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Chief Medical Officer at Central DuPage Hospital Dr. Tom Moran joins Bob Sirott to explain when you should take Advil versus Tylenol. He also talks about who should be taking vitamin A supplements and what we should know about the measles vaccination.
In this episode, Antonia and Howard explore the groundbreaking study on treating male partners for bacterial vaginosis, revealing significantly reduced recurrence rates and challenging our traditional understanding of BV pathophysiology.Plus: • Evidence doesn't support treating mild gestational hypertension with antihypertensives• Studies confirm acetaminophen in pregnancy doesn't cause ADHD or autism• New research questions the benefit of routine postpartum thromboprophylaxis• The history of heparin and coumadin00:00:34 Treating Mild Hypertension in Pregnancy00:06:14 Distinguishing Chronic vs. Gestational Hypertension00:15:46 Male Partner Treatment for Recurring BV00:27:09 Understanding Bacterial Vaginosis Pathophysiology00:35:42 Ineffective Treatments and Alternative Approaches00:53:04 Tylenol in Pregnancy: Debunking ADHD Claims00:58:02 Postpartum Thromboprophylaxis: Evidence Against OveruseFollow us on Instagram @thinkingaboutobgyn.
A Sunday Conversation with Brian Hooker PhD - Tylenol, Measles, Autism Risk & Healing Truth - The RSB Show 4-13-25 by
An interview with investigative journalist Gardiner Harris regarding his newly released exposé No More Tears that unpacks Johnson & Johnson's white collar criminality, murderous corporate malfeasance, and myriad coverup conspiracies that have left millions dead.Support the show by subscribing to the PPM Patreon and gain access to a bonus, solo ep that explores Gardiner's father's fascinating career as a bureau chief at Time Inc. and protege of spooky, anticommunist publisher Henry Luce (a mini-primer on Luce's myriad ties to intelligence, Cuban paramilitaries, Gladio via his wife Clare Boothe Luce, and the JFK assassination):patreon.com/ParaPowerMapping***One day in 2004, Gardiner Harris, a pharmaceutical reporter for The New York Times, was early for a flight and sat down at an airport bar. He struck up a conversation with the woman on the barstool next to him, who happened to be a drug sales rep for Johnson & Johnson. Her horrific story about unethical sales practices and the devastating impact they'd had on her family fundamentally changed the nature of how Harris would cover the company—and the entire pharmaceutical industry. His subsequent investigations and ongoing research since that very first conversation led to this book—a blistering exposé of a trusted American institution and the largest healthcare conglomerate in the world.Harris takes us light-years away from the company's image as the child-friendly “baby company” as he uncovers reams of evidence showing decades of deceitful and dangerous corporate practices that have threatened the lives of millions. He covers multiple disasters: lies and cover-ups regarding the link of Johnson's Baby Powder to cancer, the surprising dangers of Tylenol, a criminal campaign to sell antipsychotics that have cost countless lives, a popular drug used to support cancer patients that actually increases the risk that cancer tumors will grow, and deceptive marketing that accelerated opioid addictions through their product Duragesic (fentanyl) that rival even those of the Sacklers and Purdue Pharma.Filled with shocking and infuriating but utterly necessary revelations, No More Tears is a landmark work of investigative journalism that lays bare the deeply rooted corruption behind the image of babies bathing with a smile.***Songs:| The Chemical Brothers - "The Pills Won't Help You Now" || Spiritualized - "Medication" |
Did you recently take a Tylenol to provide relief from a headache? Did you fill up your water bottle this morning with water that is free of deadly diseases that routinely caused plagues just 100 years ago? Did you pause to thank God for providing these medical miracle?s Dr. Ian Day, Chief Medical Officer at Medi-Share, will join Eric and Brigitte on Fridayto encourage us to give thanks for the provision. Medi-ShareDonate to Moody Radio: http://moodyradio.org/donateto/morningshow/wrmbSee omnystudio.com/listener for privacy information.
According to David Gillespie (and some very reliable research studies), good old-fashioned Paracetamol (Panamax, Panadol, Tylenol) can create the interesting 'side effect' of making people temporarily less empathetic or as DG suggests, “temporary psychopaths!” We also chat about why (and how) Al might soon make 'The You Project' (or at least, the host) redundant. As always this was super interesting.See omnystudio.com/listener for privacy information.
Dr. Mitch Shulman can be heard every weekday morning at 7:50 on The Andrew Carter Morning Show.
//The Wire//2300Z April 4, 2025////ROUTINE////BLUF: YEMENI HOUTHIS DOWN TWO AMERICAN DRONES, CONTRIBUTING TO CONTINUED HIGH TENSIONS. ECONOMIC INSTABILITY REMAINS FOLLOWING TARIFFS ANNOUNCEMENT.// -----BEGIN TEARLINE------International Events-United Kingdom: A 16-year-old boy was murdered after being stabbed in the neck in Huddersfield. So far, multiple attackers have been arrested in conjunction with the murder, however authorities have not identified the assailants.Red Sea/HOA: The situation involving American targeting of the Houthis in Yemen has deteriorated following the shootdown of two American drones within the past few days. Two MQ-9 Reaper drones were shot down by the Houthis, one in Hudaydah, the other over Ma'rib.Middle East: This afternoon the UK Maritime Trade Operations (UKMTO) center issued a maritime advisory warning of increased GPS jamming being detected in the Strait of Hormuz.AC: This is a classic tactic used by Iranian forces routinely, either for the hijacking of vessels, or for more wartime preparations. While it is possible that the jamming is the result of American warships using electronic countermeasures to defend against missiles, in this case this could be related to the recent uptick in Iranian forces stopping oil tankers allegedly engaging in the smuggling of petroleum products. Iranian authorities seized two vessels attempting to illegally export diesel fuel from Iran a few days ago for these reasons. However, considering that the overall security situation in the region remains tenuous, GPS jamming could be a sign of increasing defenses against a potential conflict.-HomeFront-Washington D.C. - Various economic fallout continues as all sides of the issue interpret the recent tariff announcements in the context of economic stability. Most financial markets have remained volatile as fast-moving economic developments have come to light. This morning President Trump urged the FED to cut rates, but as of this afternoon Chairman Powell seems to indicate he's not interested in such, leading to more uncertainty.-----END TEARLINE-----Analyst Comments: Generally speaking, there are multiple viewpoints on whether the recent economic changes in the US are good or bad. Some state that the tariffs (and subsequent economic shake-up with regards to American domestic production) are a necessary hardship that will be tough at first, but will get better as more domestic production returns to the United States. Others think that while this is a noble goal, this may not be possible in some industries as companies will simply keep production overseas, and pass the costs of tariffs on to consumers, since most major companies in the modern world are monopolies. Others still don't like taxes in any form whatsoever, which is an argument that often mistakenly conflates taxing a domestic population with taxing an overseas adversary. Some people say "fair is fair", and that taxing other nations the same as they tax us is long overdue. Others agree with this idea, but point out that in the international arena, returning to a concept of fairness won't rule out hardship since most American companies outsourced everything to the third world years ago, and it will take a lot of work (and be quite costly) to start building things in America again. Even more people will point out the national security concerns of having the overwhelming majority of critical wartime supplies (such as almost all medications) being made overseas with cheap labor...an American-made Tylenol pill costing a few dollars per pill may be preferable to not having that pill at all in the event of a war.Which perspective is correct is already being hotly debated, and the situation isn't necessarily possible to categorize as "good" or "bad". However, virtually no one is stating that economic tribulation won't be the result; the general con
Johnson and Johnson was founded in the late 1800s and grew into one of the most trusted brands in America for its baby powder, Tylenol, Band-Aids, then cutting edge pharmaceuticals. Today, the company is worth more than $380 billion.But behind the success, says investigative journalist Gardiner Harris, lies a wake of deceitful and dangerous corporate practices that have threatened the lives of millions.“These guys are incredibly intimidating,” he says of the company. “And when they don't succeed in buying you off, which is what they have done over the decades for doctors, journalists and lawyers, they sue.”Harris is a former pharmaceutical reporter for The New York Times. He has spent decades looking into the long history of lies, cover-ups and malfeasance of Johnson and Johnson. He joins Diane to talk about his new book, No More Tears.
Dentistry has a unique space in the medical world when it comes to building relationships with its patients. Tiff and Dana discuss effective ways to create trust with your patients, including the critical foundations your practice can't do without. Episode resources: Sign up for Dental A-Team's Virtual Summit 2025! Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript The Dental A Team (00:01.08) Hello, dental A Team listeners. We are so excited to be here with you today. I have my gal, Dana, on the cast with me today, and I am just so excited. Dana, how are you today? How are you enjoying this heat that we've got coming through? I know up here in Phoenix it's hot down there by you. It's gotta be warm too, but how are you? Dana (00:19.955) I am actually enjoying this weather. I was out a lot this weekend for sports. I have some wacky tan lines, but I am loving the sunshine and the extra warm weather we've got. The Dental A Team (00:30.958) I it. I keep getting the like bottom of my legging to my sneaker little I got a nice tan right there on my leg and I think it's the only spot on my legs at all that even knows how to tan anymore. So I feel you. Dana (00:45.779) Yeah. The Dental A Team (00:47.086) Today we have a really fun one, docs and teams that are listening and today's just all about relationship building. I really wanted to pick your brain today, Dana, and really see what you're doing with a lot of your practices, what you've done in practice, and very specifically maybe even like our pediatric practices that we have. What are we doing to keep the relationships? with our patients to keep the patient. So how are we investing in those relationships from a doctor's standpoint and really from a team member standpoint as well? I know a lot of my doctors out there, we definitely focus in really heavily on the team side. What can the team be doing? How can the team build the relationships? And that is super, super, super important. But I want to stress the fact that this is for you guys today too. It's very important also that you're building those relationships and that you're showing your team the kind of relationships that you want to have built so that they know what the heck you're looking for. So Dana, I'm excited for this one. I know we've got quite a few pediatric practices between the two of us and Christie's got some pediatric practices as well. So that's a space that I think is really fun in the relationship building area. And it does translate to GP, to oral surgery, all those pieces as well. So if you guys are not pediatric and you're listening, don't fret, this is for you too. But I thought it would be fun actually to pull in some of that pediatric side because it's just so cool, in my opinion, what they do, right? First of all, that they are just serving so many amazing little humans and creating an experience that these patients are forever going to love the dentist, which I think is amazing. but also they've got their hands kind of tied, especially when it comes to this relationship piece, because they're not, they are building a relationship with the patient, but their focus really is making sure that the parents are happy, that the parents understand what services are being rendered, why it's different, why their kids are getting such excellent treatment. The Dental A Team (02:45.666) Dana, how are you right now? You've got, I know one pediatric practice in general I'm thinking of, you've got quite a few, but one pediatric dentist in particular right now is really working on the new patient acquisition side. And a lot of that comes down to this patient relationship piece. So what do you suggest for your pediatric practices and really your general practices to really get that going and get that spearheaded for those? Dana (03:10.299) Yeah, I love this part of dentistry. think it's something that is like unique to dentistry as far as healthcare because we tend to see these patients multiple times for years and years. And so it's a unique space for dentistry and it's something that I think is so fun. And you're right with pediatric. I think that it's twofold right they've got the kiddo and they've got the parent and because pediatric relies on volume of patients they've got to build relationships really really quickly too right because they are churning and cranking through patients and parents all day long and the first thing that I always say to any pediatric practice is you have to The Dental A Team (03:39.192) Yeah. Yeah. They are. Dana (03:50.877) build the trust to be able to build the relationships. So as much as you can focus on the comfort pieces, the showtell do the walk them through everything. I love a pediatric practice that will pull the parent over and hey, let me show you right like, yes, we want to talk about flossing technique. Let me actually show you as I do it to your kiddo. Let me show you that spot that I'm talking about. Let me take a picture. Let me walk you through it. And as I'm taking the picture, letting the kiddo know exactly what they're going to do each step of the way starts at one visuals, we can't really deny the things that we can see with our own eyes, right? And trust and comfort when we know everything that is going to come next, and what it's going to feel like and what it's going to look like and how we're going to navigate that together. I think that pediatric practices like creating that space is something that's truly magical. and that a lot of general dentists can learn from because no matter what practice you're in, you're gonna have patients who are nervous, who are uncomfortable, who have anxiety. And I think kiddos like top the charts by 10, right? Because they're also little humans who are learning to manage those emotions too. And so if you can take any of those pieces that pediatric practices do really well and incorporate it into your general practice, but just that foundation of... Trust and comfort will go a long way in building any sort of relationship, whether it's with the patient themselves, the kiddo or a parent. The Dental A Team (05:20.298) Yeah, I think that's brilliant. And it translates so well to continuing that relationship as they age. So building those relationships for the kiddos. I love the the sea show tell do right all those pieces of like, this is what we're even just this is what we're doing today. Let me show you let me let me teach you how to do this at home. Let me show you all these pieces. It's the same thing when we become adults, right? We should be translating those similar practices in building those relationships, but really building a firm foundation of comfort for our patients. And part of that comfort level is really the amount of conversation we're willing to have with the patient. Sitting in silence, sitting there with a dental assistant or with a hygienist that's just like, I'm uncomfortable. I don't know what to say. It's awkward. So if they're not the ones initiating and creating the relationship or the doctors coming in and just going straight to work, not like... opening it up, not being introduced to the room, not having those spaces where communication is really abundant can really hold a patient back from being open. And that openness, that vulnerability is what builds the relationship. So I think just as you do with your pediatric practices and then... really taking a step back and reviewing the whole appointment, reviewing all of the information with the parent. We should be doing that in a GP, older adult practice as well for adolescents and adult patients and really sitting them down and covering what are we doing today? What questions do you have? Like let's really thoroughly go through this and make sure that you're comfortable before we start. So I think that's brilliant. I think it's awesome that we start at the pediatric ground level and really make the parents comfortable too. And then for the, you know, GP practices, for my adult practices, if they're getting this kind of care for their child at the pediatric dentist, they're going to change some expectations in my opinion for what they should be receiving as well at their own practice. So really ramping those spaces up is going to be critical. The Dental A Team (07:26.668) communication is the center focus of it all. So with oral surgery practices, endo practices, perio practices, GP practices, and even pediatric practices, you guys, where does that start? Like consider where does the communication start? And I know I had a call with a doctor the other day that was like, gosh, my front team just still will not put in the notes on my limited. emergency exams and it's driving them a little crazy. And it makes me think right there, right? That's an opportunity. It's a very easy opportunity to enhance and increase a relationship with the person just by letting them know. we paid attention just by caring enough to have that information already ready to go. So if you're taking an emergency call, really documenting what it is that we chatted about or call for a filling that's high or anything at all that's out of the ordinary on treatment that was recommended, a patient might say, I don't know, a patient might even call and say, hey, I had a crown that was diagnosed, I never. I never scheduled and now I'm in pain. Well, that needs to be documented. Schedule the crown, document the pain because when that patient comes in, we can really pour the love and the care and the attention into the situation rather than finding out firsthand. And the patients love that because they feel seen, they feel heard, and they feel valued. And Dana, from your experience even in office and working with practices, where else are you seeing some spaces that practices can really increase or even just like capitalize on what they might already be doing to really build those relationships so that patients keep coming back and they refer other amazing people to our practices. Dana (09:07.347) Yeah, I've been coaching a lot of practices one thing is new patient paperwork, right? We've asked a lot of questions on that new patient paperwork and we ask them because it's a valuable information and so getting practices to build in part of their exam protocol and their prep for patient protocols We actually look at the answers and we notate them somewhere so that we remember to discuss them I've got a lot of practices that are incorporating smile Raiders to try to you know open ortho discussions and those are great absolutely, but we have to The Dental A Team (09:11.277) Yeah. Dana (09:36.089) engage in it. It's not enough just to ask it on a piece of paper. We have to actively look at it, plan, prep, and then actually bring it up and discuss it with the patient. So I think new patient paperwork is a space where a lot of practices have best intentions of getting that information and making it super personal. We just have to make sure that we're looking at it and we're translating it and we're talking about it in the exam for the patient to understand. The Dental A Team (09:45.027) Go. Dana (09:59.895) how that information corresponds to their care in your office. Same thing with new patient phone call, just like you gave an example of that limited saying that, you know, hey, I was scheduled for that crown and now I'm in pain, right? And notating the pain. Same thing on the phone call, the questions that you ask to make sure we get that information to the team and the team is prepped and ready so that they can dive in a little bit deeper with the patient and have the patient feel like, hey, man, they asked me those questions on the phone. They heard my answers. The team was prepped and ready. for it and we jumped right in with my main concerns with the things that I'm here for. Even if it is just establishing care, right? Making sure that we are reinforcing that we know that that's why you're here because we took the time to get the information. So a lot of times we take the time to get all the information. We just don't actually utilize it with the patient. The Dental A Team (10:50.414) And I think that's a great action item you guys is really take that back to your teams of anywhere where we are gathering information making sure that it's put in the appropriate space and you guys that there's Consistency and where that space is so that everybody knows where to find it everybody knows where to put it But having that conversation with them of making sure that that information is put in that space and it's relayed to the next person Huge huge huge caveat here if we're putting the notes in the biggest easiest way to deter a front office team from putting phone call notes in the appointment is for you to not use them. So if you're gonna ask for it, make sure you're using it. I don't know how many times when I was up front, somebody would come and they'd say he tipped it. Is this patient on any medications? Are they taking Tylenol or anything? Like I'm about to go get them. Like what's the stitch here? What's the scoop? And I would look at them and be like, did you read the notes? I'm happy to have a conversation with you if we have to like that. I'm fine if you need clarifications, but I'm not I'm not going to double dip. So I'm either going to put the notes in or I'm going to talk to you every single time. I'm not I'm not going to double dip because I am not a person that will work harder than she has to. So I'm not going to duplicate my efforts. I'm just going to do the path of least resistance and whatever is going to be the most efficient. And if they're not, the notes aren't being used for me, that's an inefficiency. I'm working for nothing. And so I'm going to reduce and remove the inefficiency and go with whatever the rest of the team is going to accept. So I would stop making the notes and then they'd get frustrated. So you just have to stick with it for an office teams. Remind them, refer them back to the notes. They've got to get used to it. And back office teams and docs, just make sure you're utilizing those notes in the best ways you possibly can. On the notes of really building the relationship, I want to remind everyone that our words truly matter. The Dental A Team (12:43.8) The words that we use, the way in which we use them make a difference because the person you're talking to is interpreting those words and they're gonna interpret them however they see fit in that moment. So if we're not very careful with our words, we could turn a situation into something totally different. And it doesn't mean it It could be catastrophic, but it doesn't mean it's gonna be catastrophic every time. It just literally changes the tone. in slight variances, dependent on what you're doing. And I have to tell you this story, Dana, and everyone listening, I have to tell you this story. Aaron and I were out on Saturday. We went to our favorite little golf club, you know, restaurant, and he had just passed this really, really hard, crucial, studied for a year test, and we were celebrating him, and I was just so excited. And we're at the, we decided to sit at the bar because we did not make a reservation, and it was wild in there. But regardless, we're sitting there so I can hear other conversations going on. And the couple next to me, they wanted a recommendation on wine. and they asked the bartender who came over, hey, which one do you think we should get? And the bartender, like it wasn't wrong, but immediately my brain was like, my gosh, I can fix this for you. It wasn't wrong, but the bartender said, well, I don't really drink wine, but I can tell you which ones are most asked for, which ones are the most popular. And in my brain, I thought you just planted doubt in their minds on your recommendation because you told them an unnecessary statement. They didn't ask which wine would you drink. They asked which wine do you recommend? You planted a seed of doubt in the recommendation by saying that you don't drink wine. So the first statement was a negative. It was a defense to defend if you don't like the wine. It's not my fault because I don't drink wine. I know nothing about it. The Dental A Team (14:41.646) but let me give you a recommendation anyway. So he planted the seed of doubt in this couple's mind instead of just saying, oh yeah, for sure, let's take a look so I can tell you what our most popular wines are, what most people drink here at the restaurant. And if their follow-up was, what about you personally? Fine. But the statement out the gates was, I don't drink wine. but I can tell you and I thought I looked at Aaron because my brain cannot ignore it and I looked at Aaron and I was like why is it so hard? It's not that was unnecessary. So my point in that is we sometimes say things that are just unnecessary statements to fill space. And that space filler, just like corn and everything that we eat, is unnecessary and it's harmful. We have all these foods with all these fillers that are harmful, but it makes it look better. So you fill the void and you fill the statement with something that makes you feel better about how the outcome is going to happen. And what it can do is it can hurt the conversation. So I want everyone to really like... Let that sink in and think about how what you say, the words that you use, and the way in which we state them really make a difference. And think about, I don't really drink wine, but what I can do is tell you what our most populars are compared to, my gosh, yeah, absolutely. Let me tell you what our most popular wines are, the ones that people are really loving right now. It's a totally different situation because of trust. You lose trust when you start on a negative. So if a patient says, I'm off on Fridays, you had said, what day of the week works best for you? Knowing you were only open Monday through Thursday, you said what day of the week? Your patient says, I'm off on Fridays. That would be fantastic. And you're like, gosh, well, we're not open on Fridays. Is there another day? Well, now you just told me no. And I'm like, well, it's my day off. The Dental A Team (16:45.292) So now I'm in a different state and a different mood than I would have been if you had said, we're open Monday through Friday, which day in that portion of the week would work best for you. Now I know that's all I have to work with. And it just like... Dana, that conversation, overhearing the conversation, like, I can't get it out of my head. This was days ago and it's still in my head. Like, I just want to help this man sell more wine. Like, he's gonna, he would sell so much more wine if he just changed the sentence slightly. He's still giving, he's not lying. He's not changing anything except removing the seed of doubt because the recommendations are gonna be the same either way. And it's just been driving me crazy, Dana, driving me crazy. And these are spaces I know that you see in the practice too. So there's, you know, the one hand of scheduling, but where else do you see it? Like treatment planning, billing, like where else are you seeing that? Dana (17:26.259) Yeah. Dana (17:38.013) yeah, I see it in treatment planning all the time. We want to fill the space with we automatically jump to their financial concerns. And truly, it could just be that the patient's thinking about their work schedule and when they can find an hour of their time, right. So It happens in treatment planning all the time. It happens when we're bringing on a new doctor, right? It's a scheduling thing. But it's like, well, you know, are you willing to see this doctor? Do you want your doctor you always see? Well, you just like They probably would have had zero. The Dental A Team (17:48.503) Yeah. Dana (18:02.589) zero hesitation, they said they loved their appointment. They didn't complain at all about the new doctor that they saw, but you just planted that seed in their mind that it should be something that they should consider or be upset about. And so we do it all the time in dentistry. And I love love that you pointed that out and like truly be careful of those things and watch your words because again, that is part of relationship building, right? If if I make you feel like everything that you went through today was successful. right? And that you won your visit, you got the doctor that you love you all those things. And then I plant that little bit of a seed, right? It's like you just chopped that relationship down. And you gave them something to be upset about or concerned about. And so I love that you pointed that out, because I don't think we often connect like our words with that relationship building, but it truly can impact an experience. The Dental A Team (18:43.17) Go. Dana (18:58.971) with something so simple like that. The Dental A Team (19:00.926) I totally agree. totally agree. Erin tells me constantly, babe, you're such a great communicator. I agree. I have taken a lot of communication courses. I can agree. I can figure out some dang good communication. But mostly, I'm choosing my words really wisely. And I'm manipulating how I form my sentence to get the results that I'm after. And the result that I want is that we stay in good communication, that we both stay in a positive state, even if one of us can't give the other what you want. or it looks a little different. I'm here to ensure that the words that I use and the way that I structure my sentence and my statement doesn't put any negative feelings on you. I'm going, my best result is that we both walk away still happy, even if we didn't get what we thought we wanted. That's the result I'm after. I'm not here to talk anybody into anything they didn't want. Never. I could. use my words to do just that. But my result is we're both leaving happy, no matter what the situation actually turned into, because we communicated so well through it. I might be telling you that I can't give you exactly what you asked for, but I'm going to find a solution around it to get as close as I can so that you still feel taken care of. And that's why communication to me is so... so important and why the structure of the sentences, of the statements, and the words combined can make such a drastic difference. I don't know how many times I've heard people on the phone, no, actually we don't take that insurance. We bill to them on your behalf, but we don't actually work with them. I'm like, my gosh, just say, goodness gracious, we have so many patients that come with that insurance. We know exactly how to work with them while we're out of network. We still obtain and receive as much of your benefits as we possibly can, and we work really hard on your behalf to ensure that you're happy. I don't know, say anything else, say anything under the sun different than what just came out. Just practice. Dana (21:03.323) Yeah. you The Dental A Team (21:08.174) Practice getting the results that you want and let that result be that no matter what, we both walk away still happy. Dana, this was fun. I love talking communication. I love relationships. I love diving in on it. And I think wrap us, I'm gonna let you wrap us up. Wrap us up on some, I know, I haven't shocked you with anything lately. So there you go. No, wrap us up with some like quick action items that you think I let you mostly talk about that or asked you to talk about the fetal stuff and all that. So what are some action items that our doctors and our teams can take away from today and really push forward with? Dana (21:30.962) No. I see. Dana (21:46.833) Yeah, I think biggest thing is build trust focus on relationship building. I love that you said watch your words, make sure we're focusing on how we can win with the patient versus putting roadblocks in front of them. And the biggest thing as far as structure and systems is notes. Where are we putting the things that we find out about patients? How are we reviewing the intake of their paperwork or the phone call information that we get from them? And then where are we using that in our exam flow? The Dental A Team (22:15.926) Love it. Beautiful. Thank you. Okay, you guys heard it from Dana. You heard it right here. Thank you so much, Dana, for being here with me today. You know I'm gonna pull you in for some more, so y'all will be hearing her voice in no time at all. Thank you everyone for being here, for being constant, just superheroes for us in this world and sharing us with everyone you know. We truly appreciate that. We are always looking to help and reach as many people in the dental community as we possibly can. So share this podcast with a friend. If you're a current client, thank you so much. Share us with all your friends. If you're a soon-to-be client, we cannot wait to meet you. And for those listeners who are just on the fence and out there wondering, keep listening. We're here. We're always going to come back and we are always here when you're ready for us. So for now, we'll catch you guys later.
