Podcasts about Tricare

Looking for help with overcoming alcohol dependence? Tricare-approved rehabilitation programs at Ona Treatment Center (530-869-6163). are specially designed for active-duty military members. Visit https://onatreatmentcenter.com/tricare-approved-alcohol-rehab-facility/ for more. Ona Treatment Center City: Browns Valley Address: 6041 Bald Mountain Rd. Website: https://onatreatmentcenter.com/

Are you an active duty member of the military who also struggles with alcohol or substances? The Tricare-approved intensive outpatient program (IOP) at The Addiction Resource Center (530-593-1098) gives you flexible, evidence-based addiction recovery treatment. Visit https://sayarc.com/tricare-approved-iop/ for details. Addiction Resource Center LLC. City: Yuba City Address: 1002 Live Oak Blvd. Website: https://sayarc.com

If you've been struggling with substance use, the intensive outpatient programs at the Addiction Resource Center (530-593-1098) can help, and now offer Tricare approval. Visit https://sayarc.com/tricare-approved-iop/ for details. Addiction Resource Center LLC. City: Yuba City Address: 1002 Live Oak Blvd. Website: https://sayarc.com

In This PodJoin Jae as he breaks down why March 31st is a pivotal date—from urgent Medicare Part B enrollments for veterans and federal employees to major Medicaid changes for millions. Plus, insights into the Fed's latest press conference and its impact on your finances.In This Video00:00:00 The March 31st Deadline00:01:00 Jae & Substack Info00:02:30 Medicare Choices00:04:00 Spotlight on Medicaid00:07:30 Potential Medicaid Cuts00:15:00 Check Eligibility00:19:00 Veterans, FEHB & Part B00:24:00 TRICARE for Life00:28:00 Health Care Cost Planning00:35:00 The Fed Press ConferenceBig changes loom as March 31st approaches! From Medicare Part B deadlines to massive Medicaid shifts—don't get caught off guard. Hear Jae's breakdown and the latest Fed insights. Watch now: [LINK] #Medicare #Medicaid #FedPressConference #FinancialPlanning

Tuesday, March 18th, 2025Today, Judge Boasberg holds another emergency hearing over whether Trump defied his order to turn the deportation planes around; a Brown University professor has been deported despite a court order; a Navy veteran and his wife say that TRICARE rescinded a $100K healthcare claim paid over a year ago; what musicians did after an executive order on DEI led to the cancellation of U.S. Marine Band collaboration; the 9th Circuit has denied Trump's motion to pause a federal court order requiring the rehiring of probationary civil servants who were terminated; and Allison and Dana deliver your Good News.Thank You, Helix Sleep20% Off Sitewide when you go to HelixSleep.com/dailybeans.Thank You, IQBAR20% off all IQBAR products. Text dailybeans to 64000. Message and data rates may apply. See terms for details. Stories:Wisconsin Supreme Court election kicks off with early voting March 18 | WISNNinth Circuit rejects Trump bid to stay firing of federal workers | Courthouse News ServiceA Navy veteran and his wife say Tricare rescinded approvals for over $100K in health care claims paid years ago - Melissa Chan | ABC NewsDeported Professor Rasha Alawieh Attended Hezbollah Leader's Funeral, D.H.S. Says | The New York TimesMarine Band vets join student musicians whose concert was canceled by White House due to anti-DEI policy | Consequence of Sound, CBS NewsGood Trouble:Senator Chuck Schumer of New York has led the Senate Democratic Caucus since 2017 - Petition · Boycott Contributions to Senate Democrats Until Chuck Schumer Steps Down - United States · Change.org Federal workers - feel free to email me at fedoath@pm.me and let me know what you're going to do, or just vent. I'm always here to listen. Check out other MSW Media podcastsShows - MSW MediaCleanup On Aisle 45 podSubscribe for free to MuellerSheWrote on SubstackThe BreakdownFollow AG and Dana on Social MediaAllison Gill Substack|Muellershewrote, Twitter|@MuellerSheWrote, Threads|@muellershewrote, TikTok|@muellershewrote, IG|muellershewrote, BlueSky|@muellershewroteDana GoldbergTwitter|@DGComedy, IG|dgcomedy, facebook|dgcomedy, danagoldberg.com, BlueSky|@dgcomedyShare your Good News or Good Trouble:https://www.dailybeanspod.com/good/From The Good NewsDOGE Privacy Act Requests - Jamie Raskin for CongressEx parte Endo | 323 U.S. 283 (1944) | Justia U.S. Supreme Court CenterU.S. Department of Education Launches “End DEI” PortalLow Cut ConnieFight Like Hell! On Sunday, March 23, NALC branches are hosting local rallies to say "Hell no!" - NALC.org/march23NorCal Resist Reminder - you can see the pod pics if you become a Patron. The good news pics are at the bottom of the show notes of each Patreon episode! That's just one of the perks of subscribing! Federal workers - feel free to email me at fedoath@pm.me and let me know what you're going to do, or just vent. I'm always here to listen.Share your Good News or Good Trouble:https://www.dailybeanspod.com/good/ Check out other MSW Media podcastshttps://mswmedia.com/shows/Subscribe for free to MuellerSheWrote on Substackhttps://muellershewrote.substack.comFollow AG and Dana on Social MediaDr. Allison Gill Substack|Muellershewrote, Twitter|@MuellerSheWrote, Threads|@muellershewrote, TikTok|@muellershewrote, IG|muellershewrote, BlueSky|@muellershewroteDana GoldbergTwitter|@DGComedy, IG|dgcomedy, facebook|dgcomedy, IG|dgcomedy, danagoldberg.com, BlueSky|@dgcomedyHave some good news; a confession; or a correction to share?Good News & Confessions - The Daily Beanshttps://www.dailybeanspod.com/confessional/ Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:The Daily Beans on Apple PodcastsWant to support the show and get it ad-free and early?Supercasthttps://dailybeans.supercast.com/Patreon https://patreon.com/thedailybeansOr subscribe on Apple Podcasts with our affiliate linkThe Daily Beans on Apple Podcasts

Transitioning from military to civilian life is one of the biggest challenges veterans face, and mental health struggles often go unspoken. In this powerful episode of Your Radical Truth Podcast, host Margaret Mary O'Connor welcomes Annette Wittenberger, a retired U.S. Army veteran, mental health advocate, speaker, and author of The Wall Between Two Lives. Annette shares her deeply personal story of navigating PTSD, anxiety, and depression after service, and how she turned her struggles into advocacy. As the co-founder and editor-in-chief of Veteran Lifestyle Magazine, she is on a mission to bridge the gap between military and civilian communities through storytelling and support. We also tackle the urgent crisis of TRICARE delays, leaving veterans without access to critical mental health care. With potential VA job cuts impacting thousands, now is the time to take action and stand up for those who served. Tune in for an eye-opening conversation about resilience, healing, and the fight for better veteran support. https://yourradicaltruth.com/027-Annette-Whittenberger 

Come listen to a WUU service! Approaching the end of one's life presents challenges for both those with deeply held faith beliefs and those who do not hold such beliefs. We all desire death with dignity, but just what does that mean? As a volunteer and advocate for the organization Compassion and Choice, Dan knows what he wants that to mean for everyone in their own way. “In the end it is not the years in your life that count, it's the life in your years.” - - Abraham Lincoln Dr. Daniel L. Cohen, MD (prefers “Dan”), is a member of the Mount Vernon Unitarian Church in Alexandria, Virginia and also a volunteer advocate with Compassion and Choice, an organization committed to advancing the principle of “medical assistance in dying” as a benevolent and empathic option for individuals who are living in the terminal phase of terminal illnesses and who wish to receive this care. Dan is a pediatrician, hematologist/oncologist and medical executive who also served for nearly 30 years in the United States Air Force and the Department of Defense where he was the Chief Medical Officer and Executive Medical Director for the Military's TRICARE health plan providing care for over 9,000,000 service members, family members, retirees and spouses; soup to nuts! When Dan hosts services he likes to use illustrative stories that portray his personal witness to cultivate the themes and messages he wishes to convey and that align with Unitarian Universalist principles. Dr. Daniel Cohen & Suzanne Cleary Cohen, Guest Worship Leaders Susan Marcinkus, Worship Associate Mike Walker, Introduction of Today's Topic & Guests Heidi Souza, Piano WUU Choir, directed by Chris Mooney, Music Director Liz Wiley, Worship Chair The YouTube version is here Thank you for listening. For more information about the Williamsburg Unitarian Universalists, or to join us on Sunday mornings, visit www.wuu.org. Permission to reprint, podcast, and/or stream the music in this service obtained from ONE LICENSE with license #A-735438. All rights reserved.

Substance abuse disorders are prevalent among active duty military personnel, but these experts explain that TriCare-approved Intensive Outpatient Programs and other mental health services have been set up to help. https://sayarc.com/tricare-approved-iop/ Addiction Resource Center LLC. City: Yuba City Address: 1002 Live Oak Blvd. Website: https://sayarc.com

4BC has recieved reports thatsome aged care facilities in the southeast are without power amid ex-Tropical Cyclone Alfred. Federal Aged Care Minister Anika Wells told Peter Fegan on 4BC's Special Coverage, "One of the things we did on coming to government was require that every home had a risk management plan in place." "We've been in continuous contact with them, checking on their supplies and arranging fuel for those generators where it's required and I know that your callers have raised concerns about Tricare, Ashgrove and there's Wellington Park care." "I've had my department check in on both of those places since your callers raised the alert," Mrs. Wells said.See omnystudio.com/listener for privacy information.

Send us a textCould free IVF really become a reality? President Trump recently signed an executive order aimed at expanding access to in vitro fertilization (IVF), and it's stirring up big conversations in the fertility world. But what does this order actually do—and just as importantly, what does it not do?In this episode, we break it all down:✅ What the executive order includes—and whether it could lead to insurance mandates or federal funding for IVF.✅ How Congress once blocked federal funds for IVF and later reversed the policy for veterans.✅ What this means for military families, veterans, and federal employees—and whether TRICARE or VA benefits will expand.✅ The impact on private insurance—could this order eventually push insurance companies to cover IVF for more people?✅ What happens next? The executive order gives a 90-day deadline for recommendations—so what changes could be coming?If you're struggling with infertility, thinking about IVF, or just curious about how politics and fertility treatment intersect, this episode will give you a clear, no-nonsense breakdown of what this order means for your fertility journey.

A better future is only 28 days away, with Ona Treatment Center. These TriCare approved experts offer personalized attention, custom recovery plans, and dual diagnosis care. They create custom plans for every patient, from active duty military personnel to overworked soccer moms. Visit https://onatreatmentcenter.com/tricare-approved-alcohol-rehab-facility Ona Treatment Center City: Browns Valley Address: 6041 Bald Mountain Rd. Website: https://onatreatmentcenter.com/

Drex covers major developments in cybersecurity including significant staffing changes at CISA, where the DOJ has laid off 130 employees and controversially granted facility access to 19-year-old Edward Korrestien. We also discuss a critical vulnerability (CVE-2025-0111) discovered in Palo Alto firewalls that requires immediate attention. The episode concludes with news of HealthNet Federal Services receiving an $11.2M fine for falsely certifying cybersecurity compliance in their TRICARE program administration.Remember, Stay a Little Paranoid Subscribe: This Week Health Twitter: This Week Health LinkedIn: This Week Health Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

If you're a veteran you know about TriCare, Mike talked to the TriWest president Dave McIntyre about veterans access and how they help. 

Hello, at age 57 years and two months, I separated from federal service for a civilian job after serving 5.3 years and buying back 17.2 years of military time. I currently have a good civilian job and plan to continue working until at least age 62. (I will turn 59 in March 2025.) My question is: should I apply for a postponed retirement at age 60 so I qualify for FEHB, or should I wait until age 62 to receive a higher percentage of my high-3? Another consideration is that I will be eligible for TRICARE at age 60. Thank you! - Donald  https://zurl.co/rrWQn

Close to 400,000 military members with health insurance through TRICARE may have been impacted by pharmacy changes over the last couple years. The Defense Health Agency has gradually reduced the number of pharmacies available through TRICARE to cut costs and save taxpayer dollars. But the Government Accountability Office said the pharmacy changes could make it take longer for beneficiaries to access prescription drugs. DHA officials, though, said the pharmacy changes were only a reduction in participants' choices for their preferred pharmacy, and not a loss of overall access. Still, GAO is recommending that the agency more closely monitor prescription timeliness and data, and make adjustments as needed. Learn more about your ad choices. Visit podcastchoices.com/adchoices

If you are struggling with addiction, recovery is within reach. The Addiction Resource Center in Yuba City is now offering a TriCare-approved IOP, specifically for active-duty military personnel. Learn more at https://sayarc.com/tricare-approved-iop/ Addiction Resource Center LLC. City: Yuba City Address: 1002 Live Oak Blvd. Website: https://sayarc.com

Active-duty military members can struggle with drug and alcohol addiction. Two experts discuss how a TriCare-approved IOP will provide them with the professional care they need while reducing out-of-pocket costs. For more information, please visit https://sayarc.com/tricare-approved-iop/ Addiction Resource Center LLC. City: Yuba City Address: 1002 Live Oak Blvd. Website: https://sayarc.com

Last month, President Trump signed an executive order directing federally run insurance programs, including Medicaid and TRICARE for military families, to drop coverage for gender-affirming care. Last week, Oregon’s attorney general joined a lawsuit with Washington State and Minnesota against the Trump administration over that order, which also seeks to cut off federal funding from institutions that provide hormone therapy, puberty blockers and surgical treatment for people under 19. The state’s largest Medicaid provider, CareOregon, covers medically-necessary, transition-related health care, which is currently required under state law. Eric Hunter, President and CEO of CareOregon, joins us to discuss how the health insurer is responding to the demands of the federal government.

Some mental health providers in Hampton Roads have stopped taking new military clients because payment delays are impacting Tricare providers. WHRO Military Reporter Steve Walsh has the story.

Join Col. Dr. Damon Arnold (US Army National Guard, Retired) and Julie Appleby, Senior Correspondent at KFF Health News, for a crucial discussion on the implications of President Trump's executive order restricting gender-affirming care. They explore how this order affects trans youth, healthcare providers, insurers, and federal programs like Medicaid, Tricare, and Medicare. Julie explains the chilling effects on hospitals, legal battles, and the broader societal concerns stemming from this policy reversal.

The latest BARRACKS TALK podcast episode is waiting, press 'play' now!   The Crew was joined by Chris (of Affinity Innovations, Inc. & Affinity Protocol) who dealt with the logistics of the live show; and Kashi & Jared of Hope for 22 A Day who have had to fight with TRICARE after their son needed immediate surgery! Why is TRICARE being so hard to deal with? Isn't military healthcare supposed to be top-tier? We discuss this and a few other things as to why DV Radio hasn't had a show recently plus, we have a few laughs at the expense of everybody! - Hard Of Hearing, Deaf, or Have Other Hearing Issues? READ THE TRANSCRIPT! https://dvradio.net/deaf-and-hard-of-hearing/ - Grab Your DV Radio Ten Year Anniversary Shirts! https://bit.ly/DVR-SreamLabs-Merch  - - Websites Mentioned- -- https://www.ada.gov/resources/service-animals-faqs/ -- https://www.hud.gov/program_offices/fair_housing_equal_opp/fair_housing_act_overview -- https://tadsaw.org/ Liberty Risk Podcast https://beacons.ai/libertyriskpodcast - Hope For 22 A Day www.HopeFor22ADay.org - INERT Mugs [DV Radio Challenge Coin] www.inertmugs.com - Want To Sponsor DV Radio? No pricing model beats DV Radio when it comes to sponsorship. https://bit.ly/SponsorDVRadio DV Radio on Rumble https://rumble.com/c/DVRadio DV Radio on twitch.tv https://www.twitch.tv/dvradio - INERT Mugs Website: https://www.inertmugs.com/products/20oz-burn-it-down-thermite-tumbler Do you want Betsy Ross's FIGHT? Email chris@affinityinc.tech; first come, first serve! Guests/Hosts: Oink, Joaquin Juatai, Bender, SGT WarDawg, Joel (MBR Radio) and Bo [NOTE: Click these links!] ---------- DV Farm Septic System Fundraiser https://donorbox.org/dv-farm-septic-system ---------- Parental Control Apps https://bit.ly/ChildSafeInternet ---------- Backpacks For Life https://backpacksforlife.org/ ---------- Wah-Tie Woodturning https://wahtiewoodturning.com/ ---------- Affinity Innovations, Inc. https://affinitybsc.com/ ---------- Backpacks For Life Fundraiser https://ko-fi.com/dvradio/goal?g=1 ---------- Edited by Munkee Bawlz Media https://www.munkeebawlzmedia.com/ ---------- Are you a Veteran Owned Business? Have unique, handmade items that we can buy and review on a show? Contact us, show us what you have, and we'll (at least Bo) will spend up to $50 per month and speak openly about your product(s)!! ---------- Find Out More About Betsy Ross At Her Website https://bit.ly/Fight-With-Betsy-Ross ---------- SGT WarDawg http://sgtwardawgtv.fans.link/ ---------- *Got an idea for BARRACKS TALK or any other show? Want to be a guest? Then please feel free to contact us by sending an email to info@dvradio.net, oink@dvradio.net, ptsdog@dvradio.net.* ---------- **LINKS TO CHECK OUT** EVERYTHING DYSFUNCTIONAL VETERANS https://whereisdv.carrd.co  ---------- Grab DV Radio's Battlegrounds From Ubora Coffee At: http://bit.ly/DVR-BattlegroundCoffee  ---------- DV RADIO PARTNERS, SPONSORS, and AFFILIATES https://dvr-listen-support.carrd.co

