Podcasts about trauma care

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Danielle (00:20):Welcome to the Arise podcast, conversations about reality and talking a lot about what that means in the context of church, faith, race, justice, religion, all the things. Today, I'm so honored to have Sarah Van Gelder, a community leader, an example of working and continuing to work on building solidarity and networks and communication skills and settling into her lane. I hope you enjoy this conversation. Hey, Sarah, it's so good to be with you. And these are just casual conversations, and I do actual minimal editing, but they do get a pretty good reach, so that's exciting. I would love to hear you introduce yourself. How do you introduce yourself these days? Tell me a little bit about who you are. Okay.Sarah (01:14):My name is Sarah Van Gelder and I live in Bremer and Washington. I just retired after working for the Suquamish Tribe for six years, so I'm still in the process of figuring out what it means to be retired, doing a lot of writing, a certain amount of activism, and of course, just trying to figure out day to day, how to deal with the latest, outrageous coming from the administration. But that's the most recent thing. I think what I'm most known for is the founding yes magazine and being the editor for many years. So I still think a lot about how do we understand that we're in an era that's essentially collapsing and something new may be emerging to take its place? How do we understand what this moment is and really give energy to the emergence of something new? So those are sort of the foundational questions that I think about.Danielle (02:20):Okay. Those are big questions. I hadn't actually imagined that something new is going to emerge, but I do agree there is something that's collapsing, that's disintegrating. As you know, I reached out about how are we thinking about what is reality and what is not? And you can kind of see throughout the political spectrum or community, depending on who you're with and at what time people are viewing the world through a specific lens. And of course, we always are. We have our own lens, and some people allow other inputs into that lens. Some people are very specific, what they allow, what they don't allow. And so what do we call as reality when it comes to reality and politics or reality and faith or gender, sexuality? It's feeling more and more separate. And so that's kind of why I reached out to you. I know you're a thinker. I know you're a writer, and so I was wondering, as you think about those topics, what do you think even just about what I've said or where does your mind go?Sarah (03:32):Yeah. Well, at first when you said that was the topic, I was a little intimidated by it because it sounded a little abstract. But then I started thinking about how it is so hard right now to know what's real, partly because there's this very conscious effort to distort reality and get people to accept lies. And I think actually part of totalitarian work is to get people to just in the Orwellian book 1984, the character had to agree that two plus two equals five. And only when he had fully embraced that idea could he be considered really part of society.(04:14):So there's this effort to get us to accept things that we actually know aren't true. And there's a deep betrayal that takes place when we do that, when we essentially gaslight ourselves to say something is true when we know it's not. And I think for a lot of people who have, I think that's one of the reasons the Republican party is in such trouble right now, is because so many people who in previous years might've had some integrity with their own belief system, have had to toss that aside to adopt the lies of the Trump administration, for example, that the 2020 election was stolen. And if they don't accept those lies, they get rejected from the party. And once you accept those lies, then from then on you have betrayed yourself. And in many ways, you've betrayed the people who trust you. So it's a really tough dilemma sort of at that political level, even for people who have not bought into the MAGA mindset, or I do think of it as many people have described as a cult.(05:31):Now, even for people who have not bought into that, I think it's just really hard to be in a world where so many fundamental aspects of reality are not shared with people in your own family, in your own workplace, in your own community. I think it's incredibly challenging and we don't really know, and I certainly don't know how to have conversations. In fact, this is a question I wanted to ask you to have conversations across that line of reality because there's so much places where feelings get hurt, but there's also hard to reference back to any shared understanding in order to start with some kind of common ground. It feels like the ground is just completely unreliable. But I'd love to hear your thoughts about how you think about that.Danielle (06:33):It's interesting. I have some family members that are on the far, far, including my parent, well, not my parents exactly, but my father, and I've known this for a while. So prior to what happened in a couple weeks ago with the murder of an activist, I had spent a lot of time actually listening to that activist and trying to understand what he stood for, what he said, why my family was so interested in it. I spent time reading. And then I also was listening to, I don't know if you're familiar with the Midas Touch podcast? Yeah. So I listened to the Midas Brothers, and they're exact opposites. They're like, one is saying, you idiot, and the other one is like, oh, you're an idiot. And so when I could do it, when I had space to do it, it was actually kind of funny to me.(07:34):Sometimes I'm like, oh, that's what they think of someone that thinks like me. And that's when that guy says, calls them an idiot. I feel some resonance with that. So I did that a lot. However, practically speaking, just recently in the last couple months, someone reached out to me from across the political ideology line and said, Hey, wouldn't it be fun if we got together and talked? We think really differently. We've known each other for 20 years. Could you do that? So I said, I thought about it and I was like, yeah, I say this, I should act on it. I should follow through. So I said, okay, yeah, let's meet. We set up a time. And when you get that feeling like that person's not going to show up, but you're also feeling like, I don't know if I want them to show up.(08:24):Am I really going to show up? But it's kind of like a game of chicken. Well, I hung in there longer, maybe not because I wanted to show up, but just because I got distracted by my four kids and whatnot, and it was summer, and the other person did say, oh, I sprained my ankle. I can't have a conversation with you. I was like, oh, okay. And they were like, well, let me reschedule. So I waited. I didn't hear back from them, and then they hopped onto one of my Facebook pages and said some stuff, and I responded and I said, Hey, wait a minute. I thought we were going to have a conversation in person. And it was crickets, it was silence, it was nothing. And then I was tagged in some other comments of people that I would consider even more extreme. And just like, this is an example of intolerance.(09:13):And I was like, whoa, how did I get here? How did I get here? And like I said, I'm not innocent. I associate some of the name calling and I have those explicit feelings. And I was struck by that. And then in my own personal family, we started a group chat and it did not go well. As soon as we jumped into talking about immigration and ice enforcement and stuff after there were two sides stated, and then the side that was on the far right side said, well, there's no point in talking anymore. We're not going to convince each other. And my brother and I were like, wait a minute, can we keep talking? We're not going to convince each other, but how can we just stop talking? And it's just been crickets. It's been silence. There's been nothing. So I think as you ask me that, I just feel like deep pain, how can we not have the things I think, or my perception of what the other side believes is extremely harmful to me and my family. But what feels even more harmful is the fact that we can't even talk about it. There's no tolerance to hear how hurtful that is to us or the real impact on our day-to-day life. And I think this, it's not just the ideology, but it's the inability to even just have some empathy there. And then again, if you heard a guy like Charlie Kirk, he didn't believe in empathy. So I have to remember, okay, maybe they don't even believe in empathy. Okay, so I don't have an answer. What about you?Sarah (11:03):No, I don't either. Except to say that I think efforts that are based on trying to convince someone of a rational argument don't work because this is not about analysis or about rationality, it's about identity, and it's about deep feelings of fear and questions of worthiness. And I think part of this moment we're in with the empire collapsing, the empire that has shorn up so much of our way of life, even people who've been at the margins of it, obviously not as much, but particularly people who are middle class or aspiring to be middle class or upper, that has been where we get our sense of security, where we get our sense of meaning. For a lot of white people, it's their sense of entitlement that they get to have. They're entitled to certain kinds of privileges and ways of life. So if that's collapsing and I believe it is, then that's a very scary time and it's not well understood. So then somebody comes along who's a strong man like Trump and says, not only can I explain it to you, but I can keep you safe. I can be your vengeance against all the insults that you've had to live with. And it's hard to give that up because of somebody coming at you with a rational discussion.(12:36):I think the only way to give that up is to have something better or more secure or more true to lean into. Now that's really hard to do because part of the safety on the right is by totally rejecting the other. And so my sense is, and I don't know if this can possibly work, but my sense is that the only thing that might work is creating nonpolitical spaces where people can just get to know each other as human beings and start feeling that yes, that person is there for me when things are hard and that community is there for me, and they also see me and appreciate who I am. And based on that kind of foundation, I think there's some hope. And so when I think about the kind of organizing to be doing right now, a lot of it really is about just saying, we really all care about our kids and how do we make sure they have good schools and we all need some good healthcare, and let's make sure that that's available to everybody. And just as much as possible keeps it within that other realm. And even maybe not even about issues, maybe it's just about having a potluck and enjoying food together.Danielle (14:10):What structures or how do you know then that you're in reality? And do you have an experience of actually being in a mixed group like that with people that think wildly different than you? And how did that experience inform you? And maybe it's recently, maybe it's in the past. Yeah,Sarah (14:32):So in some respects, I feel like I've lived that way all my life,(14:44):Partly because I spent enough time outside the United States that when I came home as a child, our family lived in India for a year. And so when I came home, I just had this sense that my life, my life and my perceptions of the world were really different than almost everybody else around me, but the exception of other people who'd also spent a lot of time outside the us. And somehow we understood each other pretty well. But most of my life, I felt like I was seeing things differently. And I don't feel like I've ever really particularly gained a lot of skill in crossing that I've tended to just for a lot of what I'm thinking about. I just don't really talk about it except with a few people who are really interested. I don't actually know a lot about how to bridge that gap, except again, to tell stories, to use language that is non-academic, to use language that is part of ordinary people's lives.(16:01):So yes, magazine, that was one of the things that I focused a lot on is we might do some pretty deep analysis, and some of it might include really drawing on some of the best academic work that we could find. But when it came to what we were going to actually produce in the magazine, we really focused in on how do we make this language such that anybody who picks this up who at least feels comfortable reading? And that is a barrier for some people, but anybody who feels comfortable reading can say, yeah, this is written with me in mind. This is not for another group of people. This is written for me. And then part of that strategy was to say, okay, if you can feel that way about it, can you also then feel comfortable sharing it with other people where you feel like they're going to feel invited in and they won't feel like, okay, I'm not your audience.(16:57):I'm not somebody you're trying to speak to. So that's pretty much, I mean, just that whole notion of language and telling stories and using the age old communication as human beings, we evolved to learn by stories. And you can tell now just because you try to tell a kid some lesson and their eyes will roll, but if you tell them a story, they will listen. They won't necessarily agree, but they will listen and it will at least be something they'll think about. So stories is just so essential. And I think that authentic storytelling from our own experience that feels like, okay, I'm not just trying to tell you how you should believe, but I'm trying to say something about my own experience and what's happened to me and where my strength comes from and where my weaknesses and my challenges come from as well.Yeah, you mentioned that, and I was thinking about good stories. And so one of the stories I like to tell is that I moved to Suquamish, which is as an Indian reservation, without knowing really anything about the people I was going to be neighbors with. And there's many stories I could tell you about that. But one of them was that I heard that they were working to restore the ability to dig clams and dies inlet, which is right where silver Dial is located. And I remember thinking that place is a mess. You're never going to be able to have clean enough water because clams require really clean water. They're down filtering all the crap that comes into the water, into their bodies. And so you don't want to eat clams unless the water's very clean. But I remember just having this thought from my perspective, which is find a different place to dig clamps because that place is a mess.(19:11):And then years later, I found out it was now clean enough that they were digging clamps. And I realized that for them, spending years and years, getting the water cleaned up was the obvious thing to do because they think in terms of multiple generations, and they don't give up on parts of their water or their land. So it took years to do it, but they stayed with it. And so that was really a lesson for me in that kind of sense of reality, because my sense of reality is, no, you move on. You do what the pioneers did. One place gets the dust bowl and you move to a different place to farm. And learning to see from the perspective of not only other individuals, but other cultures that have that long millennia of experience in place and how that shifts things. It's almost like to me, it's like if you're looking at the world through one cultural lens, it's like being a one eyed person. You certainly see things, but when you open up your other eye and you can start seeing things in three dimensions, it becomes so much more alive and so much more rich with information and with possibilities.Danielle (20:35):Well, when you think about, and there's a lot probably, how do you apply that to today or even our political landscape? We're finding reality today.Sarah (20:48):Well, I think that the MAGA cult is very, very one eyed. And again, because that sense of safety and identity is so tied up in maintaining that they're not necessarily going to voluntarily open a second eye. But if they do, it would probably be because of stories. There's a story, and I think things like the Jimmy Kimmel thing is an example of that.(21:21):There's a story of someone who said what he believed and was almost completely shut down. And the reason that didn't happen is because people rose up and said, no, that's unacceptable. So I think there's a fundamental belief that's widespread enough that we don't shut down people for speech unless it's so violent that it's really dangerous. We don't shut people down for that. So I think when there's that kind of dissonance, I think there's sometimes an opening, and then it's really important to use that opening, not as a time to celebrate that other people were wrong and we were right, but to celebrate these values that free speech is really important and we're going to stand up for it, and that's who we are. So we get back to that identity. You can feel proud that you were part of this movement that helped make sure that free speech is maintained in the United States. Oh, that'sDanielle (22:26):Very powerful. Yeah, because one side of my family is German, and they're the German Mennonites. They settled around the Black Sea region, and then the other side is Mexican. But these settlers were invited by Catherine the Great, and she was like, Hey, come over here. And Mennonites had a history of non-violence pacifist movement. They didn't want to be conscripted into the German army. And so this was also attractive for them because they were skilled farmers and they had a place to go and Russia and farm. And so that's why they left Germany, to go to Russia to want to seek freedom of their religion and use their farming skills till the soil as well as not be conscripted into violent political movements. That's the ancestry of the side of my family that is now far.(23:29):And I find, and of course, they came here and when they were eventually kicked out, and part of that them being kicked out was then them moving to the Dakotas and then kicking out the native tribes men that were there on offer from the US government. So you see the perpetuation of harm, and I guess I just wonder what all of that cost my ancestors, what it cost them to enact harm that they had received themselves. And then there was a shift. Some of them went to World War II as conscientious objectors, a couple went as fighters.(24:18):So then you start seeing that shift. I'm no longer, I'm not like a pacifist. You start seeing the shift and then we're to today, I don't know if those black sea farmers that moved to Russia would be looking down and being good job. Those weren't the values it seems like they were pursuing. So I even, I've been thinking a lot about that and just what does that reality mean here? What separations, what splitting has my family had to do to, they changed from these deeply. To move an entire country means you're very committed to your values, uproot your life, even if you're farming and you're going to be good at it somewhere else, it's a big deal.Sarah (25:10):Oh, yeah. So it also could be based on fear, right? Because I think so many of the people who immigrated here were certainly my Jewish heritage. There is this long history of pilgrims and people would get killed. And so it wasn't necessarily that for a lot of people that they really had an option to live where they were. And of course, today's refugees, a lot of 'em are here for the same reason. But I think one of the things that happened in the United States is the assimilation into whiteness.(25:49):So as white people, it's obviously different for different communities, but if you came in here and you Irish people and Italians and so forth were despised at certain times and Jews and Quakers even. But over time, if you were white, you could and many did assimilate. And what did assimilate into whiteness? First of all, whiteness is not a culture, and it's kind of bereft of real meaning because the real cultures were the original Irish and Italian. But the other thing is that how you make whiteness a community, if you will, is by excluding other people, is by saying, well, we're different than these other folks. So I don't know if this applies to your ancestors or not, but it is possible that part of what their assimilation to the United States was is to say, okay, we are white people and we are entitled to this land in North Dakota because we're not native. And so now our identity is people who are secure on the land, who have title to it and can have a livelihood and can raise our children in security. That is all wrapped up in us not being native and in our government, keeping native people from reclaiming that land.(27:19):So that starts shifting over generations. Certainly, it can certainly shift the politics. And I think that plus obviously the sense of entitlement that so many people felt to and feel to their slave holding ancestors, that was a defensible thing to do. And saying it's not is a real challenge to somebody's identity.(27:51):So in that respect, that whole business that Trump is doing or trying to restore the Confederate statues, those were not from the time of slavery. Those were from after reconstruction. Those were part of the south claiming that it had the moral authority and the moral right to do these centuries long atrocities against enslaved people. And so to me, that's still part of the fundamental identity struggle we're in right now, is people saying, if I identify as white, yes, I get all this safety and all these privileges, but I also have this burden of this history and history that's continuing today, and how do I reconcile those two? And Trump says, you don't have to. You can just be proud of what you have perpetrated or what your ancestors perpetrated on other people.And I think there was some real too. I think there were people who honestly felt that they wanted to reconcile the, and people I think who are more willing to have complex thoughts about this country because there are things to be proud of, the Constitution and the Bill of Rights, and the long history of protecting free speech and journalism and education for everyone and so forth. So there are definitely things to be proud of. And then there are things to recognize. We're incredibly violent and have had multiple generations of trauma resulting from it. And to live in this country in authenticity is to recognize that both are true and we're stuck with the history, but we're not stuck without being able to deal with that. We can do restitution and reparations and we can heal from that.Danielle (30:15):How do you stay connected even just to your own self in that dissonance that you just described?Sarah (30:30):Well, I think part of having compassion is to recognize that we're imperfect beings as individuals, but we're also imperfect as cultures. And so for me, I can live with, I mean, this is something I've lived with ever since I was in India, really. And I looked around and noticed that there were all these kids my own age who were impoverished and I was not. And that I knew I have enough to eat at the end of the day, and I knew that many of them would not have enough to eat. So it's always been a challenge for me. And so my response to that has been when I was a kid was, well, I don't understand how that happened. It's certainly not right. I don't understand how it could be, and I'm going to do my best to understand it, and then I'll do my part to try to change it. And I basically had the same view ever since then, which is there's only so much I can do, but I'll do everything I can, including examining my own complicity and working through issues that I might be carrying as somebody who grew up in a white supremacist culture, working on that internally, and then also working in community and working as an activist in a writer in any way I can think of that I can make a contribution.(31:56):But I really do believe that healing is possible. And so when I think about the people that are causing that I feel like are not dealing with the harm that they're creating, I still feel just somebody who goes to prison for doing a crime that's not the whole of who they are. And so they're going to have to ultimately make the choice about whether they're going to heal and reconcile and repair the damage they will have to make that choice. But for my part, I always want to keep that door open in my relationship with them and in my writing and in any other way, I want to keep the door open.Danielle (32:43):And I hear that, and I'm like, that's noble. And it's so hard to do to keep that door open. So what are some of the tools you use, even just on your own that help you keep that door open to conversation, even to feeling compassion for people maybe you don't agree with? What are some of the things, maybe their internal resources, external resources could be like, I don't know, somebody you read, go back to and read. Yeah. What helps you?Sarah (33:16):Well, the most important thing for me to keep my sanity is a combination of getting exercise and getting outside(33:27):And hanging out with my granddaughter and other people I love outside of political spaces because the political spaces get back into the stress. So yeah, I mean the exercise, I just feel like being grounded in our bodies is so important. And partly that the experience of fear and anxiety show up in our bodies, and we can also process them through being really active. So I'm kind of worried that if I get to the point where I'm too old to be able to really move, whether I'll be able to process as well. So there's that in terms of the natural world, this aliveness that I feel like transcends me and certainly humanity and just an aliveness that I just kind of open my senses to. And then it's sort, they call it forest bathing or don't have to be in a forest to do it, but just sort of allowing that aliveness to wash over me and to sort of celebrate it and to remember that we're all part of that aliveness. And then spending time with a 2-year-old is like, okay, anything that I may be hung up on, it becomes completely irrelevant to her experience.Danielle (35:12):I love that. Sarah, for you, even though I know you heard, you're still asking these questions yourself, what would you tell people to do if they're listening and they're like, and they're like, man, I don't know how to even start a conversation with someone that thinks different than me. I don't know how to even be in the same room them, and I'm not saying that your answers can apply to everybody. Mine certainly don't either, like you and me are just having a conversation. We're just talking it out. But what are some of the things you go to if you know you're going to be with people Yeah. That think differently than you, and how do you think about it?Sarah (35:54):Yeah, I mean, I don't feel particularly proud of this because I don't feel very capable of having a direct conversation with somebody who's, because I don't know how to get to a foundational level that we have in common, except sometimes we do. Sometimes it's like family, and sometimes it's like, what did you do for the weekend? And so it can feel like small talk, but it can also have an element of just recognizing that we're each in a body, in perhaps in a family living our lives struggling with how to live well. And so I usually don't try to get very far beyond that, honestly. And again, I'm not proud of that because I would love to have conversations that are enlightening for me and the other person. And my go-to is really much more basic than that.Maybe it is. And maybe it creates enough sense of safety that someday that other level of conversation can happen, even if it can't happen right away.Danielle (37:14):Well, Sarah, tell me if people are looking for your writing and know you write a blog, tell me a little bit about that and where to find you. Okay.Sarah (37:26):Yeah, my blog is called How We Rise, and it's on Substack. And so I'm writing now and then, and I'm also writing somewhat for Truth Out Truth out.org has adopted the Yes Archive, which I'm very grateful to them for because they're going to keep it available so people can continue to research and find articles there that are still relevant. And they're going to be continuing to do a monthly newsletter where they're going to draw on Yes, archives to tell stories about what's going on now. Yes, archives that are specifically relevant. So I recommend that. And otherwise, I'm just right now working on a draft of an op-ed about Palestine, which I hope I can get published. So I'm sort of doing a little of this and a little of that, but I don't feel like I have a clear focus. The chaos of what's going on nationally is so overwhelming, and I keep wanting to come back to my own and my own focus of writing, but I can't say that I've gotten there yet.Danielle (38:41):I hear you. Well, I hope you'll be back, and hopefully we can have more conversations. And just thanks a lot for being willing to just talk about stuff we don't know everything about.As always, thank you for joining us, and at the end of the podcast are notes and resources, and I encourage you to stay connected to those who are loving in your path and in your community. Stay tuned.Kitsap County & Washington State Crisis and Mental Health ResourcesIf you or someone else is in immediate danger, please call 911.This resource list provides crisis and mental health contacts for Kitsap County and across Washington State.Kitsap County / Local ResourcesResourceContact InfoWhat They OfferSalish Regional Crisis Line / Kitsap Mental Health 24/7 Crisis Call LinePhone: 1‑888‑910‑0416Website: https://www.kitsapmentalhealth.org/crisis-24-7-services/24/7 emotional support for suicide or mental health crises; mobile crisis outreach; connection to services.KMHS Youth Mobile Crisis Outreach TeamEmergencies via Salish Crisis Line: 1‑888‑910‑0416Website: https://sync.salishbehavioralhealth.org/youth-mobile-crisis-outreach-team/Crisis outreach for minors and youth experiencing behavioral health emergencies.Kitsap Mental Health Services (KMHS)Main: 360‑373‑5031; Toll‑free: 888‑816‑0488; TDD: 360‑478‑2715Website: https://www.kitsapmentalhealth.org/crisis-24-7-services/Outpatient, inpatient, crisis triage, substance use treatment, stabilization, behavioral health services.Kitsap County Suicide Prevention / “Need Help Now”Call the Salish Regional Crisis Line at 1‑888‑910‑0416Website: https://www.kitsap.gov/hs/Pages/Suicide-Prevention-Website.aspx24/7/365 emotional support; connects people to resources; suicide prevention assistance.Crisis Clinic of the PeninsulasPhone: 360‑479‑3033 or 1‑800‑843‑4793Website: https://www.bainbridgewa.gov/607/Mental-Health-ResourcesLocal crisis intervention services, referrals, and emotional support.NAMI Kitsap CountyWebsite: https://namikitsap.org/Peer support groups, education, and resources for individuals and families affected by mental illness.Statewide & National Crisis ResourcesResourceContact InfoWhat They Offer988 Suicide & Crisis Lifeline (WA‑988)Call or text 988; Website: https://wa988.org/Free, 24/7 support for suicidal thoughts, emotional distress, relationship problems, and substance concerns.Washington Recovery Help Line1‑866‑789‑1511Website: https://doh.wa.gov/you-and-your-family/injury-and-violence-prevention/suicide-prevention/hotline-text-and-chat-resourcesHelp for mental health, substance use, and problem gambling; 24/7 statewide support.WA Warm Line877‑500‑9276Website: https://www.crisisconnections.org/wa-warm-line/Peer-support line for emotional or mental health distress; support outside of crisis moments.Native & Strong Crisis LifelineDial 988 then press 4Website: https://doh.wa.gov/you-and-your-family/injury-and-violence-prevention/suicide-prevention/hotline-text-and-chat-resourcesCulturally relevant crisis counseling by Indigenous counselors.Additional Helpful Tools & Tips• Behavioral Health Services Access: Request assessments and access to outpatient, residential, or inpatient care through the Salish Behavioral Health Organization. Website: https://www.kitsap.gov/hs/Pages/SBHO-Get-Behaviroal-Health-Services.aspx• Deaf / Hard of Hearing: Use your preferred relay service (for example dial 711 then the appropriate number) to access crisis services.• Warning Signs & Risk Factors: If someone is talking about harming themselves, giving away possessions, expressing hopelessness, or showing extreme behavior changes, contact crisis resources immediately.Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that.Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that.Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that. Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that.

