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Joseph Krieger, founder of Boston Biolife has dedicated his life to bringing cuttingedge medical research and best-in-class doctors to his in-person CME-accredited workshops and events.
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Joseph Krieger, founder of Boston Biolife has dedicated his life to bringing cuttingedge medical research and best-in-class doctors to his in-person CME-accredited workshops and events.
The Regenerative Medicine revolution is upon us, and if you don't hop on board this speeding train now, you might just get left behind in the dust. In this article, Top Doctor Magazine shines its spotlight on Joseph Krieger, the conductor of the regenerative revolution train and the President of Boston Biolife, an innovative organization dedicated to educating medical professionals about the novel advances in regenerative medicine.
Joseph Krieger graduated from Boston University Medical School with a Master's Degree in Biochemistry. He was then hired as a Product Manager by a medical device manufacturer in Massachusetts that sold radiofrequency (RF) ablation devices used in many areas in medicine, including Cardiology, Oncology, Neurosurgery, and Pain Management. To facilitate the adaptation of RF in various medical markets, Krieger created medical training programs for physicians, nurses,
and sales reps "I found that my scientific education assisted in my ability to communicate with doctors on a very high level" This eventually led to Krieger coordinating hundreds of more hands-on training programs, which paved the way for a massive technological shift in medicine from 1993-2010 The medical imaging, software engineering, and new surgical innovations we see today in minimally invasive procedures are all direct products of Krieger's medical training courses way back then
Just when you thought that Joseph Krieger had hit the peak of his career after changing the game of medical technology, his continual hunger for innovation and exploration propelled him to start a new venture. "Having been born and raised in Massachusetts, my Boston location has always lent itself to the most world-renowned innovation, research, and medical facilities, yet I recognized that there is a huge gap in the awareness of emerging life sciences technologies and their potential impact in clinical medicine and patient care" After this epiphany, Krieger knew his next order of business and founded Boston BioLife in July 2015.
"By finding and promoting innovations that are undiscovered in the lab or new to the market and providing a forum that allows the introduction of new technology and science to the physician, I realized that I am able to provide an opportunity for the physician to further patient care in the most relevant, current, and sophisticated uses," Krieger shares and calls this his "Bench to Bedside" technique. Boston BioLife's central premise is to educate physicians and scientists alike about the life science technologies in clinical medicine and how they can be integrated into their practices, which will benefit their patient's overall well-being.
Krieger fully recognizes the importance of stem cells in Regenerative Medicine and believes in their ability to one day provide immeasurable results. Boston BioLife's involvement in the clinical applications of stem cells is centered around the scientific components and mechanisms of action of various cells, cytokines, and growth factors. "We are focused on stem cell identity, origin, biological activity, and the current roles stem cells are taking part in medical applications as well as their potential for future applications," Krieger reports.
They also analyze other regenerative medicine components such as platelet-rich plasma, bone marrow aspiration concentrate, adipose, amniotic fluid, placental membrane derivatives, and patientderived proteins and enzymes. By researching these different sources of important cellular materials, Krieger feels that they can help the physician get a good grasp of the possible outcomes that may be used to help patients and advance their medicine.
The endless possibilities of where stem cells can be applied in clinical medicine are enough to drive anyone with utter excitement, but more so if you are a biochemist named Joseph Krieger "I see several trends in point-of-care applications for stem cells The biggest trend that I see is the potential of personalized compounding Meaning, combining various autologous derived stem cells, growth factors, and proteins and mixing them in a custom way for a patient-specific basis." He also sees stem cells such as adipose and bone marrow being further developed and used with other fluids and protein to aid in
Of course, with every new unexplored technology, it is only natural to have skeptics questioning it Due diligence must be done before sharing it with the rest of the world That is why Krieger understands the FDA's perspective and believes that their current regulatory positions are fair and necessary He adds, "The standards of safety and quality need to be maintained to truly see the benefit of these technologies"
Biological medicine is highly complicated, and if not done right, can lead to disastrous outcomes Krieger thinks that one of the most dangerous scenarios for Regenerative Medicine is insufficient information and lack of technical awareness Since many physicians could not have extensive education on RM back in medical school, he believes that it is in everyone's best interest for physicians to continue and further their RM medication
B s m
Although the idea of pulling cells from our body and combining them with other substances to heal broken parts of us sounds simple, the science behind it is incredibly complicated It takes serious time and dedication to understand Regenerative Medicine, but Joseph Krieger and his team at Boston BioLife are here to make things a little bit easier. "We believe that we have a medical education training model that works The combination of scientific professionals in conjunction with clinical practitioners can create greater awareness and insight, increasing the potential for new technologies to reach the clinic and betterment for patient care"
If you want to get in touch with Joseph Krieger, you may reach him via email at JosephKrieger@bostonbiolifecom or via phone at 855-904-1047 For course information, visit their website: wwwbostonbiolifecom
Eva Vennari is no stranger to ongoing health problems As a little girl, she went to various doctors who would attempt to diagnose her properly, but to no avail After experiencing a draining career that led to burnout, Vennari realized that she wantedno - needed real change.
