Hello, Friend -

Please enjoy a reading of a poem penned by yours truly, and published in my FREE newsletter, The Bull Shot (Issue 3).

Times are turbulent and uncertain.  The US has separated from allies in the global health community.  A war on US public health has been staged for profit, in lieu of the beneficence of We the People. 

If you are a caregiver caretaker, if you are hurting or miss a loved one, if you have found yourself here again or for the first time, welcome to our third space. 

In a world of cheaply made bargains, the social and commercial determinants of health are not jargon! Thank you for taking the time to listen. ciao, for now. drmichelabull.com

Caregivers caretakers keep love lines strong and healthy. 

A fig tree figures prominently in a loved one’s garden.

Love, Dr. Bull

The course of true love never did run smooth.  

~ William Shakespeare

Only love can break your heart.  

~ Neil Young

In a world of cheaply made bargains, the social and commercial determinants of health are not jargon! Thank you for taking the time to listen. ciao, for now. drmichelabull.com

Smack talking fitness chewing gum (FCM) and other unhealthy looksmaxxing trends.

References

Murthy, Vivek (2023). Surgeon General Issues New Advisory About Effects Social Media Use Has on Youth Mental Health. U.S. Department of Health and Human Services. https://www.hhs.gov/about/news/2023/05/23/surgeon-general-issues-new-advisory-about-effects-social-media-use-has-youth-mental-health.html

De Shields, André  (2019). Three cardinal rules.
https://youtu.be/wji_iWItUi8?si=R4DCwPiTdEqbCB4C

The hare and the tortoise, The AESOP for children.
https://read.gov/aesop/025.html

In a world of cheaply made bargains, the social and commercial determinants of health are not jargon! Thank you for taking the time to listen. ciao, for now. drmichelabull.com

Veterans and their families need lifelong care and support This episode is an introduction to moral injury in veterans, with selected readings from Achilles In Vietnam Combat Trauma and the Undoing of Character by Jonathan Shay, MD, PhD.  If you are a veteran, military family member, or civilian who loves a veteran, please find some solace in Dr. Shay's research and thoughts on combat trauma, culture, and society.  
Excerpts:

• Culture as a universal species ethic
• Healing and Tragedy 
• 2 Veteran Narratives

References and additional reading:
Shay, J. (1994). Achilles in Vietnam combat trauma and the undoing of character. New York, New York:  Scribner.

The Shay Moral Injury Center | Volunteers of America (VOA)
https://youtu.be/hBx1eZf2XOo?si=ouX51-tFbzT4lr2i

Suicides in Air Force, Navy and Marines in first quarter of 2024 top pandemic era. (To listen to article, tap the following link, then scroll down to article's audio file). https://www.stripes.com/theaters/us/2024-07-11/defense-department-military-troops-suicide-14456265.html

VOA online 1-hour moral distress relief program
https://www.voa.org/services/voa-rest-virtual-support/

U.S. Department of Veterans Affairs | National Center for PTSD | Moral Injury
https://www.ptsd.va.gov/professional/treat/cooccurring/moral_injury.asp

United Service Organizations (USO) | Over 200 Years of Service:  The History of Women in the U.S. Military
https://www.uso.org/stories/3005-over-200-years-of-service-the-history-of-women-in-the-us-military

Music to read  or dream by:

Jade Bird | What Am Here For?
https://youtu.be/ZpTYGA4vMgA?si=99SATDLdeWR5UArZ

Brent Cobb feat. Jade Bird | Feet Off The Ground
https://youtu.be/Kx5dvMuyvW0?si=naV2BS51C0U2bQwJ

In a world of cheaply made bargains, the social and commercial determinants of health are not jargon! Thank you for taking the time to listen. ciao, for now. drmichelabull.com

Dear Listeners: August marks the 1st anniversary of the Copacetic Health Podcast! This is a follow-up to Episode 1: A patient narrative. It was uploaded early for summer break. Presented as before, with brief homage to Shakespeare, Edgar Allan Poe, and Jane Austen. Honorable mention to the Sherman brothers.

In a world of cheaply made bargains, the social and commercial determinants of health are not jargon! Thank you for taking the time to listen. ciao, for now. drmichelabull.com

It's ~HOT~ again in the Valley of the Sun.  It doesn't do any good to complain, but the HEAT brings its pains!  Cultural Identity and Moral Injury: Along with veterans, additional populations who suffer from MI are discussed. This episode is focused on K-12 teachers and health care professionals as culture bearers, as well as professionals hurting from moral injury.