Bio: Jenny - Co-Host Podcast (er):I am Jenny! (She/Her) MACP, LMHCI am a Licensed Mental Health Counselor, Somatic Experiencing® Practitioner, Certified Yoga Teacher, and an Approved Supervisor in the state of Washington.I have spent over a decade researching the ways in which the body can heal from trauma through movement and connection. I have come to see that our bodies know what they need. By approaching our body with curiosity we can begin to listen to the innate wisdom our body has to teach us. And that is where the magic happens!I was raised within fundamentalist Christianity. I have been, and am still on my own journey of healing from religious trauma and religious sexual shame (as well as consistently engaging my entanglement with white saviorism). I am a white, straight, able-bodied, cis woman. I recognize the power and privilege this affords me socially, and I am committed to understanding my bias' and privilege in the work that I do. I am LGBTQIA+ affirming and actively engage critical race theory and consultation to see a better way forward that honors all bodies of various sizes, races, ability, religion, gender, and sexuality.I am immensely grateful for the teachers, healers, therapists, and friends (and of course my husband and dog!) for the healing I have been offered. I strive to pay it forward with my clients and students. Few things make me happier than seeing people live freely in their bodies from the inside out!Danielle (00:28):Welcome to the Arise Podcast, conversations based in what our reality is, faith, race, justice, gender in the church, therapy, all matter of things considered just exploring this topic of reality. Hey, I'm having this regular podcast co-host. Her name is Jenny McGrath. She's an M-A-C-P-L-M-H-C. She's dope. She's a licensed mental health counselor, a somatic experiencing practitioner, certified yoga teacher, and an approved supervisor in the state of Washington. She spent over a decade researching the ways in which the body can heal from trauma through movement and connection. And she's come to see that bodies are so important and she believes that by approaching the body with curiosity, we can begin to listen to the innate wisdom our body has to teach us. And that is where the magic happens. So I hope you're as thrilled as me to have such an amazing co-host join me. Yeah, we're going to talk about reality and therapy. We're just jumping in. Jenny and I are both writing books.Jenny, I think it's funny that we are good friends and we see each other when we're around each other, but then if not, we're always trading reels and often they're like parodies on real life. Funny things about real life that are happening, which I've been, the theme of my book is called Splitting, and I know you write about purity culture, and a part of that I think really has to do with what is our reality and how is it formed? And then that shapes what we do, how we act, how we behave in the world, how we relate to each other. So any thoughts on that? On Thursday, September 25th,Jenny (02:17):I mean, as you named that, I think 10 minutes before this started, I sent you a reel. There was a comedian singing Why She Doesn't Go to Therapy, and it says, all my friends that go to therapy are mean to me, and you don't have boundaries. You're just being an asshole. And it was good, but it was also existential. This was what seems to me a white woman. And I do think as a white woman who's a therapist, I feel existential a lot about the work I do in therapy and in healing spaces, and how we do this in a way that doesn't promote this hyper individualistic reality. And this idea that everything I see and everything I think is the way that it is, how do I stay open to more of a communal or collective way of knowing? And I think that that's a challenging thing. So that's something that comes to mind for me as you bring up Instagram reels.Danielle (03:26):Oh man, I have so many thoughts on that that I wasn't thinking before you said it, but I think they were all locked in a vault, been unleashed. No, seriously. You come from your own position in the world. Talk about your position and how did you come to that point of seeing more of a collective mindset or reality point of view?Jenny (03:47):I mean, honestly, I think a big part has been knowing you and working with you and knowing that I think we've had conversations over the years of both the privilege and the detriment that happens in a lot of white therapeutic spaces that say you just need detach from your family, from your community, from those who have harmed you. And I want to be very, very clear and very careful that obviously I do think that there are situations we need to extract ourselves from and remove ourselves from. And I think that can become disabling for bodies to, I've been having this thing play in my head lately where I'm like, are you healed? Or have you just cut off everyone that triggers you?Yeah, and I saw another, speaking of meme, it was like, I treat my trauma like Trump treats tariffs. I just implement boundaries arbitrarily, and they harm everyone.And so I think it's, there is a certain privilege that comes with being able to say, I'm just going to step away. I'm going to do my own thing. I'm going to do my healing journey. And I think there is a detriment to that and there's a loss. And I think we have co-evolved to be in community and to tell stories and to share reality and to hold reality in the tension of our space. I think about it as we each have a different lens. There's no objective reality, but if I can be open to your lens and you can be open to my lens, then we actually have two lenses, and then if we have five lenses or 10 lenses, we can have a much fuller picture of where we are rather than seeing the world through the really monochromatic white, patriarchal, Christian nationalist lens that we've been maybe conditioned, or at least I was conditioned to see the world through.Danielle (06:10):Yeah. Whoa. Yeah, I know we've talked about this so many times, and I think it just feels so present right now, especially as every moment it feels like every day. If you watch the news, if you don't take a break, I think you can be jarred at any moment or dissociated at any moment, or traumatized at any moment, or maybe feel a bit of joy too when someone says a smack down on your side of the issue. And I think that when we get in that mode of constantly being jarred and then we try to come into a healing space, it's like how do we determine then what is actually healing for us? What is actually good? What is actually wise? And I agree, I think if we're in a rhythm of being on our own, and I'm not criticizing, I mean, I get lonely and I'm part of a group, so I'm not speaking to loneliness particularly, but I'm speaking to the idea that no one else has input in your life, even the kind of input you may not agree with, but no one else is allowed to speak to you.(07:15):When I get in those spaces, it's not that I just feel lonely, I don't feel any hope. I don't feel any movement or any possibility because let's say that this ends tomorrow, that authoritarian regime magically ends. It's healed tomorrow. We're going to have to look at all of our people in our lives and face them and decide what we're going to do. I mean, that's what I think about a lot. At the end of the day, I might sit next to someone that hates me or that I perhaps might have rage and anger towards them. What are we going to do? So I don't know, when you talk about the different lenses, I'm not sure how that all mixes together. I don't have an answer, basically. Shoot.Jenny (08:05):But I also think that that's part of maybe how we hold reality is maybe it is more about presence and being with what is, rather than having an answer, I think I become more and more skeptical of anyone who says they have an answer for anything.Danielle (08:31):So I mean, there was this guy that recently passed away, and there was, on one hand I wanted to really talk about it, and on the other hand, I didn't want to talk about it because it took up so much space. And I feel that even as we start to talk about how do we form healing spaces in therapy with that, I think, what did you call it that, what kind of lens did you say? It was like a monochromatic lens. How do we talk about that without centering it?Jenny (09:08):I think one thing that comes to mind is holding it in context of all of the other deaths that have not taken up that space. And the social studies phrase, what are the conditions of possibility that have enabled this death to create church services happening that have taken over people's social media, people who have been silent about lots of different deaths in the last year or five years, all of a sudden can't help but become really vigilant about talking about this. I think for me, it helps to zoom back and go, how come? Why is this so prevalent? Why is this so loud? What is this illuminating or what is this unearthing about? What's already been here?So I grew up in very fundamentalist, white evangelical Christianity. And from the time I was eight, nine years old, I had in me messages instilled of martyrdom, whether that was a message that I should be a martyr, or whether that was a message that Christians were already being martyred, whether that was the war against Christmas with Starbucks cups or not having prayers happen at school. And these things where I grew up in this world where we were supposed to be prominent, we were supposed to be prevalent, we were supposed to be protected. And whenever there was any challenge to that from bodies that weren't white or straight or Christian or American, there became this very real frenzy around martyrdom. And I think on an interpersonal level and on a collective level, someone who plays the victim will always hold the most power in the relational dynamic. And so I think that this moment was a very useful moment to that psyche and that reality of seeing the world as a victim, as a martyr, as being persecuted, regardless of the fact that evangelical Christians are the strongest floating block in our nation. They have incredible privilege when it comes to a lot of education, marriage inequality, things like that, that are from the long lineage of Christian nationalism in our country.Danielle (12:15):So then how do you work with folks that are coming in with that lens, and what's the responsibility of our field? I know you and I can't answer that question necessarily, but we can just say from our own experience what that's like. Are you willing to share a little bit of that?What would I say? My client load is mixed and so do a lot of work, but just because it's mixed doesn't mean that I'm not currently undoing that process in myself as well. So I think just as much as therapy is about whoever comes into my office or shows up in the zoom room or even a group or a teaching we've been a part of, I think it's, well, I mean we say this co-created, but I actually mean it means I have to keep learning. I have to keep trying to be in my body. And what I mean by that is I was talking to my friend Phil yesterday, and he was like, Danielle, are you tracking your body sensations? And he's like, I just challenge you to do that today. And I was like, man, that that's a good reminder. So I think one way I try to come with clients is from the perspective of I don't know it all.(13:38):I only know what I'm feeling and sensing in this moment, and I have that to offer along with other things I've studied, of course. But just because the person sitting with me doesn't have a degree or the group and the people, doesn't mean they don't know just as much as me. It's just another form of maybe learning or knowing or presence and healing. And then we're figuring that out together. I see that as one way of undoing, undoing this. I know everything point of view, which I kind of felt like I had to have when I came out of grad school. Yeah,Jenny (14:14):Yeah, totally. Yeah, I feel similar and I think often think in quotes. And so one of my favorite quotes is by Simone Devo, and she says, without a doubt, it is always more comfortable to endure blind bondage than to work for one's liberation. And so I am consistently asking, where is my blind bondage? Who are the people in my life that will show me where my blind bondage is? Who are the people that will hold me accountable to my own liberation? And for me as a therapist, I work primarily with white folks who grew up in fundamental Christianity. And over 10 years of doing that work, I think that a primary part of my work is radical agency(15:13):Because I think that particularly white bodies maintain privilege by abdicating our agency and by being compliant with the systems that give us power and give us privilege. And so I think for me, my ethic is how do I help clients come into contact with their radical agency? And so a big part of that that I think is important is consent. And so if someone is coming to work with me, it's part of my disclosure form, it's part of my intake to say, I don't think our mental health concerns or our somatic concerns exist in a bubble. They are deeply impacted by the systems we move through. And so while we'll be engaging your individual body, we're also going to be engaging the collective structures. And I've had people say, no, I don't want to do that work. And I say, great, there are other lovely therapists that will work with you and be a better fit. That's just not the type of therapy I do. That's not within my scope of practice to only focus on the individual, because for me, that's unethical.Danielle (16:23):Oh, that's cool. I like that, Jenny. I think that a lot. I was consulting recently, and we're just talking about this current moment, and I'll just say from my point of view that even in my family, I noticed when something had gone on locally, we have some organizing that we do and we had some warnings go out. And I noticed even in my own family, the heightened anxiety, the alert, and one of the things we had to do was we took turns driving around just making sure everybody's safe and everybody was safe. And I came down and at the point where people began to lower anxiety, and we're talking about just regular business owners, regular people out there, we're not even talking about immigrants, quote migrants. We're just talking about people out there that don't want to encounter force. You could feel the anxiety just lower now that we went the parking lot's clear, no one's here, we're safe. This isn't happening, not today. I'm not saying it won't happen here in our area of the country, but it's not happening today. And I realized in consultation later about clients and stuff that things are going to, but the clinician I was consulting with just said to me, she said to me, just for your family, she's like, that anxiety is warranted. That's real. You're supposed to feel anxious. There's no way you can take that away for those people and you shouldn't.(18:02):And so just kind of learning, reminding myself, when you go to grad school, when you study therapy and psychology, there's pathological, there's diagnoses, all these things, but then there's some things like we just can't take away. They're part of the experience. They need to be there. They're part of the warning. And there's a reason why when you get out and do something practical for a community, the anxiety lowers. And I think that just gave me a lot of insight, not just for my client, but for my family and for myself. And there's some calm, not because I'm anxious, but because, oh, I'm not crazy. I'm not just making this up. And so I do think that speaks to how the system is creating trauma and it is powerless. What can we do against the big bad authorities? And we can do things, we can connect, we can be with people, but at some level, that baseline of anxiety is going to be there because it's warranted. That's how I think of it.What do we do? Well, we sat at home, we watched sports. We went to Best Buy, and this is not every, we had some privilege. We bought an extra controller to play Mario World or whatever it was. I don't remember, but I was like, I'm not playing on that little controller. They wanted me to hold. I was like, I need a real controller. I'm old. I need to be able to feel it in my hands. Just silly stuff. Just didn't put pressure on the kids to do homework. Not a pressure to clean the house, just to just exist. Just be, yeah. What about you? What do you do when you encounter either anxiety from trauma like that or the systemic pressure maybe to even conform to whiteness or privilege in that moment?Jenny (20:12):I typically need to move my body in some way, whether that's to take my dog on a very long walk or whether that's just to roll around on a dance floor or maybe do a yoga practice. I become aware of how my body is holding that, and I think about how emotions are just energy in motion. And so if we don't give them motion and expression, it becomes like a battery pack in our nervous system. And so I can feel that if I haven't been able to move and to express whatever my body needs to express, and often I don't even know cognitively what my body needs to express, but I've grown in trust that my body knows, and I say, I think the sillier we look the better it usually feels. I just saw this lovely post the other day, a movement person did where they, we talk a lot about brainwashing, but we don't talk a lot about body washing, and we are so conditioned to only move our body in certain ways. And because our body is not different than our brain, I think that the more free we feel in our actual physical body to our own ability, the more that can actually create a little bit more mobility in how we see reality and how we engage with it.Danielle (21:44):So take that back to the beginning where you started talking about how when you have clients come in, you're like, yo, we're going to address this systemically and collectively. What do you do with folks when they have that kind of energy and you guys are working through it and it's like, oh, it's like maybe that's collective energy. What do you do? Yeah,Jenny (22:02):Yeah. I ask my clients probably annoying amount of times each session, what do you notice right now? And then I follow their body. So if their body says like, oh, I feel a lot of tension in my gut instead of alleviating that, I go, okay, great. Can you actually exaggerate that tension a little bit and see what happens? See if that tension wants to come out in a snarl or a growl, or maybe you want to curl up in a ball and I just follow whatever the impulses of their body are. Or if they say like, oh, I feel a lot in my shoulders. I'm like, great. Do you want to go push against a wall or push against the floor or punch a pillow and let your body actually get some movement into those spaces that you're sensing?Well, as I said, I'm very skeptical about individual work, even though I do it, I don't think is all that. I think it is both necessary and not that helpful for the collective(23:21):Because it is individual. And so I actually do think we need collective spaces of moving and expressing and being in our bodies. I think our ancestors knew this for before Christian supremacy and then white supremacy and then capitalistic supremacy eradicated how we've evolved to move in our and collectively. That being said, I do think that the more we become aware of how our body is constrained and how we've been socialized, especially I think for anybody, but for me, I'll speak to white bodies, we aren't always conscious. We take for granted whiteness and how it affects our bodies. So the first time I'm asking a white person, especially maybe a white woman to look pissed, that's going to be probably really scary because socially we are not actually allowed to be pissed. We're allowed to be dams, souls, and we're allowed to freak out, but we're not actually allowed to be strong and be powerful and be angry. And so I do believe that in that work of individual liberation and freedom, it actually helps us resist those roles and those performances of white womanhood that then perpetuate collective harm.Danielle (24:49):I can see how that shift would really impact the way one person both connects with their neighbor or a different person, even same race or same culture, and would impact not only how they relate and connect to that person, but also just how they might love.Jenny (25:10):Yeah, because I think it is dangerous. It is disproportionately dangerous to oppressed bodies when white women aren't holding our own anger because I think that there is a deferral to the police, to governing bodies to different authorities when a white woman is actually pissed, rather than saying like, Hey, you did this and it pissed me off, let's work it out here. Oftentimes that ends up actually getting policed to authorities that then disproportionately harm oppressed bodies. And so I think it is essential for white women to grow our capacity to bear. No, I actually am pissed and I can acknowledge that and engage that and be with it in myself.I do. I do actually. So I have been working on a book for the last six years in which I'm looking at the socialization of young white women in purity culture and this political moment of Invisible children, which was this documentary style film that manipulated an entire generation of young white women to get involved in missions or development. And so as part of my research, I interviewed many white women who grew up in purity culture and became missionaries. And there were some that maybe still had good relations with organizations such as invisible children and felt threatened or maybe pissed that I was inquiring into this. And so instead of engaging and talking about the emotions that were coming up, they went straight to interrogating my IRB and then went straight to is this research ethical? Even though I could tell they were really just angry and upset about what I was interrogating, and I would've much rather we could have that conversation than this quick sense of I'm going to go to the structures while I can maintain feeling like this demure pleasantness of white womanhood, even though I could feel the energy. And that's an example for me, and I have white privilege, and so there was still threat there, but it was not probably to the same degree that it could be if I didn't hold that same power and privilege that I do.Scared. I felt really scared and I had done everything ethically. I had hired my own IRB to oversee my research. I did their protocol and still I felt the wielding of power and the sense of I can move the system to act against you if I don't like what you're doing. And so it was really, really scary. And then I had to move my anxiety and my body and I had to shake because what I do often when I get scared and I had to let my body discharge that adrenaline and that cortisol, and then I was able to back to myself and respond and say, it sounds like you have some concerns, and being interviewed is totally optional so you don't have to do it. And then I never heard back from 'em, and so it was just helpful for me to get to move that through. Even in part of that process,Danielle (29:27):Jenny, is that energy still in you now or is it gong?Jenny (29:30):Oh yeah, totally. I can feel my body vibrating and even there's that fear of like, oh shit, what's going to happen if I talk about this? I can feel the silencingThe demand to be small and not to expose it because then I'm open to fill in the blank. And so I can feel the sense of how power wants to keep us from speaking truth to power and to those that wield it.Danielle (30:02):Man, I want to swear so bad, motherfucker. I'm not surprised. But I do think I continue to allow myself to be shocked. And I think the thing is, I know this can happen. I know it will happen. I think both you and I are writing on topics that are very interrogate this moment in a very particular way that's threatening. And so although I'm not surprised, I am allowing myself to continually be shocked, not I want to re-traumatize myself, but I don't want to lose the feeling of there might be somebody good out there, this might be well received. And also I want to maintain that feeling of like, man, I really love my friend. I believe in her. And I think allowing myself to kind of hold all those things kind of just allows me to wake up for the moment versus just numbing out to it. Man,So vicious. It's so vicious because you aren't taking their money, you aren't literally hurting them physically. You're not taking their power, and yet there's this full force. You've dedicated your life to this thing and they could take you out.Jenny (31:19):Yeah, and I think it's primarily because I am questioning white women's innocence and I think based on how race and gender work, a white woman's privilege and power comes from this presumed purity and innocence. And so if we start to disrupt that and go, actually, I'm human and I've done some shit and I've, I've caused harm and I will cause harm, and that's actually a really important part of me working out my humanity. Then I'm stepping out of the bounds of being protected under white patriarchy.Danielle (32:06):I feel like I learned, I feel like so much resonance with that. I've had many similar experiences, but one stands out where right after the election I talked with a friend of mine on the phone, and I don't remember if she is a white colleague from same grad school and said something like, oh, it's just a bummer. And we didn't really talk about it. And I was like, that's all you could say. I thought about that. And later I sent a really kind text saying, Hey, that really hurt my feelings. I don't know. It doesn't make sense why we haven't talked about it more. And then I didn't hear back. It just went silent. This is someone I'd known for seven years.(32:45):Then later I called and I was like, Hey, what's up? And they're like, I can't believe you would write that to me If I ever engage you again, I want to start here. Some other random place. I was just sat back and I was like, I'm not giving this any more energy at that time. I said that to myself and it was just like the complete collapse when I said, you hurt my feelings, the complete collapse. When I said, I don't understand this, can we talk about it? And then I went through this period this summer of just having this feeling. I don't want to be at odds with people. So I left this person a voicemail saying, Hey man, can we talk? I haven't heard back from them, but I feel like I did my part. But I'm just struck it even in down from the big view, like the 30,000 foot view or how that person wants to reign the system on you to even interpersonally, if I don't like what you said, I'm just going to remove my presence,Jenny (33:51):Which I think again, is so much of the epidemic of whiteness. And I think it then produces such a fragility that's like I don't actually know how to bear open conflict and disruption because I'm not practiced at it, and I just will escape every time someone calls me to accountability or says something I don't like. And we can't stay in that place of tension.Yeah. Well, I think one is that I feel those tendencies so much in my own body, and I do think that we have capacity to metabolize them. And so I literally might say something like, great, could you let your body get up and run around the room or run in place? Or maybe you stay seated but you let your legs and your arms kick. And they think that if we even just let ourselves express I want to fight, or if I want to flee or I want to get away from this and we let our body do what we need to do, we can then come back to ourselves and have fuller access to our capacity. And again, sometimes I do think there are relationships or communities or things that we do need to step away from. And sometimes if we've only ever learned to say yes, we might go through a process where we swing to the other side and we just cut everyone out and then we get to learn how to have discernment and how to enter into relationships thoughtfully and how to know who are those people we will be investing in probably for a long time.(35:43):And so it's not denying that those impulses are there, but it's letting our bodies metabolize them and work through them. And it makes me think of res, menkin talks about dirty pain versus clean pain, and I think dirty pain is just like, this hurts. I'm going to avoid it. And just disconnect and dissociate clean pain is like this hurts and I'm going to press into it and I'm going to see what it can teach me and how I can grow into a stronger, more mature person through this process.Danielle (36:16):Man, that sounds like some good work you could do with somebody. I think the thing about therapy, coming back to what you said at the beginning is I think we want a quick answer. We want, we want to go to a retreat, we want to show up at the gym. In my case, I go to the gym often. We want to go somewhere, we want to feel like we did it, we accomplished it. And often at the gym, I can hear my coaches are saying just little steps. Every week and above doing lots of weight, it's showing up as much as you can, being consistent. And I kind of hear that in a little bit of what you're saying. It's not like getting to the end right away. It's tracking your body and the sensations and showing up for yourself even in that way.Jenny (37:08):And I think even like that, I love that analogy. I often say relationships are like muscles. They're only as strong as the ruptures that they can handle. And stronger muscles have had more and more and more and more ruptures. We build muscle through tearing and rebuilding. And I think that that's the same with relationship too. But if we've never torn, then we're so afraid of what's going to happen. If there is a rupture,Danielle:I don't know that we're going to heal that, but someone recently said the system is collapsing. It really is. It's coming down on itself. And I think really it's going to come down to the work that you talked about at the beginning, however people are choosing to see it. But one way you talked about it was that monochromatic lens and adding a lens, adding a lens. And I do think the challenge for all of us, even to form something new, whether that means new government, I don't know what it means, but just even a new way of being together set the government aside. It means really forming, adding lenses to ourselves. Jenny, I hope you're coming back to talk to me again.It's okay. Where can they find your stuff? Tell me.Jenny (38:42):Yeah, so I'm on Instagram at indwell movement, and then my website is indwell movement.com. So find me at either of those places, email me, reach out, send a message, would love to connect.Danielle (38:59):Okay, cool. Well, that's a wrap on this episode. If you can share, download, subscribe, tune into what we're talking about. But more important, have a conversation with a friend, a colleague, a neighbor, challenge your therapist, challenge your family. Don't forget to keep talking. And at the end of the show notes are resources, just some resources. They aren't the end all, be all of resources, but I'm putting 'em in there because I want you to know it's important to do resourcing for ourselves. As always, thank you for joining us, and at the end of the podcast are notes and resources, and I encourage you to stay connected to those who are loving in your path and in your community. Stay tuned.  Crisis Resources:Kitsap County & Washington State Crisis and Mental Health ResourcesIf you or someone else is in immediate danger, please call 911.This resource list provides crisis and mental health contacts for Kitsap County and across Washington State.Kitsap County / Local ResourcesResource Contact Info What They OfferSalish Regional Crisis Line / Kitsap Mental Health 24/7 Crisis Call Line Phone: 1‑888‑910‑0416Website: https://www.kitsapmentalhealth.org/crisis-24-7-services/ 24/7 emotional support for suicide or mental health crises; mobile crisis outreach; connection to services.KMHS Youth Mobile Crisis Outreach Team Emergencies via Salish Crisis Line: 1‑888‑910‑0416Website: https://sync.salishbehavioralhealth.org/youth-mobile-crisis-outreach-team/ Crisis outreach for minors and youth experiencing behavioral health emergencies.Kitsap Mental Health Services (KMHS) Main: 360‑373‑5031; Toll‑free: 888‑816‑0488; TDD: 360‑478‑2715Website: https://www.kitsapmentalhealth.org/crisis-24-7-services/ Outpatient, inpatient, crisis triage, substance use treatment, stabilization, behavioral health services.Kitsap County Suicide Prevention / “Need Help Now” Call the Salish Regional Crisis Line at 1‑888‑910‑0416Website: https://www.kitsap.gov/hs/Pages/Suicide-Prevention-Website.aspx 24/7/365 emotional support; connects people to resources; suicide prevention assistance.Crisis Clinic of the Peninsulas Phone: 360‑479‑3033 or 1‑800‑843‑4793Website: https://www.bainbridgewa.gov/607/Mental-Health-Resources Local crisis intervention services, referrals, and emotional support.NAMI Kitsap County Website: https://namikitsap.org/ Peer support groups, education, and resources for individuals and families affected by mental illness.Statewide & National Crisis ResourcesResource Contact Info What They Offer988 Suicide & Crisis Lifeline (WA‑988) Call or text 988; Website: https://wa988.org/ Free, 24/7 support for suicidal thoughts, emotional distress, relationship problems, and substance concerns.Washington Recovery Help Line 1‑866‑789‑1511Website: https://doh.wa.gov/you-and-your-family/injury-and-violence-prevention/suicide-prevention/hotline-text-and-chat-resources Help for mental health, substance use, and problem gambling; 24/7 statewide support.WA Warm Line 877‑500‑9276Website: https://www.crisisconnections.org/wa-warm-line/ Peer-support line for emotional or mental health distress; support outside of crisis moments.Native & Strong Crisis Lifeline Dial 988 then press 4Website: https://doh.wa.gov/you-and-your-family/injury-and-violence-prevention/suicide-prevention/hotline-text-and-chat-resources Culturally relevant crisis counseling by Indigenous counselors.Additional Helpful Tools & Tips• Behavioral Health Services Access: Request assessments and access to outpatient, residential, or inpatient care through the Salish Behavioral Health Organization. Website: https://www.kitsap.gov/hs/Pages/SBHO-Get-Behaviroal-Health-Services.aspx• Deaf / Hard of Hearing: Use your preferred relay service (for example dial 711 then the appropriate number) to access crisis services.• Warning Signs & Risk Factors: If someone is talking about harming themselves, giving away possessions, expressing hopelessness, or showing extreme behavior changes, contact crisis resources immediately.Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that. Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that.

