Podcasts about RN

The Nurses Report on America Out Loud with Kimberly Overton, BSN, RN, BC-FMP – Sandy introduces listeners to the history and purpose of the Republic for the USA, a movement she believes is rooted in restoring lawful, constitutional governance abandoned in the late 19th century. She discusses the role of military patriots, constitutional scholars, faith, and perseverance in preserving the...

Welcome back to another episode of the unSeminary podcast. Today we're talking with Tim MacLeod, a former nurse who escaped the financial treadmill by flipping couches—and now teaches others how to do the same. Are you a church leader feeling the financial squeeze? Looking for a side hustle that doesn't require debt, special skills, or hours you don't have? Tim's story offers a practical roadmap—and encouragement—for anyone needing to close that income gap. Burnout and financial pressure. // Tim became a nurse at 21, newly married, supporting his wife through teacher's college, and quickly thrown into adult responsibilities. The only way to stay financially afloat was by working overtime once or twice a week. When their second child was on the way, he realized the path he was on was unsustainable. Finding financial freedom. // Options like upgrading his nursing degree, relocating, or working in dangerous psychiatric facilities were unappealing. Tim needed something flexible, part-time, and profitable enough to replace overtime. He discovered flipping phones and iPads first, but competition was fierce. Then, after borrowing a trailer and responding to a free couch listing, everything changed. He cleaned it up, sold it the next day for $280, and instantly covered more than an entire nursing shift. Why flipping couches works. // The opportunity exists because of a gap in the marketplace. Most people don't own trucks, can't move heavy furniture, and face tight deadlines when moving. Sellers value reliable pickup over price; buyers value affordable furniture delivered to their door. Tim steps into this gap. With polite communication and kindness, he creates a “win-win-win”: sellers get rid of furniture quickly, buyers get affordable delivered couches, and Tim earns a consistent profit. He estimates most beginners can make $1,000/month by flipping just five couches—buying each for around $50 and selling for $250 with delivery included. A side hustle with time freedom. // One of the most surprising parts of Tim's business is the flexibility. He built the early stages of his flipping business in the evenings with his wife and baby riding along—road dinners, cheap pizza, and trips to pick up inventory. Now he schedules pickups during school hours, stacks deliveries based on availability, and can pause or accelerate the business as needed. It's ideal for ministry families with unpredictable schedules. Why you can succeed at this. // Many of Tim's students are pastors or church employees, and he says ministry workers have unique advantages: access to storage at the church, a heart for helping people, strong communication skills, and the ability to bring calm to awkward interactions. Many pastors live outside their ministry communities—creating the perfect “import/export” opportunity where they can buy in one market and sell in another. And unlike many side hustles, flipping couches doesn't conflict with ministry—it simply provides supplemental income with minimal stress. A free resource to get started. // Tim created a free Google Doc of scripts—his exact messages for starting conversations, vetting couches, and negotiating with integrity. To get it, simply comment scripts on any of his Instagram videos and he’ll email it your way. He also offers an affordable course walking through his full system, including storage setup, videos, delivery strategies, and scaling beyond $1,000/month. To learn more or access Tim's free scripts, visit him on Instagram @thefulltimeflipper or explore his full course at tim-macleod.com. Thank You for Tuning In! There are a lot of podcasts you could be tuning into today, but you chose unSeminary, and I'm grateful for that. If you enjoyed today's show, please share it by using the social media buttons you see at the left hand side of this page. Also, kindly consider taking the 60-seconds it takes to leave an honest review and rating for the podcast on iTunes, they're extremely helpful when it comes to the ranking of the show and you can bet that I read every single one of them personally! Episode Transcript Rich Birch — Hey, friends, welcome to the unSeminary podcast. So glad that you have decided to tune in. We’re definitely having a very un-unSeminary episode today. You know recently I heard some statistics that I was like, man, we gotta do something about this. According to the Bureau of Labor and Statistics—you’re like, it’s a little early in the year for the Bureau of Labor and Statistics—but there’s a 13% gap between what religious workers—people who are clergy actually, is the title—and the average income in the country makes – a 13% gap. In fact, it even gets worse when you look at people, there’s a category called “religious workers, other”, which these would be like not the senior pastor types. This is like everybody else that works in a church. There’s a 40% gap between those people and the the average salary in the country. Rich Birch — And so why am I bringing this up? Because I know that there are people that are listening in today that are feeling that gap. Here we are in January and they’re feeling the pressure of that. And I want to help you with that. And so I’ve got a friend, like a friend from real life, friends. This is like we’re in the same small group. We know each other, incredible leader, and I want to expose you to him. But more importantly, I think he can help you with that gap.Rich Birch — It’s my friend, Tim MacLeod. Tim was a nurse with the dreams of fatherhood and home ownership, but after a few years was faced with reality and no time, no amount of overtime was really going to fill the gap that he needed to make things work. And after being stuck on that kind of financial treadmill, he found a way out. He found the niche of, wait for it, friends, flipping couches. What? Flipping couches and was able to quit his nursing job and now does this full time. And I’ve asked him to come on. Uh, because I think what he did at the beginning, even part-time, I think could help some of us today that are, that are listening in. Tim, welcome to the show. So glad you’re here.Tim MacLeod — Thanks so much for having me, man. I’m excited.Rich Birch — This is going to be a good conversation. Kind of fill in the story. Tell us a little bit, uh, tell us about your background, and how did you get in? How did you go from nursing to flipping couches?Tim MacLeod — So I wanted to be obedient and I got married maybe a little bit too young at 21. My wife was still in teacher’s college. And so very, very quickly I was thrown into adulthood of two cars, rents and all the things that come with that.Tim MacLeod — And nursing was good. I was a registered practical nurse, so not a university educated RN making bank, but doing okay with a college diploma. And I got the comfy gig at a long-term care home because I preferred eight-hour shifts and not the, I didn’t want nights.Rich Birch — Midnight and all that.Tim MacLeod — I just wanted, yeah, exactly.Rich Birch — Yeah, yeah, yeah.Tim MacLeod — I wanted the free parking and the the reliable six to two shifts. That was just the lifestyle that I liked. And the only way that I could stay afloat financially was with doubles. I had to do my six to two and then at least once a week, usually twice, if I wanted to have any money to play with, um I would work the two to ten.Rich Birch — Wow.Tim MacLeod — And that was cool while my wife was in college or while she was finishing up teacher’s college, that was fine. And then, we had a newborn baby and that was fine. Because anytime that I would have to do those doubles, she’d go to sleep, go for a sleepover at her parents’ place. And, uh, and I would just drudge up the shifts.Tim MacLeod — And, but then when we were pregnant with number two, I knew that there was difficulties coming. And the road ahead did not look very good. And so I needed something different and all my options for replacing the income suck. Like I could go back to school and upgrade to RN, but I scraped through the first time. So that was nuts.Rich Birch — Right.Tim MacLeod — I didn’t have much hope in myself in that avenue. And I could go, I could relocate, I could move or I could commute about an hour and 20 away to the mental health hospital and make like danger pay in like an asylum, basically with my current qualifications.Rich Birch — Right.Tim MacLeod — And everything just looked terrible. I hated all of that. And all I needed was something better than overtime. I just needed to replace that portion of the income. And I needed something better in my evenings that hopefully I could do with my wife or from home. And so I was looking at side hustles.Tim MacLeod — And I had a little bit of success flipping phones and iPads because that’s all that I really understood…Rich Birch — Okay. Yeah, yeah.Tim MacLeod — …all I understood at the time. And I live about an hour north of where my in-laws live, which is a pretty dense population. I’m in the sticks and the supply was really light there. So I could reliably go for a free meal at my in-laws place, pick up an iPhone or three and for like 300 bucks and then bring them home and sell them for 450 bucks. And so that took that took the pressure off and that was like grocery money.Rich Birch — Right.Tim MacLeod — And it was really consistent, really reliable. And and it was fun too. I really liked it. I liked the negotiations. I liked, I liked not trading time. Rich Birch — Right.Tim MacLeod — Like I liked making making a profit instead of a wage. And that I was hooked on that, but there was competition. Like I wasn’t that clever doing that.Tim MacLeod — There was there was kids that were closer to the inventory ripping around in little Hyundai Elantras and uh i remember meeting this this Indian kid named Lucky, at least his Canadian name was Lucky, and he was beating me to all the goods. And and I met him one time to buy a phone for myself and I actually got to meet him and ask him some questions and he was making four grand a month flipping phones.Rich Birch — Wow.Tim MacLeod — And I thought that is so sick, and it’s just a pure cash hustle. And he was making more doing that than whatever his office or IT job was at the time. And I was super inspired by that, but I didn’t want to compete with him. So that kind of that kind of festered with me a little bit.Tim MacLeod — And um I just got an awesome idea. Well, was gifted to me by the Holy Spirit, I think, based on how fast and how fierce it came, that I need to get skills and tools to sell in a different category, something with a higher barrier to entry. And I wanted something where I didn’t have to compete with the Honda Civics and the Hyundai Elantra’s that were closer to the action.Rich Birch — With Lucky. Yes.Tim MacLeod — Yeah, exactly. He was smoking me. And and it also, it was a little bit of that and then also a little bit of me coveting. I wanted to get like, um I wanted an excuse to buy a Ford Ranger. I wanted a truck at the time.Rich Birch — Love it.Tim MacLeod — And so this combination, this combination of like wants and needs at the time, had me pitching an idea to my brother, Ross. I’m just like, Hey, what do you think about instead of phones and iPads? What if I got a truck and I started doing like washers and dryers or appliances or something like that? And he said, that’s a cool idea.Tim MacLeod — You’re good at the phones and iPads thing. And I definitely like, you’re good at the negotiations, all that. But don’t start eight grand in debt. That’s so stupid. Why don’t you just borrow my trailer and just try it? And I said, well, I don’t have a, I don’t have a hitch on my car. He said, get a hitch on your car, buddy. Okay. So, put that on the Visa, did not have the money for it. Rich Birch — Wow. Tim MacLeod — Put that on the Visa, put a two inch two inch hitch and four prong wiring on Mazda 5 like the little four cylinder, little mini minivan.Rich Birch — Oh, I wish I would have saw this at that. I wish I would have s seen this at this phase. Cause that, that, that would have been amazing to see him getting pulled around.Tim MacLeod — It was it was pretty cute and it was a big trailer too 12 by 6 aluminum being pulled by this little aaaaahhh. And it was stick shift and and…Rich Birch — Nice.Tim MacLeod — …and the first day I got the trailer, the only thing I could find, because I was just itching to use it, was a free couch. And it was one of those beige microfiber, like gets dirty if you look at it wrong.Rich Birch — All right. Yes.Tim MacLeod — Like they hold on to every water stain.Rich Birch — Yes. Yes.Tim MacLeod — And it was that and it was free and it needed a little bit of TLC. And I went and I got it for free. Brought it home and with a damp cloth, scrubbed out all the little marks and had it looking good. Took a picture of it, listed it with an offer of delivery and it sold the next day for 280 bucks.Rich Birch — Wow. That’s amazing.Tim MacLeod — It was awesome. Because a nursing shift net was like 180.Rich Birch — Wow, OK.Tim MacLeod — I think I was, I think I was 28 bucks an hour for an eight hour shift after taxes. Yeah. Probably like 180 hit the account.Rich Birch — Wow.Tim MacLeod — And so 280 for that. And it was one of those trips of free meal at, at the in-laws and then a free couch and then bring it home and then solve somebody’s problem of, I just got an apartment. I don’t have a car or my car’s too small and I need a couch.Rich Birch — Yes, yes.Tim MacLeod — And their option was, rent a U-Haul or go to Leon’s and finance something that comes delivered. Both are not very good options for most people. And then lo and behold was this guy who said, I got a couch, I can bring it by. And it was just the easiest yes for them. It was a win for everybody. Rich Birch — Right.Tim MacLeod — The person who needed the couch picked up, didn’t care about the money. They needed reliable pickup more than they needed cost recovery of the item because they had a deadline. I needed a way to make some cash and the person on the receiving end needed a couch that was affordable that came delivered. So it was just a win-win-win for everybody. I was like, okay, forget about appliances. Couches – I love this. And it was easy, it was it was easy enough to lift by myself. Rich Birch — Did you ever do appliances? Did you ever do appliances in there? Tim MacLeod — Yeah. I did a washer and dryer and ate a loss on that because it needed repair and I didn’t… Rich Birch — Love it. Tim MacLeod — …I paid for someone to assess and they were like, yeah, this thing’s broken. Was like, sweet. Okay. So a hundred bucks to you for, for, to tell me that it’s hopeless, and then pay for junk removal too.Rich Birch — Yes.Tim MacLeod — Like it was just such a loss. But couches, I could reliably sit on it and be like, well, that’s not broken. And I can handle that little stain or I can, my wife could stitch that up.Rich Birch — Right. Right.Tim MacLeod — And, uh, it was just so safe. And I loved it. If, if I were handier, I’m sure I could, flip snowblowers or lawnmowers or cars or something like that, but I’m not handy. I’m just, I have the ability to relocate stuff. Rich Birch — Right.Tim MacLeod — And so couches were just so perfect where I could just accurately be like, that’s 300 bucks to me. Rich Birch — Right.Tim MacLeod — And they only want 60 for it. Perfect. Let’s do that.Rich Birch — So and let’s double click on that. A part of what, so friends, like with the reason why, I think you’ve seen why I’ve got Tim on the the line today. I want to inspire you to think like, hey, you you could in part-time make a little extra a month. And I’m going to get to that with Tim. I’m going We’re going hammer down on, okay, what exactly would be some of the first steps that you take? But let’s unpack a little bit more. You’ve talked about once this insight, which I think is just a stellar insight that’s obviously at the core of your business. It’s this whole timing thing. Like people, you know they think a couch is worth certain certain amount, but they’re moving on X date, and the value of that couch goes down. But then it’s literally the reverse. Someone on the other side, they have an empty living room and they’re like, I need something here.Rich Birch — Unpack that a little more, kind of double click on… that value exchange and how you’re in the middle of that. What’s it talk us through what that looks like.Tim MacLeod — Yeah, there’s there’s a gap. There’s a gap in the marketplace. On the one end, we’ve got people who need it picked up and their options are hope that someone will pay the price that they want. And then if they hit a deadline, then their option is junk removal or put it to the curb. And so there’s a gap to fill there. Tim MacLeod — And then on the other side, there’s a gap of people who need a couch dropped off but can’t do it themselves. Like how many, what’s the population of people that own a truck that can actually do it is probably less than 10%. Most people have cars and hatchbacks and SUVs and stuff like that.Rich Birch — Right. Tim MacLeod — And then there’s also the how many people can lift a couch. I would say easily less than half the population. And so there’s just this huge gap that can be filled. And so by just committing to being the dude, you can help a lot of people solve a lot of problems. And there’s a little slice in it for you too.Rich Birch — So one of the things I’ve heard you say is that you have found this process of buying couches and then, you know, sitting on them for a while, maybe cleaning them a little bit and then turning around selling them is really flexible. Talk us through that. You know, it feels like you’re, you know, you’re, you have some time control. Talk us through what that looks like for you in your current world.Tim MacLeod — Yeah, the time freedom is crazy. And that was the appeal in the beginning was [inaudible] I didn’t want to be strapped to a location, a building to to make money. I had to be away from my wife and kids. But when it, couches just took off so fast that the first time I flipped a couch, I immediately called the scheduling office and reneged on all of my overtime. I said cancel all my two shifts.Rich Birch — Oh, wow.Tim MacLeod — I’m done. I’m I’m I’m just doing my 10 shifts. And, and then it didn’t take too long before i wanted to quit so fast, man. I wanted to be out of there. My, my my passion for the, like, I was so replaceable. Like as soon as if if I’m gone, someone’s going to fill the shift.Rich Birch — Right. Right.Tim MacLeod — Like, ah but there was a, there was a huge, there was a need that, and it was fun for me too. It was a game. I forget the question.Rich Birch — Yeah, I was just talking about the time flexibility, like how you feel like it’s, you know, you have a fair amount of time freedom. Part of what I’m trying to get to is pastors are busy people. Church workers are busy people. Is this even the kind of thing that they could fit into, you know, an existing as like a side hustle kind of thing?Tim MacLeod — Yes. Yeah. The time freedom is crazy. And so on the buying side, I’m just letting people know when I’m available. And sometimes I’ll tie it up with ah with a $50 deposit so that they can market it sold with confidence and they know that I’m not going to ghost on them. And that I have the peace of mind of nice, that’s mine for when I need it. And I’ll squeeze them for a deadline so that I make sure that I’m providing the service of reliable pickup in a manner that works for them. Tim MacLeod — But yeah, I’m just stacking pickups when it’s convenient for me. And in this current season, it’s during school hours. Rich Birch — Right.Tim MacLeod — So I’ll drop the kids off at school and then rip south and grab some stuff. But in that season, it was I’m available in the evening. And so I would come home from school, I’m sorry, work from my nursing job. And my wife would pack up, we pack up a little cooler bag of like a road picnic of dinner.Rich Birch — Right.Tim MacLeod — We had a one-year-old baby at the time and, uh, oh, that summer there was a lot of 50% off pizzas. Pizza Hut had a, the, the apps, we had all, all the apps, lots of road dinners. Rich Birch — Yes. Yes. Tim MacLeod — And Costco was clutch too.Rich Birch — Yeah.Tim MacLeod — But, um, yeah, just when I had an availability, I would acquire inventory and then they’d sell when they sell. And and again, full flexibility of, okay, I’m available at this time. I can squeeze in a delivery or someone could come pick it up. But yeah, the the time freedom is crazy and it’s sweet to to to just dabble in profits instead of relying on a wage. Rich Birch — Right.Tim MacLeod — Yeah, time freedom is awesome.Rich Birch — Well, you talked about the fact that your you know your brother was telling you you’re good at negotiations. I know there are people that are listening in today that are feeling like, oh, there’s no way that I would be good at negotiations. Obviously, you’ve got to buy the thing for considerably lower than what you’re selling it for. Talk us through even just a couple, help us get over that hurdle in our brains. Man, I just don’t know that I could do that.Tim MacLeod — Yeah. So the first thing is I’m scrolling a lot. And not not frequently. I’m not glued to my phone. But when I do it, I lock in. Like today was the shopping session and it was headphones in with some instrumental music, just kind of vibing. And I’m probably scrolling, looking at probably 400, 500 couches. Rich Birch — Okay.Tim MacLeod — And I’ll message probably 20 to 30 of them. Because a lot of them are crap. A lot of them are actually new. There’s no opportunity with new coaches. like There’s lots of warehouse stuff that’s still on first Facebook Marketplace and stuff like that. But what I’m looking for is very specific. I’m looking for private sales from real people. You got to be able to spot the scammers and weed them out. Tim MacLeod — And I’m looking for couches that I would want in my lockers. I’m not worried about the price whatsoever. Because the price is super subjective and it’s just kind of like what they’re hoping for. It’s not actually what they’re necessarily going to get. So the price is irrelevant. I’m just looking at pictures and I’m compiling lists of couches that I would want. And I’m starting conversations so that it’s kind of like I’m, I’m, it’s it’s like I’m offering my service. I’m starting the conversation to see why they’re selling it, if there’s a deadline, and if they would be someone who would be receptive to my service. And it’s kind of like they’re paying me for my reliable pickup service with a smoking and deal on a couch.Tim MacLeod — And so I have to get them there. And it’s not just, I can’t just go around lowballing everybody because you burn the bridge and you hurt feelings. Rich Birch — Right. Tim MacLeod — So I’m starting conversations and I’m filling in the gaps on the item. So I’ll read the description and see what’s missing. Like, did they specify that there’s pets in the house? I want to know, is there pets? Are there smokers in the house? Does it need any repairs? Does it need any stain removal or restoration if it’s leather? And I’m filling in all the gaps. So I have a complete picture of what it is that I’m actually buying. And that’s all kind of like a trauma response from my many, many drives of shame of I didn’t ask the right questions.Tim MacLeod — And so it’s it’s definitely preventing the drive of shame. And I’m just running through these scripts that I have. And it would sound like it’s a lot of typing, but I’ve actually made keyboard shortcuts for all of it. So my opening question is, I’ll never say, hi, is this still available? Because everybody hates being asked, hi, is this still available? On Facebook Marketplace, right? Because they’ve made it ah they’ve made it a button… Rich Birch — Yes. That’s why it’s up. Tim MacLeod — …where it’s just like, hi, is this still available? But that upsets people, which is fair, because it’s annoying. But at the same time, most people don’t have empathy for the fact that, how else are they going to start the conversation? Why would you ask questions if you’ve got someone lined up for it? So I’ll ask the exact same question, but in a way that annoys nobody. And I’ll say, is anyone scheduled to pick this up? It’s the same question, but upsets nobody.Rich Birch — Same question, just in a different way.Tim MacLeod — So that’s, that’s my first shortcut is, good morning, good good afternoon, good evening, whatever. And then any, and so on my keyboard, any with two wise expands into anyone’s schedule to pick this up. And then the next one is, does it need any repairs or stain removal? That’s if it’s fabric. And that’s does D or D O E S S and then D O E s S S S or with three S’s is, does it need any repairs or restoration? That’s if it’s leather. And so it’s just these quick little, my thumbs are just, and just… Rich Birch — So cool. Tim MacLeod — …I’m, I’m drafting up this quick little paragraph that fills in all the gaps, firing that