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In our final part of our series on "FAQs," Pastor Jeff & Lydia discuss more on the topic of sin, and clear up some concepts of sin that people either get confused on or need clarification on.
“This experience of loss really changes who you are in the world — and changes you for the rest of your life.” Michelle La Fontaine is the manager of the Pregnancy & Infant Loss Network (PAIL) at Sunnybrook Health Sciences Centre. As a bereaved mom herself, she guides grieving families with a full heart, connecting them with programs and resources. PAIL joined Sunnybrook in 2017 and aims to bring awareness to this uncomfortable topic while providing grief literacy and support to the wider community.*This episode was recorded in 2024. Please download, subscribe, follow and share.
As we continue in our "FAQ" series, Pastor Jeff & Lydia dive into sin - the definition of it, what it looks like, and if some sins are bigger than others.Then tune in for the next episode, where we continue answering your questions about sin.
A growing number of young people in Canada are being diagnosed with colorectal cancer, and their needs often differ from older patients. Melissa Groff was diagnosed at age 34, with three small kids, in the prime of her career. She says she would have benefitted from more age-appropriate care. Sunnybrook's Young Adult Colorectal Cancer Clinic offers this care including support for mental health, sexual health, body image issues and family planning.
"We were absolutely terrified, and our biggest question was, 'is our baby going to die?' I didn't know anything about babies being born in the second trimester."Ten years ago, Karen Bong didn't know if her daughter would make it home from Sunnybrook's NICU. She is now the proud mother of two, and guides other new parents as the NICU's Family Support Specialist. Dr. Eugene Ng is a neonatologist at Sunnybrook Health Sciences Centre. He outlines the processes and protocols in place for NICU support and how this hospital has the best outcome in all of Canada for micro-preemies and babies born with anomalies. *This episode was recorded in 2024. Please download, subscribe, follow and share.
This five-part Sunnybrook Series features the lived experience of those navigating motherhood, trauma and loss, and the specialists, doctors and directors dedicated to supporting the most vulnerable of patients. Stream a new episode every Wednesday, beginning March 5. All guests on this podcast were provided by Sunnybrook Health Sciences Centre. Please download, subscribe, follow and share.
Send us a textOn this episode of the CMAJ Podcast, Dr. Mojola Omole and Dr. Blair Bigham discuss necrotizing fasciitis, a diagnosis that can strike fear into the hearts of clinicians due to its rapid progression and devastating consequences. The discussion builds on insights from the CMAJ practice article, “Necrotizing soft tissue infections caused by invasive group A Streptococcus,” co-authored by Dr. Saswata Deb and Dr. Stephanie Mason.Dr. Deb, an emergency physician and clinician scientist at Sunnybrook Health Sciences Centre in Toronto, outlines the key clinical signs of necrotizing fasciitis, including pain out of proportion to physical findings and rapid hemodynamic deterioration. He emphasizes the importance of considering NSTI in the differential diagnosis for cellulitis and the need for prompt surgical consultation when red flags arise. Crucially, Dr. Deb explains that no imaging or laboratory tests can definitively rule in or rule out the diagnosis—only surgical exploration can confirm it.Dr. Mason, a burn and general surgeon at Sunnybrook's Ross Tilley Burn Centre, provides a surgeon's perspective on managing these infections. She addresses common missteps in diagnosis, the need for aggressive surgical debridement, and the role of multidisciplinary care in saving patients' lives. She also discusses how surgeons can overcome their fear of creating extensive wounds, reassuring listeners that reconstruction is possible once the patient is stabilized.Together, the guests and hosts explore practical solutions to reduce delays in care, including the potential for institutional protocols—possibly a "code nec fasc"—to streamline decision-making and improve outcomes.For more information from our sponsor, go to md.ca/tax. Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.You can find Blair and Mojola on X @BlairBigham and @DrmojolaomoleX (in English): @CMAJ X (en français): @JAMC FacebookInstagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions
Colorectal cancer is the fourth most common cancer in Canada, but screening doesn't begin until age 50. Seeing younger people getting diagnosed, Dr. Shady Ashamalla helped launch Sunnybrook's Young Adult Colorectal Cancer Centre in Toronto. It offers minimally invasive care to patients like Catherine Mifsud, diagnosed with three kids at home in the prime of her career.
Lydia & Jeff wrap up their conversation about the difference between Catholic vs. Protestant theology, and where Sunnybrook lines up.
Lydia & Jeff continue their conversation about the difference between Catholic vs. Protestant theology, and where Sunnybrook lines up. Join us for part two of this three part series!
In this compelling episode of Curing with Sound, Rima Youssef shares her transformative journey battling severe obsessive-compulsive disorder (OCD) since childhood. Learn how a focused ultrasound clinical trial at Sunnybrook Health Sciences Center offered hope when traditional treatments failed, leading to a remarkable turnaround in Rima's life. Rima's story is a testament to the potential of focused ultrasound in treating neurological disorders. From the onset of her symptoms at age six to participating in a groundbreaking clinical trial at Sunnybrook in 2021, Rima candidly discusses her struggles with debilitating OCD and the impact of the focused ultrasound procedure on her recovery. Her experience sheds light on the challenges of living with treatment-resistant OCD and the life-changing potential of this innovative, noninvasive technology. Key points from the conversation: Rima's OCD journey, including early onset at age 6 and escalation of symptoms that by age 12, left her unable to attend school or even play outside Rima's decision to participate in the focused ultrasound clinical trial and her experience with the procedure The gradual improvement in Rima's symptoms post-treatment, allowing her to return to work and regain a sense of normalcy in her life Rima's advocacy for wider accessibility of focused ultrasound treatment for OCD patients SHOW TRANSCRIPT ---------------------------- QUESTIONS? Email podcast@fusfoundation.org if you have a question or comment about the show, or if you would you like to connect about future guest appearances. Email info@fusfoundation.org if you have questions about focused ultrasound or the Foundation. FUSF SOCIAL MEDIA LinkedIn X Facebook Instagram TikTok YouTube FUSF WEBSITE https://www.fusfoundation.org SIGN UP FOR OUR FREE NEWSLETTER https://www.fusfoundation.org/newsletter-signup/ READ THE LATEST NEWSLETTER https://www.fusfoundation.org/the-foundation/news-media/newsletter/ DOWNLOAD "THE TUMOR" BY JOHN GRISHAM (FREE E-BOOK) https://www.fusfoundation.org/read-the-tumor-by-john-grisham/
Lydia & Jeff dissect a question they get asked a lot: What is the difference between Catholic vs. Protestant theology, and where does Sunnybrook line up with either one? Join us for part one of this three part series!