Millions of people today face dire medical and mental health challenges. What role should the church play in foreign humanitarian aid to address starvation and deadly illness? In this episode, Eric Ha, CEO of Medical Teams International, joins Mark Labberton for a sobering, hopeful conversation on global humanitarian crises and the role of the church in responding to both the physical and spiritual needs of those who are suffering. Drawing from his years at International Justice Mission and now at Medical Teams International, Ha shares vivid accounts from refugee camps in East Africa and migrant communities in Colombia. He reflects on the collapse of US foreign aid, the limits of humanitarian response, and the urgent need for churches to reclaim their historic role in caring for the vulnerable. Ha wrestles candidly with the calling of Christian communities to embody God's expansive love even amid staggering need. Episode Highlights “These humans that bear the image of the divine and the eternal, and the holy and the sacred.” “Last year, Medical Teams staff helped deliver fifty thousand babies—that's a delivery every ten minutes, somewhere around the world in these extraordinarily harsh settings.” “Finding the thread and kernel of hope is actually a lot more challenging.” “For thousands of years prior to the UN, the infrastructure and ecosystem for the care of refugees was the church. It was God's people.” “The gospel is an outward pushing invitation.… It is the pushing out actually into the far and remote places of suffering in need, and to see the presence of God.” Helpful Links and Resources Medical Teams International International Justice Mission UNHCR: The UN Refugee Agency PEPFAR—The US President's Emergency Plan for AIDS Relief Clinton Global Initiative About Eric Ha Eric Ha is the chief executive officer of Medical Teams International, a Christian humanitarian relief organization providing life-saving medical care for people in crisis worldwide. Before joining Medical Teams, he served more than a decade in senior leadership roles at International Justice Mission, advancing global efforts to combat human trafficking and slavery. A lawyer by training, Ha brings a deep commitment to justice, compassion, and the mobilization of the church in service of the vulnerable. Show Notes Global Humanitarian Crises and Refugee Care Eric Ha shares his journey from law and IJM to leading Medical Teams International Medical Teams founded in response to Cambodia's killing fields, continuing nearly 50 years of healthcare missions Primary healthcare for refugees: maternal care, vaccinations, mosquito nets, antimalarials, antidiarrheals, and mental health Serving 9 million people in East Africa, including Uganda, Ethiopia, Tanzania, and Sudan Refugee camps lack electricity, clean water, and adequate shelter—average displacement nearly 20 years Medical Teams delivers maternal care that dramatically reduces mortality, helping deliver 50,000 babies last year Healthcare and Human Dignity The crisis is not statistics—it's humans bearing God's image, glimpses of laughter, joy, and resilience Colombia: working with Venezuelan migrants amid drastic cuts in U.S. aid (down to 10% of prior levels) Withdrawal of foreign aid leaves communities devastated and forces NGOs to scale back Transition from justice work at IJM to medical humanitarian work brings both immediacy of impact and insufficiency of resources Hope and Despair in Humanitarian Work Theories of change at IJM allowed for hope in systemic reform; displacement crises feel harder to solve Challenge of holding onto hope in the face of preventable death and suffering Churches historically provided refugee care before the UN; today, withdrawal of aid exposes the need for church re-engagement Need to reimagine church-government partnerships in humanitarian response Empathy, Collaboration, and Mental Health Empathy as essential orientation in humanitarian work, easily lost without intentionality Competitiveness and survivalism among NGOs risks eclipsing empathy Mental health needs are massive: trauma among children in refugee camps threatens future stability Clinton Global Initiative highlights Medical Teams' commitment to expand mental health care for children in Sudan Training local health workers and communities to recognize trauma and create safe spaces for children Invitation to the Church and Listeners The gospel calls us outward, not inward—expanding our experience of God's vastness through engagement with suffering Churches must discern how to integrate humanitarian concerns without distraction, embracing their historic role in refugee care Prayer requests: for hope, for patience to wait on the Lord, and for wisdom in making hard decisions “We are invited into a different orientation—the empathy piece is so critical because it is the thing that allows us to engage.” Production Credits Conversing is produced and distributed in partnership with Comment magazine and Fuller Seminary.

Rebecca A. Wheeler Walston, J.D., Master of Arts in CounselingEmail: asolidfoundationcoaching@gmail.comPhone:  +1.5104686137Website: Rebuildingmyfoundation.comI have been doing story work for nearly a decade. I earned a Master of Arts in Counseling from Reformed Theological Seminary and trained in story work at The Allender Center at The Seattle School of Theology and Psychology. I have served as a story facilitator and trainer at both The Allender Center and the Art of Living Counseling Center. I currently see clients for one-on-one story coaching and work as a speaker and facilitator with Hope & Anchor, an initiative of The Impact Movement, Inc., bringing the power of story work to college students.By all accounts, I should not be the person that I am today. I should not have survived the difficulties and the struggles that I have faced. At best, I should be beaten down by life‘s struggles, perhaps bitter. I should have given in and given up long ago. But I was invited to do the good work of (re)building a solid foundation. More than once in my life, I have witnessed God send someone my way at just the right moment to help me understand my own story, and to find the strength to step away from the seemingly inevitable ending of living life in defeat. More than once I have been invited and challenged to find the resilience that lies within me to overcome the difficult moment. To trust in the goodness and the power of a kind gesture. What follows is a snapshot of a pivotal invitation to trust the kindness of another in my own story. May it invite you to receive to the pivotal invitation of kindness in your own story. Listen with me… Rebecca (01:12):Say, oh, this is for black women, and then what? Because I quoted a couple of black people that count. I don't want to do that. And also I'm still trying to process. When you run a group like that for, and it's not embedded in something like a story workshop or a larger kind of thing, the balance of how do you give people the information and still leave room to process all of that. I'm still trying to figure out what does it look like? What does it feel like? What does it sound like? And I won't be able to figure, it's not like I can figure it out before the group and you know what I mean? You just have to roll with it. So yeah,Danielle (02:01):All those things. That's so hard, man. Man, dude, that's so hard. It's so hard to categorize it. Even What's the right time of day to hold this? What are the right words to say to tell people, this is how you can show up. And even when you say all those things and you think you've created some clarity or safety or space, they still show up in their own way, of course. And they may not have read your email. They may have signed all this stuff and it may not be what they want. Or maybe it changes and it becomes something even more beautiful. I don't know. That's how I've experienced it.Rebecca (02:39):It's all those things, and I think, and this is what I want to do, this is taking this work into a community and a space that is never going to show up in Seattle for all a thousand reasons. And soDanielle (02:56):Thousands of dollar reasons,Rebecca (02:58):Right? Thousands of dollar reasons. And so this is what I want to do. And so the million dollar question, how do you actually do that with some integrity? How do you do it in a way that actually, I don't even know if I could say I know that I want it to produce a particular result is just when I started doing this on my own, I had a lot of people reach out to me and go like, this is amazing. This is a brilliant, this is something I've been looking for without knowing that's what I've been looking for. Do you know what I mean? I think that that's true, sort of that evangelical refugee space. That's true right now. I think it's appealing on those levels. I think for people who would not necessarily go to therapy for the hundred of reasons why that's an uncomfortable thing. Culturally, this feels like it has a little more oxygen in the room,Danielle  (04:20):And I'll turn my screen off. I'll make the call and then yeah, then I want to hear a little bit about your business, more about your group, and I, I'd love to just, I want to focus this whole season on what is reality in the realm of faith, culture, life therapy, religion, if you're in a religion versus a faith. Yeah. Just those what is our reality? Because I think even as you talk about group, it's like what is the reality for that group of people for accessing care? So that's the overall season theme.Speaker 2 (05:00):Okay.Speaker 1 (05:02):How does that sound for you?Speaker 2 (05:03):That sounds great.Speaker 1 (05:04):Yeah. I know you have a lot of thoughts,Speaker 2 (05:07):But we do good bouncing off each other's thoughts. Me and you were good.Speaker 1 (05:13):So tell me how you started your own business.Speaker 2 (05:16):That's a good question. There's probably a long answer and a short answer. The long one is that I went and got a master's in marriage and family from a seminary 20 plus years ago, and by the time I finished my degree, I chose to go back to being a full-time attorney. And there's a story there, as there always is, that has to do with me almost being kicked out of theSpeaker 3 (05:55):ProgramSpeaker 2 (05:56):Because someone lodged a complaint against me as a person. The stated reason behind the claim was that my disability was a distraction to clients,(06:09):And I was absolutely undone and totally shredded, all just completely undone by the entire ordeal experience, all of it. It just really undid me in a way that I don't know if I could have put the pieces together then, but I think that played a huge part in me going, I'm going to go back to my original career, which was being an attorney, and I will put this down and I don't know. And so it's 20 plus years later, I still have that whatever was the inclination inside of me that made me say, this work is the kind of work I want to do is still there. And so I think this time around I felt empowered, I felt supported. I felt like I had people and community around me, people like you and lots of people that was like, I can actually do this, and I don't necessarily need the permission of an institution or the rubber stamp of another person to actually take what I have learned about living life and offer it to someone else. So I find myself now the owner and practitioner of solid foundation story Coaching, and we're going to see where the Lord leads and we're going to see where we end up.Speaker 1 (07:38):Okay. When in any moment, I might have to hop off here, you said nine 10 to nine 15, but what do you imagine then for your first offerings? I know you jumped in a little bit at the beginning and we kind of touched on it, but what are your first, what's your desire? What are you trying to offer?Speaker 2 (08:00):That's a good confusion too. I think a couple of things. I come from a very conservative evangelical Christian background that is also, there's these parallel roots in my background that are rooted in the black church. And every once in a while I can feel my evangelical why and what and why, and what I think the short answer is just care. You asked me what do you want to offer? And that I think my answer is care for a lot of reasons. When I look at my own story and my own life and my own path, there are lots of ways and places where I can identify. I didn't have the care that I needed. I didn't have the support that I needed to get where I wanted to go, sort of maybe unscathed, maybe in the shortest path possible with the least amount of obstacles as a woman, as a person of color, as a black American woman in the church, in as a person with a disability, all kinds of ways in which there were places in ways that I needed care that I didn't get. And even with all that being said, once, twice, maybe three times the exact right care at the exact right moment from the person who was capable and willing to give it, and it only takes one person at just the right time to offer just a few minutes of care and what is impossible becomes possible,(10:01):And what is too painful to breathe through becomes something that you can now face head on. So I think in some way, maybe it's paying forward what those people who offered me care gave to me, and now it's my chance to give it back.Rebecca (10:37):Right? Yeah. I mean, if I were going to go for the obvious, the things that we are most comfortable talking about at this moment in our country's history, to women who have faced misogyny in its most simplistic and its most complex and twisted ways to black folks and all that we have faced and struggled through to people of color. There are all kinds of ways in which out of my own story, there are corners that I recognize. And what do I mean by that, right? I have lived my life as an African-American woman, and so there are corners in life that I have come to recognize. That moment when you recognize that somehow this moment, which should be simple and just human has become racialized, and you catch it by a glance, a look, a silence that lasts too long, and you go like, oh, I know exactly where I am.(11:53):I may not know the person in front of me, but I know people like them, and this experience begins to feel familiar, and I know what this corner looks like, and I know what it sounds like, and I know where the dip in the sidewalk is, and I know where there's this pothole that if you step in it the wrong way, you're going to twist your ankle. I know exactly how long you have to cross the street before that flashing red hand comes up. The ways in which, because you've been here before because you've struggled in a familiar moment, you know what it looks like and sounds like and feels like,(12:33):And because it is familiar, then perhaps you can offer something of wisdom or kindness to someone who's new to that corner who doesn't quite know how to navigate it. So I can say that about being black, about being a woman. There are all kinds of things in my own story that have made these corners familiar to me. So yes to all of those things, all of those kinds of people, that there's something I have in common with the parallels of their story that I can say, Hey, I know this corner and I have a flashlight and I can shine my light in front of your path so you can take another step.Danielle (13:17):How do you feel in your body as you say that?Rebecca (13:22):I feel good. It feels like me. You say, how do you feel in your body? Why would you ask that question? What do we mean by that? Which is part of this work, which is being able to recognize when I'm comfortable in my own skin and when I'm not, and being able to recognize why that might be true in any given moment. And so this part feels good to me. It feels like steps I was trying to take 20 years ago that got hijacked and sidetracked by what happened to me in grad school. And it feels like work that I was meant to do because of the corners that I know. So I feel good. I can breathe deep.Danielle (14:12):How do you know when you feel good? What tells you you're feeling goodRebecca (14:16):For me? That I can take a full deep breath. I have come to recognize that shallow breathing means I am not comfortable, so I can take a deep breath and it doesn't feel restricted to me that that's probably, for me, the most notable thing is to say that. And because I am not doing a lot of self editing, I feel okay saying what I have say. I don't have a lot of self-talk of like, Ooh, don't say that or don't say that. Yeah,Danielle (14:57):Which feels like something you can give your participants. I think I mentioned to you, I really wanted to hear about what you're up to business, but it really feels to me like a special kind of work in this season. And I know I mentioned, I was like, well, what's the reality of this season? Could you speak about the intersection of your work and what you see as the reality of our current climate?Rebecca (15:29):So when you first said that to me, my first reaction is go like, oh, I know what my reality is as a black woman, as a mother of two kids, as somebody that lives a mile from where the first enslaved Africans set foot on us soil. I have a very clear sense of my reality, but I'm also going like, and I'm sitting across from you, Danielle, who I know in this moment is living a very different reality as a Latino woman. And so the one thing, or sort of the second thought that comes to my mind after my first reaction, I know what my reality is, is something that I learned recently. I did a webinar and I moderated a panel, and one of the individuals on the panel is a Latino pastor. I'll call him Pastor Carlos. And one of the things that he said to me is that if my truth in any given moment is crafted at the expense of another human, my truth cannot be the absolute truth.Yeah. Now I'm paraphrasing a little bit. So Pastor Carlos, if you hear this, and please forgive me for the paraphrase, but what settled in me from his remarks is that if my truth in any given moment comes at the expense of another person, my truth cannot stand as the absolute truth. And he went on to say something of truth must always be defined in the context of community that we cannot discern what is reality, if you will, in a given moment without having that discussion and framing those contours in the context of community and connectedness to other people. So I could tell you my truth as a black American woman in 2025, and I already know, I know my sense of what is true in my world is going to look and sound and feel different than what is true for you in this moment. Right?Danielle (18:03):Talking about reality, I feel that even despite our different truths, you and I find ourselves touching ground like physical ground, touching energy, spirituality in the same way, not thinking the same. I don't mean that, but living in a space where you and I can connect and affirm one another's actual experiences in the world, actual day to day. I can tell you about a neighbor, you could tell me about work or one of your kids, and there's a sense that you haven't lived that exact, you're not with me in my house, I'm not with your kid in their school, but there's a sense that we can touch into a reality. We're in the ground somewhere together. So I'm wondering, what do you think makes that possible for us to share that space?Rebecca (18:57):I mean, it might be I part the willingness to share, and I don't mean, well, maybe I mean that in both senses of the word, the willingness to be shared in terms of vulnerable, I'm willing to tell you. And so when you ask me, Hey, how are you? When I say, Hey, Danielle, what's up with you? It's more than just the flippant, oh, I'm good. I'm cool. Right? It is this intentional move to slow down for 60 seconds or 60 minutes and go like, here's really happening with me.(19:38):And the other sort of piece of that, when I say the word share, I mean the willingness for there to be a little wiggle room in what I understand to be true. And that's not to say that I will take your truth and replace it with mine and obliterate my experience, not suggesting that I'm saying that my truth and your truth are going to butt up against each other and in the place where they touch, what do we do with that friction? Does that friction become a point of contention, a point of disagreement, a point of anger, of judgment where I villainize you and demonize you and other you? Or does that place where my truth and your truth rub up against each other? Does that become a place of learning? Does that become a place of flexibility of saying like, huh, I never thought about it the way you thought about it. Say more. And my experience between you and I is that there has been a willingness for years to go. What do you know about the world that I don't know? What do you see that I don't see? And how does your perspective actually alter if even just a little bit what I believe or know to be true of the world?Danielle (21:04):Yes, I agree with you. I think we find ourselves in a time though where the sharing of our reality feels unique, where groups, even groups, we would call them bipoc or black, indigenous people of color. You even see skirmishes between groups. And so I think it's laid in one with so much fear. Number two, with so much hypervigilance. And again, I'm not saying none of those things aren't warranted, but I think a group like yours or therapy or somatic work hopefully opens us up to be able to see the humanity of another person.That make sense or what do you thinking when I sayRebecca (21:49):No, it does. When you were talking about in this moment, it feels unique for groups to kind of share their experience. It caused me to kind of think about why is that right? And I don't think that's an accident. I don't think it is a coincidence. I think that there are powers that are crafting these sort of larger narratives that suggest that we have to be at odds with each other, that there isn't a way for us to see each other and recognize one another's humanity without there being this catastrophic threat to my own humanity. And I think part of why it feels so unique in this moment is because I think we're having to do some pretty significant work to fight against that larger narrative that would suggest that we can't be friends, that we must be enemies.Danielle(22:49):Yeah. What do you feel as you say that? I mean, when you say that I feel like I want to cry, I want to be angry, I want to be choked up, and those are all familiar for me. They're familiar for me.Rebecca (23:08):Well, mostly I feel a kind of loss. And what do I mean by that? I saw this clip on Instagram recently where it's a family. They're probably white, Caucasian American family sitting down to dinner at a table, the table's full of food,(23:33):And there's a bowl of strawberries on the table, which in my house during this time of year, there's forever. There's always strawberries in my house anyway. And so somebody says the blessing over the food, dear God, thank you for the food and the hands that prepared it, this sort of common blessing that is also an everyday occurrence at my house. Literally the words, God bless the food and the hands that prepared it. And then it cuts, the video cuts from the scene of this family, it tucked away safely in their kitchen to a migrant worker in a strawberry field who is being pursued by ice agents. And he says, you're welcome very much for the strawberries. And then the video ends that makes me want to cry, and it makes me think of you. And because that's not a thought I ever thought about when my kids pray, thank you for the hands that prepared it. The thought that went through my mind is like they're praying for me as the mom who cooked the food, who washed the strawberries and sliced them and put them in a bowl and set them on the table, never occurred to me until I saw that video I about the person who picked the strawberries and placed them in the container that found its way to my grocery store that found its way to my kitchen table.(25:08):And so now I wonder, what else do I not know? What else have I missed my entire life? What else did I not catch? And what does that mean for this moment in history when there are literally ice checkpoints in the city where I live?Danielle (25:39):I think to survive this moment and what I hear from my people, we have to take ourselves out of the reality of the moment somehow. You still had to get up and you had to make yourself some scrambled eggs. You have to eat your strawberry, you get to eat your strawberry. We're both at work today, et cetera. And whenever we touch into that other space, we have to let the energy process through us or we won't make it. And I think that process allows us to share a reality, the movement of energy allowing it. It's not like we can live in that state all the time, but I think there's certain segments of the population that don't allow anything in. They can't because otherwise it would contradict their view of faith or what's happened.Rebecca (26:31):Yes. Which I think is why I would do something like offer a group a story group, because it is the opportunity to intentionally take a few minutes to create the space to allow that to process through us.Danielle (26:49):So how do people then, Rebecca, find you? They're enjoying this conversation. I want to hear more from her. I,Rebecca (27:01):So I have a website. It's called Rebuilding my foundation.com. I have Instagram solid foundation Coach is my Instagram site. So two me an email, check out the website, join a group,Danielle (27:26):Join a group. What about people like, Hey, I want to hang out with Danielle and Rebecca. What does that look like? Oh,Rebecca (27:35):Yeah. I mean, we're good for at least once a year doing something together. So it sounds like maybe we need to pull a conversation together, maybe a group together, maybe like a two hour seminar workshop space, which we did last year. We did one with a few other of our friends and colleagues called Defiant Resilience. Again, to create this space where people could process what was happening in this moment in history with people who are safe ish, right? We can't ever really promise safety, but we create some sense of parameters that allow you to take a step or two.Danielle (28:25):Rebecca, what do you say to that person? I get these calls all the time. Well, I can't go to therapy. It's too much money. Or I don't know about group. I don't trust people. If people get stuck, what is one way you even got yourself unstuck to even start?Rebecca  (28:40):Oh, yeah, true. First thing I'd say is if group sounds too risky and not going to lie, you and I both know it's risky.(28:55):You're taking some risk. So if that feels too big of a step, guess what? You get to be where you are. And then I'd say try it one-on-one session. Try it once, see how it feels. It is definitely something that I do. I know it's something you do too, where before you would recommend even that somebody step into a group that you might meet with them 2, 3, 4 times one-on-one once or twice to kind of see, this is what it would feel like to talk to another person about things that we have been taught you're not supposed to talk about. And slowly give a person the opportunity to decide for themselves what good care.You're allowed to say, this doesn't feel like good care to me, so I'm not going to do it today or tomorrow. And how amazing it can be to have somebody go, I love that you advocated for yourself, and I absolutely intend to respect that boundary because for so many of us, we either were taught not to set boundaries or when they were set, we have the common experience of them just being obliterated on a regular basis. So even that opportunity to reach out once, try and decide it's not for you, can actually be a moment of empowerment.Danielle (30:25):Yeah, I guess I think when I'm stuck, it's usually like we call some of those sticky points, like trauma points even. So I wouldn't say it doesn't always have to be major, some huge event, but I think there's often been, for me, there's a fear of getting help, whether it's a medical doctor or a therapist or a group or whatever it may be. Or if I have to call the county for something, I'm like, are they going to listen me? Are they going to believe me in all these kinds of situations and will they care what I have to say?Rebecca (30:58):Yeah. I think too, when you say fear of getting help, I go like, oh yeah, ding, ding. Right? I mean, some of that, at least for me, the narrative that can be around black women is that we have it all together at all times. We got it under control. And so the notion that I wouldn't have it under control all by myself, like 24 hours a day, seven days a week, the notion that I would have to request that someone else step in and assist means admitting something about myself that I don't feel comfortable admitting that I've been taught is not where I'm allowed to live. And so that also I think can be part of this fear. I don't know if that's true for you. Tell me how does that land?Danielle (31:49):Yeah, absolutely true. But it goes across so many realms where sometimes advocating for yourself, whether it's getting a question answered at a shoe store, to buying paint, to getting, I don't know, going to the er, the common themes I had my gallbladder recently removed, and two nurses told me that if I had been a man, I would've been seen faster. Because men, they believe men more about abdominal pain, and I think it's because there's maybe more expression by men of what pain is. And I don't know this for sure. I don't have a scientific research behind it, but part of me wondered, is it because my pain was indicated by my blood pressure, not by me telling them that's how they knew it. So I think that's one reason we have to really pay attention to our bodies, and I think wherever we are, we're not used to being believed, or even if someone knows, if they care, again, whether it's from going to pay a parking ticket, so going to the doctor, I just think across the board, people that are female are generally not as welcome to express how they're feeling and what's going on. Just some thoughts.Rebecca (33:11):Yeah. Again, right. It is that part where there's this larger story at play that impacts how we move individually and what we feel like we're permitted to do or not do, say or not say. You and I have talked about this before, that question of will they believe me is a kind of anticipatory intelligenceYou're trying to anticipate how you will be received, how your words will be believed, how your story will be read in any given context, and who has time, your gallbladder. And so I would imagine you're in this excruciating pain and you're having to not only tend to that, but are you going to believe me? Right? And what if the blood pressure indicator had not been there, right?Danielle (34:07):Yeah. Yeah. All of us are different. Okay. Rebecca, I'm going to put all your info in the notes. People are going to light up your phone. They're going to light up your email, and I do believe we'll be doing something collaborative in the future. Absolutely. Yeah. With other co-conspirators.Thank you for joining us today. Thank you for tuning in. Thank you for listening to the raw conversations we're having, and I just encourage you to get in conversations with your friends, your family, people around you, people you really disagree with, maybe even people you don't like. Try to hold yourself there. Try to have those conversations. Try to be able to receive the difficult comments. Try to be able to say the difficult things. Let's keep working on moving towards one another.   Kitsap County & Washington State Crisis and Mental Health ResourcesIf you or someone else is in immediate danger, please call 911.This resource list provides crisis and mental health contacts for Kitsap County and across Washington State.Kitsap County / Local ResourcesResourceContact InfoWhat They OfferSalish Regional Crisis Line / Kitsap Mental Health 24/7 Crisis Call LinePhone: 1‑888‑910‑0416Website: https://www.kitsapmentalhealth.org/crisis-24-7-services/24/7 emotional support for suicide or mental health crises; mobile crisis outreach; connection to services.KMHS Youth Mobile Crisis Outreach TeamEmergencies via Salish Crisis Line: 1‑888‑910‑0416Website: https://sync.salishbehavioralhealth.org/youth-mobile-crisis-outreach-team/Crisis outreach for minors and youth experiencing behavioral health emergencies.Kitsap Mental Health Services (KMHS)Main: 360‑373‑5031; Toll‑free: 888‑816‑0488; TDD: 360‑478‑2715Website: https://www.kitsapmentalhealth.org/crisis-24-7-services/Outpatient, inpatient, crisis triage, substance use treatment, stabilization, behavioral health services.Kitsap County Suicide Prevention / “Need Help Now”Call the Salish Regional Crisis Line at 1‑888‑910‑0416Website: https://www.kitsap.gov/hs/Pages/Suicide-Prevention-Website.aspx24/7/365 emotional support; connects people to resources; suicide prevention assistance.Crisis Clinic of the PeninsulasPhone: 360‑479‑3033 or 1‑800‑843‑4793Website: https://www.bainbridgewa.gov/607/Mental-Health-ResourcesLocal crisis intervention services, referrals, and emotional support.NAMI Kitsap CountyWebsite: https://namikitsap.org/Peer support groups, education, and resources for individuals and families affected by mental illness.Statewide & National Crisis ResourcesResourceContact InfoWhat They Offer988 Suicide & Crisis Lifeline (WA‑988)Call or text 988; Website: https://wa988.org/Free, 24/7 support for suicidal thoughts, emotional distress, relationship problems, and substance concerns.Washington Recovery Help Line1‑866‑789‑1511Website: https://doh.wa.gov/you-and-your-family/injury-and-violence-prevention/suicide-prevention/hotline-text-and-chat-resourcesHelp for mental health, substance use, and problem gambling; 24/7 statewide support.WA Warm Line877‑500‑9276Website: https://www.crisisconnections.org/wa-warm-line/Peer-support line for emotional or mental health distress; support outside of crisis moments.Native & Strong Crisis LifelineDial 988 then press 4Website: https://doh.wa.gov/you-and-your-family/injury-and-violence-prevention/suicide-prevention/hotline-text-and-chat-resourcesCulturally relevant crisis counseling by Indigenous counselors.Additional Helpful Tools & Tips• Behavioral Health Services Access: Request assessments and access to outpatient, residential, or inpatient care through the Salish Behavioral Health Organization. Website: https://www.kitsap.gov/hs/Pages/SBHO-Get-Behaviroal-Health-Services.aspx• Deaf / Hard of Hearing: Use your preferred relay service (for example dial 711 then the appropriate number) to access crisis services.• Warning Signs & Risk Factors: If someone is talking about harming themselves, giving away possessions, expressing hopelessness, or showing extreme behavior changes, contact crisis resources immediately.Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that. Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that.

