A podcast about the broken and biased American healthcare system. Hosted by Caitlin Durante and featuring Samee Junio.
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Benefit Strategies & Resources for the Modern Benefit Decision Maker. Benefits with Friends highlights the solutions and strategies that forward thinking benefit decision makers are using to enhance benefits, improve outcomes and slash the cost to insure their members. The American Healthcare Consumer (AHC) has been groomed by the insurance and healthcare monopolies for far too long. Managed Care hid all the meaningful data from the consumers, making shopping for high-quality care nearly imp ...
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Don’t Wait Until It’s Too Late: Five Critical Questions For Smarter Benefit Decisions With Paul “Joey” Stone
53:59
53:59
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There are five main segments of health CARE and health INSURANCE. Those five segments are riddled with misaligned incentives and hidden profits for insurers, pharmacy brokers, and the healthcare systems. The American Healthcare Consumer must be aware of the pitfalls and possibilities that exist within their plans. Informed consumers are seeking ali…
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Putting The Big “F” In Fiduciary: The Impact Of The CAA Of 2021 On Group Health Plans With Jamie Greenleaf
58:39
58:39
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Transparency in healthcare isn't just about revealing costs; it's about empowering employers to navigate a complex system, save on inflated expenses, and truly prioritize their employees' well-being. In this episode, Jamie Greenleaf discusses the complex world of fiduciary responsibilities within healthcare plans. She dissects and reveals the chall…
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Breaking Barriers: How Paytient Reshapes Healthcare Affordability With Chris Labrecque
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49:10
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Paytient makes it easier for your employees to afford the care they need – regardless of their credit history. Lou and Chris discuss the impact skyrocketing out-of-pocket costs have on people financially and medically. Paytient is a simple plan addition that ensures members do not have to avoid necessary medical care, and can fill ALL their medicat…
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Helping Plan Sponsors Meet Their Fiduciary Responsibilities And Unleash True Consumerism Into Health Care With Mark Galvin
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Employers have a tremendous opportunity to take control of health care spending with the incredible growth of technology in the healthcare space. The recent legislation also increases the fiduciary responsibility of plan sponsors, and companies like Talon can unleash actionable data like never before. In this episode, Lou and Mark Galvin discuss he…
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The Never Pay Pathway - Empowering The American Health Care Consumer With Marshall Allen
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Marshall Allen is the second two-time guest of Benefits with Friends. He and Lou previously discussed his book "Never Pay the First Bill: And Other Ways to Fight the Health Care System and Win." This time, the conversation focuses on Marshall's project aimed at empowering the American Healthcare Consumer: The Never Pay Pathway. The Never Pay Pathwa…
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How One Mobile App Aims To Eliminate Consumerism In Healthcare With Leo Wisniewski
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Consumerism in healthcare should empower patients to make better medical choices. Instead, it penalizes them with higher hospital prices when making bad decisions and forces them to acquire extremely costly services. Leo Wisniewski, Co-Founder and CIO at Health Cost Labs, does not want such unethical practices to thrive in this space. In this episo…
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How Actionable Data is Changing Healthcare and Insurance for the Better!