Please note: Regarding number of Francophones and Francophone internet users by 2050: The podcast's sound-proof recording room has no a/c in the summertime. It was warm. Therefore, it was muddled as it unfolded herein. To be clear, here's a reference that outlines what I meant to say. Merci bien!
https://theconversation.com/africa-and-the-french-language-are-growing-together-in-global-importance-179224

References

Save Our Schools AZ Network (2023). Arizona ranks 49th in K-12 Funding, Again
https://www.sosaznetwork.org/2023/arizona-ranks-49th-in-k-12-funding-again/#:~:text=Arizona's%20per%2Dpupil%20spending%20from,compared%20to%20their%20national%20peers.

Key, A.  (2023). Teaching Gender: The AEIOU Framework, Trans Children in Today's Schools. New York: Oxford Academic.

Murthy, Vivek, MD.. (2023). Surgeon General Issues New Advisory About Effects Social Media Use Has On Youth Mental Health, US Department of Health & Human Services
https://www.hhs.gov/about/news/2023/05/23/surgeon-general-issues-new-advisory-about-effects-social-media-use-has-youth-mental-health.html

Shay, J. (1995). Achilles in Vietnam combat trauma and the undoing of character.

Shay, J. (2002). Odysseus in America combat trauma and the trials of homecoming. New York, New York:  Scribner.

Sommer, C. (2022). The Lasting Anguish of Moral Injury, NYU Stern School of Business. https://www.ethicalsystems.org/the-lasting-anguish-of-moral-injury/

Music:

Blaze Foley, If I Could Only Fly, Sitting By The Road. 2010, Lost Art Records
https://youtu.be/mH66DfUis4w?si=RCwqBaEgND9yIV7x

Music video by Rush performing Subdivisions. 1988,UMG Records, Inc.
https://youtu.be/EYYdQB0mkEU?si=0q65R_n_RiPA_um5

In a world of cheaply made bargains, the social and commercial determinants of health are not jargon! Thank you for taking the time to listen. ciao, for now. drmichelabull.com

Moral Injury (MI) in Veterans continued:  Dr. Jonathan Shay's definition, culture as a universal species ethic, classifications of MI and PTSD, additional researchers' contributions provide background, tension, gaps, and need for future research. Episode concludes with current US Veteran suicide rate, and acknowledgement of the loss. Dear Listeners, Apologies for sound. It's below quality control level. We will be re-recording this episode as soon as time allows. In process of auditioning and rating podcasting tools, as we forge ahead. Thank you for your trust, patience, understanding, as well as feedback!

References (Please note: Platform does not allow enough space for complete list)
Suicides in Air Force, Navy and Marines in first quarter of 2024 top pandemic era. (To listen to article, tap the following link, then scroll down to article's audio file).
https://www.stripes.com/theaters/us/2024-07-11/defense-department-military-troops-suicide-14456265.html
Chesnut, R. P., Richardson, C. B., Morgan, N. R., Bleser, J. A., Perkins, D. F., Vogt, D.,…Finley, E. (2020). Moral injury and social well-being: A growth curve Analysis. Journal of Traumatic Stress, 33(4).
Currier, J. M., Holland, J. M., & Malott, J. (2015). Moral injury, meaning making, and mental health in returning veterans. Journal of Clinical Psychology, 71(3).
Danan, E. R., Krebs, E. E., Ensrud, K., Koeller, E., MacDonald, R., Velasquez, T., … Wilt, T. J. (2017). An evidence map of the women veterans’ health research literature (2008-2015). Journal of General Internal Medicine, 32(12).
Farnsworth, J. K., Drescher, K. D., Nieuwsma, J. A., Walser, R. B., & Currier, J. M. (2014). The role of moral emotions in military trauma: Implications for the study and treatment of moral injury. Review of General Psychology, 18(4).
Griffin, B. J., Purcell, N., Burkman, K., Litz, B. T., Bryan, C. J., Schmitz, M., … Maguen, S. (2019). Moral injury: An integrative review. Journal of Traumatic Stress, 32(3).
Harrington, K. M., Nguyen, X.-M. T., Song, R. J., Hannagan, K., Quaden, R., Gagnon, D. R., … Whitbourne, S. B. (2019). Gender differences in demographic and health characteristics of the million veteran program cohort. Women’s Health Issues, 29.
Kelley, M.L., Bravo, A.J., Davies, R.L., Hamrick, H.C., Vinci, C., & Redman, J.C. (2019). Moral injury and suicidality among combat-wounded veterans: The moderating effects of social connectedness and self-compassion. Psychological Trauma: Theory, Research, Practice, and Policy, 11(6).
Kopacz, M.S., Connery, A.L., Bishop, T.M., Bryan, C.J., Drescher. K.D., Currier, J.M., & Pigeon, W.R. (2016). Moral injury: A new challenge for complementary and alternative medicine. Complementary Therapies in Medicine, 24.
Lehavot, K., Goldberg, S. B., Chen, J. A., Katon, J. G., Glass, J. E., Fortney, J. C., … Schnurr, P. P. (2018). Do trauma type, stressful life events, and social support explain women veterans’ high prevalence of PTSD? Social Psychiatry & Psychiatric Epidemiology, 53(9).
Litz, B., Stein, N., Delaney, E., Lebowitz, L., Nash, W., Sivla, S., & Maguen, S. (2009). Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clinical Psychology Review.
MacLeish, K. (2018). On ‘moral injury’: Psychic fringes and war violence. History of the Human Sciences, 31(2).
Maguen, S., & Litz, B. (2019). Moral injury in the context of war.  US Department of Veterans