over. And then, And then they’ll reply and fill in the gaps. And then I park it. I pause the conversation by saying, okay, awesome. Thanks so much. Just starting to have a peek at options, might get back to you.Tim MacLeod — And that one line separates me from everybody on Facebook. Because most people ask a question and then they just leave it on read. They got that little picture, that little tiny profile picture of yourself that says that, hey, he read it, but he’s gone and it’s crickets.Rich Birch — Yes.Tim MacLeod — And it’s a very, very infuriating experience. And that’s kind of like part of my service is that I am very, very different on Facebook Marketplace. Like an experience selling to me is better than anybody…Rich Birch — Right.Tim MacLeod — …because of how I talk. Like I’ll receive offers every day from people that don’t use words. They just send a number. Rich Birch — Just money. Tim MacLeod — Like I’ve got a couch listed for 1150 and someone just sends 700 – no dollar sign, no question mark, no good morning, nothing like that. And, and that’s a fair offer. Like he’s… Rich Birch — Yeah. Tim MacLeod — …I paid, I paid a fifth of that, like 700 is a fair offer, but I automatically hate this guy. I don’t, I don’t hate, I don’t hate him. Rich Birch — Yes. No, I get what you mean.Tim MacLeod — But, but it’s immediately just like, dude! Rich Birch — Yes. Tim MacLeod — You like say, say hi, say please. Rich Birch — Yes. Yes. Tim MacLeod — Even a, even a question mark would be, you know, so that’s the kind of people that I’m dealing with. And I’ve got thick skin and I always operate on the mindset of, I do want to sell this guy and I, and I do want to see him later today. So I’m not going to match his energy. Rich Birch — Right.Tim MacLeod — I’m never, I’m never a thermometer. I’m always a thermostat. I always set, set the temperature in the room, you know?Rich Birch — Right. Love it. Yep.Tim MacLeod — And so that’s ah that’s a big factor. But yeah, running through those scripts and and just getting people to their best price. And so after pausing it of, thanks so much, just starting to have a peek at options, I’ll reconnect with them.Tim MacLeod — Now, this is this is if their price is optimistic and it’s not a price that I’m willing to pay. I’ll slow play it a little bit by pausing the conversation. And then I’ll come back and then I’ll hit them with my my secret weapon is my polite lowball offer. And the number they might hate the number, but it comes gift wrapped in this like apologetic, like, Hey, I’m…Rich Birch — Oh, you got to tell me more that you’re, you’re setting that up. Well, you’re like, what is the polite low ball offer?Tim MacLeod — For me, I’m shopping in Toronto, which is like 90 minutes, two hours away.Tim MacLeod — And so my apologetic offer is: It’s so far, is there any chance you’d consider this much, any chance you’d consider for an out of towner? And then I just plug in the number. And, and it’s always received well. And even if it’s even if it’s even if they’re firm, that’s fine. Now I know. Rich Birch — Right. It’s data. Tim MacLeod — But and ah honestly, if somebody accepts my offer, then I didn’t offer low enough. Like I’m i’m really pushing the limit.Rich Birch — Oh, interesting.Tim MacLeod — I’m flirting with the line between an optimistic offer and a rude offer, but because I’m so nice about it. And it’s, it’s kind of like, it’s my secret weapon to get them to their best price. Because the the worst way to get someone to their best price is what’s your best price?Rich Birch — Right.Tim MacLeod — Like whenever someone asks me that, it’s again, it’s just like, that’s annoying. I don’t like you.Rich Birch — Yes. Yes. Right, right, right, right, right.Tim MacLeod — But to politely lowball and then their counter is their best price. So I just want to squeeze them for their counter offer. And now I know what their best price is.Rich Birch — Right. Okay. That’s cool. There’s a lot there. And I know you’re want to stay tuned because Tim’s got an offer of some free help that he wants to give you that we’re going to, we’re going to get to here in a minute. So I know some of you were like, go back and ask questions on that. But I know that the free offer to help is going to help with some, some of those things. Rich Birch — What about negotiation on the other side? So I get a sense of what you’re talking about to try to get them, you know, there’s a time thing there and we’re going to wait and all that. But now on the other end, you’re trying to obviously maximize or get the biggest money for that couch you just bought, bought. What are some things we should be thinking about on that? How are you offering the couches in a way that, you know, captures people’s imagination and says like, oh, okay, that’s this, I want to do business with this guy.Tim MacLeod — So a big thing is where I’m selling it. It’s almost like I have an import business. It’s that I’m I’m ripping down the city and I’m shopping in the Tesla BMW neighborhoods where nobody has trucks and they sell really slowly. Rich Birch — Yeah.Tim MacLeod — And I’m loading a trailer and then bringing it home to the sticks where there’s not as much supply. And I’m selling to people who do have pickup trucks. Like where I live, there’s lots of people with trucks and trailers, but they weren’t doing that drive to the city like I did.Rich Birch — Right. Right.Tim MacLeod — So I’m destroying a Toyota Highlander in kilometers, which is really hard to do. It’s at 400,040 and she ain’t quitting anytime soon. It’s been a great car.Rich Birch — Love it.Tim MacLeod — So that is definitely like the fact that it feels like an import business feels like cheating.Rich Birch — Well, and can I just, I just want to interrupt you for a second here. This, because that dynamic, this is a part of why I wanted to have you on the show. Because one of the things that I’ve seen is like, it’s super common, like super common for church leaders to not live in the community that they serve. Because frankly, they can’t afford to live there because of that gap that I just told you about.Rich Birch — There is a wage gap between what people make and the communities they serve in. And so they typically live you know, 45 minutes, an hour away. I actually think that that, the fact that they’re just driving into the office could be, and then going back to wherever they live, could actually set them up for running this kind of business just because they’re in and out of where they’re at.Tim MacLeod — Oh, yeah. Yeah, that’d be cheating. If you could, if you could grab a couch on your way home from on your way home from work to bring it back to the sticks, that’d be awesome.Rich Birch — Yeah. Yeah. I see that all the time.Tim MacLeod — For sure. And at a lot of…Rich Birch — So the distance is one way. So there’s like an import out, out, port anything else that you get, it’s kind of an interesting part of how you negotiate on to try to increase the, the, the price.Tim MacLeod — Knowing what it’s worth and how quickly it would sell is definitely a factor. And just patience wins on both sides.Rich Birch — Right.Tim MacLeod — Being the dude who um can pick it up and someone is now, they had their optimistic kick at the can and now it needs to go and their patience has run out. Patience wins there. And then on the selling side to where I don’t, it’s not in my foyer. It’s not in my living room. The new couch hasn’t arrived. It’s in a storage locker ready to be picked up anytime. And my lockers are fairly affordable being in a rural spot.Tim MacLeod — And so it’s kind of like if if we were playing poker, I’m holding aces. I can deliver it. I can sell to anybody. I’m not relying on people on the small demographic who can pick it up. I can sell to the Honda Civic crowd. I can sell to seniors who can’t lift a couch themselves. I can finesse it into a patio door by myself. And so there’s the there’s the skill gap there as well. And all of the all of the hindrances that make selling a couch difficult are not a factor for me. I can lift them by myself. I can I have the best trailer. I have storage lockers. They can take as long as they need to sell. And I live in a market where there’s not as much supply. So it’s just, it feels like cheating. Like I’m just really, really set up for it. And it’s super easy to be patient.Rich Birch — Now, I don’t know if I’m going to force you to give away one of your secret weapons here, but talk about the videos that you shoot ah of the, you know, of the products. Because i to me, I think this is one of the things you do that I think is super unique. What is what’s unique about the videos that you might shoot? Say got this nice leather couch. It’s like, you know, it sells for $5,000 somewhere else. You’re selling it for whatever, $1,500, $2,000. What’s actually in that video that might set your your listings apart?Tim MacLeod — Yeah, so that was something that I feel like I pioneered. And since then, Facebook has now added a feature where you can add a video to a listing. But it’s so nice to have. So I’m I’m posting flattering photos. So it’s it’s a scroll stopper when they’re on Marketplace.Tim MacLeod — And they’ll inquire. And then my video is super, super honest. And the goal is for it to be so detailed that they could confidently say, okay, he just showed me all the reasons not to buy the couch because all my stuff is used. I’m not selling anything new. It’s all pre-owned. They all have some blemishes or some quirks or worn spots or something like that. But to include ah a video that shows all of the reason not to buy it really, really greases the wheels because no one’s coming to see a couch and then being disappointed when they get there. Everything was already shown.Rich Birch — Right. Right.Tim MacLeod — So they’re coming to just give, basically just come sit and sniff and make sure that it’s something that they would want in their house, or something they’d want to sit on for two hours a day. And, um, and so those videos really, really saved me so much time and gasoline. And since then they’ve added that where you can add a feature. So, or where you can add a video into the listing. And so as long as the video is less than a minute, so I’m aiming for 59 seconds, I’ll fill the whole thing and I’m showing every inch of it and I’m packing it with dialogue on the neighborhood that it came from, the people, the house. And a lot of times that’s a selling feature of this this couch came from North York. The house was ridiculous. Rich Birch — Right.Tim MacLeod — It’s one of those houses with three living rooms. And this is the one that had the Christmas tree for a month a year. Like this was barely used. And I’m just packing it with dialogue and really, really selling it.Rich Birch — Yeah.Tim MacLeod — And my goal is that I could deliver it with them like sight unseen that they could firm up. And that when that couch arrives, there are absolutely no surprises. It’s everything they ask for [inaudible]…Rich Birch — Which from from your point of view, like this isn’t the only couch you’re hoping to sell this week. And and a part of the way that you have to protect your time and protect your business, frankly, is not having a bunch of people come and check out couches and then decide against it. Whether they’re coming to your locker or you’re driving it to their place. That’s like the worst case scenario is they show up and they’re like, oh, I don’t want this. So you might as well be fully upfront and be like, hey, here’s some stuff that’s not great about it.Rich Birch — And you do it in a really clever way. I love those videos. You helped me sell a car, which was fantastic. And I love the video you did for, you know, for that, because it was the same thing. It was this kind of like fun, um you know, here’s five reasons why you shouldn’t buy this, which which is just endearing. People, you know, lean in and want to hear more about that.Rich Birch — Well, what about the lifting piece? So, you know, if you’re not seeing one of these clips, Tim is a man of a certain size. He’s got some girth to him. He can pick stuff up. But what if I can’t? What if I’m not that guy? What if it more like me? You know, you’re like, hey, I’m not sure that guy can pick up 20 pounds. Like, is that like, I know that’s a part of what your you offer. Obviously, it’s a part of your advantage. But, you know, not everybody can do that. Talk us through that hesitation.Tim MacLeod — Yeah, I don’t think that it’s a deal breaker for having success. I think that if you can carry in a stubborn load of groceries in from the house that you could make a lot of money flipping couches.Rich Birch — That’s good.Tim MacLeod — And it it feels like a very unique form of laziness. Like I’m the kind of guy that if I need to go start start the barbecue or go run and grab my wallet from the car, I’m going to walk across the whole house and look for my flip flops instead of bending over and lacing up my boots that are right there. Like it’s a very unique form of laziness where I could jackknife park the trailer up to the storage locker. I have the dolly, but I’d way rather just, hey-yep-hey-yep-pep-pep just, just he-man lift it myself. And I’ve got a lot of really good mechanics lifting it. Tim MacLeod — Lifting a couch solo actually is not very heroic. And, and I’ve taught a lot of people how to do it. And there is, there are some heroic angles where, where the couch is on the ground and all four feet are on the ground to like clean and jerk it up overhead is that would definitely take some mass and some explosive power, but you can always also lift the couch up from the side until it’s vertical and then kind of like let it teeter and, fall on you in ah in a safe manner. And the lift itself, like once it’s up, it’s it’s as easy as like portaging a canoe. It’s not it’s not as heroic as it seems.Tim MacLeod — And I’m still reliant on other people. I am a one man show and it’s not, the money’s not good enough to pay an employee to sit in the car with me for four hours for 30 seconds of actual work. And so that’s one of my, one of my questions that I’m asking people, lift with two T’s on my phone expands into is anyone available to help me lift it? I’ll be alone. So I do need muscle.Tim MacLeod — And, um, if it’s in the garage, I can do it solo, like dragging a couch onto my trailer is easy enough. They slide very well. And I do have the dolly if there’s anything overly technical, like the pullouts, it’s nice to have a dolly. But yeah, a lot of the times there’s people, there’s someone there to help me lift it. And very, very rarely is it, sorry, I had back surgery or sorry, I’m a single senior lady or something like that. There’s usually, and even even when they say that, sometimes I’ll press a little further. Like, do you have a helpful neighbor? Rich Birch — Right. Meet us.Tim MacLeod — Do you have a son-in-law who can who could that I could coordinate with? Yep. And a lot of times I’m just handing it, or I’m squeezing them for a cell phone number of whoever the the muscle is. And now I’m on their schedule.Rich Birch — Yeah, that’s cool.Tim MacLeod — So solo lifts are not required, but they are, they are helpful sometimes, especially at the locker when I’m by myself.Rich Birch — So this is how many years you’ve been doing this full time? Like you, so you left nursing, you know, I know this goes way back to the beginning the story. You left nursing and then how many times, how many years you’ve been doing this?Tim MacLeod — July, 2019, I borrowed the trailer from my brother. And I did full-time nursing plus evening couches for about a year, pulled back from full-time to part-time, part-time to casual. And I think it was May, 2021. Like I did a year of COVID nursing and hated every second of it. Like as soon as COVID was announced, I wanted to be out of there, but I had mortgage approval on the brain and T4 income, or W2 income for the Americans, is much more preferred for lenders than self-employed income. So I held on for that reason. And eventually left just because I hated nursing. I was getting like ulcers on my ears from wearing masks all day. Just the the charades of COVID were really, really ruining it for me.Rich Birch — So we’re going I want to get to that, that help that you’re, you know, you’re offering, which is fantastic. But I want to think about like a person that, you know, they, we want people to stay in their jobs. We don’t want them necessarily to leave. And so ah somebody that wants to make maybe like an extra thousand bucks a month, maybe that’s like, which is, you know, to lots of people, that is like a, that’s a game changer. Like that’s like, that makes all the difference in the world.Rich Birch — Give me a sense of what you think that would take to actually get to that point where, okay, yes, I could, you know, how much time do you think they would need to invest? You know, what would, what is that going to look like? How many couches do you think I’d have to move? You know, I know that’s hard to say. It’s like all North America wide, but give us a sense of kind of the framework of for an extra thousand bucks a month, what would that look like for somebody? Maybe it’s like a youth pastor that’s that’s listening in or an executive pastor. Or and they’re like, Hey, if I just had an extra 1000 bucks that’d make a huge difference in my life. What what would that look like?Tim MacLeod — Sounds like five couches to me.Rich Birch — Five couches. Okay.Tim MacLeod — Buy them for 50, sell them for 250. Delivered. Yep. And that’s that’s a great way to start is just three-seaters. Just rinse and repeat. Three-seater, three-seater, three-seater. But the money is sets and sectionals. That’s where my focus is now.Rich Birch — Okay, okay.Tim MacLeod — Now that does require trailer privilege. But with a with a minivan, you can pick up a three seater. Most three seaters will fit inside a Dodge Caravan or an Odyssey or a Toyota Sienna. And that’s a really good way to start lean and mean with a U-Haul, enclosed trailer, you just need a V6 all wheel drive. So obviously preferred, especially if you have the kind of weather we do, but, um, yeah, for 45 bucks for a U-Haul enclosed, that’s, that’s insured so that you could get in an accident and you’re not paying for it. Always take the insurance. Always. It’s only like five bucks. Tim MacLeod — But um yeah, 45 bucks for 12 by 6. And then you can pick up couch, love seat twice. But yeah, just fill in those trailers. But yeah, starting lean with what you have available and scaling up when it’s smart. And once you’ve proven that it’s possible in your market as well. But everyone’s using couches, so I think it’s good alright.Rich Birch — Yeah, so five, so five couches. How many conversations do you think I’d have to get into take to buy five couches, maybe on that side first?Tim MacLeod — I think, yeah, with the numbers, I think that if you were to start 30 conversations a month, that there would be, there would be five people that hit deadlines and they’d be like, sure. 50 bucks. If you can actually show up, it’s yours.Rich Birch — Right. Right. That’s that feels very doable. That doesn’t feel like crazy out of reach. Like there’s no way that feels like a good, you know, a great starting point for sure.Tim MacLeod — And nobody wants to do it. The barrier for entry is, is ah high enough that it’s it’s basically a private little fishing pond. A lot of people to help.Rich Birch — Right. So let’s talk about, I want to, you’re going to help people, which is amazing. And so you’ve put together some resources to help them kind of get the the ball rolling on this front. And how do, first of all, tell us what it is and then talk to us about how we can get that contact information. We’ll put links and all that in the show notes, but talk us through this.Tim MacLeod — Yeah. So those scripts that I was talking about, um, I’ve made a Google doc that is available. All you got to do is comment scripts on any of my videos and, uh, my little robot Tim will fire over, um, just squeeze you for an email and then I’ll fire that over. And, uh, it’s a good little list and you can plug those in just copy and paste and plug them into keyboard shortcuts in your phone. And then you can use those. Tim MacLeod — And it doesn’t have to be for couches. Like a lot of them are pretty couch specific, but just using those as inspiration for starting conversations and getting people to their best price and making sure that you have all the information so you’re making an informed purchase and there’s not any surprises. And and you’ll see with the with the flow of the conversation, I really am just gifting the blueprint on getting people to their best price. Tim MacLeod — And yeah, and then in my in my bio on instagram I’ve also got the couch course and I’ve run that before as a high ticket offer um and I had help from an agency to, to get leads and all that stuff. And I didn’t like it cause I didn’t like how much people were having to pay in order for me to afford that team. And I just want it to be an impulse buy price range. Tim MacLeod — So for a one hundred bucks, you can come along on a three month ride along with me while I’m pulling like $15,000 months. And, uh, the summer that I recorded that, was 2023 and I did 180k in sales with a gross profit so just sales minus cost of goods was north of a 100k, I think, after tax. I think it was like an 80k a year income. Rich Birch — That’s amazing. Tim MacLeod — And I had a three-year-old with me the entire time. My wife had gone back to work and was using her teaching license and I had a little three-year-old tow. And I also got 75 rounds golf in that year. So it’s, it’s…Rich Birch — That just got some people’s attention. Yeah, that’s amazing.Tim MacLeod — Yeah. The time freedom is stupid. The money is incredible. And, uh, it was, yeah, that was a really, really fun year.Rich Birch — Love it. So what we want to do is send people to your Instagram. Would that be the best? So @thefulltimeflipper, @thefulltimeflipper. And again, you can just comment on any one of his videos.Rich Birch — Well, first of all, Tim’s a great follow on social media. I’ve said this to lots of folks. It’s just such a fun follow. You know, it makes something like flipping just like I was like, man, I think I could do that. And, but just comment scripts on any of those and we’ll get access to those scripts.Rich Birch — And then if you’ll find the link to tim-macleod.com on there as well, which takes you to the course, it’s only a hundred dollars friends. That’s worth your investment. It’ll, it’ll really literally outline. There’s a bunch we could have talked about today and there’s a bunch of details to get into. It will drive into all of those. Literally just take his approach and just do it. Like just, take his scripts, take the what he’s done and apply it. And you’ll for sure be able to find that extra thousand dollars a month or more, you know, down the road. So, yeah, I would love that. and Anywhere else we want to send them. So Instagram, @thefulltimeflipper, anything else about that?Tim MacLeod — Oh, that’s lots. That’s good. And I was feeling pretty pretty silly that I never asked to come on your podcast earlier because a lot of my students are in church ministry in the States. And I think it’s such a sweet side hustle.Tim MacLeod — For me, it was an escape from a job that I didn’t like. But the fact of that most people need supplementary income is pretty across the board and especially in ministry. And a lot of my students have um have had that background and are still in it. And a lot of the time, the people that are in church ministry have an advantage of storage where the church, like they’re like, oh, I got free storage at my church. Pastor said the back room is available. And he said, as long as I just keep a rotation of couches for the student ministry…Rich Birch — Oh, that’s a good call.Tim MacLeod — Yeah, there was a lot of advantage there for church leaders. But yeah, it’s awesome, reliable, supplementary income. And it’s nice to not rely on your ministry for income. Like people aren’t in ministry for the big bucks. They’re there because they that is their purpose. That’s their calling. But the pressure of having to rely on that for income isn’t always the best.Rich Birch — Well, and I do think, um you know, I think folks who are in church ministry, a part of what I why why I think this is great that we’re talking about this is you might underestimate that even like a part of your core, it’s like literally core to your business is like, be kind to people and like be helpful. Tim MacLeod — Yeah.Rich Birch — And, you know, you don’t need to be sleazy. You don’t need to be, ah you know, some sort of like, oh, you’re like a used car salesman of couches. No, that’s not what it is at all. You’re just being kind and helpful and you want to try to close this gap in the market. And and I think there’s a lot of people in ministry who are like, my I could totally do that. I can make that happen for sure. So, Tim, I really appreciate this.Tim MacLeod — It really does feel like stewarding my gifts, you know?Rich Birch — Yeah, that’s great. So again, that is, if you just go to Instagram, @thefulltimeflipper, you should follow them there and then comment scripts for any of those. Appreciate you being on the show today, sir. Thanks so much.Tim MacLeod — Thanks, man.

