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Mental health missionary Sarah Tatarski joins Alyssa on this week's episode to discuss options for when weekly outpatient therapy just isn't enough. Sarah discussed her experiences with alternative treatment options such as partial hospitalization programs, ketamine, and alpha-Stim. She also provides new perspectives on navigating some of the major flaws in the mental health system.   Sarah Tatarski's Instagram: @vulnerableandnotafraid  Adult Children of Alcoholics & Dysfunctional Families Info on the Alpha-Stim device   Check out the Light After Trauma website for transcripts, other episodes, Alyssa's guest appearances, and more at: www.lightaftertrauma.com Want to get more great content and interact with the show? Check us out on Instagram: @lightaftertrauma We need your help! We want to continue to make great content that can help countless trauma warriors on their journey to recovery. So, please help us in supporting the podcast by becoming a recurring patron of the show via Patreon: https://www.patreon.com/lightaftertrauma You can also check out Alyssa at www.alyssascolari.com   Transcript: Alyssa Scolari: Hey everyone, this is just a quick note that Sarah wanted me to hop on and let you all know. Sarah's mom was not her abuser, so her father was an alcoholic and he was her main abuser when he was alive. Sarah and her mom have had an enmeshed relationship since she was young. Alyssa Scolari: That caused her mother to be a trauma trigger for her, so she just wanted me to come on and clarify that just so you can know who is who and didn't you know, think that somebody was her abuser when in fact they were not. Alyssa Scolari: So, I hope you enjoy this episode. Alyssa Scolari: Hi, everybody. Welcome back to another episode of the Light After Trauma podcast. I am your host, Alyssa Scolari, and we have a guest episode today. It is so rare that we have guests on the podcast these days, but there is a special person who I met just like Jennifer Burns, which Jennifer, if you haven't listened to older episodes, Jennifer is the woman who we talked about crystals, with and how crystals have been used and have helped her with her trauma recovery. Alyssa Scolari: I met Jennifer just because she was a podcast listener and we connected. And we started talking about a topic that we were really passionate about. And a similar thing has happened with today's guest. Her name is Sarah Tatarski. And I met Sarah basically, through the podcast. She was a listener of the podcast, reached out and we started talking via Instagram. Alyssa Scolari: Now, Sarah is an artist, an aspiring entrepreneur, a cat mom, and a mental health missionary. She recently graduated from college in May of 2021, and has been on a mission since then to work through her core wounds from childhood and early adult life. Alyssa Scolari: After four years of only doing CBT and feeling ready to be deeply challenged, she tried more intensive therapeutic approaches. These include trauma focused treatment centers, family therapy, EMDR, ketamine for major depressive disorder, and the use of a cranial electrotherapy stimulation device called Alpha-Stim. Alyssa Scolari: Sarah recently started a mental health focused Instagram called Vulnerable and Not Afraid, to share her recovery from trauma and educate people on other therapeutic options that have personally helped her. Now, we are talking about a really important topic today, and I know I say that shit every week. So, forgive my redundancy, but you know how I love all things, mental health. Alyssa Scolari: But I think that this is particularly, important because for the last two years on this podcast, we have spoken about therapy and treatment pretty much from like a standard outpatient setting. So, how to process things when you're going to therapy once a week or twice a week in your standard outpatient setting. And that isn't always enough. And there certainly, have been many times where it wasn't enough for me. And I know that there are many people out there that hasn't been enough for either including Sarah. Alyssa Scolari: So, we are talking about different treatment options for when you find yourself in a place where therapy once a week or twice a week is just not enough. So, with that said, I will stop talking and I'm going to turn it over to Sarah. Hi, Sarah, welcome to the podcast. Sarah Tatarski: Hello. I'm excited to be here. Alyssa Scolari: I'm really excited to have you. I know we were actually, supposed to record like a week ago, and then I had COVID and lost my voice and sounded like not even remotely myself. So, thank you for rescheduling and bearing with me. Let's start out by saying, or by me asking you, like, tell me what even makes you passionate about this? If you're comfortable, can you tell me about a little bit of your own experiences? Sarah Tatarski: Yeah, in regards to seeking mental health treatment or my trauma or all of it? What particularly? Alyssa Scolari: Yeah. I think, you have a lot of experience and knowledge on alternative forms of treatment. And so, I guess what my question would be is like, did you get to a certain point in your life where you were like, "Hey, just going to therapy once a week isn't enough for me?" How did you know what was going on in your life? Things like that. Sarah Tatarski: Yeah. So, I've had a couple different, I guess you could say breaking points in my life. The first one was March 2019, and I had to take a medical withdrawal from school, but I instantly, felt better not being in school. The stressors were gone. I said, "Okay, cool. I can manage this." Sarah Tatarski: And I trudged along December 2020 came, I had this dramatic memory that I didn't remember resurface. I was living back at home with my mom and I was just spiraling like crazy. And that's when my... The first time my therapist said, "Sarah, you need to go to this trauma center." And I said, "Eh, we'll see." I told her the memory finally. And then, I felt better again. Sarah Tatarski: And so, I just trudge along, trudge along and finished school. And then, I just completely fell apart because post grad depression is real. I don't think people talk about it enough. They're like, "It's so fun. Oh, my gosh, congrats." And I said, "I'm miserable. And I have no path anymore. And I don't know what the hell I'm doing." And a lot of my friends went through this too, especially us graduated in 2020 and 2021, we were so burnt out from COVID and the huge changes we had to go through. Sarah Tatarski: So, for me, I said, "Oh, I'm going to take a break." And that break turned into me, spiraling constantly. And it just got to a point in end of June where I was not really eating, I wasn't really sleeping. That same memory came nagging at my brain. And my therapist said, "You need to forego your income and just go to a trauma center." And I said, "Okay." Alyssa Scolari: Ah, that's a hard thing to hear. That's a really hard thing to hear. Sarah Tatarski: Yeah, it just got to the breaking point then. And I had moved back home again in May 2021 with my mom, which didn't realize back then, but she was a huge trigger, and I didn't quite grasp why she was. And until later after all these therapies I've done, but I was just absolutely miserable. And I said, "Okay, you know what? I'm finally going to do this. I have the ability to not work. I have really good insurance. I'm going to take advantage of this." Sarah Tatarski: And so, that was the line where I was, I'm just miserable every day in my life to the point where I don't know if I can lip. So, that was my breaking point in June 2021. Alyssa Scolari: So, you're saying like you were at that point where you were like, "I just don't even know if I want to be alive anymore? Like, my safety might be on the line? Sarah Tatarski: Yeah, I think we never struggled with SI, suicidal ideation much, but it was getting to that point where I just felt like, I don't know, can I go forward in life? And that's what motivated me to get different help and more intense help. Alyssa Scolari: Okay. So, I really appreciate that you said that, because I think it's very important to highlight that this country makes it seem like in order. I mean, I guess we can just also start out by saying that the system for higher levels of care, isn't the greatest, it's not the greatest. Alyssa Scolari: And so, on one hand, we shame people from talking about their suicidal thoughts, for fear of them getting locked up. But then, on the other hand, when people have suicidal thoughts, they are often told when they go to a hospital and they want treatment. They're often told, "Well, you actually, have to make an attempt," in order to be hospitalized or in order to not even just be hospitalized, but in order to eventually, get to a treatment center. Alyssa Scolari: So, I think it's really, important that you said, "You know what? I'm not necessarily suicidal. I'm not necessarily a danger to myself, but I'm not okay with the quality of life that I currently have. And therefore, I'm seeking alternative forms of treatment," because you don't have to get to a point where your life is on the line to decide, to seek different forms of treatment. I love that you said that. Sarah Tatarski: Yeah. And definitely, I didn't want to get to that point. And it was teetering between that. I've met friends at my trauma centers who are, have attempted, were attempting, got transferred from intensive care to where I was. And yeah, I don't think it's acknowledged enough that you don't have to be either attempt or actively, planning to seek help because I didn't want to get to that point. I never want to. And I hopefully, never will. Alyssa Scolari: You had mentioned a little while ago that you realized after different types of treatment, that your mom was a trigger for you. And one of the questions I have is, was it difficult for you to go to a treatment while living, because you had lived with your mom while doing some of this treatment, was it difficult to live with somebody who is a trigger while going to a treatment? Because I think a lot of people can probably, relate to that. Sarah Tatarski: Yeah, it was a whole another challenge. I'm in my trauma for, let's see, the first trauma center I went to, I was there from 9:00 to 4:00 p.m. I did therapy three times a week individually. We had groups all day, trauma groups, four times a week and relapse prevention, which was incredible, which by the way, I had no idea what relapse prevention was. And I said, "I don't do drugs." Sarah Tatarski: So, I just laughed it off until I got there and said, "Oh, I have a lot of toxic behaviors that are not related to alcohol or any kinds of other drugs." So, life changing. Alyssa Scolari: Yes. Sarah Tatarski: But just doing that all day and having the realizations that I was having. And then, I come home... And by the way, I didn't mention this. I'm in my childhood house where I experienced my trauma, and that is where I'm living right now. Alyssa Scolari: Oh, my... Okay. Sarah Tatarski: That's a whole another level of, I'm living with a trigger, I'm living in a trigger, and I came home every day and I'm like, "Ah." I'm like running around, like a chicken with its head cut off. I'm freaking out. I can't ground myself. I can't focus on my treatment. And the only relief I got was when I stayed with my friend for a whole week and I was like, "Oh." I can come back, and I just lay in bed. I'm like, "I'm so happy and relaxed." But it was extremely challenging. I don't recommend it. I recommend anyone doing what I did. Alyssa Scolari: Yeah. Sarah Tatarski: I mean, living with your trigger and living in the house you were abused. I recommend trauma treatment. Absolutely. Of course, I wouldn't be on here otherwise recommending it. But it made the process that much harder because there was a point, I told my therapist, I said, "I just want to be a prostitute right now. And move out of my house." And he's like, "Sarah, no." And I'm like, "But that's how I feel." And he said, "I'm not going to act on it." Sarah Tatarski: But that's how overwhelmed I am right now. It's like, I will do anything to get out of my house. Of course, I never acted on it. But that's the thought... Alyssa Scolari: Right. So, the point where... Sarah Tatarski: ... that happened. Alyssa Scolari: ... you're considering. Yeah, you're considering like prostitution or sex work to get out. You're like, "I will do whatever I have to get out of this place." Sarah Tatarski: Which is, there's nothing wrong with sex work. It's just not my... I have too much trauma to engage in that field sex workers. You'll do whatever you want. But yeah, that's just to the point. I was so vulnerable that that's what I was just willing to do. And that's not healthy situation to be in. Alyssa Scolari: I mean, right, exactly. It would be ideal. Again, like you said, there's no issue with sex workers. It's feeling like you're trapped and you're backed into a corner to the point where your only way out is considering an option that you know would be retraumatizing for you. That's when you know all the alarm bells are sounding, you're like, "Okay, I need to do something here." Sarah Tatarski: Exactly. Yeah, it was very intense. Alyssa Scolari: So, then can you talk a little bit about, I guess, let's go in specifically, like where should we start? What type of treatment did you start with? Because I know you've done a couple of different things. Sarah Tatarski: Yeah, there were a lot of things I've done the past year. So, I'll just briefly summarize. And then, if you want to ask more specific questions, we can go from there. But the first thing that I did was in July 2021, I went to a partial hospitalization program at a trauma center here in New Orleans called River Oaks, recommended fully. Sarah Tatarski: So, I wasn't living there. I was there from 9:00 to 4:00 like I had mentioned. You're just there during the day, you don't live in the hospital. It's scary inside. I would not want to... Not wanting to stay there. I did not want to stay there. But... Alyssa Scolari: Scary like hospital setting type like? Sarah Tatarski: Yes, it was cold and there were not a lot of lights, and you went outside or not a lot of windows, and you went outside for like 20 minutes a day. It was like jail. So... Alyssa Scolari: Yes, so many partial hospitalizations, like