Slate Health

Before 1990, there had never been a documented case of a patient getting HIV from a health care worker. Kimberly Bergalis changed that. Her claim that she’d been infected by her dentist would captivate and terrify the country. And the dentist, David Acer, would be made into a villain without America ever knowing who he really was. This episode was written by Kelly Jones and Josh Levin, One Year’s editorial director. One Year’s senior producer is Evan Chung. This episode was produced by Kelly Jones and Evan Chung, with additional production by Olivia Briley.  It was edited by Joel Meyer and Derek John, Slate’s executive producer of narrative podcasts. Merritt Jacob is senior technical director. We had mixing help from Kevin Bendis. We had production help this season from Jabari Butler. Join Slate Plus to get a special behind-the-scenes conversation at the end of our season about how we put together our 1990 stories. Slate Plus members also get to listen to all Slate podcasts without any ads. Learn more about your ad choices. Visit megaphone.fm/adchoices

In March 1990, a story broke that shocked the nation: George H.W. Bush had banned broccoli from Air Force One. The frenzy that came next would change the fate of a vegetable—and maybe even alter the course of a presidency. This episode was written by Olivia Briley and Josh Levin, One Year’s editorial director. One Year’s senior producer is Evan Chung. This episode was produced by Olivia Briley and Kelly Jones.  It was edited by Joel Meyer and Evan Chung. Derek John is Slate’s executive producer of narrative podcasts.  Merritt Jacob is senior technical director. Join Slate Plus to get a special behind-the-scenes conversation at the end of our season about how we put together our 1990 stories. Slate Plus members also get to listen to all Slate podcasts without any ads. Learn more about your ad choices. Visit megaphone.fm/adchoices

We explore the lives of people who are in love with their AI chatbots. Replika is a chatbot designed to adapt to the emotional needs of its users. It is a good enough surrogate for human interaction that many people have decided that it can fulfill their romantic needs. The question is whether these kinds of romantic attachments are real, illusory, or good for the people involved. Apps like Replika represent the future of love and sex for a subpopulation of people, so we discuss the health and ethics of the practice.  Host Barry Lam talks to philosophers Ellie Anderson and David Pena-Guzman of the Overthink podcast about what theories of love would say about these kinds of relationships. AI lovers include Alex Stokes and Rosanna Ramos. Original scoring by Aaron Morgan. Learn more about your ad choices. Visit megaphone.fm/adchoices

When Justin’s mom was diagnosed with cancer, he knew he wanted to keep talking to her after she died. So together they made an AI version of her, training it on her speech patterns and memories. Now he is scaling his findings so that anyone can continue their relationships with loved ones after their deaths. Justin even believes this can one day lead to digital immortality. Grief experts are only now dealing with bereaved people who create digital versions of their loved ones. We look at what they say about the phenomenon, and what philosophers think about whether the best AI version of a person can actually be them. Guests include Alexandra Salmon, Justin Harrison, CEO of You, Only Virtual, Dr. Mary-Frances O’Connor, and Dr. Debra Bassett. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jonas Salk’s polio vaccine transformed America and the world in ways that seemed unimaginable. But in 1955, there was a moment when everything was in doubt. This week, Josh Levin talks with Dr. Paul Offit about the medical mystery that threatened to derail one of history’s most important scientific breakthroughs. Josh Levin is One Year’s editorial director. One Year’s senior producer is Evan Chung. This episode was produced by Kelly Jones, Evan Chung, and Sophie Summergrad.  It was edited by Josh Levin, Joel Meyer, and Derek John, Slate’s executive producer of narrative podcasts.  Merritt Jacob is our senior technical director. Join Slate Plus to get a bonus 1955 episode at the end of the season. Slate Plus members also get to listen to all Slate podcasts without any ads. Sign up now to support One Year. Learn more about your ad choices. Visit megaphone.fm/adchoices