In this moving episode of HPNA Palliative Perspective, we welcome Esther Pepper, RN, BSN, CHPN®, a veteran hospice nurse from Alaska whose more than two decades of compassionate service have shaped her debut memoir, My Calling: Chronicles of an Alaskan Hospice Nurse.    Drawing from years on the front lines of end-of-life care, Esther shares what hospice nursing truly looks like—the challenges, the grace, and the profound human connections formed along the way. Together, we explore the emotional and spiritual dimensions of dying that often go unspoken, practical strategies for symptom management, and how caregivers can nurture both their patients and themselves.  Join us for a heartfelt conversation that celebrates the courage, compassion, and calling behind hospice work—and the enduring lessons learned from those at life's final threshold.      Esther Pepper, RN, BSN, CHPN® Esther Pepper, RN, BSN, CHPN®, a veteran hospice nurse from Alaska with more than 20 years of compassionate service. Her debut memoir, My Calling: Chronicles of an Alaskan Hospice Nurse (MindStir Media, October 2024), reflects her deep commitment to caring for others in their final stages of life.  Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Dr. Brett Snodgrass has been a registered nurse for 28 years and a Family Nurse Practitioner for 18 years, practicing in multiple settings, including family practice, urgent care, emergency departments, administration, chronic pain and palliative medicine. She is currently the Operations Director for Palliative Medicine at Baptist Health Systems in Memphis, TN. She is board certified with the American Academy of Nurse Practitioners. She is also a Fellow of the American Association of Nurse Practitioners and an Advanced Certified Hospice and Palliative Nurse. She completed a Doctorate of Nursing Practice at the University of Alabama – Huntsville. She is a nationally recognized nurse practitioner speaker and teacher. Brett is a chronic pain expert, working for more than 20 years with chronic pain and palliative patients in a variety of settings. She is honored to be the HPNA 2025 podcast host. She is married with two daughters, two son in laws, one grandson, and now an empty nest cat. She and her family are actively involved in their church and she is an avid reader.

