owensboro, Kevin Coakley of Owensboro, Travis Kleaving of Tell City, Rachel (Chris) Roark of Tell City, Kari (Steven) Byers of Mariah Hill, Joseph Gladish of Tell City; 4 great-grandchildren, Shelby Coakley, Breckin and Brennon East, and Beck Byers; a sister, Marcella Slack, Ft. Worth, TX; as well as several nieces and nephews. In addition to her parents and husband, Leona was preceded in death by her sisters, Selma Lorenz, and Mildred Mulzer, and her brothers, Werner, Harry, Robert, and Clarence Huebschman. Funeral services will be Thursday at 10:00am June 12, 2025, at Emmanuel Lutheran Church, with burial to follow in Greenwood Cemetery. In lieu of flowers memorial contributions may be made to St. Jude Children's Hospital or Riley Children's Hospital. Condolences may be left at zoercher-gillickfuneralhome.com

In this episode, hosts Drs. Peter Lu and Temara Hajjat talk to Dr. Jean Molleston about drug-induced liver injury (DILI) in children.  Dr. Molleston is the former Division Chief of Gastroenterology, Hepatology, and Nutrition at Riley Children's and Professor of Clinical Pediatrics at University of Indiana School of Medicine.Learning Objectives:Understand the definition of DILI and signs that should raise our concern for this diagnosis.Recognize common causes of DILI, including both medications and supplements.Recognize the signs of drug reaction with eosinophilia and systemic symptoms or DRESS syndrome.Links:LiverTox: Searchable resource on drug-induced liver injurySupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, David Biggerstaff, President and CEO of Riley Children's Health, shares insights on his journey into pediatric healthcare, his vision for the organization, and the strategies to expand access, enhance leadership, and drive innovation in children's health across Indiana.

In this episode, David Biggerstaff, President and CEO of Riley Children's Health, shares insights on his journey into pediatric healthcare, his vision for the organization, and the strategies to expand access, enhance leadership, and drive innovation in children's health across Indiana.

This episode features a conversation between Dr. Roland Herzog and Dr. Joseph Glorioso. On January 1, 2025, Dr. Glorioso will begin his 5-year term as the Editor-in-Chief of Molecular Therapy, marking the end of Dr. Herzog's successful tenure at the helm of the journal. Drs.Herzog and Glorioso engage in a wide-ranging conversation that touches on the history of Molecular Therapy, highlights from the gene and cell therapy field, and how Molecular Therapy will continue to grow and evolve under Dr. Glorioso's leadership. ASGCT is proud to present this episode of the Molecular Therapy Podcast in partnership with our upcoming Breakthroughs in Muscular Dystrophy conference on November 19th and 20th in Chicago, and virtually This event will provide an unparalleled opportunity to delve into the latest advancements in research on gene and cell therapies for muscular dystrophy. Learn more and register today at ASGCT.org/Breakthroughs. In This Episode: Dr. Roland HerzogEditor-in-Chief of Molecular Therapy and Professor of Pediatrics, Riley Children's Foundation Professor of Immunology, and Director of the Gene and Cell Therapy Program at Indiana University Dr. Joseph GloriosoProfessor, Department of Microbiology and Molecular Genetics and Department of Human Genetics at the University of Pittsburgh 'Electric Dreams' by Scott Buckley - released under CC-BY 4.0.www.scottbuckley.com.auShow your support for ASGCT!: https://asgct.org/membership/donateSee omnystudio.com/listener for privacy information.

The Children's Museum of Indianapolis is hosting Fiesta De La Familia on Sunday to celebrate Mexican Independence Day ahead of Monday. The Fiesta will celebrate the hundreds of cultures across Latin America through family fun activities and crafts, including a worry doll.A worry doll, or Muñeca Quitapena, are dolls originating from the Mayan regions of Guatemala and Mexico. According to folklore, the dolls are placed under your pillow, and remove your worries while you sleep.Melissa Trumpey, director of public events at the Children's Museum, says another art activity includes metal inscribing. “We also have a Mexican metal art activity, they'll get a blank piece of metal and be able to inscribe anything they want and take that piece of art home with them.”Other activities Trumpey described include educational events, like learning about the colorful textiles of the Guna people on the San Blas Islands. Photo booths will also be set up, allowing guests to take a photo together and then decorate a photo frame, thinking about your family and traditions. Trumpey says having events like this allows families to learn new things and try them out at the Museum. “It's just really great, we're all about educating and creating those experiences for children and families to do together,” she said.Multiple community groups and partners will be on hand at the event, including Riley Children's Health. They will administer vaccinations to anyone 6 months old and older.The Fiesta starts at 10 a.m. on Sunday.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Drs. Beverly Davidson and Bryan Simpson join Molecular Therapy EiC Dr. Roland Herzog to discuss their recent paper, Targeted long-read sequencing captures CRISPR editing and AAV integration outcomes in the brain, which was published in Molecular Therapy. ASGCT is proud to present this episode of the Molecular Therapy Podcast in partnership with our upcoming Advancing Gene and Cell Therapy for Cancer conference, which will be held on October 16 and 17 in Philadelphia and online. This landmark hybrid event brings together innovative treatment approaches and an unparalleled opportunity to immerse yourself in the latest gene and cell therapy research for cancer. Learn more and register today at ASGCT.org/Advancing. In This Episode: Dr. Roland HerzogEditor-in-Chief of Molecular Therapy and Professor of Pediatrics, Riley Children's Foundation Professor of Immunology, and Director of the Gene and Cell Therapy Program at Indiana University Dr. Beverly DavidsonChief Scientific Strategy Officer and Director of the Raymond G. Perelman Center for Cellular and Molecular Therapeutics at Children's Hospital of Philadelphia Dr. Bryan SimpsonPreclinical Team Lead at Latus Bio 'Electric Dreams' by Scott Buckley - released under CC-BY 4.0.www.scottbuckley.com.auShow your support for ASGCT!: https://asgct.org/membership/donateSee omnystudio.com/listener for privacy information.

In this episode, we go 'behind the scenes' with registered dietitian nutritionist, featuring Kate Beard, MA, RDN, CSPCC, LD. Listen in as we explore the human milk lab at Riley Children's Hospital in Indianapolis. Kate and her team are responsible for over 44,000 feedings per year provided to patients ranging from preterm infants to young adults with specialized metabolic and tube feeding requirements. This episode is hosted by Christina M. Rollins, MBA, MS, RDN, LDN, FAND, CNSC and was recorded on 5/18/24.

Host Dr. Joshua Liu, Co-founder & CEO of SeamlessMD, and marketing colleague, Alan Sardana, chat with Dr. Emily Webber, CMIO at IU Health and Riley Children's Health, about "Mastering AI Governance, Harnessing Listening as a Superpower, Bridging the Tech and Healthcare Cultures, and more." Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

On this episode of The Digital Patient, Dr. Joshua Liu, Co-founder & CEO of SeamlessMD, and marketing colleague, Alan Sardana, chat with Dr. Emily Webber, Chief Medical Information Officer at IU Health and Riley Children's Health, about "Mastering AI Governance, Harnessing Listening as a Superpower, Bridging the Tech and Healthcare Cultures, and more..."

Colleen DeRyckere and I were recently introduced by a mutual connection, but during this interview her personality made it feel like we'd known each other for years. During this conversation we talk about: How she got into running to get in shape for her wedding and to keep up with her firefighter husband Why she has a 12.8 sticker on her car instead of a 13.1 Ryan Matthew DeRyckere, her first child who passed away shortly after his birth How she uses running as a way to connect with Ryan Running her first full marathon for Ryan at the 2023 CNO Indianapolis Monumental Marathon Running specifics: training, fuel, gear, and how she listens to music but without wearing headphones How to support Riley Children's Hospital and Colleen and her family Order Ryno merch here Donate or get involved with Riley Children's Hospital here

This week, Drewby and Yergy head to Bedford, Indiana, to discuss the case of Elliaunna Plummer,  who was admitted to Riley Children's Hospital with a brain bleed, a broken collar bone, and facial bruising. According to her meth addicted mother, Cheyenne Hill, Elliaunna was "not a nice kid," and was going to be "the next Jeffrey Dahmer" one day. Mind you, little Elliaunna was just 20-months-old... Support Our Patreon For More Unreleased Content: https://www.patreon.com/themiserymachine PayPal: https://www.paypal.me/themiserymachine Join Our Facebook Group: https://t.co/DeSZIIMgXs?amp=1 Instagram: miserymachinepodcast Twitter: misery_podcast Discord: https://discord.gg/kCCzjZM #themiserymachine #podcast #truecrime Source Material: https://www.documentcloud.org/documents/24000148-hill-pc-affidavit https://www.linkedin.com/in/calysta-herniter-38612a195 https://lawandcrime.com/crime/mother-allegedly-said-toddler-would-have-been-the-next-jeffrey-dahmer-made-her-eat-off-the-floor-because-she-is-free-range-and-called-the-girl-an-a-hole-after-she-died/ https://www.wbiw.com/2023/10/12/more-information-released-on-cheyenne-hills-michigan-arrest/ https://www.linkedin.com/in/emily-werner-0926851b6 https://www.rileychildrens.org/find-a-doctor/physician/andrea-l-powers https://www.linkedin.com/in/calysta-herniter-38612a195?trk=public_profile_samename-profile https://www.linkedin.com/in/amanda-paul-563530a9

Dr Mara Nitu, VP and Chief Medical Officer at Riley Children's Health joins the podcast to discuss her background, top priorities right now, how her organization will evolve over the next couple years, and one change that she or her team has made that yielded great results.

Dr Mara Nitu, VP and Chief Medical Officer at Riley Children's Health joins the podcast to discuss her background, top priorities right now, how her organization will evolve over the next couple years, and one change that she or her team has made that yielded great results.

Looking for something fun to do this weekend? You're in the right place! WISH-TV Events manager, Allan Haw, has a calendar full of things for you to do! Here's what's happening for the weekend of Friday, November 3 through Sunday, November 5, 2023. This week: start a podcast and have a good clean laugh plus more from the WISH-TV Community Calendar! Let's make it a great weekend and find out what's going on “IN the Community”! Events mentioned in this episode: PodINDYNovember 04, 12:00pm-5:00pmHeavenEarth Church309 E Main StWhiteland, IN Local Clay Potters' Guild 25th Annual Holiday Show & SaleNovember 03 - November 04Monroe Convention Center302 S College AveBloomington, IN OnyxFest Theater FestivalNovember 03 – November 12IndyFringe Basile Theatre719 E. St. Clair StreetIndianapolis, IN Taste Together Gala: Journey with our Families Presented by Riley Children's HealthNovember 03, 6:30pm-11:00pm502 East Event Centre 502 East Carmel DrCarmel, IN Hendricks Humane Wine, Beer & Spirits Tasting Presented by NEST RealtyNovember 03, 7:00pm-10:00pmCRG Event Center2499 Perry Crossing WayPlainfield, IN Fall Market at the RoseNovember 04, 12:00pm-6:00pmThe Marilyn Rose Center205 E Palmer StIndianapolis, IN Annual Turkey ChaseNovember 04, 12:00pm-2:00pmVeterans Memorial Park - SouthJackson Street between Ninth and Eleventh StreetsRushville, IN NATIONAL FFA Convention - Future Farmers of AmericaNovember 01- November 04Various LocationsIndianapolis, In The 8th Annual Indiana Craft Brewers ConferenceNovember 05 - November 07, 12:00pm-3:00pmIndianapolis Marriott East7202 East 21st StreetIndianapolis, In WISH-TV Community CalendarSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Kylee Kendall is communication specialist for Beacon Health System in South Bend, Indiana. She joins Jimmy to catch up after being a communication major with him at the University of Indianapolis. She recalls her experience as Editor-in-Chief of The Reflector, UIndy's campus newspaper, and the stressful process of putting a full issue together. Originally from Elkhart, Indiana, Kylee recently moved back to her hometown for a position with Beacon Health System. Beacon Health System oversaw the care of Kylee's sister, Sarah, after she was diagnosed with cancer. This shocking news came during Kylee's freshman year at UIndy, with her sister passing away after a hard-fought five-month battle on December 7, 2013. Kylee also reflects on interning at Riley Children's Hospital, documenting patient stories like Sarah's in her experience. Kylee enjoys helping others with her communication skillset in medicine now, knowing Sarah would be proud of the work she is doing to pay it forward. Finally, Kylee & Jimmy look back on their "Friends" themed capstone Senior Project collaboration that was required for graduation. An easy conversation with one of the most kind & joyful souls I know. --- Support this podcast: https://podcasters.spotify.com/pod/show/jbkonair/support

Susan Henderson- Sears, director, Neonatal Intensive Care Unit Family Support, Riley Children's Health, is honored for exhibiting empathy and compassion in the workplace that impacts the team.

Lauren Hall-Riggins lost her first baby when she was 33 weeks and one day pregnant. "It the greatest anguish, shock and pain," Lauren said. She eventually turned to the Kate Cares Stillbirth Assessment Program, from Riley Children's Health, to learn what may have caused this tragic outcome. The team was able to investigate and informed Lauren that there were no conditions that would cause subsequent pregnancies to have the same outcome. When Lauren became pregnant with her rainbow baby, she turned to the Riley Maternal Fetal Medicine team. She says their care and compassion helped navigate the anxiety she felt after losing her first baby.

In this episode, hosts Drs. Temara Hajjat and Jason Silverman talk to Dr. Charlie Vanderpool about functional components in both human breastmilk and infant formulas, and some of their roles in infant growth and development. Dr. Vanderpool is a pediatric gastroenterologist at Riley Children's Health and an Associate Professor of Clinical Pediatrics at Indiana University School of Medicine.This episode is eligible for CME credit!  Once you have listened to the episode, click this link to claim your credit.  Credit is available to NASPGHAN members (if you are not a member, you should probably sign up).  And thank you to the NASPGHAN Professional Education Committee for their review!Resources mentioned in the episode:Webinar on infant nutrition (NASPGHAN members only)Learning Objectives:Define and discuss functional components of human breastmilk and infant formulas.Understand the proven and potential health impacts of a number of these components.Discuss possible modifying influences of these components on the infant microbiome.Produced by: Jason SilvermanSupport the showAs always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes!

Hoda Kotb and Jenna Bush Hager catch up with Selma Blair and talk about her new book “Mean Baby” as she inspires others who are living with MS. Also, the story of three friends who for decades have been working together at “Riley Children's Hospital” and now their daughters are working alongside them too. Plus, Hoda Kotb and Jenna Bush Hager dive in into the real stories behind three of the most accomplished women in entertainment. And, fiber scientist and director at “The Good Housekeeping Institute” shares some of the best bedding.

