How do you know when it’s time to make your next big career move? With International Women’s Day around the corner, we are excited to feature Avni Patel Thompson, Founder and CEO of Milo. Avni is building technology that directly supports the often overlooked emotional and logistical labor that falls on parents—especially women. Milo is an AI assistant designed to help families manage that invisible load more efficiently. In this episode, Avni shares her journey from studying chemistry to holding leadership roles at global brands like Adidas and Starbucks, to launching her own ventures. She discusses how she approaches career transitions, the importance of unpleasant experiences, and why she’s focused on making everyday life easier for parents. [01:26] Avni's University Days and Early Career [04:36] Non-Linear Career Paths [05:16] Pursuing Steep Learning Curves [11:51] Entrepreneurship and Safety Nets [15:22] Lived Experiences and Milo [19:55] Avni’s In Her Ellement Moment [20:03] Reflections Links: Avni Patel Thompson on LinkedIn Suchi Srinivasan on LinkedIn Kamila Rakhimova on LinkedIn Ipsos report on the future of parenting About In Her Ellement: In Her Ellement highlights the women and allies leading the charge in digital, business, and technology innovation. Through engaging conversations, the podcast explores their journeys—celebrating successes and acknowledging the balance between work and family. Most importantly, it asks: when was the moment you realized you hadn’t just arrived—you were truly in your element? About The Hosts: Suchi Srinivasan is an expert in AI and digital transformation. Originally from India, her career includes roles at trailblazing organizations like Bell Labs and Microsoft. In 2011, she co-founded the Cleanweb Hackathon, a global initiative driving IT-powered climate solutions with over 10,000 members across 25+ countries. She also advises Women in Cloud, aiming to create $1B in economic opportunities for women entrepreneurs by 2030. Kamila Rakhimova is a fintech leader whose journey took her from Tajikistan to the U.S., where she built a career on her own terms. Leveraging her English proficiency and international relations expertise, she discovered the power of microfinance and moved to the U.S., eventually leading Amazon's Alexa Fund to support underrepresented founders. Subscribe to In Her Ellement on your podcast app of choice to hear meaningful conversations with women in digital, business, and technology.…
The Tennessee Initiative for Perinatal Quality Care (TIPQC) presents Healthy Mom Healthy Baby Tennessee. This podcast is a discussion with medical providers and other industry experts on all aspects of perinatal health. Tennessee Initiative for Perinatal Quality Care (TIPQC) seeks to improve health outcomes for mothers and infants in Tennessee by engaging key stakeholders in a perinatal quality collaborative that will identify opportunities to optimize maternal and infant outcomes and implement data-driven provider- and community-based performance improvement initiatives. Visit www.tipqc.org for more information on our improvement work in Tennessee. No content or comments made in any TIPQC Healthy Mom Healthy Baby Tennessee Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment. TIPQC is funded under a Grant Contract with the State of Tennessee. This podcast is brought to you through a cooperative agreement with the Alliance for Innovation on Maternal Health (AIM). Connect with us: www.tipqc.orgwww.facebook.com/tipqc1www.twitter.com/TennesseePQCwww.instagram.com/tipqc1www.youtube.com/channel/UCOZ0gpRWzimImh5XfsQdcvg/
The Tennessee Initiative for Perinatal Quality Care (TIPQC) presents Healthy Mom Healthy Baby Tennessee. This podcast is a discussion with medical providers and other industry experts on all aspects of perinatal health. Tennessee Initiative for Perinatal Quality Care (TIPQC) seeks to improve health outcomes for mothers and infants in Tennessee by engaging key stakeholders in a perinatal quality collaborative that will identify opportunities to optimize maternal and infant outcomes and implement data-driven provider- and community-based performance improvement initiatives. Visit www.tipqc.org for more information on our improvement work in Tennessee. No content or comments made in any TIPQC Healthy Mom Healthy Baby Tennessee Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment. TIPQC is funded under a Grant Contract with the State of Tennessee. This podcast is brought to you through a cooperative agreement with the Alliance for Innovation on Maternal Health (AIM). Connect with us: www.tipqc.orgwww.facebook.com/tipqc1www.twitter.com/TennesseePQCwww.instagram.com/tipqc1www.youtube.com/channel/UCOZ0gpRWzimImh5XfsQdcvg/