The low sun spreads its dimming rays across the tops of the Poplars. A narrow brush stroke of glowing yellow light touches the remaining leaves. The streams feeding the Thames have topped their banks, pooling in the fields beyond Sunnybrook studio. Paul Lodge joins Warren on this crisp sunny afternoon in the countryside. We are treated to extraordinary music and fascinating insights into song writing, life, poetry, philosophy, Hillary Clinton, William Wordsworth's bedroom, America, The Cure, Oxford and the flow of the real.You can find out more about Paul Lodge and his music here: https://www.paullodge.com/music and on Spotify here: https://open.spotify.com/artist/00Foy6z8Qwh9fhWgRIytDA?si=tutpOiJ6SeWZsxfodlOiKg and on Bandcamp: https://paullodge.bandcamp.com/Thank you for listening.Audio recording by JohnPhotos from the session by @ianhanhamphotos (Instagram) can be viewed here: @shedtreasures (Instagram)
Dr. Arnie Aberman received his honorary doctorate of laws from the University of Toronto in June 2015. He is one of more than 1,500 people who have received honorary degrees from UofT since the school began the tradition in 1850, but Aberman believes he is the first and only person to give it back—as his symbolic form of protest against rising antisemitism on campus and his anger at how his former employer is failing to keep students safe, be they Jews or non-Jews. Aberman actually has three other honorary PhDs from other universities, plus an Order of Canada for his contributions to the medical field. But UofT's award was special, because it came after an illustrious career in which Aberman held just about every top post at the institution's medical school over the past 30 years: chair of medicine, dean of medicine and chief of medicine at hospitals in Toronto, including Mount Sinai, Sunnybrook, Princess Margaret, Toronto General and Toronto Western. But the retired physician, 80, no longer wants anything to do with UofT's degree, after he watched the pro-Palestine encampment remain up for two months on campus—just steps away from the medical building. Aberman has now informed UofT's president of his intention to return the honorary degree in the coming days. Aberman joins this episode of The CJN Daily to explain his decision and what he hopes will happen next. What we talked about Read more on U of T Jewish doctors boycotting their university in protest of the school's handling of rising antisemitism and anti-Israel actions on campus, in The CJN. Learn why an Ontario court ordered the U of T encampment dismantled on July 2, 2024, in on July 2, 2024, in The CJN. Hear why UBC medical professor Dr. Ted Rosenberg quit after 30 years because of his university's handling of antisemitism after Oct. 7, in The CJN. Credits Host and writer: Ellin Bessner (@ebessner) Production team: Zachary Kauffman (producer), Michael Fraiman (executive producer) Music: Dov Beck-Levine Support our show Subscribe to The CJN newsletter Donate to The CJN (+ get a charitable tax receipt) Subscribe to The CJN Daily (Not sure how? Click here)
Following another documented concussion in Thursday night's NFL game against the Buffalo Bills, Miami Dolphins Quarterback Tua Tagovailoa is being urged by former players and doctors to end his football career because the danger of devastating long-term damage to his health is too great. - This is also when young football and hockey players seasons begin and concussion risk is part of their reality. Guest: Dr. Charles Tator - Acclaimed international concussion expert and lead at the Canadian Concussion Centre, Former neurosurgeon-in-chief at Toronto Western and Sunnybrook hospitals. Learn more about your ad choices. Visit megaphone.fm/adchoices
Listen to ASCO's Journal of Clinical Oncology Art of Oncology article, "Humor Me” by Dr. Stacey Hubay, who is a Medical Oncologist at the Grand River Regional Cancer Center. The essay is followed by an interview with Hubay and host Dr. Lidia Schapira. Dr Hubay share how even though cancer isn't funny, a cancer clinic can sometimes be a surprisingly funny place. TRANSCRIPT Narrator: Just Humor Me, by Stacey A. Hubay, MD, MHSc Most of the people who read this journal will know the feeling. You are lurking at the back of a school function or perhaps you are making small talk with your dental hygienist when the dreaded question comes up—“So what kind of work do you do?” I usually give a vague answer along the lines of “I work at the hospital” to avoid the more specific response, which is that I am an oncologist. I have found this information to be a surefire conversational grenade, which typically elicits some sort of variation on “wow, that must be so depressing” although one time I did get the response “Great! I'm a lawyer and a hypochondriac, mind if I ask you some questions?” After I recently dodged the question yet again, I found myself wondering why I am so reticent about telling people what I do. While discussing work with strangers in our hard earned free time is something many people wish to avoid, I think for me a significant motive for this urge to hide is that I do not actually find the cancer clinic to be an overwhelmingly depressing place. Admitting this to others who are not engaged in this work can lead to at the very least bafflement and at worst offense to those who believe that laughing while looking after cancer patients is a sign of callousness. I am an oncologist who laughs in my clinic every day. Of course, the oncology clinic is sometimes a bleak place to work. Cancer has earned its reputation as a fearsome foe, and the patients I see in my clinic are often paying a heavy toll, both physically and emotionally. Many are grappling with their own mortality, and even those with potentially curable cancers face months of challenging treatment and the torture of uncertainty. Yet somehow, perhaps inevitably, the cancer clinic is not just a place of sadness and tears but also a place of hope and laughter. Although most of us recognize humor and use it to varying degrees, few of us consider it as an academic subject. A few lucky souls in academia have taken on the task of developing theories of humor, which attempt to explain what humor is, what purpose it has, and what social function it serves. Although there are almost as many theories of humor as there are aspiring comedians, most explanations fall into one of three categories: relief theory, superiority theory, and incongruous juxtaposition theory.1 Relief theory holds that people laugh to relieve psychological tension caused by fear or nervousness. I suspect this is the most common type of humor seen in a cancer clinic given the weight of fear and nervousness in such a fraught environment. The second category, people being what we are, asserts that sometimes we laugh out of a feeling of superiority to others. It goes without saying that this sort of humor has no place in the clinician patient interaction. Finally, we laugh at absurdity, or as Kant put it, at “the sudden transformation of a strained expectation into nothing.”2 This last category is also surprisingly fruitful in the oncology setting. Laughter in the cancer clinic is still to some extent considered taboo. Near the start of my oncology training, I remember laughing until my stomach hurt with my attending staff in the clinic workspace between seeing patients. What we were laughing about escapes me now, but what I do clearly recall is an administrator in a buttoned-up suit striding over to us in high dudgeon. “Don't you people realize this is a cancer clinic?” she admonished us. “This is not a place for laughter!,” she added before striding off, no doubt to a management meeting or some other place where the policy on laughter is more liberal. At this point, my attending and I looked at each other for a beat and then burst into helpless gales of laughter. We do not tend to think all that much about why we are laughing at something, but looking back now, I think at least part of the reason was the absurdity of a person so unfamiliar with the culture of the cancer clinic presuming that physicians and nurses somehow park their sense of humor when they arrive at work and turn into a herd of gloomy Eeyores. We oncologists are starting to come clean about the fact that we laugh in the clinic and there is now a modest amount of work in the medical literature addressing the use of humor in oncology. One survey of patients undergoing radiotherapy in Ottawa found that a stunning 86% of patients felt that laughter was somewhat or very important to their care, whereas 79% felt that humor decreased their level of anxiety about their diagnosis.3 If we had a drug that decreased anxiety levels in 79% of patients, had minimal to no side effects when used correctly, and cost the health care system zero dollars, should not we be using it? Sometimes, it is the patient or their family member who introduces an element of humor into an interaction as on one occasion when my patient was filling out a pain survey which included a diagram of the body on which he was asked to circle any areas where he was having pain. As his wife ran through a detailed list of his bowel habits over the past few days, the patient circled the gluteal area on the diagram he was holding, pointed to his wife and said “I've been suffering from a pain in my ass doctor.” His wife looked at him pointedly for a moment before the two of them started laughing and I joined in. Sometimes, a patient's use of humor serves to level the playing field. Patients with Cancer are vulnerable, and the physician is an authority figure, meting out judgments from on high. My patient from a few years ago was having none of that. I met him when he was referred to me with widely metastatic lung cancer, a diagnosis typically associated with a dismal prognosis. The patient, however, was not buying into any of the usual gloom and doom that is customary for these interactions. As his daughter translated the information I was providing, he tilted his chin down, fixed his gaze on me, and proceeded to smile at me in a disarmingly friendly way while simultaneously waggling his generous eyebrows up and down throughout the interview. Over the course of 45 min, I became increasingly disconcerted by his behavior until eventually, I was unable to finish a sentence without sputtering with laughter. If you think you would have done better, then you have clearly never been on the losing end of a staring contest. By the end of the interview, all three of us had happily abandoned any hope of behaving with more decorum. Laughter and the use of humor require a certain letting down of one's guard, and the fact that all three of us were able to laugh together in this interview took me down from any pedestal onto which I might have inadvertently clambered. One study from the Netherlands noted that patients used humor to broach difficult topics and downplay challenges they faced and concluded that “Hierarchy as usually experienced between healthcare professionals and patients/relatives seemed to disappear when using laughter. If applied appropriately, adding shared laughter may help optimize shared decision-making.”4 Although it could be a coincidence, it is worth noting that several years after meeting this patient, I discharged him from my practice because he had somehow been cured of lung cancer. Perhaps laughter really is the best medicine. On other occasions, it might be the physician who takes the plunge and uses humor during a clinical encounter. The same Dutch study by Buiting et al noted that 97% of all specialists used humor in their interactions and all reported laughing during consultations at least occasionally. One of my colleagues, a generally serious sort whose smiles in clinic are as rare as a total eclipse albeit not as predictable, managed to win over his patient with a rare outburst of humor. During their first meeting, the patient listed off the numerous ailments he had experienced in the past including his fourth bout with cancer which had prompted this appointment. As he finished reciting his epic medical history, my colleague looked at him somberly over the rim of his glasses for a moment and asked “Sir, I must ask—who on earth did you piss off?” The patient was so tickled by this interaction that he recounted it to me when I saw him a few weeks later while filling in for my colleague. Although humor is a powerful tool in the clinic, it is of course not something that comes naturally to all of us. Attempts at humor by a clinician at the wrong time or with the wrong patient do not just fall flat but can even be damaging to the physician-patient relationship. Even if a physician uses