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TRANSCRIPT

KK: We are on the brink of a mental health crisis. This is why I'm so appreciative of the folks over at BetterHelp everywhere the largest online counseling platform worldwide to change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to licensed therapists. BetterHelp makes professional counseling available anytime, anywhere through a computer, tablet, or smartphone. Sign up today go to better help.com And use a promo code ‘solvinghealthcare’ and get 10% off signup fees.

SP: COVID has affected us all and with all the negativity surrounding it, it's often hard to find the positive, but one of the blessings it has given us is the opportunity to build an avenue for creating change. Starting right here in our community discussing topics that affect us most such as racism and health care, maintaining a positive mindset, creating change the importance of advocacy, and the many lessons we have all learned from COVID. If you or your organization are interested in speaking engagements, send a message to kwadcast99@gmail.com, reach out on Facebook at kwadcast or online at drkwadwo.ca.

KK: Welcome to Solving Healthcare. I'm Kwadwo Kyeremanteng. I'm an ICU and palliative care physician here in Ottawa and the founder of resource optimization network. We are on a mission to transform healthcare in Canada. We're going to talk with physicians, nurses, administrators, patients and their families because inefficiencies, overwork and overcrowding affects us all. I believe it's time for a better health care system that's more cost effective, dignified, and just for everyone involved.

KK: Kwadcast nation. Welcome back, we have another exciting episode with Michelle Peris from ‘The Wild Collective’. Why is she on the show? Number one, she's amazing human being naturopathic physician that's changing the bogey. How she’s changing the bogey? by introducing group health, looking at ways that you as a patient or client, being in a group setting, to be able to learn off each other, have that shared experience, talk about ways of getting collectively healthier, almost being a cheering section for each other. Just makes so much sense, especially when we have so many shortages and issues in healthcare right now. So really excited about this, you're going to enjoy this episode. Before jumping on though, I want you to go to kwadcast.substack.com. That's our new newsletter. That's where all our information is. I'm talking podcasts, videos of our episodes, vlogs, blogs, the latest and the greatest on healthcare solutions, right on one spot. So, you got to jump on the train baby, jump on the train. Alright, so without further ado, Michelle Peris.

Kwadcast nation - as usual, we got an exciting guest. I'm going to go ahead and even call Michelle, a friend. We met at the EPIC live event, and was very kind in terms of her messaging, but also reached out and expressed some of the amazing stuff she is doing with ‘The Wild Collective’ and I think, honestly, can transform how we approach medicine. Really, as we like to say, ‘changing the boogey’. So, without further ado, Michelle Peris, welcome to the podcast.

MP: Thanks so much for having me. I am really excited to connect with you and grateful to call you friend, you’ve been so inspiring to me. It's a wonderful opportunity to be here.

KK: Oh, that's very kind and but I mean, this is all about you. So, you started ‘The Wild Collective’ your background in naturopathic medicine. Yeah. So, maybe tell us just a bit of your background and how you landed in producing this amazing initiative.

MP: I often say our mess is our message. So, you know, it goes as far back as really struggling as a young girl of feeling that, you know, magical experience of belongingness always having a difficult time as a young girl to belong, and to feel like I fit in somewhere. That really, I guess, primed what the natural evolution of this was but I fell into naturopathic medicine largely through learning the power of food and nutrition. For the first time at that point, really learned what it meant to belong with a bunch of people who are like minded and suddenly, I felt very capable and very happy and satisfied with life. That was something that stuck with me those moments and seven years into clinical practice as a naturopathic doctor loved a very successful practice loving who I was serving. But feeling really dissatisfied with the consistency of results. At the same time, there was like this growing body of information of all of these, you know, health ramifications of social isolation and loneliness. It being the leading cause of mortality, and all these things, and I really felt like I was failing my patients. First, I didn't really have a screening process for loneliness and then I didn't have support for them on the other side of that, and I think it was really, all these moments that culminated this motivation in for me to solve this problem for my patients. Through that, we created this closed group experience where there's enough time created to not only empower and teach women about body literacy, and how to prioritize their health and why they need to think critically and be the CO creators of their health with their health care providers but also give them the benefits of community medicine and all of the beautiful consequences or side effects that happen when you engage in a community. What started to happen, what started as a very small project, it turned into a global mission, because I really do think this is how we can impact healthcare in a meaningful way how we can alleviate a lot of the burden on the system, is if we are able to disseminate health information that we know is important if people knew how important it was to prioritize their health or create metabolic flexibility or understand nutrition, then they could start to take radical responsibility for the health and start to co create that with their one on one providers and really start to alleviate the system. There are many studies that have demonstrated that that's possible that there are, you know, clinics in the US that are you leveraging this, that you have to go through a group program first. Then Dr. Mark Hyman is a great example, 80% of those cohorts that go through that group program don't require his care at the end of it. So, so much of what we do, we can really empower people to do on their own, and they don't necessarily require a one-on-one care. For me, this was exciting. I think the other things too, is that we spent a lot of time and educating ourselves on all these obstacles, secure the things that get in our way. I don't think we have enough time in one-on-one care to unpack what those could possibly be. Maybe it's not feeling connected in our relationships are unfulfilled in our work, we don't necessarily have mission and purpose that drive our day. These are huge drivers to overall well being. They need to be understood, and we need to take responsibility for them to be, like transformed in that healthcare experience. I think I think group health does that beautifully. So that was a lot. But that's what I'm doing.

KK: No, that's good. That's good. It paints a beautiful picture. Michelle, so maybe give us a sense of what a common topics that come up or common ailments that you see like, who what's the typical person that comes to see you?

MP: I know this, everyone always wants us to define this. I really want to reach every woman, but I would say women come to us typically because they're interested in learning more. Most women who are interested in something like this have been told by someone that everything looks fine, but they don't feel fine. So usually, there's some kind of overwhelm, anxiety, stress, burnout, maybe a hormonal symptom as a result, or insomnia. Or they're aware that there's a, you know, low thyroid situation happening. That's what's really prompted them to explore naturopathic medicine and get more curious about that root cause piece. Then I think what ultimately gets them interested and what has created a whole access to a different type of, of health education is once they understand what we're doing in a group health setting, so not only are we helping them understand optimal ranges for bloodwork results, or other areas to explore, I think you do a good job of highlighting this but for many people who are just learning this it's never just one symptom or one pot. It's like one system of the body that is going on, right, like they they're all They're all interconnected. So, I think when we're looking at things in a very condensed way, and we're not expanding and helping people widen the lens on what could be going on. I think health information helps individuals do that. So, We can talk about maybe the reason they came in is that they had hot flashes. But if we can educate them on, you know how their nutrition might be impacting that, or how their stress levels might be contributing to that, I think that's what really creates a lot of interest for women to want to learn that. I think the people that we tend to attract is they want to know this information, and they feel so overwhelmed by the content on Google, I think what keeps them fascinated and why they stay in this type of work, is that we like to expand the conversation and take it one step further, and really start to unpack those other obstacles that might be getting in the way are where they're feeling like, mystified, there's so many women out there, ‘I don't know why I keep gaining weight, it's not making sense’ when we start to really go a little bit deeper and look at different concepts of like speaking our truth, and trusting our intuition and just digging a little bit deeper. How our relationships are actually affecting our physical health, I think we start to make it a bit richer and more interesting for them. Now they start to see all the ways that they may have ended up in this dysfunctional health state. I think there is this growing curiosity to want to understand that I think we serve a lot of people if we're being super honest. It's probably not the thing that they come forward with, but they feel like they've checked all the boxes, and they still feel quite unfulfilled or dissatisfied. That probably comes from being lonely, or not actually being purpose driven. So, I think we tried to create a health information. So, we've done tried to do so many things, but we attract people by educating them on their health and their body. And then we take it one step further, and really get them to step into that space of also taking radical responsibility for those day-to-day things that are negatively impacting their health.

KK: I would imagine in a group setting, people learn off each other? I'm curious, Does the group specifically have common complaints? Or it’s a random number of women? Six women, you put them in one group? Or is it a common issue that they want to address? How do you determine this?

MP: I think you can do it several ways. I think this is being successfully done in both of those fashions. So, for us, we've been more about how we're a very fundamental foundational program for women. So, there's a nonspecific attraction to it. Not, we're not like, oh, here we are for autoimmunity, those groups do happen and they're fabulous, because it gives you that opportunity to really niche down in the types of conversations you want to have. I think what I've learned for doing this for the last seven years is that there always is that unifying universal normalization of the human experience that happens in any group that you're in. I think this can work in either capacity, is there are a specific condition that one is drawn to this group for or are you there, because you want to become more empowered in your health, and you want to take that radical responsibility to that next step and be in this space. If you know, we all here you become the five people you spend most of your time with. If you start to go into that like minded, health-conscious community, how do we use things that will naturally make those habits easier to embody?

KK: Mhm, it's like you get a team. When you're in a group, you want to encourage each other don't want to let each other down. So, you've got that automatic cheering squad, telling you like, Let's go!

MP: My two frustrations and one on one practice where lack of support for my patients and lack of really understanding what we were doing what why we were doing their treatment plan. That's exactly it's there's that let's go energy that's happening in that group. I remember so many patients would leave my office and they'd be like, ‘I'm so excited like you've made you've given me so much hope I see why this is important. I really want to execute on this plan’ and then they'd come back for their six week follow up. They’ll say ‘My husband wasn't in full support. I don't want to cook all these different meals that that that that that that like all the excuses’ It becomes really difficult to adhere to any plan as brilliant as it is if we lack the social support in order to override the discomfort of change and transformation. It's incredibly difficult. So, when we provide the community, that has that ‘go go rah rah rah’ support. Not only that, but the safe space also to say ‘I'm really struggling today, I don't really love this ketogenic approach, I'm here today, I'm hungry, I'm missing cookies’ whatever, you have this group that's like, I understand, I see you, I am you, and you've got this, you can make this one more day. Suddenly, it doesn't feel so hard to learn these new habits, because you're in a space that supports and understands you. It becomes a lot less scary or overwhelming when you're in that kind of health inspired space.

KK: I mean, you're selling it, you're definitely selling it, I want a stage where we got to think about healthcare delivery, you know, and in ways that they can outside the box here, because our current models and system aren't serving enough for the public. What you're proposing is ways of addressing more patients in a group setting that maybe, as you said, it's more effective because of all the things you stated. So, I think that to me is what's exciting about is that this could be a model that we should be doing at scale. I guess one of my questions for you is, do you feel like the women that see you, do they wish they would start utilizing this technique before they have problems? Do you know what I mean? Is it fair to say that when they see you there's already some significant issues that they want to address?

MP: Yeah, yeah, I agree. Where are we perfectly fit in is in that preventative phase. That's what we were well trained to talk about, and educate and empower on it's like, where we're very well suited in healthcare. Unfortunately, as it stands still because we're fighting against a system, and everyone is so primed in that way. We all think a certain way with respect to how healthcare delivery happens, and how we navigate through the system, that this is still quite a disruptive thought. So even when they're ending up in our one-on-one practice, typically there is something going on, and it's well progressed, it's well beyond the preventative phase. What I'm seeing now we've created teen programs, Mother/Daughter programs, because we to see the potential, like what if you had this information from the start?  I really do believe, and I've said this to not be so bold, I would love to support in any way, I do think this is a very viable solution that fits the gaps that are currently missing. If we're talking about disparity in health care, access to health information, a lot of the criticism with extended health care. Visits, not everyone can access and afford that. Well, Group Health really helps to solve that problem as well. So how do we get this fabulous information that we now know in terms of education, nutrition, lifestyle, or dementia, stress reduction, all these tools that will be disseminated in a very affordable fashion in a large group setting. When people have access to the information, they desire to take radical responsibility for their health, they feel supported by the collective and therefore now they can alleviate a system that is on the brink of collapse that is struggling to keep up with the pace. People are co creating their own health and they are under they understand the role that they play. That's not currently the paradigm we exist in and that was a frustration of mine. Even as a naturopathic doctor, we were still often, you know, viewed as green aloe pass like they still wanted the supplement. I still met that resistance at the very end of my one-on-one practice, you know, there are people like ‘Michelle, I just came to you for the supplement. I didn't want you to talk to me about all the things’ it's like, well, I'm sorry, I can't unsee what I know now.

KK: Absolutely. In terms of the nitty gritty of the programs, because you alluded to the idea that you have like mother daughter programs, for example. Two questions:  What are the programs available? What's the structure like? Is it all naturopathic physician, doctors that will run the program or do you have facilitators?  Walk me through how you navigate through this?

MP: Yeah, so we have a 10-module foundational program that everyone goes through. That is delivered by anyone who is educated enough to articulate the fundamentals of health. So, under a good healthy understanding of physiology, symptom expression, how that shows up in our body testing options, and then natural interventions. So, we have collaborated with mostly naturopathic doctors, we have functional medicine doctors, we have MDs in the US who are teaching and educating the ‘Wild Collective’ we have very well-educated holistic nutritionist that are capable, we have pelvic floor physios that we've partnered up with, and they teach it as their whole clinic delivers certain modules. So, their naturopath delivers a thyroid module, you know, right. So, we we've seen all ways in which this program could be used. And it runs as a closed group. Because for me, that connection piece, like once that piece was well established in my mind that that...

