Podcasts about symptom management

In this episode of The Patient From Hell, host Samira Daswani speaks with oncology pharmacist Megan Hartranft about the critical role of oncology pharmacists in cancer care. They discuss the unique responsibilities of oncology pharmacists, the importance of patient education, and the growing field of oral chemotherapy. Megan shares insights on medication adherence, the use of mobile health technologies, and the significance of symptom management in improving patient outcomes. The conversation highlights the need for better integration within healthcare systems and offers practical tips for patients navigating their treatment journey.About Our Guest:Dr. Megan Hartranft is a Clinical Lead with the Clinical and Digital Solutions team, advising on precision oncology products.Prior to joining Labcorp, Dr. Hartranft was a Field Medical Scientific Associate Director at Sanofi, in charge of training for the hematology-oncology medical science liaison team. Earlier as a practicing clinician, she established an oral chemotherapy education program and participated in interprofessional clinics at Rush University Cancer Center. She has also spent time in academia as the oncology faculty member at Rosalind Franklin University of Medicine and Health Sciences, where she maintains an adjunct appointment. Dr. Hartranft is active in several professional organizations, including her roles on the Hematology Oncology Pharmacy Association's Public Policy & Advocacy Committee as well as the American Society of Health System Pharmacy Section of Pharmacy Informatics and Technology Clinical Decision Support and Analytics Advisory Group.BS in Biochemistry/Molecular Biology and BA in Classical Studies - Michigan State University Doctor of Pharmacy - University of North Carolina at Chapel Hill PGY1 Pharmacy Residency - University of Michigan PGY2 Oncology Specialty Residency - University of Georgia/Augusta University Health SystemResources & Links:This episode was supported by the Patient Centered Outcomes Research Institute (PCORI) and features the PCORI research study here: https://pubmed.ncbi.nlm.nih.gov/30964... ‘Integrating Advance Care Planning Videos into Surgical Oncologic Care: A Randomized Clinical Trial'00:00 Introduction to Oncology Pharmacy02:49 The Role of Oncology Pharmacists in Patient Care06:03 Patient Interaction and Education09:09 Exploring Oral Chemotherapy11:45 Adherence to Oral Anti-Cancer Medications15:01 Mobile Health Technologies in Oncology17:58 Symptom Management and Patient Support21:11 The Future of Oncology Pharmacy24:09 Final Thoughts and Tips for PatientsConnect with Us:Enjoyed this episode? Make sure to subscribe, rate, and review! Follow us on Instagram, Facebook, or Linkedin @mantacares and visit our website at mantacares.com for more episodes and updates.Listen Elsewhere: Website: https://mantacares.com/pages/podcast?... YouTube: https://www.youtube.com/@mantacares Spotify: https://open.spotify.com/episode/3TR1... Apple: https://podcasts.apple.com/us/podcast... Disclaimer:All content and information provided in connection with Manta Cares is solely intended for informational and educational purposes only. This content and information is not intended to be a substitute for medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.This episode was supported by an award from the Patient-Centered Outcomes Research Institute.

Send us a textIn this episode of the Light Up Your Worth podcast, Debbie speaks with health expert Jacqueline Rose about the complexities of managing menopause symptoms and the deeper journey women experience during this life stage. They discuss the role of Hormone Replacement Therapy (HRT), the importance of essential supplements like Omega 3s, Magnesium, and Vitamin D, and the profound need for stress management and self-care. Jacqueline emphasizes the individuality of menopause experiences, recognizing the diversity of symptoms and impacts across different demographics, including ethnicities and sexual orientations. Additionally, the conversation explores how menopause is an opportunity for women to focus on their true authentic selves, moving beyond just symptom management to understand the importance of listening to their bodies and making life choices that support their well-being. Jacqueline is not afraid to have conversations on women's health and wellness topics that challenge conventional assumptions and switch up perceived paradigms of health care. In 2022 Jacqueline founded and hosted The Menopause Summit, a 5 day online summit which brought together experts from around the world to share their wisdom on menopause, mid-life transitions, aging and women's health.Connect with Jacqueline:https://www.jacquelinerosehealth.com/https://www.youtube.com/@jacquelinerosehealthhttps://www.facebook.com/theyogaroom120/The Menopause Sisterhood Facebook Group: https://www.facebook.com/groups/933638703661154https://www.linkedin.com/in/jacquelinerose-womenshealth/https://www.instagram.com/jacquelinerose_womenshealth/ Thank you for tuning into another illuminating episode of Light Up Your Worth. Your presence here is a testament to your commitment to healing, personal growth, and self discovery. As we conclude, remember, your worth is innate, your light is powerful beyond words, and your potential is limitless.Remember, when you own your worth, your light shines with abundance. Until next time, let your inner light shine. Sending sunshine.Support the showI'd be honored to walk beside you in this intimate space through my monthly Light Up Your Worth Society soul circle. Come home to yourself and join our heart-centered community. Instagram: https://www.instagram.com/lightupyourworth YouTube: https://www.youtube.com/channel/Lightupyourworthpodcast Facebook Business Page: https://www.facebook.com/LightUpYourWorthwithDebbieMcAllister From my heart to yours, I'd love to invite you to support our podcast journey! If you've found value in our conversations and would like to share some love, you can treat me to a virtual coffee for just $5. It's a beautiful way to contribute whenever you feel called - no pressure, no commitments, just pure appreciation flowing both ways. https://www.buymeacoffee.com/lightupyrworth Spread your light with our soul family across 35 countries and beyond!

Chapters: 00:00 – Intro & Guest Welcome 01:00 – Root Cause vs. Symptom Management 05:00 – Health Awakening & Writing “Why Are You Sick?” 08:00 – Inflammation, Hydration & Mitochondrial Dysfunction 13:00 – Childhood, Trauma & Imagination 17:00 – From Car Wash to Functional Health Advocate 20:00 – The Ultimate Health Model Explained 25:00 – Environmental Toxins & Chronic Stress 30:00 – The Power of Circadian Rhythm 34:00 – Mouth Breathing: The Hidden Epidemic 39:00 – How Lifestyle Shapes Autoimmune Conditions 41:00 – Daily Rituals for Resilience 44:00 – Thoughts on Supplements, Food & Fulvic Acid 46:00 – Plant Medicine & Food as Information 48:00 – Music, Stress Relief & Bruce Lipton's Influence 51:00 – Final Questions: Music Memories & Childhood Bedroom 55:00 – Where to Find Benjamin & Closing Reflections EndoDNA: EndoDNA offers a tailored health and wellness experience through DNA analysis, empowering users with insights on nutrition, lifestyle, and supplement choices based on their genetic profile. The company has achieved rapid traction, serving over 7,000 customers across 16 countries, securing relationships with top wellness providers like BellaVitta HRT Clinics, and actively engaging in clinical studies with institutions such as Harvard Medical.Click here to check out to take control over your Personal Health & Wellness Connect with EndoDNA on SOCIAL: IG | X | YOUTUBE | FBConnect with host, Len May, on IG

Our healthcare system treats us like it's one size fits all, yet that's not how true healing works, especially when it comes to chronic conditions. Today's guest will help us understand how to fill the gap we experience with Western medicine, including the difference between signs vs. symptoms, and empowers our individualized healthcare. On this episode of Salad with a Side of Fries, host Jenn Trepeck welcomes Functional Medicine Nutritionist and educator Andrea Nakayama to explore why chronic conditions require more than just a diagnosis and a prescription. They unpack Andrea's “three roots, many branches” model, revealing how digestion, inflammation, and genetics lie at the heart of chronic illness—and how nurturing the "soil" around them can lead to true healing. From nutrition habits to the importance of bio-individuality, this conversation empowers you to become an informed partner in your health care.The Salad With a Side of Fries podcast is hosted by Jenn Trepeck, who discusses wellness and weight loss for real life, clearing up the myths, misinformation, bad science & marketing surrounding our nutrition knowledge and the food industry. Let's dive into wellness and weight loss for real life, including drinking, eating out, and skipping the grocery store. IN THIS EPISODE:(00:00) Intro: Our healthcare system is one size fits all(05:08) Andrea shares her motivation for her journey into functional nutrition, and a discussion of Western medicine(07:41) Should every person receive the same treatment for the same chronic condition(11:45) How to choose a guide in the health equation(16:40) Knowing the difference between your signs vs. symptoms(21:59) Andrea walks us through the “three roots and many branches” model(28:36) The roles digestion and inflammation play in our health(33:37) Tiers to nutrition mastery. Tier one is our non-negotiables(36:40) Don't neglect your passion and purpose(38:48) Andrea's non-negotiable trifecta: Sleep, poop, and blood sugarKEY TAKEAWAYS:Chronic health conditions must be understood through a systems-based lens, not just symptom management. Every chronic issue has three core roots—genes, digestion, and inflammation. Healing begins by nurturing these “roots” and the surrounding “soil,” rather than chasing individual symptoms alone. Western medicine excels in acute care but often falls short in managing chronic conditions. Patients are frequently seen through the lens of their diagnosis rather than as whole individuals, resulting in treatments that overlook their unique health histories and personal needs.One of the most powerful tools patients can use is specific, emotion-free communication based on personal health tracking. By clearly distinguishing between signs (measurable indicators like fever or rash) and symptoms (subjective experiences like fatigue or pain) and offering detailed timelines of when and how issues arise, patients empower providers to better understand and address their unique health needs.Supporting foundational health can start with three simple, non-negotiable nutrition habits: include fat, fiber, and protein at every meal or snack to help stabilize blood sugar; eat the rainbow to boost fiber and phytonutrient intake while feeding your microbiome; and know your yes-no-maybe list to understand better how specific foods impact your body. Tracking what makes you feel great, what doesn't, and what you're unsure about builds awareness and equips you to have more productive, personalized conversations with your healthcare provider.QUOTES:         (07:41) “The first two gaps I encountered were that people are treated like their diagnosis. So, when you are in the medical system, you are your endometriosis, your fibroids, your breast cancer, your PMS. You are your symptom. The other gap was that everybody with the same symptom or diagnosis was treated the same.” - Andrea Nakayama(09:34) “A chronic condition means you're sick and you're not getting better. There's things going on for a long time, and our medical system isn't trained to address chronic conditions.” Andrea Nakayama(25:32) “The three roots of any chronic condition are always our genes, digestion and inflammation.  All three need to be tended to for the branches to express themselves more fully.” - Andrea Nakayama(36:53) “We have an episode called the Longevity Equation, and one about Blue Zones and one of the big factors there that everybody seems to overlook is community and connection.” - Jenn TrepeckRESOURCES:Become A Member of Salad with a Side of FriesJenn's Free Menu PlanA Salad With a Side of FriesA Salad With A Side Of Fries MerchA Salad With a Side of Fries InstagramNutrition Nugget: Genes and EpigeneticsSalad With a Side of Fries: The Longevity EquationSalad With a Side of Fries: Blue Zones: A Blueprint for Physical and Mental HealthSalad With a Side of Fries: The Down and DirtyGUEST RESOURCES:Andrea Nakayama - WebsiteFunctional Nutrition Alliance  - WebsiteAndrea Nakayama - InstagramFunctional Nutrition Alliance - YouTubeAndrea Nakayama - PinterestAndrea Nakayama, Functional Nutritionist & EducatorAndrea Nakayama - Functional Nutrition Alliance | LinkedInGUEST BIOGRAPHY:Andrea is a Functional Medicine Nutritionist and educator who has led thousands of clients and teaches even more coaches and clinicians worldwide. Together, they are revolutionizing the ownership of their own and their clients' health. As the 15-Minute Matrix Podcast host and the founder and former CEO of Functional Nutrition Alliance, Andrea draws on systems biology, mental models, root-cause methodology, and therapeutic partnerships to offer long-awaited solutions for the rapidly growing chronic illness epidemic.After losing her young husband to a brain tumor in 2002, she discovered a passion for using food as personalized medicine and is now regularly consulted as the nutrition expert for the toughest clinical cases in the practices of many world-renowned doctors. She trains nearly four thousand practitioners each year in her methodologies so that they can, too, become the last stop for their clients and patients and a trusted referral partner for doctors in their area.

