Most healthcare waits for people to walk in the door. Midwest Street Medicine walks out to find them.

In this episode, host Melissa Goodwin spends a morning in the field with Dr. Melissa Dittberner, PhD, executive director and co founder of Midwest Street Medicine, and Dr. Bob Santella, MD, a retired physician who volunteers two days a week. The team brings medical care, mental health support, and addiction recovery directly to people experiencing homelessness in Sioux Falls, with locations also in Rapid City, Aberdeen, and Pierre.

Mo, who is a person in long term recovery herself, walks through what street medicine actually looks like on a daily basis. She breaks down what harm reduction is and why a bar is technically a harm reduction center. She explains why so much of the work is wound care, alcohol withdrawal management, and mental health triage. She talks about why she calls Midwest Street Medicine a conduit to care rather than a primary care clinic, and how the team has helped save an estimated two million dollars in unnecessary emergency room visits in Sioux Falls in the last year.

Then she takes on the myths most people repeat without thinking. Does giving money to homeless people enable them. Is homelessness a choice. Should homeless people just get a job. Can you just go to the E.R. if you get sick. Her answers are blunt, clinical, and grounded in years of street level experience.

This is for anyone who has ever walked past someone on a corner and not known what to do, anyone who works in health or social services, anyone in Sioux Falls, Rapid City, Aberdeen, or Pierre who wants to understand the safety net being built in their own backyard, and anyone who wants to help and does not know how to start.

ABOUT THE GUEST
Dr. Melissa Dittberner, PhD, also known as Dr. Mo, is the executive director and co founder of Midwest Street Medicine, a 501(c)(3) nonprofit that brings medical care, mental health support, and addiction services directly to people experiencing homelessness. She co founded the organization in July 2023 with Shannon Emry, MD. Mo is a professor of addiction counseling and prevention at the University of South Dakota, a researcher on addiction, recovery, vagus nerve neurostimulation, and tattoos as healing, and a person in long term recovery herself. Midwest Street Medicine operates in Sioux Falls, Rapid City, Aberdeen, and is expanding to Pierre.

Website: midweststreetmedicine.org
Phone: 605-250-1000
Email: info@midweststreetmedicine.org
Locations: Sioux Falls, Rapid City, Aberdeen, Pierre

ABOUT DR. BOB SANTELLA
Dr. Bob Santella, MD, is a retired physician who volunteers with Midwest Street Medicine and has worked with Habitat for Humanity. He has spent decades teaching and writing on the social determinants of health.

QUESTIONS THIS EPISODE ANSWERS
What is street medicine?
What does Midwest Street Medicine do in Sioux Falls?
How do you help someone who is experiencing homelessness?
Does giving money to homeless people enable them?
Is homelessness a choice?
Why can homeless people not just get a job?
What is harm reduction?
What is a chemical dependency assessment and how do you get one?
Why is suboxone considered the gold standard for opioid use disorder?
How do social determinants of health affect health outcomes?
How do you help someone struggling with alcohol addiction?
What does the vagus nerve have to do with addiction recovery?
What does a street medicine team look like and who is on it?
How do I volunteer with Midwest Street Medicine?
How do I donate to Midwest Street Medicine?
What items are most needed for people living outside?
How do I help someone who is homeless in Sioux Falls?
Where does Midwest Street Medicine operate in South Dakota?

CONNECT WITH DIALED IN HEALTH
Find a trusted wellness provider: vitalitygrowthlabs.com/the-directory
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Host: Melissa Goodwin
Produced by Vitality Growth Labs: vitalitygrowthlabs.com

By the time the average woman walks out the door in the morning, she has already applied 150 different chemicals to her body. Most of them are talking to her hormones.

In this episode, Jessica Morrell, NP, owner of Radiant Health and Hormone Therapy in Sioux Falls, SD, sits down with Melissa Goodwin to break down what endocrine disruptors actually are, where they are hiding in your house, and why your hormone replacement therapy might not be working the way you hoped.

