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Out of Patients with Matthew Zachary is the longest-running, independent healthcare podcast. Since 2007, Matthew’s been calling out the hypocrisy, hubris, and hostage-taking baked into American healthcare—with a mic in one hand and a middle finger in the other. What started as a pirate radio rebellion is now the most trusted, notorious, and unfiltered show in the game. Patients love it. Industry listens. And anyone who’s ever been gaslit by the system knows exactly where to turn to nod their ...
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Cancer Care Connections

Virginia Oncology Associates

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Explore different aspects of a cancer care journey through the eyes of our providers, as well as the experiences of our patients. You will hear stories of hope, resilience, and innovation inspiring us to keep fighting.
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Hashimoto's Nutrition Rx®️

Nataliia Sanzo, Licensed Registered Dietitian

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Nataliia Sanzo is a registered dietitian, aka Nashville Thyroid Expert, specializing in Hashimoto's/hypothyroidism. She created this space to help you navigate the ever-confusing world of Hashimoto's thyroiditis and empower you with the knowledge to become your own advocate. Please don’t forget to subscribe and follow this podcast on the platform you’re tuning in from. Your support is greatly appreciated and important to this show finding its way to the ears of listeners just like yourself. ...
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Hugh Thomas, Deputy Editor at The Lancet Gastroenterology & Hepatology, in conversation with the journal’s authors, explores their latest research and its impact on people’s health, healthcare, and health policy. A monthly audio companion to the journal, this podcast covers a broad range of topics, from predicting clinical outcomes in NAFLD to immunosuppressant withdrawal in patients with Crohn’s disease, the primary antibiotic resistance of Helicobacter pylori to surgical versus non-surgica ...
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If you're struggling with weight gain, inflammation, fatigue, or Hashimoto's symptoms that just won't budge—this episode is a must-listen. Join Nataliia Sanzo, RDN, and renowned dietitian Rachel Beller as they dive deep into the power of food as medicine, especially the underrated magic of spices. In this episode, you’ll learn: Why gut health and i…
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Ready to break through the confusion of thyroid healing? In this game-changing episode, Nataliia Sanzo chats with Josh and Jeannie Rubin of East West Healing to explore what really supports thyroid health, nervous system balance, and long-term wellness. Whether you’re managing Hashimoto’s, dealing with weight struggles, or just feeling stuck, this …
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Erica Campbell walked away from corporate life, took a hard left from the British Embassy, and found her calling writing checks for families nobody else sees. As Executive Director of Pinky Swear Foundation, she doesn’t waste time on fluff. Her team pays rent, fills gas tanks, and gives sick kids' parents the one thing they don’t have—time. Then, b…
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Allyson with a Y. Ocean with two Ls. And zero chill when it comes to changing the face of cancer care. Dr. Allyson Ocean has been quietly—loudly—at the center of every major cancer breakthrough, nonprofit board, and science-backed gut punch you didn’t know you needed to hear. In this episode, she joins me in-studio for a conversation two decades in…
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Sponsored by Invivyd, Inc. Nobody wants to hear about COVID-19 anymore. Especially not cancer patients. But if you’ve got a suppressed immune system thanks to chemo, radiation, stem cell transplants—or any of the other alphabet soup in your chart—then no, it’s not over. It never was. While everyone else is getting sweaty at music festivals, you’re …
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Why It’s a Must-Listen for Anyone with Blood Sugar Issues: You’ll walk away with practical tools that go beyond standard advice, rooted in science and personal experience. 👉🏻Learn how to spot early signs of blood sugar dysregulation—before it turns into prediabetes or worsens autoimmune symptoms. 👉🏻Discover how gut health, mineral status, and hormo…
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EPISODE DESCRIPTION Lisa Shufro is the storyteller’s storyteller. A musician turned innovation strategist, TEDMed curator, and unapologetic truth-teller, Lisa doesn’t just craft narratives—she engineers constellations out of chaos. We go way back to the early TEDMed days, where she taught doctors, scientists, and technocrats how not to bore an audi…
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One of the most powerful tools in cancer prevention is sitting right in front of us, yet many of us delay using it. Dr. Edwin Lee, gastroenterologist with Capital Digestive Care, joins us to demystify colon cancer screening and explain why catching this disease early changes everything. Dr. Lee takes us through the critical importance of colon canc…
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In this episode of Hashimoto Nutrition Rx®, Dr. Alan Christianson joins me to discuss powerful non-medication approaches to feeling better with Hashimoto’s. He shares practical tips on diet, lifestyle changes, stress management, and supplements that can support thyroid health and improve overall well-being. If you're looking for natural ways to man…
