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The conversation with Sophie Ash delves into the experience of burnout in the healthcare industry and the journey to finding freedom and success. Sophie shares her personal story of leaving healthcare, the challenges she faced, and the transformation she underwent. She emphasizes the importance of support, autonomy, and staying true to oneself in the pursuit of genuine success.
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Prospology Website - https://prospology.com
Sophie Ash Official Instagram - https://instagram.com/sophieashofficial
Sophie Ash Email - [email protected]
Guest links
Instagram - https://instagram.com/sophieashofficial
Website - https://prospology.com
After more than 43 years in EMS, Steve Cohen still thinks like a street medic—even when he’s working in leadership, education, or behind a microphone.
Steve joins Chris to talk about the heart attack that unexpectedly led him into EMS, the mentors who shaped him, and why good leadership must begin with understanding the person sitting in an ambulance at 3 a.m.
They dig into the damage caused by “we’ve always done it this way,” supervisors who humiliate people publicly, leaders who ignore misconduct, and organizations that demand loyalty without protecting their crews. Steve also explains how leaders can introduce change without steamrolling the people expected to carry it out.
The conversation turns toward burnout, responder suicide, difficult calls, and why “I’m fine” should never end a mental-health conversation. They also discuss Steve’s Medic2Medic Podcast, landing Randolph Mantooth as a guest, producing hundreds of episodes without a team, and why sharing people’s stories still matters more than downloads.
At the center of this episode is one blunt truth: leadership does not begin behind a desk. It begins in the back of the ambulance, beside the people still answering calls while everyone else sleeps.
⚠️ This episode discusses burnout, trauma, suicide, and first-responder mental health.
Need support right now? Call or text 988 or visit 988lifeline.org. You’re not alone—not in this job, not in this fight.
Chapters00:00 – Who Steve Cohen Really Is
05:27 – The Person Sitting in the Truck at 3 A.M.
07:08 – The Heart Attack That Led Steve Into EMS
12:53 – Leadership Starts in the Back of the Ambulance
18:28 – Difficult Calls, Mental Health, and Speaking Up
21:30 – When Leadership Looks the Other Way
23:11 – “We’ve Always Done It This Way”
26:29 – Disagreement, Respect, and Introducing Change
30:14 – Mentorship and Building Better Partners
35:44 – Having Your Crew’s Back
38:32 – How the Medic2Medic Podcast Began
42:54 – Landing Big Guests and Taking the Chance
46:04 – Podcasting as a Mental-Health Outlet
47:14 – Why Steve Brought Medic2Medic Back
51:40 – Are We Doing Enough to Prevent Responder Suicide?
57:13 – What Quietly Disappearing Responders Need to Hear
1:00:24 – “I’m Fine” Isn’t the End of the Conversation
1:06:02 – Where to Find Steve and Medic2Medic
The conversation covers the personal background of the guest Conrad Weaver, his filmmaking career, the creation of the film 'PTSD 911,' the importance of leadership in first responder organizations, stressors and wellness in first responders, isolation and camaraderie in first responders, and the real story behind the film 'PTSD 911'. The conversation delves into the experiences of first responders, highlighting the challenges they face when responding to crisis calls, the impact of trauma on their mental health, the importance of seeking help, and the availability of hope and support for first responders in need.
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First Responder Wellness Solutions: firstresponderwellness.co
The conversation delves into the profound impact of the job on identity, family, and mental health, highlighting the gradual and unnoticed changes that lead to significant personal and professional challenges. It also emphasizes the need for support and longevity in emergency services careers to address mental health struggles and work-related trauma. The conversation delves into the emotional impact of critical incidents, the struggle with emotional withdrawal, and the process of recognizing and addressing disconnection. It also explores the gradual impact of trauma, the process of rebuilding oneself, and the connection between fatherhood and personal identity. Additionally, it discusses the importance of being a better dad and finding purpose after leaving the job.
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The conversation delves into the themes of embracing authenticity and resilience, highlighting the importance of overcoming fear of judgment and finding inner peace. It also emphasizes the value of resilience and gaining perspective through life's challenges.
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Sergeant Tom Lee, a mental health deputy, shares insights on the unseen struggles of first responders, the importance of listening, and the misconceptions surrounding mental health calls. He also discusses the impact of administration on first responders and the need for trust and understanding in mental health work. The conversation delves into the importance of empathy and communication in emergency response, the impact of traumatic calls on responders, the role of faith in coping with trauma, and the significance of seeking help and finding peace.
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The conversation delves into the impact of uniforms on identity, the role of pride in shaping identity, and the mentality of viewing one's job as a daily routine.
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Joe Henderson experiences a sudden emotional breakdown at work, leading to a struggle to communicate and understand his own emotions.
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The conversation with Miss Candice, a family nurse practitioner, delves into the impact of burnout in healthcare and the systemic issues that contribute to it. It highlights the personal and professional challenges faced by healthcare workers and the need for a reevaluation of the healthcare system.
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The conversation delves into the concept of replacing neural pathways and changing thought patterns to overcome negative experiences and depression. It emphasizes the importance of perspective and gratitude in shaping one's outlook on life.
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From the publisher's feed
Because sometimes the worst calls make the best stories.
Dispatched & Dysfunctional is a raw, honest look at EMS, first response, trauma, burnout, leadership,…
These are not polished hero stories. They are the calls that stay with you after shift change, the mistakes nobody wants to admit, the jokes that keep the room from going silent, and the weight responders carry home long after the uniform comes off.
Some episodes will make you laugh. Others will hit hard. Every episode is built around real experiences, real people, and honest conversations about what the job can do to the person behind the badge, radio, or stethoscope.
Guests include medics, firefighters, law-enforcement officers, nurses, physicians, veterans, leaders, authors, mental-health professionals, and people who have lived through the kind of moments that change everything.
This podcast talks openly about:
• Burnout, trauma, PTSD, and moral injury
• Leadership failures and broken workplace culture
• Identity after the uniform
• Addiction, recovery, faith, resilience, and rebuilding
• The calls that change responders forever
• The humor, chaos, and dysfunction that come with the job
⚠️ Listener Discretion Advised
Episodes may include graphic subject matter, emotional discussions, strong language, and dark humor based on real EMS and first responder experiences. Names and identifying details may be changed to protect privacy.
Any medical discussion reflects personal experience and opinion. It is not medical advice, protocol, or a replacement for training, local guidelines, medical direction, or professional care.
“I’d rather hear your story than read your eulogy.”
If you are struggling, do not carry it alone. Talk to someone you trust, reach out to a professional, or call or text 988 for immediate support.
Listen on Apple Podcasts, Spotify, Amazon Music, iHeartRadio, and other major platforms.
Share your story, connect with the show, or learn more at www.critical-run.com.
Dispatched & Dysfunctional — real calls, real chaos, and the people trying to make it home whole.