Jessica has been practicing functional medicine for over 15 years. She explains why fragrance, non stick cookware, plasticizers in makeup, agricultural runoff in your tap water, and the flame retardant on your couch are all signaling to your endocrine system. She walks through the receptor detox she runs when patients start hormone therapy and feel worse, why fiber matters more than protein for daily detox, and why women planning a pregnancy in the next year should be paying the closest attention.

If you have been blaming your fatigue, weight gain, irregular cycles, or stalled hormone therapy on age, this conversation will change how you think about your home, your bathroom counter, and your kitchen.

ABOUT THE GUEST
Jessica Morrell, NP, is the owner of Radiant Health and Hormone Therapy in Sioux Falls, SD. With more than 15 years in functional medicine, Jessica specializes in bioidentical hormone replacement therapy, hormone receptor detox, and clean skincare and aesthetics. Radiant treats women and men who are not getting answers from standard panels and who want a provider who looks at the whole picture.

Website: radiantht.com
Phone: 605-604-0200
Instagram: @radiantht
Facebook: Radiant Health and Hormone Therapy
Location: Sioux Falls, SD

QUESTIONS THIS EPISODE ANSWERS
What is an endocrine disruptor?
What hormones are part of the endocrine system?
What are the most common endocrine disruptors in the home?
How do plastics affect your hormones?
What is a microplastic and how does it get into the body?
Why is my hormone therapy not working?
What is a hormone receptor detox?
How much fiber should I eat to support detox?
Are essential oil fragrances safer than synthetic perfume?
Are plasticizers in makeup harmful?
Is Midwest tap water safe to drink?
What cleaning products are safe for hormones?
How do I detox naturally every day?
Can endocrine disruptors cause PCOS or infertility?
When should I be the most careful about toxin exposure?
How do I find a hormone specialist in Sioux Falls?

CONNECT WITH DIALED IN HEALTH
Find a trusted wellness provider: vitalitygrowthlabs.com/directory
Melissa's favorite products and sponsors: linktr.ee/lonetreetallow
Host: Melissa Goodwin
Produced by Vitality Growth Labs: vitalitygrowthlabs.com

When families call Kore Cares, it is usually because something has already happened. A fall. A stroke. A hospital stay. Gabrielle Hoing spent more than two decades in geriatric care and helped build 11 private duty agencies across 8 states before founding Kore Cares in South Dakota 10 years ago.

In this episode, Gabrielle answers the exact questions adult children ask when they are figuring out whether it is time to get help for an aging parent, what in-home care actually covers, how Medicare and Medicaid pay (and don't pay) for care at home, and how to tell a good agency from a bad one.

KORE CARES OPEN HOUSES

Kore Cares is celebrating 10 years of helping South Dakotans live safely at home. Stop by any of the open houses, enter raffles, meet caregivers, and ask questions.

Sioux Falls Kore Cares Open House. Wednesday, April 22, 2026. 12:00 PM to 2:00 PM.

Yankton Kore Cares Open House. Thursday, April 23, 2026. 11:30 AM to 1:30 PM.

Brookings Kore Cares Open House. Monday, April 27, 2026. 4:00 PM to 6:00 PM. Brookings Activity Center.

Watertown Kore Cares Open House. [DATE AND LOCATION TO ADD].

Learn more, find your nearest office, or request a complimentary in-home consultation at korecares.com.

QUESTIONS THIS EPISODE ANSWERS

What are the signs someone needs in-home care? Gabrielle lists the specific behaviors families notice first: exhaustion after light housework, avoiding the shower for fear of falling, skipping physician visits to avoid a care recommendation, unexplained weight loss, driving changes, and isolation. The pattern she sees most often is families waiting until a crisis forces the call.

What is the difference between home care and home health care? Home health care is typically Medicare-covered, tied to a physician order, and focused on skilled therapy after an illness or hospital stay. Home care is non-medical daily support: bathing, dressing, meal prep, laundry, med setups, companionship, and ongoing nursing services. Kore Cares offers both.

