Just getting infants and toddlers fed seems harder than ever given formula shortages and lack of support for moms.

Lactation consultant and educator Mirine Richey, MPH, IBCLC helps us unwind all the knots. Learn more about her work at Florida State.

Video: https://zdoggmd.com/formula-crisis/

Topics & Timecodes:

0:00 Intro, the role of the lactation consultant

05:25 Infant nutrition, diversity among lactation specialists, physical breastfeeding vs. feeding breastmilk

08:17 Social determinants, challenges for low socioeconomic and the highly educated, maternal advantages & benefits of breastfeeding

14:50 Infant advantages & benefits of breastfeeding

19:34 Breastmilk vs. formula cost (both monetary and social)

23:11 Debriefing past trauma & why it's often uncomfortable to talk about breastfeeding, more neonatal benefits

27:53 Composition of human milk, immune properties, HIV considerations, positioning for bottle feeding

31:39 Tongue-tied babies, breast-shaped bottles, maternal mental health & the effect of stress on infants, breastmilk is best

41:21 Formula composition, cow milk vs. goat milk based, clever marketing, soy based formulas

50:29 The simplicity of supplementing with formula & it's effect on milk supply, the formula industrial complex, clever marketing

59:43 Baby friendly hospitals, informed consent, alternatives to breastfeeding, donor milk, synthetic milk

1:05:25 Milk production for multiples, pumping pros & cons, mastitis, temperament & personality in infants & beyond

1:14:58 The formula crisis, causes & possible solutions

1:18:40 Final thoughts, tying it all together, finding a lactation consultant

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Most of our lives are spent lost in the thought stream. But the senses can be our gateway to unfiltered reality right here and now.

Video: https://zdoggmd.com/sense-gates/

Get Dr. Angelo DiLullo's book on awakening, Awake: It's Your Turn, here. Check out Angelo's YouTube channel with excellent pointer videos here. Sign up for Angelo's email list for future meditation retreats and updates here. And watch ALL of our videos on awakening with my fellow Dr. D here.

Topics & Timecodes:

0:00 Intro

1:49 Awakening as a process beyond conceptual knowing

4:00 What to do when thought intervenes on unfiltered reality

7:01 The paradox of the personal and impersonal

8:50 The paradox of practice vs. non-practice

11:12 Investigating the sense gates: sound and hearing

21:10 The non-dual experience of hearing (JUST hearing)

26:10 The prerequisite role of Self-inquiry in awakening

27:52 Investigating the sight gate: gazing into infinity

33:40 Attuning to subtlety and refining perception

36:52 The importance of “just stopping”

40:11 The end of suffering and living truth investigating itself

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We dive into your questions about consciousness, personal growth, and more with Rebel Wisdom's David Fuller.

We discuss all the things including manspark™️, responsible heterodoxy, the hero’s journey, health 3.0, psychedelics, meditation & the ego, Enneagrams, free will and much more. Also, check out Rebel Wisdom's YouTube channel and watch our previous episodes with David here.

Video: https://zdoggmd.com/david-fuller-live/

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Andrew Holecek is an author, teacher, and a renowned expert on meditation, lucid dreaming, and dream yoga. We dive into how increasing your awareness during sleep can have profound benefits for your life. In fact, it might just help wake us up from the "dream" of the waking state itself...

Check out Andrew's website with many resources including his podcast and books and his "Night Club" lucid dreaming and meditation community.

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How can we awaken to life as a continuous flow state? What is no-self & the Unborn? Can suffering be a fierce grace that wakes you up to the natural flow of redemptive love? Trigger Warning: we go DEEP on this one 😂.

Video: https://zdoggmd.com/awakening-flow/

Get Dr. Angelo DiLullo's book on awakening, Awake: It's Your Turn, here. Check out Angelo's YouTube channel with excellent pointer videos here. Sign up for Angelo's email list for future meditation retreats and updates here. And watch ALL of our videos on awakening with my fellow Dr. D here. 

Topics covered: flow states in awakening, the Unborn and no-self, improv comedy and flow, why this pointing can destabilize some people, the singularity of non-dual experience, the hero's spiritual journey, suffering and fierce grace, surrendered intention and bodhisattvas, authenticity and letting go of belief, emotion work, redemptive love, and of course COVID and glory holes 😂

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The complex ethical, medical, and psychological issues relating to women's health & abortion are nuanced and often non-intuitive. An OB/Gyn doc joins me to help us better understand.

