Podcasts about Swallowing

A sentient sperm, a human dog, and the sexiest podcaster alive (Dave, Charlotte, and Zack, not necessarily in that order) continue our six part series on the works of Osamu Tezuka. CW: These comics contain very graphic depictions of sexual violence. Comics covered in this episode: – Swallowing the Earth, Apollo’s Song, Ode to Kirihito, […] The post Extra Issues – Osamu Tezuka pt. 3: Swallowing the Earth, Apollo’s Song, Ode to Kirihito, The Book of Human Insects, MW appeared first on Comic Book Herald.

Send a textIn our update this month Derek Munn, Director of Policy and Public Affairs at the RCSLT covers: Schools white paper in England and SEND provision- what we know so far.Scottish election manifesto asks: https://www.rcslt.org/news/rcslt-scotland-publishes-key-manifesto-asks-ahead-of-2026-elections/ UK wide report on DLD in exams: New report calls for exam reform to support students with Developmental Language Disorder | RCSLTVoicebox competition launches in Northern Ireland: VoiceBox competition launches across Northern Ireland | RCSLTSwallowing Awareness Day 18 March https://www.rcslt.org/news/get-involved-in-swallowing-awareness-day-2026/ Westminster event on Primary Progressive Aphasia: https://www.rcslt.org/news/invite-your-mp-to-attend-primary-progressive-aphasia-parliamentary-event/ Response to cancer strategy.Letter from AHPs to Wes Streeting: https://www.rcslt.org/news/rcslt-joins-professional-bodies-calling-for-government-action-on-ahps/RCSLT workforce survey – call for responses to help us build the evidence base on vacancies and retention: https://www.rcslt.org/news/complete-the-2026-workforce-survey/. Please be aware that the views expressed are those of the guests and not the RCSLT.Please do take a few moments to respond to our podcast survey: uk.surveymonkey.com/r/LG5HC3R

Fasting Rulings In A Nutshell | Common Mistakes Explained | Q&A | Shaykh Muhammad Sāqib Iqbāl ShāmiThis video, titled "Fasting Rulings In A Nutshell | Common Mistakes Explained | Q&A | Shaykh Muḥammad Sāqib Iqbāl Shāmī", addresses common questions and misconceptions about fasting during Ramadan. Shaykh Muḥammad Sāqib Iqbāl Shāmī provides clear rulings on various situations that may arise during fasting, distinguishing between actions that break the fast and those that do not.Here are some key takeaways:Actions that generally DO NOT break the fast:Swallowing saliva or phlegm from within the mouth (0:11).Rubbing oil on the body (0:20).Using deodorant or body spray (0:25).Using attar (perfume oil) (0:30).Vomiting unintentionally, even a mouthful (1:05-1:16).Missing sahur (pre-dawn meal) (1:51).Making the niyyah (intention) to fast before midday for Ramadan fasts (1:59).Eating out of forgetfulness (2:51).Blood tests (4:17).Nosebleeds (4:21).Hijama (cupping therapy) (4:23).Donating blood (4:27).Watching movies, scrolling on social media (though it may diminish blessings) (5:24).Swearing, backbiting, or slandering (though these are sins) (5:43-5:58).Applying antimony (kohl) to the eyes (6:06).Breastfeeding (6:29).Having a wet dream/nocturnal emission (6:33).Using ear drops (unless the eardrum is perforated) (8:40).Biting nails (10:24).Using a siwak (natural toothbrush) (10:32).Brushing teeth with toothpaste (as long as nothing enters the throat) (10:41).Getting injections or vaccines (11:05).Having a shower to cool down (11:30).Getting a haircut (11:37).Swimming (as long as water does not enter the throat) (13:44).Actions that DO break the fast:Deliberately forcing oneself to vomit a mouthful while remembering the fast (0:36-1:27).Water entering the throat during wudoo' (ablution) (2:44).Masturbation with ejaculation (6:42).Using eye drops (due to a connection between the eyes and digestive tract) (7:04-8:30).Using nasal sprays (9:36).Smoking (9:55).Vaping (10:01).Deliberately inhaling smoke (10:06).Using a nebulizer or inhaler (11:50).Regarding travel and fasting:A traveler is exempt from fasting (11:58).It is not necessary for a traveler not to fast; it is permissible and even rewarding to fast (12:17).A person is only exempt from fasting if they are already a traveler at the time of sahur (12:42-13:18). If sahur enters while they are still at home and they plan to travel later in the day, they must still fast (13:30-13:38).Differences between *Qada' and Kaffarah:*Qada' is making up for a missed fast by keeping one fast after Ramadan, applicable when a fast is missed without a valid reason (2:55-3:15, 3:59-4:10). There is no kaffarah (expiation) for simply missing a fast.Kaffarah is a more severe expiation for deliberately breaking a Ramadan fast while remembering one is fasting and without a valid reason. This requires fasting for 60 consecutive days after Ramadan, plus one qada' fast (3:16-3:29). If this is impossible, then the kaffarah is to feed 60 needy people two meals a day (3:32-3:37).

Parkinson's can affect speech and swallowing—often starting with subtle changes like a softer or raspy voice. Without treatment, these issues can progress, making communication harder and increasing the risk of swallowing complications, including aspiration.In this Live Talk, Samantha Elandary, MA, CCC-SLP—speech-language pathologist and President & CEO of the Parkinson Voice Project—shares why early evaluation matters and how targeted therapy can help people protect their voice and swallow. She explains how Parkinson's can change how loud someone thinks they're speaking, why everyday skills like talking and swallowing may need to shift from “automatic” to more intentional control, and how daily practice can make a difference.You'll learn about:Early signs of Parkinson's-related voice and speech changesWhy “speaking with intent” can support clearer communicationHow speech therapy may help protect swallowing and reduce aspiration riskWhy consistent at-home exercises are key (not just clinic visits)Programs like Parkinson Voice Project's SPEAK OUT!® and ongoing supportExplore more brain health journalism from Being Patient + subscribe to our newsletter:https://www.beingpatient.com/Follow Being PatientTwitter:   / being_patient_  Instagram:   / beingpatientvoices  Facebook:   / beingpatientalzheimers  LinkedIn:   / being-patient  Being Patient is an editorially independent journalism outlet covering brain health, cognitive science, and neurodegenerative diseases. In our Live Talk series, founder and former Wall Street Journal editor Deborah Kan interviews experts and people with lived experience.Watch our latest Live Talks:https://beingpatient.com/live-talks/

In this episode, Lou breaks her four-month silence to give a "no-filter" recap of her Ironman journey so far. Transitioning from a beginner to a long-distance triathlete is no joke, and while the swim might be the shortest leg of the race, it's proving to be the biggest mental hurdle. Lou shares her ego-bruising lessons on technique, the tools she wish she'd used sooner, and the pre-pool anxiety that almost kept her on the couch.The "Ironman Distance" reality check.The Math of a Triathlon: Why the swim is often the forgotten discipline.Lesson 1: Swallowing the ego and using swim tools (Paddles & Pull Buoys).Lesson 2: Intervals vs. Distance – Why "just swimming" isn't enough.Lesson 3: The Open Water Fear – Wetsuits, sighting, and toe-grabbing.Lesson 4: The Mental Game – Overcoming pre-swim procrastination and finding "flow."What's coming up next (The Bike).The Power of Tools: Don't let your ego stop you from using paddles (for hand positioning/catch) and pull buoys (for hip buoyancy). They are shortcuts to better form, not "cheating."Structure Over Volume: Simply grinding out lengths is great for the soul but bad for the clock. Break sessions into intervals to maintain technique and build actual speed.The "Blue Line" Trap: Pool swimming doesn't prepare you for the variables of open water. Practice sighting and getting comfortable in a wetsuit to avoid race-day surprises like chafing or shoulder fatigue.The 60-Minute Mental Wall: Swimming is the ultimate "unplugged" sport. While the pre-swim anxiety is real, pushing through to find a flow state is where the magic happens."I've never known procrastination like it... but once I'm in the pool and I find flow state, it's the most magical thing."Follow the Journey: https://www.instagram.com/theexerciseengineer/www.youtube.com/@theexerciseengineerBuy My Trisuit: https://www.sub4custom.com/shop/the-exercise-engineer/the-exercise-engineer/ Next Episode: Stay tuned for the deep dive into the Bike leg!

Join Lindsey's Masterclass:Masterclass: “How Anger With Integrity Gets You What You Want”Tue Feb 10 @ 5pm CT -or- Wed Feb 11 @ 10am CT (replay available).—— Show Notes:Anger is protective: it's fight energy and information—not a moral failure.Integrity ≠ calm: integrity is alignment between truth, impact, boundaries, and what you do next.The real relationship test: can anger exist here without exile, shutdown, or punishment?Over-functioning: over-explaining, “making a case,” coaching, managing the other person's reaction.Swallowing: freezing, minimizing, self-abandoning, telling yourself it's not worth it—breeds resentment.Exploding: often follows swallowing; shifts focus away from the original issue and breaks connection.Nervous system reality: threat-mode narrows nuance; repair is “metabolically expensive.”Culture critique: “cut off/block for peace” can be protective in abuse, but isn't a universal intimacy strategy.Co-authentic relating: telling the truth while staying present—without appeasing, disappearing, or dominating.

Join Lindsey's Masterclass: Masterclass: “How Anger With Integrity Gets You What You Want” — Tue Feb 10 @ 5pm CT -or- Wed Feb 11 @ 10am CT (replay available).—— Show NotesAnger is protective; the goal is anger with integrity (truth + impact + boundaries).Over-functioning: over-explaining, “making a case,” managing the other person's reaction.Swallowing: freezing, minimizing, telling yourself it's not worth it—breeds resentment.Exploding: often follows swallowing; shifts focus away from the original issue.Main point: these strategies are common, but they're not integrity—they're avoidance.