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What happens when you blend the soul of Mr. Rogers, the boldness of RuPaul, and just a pinch of Carrie Bradshaw? You get Sally Wolf. She’s a Harvard and Stanford powerhouse who ditched corporate media to help people actually flourish at work and in life—because cancer kicked her ass and she kicked it back, with a pole dance routine on Netflix for g…
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Episode Description Audra Moran is the President and CEO of OCRA—Ovarian Cancer Research Alliance—which means she spends her days doing things most of us wouldn’t survive five minutes doing: merging nonprofits, leading national patient support programs, funding lifesaving research, surviving pharma grant hell, and trying to reach every woman in Ame…
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Christine Verini is a pharmacist by training, a nonprofit CEO by title, and an unapologetic empath by design. She now leads CancerCare, one of the oldest, least-known, and most impactful organizations in the country that actually helps real cancer patients deal with the practical garbage no one likes to talk about—like paying rent, affording a ride…
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Jennifer Finkelstein is not here for your pity, your pinkwashed slogans, or your performative awareness campaigns. She’s a 20-year young adult breast cancer survivor who turned trauma into a blueprint for action and built 5 Under 40, a no-BS nonprofit supporting women diagnosed with breast cancer under 40. In this episode, we go full Gen X therapy …
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What happens when a black belt, sword-slinging fitness icon gets cancer—twice? She picks up a camera and dares the universe to test her again. Ilaria Montagnani is not your average anything. She’s been building strong bodies (and stronger minds) for over 30 years as the founder of Powerstrike. She’s part Jane Fonda, part Uma Thurman, and very much …
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Helene M. Epstein is not here to make friends with the healthcare system. She's here to dismantle the bullshit, one catastrophic medical error at a time. An ad agency veteran turned patient safety firebrand, Helene’s journey from business development to writer to “badass queen of patient safety,” is one hell of a ride. We talk about how her son was…
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How does acute kidney injury presentation and management differ globally for patients hospitalised with cirrhosis? We spoke to Salvatore Piano, corresponding author of the landmark International Club of Ascites GLOBAL AKI study, about new data on regional variations in severity, phenotype, treatment, and outcomes across 5 continents. Read the full …
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Jonathan and Jennifer Wall didn’t choose this path, but they’re walking it with purpose. After losing their son, Zach, they turned their grief into action, founding Zach’s Bridge, a lifeline for families navigating pediatric cancer. This episode isn’t about platitudes or silver linings—it’s about the raw, unfiltered reality of love and loss, the re…
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Sarah Armstrong—forever Sarah Oakden to me, no matter what the legal documents say—isn't just my best friend. She's my first college friend, my musical theater soulmate, and the first person who truly saw me as an artist. She was there when I walked onto Binghamton’s campus, and she was there when I walked into cancer hell. And, because we’re nothi…
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Dr. Yue Zhang breaks down the complex world of GI malignancies, explaining how colorectal, pancreatic, liver, esophageal, and stomach cancers each present unique challenges. She explains why these cancers are often detected too late—when treatment options become limited—and how proper screening can dramatically change outcomes. While screening guid…
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Food for Thought: Cancer, Calories, and Kicking Ass Vanessa Rissetto is back, and she’s bringing the same energy, wit, and unapologetic realness that made her a fan favorite. Last time, we talked nutrition and the rise of Culina Health. This time, life threw her a plot twist—breast cancer. Because, you know, irony. Vanessa was busy building a nutri…
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EPISODE DESCRIPTION Lillian Kreppel doesn’t hold back. A seven-year anal cancer survivor and co-founder of the HPV Cancers Alliance, she has made it her mission to challenge stigma, fight misinformation, and push for better awareness of HPV-related cancers. In this episode, she sits down with Matthew Zachary to talk about her journey from high-powe…
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Grace Charrier—a powerhouse advocate, author, and cancer survivor—whose journey from a Stage 3 triple-negative breast cancer diagnosis to global advocacy is nothing short of extraordinary. Originally from Nigeria, Grace's life was upended when she was diagnosed following an unexpected health scare. Instead of retreating, she turned her experience i…