Dr. Adam Power, co-founder and Chief Medical Officer at Front Line Medical Technologies, shares his fascinating journey from a background in vascular surgery to developing COBRA-OS, a groundbreaking device for hemorrhage control. He discusses the challenges and milestones in bringing this life-saving technology to market, the impact of the device in trauma and emergency care, and innovative future applications, including its unexpected use in non-traumatic cardiac arrest.    Guest links: https://frontlinemedtech.com/ Charity supported: Canadian Cancer Society Interested in being a guest on the show or have feedback to share? Email us at theleadingdifference@velentium.com.  PRODUCTION CREDITS Host & Editor: Lindsey Dinneen Producer: Velentium Medical   EPISODE TRANSCRIPT Episode 064 - Dr. Adam Power [00:00:00] Lindsey Dinneen: Hi, I'm Lindsey and I'm talking with MedTech industry leaders on how they change lives for a better world. [00:00:09] Diane Bouis: The inventions and technologies are fascinating and so are the people who work with them. [00:00:15] Frank Jaskulke: There was a period of time where I realized, fundamentally, my job was to go hang out with really smart people that are saving lives and then do work that would help them save more lives. [00:00:28] Diane Bouis: I got into the business to save lives and it is incredibly motivating to work with people who are in that same business, saving or improving lives. [00:00:38] Duane Mancini: What better industry than where I get to wake up every day and just save people's lives. [00:00:42] Lindsey Dinneen: These are extraordinary people doing extraordinary work, and this is The Leading Difference. Hello, and welcome back to another episode of The Leading Difference podcast. I'm your host, Lindsey, and today I'm excited to introduce you to my guest, Dr. Adam Power. Dr. Power is a leader in innovative medical devices for trauma and emergency care that is committed to lowering the barriers and bleeding control and resuscitation. Dr. Power was instrumental in the development of COBRA-OS, drawing on his unique clinical viewpoint and expertise to ensure utmost patient safety and assist with the company's global expansion. In addition to his current role as co-founder and Chief Medical Officer at Front Line Medical Technologies Incorporated, Dr. Adam Power is a vascular surgeon in the division of vascular surgery at Western University, which he joined in the fall of 2012, and he is involved in all aspects of academics and clinical care. Also, Front Line was just named the 2025 Medical Device Technology Company of the Year, so I definitely wanted to highlight that too. All right. Well, thank you so much for being here today, Adam. I'm so delighted to speak with you. [00:01:55] Dr. Adam Power: Yes, it's a pleasure to be here. Thank you. [00:01:57] Lindsey Dinneen: Of course. Well, I'd love if you would start by sharing a little bit about yourself, your background, and what led you to what you're doing today. [00:02:05] Dr. Adam Power: Sure, I'd love to. So I'm a Canadian. I grew up on the east coast of Canada and was always interested in science and math and those types of things. I think, importantly, I grew up with an identical twin brother as well. So we really didn't know what we wanted to do with our lives, and ultimately we're good in science and math and ended up in medicine. And then both of us, when we got into medicine, we weren't sure exactly what we wanted to do in medicine, and ultimately both of us became surgeons. He became a urology surgeon, and I became a vascular surgeon, where we joke that we're both plumbers. I deal with the red stuff and he's the yellow stuff. But I did my initial medical school out on the east coast of Canada and then I did my general surgery training, which also involved trauma training, and then did a Master's of Bioscience Enterprise, which was basically biotech business from the University of Cambridge in the UK. When I finished my general surgery training, I continued on and did vascular surgery training at Mayo Clinic down in the US, and since that time after graduating from there, I've been at Western University in London, Ontario, Canada, for the past 13 years practicing as a vascular surgeon and an academic vascular surgeon. But when I was here at Western, I was always interested in innovation. I filed my first patent as a resident way back when, and have filed many over the years. But ultimately, if I was ever gonna see anything that came outta my head and was actually used in a patient or I could actually use in a patient, I figured I'd have to do it. I knew that I couldn't do it by myself. And so, I was very fortunate to meet my co-founder Dr. Asha Parekh. She's a PhD, biomedical engineer, extremely smart jack of all trades, and we teamed up now about eight years ago. We met here at Western, teamed up and really took an idea right out of our heads and patented it and raised money for it, prototyped it, brought it all through the regulatory steps to approvals, built a quality system and ultimately got it out onto the market in Canada, US, Europe, now Australia, and more to come. So the commercialization piece is what we've been focusing on over the past three years. And it's been really fun, but very exhausting but very rewarding as well. I think I'll stop there because I've been blathering on, but... [00:04:39] Lindsey Dinneen: No, it's fantastic. I really appreciate it. Plus, it's really fun to hear about your trajectory and so, okay, so you've teased us a little bit about this company of yours and this innovation of yours. Can you now share a little bit more about that and the development of it over time? [00:04:55] Dr. Adam Power: Yes, of course. Well, I mean, thing that we recognized early on is, and I'll just explain how I normally explain it, is if you have bleeding, it's a hemorrhage control device. And so if you have bleeding in your extremities, then you can often either put pressure on it or you can put a tourniquet on it. The problem when you have internal bleeding in the torso is that you can't actually put direct pressure on it, and there's no tourniquet that necessarily works for intraabdominal, intrathoracic bleeding. And when people bleed to death before coming to hospital, I mean, they're bleeding in these areas. You can empty almost your entire blood volume into your chest or into your abdomen. And this does account for a significant number of fatalities in all environments, basically in the trauma environment. That's military, that's pre-hospital, that's any time that that people are bleeding from internal organs. And so, because this is such a problem, the old fashioned way to fix it is to open up someone's chest and put a clamp on the aorta. So what does that do? Is it basically above the clamp, keeps blood flowing. The remaining blood in the body keeps blood flowing to the brain and the heart, keep you alive. And then below the clamp, it stops sort of the hemorrhaging from the spleen or the liver or whatever. So there's two things going on. One above the clamp and two below the clamp. But opening up somebody's chest in, you know, side of the road or in the emergency department really is impossible. You need highly skilled people like vascular surgeons like myself to be able to do this. And even if we were at the side of the road, we don't have the resources available to keep a patient alive. So there is this idea that we could do this minimally invasively, sort of accomplish this through minimally invasive means. And this, the idea of doing REBOA, which is an acronym-- Resuscitative Endovascular Balloon Occlusion of the Aorta-- came into being. This was probably 15, 20 years ago now. It wasn't necessarily a new idea. It had been done since the Korean War. There was somebody actually put a balloon up into someone's aorta to stop bleeding, but it came back again and was starting to be used a little bit more because. And so really the idea is to, through the femoral artery in your groin where you can feel a pulse, you introduce initially a sheath, which is your access point, and then you place the device up through the sheath, up into the aorta and inflate a balloon in the aorta. So instead of an external clamp, it's an internal balloon clamp that keeps blood flowing above the balloon and stops the blood flowing from below the balloon. Initially these devices were as big as my baby finger, like they were massive. And so if you put them in and you took it out, there was a big hole in the artery, had to cut down on the artery and repair the artery. But as it got more and more advanced and technology advanced, they become smaller and smaller. So that's really where we came in. The initial devices were 12 French, about the size of my baby finger. And then it advanced to Seven French and all of a sudden Seven French-- and these are diameter, French sizes are basically diameter-- and so when it went from 12 to seven French, now we could start doing it through the skin without actually cutting down on the artery. But that Seven French size was still very large and you're putting this in the hands of people that don't do this all the time. And so, we had the idea to bring it down even further now to Four French. And so this is essentially the size of an IV. And so you put a tiny little IV in somebody's femoral artery. And lots of different people can do that. And then you advance the device up in, inflate the balloon and you can magically occlude the aorta. In our first study that we did, the first inhuman study, we averaged about just over a minute to occlude someone's aorta, which was really fast to be able to get that amount of control that quickly. So that, that was really been the advancement is to decrease the access size, make this whole procedure simpler so that so that we can essentially save more lives. [00:09:08] Lindsey Dinneen: Okay, so thank you so much for sharing a little bit about that. Can you tell me about the beginnings of this innovation and how you brought it to market? Because it's really wonderful to hear all the success, and I'm so excited to hear that it's spreading, you have presence all over the place now. But you know, that's not an easy pathway. And I'm curious if you could walk us through a little bit about that decision to go, "You know what? We have a solution to a known problem, we can make this happen." And then how did you actually go about doing that? [00:09:42] Dr. Adam Power: Yeah. I think, I mean, I make it sound fairly straightforward, like a nice story, but it certainly was not that. I mean, we were very lucky I would say, that we had a lot of great advisors and mentors that we figured that we try not to fail early, fail fast. We wanted to make this one as successful as possible. So before we made any decision, we often would consult our mentors. And I'm a surgeon. I like to shoot first, ask questions later. My partner is not. And so I think we, we strike an excellent balance between not just the engineering and clinical side of things, but also from driving a business forward, getting all the information, but helping to get decisions made and moving forward. You know, starting out, we really had to choose the right sort of fit for what we wanted to pursue. We like to say it checked all the boxes. It checked all the boxes as far as even where we are. We're in Canada, we're not in a tech triangle where there's tons of funding opportunities. We knew we would be limited from a funding perspective, so we couldn't choose something that necessarily required a hundred million dollars to start up. So, you know, we had this device that we knew that we could fundraise for it. And then once it was fundraised, it was simple enough that we could get it manufactured. We chose to go the OEM route for the original equipment manufacturer, so we didn't have to build a manufacturing facilities ourselves. And then really from there, and building a quality system in the regulatory, we did work with a lot of consultants, that was both positive and negative experience. We had great consultants. We had not so great consultants. But really what our our goal was, is to learn the process ourselves. And so there's always manuals for things, even from the FDA perspective. They give out great documentation about what is supposed to go into an FDA application. And we dug into that. We really tried to understand. We did not trust anyone. That's one of my rules in surgery is, "don't trust anyone, not even myself." So we really didn't trust our consultants, and we tried to double check and triple check everything so that we didn't make mistakes. And of course, we did make mistakes and had to go back to the drawing board a few times. But as much as we wanted to get this out there, we really did wanna learn the process and know the process because ultimately we're the ones that are responsible to the patients in the end, and we needed to make sure that we had a handle on each and every step of the way. We, of course, because of that, were maybe not as quick as we could have been but in other places we became more efficient because, as we learned the process, getting feedback back and doing it right the first time, it really made a difference. So. [00:12:39] Lindsey Dinneen: Yeah, absolutely. Of course. Yeah, and I appreciate you going into a little bit more of the nitty gritty details 'cause it is so fun to hear the success stories, but of course, as you go along, there's that pathway to success. And it's helpful to understand that yeah, it's gonna be potentially a long road, sometimes windy, sometimes weird, but at the same time that it is possible. So as you look to the future with your company, what are you thinking of in terms of the future? Are you going to continue down this pathway and continue with iterations of this device? Are you thinking of new devices to introduce as well? Or, what are your thoughts for the future? [00:13:18] Dr. Adam Power: Yeah. And I have to be very careful what I say here, obviously. I can share generically what our thoughts are. We love this. Ultimately there was no better feeling than to use-- I mean, I've used my device to save a patient. And, you know, I would say that Asha, who's my co-founder, she cares. I'm a physician, but she cares about the patients just as much as I do, as does everyone in our company, which is really quite rewarding. But the future, what does the future hold? We really want this to get to everywhere. Yes, we're in lots of different countries ,have commercialized really all around the globe, but we really wanna go deeper into a lot of these geographies and really help as many people as possible. We realize that we can't do it on our own and are gonna need help. And so that's, we're in a growth phase right now of our company and we're looking for strategic collaboration. We're looking for those opportunities to deepen our ties and in all the different geographies. That being said, we are inventors and of course we have an idea every day about what we could improve on. But as far as the pipeline goes for our company, we are focusing on some very specific up and coming applications that we hope to have in the next couple of years. And I also wanna say that, I talked about trauma and bleeding, but the more exciting side of aortic occlusion has really been the applications. And you'd think, okay, it makes sense for trauma to be able to stop blood flow and stop bleeding. But some of our recent successes have been through postpartum hemorrhage. And there is this really, terrible condition called placenta accreta, where the placenta grows into the uterus and when you deliver the baby either by C-section or by delivery, and then the placenta attempts to be delivered, it tears, and you can have torrential bleeding. And, and so our device is being used in these women who are pregnant when inflicted with this condition and helping to decrease blood transfusions, helping to save a mother's life. So that's been really amazing. And then next on the horizon is strangely there's, it's not even a bleeding application. We've done some research and there's research going on globally about using aortic, minimally invasive aortic occlusion for non-traumatic cardiac arrest. And so if, which is really, again, it's like, "Oh my gosh, does this thing do everything? It might make your supper tonight if you're not careful." So it, so what happens there is that if somebody drops dead basically in front of you, and you start CPR, if you start pushing on their chest and pushing on their heart, you're pushing blood to the whole body. And the way you get someone back to life is if you can get the heart muscle oxygenated again. So if you put an aortic occlusion balloon up close to the heart, every time you push, you're directing blood right into the coronary arteries and right into the brain as well. And so what we're seeing is that there's increased return of spontaneous circulation rates when you do this with CPR. And there are different trials around the world that if this shows that there's an increase in survival or in better neurological survival, this will be the first time that we've really changed the script on cardiac arrest since advanced cardiac life support came out many years ago. So this, again, is very exciting for a simple device to be able to make that much impact in all these different areas. So, you know, we have a lot to focus on right now, even growing into the future because some of these, like cardiac arrest, are quite early on. So we don't wanna lose sight of this great original product, but we do think all the time about different pipeline ideas that could help other patients. [00:17:18] Lindsey Dinneen: Yeah, but, and to your point, even the amazing other use cases for this incredible device, like you said-- maybe it's gonna make us dinner next-- but the idea being that, who knows? I mean, there's so much more to discover even now, which makes me excited just to think about how many more use cases you could have for it and how many more people you could save. So, speaking of that, are there any stories that kind of stand out to you, moments that you've had where, you know, either through your day job, so to speak, being a vascular surgeon, but also being the co-founder of this company that really sort of affirmed to you that, "You know what? I am in the right place at the right time, in the right industry." Just those moments that really stick with you. [00:18:05] Dr. Adam Power: Yeah, I mean, it obviously all stems back to the patient and what patients are impacted. And I remember, the first time that the device was used at our hospital, one of the radiologists called me in and said, " We need to use one of these balloon occlusion devices for a patient that's been in an accident." And so I went in and I said, "I actually have the device that my partner and I created. We can use this for the patient." And so we started using it for the lady that was involved in a very serious accident, had a pelvic fracture, and she was a Jane Doe at that particular time. She was anonymous. And anyway, we noticed that she had actually had some vascular surgery done based on her angiograms, and I leaned over and I-- so she was sedated, but she was awake-- I said, "Have you had vascular surgery? Who's your vascular surgeon?" And she said, "It's Dr. Power. He's such a nice man." And so I was actually helping one of my patients. That was pretty crazy. [00:19:04] Lindsey Dinneen: Oh. [00:19:05] Dr. Adam Power: Also from my hospital, when I heard one of my junior residents was able to save someone's life. So, you know, junior residents are often good, but they're not trained surgeons. And so to have a simplistic device that one of my residents could actually place and help someone, that's pretty amazing too. There's also been times where like even the postpartum hemorrhage, we hear the first cases in the States of saving mother and baby. That's pretty incredible. Or that we donated some devices to the Ukraine conflict as well, and we heard that it saved some soldiers' lives as well. And there's different military groups that, that use our device and save soldiers. So it's all back to the patient. And hearing those success stories and hearing about somebody alive because of this particular device, because of all this effort that we've put in. I mean, it's really makes it worthwhile. It sounds kind of corny, but as a surgeon, I can help one person at a time, but as somebody involved in industry and medical device industry, I don't even have to be there. You know, this device can help long after I'm gone. The tricky part of it, being the Chief Medical Officer is, I usually only have to worry about my patients. Now I have to worry about everybody worldwide and the device being used. That was a little hard to wrap my head around initially, but yeah. [00:20:28] Lindsey Dinneen: Yeah, of course. But the ripple, the ripples, the impact that you get to have because of this device and because of your diligence getting it to market, because it isn't an easy path, and that's incredible. So thank you for doing the work that you're doing. That's not easy and it's very appreciated. This is incredible. So, yeah. So, okay. When you were growing up, let's say 8-year-old, Adam-- you know, you're having a good time doing whatever you like to do-- could you possibly have pictured yourself where you are now? [00:21:08] Dr. Adam Power: No, I don't think so. I mean, I, I. I came from a very small, like, small upbringing and, you know, in my family I had absolutely lovely family members, but they really, apart from my aunt, they weren't overly educated. And so I really didn't know what it took to be successful in life, really. I had work ethic from my parents, that's for sure. And so that's what they bred into me. And all I knew is that I was gonna work as hard as I could, and I figured that as long as I keep working-- and I was lucky to have some brains as well-- then I figured things would fall into place. They honestly haven't fallen into place exactly how I pictured them as I grew older and what it would look like. But I'm certainly thankful for where I am right now, and what is the next five years or 10 years gonna look like? I have no idea. And I guess I just don't even picture it. I have goals, but I also know that those goals change depending on circumstances. And you need, as I'm growing into middle age-- I think I'm beyond middle age now-- I'm thinking about midlife crisis and things like that. I get into philosophy and there's like telic and atelic things and so, it's sounds, again, it's about the path and the journey. It's not about the ultimate goal because, having reached a lot of these successes, that good feeling lasts for maybe a day or half a day. And you think you know, I spent all these years coming with the, with our device, getting our device to market and getting FDA approval and like, oh my gosh, like, you'd think, I'd feel so great about that. And it did. It felt great, but you wake up the next day and you gotta keep going. So you have to enjoy the journey and that's really what it's the wisdom that comes with age is trying to enjoy the journey as much as possible and not focus too much beyond that. [00:23:09] Lindsey Dinneen: Yeah. Yeah, and I think that's really good advice too, in that it is because the daily life isn't usually all the celebration and successes. I mean, that does happen and those are good moments, but because the vast majority of our life is spent on the journey component of it, and going through those peaks and valleys, it is important to find something you love and feel that you can make an impact in. So I'm so thankful that this is what you've chosen to do. So pivoting the conversation a little bit just for fun, imagine that you're to be offered a million dollars to teach a masterclass on anything you want. Could be within your industry, but it doesn't have to be. What would you choose to teach? [00:23:55] Dr. Adam Power: And would that mean that I was an expert in it? [00:23:58] Lindsey Dinneen: Well, certainly if you're getting paid a million dollars, somebody has decided you aren't an expert at it. How about that? [00:24:05] Dr. Adam Power: Okay. Well. Can I pretend like I'm an expert in it? There's something that I really love, but I'm not I'm probably not an expert in it. It would be, I would teach a masterclass in DJing. Isn't that strange? I know it's so random. [00:24:21] Lindsey Dinneen: Oh my goodness! Tell me more! [00:24:23] Dr. Adam Power: Well, I mean, I love music. I've, I grew up playing lots of sports and never was involved in music. And, and I've always appreciated music and art, but I was never able to do it. And, you know, growing up I did love sort of all types of music and then even electronic music and it just somehow talked to me. So I started DJing electronic music basically when I was around med school and have always loved it now, and when I was over in England, I DJ'ed on the campus radio and also DJ'd in a club. It was really fun and it sounds pretty silly to be talking about this when I have these other things that are on the go. But honestly, being able to share space with other human beings these days, and actually having a good time and having it not be stressful and having it be only, you know, everybody's wishing others to have a good time. There's not many people that go out sort of dancing into electronic music that are thinking bad things about other people. Really they're just out for a good time. And so being able to steer that whole music and scene is pretty awesome. And I do love it. And I don't DJ as much as I used to, but I still do different events, usually Christmas parties for the operating room. I'll do the typically wedding sort of DJ, but then they always, 'cause they know me, they let me do an hour long electronic set, which is like hardcore electronic. But then I go back to the regular stuff. But I would want to teach a masterclass in DJing. [00:25:56] Lindsey Dinneen: That is awesome. How exciting. Oh my gosh, I love that. And I think you're right. Music brings us together and it's a wonderful way to, to share a little bit of joy. [00:26:07] Dr. Adam Power: Yeah. [00:26:08] Lindsey Dinneen: Yeah. Okay. And then how do you wish to be remembered after you leave this world? [00:26:15] Dr. Adam Power: I, so number one is I don't, again, with my midlife crisis, I've actually been trying to eliminate my ego as much as possible. And so when people talk about legacy, it actually gives me the hives these days to be quite honest, because I don't like that because I think you're focused a lot on yourself. In my opinion, a lot of legacy is all about you. The way that I would wanna be remembered, though, is truly that I was kind and compassionate to everyone that I met, and that I stood for something, and that I left the world a better place. [00:26:57] Lindsey Dinneen: Yeah, those are wonderful things to want to be remembered for, absolutely. And then final question, what is one thing that makes you smile every time you see or think about it? [00:27:09] Dr. Adam Power: My kids. My son Kai and my daughter Saoirse. They are the light of my life. And I, you would think that with how busy I am ,you know, those things would deprioritize, but they truly are the one thing in my life that makes me smile when I get up in the morning. [00:27:30] Lindsey Dinneen: Oh, that's wonderful. Well, that is absolutely incredible. I loved getting to meet you and speak with you a little bit today. Thank you so much for sharing about your journey. Thank you for sharing about your incredible device and your bits of wisdom along the way. The idea of we've gotta enjoy the experience, the path, the journey. And I just really appreciate you spending some time with us. So thank you for everything you're doing to change lives for a better world. [00:27:59] Dr. Adam Power: Oh, well, thank you for giving me the opportunity to speak with you. It was absolutely lovely chatting with you today. [00:28:05] Lindsey Dinneen: Wonderful. Well, thank you again so much. Thank you also to listeners who are tuning in, and if you're as inspired as I am, I would love it if you would share this episode with a colleague or two and we'll catch you next time. [00:28:20] Ben Trombold: The Leading Difference is brought to you by Velentium. Velentium is a full-service CDMO with 100% in-house capability to design, develop, and manufacture medical devices from class two wearables to class three active implantable medical devices. Velentium specializes in active implantables, leads, programmers, and accessories across a wide range of indications, such as neuromodulation, deep brain stimulation, cardiac management, and diabetes management. Velentium's core competencies include electrical, firmware, and mechanical design, mobile apps, embedded cybersecurity, human factors and usability, automated test systems, systems engineering, and contract manufacturing. Velentium works with clients worldwide, from startups seeking funding to established Fortune 100 companies. Visit velentium.com to explore your next step in medical device development.