Guadalupe Healthcare Network (GHN) is pleased to announce the completion of a new contract amendment with TriWest Healthcare Alliance (TriWest) that will allow Tricare beneficiaries to access its payer agreement, effective Jan. 1. GHN previously entered an agreement with TriWest to serve and participate in the Veteran's CCN network in 2021, but will now include the Tricare Program. Tricare beneficiaries include active duty, National Guard and Reserve, retired and retired Reserve service members, eligible family members, survivors, children, and former spouses. TriWest became the Tricare West Region contractor on Jan. 1 and will replace Health Net Federal Services LLC as...Article Link

FLORESVILLE — Connally Memorial Medical Center is pleased to announce an exciting new chapter in healthcare services for the hospital's military and veteran communities! TriWest Health Care Alliance, in partnership with Guadalupe Healthcare Network (GHN) and Connally Memorial Medical Center, is ensuring a seamless transition to continue serving our valued beneficiaries. “Starting Jan. 1, TriWest will again serve the U.S. Department of Defense (DOD) and TRICARE beneficiaries in our West Region, including Texas,” said Connally Memorial CEO Bob Gillespie. This includes active-duty service members, their families, National Guard and Reserve members, retirees and their families, survivors, and certain former spouses....Article Link

We can't believe we have arrived at the last episode of 2024! This year has brought so many incredible and empowering births. We loved hearing how each of you fought for your birth goals, magnified your voices, and showed your strength. In today's episode, Meagan sums up The VBAC Link's 2024 achievements and shares some of the exciting things she has in store for 2025. The VBAC Link Supportive Provider ListThe VBAC Link Doula DirectoryHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hey guys, it's Meagan. Guess what? Today is our last 2024 episode. I cannot believe it is the end of the year. I absolutely cannot believe it. It feels like just yesterday that we started doing two episodes a week, and here we are 11 months later. We started in February. You guys, it has been such a great year. We have had so many incredible episodes from placental abruption, faith over fear, breech VBACs, post-dates, what hospital policies mean,and National Midwifery Week. One of my favorites, well actually, two of my favorites because he came on twice, was Dr. Fox. We had Dr. Fox a couple of times. We've had doula tips from VBAC episodes. We've had some fun episodes where we've had some VBAC Link-certified doulas as cohosts. Oh my gosh, so many great things. I don't know if you noticed, but in October, we started doing a themed week. Every two episodes in one month was a theme. For October, we had midwifery. It was National Midwifery Week so we talked about midwives and the stats about midwives. We had CNM Paige come on with our very own Lily who talked more about midwifery care, what does it look like, how to choose, can a midwife support VBAC, and all of that fun, fun stuff. And then in November, it was Veteran's Day so we had some military mamas on there and more about how to navigate that. We talked a little bit about Tricare and tips about navigating birth as a servicemember or as a significant other. That was really, really fun.This month, we touched on uterine abnormalities. We had Flannery talking about her bicornuate uterus and more about specific types of uteruses and what that means. It's so weird to think, but there are different types of uteruses, you guys. That doesn't mean that if you have a different type of uterus that you can't VBAC. It may mean that you may be faced with some challenges like a breech baby or something like that, but we wanted to share more about that because that's not talked about. But it's not going to stop. We have got that coming all year. 2025 is going to have a lot of really fun, specific episodes. The reason why I did this is because I wanted to have a whole week in two episodes where people could come and just binge two specific episodes that they may be looking for. We have a lot of people writing in saying, “Hey, I'm looking for VBAC after multiple Cesareans. Hey, I'm looking for breech stories. Hey, I would like to hear more healing CBAC stories or planned Cesarean stories.” We wanted to have it so they could just do two episodes back to back.Then of course, there are episodes throughout the whole podcast that we have that you can go back and find, but this way, you can find it in one week, two episodes back to back. We've got things like CBAC coming, VBAC after multiple Cesareans. We've got breech. We've got OB week. That's going to be fun. Oh man, I'm trying to think. So many other things. Special scars. We have a special scars month. We are just going to have months where it's typically going to be that second week where it will be a specific theme and topic. Don't forget to check that out coming up in 2025. Like I said, we started that up in October. Okay, so some other really fun and exciting things coming up, I do have a surprise for you, but unfortunately, you're going to have to wait until 2025. I'm really excited for this series. Yeah. It's going to be so good. Make sure to come back next week in 2025 to learn more about a surprise that I have coming your way. Then, in addition to that surprise and our themed weeks, I'm actually going to be rebroadcasting some of our old episodes. As you know, we are getting up there. We are at 365 episodes today which is so dang exciting. I cannot thank you guys enough for continuing to support this podcast, for coming back, listening, downloading these episodes, and just being here with us. We see you in our community on Facebook. We see you on Instagram. We see you downloading and listening. We are getting messages in regards to these stories and how much they are connecting with people.You guys, these stories are incredible. Just a reminder also, we are always accepting submissions. Now, we can't get to every submission because we do get a lot of submissions which is so fun to go through. We share them on our social media if we can't sometimes share them on the podcast, but please, if you have a story that you would like to submit and share them with other Women of Strength who are coming after you and are wanting to hear these empowering messages, go to thevbaclink.com/share, I believe, and submit your podcast story. Okay, going back. We are rebroadcasting episodes. I have gone back and listened to probably 10 or 12 episodes. Some of our really, really amazing episodes, and I've found some nuggets after re-listening that I'm pulling through and giving tips. We're going to have extra tips, extra links, and also if there have been updated things or updated studies from 2018 that have now been updated, we want to make sure that we freshen up these episodes and bring them back to more recent episodes. If you have a favorite episode that you would like to hear rebroadcasted or one that you listen to on repeat, will you let us know? Email us at info@thevbaclink.com and let us know what your favorite episode is and why, or if you are looking for some more information or want us to elaborate more on a topic that maybe we have discussed but didn't go too far into detail that I can maybe go into deeper detail about. Okay, I'm trying to think, you guys. We've had so many amazing things this year. Blogs– we have been pumping out blogs like crazy. There are so many things from preparing for your VBAC, 5 things to do before you get pregnant, recovering from a Cesarean birth. You guys, if you've been with us for a while, you know we absolutely love and adore Needed. We wholeheartedly love and trust everything they produce. We love them. They have really been so gracious to offer us a wonderful 20% off discount code, so don't forget that. That is still valid. You can go to thisisneeded.com and type in VBAC20 and get 20% off your order. We talk more about why prenatal nutrition matters. We talk about creating your ideal hospital environment. We talk about C-section scar massage and why it's important. That is a big one that isn't talked about enough. We talk about hiring doulas, things to put on your registry, more about red raspberry leaf tea. We talk about heartburn, Tums, and also what else Tums can do to help us in our VBAC. So many things. We talk about positions and using the ball. Oh my gosh, just so many incredible things. We've got so many blogs coming at thevbaclink.com/blogs so make sure to check out the blog and learn more about these topics. Membrane sweeps, VBAC after multiple Cesareans, uterine rupture, if you're looking for that VBAC provider, definitely check out that blog about how to find out if you need to switch your provider. Then of course, we have our VBAC course. You guys, I love our course so much. Another big reason why we are going to be re-airing our episodes is so that we can keep updating our course. Birth in general is updating all of the time. This course– Julie and I created it a long time ago, and it is my baby. I am so excited for this course because I have seen so many people get the information that they need, feel more empowered and equipped to have a VBAC, then we actually have a birth worker course. The birth worker course is to certify VBAC doulas, our birth workers, and it is accredited. It is 8 ICEA credits, so if you have a doula that hasn't been in our course yet,  maybe suggest that to them or if you are a birth worker listening, I highly suggest it. We have a VBAC Link Doula directory, so if you are looking for a doula or, like I said, you are a birth worker and you want to be found, we want to help you be found. You can find a doula at thevbaclink.com/findadoula, and if you are a birth worker, you can check out your area. California, I know needs more doulas. Texas, there are a lot of states that need more doulas. We would love to add you to your family.Okay, you guys. I'm trying to think what else. Oh my gosh. I could not leave without saying this. This year, we updated our provider list. It is on Instagram. You can go the The VBAC Link at Instagram. Click on our linktree in our bio, and it is the top one to find a supportive provider in your area. Now, if you have a provider that should be on this list or if you are a provider and wantt o be on this list, please email us at info@thevbaclink.com or you can email us on Instagram so we can get your provider listed. We really need providers who accept VBAC after multiple Cesareans, breech VBAC, and who are just VBAC supportive in general. You guys, it is so stinking silly and stupid how hard it is to sometimes find a provider. Please check out that form. If your provider is supportive, please, please, please let us know so we can get them listed. Okay, you guys, I think that is about everything. It has been such a great 2024. I am so grateful again for you guys. I hope you will continue to join us for 2025 because we do have more incredible episodes coming your way from a lot of VBA2Cs. We have polyhydramnios (high fluid). We have HBACs. We have CBACs. We're going to have a couple of OBs actually and special scars. So many great things. We will catch you in 2025. I hope you guys have a fantastic new year. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

    Join us for an engaging conversation with Navy CAPT(Ret) Ed Norton, the Chief of the Defense Health Agency's Pharmacy Operations Division, as we explore the intricate world of military pharmacy. With a wealth of experience in both the Navy and DHA, Ed shares his journey and the significant responsibilities he shoulders in managing the TRICARE pharmacy benefit for over 7 million users. Discover how his team collaborates with service pharmacy consultants and Military Treatment Facility representatives to ensure an informed and effective service. Ed provides insights into the expansive TRICARE Pharmacy Benefit, serving a large number of DOD eligible beneficiaries with a net government cost of around $9 billion annually, and how these operations are critical in maintaining a ready medical force through programs like the deployed prescription program. In this episode, we also shed light on the vital role of Pharmacy Benefit Managers, focusing on the partnership between the Department of Defense and Express Scripts in managing the TRICARE pharmacy benefit. Listen as we discuss how Express Scripts ensures seamless claim processing, maintains a network of pharmacies, and provides essential mail-order services to deployed service members. We address the challenges and opportunities facing the TRICARE benefit, including rising pharmacy costs and shifts away from Military Treatment Facilities. Ed highlights initiatives aimed at enhancing patient experience and cost-efficiency through improved communication and technology. This episode offers a comprehensive view of the operations that keep our service members medically ready and the strategies in place to optimize this essential benefit. Chapters: (00:05) TRICARE Pharmacy Benefit and Operations      Navy CAPT(Ret) Ed Norton discusses the TRICARE pharmacy benefit, supporting operational forces and maintaining medical readiness for 7 million users.   (08:18) TRICARE Pharmacy Benefit and Management         Express Scripts collaborates with DOD to manage TRICARE pharmacy benefit, optimizing costs and convenience for patients and taxpayers.   Take Home Messages: Understanding TRICARE's Pharmacy Benefit: The episode provides an in-depth exploration of the TRICARE pharmacy benefit, detailing its role in supporting over 7 million service members. Listeners will gain insights into how the system ensures medical readiness through programs like the deployed prescription program, highlighting the extensive responsibilities involved in managing this critical aspect of military healthcare. Role of Pharmacy Benefit Managers (PBMs): The discussion sheds light on the partnership between the Department of Defense and Express Scripts, the PBM responsible for TRICARE. The episode explains how this collaboration facilitates seamless claim processing, mail-order services, and the establishment of a robust pharmacy network, which collectively optimize costs and enhance convenience for service members. Challenges and Opportunities in Military Pharmacy: Rising pharmacy costs and the gradual shift away from Military Treatment Facilities (MTFs) are identified as significant challenges. However, these also present opportunities to enhance patient experience and cost-efficiency through improved communication and the adoption of innovative technology solutions. Enhancing Patient Experience through Technology: The episode highlights initiatives aimed at improving patient experience within military pharmacies. This includes leveraging technology like electronic health records and queue management systems to streamline operations and reduce waiting times, thereby making pharmacy services more efficient and user-friendly. Military Medicine as a Career Path: The episode emphasizes the rewarding nature of a career in military medicine, underscoring the sense of purpose and camaraderie that comes with serving America's patriots. It encourages those considering this path to appreciate the unique opportunities and meaningful impact they can have within the military healthcare system.   Episode Keywords: Military Pharmacy, TRICARE, Pharmacy Benefit, Defense Health Agency, Express Scripts, Medical Readiness, Pharmacy Operations, Military Treatment Facility, Prescription Services, Pharmacy Network, Pharmacy Costs, Technology Solutions, Patient Experience, Cost-Efficiency, Pharmacy Benefit Managers, Direct Delivery, Deployed Service Members, Contract Requirements, Civilian Pharmacy Plans, Taxpayers   Hashtags: #MilitaryMedicine #TRICAREPharmacy #EdNortonInsights #PharmacyBenefit #DefenseHealth #ExpressScripts #MilitaryReadiness #HealthcareInnovation #WarDocsPodcast #VeteransHealthcare   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

Top headlines for Friday, December 13, 2024In this episode, a new bill has been passed by the U.S. House of Representatives, impacting healthcare coverage for minors seeking sex-change surgeries through military plans. We also bring you updates from the Middle East as Hamas agrees to crucial Israeli demands in the ongoing negotiations aimed at a potential hostage release and ceasefire. Lastly, we explore a unique legal tussle in a small town where the mayor's bank account was garnished following a dispute with an LGBT group over the town's refusal to issue a pride proclamation. Subscribe to this PodcastApple PodcastsSpotifyGoogle PodcastsOvercast⠀Follow Us on Social Media@ChristianPost on TwitterChristian Post on Facebook@ChristianPostIntl on InstagramSubscribe on YouTube⠀Get the Edifi AppDownload for iPhoneDownload for Android⠀Subscribe to Our NewsletterSubscribe to the Freedom Post, delivered every Monday and ThursdayClick here to get the top headlines delivered to your inbox every morning!⠀Links to the NewsHouse passes bill banning TRICARE from covering trans surgeries | PoliticsPastor sued for promoting $6M crypto Ponzi scheme | U.S.Hamas said to accept Israeli presence in Gaza for hostage deal | WorldPastor asks for prayers after explosion destroys 151-y-o church | U.S.Mayor's bank account garnished after refusing LGBT proclamation | WorldDemonic statue outside NH State House destroyed within 48 hours | U.S.Jamie Foxx credits God, power of prayer for recovery from stroke | Entertainment

Sharjuan Burgos, Outreach Director at the Stephen A. Cohen Military Family Clinic at Centerstone in Fayetteville, NC is on this episode of the podcast. She spent 27 years of active duty service in the Army and is now responsible for linking the community to the services offered at the clinic. Once she retired from the military, Sharjuan was hired at the clinic and believes her understanding of military life(enlisted member, officer, spouse, & mother) enhances her ability to bring the community together. "We want to break down the stigma behind mental health. We also want to make sure people will get comfortable and used to saying the words that need to be said when we are talking about helping someone." Services are provided to all post-9/11 Veterans, active duty(with a Tricare referral), National Guard, Reserves and anyone they consider family. They accept ages 2+ and no exclusions for race, sexuality, or discharge status. For individual therapy, the clinicians use evidenced-based, client-centered care to help with challenges such as depression, anxiety, adjustment, anger, grief & loss, transition, and behavioral concerns with children. Some of the modalities used are CBT(cognitive-behavioral therapy), CBT-I(cognitive-behavioral therapy, insomnia), Gottman Method Therapy(for couples), EFT(emotionally focused therapy for couples), DBT(dialectical behavioral therapy), MI(motivational interviewing), ACT(acceptance and commitment therapy), and IFS(Internal Family Systems). For children, the clinicians use therapy models such as MATCH(modular approach to therapy with children), PCIT(parent-child interaction therapy), TF-CBT(trauma-focused, cognitive-behavioral therapy), and play therapy. The clinic also offers family and couples therapy. They also offer case management services for help with legal issues, education, housing, and more. They work with other agencies such as Veteran's Bridge Home, NCCARE360, and NC Works. The clinic recognizes that there may be barriers to receiving services and they are determined to break them down. They have partnered with the local YMCA to provide child care on site while a member is receiving services, they can provide ride-sharing for anyone in a 50-mile radius to get to the clinic, and financially they accept all insurances and can help with those who don't feel comfortable using their insurance or don't have health insurance. The Stephen A. Cohen Military Clinic at Centerstone in Fayetteville is part of the larger network of clinics(24 around the United States) and works closely with 2 other Centerstone clinics in Tennessee and Florida. By partnering closely with the other 2 clinics, they are able to accommodate the fluctuating needs to reduce wait times. Virtual clients can typically get started in a week and they also offer spanish-speaking services. This partnership also allows them to provide tele-therapy to their clients in North Carolina, South Carolina, Florida, Tennessee, and other states in the future. Some of their clients enjoy the additional confidentiality and accessibility that tele-therapy offers. They were also 1 of 4 clinics to receive a grant to be able to serve members and their families in the LGBTQI+ community. This gives them services free of charge and allows for their clinicians to take supplemental trainings to work specifically with this population. They offer group therapy for grief, substance use, parenting, and attachment. Many community events are hosted as well for movie nights, charcuterie boards, vision boards, flower arranging, and many more. Check out their events page for the latest. "They {clinicians} understand military cultural competency and I think that's the most important part when you are trying to serve military veterans and their families." All clinicians on staff are intimately connected to the military experience and understand the unique challenges that these people and their families experience especially during transition to civilian life as well as managing trauma. "A lot of the times when people think about receiving mental health treatment, they think it's a scary thing and they don't really know who they are going to see. And when they see that the people look just like you and me, they are regular people, it's not so scary and it helps." Sharjuan stays grounded by engaging in mindfulness, meditation, journaling and healthy eating. If interested in services with their clinic you can visit their website, call 910-500-1800, or visit them at 3505 Village Drive, Fayetteville, NC 28304. They are active on Facebook, Instagram, and LinkedIn. If interested in the larger umbrella of clinics, visit the Cohen Veteran Network. "I like to say when I got out of the military the one thing I learned to do was cry and it felt really good."

