Podcasts about Spontaneous

Step into a candid, juicy, and deeply liberating conversation with Karen Bigman, midlife sex and relationship expert, certified sex educator, and menopause coach, on this episode of Intimate Conversations: Dark Night to Divine Light. Karen is the host of Taboo to Truth: Life & Sex After 50, a shame free space for honest conversations about sex, desire, dating, relationships, menopause, and intimacy after 50. Karen shares the unexpected journey that brought her into this work, beginning with a book club moment when a grown woman could not say the word "blowjob." Combined with reconnecting with an old flame, discovering the realities of menopause, and a life changing visit to a sexual medicine practice, that moment sparked a calling she never saw coming. We explore the changes that happen in midlife bodies and relationships, including menopause, perimenopause, hormone therapy, and shifting libido for both women and men. Karen offers a shame free approach centered on communication, body awareness, pleasure over performance, and emotional connection, reminding us that great sex is a full body, full heart experience. The conversation also dives into foreplay as an all day practice, what Karen calls "sex snacks," and the difference between spontaneous and responsive desire. Allana vulnerably shares her own experience of introducing her Yoni to a partner for the first time, opening a deeper conversation about asking to be honored rather than waiting for someone else to know what we need. We also talk about: ● Why your sex span should equal your lifespan ● How men can better support partners through menopause ● Spontaneous versus responsive desire ● Why women have affairs to leave and men have affairs to stay ● Sex snacks and keeping intimacy alive outside the bedroom ● Porn, the death grip, and difficulty reaching orgasm ● Religious shame, guilt, and learning to let go in the body ● Introducing your Yoni to a partner as an act of sacred honoring ● Tantric sex, connection, timing, and trust ● Alternative relationship structures and honest communication ● Why judgment is the enemy of pleasure and curiosity is the cure ● How suppressed sexuality can come out sideways ● Raising sexually healthy children who become open adults This episode is a reminder that pleasure is not a luxury. It is a birthright. Our bodies, at every age and stage, are worthy of attention, tenderness, curiosity, and delight. Karen makes it easier to laugh, exhale, ask the questions we were never taught to ask, and reclaim a vibrant intimate life at any age. ABOUT KAREN BIGMAN Karen Bigman is a Sexual Health Alliance Certified Sexuality Educator, menopause coach, intimacy and relationship coach, and host of Taboo to Truth: Life & Sex After 50. After navigating her own midlife transition, divorce, dating, and changing desire, she became passionate about helping people understand the physical, emotional, and hormonal shifts that can affect intimacy after 50. Karen's mission is simple: to help people have great sex for the rest of their lives. Her work combines education, humor, lived experience, and shame free conversations to help people communicate better, understand their changing bodies, and create more connected relationships. CONNECT WITH KAREN Website: www.taboototruth.com Instagram: @taboototruth YouTube: @taboototruthpodcast LinkedIn: www.linkedin.com/in/karenbigman Free Resources: www.taboototruth.com/free-resources

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll

Millions of people live with chronic spontaneous urticaria (CSU) — unpredictable hives and angioedema lasting six weeks or longer with no identifiable trigger. In this episode of the Science of Skin podcast, board-certified dermatologists Dr. Ted Lain and Dr. Michelle Tarbox (Chair, Department of Dermatology, Texas Tech University Health Sciences Center, and host of the Dermosphere podcast) break down what CSU actually is, why it's often misdiagnosed as an allergy, and how it's treated — from first-line antihistamines to omalizumab (Xolair) to the newest option: Rhapsido (remibrutinib), the first oral BTK inhibitor approved for CSU.In this episode, you'll learn:How CSU is diagnosed and why it's classified as a skin disease, not a true allergyThe autoimmune vs. autoallergic subtypes driving chronic hives and angioedemaWhy antihistamine updosing often falls short — and its impact on quality of lifeHow BTK inhibitors like remibrutinib (Rhapsido) work differently than biologics like omalizumabReal patient stories on the toll of chronic hives, misdiagnosis, and finding reliefThis episode is sponsored by Novartis with content independently created by the Science of Skin podcast:Have a question or an idea for a future episode? Email us at inquiry@scienceofskinsummit.com.If you enjoyed this episode, please subscribe, leave a five-star rating, and tell a colleague or friend — word of mouth is how this podcast grows.Topics: chronic spontaneous urticaria, CSU, chronic hives, urticaria treatment, angioedema, BTK inhibitor, remibrutinib, Rhapsido, omalizumab, Xolair, antihistamine-resistant hives, dermatology podcast, autoimmune skin disease

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll

Come Together by Emily Nagoski, PhD: An audiobook summary and review by StoryShots. Spontaneous desire is a myth. This book summary on Come Together reveals how responsive intimacy transforms relationships.

Chelsea wants to plan a last minute trip to Ibiza, but can she convince James to stay in this unusual accomodaiton? PLUS, things get messy when James tests Chelsea on her gadget knowledge!Reminder, we're now on YouTube! Head over to @holidayexpertshow to catch the latest episodeDownload SAILY in your app store and use our code HOLIDAYEXPERT at checkout to get an exclusive 15% off your first purchase! For further details go to https://saily.com/holidayexpert Hosted on Acast. See acast.com/privacy for more information.

How do you actually initiate sex with your partner? It sounds simple, but for many couples, making the first move can be surprisingly awkward, vulnerable and even scary. In this episode, we get into why sexual initiation can become so difficult and what you can actually do about it. We discuss the loneliness epidemic and changing dating habits, before getting into the bigger question: how do we ask for sex without making it feel like a high-stakes negotiation? Drawing on ideas from Emily Nagoski's Come As You Are, we explore spontaneous and responsive desire, the "accelerators and brakes" that influence libido, and why initiating sex can start hours before you ever get into bed. We talk about: Why so many couples struggle to initiate sex How fear of rejection can make making a move feel terrifying Why sex can start with connection, safety and feeling understood Using love languages as a form of everyday intimacy and foreplay Spontaneous vs responsive desire How long-term relationships can change the way we experience sexual desire How having children can completely reshape your sex life Why asking your partner how they like to be initiated with could change everything How to communicate about sex without pressure, expectation or mind-reading And then we hit the watershed. The first half of this episode is available to everyone, but if you want to hear the more personal, intimate and unfiltered conversation - including our own stories about sexual initiation - you'll need to head over to Patreon for the full episode. So whether you've been together for ten years, you're newly dating, you're navigating parenthood, or you're simply wondering how to make the first move without dying of embarrassment… this one's for you. Follow us on Instagram: ⁠⁠@comecurious⁠⁠ and DM us your questions, stories and voicenotes! Follow Florence ⁠⁠@florencebark⁠⁠ Follow Reed ⁠⁠@reedamberx Learn more about your ad choices. Visit megaphone.fm/adchoices

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll

After years of hearing traumatic birth stories and questioning whether parenthood was right for her, Heidi Gustad entered pregnancy determined to make informed decisions every step of the way. When she was diagnosed with insulin-managed gestational diabetes, debilitating migraines, and a rare umbilical cord abnormality called an umbilical vein varix, the birth center birth she had envisioned was suddenly no longer an option.   In this episode, Heidi shares how evidence-based education, a supportive care team, and careful preparation helped her navigate unexpected changes with confidence. She and Dr. Dekker discuss what it was like to advocate for herself through multiple diagnoses, switch care providers late in pregnancy, and prepare for a hospital birth while still hoping for an unmedicated labor. Heidi also shares the surprising series of events that led to spontaneous labor before her scheduled induction, and how she welcomed her baby after a fast, nine-hour labor.   (01:36) Overcoming a lifelong fear of pregnancy and choosing parenthood (05:13) Navigating migraines, gestational diabetes, and changing providers (08:52) Risking out of birth center care and finding the right hospital (11:11) Understanding a rare umbilical vein varix diagnosis (17:47) Building confidence through education, advocacy, and a supportive birth team (21:59) Preparing for birth with physical therapy, acupuncture, and evidence-based resources (25:50) Spontaneous labor begins weeks before a scheduled induction (32:02) Coping strategies for a fast, unmedicated labor (37:19) Postpartum recovery and breastfeeding (40:42) Heidi's advice on informed decision-making and birth preferences (43:06) Using anxiety and pain-coping techniques during labor   Resources Listen to EBB's Natural Induction Series on Acupuncture, Raspberry Red Leaf Tea, and Nipple Stimulation: evidencebasedbirth.com/category/series/natural-labor-induction-series/ EBB 304 – Q & A on PPD/Pitocin, Delayed Cord Clamping, Nubain, and Placental encapsulation: evidencebasedbirth.com/ebb-304-q-and-a-on-ppd-pitocin-delayed-cord-clamping-nubain-and-placental-encapsulation/ Read the research on Umbilical Chord Varix Fetal intra-abdominal umbilical vein varix: retrospective cohort study and systematic review and meta-analysis: https://pubmed.ncbi.nlm.nih.gov/28876490/ Isolated fetal umbilical vein varix and the association with intrauterine fetal death and fetal growth restriction: A systematic review, meta-analysis, and nested retrospective cohort study: https://pubmed.ncbi.nlm.nih.gov/38502055/ The Development of the Umbilical Vein and Its Anatomical and Clinical Significance: https://pmc.ncbi.nlm.nih.gov/articles/PMC11954436/ Learn more about Spinning Babies®: spinningbabies.com   For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

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Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll

For 20 years, people have asked me the same questions: what's the best position, how do I get better oral sex, is anal sex supposed to hurt. And honestly? I still love answering those. But after two decades of doing this podcast, I've realized something. People rarely come to me with the real problem. Underneath the sex question, there's almost always shame, rejection, resentment, or the big one: "am I normal?" In this episode, I'm doing something I've never done before going back through 20 years of advice and telling you what I'd change. I'm a Doctor of Human Sexuality and I've talked to millions of people about their sex lives, and here's what I know now that I didn't then: "just communicate" isn't enough, "spice it up" doesn't fix resentment, spontaneous desire is mostly a myth for people in long-term relationships, and sleep and stress matter more than any toy in your nightstand. I'm breaking down the five pillars of sexual intelligence, why I think we're all obsessed with the wrong metrics, and what actually predicts great sex (hint: it's not technique). If you've ever wondered whether you're normal, this one's for you. You are. #SexWithEmily #EmilyMorse #SexAdvice #SexualIntelligence #Relationships ABOUT EMILY: Emily Morse is a Doctor of Human Sexuality, author and host of the #1 rated Sex with Emily podcast. Known as a renowned sexologist, Dr. Emily has helped millions of people around the world navigate their sex lives. Her candid and often funny conversations challenge cultural taboos, misinformation and awkward sex talks to create a future where people can deeply connect and embrace pleasure-filled lives. Because, life is too short for bad sex.  CONNECT: Instagram: https://www.instagram.com/sexwithemily/  X: https://twitter.com/sexwithemily  Facebook: https://www.facebook.com/sexwithemily  TikTok: https://www.tiktok.com/@sexwithemily  Threads: https://www.threads.net/@sexwithemily WANT MORE? Visit the Website: https://sexwithemily.com/ which includes FREE guides. Free Downloadable Guides: https://sexwithemily.com/guides/  Text With Me: https://sexwithemily.com/text  Receive Sex Tips On The Regular: https://sexwithemily.com/subscribe  Interested in 1:1 Coaching with Emily? Go to http://sexwithemily.com/coaching to apply!    ============================= Chapters: 00:00 Intro 00:50 20 years of sex advice, updated 03:03 What's really underneath people's sex questions 05:46 Why "just communicate" isn't enough 07:18 "Spice it up" won't fix resentment 08:03 Rethinking "schedule sex" 08:18 Spontaneous desire vs. responsive desire 11:04 Sleep, stress, and your libido 14:16 You are not broken 14:58 The permission problem 15:38 Why perfect sex doesn't exist 20:01 Mastering yourself, not just technique Learn more about your ad choices. Visit megaphone.fm/adchoices