humor with the best of intentions, there is always the possibility that they will be perceived by the patient as making light of their situation. As Proyer and Rodden5 point out, tact is essential and humor and laughter are not always enjoyable to all people, or to borrow a phrase frequently used by one of my patients, “about as welcome as a fart in a spacesuit.” Socalled gelotophobes have a heightened fear of being laughed at, and with them, humor and especially laughter must be wielded with great care if at all. All I can say in response to the legitimate concern about the use of humor being misconstrued is that as with any other powerful tool physicians learn to use, one improves with time. As far as PubMed knows, there are no courses in medical faculties devoted to the fine art of the pun or the knock-knock joke. But even if we physicians cannot all reliably be funny on command, perhaps there is something to be said for occasionally being a little less self-serious. One must also be mindful of patients with whom one is not directly interacting—to a patient who has just received bad news, overhearing the sound of laughter in the clinic corridor has the potential to come across as insensitive. Moments of levity are therefore best confined to a private space such as the examination room in which physicians and patients can indulge in anything from a giggle to a guffaw without running the risk of distressing others. The final reason I submit in support of laughing in a cancer clinic is admittedly a selfish one. While humor has been shown to have the potential to reduce burnout,6 the real reason I laugh with patients in my clinic is because it brings me joy. The people at parties who think my job must be depressing are not entirely wrong. I have noticed that when I have a positive interaction with a patient based on humor or laugh with a colleague about something during a meeting, I feel better. Surprise! As it turns out, this is not just an anecdotal observation. In 2022, a study was published whose title was “Adaptive and maladaptive humor styles are closely associated with burnout and professional fulfillment in members of the Society of Gynecologic Oncology.”7 The SGO has not to my knowledge been widely recognized up to this point for their sense of humor, but I have a feeling that might change. Humor is an essential part of the way I approach many situations, and given that I spend the majority of my waking hours at work, it is neither possible nor I would argue desirable for me to leave that part of myself at the entrance to the cancer center. So to the administrator who admonished my mentor and me to cease and desist laughing in the cancer clinic, I respectfully decline. My patients, my colleagues, and I will continue to laugh together at any opportunity we get. Joy in one's work is the ultimate defense against burnout, and I for one intend to take full advantage of it. Dr. Lidia Schapira: Hello, and welcome to JCO's Cancer Stories: The Art of Oncology, which features essays and personal reflections from authors exploring their experience in the field of oncology. I'm your host, Dr. Lidia Schapira, Professor of Medicine at Stanford University. Today we're joined by Dr. Stacey Hubay, Medical Oncologist at the Grand River Regional Cancer Center. In this episode, we will be discussing her Art of Oncology article, “Just Humor Me.” Our guest disclosures will be linked in the transcript. Stacey, welcome to our podcast, and thank you for joining us. Dr. Stacey Hubay: Thank you for having me. It's a pleasure to be here. Dr. Lidia Schapira: It is our pleasure. So let's start by chatting a little bit about what humor means to you and what led you to write this piece and share it with your colleagues. Dr. Stacey Hubay: I didn't realize how important humor was to me until recently. I just finished a Masters in Bioethics, which was 20 years in the making, and this was the first time I'd been writing anything that wasn't a case report for many, many years. And there was actually specifically a course called “Writing in Bioethics,” and this was the first thing that came to my mind. And I realized sort of how much humor there is in my day to day work life, which, because none of the other people in this bioethics class of 10 or 14 people were working in oncology, they were surprised. So I thought it would be interesting to write about that. And then when I started thinking about it, I realized how integral it is to most of, I guess not just my practice life, but the way I deal with life. And then I could see a thread going back all the way to the beginning of my practice in oncology, and I'm like, “I should write about this.” And I don't think it's unique to me either. I think it's probably many of us in this field. Dr. Lidia Schapira: It is. So let's talk a little bit about humor in the practice of such a serious specialty as we tend to think, or people tend to think of, as in oncology. You talk about humor also connecting you with joy and practice, can you tell us a little bit more about that? Dr. Stacey Hubay: I'm just as surprised, probably as anybody, at least when I first went into this field, which is now more than 20 years ago, how much happiness I found in the field. I meant what I said in the beginning of this essay. When I run into people or strangers, you're getting your hair cut or you're at your kid's volleyball practice, and people always say, “Oh, so what do you do?” And I always say, “I'm in healthcare.” And if they start drilling down, eventually I have to admit what I do. And I say, “I'm an oncologist.” And immediately the long faces and people say, “That must be so terrible.” And I'm like, “Well, it can be, but it's not as bad as you might think.” And they're like, “Oh, it must be very difficult.” And I know that avenue of conversation is closed once or twice. I think I did try saying, “You know what? I have a surprising amount of fun in my clinic with my patients.” And they were aghast, I think is the word I would use. And it made me realize sort of what a taboo it is for many people, including maybe some of us in the field, to admit that we sometimes enjoy ourselves with our patients in our clinics. Dr. Lidia Schapira: So let's talk about that. Let's talk about joy, and then from there to laugh. I think the reason why laughter seems sort of stranger than joy is laughter assumes that we see some levity, humor. And some people would say, there's really nothing funny about having humor. And yet you seem to see it and find it and share it with your patients. So take us into your exam rooms and tell us a little bit more about your process. Dr. Stacey Hubay: It's funny, when I think about the humor in my clinics, I don't see myself as the one who's necessarily sort of starting it, although maybe sometimes I do. I think perhaps it's just that I'm more open to it. And I think it's frequently the patients who bring it in with them. Obviously, we know patients in the oncology clinic, they're often very nervous. It's a very anxious time for them. And we are in a position of power compared to our patients, they're very vulnerable. And so sometimes the patient makes a joke, sometimes I wonder if it's a way of testing if that kind of relationship will work with you. They're kind of testing you to see if you will respond to that. And it's also a way of them relieving their own anxiety, because one of the theories about humor is just a way of alleviating tension. It makes sense that oncology is a place where humor would be welcome, because it's one of the most tense places, I think, in medical practice, although I'm not sure it's present in other places like at the ICU. So the patient often brings it in, and then you respond to it, and if you're on the same wavelength, it sort of immediately establishes this kind of trust between you and the patient. It's not something you can do with everybody. Sometimes some people will not be open to that at any time. And some patients, you have to get to know them quite a bit before that starts to come into the mix. But I find with most people, if you follow them for long enough and you have a good working, therapeutic relationship with them, just like you would the people you like, your friends, your family, that comes into a relationship almost unavoidably. And I used to think, “Oh, I'm not supposed to do that,” when I first came into practice. I'm a serious oncologist, which I am, and I can be a serious oncologist. And I also just didn't have the bandwidth for it. I think I was so kind of focused on, I have to know what I'm doing. Early in my practice, I didn't have the mental energy to devote to that. And then as that part became easier, I became kind of more open, I think, to that, coming into the interactions with my patients. And over time, I started realizing that was probably what I enjoyed the most about my working day. At the end of the day, I'd come home and tell stories, and my kids would be like, “It sounds like you have fun at work.” And I go, “You know? I really do. Surprisingly I do.” Dr. Lidia Schapira: That's so very cool. I think there's so much wisdom in what you just told us, which is that at the beginning, especially when in the first few years of your practice, you really are so focused on being clinically competent that you may be just very nervous about trying anything. And then as you relax, you actually say in your essay that for some people, this may bring relief and may level the playing field. So if there is an opportunity and you're loose enough to find it, you may be able to keep that conversation going. It made me wonder, I don't know if you've had any experience yourself as a patient or accompanying a family member as a caregiver to a medical visit. Have you used humor when you are the patient or when you're accompanying the patient? Dr. Stacey Hubay: That's an interesting question. I haven't been a patient apart from my routine family medicine visits for quite a long time. But when I was much younger, I was a teenager, I did have that experience. I was maybe 15 or 16. I had some parathyroid issues. And I remember seeing these specialists in Toronto, and they were very serious people. I remember thinking, if I want to become a physician, because it was at the back of my mind at that time, I'm going to be a lot more fun than these people. I'm going to enjoy myself a lot more. And little did I realize how difficult that actually was at the time. But I found them kind of very serious and a little bit intimidating as a 15-year-old kid. I hadn't reflected on that before. I'm not sure if that's something that I'm deliberately pushing back against. I think now if I see a physician as a patient, I probably am much more willing to bring that in if the physician is open to it. But you can usually tell many physicians, you meet them and you're like, “You're not going to even try that kind of thing.” But if they're open to it, I think it would bring me much more fun as a patient as well. Dr. Lidia Schapira: Yeah. Do you teach your students or trainees or members of your team to use humor? Dr. Stacey Hubay: That's a very interesting question. How do you do that? So I mentioned, I just finished this Masters of Bioethics, and one of the excellent courses in it was how to teach bioethics, which really was a course about how to teach anything. And most of us who are in medicine, we've spent a lot of time teaching without being taught how to teach. In my own practice of teaching, we mostly use one on one with people coming into our clinics and seeing patients with us. And I think mostly some of it's through observation. I will say to people who work with me that we all have to find our own style. It's important, no matter what your style is, to try and connect with patients, because you're trying to create a therapeutic alliance. You're on the same side. The way that works for me is you don't laugh with people you don't trust. When you're trying to make a plan with people in these difficult situations, I think if you've already formed this alliance where they realize you're with them, they're more likely to believe you and trust your recommendations. I tell trainees, I'd say, “This is my way of doing it. And if it works for you, that's wonderful.” But I can see that for some people it's difficult. Although even the most serious clinicians, one of my very good friends and colleagues who I mentioned in my essay and I talked about, he doesn't make a lot of jokes with his patients, which is perfectly reasonable, but the occasional time he does, the patients were so struck by it because they knew him as such a serious person. They bring it