Does Medicare cover in-home care? Medicare covers short-term skilled services like physical, occupational, and speech therapy after a qualifying hospital stay. Medicare does not cover custodial or personal care at home. For non-medical home care, the payer options are Medicaid, the VA, long-term care insurance, or private pay.

How do I choose a trustworthy home care agency? Ask about mission and ownership, training process, CPR and dementia certification, background checks, quality assurance, and backup coverage when a caregiver calls out. South Dakota does not currently regulate private pay home care, which makes these questions especially important.

How do I talk to my parent about getting a caregiver? Gabrielle's approach: start with observations, not conclusions. Frame the ask around yourself if needed. Give them time. Most people come around when they have space to think about the impact on themselves and their family.

Is in-home care only for seniors? Kore Cares serves anyone 18 and older, plus pediatric cases case-by-case. About 40 percent of clients are under 65, including people recovering from surgery or injury, people living with disabilities, and people managing chronic illness.

ABOUT KORE CARES

Kore Cares is a locally owned home care agency serving 43 counties and 111 cities across South Dakota, including Aberdeen, Brookings, Mitchell, Pierre, Sioux Falls, Watertown, and Yankton. They offer personal care, companion care, skilled nursing, and their Care Connection service for families who are not sure what they need yet.

Website: korecares.com
Sioux Falls office: 605-275-2344
Facebook: Kore Cares

ABOUT DIALED IN HEALTH

Dialed In Health is the show where real practitioners answer the health and wellness questions you are already searching. No influencers. No celebrity doctors. Just licensed local providers giving you real answers you can act on.

Host: Melissa Goodwin
Website: vitalitygrowthlabs.com
Find a trusted provider: vitalitygrowthlabs.com/the-directory
Instagram: @dialedin_health
Facebook: Dialed In Health

Dialed In Health is powered by Vitality Growth Labs.

Wellness is not just physical. Your nervous system, your energy, and the way you breathe are running the show under everything else. In this episode of Dialed In Health, Melissa Goodwin sits down at Alchemy House in Sioux Falls with founders Megan Randall and Jillian Gunlicks to talk about what actually happens when your body gets stuck in fight or flight, why conventional care often misses the energetic side of healing, and the specific therapies people are using to bring their nervous systems back online.

We cover how the amygdala drives the fight or flight response, why most of us are overstimulated and under rested, and what a real nervous system reset looks like in practice. Megan and Jillian walk through the modalities offered at Alchemy House: halo therapy (salt therapy), the Bio Charger, the vibroacoustic sound table, Lucia light therapy, Reiki, breathwork, Qi Gong, hypnotherapy, and sound baths. If you have ever wondered whether energy work is legitimate, what the research actually says, or how to start without feeling overwhelmed, this conversation is for you. Y

ou will learn how to recognize the signs that your nervous system is dysregulated, what to try first if you are new to this world, and why slowing down is often the most powerful thing you can do for your health. We also talk about how top hospitals like Johns Hopkins and Mayo Clinic now offer Reiki, how the placebo effect is far more valuable than people give it credit for, and why these practices are less "woo woo" and more a return to how humans were designed to live. Connect with Alchemy House at alchemyhousesd.com or on Facebook and Instagram at @alchemyhousesd.

Their one year anniversary celebration is May 3, and they are hosting an after hours mini session event on April 17 at 6pm. Dialed In Health is the podcast where regular people get good health information from real practitioners. Find a trusted wellness provider near you at vitalitygrowthlabs.com/thedirectory.

If you are a health or wellness provider and want to be on the show, visit vitalitygrowthlabs.com or apply at https://dialedinhealth.kit.com/39b0bb5dc1.

Most of us filter our drinking water and never think twice about the shower. But your skin and lungs absorb chlorine, chloramines, and disinfection byproducts every time you turn on the hot water — and for many municipalities, that's just the beginning.

In this episode, Alyssa sits down with the team at Kinetico to talk about what's actually in our tap water, why Sioux Falls shut down 21 wells in 2016, the difference between chlorine and chloramines, PFAS contamination, and what whole-home filtration really does (and doesn't) solve.

