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Did you know you can support The Rumcast on Patreon now and get bonus episodes, happy hours, and more? You can! Head to patreon.com/therumcast to check it out.You can watch the video version of this episode on YouTube.In this episode, we sat down with the founder and distiller behind one of the most interesting rum projects in the U.S. right now, Robyn Smith of rum et al., a chemical engineering PhD turned rum distiller.The premise behind Rum Et Al is simple but fascinating. Robyn started with a foundational, always-available rum she named Baseline. She's since released batches in which she introduces a "variable" to the Baseline recipe, such as dunder. This allows you to taste the exact differences that the variable brings to the flavor profile when tasted side by side. If you're a rum geek, it's a really cool tasting experience.During the episode, we discussed:How she went from chemical engineering PhD to rum distillerHer experience in R&D for Lost Spirits DistilleryHow rum et al. came to beAll the nerdy rum production detailsThe joys and challenges of being a one-woman operationCongeners vs. estersHow ester measurements translate to flavor profileWhat we might see from her nextAnd much more!Be sure to check out her YouTube channel, This Blog's Neat! These videos about her rum et al. releases are a great place to start:How Baseline Was MadeHow Variable (Dunderclap) Was MadeHow Variable (Tailspin) Was MadeHave you had a chance to try Robyn's rum? What stood out to you in the conversation? Let us know via email (host@rumcast.com) or social!
Are you prepared for others to take care of your loved one? Do you have a care plan in place? Having a comprehensive care plan is one of the most important tools a caregiver can create — not just for emergencies, but for everyday peace of mind. We are Sue Ryan and Nancy Treaster. As caregivers for our loved ones with Alzheimer's and other types of dementia, we've learned the importance of creating a care plan for our loved one. We spoke with Amanda Lukoff, co-founder and CEO of Eleplan, about what a care plan is and how to create one that works for your unique situation. Amanda's journey to creating Eleplan was deeply personal. Her brother Liam, who has autism, is her "North Star" and the inspiration behind her career path, including going to law school for special education law. Through observing her parents' caregiving journey with Liam, Amanda recognized the need to capture all the knowledge that lived in her parents' heads so that others could provide care that truly honored who Liam is as a person. Connect with us and share your tips: Website: https://www.thecaregiversjourney.comDonate: https://give.cornerstone.cc/thecaregiversjourneyInstagram: https://www.instagram.com/thecaregiversjourney/Facebook: https://www.facebook.com/TheCaregiversJourneys/Linkedin: https://www.linkedin.com/in/suearmstrongryan/, https://www.linkedin.com/in/nancytreaster/Email: sue@thecaregiversjourney.com, nancy@thecaregiversjourney.com Additional Resources Mentioned Episode 32: Navigating The Caregiver Hiring Process https://thecaregiversjourney.com/32-navigating-the-caregiver-hiring-process-five-essential-tips-alzheimers-and-other-dementias/Eleplan Website: https://www.eleplan.com/Support the nonprofit The Caregiver's Journey: https://give.cornerstone.cc/thecaregiversjourney Full Show Notes https://thecaregiversjourney.com/33-how-to-create-a-care-plan-five-essential-tips-alzheimers-and-other-dementias Takeaways Tip 1: Start with the Basics The first step in creating a care plan is to document the essential information that would allow someone to provide short-term care (even for just 30 minutes) while you step out. This includes: Emergency contactsMedications and dosagesHigh-level meal preferencesAllergiesRelevant medical conditions Tip 2: Outline Preferences and Daily Routines Beyond the basics, a good care plan should capture what makes your loved one unique—their preferences, personality traits, and daily routines. Your care plan should include: Likes and dislikesDaily schedule and routinesBedtime and morning ritualsBehavioral patternsEmotional triggers (both positive and negative) Tip 3: Document What to Do in an Emergency Crisis situations demand clear instructions. Your care plan should outline: What constitutes an emergency for your loved oneWhen to call 911 vs. other resourcesWho to contact and in what orderSpecial instructions for EMTs or ER staffLocation of important medical documents Tip 4: Collect Key Contacts and Documents Gathering important documents in one accessible location is critical for seamless care. This includes: Insurance cardsHealthcare directivesPower of Attorney documentsGuardianship formsMedical history and medication lists Tip 5: Keep Everything Accessible and Current A care plan is only effective if it's up-to-date and easily accessible. Amanda frames this with an important question: "Do I have a system that is as dynamic as the needs of my loved one and the ever-changing piles of documents and information?" Whether you're using a physical binder, shared digital documents, or a specialized platform like Eleplan, the key is having a system that makes updates easy and ensures the information is available whenever and wherever it's needed. Read More in This Blog