$23 million: that's the amount that the University of Colorado Health, also known as UCHealth, has agreed to pay to resolve False Claims Act allegations related to its seeking and receiving payment from federal healthcare programs for visits to its emergency departments.The university, headquartered in Aurora, was accused of falsely coding certain Evaluation & Management (E&M) claims submitted to the Medicare and TRICARE programs.Reporting the lede story during the next live edition of Monitor Mondays will be famed whistleblower attorney Mary Inman, partner in the law firm of Whistleblower Partners.Broadcast segments will also include these instantly recognizable features:• Monday Rounds: Dr. Ronald Hirsch, vice president of R1-RCM, will be making his Monday Rounds.• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.• Legislative Update: Matthew Albright, chief legislative analyst for Zelis, will report on current healthcare legislation.• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.

  The Friday Five for November 22, 2024: Bluesky Lists & Starter Packs Missing Apple Notes Solution KFF Updated FAQs on Medicare Drug Price Negotiation New Section 1115 Demonstrations for Medicaid & CHIP KFF 2025 Medicare Advantage Spotlight   Bluesky Lists & Starter Packs: “Bluesky Start Packs - Bluesky Directory.” Blueskydirectory.Com, Bluesky Directory, blueskydirectory.com/starter-packs/all. Accessed 20 Nov. 2024. Cooper, Gael. “Bluesky Explained: Why This Social Media Network Has 20 Million Users and Is Growing.” CNET.Com, CNET, 19 Nov. 2024, https://www.cnet.com/tech/bluesky-explained-why-this-social-media-network-is-now-growing-by-1-million-users-daily/. Isaac, Mike. “How Bluesky, Alternative to X and Facebook, Is Handling Explosive Growth.” Nytimes.Com, The New York Times, 17 Nov. 2024, https://www.nytimes.com/2024/11/17/technology/bluesky-growing-pains.html. Cunningham, Joel. “This Is the Best Way to Find People to Follow on Bluesky.” Lifehacker.Com, Lifehacker, 19 Nov. 2024, lifehacker.com/tech/best-way-to-find-people-to-follow-on-bluesky. Cappelli, Amanda. “What Is Bluesky, the Online Platform Welcoming Users Leaving Elon Musk's X?” CBS News, CBS Interactive, 17 Nov. 2024, https://www.cbsnews.com/news/what-is-bluesky-why-are-people-leaving-x-platform/.   Missing Apple Notes Solution: Christoffel, Ryan. “Apple Confirms Fix for Disappearing Notes after iCloud Terms Issue.” 9to5Mac.Com, 9to5Mac, 18 Nov. 2024, 9to5mac.com/2024/11/18/apple-confirms-fix-for-disappearing-notes-after-icloud-terms-issue/. Phelan, David. “Apple Confirms iPhone Missing Notes Bug And Shows How To Fix It.” Forbes, Forbes Magazine, 18 Nov. 2024, www.forbes.com/sites/davidphelan/2024/11/17/apple-confirms-iphone-missing-notes-bug-and-shows-how-to-fix-it-iphone-16-pro-max-icloud-data/. Smith, Chris. “This Is Apple's Official Fix for the Bug That Makes Notes Disappear in iOS 18.” BGR.Com, BGR, 19 Nov. 2024, bgr.com/tech/apple-official-fix-for-the-ios-18-disappearing-notes-bug/.   KFF Updated FAQs on Medicare Drug Price Negotiation: Cubanski, Juliette. “FAQs about the Inflation Reduction Act's Medicare Drug Price Negotiation Program.” KFF.Org, KFF, 19 Nov. 2024, www.kff.org/medicare/issue-brief/faqs-about-the-inflation-reduction-acts-medicare-drug-price-negotiation-program/.   New Section 1115 Demonstrations for Medicaid & CHIP: “About Section 1115 Demonstrations.” Medicaid.Gov, Medicaid, www.medicaid.gov/medicaid/section-1115-demonstrations/about-section-1115-demonstrations/index.html. Accessed 20 Nov. 2024. “Biden-Harris Administration Announces Approvals in Five States That Will Keep Eligible Children and Adults Enrolled in Medicaid and CHIP.” CMS.Gov, Centers for Medicare & Medicaid Services, 14 Nov. 2024, www.cms.gov/newsroom/press-releases/biden-harris-administration-announces-approvals-five-states-will-keep-eligible-children-and-adults . “Colorado Section 1115 Demonstration Amendment.” Medicaid.Gov, Centers for Medicare & Medicaid Services, 14 Nov. 2024, www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/co-continuum-dmnstrtn-aprvl-11142024.pdf. “Hawaii Section 1115 Demonstration Amendment.” Medicaid.Gov, Centers for Medicare & Medicaid Services, 14 Nov. 2024, www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/hi-quest-integr-dmnstrtn-aprvl-11142024.pdf. “Minnesota Section 1115 Demonstration Amendment.” Medicaid.Gov, Centers for Medicare & Medicaid Services, 14 Nov. 2024, www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/mn-pmap-dmnstrtn-aprvl-11142024.pdf. “New York Section 1115 Demonstration Amendment.” Medicaid.Gov, Centers for Medicare & Medicaid Services, 14 Nov. 2024, www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/ny-medicaid-rdsgn-team-dmnstrtn-appvl-11142024.pdf. “Pennsylvania Section 1115 Demonstration Amendment.” Medicaid.Gov, Centers for Medicare & Medicaid Services, 14 Nov. 2024, www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/pa-former-foster-care-youth-diff-state-sud-dmnstrtn-appvl-11142024.pdf.   KFF 2025 Medicare Advantage Spotlight: Freed, Meredith, Jeannie Fuglesten Biniek, et al. “Medicare Advantage 2025 Spotlight: A First Look at Plan Offerings.” KFF.Org, KFF, 15 Nov. 2024, www.kff.org/medicare/issue-brief/medicare-advantage-2025-spotlight-a-first-look-at-plan-offerings/. Freed, Meredith, Jeannie Fuglesten Biniek, et al. “Medicare Advantage 2025 Spotlight: A First Look at Plan Premiums and Benefits.” KFF.Org, KFF, 15 Nov. 2024, www.kff.org/medicare/issue-brief/medicare-advantage-2025-spotlight-a-first-look-at-plan-premiums-and-benefits/.   Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: 5 Ways to Generate ACA Leads: https://link.chtbl.com/ASG6287 7 Reasons Clients Switch Medicare Plans During AEP: https://link.chtbl.com/ASG632 Halfway Through AEP 2025: https://link.chtbl.com/ASGF20241115    Ritter Staff's Top 5 Apps: https://link.chtbl.com/ASGA73 VA Benefits, Tricare for Life, and Medicare for Veteran Clients: https://link.chtbl.com/ASG629 You're Not Alone This AEP! https://link.chtbl.com/ASGM20241104   Follow Us on Social! 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Anni is a mom of two young girls living in Okinawa, Japan where her husband is stationed with the Marine Corps. In addition to her work as a non-profit grant writer, she volunteers with the Military Birth Resource Network and Postpartum Coalition and hosts their podcast, Military Birth Talk. A big challenge for military parents is creating care plans for older children during birth. They often live far away from family or have recently moved and don't have a village yet. Anni's care plan was shaken up as her induction kept getting pushed back and conflicted with her family's travels.Though her plans changed, Anni was able to go into spontaneous labor and avoid the induction she didn't really want! Her VBAC was powerful and all went smoothly. She was amazed at the difference in her recovery. Another fun part of Anni's episode– she connected and met up with two other VBAC mamas living in Okinawa through our VBAC Link Facebook Community! We love hearing how TVL has helped you build virtual and in-person villages. Military Birth Resource Network and Postpartum CoalitionHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, everybody. You are listening to The VBAC Link, and I am with my friend, Anni, today sharing her stories. Anni is one of our military mamas. This is the final episode of the week of military episodes. So even though it is a little bit after Veteran's Day, that's okay. We are celebrating our military mamas today. Welcome to the show, Anni. Anni: Thank you so much. I'm so excited to be here this week. Meagan: Me too. I also can't believe that you are here right now. We were just chatting before the podcast about time. You guys, it is 4:50 AM where she is at. I just can't even believe it. You're in Japan. Anni: Yeah. We live in Okinawa, so I've got to do stuff at weird times if I want to stay in touch with anybody in the States. It's the military thing. Meagan: Oh my goodness. Yes. She is in Japan. She is a mom of two young girls and like she said, she is living in Okinawa, Japan where her husband is stationed with the Marine Corps. Her personal values are community, joy, purpose, and creativity which all drive how she spends her time. In addition to her work as a non-profit grant writer, she also volunteers with the Military Birth Resource Network and hosts their podcast, Military Birth Talk. So mamas, if you are a military mom, and I'm sure a lot of people are flocking to these episodes this week, go listen to Military Birth Talk. Can you tell us a little bit more about Military Birth Talk? Anni: Yeah. So as you said, it's a part of the non-profit Military Birth Resource Network and Postpartum Coalition, so MBRNPC for short. That's an organization that provides resources for military families who are in the perinatal stage of life, so if you've just moved to a new duty station and you're like, “Oh, I need a doula who's covered by Tricare,” you can go to their website and reach out to one of their chapter leaders. They provide that kind of resource. Also, there is sort of an advocacy wing of the organization that works on policy changes impacting military families. This is our podcast, Military Birth Talk. Right now, we're featuring mostly just military birth stories, but we're in our third season and this season, we're going to be adding some additional episodes like policy conversations, interviews with experts, and that kind of thing. So, as you said, if you're a military-affiliated person listening and you want to hear some firsthand accounts of what it's like to give birth within the military healthcare system, we'd love for you to tune in. Meagan: I love it. Thank you so much for doing that and explaining more. Anni: Yeah. Meagan: I just can't wait for you to share your stories. I do have a Review of the Week, and then we'll jump right in. Today's review is by RiverW88. It says, “Gives me hope.” It says, “As a mama who had an unnecessary Cesarean and a poorly planned VBAC attempt that failed and resulted in a Cesarean, listening to these stories and information gives me hope for the future. Not only do I hope to have a third baby and a successful VBAC, but as a doula and an experienced birth photographer, I cannot wait to support other women through their VBAC journeys. I look forward to sending my clients to your website and podcast, and not too far in the future, take your VBAC doula course for myself. I love the way you present facts and inform while giving mamas a platform to share positive stories about a topic that is so scary for so many people thanks to the lack of education out there.” Oh my goodness, that is so true. There is such a lack of education out there and that is why we created the VBAC course that we did and the VBAC doula certification course. So, if you are a parent looking to up your game for VBAC, or if you are looking as a doula to learn more about supporting clients who are wanting a VBAC, definitely check us out at thevbaclink.com.Okay, Anni. Let's jump in. Anni: All right. So I am excited to share two birth stories. I'll focus mostly on my VBAC since that's why we are all here, but I'll give a little bit of context about my first birth. It was pretty routine honestly. I had a breech baby, and there were no breech vaginal birth providers in my area at the time, so that's the spark notes version. But to give a little bit more context, at the time, we were stationed in North Carolina in Newburn, North Carolina. There are a few providers out there, but not a ton. It's sort of remote-ish, but because my husband is in the Marine Corps, we were a little bit limited. I actually was on Tricare Select at the time, so for those of you listening out there who aren't familiar with military healthcare, as a spouse, you can be on Tricare Select which is where you get to choose your own provider. You don't have to be seen by the military healthcare system. You pay a little bit extra. Or, you can be on Tricare Prime which is completely free, but you have to be seen within the military network. I was on Select at the time, so I was paying a little bit extra to choose my own provider which is kind of funny because there was really only one provider in that town anyway. This is one of the reasons why flash forward to a few years later, I wanted to be a part of the Military Birth Talk podcast because we often as military families get a lot of advice that doesn't really fit our life. One of those pieces of advice is to pick your own provider. Do whatever you can to pick your own provider. Sometimes, that's just not possible. That's just not true for military families, right? It can be true for a number of reasons, but it's very true for military families, so choosing my own provider was not really that possible given where we were located. That didn't really come into play until the end when I found out that our baby was breech. Generally, the pregnancy was great. It was a really empowering, positive experience for me. I loved learning about birth. I really hadn't been involved at all in the “birth world” until I became pregnant, then I totally immersed myself. I was super excited to give birth. I was super excited for all of the little quirky things like going into labor and my water breaking, seeing my mucus plug come out, and all of the birth nerd things that I had heard people talk about on all of the podcasts like this one that I had been listening to throughout my pregnancy. It was a pretty routine, positive pregnancy. About halfway through, we found out that we would be moving to Kansas at about 6 weeks postpartum. This is another one of those military things that people would say, “Oh, enjoy nesting and have a really quiet, peaceful postpartum.” I was like, “Okay, that goes out the window. Our house will be packed up by the time the baby is born,” because with the military, you have to send stuff super early. There was no nesting, no quiet postpartum period. There was a cross-country drive at 6 weeks postpartum. That was my first wake-up call around how birthing within the military community can be unique. Up until then, because I was on Tricare Select, I was like, “Oh, I'm not really a part of this military thing when it comes to my healthcare.” That started to shift around then. Then around 36 weeks, we got a scan and found out that the baby was breech. I was so upset. I had just spent the whole pregnancy looking forward to this experience that I now wasn't going to have. It felt like I had been studying for a test or preparing for a final exam that now I wasn't going to get to take. That's obviously not true at all, but emotionally, that's how it had felt. I had gotten so excited about the possibility of seeing what my body could do. It almost felt like I had a sports car and now I was going to be forced to drive it in automatic or something. It just felt like I wasn't getting a chance to experience this thing that I had gotten so excited about. We were really upset, and my husband was too because he had gotten really excited about being able to support me in labor and all of those things. We decided not to do an ECV. I'm sure your listeners all know what that is. Partially, it was because I wasn't a great candidate for it. My placenta was anterior, so that increased the possibility of an emergency outcome. I had a high volume of amniotic fluid, so that also decreases the chances of success, and the position that the baby was in, she was completely breech. She wasn't transverse. She was totally in the wrong position. We were like, “I think we're not great candidates. Let's not do it.” We just booked the C-section. The C-section was fine. It wasn't traumatic, but especially now having had my VBAC and being able to compare the two, it wasn't a great day. I had surgery, anesthesia, and felt nauseous all day, I couldn't really hold the baby until 9:00 that night. The silver lining of that, I would say, is that my husband got to spend the whole day holding the baby because I didn't really feel well. I think that was really special for him after having 9 months of this abstract idea of a baby, and now he got to spend that day with her. I look back fondly on that aspect of it, but otherwise, it was surgery. The recovery was fine. I thought it was, at that point, again, now having had the VBAC and knowing the difference, not really that bad. It was a week and a few days of significant pain, and then after that, it was not too terrible. But again, just not the birth experience that I had hoped for. Then after that, I was not one of those people who was immediately gung-ho about having a VBAC. I think I was a little– I felt so disappointed that I didn't really want to go there in my mind. I was like, “You know, it might just be easier to schedule another Cesarean and not worry about the emotional disappointment.” I didn't want to do that either, so I just didn't really want to think about birth at all for a while. Meagan: That's a valid feeling and very normal. Anni: Yeah, so I took a big break mentally from birthy stuff. We did have a pregnancy in between our two daughters' births that actually ended at around 19 weeks due to Trisomy 18 which is a genetic chromosomal abnormality that is incompatible with life, so that is its own whole story. I don't like skipping over it because we appreciate his life, and it's a part of our story. We love our baby boy that we didn't get to spend enough time with. After that, I got pregnant again when we moved to Okinawa. When my first daughter was about a year old or a little bit less, we found out that we would be moving overseas to Okinawa, Japan. We arrived. We had the 19-week loss, and then a few months later, I got pregnant again with our second daughter who is now almost 9 months old. The pregnancy was so awesome for the most part. I had a little bit of anxiety around having just had the loss and feeling a little bit guarded. I would say it took a little bit of time to actually really be able to believe that she would be born. I think for a long time, I just didn't expect it to work. I think that was compounded by my Cesarean experience. I had this feeling of, maybe my body just doesn't work or something. That took a little while to get over, but for the most part, the pregnancy was great. Because we live overseas, we are not required to be seen on base, but the off-base options are very limited here, especially in Okinawa. The specific, weird thing about the community here is that because Okinawa is such a small island which many people don't know that it is a small island. It's not even off the coast of Japan. It's floating in the middle of the ocean. Meagan: Really? I did not know that. Anni: Yes. If you look it up on the map, you'd see that it's just a dot on the ocean. Because it's so remote, the local vibe here is basically that if the American military is going to have so much presence on this tiny island, they should be caring for their own people which is reasonable. So getting seen out in town is not as easy as it is back in the States because the options are just very limited. The other thing is that really, the only other option that Americans have out here as far as being seen “out in town” which just means off base, is a birth clinic and they don't accept VBAC patients there. Really, my only option, if I wanted to do the VBAC, was to be seen at the military hospital. So, my care there, I was being seen through Family Medicine. You can either be seen by OB or Family Med. I chose Family Med because I wanted to just continue to be seen by my regular PCM. I thought that that continuity of care was nice. Everything went really smoothly. I was sort of on the fence about the VBAC. I knew I wanted it, but again, I was emotionally guarded. Once we got into the second trimester and I started thinking more about birth, I started doing a little bit more digging thing, reading The VBAC Link Community posts a little bit more carefully. Actually, funny story, I posted something in that group. I can't even remember what the question was. Oh, it was about induction actually because it looked likely that we would want to schedule an induction so that we could plan to have family fly out to be with us. They had to buy plane tickets and stuff. Even though that was not at all what I wanted to do from a VBAC perspective, it felt like what we would need to do as far as getting care for our toddler. I posted in that group to try to see if people wouldn't mind sharing their positive VBAC induction stories. Two of the people who responded saw my picture and they were like, “That's in Okinawa. We're here too,” so we met up for coffee and I'm good friends with them now. Meagan: Oh my goodness. Anni: Yeah, so shoutout to Sarah and Tatiana if you're listening. That was really nice to feel like I had a little bit of community here in that way around this very specific topic. I started really committing to the idea of a VBAC. I also, when I say committing, my goal was that I really wanted to have a joyful birth, I didn't want to suffer. I wanted it to be joyful. I wanted to feel present like I didn't have the last time. My thinking about it was basically that those were my priorities. If it ends up being that having another Cesarean is what would get me those things, I would rather have that than lose the joy and the feeling of being present. I'm not willing to suffer just to get this outcome. That was my list in my head. I got a wonderful doula named Bridget who was totally on board with my priorities. She and I really aligned around our level of risk tolerance around VBAC because the hospital here on Okinawa, the Naval hospital, had a couple of specific things that they wanted for VBAC. They wanted me to come in right away as soon as I felt any contractions or if my water broke. They wanted me to come in right away, whereas my preference initially was to have labored at home. So that was one example of one of the things Bridget and I talked about around, okay. What's our preference around how we handle this? Do we want to say, “No thanks. We're going to labor at home for as long as we can”, or do we both feel more comfortable just getting to the space where you're going to deliver and knowing that you'll be there and they'll be watching to make sure that everything's fine? Where I shook out on that was that I'd actually rather just go to the hospital sooner. That was actually fine with me. It was really nice to have somebody to talk through that with. It was nice that we felt aligned in that way. She is really used to working with military families. She is a military spouse herself with two young boys, so that was really a really supportive relationship. My husband felt that way with her as well, and she is still a good friend. That was a really important part, I think, of my preparing for the VBAC. The hospital providers were super supportive which I was very surprised about. I didn't receive any pushback. Anybody who I saw during the course of my pregnancy was totally in support. In fact, I had a TOLAC counseling which they require so they can tell you all of the risks and benefits and whatever. The provider who gave me the TOLAC counseling, I think assumed that I would be coming in blind, so she did her whole spiel. At the end, she was like, “What do you think? What do you think you might decide?” I was like, “Yeah, no. I'm definitely going for the VBAC.” She was like, “Okay, great. I think that's a good choice.” I was surprised by that. I think people, myself included, expected military hospitals to be very antiquated or by the book or very risk averse, which they are, but in this case, it was really nice to see that they had caught on to the fact that in many cases, a VBAC is not actually more risky. Meagan: Risky. Anni: Yeah, exactly. That was really nice to feel like I wasn't going to need to be going in with any kind of armor on. So fast forward to the birth, as I had mentioned, I had “wanted” to schedule an induction for logistical reasons. The way that the hospital here works because they are chronically understaffed as many military hospitals are, if you're having an elective induction, so if it's not medically necessary, they give you a date, then you call the morning of that date and they tell you what time to come in based on the staffing ratios. Our family who we had called to come for the birth that we had scheduled this whole thing around, arrived, and the next morning, we called as it was our scheduled induction day. I will say that the only family who could come was my sister-in-law and brother-in-law, so my husband's sister and her husband. She's a surgeon back in New York, so she only had a 6-day period that they could come. That was part of the reason why we wanted to schedule an induction. They got here. The next morning, we called the hospital, and they said, “Oh, we're too busy right now. We can't safely bring you in, so call back at 4:00.” We called back at 4:00, and they were like, “We're still too busy. We're sorry, but you have to call back tomorrow morning.” My doula had warned me that this was very common. She was like, “Expect maybe 12-24 hours,” but I was just in this manifesting headspace that everything was going to go great, so I was super disappointed. We went to sleep. We were like, “Oh, we were supposed to be at the hospital tonight.” We woke up in the morning, called the hospital, and again, they said, “We are still too busy. For the third time, we can't safely bring you in, so you have to call back at 4:00.” I took a long walk by the ocean. We got lunch. We just killed time. I took my toddler to the playground. I'm like, “Okay, this is it.” We called back at 4:00 PM that day and they were like, “I'm so sorry. We're still too busy.” This was the fourth time. By this time, there was actually a day between when our family arrived and when we started calling. By this time, there was no way they were still going to be here if we had to go for the induction, have what was inevitably going to be a long induction because I never labored with my first, spend the 24-48 hours at the hospital, and then come back, there was no way our family was still going to be here.I was so stressed. They were like, “We know we've pushed you now four times. Why don't you call back tonight at 8:00 or something? We think we're going to get a discharge between now and then. We'll see if you can come in at 10:00, and we'll see if we can start the induction.” I was like, “You know what? Our schedule is already messed up at this point. It sounds like it's already a crazy situation over there at the hospital. I don't really want to go into that mess, and I don't really want to start an induction at 10:00 at night.” I was like, “Can we just come in tomorrow first thing, at 5:00 in the morning?” By this point, it was going to be a Saturday. We were supposed to go in on a Thursday. It got pushed all day Thursday and all day Friday. I said, “Can we push it to the first thing on Saturday morning?” The charge nurse who I talked to said, “Yes, that's fine.” We go to bed. We wake up in the morning, so happy that finally, today was the day. We say goodbye to our toddler. We get to the hospital at 5:30. It's super quiet. Nobody was there. We bring the bags up. We unpack. I had affirmations that I had printed out, Christmas lights, music, essential oils, and all of those things. We start unloading the bag. The nurse comes in and gets me hooked up to monitors to do a non-stress test. We do that. I'm sitting there on the monitors for a half hour. Then she comes in and she says, “The NST looks good.” She starts getting an IV ready because one of their protocols is that they want VBAC patients to have two IVs actually. Meagan: Okay, what is the deal with the two IV thing? I've been hearing this. I apparently need to dig really far into it. Why two IVs? Anni: They said that one was for hydration. Meagan: Okay. Hydration, like for ORs?Anni: Yeah, and the other is for medication, so if they need to hang a quick bag of something like Pitocin– I don't even know. It's so silly because I didn't have anything. When I eventually did get the IVs, I didn't have anything in either one. The second one was really hard to get in. They spent an hour and a half trying to get it in. I didn't even have anything in the first one. I was like, “Nothing is in the first one. If you need to give me meds–” Whatever. Meagan: Stop the hydration and put the meds in, or maybe they need that extra port that they can put in. That's interesting. Anni: Yeah, so she goes to put the IV in. A nurse comes in and goes, “Wait, don't put that IV in.” I'm like, “Why?” They were like, “We don't know. The provider wants to talk to you.” The provider comes back in and she was like, “I'm so sorry, but we didn't realize that you were a VBAC. We weren't tracking that. You got pushed, and we won't induce you on a weekend because we only have one OB and we want to have two,” so we had to go home. They were like, “You have to go home, and you can't come back until Monday.” I burst into tears. This poor OB was like, “You can totally yell at me.” I'm like, whatever. It was so ridiculous. We go home. We were like, “All right. Now, we don't know what we will do for childcare.” Thank goodness, my sister lives in San Francisco. Her husband had a work trip that week that got canceled, so she was like, “I can actually just fly out and be there for you.” She has two kids, so that's why she wasn't going to come before, but now her husband was going to be home. She hopped on a plane right when that happened. We go home, and we were like, “Okay. We will be coming in on Monday.” We go to bed that night on Saturday, and I woke up at 2:00 AM with contractions in labor. Meagan: Oh yay! Anni: I could cry now thinking about it. It was the beginning of a day that was the culmination of everything I had wanted from a birth experience for the last 3.5 years. I had been having a little bit of prodromal labor that week, but it would be one contraction at 2:00 AM and then nothing else. I woke up at 2:00 AM. My husband was sleeping on the couch by this point in pregnancy because I had one of those massive pillows, and he was like, “I can't. I don't fit.” Meagan: I can't compete with the pillow. Anni: Exactly. I was like, “I'm sorry, but I choose the pillow.” He was on the couch. I woke up at 2:00, and I was like, okay. I'm having a contraction. 