Some people spend their whole lives wondering if they ever made a difference in the world. Brian Calvert does not have that problem.  On this episode of the Houndsman XP Podcast Chris is joined by Brian Calvert and his better known and world famous Bluetick Dixie the Praying Dog. After a series of tragedies in his life Brian developed a plan to make a positive impact on the world. His plan included getting a Bluetick puppy, Dixie, to use as a multi purpose hound. He had plans to track some deer and do some local therapy work for veterans and Riley Children's Hospital. What happened next far exceeded those expectations. Dixie has been involved in multiple Honor Flights, flying U.S. Military veterans all over the US. She has recovered hundreds of deer for deer hunters and a few days later walked Hollywood Boulevard filming movies. She makes regular appearances at Children's Hospitals where she drives a scaled model of her Jeep, bringing smiles and comfort to parents and their children. Dixie and Brian appeared on the Amazon Prime Reality TV Challenge show called The Pack and quickly became a fan favorite. Brian and Dixie travelled around the world competing with other dog teams in multiple challenges. Dixie is no ordinary dog and Brian has found a higher calling for his Bluetick companion.  Listeners will get a behind the scenes look at;  what it is like to be involved in Hollywood production   what it is like to spend every minute of every day for 54 days straight with a hound How Dixie is making a positive impact for houndsmen to the non hunting public How dixie is honoring America's heroes with Honor Flights, military funerals and service as a therapy dog Stay tuned folks, this one has it all, joy, humor, and tears. Dixie the Praying Dog is on the Houndsman XP Podcast. Check out the Sportsmen's Empire Podcast Network for more relevant outdoor content! www.houndsmanxp.com #thisisfairchase SPONSORS: Cajun Lights Havoc Hunting Supply Go Wild Old South Dog Boxes Joy Dog Food Briar Creek Kennel dogsRtreed Freedom Hunters Rough Cut Company Learn more about your ad choices. Visit megaphone.fm/adchoices

Some people spend their whole lives wondering if they ever made a difference in the world. Brian Calvert does not have that problem. On this episode of the Houndsman XP Podcast Chris is joined by Brian Calvert and his better known and world famous Bluetick Dixie the Praying Dog. After a series of tragedies in his life Brian developed a plan to make a positive impact on the world.  His plan included getting a Bluetick puppy, Dixie, to use as a multi purpose hound. He had plans to track some deer and do some local therapy work for veterans and Riley Children's Hospital.  What happened next far exceeded those expectations.Dixie has been involved in multiple Honor Flights, flying U.S. Military veterans all over the US. She has recovered hundreds of deer for deer hunters and a few days later walked Hollywood Boulevard filming movies. She makes regular appearances at Children's Hospitals where she drives a scaled model of her Jeep, bringing smiles and comfort to parents and their children.Dixie and Brian appeared on the Amazon Prime Reality TV Challenge show called The Pack and quickly became a fan favorite. Brian and Dixie travelled around the world competing with other dog teams in multiple challenges.Dixie is no ordinary dog and Brian has found a higher calling for his Bluetick companion. Listeners will get a behind the scenes look at; what it is like to be involved in Hollywood production  what it is like to spend every minute of every day for 54 days straight with a houndHow Dixie is making a positive impact for houndsmen to the non hunting publicHow dixie is honoring America's heroes with Honor Flights, military funerals and service as a therapy dogStay tuned folks, this one has it all, joy, humor, and tears. Dixie the Praying Dog is on the Houndsman XP Podcast.Check out the Sportsmen's Empire Podcast Network for more relevant outdoor content!www.houndsmanxp.com#thisisfairchaseSPONSORS:Cajun LightsHavoc Hunting SupplyGo WildOld South Dog BoxesJoy Dog FoodBriar Creek KenneldogsRtreedFreedom HuntersRough Cut Company

Some people spend their whole lives wondering if they ever made a difference in the world. Brian Calvert does not have that problem. On this episode of the Houndsman XP Podcast Chris is joined by Brian Calvert and his better known and world famous Bluetick Dixie the Praying Dog. After a series of tragedies in his life Brian developed a plan to make a positive impact on the world.  His plan included getting a Bluetick puppy, Dixie, to use as a multi purpose hound. He had plans to track some deer and do some local therapy work for veterans and Riley Children's Hospital.  What happened next far exceeded those expectations.Dixie has been involved in multiple Honor Flights, flying U.S. Military veterans all over the US. She has recovered hundreds of deer for deer hunters and a few days later walked Hollywood Boulevard filming movies. She makes regular appearances at Children's Hospitals where she drives a scaled model of her Jeep, bringing smiles and comfort to parents and their children.Dixie and Brian appeared on the Amazon Prime Reality TV Challenge show called The Pack and quickly became a fan favorite. Brian and Dixie travelled around the world competing with other dog teams in multiple challenges.Dixie is no ordinary dog and Brian has found a higher calling for his Bluetick companion. Listeners will get a behind the scenes look at;what it is like to be involved in Hollywood productionwhat it is like to spend every minute of every day for 54 days straight with a houndHow Dixie is making a positive impact for houndsmen to the non hunting publicHow dixie is honoring America's heroes with Honor Flights, military funerals and service as a therapy dogStay tuned folks, this one has it all, joy, humor, and tears. Dixie the Praying Dog is on the Houndsman XP Podcast.Check out the Sportsmen's Empire Podcast Network for more relevant outdoor content!www.houndsmanxp.com#thisisfairchaseSPONSORS:Cajun LightsHavoc Hunting SupplyGo WildOld South Dog BoxesJoy Dog FoodBriar Creek KenneldogsRtreedFreedom HuntersRough Cut Company

Medical tyranny has been ubiquitous in some form or fashion across the world for nearly three years. It ebbs and flows in severity with 2022 ending on a relatively free note. But the next wave of Pandemic Panic Theater is already in motion and the powers-that-be are adding a new wrinkle to the mix for 2023.Shortages of common drugs ranging from child fever reducing medication to antibiotics are already hitting. It's going to get worse as we get deeper into winter. Some are predicting that by Spring of 2023 we will be in a full-scale pharmaceutical catastrophe as supply chains break down and shortages extend to other medications.This makes sense when we consider the machinations of the globalist elite cabal bent on ushering in The Great Reset. Establishing public-private partnerships that put the power in the hands of unelected corporate officials is one of the keys to their success. There's already an unofficial public-private partnership operating from the shadows in which the CDC and FDA trade talent back and forth with Big Pharma. Today's regulators are tomorrow's Pfizer VPs. Today's Moderna executive directors are on tomorrow's medical boards to determine the safety of new drugs. The relationship between Big Pharma and the government groups tasked with regulating them is downright lecherous.On today's episode of The JD Rucker Show, I listed the coming medical tyranny as one of ten machinations from the globalist elite cabal to expect in 2023. If all we had to deal with was a pharmaceutical shortage, we would be okay in the long run. But the powers-that-be appear to be planning another round of Pandemic Panic Theater. Lockdowns combined with a shortage could devastate the masses, prompting calls for government to do something. That's exactly what they want.Here's a breakdown of what we're already facing with children's medications. Keep in mind this is BEFORE winter and the challenges of diseases that always accompany the cold season. According to Mac Slavo at SHTF Plan...Pharmacies Begin Rationing Children's Cold Medicine Amid ShortagesWalgreens and CVS pharmacies have started to limit (ration) the amount of children's medicine that can be purchased amid an ongoing shortage. A Walgreens spokesperson told Nexstar that the decision to ration medication was due to “increased demand and various supplier challenges,” and that pediatric fever-reducing products are “seeing constraint across the country.”CVS spokesperson Mary Gattuso said the drugstore chain created the product limit to ensure “equitable access for all our customers.” There is currently a two-product limit on all children's pain relief products at all CVS Pharmacy locations and cvs.com, Gattuso confirmed. “We're committed to meeting our customers' needs and are working with our suppliers to ensure continued access to these items,” Gattuso said.Remember, there are enough COVID shots, ingredients to make them, syringes, and needles to inject every human on this globe four times or more. Yet there's a shortage of cold and flu medication.* There Are Magically Enough COVID Shots For Everyone, But Not Enough Other DrugsThe ruling class is blaming the shortage on the “tripledemic” and it being cold and flu season, even though this comes around every year.“There are more sick kids at this time of year than we have seen in the past couple years,” said Dr. Shannon Dillon, a pediatrician at Riley Children's Health in Indianapolis. Drugmaker Johnson & Johnson says it is not experiencing widespread shortages of Children's Tylenol, but the product may be “less readily available” at some stores. The company said it is running its production lines around the clock.These big pharma companies are making so many COVID shots they have to dispose of them because no one wants them anymore, but can't be bothered to create over-the-counter medicines that help alleviate symptoms when someone gets sick. And yet, the masters continue to tell the slaves it's a demand issue, not a supply issue.Former Food and Drug Administration Commissioner Scott Gottlieb told CBS “Face the Nation” host Margaret Brennan on Sunday that shortages of children's cold medicine, as well as an ongoing shortage of antibiotic drugs, are the result of unanticipated levels of demand, not a problem with the supply chain.Gottlieb also added that the pharmaceutical industry's “sophisticated supply chain” should catch up soon. Sure. Because they care so much about people, right?* Flu Vaccines Don't Work For The Same Reason COVID Injections Don't Work* America Waiting to Explode: “If Supply Lines Go Down… Millions of FDA-Approved Drug Addicts Go Psycho”Stock Up NowWhile there are still drugs available on the shelves and behind the counter, it behooves us all to stock up on the medications we may need. The good news is that most drugs have long shelf lives as long as they remain sealed, but the better news is that they can retain potency and remain safe long after their "expiration date."According to NowRx:So, how long does medication last after the expiration date? According to research, your medicine is likely still safe and effective years after its expiration date.In fact, one study found that 90% of more than 100 drugs, both prescription and over-the-counter, were perfectly good to use even 15 years after the expiration date.With the Chinese Communist Party controlling 90% of the ingredients used in American pharmaceuticals, it behooves us all to assume that massive shortages are coming. In the vein of hoping for the best but preparing for the worst, we encourage working with our sponsors for antibiotics delivered to your door to store just in case.One does not have to be a "conspiracy theorist" to see the major risks we're facing with pharmaceutical shortages that could lead to advanced medical tyranny. The prudent will be stocking up on any of the medicines and treatments they need today in case the pharmacies are shut down tomorrow.According to an article by Michael Snyder at The Economic Collapse Blog, the release of new diseases is already happening...Horrifying Pestilences Are Starting To Run Wild All Over The GlobeHow many millions have to die before people start to realize what is happening?  For years, I have been persistently warning that we would soon enter an era of great pestilences, and now it is here.  Sadly, what we have witnessed over the past few years is just the tip of the iceberg.  At this point we have been perfectly primed for future pandemics because vast numbers of people all over the planet are now running around with compromised immune systems.  That means that diseases will now be able to spread even more easily, and this is a trend that we have already started to see all throughout 2022.Strep A is the latest illness to run wild in the western world.  The number of children being admitted to the hospital with Strep A is way above normal in the U.S., and this appears to particularly be true in the western half of the country…A deadly wave of Strep A infections in children looks set to take off in the US — weeks after the UK was hit by a spate of deaths.At least two children have died in Colorado after suffering the normally-mild illness, and pediatric hospitals in five states — Arizona, Colorado, Texas, Washington and West Virginia — are reporting much higher levels of admissions than usual.At the country's largest pediatric hospital in Texas, doctors are already handling f

This week Fort Riley the Podcast covers the programs available to help students in transition when it comes to school and Child and Youth Services resources.

Dr. Elaine Cox, Chief Physician Executive at Riley Children's Health joins the podcast to talk about the Ryan White Care Act, mentoring the next generation of leaders, advocacy in leadership, and more.

Jenny Holbrook, LPN, IU Health Physicians Psychiatry and Behavioral Health, helps to create an animal kingdom theme at the Riley Children's Health Pediatric Center office.

Why Indianapolis, Indiana is the perfect destination for families this summer: Summer is right around the corner, and Indy has something for everyone to enjoy. Get your summer started by heading to the iconic Indianapolis Motor Speedway to watch the 106th running of the Indy 500. Taking a family trip? Head over to the world's largest children's museum and play your way through the Riley Children's Health Sports Legends Experience. White River State Park's 250 acres are filled with amazing attractions like the Indianapolis Zoo, Victory Field, and the Central Canal where you can experience a taste of Italy with a gondola ride down the canal. Newfields' stunning indoor and outdoor art displays are must-sees for nature lovers and art enthusiasts alike. Finally, have the Circle City be the soundtrack to your summer with some of the nation's biggest artists coming through our outdoor amphitheaters. We can't wait to see you in Indy.

In this episode, dance/movement therapist Breanna Davis joins us for a conversation about self-care. We explore the role creativity can play in that when we use it to meet our need for well-being and not only for our work. We discuss the importance of re-connecting with our bodies, re-discovering joy in movement, and then put that in practice by coming together to pose, move, and dance virtually. Breanna Davis, MS, R-DMT, LMHCA is a Registered Dance/movement Therapist from Indianapolis, Indiana and has a Master's in Dance/Movement Therapy and is in the process of achieving her Mental Health Counselor License. Through The Andrea Rizzo Foundation, Breanna brought Dance/movement Therapy back to Riley Children's Hospital where she provides therapy services to kids, teens, and caregivers during their hospital stay. Breanna works to help connect others to movement as a way of emotional expression, pain management, coping, and encouraging positive self-esteem and body image. Breanna continues to work as a dance teacher and choreographer. She also is the Director of Mental Health at Dance Education Equity Association, an organization on the quest to make dance spaces for all. You can learn more about Breanna and her work by following her on Instagram @foreverrbrej. A full transcript of the episode is available here: https://share.descript.com/view/5LpPgMnlR1E And be sure to check out us video of us dancing together on YouTube here: https://youtu.be/rdcA-JSZsMk Resources mentioned: The Body is Not an Apology by Sonya Renee Taylor. You can get a copy of the book and workbook, as well as learn more about the movement for radical self-love by visiting https://thebodyisnotanapology.com/ --- Support this podcast: https://anchor.fm/black-creative-healing/support

The very first full episode of Voices of Indy features T.A. Parker. Originally from El Salvador, T.A. Parker is a physician with Riley Children's Hospital by trade and an Americana musician in his free time. Influenced by Tom Petty, Rage Against the Machine and the protest songs of his native El Salvador, T.A. found his voice early playing in bars. Only recently has he been able to return to his love of making music. T.A. is wrapping up his debut EP, coming out in early summer, and is also working in his first Spanish language album as well. Check out T.A. Parker's music in the link below and give him a follow on his socials. T.A. is also featured on the Voices of Indy Spotify playlists, volumes 1 and 2. Streaming Spotify - https://open.spotify.com/artist/4zYbAY7gQISkPSiu1K6hny?si=-mrbp3hPQO-PmyjJBn7yew Apple Music - https://music.apple.com/us/artist/t-a-parker/1546024740 Voices of Indy Vol. 1 Voices of Indy Vol. 2 Socials Instagram Facebook Twitter YouTube Sunday Song - https://youtu.be/9JEMU322BSE Endless - https://youtu.be/rFfcyOL2JEQ Two for Tuesdays - Voices of Indy Edition featuring T.A. Parker

With the holidays upon us—and only a small percentage of kids vaccinated against COVID-19—host Mason King has been wondering what's safe when it comes to family gatherings, parties and public events So he called Dr. James Wood, a pediatric infectious disease specialist at Riley Children's Health, to talk about vaccinations for children, how latest strains of coronavirus are affecting younger kids and whether it's safe for grandkids to gather with their grandparents at the holidays. (Hint: You're safest if the kids are vaccinated and the adults are boosted.) Plus, King asks Dr. Woods to share what he's done about vaccinations with his own young kids and how they're treating family outings. The IBJ Podcast is brought to you by Taft.      