Molly joined us for Episode 84 talking about her unexpected breech Cesarean and first VBAC story. Today, she returns sharing her second VBAC story!Molly shares her powerful journey through loss, IVF, selecting her powerhouse birth team, preparing for different outcomes, post-dates, a multiple-day induction, a beautiful delivery (where her husband caught their sweet baby!), and navigating a placental lobe.Allison, one of our VBAC-certified doulas, joins Meagan as a co-host talking about her work as a virtual doula and the importance of how women are treated during their births. Coterie Diapers - Use code VBAC20 for 20% offHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, Women of Strength. I hope you guys are having a fantastic day or evening and are excited for another episode of The VBAC Link. We have our friend, Molly, today, and she is from central Alabama, and then we also have a co-host today. She's one of our doulas. Her name is Allison. Hello, Allison.Allison: Hi, Meagan. Hi, Molly.Molly: Hi.Meagan: I was going to say, and hello, Molly. Molly: Hi.Meagan: Welcome to the show you guys, and thank you for joining us. Allison is actually one of our doulas. I don't know if you've noticed along the way here and there, we have one of our doulas on as a co-host. I think it's so fun to hear an educational topic from them and then, of course, share where they are at because I truly believe hiring a doula is so impactful. In fact, on Molly's form, that is one of the tips that she gave. Right, Molly? You're like, hire a doula.Molly: Yes, absolutely. It made all the difference this birth.Meagan: Yes. Doulas are incredible. So if you can, hire a doula. Before we get into Molly's story, Allison, I wanted to just turn the time over to you really quick and have you share a little bit more of where you are at. So for the listeners, maybe in your area, they can find you.Allison: Absolutely. Well, listeners, you have a treat because I serve everyone all over the world, globally. All of my work is online. My business name is The Cesarean Doula because I actually support women and birthing people emotionally after having emotionally difficult or traumatic Cesarean births. I do all of my work primarily over the Internet over Zoom. My focus is actually not on birth but on postpartum and on recovering from the feelings of grief, sadness, loss, overwhelm, and confusion that we often have after a Cesarean that's undesired or that goes in a difficult direction. I had one of those. That's what brings me to this work.Meagan: Yes. I love that you mentioned that you're like, this is what brings me here. I think in a lot of ways for doulas, that's what brings us to doing this work is our own experience and wanting to set a different pace and make change. So I love what you're doing. We're recording in 2024, everybody, but hopefully now, it's 2025, and you can go to our website because we're hoping to have a different option for searching doulas where you can actually go and search for online only because we do have a big chunk of doulas that do virtual support. So let's hope that that is the thing. If not, email me and say, "Meagan, get on it. Do this, because I want this option." Okay. Well, Ms. Molly, welcome to the show. You guys, Molly is a full-time mama, a part-time vet technician, and a soccer coach. That is a lot of things all at the same time. Yes. My husband is a soccer coach and just that alone is a lot. Like I said, she lives in Alabama with her husband and her two sons, her mom, and lots of dogs, cats and horses. She said that she also has two daughters in heaven. I'm sure you're maybe going to talk about that a little bit today, Molly.Molly: Yes, it is part of our story.Meagan: Yes. Okay. Well, thank you guys again for being here. In just one moment, we're going to dive in. All right, Ms. Molly. I don't know why I keep calling you that Ms. Molly, like you're a teacher.Molly: It's the song. It'll get you.Meagan: It comes together. Yeah, seriously. Okay, thank you so much for being here and yeah, I would love to turn the time over to you to share all of these stories.Molly: Thank you very much. So if you guys, if you listen to The VBAC Link, I was on a couple years ago talking about my first C-section and then the subsequent VBAC with my first daughter. Unfortunately, a couple years after that, my daughter passed away. And shortly after that, the desire to have another baby was laid on our hearts, and so we decided to try that.For various reasons, that meant we had to go through IVF. We were very lucky in that our IVF journey was short. That's a whole other podcast on its own, the IVF process. We ended up with three embryos, and then in December of '23, we did our first transfer. That one unfortunately failed. And so that's my second daughter in heaven. We did another test after that to see why the transfer had failed and determined that we needed another day of shots. Well, I say we-- me. I needed another day of shots to do the transfer. So in March, we did another transfer with the extra day of shots, and that one was successful. I had the teeniest bit of spotting the next day and just woke up knowing I was pregnant. It was pretty magical, actually. The at-home pregnancy test, seven days after that, was positive. Then the blood tests after that were positive. I did have a little bit of spotting after that which was a little scary. I talked to my doctor, and she upped the progesterone in oil shots I was taking. The amount of those seemed to clear out the spotting. And then we went in for our first ultrasound. I was diagnosed with a subchorionic hematoma, I think is what it's called, which is essentially like a bruise between the placenta and the uterine lining. That cleared up on its own. Fortunately, after that, I was a "normal" pregnancy. We weaned off the IVF shots. My last one was actually on Mother's Day which was a magical little sign. And that's when we dove right into labor prep. We did the Spinning Babies and bouncing on the birth ball. I walked every day. We went back through our birth plan. We tried to cover every single contingency from a repeat Cesarean which wasn't the goal, but we wanted to be prepared just in case. We prepared to labor at home as long as humanly possible. We even prepared to have a car baby. We had a bag with a bowl to catch the placenta and towels and puppy pads just in case we labored at home so long that we had a car baby.We hired a doula this time around. We had originally played around with the idea of doing a home birth, but in Alabama for VBACs, midwives still cannot attend VBACs at home in Alabama. We did find a midwife who was willing to do that for us but because of the restrictions, it wasn't covered by insurance, and that priced it out. So the compromise was that we would do a hospital birth, but I could have a doula this time. We interviewed doulas and found one who's actually certified by The VBAC Link. She's taken y'all's class and she was wonderful. Her name is Jolonda, and she was fantastic. And actually, in the end, my husband said, "I'm so glad we had a doula for me." Not necessarily for me, but for him. He needed her more than I did, and that was pretty cool. We also, this time, instead of going with an OB, went with midwives. They were associated with an OB practice, but we went just to the midwives. That was an interesting and much different experience. It was more like a conversation and less like an exam. We go in, and they would take my blood pressure, and then we would just talk. It was wonderful. She went through my birth plan point-by-point, and then signed it and scanned it into my chart. Anything that wasn't possible, she'd say, "Well, we can't do this because of the hospital we were at, but we can do this or we can try and do this and make that work." She was completely accepting of anything that I wanted to do differently. We decided not to do the erythromycin eye ointment. She said, "Yes." She was fine with that. We delayed, I think, the Vitamin K shot then and the delayed cord clamping. She was all 100% supportive of everything that we wanted to do. I did have to see the OB once just so they could sign off on me being a, quote, healthy pregnancy, and that was a quick in and out. There was a doctor visit, and they said, "Okay, we'll see you back in a couple of weeks." I said, "No, I'm going to go back across the street to midwives. I'll see them in a couple weeks." So that was all. My pregnancy really in itself was pretty normal. And then we got closer and closer to my due date. Now, I was due on November 18, and we got closer. I stopped working as a veterinary technician on the end of October right before Halloween. We had our baby shower. We were getting close to all the guess dates. Everybody had guessed when your baby's going to come. I would text them, "Nope, you missed it. It wasn't today." And so we slowly passed all those days, and then we passed my due date. We were doing everything-- the tea and bouncing on the birth ball and the dates and the pineapple, walking, The Miles Circuit, curb-walked. I knew the closer we got to 41 weeks and 42 weeks even, the more that there was going to be pressure for a repeat Cesarean. Now, to my midwife's credit, she never mentioned a repeat Cesarean. That was the very last thing that she ever talked to us about. We had talked about it in our birth plan, of course, but as we passed the due date, she didn't mention that as a course of action. As a joke, we asked our son, "When do you think Mama will have the baby? Now that we're past our due date, when do you think Mom will have the baby?" And he said, "I think she's going to wait until December." I said, "Buddy, please don't put that on me." So we'll let you know how that goes towards the end.Meagan: Yeah, I mean that would be what, two and a half more weeks? Three? Yeah, two and a half more weeks.Molly: Yeah, it was a long time. And I said, "Bud, please don't put that on me. That's a long more time." So then we made it through Thanksgiving. I consented to a cervical check at 39 weeks and there was no action the cervix, but you and I know that that can change in an instant, and it's not an indicator of anything. Meagan: Nope.Molly: At 40 weeks, I consented to another check and to a sweep of the cervical membranes. That made me feel crampy but really didn't do anything. We started talking about induction at that appointment. We talked about starting with the Foley bulb over breaking the waters or maybe Pitocin. We talked about those options and which ones I was most comfortable with. And so then after the 40-week appointment, they sent me in for a biophysical and non-stress test, and we passed those with flying colors. No problem. Baby was fine, I was fine. She just was very, very comfortable. Then at the 41-week appointment, we did another sweep and this time I was dilated to a really tight 1. But again, that didn't really do anything. We made our next appointment for 41 weeks and 3 days. And the ladies in the front office said, "We hope we don't see for that appointment." And I said, "I hope you don't either," but we did see them for that appointment. So at 41 weeks and 3 days, we talked about the induction again. They did another sweep just in the hope that maybe it would start things. It didn't. So we talked about and scheduled the induction. We'd agreed to start with the Foley and see how that went, and then maybe talk about breaking waters and maybe, maybe Pitocin being our last resort. We stopped for dinner. That was Wednesday evening. We stopped for dinner on the way in because I was like, "We're going to have a baby, and I need my strength. I've got to eat before we go in." So we stopped for dinner, and we got checked in. They got me strapped in with a wireless monitor, which was new this time and was so much better than the wired monitor because I could move. It was much better. And this is the start of what we like to jokingly call birthatory, because it's birth purgatory. I was stuck there in the room. I couldn't leave. My husband left just to get us food, but it just felt like we were there forever with nothing to do. And time moved strangely as well. I watched Friends at night to help me sleep, and I watched Parks and Rec during the day to keep me entertained. We did a lot of walking up and down the room as much as we could. And that Wednesday evening was just to start us monitoring. Jolanda came in, and she was in and out and checking with us that night. They also started me on the Group B strep meds. I think I forgot to mention I was positive this pregnancy. I had a weird reaction to whatever med they put me on first, like my scalp was on fire. It was a really bad reaction. Meagan: Interesting. Is that a common reaction?Molly: I believe they said it could happen, but it's not super common. I wish I could remember which medicine it was they gave me. But, I mean, it felt like my scalp was on fire. I was itching. It was horrible. So they gave me some Benadryl which fortunately helped me nap, so I got some rest. But we didn't want to do too much of that, so they switched me to a different medication. And again, I wish I could remember the name of it, but I can't. And that, I did not react to, so we stayed with that one for the rounds of the Group B Strep meds. So that was Wednesday night, and they were really just monitoring me. Thursday morning, the OB and the midwife on call came in to discuss my case. They discussed options. Pitocin. I consented to a check because we were going to start with the Foley, but I was at a 3 already. So that put the Foley out of commission because the Foley will only work up to 3. We talked about Pitocin versus artificial breaking of the membranes. The OB did do a little bit of pressuring, but we were all prepared for it. He said, "Well, at this point, this many post dates, you're probably definitely going to have meconium." And behind his back, my doula, my sweet doula rolled her eyes. It was what I needed, that support in that moment for the doctor to say, "Oh, well, there's definitely meconium." And my doula would be like, "No, there's probably not." So we asked for time to discuss between us and what to do. And Yolanda had these little informational cards with different affirmations. There was affirmation cards, but different, like facts about, induction from-- oh, I'm blanking.I can't remember. But they were little printed out laminated cards with different facts about different types of induction, and they were really helpful.It's Evidence Based Birth. That's what it was. It was all evidence-based and backed up by studies and stuff. So we discussed what we wanted to do, and we agreed to breaking the waters on Thursday morning. So the midwives came in and broke my waters, and there was no meconium. So that doctor can just go sit somewhere else. My waters are broken. I walked up and down the room, but nothing really happened. That night, there were some surges that we did time, but they petered out, and nothing really happened. So we woke up Friday morning, and that was December 1st. I, with despair in my voice, looked over at my husband and I said, "It's December. We've made it to December." I felt like a balloon that was beyond needing to pop and was just discouraged and tired. I was at the end of my rope, really, honestly. They came in, and I agreed to another check. This was the first check that they'd done since they broke my waters. And so if you're keeping count at home, my water's now been broken for about 26 hours. We happen to be watching an episode of Friends where the character, Rachel, is in labor, and she's having trouble dilating as well. And Ross makes a joke about, "I'm dilated 3." Well, they did the cervical check and checked, and I was still dilated 3. And Michael goes, "I'm dilated 3," and everybody laughed. It was a good break in the tension. After that, they left to go discuss my case. Michael went to go get me some hot water so I could make tea. But he came back in and he said, guess who's here and looking at your chart?" And I had no idea. He said, "It's Vicky," who's the midwife who helped deliver my first VBAC baby. She had retired, but come out of retirement and was only working on the weekends in the hospital. And I looked at him. I said, "We're having a baby today." Just something told me that with Ms. Vicky there with us, we were in good hands, and we were going to be okay. So she came in and talked to me about starting Pitocin. She also told me, because at this point, I was worried about a repeat Cesarean. And she told me, she said, "I'm no longer looking at you as a VBAC patient. You've had a successful vaginal birth. I'm treating you just like any other birth now." And it was such a healing statement for me. It wiped the worry about a repeat C-section out of my mind. It was just the perfect thing to say.Meagan: Yes. I don't want to interrupt you too much, but I love that you pointed that out, because most providers, they're actually looking at no matter if you've had a VBAC or not, you're always a VBAC. But what you just said to me really is gonna connect with so many others. It connected with me because we just want to be viewed as someone going in and having a baby. We don't want labels and these things that loom over our head even if we've had a VBAC before or if we haven't had a VBAC before. We just want to be looked at and treated as someone coming in and having a vaginal birth just like anybody else coming in and having a vaginal birth. So I love that you pointed that out, and I'm sure that that really did just connect and feel so good.Molly: It was a huge release of stress knowing that I didn't have to worry about the repeat C-section, the VBAC anymore, and I could just focus on having the baby and what I was doing and just doing what we needed to do that day to have the baby.Meagan: Yeah.Molly: So we did agree to the Pitocin she suggested. And we got very into the details, and we're almost a year out. I should have written them down sooner. I can't remember the numbers we started at, but she wanted to start at a certain amount over a certain time, and I disagreed. I said, "Let's start lower and slower." And she said, "That's fine. I'll do whatever you want to do." So we started really low and really slow, and I was starting to feel some things, but still not very much. It wasn't anything I had to stop to get through. It was really more just like a tightening. Jolanda came to hang out with us, brought us more food and water, and she brought a puzzle to help distract us. We were going crazy being stuck in that room. Vicky came in later that afternoon, and because still no progress was really being made. They didn't check me, but they could just tell from the contractions on the monitor. She talked about wanting to up the Pitocin a little bit faster and more frequently. I told her that I was worried about the difference in the Pitocin contractions versus natural contractions because I had heard and read so much that the Pitocin contractions are much more intense. And she told me that she'd given birth with and without Pitocin, and the only difference for her was that Pitocin births were faster. I agreed for her to bump it up a little bit, a little bit faster, that. After a little bit of time to talk about it, we agreed to do that. They did check me at that point, and I had worked my way up to a 5, and baby had moved from a -1 to, I believe, a +1. We dilated some, and baby had descended a little bit. At that point, the contractions did start to pick up, and I lost interest in the puzzle. We turned a movie on for me to watch. They were a little bit more intense, but still easy, and I could still talk through them and walk through them. Jolanda did an excellent job. She reminded me to go to the bathroom. And so I went to the bathroom, and when I walked out, I felt the baby drop. I don't know any other way to explain it, but I felt her drop in the birth canal. It was like she was sitting high, and then suddenly she dropped. I said that. I said, "Oh, I felt the baby drop." My sweet doula said, "You felt the baby drop?" I couldn't respond to her because then a contraction hit so hard that I could not talk through it. So, at that point, I told them, I said, "Please turn the movie off," because I couldn't handle the sound of movie. My husband turned on music in the background real low of our birth playlist. I needed to get down on all fours, so I got down on my knees, and I was bent over a birth ball swaying back and forth and moving forward and backwards, swaying my hips and vocalizing through them. Keep your mouth loose and low, moaning through them. At some point I didn't need the ball anymore and Jolanda brought in this inflatable thing. It was U-shaped and it was inflatable, but you could be in it and lean over it. And again, I wish I remember the name of it, but it wonderful because you could inflate and then deflate it to move it and get it out of there. But it was just perfectly shaped for me to be able to lean over it and even sit on it if I needed to, but I just was leaning over it. The contractions were getting more difficult, and she reminded me to relax my hands because my hands had gotten really tight. She was reminding me to breathe and relax my hands. She also suggested counter-pressure on my tailbone. I did not want it on my hips, but she tried it on my tailbone, and that felt incredible. Suddenly, the contractions were so much easier to bear, and they just felt more productive. It was fantastic. So she and my husband, Michael, took turns wearing their arms out, pushing my tailbone through the surges. At, that point, then the wireless monitor got weird because it had been on me for so long. The stickers, I guess, had just given out. So a poor nurse was on her knees underneath me holding the monitor on my belly, and there was either Jolanda or Michael behind me pushing on my tailbone through the contractions. And then I started grunting and felt pushy. Juolanda recognized my grunting because we talked about during my consult during my first VBAC. I get grunty when I'm pushing. She recognized the sound and she said, "Are you pushing?" But I didn't want to answer her because I didn't want to stop pushing because it felt so good to push. I hadn't been checked. So I didn't want them to know that I was pushing and check me and tell me that I couldn't push. And also, at this point, I was practically sitting back against the counter-pressure. The surge would hit, and I would sit back into whoever is doing counter-pressure and practically put my full weight back on my tailbone on their hand and the counter-pressure. Then, my knees got tired being on the floor. So I asked to move to the bed and they asked to check me. The midwife, Ms. Vicky, said, "I would love to check you right now." I said, "As long as I can be on my hands and knees, you can check me however you want."So I got up on my hands and knees on the bed, leaned over, and they checked me, and I was good to push. So at that point, we started actively pushing. Not just me pushing because it felt good, but pushing because we knew we were pushing a baby out. And pushing, it felt so good to push. I needed to push. It felt so good. I could feel her moving through the birth canal. I could feel her head coming down, and it was amazing. And just like with my first birth, it's frustrating to feel the baby move and then go back and then move forward and then go back, but you can tell you're making progress. I don't know how long I pushed for because I was way off in who knows where. Nobody else looked at the clock. Michael would have, but he was getting ready to catch. He had prepped to catch this baby. So I pushed her out into her papa's hands. He had prepped. He watched all kinds of videos meant for midwives, and he was so ready. He did such a great job. Baby Nora was there, and she was perfectly healthy. She was 7 pounds and 2 ounces, and 19 inches. For being 41 weeks and 5 days, she was still just perfectly cooked. I passed the placenta at some point after that. We did the golden hour, and we snuggled in. He cut the cord after it stopped pulsing. That was all very much a blur to me, just a golden, snuggly haze of love. So we passed the placenta, and it was declared complete. We looked at it, and we put in our little cooler to take home and freeze to plant her little birth tree. I did tear a little bit, so they stitched me up and we took some pictures. And then Ms. Vicky went home. She'd stayed 45 minutes late for us. She went home at that point, and I started nursing Nora. At that point, however, I was still in pain. So they said, "Would you like something for pain?" I asked for just Tylenol. I didn't want anything heavier than that, but I was still pushing. I was still feeling the urge to push, and it was getting worse. So the nurses applied some pressure to my uterus, external pressure. It hurt so bad I could barely stand it. Michael took the baby at that point, and Jolanda suggested me trying to avoid my bladder, and maybe that would help. But I couldn't. I couldn't get those muscles to work, so they put a catheter in. That didn't really help. The surges were still coming and I couldn't stop pushing. They put more pressure on my uterus, external pressure, and I passed a huge blood clot. It was like a softball-sized blood clot. That felt a little better, but I was still pushing and I could not stop the pushing. So they gave me some stronger pain meds and talked to the OB who was on call and all agreed that I needed to go the OR and see if something had been left. So we agreed to that and went under sedation into the OR, and they removed a golf ball-sized portion of the placenta. Meagan: Whoa.Molly: Yeah. It was confusing because they had declared my placenta complete and after talking about it, and they looked at all the pieces, and it turns out that I had a lobular lobe.Meagan: I was going to say you probably had a lobe.Molly: Yes. And so after I mentioned "Oh well, I had some spotting early in pregnancy," they figured that the spotting had contributed to that, and that's why the placenta looked complete and there was a lobe and the hematomas all contributed to the early bleeding and the lobe in the placenta. I came out of the OR fine. I got two bags of blood but felt fine. When I woke up, I got to hold Nora in the OR. Well, not in the OR, but in the recovery and nurse her again. And everything was really fine after that. Jolanda checked on us a couple of hours after that. She brought us food. We had talked about what I wanted to eat post-birth. I wanted to eat a cheeseburger with bacon from a specific place near the hospital with fries. She brought it all, and we ate it at like 11:00 PM. It was wonderful. And Michael, like I said before, said later that having a doula this time around was 100% worth it mostly for him because she was suggesting things that he wouldn't have known to offer like the counter-pressure and, "Hey, maybe she needs to pee," and things like that. It saved him and helped him know what to do while I was off in labor land. For that, our sweet doula was so worth it. And after that, recovery was great, and we were fine.Meagan: That is awesome. So still had a little bit of a hiccup there in the end, but overall a really great experience.Molly: It was awesome. And I said before, with the birth plan, we tried to plan for all contingencies, but the one thing we did not plan for was three days trying to be induced naturally. Meagan: Yeah.Molly: I mean, they say time isn't linear, and I have never felt that more true than we were stuck in that room for three days. It was very weird just not being able to get out. It's not something I would do again, the induction part, but we made it through thanks to great support from midwives and doula and my wonderful husband. I would do the birth part, and maybe not the hemorrhaging at the end, but the birth part I would do again.Meagan: Yeah, yeah, for sure. I mean, that's just less ideal. I don't know. Did they ever talk to you? Because I know that IVF parents do have a slightly increased chance of hemorrhaging. Did they ever relate it to IVF, or was it mainly just, "Hey, you had a subchorionic hematoma earlier, then you have this lobe." Maybe it was just that they.Molly: The doctors didn't. No, we were very aware that she was an IVF baby, and we had done a lot of research before that IVF babies have a very "sticky" placenta.Meagan: Yeah.Molly: That was one of the factors why we didn't do a home birth was because if the placenta sticks, and then you're at home, it can be a rush to the hospital. But the doctors at the hospital didn't mention the IVF possibility as the reason I hemorrhaged. Maybe it played a part. I don't know. They seemed to put it on the sub-chorionic hematoma. But it could have been both. I don't know.Meagan: Yeah. Yeah. All of the little factors could have been. The best thing is that it seemed pretty minor and a quick fix. A quick fix. I just wanted to remind everybody, so I'm pretty sure this is your episode. It's Episode 84. So if you want to go hear the breech Cesarean and the first VBAC, definitely go back and listen to those on Episode 84. Thank you so much for sharing your story, and I'm so glad that it was so great and that your husband got to catch a baby. That's like my favorite, you guys.Just to let you know, that's happening more and more. At least it has been here in Utah as we're attending births. Sometimes, all you've got to do is ask. So if you have a partner who is interested in that, I think asking is not harmful. Just ask. It can seem intimidating, but it's not too bad. It's not too bad. They really help these partners catch these babies. Allison, I would love to have you share your two cents and your educational topic on healing after Cesarean. We're doing these topics instead of reviews sometimes when we have guests. I love what you do because just like Molly and myself, we've been there having an unexpected-- well, maybe with the breech it was kind of planned. I'm trying to remember back in your story.Molly: So with the breech, with the Cesarean, we had planned a C-section, but then he broke my water early, so it was not necessarily an emergency Cesarean, but we had to go in before we were "scheduled" to for the C-section.It was planned, but unexpected at the time. The wrong timing. Yes. Okay. Well, tell us more, Allison.Allison: Yeah, and I want to say thank you so much, Molly, for sharing your story. I actually want to point out a few things that I think are really important here. I work with so many people who have had a birth that feels difficult or traumatic. And oftentimes, there are women who come to me who say, "I don't understand why I feel upset about my birth even though I have this baby who's healthy and alive, if we're lucky enough to have a living baby or a healthy baby or both." And one of the things I talk a lot about is that oftentimes it's not the events themselves in the birth that create a difficult or traumatic birth, but it's how we feel, right? And so, what makes a birth feel good or bad? Like, I listen to you talk about this experience where you had some challenges leading up to it, right? Especially preconception, and then during conception. I felt your joy. I felt your connectedness, and I felt your power throughout your story even as you talked about the really difficult part at the end with the placenta needing to be retrieved. I want to just point out that that's what I heard, and you've got to tell me if this feels right for you, Molly. But what I heard was many moments where you talked about feeling connected. You talked about your sweet doula. You talked about that surprise midwife coming in to support you. You felt connected. You felt seen like that moment where you said, "Oh, well, the monitor wasn't working, but then the nurse got underneath me," so instead of actually you accommodating the hospital's protocol and policy, I love this idea. I'm imagining a nurse laying on her back under you while you're on all fours. You're empowered. That's truly centering you. Right? You're in control in a lot of these moments. You said you wanted the Pitocin lower. The doctor or the midwife honored that. It sounds like you were informed. You used some examples of the cards from Evidence Based Birth, and a lot of the information you engaged with prior to birthing. One of the things I talk about with my clients is maybe you even feel sexy during birth. You didn't mention that at all, but that might have been. There might have been moments, maybe not. Are there any other emotions that come up for you? Did I leave anything out hat you're like, oh, I really felt another positive emotion?Molly: No, you've nailed it 100%. I felt very supported this birth from the midwife listening to me and, like you said, honoring my requests and my husband being there and the doula. I felt very supported. So even the end and the hemorrhaging which should have been scary, I don't look back on as scary. I don't want to repeat it, but I wasn't scared in that moment because I felt taken care of and supported.Meagan: Mhmm. Allison: Right. That is so textbook. I love this story because that's a really, really scary thing. And if you hadn't had that support, that attunement, that communication and that safety, it could have felt different. It could have made your story feel like there was this turning point into a dive. I love that your advice was getting a doula, because in your story, I really feel how your relationship and respect for her are a big component of your support and empowerment. So I just want to end by saying that birth is really about those emotions, not the modality or even the environment where we birth. If we can create those experiences for ourselves as much as possible, we don't always have the ability to do that. Lots of things have to come together, but if we can focus on, how do I make myself feel empowered, connected, sexy, seen, in control, informed during my birth, however I birth, then the likelihood of having a positive outcome emotionally is so much higher. And when we have a better emotional experience, we're more likely to be able to have a supported breastfeeding experience and also go into motherhood feeling centered, feeling capable of taking on this new role or another baby when we already have littles at home. So thank you so much for sharing your story. I feel really touched, and I can imagine that others are too.Molly: Thank you.Meagan: I do love that you pointed that out, Allison. The way we feel during our labor, the way we're treated, the way we're communicated to, it really impacts that next step going into that motherhood era. I think back on your story. I remove your doula from your story, and I remove your supportive provider. That birth very much could have unfolded very differently especially because it was a longer induction. Right? And so when you put that powerhouse team with that true love and support back into the story, it's like, well, I don't understand why it wouldn't unfold that way anyway.But really, if you look back without that, it's questionable sometimes. And so we talk about it, you guys. I think I will probably talk about it until I die. I mean, truly, I will probably not even be in this work when I'm 80 years old, but I will still be educating people on hiring a supportive team and provider because it really does impact. I had an interview the other day with a first-time mom and she was telling me who her provider was, and I very much remember this provider as a resident. And she was fine, but not great, right? She wasn't my favorite. I very much knew, oh, in the future I would not suggest her as a provider. And so as I was talking, and I didn't want to project my opinion on her, and I was talking to her, she said that her and her husband had actually been feeling a lot of pressure and that when she goes into her visit that she normally has a voice, but when she's there, her voice is muted. She feels like she can't say these questions and can't communicate. I think right there is that big red flag that if you cannot communicate with your provider in a prenatal appointment, then that is a big sign that you will not be able to communicate with your provider efficiently during labor, and they're not going to respect you. I love that your midwife came out of retirement and started working on the weekends because she probably loves this so much and that you got her. It worked out so, so well. But guys, again, find a good, supportive provider. If you're feeling like my interview did the other day, don't hesitate. Move, change, find that support because you want to be like Molly where you're in the situation and you feel that love and empowerment. And even though there was something that ,went awry and not according to plan, Molly felt that support. And so like Allison said, that could have been a very traumatic point in your labor where it wasn't ideal. You wouldn't do it again. You wouldn't choose it. You wouldn't suggest it. But even though it happened, and I don't want to downplay it like oh, least everyone's happy and healthy. I don't want to do that. But it happened, and because you had that support, your overall view is different. So great tips, Allison. Beautiful story, Molly. Again, go back and listen to Episode 84 for the rest of her stories. And once again, thank you for being with us.Molly: Thank you so much for having me.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
#IvermectinTourism in #Arkansas, where the drug's new over-the-counter status is sparking buzz. Could this draw curious travelers seeking #medicalfreedom? A listener confesses to snagging #ivermectin from a farm supply for his dogs and himself—#dualpurposelife! The guys dig into the wild world of #OTCmeds, from parasite cures to pet care hacks. Plus, they unravel a head-scratcher: why is #Tylenol dosed by age, not weight, when #science says otherwise? Expect laughs, quirky tales, and a deep dive into #healthtrends shaking up the Natural State!
If you're a strategy leader stepping into M&A or refining your inorganic growth strategy, there's one relationship that can either propel you forward or hold you back: your relationship with investment bankers. In this episode, we dive deep into the often opaque world of investment banking with two strategy executives who've worked across both sides of the deal table. Together, our guests bring more than 40 years of combined experience across investment banking, M&A strategy, and corporate development—having led acquisitions and divestitures in both public and private companies, across industries and borders. Michael Arlotto is the Global Head of Corporate Development and Ventures at Kenvue, an American consumer health company and the proprietor of many brands you've heard of, like Band-Aid, Benadryl, Neutrogena and Tylenol. Chris Nuttall is the Executive Vice President of Corporate Development at Bazaarvoice, an American tech company that helps brands collect and leverage UGC, which stands for user-generated content. Together, the three of us explore:- How to assess and build the right relationship with an investment banker - What “transformative M&A” really means—and how to pull it off - The soft skills and cultural fit that matter just as much as deal terms - How to avoid M&A regret by starting with strategy and ending with integration - Why successful M&A is less about buying a company—and more about buying into a multiyear business plan Whether you're planning your first acquisition or fine-tuning your approach to external growth, this episode will help you build stronger partnerships, avoid costly missteps, and execute deals that deliver long-term value.Learn more about Outthinker's community of chief strategy officers - https://outthinkernetwork.com/Follow us on LinkedIn - https://www.linkedin.com/company/outthinker-networksLearn more about Outthinker's community of chief strategy officers - https://outthinkernetwork.com/Follow us on LinkedIn - https://www.linkedin.com/company/outthinker-networksLearn more about Outthinker's community of chief strategy officers - https://outthinkernetwork.com/Follow us on LinkedIn - https://www.linkedin.com/company/outthinker-networks Learn more about Outthinker's community of chief strategy officers - https://outthinkernetwork.com/ Follow us on LinkedIn - https://www.linkedin.com/company/outthinker-networks
Your kid is sick. Is it time for an ice pack and a nap? Or is it doctor time? When do you give Tylenol? Is Motrin safe for babies? Did I do something that got my kid lice? What do you mean my kid can't wear their coat in their car seat? Parents hit up Google a lot. This episode of Childproof dives a little deeper and provides real-time parenting insight to some of the most common reasons parents find themselves in Dr. Google's waiting room. Want to hear from actual doctors on some of this? Check out some of our favorite pediatric creators.Dr. BeachGem10 : Click HereDr. Reuben : Click HereYoutube: Click HereWe want to hear from you, email us: Childproofmail@gmail.com
Nel 1982, la città di Chicago precipita nel panico dopo sette morti improvvise e misteriose, tutte avvenute nello stesso giorno e accomunate da un dettaglio: le vittime hanno assunto delle pastiglie di Tylenol, l'antidolorifico da banco più venduto degli USA. Questa è la storia del Tylenol Bomber.See omnystudio.com/listener for privacy information.
Send us a textParenting inevitably involves handling unexpected interruptions and distractions, from financial emergencies to childhood illnesses. Being prepared with both financial strategies and practical supplies can transform these challenging moments from stressful crises into manageable situations.• Save tax refunds and windfalls in high-yield savings accounts for emergencies• Consider thrift shops and consignment stores for children's clothing• Don't be ashamed to accept hand-me-downs from friends or family• Keep essential medical supplies on hand (Tylenol, Neosporin, cough syrup, thermometer)• Remember that preparing for interruptions reduces stress when they occur• Focus on being a good parent who teaches, not a perfect parent• Always be learning alongside your children• Set aside time without phone distractions to connect with your childPut that phone down for one hour and spend quality time with your child. Write down one thing you want to be better at as a parent and commit to making that improvement.https://singlemomsunitedpodcast.com/It's not how you arrived at the title, but what you do with it.