15 minutes later, I had another one. I was like, “Okay, I had two, but 15 minutes apart is a long time.” But then, 15 minutes later on the dot, I had another one. Then it was every 15 minutes for the next 2 hours from 2:00-4:00 AM. My dogs were there. I was just really enjoying it, honestly. I was feeling emotional. Nothing was super uncomfortable yet, so it was just period cramps and that kind of a feeling. But I was like, “Okay.” We were supposed to take our in-laws to the airport that day because that was the day that they were leaving. I'm like, “Okay. I know how this works. I've heard a bajillion birth stories. I'll wake up at 6:00. The house will get busy. The contractions will peter out. I'll have the whole day to do whatever, then they'll probably pick up tomorrow night after I put my toddler to bed.” So in my head, I'm like, that's the day. That's what's going to happen. The plan was that I was going to drive my in-laws to the airport that morning because my husband was going to pick my sister up late Sunday night. That way, we could split the trips. I didn't want to do the late-night run. 6:00 in the morning rolls around. I wake up my husband and I'm like, “Hey, I've been having contractions for 2 hours, but no big deal. I'll take Megan and Paul to the airport,” which is an hour away. “I'll be back later.” He was like, “What are you talking about? You're not going to take them. Nobody's going to the airport an hour away if you're having contractions. They can take a taxi. They'll be fine.” I'm like, “No. They're definitely going to stop when everybody gets up. That's always what happens. He's like, “No. I don't care if nothing happens today. You're not driving to the airport if you're having contractions.” I was like, “Fine. That's silly, but whatever.” Everyone wakes up. I'm still having contractions, but they were very short. They were 30 seconds long and very tolerable. There were a couple that I was like, “Okay, I want to get on hands and knees and hang out on my yoga ball.” But for the most part, they were super easy. 8:00 rolls around. We called a taxi for my in-laws and we actually had a babysitter lined up for that day anyway. I can't remember why, but we decided just to keep her basically and have an easier day. The babysitter arrived at 8:30 and my husband went out. Right as she arrived, my husband went with my toddler to go do something quickly, so I was alone with Brittany, our nanny. I had this one contraction and I was like, “I don't want to talk to her.” We had just met her at that point. She was new to us, so I was like, “Small talk feels really hard right now. I can't make small talk.” I was like, “Hmm. That's kind of interesting.”Meagan: That's a sign. Anni: But in my head, it wasn't. It was going to be a 48-hour experience. That was just in my head. Again, I didn't labor at all with my first, so in my head, this was a first time birth. My body has not done this before. Once our toddler was with the babysitter, I went upstairs and I got back in bed with my dogs. I was just having contractions. I was snuggling with my dogs just trying to stay present. My husband came in and hung out with me for a little while. He said, “You know, if you're still feeling good, I'm just going to run over to the commissary (the grocery store on base) and grab some essentials because we didn't think we'd be here this weekend, and now we're out of milk and eggs and whatever, so I'll go grab some things, and I'll be back in an hour.” I was like, “Great, no problem.” He left around 9:00. At 9:45, I was like, “I can't do this alone anymore.” I feel crazy saying that because it was way too fast to be saying that, but I texted him saying, “I think I need you to come back.” He came back. He brought me some fruit salad because I hadn't eaten anything yet that morning which I could barely get down. I was in labor for sure, but in my head, I still was like, “This is going to be such a long experience. Nothing is progressing yet.”I got in the shower. That spaced things out for maybe one long gap between contractions, and then right after that, they started increasing. They were getting closer together, and they were more like 7 minutes apart, then 6 minutes apart. I was having to moan through them a little bit. We called Bridget, our doula, to be like, “Hey, what should we do?” I was able to talk to her with no problem in between contractions. I was fully present and lucid, so I was like, “Okay, this means I'm not in active labor because I'm totally present. I can have a conversation,” but then during the contractions, I would really need to put the phone down and moan. Meagan: Okay, I was going to say, but that was in between contractions. Anni: But in my head, again, I was so emotionally guarded around, “I don't want to expect that this is going to happen. I want to expect the worst.” She was like, “Okay, yeah. They are 6 minutes apart. I would really recommend that you wait until it's been at least 1 or 2 hours when the contractions have been that close together before you consider going in, but if you want to call the hospital and ask them what their preference is, you can do that.” I was just starting to feel really anxious about laboring in the car. I also just had this feeling that I just wanted to be there. I just wanted to be where we were going to be and feel settled, which surprised me. I thought I would want to stay at home for a long time, but it was the feeling when you have an afternoon flight. You don't want to hang out at home before your flight. You just want to get to the airport. That was how I felt. I was surprised by that feeling. We called the hospital. We told them what was happenind, and they actually did say, “Yeah, why don't you just come on in?” We told Bridget. I was a little nervous. I was like, “Ooh, I bet she's going to think that this is a misstep. We are going in so early.” But I just was like, “That's what I want to do.” We got in the car. We went over to the hospital and got checked in triage. I was a 1. I had never had a cervical check before ever because my last baby was breech and in this pregnancy, I hadn't been checked yet. I was super, super tense, and the provider, the nurse, was like, “I can't really get up there. Your cervix is really high and hard. I can't really get a good feel, but you're definitely a 1 or a 2.” So I was like, “Okay, not great.” She left and was gone for a while, I guess, to talk to the provider, and then when she came back in, my water broke, and there was meconium in the water. So I was like, “Okay. All of these things are not great. I'm at a 1. I'm a VBAC. My water is broken, and there is meconium. All of these things are going to make the providers feel urgency around getting this thing going.”But I was like, “Ugh. I definitely don't want to get an epidural if I'm only at a 1 because that's a terrible idea, but I also really don't want to get Pitocin if I don't have an epidural.” I was really hoping that I could have a natural birth without any medication, but I also again, going back to my list of priorities, I was like, “I want the joy. I want to be present. I don't want to suffer. If I can check all of those boxes and also experience an unmedicated birth, then that would be amazing, but I'm not willing to sacrifice any of those things.” So after my water broke, they brought me into the delivery room. I just started laboring. They came in maybe a half hour later and said, “We probably want to start some Pitocin.” I was like, “Let me wait on that. Just give me a minute to think about things,” which we can always do. Ask for more time if nothing is an emergency. Thank goodness I did that because in the half hour, I was thinking about it– not thank goodness that there was an emergency, but there was an emergency, and the only OB who was there that day got called away to do emergency surgery, so he became unavailable for the next several. The Pitocin was off the table for the time being, and so I just got to labor on my own. Bridget arrived, and she had me get into a whole bunch of funky positions. The baby was posterior which I knew because I was feeling this all in my back, and so she was having me get into all of these really uncomfortable, asynchronous positions with my legs in all kinds of weird places. It was super uncomfortable, but I knew that it was effective. I kept laboring. As I said, they had trouble getting the second IV in. That took a really long time even though there was nothing in the first one they had put in. I guess I also had two monitors on me. They were Bluetooth monitors, so one for me and one for the baby. I don't remember that at all, but my doula said that they were messing with them the whole time because they kept moving. I don't remember that. I think I was just more in labor land than I realized. But I had the two monitors. They finally got that second IV in. The anesthesiologist came to do it, and after he did the IV, he gave me the whole epidural spiel which they have to do for legal reasons which I wasn't paying any attention to because I was just moaning and groaning and ignoring him. So he left. I kept laboring, and then around– we got to triage at noon and we got checked into our room around 1:00. Around 3:30, they came back in and asked about the Pitocin. I was like, “I need to get more information about this because I need to figure out what I'm going to do for pain management if we're doing Pitocin.” Bridget was like, “Why don't you just get checked again and see where you are?” I was a 7. So either I made a ton of progress in that 2 hours, or I wasn't really a 1 when I got there, and my body was stressed and it clamped up, or the provider couldn't get a good read. Whatever it was, in my head, I went from a 1 to a 7. Meagan: Massive change. Anni: Yes. I think I giggled. I was just so happy. So they were like, “Okay, well we don't need to do any augmentation. You're progressing just fine.” I was like, “Okay. We're doing this. We're just going to keep going.” Bridget recommended that I go to the bathroom because I hadn't peed in a while. I went over to the toilet, emptied my bladder, then had a huge contraction and felt super like I needed to get off the toilet immediately. I hopped off and went back to the bed. A little bit of time passed, and then I started feeling like I had to throw up, but it wasn't a nausea throw-up. It was like my abdomen was heaving kind of thing. I was like, “Am I pushing right now?” It was this involuntary feeling. I knew about the fetal ejection reflex, but in my head, I thought that was more of a sustained bearing down feeling and this was a more grunty thing. Everybody heard what I was doing, and the nurse who was phenomenal, her name is Cassie. She was such a godsend. She checked and she was like, “Yep, you have no cervix left. You're good to go.” This was at 5:00. Meagan: 2 hours later. Anni: Yeah. I just couldn't believe it. I still thought it was going to be hours and hours and hours because I was so guarded, but it wasn't. There were about 15 minutes between when she checked me and when I really started pushing. I labored down a little bit. The providers lost the baby's heartbeat at one point which is super common when they're in the birth canal, but because this provider knew I was a VBAC, and he had experienced some things before and was very risk-averse, he wanted to do an internal fetal monitor. I was like, “You know what? Not ideal. I don't love it, but that's fine.” I wanted to maintain that calm environment in the room. I didn't want people to start freaking out. I was like, “That's fine. Do what you need to do.” They did the internal fetal monitor. I rolled over to my hip. I wasn't having those grunting urges anymore, but I could feel the baby moving down on her own. I felt her head start to stretch me, then she sucked back in. It started to feel scary like, okay. There's no way out at this point. I'm the only one who can do this. I'm going to feel all of this.I gave a couple of really strong pushes. Up until then, I had been breathing and pushing because that's what my pelvic floor therapist and I had talked about, and I had really practiced that. But the provider again, had nervousness about the heartbeat. The internal monitor wasn't picking up what they wanted it to, so the nurse was like, “Okay. Let's give this one really good push.” I gave one really good push. I felt her head come out, then shortly thereafter, her body. My husband said, “Oh my gosh, she's here. You did it!” They put her right up on my chest, and it was just incredible. Looking back, now I say it was incredible. In the moment, I think I was completely shocked because it was so fast. I had a ton of adrenaline. I had the labor shakes, so my chin was chattering. My husband moved the baby down a little bit because he was like, “You're going to knock her in the head.” It was just amazing. I felt so empowered. It took me a few hours to come down from feeling shocked, but 3 hours later, we were in our room with the baby, and I had showered already at that point, walked myself to the maternity room where we would spend the next day, and it was just so beautiful. I look back on that day all the time in my head. I relive that day all the time in my head. I would do it again in a heartbeat. It was so incredible, and it was an experience that I will draw strength from for the rest of my life. It was just amazing, yeah. Meagan: Oh my goodness. And being pushed, and pushed, and pushed, and having a plan, and then it changing, and having a plan, and it changing, I mean, it was meant to work out this way. Anni: Yeah, yeah. Meagan: I'm sure you can feel that now. Oh, it is just amazing. It just goes to show that sometimes first-time vaginal births don't take 40 hours. They can go quickly if your cervix is ready and your body is ready and your baby is ready. I love that your doula was like, “All right, let's get in these positions.” You talked about going from a 1 to a 7. You may very well could have been a 1, but positional changes and getting better application with the baby's head to the cervix can make a big difference. Anni: Yeah. I will say I think one of the things that also made a huge difference was that I mentioned I had seen a pelvic floor physical therapist. I had started seeing her around 20 weeks because I thought I had appeased knees at one point. I was like, “I want to nip that in the bud right away.” I went to go see her, and we really worked a lot on relaxing my pelvic floor and how I would need to do that during labor. I thought I was one of those people who was like, “I'm relaxed. I can relax my pelvic floor. That just means not clenching,” but it's so much more intentional than that. Meagan: It is. Anni: Practicing actually really relaxing my pelvic floor through pregnancy was so helpful because I knew what I needed to do during a contraction to not tense up at all. I think that really helped things progress. Even with a posterior baby, usually that can take a really long time, but it was a really fast labor. I give my pelvic floor therapist at Sprout Physical Therapy if anybody is looking, she was wonderful. Meagan: I love that so much. I love that you pointed out that you did it before pregnancy. A lot of people, me included– I didn't think of pelvic floor therapy before I had my baby. Why would I have pelvic floor therapy before I even had a vaginal birth? That's just where my mind was, but it's just so, so good. Now, I personally have seen a pelvic floor therapist, and I understand the value and the impact that they can make so much more. Like you said, they teach you how to connect and truly release and relax because we might think we are, but we are not. They can help avoid things like really severe tearing and that as well. Anni: I had no tearing. I had a first-degree tear. It was easy peasy. Yeah. Meagan: Yes, yes. I have heard that a lot of people who do pelvic floor therapy can reduce their chances of tearing based on what they know and how they connect to the pelvic floor. Anni: Yeah. Yeah. I'm just super grateful and so grateful for resources like this. I think storytelling is such a powerful tool and listening to all kinds of VBAC stories was really helpful, even the ones that didn't go as planned because that's always a possibility. I really wanted to be mentally strong against that. I didn't want to be crushed and feel like I lost my hopes and dreams. I wanted to come out on the other side of what happened with some sense of acceptance, so hearing all of the stories was so helpful, and having the community here and having my VBAC friends here in Oki was amazing. Meagan: I absolutely adore The VBAC Link Community, and I love hearing that, not only did I meet people who were my friends online, but we connected in our own community because there are Women of Strength all over. You never know, if you reach out there, you will probably have someone down the street. There are thousands and thousands of people in there, so I highly suggest to go to The VBAC Link Community on Facebook. Answer the questions and dive in because there are also stories being shared there daily. Anni: Yeah. I felt so reassured. I think I got 40 responses when I asked for positive VBAC induction stories. There were so many responses, so I was like, “Okay. I can totally do this.” It made the pregnancy easier. Regardless of what the outcome was going to be, it alleviated the anxiety that I had about the induction. So even though it didn't end up going that way, it definitely made a positive impact on my pregnancy. Meagan: Absolutely, and I know that VBAC groups can make a negative impact as well like it did for me. I was in the wrong VBAC supportive group that I thought was supportive and it just wasn't. That is why we created this one. There are other amazing ones as well, but that's why we created this one because we do not handle the B. S. We just do not tolerate it. It is a loving community and only a loving community. That is what it's for. Anni: Yeah. I was also in the chat feature. There was a chat group for people who were giving birth in the same month. I was in the January group. That was an amazing group of people too. I got so familiar with those names and those stories. People were so supportive of every outcome. There were people there who got their VBACs. There were people who ended in unplanned Cesareans. There were people who at the last minute, decided that they wanted a Cesarean, and everybody was loving and supportive. It was just an awesome vibe. Meagan: It really is. Oh, that makes me so happy because these are exactly the goals that we had when we created these groups. Oh my goodness. Anni, thank you so much for taking the time to be with us today. Congratulations on your VBAC, and I am so, so happy for you. Anni: Thank you so much, Meagan. It was so awesome to be here. I love this podcast. Thank you for everything that you do, and thank you so much for having me on here today. Oh, do you know what? I had one more thing I wanted to share with Tricare, everybody. I'm a Tricare doula. I work with Tricare here in doula. Definitely talk to your Tricare rep if you're out there listening to see because some of them do offer coverage for doulas. Anni: Yes. Meagan: I just wanted to let you know. Anni: Yes. They just announced a new set of regulations around that. Literally, new laws just came out around that so there are new details around that, but if you are on Tricare Select, you have the option to have your doula be covered by Tricare. Just a quick advocacy plug here, if you're being seen at a military hospital, you cannot access that benefit which is a huge problem because Servicemembers have to give birth at military hospitals, so Servicemembers themselves cannot access this benefit which is a huge problem. That's one of the things MBRNPC is trying to advocate to change coming up. So if you are listening out there and you have any access to any kind of advocacy channels, please get the word out that we need to fix that. Meagan: Yes. It does need to be fixed. Talking about hiring the doulas because it's Select and you go outside, we do have to have referrals from that provider. We have to actually have a referral from that provider for the doula before we can start, and we cannot start before 20 weeks so just to let you know. Even though a lot of people hire doulas early on, Tricare does not allow us to be seen until that 20-week mark. So gear up, plan, know that at 20 weeks, you can start seeing a doula and learn more about it. Oh my gosh. Thank you again so dang much. Anni: Thanks, Meagan. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Nicole is a military spouse who had her VBAC in England. She shares what it was like to unexpectedly move overseas during pregnancy, how she navigated not receiving her household goods in time, and how she made the choice to deliver on base versus off. Nicole's first birth was a Cesarean during the height of COVID. During pushing, she was required to pause, take a COVID test, and wait an hour for the results or risk being separated from her baby after birth. Labor had gone smoothly up until that point, and Nicole knew something had changed after the pause. Things felt different, progress stalled, and ultimately Nicole consented to the Cesarean. Her VBAC was a surprisingly wild precipitous birth with only 2 hours between her first contraction and pushing the baby out! Meagan and Nicole discuss the unique challenges of precipitous births and how important it is to hold space for every birth experience. Needed WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello. Welcome to The VBAC Link. Today is Veteran's Day. If you are just joining us this month for the very first time, then welcome to your first specialized episode week. I don't even know what to call it. What would you call this, Nicole? I don't even know. Nicole: A one-of-a-kind situation. Meagan: Last month in October, we had Midwifery Week and now we have Veterans. Nicole is the wife of a Servicemember and she definitely and experience that I think a lot of military members and moms experience and people don't think about it. I don't think about that. When I was having my baby, it was like, Which hospital should I go to? There are 10-15 right around me. Then you're like, “Oh, hey. I'm pregnant and now I'm moving overseas.” You know? I think it's something that we just don't think about. It's fun to have it be Veteran's Day and to have a Servicemember's wife sharing your story today. We might even talk a little bit about navigating the military healthcare system and what choices you made. We learned a little bit about that before we started recording. We've got her amazing story today. Where are you right now?Nicole: I'm in England right now. Meagan: You are in England, okay. And that's where you had your baby. Nicole: Yes. Meagan: Awesome. So England mamas, definitely listen up for sure. All mamas, really. We do have a Review of the Week so I'm going to get into that then we'll start with your first story. This is from Roxyrutt and it says, “Inspiring”. It says, “Listening to these podcasts has been truly inspiring and I have been on my own hopeful VBAC journey. Listening to other stories has been incredibly helpful in my mental preparation.” We were just talking about that before we started recording as well just how impactful these stories can be for anyone but especially during your VBAC journey. It says, “My due date is April 17th this month–” so this is obviously a little while ago. It says, “I'm hoping to have my own VBAC story to share. Thank you all for what you do.” Thank you so much, Roxyrutt, for sharing your review. As always, we love your reviews. You can email them to us at info@thevbaclink.com or you can comment “Review” on your podcast. I think it's on Apple Podcasts, Spotify– I don't know if Google allows reviews. You might just have to do a rating. But wherever you listen to your podcasts, if you can leave a review, please do so. Okay, Nicole. Let's get going on your stories. I seriously thank you so much for joining me today. Nicole: Oh, thank you so much for having me. Like we mentioned before we started recording, this podcast has been extremely inspirational to me and it really led me to having the VBAC of my dreams. Meagan: And you had a precipitous VBAC, right? Did you have a pretty precipitous VBAC if I'm remembering right? It was 2 hours or something?Nicole: Yeah. It was so quick. Meagan: Okay. We are going to talk about that. Don't let me forget about that in the end. It is something that we don't talk about a lot. Most people think about birth being a long time. Nicole: Yeah. Meagan: Yeah. Precipitous birth can come out of left field and I want to talk about that. But first of course, every VBAC starts with a C-section so let's hear about your first.Nicole: Okay, yeah. So I had my first in June 2020 so literally right as the world was shutting down. Everybody was terrified with reason, right? I go in. I remember I had my baby shower planned and everything was planning and everything was canceled. I just felt depleted and I was scared. I remember watching videos on how to have a birth and what to do and all of the birthing videos and there was like, “Here's a segment on if you have a C-section.” I was like, That will never be me. I don't have to watch this because that will never happen. That is not in my cards. That is not in my birthing plan I typed up and had signed. That is not in my cards. So I decided with my doctor that I wanted to be induced and I said at 40 weeks I had done my time. Get this baby out of me. I had committed to 40 weeks because she kept saying, “Well, we can do it at 38 weeks if you're comfortable or 39 weeks.” I was like, “Nope. I will do it until 40 weeks. I've done my time. At this point, this baby is evicted.” On June 20th, I went in for my induction. Everything went smoothly. I was progressing but not as fast as they would like so we started Pitocin. That went well. I was doing really well and all of a sudden they were like, “I think we need to break your water.” I had heard horror stories about your water breaking and it's super painful and you're miserable after it. So I was like, “Well, let's get the epidural because why would I put myself through that if they have the option to make this smooth and comfortable? Why would I sit there and not be comfortable during this?” So I got the epidural and I just laid there. I laid in bed for a really long time then at about 3:00 in the morning, I got the urge to push. I let the nurses know. They checked. They said I was at 10 centimeters. Everything was good to go. They came in at about 3:10 and I started pushing. I pushed until about 6:00 AM. At that point, at about 5:00 AM, I started getting really hot. I noticed that they had turned the temperature in the room up obviously for baby. I started getting really overwhelmed and really hot. I started to throw up. My doctor turned down the temperature. She was like, “Let's turn down the temperature. I feel like you're just getting hot.” I was like, “I'm just hot. I just don't feel so good. I'm just hot.” They turned the temperature down then a new NICU nurse came in and she turned it up. I was watching her turn it up and I was just so uncomfortable. I started throwing up again and they were like, “Well, we need to pause because everything you're doing is an epidural symptom but it's also a symptom of COVID so we're going to stop you because we have to test you. You can either continue to push–”Meagan: We have to test you.Nicole: Yeah. I had gotten tested before I went in and then during my labor 3 hours in of pushing, they literally stopped me and said, “We need to do a COVID test.” I did a COVID test and it was crazy. You see all of these doctors in scrubs and masks and then all of a sudden they come in in these inflatable suits and everybody has these– which is more terrifying. I'm already scared. Meagan: Yeah, talk about invading your space. Nicole: Yeah, then you're telling me that I have an hour until this test comes back. I can either continue to push but if I push and have my baby, you're immediately going to take her away until my results come back or I can pause, not push for the hour and just let my body do it naturally and then resume pushing if my test comes back negative and I can continue to have skin on skin and the one-on-one time with my baby. Meagan: Hashtag, eye roll. Nicole: Yeah. So during that time, I was pushing well up until the COVID test. My baby was descending correctly. I stopped. I waited an hour and something shifted to where she then twisted a little bit and she– once my test came back negative and I was able to push again– was getting stuck on my pelvic bone and I could not get her out. They were tying blankets together and my husband would hold one end of the blanket and I would push and pull the end of the blanket as hard as I could to try and get her down. I was doing everything to push this baby out. Nothing was working. I started to develop preeclampsia so that was red flag number one. Then my baby's heart rate started to drop in between each contraction which I guess means that it could be around the neck and it's more concerning if it's between contractions versus during the contraction. So after her heart rate started dropping and continuously dropped, they decided to call it an emergency C-section. I just remember feeling devastated. I remember shouting– not shouting, but crying to my husband, “I don't want this. I don't want a C-section.” My doctor was like, “I have to hear it from you that you are okay to have the C-section.” I was like, “I mean, I guess if that's the only way to get this baby out but I don't want it.” I remember feeling the pain from my C-section and feeling so depleted. I pushed from 3:00 to 6:00 then I stopped for an hour. We resumed at 7:00. We pushed from 7:00 to 9:00 and then they called the emergency C-section and I had her at 9:36. It was a lot and I was pushing hard. I just remember getting back to the room, because my mother-in-law was there, and saying, “I haven't held her yet.” I didn't want anybody to hold the baby without me holding her first. I had heard stories of people who were like, “Everybody in my family got to hold the baby before I held my baby.” I just remember crying and I cried for weeks. I just felt like my body gave up on me. My recovery was terrible and that's what my doctor kept saying. She was like, “You have both recoveries. You pushed for so long that you're recovering from pushing and then you're also recovering from your C-section.” Then because I pushed so hard and I was trying so hard, I had tore all of the right side abs so I couldn't even move my legs to get in and out of bed for 4 weeks because my whole ab muscles were just torn. I had to go see therapy for that and I remember trying to drive me and this infant to therapy sessions and I was just in pain and then the drive home– it was so hard. I just felt like I was really bonding with my baby, but I felt like I was so disconnected with myself. I just couldn't do it. I had to have therapy because I went into postpartum depression. It was the hardest moment of my life because I really just felt like everybody was like, “Oh, it's so beautiful though. Your body did its job and it birthed this healthy baby.” I just wanted to scream every time somebody said that because I was like, “But it didn't. I pushed for hours, literally hours, and it didn't do its job. I had to have my baby taken out of me.” Meagan: You didn't feel that way.Nicole: Uh-huh. Yeah. People would be like, “Well, aren't you glad that you didn't have vaginal tearing?” I was like, “No, but I had hip to hip tearing and not just through the skin. It was muscles and layers.” I felt like everybody was trying to comfort me and it just felt like I wanted to scream at the top of my lungs because I didn't feel like anybody was understanding what mentally I was going through. Meagan: Yeah. I think that happens so often in the provider world but also just in our family and friends' world. We get thrown the, “Aren't you just happy you have a healthy