Providing respectful relationships with our infants today, will help them grow into caring adults that will build and sustain healthy, hopeful communities in the future. This episode provides listeners with simple, impactful relationship-building strategies to employ with infants. These strategies facilitate healthy infant development, and provide a foundation for building healthy relationships with all humans! To learn more about the Resources for Infant Educarers (RIE) approach please visit: https://rie.org; to learn more about the importance of healthy adult-infant relationships on infant brain development please visit: https://developingchild.harvard.edu/resources/three-early-childhood-development-principles-improve-child-family-outcomes/#responsive-relationships To learn more about the Indiana Grassroots Maternal Child Health Initiative, funded by Riley Children's Foundation, please visit: https://fsph.iupui.edu/research-centers/centers/cheer/grassroots/index.html The Community Solutions Podcast is a product of the Dept. of Social and Behavioral Sciences at the Indiana University Fairbanks School of Public Health. To learn more about the department, its education, research and outreach programs, please visit: https://fsph.iupui.edu/about/departments/social-behavioral-sci/index.html.

After several unsuccessful attempts to get urgently needed blood work done on their 5-month old son, a family from Carmel found compassion, caring and a desired outcome with Riley Children's Health.

Here we go with Season 2! We are so incredibly lucky to be talking with Adam Hill....Adam is a father, husband, doctor, and a fierce advocate for mental health and a more compassionate world. He's the director of palliative care at Riley Children's Hospital in Indianapolis. While he helps families in the most tender and difficult circumstances, he is continuing on his own journey of recovery. Adam is amazingly open about his battles with anxiety, depression and alcoholism, as well as the times in his life when he had an active suicide plan. He was an accomplished high school and college athlete, and he made his way through medical school – all while crumbling under the weight of struggles. Adam shares his heart with us and how he found his way to his calling as a pediatric palliative care doctor. He is on his own journey with health and peace, while he helps his patients and their families with the same. I stumbled on a tweet of his several years ago and loved his compassion and the way he advocated for himself and the ways that we can take care of each other. I'm so glad he said yes when I asked him to be here on Making Our Way. What a gift to spend this time with him. Follow Adam on Twitter - @Adamhill1212 Find his book on Amazon - Long Walk Out of the Woods Follow Team Joseph on Twitter @TeamJosephInfo, Facebook:@teamjosephinfo, Instagram: team_joseph or visit us at www.teamjoseph.org Please subscribe, share and review us wherever you listen to podcasts!

Casey Crouse is an account manager at GadellNet. He's also on the Board of the Riley Children's Foundation, the founder of the New Shoe Day Foundation, an advocate for mental health—and an ultra-marathon runner. What a resume of experience!  In this episode, Nick and Casey mix things up by discussing six key takeaways they learned from running ultra marathons that apply to business and life.  Key Takeaways: Stress can be a good thing when applied appropriately Community can be the greatest cheerleader and motivator If you expect adversity, you'll never be surprised Things to Listen For: [01:41] Who is Casey? [03:28] The origin of the New Shoe Day Foundation [06:17] When stress can be a good thing [10:35] If you want to go far, do it together [14:44] Systems versus goals [22:40] Expect adversity [27:11] Focusing on the why  After You Listen: Connect with Casey: https://www.linkedin.com/in/casey-crouse-3572b023/ Connect with Nick: https://www.linkedin.com/in/smarrelli/ Learn more about GadellNet Consulting Services: https://gadellnet.com/

So, you finally get to take your new baby home -- now what? Newborns do not come with instructions and first time parents may face a lot of uncertainty in those first few days. Dr. Pat Clements, medical director of well newborn care for Riley Children's Health, offers some advice for families about what to monitor once you leave the hospital. He offers tips on how to ensure your newborn is safe and when to call the pediatrician. Plus, he provides some advice on how to handle COVID-19 concerns.

McKinzie welcomes certified registered nurse, Gabriella Marambaa to the show! She works at both Riley Children's Health and Renova Aesthetics Spa. The ladies dish on opening a new med spa, cutting edge technology and how you can look great and feel even better!!!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

(00:00-21:58) – The show opens on a Thursday with Dan sharing his thoughts on the documentary on the Malice at the Palace brawl involving the Indiana Pacers, the Detroit Pistons and the fans in Detroit. Dan also talks on why he feels its nuts to think that team could have won a NBA Championship. Later, Dan questions how you could put a team like that together.      (21:59-31:29) – Dan plays a clip from Deforest Buckner about him having to deal with sitting out. Plus, Dan looks at the quarterback situation with the Colts and the prep for the Vikings. (31:30-38:41) – Some callers share more thoughts with Dan on the Malice at the Palace documentary as we close out the first hour of the show.             (38:42-1:01:20) – Darius Butler, former Colts cornerback and 9 year NFL Vet and co-host of The Man To Man Pod, stops by to share his thoughts on the Colts through their first preseason game. Darius also talks on the quarterback competition between Jacob Eason and Sam Ehlinger. Plus, Darius talks on how invaluable preseason reps can be, particularly for those fighting for a roster spot. (1:01:21-1:14:19) – Colts rookie wide out Mike Strachan joins the show to discuss how his breakout training camp has been so far and what it was like to play in his first Preseason game. Mike also takes us through his remarkable journey to the NFL and how he's making the most of the opportunities at hand.               (1:14:20-1:19:22) – Hour number two ends with Dan talking about the Covid-19 pandemic and engaging with some of the YouTube chat. (1:19:23-1:42:14) – Pete Bercich of the Vikings Radio Networks takes us through the frustrations of head coach Mike Zimmer following their first Preseason game and what he's seen from to this point in practices. Pete also talks on the vaccination discussion among the Minnesota Vikings and what that conversation has been like amid the locker room. Plus, Pete talks on the biggest issues and strengths on Minnesota's roster.         (1:42:15-1:54:12) – A few weeks ago, Dan told you about a young girl named Londyn Hoffman who has been fighting for her life at Riley Children's Hospital. Her mother, Jenna Hoffman, joins the program to share her daughter's story and how you can help Londyn and kids dealing with childhood cancer across the country.         (1:54:13-1:59:38) – Thursday's show concludes with Dan sharing the results from today's Indiana Grand Racing and Casino Race of the Day. Plus, Dan asks show producer Jimmy Cook for today's edition of The JCook Plays of the Day. Also, Dan debates whether or not he will bet on Colts-Vikings Preseason GM 2. See omnystudio.com/listener for privacy information.

Today's Best of Features: (00:00-17:04) – Darius Butler, former Colts cornerback and 9 year NFL Vet and co-host of The Man To Man Pod, stops by to share his thoughts on the Colts through their first preseason game. Darius also talks on the quarterback competition between Jacob Eason and Sam Ehlinger. Plus, Darius talks on how invaluable preseason reps can be, particularly for those fighting for a roster spot. (17:05-23:21) – Colts rookie wide out Mike Strachan joins the show to discuss how his breakout training camp has been so far and what it was like to play in his first Preseason game. Mike also takes us through his remarkable journey to the NFL and how he's making the most of the opportunities at hand.               (23:22-35:58) – Pete Bercich of the Vikings Radio Networks takes us through the frustrations of head coach Mike Zimmer following their first Preseason game and what he's seen from to this point in practices. Pete also talks on the vaccination discussion among the Minnesota Vikings and what that conversation has been like amid the locker room. Plus, Pete talks on the biggest issues and strengths on Minnesota's roster.         (35:59-42:02) – A few weeks ago, Dan told you about a young girl named Londyn Hoffman who has been fighting for her life at Riley Children's Hospital. Her mother, Jenna Hoffman, joins the program to share her daughter's story and how you can help Londyn and kids dealing with childhood cancer across the country.         See omnystudio.com/listener for privacy information.

What does care with a midwife look like? Can you only use a midwife if you plan to have an unmedicated delivery? Darla Berry, one of our Riley Children's Health midwives, debunks some myths and explains what midwifery is really all about.

(00:00-23:29) – The final show of the week starts with Dan sharing the coolest thing he saw yesterday, the City League Basketball Final here in Indianapolis. Dan also shares the dumbest thing that he saw yesterday involving a story on the Colts young quarterbacks. Plus, Dan looks at why phony leadership is easily identified and never works. Dan also asks the audience to help a young girl battling cancer at Riley Children's Hospital.   (23:30-34:34) – The talented Jason Hammer of WIBC's Hammer and Nigel joins the show to share his best bets for the sports weekend, including guidance on the NFL preseason. Plus, Dan asks Hammer if he should bet against their beloved Cubs the rest of the season and if he would make a profit. (34:35-40:38) – To close hour number one Dan asks Jason Hammer if the Pacers and Colts have put forth an interesting team in their offseason. Dan and Jason later continue to express their frustrations with the direction of the Chicago Cubs.         (40:39-1:00:47) – Our pal the great Uwe Blab stops by to weigh in on an discussion Dan had with a somebody who enter his house the other day. Uwe also shares whether he could ever envision a time that he would have transferred to Purdue. Uwe also tells us about his current methodology for making the perfect Margarita.   (1:00:48-1:11:49) – The lovely Leigh Ross-Dakich stops by to share some stories a crazy story from her day around the city.          (1:11:50-1:19:37) – Dan takes a deep look at the Colts quarterback competition and what he will be keeping an eye on in the Colts first preseason game this weekend. (1:19:38-1:41:49) – The Fan's own Kevin Bowen, and new host of The Fan Morning Show, stops by to share what he learned from the Colts joint practices with the Carolina Panthers. KB also talks on the injuries to a number of different positions heading into the team's first preseason game against the Panthers this weekend. Plus, Kevin shares his thoughts on the quarterback competition between Jacob Eason and Sam Ehlinger.  (1:41:50-1:54:57) – Dan talks on how the only thing that matters in this quarterback competition between Jacob Eason and Sam Ehlinger is what Coach Reich sees through this preseason.                 (1:54:58-2:00:20) – The week ends with Dan asking show producer Jimmy Cook for today's edition of The JCook Plays of the Day. Plus, some chatter on last night's Field of Dreams game in Iowa. Later, Dan again asks listeners to help a 5 year old girl who is fighting for her life over at Riley Children's Hospital. See omnystudio.com/listener for privacy information.

June 19th marks World Sickle Cell Awareness Day! In this episode, we talk with child psychologist Dr Julia Lamotte about working with children with sickle cell disease and their families.  _____________________________________________________Do something good today!Dr Lamotte recently launched the Sickle Cell Story Club at Riley Children's Hospital in Indianapolis where she works. This program aims to give EVERY child with sickle cell disease seen at Riley at least one book per year. These are books with diverse and relatable characters reflective of the local community of people living with sickle cell disease. The books are selected with a focus on promoting emotional intelligence/awareness, self-esteem, and coping skills in these children.Your support can help ensure that this program is sustainable! Buy a book from their Amazon Wish List or make a donation. For more information, visit: www.storytimeclinic.com/dosomethinggood  Additional Resources: Sickle Cell Disease: https://www.sc101.org/ Child Mental Health: https://infoaboutkids.org/ Pain coping (for parents): https://itdoesnthavetohurt.ca/resources/  

Riley Children's Health is changing the way mothers and babies are treated in Indiana. The new Riley Maternity and Newborn Health Tower will open this fall. For the first time, women will be delivering babies at Riley. Dr. Carrie Rouse, a maternal fetal medicine physician, chats about this new care model and what it will mean for families.

In this week's episode of The Able Voice Podcast we are joined by six incredible music therapists to talk all about using woodwind and Brass instruments throughout the therapeutic process. We talk about safe and effective use of single line instruments within co-therapy settings, sessions with one therapist, and online sessions. Thank you to our panelists: Jessica Nielsen primarily works with clients experiencing mental health struggles and uses a client-centred, music-centred approach in working with clients. She uses various flutes, her voice, the piano, guitar, drums and acoustic and electroacoustic composition to help her clients express themselves through music. Amelia Ballak's primary instrument is the tuba. She works with a variety of clients, including TBI, developmental delays, mental health, and geriatric care. Amelia is a certified music therapist and registered psychotherapist. Katelyn Beebe's professional interests include extraverbal communication in therapy, improvisational music therapy, and empowerment of clients to participate actively in directing their therapeutic journeys. Jody Speck works with older adults in long term care, adults with special needs and children with autism. Jody is passionate about using music to foster meaningful and authentic connection. Katelyn Wheaton is a dedicated self-learner, and an active flautist who enjoys utilizing her flute in her music therapy practice. Katelyn has experience working with all ages with various needs (including developmental delays, cerebral palsy and Autism), and individuals with dementia. Tori Zimmerman has practical experience working with Autism Spectrum Disorders, Alzheimer's and Dementia patients, teenagers admitted to an inpatient behavioral health unit and mothers in the NICU at Riley Children's Hospital, and individuals with other intellectual and developmental disabilities. Let us know your thoughts and takeaways! Don't forget to subscribe to Able Voice Podcast and connect with us on social media (@mtahayley & @mta.kimberly) to join the conversation. AVP Theme Music by: Christopher Mouchette. Follow him on instagram (@cmouchette_) and Soundcloud (Chris Mouchette - https://soundcloud.com/chris-mouchette/able-voice-podcast-music). Episode edited by: Sebastian Vaillancourt (vaillancourtsebastian@gmail.com) You can support the podcast through a gifted donation here Episode Links: “Inner Circle: The People of Classical Music (listen here) Porcelain Doll Album: Learn more or Purchase Album

Thousands of Hoosier adults are receiving COVID vaccines every day in Indiana. But none of the shots are available to kids younger than 16.  So what does that mean for family gatherings? For cookouts and other outdoor activities? And what about youth sports? Host Mason King poses those questions and many more to Dr. James Wood, a pediatrician at Riley Children’s Health and an expert in pediatric infectious diseases. Dr. Wood offers practical advice for traveling, entertaining and other activities when parents are vaccinated and kids aren't.  