Jeffery Scott Mitchell is on his 15-minute break and is talking about his experience with the weather. He mentions that it was sunny and bright earlier, which motivated him to go for a walk. However, he also noticed some sinus pressure in the morning, which made him take Tylenol and vitamins. He finds it fascinating … Continue reading
An Ohio woman who was studying nursing will spend at least 16 years in prison after admitting to fatally overdosing her 80-year-old father-in-law with medication, then hiding his body for more than a month. Brittany Cole, 37, pleaded guilty to murder and gross abuse of a corpse in the December 25, 2024, death of her father-in-law, 80-year-old David Cole Sr. Prosecutors say she administered six capsules of Tylenol with codeine and ZzzQuil “knowing it would be fatal.” The following day, she began telling relatives that David Sr. “had moved to Cincinnati.” She and her family then traveled to Orlando, Florida, on vacation while his body remained in the home. Upon returning, Cole's husband, 44-year-old David Cole Jr., allegedly found his father's remains on January 8, 2025, while Brittany was at nursing school. According to the Muskingum County Prosecutor's Office, investigators uncovered text messages between the couple discussing “the smell and disposal plans,” as well as a Google search on Brittany's phone from December 25 asking, “when someone dies how long does it take for the body to start smelling?” Prosecutors also said that David Jr. ordered a mattress cover on January 8, the day he discovered the body. Authorities later located David Sr.'s decomposing remains in a shed on the property, wrapped in a mattress cover and a tarp. Investigators believe the couple initially moved the body into a sunroom and, after leaving on vacation, eventually transferred it to the shed. Prosecutors allege Brittany Cole's motivation was financial. After the killing, she continued to receive her father-in-law's $2,300 monthly social security payments, sent to her by her husband. She used the funds to pay for utilities and household expenses, according to officials. On February 26, 2025, Brittany Cole was sentenced to life in prison with the possibility of parole after 16 years. Her husband, David Cole Jr., faces six felony charges in connection with his father's death, including tampering with evidence, abuse of a corpse, and obstructing justice. He has not yet been arraigned. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on The Downfall of Diddy, The Trial of Karen Read, The Murder Of Maddie Soto, Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, The Menendez Brothers: Quest For Justice, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, The Murder Of Sandra Birchmore, and much more! Listen at https://www.truecrimetodaypod.com
Hidden Killers With Tony Brueski | True Crime News & Commentary
An Ohio woman who was studying nursing will spend at least 16 years in prison after admitting to fatally overdosing her 80-year-old father-in-law with medication, then hiding his body for more than a month. Brittany Cole, 37, pleaded guilty to murder and gross abuse of a corpse in the December 25, 2024, death of her father-in-law, 80-year-old David Cole Sr. Prosecutors say she administered six capsules of Tylenol with codeine and ZzzQuil “knowing it would be fatal.” The following day, she began telling relatives that David Sr. “had moved to Cincinnati.” She and her family then traveled to Orlando, Florida, on vacation while his body remained in the home. Upon returning, Cole's husband, 44-year-old David Cole Jr., allegedly found his father's remains on January 8, 2025, while Brittany was at nursing school. According to the Muskingum County Prosecutor's Office, investigators uncovered text messages between the couple discussing “the smell and disposal plans,” as well as a Google search on Brittany's phone from December 25 asking, “when someone dies how long does it take for the body to start smelling?” Prosecutors also said that David Jr. ordered a mattress cover on January 8, the day he discovered the body. Authorities later located David Sr.'s decomposing remains in a shed on the property, wrapped in a mattress cover and a tarp. Investigators believe the couple initially moved the body into a sunroom and, after leaving on vacation, eventually transferred it to the shed. Prosecutors allege Brittany Cole's motivation was financial. After the killing, she continued to receive her father-in-law's $2,300 monthly social security payments, sent to her by her husband. She used the funds to pay for utilities and household expenses, according to officials. On February 26, 2025, Brittany Cole was sentenced to life in prison with the possibility of parole after 16 years. Her husband, David Cole Jr., faces six felony charges in connection with his father's death, including tampering with evidence, abuse of a corpse, and obstructing justice. He has not yet been arraigned. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on The Downfall of Diddy, The Trial of Karen Read, The Murder Of Maddie Soto, Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, The Menendez Brothers: Quest For Justice, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, The Murder Of Sandra Birchmore, and much more! Listen at https://www.truecrimetodaypod.com
“I would go to emergency with extreme blood loss, clots, completely drained out. I was white like a piece of paper and they would send me back home with Tylenol.”Flora Kestin suffered for years with undiagnosed endometriosis. Her hellish journey began at the age of 14. She was eventually treated by Dr Jamie Kroft, one of Canada's leading experts in the diagnosis and treatment of endometriosis.Dr. Kroft, a gynecologist who specializes in minimally invasive surgery at Sunnybrook Health Sciences Centre, has helped countless people regain control of their lives.Visit The Endometriosis Network Canada for additional information and resources. Please download, subscribe, follow and share.
More good news about Omega-3s for heart health; Addressing early-stage dementia; When Lyme Disease doesn't respond to antibiotics; Ultra-processed food hijacks brain within days; Exosomes and adaptive deep-brain stimulation offer hope for Parkinson's; Psychologists conclude relentless “pursuit of happiness” may exhaust our brains' control centers; A common over-the-counter drug taken in pregnancy may hike offsprings' risk of ADHD.
Max and Matt dive into the wild world of sick kids: the endless fluids, missed days at daycare, and the looming question of how much sickness is too much. They talk about everything from preventing illness to navigating the tricky moments when it strikes, including handling fevers, the viral load theory, and whether it's okay to send your kid back to daycare with a little Tylenol. Max shares his unconventional (and controversial) approach to keeping his family from getting sick, and the guys explore how the balance between taking care of your kids and taking care of your work responsibilities can lead to some seriously complicated decisions. Plus, they discuss the fine line between being a concerned parent and overthinking it. You won't want to miss this honest, funny, and a little bit gross conversation about sickness, health, and parenting in the trenches.Buy Violet Archer on Amazon HereMilkless on InstagramMilkless on TikTok
Niki, LB and John waste no time this week, immediately casting aside pretense and delving straight into a number of pertinent and pressing topics, including "what if Tylenol goes woke," two new kinds of hyper-localized lottery, the specific kind of Weird™ that people get about celebrities like Natalie Portman and Milana Vayntrub, the details of our upcoming Super Bowl commercial, the return of Scam Text Theater (!!), secrets of the human tooth, and yes, somehow even more.Welcome to If You're Driving, Close Your Eyes, a podcast about navigating the cruelty, chaos, and wonder of our terrifying world. Niki, John, LB— and our producer Jordo— try to find meaning and clarity one or twelve subjects at a time: from the menu at Cheesecake Factory to a human man dressed up as Snoopy tucking you into bed.Who are we?: We are Niki Grayson (https://twitter.com/godsewa) (the Buster Keaton of basketball), John Warren (https://twitter.com/FloppyAdult) (business boy and wassail pervert, short), LB Hunktears (https://twitter.com/hunktears) (handsome genius, 5'8", America's Gamer), and producer Jordan Mallory (https://bsky.app/profile/jordo.bsky.social) (frog with computer). Music by Jordan Mallory and Art by Max Schwartz (https://maxds.itch.io/).Follow the show: https://www.twitter.com/ifyouredriving Support us: https://www.patreon.com/ifyouredriving Get bonus content on Patreon Hosted on Acast. See acast.com/privacy for more information.
In this true crime story of Love and Murder: Heartbreak to Homicide, host Ky tells you about the case of the Andersen sisters, Sandra and Elizabeth, who orchestrated the murder of their mother, Linda Andersen. What initially appeared to be a tragic accident quickly turned into a meticulously plotted murder.In January 2003, the sisters called 911 to report their mother drowned in the bathtub, but as the investigation unfolded, it became clear that their story was far from the truth. With the help of a friend and damning digital evidence, authorities uncovered the sisters' plan to eliminate their mother for a life insurance payout of $133,000.Ky tells you the details of the case, from drugging Linda with alcohol and Tylenol 3 to the cold-blooded execution that followed.Join Ky as she talks about the psychological factors that led to this tragic crime, the subsequent trial, and the controversial sentencing.Was justice truly served? How do we reconcile the desire for punishment with the potential for rehabilitation?Tune in now to explore these questions and share your thoughts in the comments below.Become a part of the Love and Murder community by joining us on Patreon for bonus episodes, case extras, and more at patreon.com/loveandmurder. You can also sign up for free if you're not ready to become a paid subscriber.Share this episode with everyone you know and help us grow the Love and Murder community! Follow us on social media for more true crime content and updates.************************************************************************************************Support these businesses; support LaM:BJs - Save $35 on a yearly membership with my link: www.murderandlove.com/BJs✨✨For a commercial-free episode, pictures, and more head to our exclusive group at www.patreon.com/loveandmurder✨✨Podcast Promo: True Crime California*************************************************************************************************
You're at the end of your rope, so you head to the pharmacy for the help you so desperately need to sleep. But wait, you aren't sure if it's safe, if it works, and if there's a better way. Stay tuned to learn about the benefits, side effects, and risk of sleep aids. I'm Dr.Vickie Petz Kasper. If you're ready to take control of your health, you're in the right place. I'll give you practical steps to start your own journey toward better health because healthy looks great on you. This is episode 159, Sleeping Pills and Potions. What works and what doesn't. You know that poor sleep is associated with heart disease, cancer, diabetes, obesity, immune dysfunction, high blood pressure, anxiety, depression, fatigue, irritability, and good grief, I could go on and on. So, taking something to help you sleep sounds like a good idea, right? Today, we'll discuss what you need to know before you go and get a prescription, supplement, or over the counter sleeping aid. Look, we have to sleep. Our very lives and health depend on it. But the struggle is real. Insomnia is one of the most common symptoms people go to the doctor or health care provider for treatment. And what if I told you that good sleep is possible without medications? Well, it is. In fact, the first line treatment recommended to treat insomnia is not medication. The standard recommendation for managing insomnia is to eliminate things that go bump in the night and keep you awake. Or, to treat underlying diseases that disrupt sleep. It's not recommended to start with behavioral therapy or medications until these other things are maximized. Ha! But good luck with that. If you go to your primary care provider and you don't get a prescription, I'll buy you a cup of coffee and we can both stay awake. And, if you think you need to see a specialist, then you'll probably get to spend the night in a sleep lab hotel hooked up to a bunch of wires and you may get answers, like, a CPAP, and that's important if you have sleep apnea, but if not, you might not even hear from them. No wonder you're looking for a good solution to sleep. And though medications are not the first line recommendation, that is the topic of today's episode. So let's get to it. We're going to start with prescription medications, then we'll talk about over the counter medications and wrap up with supplements. There are three classes of drugs approved to treat insomnia. Benzodiazepine receptor agonist, histamine receptor antagonist, and melatonin receptor agonist. Listening to all that medical jargon may be sufficient to put you to sleep. But wait, let me explain. You'll understand more after we go to mini medical school today and learn about receptors. These are made up of proteins and they receive chemical signals that produce a response. Let me give you this analogy. You've got a lamp sitting on an end table, but it's not plugged in, so there's no light. And when you stick those two prongs into the socket, behold, now you can sit and read. And that's kind of how a receptor works. The plug fits into the plug in. So an agonist is like the plug. It fits. It turns it on. It lets the electricity flow. But, if you had a toddler in the house, you might want to plug in one of those little plastic things so he doesn't stick a butter knife in there and get shocked. So that would be an antagonist. Okay, now wake up and pay attention. We've got three classes of drugs to look at. Benzo receptor agonist and melatonin agonist. That plug in and histamine receptor antagonist that block the plugin. And then there's another category called other. We'll just call that the clapper, you know, clap, clap. And the light comes on, clap, clap, and the light goes off. There are eight drugs in the benzodiazepine receptor agonist family. And the first five are about my age, you know, born in the 60s. They are Estazolam, which is Prosom, Florazepam, which is Dalmane, Quamazepam, which is Doral, Temazepam, which is Restoril and Triazolam, which is Halcion. Now the millennials aren't benzos, but they're still benzo receptor agonist. And you know, this generation got way more complicated spelling their kids' names, so I'm probably gonna have to sound them out like a first grade teacher on the first day of school. Eszopiclone is Lunesta, Zaleplon is Sonata. Zolpidem is Ambien. Those older drugs are crankier and cause more dependence although Restoril is the nicest in the category. There are other benzos which are technically prescribed for anxiety and some people do use them to help them sleep. Do they work? Here's what the data says for the old guys. They help you fall asleep faster. A whole whopping 10 minutes faster. And they increase total sleep time by half an hour to an hour. That's it. What about risk? Well, they make you sleepy, which is kind of the point, but also they can make you dizzy, which can make you fall if you get up and go to the bathroom during the night. And if you mix them with opioids, the reaction can be fatal. Now, the younger guys function about as well as the older ones, but they have shorter half lives, so their effects don't wear out their welcome so much with daytime grogginess. And they aren't so deadly when socializing with opioids. But rarely, they do some bizarre things like compel you to shop or gamble in the middle of the night. All for 10 minutes faster to go to sleep and half hour to an hour longer sleeping. Okay, clap on, clap off, let's talk about the other drugs. These are dual orexin receptor antagonists. Affectionately known as D O R A or Dora. The first one is Suvarexant, which is called Belsomra. The next one is Derodorexant, which sounds a lot like deodorant to me, and that's exactly what I'm gonna call it because the brand name is Quviviq. And finally, there is Limboxerant, which has a really cool brand name, Dayvigo. What? You've never heard of any of these? Well, that's probably because they're slightly less effective than the other drugs. They help you go to sleep seven minutes faster. But the main side effect is sleepiness, and people generally say they slept better. The next topic in pharmacology class in mini medical school is the histamine antagonist. You know, the little plastic thing that goes in the wall socket so your toddler doesn't. Doxepin is a tricyclic antidepressant that functions this way, and even in low doses it causes the desirable effect of drowsiness. So, it's approved for the treatment of drowsiness deficit. Unfortunately, there are some drugs it doesn't play nice with. But, it does increase sleep time by Drum roll please! 25 to 30 minutes. Womp, womp, womp. And, it helps people stay asleep toward the end of the sleep cycle. And I think this underscores why one size does not fit all and prescriptions should be customized for individual needs. The last class of drugs approved for the treatment of insomnia makes a lot of sense. Ramelteon is a melatonin receptor agonist and the brand name Rosarem, get it? REM, R E M, as in rapid eye movement sleep. It's got a good mechanism of action, a good name. Problem is, it doesn't work any better than placebo. So, you can skip the potential for fatigue, nausea, and worsening of liver disease and just take a sugar pill. So, am I saying it doesn't work at all? Of course not. Why would it be approved if it didn't work? Well, it's not in Europe, but it does work to lengthen sleep time by a grand total of seven minutes. And I don't know about you, but it's going to take more than seven minutes to get rid of the bags under these eyes. So that's the gamut of drugs approved for the treatment of insomnia in the United States. But wait, there's more. Just because the FDA doesn't approve something for a particular indication, that doesn't mean that doctors can't prescribe it. And sometimes, off label prescribing is a really good thing, though it's a set up for a knock down, drag out fight with your insurance company for coverage. In addition to using the antidepressant Doxepin, many doctors prescribe other antidepressants for sleep. Things like Amitriptyline and Trazodone, even though the American Academy of Sleep Medicine advises against it because of side effects and no data showing that it works. Now, I always recommend that you consult with your health care provider regarding your medications. Always, always, always. But, I also recommend that they consult with up to date society recommendations and guidelines. That's just fair. And while they're at it, they should look at the potential adverse reactions. So, now maybe you've decided to skip the copay and just help yourself to the sleep aid aisle of the pharmacy. You could even ask the pharmacist to guide you, and I recommend that. There are two over the counter medications approved to treat insomnia. They are diphenhydramine, commonly known as Benadryl, and doxalamine, commonly known as Unisom. Side note, over the counter medications are regulated FDA, And both of these drugs are histamine blockers. Therefore, all of the fun side effects that come with that, like dry mouth, GI distress, dizziness, trouble emptying your bladder, and of course, sedation, which is the desired side effect. These medications are often combined with things like Advil or Tylenol with an added P. M. at the end, so you know what's in store for you. And here's what's in store for diphenhydramine. 8 less minutes to fall asleep and 12 more minutes of sleep. And for doxylamine, there's no data available. That's it. That's what we've got. So, maybe now you've decided just to take matters into your own hands and look for a supplement. And because you've listened to my previous podcast episode about dementia, you're gonna skip right over the Prevagen, right? Promise me. Now, in the supplement section, you're going to walk in understanding that claims, concentrations, and ingredients are not guaranteed. They're not regulated. They are, generally speaking, considered safe and ineffective. You heard that right. Safe. And ineffective. But what about melatonin? You swear it works, but does it? Maybe. It is sedating in about 10 percent of people and in everyone else, it shifts the sleep phase. So, there is a place for that such as jet lag, and I have an episode on jet lag in the show notes. But even though it may help you drift off to sleep, it probably isn't going to help you stay asleep. The half life is less than an hour, and in some people it causes stomach cramps, irritability, and even depression. It's best used in combination with other things that regulate your circadian rhythm. More to come on that. But a big one is light. And so this probably would be a great time to tell you about some exciting news I have for you. I have an upcoming series of live webinars to talk about six hidden things that keep you tossing and turning at night. And soon you'll have access to an online course called Unlock the Secret to Sleep, your personal sleep solution. I have been working so hard on this for so long that I cannot wait to share it with you. I want to help you reset your sleep and get your Z's. Now there are other supplements labeled as sleep aids and most of them again are safe and probably not effective. The exceptions on safety are kava and valerian root. Both of those have been associated with liver damage. Now it's rare, but it's very serious. Other things you might find on this aisle are chamomile, Glycine, Gryphonia, Hops, , Kava, L theanine, Lavender, , Passionflower, Nightshade, Skullcap, Strymonium, Tryptophan, , and Wild Jujube Seeds. They're all equally effective and work every bit as well as a sugar pill, but hey, sugar pills can have powerful placebo effects. And one last thing I want to mention, and that is cannabis. Bottom line is there's not enough research to say one way or another, whether it works. It does have the potential for addiction and it's not legal everywhere. So there's that. But also it's a problem that if you quit, you'll likely experience sleep disturbances that can last for several months. The bottom line is, I want you to know that you shouldn't have to choose between serious health consequences of poor sleep and the side effects and risk of sleeping pills and potions. If you suffer from insomnia, I do encourage you not to stop any medications without medical supervision and to have an honest conversation with your doctor. And if they want access to my resources, just give them my email address. I'm happy to share and they're 100 percent legit, but if good sleep eludes you, I want you to know while there's no magic pill for perfect sleep, there is a proven path to natural, restorative rest that can transform your life. Imagine waking up energized, focused, and ready to tackle your day without relying on sleeping pills or potions. Are you tired of tossing and turning at night? Desperately wishing for deep, restful sleep? I'm hosting two exclusive live webinars where I'll share my evidence based approach to achieving consistent quality sleep. Join me on March 3rd or March 5th to discover how to fall asleep naturally. and wake up refreshed, practical strategies to boost your energy and mental clarity, and solutions to common sleep challenges that keep you awake at night. Plus you'll get a chance to ask your most pressing sleep questions during a live Q& A session. So don't miss this opportunity. To revolutionize your sleep. Click the link in the show notes to save your spot now. Registration is required. And make sure you're on my email list to receive exclusive pre webinar insights and special bonuses. Your journey to better sleep starts here. Sign up right now and let's transform your nights and supercharge your days. Because good sleep is crucial for good health and healthy looks great on you. RESOURCES: FREE, live sleep masterclass registration Jet Lag Does Prevagen work? Why doctors prescribe a pill Meet Aunt Edna - Your holiday survival stress guide
Miracles can happen on Christmas Eve.Based on a post by auguy86, in 2 parts. Listen to the ► Podcast at My First Time. Ken Dix flipped through the TV guide at a moderate pace; “500 channels, and nothing but Christmas specials on.”Finding nothing but disappointment at every turn. As it was Christmas Eve, every show was a mushy feel-good romp spouting lines about family and goodwill to others. None of that spoke to Ken in the slightest.“Ken?” a voice came from the kitchen.“What's up, Mom?”“I've got my hands full with making everything for dinner tonight, but I'm going to run short on a couple of ingredients,” Helen Dix said, poking her head into the living room. “Can you run to the store real quick for me please?”“Sure thing,” Ken replied, seeing as he had nothing better to do.“Great, thank you. I made a list on the counter for you. The store should be open for another hour or two. The main things would be the eggs; I don't have enough to finish my famous chess pie. If they have tea by the gallon, grab one sweet and one unsweet. The rest are great if you find them, but not essential.”“Got it,” Ken said as he took the list from the counter.Heading out to his car, Ken cranked up his Honda Civic and pulled out of the driveway. As he made his way into town, Ken reflected on his current situation. Though he loved his mom, being home for the holidays was always nerve-wracking for him. His hometown of Alpharetta, Georgia was crawling with former high school classmates of his, people he'd just as soon never see again. But up at MIT, he was actually among peers that he could relate to on an intellectual level. Not that he'd made that many friends up there. As a nineteen-year-old freshman, he was still stuck in the same boring math and science classes as everyone else. He couldn't wait until he could start his health sciences training. Maybe then he could meet some decent people, perhaps of the female variety.Ken soon arrived in the parking lot of the local Kroger. It was soon obvious that the place was packed with last-minute shoppers, all trying to find that one final ingredient they were missing. Locking his car, Ken sauntered into the store, grabbing a shopping basket along the way. He found the shelves of the store well picked over, striking out on the nonessential items on his mom's list. Making his way to the drinks aisle, he was pleased to see that the store was keeping the gallon jugs of tea well stocked for the holidays, and picked up a pair.Ken soon arrived in the refrigerated section of the store. Almost every shelf was empty, but he did manage to find one last carton of six eggs, just what his mom needed. Depositing the carton in his shopping basket, Ken made his way back to the front of the store, checking out in the express lane. He gripped the shopping bags tightly, being careful that the eggs weren't harmed from the swinging of the bags. Arriving back in the parking lot, he was pleasantly surprised to see one of his former classmates, Jacqueline Brown. As he approached, she saw him coming.“Ken? Kenneth Dix?”She was extremely pretty, as was befitting one of the most popular girls in school, and kept her chestnut-brown hair cut just below her jawline. Her soft, warm facial features and bubbly personality belied the sharp intellect hiding underneath. She and Ken had been partners a few times in various subjects, and he had helped craft her entrance essay to the University of Washington. This earned her a full ride scholarship. In spite of her popularity, they had worked well together, and Ken even dared to call her a friend, at least in his own mind. They had never hung out on a social basis; her circle of friends would never have let her live that down. Still, times had changed. They were both out of high school, after all. What could it hurt to ask?“Jacqueline? Wow, I never thought I'd see you back here. Thought you escaped to cooler climates?”“Yeah, Seattle is nice, but nothing beats Christmas at home,” she replied, adjusting her UW sweatshirt. “You back for the same reason?”“Uh huh. Mom pretty much insisted. She won't settle for anything less than a full family gathering on Christmas Eve. I'm just grabbing a few last things for her. But yeah, it's great seeing you again. You, uh, you look good.”“Um; thanks,” she replied with hesitation.“I'm, uh, gonna be home for a couple of weeks. Would you want to, I don't know, hang out sometime? Maybe grab a bite to eat? My treat.”“Well, Ken, that's sweet of you to ask.” she said almost to herself. As she paused, her eyes suddenly lit up as if she had gotten an idea. “Alright! Here, let me give you my number.” She scribbled a series of digits down on a scrap piece of paper, writing her name next to them. “I'll, um, talk to you later, I guess?”“Sounds great!”Ken couldn't believe it; he had actually done it! He had asked out the prettiest girl he had ever known! Moreover, she had given him her number! Things were definitely looking up.“Dick!” a voice behind them yelled.Ken turned, immediately recognizing Jason Brown, Jacqueline's fraternal twin brother, along with his two flunkies, Brian and Barrett Sullivan. Jason had been the star quarterback at his high school, and the Sullivan boys were his best offensive linemen. They often served as his muscle off the football field, as well. Ken was intimately familiar with these three, as they had made it their mission in high school to make his life a living hell. Being stuffed in lockers, having his wallet stolen, all were commonplace with them. The three approached, attempting to appear imposing, which they were from the perspective of the ever-scrawny Ken.“I've got nothing to say to you guys,” Ken muttered as they approached.“Well I've got something to say to you, Mr. Kenny Dick,” Jason growled.“Just shut up and leave me alone,” Ken replied, his blood boiling at the use of Jason's longtime nickname for him.“No! You shut the fuck up and listen!” Jason said, grabbing Ken by the collar of his tee-shirt and flinging him against his car. In the process, Ken dropped his shopping bags, the jugs of tea landing directly on the egg carton.“Jason! Stop it!” Jacqueline protested.Undeterred, Jason threatened. “Listen fuck-wad, you stay the hell away from my sister!”“She's an adult, dickhead! She can have anyone she wants as a friend!” Ken protested.“You don't belong on the same Planet as her! You're nothing'! A pathetic sack of guts your dumbass mother decided to give a name to! Know what? Just do us all a favor and drop dead!”Enraged at the insult to his mom, Ken swung a wild haymaker at his assailant, but Jason was more than ready, pinning Ken's arm back against his car. Jason then delivered a crushing punch to Ken's gut, dropping him down to his knees. Before leaving, Jason knelt down next to his gasping victim.“Next time, I won't be so nice. Next time; I might just kill you myself. See ya around. Dick.” Turning to his sister, Jason said, “Come on, time to go home.”Jacqueline looked down at the pitiful form of Ken before muttering, “Sorry, Ken.”The trio of boys sauntered off across the parking lot, laughing and high-fiving at their antics. Jacqueline followed right behind them. Ken picked himself up and inspected his groceries, discovering the crushed eggs in his bag. Swearing and cursing, he grabbed the misshapen carton and went to throw it in a nearby trash can.“No chess pie tonight.”As Ken returned to his car and began his drive home, Jason and his flunkies watched on from his car, still pleased with their efforts.“You shouldn't have done that,” Jacqueline said in a lecturing tone.Jason turned to face his sister. “I do what I gotta do, Jacqueline. That fuck-wad has no business getting friendly with you. He needs to learn his place.”“Be that as it may, I can take care of myself,” she replied firmly.“Take care of yourself? Wait; you didn't?”“I did. Jason, someday you'll learn that there are more subtle and effective ways to ward off undesirables. Trust me, Ken won't bother me ever again.”Back at Home.Upon arriving back home, Ken couldn't bring himself to tell his mom about the incident with the eggs. He instead told her that the store had run out altogether. She had spent many sleepless nights in the past worrying about the constant bullying her son was subjected to in school. Ken didn't want to give her anything else to worry about. By this time, has uncles had started arriving, and the living room was soon filled with the sounds of football games. In Ken's mind, these were no more thought provoking that the mindless Christmas specials he had found earlier. Ken went up to his room to take a hot shower, as well as get some alone time in the process. As he stripped down, he saw a bruise beginning to form on his stomach from Jason's punch. He winced in pain as he touched the tender skin.Shit; that's not going away for a while.Ken took some Tylenol for the pain before stepping into the shower. The hot water helped relax his body, and the steam gradually built up, clearing his mind a bit. He finished after a while and, after making sure his door was shut, flopped facedown onto his bed. After laying there for around an hour or so, his mom finally called him down to rejoin the family for dinner.Taking his seat at the table, Ken glanced around the room at his various family members. His mom had two older brothers, Lee and Stan. Though Lee was tall and still relatively youthful looking at forty-five, Stan was shorter and beginning to bald as he approached fifty. Still, both of them had one notable thing in common as far as Ken was concerned: they were both still jocks at heart. Ken had never known his father; it had always just been him and his mom. He could tell that his uncles tried to be male role models for him, but their efforts were usually ill-conceived attempts to “man him up.” Never once did they understand his introverted tendencies, and always tried to get him to be more of a people person. After a while, Ken stopped paying their advice any attention.It was striking to Ken how similar Lee and Stan's families were. They had both married beautiful, blonde cheerleaders, and now both had sixteen-year-old daughters, both of whom were among the most popular girls in school. It all sickened Ken; they were just perpetuating the stereotype of pretty and popular being the be-all, end-all in life. As the family ate, Ken remained silent for the most part. The adults were engrossed in discussions about their jobs, and the two daughters were giggling and playing on their phones the entire time. None of this was relevant to Ken.“You know, I saw something interesting today,” Lee said as dessert was being brought out. “I was at Kroger filling up my car, and saw you in the main parking lot, Ken. Looked like you were, uh, having some words with a few guys out there.”Shit! He saw that?Not wanting to worry his mom, Ken replied, “It; it was nothing.”“Nothing, eh? Is that why that punk punched you in the gut?”With a worried look on her face, Helen asked, “Ken, sweetie, what is he talking about?” She walked around the table to Ken's seat and lifted up his shirt, seeing the bruise on his abdomen. “Was it that Jason boy again?”“Mom, just let it go.”“No! Ken, you know I worry about you!”“You worry about Me? I think you need to worry more about your brother!” Ken shouted, his anger exploding at last. “Right, Uncle Lee? Come on, you see your own nephew being ganged up on in a parking lot, yet you do nothing to help him out?!”