On this episode: Lucy sits down with researcher and friend of the show Tova Walsh to talk about her work on dads who experience postpartum depression. Paternal mental health is a topic we don’t talk about nearly enough, so we wanted to give you some advice — and some resources to learn more and get help.  Tova wants to share the following: A conversation she hosted about understanding fathers’ mental health Help for dads via Postpartum Support International A training on paternal perinatal mental health, geared toward care providers And a piece of her research on including fathers in perinatal mental health practice. Lucy, Zak and Elizabeth will also debrief on our week in parenting with a round of Triumphs & Fails — including ROLY-POLIES. Listeners, we want your advice – and your questions – about how to prevent the dreaded summer backslide. You know where to find us (and if you don’t, keep reading).  Join us on Facebook and email us at careandfeedingpod@slate.com to ask us new questions, tell us what you thought of today’s show, and give us ideas about what we should talk about in future episodes. You can also call our phone line: (646) 357-9318. If you enjoy this show, please consider signing up for Slate Plus. Slate Plus members get an ad-free experience across the network and exclusive content on many shows—you’ll also be supporting the work we do here on Care and Feeding. Sign up now at slate.com/careplus to help support our work. Podcast produced by Maura Currie. Learn more about your ad choices. Visit megaphone.fm/adchoices

Two years ago, the FDA announced it was banning JUUL nicotine vapes from sale in the U.S.—and then quickly announced it was holding off on the ban to allow for review. How did regulating ecigarettes end up playing catch-up? Guest: Jamie Ducharme, health correspondent at Time, author of Big Vape: The Incendiary Rise of Juul.  Want more What Next? Subscribe to Slate Plus to access ad-free listening to the whole What Next family and across all your favorite Slate podcasts. Subscribe today on Apple Podcasts by clicking “Try Free” at the top of our show page. Sign up now at slate.com/whatnextplus to get access wherever you listen. Podcast production by Elena Schwartz, Paige Osburn, Anna Phillips, Madeline Ducharme and Rob Gunther. Learn more about your ad choices. Visit megaphone.fm/adchoices

Ever since it showed up on the Body Mass Index, the label “obese” has been used to judge and often shame people with larger bodies. Medical providers, family and friends, even strangers make assumptions about fat people’s health solely based on their size. At the same time, excess quantities of fat can lead to poor health outcomes such as high blood pressure, heart disease, and diabetes. Over the decades, medical associations have evolved their understanding of obesity. The American Medical Association, the National Institutes of Health, and the American Obesity Society all classify obesity as a disease requiring medical treatment.  How does that change the way medical providers care for their obese and overweight patients? And does that mean people with fatter bodies can now face less discrimination? As a part of a series of ongoing conversations on Well, Now on weight and health, we discuss the current medical definition of obesity and how to treat it with Dr. Angela Fitch, former Associate Director of the Massachusetts General Hospital Weight Center. If you liked this episode, check out: The Isolation of a Life-Threatening Diagnosis Well, Now is hosted by registered dietitian nutritionist Maya Feller and Dr. Kavita Patel. Editing and podcast production by Vic Whitley-Berry with oversight from Alicia Montgomery. Send your comments and recommendations on what to cover to wellnow@slate.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Christopher Zara didn’t finish high school, and can sometimes feel like an outsider working in a field where it’s more common to have a college degree. Sometimes he’s able to push through his social anxiety, to put on a tough face. But other times his body won’t give him a chance to feel at ease – it seizes up, and in Christopher’s case that means not being able to pee even when he really, really has to.   “Imagine you’re unable to perform a basic function like move your hand or your leg,” Christopher said, “You're standing, in my case, in front of a urinal or wherever the bathroom is, and it just doesn't happen.” In this episode, Christopher talks to producer Zoe Azulay about “paruresis,” more colloquially known as shy bladder syndrome, how it’s been disruptive to his life, how he thinks it's connected to class anxiety, and how it’s gotten better.  Christopher Zara’s memoir is called Uneducated: A Memoir of Flunking Out, Falling Apart, and Finding My Worth Podcast production by Zoe Azulay Death, Sex & Money is now produced by Slate! To support us and our colleagues, please sign up for our membership program, Slate Plus! Members get ad-free podcasts, bonus content on lots of Slate shows, and full access to all the articles on Slate.com. Sign up today at slate.com/dsmplus. And if you’re new to the show, welcome. We’re so glad you’re here. Find us and follow us on Instagram and you can find Anna’s newsletter at annasale.substack.com. Our new email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Each week, we’ve explored wellness from different perspectives, but we haven’t talked about what it means to live a full life while grappling with the real possibility of death.  Most of us hope for a full, long life with “good” health. But a serious, possibly fatal diagnosis changes everything: Our relationships with work, loved ones, and even the way we see ourselves. On this week’s episode of Well, Now we speak with author, journalist, and artist Suleika Jaouad. Many learned about her work in the Oscar-nominated documentary American Symphony – which chronicled her marriage to musician Jon Baptiste as his career soared and her leukemia re-emerged.  But Suleika began documenting illness and identity long before starring in an award-winning film. If you liked this episode, check out: “People Feel Like They’re Drowning”: The Long COVID Survivors Left Behind Well, Now is hosted by registered dietitian nutritionist Maya Feller and Dr. Kavita Patel. Editing and podcast production by Vic Whitley-Berry with editorial oversight by Alicia Montgomery. Send your comments and recommendations on what to cover to wellnow@slate.com  Learn more about your ad choices. Visit megaphone.fm/adchoices