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll

Low libido in women is often blamed on stress, aging, or relationship problems, but changes in desire may begin years before menopause and can involve hormones, medications, pain, sleep, blood flow, and the difference between spontaneous and responsive desire.  Dr. Natalie Crawford sits down with board-certified urologist Dr. Kelly Casperson, author of “You Are Not Broken” and “The Menopause Moment,” to explain why women may stop wanting sex, how testosterone and estrogen affect sexual health, and what to discuss with a clinician when something feels different. They also examine birth control and SSRI side effects, hormone therapy, vaginal estrogen, and why women's sexual health deserves greater attention. IN THIS EPISODE: 00:00 Why Women Can Lose Desire Before Menopause 02:10 Can Your Hormones Change While You Still Have a Period? 03:38 Why Testosterone Matters in Women 05:41 Can Birth Control Lower Your Libido? 08:04 How Estrogen Affects Desire, Arousal, and Vaginal Health 10:02 What Does Low Libido Actually Mean? 10:56 When Low Libido Is Really Painful Sex 13:15 Spontaneous vs. Responsive Desire 15:25 Are You Having Sex Worth Desiring? 16:53 What Causes Arousal Problems in Women? 17:20 How SSRIs Can Affect Sexual Function 17:50 How Couples Can Navigate Mismatched Sex Drives 21:05 Why Perimenopause Can Make You Feel Unlike Yourself 21:24 How Sleep, Estrogen, and Progesterone Affect Desire 21:50 Testosterone's Role in the Brain, Mood, and Motivation 24:40 How Is Testosterone Prescribed to Women? 27:15 What Happens When Testosterone Is Too High? 30:30 Can Testosterone Affect More Than Libido? 32:00 Testosterone, Wound Healing, and Bone Health 33:25 Could Testosterone Support Hip-Fracture Recovery? 34:00 Can Hormone Therapy Still Help Women Over 60? 36:00 Systemic vs. Vaginal Estrogen 37:00 Why Hormone Treatment May Begin Before Menopause 39:55 Can You Get Pregnant During Perimenopause? 41:41 When Vaginal Estrogen May Help 46:12 How to Talk to Your Doctor About Hormones 48:25 Where to Find Dr. Kelly Casperson GUEST RESOURCES:Website: https://kellycaspersonmd.comInstagram: https://www.instagram.com/kellycaspersonmdPodcast: https://kellycaspersonmd.com/you-are-not-broken-podcastYou Are Not Broken: https://kellycaspersonmd.com/you-are-not-broken-bookThe Menopause Moment: https://kellycaspersonmd.com/the-menopause-moment-book AS A WOMAN WITH DR. NATALIE CRAWFORD: YouTube: https://youtube.com/playlist?list=PLveZDgg3_HZ9m7Wy3C6Vvyrj_NtEOwj_l  Apple Podcasts: https://podcasts.apple.com/us/podcast/as-a-woman/id1449553339  Spotify: https://open.spotify.com/show/12IYOLH9liu60gk5D0bRPk  HOST RESOURCES: Order The Fertility Formula: https://www.nataliecrawfordmd.com/book  Newsletter: https://www.nataliecrawfordmd.com/newsletter  Instagram: https://www.instagram.com/nataliecrawfordmd  YouTube: https://www.youtube.com/@NatalieCrawfordMD  Become a patient: https://www.forafertility.com  Earn FREE CE/CME: https://learnatpinnacle.com/education  This episode is brought to you by The Pinnacle Podcast Network. ABOUT DR. NATALIE CRAWFORD: Natalie Crawford, MD, is a double board-certified OB/GYN and reproductive endocrinologist, co-founder of Fora Fertility, and author of The Fertility Formula. She helps women understand their hormones, fertility, and reproductive health so they can make informed decisions about their bodies. Disclaimer: Natalie Crawford, MD, is a doctor, but she is not your doctor. This content is for general education and is not a substitute for individualized medical care. Learn more about your ad choices. Visit megaphone.fm/adchoices

Approximately 95% of SCAD cases (spontaneous coronary artery dissection) occur in women--even young women who do not have typical cardiovascular risk factors. Guests Eileen Handberg, PhD, ANP-BC, FAHA, FACC, FPCNA, and Maggie Teliska describe SCAD from both a clinical and patient standpoint: symptoms, diagnosis and misdiagnosis, treatments, advocating for yourself, and the importance of the SCAD registry in moving the science forward.Related resources:scadalliance.orgwomenheart.orgHeberden's symptom description from 1800s: https://pmc.ncbi.nlm.nih.gov/articles/PMC2989494/PCNA Article: Cardiovascular Health in Women: https://pcna.net/news/cardiovascular-health-in-women-beyond-the-basics/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Fluent Fiction - Dutch: Embrace the Unplanned: A Spontaneous Road Trip to Brugge Find the full episode transcript, vocabulary words, and more:fluentfiction.com/nl/episode/2026-08-03-22-34-02-nl Story Transcript:Nl: Samen met de zon die boven de grachten van Amsterdam scheen, stonden Bram, Lieke en Jorrit in de drukke straat.En: Together with the sun shining over the canals of Amsterdam, Bram, Lieke, and Jorrit stood in the busy street.Nl: De lucht was warm en geurig van versgebakken brood en koffie uit de nabijgelegen cafés.En: The air was warm and fragrant with the scent of freshly baked bread and coffee from the nearby cafes.Nl: Het was een perfecte zomerdag voor een avontuur, vond Bram.En: It was a perfect summer day for an adventure, Bram thought.Nl: Zijn ogen glinsterden als hij naar Lieke keek.En: His eyes sparkled as he looked at Lieke.Nl: "Kom op, Lieke! Brugge wacht!" zei Bram enthousiast terwijl hij een paar zonnebrillen op de kraam bekeek.En: "Come on, Lieke! Brugge awaits!" said Bram enthusiastically as he browsed a few sunglasses at the stall.Nl: Lieke zuchtte en keek naar haar lijstje.En: Lieke sighed and looked at her list.Nl: Ze was bezorgd over het gebrek aan planning.En: She was concerned about the lack of planning.Nl: Ze hield ervan om alles tot in de puntjes georganiseerd te hebben.En: She loved to have everything organized down to the last detail.Nl: "We moeten nog tanken, en ik weet niet eens of we alles hebben wat we nodig hebben," mompelde Lieke.En: "We still need to get gas, and I don't even know if we have everything we need," Lieke muttered.Nl: Ze had een punt, dacht Bram even.En: She had a point, Bram thought for a moment.Nl: Maar de gedachte aan Brugge, met zijn middeleeuwse charme en eindeloze straatjes, vulde hem met spanning.En: But the thought of Brugge, with its medieval charm and endless streets, filled him with excitement.Nl: Jorrit lachte en duwde een zonnehoed op zijn hoofd.En: Jorrit laughed and put a sun hat on his head.Nl: "Lieke, soms moet je gewoon springen zonder te kijken," zei hij met een knipoog.En: "Lieke, sometimes you just have to jump without looking," he said with a wink.Nl: Hij was altijd degene die de spanning tussen hen verminderde.En: He was always the one to ease the tension between them.Nl: En hij wist dat Lieke soms behoefte had aan een klein zetje.En: And he knew that Lieke sometimes needed a little nudge.Nl: Nadat ze de hoed, zonnebrillen en snacks in de tassen hadden gepropt, stonden ze stil voor de winkel.En: After they had stuffed the hat, sunglasses, and snacks into the bags, they stood still in front of the store.Nl: De warme zomerzon straalde vrolijk boven hen en de geluiden van de levendige stad leken hen te omarmen.En: The warm summer sun shone cheerfully above them, and the sounds of the lively city seemed to embrace them.Nl: "Goed," begon Lieke eindelijk en keek beiden aan met een klein glimlachje.En: "Alright," Lieke finally began, looking at both with a small smile.Nl: "Laten we het maar doen.En: "Let's do it.Nl: Maar stop niet midden in de weg om naar een windmolen te kijken, goed Bram?" Haar ogen twinkelden ondeugend.En: But don't stop in the middle of the road to look at a windmill, okay Bram?" Her eyes twinkled mischievously.Nl: Bram stak zijn handen in de lucht als overgave.En: Bram raised his hands in surrender.Nl: "Geen windmolens… ik beloof het!" zei hij speels.En: "No windmills... I promise!" he said playfully.Nl: Jorrit grinnikte, blij dat Lieke de stap durfde te zetten.En: Jorrit chuckled, pleased that Lieke dared to take the step.Nl: Kort daarna stapten ze in de auto.En: Shortly afterward, they got into the car.Nl: Ze lieten de drukte van Amsterdam achter zich terwijl ze langs groene velden en charmante dorpjes reden.En: They left the hustle and bustle of Amsterdam behind as they drove past green fields and charming villages.Nl: De weg naar Brugge was gevuld met gelach, muziek en dat heerlijke gevoel van vrijheid dat alleen een zomerse roadtrip kon brengen.En: The road to Brugge was filled with laughter, music, and that delightful feeling of freedom that only a summer road trip could bring.Nl: Lieke leunde achterover in haar stoel, starend naar de voorbijflitsende landschappen.En: Lieke leaned back in her seat, staring at the landscapes flashing by.Nl: Een gevoel van tevredenheid overmande haar.En: A sense of contentment overwhelmed her.Nl: Ja, dacht ze, soms was het goed om af te wijken van het plan.En: Yes, she thought, sometimes it was good to deviate from the plan.Nl: Tegen de tijd dat ze Brugge bereikten, voelde iedereen de opwinding van de onbekende avonturen die voor hen lagen.En: By the time they reached Brugge, everyone felt the thrill of the unknown adventures that lay ahead.Nl: Bram zat lachend achter het stuur, terwijl Jorrit een grap maakte over Belgische frieten.En: Bram was laughing behind the wheel, while Jorrit made a joke about Belgian fries.Nl: En Lieke?En: And Lieke?Nl: Zij glimlachte, wetende dat ze zich geen zorgen maakte over wat komen zou.En: She smiled, knowing she wasn't worried about what was to come.Nl: In de schaduw van de oude gebouwen van Brugge begonnen ze hun avontuur, klaar om te ontdekken wat de stad hen te bieden had.En: In the shadow of Brugge's old buildings, they began their adventure, ready to discover what the city had to offer them.Nl: Hun zomers avontuur was begonnen, en alle zorgen bleven kilometers achter hen.En: Their summer adventure had begun, and all worries were left miles behind them. Vocabulary Words:canals: grachtenfragrant: geurigadventure: avontuursparkled: glinsterdenconcerned: bezorgdmedieval: middeleeuwsecharm: charmeendless: eindelozetension: spanningnudge: zetjeembrace: omarmenmischievously: ondeugendsurrender: overgavehustle: druktecharming: charmantecontentment: tevredenheiddeviate: afwijkenthrill: opwindingunknown: onbekendeadventures: avonturenshadow: schaduwdiscover: ontdekkenoffer: biedensparkled: glinsterdenbrowse: bekijkorganized: georganiseerdplan: planwink: knipoogsun hat: zonnehoedfreedom: vrijheid