programs are like that. I've been to one myself and it feels like jail. And I'm like, "Why aren't these a little bit happier? You're trying to help people with their mental health, why do we feel like we're locked up?" Sarah Tatarski: Exactly. So, I did that. And then, once I was done with that program, I started seeing a therapist for EMDR. And then, in December 2021, I went to a residential treatment program called Innova Grace in San Antonio, Texas. And I was doing a lot of EMDR there. I used the [inaudible 00:14:40] bed. I used the Alpha-Stim, which I'm wearing right now, like I mentioned earlier. Sarah Tatarski: And after that, continued to do EMDR, that's what I'm doing with my therapist right now. I started ketamine for major depressive disorder. And now, I'm using the Alpha-Stim again. And forgot to mention on top of that, the past, however many months it's been since August 2021. So, nine months, I've been in family therapy. Sarah Tatarski: So, I'm doing 10 different therapies. And also, I recently, joined Adult Children of Alcoholics group and dysfunctional family. So, I've been going to that support group about every two weeks to every week. So, if you want me to expand on all of that, that's a lot of different treatments that I just mentioned. So, happy to talk about any of it in more detail. Alyssa Scolari: Yes, I have questions. I think the first question is, how did you end up getting involved in, especially in a post COVID world, in Adult Children of Alcoholic support group, because I think that there are many people out there who are listening, who would be very interested in that. Sarah Tatarski: Yeah. So, there are always meetings everywhere in the country and world at all times. And a lot of them are on Zoom now, too, which is great. So, you can just hop on Zoom at any time. And for me, I prefer in-person group. So, I go to the one at the church near my house at 5:00 p.m. on Sundays. Sarah Tatarski: And the way to get involved is to just go to their website, look up Adult Children of Alcoholic/dysfunctional families. And if you want to go to in-person meeting, you can just look up your town and see where it is. And if you don't want to go in-person, you can join literally any group, like from what I've seen online, probably, at least half of them are hybrid. Sarah Tatarski: So, you can go in-person if you want, you can go in Zoom if you want. But oh, when they read the laundry list, I don't know if you've ever read that. It's the 14 traits that you can have as an adult with having a dysfunctional family or an alcoholic. And I fit all 14 traits. So, that's when I knew I belonged. Alyssa Scolari: Oh, I don't think that I've ever read that before, but I bet it would be very jarring for me. Sarah Tatarski: You will be surprised. And when I say all 14 traits, I don't mean I have those now. I mean, at some point in my life, I have all 14 of them. So, even if you have one, I'm pretty sure, they're like, if you have one of these traits, you are welcome here. Alyssa Scolari: Wow. Okay. And for the listeners out there, I will link that in the show notes, the website that you can go and you can check it out because I think it's very important and I know that a lot of you can relate. So, okay, cool. So, thank you for that. Alyssa Scolari: So, now question about, so in terms of EMDR, I have, I think... So, I'm going through EMDR right now and I've been open about my experiences, both on my Instagram and I've shared a little bit on the podcast and we've also had people come on and talk about EMGR. Alyssa Scolari: I guess, the main question I have for you about EMGR because for those of you out there who don't know what it is, I talk about it in depth with a licensed clinical social worker. Her name is Melissa Parks on the podcast, and you can feel free to go and check that out. It is a really fantastic treatment for trauma that focuses on rewiring your nervous system, like your brain. So, for EMGR, did you find that was particularly helpful for you? Sarah Tatarski: It's definitely helped. It's not perfect. Of course, no treatment is perfect, but I've honestly, been only able to work on and am working on two memories. But the thing about these specific memories I'm working on is that, they hold a key to other things that I can't remember. And that's why, my therapist says we're going to keep working on these two. And I'm like, "No, I want to be done with them." Sarah Tatarski: But it's definitely, helped me to calm down in regards to my body not being as reactive. And I've noticed that the first memory that really resurfaced after about eight years and that drove me to get the help that I needed. My reaction to it has gone down a lot. Sarah Tatarski: My bodily reaction, I used to like throw up. I used to not eat. And now, it will come up and I'll be like, "Okay, deep breath. It's okay. You're safe like, that's not happening right now." We've talked... I've talked about it many times. I opened up to friends, I went up to multiple therapists. Sarah Tatarski: And so, I'm able to calm myself down. On the past, I literally, I would line around like running around my house. I don't know what the heck I'm doing. I'm scared, all this stuff. So, I significantly reduce my reactions while, and I don't want people to think that it gets rid of the memory. I think some people are like, "I want to get rid of my memories." And I'm like, "That's not how it works." But it reduces your bodily reaction to it. Sarah Tatarski: And I definitely notice, like I said, I'm not violently reacting, like I used to in the past. So, I found relief with it. My brain also likes to block me thinking about these two particular memories because there's some of the most intense memories I have. But as I continue to work on it, I'm able to be less reactive and process it with my therapist. Alyssa Scolari: Yeah, yeah. No, and I think that's ultimately, right. There's no such thing as a perfect treatment. But EMDR, I think is supposed to be beneficial at just like relaxing your nervous system. So, that like hyper vigilance isn't there as much. All right. So, can you talk about Alpha-Stim, and then there was one other... What did you say in addition to Alpha-Stim? Sarah Tatarski: I've been doing ketamine for major depressive disorders. So, there's that, in addition to the Alpha-Stim, family therapy, and then my trauma centers, and EMDR. Alyssa Scolari: Okay. Sarah Tatarski: Which is all like, they're all interconnected, anyway. Alyssa Scolari: Right, right. And can you talk about Alpha-Stim? Because I think that's a very new term. I'm not even familiar with Alpha-Stim. Sarah Tatarski: I am shocked at, I actually, spoke with a psychiatrist a couple of weeks ago. He monitors me when I'm doing ketamine. And I told him about it. He said, "I've never heard of that." And I'm like, "Whew, this is alarming." I'll go into details about it, but I'll give you a little bit of a history because I was wondering, why is this not talked about every single day? Why is this not open on the market? And I'll tell you this. Sarah Tatarski: So, I read about the history of Alpha-Stim. Yes, I'm a nerd. I read the little pamphlet that came with it. But so, the way that it works is, it uses biophysics and biophysics used to be taught in medical school up until the 20th century. And then, the chemistry took over and they stopped teaching biophysics. Of course, we know that pharmaceutical industry has a huge power over everything in this country. Sarah Tatarski: And so, I found that interesting that they used to teach biophysics, but now they don't. And that's probably, why it's not really mainstream as you would want to call it. But I'll just read you exactly, what they say from the website, because I don't want to give any misinformation to y'all. Sarah Tatarski: So, the way that it works is, it's cranial electrotherapy stimulation, and it uses small electrical currents to stimulate certain brain regions. And these currents mimic the electrical activity naturally occurring in the brain, which in turn regulates the electrical part of the brain's electrical chemical signals. And this is how it helps you to get piece of calm. It basically, regulates you without any drugs, just pure biophysics, which our body is... It's just a huge electrical network. Sarah Tatarski: And that's how they use the power of our body to heal with the Alpha-Stim. And you have to use it consistently, like every day over months to really get the full benefits. But you feel benefits within even like a day, because I hadn't used it in three months since I was at my last trauma center, and I got in the mail about two weeks ago. I put it on my ears and after, I was like, "I feel so much better already." And I forgot how magical this thing is. So... Alyssa Scolari: Wow. Wow. Sarah Tatarski: It's been incredible. I'm sleeping better. I've had one migraine the past 11 days. I usually, get them every single day of my life. So, I'm not making the stuff up whenever I would never tell anybody to go buy a medical device if it didn't work. But I just feel so much better. I feel more rested, because I have chronic pain due to my trauma, and I just feel a lot more content with the past two weeks, which is hard for me to say, usually. Alyssa Scolari: I mean, yeah, that's incredible is this. So, when you say like, I have this and I put it on my ears, like, is it, what is it? Are they just like little like sensory, like clips you put on your ears and you have like a little machine around your neck? Sarah Tatarski: Yeah, it's literally this small. Alyssa Scolari: Wow. Sarah Tatarski: Nobody can see it. It's about the size of like a palm, or like a hand depending on how big your hands are. I know, I have a little... I'm small. So, my hands are a little small, but it's about the size of my hand. And the way that it works is that, you put a solution on your ears, and then you clip the electrodes onto your ear. And it just sounds little, little electrical signal to your ear. Sarah Tatarski: And so, you feel this very mild little prick to your ear, but it doesn't hurt. And that's it. You use it at your house. You can use it on an airplane. You can use it wherever you want to use it. It's just like the size, even smaller than the iPhone. So, it's so easy to carry around if you need it to use it anywhere. Alyssa Scolari: And is there like, is it something that like insurance covers, or do people just buy it out of pocket? Do they have to go through like a therapist or a treatment center or anything like that? Sarah Tatarski: So, from what I know, the only insurance that covers it is TRICARE through the military. And only if you're active duty, will they pay for it in full, which is... Alyssa Scolari: Okay. Sarah Tatarski: ... annoying. So, without insurance, it costs $840. And while it sounds like a lot, the amount of money I've spent going to doctors asking, "What is wrong with me? Why am I in so much pain?" The amount of days I've missed work, the amount of days I've missed out on life, the $840 is beyond worth it. Alyssa Scolari: Yes. Sarah Tatarski: And some insurances may cover it. I don't have that answer. My insurance is really good. And they said, "No." They outright said, "We're not even going to give you money back." And I said, "That's really frustrating." And $840 is a lot for people. It's a lot for me. But I got to a point where I was just breaking down and I was like, "I can't do this. I cannot live like this every day of my life." Sarah Tatarski: And so, I took the plunge, I ordered it, I use it twice a day, and I just, I feel so much better. I can't even emphasize. I wish I could show data to show how much less pain I'm in. But like I said, they have a nine out of 10-success rate, and they've been studying this for over 40 years. So, this isn't something that's new to the market. It's not, "Oh, in 2020 we invented this device." It's 40 plus years of research. Alyssa Scolari: Yeah. And it's infuriating because it's also one of those things where it's like, like you said earlier, why is this not talked about more? And it's like, "Well, because it's so successful." And when it's so successful, who suffers big pharma because people require less and less treatment and medication. And therefore, if you heal, you aren't going to be paying as much money on other forms of treatment like meds. It's very, it's no surprise that it's one of those things that's kept hush, hush because... Sarah Tatarski: Absolutely. Absolutely. Because I'm not going to go too much on the tangent because then we would talk for hours. But the big pharma is based on a subscription model. They want you to be sick for your entire life. Why would they not want you to be? They want you to suffer. So, they make money. And that's why I think, insurances aren't going to cover it because they are very much tied into big pharma, of course. Sarah Tatarski: And so, I tell everybody since I got it the past two weeks, anyone that I meet or who was in my life, I'm like, "Pay the $840 if you can, it is worth every dime." And I would never tell anybody to buy something if I really didn't believe it, because that's not like a $100. That's 840. But... Alyssa Scolari: Yes. Sarah Tatarski: ... Like I said, I mean, I'm sure the amount of us who've been through trauma or even if you haven't been through significant amount of trauma, you probably, have some amount of pain from being on your computer all day. So, I just recommend it to anybody if you're able to afford it or, save up to get it. It's really, been incredible. And I'm so lucky that my trauma center, I went to in December to February had access to the Alpha-Stim for me. Alyssa Scolari: Yeah. That's incredible. And I will also link the website, the Alpha-Stim device on the show notes, so you can check that out. And then, so let's talk about ketamine because this is one that I am more familiar with, but I have not spoken with anybody who has gone through it. So, can you talk about like what it is and what your experience is with it? Sarah Tatarski: Yeah. So, I will say there are different kinds of ketamine treatment. There's the nasal spray, which I do. There's the shot and there's also IV. And I don't know which form is the most intense, but I know that the IV one is you get a very strong high and it's very strong, with Spravato, which is the ketamine that I do. Sarah Tatarski: I do two nasal sprays, one