“A man's gotta learn to fight his own battles,” Lee replied in a calm voice.“No. You want to know what a man does? A man sticks up for his Family! No. Matter. What! You stood there and watched your own nephew get beaten up. That says a hell of a lot more about you than it does me. And if that's family; I don't want any part of this one.”Without a word, Ken stood and left the dining room. He then grabbed his MIT hoodie and headed for the front door. As he was about to get into his car and drive off, he saw to his frustration that his uncles' cars were parked in the driveway behind him, blocking him in. Cursing under his breath, he prepared to leave on foot.“Ken! Come back inside, please!” Helen called after him, running down the driveway.“No. I've got to go out; clear my head.”“Ken, it's Christmas Eve. Please, come be with your family.”“Mom, aside from you, not a single person in that house feels like family to me,” Ken replied coldly. “I'll; I'll call you after while.”Ken walked off into the cold Georgia night, not knowing for sure where to go or what to do. Nobody else was out, as they were all at home with their families. Remembering the square in historic downtown Alpharetta, he decided to head in that direction. Maybe the quiet walk would do him some good.Arriving in the town square, Ken walked along the sidewalks for a bit, peering into the darkened windows of the various shops and restaurants. Everything looked so different to him with everyone gone for the day; it all seemed so peaceful. As he continued to walk, he soon saw City Hall in the distance. In front of the building was a large green space, which was teeming with a surprising amount of activity for it being Christmas Eve. Ken moved closer, now spying a large gathering of people sitting on picnic blankets, all bundled up in coats and hats. Ahead of them, a large screen projected the classic film, It's a Wonderful Life.Though Ken was never into the Christmas cheer, as it were, he felt strangely drawn to watch a few minutes of the film from a distance. He soon began to regret that decision, as the movie had reached the point where George Baily had an arrest warrant out for him, lashing out at his family in anger. Watching him get drunk and punched in a bar fight, Ken began to feel sick with anger. Despite all his efforts to help better the world around him, the universe conspired against George Baily; just as it seemed to be conspiring against Ken. Unable to watch a moment more, he turned and walked into the nearby park.Again alone with his thoughts, Ken sat on a bench near the fountain in the center of the park. He contemplated many things, as he often did in solitude. He thought about his piss poor excuse for a family, intent on changing him into what they say he should be. If only they could love him as he is. He thought about Jason Brown, a perpetual asshole that managed to get all the beautiful women his heart desired. If only the universe would serve up his just desserts, rather than conspiring against Ken. Sighing in frustration, he stuffed his freezing hands into his jeans pockets.Jacqueline!Feeling the scrap of paper still in his pocket, Ken suddenly felt a glimmer of hope in an otherwise dreary day. He needed something, anything to lift his spirits, and hearing her kind, sweet voice might just do it. Hell, he didn't even care anymore if she was interested in him in a romantic sense; he just needed someone to listen and understand him. Digging out his phone, he dialed the number. After a single ring, a message began to play, seeming to be read by a game show host.“Congratulations! You've reached Live 95.5 FM's world-famous Loser Line! Live 95.5; featuring the best entertainment in Seattle! If you've reached this message, you have attempted to hit on a girl Way out of your league! That poor young lady wants nothing to do with you, but you just couldn't help creeping on her! That's where we come in! Now you know what a loser you really are! So leave the girl alone, loser! You're doing everyone a favor! If you'd like to leave a message for the world-famous Loser Line, begin speaking at the tone!”Beep!Ken hung up the phone in quiet disbelief. How could he have been so wrong about Jacqueline? They had worked so well together in school, and he even considered her a friend! She always spoke so kindly to him, how could this have happened? Was she really as nasty and shallow as her dumbass brother? Was she really just that good of an actress? As he pondered all this, Ken's rage finally exploded out of him.“That two-faced bitch! Who the fuck does she think she is?! I trusted her! Hell, she would never have gotten a full scholarship without my help! All I ever did was Like her! And after all that, she doesn't even have the decency to turn me down to my face?! What The Fucking Hell? At least her brother was honest about his disdain. She's far worse! I can't imagine how evil she'd be if a person actually offended her?”Slumping back down onto the park bench, every thought that entered Ken's mind brought him lower. Jason was an ass, but then again, he didn't know how to act any different. Uncle Lee was a moron, but then again, he had no malicious intent. But Jacqueline; she was the last straw. He had trusted her, opened up to her, and she repaid him by committing the single most cruel and senseless act Ken could ever imagine. Everything was crashing down around him. As he continued to sulk, Jason's words entered into his mind once more.“I should just do everyone a favor and drop dead; is that what you want, Jacqueline? Seems like you agree with your brother, or you wouldn't have given me that number.”Ken reached into his pocket, withdrawing a folding knife. It had been a high school graduation present to him from his grandfather, before he passed a few months later. A far cry from the typical Swiss Army knife, he unfolded the shiny, four-inch blade, which stood in beautiful contrast to the wooden handle. Inscribed in the wood were Ken's initials. He had not used it for anything yet, never had any need to. As he stared at his reflection in the blade, Ken kept replaying Jason's cruel words in his mind, to do the world a favor and drop dead.“Maybe that's not such a bad idea.” Ken mumbled.Just as he took a firm grip on the handle, preparing to take the knife to his throat, an unfamiliar voice came from off to the side.“Hey!”Gabrielle's Christmas night.Gabrielle Libertine relaxed in a lawn chair, savoring the crisp, cold air of Christmas Eve. This was her favorite time of the year, and being able to enjoy an outdoor showing of her favorite Christmas film, It's a Wonderful Life, made it even better. It all fit in perfectly with her life philosophy: live for happiness. Not only her own, but as much as could be had for the world around her too.“You want the moon? Just say the word, and I'll throw a lasso around it and pull it down.”“Oh, Jimmy Stewart, you charmer you.” Gabby sighed.Soon, her emotions welled up as the hopeless romantic that was George Bailey began to succumb to the pressures and injustices of life. He had blamed his own uncle for destroying their business, lashed out at his wife and children in anger, and gone crawling to his hated rival for a loan. The hardest scenes for her to watch were always the bar fight and the car crash. Still, she always stuck it out. The best was yet to come.Just as George stood atop the bridge, Gabby caught sight of something out of the corner of her eye. A young man of about nineteen or twenty was watching the movie from a distance away, leaning against a tree near the road. His face twisted in angst as he saw the pain on display in the film, and he soon spun around, walking into the nearby park. Gabby couldn't explain why, but something compelled her to follow him and make sure he was okay.Collecting her lawn chair, she walked along the perimeter of the green space, soon arriving at the entrance to the park. As she went, she began to hear angry shouting up ahead of her; it sounded like the young man was in distress. After a few minutes, she came upon the fountain situated in the center of the park. On a bench sat the man from earlier, appearing to be deep in thought. By the glow of the lamppost, Gabby could now get a good look at him. He appeared to be of average height, maybe 5'7”, and had shaggy black hair that seemed a bit unkempt. Still, it's color shone in the light of the park, and his white skin provided for quite a striking appearance. A pair of black horn-rimmed glasses framed his face, which combined with his red MIT hoodie to project a very specific image into Gabby's mind. He had to be incredibly intelligent.As she studied him, she saw the young man pull an object out of the pocket of his jeans. Catching a glimpse of something reflective, she could now see that he was holding a small folding knife. Gabby tensed up and wondered if she should run, but soon decided against it; he didn't seem to have even noticed her presence. In fact, the way he looked at the knife was quite unsettling. It was as if he saw that little blade as his best friend in the world. She knew the look in his eyes. She knew what would happen in a moment if she did nothing. Taking a deep breath, Gabby decided to act.“Hey.”Intervention.Ken was startled by the unfamiliar voice. Looking up, he now saw a woman in her early twenties standing across the way. She gazed at him with intent, but for what reason he did not know. Looking back at her, Ken's typical awkwardness began to kick in, as he could see that she was quite beautiful. Dressed warmly in a black winter coat and blue jeans, she wore a grey knit cap over her long blonde hair. Upon first glance, she appeared to be of some sort of Scandinavian descent, or perhaps German, though Ken couldn't be sure. His mouth went dry as he tried to find the words to speak.“Everything okay?” she asked.“Uh; fine. Why do you, um; why do you ask?”Smiling, she replied, “I saw you over on the green, watching the movie. By the look on your face, you were having a tough time with it. When I saw you walk off towards the park, I felt I should come and see if anything was wrong.”“No, nothing's wrong.”“Good. Then I shouldn't be concerned about the way you're looking at that knife of yours, right?”Shaking his head, Ken answered, “I'm not going to hurt you. Promise.”“That's not what I'm concerned about.”“Wha; what do you mean?” Ken asked, his eyes growing wide.“I've seen that look before,” she said, taking a couple of steps closer. “I am, sadly, all too familiar with it. You were about to hurt yourself, weren't you?”“You don't know a thing about me, lady,” Ken muttered, preparing to leave.“I don't have to know anything about you to be concerned,” she fired back.“Concerned,” Ken snorted. “How could you be concerned about me? You don't even know me!”“Easily rectified. Gabrielle Libertine. My friends call me Gabby,” she said, sticking out her hand with a warm smile. When he didn't respond, she smirked and continued, “This is the part where you tell me your name.”Sighing, he replied, “Ken. Ken Dix.”“A pleasure, Ken,” she said as they shook hands.“So; Gabrielle, eh? You supposed to be my Clarence or something?”With a playful gasp, she responded, “Oh my God! Does that mean you're Jimmy Stewart?! I've had the biggest crush on you for Years!”Ken gave a nervous laugh. “Alright, alright, I walked into that one. But in all seriousness.”“No, I'm not a Guardian Angel or the Word of God or anything like that. Just an average person like you.” Motioning to the bench, she asked, “May I?”“Sure, I guess,” Ken answered, scooting to the edge.“Thanks.” Taking a seat, she continued, “So tell me this, Ken: why would you want to hurt, maybe kill yourself?”His face twisted in pain. “You don't want to know.”“I do. Believe me, I do.”Sighing with reluctance, Ken relented and began to tell Gabby of the events of the day. He started with Jacqueline and Jason, then the confrontation with his uncle, and finally the fake phone number showing Jacqueline's true colors. Through it all, Gabby sat in silence, maintaining eye contact and nodding whenever appropriate. At last, he finished his story, and Gabby could feel her heart breaking within her chest.“Ken; I'm so sorry. I can feel the pain in your voice. No one deserves what you've gone through today. I know it's of little help, but I do understand what you're going through.”“Understand?” Ken said, incredulous. “How could a girl like you understand any of this? I mean, look at you. You're gorgeous, and I bet you've always been popular. Just like Jacqueline. Just like Jason. Just like Uncle Lee. None of you could ever imagine the world I live in.”With a stern look on her face, she replied, “I'm going to choose to let that slide, considering everything you've told me. Still, you need to know that what you just said was quite hurtful. Almost as hurtful as the things that have been said to you today.”Ken recoiled. He knew she was right. “I'm; I'm sorry. You're right; I should never have said that. You've been nothing but nice to me tonight.”“Apology accepted,” Gabby said with a smile. “Humility is a rare trait in men these days. Hang on to that.”Ken thought she might be mocking him, but bit his tongue nonetheless. He had already insulted her once, and he wasn't going to chance a second time.Seeking to turn the conversation to happier topics, she asked, “M I T, huh? You're an awful long way from home, aren't you?”“Huh? Oh, the hoodie. Yeah, I'm a freshman there this year, just home on break right now.”“Nice. Major?”“Health sciences. I want to go to medical school after MIT, though I'm still figuring out a specialty.”“Plenty of time to decide that. I'm sure you'll find the right career path,” she said with a grin.As nice as it was to talk about a familiar topic, a few things still bugged Ken's mind to no end. “I still can't figure it out; why would Jacqueline do this?”Frowning, Gabby replied, “Some people are cruel. Often the ones that are the cruelest disguise it with a kind, warm public demeanor. Jacqueline sounds like she fits that mold to a T.”“And she hid it all that time while we were in school?”“You were useful at the time, in her mind. She wasn't going to chance losing that. Once she got what she needed, she had no more reason to hide her true feelings.”“Yeah, but still. Why be all friendly to me in the store?”“In her twisted mind, she probably felt she was doing you a favor. She wanted to ensure you never tried to contact her again. To a cruel person like her; that's her idea of doing you a kindness,” Gabby replied sadly. “We just have to hope that there's enough real kindness in this world to counteract such cruelty.”Now noticing a silver cross hanging from her neck, Ken pointed to it and asked, “I guess this the part where you start lecturing me about suicide? That I'm being selfish and trying to go against God's plan?”“No,” she replied with simplicity.“No?”“No. Ken, I meant it when I said that I've seen that look before. I know better than most that suicidal thoughts are rarely that simple. There's no switch that can turn them off. It's a tide that must be turned back, bit by bit.”Stunned, Ken started to see that this woman understood what was important in life. Realizing he still had the knife in his hand, he folded it closed and put it back in his pocket.“Bit by bit,” she said with a smile. “My car's around the corner. Is there somewhere I can take you? Where do you live?”“I'm not going home. Not yet,” Ken replied. “Not with my uncles still there.”“No problem. I'm not going to force you.” Thinking a moment, she continued, “It's pretty cold out here. Why don't you come back to my place for a bit?”“That's; unnecessary. I'm fine on my own.”“Nice try, but no cigar,” she said. “I'm not leaving you alone with that knife, mister. And I'm certainly not leaving you alone on Christmas Eve. Nobody should be alone for the holidays.”“Thanks, but; won't your husband mind?”“He would, if I were married.”“Boyfriend?”“Nope, just my townhouse and me. Pretty cozy, all things considered. No problems with you coming over, but I do have one condition.”“And what's that?”Smirking, Gabby replied, “You call your mom right now and tell her you're okay.”Hesitating a moment, Ken soon relented. “Fine.” Tapping his phone, Ken waited as it rang. “Hey Mom, it's me; Yeah, I'm okay; No, seriously. I'm fine; Yeah I'm just hanging with a friend. I probably won't be back ‘til tomorrow; I will; Love you too; Bye.”“See? Now that wasn't so bad, was it?” Gabby teased him.Eying her, Ken asked. “You're seriously okay with bringing me to your home?”“Positive.”Taking his hand, Gabby led him to her car.Gabby's guest.The drive had been silent for the most part. Ken was still trying to comprehend everything that was happening. Who was this woman? Why would she go to such great lengths for a stranger she didn't even know? Gabby seemed to pick up on this, refraining from prodding him for any further conversation. She could tell he was still processing the events of the day. Soon, they arrived at her townhouse complex and pulled into her garage.“Come on in, make yourself at home,” she said as she turned on the lights. “Can I offer you something to drink? Coffee? Hot chocolate?”“Hot chocolate sounds good, thanks.”“Coming right up!”As she hung her hat and jacket up on a rack, Ken couldn't help but stare. He now saw that she wasn't just a pretty face; her entire body was sublime. She wore a tight burgundy sweater and a pair of tight, form-fitting jeans. This ensemble only served to accent her body even further. Her hourglass figure was delectable, her slim waist contrasting with her curvy hips and ample bust. She was also just as tall as him, perhaps a bit taller, with legs for miles. Though Ken had fantasized about some of his classmates, none of them could come anywhere close to Gabby. She was a woman, not a girl, and in the prime of her life no less.“Here you go,” she said, handing Ken a mug.After blowing on the hot drink, he took a sip, feeling the warm liquid spreading through his body. “Thanks,” he sighed.“No problem,” she replied with a smile. “Come on, let's go relax in the den.”She led him into an intimate area with a sofa and a loveseat. The only illumination came from the twinkling multicolored lights on her Christmas tree in the corner. As Ken took in the relaxing surroundings, smelling the delicious scent of her Frazier fir tree, Gabby stepped over to the fireplace opposite the sofa. Flipping a switch, she soon had a comfortable fire roaring from the gas logs. She then sat on the sofa, placing her mug on the side table and patting the spot next to her.“Come sit. I promise I don't bite,” she said with a playful grin.“Um, okay.” he mumbled, scooting as close to the armrest as he could to give Gabby plenty of space.“Tell me about M I T,” she inquired. “You mentioned you want to go into health sciences. Does that include medical school?”“Uh, yeah with any luck. Harvard would be my top choice, but I don't know if I could afford it. But assuming so, my dream has always been to be a brain surgeon.”“Brain surgeon?! That's so cool! They're like; the most badass of all the badass doctors! Not just surgeons, brain surgeons!” Gabby gushed.“It's, uh, not that big a deal,” Ken replied as he blushed with embarrassment.“Well, I could totally see you as a brain surgeon. Don't ever give up on it.”“Thanks.”“So, what then for you, Dr. Dix? What happens once you reach your dream?”Ken began to feel a strange amount of comfort with this woman, and started to open up to her. “Honestly; I don't know. I mean even if I become a brain surgeon, I'm still hopeless around girls. Maybe Jason's right. I'm gonna die a virgin.” Realizing what he had confessed to her, he turned to Gabby and blurted out, “Not that it's your problem, or anything. S-sorry, I just; I shouldn't have gone that far.”Gabby just smiled and moved closer to him, brushing her hand against his arm.“Don't worry about it. You have goals, both personal and professional, but aren't sure exactly how to achieve them. So you're a virgin. That's nothing to be embarrassed about, and it's healthy to express your anxiety about it. That can help you overcome your fears. In all seriousness, I think you underestimate yourself, Ken.”“Underestimate myself?”“Of course,” Gabby replied. “You're smart, considerate, polite, you even held the car door for me earlier! Any girl you'd want to be with is gonna swoon at traits like that. I can also tell that you still think of yourself as unattractive, but I disagree. You wear glasses, yes, but that doesn't make you a dork. Your hair is a little shaggy, but not greasy or anything. You may not have a tan, but your skin complexion is damn near flawless. You have nothing to be ashamed of, be it your looks or your personality.”“You're about the only woman who thinks so,” he sighed.“Doubtful, but if it's that big a worry for you, I can give you a couple of pointers, if you like.”“Um, oh, okay I guess.”“Great! Okay, so you definitely give off the ‘geek' vibe, but that's not a bad thing. Don't fight it; own it.”“How?”“Well, you can make just some slight alterations to your outward appearance that can change the way others see you. For example, you could switch to wire-framed glasses instead of your horn-rimmed ones. Your hair is a great color, and would do well in a short, clean-cut style, if I do say so myself. You can also change out your usual t-shirts for some casual polo shirts.”“So; the secret to getting women to notice me is to change who I am?” Ken asked, feeling more than a little offended.Cocking her eyebrow, Gabby replied, “Are you saying your glasses, hair length, and shirt choices define who you are?”“Oh, uh; fair point,” Ken conceded.“See? Humility. Such a rare quality these days,” Gabby said with a grin. “To be honest, all the changes I suggested are things my brother did a couple of years back. He was a complete geek, maybe even bigger than you. The poor boy was helpless around the fairer sex. But after he made these changes, he no longer came off as the socially awkward geek. He came off as a self-assured, confident geek, one who loves himself for who he is. I see that potential in you, Ken.” Grabbing her iPad from the side table, she pulled up a couple of pictures for him. “See? Here's before. And here's after.”“Woah,” Ken marveled. He could see the drastic difference. The guy hadn't done anything to make himself stronger or bulkier, nothing to increase his manliness, but the things he did change just popped in all the right ways. Was it really that simple?“That's great and all, but can new clothes and a haircut get rid of social awkwardness? I still don't have even a shred of confidence around women,” Ken said.“They can help, but a change in your mental confidence is completely based on your willpower. You have to love yourself as much as you want others to love you. If you don't, everyone else will pick up on it.”“Knew there was a catch.”Gabby bit her lip in frustration. There had to be a way she could give him the confidence boost he needed to love himself, but how? Getting one somewhat crazy idea, she moved closer to Ken.“I'm guessing from your previous statements that; you've never kissed a girl before. Is that right Ken?”Poor Ken Dix didn't even know what had hit him. Here he was, sitting with the most beautiful woman he'd ever laid eyes on, and the unthinkable was beginning to happen. She was moving closer, running her fingers through his hair, and now wanted to know if he'd ever been kissed! This was too much, way beyond any of his hottest dreams. Unable to find the words to respond, he managed to slowly nod his head.“Close your eyes,” she instructed in her sweet voice. When he only blinked in reply, she whispered, “Close; your eyes, Ken. Trust me.”Guided by an unseen force, Ken felt compelled to obey her. His eyes finally fluttered closed, and his breathing became more labored in anticipation of what was to come. A small part of him doubted that she was being truthful, thinking that she'd fake him out just like Jacqueline had. Those doubts were soon quashed, as he felt the warm sensation of Gabby's face leaning close to his. He could feel her breathing. He could smell her perfume. If there was a God, Ken prayed, then and there; that He could make this incredible moment last forever.After what felt like eons, Gabby finally released their building tension and touched her lips to Ken's. Her kiss was soft at first, allowing him to savor the new sensations he was feeling. Ken was so terrified and excited all at once that he could barely even move his lips in reply. Not that it mattered to Gabby. She had expected his fear, and made sure to keep her technique simple yet enjoyable. After around thirty seconds, she withdrew at last, her face aglow in the Christmas tree light.“Wow,” Ken managed to mutter as he opened his eyes. He soon noticed that he couldn't see Gabby at all; his glasses had fogged up from their kiss.“Here, let's just take these off,” Gabby said with a giggle. She slipped his glasses off and laid them on her side table. “Now then, since we've gotten your first kiss out of the way, ready to really dive in?”“Dive in to what?” Ken asked, his nerves beginning to fray.“Kissing, silly! You do know there's much more to it than what we just did, right?”“More?”“Of course! Look, one day you'll get the prime opportunity to kiss a special lady, and I want you to be ready when that chance comes.”To be continued in part 2, based on a post by auguy86, in 2 parts for Sex Stories.
Today on Crina and Kirsten Get to Work our badass duo gets up close and personal with an exercise created by social scientist, author and speaker Alison Fragale. Fragale has written a great book, How to be a Likeable Badass. Fragale suggests one of the keys to being a likeable badass is asking for what you want—boldly, frequently, and strategically -- and she has developed an exercise on asking - the No Challenge. The Challenge: Get 10 Nos The idea? Ask for things you want until you get 10 rejections. Why? Because asking builds resilience and rejection isn't as painful as we think. What should you ask for? Well, anything you want - from asking your partner to not only make dinner, but also clean up to a raise or more flexibility, maybe a sabbatical, or how about just an upgrade to your hotel room? This exercise illustrates that when we ask, we get more of that we want, build confidence around asking, learn more about the nuances of rejection (may the no is only for now but a yes may come later, maybe there is no to the ask, but yes to something else or maybe the question creates an opportunity for connection and better understanding). And the more we ask, the less likely we are to leave opportunities on the table. Not to say it is not hard to ask - it sure is. We feel vulnerable. We assume that people dislike us for asking, which is actually an incorrect assumption. Asking someone for a favor makes them like you more, not less. People enjoy being helpful, and they're happier than we assume when they get the chance to say “yes.” We overestimate how much we will inconvenience people and we fear loss more than we crave gain. Rejection stings—literally. Studies show social rejection lights up the same part of the brain as physical pain (some researchers even tried treating it with Tylenol—yes, really - and that worked at lessening emotional pain). Likeable badasses don't wait for success to be handed to them—they ask for it. And if they hear “no” along the way? They shake it off, pop a Tylenol, and keep going.
David Johnson, CEO and co-founder of Genexa, the first “clean medicine” company disrupting the over-the-counter pharmaceutical industry, shares how his background, experience as a parent, and passion for health led him to co-create Genexa, a company that removes unnecessary artificial fillers, dyes, and allergens from common medications. We discuss why conventional medications contain so many artificial ingredients, how Genexa is changing the industry, and what's next in the clean medicine movement. We TALK ABOUT: 05:00 - What inspired David Johnson to co-found Genexa 08:00 - The shocking ingredients in conventional medications 13:00 - The harmful fillers, dyes, and allergens in OTC medications 17:00 - How Genexa is challenging pharmaceutical giants like Tylenol 22:00 - The role of consumer demand in changing the “Big Pharma” industry 26:00 - Why parents care more about clean medicine than ever before 29:00 - Managing fevers naturally vs. using medication 36:00 - Genexa's surprising role in the Canadian Tylenol shortage 43:00 - The connection between clean medicine and sustainability 46:00 - What's next for Genexa, including expansion into Target and Walmart SPONSORS: Your smile deserves a glycerin-free and fluoride-free toothpaste from Wellnesse. Use my link to get 12% OFF. RESOURCES: Optimize your preconception health by joining my Baby Steps Course today! Optimize your preconception health and fertility through my free hormone balancing, fertility boosting chocolate recipe! Download it now! My Amazon storefront Genexa's website and Instagram LET'S CONNECT: Instagram, TikTok, Facebook Shop my favorite health products Listen on Spotify, Apple Podcasts, YouTube Music
In this episode, Tom and Simon engage in a lively discussion recorded at different times due to their geographical locations—Scotland and Australia. They start with a light-hearted exchange about challenges related to time zones and move on to discuss different crime cases that the deep dive team worked on this week. Cases include the use and misuse of psychics and mediums, historical crime cases like the Castle Hill Rebellion, as well as recent and historical murder cases. Specific cases such as the Ruxton Murders and the Tylenol cyanide contamination case are discussed in detail, exploring the impacts and the human stories behind them. Tom also shares personal anecdotes, including meeting a nurse who draws comfort from spiritual experiences and his own struggles following the death of his daughter. The episode talks about balancing the sensitivities of victims' families with the needs of justice and public information. Additionally, both hosts reminisce about motorbike trips and reveal their mutual interest in history and culture. They conclude the episode by discussing the importance of not letting historical biases impact ongoing investigations and highlighting the evolution of modern policing, aided by anecdotes from their own careers. Lastly, Simon successfully answers Tom's quiz questions, much to his relief.00:00 Morning Greetings and Time Zone Challenges00:22 Scottish Heritage in Mackay01:02 Deep Divers' Diverse Cases01:26 Psychics, Mediums, and Charlatans04:35 Personal Experiences with Spiritualism11:52 Contamination and Extortion Cases15:35 The Agather Case and Poisoning26:00 Publicity and Victim Sensitivity29:49 Southport Murders and Media Management31:43 Norway Island Massacre32:37 The Shocking Case of Anders Breivik36:04 Norwegian Police Response and Public Inquiry41:19 The Castle Hill Rebellion and Its Impact48:12 The Tragic Case of Khandalyce Pearce57:41 Quiz Time: Testing Knowledge on Scottish Crime01:01:59 Conclusion and Farewell Hosted on Acast. See acast.com/privacy for more information.
"Mind Over Murder" co-hosts Bill Thomas and Kristin Dilley offer our observations about of the new HBO true crime documentary series "Burden of Proof," which covers the disappearance of 15 year old student Jennifer Pandos who went missing from her parent's home in Williamsburg, Virginia in February 1987. This is Part 5 of our discussion of Burden of Proof, and originally ran on July 17, 2023.We also begin a discussion of the 40 year old Tylenol Murders case. With the death of longtime Tylenol suspect James Lewis in Cambridge, Massachusetts, is this the end of the line for this case? Could other suspects been involved as accomplices, or was Lewis guily of attempted extortion of Tylenol manufacturer Johnson and Johnson and nothing more? Should Mind Over Murder dig into this case? What you think?Burden of Proof | Official Website for the HBO Serieshttps://www.hbo.com/burden-of-proofJennifer Pandos website:https://jenniferpandos.com/index.htmlTips contact retired investigator Wendi Reed: thewendireed@gmail.comContact JCCPD Investigator Jake Rice: (757) 253-1800WTKR News 3: One year after development in Colonial Parkway Murders, where do things stand?https://www.wtkr.com/news/in-the-community/historic-triangle/one-year-after-development-in-colonial-parkway-murders-where-do-things-standWon't you help the Mind Over Murder podcast increase our visibility and shine the spotlight on the "Colonial Parkway Murders" and other unsolved cases? Contribute any amount you can here:https://www.gofundme.com/f/mind-over-murder-podcast-expenses?utm_campaign=p_lico+share-sheet&utm_medium=copy_link&utm_source=customerWTVR CBS News: Colonial Parkway murders victims' families keep hope cases will be solved:https://www.wtvr.com/news/local-news/colonial-parkway-murders-update-april-19-2024WAVY TV 10 News: New questions raised in Colonial Parkway murders:https://www.wavy.com/news/local-news/new-questions-raised-in-colonial-parkway-murders/WTKR News 3: Colonial Parkway Murders podcast records in Yorktown:https://www.wtkr.com/news/in-the-community/historic-triangle/colonial-parkway-murders-podcast-records-in-yorktownAlan Wade Wilmer, Sr. has been named as the killer of Robin Edwards and David Knobling in the Colonial Parkway Murders in September 1987, as well as the murderer of Teresa Howell in June 1989. He has also been linked to the April 1988 disappearance and likely murder of Keith Call and Cassandra Hailey, another pair in the Colonial Parkway Murders.13News Now investigates: A serial killer's DNA will not be entered into CODIS database:https://www.13newsnow.com/video/news/local/13news-now-investigates/291-e82a9e0b-38e3-4f95-982a-40e960a71e49WAVY TV 10 on the Colonial Parkway Murders Announcement with photos:https://www.wavy.com/news/crime/deceased-man-identified-as-suspect-in-decades-old-homicides/WTKR News 3https://www.wtkr.com/news/is-man-linked-to-one-of-the-colonial-parkway-murders-connected-to-the-other-casesVirginian Pilot: Who was Alan Wade Wilmer Sr.? Man suspected in two ‘Colonial Parkway' murders died alone in 2017https://www.pilotonline.com/2024/01/14/who-was-alan-wade-wilmer-sr-man-suspected-in-colonial-parkway-murders-died-alone-in-2017/Colonial Parkway Murders Facebook page with more than 18,000 followers: https://www.facebook.com/ColonialParkwayCaseYou can also participate in an in-depth discussion of the Colonial Parkway Murders here:https://earonsgsk.proboards.com/board/50/colonial-parkway-murdersMind Over Murder is proud to be a Spreaker Prime Podcaster:https://www.spreaker.comJoin the discussion on our Mind Over MurderColonial Parkway Murders website: https://colonialparkwaymurders.com Mind Over Murder Podcast website: https://mindovermurderpodcast.comPlease subscribe and rate us at your favorite podcast sites. Ratings and reviews are very important. Please share and tell your friends!We launch a new episode of "Mind Over Murder" every Monday morning, and a bonus episode every Thursday morning.Sponsors: Othram and DNAsolves.comContribute Your DNA to help solve cases: https://dnasolves.com/user/registerFollow "Mind Over Murder" on Twitter: https://twitter.com/MurderOverFollow Bill Thomas on Twitter: https://twitter.com/BillThomas56Follow "Colonial Parkway Murders" on Facebook: https://www.facebook.com/ColonialParkwayCase/Follow us on InstaGram:: https://www.instagram.com/colonialparkwaymurders/Check out the entire Crawlspace Media network at http://crawlspace-media.com/All rights reserved. Mind Over Murder, Copyright Bill Thomas and Kristin Dilley, Another Dog Productions/Absolute Zero ProductionsBecome a supporter of this podcast: https://www.spreaker.com/podcast/mind-over-murder--4847179/support.