Financial Freedom and Spontaneous Living: How to Build Wild Flexibility Into Your Calendar Stop trading your time for constant busyness and learn how to engineer true financial freedom into your daily life. Host David Ralph explores why conventional hustle culture often traps entrepreneurs in high-paying jobs of their own creation, and how to build wild flexibility into your calendar without financial penalty. Through practical insights and deep reflection, this episode unpacks how to break free from endless obligations, master lifestyle design, and create a business that supports your ideal way of living. Tune in to master your time, rethink your relationship with work, and build a sustainable path toward financial freedom. Listen now to Join Up Dots, subscribe for more episodes, and share this episode with anyone looking to build a better business and a better life. #FinancialFreedom #LifestyleDesign #Entrepreneurship #BusinessGrowth #TimeManagement #Solopreneurship #BusinessSystems #WealthCreation #Minimalism #PersonalGrowth #JoinUpDots #DavidRalph #BusinessOwner #FreedomEngine #WorkSmarter

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll

Welcome to the Fifth episode of Survival By The Book, the podcast series where local librarians learn about how to prepare for emergencies because being prepared shouldn't be complicated. When emergencies strike, preparation can make all the difference — and your local librarians are here to help you turn information into action.In this episode of Survival by the Book, your local librarians sit down with two members of the Harris County Fire Marshal's Office to discuss how to respond when the unexpected happens because emergencies don't come with a warning, and knowing what to do in those first critical moments can make all the difference. Our guests share practical advice on staying calm, making quick decisions, and protecting yourself and those around you. Whether you're at home, at work, or out in the community, this conversation is packed with valuable tips that could help you prepare for life's most unpredictable moments.Created by the Podcast Team at the Harris County Public Library.www.hcpl.netPodcast Team Members include: Beth Krippel, John Harbaugh, Mary Mink, Dylan Smith, Sadina Shawver, Alinda Mac, John Schaffer, Jennifer Finch, Katelyn Helberg, Darcy Casavant, Darla Pruitt and Nancy Hu 

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What I Discussed With Dr Anna Elton...- Why the word desire gets confused with arousal, and how mixing them up keeps couples stuck for years.- The uncomfortable truth about the "spontaneous" desire I felt at 25, and why Anna says I actually worked for it.- What 700+ couples taught Anna about why some marriages stay passionate for decades while others go quiet.- Where my erotic energy goes when it stops flowing toward a partner (it doesn't just vanish).- The three personas every partnered person juggles, and the one that quietly starves first.- The couple who ate out "all the time" but hadn't been on a real date in ten years.- Why I hated being the default planner in my relationships, and Anna's fix for the "I don't know, what do you want to do?" dynamic.- The 20 second habit that took one couple from a sexless marriage back to wanting each other.- What actually kept Anna and her high school sweetheart flirting after 25 years and three kids.Chapters:00:00 – Introduction & Sponsor Spotlight (OhMiBod)00:26 – Understanding Midlife Desire with Dr Anna Elton01:27 – Lessons from 25 Years Together: Clinical Research Meets Personal Reality03:00 – Why Young Couples Suffer From Sexless Marriages03:36 – The Brain Chemistry of Intimacy: Desire vs. Physical Arousal04:35 – Spontaneous vs. Responsive Desire Explained05:34 – Rethinking ‘Spontaneous' Spark in Long-Term Relationships07:01 – The Myth of Youthful Passion & Hormonal Shifts Over Time09:07 – Restoring Novelty: The A-to-Z Date Night Framework10:56 – Sponsor Spotlight (GITM Playbook)11:42 – Creating Mystery & Seeing Your Partner Through a New Lens13:05 – The Power of ‘Consensual Uncertainty' in Midlife Dating13:44 – Overcoming the ‘Planner Dynamic' & Resentment in Relationships15:32 – The Three-Step Coaching Technique to Encourage Partner Effort17:00 – Desire Diversion: Where Does Erotic Energy Go When It Leaves the Bedroom?18:50 – Balancing the Three Personas: Individual, Couple, and Family20:17 – Defining a ‘Sexless Marriage' & The Impact of Parental Stress23:05 – What Long-Term Couples Do Differently to Keep the Flame Alive24:04 – Social Penetration Theory: Why Deeper Communication Drives Physical Connection25:58 – Micro-Habits for Reconnection: The 20-Second Rule27:12 – Can High School Sweethearts Last a Lifetime?28:30 – Closing Thoughts & ‘The Formula of Desire' Book Release DetailsShow NotesDesire in long-term relationships is one of the most misunderstood topics I cover on this show, so I went straight to someone with the data.In this episode, I'm joined by Dr. Anna Elton, a licensed marriage and family therapist and clinical sexologist who has spent more than 15 years researching desire with over 700 couples. Her new book, The Formula of Desire, grew out of a question she couldn't shake: why were she and her high school sweetheart still flirting after 25 years while couples half their age were arriving at her practice in sexless marriages?Anna dismantled something I'd believed my whole life. That electric, out-of-nowhere desire I remember from my younger years? She says it was never spontaneous. I put the work in without realising it, and that changes everything about how couples in later life can get desire back.We also get into where erotic energy actually goes when it leaves a relationship, because according to Anna's research, it doesn't fade. It moves. And I share something from my own marriage that made this whole conversation personal.If your relationship has gone quiet, this episode is proof it doesn't have to stay that way.Listen, learn and enjoy.Key Takeaways- Desire is psychological, and arousal is physiological. Losing one doesn't mean losing the other.- Spontaneous desire is really well orchestrated desire.- A sexless marriage means sex ten or fewer times a year, and it's happening to couples of every age.- Desire doesn't disappear from a relationship. It redirects toward kids, careers or someone else.- We each juggle three personas: individual, couple and family. The couple persona is the one that gets starved.- New experiences together let you see your partner through fresh eyes, whether that's salsa dancing or axe throwing.- Small consistent habits beat grand gestures. Daily check-ins, 20-second hugs and flirty rain checks keep desire alive.- Just knowing your partner desires you is often enough to feel satisfied in a relationship.About the GuestDr. Anna Elton, LMFT, CST, is a licensed marriage and family therapist, clinical sexologist, speaker, and author of The Formula of Desire. With more than 15 years of experience and research involving over 700 couples, she specialises in helping people understand desire, intimacy, attraction, and long-term relationships. Her expertise has been featured in TIME, Reader's Digest, Psychology Today, and on PBS, ABC, FOX, and NBC.Her new book, The Formula of Desire, is out in the US in early August and in the UK and Europe on 24 September, available on Amazon and in all good bookshops.About SuzanneSuzanne Noble is a sex and relationship expert, author, and host of the Sex Advice for Seniors podcast—one of the top-rated shows empowering people 50+ to embrace confident, joyful intimacy. Known for her candid, warm, and often humorous approach, Suzanne challenges age-related taboos, misinformation, and awkward conversations about sex after 50. She helps millions around the world navigate their sexual lives with pleasure, connection, and self-assurance. Because life is too short for bad sex... or silence about it.Connect With SuzanneInstagram: https://www.instagram.com/sexadviceforseniorsFacebook: https://www.facebook.com/sexadviceforseniorsTikTok: https://www.tiktok.com/@sexadviceforseniorsSubstack: https://www.sexadviceforseniors.comWant More?Visit the Website: https://sexadviceforseniors.com — includes FREE guides and resources for better sex at any age.Free Downloadable Guide: 10 Most Overlooked Secrets to Better Sex PDF: https://subscribepage.io/suzannenoblefreebieSign Up for My FREE Newsletter: https://sexadviceforseniors.comOvercome Erectile Dysfunction & Stay Firm: https://www.stayfirmprogram.comCheck Out My Storefront for Better Sex: https://zaap.bio/stayfirmInterested in 1:1 Coaching or Custom Sex Advice for Seniors Sessions? https://tidycal.com/suzannenoble/30-minute-mentoringRelated EpisodesWhy Long-Term Couples Drift Apart—and the Simple Habit That Brings Them Back - https://www.sexadviceforseniors.com/p/why-couples-lose-the-spark-and-howThe Surprising 69% of Women Unhappy in Sex... and How to Fix It - https://www.sexadviceforseniors.com/p/the-surprising-69-of-women-unhappySex, Chocolate & Midlife Desire: How to Reclaim Your Pleasure in Menopause with Dr. Kelly Barron - https://www.sexadviceforseniors.com/p/why-sex-changes-after-menopause-an This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.sexadviceforseniors.com/subscribe

We dive into Chapter 9 of Roland Allen's "Spontaneous Expansion of the Church," https://oneworldmissions.com/media/PDF/Books/TheSpontaneousExpansionOfTheChurch.pdfA huge thanks to Seth White for the awesome music!Thanks to Palmtoptiger17 for the beautiful logo: https://www.instagram.com/palmtoptiger17/Facebook Page: https://www.facebook.com/thewayfourth/?modal=admin_todo_tourYouTube: https://www.youtube.com/channel/UCTd3KlRte86eG9U40ncZ4XA?view_as=subscriberInstagram: https://www.instagram.com/theway4th/ Kingdom Outpost: https://kingdomoutpost.org/My Reading List Goodreads: https://www.goodreads.com/author/show/21940220.J_G_ElliotPurity of Heart is to Will One Thing: https://www.religion-online.org/book/purity-of-heart-is-to-will-one-thing/ Thanks to our monthly supporters J Phillip Mast Laverne Miller Jesse Killion ★ Support this podcast on Patreon ★

Most couples never realize they've been believing lies about sex for years.They compare their marriage to Hollywood, social media, or unrealistic expectations and then wonder why intimacy feels disappointing, frustrating, or disconnected. The truth? Many of the "rules" we've been taught about sex are actually the very things keeping us from experiencing the passionate, connected, and fulfilling intimacy we all want.In this eye-opening episode, Nick and Amy expose some of the biggest myths about sex and reveal the truths that can completely transform your intimate relationship.You'll discover why:Waiting until you're "in the mood" may be hurting your sex life.Your spouse can't read your mind (and why that's actually a good thing).Women don't always take longer to become aroused.Sex is far more than just a "want."Talking about sex doesn't kill the mood—it creates better intimacy.Spontaneous sex isn't the only (or even the best) kind of sex....and many more myths that could be holding your marriage back.If you've ever wondered why your sex life isn't where you want it to be, this episode could change the way you think about intimacy forever. Stop believing the myths. Start creating the marriage and the intimacy you've always wanted.