That place of burnout propelled Vennari to where she is today: a CEO and founder of The Elevate Institute,LLC, an organization focused on health and energization Vennari is a certified Nutritional Counselor in Mineral Balancing and Hair Mineral Analysis and has certifications for Personal Nutrition, Chakra Healing, and Akashic Record Reading.
Vennari's enlightenment came at 3 am as she was fighting insomnia She decided to look online for any illnesses that met her symptoms and came across an article on mineral balancing
Mineral balancing is about utilizing nutrition (minerals) to remove toxins from the body
On further research, Vennari decided to try mineral balancing on herself, and her symptoms were alleviated entirely For the first time in a while, she felt better
Her physical change inspired Vennari to become a practitioner in nutritional health. At first, she intended to provide help to herself and family, but the loss of someone close made her realize she could help people beyond her family
She began her business, The Elevate Institute, shortly after. Elevate offers education and a program for those wanting to pinpoint their nutritional imbalances Different from bloodwork, Vennari takes hair samples to analyze the relationships between minerals.
"I affectionately call the hair analysis report the trash report because it captures what is leftover at the end of the body's rejuvenation process," Vennari said "We're just tapping into the body's natural healing processes by watching how it prioritizes what you eat, drink, and breathe in And then it makes more you and spits out the rest into soft tissue, which is your hair"
This analysis balanced with a holistic approach to pinpointing stresses helps Vennari walk her clients through a path of regaining their energy and living life to their fullest
One such client was a father depressed, unable to work and be a partner in h is marriage. He was unable to eat, or enjoy anything and had severe anxiety With the help of Vennari's program, he gradually came to a healthy place emotionally and physically The change to his nutrition ultimately boosted his energy and restored his confidence along with establishing new boundaries His wife and some of his children then also went through the program to reach a place of wellness.
"When you start taking supplements, and you're paying attention to yourself, that is a form of self-love Sometimes that's the only first step a person can afford to make in their emotional place," Vennari said "When you give your body more energy, it frees your mind and emotional space to open up, and you're allowed to process things that you haven't been able to."
Stress is one of the biggest inhibitors to people absorbing the minerals they need, so Vennari works with her clients to set healthy boundaries and meditative practices that help with mental and emotional health. Helping each client be aligned holistically is how Vennari empowers people to be happy and healthy.
But Vennari recognizes that there is no cure-all for each person Health, in many ways, is a process, and she, above all, encourages discernment and discipline in pursuing the answer to a healthy life
"The answer is unique to each of us just as our thumbprints," Eva Vennari said "The foundation to knowing the secret of your life is that you have to put the work in to find out what makes you happy and then make sure you do it"
Want to know more about Eva Vennari? You can find The Elevate Institute here, and you can listen to her podcast "When Doctors Say 'We Don't Know'" here.