baby?” It's like, “Yeah, duh.” But then also that thing, “Well, aren't you glad that didn't happen to your vagina? Aren't you glad you don't have to deal with incontinence?” Or similar things where in people's minds, I don't think they realize that it's causing harm or that there are ill feelings at all. They are just saying these things, but it's like, “I don't feel like I birthed my baby and I don't feel good about it and I'm dealing with a lot of trauma physically to my body, not just even emotionally but physically to my body. No, I'm not feeling great right now and it's okay that I don't feel great. I understand that you're just trying to help and validate me maybe, I don't know.” Maybe that's what people are doing but it doesn't always feel good. Nicole: Yeah, people kept telling me to be mad at my provider. I was like, “I hear you. But at the end of the day, she's new to COVID just like we are. She's going into this trying to navigate it.” I think she did and I think she made the best calls, but everybody was like, “Why are you mad at yourself? Be mad at this person.” I was like, it wasn't her fault necessarily. She didn't know what was happening. COVID was so new and it was just blowing up in Utah. It was just this big thing and it seemed like nobody was listening to the fact that I was upset with my body and how my body handled this. Everybody was just like, “Well, it's a healthy baby. Blame this person or that person. It's COVID.” I was like, “But what about me? You're not listening to me.” That was so tough. I felt like I was screaming it and people were trying to silence it without purposely trying to silence it. Meagan: Right. Okay, so I have some questions for you. So when they were offering you sheets and it sounds like you were maybe playing some tug-of-war. What I call it in my doula mind is tug-of-war where you are pulling and tugging and all of those things. Obviously, they were really trying to help this baby get out vaginally and things like that. Did they offer you changing of positions even though you had that epidural? Were they like, “Hey, let's try to get you on your side or get you on your hands and knees?” You said you kind of felt your C-section a little bit, right? Is that what you said? So it maybe wasn't as deep of an epidural so maybe you could have done hands and knees or something? Did they ever offer anything like that?Nicole: They didn't. They did try the vacuum three times but it immediately would just pop right off of her head because she was shifted. Meagan: Asynclitic a little bit, maybe?Nicole: Yeah, so they said that after three times it was unsafe at that point and it was going to have the same results. Nothing was going to happen. I didn't want to do the vacuum, but once we were at that position, I was like, “Let's just try it.” I agreed to three times and then we were done. Keep it safe. That's when we started doing the tug-of-war and we did that for a long time. My husband was holding it and he was like, “The first time, you almost knocked me down because I wasn't expecting you.” I was pulling so hard. I just wanted this baby out. Yeah, they didn't move me in any positions. I was just on my back. Now that I know better, I wish I would have tried. Meagan: But again, you didn't know what you didn't know. For listeners, if you are in a situation where your baby might be tilted to the side asynclitic or transverse and maybe you have done tug-of-war and things like this, and even then, sometimes it doesn't work. For some reason, the baby is where they are, but a little bit of a tilt to the side especially if there is one side where they feel the baby's head or try to get on hands and knees to change that pelvic dynamic can help. But I love that they were like, “Let's do tug-of-war. Let's do these things.” I love that providers are still encouraging other things in other ways. It sounds like they really did try and avoid a Cesarean by doing a vacuum and doing the tug-of-war. That is super awesome. I was also wondering if you have any tips for moms who have maybe pushed for a really long time like you did and had essentially have vaginal pelvic floor trauma and also gone down the Cesarean route. Is there anything you would suggest to moms? Or even for moms who maybe had a C-section and had this possibly happen. Yeah, do you have any tips that you would suggest to help with healing both physically and mentally?Nicole: Yeah. One of the biggest things that we did which was incredibly helpful– I'll give you a funny story after– but one of the biggest things that we did was my husband would get out of bed. We breastfed. He would hand me baby. I would breastfeed her and burp her and then he would get out of bed, change her, and put her back down. That was incredibly helpful because all I had to do was go from laying to sitting. I couldn't pick my legs up to move them out of the bed without it being excruciating, so having him just help me sit up and hold baby made a huge difference. Having that support person there to help do the heavy lifting technically to get in and out of bed was next-level game changer. It helped me. I got to sleep more because he changed the diaper. We took turns then he would sleep during feedings. We were really changing. I do remember going to the pediatrician and my husband talking to the pediatrician and I was like, “Wrong person to ask.” He was like, “She keeps waking in the middle of the night and rocking holding this invisible baby and bouncing it.” It was because I would forget that I gave the baby back to my husband. Meagan: Yeah, because you're so tired. Nicole: I'm so tired and he would be like, “It's freaking me out.” I picked up my little Yorkie and I was rocking her. My husband was like, “That's the dog.” I thought I had fell asleep and the baby was next to me so I picked up the dog. I remember the husband talking to the pediatrician and I was like, “That is the wrong doctor. He knows nothing about my mental state,” and him being like, “It's terrifying,” but it really did help me. It might have scared him, but it just was so helpful and I just felt like I didn't have to worry about dropping the baby walking in and out of bed. It helped speed up my recovery because I wasn't constantly getting in and out at all hours of the night. Meagan: Yeah, that is so impactful. I love that you pointed that out. I know that some postpartum doulas do that too but if your partner is able to help you in that way, I also think it's really great because that helps them bond with the baby too. I mean, they might not be feeding the baby but they are changing and carrying and soothing the baby back to sleep as well. I love that. I love that you did that. How long did you do that until you were feeling better and getting in and out of bed was feasible?Nicole: It took me about 3 weeks until I felt comfortable and confident. That was another thing. I could feel comfortable but wasn't confident to get in and out of bed without worrying about a sharp pain or something glitching or stumbling. Meagan: Mhmm. I'm so proud of you guys for being a team and making sure that you took care of that. Nicole: We'll keep him. Meagan: You needed to take care of yourself and I love that you were like, “This is what we need. This is what we need to do.”Awesome. Well, before we get into your next story which is amazing, we're going to take a quick moment and listen to me, I guess, about our sponsor. Okay, and we're back. Let's get onto this VBAC story. Nicole: So being military, we had decided my daughter was so great and so fun at about 8 months or 9 months and we were like, “Let's do this again. Let's have another one. We want them close in age. Let's try again.” So she turned 1 in June. In May, we decided to go on a long weekend because my husband had just graduated college. He's military and was going to school which is a whole other added pressure. Meagan: That's a lot. Nicole: Yeah. We flew our mother-in-law out. She stayed with our baby for Memorial Day Weekend and him and I went to Tahoe for the weekend. We decided starting in May that we were going to start trying again. We were like, on May 1st, we're going to start trying for a baby. We get back from Tahoe on June 1st. I think it was June 1st. It was right at the end of May and the beginning of June. His coworkers were like, “Guess what? You have orders to RAF Lakenheath in England.” My husband was like, “No, I don't. You're kidding. I don't. That's a joke.”He called me and he was like, “I have bad news.” We had just dropped my car off at the dealership that morning so I was like, “Oh no, what we thought was a minor issue was huge.” He was like, “We have orders to England.” I was like, “That's not terrible news. That's the best news I've heard all month.” He was like, “No, that's terrible,” because he was planning on getting out of the military. Meagan: Oh no. Nicole: We had 2 weeks to decide if he was going to stay in and take these orders or if he was going to get out. We spent 2 weeks going back and forth if this was the best option for our family and if this what we wanted. What could we do over there? We decided that we would go overseas if we decided to wait on having a baby. We cut it off. No more babies at the beginning of June. We were like, “We're done. We're going to have our one. Towards the end of our 4 years is when we are going to start trying for our second. That way, we can get back here and have our baby back in the States.” We were like, “We'll travel with our one child because it's easier to travel with one than two. We'll travel with one kid. We'll do our 4 years there and when we come back, we'll have our next baby.” It wasn't ideal because we wanted them close in age, but at least we were traveling and eventually, we would have our second. He took the orders on June 2nd. I was prepping for my daughter's first birthday. We were having a pool party. I was like, okay. Her birthday's on June 20th. It is June 16th. I wonder when I'm going to get my period because I don't want to be on my period and swimming. Meagan: During the pool party, yeah. Nicole: I looked at my app and I was 7 days late. I was like, What? I don't think that's right, but let's just take a test. I took a test and I was pregnant. So, the joke was on us. Meagan: Oh my gosh. Nicole: Yes. We found out in June that we were having our second and we were due to be in England in November. So at the end of the month in November was our DEROS date or the day that we were supposed to be in England and he was supposed to be signed onto the base. We decided that we would just pack up and do this all while I was pregnant. We moved over there on November 15th. Once I got here, I was like, Well, what do I do now? I am halfway through my pregnancy. I have nothing because COVID again, had stopped all of our furniture stuff because the ports were closed and that whole issue of everything being shut down. The world was still closed so we were like, “What do we do?” We had sent our stuff at the beginning of October to arrive in England and they were like, “Well, you're not expecting anything.” We had bought all of our baby stuff before because we were like, “Well, we'll just buy it here and ship it over there, and then we won't have to worry about trying to buy it over there.” There are different sizes of cribs there, and the bedding size is different. I don't want people to buy us sheets then all of a sudden it's UK sizes and it doesn't fit and it's unsafe for baby. It was a big thing. We bought all of our stuff. I was ready to have it. Then we got here and they were like, “It looks like you're not going to get any of your household goods until April.”Meagan: November to April?Nicole: October to April because we shipped in October. Meagan: Oh my gosh. Nicole: Uh-huh. Yeah. We were living in temporary furniture that was terrible. We had to go out and buy blow-up mattresses because those were more comfortable than the beds that they gave us. It was wild. Then I'm trying to find a doctor. I'm trying to find a provider. I don't know what I'm doing. I've called all of the birthing doulas because of the podcast that I had been religiously listening to. I was like, “I know what a doula is. That's what I need.” They were all booked up because by the time we got here in November and I got the chance to interview them, they were all booked up for the month of February when my baby was due.So now I'm sitting here, “Well, what do I do? Do I have the baby on base? Do I have the baby off base?” I don't know. I don't know anything about where we're living. I don't know anything about the hospitals. I don't know anything. I'm just guessing off of people's posts on Facebook, but they are so hit-and-miss. Somebody is going to post a really great story, then all of a sudden, somebody makes a post of a traumatizing story which scares you. It's like, was the good story one in a million, or was the traumatizing story one in a million? I was just navigating this. I started going to my doctor's appointments on base because I knew that Tricare covered the OB/GYN. I was trying to navigate how it would cover overseas. I had to make a lot of phone calls and all of that fun stuff. I was like, “Well, I'll just start on base and see if I need to transfer off base.” On base was okay. It's way different seeing a military doctor than it is seeing a provider who chooses this field and who wants this field. All of my prenatal care was okay. There were a few things that I wasn't a fan of and if we weren't talking about it, I could tell you what is the strep B test, right? Meagan: Group B strep?Nicole: Mhmm. They test you. They swab you to see if you have a skin infection to see if you need to be on antibiotics. In the states, my doctor performed that on me. Here, they gave me a test tube and told me I had 5 minutes to complete it. I was like, “What? I can't even see down there let alone swab myself.” I just remember crying in the thing and begging people to do it and they were like, “We don't do it. You have to perform it on yourself.” My husband was home watching our toddler, so I had no support with me. It was definitely different. I looked at the hospitals off base and I was really unsure with the way that I had them. You would give birth in a birthing suite with your husband, then they would send him home and move you to this big room with other moms who had their babies. I was really navigating, what is the best fit for me and how am I going to have this baby and my VBAC? I want this VBAC. Who is going to advocate for me? I don't have a doula. I'm doing this by myself. My husband only knows so much. He doesn't understand it all, so he is only retaining half of what I'm saying. I made it to 40 weeks. I was like, “Get this baby out of here.” My mother-in-law was here to watch my daughter. That's another thing. You have to find childcare for your toddler because you don't have family around to watch your baby. We were so new here. We didn't have friends here to watch our baby. My mother-in-law luckily came out and made it for the birth. She watched my daughter. I decided that since she was here, and I needed to get this baby out before she left so I had childcare, I would do a membrane sweep because I was 40 weeks and I think I was 2 days at that point. I did a membrane sweep. That was unsuccessful at 40 weeks and 2 days. I did a second one. That was very successful. We had my membrane sweep in the morning. I remember just doing lunges and squats all day long. We took my daughter to a forest. She just ran, and I did lunges behind her. There are videos of my husband following my daughter around, and I'm in the background just doing lunges and doing anything to keep active, to keep this baby going. I went to bed that night on February 23rd. I went to bed at about 9:00 PM. I woke up at 2:00 AM. It was about 2:30 when I woke up. I felt this really sharp pain in my stomach. I thought he had kicked my bladder, so I stood up on the bed. It was like a movie. You heard the gush, and then all of a sudden, water was just trickling down my legs. I was like, “Well, I still feel like I have to pee, so that was definitely my water breaking not me having to go to the bathroom and him kicking my bladder,” which signaled me having to go to the bathroom. My husband had just come to bed at about 2:00 AM. He had only been asleep for about 30 minutes. I was like, “Hey, no rush. This is going to take hours.” Again, nobody thinks that labor happens fast. I woke him up. I was like, “No rush. I just need you to go downstairs and get my military ID,” because at this point, I decided to have him on base. I was like, “I just need you to get my military ID because they are going to ask for that information in labor and delivery. Let them know that my water broke and that we would be in in a few hours. No rush. I'm going to take a shower. I'm going to go back to sleep. I'm just going to sleep this off. We will wake up in the morning, say goodbye to Naomi, and then go to the hospital.” Again, I had told my daughter that I would see her in the morning, and then I left the room that night saying, “Why did I say that? There's no guarantee.” I had been saying for weeks, “I hope you sleep good,” and that's it. Then of course, the one time that I accidentally said, “I'll see you in the morning,” I wasn't seeing her in the morning. He calls Labor and Delivery and they were like, “Well, because of her past, we want her in now.” I was like, “No. No. I don't want to labor in a hospital. I want to labor as long as I can at home. I want to do this by myself. I want to be comfortable. I don't want people to tell me what I should be doing then it going against what I want to do. I really want to do this by myself.” He's arguing with Labor and Delivery. He was like, “Well, let me talk to my wife, and I will call you back.” I was like, “I'm going to get in the shower real quick and wash myself off because my water just broke.” Meagan: Had you started contracting at this point or just trickling? Nicole: Very minimal. It was every 5 minutes. It was very minimal, nothing crazy. I could totally go clean my car at this point. I was walking on water. My water broke. I'm great. I feel good. I feel nothing. I'm in the shower. All I did was put shampoo in my hair. I didn't even get it rinsed out, and all of a sudden, my contractions went from 0 to 100. I could not breathe. I could not talk through them. I could not even do anything. I felt like my mind was so focused on the pain. My husband was trying to ask me questions, and I couldn't even register what he was saying through each contraction. I told him, “Call them back because we are on our way now. I need to get out of the shower. I need you to throw conditioner in my hair while I have this next contraction. I need to rinse it out, then we need to go.” He's trying to talk to them and put conditioner in my hair. I'm having a contraction. I put my pants on, and as I'm pulling them up, another contraction hit. Then they started going from having a contraction for a minute and a half to a break for 30 seconds, and then immediately back into another contraction for a minute and a half. I was like, “What is happening?” I never felt this with my daughter. I had the epidural. Things went so smoothly and so slowly that it was cake. This was the next level. I waddled into the car. I remember sitting in the front seat and saying, “I can't do this.” I climbed into my toddler's car seat because I had the infant car seat up, and I couldn't fit in between the two car seats, so I had to sit with my knees in my toddler's car seat. I was holding onto the back headrest for support and just standing there. I was on my knees, chest against the back of her car seat, and I'm just holding onto this headrest with every contraction. I'd have three in a row. I'd have one for a minute and thirty, a break for 30 seconds, a minute and thirty, a break for 30 seconds, a minute and thirty, then I'd have a two-minute break, and then they would kick back up again. My husband was just flying. The roads were closed on our normal fastway to base. We lived 30 minutes away, so it was an extra 15 minutes to get to base. He was flying at 2:50 in the morning at this point. I'm sorry, it was 3:50 in the morning at this point. We get to the hospital at 4:05. I am hugging a tree outside because my husband couldn't figure out how to open the wheelchair. Poor guy, he was trying so hard to help me. Meagan: I'm sure. It was a frantic moment. Yeah. Nicole: Yeah. He couldn't figure out how to open it. He had to go to the ER and get somebody in the ER to help him. They were wheeling me up, and I remember yelling at them because they kept saying, “We'll have to do triage and see if you're in active labor before we can bring your husband back.” I remember telling this poor ER nurse, “You'd better not split my husband and I up. I am not doing triage. We are going into a room. We are having this baby.” She was like, “Ma'am, I think we're just going to put you in a room. I don't think we are going to need triage.” I get into the room. I am continuously having contractions. They tried to stop me to do a COVID test. I death-glared this guy because he wanted to do a COVID test on me. I was like, “Been there, done that. Not doing that again.” I remember them trying to put an IV in my hand. I was like, “I don't need an IV. This kid is coming out of me. I know I tested positive for the strep test, but I don't need an IV. He's already out. There's nothing that this is going to help.”I get up on the bed. They tried to get me to lay on my back to push and I couldn't. I remember my husband was like, “No, that's not how she wanted to push. She wants to push with her knees on the bed and her chest against the back holding on. That's how she wants to deliver him.”He was advocating for me which I was so grateful for because I felt the entire time that he didn't know what I wanted because he didn't understand my terms, he didn't understand why, he didn't understand the VBAC world, so I felt like I was talking to thin air. So for him to sit there and be like, “No, that is not how she is going to deliver this baby. She wants to be on her knees hunkering down.” I did. I got up there. I pushed two pushes, and he was out. His hand was stuck to his face. Meagan: Nuchal hand, wow. Nicole: He was holding onto his face. He got a little stuck because of his elbow, so after I got his head out, they made me flip over and deliver him on my back which I was totally okay with because we had done the hard part. I remember my husband saying that was the weirdest thing watching me turn around with this baby hanging out. He was like, “You just flipped around like it was nothing.” I was like, “I knew he was fine.” I tore because his hand was up and it was added pressure. But yeah, he came out in two pushes. He was born by 4:36, so 2 hours and I had my baby. It was absolutely wild. I just remember that I had him. I was just in the chaos of it, and about two minutes later, my husband was like, “Nicole, you had a VBAC.” I just started shouting it. I was like, “I had a VBAC.” It didn't even dawn on me in the craziness of it all that I pushed this baby out of me. I was just like, “Is he okay? Is he healthy? Does everything look good? Are you sure he has 10 toes and 10 fingers? Is everything good?” My husband was like, “Nicole, you had a VBAC. You really did it.” Yeah. It was crazy. He came so fast which was unexpected and nobody tells you about that. It was just wild, but I had a VBAC. Meagan: You had a VBAC with a nuchal hand too. That can be a little tricky sometimes, right? That is amazing, but I love just how intuitively from the very beginning, your body too was like, hands and knees. Forward-leaning position. That's what your body intuitively was telling you to do to get this baby here. I love that you just went with that. I love that he advocated for you despite not really understanding. I can relate to that. My husband did not understand why I wanted to do what I wanted to do, but it's so nice to have them be there for you in that ending moment when it really matters so much. Nicole: Absolutely, yeah. I was shocked. When he started saying it and he was like, “No. She wants to push like this,” I was like, “What? You listened?” Meagan: You listened. I love that. Oh, well thank you so much for sharing that story. Huge congrats and man, precipitous labor like you said, people don't talk about it. It does happen. It's funny because I had a long, 42-hour labor. Someone asked me, “Would you rather have a long labor that took forever like that or would you rather have a precipitous labor?” I had said that I really wanted a fourth and I just hoped it went faster. I don't know. I don't know which one I would prefer because long is exhausting and hard, but man, precipitous– and I have seen them. I have supported them as a doula and seen 2-3 hour-long labors. It's a lot of change in a body to happen in such a short period of time, and it's so intense. I mean, it is the next level. So, I don't know. Nicole: It's crazy. It's crazy that they are so fast, but your body just knows what it's doing. That blew my mind. With my daughter, I felt like I was trying. I was listening to everybody, and they were telling me what to do. I was just following suit, but with this one, there were no decisions being made. My body was like, “This is how it's going to happen and that's it.” I remember shouting for the epidural when I got in the hospital room. I was like, “I want that epidural. Call the anesthesiologist now.” They were like, “Honey, I think he's already here. I don't think we have time for that.” My body was like, “No, you're not sitting down. You're not going to do this. This is how–” I didn't even have time to focus on my breathing. My body was just doing it itself which is crazy thinking back on it. My body just knew. I was so down on myself thinking my body had failed me, but then having a super fast labor, my body was just like, “Nope, this is how we're going to get it done and that's it.” Meagan: Okay, so with precipitous labor too, like you said, it went from 0 to 100 like that. Do you have any tips for moms with that experience of that type of intensity? Obviously, listening to your body and getting to your birthing location on time. I'm assuming that's continuing. Sometimes, I feel like it can be really intense when it feels like they are ramping up and then they piddle out. But it does, it seems to ramp up, like you said, from 0 to 100 and it hangs on. It holds on tight and it is not stopping.Nicole: Yeah. Definitely listen to your body. I felt like I spoke up a lot with what was happening at one point. I've always been this way where there are certain sounds that make me nauseous if I'm under a lot of stress or if I'm feeling sick, so my husband talking– it's funny because he was like, “Say your affirmations. You are brave. You can do this.” His talking was making me nauseous. I was like, “Stop. Stop talking. Although it is what I want to hear, it is not helping.” Being super open about what was happening like when he went to get the wheelchair, I was like, “I can't sit in this car. I have to get out.” He was like, “Just sit in the car. Let me help you.” Being super aware and open about what I was feeling and what my body was telling me to do because going up and holding onto this tree, and every time I walk past this tree at medical, I'm like, “I almost gave birth right there had we not gotten that wheelchair open.” Hunkering down on that tree gave so much more relief that it was sitting in the car waiting for him. Although, I know that the car probably would have been the safest option for me rather than the tree with dirt and bushes–Meagan: Hey, that's actually pretty cool if that happened. Nicole: Right? But knowing what it was and being communicative. Even through all the chaos, every second that I could, I was saying, “This is what I need right now. This is what I'm feeling.” That was helpful not only for myself mentally because I didn't have the option. Things were just happening, but mentally being aware, and also allowing my husband to help me and support me where I needed was also really helpful. Meagan: I love that. Speak up. Follow your body. Have an awesome partner to help guide you through. I think too like what you said earlier, he listened. That goes with speaking up, talking about our feelings, and talking about our desires. Even if you don't think it's being understood or really heard, it probably is. Nicole: Yeah. It was just so crazy to me with him being like, “I'm so confused why somebody would want to push like that,” then him being like, “No, she's going to push like that.” I was like, “What? You remembered.” Even in all the craziness, and he thought for sure when I told him to stop when we were driving, he thought I meant to stop the car because he thought I was going to have the baby before I could finish after my contraction, “Stop talking.” Yeah, so even through all of the craziness and his mind going rampant, because he's going through it too thinking, “Am I going to deliver this baby on the side of the road?” Now that we're in a different country, who do we call? Do we call 9-9-9 or do we call 9-1-1? Do we call base or do we call locals? We're in the middle of the country. His mindset is going, so having him say that in the craziness was even more powerful. Meagan: Mhmm. Oh my gosh. Well, huge congrats again. Thank you so much for coming on and sharing your story. I do know that it's going to impact someone out there, probably hundreds and thousands of people to be honest, so yeah. Thank you so much. Do you have any other tips or any advice that you'd like to give to any moms in regards to VBAC, in regards to birth, in regards to preparation, or in regards to navigating military changes? Delivering on base or off base? Are there any other suggestions that you'd like to give? Nicole: I would say to really trust your instinct. I was obsessed with my first doctor with my daughter and she was my second daughter going into this. Obviously, I couldn't keep her. I tried to get her to come over here, but she wouldn't. Trust in your instinct in what you think is right for you and your baby. It's so interesting to where you believe that this is one thing and this is how it should be, but then when your instincts are kicking in and they are telling you, “This is what's best for you and your baby,” it's a whole other path. I just recommend to listen. Listen to your body. Listen to what your gut is telling you. It will fall into place. Things are scary and sometimes things are wild, especially with the military and moving in the middle of a pregnancy. It is terrifying. I've known spouses who stay after and they bring their baby over when their baby is 8 weeks old and can finally get a passport. But knowing that you can do it overseas, I definitely think it's special because your partner is there. It's just a crazy ride, but if you trust yourself, your self will always guide you in the right way. Meagan: Yeah. We've been saying it since this podcast started in 2018. Your intuition is so impactful. Trust it all the way. Go with it. I love that advice. Thank you. Nicole: Thank you. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