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Ironically, this episode aired live on the 4th of May, which is commonly referred to as "May the Force", a play on the iconic line from Star Wars, "May the Force be with you!" Fittingly, we are joined by Allison De Paoli, the Founder of Altiqe Consulting, who is a "Force" in the benefits arena, having received recognition from many industry organiz…
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DPC: Planting The Seeds To Rebuild A Care System That Works For Patients And Doctors With Dr. Jeffrey Gold
1:05:33
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After working as an employed physician in a major hospital system for 8 years, Dr. Jeffrey Gold began to get increasingly frustrated with the bureaucracy of insurance-based medicine that resulted in less of his time spent on caring for his patients in the way he envisioned since he was considering medicine as a career. In 2014, he opened the first …
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Patient Savings 101: The Power Of Cash Payments In Healthcare With Korb Matosich
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Lou will be joined by Korb Matosich, Co-Founder, CEO and Board Member of Asserta Health. Korb has an unusual depth of experience managing all sides of health care payment. He oversaw both Revenue Cycle Management and Payment Integrity businesses at Ingenix, now Optum, at UnitedHealth Group. He also served as the CEO of AAPC, an organization that ce…
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Simplifying the Complex World of Non-Insured Benefits
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Lou and his guest, Brian Del Savio will discuss the issues employers have addressing the real struggles their employees face such as mental health and affordable access to fundamental healthcare. The benefit strategies (Pay More, Get Less) many employers have been forced to swallow leave many employees struggling to access care when they need it th…
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How Employers Can Leverage Technology To Manage Healthcare Spend with Slingshot Bills
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Streamlined and automated processes not only help save time and effort but also money. For patients, this means having to save and avoid the unnecessary costs caused by errors and overcharging. Pranov Duggasani and Zoe Holderness founded Slingshot Bills, a company that automates the patient advocacy process and saves individuals and their employers…
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Understanding The Winning Strategies Of An American Healthcare Consumer With Chris Hamilton
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For the past three decades, the American healthcare consumer has been the leverage used by insurance carriers and healthcare systems against each other. Which strategies must be implemented to give them back this leverage and simply settle with the lowest plans? Louis Bernardi talks with Chris Hamilton of Hotchkiss Insurance about the best approach…
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Improving The Gathering Of Insurance Claims Data With Jacob Sheridan
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There is probably no aspect of healthcare that has changed as dramatically over the last few years as insurance claims data. For every C-Suite leader or HR manager to justify their next rate increase, they must have the right amount of data at their disposal, gathered from the clients themselves. However, most employers do not have any access to th…
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Resources to Keep Employees Engaged and Connected with Sims Tillirson
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Lou and Sims Tillirson will discuss the strategies and solutions that forward thinking HR teams are utilizing to keep their employees engaged and connected. HR leaders have to balance the time it takes to engage with members and the time they need to get stuff done. The extent of the remote work force today makes this even more challenging. Technol…
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Benefits With Friends - Season 2 Episode 6 With Our Guest Marshall Allen
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Marshall Allen’s book, "Never Pay the First Bill: And Other Ways to Fight the Health Care System and Win," shows individuals and employers how they can push back against the high cost of health care. It's led to Allen Health Academy, which takes the principles of the book and communicates them through an engaging series of health care literacy vide…
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Benefits With Friends - Season 2 Episode 5 With Our Guest Emma Fox
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Emma Fox is Partner and COO of E-Powered Benefits. Her firm helps employers throughout the US customize health plans using alternative healthcare models that are capable of significantly enhancing benefits for members while at the same time lowering the cost by 20-40% (or more). The key is increasing awareness and resetting customer expectations th…
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Benefits with Friends - Season 2 Episode 4 With Our Guest Patrick Moore
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This episode of Benefits with Friends will feature Patrick Moore, President of Axim Fringe Solutions. Patrick is an Emerging Star in the benefits arena nationally who recently retired from the United States Marine Corps. How ironic that he will be appearing on our show on the 247th Birthday of the US Marine Corps...Oorah! AXIM Fringe Solutions Grou…
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Benefits with Friends S2, E2 with Nancy Giacolone
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Our host Lou *BOO* Bernardi and guest Nancy Giacolone discuss the Role of HR Leaders in the Post COVID era.
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Benefits with Friends S2 E1 With Dave Chase Co-Founder Of Health Rosetta
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Lou and his guest Dave Chase discuss the Health Rosetta, high-performance health plans, the Quadruple Aim, and the results when a shift in mindset takes place that takes the attention off the insurance costs and places it on the quality of health care.
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Benefits with Friends - E20 with Dale Sagen
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Please join me and my guest Dale Sagen Vice President, Group Captive Solutions at Risk & Insurance Strategy Collective (RISC). Dale is responsible for leading and collaborating with benefit advisors and plan sponsors to develop and implement captive strategies for employers’ health & welfare plans.Dale has specialized in the support of successful s…
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Benefits with Friends - E19 Battle of the Benefit Advisors
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Episode 19 of Benefits with Friends was the showdown of the century as the reigning Broker of the Year Josh Butler squared off against his buddy and rival Adam Berkowitz. Our host Lou Bernardi had to keep these two fierce competitors under control as they fought tooth and nail. Adam took off with a sizeable lead, but Josh came back and tied it up. …
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Our Host on national Business RadioX for Association Leadership Radio
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What You’ll Learn In This Episode This transcript is machine transcribed by Sonix
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Benefits with Friends - E18 with our guest Eric Silverman of Voluntary Disruption
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My guest Eric Silverman of Voluntary Disruption and I discussed Marketing & Media for the Enrollment Win.Employers desperately need to reengage with employees in the post COVID era. The battle to attract and retain talent is real!DIS-RUP-TION, N. - a radical change in an industry (or) business strategy."Words are very powerful things that have incr…
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Benefits with Friends E17 with our guest Tim Randall of EZaccessMD
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EZaccessMD provides employers and employees alike with what they call the EZ Difference: comprehensive, convenient care that comes right to the doorstep. Their members can consult with a doctor in minutes and receive on-site assessment and diagnostics – all in under 2 hours. For the employee, this means no time spent traveling and sitting in waitin…
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Benefits with Friends - E16 with our guest Darrell Moon
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In recognition of Mental Health Awareness Month, I can't think of a better guest to have on than CEO of Orriant and Founder of Aspirational Healthcare than Darrell Moon.Darrell is passionate about population health, behavioral health and can help employers address this very important topic.