The Unsolved Mystery of the 1982 Chicago Tylenol MurdersIn this week's episode of Crime Time, Inc., we delve into the chilling and unsolved case of the 1982 Chicago Tylenol murders. Seven people lost their lives due to potassium cyanide-laced Tylenol capsules, leading to a nationwide panic and a significant shift in consumer safety practices. Despite extensive investigations and a prime suspect, James Lewis, no one has been officially charged with the crimes. The episode covers the timeline of events, the victims, the public's reaction, the impact on product safety, and the complex investigation that left the case unsolved. Join us as we explore this case that continues to perplex and haunt investigators and the public alike.00:00 Introduction to the 1982 Chicago Tylenol Murders00:22 Setting the Scene: The Tragic Events Unfold01:35 The Immediate Impact and Public Response04:19 The Investigation Begins: Tracing the Cyanide05:32 James Lewis: The Prime Suspect07:38 Unsettling Details and Theories10:58 The DNA Evidence and Other Suspects12:20 The Lasting Impact and Unresolved Mysteries16:47 Conclusion and Upcoming Episodes Hosted on Acast. See acast.com/privacy for more information.
Mike Mooney was part of the executive ecosystem behind NASCAR. As an award winning executive, he built and protected the global reputations of such brands as Mercedes-Benz, 3M, NASCAR, Sunoco, Tylenol, and Walmart. Author of the breakthrough book, “Reputation Shift- Lessons from Pit Road to the Boardroom,” Mike speaks with Dr. Karen about the leadership … The post NASCAR and Other High Speed Brands: Interview with Mike Mooney (Episode # 334F) first appeared on TRANSLEADERSHIP, INC®.
In this week's revisit episode, we're talking about being BEHIND. But we're NOT talking about how to catch up on the mountains of stuff you're behind on. No time management — No delegating — No uber-efficient productivity plans. In reality, those are all Tylenol.
Meet Pepe Muñoz, the artist whose path from professional dancer to renowned fashion illustrator and now Broadway performer will leave you inspired. With a career marked by intuition and bold risks, Pepe has seamlessly merged his passions for movement and visual art. From collaborating with Céline Dion to gracing the stages of Paris Couture Fashion Week and Broadway's Moulin Rouge, Pepe's story is a testament to the power of embracing one's versatility and trusting the universe's plan. Connect with Pepe on Instagram and TikTok. Make sure to follow this podcast everywhere you find podcasts, leave a rating and a review, and slip into our Instagram DMs at @wasitchance. More about Heather via her website and connect with her on LinkedIn, YouTube, and BlueSky. Listen to The Brave Files More about Alan via @theatre_podcast on Instagram and listen to The Theatre Podcast with Alan Seales Key Episode Takeaways: Intuition guides purpose: Pepe's decisions, from quitting a stable job to pursue illustration to taking on new performance roles, have been led by a strong trust in his gut feelings. Versatility is strength: Rather than limiting himself to one field, Pepe has allowed his various skills in dance, illustration, and theater to fuel his creative journey. Hard work meets opportunity: While Pepe has certainly seized chance opportunities, he emphasizes that his success stems from a foundation of relentless hard work and dedication. Self-definition holds power: Pepe believes that the labels you choose for yourself carry greater significance than external measures of success. Openness allows growth: Even at the height of his Broadway success, Pepe remains open to the universe's next path and how his skills can continue to evolve. Support nurtures the soul: Pepe credits his husband with providing constant reminders of his worth, highlighting the importance of a strong support system in any creative endeavor. Learn more about your ad choices. Visit megaphone.fm/adchoices
Topics: Brittany Mahomes baby names and why they're problematic, Jessica Simpson is getting divorced and breaking down other celebrity prenups, Lindsay Hubbard's swipe at Dorinda on Not Skinny but Not Fat podcast, being friends with neighbors, expired medications and what's not safe to takeSponsors:Arya: Visit Arya.fyi and use code TAYLOR for 15% offBoll & Branch: Get 15% off, plus free shipping on your first set of sheets at BollAndBranch.com with promo code TAYLORSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Getting Through the Tough Times Oh the nights are so tough! Have you been there? Have you laid in the utter darkness and the quiet is deafening, the pain is unbearable, and you feel like you will ever get through this moment of phantom pain? Yep, the reality is, we all go through it at some point or another, to varying degrees. The last two nights, for me, have started great, I feel asleep and wasn't feeling anything in the way of phantom pain. However, as soon as I shift, the sensations would start and the I couldn't shut them off! It's almost unbearable. To sit in the dark, feeling like your body is screaming out loud, and no one else knows. My husband, laying right next to me, has no idea what I am feeling or that I am even going through this.... and he won't know until morning. Have you experienced this? How about when you are out and about in a crowded store or venue, and your limb is on fire, or a sore within your socket is rubbing raw and stinging? And no one knows the pain you are feeling as you stand in line at the grocery store? Such is the life of an amputee. It comes and goes. Most of the time there is no warning, it just comes at you. So how do you deal with this, seeing as this is your life now? First off, we all deal with pain differently, what works for one person won't work for another. As you experience these "episodes" you will learn what works for you (oh, and for added fun, what worked last time for you might not work the next). You can only prepare yourself for the mental battles ahead. Communicate. Let the people around you know how you are feeling and what you need. They can't see what's happening within you and not everyday, all day is bad. Make sure you speak up and not assume they understand. Build mental toughness. Use positivity and positive self-talk to get through hard times. You can redirect how your brain process what you are going through by the way you address it, internally and out loud. Try not to fall back on medications every time you feel "out of sorts". This goes for people dealing with the average phantom sensations/pains. I do not know what you've been going through and what you have been prescribed, so you need to do what you need to do but I will tell you that I will only use Tylenol or Advil once in a blue moon, when all else fails and when I can't take anymore. There is no right way to handle an episode, but if you can stay away from prescription medication, and start leaning on your own devices to handle the mental situation, then do it. You'll be stronger in the long run and your body will thank you. These moments are truly times to develop your mental toughness. Sometimes we just need to hit them head on to become a stronger version of ourselves so we are ready for the next battle. Finding time for myself to breathe and let go, helps me thru hard times Don't forget you were made to fight, and survive. You are a Warrior, you just need to unleash its within you and believe that you are strong enough to handle it. Rise up, Warrior, and face your battles with inner strength! You can do it, and you are not alone! I pray you have a wonderful week ahead, And as always, Be Healthy, Be Happy, Be YOU!!! Much love, Remember: You are Beautiful, so just Be-YOU!
In this episode, we're diving into the world of natural remedies for period pain, moving away from NSAIDs and quick fixes like Tylenol. Many of us have experienced the vicious cycle of relying on these medications for pain relief, only to face short- and long-term side effects like gut issues and ovulation disruption. It's time to take a closer look! For those with endometriosis or severe period pain who feel they need NSAIDs for immediate relief, we completely understand and honor your choice. Pain management is deeply personal, and relief is essential. Our goal here is simply to raise awareness about the potential negative side effects of these medications and highlight the importance of addressing the root cause of inflammation. Instead of just masking the pain, we're here to help you build a holistic pain relief toolkit that supports your health. From turmeric lattes to magnesium lotions and even heating pads shaped like uteruses (yes, really!), we're exploring natural remedies that manage pain, reduce inflammation, and support your hormones—without the negative health side effects. TOPICS COVERED ➡ The hidden risks of ibuprofen and NSAIDs for women ➡ Why addressing the root cause of period pain matters ➡ Ginger (teas, capsules, pastes) ➡ Turmeric + black pepper for better absorption ➡ Magnesium (lotion, sprays, and supplements) ➡ Omega-3 fatty acids ➡ Red raspberry leaf tea ➡ Heat therapy: heating pads and warm baths ➡ Red light therapy and its benefits for uterine health ➡ CBD products for period pain ➡ Herbal tinctures like cramp bark for muscle relaxation ➡ Building a proactive, holistic approach to hormone health EPISODE RESOURCES ➡ Wenatal Omega 3 DHA+ www.wenatal.com/balancedbeyars ➡ Paleo Valley Superfood Golden milk latte and Turmeric Supplements https://www.paleovalley.com/?pc=pvpartners&oid=26&affid=897 ➡ Tinctures ➡ Tradicional Medicinals Red Raspberry Leaf Tea https://www.traditionalmedicinals.com/products/raspberry-leaf-tea?srsltid=AfmBOootxGWYvUamBFehejGPwN7BITLeWkE-wNHQbJF1HBClMyefg5pH ➡ Cured Nutrition Salve for Relief https://glnk.io/p996x/alaina-carly-julie code BALANCEDBEYARS ➡ Red Light Therapy https://www.biolight.shop?sca_ref=2845809.39bKHsD3TY code BALANCEDBEYARS ➡ Hummingway Cycle Soother Patches https://ourhummingway.com/product/cycle-soother-patch ➡ Thorne Phytoprofen (Swapped for IBuprofen or Advil) https://www.thorne.com/u/balancedbeyars ➡ Boiron Cycle Ease Line (Homepathics) https://www.boironusa.com/product/cyclease-cramp/?srsltid=AfmBOoqdsJxCWsSxEtLKhDgtNiDp7CnL-I0eYQ4g6vHmMHNazcQub0CU ABOUT US We're Carly, Alaina and Julie Beyar- Three sisters, certified in Fertility Awareness and Hormone Health, helping women transform their menstrual health, fertility, and mindset. Naturally. Holistically. Sustainably. And with a healthy dose of humor. From fertility to postpartum, and everything in between, join us every Wednesday for candid conversations, empowering insights, and the occasional dose of laughter. SUBSCRIBE NOW for a journey through the phases, where we keep it real, relatable, and always entertaining...and don't forget to RATE US & REVIEW ⭐ We appreciate YOU! LET'S CONNECT ➡ Instagram https://www.instagram.com/balancedbeyars/ ➡ Join our weekly newsletter https://www.balancedbeyars.com/subscribe-now ➡ Website https://www.balancedbeyars.com
In this captivating episode of the RWS Clinician's Corner, we talk with Dan Clark - CEO of Brain.fm - and dive deep into the fascinating world of sound and its profound impact on your neurology. Join us as we explore the secrets behind achieving flow states, enhancing productivity, experiencing deep recharges, and achieving better sleep through the power of sound. Learn how this revolutionary technology sets itself apart from binaural beats and similar tools, opening up new possibilities for improving our well-being. In this interview, we discuss: How to use Brain.fm for exercise recovery The functionality of Brain.fm (particularly for those with auditory issues) Technical aspects of Brain.fm such as using sounds that target the brain's prefrontal cortex and aid neurological stress, as well as how it improves creativity and productivity Using Brain.fm to support special conditions like ADD, ADHD, anxiety, insomnia, and a whole variety of neuro-divergent conditions Clinical applications and research Potential use of Brain.fm in trauma therapy and pain reduction The Clinician's Corner is brought to you by Restorative Wellness Solutions. Follow us: https://www.instagram.com/restorativewellnesssolutions/ Join us for our free, four-day virtual event: The Clinical Success Showcase, January 27-30th. Register here. Connect with Dan Clark: Website: www.Brain.FM LinkedIn: https://www.linkedin.com/in/danclark-brainfm/ Timestamps: 00:00 Brain FM enhances focus and creativity. Serendipity. 06:26 Evolved from tech builder to Brain.fm enthusiast. 13:28 Focus and modulation occur subtly yet powerfully. 18:58 AI audio creates brain modulation like binaural beats. 25:55 Users claim Brain fm reduces drug dependency. 30:45 Many misdiagnose ADHD; discovered through questionnaires. 33:31 Join Clinical Success Showcase for real case insights. 37:48 Technology reduces recovery and advances Alzheimer's research. 44:11 Sound-canceling headphones recommended for relaxation and meditation. 51:40 Brain FM enhances focus, relaxation, and meditation. 56:45 Perception impacts effectiveness, like with Tylenol. 01:01:42 Start with relaxation or meditation for focus. 01:06:26 Join, follow, review, share and email suggestions. Speaker bio: Dan Clark is a serial entrepreneur, traveler and the CEO, Brain.fm, an innovative technology company that helps users be more productive through the use of functional music created by composers and artificial intelligence. Daniel has been in love with technology and its potential to positively impact the world for as long as he can remember. From building websites when he was 13, starting a design and advertising business at 18 and driving millions in revenue for multinational brands as a director for a boutique ad agency, he has truly been at the forefront of how technology can exponentially grow successful businesses. One of Brain.fm's first users, he called the company 12 times before they agreed to bring him in for an interview. When he did receive an offer, he jumped at it (even working for free for the first few weeks). He eventually moved up to Head of Technology, and is now the CEO. As CEO, Daniel is constantly striving to build a company that can not only change the world through music, but also be one of the best companies for people to work for and grow with. Daniel has visited over 20 countries and stepped foot on all 7 continents. Disclaimer: The views expressed in the RWS Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of Restorative Wellness Solutions, LLC. Restorative Wellness Solutions, LLC does not specifically endorse or approve of any of the information or opinions expressed in the RWS Clinician's Corner series. The information and opinions expressed in the RWS Clinician's Corner series are for educational purposes only and should not be construed as medical advice. If you have any medical concerns, please consult with a qualified healthcare professional. Restorative Wellness Solutions, LLC is not liable for any damages or injuries that may result from the use of the information or opinions expressed in the RWS Clinician's Corner series. By viewing or listening to this information, you agree to hold Restorative Wellness Solutions, LLC harmless from any and all claims, demands, and causes of action arising out of or in connection with your participation. Thank you for your understanding.
Abigail's first pregnancy turned into a life-threatening birth experience with undetected gestational diabetes and a traumatic ICU stay. On top of that, she unexpectedly had to move homes just two weeks postpartum. Abigail quickly developed intense postpartum depression and struggled to make sense of what happened to her. She was sure she would never have kids again, but after therapy and healing, she and her husband found themselves wanting another baby three years later. Abigail became pregnant right away, and she knew this time would be different. This time, things would be better. From the meticulous monitoring to the candid conversations, Abigail felt heard and supported throughout her entire pregnancy. Her gestational diabetes was detected and very controlled. While a scheduled C-section seemed to be a logical choice, she knew her heart wanted a VBAC. She was able to go into spontaneous labor and pushed her baby girl out in just 13 minutes!How to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Welcome to the show, everybody. We have our friend, Abigail, from California with us today. She is a 27-year-old stay-at-home mom with a 4-year-old daughter and a 7-month-old son. She experienced a very unfortunate, traumatic experience with her first which really left her not really sure that she wanted any more kids. She's going to dive more into her wild experience, but she had a COVID pregnancy. She had a lot of different stresses through the pregnancy, especially at the beginning– gestational diabetes, preeclampsia, and so many things with her first that really taught her a lot, and had a wild birth experience. Then the second time, she ended up getting gestational diabetes again, but did a lot of different things to improve her outcome like hiring a doula, getting a supportive provider, and all of that. We are going to turn the time over to her in just one moment, but I do want to quickly in place of the review share a couple of tips for gestational diabetes. If you guys have not heard about it so far, check out Real Food for Gestational Diabetes by Lily Nichols. It is absolutely incredible. It is less than 200 pages long. It is a fantastic read and filled with a lot of really great information and studies. She also talks about prenatals, so I wanted to remind everybody that we have a partnership with Needed who we just love and adore. We do have a promo code for 20% off. You can get your 20% off by using code VBAC20. Definitely check that out.Then we are going to be including a lot of things in our blog today like third-trimester ultrasounds, sizes of baby, and gestational diabetes so make sure to dive into the show notes later and check out what we've got. Okay, my darling. I'm so excited for you to share your stories today. I feel like there's part of your story that I want to point out too before you get going, and that is that sometimes you can plan the most ideal birth scenario, and I'm not going to talk about what this scenario is, but a lot of people are like, “Do this. Do this. Do this.” Sometimes you plan it, and then your care falls short or something happens and plans change. If you guys are listening, I just want you to dive in. As you are listening to Abigail share her stories, listen to how sometimes things change and what she did, and then what she did differently to have a different experience. Okay, Abigail. Abigail: Hello. First of all, I just want to say that I'm really happy to be here today. Thank you for having me today. Meagan: Me too. Abigail: Yeah, I guess let's just dive right in. Meagan: Yeah. Abigail: First thing is I am a stay-at-home mom, so my mom is out in the living room with my babies right now, and at this point, my son is 7-months-old, and we are having a really good time over here. I just want to start by saying that. Basically to start with my story, I got pregnant for the first time in January of 2020. Everybody knows what else happened in 2020. I was, I think, about 12 or 13 weeks pregnant when everything completely shifted. Everything started to shut down. There was a chance that I was going to get laid off of work which I did end up getting laid off of work about a week later. It was not a fun time. My husband and I had an apartment. We lived in a place we had just moved to. We had been there for about 3 years. We had a roommate, and everything was totally fine. Everybody worked full-time. I was working out regularly. We had a pretty chill life. Go to the farmer's market on the weekend. I was really excited when I found out I was pregnant. I was like, “Okay, yeah. We are going to bring a baby into this. Let's do it. I love what we're doing.” So again, everything completely shut down and shifted. Our roommate decided he wanted his own space, so he gave us a 30-day notice. We were stuck in a situation where they were raising our rent because our lease was up. We would have had to re-sign. It would have cost us more and everything, so we were looking at having to move because our roommate was moving out. It was all not a very fun time, so we decided to move back to where we were from, rent a room from a family member, and stay with them for the time being. They had a little bit of extra space for us. We thought it would be totally fine and everything. We moved when I was about 20 weeks pregnant. Up until that point, I had regular OB care at a regular office. I had done all of the blood work and everything and the ultrasounds and the anatomy scan and everything up until 20 weeks. When we moved, I decided, “Okay, I think I want to have the baby at home, especially now since the pandemic.” I don't know that I really wanted to go to the hospital, but I wasn't sure that I wanted to do that to begin with. I grew up in a community where home birth was pretty normal. My mom had my younger brother at home. Several of my friends were born at home and their siblings when we were younger. It was a pretty normal thing to me. I reached out to a team of midwives. I talked to them, and got everything set up. I started doing appointments with them. They were coming over to my house fairly frequently. It was pretty nice doing the regular blood pressure checks and the urine samples with the little sticks, and all of that stuff. When it came time for the gestational diabetes testing, I was like, “Okay, is this something I have to do?” I didn't have my insurance set up at that point or anything because we had just moved so we would have to pay out of pocket for it. I would have to go sit in some lab or office some place. Again, during COVID, while I was pregnant, I was like, “I don't know. If I don't have to do it, I don't want to. If I have to, I will. What are we doing here?” They were like, “Well, you're low-risk. These are the risk factors. If you don't want to do it, you don't have to. You just have to sign this form.”I was like, “Okay, cool. I'll sign the form. Seems easy enough.” I totally skipped the gestational diabetes testing. That was on me, but it wasn't on me at the same time because I don't feel like I was given proper informed consent. There was a team of three midwives plus a student, so a total of four that I was seeing. One of the midwives ended up getting switched out at about that point, so it ended up being the student, the same original two, and then one newer one. Everybody was really nice. They were coming over and checking on me and doing all of the things that I thought they were supposed to be doing. I was not weighing myself. We did not have a scale. Again, they didn't tell me that it is important to make sure that you're not gaining too much weight at a time or anything like that. What happened was, I started gaining a lot of weight, but I didn't really realize just how much weight I was actually gaining. I was like, “Oh, I'm pregnant.” I quit going to the gym. I can't even hardly do anything. It's hot out. It's summertime. I was pregnant from January to September, so the bigger I got, the hotter it got.I didn't do much, so I was like, “Whatever. I've gained some weight. It's not a big deal.” I was a pretty small person to start with. Just for reference, I'm 4'8”, and I was 95 pounds when I got pregnant initially, so really small. It started becoming concerning because toward the end of my pregnancy, and toward I guess not even the end, the beginning of my third trimester, I started getting really swollen. Like, really swollen. My feet and my legs up to my knees– not just my feet, but my calves and everything were pretty swollen. Toward the end of my pregnancy, I had swelling up to my thighs. I'm being told this is normal. I'm 23. I've never been pregnant before. I don't have any support groups or anything going because it's COVID. Nobody wants to talk to anybody or do anything. It was a little frustrating for me because they were like, “Just put your feet up. Soak your feet.” If I soaked my feet, they got more swollen. I was not taking proper care of myself either. I went from exercising and eating right and doing all of the things that you are supposed to do to sitting at home and eating a lot of fast food and not walking. I was not having a great time mentally either. We were living some place I didn't want to be living. It was all of it. I didn't think too much of it. Again, I'm like, “Well, I'm being told this is normal. I'm gaining some weight. It's fine.” At one point, one of my urine tests that they did came back positive for glucose, and they were like, “Well, what did you eat for breakfast?” When I told them, I was like, “I had some waffles. I had some orange juice,” and whatever else I had, they were like, “Oh, you just had some orange juice before you got here. That's fine.”I was like, “Okay.” They didn't think to check it again. I didn't think to get a second opinion or anything. At one point toward the end of my pregnancy, I had a blood pressure reading that I checked myself at home with the little wrist cuff. That was really elevated. It was the end of the day. I texted the midwife. I was like, “Hey, my blood pressure is really high.” She was like, “What did you do today?” I was like, “I didn't really do much. I ate this for lunch. I had some soda.” She was like, “Okay, well that's probably fine. Just rest and check it again in the morning.” I checked it again in the morning, and it was still relatively normal, so they didn't do anything. One of the midwives came over at one point and dropped off some herbs for me that they wanted me drinking like some tea or something like that because I was getting swollen. I was standing outside talking to her, and she was like, “Oh my god, I can see your feet swelling up while we are standing here. You need to go back inside and put your feet up.” Again, nobody thought anything of it. How four people missed all of this, I don't know. I feel kind of like the student may have been more concerned, but didn't really know how to say anything or anything, just looking back on the facial expressions she would give and things like that. I go into labor right at 40 weeks. I am planning a home birth. Everything is set up for that. I've got the tub at my house. We've done the home birthing class and how to get everything set up. We've done all that. There was no backup plan in place. They did not suggest that I have one. Again, I did not know any better at the time. I was told that if there was some kind of emergency, I would go to this hospital. That was as far as it went. I didn't have a backup bag ready. I didn't have a hospital bag ready. I didn't have anything planned. There was no, “Hey, this is what we watch out for. This is what you might go to the hospital for.”I go into labor at 3:00 AM. Honestly, contractions started, and they were immediately painful. I've never done this before. I'm like, “Okay well, maybe we're just starting out harder than I thought. That's fine. Maybe there's not going to be early labor.” I labored for a couple of hours. I was really uncomfortable, so I called the midwives. They came over. They checked, and they were like, “Okay, you're only at 2 centimeters, and this is seeming like early labor.” I'm like, “This really painful. I'm not having a good time. This does not feel okay at all.” They checked my blood pressure. My blood pressure was through the roof. They waited a little bit, checked it again, and it was even higher the second time. They were like, “Okay well, this is out of our care. You've got to go to the hospital now.” I'm like, “What do you mean I've got to go to the hospital? That's not part of the plan here. We don't even have a plan B or anything.” Through tears and contractions and everything, I was having contractions maybe every 10 minutes or so, 5-10 minutes. Somewhere around there, I don't remember exactly. I got a hospital bag ready. I got some clothes for the baby together. I got my phone charger, my toothbrush and everything, and we headed to the hospital. I sat in triage by myself for 4 hours because they did not have a bed available for me. They would not let my husband into triage with me because it was COVID. The entire time, I was so uncomfortable. They had me immediately start on blood pressure medication to try to get my blood pressure down. They started me on magnesium, and they told me that the magnesium was going to make me feel yucky which is the biggest lie I have ever been told by a nurse. I don't know if she just never had it or what, but I felt like you have the worst flu you've ever had. My whole body hurt. It made everything feel worse. I felt groggy. I felt sick. It was not fun at all. At that point, I think I got to the hospital at 11:00 AM. They didn't get me into a room until 3:00 or 4:00 that night. So at that point, I'd been in labor for 12 hours. I was still hardly dilated. The doctors, initially when I got there, said, “Your notes say you are only 2 centimeters. Why are you here?” I was like, “I don't know. I was told to be here. I was told that my blood pressure is high or whatever. I don't know. I don't want to be here.” They did all of the things. They ran all of the tests. The doctor comes back in and says, “You are severely preeclamptic. Why did you not get here sooner?” Meagan: So why are you here and okay, why weren't you here sooner?Abigail: Yeah. I was like, “I'm so confused. I don't want to be here.” I'm freaking out. I'm stressing hardcore. My blood pressure went down for a little bit, but it stayed really, really, really high. They put me on fluids and everything which of course, did not help with the swelling. They get me into a room and everything. Things are moving along. It's going fine. I was okay for a little bit, then it got to the point where my legs were so swollen that I felt like they were going to pop. My legs felt like balloons that were going to explode. They were trying to put compression boots on me and stuff in the bed. Every time I was having a contraction, I was trying to get up and get moving because it felt better to get up and move. They were taking the boots on and off. It was miserable. After, I think, 28 hours of labor at that point, I was like, “Okay. I would like an epidural, please. I really don't want to have to get out of bed. I can't do this. I want my legs up. I don't want any part of this.” They got me an epidural. I don't know exactly how many centimeters I was at that point, but things had not moved very far in 28 hours. The doctor kept pushing to try to break my water. I kept telling her, “No, thank you. I don't want that. It will break on its own. I would like to take a nap.” I took a nap. My water did break on its own. That was nice. The water was clear. Everything was fine. We are still moving. I have an epidural. It's working great. I'm laying in bed. My blood pressure was still high. The swelling was still bad, but other than that, everything was maintaining. We were fine.I continued laboring for a while. I was getting checked pretty frequently because the doctors were uncomfortable with the situation. Again, looking back, I realize why they would be uncomfortable with the situation. They kept checking me and trying to want to do stuff. I was on Pitocin at that point. They had started it at some point, I think, shortly before I got the epidural. I had been on that for a while. It had been from being okay to all of a sudden, I was not okay. I don't remember exactly what hour that happened. It was somewhere between probably 36-ish. I was dealing with some stressful stuff with some family members. I was not having a good time. My phone kept going off. I was just trying to rest. It was a miserable time. They said that I was getting a fever all of a sudden. They were like, “You're getting a fever. We're going to see what we can do.” They tried to give me Tylenol to bring it down. They tried putting a cool rag on my face. They were trying to get me to eat ice. At that point, they had completely stopped letting me eat because initially when I got there, they were letting me eat a little bit, but that stopped. They wouldn't let me drink anything, so they were giving me ice chips and stuff. I started getting to the point where I was feeling really sick, like more sick than I already felt. They checked me again, and depending on which doctor did it, I was at a 6 or a 7 still. They finally called it. They were like, “You have an infection. You are not doing okay. This is not okay. You need to have a C-section now.” Crying, I was like, “Okay, fine. That's not what I want, but let's go.” They prepped me for the OR, got everything moving, got me back. By the time I got in there, it had been 38 hours. I had an epidural for about 12 of those hours, I guess. At that point, it wasn't working super well anymore. It was not working well enough that they could do the C-section, so they put in a spinal as well. I had both of those done. To my understanding, they are two different pokes. Again, I didn't want either initially, and I got both. I was not thrilled about that. I'm laying on the operating table. I was so thirsty. They wouldn't give me anything to drink. They kept giving me this moist sponge. They said that I couldn't suck on the sponge. I could moisten my mouth with it. They gave me some stuff to drink that said it was going to make it so I didn't throw up. I wasn't nauseous at all the entire time. I hadn't thrown up at any point at all. I was like, “I don't want this. I don't need it.” The stuff that they gave me tasted awful, and they wouldn't give me anything to rinse it down. My mouth is dry. I'm gagging from how dry my mouth is, and the stuff tastes bad. They have me strapped to the table. My arms are down. I just laid there crying. The C-section went fine. They got my baby out. She was okay. She was 7 pounds, 12 ounces. For somebody who is my size, I was like, “Wow. That's a really big baby.” That was surprising. So they get me sewn up and everything. They let me look at my placenta, and it was four times the size of any placenta I have ever seen. It was like a dinner plate sized, but a couple of inches thick, like really thick. I was like, “Okay well, that's really weird.” They moved me and the baby to recovery. My husband was with me. Everything was okay. Everything calmed down. We were okay now. We've got this. It's fine. Then all of a sudden, the nurse was like, “I don't like your bleeding.” This is the same nurse I had for two or three nights because at that point, I had been in labor for 46 hours. It was 46 hours by the time they took my baby out. I started labor initially on the 28th at 3:00 AM, and my baby was born on the 30th at 1:00 AM, so almost a full two days. She's like, “I don't like your bleeding.” I'm like, “Okay.” I'm really out of it. I'm not really paying attention. I'm trying to nurse my baby. I can hardly move. I'm uncomfortable. Next thing I know, there are more people coming in, more doctors coming in, more nurses coming in. They take the baby from me. They hand the baby to my husband, and they shove them out. I'm just screaming, “Please don't give my baby formula.” I don't know what's going on. I don't know where they're taking her. I was trying to nurse her, and I'm so confused now. Next thing I know, there are 10 people surrounding my bed. It's three doctors and seven nurses. I had one IV in my hand initially, or in my arm or wherever they put it. Next thing I know, I had two more IVs. There was one in my other arm and in my other hand. They put some pills up my backside, and I'm so confused what's going on at this point. I'm still numb from everything from the spinal and the epidural and everything, so I can't