How Healing Works with Dr. Wayne Jonas

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Summary

In this episode, Dr. Wayne Jonas and Dr. Alyssa McManamon discuss when and how to deliver whole person cancer care. They highlight the importance of integrating whole person care into different phases of the cancer journey, including diagnosis, treatment, survivorship, and end-of-life care. The conversation emphasizes the need for early engagement and communication with patients, as well as the impact of whole person care on patient outcomes and quality of life. The episode also introduces tools and resources that can be used to facilitate whole person care, such as the Personal Health Inventory and the HOPE visit.

Takeaways

• Whole person cancer care should be integrated into all phases of the cancer journey, including diagnosis, treatment, survivorship, and end-of-life care.
• Early engagement and communication with patients about whole person care can help address fears and improve patient outcomes.
• Whole person care involves understanding and addressing the individual needs and goals of each patient, beyond just the treatment of the tumor.
• Tools and resources, such as the Personal Health Inventory and the HOPE visit, can facilitate the delivery of whole person care.

Chapters

00:00 Introduction
00:39 Attitudes and Access to Integrative Care
01:34 Defining Whole Person Cancer Care
04:00 Implementing Whole Person Care in Different Phases of the Cancer Journey
06:01 Starting Whole Person Care at Diagnosis
07:05 Listening to Patient Feedback
09:30 Whole Person Care during Treatment
10:31 Whole Person Care in Survivorship
13:39 Whole Person Care at the End of Life
14:18 The Impact of Whole Person Cancer Care
15:41 Engaging Patients in Their Care
19:24 Tools for Whole Person Care
21:43 When to Start Whole Person Care
23:12 Conclusion

Resources

• HOPE Note Toolkit
• Primary Care Personal Health Inventory (PHI) 
• Oncology Personal Health Inventory (OPHI)
• SIO/ASCO Pain Management Guidelines
• CME Course: Whole Person Cancer Care Course 

Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.

Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon

Visit Healing Works Foundation www.healingworksfoundation.org for more information. 

Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.

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Summary
This conversation explores the topic of cannabis and cancer, focusing on its potential benefits and risks in managing cancer treatment side effects and improving patient quality of life. The guest, Greg Garber, is the director of Oncology Support Services at the Sidney Kimmel Cancer Center and part of a program that educates patients on the therapeutic claims of cannabis. 

Takeaways

• Cannabis has shifted from being perceived as a gateway drug to being recognized for its potential medical benefits, particularly in managing cancer treatment side effects and improving patient quality of life.
• There is a lack of education and understanding about cannabis among healthcare professionals, which creates challenges in providing sound guidance and instruction to patients.
• The registration process for medical cannabis can be complex, and patients may face barriers such as lack of digital literacy and financial resources. 
• Normalizing conversations about cannabis and de-stigmatizing its use are important in providing comprehensive care and addressing the needs of patients.
• Building trust and open communication between healthcare providers and patients is crucial when discussing medical cannabis as a treatment option.

Chapters
00:00 Introduction: Cannabis and Cancer
08:29 Challenges Faced by Clinicians
14:38 Normalization and Destigmatization
24:10 Obtaining a Medical Cannabis Card
27:26 Personalized Care Plans for Cannabis Use
29:02 Building Trust and Open Communication
30:40 The Role of Trust in Patient Experience
32:11 Considering the Whole Person in Treatment
36:11 Resources for Clinician Education
44:36 Expanding Evidence Base and Potential Benefits
48:50 Empowering Patients and Caregivers to Initiate Conversations
52:06 Enhancing Quality of Life and Health-Related Outcomes

Resources
-Cannabis and Cannabinoids in Adults With Cancer: ASCO Guideline
-A Mapping Literature Review of Medical Cannabis Clinical Outcomes and Quality of Evidence in Approved Conditions in the USA from 2016 to 2019
-MS in Medical Cannabis Science & Business Jefferson allows providers to audit any course for free 

Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.

Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon

Visit Healing Works Foundation www.healingworksfoundation.org for more information. 

Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.

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Summary

In this episode, Dr. Alyssa McManamon and Dr. Wayne Jonas discuss the results of a yearly IQVIA survey on attitudes and access to integrative approaches for whole person cancer care. The survey shows an increase in positive patient attitudes and usage of integrative oncology. However, there is still a gap between what patients want and what health systems offer. Patients are using complementary therapies to improve their survival odds and manage side effects. The survey also highlights barriers to integrative oncology, such as the need for funding, adequate staff, and clinical guidelines. The role of oncologists in initiating conversations about integrative oncology is crucial, but there is a communication gap between patients and oncologists.