When you travel, have you ever though about how you can leave a place better than you found it? Today's episode features Susanna Shankar, AKA Sooz, from Curiosity Saves Travel, who joins Stevie for a discussion on the idea of regenerative tourism.Show Notes ⬇️ Published on 12/13/24 Timecodes0:00 - Intro2:34 - What the Term Regenerative Tourism Actually Means6:19 - How Long has the Concept of Regenerative Tourism been Around?9:27 - The Core Principals of Regenerative Tourism13:25 - The Differences Between Sustainable Travel and Regenerative Travel17:57 - A Closer Look at Examples of Regenerative Tourism 21:26 - Can Regenerative Tourism Help to Diminish Overtourism Issues?22:59 - It Takes Everyone Involved to Make Regenerative Tourism Happen24:15 - Regenerative Travel Tips for Travelers29:37 - Responsibility as it Relates to Regenerative Tourism30:47 - Final Messages on Regenerative Tourism31:55 - How to Choose a Regenerative Destination33:08 - Stay Connected with Curiosity Saves Travel35:02 - Susanna Shankar is a Student of Travel Follow Along with This Blog from Curiosity Saves TravelWhat is Regenerative Tourism 101: Tips and Everything Travelers Need to KnowFollow Curiosity Saves Travel onFacebookInstagramThreads LinkedInExplore Group Experience to Learn how to Build your Travel Tribe
Whether it's a tiny town with mining history like Silver Plume or a college town like Boulder, you can find stunning scenery, fun outdoor activities and unique history in the communities that are in close proximity to the Mile-High City. Katie Chavez from The World on my Necklace travel blog sits down with Stevie to talk about some of the fascinating towns that aren't too far from Denver.Show Notes ⬇️ Published on 12/6/24 Timecodes0:00 - Intro2:17 - What Made Katie Put Together A Blog Post About Towns Near Denver?2:58 - Boulder, CO4:23 - Idaho Springs, CO6:15 - Golden, CO8:50 - Morrison, CO10:43 - Silver Plume, CO12:32 - Fort Collins, CO14:04 - Stay Connected with The World on my Necklace15:31 - Katie Chavez is a Student of Travel Follow Along with This Blog from The World on my Necklace11 Mountain Towns Near Denver You Have To Visit (1 Hour or Less)Follow The World on My Necklace onFacebookPinterestInstagramExplore Group Experience to Learn how to Build your Travel Tribe
“We've both had ‘that' trip — the last trip that you take when you decide we're not traveling ever again with our care receiver. Or, as we like to say, it's the trip after the last trip you should have taken!” We are Sue Ryan and Nancy Treaster. As caregivers for our loved ones with Alzheimer's and other types of dementia, we've learned travel decisions require careful consideration. Through our experiences, and what we've learned from support groups and others on their journeys, we've developed four important tips to help you decide whether you and your care receiver should stay home or go on what could be ‘that' trip. See Full Show Notes here Rate, Subscribe and Share Your Tips on Social Media! Please click here to review, follow or subscribe to our podcast. If you don't see your preferred platform click on Podchaser and click at the bottom “Write my review” You can log in with Twitter, Facebook or Google On the right you'll see a box with “Follow”, “Rate and Review” and “Share” Connect with us and share your tips: Website: https://www.thecaregiversjourney.com Instagram: https://www.instagram.com/thecaregiversjourney/ Facebook: https://www.facebook.com/TheCaregiversJourneys/ Linkedin: https://www.linkedin.com/in/suearmstrongryan/, https://www.linkedin.com/in/nancytreaster/ Email: sue@thecaregiversjourney.com, nancy@thecaregiversjourney.com Additional Resources Mentioned These resources contain affiliate links so we may receive a small commission for purchases made at no additional cost to you. Fidget blanket here Takeaways Tip 1: Pre-test Travel Readiness Key points: Test longer car rides (at least an hour round trip) Try interstate driving if that will be part of your journey Experience crowds and noise if those will be present Test unfamiliar environments Pay attention to any existing signs of travel difficulty. Tip 2: Evaluate All Trip Components Key points: Assess sleeping arrangements and bathroom accessibility Consider the need for quiet space Evaluate support options at the destination Think about familiarity with locations Listen to your inner voice about the decision — is this the wisest choice? Tip 3: Plan Comprehensively Key points: Minimize advance information to avoid overwhelming your care receiver. Pack comfort items: Fidget blankets Familiar snacks Favorite music and headphones Photo books Familiar entertainment (DVDs, etc.) 3. Plan around normal routines: Meal times Sleep schedule Best times of day for different amounts of activity 4. Prepare for emergencies: Take IDs and insurance cards Bring extra medications Pack legal documents Consider anti-anxiety medication options Share detailed itinerary with family members Have your emergency contact information easy to find on your care receiver and in case something happens to you. Tip 4: Prepare Others Key points: Explain current abilities and challenges Provide conversation guidance Demonstrate proper approach techniques Give permission for others to opt out if they're not comfortable Show grace toward those processing their own emotions Read More in This Blog here