Dr. Kimberly Perez and Dr. Jaydira Del Rivero discuss the new guideline from ASCO on symptom management for well-differentiated GEP-NETs. They share the latest recommendations on managing symptoms related to hormone excess, including carcinoid syndrome and carcinoid heart disease, managing symptoms of functioning pancreatic neuroendocrine tumors, and also palliative interventions. Dr. Perez and Del Rivero share how to use this guideline in concert with the systemic therapy for tumor control in metastatic well-differentiated GEP-NETs guideline, and hope for the future for the treatment of gastroenteropancreatic neuroendocrine tumors. Read the full guideline, “Symptom Management for Well-Differentiated Gastroenteropancreatic Neuroendocrine Tumors: ASCO Guideline.” Transcript This guideline, clinical tools, and resources are available on ASCO.org. Read the full text of the guideline and review authors' disclosures of potential conflicts of interest in JCO Oncology Practice.        Brittany Harvey: Hello and welcome to the ASCO Guidelines Podcast, one of ASCO's podcasts delivering timely information to keep you up to date on the latest changes, challenges, and advances in oncology. You can find all the shows, including this one, at asco.org/podcasts. My name is Brittany Harvey and today I'm interviewing Dr. Kim Perez from Dana-Farber Cancer Institute and Dr. Jaydira Del Rivero from the Center for Cancer Research at the National Cancer Institute, co-chairs on “Symptom Management for Well-Differentiated Gastroenteropancreatic Neuroendocrine Tumors: ASCO Guideline.” Thank you for being here today, Dr. Del Rivero and Dr. Perez. Dr. Kim Perez: Thank you. Dr. Jaydira Del Rivero: Thank you so much for the invitation. Brittany Harvey: And then before we discuss this guideline, I'd like to note that ASCO takes great care in the development of its guidelines and ensuring that the ASCO Conflict of Interest Policy is followed for each guideline. The disclosures of potential conflicts of interest for the guideline panel, including Dr. Perez and Dr. Del Rivero, who have joined us here today, are available online with the publication of the guideline in JCO Oncology Practice, which is linked in the show notes. So then to jump into the content here, first Dr. Del Rivero, could you provide an overview of the scope and purpose of this guideline? Dr. Jaydira Del Rivero: Yeah. Thank you so much. Well, first, we really wanted to thank ASCO for allowing us to develop these guidelines for the management of gastroenteropancreatic neuroendocrine tumors. I do want to mention that there is also another set of guidelines that I was very fortunate also to co-chair with Dr. Perez on the systemic management of gastroenteropancreatic neuroendocrine tumors. But when discussing these guidelines as well as with the different panelists, experts in this type of disease, we also realized that the management of these tumors are quite complex, not only from the management of the disease progression, but at the same time, management of the symptoms related to the hormone excess. And because of that, we like to thank ASCO for allowing us to then not only have a discussion on the systemic management of these tumors, but at the same time develop recommendations for the symptoms related to the different hormones that these neuroendocrine tumors may produce. These guidelines are for the management of grade 1 to grade 3 metastatic gastroenteropancreatic neuroendocrine tumors. These guidelines include the management of the different aspects and the symptoms related to hormone excess, such as carcinoid syndrome, carcinoid heart disease, how to manage carcinoid crisis, as well as the different symptoms and how to manage the functional pancreatic neuroendocrine tumors and as well as provide recommendations in the different treatments for these tumor types, not only from the systemic management but also from the surgical management as well as for liver-directed therapy options and the different aspects in terms of the palliative care of these patients to improve not only the symptoms related to the hormone excess caused by these tumors, but as well as to improve the quality of life. Brittany Harvey: Absolutely. And I appreciate that overview. And yes, we'll link the guideline on the Systemic Therapy for Tumor Control for Well-Differentiated Gastroenteropancreatic Neuroendocrine Tumors in the show notes for our listeners so that they can refer to that companion guideline as well. So then you just described the several different categories of recommendations that this guideline covers on symptom management. So, Dr. Perez, I'd like to start reviewing some of those key recommendations of that guideline. So, starting with what are the key recommendations for carcinoid syndrome and carcinoid heart disease? Dr. Kim Perez: Thank you Brittany. Yeah, I also want to thank ASCO for inviting us to do this podcast today. Just to start, I think these guidelines will really add to what's available in the literature to provide a kind of a quick look for the community provider to manage carcinoid-related symptoms. I think the highlights that I would point out are we've all been using somatostatin analogs for the last few decades to manage symptoms, but with the newer treatments that are now available, we tried to highlight what does the literature support in regards to PRRT, what does the literature support in regards to using systemic therapy for disease management, but also the benefits that you will get from a symptom management perspective using other modalities. I think the highlight really is it's a multidisciplinary approach. We are now considering surgery and embolization or interventional radiology as a critical piece. And I think the third that I'd highlight is the fact that sometimes we get too focused on carcinoid syndrome and the symptoms will actually, may result from other things. And the highlight in the algorithms that we've provided is what other things cause carcinoid-related diarrhea. And let's not forget about that because we will find ourselves treating and patients getting very frustrated with persistence of symptoms when in actuality, we should be treating something else that is causing a very similar symptom. For carcinoid heart disease, I think there are more and more guidelines that are now available to provide guidance there, but I think the major advances are that we should be utilizing heart assessment with echocardiogram with lab values such as BMP. But also critical to this is consulting with our cardiology colleagues and making sure that we're identifying heart related issues that are resulting from hormone excess sooner than later because interventions on the earlier side can really make a significant impact on quality of life and associated comorbidities and mortality. Brittany Harvey: Thank you for reviewing those key points for both carcinoid syndrome and carcinoid heart disease symptom management. So then the next set of recommendations. Dr. Del Rivero, what are the key highlights for symptom management of functioning pancreatic neuroendocrine tumors? Dr. Jaydira Del Rivero: Yes, it's very important to recognize the symptoms related to hormone excess due to pancreas neuroendocrine tumors. Up to 10% of pancreas neuroendocrine tumors may produce different hormones. Among those hormones can be insulin, gastrin, glucagon, somatostatin. So it's important to know and understand that based on what a neuroendocrine tumor is, they may produce different types of hormones. The importance of these guidelines is to also recognize some of these symptoms and how to address that, because it's not necessarily in these tumor types besides the management of metastatic disease, and know the different options that we recommend for metastatic disease from the systemic therapy, such as chemotherapy or targeted therapies or PRRT. It's important to recognize the symptoms because based on the symptoms we may recommend a different approach. That's something that is important to acknowledge and recognize. Moreover, in certain functional pancreas neuroendocrine tumors, as Dr. Perez mentioned, is a multidisciplinary approach. And it's important to also discuss these different cases with your endocrinologist. You may need to have an experienced endocrinologist to manage, for example, the excess of insulin. And also discuss your cases with a surgeon and interventional radiologist because some of these approaches can certainly improve the symptoms related to hormone excess. I understand that sometimes medical oncologists in the communities may not have access to the multidisciplinary approach or have the different teams that can manage these tumors, and that's the reason why with these guidelines we wanted to establish the understanding of different symptoms associated with the hormone excess to these neuroendocrine tumors as well as how to manage this. For example, in the case of insulinoma, I think for the medical oncologist it is important to know that the everolimus is an option to be used for these tumors, not only to manage tumor progressions related to this tumor type at the same time, because everolimus as a side effect causes hyperglycemia, that can also improve some of the symptoms related to the excess of insulin besides the somatostatin agonist. I think these recommendations will allow the medical oncologist to recognize the symptoms and based on what the symptoms cause, then you can have a different approach that could be added to the systemic therapies options as well. Brittany Harvey: Yes, beyond systemic therapy, it's important to be recognizing symptoms to provide an individualized approach for every single patient. So then, following that overview of symptom management for functioning pancreatic neuroendocrine tumors, Dr. Perez, what is recommended regarding palliative interventions for patients with gastroenteropancreatic neuroendocrine tumors? Dr. Kim Perez: Yeah, great question. So I think what's unique to neuroendocrine tumors is that the palliative approach really mirrors what we would be doing for symptom management. Some of these patients are living a very long time with carcinoid related symptoms. And so the approach that we take for the carcinoid symptom control is going to mirror the palliative piece of it. I think for those who develop a burden of disease related symptoms, I think it mirrors what we do across the board for all cancer-related complications. And so I think what we attempted to highlight here and included one of our colleagues who focuses specifically on the field of palliative care and neuroendocrine tumors, was to never really lose sight of what we've been doing to care for symptom management throughout the patient's journey and to always rereview the etiology of the symptoms, ensure that we don't focus solely on carcinoid-related issues, but also the symptom management that we would apply to all patients with cancer-related burden symptoms. Brittany Harvey: Definitely. I think that's a helpful approach to consider when thinking about how to manage these palliative interventions as well. So then Dr. Del Rivero, what should clinicians know as they implement these symptom management recommendations? Dr. Jaydira Del Rivero: Yes, thank you so much for that question. As we have discussed in the last 10 or 15 minutes, we have discussed the different approaches on the management of gastroenteropancreatic neuroendocrine tumors. Clinicians, I think it's important to know that neuroendocrine tumors is a quite complex disease because we're not only addressing the management of tumor growth, but we're also addressing the management of the symptoms related to hormone excess and the complexity associated with that. When medical oncologists or clinicians implement these recommendations it's to understand what symptoms these tumors may cause related to the hormone excess but at the same time, how do we approach those symptoms? As Dr. Perez said that I think is very important is to recognize the different types of diarrhea. It doesn't mean that if the patient has worsening diarrhea, it doesn't mean that this is related to disease progression. So it's important to recognize so that way you can address that, because the type of diarrheas can be related because of the lanreotide or somatostatin agonist, it could be because of the prior surgery. I think it's important to recognize those in order to address the symptom. And the same with the gastroenteropancreatic neuroendocrine tumors. It's important to know what hormones they produce because there are different measurements that may be added to the systemic management of these tumors. I think that there are two aspects here, and that's the reason why these guidelines were implemented in the sense that not only we're going to manage disease progression of these tumors, or how do we manage the metastatic disease of these tumors, but at the same time, how do we manage the symptoms related to the hormone excess and the different complications. Moreover, I think, as we discussed earlier, we need to manage these tumors in a multidisciplinary approach. And something very important is not like one size fits all, because the treatment recommendations, it will depend on different characteristics in terms of the tumor presentations. And hormone excess is one of the important aspects to recognize so that way we can implement these recommendations that will definitely help the quality of life of these patients. Brittany Harvey: Absolutely. And using these guidelines in concert with the systemic therapy guidelines is key. And then beyond this impact for clinicians that Dr. Del Rivero has just outlined, Dr. Perez, what does this new guideline mean for patients with gastroenteropancreatic neuroendocrine tumors? Dr. Kim Perez: Yeah, I think that's an important highlight of this guideline. It really gives patients a voice. I think it recognizes the fact that these symptoms can go unmanaged or mismanaged or just missed, and patients commonly will come in feeling very frustrated and feeling very ill. And I think it will provide them a means to open up a conversation with their providers and say, “Hey, this is what I'm experiencing. Let's talk about what's available. How does this apply to me?” And I think that can be very empowering. I think it's really hard nowadays with so many sources and resources online and patients are really left wondering what are the bullet points that they should be bringing to their clinician appointments? And I think that these guidelines provide them a good framework for those discussions. Brittany Harvey: Yes, bringing these discussion points for patients is very important to be able to have those resources. And we have some patient resources and information available on the website for this guideline and we can link that in the show notes for listeners. So then you've both touched on the importance of this guideline for improving quality of life and we continue to see advancements in this field. So Dr. Del Rivera, what are the outstanding questions regarding symptom management and tumor control for gastroenteropancreatic neuroendocrine tumors? Dr. Jaydira Del Rivero: I have to say whenever somebody asks me that question, the word that I will say is I feel hopeful, because more than 10 years ago we didn't have that many options for gastroenteropancreatic neuroendocrine tumors. And it has been in the last decade or so that there has been more developments in the management of these tumors as well as the understanding of the symptoms related to these tumors. But that said, yes, we do need more therapies for gastroenteropancreatic neuroendocrine tumors. Of the treatment options that we have, we all know in the field that even though we have disease control by using the different options for the systemic management of gastroenteropancreatic neuroendocrine tumors, we need options where we can achieve an objective response, especially for these tumor types. But there is a significant volume of disease and we see a lot of these patients with gastroenteropancreatic neuroendocrine tumors. And now where the field is going is to make some of these therapies more effective, to develop more therapies as well. For example, immunotherapies, a different type of immunotherapy understand the tumor immune microenvironment of these tumors in order to develop therapies as well. From the antibody drug conjugates, I think that's a new way to also address or treat these tumor types, understanding about the different markers found on these tumors that way they can be addressed in different ways. Now with the development of new therapies, I think that's something that can help us as well not only have disease control and as well as having an objective response, but having a better objective response can certainly also help with the symptoms related to hormone excess too. In terms of other therapies, I think some of the issues that we encounter are like the refractory carcinoid diarrhea and how do we manage this. We do have therapies that can help us control the diarrhea in the refractory settings, such as telotristat. Telotristat is one of the newer medications that can help us control the refractory diarrhea. But that said, despite this, that we still encounter situations where it's sometimes difficult to control. I think in those situations it will be good to understand more about the biology of these tumors as well and how we manage. If there is a different time or how do we implement these options. I think there is so much to learn. But that said, I feel we're in hopeful times. We're understanding more about these tumors so that way we can help us develop better therapies not only to have control of the tumor growth as well having control of the symptoms. And it's the same with the pancreas neuroendocrine tumors in the metastatic setting. Sometimes it may be difficult to control this hormone excess. But understanding these and having therapies that can achieve more of an objective response, I think that will definitely help us more and manage these patients. But one aspect I want to mention, and Dr. Perez also mentioned as well, the fact that we have these guidelines that help us understand about the different symptoms related to hormone excess and how to address it, I think is very important because having symptoms related to hormone excess can be detrimental to the quality of life on patients with neuroendocrine tumors that may necessarily be related to disease progression and having this information is so important. And I'm hopeful for the different therapies. There's different clinical trials ongoing for neuroendocrine tumors and especially in the field of PRRT. And a lot of more information will come with the different alpha-PRRT and combination therapy. So more information to come in the next couple of years. So this is, in my opinion, hopeful times for this field. Brittany Harvey: It's great to hear that you're hopeful for all the developments in this field and we'll look forward to the development and discovery of new therapies and further research and then, hopefully incorporate those updates into guidelines in the future. So I want to thank you both so much for your work to develop these guidelines and thank you for your time today. Dr. Del Rivero and Dr. Perez. Dr. Jaydira Del Rivero: Thank you so much for having us. Dr. Kim Perez: Thank you. Brittany Harvey: And thank you to all of our listeners for tuning in to the ASCO Guidelines podcast. To read the full guideline, go to www.asco.org/gastrointestinal-cancer-guidelines. You can also find many of our guidelines and interactive resources in the free ASCO Guidelines app, which is available in the Apple App Store or the Google Play Store. If you have enjoyed what you've heard today, please rate and review the podcast and be sure to subscribe so you never miss an episode.   The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.

These challenging scenarios represent opportunities to provide truly patient-centered care at life's most vulnerable moments. By combining your medical expertise with thoughtful communication, you can help ensure patients' wishes are honored while supporting families through difficult transitions. In this episode we dive into the complex ethical and legal dilemmas faced by EMS providers when arriving on scenes involving Do Not Resuscitate (DNR) and goals of care forms. With special guest Dr. Daniel Markwalter, an emergency physician and hospice/palliative care expert, the discussion touches on understanding the importance of these forms, the challenges of making decisions without clear directives, and strategies for effective communication with family members when they suddenly disagree with the form. This episode provides valuable insights and practical advice for EMS professionals who can be faced with these sometimes challenging scenarios.   00:00 Introduction: The Ethical Dilemma in EMS 00:49 Sponsor Message: The Recess Tailor 01:53 Case Study: Evening Shift Dilemma 03:33 Expert Insights: Dr. Daniel Mark Walter 04:40 Understanding Hospice and DNR 09:48 Advanced Directives and Code Status 19:20 Challenges with Comfort Care and Advanced Directives 26:19 Aligning Medical Knowledge with Patient Goals 28:34 Understanding Goals of Care 29:03 Respecting Autonomy in Medical Decisions 30:02 Effective Communication with Families 31:45 Navigating Family Overrides in Critical Moments 32:36 Legal Aspects of Surrogate Decision Making 36:00 Exploring Illness Understanding and Prognosis 45:46 Symptom Management in Palliative Care 49:43 Final Thoughts and Summary   Resources Get 10% off FAST25 with promo code- loud&clear The Resus Tailor Todays Episode Show Notes Survey- Help us learn what content you want Gear We Like Good Stethoscope - https://amzn.to/3YJJrf2 Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn  Notepad for taking notes on calls - https://amzn.to/3Z1X21J Sunglasses - https://frontline-optics.com/discount/EMSCAST15 Books we recommend -  The Dichotomy of Leadership - https://amzn.to/4fiCAjN Extreme Ownership - https://amzn.to/3O1FWfa  Managing the Unexpected: Sustained Performance in a Complex World -        https://amzn.to/3V7BwYf Thinking Fast and Slow - https://amzn.to/4fiJG85 A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back -  https://amzn.to/3YJJrf2 Guest/Cast/Crew information- Guest- Daniel Markwalter, MD Host- Ross Orpet, Will Berry  Catch up with us after the show Instagram- @emsloudandclear YouTube- https://www.youtube.com/@EMSLoudandClear Website- www.emspodcast.com    

If you're seeking advice on Type 1 diabetes in children, health platform Valleant offers tips for managing juvenile diabetes, with insights into treatment, nutrition, and emotional support. Visit https://valleant.com/how-to-treat-juvenile-diabetes/ for details. Valleant City: Austin Address: 11320 North FM 620 Website: https://valleant.com

In this episode, I'm thrilled to have Lynne Peeples, a science journalist and author of "The Inner Clock," join us to explore the fascinating world of our circadian rhythms! Discover how understanding and optimizing your inner clock can lead to better sleep, happiness, and improved performance—particularly important for those of us navigating life with multiple sclerosis (MS). Lynne delves into the essential role of our circadian rhythm in health, while sharing tips to align your inner clock for enhanced well-being. If you're looking for practical strategies to boost your energy and manage MS symptoms, this conversation is packed with expert insights and actionable advice. Join us to learn how these small changes can make a big difference in your MS journey! About Lynne: Lynne Peeples is a speaker and science journalist. Her recent book, THE INNER CLOCK: Living in Sync with Our Circadian Rhythms, explores how circadian science can help us sleep better, feel happier, and improve our performance, productivity, and overall health. Her writing has appeared in The Guardian, Scientific American, The Atlantic, TIME, and other publications. Peeples herself has appeared on television and radio shows including MSNBC, NPR Fresh Air, and BBC News. Before becoming a journalist, she crunched numbers as a biostatistician for HIV clinical trials and environmental health studies. Peeples holds master's degrees in biostatistics from the Harvard School of Public Health and in science journalism from New York University. She is also a recipient of an MIT Knight Science Journalism fellowship. Connect with Lynne: Website: https://lynnepeeples.com/ Instagram: https://www.instagram.com/lynne.peeples LinkedIn: https://www.linkedin.com/in/lynnepeeples/ Facebook: https://www.facebook.com/lynne.peeples X: https://x.com/lynnepeeps Bluesky: https://bsky.app/profile/lynnepeeps.bsky.social Threads: https://www.threads.net/@lynne.peeples Resources mentioned in the episode: The Inner Clock, Living In Sync with Our Circadian Rhythms by Lynne Peeples - https://www.penguinrandomhouse.com/books/703281/the-inner-clock-by-lynne-peeples/ Additional Resources: https://www.doctorgretchenhawley.com/insider Reach out to Me: hello@doctorgretchenhawley.com Website: www.MSingLink.com Social: ★ Facebook: https://www.facebook.com/groups/mswellness ★ Instagram: https://www.instagram.com/doctor.gretchen ★ YouTube: https://www.youtube.com/c/doctorgretchenhawley?sub_confirmation=1 → Game Changers Course: https://www.doctorgretchenhawley.com/GameChangersCourse → Total Core Program: https://www.doctorgretchenhawley.com/TotalCoreProgram → The MSing Link: https://www.doctorgretchenhawley.com/TheMSingLink