up, “Remember that time my doctor said this,” and they thought it was a wonderful thing. So it's difficult to teach. It's just how would the Marx Brothers teach someone else to be the Marx Brothers? It can't be done. Only the Marx Brothers are the Marx Brothers. Not that I'm comparing myself to the Marx Brothers by any means, but I think you find your own style. Maybe what I'd like to show trainees who come through with me is that it's okay to enjoy the patients, even in a very serious discussion. Dr. Lidia Schapira: Yeah, I would almost say that it speaks to the fact that you're very comfortable with your clinical persona in that you can allow yourself to be totally human with them. And if human means that you can both sort of align around seeing some humor or cracking a joke, that is perfectly fine. I have a question for you, and that is that a lot of my patients in my practice, and maybe some of our other listeners come from completely different cultural backgrounds, and many don't speak the same language as I do. So for me, thinking about humor in those situations is impossible just because I just don't even know what we can both accept as funny. And I don't want to be misunderstood. Tell me a little bit about how to think of humor in those situations. Dr. Stacey Hubay: That's a good point you make. It makes me think about how when I read Shakespeare's plays, we all think his tragedies are fantastic. And when I read his comedies, I'm like, “This isn't very funny.” Or if even when you watch sort of silent movies from the 1920s, I'm like, “Did people really laugh at this?” So you're right. Humor is very much of its time and place and its culture. And even people from the same time and place might not share the same sense of humor. That being said, somehow it still works with the people who are open to it. Somehow it's not necessary, because you've made a very witty joke, or vice versa, that we all understood all its complexities. It's more the sense that we're laughing together. And I talk about a gentleman that I met in my practice in this essay, and he didn't speak English, so his daughter was translating for us. And nobody was making any kind of verbal jokes or humor. And this was the first time I was meeting him in consultation, and he just kept making funny faces at me the whole time I was talking, and I didn't know what to do. I was completely bamboozled by this interaction. And it actually ended up being sort of one of the funniest visits I'd had with a patient. By the end of it, I could barely get a sentence out. And I thought, this is absurd. This is a very serious situation. This poor gentleman has stage 4 lung cancer, brain metastasis, but he just wouldn't let me be serious. So I think that humor can transcend cultural, linguistic boundaries amazingly enough. Again, if the person was open to it, this person was almost determined that he was going to make me laugh. It was like he'd set out that by the end of his visit, he was going to make sure that we were having a good time. And I was just, “I'm helpless against this. We're going to have a good time.” I remember coming out of the room, the nurses I was working with, they're like, “What was going on in that room? Is he doing well?”I'm like, “Well, in a way, yes, he is doing well.” At the end of this visit, we were all in a very good mood. But I'll sometimes use sign language, or I'll make some stab at French or whatever it is that the patient speaks, and then they just laugh at me, which is also fine, because they can kind of see that you've made yourself vulnerable by saying, “You know, it's okay if I can't speak your language.” And they just smile and laugh with me. So it's not that it's a joke so much, it's more that they just feel comfortable with you. But you're right, it is more challenging. It's something I wouldn't usually do in such a situation unless I had gotten to know the patient, their family, reasonably well. Dr. Lidia Schapira: Let's talk for a moment about wellness and joy in practice. What gives you the greatest joy in practice? Dr. Stacey Hubay: Undoubtedly the people that I see and I work with. When you go into medicine and you train, we all train in academic settings. And I had excellent mentors and academic mentors, and the expectation, because you're trained by people who are good at that kind of work and succeeded, is that you might want to pursue that, too. And it took me a while to realize that that's not where I get most of my joy. I like being involved with research and I appreciate that people are doing that work and I love applying that knowledge to my practice. But I get my joy out of actually seeing patients. That wasn't modeled a lot necessarily to us in the academic setting. It's taken me quite a long time to realize that it's okay to lean into that. If that's what I like about my practice and that's what I can bring to the interaction, then that's what I'm going to do. And I started looking back, it would have been nice to realize, it's okay. It's okay to be a clinician who really enjoys seeing patients and wants to do a lot of that. Again, different kinds of people become physicians, but a lot of the people we had as mentors, they had chosen academic careers because, not that they didn't like patients, they often did, but they really wanted to pursue the research aspect of it. And they would try to cut down on their clinical work and say, “It's nice if you don't have two clinics, you can focus on the research.” And I think to myself, but I like doing the clinics and I like seeing the patients, and it would be a shame to me if I didn't have that. It's not just the patients, but my colleagues as well, who are also great fun to have around, the nurses we work with. Really, it's the interactions with people. Of course, we get joy from all kinds of other things. In oncology, it's good to see patients do well. It's wonderful to apply new knowledge and you have a breakthrough coming from immunotherapy to lung cancer, melanoma. That sort of thing is fantastic, and it gives me joy, too. But I have the feeling that when I retire at the end of my career, I'm going to look back and go, “Remember that interaction with that patient?” Even now, when I think of when I started in clinical settings as a medical student, I remember, I think it was my first or second patient, I was assigned to look after an elderly woman. She had a history of cirrhosis, and she was admitted with hepatic encephalopathy and a fractured humerus after a fall. I didn't know what I was doing at all, but I was rounding every day. And I went to see her on the third day, she was usually confused, and I said, “How are you doing?” She looked at her arm and she said, “Well, they call this bone the humerus, but I don't see anything particularly funny about it.” I thought, “Oh, she's better.” That's actually one of the earliest things I remember about seeing patients. Or the next year when I didn't realize I was going to pursue oncology. And I was rotating through with an excellent oncologist, Dr. Ellen Warner at Sunnybrook, who does breast cancer. We were debriefing after the clinic, and she said, “Someday, Stacey, I'm going to publish a big book of breast cancer humor.” And I thought, “I wonder what would be in that book.” And that's when I got this inkling that maybe oncology had just as much humor in as every other part of medicine. And that proved to be true. Dr. Lidia Schapira: What was it, Stacey, that led you to bioethics? Tell us what you learned from your bioethics work. Dr. Stacey Hubay: I think it's because basically I'm a person who leads towards the humanities, and for me, bioethics is the application of philosophy and moral ethics to a clinical situation. And I think medicine, thankfully, has room for all kinds of people. Of course, you have to be good at different things to be a physician. But I always imagined myself, when I went to school, that after a class, you'd sit around a pub drinking beer and discuss the great meaning of life. And I thought, this is my chance to pursue that. And I was hoping to kind of– I didn't think of it as that I was going to this because I was interested in humor and joy in oncology, although I obviously am. I was thinking that I would be able to make a difference in terms of resource allocation and priority setting, and I still want to pursue those things. Things often lead you down a side road. And bioethics, for me, has sort of reminded me of what I like about this work. And because I was surrounded by many people who are not doing that kind of work, who were surprised how much I liked it, it made me think very carefully about what is it that I like about this. So the bioethics degree, it's finally allowed me to be that person who sits around in pubs drinking beer, discussing Immanual Kant and Utilitarianism and whatever moral theory is of flavor that particular day. Dr. Lidia Schapira: What led you to write this particular story and put it in front of your medical oncology colleagues? Is it your wish to sort of let people sort of loosen up and be their authentic selves and find more joy in the clinic? Dr. Stacey Hubay: That's a good question! The most immediate impetus was I had an assignment for my degree, and I thought, I have to write something. But I'd been writing down these sort of snippets of things I found funny. Occasionally, I just write them down because they were interesting to me. And because we often relate stories to people, “What did you do today? What was your day like?” And because you tell these stories over and over, they develop some kind of oral, mythical quality. You're like, “Here's what I remember that was funny that happened, and it might have been many years ago now.” And I think I'd been thinking a long time about writing it down and sort of organizing it that way. And I guess having to produce something as part of this degree program was an impetus for me. But I'd always wanted to do it. And I think the main thing was I wanted to make it clear to myself what it is I like about it. It's actually made it, for me, much more clear. It was sort of a nebulous thing that I like my work and what is it like about it. And this is what I like. I like the joy I get from patient interactions. And then a secondary goal is I hope that other people, if they were to read this, they realize it's okay for us to have joy in our work as oncologists. And there is a lot of doom and gloom in the world and in our practices, but there's always, always a chink that lets the light in, there's always some humor in what we do. And so I hope that if other people can find that, too, that they enjoy their practice and they last a long time and ultimately help patients through this difficult journey. Dr. Lidia Schapira: Are you somebody who likes to read stories? And if so, what stories have you read recently that you want to recommend to our listeners? Dr. Stacey Hubay: Oh, I am reading The Master and Margarita because three different people recommended this novel to me over the last three years. When a third person did, I thought, “That's it. Got to read it.” It's a Russian novel from the 1930s that was banned until, I think, the ‘60s or ‘70s. It's like a satire of Russian society in the ‘30s. And actually, what I like about it, I haven't finished it. I'm a third of the way through, as I think it's one of the so-called classic novels, people tell me, but that's funny. A lot of the classic novels are kind of tragedies or romances, and this one is sort of absurd black humor in the face of a difficult situation, which I guess is related to oncology, again. So this sort of oppressive, difficult society, the 1930s and Soviet Union, how do you deal with that? With humor. So I'm quite enjoying it, actually. So I recommend that one. Dr. Lidia Schapira: Well, you're an amazing storyteller, and I really enjoyed our conversation. Is there any final message that you want to convey to our listeners? Dr. Stacey Hubay: If you have a chance to become an oncologist, you should do it. It's just the best career I can imagine. Dr. Lidia Schapira: Well, with your laughter and with that wonderful wisdom, let me say, until next time, to our listeners, thank you for listening to JCO's Cancer Stories: The Art of Oncology. Don't forget to give us a rating or review, and be sure to subscribe so you never miss an episode. You can find all of the ASCO shows at asco.org/podcast. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Show Notes: Like, share and subscribe so you never miss an episode and leave a rating or review. Guest Bio: Dr. Stacey Hubay is a Medical Oncologist at the Grand River Regional Cancer Center.