In this episode we speak to the 2024 winners of the IASLT Postgraduate Research Award for submissions to the IASLT journal Advances in Communication and Swallowing. David O'Shea and Dr Dominika Lisiecka worked on this paper called: Speech and language therapy services for autistic children in Munster: An interpretative phenomenological analysis of parental experiences and expectations” . This work was based on David's MSc that was supervised by Dominika and Dr Patrick McGarty at Munster Technological University, Kerry Campus.David is the Practice Manager Kerry Speech and Language Therapy Clinic in Tralee, Co. Kerry. and Dominika is the Clinical Director at the clinic where they both work as Senior SLTS, with a mixed caseload of children and adults.

Episode 190 - Meryl Kaufman is a speech-language pathologist with over 30 years of clinical practice specializing in speech and swallowing rehabilitation for patients with head and neck cancer. She has worked in multidisciplinary academic medical centers throughout the Southeast, including the Medical College of Georgia, the Medical University of South Carolina, the University of Alabama at Birmingham, and Emory University. She is also a co-founder and former long-term board member of the Head and Neck Cancer Alliance, a nonprofit organization dedicated to prevention, early detection, and awareness of head and neck cancer.  In 2018, she founded Georgia Speech and Swallowing, LLC, a company focused on national advocacy, outreach, education, and product development for individuals who have undergone laryngectomy surgery (removal of the voice box/larynx). She has recently developed, patented, and licensed an alternative method of voice production, offering a low-cost and accessible voice rehabilitation option for laryngectomy patients worldwide. She collaborated with Noah McNeely at Product QuickStart in developing the CAD designs and prototypes to support the product launch. https://www.headandneck.org/team/meryl-kaufman-med-ccc-slp-bcs-s/   https://leader.pubs.asha.org/doi/10.1044/leader.PA2.19092014.30 Product QuickStart: Noah McNeely https://productquickstart.com 'opu probiotics by Tiffany Krumins: https://www.opuprobiotics.com Podcast Website: https://productgeniuspod.com Slightly Annoying Co-Host: Steven Julian https://www.infinitywmg.com/  Podcast Producer: Jodey Smith https://www.jodeysmith.com/ 

Dysphagia in Parkinson's disease is not one-size-fits-all, and treatment decisions shouldn't be either.In this episode of Swallow Your Pride, Theresa is joined by PD Dr. Bendix Labeit, MBA, neurologist and clinician-scientist, and Jule Hofacker, MSc, speech-language pathologist and PhD student in neurogenic dysphagia, to explore how Parkinson's treatments impact swallowing. They discuss how dopaminergic medication […] The post 388 – Parkinson's, Swallowing, and Deep Brain Stimulation: What Clinicians Need to Know appeared first on Swallow Your Pride Podcast.

As the book of Jonah comes to a close, the climax of Jonah's rebellion against God is confronted by a question and an interactive object lesson. God uses Jonah's glee and anger over a plant to show why it's important for Him to have mercy on the city of Nineveh. In this final study of the series, we examine the profundity of the poisonous plant and scarlet worm, why the book ends with the word “many cows,” and are personally confronted in our own lives with the central questions of the book.------------» Take these studies deeper and be discipled in person by Nathan, Eric, Leslie, and the team at Ellerslie in one of our upcoming discipleship programs – learn more at: https://ellerslie.com/be-discipled/» Receive our free “Five Keys to Walking Through Difficulty” PDF by going to: https://ellerslie.com/subscribe/» For more information about Daily Thunder and the ministry of Ellerslie Mission Society, please visit: https://ellerslie.com/daily» If you have been blessed by Ellerslie, consider partnering with the ministry by donating at: https://ellerslie.com/donate/» Discover more Christ-centered teaching and resources from Nathan Johnson that will help you grow spiritually by checking out his website at: https://deeperchristian.com/

Deep in Siberia, there's a place locals call the gateway to the underworld — and it's getting bigger every year. The Batagay megaslump, a massive crater in the permafrost, is expanding by more than 35 million cubic feet annually as the frozen ground melts away. Scientists say its walls are retreating 40 feet each year, exposing ice and soil that have been frozen for over 650,000 years — the oldest permafrost in Siberia. This isn't just a hole in the Earth; it's a time machine revealing our planet's ancient past — and a chilling sign of its future. Learn more about your ad choices. Visit megaphone.fm/adchoices

Lessons from the Parsha on the special power of Torah to help us remain connected and moving forward.

In episode 101 of the Summits Podcast, co-hosts Vince Todd, Jr. and Daniel Abdallah are joined by Kaitlin Pennington and Sarah Blount of Cancer Rehab Group. Tune in as the cancer rehab specialists share their passion for whole-person care for those newly diagnosed with cancer, in active treatment, in remission, or managing long-term effects.

Swallowing teeth, Kevin and Bean on TV, high winds in Seattle, losing Whamageddon, Wolfman Jack, bidet chat, Bean's alarm and the HALL OF FAME!!!!!!!!!!

Swallowing teeth, Kevin and Bean on TV, high winds in Seattle, losing Whamageddon, Wolfman Jack, bidet chat, Bean's alarm and the HALL OF FAME!!!!!!!!!!

In 1986 the world watched in horror as radiation spewed from reactor number four at the Chernobyl Nuclear Power Plant in Ukraine - then part of the Soviet Union. Releasing more radioactivity into the atmosphere than the atomic bombs that were dropped on the Japanese cities of Hiroshima and Ngagasaki in World War Two, it prompted a mass evacuation and the enforcement of a 30 kilometre exclusion zone to prevent further contamination and loss of life. It remains the worst nuclear accident in history. Remarkably however, nature found a way to survive - and award-winning UK science writer, Alex Riley will tell you that there are many other examples of life in the extreme - if you know where to look. Alex is the author of Super Natural - How Life Thrives in Impossible Places. He speaks to Susie about nature's incredible resilience - and what life could look like on other planets.

The man allegedly swallowed a Fabergé James Bond Octopussy Egg locket.See omnystudio.com/listener for privacy information.

What happens when social anxiety crashes the recording session? Finally, I return to the mic after a short break, battling a new swallowing issue (anxiety?), performance nerves, and that familiar inner critic. It's an honest look at showing up imperfectly and refusing to let anxiety call the shots. No way bucko!In this episode, I reflect on what's been happening lately in my world: winning the University of Newcastle Young Alumni Award, two life-changing (and affirming) concerts (Oasis & AC/DC), overheating scares, plus the decision to return to full-time work for some financial breathing room.There's also a preview of what's coming next — Manchester Madness, new The Psych Ward stories, Weaponised Autism, Q&A Sessions, Retroactive Jealousy, and bringing The Dysregulated Podcast to YouTube.Sometimes you just have to press submit. Even if it's not perfect.--Follow my journey through the chaos of mental illness and the hard-fought lessons learned along the way.Lived experience is at the heart of this podcast — every episode told through my own lens, with raw honesty and zero filter.This is a genuine and vulnerable account of how multiple psychological disorders have shaped my past and continue to influence my future.-- Follow The Dysregulated Podcast: Instagram – @elliot.t.waters Facebook – The Dysregulated Podcast YouTube – The Dysregulated Podcast (Official Channel) Created by Elliot Waters — Inspired by lived experience. Mental health insights, real stories, real conversations.

Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Evan S. Dellon, MD, and Elizabeth T. Jensen, PhD, about a paper they published on predictors of patients receiving no medication for treatment of eosinophilic esophagitis. Disclaimer: The information provided in this podcast is designed to support, not replace, the relationship between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:52] Co-host Ryan Piansky introduces the episode, brought to you thanks to the support of Education Partners GSK, Sanofi, Regeneron, and Takeda. Ryan introduces co-host Holly Knotowicz.   [1:14] Holly introduces today's topic, predictors of not using medication for EoE, and today's guests, Dr. Evan Dellon and Dr. Elizabeth Jensen.   [1:29] Dr. Dellon is an Adjunct Professor of Epidemiology at the University of North Carolina School of Medicine in Chapel Hill. He is also the Director of the UNC Center for Esophageal Diseases and Swallowing.   [1:42] Dr. Dellon's main research interest is in the epidemiology, pathogenesis, diagnosis, treatment, and outcomes of eosinophilic esophagitis (EoE) and eosinophilic GI diseases (EGIDs).   [1:55] Dr. Jensen is a Professor of Epidemiology with a specific expertise in reproductive, perinatal, and pediatric epidemiology. She has appointments at both Wake Forest University School of Medicine and the University of North Carolina at Chapel Hill.   [2:07] Her research primarily focuses on etiologic factors in the development of pediatric immune-mediated chronic diseases, including understanding factors contributing to disparities in health outcomes.   [2:19] Both Dr. Dellon and Dr. Jensen also serve on the Steering Committee for EGID Partners Registry.   [2:24] Ryan thanks Dr. Dellon and Dr. Jensen for joining the podcast today.   [2:29] Dr. Dellon was the first guest on this podcast. It is wonderful to have him back for the 50th episode! Dr. Dellon is one of Ryan's GI specialists. Ryan recently went to North Carolina to get a scope with him.   [3:03] Dr. Dellon is an adult gastroenterologist at the University of North Carolina at Chapel Hill. He directs the Center for Esophageal Diseases and Swallowing. Clinically and research-wise, he is focused on EoE and other eosinophilic GI diseases.   [3:19] His research interests span the entire field, from epidemiology, diagnosis, biomarkers, risk factors, outcomes, and a lot of work, more recently, on treatments.   [3:33] Dr. Jensen has been on the podcast before, on Episode 27. Holly invites Dr. Jensen to tell the listeners more about herself and her work with eosinophilic diseases.   [3:46] Dr. Jensen has been working on eosinophilic gastrointestinal diseases for about 15 years. She started some of the early work around understanding possible risk factors for the development of disease.   [4:04] She has gone on to support lots of other research projects, including some with Dr. Dellon, where they're looking at gene-environment interactions in relation to developing EoE.   [4:15] She is also looking at reproductive factors as they relate to EoE, disparities in diagnosis, and more. It's been an exciting research trajectory, starting with what we knew very little about and building to an increasing understanding of why EoE develops.   [5:00] Dr. Dellon explains that EoE stands for eosinophilic esophagitis, a chronic allergic condition of the esophagus.   [5:08] You can think of EoE as asthma of the esophagus or eczema of the esophagus, although in general, people don't grow out of EoE, like they might grow out of eczema or asthma. When people have EoE, it is a long-term condition.   [5:24] Eosinophils are a type of white blood cell, specializing in allergy responses. Normally, they are not in the esophagus. When we see them there, we worry about an allergic process. When that happens, that's EoE.   [5:40] Over time, the inflammation seen in EoE and other allergic cell activity causes swelling and irritation in the esophagus. Early on, this often leads to a range of upper GI symptoms — including poor growth or failure to thrive in young children, abdominal pain, nausea, and symptoms that can mimic reflux.   [5:58] In older kids, symptoms are more about trouble swallowing. That's because the swelling that happens initially, over time, may turn into scar tissue. So the esophagus can narrow and cause swallowing symptoms like food impaction.   [6:16] Ryan speaks of living with EoE for decades and trying the full range of treatment options: food elimination, PPIs, steroids, and, more recently, biologics.   [6:36] Dr. Dellon says Ryan's history is a good overview of how EoE is treated. There are two general approaches to treating the underlying condition: using medicines and/or eliminating foods that we think may trigger EoE from the diet.   [6:57] For a lot of people, EoE is a food-triggered allergic condition.   [7:01] The other thing that has to happen in parallel is surveying for scar tissue in the esophagus. If that's present and people have trouble swallowing, sometimes stretching the esophagus is needed through esophageal dilation.   [7:14] There are three categories of medicines used for treatment. Proton pump inhibitors are reflux meds, but they also have an anti-allergy effect in the esophagus.   [7:29] Topical steroids are used to coat the esophagus and produce an anti-inflammatory effect. The FDA has approved a budesonide oral suspension for that.   [7:39] Biologics, which are generally systemic medications, often injectable, can target different allergic factors. Dupilumab is approved now, and there are other biologics that are being researched as potential treatments.   [7:51] Even though EoE is considered an allergic condition, we don't have a test to tell people what they are allergic to. If it's a food allergy, we do an empiric elimination diet because allergy tests aren't accurate enough to tell us what the EoE triggers are.   [8:10] People will eliminate foods that we know are the most common triggers, like milk protein, dairy, wheat, egg, soy, and other top allergens. You can create a diet like that and then have a response to the diet elimination.   [8:31] Dr. Jensen and Dr. Dellon recently published an abstract in the American Journal of Gastroenterology about people with EoE who are not taking any medicine for it. Dr. Jensen calls it a real-world data study, leveraging electronic health record patient data.   [8:51] It gives you an impression of what is actually happening, in terms of treatments for patients, as opposed to a randomized control trial, which is a fairly selected patient population. This is everybody who has been diagnosed, and then what happens with them.   [9:10] Because of that, it gives you a wide spectrum of patients. Some patients are going to be relatively asymptomatic. It may be that we arrived at their diagnosis while working them up for other potential diagnoses.   [9:28] Other patients are going to have rather significant impacts from the disease. We wanted to get an idea of what is actually happening out there with the full breadth of the patient population that is getting diagnosed with EoE.   [9:45] Dr. Jensen was not surprised to learn that there are patients who had no pharmacologic treatment.   [9:58] Some patients are relatively asymptomatic, and others are not interested in pursuing medications initially or are early in their disease process and still exploring dietary treatment options.   [10:28] Holly sees patients from infancy to geriatrics, and if they're not having symptoms, they wonder why bother treating it.   [10:42] Dr. Jensen says it's a point of debate on the implications of somebody who has the disease and goes untreated. What does that look like long-term? Are they going to develop more of that fibrostenotic pattern in their esophagus without treatment?   [11:07] This is a question we're still trying to answer. There is some suggestion that for some patients who don't manage their disease, we very well may be looking at a food impaction in the future.   [11:19] Dr. Dellon says we know overall for the population of EoE patients, but it's hard to know for a specific patient. We have a bunch of studies now that look at how long people have symptoms before they're diagnosed. There's a wide range.   [11:39] Some people get symptoms and get diagnosed right away. Others might have symptoms for 20 or 30 years that they ignore, or don't have access to healthcare, or the diagnosis is missed.   [11:51] What we see consistently is that people who may be diagnosed within a year or two may only have a 10 or 20% chance of having that stricture and scar tissue in the esophagus, whereas people who go 20 years, it might be 80% or more.   [12:06] It's not everybody who has EoE who might end up with that scar tissue, but certainly, it's suggested that it's a large majority.   [12:16] That's before diagnosis. We have data that shows that after diagnosis, if people go a long time without treatment or without being seen in care, they also have an increasing rate of developing strictures.    [12:29] In general, the idea is yes, you should treat EoE, because on average, people are going to develop scar tissue and more symptoms. For the patient in front of you with EoE but no symptoms, what are the chances it's going to get worse? You don't know.   [13:04] There are two caveats with that. The first is what we mean by symptoms. Kids may have vomiting and growth problems. Adults can eat carefully, avoiding foods that hang up in the esophagus, like breads and overcooked meats, sticky rice, and other foods.   [13:24] Adults can eat slowly, drink a lot of liquid, and not perceive they have symptoms. When someone tells Dr. Dellon they don't have symptoms, he will quiz them about that. He'll even ask about swallowing pills.    [13:40] Often, you can pick up symptoms that maybe the person didn't even realize they were having. In that case, that can give you some impetus to treat.   [13:48] If there really are no symptoms, Dr. Dellon thinks we're at a point where we don't really know what to do.   [13:54] Dr. Dellon just saw a patient who had a lot of eosinophils in their small bowel with absolutely no GI symptoms. He said, "I can't diagnose you with eosinophilic enteritis, but you may develop symptoms." People like that, he will monitor in the clinic.   [14:14] Dr. Dellon will discuss it with them each time they come back for a clinic visit.   [14:19] Holly is a speech pathologist, but also sees people for feeding and swallowing. The local gastroenterologist refers patients who choose not to treat their EoE to her. Holly teaches them things they should be looking out for.   [14:39] If your pills get stuck or if you're downing 18 ounces during a mealtime, maybe it's time to treat it. People don't see these coping mechanisms they use that are impacting their quality of life. They've normalized it.   [15:30] Dr. Dellon says, of these people who aren't treated, there's probably a subset who appropriately are being observed and don't have a medicine treatment or are on a diet elimination.   [15:43] There's also probably a subset who are inappropriately not on treatment. It especially can happen with students who were under good control with their pediatric provider, but moved away to college and didn't transfer to adult care.   [16:08] They ultimately come back with a lot of symptoms that have progressed over six to eight years.   [16:18] Ryan meets newly diagnosed adult patients at APFED's conferences, who say they have no symptoms, but chicken gets caught in their throat. They got diagnosed when they went to the ER with a food impaction.   [16:38] Ryan says you have to wonder at what point that starts to get reflected in patient charts. Are those cases documented where someone is untreated and now has EoE?   [16:49] Ryan asks in the study, "What is the target EGID Cohort and why was it selected to study EoE? What sort of patients were captured as part of that data set?"   [16:58] Dr. Jensen said they identified patients with the ICD-10 code for a diagnosis of EoE. Then they looked to see if there was evidence of symptoms or complications in relation to EoE. This was hard; some of these are relatively non-specific symptoms.   [17:23] These patients may have been seeking care and may have been experiencing some symptoms that may or may not have made it into the chart. That's one of the challenges with real-world data analyses.   [17:38] Dr. Jensen says they are using data that was collected for documenting clinical care and for billing for clinical care, not for research, so it comes with some caveats when doing research with this data.   [18:08] Research using electronic health records gives a real-world perspective on patients who are seeking care or have a diagnosis of EoE, as opposed to a study trying to enroll a patient population that potentially isn't representative of the breadth of individuals living with EoE.   [18:39] Dr. Dellon says another advantage of real-world data is the number of patients. The largest randomized controlled trials in EoE might have 400 patients, and they are incredibly expensive to do.   [18:52] A study of electronic health records (EHR) is reporting on the analysis of just under 1,000. The cohort, combined from three different centers, has more than 1,400 people, a more representative, larger population.    [19:16] Dr. Dellon says when you read the results, understand the limitations and strengths of a study of health records, to help contextualize the information.   [19:41] Dr. Dellon says it's always easier to recognize the typical presentations. Materials about EoE and studies he has done that led to medicine approvals have focused on trouble swallowing. That can be relatively easily measured.   [20:01] Patients often come to receive care with a food impaction, which can be impactful on life, and somewhat public, if in a restaurant or at work. Typical symptoms are also the ones that get you diagnosed and may be easier to treat.   [20:26] Dr. Dellon wonders if maybe people don't treat some of the atypical symptoms because it's not appreciated that they can be related to EoE.   [20:42] Holly was diagnosed as an adult. Ryan was diagnosed as a toddler. Holly asks what are some of the challenges people face in getting an EoE diagnosis.   [20:56] Dr. Jensen says symptoms can sometimes be fairly non-specific. There's some ongoing work by the CEGIR Consortium trying to understand what happens when patients come into the emergency department with a food bolus impaction.   [21:28] Dr. Jensen explains that we see there's quite a bit of variation in how that gets managed, and if they get a biopsy. You have to have a biopsy of the esophagus to get a diagnosis of EoE.   [21:45] If you think about the steps that need to happen to get a diagnosis of EoE, that can present barriers for some groups to ultimately get that diagnosis.   [21:56] There's also been some literature around a potential assumption about which patients are more likely to be at risk. Some of that is still ongoing. We know that EoE occurs more commonly in males in roughly a two-to-one ratio. Not exclusively in males, obviously, but a little more often in males.   [22:20] We don't know anything about other groups of patients that may be at higher risk. That's ongoing work that we're still trying to understand. That in itself can also be a barrier when there are assumptions about who is or isn't likely to have EoE.   [23:02] Dr. Dellon says that in adolescents and adults, the typical symptoms are trouble swallowing and food sticking, which have many causes besides EoE, some of which are more common.   [23:18] In that population, heartburn is common. Patients may report terrible reflux that, on questioning, sounds more like trouble swallowing than GERD. Sometimes, with EoE, you may have reflux that doesn't improve. Is it EoE, reflux, or both?   [24:05] Some people will have chest discomfort. There are some reports of worsening symptoms with exercise, which brings up cardiac questions that have to be ruled out first.   [24:19] Dr. Dellon mentions some more atypical symptoms. An adult having pain in the upper abdomen could have EoE. In children, the symptoms could be anything in the GI tract. Some women might have atypical symptoms with less trouble swallowing.   [24:58] Some racial minorities may have those kinds of symptoms, as well. If you're not thinking of the condition, it's hard to make the diagnosis.   [25:08] Dr. Jensen notes that there are different cultural norms around expressing symptoms and dietary patterns, which may make it difficult to parse out a diagnosis.   [25:27] Ryan cites a past episode where access to a GI specialist played a role in diagnosing patients with EoE. Do white males have more EoE, or are their concerns just listened to more seriously?   [25:57] Ryan's parents were told when he was two that he was throwing up for attention. He believes that these days, he'd have a much easier time convincing a doctor to listen to him. From speaking to physicians, Ryan believes access is a wide issue in the field.   [26:23] Dr. Dellon tells of working with researchers at Mayo in Arizona and the Children's Hospital of Phoenix. They have a large population of Hispanic children with EoE, much larger than has been reported elsewhere. They're working on characterizing that.   [26:49] Dr. Dellon describes an experience with a visiting trainee from Mexico City, where there was not a lot of EoE reported. The trainee went back and looked at the biopsies there, and it turned out they were not performing biopsies on patients with dysphagia in Mexico City.   [27:13] When he looked at the patients who ended up getting biopsies, they found EoE in 10% of patients. That's similar to what's reported out of centers in the developed world. As people are thinking about it more, we will see more detection of it.   [27:30] Dr. Dellon believes those kinds of papers will be out in the next couple of months, to a year.   [27:36] Holly has had licensure in Arizona for about 11 years. She has had nine referrals recently of children with EoE from Arizona. Normally, it's been one or two that she met at a conference.   [28:00] Ryan asks about the research on patients not having their EoE treated pharmacologically. Some treat it with food avoidance and dietary therapy. Ryan notes that he can't have applesauce, as it is a trigger for his EoE.   [28:54] Dr. Jensen says that's one of the challenges in using the EHR data. That kind of information is only available to the researchers through free text. That's a limitation of the study, assessing the use of dietary elimination approaches.   [29:11] Holly says some of her patients have things listed as allergies that are food sensitivities. Ryan says it's helpful for the patients to have their food sensitivities listed along with their food allergies, but it makes records more difficult to parse for research.   [30:14] Dr. Dellon says they identify EoE by billing code, but the codes are not always used accurately. Natural Language Processing can train a computer system to find important phrases. Their collaborators working on the real-world data are using it.   [30:59] Dr. Dellon hopes that this will be a future direction for this research to find anything in the text related to diet elimination.   [31:32] Dr. Jensen says that older patients were less likely to seek medication therapy. She says it's probably for a couple of reasons. First, older patients may have been living with the disease for a long time and have had compensatory mechanisms in place.   [32:03] The other reason may be senescence or burnout of the disease, long-term. Patients may be less symptomatic as they get older. That's a question that remains to be answered for EoE. It has been seen in some other disease processes.   [32:32] Dr. Dellon says there's not much data specifically looking at EoE in the older population. Dr. Dellon did work years ago with another doctor, and they found that older patients had a better response to some treatments, particularly topical steroids.   [32:54] It wasn't clear whether it was a milder aspect of the disease, easier to treat, or because they were older and more responsible, taking their medicines as prescribed, and having a better response rate. It's the flip side of work in the pediatric population.   [33:16] There is an increasingly aging population with EoE. Young EoE patients will someday be over 65. Dr. Dellon hopes there will be a cure by that point, but it's an expanding population now.   [33:38] Dr. Jensen says only a few sites are contributing data, so they hope to add additional sites to the study. For some of the less common outcomes, they need a pretty large patient sample to ask some of those kinds of questions.   [33:55] They will continue to follow up on some of the work that this abstract touched on and try to understand some of these issues more deeply.   [34:06] Dr. Dellon mentions other work within the cohort. Using Natural Language Processing, they are looking at characterizing endoscopy information and reporting it without a manual review of reports and codes. You can't get that from billing data.   [34:29] Similarly, they are trying to classify patient severity by the Index of Severity with EoE, and layer that on looking at treatments and outcomes based on disease severity. Those are a couple of other directions where this cohort is going.   [34:43] Holly mentions that this is one of many research projects Dr. Jensen and Dr. Dellon have collaborated on together. They also collaborate through EGID Partners. Holly asks them to share a little bit about that.   [34:53] Dr. Jensen says EGID Partners is an online registry where individuals, caregivers, and parents of children affected with EGIDs can join.   [35:07] EGID Partners also needs people who don't live with an EGID to join, as controls. That gives the ability to compare those who are experiencing an EGID relative to those who aren't.   [35:22] When you join EGID Partners, they provide you with a set of questionnaires to complete. Periodically, they push out a few more questionnaires.   [35:33] EGID Partners has provided some really great information about patient experience and answered questions that patients want to know about, like joint pain and symptoms outside the GI tract.   [36:04] To date, there are close to 900 participants in the registry from all over the world. As it continues to grow, it will give the ability to look at the patient experience in different geographical areas.   [36:26] Dr. Dellon says we try to have it be interactive, because it is a collaboration with patients. The Steering Committee works with APFED and other patient advocacy groups from around the world.    [36:41] The EGID Partners website shows general patient locations anonymously. It shows the breakdown of adults with the condition and caregivers of children with the condition, the symptom distribution, and the treatment distribution.   [37:03] As papers get published and abstracts are presented, EGID Partners puts them on the website. Once someone joins, they can suggest a research idea. Many of the studies they have done have come from patient suggestions.   [37:20] If there's an interesting idea for a survey, EGID Partners can push out a survey to everybody in the group and answer questions relatively quickly.   [37:57] Dr. Dellon says a paper came out recently about telehealth. EoE care, in particular, is a good model for telehealth because it can expand access for patients who don't have providers in their area.   [38:22] EoE is a condition where care involves a lot of discussion but not a lot of need for physical exams and direct contact, so telehealth can make things very efficient.    [38:52] EGID Partners surveyed patients about telehealth. They thought it was efficient and saved time, and they had the same kind of interactions as in person. In general, in-state insurance covered it. Patients were happy to do those kinds of visits again.   [39:27] Holly says Dr. Furuta, herself, and others were published in the Gastroenterology journal in 2019 about starting to do telehealth because patients coming to the Children's Hospital of Colorado from out of state had no local access to feeding therapy.   [39:50] Holly went to the board, and they allowed her to get licensure in different states. She started with some of the most impacted patients in Texas and Florida in 2011 and 2012. They collected data. They published in 2019 about telehealth's positive impact.   [40:13] When 2020 rolled around, Holly had trained a bunch of people on how to do feeding therapy via telehealth. You have to do all kinds of things, like make yourself disappear, to keep the kids engaged and in their chairs!   [40:25] Now it is Holly's primary practice. She has licenses in nine states. She sees people all over the country. With her diagnosis, her physicians at Mass General have telehealth licensure in Maine. She gets to do telehealth with them instead of driving two hours.   [40:53] Dr. Jensen tells of two of the things they hope to do at EGID Partners. One is trying to understand more about reproductive health for patients with an EGID diagnosis. Only a few studies have looked at this question, and with very small samples.   [41:15] As more people register for EGID Partners, Dr. Jensen is hoping to be able to ask some questions related to reproductive health outcomes.   [41:27] The second goal is a survey suggested by the Student Advisory Committee, asking questions related to the burden of disease specific to the teen population.   [41:48] This diagnosis can hit that population particularly hard, at a time when they are trying to build and sustain friendships and are transitioning to adult care and moving away from home. This patient population has a unique perspective we wanted to hear.   [42:11] Dr. Jensen and Dr. Dellon work on all kinds of other projects, too.   [42:22] Dr. Dellon says they have done a lot of work on the early-life factors that may predispose to EoE. They are working on a large epidemiologic study to get some insight into early-life factors, including factors that can be measured in baby teeth.   [42:42] That's outside of EGID Partners. It's been ongoing, and they're getting close, maybe over the next couple of years, to having some results.   [43:03] Ryan says all of those projects sound so interesting. We need to have you guys back to dive into those results when you have something finalized.   [43:15] For our listeners who want to learn more about eosinophilic disorders, we encourage you to visit apfed.org and check out the links in the show notes below.   [43:22] If you're looking to find specialists who treat eosinophilic disorders, we encourage you to use APFED's Specialist Finder at apfed.org/specialist.   [43:31] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at apfed.org/connections.   [43:41] Ryan thanks Dr. Dellon and Dr. Jensen for joining us today. This was a fantastic conversation. Holly also thanks APFED's Education Partners GSK, Sanofi, Regeneron, and Takeda for supporting this episode.   Mentioned in This Episode: Evan S. Dellon, MD, MPH, Academic Gastroenterologist, University of North Carolina School of Medicine   Elizabeth T. Jensen, MPH, PhD, Epidemiologist, Wake Forest University School of Medicine, University of North Carolina at Chapel Hill   Predictors of Patients Receiving No Medication for Treatment of Eosinophilic Esophagitis in the United States: Data from the TARGET-EGIDS Cohort   Episode 15: Access to Specialty Care for Eosinophilic Esophagitis (EoE)   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/specialist apfed.org/connections apfed.org/research/clinical-trials   Education Partners: This episode of APFED's podcast is brought to you thanks to the support of GSK, Sanofi, Regeneron, and Takeda.   Tweetables:   "I've been working on eosinophilic gastrointestinal diseases for about 15 years. I started some of the early work around understanding possible risk factors for the development of disease. I've gone on to support lots of other research projects." — Elizabeth T. Jensen, MPH, PhD   "You can think of EoE as asthma of the esophagus or eczema of the esophagus, although in general, people don't grow out of EoE, like they might grow out of eczema or asthma. When people have it, it really is a long-term condition." — Evan S. Dellon, MD, MPH   "There are two general approaches to treating the underlying condition, … using medicines and/or eliminating foods from the diet that we think may trigger EoE. I should say, for a lot of people, EoE is a food-triggered allergic condition." — Evan S. Dellon, MD, MPH   "I didn't find it that surprising [that there are patients who had no treatment]. Some patients are relatively asymptomatic, and others are not interested in pursuing medications initially or are … still exploring dietary treatment options." — Elizabeth T. Jensen, MPH, PhD   "We have a bunch of studies now that look at how long people have symptoms before they're diagnosed. There's a wide range. Some people get symptoms and are diagnosed right away. Other people might have symptoms for 20 or 30 years." — Evan S. Dellon, MD, MPH   "EGID Partners is an online registry where individuals, caregivers, and parents of children affected with EGIDs can join. EGID Partners also needs people who don't live with an EGID to join, as controls." — Elizabeth T. Jensen, MPH, PhD