As caregivers for our loved ones with Alzheimer's and other types of dementia, we've learned that shaving, trimming nails, brushing teeth and trimming hair - what we're calling personal care - can become challenging. These challenges often arise around the same time as bathing and dressing difficulties. How we provide support for our loved one will vary based on whether they stay at home during their journey or move into a care community. Not surprisingly, personal care is an area where many tips can be provided! Through our experiences, what we've learned from support groups, and others on their journeys, we've developed four initial areas of tips to help you and your care receiver with their personal care. Rate, Subscribe and Share Your Tips on Social Media! Please click here to review, follow or subscribe to our podcast. If you don't see your preferred platform click on Podchaser and click at the bottom “Write my review” You can log in with Twitter, Facebook or Google On the right you'll see a box with “Follow”, “Rate and Review” and “Share” Connect with us and share your tips: Website: https://www.thecaregiversjourney.com Instagram: https://www.instagram.com/thecaregiversjourney/ Facebook: https://www.facebook.com/TheCaregiversJourneys/ Linkedin: https://www.linkedin.com/in/suearmstrongryan/, https://www.linkedin.com/in/nancytreaster/ Email: sue@thecaregiversjourney.com, nancy@thecaregiversjourney.com Additional Resources Mentioned These resources contain affiliate links so we may receive a small commission for purchases made at no additional cost to you. Electric razor For men here For women here Oral swabs here Electric hair trimmers here Full Show Notes https://thecaregiversjourney.com/personal-care-four-essential-tips-alzheimers-and-other-dementias/ Takeaways Understanding Personal Care Challenges in Dementia Care Tip 1: Mastering the Art of Shaving Transition to an electric razor as early as possible. Begin your support by prompting and supervising, gradually inserting yourself into the process. Try shaving when your care receiver is calm, possibly after meals or during naps. Aim to shave men's facial hair at least every other day to prevent discomfort from longer hair. For women, transition to electric razors for safety. Women also tend to become comfortable with letting their body hair grow. As early in their diagnosis as possible, get a thorough dental examination. If there is any dental work that's important to be completed, do it while they still understand and can participate. Consider transitioning to a dentist specializing in disabilities. If possible increase dental visits to every three months. Start by reminding your care receiver and supervising their tooth brushing. Gradually take over the process - for example, begin by handing them their toothbrush, transition to handing them their toothbrush with toothpaste on it, then transition to beginning to brush their teeth. Use a soft-bristled toothbrush and less toothpaste to prevent swallowing. Consider using disposable oral swabs with mouthwash for additional cleaning. Tip 4: Hair Care and Trimming Take photos of the hair style your loved one has. If they color their hair, talk about keeping it colored or letting it become their natural color. There are hair stylists who will come to your home instead of you having to go into a salon. Consider transitioning to easier-to-manage hairstyles. Learn basic haircutting techniques or ask their stylist to teach you. For women, longer hair in a soft bun might be easier than short styles. Personal care trimmers are very helpful for both men and women for eyebrows, hair in the ears and nose. Read More in This Blog here
Welcome to today's episode of 'AI Lawyer Talking Tech,' where we delve into the latest advancements and trends reshaping the legal landscape. From workflow management tools enhancing efficiency in mid-sized law firms to LexisNexis's acquisition of Henchman and its unconventional marketing flair, we're exploring how legal technology is revolutionizing operations and strategies. We'll also discuss new AI-driven marketing platforms, groundbreaking legislation on social media regulation for children, and the innovative 'Panel of AI Experts for Lawyers' software. Stay tuned as we unpack these exciting developments and their implications for the future of the legal industry. Workflow Management: A big advantage for mid-size and small law firms21 Jun 2024Legal FuturesLexisNexis to buy…Brazilian butt lift jokers21 Jun 2024Roll On FridayNY Gov. Kathy Hochul signs bill banning ‘addictive' social media feeds for kids, the first in the nation20 Jun 2024Yahoo.comFirmPilot: $7 Million Raised To Provide Law Firms With AI-Driven Marketing21 Jun 2024Pulse 2.0Panel of AI Experts for Lawyers: Custom GPT Software Is Now Available20 Jun 2024EDRMAutomation Comes to Our Litigation Nation with James Lee20 Jun 2024HB Litigation ConferencesA Cool New Feature of This Blog, If I May Say So Myself20 Jun 2024LawSitesAI Watch: Global regulatory tracker - Turkey20 Jun 2024JD SupraAI Watch: Global regulatory tracker - Kenya20 Jun 2024JD Supra‘Access DOJ' initiative aims to help veterans, citizens obtain justice20 Jun 2024Federal TimesRevolutionize Your Contracts with AI Software20 Jun 2024TopTut.comThe Tokyo District Court Holds an Artificial Intelligence System Cannot Be an Inventor Under Japanese Patent Law20 Jun 2024Jones DayHighlights from the DOJ's recent competition & AI workshop20 Jun 2024Hogan Lovells
