This week on Calling in Sick, I'm sitting down with Patrick Casale — licensed clinical mental health counselor, TEDx speaker, host of Diverging Conversations with Dr. Megan Neff, and someone who found out he was autistic at 35. 

If you're chronically ill, neurodivergent, or living at the intersection of both, this one is going to hit. We get into what happens when the world's box is simply not built for your body or your brain — and what it costs to keep forcing yourself into it anyway.

We're diving into:

We also go WAY down an Anthony Bourdain rabbit hole, because of course we did.

xx, Alex

💬 Comment: tell me about the person in your life who accommodates you without ever making it a “thing”.

TIMESTAMPS:

Intro:

00:00:00 Welcome back to Calling in Sick! (Ft. Patrick Casale)

Patrick Casale:

00:04:43 What is autistic burnout? (And why a spa weekend won't fix it)

Conclusion:

00:47:07 One Brain Cell Show: Apple TV, cooking competitions & comfort rewatches

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Connect with our guest, Patrick Casale, MA:

• Instagram - https://www.instagram.com/patrick.casale/?hl=en

• TikTok - https://www.tiktok.com/@patrickcasale

• Podcast (All Things Private Practice + Diverging Conversations with Dr. Megan Neff) - https://www.youtube.com/c/allthingsprivatepractice

• Substack - https://patrickcasale.substack.com/

• Website - https://www.allthingspractice.com/freebie-vault-2026

• TedX Talk - https://www.youtube.com/watch?v=hyImqW69OY4

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#AutisticBurnout #LateDiagnosedAutistic #ActuallyAutistic #Neurodivergent #AuDHD #Masking #Unmasking #InternalizedAbleism #ChronicIllness #Dysautonomia #SpoonieLife #InvisibleIllness #DisabilityAwareness #NeurodivergentEntrepreneur #PatrickCasale #MentalHealth #CallingInSickPodcast #AlexWildeson

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This week on Calling in Sick x Ask Alex, I'm sitting down with Dr. Rachel Zoffness — pain scientist, pain psychologist, Assistant Clinical Professor at UCSF, lecturer at Stanford, and author of Tell Me Where It Hurts. We are getting into the practical side of chronic pain management. Because understanding the science is one thing… but actually having tools you can use today, regardless of your budget or access to care, is another.

We're diving into:

xx, Alex

💬 Comment: What activity or moment has ever given YOU unexpected relief from your chronic pain?

TIMESTAMPS:

Intro:

00:00:00 Welcome back to Calling in Sick!

00:00:04 Guest Intro: Dr. Rachel Zoffnes, pain scientist and clinical psychologist

Improving Accessibility in Pain Management:

00:01:48 Dr. Zoffnes’ workbooks and pro bono work for free access to treatments

00:02:35 Movement as Medicine: Starting where the body and brain are ready & the biological benefits

00:03:52 "Fuzz Therapy": The data-backed impact of pets on pain

Biofeedback and the Mind-Body Connection:

00:04:41 Introduction to Biofeedback: Using sensors to read biological processes

00:07:02 The science of stress: How fight-or-flight affects skin temperature & what to do about it

00:09:16 Biofeedback effectiveness for migraines compared to pharmaceuticals

Understanding Complex Regional Pain Syndrome (CRPS):

00:10:12 Complex Regional Pain Syndrome (CRPS): Physiological hijacking and symptoms

00:13:52 The cycle of protection: How lack of movement amplifies pain

00:15:20 The Prefrontal Cortex (PFC) as a magnifier of physical sensations… and how using distractions can lower the “pain volume”

Conclusion:

00:18:14 Thank you for listening!

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Connect with our guest, Dr. Rachel Zoffness, PhD:

• Instagram - https://www.instagram.com/therealdoczoff/?hl=en

• Resources - https://www.zoffness.com/resources

• Website - https://www.zoffness.com/

Buy her book here: https://amzn.to/4aDThGb

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#ChronicPain #PainScience #BiopsychosocialModel #PainPsychology #ChronicIllness #SpoonieLife #InvisibleIllness #DrRachelZoffness #TellMeWhereItHurts #PainManagement #NeuroplasticPain #CentralSensitization #TraumaAndPain #ChronicPainAwareness #PainRecipe #PainDial #PainReprocessing #MentalHealth #CallingInSickPodcast #AlexWildeson

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This week on Calling in Sick, I'm sitting down with Dr. Rachel Zoffness — pain scientist, pain psychologist, Assistant Clinical Professor at UCSF, lecturer at Stanford, and author of Tell Me Where It Hurts. If you have chronic pain, chronic illness, or you've ever been told your pain is "just stress" or "all in your head" — this episode is going to change the way you think about your body forever.