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Benefits with Friends E15 with Kelly D Webb of ESurgeries
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Kelly D Webb of Exclusive Surgeries Solutions and Lou Bernardi discuss how employers that self-insure their group health plan can save significantly while at the same time improve outcomes and helping patients avoid unnecessary procedures and rampant infections that plague hospitals. ESurgeries, as they are better known, contracts with the very bes…
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Benefits with Friends - E14 with our guest Aaron Witwer
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Lou and Aaron had a great conversation on the topic of the 'Functionally Uninsured'. Managed Care's promise of enhancing care and controlling insurance costs clearly expired long away. Instead, it was replaced with Pay More, Get Less and numerous flawed strategies. Employers and their members fell victim to a health care and insurance system that o…
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Benefits with Friends - E13 with Dennis Hartin
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Dennis Hartin and Lou discussed the role mental health plays in benefits and what employers can do to help their most vulnerable employees.
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Benefits with Friends - E12 with Paul 'Joey' Stone
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Listen in as my guest Paul "Joey" Stone (Director of Strategic Partnerships- Burnalong) and I discuss Life, Wellness and Wellbeing.The Burnalong DifferenceBurnAlong is built on that simple yet industry-changing philosophy that if you want to help people achieve their health and wellness goals, the way to do it is to bring them:1. Programming they f…
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Benefits with Friends - E11 - Battle of the Benefit Specialists
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The inaugural 'Battle of the Benefit Specialists' between advisors Cristy Gupton and Nancy Giacolone was an epic success. These two benefit powerhouses showcased their in-depth knowledge of employer sponsored health plans at a level that was incredibly impressive. They went back and forth on topics ranging from medical cost trends, stop loss, pooli…
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Benefits with Friends - E10 with our guest Rachel Strauss of EHIM
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Rachel is the Director of Strategic Development for EHIM an independent Pharmacy Benefit Managemer (PBM) that helps self-insured medical plan sponsors eliminate the artificial costs that drive up claims and stop loss premiums. Rachel and I discussed stop loss, the importance of proper Drug Formulary structure, spread pricing on generic drugs, the i…
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Benefits with Friends - E9 with guest Dr. Jonathan Kaplan
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Episode 9 of Benefits with Friends will take a deeper dive into Price Transparency and the No Surprises Act of 2022. Dr. Kaplan and our host Lou Bernardi will discuss the opportunity both can have on the American Healthcare Consumer, Medical Providers and Group Health Plan Sponsors. Dr. Kaplan, a plastic surgeon, has a depth of knowledge on both su…
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Benefits with Friends - E8 with Joana Ames of Garner Health
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This episode of BwF featured Joana M. Ames (Ruano), Senior Sales Executive at Garner Health. Garner's goal is to change how our healthcare system works at its core. Using a new approach to data science and novel financial incentives, they help patients identify the highest-quality doctors and help doctors improve how they practice medicine. Garner …
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Benefits with Friends - E7 with Tim Ott
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Listen as my guest Tim Ott of Roundstone and I discuss self funding, stop loss and medical group captives.Roundstone captive is an innovative and proven funding model that effectively shares risk and offers transparency, flexibility, and significant cost-savings over traditional fully-insured programs.Founded in 2003, Roundstone came together becau…
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Benefits with Friends - E6 with Kari Niblack
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This episode of Benefits with Friends will feature Kari L. Niblack, Esq., CEO of ACS Benefit Services, LLC.ACS is an independent third-party administrator (TPA) and vital component to any High-Performance Health Plan.Lou and Kari discussed the core functions of a TPA and how the world of alternative funding is changing rapidly in the wake of price …
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Benefits with Friends - E5 with our guest Michelle Bounce
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This episode will feature my guest Michelle Bounce. Michelle is the Chief Operating Officer of The J.P. Farley Corporation. J.P. Farley is a premier Third-Party Administrator that is leading the way in the fight to rid employer sponsored group health plans of the artificial costs and hidden profit centers that plague the status quo. J.P. Farley has…