in each nose, and you can go up to three sprays or three doses. Sorry, I don't know how many sprays it is, but I do the two. Some people do three doses. I'm very sensitive to drugs in general. So, I was like, "Let's go with the lower one. I don't want to get too high." I would like to see how I feel first. Alyssa Scolari: Yeah. Sarah Tatarski: So, I started looking into do ketamine last fall and my insurance rejected me. I don't know how I don't qualify for it. I would just spent two months at a trauma center. I don't know how they... Apparently, they didn't want to cover it. I struggled with major depressive disorder. Sarah Tatarski: So, I felt really upset. And then, so kindly the clinic I went to called me and I said, "You know that the Johnson& Johnson Patient Assistance Foundation could help cover you, if you qualify, if you don't make enough money, or if you don't, there's some income bracket level that I'm not 100% sure what it is. And if your insurance denies you, they could consider covering you for up to year, and then renew you. Sarah Tatarski: And so, I applied. I'll be honest, I had been making $0. I'd just come out of a trauma center. So, I definitely knew I would qualify because one, my insurance rejected me. Two, my income was at zero at that point. Alyssa Scolari: Right. Sarah Tatarski: And they sent me a card, and for a full year they will cover it. And all I have to pay is, I think a $25 copay each time because out of pocket, it's like $250. So, I'm extremely, lucky that the J&J Patient Assistance Foundation was covering me. And yeah, I started going in March 2022. It's a big commitment, I will admit that. I don't know what it's like for, like I said, the IV or the shot. Sarah Tatarski: But with Spravato, you have to go twice a week for a month and you can't drive yourself there or back because you're too high. And then, the next month, you only go once a week. And then, after that is maintenance, if you choose. So... Alyssa Scolari: Wow. Sarah Tatarski: During the... Yeah, it's a big commit. During the process, you're just lying in a room for two hours by yourself. At least, that's how my clinic does it. So, I'm just lying there and I'm like, "Hi, hi is heck in." I'm just lying there. And it's a really, nice time to almost meditate or just reflect for two hours. I literally, can't do anything. I'm too high. I can't barely look at my phone. Sarah Tatarski: And it's been nice to have that reflection time, while I'm not exactly sure, exactly if it's benefiting me because it's hard. I had just come from a trauma center. I'm in therapy. I'm in family therapy. I have so many variables in my life that are helping me to heal that I can't exactly say, is ketamine helped me because there's just too many factors in my life right now that are helping me feel better. But that forced relaxation has been a challenge for me, because I struggle with relaxing and forcing myself to just exist in the world and just be... Alyssa Scolari: Right, as to many trauma survivors, yeah. Sarah Tatarski: Exactly. So, that's been one of the most healing aspects of ketamine is just being. I even cried during one session. I was like, "What are these emotions that are just suddenly coming up?" I was like, "This is healthy. What?" Alyssa Scolari: What is this? Yeah. Sarah Tatarski: So, it's supposed to help people who struggle a lot with SI. Again, suicide ideation for people who don't know the shorthand. But I have other friends who've done ketamine in different forms and they say, it has changed their life. Again, too many factors in my life are going on for me to give you a definite answer. Yes, it's helping me. Alyssa Scolari: Hard to say. It's hard to say, yeah. Sarah Tatarski: But just being in that community, going to clinic every week and seeing the psychiatrist and stuff, it's more nice to just like have a little community of little ketamine people and we talk to each other. So, that's been nice. Alyssa Scolari: And there are restrictions because ketamine is a drug. So, are there like, do they do thorough evaluations on like, drug abuse history? Because I would imagine that can be tricky. Sarah Tatarski: Yeah. So, I forgot to mention. Of course, I had to do an evaluation. They had to even diagnose me because technically, I mean, there's a lot of diagnoses that I have that are not diagnosed officially. So, they had to do that to make sure, and then send that evaluation to my insurance and be like, "Hey, she has major depressive disorder." Sarah Tatarski: As a former... If you're a recovering drug addict, you can still do ketamine, but you have to be heavily much more monitored than me for who doesn't have a history of drug abuse. But definitely, they're not just throwing it around and saying, "Oh, yeah, everybody can do ketamine." Even if you have major depressive disorder, they need to clear you to make sure that you won't relapse or that you're being monitored on different levels to know that you're okay throughout the process and not going to relapse into a drug addiction. Alyssa Scolari: Now, do you know like, okay, so EMDR helps relapse your nervous system. And similarly, do you know how ketamine is supposed to work like on the body? Sarah Tatarski: Yes. So, I was always thinking ketamine was a psychedelic, but it's not. It slows down the brain and that's what it does. It just slows everything down. You're like in a drunken state while you're in the room. And I think that feeling of, "Oh, I have time to really think and just exist in the world and relax and think about things in a different way. Instead of, with trauma, our anxiety is so high. Sometimes, we can't even think straight. We're just like, ruminating, ruminating, intrusive thoughts all the time. Sarah Tatarski: And yeah, that's how it worked. It slows down the body. And I should mention that, if you're on antidepressants, they want you to continue to stay on those throughout the process. They don't want you to get off of it. And personally, I'm not on an antidepressant right now, but I still qualified because I had tried two different medications and it didn't help me. Alyssa Scolari: Okay. Sarah Tatarski: So, if you have tried two different anxiety medications or depression meds and it didn't work, you can qualify. So, that's why I qualified. But they want you to stay on your antidepressants. And the other thing about Spravato is that, they say, "We don't exactly know what it does. We just know it helps." And so, welcome to big pharma, guys. They don't exactly know what happened... Alyssa Scolari: Yeah, you know it helps. Sarah Tatarski: But they say, "Hey, it helps." So, I'm not complaining. But yeah, you have to be on or continue to remain on your antidepressants throughout the process. They don't want you to cold quit in the middle of ketamine. Alyssa Scolari: Okay, yeah, yeah. I would imagine there's also still so much research to be done about it because I do think it is newer. Sarah Tatarski: Yeah, Spravato was approved I believe in 2019. So, it's very new... Alyssa Scolari: Okay. Sarah Tatarski: ... compared to other drugs. Alyssa Scolari: Yup, very new. And a lot of studies have been on halt because of the pandemic. So, we're still learning. We're still learning. Now, I do have one final question for you, if you don't mind. And this is partially, a question that I have personally, but also a question I think a lot of other people will have. Alyssa Scolari: So, in going to different forms of therapy, right? It sounds like you have had good experiences, but I know that there are so many people out there who have tried alternative forms of therapy and have had bad experiences and places that are poorly run, places that do more harm than good. I know that have certainly, been the experience for myself and many others. What is some advice that you can give people who I think are just feeling down and out about the quality of mental healthcare that they've experienced? Sarah Tatarski: You have to go in with an open mind because these places are run by humans. I mean, like I said, at the first trauma center I went to, it was almost like a jail. And I left, thank God at 4:00 every day, I did not have to sleep there. And there is some stuff that would go down at night, for sure. Sarah Tatarski: Everybody in there has trauma and things happen. So, I think for me, none of the places I've been to, none of my therapists have been perfect. Perfection actually, doesn't even exist in the world. So, doesn't want to say that. But, I mean, of course, if there's abuse going on, if there's emotional abuse or physical abuse from the staff and staff, I'm not saying, "Oh, go in with an open mind," just ignore it. Alyssa Scolari: Right. Sarah Tatarski: But I just know that if you go in thinking that everything's going to be exactly right, everything's going to run smoothly at whatever care center you're at or whatever treatment you do, the reality is that, it won't. And you'll probably, be disappointed. I mean, there are definitely flaws at places that I've been to. Sarah Tatarski: The place I was just at, called Innova Grace. I have had tremendous healing from them. But there's things that could be worked on. Absolutely, could be worked on to make it an even better program. But there are some things I just had to let go because I knew that doing therapy at Innova Grace twice a week and getting EMDR and I was in Texas. So, I was away from my mom. I was away from my childhood home. I was so grateful to be there, and to be able to have that help, that there are some things, if it wasn't overly concerning that I just had to let go in the moment. Alyssa Scolari: Yeah. Sarah Tatarski: And I would complain, I would speak up if there's something that made me uncomfortable and there were things that did change. And sometimes, it didn't. But I also think another thing is, people might be disappointed in alternative treatments because you put in most of the work, if not all of it, therapists are there to guide you. Sarah Tatarski: And I think that's something, I was naive in believing when I was younger, even probably, like two years ago, not even that long where I thought, "Oh, why isn't this therapist fixing me? Why isn't she doing this? Why X, Y, Z and all this stuff?" I was like, "Therapy only works if you're as honest as you are. If you are, if you hold things from your therapist, you're not going to make any progress. If you keep rejecting the way that you behave and act and that how resistant you are to treatment, you're not going to get better. You can't blame the treatment center. You can't blame your therapist. Of course, again, some therapists suck. I just had a really, awful one from September to December. She told me... I said... Alyssa Scolari: Gosh. Sarah Tatarski: ... "I just, I feel like I can't go in public. And I feel like I can't do things by myself. And I'm just, I'm so upset. I don't know what's wrong with me." And she said, "Just do it." Alyssa Scolari: Oh, wow. That's great advice. Thank you, I never thought of that before. Sarah Tatarski: So, again, I just want to restate, there are people that are super problematic and there's abuse in some of these places, there are. And I'm not saying to go in and be like, "Oh, yeah, ignore it and disassociate from it," which is probably, how you coped this long. Don't do that. But it is run by humans and it is how much you contribute. Sarah Tatarski: Because like I told you, before we started recording, one of my therapists, I told her, I said, "I'm really open." And she called me out and she said, "No, you're not, you're not open." And I'm like, "I got so guarded, and I'm like, whatever." And then, I thought about it and I said, "She's right." And that's how we proceeded forward. I was able to really, work with that therapist and get through so many deep things because I was just completely, honest with her and I let myself cry. Sarah Tatarski: So, that's my advice, be open minded, just know the process isn't perfect. If there are major concerns, voice them. If things don't change, then maybe you need to try a different area, like a different place, a different therapist. And you have to contribute your full honesty and vulnerability to it, or else you will not heal. That's something that I wish I had known when I was 19, when I started the journey. Alyssa Scolari: That is incredible advice. All of it, I agree. I mean, you said it perfectly, you said it perfectly. And I want to thank you for coming on the show because this is something that's really, important to talk about. It's something that you spoke a lot of hard truths that people I think really need to hear, hey, including myself. We all need to hear a lot of this stuff and it's also very inspiring. Alyssa Scolari: And I think it certainly, has given me a lot of hope for the future and for my own recovery. And it's hope that we wouldn't have without your willingness to be vulnerable and come on here and talk about it. So, thank you so, so much. I know that I mentioned Sarah's Instagram in the beginning of this episode, which the name is? Can you give the name one more time? Sarah Tatarski: Vulnerable and Not Afraid. Alyssa Scolari: Vulnerable and Not Afraid. You know that will be in the show notes for today's episode. And I just want to say thank you again for coming on the show today. Sarah Tatarski: Yeah, it was so great talking to you, and I'm happy to answer any of the listeners questions if they directly message you or you can directly message me on my Instagram, I'm happy to do a call or send a voice memo, share resources. That's, I mean, the whole reason I started the Instagram, partly for myself to remind myself, "Hey, this is where I've been." And to help others realize that antidepressants and once a week therapy are not the only choices out there. Alyssa Scolari: Amen. Amen. Thank you so, so much, Sarah. Sarah Tatarski: Yeah, no problem. Alyssa Scolari: Thanks for listening, everyone. For more information, please head over to lightaftertrauma.com or you can also follow us on social media. On Instagram, we are @lightaftertrauma. And on Twitter, it is @lightafterpod. Lastly, please head over to patreon.com/lightaftertrauma to support our show. We are asking for $5 a month, which is the equivalent to a cup of coffee at Starbucks. So, please head on over. Again, that's patreon.com/lightaftertrauma. Thank you. And we appreciate your support.

