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FRUITFUL FERTILITY | Holistic fertility support, Trying to conceive, Fertility coaching
Maybe it's been months. Maybe it's been years. And in this season, it's taken longer than you thought — and now the negative thoughts are creeping in. In this episode, you'll learn how to break free from the pregnancy announcement comparison trap, the exact question to ask God that will change how you approach your fertility, and why waiting on His timing doesn't mean doing nothing at all. Grab Rise & Source in the show notes and get instant access to the Conception Connection. Full show notes + resources: [link to blog post on fruitfulfertilityco.com] (00:00) Intro — When the Wait Feels Longer Than You Expected (01:07) A 41-Year-Old's Positive Pregnancy Test After 2 Months on Rise & Source (02:15) Why You Need to Ask God for Confirmation Over Your Fertility (The Gideon Story) (05:29) Breaking Free From the Pregnancy Announcement Comparison Trap (07:51) How to Be Your Own Fertility Advocate (What Letrozole Actually Does) (10:16) Why You Can't Miss God's Timing for Your Baby (12:32) Waiting on God Doesn't Mean Doing Nothing — Faith Has Footsteps (14:51) Choosing the Right Fertility Community Over Isolation (17:10) Why Your Baby Can't Become Your Idol (19:33) Recap + Next Steps Top Listener Questions Answered: Can waiting too long to get pregnant mean I missed God's timing? How do I stop comparing my fertility journey to other people getting pregnant? Keywords: Christian fertility, trying to conceive, get pregnant naturally, unexplained fertility struggles, natural fertility support Unexplained Infertility Breakthrough Masterclass Free masterclass Grab the Low Progesterone Playbook Get it here Shop my favorite fertility boosting supplements Rise + Source Let's work together: Work with me DM me on Instagram: @fruitfulfertilityco
Lately, my kids have been watching a lot of TV. More than I'd like to admit. And for a while, I let myself spiral about it. What kind of mom lets her kids zone out on screens all day? What is that doing to them? But then I caught myself, because I've learned that there's a difference between self-confronting and shame-spiraling. And, once I stopped the shame-spiral, I reminded myself that our family is going through a hard time right now, and if some extra screens are going to support us through it, that's not the end of the world. What our home needs most right now is compassion. My kids need an extra dose of compassion, and so do I. That's what gets us through hard times. This week's episode is a recording from a small group coaching call I did back in 2019, with about twenty women who were in the thick of hard seasons with their kids. We talk about how to support your kids through struggles, and how you can support yourself, too. In this episode, you'll hear:
This Sunday, Dr. John Mann, our Executive Pastor of Finance and Administration, brings a timely and encouraging message from 2 Corinthians 4 titled “Things to Remember During Challenging Times.” In seasons of hardship, discouragement, and uncertainty, it's easy to lose heart—but God's Word reminds us of truths that anchor our faith. Together, we'll explore the ministry we've received, the treasure we carry, the message we proclaim, and the eternal hope that keeps us moving forward. Don't miss this hope-filled message that will encourage you to persevere with confidence, knowing that God is at work even in life's most difficult seasons.
Carly took the reigns in this chat, and it is a great reminder to not overwhelm yourself whether you are just starting to find your fitness lifestyle or you've been working out for years. Lots of good tips here…and of course some laughs along the way! Can't get through a chat without some jabs and jokes. We hope this helps you continue to make positive choices for yourself ..it certainly was a great reminder for us as well! Watch and chat with us each week on YouTube. Don't forget to Subscribe & Like! ————If you want to workout with us, at home or in person, check us out www.CFITfitness.com We would love to have you join the CFIT Community :)Follow us for updates, inspiration, and ridiculousness!F2BR Insta: https://www.instagram.com/fittoberealpodcast/ CFIT Insta: https://www.instagram.com/cfitfitness/CFIT Facebook: https://www.facebook.com/cfitfitness/CFIT Tik Tok https://www.tiktok.com/@cfitfitness?lang=enWatch us on our Youtube Channel! https://youtube.com/@fittoberealpodcast?si=mPS5PgKAkiFt7_pGEmail us! FITtobeRealPodcast@gmail.com**For legal reasons we have to tell you that this podcast is meant for entertainment and educational purposes only. we are not health care professionals. For all of your health, wellness, fitness, and self-care needs please refer to the medical professional in your life. Your primary care physician, your therapist, a certified coach whoever it may be…and then let us know what they say because I guarantee we need to know it too, ok?! okbye.