Takeaways

• Positive patient attitudes and usage of integrative oncology are increasing.
• There is a gap between what patients want and what health systems offer in terms of complementary therapies.
• Patients are using complementary therapies to improve survival odds and manage side effects.
• Barriers to integrative oncology include the need for funding, adequate staff, and clinical guidelines.
• There is a communication gap between patients and oncologists regarding integrative therapies.

Chapters
00:00 Introduction and Background
01:24 Definition of Whole Person Care
02:24 Increasing Patient Attitudes and Usage of Integrative Oncology
03:18 Patients Using Complementary Therapies to Improve Survival Odds
04:11 Barriers to Integrative Oncology
05:33 Patients Choosing Healthcare Systems that Offer Integrative Therapies
06:20 Providing Whole Person Care as a Cancer Team
07:17 The Role of Oncologists in Integrative Oncology Conversations
08:40 Communication Gap between Patients and Oncologists
09:06 The Importance of Guidelines in Integrative Oncology
12:41 Barriers in Implementing Integrative Therapies
16:43 Implementing Integrative Therapies in Oncology Practice
20:18 Future Outlook and Educational Tools

Resources

• IQVIA Survey (2022)
• SIO/ASCO Pain Management Guidelines
• CME Course: Whole Person Cancer Care Course 

Want to learn more?
Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information. 

Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.

Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon

Visit Healing Works Foundation www.healingworksfoundation.org for more information. 

Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.

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Summary

In this episode, Dr. Alyssa McManamon and Dr. Wayne Jonas discuss the concept of whole person care in oncology. They explore how whole person care encompasses lifestyle, behavior, and wellness practices that can complement conventional cancer treatment. The conversation highlights the importance of addressing the physical, mental, spiritual, and social aspects of a patient's life to improve overall well being. The HOPE Note Toolkit, which includes the Personal Health Inventory, is introduced as a resource to facilitate whole person care discussions. The episode emphasizes the need for a collaborative team approach to implement whole person care in practice.

Takeaways

• Whole person care in oncology involves addressing the physical, mental, spiritual, and social aspects of a patient's life.
• The HOPE Note Toolkit, including the Personal Health Inventory, can facilitate whole person care discussions.
• Whole person care should be implemented in a collaborative team approach, involving healthcare providers from various disciplines.
• Addressing side effects and promoting self-care are important aspects of whole person care in oncology.

Chapters

00:00 Introduction
00:18 Whole Person Care in Oncology
02:24 Understanding Whole Person Care
04:59 Applying Whole Person Care in Oncology
07:01 Addressing Side Effects and Self-Care
11:04 The HOPE Note Toolkit
14:17 The Integrative Oncology Leadership Collaborative
17:33 Timing of Whole Person Care Discussions
19:31 Patient and Oncologist Perspectives
20:55 Fear and Hope in Cancer Care
24:55 Personal Health Inventory (PHI)/Oncology Personal Health Inventory (OPHI)
27:04 Implementing Whole Person Care in Practice
29:17 Collaborative Team Approach
30:30 Conclusion

Resources:

• HOPE Note Toolkit
• Primary Care Personal Health Inventory (PHI) 
• Oncology Personal Health Inventory (OPHI)

Want to learn more?
Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information. 

Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.

Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon

Visit Healing Works Foundation www.healingworksfoundation.org for more information. 

Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.

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Summary

Welcome to Season 2 of How Healing Works focused on healing and cancer. We are so excited to introduce you to Dr. Alyssa McManamon, who will co-host this season with Dr. Wayne Jonas. For the past year, Dr. McManamon and Dr. Jonas have worked together to write their latest book, "Healing and Cancer," as a way to share their experience and knowledge of how to deliver whole person cancer care.

In season 1 you got to know Dr. Jonas as family physician, researcher and author who strives to share the power of whole person care and understand what matters to your patients. As we begin season 2, we get to know Dr. McManamon who is a triple board-certified hematologist-oncologist. Together they will dive deep into what whole person care looks likes, feels like and should be in oncology. 