Here is part four ("Skeletonization") of my new novel, MAGGOTS SCREAMING!, narrated by John Wayne Comunale. "On a hot summer weekend in San Antonio, Texas, a father and son bond after discovering three impossible corpses buried in their back yard." Order a signed paperback of MAGGOTS SCREAMING! here: https://perpetualpublishing.com/product/maggots-screaming/  Browse GHOULISH BOOKS: http://ghoulishbooks.com/  Join the GHOULISH discord: https://discord.gg/C6KnYq3P8w  Join The Ghoulish Times: https://theghoulishtimes.substack.com/ Join Dog Ears, a writing & publishing newsletter: https://dogears.substack.com/  Attend GHOULISH BOOK FESTIVAL 2023: http://ghoulishbookfest.com/  Support us on Patreon: https://www.patreon.com/pmmpublishing Theme song by Heathenish Kid

Hablamos con Carlos Carcedo del área educativa de CELDA y la directora Maria Amelia Villariño del Instituto San Antonio.

Juan O'Savin discusses the importance of putting God first, then takes us on a dive deep into the heart of election fraud and what we all can expect in the coming months.    Juan sheds light on the shadow government and the unseen missions operating in order to reclaim America's truth and power, and how we can live as a free and sovereign nation under God.    We anchor the vital need to be in right relationship with God during these bizarre and chaotic times, the reality of our strength and unity as a nation, and the inevitable shifting that is occurring as we awaken to the truth and justice that grows in response to the detriment and darkness of those who would see us suffer and succumb to fear.    We must all stand in faith, and in God's truth, take back control of our lives, and hold fast in God's greater plan, for we were made for a time such as this.  In today's episode:  [1:24] Shemane introduces her friend and today's guest  [2:11] Juan and Shemane exchange hunting stories and wisdom  [7:28] Baptism by fire, hunting, and rigged elections,  [13:00] The coming of a new world legal environment reality, full circle predictions, saving America, and looking to God as your guru  [17:42] The morphing of America and the changing of her seasons  [19:23] Keeping God at the forefront and the spirit of Freedom  [20:50] What we can do as individuals to prepare, staying in faith in defiance of the fear narratives, and America's near death experience  [25:14] Shadow government, the flipping of our current reality, the resolution of the election fraud, and the importance of 2020 [33:45] The inner knowing of the greater changes happening, staying alert and prepared, the dangers of complacency, and taking accountability for the current reality we are facing  [37:10] Being your own hero and the power of discernment  [41:30] Shemane shares a powerful story of a soldier and his family, and what she built for burn victims at the Brooke Army Medical Center in San Antonio. [45:59] Esther 4:14, fighting as you have trained, the maturation of the situation, and the nonlinear upcoming events [50:34] Juan offers a closing prayer of empowerment, protection, and alignment with God's divine plan Connect with Shemane:    Get Wildly Well & join Shemane's private coaching community  at shemanenugent.rocks   Toxic Mold Help   Check out Shemane's book :  "4 Minutes to Happy"   Shemane Social Media Facebook: @shemane.nugent Instagram: @shemanenugent Youtube: /shemane Truth Social/shemane   Listen On: Rumble Libsyn Apple Podcast Podbean

GEICO - Do you own or rent your home? Sure you do! And it's hard work. But you know what's easy? Bundling with GEICO. Go to GEICO.com, get a quote, and see how much YOU could save. It's GEICO-easy!  RECTEQ - Visit recteq.com and use the code BISCHOFF to get 5% off SITEWIDE! That's 5% off their top-notch wood pellet grills, one-of a kind RECTEQ ICER coolers, chef-tested rubs and sauces, accessories, merchandise, everything, 5% off!  CARSHIELD - CarShield helps protect my wallet from expensive car repairs, and they'll do the same for you! Go to CarShield.com/Podcast to start your plan and lock in your pricing forever. A deductible may apply. FEALS - It's time to say no to sluggish days and restless nights with Feals Focus Melts! Become a member today and save 50% off your first order of Focus Melts and get free shipping by going to Feals.com/83WEEKS and using code 83WEEKS at checkout. As a member, you'll save money on every order and you can easily pause, swap or cancel at any time. WOOOOO WINGS - Wooooo! Wings, a virtual restaurant concept from The Man himself, the Nature Boy Ric Flair. Enjoy the legendary flavors and world championship wings by ordering with your Uber Eats or Postmates app.  Wooo Wings is now open in Nashville, San Antonio, Jacksonville, Florida as well as Huntsville and Tuscaloosa in Alabama, with many more locations coming soon.  Try the only chicken wings worthy of carrying the name of the 16x World Heavyweight Champion.  SAVE WITH CONRAD - If you have credit card debt or in a 30 year loan? Well, we can help you get out of that pinch and save money at the same time! Head over to SaveWithConrad.com for a quick quote.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

DeMarcus Harris named Head Football at Mesquite after serving as the defensive coordinator for Cedar Hill High School and helping the team to a Texas state football championship runner-up in 2020. Coach Harris is completing his 14th year in education as a teacher and coach and his passion for teaching and coaching show through in the details of how he runs his program. He sat down with us at the THSCA Coaching School in San Antonio to talk about how he develops the people in his program. Shownotes: -Focus in the off season -The qualities oof a good coach -Influence of Carlos Lynn -Developing the assistant coaches -Mentoring young coaches -Don't run to programs; run to people -Why drop coordinating as the HC? -Managing the game - working with coordinators -Practice - managing player load -Cater to the learner -Studying practice -Strength in-season: get stronger -Walk thru -Next man up -Wrap up of camp -Play-offs - a new season -Winning edge - love Related: Erik Korem - Scripting practice https://soundcloud.com/user-804678956/avoid-the-first-game-conundrum-erik-korem-former-director-of-sports-performance-houston-banners

In western San Antonio, Kyle Sinclair is running for Congress and hoping to flip a blue district red. He plans to use his real-world experience in the healthcare industry to address medical price transparency and other critical issues. Thanks for joining me for this episode! I'm a Houston- based attorney, run an HR Consulting company called Claremont Management Group, and am a tenured professor at the University of St. Thomas. I've also written several non-fiction political commentary books: Bad Deal for America (2022) explores the Vegas-style corruption running rampant in Washington DC, while The Decline of America: 100 Years of Leadership Failures (2018) analyzes – and grades – the leadership qualities of the past 100 years of U.S. presidents. You can find my books on Amazon, and me on social media (Twitter @DSchein1, LinkedIn @DavidSchein, Facebook @AuthorDavidSchein, YouTube user/ClaremontManagement). I'd love to hear from you! As always, the opinions expressed in this podcast are mine and my guests' and not the opinions of my university, my company, or the businesses with which I am connected.

Columnist Gilbert Garcia hosts a panel including metro editor Greg Jefferson, investigative reporter Brian Chasnoff, and city hall reporter Megan Stringer. Send in your questions comments or concerns to the show at the following link! https://www.expressnews.com/projects/2022/ask-puro-politics/widget/

Columnist Gilbert Garcia hosts a panel including metro editor Greg Jefferson, investigative reporter Brian Chasnoff, and city hall reporter Megan Stringer. Send in your questions comments or concerns to the show at the following link! https://www.expressnews.com/projects/2022/ask-puro-politics/widget/

Father Nathan Castle graduated from Trinity University in San Antonio and entered the Dominican order in 1979. He received MA and Master of Divinities degrees from the Dominican School of Philosophy and Theology in Berkeley, California. He was Director of the Catholic Communities at Stanford University and Arizona State University. He believes the Holy Spirit has given him a “night job” of helping souls who died suddenly and violently find afterlife peace. He is the author of “And Toto, Too: The Wizard of Oz as a Spiritual Adventure” and “Afterlife, Interrupted (Books 1 and 2): Helping Stuck Souls Cross Over.” ------------------------------- As of this moment, we have over 50 hours of premium videos available at path11tv.com, with new videos added regularly. Watch Path 11 TV wherever you want, on the iPhone, AppleTV, Android, Amazon Fire, and Roku Apps.

Dr. Bruce B. Baird is a 1980 graduate of the UT Health Science Dental school in San Antonio. After graduation he spent 4 years in the U.S. Army in Korea and at Ft. Sam Houston in San Antonio. After leaving the service he built a scratch dental practice in the small town of Granbury Texas. Over 36 years he grew the practice into a multi doctor multi-million-dollar business with revenues in 2019 of over 5 million dollars. Dr. Bruce visits with Mark Alyn on this edition of the show.

I'm quite literally sheltering inside today because the Canadian equivalent to the European heatwave is hitting Toronto right now. Not loving days at 40c, and it isn't cooling off much at all at night. So I'm one of the lucky ones who can sit indoors in relative comfort (I really don't have enough AC for this weather) and do indoor things. Its crazy, but not unexpected when I look at the entire east coast of the US and see that the heat is with us from San Antonio to Quebec City. Lights Of Euphoria - Puppeteer (Popcorny)Matt Hart - Absolute Zero (Rotersand)Ego Bliss - Victims Of Deceit (Electrovot)Chainreactor - Cannon FodderPsy'Aviah - The Wildness In Me (Cyborgdrive)Voicecoil - If/WhenCubic - Argon (Club)Nano Infect - Evil Supreme (Detroit Deisel) http://synthetic.org/https://www.instagram.com/djtodd242/https://twitter.com/djtoddrsahttps://www.youtube.com/c/RealSyntheticAudio

Dr. Bruce B. Baird is a 1980 graduate of the UT Health Science Dental school in San Antonio. After graduation he spent 4 years in the U.S. Army in Korea and at Ft. Sam Houston in San Antonio. After leaving the service he built a scratch dental practice in the small town of Granbury Texas. Over 36 years he grew the practice into a multi doctor multi-million-dollar business with revenues in 2019 of over 5 million dollars. Dr. Bruce visits with Mark Alyn on this edition of the show.