In this episode, Dr. Motley dives deeper into everything EBV, how it works, its challenges to the immune system, and what you can do to fight it. Key takeaways? Find an Epstein-Barr knowledgeable practitioner and look into homeopathy!  Show Notes: Dr. Kasia Kines: The Epstein Barr Virus Solution Herbals - Astragalus: https://shorturl.at/PSYTK     Ashwagandha: https://shorturl.at/rG6ga     Schisandra Supreme: https://shorturl.at/4SD2r DesBio Homeopathics: DesBio Homeopathics Vitamins and Nutrients: NAC, Vitamin E + C, Selenium, Zinc, Licorice ------  Want more of The Ancient Health Podcast? Subscribe! Follow Dr. Motley! Instagram Twitter Facebook Tik-Tok Website ------ * Hunting for an excellent form of magnesium? Get 10% off ONLY with this link: bioptimizers.com/drmotley and code DRMOTLEY at checkout!   *Do you have a ton more in-depth questions for Doctor Motley? Are you a health coach looking for more valuable resources and wisdom? Join his membership for courses full of his expertise and clinical wisdom on every-day health concerns, plus bring all your questions to his weekly lives! Join here: https://www.doctormotley.com/store ------ 

In this episode of Let's Talk Wellness Now, we explore the fascinating connection between hormones and neurological health, focusing on how declining estrogen levels may influence the development, severity, and progression of multiple sclerosis (MS) in women. Estrogen isn't just a reproductive hormone—it plays a vital role in brain health, immune regulation, and even myelin repair. Join us as we delve into: The neuroprotective benefits of estrogen and its role in modulating inflammation and oxidative stress. How hormonal changes, such as menopause, affect MS symptoms and relapse rates. The potential of hormone replacement therapy (HRT) as a tool to stabilize symptoms and slow progression in menopausal women with MS. Practical considerations for personalized approaches to hormonal health and ongoing research on this critical topic. Whether you're managing MS, curious about hormone health, or a healthcare provider looking to expand your knowledge, this episode offers valuable insights into the interplay between estrogen and neurological well-being. Tune in to gain expert insights that could transform the way you think about hormonal health and MS management!

What is psoriasis. How is it related to other skin issues like eczema, acne, and Rosacea. What is causing the body to overproduce skin cells as a protective measure. What lab tests likely need to be ordered to see immune disfunction and root causes. Topical treatments that help manage symptoms vs. addressing root cause. Are the skin issues the first sign of future issues if the problem is not resolved? What is the role of gut health in healing skin issues? To learn more, please go to https://rapidhealthoptimization.com Connect with our guests: Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram Dan Garner on Instagram

“This is what totally drives the treatment decisions, and that's why having that pathology report when the nurse is educating the patient is so important, because you can say, well, you have this kind of breast cancer, and this kind of breast cancer is generally treated this way,” Suzanne Mahon, DNS, RN, AOCN®, AGN-BC, FAAN, professor emeritus at Saint Louis University in Missouri, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about what oncology nurses need to know about breast cancer treatment.  Music Credit: “Fireflies and Stardust” by Kevin MacLeod  Licensed under Creative Commons by Attribution 3.0   Earn 1.0 contact hours (including 15 minutes of pharmacotherapeutic content) of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by February 14, 2027. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.  Learning outcome: Learners will report an increase in knowledge related to breast cancer treatment considerations.  Episode Notes   Complete this evaluation for free NCPD. Previous ONS Podcast™ site-specific episodes: ONS Voice articles: Episode 348: Breast Cancer Diagnostic Considerations for Nurses Episode 345: Breast Cancer Screening, Detection, and Disparities ONS Voice articles: An Oncology Nurse's Guide to Cascade Testing  Breast Cancer Prevention, Screening, Diagnosis, Treatment, Side Effect, and Survivorship Considerations  Learn How to Read a Germline Genomic Testing Report  Learn How to Read a Somatic Biomarker Testing Report  Sexual Considerations for Patients With Cancer  ONS books: Breast Care Certification Review (second edition)  Guide to Breast Care for Oncology Nurses  ONS courses: Breast Cancer Bundle  Breast Cancer: Treatment and Symptom Management  ONS Biomarker Database results for breast cancer ONS Next-Generation Sequencing Sample Report  ONS Learning Libraries: Breast Cancer Genomics and Precision Oncology   American Cancer Society: Breast Cancer Facts and Figures  Your Breast Pathology Report: Breast Cancer National Comprehensive Cancer Network   National Cancer Institute Breast Cancer—Patient Version  To discuss the information in this episode with other oncology nurses, visit the ONS Communities.   To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library.  To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org.  Highlights From This Episode  “Local treatment is typically going to consider some kind of surgery with or without radiation, depending on the surgery and the extent of the breast cancer. All women are going to have, and today when you use the word women, individuals assigned female at birth, they are the vast majority of individuals being treated for breast cancer, but for individuals assigned male at birth, there's not near as much research, but generally their treatment is very similar. So that's something to kind of keep in the back of your mind.” TS 2:39  “This is very confusing for patients because they're like, ‘Well, my friend at church had this and why am I getting this and why are they getting something different?' And that is because of the pathology report. So taking that time to explain that with a pathology, I think is really important.” TS 8:31  “When they see the breast surgeon, all individuals are going to have some kind of axillary evaluation.  Now, hopefully it's going to be a sentinel lymph node. So they're going to, at the time of surgery, put a tracer and, you know, they're going to take out maybe one, two, three lymph nodes and hopefully, you know, there is not a lot of disease there. And if that's the case, they're kind of done with that. So the sentinel lymph node evaluation, it's really more to stage and provide that information, but it kind of sets the stage a lot of times for the other treatments selections. And I think people need to realize that this is important. This is a very important procedure.” TS 15:31  “Years ago, when women had a breast mass, they went to the OR and it was biopsied in a frozen section and if it was positive, they had a mastectomy. So women would wake up and they'd be feeling their chest because they're like, ‘What happened here?' And that is not great care. It doesn't give that woman any autonomy, but it was the best that could be done at that point. Now, with the diagnostic where we can do a needle biopsy, they can kind of stop and take a timeout and we can kind of clinically stage that.” TS 17:04  “For women that really desire breast-conserving therapy, they can anticipate that postoperatively at some point, they're going to have treatment to the entire breast, we typically call whole breast radiation, and then they may have a boost. Now, in many, many probably cases, that's going to be over five to six weeks, Monday through Friday. So the treatment itself doesn't take but a couple of minutes, but you have to get to the facility. And even though we streamline check-in processes and whatnot, you have to get undressed, you have to get positioned on the table. So it is a commitment, and it can be disruptive.” TS 24:49  “The hormone-blocking agents are going to be the cornerstone of all those treatments for anyone who has hormone receptor–positive breast cancer. So they are going to take these agents and as you said, they're probably going to take them for 5–10 years. It's quite the journey.” TS 32:33   “I think you need to be mindful that if someone has had germline testing and they've tested positive, they are not only worried about themselves, and they are worried about the rest of their family. That is a big deal. And even though I'll hear mothers say, ‘I feel so guilty, now my daughter has this,' now, I've never heard a daughter come and say, ‘Gosh, I wish my mom hadn't had me because of this.' There's a lot of feeling and emotion that goes on with that, and realize that those individuals are probably going to have fairly complicated management that goes over and above their breast cancer.” TS 41:50 

In this podcast episode, I'm chatting with Skye Waterson, a former academic turned coach, podcast host, and founder of an international ADHD support service, Unconventional Organisation.Skye's services help overwhelmed professionals with ADHD create focused, balanced days for themselves and their families. Today she's speaking about time and overwhelm and offers her tips on prioritization, delegation and how we can ease transitions between high to low dopamine tasks!Connect with Skye via Instagram @‌unconventionalorganisation or visit her website at ADHD Treatment Online | Coaching for Symptom Management  for her prioritization filter and additional resources.

To help you take charge of your health, a new neuropathy guide from Valleant sheds light on the various types, origins, and practical management strategies to help you deal with this complex condition. Visit https://valleant.com/where-does-neuropathy-come-from-exploring-its-origins-and-causes for details. Valleant City: Austin Address: 11320 North FM 620 Website: https://valleant.com

In this conversation, Alex Lubarsky shares his transformative journey from a personal health crisis to becoming an advocate for functional medicine and health optimization. He discusses the shortcomings of traditional healthcare, the importance of preventative measures, and the role of nurse practitioners in providing holistic care. The dialogue emphasizes the need for a new healthcare model focused on early detection and optimization, as well as the philosophical shift towards viewing health as a proactive journey rather than a reactive one. Alex also highlights the growing public awareness and interest in alternative health approaches, and his plans for future events aimed at promoting longevity and wellness.    FOR THE AUDIENCE:   * Use the code 'Podcast10' to get 10% OFF your order at our supplement store → https://gladdenlongevityshop.com/    * Attend Alex's Youthful Longevity Mastermind, using the code ‘YLMguest24' at www.ScHOinc.com    Takeaways    * Alex's journey into healthcare began with a personal health crisis.  * Traditional healthcare often focuses on symptom management rather than resolution.  * Functional medicine emphasizes the body's innate ability to heal itself.  * Nurse practitioners play a crucial role in health optimization.  * Preventative healthcare is essential for long-term wellness.  * A new healthcare model is needed to prioritize patient care over profit.  * Early detection can prevent chronic health issues from developing.  * The philosophy of joy and health is interconnected.  * Public consciousness is shifting towards alternative health solutions.  * Future events will focus on promoting longevity and health optimization.    Chapters    00:00 Introduction to Alex Lubarsky's Journey  04:26 The Healthcare Experience: A Personal Story  07:45 Discovering Functional Medicine  10:36 The Role of Nurse Practitioners in Health Optimization  13:46 The Shift Towards a New Healthcare Model  16:40 Optimizing Health: A Personal Approach  19:30 The Future of Healthcare and Longevity  22:23 The Philosophy of Health and Joy  27:23 The Importance of Early Detection  30:19 The Shift in Public Perception of Health  33:15 The Role of Community and Collaboration  36:32 Future Plans and Events for Health Advocacy  47:13 Goodbye    To learn more about Alex and/or Science of Human Optimization, Inc  Website: http://www.schoinc.com/   LinkedIn: https://www.linkedin.com/in/alex-lubarsky-a28ba44/   Facebook: https://www.facebook.com/ScHOinc/  YouTube: https://www.youtube.com/channel/UCgrlTczo755Z12RgAgTi2iA     Reach out to us!      Website: https://gladdenlongevity.com/       Email: podcast@gladdenlongevity.com       Facebook: https://www.facebook.com/Gladdenlongevity/      Instagram: https://www.instagram.com/gladdenlongevity/?hl=en       LinkedIn: https://www.linkedin.com/company/gladdenlongevity      YouTube: https://www.youtube.com/channel/UC5_q8nexY4K5ilgFnKm7naw    

Join Dr. Clancy and guest Katey Kooi for a discussion of the benefits of music therapy in palliative and end-of-life care. CME Credit Available:  https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=72842  Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guest: Katey Kooi, MT-BC Music Therapist, Supportive and Palliative Care University of Iowa Health Care Financial Disclosures:  Dr. Clancy, Ms. Kooi, and the members of the Rounding@IOWA planning committee have disclosed no relevant financial relationships. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour. Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.0 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. Pharmacist UAN: JA0000310-0000-25-039-H99-P Pharmacy Tech UAN: JA0000310-0000-25-039-H99-T Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.) References/Resources:  Gutgsell, Kathy Jo et al. (2013) Music Therapy Reduces Pain in Palliative Care Patients: A Randomized Controlled Trial. Journal of Pain and Symptom Management, Volume 45, Issue 5, 822 – 831. Gallagher, Ragman, Rybicki. (2018) Outcomes of Music Therapy Interventions on Symptom Management in Palliative care patients. American Journal of Hospice and Palliative Medicine Vol 35(2) 250-257. Hilliard R. E. (2003). The effects of music therapy on the quality and length of life of people diagnosed with terminal cancer. Journal of music therapy, 40(2), 113–137. https://doi.org/10.1093/jmt/40.2.113 Bradt J, Dileo C, Grocke D, Magill L. (2011) Music interventions for improving psychological and physical outcomes in cancer patients.Cochrane Database Syst Rev. Aug 10;(8) Ramesh B. (2024) Role of Music Therapy in Palliative Care—Methods and Techniques. Journal of Palliative Care. https://journals.sagepub.com/doi/10.1177/08258597241235110 Whitford, Kevin J. et al.Music Therapy Intervention to Reduce Caregiver Distress at End of Life: A Feasibility Study Journal of Pain and Symptom Management, Volume 65, Issue 5, e417 - e423 https://www.jpsmjournal.com/article/S0885-3924(23)00035-0/fulltext Sarah Kordovan, Pia Preissler, Anne Kamphausen, Carsten Bokemeyer, and Karin Oechsle. (2016)Prospective Study on Music Therapy in Terminally Ill Cancer Patients during Specialized Inpatient Palliative Care Journal of Palliative Medicine  19:4, 394-399. Lopez, G., Christie, A.J., Powers-James, C. et al. (2019). The effects of inpatient music therapy on self-reported symptoms at an academic cancer center: a preliminary report. Support Care Cancer 27, 4207–4212. https://doi.org/10.1007/s00520-019-04713-4 Brungardt A, Wibben A, Tompkins AF, Shanbhag P, Coats H, LaGasse AB, Boeldt D, Youngwerth J, Kutner JS, Lum HD.(2021) Virtual Reality-Based Music Therapy in Palliative Care: A Pilot Implementation Trial. J Palliat Med. May;24(5):736-742. Ghetti, C. M., Schreck, B., & Bennett, J. (2023). Heartbeat recordings in music therapy bereavement care following suicide: Action research single case study of amplified cardiopulmonary recordings for continuity of care. Action Research, 0(0). https://doi.org/10.1177/14767503231207993  

This brief episode offers an update from Mary Lynn McPherson, PharmD, PhD, FAAHPM and Alexandra L. McPherson, PharmD, MPH. Listen for an update on the patient discussed in Episode 38. Related Resources: Episode 38: Discharged to Airport: Navigating Complex Symptom Management Down on the Pharm: Contemporary Issues in Pharmacopalliation   About the Speakers: Mary Lynn McPherson, PharmD, PhD, FAAHPM Dr. McPherson has practiced hospice and palliative care as a clinical pharmacist her entire career. She is a professor at the University of Maryland and executive program director of the online Graduate Studies in Palliative Care (Graduate Certificates, MS, PhD) program. She has served as a resource to medical staff for pain and symptom consultations, opioid conversion calculations, methadone dosing and other medication-related issues. McPherson is particularly interested in assuring patients with a serious illness receive goal-concordant medication therapy. She has authored five books including the popular Demystifying Opioid Conversion Calculations: A Guide to Effective Dosing and numerous peer-reviewed articles and chapters.   Alex McPherson, PharmD, MPH Dr. McPherson received her Bachelor of Science in International Business from the University of Maryland in College Park, MD, followed by her Master of Public Health (MPH) with a dual certificate in International Health and Pharmaceutical Assessment, Management, and Policy from Boston University in Boston, MA. She went on to receive her Doctor of Pharmacy from the University of Maryland School of Pharmacy in Baltimore, MD. Subsequently she completed a Pharmacy Practice Residency at Einstein Medical Center in Philadelphia, PA and Pain Management and Palliative Care Specialty Residency at the University of Maryland School of Pharmacy/MedStar Health. She is currently a Palliative Care Clinical Pharmacy Specialist at MedStar Washington Hospital Center in Washington, DC, where she serves as faculty in the interdisciplinary Hospice and Palliative Medicine Fellowship program. In addition, she serves as a faculty member for the nation's first M.S. in Medical Cannabis Science and Therapeutics (University of Maryland School of Pharmacy), and M.S. in Palliative Care (University of Maryland Graduate School) programs. She is an active member of the American Academy of Hospice and Palliative Medicine and the Society of Pain and Palliative Care Pharmacists and has published and presented internationally on topics pertaining to pain management and palliative care. Her academic interests include early integration of palliative care in advanced illness, navigating transitions of care at the end-of-life, and the pharmacologic management of symptoms in serious illness. Her newest interest includes the integration of narrative medicine practices as a tool for reducing burnout and improving resiliency among palliative care providers.