  Discover how you can help veteran clients utilize VA Benefits, Tricare, and Medicare. Press play to learn more about how these benefits work together!     Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail.   Resources: Affinity Partnerships for Insurance Agents: https://link.chtbl.com/ASG617 How to Ask Your Current Clients for Referrals: https://link.chtbl.com/ASG623 The Complete Guide to Client Loyalty and Retention FREE eBook: https://ritterim.com/client-retention-guide/ The Complete Guide on How to Sell Prescription Drug Plans FREE eBook: https://ritterim.com/pdp-ebook/ The Definite Guide to Getting Leads and Prospecting for Medicare Sales FREE eBook: https://ritterim.com/lead-generation-guide/ Why Client Retention Should Be Your Top Priority: https://link.chtbl.com/ASG581   References: “3 Ways to Avoid the Part D Late Enrollment Penalty.” Medicare.Gov, www.medicare.gov/drug-coverage-part-d/costs-for-medicare-drug-coverage/part-d-late-enrollment-penalty/3-ways-to-avoid-the-part-d-late-enrollment-penalty. Accessed 25 Oct. 2024. “About VA health benefits.” U.S. Department of Veterans Affairs, www.va.gov/health-care/about-va-health-benefits/. Accessed 25 Oct. 2024. “Current VA Health Care Copay Rates.” U.S. Department of Veterans Affairs, www.va.gov/health-care/copay-rates/. Accessed 25 Oct. 2024. “Getting Urgent Care at VA or In-Network Community Providers.” U.S. Department of Veterans Affairs, www.va.gov/resources/getting-urgent-care-at-va-or-in-network-community-providers/. Accessed 25 Oct. 2024. “Pharmacy Benefits Management Services.” U.S. Department of Veterans Affairs, 23 Oct. 2013, www.pbm.va.gov/nationalformulary.asp. Schaeffer, Katherine. “The Changing Face of America's Veteran Population.” Pew Research Center, 8 Nov. 2023, www.pewresearch.org/short-reads/2023/11/08/the-changing-face-of-americas-veteran-population/. “Tricare for Life.” TRICARE, www.tricare.mil/Plans/HealthPlans/TFL. Accessed 25 Oct. 2024. “Understanding Medicare, Veteran Benefits, and Tricare for Life.” Policy Engineer, 15 Aug. 2024, www.policyengineer.com/understanding-medicare-veteran-benefits-and-tricare-for-life/. “VA Health Care and Other Insurance.” U.S. Department of Veterans Affairs, www.va.gov/health-care/about-va-health-benefits/va-health-care-and-other-insurance/. Accessed 25 Oct. 2024.   Follow Us on Social!  Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://twitter.com/RitterIM and Youtube, https://www.youtube.com/user/RitterInsurance     Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel  Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/