We're diving into:

This is not a hopeless conversation. Dr. Z's message is clear: chronic pain has more tools than we are told. And there are ingredients in your pain recipe that haven't been targeted yet!!!

xx,

Alex

💬 Comment: What's one thing in your life that you've noticed turns your pain dial UP — and what turns it DOWN?

TIMESTAMPS:

Intro:

00:00:00 Welcome back to Calling in Sick!

00:00:04 Guest Intro: Dr. Rachel Zoffnes, pain scientist and clinical psychologist

Understanding Chronic Pain:

00:02:52 Acute vs. Chronic Pain: The distinction and definitions

00:04:30 Addressing the myth that pain is "all in your head"

00:05:44 Phantom limb pain and how the brain constructs pain

00:07:05 The "Pain Recipe": Identifying high pain vs. low pain ingredients

The Biopsychosocial Pain Model:

00:12:38 Intro to the Biopsychosocial Model (Biological, Psychological, Sociological)

00:14:14 The Psychological Domain: Shared neural real estate between emotions and pain

00:18:41 The Sociological Domain: Trauma, socioeconomic status, and environmental factors

00:21:04 Exploring the somatic (physical) components of every emotion

Trauma, Sensitivity, and Recovery:

00:24:13 Trauma's role in priming a hyper-sensitive nervous system

00:27:02 The Highly Sensitive Person (HSP) and susceptibility to chronic pain

00:32:17 Expanding horizons: Finding the right providers (PT, OT, Biofeedback, CBT-I, EMDR)

00:42:22 Gaps in medical education regarding pain science & the insurance part

Conclusion:

00:47:12 One Brain Cell Show: Awakening (Oliver Sachs) Robin Williams Stand-up comedy (everywhere) and Clarkson’s Farm (Amazon Prime)

00:51:10 Thank you for listening!

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• Substack - https://substack.com/@callinginsickpod?

Connect with our guest, Dr. Rachel Zoffness, PhD:

• Instagram - https://www.instagram.com/therealdoczoff/?hl=en

• Resources - https://www.zoffness.com/resources

• Website - https://www.zoffness.com/

Buy her book here: https://amzn.to/4aDThGb

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Produced by: Alexandra Wildeson — https://www.instagram.com/alexandrawildeson/

#ChronicPain #PainScience #BiopsychosocialModel #PainPsychology #ChronicIllness #SpoonieLife #InvisibleIllness #DrRachelZoffness #TellMeWhereItHurts #PainManagement #NeuroplasticPain #CentralSensitization #TraumaAndPain #ChronicPainAwareness #PainRecipe #PainDial #PainReprocessing #MentalHealth #CallingInSickPodcast #AlexWildeson

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This week on Calling in Sick x Ask Alex, Alec Bradbury, FNP is back for round two — and we're getting into what's actually on the cutting edge of chronic pain. New research, new healing modalities, what we're both genuinely excited about, and where to pump the brakes before you hand over your money.

If you've ever been told your pain is "of unknown origin," or you've been burned chasing a miracle cure, this one is for you.

We're diving into:

xx, Alex

💬 Comment: what's a chronic pain treatment you're curious about — or one that actually worked for you?

🎧 New here? Go back to Monday's full episode with Alec for the foundation on how pain is taught (and mistaught).

Timestamps:

Stay connected and follow us on socials for more!

Powered by: Just Media House -- https://www.justmediahouse.com/

Find Alec: https://www.instagram.com/alecbradburyfnp/ 

Alex's Picks of the Week:

#ChronicPain #ChronicIllness #PainManagement #NociplasticPain #NeuroplasticPain #PainReprocessingTherapy #KetamineTherapy #Fibromyalgia #CRPS #PainResearch #MindBodyConnection #ChronicPainAwareness #PatientAdvocacy #AlecBradbury #CallingInSickPodcast #AlexWildeson

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This week on Calling in Sick, I'm sitting down with Alec Bradbury, FNP — the provider you've probably seen on socials making chronic pain feel a whole lot less terrifying, isolating, and lonely. He's a nurse practitioner doing street medicine for the unhoused in Orange County, he teaches the next generation of providers about chronic pain, AND he runs a 1:1 coaching program. Basically, a badass.

We get into what providers are actually taught about pain in school… and the rude awakening Alec had when he started practicing and hit the bottom of the "toolbox" over and over again. If you've ever been told your scans look "fine" while you're in very real pain, this one is FOR YOU.