In this episode, we talk with Dr. William Breitbart, Chairman of the Department of Psychiatry and Behavioral Sciences at Memorial Sloan Kettering Cancer Center, and a pioneer in psycho-oncology. Dr. Breitbart sheds light on the critical yet often overlooked issue of meaning and purpose in cancer care. He delves into how patients may encounter a profound loss of meaning, which can lead to anxiety and depression, even if they are not clinically diagnosed with depression. Drawing from his extensive experience, Dr. Breitbart shares insights from his pioneering work in the psychiatric and neuropsychiatric dimensions of cancer and palliative care. He discusses strategies to assist patients in rediscovering meaning and enhancing their quality of life during challenging times. Join us for a conversation that underscores the vital intersection of mental health and cancer treatment, featuring Dr. Breitbart's significant contributions to the field, including his groundbreaking work on Meaning-Centered Psychotherapy. William Breitbart, M.D. Chairman, Jimmie C Holland Chair in Psychiatric Oncology; Chairman, Department of Psychiatry and Behavioral Sciences at Memorial Sloan-Kettering Cancer Center Dr. Breitbart is a pioneer and leader in the field of psycho-oncology. At Memorial Sloan-Kettering Cancer Center, he led the way for innovative, award-winning initiatives that provided high-quality research focusing on psychiatric and neuropsychiatric aspects of cancer and palliative care. He is the Chairman, Jimmie C Holland Chair in Psychiatric Oncology, Chairman, Psychiatry Service, Department of Psychiatry and Behavioral Sciences at Memorial Sloan-Kettering Cancer Center (MSKCC) in New York. Dr. Breitbart is also a Professor of Clinical Psychiatry at Weill Medical College of Cornell University. Dr. Breitbart is known for numerous influential leadership roles, and has been recognized in the field of psycho-oncology for his contributions, receiving top research awards and lifetime achievements since 2003. He has edited/written twelve textbooks, including Psychiatric Aspects of Symptom Management in the Cancer Patient, published by the American Psychiatric Press, Psycho-oncology - 1st, 2nd and 3rd Editions, and Handbook of Psychiatry in Palliative Medicine- 1st and 2nd Editions. Dr. Breitbart recently authored treatment manuals on Meaning-Centered Group and Individual Psychotherapy in Advanced Cancer Patients by Oxford University Press. He is currently editor-in-chief of the Cambridge University Press' international palliative care journal, Palliative & Supportive Care. Dr. Breitbart also helped found IPOS Press and authored the IPOS Press/Oxford University Press Text Psychosocial Palliative Care. --- Support this podcast: https://podcasters.spotify.com/pod/show/aimatmelanoma/support

In this episode, Mary Lynn McPherson, PharmD, PhD, FAAHPM and Alexandra L. McPherson, PharmD, MPH discuss a complicated case involving a patient in her mid-50s from East Africa who is suffering from metastatic cancer. The conversation highlights the challenges of complex pain & symptom management while supporting a patient's goals of care. Related Resources: Down on the Pharm: Contemporary Issues in Pharmacopalliation About the Speakers: Mary Lynn McPherson, PharmD, PhD, FAAHPM Dr. McPherson has practiced hospice and palliative care as a clinical pharmacist her entire career. She is a professor at the University of Maryland and executive program director of the online Graduate Studies in Palliative Care (Graduate Certificates, MS, PhD) program. She has served as a resource to medical staff for pain and symptom consultations, opioid conversion calculations, methadone dosing and other medication-related issues. McPherson is particularly interested in assuring patients with a serious illness receive goal-concordant medication therapy. She has authored five books including the popular Demystifying Opioid Conversion Calculations: A Guide to Effective Dosing and numerous peer-reviewed articles and chapters.   Alex McPherson, PharmD, MPH Dr. McPherson received her Bachelor of Science in International Business from the University of Maryland in College Park, MD, followed by her Master of Public Health (MPH) with a dual certificate in International Health and Pharmaceutical Assessment, Management, and Policy from Boston University in Boston, MA. She went on to receive her Doctor of Pharmacy from the University of Maryland School of Pharmacy in Baltimore, MD. Subsequently she completed a Pharmacy Practice Residency at Einstein Medical Center in Philadelphia, PA and Pain Management and Palliative Care Specialty Residency at the University of Maryland School of Pharmacy/MedStar Health. She is currently a Palliative Care Clinical Pharmacy Specialist at MedStar Washington Hospital Center in Washington, DC, where she serves as faculty in the interdisciplinary Hospice and Palliative Medicine Fellowship program. In addition, she serves as a faculty member for the nation's first M.S. in Medical Cannabis Science and Therapeutics (University of Maryland School of Pharmacy), and M.S. in Palliative Care (University of Maryland Graduate School) programs. She is an active member of the American Academy of Hospice and Palliative Medicine and the Society of Pain and Palliative Care Pharmacists and has published and presented internationally on topics pertaining to pain management and palliative care. Her academic interests include early integration of palliative care in advanced illness, navigating transitions of care at the end-of-life, and the pharmacologic management of symptoms in serious illness. Her newest interest includes the integration of narrative medicine practices as a tool for reducing burnout and improving resiliency among palliative care providers.    

DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.       Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome to "Ditch the Lab Coat," the podcast where we break down health issues with a critical and skeptical eye. I'm your host, Dr. Mark Bonta.This episode is a special interlude where we'll address your burning questions about staying healthy during the fall and winter seasons.We'll delve into the effects of COVID-19 on children's health and social interactions, emphasizing the importance of accepting viral illnesses as a normal part of life. We'll also revisit some previous topics, including addiction medicine, critical care, and infectious diseases, reflecting on how these issues intersect with our everyday experiences.We'll discuss the challenges of navigating quick-fix health cures often advertised and why it's crucial to be skeptical and informed. I'll share personal insights on practical preventive measures, the impact of parental health on children, and the science behind vaccinations. Plus, we'll explore the significance of moderate exercise, good sleep hygiene, and proper hydration in maintaining overall health.Thanks for joining us today. Let's dive in—and don't forget to check out our newly revamped website at www.ditchthelabcoat.com for more resources and links. Stay tuned for our next episode, where we tackle the complex world of diabetes.00:00 – Answering health questions in special podcast session.03:41 – Understanding healthcare through accessible, unscripted conversations.08:49 – No quick fix for avoiding common illnesses.12:26 – Vitamin C is generally sufficient; supplements unnecessary.15:02 – Exercise improves mental, bone, and cardiovascular health.19:07 – Moderation in exercise prevents frequent illness.24:28 – Vaccines crucial for vulnerable, aging populations' protection.27:03 – Ibuprofen, Tylenol help symptoms; practice good hygiene.29:53 – Cranberry extract unlikely effective against urinary infections.35:14 – Adverse childhood events increase chronic illness risks.39:10 – Research, decide wisely; prioritize reputable sources.40:32 – Rebranding website; thanks to the team and supportive family.This version provides clear and structured timestamps for easier reference during the podcast.

Ken teaches about the TFID (Type, Frequency, Intensity, Duration) model for managing mental health challenges for gay men such as depression, anxiety, and others, with practical exercises to bring symptom relief. 

In this episode as part of our World Menopause Month Podcast Series, Dr. Shauna Watts, a general practitioner specialising in women's health, explores the complexities of managing menopause symptoms through a robust GP-patient relationship. Dr. Watts clarifies the stages of menopause, from perimenopause through to postmenopause, noting the variability and often ambiguous markers of perimenopause. She dives deep into the myriad symptoms that women may encounter, including hot flushes, sleep disturbances, mood swings, diminished libido, and vaginal dryness. Dr. Shauna addresses the societal stigma surrounding menopause, advocating for more open conversations and enhanced support networks. She also discusses lesser-known symptoms and the roles of diagnostic tools like blood tests and hormone replacement therapy (HRT) in managing these symptoms effectively. Additionally, Dr. Watts touches on significant health concerns like premature ovarian insufficiency and musculoskeletal symptoms, emphasising the importance of muscle strength in maintaining joint health and mobility. She also sheds light on the benefits of HRT in alleviating menopausal symptoms and preventing long-term illnesses. Despite the debates surrounding HRT's benefits, Dr. Shauna champions individualised care and thorough discussions between patients and healthcare providers. Lastly, Dr. Shauna introduces her innovative programme, You by Dr. Shauna Watts, which integrates aesthetic medicine with menopause care, aiming to bolster women's confidence and overall well-being during this transitional phase. Takeaways The GP-patient relationship is pivotal in effectively managing menopause symptoms and fostering supportive environments. Perimenopause marks a transitional period leading to menopause, characterised by fluctuating menstrual cycles and a broad spectrum of symptoms. Menopause officially begins twelve months after the last menstrual period, with postmenopause following thereafter. Common menopause symptoms range from hot flushes and sleep disruptions to mood instability and sexual health challenges. It's crucial to dismantle the societal stigma surrounding menopause to encourage open and supportive discussions. Less typical symptoms, such as hair thinning and skin changes, need recognition and can often be indicators of underlying health issues. Hormone replacement therapy not only eases common menopause symptoms but also plays a critical role in preventing osteoporosis and improving life quality. Strengthening muscles through exercise can mitigate joint pain and mobility issues often exacerbated during menopause. Personalised treatment plans, as advocated by Dr. Watts, ensure that women receive tailored care that aligns with their unique health needs during menopause. Chapters 00:00 The Importance of the GP-Patient Relationship02:00 Understanding Perimenopause, Menopause, and Postmenopause06:20 Exploring the Range of Menopause Symptoms08:07 Breaking the Stigma and Societal Pressures Surrounding Menopause16:25 Non-Common Symptoms of Menopause23:17 The Role of Blood Tests in Menopause Diagnosis29:51 Using Hormone Replacement Therapy (HRT) during Perimenopause31:57 Premature Ovarian Insufficiency and Menopausal Symptoms36:07 The Importance of Strong Muscles for Menopausal Women41:23 HRT and Bone Health47:54 Navigating the Lack of Concrete Evidence for HRT Benefits51:51 You by Dr. Shauna Watts: A Comprehensive Approach to Menopause Care Watch the episode here:https://youtu.be/YJX-6SD1DmM    See omnystudio.com/listener for privacy information.

In this episode, Jay sits down with Regan Archibald, a leading expert in anti-aging therapies, peptides, and other forms of functional medicine. They discuss the latest trends and emerging technologies that are shaping the conversation around longevity. The interview opens with a discussion about the regulatory future of peptides, and how the landscape might change in 2025. Then, it moves to a conversation about a few lesser-known peptides that Regan is actively using or administering with his clients. Finally, they explore the current state of plasmapheresis and treatments involving stem cells or exosomes, including what types of patients are getting the best outcomes. Tune in if you want to gain a deeper understanding of how peptides and stem cells can revolutionize your approach to health and longevity.    “People who are inflamed physically are also inflamed mentally. So it's harder for people who are insulin resistant, metabolically deranged, or obese to communicate effectively.” – Jay Campbell   What You'll Learn From This Episode Challenges & Dangers In The Peptide Market – Hear about the confusion and concern caused by the FDA's recent classification of peptides and consider the potential for it to be reversed in the future.  Lack Of Consumer Awareness & Autonomy – Understand why social media has resulted in a “dumbing down” of the population en masse, and why even highly educated people find it hard to separate the signal from the noise when it comes to health optimization. Optimization vs. Disease Management – Highlight the clear divide between those seeking optimization and those focused on managing their symptoms or their disease. Many patients are conditioned to rely on their doctors for guidance rather than pursuing proactive health optimization strategies for themselves – and it's costing them dearly. Emerging Peptides and Their Benefits – Hear first-hand experiences with new peptides like ACE-031 and SLU-PP-332, including an explanation of why they are gaining popularity for their ability to promote muscle growth and improve endurance. Plasma, Stem Cells and Exosomes – Learn the differences between these treatments and gain an understanding of how they can best be used – independently or in combination – to support longevity and regenerative health.   Key Moments In This Conversation 00:00:00 – Introduction 00:03:12 – Distraction & Misinformation In Health Optimiation 00:08:53 – The Regulatory Future For Peptides 00:16:48 – Health Optimization vs. Symptom Management 00:24:16 – Lesser-known Peptides Regan Is Actively Using 00:31:55 – The Current State Of Plasma/Stem Cell Technology 00:37:55 – Exosomes vs. Stem Cells 00:46:12 – Closing Thoughts & Regan's Resources   Guest Bio Regan Archibald is a distinguished expert in the fields of functional and regenerative medicine, with a particular focus on longevity. He has dedicated over 14 years to advancing the practice of regenerative medicine and authored NINE influential books on the subject. In addition to his clinical work, Regan is actively engaged in research and innovation, collaborating with leading scientists and institutions to make groundbreaking discoveries at the outer limits of health optimization, some of which he shares in this conversation. Learn more about Regan and his work at www.acueastwest.com.   Jay Campbell Products & Resources