SUPPORT ANGE'S 777 CHALLENGE HERE: https://asf.org.au/campaigns/parkrun/bravehearts-marathon-777--powered-by-parkrunIn this final episode before the 777 Challenge begins, Ange shares the ten things she wants to remember before stepping onto the start line: that she doesn't have to prove anything, that this journey began with a simple yes, that community and generosity have carried her here, and that being present and grateful matters more than chasing a finish time. She reflects on the nerves, the excitement, the people behind the challenge, and why Bravehearts and parkrun mean so much to her. This episode is a heartfelt reflection on what the journey has already taught her and a reminder that the real success of the 777 Challenge isn't just seven marathons—it's courage, connection, and showing up for something bigger than yourself.Follow Ange on Instagram, Facebook and TikTok @startupandrunning_au, or email at ange@startupandrunning.com.au Follow Peta on Instagram @petanutrunner Spoil yourself or the runner in your life with running accessories from our favourite Aussie running companies (affiliate links):TARKINE - https://www.tarkine.com/ANGELA16836 - use code ANGELA16836 to get 20% off your orderRECC Active - https://reccactive.com.au?sca_ref=6940308.wKkVRKj9Do2 - use code STARTUP15 to get 15% off your orderRUNLY - https://runly.com.au/startupandrunning - use code STARTUPANDRUNNING to get 25% off your orderVERT NUTRITION - https://vertnutrition.com.au - use code STARTUP to get 15% off your orderON PEAK HATS - https://onpeakhats.com.au - use code STARTUP15 to get 15% off your orderRELE FOOTWEAR - https://relefootwear.com.au - use code STARTUP15 for 15% off your orderRE GLASSES -https://reyourrun.com.au?bg_ref=yD1l6ayuTe - use code STARTUP10 for 10% off your order
When God doesn't answer your prayers the way you hoped, will you still trust that His plans are better than your own?
GRIEF 3 Things to remember when comforting someone in grief
GRIEF 2 Things to remember when comforting someone in grief
Things to remember when comforting someone in grief
GRIEF 2 Things to remember when comforting someone in grief
Things to remember when comforting someone in grief
Sunday Morning Service - 5/24/2026Church websitehttps://www.biblebaptistcc.com/Listen and Subscribe to our Podcasthttps://anchor.fm/bbcpreachingpodcast
Sunday Morning Service at Nazareth Community Church with Pastor Mike Shoaf
Hi Friends! Most resistance to decluttering comes down to three things. And the more we can notice when they arise the more they lose their power. It's all about awareness. Listen to this episode to find out what they are. ➡️ For The 8-Hour Decluttering Plan, click HERE. ➡️ If you would like more information about my guided decluttering program email me at amber@declutteryourchaos.com or click HERE. ➡️ Download my free decluttering planner here: https://declutteryourchaos.com/decluttering-planner Let's connect:
Declutter Your Chaos - Minimalism, Decluttering, Home Organization
Hi Friends! Most resistance to decluttering comes down to three things. And the more we can notice when they arise the more they lose their power. It's all about awareness. Listen to this episode to find out what they are. ➡️ For The 8-Hour Decluttering Plan, click HERE. ➡️ If you would like more information about my guided decluttering program email me at amber@declutteryourchaos.com or click HERE. ➡️ Download my free decluttering planner here: https://declutteryourchaos.com/decluttering-planner Let's connect:
It's a long one today, enjpy!