In this episode of the Healing From Toxic Abuse Podcast, host Deborah Ashway is joined by Kimberly Johnson, CEO of Arch Collaborative. Arch Collaborative is a social services network in Redding, CA, supporting victims of domestic violence, child abuse, and human trafficking in Shasta County. Since founding the Children's Legacy Center in 2016, she has secured over $15 million in grants to establish the county's first Children's Advocacy Center, aiding prosecutions while reducing trauma for victims. Ms. Johnson is an alum of the Stanford Business School's LEAD Program, and holds certifications from the National Children's Alliance and the National Native Children's Trauma CenterThis episode discusses trauma-informed care and innovative support systems for trauma survivors. Kimberly shares her work in Northern California, detailing the creation of a Children's Advocacy Center, the challenges and successes in providing services to victims of violence, and the crucial role of interdisciplinary collaboration. This discussion highlights hope, healing, and the transformative potential of coordinated care for those affected by trauma.00:00 Introduction to the Podcast and Guest02:11 Kimberly Johnson's Background and Arch Collaborative03:25 The Children's Advocacy Center Model05:28 Expansion and Rebranding to Arch Collaborative06:59 Challenges and Successes in Trauma-Informed Care09:49 Rural Placement Model for Exploited Children15:05 Systemic Solutions and Coordinated Response20:33 Comprehensive Services for Domestic Violence Victims24:13 Charges Filed and Community Impact25:03 Understanding Non-Physical Abuse26:09 Challenges in Victim Support27:38 Financial Control and Training28:08 Post-COVID Staffing and Services31:18 Behavioral Health and Crisis Services33:26 Law Enforcement and Victim Belief39:44 Supporting Local Trauma Care41:56 Future of Trauma-Informed Care46:14 Conclusion and Contact Information Social Links:https://www.facebook.com/OneSafePlaceShasta/, https://www.facebook.com/childrenslegacycenter/https://www.instagram.com/ospshasta/?hl=enhttps://www.instagram.com/childrenslegacycenter/?hl=enhttps://www.instagram.com/kimberlylanelle/?hl=enhttps://www.linkedin.com/in/kimberly-l-johnson-7803a374

The Arise Podcast – Edited TranscriptSpeaker 1 (00:29):Welcome to the Rise Podcast. As part of this process, we're going to talk about what reality is—how to find it, and how to ground yourself in it. I'll have some regular co-hosts with me, as I mentioned earlier, and we'll continue to explore faith, gender, race, sex, the church—all in the context of discovering reality.Today is September 10, 2025. As I pushed to get this episode out, plans shifted and things got canceled. I was busy with the kids, checking the news, scrolling Instagram, running errands, picking up sandwiches—just an ordinary day. Then I saw the headline: Charlie Kirk had been shot.Interestingly, Charlie Kirk and I disagree on almost everything, but I've occasionally listened to his podcast. I also listen to the Midas Touch podcast and others across the spectrum to understand what people are thinking and believing.(01:47)I ask myself: what reality am I living in, and whose voices am I letting in? When I have the capacity, I listen to people like Charlie Kirk, sometimes tune in to Fox News, check X/Twitter, or look at Truth Social—just to gauge different perspectives.I live on Squamish land—land of cedar and clear salt water—here in Poulsbo, Washington. Kitsap County is an interesting rural mix. We're near Seattle, often labeled “ultra-liberal,” but that doesn't exempt us from racism, elitism, or entrenched power structures. And our rural neighbors may identify as fiscally or socially conservative. You might meet someone who voted very differently from you—someone who will happily bring you cookies, or someone who might actually despise you.(02:48)This mix, I think, is closer to reality than living in silos. We may choose echo chambers for news, but we still rub shoulders at coffee shops, restaurants, gyms, and schools with people who think differently.I keep asking: how do we find a shared space to even talk? How do we locate common reality?Back in 2020, when George Floyd was murdered, I saw deep fractures emerge. I was just starting therapy groups on race and whiteness. Our diverse group gathered to talk about racism at a time when the country seemed ready for those conversations.(04:54)But quickly I noticed what I call splitting—fracturing when someone said something others couldn't accept or even register in their bodies. It sometimes caused silence or confusion, and often led to sharp, even violent words meant to wound. And often the person speaking didn't realize the harm.This fascinated me as a therapist. From a psychological perspective, I began to wonder: which part of ourselves shows up in everyday interactions? At a store, maybe just a polite hello. With a friend, maybe a brief check-in that still doesn't touch the day's deeper feelings.(07:07)Sometimes those layers of relationship reveal unspoken emotions—feelings inside that remain hidden. Healthy boundaries are normal, but there's no guarantee that with those we love we suddenly share every vulnerable part of ourselves.Now add politics, faith, love, gender, culture: more layers. Many of these parts trace back to childhood—traumas, arguments, experiences at school or with caregivers.(08:15)So when I see splitting—what some call polarization, black-and-white or binary thinking, or even “boundaries as weapons”—I see people wrestling with what it means to be a neighbor and to engage someone who thinks radically differently.I feel the temptation myself to label everything all good or all bad. Children need that kind of distinction to learn what's safe and unsafe, but adults must grow beyond it. Two things can be true at the same time: you hurt me, and I still love you and will show up. Yet our world increasingly tells us that can't be true.(11:05)This pressure to split is intense—internally, from media, from social circles, from family. Sometimes I want to run away into the woods, start a farm, keep my kids home, just stay safe. Today, after news of a school shooting and Charlie Kirk's murder, that desire feels even stronger.There are days I simply cannot engage with people who think differently. Other days, I have more capacity.So where is reality? For me, it's grounding in faith—literally planting my feet on the earth, hugging a tree, touching grass.(13:30)I ask: who is God? Who is Jesus? And who have I been told God and Jesus are? I grew up in a rigid evangelical structure—shaped by purity culture and fear of punishment. I remember hearing, “If God calls you and you don't act, He'll move on and you'll be left behind.” Even now, at 47, that idea haunts me.When I meet people from that tradition, I feel the urge to split—making my perspective all right and theirs all wrong. I have to remind myself of their humanity and of God's love for them.Earlier this year, I chose to resist those splits. I called people where relationships felt scratchy or unresolved, inviting conversation. Not everyone responded, but the practice helped loosen old binds.(16:55)I also keep listening to multiple viewpoints. I never “followed” Charlie Kirk, but I'd check his posts and sometimes feel genuine tenderness when he shared about his family. That's part of loving your enemies—remembering their humanity, even when you feel anger or rage.I grew up surrounded by conservative media. I even remember the early days of Fox News. As a teen reading Time magazine, I once told my parents that Michael Dukakis's policies aligned more with my faith than his opponent's. Over time I drifted toward trickle-down economics, but that early instinct still stands out.(21:22)All of us are socialized into certain beliefs. I went from conservative evangelical spaces to a conservative liberal-arts college. People warned I might “lose my faith,” yet those history classes deepened it. Today many claim that consuming certain media will “distort your reality.” Political violence is rising. I listen to both progressive and conservative podcasts to understand different lives. Yet when I cite something I've heard, I'm often told it's “AI-generated” or “fake,” even when it's a direct quote. Liberals do this too, around issues like Palestine, policing, or healthcare.(24:47)It's painful to be around people who think differently. The question is: how do we converse without devolving into hate or shouting?Today is September 11. Between Charlie Kirk's assassination, yesterday's school shooting, and attempted political killings, it's clear our nation is split into competing realities that shape everything—from how we see safety to how we practice faith and empathy.This podcast is about examining those realities and how we process them.(26:44)Sometimes we retreat inward to cope with trauma—what psychology might call dissociation or a psychic retreat. I understand the instinct to step back for safety.Maybe these divisions always existed, and I just see them more clearly now while raising my children. That responsibility feels heavy.(29:12)I often turn to elders and their words—Cesar Chavez, Dolores Huerta, Martin Luther King Jr.'s “Letter from Birmingham Jail.” They remind me others have endured violence and hatred and still held onto hope and faith.I fight for that same hope now.(30:04)To ground ourselves we can:- Connect with the earth: literally touch the ground, trees, water.- Stay in community: share meals, exchange help, build fences together.- Nourish faith: draw on spiritual wisdom.- Cherish family: use loved ones as emotional barometers.- Engage work and service: notice how they shape and sustain us.- Face issues of race and justice: ask if we contribute to harm or to healing.Your grounding pillars may differ, but these guide me.(32:40)I invite you to this journey. You may agree or disagree—that's okay. We need space to coexist when it feels like only one side can survive.Violence won't change hearts. Bullets cannot replace ballots. Money cannot buy joy or transformation. Only sustained dialogue and care can.(34:05)I'll share some quotes from Dolores Huerta and Cesar Chavez in the show notes. Please stay curious and seek the mental-health support you need. Don't be alone in your grief or fear. If you feel triggered or overwhelmed, reach out—to a therapist, pastor, trusted friend, or crisis helpline.A special guest and new co-host will join me next week. I look forward to continuing the conversation.   Crisis Resources:Kitsap County & Washington State Crisis and Mental Health ResourcesIf you or someone else is in immediate danger, please call 911.This resource list provides crisis and mental health contacts for Kitsap County and across Washington State.Kitsap County / Local ResourcesResource Contact Info What They OfferSalish Regional Crisis Line / Kitsap Mental Health 24/7 Crisis Call Line Phone: 1‑888‑910‑0416Website: https://www.kitsapmentalhealth.org/crisis-24-7-services/ 24/7 emotional support for suicide or mental health crises; mobile crisis outreach; connection to services.KMHS Youth Mobile Crisis Outreach Team Emergencies via Salish Crisis Line: 1‑888‑910‑0416Website: https://sync.salishbehavioralhealth.org/youth-mobile-crisis-outreach-team/ Crisis outreach for minors and youth experiencing behavioral health emergencies.Kitsap Mental Health Services (KMHS) Main: 360‑373‑5031; Toll‑free: 888‑816‑0488; TDD: 360‑478‑2715Website: https://www.kitsapmentalhealth.org/crisis-24-7-services/ Outpatient, inpatient, crisis triage, substance use treatment, stabilization, behavioral health services.Kitsap County Suicide Prevention / “Need Help Now” Call the Salish Regional Crisis Line at 1‑888‑910‑0416Website: https://www.kitsap.gov/hs/Pages/Suicide-Prevention-Website.aspx 24/7/365 emotional support; connects people to resources; suicide prevention assistance.Crisis Clinic of the Peninsulas Phone: 360‑479‑3033 or 1‑800‑843‑4793Website: https://www.bainbridgewa.gov/607/Mental-Health-Resources Local crisis intervention services, referrals, and emotional support.NAMI Kitsap County Website: https://namikitsap.org/ Peer support groups, education, and resources for individuals and families affected by mental illness.Statewide & National Crisis ResourcesResource Contact Info What They Offer988 Suicide & Crisis Lifeline (WA‑988) Call or text 988; Website: https://wa988.org/ Free, 24/7 support for suicidal thoughts, emotional distress, relationship problems, and substance concerns.Washington Recovery Help Line 1‑866‑789‑1511Website: https://doh.wa.gov/you-and-your-family/injury-and-violence-prevention/suicide-prevention/hotline-text-and-chat-resources Help for mental health, substance use, and problem gambling; 24/7 statewide support.WA Warm Line 877‑500‑9276Website: https://www.crisisconnections.org/wa-warm-line/ Peer-support line for emotional or mental health distress; support outside of crisis moments.Native & Strong Crisis Lifeline Dial 988 then press 4Website: https://doh.wa.gov/you-and-your-family/injury-and-violence-prevention/suicide-prevention/hotline-text-and-chat-resources Culturally relevant crisis counseling by Indigenous counselors.Additional Helpful Tools & Tips• Behavioral Health Services Access: Request assessments and access to outpatient, residential, or inpatient care through the Salish Behavioral Health Organization. Website: https://www.kitsap.gov/hs/Pages/SBHO-Get-Behaviroal-Health-Services.aspx• Deaf / Hard of Hearing: Use your preferred relay service (for example dial 711 then the appropriate number) to access crisis services.• Warning Signs & Risk Factors: If someone is talking about harming themselves, giving away possessions, expressing hopelessness, or showing extreme behavior changes, contact crisis resources immediately.  Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that.

What happens when a trauma patient isn't just a trauma patient? In today's episode, we're diving into “Trauma Plus” — those high-stakes situations where comorbidities, medications, environmental exposures, or underlying medical emergencies complicate recognition of decompensation and change everything about how we care for our patients.I'm joined by Flight Nurse Gwenny, who brings her expertise from the field to walk us through three complex trauma cases where things aren't what they first appear to be. You'll hear her real-time thought process as she navigates evolving scenarios and shares her assessment priorities, differential diagnoses, and critical interventions.If you've ever cared for a trauma patient and thought, “Something doesn't add up,” this episode will help sharpen your assessment skills and give you a framework for approaching the next challenging trauma case.Topics discussed in this episode:Recognizing subtle signs of trauma decompensationAssessing geriatric trauma patients with limited compensatory reservesManaging trauma patients on anticoagulationUnderstanding how hypothermia worsens bleeding and coagulopathyIdentifying and interrupting the trauma “triad of death”Balancing trauma care with underlying medical emergenciesAvoiding anchoring bias when a patient's story doesn't add upPrioritizing assessments and interventions during flight transportBuilding a mental checklist for “Trauma Plus” patientsConnect with Nurse Gwenny:Youtube:https://www.youtube.com/channel/UCLhEo_HaDEkPFA_cpQPAz2wInstagram:https://www.instagram.com/nursegwennyrn/TikTok:https://www.tiktok.com/@nurse.gwenny?_t=8qUUMwXhv5P&_r=1Purchase her books:https://www.nursegwenny.com/shopMentioned in this episode:Listen to the In The Heart of Care Podcasthttps://link.cohostpodcasting.com/6598429e-e927-45b0-9b57-7dd34a09d803?d=seASyqjs7CONNECT

In this episode, we explore the expanding role of ultrasound in pre-hospital trauma care. Once limited to hospital settings, ultrasound is now a vital tool in frontline emergency response, helping clinicians make rapid, informed decisions on scene. We begin by unpacking the physics of ultrasound, how concepts like frequency and resolution influence what can be detected, from internal bleeding to lung collapse.Next, we get hands-on with practical applications. We'll cover probe selection and key sonographic indicators for conditions such as pneumothorax, haemothorax, and haemoperitoneum. Real-life case studies, including stab wounds, hangings, and traumatic cardiac arrests, highlight how ultrasound shapes critical interventions in the field.We'll also address essential questions around training: What level of skill is needed? How can we ensure ongoing competency? As pre-hospital ultrasound becomes more common, we must confront these challenges head-on.Finally, we'll examine the ethical and operational dilemmas posed by point-of-care imaging. When ultrasound findings support high-stakes decisions like performing a thoracotomy or ceasing resuscitation, what responsibilities do clinicians carry? Join us as we delve into the promises and complexities of ultrasound in pre-hospital trauma care. This episode is brought to you by IndieBase. IndieBase is the smart, simple, and budget-friendly Electronic Patient Record (EPR) system designed specifically for the demands of HEMS and pre-hospital care. Whether you're responding solo, working within a flexible team, or managing care across a larger organisation, IndieBase is built to support you. It runs seamlessly on laptops, tablets, or smartphones, and crucially, it operates offline, ensuring you can document care wherever you are, even in the most remote environments. Developed from the proven platform of HEMSbase by Medic One Systems, IndieBase offers a familiar, intuitive interface with the rock-solid reliability clinicians need. It's ready for everything from festival medical cover to high-acuity critical care transfers. Key features include full integration with all major pre-hospital monitors, case review, and clinical governance modules, making it an ideal solution for teams preparing for CQC registration. A patient feedback module also helps drive service improvement and meaningful engagement. For clinicians working across multiple organisations, IndieBase provides a personal logbook that combines your data and links directly with your existing HEMSbase logbook.IndieBase EPR made simple, wherever you are.Find out more at https://indiebase.net/

In this solo episode, a passionate Amy Wheeler shares candid reflections on the current state and future direction of the yoga therapy profession, with a specific focus on scope of practice, ethics, trauma care, and interdisciplinary collaboration.Now serving as the Chair of the Department of Yoga Therapy and Ayurveda at Maryland University of Integrative Health, Amy is teaching a course on ethics, code of conduct, and scope of practice for yoga therapists. This class has reignited critical questions about the growing responsibilities—and limitations—of yoga therapists as the field matures into a recognized profession.Amy explores the nuanced distinction between yoga teaching and yoga therapy, why a tighter scope of practice means doing less (not more), and how trauma-informed care requires collaborative oversight with licensed healthcare practitioners. She also addresses ethical dilemmas in integrating somatics, psychotherapy, and nervous system regulation into yoga therapy sessions—and the risks of unintentionally appropriating Indian philosophical roots by stripping out the foundational teachings of Yoga.With humility and experience, Amy examines the difference between salutogenic models (focused on wellness and whole-person care) and pathogenic models (focused on illness and symptoms), and encourages yoga therapists to find clarity in their role within an integrated care system.Key Topics:Why the scope of yoga therapy is narrower than yoga teachingUnderstanding the ethical boundaries of trauma-informed yoga therapyThe importance of interdisciplinary referrals to LHCPs (Licensed Healthcare Practitioners)How yoga therapists can avoid burnout and emotional overextensionThe difference between pathogenic and salutogenic models of careWhy Indian philosophy must remain central to yoga therapy (and not be replaced by neuroscience alone)The relevance of Yoga Sūtra teachings such as svādhyāya, viveka-khyāti, and īśvara-praṇidhāna in trauma-sensitive practiceThoughts on training requirements for both LHCPs entering yoga therapy and yoga therapists working in mental health contextsResources Mentioned:Amy's blog: The Yoga Therapy Bridge www.amywheeler.com → Blog sectionYoga Sūtra of Patañjali, Bhagavad Gītā, Haṭha Yoga Pradīpikā (as foundational sources)Spotify for accessible Upaniṣadic and Yogic philosophy podcasts to share with clientsTakeaways:Yoga therapy is becoming a true profession, and with that comes greater responsibility, structure, and accountability.Trauma-informed work requires caution, training, and often, referral partnerships—it cannot be done in isolation.It's time for the yoga therapy field to develop clear referral guidelines, codify trauma care policies, and ensure practitioners are supported in their own healing journeys.Connect with Amy Wheeler:Website: www.amywheeler.comLearn more about her academic work at www.optimalstate.comMaster of Science in Yoga Therapy https://muih.edu/academics/yoga-therapy/master-of-science-in-yoga-therapy/ Explore MUIH's Post-Master's Certificate in Therapeutic Yoga Practices, designed specifically for licensed healthcare professionals.  https://muih.edu/academics/yoga-therapy/post-masters-certificate-in-therapeutic-yoga-practices/ Try our Post-Bac Ayurveda Certification Program at MUIH: https://muih.edu/academics/ayurveda/post-baccalaureate-ayurveda-certification/

TRC4 is a collaborative at UT Health San Antonio in partnership with the Department of Defense and the entire UT System to address an urgent need for improved trauma care both on the battlefield and at home.