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Benefits with Friends - E4 Specialty Care Mgt
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This episode featured my guests Kimberlee Langford, BSN RN CCM CRMT CPC and Crystal Kowalesky of Specialty Care Management.This dynamic duo help manage high-cost claims for the most vulnerable members resulting in enhanced care, lower OOP costs and improved outcomes.Specialty Care Management (SCM) provides an innovative risk solution that normalize…
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Benefits with Friends - E3 with Mark Testa
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The first BwF episode of 2022 will feature my guest Mark Testa, DC, MHA and currently EVP of Regenexx.Regenexx helps self-funded employers save on their orthopedic spending and helps patients avoid elective orthopedic surgery.We'll discuss the magnitude of MSK costs, importance of actionable data and the advantages of collaborating with the right T…
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Benefits with Friends - E2 with Jervis DiCicco
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BwF's episode #2 will feature guest Jervis DiCicco of Prosperbridge. Lou and Jervis will discuss turning compensation and benefits into Progress for Employers & Employees, Financial Wellness & Talent Strategy.
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Benefits with Friends - E1 with Trevor Daer
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BwF's episode #1 will feature guest Trevor Daer of Granite Peak Analytics. Lou and Trevor will discuss the Pharmacy benefit ecosystem and the opportunities that exist for employer sponsored health plans to optimize their Rx benefits and trim off the unnecessary costs.
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On this episode of Sludge, host Caitlin Durante chats with two people who have elected to get sterilized, Megan Koester and Allen Strickland Williams, and examines their different experiences. Read Megan's article "Sterilization was my choice. It felt like everyone else's." Here is the Committee Opinion from the American College of Obstetricians an…
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On this episode of Sludge, host Caitlin Durante reads a story from Conrad, who shares their healthcare experience with being trans -- follow them at @conraddest on Twitter. National Geographic article referenced in the episode: "What It's Like Being Transgender in the Emergency Room" Follow Sludge at @sludgepodcast and email your healthcare stories…
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On this episode of Sludge: An American Healthcare Story, host Caitlin Durante chats with special guest Seven Graham about being intersex. Follow Seven on Instagram at @angelsareintersex and follow the film they executive produced, Pony Boi at @ponyboi_film. Follow Sludge at @sludgepodcast and email us at sludgestorypodcast@gmail.com…
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Uterine Fibroids with Kenice Mobley
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On this episode of Season 2 of Sludge: An American Healthcare Story, host Caitlin Durante sits down with special guest Kenice Mobley to discuss her experience with having uterine fibroids. Follow Kenice on Twitter and Instagram at @kenicemobley. Follow Sludge at @sludgepodcast and email us at sludgestorypodcast@gmail.com…
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On what is hopefully the final episode of Season One, host Caitlin Durante tells guests Samee Junio and Nikki Flores about the final steps of the sludge journey... the surgery and recovery. Twitter/IG: @SludgePodcast Twitter/IG: @caitlindurante IG: Samee Junio: @it_your_sam IG: Nikki Flores: @nmflo
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Caitlin prepares for her upcoming operation and doesn't necessarily have the easiest time. Twitter/IG: @SludgePodcast Twitter/IG: @caitlindurante Article mentioned / quoted in the episode: "The Grim Lottery of Surprise Medical Bill Stories" - https://newrepublic.com/article/155334/grim-lottery-surprise-medical-bill-stories…
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As Caitlin waits for her upcoming surgery, she shares other people's sludge stories, which show a bias that many healthcare professionals are harboring. Twitter/IG: @SludgePodcast Twitter/IG: @caitlindurante
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In this episode, host Caitlin Durante reveals another major update about her ongoing sludge dilemma. Twitter/IG: @SludgePodcast Twitter/IG: @caitlindurante
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Host Caitlin Durante is back with Samee Junio to share some important updates. Twitter/IG: @SludgePodcast Twitter/IG: @caitlindurante IG: @it_your_sam
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Host Caitlin Durante pops in for a mini bonus episode to reveal some breaking news. Twitter/IG: @SludgePodcast Twitter/IG: @caitlindurante IG: @it_your_sam
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