Jill Harding Whenever I share those stories, people like you look so, so optimistic and you're so bubbly on life with what you've been through. And I said because at the end of the day, my kiddos fortunate, they have taught me a lot about life in ways that I don't know if we didn't go through those experiences, one, I could have taught them as a parent. And secondly, I learned a lot by their endurance, resilience and what they all went through.   INTRO   Sometimes in life, one disruptive life event falls fast on the heels of another.  This can be hard in your personal life…but it can feel especially devastating when the pain affects your children.  And that is what we are going to be talking about today.  My guest is Jill Harding.  She is many things, which I will tell you more about in a second, but she has parented two children through some really hard stuff.  Her oldest child, Grant, was diagnosed with leukemia and her middle child, Berkley, had a life-threatening bout of E.coli.  You will get a behind the scenes look at the challenges and even joy along the journey and learn how to be a better manager, coworker, or friend to people living through similar situations.  Jill lives with her husband and three children in small-town Indiana, in Morgantown.  She has known her husband since the mid-90s and they always said that they would never live in Morgantown or own minivan or live in a log cabin.  But things change.      Jill Harding We live in a little town which we love and adore Morgantown. But I laugh when people ask that question because my husband and I have known each other since the late 90s and we always said no log cabin, no minivan and no Morgantown. And guess what?   Jill Harding We have a minivan and we live in Morgantown and we pass a log cabin to get to our house every day just on the irony of those early and that we don't even think of at our place like it's perfect.   Liesel Mertes All of the cup holders, the door is right, minivan, they're great.   Jill Harding And I love it. You go out and you're grabbing food on the go and they ask you if you need a cup holder. I'm like, Are you kidding me? I got a million in here.   Jill is a marketer, a high school basketball coach, an entrepreneur, and a small business owner.  She is raising three children with her husband.  And when it snows, Jill and her family love to ski and would do it all day, every day if she had the chance.    Liesel Mertes When you and I realize at this stage of life, it can be a precious commodity, especially with COVID. But when you have time to yourself, do you have any hobbies or like ways that you really like to fill your discretionary time?   Jill Harding And we do and I actually my husband and I, we like to just chill out and we have a pretty heavily wooded area that we live in. So we just like to take hikes. And and I like to do them by myself or my husband or even the kiddos. But I really feel like that just rejuvenates all of us.   Jill is also an avid reader; she loves books on leadership and entrepreneurship, but she also makes time for other genres.    Jill Harding And then I also my son is a huge, huge, avid reader, breaking school records, even with his reading accounts while he was in elementary. So he and I kind of share books, too, with his love for reading. In The Land of Stories is a new book series that we started getting into. So reading is another obsession of ours.   Liesel Mertes Ada, my eldest, loves Land of Stories and I know what that is like. It's its own kind of distinct pleasure.   Liesel Mertes I also love to read but a track with one's children. And so Ada and I are just reading together right now.   Liesel Mertes Oh, it's it's a keeper of the Lost Cities, which is a fantasy sort of romp into the land of elves, ogres, et cetera, et cetera, that it's like they're big like 350 page books and there's like eight in the series.   Liesel Mertes So I was reading far too much heavy non-fiction and I took a divergence over the last month and a half. And now just reading elves now at see that.   Jill Harding But I fact that you can talk about it like my sons always like where are you at in the book? And, you know, I asked him the same thing and it's cool to kind of chit chat back and forth on where we're at and live that dream happy together for sure.   Liesel Mertes Well, and I also resonate with I, I feel like I say often that our family is everybody's at their best when we're like outside in the woods.   Liesel Mertes Sometimes it can be a battle to get there with fussing, but it's always so I don't have any gloves or, you know, what have you. What an amazing. But once we get out there, it's so amazing.   Jill Harding We're fortunate to we have a little creek that runs in the bottom of our woods. And just to sit there, I mean, obviously right now it's kind of cold and frozen, but it's still cool just to watch it because, you know, natural beauty for sure.   Liesel Mertes There's something about the just the movement of water and what it brings also, which is its own goodness.   Liesel Mertes Well, you know, children and life with children. That's some of what brings us to this conversation. And I know that you have familiarity with the good people and staff at Riley Hospital, much like I do within my own story.   Liesel Mertes What brought you to Riley when you were pregnant with your second child?   Jill Harding So basically our journey with our son, Grant, he I was telling you before he actually was diagnosed with leukemia at the age of two and a half, and originally our pediatrician was, you know, just running bloodwork, doing this on the other.   Jill Harding And at one point, I guess that that motherly instinct just kicked in and like, no, this isn't good enough. I feel like I know my son. Yes, Grant was our first child, but I feel like I know that this son well enough to know something's just not right.   Jill Harding So I push back to the pediatrician probably more aggressively than they were expecting and just said we get a fine results today because I can't see my son in suffering any longer and they won't ask him,   Liesel Mertes What were you in, what sorts of symptoms was he manifesting?   Jill Harding Yeah, so it was shortly after Christmas and he would not even he got a train table. And if anyone's been around toddlers, two year old toddlers, once they start walking, they don't stop. They run in the raster and they're crazier than ever. And he got to a point where he got a train table for Christmas and he wouldn't even stand up to play at the train table at a little over two. And I was like, someone just doesn't make sense.   Grant continued to languish.  He got strep throat.  There were misdiagnoses by the team of pediatricians.  No meaningful answers.  Which was when the doctors send Grant to Riley Children’s Hospital in the state capitol, Indianapolis.  This was mid-January in 2013.  Grant was put on the 7th floor for infectious disease.    Jill Harding They said we're going to not let you guys leave until we figure out what it is. And we were OK with that because as you mentioned, I was pregnant with our second child.   Jill Harding So we're like, OK, we're going to figure this out because. Obviously, our son means the world to us, and so we stayed there for a couple of days. This was the twenty second, twenty fifth they finally figured out what was going on. And we were so fortunate at the time because the chief of basically the leukemia society are basically our doctor.   Jill Harding He was actually the one that was there doing rounds that day that was diagnosed, which is really mind blowing if you think about it, because Dr. Thallon was actually there and he's the chief and he was one doing rounds.   Jill Harding And he's the one that came in such a compassionate, humble doctor. I mean, more so than I think I've ever been around in my entire life. But he just came in, let us have our moments. He did a spinal tap right in the room with us just to confirm that we were dealing with leukemia, because then once you determine it's leukemia, there's various different types of leukemia that you can have.   Jill Harding And in this case, Grant had what they call HLL, which is if you're going to have the leukemia at two and a half, it was best that he had the HLL as opposed to the AML. So we were fortunate there in that regards. You see a silver lining. It was hard at the time, of course, but once we found that out, then we basically, you know, had a moment. They moved us to the fifth floor and treatment started.   Jill Harding And it was, again, pretty amazing that we had the chief there within the hospital setting that new leukemia very well and was able to walk us through the steps and such a truly compassionate individual. And he had grandchildren himself. So he had kids, my and David's age, which was nice because he knew how to talk to us and help cope with the situation.   Liesel Mertes Well, and as I hear you say in those parts of the story, I feel like it's helpful just to to color around the edges, because there are a couple of things that are going on, right. Like you're seven months pregnant. Also, you guys are not from Indianapolis, but you're in Indianapolis, you know, doing tests at Riley. Are you guys staying at the Ronald McDonald House? Are you in a nearby hotel? Because there's this painful thing that happens with your young child that they're suddenly in the hospital and you're having to recalibrate life to be able to be present. What was that stress like for you guys?   Jill Harding Yeah, that's actually a great question, because we are so fortunate to have family and friends that just basically helped us, people that just came out the woodworks really just to really help be a support system. We actually have a daycare and we our youngest still goes to that daycare today that we have a daycare where they just were showered us with love and ways to support us, to help us with our other just home and just things at home that we need to help with.   Jill Harding And my parents and David's parents both live close by to so grandparents, two sets of grandparents living close by. But thankfully, it's about a forty five minute drive for us. We basically, again, being very pregnant, it was uncomfortable, I'll forget that.   Jill Harding But it still was worth every moment to stay there with great Dave and I. Basically, I was considered basically I was a freelancer at the time and so I had my own business. So flexibility and that I mean, if I had a computer, I could pretty much do my work anywhere.   Jill Harding So that was nice. And then David worked for Indiana Farm Bureau insurance and they were extremely flexible with him working remote. So Dave and I kind of know how to work remote before our even what we're going to do current day is we were able to basically just be there.   Jill Harding We had our computers and thankfully I was still pregnant with our middle child. So it was just Dave and myself and Grant. So we basically just lived in that hospital. They kept us just in the actual in his floor on the fifth floor.   Jill Harding We didn't have to access the Ronald McDonald House other than like sometimes we would go just to get a break from the hospital room itself, take turns and so forth, and utilize the services that they do provide, like meals and so forth that they do provide through that service. And we also have since then paid it back a little, too, just because we know the importance of families who are driving in much more than what we are.   Liesel Mertes Yeah, I remember as as we have gotten care at Riley, just even sitting close by to a Check-In desk and, you know, like, where are you coming from today?   Liesel Mertes And people being like Louisville, all of which is a regional hub of people coming from all over.   Jill Harding Yeah. And we were actually I mean. Forty five minutes. It was it's not a big deal to us, honestly, because we were so fortunate that we had in the care and we would drive farther if we had to. But we're used to driving a half hour really pretty much anywhere. So ready for that we do so.   Liesel Mertes And it was so treatment begins for leukemia. How long was he in the hospital? And then when you coming back for continued treatment beyond that initial hospitalization time?   Jill Harding Yeah. So leukemia is one of those. The cure rate is high. Last I knew when we were looking at the numbers, it's ninety four percent. But the same token, it's a pretty long process.   Grant was placed into a trial program where he would come in for chemotherapy treatments over a course of three years.    Jill Harding So Grant was diagnosed at the age of two and a half. So January of 2013, he was diagnosed. So basically from that January 2013, he basically had three and a half years that we were in and out of Riley during that course of time, and we still actually go to Riley.   Jill Harding We're coming up on so through to have your process pretty aggressive. Aggressive in regards to the chemotherapy. I don't know if you've ever been around anyone that's had it, but to see a young child,   Jill Harding we would laugh because we can laugh about it now because I was very pregnant, right, with my Berkely, my middle child, and I was always hungry.   Jill Harding And then Grant had to be on steroids for 30 days. So he was always really hungry. So we're eating at ungodly hours like 2:00 a.m. He wants chili all of a sudden. But the challenging thing would be on chemotherapy. It kills the good and bad cells. So his body, basically his ANC, which is your ability to fight off infection, was oftentimes next to zero or zero. And so he couldn't need stuff that was leftovers from the night before that we put in refrigerator.   Jill Harding He couldn't eat stuff out in restaurants because it is speck of germ that he could potentially good could cause him to get really sick and can't afford to get sick because his body would have a hard time hearing being sick on top of what he was going through. So I would be out and I tell that story because it makes me laugh now so I could think I was pregnant. I said I would be making chili like two a.m. in the morning and I had to make it from scratch because he could eat with food.   Liesel Mertes Was it was that was that your reality for the duration of the three and a half years of needing to have a certain level of hyper vigilance?   Jill Harding Yes, it definitely was. And I think that we got told and I kudos to our support system and my husband, too, that they were really surprised, the social worker that we dealt with and then obviously his nurses and doctors, that we weren't more hospitalized with Grant, that he was had the fewest hospitalizations with what he was going through because of just our diligence and just awareness when someone we had so many people that wanted to bring us groceries, for instance, and when they would bring us groceries, David and I would be wiping them down with bleach wipes before we even brought it up in the house.   Jill Harding I mean, we were. To a degree, we got such a pretty Cold War, you did, we did, and we always laughed, too, because it was cold, right? It was about this time of year when we were in the thick of it and we laughed because we have we have a big picture window in our dining room. And so we would have all the blinds open and people would come visit Grant through the actual and talk back and forth with walkie talkies to the glass on one side outside.   Jill Harding We'd be on the inside and they so speak to some people would bring over toys and they would bring double the toys again. We'd walk them down with bleach, Grant play with the ones inside and they would be playing the same ones outside. So it was kind of cool. Just some of those things, like you said, we we did just out of we had to get super creative because obviously this is a child. We don't want to take away his childhood.   Jill Harding We have good memories. But this is challenging to go through for him and for us to see him go through it. And I think the beginning to his once we had Berkeley, it was nice because obviously, you know, given the new baby from getting sick was a little easier, too, because she was always in the house with us doing the routine we have with grandma.   Liesel Mertes So you really think as a child, as a baby baby, anyway, I not just the just the innovative kindness of people, you know, coming over with with double the toys and playing, you know, some time has passed as you go back and think about that time I'm struck that you're doing so many things like you're a business person, you are mothering an infant, you're managing the elevated health risks of a child with leukemia.   Liesel Mertes What were some of the what did like a dark day look like for you? What did your feelings of overwhelm like? When would they come up with they catch you off guard?   Jill Harding Yeah, because, again, Grant was our first child, right, so we didn't know, we still don't know where does parenting right. You just kind of learn as you go along. This is the knack of being a parent. But I think the moment when it was challenging the most is, you know, having Berkeley, having a brand new baby, baby infant, trying to nurse her and do all the right things that, you know, the pressures of just raising a child and then making sure that I give her the attention needed, even though she's she still has needs and attention that she needs.   Jill Harding Right. From a mother and father, but not letting that distract from even our care from Grant. I feel like sometimes it was kind of that emotional head game that we played because we know Grant needs extra special attention. We had to make sure we got medicines a certain time. We had doctors appointments on a regular basis, balancing those elements that we know him well, but yet not neglecting or not giving the attention that Berkely needed as a young baby.   Jill Harding I think those things then obviously sleep deprived from it all.   MUSICAL TRANSITION Back to Jill’s story in a moment, because there is still so much more ahead.  But I want to take a moment to thank our sponsor, Handle with Care Consulting.  We know that this year is full of all kinds of stress, and it is hard to know if you are giving your people what they need to survive, stabilize, and thrive in this constantly changing environment.  In all of the confusion, empathy is the skill that your leaders and your team need to build a thriving culture.  And Handle with Care Consulting can help.  With keynotes, workshops, and executive coaching options, we give you the tools to put empathy to work.   MUSICAL TRANSITION   Liesel Mertes I know within my own story, there's our daughter Mercy died and then it was.   Liesel Mertes Maybe three years later for where we got the news that our son, Moses, had a really profound heart condition, that he was going to need lots of open heart surgeries, all that to say going through one hard thing with your children is not a guarantee that you won't go through other hard things later on down the path. I know that that has congruence with your own story. What happened with E. coli and your family?   Jill Harding When you hit the nail on the head, it's hard and I'm sorry you had to go through that, too, but I know in the end it all happens in places that much stronger when you come out on the other side, whatever that result may be. But so Berkely birthdays is our we call our spitfire. She's always been she's a lot like personality wise. And I tell her sorry a the time like me. So but this same time I think I know it helped her just that.   Jill Harding That sassiness, that determination, that that drive she has even at a young age, so I remember vividly because my husband actually went back to nursing school through everything we've been through with Grandma. And he actually became a nurse roughly three years ago. Just everything that we've been through with our son every time he go to hospital because we were there a lot, as you probably could imagine. My husband is just like, I need to be here. I need to be helping people.   