Devil's lettuce, weed, pot - all of these names are associated with recreational marijuana and often carry unhelpful negative stigmas associated with medical cannabis Enter Charlie Piermarini
Piermarini actively promotes holistic education and healthcare utilizing natural medicine, focusing on medical CBD (cannabidiol) He is a PA, co-founder of The Healing Joint and Integrative Medicine, and founder of Restorative CBD. He has three Masters in Physiology, Public Health, and Physician Assistant Sciences
Piermarini remembers what he first thought of marijuana before learning about the medicinal benefits of marijuana's cousin, hemp "I thought people were just trying to get high," he said "They [medical schools] don't teach us anything about the endocannabinoid system, so I researched it and started learning what I could"
The Western approach to medicine, Piermarini found, was limiting It focused on solving a specific problem instead of looking at the body and its issues as interconnected and fluid. His research, coupled with mentorship from Dr Jyotiy Patel, inspired Piermarini to expand into integrative medicine
"She instilled in me that you have to look at the patient as a whole. For example, you can't just give diabetic people Metformin and talk about glipizide and send them on their way," Piermarini said Instead of just prescribing medicine for an ailment, he also talks with his patients about their lifestyle choiceswhat they are eating, how they are exercising, and other related questions
"We've talked about high dose, 20,000-milligram vitamin C IVs and supplements, doing micronutrient testing and testing functional pathways for deficiencies in vitamins and micronutrients, and keeping you on a good regimen," he said "People are searching these things out So I kind of want to meet patients where, you know, where they needed to be met."
Piermarini pointed out that some medications may not work on a patient because they are vitamin and nutrient deficient. Focusing on the health of their gut and that they are synthesizing their intake properly, Piermarini believes, gets to the root of many patients' health problems
Cannabis and CBD provide unique opportunities for improving patients' health because they can act as stimulants to the brain.
"We have a whole system in our body that is made to just respond to plant-like molecules like cannabis," Piermarini said. "There's a lot of healing properties behind cannabis"
According to Piermarini, cannabis has zero overdose deaths. "There are no receptors on your brain stem that will suppress your breathing, unlike opioids," he explained Cannabis affects the brain and helps increase energy production It also has shown to be a suitable replacement for opioids because it helps rewire the brain's neural pathways and doesn't pose the overdose risk
Piermarini also offers a more controlled environment for patients to try cannabis as a natural alternative to their ailments. In integrative medicine, medications and dosages are tailored to the patient's needs and then tailored again after monitoring the first-round results This involved process can reap better results, as all of a person's health variables are considered.
"It's more of a collaborative effort than an authoritative one," he said
Piermarini is a vocal advocate for CBD and natural medicine He is a speaker for the USA CBD expo, Lucky Leaf Expo, and The CBD Expo and would have spoken at the World CBD Expo if not for CV-19 He continues to write and create resources for patients and doctors. He co-authored a review paper about how CBD works for pain management and was a lead author for a letter to the editor calling for more legitimate CBD products He also finished his first book titled, "CBD Education From A Medical Professional”, to continue to help educate patients and other medical professionals about CBD His book is available on Amazon and Kindle
When CV-19 affected his clinic, Piermarini took the opportunity to create an online course for medical professionals and laypeople to educate them about CBD, the endocannabinoid system, and the difference between cannabis and hemp
"I think it's a great place to at least get people up to speed and understand the vernacular and what the endocannabinoid system is," he said. Piermarini wants to educate people properly, especially since other resources on marijuana can fall to the extreme "CBD is not a cure-all for everything," Piermarini stated y g
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To feel cold when out in the cold is one thing, but feeling icy when other people nearby feel rather toasty hot is another. For women, the condition is not uncommon - partly due to physiology and partly due to susceptibility to factors promoting coldness
Concerning medical causes, it is not safe to be just guessing Medical conditions need checking and confirmation by a specialist
To unravel the cause of the problem, the specialist needs to know the patient's history and have him/her undergo a physical exam Laboratory and imaging works are helpful as well.
Reasons why some people constantly feel cold include (but not limited to):
Always being cold can be a telltale sign of slow metabolism due to a thyroid malfunction In hypothyroidism, the malfunction is about this gland being unable to secrete enough thyroid hormone. Such a condition prevents the body from generating an adequate amount of heat. Accompanying signs include fatigue, dry skin, thinning hair, and cold hands and feet
About 45% of Americans suffer from this condition, which is more prevalent among women who have been pregnant recently and are 60 years old and above. A suspected thyroid problem needs checking by a physician to confirm a diagnosis using a blood test
oxygen all the time
In some cases, it is not a deficiency in ir the culprit for developing anemia. The Society of Hematology (ASH) explains condition may also result from the body to produce enough red blood cells It ma that the body is destroying too many r cells or losing blood due to some condition
Any of these causes lead to a lack of t receives less circulation to the limbs an
Anemia's symptoms include:
Chest pain
Awareness of the heart beating
Headache
Dizziness
Lack of energy
Shortness of breath
The healthy BMI range is between 185 and 249 A person who has a BMI of less than 185 falls within the underweight range This low level of BMI can make that person feel chilly even in normal conditions Being too underweight can mean a person is too thin and has not enough body fat to provide enough insulation against cold temperatures
protein, carbohydrates, and fats may be the best solution to this problem.