Please visit answersincme.com/2026-MC-001884-replay860 to participate, download slides and supporting materials, complete the post test, and get a certificate. Presented by Marc Serota, MD; Kristin Sokol, MD, MS, MPH; and Michelle Tarbox, MD. In this activity, experts in chronic spontaneous urticaria (CSU) discuss strategies to reduce diagnostic delays and how to personalize care beyond antihistamines. Upon completion of this activity, participants should be better able to: Recognize the impact of delayed diagnosis on disease control in patients with CSU; Review key inflammatory pathways—including type 2 inflammation—in CSU pathogenesis and how targeted therapies modulate them; Assess the latest clinical data for targeted therapies for the treatment of CSU; and Apply evidence-based strategies to personalize the management of antihistamine-refractory CSU.

Fluent Fiction - Hungarian: Spontaneous Summer Joys at Balaton: The Paddle Boat Adventure Find the full episode transcript, vocabulary words, and more:fluentfiction.com/hu/episode/2026-07-28-22-34-01-hu Story Transcript:Hu: Nyár volt a Balatonnál, a nap magasan ragyogott az égen.En: It was summer at Balaton, and the sun shone high in the sky.Hu: Zoltán, Eszter és László izgatottan várakoztak a parton.En: Zoltán, Eszter, and László waited excitedly on the shore.Hu: Színes ruháik szinte világítottak a nyári napfényben.En: Their colorful clothes almost glowed in the summer sunlight.Hu: Zoltán, a kis csapat élén, most is nagy kalandot tervezett.En: Zoltán, at the head of the small group, was planning a great adventure once again.Hu: Ma egy hőlégballonos túrára indulnak.En: Today, they were going on a hot air balloon trip.Hu: Vagy legalábbis ez volt a terv.En: Or at least that was the plan.Hu: Ahogy megérkeztek a kijelölt felszállási pontra, egy magas, bajuszos ember lépett hozzájuk.En: As they arrived at the designated take-off point, a tall man with a mustache approached them.Hu: „Sajnálom, a szélviszonyok miatt ma nem szállhatunk fel a ballonokkal" – mondta.En: "I'm sorry, due to wind conditions, we can't take off with the balloons today," he said.Hu: Zoltán arcába csalódottság ült, de gyorsan erőt vett magán.En: Disappointment settled on Zoltán's face, but he quickly pulled himself together.Hu: Nem hagyhatta, hogy a többiek bosszankodjanak.En: He couldn't let the others be annoyed.Hu: „Nincs gond, srácok!En: "No problem, guys!Hu: Van egy másik ötletem!En: I have another idea!"Hu: " – jelentette ki Zoltán, miközben elhagyták a helyszínt.En: Zoltán declared as they left the place.Hu: Eszter és László bizakodva néztek rá.En: Eszter and László looked at him hopefully.Hu: Zoltán megpillantotta a parton a színes paddle boatokat.En: Zoltán spotted colorful paddle boats on the shore.Hu: „Versenyezzünk a vízen!En: "Let's race on the water!"Hu: " – vetette fel hirtelen.En: he suddenly suggested.Hu: Eszter mosolyogva bólintott, László pedig egyből szellemes megjegyzést tett: „Vigyázzatok, én vagyok a fedélzeti humorfelelős!En: Eszter nodded with a smile, and László immediately made a witty remark: "Watch out, I'm the onboard comedian!"Hu: " Mindhárman felszálltak az apró paddle boatokra, és hamarosan már a Balaton csillogó vizén suhantak.En: All three of them boarded the tiny paddle boats, and soon they were gliding on the sparkling waters of Balaton.Hu: A verseny elkezdődött, mindhárman teljes erőből lapátoltak.En: The race began, and they all paddled with full force.Hu: László, hogy kacagtassa a többieket, látványos kanyarokkal próbálta megelőzni a többieket.En: László, trying to amuse the others, attempted to overtake them with spectacular turns.Hu: Egy óvatlan pillanatban azonban a hajója megingott és a vízbe borult.En: However, in an unguarded moment, his boat wobbled and he fell into the water.Hu: „Elkapott a Balatorna!En: "I've been caught by the Balatorna!"Hu: " – kiáltotta, ahogy kihúzták.En: he shouted as they pulled him out.Hu: Nevetés tört rájuk, a tervelt kaland igazi móka lett.En: Laughter broke out among them, and the planned adventure turned into real fun.Hu: Zoltán belátta, hogy nem mindig a tervek a legjobb kalandok.En: Zoltán realized that planned adventures aren't always the best ones.Hu: A parton száradó László, a napot vidáman záró Eszter és Zoltán felidézték a nap eseményeit.En: László drying on the shore, Eszter happily ending the day, and Zoltán recalled the day's events.Hu: Késő délután lett, a nap már alacsonyan járt.En: It was late afternoon by then, and the sun was already low.Hu: A kis csapat a parton takarodott takarókkal le és piknikeztek.En: The small group spread blankets on the shore and had a picnic.Hu: A szendvicsek és frissítő italok mellé történetek és nevetés is került.En: Along with sandwiches and refreshing drinks, there were stories and laughter too.Hu: „Ugye, hogy így jobban sikerült az a nap?En: "See, wasn't the day better like this?"Hu: " – kérdezte Eszter, mire Zoltán mosolyogva bólintott.En: Eszter asked, to which Zoltán nodded with a smile.Hu: Végül a nap lemenő sugarai alatt Zoltán rájött a lényegre: a barátokkal töltött idő, a közös kalandok teszik igazán emlékezetessé a pillanatokat.En: Finally, under the setting rays of the sun, Zoltán realized the essence: time spent with friends and shared adventures make the moments truly memorable.Hu: Mert egy elmaradt hőlégballonozás is lehet egy felejthetetlen nyári nap kezdete.En: Because a missed hot air balloon ride can also be the start of an unforgettable summer day. Vocabulary Words:shore: partglowed: világítottakdesignated: kijelöltmustache: bajuszosdisappointment: csalódottságamuse: kacagtassaunguarded: óvatlanwobbled: meingottsparkling: csillogópaddle: lapátoltakgliding: suhantakdried: száradórefreshing: frissítősandwiches: szendvicsekessence: lényegreadventure: kalandannoyed: bosszankodjanakquickly: gyorsanremark: megjegyzéscomedian: humorfelelőstiny: apróattempted: próbáltapicnic: piknikeztekdawn: késő délutánblankets: takarókkalplanned: terveltmemorable: emlékezetesséshared: közösunforgettable: felejthetetlenexperience: élményt

Please visit answersincme.com/2026-MC-001884-replay860 to participate, download slides and supporting materials, complete the post test, and get a certificate. Presented by Marc Serota, MD; Kristin Sokol, MD, MS, MPH; and Michelle Tarbox, MD. In this activity, experts in chronic spontaneous urticaria (CSU) discuss strategies to reduce diagnostic delays and how to personalize care beyond antihistamines. Upon completion of this activity, participants should be better able to: Recognize the impact of delayed diagnosis on disease control in patients with CSU; Review key inflammatory pathways—including type 2 inflammation—in CSU pathogenesis and how targeted therapies modulate them; Assess the latest clinical data for targeted therapies for the treatment of CSU; and Apply evidence-based strategies to personalize the management of antihistamine-refractory CSU.

Please visit answersincme.com/860/2026-MC-001884-replay to participate, download slides and supporting materials, complete the post test, and get a certificate. Presented by Marc Serota, MD; Kristin Sokol, MD, MS, MPH; and Michelle Tarbox, MD. In this activity, experts in chronic spontaneous urticaria (CSU) discuss strategies to reduce diagnostic delays and how to personalize care beyond antihistamines. Upon completion of this activity, participants should be better able to: Recognize the impact of delayed diagnosis on disease control in patients with CSU; Review key inflammatory pathways—including type 2 inflammation—in CSU pathogenesis and how targeted therapies modulate them; Assess the latest clinical data for targeted therapies for the treatment of CSU; and Apply evidence-based strategies to personalize the management of antihistamine-refractory CSU.

We dive into Chapter 8 of Roland Allen's "Spontaneous Expansion of the Church," https://oneworldmissions.com/media/PDF/Books/TheSpontaneousExpansionOfTheChurch.pdfA huge thanks to Seth White for the awesome music!Thanks to Palmtoptiger17 for the beautiful logo: https://www.instagram.com/palmtoptiger17/Facebook Page: https://www.facebook.com/thewayfourth/?modal=admin_todo_tourYouTube: https://www.youtube.com/channel/UCTd3KlRte86eG9U40ncZ4XA?view_as=subscriberInstagram: https://www.instagram.com/theway4th/ Kingdom Outpost: https://kingdomoutpost.org/My Reading List Goodreads: https://www.goodreads.com/author/show/21940220.J_G_ElliotPurity of Heart is to Will One Thing: https://www.religion-online.org/book/purity-of-heart-is-to-will-one-thing/ Thanks to our monthly supporters J Phillip Mast Laverne Miller Jesse Killion ★ Support this podcast on Patreon ★

Kevin, Erin, and Carlo (linktr.ee/ThiefCGT) discuss the rom-com "Classic": Spontaneous. Spoilers aplenty! Like and share this episode, and check us out at https://linktr.ee/TPodcastTWDie. TJ from http://introoutrobed.com custom-made our music! Use my special link https://zen.ai/OPqxxQiaqgDLKVIziDbCE-bL9F-GRRqYLBJ5f6qmlwU to save 30% off your first month of any Zencastr paid plan.

audio / playlisthttp://feeds.feedburner.com/RadioTroubleArchives

Interview with Steven Blatt, MD

Want to know your English level? Take our free English-level quiz here to find out what your current English level is.  Do you love All Ears English?  Try our other podcasts here: Business English Podcast: Improve your Business English with 3 episodes per week, featuring Lindsay, Michelle, and Aubrey IELTS Energy Podcast: Learn IELTS from a former Examiner and achieve your Band 7 or higher, featuring Lindsay McMahon and Aubrey Carter with Jessica Beck in previous episodes Visit our website here or https://lnk.to/website-sn If you love this podcast, hit the follow button now so that you don't miss five fresh and fun episodes every single week.  Don't forget to leave us a review wherever you listen to the show. Send your English question or episode topic idea to support@allearsenglish.com Shopify: Stop waiting for permission to build something. Your next revenue stream starts free at shopify.com/aee   Learn more about your ad choices. Visit podcastchoices.com/adchoices

Pastor Rigo Figueredo (July 19, 2026) Subscribe to our Nest Church YouTube Channel: http://youtube.com/nestchurch To support our Nest and help us continue to ignite an authentic love for God and people, click here: http://nestchurch.com/give Nest Church is led by Pastor Rigo Figueredo and is based in Miami Lakes, FL. —— Stay Connected Website: http://nestchurch.com Download our app: http://nestchurch.com/app Nest Church Facebook: http://facebook.com/nestchurch Nest Church Instagram: http://instagram.com/nestchurch Nest Church Twitter: http://twitter.com/nestchurch Nest Church YouTube: http://youtube.com/nestchurch You are loved!  #NestChurch