feel what's going on. She's pushing on my belly. She's changing the pads under me. Everyone is freaking out.Meagan: Wow. Abigail: I am fading in and out of consciousness. I don't know what's happening. My husband's freaking out. My blood pressure had dropped to 25/15 I think. Meagan: Whoa. Abigail: I was about to die. They finally got me stable. I don't really know what happened exactly. All I know is the next thing I know, I woke up and I was in the ICU. They wouldn't let my husband come see me. They wouldn't let me see my baby. I'm with a bunch of COVID patients and everything. They gave me two or three blood transfusions. They put a balloon in my uterus to apply counterpressure so that it would stop bleeding, and they had a bucket attached to it. I'm watching them just empty buckets of my blood. It was so scary. I'm laying in the ICU by myself, and the balloon in my uterus hurt so bad, like, so bad. I didn't end up moving. I laid there for the rest of that night, the entire next day, the whole next night, then I think they moved me the next day. It was a night and a half plus a whole day that I just laid there by myself. Meagan: Wow. So scary. Abigail: It was so scary. The nurses came in at one point and were trying. I think it was the lactation consultant maybe. They were trying to get me to pump and everything. I think I pumped once or twice, but I was not up for doing anything. If they didn't come in and sit me up, they didn't really do it. I finally get the balloon taken out because that was what I kept begging for. I was like, “Please take this out. It hurts so bad. The pain medications aren't helping.” I didn't want to give the pumped milk to my baby as it is because I was on so many pain medications and so many antibiotics and everything else. I get the balloon out finally, and I think they took it out that night then they moved me the next day. They moved me to high-risk maternity, and they let me take a shower and eat some food and stuff before they brought my baby back from the nursery because she was fine in the nursery. That was nice to be able to take a shower and wash off all of the blood. I was so covered in blood and everything. I looked at my C-section scar and everything for the first time, and I realized I had a reaction to the tape that was on it and stuff too, so my skin all around it was all irritated. All up and down my arms had been profusely poked and prodded because they were checking my blood every four hours because of the infection and stuff. Depending on the lab tech's skill and everything, it was not going well for some of them. They kept having to poke me. The IVs weren't working for them to take blood from or something like that so they just kept having to poke me more. Again, I was having reactions to some of the tape, so my whole arms are just completely raw and everything. I was still very swollen. I was very, very, very swollen still. They had compression socks and stuff on at this point, not boots at least. They finally bring my baby to me, and then we ended up spending three days in high-risk maternity, so total, that was two days in labor, almost two days in the ICU, and three days in the high-risk maternity. Total, I spent seven days in the hospital. I get home, and they had me on blood pressure medication for a few weeks until I think my six-week appointment when I followed up, and then my blood pressure was back to normal, so I was able to quit taking the blood pressure medication and stuff. I dropped 30 pounds instantly because it was all of the swelling that just came off. I had still gained a lot of weight, but it a huge chunk of it was swelling which is so bad. It was finally over. I was settled. I'm in bed with my baby, and then the family member we were living with decided that they didn't want us living there anymore, so at three weeks postpartum, we had to move. I had only been home from the hospital for two weeks at that point. I didn't know what was going on. I didn't want to be around the situation. My husband was dealing with it. I ended up going on a road trip with my grandma to go stay with a different family member out-of-state just to make sure my baby wasn't anywhere near anything that was going on. Three weeks after a C-section and almost dying, I was driving and doing a whole bunch of other stuff– going out, walking around, and trying to put jeans on. I couldn't figure out why my clothes didn't fit. I didn't realize just how big I had gotten. It was not a fun time. It was about five days out of town, then I moved into a different family member's house temporarily where I was completely isolated by the people that I was living with. They did not understand what I was going through. They thought that I was choosing to be difficult intentionally, so that created additional problems. I ended up getting pretty bad postpartum depression which is really not a surprise. I still didn't understand what had happened to me. I still didn't understand why I had almost died. I still didn't understand. I didn't know if I had done something wrong. I didn't know what was going on. I spent a lot of time really upset over the fact that everything went wrong, and I didn't know why. Life was falling apart around me. I was not doing okay. It turned into really bad postpartum depression pretty quickly. My husband and I got our own apartment when my baby was four month's old. I was like, “Okay, things are finally going to get settled. Things are going to be okay now.” It did not settle. My depression got worse, and I didn't even know what to do. I was eating a lot because I was like, “I'm breastfeeding. I need to eat.” I basically just sat at home, didn't do anything but eat and nurse my baby. I was very thankful I was able to successfully breastfeed my baby after everything that happened to me. All of the nurses at the hospital were surprised about that and stuff. Meagan: Yeah, with the amount of blood loss and everything, that's pretty rare. It's pretty rare. Abigail: Yeah. I never ended up giving my baby a bottle or anything because I was so scared that if I tried to give her a bottle or something that it would mess up my breastfeeding, and that was the only thing that had gone right. I was doing okay for a little while, I thought, but it was not okay. I was really not okay. I was very, very sad. I was fully convinced for a period of time that they should have let me die at the hospital. I was fully convinced that the doctor did me a disservice by trying so hard to save me. Meagan: I'm so sorry. Abigail: Yeah. I finally started therapy. I started trying to get up and do more and not eat so much and get moving. I think finally around the time my daughter was a year or a year and a half, I started to feel a little bit better, and things slowly did start to get a little bit better for me, but I was fully convinced that I did not want more kids. I was like, “I am never going through that again. I do not want another C-section. I don't know what happened to me, so obviously, I would have to have another C-section because we don't even know what went wrong.” It took me until my daughter was almost three. She was about to be three when all of a sudden, my mindset shifted, and I was getting mad at myself for feeling like I wanted another baby because I was like, “I don't want another baby. Of course, I don't want another baby. I made that very clear.” We got rid of all of the baby stuff. I told everybody I wasn't having more. What was wrong with me? I was fighting internally with myself because I wanted another baby, but I did not want another baby. It was insane. I kept it all to myself. I didn't say anything. All of a sudden, my husband was like, “I think we should have another baby. I was like, “What are you talking about? You're insane.” He was like, “No, really. I think we should have another baby.” I was like, “You shouldn't have said that because I want another baby.” Meagan: Yeah. I have been actually thinking the same. Yeah. Abigail: Yeah. I was pretty surprised that I got pregnant right away. Literally, within a couple weeks, I was pregnant. It was a good thing and a bad thing because it didn't give me a chance to overthink it, but also, it was like, “Oh no, I haven't even had a chance to think about this. This is definitely what's happening.”I started going to the doctor right at five weeks. They started doing ultrasounds right at five weeks. They were checking me for everything every time, all of the time. I had so much anxiety. I made that very clear to them. I think that's part of the reason that they checked everything all of the time and were trying to be more reassuring. They did ultrasounds at almost every appointment. Most people don't even get an ultrasound until 12 or 20 weeks. Meagan: And then that's the only one. Abigail: I had four of them before I even went for my anatomy scan. They were trying to watch everything and make sure everything was fine too because again, they didn't do my care last time. This OB place did my follow-up care afterward. They saw the aftermath of everything, and they were concerned and stuff. That's what we were dealing with. I was dealing with some nausea, so they gave me some pills for that. Come to find out, one of the side effects of one of the medications they gave me was anxiety. I was fighting a losing battle with myself because I was taking these pills for the nausea. I wasn't eating because I was anxious, and I wasn't eating because I was nauseous, then I was getting more anxious. It was a rough first 20 weeks I would say. Then I did start feeling better, thankfully, so I was able to start eating and stuff again. Once I felt better, I was eating ice cream and all of those things that I wanted and all of that. It was fine. I was doing fine. I was doing all of my appointments and stuff, then it comes up for my gestational diabetes testing. The doctor says, “You need to do this,” and immediately, I was like, “Yes, please. I need to do that because that's one of the things I didn't do last time. I need to do everything to make sure I'm good.” I need to backtrack a minute, I'm so sorry. At my first intake appointment at five weeks when I met with one of the– they're nurses, but it's not the nurse who actually checks you and stuff. They have an office at the OB's office, and they check in, and they ask, “Do you have transportation for your appointments? Do you need help with anything? Do you have access to food? Are you in a safe relationship?” I let them know what had happened previously with me, and she was like, “Oh, well then you might be interested in this. This is something new your insurance covers. You could get a doula if you wanted since it sounds like you wanted to have a more natural experience last time.”Meagan: That's awesome. Abigail: Yeah. Immediately, I was like, “Hell yeah. Let's do that.” I didn't have a doula last time. Again, last time was COVID. I was already trying to pay for the midwives. It wasn't something I thought about one, because I thought I was having a home birth with a couple of midwives. I didn't think I needed a doula. Also, I didn't fully understand what they were and the actual extent of the benefits of them. I was like, “Yeah, totally.” The first thing I did when I got home was call. They were like, “Yeah, we take your insurance. We can get you set up. We're taking new clients. Let's get you in for an appointment.” I started seeing a doula sometime in my first trimester. I don't remember exactly when, but I remember I pulled up the office and I got out. I was like, “This can't be right. This is too nice. There's no way my insurance covers this.” I was shocked at the care I received from my doula service. I'm just going to go ahead and give them a quick shoutout just because they are amazing, but it's Haven for Birth in Sacramento, California, and they do amazing work for a lot of different things. I still attend lactation meetings and stuff with them monthly. Meagan: That's awesome.Abigail: It's such a great team of people. I got the doulas that they set up for me because there are two of them. There's a main one and a backup one. My main doula's name was Heidi, and the backup doula's name was Francine. They were both so sweet and wonderful. Heidi has been doing doula work for a good amount of time. She owns a chiropractic business and Haven. She's the main one, and she's the one who has dealt with higher-risk pregnancies and things like that, so she was my main source of support and throughout everything. I would text her if I needed something. She was so reassuring. She was like, “Yep. You can totally have a VBAC if that's what you want to do.” I was like, “Really? I can do that, okay. I'm going to talk to the OB about it.” The OB was like, “Yeah. It's completely up to you. As long as you are fine and we watch everything, that's fine.” I really did feel like they were supportive. It wasn't like, “Well, if you are okay, then you can.” It was like both of the OBs that I had seen, one of them was a guy and one of them was a girl, and both of them were like, “Yeah, as long as we keep everything in check, you are totally fine. I don't see why you couldn't.”I started to feel a little more confident in that. I had a lot of anxiety about it and for a couple of weeks, I did contemplate scheduling a C-section just to ease my own anxieties, but I didn't feel right with that choice. I really didn't. I was like, “I need to try.” It was tough, though, because I was like, “I don't know how I'm going to deal with the feelings of trying and not succeeding,” so that was the struggle of, “Do I want to just have a C-section that way? I get what I want no matter what,” but I didn't feel like I wanted to do that. I worked really, really, really hard to get my VBAC is basically what ended up happening. Back to where I was, I get my gestational diabetes testing done, and the first-hour one comes back really high. I'm like, “Okay, that's concerning.” I texted my doula about it. She was like, “It's okay. You're going to do the three-hour one. You'll probably pass the three-hour one, but even if you don't, it'll be fine.”I failed the three-hour one really bad. My fasting number was fine, but the rest of the numbers were very elevated, not even just a little bit. I was like, “Oh, okay.” This is all starting to make sense. I had a lot of anxiety initially about what I could or couldn't eat because I didn't feel the greatest, and I was letting myself eat what sounded good to make sure that I was eating. It was a rough week initially when I got that, then it took them a minute to get me the referral in for the program, the Sweet Success program where I was actually able to talk to nurses and dieticians there. Once I finally got in with them, I met with them a few times throughout the end of my pregnancy. I did feel very supported by them. They were very nice. The dietician was willing to meet with me one-on-one instead of a group setting because I was having issues with eating and not wanting to eat and feeling very concerned that I was going to hurt myself or hurt the baby.They did a very good job making sure that I was cared for. We completely changed up my diet. I started walking after every meal. I started checking my blood sugar four times a day, so first thing in the morning, then after breakfast, after lunch, and after dinner. I basically, immediately after eating, would get up and do the dishes or clean up the food I had made or pick up the house or start some laundry or something so that I was getting up and moving. Only a couple of times, there was only once or twice where my blood sugar numbers were higher than they really wanted by more than a point or two. I did a really good job keeping those in check with what I was doing and watching what I was eating very closely and monitoring my portion sizes and realizing what I could and couldn't eat. Once I got to the point of 36 or 37 weeks or whatever where they were like, “Okay, this is the plateau. It's not going to get worse than this,” and I realized I was able to keep it under control and things like that, I would let myself have a couple of bites of a cookie here and there. It wouldn't spike my blood sugar or anything because I was doing everything I needed and that made me feel really nice because I was able to eat the stuff I really liked as long as that was within reason.We met with the doula multiple times. She came over and did a home visit at 37 weeks. I had been having Braxton Hicks contractions from the time I was 19 weeks because we got COVID. We got RSV, and we got a cold. We got a cold. We got COVID, and we got RSV. Meagan: Oh my goodness. Abigail: Yeah. That was the whole first half of my pregnancy along with dealing with nausea and everything else. I found out I was pregnant the beginning of September. We got a cold in October. I got COVID in November, then in December, we got RSV, and my daughter who was three at that point spent five days in the hospital, so I spent five days in the hospital right next to her dealing with RSV while I was pregnant. I feel like the coughing kickstarted Braxton Hicks contractions almost because at that point, I started having them pretty regularly. From 19 weeks on, I had tightenings all the time. Some days, they would be worse than others, but because I was so active, it definitely– I never got diagnosed with irritable uterus or anything, but I think that's what it was because it would get really irritable when I would do pretty much anything, and I was doing things all of the time. At 35 weeks, my contractions started getting fairly intense-ish. They weren't painful at all, but it was every 3-5 minutes, I was contracting. I drove myself to the hospital. I was like, “I'm fine. I'm not concerned.” I didn't bother my husband or my doula or anything. I let her know I was going, but I was like, “Don't worry about it.” They hooked me up. They checked me and everything. they were like, “You're hydrated. We don't need to give you fluids or anything.” They were like, “How are you feeling? You've got to tell us if they hurt or not because we can see them on the monitor, but you've got to tell us how you're feeling.” I was like, “I just feel annoyed. They tighten up, and it's uncomfortable when they do, but nothing hurts. I'm annoyed.” They were like, “Okay, let's check you.” I was still completely closed with no baby coming down. So they gave me a single pill to stop them and sent me home. It worked. It slowed them down for the rest of the night, then they kicked back up to their normal here and there the next day. But for the next couple of weeks, I kept it fairly easy. If I noticed I started I was having more of them, I would try to go lay down. I was able to have my baby shower at 36 weeks which was wonderful because I had not had a baby shower for my first baby because of COVID. I feel like 36 weeks was almost pushing it because my family had asked if we wanted to have it later to have somebody else be able to join us and I was like, “No, no. Please don't push it later. I don't trust that.” It was like I knew that he was going to come just a little early, but I was doing all of the things and still having the regular Braxton Hicks contractions and everything. They were doing multiple growth scans on my baby because he started measuring small at 28 weeks, I think. At his 28-week scan, they noted that his kidneys were slightly enlarged, so they wanted to follow up on that. They followed up on that at 28 weeks. His kidneys were completely fine. We never had another incident with that, but they noticed he was measuring a little smaller so they started doing regular checks. By the end of my pregnancy, I was having a growth scan every week, so they went from, “Let's check you in six weeks. Let's check you in four weeks. Let's check you every two weeks. Let's check you in a week.” They noticed he was measuring small, and he continued measuring small. Meagan: They were regressing, or he was staying on his own growth pattern but small?Abigail: He was growing but not a lot. Meagan: Okay, yeah. He was staying on his own pattern. Abigail: They didn't want him to drop below the 10th percentile, and if they did, they were going to be concerned. He did get right to the 9th or 10th percentile, so they did start to get concerned. They labeled him IUGR. They were doing non-stress tests on me twice a week. Basically, by the end of my pregnancy, I was seeing the OB, the place for the non-stress tests, the gestational diabetes program, the place for the ultrasounds and growth scans, a therapist, a hematologist because I ended up having to have iron infusions and B12 injections, and the doula's office, so seven places. Almost all of them wanted to see me every week. Meagan: Whoa. Abigail: I was running around, super active towards the end of my pregnancy. I was still taking my daughter out and doing all of the things with her as well. I noticed after my baby shower at 36 weeks that my feet were just a little puffy, and I was like, “Huh. That's funny.” It hit me all of a sudden. I was like, “My toes are kind of pudgy.” I'm 36, almost 37 weeks pregnant, and this is the most swollen I have gotten. It was not up my legs. It was not even in my whole feet. It was my toes and the top of my feet, not even my ankles. They were the tiniest bit puffy. I had this moment of clarity where I was like, “How did nobody notice that something was so wrong with me?” I was shocked because I'm looking at myself and I had gained a total, by the end of my pregnancy with my son, of 25 pounds, and that was it. With my daughter, by the end of it, I had gained 70 pounds. Again, how did nobody notice? I am shook. I thought on that for a long time. I'll come back to that, but I thought on that for so long. I ended up emailing the midwives who had provided me care. I was having a day. I went off on multiple people that day. I was not having it, and I emailed them, and I sent them a four-paragraph email about how they let me down. They should have known better. Somebody should have noticed something was wrong. They should have asked for a second opinion. It was ridiculous. I was shook that they didn't push harder for gestational diabetes testing, and all of the things because clearly at this point, I realized that my blood sugars being in control has made all of the difference. Not knowing, you can't do what you need to do which is why I'm such a big advocate for informed consent and gestational diabetes testing. I know sometimes I see people saying that they want to skip it because they are fine. I had zero of the actual risk factors, and I still had it. I'm just putting that out there. That's my main thing for this. Definitely get checked, and stay active, and watch your blood sugars because it's a really, really serious thing. I literally almost died. Sorry, I keep jumping around. My son was measuring small, so they started doing all of the tests and everything, and they couldn't find anything wrong. They were like, “Your cord dopplers look great. The blood flow looks great. Nothing specifically is measuring small. His head is not measuring smaller than the rest of him.” He was very, very, very low in my pelvis. I was waddling from 32 weeks on. He was low the entire time. I could feel him moving regularly. He was super active. I felt confident in myself. I felt safe. I felt good. they were telling me he was fine. Everything was looking fine. My fluid levels were looking good. My non-stress tests were always good. They make you sit for a minimum of 20 minutes, and if they don't see what they need to see in 20 minutes, then you need to stay longer. I never had to stay longer than 20 minutes. It was always in and out. He was always moving. His heart rate was always good. When they started mentioning induction at 37 weeks, I was like, “I don't want to be induced. I don't. There's really no reason.” They were like, “Well, he's measuring small. Your other baby last time was so much bigger. He is so small. This is such a concern.” I was like, “But I think there was something wrong with me and my baby last time. I don't think she should have been that big for me.” I thought that was the problem. I tried explaining that to them that I think they had it backward. They should have been concerned about how big my last baby was because they didn't check my blood sugar when I was in the hospital or anything. They didn't check it. Everything was fine. I was feeling fine. I was having pretty regular Braxton Hicks still. I was convinced I was going to have him early. I told him that. “I will have him early, and you're not going to have to induce me. I promise you. You're not going to have to induce me.” I told the doula that I promised the doctors and the specialists that I was not going to have to be induced. She was on my side. She was like, “Okay. We can try some midwives' brew if we get to that point. We'll talk about it.” I didn't end up getting to that point, thankfully. I had another scan at 37 weeks and 36 weeks. At 37 weeks, the doctor was like, “Okay, well, I specifically want to see you next week. I want you to come out to my other office next week because I specifically want to see you. I don't want you to see the other doctors. I want to follow up with you.” I was like, “Fine. I'll drive to Rosedale. No problem.” It wasn't farther than the other office I had been going to. I didn't get that far. I went into labor at 37 and 6. It had been a normal day. I had taken my daughter to the jumping place and had gone to the grocery store. I messed up when I went to the grocery store and the jumping place. I parked too far out, and I didn't think it through. I jumped near the jumping door, not the grocery door. Walking in was super close, but then I had to walk all the way back carrying my groceries. The carts didn't go out that far or anything. I'm like, “Oh my gosh. This is so heavy.” I'm still having Braxton Hicks the whole time. I'm feeling fine. I haven't had any kind of mucus plug activity or none of that. There was no swelling in my feet or legs. My blood pressure had been good. I checked it regularly. My blood sugar had been good. I had checked it regularly. I get home, and I'm like, “Man, I'm tired.” I got up, and I kept doing laundry and stuff. My husband gets home from work. He's like, “Hey, do you want to go out to dinner? We can go to the restaurant up the street.” I'm like, “Yeah, it's a beautiful day out. It's the beginning of May. That's a great idea.”It's a 3-minute walk from my house to the restaurant. I'm not kidding. About halfway there, I stopped, and I was like, “Oh. Well, that one was a little more uncomfortable than they have been. Okay. I actually felt that.” It felt like a bad period cramp, but also tightening with the Braxton Hicks at the same time. I was like, “I'm fine.” I kept walking. We get to dinner, and I notice at that point, I'm having mild contractions every 10 minutes. We ate food. I had sushi, and I know that rice spikes my blood sugar, so I try not to eat too much of it, but I was like, “You know what? I feel like I'm going to have them. I just need to make sure that I eat.” I ate my dinner. We walked back home. It was still about every 10-12 minutes that I was having mild contractions. We went about the evening as normal. I put my daughter to bed and stuff. I took a shower. My husband and I were watching some TV. I was bouncing on the ball. I wasn't really telling my husband that I was super uncomfortable at that point yet. It hit all of a sudden. It was 11:00 PM. At this point, it was 6:00 PM when I felt the first slightly uncomfortable contraction. It's now 11:00 PM. I'm like, “Okay. This is actually starting to get a little bit more uncomfortable.” I got up, and I paced around the living room. My husband was like, “Uh-oh. We should probably go to bed.” Yeah, we should probably go to bed. That was a good idea. We went to bed, and I did not sleep. I think I slept for about seven minutes because at that point, it went to seven minutes, not 10 minutes. I started timing them on my phone. I texted my doula. I made sure I had all of my stuff ready just to be safe. I made sure the house was picked up. I tried to sleep. I let the doula what was going on. She was like, “Don't worry about timing them, just get some rest.” I was like, “I'm not trying to time them, but every time I have one, I look up and I see the clock. This is happening.” She was like, “Okay, well I'll start getting up, and I'll be ready to head over if you need me. I want you to take a shower.” It took me a good 45 minutes or a half hour or something like that to actually get from hanging around my house to getting in the shower because I started shaking really bad, and I was starting to have contractions pretty quick together. They started getting closer and closer together. My husband ended up texting her at that point, “Hey, she's int he shower. I think contractions are getting closer together. They are two minutes apart at this point. You should probably head over.” She gets here pretty quickly. My daughter is still asleep. At that point, my doula was like, like, “Yeah, I think you're in active labor. We should think about heading to the hospital.” I'm only 10 minutes from the hospital, but my daughter needed to get picked up. I put my bag in the car. We call family. I get my daughter picked up. She hadn't heard anything. She hadn't noticed I was in labor. I wasn't being necessarily loud, but I wasn't also being super quiet or anything. She gets picked up. She's mad she's awake. It's 2:00 AM. We get ready to go, and by the time we get down the stairs, because I live in an upstairs apartment, so I'd been pacing the whole upstairs in my apartment and everything, I was super afraid my water was going to break in the car so I put on a Depends because I was like, “I'm not going to have to clean that up later because I'm going to be the one cleaning it up later, and I don't want to have to deal with that.” My doula was like, “Chris, get her a bag in case she throws up in the car. Let's go.” She tried checking my blood pressure, but I kept moving and stuff, so we couldn't get an accurate reading which made me that much more anxious. I was so afraid that by the time I got there, everything was going ot go bad. I had convinced myself that it was fine, but there was this nagging voice in my head that was like, “No, no, no, no, no. Everything went wrong last time, so surely, you are going to die this time.” I was like, “Nope. I am fine. Everything has been fine. They are aware. They have blood on deck for me. It's going to be okay. I've got this.” We get to the hospital. It's 3:00 in the morning. It's fairly quiet. We parked in the parking garage which was across the street. We walked through the parking garage. We take the elevator. We take the walk bridge across. We get into the hospital, check in with security and everything. they were like, “Oh, sweetie, do you want a wheelchair?” My doula was like, “No, no, no. She's fine. She will walk.” I'm like, “Yeah, okay Heidi. Walking is a great idea.” I mean, that's what she's there for. It's fine that I kept walking, honestly, because we had to walk from one side of the hospital to the elevator to take the special elevator that goes to the 6th floor. We're about halfway to the elevator, and I'm like, “Oh, I think my water just broke.” My water broke walking into the hospital which was that much more convenient. We get in. We get checked into triage. The nurse is so nice, and she was like, “It's okay if you want to give me a hug,” because they wouldn't let my husband or my doula in at first. I gave the nurse a hug. She was so nice. They were like, “We need a urine sample.”At that point, basically, from the time labor started, I couldn't pee. That was an issue, so they were like, “Don't worry about it. It's fine. Let's get you back on the bed. Let's check on you, and see how you are doing.” They said I was a 4 or a 5 depending on who checked and who assessed.They asked me about pain medication and stuff, and I was like, “I'll get back to you. I'm doing okay.” Contractions are about every 2-3 minutes at this point. My water had broken on the way in. They tried doing one of the swabs to check it was my water and not that you peed, and the nurse was like, “I'm not even going to send this in. It's fine. I know that it's your water.” They got me in pretty quickly. By the time I got into a room, I was like, “I would like some pain medication please.” They were like, “Okay, do you want an epidural? Do you want IV medication?” I remembered when I was in labor with my daughter, the nurse had initially offered me what was called a walking epidural, so I asked because I remembered declining that with my daughter. I was like, “No, no, no. I don't want to do anymore walking. That's the point. I don't want walking. no walking.” This time, I was like, “That actually sounds like I wanted to know more about that.” I asked the nurse more about it. She was like, “It's still an epidural. It's put in your back the same. It's just different medication. It's lower doses or different medication or whatever it is. It's going to provide some pain relief, but you're not going to be numb. You're still going to feel everything.” I was like, “Honestly, that sounds like what I would like. That sounds like it's a really good idea.” I was having a very hard time taking a deep breath. I was having a very hard time relaxing because I was so afraid that something was going to go wrong. At that point, my blood pressure was fantastic. Everything had been normal. No protein in my urine, no swelling, no high blood sugars, nothing. I was like, “Okay, this is going to be fine. I'm going to be fine.” I felt a little weird about asking for pain medication because I was adamant that this time, I was going to do it without it, but they called the anesthesiologist. He comes in, and he says, “Okay, are you sure you want the walking epidural? That's definitely not going to get you were you want to be pain-wise.” I was a little ticked off, but I was like, “Just get me what I asked for, please. If I change my mind, I will tell you.” That's the thing. If you change your mind, all they have to do is switch up your medication. It's not continuous with what I got. It's just a bolus of medication, and the little thing is taped on your back. You're not actually hooked up to medication or anything, but if I wanted to be, all they had to do was hook it up. I was like, “I'm fine. I don't need that. Thanks, dude.” They get me that, and they made me stay in bed for the first hour just to make sure I was okay and my blood pressure was fine and everything. My blood pressure was fine. Everything stayed fine. My blood sugar was a little high at this point. It was two points over the max where they want it to be. My husband ran down to the gift shop and got me some trail mix, cheese, and meat things. I ate that. They checked my blood sugar in a little bit, and it was back to a healthy, happy, normal range, so they weren't concerned. I was like, “I ate rice the night before, guys. That's all it was. You checked my blood sugar in the middle of the night after I had rice. Of course, it's going to be a little high.” At this point, it's 4:00 AMish. I stayed in bed for the first hour. My doula was like, “Okay, let's get you out of bed. Let's get you moving.” I was out of bed almost the whole time. I did spend a little bit more time in bed at one point. I had the initial bolus of medication. That was all I had, so at this point, I can feel the contractions are getting stronger, and I can also feel that the medication is also starting to wear off. It started getting more intense. I was on the toilet for a minute. I was still having the issue where I still could not go pee. My doula kept feeding me water after every contraction, so they were keeping an eye on that. My doula was keeping an eye on that and stuff. It