Proper temperature regulation also relates to getting enough sleep A person that does not get enough sleep may feel being constantly on ice
The reason has something to do with a mess that happens with the person's circadian rhythm due to disturbance in sleep patterns
As part of the system's normal processes during sleep, the body temperature drops while melatonin production increases The circadian melatonin rhythm is associated with sleep rhythm Aging, certain diseases (diabetic neuropathy, degeneration of the autonomic nervous system, Alzheimer's diseases, etc.), and drugs such as anti-inflammatory agents and beta-blockers eliminate melatonin production
If you suspect one of these conditions affects your sleep, talk to your doctor He may consider prescribing a melatonin treatment Melatonin is not a sedating substance It has sleep-promoting effects similar to the natural physiological sequence people experience at night.
Under the condition of insufficient sleep, the body thinks that there is a need to doze off In such a condition, the circadian rhythm naturally lowers the body temperature, and the person can feel colder.
Nonetheless, talk to your doctor to establish the root cause of why you do not get enough sleep. Getting enough sleep will help restore your body's natural thermostat to the right setting
Being a woman makes a person also susceptible to the condition. Experts call it "the gendered condition" It means that the female body conserves heat better than the male body
The female body does it by directing and maintaining more blood flow to the larger organs (heart, brain, kidney, etc) This tendency causes less blood flow to smaller and more distant organs such as the feet and the hands, leaving these parts in a woman feel colder than in a man.
Other reasons to check for why you are feeling cold include:
Dehydration: the water level in the plasma is low
Lack of vitamin B12: like iron, vitamin B12 keeps the red blood cells healthy
Di b t Di b t i l ti i
remember: the usual cause of feeling cold all the time is just poor circulation. Feeling cold all the time is not something that should affect your general well-being. Nonetheless, your condition needs an assessment by an expert to know the root cause of your problem Make sure that you consult your physician He will run tests to determine whether it is anemia or a thyroid issue causing you to feel cold all the time. Get enough sleep and exercise to improve your circulation. Walking at any pace is a good form of exercise for people with such a problem. Walking, as a form of exercise, increases blood flow throughout the body Massaging your fingers and toes can increase your body temperature as well
Ever-growing societies ask for role models, for people who, as Plato would say, divert their vision from their own pond towards the larger world, who can instill hope in our souls, help us get through the day, and dream of a brighter tomorrow In other words, all of us are looking for modern superheroes, whose heroic acts transpire through little daily deeds, always giving and asking nothing in return. And who is better to play this capeless part than mothers, who give birth, nurture, and watch us grow and prosper, and whose happiness is equivalent to ours? This is why our Top Doctor Magazine team wishes to dedicate this article to mothers, our capeless heroes, on this most special of days
As a token of appreciation, we would like to bring to the light the story of a true hero mother, whose drive, determination, and dedication to her objective let her reach unimaginable peaks in anesthesiology and
pain management medicine, bringing sustainable solutions to the Hawaii community of pain management patients As Dr Dawn Sparks, a Case Western Reserve University, OH alumnus trained at the world-renowned Cleveland Clinic, told us during her interview, "If you really want something and you really put your mind to it, and you really put your heart and soul in it, you can pretty much produce anything that you want"
Starting from a young age, Dr Sparks has sealed her connection with medicine. Following in her father's footsteps, who performed the first lung transplant in the state of Ohio at the Cleveland Clinic, Dr Sparks immersed herself in the noble field of medicine and joined Case Western Reserve University, OH. Right from the start, she had to face people who saw only roadblocks down her path because she brought a miracle into the world at such a young age: "I had my daughter when I was still nineteen, and I had her on a Friday night and went back to school Monday morning" But where others saw impediments, Dr Sparks saw her destined path: "I had this goal of becoming a doctor, and everybody said, this was going to stop me. And I was like, no, this is just part of my path."