Link to video: https://www.gochromacreative.com/forestforthetrees Additional Resources: v Strategies to reduce the stigma of substance use disorder Ø Changing language § https://www.recoveryanswers.org/addiction-ary/ Ø Respectful maternity care § https://www.awhonn.org/birthequity/ § **Respectful maternity care is an approach that emphasizes treating all women, regardless of their mental health or substance use struggles, with respect, compassion, and encouragement during their pregnancy to improve pregnancy outcomes. v International and national guidelines on managing substance use in pregnant/postpartum women Ø Substance Abuse and Mental Health Services Administration (SAMHSA) § https://store.samhsa.gov/product/Clinical-Guidance-for-Treating-Pregnant-and-Parenting-Women-With-Opioid-Use-Disorder-and-Their-Infants/SMA18-5054 Ø World Health Organization (WHO) § https://www.who.int/publications/i/item/9789241548731 v Screening measures for pregnant women Ø Tobacco, Alcohol, Prescription Medication, and Other Substance Use (TAPS) Online Screening Tool; https://nida.nih.gov/taps2/ § **Recommended universal screening (yet to be validated with pregnant patients) to identify problematic use of nicotine, alcohol, and illegal drugs. This is a user-friendly computer-administered test that patients can complete on their own or a clinician can administer. It takes about 1 to 8 minutes to complete, depending on which substances are endorsed. Responses are immediately scored, risk levels are calculated, and detailed resources and recommendations for treatment are offered for each substance use problem that is indicated. § **Recommended universal screening for all pregnant patients to identify who may be at risk of and need further assessment of alcohol and drug use. This is a 5-question paper and pencil screener that asks about substance use (in general, not broken down by substance type) by a woman’s parents, peers, partner, as well as in her past and currently during pregnancy. It takes about 1 minute to complete, although positive responses will require additional assessments. Ø Adverse Childhood Experiences (ACES) § **Paper and pencil questionnaire (that could be made into an online survey to facilitate completion), which patients can complete on their own or can be administered by a clinician. Higher ACE scores indicate higher risk for physical and mental health problems, substance use, and other poor outcomes during pregnancy, and referrals to mental health services should be considered. v Substance use treatment services for pregnant women Ø MOM Power § https://familiesfree.com/mom-power-a-therapeutic-intervention-for-mothers-of-young-children/ § **MOM Power is an evidence-based group therapy for pregnant/postpartum women with substance use disorder and other mental health concerns. Groups teach skills for coping with strong emotions and healing from past trauma. Currently offered by the organization, Families Free, this program has rolling admissions and provides childcare so that mothers can engage in and benefit from treatment. Located in Johnson City, TN. Ø Baby Steps Clinic § https://www.etsu.edu/com/pediatrics/babystepsclinic.php § **Babysteps supports families with a child who has been exposed to substances before birth. Babysteps offers wraparound services from birth until age 5, and their team includes a care coordinator, audiologist, speech-language pathologist, occupational therapist, physical therapist, registered dietician, and board-certified pediatrician. The team works with families to make sure children get the support they need to thrive, and that parents get access to the mental health and substance use treatment they may need. Located in Johnson City, TN. Ø ETSU Family Medicine Clinic § https://www.etsuhealth.org/locations/family-medicine-jc.php § **ETSU’s family medicine clinic is led by Dr. Joyce Troxler, who also leads the Addiction Medicine Fellowship and trains physicians to care for people with substance use disorders. The clinic provides care for the whole family, including obstetrics, so you can see a primary care doctor and receive behavioral health or medication services if needed during pregnancy and beyond. Located at 917 W Walnut St, Johnson City, TN 37604 Ø East Tennessee Children’s Hospital, Grow With Me Clinic § https://www.etch.com/medical-services/nicu/grow-with-me-clinic/ § **The Grow with Me Clinic is an outpatient service for at-risk children who were diagnosed with neonatal abstinence syndrome (NAS) or were exposed to substances before birth. Grow with me provides medication and other supports to babies experiencing withdrawals after birth and continues to provide services that address medical, developmental, and emotional needs through age 5. Ø Strong Futures, Ballad Health § https://www.balladhealth.org/locations/behavioral-health/strong-futures-greeneville § **Strong Futures coordinates care for expectant or current parents of children under the age of 18 who are struggling with substance use problems in Carter, Cocke, Greene, Hamblen, Hancock, Hawkins, Johnson, Sullivan, Unicoi and Washington counties. This program offers a variety of services for parents so that they can be healthy and stable for their children. Located in Greeneville, TN. Ø Tennessee Recovery-Oriented Compliance Strategy (TN-ROCS) § https://tnsmartjustice.org/tn-rocs/ § **TN-ROCS is a program for people who have been arrested and determined to have a substance use problem that would benefit from treatment. TN-ROCS operates in 14 Tennessee counties (Cannon, Grainger, Hickman, Jefferson, Lewis, McMinn, Monroe, Perry, Rutherford, Sevier, Sullivan, Van Buren, Warren, and Williamson), and involves close coordination between a judge, probation officer, mental health service provider, and others in order to ensure people, including pregnant and parenting women, receive effective treatment for substance use disorder. Ø Additional treatment programs across the state may be found through the Department of Mental Health and Substance Abuse Services resources § ht tps://www.tn.gov/content/dam/tn/mentalhealth/documents/Listing_of_Women_and_Pregnant_Women_(2).pdf § https://www.tn.gov/behavioral-health/substance-abuse-services/treatment---recovery/treatment---recovery/treatment-for-pregnant-women-abusing-substances.html Ø Select clinics providing medication for opioid use disorder that will treat pregnant women § Cedar Recovery, Knoxville ( https://www.cedarrecovery.com/ ) § Catalyst Health Solutions, Johnson City ( https://catalysthealth.org/home-patient/ ) § Overmountain Recovery, Johnson City ( https://www.overmountainrecovery.org/ ) § ReVida Recovery, multiple locations ( https://www.revidarecovery.com/ ) Ø State-wide Opioid Treatment Program Locator § h ttps://www.tn.gov/content/dam/tn/mentalhealth/documents/TN_OTP_Map_4-4-22.pdf More educational resources for healthcare workers Ø Tennessee Initiative for Perinatal Quality Care (TIPQC) § https://tipqc.org/educationalvideos/ § **Under the OUD/OEN Series, find videos about opioid use disorder, medication treatment for OUD during pregnancy, caring for opioid-exposed newborns, safe baby courts, pain management, the eat-sleep-console method, videos of how providers can interact with patients to decrease stigma, and more. Ø ETSU Interdisciplinary Addiction Medicine ECHO (I AM ECHO) § https://www.etsu.edu/com/cme/iamecho.php § **I AM ECHO is a virtual meeting that is open to health professionals who serve individuals with substance use disorder, such as Family Medicine Physicians, Physicians, APNs, PAs, Residents/Fellows, Pharmacists, and Psychologists. The goal of I AM ECHO is to 1) provide brief educational presentations on the latest research and clinical skills for working with addiction (e.g., harm reduction, managing co-occurring diagnoses, neuroscience of addiction, withdrawal) and 2) facilitate discussions around how to better treat patients struggling with substance use disorder. Health professionals can attend just to listen and learn, or they can submit case presentation information for discussion amongst the group. Sessions occur on select Wednesdays from 12:15-1:15pm EST. Ø Substance Misuse and Addiction Resource for Tennessee § https://smart.ips.tennessee.edu/ § **SMART is a group of academics, researchers, and other professionals who aim to address the opioid epidemic in the state of Tennessee. SMART offers consultation to organizations, publishes best practices and policy briefs around the treatment of opioid use disorder, and records a podcast with some of our local thought leaders trying to mitigate the impacts of the opioid epidemic. v General information about substance use disorder, recovery, and treatment Ø The impact of ACES § https://www.ted.com/talks/nadine_burke_harris_how_childhood_trauma_affects_health_across_a_lifetime?language=en § **This video breaks down how ACES put people at risk for issues like substance use later in life. Ø What is addiction? § https://www.youtube.com/watch?v=M5Mky3Jr960 § **This video breaks down what happens to the brain when people develop an addiction to alcohol or drugs. Ø What does recovery look like? § https://www.recoveryanswers.org/recovery-101/brain-in-recovery/ § **Harvard’s Recovery Research Institute offers a variety of resources about the science behind recovery from substance use disorder, including studies about how the brain changes during recovery, different pathways to recovery, and more. Ø Why do we stigmatize addiction? § Stigma and the Toll of Addiction § https://www.nejm.org/doi/pdf/10.1056/NEJMp1917360?articleTools=true § **This is a brief article written by Dr. Noral Volkow, Director of the National Institute on Drug Abuse, who has been a strong advocate for the effective treatment of substance use disorder. Ø Why should we connect with people in recovery? § The opposite of addiction is connection § https://www.youtube.com/watch?v=PY9DcIMGxMs § **This is a popular TED Talk by Johann Hari, a former journalist who speaks about substance use disorder No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.…