Ocular migraine | AOAD&D Alignments Explained + Character Examples + How to ChoosePennsylvania Family Vacation Destination | Hershey, PAThe White Lotus - WikipediaHome - NetflixThe Gods Must Be Crazy - WikipediaTaskPaper – Plain text to-do lists for MacDrafts | Where Text StartsEditorial for iOSUNC-Chapel Hill shooting: Graduate student charged with murder of associate professor | CNNStudents criticize the University of North Carolina's response to an active shooter emergency - POLITICOParents concerned after E. coli outbreak at Calgary daycares | Calgary Herald506. Kids on Lawns Irrigated With Water Containing Pathogenic E. coli — Risky or Not?Footage from Barcelona-bound Delta flight that was forced to return to Atlanta shows aftermath of passenger's horrific bout of diarrhea that caused ‘biohazard issue' | Daily Mail OnlineFood Safety Talk 37: Inoculating the Plane — Food Safety TalkSeinfeld - The Car Reservation - YouTube47: Peanut Butter Fingering — Risky or Not?Top Four - Relay FMRutgers Researchers Debunk ‘Five-Second Rule': Eating Food off the Floor Isn't Safe | Rutgers University5 Food Safety Tips an Expert Wants You To Know | Well+GoodOfficials solve bread poisoning incident in Portugal that sickened more than 200 | Food Safety NewsGrocery Stores Alarmed by Spinach Giving Customers HallucinationsSimultaneous quantification of ergot and tropane alkaloids in bread in the Netherlands by LC-MS/MS - PubMedSalem Witch Trials Culprit Again | USUWhat's Happening with This Blog? - David GumpertFood Safety Talk 53: Raw Milk Hamsterdam — Food Safety TalkFood Safety Talk 55: Damn Ignorant PhDs — Food Safety TalkFermented Vegetables: Creative Recipes for Fermenting 64 Vegetables & Herbs in Krauts, Kimchis, Brined Pickles, Chutneys, Relishes & Pastes: Christopher Shockey, Kirsten K. Shockey: 0787721860693: Amazon.com: BooksFermented & Acidified Vegetables Bibliography : USDA ARShttps://www.foodprotection.org/files/food-protection-trends/Jun-11-Nummer.pdfNational Center for Home Food PreservationPruno - WikipediaAmbrook ResearchThe Food Section | Hanna Raskin | Substack
I've been promising to cover natural dyeing techniques for a while now, and I've made good on that promise with this episode! I got to speak to a talented and experienced natural dye expert, Amy Taylor. A practitioner and teacher based in Chicago, Amy shares so much information in this extended episode of CYT. We go into the history and techniques, plus she busts some myths and tells us some fun stories of her experiences dyeing fabric with natural substances. If you ever had any questions about this topic, this episode is for you! Ms Amy Taylor website HERE and Instagram @msamytaylor. Amy's first natural dye teacher was Akemi Cohn who can be found HERE. The teacher Amy had in Oaxaca, Mexico is Elsa Sanchez Diaz. I couldn't find a direct contact for her, but you can find some wonderful pictures of her and her dye workshops on THIS BLOG. One is Amy's favourite natural dye substances is cochineal which makes an incredible, rich fuchsia colour (pictured below). Amy's most popular products are the tie dyed briefs undies (pictured below), found HERE. A collaboration with designer Goli June Bridal resulted in stunning silk robes using the bundle dyeing technique using onion skins (pictured below), found HERE. Gasali Adeyemo, Indigo dye expert HERE. Michel Garcia, sustainable dye practice HERE. Maiwa, natural dye supply store HERE. Botanical Colors, suppliers and educators with Feedback Friday HERE. Amy is also inspired by the following dyers, makers and organisations: @thedogwooddyer @silk&tulle @birdy_sew_obsessed @lauracastro.co @ecotone.threads @slowstitches.co @jamiebourgeois @allweremember @wearethreaded
Amazon is likely the front-runner for NFL Sunday Ticket [source]. The NFL may ask for up to $2.5 billion per year for the package, a source said. I expect to see more of the major technology/digital companies (Amazon, Facebook, Google, Apple, Twitter and Netflix) snag the rights to major sporting leagues. It'll be tough for traditional media outlets to compete with the deep pockets of technology. Do you have duplicate content on your website? If you have similar content on multiple pages or content that's eerily similar from elsewhere on the web, this can negatively impact your site rankings on Google. I wrote a blog on the complete guide to duplicate content. Facebook recently announced Facebook glasses, in conjunction with Ray-Ban [learn more]. The glasses can take photos, record video, answer phone calls and play podcasts. Google failed with smart glasses so it'll be interesting to see if Facebook can succeed. I did love THIS TWEET which mocked Facebook for choosing Mark Zuckerberg to be the model to introduce these glasses. As a marketer, I love good cringe worthy, good old fashion local television advertisements. I was in Kansas City this past weekend and came across this gem of a commercial for a local personal injury lawyer, Tarzan the Lawman [view commercial]. While some may balk at the ads, they are memorable and must work. I saw billboards all over the city for this firm and they were spending major dollars on