Looking back to those college years, Dr Sparks still can't believe how she managed to attend medical school, work a demanding job, and raise her daughter at such a fragile age. "And then, during that time, I never stopped or thought that I wouldn't get into medical school or stop the pursuit." Her efforts were never in vain; she joined the anesthesiology department at the Cleveland Clinic, where Dr John, one of her mentors, gifted the book called "Pain: The Fifth Vital Sign" to her
Inside, a message written in a dedication note was about to open her horizon towards a deeper understanding of pain: "Pain is the experience; suffering is the interpretation"
Dr. Sparks shares with Top Doctor Magazine the way she understood those words: "And I just remember thinking, that was so profound because pain is super subjective and nobody understands it So, many doctors just blow it off and just want to give it medication I remember thinking there was a faulty issue with how we treated pain even early on and why weren't we addressing the source of it We weren't treating the source. We weren't investigating why people had their pain and where the sources of pain were actually derived from. For that reason, Dr. Sparks took it upon herself to "solve that piece of the puzzle"
It wasn't only mentorship but also her own life experience that shaped Dr Sparks' towards pain management. She was involved in a terrible car accident before her daughter was born, out of which she miraculously escaped alive: "I was in a coma for four days. I was in the ICU. I had multiple surgeries. I broke all the bones from the left side of my face, both my wrists and my hands I had to have my trachea resected, and my chin sewed to my chest"
By means of this experience, Dr. Sparks learned how out-of-touch physicians were concerning pain medicine since they would prescribe fentanyl lollipops, something unimaginable to us, and other longacting drugs that, without surprise, drove patients towards addiction and crime She even shared a story about a doctor in Minnesota who was killed by a pain medicine addict "It's like, they're addicted, right? It's their drug; they go crazy." Unwilling to risk her and her daughter's safety over this matter, Dr. Sparks chose to roll with the Aloha spirit and relocate to Hawaii, where she has been living since 2015.
But the stories about endless pain management drug prescriptions are far past fentanyl lollipops Today's technological advancements are seeing such a constant and speedy process that pain management can be "managed" through electronic devices Nowadays, Dr Sparks is an active promoter of neuromodulators, which she calls "pacemakers for pain" These devices intervene between the nerve signals and the brain, forbidding the former from ever reaching the latter
Dr. Sparks is more than grateful for being able to not only identify the source of pain but also see "what's going on psychologically, what's going on with your physical wellbeing and your energy levels and cause all of those things to contribute to pain" With both expertise and compassionate care, she performs true miracles on her patients, relieving them of pain while psychologically bringing them on their own two feet. "They're off their medication; they're able to move around, they're getting full-time jobs You know, some of them had horrible foot pain, they couldn't even put on socks and shoes, some of them were in wheelchairs, and now they're walking!"
Looking towards the future, Dr Sparks brings the true pain management enthusiast that she is to the stage to bless us with her optimism. "The future is super bright, and I think because we have people in the world like Elon Musk and thinkers that are always striving to improve the realm of pain management" With technology advancement promoters like Elon Musk's Neuralink, insurance programs such as Medicare ready to reimburse patients for neuromodulators, and a close pack of 5,500 pain management physicians in the US alone, the sun will surely shine bright on pain management's horizon.
In the meantime, as a parting reminder, Dr Sparks would like to thank from the bottom of her heart all the physicians and medical personnel who braved the hardships of the COVID-19 pandemic one step at a time, encouraging them to stay resilient and keep up the hard work in this never-ending battle against the virus "I think it's been a really hard time to be a physician
and I just want to tell people, 'Don't give up, never ever give up'"
The Fates are not kind to every one of us, and some of us are constantly tested, constantly forced to break our own barriers to fulfill our purpose, our calling in life. And one of these people is Dr. Dawn Sparks, whose story truly deserves to stand as a model and an inexhaustible well of hope for those who recognize themselves in her story but require help to keep pushing forward
However, Dr. Sparks would not have become the accomplished model of today had she taken heed of all those negative voices that couldn't understand the beauty in being a young mother. Instead of being an overwhelming burden, her daughter always stood as her primary source of inspiration, or courage, of motivation, the one who always understood her struggles and comforted her in a time of need Even today, Dr Sparks' daughter, who works by her mother's side, uses small gestures to help her mother start her day on the right foot: "Now, she's working out of my office, and she'll put little notes sometimes on my computer when I'm having a really busy day, that'll say, 'You can do it.' 'You're doing a great job.' 'I love you' 'I'm so proud of you,' little things like that make me realize now that she probably understands in a different way all of the stuff that I endured"
If you would like to learn more about Dr. Sparks and her mission, make sure that you check out her website