The Nurses Report on America Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – A major focus of the conversation is methylene blue and its emerging role in clinical practice. They discuss how it supports mitochondrial respiration, improves oxygen utilization, enhances cellular energy production, and stabilizes neurological signaling. For patients suffering from fatigue, dizziness, brain fog...

Today's guests are Coral Fernandez, RN, CCDS, CCS, CDI auditor/educator at Baptist Health System, and Payal Sinha, MBA, RHIA, CCDS, CDIP, CCS, CCS-P, CCDS-O, CRCR, CRC, director of revenue integrity audit and education at Montefiore Medical Center. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form!  CEU info: Each ACDIS Podcast episode offers 0.5 ACDIS CEU which can be used toward recertifying your CCDS or CCDS-O credential (typically) for those who listen to the show in the first four days from the time of publication. To receive your 0.5 CEU, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/sofa-2-criteria)   Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU has been extended due to the holidays and is Wednesday, January 7, at 11:00 p.m. Eastern. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEU for this week's episode. ACDIS update: Read about the SOFA-2 criteria changes in CDI Strategies! (https://bit.ly/3MT3Zzs) Check out all the topics covered on the ACDIS Podcast in 2025! (https://bit.ly/3KRK1EP) Catch up on the 2025 editions of the CDI Journal (and claim any CEUs you missed)! (https://bit.ly/4j2D3cC) Submit your articles to the next edition of the CDI Journal! (https://www.surveymonkey.com/r/CDI-journal) Listen to all the 2025 Quarterly Member Calls! (https://bit.ly/4pLZc1k) Register for the 2026 Quarterly Member Calls! (https://bit.ly/4jcd3vG) Register to attend the 2026 ACDIS conference! (https://bit.ly/3MLxV0z) Order your copy of the 2026 ACDIS Pocket Guide! (https://bit.ly/4j5XBAQ) Order your copy of the 2026 ACDIS Outpatient Pocket Guide! (https://bit.ly/3Y42oJC)

C dans l'air du 31 décembre 2025 - Les Français et les politiques : le grand divorce ?Présentation: Salhia BrakhliaLe président de la République Emmanuel Macron exprimera ce soir à 20h ses vœux aux Français pour l'année 2026. Un exercice rituel, l'avant-dernier avant la fin de son second quinquennat. L'occasion de faire quelques annonces, comme la volonté d'interdire les réseaux sociaux aux moins de 15 ans dès la rentrée 2026, et, plus généralement, de se projeter vers l'année à venir. Celle qui vient de s'écouler aura été synonyme de nombreux échecs.Depuis la dissolution ratée de 2024, le chef de l'Etat ne parvient pas à reprendre le contrôle de l'action politique. Son incapacité s'est illustrée en 2025 par un triste record : celui du plus grand nombre de Premiers ministres nommés par un même président de la République au cours d'un mandat. L'année passée a même vu le gouvernement le plus bref de toute notre histoire, avec une chute quatorze heures seulement après l'annonce de sa composition. Le pays vit une période d'instabilité politique inédite depuis le début de la Cinquième République. Le gouvernement a échoué à faire adopter un budget pour l'Etat avant la fin de l'année. Pour sortir temporairement de l'impasse budgétaire, le Premier ministre Sébastien Lecornu a dû recourir à un projet de loi spéciale. Le gouvernement a publié son décret et ses circulaires sur les crédits mis à disposition des ministères à compter du 1ᵉʳ janvier. Le cap est clair. Dans l'attente d'un budget, l'Etat est soumis à la diète.Sur la scène nationale, si les oppositions sont parvenues à faire entendre leur voix, seul le RN est en progression. Le parti d'extrême-droite est le grand gagnant de cette séquence politique et son président, Jordan Bardella, est au sommet dans les sondages. Il caracole en tête des intentions de vote pour la future élection présidentielle.Le parti a fini par convaincre une partie importante des Français sur un sujet au cœur de leurs préoccupations : le pouvoir d'achat. Une équipe de C dans l'air s'est rendue dans un restaurant routier des Yvelines. Sur place, cette question, comme celle de l'inflation, est au centre des priorités. Dans son établissement, le patron voit année après année le RN monter.Loin de l'Elysée et des batailles de l'Assemblée, les maires des petites communes essaient tant bien que mal de se débrouiller pour contenir les dépenses de leur collectivité. Pour ce faire, plusieurs d'entre-eux mettent parfois la main à la pâte. Certains participent ainsi directement à la construction de chalets pour les animations des fêtes de fin d'année, pour faire baisser la facture. D'autres montrent l'exemple en votant la baisse de leurs indemnités d'élu. Ils dénoncent ce qu'il se passe au niveau de l'Etat, où l'on demande selon eux beaucoup au Français sans pour autant faire d'efforts.Nos experts :- Christophe Barbier - Éditorialiste politique - Conseiller de la rédaction – Franc-Tireur- Lucie Robequain - Directrice des rédactions – La Tribune- Alexandra Schwartzbrod - Directrice adjointe de la rédaction – Libération- Jérôme Fourquet - Directeur du département Opinion – IFOP - Auteur de Métamorphoses françaises

Comme dans de nombreux pays du monde, le Président français s'exprimera ce 31 décembre au soir pour présenter ses vœux à la Nation. Une allocution qui interviendra à l'issue d'une nouvelle année difficile pour Emmanuel Macron qui ne cesse de payer le prix de la dissolution manquée de l'Assemblée nationale en juin 2024.  La longue paralysie du Parlement autour des questions budgétaires illustre parfaitement cette situation. Et demain ? Quel avenir pour les soutiens historiques du chef de l'Etat qui ne cessent de prendre leurs distances avec lui ? A quoi faut-il s'attendre lors d'une année 2026 marquée par les élections municipales et qui annonceront la Présidentielle de 2027 ? Le Macronisme peut-il survivre à Emmanuel Macron ? Pour en débattre :  - Valérie Gas, cheffe du service politique de RFI - Arnaud Benedetti, directeur de la Nouvelle Revue politique, auteur du livre Aux portes du pouvoir - RN, l'inéluctable victoire ? (Michel Lafon, 2024) - Emilie Zapalski, communicante politique et fondatrice de l'agence Émilie Conseil

Comme dans de nombreux pays du monde, le Président français s'exprimera ce 31 décembre au soir pour présenter ses vœux à la Nation. Une allocution qui intervient à l'issue d'une nouvelle année difficile pour Emmanuel Macron, qui ne cesse de payer le prix de la dissolution manquée de l'Assemblée nationale en juin 2024.  La longue paralysie du Parlement autour des questions budgétaires illustre parfaitement cette situation. Et demain ? Quel avenir pour les soutiens historiques du chef de l'État qui ne cessent de prendre leurs distances avec lui ? À quoi faut-il s'attendre lors d'une année 2026 marquée par les élections municipales et qui annonceront la présidentielle de 2027 ? Le Macronisme peut-il survivre à Emmanuel Macron ? Pour en débattre :  - Valérie Gas, cheffe du service politique de RFI  - Arnaud Benedetti, directeur de la Nouvelle Revue politique, auteur du livre Aux portes du pouvoir - RN, l'inéluctable victoire ? (Michel Lafon, 2024)  - Emilie Zapalski, communicante politique et fondatrice de l'agence Émilie Conseil À lire aussiEn France, une année politique 2025 de nouveau chaotique

Avec : Edwige Diaz, députée RN de Gironde, vice-présidente du parti. - Tous les matins à 7h40, l'invité qui fait l'actualité. Un acteur incontournable, un expert renseigné... 10 minutes d'interview sans concession avec Apolline de Malherbe et les témoignages des auditeurs de RMC au 3216.