We're diving into:

And of course… reach out to us with any questions!!!

xx, Alex

💬 Comment: what's a time you felt dismissed at an appointment — and what did you do?

🎧 New to PRT? Go back to our December 2024 episode with Vanessa Blackstone for the full download on pain reprocessing therapy.

Timestamps:
00:00:00 Welcome back to Calling in Sick!

00:02:10 Alex's Picks of the Week

00:03:40 Meet Alec Bradbury, FNP — street medicine, teaching + coaching

00:07:15 Rapid fire: fact or fiction about chronic pain

00:11:00 How chronic pain is taught in school (and why it falls short)

00:15:00 Why new pain research isn't reaching the clinic yet

00:18:15 The moments Alec started questioning the toolbox

00:22:30 Rabbit holes: John Sarno, mind-body medicine, PRT

00:27:30 Mind AND body — and the trauma of "it's all in your head"

00:34:00 What actually changes in the nervous system (sensitization)

00:38:30 The MRI myth — degeneration in pain-free people

00:44:30 Treating imaging vs. treating patients + meeting people where they are

00:50:30 Why Alec started posting online (his 1-year anniversary!)

00:55:00 Communication that works: feel understood first

00:58:30 Your patient toolkit: bring someone, top 3 concerns, curiosity, documentation

01:03:00 Duvet day pick: anime, Frieren + Studio Ghibli

01:05:30 Thank you for listening!

Stay connected and follow us on socials for more!

Powered by: Just Media House -- https://www.justmediahouse.com/

Find Alec: https://www.instagram.com/alecbradburyfnp/ 

Alex's Picks of the Week:

#ChronicPain #ChronicIllness #PainManagement #NeuroplasticPain #MindBodyConnection #PainReprocessingTherapy #ChronicPainAwareness #InvisibleIllness #MedicalGaslighting #PatientAdvocacy #BiopsychosocialPain #ChronicPainWarrior #AlecBradbury #CallingInSickPodcast #AlexWildeson

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This week on Calling in Sick x Ask Alex, Dr. Tracy Shevell is back and we are busting every pregnancy myth I've heard online this year. Sushi. Sleep position. The "12 week rule." Glowing pregnancies. ALL of it!!

We're diving into:

😤 Restrictive laws on women’s healthcare and the pregnancy implications

Plus the bigger conversation about bodily autonomy, restrictive healthcare laws, and why trusting your own intuition matters more than ever… especially in the third trimester.

xx,

Alex

💬 Comment: what’s your number one tip for someone THINKING about starting their pregnancy journey!!!

TIMESTAMP:

Intro:

00:00:00 Welcome back to Calling in Sick!

Early Pregnancy and Support:

00:00:10 Sharing pregnancy announcements early (five weeks?!)

00:02:06 Miscarriage statistics and reducing shame

00:04:02 Living in Texas and fears regarding first-trimester complications

00:06:51 The impact of restrictive laws on women's healthcare

00:10:32 Myth busting pregnancy myths: sushi, listeria, hot tubs and more

00:21:15 Pregnancy myths Dr. Shevell wishes to eliminate

Conclusion:

00:22:27 Balancing loving and hating pregnancy

00:26:26 Thank you for listening!

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Produced by: Alexandra Wildeson — https://www.instagram.com/alexandrawildeson/

Alex’s Picks of the Week:

Since we’re chatting about high risk pregnancy… here’s two of my favorite pregnancy-safe supplement brands! 

✨Needed. protein powder — https://amzn.to/4oIffh8

✨Ritual pre-natal vitamins: ⁠https://go.shopmy.us/p-64830281⁠

( 50% off until 6/30!! )

#PregnancyMyths #PregnancyTips #HighRiskPregnancy #MaternalFetalMedicine #MiscarriageAwareness #PregnancyAnnouncement #ChronicIllnessPregnancy #PregnancyJourney #MomToBe #FirstTrimester #BodilyAutonomy #PregnancyFacts #DrTracyShevell #ChronicIllness #CallingInSickPodcast #AlexWildeson

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This week on Calling in Sick, I'm sitting down (AGAIN!) with Dr. Tracy Shevell, a maternal-fetal medicine specialist (aka high-risk pregnancy OBGYN), to demystify everything about what a high-risk pregnancy actually means and is. So whether you have a chronic illness, you're newly pregnant, or you're just trying to understand if you need to see an MFM… this episode is your full 411.