The physical and psychological well-being of employees says quite a lot about a workplace. A workplace should promote their employees' general well-being by treating its mental and psychological aspects similar to the physical environment Poor mental health not only affects the client but also hurts business income. Every business is different, from the employees to the stakeholders leading the organization, the size of the enterprise, the social climate that affects the community, to the external support the business uses. There is no one "right approach" to build a psychologically stable workplace
Due to this, Dr. Kellie Stecher started an organization specifically on mental health issues in the medical line "With that organization, we are trying to create a haven for anyone who takes care of patients We are providing a free barrier, free access to mental health resources," says Dr Stecher
"I always knew I wanted to be a physician In college, I decided that I wanted to be an OB-GYN" She says. With experience in child delivery, "I have seen, firsthand, how much good a positive environment can do to people." Her first delivery support experience pushed her to do her residency in Grand Rapids. "I went there for residency and then from there decided to move back to Minnesota because my in-laws are here"
Today, Dr. Stecher's work focuses on workplace harassment, stress, and mental health issues that medical students and residents face. It's a journey, a bold journey to reform the medical culture. "The trainees are the most vulnerable because of the loans They often feel trapped she says "I wanted to make sure that we were advocating for them so that they have a safe learning environment"
"Mental stress escalated with the rise in the COVID-19 pandemic" Dr Stecher says She created her organization, Patient Care Heroes, an organization set to help medical professionals and caregivers with emotional and psychological support The organization also provides free access to mental health resources.
"One of the issues we have is each state is left to their own devices and has an entirely different physician license application and some of the applications are actually in conflict with the ADA American Disability Act" Part of her mission is to "create new policies and fix the application processes and cultural acceptances that are toxic." She cited practical examples of harmful practices like the 'noncompete' that prevent people from leaving toxic and depressing workplaces. Mandatory Arbitration prevents justice when a healthcare worker is harassed or intimidated
"Many things can be done to ensure a h of life for medical professionals" She arg from the policy issues, this organi created to ensure that we take care o and each other. We need some em stress of the pandemic increased suic physicians in the country"
"We've always had issues with physic rates, and I wanted to create a space wh didn't feel alone" She says "My organiz a support system to struggling professionals We try to let them feel supported and yes, they can be vulner our safe space."
The organization took off in January "I had been doing advocacy work, but the organization was my primary goal I partnered with Goyal, an anesthesiologist, and CEO of Bob capital," said Dr Stecher "I have been working through grassroots efforts and local and national organizations and partnering with many institutions to ensure that we make substantial changes."
While her network of organizations currently focuses on the effect of the pandemic on physicians' mental health, they also hope to create a growing community of people and physicians who will consistently push for better care for the mental health of physicians.
On women in the healthcare industry, she laments the fewer women in leadership roles when compared to men "We want to advocate for women internationally to find their voice in these systems so that we can create changes that we need" Achieving such heavy feats can only be achieved through incredible partnership, and Dr Stecher already has plans to partner with the United Nations and people from different parts of the world on workplace safety, equality, and effective justice systems against harassment.
On the high suicide rates, "The assistance should be rendered to the people feeling suicidal because it isn't affordable to lose any more physicians, nurses, or medical personnel Without doing this, there would be severe consequences in the public healthcare system." "We've teamed up with some national organizations like Rexel Pharmaceuticals to help provide depression and substance abuse therapy at no cost to the medical community" Dr Stecher says Her work has already opened up spaces where people can efficiently work on their struggles in their spare time
Dr. Stecher is also part of the Minnesota mental health advocates. "Minnesota Mental Health Advocates is an organization that Shereen McConnell created, and she is a former nurse So these issues are very near and dear to her heart" The organization has teamed up with various people because it is not just focused on aiding medical personnel; it attends to all groups of people It has helped in getting medical resources for communities. Using some of these resources has opened up space where people can do things at their leisure and then work on some of the issues that they're struggling with.
On her life journey and remarkable achievements, she says, "As cliché as it may sound, it's the delivery There is joy in helping patients who have struggled with infertility get pregnant. The joy is immense when I get to deliver their amazing, beautiful babies. Being there with them through the whole journey is rew
She g ed to unde alone, build fight and g
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