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If you know the name Dan Meyer, it is because he is the world's foremost expert on sword swallowing.  He has had several appearances on America's Got Talent, he has a famous Ted Talk, and he even has an IG Nobel Prize for his work documenting injuries sustained while swallowing swords.  What people don't know […]

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A random poll online asked people, "Can you swallow a pill DRY . . . with nothing to wash it down?"  And nearly 2,000 people weighed in. See omnystudio.com/listener for privacy information.

Sacrificing Her Dignity, or Her Husband's Life? The doctor tells her what she has to do to save her husband. Based on a post by Dan Draper Listen to the Podcast at Steamy Stories. Robert's Decline. The wait was excruciating for Robert Carson. He and his wife, Stella, have been waiting in the doctor's office for nearly half an hour, waiting for the results of his medical tests. Robert hasn't been feeling well for several months. No other doctor has been able to figure out what was wrong with him. The other doctors were able to determine that it was not cancer or a heart condition, which Robert was grateful to hear, but still couldn't come up with any other explanation for what was wrong with him. Two of Stella's lady friends recently lost their husbands, and Robert's condition seems very similar to those men. The widows weren't as helpful as Stella hoped. Connie just said; “I guess I knew Bill was going downhill. It's one thing to prolong living, but why prolong dying, Stella?” Finally, they were sent to Dr. Morris, a specialist on men's health and geriatrics; to determine what might be wrong with him. Patients from all over the country came to see him for medical problems no other doctor could solve. Robert and Stella were lucky that they were able to get an appointment with him. When Stella mentioned to Carol about the appointment with Dr. Morris, Carol just said; “He's an asshole.“ But Carol refused to talk about it anymore. Last week, Connie asked Stella if Robert could come by and change the furnace filters. But Stella thought it was just because Connie was lonely, and maybe desperate for a man's attention. “Sorry, Connie, Robert's doing a long list of chores and is not available.” She suggested finding a handyman. ‘Damn if I'll let that hottie anywhere near my man!' Stella resolved. At The Men's Clinic. After several days of tests, where every aspect of his body was thoroughly examined, they were asked to come in, to go over the final results. Dr. Morris finally arrived. He was an older man with thin-rimmed glasses and a big smile on his face. He greeted Robert and Stella, apologized for being late, and sat down behind his desk. "So, I've got good news for you, Robert. You should be just fine," said Dr. Morris. Robert and Stella both let out a big sigh of relief. After having to wait so long in the office, they were both worried that it meant bad news. "So, what's going on with me, Doc?" Robert asked. "Why do I feel sick all the time?" The doctor answered. "It's a progressive neurological condition that's throwing off your biological functions. It should be easy to take care of with a simple set of treatment regimens.  There are no medical out-of-pocket costs, under your health insurance. You'll have to keep up with the treatments for the rest of your life, but other than that, you'll live a long, happy, and healthy life." “What do I have to give up, Doc?” Robert braced himself for a lecture. “Dr. Morris chuckled; “Robert, if the treatment is implemented, not only will you improve, you'll also love the treatments.” "That's great to hear, doctor," said Stella very happily. "I've been worried sick about Robert for months now." "That brings me to you, Stella," said Dr. Morris. "I need to talk to you in private, if you don't mind." Robert and Stella gave each other a concerning look, then looked back at Dr. Morris. "Is something wrong?" Stella asked. "I just want to talk to you about some simple things you can do, to help make Robert feel better, Mrs. Carson," Dr. Morris assured her. "Robert, you don't need to wait around and listen to these lengthy, boring details. You should probably wait in the lobby. She'll go over the process with you, when we're done." "He's probably right, honey," said Stella. "In fact; get yourself some fresh air. I'll meet you at the café next door, a little later." Robert agreed to leave. He was tired of all these damned doctor visits, and was glad to be out of there. He was sick of Stella nagging him about going to the doctors for stupid stuff. Now he heard the first good news about his condition in months, and couldn't wait to finally be done with doctors. Robert shook the doctor's hand, thanked him for his help, and left the office. When Dr. Morris was sure that Robert was gone, he turned his attention to Stella. "Mrs. Carson; Stella, your husband is chronically ill," Dr. Morris revealed. "His condition is much more serious than I let on." "What?" Stella asked, with a shocked expression. "How much time does he have left." "A few weeks, at the most." Stella was now trembling and breathing heavily. She could feel her heart pounding hard in her chest. She had never felt so scared about anything in her life. Several of her lady friends were already widows. She and Robert were just beginning retirement and she had so many plans for him. "This is unbelievable. Why the hell did you tell him that he was going to live?" she asked. "Because I needed him out of the office, So I could talk to you about his condition, and how you're the only one who could help him. I've seen this situation before. This is deeply personal stuff. I need to talk to you about things that usually are better said, when I talk to the wife about it in private." The Treatment Plan. "Okay, I think I understand." said Stella, as she began to calm down a little. "I need my husband! I'll do anything to help my husband. Tell me what I need to do." "First, you need to know that there are both physical and psychological impairments that are progressing rapidly. We need to aggressively treat everything, and all at once. The treatment needs to be applied with cheerful enthusiasm and It's most successful when the wife has processed the plan fully, and details it to her ailing husband. “ “But what is this treatment? What does it involve?” We cannot risk Robert hearing your negative responses, but to be fair; you will need to let yourself process this information honestly and openly, without hurting Robert any more than he's already suffering.” “I see.” Stella said, nervously. “I'm already feeling some anxiety about what you're going to tell me.”  Let's start with his diet. I understand you got him on a vegan diet. Is that right?" "Yes, it's much healthier," said Stella. "Stop that immediately; that diet is killing him," he told her. "But it's a healthier lifestyle and Robert loves it." Dr. Morris continued. "It is healthier for most people, but not for people with Robert's condition. That diet is throwing off the neurological functions of his brain, and that's affecting his entire body. He needs to start eating meat immediately. He needs iron and protein from beef. Pork and poultry are okay, but beef is especially therapeutic." Stella was stunned by the revelation. She was sure being a vegan was a healthy way to live, but she had no idea that it was hurting Robert. She would not have pushed him to do it if she knew what it was doing to him. "Okay, I'll start getting him on all kinds of meat right away," she assured the doctor. "It's not just meat he needs to start eating. You need to cook for him whatever he likes as well. If he suggests it, you can't question it. Just cook it for him, no matter what it is. Don't trust restaurants to do this. You need to know what's in the food he consumes. And you must be punctual with his regular mealtimes." "Yes, of course I will," Stella replied nervously. "That's good to hear. Now that brings me to my next subject. He shouldn't be doing so much physical labor around the house. He's too weak to be doing this stuff, so it needs to all be done by you. At least for the first  months, and then he might bounce back enough to do a little more. Yardwork, moving furniture, plumbing, painting, electrical problems, and so on. Anything you expect a husband should be doing around the house now needs to be done by you alone." "But I already do all the traditional duties of a housewife. Do I have to do that stuff as well?" she asked, perplexed. "Yes, you have to do it all," Dr. Morris continued. "And don't pay anybody to do this stuff either, it all needs to be done by you. He specifically told me that he's been really stressed about money lately. So, having to spend more money on people to do work around the house would be very stressful for him. And that stress could have a terrible effect on his neurological disorder. You being so needy, is a huge part of the neurological decline he's facing." "Um, Okay, I'll try my best," said Stella. "I'll do all of his chores, and I think I can get one or two people who could help me for free, so no money will be involved." "Excellent, this is going much better than I hoped. Most wives I've had to tell this to, are not as agreeable as you're being. Now, I must emphasize this next part. Don't criticize or hen-peck him. Any more. It emasculates him. His testosterone is so low, But fake testosterone shots don't fix this set of complications. Too many men turn to androgen and end up with prostate cancer." "As I said, I am willing to do anything to help Robert." "That brings me to my next subject, and this is where it gets very personal," the doctor began to say. "You need to be more sexually available for him." "Are you sure? We already have a very good sex life as it is," Stella revealed. "Even with his illness, we try to be sexual once a week, sometimes more, if I straddle his face." Dr. Morris continued. "Well, it needs to be a lot more than that. As much sex as you two are having right now, he has not been getting as much sex as he needs. You need to double, even triple the amount of sex you two are already having." "What?" she asked, very confused. "His libido needs to be in overdrive, because of his neurological disorder, and by not fulfilling those sexual needs, it's hurting his body and weakening his immune system." "He never told me he needed more sex." "He told me specifically that. Out of concern for you, he didn't want to pressure you for more sex. So, I'm telling you for him; that you need to copulate with your husband a lot more, if you want him to live. Nagging him is a big part of what's killing him. And never use sex as a bargaining device, ever! He needs to know that you just can't wait for your next romp." "Oh, wow," Stella said, very shocked at what she had just heard. "I always thought we had plenty of sex already. My girlfriends are jealous of me for it. But Okay, if I have to, I'll give him more sex." Stella began to wonder when she would have time to triple the amount of sex she already had with Robert when the doctor had already told her she had to do so much more around the house for him. "That brings me to the different acts of sex you have. How often do you give him fellatio? You know? Oral?" Stella began to feel embarrassed. She had no idea of how personal this was all going to be. "Occasionally, well, one his birthday, or if I feel guilty about something," she replied. "But do you bring him to completion?" Dr. Morris asked. "Sometimes." "And when you do, do you swallow; or let him cum on you?" "A little of both, I guess." "You need to start swallowing his cum every single time," said Dr. Morris. "And I don't just mean only whatever shoots out into your mouth. You must suck out whatever remains in his penis after he has finished ejaculating. Leaving any cum inside of his dick after a blowjob could be detrimental to his already compromised psyche." Swallowing his ejaculate is a powerful way of showing him how desirable he still is. He must see himself as a desirable man.” "Um; sure, whatever you say." Stella