In 1985, my guest's husband left for work and never came home. Ten days later, she identified his body parts in a Detroit morgue. She also discovered he'd been living a secret double life. Dr. Jan Canty is a psychologist who spent 30 years in silence—until a podcast for homicide survivors brought her back. The night he went missing, Jan looked in a mirror and heard herself say, "He's dead. He's not coming home." She buried that moment for decades. Today, she helps others heal through after-death communication and community. This episode aired on July 20th—the exact day Jan learned her husband had been murdered. That synchronicity is not lost on me.00:00 The Night He Never Came Home 03:05 Introducing Dr. Jan Canty 04:05 The Phone Call from Homicide 05:06 The Double Life She Never Knew 07:38 Identifying Him in the Morgue 10:40 Survival Mode and 30 Years of Silence 14:47 What Makes Homicide Grief Unique 17:25 The Detective Who Saved Her 22:26 How She Clawed Her Way Out 26:51 The Spiritual Pivot: After-Death Communication 29:18 Her Own Experience: "He's Dead. He's Not Coming Home." 32:53 Spontaneous vs. Induced After-Death Communications 37:43 The Basketball Game: An ADC That Saved a Life 43:37 The First-Ever National Homicide Survivor Conference 46:27 Where to Find Jan 48:47 Closing LEARN MORE ABOUT GUEST:· Website: jancantyphd.com· Books: What Now | Rekindled· Podcast: Domino Effect of Murder (6 seasons)· Conference: National Homicide Survivor Conference – Gig Harbor, WA (Sept 11–13)· Email: aftermathofhomicide@gmail.com Subscribe to my Patreon:https://www.patreon.com/dramyrobbins JOIN MY COMMUNITY In The Space Between membership, you'll get access to LIVE quarterly Ask Amy Anything meetings (not offered anywhere else!), discounts on courses, special giveaways, and a place to connect with Amy and other like-minded people. You'll also get exclusive access to other behind-the-scenes goodness when you join! Click here to find out more --> https://shorturl.at/vVrwR Stay Connected: - Instagram - https://tinyurl.com/ysvafdwc- Facebook - https://tinyurl.com/yc3z48v9- YouTube - https://tinyurl.com/ywdsc9vt- Website - https://tinyurl.com/ydj949kt Life, Death & the Space Between Dr. Amy RobbinsExploring life, death, consciousness and what it all means. Put your preconceived notions aside as we explore life, death, consciousness and what it all means on Life, Death & the Space Between.**Brought to you by:Dr. Amy Robbins | Host, Executive ProducerPodcastize.net | Audio & Video Production | Hosted on Acast. See acast.com/privacy for more information.

We dive into Chapter 7 of Roland Allen's "Spontaneous Expansion of the Church," https://oneworldmissions.com/media/PDF/Books/TheSpontaneousExpansionOfTheChurch.pdfA huge thanks to Seth White for the awesome music!Thanks to Palmtoptiger17 for the beautiful logo: https://www.instagram.com/palmtoptiger17/Facebook Page: https://www.facebook.com/thewayfourth/?modal=admin_todo_tourYouTube: https://www.youtube.com/channel/UCTd3KlRte86eG9U40ncZ4XA?view_as=subscriberInstagram: https://www.instagram.com/theway4th/ Kingdom Outpost: https://kingdomoutpost.org/My Reading List Goodreads: https://www.goodreads.com/author/show/21940220.J_G_ElliotPurity of Heart is to Will One Thing: https://www.religion-online.org/book/purity-of-heart-is-to-will-one-thing/ Thanks to our monthly supporters J Phillip Mast Laverne Miller Jesse Killion ★ Support this podcast on Patreon ★

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll

Get ready to laugh through the existential dread. Stephanie Miller breaks down the latest right-wing delusions, from President Trump's claim that Lindsey Graham suffered "spontaneous kablooey syndrome" to his bizarre rants about the reflecting pool. She dissects the GOP's internal chaos, the threat of a fake national emergency, and the sheer absurdity of the geopolitical landscape. Tune in for the sharp, hilarious reality check you need to stay sane—and informed—amidst the political circus. With guests Bob Cesca and Carlos Alazraqui!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll

Dr. Deb Muth 00:03What if symptoms that have been dismissed for years aren’t all in your head, but signs of an underlying tick-borne illness or complex chronic condition that needs a different kind of care? Today, we’re talking with Ginger Southley DNP, one of the leading voices in Lyme disease, mortgage, and tick-borne illness care. She brings decades of clinical experience and a deeply patient-centered approach to some of the most misunderstood conditions in medicine. Welcome back to Let’s Talk Wellness Now, the show where we uncover the root causes of chronic illness, explore cutting-edge approaches to healing, and empower you with the tools to take charge of your life.I’m Dr. Deb, and today we’re diving into the complex world of Lyme disease, co-infections, more jellins, and the deeper factors that can keep people stuck in chronic illness. If you or someone you love has been struggling with unexplained symptoms, fatigue, brain fog, pain, or a long road to answers, this episode is for you. So, as usual, grab your cup of coffee, tea, or whatever helps you settle in, and let’s get started on today’s journey toward deeper healing.You guys can put one of the ads in here, that’d be great. No. There we go. Because otherwise, yes, we’re going to get chatting, and we’ll forget. I pre-recorded the intro part, so we can just dive in, and I can ask you, like, how you got into this, and then we can start our conversation again. Dr. Ginger Savely 02:01Okay, I can’t remember what I said last time, but that’s alright, I’ll just… Dr. Deb Muth 02:04So, we need to protect them. Well, welcome back to Let’s Talk Wellness now. I have a dear lady, Dr. Ginger. She’s being so gracious because we already goofed up our first recording we did on Riverside a few months ago, and she’s been gracious enough to come back and join us again and do it all over again while we’re actually recording. So, Dr. Savely, welcome to the show. Dr. Ginger Savely 02:26Thank you. Thank you so much for having me. I appreciate it. Dr. Deb Muth 02:30Dr. Ginger, tell us a little bit about how you got involved with tick-borne disease and Morgellons, because you are truly a legend in this world, and I’d love for everybody to hear your story. Dr. Ginger Savely 02:42Well, I just to very briefly go over, I got into the tick-borne diseases because my daughter was so very sick with it, and I started learning everything I could, and the next thing I knew, I was picking it up in my… population, I was doing primary care, family practice, and I was picking it up in that group. And then word got around, and next thing I knew, I’m treating a lot of tick-borne disease, became 50% of my practice, then 70% of my practice. And then, a few years into it, I started having, well, first of all, Dr. Harvey, who was a Lyme doctor in Houston, Texas, he and I were constantly communicating about things and comparing notes, and he emailed me and said, have you seen any patients with you know, blue fibers coming out of them? And I said, I don’t think so, but I’ll start looking for it. So, then I did, and I started asking all my Lyme patients about it, just, have you had any unusual things come out of your skin?And once I asked them, then, lo and behold, a certain subset of them said, well, yes, as a matter of fact, I do have that, but I’ve just learned not to mention it, because people think I’m crazy, so I just never, you know, say a word about it. And so I started picking up a lot of these patients, and you know, of course, since I first came at this by way of tick-borne diseases, Lyme, etc. I figured, okay, these people I know have tick-borne disease, so let’s treat that and see if maybe their immune system recovers to the point where they can handle whatever this is causing the Morgellen’s disease. And so that’s the way I approached it at first, just treating underlying infections, since I had no idea what was causing more dilins. I just noted an association with Lyme disease. And so, I put out a paper about 20 years ago. I published a paper that had to do with Basically, one thing… the main point of the paper was correlatingLyme disease with Morgellins, saying that 97% of my Morgellins patients ended up having Lyme or another tick-borne infection. And, so this is… this is the first publication that basically kind of made that correlation, you know, between the line. And I think it’s been taken out of context a lot, misinterpreted. I never for a minute said that Lyme causes more gelins, not at all, and we… that’s a leap way too far for us at this point. I just noticed an association. So, whatever that may mean, who knows? But, you know, certain illnesses, like, for example, AIDS patients are famous for getting thisCarpacea sarcoma. And it doesn’t mean AIDS causes that sarcoma, because other people get it too. It’s just highly associated with the tooth, so… We might be talking about a disease that’s highly associated with tick-borne infections, or maybe it’s caused by a co-infection that we don’t even know about. Or maybe it’s something entirely different, and the tick-borne diseases were just suppressing the immune system to the point where The person succumbed to whatever this was whenever they got into contact with it.And so, I began, you know, just experimenting and trying different cocktails of things to see what would work. And as I began to treat, I realized that The more jealous patients did notget better with a Lyme protocol. They got better when I used a Bartonella protocol, a specific group of antibiotics that’s used to treat the Bartonella infection. Now, again, I’m not saying for a minute Bartonella causes more gelin, but I’m just saying that when I use the treatment for Bartonella, that’s when I get the best results on my mortgageellin’s patients. And I also have noticed that my Morgellen’s patients tend to have other symptoms that are typical Bartonella symptoms, like a lot of the neuropsychiatric symptoms, neuropsychiatric, sorry, and the, the streaks that they’ll get on them, the red tracks. Spontaneous scratches, all that. So those we do see on our Bartonella patients that don’t have more gelin.So, I started… it was… my early patients were, I would always say, you’re the lab rats, because we’re just experimenting with everything, and they were more than willing. I mean, these people were so desperate, they were so miserable, and so… upset by the way they’ve been treated by the medical establishment, that they were, every one of them, at a point of saying. I don’t care what you give me. it… if it… even if it kills me, I’d rather be dead than have to deal with this, you know? Dr. Deb Muth 08:07Try something, right? Dr. Ginger Savely 08:08That’s pretty drastic, I know, but that’s where they were. They were at a point where, I don’t care, I’ll take any risk just to do this. However, I’ve always been using FDA-approved medications, and, you know, it’s just… naturally, I’m treating, sort of in my own, kind of invented way, because there’s no textbooks you can go to for this, there’s no algorithms, there’s no treatment protocols for this, because more than half of the medical world doesn’t even believe it exists. So, we… you know, I looked very carefully at all these patients in my office with magnified, lighted magnification, and I was seeing amazing things. I mean, I couldn’t believe it. Sometimes the hair on the back of my neck would stand out when I would see these things, because You know, bright blue fibers are not supposed to be coming out of the human body. And I would even pull at them with the tweezers, and, you know, they would not come out, so it wasn’t like a matter of they were just stuck on there, you know, from fabrics or something, as dermatologists often claim is the case. Dr. Deb Muth 09:24I had a patient once with Morgellons, and she got a magnification glass that she could attach to her phone, and she, like, took pictures of what was coming out of her skin and video recorded it and sent it to me, and oh my gosh, it’s crazy. crazy how these things come out. And if you don’t see it under a microscope like that, it’s really hard to understand what’s going on. Dr. Ginger Savely 09:48Exactly. And, you know, what we’ve always said is dermatologists usually carry about a 12X scope in their pocket, but you need really more like 60X to see this stuff, because very rarely can you see it with the naked eye. I mean, sometimes you can, but you do need that lighted magnification in order to see it. I do have some patients come to me, they have all the symptoms more jealous, but they say, I don’t think I have fibers, and I said, well. but you… have you really looked with magnification? They said, well, no, I just thought I’d see them, and I… so then it turns out they actually do have them, but… Yeah. So I… I’ve been fascinated mostly then in treating these patients by how… diverse each patient is, because I can develop a protocol that’s working fantastically on this patient, and try it on the next patient. It doesn’t work at all. Dr. Deb Muth 10:49So… Dr. Ginger Savely 10:50So, it’s just back to the drawing board, every single patient. And of course, there’s a huge variance in degree of severity of this illness. I have everyone… everywhere from people who are totally functional, going to work, and just have this annoying thing going on, all the way to people who are just completely marred and disfigured and can’t even get out of bed. So, you know, of course, there’s quite a difference there, and naturally, it’s a lot more difficult to treat the more severe cases. And often with the more severe cases. Our best hope is reducing symptoms significantly to where they’re tolerable. But in the very severe cases, I don’t think I’ve ever had a person yet get 100% well. But I do have plenty of others that have gotten 100% well, but maybe they wouldn’t fall into the most serious category, you know. So, but I, I’ve, tried everything. I have tried… antifungal protocols, antiviral, anti-helminthic, and, you know, just… I’ve tried it all, I swear, I don’t think there’s anything I haven’t tried. And, you know, sometimes you hit on what works for that patient, and it might not… it might be a surprise.I had one patient, I’d been trying the antibiotics with her, we weren’t getting anywhere, and then I just started treating her with itraconazole, an antifungal, and she just… got so much better. And I think probably because in that case, one of her main immune challenges was some… she was probably exposed to mold, she had probably had colonization in her sinuses or wherever else in her body of the mold. So, that… I think if you can find the main thing that’s… really dragging the immune system down and work on that thing, then hopefully you’ll lighten the load on the immune system to where this Morgelins can take care of itself. Because we do know a lot of people get it and barely get sick at all. A lot of times, people will tell me their spouse, or… their child, or somebody says, oh, they’ve had, like, two tiny lesions, and they’ve had a couple of fibers, and basically, that’s it. So, by that, I’m assuming that You know, this is something that usually only those who are very immune-challenged actually come down with. And that’s what I’ve found through the years, that they are immune-challenged. I’ve had AIDS patients with this. I’ve had people on high-dose corticosteroids because they had an immune… some kind of autoimmune problem.I’ve had several organ transplant patients, because they’re given strong immunosuppressants to… so they won’t reject the organ. So, it’s not 100% Lyme patients, and that’s the thing where I disagree with some of the researchers who are trying to propose the idea that Morgillon’s is a dermatologic manifestation of Lyme. No, I mean, I know how to diagnose Lyme disease. It’s a clinical diagnosis. I have patients that not only are just zero, zero nothing on hygienics.They have not one single symptom of tick-borne disease. When you give them antibiotics, they don’t hurt, because they don’t get better. There is no indication that they have Lyme or co-infection, but they have all the awful skin stuff. And in fact, I have found through the years that those people are kind of my hardest ones to treat, because I don’t know what to work with. You know, I don’t… I don’t want to give them all these antibiotics for tick-borne disease if they don’t really have that. Dr. Deb Muth 14:54Right, hard to find that initial trigger, right? That’s what we’re always looking. Dr. Ginger Savely 14:58Yes, exactly. That industry. Dr. Deb Muth 15:00If we can’t find the initial trigger, how do you know where to start? It’s like a guessing game. Dr. Ginger Savely 15:04I know, so… and of course, the other thing I’ve discovered through the years is that Another immune challenge that is common to all these patients is mold toxicity. So, if I don’t… can’t find any particular infection to treat. Then I… I start thinking about the possibility of… that the patient is mold toxic, that they are… they are living in now, or previously lived in, a moldy home, or maybe they… sometimes they work in a moldy place. Dr. Deb Muth 15:38to him. Dr. Ginger Savely 15:39And for, you know, one quarter of the population, this can be… these mycotoxins are just huge immune suppressants. And so. I used to test that genetic haplotype test that Dr. Shoemaker does. I used to do it on all my more jealous patients. every single one of them came out mold susceptible. So after a while, I just stopped doing it, because I kind of got the point. And also, you know, it’s an expensive test, and insurance often doesn’t cover it. So, But anyway, that… that is… excuse me, I gotta take a drink here, my mouth is dry. Okay, so, alright. Now, of course, I have to figure out where I was. What were you saying? Dr. Deb Muth 16:27We were talking about mold in Schumacher. Dr. Ginger Savely 16:28Oh, yeah. Dr. Deb Muth 16:30for that. Dr. Ginger Savely 16:31Yeah, so you know, mold is the big thing now, right? I mean, I know you’re looking at… we’re all looking at it. I’ve been in the Lyme world long enough to remember back when we didn’t, and we were always so baffled by some of our patients just didn’t get better. Why aren’t they getting better? I’m doing the same thing with them. They’re not getting better. And then come to find out is, you know, they had this, these mycotoxins that they… their body was not able to detox. You know, these people can’t detox the mycotoxins on their own, so… They’re… they’re quite an immune suppressant if you’ve got those going on, so… There’s other things that hold people back from getting well, of course. I find that my PTSD patients can’t get well unless they’re really actively working on the PTSD by going to therapy groups, whatever, you know, it is.I find that people who live in a smoky home where people smoke… well, I don’t even take patients who smoke, because that’s just so counterproductive. to getting well, but sometimes you could look at a home where everybody’s smoking, you know, and that passive smoke, too, is so bad, too. So… and then, of course, I’ve got people, unfortunately, that may be living in abusive situations and can’t get out, and that is also another thing that just halts the treatment.So, you know, everybody… a lot of times people will get online and say, you can never get well from this, don’t even believe anybody that says you can get well. Well, you know, that might be the case in your case, because we don’t know all the various immune challenges you have. But every single patient is different, and that’s why I really can’t publish a protocol or anything like that. Dr. Deb Muth 18:23Yeah, because… Dr. Ginger Savely 18:24it’s kind of more of an art than a science, almost. You know, you just have to feel your way through it, but I… through the years, I have, kind of. start… I found that there’s two antibiotics. If I start with those two, I’m pretty much always going to get some kind of a good response, and that is, a sulfa drug and clarithromycin, the two of them together. Now, that’s not all I do, but that’s a starting point, and I often tell other doctors, look, if you’re going to refer them to me, get them started on those two drugs, you know, just… that’ll already help some. Yeah. And now, of course, a lot of people are allergic to sulfa, so then we have. Dr. Deb Muth 19:10to go. Dr. Ginger Savely 19:11We have to go with something else. But there’s… there’s a lot of different combinations, but basically, I’ve found that, like, if I really go after that Bartonella, and I do a combination, like, the sulfa. doxycycline and, rifabutin, for example. Those… those really get us somewhere. But it’s not… never a quick fix, you know, it’s… it takes a lot of patience, because It’s… it’s slow to get over this. Dr. Deb Muth 19:42Yeah, it seems like, you know, a lot of what we’re talking about in the tick-borne world these days, too, is immune system, right? And there’s so many new things that we’re learning. I was having a conversation with one of the docs from Invita Medical, and they were saying they are seeing a lot of their Bartonella patients are developing cancer. And so all of these things that suppress our immune system, and there’s so many in the world, right? Do you think that’s partially why so many people get overlooked and misdiagnosed when it comes to a tick-borne illness or a mortgage illness? Because they’re… they’re not looking at the root, they’re not looking at the immune system, they’re just kind of looking at symptoms, and of course, everybody thinks these people are crazy, because they have so many bizarre. Dr. Ginger Savely 20:26Symptoms, you know. Well, you know, I always tell my patients, like, if they have to fill out a form or something saying what they have. I always say, say you have Bartonellosis, because Lyme is a trigger word, Magellan’s doesn’t exist. Yes. So, just put you… and you know, when they take that to another doctor. 