Jill Harding And so my husband, kudos to him getting a nursing degree while having three kids at the time. And now he works at the medical ICU in downtown Indy at University Hospital. Kudos to you as well. To partner.   Jill Harding Oh, yeah. I was the bad guy, so supercooled to see him do that, but with that hope man. So he was working at the hospital. It was crazy because it was Sunday and I was not any Sunday. It was the Indy 500. The biggest tackler in the world was happening on this Sunday in May.   Jill Harding And I, I just tell these details because you got to kind of laugh about it, because if you don't laugh about it, then you cry about it and you don't.   Jill Harding But my son, I was so I was home with three kids by myself, right, and Berkley was five when all this happened and my son comes running into I think I was in the kitchen and he said, Mom, I was like, yes, he's like Berkley just pooped.   Jill Harding I'm like, OK, good for like, did you wash your hands? Right. And he's like, no, you don't understand. I'm like, what are you trying to tell me? Then he goes, There's blood in.   Jill Harding And I think I'm like, no, there's probably not blood in his pocket or something. Right. So I'd let it just go. And I just played it off like that because I was like, you know, Grea does not know that there's blood in there because it would have been the same.   Jill Harding He would have been a, Berkeley's by just being kids. Right. Right.   Jill Harding So I just kind of blew it off and she pooped again. And it's like, Mom, no, I'm not kidding. She's got poop in her blood, our blood in her poop. I'm like, are you sure? So me as a mom, like, OK, I'm going to humor them and go look. And I did. And I was just like, well, Grant, thanks for telling me. And this is the eight a little boy telling me this.   Jill Harding Right. And I was like, thank you, buddy, for telling me. He's like, what does it mean? I'm like, I don't know. So I'm basically trying to get a hold of my husband again. I told you, he is a nurse. So very tough to get a hold of him, especially in a medical ICU.   Jill is finally able to get a hold of David, who is working his shift.  Thankfully, a coworker offers to cover his shift so he can rush to Riley to meet Jill.  Jill’s brother came over to be with Grant.  And they arrive, back at Riley, which is familiar but surreal.   Jill Harding We actually went to the E.R. and they immediately didn't mess around. They did bloodwork, urine samples, stool samples, everything you can imagine to run tests on her little body. And they they couldn't figure out what was going on. So lo and behold, they it was so deja vu. They put us on the seventh floor infectious disease floor again.   Jill Harding And still, we have no idea what's going on other than we know there's blood in her stool   Liesel Mertes And are you finding yourself, like, completely emotionally flooded right now, like, oh, I did like some some people kind of like detach almost from the situation. Some people are right in it. Like what's going on for you as a mom?   Jill Harding As a mom, I was Dave and I were like we were so distraught because we have a good friend who's an E.R. doc. And as a dissertation, she actually did a full report. And like leukemia and how leukemia, is it hereditary? If you have multiple children, siblings, would they get it? And so we're like just went through this and there's no way. So we're thinking maybe it's leukemia again because of what we were experiencing. Right.   Jill Harding Similar types of experiences. So, I mean, we were just like almost so surreal that I was it wasn't really even overwhelming. It was just like. OK, we got this we've been here before, we got this we're going to be OK. What a good place. Let's just keep asking the right questions. David the nurse now so he knows more questions to ask. At the time I was back at Cook Medical, so I was in the medical device realm.   Jill Harding So I knew there's products to help from a device perspective. So we just need more questions to ask in this scenario than what we did before, because we obviously have been through life a little bit different than what we were expecting.   Jill Harding So anyways, fast forward, we talk to the doctors. They finally said we don't know what's going on. Too much test. They kept us another night like they did with grea type thing. And they finally figured out, OK, she's dealing with E. coli.   Jill Harding So E. coli, there is a 50 percent chance at her age and being female that she can get something called at us, which is hemolytic uremic syndrome. And in layman's terms, that basically means her renals can go into renal failure. Renals are what feed your kidneys, basically. It started making sense because her urine output started going down, so she had no urine for at least 24 hours at this point and she was drinking.   Jill Harding So we know she's got the fluids coming in, but the fluids aren't going out. And her stomach was getting real distended where it just stuck out, you know, just looked at her. She's a really petite, small little lady. So we knew something just wasn't right. And then they finally figured out that,   Jill Harding OK, she's got E. coli. The strain of E. coli she has could potentially cause her to have HUS. So they monitor, monitor and unfortunately, unfortunately, see how you will. They put us on the fifth floor again.   Jill Harding So we're like, wait a second. The floor is leukemia. We know that floor all too well. We've lived for so many days and hours and they're like, well, we put you on that floor because that's also our transplant floor and it's also our floor that we do dialysis if we need to do dialysis.   Jill Harding And then at this point, two more challenges, because we have two children back home. We have an older and a younger siblings of Berkeley at home. I mean, I know they're in good care, but still I mean, they're scared because I don't know what's going on. They got a lot of questions. And if my brother does, too, because he wants to be able to give them answers when they become available.   So there's well, and I'm free.   Liesel Mertes But that sense of like the limited resources of yourself as a parent to like you physically can't be in two places at once. Yeah, definitely.   Jill Harding And I know, Grant, I mean, obviously, with what he's been through, his heart is pure gold. And, you know, he's cutting my warrior of the three kids. And so he just wanted to be there with us. And it's hard to understand that we got to be here. We'll be there when we can together. Just give us some time.   Berkley is retaining fluid, getting puffier and puffier so the doctors decide to start hemodialysis.    Jill Harding But hemodialysis is basically where they take out. And it's phenomenally crazy to me. If you just think about what I'm about to tell you, the machine is huge. It's about the size of it, like a refrigerator. Basically, the machines are big and they take 10 percent of your blood out and cycle it, filter it through this machine.   Liesel Mertes Wow.   Jill Harding And so they filter it through the machine. So 10 percent of your blood at any given moment in time is in this machine being filtered and then cycled back into your system. So while the things that we learned along the way, she had to have ended up having six different hemodialysis treatments and it just I mean, it was exhausting for her to go through that and.   Liesel Mertes I just want to ask you about, like I can imagine that scene, you're like these are these are not easy procedures.   Liesel Mertes You know, they're involving needles, they're involving discomfort. They're involving multiple checks by nurses. Was there a sense of, like, overwhelm or powerlessness, like just as you're watching your child go through unnecessary pain?   Jill Harding Well, I will say it probably helps in our scenario, David, one being a nurse and then me having a background in medical devices because we knew that these there's great products that the companies that we worked for offered. And then obviously David knew more what was going on than I did.   Jill Harding So he was able to kind of walk me through it. But there's still something we hit the nail on the head to be said about seeing your own child. Right. It's not to dismiss it if it's someone else lying there or if it's even me right there. But to see your own physical child and someone feeling helpless in regards to pain, I will say with Berkely in particular and Grant to adjust their personalities are really different.   Jill Harding Berkley was pretty much she would tell the nurses what to do and she was not messing around. She even during her painful moments, she has grit. We called her tough as nails because she just has this, I don't know, something embedded in her personality that she's a fighter.   Jill Harding She uses a lot of humor to get her through tough times right now at the nurses, she would ask them for things that she knew she can have, like Skittles. But just to keep them on their toes, they'd be like, wait a sec.   Jill Harding You can't have that.   Liesel Mertes A sense of agency. Yep.   Jill Harding And again, she's a little petite, five year old little girl. She's real small. I think she weighed maybe thirty eight pounds at the most during all this. And so she would be on they would weigh her before and after each treatment. And sometimes she lost five, six pounds and hemodialysis treatment because of the fluid that her body was keeping.   Jill Harding Well but during all this she actually got C. diff too. I'm not sure you're familiar with this, but yeah. See that during it all.   Liesel Mertes As you think about those times in the hospital for those who are listening who have not had to be with a child long term in the hospital. What are some things that you wish people knew about what that reality is like?   Jill Harding Hmmm, that's a really tough question. I think that. It gives you a lot of humility, I mean, regards to humble, because David and I have always been very independent individuals, we don't really ask for help.   Jill Harding We just kind of just make it happen because we're strong willed individuals and we'll just find a way.   Jill Harding But I think I know from our experience personally that it's OK. People want to genuinely help others. I mean, that's just human nature. And I think once we put our pride aside and our guard down, it helped us as parents to really do what we needed to do.   Jill Harding And it took away from the challenges of us not being 100 percent present for at the time, Grant. And then that time later, Berkeley.   Jill Harding So I think with those scenarios and in and of itself, it's just. Be compassionate. Ask for help, but if someone doesn't immediately want your help, it's OK because they've got to do it in their own way, right. Because everything is unique to that family, that circumstance, that situation.   Liesel Mertes Yeah, I talked in my trainings that it's not about you as the person who is offering help, like almost never. Is it about, like, judgment on your relationship.   Liesel Mertes It's just even stuff like is messy and so often help. And if the person says, yes, be willing to follow through and if they say no, they don't take it personally yet.   Jill Harding And exactly, because I think what we're going through right now in our world. Right. I mean, like in our situation, we never been through that. And many of our friends have never been to that. Right. So you just got to go with what your instincts. And we rely heavily on our faith because we are people of faith. But at the same token, you know, we never been through that. So, you know, maybe grace to those folks and like you said, get to meet them where they're at because at the same time, we didn't know what we needed or didn't need.   Right.   Liesel Mertes Yeah, that's another thing I say that that the let me know how I can help. Question isn't as helpful as you would think.   Liesel Mertes It would be like finding clean underwear.   Liesel Mertes But I don't know what were some of the best ways that people helped your family?   Jill Harding I think it's just the, um. Just to know that we had the support, right, just a phone call, just even if it's just listen to me cry or David cry or just listen to us in silence, if you will. I think just knowing we had people behind the scenes, I also know that I have since he's passed on. So it hurts my heart to even say this.   Jill Harding But my best buddy and Andrea, we've been best buddies since third grade. Her father wanted to help so bad he's retired. So he had the abilities and means to help them. At the same token, like he would bring us groceries, like unexpectedly. And he kept on like what we liked at Kroger and he would just randomly draw stuff off because he knew he'd done it before. So he kept he was so sweet. He kept a list of our favorite bars or snacks or what have you.   Jill Harding And we just make sure he kept us knocked up that and it's just simple because it wasn't anything like, you know, they put him out too much. It was just kind. Bars are David's favorite potato chips, what have you. Just simple things. But it's still so just like what people are thinking about us.   Jill Harding So just randomly dropping those off our   Liesel Mertes And what beautiful intention also, like, you take time and ask what you liked. And then he wanted to remember it and he didn't have to. It sounds like hassle. You do this, you just realize like these are staples they're always going to enjoy receiving. I'm just going to bring them. I love that.   Jill Harding I was really cool. And and I think that.   Jill Harding Just the the window time we call it window time, where I would actually sit on his window and look out and play with folks, I think just being mindful, even though people have to be guarded in those scenarios that we were in and have to be more inside in their own space and not exposed to other germs outside of their home, just putting that like being creative, I think how we communicated and still played, but yet did it through a different means.   Liesel Mertes Well, I'm thinking about I mean, there's support of you, right, as the parent. There's also the support of your child who has had their world turned upside down. And I imagine it felt meaningful to receive support.   Jill Harding Well and the cool thing about the window, time was allowed to play, like with his his papi. We call David's dad Papi, with his papi outside the window while Grant was inside the window, but allowed David to kick our feet up for a minute and let that Grant was entertained and happy. And we did that for a little while, too, when she came home because she was still her ability to fight off. Infection was still pretty low at some point, too.   Jill Harding So we did the same thing with her as well. But I think just showing folks that you're you've got that support system, whether you tap into it. Again, like you said, you get to meet those individuals where they're at and let them. Like you said, I don't know what I need right now, I just need right. I just need like I don't have one iota of extra creative energy right now.   Liesel Mertes OK, so on the other side, was there anything you don't have to name names, but was there anything that you were on the receiving end of that you would say this is this is just not helpful? Don't do these things.   Jill Harding I think so, yes. The constant like. What's around I'm looking for the constant sharing of, like, knickknack little things like that, either we can only have so much in the hospital and I say this because people just don't know, like birthday was on the transplant floor.   Jill Harding So she couldn't have anything in life. So people would try to send her flowers. Well, she never got to enjoy those because she wasn't able to have those in her room because the thing was soil on it, for instance, anything like breathing, she can I could plants. You can actually have those in her room. So. Yeah, and people didn't know that.   Jill Harding But I think I almost wonder if sometimes that that's the staff at the hospital too.   Jill Harding But I think it's just maybe doing a little bit of homework before you do that kind gesture, because I hated that for the individuals that sent her stuff like that because. You know, that they spent now. Now, great, we said make sure it gets to a nurse's station or it gets to someplace where someone can enjoy it but still going to enjoy it.   Jill Harding And then she saw it from the window and she's like, oh, good. Then we had to talk her off a cliff for a little bit because she thought that she could have was in her room. Right. And I think just if someone says, I don't know what I need right now, don't cry, because they will come and you'll know, but don't force it. Let it be.   Liesel Mertes Yeah, that's a great point.   Liesel Mertes Jill, is there anything that you would like to add that I didn't ask you in our time together?   Jill Harding Um, yeah, I think so.   Jill Harding I think just when we go throughout our days, just know regardless big or small or whatever it is, we all have a story and we just got to be mindful we're all human. Right. And there's no like rulebook on how to be the best human ever. Technically speaking. Right.   Jill Harding So just have compassion for other people and just be realistic in that everyone's got a story. Everyone's weathering something, whether it's big or small, and just realize that, you know, words do hurt more than people realize.   Jill Harding And I think also, too, like back to my kiddos specifically both Grant and Berkeley, they've been Tindley because she's been through all this with us as well. With regards to Berkeley, just let those moments happen. Do the best you can to weather through those moments that make sure you come out on the other end as strong as you can by what you've learned through that moment. And what I mean by that is like   Jill Harding Grant and Berkeley both, like I think that they have learned some things and their characters have been shaped in ways that I feel like would have been really tough for David and I to have instilled in them if they didn't go through the experiences they went through.   Jill Harding Right now, both of them have scars from their great how to put a catheter in Berkeley, had some catheters in her jugular area. So they both have scars. And I tell them all the time and they tell me now to because I've told them so many times. But those are like, that's part of you and that's OK. That's what makes you grant unique. That's what makes you unique. Like everybody else as well. We all have something that's unique to us, kind of like a snowflake in that regard dry.   Jill Harding We're all unique in our own way and don't be ashamed of that. In fact, be proud of that, because those scars have shown that you're still here with us today.   MUSICAL TRANSITION   Here are three key takeaways from my conversation with Jill… There are many restrictions for an individual living with cancer.Hearing all of the challenges with just eating (the concerns about leftovers, the need to clean food etc) gave me a deeper appreciation of how tenuous life and infection can be.  With that in mind, learning a little more before giving gifts (like flowers) is important. Consider what creative engagement with a child who is immuno-compromised (or battling COVID) looks like.I loved the story of play dates through a window with walkie talkies (plus there was the added benefit of giving parents a chance to rest). Remember that “Tell me how I can help” oftentimes is an unhelpful question to people who are already living through something hard.Many times, people don’t know in the moment what they need and they might feel tentative following up with a request afterwards.  Instead, know what you can offer (perhaps a grocery drop-off, a Door Dash certificate, or doing some yard work) and extend a specific offer of help.   OUTRO