 Sasha Carr was raised by her father alone after her mother left when she was a baby, creating a unique upbringing where a 20-year-old male raised a female child.Her father was raised in an abusive, emotionless household which influenced how he raised Sasha, training her not to show emotion and lacking compassion in their relationship.After her father died of colon cancer in 2016, Sasha entered a destructive cycle of binge eating and taking handfuls of Tylenol PM to sleep because she didn't know how to process emotions.When Sasha visited her primary care physician for depression and sleep issues, she rejected the prescribed antidepressants and sleeping pills, choosing to explore natural holistic approaches instead.Cannabis entered Sasha's life when someone offered her a joint, and it helped her express emotions comfortably for the first time, calming the internal storm and enabling her to connect with people.Cannabis helped soften the edges of pain rather than dull it, allowing Sasha to experience and work through negative emotions instead of hiding them.Sasha taught herself to decarboxylate cannabis and make edibles, Rick Simpson oil, and other products, later attending St. Louis University's Cannabis Science Program where much of the curriculum she had already self-taught.Since Sasha had no friends who used cannabis, she created a local Nashville Facebook group for cannabis users that grew so large she eventually sold it, building a community from scratch.Women between ages 35 and 50 are becoming primary cannabis users for emotional regulation and trauma healing, taking control of their mental health with natural alternatives.Cannabis serves as a spiritual ally and meditation enhancer for Sasha, helping shut down her brain and achieve the calmness that meditation provides.For people experiencing deep loss, Sasha emphasizes they are not alone and can find welcoming cannabis communities through simple searches, even on platforms like TikTok.Sasha's father, who worked as a psychiatric RN, told her he felt like "a legal drug pusher" rather than someone helping people, which gives meaning to her natural healing approach. Visit our website: CannabisHealthRadio.comFind high-quality cannabis and CBD + get free consultations at MyFitLife.net/cannabishealthDiscover products and get expert advice from Swan ApothecaryFollow us on Facebook.Follow us on Instagram.Find us on Rumble.Keep your privacy! Buy NixT420 Odor Remover Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Send us a textIn this episode of the Midlife with Courage™ podcast, host Kim talks with Hilary Momberger Powers about her journey from child actor to overcoming trauma and addiction. Key points include the importance of stabilizing yourself, finding self-worth, and the power of community and service.- Hilary's early career as the voice of Sally in Charlie Brown- Overcoming childhood trauma and addiction- Stabilizing senses to foster self-worth- Importance of community and self-care- Hilary's journey towards inspiring and motivating othersYou can learn more about Hilary on her website www.hilarymombergerpowers.com. Get in on the next Courage & Confidence Circle before it even opens. The waitlist for the March 2026 Courage & Confidence Circle is open so click the link below to let me know you are ready to grow your midlife confidence now! PUT ME ON THE WAITLIST!Support the showKim Benoy is a retired RN, Certified Aromatherapist, wife and mom who is passionate about inspiring and encouraging women over 40. She wants you to see your own beauty, value and worth through sharing stories of other women just like you. If this podcast inspires you and makes you think, “She's talking to me,” there's a place where these conversations continue. The Midlife with Courage™ community is the podcast—plus deeper connection, encouragement, and support for midlife women navigating confidence, change, and what's next. It's a safe, uplifting space to be inspired, share honestly, and grow alongside women who truly get this season of life. Midlife with Courage™ Community Are you looking for more? You should check out my Courage & Confidence Circle! Join a supportive group of other midlife women who are ready to live with courage and stop waiting for someday! This 3-month program starts again in March 2026 and I would love to see you there! REGISTER HERE Want to be a guest on Midlife with Courage™-Flourishing After Forty with Kim Benoy? Send Kim Benoy a message on PodMatch, here: Podmatch Link ...

C dans l'air l'invité du 29 décembre 2025 avec Fabrice Leggeri, eurodéputé Rassemblement national.Dans une interview accordée hier à La Tribune dimanche, Marine Le Pen estime que Jordan Bardella "peut gagner" à sa place. Malgré sa situation judiciaire, elle « ne pense pas pouvoir quitter le combat » mais juge qu'avec le président du RN, « l'avenir de la France est assuré ». Elle sera jugée en appel du 13 janvier au 12 février dans l'affaire des assistants parlementaires européens du FN. En première instance, le tribunal correctionnel de Paris l'a condamnée à quatre ans d'emprisonnement dont deux ferme, 100 000 euros d'amende et une peine d'inéligibilité de cinq ans avec exécution immédiate qui hypothèque sérieusement ses chances de concourir une nouvelle fois pour l'Élysée.Dans l'actualité internationale, Donald Trump a assuré que Kiev et Moscou se rapprochaient d'une solution sur le statut du Donbass et que «de nombreux progrès» ont été réalisés, à l'issue de sa rencontre avec Zelensky, ce dimanche, en Floride. Il rencontrera les Européens en janvier. De son côté, Emmanuel Macron réunira la Coalition des volontaires à Paris début janvier, afin de finaliser les contributions concrètes de chaque pays. «Nous progressons sur les garanties de sécurité qui seront essentielles à l'instauration d'une paix juste et durable» en Ukraine, a-t-il déclaré après avoir assisté à la visioconférence entre Donald Trump, Volodymyr Zelensky et les Européens. «J'ai ensuite parlé avec Zelensky», a-t-il ajouté.

Patients with cardiomyopathy may benefit from virtual patient support groups. Guest Andrea Linder, RN, MSN, CCRC, FPCNA, describes a successful model, with sessions that include both information and opportunities to share their questions and experiences. Andrea also discusses recent clinical trials and the impact of mavacamten on disease management.Related PCNA Resources:Patient Education Tool on Hypertrophic Cardiomyopathy: https://pcna.net/resource/hypertrophic-cardiomyopathy-what-you-need-to-know-fact-sheet/HCP tool on Hypertrophic Cardiomyopathy: https://pcna.net/resource/hypertrophic-cardiomyopathy-what-healthcare-providers-need-to-know/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This is a Grave Talks CLASSIC EPISODE! This is one of the most personal episodes I've ever recorded. It's a story I never planned to share—until it came back to me in a way I couldn't ignore. Recently, my nephew Chris joined me on Real Ghost Stories Online to talk about a paranormal experience he had while working as an RN in a hospital. What I didn't expect was for him to mention something tied directly to my father. About a month after my dad passed away, my sister Cathy called me, shaken. She told me that Chris had been talking to Grandpa—not imagining him, not dreaming—but seeing him. Chris knew things he couldn't have known. Details no one had told him. At the time, we didn't talk about it. Life moved on, grief settled in, and the moment stayed suspended. Today on The Grave Talks, Chris and I have our first real conversation as adults about what happened back then—when he talked to Grandpa after Grandpa died. This isn't a ghost story meant to scare. It's about family, loss, and the possibility that love doesn't end where we think it does. This is Part Two of our conversation. #TheGraveTalks #PersonalParanormal #FamilyGhostStory #AfterDeathCommunication #VisitationExperience #TrueGhostStories #ParanormalPodcast #LifeAfterDeath #SharedGrief #Unexplained Love real ghost stories? Don't just listen—join us on YouTube and be part of the largest community of real paranormal encounters anywhere. Subscribe now and never miss a chilling new story:

Join Prof. Regina Callion, MSN, RN—the #1 NCLEX instructor on the planet—as she kicks off 2026 with NCLEX questions designed to help you master the key content areas. Learn the content areas tested, why old memorization tricks won't work, and how to think critically like the NCLEX expects. Practice live NCLEX questions and adjust your review strategies in real time!

This is such a great episode! Today I'm interviewing Bev Mazza, BSN, RN, NC-BC. Bev is a Registered Nurse and Board-Certified Nurse Coach who specializes in metabolic health for women in midlife. She works with women navigating prediabetes, insulin resistance, weight changes, and the hormonal shifts of perimenopause and menopause. Bev combines functional medicine, personalized nutrition, and CGM interpretation to help women get real answers about what's happening in their bodies.  If you are in midlife and struggling with blood sugar issues, this episode is a must-listen.  -Rachel Connect with Bev:  @purelypresenthealth hello@purelypresenthealth.com https://purelypresenthealth.com The Complete Prediabetes Checklist: 10 Steps to Lower Blood Sugar for Women in Perimenopause. These 10 steps are practical, proven, and designed to cut through the confusion and get you moving toward real results.

The crew welcomes back Dr. Greg Stefano and  Geoff Patty, RN from the interventional cardiology department.  If you're listening to this episode, head over to our YouTube channel to see the visuals of actual cases. An interesting discussion ensues about human and computer interpretations of various EKG strips.

Die erste Saisonhälfte liegt hinter dem BVB - mit einer starken Zwischenbilanz in der Bundesliga, guten Perspektiven in der Champions League - und dem Aus im DFB-Pokal. Was läuft bei Borussia Dortmund gut, was muss besser werden. Warum sollte Nico Schlotterbeck unbedingt beim BVB bleiben, und was ist los mit Karim Adeyemi? Wie ist die Rolle von Trainer Niko Kovac, wie muss die Kaderplanung verändert werden? Unser Host Hansi Küpper geht im BVB-Podcast mit unseren Reporter Dirk Krampe und Jürgen Koers in die Vollen. Das Trio beantwortet auch die Frage: Ist das schwarzgelbe Glas halb voll - oder halb leer?

In this video, I reveal the key mindset shift that changed everything for me and countless other nurses regarding money. I'll discuss how the beliefs we grow up with can affect our financial decisions and how you can transition from a scarcity mindset to an abundance mindset. I'll also highlight the importance of designing your own financial systems to ensure your money works for you, helping you achieve true financial freedom. This episode is part of my Nurse Money project, a 12-week series dedicated to helping nurses build wealth and design a fulfilling life. Stay tuned for next week's discussion on organizing your money and creating systems that bring peace and clarity to every paycheck you earn. 00:00 Introduction: The Real Struggle with Money 01:29 The Power of Money Mindset 01:56 Personal Money Narratives 06:56 Scarcity vs. Abundance Mindset 09:34 Shifting to an Abundance Mindset 13:40 Practical Steps to Change Your Money Mindset 19:53 Conclusion and Next Steps FREE INVESTING CLASS: Enroll Here Scrubs and Stocks Podcast is a podcast hosted by Ellaine Maala, RN, NP who is a finance educator, nurse, and owner of NursingFlowsheet LLC, which is a finance and career blog for nurses. This podcast is created to help nurses build wealth through investing in the stock market, real estate or in their own businesses.Nurses deserve options whether they want to retire early or work until retirement.If you want to connect with Ellaine, follow her on:Instagram: @nursewhoinvestsTikTok: @nursewhoinvestsBlog: nursingflowsheet.com , nursewhoinvests.comDownload my free investment cheatsheet

Today's West Coast Cookbook & Speakeasy Podcast for our especially special Daily Special, River City Hash Mondays is now available on the Spreaker Player!Starting off in the Bistro Cafe, Trump's DOJ was caught spying on the top Epstein investigative journalist before the pedo sex trafficker's death.Then, on the rest of the menu, first they decided to strip nursing of its “professional” designation, now Trump and RFK, Jr are removing the requirement that ensured nursing homes receiving Medicare or Medicaid funding had an RN available 24/7; Virginia offshore wind developers sued Trump's executive order halting renewable energy projects; and, the biggest mystery in Georgia politics right now is who is paying for the attacks on Republican Lieutenant Governor Burt Jones?After the break, we move to the Chef's Table where Serbia's protesting university students collected signatures throughout the country for an early parliamentary election they hope would oust the autocratic government of President Vucic; and, calling Brigitte Bardot a “complicated sex symbol” is a nice way of saying she was a five-time convicted racist who carried on a thirty-year romance with the French neo-Nazis.All that and more, on West Coast Cookbook & Speakeasy with Chef de Cuisine Justice Putnam.Bon Appétit!The Netroots Radio Live Player​Keep Your Resistance Radio Beaming 24/7/365!"I was never a spy. I was with the OSS organization. We had a number of women, but we were all office help." -- Julia ChildBecome a supporter of this podcast: https://www.spreaker.com/podcast/west-coast-cookbook-speakeasy--2802999/support.