got to where it was 8:00 AM, I think, so at this point, I had been in labor for a total of– from the time contractions actually started being painful at midnight to 8:00 AM– 8 hours. I was on the side of the bed leaned over the bed. They had it at my height. My husband was rubbing my back. The nurses were there taking care of me and making sure I was good. All of a sudden, she's like, “Okay, honey, I think it's time to get you back in the bed.” I was like, “What?” She was like, “We've got to get you back in the bed. With the noises you're making, and squatting down, we've got to get you back in bed.” With every contraction, I was bearing down. Meagan: And they just didn't want you pushing standing up, type of thing? Abigail: I think they wanted to check me and see how I was doing and everything. They had me on continuous monitoring, which initially I didn't really want, but up until that point, I hadn't minded the monitors. It was just at that point because I kept moving, and I was so sweaty. I was so sweaty. My IV kept slipping off. The monitors kept slipping off. My gown was drenched. My hair was drenched. They kept re-taping my IV, and I was like, “Can you please just take the IV out? It's bugging me.” At that point, the IV was somehow more painful than the labor. I was coping with labor, but I kept feeling the IV in my arm because they kept having to poke it and mess with it and stuff because it wasn't staying in. They ended up leaving it in which I was annoyed with, but I was in and out of at that point.They get me back in the bed, and they check me. They're like, “Okay. You're already starting to push. Let's get the doctor in here. Let's do this.”I'm on the bed. I've got the squat bar. I'm up on the bed on the squat bar. I'm kneeling in a lunge position. I've got one knee up and one knee down. Every contraction, they were having me switch my knees which started getting really uncomfortable for me. I felt so heavy, and I was falling asleep in between each contraction it felt like. I wasn't all the way there, but they ended up saying that my son's heart rate was dropping just a little bit, and they were like, “Okay, let's get him out. Let's move this along.” They pulled the squat bar, and they had me on my back. The bed was propped up. I was upright, and they had me holding my own legs. I was having a hard time because I was so sweaty that my hands kept slipping off the back of my thighs. They were like, “Okay, you need to push. Let's push.” I wasn't really listening to them. They were trying to do coached pushing, but if I didn't feel like it, I just wasn't doing what they were telling me. I was more listening to my doula than anything else because I felt like I trusted her and what she was saying more than anything else. I told them, I was like, “I feel like it's pulling up. I feel like it's pulling up.” They were like, “Okay, lower your legs a little bit.” It was really nice that I was able to feel everything. I put my legs down a little bit, and that helped a little bit. I don't know exactly how many pushes it was. I don't know if anybody counted, but it ended up being 13 minutes that I pushed for from the time they got me in the bed and were like, “Okay, you're pushing,” to “Let's get you on your back. Give a couple good pushes.” I think it was two pushes once I was on my back and he was out. Meagan: That's awesome. Abigail: He came right out. I had a small right inner labial tear, no perineal tears, and then I don't think I actually tore up, but I noticed I was sore afterward up toward my urethra, but they ended up only giving me one stitch on my right labia. That was fine. They did numbing shots and everything for that, and I could feel the numbing shots and everything, and I didn't like that. It's uncomfortable, but it was fine. I felt fine. I felt good. They put him right onto my abdomen because his cord was so short that they couldn't put him any further up. I wish they would have waited just a little longer to cut his cord, but they were like, “He's hanging out down here where we need to be,” because his cord was so short, which makes sense that he was head down the entire pregnancy and didn't move. He stayed right there. He flipped and rotated. Meagan: Transverse. Abigail: Sideways. He would put his butt back sometimes and toward the side sometimes, but that's all he would do. His head was in my pelvis the entire time. He comes out. Once they cut his cord, they moved him up to my chest and everything. They got me cleaned up and everything. Everything was fine. I got my golden hour, and he didn't want to nurse right away, but he was fine. They were taking bets like, “Does he look like he's over 6 pounds or what?” He ended up only being 5 pounds, 5 ounces. Meagan: Tiny. Abigail: He was a little, tiny guy. He was barely 18 inches. I had him right at 38 weeks, so he was a little small. He was closer to the size of a 35-week baby. Meagan: Mhmm, and he had IUGR. Abigail: I don't think there was anything wrong with him. I think I'm a very small person, and I think my first baby was too big because when I look at pictures, my daughter's head was coned off to the side, and I know that she did not have room to move around in there. She was stuck where she was stuck. Meagan: That would mean it was asynclitic probably. Her head was coming down wrong. Abigail: Yeah, which is probably why it hurt so bad. I know that now, initially, it started even with early labor. I don't think that even once I had an epidural with her, they were using the peanut ball. They were changing my positions. They were doing all of the things, and she wasn't coming down any further. She wasn't moving, and I wasn't going past a 7. I think that she was too big which I think is from having unchecked gestational diabetes. Even though she was considered an average-sized baby. I'm not an average-sized person. I'm really, really, really small. Me having a 5-pound, 5-ounce baby seems about right.He came out perfectly healthy. There was nothing wrong with him. His blood sugars were good. His blood pressures were good. Everything was great. And now at seven months, he's still slightly on the smaller side, but he went from being in the 2nd or 3rd percentile or whatever he was born into all the way to about the 20th. He's almost caught up. He's healthy. He's chunky. There wasn't actually anything going on with him. I think that says a lot to the fact that I'm just really small and my first baby was the result of an unhealthy pregnancy. I didn't have a postpartum hemorrhage. I didn't need any extra medication. I didn't need Pitocin. I didn't end up getting a full epidural. When they asked me about my experience, I made sure to tell them that the anesthesiologist should choose his words more wisely. It went well. I waited two months afterward to see how I was feeling and everything, and I do not have postpartum depression. Meagan: Good. Abigail: No more anxiety than what I regularly deal with. I have had a great time. Everything is just completely different, and my son is already seven months old, and I am already at a point where I'm like, “I want another baby.” I don't know if I'll actually have another one or not. I mean, there are financial reasons to consider and actually giving birth to another baby and raising another human. It's not just a baby. It's a whole other life. It's a lot, but I have baby fever already. I would absolutely do it again, and I just had him. Meagan: Oh, that makes me so happy. I am so happy that you had such a better experience that was more healing and positive and has left you having a better postpartum for sure. Abigail: It was a completely different experience. I mean, night and day. I'm just trying to make sure that I didn't miss anything. I think the only thing that ended up being different was like I mentioned, I couldn't really go pee. I did end up having to have a catheter at the end of my labo
The troupe seemed to be outmatched by the Medusa, as Tyler was stuck using Ivan's echolocation to see and Shadow Nemesis broke out of his petrification only to die as a pile of goo. New Rogue attempted peace negotiations with their foe and brokered a deal to trade the Icon of Ravenloft for some Tylenol, but Del had used her bloody ghost powers in the meantime to allow Shadow Nemesis to interact with the world again, and so he possessed the Medusa and accidentally turned Rumpleforeskin to stone. With precious little time remaining before the day resets, can the troupe gather up everything they'll need before midnight strikes? Featuring players Tyler Hewitt, Del Borovic, Guy Bradford, and Adam McNamara, and Dungeon Master Ryan LaPlante. Jesters of Ravenloft streams live every Wednesday at 7:30pm ET on Twitch (https://www.twitch.tv/dumbdumbdice) Enjoying Jesters of Ravenloft?- Consider becoming a Patron of Dumb-Dumbs & Dice for as little as $1 a month and gain access to a ton of extra BTS fun(https://www.patreon.com/dumbdumbdice)- Buy merch on our website (https://dumbdumbdice.com/) - Watch us on YouTube (https://youtube.com/@dumbdumbdice)- Follow us on Instagram (https://instagram.com/dumbdumbdice)- Follow us on Facebook (https://facebook.com/dumbdumbdice) Artwork by the brilliant Del Borovic - Website & Portfolio (https://delborovic.com/)- Twitter (https://twitter.com/deltastic) Theme song by Sound Gallery by Dmitry Taras- YouTube (https://www.youtube.com/@soundgallerybydmitrytaras)- Pixabay (https://pixabay.com/music/fantasy-dreamy-childrens-dark-mysterious-halloween-night-scary-creepy-spooky-horror-music-116551/)
As the end of the year approaches, we're revisiting the best episodes of 2024 from Crime House. On Murder: True Crime Stories, Carter Roy examined the case of the Tylenol Murders. In the fall of 1982, seven people in Chicago were killed by poisoned Tylenol pills. In the first of three episodes, learn how the murders unfolded, the early steps investigators took... and how the killer eluded them. Murder: True Crime Stories is a Crime House Original. For more, follow us on Tiktok and Instagram @crimehouse. To hear the conclusion of this gripping true crime story, check out Murder: True Crime Stories on Apple or Spotify. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
The troupe seemed to be outmatched by the Medusa, as Tyler was stuck using Ivan's echolocation to see and Shadow Nemesis broke out of his petrification only to die as a pile of goo. New Rogue attempted peace negotiations with their foe and brokered a deal to trade the Icon of Ravenloft for some Tylenol, but Del had used her bloody ghost powers in the meantime to allow Shadow Nemesis to interact with the world again, and so he possessed the Medusa and accidentally turned Rumpleforeskin to stone. With precious little time remaining before the day resets, can the troupe gather up everything they'll need before midnight strikes? Featuring players Tyler Hewitt, Del Borovic, Guy Bradford, and Adam McNamara, and Dungeon Master Ryan LaPlante. Jesters of Ravenloft streams live every Wednesday at 7:30pm ET on Twitch (https://www.twitch.tv/dumbdumbdice) Enjoying Jesters of Ravenloft?- Consider becoming a Patron of Dumb-Dumbs & Dice for as little as $1 a month and gain access to a ton of extra BTS fun(https://www.patreon.com/dumbdumbdice)- Buy merch on our website (https://dumbdumbdice.com/) - Watch us on YouTube (https://youtube.com/@dumbdumbdice)- Follow us on Instagram (https://instagram.com/dumbdumbdice)- Follow us on Facebook (https://facebook.com/dumbdumbdice) Artwork by the brilliant Del Borovic - Website & Portfolio (https://delborovic.com/)- Twitter (https://twitter.com/deltastic) Theme song by Sound Gallery by Dmitry Taras- YouTube (https://www.youtube.com/@soundgallerybydmitrytaras)- Pixabay (https://pixabay.com/music/fantasy-dreamy-childrens-dark-mysterious-halloween-night-scary-creepy-spooky-horror-music-116551/)
Find my Dilbert 2025 Calendar at: https://dilbert.com/ God's Debris: The Complete Works, Amazon https://tinyurl.com/GodsDebrisCompleteWorks Find my "extra" content on Locals: https://ScottAdams.Locals.com Content: Politics, Tylenol, Ozone Hole, Mystery Orb Drones, Nancy Mace, Nuclear Power Need, RFK Jr., Pharma TV Ads Ban, Pharma's Censorship Power, Elon Musk, Ozempic Santa, Democrat Election Loss Confusion, Democrat Top-Down Brainwashing, J6 Fed Provoked Poll, Fed Jobs Reporting Errors, Foreign Tech Worker Hiring, Comprehending Superior Intelligence, Indiana University, Azerbaijan Plane Crash, Border Wall Sale Paused, Ukrainian Drone Production, RFK's Fauci Book, Pfizer Vaccine Data, Scott Adams ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If you would like to enjoy this same content plus bonus content from Scott Adams, including micro-lessons on lots of useful topics to build your talent stack, please see scottadams.locals.com for full access to that secret treasure. --- Support this podcast: https://podcasters.spotify.com/pod/show/scott-adams00/support
Hallelujah! Holy ****! Where's the Tylenol, nerds?! Welcome to episode 148 of Up Yours with More! With MODOK out on assignment to the North Pole this episode, BC is joined by CC to countdown the top 10 books from last week and share a few funny moments from episodes throughout 2024! It's our annual year-end clip show! To quote the Spirit of Christmas present, “Come in and know us better, man!” Find Us Online at the Following Outlets Website :: upupandawaycomics.com YouTube :: youtube.com/@upupawaycomics Facebook :: facebook.com/upupaway and facebook.com/uuablueash Instagram :: instagram.com/upupawaycomics Twitter :: twitter.com/upupawaycomics
When you're doing IVF, it's important to be prepared. I want you to have the best outcome possible, and for me that includes making sure you have everything you need on hand to support your physical, mental, and emotional health as you go through the process. Do you have questions about IVF, and what to expect? Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, December 16, 2024 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom. Today on the podcast, I'm sharing my top 10 things you need when you're embarking on IVF: 1. Get your electrolyte rich drinks ahead of time 2. Stock up on a protein powder+shake that you love 3. Consider scheduling a food delivery service 4. Prepare for a poop emergency: stool softeners are your friend 5. Purchase panty liners because you can spot and that's considered normal after an egg retrieval and waterproof underwear helps with the discharge too 6. Egg Whisperer fertility pants 7. Grab that Tylenol or Advil ahead of time and a heating pad too for aches and pains 8. Take precautions against Ovarian Hyperstimulation Syndrome (OHSS) 9. Build your fertility TEAM 10. Get your TUSHY checked I know that's a lot of info to pack into a single post here - so you can get all sorts of details and additional information over at the website, where you can also listen to the whole episode. What I want most for you is to feel comfortable, and prepared as you take the next step on your fertility journey, and so that is why I'm sharing the essential must-haves that my patients have found to be helpful in making their experience and recovery more comfortable. Read the full show notes on Dr. Aimee's website Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org. Other ways to connect: Subscribe to my YouTube channel for more fertility tips Join Egg Whisperer School Subscribe to the newsletter to get updates
Common foods can act like nature's Tylenol. For example, ginger has been shown to relieve headaches while coffee has similar benefits. Discover what to eat when you have a migraines, back pains, arthritis, or cramps as Dr. Neal Barnard joins "The Weight Loss Champion" Chuck Carroll on The Exam Room Podcast. Dr. Barnard is a leading nutrition researcher and multiple-time best-selling author whose works include Foods That Fight Pain. In This Episode - What foods help headaches? - What foods help with cramping? - What foods help with arthritis? - What foods help with back pain? - What foods help with fibromyalgia? - What foods help with post-workout soreness? - Does sugar increase sensitivity to pain? - And more! This episode is sponsored by The Gregory J. Reiter Memorial Fund, which supports organizations like the Physicians Committee that carry on Greg's passion and love for animals through rescue efforts, veganism, and wildlife conservation. — — SUPPORT PCRM — — https://www.pcrm.org/GT Donations matched dollar for dollar through Dec. 5 — — BOOKS — — Foods That Fight Pain: https://amzn.to/3VlHeFH — — EVENTS — — Dr. Bulsiewicz and Chuck Live Show Where: Dr. Barnard's Bon Voyage Bash in Miami Date: March 7, 2025 Tickets: https://www.pcrm.org/events/bon-voyage-party-2025 — — SHOW LINKS — — Gregory J. Reiter Memorial Fund https://gregoryreiterfund.org — — BECOME AN EXAM ROOM VIP — — Sign up: https://www.pcrm.org/examroomvip — — THIS IS US — — The Exam Room Podcast Instagram: https://www.instagram.com/theexamroompodcast — — — Dr. Neal Barnard Instagram: https://www.instagram.com/drnealbarnard Facebook: http://bit.ly/DrBarnardFB X: https://www.twitter.com/drnealbarnard — — — Chuck Carroll Instagram: https://www.instagram.com/ChuckCarrollWLC Facebook: http://wghtloss.cc/ChuckFacebook X: https://www.twitter.com/ChuckCarrollWLC — — — Physicians Committee Instagram: https://www.instagram.com/physicianscommittee Facebook: https://www.facebook.com/PCRM.org X: https://www.twitter.com/pcrm YouTube: https://www.youtube.com/user/PCRM Jobs: https://www.pcrm.org/careers — — SUBSCRIBE & SHARE — — 5-Star Success: Share Your Story Apple: https://apple.co/2JXBkpy Spotify: https://spoti.fi/2pMLoY3 Please subscribe and give the show a 5-star rating on Apple Podcasts, Spotify, or many other podcast providers. Don't forget to share it with a friend for inspiration!
We sit down with one of our toxicologists to discuss acetaminophen toxicity. Hosts: Marlis Gnirke, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Acetaminophen_Toxicity.mp3 Download One Comment Tags: Toxicology Show Notes Table of Contents 0:35 – Hidden acetaminophen toxicity in OTC products 3:24 – Pharmacokinetics and toxicokinetics 6:06 – Clinical Course 9:22 – The antidote – NAC 11:02 – The Rumack-Matthew Nomogram 17:36 – Treatment protocols 22:34 – Monitoring and Lab Work 23:23 – Considerations when treating pediatric patients 23:57 – IV APAP overdose, fomepizole 25:42 – Take Home Points Acetaminophen vs. Tylenol: The importance of recognizing that acetaminophen is found in many products beyond Tylenol. Common medications containing acetaminophen, such as Excedrin, Fioricet, Percocet, Dayquil/Nyquil, and others. The risk of unintentional overdose due to combination products. Prevalence of Acetaminophen Toxicity:
In this thought-provoking episode of Partnering Leadership, Mahan Tavakoli speaks with Shailendra Pratap Jain and Shalini Sarin Jain, co-authors of the book Managing Brand Transgressions: 8 Principles to Transform Your Brand. With decades of research and leadership experience, the Jains share compelling insights into how organizations can navigate brand crises with integrity and build resilience for the long term.The conversation dives deep into the principles that distinguish brands like Tylenol, Patagonia, and Ben & Jerry's as models of authenticity and trust. Shailendra and Shalini reveal why managing brand transgressions goes beyond crisis management—it's about embedding empathy, accountability, and transparency into the very fabric of leadership and culture. Drawing on examples from global brands, they dissect what happens when organizations prioritize profits over principles and offer actionable strategies to strike the right balance.As CEOs and senior executives face an age of hyper-connected digital transparency, this episode offers practical lessons on how to build trust and recover from missteps while strengthening your organization's brand identity. Whether you're leading a small team or steering a multinational corporation, Shailendra and Shalini's insights will inspire you to rethink your approach to brand management in today's complex landscape.Actionable Takeaways:Discover why addressing the pain of victims is the most critical first step in brand crisis management—and how few companies actually get it right. Learn the "gold standard" principles from Tylenol's crisis response that can guide your organization in times of uncertainty. Hear how Patagonia and Ben & Jerry's have successfully aligned their brand values with their business strategies, creating deep loyalty and lasting impact. Uncover the risks of avoiding transparency in today's digital age and why attempting to conceal mistakes often results in far greater consequences. Explore how leadership tone at the top shapes middle management and employee responses during crises, for better or worse. Find out how empowering employees with transparency and autonomy can turn them into frontline advocates for your brand, even during challenging times. Understand why balancing principles and profits is not just a moral dilemma but a strategic necessity in building sustainable brands. Learn how companies like Apple have turned public backlash into a moment to reinforce their brand authenticity and regain trust. Gain insights into the leadership actions that can prevent your organization from becoming a cautionary tale, even before a crisis hits. Connect with Shailendra Pratap Jain and Shalini Sarin JainBrand Transgressions Website Shailendra Pratap Jain LinkedIn Shalini Sarin Jain LinkedIn Connect with Mahan Tavakoli: Mahan Tavakoli Website Mahan Tavakoli on LinkedIn Partnering Leadership Website
“Getting that VBAC meant everything to me. It helped so much with the trauma of it all.”At 36 weeks along with her first, Ashley started to have intense carpal tunnel pain. At 38 weeks, it was unbearable. Her provider said that delivery would be the only way to find relief and recommended a 39-week induction. Ashley had a difficult labor and pushing experience. Her provider recommended a C-section due to a cervical lip and no progress after just an hour and a half. Ashley consented and felt defeated. She started her VBAC prep the day she got home from the hospital. At 29 weeks with her second, Ashley had plans for a beautiful trip to Saint Thomas with her husband and toddler. She began contracting the night before her flight but didn't think much of it and made it to their gate– while still contracting. As the plane was boarding, she passed a blood clot in the airport. She knew she needed to go to the hospital. In spite of many interventions trying to stop labor, Ashley birthed her baby via VBAC just hours later. She later learned that she had a possible placental abruption that wasn't detected until her doctor examined her placenta after delivery. Though Ashley's postpartum experience was tough balancing life with a newborn in the NICU for 8 weeks while having a toddler at home, the victory of having a VBAC carried her through. The power of a positive birth experience is real and worth fighting for!Pregnancy-Related Carpal Tunnel ArticleHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hello, Women of Strength. It is Meagan with my friend, Ashley. Hello, Ashley. Ashley: Hi. Meagan: How are you today? Ashley: I am good. How are you doing?Meagan: I am doing great. I'm loving all of the stories we are recording and so excited to hear yours. You have a more unique VBAC in the sense that it was a very premature VBAC. Ashley: Mhmm, yep. Meagan: Yes. We are going to talk a little bit more about that. You're going to share information for NICU moms because your baby did go to the NICU. You are a mom of two and a children's therapist. Can you tell us a little bit more about what you do for work? Ashley: Yeah. I work with kids ages 4-18. Right now, I'm Telehealth only. I actually work in Tooele, Utah, but I live in North Carolina. Everything is Telehealth. It happened with COVID. I was out there during COVID. We moved and continued to do Telehealth since I've moved. I really only see 10 and up at this point. Yeah. I see a lot of teenagers all through Telehealth and it's really wonderful that I get to keep that up. Meagan: That's so awesome. That's awesome that you got to keep doing it, and that you are serving our children. I'm sure that you have lots to say about our children and their mental health that is going on out there, but there is a lot. It is a lot of these kiddos of ours. Ashley: Absolutely, yeah. It's hard and challenging, but it's also really wonderful and rewarding. I love that I get to do it. Meagan: Yeah. Well, thank you so much for all of your hard work out there. Ashley: Yeah, absolutely. Meagan: We do have a Review of the Week, so I want to get into that, then I really want to turn the time over to share both of these journeys. This review is from Sienna. It says, “After having a very hard conversation with my OB where I learned she was in fact not VBAC tolerant or friendly, I texted my best friend through tears pouring down my face and she immediately sent me a text back with The VBAC Link Podcast. Ever since, I have been listening to every episode of the podcast. It is so beyond helpful and inspiring for anyone preparing for a VBAC. I'm due at the September, and have made the goal to listen to every single episode before then. I can't say enough for what Meagan and Julie are doing for women like me. I can't wait to rock my VBAC.” Oh, I love that review. Thank you so much, Sienna, and I can't wait for you to have an incredible VBAC. Way to go for realizing that your provider may not be the right provider for you. I think there are so many people who walk through the VBAC journey who think they may have a supportive provider, then at the very last minute, they are having those conversations and realizing, “Oh, shoot. I may not be in the right place.” It is okay to switch and keep interviewing and discussing with your provider. If your provider doesn't feel like talking to you about your VBAC or says, “You've got months to go. We don't need to talk about that right now,” those might be red flags and things you might want to reconsider. Thank you, Sienna, for your review. If you haven't yet, please leave a review. You can Google us at “The VBAC Link” or you can leave it on the podcast platform that you are listening to us on. Okay, Ashley. Thank you again so much for being here with us. Ashley: Yeah, absolutely. I'm so happy to be here. I never thought I would be. When I was preparing for my VBAC, I was listening every single day during my walks and I just thought, “Oh, if I get a VBAC, that would be wonderful,” but I never thought I would ever be on the show. It's crazy and wild to be here. Meagan: I love it. The more and more that we record, we learn that it goes full circle. We're in your ear all pregnancy with all these Women of Strength sharing their stories, inspiring you, building you up, and now, here you are inspiring and building others up as well. Ashley: Yeah. Yeah. It's cool to be here. Do you want me to talk about my first?Meagan: Yeah. Yeah. Every VBAC starts with a C-section, so let's start with your C-section story. Ashley: Yeah, for sure. For my first birth with my son, it was a pretty easy pregnancy for the most part. There were a couple of hiccups here and there. I had morning sickness in the beginning in the first trimester, but everything else was pretty smooth. At 13 weeks, I had a spell where I had a lot of bleeding. That was terrifying. I thought I was miscarrying. I called my provider and panicked. That was just the worst 4 hours of my life because I continuously bleed. They finally got me in for an ultrasound. They checked me and he was just really active and bouncing. They never knew why it happened, but I was fine. Meagan: Did they ever say anything about a subchorionic hematoma or anything like that?Ashley: That kind of sounds familiar, so that could have been it for sure, but I don't remember. But it stopped. After my ultrasound, the bleeding was done, and everything was fine. It was the weirdest thing, but definitely so scary. Yeah, it was terrifying. That was bad, and after that, after the first trimester, my morning sickness went away and everything was good for the most part. What happened though, I took birth classes. I took breastfeeding classes. I didn't do a ton of research. I just took my little birth class, and I thought that was enough. I actually think I skipped the C-section part. I was like, “I'm not going to need that.” I don't know why I was so weirdly confident that I was going to be able to have a vaginal birth, but it literally was something that I'm like, “I'm good,” and I didn't put much thought into it. I don't know why I did that. Meagan: A lot of people do. It's not what we want. It's not what we think is going to happen, so we just push it aside. Ashley: Yeah. Yeah. I didn't do any research at all, so I didn't need to know about that. I didn't want it obviously, so yeah. Everything was good until about 36 weeks I would say. I started to get carpal tunnel and it just got progressively worse and worse. It was bad. The last month of my pregnancy, it was unbearable. My fingers and wrists were numb 24/7. It was waking me up at night how painful my hands and fingers were. I couldn't do little things. I couldn't put a necklace on anymore. I couldn't put my earrings in because I couldn't use my fingers. It was so bad, and it was something I didn't know happened. It was pregnancy-induced carpal tunnel. I had so much swelling in my body. That's what they said it was. My midwife who I had found and really loved, she referred me to PT. I did that. I did wrist braces every night, and nothing helped. I kind of knew that was going to happen just doing some research. They say the only thing that gets rid of it is delivering your baby basically. Meagan: Do they know why it really starts? Is it something within the blood flow? Do we know? We don't know. Ashley: I don't know. My midwife just chalked it up to the swelling. My carpal tunnel was being squeezed by the swelling. I'm pretty petite as is, and then I was carrying so much water and so much weight that I think for me, my body just didn't respond well. I had the carpal tunnel. That was at 36 weeks when it started getting pretty bad. There wasn't a lot we could do about it. I really didn't want to have an induction. I didn't know much about it either. I didn't do a ton of research, but I knew I didn't want it. I just knew I wanted it to all go as naturally as possible and for my baby to come on his own timeline. By 38 weeks, I was miserable. I was like, “I don't think I can do this.” I was pretty big and uncomfortable, but that wasn't the part that was killing me. It was the carpal tunnel. It was bad. My provider said that we could do the membrane sweep each week. We did it at 38 weeks. We did it at 39 weeks, and we decided that if nothing happened after my second sweep, we would think about an induction. I was ready. I had to stop working a week before I even wanted to because I couldn't type anymore. It hurt to type, and I do a lot of assessments with my job where I am typing all of the time, using my mouse and keyboard. It was just awful. We did the membrane sweep at 39 weeks and nothing happened. I was curb walking. I was eating the dates. I was doing the things and drinking the tea. Nothing. So at 39+5, I got admitted for my induction at 8:00 PM. They did a Foley bulb, then they did the Cervadil I believe. That was all fine. I think they also gave me morphine. I think that's when they did that to manage pain. I looked at my notes, but it's kind of hard. Some things aren't super clear. But either way, I got a really bad rash. At the time, they thought it was PUPPS, but looking back, they thought it was a reaction to the morphine. Meagan: Oh shoot. Ashley: Yeah. I was so horribly itchy. Meagan: Yeah, that's miserable. You're in pain and itchy. Ashley: Yeah, and the carpal tunnel was still active. That was still happening. I don't remember it being super uncomfortable with the Foley bulb. I was more scared of it. I was more scared than it actually was painful. I was okay. I handled it okay. So then my water broke at 2:00 AM I believe. The Foley bulb came out and they started the Pitocin by 8:00 AM I believe because I wasn't moving enough. I wasn't dilating enough. My water broke at 2:00 AM. It was in at 8:00 AM. I started an epidural, I think, at 5:00 AM before the Pitocin because I was just in a lot of pain. That epidural, though, was done by a resident which I didn't know at the time. That was one thing I really didn't want. It wasn't placed correctly, and I had a ton of breakthrough pain. It was horrible. They actually ended up rethreading that at, I don't know, 4 hours later. They had to rethread the epidural, remove it, and put it back in by someone else. It was so bad. Meagan: You just had all of the things coming at you. Ashley: Yeah. I just say everything was botched from the start. It was during COVID. There wasn't a lot of staff. I felt ignored. There were hours when I didn't see anybody. The Pitocin wasn't managed very well either. I feel like they never really increased it. Like I said, after they started Pitocin, I didn't see anybody for 4 hours. It was absolutely horrible. Meagan: Wow. So they were just outside watching your strip, and you were doing okay so they were like, “All right, we'll just leave her.” Ashley: I think so. There were no providers. There was barely anybody on staff. I shouldn't say nobody was on staff. I should say that every single room was booked. They were at capacity, and they were low-staffed. It was just not great. I started Pitocin. I finally got to 8 centimeters. I had really, really bad back pain still, and then that was when the epidural was rethreaded or redone. So then it was just waiting for me to progress, but I couldn't feel anything at that point. I think I was just maxed out on pain stuff on the epidural being rethreaded. I had no control over my body whatsoever. I couldn't feel my legs. I couldn't get up and move. It was so awful. I couldn't feel contractions. I could see it on the monitor, and they would tell me I was having a contraction, but I couldn't feel anything. By 5:00 PM, they told me, “Okay, it's time to push.” I had no urges to push because I couldn't feel anything. I started pushing. I remember just being really out of it because of the epidural. That, and I'm sure there was morphine still. I was just out of it. I did not feel good or in control of my body. I just remember they told me to push. I was pushing for an hour and a half. Every time, they'd be like, “Okay, it's time to push.” I would try to push, but I felt like nothing was happening. I couldn't feel anything. Meagan: Yeah.Ashley: Yeah. I think that was probably the biggest reason why I had a C-section. I blame it on the no feeling and no control of my body. They had me push for an hour and a half, then they said that it wasn't happening enough. I was at 9.5 centimeters. They could see his head, but they said there was a cervical lip. They told me I wasn't getting past it is kind of what they said. They said, “You're not going to be able to get past it.” So after an hour and a half, they told me– well, my midwife, and she wasn't my midwife. She was whoever was on staff. She said, “I think we should talk about different options.” C-section came into it. She didn't think I was going to get past the cervical lip. I stalled, so they had an OB come in and talk to me. They said, “Let's bring him in and get his opinion.” He said the same thing, “I just don't think you're getting past this lip, and I think a C-section is the best course.” Looking back, I'm like, “I pushed for an hour and a half and they never tried to move me.” Given I couldn't feel my body, they never tried to reposition me. Now, I know that if that had happened, give me some pressure. Help me sit up. Maybe I could