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John Chia discusses the results of the ASCOLT trial, which explored the effect of aspirin after completion of standard adjuvant therapy for patients with colorectal cancer. Read the full article: https://www.thelancet.com/journals/langas/article/PIIS2468-1253(24)00387-X/fulltext?dgcid=buzzsprout_icw_podcast_generic_langas Continue this conversation…
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Buckle up, because Amy Gittelman is back, and this episode is one for the ages. A fellow SUNY Binghamton (yes, we still call it that) alum, Amy joins me for a hilarious and brutally honest deep dive into the absurdities of healthcare, insurance fuckery, and the general nonsense that plagues the system. From dodging medical debt landmines to battlin…
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In this episode, Nataliia Sanzo (Licensed Registered Dietitian) and Priscilla Swahn (Licensed Registered Dietitian) discuss the intersection of nutrition and thyroid health, focusing on how a tailored keto diet can support individuals with Hashimoto's and hypothyroidism. Priscilla shares her personal journey and professional insights on the benefit…
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Welcome to another episode of Out of Patients, where we get real about the absolute circus that is the American healthcare system. If you've ever been trapped in a medical billing nightmare, gaslit by insurance reps, or just generally felt like healthcare is an elaborate game designed to screw you—this one’s for you. Joining me is the indomitable D…
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You know how some people enter your life with a knock, a bang, or maybe even a LinkedIn request? Not Rebecca Batterman, returning champion to Out of Patients, making her dramatic second appearance, Back in 2019, she karmically appeared like a plot twist in a film noir—unexpected, inevitable, and full of surprises. An AI strategist, an optimist (yes…
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Tricia Brouk isn’t just a storyteller—she’s a story architect, crafting narratives that connect humanity. A former ballet dancer turned award-winning director, choreographer, and transformational speaker coach, Tricia brings her unique journey to the mic in this captivating conversation. From dancing in iconic opera houses to choreographing Hollywo…
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Get ready for a wild ride with Matt Lewis, the Tony Stark-meets-Jerry Seinfeld of the mental health AI world. As a multi-degreed polymath, Matt has been ahead of the curve on AI since MySpace was a thing. In this episode, we dive into everything from neuroethics and AI-powered mental health solutions to existential fears of Skynet ruining your day.…
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What if understanding your genetic makeup could transform your approach to health care? Genetic testing is revolutionizing how we approach hereditary cancer risks, offering hope for prevention and personalized care. Dr. Ranjit Goudar shares insights on the Hereditary Cancer Clinic at Virginia Oncology Associates, emphasizing individualized approach…
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What happens when you give a 14-year-old the mic and let her fly solo without her twin brother? Magic, that’s what. This episode of Out of Patients features my daughter, Hannah, on her seventh (yes, seventh) appearance on the show, but this time she’s stealing the spotlight solo. From reminiscing about slushy Christmas Eves and rare baby illnesses …
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Prepare for a whirlwind of brilliance with Dr. Natanya Wachtel—a self-proclaimed "failed therapist" turned media maven, behavioral strategist, and all-around badass. In this episode, we dive into her transformative journey from navigating personal loss to spearheading innovative mental health initiatives and reimagining her own identity in a world …
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Back for Round 2 and wielding her wit like a machete, Jen Singer returns to Out of Patients with Matthew Zachary. Cancer survivor, heart failure "graduate," and creator of the 'Just Diagnosed Guides,' Jen has seen it all — and she's here to help YOU see it all more clearly. From dismantling medical jargon to calling BS on "Stay Strong" toxic positi…
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Prepare to be inspired and entertained as Sean Wachter returns to Out of Patients! Sean, aka "The Cancer Fighter," is a two-time melanoma survivor, professional wrestler, coffee shop entrepreneur, and self-proclaimed 'f**ked up Forrest Gump.' With a resume that includes Madison Square Garden, WWE dreams, and a 'We Got This' People's Champion belt, …
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Hannes Hagström discusses a study investigating the feasibility of screening for advanced liver fibrosis alongside retina scanning in people with type 2 diabetes. Read the full article: https://www.thelancet.com/journals/langas/article/PIIS2468-1253(24)00313-3/fulltext?dgcid=buzzsprout_icw_podcast_generic_langas Continue this conversation on social…
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In this lively and insightful episode of Out of Patients, host Matthew Zachary sits down with Mariana Arnaut, Founder and CEO of The After Cancer, a groundbreaking platform helping cancer survivors navigate the uncharted waters of life post-treatment. Joined by his sharp and witty Chief of Staff, Jen Ramprasad, the trio dives into the gaps in survi…