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TRANSCRIPT

KK: We are on the brink of a mental health crisis, and this is why I am so appreciative of the folks over at BetterHelp. It provides the largest online counseling platform worldwide to change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to licensed therapists. BetterHelp makes professional counseling available anytime, anywhere through a computer, tablet, or smartphone. Sign up today. Go to betterhelp.com And use a promo code ‘solvinghealthcare’ and get 10% off signup fees.

SP: COVID has affected us all and with all the negativity surrounding it, it's often hard to find the positive. One of the blessings that is given us is the opportunity to build an avenue for creating change. Starting right here in our community discussing topics that affect us most such as racism and health care, maintaining a positive mindset, creating change, the importance of advocacy, and the many lessons we have all learned from COVID. If you or your organization are interested in speaking engagements, send a message to kwadcast@gmail.com, reach out on Facebook at Kwadcast or online at drkwadwo.ca

KK: Welcome solving healthcare. I'm Kwadwo Kyeremanteng. I'm an ICU and palliative care physician here in Ottawa and the founder of ‘Resource Optimization Network’ We are on a mission to transform healthcare in Canada. I'm going to talk with physicians, nurses, administrators, patients and their families because inefficiencies, overwork and overcrowding affects us all. I believe it's time for a better health care system that's more cost effective, dignified, and just for everyone involved.

KK: Kwadcast nation welcome back. We have a tremendous episode with MJ Forget. She is a pelvic floor specialist in physiotherapy and sees a lot of perimenopausal women and was really knowledgeable in terms of the issues that she sees firsthand. Many people can benefit from a pelvic floor physio, for example, if they're having incontinence, pain or with sexual health, this is such an important aspect of things. Then she dives into how holistic the approach must be how the physio can actually make some significant strides. How lifestyle changes can impact things. Honestly, I learned so much in this episode. So, we'll jump on it right away here. But first, I want to give a quick plug to our latest newsletter on substack kwadcast.substack.com. Where you can stay up to date with all our releases, our blogs, or blogs or guest appearances, courses all are on one site and it's all point. Check out kwadcast.substack.com and jump on the train. So, without further ado MJ Forget.

KK: Welcome to the show. We we've been talking more about women's health, specifically, perimenopausal and menopausal women. One of the areas that I must say it was a bit foreign to me and I didn't realize it was such a big issue was pelvic health. So MJ you've been at this for a while, like when you started? You said over 20 Maybe 25 years?

MJ: 25 years? Yeah.

KK: What lured you to pelvic health and like how big of an issue has is pelvic health ben for people?

MJ: When we graduate from university, you know, and the medical fields we get to find areas of interest when we graduate and that's kind of all that we do. And you know physio, some of them want to do orthopedics and work with sports teams. When I graduated, I went to the hospital system, which is a lot of what physios do, and I worked in ICU and I worked on the floors, I did orthopedics, post knee posts, hips, and it really wasn't where my passion lied by any means. But it was a really great introduction to all thing’s physios working in a hospital setting. So, when I thought about where do I want to go? And what do I want to do? I always had an interest at the time what we call more women's health. Now we call it pelvic health because again, all genders have pelvic health issues. I had classmates who did their thesis on incontinence. I remember thinking at the time oh my gosh “That's something that we can do?”. It really wasn't anything we were taught in university, nobody really talked about, again pelvic health, women's health, women's health issues, menopause, that was never covered in our degree. So, I took my first course and Alberta back in 1997 and I never looked back. I had no idea how much pelvic health issues was a problem. Remember 25 years ago, nobody talked about any of that. Nobody talked about bladder control issues or bowel control issues. Certainly, nobody talked about menopause, and nobody talked about sexual health, which is a lot of what we do in pelvic health. So, I started my career, like I said, I was in my early 20s and that's all I've been doing now, for 25 years. This is where I'm at.

KK: Wow. You alluded to, you didn't realize how big of a problem it was, like how big of a problem truly is it?

MJ: If we talk just about incontinence in Canada, if we just talk about general stats in Canada, 3.3 million Canadians have bladder issues in Canada. When we think about gender differences, one in four women, one of one to nine men, so it's significant. It actually gets a little worse as we age. That's an issue with menopause. So, if we think about the female population, there's about a 20% to 30% incidence of incontinence in our young adulthood. Think of like your 20s and 30s. Then that spikes up to almost 40%. By the time we get into middle age, which is kind of the perimenopausal menopausal age. Then it goes up as high as 50% in our elderly, which is a really big concern. One of the main reasons that our clients get admitted into nursing homes is because of bladder issues, and fecal incontinence rate, loss of bladder and bowel control is usually kind of an event where families then have a hard time maybe coping with taking care of their of their loved ones, and that will increase admissions to nursing homes. So, we're not talking about small numbers. It's a significant number and we have an aging population in Canada. We have a lot of people going through perimenopause and menopause. One of the biggest risk factors of incontinence is actually menopause. We have a lot of people right now who are entering kind of that phase, you know, and I think in Canada, the stats are that there's 10 million of us in this age group in perimenopause, heading into menopause in Canada. That's a big number.

KK: It's massive. And I think this is what's motivated us to cover some of this content because these are years of productivity, have high needs, like moms that are in that perimenopausal age where you're active with your family, your career paths, like a lot of people this is where they're starting to peak in their careers, a lot of demands just to be to be on the workforce, like when I think of health care workers. So, anything we could do to make them more functional and thrive. I think we need to really look at. I don't know if I realized that, like this is kind of like the peak or one of the main concerns during the perimenopausal perimenopausal menopausal timeline. What can you do? What do you do to help?

MJ: There's so much we can talk about this for hours, but we'll try to kind of keep in to keep our timeline because I can get started. I mean, if we're just going to focus on, we’ll talk the impact of perimenopause and menopause. Like you said, it's such a difficult time. You know, people going through perimenopause and menopause, like you said, are working. They are often parents, with children that still require a lot of our attention. Plus, sometimes we're taking care of our parents as well. We're kind of like in that middle group where we're busy with our careers. We may or may not have children, but we also may have parents that we help and it's a really stressful time, and quality of life really starts to take an impact. So typically, when people come to see a pelvic health physiotherapist, or a physiotherapist who's done postgraduate studies in pelvic health, what we do is we are often seeing people that come for problems of bladder control and bowel control. So that would say that's kind of when I started that was the most of what I've seen, but we also help our patients with sexual function and the ability to have pain free sexual intercourse, which is a big issue again in perimenopause and it can actually worsen and menopause as well. We help with conditions called pelvic pain, pelvic pain can be anything like you know, our patients telling me I have vaginal pain or rectal pain, and when I treat my population of men it could be prostate related type of pains. Pain in the pelvis. A lot of pain in the pelvis affects sexual function and has an impact on your bladder and bowel function. So, it's all related together. When you come and see a pelvic health physio, what's important to know is we take what they call a biopsychosocial approach to care. So that means when you come and see us, we're looking at you as a whole person. What's really great about our profession is we have the luxury of time, because when you come and see us, we have an hour on assessment with you. Follow up treatments can be half an hour, 45 minutes or even an hour. So, we have the luxury of time, and we have the luxury of talking. S o the main thing that we always want to do is let people tell us their story, you know, why are you here? What's bothering you? And how much is this bothering you? Because again, when it comes to menopause, or bladder issues, or sexual function, these are not subjects that people want to talk about easily, right? There's a lot of taboo, a lot of embarrassment. A lot of my clients think they're the only ones who cant have intercourse anymore than the only ones who are losing bladder control and can't, you know, run a marathon. Everybody thinks they're the only ones but there are in fact, not, the stats are actually quite high in terms of impact of blood, bladder, health and sexual health on our patients. So, we talk and then we address all things incontinence, bladder, bowel, sexual function, and things like constipation and pain in the pelvic area. So, we do all of that. It's quite a bit and it spans quite a lot of topics. We also talk about lifestyle because lifestyle is important. On the on, on maybe my first visit or second visit, I'm going to talk to you about are you sleeping well? Are you managing your stress well? Are you having any issues with your mental health? depression, stress, anxiety that you're not managing? Well, how are you feeling hormonally? Because part of what we do and what I've noticed during COVID a lot as well is we've kind of become a little bit of the gatekeepers, I want to see we really had to help our patients navigate the healthcare system, and a time that it was really difficult to navigate the health care system. I always tell my clients, I'm here to help build your team around you who do you need to help you navigate perimenopause and menopause so you can live your best life, because as physios, we have to stay in our scope of practice, we can't do everything. So, if I talk about nutrition, I can talk about why nutrition is important, but I'm not allowed to give you advice on nutrition because it's not in my scope. But I'll send you to the people who do that. And the biggest challenge and menopause is that for a long time, there was nobody to send people to. Right? If you think about, you know, how many menopause clinics do you know, that exist out there? Right. There's one at Mount Sinai. There's just not a lot of menopause clinics that are run by a gynecologist and maybe have a nutritionist and a psychologist all working together and maybe with a pelvic health physio, that'd be great. That could look at that whole biopsychosocial approach to care to really help our patients navigate menopause. I think that's now starting to change. I think now, you know, the tagline right now is menopause is having a moment while menopause is having a moment. I think partly because there's a lot more of us in our field talking about it on social media, there's definitely some gynecologist now that are much more vocal on social media, talking about hormones, talking about safety of hormones. When I started 25 years ago, hormones were a no go, there was so much fear around all things hormonal replacement therapy, and it was really difficult because as a physio, I could see how devastating some of the symptoms of menopause were and there wasn't really a lot of options for my patients at the time as to what to do about it. Because everybody has such a fear of hormone, whether it's topical hormones or hormonal replacement therapy, and I think that that's shifting as well. So, we talk about all of these things with our clients when they come in. Then we help navigate and say, Okay, if you're struggling with nutrition, who could we send you to? If you're really struggling with your hormones, who are the hormone, menopause, hormonal experts out there to send you to? If your mental health is an issue, who do we send you to for that so that you can kind of work on your anxiety and your depression and your stress? There's been a lot of stress, you know, in the last few years, and then as physios, we take care of more that kind of the physical kind of component of incontinence, pelvic pain, bowel health, constipation and sexual health.

KK: You know, what I'm really appreciating is you’re saying MJ is how holistic the approach is, it's not so just the physical aspects and the rehabilitation, you need to know how it's affecting your life, how you're doing from a lifestyle perspective, stress level, sleep, how well you're eating, and just approaching it that way. That's what I'm finding really encouraging about this is that you know, you're just not soloing the approach, it really comes down to how the person is doing as a whole. In my opinion when it comes to so many issues in medicine, this is the only way like, you need to really address so many of the needs outside the actual physical concern. Another thought just came to mind too, is just hearing all the, the symptoms that so many perimenopausal and menopausal women have to go through it, it just, it really is sad that so many people have had to go through without it go through all this without attention. You put it together, the hot flashes, the mental health concerns, weight issues,

MJ: the insomnia, the anxiety

KK: Then you add the pelvic pain, the incontinence on top of that

MJ: It's significant, and it's all today can be a very overwhelming time and our client’s life, because, again, they're so busy, they're under a lot of stress, they have a lot of obligations. Then they're dealing with, you know, ‘I can't have intercourse with my partner, it hurts too much. I'm leaking urine, I can't exercise. Now I'm gaining more weight. I am going through perimenopause, I got insomnia, I can't sleep’. That has huge repercussions on the human body. It's important that we all talk about those things. And it's important that we recognize the lane that we're in as, as health professionals and find the right people, for our clients so that they get better. I think you know, again, it's the tides, I think are changing that we're taking a little bit more of this kind of like sort of biopsychosocial approach, looking at the whole person. Also giving permission to our clients to talk to us about these things that it's okay to talk to me about your bladder issues and your sexual health concerns and, and your stressors in your life and how maybe you're having really hard time balancing work life balance and seeing how we can help with that. We can all help with that, in our own way.

KK: Absolutely. Give us a sense, MJ when someone walks into the office what some of the stuff you're assessing? what do you do as a physio to help patients that's within your scope? the exercises? help me understand the potential and the things that you do to help address these issues.

MJ: So, once we've listened to everybody's story, and they tell us what their main concerns are, and what their goals are, in terms of what would they like to achieve with our time together. We do a lot of education, and education can be like I said, lifestyle, sleep, how are they functioning with nutrition? Are they exercising? are they happy? Are they stressed? then we really go into the function of the pelvic floor. So, if we talk about the main concerns most of our clients are coming in with often it will be bladder issues, bowel issues, it will be sexual health issues, and maybe constipation issues, like some bowel issues, that all tends to act up in perimenopause. That's when we take out our props. I have lots of props to explain to people about the pelvis. Because again, we are not taught anything about the pelvis as human beings. And if we think about our education in our primary schools, in our high schools about pelvic health, there's none of that. So, we often don't really know about the pelvis, right? And where the pelvic what's happening to our pelvis. If we look at this wonderful pelvis has been with me for 25 years, so it's falling apart.