television ads. As for their website, well I think I know someone who can help spruce things up :) The other week in my email blast, I talked about how BNPL (Buy Now Pay Later) is exploding. Square announced it had acquired AfterPay. Shortly thereafter, it was announced that Amazon and Affirm entered a partnership. Well, the stock is up another 25% after reporting 71% revenue growth and strong guidance [read CNBC Story]. eCommerce accounted for 65% of William-Sonoma's total revenue [source]. Prior to the pandemic, eCommerce accounted for less than 30% of sales in the furniture category. William-Sonoma's stock has more than tripled since the pandemic lows [view here]. Do you want to drive more traffic to your site from qualified prospects? I have a tip for you [watch my video]. Jot down the 10 most popular questions you get asked by your customers. Write a 750-100 word blog post answering each of these questions. Post each blog onto your site. Start using this blog as sales collateral when your customers call again asking these questions. The beauty of this strategy is you'll likely get new customers from people who search for these exact questions on Google. When we build a new website or optimize a site for SEO, the first thing we look at is the URL Structure. Think of a URL Structure similar to house. Both need a strong foundation to avoid future issues and set you up for future success. I wrote THIS BLOG on creating the optimal URL Structure for SEO.
As homeschooling parents, we have to overcome many obstacles and hurdles, to provide out children with the education and lifestyle we want for them. When you first begin, one of the biggest barriers to home education, is dealing with naysayers. In those beginning months and years of home education, many of us are fragile. The slightest bump in the road can shatter our confidence and leave us questioning our decision to homeschool. And so, when people around us find fault in our homeschooling, it can send us into a negative spiral, of self-doubt and shame. This Blog-post may contain affiliate links. Please see Disclaimer for more information. So what do you do when someone tells you that you shouldn't homeschool your children? In episode 34 of the Raising Mums podcast, I discuss how to deal with naysayers, in a way that will leave you feeling empowered, rather than ashamed. WATCH THIS VIDEO! https://youtu.be/s8MZIq3BGYs The key to dealing with naysayers is to identify if they are truly coming from a place of concern, or simply feeding their own ego. In both situations, put yourself into their position and respond with love and compassion. This doesn't mean that you can't stand up for yourself. If you are being mistreated, you must! But do it with compassion, and you will leave the situation feeling more empowered, and confident in your decision to home educate your kids. Related: Homeschooling | When you don't have enough time! Our Lovely Sponsor This episode of Raising Mums was brought to you by Miraj Stories! You can save up to 25% off on this Islamic app for children aged 4-9, with an exclusive Discount Code just for Our Muslim Homeschool fans! It includes Islamic audiobooks, picture books, songbooks and games. It’s Halal and there are NO ADs! Alhumdulillah! Miraj Stories is such an EASY way to incorporate Islamic learning into your child’s homeschooling! They are currently offering a 7 day FREE TRIAL, so give it a go! CLICK HERE to GET 25% OFF Miraj Stories! https://mirajstories.com/ourmuslimhomeschool/ I'll be back again for another episode of Raising Mums, on Sunday 21st February 2021 at 4pm GMT, LIVE on Facebook and Instagram, insha'Allah. This time, I'll be discussing, How to Educate Children Under 5 at Home! See you then! Peace and Love, @import url(https://fonts.googleapis.com/css?family=Open+Sans:400,400italic,700,700italic); .ml-form-embedSubmitLoad{display:inline-block;width:20px;height:20px}.ml-form-embedSubmitLoad:after{content:" ";display:block;width:11px;height:11px;margin:1px;border-radius:50%;border:4px solid #fff;border-color:#fff #fff #fff transparent;animation:ml-form-embedSubmitLoad 1.2s linear infinite}@keyframes ml-form-embedSubmitLoad{0%{transform:rotate(0)}100%{transform:rotate(360deg)}}#mlb2-1752390.ml-form-embedContainer{box-sizing:border-box;display:table;margin:0 auto;position:static;width:100%!important}#mlb2-1752390.ml-form-embedContainer button,#mlb2-1752390.ml-form-embedContainer h4,#mlb2-1752390.ml-form-embedContainer p,#mlb2-1752390.ml-form-embedContainer span{text-transform:none!important;letter-spacing:normal!important}#mlb2-1752390.ml-form-embedContainer .ml-form-embedWrapper{background-color:#f6f6f6;border-width:0;border-color:transparent;border-radius:4px;border-style:solid;box-sizing:border-box;display:inline-block!important;margin:0;padding:0;position:relative}#mlb2-1752390.ml-form-embedContainer .ml-form-embedWrapper.embedDefault,#mlb2-1752390.ml-form-embedContainer .ml-form-embedWrapper.embedPopup{width:400px}#mlb2-1752390.ml-form-embedContainer .ml-form-embedWrapper.embedForm{max-width:400px;width:100%}#mlb2-1752390.ml-form-embedContainer .ml-form-align-left{text-align:left}#mlb2-1752390.ml-form-embedContainer .ml-form-align-center{text-align:center}#mlb2-1752390.ml-form-embedContainer .ml-form-align-default{display:table-cell!important;vertical-align:middle!