On this episode of Locked On Spurs, host Jeff Garcia welcomes San Antonio Sports Star's Jack Thompson to put in focus Spurs' Keldon Johnson as he gets set to take the reigns as the new go-to guy in San Antonio. Support Us By Supporting Our Sponsors! Built Bar Built Bar is a protein bar that tastes like a candy bar. Go to builtbar.com and use promo code “LOCKED15,” and you'll get 15% off your next order. BetOnline BetOnline.net has you covered this season with more props, odds and lines than ever before. BetOnline – Where The Game Starts! Learn more about your ad choices. Visit podcastchoices.com/adchoices

On today's episode, Dr. Danny Sanders joins the show for the first time. Danny's been a Spurs fan in San Antonio for 34 years, had season tickets for years, and has some knowledge about the inner workings of the Spurs organization. We discuss the San Antonio Spurs and the final years of the Spurs Dynasty. He and I also have some conversations about the 5-part Documentary Series I made, and talks about how fans lived through that era of the Spurs. He also tells us how Spurs Twitter forced Uncle Dennis to deactivate his Twitter Subscribe to our new Podcast series. The Fall of the Spurs Dynasty on Apple Podcasts Part 1: The Greatest Dynasty in North American Pro Sports – The Fall of the Spurs Dynasty Part 2: Gregg Popovich – The Fall of the Spurs Dynasty Part 3: Kawhi Leonard – The Fall of the Spurs Dynasty Part 4: What Happened in 2018?? – The Fall of the Spurs Dynasty | Podcast on Spotify Part 5: The Fall – The Fall of the Spurs Dynasty | Podcast on Spotify CKSAML Productions This show is presented by BetOnline Sportsbook. Use Code “BLEAV” for a 50% bonus on your initial deposit

Carlos Lynn was the defensive coordinator for Cedar Hill in 2006 when the team won their first state title. Now, as head coach, the team has a chance to win again. Coach Lynn Lynn spent nine years at Cedar Hill before leaving to become the head coach at Seguin. He's spent the past eight years leading Seguin, a role he didn't expect to leave until he was offered the opportunity to come back to, “the place where I think I established most of my coaching roots.” He joins us in San Antonio at the Texas High School Coaches Association Coaching School to talk about his program and now he manages al aspects as the head coach Shownotes: -Never follow a legend/following Joey McGuire -The opportunity to continue to grow -Discipline and structure -Be champions in all areas of life -The vital things -A full-service program -Finding the right coaches -Coaching the coaches -Longhorn speed -Solving problems -Using the benefits of technology -What great coaching looks like -Closing the gap -Game day - be a master of situational football -Managing the emotions of the team -Time management “junior high quarter” -Winning edge - six phases of development Shownotes: -Never follow a legend/following Joey McGuire -The opportunity to continue to grow -Discipline and structure -Be champions in all areas of life -The vital things -A full-service program -Finding the right coaches -Coaching the coaches -Longhorn speed -Solving problems -Using the benefits of technology -What great coaching looks like -Closing the gap -Game day - be a master of situational football -Managing the emotions of the team -Time management “junior high quarter” -Winning edge - six phases of development

Here is part three ("Active Decay") of my new novel, MAGGOTS SCREAMING!, narrated by John Wayne Comunale. "On a hot summer weekend in San Antonio, Texas, a father and son bond after discovering three impossible corpses buried in their back yard." Order a signed paperback of MAGGOTS SCREAMING! here: https://perpetualpublishing.com/product/maggots-screaming/  Browse GHOULISH BOOKS: http://ghoulishbooks.com/  Join the GHOULISH discord: https://discord.gg/C6KnYq3P8w  Join The Ghoulish Times: https://theghoulishtimes.substack.com/ Join Dog Ears, a writing & publishing newsletter: https://dogears.substack.com/  Attend GHOULISH BOOK FESTIVAL 2023: http://ghoulishbookfest.com/  Support us on Patreon: https://www.patreon.com/pmmpublishing Theme song by Heathenish Kid

Last November, Robert Santos became the first Latino to be confirmed as the Director of the U.S. Census Bureau. Santos is no stranger to the federal agency. Before his nomination and confirmation, Santos had warned that former President Donald Trump's interference of the census count would result in one of the most flawed census counts in U.S. history. Census counts are important because they help determine congressional representation and how billions of federal dollars are distributed. In this conversation with Maria Hinojosa, Santos shares the census' complicated history, his efforts to rebuild trust among communities, his love for his hometown of San Antonio and more.

Robert Elder and Stephanie Paxton are the founders of RoPax Reality Group! With over 650 million in home sales and 40+ years of combined experience these luxury agents are at the top of their game! In this episode we'll learn about Robert and Stephanie's careers along with the secrets to their amazing success in San Antonio!    Follow TM3 on social media: Instagram: https://www.instagram.com/thetomasmartinez/ Facebook: https://www.facebook.com/thetomasmartinez/ Twitter: https://twitter.com/tomasm_3 Linkedin: https://www.linkedin.com/in/tomasmartineziii/

Interoperability. Let's just review a few key points that probably everybody listening knows but certainly bear repeating because they matter. I don't want to dig into the technical or regulatory details of interoperability. That is above my pay grade. But I want to talk about the really important stuff that maybe doesn't get talked about a whole lot because you say the word interoperability and it's like the magic word that transports the unwary into the land of shadow and smoke and mist. It's like a self-published YA (young adult) novel half the time. But let's start here: First of all, consider that a lot of healthcare these days is conceived of as a scattering of micro-moments. It's not even like we think of patients one at a time. We think about patients one ICD-10 code at a time. And we think about those ICD-10 codes in 20-minute increments whenever a patient happens to show up in clinic. The average Medicare patient these days sees five specialists and more than one PCP a lot of times. So, we're not only breaking that patient down into codes per minute or something, but this is further broken down by clinician or practice. Now consider that everybody knows—and when I say everybody knows, I mean it's inarguable at this point—health happens at the whole-patient level, at the whole-person level, more accurately. It happens at the community level: 80% of patient outcomes are going to derive from what that patient does when they leave the office and whether they are able to and health literate enough to construct a reconciled treatment plan for themselves from the bits and pieces of information they've received scattered all over the place. You know in Star Trek when someone gets into the transporter to beam down to a planet and their whole body splinters into a gazillion little pieces? That's how our healthcare industry treats patients. They are frozen in that moment and rarely, if ever, become whole on the other side. So, when we talk about interoperability, what we're really talking about is a means to an end. What we are discussing is creating the ability to treat the whole patient or—Heaven forbid!—consider the whole community because we have enough data that we can accurately and adequately see the whole picture. We are able to avoid prescribing a treatment that is dangerous to the patient, inefficient, duplicative, or low quality—which is what happens over and over again. It's no amazing surprise that our healthcare industry wastes $1 in $4 we spend and doesn't net outcomes that are great in almost any respect when compared to other countries. Let me say this more bluntly, as if that wasn't already pretty blunt: If I don't know relevant and important details about my patient, then I cannot consistently deliver care that is high quality, safe, or cost conscious due to service duplication or uncoordinated care. I mean, how is anybody supposed to deliver evidence-based care when a lot of evidence may or may not be missing? So basically, without interoperability piping in the right patient information, I cannot succeed in any risk-based arrangement, right? If care provided is consistently lower quality, uncoordinated, unsafe, or inefficient, how am I supposed to optimize my care delivery? Said another way, interoperability is essential for anybody who wants to succeed in a value-based arrangement. I need all the data on my patients, and I need it in a way that I can separate the signal from the noise. Of course, getting 40 pages of duplicative SOAP (subjective, objective, assessment, and plan) notes that are semi-accurate and that no one bothers to look at is just unhelpful. Quick counterpoint: FFS (fee for service) loves siloed data. You know how much money everybody talks about could be saved if we eliminate duplicative services? Well, that's how much some fee-for-service health system is gonna lose if you make it easy for clinicians to see that the patient already got that CAT scan. So, in sum, interoperability is essential to high-quality, safe, and efficient care. A mark of a health system or provider practice who is really committed to patient outcomes is going to be their commitment to share data. The world has moved from a “Hey, you're permitted to share data if you really want to” to a “You are obligated to share your data.” And right now, I am loosely quoting Micky Tripathi, PhD, MPP, who is the ONC's (Office of the National Coordinator for Health Information Technology) national coordinator and also the guy in charge of TEFCA (Trusted Exchange Framework and Common Agreement) and implementing the provisions against information blocking that was in the Cures Act Final Rule last year. In this healthcare podcast, I am speaking with the perfect person about interoperability, and that would be Lisa Bari, who is the CEO of Civitas Networks for Health, which is a national collaborative working to improve interoperability in this country to improve health. Since interoperability is a huge topic, what I wanted to understand from Lisa most particularly are: Who are the current roster of players in the interoperability space? Like, what is going on there? Lisa told me that there are four main groups of interoperability folks—EHR (electronic health record) systems; APIs (application programming interfaces); HIEs (health information exchanges), both profit and nonprofit; and then others like clearinghouses, etc—which we talk about in some detail in this episode. We also discussed Larry Ellison's bold proclamation that Cerner is going to build one national medical records database. It's almost like Larry made it through the “welcome to the healthcare briefing” packet that his team gave him and immediately concluded that the interoperability problem is a technology problem, not a business case, fee-for-service, workflow, no universal ID, human, organizational, or government problem. Lisa adds some fidelity there.  Also, TEFCA … we talk about what it is and what it's not. Short version: It's a framework so that no one can say they won't share data lest they get in trouble in some way. At the same time, it's not gonna solve, as Lisa puts it, “the last mile of interoperability,” meaning it's not going to put the right information in the right clinician's hands at the right time. It just governs getting data from one organization to another organization but kinda has nothing to do with the clinical workflow, so to speak. The Civitas Networks for Health annual conference, by the way, is coming up on August 21-24 if you are interested in going.  You can learn more at civitasforhealth.org.  Lisa Bari, MBA, MPH, is the inaugural CEO of Civitas Networks for Health, a national nonprofit member- and mission-driven organization that was previously known as the Network for Regional Health Improvement and the Strategic Health Information Exchange Collaborative. Civitas counts over 100 multi-stakeholder-governed regional health improvement collaboratives and health information exchanges as members and creates national opportunities for education and community building between its members, policy makers, and business partners. Their upcoming conference (August 21-24, 2022, in San Antonio or via livestream) focuses on the theme of data collaboratives and information exchanges creating the critical infrastructure for health equity. Previously, Lisa was the health IT and interoperability lead at the CMS Innovation Center, working on primary care innovation model policy, and additionally has a background in health IT marketing and strategy. She holds an MBA from Purdue University and a Master of Public Health in health policy from the Harvard TH Chan School of Public Health and serves on the boards of directors of HealthCare Access Maryland and the Zorya Foundation.  06:30 How does value-based care depend on interoperability? 07:38 Why is it really important to exchange information at the right time with the right purpose? 08:00 What is one of the easiest low-hanging fruit to achieve in value-based care? 09:42 What are the four kinds of companies getting into the interoperability space? 11:51 “As we know, there's sort of technical interoperability … and then there's semantic interoperability.” 12:59 Where are we right now with EHR basic interoperability? 15:33 Who should ACOs hire to get the right data at the right time? 17:00 Why is it important to delineate the different types of HIE? 22:09 What can ACOs assure with interoperability? 22:59 Is the demand among ACOs for interoperability there? 24:04 “If you're in value-based care, you better care about what's happening outside of the healthcare setting.” 24:36 EP108 with Chris Klomp.26:25 “Every couple of years, someone talks about creating the ultimate database to rule them all. … It hasn't happened yet, and I don't think it's going to happen.” 26:56 “The difficult thing about healthcare data … interoperability … is an organizational and a governance problem.” 28:49 “You've gotta start with the incentives … and then you do have to say … ‘We are not gonna hoard any more data.'” 29:10 What is TEFCA, and how does it fit into this interoperability conversation? 32:17 “I think partners are trying to solve for value and outcomes.” You can learn more at civitasforhealth.org.  @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth How does value-based care depend on interoperability? @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth Why is it really important to exchange information at the right time with the right purpose? @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth What is one of the easiest low-hanging fruit to achieve in value-based care? @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth What are the four kinds of companies getting into the interoperability space? @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth “As we know, there's sort of technical interoperability … and then there's semantic interoperability.” @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth Where are we right now with EHR basic interoperability? @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth Who should ACOs hire to get the right data at the right time? @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth Why is it important to delineate the different types of HIE? @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth What can ACOs assure with interoperability? @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth Is the demand among ACOs for interoperability there? @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth “If you're in value-based care, you better care about what's happening outside of the healthcare setting.” @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth “Every couple of years, someone talks about creating the ultimate database to rule them all. … It hasn't happened yet, and I don't think it's going to happen.” @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth “The difficult thing about healthcare data … interoperability … is an organizational and a governance problem.” @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth “You've gotta start with the incentives … and then you do have to say … ‘We are not gonna hoard any more data.'” @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth What is TEFCA, and how does it fit into this interoperability conversation? @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth “I think partners are trying to solve for value and outcomes.” @lisabari of @civitas4health discusses #interoperability on our #healthcarepodcast. #healthcare #podcast #digitalhealth   Recent past interviews: Click a guest's name for their latest RHV episode! Betsy Seals (EP375), Dave Chase, Cora Opsahl (EP373), Cora Opsahl (EP372), Dr Mark Fendrick (Encore! EP308), Erik Davis and Autumn Yongchu (EP371), Erik Davis and Autumn Yongchu (EP370), Keith Hartman, Dr Aaron Mitchell (Encore! EP282), Stacey Richter (INBW34), Ashleigh Gunter, Doug Hetherington, Dr Kevin Schulman, Scott Haas, David Muhlestein, David Scheinker, Ali Ucar, Dr Carly Eckert, Jeb Dunkelberger (EP360), Dan O'Neill, Dr Wayne Jenkins, Liliana Petrova, Ge Bai, Nikhil Krishnan, Shawn Rhodes, Pramod John (EP353), Pramod John (EP352), Dr Eric Bricker