Fantasy Football show for Mar 5, 2026. One of the most important episodes of the year! Andy, Mike, and Jason reveal their biggest lessons learned from last season. Draft tips & trade advice for the 2026 fantasy football season and dynasty leagues! Manage your redraft, keeper, and dynasty fantasy football teams with the #1 fantasy football podcast. Connect with the show: Subscribe on YouTube Visit us on the Web Support the Show Follow on X Follow on Instagram Join our Discord Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Parents, welcome to the most exhausting, rewarding, often confusing, many times frustrating, but often fun job you will ever have! Parenting isn't for cowards (as James Dobson said decades ago). It is absolutely overwhelming on many days, but you must know that you are not alone! God gives instruction and encouragement in His word. If you are a parent, a grandparent, or if you just deal with children—this podcast episode is for you! You'll be encouraged as you listen to know that in the midst of all the overwhelming things you face, you can find the strength and help you need in Christ!
"This I recall to my mind, therefore have I hope. It is of the Lord's mercies that we are not consumed, because his compassions fail not. They are new every morning: great is thy faithfulness" (Lamentations 3:21-23).
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3917: Marc Chernoff explores the quiet, powerful influence of self-talk and how our inner stories shape everything we do. Through ten deeply reflective truths, he shows how insecurity can be both a challenge and a compass, guiding us toward growth, authenticity, and greater self-awareness. Read along with the original article(s) here: https://www.marcandangel.com/2015/11/18/10-things-to-remember-when-you-feel-unsure-of-yourself/ Quotes to ponder: "The story you tell yourself is the story you live by." "Your greatest beauty is completely out of sight in shallow social interactions." "The biggest critic lives in YOUR perception of people's perception of you (not people's perception of you)." Episode references: Impostor Syndrome Overview – APA: https://www.apa.org/gradpsych/2013/11/fraud Rainer Maria Rilke's Letters to a Young Poet: https://www.amazon.com/Letters-Young-Poet-Rainer-Maria/dp/0486422453 The Dunning-Kruger Effect: https://www.psychologytoday.com/us/basics/dunning-kruger-effect Learn more about your ad choices. Visit megaphone.fm/adchoices
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3917: Marc Chernoff explores the quiet, powerful influence of self-talk and how our inner stories shape everything we do. Through ten deeply reflective truths, he shows how insecurity can be both a challenge and a compass, guiding us toward growth, authenticity, and greater self-awareness. Read along with the original article(s) here: https://www.marcandangel.com/2015/11/18/10-things-to-remember-when-you-feel-unsure-of-yourself/ Quotes to ponder: "The story you tell yourself is the story you live by." "Your greatest beauty is completely out of sight in shallow social interactions." "The biggest critic lives in YOUR perception of people's perception of you (not people's perception of you)." Episode references: Impostor Syndrome Overview – APA: https://www.apa.org/gradpsych/2013/11/fraud Rainer Maria Rilke's Letters to a Young Poet: https://www.amazon.com/Letters-Young-Poet-Rainer-Maria/dp/0486422453 The Dunning-Kruger Effect: https://www.psychologytoday.com/us/basics/dunning-kruger-effect Learn more about your ad choices. Visit megaphone.fm/adchoices
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3917: Marc Chernoff explores the quiet, powerful influence of self-talk and how our inner stories shape everything we do. Through ten deeply reflective truths, he shows how insecurity can be both a challenge and a compass, guiding us toward growth, authenticity, and greater self-awareness. Read along with the original article(s) here: https://www.marcandangel.com/2015/11/18/10-things-to-remember-when-you-feel-unsure-of-yourself/ Quotes to ponder: "The story you tell yourself is the story you live by." "Your greatest beauty is completely out of sight in shallow social interactions." "The biggest critic lives in YOUR perception of people's perception of you (not people's perception of you)." Episode references: Impostor Syndrome Overview – APA: https://www.apa.org/gradpsych/2013/11/fraud Rainer Maria Rilke's Letters to a Young Poet: https://www.amazon.com/Letters-Young-Poet-Rainer-Maria/dp/0486422453 The Dunning-Kruger Effect: https://www.psychologytoday.com/us/basics/dunning-kruger-effect Learn more about your ad choices. Visit megaphone.fm/adchoices
"This I recall to my mind, therefore have I hope. It is of the Lord's mercies that we are not consumed, because his compassions fail not. They are new every morning: great is thy faithfulness" (Lamentations 3:21-23).
