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Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 13

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To Forgive
The act as defined as I see it – to release consciously another person from your negative feelings based on an event that was hurtful toward you from them whether it is perceived on your part or known by both parties.
What I find fascinating is that often the act of forgiveness may have to push past an unconscious threat injury in order to take root. This is to say that we can be harmed at a conscious and an unconscious level. The unconscious harm is understood at the vagal nerve level which is a primitive emotional safety response state that all mammals have that developed a long time ago. This is the essence of polyvagal theory which states that when humans feel safe, their nervous system supports the homeostatic functions of health, growth and restoration, while simultaneously become accessible to others without feeling or expressing threat and vulnerability. (Porges S. 2022) Thus, the opposite exists, when humans are threatened, their nervous system supports a break in homeostasis that can be short lived or long persistent based on the severity and chronicity of the harm. This break can lead to persistent mental and physical health challenges….. and a section on sleep followed by the recipe of the week.
Enjoy,
Dr. M

Dr. M’s Women and Children First Podcast #64 – Dan Shapiro, Ph.D. – Provider Burnout

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Dan Shapiro is a man on a mission to help physicians, other providers and the medical healthcare administrators understand the reality of healthcare provider burnout. He is currently the Director of the Chartis Center for Burnout Solutions, where he and his team assist leaders of multi-hospital systems with efforts to reduce burnout and the turnover of high-value physicians, nurses, advanced practice providers, and other staff.

Dan’s education goes back to my alma mater, Vassar College. He graduated with a BA in Psychology before going to the University of Florida for his doctorate in clinical psychology. He completed a post doctoral degree in Medical Crisis Interventions at Harvard University. He held faculty positions at the University of Arizona as well as at Penn State rising to the Chair and Professor of Humanities at Penn State College of Medicine. In 2017, he developed a systematic method for assessing and addressing burnout leading to consulting services focused on multi-hospital systems. In 2023, he left his role as Vice Dean and Chair to pursue the reduction of burnout full time with colleagues at Chartis.

Dan is a frequent contributor to thought leadership in the physician burnout space. In 2003, Random House published his landmark memoir about one physician’s burnout, titled, “Delivering Doctor Amelia,” which was required reading at some colleges and medical schools. He’s written two other books, also for Random House. Dan’s additional writings have appeared or been featured in, among others, the New York Times, Proceedings of the National Academies of Science, the New England Journal of Medicine, JAMA, Academic Medicine, and NPR’s All Things Considered.

As a hobby, he worked for ten years as a weekly consultant to the hit television shows Grey’s Anatomy, Private Practice, How to Get Away with Murder and on-camera for the Discovery, National Geographic, and FYI channels.

Please enjoy my conversation with Dan Shapiro,

Dr. M

Dr. M’s Women and Children First Podcast #60 – Moshe Szyf, Ph.D. – Hope and Epigenetics Part 2

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This week’s guest is Professor Moshe Szyf.
This is the second story of hope for us as a species. We have a level of control over our outcome that is baked into our DNA.
Dr. Moshe Szyf joins the show today to discuss the social programming of the epigenome. Dr. Szyf and his colleague Dr. Meaney proposed over two decades ago the first set of evidence that the “social environment” early in life can alter DNA methylation launching the emerging field of “social epigenetics”. He also has illustrated that DNA methylation is a prime therapeutic target in cancer and other diseases to be explored and potentially manipulated for health.
“Together, they discovered that our genetic code, the actual sequential structure of our DNA, can pretty much shrug off the influence of any external environmental factors, short of massive radiation. However, the expression of individual genes within that sequence can be permanently altered by such seemingly innocuous influences as diet or how others treat us. Once triggered, a group of molecules called a methyl group attaches itself to the control centre of a gene, permanently switching on or off the manufacture of proteins that are essential to the workings of every cell in our body. In most tumours, this DNA methylation pattern has been knocked awry, leading to a gene being completely deactivated or triggered to abnormally high activity.” (McGill Reporter)
Dr. Szyf received his Ph. D from the Hebrew University and did his postdoctoral fellowship in Genetics at Harvard Medical School before he joined the department of Pharmacology and Therapeutics at McGill University in Montreal, Canada. He currently holds the James McGill Professorship in Pharmacology. He is the founding co-director of the Sackler Institute for Epigenetics and Psychobiology at McGill and is a Fellow of the Canadian Institute for Advanced Research Experience-based Brain and Biological Development program. Szyf has been the founder of the first “Pharma” to develop epigenetic pharmacology “Methylgene Inc.” and the first journal in epigenetics “Epigenetics”.
Please enjoy my conversation with Dr. Moshe Szyf,
Enjoy,
Dr. M