We're diving into:

And of course… reach out to us with any questions!!!

xx,

Alex

💬 Comment: what’s your biggest question around high-risk pregnancy?

TIMESTAMP:

Intro:

00:00:00 Welcome back to Calling in Sick!

Understanding MFM and High-Risk Pregnancies:

00:00:41 What is an MFM (Maternal Fetal Medicine) doctor?

00:06:51 Who needs to see a high-risk OB-GYN?

00:13:50 What to expect at first MFM appointments

00:20:16 The TRUTH about stopping meds and pregnancy

00:27:03 Conditions that are contraindications to pregnancy

00:37:11 Managing stress, anxiety, and depression during pregnancy

00:38:36 Building a "village" and practical registry ideas

00:44:06 Preparing for MFM appointments and asking the right questions

Conclusion:

00:49:03 Understanding hospital admissions and late-pregnancy monitoring

00:55:18 Final advice for "chronic illness girlies" considering pregnancy

01:05:01 Thank you for listening!

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Produced by: Alexandra Wildeson — https://www.instagram.com/alexandrawildeson/

Alex’s Picks of the Week:

Since we’re chatting about high risk pregnancy… here’s two of my favorite pregnancy-safe supplement brands! 

✨Needed. protein powder — https://amzn.to/4oIffh8

✨Ritual pre-natal vitamins: https://go.shopmy.us/p-64830281

( 50% off until 6/30!! )

#PregnancyMyths #PregnancyTips #HighRiskPregnancy #MaternalFetalMedicine #MiscarriageAwareness #PregnancyAnnouncement #ChronicIllnessPregnancy #PregnancyJourney #MomToBe #FirstTrimester #BodilyAutonomy #PregnancyFacts #DrTracyShevell #ChronicIllness #CallingInSickPodcast #AlexWildeson

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This week on Calling in Sick, we’re sharing everything about our gender reveal and closing out my first, first trimester!!

We're diving into:

💙 WHY we found out early 

👀 How we accidentally used the Sneak Peek at-home test for our gender reveal party (WHOOPS!)

🤢 First trimester wrap up and what's finally starting to ease up

💊 Chronic illness update (the good, the bad and the thing making me frown) and why that’s making me start nesting at 12 weeks!!

So excited to share this moment with y’all!!!!

xx,

💬 Comment: Were you right on your guess if Baby Wild is a boy or a girl?!

TIMESTAMPS:

Intro:

00:00:00 Welcome back to Calling in Sick!

The Gender Reveal:

00:01:28 The quick TLDR; about this episode

00:05:36 Why we chose to find out the results privately BEFORE the gender reveal party (and why you should too!!)

00:09:16 Everything about our gender reveal party (+ how to make yours accessible and inexpensive!!)

00:17:15 Are old wives tales… right?!?!

00:24:43 First trimester symptom updates: nausea, fatigue, and "baby brain”

00:27:56 Impact of pregnancy on chronic illness symptoms + am I getting my port removed?!

00:31:27 How my risk tolerance has changed… and why that’s making me nest EARLY

Conclusion:

00:33:30 Thank you for listening!

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Produced by: Alexandra Wildeson — https://www.instagram.com/alexandrawildeson/

Alex’s Picks of the Week:

These are a few of the products I mentioned in this week’s episode!!

✨SneakPeek At-Home Gender Test — https://amzn.to/4e8Td3p

—> This is the EXACT one I ordered!!!

✨Susie Cakes custom cakes & cupcakes — https://susiecakes.com/national-menu/

—> GF options available upon request!!!!

#GenderReveal #ItsABoy #ChronicIllnessPregnancy #LupusPregnancy #FirstTrimester #PregnancyAnnouncement #BabyBoy #ChronicIllness #SpoonieLife #InvisibleIllness #AutoimmunePregnancy #Lupus #IVIG #PregnancyUpdate #BabyBrain #HighRiskPregnancy #MotherhoodJourney #ChronicIllnessMom #CallingInSickPodcast #AlexWildeson

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This week on Calling in Sick x Ask Alex, Dr. Taylor Reyes is back for the deeper dive, and we are getting into one of the HARDEST things for us sick chicks in the chronic illness community. Movement. This is not a "just do yoga" episode. This is a real, practical, judgment-free guide to moving your body when your body doesn't always cooperate.