If you've ever ended a day feeling like nothing went according to plan, like you dropped every ball you were trying to juggle, or like you somehow failed at taking care of yourself even though you tried, this episode is for you. In this episode, I'm sharing a very honest heart-to-heart about those heavy days when motivation is low, energy is gone, and life feels overwhelming. I walk you through three grounding reminders I personally come back to when I feel stretched thin or disappointed in myself, along with simple, practical ways to steady yourself in the moment and keep moving forward without guilt or pressure. This conversation is about perspective, grace, and learning how to stay connected to your goals without tying your worth to perfect days or productivity. Here is what you will learn: • Why one hard day, week, or even month does not undo the progress you've already built • How unrealistic expectations quietly create feelings of failure • The difference between failing and simply being human • Why your worth has nothing to do with your output or consistency • Simple grounding tools to use when you feel overwhelmed • How to refocus on your deeper "why" during tough seasons • A gentle reminder for moms navigating survival-mode days If this episode resonated, you may also enjoy: Episode 280: 10 Truths About Your Self-Worth https://www.juliealedbetter.com/embrace-your-real/10-truths-about-your-self-worth If you want more from me, be sure to check out… Follow me on Instagram: @juliealedbetter | @embraceyourreal | @movementwithjulie Movement With Julie | App: https://sale.movementwithjulie.com/ Macro Counting Made Simple Online Academy: https://www.macrocountingmadesimple.com/ Website: www.juliealedbetter.com
Practical wisdom and encouragement for those dealing with painful experiences, especially when we did not personally create them; drawn from the experience of Job, David, and other characters in Scripture. To support this ministry financially, visit: https://www.oneplace.com/donate/1213/29?v=20251111
Discover four life-changing truths from the apostle Paul that will transform how you handle difficult seasons. This powerful message explores 2 Timothy 4:9-13, where Paul shares personal reflections about three men whose stories reveal essential principles for spiritual growth and resilience.
Practical wisdom and encouragement for those dealing with painful experiences, especially when we did not personally create them; drawn from the experience of Job, David, and other characters in Scripture. To support this ministry financially, visit: https://www.oneplace.com/donate/1213/29?v=20251111
This episode is for you if you are walking into the new year feeling a mix of gratitude, exhaustion, hope, and maybe a little disappointment that things did not go perfectly. Instead of trying to become a whole new person on January 1, we talk about gently releasing the pressure, shame, and all-or-nothing mindset that weighs you down, so you can actually build a year that fits your real life. Julie walks through five things to let go of that quietly sabotage your progress, and five truths to hold onto so you feel grounded, supported, and clear on how to move forward. This is about stacking small wins, building trust with yourself again, and remembering that starting over is not a sign of failure, it is proof you are still in it. Here is what you will learn: • Why staying stuck in "wishing" mode blocks the real change you want • How extreme all-or-nothing overhauls quietly backfire on your brain and body • A healthier way to approach weekends so they do not undo your rhythm from the week • What it really means to let your effort match your expectations • How to define what "healthy" means for you in this season of life • A simple way to rebuild self trust with one small habit at a time If this conversation encouraged you as you head into a new year, you may also enjoy: 5 New Year's Resolution Mistakes + How to Avoid Them If you want more from me, be sure to check out… Follow me on Instagram: @juliealedbetter | @embraceyourreal | @movementwithjulie Movement With Julie | App: https://sale.movementwithjulie.com/ Macro Counting Made Simple Online Academy: https://www.macrocountingmadesimple.com/ Website: www.juliealedbetter.com