Dr. Alexandre (Alex) West is an assistant professor of obstetrics and gynecology at the University of Connecticut. Here's a link with support services for people with peripartum mood and anxiety disorders, pregnancy loss, and pregnancy termination for medical reasons. Here's another link for emotional support following pregnancy termination. And here's information on birth control, miscarriage management and abortion.

Video: https://zdoggmd.com/abortion-facts/

Topics & Timecodes

00:00 Intro

03:13 Scope of obstetrics, abortion as a part of the entire reproductive journey, legislator qualifications (or lack thereof)

07:46 Factors leading to unwanted pregnancy, nuances of birth control including eligibility, access & effectiveness

11:41 Ethical considerations including autonomy (personal control), maleficence (helping) & non-maleficence (not doing harm)

19:00 How pregnancy "weeks" are calculated, fetal cardiac activity, PCOS

24:27 Ethics of maternal autonomy vs. fetal autonomy

28:49 Ectopic pregnancy

35:33 The moral matrix, Alt-Middle perspective, mental health, postpartum depression & legislation as a barrier 

40:59 Nuance surrounding the definition of "life-threatening," medical decision-making & potential provider legal implications

45:31 The morning after pill, medication & procedural termination options, Mifepristone & Mifepristol

52:40 Tools, team & trust, teratogenic pregnancies, diabetes & cancer in pregnancy

1:01:44 Preventing unwanted pregnancies, need for education, birth control access, managing baseline health conditions, social determinants of health

1:07:21 Mindfulness, trauma, ACOG's policy on abortion, the physician/patient relationship, final thoughts

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Here's what you need to know about the current monkeypox outbreak, including how it spreads, how to diagnose and treat, and whether YOU should worry about this in the first place.

Here's a good summary in Science. Here's the WHO's information.

Video: https://zdoggmd.com/monkeypox/

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We now have all the necessary tools to end the COVID "emergency" phase. Here's how (and why) we can live with this coronavirus.

Here's an extended Twitter thread outlining the key points we discussed (easy for sharing). And here's every show we've done with UCSF Professor and infectious disease specialist Dr. Monica Gandhi.

Video: https://zdoggmd.com/living-with-covid/

Topics & Timecodes

00:00 Intro, mask mandates, individual control & benefits of one-way masking

05:22 Long COVID, innate vs adaptive immunity, seroprevalence among varying age groups

10:27 Vaccine protection against severe COVID, natural immunity, media catastrophizing, animal reservoirs & endemicity

15:23 Hepatitis outbreak in children, did pandemic sheltering weaken our kids’ immune responses, masking children & the precautionary principle

20:00 Creating an endpoint, the purpose of non-pharmaceutical interventions, hospitalizations with COVID vs. for COVID, death rate as a key metric

23:53 Hybrid immunity, Omicron as the great equalizer, CDC messaging & it’s role in terrifying the vaccinated & convincing the unvaccinated that vaccines don’t work

31:49 Covaxin vs Sinovac, India vs. China, downstream effects of lockdowns, excess deaths 

40:32 Age-based risk stratification, immune response in children, what a “mild” case of Omicron looks like, Paxlovid & other therapeutics

46:10 Omicron mutations & why they point to approaching endemicity, public & mental health strategies

49:38 The value of holistic treatment, right brain vs. left brain, reductionism, importance of recognizing the many tools we have to combat COVID

59:32 What’s next for Monica, why docs suck at talking about risk, final thoughts

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A longtime hospitalist colleague and mentor shares hospital hacks that improve life for our patients, our colleagues, and ourselves 🔥

Dr. John Cunniff, MD, MBA is a 22 year veteran hospital doctor with the Palo Alto Foundation Medical Group in practice at Stanford and other local hospitals in the Silicon Valley.

Video: https://zdoggmd.com/hospital-hacks/

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What has our short-sighted COVID approach cost us? Dr. Makary returns to discuss all the other stuff we're damaging or neglecting. Check out Marty's research site on redesigning healthcare here. And watch all our episodes together here.

Video: https://zdoggmd.com/covid-myopia/

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