put some pressure on it. I know it's swollen, so putting pressure could have made it worse, but I just think there could have been so much more done that wasn't done. Meagan: Yeah, and sometimes those cervical lips are baby's head positioning. We've been pushing and aggravating the cervix, so rotating and getting the pressure off of the wrong spot and equalizing the pressure, or getting it over can help. Or sometimes that's what it needs. It's not the swelling, the cervix is just there, and it hasn't progressed all the way, so pushing, and pushing, and pushing against that is what causes that swelling. Then movement, time, or rest– there are so many things. There are things like Benadryl or things like that and things to help swelling, but that's unfortunate. They were understaffed, so I bet they were like, “We just have to have this baby.” Ashley: I think that's a lot to do with it. I felt a lot of pressure to just get the C-section. No other interventions were offered. Nobody talked about moving. Nobody talked about letting me rest. Now I know, afterward, when I was prepping with my second birth, I was like, “Yeah, I should rest. Yeah, I should let my body move. Yes, there are things I should do.” I didn't want an epidural, or I didn't want one that strong. That was a huge mistake in my eyes. I had an epidural with my second and it was great, but with my first, they just overdosed me. They gave me way too much. I went to the OR. I had my baby via C-section. I was so out of it. They gave me more pain meds back there because they were going to cut me open, then I couldn't feel my arms when I pulled my son out. They kept trying to hand him to me, and I could not move my arms. I was like, “Please stop.” It was so traumatic because I couldn't hold him, and they kept trying to give him to me. Everything was a blur for a while. I woke up in the recovery room. I didn't get to hold my baby for 2 hours after he was born just because I was so out of it. Then I got to hold him eventually. We were back in my room. I was there for a couple of days. Yeah. Recovering from that emotionally and physically was so hard. I didn't prep for it. I didn't expect it, and looking back, I was angry that it went the way it went. I feel like it didn't have to. He ended up being 9lbs, 1oz. His head was in the 97th percentile. He had a massive head, and he was a big baby, but I do think things could have gone a lot differently. Meagan: Did he have any swelling on any part of his head that would have indicated things like asyncliticism or a bruise or anything on his head from pushing?Ashley: No, but he had a cone head. He had a very– Meagan: Okay, so he was coning and getting caput. Okay. Ashley: That's it, yeah. Meagan: Okay. I was just wondering if there was anything specific to a positional thing, but it might have just been that your cervix wasn't fully progressed before you started pushing. Ashley: Yeah, I think that had a lot to do with it. When you think about it, I was admitted at 8:00 PM. He was born at 8:00 PM. It was 24 hours and I was on my back the whole time. I was not being moved. I was not being repositioned. Like I said, there was not a lot of staff around. I was ignored. I didn't know any better. I didn't know what I should or should not be doing. I didn't know that I should be moving. I think that had a lot to do with it, a lack of moving around and I was just on my back. Meagan: Yeah. Yeah. So had him and did you immediately know you wanted a different experience or were you just such in shock with everything that you couldn't even process that? Ashley: I knew I wanted a different experience. I remember being in my bed the day we brought my day home in the bassinet, and I remember being on Instagram just looking up C-section groups and support. That's when VBAC came to mind. I was like, okay. I can have a VBAC. I can do it differently next time. We only wanted two kids, so I knew that was my chance. For my second pregnancy, I really had to dedicate myself to how my body would allow, but that was so important to me right away, to have a VBAC. Meagan: Yeah. Did you immediately find a lot of resources? Ashley: I did. I believe that's when I started following The VBAC Link. I believe that's when it happened. There were some other C-section mama groups and stuff that I followed. That was really helpful. I would read people's comments and it brought me so much relief to know other people had experiences like mine and the way I was feeling was normal. That was super helpful. Meagan: Yeah. There's something about having that community behind you, validating you, helping you feel like you're not alone in this world going through this, you're not alone in this world wanting something different. A lot of people will say, “Why can't you just be grateful? Why are you trying to figure out a new pregnancy and birth when you're not even pregnant? You just got this beautiful newborn.” It's not that I don't love my newborn, and I don't want this time with my newborn, but I'm starting my journey now to have a different experience. It's okay that I didn't like my experience. I still love my baby. Ashley: Yeah. That was what I heard a lot. I heard, “At least your baby is here and they're healthy.” I know that was just well-intentioned, but yeah. That was really traumatic. My baby is here. My baby was healthy, and it was wonderful that he was born happy and healthy, but I didn't feel right about it. I felt like I didn't have control. I felt like I didn't have a choice. I felt really pressured, and I didn't have the birth that I expected to have. That was just really, really difficult. Meagan: Yeah. You also went through a lot between the reaction, but then also with carpal tunnel. You were restricted to even move your fingers, then in your birth, you couldn't even move your arms. It went heavier. My spinal also went higher with my second up into my lungs and into my arms. I remember feeling that panicked feeling just laying there. Everyone was doing their thing and I was like, “Oh, is this going to stop? How am I going to hold my baby?” and all of those feelings. Ashley: Yeah. Meagan: Well, okay. So you had this precious baby. You decided you wanted a different experience and how did that experience start? Ashley: Yeah. The second time around, I should say with my first that it took us a while to get pregnant. It took us 13 months. I was thinking– I don't know why it took so long. We were really trying. I was thinking that maybe that would happen again. I was mentally preparing for that. We had been trying for a couple of months. We moved. Right when we started trying was when we moved another state to North Carolina. I needed to find a provider. After getting settled for a couple months and had been trying for a couple of months, I found a provider who had really great reviews. I thought, this is great. I got in with her. That was really just to first get checked up, and then second, to have a plan for if we can't get pregnant in the next couple of months, what should we do? I was thinking about that one medication you can take that releases more eggs. I wanted to ask about that because almost 35 and I wanted to be on top of it. I met with her. She was really nice, but immediately, she didn't read my chart. She didn't know about my first birth. I had to tell her about it and give her that information. After I explained what happened, she basically said that it sounded like it was an anatomy thing for me. One, it was anatomy. I said right away, “I want a VBAC. This is my goal, absolutely.” After I told her my story, she said, “Well, that sounds like anatomy. When it's that, you're more likely to have a repeat C-section.” She was like, “I'll let you try, but the odds are that you're probably going to have a C-section.” I felt so defeated when I left that appointment. I kind of just accepted it and thought, okay. That's probably what's going to happen. She's the expert. She's got great reviews. She must know. I left that appointment and again, did some research, and I started seeing that it was not really true. You still can have a VBAC. What she was telling me was not true. I needed to find a different provider. That's what that meant. I just left it at that and waited. The next month, we got pregnant which was amazing. It only took us 5 months that time which I wasn't expecting. It was super exciting. I did research for VBAC-friendly providers. I found the most wonderful doctor. Her practice is pretty much all women doctors and midwives. They're all VBAC-supportive. When I met with my doctor, she said, “That's what I prefer. 100%, I prefer to do a VBAC. I think it's safer. I would much rather do that than a repeat C-section.” She was very gung-ho and it was great. As soon as we met, she already knew my chart. She read my previous birth. That was super refreshing. I didn't have to tell her anything and she had a plan for me. She said, “If you want a VBAC, this is going to be the plan. We're going to do everything we can to avoid any type of induction and intervention. That's what we want to do.” About the carpal tunnel, it was likely to come back because it was about my body, and it was more my body and my anatomy, and how I handle swelling. The carpal tunnel was likely to happen again, but the problem was the first time around, I got induced because of carpal tunnel. If this comes back, what are we going to do? She started me on a baby aspirin right away. That was more because I ended up having preeclampsia after I gave birth. Meagan: Postpartum-eclampsia. Ashley: Yes, yep. That didn't didn't affect me that much, but yeah. She said, “We want to prevent that, so at 10 weeks, I want you taking baby aspirin.” She said, “If carpal tunnel comes back, I think we should do steroid shots and that should be able to help with the pain. It will help you manage the pain, so we can get to birth without induction or interventions.” Right there, I felt so much relief because that was the reason induction happened the first time around, but I also was a little angry because I was like, why didn't my first midwife ever talk about that? It was never brought up. It was only PT. I don't know why that way, but again if I would have had that, I think I could have had a much better pregnancy the first time around. Meagan: Yeah, and gone through a lot less pain. Ashley: More manageable. Yeah, so I left that appointment feeling really good. I found this wonderful provider, and things were going to go differently this time around. I asked about this time if my baby was bigger, and she said, “No, it's not about weight. It's not about how big your baby is. It's about the way the head is positioned and the way the head is coming out. Big babies can be delivered vaginally.” She just said all of the right things. Meagan: Yes. Yes. When you were first telling me the story from the other provider who you met, I was shaking my head. With this one, I'm throwing my hands up like yes, yes, yes. Ashley: Yeah, that's how I felt. She was wonderful. That was such a relief. It was everything for me. I left that and right away started prep for a VBAC. I already exercised lightly every day, but I started exercising. I made that a priority. I did my 2-mile walk every day. I was drinking the red raspberry leaf tea. I was meeting with the chiropractor. I met with a doula and interviewed a doula. I got that set up. Yeah, everything was pretty smooth. I had horrible morning sickness. This was worse this time around with my second pregnancy. I got horrible pregnancy acne. I had never had acne in my life, and then during my pregnancy, it was just horrible. That's the worst. Everything else was smooth sailing. Meagan: Interesting. I wonder why. Ashley: I don't know. I thought for sure I was having a girl because I never had it with my first pregnancy, so I was like, maybe I'm having a girl this time around. And my morning sickness was worse, so with my pregnancy being so different this time around, I thought it must be a girl, but it wasn't. It was another boy. Meagan: It was?Ashley: Yeah, yeah. Meagan: Maybe the testosterone. I sometimes get testosterone acne. Maybe it was the testosterone. Maybe this baby had extra testosterone creating acne or something. Ashley: Yep, perhaps. I was just so convinced that I did everything. I bought baby girl clothes and all of that.Meagan: You were convinced. Ashley: Yeah, when I found out it was a boy, I was shocked. Everything was good though for the most part. There were no big issues once we got through the first trimester. What kind of happened was, I had never truly felt contractions before because with my first, I already had an epidural when I started to have contractions. I didn't know what they would feel like. I was exactly 28 weeks. I went to the bathroom and there was mucus. I didn't know. It was a lot. I ended up looking it up a lot and it looked like my mucus plug from what I saw. I had a doctor appointment the next day and after reading a bunch of things online, people didn't seem to think it was a big deal. They grow back and sometimes that happens, so I wasn't freaking out at all about that. I saw my doctor the next day, and she said that it was okay. It probably was just part of my mucus plug. She didn't seem very concerned. The next week, I was leaving for St. Thomas on our last vacation as a family of three. It was very important to me. I wanted to go to the beach with my toddler and have uninterrupted time with him before my baby came. This was in March. My baby was coming at the end of May, so I was going to be 29 weeks. It's a good time to travel I thought. We would get this great beach vacation with my toddler. I was cleared to travel. Everything was fine, and then the Monday when I was 28 weeks and 6 days, that night was horrible. I had so much pressure and I was tossing and turning all night. I just kept thinking I had to pee. I kept getting up, trying to go to the bathroom, and coming back to bed, but there was a lot of pressure. I didn't think much of it, and I just knew I didn't get good sleep. The next day was a Tuesday. All day long, I was having tightening on my stomach and pressure, but it wasn't consistent. I feel like it was every 20 minutes to every 40 minutes. I would feel a little bit of pain. It wasn't really bad though. I wouldn't even call it pain. I would call it discomfort. I looked it up online. I was exactly 29 weeks at that point. I saw Braxton Hicks, and I was like, “That's it. I'm just having Braxton Hicks.” It didn't happen with my first, so I didn't even know the difference. I was fine. I just went about my day. We were packing for vacation. We were leaving the next day. That night, that Tuesday night, we went to bed by 11:00 PM. We had to wake up at 5:00 AM for the airport. That night was excruciating. I could not sleep. I was in pain. I was having contractions every 10 or so minutes and tossing and turning. There was lots of pressure. I woke my husband up at 2:00 AM and we started talking about, “Should I go to the hospital?” I was like, “No, I think it's Braxton Hicks. I think it will go away,” which is crazy now that I look back. It was really painful, and I was really trying to–Meagan: Talk it down to Braxton Hicks, and you're early. You don't want to think about it. Ashley: Yeah, I was 29 weeks. There was no way. Again, it did not cross my mind that it was actually real contractions because I was so early. Yeah, then there was a huge degree of denial going on. There was gigantic denial because I just wanted that vacation so badly. Not that I wanted a vacation, but I wanted that time with my son on the beach. We had been talking about it, so I just wanted to make it happen. At 2:00 AM, I woke him up. We talked about it. I was just like, “Okay. I'm going to get a heating pad and put it on my belly. I'll just lay here and hopefully that will kill the pain.” I took some Tylenol as well, and it didn't do anything. By 4:00 AM, I was like, “I'm getting in that hot bathtub, and I'm just hoping that stops this.” I was in the bathtub, which again, should have been my sign that you should leave for the hospital if you have to get into the bathtub and use the heating pad. If all of this stuff was happening, I should have gone in. By 5:00 AM, I was up. We were loading the car, and we were off to the airport. The whole time I was walking into the airport, I was stopping myself in my tracks to have a contraction. Meagan: Oh my goodness. Ashley: I was walking through the airport stopping, catching my breath, then I'd keep walking. It is absolutely wild that I got that far. It was a far walk to our gate. I was doing that a lot, and finally, we got to the gate. We were waiting to board. We were 5 minutes from boarding. People are actively boarding the plane. We are waiting to board last. I was like, “I'm just waiting to go to bathroom.” I go to the bathroom, and that's when I passed a quarter-sized blood clot. I had light bleeding on top of that. I came back, and I looked at my husband and said, “I can't get on that plane. I have to go to the hospital,” but I said, “You guys get on the plane, you and our son. Get on the airplane, and I will drive myself.” We had our car there. I was like, “I'm going to go to the hospital, and I'll just rebook my flight for tomorrow. I'll come out and meet you guys in St. Thomas.” Meagan: Oh my gosh. Ashley: We debated that. My husband went back and forth for a couple of minutes. He was like, “I don't think that's a good idea.” I was like, “No, it's fine. They're going to check me out and release me. I'll meet you guys tomorrow.” Thank God he was like, “No. Let's not do that.” Meagan: Yeah, seriously. Ashley: I still just thought everything was fine. I really thought that. I wanted to go so badly. We ended up that they had to get all of our baggage off of the plane. The crew was really annoyed with us, but so be it. Meagan: Whatever. Ashley: Yeah. We held up the flight a little bit for sure, and then I couldn't even at that point walk back to the car. We called a wheelchair. Someone came and wheeled me out to our car. The hospital was only 20 minutes from the airport which was great. We got to the valet and we couldn't bring my son in, so while my husband talked to the front desk, I waited in the car with my son. They said that my son couldn't come into triage, so me and my husband obviously couldn't leave him in the car. I just walked myself into the hospital. I got seen by triage, and right away, they took me back to the room. I said I was having contractions. They were monitoring me, and they were like, “It doesn't really look like contractions.” I was like, “Okay, well something is happening. I'm in a lot of pain.” They put the monitor on me and didn't see anything. Then they admitted me to one of the rooms in triage. They really wanted to check me, but I was not having that. I did not want to be checked. They really wanted me to go home. They ended up giving me an ultrasound, and everything came back normal with baby which was great, but they were like, “We don't understand why you're in so much pain,” because they still weren't seeing contractions. They ended up seeing them on the monitor, and the doctor said, “I have to check you.” At this point, it was 11:00 AM. Meagan: I have to check you. Ashley: Yeah. She said, “We have to. We don't know what's going on with your body. You're in a lot of pain, so we won't know unless we check you.” She was really kind about it. I didn't feel pressured because I had already turned it down. They had asked me and asked me, but they were like, “We don't know what's happening. We have to know where you're at.” She checked me and when she was done, she looked at me and said, “You're at 3.5 centimeters.” I just burst into tears because at that point, I knew that it was not good. I was too far dilated for 29 weeks.She said, “You're not going to leave tonight. You're not leaving until you deliver basically because you're dilated. We have to keep you until your due date.” My due date was 11 weeks away.That was the hardest part because I knew I wouldn't see my toddler until I gave birth. That was horrible. That's what I cared about at that point. Obviously, I cared that my baby was healthy, but it was excruciating to think about that. Meagan: Mhmm. Ashley: They admitted me right away. They took me to Labor and Delivery. I told my husband because he took my toddler home. I told him, “They're keeping me.” He came back to the hospital. At that point, the plan was just to stall labor as much as possible. Let's get as far to your due date as possible. They did the magnesium drip immediately. They gave me steroid shots to help strengthen my baby's lungs. They gave me one oral medication. I can't remember what it was called, but it was supposed to help stall labor. That was all started and up and running by 1:00 PM. By 4:00, my water broke. With all of the interventions, my water still broke at 4:00 PM, and baby was coming. My water broke by 4:30, and then I was pretty much having contractions from that point on. They were pretty consistent and pretty painful. At 3:00 AM, they really started to ramp up. They were 3-5 minutes apart. They were really painful. At that point, I asked for an epidural. I was really clear that I needed it to be the lightest possible epidural. I talked about my past experience and how awful it was. I was going to try to not do an epidural, but the contractions were so intense that I was like, “I don't think I'm going to be able to push because I'm in so much pain. I can't imagine pushing through these contractions.” I had a great anesthesiologist who came in. He listened to me. He was absolutely wonderful, and he knew his stuff. He gave me the lowest possible dose just so I would be able to take the edge off of pushing. I could feel everything. That was in place by 4:20. I was complete before they did the epidural. I said that I would sit really still but to please give me the epidural. They did. I pushed for a couple of times, and he was born at 5:00 AM. I got to hold him. My husband got to cut his umbilical cord, and then I got to hold him for 30 seconds, then they had to take him up to the NICU. Meagan: Wow. Wow, wow, wow. What a change of plans dramatically, so dramatically. So once baby came out and went to the NICU, what were the next steps for you and baby? You got your amazing VBAC, but also, if I could ask, did VBAC matter at that point? Were you happy that you got a VBAC but your gears changed again to my baby is in the NICU? Tell us about that quick shift of events and what it entailed mentally. Ashley: Yeah. That relief of getting my VBAC was still so important to me. I did not want to have a C-section. I still didn't. That was still top on my mind. I was really scared when I started pushing. I kept having that fear that he was not coming out and they were going to make me have a C-section. The fact that he came out when he did, I felt relieved. That feeling of being able to actually give birth vaginally was such a great relief. It was amazing. Meagan: Yes. Ashley: But yes. I was very, very happy about that. The recovery was so much easier. He was born at 5:00 AM. By 8:00 AM, I was standing and using the bathroom. I was fine. I felt wonderful. Even with him going to the NICU, he was healthy. I knew that right away. That helped a ton, but I feel like the trauma was lessened because I got my VBAC. I can't even imagine what hell it would have been for me if I had a C-section. Meagan: Good. Ashley: He was perfectly healthy, other than being a premature baby. They didn't have any concerns at all at the beginning. He just needed oxygen basically, and he needed to be in the NICU under supervision and watched. He was 3,3 when he was born, so he was pretty tiny. Meagan: Teeny tiny. Ashley: Yeah. Even with that, it's surprising how painful that was. I thought because he was a smaller baby, it would not be as painful, but it was very painful. It was still worth it and amazing. The pain was all worth it. Yeah. Getting that VBAC meant everything to me. It helped so much with the trauma of it all. It was one thing I got to control in a situation where I couldn't. There was so much out of my control. Meagan: Yeah. It was the one thing that you had planned, prepped for, and saw happening when everything else– you should have been on the beach hanging out with your family. All of those things that you saw happening didn't happen, so to have that one thing happen, I'm sure felt amazing. Ashley: Mhmm, yeah. For sure. On that note, every single doctor we saw and nurse who came into our room was like, “Thank God you didn't get on that plane.” Everybody knew that story knew that we were supposed to literally be boarding a plane when I was actually at the hospital. I almost did. I almost did. It's wild. Yeah. Meagan: It is wild. Was there any indicator why you were having the blood clot in the airport and why you were having the bleeding? Ashley: So not until I delivered my baby and then I delivered the placenta, and the neonatal surgeon took my placenta and looked at it, and at that point, he said it looked like placental abruption. He found a 2.5-inch blood clot in my placenta, so he thinks that's why I went into preterm labor. After I learned that, I looked it up and realized that it can be deadly to my baby. It can be deadly to the mother as well. That helped with the trauma of it all to wrap my head around it and to think that if I had gone longer, something so drastic like that could have happened to myself or my baby. At that point, I was definitely thankful that I had a preterm labor because that's what brought me a healthy baby.Meagan: Yeah, wow. They didn't even discover it until after. Ashley: Yeah. They had no idea. I don't know if you typically see it in an ultrasound. I had a normal ultrasound at 20 weeks, and then they had one when I got triaged. They didn't see anything, but the surgeon who looked at my placenta said that's what it was. Meagan: Wow. Ashley: I'm so thankful. I really am. Being able to have that information helped me process it all and feel better about what happened. Meagan: I'm sure it offered some validation and took out a little bit of the why. Why did this happen? Why am I 11 weeks early? Ashley: Yeah. They sent the placenta off for, what's the word? Meagan: Testing? Ashley: Yeah, they sent it off for an autopsy. It came back inconclusive and the doctor said that can happen with placenta abruption too so that was inconclusive, but again, the surgeon said that's what he thought it was, so I'm going to accept that and be so thankful that my baby is here. When I think about what could have happened if I would have waited or if my pregnancy would have continued to progress, I really feel so lucky that it actually happened. That helped. Meagan: You know what? It just confirms to me how amazing our bodies are. When something happens outside of the norm, it responds. It's like, “Okay. This is happening. Now my job is to get this baby out.” How incredible is that? It's just crazy. Ashley: Yeah. With all of the interventions, he was coming. I just say that he's a smart guy. He knew he needed to get out. He knew he needed to vacate, and he did. I'm just so happy for that. Meagan: Good. I'm so glad too. So then, having a NICU baby, how long did he stay in the NICU?Ashley: They anticipated 11 weeks which would have been his due date. He ended up getting out at 8. He was there for 8 weeks. He was 37 weeks when he was released which was surprising. He did wonderfully, so that was just so great that he got out when he did a couple of weeks early. But yeah, 8 weeks in the NICU. It was a long time. Meagan: That's a very, very long time. Do you have any tips for parents who may have a NICU baby in the future or anything like that? Ashley: Yeah. I think the biggest thing for me, the first couple of weeks, we went every single day, but we didn't put a ton of pressure on ourselves to stay for too long. At that point, he really just needed his rest, and he didn't need to be stimulated by us at all. They didn't want him to be stimulated. They gave us a couple of hours which was great, but I really let go of the guilt of being there 24/7. There were parents I saw who were there 24/7, and I would compare myself and feel guilty that I wasn't doing the same. I also had a toddler at home. That was a big thing. In the beginning, he didn't really need me to be there. He needed his rest. That's one thing. Give yourself a lot of grace, and do what you need to do. Your baby is getting taken care of under the best supervision. We had the best doctors and nurses. We didn't need to feel guilty about that. The other thing I didn't know until a couple of weeks before I was discharged is that we could request a lead nurse. That made a huge difference too because every day, we had a different nurse, a night nurse, a different daytime nurse, and different weekend nurses. We found out from another parent that if we liked a nurse, we could request a nurse to be with our baby every single shift they had. Meagan: That's awesome. Ashley: Yeah. When we learned that, we got to request nurses that we loved, and it was night and day. They obviously only worked three shifts a week, both of the nurses we requested, but I knew the days that they worked, and I felt so much relief because I knew that they knew my baby, and I knew how they took care of my baby. Meagan: Yeah. That actually sounds like it would be so amazing because you do. You can be cycling through quite a few people in those 8 weeks, so to have that familiar face and that relationship that you can get established, I'm sure meant amazing things for you guys. Ashley: Mhmm, yeah. Absolutely. That's a tip I wish I would have known sooner. I really think it helped him progress too. I think people had said that having that consistent provider would be really helpful for the baby, and I really think it was. So there's that, but I think I read a lot of support groups. Again, I was in them and reading different comments. Again, I think just relying on other people. We had a friend whose baby was in the NICU, and she was wonderful. They were wonderful. Again, I think it's just finding support, and everybody said it feels horrible in the moment, but it's going to be a blip in this story. It's just going to be a blip. It was so hard to actually believe that, but now, it's like, yeah. It went by so quickly. Now he's here. He's perfect. Yeah. Meagan: It was all worth it. Ashley: It was all worth it, and I got my VBAC. It was not exactly how I wanted it, but I got it. Meagan: Yeah. You know, we've talked about it on this show where even when we get a VBAC, sometimes it's not the ideal birth or the ideal scenario or situation or even experience that we wanted. In the end, sometimes people are like, “I actually don't know if I would have chosen the VBAC,” but most of the time people are like, “It was definitely not what I expected, but I'm still happy with the outcome.” Ashley: Mhmm, absolutely. It made me want to have another baby. I've heard that on this podcast. In order to have another VBAC or to have that vaginal delivery, it was just wonderful. Meagan: Yeah, it's funny because I had my VBAC, and it was a really long labor. I'm like, “Okay. I want to do that again, but faster.” Ashley: Yeah. Meagan: Yeah. Maybe someday I'll have another one. I think we're done, but yes. Such great info that you've shared and such a beautiful story. I'm so glad that he is okay, and that you did not get on that plane and all is well. I was thinking about inflammation during pregnancy and how sometimes people can react differently. I wanted to learn more. I just looked it up really quickly about carpal tunnel affecting during pregnancy. I was shocked. This is quick research, so I don't know the deep, deep depths of studies around this, but it says that it occurs when the median nerve in the wrist is compressed causing pain, numbness, and tingling in the hand, and it's actually common during pregnancy. I didn't think it was as common, but it says it affect about 60% of women during pregnancy. Ashley: That's wild because I've only met a handful, not even a handful– I know other people. I was pregnant at the same time as a long of friends, and only two people that I know who I had talked to had experienced that. I had never met anybody else who said they had carpal tunnel. I'm sure to degrees, sure. Probably maybe mild carpal tunnel is 60% and maybe that severe is not as common. Meagan: Yeah. I'm not digging deep in because I wanted to see what it is affecting. It does say that the hormones can cause you to retain fluid, which can soften the ligaments and forms the roof of the tunnel and inflammation which also brought me down to Omega-3s. I don't know if anyone ever talked to you about Omega-3s, but Omega-3s can help because fatty acids can reduce inflammation. I struggle with inflammation just from daily activities in my joints with working out and lifting and these things. I take Needed's Omega-3's. I thought that was interesting, too. I wonder if you've struggled with some form or severity of carpal tunnel and inflammation and things like that or things swelling around the joints causing pressure and pain if Omega-3's can help. It's worth asking your provider, right? Ashley: Yeah, for sure. Meagan: I know. It just seems so crazy and like such a high number. But obviously, it happens. There are things that you can do. Sometimes it just gets so severe like in your case that you just needed to have a baby to be done with that. Well, thank you so much again for sharing your stories with us today, and congrats on your VBAC. Ashley: Thank you so much. I am so appreciative of this podcast. Literally, everything I learned about what to avoid and what to do, I got it all from The VBAC Link, so I appreciate it so much. I really think it's the driving force in me getting to have a VBAC. Meagan: Oh, that makes me so happy. Listen, Women of Strength, if you are still listening and you have recorded your story, listen to just how impactful your stories have been and the things that we share because each of these stories has nuggets of information and education along the way in addition to what we share within the podcast and the blog and on our social media. And here you are. You are just going to help someone else out there get the information and the motivation to go out and do it. Also, a reminder to not get on the plane if we are having symptoms like that. Ashley: Yeah. Meagan: Don't even consider it, and don't send your husband and your son. Ashley: Yes, thank God. Meagan: Okay, thank you so much. Ashley: 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
Today, I'm going to show you how to eliminate mucus in the lungs using NAC. NAC works similarly to salt by thinning mucus, but it also stops its production. It's a potent anti-inflammatory, antioxidant, antibacterial, and antiviral agent that can even break up biofilms. NAC also strengthens the cilia in the respiratory system, which helps to move mucus. NAC can be taken orally, injected, or inhaled through a nebulizer. It can be beneficial for respiratory congestion related to an infection or for diseases like COPD or cystic fibrosis. NAC is also used in hospitals as an antidote for Tylenol poisoning. NAC helps enhance brain function and has been shown to be beneficial for people with Alzheimer's, Parkinson's, OCD, addictions, depression, and schizophrenia. NAC can improve insulin sensitivity, which helps regulate blood sugar and prevent a fatty liver. It promotes healthy blood pressure and cholesterol, and can even help with asthma. You can reduce respiratory mucus with salt if you're dealing with an acute infection, but NAC can eliminate mucus and the inflammation behind it. Vitamin C, curcumin, probiotics, magnesium, quercetin, and vitamin D can all improve the effectiveness of NAC.