This episode is designed to encourage you and give you some things to consider as you prepare to enter into a new season and/or a new year! As women after God's heart, let's seek to be intentional with our time and our talents in 2026. ALL-IN-ONE HOMEMAKER'S PLANNER (INSTANT DOWNLOAD) If you're ready to step into the new year with a little more peace and clarity at home, this 2026 Christian Homemaker Planner was created for you. It's a monthly and weekly home management calendar designed to help you stay organized while being gently encouraged by Scripture along the way. Inside, you'll find: *Dated (Includes US Holidays & Observances) *Yearly Goal Setting Template *Yearly Events *Monthly Meal Plan Template (every month) *Monthly Goals Sheet (every month) *Monthly Calendar *Monthly Bible Verse *Weekly Planner with Habit Tracker *Daily Gratitude & Priorities Section *Cleaning & Routines Templates *Favorite Recipe Templates *Gardening Tracker *Reading List Tracker *Monthly Weight Tracker *Savings Tracker *Passwords Tracker *Notes Pages ALL-IN-ONE HOMEMAKER'S PLANNER (INSTANT DOWNLOAD)
Supporting your people doesn't have to be complicated. In this episode, Ben shares four key reminders leaders often forget. He explains why these fundamentals matter more than dramatic leadership techniques and how thoughtful leaders can use them to build trust and stability. Ben draws from coaching conversations and real workplace examples to help you support your team with confidence. Resources mentioned in this episode: How to Lead Effectively as a People Pleaser Make the Most of Motivation Models in Your Team Too Busy at Work? Try These Five Things Gallup StrengthsFinder assessment PRINT Assessment 16Personalities.com Episode 130: One-on-one Meetings Thoughtful Leader Coaching - work with Ben 1:1.
If you hate your job, then you will want to listen to today's episode. I share with you 5 things that you must remind yourself of regularly, that will help change your perspective on the job that you work.
If you hate your job, then you will want to listen to today's episode. I share with you 5 things that you must remind yourself of regularly, that will help change your perspective on the job that you work.
It's time to set sail into the Sea of Monsters for Percy Jackson and the Olympians season 2! We have our spoiler free review of the two-episode premiere, some things to remember about season 1 AND exclusive interviews with the cast and creator Rick Riordan!Liked this episode? Support the show: https://www.patreon.com/bePatron?u=44878998INSTAGRAM: https://www.instagram.com/abiteofpod BLUESKY: https://bsky.app/profile/abiteofpodcast.bsky.socialTWITTER: https://twitter.com/ABiteOfPod THREADS: https://www.threads.net/@abiteofpod YOUTUBE: https://www.youtube.com/@ABiteOfPodWEBSITE: https://www.abiteofpod.com/ DISCORD: https://bit.ly/461OOcfHosts: Derek Ivie and Noah ReedFor business inquiries please contact abiteofpod@gmail.com(00:00) - Intro(01:22) - Season 1 Things To Remember(04:00) - Season 2 Premiere Spoiler Free Review(14:19) - Cast InterviewsInterviews feature: Walker Scobell (“Percy Jackson”) Leah Sava Jeffries (“Annabeth Chase”), Daniel Diemer (“Tyson”), Aryan Simhadri (“Grover Underwood”), Charlie Bushnell (“Luke Castellan”), Dior Goodjohn (“Clarisse La Rue”), Author / Co-Creator / Executive Producer Rick Riordan
Version 1.0.0 Things To Remember Before I Forget: My Plan for My Care by Niki Tucker, Jenna Tucker Things to Remember Before I Forget is a journal for people on the path of aging who seek a more comfortable, happy life. By identifying options that reflect your individual desires, this book empowers you to create a plan of care on your own terms. If you or a loved one are dealing with a diagnosis of dementia, this journal also offers prompts to record the things that are most important to you, along with your preferences for care, so there will be no need for guesswork when it is time for the family or a care partner to assist you. Written by Niki and Jenna Tucker, a mother and daughter team with more than twenty-three combined years of experience working in the field of senior care and memory care, Things to Remember Before I Forget is a thoughtful companion to help you achieve the best quality of living in the later stages of life.