We went to Lollapalooza 2022! On the way we stopped at breweries, coffee shops, and a beach. We reviewed it all.

Hoy La Tribu con Felipe del Campo, Rafa Beato, Roberto Mateo e Iván San Antonio. Dirigidos por Ángel Rubiano. See omnystudio.com/listener for privacy information.

San Diego Loyal head coach Landon Donovan discussed the amazing feeling of winning on the road, fan support & preparing for first place San Antonio.

On this episode of San Antonio Changemakers, Jonathan Gutierrez joins the podcast to talk about his experience in NLC-San Antonio. From NLC Bio: Jonathan Gutierrez (he/him) is an organizer, educator, and voting rights advocate. He is passionate about developing young leaders in Texas, engaging in year-round community organizing, and in building long-term power in communities of the global majority. In his current role at MOVE Texas, Jonathan works to coach, support, and develop community organizers across South/Central Texas who engage in year-round peer-to-peer voter registration, voter mobilization, and power building campaigns in youth communities. Jonathan is motivated in his work by his belief in the transformative power of community, mentorship, and collective action. He is a proud graduate of Texas A&M International University and a proud alumnus of AmeriCorps Vista. Jonathan was born and raised along the Rio Grande, in Laredo, Texas and surrounding communities, but currently lives in San Antonio, Texas. He enjoys organizing around the issues that matter most to him, regularly tackling creative personal projects, and spending quality time with his friends, family, and being the very best tío John to his very funny and very huggable 3-year-old nephew. Learn more about NLC San Antonio: https://www.newleaderscouncil.org/chapter/san-antonio/ Apply: https://form.jotform.com/220935355779064 Donate: https://www.newleaderscouncil.org/donate/ Nominate a Leader: https://www.newleaderscouncil.org/nominate-a-leader/ --- Support this podcast: https://anchor.fm/sapodnetwork/support

On this episode of Pay Attention To Me, Dené recaps her weekend in San Antonio then doles out advice that people actually asked for! She provides her insight on confidence, conflicts, and more. Do you need some nice advice? Send me a message so I can answer on a future episode! XOXO Pay Attention To Me IG: https://www.instagram.com/payattentiontomepodcast/ @payattentiontomepodcast FB: https://www.facebook.com/patmpod Dené IG: https://www.instagram.com/denes3art/ @denes3art --- Send in a voice message: https://anchor.fm/patmpod/message Support this podcast: https://anchor.fm/patmpod/support

I've always said to look to Alex Jones as the precedent for what will happen to future American-loving citizens, his current trial is no different. If you're unaware what's going on or have questions surrounding the due process violations of Jones' trial, we'll be joined by constitutional lawyer, Robert Barnes, to discuss it all.  OLDE COUNTRY SOAP: https://www.oldecountrysoap.com/ (Use Coupon Code: "SAV" for 20% off!) FOLLOW ME: TRUTH SOCIAL: https://bit.ly/SavSays RUMBLE: https://rumble.com/user/Sav_says INSTAGRAM: https://www.instagram.com/savwith1n/ YOUTUBE: https://youtu.be/Z0648S5A38A  SUPPORT MY WORK: PAYPAL: https://www.paypal.com/paypalme/savsays WEBSITE: https://www.savsaysofficial.com/ MAILING ADDRESS: 10730 Potranco Rd Suite 122 Box 499 San Antonio, TX 78251

Join us for this episode of the True Crime Society Podcast as we discuss Vacation Nightmares – Part Two.   Japanese woman Atsumi Yoshikubo travelled alone to Yellowknife, Canada.  She wanted to see the Northern Lights.  Interestingly, Atsumi planned her trip for the off-season, when many of the tourist attractions were closed.  In eerie final footage, Atsumi was spotted on CCTV purchasing souvenirs.  Hotel staff raised the alarm when she never checked out of her room.  Her belongings were neatly packed, but there was no sign of Atsumi.  Her remains were eventually found on a hiking trail – did Atsumi take her own life?  Or was foul play involved? Christe Chen married Bradley Dawson in February 2022 after a whirlwind romance – they planned their wedding in under a month.  The couple had been married for 5 months when they travelled from the US to Fiji for their honeymoon.  They were staying at the exclusive Turtle Island Resort, where villas cost over $3,000 per night.  The couple only enjoyed two days in paradise before Bradley was found drunk and injured on a neighboring island.  When staff entered the couple's villa, Christe was found, beaten to death and surrounded by blood.  Her husband Bradley has been arrested and is currently in custody in Fiji.  Americans David and Michelle Paul tried to take a child-free vacation once a year, to get some much-needed couple time together.  They traveled to Fiji and also only had a few days to enjoy paradise.  Both David and Michelle became very sick, very quickly.  They were treated by medical staff on the island, but both passed away within days of each other.  Causes of death for the couple have never been made public – were they poisoned? In this episode, we also discuss updates to the case of Christina Lee Powell.  Christina was missing for three weeks before her body was found in the passenger seat of her vehicle in a mall parking lot in San Antonio, TX. Read our blogs for these cases – TrueCrimeSocietyBlog.com This episode is sponsored by: Microdose Gummies - Go to microdose.com and use code TCS for 30% off your first order of THC gummies. Thuma – Create that feeling of checking in to your favorite boutique hotel suite, but at home, with The Bed, by Thuma. And now go to Thuma.co/CRIME and use the code CRIME to receive a twenty-five dollar credit towards your purchase of The Bed plus free shipping in the continental U.S.     Babbel – Start your language-learning journey today with Babbel.  Goto Babbel.com/tcs for up to 60% off your subscription.  Babbel – Language for life. June's Journey – There is a detective in all of us!  Available on Android and iOS mobile devices, as well as on PC through Facebook Games.    

Most of us know that the lives of women and girls under extremist regimes are harsh and often cruel and unfair. Many families fled Afghanistan in the last couple of years as the Taliban has taken full power. But what happens when those families are faced with an all new set of crises in America? We first give ourselves a crash course in "what is even Taliban?", then introduce a little girl missing out of San Antonio named Lina Sardar Khil. Know of a missing woman's story you think needs attention? Email us at someplaceunderneith@gmail.com Intro by Devin Castaldi-Micca, ft. "Subway" by The Lunachicks Flowerhead - Pondering My Orb (https://www.youtube.com/channel/UCXb6QLCaLxjvucwNlQuS2gg) Licensed under Creative Commons: By Attribution 3.0 License creativecommons.org/licenses/by/3.0

On this show Jake educates Kirk on what exactly a reverse mortgage is, how it operates, the different types, when one should consider a reverse mortgage, and other types of loans one might consider prior to going the reverse mortgage route. *“Tax preparation, planning, IRS representation, and business valuation services offered through iFile Tax Planning and Preparation Services are separate and unrelated to Commonwealth.” Have questions about managing your financial lifestyle? Email Jake@youandifinancial.com and Jake Rivas may read your questions on the show! Follow Jake on Twitter and Facebook @jakestwocents Securities and advisory services offered through Commonwealth Financial Network, Member FINRA/SIPC, a Registered Investment Adviser. Fixed insurance products and services offered through CES Insurance Agency.  Actual performance and results will vary. These interviews do not constitute a recommendation as to the suitability of any investment for any person or persons having circumstances similar to those portrayed. Consult a Financial Advisor regarding your specific circumstances. I*financial is located at 1901 NW Military Hwy. STE. 102. San Antonio, TX 78213. Phone number 210-342-4346

For this mid-week episode Brett talks with Rocky and Isaac from San Antonio, Texas based metal band Plague! #plaguetx #texasmetal #supportlocal #heavymetal #hornsup #stayevil   Merch: www.PlagueTX.comFacebook: www.Facebook.com/PlagueTXInstagram: www.instagram.com/plague_txTwitter: twitter.com/Plague_TXYoutube: www.youtube.com/channel/UCLrjaPqYYLM4kwIMEPZVKPwApple Music: https://music.apple.com/us/album/beautiful-agony-single/1628377238Spotify: https://open.spotify.com/artist/5iM6YCLwD9uWF6zlFgQN1l?si=ewqiISa4TfCR48tyhnKB6gTidal: tidal.com/browse/album/232534630Deezer: https://deezer.page.link/dRTcYvGnZ47fSjMZ9

San Antonio Winery, Inc. v. Jiaxing Micarose Trade Co.