9 times out of 10, the other doctor doesn’t even know what that is. Dr. Deb Muth 20:52they don’t… Dr. Ginger Savely 20:53They know what cat scratch disease is, they know that name, and that’s an. Dr. Deb Muth 20:58cute. Dr. Ginger Savely 20:58Bartonellosis. But if you say Bartonella to them, they’re kind of confused. And so, in a certain sense, that’s kind of a good thing, because it’s better than it being a knee-jerk reaction, like, get out of here, you’re crazy. Dr. Deb Muth 21:13Time doesn’t exist, what are you talking about? Dr. Ginger Savely 21:15Oh, right. Dr. Deb Muth 21:16Right, it’s… Dr. Ginger Savely 21:17It’s just a… it’s a trigger word, too, but they’re kind of baffled with the Bartonella, like, oh, wait a minute, what is this? Dr. Deb Muth 21:23Yeah. Dr. Ginger Savely 21:24Yeah, that’s always, I think, a good approach to do. But, yeah, I’m always pointing out to my patients that it’s a lot easier to catch Bartonella than Lyme, because there’s so many… there are more different vectors for Bartonella than any other vector-borne infection. So, there’s a number of different bites you can get where you can get Bartonella, and I notice a lot of my patients start having more gellens after a flea infestation, and flea… fleas can give you Bartonella, correct? Dr. Deb Muth 21:58Huh? Dr. Ginger Savely 21:58Cat scratches can, too. A lot of them will bite. Dr. Deb Muth 22:01noceums? Dr. Ginger Savely 22:02It’s like, and in fact, who knows? We don’t even really know all the ones that could possibly give Bartonella, so… Bartonella needs to be really high up on the list of the differential, and it’s not on the list at all with, you know, most. Dr. Deb Muth 22:20Hmm. Dr. Ginger Savely 22:21I don’t even think infectious disease doctors, but certainly not primary care doctors. So, I don’t know what the connection is with Bartonella. It may just simply be, coincidentally, the same things that treat Bartonella, treat this, who knows? The thing is, to say anything like. so-and-so causes more gelands, we’re not even close to being there, you know, in terms of the little research we have. Sure, we have research that shows the presence of certain pathogens in the lesions. But correlation does not equal causation, so we don’t know what that means, that they’re there. But interestingly, they’re about… I think I put this in my book, even, that they’re about, 15 different kinds of skin lesions, where if the patient has Lyme you can biopsy the lesion, and you’ll find Borrelia, the spirochetes, the causative agent of Lyme, in the lesions.So, did the Lyme cause those? nobody knows, because Lyme bacteria loves to go to the weakest part of the body, and so it’s gonna go to any, like, a lesion, it’s gonna go there, because it’s a weak part of the body, so… it may be there just for that reason. It doesn’t necessarily mean it’s causing it. So, lots and lots of work to do in terms of research on this, but it’s very difficult, because, you know, money, we don’t have money for it, and . Dr. Deb Muth 24:07Yeah. Dr. Ginger Savely 24:08There’s no… Dr. Deb Muth 24:08There’s money behind it if we don’t have a drug to fix it. Dr. Ginger Savely 24:10Oh, yeah, that’s true. I mean, you know, we just can’t really get anybody interested in it, like CDC, or… you know, they just are… they did such a… you know, they… they just didn’t really put their heart into doing that one little research study they did. They used all the wrong patients. They didn’t even have an inclusion criteria for the patients, and so they actually… admitted patients to the study that, yeah, they didn’t have more tones. You know, they basically admitted everybody who’d been in with something itchy. You know, of course, a lot of those people didn’t have itchy, so it was… it was so crazy. But, yeah, I feel very… constantly very frustrated that… nobody’s really looking into this, because it is amazing what it can do. I have patients with big holes in their faces, you know. I have a patient who developed, cervical cancer while I was treating her. She had the treatment for it. And it all started out, though, when the doctor saw a huge lesion on her cervix, and when trying to get a little scraping, like to do a biopsy. it just… a hole opened up. Just a hole. Dr. Deb Muth 25:31Gosh. Dr. Ginger Savely 25:32And this is what happens to a lot of my patients, is, like, they develop, kind of, craters in their face. deep holes. Dr. Deb Muth 25:39So… Dr. Ginger Savely 25:40There are so many aspects to this disease. I mean, it’s way more than just the fibers, the filaments. Right, exactly. There’s so many other odd things that’s going on, you know, they all have this sort of a sticky thing all over their skin. Biofilm? I don’t know, but, you know, that’s… they all complain about that like a black tarry stuff coming out of their skin. All the different things that come out, too, you know, they look like, some of them look… do look like little tiny white maggots, and so you can kind of see why people… Do think that they have some kind of an infestation, because an infestation means when you have something along the lines of a, you know, flea, lice, you know, that sort of thing. But many, many patients come to me convinced that that’s what they have. I don’t know, maybe some of my patients do have that as well, but some of the symptoms are very unique to Morgellins, and primarily one. The one symptom that is totally unique to Morgellons is these filaments of different colors that come out. And you can compare Morgillins to, in fact, I did in my book, to any number Of, dermatologic manifestations, and… you can find them that are almost exactly like it, but always the one difference being that Margellis has the fibers, and that other diagnosis does not. So, many of my patients have been misdiagnosed with one of those other things, because the… I think the… the dermatologist or whoever gave the diagnosis wasn’t really looking carefully and didn’t really believe the patient when they said they had filaments. They usually think, oh, they’re just from your clothes, they’re just stuck in you. Dr. Deb Muth 27:32don’t know, they, they don’t. Dr. Ginger Savely 27:34Yeah. Dr. Deb Muth 27:34unfortunately. Dr. Ginger Savely 27:36But they don’t have the curiosity either, which is mind-blowing. Dr. Deb Muth 27:40I know, right? Dr. Ginger Savely 27:41Yeah. If it’s… Dr. Deb Muth 27:42Just kind of straightforward, black and white, that’s all I do. So, Dr. Ginger, how do we help patients feel believed again after being dismissed so long and by so many doctors that. Dr. Ginger Savely 27:55Yeah, huh? Dr. Deb Muth 27:56just don’t know, just don’t know what they don’t know, but they’re trying to be helpful, and unfortunately, sometimes they’re not. They’re hurting the patient by telling them that this is all in their head, or… Dr. Ginger Savely 28:06Yeah. Dr. Deb Muth 28:06It’s just. Dr. Ginger Savely 28:07I mean, of course, we just need some more… much more education of the doctors, right? Dr. Deb Muth 28:13Yeah. Dr. Ginger Savely 28:13They’re the ones that really need… but there are some things that patients do need to be very careful about, and this is just all in the world of learning how to tiptoe around doctors. One thing, never say the M word. If you go in, never say… don’t even suggest it. Just go in there, like, kind of dumb, like, oh, you know, I’ve got this thing going on, what do you think it is? You know, you don’t want to do that. You don’t ever want to suggest a diagnosis either, just act stupid, because that way… They’ll really look into it, you know? Dr. Deb Muth 28:49Yeah. Dr. Ginger Savely 28:50You suggest a diagnosis, then they get irritated, and they just don’t want to even look into it any further. So, you do just sort of have to play dumb a little bit, and just go, gosh, what could this be? I can… you know, and tell the symptoms. Now, even my patients have done that, though. they… a lot of times, they feel, maybe the doctor doesn’t say they’re crazy, but they just feel like they’re kind of brushed aside, like, yeah, well, okay, just put some cortisone cream on it, or, you know, that kind of thing. And I think that just sort of speaks to what’s happened in our medical system lately. I’m very disturbed to hear the stories of people saying they… they… the doctor spent very little time with them. Seemed rushed, didn’t even look at them, didn’t even touch them, certainly didn’t look a magnifier. And it’s… I’m very distressed by the state of healthcare in our country, how this is happening to people. People feel very, very disillusioned with healthcare nowadays. They don’t trust doctors anymore, because, you know, they’ve loved. Dr. Deb Muth 29:58Right. Dr. Ginger Savely 29:58Right. So many times, and so, yeah, I don’t know what we’re gonna do about that predicament. Dr. Deb Muth 30:05I know, my mother-in-law’s 86, and she told me when she went for her physical last year, they… they never took her clothes off, they didn’t even listen to her heart or lungs, or feel her liver, nothing. There was… I said, well, that’s not a physical exam! Dr. Ginger Savely 30:19You know what that is? It’s a Medicare wellness check. Dr. Deb Muth 30:22That’s a… Dr. Ginger Savely 30:22You have to get a Medicare well… but all… this is a Medicare wellness check. They ask you, like, 5 questions. Have you fallen? You know, da-da-da-da. They ask you the questions. I think they weigh you and, you know, review… So, no, it’s not a real physical, it’s just something to make Medicare happy. But, yeah, I know people start being overlooked as they get older. They just kind of, you know, we’re old, whatever, you know, so they don’t… they don’t worry so much. And I’ve had patients as old as… I guess my oldest patient with this was 88. And those… those older people are so miserable, too, when they have this, and they really are just not so much told they’re crazy, but just kind of, whatever. Yeah, their doctors are just not… not particularly interested in what’s going on with them. Dr. Deb Muth 31:17You’re old, what more do you expect? I hear that a lot from my older clients, that that’s. Dr. Ginger Savely 31:21And they’re. Dr. Deb Muth 31:21old. Dr. Ginger Savely 31:22I remember when my father lived to be 94, and the thing that frustrated… and he was a PhD in physiology, so he’d actually worked with MDs a lot, and… Dr. Deb Muth 31:32Yeah. Dr. Ginger Savely 31:32He, he, he used to get so angry, about, about that whole situation, you know? It’s… he, would often say, you know, I go to the doctor, I complain about a pain, and they laugh and say, what do you expect? You’re 90. You know, and my dad was always very active to the end, and he didn’t… it was unusual for him to have the pain, and you know, it should have been looked into rather than just… scoffed at like that. Dr. Deb Muth 32:03missed. Dr. Ginger Savely 32:03It is a problem, you know, in our system, and you don’t find too many specialists in advanced care, in geriatric, whatever you want to call it. I’m… I’m fast approaching that age myself, so I hate to use the word geriatric I think I’m technically geriatric right now, but I can’t… Dr. Deb Muth 32:25We’ll just bypass, that’s just a number. Dr. Ginger Savely 32:27Yeah, yeah. But, yeah, so… Dr. Deb Muth 32:32Andrew, this is a great conversation. I always like to end our show with one last question, and this is always a doozy, so you’ll have to put your thinking cap, or you’ll have to calm yourself when I ask this one. If there was one thing you could change in our medical system today, what would it be? Dr. Ginger Savely 32:52that… Well, it would all have to do with insurance, because insurance is the thing that’s making doctors feel so rushed that they can’t really take time and listen to the patient and properly examine them, because in order to make enough money, with what insurance reimburses them, they just have to, you know, move them in. Dr. Deb Muth 33:12knowing that. Dr. Ginger Savely 33:13And so, you know, if doctors were given… and I bet some of them would really enjoy being able to spend more time with the patient and really listen, but they just can’t because of the way the way it’s all rigged up with health insurance. And so, I want… I want to think that doctors would be happy to do that if they were able to, but, you know, that’s the thing is, I remember writing a paper, even when I was in my undergraduate. about the importance of validation, and this is way before I knew anything about Morgellons, but it was just, like, a big deal to me, like, you know, people need to be listened to and heard, and not brushed off, and validation… You know, when people are validated. they already feel 50% better. It’s just, you know, people will say that after the first visit with me, and I haven’t even done anything yet, that they already feel better, because somebody’s finally taking them seriously, and listening to them, and really… caring, and that’s… I mean, shouldn’t that be basic to all healthcare? I would think it should be, but it’s just not always the case these days, I see. Dr. Deb Muth 34:31Yeah, I agree, I agree. Well, for people who are listening to us, and they’re like, I want to talk with her, I want to meet her, how do they find you? Dr. Ginger Savely 34:41Well, the email address is Lyme DC, Lime, L-Y-M-E-D-C as in District of Columbia, that’s where my office is, limedc at gmail.com. And that is, the address to ask for a new patient packet. I am still accepting new patients. Usually takes a couple months to get in, but I have people fill out paperwork first. sometimes… I mean, I accept most patients, but there’s occasionally, when I look at the history, if they’ve already been to 15 other Lyme doctors, I might not. But, you know, I just like to know in advance as much as I can. Dr. Deb Muth 35:24Yeah. Dr. Ginger Savely 35:24about the patient, because it’s very hard to… you know, I… I can’t really give advice to Mordellin’s people who just talk to me briefly, because, oh my gosh, I need to know so much, I need to know… Dr. Deb Muth 35:34I’m. Dr. Ginger Savely 35:34so much about their history, and their… I mean, it’s just… and I think people get frustrated with me because you know, come on, just give me… give me some tips here real quick, and I was like, it’s so dependent on your story. It’s so individualized that I can’t… I don’t feel even good about trying to give advice to somebody just randomly out of the blue like that. And it… I guess maybe it makes people frustrated and makes them think, oh, you just want the money or something. No, I mean, it’s a lot of responsibility for me, what I do. I’ve been doing… I’ve been taking care of more jealous patients for 25 years. It’s put me at very high risk. I’ve been investigated before by my board, and I’ll tell you, it was not… not a very pleasant thing to go through. And so I said, yeah, I have to keep a little bit of a low profile, and, you know…Yep. And so, people just need to understand that if somebody is taking care of their mortgage, that the healthcare provider who’s taking care of them, they’re taking a personal risk, because they’re doing something that’s not accepted. By the general medical population and by their regulatory board, and so they could very well be called out and even lose their license for doing it. Dr. Deb Muth 36:58Yeah, very much so. It’s good to… to point that out, because these doctors, we’re all putting our neck on the line to help these patients, and sometimes the patients don’t appreciate that or don’t understand that, and they can put us in arm’s way without… sometimes without realizing it, sometimes on purpose. Dr. Ginger Savely 37:16You know, most of my patients, though, are just… they’re so protective of me. You know, they go to the ER for something, and then they’ll say, well, who’s treating your… Dr. Deb Muth 37:27anonymous. Dr. Ginger Savely 37:27so-called Mordellins. well, don’t worry about it, I have a good provider. You know, they just won’t even give my name. But like you say, sometimes accidentally it has happened, and then I get a call from some ER doctor, and it’s usually ER. Dr. Deb Muth 37:44remote. Dr. Ginger Savely 37:44room doctor yelling and screaming at me, and, you know. Dr. Deb Muth 37:48Yeah. Dr. Ginger Savely 37:48Like, oh… Dr. Deb Muth 37:50Yeah. Dr. Ginger Savely 37:50So… Dr. Deb Muth 37:51It’s unfortunate, isn’t it? I had a patient recently see another GI doctor who said, if I prescribed 3 different antibiotics at one time, I’d lose my license. And I’m like, oh, well, not really, but… and, you know, and it upset the patient quite a bit, because now they look at me and they think I’m doing something wrong, because the conventional person told them that it was a problem, and it’s really sad how those things happen. Dr. Ginger Savely 38:16Well, this is something that’s really gotten me very annoyed lately, is when pharmacists see things prescribed that they’re worried about, their job is to contact the doctor and say. Dr. Deb Muth 38:28Yeah. Dr. Ginger Savely 38:29Are you really sure about this? You know, no, what they’re doing is scaring the patients to death. Dr. Deb Muth 38:35Right. Dr. Ginger Savely 38:35They’re saying, okay, here’s what your doctor gave you, but I’m just going to warn you, I mean, geez, taking all those at once, gee, I wouldn’t, you know, and that’s the way they’re talking. So then they lose faith in me, and they don’t realize I’ve been doing this so long, and I’ve had so many thousands of people take this. I know from experience not going to hurt them. But, you know, the pharmacist just read it in a book somewhere, so they assume that it’s going to be awful for. Dr. Deb Muth 39:02Yeah. Dr. Ginger Savely 39:02But that’s… that’s very unprofessional of them to do that. That’s not really their job to do that, but I… it’s happening a lot, I see that. Dr. Deb Muth 39:11happening a lot. Instead of just picking up the phone and calling the doctor. They’re, like you said, upsetting the patient, or calling the board, or those kinds of things. And what happened to that professional courtesy and that exchange of our knowledge bases? You know, I’ve gone to the pharmacy and picked something up, and the pharmacist looks at me, he says, I don’t know what this drug is. And it happened during the pandemic, when I was prescribed hydroxychloroquine, and I’m like, you don’t know what hydroxychloroquine is? Dr. Ginger Savely 39:41Pharmacist? I was like… Dr. Deb Muth 39:43Really? And it was an older pharmacist, and I was like, really? And I… I was like, at first I thought, are you just saying that because you don’t understand why you’re giving it to somebody, or are you saying that to hope that I say something different? Dr. Ginger Savely 39:57Yes. Dr. Deb Muth 39:57Really surprising to me how many medications… Dr. Ginger Savely 40:00Question? Dr. Deb Muth 40:01Yeah, yeah. How many medications the pharmacist really claim they don’t know anything about, or they don’t know how to use it? That’s their job, to know about. Dr. Ginger Savely 40:10Sorry, it’s. Dr. Deb Muth 40:11It’s very scary these days. Dr. Ginger Savely 40:12I’m seeing a lot more incompetence in pharmacists, so many scary mistakes being made all the time now. All started with the pandemic. Yep. Ever since the pandemic, pharmacies are making tons of mistakes. Dr. Deb Muth 40:25Yeah. Dr. Ginger Savely 40:25I remember getting so mad at one one time. I said, look, you have one of the two careers where you’re never, ever allowed to make a mistake. Air traffic controllers and you. Dr. Deb Muth 40:35That’s right. Dr. Ginger Savely 40:36Unfortunately, I’m sorry for you, but you cannot make mistakes. Dr. Deb Muth 40:40Yeah, they can’t. I mean, it can be deadly for them, and they do. Dr. Ginger Savely 40:44Yeah. Dr. Deb Muth 40:45Unfortunately, I think, you know, it’s who they’re hiring, it’s the corporate aspect of the pharmacy these days. Dr. Ginger Savely 40:52Probably so. Dr. Deb Muth 40:53Yeah, it’s a… it’s a big mess. Dr. Ginger Savely 40:55Well, I don’t… I didn’t mean this little part here to scare people. I’m sorry about that, I didn’t… didn’t intend to do that, but I just feel like one thing I would do… I do, is if I… if you go pick up a prescription, don’t walk away from the counter yet. Look at it. Look at the bottle, make sure… Dr. Deb Muth 41:17Hmm? Dr. Ginger Savely 41:18That’s what you’re supposed to get, that the quantity’s right, that everything’s good. Dr. Deb Muth 41:23Because once… Dr. Ginger Savely 41:23you walk away from the… you don’t have any recourse. Right. So before you even leave, you know, just… just check it out and make sure. That’s right. And a lot of times, people are given the wrong quantity, or any number So, they. Dr. Deb Muth 41:36They don’t tell you that your insurance won’t dispense the full amount. Dr. Ginger Savely 41:40Right, they just, they just… Dr. Deb Muth 41:41They don’t have it all on stock, so they’re only giving you a partial fill. They won’t tell you any of those things, and then you. Dr. Ginger Savely 41:47Right. Dr. Deb Muth 41:48Call and get that information from them after the fact, and it’s not fun to try to do that, for sure. Dr. Ginger Savely 41:53Oh my gosh, no. I hate calling pharmacies. Dr. Deb Muth 41:56I know, me too. Well, Dr. Ginger, this was such a great conversation. Is there anything else you want to leave our listeners with before you and I sign off? Dr. Ginger Savely 42:04I just want them to have hope. That’s the most important thing. Because many patients with Morgellons do give up hope, and there’s a high suicide rate in this group. And, you know, don’t… don’t give up hope. Don’t give up. There’s… there are people out there who can help you. I’m not the only one. There aren’t many of us, but there are some other I would be able to refer you to if I can’t take you on. And, you know, just… Just know that there are those of us out there who believe in this, we know it’s real, and we’re just desperately trying to see what we can do to help. Dr. Deb Muth 42:46Well, thank you for all your years of support and patient-centered approach. It’s definitely a blessing to have you. Thank you. Dr. Ginger Savely 42:54Alright, thank you so much for having me. Dr. Deb Muth 43:01Where am I? Thank you so much for joining me today on Let’s Talk Wellness Now. Dr. Savely’s decades of experience working with Lyme disease, co-infection, and Morgellins, and your compassionate, patient-centered approach. are such an important reminder that healing starts with being heard, believed, and truly understood. If this conversation resonates with you, I encourage you to share it with someone who may be searching for answers and hope on their healing journey. Remember, complex chronic illness is not something you have to navigate alone. For more information about Dr. Savely’s work, visit her on her website, and we’ll put those links below. And until next time, I’m Dr. Deb, reminding you to take care of your body, mind, and spirit. Be well, and we’ll see you on the next episode. The post Episode 273 – The Hidden Truth About Morgellons, Lyme Disease & Bartonella | Dr. Ginger Savely first appeared on Let's Talk Wellness Now.