4 Things To Remember In The Dark by Rick Godwin
Bro. Andrew Patten 09.24.25
Bloom where you're planted. Easy to say when you're planted in the middle of a flourishing garden. But what happens when you're planted in a crack in the middle of the sidewalk? Greg challenges us with 5 things to remember during broken seasons of our lives. ________________________________________________________________________________________________ Look for HOPE is Here: - at www.HOPEisHere.Today - on Facebook - https://www.facebook.com/HOPEisHereToday - on Instagram - https://www.instagram.com/hopeisherelex/ - on X (Twitter) - https://www.x.com/hopeisherelex - on TikTok - https://www.tiktok.com/@hopeisherelex - on YouTube - https://www.youtube.com/channel/UCtJ47I4w6atOHr7agGpOuvA Help us bring HOPE and encouragement to others: - by texting the word GIVE to 833-713-1591 - by visiting https://www.hopeisheretoday.org/donate #Lexington #Kentucky #christianradio #JesusRadio #Jesus #WJMM #GregHorn #GregJHorn #suicideprevention #KentuckyRadio #HOPEisHere #Hope #HopeinJesus #FoodForThoughtFriday #MondayMotivation #FridayFeeling #Motivation #Inspiration #cupofHope #FYP #ForYouPage #SuicideAwareness
When most of us addicts wash up on the shores of recovery to say we've lost our way seems a gross understatement. The bottom has usually fallen out from under our lives. We feel utterly lost and painfully alone. The world we knew is gone and no new world has arrived to take its place. We need a map to orient us and a guide to help us find our way home.This is the world Jungian analyst Dr. James Hollis describes in his book “Living Between Worlds: Finding Personal Resilience in Changing Times.” It's likely an all too familiar world to most of us addicts. Hollis says not only are we lost, but the religious structures and cultural belief systems that supported yesterday's lost souls seem out of reach for many of today's men and women.The series describes this lost-world and how to access the “Inner Resilience” needed to find our way home. This episode draws on three major lessons Hollis learned over his many years of practicing and teaching depth psychology.Show notes:Living Between Worlds: Finding Personal Resilience in Changing Times by James Hollis, PhD.Robert Johnson's, Inner WorkThe Power of Two Way Prayer
Okay, let's be honest… Some days, your body just feels... off. The jeans don't fit right. A photo catches you off guard. And suddenly, you're in a full-on spiral, questioning your progress, your worth, and whether anything you're doing is working. If you've been there (or you're there right now), this episode is for you. I'm walking you through five mindset shifts to keep in your back pocket for those low-confidence days, the ones where nothing feels quite right. These aren't surface-level affirmations. These are truth-based reminders that actually help reframe the way you show up for your body. Inside this episode, you'll hear: Why loving your body has nothing to do with loving how it looks What confidence is really rooted in (hint: it's not your size) How to unlearn the body shame you've picked up over the years Why care rooted in respect lasts longer than motivation rooted in self-criticism And why how you feel in your body will always matter more than how it looks in the mirror This is the episode to come back to whenever you feel disconnected from your body, discouraged by your progress, or just need a reminder that you don't have to be perfect to be confident. And if this episode speaks to you, I know you'll also love Episode 462: 4 Verses For When You Struggle With Body Image (Part 1) If you want more from me, be sure to check out… Follow me on Instagram: @juliealedbetter | @embraceyourreal | @movementwithjulie Movement With Julie | App: https://sale.movementwithjulie.com/ Macro Counting Made Simple Online Academy: https://www.macrocountingmadesimple.com/ Website: www.juliealedbetter.com