Hello friends! Legendary drummer, Thommy Price is my guest for episode 1191! There is no doubt that Thommy Price has has been the drummer on some of your favorite songs including, "The Warrior" by Scandal, "Rebel Yell" by Billy Idol, "I Hate Myself For Loving You" by Joan Jett, "Heaven" by The Psychedelic Furs and so many more. In 2020, Thommy moved from NYC to San Antonio for a more mellow life and playing with The Broken Things, Patricia Vonne and Danny B. Harvey and is available for remote recording sessions. If you would like to get Thommy to play drums on your track or want to find out more about this amazing musician go to thommyprice.com. We have an incredible conversation about growing up in Brooklyn and Staten Island, the 70's scene in NYC, recording "The Warrior" and "Rebel Yell" at the same time, his decades with Joan Jett, recording with his hero Roger Daltrey, beating cancer, moving to Texas and much more. I had an amazing time getting to know Thommy. I'm sure you will too. Let's get down! Get the best, full-spectrum CBD products from True Hemp Science and enter code HDIGH for a special offer from How Did I Get Here?

A 39-year-old Texas mom who was last seen leaving her San Antonio home on her way to work in early July has been found dead inside her car. KENS5 Anchor and Reporter Henry Ramos tells us about the Chrissy Powell case. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Key Points, Top Takeaways and Memorable Quotes - “The more I learned, the more I wanted to learn and to just be able to go deeper and deeper with the clients that I had and to offer, you know, them the deepest level of support and to be able to approach all of these things that they were dealing with in their body from a functional level.”  3:27“When we spend an excessive amount of energy, this is when we meet resistance, this is when we meet burnout and exhaustion because we are wasting this energy doing things in a way or doing things that we weren't designed to do and being things we weren't designed to be.”  7:21“For those who don't know what human design is, it is basically the energetic blueprint of your soul, it is who you were designed to be.” 8:12“One misconception that people have about gut health is that it's just like if you're bloated or constipated or you have diarrhea, like then my gut's messed up when there's so much more to it than that.” 26:24“For those listening, if you don't know what gut microbiome is, it's all the bacteria, the enzymes, the parasites, all the things that are going on in your gut.” 27:35“If I could give advice to my younger self, I think my advice would be to love myself.” 38:09Guest Bio - Hope is a certified Holistic Nutritionist, nutrition coach, Functional Diagnostic Nutrition Practitioner (FDN-P), as well as a comprehensively certified Pilates instructor and founder of inBalance studio.She helps women heal their body, repair their gut, and balance the mind and live in alignment. Hope is also a host of the fast-growing Podcast "Hopeful and Wholesome." Show Notes - 0:00 - What I Meant to Say Podcast Intro0:23 - Introducing Hope0:42 - Welcome and Thank You For Being Here Today, Hope1:23 - Background on Nutrition Journey: Started with Dancing4:53 - How Did You Get into Human Design? What is it?6:57 - Wellness through the Lense of Human Design10:48 - Explain How You Use Human Design with Your Clients11:30 - We'll Start with the Generators12:52 - Manifestors15:33 - Manifesting Generators18:13 - Next is Projectors20:44 - 1% of the Population are Reflectors23:15 - What are the Functional Things You Tell Your Clients so They Can Learn How to Read Their Energy?25:20 - Gut Health and Microbiome: Unhealthy to Thriving29:12 - Vagus Nerve and the Nervous System32:14 - Advice for the Borderline Burned Out Woman36:18 - BB Commercial36:27 - Where Are Your Studios Located?37:57 - One Piece of Advice40:25 - How Did You Turn That Corner to Self Love?43:11 - Where Can People Find You?43:39 - Thank You43:51 - WIMTS Podcast Closing Links & Where to Find Hope - Studio in San Antonio, TXIn Balance Studios - https://www.inbalancestudios.comLive Wholesome and Healthy Facebook GroupIG - @thehopepedraza

July's Market Update!

SD Loyal travelled home from Orange County with all three points, setting the stage for a massive showdown this Saturday night against San Antonio at Torero Stadium. Episode #28 of the Always Loyal podcast delivers sounds from bus rides to/from OC and from inside the stadium. Enjoy! See omnystudio.com/listener for privacy information.

The news of Texas covered today includes:Our Lone Star story of the day: Same ol' unreliable federal judge, Lee Yeakel, issues a ridiculous ruling that Texas cannot require the verification of voter registration resident addresses of those registering with a post office box. LULAC and Voto Latino sued over the issue making one wonder where the “minority” issue is with this law?Our Lone Star story of the day is sponsored by Allied Compliance Services providing the best service in DOT, business and personal drug and alcohol testing since 1995.City of San Antonio, despite all it's Leftist leadership and propaganda, is trying to get the feds to limit the number of illegal aliens sent there – even suggesting they might bus people back to Laredo, Del Rio and elsewhere.City of Hondo council, all but one, folds to anti-freedom agitators using the Uvalde school shootings to get the city to cancel its agreement for the local Friends of the NRA annual event to be held in a city managed facility. The Friends of the NRA is the not-for-profit arm of NRA that raises money for  the proven and lauded Eddie Eagle gun safety program for children. Read about it here.And, other news of Texas.Listen on the radio, or station stream, at 5pm Central. Click for our affiliates.www.PrattonTexas.com

Following the lead of cities including Austin and Denton, officials in San Antonio and Dallas are considering local ordinances that would decriminalize abortion. A similar measure in El Paso recently failed on the tie-breaking vote of its mayor. As drought persists, levels in Lake Travis have dropped near 50%, leading to concerns about boating safety. Meanwhile, swimming has been declared off-limits at Wimberley's Blue Hole due to high bacteria levels and low visibility. Jurors in the Alex Jones defamation trial have been told that members of the families of Sandy Hook shooting victims are suffering from PTSD, and have been placed under secure isolation after "encounters" with presumed Jones supporters in Austin. Austin ISD police Lt. Wayne Sneed has been selected as the district's first Black chief of police. A rash of burglaries has struck a series of pet grooming salons in Austin. H-E-B has issued a recall for half-gallons of its Creamy Creations light mint chocolate chip ice cream, as it contains wheat, but does not bear an allergy label. Austin ranks #4 on a new list of the most insect-infested U.S. cities. The Mohawk live music venue and Breakaway Records are collaborating on a new high-fidelity vinyl bar on Austin's Music Lane in SoCo. Westlake Chaparral and new Clemson Tiger QB Cade Klubnik has won his second Offensive Football Player of the Year award in this year's USA Today High School Sports Awards Show.

Dr. Jason Powers and Julie DeNofa are joined by Steven W. Murphy. Steve has been in the chemical dependency field for over 34 years and is a Licensed Chemical Dependency Counselor (License 4923) and Advanced Alcohol and Drug Counselor(1299-0900). His experience includes both direct clinical and administrative functions in Inpatient treatment centers, Outpatient treatment programs, Group practices, and Corrections services. Steve has a long history in addiction counselor training, consulting, and counseling for adults, adolescents, impaired professionals, and criminal justice clients. He started contacting probation and parole departments in 1983 to offer services to criminal justice clients who needed help overcoming addictions. He was the owner of Alamo Recovery Centers, Inc., which contracted with state and county criminal justice departments to provide outpatient services as an alternative to incarceration from 1994 until 2001. They opened 3 offices and were treating 250 clients per month. He was also the president of the Bexar County Treatment Coalition – an agency comprised of local inpatient and outpatient treatment programs focused on maintaining high-quality services to criminal justice clients from 1998 to 2002. Steve was the coordinator of Celebrate Recovery, a Christian 12-step program that encompasses all forms of addiction, from 2002 until 2005. ​​ Steve is currently in private practice at Alamo City Treatment Services providing evaluations for anyone arrested in any state for alcohol or drug-related incidents, custody issues, the Board of Nursing, Pharmacists, Doctors, Dentists, CPAs, Attorneys, Clergy, FAA INS, Department of Defense. He was the director of the San Antonio branch of the Institute for Chemical Dependency Studies, a proprietary school, training students to become Licensed Chemical Dependency Counselors from 2004-2015, and is the Director of Addiction Counselor Training School in San Antonio since 2016, and the Houston school opened in 2019. He is currently an intensive outpatient program affiliate of Positive Recovery, LLC. The intensive outpatient program provides 9-14 hours per week of education, individual therapy, family therapy, and group therapy. Positive Recovery - San Antonio is part of a large network of drug and alcohol treatment providers offering 1 inpatient hospital and 11 intensive outpatient service agencies throughout Texas, based on the 12 steps and Positive Psychology. Topics Discussed: How spirituality is a powerful force in our lives and in recovery Shifting the perspective from “I have to” to “I get to” Using the Positive Recovery approach to find solutions Learning to slow down, take a pause, and stay present Connect with Steve Murphy: Call: (210) 541-8400  Email: steve.murphy@positiverecovery.com  Counselor Training - San Antonio: https://www.facebook.com/myacts.training/  PRC - San Antonio: https://www.facebook.com/PositiveRecoverySanAntonio/  LinkedIn: https://www.linkedin.com/in/steve-murphy-65310931/  Alamo City Treatment Services: https://www.facebook.com/pages/Alamo-City-Treatment-Services/147340145696530  Connect with Positive Recovery Centers: Instagram: https://www.instagram.com/positiverecoverycenters/  Facebook: https://www.facebook.com/PositiveRecoveryCenters/  Facebook Group: https://www.facebook.com/groups/577870242872032  LinkedIn: https://www.linkedin.com/company/positiverecoverycenters/ Pinterest: https://www.pinterest.com/positiverecoverycenters/  YouTube: https://www.youtube.com/channel/UC4JcDF1gjlYch4V4iBbCgZg  Contact Positive Recovery Centers: If you or someone you know needs help, visit the website, or call the number below to schedule an assessment. We are here to help.  Call: 877-476-2743 Address: 902 West Alabama Street Houston, Texas 77006 Website: https://positiverecovery.com  Services: https://positiverecovery.com/services/  FAQ: https://positiverecovery.com/faq/  ---  About Positive Recovery MD Podcast: The Positive Recovery MD podcast is hosted by Dr. Jason Powers, Addiction Medicine Specialist and creator of Positive Recovery.  This podcast will not only inspire and motivate its listeners, but it will also provide the tools and foundation needed to thrive and flourish on their addiction recovery journey. Each week the Positive Recovery MD podcast community will come together to have authentic conversations around addiction, Recovery, and what matters – growth & progress, not perfection, all while developing positive habits for your life.  To join the community, visit https://lp.constantcontactpages.com/su/OtK48nO/dailypositiverecovery to sign up to receive the daily Positive Intervention that we'll review and gain access to EXCLUSIVE Positive Recovery content available only to Positive Recovery MD listeners. About Positive Recovery Centers: Positive Recovery Centers is a strengths-based addiction treatment program with locations across Texas. We offer a full continuum of care, from medical detox to sober living, all supported by an ever-growing alumni community network.  Our evidence-based curriculum blends the best of the old with the new, supporting our mission: that Recovery is best pursued when meaningful, intentional positive habits are formed through empowerment and resilience instead of negativity and shame.