KK: People listening, you might have to be extra descriptive, extra descriptive

MJ: Okay, so when we look at the pelvis, if I take the muscles out of the way, this is the front of your pelvis. So that's your pubic bone. By turning the pelvis around, that's your kind of your spinal column and your tailbone would be right here. And if we look at the bottom, while the bottom is all muscular, it's just muscles down there, and you have layers of muscles, and we call it because we're not very clever. We're calling it the pelvic floor muscles. There's a lot of fancy terms in anatomy, so we won't go through that but for the sake of purpose, the pelvic floor and there's layers. The first layer, which is the most superficial, so meaning that you can touch it from the outside. These muscles here go from your pubic bone to your tailbone here at the bottom, they wrap around your clitoris, and your vaginal opening, and then they also wrap around the anal opening. All of these muscles here, the main function of these little muscles are that the vaginal opening or for sexual function, which is why sometimes we can have difficulties with maybe having an orgasm, libido, desire orgasms, and maybe we have...

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Sign up today: http://betterhelp.com/solvinghealthcare and use discount code “solvinghealthcare"

Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.

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BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to a licensed therapist. BetterHelp makes professional counseling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use discount code “solvinghealthcare"

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TRANSCRIPT

KK: We are on the brink of a mental health crisis. This is why I am so appreciative of the folks over at BetterHelp everybody the largest online counseling platform worldwide, they change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to licensed therapists that are helped make professional counseling available anytime, anywhere through a computer, tablet, or smartphone. Sign up today go to betterhelp.com And use a promo code ‘solvinghealthcare’ and get 10% off signup fees.

SP: COVID has affected us all and with all the negativity surrounding it, it's often hard to find the positive. One of the blessings that is given us is the opportunity to build an avenue for creating change. Starting right here in our community discussing topics that affect us most such as racism and health care, maintaining a positive mindset, creating change, the importance of advocacy, and the many lessons we have all learned from COVID. If you or your organization are interested in speaking engagements, send a message to kwadcast99@gmail.com, reach out on Facebook at kwadcast or online at drkwadwo.ca

KK: Welcome to ‘Solving Healthcare’ I'm Kwadwo Kyeremanteng. I'm an ICU and palliative care physician here in Ottawa and the founder of ‘Resource Optimization Network’ We are on a mission to transform healthcare in Canada. I'm going to talk with physicians, nurses, administrators, patients and their families because inefficiencies, overwork and overcrowding affects us all. I believe it's time for a better health care system that's more cost effective, dignified, and just for everyone involved.

KK: Kwadcast nation my goodness, we got Neil Pasricha show on the show man. I don't know if you guys know how balling this is. He is a New York Times best seller, TEDx speaker, entrepreneur, podcaster, public speaker right now. His latest book, ‘Our Book of Awesome’ is out. It's on my nightstand. In full effect. I am so excited to bring this episode to you folks because Neil encompasses the changes we need to make, the mindset changes to be happier, to live a more fulfilling life. Especially in a time where we're struggling, a lot of people are struggling healthcare providers are looking for that sense of purpose. This episode is so much fun, we talk about how to start your day, how to end your day, how to how to be intentional and be purposeful throughout your day. And all these little things I think they just add up into living a more fulfilling life. He also talks a lot about not taking anything for granted, which I think is so important in terms of living a more fulfilled life. Talk about gratitude, all these things that we just need to appreciate and at the end of this episode, you will feel hope, you will feel that there is light at the end of the tunnel. I won't lie to you man; this episode was strait up gangster. Before jumping into it make sure to jump on our kwadcast.substack.com Essentially, it is all things kwadcast, we got videos, blogs, all our podcasts on one platform, one stop shop, essentially for healthcare solutions. So, jump on kwadcast.substack.com. That's where we'll be changing the boogie. Alright, without any further ado, Neil Pasricha. 

NP: Thanks so much for having me on. I really, really appreciate it. I love the work you're doing and it's a thrill to finally connect.

KK: Oh, man, this is thank you for that. This has been a long time coming. The reason Neil I wanted to get you on the show is because you are creating the change as so many of our youth so many of our health care providers need right now. How do we get well, how do we find fulfillment? How do we get happy again? How do we get awesome again? Honestly, I think the best place to start is just your story like this is this is not a typical story in terms of someone that ends up on the bestseller list. How did how did we get here?

NP: Well like it as you say, it's not typical. My parents are Indian immigrants. My mom is from Nairobi, Kenya. My dad is from Amritsar, India, they had an arranged marriage in England, they came to Canada in the 1960s. I was born in a suburb of Toronto called Oshawa, Ontario, which I'm sure some of your listeners know and many of your listeners probably don't. For those that don't know, this is like a GM blue collar kind of town. I was born there in 79. My mum worked as an accountant at General Motors my dad was a high school physics teacher, the very first one in the in the region. You know, I didn't come up into the world of arts being a thing that you could even do you know, at all. For me, it was about getting good grades in math, how's the chemistry marks? you know, what did you get? and 92 on the paper, tell me about the questions you got wrong, you know, so my whole life philosophy was oriented towards, you know, academic achievement. For me, the wheels didn't fall off until my late 20s. I'm happily married. I'm living in Mississauga, Ontario. I've got a steady job. I'm now working as a manager of leadership development, Walmart, Canada, I got the job, I got married, I got a house, I've got potentially going to have kids. Everything's going according to plan. Then the span of a couple of days, the wheels fell off. Two things happened. Number one, my wife told me, she doesn't want to be married anymore. She's like, I've fallen in love with somebody else. I don't know how to tell you this. I really don't want to break your heart. But like, this isn't working for me. We'd been together four years. We've been married for two, we just bought this house. We're talking about having kids. It was like, you know, I'd say it was shock. But it was it was before that it was like I couldn't even comprehend what she was saying, I was like kind of miffed, you know, I was like, what are you talking about? but at the same time, I didn't have time to even start to process that shock. Kwadwo because three days later, my very best friend Chris, sadly took his own life. We need to talk about suicide more. You guys are on the front lines, your healthcare professionals, you know that the suicide numbers are off the charts. 18 per 100,000 murder rates are 6 per 100,000; meaning we are three times more dangerous to ourselves and anybody else is to us. I lost my best friend, I lost my wife, I lost my house, so we sold the house. I'm like losing, I lose weight. I even lose 40 pounds due to stress. Everybody at work at Walmart was like, ‘You look great. What's your secret? What are you eating?’ You know, we have this preoccupation in our society you and I could probably go deep on this topic where like, we take anyone losing weight as like some sort of proxy for wellness, you know, which is totally unhealthy but we have this preoccupation. So, I'm like trying to answer questions about how I why I look so good, even though I just did literally not eating not sleeping, you know, that's the recipe… don't recommend. In the throes of this like overwhelm and anxious depressive place. I decided one night to start a blog. Why? Well, I had written when I was a kid, I was the, you know, elementary school newspaper editor, the high school newspaper editor. I even went to Queen's University and helped edit the newspapers are called ‘Golden Words’ which is a weekly comedy newspaper there. For years after I graduated, I wasn't doing anything like that. So, I was like, writing was a place for me. I looked for it again, I started a blog called ‘1000awesomethings.com’ with the goal of writing one awesome thing for every day for 1000 days. What's an awesome thing? I don't know, I didn't even know I just said, like, I picked the blog title in like 10 seconds. I don't know. I wrote my first post was called brocco flower, the strange mutant hybrid child of nature's ugliest vegetables. No one liked that post, including me. You know, no one liked that thing. I was just like, put something up there. That's a lesson by the way, just start just do something. The next day number 999. The last crummy triangle of potato chips in the corner of the bag and I talked about cutting the bag open pouring into your mouth and licking your fingers sticking it in. Again. Nobody liked it. Nobody read it. Number 998. The next day getting grass stains running around getting grass. Again. Nobody. Eventually my mom was very nice. One day I'll tell you she sent it to my dad and my traffic double. It was unbelievable. I got like two hits. Then one day I started to get 10 and then I got a comment from someone I never heard of. Then I started getting 50 hits and then 100 hits and then a 1000s and I'm not kidding you it started hitting the front page of websites like ‘FARC’ and ‘Digg’ and ‘Reddit’ and I know we're about the same vintage so you might remember these kind of like, you know, original kind of pre social media websites that were sort of building up link sharing as a thing right. I know Reddit is still around but digg.com and FARC.com , we're also huge back then. So, I wrote a post number 980. Keep in mind this is 20 days after I started the thing, and it was called ‘Old dangerous playground equipment’ and I wax prophetic about burning your legs and hot slides, falling into cigarette butts and milk vessels getting a cast on your arm and have everybody sign it. It was like a, that was like saying, remember how good it was. That post got 50,000 hits in one day and for me, as somebody who's getting 50 hits a day, I was like, ‘What's going on?’ and then the people didn't leave that 5000 stuck around and then 10,000 stuck around and then 50,000 stuck around and like I said, I started getting millions of hits. 1 million, 2 million, 5 million 10 million, I get a phone call. Yhe voice at the other end of the line tells me this is like nine months after I started the blog now. The voice says you just won the best blog in the World Award. Which no one's heard of that before. It doesn't even sound like a real award. It sounds like saying you won the Best Tiktok or award like was that even a thing? Is that even who's making this up? Right? Turns out there's an ‘International Academy of Digital Arts and Sciences’ they fly me down to New York City a parade on stage accept an award for best blog in the world sounds like nothing but I get home to Toronto. Now I live in downtown and then by myself for the first time in a big city for the first time in a bachelor apartment for the first time lots of firsts here. I'm still like distraught depressed, I'm not dating. I'm not leaving my apartment. I'm just like hunched over my keyboard writing blogs at night, eating takeout. But you know, I didn't even have salt and pepper shaker. I remember when I had somebody over and they were like, where's your salt pepper. I don't even have the salt and pepper. When you get takeout. They give you a little packets of salt and pepper. I didn't even have bowls. I didn't have oven trays. I had like one fork. You know, I was like living like a cave dweller. Then this blog, you know, won this award and then they turned that all these people came out of the woodwork to turn it into a book. Well, that book was probably how you know me in the first place came out in 2010. It's called ‘The Book of Awesome’ and no one thought this thing would be a hit. They printed 6000 copies, but a kind and lovely woman named Heather Riesman who is the CEO and founder of Indigo Books are decided to make it a ‘Heather's Pick’ She started a propulsive momentum swinging change that I'm still feeling 12 years later, the repercussions of the book ended up selling millions of copies. It became a number one best seller for like years, it wasn't even weeks it was like it was the number one book in Canada for 2010, 2011. Up to that, like it kept going and all the sequels and spin offs started and then I'll tell you what happened is I realized a few years later I'm like ‘The book of even more awesome’, ‘the book of holiday awesome’  in ‘the journal of awesome’, ‘the calendar of awesome’. I was like this is starting to feel like krusty the clown imitation gruel, you know the Simpsons joke like 9 out of 10 orphans can't tell the difference. So, I thought and by the way, heads up I'm still working the job of Walmart despite all the I'm like this isn't gonna last like East Indian immigrant parents. You can't even quit your job to go write calendars about farting and elevators that's not gonna work. I'm like, this is like a 15 second of fame and stuff. Okay. It's a 15 minute of fame. Okay, it's an hour of fame. Well, eventually, after eight years from starting my blog to the day I finally quit Walmart. Eight years later, I wrote five books in the middle. I finally quit that job. I realized I got to figure myself out. I started dating. I started meeting people, I fall in love with a wonderful woman in downtown Toronto. Her name is Leslie. She's a teacher in the Toronto District School Board. We fall in love. A year later we move in together a year later, I get down on one knee I asked her to marry me. Well, you know what happens after that she plans the wedding. I planned the honeymoon, we ended up going to Southeast Asia. But on the flight home from that honeymoon, guess what she tells me I'm pregnant. She bought the pregnancy test and the six-hour layover in the Kuala Lumpur airport; she did the pregnancy test 30,000 feet above sea level in the tiny airplane bathroom in the front of the airplane. So now I got a new thing to think about. I'll tell you what happened is for me, my wife, the muse and my ideas. I had this early success. So, I stopped chasing it. theoretically, I stopped chasing. Then I spent the last five years of my life writing about things that interest me. The books didn't sell as well, but I think they're better. I wrote the ‘Happiness Equation’ about finding happiness. I wrote ‘You are awesome’ about how to develop the muscle of resilience. Now I'm working on a book all about trust. So, I'm chewing on these big, gigantic themes. Why? Because I'm writing the books I want to read. I'm trying to figure out how to live this one tiny, short finite life that we all have a 30,000 days on this planet. That's the end. That's all you get.  115 billion people have lived on this earth. If you're listening to this right now, you're one of 8 billion people alive today. You already won the lottery. 14 Out of every 15 people will never see another sunset, have a bowl ice cream, or kiss the kids ‘good night’. So, there is one of the 15 lottery you want. If you are in Canada, Canada like you and I are Kwadwo, you know, that's another lottery, right? Because there's 35 million of us in this country and there's a billion in the world that's another lottery. That's a one and 200 Lottery, we're at the top of the happiness rankings, we trust our neighbors more, we have clean water out of our taps, we can marry who we want, we can live where we please, these freedoms are not common around the world, let's say. So, we've won this other lottery. I'll tell you, if you make more than $6,000 a year, you make more than the world average income. If you make more than $50,000 a year, you make more than 99.9% of people around the world. If you have a post secondary education of any kind, any size, shape, color, whatever, of any kind. Well guess what? 94% of people in the world do not have that. You’re the 6% of people that do and I could go on and on and on and on. I think of my life as having won the lottery. I think all of us need to feel that way. I think news media and social media punish us and tease our brains and cajole us into thinking the opposite is happening. I know I'm not on the frontlines of healthcare like you are. You can slap me silly right after I go on this finish this rant you can tell me I'm all wrong about this. But here's what I'll say. We got 30,000 days. That's it, boom, we're done. So how can we spend our lives as best we possibly can, living the deepest, richest, most intentional lives possible? I've dedicated now 10 books and journals to exploring this topic.