Today's Story: Tricare Changes for 2025

Ozempic, a medication originally approved for the treatment of type 2 diabetes, has gained significant attention for its weight loss benefits. Though it is primarily prescribed to help manage blood sugar levels in adults with type 2 diabetes, many patients have reported substantial weight loss as a side effect.The active ingredient in Ozempic, semaglutide, mimics a hormone that targets areas of the brain which regulate appetite and food intake. By activating these areas, Ozempic can decrease hunger and calorie intake, leading to weight loss. In various clinical trials, participants taking Ozempic not only saw improvements in their blood sugar levels but also experienced a considerable reduction in body weight. Some trials have reported an average weight loss ranging from 10 to 15% of body weight over a period of 68 weeks when combined with diet and exercise.The effectiveness of Ozempic in weight management has sparked interest not only among those with type 2 diabetes but also individuals looking for effective weight loss solutions. This interest has grown especially as obesity rates continue to rise globally, accompanied by associated health issues such as heart disease, stroke, and type 2 diabetes itself.Despite its benefits, Ozempic is not specifically FDA-approved for weight loss. The approval and marketing remain for the treatment of type 2 diabetes. However, the significant weight loss observed in patients using Ozempic for diabetes management may influence future approvals for a broader range of uses, including direct treatment for obesity.For patients considering Ozempic for weight loss, it is crucial to consult with healthcare providers to fully understand the potential benefits and risks. The conversation should also include discussion of lifestyle changes that accompany the administration of Ozempic, such as diet alterations and regular physical activity, to optimize health outcomes. Additionally, patients should be aware of the possible side effects, which can include gastrointestinal issues such as nausea and diarrhea.The evolving profile of Ozempic as a potential tool against obesity highlights the complex and interdisciplinary approach needed to tackle this widespread health issue, involving medication, lifestyle changes, and ongoing medical guidance. As more research surfaces, the role of medications like Ozempic could become a cornerstone in managing not only diabetes but also the global obesity epidemic.

Free Copy of My Book: Building Wealth In the TSP: Your Road Map To Financial Freedom as A Federal Employee: https://app.hawsfederaladvisors.com/free-tsp-e-book FREE WEBINAR: "The 7 Biggest FERS Retirement Mistakes": https://app.hawsfederaladvisors.com/7biggestmistakeswebinar Want to schedule a consultation? Click here: https://hawsfederaladvisors.com/work-with-us/ Submit a question here: https://app.hawsfederaladvisors.com/question-submission I am a practicing financial planner, but I'm not your financial planner. Please consult with your own tax, legal and financial advisors for personalized advice.

Spine specialist, Dr. Nate McKee shares a story of an automobile mechanic unable to work due to his severe leg pain. Dr. Nate McKee grew up in Fort Wayne, IN. He was first introduced to the great state of Michigan, when he attended Albion College. At Albion College, Dr. Nate received his Bachelor's in Exercise Sciences. He then went onto National University of Health Sciences in Lombard, IL where he received his Doctorate in Chiropractic.   While at National, he was actively involved in the Student American Chiropractic Association, and was President. During that involvement he lobbied in Washington, D.C. for rights and access for chiropractic patients such as: Veteran's access, underserved areas, Tricare, etc. Dr. Nate was also a school tutor for Head & Neck and Thoracic Evaluation, Management, and Manipulation courses for two years. During his clinical experience, Dr. Nate did a 2 month rotation at the Roudebush VA Medical Center in Indianapolis, IN.  ​ Dr. Nate has furthered his education and received a certification in Cox Decompression and Manipulation Technic. His education in Cox Technic allows him to treat various conditions of the neck, back, and knees such as but not limited to: disc herniations, spinal stenosis, post surgical pain, back pain related to pregnancy, headaches, and meniscal pain of the knee.  Dr. Nate is also a Certified Chiropractic Sports Physician® (CCSP®), which has equipped him with the training to treat and prevent sports injuries and to properly work with athletes.  Resources: Connect with Dr. McKee Dr. Mckee's office 810-223-2439 Connect on Facebook Instagram @McKeeChiro Find a Back Doctor The Cox 8 Table by Haven Medical

Today's Story: Delivering Quality Health Care

In a special episode recorded live at the Tango Alpha Lima Podcast Outpost at The American Legion National Convention in New Orleans, hosts Stacy Pearsall and Adam Marr catch up with former guests and meet new friends who discuss the exciting things they are sharing with convention attendees. Steve Burke, an Army veteran, West Point grad and Business Leader of Associations with Grouper talks about the critical need for social connection. Kristie McNally, deputy director of the U.S. Mint shares news of the 2024 Greatest Generation commemorative coin set. Kathryn Walker, chief executive director of Revitalist Lifestyle and Wellness Ltd., discusses ketamine treatments and the integration of psychedelic medicine into mainstream mental health practices. Marine Corps veteran Waco Hoover, the chairman of Be the One and a member of The American Legion talks about the second annual Be the One symposium and the future of the Be the One mission. Norka Rojas, chief of Internment Services at Arlington National Cemetery talks about the process of requesting burial at Arlington. Lexie Millikan, executive director of Quilts of Valor talks about the community built through the act of making quilts to comfort and honor servicemembers, veterans and first responders. Navy veteran Andre Andrews, a member of American Legion Post 283 in Los Angeles and chairman of the Department of California's Video Game Committee talks about the future of online gaming in the American Legion. Cullen Wright and Christina Lonigro of Advocate Healthcare give an update on their new product, Vetecare Special thanks to Wellcare for support of our Podcast Outpost on site in New Orleans. Special Guests: Andre Andrews, Christina Lonigro, Cullen Wright, Kathryn Walker, Kristie McNally, Lexie Millikan, Norka Rojas, Steve Burke, and Waco Hoover.