We're diving into:

🛠️ The PT toolbox (manual therapy, cupping, dry needling, scraping, and more)

🍫 How to use movement snacks to get daily exercise

🛋️ Exercises that meet you where you are

🔋 Energy conservation & why exercise doesn't have to look like athleisure and sweat 🏠 Habit stacking to get movement in during your daily activities

If you've ever felt like exercise was designed for someone with a completely different body than yours, then this episode is your permission slip to start anyway. 🤍

xx,

Alex

💬 Comment: What's your favorite low-effort movement snack? Drop it below so we can steal it! 👇

TIMESTAMP:

Intro:

00:00:00 Welcome back to Ask Alex!

00:00:03 Introduction of Dr. Taylor Reyes and the focus on accessible movement

Tools and Philosophy of Physical Therapy:

00:00:21 Different types of physical therapy tools: cupping, manual therapy, and dry needling

00:02:21 Holistic approach to chronic illness management

Strategies for Accessible Movement:

00:03:32 Turning activities of daily living (ADLs) into exercise

00:04:00 Introduction to "Movement Snacks"

00:06:50 Overcoming mental blocks and fear of post-exercise malaise

Conclusion:

00:08:18 Final thoughts and wrap-up

00:09:10 Thank you for listening!

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Produced by: Alexandra Wildeson — https://www.instagram.com/alexandrawildeson/

Alex’s Picks of the Week:

If this episode resonated, you probably should look at the Alex’s picks for this week…

✨MomCozy Pregnancy Pillow — https://amzn.to/49GLKpM

✨Corkcicle Sierra Leakproof Waterbottle — https://go.shopmy.us/p-51565745

#PelvicFloorPT #PelvicFloor #PelvicFloorPhysicalTherapy #ChronicIllness #Endometriosis #EDS #EhlersDanlosSyndrome #PregnancyPT #PostpartumRecovery #DiastasisRecti #PrenatalFitness #PelvicHealth #WomensHealth #SpoonieLife #ChronicPain #PostpartumFitness #DrTaylorReyes #CallingInSickPodcast #AlexWildeson

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This week on Calling in Sick, I'm sitting down with Dr. Taylor Reyes, a physical therapist specializing in pelvic floor health. Something I WISH I knew about after my endometriosis surgeries, and am relieved I know about before giving birth!!! Whether you have chronic illness, you're pregnant, postpartum, or just a human with a pelvis, this conversation is for you.

We're diving into:

🦴 What the pelvic floor actually IS

💊 How pelvic floor PT supports chronic illness (endometriosis EDS, connective tissue disorders and more)

🤰 Prenatal PT (what to do before you give birth to reduce tearing, improve labor positioning, and actually prepare your body)

💪 Postpartum recovery (diastasis recti, abdominal pressure management, and why your soft tissues deserves actual rehab post birth)

Plus the fact or fiction rapid fire you’ve been waiting for… like are kegels actually the answer for everyone, should you rest completely during a flare, and what does birth trauma look like even when there's no visible tearing?

xx,

Alex

💬 Comment: Have you ever seen a pelvic floor PT — and if not, what's stopped you?

TIMESTAMPS

Intro:

00:00:00 Welcome back to Calling in Sick!

00:00:58 Alex’s Picks of the Week (Mom Cozy Pregnancy Pillow, Corkcicle No-Leak Water Bottle)

Guide to Pelvic Floor Physical Therapy:

00:02:30 Meet the wonderful Dr. Taylor Reyes!!

00:11:53 The TLDR on physical therapy and pelvic floor physical therapy

00:20:15 When to Seek Pelvic Floor PT: Pain with Sex, Endometriosis, and More

00:27:38 Prenatal and Postpartum Care

00:53:21 Fact or Fiction: Common Pelvic Floor Myths

Conclusion:

01:08:12 One Brain Cell Show: Zelda and Spark of the Everflame

01:14:04 Thank you for listening!

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Produced by: Alexandra Wildeson — https://www.instagram.com/alexandrawildeson/

Alex’s Picks of the Week:

If this episode resonated, you probably should look at the Alex’s picks for this week…

✨MomCozy Pregnancy Pillow — https://amzn.to/49GLKpM

✨Corkcicle Sierra Leakproof Waterbottle — https://go.shopmy.us/p-51565745

#PelvicFloorPT #PelvicFloor #PelvicFloorPhysicalTherapy #ChronicIllness #Endometriosis #EDS #EhlersDanlosSyndrome #PregnancyPT #PostpartumRecovery #DiastasisRecti #PrenatalFitness #PelvicHealth #WomensHealth #SpoonieLife #ChronicPain #PostpartumFitness #DrTaylorReyes #CallingInSickPodcast #AlexWildeson

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