KK: Neil, my friend, number one, rant of the century, throwing that down - thank you for that. But I gotta say one thing that that really resonates with me. I truly believe is a reason why I feel kinship to you is that appreciation that we are not here forever. I see this every day, my friend, in the ICU, palliative care doc. I see patients in their last days. It is hard. In this day and age to appreciate how lucky we are. We truly are blessed. The ability for you to bring it out and others to say, ‘Hey, this is where the beauty is’ ‘This is where awesomeness is’ ‘This is where happiness is’ is truly a blessing. It really is.

NP: Dead people are quiet; they don't say much. Well, we can’t hear the 110 billion voices of people that aren't here. But if you could ask them one question, ‘what would you want? What would you want?’ I know that most of them would say just one more day, give me another couple of days.

KK: Doing stuff that meet that's meaningful, the stuff that they want to do. Because if you think about it, what percentage of effort do we put into not improve our overall well being to please others to do things that we're supposed to do? You got to Indian parents, I got West African parents’ man, the same same flow, you know, I mean, same flow, but I got two sisters that are dentists. You had to go into medicine son or something along those lines. The other point I was going to make his point I think is critical for a lot of folks, you leaned into that creative side when you were struggling that story about going through the loss of your best friend, which I'm sorry that happened and also having your wife leave. You leaned into that creative side and there's something there's something healing about that. I don't know if you found that in the moment or could reflect on that or you just automatically do that. But there's something healing about that.

NP: Yeah, absolutely. Well, there's a few things here number one is I want to talk to you about regrets you probably heard of nurse ‘Bronnie Ware’ who wrote that she was with over...

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TRANSCRIPT

KK: We are on the brink of a mental health crisis. This is why I am so appreciative of the folks over at BetterHelp everybody the largest online counseling platform worldwide to change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to licensed therapists. BetterHelp makes professional counseling available anytime, anywhere through a computer, tablet, or smartphone. Sign up today go to better health.com And use a promo code solving healthcare and get 10% off signup fees.

SP: COVID has affected us all and with all the negativity surrounding it, it's often hard to find the positive. One of the blessings that has given us is the opportunity to build an avenue for creating change. Starting right here in our community discussing topics that affect us most such as racism and health care, maintaining a positive mindset, creating change the importance of advocacy, and the many lessons we have all learned from COVID. If you or your organization are interested in speaking engagements, send a message to kwadcast99@gmail.com or reach out on Facebook @kwadcast or online at drkwadwo.ca

KK: Welcome to ‘Solving Healthcare’, I'm Kwadwo Kyeremanteng. I'm an ICU and palliative care physician here in Ottawa and the founder of resource optimization that one, we are on a mission to transform healthcare in Canada. We're going to talk with physicians, nurses, administrators, patients and their families because inefficiencies, overwork and overcrowding affects us all. I believe it's time for a better health care system that's more cost effective, dignified, and just for everyone involved.

KK: Kwadcast nation super exciting episode I got flowing with you. We got Kali Dayton. She is a nurse practitioner that has taken ICU delirium, ICU mobility so seriously, she's got her own consulting firm. She also has her own podcast ‘Walking from the ICU’. Such a great phenomenon. So, we got her you'll hear this episode. It's a live cast that we did a couple of weeks ago. I'm just proud of her. Someone that's taken getting people healthier and out of the ICU and functional seriously, and we need more of that going on right now. We're only gonna see higher demands. So, without further ado, I'm gonna bring Kali on but first, check out our latest newsletter, kwadcast.substack.com It has everything Kwadcast, our episodes, or newsletter, guest blog appearances, guest vlog appearances, you’re gonna love it. Kwadcast.substack.com Check it out. Without further ado, I want to introduce you to Kali Dayton. Welcome to the podcast.

KD: Thank you so much for having me on. I've been following your podcast; I appreciate your mission. I see a lot of our objectives are in line.

KK: Oh 100% 100%. So, Kali, can you walk us through your story? You're a nurse practitioner. That is, like I said, changing the outlook for critically ill patients. How did you get here?

KD: Absolutely. I'm sure a lot of my listeners know my story very well. I started out as a brand-new nurse, many years ago, over a decade ago, in awake and walking ICU. That's just what I call it now. That's the term that I've coined to describe what they do there. In the interview in my naivete, I was just excited to be there. I had no idea what they were talking about when they asked, ‘Would you be willing to walk patients that are on ventilators?’ and I was willing to do anything, right. I was just brand new graduate. I said yeah, of course absolutely teach me everything. I didn't understand the magnitude of that question until probably three to eight years later. Because when I started working there, no one made a big deal out of it, for decades and that ICU it's a medical surgical ICU, its high acuity, they've had a COVID ICU throughout the pandemic. They've maintained it this practice of allowing almost every patient to wake up, usually right after intubation, unless there's an actual indication for sedation. What's been intubated on mechanical ventilation is not an indication for sedation. So, unless they have an inability oxygen with movement, seizures and cranial hypertension, something like that, otherwise they are awake. They're reoriented and they're allowed to communicate, tell us what they need. We manage their pain according to what they tell us. They're usually mobilizing shortly after within hours after intubation, and throughout the day, and throughout their time on the ventilator. So that was completely normal. No one told me ‘Hey, Kali, this is the gold standard of care. This is the model for all early mobility protocols in the world’ Everyone knows about this ICU. No one told me that. So, I spent a few years there thinking that that was normal critical care, medicine, knowing none the wiser. Then I became a travel nurse, and I went to other ICUs in the in the United States. My very first contract when I walked into the ICU, it just felt different. But I knew I expected things to feel different, right? It's a new environment. But everyone was in bed. Everyone looked like they were asleep. There were very few signs of life, and I got my patient assignment, and the patient was sedated and on the ventilator. I didn't know why they were sedated. I wanted to continue my routine, do a neuro exam, hopefully get the patient in the chair ready for physical therapy, because that was my routine, in the wake & walk ICU. A lot of times physical therapy comes out of that patient is in the chair waiting for the physical therapist, take them on a walk even on the ventilator. So, I asked my orientee nurse, ‘Hey, can I get this patient up and take him for a walk?’ and she looked at me in horror and said, ‘No, they're on the ventilator. They're intubated’ What didn't make sense to me, because I've cared for at least hundreds, maybe even 1000s of patients that were on the ventilator and were awake and walking. I had no idea what she was talking about. I said, ‘I know that they're intubated. But why are they sedated?’ ‘Because they're intubated?’ and I say, ‘Okay, but why are they sedated?’ and we went in circles. That was the first time it ever crossed my mind that a patient would be automatically sedated, just because they were intubated. I quickly realized that that was the common perspective throughout the ICU, that I was the odd man out there. Here's the thing. Despite my years of experience, treating patients like that, I knew how to do it. I didn't know why we did it. No one had taught me what sedation actually does. No one taught me what it's actually like for patients, and how much it changes outcomes. So, in that environment, I didn't have the tools to support my approach and my practices and to advocate for my patients. I was still kind of a new nurse, and I was, you know, you just had to fit in in the ICU. There's so much peer pressure, there's the culture is such a huge part of it. I ended up just taking the ‘When in Rome’ approach and I just went with what I was surrounded with, and I ended up following along sedating my patients. I didn't really obviously know the difference. I mean, I saw a difference in outcomes. I saw patients stay on the ventilator for far longer. I missed the human connection, I noticed that there were a lot of tracheostomies and nursing home and LTech discharges that I did not see the way can walk in ICU 93% of survivors from that high acuity medical surgical ICU that I came from, went straight home after the after the ICU.

KK: That is nuts. That is nuts.

KD: That's what I thought was normal. So, I was noticing things, but I couldn't really put my finger on it. I couldn't advocate and I just went with it. Right. I even laughed at some of the nursing jokes about yeah, I hope my patient sedated, and totally snowed today. Thinking that that was funny, and it wasn't till years later that I was in grad school. Of course, even in my acute care doctorate program, nothing was mentioned about sedation or mobility practices. It was just assumed even in our case studies, it was assumed that if a patient came in with pneumonia, they were going to be sedated if they were on a ventilator. I was on a plane ride, and I sat next to a survivor. When he heard that I was a nurse and ICU nurse, the color dropped from his face. He started telling me about his experience over four years before that moment when he was a patient. He told me what it was like to be on a ventilator. He just barely mentioned the ventilator. All he could fixate on was what it was like to be in the middle of a forest with his limbs nailed to the ground and trees were falling down on him and he couldn't run away. Demons were coming to the sky and lots of things that he still couldn't talk about, because he was so deeply traumatized. I was stranger on this plane and he’s sobbing to me, telling me about what he experienced. Of course, I wanted to diagnose him and I said ‘it sounds like you had ICU delirium’ but that meant nothing to him. I came to realize as I listened with real empathetic ears, that that wasn't just a nightmare. Those weren't hallucinations. Those were vivid and real. He was psychologically scarred as if he physically lived through those scenarios. I was really shaken. I really hoped that he was one in a million, because he was telling me that for year after discharge, it was really difficult to relearn how to sit, stand, walk, swallow, that was really hard. The hardest part was that for year after discharge, every time he closed his eyes, he would be lost back in that forest back in that scenario, and he could not sleep. So, the depression, anxiety, physical disability, I didn't ask about the cognitive function because I didn't enough know enough to know that he wouldn't be at high risk of having post ICU dementia. He said that he still had not returned to his career. His life was over. He said ‘I know I feel bad even telling you this, I should be grateful to the ICU to him for saving my life, but my life is over. The life I knew before the ICU is gone. I lost my life in the ICU. If I were ever to become sick, I would never cross a toe back into the ICU. He was a DNR/DNI in his 40s, with no other real comorbidities because he never wanted to live through that again. I think what he meant by that was ICU delirium. I had worked in the ICU about six years. We have never I never heard anyone talk about anything like that. So, I thought this must be a fluke, he must be one in a million. So, I went survivor groups. I thought I would have to post and ask survivors questions. No, the second I got into survivor group, I just scroll through and almost all their posts were about the trauma suffered under sedation and these medically induced comas, what it was like to not be able to balance their check book, read a book, read a clock, like they were barely able to text. These are people thinking ‘How long is this going to last? my brain is not the same’. So that is what got me into looking into the research. I was shocked to find decades of research, exposing the harm of our normal practices. Yet we continue to do those things and I was back in that awake and walk ICU. Seeing a completely different way and I've seen this contrast from what I experienced for years as a travel nurse. Then where I was currently at as a doctorate student, nurse, and then I started working as a nurse practitioner, in that same ICU. That's when I started this podcast ‘Walking home from the ICU’ to show what they were doing in the ICU and now it's turned into ‘how do we revolutionize our normal practices in the ICU?’

KK: I got so much here, first. I never even would have comprehended or would have thought that your initial experience, I didn't realize that your initial experience was people were able to ambulate and get out of bed and reduce the amount of sedation.

KD: People are gonna say ‘Oh, well, that must have been, you know, long term mentors or not that high acuity’ They were the first ICU to publish the study back in 2007, showing that it was safe and feasible to walk patients on ventilators and in that study, they had PF ratios less than 100.

KK: What that means in nonmedical folk is that your lungs were extremely damaged and require a lot of supplemental oxygen to make sure your saturations are high enough that your oxygen levels are high enough. So, this is the sickest of the sick. From a breathing perspective, getting up and hustling and movement answered. So that is amazing. From a personal side, it must have been an absolute mind F that you couldn't, that you went from one extreme to the other. I'm doing tell you from my I've worked in several ICUs in my country, and the latter is the norm, people aren't getting up on a ventilator, you know, they're not getting, they're barely getting up into a chair on a ventilator.