Does paying off debt feel impossible? Well, it's not. You just need to remember that small wins add up and that you need a community of supportive women cheering you on. Come join our amazing community of women just like that are on the journey–even with–life's ups and downs. Try out Money Success Club for just $1! Sign up here ➡️ https://leads.budgetsmadeeasy.com/msc-membership-1-trial-offer
Cultivating H.E.R. Space: Uplifting Conversations for the Black Woman
Lady! We know that not only are we living in interesting, unprecedented times but we're also just living our regular lives and sometimes life be lifin'. Life is beautiful, abundant, and generous but it can also be raggedy, harsh, and tough. As much as we love being a part of the toolkit that helps keep you uplifted, you know that we always keep it real. That's why this week Dr. Dom and Terri offer their grounded perspective about how to handle life when life is being a hot, ghetto mess.Adulting is often fun and wonderful. There are days as an adult when ice cream for breakfast is a thing because you're grown. But, for the days when the laundry is piling up, the bills are due, the internal monologue is putting you through the ringer, the deep pain within is spilling out, you're sick, or you're just tired it's easy to feel overwhelmed and like you're getting it all wrong. Fear not, Terri and Dr. Dom offer ten truth bombs to help you keep everything in perspective as you get up and figure it out – like you always do! Adulting is often described as a series of responsibilities and actions that one takes to be a functioning member of society. But, this week Dr. Dom and Terri remind you that often adulting is finding the tools to complete those mundane tasks to satisfaction when life doesn't feel good. So, grab your Cultivating H.E.R. Space latte mug (find it and more in the Cultivating H.E.R. Space shop), fill it with your favorite cozy beverage, and allow this episode to be the warm hug, kiss on the cheek, or pat on the back for getting through the patches when life feels hard. Lady, no matter what's going on keep your chin up and remember that we're rooting for you! 10 Things to Remember When Adulting Gets Ghetto1. Crying doesn't mean you're losing — It means you're releasing 2. You're not weak — you're carrying a lot right now 3. Just because you're alone doesn't mean you're not supported 4. It's okay to miss people who are no longer in your life 5. Your ancestors would be so proud of you 6. It's normal to grieve the life you thought you'd have by now 7. You are always worthy of love, even when you think you're a mess 8. You're allowed to rest, even If nothing's done 9. Your dream isn't too big — It's just being built on divine timing 10. Everything is going to be okay — even if it doesn't look like it yetQuote of the Day:"Adulting is realizing that you have to take charge of your life, even when it's hard." – Unknown Goal Map Like a Pro WorkbookCultivating H.E.R. Space Sanctuary Resources:Dr. Dom's Therapy PracticeBranding with TerriMelanin and Mental HealthTherapy for Black Girls Psychology TodayTherapy for QPOC Where to find us:Twitter: @HERspacepodcastInstagram: @herspacepodcastFacebook: @herspacepodcastWebsite: cultivatingherspace.comBecome a supporter of this podcast: https://www.spreaker.com/podcast/cultivating-h-e-r-space-uplifting-conversations-for-the-black-woman--5470036/support.