See all the Healthcast's at https://www.biobalancehealth.com/healthcast-blog/ Doctor lingo is often confusing to those patients who don't work in the medical profession, and even to some of us who work in medicine, so I believe it is important to translate some of the phrases your doctor uses when explaining why he or she has chosen a particular treatment plan for you. This Blog addresses what your doctor means when he chooses a treatment plan based on the Standard of Care or the Guidelines written by his particular specialty group. These two terms are often misleading and often following guidelines or Standard of Care is an excuse for doing less than excellent care or even out of date care! Read on to understand how to interpret these phrases when choosing the best medical treatments for you or your family. Over 25 years ago I decided to offer my help to patients who were injured and to doctors who were being sued without merit, by becoming an expert witness. My husband is an attorney and I had always gotten many requests to review medical records for his attorney friends to determine whether a doctor had treated a patient with neglect or had injured a patient secondary to an act of malpractice. Before engaging in this endeavor, I sat down with my husband and asked some necessary questions about what a patient could sue over and what a doctor could use to defend herself if she were sued without merit. He taught me that doctors are held to a standard that is called the “standard of care” and if he or she fell below that level of care then she (let's call all doctors “she” for this blog since I am a woman doctor) would be held negligent if there was lasting damage to a patient. To my surprise he defined the medical standard of care as the lowest level of care or the least a doctor could do when caring for a patient. Prior to this time, I had thought “standard of care” meant the best care a doctor or nurse can give a patient; however, the name is misleading and is meant to protect doctors from lawsuits and to defend doctors working in indigent and rural areas where they have very few tools and tests to use to diagnose and treat patients. Needless to say, that day I changed how I used the term “the standard of care!”, and how I viewed the care I gave to my patients. When planning a procedure or a treatment, If your doctor tells you he is following the standard of care you should let her know that you understand that that is the minimum she can do, and that you want the best care possible for your problem, if it is available the most accurate testing and treatment possible. By letting them know, that you KNOW, you understand the lingo they are using and that you want to receive the best care, you are likely to have a much better outcome than if the bare minimum is done for you. An example is often seen in the emergency room when a female patient comes in with urinary symptoms: painful urination, trouble passing urine, and back pain. The standard of care is to get a urine specimen and if there is blood in the urine, and white blood cells the standard of care would be to send the urine off for culture and treat the patient with antibiotics. However, these symptoms are often the sign of a kidney stone, or a renal tumor. A simple Xray can usually find kidney stones, or an ultrasound of the kidneys can diagnose dilation of the kidneys that would indicate an obstruction of the ureters like a stone or a tumor. Positive tests would lead to more diagnostic procedures and negative would solidify the diagnosis of a urinary tract infection. The Xray and or Ultrasound would be above the standard of care, but not all hospitals have a radiologist on call to do these tests outside of normal business hours. Another test that is above the standard of care is a culture of the cervix for chlamydia, a sexually transmitted disease that can scar fallopian tubes and cause infertility. An above minimal care test would be to also culture the cervix for chlamydia so that the patient could be made aware of an STD so her partner can be treated as well as receive appropriate treatment for Chlamydia. The chlamydia test would be above the standard of care but is also a necessary test in sexually active women to prevent infertility and should be done! The term Standard of care is also the phrase used by politicians who want to cut your access to expensive treatments and diagnostic procedures. When politicians who are supported by the wealthy insurance industry, or when political agencies like the CDC and NIH create a standard of care for all of America it is based on spending as little money as possible to serve the greatest number of people, NOT for the health and welfare of individual Americans. Beware when anyone including politicians, lawyers and doctors start using standard of care as a goal of treatment instead of the lowest common denominator of treatment. You and I want the best care for ourselves and our family that our insurance, or Medicare will pay for and sometimes to get the best doctors or treatments we have to pay out of pocket as well, however the second misleading term that can cause us to be treated inferiorly is the “Medical Guidelines” of our medical specialty groups. Let me tell a story about being board certified in a specialty such as mine, OBGYN. In 1999 the guidelines from the American College of OBGYN, ACOG, our national organization that sets treatment guidelines for doctors who care for women, gave a national recertification test in Dallas, TX. Hundreds of doctors sat in a large room and took a 6-hour written test that was