Eleição suplementar no RN

This is a Grave Talks CLASSIC EPISODE! This is one of the most personal episodes I've ever recorded. It's a story I never planned to share—until it came back to me in a way I couldn't ignore. Recently, my nephew Chris joined me on Real Ghost Stories Online to talk about a paranormal experience he had while working as an RN in a hospital. What I didn't expect was for him to mention something tied directly to my father. About a month after my dad passed away, my sister Cathy called me, shaken. She told me that Chris had been talking to Grandpa—not imagining him, not dreaming—but seeing him. Chris knew things he couldn't have known. Details no one had told him. At the time, we didn't talk about it. Life moved on, grief settled in, and the moment stayed suspended. Today on The Grave Talks, Chris and I have our first real conversation as adults about what happened back then—when he talked to Grandpa after Grandpa died. This isn't a ghost story meant to scare. It's about family, loss, and the possibility that love doesn't end where we think it does. Love real ghost stories? Don't just listen—join us on YouTube and be part of the largest community of real paranormal encounters anywhere. Subscribe now and never miss a chilling new story:

"A lot of what we do is give patients hope. Give patients hope and listen to them. And that, in itself, is so healing. I think it's so healing and transformative, ...even if they don't get to where they were before, they become the best version of themselves that they can be." ~Elizabth Sult BSN, RN, NC-BC"In conventional medicine, the question is, what's the diagnosis? And once you know the diagnosis, then there's sort of these algorithms that, you try to see if they help. But in functional medicine, once you understand what's the diagnosis, the question is, really, why? Why do you have the diagnosis?And that's where these antecedents, triggers, mediators, all these kinds of ideas come from— to get to the why. But I like to say that the antecedents, triggers and mediators are kind of like Einstein's Theory of Relativity, right? Because an antecedents from one frame might be a trigger from another frame.And so, you know, getting to the real root cause. You might think, Oh, I got to the molecular medicine cause. But actually, it was a spiritual mal-alignment that caused the biochemical issue, because it caused all this stress and strain and all that trickles down to the molecular medicine."  ~Dr. Tom Sult MD, IFMCPAh-Ha MomentsFunctional Nursing asks a different question: Not just what's the nursing diagnosis? But, why is this happening?  And what does this body need to heal? It's about raising wellness so illness has less space to take holdThe Functional Nurse listens for patterns, stories, and turning points. Elizabeth and Tom highlight how powerful it is when Nurses can really listen, and help patients connect the dots in their own health journeyFunctional Nursing and Integrative Nurse Coaching are a natural fit. When Nurses combine root-cause thinking with coaching presence, patients feel seen, supported, and empowered to take steps that fit into their busy livesThe nervous system matters deeply. Functional Nurses learn about how long-term stress and fight-or-flight affect digestion, immunity, hormones, and healing, and why joy, safety, and regulation are essential parts of careThis work restores dignity and hope for patients and nurses. Links and ResourcesFunctional Nursing: A Functional Medicine Framework for NursesFunctional Nursing + Lifestyle Nursing Dual Certificate PathwayJust Be Well websiteBook: Just Be Well by Thomas SultEmail for questions: Integrative Nurse Coach Academy I Integrative Nurse Coach FoundationWe provide nurses with a global community for learning, networking, and reconnecting. Thank you for listening. We LOVE Nurses! Please leave us a 5 star rating and a positive comment about an episode you love! Follow Integrative Nurse Coach Academy on Facebook, Instagram, LinkedIn Learn more about our programs at the Integrative Nurse Coach Academy Schedule a free call with one of our awesome admissions specialists here>> and get your questions answered! Use the code 'ACTION' at checkout and get $100 off the Integrative Nurse Coach Certificate Program (Parts 1 & 2 Bundle).

"They [monoclonal antibodies] are able to cause tumor cell death by binding to and blocking to necessary growth factor signaling pathways for tumor cell survival. That's going to be dependent on the target of the antibody, but I'll give an example of epidermal growth factor, or EGFR. This is overexpressed in several different kinds of cancers where activation of this growth factor increases the amount of proliferation and migration of cancer cells. So, if we bind to it and block to it, then that would help halt these pathways and stop cancer cell growth," Carissa Ganihong, PharmD, BCOP, oncology and bone marrow transplantation clinical pharmacist at Hackensack University Medical Center in New Jersey, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about monoclonal antibodies. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Earn 0.75 contact hours of nursing continuing professional development (NCPD) (including 45 minutes of pharmacotherapeutic content) by listening to the full recording and completing an evaluation at courses.ons.org by December 26, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge in the history of, the mechanism of action of, and the use of monoclonal antibodies in the treatment of cancer.  Episode Notes  Complete this evaluation for free NCPD. ONS Podcast™ episodes: Pharmacology 101 series Episode 391: Pharmacology 101: Antibody–Drug Conjugates Episode 383: Pharmacology 101: Bispecific Antibodies Episode 375: Pharmacology 101: VEGF Inhibitors Episode 338: High-Volume Subcutaneous Injections: The Oncology Nurse's Role Episode 283: Desensitization Strategies to Reintroduce Treatment After an Infusion-Related Reaction Episode 275: Bispecific Monoclonal Antibodies in Hematologic Cancers and Solid Tumors ONS Voice articles: An Oncology Nursing Overview of Biosimilars Make Subcutaneous Administration More Comfortable for Your Patients Oncology Nurses' Role in Translating Biomarker Testing Results Reduce Chair Time by as Much as 16 Minutes by Priming IVs With Drug Shorter Administration Times Still Require High-Acuity Care The Names of Targeted Therapies Give Clues to How They Work ONS Voice drug reference sheets: Datopotamab deruxtecan-dlnk Enfortumab vedotin Margetuximab-cmkb Mirvetuximab soravtansine-gynx Nivolumab and hyaluronidase-nvhy Nivolumab and relatlimab-rmbw Pembrolizumab and berahyaluronidase alfa-pmph Retifanlimab-dlwr ONS book: Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice (second edition) ONS course: ONS Fundamentals of Chemotherapy and Immunotherapy Administration™ Clinical Journal of Oncology Nursing articles: Bolusing IV Administration Sets With Monoclonal Antibodies Reduces Cost and Chair Time: A Randomized Controlled Trial Management of Immunotherapy Infusion Reactions Nurse-Led Grading of Antineoplastic Infusion-Related Reactions: A Call to Action Safety and Adverse Event Management of VEGFR-TKIs in Patients With Metastatic Renal Cell Carcinoma Oncology Nursing Forum articles: Administration of Subcutaneous Monoclonal Antibodies in Patients With Cancer Depressive Symptoms and Quality of Life Associated With the Use of Monoclonal Antibodies in Breast Cancer Treatment ONS huddle cards: Bispecifics Checkpoint Inhibitors Monoclonal Antibodies Other ONS resources: Biomarker Database Bispecific Antibodies video Patient Education Sheets Antibodies article: A Comprehensive Review About the Use of Monoclonal Antibodies in Cancer Therapy Cureus article:  A Comprehensive Review of Monoclonal Antibodies in Modern Medicine: Tracing the Evolution of a Revolutionary Therapeutic Approach Association of Cancer Care Centers (ACCC) homepage Cancer Immunology, Immunotherapy article: Therapeutic Antibodies in Oncology: An Immunopharmacological Overview Drugs@FDA package inserts Future Oncology article: Biosimilars: What the Oncologist Should Know Hematology/Oncology Pharmacy Association homepage National Comprehensive Cancer Network homepage Network for Collaborative Oncology Development and Advancement (NCODA) subcutaneous therapy article Oncolink: Side Effects of Immunotherapy World Health Organization: New International Nonproprietary Names (INN) Monoclonal Antibody Nomenclature Scheme To discuss the information in this episode with other oncology nurses, visit the ONS Communities.  To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode "Prior to monoclonal antibodies, all we really had were these toxic chemotherapies or toxic radiation, so it was recognized how great it would be if we could have a treatment that was much more specific to the tumor cells and have agents that have less toxicities. These advancements in monoclonal antibody production began in the 1980s. ... Eventually, we had the first monoclonal antibody that was approved by the U.S. Food and Drug Administration (FDA) for an oncologic indication, rituximab." TS 4:14  "Nowadays, we do have treatments that are also considered tumor-agnostic. This is when a patient has a certain biomarker, then that treatment can be given and FDA approval was given, regardless what type of tumor the patient has. We typically see these kinds of tumor-agnostic therapies more so in patients who have recurrent or advanced diseases in solid tumors. One monoclonal antibody example that comes to mind is dostarlimab. That's a checkpoint inhibitor that's approved for patients who are deficient in mismatch repair mechanism." TS 23:48 "Our immune system constantly has this surveillance system and it's able to recognize foreign pathogens, abnormal cells, and even precancerous cells. And they're able to eliminate them before they become cancerous. But on the flip side, one of the regulatory mechanisms that we have so our immune system doesn't attack itself is the presence of checkpoints. When these checkpoints bind to their ligands, this can then act as an off switch so that, again, our immune system is not going to attack itself. But then the tumor cells can take advantage of this and actually use this mechanism to evade the immune system. So, when we're giving a checkpoint inhibitor, now we're removing that off switch. As a consequence, common adverse effects can include things like immune mediated adverse events. These most commonly affect the skin, gastrointestinal tract, and liver. Essentially, this can cause any '-itis' you can think of." TS 26:36 "Looking at strategies to prevent infusion reactions, one example is the use of premedication. If premedication is recommended, this typically includes any combination of antipyretics, which is typically acetaminophen. Antihistamine, which is typically an H1 antagonist like diphenhydramine. Although, there could be cases where we want to substitute this agent because maybe the patient has been tolerating therapy okay, and they're having a lot of side effects. So, we might use a second-generation antihistamine in some cases. The premedication may be given with or without some kind of steroid, whether that's methylprednisolone, hydrocortisone, or dexamethasone." TS 29:53 "We tend to think of monoclonal antibody usage to be primary oncology, but that's not really the case. The first monoclonal antibodies that were developed were not for oncologic indications, they were for transplant indication for cardiac indication. So, they're really diversely utilized across all specialties and medicines. We have monoclonal antibodies for hyperlipidemia, for neurology, for rheumatology, so the uses are so very expansive across all specialties." TS 41:01

Resources:Ostomy & Continent Diversion Patient Bill of RightsKindred BoxOstomy 211Pouches of LoveFriends of Ostomates Worldwide - USAUOAA Support Group FinderWOCN® Society Public Policy & Advocacy informationWOCN Society ChaptersWOCTalk Podcast Ep 137: Policy Changes That Could Impact Your WOC Practice About the Speaker:Kathleen Lawrence, MSN, RN, CWOCN, WOCNF, has had a wonderful career path in nursing. Her journey has included acute care, medical surgical nursing, home care, hospice and over 30 years as a wound ostomy and continence nurse practicing the full WOC scope of practice. Her work in WOC nursing has included acute care in-patient, and the development of a comprehensive wound ostomy and continence service for inpatient, outpatient, and contract entities in a rural Vermont setting. Contracts included subacute care, long-term care, pediatric clinics for special needs, home care and hospice. Currently Kate is the Program Director of wound, ostomy and continence services at the VNA and Hospice of the Southwest Region in Vermont. Her role includes delivery of education, clinical care and consultation in home care, hospice, outpatient, long term care and community care facilities. Editing and post-production work for this episode was provided by The Podcast Consultant.

Send us a textTalia is the CEO and Founder of Newport Counseling Center, Inc. and Coaching with Talia, Inc. She holds a Master's Degree in Clinical Psychology with an Emphasis in Marriage and Family Therapy. Talia has completed post-graduate certification in Psychodynamic Psychotherapy, Psychoanalytic Couples Therapy and Infant, Child, and Adolescent Psychoanalytic Psychotherapy. Her work centers on uncovering the unconscious material within a client's psyche to relieve psychic tension—inner conflict that often originates in early childhood and arises during times of intense stress or emotional turmoil. In other words, it all goes back to childhood. Once this is understood and tended to, we can reclaim our adult selves and be more authentic.  Richard Jones. I am an RN with over 34 years of Nursing Experience, much of that experience working with young adults in the corrections system. Support the showSocial Media Links https://www.youtube.com/@JamesMoffitt https://www.instagram.com/parentingadultchildren125/ https://www.tiktok.com/@chiefpropellerhead ABC's of Parenting Adult Children Facebook Page https://www.facebook.com/profile.php?id=61581576308055 r/parentingadultchildren Feel free to subscribe to these channels and share the links with your social media portals.

El exministro Cristián Monckeberg (RN) abordó la declaración del Partido Comunista (PC) a favor de un "trabajo de masas sistemático" durante el Gobierno de José Antonio Kast (Partido Republicano), y la catalogó como "una amenaza clara de lo que quieren hacer". En El Primer Café de Cooperativa, el otrora timonel de RN señaló que "aquí se están dejando huellas muy claras respecto de lo que va a ocurrir". Conduce Cecilia Rovaretti.

Black Americans report higher levels of mistrust in the health care system than white Americans and suffer worse outcomes in everything from maternal mortality to life expectancy. What if improving health literacy and demystifying health information could be the part of the solution?This week, one doctor's crusade to help more people understand their own health care and why insurers are starting to buy in.Guests:Lisa Fitzpatrick, MD, MPH, MPA, Founder and CEO, Grapevine HealthKeith Maccannon, Director of Marketing, Outreach and Community Relations, AmeriHealth Caritas District of ColumbiaYvonne Smith, Grapevine ClientKaren Dale, RN, MSN, Market President, AmeriHealth Caritas District of ColumbiaLearn more and read a full transcript on our website.Help us unlock a $5,000 match by becoming one of 200 new donors at tradeoffs.org/donate.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Hosted on Acast. See acast.com/privacy for more information.