Authors David Gendelberg and Michael F. Coscia discuss their article on spine trauma care in low- and middle-income countries with moderator Vivek Babaria.Read the full article here.

In this episode of The Healers Café, Manon Bolliger, FCAH, RBHT (facilitator and retired naturopath with 30+ years of practice) speaks to Dr. Mala who describes her recovery program, which integrated Western psychological theories with Eastern holistic approaches like yoga and meditation.   For the transcript and full story go to: https://www.drmanonbolliger.com/dr-mala     Highlights from today's episode include: Dr. Malasri Chaudhery-Malgeri shares her experiences working with the military, focusing on pain management, PTSD, and TBI, and the challenges of providing long-term care in a return-to-duty culture. Dr. Malasri Chaudhery-Malgeri explains that pain is a survival skill and that treating pain requires addressing the underlying causes, whether physical or emotional. She emphasizes the need for providers and patients to engage in a process of "why" to uncover the root causes of pain and trauma.  Manon Bolliger reflects on the importance of honoring one's true nature and using creative and holistic expressions to heal from trauma, emphasizing the role of the body in soul expression.   ABOUT DR MALA: Dr. Malasri Chaudhery-Malgeri brings both professional expertise and personal understanding to her work with trauma survivors. As a trauma survivor herself, her approach is deeply informed by lived experience, creating a unique bridge between clinical knowledge and authentic empathy. A respected authority in Traumatic Brain Injury, TBI, PTSD, and Military Psychology, Dr. Mala has pioneered integrative treatment approaches that address the complex interplay between physical trauma and psychological healing. Her multidisciplinary background spans Rehabilitative Therapy, Marriage & Family Psychology, and Industrial/Organizational Psychology, allowing her to create holistic recovery pathways for diverse populations. Dr. Mala's practice transcends traditional boundaries, serving military personnel, executives, political figures, rural communities, native populations, LGBTQ+ individuals, professional athletes, and families in crisis. Through her powerful speaking engagements, she transforms personal triumph over trauma into inspiration for others on their healing journey. Recovery.com | TheSynergyCentre.net | Facebook | Instagram | TikTok | LinkedIn    ABOUT MANON BOLLIGER, FCAH, RBHT  As a de-registered (2021) board-certified naturopathic physician & in practice since 1992, I've seen an average of 150 patients per week and have helped people ranging from rural farmers in Nova Scotia to stressed out CEOs in Toronto to tri-athletes here in Vancouver.  My resolve to educate, empower and engage people to take charge of their own health is evident in my best-selling books:  'What Patients Don't Say if Doctors Don't Ask: The Mindful Patient-Doctor Relationship' and 'A Healer in Every Household: Simple Solutions for Stress'.  I also teach BowenFirst™ Therapy through and hold transformational workshops to achieve these goals. So, when I share with you that LISTENING to Your body is a game changer in the healing process, I am speaking from expertise and direct experience". Manon's Mission: A Healer in Every Household!  For more great information to go to her weekly blog:  http://bowencollege.com/blog.  For tips on health & healing go to: https://www.drmanonbolliger.com/tips  Follow Manon on Social – Facebook | Instagram | LinkedIn | YouTube | Twitter | Linktr.ee | Rumble   ABOUT THE HEALERS CAFÉ:  Manon's show is the #1 show for medical practitioners and holistic healers to have heart to heart conversations about their day to day lives.  Subscribe and review on your favourite platform: iTunes | Google Play | Spotify | Libsyn | iHeartRadio | Gaana | The Healers Cafe | Radio.com | Medioq |   Follow The Healers Café on FB: https://www.facebook.com/thehealerscafe   Remember to subscribe if you like our videos. Click the bell if you want to be one of the first people notified of a new release.   * De-Registered, revoked & retired naturopathic physician after 30 years of practice in healthcare. Now resourceful & resolved to share with you all the tools to take care of your health & vitality!

In this episode, Aimee McCann, CEO and Founder of Banyan Mental Health Solutions, shares her vision for trauma-focused, research-driven mental health care. She discusses the gaps in access, challenges of traditional treatment models, and her mission to create innovative, insurance-accessible care for underserved populations.

In this episode, Aimee McCann, CEO and Founder of Banyan Mental Health Solutions, shares her vision for trauma-focused, research-driven mental health care. She discusses the gaps in access, challenges of traditional treatment models, and her mission to create innovative, insurance-accessible care for underserved populations.

Democrats in the State House slowed progress on the first day of the special session, claiming a lack of transparency and calls to rubber stamp bills. Then, the 5th Circuit Court of Appeals hears arguments over accusations of police brutality and racial profiling to increase city revenues. Plus, the challenges of obtaining emergency care in rural parts of the state draw the attention of Mississippi Senator Roger Wicker as medical professionals look for ways to provide needed care in a crisis. Hosted on Acast. See acast.com/privacy for more information.

Paige Mathison is a trauma informed and somatic experiencing counselling and the owner of Embracing Joys and Another Chapter Counselling. In this episode Paige gets real, raw and unfiltered about:-business-overwhelm -trauma care -pivoting in entrepreneurship-emotional highs and lows-self imposed pressure to ‘be' a certain way-the book and speaker series and more.Follow Paige on IG or join her platform Embracing Joys for only $100 and lifetime access. You won't regret it.

In this episode of the Pre-Hospital Care Podcast, we explore the rapidly evolving role of artificial intelligence in trauma care, focusing on the AI Risk Prediction and Decision Support System (AI-TRiPS)—a cutting-edge AI tool designed to enhance decision-making in high-pressure trauma settings.AI-TRiPS is built on Bayesian networks for clinical decision support, bridging the gap between AI development and real-world application. But how do we ensure AI tools are accurate, usable, and trusted by frontline clinicians? We cover:

If you've experienced the healing power of engaging your story—through a Story Workshop, Recovery Week, Narrative Focused Trauma Care® (NFTC) training, or a Story Group in your own context—you may have found yourself wondering: Why does this work feel so deeply transformative? What's actually happening here? In this special episode, we're pulling back the curtain on a groundbreaking, multi-year research project that's beginning to explore those very questions. Dr. Danielle Zurinsky of the Allender Center and Dr. David C. Wang of Fuller Theological Seminary join Dr. Dan Allender and Rachael Clinton Chen to share what they're discovering so far—and why this moment matters. This work is part of a broader initiative we're calling the NFTC Model Research & Publication Project. It's an ambitious, long-term effort to clarify, codify, and formally articulate the core framework of Narrative Focused Trauma Care. Grounded in the decades-long work of Dr. Dan Allender, this project is about more than research—it's about building a foundation that allows this healing model to be recognized, trusted, and shared more widely. In today's conversation, we're letting you in early—before the publications—because we want this process to be rooted in relationship, transparency, and shared vision. Whether you're a practitioner, a past participant, or someone simply curious about the impact of story, you're part of this unfolding journey, too! And if your own healing has been shaped by story engagement with NFTC, this is a chance to be part of something bigger. You can support the continuation of this growing body of research—fueling everything from the team of scholars and writers to expanded training opportunities and broader recognition in therapeutic, academic, and spiritual spaces. You can visit theallendercenter.org/give to contribute at any financial level. We are currently fundraising to support the next phase of this project's continuation. Your contribution will help ensure this work continues—so more people, families, and communities can experience the deep transformation that comes through engaging their stories with courage and care. To learn more about NFTC, visit theallendercenter.org/nftc

In our recent episode on global burn surgery with Dr. Barclay Stewart and Dr. Manish Yadav, we discussed several cases at Kirtipur Hospital in Nepal to illustrate the global burden of burns and similarities and differences in treating burns at Harborview Medical Center, a level 1 trauma and ABA verified burn center in Seattle, WA and Kirtipur Hospital (Nepal Cleft and Burn Center) in Kathmandu, Nepal. In this episode Dr. Stewart and Dr. Yadav return for an interview by UW Surgery Resident, Paul Herman, sharing insights on how to get involved in global surgery with an emphasis on sustainable participation. Hosts:  Manish Yadav, Kirtipur Hospital, Nepal Barclay Stewart, UW/Harborview Medical Center Paul Herman, UW/Harborview General Surgery Resident, @paul_herm  Tam Pham, UW/Harborview Medical Center (Editor) Learning Objectives 1.     Approaches to global surgery  a.     Describe historical perspectives on global health and global surgery reviewing biases global surgery inherits from global health due to the history of colonialism, neo-colonialism and systemic inequalities b.     Review a recently published framework and evaluation metrics for sustainable global surgery partnerships (GSPs) as described by Binda et al., in Annals of Surgery in March 2024. c.      Provide examples of this framework from a successful global surgery partnership d.     Define vertical, horizontal and diagonal global surgery approaches e.     Share tips for initial engagement for individuals interested in getting involved in global surgery References 1.     Gosselin, R., Charles, A., Joshipura, M., Mkandawire, N., Mock, C. N. , et. al. 2015. “Surgery and Trauma Care”. In: Disease Control Priorities (third edition): Volume 1, Essential Surgery, edited by H. Debas, P. Donkor, A. Gawande, D. T. Jamison, M. Kruk, C. N. Mock. Washington, DC: World Bank. 2.     Qin R, Alayande B, Okolo I, Khanyola J, Jumbam DT, Koea J, Boatin AA, Lugobe HM, Bump J. Colonisation and its aftermath: reimagining global surgery. BMJ Glob Health. 2024 Jan 4;9(1):e014173. doi: 10.1136/bmjgh-2023-014173. PMID: 38176746; PMCID: PMC10773343. https://pubmed.ncbi.nlm.nih.gov/38176746/ 3.     Binda CJ, Adams J, Livergant R, Lam S, Panchendrabose K, Joharifard S, Haji F, Joos E. Defining a Framework and Evaluation Metrics for Sustainable Global Surgical Partnerships: A Modified Delphi Study. Ann Surg. 2024 Mar 1;279(3):549-553. doi: 10.1097/SLA.0000000000006058. Epub 2023 Aug 4. PMID: 37539584; PMCID: PMC10829902.  https://pubmed.ncbi.nlm.nih.gov/37539584/ 4.     Jedrzejko N, Margolick J, Nguyen JH, Ding M, Kisa P, Ball-Banting E, Hameed M, Joos E. A systematic review of global surgery partnerships and a proposed framework for sustainability. Can J Surg. 2021 Apr 28;64(3):E280-E288. doi: 10.1503/cjs.010719. PMID: 33908733; PMCID: PMC8327986. https://pubmed.ncbi.nlm.nih.gov/33908733/ 5.     Frenk J, Gómez-Dantés O, Knaul FM: The health systems agenda: prospects for the diagonal approach. The handbook of global health policy. 2014 Apr 24; pp. 425–439 6.     Davé DR, Nagarjan N, Canner JK, Kushner AL, Stewart BT; SOSAS4 Research Group. Rethinking burns for low & middle-income countries: Differing patterns of burn epidemiology, care seeking behavior, and outcomes across four countries. Burns. 2018 Aug;44(5):1228-1234. doi: 10.1016/j.burns.2018.01.015. Epub 2018 Feb 21. PMID: 29475744. https://pubmed.ncbi.nlm.nih.gov/29475744/ 7.     Strain, S., Adjei, E., Edelman, D. et al. The current landscape of global international surgical rotations for general surgery residents in the United States: a survey by the Association for Program Directors in Surgery's (APDS) global surgery taskforce. Global Surg Educ 3, 77 (2024). https://doi.org/10.1007/s44186-024-00273-2 8.     Francalancia S, Mehta K, Shrestha R, Phuyal D, Bikash D, Yadav M, Nakarmi K, Rai S, Sharar S, Stewart BT, Fudem G. Consumer focus group testing with stakeholders to generate an enteral resuscitation training flipbook for primary health center and first-level hospital providers in Nepal. Burns. 2024 Jun;50(5):1160-1173. doi: 10.1016/j.burns.2024.02.008. Epub 2024 Feb 15. PMID: 38472005; PMCID: PMC11116054. https://pubmed.ncbi.nlm.nih.gov/38472005/ 9.     Shrestha R, Mehta K, Mesic A, Dahanayake D, Yadav M, Rai S, Nakarmi K, Bista P, Pham T, Stewart BT. Barriers and facilitators to implementing enteral resuscitation for major burn injuries: Reflections from Nepalese care providers. Burns. 2024 Oct 28;51(1):107302. doi: 10.1016/j.burns.2024.107302. Epub ahead of print. PMID: 39577105. https://pubmed.ncbi.nlm.nih.gov/39577105/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Event Objectives:Discuss how trauma care starts well before the trauma bay and lasts long after.Explain additional resources beyond the surgical trauma team that lead to best outcomes in trauma care.Consider how addressing mental health and legal challenges can help in trauma recovery.Claim CME Credit Here!

Disclaimer: This season is about trauma, and it might be difficult at times for some listeners. It's not graphic, but each episode does cover sensitive topics.⁠>> Click HERE to get free visuals, handouts and discussion questions for Conversational Counseling sent straight to your email!

Disclaimer: This season is about trauma, and it might be difficult at times for some listeners. It's not graphic, but each episode does cover sensitive topics.⁠>> Click HERE to get free visuals, handouts and discussion questions for Conversational Counseling sent straight to your email!

How do you hold onto hope in the midst of war? In this episode, Kristy shares how the team in Ukraine is doing after three years of full-scale, active war. At the end of the episode, she also shares specific ways you can continue to pray as we ask the Lord to bring peace and end the war. You can also support Ukraine by clicking on the following links: Help Ukraine - General Fund Get to Know Our Missionaries in Ukraine Help a Frontline Worker in Ukraine Send a Ukrainian to Summer Camp Kristy and her husband, Ben, have served in Ukraine for 18 years. Their first introduction to Josiah Venture was when they served as high school students in the Czech Republic at English camps. That exposure to peer evangelism started them on a journey with Josiah Venture to share Christ with the youth of Central & Eastern Europe. In 2002, they served as summer interns in Czech before marrying in January 2003. For the next three consecutive years, Ben and Kristy led short-term high school teams from southern New Jersey to the Czech Republic for camp ministry. During these summer trips, they felt God calling them into full-time missions. Josiah Venture suggested that they help launch a new team in Ukraine, and in January 2007, they moved there. After serving as camp directors and in a local youth group for several years, they began leading the Josiah Venture Ukraine team, Epokha, in 2011. Ben and Kristy serve in a dynamic local church, train Ukraine's youth, volunteer with the Department of Education, and teach and equip leaders across Central and Eastern Europe. They live in Lviv, Ukraine, with their children, Marissa and Dylan. 00:00 Introduction to Christy Williams 00:37 Journey to Full-Time Missions 01:07 Life and Ministry in Ukraine 02:19 Family and Personal Background 04:00 Passion for Youth Ministry 05:20 High School Sweethearts and Early Missions 06:09 First Mission Trip to the Czech Republic 09:59 Transition to Ukraine 13:45 Early Days in Ukraine 17:05 Impact of the Ongoing War 27:11 Holding on to Hope in the Midst of War 27:30 The Power of Psalms and Prayer 28:05 Eternity and the Life of Christ 30:13 Team Ukraine's Mission and Resilience 31:33 Stories of Resilience and Transformation 32:41 Challenges and Opportunities in Ministry 37:30 Mental Health and Trauma Care 42:02 Unity Among Churches in Ukraine 45:50 Prayer Requests and Final Thoughts   Learn more about Josiah Venture Social Media: @josiahventure Contact: social@josiahventure.com Josiah Venture Prayer Room: pray.josiahventure.com Josiah Venture Prayer Room APP: josiahventure.com/prayer-room-app

Welcome to another intriguing episode of "Ditch the Lab Coat!" Today, we're stepping beyond the usual realm of medical professionals to explore the remarkable intersection of history and medicine with our special guest, Dr. Tim Cook, an acclaimed historian and Chief Historian at the Canadian War Museum. Known for his award-winning works, including his recent book "Lifesavers and Body Snatchers," Dr. Cook delves into the gripping stories of medical care during World War I. Join us as we unravel the profound impacts of war on the evolution of medical practices, technological advancements, and societal attitudes toward mental health and veterans. With a unique blend of military history and healthcare, this episode promises to offer a fascinating lens into how the past has shaped our present understanding of medicine and survival. Tune in and expand your knowledge with our evidence-based and thought-provoking conversation right here on "Ditch the Lab Coat" with Dr. Mark Bonta. Key Topics:Discussion on War and Its ImpactsDr. Bonta sharing his interest in history and the logistics of warDr. Cook addressing the question "War, what is it good for?"Examination of war as a force of change and its legacyAdvancements in Medical Care During WarEvolution of military medicine during World War ISpecific advancements in surgery, disease treatment, and preventive medicineRole of Canadian doctors and nurses during the warMedical Advances and Their Post-war ApplicationIntegration of war-time medical advancements into civilian healthcareVaccination and preventive strategies during and post-warChallenges and Psychological Aspects of WarImpact of war on mental health, post-traumatic stress disorder (PTSD)Historical understanding and treatment of shell shock and PTSDExperience of veterans returning home and societal attitudesCurrent Conflicts and Future ImplicationsReflections on the Ukraine conflict and its historical parallelsDiscussion on modern warfare implications and drone technologyPerspectives on Post-war Social StructureSocietal mental health during and after wartimeChallenges faced by soldiers and civilians in post-conflict recoveryExploration of the Book "Lifesavers and Body Snatchers"Uncovering the body snatching program during World War IEthical considerations and the historical context of the programClosing Remarks and ReflectionsFinal thoughts on learning from history and warAcknowledgments and thanks to Dr. Tim CookEncouragement to engage with historical content for broader understandingEpisode Timestamps: 05:07 - The human toll of war.07:01 - War's role in technological advances.11:10 - Medical innovations during World War I.15:15 - War experience vs. domestic complaints.18:18 - The post-war medical revolution.21:11 - War's medical breakthroughs and prevention strategies.24:10 - Insights on medical and military preparedness.27:45 - Canada's evolving military identity.31:29 - Soldiers' untreated mental health crisis.36:04 - Chaos in the Ukraine conflict.38:29 - Ukraine's resilience amid modern trench warfare.43:08 - Post-COVID unrest and its lasting impact.48:26 - "Legacy of war's dual nature" discussion.49:28 - "Learning from history's challenges."53:35 - Honoring soldiers' service and sacrifice.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. 