About my Guest: Buket Tinoco is a certified Family Nurse Practitioner with over seven years of nursing experience and four years as a Nurse Practitioner. Fluent in Spanish and Turkish, she specializes in bioidentical hormone replacement therapy, aesthetics, integrative medicine, and wellness. Buket's diverse background includes specializing in gastrointestinal health, pulmonary care, primary care, and mental health. She believes in a holistic approach, targeting mind, body, and soul to achieve whole-body healing. Buket is dedicated to enhancing quality of life and helping people thrive through comprehensive, integrative care. Buket Tinoki: Website Instagram Tiktok Summary: Dr. Cassie Smith and Buket Tinoki discuss the importance of gut health and its impact on overall well-being. They emphasize the connection between the gut and various health issues, including hormone imbalances, fatigue, and weight gain. The conversation highlights the role of the gut in detoxification and the importance of a diverse and healthy microbiome. They also address the harmful effects of long-term use of acid-blocking medications and the need for a comprehensive approach to gut health. The conversation highlights the importance of addressing the root causes of health issues rather than just treating symptoms. The speakers discuss the connection between gut health and mental health, emphasizing the role of the gut in producing serotonin, the 'happy hormone.' They also explore the impact of stress on the gut and overall health. The conversation touches on the use of supplements, such as 5-HTP and SAMe, to support gut health and improve mental well-being. The speakers emphasize the need for a comprehensive approach to health, including addressing gut health, micronutrient deficiencies, and inflammation. In this final part of the conversation, Cassie and Buket discuss the importance of being resourceful and seeking knowledge from experts in order to provide the best care for patients. They emphasize the value of asking questions and learning from others in the medical field. They also discuss the power of anecdotal evidence and the potential benefits of microdosing GLP-1s for reducing inflammation and improving health. The conversation concludes with a discussion on the importance of gut health and the recommended lab tests to assess gut function. Time Stamps: 00:00 Introduction and Background 01:30 The Importance of Gut Health 06:13 The Role of the Microbiome 11:03 The Harmful Effects of Acid-blocking Medications 18:11 Taking a Comprehensive Approach to Gut Health 31:43 Addressing Root Causes: Beyond Symptom Management 33:05 The Gut-Brain Connection: Mental Health and Gut Health 41:50 The Impact of Stress on Gut Health and Overall Well-being 44:18 Supplements for Gut Health and Mental Well-being 57:45 A Comprehensive Approach to Health: Gut Health, Micronutrients, and Inflammation 01:03:19 The Value of Resourcefulness and Seeking Knowledge 01:08:24 The Power of Anecdotal Evidence 01:09:20 Microdosing GLP-1s for Inflammation and Health 01:13:03 The Importance of Gut Health and Lab Tests Connect with Modern Endocrine: Check out the website Follow Cassie on Instagram Follow Cassie on Facebook Follow Cassie on YouTube Follow Cassie on TikTok Sign up for Modern Endocrine's newsletter Disclaimer

In this episode of Season of Stuck, host Deanna deBara and Dr. Markyia Nichols, Chief Medical Officer of Ciba Health, discuss the root cause approach to medicine—and the importance of the gut to overall health and healing. During their conversation, Dr. Nichols shares insight on common root causes for chronic illness,  emphasizing the interconnectedness of the body and the role of diet, environmental toxins, and stress in gut health. Dr. Nichols advocates for a holistic approach to identify and address root causes, offering hope and practical steps for those feeling "stuck" in their health journeys.Tune in to learn about:Transitioning from traditional medicine to functional medicineAddressing root causes of chronic diseasesThe connection between gut health and overall well-beingAutoimmune diseases (Hashimoto's and rheumatoid arthritis)Limitations of traditional medical approaches Role of diet, environmental toxins, and stress in gut healthImpact of gut health on mental health and immune systemIdentifying and removing food triggersA holistic approach in healthcareFunctional medicineThoughts from the episode:“What is happening in the gut is also going to be reflected in how we feel, how our emotions are, our mental capacity, and vice versa.” –Dr. Markyia Nichols“The body knows how to heal." –Dr. Markyia NicholsAbout Dr. Markyia Nichols:Dr. Nichols is the chief medical officer of Ciba Health, a digital precision health and integrated care platform that aims to prevent and reverse common, complex and costly diseases by blending advanced lab testing, physician led care teams, cutting edge technology, and ongoing in-depth nutrition and lifestyle support to get to the root of chronic conditions and help patients heal.Connect with Dr. Markyia Nichols:On the web:Dr. Nichols' websiteCiba HealthOn social media:Instagram: @drkyia, @ciba_healthFacebook: @drkyia, @Ciba HealthStay connected with Season of Stuck:Want more insights on how to make your journey from stuck to unstuck? Make sure to subscribe on Apple Podcasts, Spotify, or wherever you get your podcasts; you can catch new episodes every Tuesday.Want to make sure you never miss an episode? Visit seasonofstuck.com to get episodes delivered to your inbox. And for even more stuck-related content, make sure to follow us on Instagram @seasonofstuck.****DISCLAIMER**** Season of Stuck is for general information only and should not be considered health, financial, or any other type of professional advice. The views expressed by guests are their own and their appearance on Season of Stuck is not an endorsement. We do not verify the accuracy of the information that guests present. Adult language may be present. Our producer and host disclaim any liability arising out of your reliance on Season of Stuck. Please note that we may receive a commission should you choose to purchase any product or service using our website link to the products, services, and links featured on Season of Stuck and/or in related properties (including seasonofstuck.com and email communications).

In this episode of the Experience Miracles podcast, host Dr. Tony Ebel interviews Dr. Stanton Hom, founder of Future Generations. They discuss the importance of questioning conventional medical wisdom, empowering parents to make informed health choices for their children, and the transformative power of focusing on nervous system health. The conversation emphasizes the need for a paradigm shift in how we approach health, moving away from symptom management to optimizing overall wellbeing and potential.Key Topics Covered:[00:04:00] - Dr. Hom's personal health transformation story [00:09:00] - The importance of nervous system regulation in health [00:13:00] - Discussion on different lenses of viewing health (conventional medicine vs. holistic approach) [00:18:00] - The significance of asking questions to healthcare providers [00:24:00] - Creating a safe space for patients to ask tough questions [00:35:00] - The importance of finding the right healthcare team [00:42:00] - How conventional medicine can sometimes rob patients of hope [00:49:00] - Balancing the need for emergency care with holistic health approaches [00:54:00] - The potential for radical health transformation across generations [00:59:00] - Call to action for listeners to take charge of their health [01:02:00] - The foundational role of the nervous system in health [01:05:00] - Introduction to Future Generations' upcoming health curriculum01:07:00] - The three phases of the curriculum: foundations, reducing disempowering beliefs, and reinstalling empowering habitsFollow Dr. Stan Hom on socials@DrStantonHom, @thefuturegenSD, @futuregenpodcast Curriculum pre-sale link: https://futuregenerations.mykajabi.com/opt-in Health Freedom Promotion link: https://newpatientspecial.futuregenerationssd.com/health-freedom-2024 Podcast Website: https://thefuturegen.com/ -- Follow us on Socials: Instagram: @pxdocs Facebook: Dr. Tony Ebel & The PX Docs Network Youtube: The PX Docs For more information, visit PXDocs.com to read informative articles about the power of Neurologically-Focused Chiropractic Care. To attend the next live Webinar: https://www.thepxdocs.com Find a PX Doc Office near me: PX DOCS Directory Subscribe, share, and stay tuned for more incredible episodes unpacking the power of Nervous System focused care for children!

Tricia chats with Matthew Dawson, MD, CEO of Wild Health, and advocate for Precision Medicine. Dr. Dawson's critique of conventional, generic approaches to healthcare resulted in his championing of personalized strategies based on individual biology that utilize deep biometric data, genetic sequencing, and wearable tech. He illustrates this approach by sharing his own customized dietary and health regimen, and stresses the importance of collaborative patient-doctor partnerships that focus on enhancing overall physical capabilities and longevity, rather than mere symptom management. Additionally, Dr. Dawson explores evolving perspectives in women's health, particularly focusing on hormone replacement therapy, and stresses the necessity for updated research and personalized medical approaches. He also discusses advancements in biological age testing, which are essential for assessing the effectiveness of interventions like dietary adjustments or medical treatments, and highlights the integration of AI in healthcare to achieve optimized, individualized health outcomes. Thanks to Wild Health for supporting our 5-episode health series. As pioneers in Precision Medicine, they offer tailored health plans based on your genetics and lifestyle, covering diet, exercise, and more. Start your personalized health journey at http://wildhealth.com.   

Our guest today is Jesse Gould, founder and president of the Heroic Hearts Project, a nonprofit pioneering psychedelic therapies for military veterans. After being deployed as an Army Ranger in Afghanistan three times, Jesse founded the Heroic Hearts Project in 2017 to spearhead the acceptance and use of ayahuasca therapy as a means of addressing the current mental health crisis among veterans. His organization has raised over $350,000 in scholarships from donors including Dr. Bronner's, partnered with the world's leading ayahuasca treatment centers, and sponsored psychiatric applications with the University of Colorado Boulder and the University of Georgia. Jesse helps shape treatment programs and spreads awareness of plant medicine as a therapeutic method. He has spoken globally about psychedelics and mental health and was recognized as one of the Social Entrepreneurs To Watch For In 2020 by Cause Artist. Today, he will share insights on the importance of providing access to psychedelic medicines for veterans, the limitations of traditional treatment methods, and the need for a new approach to mental health care that prioritizes healing and community support. SummaryJesse Gould, founder of Heroic Hearts Project, discusses the importance of providing access to psychedelic medicines for veterans struggling with PTSD, depression, and anxiety. He shares his personal journey of seeking help for his own mental health issues and the limitations he faced with traditional treatment methods. Jesse emphasizes the need for a new approach to mental health care that goes beyond symptom management and focuses on healing and integration. He also highlights the importance of community support and the role of psychedelics in addressing ancestral trauma and building emotional resilience. Heroic Hearts Project is a nonprofit organization that educates people about the therapeutic potential of psychedelics and connects veterans and their families to these treatments. They provide support and guidance throughout the entire process, from preparation to integration. The organization also conducts research, advocates for policy change, and aims to reestablish supportive veteran communities. Donations can be made on their website, and veterans can apply for their programs. The goal is to provide veterans with life-saving care and a supportive community to aid in their healing journey.TakeawaysAccess to psychedelic medicines can be critical for veterans struggling with mental health issues such as PTSD, depression, and anxiety.Traditional treatment methods often focus on symptom management rather than addressing the root causes of mental health disorders.Psychedelics can be a powerful tool for healing and integration, but they require a supportive container and proper preparation and aftercare.The current mental health care system is not effectively addressing the needs of veterans, and there is a need for a new approach that prioritizes healing and community support.Ancestral trauma and emotional resilience play a significant role in mental health, and psychedelics can help individuals explore and process these aspects of their lives. Heroic Hearts Project educates people about the therapeutic potential of psychedelics and connects veterans and their families to these treatments.They provide support and guidance throughout the entire process, from preparation to integration.The organization conducts research, advocates for policy change, and aims to reestablish supportive veteran communities.Donations can be made on their website, and veterans can apply for their programs.Chapters00:00 Introduction and Background of Heroic Hearts Project02:23 Effectiveness of Psychedelics for Mental Health08:07 Jesse's Personal Journey and the Creation of Heroic Hearts Project16:18 The Need for Community Support and Infrastructure30:45 Different Approaches: Symptom Management vs. Healing35:30 Psychedelics as a Tool for Navigating and Expressing Emotions39:24 The Need for a New Approach in Mental Health Care44:46 The Impact of Medications on Emotional Intelligence and Resilience49:46 The Importance of Experience and Trust in Therapy54:41 The Physical Effects of Trauma and the Role of Psychedelics01:02:41 The Impact of Psychedelics on the Brain01:09:42 The Journey to Legalize MDMA for Medical Use01:19:49 Heroic Hearts Project: Connecting Veterans to Psychedelic TherapyLinks: 

What is psoriasis. How is it related to other skin issues like eczema, acne, and Rosacea. What is causing the body to overproduce skin cells as a protective measure. What lab tests likely need to be ordered to see immune disfunction and root causes. Topical treatments that help manage symptoms vs. addressing root cause. Are the skin issues the first sign of future issues if the problem is not resolved? What is the role of gut health in healing skin issues? To learn more, please go to https://rapidhealthreport.com Connect with our guests: Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram Dan Garner on Instagram

Welcome to new coach Toni! She specialises in peri menopause You can find her on instagram here @toni_ESGfitness & apply to work with her here

“Of all the eight different pulmonary toxicities you and I have talked about over these two different podcasts, they're all very different etiologies and treatments. So, we went everywhere from infection and good stewardship with antibiotics to pulmonary GVHD to diffuse alveolar hemorrhage. And I think that's what's the hardest part for us as nurses. It's not just one thing that's causing it, and there's multiple different ways to treat these things,” Beth Sandy, MSN, CRNP, thoracic medical oncology nurse practitioner at the Abramson Cancer Center at the University of Pennsylvania in Philadelphia told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about pulmonary toxicities in cancer treatment. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by May 24, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to pulmonary complications in people with cancer. Episode Notes  Complete this evaluation for free NCPD.  Oncology Nursing Podcast episodes: Episode 295: Cancer Symptom Management Basics: Pulmonary Embolism, Pneumonitis, and Pleural Effusion Episode 212: When Cancer Care Gets Complex: Those Other Oncologic Emergencies Episode 206: Graft-Versus-Host Disease: Biomarkers and Beyond Oncologic Emergencies 101 series ONS Voice articles: Pneumonitis With Immunotherapy Treatment The Case of the Post-Transplant Pulmonary Problem How Inhaled Cannabis May Contribute to Pulmonary Toxicity in Patients With Cancer ONS courses: Essentials in Oncologic Emergencies for the Advanced Practice Provider Oncologic Emergencies Treatment and Symptom Management—Oncology RN ONS books: Understanding and Managing Oncologic Emergencies: A Resource for Nurses (third edition) Clinical Manual for the Oncology Advanced Practice Nurse (fourth edition) Clinical Journal of Oncology Nursing article: Influenza Adherence Tool Kit: Implementation and Evaluation Among Allogeneic Hematopoietic Transplantation Recipients Oncology Nursing Forum articles: Community Respiratory Virus Infection in Hematopoietic Stem Cell Transplantation Recipients and Household Member Characteristics Emergence of Stereotactic Body Radiation Therapy Multifactorial Model of Dyspnea in Patients With Cancer ONS Huddle Cards: Hematopoietic Stem Cell Transplantation Proton therapy Radiation Sepsis ONS Guidelines™ and Symptom Interventions: Dyspnea American Cancer Society patient resources: Shortness of Breath Infections in People With Cancer American Lung Association To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “[Intensity-modulated radiation therapy] is a type of radiation that can really take into account certain movements. And this is particularly important with the lungs, because we can't necessarily have patients hold their breath for a long period of time, so the chest rises and falls and the heart beats while you're trying to do radiation to the lungs. So with IMRT, they can simulate that, so that the beam is going to follow that specific movement in that patient. That's really helpful because then, hopefully, we're going to keep that radiation dose mostly on cancer tissue and not on healthy tissue. And thus, that should reduce the amount of radiation that's to the healthy tissue and hopefully reduce pneumonitis.” TS 3:44 “Proton beam radiation is something that we've described in the past as radiation that will typically have an entrance dose but not an exit dose, so minimizing toxicity by hopefully around 50%. … If you're doing proton beam therapy, that radiation is designed to only have an entrance dose from either the back or the front or the side, whichever way they're going, but then hopefully stop on a dime at that tumor so that they're only really getting the entrance dose of that radiation. … So in turn, especially if you're doing that to the lungs, that should minimize dose of radiation to healthy lung tissue.” TS 5:03 “If they're having a fever, low blood count, thick ugly mucus, this often, typically can be infection as well. And then get a chest x-ray because, a lot of times I've been saying for a lot of these things, we need a CT scan to see this. Actually, infection is probably best noted on a chest x-ray because this is something that will consolidate.” TS 18:58 “[Tumors] may be directly invading a vessel. They may directly be invading the bronchus where there's a lot of capillaries or there's a lot of blood vessels that can break and then cause them to cough up blood. You can have tumors or prior treatment that then cause a bronchial fistula that then can cause bleeding. Patients with squamous cell carcinoma of the lung are much more likely to have hemoptysis and pulmonary hemorrhage than patients with adenocarcinoma, though it definitely can happen with adenocarcinoma as well.” TS 22:00 “One of the best treatments for tumor-direct hemorrhage is radiation. This is where radiation can be very helpful for these patients. It's one of the first things that we do. We're going to go in with radiation, shrink that tumor really fast to get it away from those vessels, so patients stop bleeding.” TS 27:17

In this episode, Dr. Tony Ebel discusses the three main reasons why conventional pediatricians often fail to address chronic health issues in children effectively. He emphasizes the importance of addressing root causes rather than just managing symptoms and explains how the conventional medical system is not set up to prioritize this approach. Dr. Ebel also highlights the lack of training in neurology and neurodevelopment among pediatricians and their reluctance to collaborate with other providers who focus on natural, drug-free solutions.Key Topics Covered:00:05:07 - Dr. Tony's three favorite conspiracy theories (humorous segment) 00:12:22 - Reason #1: Lack of training and focus on addressing root causes 00:20:20 - The Flexner Report of 1910 and its impact on the medical system 00:28:46 - The business of medicine and symptom management 00:33:08 - Example: Ear infections and the overuse of antibiotics 00:36:21 - Reason #2: Little to no training in neurology and neurodevelopment 00:40:00 - The importance of early intervention and the frustration of specialists 00:44:08 - The need for a new doctor who can address root causes 00:46:37 - Reason #3: Refusal to collaborate with other providers 00:49:01 - Empowering parents to be their child's advocate00:50:44 - Questions to ask your doctor to ensure alignment with your values 00:55:00 - Finding a doctor who meets the key criteria-- Follow us on Socials: Instagram: @pxdocs Facebook: Dr. Tony Ebel & The PX Docs Network Youtube: The PX Docs For more information, visit PXDocs.com to read informative articles about the power of Neurologically-Focused Chiropractic Care. To attend the next live Webinar: https://www.thepxdocs.com Find a PX Doc Office near me: PX DOCS Directory Subscribe, share, and stay tuned for more incredible episodes unpacking the power of Nervous System focused care for children!