supposed to test us to see if they were good enough doctors to be board certified in our specialty. All of the practicing OBGYNs had already been certified but a retest was necessary every 10 years at that time. We all studied the guidelines that listed the tests necessary to provide the lowest standard of care to be a member of ACOG, but the problem was the guidelines were at least 10 years out of date, and if a doctor read the research and practiced the way we should, at the most advanced level of practice, then they would fail the test because it was behind the times! For example, I had been treating PMS for women successfully for a decade with natural progesterone nightly during the second half of the menstrual cycle, and the research had come out that said it was a psychiatric disease, but in fact it was a REAL disease! ACOG was so behind the times that they were wrong about the Diagnosis as a disease at all! On the test the question was, “Is PMS a real condition?”. The right answer for the test was NO, but the correct answer was YES! The college of OBGYN was behind in its guidelines and teaching of residents by a decade! PMS had been acknowledged as a disease years before the test and those of us who practiced up to date medicine were marked wrong on this question as many others like it. I was the victim of another outdated “guideline” that ACOG published in 1988 during my oral boards. I was a few years out of residency when a 5 man panel of OBGYNs quizzed me about the surgeries I had done over the past year. I had done quite a few ovarian cyst removals and ovarian removals through the laparoscope, which was the new (about 7 years old at the time) way to remove ovaries and cysts without making a big incision in a woman's abdomen, and I had been taught in residency and continued to work with general surgeons to hone my skills with the laparoscope when I took this test. I actually was failed because I was “ahead of my time” and used the laparoscope “too much”. When I asked them how much was enough, they had no answer! The guidelines had not changed with the practice of my specialty! Now, most ovaries and ovarian cysts are treated that way! Laparoscopic surgical technique had not been accepted into the guidelines yet, in 1988, but the research and practice had been around almost a decade! Last but not least is the fact that there are always very old, retired and obstinate men at the top of the medical specialties who do not accept the new way of doing things until they are already being done by everyone! If you are ahead of your time and treat patients with much more than the standard of care you are penalized! I view the medical specialties a large leviathan that can't turn quickly so is often behind the curve. When trying to communicate with your doctor please ask for all the options available for your problem..not just medications but procedures too. I had to see a cardiac physiologist because I have had atrial fibrillation for the last decade and it was getting worse. I finally needed a procedure to stop it, an ablation. II did my homework and knew there was a one-day procedure that did not require premedication with a poisonous drug that I am allergic to, so I knew it was possible to have this procedure with one day in the hospital and no premedication. When I saw the first doctor, he told me I would have to be in the hospital on a drug (in the same family as the one I am allergic to) for 3 days ahead of time and 2-3 days after the procedure. I asked him if there was any other way to do this, and he said no. Then I knew he was lying! I asked him if he did the procedure by using a balloon that froze the pulmonary vein in an hour or so, or a radio wave that took 5-7 hours under anesthesia. He told me the only way he did it was the radio wave because it was “safer”. In fact, my extensive research revealed that the less time under anesthesia is the safest way for any procedure and that the balloon freezing method had fewer complications! I left that doctor, never to return and interviewed another doctor who told me the truth and I am scheduled with him soon to have a one- day hospital stay with the balloon procedure. When I asked him which he preferred to perform when ablating the pulmonary vein, he said he does both and I could choose which one I felt most comfortable with! How refreshing. So, the things I would like you to remember to protect yourself is that you don't necessarily want a doctor who views the standard of care and medical specialty guidelines as the newest and best way to practice medicine. I would also like you to ask your doctor these questions: Can you please compare the risks and benefits of the two or three types of treatment or surgeries for me? How many times have you done this surgery? How long will I be in the hospital, in recovery, out of work? Which medication or surgery choice would you have your mother, father, child undergo if they had the same problem as I do? Run from a doctor who views the standard of care his highest goal and the guidelines to be current and the only way to practice! Stay healthy and informed! Stay healthy and informed, this is Dr Kathy Maupin Medical director of BioBalance Health.
To be a better guide you must pay attention to your communication, journaling and managing expectations of clients. Check out this podcast and other linked in THIS BLOG for all the ways you can improve your guiding. Important things to note would also be your fitness, making sure you're getting enough sleep and not comparing yourself to other guides. Comparison is the thief of joy.