Paula has a big family, lots of friends, and a girlfriend she adores. For most of her life, however, she has experienced an underlying and unshakeable sense of loneliness. On this episode of How To!, Courtney Martin brings on Kristen Radtke, the writer and illustrator behind Seek You: A Journey Through American Loneliness, to talk with Paula about an emotion that’s hard to talk about—and even harder to confront. If you liked this episode, check out How To Find Your People and How To Survive a Silent Retreat.  Do you have a problem that needs solving? Send us a note at howto@slate.com or leave us a voicemail at 646-495-4001 and we might have you on the show. Subscribe for free on Apple, Spotify or wherever you listen. How To! is produced by Rosemary Belson, with Kevin Bendis. Joel Meyer is our senior editor/producer. Derek John is our executive producer.  Slate Plus members get bonus segments and ad-free podcast feeds. Sign up now at slate.com/howtoplus. Learn more about your ad choices. Visit megaphone.fm/adchoices

Elissa Strauss always knew she wanted to be a mother, but she also knew she didn’t want motherhood to take over her personality. After all, she had spent years as a blogger making fun of anyone who took motherhood too seriously. She bemoaned the natural birth movement and people who made “mom friends.” Then Elissa had a son, and her view of caretaking started to shift. “I had put so much energy into figuring out how not to lose myself to caregiving,” Elissa writes in her new book, “that I completely ignored the possibility that I might, in fact, find some of myself there.” In this episode, Anna and Elissa talk about why it feels uncool to talk about liking motherhood, the ways caretaking can take from us, but also how it can fill us up and engender “moral transformation.” Plus, the economics of care, and what really valuing care in society would look like.  Elissa’s book is called When You Care: the Unexpected Magic of Caring for Others. She also wrote a piece last month in Slate called “It’s Weird Times to Be a Happy Mother.”   Are you a paid caregiver? We want to hear from you for a future listener episode. Tell us some things you’ve taken away from the experience – wild stories, observations about class, lessons about the way you want your own loved ones to be cared for. Send us your thoughts and stories at deathsexmoney@slate.com.  Death, Sex & Money is now produced by Slate! To support us and our colleagues, please sign up for our membership program, Slate Plus! Members get ad-free podcasts, bonus content on lots of Slate shows, and full access to all the articles on Slate.com. Sign up today at slate.com/dsmplus. And if you’re new to the show, welcome. We’re so glad you’re here. Find us and follow us on Instagram and you can find Anna’s newsletter at annasale.substack.com. Our new email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

“Fecal microbial transplants” treat someone’s unhealthy gut with poop from someone else’s healthy gut, and proponents of FMT claim it can help treat everything from IBS to autism. But if your doctor isn’t ready to fill you up with someone else’s poop, the internet will happily oblige.  Guest:  Luke Winkie, Slate staff writer who published “The Poop Broker.” Want more What Next TBD? Subscribe to Slate Plus to access ad-free listening to the whole What Next family and all your favorite Slate podcasts. Subscribe today on Apple Podcasts by clicking “Try Free” at the top of our show page. Sign up now at slate.com/whatnextplus to get access wherever you listen. Learn more about your ad choices. Visit megaphone.fm/adchoices

Everyone has a different birth experience.  Obstetricians and midwives are well-known members of the birth team. Along with the pregnant person, they are central to labor and delivery. Doulas are lesser known, but they can provide essential support for pregnant women and their loved ones.  On this week’s episode of Well, Now: What to expect when working with a doula with Latham Thomas, founder of Mama Glow. If you liked this episode, check out: Overcoming a Complicated Pregnancy Well, Now is hosted by Maya Feller, CDN and Kavita Patel, MD. Podcast production by Vic Whitley-Berry with editorial oversight by Alicia Montgomery. Send your comments and recommendations on what to cover to wellnow@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