Dr. Lekshmi Kumar, Associate Professor of Emergency Medicine at Emory University / Grady Hospital system in Atlanta, Georgia and the EMS director or the city of Atlanta presents grand rounds to kick off the 2025 calendar year! She talks about their collaborative work to create a prehospital blood transfusion program to uplift the trauma care in their region. Tune in to learn about the method for handling the change, the specifics for implementation and to learn the difference that this is making for their patients.  CONTACTS X - @AlwaysOnEM; @VenkBellamkonda YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com

This episode's Community Champion Sponsor is Ossur. To learn more about their ‘Responsible for Tomorrow' Sustainability Campaign, and how you can get involved: CLICK HEREEpisode Overview: Life-altering trauma creates ripple effects far beyond the initial injury, impacting survivors, families, and entire communities. Our next guest, Matt Kalina, is transforming trauma recovery through the power of shared experiences. As founder and CEO of TandemStride, Matt is building a virtual peer support platform that connects trauma survivors with mentors who have journeyed similar paths. Inspired by his brother's journey as a bilateral amputee after surviving a train accident, Matt combines his extensive healthcare AI technology background with deeply personal insights into trauma recovery. Join us to discover how TandemStride is revolutionizing post-trauma care by creating meaningful connections, reducing readmissions, improving mental health outcomes, and helping survivors rebuild their lives through the profound impact of lived experience. Let's go!Episode Highlights:Learn how a personal tragedy- his brother's train accident and bilateral amputation- inspired Matt to build a technology platform transforming trauma recoveryDiscover how TandemStride connects survivors with peer mentors virtually, providing critical support beyond hospital walls and traditional timeframesExamine why improved trauma survival rates have created an urgent need for better post-trauma support systems across healthcareUncover the impact of trauma: 140 million people face disability annually, with survivors experiencing 5x higher unemployment and significant PTSD riskHear how TandemStride's rapid growth to 50 trauma centers demonstrates the pressing need for early intervention and peer support in recovery About our Guest: Matt Kalina started his professional life in public policy after graduating from The Ohio State University. For the last decade Matt has spent his time supporting growth and business development initiatives at digital health and healthcare technology startups. Matt is a solution and product enthusiast, with a passion for applying disruptive, emerging technology to the healthcare industry to improve efficiency and health outcomes. Most recently leading Strategy and Business Development at Olive AI where he spent 8 years driving growth that took the company from a handful of employees when he started to health tech unicorn at its peak - partnering with hundreds of hospitals and health plans. In 2024, Matt launched TandemStride, focused on supporting individuals that have experienced life-altering traumatic injuries - where he applies lessons learned from his high-growth start-up experience to a problem statement that he knows personally. In 2012, Matt's brother, Mark, survived a pedestrian-train accident leaving him a bilateral amputee. This life-altering event led to the creation of The Mark Kalina Jr. Foundation, a non-profit dedicated to aiding individuals with severe traumatic injuries that Matt operates alongside his family.Links Supporting This Episode: TandemStride Website: CLICK HEREMatt Kalina LinkedIn page: CLICK HERETandemStride LinkedIn: CLICK HEREMike Biselli LinkedIn page:

     What if the training that saves lives on a battlefield could be applied to your everyday world? Retired Navy CAPT Dr. Frank Butler joins us on War Docs to unravel how the rigorous life of a Navy SEAL shaped his journey into pioneering military medicine. Hear firsthand how Dr. Butler transitioned from the relentless demands of SEAL training to medical school, contributing to the development and implementation of Tactical Combat Casualty Care (TCCC). He offers a unique perspective on the historical evolution of military medical practices and their profound impact on survival rates in combat situations    Dr. Butler takes us through the history, challenges, and triumphs of TCCC, shedding light on its rocky beginnings and eventual adoption post-9/11. With stories ranging from the life-saving use of tourniquets during D-Day to modern-day practices in Afghanistan and Iraq, this episode highlights the need for evidence-based practices and the importance of learning from historical medical knowledge. Moreover, Dr. Butler emphasizes how TCCC's success has transcended military lines, influencing tactical law enforcement and first responders nationwide.    As we dive into the practical applications of TCCC, we explore the importance of balancing medical care with tactical advantage in combat, illustrated by real-world examples and personal anecdotes from military leaders and medics. The episode closes with a call to action to sustain these medical advances and ensure that the lessons learned are not lost in peacetime. Join us for this engaging conversation with Dr. Frank Butler and discover how the lessons from the battlefield continue to shape and save lives, both in military and civilian contexts.   Chapters Military Medicine Evolution and Impact (00:04)    Retired Navy SEAL Dr. Frank Butler discusses TCCC, combat medics, Stop the Bleed, Hartford Consensus, and refractive surgery in military medicine. Medical Innovations Impacting Battlefield Medicine (18:30)     Tourniquets and whole blood's historical evolution and usage in military medicine, emphasizing the importance of time and evidence-based practices. TCCC Evolution and Preventable Death Analysis (26:02)     TCCC faced resistance but was adopted after 9/11, highlighting the need for improved trauma care. Tactical Combat Casualty Care Expansion (33:10)   TCCC principles have been adopted by law enforcement and first responders, saving lives beyond the battlefield. Improving Medical Care in Combat (38:24) TCCC prioritizes threats over immediate medical intervention, using field experiences to improve guidelines for better outcomes. Sustaining Tactical Combat Casualty Care (54:19) TCCC's role in military and civilian medical practices, ownership by combat commanders, and learning from past conflicts.   Take Home Messages: Advancements in Tactical Combat Casualty Care (TCCC): The podcast highlights the significant evolution of TCCC, emphasizing the importance of evidence-based practices in saving lives on the battlefield. The development and widespread adoption of TCCC principles have been crucial in reducing preventable deaths during military operations. Integration Beyond the Military: The principles of TCCC have transcended military applications and are now integral to tactical law enforcement and first responder protocols. Initiatives like Stop the Bleed have demonstrated the impact of military medical advancements on community safety and emergency response, illustrating the broader influence of these practices on civilian medical care. The Role of Combat Medics: The episode underscores the unique position of combat medics as both healers and warriors. Their critical role in providing immediate care in combat scenarios and the trust and respect they command within their units are highlighted. Learning from Past Conflicts: A key takeaway is the necessity of learning from past combat experiences to continually improve medical care practices. The importance of understanding each combat fatality and integrating those lessons into future strategies is emphasized to ensure ongoing advancements in military medicine. Balancing Medical Care and Tactical Advantage: The podcast discusses the challenges of providing medical care in high-pressure combat situations while maintaining tactical advantage. It stresses the importance of prioritizing threats over immediate medical intervention to ensure the safety and effectiveness of operations.   Episode Keywords: Military Medicine, Navy SEAL, Medical Innovation, Tactical Combat Casualty Care, TCCC, Combat Medics, Evidence-based Practices, Stop the Bleed, Hartford Consensus, Specialized Training, Trauma Care, Preventable Deaths, Committee on Tactical Combat Casualty Care, Chicago Police Department, Law Enforcement, Emergency Response, Tactical Advantage, Combat Commanders, Combat Fatality, Podcast Support   Hashtags: #BattlefieldMedicine #MilitaryInnovation #TCCC #FrankButler #WarDocsPodcast #CombatCare #StopTheBleed #HartfordConsensus #NavySEAL #TraumaCare Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

Podcast Guest: Elle Key Bio: "I am a LCMHC offering adult adhd evaluations to clients in New Hampshire , Maine and story groups nationwide, and podcast host on The Phoenix Effect podcast . Website and on social media therapy with_elle." links: courageousstepscounseling.com The Phoenix Effect Podcast: https://open.spotify.com/show/3ahxQiE52PNIrfwysHzpO1?si=wptgq_hQRS-rgWzL-F-jaA If you would like to support my channel please consider:http://buymeacoffee.com/truththath7Linktree: https://linktr.ee/truththathealspodThank you for all of your support and for helping to make this channel a reality :) --- Support this podcast: https://podcasters.spotify.com/pod/show/ryan-anthony-hernandez/support

    What happens when a combat medic's journey leads him to become a physician assistant, navigating both the intense demands of military medicine and the transition to civilian life? Join us as we explore the incredible career of retired Army Colonel John Detro, whose path from the battlefields of Operation Desert Storm to the intricate world of pathology as a PA is nothing short of inspiring. Colonel Detro shares his experiences with elite units like Delta Force, offering insights into the challenges of combat medicine and the evolution of the PA role within military ranks. His story is a testament to mentorship's powerful role and provides a wealth of advice for service members considering life beyond the uniform.     From the chaos of 9/11 to the intense military operations in Baghdad, hear firsthand accounts of an orthopedic physician assistant's experiences managing trauma cases with the Ranger Readiness Force and special forces. Unravel the complexities faced when working with elite units, where rapid responses and collaboration are key, and discover how these lessons translate into leadership challenges in military medical units. We discuss the essential responsibilities in battalion command and pioneering missions like the Expeditionary Resuscitative Surgical Team in Africa, highlighting the growth in patience and emotional intelligence that shaped careers beyond the battlefield.     As service members prepare to transition into civilian life, the importance of thorough documentation for VA claims becomes critical. Colonel Detro emphasizes understanding the VA process, ensuring that medical providers and veterans alike can navigate the system effectively. We also delve into the evolution of the Physician Assistant program within military medicine, revealing how advocacy transformed PAs into leaders with significant influence. This episode is a must-listen for anyone seeking to understand the unique challenges and opportunities within military medicine, inspiring listeners with stories of resilience, leadership, and transformation.   Chapters (00:04) - From Combat Medic to Physician Assistant (08:26) - Lessons From Military Medical Deployments (17:30) - Providing Medical Care to Elite Units (27:50) - Leadership Challenges in Military Medical Units (41:56) - Training and Support for Military Medics (46:17) - Transitioning From Military Service (54:51) - Evolution of Military Physician Assistants   Chapter Short Summaries From Combat Medic to Physician Assistant (00:04) Retired Army Colonel John Detro's career journey from combat medic to physician assistant, including mentorship, elite units, and challenges of combat medicine. Lessons From Military Medical Deployments (08:26) Orthopedic PA's military career, including 9/11 response, trauma care, training medics, and deployments with Ranger Regiment and 101st Airborne. Providing Medical Care to Elite Units (17:30) Medical evacuations during military operations, leadership challenges, and specialized counterterrorism capabilities of JSOC and Delta Force. Leadership Challenges in Military Medical Units (27:50) Leadership, responsibilities, personal growth, and transition to a command surgeon role are discussed in this chapter. Training and Support for Military Medics (41:56) Building confidence and expertise through training, validation, stress resilience, and learning from mistakes in preparation for deployment. Transitioning From Military Service (46:17) Exploring a soldier's bravery, mental struggles, and VA claims process for transitioning service members. Evolution of Military Physician Assistants (54:51) The evolution and impact of the PA program in military medicine, including mentorship and leadership opportunities for PAs.   Take Home Messages: Mentorship and Career Development: The episode highlights the profound impact of mentorship in shaping careers within military medicine, emphasizing the importance of guidance and support in nurturing the next generation of medical professionals. Evolution of Military Medicine: The role of physician assistants in military medicine has evolved significantly, expanding from limited positions to leadership roles, underscoring the adaptability and growth within military healthcare systems. Leadership in Complex Environments: Effective leadership is crucial in managing military medical units, especially in complex and high-pressure environments. The discussion illustrates how leadership strategies can influence training programs and mission success. Transitioning to Civilian Life: The transition from military service to civilian life can be challenging, and the episode provides essential advice on documentation for VA claims and the critical support of Veteran Support Officers to ease this transition. Adapting to Changing Military Needs: The episode delves into how military medical teams adapt to evolving combat and peacetime needs, focusing on training, innovation, and the strategic positioning of medical assets to ensure readiness for future conflicts. Episode Keywords: Combat Medic, Physician Assistant, Military Medicine, Deployment, Operation Desert Storm, Delta Force, 9/11, Orthopedic, Trauma Care, Leadership, Mentorship, Veteran Support Officers, Transition, VA Claims, Military Units, Training, Evolution, PA Program, Mentorship, Leadership Challenges Hashtags: #MilitaryMedicine #CombatMedic #LeadershipInHealthcare #VeteranStories #OperationDesertStorm #SpecialForces #MentorshipMatters #MilitaryToCivilian #VeteranSupport #MilitaryPA   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

   What if the challenges of military medicine could transform not only your career but also your entire perspective on life? Join us as we sit down with Lieutenant Colonel Tim Woods, a seasoned Air Force Trauma Surgeon, who shares his incredible journey from training in surgery in the military, transitioning to civilian practice, and then back into the heart of military service. Inspired by his father's Air Force legacy, Tim discusses overcoming initial setbacks to become a pivotal figure in historic moments like the aftermath of 9/11 and the War on Terror. His experiences at Landstuhl Regional Medical Center (LRMC) offer a gripping narrative of resilience and adaptability, underscoring the intense demands placed on medical professionals in times of conflict.    Throughout this episode, Tim provides an unfiltered look at the impact of war on those tasked with saving lives. At LRMC in Germany, a small-town facility turned major trauma center, he navigated the complexities of wartime injuries and critical care air transport missions. From harrowing flights into combat zones to the emotional burden of ensuring safe returns, his stories highlight these years' profound personal and professional toll. Yet, amid the chaos, personal milestones like the birth of his twins offered moments of hope and grounding, blending the personal with the professional in unexpected ways.     The conversation evolves to explore Tim's enduring legacy in military and civilian healthcare. From transforming a community hospital's trauma program to achieving Level 1 status, his commitment to leadership and teamwork shines through. We delve into his role in Missouri's C-STARS program, where military expertise fuels advancements in civilian trauma care. As we reflect on Tim's remarkable journey, this episode serves as a powerful testament to the resilience, dedication, and impact of those who serve on the front lines of military medicine. Chapters (00:04) - Military Surgeon Shares War Experiences (09:22) - Impact of War on Military Surgeon (21:00) - Unique Patient Experiences (30:17) - Military Surgeon's Return to Service (37:38) - Legacy and Lessons Learned   Highlights (05:19) 9-11 Impact on Military Medicine (64 Seconds) (10:28) Life-Changing Military Experience Shapes Medical Career (68 Seconds) (17:12) CCATT  Mission Challenges and Sacrifices (117 Seconds) (19:20) The Emotional Toll of Military Surgery (129 Seconds) (28:34) Memorable Clinical Cases in Germany (84 Seconds) (35:38) Memories of Military Medical Innovation (56 Seconds) (38:24) Joining Military Medical Program in Missouri (70 Seconds) (42:41) Hospital Operates Without Residents, Thrives (77 Seconds) (47:40) Military Medicine Career Opportunities (135 Seconds)   Take Home Messages: Resilience and Determination: The episode highlights the power of resilience and determination in overcoming setbacks. Despite facing initial medical challenges that halted military aspirations, the guest's unwavering commitment eventually led to a successful career in military medicine, demonstrating that perseverance can pave the way for remarkable achievements. Impact of Military Medicine: The discussion underscores the critical role of military medicine during significant global events, such as the aftermath of 9/11 and the War on Terror. It illustrates how military medical professionals are often thrust into high-pressure situations that demand rapid adaptation and exceptional skill. Balancing Personal and Professional Life: The narrative provides insight into the challenges of balancing a demanding professional life with personal responsibilities. The guest's experiences, including significant life events like the birth of twins amidst wartime duties, emphasize the emotional toll and personal growth accompanying such roles. Legacy and Leadership: The episode delves into the lasting impact of military medical professionals on both military and civilian healthcare systems. It highlights how leadership and collaboration can elevate trauma care programs, transforming community hospitals and preparing healthcare teams for the complexities of deployment. Unique Patient Experiences: The conversation offers a glimpse into the unique and often confidential experiences military medical professionals face. From caring for high-profile patients to dealing with severe wartime injuries, these experiences are marked by both profound challenges and deeply rewarding connections with patients.   Episode Keywords: Military Surgeon, Air National Guard, War on Terror, Trauma Care, Resilience, Service, Medical Setbacks, Landstuhl Regional Medical Center, Germany, Critical Care, Combat Casualties, High-profile Patient, Marcus Luttrell, Notre Dame, Danielle Green, Ramstein, Improvisation, C-STARS Program, Civilian Healthcare, Leadership, Collaboration, Administrative Support, Trauma Center   Hashtags: #MilitaryMedicine #ResilienceInService #AirNationalGuard #TraumaCare #SurgeonsJourney #HealthcareHeroes #WarOnTerror #MedicalLegacy #CSTARSProgram #MilitaryHealthcare   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

      Can a career in military medicine offer unexpected opportunities to innovate and shape the future of healthcare? Join us as we explore this intriguing question with Air Force Neurologist Lieutenant Colonel Adam Willis, MD. From his initial fascination with physics to his pivotal role in supporting operational medicine, Adam recounts his unique journey and the moment that brain-computer interface technology ignited his passion for neurology. Discover how neurologists make crucial contributions in managing traumatic brain injuries and seizures in combat zones while addressing the longer-term challenges of headaches, sleep disruptions, and cognitive performance.     In this episode, we unravel the complexities of trauma patient evacuation and the innovative strides being made to enhance survival rates. Adam sheds light on the "golden hour" concept and the development of groundbreaking technologies that ensure rapid access to care. As an insider at DARPA through the Service Chiefs Fellowship Program, Adam shares how his experiences have spurred projects to revolutionize field intensive care medicine. Learn about his work on a game-changing intravascular cannula project, which promises to transform medical care from the injury site through evacuation.     Finally, dive into the world of DARPA with insights into projects like SNAP, which seeks to assess warfighters' readiness using non-invasive biomarkers. Adam's story serves as a reminder of the power of commitment and proactivity in military medicine careers. Individuals can unlock doors to additional training and career advancement by aligning personal goals with the organization's mission. Hear how seizing unexpected opportunities and embracing new challenges can lead to meaningful contributions to the future of military medicine.   Chapters: (00:04) Neurology in Military Medicine (15:39) Advances in Trauma Patient Evacuation (23:16) Revolutionizing Field Intensive Care Medicine (28:01) Innovating Military Technology With DARPA (40:48) Commitment and Innovation in Military Medicine   Chapter Summaries: (00:04) Neurology in Military Medicine    Air Force neurologist discusses role in military medicine, managing TBI and seizures, and innovative intravascular cannula for polytrauma patients. (15:39) Advances in Trauma Patient Evacuation   Maximizing survival from traumatic injuries through rapid patient movement and exploring innovative projects at DARPA. (23:16) Revolutionizing Field Intensive Care Medicine    Collaboration between DARPA and industry to develop a miniaturized, non-anticoagulated ECMO-like system for extending the golden hour in emergency medical situations. (28:01) Innovating Military Technology With DARPA     DARPA program manager crafts questions to harness innovation, funded by DoD, SNAP project for non-invasive warfighter readiness assessment. (40:48) Commitment and Innovation in Military Medicine     Commitment and proactivity in military medicine careers can lead to opportunities for training and advancement.   Take Home Messages: Career Flexibility and Innovation: The journey from a physics background to a career in military neurology demonstrates the importance of being open to unexpected career paths. Embracing new technologies, such as brain-computer interfaces, can lead to groundbreaking roles in fields like military medicine. Neurology's Critical Role in Combat Medicine: Neurologists play a vital role in managing traumatic brain injuries and seizures in combat situations. Their expertise extends beyond acute care, addressing post-TBI issues like headaches and cognitive disruptions, which are essential for maintaining operational readiness. Advancements in Trauma Evacuation: Innovations in trauma care, such as extending the "golden hour," are crucial for improving survival rates from traumatic injuries. Technologies that facilitate rapid and scalable patient movement to definitive care can significantly impact outcomes. Integration of Technology and Medicine: The collaboration between military medicine and advanced research agencies, like DARPA, showcases the potential of integrating artificial intelligence and biotechnology to revolutionize trauma care. Projects like SNAP, which use non-invasive biomarkers, highlight the future of assessing warfighter readiness. Importance of Commitment and Networking: Aligning personal ambitions with organizational missions, seizing opportunities, and proactive networking are key strategies for career advancement in military medicine. Taking initiative and being open to new challenges can lead to significant contributions in the field.   Episode Keywords: Military Medicine, Combat Neurology, Brain-Computer Interface, Traumatic Brain Injury, Battlefield Innovation, DARPA, Adam Willis, Trauma Care, Intravascular Cannula, SNAP Initiative, Artificial Intelligence, Biotechnology, Military Healthcare, Neurocritical Care, Trauma Patient Evacuation, Field Intensive Care, Military Technology, Warfighter Readiness Hashtags: #MilitaryMedicine #CombatNeurology #BattlefieldInnovation #BrainInjuryCare #DARPA #TraumaCareTech #NeuroInnovation #OperationalMedicine #MilitaryHealthcare #WarfighterReadiness   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

To help celebrate and recognize National Recovery Month, we have brought you another limited-edition month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. In this final episode, we speak with Lyndra Bills, MD, senior medical director, and Shari Hutchison, MS, director of program evaluation and outcomes, both with Community Care Behavioral Health Organization.

    Join us on WarDocs as we engage in an enlightening conversation with Navy Commander and Preventive Medicine Physician Jean-Paul Chretien, MD, who also holds the position of Biological Technologies Office Program Manager at DARPA. Listen in as Dr. Chretien shares his journey from the Naval Academy to become a key player in global emerging infection surveillance and response programs. Discover the significant role of preventive medicine in supporting armed forces around the world and how Dr. Chretien's work at DARPA is pushing the boundaries of healthcare technology.     In this episode, we explore DARPA's mission and its transformative impact on national security through innovative medical technologies. Dr. Chretien discusses groundbreaking projects, including the development of a shelf-stable whole blood substitute that promises to revolutionize trauma care. We also dive into the DARPA Triage Challenge, an initiative focused on enhancing mass casualty response through autonomous technologies. These projects highlight DARPA's commitment to advancing healthcare and military readiness by leveraging cutting-edge research and interdisciplinary collaboration.     The episode also takes a closer look at the practical applications of preventive medicine in military operations, particularly in challenging environments like Afghanistan. Dr. Chretien provides insights into the complexities of coordinating with coalition forces and local partners to address infectious diseases and environmental hazards. For aspiring military medicine professionals, he emphasizes the importance of research, networking, and mentorship. As we wrap up, we reflect on the importance of leaving a legacy through impactful relationships and contributions to military public health. Don't miss this compelling episode filled with history, innovation, and personal stories from the front lines of military medicine.   Chapters: (00:04) Preventive Medicine in the Military (13:03) Advancing Healthcare Technologies at DARPA (25:19) Blood Substitute Triage Technology (31:59) Enhancing Triage Technology for Mass Casualty (41:41) Global Innovators and Preventive Medicine (52:51) Preventive Medicine in Military Operations   Chapter Summaries: (00:04) Preventive Medicine in the Military      DARPA's Preventive Medicine Program Manager discusses global impact, whole blood substitute project, and Triage Challenge for mass casualty events. (13:03) Advancing Healthcare Technologies at DARPA     DARPA's mission is to invest in breakthrough technologies for national security, including the Biological Technologies Office and collaboration with military professionals. (25:19) Blood Substitute Triage Technology      F-Sharp is a dried blood substitute being developed to address blood shortages, with potential for oxygen delivery, hemostatic functions, and DARPA Triage Challenge collaboration. (31:59) Enhancing Triage Technology for Mass Casualty Scenarios      DARPA Triage Challenge uses autonomous robots and virtual simulations to improve initial response in mass casualty situations. (41:41) Global Innovators and Preventive Medicine     Global innovation competition, proactive public health surveillance, preventive measures in deployed environments, and force health protection. (52:51) Preventive Medicine in Military Operations      Preventive medicine in military operations, addressing infectious diseases, environmental hazards, and food and water safety, and leaving a legacy. Take Home Messages: Transformative Role of Preventive Medicine in the Military:    Preventive medicine plays a crucial role in safeguarding the health and readiness of armed forces. By focusing on early detection, disease prevention, and health promotion, it supports military personnel both in routine operations and in complex, high-risk environments like deployments. DARPA's Innovative Medical Technologies:    DARPA is at the forefront of medical innovation with projects such as a shelf-stable whole blood substitute and the Triage Challenge, which aims to enhance mass casualty responses through autonomous technologies. These initiatives are designed to address critical shortages and improve trauma care, potentially revolutionizing both military and civilian healthcare. Interdisciplinary Collaboration for National Security:    DARPA's success hinges on interdisciplinary collaboration involving industry, academia, and other organizations. This collaborative approach ensures the rapid development and deployment of breakthrough technologies that bolster national security and military readiness. Global Health Surveillance and Emerging Infectious Diseases:    The importance of global health surveillance and proactive measures in combating emerging infectious diseases is underscored. Military programs that build capabilities in host countries to detect and respond to outbreaks are essential in a hyper-connected world where diseases can spread rapidly. Legacy and Mentorship in Military Medicine:    Aspiring military medical professionals are encouraged to engage in research, networking, and mentorship. These elements are vital for career development and for making meaningful contributions to military public health, leaving a lasting legacy in the field. Episode Keywords: Medical Technology, National Security, Military Readiness, Navy Commander, Preventive Medicine, DARPA, Biological Technologies Office, Global Infection Surveillance, Trauma Care, Triage Challenge, Autonomous Technologies, Military Operations, Emerging Infection, Research, Networking, Mentorship, Military Public Health, WarDocs Podcast, Front Lines, History, Medicine, Personal Stories   Hashtags: #MedicalTechnology, #NationalSecurity, #MilitaryReadiness, #NavyCommander, #PreventiveMedicine, #DARPA, #BiologicalTechnologiesOffice, #GlobalInfectionSurveillance, #TraumaCare, #TriageChallenge, #AutonomousTechnologies, #MilitaryOperations, #EmergingInfection, #Research, #Networking, #Mentorship, #MilitaryPublicHealth, #WarDocsPodcast, #FrontLines, #History, #Medicine, #PersonalStories   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

Today's book is: Immigration Realities: Challenging Common Misperceptions (Columbia UP, 2024), by Ernesto Castaneda and Carina Cione, which is a practical, evidence-based primer on immigrants and immigration. Each chapter debunks a frequently encountered claim and answers common questions. Presenting the latest findings and decades of interdisciplinary research in an accessible way, Dr. Castañeda and Carina Cione emphasize the expert consensus that immigration is vital to the United States and many other countries around the world. Featuring original insights from research conducted in El Paso, Texas, Immigration Realities considers a wide range of places, ethnic groups, and historical eras. It provides the key data and context to understand how immigration affects economies, crime rates, and social welfare systems, and it sheds light on contentious issues such as the safety of the U.S.-Mexico border and the consequences of Brexit. This book is an indispensable guide for all readers who want to counter false claims about immigration and are interested in what the research shows. Our guest is: Dr. Ernesto Castañeda, who is the director of the Immigration Lab and the Center for Latin American and Latino Studies at American University. His books include A Place to Call Home: Immigrant Exclusion and Urban Belonging in New York, Paris, and Barcelona (2018); Building Walls: Excluding Latin People in the United States (2019); and Reunited: Family Separation and Central American Youth Migration (2024). The Immigration Realities co-author is: Carina Cione, who is a sociologist and writer based out of Baltimore. Their work has been featured by the International Journal of Environmental Research and Public Health, Trauma Care, El Paso News, and American University's Center for Latin American & Latino Studies Working Paper Series. Our host is: Dr. Christina Gessler, who is the producer of the Academic Life podcast. Listeners may enjoy this playlist: We Are Not Dreamers: Undocumented Scholars Theorize Undocumented Life in the United States We Take Our Cities With Us Secret Harvests The Ungrateful Refugee The Translator's Daughter Where Is Home? Who Gets Believed: When the Truth Isn't Enough Welcome to Academic Life, the podcast for your academic journey—and beyond! You can support the show by posting, assigning and sharing episodes. Join us again to learn from more experts inside and outside the academy, and around the world. Missed any of the 225+ Academic Life episodes? Find them here. And thank you for listening! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/latino-studies