Dr. Maggie Sibley explains the often-misunderstood reality of women with ADHD, from evaluation and treatment to symptom management and hormonal changes.Episode SummaryIn this fascinating episode of Fempower Health, Georgie Kovacs is joined by Dr. Maggie Sibley, a renowned women's ADHD specialist and researcher. As a clinical psychologist and professor of psychiatry at the University of Washington School of Medicine, Dr. Sibley shares her research-based knowledge and unique perspective on the often overlooked and misunderstood topic of ADHD in adult women. Listen as we discuss the complexities of ADHD beyond childhood, the relationship between ADHD and hormones in women with attention disorders, and practical strategies for managing ADHD symptoms across different life stages.Key Discussion Points:Common misconceptions about ADHD being a children's condition and the reality of how symptoms persist into adulthood.Research on the trajectory of ADHD from adolescence to adulthood and why it's so important to recognize ADHD in adults.How ADHD symptoms in women manifest differently than men, including internalized symptoms like inattention and executive dysfunction. Connections between societal expectations of women and why ADHD often goes undiagnosed in women until later in life.How women's hormonal changes impact regions in the brain that are associated with attention-deficit/hyperactivity disorder.Ways to treat and manage adult ADHD, including lifestyle modifications, medication, cognitive behavioral therapy, and personal coping strategies. The importance of structure, routine, exercise, and healthy diet for effective ADHD symptom management. Tips for navigating the healthcare system during the evaluation stage and treatment plans after diagnosis to ensure specialized care for women with ADHD.The importance of community support and further research for women with ADHD.“Estrogen interacts with dopamine in the brain, which can significantly impact ADHD symptoms, especially during hormonal transitions like perimenopause.” - Dr. Margaret SibleyRelated to this episode:Resources on Mental HealthRelated episode: Living With ADHD: Your Brain's Not BrokenLearn more about Dr Margaret SibleyCHADD (Children and Adults with Attention-Deficit/Hyperactivity Disorder): This is the major advocacy organization for ADHD, providing support, resources, and community connections for both children and adults.ADDA (Attention Deficit Disorder Association): This organization focuses on the adult ADHD community, offering tools, resources, and networking opportunities for adults dealing with ADHD.Psychology Today: A resource for finding therapists who specialize in ADHD and other psychological conditions. Dr. Sibley recommends using their therapist finder tool to locate experts who specialize in cognitive behavioral approaches and other treatments for ADHD.If you're passionate about advancing women's health, there are many ways you can support the Fempower Health Podcast. Here's how:Subscribe and Listen: Tune in to new episodes every...

“At the beginning, like when you first meet someone before they've even started anything, kind of get a baseline of ‘What's your ability to complete your daily activities? How is your coordination? How's your speech now? How is your writing ability?' up front before we start anything that could be toxic. And then prior to every treatment, I tend to look at their gait, watch them walk in or walk out of the office, to see if they're changing at all,” Colleen Erb, MSN, CRNP, ACNP-BC, AOCNP®, hematology and oncology nurse practitioner at Jefferson Health Asplundh Cancer Pavilion in Willow Grove, PA, told Lenise Taylor, MN, RN, AOCNS®, BMTCN®, oncology clinical specialist at ONS, during a conversation about central nervous system toxicity. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by April 5, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome:  Learners will report an increase in knowledge related to CNS toxicities. Episode Notes  Complete this evaluation for free NCPD.  Oncology Nursing Podcast episodes: Episode 303: Cancer Symptom Management Basics: Ocular Toxicities Episode 290: Cancer Symptom Management Basics: Peripheral Neuropathy Episode 278: Cancer Symptom Management Basics: Hepatic Complications Episode 269: Cancer Symptom Management Basics: Gastrointestinal Complications Episode 256: Cancer Symptom Management Basics: Hematologic Complications Episode 250: Cancer Symptom Management Basics: Dermatologic Complications Episode 244: Cancer Symptom Management Basics: Cardiovascular Complications ONS Voice articles: Cognitive Impairment Is Much More Than “Chemo Brain” When Delirium Is Recognized and Addressed Early, Patient Outcomes Improve An Oncology Nurse's Guide to Bispecific Antibodies CNS Survivorship Needs More Research, Funding, and Training, Expert Panel Says ONS courses: Essentials in Advanced Practice Symptom Management Treatment and Symptom Management—Oncology RN Nursing Considerations for CAR T-Cell Therapy for Patients With Hematologic Malignancies: Patient Education and Symptom Management ONS books: Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice (second edition) Clinical Manual for the Oncology Advanced Practice Nurse (fourth edition) Core Curriculum for Oncology Nursing (seventh edition) Clinical Journal of Oncology Nursing articles: Associated Toxicities: Assessment and Management Related to CAR T-Cell Therapy Dronabinol Therapy: Central Nervous System Adverse Events in Adults With Primary Brain Tumors Primary Central Nervous System Lymphoma: Treatment and Nursing Management of Immunocompetent Patients ONS Huddle Card: Immune Effector Cell–Associated Neurotoxicity Syndrome (ICANS) American Society of Clinical Oncology (ASCO) Nervous System Side Effects Management of Immune-Related Adverse Events in Patients Treated With Chimeric Antigen Receptor T-Cell Therapy: ASCO Guideline To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “Biotherapy, immunotherapy, and cellular therapy can cause changes in cognitive function and personality, even without other signs of obvious neurotoxicity. Things like cytokines, whether it's infused or as a result of side effects, can bypass the blood-brain barrier and can also alter that vascular permeability to allow other substances to kind of cross the barrier and can also alter your hypothalamic activity.” TS 2:26 “There's definitely an effect on patients who are older. You know, there's less pliability, less ability of their nervous system to sort of rebound from an insult in some cases. And I think there's more exposure. There's more risk of coexisting conditions, things like diabetes or thyroid issues. There's also higher risk of impaired liver and renal function or dehydration or polypharmacy-type things. So I think there's just a lot of sort of inherent risks as people get older and have more coexisting conditions.” TS 5:33 “[Their caregiver says] they used to read all the time—and if you ask the patients, they're like, “Oh, well, I can't focus on the words because they all seem too blurry.” … But when you, if you ask them specifically, “Is your vision blurry?” they'll say no. Then when you really get down to it, that caregiver piece I think is really crucial in this kind of toxicity, because it's the little things that if you catch them when they're little things, then won't lead to big things.” TS 11:00  

In this episode of the Smarter Not Harder Podcast, Dr. Ted Achacoso, a pioneer in Health Optimization Medicine and Practice (HOMe/HOPe), dives into the revolutionary perspective of health as an active, ongoing process rather than simply the absence of disease. *Join us as we delve into:* + The Cell Danger Response (CDR): How it drives our body's reactions to stress, both internal and external. + Multi-omics approaches: The tools (like clinical metabolomics) that uncover imbalances before major diseases manifest. + Evolutionary medicine: Understanding our health needs in the modern world based on how our bodies evolved. + The importance of balance: Fine-tuning nutrition, inflammation, and other key systems for true health, not just feeling "not sick" This episode is for you if: - You're interested in proactive approaches to health and longevity. - You want to understand the cutting-edge science behind optimizing your well-being. - You're frustrated with traditional medical approaches that focus solely on treating symptoms. - You're curious about how your environment, diet, and even mindset influence your health at the cellular level.

“First, you want to refer patients to an eye care provider prior to initiating therapy, and I think communication at this point is really important. You need to tell the eye care provider why they're being referred, what treatment they're getting, the most common ocular toxicities, and also what needs to be done at every visit. They need to do a visual acuity; they need to do a slit-lamp eye exam. And these eye care providers need to know that ahead of time, so they're doing everything at that visit,” Courtney Arn, APRN-CNP, nurse practitioner at the Ohio State University James Cancer Hospital in Columbus, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about ocular toxicities and their management in cancer care. The advertising messages in this episode are paid for by Dartmouth Hitchcock Cancer Center. Music Credit: “Fireflies and Stardust” by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Episode Notes NCPD contact hours are not available for this episode. Oncology Nursing Podcast Cancer Symptom Management Basics series: Episode 244: Cancer Symptom Management Basics: Cardiovascular Complications Episode 250: Cancer Symptom Management Basics: Dermatologic Complications Episode 256: Cancer Symptom Management Basics: Hematologic Complications Episode 269: Cancer Symptom Management Basics: Gastrointestinal Complications Episode 278: Cancer Symptom Management Basics: Hepatic Complications Episode 290: Cancer Symptom Management Basics: Peripheral Neuropathy ONS Voice articles: Oncology Drug Reference Sheet: Mirvetuximab Soravtansine-Gynx Oncology Drug Reference Sheet: Tisotumab Vedotin-Tftv Oncology Drug Reference Sheet: Belantamab Mafodotin-Blmf ONS courses: ONS Cancer Basics™ Essentials in Advanced Practice Symptom Management Treatment and Symptom Management—Oncology RN Symptom Management—Oncology APN ONS books: Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice (second edition) Clinical Manual for the Oncology Advanced Practice Nurse (fourth edition) Clinical Journal of Oncology Nursing articles: Transfusion Reactions: A Case Study of an Ocular Adverse Event During Autologous Transplantation Ocular Graft-Versus-Host Disease After Allogeneic Transplantation Enfortumab Vedotin: Nursing Perspectives on the Management of Adverse Events in Patients With Locally Advanced or Metastatic Urothelial Carcinoma Oncology Nursing Forum article: Ocular Toxicity of Tyrosine Kinase Inhibitors To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode “The most common ocular toxicities that we see with cancer treatments currently are vision impairment, which can include decreased visual acuity or blurred vision. We also see keratopathy or keratitis, very common to have dry eyes, photophobia, eye pain. Sometimes patients can develop cataracts, conjunctivitis, or even blepharitis, which is inflammation of the eyelid.” TS 2:27 “Fortunately, most of the ocular toxicities that develop when being treated with these treatments are short term, and so most of them are reversible. And they actually resolve relatively quickly after stopping treatment that's causing the ocular toxicity. So usually within one to two months, the ocular toxicities have significantly improved or resolved.” TS 4:55 “Sometimes patients come in and you're asking them, ‘Are you having any symptoms, or do you have any blurred vision?' And they'll say, you know, ‘I haven't been able to see my computer as well,' or ‘I've noticed when driving, I can't read the road sign.' And what I really hear often is watching TV, they can't see the scores of sports games at the bottom of the screen.” TS 7:43 “The nurses are very important in this process from the beginning of doing the patient education prior to them starting therapy, helping with the referral process to getting them in, making sure the patients have their eye drops, making sure they know how to use their eye drops, making sure they're aware of the signs and symptoms to be calling and reporting, and then also identifying at their visits, too, if they're having any new symptoms. So they definitely play a heavy, heavy role in this process.” TS 14:22

Join us as we welcome the inspirational Dr. Leila Doolittle, whose expertise in chiropractic care, functional medicine, and integrative neurology brings a fresh perspective on holistic health. Dr. Leila recounts her journey through personal health challenges, including toxic mold exposure and a brain injury, highlighting her pivot to alternative healing practices. She underlines the importance of a well-balanced microbiome and a strong immune system, alongside our brain's ability to adapt and heal through neuroplasticity.Listen in as Dr. Leila champions the holistic optimization of each cell for comprehensive wellness. Her narrative, from overcoming a severe car accident to her professional quest for enduring health strategies, offers invaluable insights for those aiming to address the root causes of health issues. We explore the significance of sleep, Heart Rate Variability (HRV), and the cutting-edge quantum biofeedback technique, their interactions with our brain health and improvement strategies.Beyond brain wellness, Dr. Leila examines the impact of diet and caffeine on our mental state, promoting resilience and balance. She also demystifies the neurological effects of gluten and advocates for patient empowerment through mindful eating and self-awareness. Finally, Dr. Leila offers a glimpse into her morning routine, which underscores the vital link between our daily habits, health, and intuition.Chapters:(00:00) Holistic Health and Functional Medicine(06:34) From Car Accident to Functional Medicine(11:56) Functional Neurology With Positive Outlook(18:36) Understanding Neuroplasticity and Functional Neurology(25:29) Exploring Sleep, HRV, and Quantum Biofeedback(31:33) Understanding Biofeedback and Frequency Measurements(36:29) Functional Neurology and Lifestyle Factors(47:24) Gluten's Impact on Neurological Health(58:18) Morning Routine and Medical IntuitionLinks:Drleiladoolittle.comJoin Over 18,000 Leading Medical Professionals and Become a Vibrant Wellness Provider Today!