The dating app Bumble recently declared in advertisements that “a vow of celibacy is not the answer.” The ad campaign, which was met with a swift backlash, seemed to be responding to a prevailing notion that people are having less sex than they used to. Back in 2015, we asked our listeners why they weren’t having sex, and their reasons varied. Disability, religious beliefs, S.T.I.s, and differing libidos were all cited as factors. This week, we revisit those stories and reflect on sex and abstinence at a time when those things continue to spark debate. Death, Sex & Money is now produced by Slate! To support us and our colleagues, please sign up for our membership program, Slate Plus! Members get ad-free podcasts, bonus content on lots of Slate shows, and full access to all the articles on Slate.com. Sign up today at slate.com/dsmplus. And if you’re new to the show, welcome. We’re so glad you’re here. Find us and follow us on Instagram and you can find Anna’s newsletter at annasale.substack.com. Our new email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Last year saw a record number of healthcare hacks with more than 700 separate incidents. And with a subsidiary of United Healthcare forking over a $22 billion ransom this year, the problem isn’t going away. With so much sensitive personal information on file, why aren’t hospitals and their ilk better prepared? Guest:  Dina Carlisle, president of the local nurses union, OPEIU 40 in Michigan. Justin Sherman, CEO of Global Cyber Strategies. Want more What Next TBD? Subscribe to Slate Plus to access ad-free listening to the whole What Next family and all your favorite Slate podcasts. Subscribe today on Apple Podcasts by clicking “Try Free” at the top of our show page. Sign up now at slate.com/whatnextplus to get access wherever you listen. Learn more about your ad choices. Visit megaphone.fm/adchoices

On today’s show, Rachelle is joined by internet culture writer and reporter Kate Lindsay whose recent Bustle article “My Therapist is a TikTok Star” explores the complicated dynamics that emerge when patients run into their therapists online. This podcast is produced by Se’era Spragley Ricks, Daisy Rosario, Candice Lim and Rachelle Hampton. Learn more about your ad choices. Visit megaphone.fm/adchoices

Youth mental health has hit a crisis point.  Just last year, U.S. Surgeon General Vivek Murthy released an advisory connecting young people’s use of social media with adverse mental health outcomes.  But Murthy and other public health leaders are fighting back, including New York City Health Commissioner Ashwin Vasan. He’s leading the charge against social media platforms like Meta, TikTok, Snapchat and YouTube through litigation and legislation. On this week’s episode of Well, Now – holding social media companies accountable for the youth mental health crisis. If you liked this episode, check out: Is it Burnout? Or, Do You Have a Busy Brain? Well, Now is hosted by Kavita Patel, MD and Maya Feller, RD. Podcast production by Vic Whitley-Berry with editorial oversight by Alicia Montgomery. Send your comments and recommendations on what to cover to wellnow@slate.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Before going on a kite-skiing trip to the Chilean mountains, Jim Harris and his longtime girlfriend broke up. She wanted to settle down, and he wanted to keep adventuring. On that trip, Jim broke his back and became paralyzed. After eight months of non-stop physical therapy his progress seemed to be stalled until one night at a concert he took magic mushrooms and noticed new movement in muscles that hadn’t worked since his accident. In this episode, Anna and Jim talk about his process of recovery, finding new identity, relationships, and ways to adventure and explore.  You can see Jim’s art and a portfolio of his wilderness adventures at PerpetualWeekend.com, and we first heard about Jim from an article in Outside Magazine.   Podcast production by Andrew Dunn. Death, Sex & Money is now produced by Slate! To support us and our colleagues, please sign up for our membership program, Slate Plus! Members get ad-free podcasts, bonus content on lots of Slate shows, and full access to all the articles on Slate.com. Sign up today at slate.com/dsmplus. And if you’re new to the show, welcome. We’re so glad you’re here. Find us and follow us on Instagram and you can find Anna’s newsletter at annasale.substack.com. Our new email address, where you can reach us with voice memos, pep talks, questions, critiques, is deathsexmoney@slate.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

In theory, crowdfunding sites offer an opportunity for anyone to give to any cause, including, say, strangers facing huge medical bills. In practice, crowdfunding suffers from many of the same inequities that led to someone needing to crowdfund to begin with. Guest: Nora Kenworthy, author of Crowded Out: The True Costs of Crowdfunding Healthcare, associate professor at the University of Washington, Bothell. Want more What Next TBD? Subscribe to Slate Plus to access ad-free listening to the whole What Next family and all your favorite Slate podcasts. Subscribe today on Apple Podcasts by clicking “Try Free” at the top of our show page. Sign up now at slate.com/whatnextplus to get access wherever you listen. Learn more about your ad choices. Visit megaphone.fm/adchoices