To be a better guide you must pay attention to your communication, journaling and managing expectations of clients. Check out this podcast and other linked in THIS BLOG for all the ways you can improve your guiding. Important things to note would also be your fitness, making sure you're getting enough sleep and not comparing yourself to other guides. Comparison is the thief of joy. Learn more about your ad choices. Visit megaphone.fm/adchoices
Hi Everyone, Welcome to ParentTalk’s REAL MOM MOMENTS!!! These segments include the "Cute and the Funny" as well as the "Crazy and Frazzled" moments they are experiencing being mothers of young children. In this episode, Heather talks about her transition to becoming a mom of 2 and Genevieve shares the fun and silly way that has been working to gain cooperation from her toddler in the mornings as well as her hubby’s newest “playlist”. We are also announcing the winner of our “Spa Contest”!! Click on The Mompreneur to read our write up from Jennifer Kolbuc. This Blog is a must follow! Have a great day, Genevieve & Heather
As both a sewist and a full time psychologist, Charlie from This Blog is not for You" gave us an inside look into just how our hobby benefits our mental health. Many of us have felt the positive environment of the sewing community, but it can be hard to pinpoint why sewists are so nurturing, encouraging and accepting. We dive into some real advantages that we have in negotiating the sometimes fraught landscape of self image and body image. And an added chat with Amy from Making Marilyn, Emulating Elle, on how sewing is integral to her mental health.
This Blog is voiced by my good friend Susie. Its Sunday, I haven’t spoken since Thursday and it has not been as difficult as I expected.
Show notes Intro—Intro: Encouraging you to fight everyday for your mind, your body and your soul .17—Workout talk 2.12—Millionaire Hoy workouts on YouTube 3:00—Quiet time talk 7:30—How to get out of old grooves of thinking 14:00—“Why Do I Struggle with This?” Blog from www.livelaughlight.com 20:00—Discipline makes us who we are 24:00—Embracing YOUR fight, enjoying the victory 27:00—Connect with us! @elsimms @4titude_fitness @annalight09 www.axispodcast.com 29:00—Questions: “How do I recover from food guilt?” 34:00—Setting yourself up for failure 36:30—“How do I become more knowledgable about health and fitness and find what works for me?” 38:00—The Worlds Healthiest Foods—Book 39:00—The Strength Training Bible for Women—Book 40:00—It Starts with Food—book 41:30—Switch on Your Brain—book 42:20—Books by Jade Tetta 45:00—Start somewhere 48:00—Invest in yourself 50:00—Using your freedom to be the best you can be 52:00—Share this podcast, subscribe, review! 54:00—Final encouragement to FIGHT!
Today I talk with CLUB 52 member and PATREON supporter Susan Sussman about setting up your first fundraiser show. Susan is a comedienne from Norfolk, VA who I met through the podcast. She followed through on some of the suggestions I made in THIS BLOG about setting up a show. Then we talked live about the event. And, next I followed up afterwards to see how it went. Thanks to this week's Patreon Sponsor Ron Havens and the Clean Comedy Challenge! Lot's of great info on this episode about setting a comedy show, whether it be your own show or a comedy fundraiser show. We cover a lot of ground, including: How many comics to have on the show How long the comedy show should be Where to set ticket prices Stage, sound and lights set up Expecting the unexpected at a fundraiser show Marketing and advertising Food and beverage Structuring the line up of the show and much, much more. Thanks to this week's Patreon Sponsor Ron Havens and the Clean Comedy Challenge! This podcast is a production of the Rik Roberts School of Laughs. For more information on stand-up comedy classes and posts on how to go about getting the business visit: www.SchoolOfLaughs.com.
Travis Martin's Weight Loss Ministry and Shibboleth Lifestyle
RIGHT HERE, TODAY, at NOON WEIGHT LOSS RADIO Get ready for tonights amazing class. Determine your Phase 3 "Fat Burn" schedule, Meal Timing, Protein Requirements, calories you burn per hour, and let me show you how to burn fat each and every hour. This Blog talk episode is a preface to this weeks Phase 2 class.
This is a Movie from Sept. 2005. It stands the test of time; only the gas prices have gone up. There is also a great free-jazz soundtrack which uses Blondie's Heart of Glass for the melody. This video was lifted from the Make a Difference Blog: "I believe that it is possible to change the world through the smallest actions. This Blog explores the little things that not only I but others do in order to make a difference." Here is the text from the post "As a poor college student booming gas prices are a down right pain in the ass. So what does one poor student do? Or anybody for that matter? Well, there are many routs, but I decided to acquire a bike. I found one that didn't belong to anybody in the basement of the house I am living in. I got it fixed up, and now I am gas free. Sure it cost money to fix it, but in my mind I'm not only getting off my fat ass, and getting some exercise, but I am feeling good about it. In my opinion the gas price boom is, in large part, due to panic. And I chose not to support it. I think when gas companies can price their gas in relation to the actual supply and demand of the country and stop profiteering than I will decide to support them, but until then I just have to make sure I leave for class a few minutes earlier than I would normaly. What do you think?" I think it's terrific! It's short and to the point. It says "fuck big oil. I'll ride my bike and it's more fun anyway." The camera work is simple and effective. I love the above the head POV and the shadow shots. The music brings it all together.