The Nurses Report on America Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – A pharmacist-led discussion examines aluminum adjuvants in childhood vaccines, comparing injected versus ingested exposure, FDA safety limits, and emerging neurological research. The conversation emphasizes transparency, informed consent, and the importance of continued investigation so parents can make informed, individualized decisions for...

Join our healthy friendship circle and transform chaotic mornings with one powerful permission slip! You'll also discover the carb timing shift that eliminated all-day hunger and brain fog, a breathing technique that taps directly into your parasympathetic nervous system in minutes, and the power of a single breath! Laura, Alyce and I dish about all our tips and tricks with you! LET'S TALK THE WALK! Join here for support, motivation and fun! Wellness While Walking Facebook page Walking to Wellness Together Facebook GROUP Wellness While Walking on Instagram Wellness While Walking on Threads Wellness While Walking on Twitter Wellness While Walking website for show notes and other information wellnesswhilewalking@gmail.com RESOURCES AND SOURCES (some links may be affiliate links) The Pillars of W.E.L.L.N.E.S.S. with Alyce Adams and Laura Coleman Waite Alyce Adams, RN  KegelQueen.com Website Laura Coleman Waite, Structural Kinesiologist and Personal Trainer  Just Muscles Website Laura on Instagram Prior Episodes of Wellness While Walking Featuring Laura and Alyce:  259: From Cheat Days to Walking "Cleats": Health Experts Offer Their Own Healthy LIfestyle Advice with Alyce Adams, RN and Laura Coleman Waite 260: Health Experts and Their 20 Minute Dinners, with Alyce Adams, RN and Laura Coleman Waite 261: Counting Steps, What You Need to Know About Muscle Pairs + Mindset Reminders with Laura and Alyce 171: Pain, Pain Go Away: Laura Coleman's Proven Techniques to Keep Us Walking (and Living) Well! 172: The Sweat-Free Secret to Strong Abs/Less Back Pain + Combatting Walking Muscle Woes 164: From Kegels to Confidence: Overcoming Vaginal Prolapse + Urinary Incontinence with Alyce Adams, RN, The Kegel Queen Nostril Breathing Research Study Cable weight blog post from Laura Kion Clean Protein, Glutamine and Base Culture Keto Bread links coming! Viktor Frankl Quote Practical Applications of Grounding to Support Health Rick Rubin Podcast with Jack Kruse and Andrew Huberman episode that mentions grounding (but it's 7 hours long!! Practicing Renaissance Time James Nestor, Breath Expert on Nostril Breathing Email Apnea Article Mug Cake ¼ C fine almond flour 1t coconut oil 1/2t vanilla extract 1 egg 1/4 t baking powder Pinch kosher salt Pinch of stevia or monk fruit as desired Mix all items together in a microwave-safe mug Microwave 1 minute until 'cake' springs back from the touch Remove from mug and cut halfway so that there are 2 rounds Top with nut butter, fruit spread, or any other topping of your choice! HOW TO RATE AND REVIEW WELLNESS WHILE WALKING How to Leave a Review on Apple Podcasts on Your iOS Device 1.   Open Apple Podcast App (purple app icon that says Podcasts). 2.   Go to the icons at the bottom of the screen and choose "search" 3.   Search for "Wellness While Walking" 4.   Click on the SHOW, not the episode. 5.   Scroll all the way down to "Ratings and Reviews" section 6.   Click on "Write a Review" (if you don't see that option, click on "See All" first) 7.   Then you will be able to rate the show on a five-star scale (5 is highest rating) and write a review! 8.   Thank you! I so appreciate this!   How to Leave a Review on Apple Podcasts on a Computer  1.   Visit Wellness While Walking page on Apple Podcasts in your web browser (search for Apple Podcasts or click here)  https://www.apple.com/apple-podcasts/ 2.   Click on "Listen on Apple Podcasts" or "Open the App" 3.   This will open Apple Podcasts and put in search bar at top left "Wellness While Walking" 4.   This should bring you to the show, not a particular episode – click on the show's artwork 5.   Scroll down until you see "Rating and Reviews" 6.   Click on "See All" all the way to the right, near the Ratings and Review Section and its bar chart 7.   To leave a written review, please click on "Write a Review" 8.   You'll be able to leave a review, along with a title for it, plus you'll be able to rate the show on the 5-star scale (with 5 being the highest rating) 9.   Thank you so very much!! OTHER APPS WHERE RATINGS OR REVIEWS ARE POSSIBLE Spotify Goodpods Overcast (if you star certain episodes, or every one, that will help others find the show)  Castbox Podcast Addict Podchaser Podbean   HOW TO SHARE WELLNESS WHILE WALKING Tell a friend or family member about Wellness While Walking, maybe while you're walking together or lamenting not feeling 100% Follow up with a quick text with more info, as noted below! (My favorite is pod.link/walking because it works with all the apps!) Screenshot a favorite episode playing on your phone and share to social media or to a friend via text or email! Wellness While Walking on Apple – click the up arrow to share with a friend via text or email, or share to social media Wellness While Walking on Spotify -- click the up arrow to share with a friend via text or email, or share to social media Use this universal link for any podcast app: pod.link/walking – give it to friends or share on social media Tell your pal about the Wellness While Walking website Thanks for listening and now for sharing! : )       DISCLAIMER Neither I nor many of my podcast guests are doctors or healthcare professionals of any kind, and nothing on this podcast or associated content should be considered medical advice. The information provided by Wellness While Walking Podcast and associated material, by Whole Life Workshop and by Bermuda Road Wellness LLC is for informational and entertainment purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment, and before undertaking a new health care regimen, including walking.     Thanks for listening to Wellness While Walking, a walking podcast and a "best podcast for walking"!

The Nurses Report on America Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – A pharmacist-led discussion examines aluminum adjuvants in childhood vaccines, comparing injected versus ingested exposure, FDA safety limits, and emerging neurological research. The conversation emphasizes transparency, informed consent, and the importance of continued investigation so parents can make informed, individualized decisions for...

In this episode of the She Found Motherhood podcast, Dr. Alicia sits down with registered midwife Heidi Machnee for a deep, evidence-based conversation about water birth and water immersion during labour. Whether you're planning a home birth, curious about using a tub for labour comfort, or simply want to understand your options, this episode is packed with practical, research-backed insights. Heidi brings both her experience as a midwife and her background as a pediatric RN to break down what the evidence actually says - the benefits, the risks, and who is (and isn't) an ideal candidate for labour or birth in water. Sign up for our Free Birth Preferences Course to ensure you are as prepared as possible for your big day! *This episode is a re-release. Original release date: July 28, 2021.

The Chaldean Diocese of St. Thomas' Office of Life hosted a special panel discussion on Wednesday, August 20, 2025 at Mother of God Church in Southfield, Michigan on navigating tough conversations with your children. The panel featured a live Q&A with The Most Rev. Francis Kalabat, Bishop (Eparch) of the Chaldean Diocese of St. Thomas U.S.A., and Fr. Rodney Abasso, Pastor at Mart Mariam Chaldean Catholic Church in Northbrook, IL. The panel included: Grace Shallal, High School Philosophy and Theology Teacher at St. Catherine of Siena Academy Dayna Kanouna, MA, LPC, CCIS-II Alana Kanouna, BS in Elementary Education, Maps Degree From Sacred Heart Seminary, Currently Teaches Theology at Detroit Catholic Central High School Yousif Zoma, Bsn, RN at William Beaumont University Hospital, Director of Defenders of Christ High School Youth Group Robert & Heather Kas-Shamoun (Parents) Ashly Abdo, BA in Elementary Education, Director of Our Lady of Wisdom Enrichment, Mother of 3 The Most Rev. Francis Kalabat, Bishop (Eparch) of the Chaldean Diocese of St. Thomas the Apostle U.S.A.

Send us a textJoin Kim on Midlife with Courage™ as she reflects on this past year, celebrating gratitude, personal growth, and the incredible stories shared by women. Discover the power of taking action, building confidence, and the importance of rest during the holidays. Tune in for exciting guest stories coming in January!00:00 Welcome to Midlife with Courage00:24 Reflecting on Gratitude and Achievements01:46 Embracing Confidence and Growth05:10 Learning from Challenges06:08 Sharing Stories and Their Impact09:15 Lessons on Confidence and Healing12:58 The Importance of Rest and Self-Care14:13 You Are Enough15:33 Looking Ahead to the New YearAre you looking for more confidence in your life? Join us for the next Courage & Confidence Circle! The next circle will be starting in March so get your name on the WAITLIST now to save your spot. Support the showKim Benoy is a retired RN, Certified Aromatherapist, wife and mom who is passionate about inspiring and encouraging women over 40. She wants you to see your own beauty, value and worth through sharing stories of other women just like you. If this podcast inspires you and makes you think, “She's talking to me,” there's a place where these conversations continue. The Midlife with Courage™ community is the podcast—plus deeper connection, encouragement, and support for midlife women navigating confidence, change, and what's next. It's a safe, uplifting space to be inspired, share honestly, and grow alongside women who truly get this season of life. Midlife with Courage™ Community Are you looking for more? You should check out my Courage & Confidence Circle! Join a supportive group of other midlife women who are ready to live with courage and stop waiting for someday! This 3-month program starts again in March 2026 and I would love to see you there! REGISTER HERE Want to be a guest on Midlife with Courage™-Flourishing After Forty with Kim Benoy? Send Kim Benoy a message on PodMatch, here: Podmatch Link ...

Norway has universal healthcare, but it doesn't cover tongue ties. That means families in Norway struggling with infant feeding, airway and sleep issues need to pay out of pocket for functional releases.  Dr Skallevold is not just a dentist but a specialist for oral function, airway health, and tongue ties.  His practice supports patients of all ages and helps to bring health and healing all across Norway.  Dr Skallvold discusses this with Katie Oshita in this episode.  Listen to hear more.Podcast Guest: Hans Erling Skallevold is a holistic-minded dentist passionate about the connection between oral and overall health. Trained at the University of Oslo, he combines his dental expertise with a functional, whole-body approach to care.Specializing in tethered oral tissues, prevention, and airway-focused dentistry, Erling emphasizes root-cause treatment through microbiome balance, sleep and breathing optimization, tongue-tie management, and nutrition. He also supports patients with dental anxiety, TMJ/TMD, facial pain, and surgical or periodontal needs.Dedicated to expanding his scope of care, Erling is completing his medical degree while continuing to share knowledge on the mouth-body connection.Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com  

In this episode we are joined by Twila Brase, RN, President of the Citizens Council for Health Freedom, to discuss the complexities and implications of the Real ID Act, exploring its impact on your privacy and personal freedom. Twila shares her expertise on how Real ID could lead to increased government control and surveillance, urging listeners to understand the potential risks and to take action to not only reject this ID but to work to ensure the federal government doesn't succeed in getting most Americans to comply. Join us as we learn about the history behind this ID, its current challenges, the future implications of Real ID, and discover what you can do to protect your rights.

In this episode of the Critical Care Obstetrics podcast, Dr. Stephanie Martin and Julie Arafey discuss a complex case involving a pregnant patient who experiences respiratory compromise leading to cardiac arrest. They explore the challenges in assessment, admission, and management of high-risk obstetric patients, emphasizing the importance of communication, monitoring, and emergency protocols. The conversation highlights the need for preparedness in handling obstetric emergencies, including the critical timing of resuscitative cesareans, and the necessity of training healthcare teams to respond effectively in such situations.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...

In this episode, Gena Lawday, RN, BSN, Chief Quality Officer at UVA Community Health, shares how standardizing care delivery helps improve patient outcomes while driving greater operational efficiency. She discusses the critical role of patient education and outlines how quality and safety monitoring are evolving as more care moves into the outpatient setting.

Feeling a little down about that holiday shift? Then this is a must-listen episode! Join the co-hosts as they share their own experiences, stories, and practical, compassionate strategies to beat the nursing holiday blues and show up strong for your patients. Also, learn about the time-honored legend of the Cookie-Crusted Ham.    MEET OUR CO-HOSTS Samantha Bayne, MSN, RN, CMSRN, NPD-BC is a nursing professional development practitioner in the inland northwest specializing in medical-surgical nursing. The first four years of her practice were spent bedside on a busy ortho/neuro unit where she found her passion for newly graduated RNs, interdisciplinary collaboration, and professional governance. Sam is an unwavering advocate for medical-surgical nursing as a specialty and enjoys helping nurses prepare for specialty certification.    Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team.   Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work.   Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing.  Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse.   Maritess M. Quinto, DNP, RN, NPD-BC, CMSRN is a clinical educator currently leading a team of educators who is passionately helping healthcare colleagues, especially newly graduate nurses. She was born and raised in the Philippines and immigrated to the United States with her family in Florida. Her family of seven (three girls and two boys with her husband who is also a Registered Nurse) loves to travel, especially to Disney World. She loves to share her experiences about parenting, travelling, and, of course, nursing!   Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland.  Currently she is stationed overseas, providing care for service members and their families.  During her free time, she enjoys martial arts and traveling. 