didn't mind swallowing her husband's cum, she just didn't like to do it every single time. She preferred that he cums on her face or tits, after a blowjob, or that he waits to cum in her vaginally. But she told herself that she was willing to swallow every drop of cum, if it meant helping Robert. "And you need to fondle his testicles a little, while you're blowing him." "Huh?" she asked, very confused. "His testicles are very problematic right now, and a good massage with your tongue could be very helpful. The circulation improves, and is essential to production of both sperm and natural testosterone." Stella sat there, wide-eyed from having to listen to all of this. She wanted to question the doctor about the reasoning for all of this. But she decided that he was the expert, and she should probably listen to what he had to say, even if she didn't entirely understand any of it. "Is there anything else?" she asked, feeling a little worried about what she might hear next. "Yes, he needs to stop providing you with oral sex as well." "What?" Stella snapped at him. "It's not good for him. He says you're using estrogen cream. Is that accurate?” “Yes, I apply it vaginally, once a week. “ “You need to apply it at least 4 times a week. It helps your vagina restore firm and ridged walls. That is essential to aiding Robert's sexual stimulation. He's developing some neuropathy of his glans penis. But the cream, while essential to the lifesaving treatment regimen; is contraindicated for his testosterone levels. You need to coat his penis with a massage oil prior to intercourse, so that his skin does not absorb your estrogen. The oil also aides his sensory functions. Quadrupling the estrogen will also make your sexual tasks much, much more pleasant, and even help you be more enthusiastic about his needs.” “Do I need a prescription oil?” “No, Sweet Almond oil is odorless and inexpensive. The neurological disorder is causing his body much stress, both physically and psychologically. But back to the matter of orally arousing you. He needs to focus on pleasure, not stress. Worrying about getting you off, will only exacerbate this situation even more." "Can he at least finger me?" she choked back her tears, hoping for a positive answer. "Only lightly, and never to get you to orgasm. Your body needs to be optimal for aiding his vaginal copulation. If you orgasm before he's ready to, the withdrawal which your vagina goes through, will thwart his treatment success." "You have got to be fucking kidding me?" Stella said, as she was starting to get angry at the doctor. Dr. Morris continued his explanation. "In fact, he also shouldn't be working to get you to orgasm during vaginal sex, either. It would stress out his neurological disorder if he had to concentrate on getting you off. You should just let him have sex with you, focus on getting his own orgasm, and focus on the relaxation he derives from accomplishing it. And you need to be happy about it; to make him happy, so he won't stress out about having to get you off as well." Stella was seriously getting pissed off right now. She was being asked to give up so much for her husband already, and now she was being asked to give up all of her own sexual priorities. "Is there anything else I should know about?" She asked, trying to keep herself from screaming at him. "Okay, let's move on to the next part of his treatment objectives. Do you have any attractive friends?" Stella was afraid of where this was going, but she thought she needed to be honest with the doctor. "Yes, a few of them are very attractive," she answered. She almost audibly added, ‘with sexier bodies than mine.' "Can you refer me to one of them?" A Team Effort. Stella felt confused, but also a little relieved. She was afraid he was going to suggest that also Robert fuck her girlfriends, for the betterment of his health. Asking her if she could hook him up with one of her attractive friends, was still very strange and probably unethical, but it was still better than what she had thought. "No, I'm sorry, doctor. I'm not comfortable with hooking you up with any of my friends." "That's no problem," said Dr. Morris. "But it's probably best that you get your friends to fuck Robert as much as possible." "Dammit!" Stella screamed. "You can't be serious." "It's for the betterment of his health," Dr. Morris assured her. "By having sexual relations with other women;" "That's it, I'm calling bullshit on all of this!" Stella yelled at him. "This has got to either be a messed-up joke or some kind of fucking scam you're pulling. There's no way all this needs to be done for my husband's health." "I assure you, Stella, this is all real. He'll be dead very soon if you don't." "No way. You're lying about all of this. In fact, I think Robert is probably in on all of this, too; so he could get whatever he wants, even more sex from me and other women." To prove he was telling the truth, Dr. Morris spent the next hour providing Stella with absolute proof of Robert's condition. He not only showed Robert's medical results, but also documentation and studies of Robert's condition, provided by hundreds of doctors over the last 50 years; to show the methods of treating his condition. He even showed her online interviews of women who had to do the same exact things that Dr. Morris suggested, for their own husbands; and how it helped save their husbands' lives. Stella was dumbfounded when she saw all this evidence. She looked over every detail, trying to find something to suggest the doctor was wrong, or lying to her about everything. Eventually, Stella had no choice but to concede that not only was Dr. Morris telling the truth, but also that Robert needed all of those things that the doctor told her to do for him, in order for him to live. “Mrs. Carson; your husband is a devoted man. Perhaps to a fault. He perceives that he's no longer sufficient for you. And it registers as rejection, in his psyche. Rather than fooling around behind your back, he has man you too influential. You control his self-esteem. Your libido is waning, but he really believes that you're less than satisfied, and he subconsciously translates that as his becoming less and less of a man. He won't ask for more, because he fears rejection, and the crushing effect it would have on his fragile self-image.” “His emotional damages are now becoming physiological impairments. As you fully and earnestly implement these therapies; and I mean all of them; Robert will come alive, again. Psychologically, he's become very emasculated. Psychiatrists often mis-diagnose this as clinical depression. But their psychotropic drugs only make the condition worse. He'd become completely impotent, and probably suicidal. But we're not done going over the treatment plan, yet. Shall we continue?” "Okay, I concede that everything you're telling me is absolutely true," said Stella. "I'm sorry I didn't believe you before. I'll do everything you say, and I'll see what I can do to get my attractive girlfriends to fuck Robert. If any of them say no, I'll help him get sexual satisfaction from other women, no matter what. I just can't see how sharing him with other women will save his life?" "Mrs. Carson; the treatment protocols will reset his self-image, impressing upon him that you know he's a very desirable man. Your love will manifest as selflessness and self-reflection. It will impress upon him that he's so amazing and desirable to all women.” “I'm sure this is not going to be easy for you, since you're being asked to do a lot to help Robert," said Dr. Morris. "But you'll be doing a great thing for him, and he can live a long and happy life. He admits that he's been cranky and impatient, Mrs. Carson. I can encourage you by saying that women who adopt these changes, all say that their husbands are so much more pleasant to be around. Some of them even return to more recreation and entertainment, eventually." "As long as he gets to live, that's all that matters," said Stella. "That's good to hear," said the doctor. "Inviting a girlfriend to join your sexual treatments, will be a way of dealing with your own orgasms, so long as one of you two ladies save yourselves for Robert, first. If a girlfriend stimulates you to orgasm, it must be in Robert's presence, and You have to let him have his way with your girlfriend, before she has an orgasm by your ministrations.” “Do I have to be there while he fucks my girlfriend? I don't think I can bear to watch him fuck another woman, especially one of my floozy friends?” “Yes! He needs to see her as a gift from you, for his healthy recovery. The stress of feeling like he's cheating on you; could kill him. Trust me. Men die during sex, because of the stress they undergo. We just don't report that the death was from sex-related stress. The survivors are simply told that they died in their sleep.” “Oh! Two of my girlfriends said their husbands died in bed. This really is serious, isn't it, Doctor?” Stella thought about Carol, her friend from the Bridge Club. Carol used to gripe about how disgusting her husband would be about sex. But last spring, Carol said she came home from brunch and errands, only to find Carl lying lifeless and naked in bed, at 1:30 in the afternoon. Carol claims it was his heart condition and stress, that killed him. Now Carol is angry with Carl for disserting her, and now she's miserable. “By the way, you also need to let him copulate anally, with you, especially early on, while his sensory nerves are limited by penile neuropathy. Your vagina will restore it's tight and ridged attributes after a few weeks of regular Estrogen cream therapy. Then Robert will find your vagina sufficient to arouse and stimulate his glans nerves, and he'll have much better sexual response. But until then, Use a lube and utilize the attributes of your anal muscles, to achieve the immediate outcomes he needs right away." "Sure, why not?" Stella replied sullenly. "Also, when he has sex with other women involved, I emphasize that you always be there, and join them. And definitely let him sit back and watch you ladies have sexual pleasures. Don't allow him to further shame himself by thinking he's not faithful to you. He will always be faithful to you, Mrs. Carson. It may kill him, but he will always be faithful. That's who he is. If you arrange the events and keep a happy attitude about it, He will see it as a complimentary dynamic, and not a competitive threat. Do you want me to explain to you why that's important?" "No need. I'm sure there's a good reason for all of that as well." When they were finally done, Dr. Morris walked her out to the nurse's station and handed her a written directive for treatment. They shook hands and said their goodbyes. Stella left the doctor's office, thinking about all the humiliating tasks she was directed to provide. She put the 6 pages of directives in her purse, and went to the café, next door, where Robert was waiting for her at a corner table. She sat in the chair in front of him, and he handed her the coffee that he had ready for her. "You were with the doctor for a long time. Is everything alright?" Robert asked. "Robert,” Stella paused. The prospect of no more of his skilled cunnilingus, overwhelmed her.  “There's no easy way for me to tell you this, Robert.” Stella thought about the anal sex they once tried, some 25 years ago. It was so degrading to her. Trembling, she blurted out; “Robert. you're going to die." "What?" Robert shouted. "Doc said he was confident that I was going to be just fine." "He lied! He just didn't want to be the one to tell you, so he wanted me to tell you for him. He's a fucking coward. He was crying like a little bitch after you left. We're never going back to him, again! I'm so sorry, Robert, but that's how it is." "How much time do I have left?" "A few weeks; at the most." Robert was hyperventilating. He had never felt so scared in his life. "Oh my God. Is there anything that can be done to save me?" Robert asked. "Absolutely nothing," she replied. “I don't know how I'm going to go on, after you're gone, Robert. Hold me, please! Based on a post by Dan Draper, for Literotica.