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What happens when two fresh-faced Gen Zers—Matthew Zachary Worldwide Chief of Staff Jenisa Ramprasad and Marketing Intern Lauren Woodring—sit down with a cranky, nostalgia-fueled Gen Xer (ahem, Matthew Zachary)? Chaos, hilarity, and surprisingly deep insights. This is not your typical Out of Patients episode. What started as a casual, unscripted ch…
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It’s the annual Out of Patients tradition you didn’t know you needed—Matthew’s miracle IVF twins, Koby and Hannah, are back on the mic for their 5th appearance! These famous 14.5-year-old personalities are here to make you laugh, reflect, and maybe even sing the alphabet incorrectly (spoiler: they hate the new version). Dive into a delightful blend…
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Join us as we welcome Gina Bright, an infusion nurse and remarkable author. She offers a heartfelt narrative about her early encounters with AIDS patients amid the fear and stigma of the 1980s and shines a light on the compassion and resilience required in nursing. Her unique blend of caregiving and literary talent offers an enlightening perspectiv…
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When life hands you a cancer diagnosis, you grab a camera. Anna and Jordan Rathkopf turned their battle with HER2-positive breast cancer into a groundbreaking photojournalistic journey. Join Matthew Zachary as he chats with the Rathkopfs about their book, HER2: The Diagnosed, The Caregiver, and Their Son, their nonprofit work, and the absurdity of …
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Cathy Lu (University of Calgary) discusses a consensus statement on the use of intestinal ultrasound for assessing and monitoring small bowel strictures in Crohn's disease. Read the full article: https://www.thelancet.com/journals/langas/article/PIIS2468-1253(24)00265-6/fulltext?dgcid=buzzsprout_icw_podcast_generic_langas Continue this conversation…
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Avery Schlereth's path to health and happiness wasn't as straightforward as she had hoped when she moved to Los Angeles to chase her modeling dreams. Facing unexpected hurdles like rapid weight gain, depression, and fatigue, Avery found herself dropped by her agency and spiraling into a frustrating quest for answers. It wasn't until a critical bloo…
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In this full-circle conversation, Matthew Zachary sits down with Amy Sutton, Executive Director of Crossroads4Hope, to dive deep into the evolution of cancer support and the profound legacy of organizations like the Wellness Community. From reminiscing about pre-internet cancer advocacy to envisioning a future rooted in public health and equity, th…
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Could you unknowingly interrupt your fast with common foods and drinks? Join me, Nataliia Sanzo, as we explore the nuances of fasting and what truly keeps you in a fasted state. This episode of Hashimoto's Nutrition Rx promises to unravel the mystery behind what you can safely consume during a fast, without derailing your journey towards weight los…
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In this highly anticipated follow-up, we welcome back Jon Nelson, the man who went from battling relentless, treatment-resistant depression to becoming a pioneering advocate for mental health. Jon’s journey with deep brain stimulation (DBS) wasn’t just a breakthrough; it was a total game-changer. Now, with “robots in his head” pumping 23 million pu…
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In this hilariously heartfelt episode, Matthew Zachary sits down with his long-time friend and cancer warrior, Jonny Imerman, the trailblazing founder of Imerman Angels. With candor and camaraderie, they explore the raw truths of cancer survival, sharing stories about the “two bald Jews” throwing wild Young Adult Cancer Happy Hours, and the life-ch…
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Join us for an enlightening conversation with Dr. Jacob Hall, a radiation oncologist at Virginia Oncology Associates (VOA). Dr. Hall is on a mission to bring the technological advances of oncology into the realm of osteoarthritis management to VOA, offering an alternative that provides lasting pain relief without the invasiveness of surgery. Discov…
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In this episode, host Matthew Zachary dives into the history and mission of Cancer Hope Network (CHN) with Executive Director Beth Blakey and Program Officer Marielle McLeod, a young adult cancer survivor. Founded in 1981, Cancer Hope Network is a vital peer support organization that connects cancer patients and caregivers with mentors who’ve been …
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In this conversation, Nataliia Sanzo and Andy DeSantis discuss the critical relationship between insulin resistance, gut health, and Hashimoto's disease. They explore how insulin resistance can exacerbate thyroid issues, the importance of diet and lifestyle factors in managing insulin sensitivity, and the role of gut health in overall metabolic fun…
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On the show today: Lisa Simms Booth is Executive Director at The Smith Center for the Healing Arts and former Senior Director for Patient and Public Engagement at The Biden Cancer Initiative. She is such an extraordinary human being who've I've wanted her on my show for such a long time and, well, here she is. Lisa has this extraordinary way to def…
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