Happy Holidays! As we celebrate the season, we're giving you a special bonus episode of First Case featuring Phyllis Quinlan, RN, President and CEO of MFW Consultants. In this timely conversation, Phyllis shares powerful insights on navigating persistent uncertainty, reframing "change" as growth and evolution, and leading teams with empathy, clarity, and solidarity during unprecedented times. As we close out the year and look ahead to what's next, this episode offers practical wisdom for leaders and perioperative professionals facing ongoing change without losing sight of their mission or purpose. #operatingroom #ornurse #nurse #scrubtech #podcast

As we close out 2025, Suzanne B. O'Brien, RN shares a heartfelt Year in Review for the Doulagivers Institute, reflecting on three extraordinary milestones that are helping transform end-of-life care around the world. This episode honors what's possible when education, compassion, and community come together.

Through the development of guidelines and education, AORN helps advance the science of sterile processing and promote it as an integral part of the surgical continuum. One way AORN works toward meeting that goal is through the activities of the Sterile Processing & Supply Chain Specialty Assembly. In episode 141, host Casey Czarnowski speaks with Julie Gorog, a long-time member of the Specialty Assembly who also serves as a Clinical Education Consultant with ASP. She discusses how AORN intersects with Sterile Processing (SP), explains the type of work in which the Specialty Assembly is involved throughout the year, and shares how SP professionals can get involved. ABOUT OUR GUEST Julie Gorog Clinical Education Consultant ASP Julie Gorog, RN, BSN, CNOR, has 28 years of combined clinical and supply chain experience, beginning as a perioperative nurse in 1997. In 2016, she joined Advanced Sterilization Products as a clinical education consultant, providing clinical expertise in sterilization and high-level disinfection. She provides education on best practices at AORN, APIC and HSPA conferences, as well as to staff in Operating Room, Sterile Processing and Endoscopy departments. She has held the following positions within AORN of San Diego County: Chapter President, Board Member, and Chair of the Ways and Means and Research Committees. She currently serves as Council Chair of AORN’s Sterilization and Supply Chain Specialty Assembly. Gorog earned her Bachelor of Science in Nursing from the University of Alaska Anchorage and is a Registered Nurse in California. Earn CE Now

Borussia Dortmund gelingt mit dem 2:0 gegen Borussia Mönchengladbach ein sportlich versöhnlicher Jahresabschluss. Der BVB überwintert auf Platz zwei, aber wo steht die Mannschaft in ihrer Entwicklung? Darüber diskutieren Moderator Hansi Küpper und RN-Reporter Cedric Gebhardt ebenso wie über den neuen Zoff um Karim Adeyemi und anhaltenden VAR-Ärger.

In this episode, Gena Lawday, RN, BSN, Chief Quality Officer at UVA Community Health, shares how standardizing care delivery helps improve patient outcomes while driving greater operational efficiency. She discusses the critical role of patient education and outlines how quality and safety monitoring are evolving as more care moves into the outpatient setting.

Feeling overwhelmed or overworked? It might be time for a reset! Take a moment to reflect and recharge your mind.  Join us next week as we dive into effective strategies formanaging stress, improving productivity, and finding balance in our busy lives. Don't miss out on this opportunity to revitalize your routine!

The Nurse Money Project: My Journey to Financial Freedom In this episode, I kick off the Nurse Money Project—a 12-week series aimed at helping nurses achieve financial freedom. I share my personal journey, from growing up in the Philippines with little financial knowledge to becoming a financially free nurse in the U.S. I discuss the cultural taboos around money, my family's immigrant experience, and how I transitioned from financial confusion to confidence. This series will cover various money topics, including mindset, investing, and financial planning, all tailored for nurses. Subscribe and join me on this journey to becoming financially empowered. 00:00 Introduction to the Nurse Money Project 01:36 My Financial Journey: From the Philippines to the US 02:58 Learning About Money and Overcoming Financial Challenges 03:54 Starting My Financial Education Journey 05:04 Sharing Financial Knowledge and Growing Together 06:07 The Importance of Financial Education for Nurses 07:38 What to Expect in the Nurse Money Project Series 09:56 Conclusion and Next Steps FREE INVESTING CLASS: Enroll Here Scrubs and Stocks Podcast is a podcast hosted by Ellaine Maala, RN, NP who is a finance educator, nurse, and owner of NursingFlowsheet LLC, which is a finance and career blog for nurses. This podcast is created to help nurses build wealth through investing in the stock market, real estate or in their own businesses.Nurses deserve options whether they want to retire early or work until retirement.If you want to connect with Ellaine, follow her on:Instagram: @nursewhoinvestsTikTok: @nursewhoinvestsBlog: nursingflowsheet.com , nursewhoinvests.comDownload my free investment cheatsheet

The Nurses Report on America Out Loud with Ashley Caputo, RN, FMP – What happened to patient-centered care? For years, Ashley worked inside traditional healthcare, believing in evidence-based medicine, clinical judgment, and advocacy for the patient in front of her. Over time, however, she began to notice a growing shift — one where policy, documentation, staffing ratios, and performance metrics...

"The thought of recurrence is also a psychosocial issue for our patients. They're being monitored very closely for five years, so there's always that thought in the back of their head, 'What if the cancer comes back? What are the next steps? What am I going to do next?' It's really important that we have conversations with patients and their families about where they're at, what we're looking for, and reassure them that we'll be with them during this journey and help them through whatever next steps happen," ONS member Clara Beaver, DNP, RN, AOCNS®, ACNS-BC, manager of clinical education and clinical nurse specialist at Karmanos Cancer Institute in Detroit, MI, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about prostate cancer survivorship considerations for nurses. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by December 19, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to survivorship nursing considerations for people with prostate cancer. Episode Notes  Complete this evaluation for free NCPD. ONS Podcast™ episodes: Episode 390: Prostate Cancer Treatment Considerations for Nurses Episode 387: Prostate Cancer Screening, Early Detection, and Disparities Episode 201: Which Survivorship Care Model Is Right for Your Patient? Episode 194: Sex Is a Component of Patient-Centered Care ONS Voice articles: APRNs Collaborate With PCPs on Shared Survivorship Care Models Exercise Before ADT Treatment Reduces Rate of Side Effects Frank Conversations Enhance Sexual and Reproductive Health Support During Cancer Here Are the Current Nutrition and Physical Activity Recommendations for Cancer Survivors Nursing Considerations for Prostate Cancer Survivorship Care Regular Physical Activity and Healthy Diet Lower Risk of All-Cause and Cardiac Mortality in Prostate Cancer Survivors Sexual Considerations for Patients With Cancer Sleep Disturbance Is Part of a Behavioral Symptom Cluster in Prostate Cancer Survivors ONS course: Essentials in Survivorship Care for the Advanced Practice Provider Clinical Journal of Oncology Nursing articles: A Patient-Specific, Goal-Oriented Exercise Algorithm for Men Receiving Androgen Deprivation Therapy Incorporating Nurse Navigation to Improve Cancer Survivorship Care Plan Delivery Prostate Cancer: Survivorship Care Case Study, Care Plan, and Commentaries The Role of the Advanced Practice Provider in Bone Health Management for the Prostate Cancer Population Oncology Nursing Forum articles: A Qualitative Exploration of Prostate Cancer Survivors Experiencing Psychological Distress: Loss of Self, Function, Connection, and Control Identification of Symptom Profiles in Prostate Cancer Survivors Sleep Hygiene Education, ReadiWatch™ Actigraphy, and Telehealth Cognitive Behavioral Training for Insomnia for People With Prostate Cancer Understanding Men's Experiences With Prostate Cancer Stigma: A Qualitative Study Other ONS resources: Late Effects of Cancer Treatment Huddle Card Survivorship Care Plan Huddle Card Survivorship Learning Library American Cancer Society (ACS): Living as a Prostate Cancer Survivor ACS prostate cancer survivorship studies To discuss the information in this episode with other oncology nurses, visit the ONS Communities.  To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode "Some of the most common late side effects [are] urinary, bowel, and sexual dysfunction issues. For urinary effects, it can include urgency and frequency, some incontinence, or a weak or slow urine stream that frequently bothers the patient after treatment. Bowel effects can happen such as constipation, diarrhea, or inflammation of the rectum, which can lead to bleeding or mucus discharge. And then erectile dysfunction is another side effect that patients with prostate cancer often deal with and have to work with their physicians on, depending on what they want with that function. Fatigue, lymphedema, and skin changes can also occur after treatment." TS 1:40 "If we can catch [prostate cancer] and take care of it at an early stage, overall survival is about 90%. If the disease is localized, it's 99%. If we can take out the prostate, radiate the prostate, we can do something with that—localized, 99% survival rate. If there's regional metastasis, it's about 90%. And if there's distant metastasis, it's about 30% survival." TS 3:55 "Prostate cancer recurs in about 20%–30% of patients within the first five years of initial treatment. ... There's not a lot of research out there that shows what can reduce risk, but what has been shown to be effective is regular exercise, quitting smoking, and eating a healthy diet. ... It's really important for our patients to understand the importance of having follow-up visits so that we can catch a recurrence quickly instead of waiting years down the road. Prostate cancer is usually a slow-growing disease, so if we can pick it up quickly in those revisits, we can start another treatment for the patient." TS 6:00 "Sexuality is not something many people are comfortable discussing, but we really need to talk with patients and let them know that this is normal. It is normal that you may have some sexual dysfunction. It's normal that you may not feel the way you did before. Talk to us about it, let us know where you're at, let us know what your goals are, because there are a lot of things we can do. There are medications we can use for impedance. There are devices and implants available to help the patient to support them and give them whatever their goal is for their sexuality." TS 9:41 "Providing survivorship care plans are important for these patients—something that can be sent off to everyone else that's caring for that patient. You have your primary care physician, urologist, oncologist, the oncology nurse, maybe a navigator, and [others] who are looking into this patient. So, giving that patient a survivor care plan and putting it with their files to include a summary of the treatment received, because most of the time a patient is not going to remember exactly what they received. A suggested schedule for follow-up exams—so again, if a primary care provider is not used to dealing with a patient with prostate cancer, they have something to go off of. A schedule of other tests they may need in the future including screening for other types of cancer. Are they a smoker? Do they need lung screening? Do they need any other screenings related to types of cancers? And then a list of possible late or long-term side effects." TS 15:16 "I think a lot of people know about the long-term sexual effects, but what we don't really talk about is the effect that it has on the patient's self-image. How they define themselves, how they look, their body image, their self-image. It's really important that we continue to discuss it with patients and make them comfortable when discussing their sexuality and their goals for sexuality. They may be having these self-image issues after treatment that they're just not telling us about and that can affect their quality of life." TS 18:38

The Nurses Report on America Out Loud with Kimberly Overton, BSN, RN, BC-FMP – A groundbreaking exposé on how schooling is designed to suppress individuality and critical thought. A controversial document outlining long-term cultural and psychological manipulation strategies. A firsthand account of government-level trauma-based mind control and human programming...

Have you had one of those consults in which you're thinking, huh, sounds like the patient's goals are clear, it's really that the clinician consulting us disagrees with those goals?  To what extent is it our job as consultants to navigate, manage, or attend to clinician distress?  What happens when that clinician distress leads eventually to conflict between the consulting clinician and the palliative care team? Today our guests Sara Johnson, Yael Schenker, & Anne Kelly discuss these issues, including: A recent paper first authored by Yael asking if attending to clinician distress is our job, published in JPSM. See also the wonderful conversation in the response letters from multidisciplinary providers (e.g. of course  that's our job! And physicians may not be trained in therapy, but many social workers and chaplains are, and certainly psychologists). A SPACE pneumonic for addressing clinician conflict developed by Sara Johnson, Anne Kelly and others. They presented this at a recent AAHPM/HPNA meeting. See below for what SPACE stands for. We referenced a prior episode on therapeutic presence and creating a holding space with Kerri Brenner and Dani Chammas, and this article by Kerri.  We talked about the role of the consultant, including this classic paper on consultation etiquette by Diane Meier and Larry Beresford. Enjoy! -Alex Smith   SPACE: Navigating Conflict with Colleagues "Between stimulus and response there is a space. In that space is our power to choose our response."   -Viktor E. Frankl SPACE: Conflict Navigation Toolkit Self-awareness: Pause & Notice Before Responding What am I feeling?  Take own temperature. Where am I coming from?  What do I need? Perspective-Taking: Ask-Tell-Ask Where are they coming from? Check your understanding with them. "Tell me how you're thinking about this?" "I hear you are concerned about…is that right?" Agenda: Yours and theirs, then focus on common ground Where are we going together? "It seems like we both want…" Curiosity: Reframe and explore to understand Am I missing anything? Why is this kind, smart & hard-working colleague thinking differently than I am? "To help me better understand, what is your biggest concern about…?"  Empathy: For others: Empathic statements around the situation & silence For self: Your feelings are valid, reflect on it later.  You will misstep in tense moments: apologize, learn from it. Eating helps. Authors:  Ethan Silverman MD University of Pittsburgh Anne Kelly LCSW San Francisco VA Health Care System Jasmine Hudnall DO Gundersen Health System Cassie Shumway MS, RN, OCN, CHPN UW Health Hospitals & Clinics Andrew O'Donnell RN University of Wisconsin Sara K. Johnson MD University of Wisconsin