A segment of the boy's 24 hour live stream #4theKids, a charity stream in benefit of Riley Children's Hospital via Extra Life. Enjoy! Support the Show: https://patreon.com/hardserious Interact with Us: podcast@hardlyserious.co Instagram: https://instagram.com/hardly.serious Watch Live on Twitch: http://twitch.tv/HardlySeriousCast

Dr. Brandon Brown from the Indiana University School of Medicine and the Fetal Center at Riley Children’s Hospital gives an inside look at what it’s like to be a radiologist, including why he chose the field, the most rewarding and most difficult aspects of his work, the biggest misconceptions, and how his faith guides his life as a physician.

Feature Interview (9:48) – Dr. Brandon Brown from the Indiana University School of Medicine and the Fetal Center at Riley Children’s Hospital gives an inside look at what it’s like to be a radiologist, including why he chose the field, the most rewarding and most difficult aspects of his work, the biggest misconceptions, and how his faith guides his life as a physician. Medical Trivia (Answer at 48:28) – In 1895, German physicist Wilhelm Roentgen discovered X-rays and took the first X-ray or who else - his wife and her hands to which she exclaimed, “I have seen my death!” By 1900, Thomas Edison’s assistant, a glass-blower named Clarence Dally, was experimenting with X-rays and improving the resolution of them. However, Clarence ending up dying in 1904 from high doses of X-rays, thought initially to be harmless, that led to him progressively losing hair on his hands, developing ulcers on his hands, and then the amputation of both hands, then both forearms, and then both arms - and finally the loss of his life after metastases to his chest. What disease did the X-rays cause on Clarence? ------ www.redeemerradio.com www.cathmed.org Follow us on Facebook: @DoctorDoctorShow Submit your question(s): Text (Holy Cross College text line) – 260-436-9598 E-mail – Doctor@RedeemerRadio.com Subscribe to the Podcast: iTunes | Google Play | SoundCloud | RSS

In this conversation, Dr. Hassink is joined by Tamara Hannon, MD, FAAP who is a professor at the Indiana University School of Medicine and a practicing Endocrinologist at Riley Children's Hospital. Dr. Hannon is also a member of the Committee on Nutrition. In this discussion they talk about the updated nutrition food labels and how pediatricians can talk about these new changes with families to help inform healthier food choices.

Dr. Z and Dr. C talk to a rising star in sickle cell disease, Dr. Seethal Jacob, and her work at Riley Children’s Hospital.     Dr. Ahmar Zaidi on Twitter Dr. Michael Callaghan on Twitter BloodStream Media For all inquiries: mailbag@bloodstreammedia.com (subject: Cheat Codes) Subscribe to and rate Cheat Codes Subscribe to and rate The BloodStream Podcast Subscribe to and rate The Ask The Expert Podcast Subscribe to and rate BloodStream Journeys Connect with BloodStream Media: Find all of our bleeding disorders podcasts on BloodStreamMedia.com BloodStream on Facebook BloodStream on Twitter

Last week, I told you about the early life and brutal death of five-year-old Lauren Michele McConniel. When Lauren was admitted to Riley Children’s Hospital in Indianapolis on March 3, 2010, she weighed a scant 28 pounds and had absolutely no fat reserves. She was covered in injuries, had a deadly level of salt in her blood, and had been displaying increasingly disturbing behavior while living in Indiana with her father, stepmother, and three adult members of her family, behavior that many believe was caused by sexual abuse at the hands of her step-grandfather. All the while, Amber’s mother, who lived in Tennessee, had been exhausting every method possible to find her, but by the time someone told her where her daughter was, it was too late. Lauren died in the hospital on March 9, 2010. Three months later, the first of five adults would be arrested in connection with Lauren’s death. This is the conclusion of the story of Lauren McConniel. Photos related to today's episode can be viewed on Facebook and Instagram.You can also follow the podcast on YouTube, Twitter, Tumblr, and Pinterest.  Visit the podcast's web page at sufferthelittlechildrenpod.com.  Please help make the show my full-time gig to keep the weekly episodes coming! By supporting me, you'll also access rewards, including a shout-out by name on the podcast and exclusive gifts!  This podcast is written, hosted, edited, and produced by Laine.  Lauren’s story was originally featured on Suffer the Little Children Blog. Music for this episode is from AudioJungle.net.  Subscribe to Suffer the Little Children on Apple Podcasts, Google Podcasts, Stitcher, Spotify, YouTube, or your favorite podcast listening platform.

Meet Donna Fischer, Community Fundraising Events Manager for Riley Children's Foundation as she shares the Extra Life fundraising platform.

Six months into the pandemic, parents are still struggling with what COVID-19 means for the kids. Should they be in school? Can they go on play dates? Can they hug grandma? Of course, in many cases, there are no black and white answers to those questions. But host Mason King gets some educated opinions from Dr. James Wood, a pediatrician at Riley Children's Health and an expert in pediatric infectious diseases. Plus, Wood explains multi system inflammatory syndrome (which he describes as "extremely rare") and theorizes why children may not be as affected by COVID-19 as adults. The IBJ Podcast is brought to you by the law firm Krieg DeVault.  

This week the gang got together for a special event! We took part in the Extra Life Tabletop Appreciation Weekend to raise money for Riley Children's hospital in Indianapolis, Indiana. Find out more here: https://www.extra-life.org/index.cfm?fuseaction=donordrive.participant&participantID=414673 MalletEditor - Ariadne Pantasis (Lasombra) MPI - Gregory Empeei (Tremere) Sadomi - Xanthra (Malkavian) STaiRBNDR - Iggy Wright (Toreador) RaabTDK - Damien Reed (Ventrue) _xGonex_ - Phalen O'Shea ( Ravnos) MarkBWriting - Storyteller C Chicago will never be the same after these Vampires run amok as the newest Vampires on the block. Welcome to Vampire: The Masquerade 20th Edition. Games Recorded LIVE on Mondays on Twitch at Twitch.Tv/MPICreates 7pm CST

We close our 16-part Remembering John Andretti feature with his friend, radio host Dave 'The King' Wilson, who shares stories of their charitable efforts that have raised millions of dollars for Riley Children's Hospital in Indianapolis. Subscribe: https://marshallpruettpodcast.com/subscribe Join our Facebook Group: https://www.facebook.com/MarshallPruettPodcast

Host: Wendy Marie Ingram, PhD, is a Psychiatric Epidemiology Postdoctoral Fellow at Johns Hopkins School of Public Health. Guest Interview: Dr. Emily Webber, MD, FAAP, FAMIA, is the chief medical information officer at Riley Children’s Health and Associate CMIO for Indiana University (IU) Health. She is a pediatric hospitalist at Riley Hospital for Children and also is focused on the optimization of health IT, applications to improve quality care and patient safety and promoting the health of Indiana children and communities.

On this episode of The Handoff, Dan speaks to two seasoned travel nurses who are using the flexibility that traveling provides to amass a diverse set of clinical experiences and explore their personal passions. Jeri Ford and Alex Herlocker share advice for nurse and healthcare leaders about incorporating flexible workers into their units, why they value peer to peer feedback and the importance of a solid orientation. Jeri shares with Dan how travel nursing has allowed her to pursue her dream of entrepreneurship and Alex talks about his adventures traveling the country with his family as a full time nomad who lives completely off the grid.   Jeri Ford is an experienced pediatric nurse who started her career at Riley Children's Hospital on the Transplant and Neurosurgery floor, and has spent the last several years traveling to hospitals around the country from Honolulu to Dallas and everywhere in between. She recently launched a company called Baby Whisperers, which pairs new parents with individuals with a medical background who can help with breastfeeding, sleeping routines and overall newborn care. You can find her on Instagram @jerilynn_89.  Alex Herlocker is an ICU nurse who started his career on the neuro intermediate care unit at the Medical University of South Carolina. In 2015, he transitioned to a role as a travel nurse and has been criss-crossing the country in an airstream with his family,  including wife, three children and two dogs. They document their travels on their blog Wee Little Nomads and on Instagram @WeeLittleNomads. The transcript for this episode can be found here. 

On this episode of The Handoff, Dan speaks to two seasoned travel nurses who are using the flexibility that traveling provides to amass a diverse set of clinical experiences and explore their personal passions. Jeri Ford and Alex Herlocker share advice for nurse and healthcare leaders about incorporating flexible workers into their units, why they value peer to peer feedback and the importance of a solid orientation. Jeri shares with Dan how travel nursing has allowed her to pursue her dream of entrepreneurship and Alex talks about his adventures traveling the country with his family as a full time nomad who lives completely off the grid.   Jeri Ford is an experienced pediatric nurse who started her career at Riley Children's Hospital on the Transplant and Neurosurgery floor, and has spent the last several years traveling to hospitals around the country from Honolulu to Dallas and everywhere in between. She recently launched a company called Baby Whisperers, which pairs new parents with individuals with a medical background who can help with breastfeeding, sleeping routines and overall newborn care. You can find her on Instagram @jerilynn_89.  Alex Herlocker is an ICU nurse who started his career on the neuro intermediate care unit at the Medical University of South Carolina. In 2015, he transitioned to a role as a travel nurse and has been criss-crossing the country in an airstream with his family,  including wife, three children and two dogs. They document their travels on their blog Wee Little Nomads and on Instagram @WeeLittleNomads. The transcript for this episode can be found here. 

John Andretti's visit to The Week In IndyCar show in January of 2018, not long after his colon cancer diagnosis was revealed, was my favorite episode back then and remains so today. After listening to the listener-driven interview after his loss on January 30, 2020, I wanted to take another shot at editing the episode to fix some technical glitches and to trim the show down to the best parts where John spoke on his amazing, multi-faceted career. Please enjoy the warmth, talent, and humility that endeared Andretti to so many, starting with: Update on his physical condition (starts at 6m19s) Leading colon cancer awareness initiative (9m15s) Toughest Indy 500 competitor and birthday story (11m44s) Vehicle he always wanted to race but couldn't (15m56s) How his father Aldo would have fared as an Indy 500 driver (18m07s) Favorite race car liveries he's represented (20m31s) 1990 Porsche IndyCar program and 1991 Jim Hall Lola-Chevy IndyCar effort (25m08s) Dealing with cancer and future goals (38m50s) #CheckIt4Andretti (46m29s) Favorite Jim Hall stories (52m36s) Favorite street car (59m43s) Thoughts on Richard Petty (1h02m14s) Driving for legendary team owners (1h06m53s) Memories of following cousin Michael and Rick Mears during their 1991 Indy 500 duel (1h12m01s) Trying his hand racing in the NHRA (1h14m26s) Riley Children's Hospital (1h23m48s) Driving styles (1h35m00s) Racing at the 1988 Bathurst 1000 (1h45m56s) Subscribe: https://marshallpruettpodcast.com/subscribe Join our Facebook Group: https://www.facebook.com/MarshallPruettPodcast

Jeremiah Morrell and Dakota Davis are your hosts! Audrey Davis sits in as a co-host and Chris Guffey is the producer! https://bosshog.fireside.fm/163 We talk with Chris Lamb, who leads the New Castle Career center and learn about his journey from the US Army into teaching and ultimately leading a program with nearly 600 students from 8 school corporations. Program options range from building trades, dentistry, culinary arts, to engineering and even barbering! 18 programs offered in our community to high school students that can reduce the number of college classes needed for a degree, or to get them directly into the work force. Finally - Jeremiah Morrell reflects on the passing of John Andretti and the great work he did raising funds for Riley Children's hospital at New Castle Motorsports part, and for St Judes Children's hospital. Over 5 million dollars for kids between the two efforts. Great episode - download, like, subscribe, and SHARE today. Our program is community supported on Patreon. Do your part by chipping into the cause by donating monthly at any level at www.patreon.com/bosshogofliberty and receive even more BONUS coverage and content. Support The Boss Hog of Liberty Learn more about your ad choices. Visit megaphone.fm/adchoices