It's been a grueling season for AJ's St. Mary's squad.  Spirits are low.  Exhaustion has creeped in.  The Regional Competition is around the corner – and the case packet has just dropped. If they win in Houston, they advance to Nationals.  Lose, and they go home. And standing in their way is perennial nemesis, Baylor University.  The odds are low, but when the finals are held on a Sunday, anything can happen.  Learn more about the schools, programs and special guests: St. Mary's University Law School  Texas Young Lawyers Association  University of Houston Law Center American Board of Trial Advocates Baylor Law School South Texas College of Law University of Texas, Austin, School of Law  Follow us on Twitter @ClassActionPod and Instagram @ClassActionPod Visit our show page for transcripts and more details about the series at ClassActionPod.com Follow host Katie Phang on Twitter @KatiePhang and Instagram @KatiePhang.See omnystudio.com/listener for privacy information.

To understand the current problems we are facing today, we have to look to the past. A past where people could more openly speak truth, where we didn't cater to mentally ill adults who act like children and where men and women adhered to their traditional gender roles. FOLLOW ME: TRUTH SOCIAL: https://bit.ly/SavSays RUMBLE: https://rumble.com/user/Sav_says INSTAGRAM: https://www.instagram.com/savwith1n/ YOUTUBE: https://youtu.be/Z0648S5A38A  RUMBLE: https://rumble.com/v1efwol-a-society-founded-upon-lies-will-crumble.html  SUPPORT MY WORK: PAYPAL: https://www.paypal.com/paypalme/savsays WEBSITE: https://www.savsaysofficial.com/ MAILING ADDRESS: 10730 Potranco Rd Suite 122 Box 499 San Antonio, TX 78251

Alan Haire On today's episode Keith sat down with Alan Haire, Head Coach Killeen Chaparral, in SanAntonio at the THSCA Coaching School to about the Slot-T and how he coaches the unique offense, as well as the approach he's taken in starting a program at a new high school. Shownotes: Teaching them to make good decisions Build person first Start-up at brand new high school Mental toughness as a priority Everyone has a fresh start Running the slot t Using a 4 point stance Advantages of Slot T What makes Slot T difficult to prepare for Keying guards or backs Determining trap, power game, or G Elements of the offense Commonalities of the offense Personal for the offense QB must be a leader The four point stance Install plan Getting good and adding as the kids can handle it Keeping it simple and maximizing reps Slot T theory of game planning Prepping the defense The “Fun Team” Handling growing pains Studying in the off season Winning edge CoachTube: Slot T Practice Planning https://bit.ly/3Qi8Rea Texas Slot T Game Planning https://bit.ly/3zs4mXt Texas Slot T Tempo Offense https://bit.ly/3d1LhUk Twitter: @CoachAHaire Related - Rice OL Coach Sanders Davis: https://soundcloud.com/user-804678956/all-in-on-offense-short-yardagegoal-line-heavy-sets-sanders-davis-rice

Animal neglect calls to Animal Care Services have increased in San Antonio. High temperatures are affecting pets just as much as their human counterparts. Veterinarians across the city are treating animals with burned paws and heat exhaustion. Even responsible pet owners have unknowingly left pets outside in the sun for too long with little to no shade.

In this week's episode, your host Kat sits down in the Bridal Buzz studio to talk to Clarke Finney of KENS 5 morning show, Great Day SA, and her now husband Esai Romo to learn all about how they met, their engagement, and all the inspiration behind their beautiful San Antonio wedding. ------------------------------------------ Keep up with Bridal Buzz as they explore the San Antonio Weddings scene: https://www.bridalbuzz.com​ or find them on social media: Instagram: https://www.instagram.com/bridalbuzzsa Twitter: https://twitter.com/bridalbuzzsa Facebook: https://www.facebook.com/bridalbuzzsa/ TikTok: https://www.tiktok.com/@bridalbuzz Pinterest: https://www.pinterest.com/sanantonioweddings/ Find all the best vendors, inspiration, and advice for your San Antonio Wedding at https//www.sanantonioweddings.com/ ------------------------------------------ Thank you to today's sponsor, Hyatt Hill Country Resort and Spa, learn more about them here https://sanantonioweddings.com/vendor-profile/hyatt-regency-hill-country-resort/

Sam and Emma break down the biggest headlines of the day as primaries begin – including a Roe referendum in Kansas – and Pelosi arrives in Taiwan. Sam and Emma first dive into DeSantis' decision to disobey federal protections for LGBTQ students, increasing monkeypox numbers, and the assassination of Ayman Al-Zawahiri, before they dive deep into today's Arizona primaries, including the absurd race for the Republican nomination for Governor and the Kelly vs Masters head-to-head for the senate. They also touch on the massive impact of the Dobbs decision on Democratic voters' enthusiasm to turn out in the midterms (with likely voters up from 29-64%), look at both sides of the Missouri senate race, Donald Trump's endorsement of the one and only “ERIC!” and explore why Democrats are throwing their weight behind GOP primary challenger John Gibbs. Next, they look at the common theme among Democratic primaries that boils down to “progressive jew vs. AIPAC-funded conservative,” with a bit of a focus on Andy Levin's fight in Michigan, before having an extended discussion on Kansas' reproductive rights referendum, the fight to get Democrats out with few Democratic primaries in the state, and the general role that the shadow of Dobbs will play in the midterms. And in the Fun Half: Emma and Sam host John from San Antonio's in-depth primary preview, from Kansas' referendum to the net gains to expect from Democrats in Congress and Progressives writ large, Brandon Straka can't believe his friends are upset with his conversation with the DOJ and puts a trigger warning for “honesty” in his public response. Gregory from Oklahoma dives into his recent campaign setback and their direction moving forwards. Lefty Luci discusses Texas' power grid, Ari from Georgia discusses right-wing extremism and fending off the black pill, and Lauren Boebert denounces the dog-eat-unarmed dog world of communist Venezuela. Bestie from North Dakota has an extended conversation on engaging with conservative family members in a post-Roe world, plus, your calls and IMs!   Become a member at JoinTheMajorityReport.com: https://fans.fm/majority/join Subscribe to the AMQuickie newsletter here: https://am-quickie.ghost.io/ Join the Majority Report Discord! http://majoritydiscord.com/ Get all your MR merch at our store: https://shop.majorityreportradio.com/ Get the free Majority Report App!: http://majority.fm/app Check out today's sponsors: ZBiotics: Go to https://thld.co/zbiotics_majority_0722 and get 15% off your first order of ZBiotics Pre-Alcohol Probiotic by using my code MAJORITY at checkout. Thanks to ZBiotics for sponsoring today's video! Nutrafol: You don't have to choose between better hair growth and your health. There's a holistic solution for men that promotes both healthier hair and whole-body wellness: Nutrafol. Nutrafol is the #1 dermatologist-recommended hair growth supplement, clinically shown to improve your hair growth, thickness, and visible scalp coverage. You can grow thicker, healthier hair AND support our show by going to https://nutrafol.com/men/ and entering the promo code MAJORITY to save fifteen dollars off your first month's subscription. This is their best offer ANYWHERE and it is only available to U S customers for a limited time. Plus, FREE shipping on EVERY order. Get FIFTEEN DOLLARS OFF at https://nutrafol.com/men/ promo code MAJORITY. Follow the Majority Report crew on Twitter: @SamSeder @EmmaVigeland @MattBinder @MattLech @BF1nn @BradKAlsop Check out Matt's show, Left Reckoning, on Youtube, and subscribe on Patreon! https://www.patreon.com/leftreckoning Subscribe to Discourse Blog, a newsletter and website for progressive essays and related fun partly run by AM Quickie writer Jack Crosbie. https://discourseblog.com/ The Majority Report with Sam Seder - https://majorityreportradio.com/

Returning to running post-COVID, and understanding exactly what COVID and long-COVID can do to our bodies, has become one of the most important topics in running. With that in mind, one of the leading voices on long-COVID in the country, someone who has also qualified for the Boston Marathon, joins us on the show. It was an absolute honor to speak with Monica Verduzco Gutierrez, MD. In this episode, Monica talks about recovery from COVID, why it impacts individuals differently, guidelines to returning to exercise, "radical rest," how HR can play a role in the recovery, what long-COVID is and how it can be addressed, and so much more. Dr. Monica Verduzco-Gutierrez is an accomplished academic Physiatrist and Professor and Chair of the Department of Rehabilitation Medicine at the Long School of Medicine at UT Health San Antonio. She previously was the Medical Director of the Brain Injury and Stroke Program at a top three US News and World Report Best Hospital for Rehabilitation. Dr. Gutierrez grew up in South Texas, then moved to Houston where she earned her undergraduate degree at Rice University, her medical degree at Baylor College of Medicine, and completed her PM&R residency training at the Baylor College of Medicine-UT Houston Rehabilitation Alliance. She excitedly moved to San Antonio to lead the distinguished Department of Rehabilitation Medicine in 2020. Her area of clinical expertise is the care of patients with traumatic brain injury, stroke rehabilitation, and interventional spasticity management. During the COVID-19 pandemic, she has developed a Post-COVID Recovery Clinic to aid in the rehabilitative recovery of patients with functional, mobility, and cognitive deficits after infection with coronavirus. She is now one of the leading voices in the country on this topic. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today's episode is with Head Coach at Lubbock Christina Chris Softley. Softley is a graduate of Abilene Christian University and Nebraska Wesleyan, where he played college football, has coached for eight years, including the last three at Sunnyvale HS, where he was the basketball coach and an assistant football and track coach at the 3A school. He was named a 40 under 40 coach by Dave Campbell's Texas Football. He continues to wear several hats at Lubbock Christian as the AD/Head Coach, as well as calling both offense and defense on game day. He sat down with Keith at the Texas High School Coaches Association Coaching School in San Antonio to discuss how calling both sides of the ball works for his program, making it family friendly, and methods for teaching. Shownotes: -Calling both sides -Truly keeping it simple -Not caring who gets credit -The height of complementary football -Being aware of their “fatigue meters” -Family friendly weekends -Saturdays 8-noon then family lunch -Using technology to make family time -Trust people to do their jobs as professionals -Coaches retreat -Camp install plan -special teams is a one rep max-out -teaching to learning styles -Having method to meetings -Bell ringers for football -Check for understanding -Chris Beard -Plan for walk thru -Water breaks at a white board -No 2-a-days -Handling load and next man up -Walk thru Wednesday -The winning edge - unity Related: Avoid the First Game Conundrum - Erik Korem, Former Director of Sports Performance, Houston Texans https://soundcloud.com/user-804678956/avoid-the-first-game-conundrum-erik-korem-former-director-of-sports-performance-houston-banners Adjustments Period https://soundcloud.com/user-804678956/rob-everett-bridgewater-va No Sweat and Fast Practice Formats: https://soundcloud.com/user-804678956/no-sweat-and-fast-friday-practice-formats

Fresh back from his San Antonio, TX comedy tour Comedians Darren Carter and Mike Blacktalk BBQ, Buc-ees, Mi Tierra, Las Palapas, Rental Cars, Cracker Barrel, Canes, and much much more!AUGUST 4-7 TK's Comedy Dallas, TexasAUGUST 17-18 Off The Hook Naples, FLKeep moving forward and do something positive for yourself everyday.Thanks for watching my comedy clips, Pocket Party Podcast and Vlogs. Have a great day! Every time you tell someone about me, share a video, or click the "Like" button It helps.So THANK YOU!Have a great day and keep shining!