Join us as we kick-off season four of Unscripted with the first part of our series about the book of Revelation. Take a listen, and tune in next week for part 2!
THE ZOOMER SQUAD: A ‘LONGEVITY-OPTIMIZED' DIET COULD INCREASE LIFE EXPECTANCY UP TO 10 YEARS, STUDY SUGGESTS Libby Znaimer is joined by Bob Richardson, Public Affairs Consultant, Rudy Buttignol, President of CARP and John Wright, Executive Vice President of Maru Public Opinion. The Zoomer Squad panel discusses a new study that suggests a ‘longevity-optimized' diet could add 10 years to your life. Then, we move to the ever-relevant topic of terrible Toronto traffic. And it's been a year since vehicles were banned from entering High Park, has it been beneficial? UNLESS YOU HAVE A GENE VARIANT, DOUBLE MASTECTOMY HAS NO SURVIVAL ADVANTAGE Libby Znaimer is now joined by Dr. Ellen Warner, Professor of Medicine at the University of Toronto and a staff medical oncologist at the Odette Cancer Centre at Sunnybrook, and Dr. Eileen Rakovitch, Professor in the Department of Radiation Oncology at UofT and the Cancer Program Director of Research at Sunnybrook. A study in JAMA Oncology finds that removing the unaffected breast does not improve survival rates for breast cancer patients. Researchers analyzed data from more than 661,000 women and found that those who underwent a lumpectomy or single mastectomy had similar survival outcomes to those who opted for a double mastectomy. CANADIAN OLYMPIC COMMITTEE APPEALS SIX-POINT OLYMPIC SOCCER DEDUCTION Libby Znaimer is now joined by Sean Fitzgerald, Senior National Writer at The Athletic and Wally (Walter) Rigobon, Host of the Naz and Wally Sports hour on Zoomer Radio. The plot thickens in the drone spying scandal which led to a six point deduction for the Canadian women's Olympic soccer team and the banning of three coaches for one year each after a staffer was caught using a drone to spy on the New Zealand team's practices. Now Canada is appealing the scoring penalty on the grounds that it unfairly punishes the athletes for actions they had no part in. Meantime, the women's soccer team has pulled off two victories that put it back to zero.
Please like, comment, subscribe, rate, and review everywhere you see Seriously, Dad? Podcast!In this LIVE record podcast episode from SoulJoel's at SunnyBrook, the dads talk to hilarious comedians Dan D'Aprile & Dave Primiano from the Weekday Comics Podcast about not wanting kids. Then, comedians Barry S. Naylor & Rasheed Wesley Jr. share funny fellow teacher stories and much more!A special thank you to SoulJoel's for having us and shout out to all the Poppas!Check everything SoulJoe's at SunnyBrook here: https://www.instagram.com/souljoels/FOLLOW GUESTSDan D'Aprile - https://www.instagram.com/dannydaprile/ & Dave Primiano - https://www.instagram.com/daveprimcomedy/from the @theweekdaycomics podcast.Also, Barry S. Naylor - https://www.instagram.com/barry_s_naylor/Rasheed Wesley Jr. - https://www.instagram.com/sheedgotjokes/FOLLOW THE PODCAST:IG: https://www.instagram.com/seriouslydadpod/TW: https://twitter.com/SeriouslyDadPodWebsite: https://droptent.com/podcasts/seriously-dadFOLLOW YOUR HOSTS:Al Davis:https://www.instagram.com/albertdavis_4th/https://www.facebook.com/albert.davis.940641Jay Yoder:https://sites.google.com/view/jay-yoder-comedyhttps://www.instagram.com/jayyodercomedy/https://www.facebook.com/jonathanayoderComedian & Producer: Neil Woodhttps://iamneilwood.com/https://www.jameswoodart.com/A DropTent Media Network production - https://droptent.com/podcastsSee some of Philadelphia Comedy Show - https://droptent.com/biggest-little-comedy
Episode Notes: ~The overall goal of parenting is to bring up a biblically and morally responsible child.~ Love languages can be helpful to utilize with your kids and help them to be more others-centered. The 5 Love Languages (Gary Chapman): 1. Gifts – giving gifts that express love 2. Words of Affirmation – words that affirm 3. Physical Touch – holding hands, loving touch 4. Quality time – spending intentional one on one time together 5. Acts of Service – serving another with desired acts Speak all five of the languages, but learn how you can best express love to your child's preference. You can teach the love languages to your kids to help them be others-centered. (“How can you be encouraging to your brother/sister today?”) If you've never taken the Love Languages quiz, here's a link: https://5lovelanguages.com/ Discussion Questions: 1. What are your love languages as parents? 2. Discuss what your kids' love languages might be. 3. How might you help your family come together in awareness of one another's love languages and intentionally show love to one other?
Episode Notes: Being known as a good parent is the greatest endeavor in life. The overall goal of parenting is to bring up a biblically and morally responsible child. Where do you start? •Starts with mom and dad being the example: “Hear, O Israel: The Lord our God, the Lord is one. Love the Lord your God with all your heart and with all your soul and with all your strength. These commandments that I give you today are to be on your hearts. Impress them on your children. Talk about them when you sit at home and when you walk along the road, when you lie down and when you get up. Tie them as symbols on your hands and bind them on your foreheads. Write them on the doorframes of your houses and on your gates.” Deuteronomy 6:4-9 •“Love the Lord your God” is much more caught than taught, more modeled than mandated. Whatever you expect your child to do, you must live it out. Two extremes to avoid: •Authoritarian style •Permissive parent *Parenting doesn't start with friendship – it progresses there when your children are adults. *Kids are different, but always raise your child to a standard, don't lower a standard to your child. *Give the moral reason why when disciplining your kids. (Ex. – Don't run into the road – here's why- you might get hurt. Don't run in church – you may injure another.) *Be intentional! Instruct your child on behavior expectations and why before you get in a situation. Discussion Questions: 1. What was the parenting style of your parents? Up to this point, what has been your parenting style? 2. What things have you been intentional about in parenting your kids? What things would you like to be more intentional about when it comes to parenting your kids? 3. Discuss some situations where you might give the moral reason why, when disciplining your kids or when preparing them for an environment they are about to enter. 4. What things are you intentionally modeling in your life that you'd like your kids to emulate? 5. What changes might you want to make to be intentional about bringing up a biblically and morally responsible child?
Episode Notes: ~The overall goal of parenting is to bring up a biblically and morally responsible child.~ Dads play a major role in the life of a child. The ultimate goal of fatherhood is to move to mutual trust and loyalty. 3 phases: •Biological- birth them •Provider- provide for them •Mutual trust and loyalty- spend quality and quantity time with your kids. This takes effort and sacrifice. The average father only spends 6 minutes per day with their child. It takes much more than this to be a great dad. 7 things men can do to be intentional with their kids: 1. Create a sense of family identity (this is what the _____'s do) 2. Love your wife – the best thing you can do for you kids is love their mother 3. Respect your kids' private world- hold in reverence things they share with you 4. Keep your promises- be a person of your word and follow through 5. Give your kids the freedom to fail 6. Be an encourager 7. Give physical touch (hug/wrestle with your boys, hug your daughters) Discussion Questions: 1. What kind of dad did you grow up with? Or without? 2. Dads, what are some ways you can be deliberate about spending more time with your kids in order to build mutual trust and loyalty? 3. Discuss each of the 7 things you can do to be intentional with your kids. What are some practical ways to live those out?
Episode Notes: ~The overall goal of parenting is to bring up a biblically and morally responsible child.~ •The significance of marriage in parenting is that God has created a family first and foremost in the marriage relationship. A child/children are a welcome part of that family; they are subordinate to the marriage relationship, not the center. •Practical advice: prioritize spending the first ten minutes at home connecting with your spouse and modeling that in front of your kids. •Child-centered parenting is incredibly dangerous. Revolving your entire world around your child cultivates self-centered/self-absorbed perspectives in your child that will negatively impact them into adulthood. Marriage-centered parenting cultivates greater security in the life of a child. •Marital conflict plays a significant role in the life of a child. If an argument starts in front of your kids, ensure that the resolution does as well. When conflict happens (whether between spouses or between children), practice: •Repentance- I was wrong •Forgiveness- will you forgive me •Restoration- kiss and make up If you're struggling with keeping conflict out of the line of your kids, get someone to watch them and go get help. (Sunnybrook has marriage mentor couples or a list of professional counselors to help – contact laurievc@sunnybrookchurch.org) Your child can find security in witnessing your own dependence upon God in the midst of struggles with or the absence of a spouse. Discussion Questions: 1. Would you say that you have a marriage-centered or child-centered approach to parenting? How has this podcast impacted your perspective on this subject? 2. How might you practically invest more in your marital relationship so that your children might experience greater security? 3. What are your tendencies when it comes to conflict resolution between you and your spouse? How might you model healthy conflict resolution before your kids? 4. How might you help your kids practice healthy conflict resolution within the home? 5. In what ways can you practically model dependence upon God in the midst of struggles at home, either between you and your spouse or with your kids?