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll

Jared Mell is a surfer and shaper who grew up in Orange County, California, surfing Blackies and riding alt equipment—primarily longboards, but also eggs, fishes, alaias, etc. Mell's competed in many events, and landed many decent results, but they seem almost incidental to what he brings to the surf buffet. "Jared will be walking the nose backside and at the last second he'll turn switch," says Alex Knost, "and as I'm watching and celebrating that sort of maneuvering, he'll take an extra step with one foot over, do a head dip and whip his hair back, and dramatically recover into a matador-like soul arch with his eyes wide as can be and just staring into my soul, and then he'll burst into laughter as he rides past."  "I used to call Jared the one-man party," says filmmaker Jack Coleman. "Any function or hang was always full of mischief and laughs, hence the nickname, 'J-Rad.' He surfs radical and lives radical, always pushing the limits on land and in the water. Jared's a performance artist. Spontaneous. Unpredictable. From his reverse tube riding to his sultry transitions, Jared makes you watch." Mell has appeared in many surf films, among them Polyester, Groove Move, Free Jazz, Forbidden Trim, and Yi-Wo. His waves stand out. He surfs with an ease and grace and looseness that seems less the product of a serious training regimen than not trying too hard—like someone who perhaps adds a few beers to that "not trying too hard." And maybe a couple of cigarettes, too. "Jared Mell is the personification of the modern transitional surfer spanning the front-footed universe, into the back-footed and beyond," says Thomas Campbell. "He's the king of fun. He's a professional professional at having fun."  Today, Mell is based in Bali, where he moved around 2009. He lives and shapes in the Canggu area. In this episode of Soundings, Mell talks with Jamie Brisick about growing up in Newport Beach, maintaining perspective, staying loose, scoring waves at unexpected moments, and ditching contests to see Chaka Khan perform live in concert.   Presented by Rainbow® Sandals  Produced by Jonathan Shifflett. Music by PazKa (Aska Matsumiya & Paz Lenchantin). Become a TSJ member at surfersjournal.com

Welcome to The Happy Place Guide To Holidays! In this chat – brought to you by British Airways Holidays – Fearne gets into what she and Team Happy Place absolutely love about a holiday, and which bits can be a bit rubbish. (No one wants to pack to go home when the swimsuits are still wet...)How do you take your holidays more seriously? Join the chat on Instagram @happyplaceofficial and @britishairwaysholidays.In this chat, Fearne explores:-How a spa holiday induced a 10/10 sleep-Soaking up the history of places like Rome-Why you're a more relaxed (more fun??) version of yourself on holiday-Chatting with strangers in cool little shops-The brilliant trinkets you come home with (personalised wax seal, anyone?)-Why nothing will beat the first Negroni abroad-Having uninterrupted reading time -Why the first 24 hours on holiday can make her a little bit anxious-The perils of being a last-minute packerBritish Airways Holidays are ATOL protected, offer a 24hr holiday helpline, and allow you to book with a low deposit. All holidays include a generous baggage allowance per person. Go to Ba.com/holidays to find out more. Hosted on Acast. See acast.com/privacy for more information.

In this episode, we chat: Why you're not "bad" at sticking to routines, inconsistent, or undisciplined... you just might need to tweak how you approach routines especially if you're a spontaneous, fly-by-the-seat-of-your-pants type of gal. What you'll learn in this episode: How to actually STICK to your routines even when they feel and seem, well, borringg. How routines actually bring out MORE of your playfulness and whimsy A whole new way to view consistency-- and no, this does not look like get it PERFECT or give up. Permission to breathe. IG: @clearernotlouder

Songwriting seems like magic until you actually watch someone do it. Then you realize it's mostly just confidently making bad decisions until some of them accidentally rhyme. We're writing a song completely on the spot. No plan, no polished lyrics, just improvising our way into something that hopefully sounds intentional by the end. We're also playing around with AI music tools. Which is exciting... and a little unsettling. We spent years learning chords, and now a laptop is like, "I made four albums while you were tuning your guitar." All of this leads us to writing a song about Charlie Bunny. Sometimes inspiration strikes. Sometimes it hands you a rabbit named Charlie and says, "Figure it out." So today is part songwriting, part musical experiment, part AI exploration, and part failure.