In a world of cheaply made bargains, the social and commercial determinants of health are not jargon! Thank you for taking the time to listen. ciao, for now. drmichelabull.com

Dear Listeners,  

Please note the audible caution with brief description of content prior to play.  Part memoir, part history, the poem describes back-to-back April Fools' Days that were particularly cruel for one military family and community.  The tragedies that befell my neighbors and classmates exemplified powerful lessons:

• Physicians are often lonely and suffer in silence 
• Military psychiatrists are vulnerable to suicide just as the patients they treat
• A military widow with children determined to keep family together was potent opposition for an F3 when it ripped through the neighborhood

Dedicated to veterans and military families affected by moral injury, PTSD, and suicide.  On a separate note, April marks a history of tragic freight.  

In a world of cheaply made bargains, the social and commercial determinants of health are not jargon! Thank you for taking the time to listen. ciao, for now. drmichelabull.com

Health Literacy can help with herd immunity:   It's Social and Community!

Current priorities of the U.S. Surgeon General
https://www.hhs.gov/surgeongeneral/priorities/youth-mental-health/social-media/index.html#:~:text=Children%20and%20adolescents%20who%20spend,symptoms%20of%20depression%20and%20anxiety.

Commercial Determinants of Health, World Health Organization
https://www.who.int/news-room/fact-sheets/detail/commercial-determinants-of-health#:~:text=Commercial%20determinants%20of%20health%20are,or%20indirectly%2C%20positively%20or%20negatively.

Schoolhouse Rock, Conjunction Junction What’s That Function
https://youtu.be/LjdCFat9rjI

Red Hot Chili Peppers cover of Higher Ground, song and lyrics by Stevie Wonder
https://youtu.be/eAi64gH07jM?si=-64BjpjEFU9MgXPl

In a world of cheaply made bargains, the social and commercial determinants of health are not jargon! Thank you for taking the time to listen. ciao, for now. drmichelabull.com

We appreciate the consideration for our recent deviation, with concern about caregivers no matter the age.   If resolutions are slower than molasses in January, we are keeping it copacetic.  No negative body image or post-holiday fitness lectures here, just to be clear.

US Department of Health and Human Services | Office of Disease Prevention and Health Promotion | Food is Medicine:  A Project to Unify and Advance Collective Action
https://health.gov/our-work/nutrition-physical-activity/food-medicine

US Department of Health and Human Services | ODHP | Nutrition and Healthy Eating
https://health.gov/healthypeople/objectives-and-data/browse-objectives/nutrition-and-healthy-eating

US Department of Health and Human Services | ODHP | Sleep
https://health.gov/healthypeople/objectives-and-data/browse-objectives/sleep

United Nations | A Wake Up Call to Fight Hunger
https://youtu.be/HeVhr9V28jA?si=skKS8K6Co59SH6Ae

United Nations | Commercial Determinants of Health
https://www.who.int/news-room/fact-sheets/detail/commercial-determinants-of-health

Neko Case - I Wish I Was the Moon (Live from the Lung)
https://youtu.be/JbPD88elviY?si=C31Z5bJGmJRiD64Q

In a world of cheaply made bargains, the social and commercial determinants of health are not jargon! Thank you for taking the time to listen. ciao, for now. drmichelabull.com