KD: They aren’t even getting sedation vacations, they're snowed.

KK: One of my main jobs in the ICU when I walk in is minimize the sedation and even often I've seen in practice, they're getting Dilaudid or opioid infusions for no real reason to be honest with you. They're not post op. They have no pain syndrome and we're given pain medication in infusion, which accumulates and what you're describing to amongst patients, my other job is in palliative care when they get toxic or delirium. Delirium from medication. Yeah, that can be traumatic, these memories, these images. That must have been an absolute frustrating experience to go from one version to the other.

KD: I was just really confused. I mean, I was still I feel like I'm still new in my career and impressionable. No one taught me the why that's the unfortunate thing about a lot of our medical education is we're taught how we're taught task lists, but we're not taught the why that allow us to critically think and see a bigger picture. I feel like looking back I was really victim to that. I but I would still ask every ICU ‘So, shouldn't this patient get up? Can I get them up?’ because it I knew that was beneficial. I wanted that and a lot of it for me was, I wanted to see my patients get better. When you're walking a patient moments later, you know that they're progressing, you get to connect with them, you get to know who your patients are, I had no idea who my patients were, they were just bodies in the bed. That's not why I got into medicine. So even just selfishly, I wanted them to be off sedation, had I known that by taking off sedation, we could decrease their seven-day mortality by 68%. Oh, I would have been all over that, but I didn't know. I did work in one ICU, where they had some level of ABCDEF bundle, which is a protocol to help guide teams to minimize sedation and get patients up. There's such a spectrum of compliance and different approaches to it. So, I was taught to do an awakening trial, which means you turned on sedation. The purpose really should be to get them off sedation, it should be sedation cessation, but I was taught. So, you know, at five o'clock in the morning, we must turn down sedation, it's super annoying, I know but just turn it down. Wait to see them thrash - that's how you know, when you see all their limbs move that they haven't had a stroke. When you can tell they can't tolerate the ventilator, then you turn the sedation back on and call it a failed trial, just chart it. I was confused. I didn't know what the objective was, I didn't know what we were doing. I didn't know why they were agitated. For her to say it's because I can't tolerate the ventilator. That was confusing to me because I'd seen so many patients tolerate the ventilator. I didn't understand delirium, and I hated awake new trials. They were laborious, they were stressful, they felt unsafe. It's hard to see patients between delirium, it's hard to see them be so uncomfortable, and you can see the terror in their eyes. But again, when in Rome, I just did what I was told, unfortunately. So, this is my journey now is almost my penance for the harm that I caused my patients during those years.

KK: Well, Let's be honest, Kali, you can't be looking at it that way, man. We all remember sedation is the norm. What we're doing now is trying to advocate for change. I can't emphasize enough the change can be dramatic for people like it really comes down to function. If you in the ICU and you're paralyzed into intubated on sedation and analgesia, you're not moving, like you're not using your muscle. Then when you're trying to go back to what you want it to where you want it to be. I think a lot about our COVID patients. They were in the 40s/50s/60s, that are trying to get back to working, trying to get back to doing the activities that they love to do. When you think about this not only are you impacting their ability, like they're not getting to their functional level, but what's it doing for their family. Now you got a loved one that's got to take care of them, that might have to take off time off work too. It just is an absolute amplifier when people can't be functional.

KD: For those that maybe don't work in the medical field, or even especially those that do, here's what we're not talking about the bedside, here's what we're not telling patients and families. When we go into surgery, they give us informed consent, they tell us here are the remote risk that things that could happen, right. What we don't do before intubation for patients and our families is tell them the actual risks of sedation. We don't understand ourselves that sedation is not sleep, it disrupts the brain activity so severely that they don't get real REM cycle. So, my perspective is that it's a form of torture, really, I mean, that's what we do, and war in the military, we deprive people of sleep, and that's what we're doing to our patients when we give medications that make it so they cannot get restorative sleep. Many of our study, sedatives are myotoxic, meaning that they're toxic to the muscles, so it causes more muscle breakdown. Then on top of that, if there's absolute disuse when you're stopped sleeping deeply sedated, you're not even contracting a muscle usually. So that disuse makes it so that our muscles break down more. That disruption of sleep often caught is one of the mechanisms that causes delirium, which is acute brain failure. It's an organ...

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TRANSCRIPT

KK: We are on the brink of a mental health crisis. This is why I'm so appreciative of the folks over at BetterHelp. The largest online counseling platform worldwide to change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to licensed therapists. BetterHelp makes professional counseling available anytime, anywhere through a computer, tablet, or smartphone. Sign up today go to betterhelp.com and use a promo code ‘solvinghealthcare’ to get 10% off signup fees.

SP: COVID has affected us all and with all the negativity surrounding it, it's often hard to find the positive, but one of the blessings it has given us is the opportunity to build an avenue for creating change. Starting right here in our community discussing topics that affect us most such as racism and health care, maintaining a positive mindset, creating change the importance of advocacy, and the many lessons we have all learned from COVID. If you or your organization are interested in speaking engagements, send a message to kwadcast99@gmail.com, reach out on Facebook @kwadcast or online at drkwadwo.ca

KK: Welcome to Solving Healthcare. I'm Kwadwo Kyeremanteng. I'm an ICU and palliative care physician here in Ottawa and the founder of ‘Resource Optimization Network’. We are on a mission to transform healthcare in Canada. We're going to talk with physicians, nurses, administrators, patients and their families because inefficiencies, overwork and overcrowding affects us all. I believe it's time for a better health care system that's more cost effective, dignified, and just for everyone involved.

KK: Kwadcast nation, welcome back! We got a great episode with Asha Frost, and I tell you this, this one was extremely moving. We talked about ways of healing thyself, looking at creative ways to not only bank on conventional methods of healing, but also looking at spirituality, looking at our mental health, the mind body connection to create healing is tremendous. We go into some of the indigenous ways that could improve our overall health, we go through a guided journey, which as you'll hear was extremely moving from my perspective, I was a little verklempt after that one. Then we talked about we talked about racism, we talked about our own experiences within healthcare, she tells her story about being treated like an animal, within the emerge our own experience not that long ago, which I think a lot of people need to hear. It’s tough to hear, but it's just another reinforcing message that we got work to do. So, looking forward to you guys hearing that. Before I forget, please check out our new substack kwadcast.substack.com. We have all our jam on there. We put all our jam on there,  our newsletter, previous episodes, we're all in on substack. Video, video messages, our community chat, you could chat we have a chat community on there too. So please check it out. You guys gonna love it. It's a better way of us staying connected. So, without further ado, check it – Asha Frost. Kwadcast nation, man this is a real privilege today, folks. It's a real privilege today because we got Asha Frost, who honestly, I just met in November. We were both that ‘Impact’ live, amazing event put on by Meghan Walker. Your keynote, everybody was talking about this bad boy.  I got to connect with you backstage. Show me your book, all the magical things that you're doing. I was like, she's got to come on the show folks. Asha’s got to come on the show. So welcome to the kwadcast.

AF: Thank you. That's quite the introduction. Thanks for having me

KK: Oh, man! It’s the least I could do after all the magical stuff you're doing Asha. Seriously, this is an exciting show for me. So maybe, to give context to why you're doing all these workshops, the book, the essays, I think a lot of it comes from your personal experience. So maybe just tell us a little bit about how you've gotten here.

AF: Sure. So, I'd say my healing journey started when I was 17. I was diagnosed with lupus. At that time, doctors didn't really know a lot about lupus and the antibodies that were positive in my bloodwork really were like quite serious. So, they were saying ‘You're gonna have to go on medication for the rest of your life, you're might not have children, you might not live a long life’ and of course, as a 17-year-old, I was really scared. At that time, I lived in a really, I'd say, non diverse town. So, there weren't a lot of indigenous people. My grandparents had been in residential school, I had been colonized away from our medicine ways or away from our ways of healing and knowing and being. So of course, I thought, oh, we'll try the medication. So, I did, and I got so many side effects from the prednisone and the anti malarial drugs. So I knew there had to be a different way. I went to university and at that time, I got really sick because of the stress of university, and somebody said, why don't you go see naturopath. That sort of opened up everything for me, I saw naturopath at about 21. Then I thought, ‘Oh, my goodness, there's a remembering of myself and my blood and my bones calling me back to these ancestral ways of knowing and the earth’ and I had to uncover that. That was like the beginning of my journey just going on this. It's always just been ‘How can I heal myself?’ and then, of course, as I heal myself, I share that with the world. So that was the beginning.

KK: Wow, wow. So really, unfortunately, having a relatively serious diagnosis at a very tender age of 17. Going through the conventional treatments, were you finding you were getting better when you were taking the conventional meds?

AF: Not really, I'd say, no, it made me so much sicker. I just I've had new symptoms that I wasn't experiencing with the lupus symptoms. So, it wasn't making me better. I thought, well, this doesn't feel like it and maybe if I tried it longer it would have, but it just didn't feel like a really good exchange of I'm taking these and I'm feeling worse in my body. So, it wasn't helpful at the time, I have subsequently taken little small doses at times that have been helpful, definitely. But at that time, it wasn't helpful.

KK: So you walk through this, this journey and will really having an incentive to heal thyself, like really looking at ways to heal thyself, and going through natural paths and so forth. What came of it? what was it mostly, nonconventional medications, was it meditation was a nutrition what changed for you? And was it effective?

AF: Yes, so I saw a naturopath who was amazing at homeopathy. She prescribed a remedy. It was all so new to me and I thought, this is kind of neat and she told me ‘this is going to match your physical symptoms, but also your sort of personality, your essence, your emotional body’ it really looked at the whole being, and it made sense to a part of me. I remember taking that that remedy, and my hair was falling and at the time really bad, and that got better. I remember my joints were really achy and not got better. So, I got really interested in lit up by homeopathy. It actually inspired me to go to school for homeopathic medicine, because it helped me so much in my own journey that I thought ‘I want to offer this to others’

KK: Wow. So basically, you wanted to help create that magic for other people. You saw how the homeopathy improved your quality of life, and improved your symptoms, and wanted to create that. That loveliness for the greater for the greater masses. How has that journey been? when it came to getting people healthier - how's that been for you?

AF: I loved having a private practice. I loved sitting with people, I loved holding space for their highest vision of who they were. Everybody I feel like we are sort of conditioned to feel like there's always something wrong with us, you know that everything over the messages are always coming at us that there's something wrong with us. I believe that my private practice held space for the truth that you have this vital force, you are divine, how can we just remind your body? how can we remind your spirit? so my practice ended up turning into like a homeopathic practice. But then of course, I started to weave in indigenous ways of being and knowing and indigenous healing because that's who I am at the core. That's what I was discovering about myself. So, it was a combination of spiritual healing and then the homeopathic medicine.

KK: I think that's what really attracted me to what you were what you were throwing down, was this the ‘spiritual’ component adding that indigenous side. Who you are to a healing practice and delivering it to patients. I must say, as ignorant as possible. I have no idea what that would look like. I have no idea not only what it would look like, and just the impact it can have. So, walk us through the potential and what treatment would look like, what the outcomes could be. I mean, I don't know if you need to give a specific case, but just give us a sense of what the potential is from your practice?

KK: Well, I tend to attract a lot of people who had anxiety or depression. That was like a lot of mental health that tended to come through my practice. So, people would want to get off meds, like anxiety meds, or depression meds, and we would just do that with their doctor, they would be tapering, and then this homeopathy would support sort of their tapering off and bring them back to sort of that truth that they do have something within the MEK and help them balance themselves and come back to that healing. So, I saw a lot of a lot of folks with that. I saw a lot of folks with autoimmune conditions because that's what I lived. So, I tended to know a lot about that. I'd say that people's arthritis got better. Their fatigue got better. They their movement was better; they just had more ease and grace in their lives. I think, on the spirit level, they felt more connected to who they were, and for some reason, that just trickled down to their physical body. So, they would feel more connected to themselves through guided journeys, or meditations, or I would do hands on healing. They would come home to that truth, but they have power, they have presence, they have medicine, and for some reason that like switching on that light bulb really helped people.

KK: That's amazing. We talk a little bit about on the show, that whole mind body connection, how it's all tied, how you feel, how you're doing upstairs affects your body and your ability to heal and to get better. I'm just really interested to hear what its like to walk through the term, how did you phrase it again, you're walking journey? Your guided meditation? what does that look like?

AF: Yeah, so from an indigenous perspective we really believe in the power of dreaming and visioning and quiet because that's when you can hear spirit. So, getting somebody in that state of quietness, when they're listening to their own connection to spirit was so powerful. So, what maybe animal spirits might come in to help with medicine that they want to offer, or it might be their ancestors, or their grandmothers or their guides. So, there was a lot of spirits support, helping people and then some of the sorts of techniques that were used were of a shamanic. I've taken a lot of training around like shamanic enters, there's a lot of energy healing energy work, that would shift some of the blockages maybe for a vital force to flow through more effectively. It always came back to that person, again, like sort of seeing and remembering, oh, my goodness, I can do this, like, I have sovereignty in my own being and body. I have I have power, because I think sometimes in the medical system, we can sometimes feel like we don't. Our power, we kind of give it over to say, ‘well, you have all the answers’ and that might be true. They might have answers, but we have answers to.