In this Complex Care Journal Club podcast episode, Dr. Julie Hauer and Ms. Jennifer Siedman discuss the development of an anticipatory guidance tool for children with severe neurologic impairment called NeuroJourney, an initiative of the Courageous Parents Network. They describe its grounding in palliative care principles and literature, opportunities to support collaborative relationships between clinicians and families, and next steps from this work. SPEAKERS Julie Hauer, MD Pediatrician, Division of General Pediatrics Boston Children's Hospital Medical Director Seven Hills Pediatrics Center Jennifer Siedman, MEd Director of Community Engagement Courageous Parents Network HOST Emily Goodwin, MD Clinical Associate Professor of Pediatrics, University of Missouri Kansas City School of Medicine Pediatrician, General Academic Pediatrics Beacon Program, Children's Mercy Kansas City DATES Initial publication: February 5, 2024. JOURNAL ARTICLE Hauer J, Siedman J, Trager C, Thienprayoon R. NeuroJourney. Courageous Parents Network. Accessed Jan 25th, 2024. https://neurojourney.courageousparentsnetwork.org/ OTHER REFERENCES Thienprayoon, R; Lord, BT; Siedman, J; Hauer, J. Creating a “Journey Map” for Children with Severe Neurologic Impairment: A Collaboration Between Private and Academic Pediatric Palliative Care, Nonprofit Organizations, and Parents. Journal of Pain and Symptom Management. 2023; 65:e270-e271. Orkin J, Beaune L, Moore C, Weiser N, Arje D, Rapoport A, Netten K, Adams S, Cohen E, Amin R. Toward an Understanding of Advance Care Planning in Children With Medical Complexity. Pediatrics. 2020 Mar;145(3):e20192241. doi: 10.1542/peds.2019-2241. TRANSCRIPT https://op-docebo-images.s3.amazonaws.com/Transcripts/Shared+Journeys_+Evidence-Based+Anticipatory+Guidance_020524.pdf Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6 Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Hauer J, Siedman J, Goodwin EJ. Shared Journeys: Evidence-Based Anticipatory Guidance for Children with Severe Neurologic Impairment. 2/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/shared-journeys-evidence-based-anticipatory-guidance-for-children-with-severe-neurologic-impairment

A talk by Thanissaro Bhikkhu entitled "Symptom Management"

Understanding Your Cycle, Managing Symptoms, and Thriving   Welcome to another episode of She Talks Business. In this episode, my special guest, Mackenzie St. Laurent, a menstrual wellness counselor and young entrepreneur, joins in to share how she helps women understand and manage their menstrual health from a holistic perspective.   Shifting the Narrative   Historically, there has been a lack of options when addressing menstrual issues. In our world today, having a holistic approach and an alternative view allows you to have a deeper understanding of the menstrual cycle as an integral part of your overall health.   Understanding the Cycle and Symptom Management   There are different mechanics of the menstrual cycle, which has four distinct phases. These four phases are the menstrual, follicular, ovulation, and luteal phase. You may have heard of a practice called "cycle syncing" that informs your self-care, movement, and nutrition choices. This gives you signs to indicate your need for cycle support and management. Severe cramping, emotional disruption, and changes in your bleeding patterns will be some of those signs.   Self-Care and Emotional Well-Being   There's so much significance in balancing, reflecting, and fully understanding your body. Unpack your feelings and explore them. Regulating your emotions is a huge part of the holistic approach to menstrual wellness.    Seeking Support and Advocacy   If you've ever been diagnosed with menstrual cycle issues, you know the challenges that you face in getting that diagnosis. It takes an average of seven medical practitioners and a decade to receive that diagnosis.  Practitioners who remain curious, willing to listen, and advocate for their patients and their menstrual health and overall well-being can significantly impact someone's life.    If you haven't yet, listen to the episode to learn how to benefit from a holistic approach to your menstrual health. Understanding and managing your menstrual health is crucial to your overall well-being.   What's In This Episode Understanding the menstrual cycle and support The significance of balance and allowing others to care for you. Practical approach to cycle syncing and education Understanding one's body, making informed decisions, and seeking support through coaching programs     What To Do Next Visit lisalarter.com/e140 for all resources from this episode.

  “So much of this is just knowing what is their diagnosis, what medications are they on, what could be the root cause of this—where is their disease to begin with? There's really a lot of differential diagnosis and workup that has to be thought about, you know, when you're dealing with shortness of breath and pulmonary toxicities,” Beth Sandy, MSN, CRNP, OCN®, thoracic medical oncology nurse practitioner at the Abramson Cancer Center at the University of Pennsylvania in Philadelphia, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a discussion about just a few of the pulmonary toxicities oncology nurses may encounter in patients receiving pharmaceutical cancer treatments. This episode is part of a series on cancer symptom management basics; the rest are linked below.  You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below.   Music Credit: “Fireflies and Stardust” by Kevin MacLeod  Licensed under Creative Commons by Attribution 3.0  Earn 0.75 contact hours of nursing continuing professional development (NCPD), which may be applied to the nursing practice, oncology nursing practice, symptom management, palliative care, supportive care, or treatment.ILNA categories, by listening to the full recording and completing an evaluation at myoutcomes.ons.org by January 19, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation.  Learning outcome: The learner will report an increase in knowledge of pulmonary complications from cancer treatment.   Episode Notes  Complete this evaluation for free NCPD.   Oncology Nursing Podcast Cancer Symptom Management Basics series  ONS Voice articles: Pneumonitis With Immunotherapy Treatment Hematologic Cancers Have Higher Long-Term Risk of Clots and Bleeding  Clinical Journal of Oncology Nursing articles: Durvalumab Immunotherapy: Nursing Management of Immune-Related Adverse Events During the Journey of Patients With Stage III Non-Small Cell Lung Cancer Heart and Lung Complications: Assessment and Prevention of Venous Thromboembolism and Cardiovascular Disease in Patients With Multiple Myeloma Chronic Obstructive Pulmonary Disease: Clinical Implications for Patients With Lung Cancer  Oncology Nursing Forum article: Multifactorial Model of Dyspnea in Patients With Cancer  ONS book: Understanding and Managing Oncologic Emergencies: A Resource for Nurses (third edition)  ONS Symptom Interventions and Guidelines™: Dyspnea  To discuss the information in this episode with other oncology nurses, visit the ONS Communities.    To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library.  To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org.  Highlights From Today's Episode  “Your lungs are what is needed to have the gas exchange within your bloodstream. So, when we inhale, we're inhaling oxygen, and we need that gas exchange to occur in the alveoli, which are the tiny, little bubble-like structures within the periphery of the lungs. And they're communicating with tiny, itty-bitty little blood vessels. And that's where the gas exchange occurs, where you get rid of the carbon dioxide from the blood and you get oxygen to the blood. And what ends up happening is there is, for whatever reason it may be, that gas exchange can't occur, and that can result in so many different forms from different toxicities, whether there's an inflammation causing the alveoli not to work correctly, whether there's an obstruction where there's literally something obstructing the air getting into the lungs, or whether there's compression from an external source like a fusion or something like that that is pressing against the lungs where that gas exchange cannot occur.” TS 2:36  “Pulmonary embolism, I'll tell you, is one of the most common things that we see in cancer. As a matter of fact, often patients are diagnosed with cancer because they present with a pulmonary embolism into the E.R. (emergency room) and there's really not a lot of reasons why healthy-otherwise patients develop a PE [pulmonary embolism]. So, we start looking for cancer. So, just having cancer in general puts you in that hypercoagulable state. . . . And then, being on chemotherapy increases that risk.” TS 6:38  “I think we need to really make sure that they're compliant. We need to make sure they're not having bleeding. Are you having significant bruising anywhere? Are you having unprovoked nosebleeds? And by that, I mean, I always tell people, ‘Were you just sitting watching TV and it started dripping?' versus, ‘Oh, I blew my nose and some blood came out.' Okay, well, that is probably pretty common side effect of this and should stop quickly.” TS 12:06  “The problem is the majority of these patients have metastatic disease or an incurable cancer. So, we prefer not to stop it [PE medication] in those patients because if you think about it, their risk comes from the cancer. And we're not getting rid of that if they have metastatic disease. I think for those patients with metastatic disease, as long as they're tolerating it, they're not having bleeding events, we will typically tend to just keep them on it.” TS 13:09  “The main difference with the targeted therapies is it tends to be worse, and it's not something that you can rechallenge. And I think that's kind of one of the most important things to think about here. In immunotherapy, it's like, okay, it's T-cell mediated; we gave you corticosteroids; it calmed itself down. And a lot of times we can rechallenge, and we don't necessarily see it again. Whereas with targeted therapies, you have to be much more cautious. If you look at the package inserts for the EGFR and ALK inhibitors, most of them are going to tell you this is not something you ever rechallenge. Any kind of symptomatic pneumonitis, you're going to permanently discontinue the drug. Because if you give it again, it's going to recur in a pretty bad way, where corticosteroids may not even be helpful again even if you rechallenge them.” TS 17:52  “What can happen in cancer, typically, thoracic cancers—so lung cancer, mesothelioma for sure, thymic cancers like thymomas and thymic carcinomas—often will have pleural effusion or pleural disease as well. But when cancer cells get into that fluid, there's irritation which causes an increase in the amount of fluid there. And then what happens is when that space, that pleural space, is now enlarged with fluid or engorged with fluid, a few things occur here. Patients are short of breath because it's a pressure gradient there. So, you're trying to inhale against this fluid-filled cavity that's making it hard. So, often patients will describe it as it feels like someone's giving you a really tight hug and they won't stop.” TS 21:59  “There is another procedure called a talc pleurodesis, where you can have a procedure where you inject some powder in there that will kind of dry it up. The downside of that is that it kind of fuses the pleura to the lung, so there can be some complications there, some pain, and decreased lung function just from doing that, but it can be an easy fix that you certainly don't want to have an indwelling catheter there.” TS 25:11  “So, patients need to know, if they are short of breath at all, call us; let us know. The other thing that's important is know with their baseline vital signs are, especially their pulse ox. You know, some people, their pulse oximetry may be in the low 90s or upper 80s at baseline. We need to know that because there's a big difference if a patient has, you know, they're living at 99% versus 91% normally. Because if they come in and they live at 99 and they're 91, that's a huge drop. But if they come in and they were 91 to begin with and they're 90, that's not a big difference. So, we really do need to make sure we know what their baseline is before they're starting any treatments.” TS 29:18  “This is not something that you want to downplay. You can't sit there and say, you know, ‘Oh, they smoke a lot, so it's probably that.' Or, ‘They have this type of cancer, so it's probably that.' I think this is something that you have to take shortness of breath seriously, and you have to work up and understand and know your patient. But for the most part, this is not something you're going to just triage to the next day or to a few days later. You're going to need some kind of urgent intervention or workup to be done pretty quickly.” TS 32:54  “I think the biggest misconception is that they can't be treated even if they're severe. Most of these things can be reversed. Part of it is just diagnosing it at first and then going from there and starting the appropriate treatment strategy.” TS 33:29 

“I think educating patients of what can happen and those are the symptoms you're really looking for to decrease this from getting to the severe level is like the sensory stuff. It's kind of your starting point and it progresses from there,” Colleen Erb, MSN, CRNP, ACNP-BC, AOCNP®, hematology and oncology nurse practitioner at Jefferson Health Asplundh Cancer Pavilion in Willow Grove, PA, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a discussion about what nurses need to know about cancer- and treatment-related peripheral neuropathy. This episode is part of a series on cancer symptom management basics; the rest are linked below.  You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below.   Music Credit: “Fireflies and Stardust” by Kevin MacLeod  Licensed under Creative Commons by Attribution 3.0  Earn 0.5 contact hours of nursing continuing professional development (NCPD), which may be applied to the symptom management, palliative care, and supportive care ILNA categories, by listening to the full recording and completing an evaluation at myoutcomes.ons.org by December 15, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation.  Learning outcome: The learner will report an increase in knowledge related to peripheral neuropathy.  Episode Notes  Complete this evaluation for free NCPD.   Oncology Nursing Podcast Cancer Symptom Management Basics series  Clinical Journal of Oncology Nursing articles: Balance and Gait Impairment: Sensor-Based Assessment for Patients With Peripheral Neuropathy  Chemotherapy-Induced Peripheral Neuropathy: Use of an Electronic Care Planning System to Improve Adherence to Recommended Assessment and Management Practices Instruments for Assessing Chemotherapy-Induced Peripheral Neuropathy: A Review of the Literature Extremity Cooling: A Synthesis of Cryotherapy Interventions to Reduce Peripheral Neuropathy and Nail Changes From Taxane-Based Chemotherapy  Oncology Nursing Forum article: Chemotherapy-Induced Peripheral Neuropathy Assessment Tools: A Systematic Review  ONS Symptom Interventions and Guidelines™: Peripheral Neuropathy  American Cancer Society's patient information for peripheral neuropathy  American Society of Clinical Oncology (ASCO) Guideline: Prevention and Management of Chemotherapy-Induced Peripheral Neuropathy in Survivors of Adult Cancers  Multinational Association of Supportive Care in Cancer (MASCC): Neurological Complications  Overview of nursing skills for routine neurologic assessments   To discuss the information in this episode with other oncology nurses, visit the ONS Communities.   To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library.  To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org.  Highlights From Today's Episode  “Our nervous system is sort of divided into three parts. The autonomic nervous system, which is kind of controlled homeostasis, blood pressure, your intestinal motility, things like that. The motor system, which is the efferent system, which is reflexes, muscle strength, sort of your big muscle movements, if you want to think of it that way. And then the sensory system, which is the afferent system, which is really what defines motion.” TS 1:51  “I think patients tend to blow off the mild numbness and tingling because they're just like, ‘Oh, it's just the side effect of my chemo' and they don't realize that that can get progressively worse. So, they tend to not tell you, you know, ‘Oh do you have numbness and tingling? Yeah, I get it every visit.' But they're like, ‘No, no, it's fine. It's just once in a while,' and all of a sudden, two months down the line, they come in and they can't walk as well.” TS 6:53  “Some other disease-related comorbidities, things like diabetes, thyroid disease, there's nutritional deficiencies—like vitamin B is a big one. We tend to check B12, but B1, which is thiamin, can also cause this. Other things like inherited neurologic disease, toxin exposures like alcohol and people with alcohol dependance, infections like HIV and herpes or shingles as we all know it. Cardiac disease, which, you know, peripheral vascular particularly, but other cardiac diseases can do it too. And then medications that people have been on forever, you know, there's a list of like the highly likely ones, things like amiodarone, aminoglycosides, colchicine, hydralazine, metronidazole, linezolid, and statins can actually cause a preexisting peripheral neuropathy or make you more likely to develop it in the duration of your cancer treatment.” TS 9:38  “I think the most important thing for any patient, but specifically when you're looking for peripheral neuropathy is a really good history and review of systems like other medications, any supplements, any comorbidities, any underlying diseases that they may not be treated for yet, or things like that. But a good history can really go a long way in finding out sort of your risk factors.” TS 11:55  “I think nurses knowing how to do a basic neuro exam, you know, we all learn this. But do we actually do it all the time? Probably not. But I think really knowing how to like, you know, can they feel a light touch or a pinprick, test their muscle strength, watch them walk down the hallway and see if it changes over time? Like are they starting to sway a little bit when they walk? Can they get out of the chair without pushing on the handle and using their arms to get up? Things like that really can tell you a lot.” TS 13:36  “Sadly, there's really nothing proven to prevent the development of neuropathy. You know, we know that you can't really catch it before people start having symptoms. Unfortunately, it's really when you start to detect symptoms that you can prevent it from getting to the severe point where it's really impacting their quality of life. And I think the biggest thing is proactive assessment and diagnosing it when it's early and being able to kind of intervene before it gets to the point of debilitating.” TS 16:52  “It can really happen to anyone at any time. And generally, with any drug, not just those ones that it's the tough side effect; it really can affect any drugs. So, assessment is kind of key for everyone.” TS 27:06 

Are you ready to dive headfirst into the world of posture and its profound impact on our overall health and fitness? Our guest, Annette Verpillot, is the visionary founder of PosturePro and a renowned posturalogist. She emphasizes the importance of the brain-body connection in influencing posture and introduces the concept of sensory receptors, including the feet, eyes, and inner ear.   Annette also brings to light the crucial role of the nervous system in understanding the true cause of physical issues and advocates for a holistic approach to healthcare. From the importance of proper alignment to actionable tips for improving your posture, this conversation is a goldmine of knowledge.   Whether you're an athlete, a health enthusiast, or simply looking to feel better in your own skin, this episode is a must-listen. Prepare to be enlightened as we explore the transformative power of good posture with Annette Verpillot.   Connect with Annette on: Website: https://shop.posturepro.co About: https://posturepro.co/annette-verpillot/ Facebook: https://www.facebook.com/PosturePro IG: https://www.instagram.com/posturepro TikTok: https://www.tiktok.com/@posturepro YouTube: https://www.youtube.com/c/posturepro Twitter: https://twitter.com/Posture_pro   Episode Overview: 0:00:00 Annette Verpillot, Founder of PosturePro, talks about the brain-body connection 0:02:39 Importance of Posture and its Connection to Longevity 0:10:43 Awakening to the Limitations of Symptom-focused Treatment 0:13:10 Signs of Mitochondrial Fatigue and Energy Deficit 0:15:53 The Role of Jaw Position in Overall Health and Blood Flow 0:18:11 The Cost of Symptom Management in Healthcare 0:21:02 Gaining a Competitive Edge through Advanced Healthcare Courses 0:23:00 The Power of Proper Body Movement and Nervous System 0:25:40 Posture Correction and Its Impact on Overall Health 0:28:02 Women are made for strength, a different approach from men 0:28:58 Western System Designed for Profit, Not Health 0:30:47 Resistance to Postural Assessment in the Fitness Industry 0:33:24 Importance of Providing Immediate Benefits to Clients 0:36:17 Changing the Game with a Brain-Based Approach 0:38:38 Foot Proprioceptive Drills and Jaw Muscle Massage 0:39:26 Applying Concepts to Animals and Humans 0:48:19 Innovative insoles: flexibility and frequency stimulation 0:49:26 Impact on the vestibular system and muscle activation 0:50:23 Personal trainers can benefit from discounted pricing and perks 0:52:47 Anyone can do it, life-changing results and validation 0:53:53 The Impact of Imbalances on Health and Digestion --- Health Coach Radio is a podcast that dives deep into the world of health and fitness coaching, brought to you by Primal Health Coach Institute, founded by the renowned Mark Sisson. Join your hosts, Erin and Laura, both proud graduates of Primal Health Coach Institute, as they share inspiring stories and expert insights on elevating your coaching practice. If you're curious about transforming your life through the power of health and/or fitness coaching, visit primalhealthcoach.com. Discover the transformative journey of Primal living and explore how Primal Health Coach Institute can empower you to make a real impact on people's lives.