Episode Notes ~The overall goal of parenting is to bring up a biblically and morally responsible child.~ We all have commons struggle with feeling inadequate in parenting. 4 PHASES OF PARENTING: 0-5 years – Discipline phase – gaining control of your children (establishing your parental right to lead) • teaching respect, honor, obedience • delayed obedience is disobedience • don't' say something you're not going to follow through on – otherwise, you're training them to be disobedient • if you get this phase right, every phase after comes easy – if you don't get control you won't be able to move to the next phase – you'll be stuck 6-12 years – Training phase- teaching the hows and whys of behavior. (Children first learn how to act morally, and then they learn how to think morally) • practicing for the game of life- running drills and practices • Example: when we go here, here's how I expect you to behave. If it didn't go well, follow up on expectations. • Includes love for God, exchanging courtesies with others, kindness and consideration for others, serving opportunities, respecting boundaries, etc. (helping them to become more others-centered) 13-18 years – Coaching phase- they are in the life game, your influence is diminished, but you can coach them in their interactions • Make a practice of de-briefing their life situations 18+ years – Friendship phase – you can be friends with your kids – not before this! They need a parent up until the time they are an adult • Friendship is the goal in your child's adulthood, not the starting point when they're kids. When you get the discipline and training phases right, your kids will seek you in the coaching and friendship phase. If you've been getting it wrong, don't be discouraged - you can still adjust and get it right. Resources: James Dobson's parenting collection (The New Dare to Discipline, The New Strong-Willed Child, and Parenting Isn't for Cowards), Growing Kids God's Way by Gary and Anne Marie Ezzo Discussion Questions: 1. What did you learn about parenting from this podcast? 2. Discuss the phase you are currently in when it comes to your parenting. What challenges have you faced in this phase? 3. If you struggle in the area of discipline, what steps would be helpful for you to take in order to have better follow through with your kids? 4. Discuss some areas you might be intentional about when it comes to the training phase.
Episode Notes: ~The overall goal of parenting is to bring up a biblically and morally responsible child.~ Instilling in your child integrity, honor and respect in your child is the key to bringing up a biblical and morally responsible child. Kids won't respect authority, laws, or people if you don't. Lead by example in every area of life. “Let everyone be subject to the governing authorities, for there is no authority except that which God has established. The authorities that exist have been established by God.” Romans 13:1 Teaching kids respect (training phase): • Starts with respecting you- what they call you, tone and language toward you -first-time obedience -teach them to respect your conversations (interrupt rule) •Sibling respect – instill respect by helping your child be others-centered with their siblings -peer pressure is only as strong as family identity is weak -create a sense of family identity through respect among siblings -be aware of allowing your children to isolate too much •Others – give respect to adults and others older than you Discussion Questions: 1. What kind of modeling do you do when it comes to respecting laws, authorities and people? 2. What changes might you need to make in order to be more respectful yourself, and to teach your kids respect? 3. In what ways have you taught your kids to respect you? How have you allowed them to disrespect you? 4. Discuss each of the areas of respect discussed and how you might be intentional about establishing respect in each of these areas.
Episode Notes: ~The overall goal of parenting is to bring up a biblically and morally responsible child.~ Obedience is a critical foundation of your parenting role. Two levels of obedience: • Childishness- needs training, not discipline •Foolishness – willful disobedience; needs discipline and consequences “Foolishness is bound up in the heart of a child, but the rod of discipline will drive it far away.” Proverbs 22:15 Characteristics of obedience: • First time obedience – When you say, they obey (whatever you're going to say on 3 say on 1) and be consistent. Set a clear standard. • Obey without complaint – no whining or disrespect • Without challenge – no talking you out of something • Obey completely- not halfway Parenting can be exhausting. But if you don't spend time early on with obedience, you'll only find it more exhausting in the later phases. Ways to help your child be obedient: • Look them in the eye when giving instruction • Expect respectful response – yes ma'am • Say what you mean and mean what you say- follow through! • Give 5 minute preparation for what you're going to ask them to do (5 minute warning before we get out of the pool) Pitfalls: •Threatening and repeating- it undermines your authority • Bribing parent – should not bribe for obedience • Never negotiate in the midst of conflict – expect obedience Ask yourself? Does anyone besides you enjoy your children? Are they well-behaved and respectful to others? Discussion Questions: 1. What expectations have you had up to this point when it comes to obedience in your child's life? 2. How has this podcast impacted your perspectives? 3. When it comes to the characteristics of obedience, with which does your child(ren) struggle the most? How might you shore up your resolve in these areas? 4. What pitfalls given do you most tend to fall into when it comes to parenting? 5. What's one commitment you can make to yourself and your spouse to avoid those pitfalls?
Episode Notes: ~The overall goal of parenting is to bring up a biblically and morally responsible child.~ The goal of discipline is to bring your child to repentance. Repentance, Greek word “metanoia” means to change, turn around; a reversal of direction. There's a huge difference between regret and repentance. As Scripture says, “Godly sorrow brings repentance that leads to salvation and leaves no regret, but worldly sorrow brings death.” 2 Corinthians 7:10 (example of Peter and Judas) Train the heart of a child to understand their sin, rather than unintentionally training them to think disobedience is no big deal. “I'm sorry” is very different from “will you forgive me?” And when you teach the seeking of forgiveness, it helps train a child toward repentance. Even though a child seeks forgiveness, they still need consequences. In Scripture, restitution always preceded repentance and forgiveness. Help your child to make restitution when appropriate. Discipline is relational in nature. A child needs to seek your forgiveness when they disobey. You can model this toward your children when you sin against them. When discipline is complete, reaffirm your love for your child and hug them. Discussion Questions: 1. Discuss the difference between worldly sorrow and godly sorrow and repentance. 2. How does teaching your child repentance help train their heart to understand sin and forgiveness? 3. What practical application might you take from today's podcast?
Episode Notes: ~The overall goal of parenting is to bring up a biblically and morally responsible child.~ “Train up a child in the way they should go, and even when they are old, they will not turn from it.” Proverbs 22:6 By age five, you can have most of your discipline issues settled if you are consistent in saying what you mean and mean what you say and deal with issues. Helpful tips for common discipline issues: • Whining – don't allow a whining tone. If using a whiny voice, let your child know you will not hear them. Then set a timer for 5 minutes before they can ask again. • Temper tantrum – a temper tantrum needs an audience, so remove them from any audience. Their goal is to embarrass or shame you into complying with them. If it happens in public, be willing to remove them immediately – following through once or twice will show them their tantrum doesn't work. • Temper tantrum when leaving somewhere they don't want to leave- address this by saying they will not be allowed to come the next time they do this. Then remind in advance when going to that place again. • Tattling – Don't reward tattling; discipline them too. • Lying – Lying breaks trust. Let your child know the importance of truth and trust in the relationship, and give them space, to tell the truth. Reward for telling the truth, but also still discipline for bad behavior. • Gossip – Gossip is stealing someone's reputation and good name. Don't let your kids see/hear you doing this. Curb it quickly in them and instead speak positively about others. Discussion Questions: 1. Share together the discipline issues do you most struggle in parenting your children. 2. Discuss how the principles you've learned thus far in this podcast series help you with those.
Episode Notes: ~The overall goal of parenting is to bring up a biblically and morally responsible child.~ Despite popular opinion, the teenage years can actually be a joy. When you discipline, teach and coach, you can actually enjoy the teenage years. You may feel like you're losing your kids for a time while they are navigating more toward their peers, and finding their own identity but trust they will navigate back and be human again. Teenage drama is normal. Your family can either be interdependent or independent. Family identity and interdependence is a huge deterrents for teenage rebellion. Do your utmost to build a family identity in the early years. Some examples: • Have a family night sacred to your own family (you can have other nights when friends are allowed) • No TV's in bedrooms – watch together as a family • Commit to family vacations for your family only • Camp together to establish family togetherness • Establish an identity – “this is what the ________'s do” • The more your kids feel they belong in your family, the less they will look for belonging outside of it • Make your home a haven for your kids Remember that the teenage years are scary for teens as they navigate their emotions and changes of feelings. Be approachable in those times. Social media gives your kids a constant intake of drama and chaos. Don't be fearful of setting aside that influence for a time and bringing your family together. Remember that you need others who can be a godly influence on your kids. Take advantage of bringing other godly people into their lives. Sunnybrook's kids and student ministry are a great resource for that. Discussion Questions: 1. Family identity and interdependence is a huge deterrents for teenage rebellion Based on what you heard in the podcast, what can you intentionally do now to build a strong family identity for your family? 2. If you have a teenager at home, what issues are most challenging for them right now? For you? 3. What can you do to be more approachable for your child? 4. Discuss together how you might encourage one another in parenting through challenging times.