Chris Biggs Delivers The Mighty Thanks For Remembrance Day | One Listener Wants To Fight Another Listener | How Many Eggs Can A Chicken Lay Question Causes Shots | Bears Breaking Into Houses | Bad Form In The Grocery Store | Dry Swallowing & Worst Tasks

In this episode of “Swallow Your Pride,” host Theresa Richard speaks with George Barnes MS, CCC-SLP, BCS-S and Ross Dunbar from Progia Medical about innovative technologies for dysphagia care. They discuss the Swallow Therapy System (STS) and Insta device, which provide objective, quantifiable data for tongue strength assessment and therapy. The conversation highlights the importance […] The post 383 – From Research to Reality: The Innovative Devices Revolutionizing Swallowing Therapy appeared first on Swallow Your Pride Podcast.

Have you ever had truth hit so hard it almost took your breath away? In this episode of Feel Heal Grow & Flow with Dr. Nanette, Christian Therapist, Master HIScoach, Consultant, and Trainer. Dr. Nanette Floyd Patterson shares how faithful truth can hurt before it heals—and how God can use even the sting of conviction to help us grow. Sometimes truth feels like swallowing a hard piece of candy whole. It's uncomfortable, unexpected, and it lingers. When that happens, it's easy to get offended—to focus on the sting instead of the sweetness that's still there. But offense blocks what truth is trying to heal. When we pause instead of react, pray instead of defend, and let truth take its course, God softens what's hard and brings peace where there was pride. In this conversation, Dr. Nanette invites you to grow through what you go through. You'll gain spiritual and practical tools to help you recognize faithful truth, manage offense with grace, and let God's Word transform your heart from the inside out.   Want to keep growing? Download your free 7-Day Seed Affirmation Guide—a companion resource filled with daily Scriptures and affirmations to help you plant truth, uproot lies, and nurture spiritual growth.  

According to Retaildata.co.uk, us Brits are the second biggest consumers of gum in the world. On average, Brits use between 120 and 130 sticks each every year! Now despite that, many people don't really know what chewing gum is actually made up of. We know that the minty freshness helps with bad breath and that maybe there's some connection to oral hygiene, but that's about it. Oh and of course we've heard that terrible things can happen if you swallow chewing gum. You could get appendicitis, the gum could stay stuck in your stomach for years, blocking your intestines. So, are they old wives' tales or should you really be afraid? What's actually in chewing gum then? Are there any health risks associated with chewing gum? What about if you accidentally swallow a piece of gum then?  To listen to the last episodes, you can click here : Why do doctors advise against chewing gum? Is holding back a sneeze dangerous? Is it dangerous to drink too much water? A podcast written and realised by Joseph Chance. First broadcast: 23/04/2024 Learn more about your ad choices. Visit megaphone.fm/adchoices

Book your free discovery call directly, visit: www.robertjamescoaching.com Robert James interviews former client Lauren about her intense struggle with swallowing (sensorimotor) OCD and the turning points that helped her heal. They discuss how acceptance, self-compassion, managing rumination, and small daily choices — plus professional support — led to gradual freedom, setbacks included Disclaimer: Robert James Pizey (of Robert James Coaching) is not a medical professional and is also not providing therapy or medical treatment. Robert James Pizey recommends that anyone experiencing anxiety or OCD to seek professional medical help straight away to get a medical opinion and rule out other conditions or illnesses. The comments and opinions as written on this site are simply that and are not to be taken as professional medical opinions. Robert James Pizey provides coaching, education, accountability and peer support around Anxiety through his own personal experiences.  

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Every week on Instagram, we host “Ask Us Anything” sessions. And honestly? We get way more questions than we could ever answer in stories. So today, we're bringing some of those unanswered Qs straight to the podcast to give you deeper answers, real stories, and the honest, judgment-free advice you've been waiting for. Get ready, because we're tackling some of your biggest, wildest curiosities about sex, intimacy, and relationships.

Discover the science and benefits of methylene blue with Dr. Scott Sherr, a specialist in health optimization and hyperbaric oxygen therapy. In this episode, Dr. Sherr delves into methylene blue's role in supporting mitochondrial health, easing brain fog, boosting energy, and improving cognitive function—especially for perimenopausal and menopausal women. Learn how it may enhance athletic performance, speed up recovery, and work safely with therapies like red light and NAD supplementation.Go to https://troscriptions.com/?rfsn=8791148.5bd5bf&utm_source=refersion&utm_medium=affiliate&utm_campaign=8791148.5bd5bfand use code BETTER10 for 10% off.Episode Overview (timestamps are approximate):(0:00) Intro/Teaser(3:00) The Surprising History & Modern Comeback of Methylene Blue(19:00) Deep Dive: How Methylene Blue Works for Energy & Detox(25:00) Metformin vs. Methylene Blue(27:00) Dosing & Cycling Methylene Blue: What You Need to Know(34:00) Methylene Blue for Travel, Altitude & Performance(49:00) Methylene Blue for Injury Recovery (Acute & Chronic)(54:00) Important: Methylene Blue Contraindications & Safety(60:00) The BIG Problem with Methylene Blue Quality & Sourcing(1:06:00) How to Take Methylene Blue: Troche vs. Swallowing(1:12:00) Amplify Effects: Lifestyle Practices to Pair with Methylene Blue(1:17:00) Dr. Stephanie's Personal Experience(1:24:00) BONUS: Dr. Stephanie's After PartyResources mentioned in this episode can be found at https://drstephanieestima.com/podcasts/ep437/We couldn't do it without our sponsors!APOLLO - The Apollo wearable supports energy, focus, relaxation, and sleep by syncing with your rhythms. Go to https://apolloneuro.com/better to check it out and use code BETTER to receive $60 off your purchase.JUST THRIVE HEALTH - Unlike other probiotics, spore probiotics arrive in the gut microbiome (home to trillions of bacteria) 100% alive and ready to work. Go to https://justthrivehealth.com/better and use the code BETTER to save. BIOPTIMIZERS - Your digestion can take a hit in midlife, but you don't have to suffer. Learn how enzymes can help at https://bioptimizers.com/better and use code BETTER to get 10% off your order.EQUIP COLLAGEN - Support bones, joints, gut, and skin with Equip Collagen. Get 20% off at https://equipfoods.com/better with code BETTER. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Tonight I will dive back into the sea of inconsistencies, lies, and endless misdirections in the murder of Charlie Kirk. We will go deep end of the pool and discuss the obvious connections to ritual, ceremony, and sacrifice, the collective energy transfer of the memorial, and how this all plays into the cultural rites of passage.

On one of my "Sherpa Hunts" ( I think you on flat land call it "searching the Internet") for an interesting history podcast, I stumbled across Marc's show(s), and he replied to my interview request( I guess he never saw the "restraining order" thingy?). This interview was every bit as interesting and entertaining as I imagined (although I did imagine a surprise visit from Sofia Vergara while we were recording), and then some! Marc is the kind of guest we enjoy at the Sherpa Chalet-with interesting stories about his life and work. So have a listen, and check out any of his media (listed below), and you'll be thoroughly fascinated and entertained, too. Thanks for coming on the show, Marc!Marc's info: Websites: marchartzman.com , marchartzmanbooks.com, weirdhistorian.com curiouspublications.comX: @marchartzman @weirdhistorian1; Instagram: @weirdhistorian, @marchartzmanCatch "Sherpa Selects" on Saturdays. It's the episodes you tried to avoid the first time around!More thanks: Intro/outro:https://www.yourimagingguy.com/Music Credits/Voiceovers: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Bruce Goldberg⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ( aka Lord Mr. Bruce); other Voices: The Sherpa-lu Studio PlayersYouTube: @sherpalution5000 @sherpalution-Instagram; @sherpalution1- TikTokLink page: https://linktr.ee/sherpalutionHere's our website: https://shows.acast.com/the-sherpas-podcast-picksYou can support this show...FOR FREE!!! All you have to do is listen here.Email:jimthepodcastsherpa@gmail.comSupport:Review the show on Apple Podcasts or Spotify.Become a Rebel of the Sherpalution! Please subscribe to the show (for free) through your favorite podcast listening medium, so you don't miss an episode. (What if you miss one, and then we have a test????) If I'm not on your favorite medium, let me know, and I'll bribe my way on it! (That's assuming I actually have money...) Also, please reach out to me through my social media channels or email address. I'd love to hear what you think.And PLEASE let me know if there's a podcast I should be checking out...even if it's one you host! Hosted on Acast. See acast.com/privacy for more information.

A guest...The podcast apologizes...Not all of Matt's jokes work...A difficult movie...A movie rooted in the 80s and the sensibilities from that decade...Jen laughs a little too much at Doug's jokes...Swallowing pride...A couple of bear jokes...Doug quits the podcast unexpectedly...Is the podcast done, nobody knows...

Book your free discovery call directly, visit: www.robertjamescoaching.com Coach Robert James explores how manual breathing, swallowing and blinking can become compulsions in Sensorimotor OCD and why the body already knows how to do these functions naturally. He explains the role of uncertainty, offers practical guidance on letting go by bringing attention to the present and focusing on personal values, and mentions a 12-week program and free discovery call for further support Disclaimer: Robert James Pizey (of Robert James Coaching) is not a medical professional and is also not providing therapy or medical treatment. Robert James Pizey recommends that anyone experiencing anxiety or OCD to seek professional medical help straight away to get a medical opinion and rule out other conditions or illnesses. The comments and opinions as written on this site are simply that and are not to be taken as professional medical opinions. Robert James Pizey provides coaching, education, accountability and peer support around Anxiety through his own personal experiences.      