RE-RELEASE This was first published in 2023 but it's so good we are running it back! Buckle up, PGY-1's! Intern year is starting whether you're ready or not. Don't fret, BTK has your back to make sure you dominate the first year of residency. Today, we're hitting the wards and tackling some of the scary clinical scenarios you will see as an intern. Hosts: Shanaz Hossain, Nina Clark Tips for new interns: THINGS TO REMEMBER · BREATHE. In most cases, you have a little bit of time – at least enough to take a breath and calm down outside the room before heading into an emergency. Panic doesn't help anybody. · See the patient. Getting a bunch of pages? Worried about someone? Confused as to what's going on? Go see the patient and chat with the bedside team. · Know your toolbox. There are a ton of people around who can help you in the hospital, and knowing the basic labs/imaging studies and when to use them can help you to triage even the sickest patients. · Load the boat. You've heard this one from us all week! Loop senior level residents in early. HYPOTENSION · Differential: measurement error, patient's baseline, and don't miss – SHOCK. - Etiologies of shock: hemorrhagic, hypovolemic, · On the phone: full set of vitals, accurate I/Os, · On the way: recent notes, PMH/PSH including from this hospital stay, and vitals/I&Os/studies from earlier in the day · In the room: ABCDs – rapidly gives you a sense of how high acuity the patient is · Get more info: labs, consider imaging, work up specific types of shock based on clinical concern. · Initial management: depends on etiology of hypotension; don't forget to consider peripheral or central access, foley catheterization for close monitoring of urine output, and level of care HYPOXEMIA · Differential: atelectasis, baseline pulmonary disease, pneumonia, PE, hemo/pneumothorax, volume overload · On the phone: full set of vitals, amount of supplemental oxygen required and delivery device, rate of escalation in oxygen requirement · On the way: review PMH/PSH, known injuries (known hemothorax/pneumothorax? Rib fractures? Chest tubes in already?), risk factors for DVT/PE, review I/Os for evidence of volume status, vitals and labs for evidence of infection · In the room: ABCDs, pulmonary and cardiac exam, volume status exam · Get more info: basic labs, ABG if worried about oxygenation, CXR, consider bedside US of the lungs/heart, if high suspicion for PE consider CTA chest · Initial Management: supplemental O2, higher level of care, consider intubation or other supplemental oxygenation adjuncts, additional management dependent on suspected etiology · ABG Vs VBG (IBCC): https://emcrit.org/ibcc/vbg/ ALTERED MENTAL STATUS · Differential: stroke, medication effect, hypoxemia or hypercarbia, toxic or medication effect, endocrine/metabolic, stroke or MI, psychiatric illness, or infections, delirium · On the way: review PMH/PSH, recent notes for evidence of altered mentation or agitation, or signs hinting at above etiologies · In the room: ABCDs, focal neuro deficits?, alert/oriented? Be sure the patient's mental status is adequate for airway protection! · Get more info: basic labs, blood gas/lactate, CT head noncontrast if concerned for stroke. · Initial management: rule out above; if concerned about delirium, optimize sleep/wake cycles, pain control, and lines/drains/tubes. OLIGURIA · Differential: prerenal due to hypovolemia or low effective circulating volume, intrinsic renal disease, post-renal obstruction · On the phone: clarify functional foley or bladder scan results, full set of vitals · On the way: review PMH/PSH, known injuries (known hemothorax/pneumothorax? Rib fractures? Chest tubes in already?), risk factors for DVT/PE, review I/Os for evidence of volume status, vitals and labs for evidence of infection · In the room: ABCDs, confirm functioning foley catheter · Get more info: basic labs, urine electrolytes, consider fluid challenge to evaluate responsiveness, consider adjuncts including renal US · Initial management: typically consider IVF bolus initially, but if patient not volume responsive, don't overload them -- look for other etiologies! TACHYCARDIA · Differential: sinus tachycardia (pain, hypovolemia, agitation, infection), cardiac arrhythmia, MI, PE · On the phone: full set of vitals, acuity of change in heart rate, updated I/Os · On the way: Review PMH/PSH, known cardiac history, cardiac and PE risk factors, volume resuscitation, signs concerning for infection, updated I/Os · In the room: ABCDs, cardiac/pulmonary exam, evaluate for any localizing signs for infection · Get more info: basic labs, EKG, consider CXR, troponins · Initial management: depends heavily on etiology Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our new how-to video series on suture and knot-tying skills – https://behindtheknife.org/video-playlists/btk-suture-practice-kit-knot-tying-simulator-how-to-videos/
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