Do you feel pressured to always be scaling and growing your Canadian private practice? In modern business, the idea is usually to push growth - but that's not always the case! Sometimes not growing can also help private practice. Every now and then you need to intentionally stop growing and instead focus on the foundations of your private practice, so that any future growth down the line actually holds and sticks because growth for growth's sake is not necessarily everyone's preference. In this podcast episode, Mila and I discuss how she launched her practice and how sometimes not aiming for growth is the best way to success! MEET MILA Meet Mila, the driving force behind Toronto Therapy Practice. With over a decade of experience specializing in perinatal mental health at esteemed institutions such as Mount Sinai Hospital in Toronto, Mila is a compassionate and dedicated therapist committed to fostering trust and connection with her clients. Her journey in the mental health field began as a social worker, evolving into her role as the founder of Toronto Therapy Practice. Learn more about Mila on her Psychology Today profile and her Canadian practice website. In this episode: How Mila became a social worker Getting into private practice Mila's advice on scaling via hiring Dreams and aspirations for a growing practice How Mila became a social worker Since Mila had experience traveling internationally, she decided to study International Relations in Canada. She didn't enjoy it as much as she thought she would, but Mila did take psychology as a minor and ended up loving it enough to focus on social work in her masters. In her second year of placement in the masters program, Mila was at Sunnybrook hospital providing counselling. The job that she worked there went well enough that once she completed her studies, she decided to get a more permanent position and started her work experience. However, she was offered a position in England which she ended up taking, and went to London to live and work. Mila was in England for some time before returning to Canada. Getting into private practice While Mila was working at the hospital, she was doing outpatient counselling. She experienced some limitations in terms of how she was able to provide therapy within the hospital system. Mila noticed long wait lists, loads of people seeking access and care, and within the specific hospital rules, she thought that she could offer these necessary services in another way. Mila's advice on scaling via hiring One associate hired was a friend of Mila's, one was through word of mouth, and the other two were through Indeed. With a flexible schedule system that all her associates have, Mila is able to connect clients and clinicians on schedules that suit both of their needs. Additionally, Mila's practice and her associates have a hybrid model of offering in-person and online therapy. Dreams and aspirations for a growing practice Even though Mila has a lot of dreams for her private practice, she wants to make sure that she firmly establishes it now. With appropriate scheduling, processes, and systems in place, Mila wants to give her private practice the best shot at success as she can, and that means taking the time and making the effort to lay strong yet flexible foundations for it - and her - to depend on. There are also so many ways to get to the same place, so explore to find out what works well for you! Connect with me: Instagram Website Resources mentioned and useful links: Ep 120: 5 Ways to Tackle Isolation with an Online Private Practice | EP 120 Learn more about the tools and deals that I love and use for my Canadian private practice Sign up for my free e-course on How to Start an Online Canadian Private Practice Jane App (use code FEARLESS for one month free) Learn more about Mila on her Psychology Today profile and her Canadian practice website Rate, review, and subscribe to this podcast on Apple Podcasts, Google Podcasts, Spotify, Amazon, and TuneIn
Ryan, Jim and Drew H discuss everything from cassettes in the 80s to the use of AI in a church context.
In this episode of Curing with Sound, Dr. Neal Kassell, founder and chairman of the Focused Ultrasound Foundation, is joined by Dr. Nir Lipsman, a neurosurgeon and senior scientist at Sunnybrook Research Institute in Toronto, Canada. Dr. Kassell considers Dr. Lipsman to be one of the most influential clinicians in the development and adoption of focused ultrasound, having pioneered several world-first clinical trials for various brain disorders. Throughout the conversation, Dr. Lipsman discusses the evolution of his focused ultrasound program at Sunnybrook, which has grown exponentially over the past decade. His team has treated over 500 patients across a wide range of indications, including essential tremor, Parkinson's disease, obsessive-compulsive disorder, major depression, and various types of brain tumors. One of the most exciting aspects of Dr. Lipsman's work is the use of focused ultrasound for opening the blood-brain barrier to enhance drug delivery. He shares the groundbreaking results of a trial in which they were able to visually confirm the passage of a large molecule, trastuzumab, directly into the brain to target metastatic breast cancer tumors. This achievement holds immense promise for the treatment of numerous brain disorders, particularly in the neurodegenerative space, where focused ultrasound could potentially change the natural history of diseases like Parkinson's and Alzheimer's. Dr. Lipsman emphasizes the importance of collaboration and parallel progress in advancing the field of focused ultrasound. He highlights the critical role of the Focused Ultrasound Foundation in supporting and fostering the growth of his program and the global focused ultrasound community. Looking to the future, Dr. Lipsman envisions focused ultrasound becoming a routine, well-tolerated outpatient procedure that can not only treat but also prevent and diagnose brain disorders. He remains committed to building a strong, multidisciplinary team at Sunnybrook and working with the global community to bring the transformative potential of focused ultrasound to patients worldwide. Harquail Centre for Neuromodulation Show Transcript ---------------------------- QUESTIONS? Email podcast@fusfoundation.org if you have a question or comment about the show, or if you would you like to connect about future guest appearances. Email info@fusfoundation.org if you have questions about focused ultrasound or the Foundation. FUSF SOCIAL MEDIA •LinkedIn •X •Facebook •Instagram •TikTok •YouTube FUSF WEBSITE https://www.fusfoundation.org SIGN UP FOR OUR FREE NEWSLETTER https://www.fusfoundation.org/newsletter-signup/ READ THE LATEST NEWSLETTER https://www.fusfoundation.org/the-foundation/news-media/newsletter/ DOWNLOAD "THE TUMOR" BY JOHN GRISHAM (FREE E-BOOK) https://www.fusfoundation.org/read-the-tumor-by-john-grisham/
Welcome to the Sunnybrook Unscripted Podcast where we talk real life, answer hard questions, and take a deeper practical look at the topics we talk about a Sunday morning. In this episode Andre Moubarak sits down with Pastor Jeff to continue his conversation about Israel and his experiences there as a Palestinian Christian and a tour guide. Check it out. For more from Andre please visit - https://www.twinstours.com/
Welcome to the Sunnybrook Unscripted Podcast where we talk real life, answer hard questions, and take a deeper practical look at the topics we talk about a Sunday morning. In this episode Andre Moubarak sits down with Pastor Jeff to talk about Israel and his experiences there as a Palestinian Christian and a tour guide. Check it out. For more from Andre please visit - https://www.twinstours.com/
Roku's favorite podcast has risen from their winter slumber and are ready to get back into your dome! We celebrate the return of baseball and talk about the ups and downs of a season. Kevin surprises Chris, The Quizmaster of The Duck Tavern, with a round of Trivia Time on the meaning of today's slang words. We are posed with a time traveling scenario. And we draft the greatest 80's Action/Comedies of all time! Magic Mind is DITD's newest sponsor! Go to www.magicmind.com and order the world's first productivity shot. Curb that caffeine and get the all natural boost from Magic Mind. Go to https://www.magicmind.com/digginginthedome for up to 56% off. Use the promo code THEDOME20. Come see Chris do standup every Tuesday at Soul Joel's at Sunnybrook in Pottstown and at the Easy Money Show at The Boardroom in Phoenixville every Wednesday. He will be performing at Well Crafted Brewery in Ambler, PA on April 3rd. Check us out every Thursday and Friday at 7PM on the PodNationTV on Roku. Make sure to check us out at our new website www.digginginthedome.com and join our mailing list. Go to our social media to follow, like, subscribe, like again and so on. YT: https://m.youtube.com/c/digginginthedome Twitter: @diggingdome FB/IG: @digginginthedome
Welcome to the Sunnybrook Unscripted Podcast where we talk real life, answer hard questions, and take a deeper practical look at the topics we talk about a Sunday morning. In this episode Lydia Miller, continues the conversation with special guests, Nick and Alexa. Today we talk more about marriage, starting a God honoring relationship, and the fun and challenges of dating. Check it out.
I always enjoy my guests. This soul is no exception! She truly inspires me to be a better person to myself and to others! Marcia Agius is the creator and curator of Inspire Always. go follow her on Instagram. Inspire Always is a community that features and highlights amazing women. It is a positive platform that showcases women and their incredible journeys. Everyone has a story, and everyone is special. Now more than ever, we need to support and uplift those around us. "Our primary purpose is to build a community and provide that community with opportunities, tips, and challenges to give back and spread kindness." She also shares, "Over the years I have been inspired by so many awesome women that is what prompted me to launch Inspire Always. Inspire Always is a forum that highlights and features incredible women sharing their strengths and struggles. It's a community of women that motivate and cheer others on. It is a place that spreads kindness and positivity, always. Philanthropy has always been a huge part of my life and with the start of Inspire Always I have been able to keep giving back. I have had the wonderful opportunity to be a part of a major fund-raising campaign for Sunnybrook's Odette Cancer Centre. I have also been involved in 100 Women That Care, an organization that supports local charities in my community. Another organization I have closely worked with is The Make A Wish Foundation, granting wishes for special children. Most recently, I have partnered with a local organization that also grants wishes for children, Million Dollar Smiles. I was connected to the organization through my community of inspiring women and raised proceeds with the sales of t-shirts that encourage my message to ‘Spread Kindness." Marcia is all things kind and reminds us to be kind to ourselves! Join the Kindness Circle and be an important part of Kindness!! Thank you for listening :-) Heather
Jim, Drew M, and Justin discuss training/preparation for both the mission field and vocational church ministry and what Sunnybrook is doing to train people for the work of the church.