Dr. M’s Women and Children First Podcast #55 – Ryan Conklin – The Grief Journey

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This weeks guest is Ryan Conklin a self described – light chasing, storytelling, thread puller, adventure bound tracker and student of myth and maps. He is transformational coach by day, and bartender and hospitalitarian by night. He is a thinker that has a beautiful way of seeing grief and leaning into it in a grounding and therapeutic way. We dive into the deep end of the pool as it relates to grief processing and life after a death. 

Dr. M

Dr. M’s Women and Children First Podcast #51 – Paul Smolen, MD – Parenting Class

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This weeks guest is my friend, Dr. Paul Smolen, also known as Doc Smo by his friends, is a pediatrician with 38 years of experience caring for children and families. He is a graduate of Duke University (1974), Rutgers Medical School (1978), and Wake Forest University-N.C. Baptist Hospital (1982). At Wake Forest University he completed a residency in general pediatrics, served as chief resident, and completed a fellowship in ambulatory pediatrics. For over 38 years, he was an Adjunct Associate Professor of Pediatrics at the University of North Carolina-Chapel Hill helping to train a generation of medical students and pediatric residents as well as author several research papers. He is also the author of two parenting books,  Can Doesn’t Mean Should (2015) and Great Kids Don’t Just Happen (2019). Doc Smo is a bona-fide expert in knowing what parents want and need to know about parenting and child health. Imparting practical and useful advice is the goal of every “Pedcast” that he produced over his podcasting career.
This week we discuss his book Great Kids Don’t Just Happen.
Enjoy,
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 20

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Section I – An Uncivilized Journey Part II
(Being Vulnerable part II)
I continued my wandering journey of self discovery this year. Finding myself back in rural Austin, Texas, there would be no preconceived idea for me what this stop on the path would uncover and offer me in witness and self emotional understanding. Not to disappoint, this journey was easily 5X more mind and heart opening than last April. The past year has been tumultuous for me as you all may remember. I am still coming off the reality of losing my rock in the world, my father. It is a strange feeling. The knowing that he is gone and that I must live without his counsel, love and support. But, live we all must with loss, grief and existence…..
Best,
Dr. M

Dr. M’s Women and Children First Podcast #46 – Jake Hastings – First Responders Health

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This weeks guest is Jake Hastings. Who is he? He is a man who has been on the front lines of human health with a diverse background in firefighting, EMS Care, and incident management. His adventures and jobs have carried him to 27 countries around the world. He served in the United States Air Force as a medic and mental health technician where he worked in clinics and hospitals with various military branches. After the military, Jake worked as a ski patroller in Mt. Hood Oregon, and a search and rescue park ranger for the Columbia River Gorge National Scenic Area. He eventually joined Clackamas Fire District #1 near Portland, OR and served 6 years as a Firefighter/ Engineer. Jake then joined the Oregon State Fire Marshal’s Incident Management Team as a Public Information Officer and traveled the Pacific Northwest helping to manage large incident wildfires. Jake has worked in some large scale disaster incidents such as the Joplin Missouri Tornado in 2011, and the Riverside Fire in Clackamas County Oregon in 2020.

Jake now teaches Emergency Medicine in Montana and also hosts wellness retreats part time. He is passionate about continuing to help others and advocates for mental health care amongst the first responder community. We discuss the reality of being a first responder, the trials that come along with the jobs and how we are working to live a more grounded and authentic life.

Enjoy,

Dr. M

 

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