Middle Tennessee Step Ahead 615-671-7837 (STEP) Chattanooga A Step Ahead 423-265-7837 (STEP) No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.…
TIPQC Cardiac Project and resources American Heart Association No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.…
https://www.preeclampsia.org/ No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.…
For additional information and resources please see: https://tipqc.org/project-cardiac-conditions-in-obstetric-care/ No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.…
Educational – Safe Sleep – In Loving Memory of Derrick No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.…
In this episode we discuss suicide and suicide screening & prevention. If you are struggling, please see the resources below for support and help. PostPartum Support International https://www.postpartum.net/ Call 988 Suicide and Crisis Hotline PSI Helpline 800-944-4773 or text help to 800-944-4773 text en espanol: 971-203-7773 (help line is NOT a hotline) National Maternal Mental Health HOTLINE 1-833-TLC-MAMA 988 suicide and crisis lifeline MGH womens mental health website with information for patients and professionals about PMADs and medication mothertobaby.org is website with medication info/fact sheets No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.…
PostPartum Support International https://www.postpartum.net/ Call 988 Suicide and Crisis Hotline PSI Helpline 800-944-4773 or text help to 800-944-4773 text en espanol: 971-203-7773 (help line is NOT a hotline) National Maternal Mental Health HOTLINE 1-833-TLC-MAMA 988 suicide and crisis lifeline MGH womens mental health website with information for patients and professionals about PMADs and medication mothertobaby.org is website with medication info/fact sheets No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.…
T DH Respiratory Viral Illness Homepage: https://www.tn.gov/health/rvi.html (does not include data on pertussis, but outlines general respiratory infection prevention measures that can be taken) CDC Website Pertussis: https://www.cdc.gov/pertussis/index.html TDH Website Pertussis: https://www.tn.gov/health/cedep/reportable-diseases/pertussis-whooping-cough.html Reportable Diseases in Tennessee: https://www.tn.gov/health/cedep/reportable-diseases.html No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.…
No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.…
aimhitn.org Instagram: Howtohuman.morelen Website: dianamorelen.com No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.…
https://tipqc.org/ttb/ No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.…
Grow With Me Clinic | East Tennessee Children's Hospital Referenced article: Wilkinson, A., Rackers, H.S. & Harmon, T.M. Developmental implications of prenatal opioid exposure among school-aged children: a mixed methods and community-initiated analysis. BMC Public Health 23 , 1815 (2023). https://doi.org/10.1186/s12889-023-16702-8 https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-023-16702-8 No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.…
Go to www.CountTheKicks.org to find these FREE Resources (and so much more!) · Order Materials - Materials are available for FREE in Tennessee · Count the Kicks App - a FREE Hallmark tool with no ads or pop-ups - available in 21 languages · Academy for Parents - A suite of resources to help maternal healthcare professionals educate expectant parents about fetal movement monitoring · Academy for Providers - includes a free sample childbirth education plan and downloadable kick-counting charts. · Link to our multi-language PSA · How To Count - This is where you'll find that How To Count document and other great tips No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.…
ETSU Health Baby Steps website - with links to AAP Promising Practice site -- https://www.etsu.edu/etsu-news/2021/10-october/baby-steps-promising-practice.php Local news article about Baby Steps -- https://www.wjhl.com/news/baby-steps-clinic-provides-hope-care-for-children-exposed-to-drugs-before-birth/#:~:text=The%20American%20Academy%20of%20Pediatrics,country%20to%20receive%20this%20honor. No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC’s Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.…
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