“I think that as oncology nurses, we need to keep ourselves really educated and up to date with these new therapies, because I honestly feel like we still haven't really seen the long-term effects of this treatment,” ONS member Lisa Parks, MS, APRN-CNP, ANP-BC, nurse practitioner in hepatobiliary surgery at The James Cancer Hospital and Solove Research Institute at The Ohio State University Comprehensive Cancer Center in Columbus, told Lenise Taylor, MN, RN, AOCNS®, BMTCN®, oncology clinical specialist at ONS, during a conversation about recognizing hepatic complications and understanding the basics of its symptom management strategies. This episode is part of a series on cancer symptom management basics; the others are linked below.   You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below.   Music Credit: “Fireflies and Stardust” by Kevin MacLeod  Licensed under Creative Commons by Attribution 3.0  Earn 0.5 NCPD contact hours of nursing continuing professional development (NCPD), which may be applied to the disease-related biology, treatment, or symptom management, palliative care, supportive care ILNA categories, by listening to the full recording and completing an evaluation at myoutcomes.ons.org by September 22, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation.22, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation.  Learning outcome: The learner will report an increase in knowledge in cancer symptom management basics and hepatic complications.   Episode Notes  Complete this evaluation for free NCPD.   Oncology Nursing Podcast:  Episode 269: Cancer Symptom Management Basics: Gastrointestinal Complications  Episode 256: Cancer Symptom Management Basics: Hematologic Complications  Episode 250: Cancer Symptom Management Basics: Dermatologic Complications   Episode 244: Cancer Symptom Management Basics: Cardiovascular Complications  ONS Voice article: To Prevent Hepatotoxicity, Monitor Liver Function During Cancer Treatment  Clinical Journal of Oncology Nursing articles:   Checkpoint Inhibitors: Common Immune-Related Adverse Events and Their Management  Identification and Management: Sinusoidal Obstruction Syndrome/Veno-Occlusive Disease Related to Hematopoietic Stem Cell Transplantation  Use of Hepatic Artery Infusion Pumps in the Treatment of Hepatic Metastases  ONS courses:  ONS/ONCC Chemotherapy Immunotherapy Certificate Course  ONS/ONCC Radiation Therapy Certificate Course  ONS books:  Cancer Basics (third edition)https://www.ons.org/books/cancer-basics-third-edition  Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice (second edition)  Manual for Radiation Oncology Nursing Practice and Education (fifth edition)  Clinical Guide to Antineoplastic Therapy: A Chemotherapy Handbook (fourth edition)   American Gastroenterological Association  American Gastroenterological Association Institute guideline on the prevention and treatment of hepatitis B virus reactivation during immunosuppressive drug therapy    To discuss the information in this episode with other oncology nurses, visit the ONS Communities.   To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library.  To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org    Highlights From Today's Episode  “There is something called chemotherapy-induced liver injury. What the chemotherapy does is it has a direct hepatotoxic effect on the hepatocytes themselves. If you have preexisting liver disease such as cirrhosis, it can lead to very severe hepatotoxicity because the function of the liver is already compromised by the damage previously done to it.” TS 3:47  “The American Gastroenterological Association published guidelines on the management of HBV reactivation for patients during immunosuppressive treatment, and they basically do recommend any patients with a hep B virus that they receive antiviral prophylaxis to prevent this reactivation from occurring. Also in 2008, the CDC recommended universal HBV screening for all patients before administering chemotherapy. This one you see most commonly in patients who receive chemotherapy for a hematological cancer following hemopoietic stem cell transplantation.” TS 14:19  “One of the most common things that I've encountered in my practice is that there seems to be a thought that once hepatic complications are identified, there is treatment for this, and in these patients, we can't reverse liver injury. Really, what we offer these patients is supportive care. These patients often can decompensate really quickly, and often these patients may require being transferred to the intensive care unit and it's not because there's any intervention that we're going to do. But I think it's very frustrating for nurses to see these severe liver injuries, that are life threatening, and not to be able to do anything about it.” TS 19:06 

“You don't have to have any musical background to benefit from musical therapy,” ONS member Susan Yaguda, MSN, RN, manager of integrative oncology and survivorship in the Department of Supportive Oncology at the Levine Cancer Institute in Charlotte, North Carolina, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a discussion about how music therapists and oncology nurses collaborate to offer music therapy's benefits to patients with cancer.   You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below.   Music Credit: “Fireflies and Stardust” by Kevin MacLeod  Licensed under Creative Commons by Attribution 3.0  Earn 0.5 contact hours of nursing continuing professional development (NCPD), which may be applied to the Symptom Management, Palliative Care, and Supportive Care ILNA categories, by listening to the full recording and completing an evaluation at myoutcomes.ons.org http://myoutcomes.ons.org/by August 25, 2025. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation.  Learning outcome: The learner will report an increase in knowledge related to the use of music therapy.  Episode Notes  Complete this evaluation for free NCPD.  ONS Voice articles:  What the Evidence Says About Music Therapy for Cancer-Related Fatigue  Music Therapy May Bridge Race-Related Gaps in Cancer Pain Management  Clinical Journal of Oncology Nursing article: Mindful Awareness of Music: A Modality for Symptom Management  Academy of Neurologic Music Therapy  American Music Therapy Association  Association for Music and Imagery  Certification Board of Music Therapists  To discuss the information in this episode with other oncology nurses, visit the ONS Communities.   To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library.  To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org.  Highlights From Today's Episode  “A lot of people have their workout playlist or something that kind of pumps them up before they're going to go play a tennis match or something like that. But in using music in this way, there isn't really a specific therapeutic goal and the relationship in these situations. And while any of us can provide recorded music or live music to patients, certainly our care partners, if we're not trained as music therapists, it just should not be considered or referred to as music therapy.” TS 3:56  “It might be using music to help regulate breath work, to reduce stress and anxiety associated with whatever they're having done in the suite. It can also be used as a distraction.” TS 6:19  “Oftentimes after that point, our patients may be starting to experience some other troubling side effects or symptoms from their treatment or their cancer. The music therapist can help them with better manage those in a supportive way. And this can be done in things like techniques to help them manage pain, techniques to help them maybe destress and get more restful, sleep even.” TS 7:00  “Sometimes using music as that tool helps create the space that does feel even more safe. It's not necessarily having to talk to someone directly, but music is the vehicle for doing that processing work.” TS 15:01  “There is receptive music therapy. So that is basically where the person receiving music therapy is not co-creating music, or writing lyrics, or anything like that, they're just listening. There might just be some paced breathing exercises that are incorporated into this. It tends to be a more repetitive type of cadence to the music that can help create just being in a better zone if they're trying to and bring the anxiety level down.” TS 16:16 

Today I talk with a fellow pharmacist who became a patient going through our healthcare system, desperate for answers and having to advocate for herself from the other side of the treatment counter. We discuss what it takes to stay healthy in today's post-COVID world when so much remains shrouded in mystery, and yet going back to the basics of self-care can still make a difference. Long-COVID symptoms are very real and affect a significant part of the population. As healthcare providers it behooves us to gain a general understanding of the disease so we can be there for our patients and provide them with symptom mitigation strategies. Salam Kabbani is an infectious diseases pharmacy specialist at Olathe Medical Center. She graduated with her doctor of pharmacy degree from California Health Sciences University in 2019 and then went on to complete a PGY1 pharmacy residency at Cleveland Clinic South Pointe hospital. Despite being fully vaccinated at the time, she had a breakthrough COVID infection with the delta variant in August of 2021 which was then followed by a long-COVID journey.  Becoming disabled changed her life in so many ways both good and bad, and she decided to write a memoir detailing her long-COVID journey to raise awareness about the condition, and most importantly to let other long-haulers know that they are not alone and they matter. She is now proudly a patient advocate and believes in spreading empathy through honest and open communication. Her book “COVID Long-Hauler: My Life Since COVID” is available in print, ePub, and audiobook and can be found on Amazon. Connect with Salam via: www.authorsalam.com   LinkedIn: linkedin.com/in/salamkabbani Instagram: @longhaulerchronicles / @theunabridgedlifeofsalamacita

Don't let the limitations of our current medical system hold you back from achieving optimal health. Join me and Dr. Jeffrey Bland, a PhD, a scientist, and a world-renowned researcher and leader in personalized medicine and functional medicine, for an insightful discussion on how functional medicine can help you go beyond just managing symptoms. Discover how eliminating what's bogging down your immune system can improve your health with functional medicine. Today's episode stresses the importance of an individualized approach to healthcare that focuses on preventative care and treating the root cause of illnesses, rather than just managing symptoms with pharmaceuticals. Functional medicine has the potential to revolutionize healthcare by providing a more personalized, root-cause-based approach to medicine. By focusing on prevention and addressing the underlying causes of disease, functional medicine can help to reduce healthcare costs and improve patient outcomes. Learn how functional medicine can help you take control of your health, even in a stressful world where getting the right information and implementing it can be challenging. The future of healthcare is moving towards a more preventative and personalized approach, and Dr. Bland is at the forefront of this movement.   Key Takeaways: 00:01:55 Limitations of current lab profiles and the need for a more holistic approach 00:06:40 Dr. Jeffrey Bland's work in functional medicine 00:09:00 Functional medicine focuses on fully capable health 00:10:35 Tools to quantify physical, metabolic, cognitive, and behavioral function 00:13:30 Functional medicine controversy and financial incentives system 00:21:45 Personalized Medicine Institute and Big Bold Health  00:24:10 Success of a hospital system based on love and respect as the driving force 00:27:15 A better understanding of the immune system  00:29:05 Big Bold Health's focus on immune system rejuvenation 00:31:30 The Immunity Solution 00:33:05 Importance of immune rejuvenation for pre-autoimmunity for women 00:38:40 Importance of gut health and microbiome rejuvenation for proper gut immune function Links Mentioned In This Episode The Immunity Solution Website: https://theimmunitysolution.com/ Institute of Functional Medicine Website: https://www.ifm.org/ Big Bold Health Website: https://bigboldhealth.com/ Big Bold Health Instagram: https://www.instagram.com/bigboldhealth/ Dr. Jeffrey Bland Website: https://jeffreybland.com/ Memorable Quotes "We're preventing heart disease. We're preventing cancer, we're preventing dementia. Those are all meritorious objectives. But if you ask a person earlier in their life, what are the reasons that they're really interested in health, it's not actually to prevent the absence of a disease, it's to function at a high level.” [00:09:09] - Dr. Jeffrey Bland "I think that the functional medicine movement is part of a broader movement of enlightenment, of people like yourself that are saying, we can only claim that this world is not as we want it to be. If we're not doing all we can to make it better." [00:23:11] - Dr. Jeffrey Bland   To learn more about me, and to stay connected, visit the links below: Website: The Girlfriend Doctor Instagram: The Girlfriend Doctor  

Welcome to part 3 of our discussion on functional medicine, lab testing, and chronic symptom management from a Whole-Hearted Eating Approach! In this episode we discuss how when you're dealing with chronic symptoms or labs that are out of range, doctors place a huge emphasis on removing everything inflammatory – foods, lifestyle factors, etc. So...

In Episode #245, I'm joined by endocrinologist and clinical researcher Professor Susan Davis, AO. In this detailed exchange – taking place over more than two hours – Professor Davis shares the best practice guidelines for managing menopause. You will learn from a world-leading expert about sex hormones, the physiological changes underpinning menopause, signs and symptoms of peri-menopause/menopause, the struggles of menopause, medical and lifestyle interventions for managing menopause (including hormone therapy), testosterone and sexual desire, the beautiful side of menopause, and plenty more. "One of the – dare I say – more sinister symptoms that women often do not relate to menopause is anxiety." Professor Susan R Davis AO*,* is Director, Monash University Women's Health Research Program and an NHMRC Senior Research Fellow; Consultant Endocrinologist and Head, Women's Endocrine Clinic, Alfred Hospital Melbourne; and consultant at Cabrini Medical Centre. Her research spans from basic science to clinical trials, and has been pivotal in the understanding of sex hormones in women across the lifespan in multiple non-reproductive target tissues, including the brain (cognition, mood, sexual function), cardiovascular system (lipids, vascular function, and coagulation), and other tissues (fat, muscle, joint cartilage, and bone). Specifically, we cover: Intro (00:00) Understanding Menopause: Communication and Misconceptions (06:00) Hysterectomy and its Impact on Menopause (10:48) Medical Consultation during Menopause: Is it necessary? (15:48) In-Depth Discussion on Menopause Symptoms and Phases (18:03) Menopause as a Part of the Aging Process (28:28) Hormones and Reproduction during Menopause (30:47) Women's Experiences and Body Changes during Menopause (33:10) Estrogen and Sex Hormones during Menopause (48:20) A Proactive Approach to Menopause: Starting Early for Symptom Management (49:10) Guidelines for Managing Menopause (1:04:31) Hormone Replacement Therapy (HRT) (1:13:28) HRT and Breast Cancer Risk (1:24:30) HRT Medications: Guidelines and Recommendations (1:26:50) The Trustworthiness of Big Pharmaceutical Corporations (1:45:35) Breast Cancer and Menopause Medications (1:55:12) The Funding of Menopause Research (1:58:00) Testosterone Therapy in Menopausal Hormone Treatment (2:00:10) Empowering Menopausal Women: Their Continued Contributions to Society (2:18:55) Outro (2:19:40) To connect with Professor Davis, you can find her on Twitter @SRDwomenshealth. Read her published work here, and make sure to check out the resources below for more useful information on this topic. Discover more insights and supporting studies in the full show notes. Enjoy, friends. Simon Want to support the show? The best way to support the show is to use the products and services offered by our sponsors. To check them out, and enjoy great savings, visit theproof.com/friends. You can also show your support by leaving a review on the Apple Podcast app and/or sharing your favourite episodes with your friends and family. Simon Hill, MSc, BSc (Hons) Creator of theproof.com and host of The Proof with Simon Hill Author of The Proof is in the Plants Watch the episodes on YouTube or listen on Apple/Spotify Connect with me on Instagram, Twitter, and Facebook Nourish your gut with my Plant-Based Ferments Guide Download my complimentary two-week meal plan and high protein Plant Performance recipe book

What is psoriasis. How is it related to other skin issues like eczema, acne, and Rosacea. What is causing the body to overproduce skin cells as a protective measure. What lab tests likely need to be ordered to see immune disfunction and root causes. Topical treatments that help manage symptoms vs. addressing root cause. Are the skin issues the first sign of future issues if the problem is not resolved? What is the role of gut health in healing skin issues? To learn more, please go to https://rapidhealthreport.com Connect with our guests: Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram Dan Garner on Instagram