Welcome to the Sunnybrook Unscripted Podcast where we talk real life, answer hard questions, and take a deeper practical look at the topics we talk about a Sunday morning. In this episode Lydia Miller, talks with special guests, Nick and Alexa. Today we talk about marriage, starting a God honoring relationship, and the fun and challenges of dating. Check it out.
Welcome to the Sunnybrook Unscripted Podcast where we talk real life, answer hard questions, and take a deeper practical look at the topics we talk about a Sunday morning. In this episode not only talk with Pastor Jeff, we have brought in a special guest, his wife Beth. Today we are continuing on in our talk about marriage, unpacking love, relationship, the glory and the disfunction of it all and the power in honoring God despite it all. Check it out.
Welcome to the Sunnybrook Unscripted Podcast where we talk real life, answer hard questions, and take a deeper practical look at the topics we talk about a Sunday morning. In this episode not only talk with Pastor Jeff, we have brought in a special guest, his wife Beth. Today we are talking about marriage, unpacking love, relationship, the glory and the disfunction of it all and the power in honoring God despite it all. Check it out.
Roku's favorite comedy podcasts is back with a brand new episode. As the hosts come to grips with football being over for their teams, they are posed with a Scenario where the devil makes an offer to tantalize any die hard sports fan but at a cost. Spout off cheers everyone up, continuing to deliver the oddest South Jersey bred opinions in print form. And Kevin gets to play another round of the Mugshawty dating game. Magic Mind is DITD's newest sponsor! Go to www.magicmind.com and order the world's first productivity shot. Curb that caffeine and get the all natural boost from Magic Mind. Go to https://www.magicmind.com/JANdigginginthedome for 1 month for free, when you're subscribing for 3 months AND use the promo code THEDOME20 for 20% off for a total savings of 75% off! Come see Chris do standup every Tuesday at Soul Joel's at Sunnybrook in Pottstown and at the Easy Money Show at The Boardroom in Phoenixville every Wednesday. He will be performing at The Good Karma Comedy Festival in Westport, Connecticut on February 27th at Walrus Alley. Get your tickets now! Check us out every Thursday and Friday at 7PM on the PodNationTV on Roku. Make sure to check us out at our new website www.digginginthedome.com and join our mailing list. Go to our social media to follow, like, subscribe, like again and so on. YT: https://m.youtube.com/c/digginginthedome Twitter: @diggingdome FB/IG: @digginginthedome
Welcome to the Sunnybrook Unscripted Podcast where we talk real life, answer hard questions, and take a deeper practical look at the topics we talk about a Sunday morning. In this episode we ask Pastor Jeff about the conflicts happening in Israel, the tension between Israel and Palestine and how all of this relates to the Bible and the "end times." Check it out.
Welcome to the Sunnybrook Unscripted Podcast where we talk real life, answer hard questions, and take a deeper practical look at the topics we talk about a Sunday morning. In this episode we ask Pastor Jeff about the conflicts happening in Israel, the tension between Israel and Palestine and how all of this relates to the Bible and the "end times." Check it out.
Happy New Year Domies! Roku's Favorite Indie Comedy Podcast kicks off the new year by wrapping up the holiday season We discuss the awkwardness of office work parties. You get breakdown of a fantastic video from an interview with a TikTok star. The Scenario is about the best and worst gifts you have ever gotten. And finally, we wrap up with a mash up of the Topic Randomizer and the Draft with draft the 10 things we hate about Christmas. Magic Mind is DITD's newest sponsor! Go to www.magicmind.com and order the world's first productivity shot. Curb that caffeine and get the all natural boost from Magic Mind. Go to https://www.magicmind.com/JANdigginginthedome for 1 month for free, when you're subscribing for 3 months AND use the promo code THEDOME20 for 20% off for a total savings of 75% off! Come see Chris do standup every Tuesday at Soul Joel's at Sunnybrook in Pottstown and at the Easy Money Show at The Boardroom in Phoenixville every Wednesday. He will be performing at The Good Karma Comedy Festival in Westport, Connecticut on February 27th at Walrus Alley. Get your tickets now! Check us out every Thursday and Friday at 7PM on the PodNationTV on Roku. Make sure to check us out at our new website www.digginginthedome.com and join our mailing list. Go to our social media to follow, like, subscribe, like again and so on. Spotify: https://open.spotify.com/show/70h5xuFqYyHqckybMNrkQ1?si=yTXkq5L3RRCUhitN7r7W5g Apple Podcasts: https://podcasts.apple.com/us/podcast/digging-in-the-dome/id1505253541 Twitter: @diggingdome FB/IG: @digginginthedome
Welcome to the Sunnybrook Unscripted Podcast where we talk real life, answer hard questions, and take a deeper practical look at the topics we talk about a Sunday morning. In this episode with Christmas quickly approaching we are taking an in depth look at the story of Jesus, the true story of Christmas. Have you ever wondered how it really played out? Check this out.
Roku's favorite podcast is gifting you an ever-so-slightly evil holiday episode as we approach the most wonderful time of the year. We reintroduce the topic randomizer to unpack two crazy conspiracy theories. You get some more Spout Off in your stocking and we pick the most diabolical holiday movie villains of all time. Magic Mind is DITD's newest sponsor! Go to www.magicmind.com and order the world's first productivity shot. Curb that caffeine and get the all natural boost from Magic Mind. Come see Chris do standup every Tueasday at Soul Joel's at Sunnybrook in Pottstown and at the Easy Money Show at The Boardroom in Phoenixville every Wednesday. He was selected to perform as part of the Good Karma Comedy Festival so stay tuned for upcoming shows! Check us out every Thursday and Friday at 7PM on the PodNationTV on Roku. Make sure to check us out at our new website www.digginginthedome.com and join our mailing list. Go to our social media to follow, like, subscribe, like again and so on. YT: https://m.youtube.com/c/digginginthedome Twitter: @diggingdome FB/IG: @digginginthedome
Welcome to the Sunnybrook Unscripted Podcast where we talk real life, answer hard questions, and take a deeper practical look at the topics we talk about a Sunday morning. In this episode with Christmas quickly approaching we are taking an in depth look at the story of Jesus, the true story of Christmas. Have you ever wondered how it really played out? Check this out.
Welcome to the Sunnybrook Unscripted Podcast where we talk real life, answer hard questions, and take a deeper practical look at the topics we talk about a Sunday morning. In this episode Pastor Jeff answers questions about communion, the why, the where it came from and what makes is so important in our day to day life as believers. Check it out.
Soul Joel aka Joel Richardson is owner operator of Soul Joel's Comedy Club at Sunnybrook in Pottstown Pa and is largely credited with keeping live comedy alive during a recent time period when everything was shut down and people were wearing masks. With no qualifications to be doing so, Sidney and Ansley attempt to use goofing off and laughter to enlighten comedians and the world by popping open their chakras. Show love to the Poppers: https://www.patreon.com/ChakraPoppers Watch or Listen to Chakra Poppers: https://linktr.ee/ChakraPoppers Each Guest gets the same 7 questions, with each question being associated with popping open a different Chakra from the bottom up: Root Chakra- How did you learn to overcome fear? Pelvis Chakra- Who, what, or where deserves an apology from you? Gut Chakra- How do you overcome disappointment? Heart Chakra- What have you learned from grief? Throat Chakra- What is your favorite lie to tell? Third Eye Chakra- What are two things you used to see as separate but now realize they are the same? Crown Chakra- What is something you can't give up and why? Ansley and Sidney are a couple of 23 plus years with more than 75% of those years being good ones. Sidney is a stand up comedian, and constantly fantasizes about stopping a a real life crime then saying something funny about it when interviewed by the news. Ansley is a World Champion and multiple time Pans Champion Jiu Jitsu competitor that is constantly saying funny things and if she wasn't such a jock she'd be one of those white chicks with dirty feet and a crystal collection. Together, they are the Chakra Poppers. Patreon.com/ChakraPoppers To Listen or Watch: https://linktr.ee/ChakraPoppers Chakra Poppers social media: Instagram: https://www.instagram.com/chakrapoppers/ Twitter: https://twitter.com/ChakraPoppers Facebook: https://www.facebook.com/groups/955338234811683/ Ansley Social Media: Instagram: https://www.instagram.com/aceansley Sidney social media: Instagram: https://www.instagram.com/sidneygantt Twitter: https://twitter.com/sidneygantt?lang=en Facebook: https://www.facebook.com/SidneyGantt
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