Disruptive life events linger; they cast a long shadow. Years afterwards, you can still be surprised by sadness or fear. Magnus knows about living with pain and uncertainty; his sister died when he was just one year old and his younger brother has needed multiple heart surgeries. Magnus shares about how pain can bring us closer to people, what kids really want from their parents, and how a note or a song can be a powerful gift to those experiencing sadness.   – Magnus Mertes He was born at Methodist but he had heart troubles so they had to quickly get him over to Riley because Methodist never had the equipment. So he was taken into Riley Children's Hospital, I remember when I heard about it I felt a little shaky inside and I thought, am I going to lose another sibling?   INTRO   Today, we finish our three-week miniseries on childhood disruption.  Over the last two episodes, we have considered how disruption particularly affects children.  By extension, we are also talking about the adults that care for them. If a parent goes through disruption, whether that is a divorce or a move or a death, they are also interpreting and explaining and shepherding their child.  I know, from my own story, how important and exhausting this role can be.    I hope that these reflections help in three potential ways.   They help you better companion the children in your life that have experienced or are right now experiencing disruption.If you don’t remember, childhood can be hard.  There are scraped knees and neighborhood bullies.  Someone is always deciding when you go to bed and what you have to eat for dinner.  Now, factor in a divorce or a cancer diagnosis.  It can all feel pretty overwhelming, for both kids and adults.   These episodes help you show more empathy to friends and coworkers that are parenting children through seasons of disruption.These adults are not only managing their own sadness and exhaustion, they have little people that are looking to them for direction and guidance…and that is a really particular burden to carry.     Maybe these reflections help you to encounter your own childhood disruptions through a different light, to reflect on the ways that you were met or missed and how that empathy (or lack of empathy) might still be affecting you now.   Magnus Mertes is my guest today.  Magnus was only seventeen months old when his younger sister, Mercy Joan, was born. Mercy had a birth defect called an encephalocele, the base of her skull did not close and she only lived for eight days.  Magnus held Mercy, stroked her face, and ate bananas at her funeral.  A few years later, a younger brother, Moses, was born. Moses has had to undergo multiple open heart surgeries over the last five years.  Magnus talks about what it has been like to live under this shadow of death in today’s episode.    Magnus loves to laugh.  He is a good friend, creative, sporty, he loves to draw and tells a great story.        - Liesel Mertes So tell me a little bit about yourself.   - Magnus Mertes So I'm Magnus and I have had a little sister pass away, great Uncle pass away. Yeah I've had some kind of hard things throughout my life.   - Liesel Mertes Yeah you have. And we're going to talk about some of that today. But how about you tell me a little bit just about you as a 9 year old. What are the things that you really like?   - Magnus Mertes Well my favorite sports are football and soccer and my favorite book series is Lord Of The Rings and I really like playing outside and being with family.   - Liesel Mertes Yeah. You do. What grade are you in this year?   - Magnus Mertes I'm in fourth grade, Miss Wilson's class.   - Liesel Mertes And tell us about what's coming up this week that's really exciting for you.   - Magnus Mertes This week is my very first track meet and it is also my birthday.   - Liesel Mertes You mentioned you've had a couple of hard things happen. Tell me about your little sister, Mercy.   - Magnus Mertes So when my sister was born, and she was three and I was 1, my mom got pregnant and I felt so excited like, I was going to have a little sister. But then, when the diagnosis came in that she would have some troubles, I just felt really down because I didn't want her to die. And when she was born, I felt so happy and I thought, oh she's going to live through this. She is. And I only got a short time with her, only eight days, and then she passed away in my mother's arms at my grandma's house yeah.   - Liesel Mertes Do you remember much about how you were feeling at that stage or how you feel as you remember it now?   - Magnus Mertes I feel right now, You feel sad because I really would have liked her to have been here, no offense my little sister Jemima, but I felt like I would have liked to have another sister in the house   - Liesel Mertes Yeah I know that it affected some of how you've thought about death. Could you tell us a little bit more about that?   - Magnus Mertes Yeah I was kind of affected the, I feel like when we die when I feel like you go up to heaven and there's just this blooming city of gold. And when I was little I used to imagine that I would meet Abraham Lincoln there yeah.   - Magnus Mertes I also really. Why. The thought of how we're going to be made again made me feel really good inside and made me feel cozy.   - Liesel Mertes Yeah. What. Tell me a little bit about Moses and what has happened with him and how that has made you feel.   - Magnus Mertes Well, Moses. I always wanted a little brother, one I could play with. And when I saw him for the first time, I just, went over and just couldn't keep my eyes off him and I thought my head, This is my little brother now. But he was born at Methodist but he had heart troubles so they had to quickly get him over to Riley because Methodist never had the equipment. So he was taken into Riley Children's Hospital remember when I heard about it I felt a little shaky inside and I thought, am I going to lose another sibling?   - Magnus Mertes But I felt really great when his doctor, Ben Ross, felt really great that they were able to do they're able to take out one of his organs and replace it with a cow organ. And now we kind of joke around like he's the only person in family whose 1 percent cow.   - Liesel Mertes This is an ongoing joke in the family.  And, in the interest of accuracy, Moses’ doctor is actually the immensely talented Dr. John Brown at Riley Children’s Hospital.  He pioneered this procedure called a bovine tricuspid valve. Basically, a particular valve is harvested from the neck of a cow and is now keeping Moses alive.  Hence, he is “part cow”.   - Liesel Mertes We do joke about that. Are there things that have scared you or made you worried about getting sick or dying? What has that been like?   - Magnus Mertes So, one time I got a concussion and I felt like really, really, really scared because sometimes, concussions can be fatal. They can damage your brain in all sorts of ways and there's this famous boxer who died of concussion. And I was so scared at that time.   - Magnus Mertes Other times. On Memorial Day 2018, there's a huge log that was on the White River that just toppled over and like it was stuck there and I decided since it was making all these rapids and we were getting blown away by them in front of the log. I decided to go up around the back and float down and have a little bump fall and get pushed away. But what happened was when I got there right next to the log about a meter away I got sucked under by an undertow and I was just sucking, sucking, sucked and my life jacket that neared on a branch. Those like factor for about three seconds and my mind was, I was thinking, OK I'm going to drown, I'm going to drown, a minute I'm good I'm going to drown. But then what happened, it was like a miracle because that part snagged ripped off, that was pushed the way that my life jacket cause you know how they are, they pop you right up. Once I got out of the undertow about, 14 seconds later, I popped back up and I felt so relieved. But then I heard I saw of it. My older sister Ada and her friend, Scout's, face. They were like so worried and I went over and I said, What's wrong? They said Moses followed you. He got sucked under. And then I thought, Oh no no no no. This almost happened to him, he almost just died when he was a little boy. He almost died. I don't want him to die; I don't want my little brother to die. And he was under for about thirty two seconds after that and I felt so, so scared they drowned. Then finally, the same thing happened to him. It snared and then he popped right back up and I felt so, so overwhelmed with joy and happiness and relief that he didn't drown. And I just felt like God did the miracle for us yeah.   - Liesel Mertes That's a scary story. I'm so glad you guys were OK.   This story captures my attention for two reasons.  First, it horrifies me because I and three other grown-ups were standing right next to the river, eating oranges and chatting, and we didn’t have any idea what was happening.  That is how fast these childhood traumas can happen.  In Magnus’ story, I also hear the immediacy of his fear and anxiety…and the reality that disruptive life events don’t fit into neat, discreet boxes.  The river, the surgery, the threat of death, they all cascade into each other.       - Liesel Mertes Do you find that, like do you talk about Mercy much with your friends or with teachers at school?   - Magnus Mertes Like, with my best friends who, like Sebastian Falconi. Yeah, I'd tell them about it.   - Magnus Mertes Because I feel like I've gotten a good friendship with them and that they tell me about stuff. Like my friend, his parents got a divorce yes. So he it felt really, really hard on him. And I comforted him through that. And then later I told him that Mercy died and he, he just said, like, wow, you've been through the same stuff as I've been through this. Yeah. And that helped our relationship and now we're best buds.   - Liesel Mertes Yeah. What are things, when you tell people, what are things that are really helpful that they say to you or help you with?   - Magnus Mertes Last year, when I got my concussion, what happened was, when I was in my bed in a dark room, my mom opened the door and said I got a visitor. And it turned out to be one of my friends, Forrest, who was actually there when I passed out and he came there. He wrote an encouraging note to me and I kept that hidden in my bed. And every day I would read it and I would think, I can get through this.   - Liesel Mertes Are there other things that grownups do or that are helpful to you when you're feeling sad or scared about Mercy or about Moses or about anything?   - Magnus Mertes So when I was afraid of death, my mom would play a song that I really liked called High Noon by Andrew Peterson and it just helped me feel really good, I feel really good and think that God knows what's going to happen to me and he's taking care of me and he loves me.   - Liesel Mertes You tell me a little bit more about that being afraid of death. What was that like?   - Magnus Mertes So, being afraid of death. I can get, like, a shiver down my spine that I would have to like leave my family and my siblings my Nana and Pa. And in fact, my great grandma and June, she was put in the hospital at age 92 for pneumonia and I felt scared, really really scared, and luckily she recovered and she's in a nursing home now. She recovered but she's really weak.   - Liesel Mertes Yeah. Is there anything that you feel like grown ups don't understand about kids when they're sad?   - Magnus Mertes I feel like kids. They get like depressed and it really like breaks them up and they say like, nothing's wrong, but like, I don't think parents understand that when they say it like that, that now they just kind of like leave them alone. But what they mostly need is to engage and be comforted   - Liesel Mertes Sure. If there's somebody listening who is going through some of the hard things that you've gone through. Do any words of wisdom or encouragement that you'd give them?   - Magnus Mertes I would say that you guys can do this that you guys, and if you're going through a rough time, I'm sorry that you're going through them but just know that God is going to help you and he's going to give you the best thing that he can do possible.   MUSICAL TRANSITION   Here are three take-aways that I have after my conversation with Magnus   Magnus reflected that sometimes, kids say that nothing is wrong when bad things happen. Parents, in response, will just leave them alone.  In Magnus’ words, “what they mostly need is to engage and be comforted.”  This is a good reminder, for both kids and adults, that people crave the support of relationship and community when disruption comes.  Don’t overlook the pain and the process of young children. Magnus was only seventeen months old when Mercy died.  And he was in preschool when Moses was born.  In the midst of our overwhelming pain, it would have been all too easy to overlook Magnus, to think that he was too young to process what was going on…to just hope that he would be fine. Yet, these experiences have profoundly shaped him. Music can be a great form of comfort for adults and children. There have been times where the fears were so big and words found their limits.  During those times, we found that it was really helpful to have a playlist of meaningful songs that he could listen to that helped to ground and reassure him.    OUTRO    

Hosts: Eric Puster, Jennifer Lee, Keith Morse Producers: Jennifer Lee Guest Interview: Emily Webber, MD, CMIO of Riley Children’s Hospital Topics: Communication with patients using technology, information blocking, sharing data with patients