Today's book is: Immigration Realities: Challenging Common Misperceptions (Columbia UP, 2024), by Ernesto Castaneda and Carina Cione, which is a practical, evidence-based primer on immigrants and immigration. Each chapter debunks a frequently encountered claim and answers common questions. Presenting the latest findings and decades of interdisciplinary research in an accessible way, Dr. Castañeda and Carina Cione emphasize the expert consensus that immigration is vital to the United States and many other countries around the world. Featuring original insights from research conducted in El Paso, Texas, Immigration Realities considers a wide range of places, ethnic groups, and historical eras. It provides the key data and context to understand how immigration affects economies, crime rates, and social welfare systems, and it sheds light on contentious issues such as the safety of the U.S.-Mexico border and the consequences of Brexit. This book is an indispensable guide for all readers who want to counter false claims about immigration and are interested in what the research shows. Our guest is: Dr. Ernesto Castañeda, who is the director of the Immigration Lab and the Center for Latin American and Latino Studies at American University. His books include A Place to Call Home: Immigrant Exclusion and Urban Belonging in New York, Paris, and Barcelona (2018); Building Walls: Excluding Latin People in the United States (2019); and Reunited: Family Separation and Central American Youth Migration (2024). The Immigration Realities co-author is: Carina Cione, who is a sociologist and writer based out of Baltimore. Their work has been featured by the International Journal of Environmental Research and Public Health, Trauma Care, El Paso News, and American University's Center for Latin American & Latino Studies Working Paper Series. Our host is: Dr. Christina Gessler, who is the producer of the Academic Life podcast. Listeners may enjoy this playlist: We Are Not Dreamers: Undocumented Scholars Theorize Undocumented Life in the United States We Take Our Cities With Us Secret Harvests The Ungrateful Refugee The Translator's Daughter Where Is Home? Who Gets Believed: When the Truth Isn't Enough Welcome to Academic Life, the podcast for your academic journey—and beyond! You can support the show by posting, assigning and sharing episodes. Join us again to learn from more experts inside and outside the academy, and around the world. Missed any of the 225+ Academic Life episodes? Find them here. And thank you for listening! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

Today's book is: Immigration Realities: Challenging Common Misperceptions (Columbia UP, 2024), by Ernesto Castaneda and Carina Cione, which is a practical, evidence-based primer on immigrants and immigration. Each chapter debunks a frequently encountered claim and answers common questions. Presenting the latest findings and decades of interdisciplinary research in an accessible way, Dr. Castañeda and Carina Cione emphasize the expert consensus that immigration is vital to the United States and many other countries around the world. Featuring original insights from research conducted in El Paso, Texas, Immigration Realities considers a wide range of places, ethnic groups, and historical eras. It provides the key data and context to understand how immigration affects economies, crime rates, and social welfare systems, and it sheds light on contentious issues such as the safety of the U.S.-Mexico border and the consequences of Brexit. This book is an indispensable guide for all readers who want to counter false claims about immigration and are interested in what the research shows. Our guest is: Dr. Ernesto Castañeda, who is the director of the Immigration Lab and the Center for Latin American and Latino Studies at American University. His books include A Place to Call Home: Immigrant Exclusion and Urban Belonging in New York, Paris, and Barcelona (2018); Building Walls: Excluding Latin People in the United States (2019); and Reunited: Family Separation and Central American Youth Migration (2024). The Immigration Realities co-author is: Carina Cione, who is a sociologist and writer based out of Baltimore. Their work has been featured by the International Journal of Environmental Research and Public Health, Trauma Care, El Paso News, and American University's Center for Latin American & Latino Studies Working Paper Series. Our host is: Dr. Christina Gessler, who is the producer of the Academic Life podcast. Listeners may enjoy this playlist: We Are Not Dreamers: Undocumented Scholars Theorize Undocumented Life in the United States We Take Our Cities With Us Secret Harvests The Ungrateful Refugee The Translator's Daughter Where Is Home? Who Gets Believed: When the Truth Isn't Enough Welcome to Academic Life, the podcast for your academic journey—and beyond! You can support the show by posting, assigning and sharing episodes. Join us again to learn from more experts inside and outside the academy, and around the world. Missed any of the 225+ Academic Life episodes? Find them here. And thank you for listening! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/latin-american-studies

Today's book is: Immigration Realities: Challenging Common Misperceptions (Columbia UP, 2024), by Ernesto Castaneda and Carina Cione, which is a practical, evidence-based primer on immigrants and immigration. Each chapter debunks a frequently encountered claim and answers common questions. Presenting the latest findings and decades of interdisciplinary research in an accessible way, Dr. Castañeda and Carina Cione emphasize the expert consensus that immigration is vital to the United States and many other countries around the world. Featuring original insights from research conducted in El Paso, Texas, Immigration Realities considers a wide range of places, ethnic groups, and historical eras. It provides the key data and context to understand how immigration affects economies, crime rates, and social welfare systems, and it sheds light on contentious issues such as the safety of the U.S.-Mexico border and the consequences of Brexit. This book is an indispensable guide for all readers who want to counter false claims about immigration and are interested in what the research shows. Our guest is: Dr. Ernesto Castañeda, who is the director of the Immigration Lab and the Center for Latin American and Latino Studies at American University. His books include A Place to Call Home: Immigrant Exclusion and Urban Belonging in New York, Paris, and Barcelona (2018); Building Walls: Excluding Latin People in the United States (2019); and Reunited: Family Separation and Central American Youth Migration (2024). The Immigration Realities co-author is: Carina Cione, who is a sociologist and writer based out of Baltimore. Their work has been featured by the International Journal of Environmental Research and Public Health, Trauma Care, El Paso News, and American University's Center for Latin American & Latino Studies Working Paper Series. Our host is: Dr. Christina Gessler, who is the producer of the Academic Life podcast. Listeners may enjoy this playlist: We Are Not Dreamers: Undocumented Scholars Theorize Undocumented Life in the United States We Take Our Cities With Us Secret Harvests The Ungrateful Refugee The Translator's Daughter Where Is Home? Who Gets Believed: When the Truth Isn't Enough Welcome to Academic Life, the podcast for your academic journey—and beyond! You can support the show by posting, assigning and sharing episodes. Join us again to learn from more experts inside and outside the academy, and around the world. Missed any of the 225+ Academic Life episodes? Find them here. And thank you for listening! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/asian-american-studies

Today's book is: Immigration Realities: Challenging Common Misperceptions (Columbia UP, 2024), by Ernesto Castaneda and Carina Cione, which is a practical, evidence-based primer on immigrants and immigration. Each chapter debunks a frequently encountered claim and answers common questions. Presenting the latest findings and decades of interdisciplinary research in an accessible way, Dr. Castañeda and Carina Cione emphasize the expert consensus that immigration is vital to the United States and many other countries around the world. Featuring original insights from research conducted in El Paso, Texas, Immigration Realities considers a wide range of places, ethnic groups, and historical eras. It provides the key data and context to understand how immigration affects economies, crime rates, and social welfare systems, and it sheds light on contentious issues such as the safety of the U.S.-Mexico border and the consequences of Brexit. This book is an indispensable guide for all readers who want to counter false claims about immigration and are interested in what the research shows. Our guest is: Dr. Ernesto Castañeda, who is the director of the Immigration Lab and the Center for Latin American and Latino Studies at American University. His books include A Place to Call Home: Immigrant Exclusion and Urban Belonging in New York, Paris, and Barcelona (2018); Building Walls: Excluding Latin People in the United States (2019); and Reunited: Family Separation and Central American Youth Migration (2024). The Immigration Realities co-author is: Carina Cione, who is a sociologist and writer based out of Baltimore. Their work has been featured by the International Journal of Environmental Research and Public Health, Trauma Care, El Paso News, and American University's Center for Latin American & Latino Studies Working Paper Series. Our host is: Dr. Christina Gessler, who is the producer of the Academic Life podcast. Listeners may enjoy this playlist: We Are Not Dreamers: Undocumented Scholars Theorize Undocumented Life in the United States We Take Our Cities With Us Secret Harvests The Ungrateful Refugee The Translator's Daughter Where Is Home? Who Gets Believed: When the Truth Isn't Enough Welcome to Academic Life, the podcast for your academic journey—and beyond! You can support the show by posting, assigning and sharing episodes. Join us again to learn from more experts inside and outside the academy, and around the world. Missed any of the 225+ Academic Life episodes? Find them here. And thank you for listening! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/critical-theory

Today's book is: Immigration Realities: Challenging Common Misperceptions (Columbia UP, 2024), by Ernesto Castaneda and Carina Cione, which is a practical, evidence-based primer on immigrants and immigration. Each chapter debunks a frequently encountered claim and answers common questions. Presenting the latest findings and decades of interdisciplinary research in an accessible way, Dr. Castañeda and Carina Cione emphasize the expert consensus that immigration is vital to the United States and many other countries around the world. Featuring original insights from research conducted in El Paso, Texas, Immigration Realities considers a wide range of places, ethnic groups, and historical eras. It provides the key data and context to understand how immigration affects economies, crime rates, and social welfare systems, and it sheds light on contentious issues such as the safety of the U.S.-Mexico border and the consequences of Brexit. This book is an indispensable guide for all readers who want to counter false claims about immigration and are interested in what the research shows. Our guest is: Dr. Ernesto Castañeda, who is the director of the Immigration Lab and the Center for Latin American and Latino Studies at American University. His books include A Place to Call Home: Immigrant Exclusion and Urban Belonging in New York, Paris, and Barcelona (2018); Building Walls: Excluding Latin People in the United States (2019); and Reunited: Family Separation and Central American Youth Migration (2024). The Immigration Realities co-author is: Carina Cione, who is a sociologist and writer based out of Baltimore. Their work has been featured by the International Journal of Environmental Research and Public Health, Trauma Care, El Paso News, and American University's Center for Latin American & Latino Studies Working Paper Series. Our host is: Dr. Christina Gessler, who is the producer of the Academic Life podcast. Listeners may enjoy this playlist: We Are Not Dreamers: Undocumented Scholars Theorize Undocumented Life in the United States We Take Our Cities With Us Secret Harvests The Ungrateful Refugee The Translator's Daughter Where Is Home? Who Gets Believed: When the Truth Isn't Enough Welcome to Academic Life, the podcast for your academic journey—and beyond! You can support the show by posting, assigning and sharing episodes. Join us again to learn from more experts inside and outside the academy, and around the world. Missed any of the 225+ Academic Life episodes? Find them here. And thank you for listening! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/anthropology

Dr Adam Power Co-Founder and CEO of Front Line Medical Technologies is a leader in innovative medical devices for trauma and emergency care who is committed to lowering the barriers to bleeding control and resuscitation, having previously worked as a vascular surgeon he quickly realised that there needed to be a better way for haemorrhage control so went on to co-found Front Line Medical Technologies in 2017. In this episode, we delve into the fascinating world of trauma care and the groundbreaking innovations in haemorrhage control, Dr. Powers journey from general surgery to vascular surgery, the importance of preventive medicine alongside the role of new technologies in healthcare and the effect of the pandemic on global healthcare systems. Timestamps: [00:02:38] Quick haemorrhage control techniques. [00:07:00] Gearing up for European CE Mark [00:09:30] From Physician to entrepreneur in med tech. [00:12:51] Shortage of physicians, focus on prevention. [00:15:39] Impact of pandemic on healthcare [00:18:49] Uses for telehealth [00:22:21] Barriers in telehealth Get in touch with Dr Adam Power - https://www.linkedin.com/in/adamhpower/ https://frontlinemedtech.com/ Get in touch with Karandeep Badwal - https://www.linkedin.com/in/karandeepbadwal/ Follow Karandeep on YouTube - https://www.youtube.com/@KarandeepBadwal Subscribe to the Podcast --- Support this podcast: https://podcasters.spotify.com/pod/show/themedtechpodcast/support

The Center for Birth Healing was founded by Lynn Schulte, a pelvic health physical therapist specializing in pregnancy and postpartum care. In this episode we speak about the power of the pelvic bowl and how to heal on a deeper level. You can visit Lynn's center HERE and have a Telehealth session with her from any location to help you with the following:  Feel confident and prepared with Pregnancy Prep Care. Heal after birth with Postpartum Care Enjoy pain-free living with Pelvic and Low Back Care. Stay fresh and dry with Incontinence Care. With pelvic organ support with Prolapse Recovery Care. Return to your normal activities with Diastasis Recti Care. Enjoy sex again with Painful Intercourse Care. Feel at ease in your body with Trauma Care. To Find More About Mystical Motherhood GO HERE

In our fourth and final episode of conversations with Narrative Focused Trauma Care alumni, we have the privilege of speaking with Rev. Mike Boland about the profound influence of his training and work in NFTC on both his personal life and ministry. In the shadow of childhood abuse, Mike found himself trapped in what he describes as a perpetual "Groundhog Day" cycle. While he managed to get by, true healing remained elusive. However, the cycle was disrupted when he became a parent, prompting him to seek help to address his past traumas and strive to become the kind of parent he aspired to be. This pivotal disruption led him to work with a skilled therapist who introduced him to the work of the Allender Center. Though his journey towards healing was tumultuous and marked with anger, Mike pressed on with courage. His desire for growth led him to participate in a Men's Recovery Week and eventually complete Narrative Focused Trauma Care Level III training, ultimately becoming a Facilitator with the Allender Center. We hope that this four-part series of candid conversations has inspired you and sparked your imagination regarding the possibilities of healing, both for yourself and others. Our aim has been to offer you a glimpse into the profound impact of embracing the life-changing experience of Narrative Focused Trauma Care. Learn more about NFTC training at theallendercenter.org/trainings  Please note that this episode contains discussions of sexual abuse, including childhood sexual abuse, and is intended for mature audiences only. Listener discretion is advised.  

Today, Dan and Rachael are chatting with Petra Malekzadeh, who is the Narrative Focused Trauma Care Facilitator Training Coordinator at the Allender Center, as well as an Instructor and Advisor. She also leads a thriving story group ministry at her church. You'll hear about what drew her to the work of the Allender Center and, in particular, the work that she has done to understand the role of shame and step into a more fullness.  We invite you to chat with Petra at our upcoming NFTC Level I Coffee Hour on May 8. If you have questions about NFTC training, how the program works, and how it can benefit your work, Petra is the perfect person to connect with. Sign up for this free coffee hour at theallendercenter.org/events. This is the third of our 4-part series where we're inviting you to join us in listening to real stories from those who've gone through Narrative Focused Trauma Care training with the Allender Center. Through candid conversations with these remarkable individuals, our goal is to give you a glimpse into the profound impact of saying yes to this life-changing experience.  Learn more about NFTC training at theallendercenter.org/trainings   

After leading a marriage ministry in a large church and successfully launching their children into the world, Mark and Michelle Hollingsworth found themselves facing the unexpected collapse of their 24-year marriage. In the aftermath, they began a quest to find healing and more understanding. As they searched for support in their church and friend community but still felt very alone. Mark said, “People didn't know what to do with us.” So as they navigated their own healing process, they also had the courage to imagine how they could support others experiencing similar heartbreak, creating spaces for healing that they themselves had struggled to find. Inspired by Michelle's experience at a Story Workshop, the couple pursued Narrative Focused Trauma Care (NFTC) training together. Both Mark and Michelle completed NFTC Level II training with the Allender Center, and they now offer coaching and story groups for other couples through The Soul Reserve. Michelle says, “We just want people to know that we can be really good people that are really broken - and we can fight for each other's goodness” This is the second of our 4-part series where we're inviting you to join us in listening to real stories from those who've gone through Narrative Focused Trauma Care training with the Allender Center. Through candid conversations with these remarkable individuals, our goal is to give you a glimpse into the profound impact of saying yes to this life-changing experience.  

We're kicking off a 4-part series where we're inviting you to join us in listening to real stories from those who've gone through Narrative Focused Trauma Care training with the Allender Center. Through candid conversations with these remarkable individuals, our goal is to give you a glimpse into the profound impact of saying yes to this life-changing experience. First up, we're chatting with Stasi Eldredge. Stasi is a multifaceted individual - an author, speaker, and integral part of the leadership team at Wild at Heart. She'll take us through the moment she felt compelled to join an NFTC training cohort, driven by a desire for healing and a deeper connection with God. Stasi reflects on how confronting past traumas reshaped her, moving from a sense of being weighed down by old wounds to discovering freedom and compassion  within those painful memories through encounters with Jesus. To learn more about Narrative Focused Trauma Care training, we invite you to visit theallendercenter.org/trainings

Join us for another episode of our Global Surgery series, where we have a special focus on trauma care in resource-limited settings.  Traumatic injury remains one of the largest burdens of disease and causes of mortality internationally. The WHO estimates that 4.4 million lives are lost to traumatic injuries per year, accounting for approximately 8% of all deaths. Notably, traumatic injuries are the top killer of children, adolescents, and young adults, compounding the patient-years lost. Trauma is ubiquitous–accidents and injuries happen all over the globe, and thus differences in trauma incidence and mortality is often a function of health systems and infrastructure.  Jon Williams is joined by Dr. Anthony Charles. Dr. Charles is a trauma surgeon at University of North Carolina, Chapel Hill. Additionally, he holds professorships in the medical school and school of public health at UNC, as well as serving as the director of the adult ECMO program and the director of global surgery at the UNC Institute of Global Health and Infectious Diseases. He leads the Malawian Surgical Initiative, designed to train and support local surgeons in the country of Malawi where he has established a longstanding partnership with UNC. Having been raised in Nigeria, Dr. Charles completed medical school at the University of Lagos, and subsequently underwent  general surgery residency training in London at North Middlesex University Hospital and subsequently at Charles Drew University in Los Angeles. Upon completion of trauma and critical care fellowship at University of Michigan, he took a faculty position at UNC where he has remained since and grown the global surgery presence to what it is today. Key Points: Often, the pivotal first step in developing global surgery trauma initiatives is increasing trained personnel, and so training initiatives are very meaningful and provide sustainability to the effort.  Growing a health system's ability to provide trauma care helps develop improved care for all aspects of disease. The resources, training, and infrastructure required benefits healthcare at large.  Improvement of trauma care extends well beyond in-hospital care–injury prevention and pre-hospital care/triage/transport are even more impactful. It takes more than surgeons to improve trauma care globally. Thus, clinician and non-clinician training and oversight is critical, and foundational concepts of care of the trauma patient must be familiar to all.  Local governing bodies need to understand the importance of trauma care to invest in it. Traumatic injuries and mortality are a health burden, but even more so an economic burden to a country. This is what is compelling to investment in trauma care. We now have over 725 episodes!  The easiest way to find specific topics or episodes is on our website https://app.behindtheknife.org/home or on our new Apple/Android app.  You can search or browse by topic, podcast series, etc., making it much easier to navigate than podcast players. iOS: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android: https://play.google.com/store/apps/details?id=com.btk.app PREMIUM BUNDLE: https://app.behindtheknife.org/bundle/95 Please email hello@behindtheknife.org to learn more about our premium bundle and institutional discounts. Premium Bundle Includes: General Surgery Oral Board Audio Review Trauma Surgery Video Atlas Colorectal Surgery Oral Board Audio Review Surgical Oncology Surgery Oral Board Audio Review Vascular Surgery Surgery Oral Board Audio Review Cardiothoracic Surgery Surgery Oral Board Audio Review

Last week, Brother Philip, a field minister for The Voice of the Martyrs in West Africa, shared how witnessing stories of trauma from persecuted Christians and addressing their spiritual needs is a gift. He shared the characteristics of resilient individuals who coped well after persecution and how scripture can bring healing to their hearts and minds. This week, you'll hear how Christians may exhibit more resilience than non-believers, stories of persecuted Christians and how The Voice of the Martyrs empowers pastors in Africa to help persecuted Christians find healing after trauma. Listen as Philip explains the need for believers—in Africa and elsewhere—to have a good theology of suffering to thrive in a broken world where persecution is promised. You'll also hear how the fruit of the Spirit is central in providing trauma care for persecuted Christians, and the vital role forgiveness plays. “Forgiveness is absolutely indispensable for healing,” Philip says. You'll hear the story of a pastor in Africa who suffered incredible loss when Islamists attacked his village. The pastor ran from the invading rebels to hide in the church. However, they followed him. When the attack was over, the pastor's wife, his brother and his two children had all been killed. Yet after attending a trauma care workshop sponsored by VOM, the pastor said: “I have begun to forgive those perpetrators totally.” Philip and his team train pastors and other Christian leaders to care for persecuted Christians dealing with trauma in their communities. Partnering with pastors in Africa and other parts of the world—people who already understand the culture and know the language—creates greater impact as they share the training further and reach out to more persecuted Christians. Pray for Philip and his team as they train pastors to care for persecuted Christians. Pray for persecuted church members in restricted nations and hostile areas to hold fast to their faith—even in suffering. And please consider giving online to support VOM's ministry serving persecuted Christians around the world. Never miss an episode of VOM Radio! Subscribe to the podcast. Or listen each week—and receive daily prayer reminders—in the VOM App for your smartphone or tablet.

This episode will be a little different than most as we have two conversations instead of one. First, we'll hear from Steve Lisby about a group of pastors and church leaders imprisoned in Nicaragua after being part of a large-scale evangelism effort. Next we'll hear from Brother Philip, who helps The Voice of the Martyrs provide trauma care for persecuted Christians in Africa. Steve Lisby is the risk management director with Mountain Gateway, a ministry helping train and send gospel workers. Last year, with the approval of the Nicaraguan government, Mountain Gateway held evangelistic events in multiple locations around the country. More than one million people attended these events, including 300,000 at the final event in the capitol city. After the success of these events, it was a shock when one of the Mountain Gateway national directors was imprisoned in December. Days later, his wife and nine more pastors were taken to prison. Since their arrest they have not been allowed to see their families or have contact with the outside world. Pray for these eleven Nicaraguan Christians, for the ongoing court process and for leaders in the ministry and in the Nicaraguan government. For updates on the situation visit mountaingateway.org. For persecuted Christians and others who have gone through trauma, that trauma can affect all aspects of their life. Brother Philip is a field minister in Africa for The Voice of the Martyrs, specifically focused on training Christian leaders to provide trauma care for Christians who have endured persecution. Listen as Philip shares how trauma rewires the brains of victims. For persecuted Christians, that affects how they relate to God and experience faith. As a trained trauma-care provider and brother in Christ, Philip believes it's a gift to listen to the stories of our persecuted brothers and sisters and bear witness to the pain they've experienced. It is important to address physical, emotional and mental needs. But the great blessing of VOM's work is to be able to address spiritual needs for trauma survivors as well. Hear how Philip and his coworkers structure trauma care efforts for persecuted Christians and the benefit of designing this care around the truth of God's Word. Never miss an episode of VOM Radio! Subscribe to the podcast. Or you can listen each week—and get daily prayer reminders—in the VOM App for your smartphone or tablet.