KK: Yeah, we have an ability to call on to contribute to our own healing. Right. I mean, like I said, this is not the typical approach to medicine, I've been practicing almost for 20 years. We don't often add a spiritual component and, and, and so forth. Do you like how the results been in your practice? Asha, when you add these elements, on top of everything else that they're receiving? How do you feel the response has been?

AF: Well, I no longer practice privately anymore, but I had a practice for 15 years, and it was really busy. So, the word of mouth was always really, really strong. I was booked solid with a waiting list. I would say the results were really, really amazing. People tend to leave my space, just feeling uplifted and feeling better. So, I wish I could quantify that with like, you know, we had this many cures or whatever that is, but I think that's the difference between being healed and being cured. I think we look for a cure, but we kind of forget about, what kind of healing leaps have we made? how much more satisfaction do we have in life? how much more peace do we have in our heart? how much more gratitude and joy is emanating from our system and ourselves? I think those things are maybe not measurable, but they are really important.

KK: Oh, man. Absolutely. I think especially now, I feel like this is so valuable coming up, post pandemic where people were from a spirituality perspective, from a mental health perspective, just beat down. We're seeing the resurgence, unfortunately, of so many ailments, which is obviously very complicated because of lack of access to care, people weren't getting screenings, and so forth. This is something that I feel like could be so valuable to so many. I think one of the magical things that you're doing ashes is, is creating that at scale now, you're really trying to make this accessible to not just a patient in front of you, to everyone. So how are you doing that right now?

AF: So, I closed my private practice maybe four years ago now. At that time, I wanted to bring all these teachings online. I created like a global membership with indigenous teachings and healing. I loved doing that. So that really like scaled up the folks I was able to touch. At that same time, I got a book deal by through Hay House, and that has just expanded my reach, I think, to all the people that I can touch with my words. Writing that book is just it's so interesting, because you write this book, and this little cocoon was in the pandemic, my littlest was two, and they were home. It was kind of a disaster, but I put myself in this little cave. I wrote this book. I didn't realize I didn't really think ‘Oh, these words might actually touch people, oh, these words might actually be shared by people’ I just kind of thought I'm gonna write this, put this out there. Now it's rippling out way bigger than I could have ever imagined. It's just rippling out in so many ways. That's the most important thing for me is that people remember who they are. They're touched by my words and it kind of ignites something within them. That was my intention for the book was that they could see that that presence that they are, it's called ‘You are the medicine’ that they are the medicine, they carry medicine. And they can share that with other people too because we need that message shared, I think.

KK: Absolutely. Absolutely. Obviously, the book is out you do public speaking engagements. I saw also you're doing workshops amongst folks, walk us through that, is it small workshops? Is it organizations? who are you seeing?

AF: Yeah. So, for the longest time, when I was in my private practice, I did healing circles. That was a way that my medicine was shared. I was doing a lot of those probably hundreds and hundreds of healing circles. Then when my book came out, actually last year, it came out last March. Folks begin to ask me to come and speak to bigger audiences. So, it's lit me up. So huge, so yeah, it's some like health conferences. People really need healing right now, so people are asking me to come and do like opening ceremonies as an indigenous person to offer some messages around like cyclical living. It's really the vibe of healing. Everybody just seems to need it. So, I've been invited to do that and it's something that I've always wanted to do in like a bigger scale. So, it feels so in alignment, I hope it continues, because it's really something that lights me up. But yeah, those workshops, you know, I do smaller workshops, during the pandemic online as such, that's how we connected so I was invited to a lot of people's programs to share, and to offer that healing component to their work too. So, I love being asked into spaces.

KK: What are the principles that happen there? When we're doing a healing practice or speaking to the masses is it is it a matter of ‘Hey, folks take more time to be with yourself and, and or listen to this guided meditation’ what's some of the take homes people leave with when they when they hear Asha throw down?

KK: So many times I speak of the medicine meal because our traditional medicine meal speaks about the importance of the whole system. So, I'll take us through the way of living seasonally and cyclically and listening because we are Earth. All of us have been colonized away from that that truth that we are we do live seasonally, and we go through our highs and our lows, and the world wants to tell us ‘no, you have to be hustling all the time’  and then we end up in burnout. So many of my messages are around because I've had to do it myself. How do I come home to the medicine of rest? How do I come home to the medicine of listening? all the things that the world pulls us out of my message tends to be around that and I love working with animal spirit medicines. The animal teachings those are brought a lot into my teachings and then we always do a guided journey. I have done this with thousands of people. I can say that almost everyone that I've ever worked with has seen an animal spirit or they're able to see sensor I do believe that I can hold a space somehow that can get people visioning and get people into that space where they're connecting to something greater than themselves.

KK: Wow. Wow. So how do how do people get in more in tune with resting and listening? How do we get more in tune with our seasonal aspects of life?

KK: Such a good question, I think it's really...

In this livecast episode, we welcome back Dr. Zain Chagla, Dr. Stefan Baral, and Dr. Sumon Chakrabarti to address some of the issues we've seen throughout the pandemic, new variants and what to expect with future variants, discussing what we've done well over the past few years, misinformation, the effect of social media and the messaging on Twitter, the role media plays and the influence of experts on policy, public health agencies, booster shots to combat new variants and who actually needs them, where we are at with public trust, and much more!

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Transcript:

KK: Welcome to ‘Solving Healthcare’ I’m Kwadwo Kyeremanteng. I'm an ICU and palliative care physician

here in Ottawa and the founder of ‘Resource Optimization Network’ we are on a mission to transform

healthcare in Canada. I'm going to talk with physicians, nurses, administrators, patients and their

families because inefficiencies, overwork and overcrowding affects us all. I believe it's time for a better

health care system that's more cost effective, dignified, and just for everyone involved.

KK: All right, folks, listen. This is the first live cast that we have done in a very long time, probably a year.

Regarding COVID, we're gonna call it a swan song, folks, because I think this is it. I'm gonna be bold and

say, this is it, my friends. I think what motivated us to get together today was, we want to learn, we

want to make sure we learned from what's gone on in the last almost three years, we want to learn that,

in a sense that moving forward the next pandemic, we don't repeat mistakes. We once again, kind of

elevate the voices of reason and balance, and so on. So, before we get started, I do want to give a

couple of instructions for those that are online. If you press NL into the chat box, you will be able to get

this. This recording video and audio sent to you via email. It'll be part of our newsletter. It's ballin, you'll,

you'll get the last one the last hurrah or the last dance, you know I'm saying second, secondly, I want to

give a quick plug to our new initiative. Our new newsletters now on Substack. Everything is on there

now our podcasts our newsletter. So, all the updates you'll be able to get through there. I'm just going

to put a link in the chat box. Once I find it. Bam, bam, bam. Okay, there we go. There we go. That's it

right there, folks. So, I feel like the crew here needs no introduction. We're gonna do it. Anyway, we got

Dr. Zain Chagla, we got Dr. Stef Baral, we got Dr. Sumon Chakrabarti back in full effect. Once again, like I

said, we were we chat a lot. We were on a on a chat group together. We were saying how like, we just

need to close this out, we need to address some of the issues that we've seen during the pandemic. Talk

about how we need to learn and deal with some of the more topical issues du jour. So, I think what we'll

start with, well get Sumon to enter the building. If you're on Twitter, you're gonna get a lot of mixed

messages on why you should be fearful of it or why not you should be fearful of it. So, from an ID

perspective, Sumon what's your what's your viewpoint on? B 115?

SC: Yeah, so, first of all, great to be with you guys. I agree, I love doing this as a as a swan song to kind of

move to the next stage that doesn't involve us talking about COVID all the time. But so yeah, I think that

we've had a bit of an alphabet soup in the last year with all these variants. And you know, the most one

of the newest ones that we're hearing about recently are BQ 1, xBB. I think that what I talked about

when I was messaging on the news was taking a step back and looking at what's happened in the last 14

months. What that is showing us is that we've had Omicron For this entire time, which suggests a level

of genomic stability in the virus, if you remember, variants at the very beginning, you know, that was

synonymous with oh, man, we're going to have an explosion of cases. Especially with alpha for the GTA

delta for the rest of, of Ontario, and I'm just talking about my local area. We saw massive increases in

hospitalizations, health care resources, of patients having been sent all over the province. So, it was it

was awful, right. But you know, I think that was a bit of PTSD because now after anybody heard the

word variant, that's what you remember. As time has gone on, you can see that the number of

hospitalizations has reduced, the number of deaths has reduced. Now when omicron came yeah, there

was an explosion of cases. But you know, when you look at the actual rate of people getting extremely ill

from it, it's much, much, much less. That was something that, you know, many of us were secretly

thinking, Man, this is great when this happened. So now where we are is we're in January 2023, we've

had nothing but Omicron, since what was in late November 2020, or 21? Maybe a bit later than that.

And x BB, if you remember, be a 2x BB is an offshoot of BH two. Okay. Yeah, if you're noticing all these

new variants are their immune evasive, they tend to be not as they're not as visually as, I see this in my

own practice, like all of us do here. You know, they are, well, I'm kind of piecemeal evolution of the

virus. Now, there's not one variant that's gonna blow all the other ones out of the water, like Oh, micron

did or delta. Right. I think this is a good thing. This is showing that we're reaching a different stage of the

pandemic, which we've been in for almost a year now. I think that every time we hear a new one, it

doesn't mean that we're back to square one. I think that this is what viruses naturally do. And I think

putting that into perspective, was very important.

KK: Absolutely. Zain just to pick your brain to like, I got this question the other day about, like, what to

expect what future variants like, obviously, is there's no crystal ball, but someone alluded to the idea

that this is what we're to expect. You feel the same?

ZC: Yeah, absolutely. It's interesting, because we have not studied a Coronavirus this much, you know, in

history, right. Even though we've lived with coronaviruses, there probably was a plague of

coronaviruses. What was the Russian flu is probably the emergence of one of our coronaviruses are

seasonal coronaviruses. You know, I think we had some assumptions that Coronavirus is when mutate,

but then as we look to SARS, cov two and then we look back to see some of the other Coronavirus has,

they’ve also mutated quite a bit too, we just haven't, you know, put names or other expressions to

them. This is part of RNA replication of the virus is going to incorporate some mutations and survival of

the fittest, the difference between 2020, 2021, 2022, and now 2023 is the only pathway for this virus to

keep circulating is to become more immune evasive. This is what we're seeing is more immune evasion,

we're seeing a variant with a couple more mutations where antibodies may bind a little bit less. But I

think that the big difference here is that that protection, that severe disease, right, like the COVID, that

we saw in 2020/2021, you know, that terrible ICU itis, from the COVID, you know, for the level of

antibody T cell function, non-neutralizing antibody functioning mate cell function, all of that that's built

into, you know, humanity now through infection, vaccine are both really, you know, the virus can evolve

to evade some of the immunity to cause repeat infections and, you know, get into your mucosa and

replicate a bit, the ability for the virus to kind of, you know, cause deep tissue infection lead to ARDS

lead to all of these complications is getting harder and harder and harder. That's us evolving with the

virus and that's, you know, how many of these viruses as they emerge in the population really have kind

of led to stability more than anything else? So, yes, we're going to see more variants. Yes, you know, this

is probably what what the future is, there will be some more cases and there may be a slight tick in

hospitalizations associated with them. But again, you know, the difference between 2020/2021/2022/

2023 is a syrup prevalence of nearly 100%. One way or another, and that really does define how this

disease goes moving forward.

KK: Yeah, absolutely. Maybe Stef we could pipe it a bit on, the idea that, first of all, I just want to

reinforce like as an ICU doc in Ottawa with a population of over a million we really have seen very little

COVID pneumonia since February 2022. Very minimal and it just goes to show know exactly what

Sumon and Zain were alluding to less virulent with the immunity that we've established in the

community, all reassuring science. One question I want to throw towards Stef, before getting into it. You

did an interview with Mike Hart. As you were doing this interview, I was going beast mode. I was hearing

Stef throw down. I don't know if you were, a bit testy that day, or whatever. There was the raw motion

of reflecting on the pandemic, and how we responded and far we've gone away from public health

principles, was just like this motivator to say, we cannot have this happen again. I gotta tell you, boys,

like after hearing that episode, I was like ‘Yeah, let's do this’. Let's get on. Let's go on another, do

another show. I'm gonna leave this fairly open Stef. What has been some of the keyways we've

approached this pandemic that has really triggered you?