Takeaways

• Whole person care is essential in cancer treatment and can improve both the quality and length of life for patients.
• Collaboration and teamwork are crucial in implementing whole person cancer care, with various healthcare professionals playing important roles.
• Examples of whole person cancer care include integrating supportive and integrative services into cancer centers, re-envisioning survivorship programs, and providing resources for patients.
• The book, Healing and Cancer, serves as a comprehensive guide for cancer care teams, providing information, tools, and practical advice on implementing whole person care.
• The podcast series aims to inspire and educate listeners on whole person cancer care, and encourages community and partnership in this area.

Chapters
00:00 Introduction and Background
05:34 The Healer's Art and Whole Person Care
07:54 Understanding Whole Person Care
09:48 Integrative Oncology Leadership Collaborative
12:09 Examples of Whole Person Cancer Care
16:10 Case Study: Inova Life with Cancer
19:53 Case Study: Sidney Kimmel Cancer Center
21:51 Case Study: Ann B. Barshinger Cancer Institute
24:19 Whole Person Care Throughout the Cancer Journey
26:40 The Book: Healing and Cancer
30:43 Conclusion and Call to Action

Resources:

• Primary Care Personal Health Inventory (PHI) 
• Oncology Personal Health Inventory (OPHI)
• Tending the Flame Program

Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.

Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon

Visit Healing Works Foundation www.healingworksfoundation.org for more information. 

Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.

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In this podcast, Dr. Wayne Jonas and Dr. Alyssa McManamon discuss whole person care in the context of cancer. They introduce themselves and their backgrounds, highlighting their experience in oncology and primary care. They emphasize the importance of understanding what truly matters to the patient in order to improve health outcomes. The hosts also mention their collaboration on a book called "Healing and Cancer," which focuses on whole person care in cancer treatment. The podcast aims to provide examples, tools, and resources for clinicians interested in implementing a whole person care approach in their practice.

• Whole person care involves understanding and addressing the physical, mental, emotional, and spiritual aspects of a patient's health.
• Caring for a patient requires understanding what truly matters to them in order to improve health outcomes.
• Whole person care in cancer involves considering the patient's needs and preferences throughout the treatment process.
• The podcast provides examples, tools, and resources for clinicians interested in implementing whole person care in cancer treatment.

Want to learn more?
Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information. 

Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.

Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon

Visit Healing Works Foundation www.healingworksfoundation.org for more information. 

Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.

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Thanks to all my listeners for joining me for the first season of How Healing Works. It's been my pleasure to connect with others on how they deliver whole person care in their setting. Join me for Season 2 as I invite Dr. Alyssa McManamon as my co-host. The focus will be on whole person CANCER care.  Be well!

Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.

Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon

Visit Healing Works Foundation www.healingworksfoundation.org for more information. 

Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.

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In this episode, I sit down with Dr. Audrey Stillerman as we explore a difficult topic that everyone has experienced in some shape or form: trauma. In every episode we discuss whole person care, but today we discuss a more specific type of whole person care called trauma-informed care (TIC). Audrey shares how clinicians can care for their patients understanding that many patients have faced past trauma although they may or may not display behaviors or conditions related to trauma. She reminds us that as clinicians we do not need to know the details of a patient’s trauma to care for them with compassion and to create a healing plan to work toward recovery. The goal is to create a safe space where power is shared, and to avoid re-traumatization.

Dr. Audrey Stillerman is an Integrative Family Physician and Clinical Assistant Professor of Family and Community Medicine at the University of Illinois Chicago, as well as the Medical Director for the Mile Square School Health Center program where she leads the clinical work of 5 school health centers offering integrated medical and behavioral health services. She serves as a clinician, educator, researcher, administrator, and activist. Since 1991, Dr. Stillerman has provided compassionate, holistic care for families across multiple community-based public practice settings while advocating for equity. 

SAMHSA Trauma Informed Care: https://store.samhsa.gov/product/SAMHSA-s-Concept-of-Trauma-and-Guidance-for-a-Trauma-Informed-Approach/SMA14-4884

CDC VitalSigns Adverse Childhood Experiences (ACEs) https://www.cdc.gov/vitalsigns/aces/pdf/vs-1105-aces-H.pdf 

Trauma-Recovery Books: 

• The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma by Bessel van der Kolk
• The Last Best Cure: My Quest to Awaken the Healing Parts of My Brain and Get Back My Body, My Joy, and My Life by Donna Jackson Nakazawa
• What My Bones Know: A Memoir of Healing from Complex Trauma by Stephanie Foo

Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.

Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon

Visit Healing Works Foundation www.healingworksfoundation.org for more information. 

Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.

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In this episode, I welcome Dr. Jill Jin to discuss clinician wellbeing from the perspective of the American Medical Association (AMA). In our conversation, she reinforces that everyone in the care team needs to be working to the highest level of their license, unnecessary work should be eliminated, and necessary work is shared across the team to improve the culture in each practice. Dr. Jin has worked with the AMA in combating physician burnout, particularly in developing the comprehensive collection of STEPS Forward® resources, which we will  discuss in this episode. 

Dr. Jin is a practicing internist and Clinical Assistant Professor of Medicine at the Northwestern University Feinberg School of Medicine. She is a Senior Physician Advisor for Professional Satisfaction & Practice Sustainability at the AMA, and an associate editor for JAMA. 

For more information, please visit stepsforward.org. All of the resources including playbooks, toolkits, webinars, podcasts, and mentoring services are open-access and provided FREE of charge.

Here are links to resources mentioned in the discussion: 

StepsForward Program: stepsforward.org

Saving Time Playbook: https://www.ama-assn.org/system/files/ama-steps-forward-saving-time-playbook.pdf 

Taming the EHR Playbook: https://www.ama-assn.org/system/files/steps-forward-taming-ehr-playbook.pdf

Advanced Team-Based Care Podcast (Heartland Health): https://www.ama-assn.org/delivering-care/physician-patient-relationship/improve-patient-care-collaborative-care-team-models

Advanced Team-Based Care Podcast (TexomaCare): https://www.ama-assn.org/practice-management/scope-practice/one-practice-s-success-implementing-advanced-team-based-care

Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.

Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon

Visit Healing Works Foundation www.healingworksfoundation.org for more information. 

Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.

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In this episode, I am joined by Dr. Cortney Crespo who shares an important message and mindset change around the topic of weight, specifically weight inclusive care, a term new to me. Dr. Crespo is a family medicine physician in Massachusetts, MA completing her Integrative Medicine Educator Fellowship at Tufts University Family Medicine Residency, a novel fellowship designed to foster leadership, teaching, and research in Integrative Medicine. Her goal is to provide and teach comprehensive, holistic care with an equity lens. As we talk, she explains how the power differential between doctor and patient can cause the patient to feel unable to express their desire to not make weight the focus of the appointment. Dr. Crespo shares that clinicians focused on whole person care are also caring for their patients using weight inclusive care. With her patients she follows the acronym VEORS (validate, explore, offer, reinforce, shared decision making) when discussing weight. Clinicians are charged with validating that the patient has control over their body, exploring what the patient is seeking from weight loss, offering medical knowledge pertaining to health, reinforcing what health means, and sharing the decision making. This conversation made me stop and reflect on my practice. I hope the same for you. Enjoy!

Below are resources to learn more about weight inclusive care:

Organizations 

Association for Size Diversity and Health (ASDAH) https://asdah.org/

National Association to Advance Fat Acceptance (NAAFA) https://naafa.org/

Blogs

Weight and Healthcare by Ragen Chastain https://weightandhealthcare.substack.com/

Marquisele Mercedes https://www.marquiselemercedes.com/ 

Books

Revenge Body by Caleb Luna

Fat Talk: Parenting in the Age of Diet Culture by Virginia Sole-Smith

Check out the book: "Healing and Cancer: A Guide to Whole Person Care"
Visit https://www.healingandcancerbook.com/ for more information.

Connect:
Twitter: @DrWayneJonas
Facebook: Dr. Wayne Jonas
Instagram: @drwaynejonas
LinkedIn: Dr. Wayne Jonas
LinkedIn: Alyssa McManamon

Visit Healing Works Foundation www.healingworksfoundation.org for more information. 

Dr. Wayne Jonas is a board-certified physician and Dr. Alyssa McManamon is a triple-board certified hematologist/oncologist. The opinions expressed on this show are those of the hosts and guests and do not necessarily represent the views and opinions of their places of employment, the Department of Veterans Affairs, or the United States government. The opinions expressed on this podcast are meant for entertainment and education and should not be used to diagnose or treat any medical condition nor should they be used as a substitute for medical advice from a qualified, board-certified practicing clinician. Dr. Wayne Jonas and Dr. Alyssa McManamon have no relevant financial disclosures.