This episode is dedicated to one of our fallen shipmates, Jorden Burleson—Fair Winds and Following Seas.   Major shoutouts to our listeners—we missed y'all! Damo and Tisha catch up on date nights and cheering for your Sailors outside of the office. Damo opens up about his current command, while Tisha shares some details about her job. Damo reveals a medical issue he finally got some answers for. Shout out to Tricare for holding it down. All hail Simone Biles! We discuss her recent accomplishments and why her story is important for today's children. It's DEOCS season, so go ahead and knock those surveys out. The FY25 SELRES results are out, and the quotas have been released for active-duty CPO candidates. A past guest asks the show a question about the CPO Season. A Microsoft outage means so much more than just a “blue screen of death.” A SWO Department Head retention bonus has been announced. An economic hardship bonus has been announced for junior Sailors, but is it enough? CNIC has relaxed some restrictions on attire in shore-based galleys. Tish and Damo discuss politics for a bit. Before diving too deep into politics, let's make sure we review ALNAV 061/24, the guidance on political activities for all DoD personnel. Rest well to Sonya Massey. The Army arrests another military scammer. A $78 million project is underway at HII Newport News Shipyard to add and upgrade facilities that will improve the quality of life and work for Sailors in RCOH. An E4 in the Marines stands out for his mechanical expertise. Damo doesn't like being called “Sir.” Comments from listeners are read. Damo and Tisha share their “Do Betters,” and a listener's “Do Better” is also read.       Remember to follow the ‘Permission to Speak Freely' podcast on TikTok, Facebook, Discord, Instagram, and Twitter, and subscribe on YouTube. To have your “Do Better” reviewed on a future episode please get in touch with us at ptsfpodcast@gmail.com.       Keep up with the ‘Permission to Speak Freely' podcast on our social media and YouTube - https://linktr.ee/Ptsfpodcast       Links From This Episode: Command Climate Assessment https://www.mynavyhr.navy.mil/Portals/55/Messages/NAVADMIN/NAV2024/NAV24152.txt?ver=NOwKiP0GCRjkh0ye5WaEpA%3d%3d   SWO Dept head retention bonus https://www.mynavyhr.navy.mil/Career-Management/Detailing/Officer/Pers-41-SWO/Pay-Incentives/SWO-DH-Retention/   Heard about the Sailor who searched for the President's Medical Record? https://www.militarytimes.com/news/your-military/2024/07/09/sailor-searched-for-bidens-electronic-health-records-navy-says/   ALNAV 061/24 https://www.mynavyhr.navy.mil/Portals/55/Messages/ALNAV/ALN2024/ALN24061.txt?ver=arJyClji_Wrz_pXO0NBUpA%3d%3d   Rest Well to Sonya Massey https://www.cnn.com/2024/07/23/us/sonya-massey-police-shooting-what-went-wrong/index.html   Economic Hardship Bonuses https://www.military.com/daily-news/2024/07/19/economic-hardship-bonuses-are-finally-coming-troops-they-might-be-smaller-expected.html?amp   US Army worker who stole nearly $109 million to buy mansions and luxury cars is sentenced https://www.cnn.com/2024/07/24/us/us-army-worker-mello-sentenced/index.html   Carrier Refueling Overhaul Workcenter https://news.usni.org/2024/07/15/navy-issues-hii-78m-contract-mod-that-includes-quality-of-life-facility-at-newport-news   Sailors can wear regular clothes to the Galley on base https://www.navytimes.com/news/your-navy/2024/07/17/sailors-can-now-wear-regular-clothes-when-they-eat-in-shore-galleys/   Marine Corporal (E4) earns medal for finding flaws in tech manual https://www.marinecorpstimes.com/news/your-marine-corps/2024/05/16/marine-corporal-earns-prestigious-medal-for-saving-military-140m/       Damo's Book of the Week: Anchored In Resilience (Amaury Ponciano) https://www.amazon.com/Anchored-Resilience-Overcoming-Adversity-Awareness/dp/1662947216?dplnkId=a52fb6d3-d187-4886-8a73-7adda03742dc&nodl=1       Additional Credits: PTSF “Theme Music” - Produced by Lim0

The number of TRICARE beneficiaries who get health care from military facilities is about half what it was 20 years ago. DoD now wants those patients back. Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us a Text Message.Rehab is often associated with people who have the most urgent and complex addictions and mental health crises. What if we better educate our service members on what was available, what TriCare covers, and how to spot a reputable provider? My next guest and I will explore this subject in depth and discuss how military members can significantly benefit from these organizations' targeted services. We will also shatter the stigma, myths, and stereotypes of those who seek this care and what this treatment can do long-term for your life growth, health, and happiness. Bill Reynolds is a U.S. Navy-trained physician assistant who served on active duty for 30 years and retired as a Lieutenant Commander in 2012. He has been a PA for over 20 years and has extensive experience in family medicine and psychiatry. Bill guides Sierra Tucson's acclaimed “Red, White & Blue” program for military veterans, police officers, and other first responders.Bill was awarded numerous commendation medals for superior performance while in the Navy and had the honor of caring for patients on submarines, in combat, and as the medical officer of a US Navy SEAL team.Having worked extensively with service members suffering from post-traumatic stress and addiction, Bill brings unique experience to Sierra Tucson as he cares for our military and first responder clients. He is a strong proponent of integrative medicine and understands the importance of treating the “whole person.”Sierra Tucson is #1 in Newsweek's list of Best Addiction Treatment Centers in Arizona for 2023. More on Bill and Sierra Tucson Book TribeBook Body Keeps A ScoreVisit my website: https://thehello.llc/THERESACARPENTERRead my writings on my blog: https://www.theresatapestries.com/Listen to other episodes on my podcast: https://storiesofservice.buzzsprout.comWatch episodes of my podcast:https://www.youtube.com/c/TheresaCarpenter76

Do you have a story you'd like to share on TWTDNH or are you a subject matter expert who would like to shed light on any of the topics I cover? Shoot me a message! How does the intersection of military law and state family law impact the rights and protections available to military spouses? And do you lose your TRICARE after divorce?I invited attorney Amanda J. Hill to cut through the confusion and reveal the hidden complexities of military divorces. She exposes little-known facts about on-base housing rights, custody during deployments, and a potential TRICARE loophole that could save you thousands.Amanda doesn't shy away from tough topics and addresses domestic violence in military families and the career-altering impact of protective orders. Learn why your social media could make or break your case, and discover the surprising document that could protect you if you give your marriage another shot.What You'll Learn:How military law and state family law work together.Legal and financial protections for military spouses in abusive relationships.How to get protective orders.Why keeping records of coercive control and non-physical abuse is important.Legal options for child safety and custody in volatile situations.What a postnuptial agreement should include to protect your interests.Strategies for accessing legal resources and support with limited financial means.Ideas Worth Sharing:“It is codified under the family code that if you allow your child to witness abuse, that in and of itself is child abuse.” - Amanda J. Hill“In the state of California, you have an absolute right to remain in the marital home until the divorce is final.” - Amanda J. Hill"I highly recommend that both sides have their own counsel representing them reviewing the document before it gets executed and making sure that both sides are being protected and it really is something that they agree with." - Amanda J. HillResources:Navigating Divorce EbookWebsite: Khosroabadi & HillEmail: contact@kandhlawgroup.comPhone: (858) 434-1020Facebook: https://www.facebook.com/kandhlawgroupInstagram: https://www.instagram.com/kandhlawgroup/Linkedin: https://www.linkedin.com/company/khosroabadi-hill-apc/California CourtsFamily Code 271 | Attorneys Fees, Sanctions - for protection against over-litigationFamily Code 2030 and Attorney's Fees Orders in a Divorce - regarding attorney's fees in divorce casesServicemembers' Civil Relief Act | OCCTricare

This one from the archives is with one of my favorite guests, Gerald W. Vest, LMFT. Gerry is no longer with us yet his passion, which I'm sure you'll hear in this interview, was a driving force for me as I've continued to produce this podcast. Gerry's compassion for those veterans he worked with is so friggin' inspiring. I so wish I could have him back on the show. Gerald W. Vest, LMFT was a military OneSource and TRICARE provider for individuals, couples, and families. He supervised students and professionals for licensing requirements. In addition, he organized, consulted, and trained for the Community Integrative Health Collaboratives, which served warriors, veterans, and their families using integrative and holistic approaches to healing.Gerald also served as a Senior Social Worker for the premier US Army Warrior Restoration and Resilience Center (R and R Center) at Ft. Bliss, TX. His responsibilities included meeting with soldiers diagnosed with Post Traumatic Stress (PTSd) as a primary therapist, along with their children and families.---If you'd like to support The Trauma Therapist Podcast and the work I do you can do that here with a monthly donation of $5, $7, or $10: Donate to The Trauma Therapist Podcast. Click here to join my email list and receive podcast updates and other news.Become a supporter of this podcast: https://www.spreaker.com/podcast/the-trauma-therapist--5739761/support.

During this episode of the NASP Podcast, Sheila Arquette, President & CEO of NASP, speaks with Jeffrey S. Baird, JD, Chairman of the Health Care Group at Brown & Fortunato. Health care providers, including pharmacies, must play by a set of rules that non-health  care providers do not have to follow. A principal reason for this is that a large portion of payments to providers comes from government programs (Medicare, Medicaid, TRICARE, etc.). Because tax dollars are involved, pharmacies must comply with an array of  federal and state fraud laws. These laws come into play when pharmacies work with referral sources such as physicians, hospitals, home health agencies and labs. Sheila and Jeffery discuss important federal laws such as the anti-kickback statute, physician  self-referral statute (“Stark”), beneficiary inducement statute, and False Claims Act. They also discuss examples of similar state laws, types of arrangements pharmacies can legally enter into with referral sources…and the types of arrangements that should  be avoided.

Why isn't there a dedicated FAO career field for Army NCOs? From Military Leadership to Literary Success: Randy Surles's Journey and Vital Tips for Retirees In this compelling episode, retired Command Sergeant Major Randy Surles delves into his military career working with foreign partners, including his role in a nascent FAO NCO program and missions in South America and Africa. We also explore Randy's post-retirement journey as a book coach and editor, highlighting his efforts to guide others in transforming their ideas into published works. He provides invaluable advice on navigating VA and TRICARE benefits, especially for those planning to reside overseas, and shares the significance of early preparation for a smooth transition to civilian life. Randy also shares practical tips for integrating healthcare benefits and personalized guidance on military retirement and literary pursuits.

Watch this Episode on YouTube and Subscribe: https://youtu.be/RQN2Me7svoA

Hello, I appreciate your videos very much. I am active duty and retiring next year, intending on becoming a GS employee. Can you do one on the military to civilian transition with regards to TSP and other issues, besides buying back time? I have both Roth and Traditional military accounts, and I assume they will be separate from the civilian ones. Will the Rule of 55 apply to my military TSP if I retire at 48 and immediately join the federal service? Finally, I plan on working about years and buying back 4 years of Academy time to earn a 11% pension. My plan is to stop working at 55 and then take the deferred pension at 62 for no penalty. Can I elect the deferred pension before my MRA? I know the big risk of deferred FERS pension is loss of FEHB, but since I have TRICARE and VA, I assume that's not a problem. Thank you! - Russ  https://zurl.co/zqOV

As a veteran and pro-choice advocate, I  take you through the under-discussed yet critical issue of reproductive rights for military women. Reflecting on my own experience with an unplanned pregnancy as a military dependent and later as active duty, I talk briefly about  the intricate challenges faced by active-duty service members. The conversation widens to scrutinize the implications of stringent state abortion laws on the lives of those stationed in key military areas, where access may be severely curtailed or banned and how these restrictions might affect military readiness and national security, considering the high percentage of female service members in their reproductive years. The battle lines are drawn as we address the current legal struggles over medication abortion and what a potential ban could mean for women donning the uniform.Join us as we amplify the often-unheard voices of women in the military, drawing from a moving piece in Elle and insights from the Vet Voice Foundation. I extend an invitation to women who have served or are currently serving to share their tales, assuring confidentiality for those who seek it. We navigate through their experiences of feeling powerless, devoid of choices, and how these narratives are frequently invisible to their male colleagues. As we weave through these poignant stories, a reminder resonates for our community: the importance of self-care and fostering resilience. Listen in, as we provide a platform for impactful stories, and offer a beacon of support to those facing the seemingly impossible in their service to our nation.Vet Voice Foundation - https://vvfnd.orgSupport the show

The 4-Step Process For How Busy Moms (Or Stay-At-Home Dads) Can Get Control Of Their TimePrayStarting our day in a posture of prayer and reliance on the Lord instead of trying to white-knuckle our way through life in our strength changes how we approach life. We feel a lot less stressed and more at peace, and it helps us focus our energy on those things that truly matter in Eternity. This can look like quick flare prayers we shoot up throughout the day when we feel overwhelmed, aren't sure how to approach something, or just feel extra tired or weary.PrioritizeIn the book, Crystal outlines what she calls the 6x2 Priority System. She has six Priority Areas around which she wraps her time and life, but she only picks two to focus on per day and then rotates the ones she focuses on. So, instead of trying to do all the things every day, she just intentionally spends time on two areas. For instance, that might look like an at-home date with your spouse (Marriage Priority Area) and coffee with a friend (Friendships Priority Area). The next day, it might be spending extra time decluttering and catching up on tasks at home (Home Priority area) and having a game night with the kids (Kids Priority area).PlanCrystal suggests writing down everything you need to do or remember (even tiny things) in a Google calendar as an all-day task and assigning it to a day by which it needs to be done. Then, every night before bed, write out a handwritten Time-Blocked To-Do List with everything mapped out for the next day. It's like a budget but for your time. PrepA successful day begins the night before. One way to make your day run much more smoothly is to take 30 minutes before going to bed to pick up the house quickly, figure out what to do for breakfast, make lunches, get bags and backpacks ready and set out by the door and lay out everyone's clothes for the morning. The difference this makes in our mornings and the rest of the day is incredible.On Today's Program, Rob Answers Listener Questions:I've been unemployed since February of this year and have been applying to numerous positions with various companies. All I've gotten is one in-person interview and a few phone interviews, but beyond that, there is nothing else. I want to find out what mistakes I'm making in this stage of the job search as I'm worried about my employability. I'm a retired military serviceman who currently has TRICARE and doesn't qualify for an HSA because of the type of insurance I have. Am I correct in that?I'm confused about tithing. I received an inheritance about 10 years ago, and before I deposited it into my account, I tithed the full amount. After that, I put the money in an annuity to give me an income stream when I retired. My question is, do I tithe on the income I receive, or has that already been tithed on?Resources Mentioned:The Time-Saving Mom: How to Juggle a Lot, Enjoy Your Life, and Accomplish What Matters Most by Crystal PaineMoneySavingMom.comCareer DirectNail Your Next Job Interview: Faith & Finance EpisodeRich Toward God: A Study on the Parable of the Rich FoolFind a Certified Kingdom Advisor (CKA)FaithFi App Remember, you can call in to ask your questions most days at (800) 525-7000. Faith & Finance is also available on the Moody Radio Network and American Family Radio. Visit our website at FaithFi.com where you can join the FaithFi Community and give as we expand our outreach.

Do you get hung up on the "right way" to do something in your practice? Well, today I'm speaking with, Dr. LaRee Johnson, as she shares her journey of establishing a thriving dental practice from scratch, and how her flexible and resilient attitude made all the difference in her career fulfillment. She uncover how her Southern California origins influenced her professional growth, leading her to create a dental wellness oasis in sunny North Carolina.Striking a balance between work-life and home isn't as straightforward as it seems. Especially when you are a dental practitioner like LaRee, who, despite initially believing that her own practice would afford her more family time, quickly realized the reality was far different. Today we're gathering lessons from her experiences of juggling various responsibilities and managing multiple office locations. Get inspired by LaRee's commitment to quality care, the significance she places on effective communication, and the ways she prioritizes continuing education and community involvement.What You'll Learn In This Episode:How to start a dental practice from the ground upWhy to never say "always" and keep an open mindThe challenges involved in balancing work and family lifeThe importance of effective communication in the dental professionHow to manage multiple office locations successfullyThe significance of continuing education and community involvementDon't miss the opportunity to learn from Dr. LaRee's journey. Tune in to this episode and discover the blueprint for establishing and managing a successful dental practice.‍‍Guest: Dr. LaRee JohnsonPractice Name: Carolina Pediatric DentistryCheck out LaRee's Media:Website: https://www.carolinapedo.com/Email: drlaree@gmail.comPhone: 919-247-8706‍Other Mentions and Links:‍Software/Tools:ExcelDentOpen DentalBrands/Products:Intraosseous Injection - dentalhitechCoronaEmergen-CBOPSInsurance Companies:Delta DentalTricareMetLifeBooks/Publications:If You Give a Mouse a CookiePlaces/Establishments:Raleigh Children's Surgery CenterUNC at Chapel HillResearch Triangle ParkKellogg School of Management ProgramsOrganizations:American Board of Pediatric DentistryHIPAAPeople:Dr. Larry Dempsey in Rocky Mount, North CarolinaDr. Clark morrisEvents: Tar Heel 10 Miler‍Host: Michael Arias‍Website: The Dental Marketer Join my newsletter: https://thedentalmarketer.lpages.co/newsletter/‍Join this podcast's Facebook Group: The Dental Marketer Society‍Please don't forget to share with us on Instagram when you are listening to the podcast AND if you are really wanting to show us love, then please leave a 5 star review on iTunes! [Click here to leave a review on iTunes]‍p.s. Some links are affiliate links, which means that if you choose to make a purchase, I will earn a commission. This commission comes at no additional cost to you. Please understand that we have experience with these products/ company, and I recommend them because they are helpful and useful, not because of the small commissions we make if you decide to buy something. Please do not spend any money unless you feel you need them or that they will help you with your goals.