SB: Yeah, I mean, so I guess what I'd say is, in some ways, I wish there was nobody listening to this right

now. I wish there was like, I don't know what the audience is. I don't know if it's 10 people or under

people, but I think it's like, I wish nobody cared anymore. I want Public Health to care. I want doctors to

care, we're going to keep talking because you know, Kwadwo, you've had folks in the ICU we we've

we've seen cases in the shelters, we have outbreaks, like public health is always going to care about

COVID, as it cares about influenza cares about RSV, and other viruses, because it needs to respond to

outbreaks among vulnerable folks. That will never stop COVID, it was just clear very early, that COVID is

going to be with us forever. So that means tragically, people will die of COVID people. I think that, you

know, there's that that's a reality, it's sometimes it's very close to home for those of us who are

providers, as it has for me in the last week. So COVID never ends. I think the issue is that like when does

COVID And as a matter of worthy of discussion for like the average person? The answer is a long time

ago. I mean, I think for the folks that I've spoken to, and the way that we've lived our lives as a family is

to focus on the things that like bring folks joy, and to kind of continue moving along, while also ensuring

that the right services are in place for folks who are experiencing who are at risk for COVID and serious

consequences of COVID. Also just thinking about sort of broader systems issues that I think continue to

put folks at risk. So, one: I think it's amazing, like how little of the systematic issues we've changed,

we've not improved healthcare capacity at all. Amazingly, we've not really changed any of the structures

that put our leg limitations on the on the pressures on the health system, none of that has changed. All

of it has been sort of offset and downloaded and just like talking about masks and endless boosters

when we've never really gotten to any of the meaty stuff. As you said three years into it, and

everybody's like, well, it's an emergency. I'm like, it was an emergency and fine. We did whatever was

needed, even if I didn't agree with it at the time. But irrespective of that, whatever that was done was

done. But now it's amazing that like the federal money expires for COVID In next few months, and all

well have shown for this switch health guys got became millionaires like a bunch of people, I don't mind

naming and I don't care anymore. These folks, these Grifters went out and grabbed endless amounts of

money. These cash grabs that arrival, the ArriveCan app with, like these mystery contractors that they

can't track down millions of dollars. So it's like all these folks like grabbed, you know, huge amounts of

money. And I think there's a real question at the end of it of like, what are we as a country? Or you

know, across countries? What do you have to show for it? How are you going to better respond? And

the answer right now is like very little, like we have very little to show for all this all these resources that

have been invested, all this work that has been done. That I think should be the conversation. That to

me needs to be this next phase of it is like billions and billions and billions of dollars trillion or whatever,

like 10s of billions of dollars were spent on what? and what was achieved? And what do we want to do

next time? And what do we have to show for it? that, to me feels like the meat of the conversation

rather than like silly names for these new variants that do nothing but scare people in a way that isn't

helpful. It does not advance health. It doesn't you know, make the response any more helpful. It just

scares people in a way that I think only detracts them from seeking the care that we want them to be

seeking.

KK: Yeah, I think you brought up a point to about or alluded to how some of this was the distraction.

That was one of the points that really stuck home is that we, we didn't really dive into the core s**t, the

core issues. This is why at the end of it all, are we that much more ready for the next pandemic that well

see, you know, and so like maybe Sumon, what do you think in terms of another tough one, are we

ready for the next pandemic? Do you think we've done enough? do we think are in terms of what we've

invested in, how we've communicated to the public. The messaging to the public. Are we learning? Is my

question, I guess.

SC: I'm a clinician and I don't work with the public health and the policy aspect as closely as Stefan does.

But I will say that, obviously, I've been in this realm for quite a long time, since in ID, I think that, you

know, what that's important to remember is that for SARS 1 we actually had this document that

outlined all of this, you know, masking, social distancing, what to do with funding and all that kind of

stuff. Basically, I was actually interviewed about this, I remember back way back in 2020, and half of it

was basically just thrown out the window. I think that a lot of what happened is that fear came in

decisions were made from emotion, which is, by the way, understandable, especially in April 2020. I've

shared with you guys before that, in February 2020, I was waking up at night, like nervous, that I was

gonna die. I that that's where I was thinking I it was, it was terrible. I completely understand making

those decisions. I think as time went on, I wish that, you know, there's a bit more of public health

principles. You know, making sure that we're dealing with things without, you know, stepping on

people's bodily autonomy, for example, you know, doing things in an equitable way, where you, you

know, we all know that every intervention that you do is squeezing a balloon, you must remember the

unintended consequences, I think that we did. So, kind of putting that all together. I think, right now, as

we stand in Canada if we do have another pandemic. I fear that a lot of these same mistakes are going

to be made again, I should say, a disruptive pandemic of this because it's not forgotten H1N1, the

pandemic it that was a pandemic, right. It wasn't nearly as disruptive as COVID was, but I do think that

inquiry and like you mentioned at the beginning, Kwadwo was talking about what we did, well, we didn't

do well, and making sure the good stuff happens, and the bad stuff doesn't happen again, because this is

likely not the last pandemic, in the information age in our lifetimes.

KK: Zain, was there anything that stuck out for you? In terms of what you'd really want to see us

improve? Or whether it is messaging, whether it is public health principles, does any of those stick out in

your mind?

ZC: Yeah, I mean, I think the one unique thing about this pandemic that is a lesson moving forward and

for us to kind of deal with I think we talked about messaging. This was the first major pandemic that

occurred with social media and the social media era, right, and where, information, misinformation,

disinformation, all the things that were all over the place, you know, we're flying, right, and there does

need to be some reconciliation of what's been we have to have some reconciliation of some of the

benefits of the social media era in pandemic management, but also the significant harms the people,

you know, we're scared that people got messaging that may not have been completely accurate, that

people had their biases as they were out there. I will say even that social media component penetrated

into the media. This is also the first time that I think we saw experts you know, including myself and

Suman and all of us you know, that you know, could be at home and do a news interview on National

News in five minutes and be able to deliver their opinion to a large audience very quickly. So, you know,

I think all of that does need a bit of a reconciliation in terms of what worked, what doesn't how you

validate you know, good medical knowledge versus knowledge that comes from biases how we evaluate

psi comm and people you know, using it as a platform for good but may in fact be using it you know,

when or incorporating their own biases to use it for more, more disinformation and misinformation

even if they feel like they have good intentions with it. I you know, I think this is a, you know, for...

Episode Summary

"In this episode we welcome back to the show clinical phycologists Dr. Karen Dyck and Dr. Melissa Tiessen. This one is all about self-care. Getting in touch with yourself, wellness and more!"

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BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

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We are on the brink of a mental health crisis and this is why I am so appreciative of the folks over at BetterHelp. It provides the largest online counseling platform worldwide to change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to licensed therapists that are helped make a difference professional counseling available anytime, anywhere through a computer, tablet, or smartphone, sign up today go to better help.com and use a promo code solving healthcare and get 10% off signup fees. COVID has affected us all and with all the negativity surrounding it, it's often hard to find the positive. One of the blessings that is given us is the opportunity to build an avenue for creating change. Starting right here in our community discussing topics that affect us most such as racism and health care, maintaining a positive mindset, creating change, the importance of advocacy, and the many lessons we have all learned from COVID. If you or your organization are interested in speaking engagements, send a message to kwadcast99@gmail.com, or Reach out on Facebook and Quantcast or online at Dr. cuadrado.ca Welcome to solving healthcare. I'm calling your care man. I'm an ICU and palliative care physician here in Ottawa and the founder of resource optimization network. We are on a mission to transform healthcare in Canada. I'm going to talk with physicians, nurses, administrators, patients and their families because inefficiencies, overwork and overcrowding affects us all. I believe it's time for a better health care system that's more cost effective, dignified, and just for everyone involved. Quick estimation, solving wellness community we got a special episode. And it's all about self care. Something that's so important during this time, with the in an era where we're seeing more burnout, more clinicians leaving the profession more than ever, and this is a group like intentional therapists. So this is Dr. Karen Deke and Dr. Melissa teesing. That are clinical psychologists that really organized a group intentional therapists that are all about self care. And we talk about the four C's that they've established connection, compassion, creativity, and courage as truly the foundation on how they promote self care for healthcare professionals. And it's a really great conversation and tools that I think that we can all apply. You can see some of their content on solving wellness, because you know what I'm saying we want to promote their love. And if you haven't joined solving wellness yet, I don't know what the hell's going down. But go to sovereign wellness.com where you get your online workouts, yoga classes, cooking tips, cooking classes, mindful meditation, productivity tips, and just that community where we support each other, and just promote overall wellness, so that we get through these tough times and support each other. So someone wellness.com $99 for the year, $9.99 per month, and yes, first one is free. So without further ado, let's jump on it. Karina Melissa. Let's go Kwad Cast nation. We have a special episode today with the intentional therapist. I love what they're doing. And it's all about that self care, which is so important during this time. And really underrated we talked a little bit about the show, but we're gonna dive hard into it today with Dr. Melissa t sin. And Dr. Karen dick. Welcome to the podcast. Thank you so much for having us. Really happy to be here. Yes, absolutely. Thank you. Absolutely. So I think we'll start with you, Melissa. Like what started this your your initiative here in terms of intentional therapists, like what brought this on? Yeah, so Karen and I have actually known each other for over a decade. At this point, I had the very fortunate opportunity to be one of Karen's supervisees at the beginning of my career, not the Karen is not much older than me, but just how it worked out. And we have stayed in touch over the years. And a few years ago, we were both sort of at a point in our careers, where we wanted to do something a little bit different and have a bit of a different reach beyond individual therapy. And one of the things that was really important to both of us because of some of the roles that we had been in previously both having worked in rural community mental health settings, university and hospital based settings, and I'd also worked in fact for the Canadian Psychological Association myself. I Have, we really had had a broad range of experiences and had worked with a number of different health professionals, and really saw the importance of self care as being so foundational to our work. And we also recognize, though, that as much as we all talk about the importance of self care, and we talk about the research that supports the importance of self care, most of the workshops or resources that are out there don't really support therapists or other health professionals in truly attending to our self care in a meaningful way. So we thought, let's try to create something ourselves that can that can help address this amazing, amazing, because I really think this is probably I know, what's under appreciated under valued is that we need to be able to take care of ourselves, to be able to take care of others. And so, you know, like, Karen, what was what was, what was the driver for you like was, it was a same thing, as Melissa was saying, but like, what, what really got you to make that extra step to get this to get this initiative going? No, I think there were a few things. And, you know, like Melissa had had an opportunity to work in a lot of different settings. And, you know, I, I imagine you might agree with this, but it's a bit disheartening, actually, when we look at the overall health care system, and how wellness and self care really isn't talked a lot about for the health care providers, and yet they they provide such an important service. So you know, in my work with different systems, that really became evident, and I actually just started reading about workplace wellness and, and programs aimed at improving staff health. And I think at the point when Melissa and I were really looking for something different, I think I was, you know, honestly, I think I was probably also feeling like, boy, I need to do a bit of a better job with my own self care, and, and recognizing and just speaking with other mental health professionals, and particularly female mental health professionals, that there's perhaps some unique challenges that come with being a healthcare provider and being a female, and just really wanting to get the conversations going. Because, you know, we've really realized that our training doesn't address this issue, it doesn't prepare us for what's referred to as our workplace hazards. And so I think we go into these careers, just feeling like we should be able to listen to people's hardships and tragedies, and be able to regulate our own thoughts and emotions, when we're sitting with people who are suffering. And that it just, we should just be able to do it, there shouldn't be any negative effects. And if we are feeling some negative effects, it says something about us, and maybe we didn't pick the right profession. And so I think it can be really stigmatizing, actually, and, and oftentimes, it causes people to not talk about this. And I think we just really value this piece. And we we value the contributions that mental health professionals and other health care providers make, and they need to be taken care of 100%. And I mean, take this with a grain of salt, I have a unique perspective, with my wife, being a clinical psychologist. And I do think there's a unique aspect from the female side. Because, you know, you're often balancing your career, you're balancing a potentially growing family. You know, you're you've got to balance these things. And you have this often a high expectation that yourself because you're, you know, your healthcare, professional, mental health professional, and you feel like you guys often are super, like impenetrable, but you are human beings. So I really think what you guys are attending to do is so, so important. And so maybe, Melissa, if you could comment in terms of what you guys like what your approach has been to promoting self care overall with intentional therapists. Yeah, so one of our really important messages is expanding the concept of self care to begin with, right? So self care absolutely includes the typical things we might think of like sleep, exercise, eating good foods, relaxation, meditation, all of these things are incredibly important. But on their own, they're often not sufficient. And because of course, there's a lot of, let's say, limiting beliefs that can also contribute to how effective we are at our own self. hear it or not, and especially as female mental health professionals, there's, there's some very specific limiting beliefs that can get in the way. But for any of us male or female mental health professional, medical professional, whatever your background is, there can be a whole range of limiting beliefs that might get in the way. And one of them can just be how we're defining self care. So one of our first sort of premises is how we're defining self care and really thinking about it through a broad lens. And in particular, what what we have developed is a framework that emphasizes four things that we think are really key when it comes to broadening our definition of self care, which is connection, compassion, courage, and creativity. I love all of this. Because so we got connection, compassion, creativity. Courage, okay, actually, I'm going to start with the courage because this one's not a typical one. And I must say, I have a lot of opinions on courage. And I don't want to make it about me. But maybe Karen will tell me a little bit about the courage aspect of amongst these four C's. Yeah, so it is interesting. I think it's one of the pillars that people have the greatest reaction to right, like Courage, how does that fit in? And I think, you know, for sure, if we think of the more traditional self care, right, going for massages, having good chocolate, right all about that, yeah, that doesn't take a lot of courage that those are the easy things and in some respects, but what really does take the courage is to go against some of the unhelpful beliefs and messages that have come our way and interfere with self care. And, you know, I think for people who are in caregiving professions, oftentimes there's, there's messages that go along with that, right, and how much of our time and energy we should be devoting to taking care about others. And we might have gotten a lot of unhelpful messages about caring for ourselves and the importance of that. And so it's about going against some of those messages that we might get, and certainly recognizing that, unfortunately, women get a lot of messages, right and often from from very young age are kind of giving given the message that they're these caregivers, and that's their primary role. And so if they do anything to focus on their own needs, a lot of guilt can come up a lot of discomfort, and we need courage to go against those things and be able to put some of the important self care practices into place. But encouraged goes even beyond that, for psychologists, right, our services aren't covered by, you know, the provincial health plans. And a lot of what we struggle with is setting, feeling okay, about about charging reasonable fees, right, the recommended rates, having boundaries, that outline, cancellation policies and things like that. So we also think about that piece as taking a lot of courage to, you know, feel like we're getting reimbursed at a fair rate, putting our needs ahead of others at times. And, and I think that the other piece is willing to reach out and accept help, that takes a lot of courage, and whether that's delegating, you know, hiring people to help us a lot of us feel like in some ways, we should be able to do it all. And so we can, we can feel kind of guilty or uncomfortable about that. So that takes courage. And, you know, sometimes we absolutely need our own mental health services. And that's how we keep ourselves healthy and keep doing as best job we can. But again, that that also takes courage to admit, you know, gosh, here I am a clinical psychologist and I'm having some struggles and it's, it's okay, because I I'm human first and psychologist second 100% And I think I just really, at a personal level, just loved hearing that. The courage aspect because I must say, with most life transformation, transformative activities approaches like it at all, like that is essential. Like I you know, I, you know, just at a personal level one I think about some of the stuff we've done for advocacy around during the pandemic and, and for other health care professionals for bipoc community. You know, you You have to stick you need the courage because you're putting yourself out there had that vulnerability aspect. But it's, it can be dramatic, it could have such impactful change in life that for the, for the better. And so I often use I guess maybe I didn't put it in that context for, for self care directly, but I often will bring up the importance of courage that that will get you to where you want to get to, by stepping out of your comfort zone. Melissa, what about talk to me about creativity, because this is one also that I mean, I love talking about like, we're on this show because of a creative creativity element to life. So tell me a little bit about this. Yeah, creativity is another so important pillar for us. And again, I think something that people don't automatically think of when they think of self care. But the reality is, and I guess we should say, we also think of creativity in the context of creativity and play as well. And of course, kids are fantastic at this right? Adults, often not so much, or we need a lot of courage to be more creative, right to, to let down some of our guard and, and seriousness, right. And the thing is that creativity and play are actually foundational to our existence as human beings. And so it's really a, you know, such a shame that as we grow up, we lose so much of our innate ability to engage in creative pursuits to engage in play. And of course, as any child psychologist knows, play is how kids learn, right play is how kids develop skills to be good humans. So it really is, again, foundational to, to just development of the brain as well. But the other really fascinating aspect of creativity is that if we think of creativity, not as like being an artist, right, but just simply creating things, producing something, as opposed to consuming something in particular, as opposed to passively consuming something, right, when we're creating something, we're really in the act of producing something. And so that could be, you know, making supper that could be making a painting or anything in between. But there's such an important difference, especially now in 2021, almost 2022, maybe 2022, when people are listening to this, the reality is that so much of our time these days is often unfortunately, engaged in non creative pursuits, right? Were engaged in just passively consuming information or just receiving information, right? Whether it's social media, or just reading information online, especially throughout the pandemic, right? How many countless hours have we all spent consuming news, whether on television or on the internet, and that just has such a different impact on literally on our nervous system, as opposed to creating something especially when we can use our hands to create something because using our hands for tools is also part of what makes us human. So it's just such a foundational piece of being a human and really, again, kind of creating the kind of life that is going to be most meaningful for us. And something that a quote that we've come across actually, that really speaks to us so much is that in a really broad sense of self care is about creating a life that we don't need to escape from. And so that can be literally creating things, but also just being intentional about how we're how we're living our lives, how we're spending our time. And so, yeah, I'll stop there for the moment. Because I think it's something we've lost the ability to be intentional. Like we aren't that intentional. We're so reactive. The thing I think is important about the creativity piece is that it can be almost meditative. You know often when you're doing some using that creative element whether it is your cooking supper, whether you are you know, putting Lego set together with your kids, or doing play actually I hate played on I'm glad my kids are not into play. I find it disgusting, is one of the most disgusting things around you know, I'm saying it's like, it's like every dirty thing. Booger or whatever. It's like there forever. So yeah, I'm anti playdough but yeah, when the boys want to throw down with Lego, yeah, I have three young younger younger boys there and but yeah, I definitely think there's a meditative element in that we all know how that you know, being more mindful or meditative can be so valuable for overall well being. So yeah, thanks for that, Melissa. Going back to to Karen, what about what about connection, especially in a time where, you know, we're Perry pandemic, will timestamp this, we're doing this interview on the ninth of December. And, you know, the world's going up and up and down to in terms of what's the next little was looking like, but what's the impact of connection? In your mind? Yeah, so when we talk about connection, we we refer to kind of connecting outwardly, so connecting with others, but also connecting inwards, and really taking stock of what's important to us what our values are, and using that information to really guide our, our self care. So it's, you know, it's again, it's, we use that terminal in a broad sense. For us with some of the workshops we've done, we talked about connecting meaning also becoming aware of what the common workplace hazards are for our profession. Because, really, I think the majority of us never learned about that. And we kind of entered into our careers. kind of blindsided, I think some sometimes about the impact of the hazards. So it's about being aware of that being aware of our emotions, being aware of how we're responding, connecting with that part of ourselves, and the, you know, the connecting with a like minded community, and with people who share our values, I think is so important. If, you know, we often talk about, there's these kind of rules that that women have been living by. And sometimes we're not even aware that these rules and messages have had a pretty significant impact on us. And it's going to take a community to start changing those rules. And I think if we try to do this...