What we cover:

• Why a 10-minute shower exposes you to more contaminants than a glass of tap water
• Chlorine vs. chloramines — and why it matters
• PFAS, "forever chemicals," and the 2016 Sioux Falls contamination
• How boiling water concentrates contaminants into your food
• What to look for in a home water system
• Simple next steps if you're not ready for a whole-home setup

Guest: Julene Edwards Host: Melissa Goodwin

Subscribe to Dialed In Health wherever you listen

vitalitygrowthlabs.com/podcast

📩 Want to be on the show? https://dialedinhealth.kit.com/39b0bb5dc1

What if the reason you can't lose weight has nothing to do with your diet?

Dr. Jessica Pearson is a physician, Air Force veteran, and functional medicine provider at Prairie Roots Health in Sioux Falls. In this episode, she breaks down why cortisol is the hormone most people overlook and why addressing it can change everything from belly fat to energy to hormone balance.

In this episode: what cortisol is and why your body releases it even when you don't feel stressed, how chronic stress creates belly fat through an insulin loop, how cortisol steals from the shared production pathway for estrogen, progesterone, and testosterone, why calorie restriction can raise cortisol and make weight loss harder, what caffeine does to your stress response, how to test cortisol the right way, what HRV measures and how wearables like the Oura Ring track it, what perimenopause does to an already elevated cortisol level, and practical ways to lower cortisol that go beyond meditating.

April Special at Prairie Roots Health: Get a complimentary before and after NeuralChek assessment (a $120 value) with the purchase of a Wellness Therapy membership plan. Contact Prairie Roots Health at prairierootshealth.com to learn more.

Dr. Jessica Pearson, MD practices at Prairie Roots Health in Sioux Falls, SD. Find her at prairierootshealth.com.

Dialed In Health is your source for health and wellness information from real practitioners who see patients every day. New episodes every week. Subscribe wherever you listen.

Most women will see six providers before they get a real hormone diagnosis. Mary Jordan, NP, saw five herself before figuring it out on her own. In this episode, Mary Jordan from Encompass Wellness in Sioux Falls, SD sits down with Melissa Goodwin to break down what most providers miss when it comes to hormone health for women and men. Mary spent 12 years in the ICU watching labs keep patients alive. Now she applies that same precision to hormone replacement therapy, running 35+ labs where most clinics run five. She explains why testosterone is the missing hormone for women, what andropause actually means, why perimenopause and menopause are not the same thing, and why the testosterone clinics popping up everywhere may not be giving men the full picture. If you have been told your fatigue, anxiety, brain fog, or weight gain is just stress or just getting older, this conversation will change how you think about your health. ABOUT THE GUEST Mary Jordan, NP, is the founder of Encompass Wellness and Aesthetics in Sioux Falls and Dakota Dunes, South Dakota. A former ICU nurse with 12 years of hospital experience, Mary brings intensive care precision to functional hormone care. Encompass Wellness specializes in bioidentical hormone replacement therapy, thyroid management, GLP-1 therapy, and medical aesthetics. Website: encompass-wellness.com Phone: 605-740-0414 Locations: Sioux Falls, SD and Dakota Dunes, SD QUESTIONS THIS EPISODE ANSWERS Why do women need testosterone? What is andropause in women? What are the first signs of low testosterone in women? What is the difference between perimenopause and menopause? Does hormone replacement therapy cause cancer? What should be checked with testosterone therapy for men? What is the difference between testosterone pellets and injections? Does testosterone make women look like a man? Can hormone imbalance cause anxiety and depression? How often should you get your hormones checked? What labs should be checked for hormone imbalance? Is hormone replacement therapy safe long term? How do I get my hormones tested in Sioux Falls? CONNECT WITH DIALED IN HEALTH Find a trusted wellness provider: vitalitygrowthlabs.com/the-directory Host: Melissa Goodwin Produced by Vitality Growth Labs: vitalitygrowthlabs.com