What happens when a passionate SLP flies to Hawaii to train a hospital team in FEES—and ends up learning just as much as she teaches? In this episode, Theresa shares the powerful, behind-the-scenes story of a multi-day FEES training in a hospital system. From the logistics (yes, including rolled up manila folders) to the deeply human moments (like helping a burn patient eat for the first time in months), you'll hear exactly what it takes to build confident, compassionate FEES providers—without throwing anyone to the wolves. This isn't just about technique. It's about mindset. Mentorship. The language we use. The space we create. And the incredible ripple effect it all has on patient care. Whether you're a seasoned FEES mentor or considering your very first pass, this story-driven episode will leave you inspired, empowered, and maybe even a little teary-eyed (in the best way). Listen to the full episode at: https://syppodcast.com/374 Follow Theresa: Instagram: https://www.instagram.com/theresarichardslp Youtube: https://www.youtube.com/@TheresaRichardMedicalSLP Subscribe to LinkedIn Newsletter: https://www.linkedin.com/newsletters/6925225047716499457/ The post 374 – Building Confidence in FEES: The Key to Successful Swallowing Assessments appeared first on Swallow Your Pride Podcast.

Addressing Swallowing Difficulties and Nutritional Deficiencies in MS - Episode 190 Swallowing issues and nutrition changes are common in MS but often overlooked. Host Stephanie Buxhoeveden is joined by speech-language pathologist Dr. Corinne Jones and dietitian Carla Cos to explore how MS affects eating—and what you can do about it. Learn practical strategies to stay safe, eat well, and adapt to changing symptoms without giving up the joy of food. Thank you to the generous support of our sponsors of this podcast episode, including Kathleen C Moore Foundation, Genentech, and Novartis. Disclaimer: This podcast provides general educational information. Can Do MS does not endorse, promote, or recommend any product or service associated with the content of this program.   Additional Resources: National Foundation of Swallowing Disorders IDDSI - International Dysphagia Diet Standardization Initiative

The Today in Manufacturing Podcast is brought to you by the editors of Manufacturing.net and Industrial Equipment News (IEN).This week's episode is brought to you by Hexagon. A new paper from Hexagon, "6 Mistakes Manufacturers Make When Trying to Fix an Issue," gives you six common, yet critical mistakes to avoid when performing a root cause analysis. Download it right now.Every week, we cover the five biggest stories in manufacturing, and the implications they have on the industry moving forward. This week:- High-Value Manufacturing Purchases Undergoing Rapid Transformation- Ukrainian Drone Startup Revolutionizes Defense Innovation- AirBorn Closing Facility as Contract Manufacturing Deemed 'No Longer Viable'- 6 People Found Dead At a Colorado Dairy. Authorities Suspect an Accident Involving Gas Exposure- This Church Is Being Moved Before a Mine Swallows TownIn Case You Missed It- Toto Expands U.S. Toilet Production, Leans Heavily on Automation to Make Luxury Loos- International Paper to Close 2 Georgia Mills, Cut 1,100 Jobs- NASA Wants to Put a Nuclear Reactor on the MoonPlease make sure to like, subscribe and share the podcast. You could also help us out a lot by giving the podcast a positive review. Finally, to email the podcast, you can reach any of us at David, Jeff or Anna [at] ien.com, with “Email the Podcast” in the subject line.

After an unexpected summer hiatus, we're back with a solo episode that's part update, part confession, and 100% from the heart. In this deeply personal kickoff to the new season, Theresa opens up about a professional ego check she didn't see coming—one that hit close to home.As a board-certified swallowing specialist, choosing a feeding tube for my own son was never part of the plan. But what started as a tough decision turned into something surprisingly beautiful: freedom, nourishment, and a whole lot of learning.In this episode, Theresa Richard shares the behind-the-scenes updates on her dissertation, the MSLP-C™ Certification accreditation, exciting changes in the MedSLP Collective—and the very real parenting moments that led her to a new understanding of what feeding success can look like.Whether you're a med SLP, a parent, or someone navigating what it means to truly support patients and families, this episode is for you. Join the MedSLP Collective: https://medslpcollective.com/ Find out. more about the MSLP-C™ Certification Program: https://medslped.com/certification The post 373 – From Board-Certified in Swallowing… to Getting a Feeding Tube for My Son appeared first on Swallow Your Pride Podcast.

China is regretting this deeply. PIG BAY SHIRT HAS BEEN RELEASED! - LIMITED TIME ONLY!WE GOT MERCH!!! - https://thechinashow.threadless.comSupport the show here and see the Monday Exclusive show Xiaban Hou! and join us in the Green Room - https://www.patreon.com/advpodcastsCartoon feat. Jüri Pootsmann - I Remember Uhttps://soundcloud.com/nocopyrightsoundsTrack : Cartoon feat. Jüri Pootsmann - I Remember USome Sources -https://www.bbc.com/news/articles/crkzdek8gkeohttps://foreignpolicy.com/2025/07/31/iran-israel-war-trump-china-xi-lessons-taiwan/https://www.washingtontimes.com/news/2025/jul/21/chinas-world-war-ii-victory-parade-supreme-fiction/https://www.wsj.com/world/china/a-buddhist-monks-alleged-indulgence-in-money-and-sex-transfixes-china-4b8b55f4https://www.nytimes.com/2025/08/01/business/trump-tariffs-china-transshipment.htmlhttps://tiffany.house.gov/media/editorials-letters-and-articles/us-house-passes-honest-maps-billhttps://www.techradar.com/pro/security/bytedance-ai-tool-caught-spying-on-usershttps://www.bloomberg.com/news/features/2025-07-29/xi-s-167-billion-tibet-mega-dam-promises-to-spur-china-s-economyhttps://www.theguardian.com/world/gallery/2025/jul/30/deadly-china-floods-leave-trail-of-destruction-in-pictureshttps://www.ft.com/content/69183dd8-1216-4ae2-9a07-9b5104a3c5d7https://www.bloomberg.com/news/features/2025-07-29/xi-s-167-billion-tibet-mega-dam-promises-to-spur-china-s-economyhttps://www.justice.gov/opa/pr/engineer-pleads-guilty-stealing-chinese-governments-benefit-trade-secret-technology-designedhttps://www.reuters.com/legal/litigation/sony-sues-tencent-allegedly-ripping-off-horizon-video-games-2025-07-28/?utm_source=reddit.com&utm_source=reddit.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Some men think it's just about dominance or kink. But there's more to it.In this episode, I break down why so many men feel deeply drawn to the act of a woman swallowing during oral sex—and how this desire ties into emotional intimacy, connection, and trust.✅ Swallowing is symbolic — For many men, it's not just physical. It's a visceral expression of being fully accepted and desired. ✅ Kink requires trust — You can't fast-track intimacy. Women open up sexually after they feel consistently safe and emotionally connected. ✅ Non-sexual intimacy is the gateway — If you're skipping the daily moments of non-sexual touch, warmth, and presence, you're missing the real foreplay.If you're craving more depth, connection, and next-level sex…Ready to improve your sex life? Apply to work with me:

D&P Highlight: An urge contrary to swallowing is an automatic DQ...but there's no shame in that game. full 325 Tue, 08 Jul 2025 18:55:00 +0000 LYQAmW1uUPMNic8f4bmozjeWN1ehNkL8 news The Dana & Parks Podcast news D&P Highlight: An urge contrary to swallowing is an automatic DQ...but there's no shame in that game. You wanted it... Now here it is! Listen to each hour of the Dana & Parks Show whenever and wherever you want! © 2025 Audacy, Inc. News False

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Cheese cheese ha ha. Duji's ChatGPT history. Rover doesn't cut up six-pack rings. Skin-walkers. What were the results of Jeffrey's bed bug inspection? People are upset that Paris Jackson is going to perform on the anniversary of her father Michael Jackson's death. Duji cried over MJ's death. JLR loves Cher. Fox News live coverage cuts away from Rebekah Koffler, a former Defense Intelligence Agency officer, after she seems to be slurring her speech. Manhunt in Minnesota ended with a suspected political assassin, Vance Luther Boelter, in handcuffs. Rover is fascinated by the Minnesota shooter's best friend. Duji left her bank card at the store. Prince William's friend died during a polo match after he swallowed a bee. Rover swishes his beverage around in his mouth before swallowing. JLR added a name to the Buffer Zone Violation list. Tic Tac Dough and Hollywood Squares. Duji versus Jeffrey in Family Feud. Rover has gone to the bathroom twice. Rallies.See omnystudio.com/listener for privacy information.

Rover is fascinated by the Minnesota shooter's best friend. Duji left her bank card at the store. Prince William's friend died during a polo match after he swallowed a bee. Rover swishes his beverage around in his mouth before swallowing.

Rover is fascinated by the Minnesota shooter's best friend. Duji left her bank card at the store. Prince William's friend died during a polo match after he swallowed a bee. Rover swishes his beverage around in his mouth before swallowing. See omnystudio.com/listener for privacy information.

When the rain begins to fall, it carries more than water from the sky. In tonight's unnerving descent into terror, Chilling Tales for Dark Nights invites you to face what might be lurking above the clouds—waiting for an invitation to slip inside. This episode delivers a slow-building nightmare where unease grows drop by drop, pulling you into a world where instinct turns against you, and escape may not be an option. Performed by the haunting voice of SomberReads, Swallowing the Sky will leave you questioning every storm that darkens your horizon. To watch the podcast on YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://bit.ly/ChillingEntertainmentYT⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Don't forget to subscribe to the podcast for free wherever you're listening or by using this link: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://bit.ly/ChillingTalesPod⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you like the show, telling a friend about it would be amazing! You can text, email, Tweet, or send this link to a friend: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://bit.ly/ChillingTalesPod Learn more about your ad choices. Visit podcastchoices.com/adchoices

Sarah shares a tip for swallowing pills. Plus, she gives some tough love to a listener trying to write a script, ponders what type of tattoo she’d get, and gives Toad career advice. You can leave a voice memo for Sarah and special guest Rory Albanese at speakpipe.com/TheSarahSilvermanPodcast. Follow Sarah Silverman @sarahkatesilverman on Instagram and @sarahksilverman on TikTok. And stay up to date with us @LemonadaMedia on X (formerly Twitter), Facebook, and Instagram. For a list of current sponsors and discount codes for this and every other Lemonada show, go to lemonadamedia.com/sponsors. Joining Lemonada Premium is a great way to support our show and get bonus content. Subscribe today at bit.ly/lemonadapremium.See omnystudio.com/listener for privacy information.