In this minicast Dr. K has a big announcement! A brand new initiative, reversing metabolic disease, virtual health, and more great news for 2023!

Thanks for reading Solving Healthcare with Dr. Kwadwo Kyeremanteng! Subscribe for free to receive new posts and support my work.

SPONSOR

BETTERHELP

BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to a licensed therapist. BetterHelp makes professional counseling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Thank you for reading Solving Healthcare with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.

In this minicast we welcome back retired physician Dr. Tina McInnes. Tina now coaches clients for healthier living through exercise and nutrition habits. Today Tina speaks to us about self-awareness and healthy eating habits and focusing on our food consumption. When are we eating, and what are we eating? Tina goes over the importance of placing your eating habits under a microscope and really watching what goes into your body.

Thanks for reading Solving Healthcare with Dr. Kwadwo Kyeremanteng! Subscribe for free to receive new posts and support my work.

Thank you for reading Solving Healthcare with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.

SPONSOR

BETTERHELP

BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to a licensed therapist. BetterHelp makes professional counseling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

In this quick mini-cast, Dr. K gives a shout-out to a few of our past guests and their recent achievements with a published essay regarding vaccines and boosters. Dr. K shares his thoughts with us about what vaccine mandates and booster mandates mean for our youth. The education system and the messages they are sending by requiring students to receive a booster to access in-person learning, what these policies mean, to our youth, and more!

Notable authors are & Stefan Baral

Here's a link to the paper:

https://jme.bmj.com/content/early/2022/12/05/jme-2022-108449

Thanks for reading Solving Healthcare with Dr. Kwadwo Kyeremanteng! Subscribe for free to receive new posts and support my work.

Thank you for reading Solving Healthcare with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.

SPONSORS:

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

In this episode, we welcome Nigel O'Quinn, founder of Higher Healths Canada to talk about optimizing your health! We discuss everything about nutrition, processed foods, better ways to grow food, organ meats, processed foods, micronutrients and more!

Check out Higher Healths Canada & use code 'solvinghealthcare' at checkout  | https://www.higherhealths.ca 

Episode Notes

SPONSORS

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

SOLVINGWELLNESS: An amazing wellness platform for healthcare professionals

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Thanks for following Solving Healthcare with Dr. Kwadwo Kyeremanteng! Subscribe for free to receive new posts and support my work.

Thank you for reading Solving Healthcare with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.

"In this episode we welcome Catherine Clark to the show. Catherine is an author, trauma therapist, and resiliency expert. Today we talk about everything from self-care, acceptance, compassion, making connections, mental health and more!"

Episode Notes

SOLVINGWELLNESS: An amazing wellness platform for healthcare professionals

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Episode Notes

SOLVINGWELLNESS: An amazing wellness platform for healthcare professionals

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Episode Notes

SOLVINGWELLNESS: An amazing wellness platform for healthcare professionals

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

SPONSORS

SOLVINGWELLNESS: An amazing wellness platform for healthcare professionals

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use the Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use the Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM or facebook.com/groups/solvingwellness

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:

https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter, TikTok & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

1. https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

1. https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. 

Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

The full conference can be purchased for $9.99 at solvinghealthcare.ca/shop

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://t.co/jxsWRsnWwH?amp=1

SOLVINGWELLNESS.COM

KEYNOTE SPEAKING

solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

Sign up today: http://betterhelp.com/solvinghealthcare

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Solving Healthcare Seminars & Merchandise.

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Solving Healthcare Seminars & Merchandise.

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Solving Healthcare Seminars & Merchandise.

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Solving Healthcare Seminars & Merchandise.

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Solving Healthcare Seminars & Merchandise.

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Solving Healthcare Seminars & Merchandise.

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Solving Healthcare Seminars & Merchandise.

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Solving Healthcare Seminars & Merchandise.

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Solving Healthcare Seminars & Merchandise.

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BETTERHELP

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Solving Healthcare Seminars & Merchandise.

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Solving Healthcare Seminars & Merchandise.

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Solving Healthcare Seminars & Merchandise.

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Solving Healthcare Seminars & Merchandise.

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Solving Healthcare Seminars & Merchandise.

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Follow us on twitter & Instagram: @Kwadcast

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Solving Healthcare Seminars & Merchandise.

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Solving Healthcare Seminars & Merchandise.

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Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

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Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

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Department of Medicine site: https://ottawadom.ca/solving-healthcare

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Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

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Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

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solvinghealthcare.ca/shop

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Proceeds will be going to Feeding Frontline Healthcare Providers:

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solvinghealthcare.ca or kwadcast99@gmail.com

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Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

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Follow us on twitter & Instagram: @Kwadcast

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solvinghealthcare.ca or kwadcast99@gmail.com

BETTERHELP

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and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

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solvinghealthcare.ca or kwadcast99@gmail.com

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

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and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

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SPONSORS

BETTERHELP

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Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

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Follow us on twitter & Instagram: @Kwadcast

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solvinghealthcare.ca or kwadcast99@gmail.com

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

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Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

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Bridges Over Barriers:

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solvinghealthcare.ca/cancer

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and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

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Bridges Over Barriers:

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solvinghealthcare.ca or kwadcast99@gmail.com

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
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Bridges Over Barriers:

1. https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

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Bridges Over Barriers:

1. https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

1. https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

1. https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

1. https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

1. https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

1. https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

1. https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

1. https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

1. https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

and use Discount code “solvinghealthcare"

Solving Healthcare Seminars & Merchandise.

solvinghealthcare.ca/shop

Use promocode kwadcast20 for 20% our seminars

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Merchandise.

https://solving-healthcare.myshopify.com/

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

Bridges Over Barriers:

https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Merchandise.

https://solving-healthcare.myshopify.com/

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Merchandise.

https://solving-healthcare.myshopify.com/

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33

Sign up today: http://betterhelp.com/solvinghealthcare

and use Discount code “solvinghealthcare"

Solving Healthcare Merchandise.

https://solving-healthcare.myshopify.com/

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w

and use Discount code “solvinghealthcare"

Solving Healthcare Merchandise.

https://solving-healthcare.myshopify.com/

Proceeds will be going to Feeding Frontline Healthcare Providers:

gf.me/u/xstpfk

Department of Medicine site: https://ottawadom.ca/solving-healthcare

Resource Optimization Network website: www.resourceoptimizationnetwork.com/

Follow us on twitter & Instagram: @Kwadcast

Like our Facebook page:
https://www.facebook.com/kwadcast/

YouTube:

https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w