 In a moment, everything can change. A traumatic brain injury dramatically altered life for Baher Malek, a software designer, and his family. Bess Malek-Maiorano speaks about the exhaustion of providing long-term care, the shock of injury, and the challenge of embracing long-term disability. Listeners gain perspective and actionable tips on how to help those coping with reality of extended care for someone that is not going to get better. We want to help people that are going through hard times, but it can be hard to know what to do or what to say.  Hi, I’m Liesel Mertes and this is the Handle with Care podcast, where we talk about empathy at work.  On each episode, I welcome a guest that has lived through a disruptive life event. We cover topics from death to divorce to that scary diagnosis and, in each story, we give you actionable tips on what you can do to show empathy and give support as a manager, a coworker, or a friend.   Today I talk with Bess Malek-Maiorano about the traumatic brain injury that her husband, Baher, suffered more than five years ago.  His resulting memory loss, disability, and sudden dependence changed everything for the Malek family, which ushers us into questions of how to come alongside an individual and his or her caregivers in the face of long-term illness.    I first met Bess when my daughter, Ada, was in kindergarten.  Bess was a part of the parent’s council at the school, she led the evening meeting with a baby on her hip.  After the meeting, Bess found time, to listen and empathize with my story of loss.  She had had a daughter die too and took time to listen and cry with me.    That was before everything changed for the Malek family.  Over the next year, I followed her story with deep sadness.  Her life was forever altered, the family cast into a system of complicated medical care.    Bess is a gifted writer, and I followed her story through the blog that she faithfully kept.  Some excerpts from her writing will feature in this episode.  Her story is shocking, tragic, and ongoing.  But first, a little background on Bess and Baher.    [00:09:48.550] - Bess Malek So, Baher is originally native Egyptian. And we met in a philosophy class. I met him shortly out of pharmacy school and we were soulmates. He is an engineer. He loved the life of the mind. He was a reader, a studier, he loved theology and so, ironically, to have his mind taken from him is something that still shocks me to this day.   [00:10:21.510] - Bess Malek He was a wonderful, warm father with the best laugh and he was well respected as the software engineer and project manager and we had a very joyful partnership.   The inflection point in Bess and Baher’s story happened more than five years ago.  This was the season of life when I met Bess, where she was leading school activities.    [00:10:52.260] - Bess Malek So we had had a lot of parenting responsibilities, through the gift of four children. And so, I was mostly taking care of them. We had also had a foster child that fall, which was a privilege   In addition to leading the PTO, taking in foster children, and caring for her four biological children, Bess was also working as a pharmacist, part-time, at Riley Children’s hospital.  She had worked there for more than twenty years, ever since she graduated.  In the spring of 2014, Baher began to develop some flu-like symptoms.  He stayed home from church over Easter and even went to the ER as his symptoms worsened, but they said he would be alright and sent him home.  But Baher was not alright.    Ominous, brooding music under portions of the following section [00:07:16.400] - Bess Malek That morning, as I was getting ready to run errands, I heard some noises from our room and I went up there and I ended up finding him unresponsive in a state, of, he was awake but couldn't respond. He was unable to speak and I was aware that his breathing was very fast and he was covered in sweat and I called 9 1 1 and our life has never been the same.   Baher was rushed to the hospital.  The doctors were unable to find any source of infection and yet Baher was in a state of constant epileptic seizures.    [00:08:10.940] - Bess Malek It remains unknown what was the primary cause. His symptoms were similar to a viral encephalitis or autoimmune and stuff like which are difficult to diagnose.   Baher was placed in a coma, Bess sat by his side, praying, for weeks.    [00:09:00.860] - Bess Malek And about, seven weeks after that, after many, many neurologists and just a lot of intense scrutiny and some different procedures that they did, he amazingly started to wake up.   Yet, all was not well with Baher.   [00:11:57.180] - Bess Malek So, no one had survived this type of lengthy status epilipticus, which is why he was then, and where you have constant seizures, basically a forest fire in your brain for weeks, and so it was uncertain if he would have verbal skills. What the nature of his brain damage would be at the end. If he would be on a vent if he would have feeding tubes. Miraculously, he came off the vent and he was able to breathe on his own. His verbal skills were completely intact, his vocabulary was intact ,and yet his temporal lobes for completely burned up, which meant nothing to me at the time,   [00:12:47.480] - Bess Malek but it meant, now that I know that all of the memories that he had, all the experiences were locked away. And the irony that a data engineer was unable to get into the data of his entire life was a surreal experience that I had no idea how to navigate and no one could give me any expectation.   Music under some of the following section [00:13:21.310] - Bess Malek I think what's unique about brain injury is that there is no protocol that they can pull. There is no real resources. Everything is unique and I was launched into this world of rehab and recovery, variance supported and with a man who was a shell of himself and unable to participate in his own recovery or care because he couldn't even understand that he had been ill. For instance, when he came home after being in various rehab hospitals and getting very dire prognosis, which was heartbreaking,   Baher would wake up in the morning and ask for his car keys, convinced that he was still going to work.  He would get confused, disoriented, agitated, and Bess would have to explain, again, what had happened, that he could no longer drive, that he would never return to work.  Daily, Baher had to reacquaint himself with the tragedy that was now his life. All this, in the midst of battles over insurance providers and care and coping with sporadic seizures that would throw Baher to the ground.  And here, I think it would be valuable to give you the real-time reactions of Bess from her blog, Bess wrote the following:    PUT MUSIC THROUGHOUT, UNDER THIS MEMORY SECTION “Baher only said a few words today.  He started having some seizures this morning and was post-ictal the rest of the day.  Feverish. Flushed.  His temperature is increasing.  Six seizures today.  Hopefully, just a side infection unrelated to the incision sites.  Probably just inflammation from having his major nerve tampered with.  But I am really, really sad tonight.  Lonely. Tired of asking a nurse to come. Tired of the powerlessness in waiting. And asking.  Tired of the power that others have to give or withhold.”   She continues, and you can hear the weight of memory in her words:    PUT MUSIC THROUGHOUT, UNDER THIS MEMORY SECTION Maybe I just miss Baher’s little black car pulling in, with his backpack swung happily over his shoulder, to hug the kids, telling them, ‘My day just got better.’ Pick up soccer games on rough black top the skinned knees. Summer planning.  Child rearing goals.  Lively discussions.  Bill paying that is on time.  Routine. I miss it…all of it.  I can’t stop crying tonight.  I could not make it through vocab words or bed time stories. But I had to.  There is no one else to do it.”    Every day was hard.   [00:17:24.060] - Bess Malek It was very difficult for me to know what I would need.   And Bess was struggling under a mountain of paperwork   [00:18:01.760] - Bess Malek I struggled to get a hold of human resources and kind of be led well in finding insurance numbers or.   [00:18:18.280] - Liesel Mertes There is such a bureaucracy, right, to follow ups on claims.   [00:18:22.570] - Bess Malek Its enormous.   [00:18:24.280] - Liesel Mertes  Did you feel like you were having to pursue that yourself, in a way that was taxiing in the midst of an already totalization situation?   [00:18:35.360] - Bess Malek I think what happens to people in trauma that there is a great fatigue and a weariness of all, and especially with the documentation and the paperwork, that is overwhelming all of our society. More so than ever. You can't even wrap your head around what you should do what you should be doing. I had insurance battles to fight for care that the insurance companies didn't want to give to someone without a very positive prognosis. I had to figure out how much money we would need, how much I needed to work.   The family needed money, so Bess went back to work part-time just three months after Baher’s illness. And on today’s episode, I want to focus on that return to the workplace.  How were Bess, Baher and the family supported?  How were they missed in this complicated situation?  Baher worked, at the time of his injury, for Liberty Mutual.    [00:15:22 - Bess Malek In hindsight, I very much appreciated the visits that we received from people in his work. There were very sweet times where his coworkers or his team would come to the hospital or find ways to be involved with our family. There was one Christmas that, has, one of his co-workers heard that our son loved to decorate with Christmas lights in honor of his dad and what they used to do. And he donated a very large Christmas snowman to our yard. His workplace was very good at writing notes. They wrote actually a book of the ways that he had been a good team leader for them and the things they appreciated about him that I still have in his room. Now in the nursing home, that he can read and feel appreciated and loved. Some of his co-workers are very faithful in their visits. Even this week, some Liberty Mutual employees came to see him and that's just precious to me that he would be honored.    Those who showed up were precious in their gestures, but Bess also remembers those that were absent   MUSIC SOMEWHERE UNDER THIS SECTION [00:42:55] - Bess Malek I think the people who showed up at some point was really important. And their absences, the absence of people that I thought would be there was an additional loss and grief that was acutely painful and you see the vacant places that you thought would be filled and and God brings other people, but you really remember that and wish that they had just acknowledged and been present for something.   Bess was also interacting with her workplace, Riley Children’s Hospital. For Bess, Baher’s illness was not the first disruptive life event to send ripples through her workplace.    [00:20:15.200] - Bess Malek We had lost a baby to Trisomy 13 and I had worked in the NICU throughout the time that I was pregnant and my workplace wasn't sure how to support me through a pregnancy that also resulted in a loss. When another supervisor lost a baby a year or two later, they actually came back and apologized to me. And said they they hadn't handled it right, that they hadn't been sensitive enough. And that was really humble and gracious, that my management, who happened to be women. But they realized that there was more that could have been done.   Bess’ workplace had grown in their capacity to give support, and there were ways in which she was really supported well:   [00:22:49.030] - Bess Malek Some of the really precious things that they did, was they adopted our family that first Christmas and they recognized that we would be spending it in the hospital. Baher was constantly hospitalized and bouncing around from facility to facility. We were spending it at the very organization where I worked as well and they filled our back porch with presents and my kids got to discover that. They had carefully selected gifts that would be meaningful to all of us. And that was a rich gift that my kids still reference and very thoughtful.   [00:23:37.990] - Bess Malek I think anything you can do for the children involved in a loss is precious to the parents.   Musical transition [00:35:05] - Bess Malek It's been really hard because of the ambiguous nature of my loss and that has made it uniquely difficult for my kids because they lost two parents at the same time. I was gone all the time and so there is a lot of anxiety. Counselling has been very helpful to us as a family. I think pointing people to good family grief counselling is vital for your children and yourself to be able to have language to process things.     I resonate, in my own way, with this observation of Bess.  Because it is hard to parent your children when you yourself are under so much stress.  Here is another excerpt from her blog:    MUSIC THROUGHOUT THIS WHOLE MEMORY I am patience-less, and it is the small things – children who aren’t listening, whining voices, car doors that stick, taking a wrong turn, peas that roll from the edge of the table from an ungrateful fork.  I cringe at my own limited self and my worn nerves.”  Or this:“I can’t stop crying tonight.  I could not make it through vocab words, or bedtime stories.  But I had to.  There is no one else to do it.”    Musical interlude   Coworkers also cared for Bess with little gifts   Obviously. I had a couple of co-workers that would leave things in my locker throughout and they did that so faithfully. They would leave a little gift card. Money was tight and you weren't sure what you were going to have long term and what you were going to lose. And so it was just always a bright encouragement to find chocolate or just small things that meant people were thinking of you in deeper ways.   In addition to gifts, Bess reflected on how structural, organizational support can be so very important.   [00:35:56.320] - Bess Malek I also was thinking of how beneficial it could be if you had a point person at your work who could coordinate with maybe other supports around your family. Like, if you had a one person who knew me well at work who could then coordinate with either church community or neighborhood or family so that you're not, you know, doing, you know ,you're not replicating care or you're not letting holes be there. Could be a really powerful and efficient way to care for people better. And it doesn't have to be really formal through the department. It could just be that maybe management makes sure or co-workers make sure that somebody is kind of the point person and can communicate things that as they evolve.   Musical interlude   [00:33:25.000] - Bess Malek I had a friend who took the time, and this is where I think people could really help in a practical way. This was in regards to counseling but it could apply to any paperwork that needed to get done. She took the time to print it all out, to sit down with me and help me fill out what she could. That handholding is the only way I could do another piece of paperwork. And I think when employers just kind of give you a link, that they could do a little more if you're actually in crisis just to help you see forward when it's difficult.   It was also immensely important to have people that saw and acknowledged her struggle   [00:24:51.210] - Bess Malek and I can't stress enough the importance of just recognizing that somebody is carrying deep pain. I think people get afraid that they're gonna make you sad that they're going to trigger something. And the fact is the triggers are there all the time regardless, but just people being sensitive.   Musical interlude   [00:26:02.710] - Bess Malek I think just people saying you know, how. How are your kids doing with this? How is your husband doing? How. Are. You. Today?   And in the midst of this stress, the workplace environment of healthcare had its own complications.  Bess was in a caring profession, where, despite her own daily challenges, she had to continue to administer comfort to her patients.    [00:21:07.110] - Bess Malek And I think, especially in a medical setting it's easy to be insensitive because your work involves people's tragedy and you, and yet, you have to function there every day and in a professional environment as well. It's easy for people to forget what you're dealing with through your personal medical side.   Musical transition   26:05 I had to field. So. Many crises. At work. With my kids. With Baher's care. I would get, even calls from hospital security that Baher, who is often very unstable and confused. And that was. Very hard to. Turn. Around on one side. And take a call that broke your heart. And then turn back to administer care to other sick people was that times something I wasn't sure I should even be continuing to do.   There were also ways that Bess was mishandled.  Part of this was, perhaps, related to a managerial change. The manager that had known Bess through her infant loss and through Baher’s illness was no longer at Riley.   [00:27:21.280] - Bess Malek I think that's my management changed and I actually had a new manager there was actually a gap in management for a time where the manager that I was very close to that I had walked right through several years, she was gone, and I at that time really struggled with knowing who was able to even be aware. And there's a lot that managers have to balance and there's fairness and there is, you know, they have a lot of demands and there was a rocky time for our management but I think just check-ins would be helpful. And if there is new management, maybe feeling like they want to know a little bit more of your underlying story if it's unique, would be really helpful.   Musical transition   Music under some of the stress points in this (following) passage [00:29:35] - Bess Malek I felt an enormous pressure to perform on every level. There were times I would go from work to the other hospital in a snowstorm, you know, with baby sitters at home till late at night. I really struggled when I felt like people were quick to jump on a 10 minute late gap in my performance or little things that, you know, you forget a badge. I remember one time I forgot my badge and I couldn't scan in and I felt like one particular co-worker who was more of a grudging spirit really made that a big deal. And I just dissolved. I just, it was just one more area that I felt like I couldn't make it work. I couldn't be enough or, and it was such a small thing. And so I think having grace for the tiny things, that really people can cover over is something that is so helpful. Or saying it's not a big deal or take a few minutes and go have some time you know in just 10 minutes to yourself to go get a drink and compose yourself.   Musical interlude   [00:37:00 - Liesel Mertes Are there any words or reflections that you would offer to someone going through a similarly long term experience with disability or with a family member and care or in addition to that, words that you would offer to yourself four years ago or three years ago?   [00:37:36.290] - Bess Malek Its a very emotional question I actually spoke to a friend today who was at the hospital with her child who's been hospitalized for many months and I think what I was able to say is, you know, just enjoy, enjoy the light that you have in that day and I, I struggled to know whether, you don't know whether to lower your expectations or to have more hope. And I think, I had to just ask God to be my my provider and my resource. I couldn't pull it together. I couldn't demand more from anyone. I had to just rely on the foundation of faith that I had, on and just be willing to learn through loss and, and continue to gather together the beauty that you, what's available to you and to just grieve.   [00:39:02.230] - Bess Malek I think that taking time off is something that I wish I would have done more intentionally, maybe after some of the adrenaline. I even thought about taking time off this past fall to process a little more. And, I wasn't ever very well invited to do that. Nor did I know if it would be helpful, necessarily. But I think. If people helped open doors.   [00:39:36.780] - Bess Malek Just continue to help open doors for people in crisis, whatever that looks like if it's paperwork. If it's a meal, rides for your children are very important. Just finding little ways to link practical help. And I think patience, patience with the process and with yourself is just a very important resource   Musical transition   Bess and Baher’s story is still unspooling.  Baher continues to have substantial medical needs, his family continues to need all manner of physical, emotional, and social support.  And, at the close of this conversation, I’d like to offer three action points for those that support individuals with disabilities and long-term care needs.   In the words of Bess, just continue to open doors for people in crisis.  Perhaps the is helping with paperwork, volunteering to drive to after-school practices, delivering meals, or giving gifts.  As an employer, be aware of the pressure to perform that you are placing on employees that are in times of stress.As you can offer grace, do so! Ask yourself, do I need to make a big deal of this forgotten badge?  Can I allow this person to take ten minutes to compose themselves?  Each gesture of kindness extends humanity and conveys value to your employee Long term disability extends over years. How can you, as a supporting organization or individual, continue to check-in over time, offering support, asking how the person is doing? Can you offer a point person to coordinate care?  You will have to plan for this and build it into your calendar because, in the tyranny of the moment. it will be easy to lose sight of being supportive for the long haul.  Many people have short attention spans and your capacity to be there and be with a person over time speaks volumes.    Outro

What must pediatricians know to identify infants at risk for NAS, to treat them and to prepare moms to care for them at home? Dr. Emily Scott of Riley Children’s Health explains. Completion of all 8 Opioid Epidemic Podcast Series is Accredited for 2.0 AMA PRA Category 1 Credits™  For details: Https://ismanet.org/podcast  

Feature Interview (10:55) – Dr. Brandon Brown, from the Indiana University School of Medicine and a founding member of Fetal Center at Riley Children’s Health, discusses the amazing advances in treating the youngest patients – babies who haven’t even yet been born. Also in this episode: News (1:00) – Penicillin allergies are not nearly as common as people think (https://doi.org/10.1136/bmj.j3402) Preventive Medicine Tip (8:40) – Latest guidelines for diet and exercise Medical Trivia (Answer at 36:45) – What is the first (and only) human disease eradicated from the world through medical efforts? Linacre for the Laity (39:15) – Dr. Donna Harrison talks about the ethical challenges of treating ectopic pregnancies and how new treatment technologies can help doctors and patients approach the problem (“Treatment of an Ectopic Pregnancy: An Ethical Reanalysis,” Linacre Quarterly, Vol. 85, August 2018) http://journals.sagepub.com/home/lqr ------ www.redeemerradio.com www.cathmed.org Follow us on Facebook: @DoctorDoctorShow Submit your question(s): Text (Holy Cross College text line) - 260-436-9598 Online - www.RedeemerRadio.com/Doctor E-mail - Doctor@RedeemerRadio.com Subscribe to the Podcast: iTunes | Google Play | SoundCloud | RSS

Dr. Paul Winchester is the Medical Director of the NICU at Franciscan St. Francis Health and a Professor of Clinical Pediatrics at Riley Children’s Hospital in Indianapolis, Indiana. He also conducts research on the epidemiology of birth defects, including the effects of prenatal exposure to pesticides.  On this episode, Dr. Winchester talks about how his background in farming informs his work today and shares a number of sobering findings from research in his field, such as the fact that women who conceive during peak pesticide months are more likely to have a child with birth defects, a preterm pregnancy, or both; not to mention that the effects of pesticide exposure are not limited to those directly exposed, but can be seen and felt generations later.

Marlee Davenport was born missing 9 of 12 ribs on her right side, causing severe scoliosis and her right lung to be abnormally small. At 10 days old, she had her first of 22 surgeries, and she’ll need continued care throughout her life. Marlee has kept a positive attitude despite the medical challenges she has faced. Her advice to other facing challenges is to “Just keep smiling”. Marlee loves horseback riding, gymnastics and soccer.   Listen to this episode and learn: How Marlee deals with the health challenges she was born with Why Marlee loves Riley Children’s Hospital Marlee’s special message for her favorite singer, Taylor Swift How Marlee is able to relate to the movie “Wonder”  and why being different is beautiful

An interactive discussion between Dr. Ponsky and Dr. Rescorla about the management of ovarian tumors in pediatric patients. Dr. Frederick Rescorla is surgeon-in-chief at Riley Children's Hospital, Anna Olivia Healey Professor of Pediatric Surgery at Indiana University School of Medicine, and COG germ cell committee member. Timestops: 00:00:00 Introduction 02:17:12 Case 1: Ovarian cystic mass with solid components 04:09:16 Overview of ovarian tumors 05:18:22 Workup of Case 1 08:02:10 Operative technique 11:06:21 Exploring retroperitoneal lymph nodes 12:40:13 Ovarian Salvage 14:20:07 Case 2: Large ovarian cystic mass in adolescent 16:59:00 Operative technique 18:23:23 Case 3: Solid ovarian mass in adolescent 20:27:09 Preoperative workup 21:10:02 Surgical approach 23:41:06 Chemotherapy 24:01:05 Cryopreservation 24:31:14 Case 4: Ovarian torsion 26:31:15 Role of oophoropexy 28:42:13 Follow up after torsion without a mass 29:11:22 Outcomes 31:57:20 Conclusion Intro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626 License: creativecommons.org/licenses/by/3.0/

IndyCar veteran and cancer survivor John Andretti joins Marshall Pruett for the Week In IndyCar podcast in one of the most inspirational episodes to date. The two cover the news of Danica Patrick's struggles to find an Indy 500 seat, the appointment of Leena Gade as James Hinchcliffe's engineer, the passing of Dan Gurney, and then the two dive into John's thoughts on driving for Jim Hall, Richard Petty, his days as an NHRA Top Fuel driver, driving the 1990 Porsche Indy car, his charity efforts with the Riley Children's Hospital, his lone appearance at the Bathurst 1000, and other great topics provided by fans and listeners.  Visit https://www.facebook.com/MarshallPruettPodcast for our full podcast archives. Subscribe: Apple (https://tinyurl.com/yaafkvch)  Android (https://tinyurl.com/yconvyl3)  Google (https://tinyurl.com/y8qtcuax)  Spotify (https://tinyurl.com/yby3lzr2)

What will the 2018 legislative session bring? A popular food delivery service is growing; Ivy Tech launches its new strategic plan; Riley Children's Health has a big project on the horizon; a look at some education challenges in the new year; an Indianapolis logistics company is adding jobs; and our panel of INsiders takes on the week's top stories.

Welcome to " The Indy SportCar Podcast " Hosts @MissyLinkz & @LLNKZ and Special Guest Co-Host @Eric_Filgueiras talk about the the 24 hour Kart Race Eric is participating in to raise money for the Riley Children's Foundation on February 18/19. To donate email Eric at eric@ericracing.com to learn more. We talk some @F1 to see what is going on this week in the F1 world.  We discuss all the @IndyCar news which seemed to be plentiful this week. Along with catching up in the #MRTI world. Follow all the shows' social media outlets at www.TheIndySportsCarPodcast.com Stream or Download the show at Stitcher Radio, the Podbean App, iTunes and at www.RedDragonsRadio.com Enjoy!! 

Keera took a scary turn this morning. SheÂ’s gone through 2 emergency surgeries in the last 2 days. WeÂ’re in the PICU unit at Riley ChildrenÂ’s Hospital in Indianapolis. May God shine some light on her. We need it.