Rotations

Now we discuss the nature of gaming and how the GRID lab came to be. We discuss addiction and virtual reality and our consuming games can be. Competitive Gaming/eSports https://www.statista.com/markets/417/topic/478/video-gaming-esports/#overview https://cod-esports.fandom.com/wiki/MLG_Orlando_Open_2016 High School Gaming https://www.highschoolesportsleague.com/ GRID Lab https://www.ohio.edu/scripps-college/mcclure/gridlab Morelocks https://en.wikipedia.org/wiki/Morlock SOMA https://en.wikipedia.org/wiki/Brave_New_World Fortnight https://www.epicgames.com/fortnite/en-US/home Cleveland Clinic Augmented Reality https://health.clevelandclinic.org/face-transplant-evolves-with-amazing-hologram-technology/ Marietta Memorial Ransomware https://www.techspot.com/news/90818-memorial-health-system-hit-ransomware-attack-hospitals-begin.html J Warren McClure School https://www.ohio.edu/scripps-college/mcclure You can reach me at fredrick@ohio.edu directly with questions, comments or suggestions. Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: They Thought I Was Mad by Thomas Herudek Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Disclaimers: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University, and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect the official policy or the opinion of any agency of Ohio University.

John Bowditch Mr. GridLab Science and Technology This is gonna be long. It's long because I needed to get a few things covered before we launch into John's interview. If you are bored of me or just want to listen to John, fast forward to 17:30 and start listening. Elon Musk meeting rules https://thriveglobal.com/stories/elon-musks-top-9-meeting-rules-which-ones-do-you-need-to-adapt/ COVID Booster shots https://www.cdc.gov/coronavirus/2019-ncov/vaccines/booster-shot.html https://www.cnn.com/2021/10/12/health/moderna-booster-fda-authorization-brief/index.html Monoclonals https://combatcovid.hhs.gov/available-covid-19-treatment-options Traditional Vaccination Rates from the USA Facts https://usafacts.org/articles/data-centric-look-vaccines-and-immunizations-united-states/ Linked In on Mental Well-Being https://www.linkedin.com/news/story/covid-eroded-our-mental-wellbeing-5160052/ The GRiD Lab https://www.ohio.edu/scripps-college/mcclure/gridlab Anthony Bourdain's Movie https://www.latimes.com/entertainment-arts/movies/story/2021-07-15/roadrunner-review-anthony-bourdain-documentary SIGGRAPH https://s2021.siggraph.org/ Agitprop and Samuel Adams https://www.britannica.com/event/Boston-Massacre/Aftermath-and-agitprop J Warren McClure School https://www.ohio.edu/scripps-college/mcclure John is an incredible polymath. It is always a pleasure to hear his thoughts. I am thinking that he needs to be a regular in the rotation. You can reach me at fredrick@ohio.edu directly with questions, comments or suggestions. Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: DuDa by Ian Post Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Disclaimers: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Talk about inertia, as the saying goes, when I was young, I wanted to be old…I didn't expect this. It took a full month to get my head back on-line after the trip to the Middle East. But now the brain is working and so I'll get started by bringing you up to speed. We have a new medical school. It's very niiiiice. I also want to get some stuff out there about Afghanistan and the implications for medical care. Yes, there are very direct implications for how we do medicine in the USA. So I am going to riff for your commute and then we will find some super stellar people with big ideas to come on and chat about their things. In the meantime, listen and if you like what you hear, send feedback. If you have questions, send feedback. If you don't like what you hear, send feedback, politely worded please because I will read the comments with non-attribution. So there is a lot of overlap between Heisenberg's uncertainty principle and Schrodinger, his famous cat and observer effect. I'll let you sort those out for yourself. So Happy Labor Day!. I am glad to be back. The 9/11 Commission https://www.9-11commission.gov/report/911Report.pdf https://en.wikipedia.org/wiki/9/11_Commission_Report Cognitive Dissonance https://en.wikipedia.org/wiki/Cognitive_dissonance https://www.psychologytoday.com/us/basics/cognitive-dissonance Complex Adaptive Systems http://web.mit.edu/esd.83/www/notebook/Complex%20Adaptive%20Systems.pdf https://en.wikipedia.org/wiki/Complex_adaptive_system Systems engineering https://www.techopedia.com/definition/9611/systems-analysis Heisenberg Uncertainty Principle https://www.thoughtco.com/the-heisenberg-uncertainty-principle-2699357 Schoedinger's Cat experiement and Observer effect https://psychology.wikia.org/wiki/Observer_effect https://naturenoon.com/schroedingers-cat-experiment-simple/ Root Cause Analysis https://www.osha.gov/sites/default/files/publications/OSHA3895.pdf Downton Abbey https://www.imdb.com/title/tt1606375/ John Boyd's OODA Loop https://warroom.armywarcollege.edu/special-series/great-strategists/boyd-OODA-loop-great-strategists/ Lou Gerstner Who Says Elephants Can't Dance https://www.amazon.com/Who-Says-Elephants-Cant-Dance/dp/0060523808 fredrick@ohio.edu Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Dusk by Ian Post Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Disclaimers: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Yes, its long but not so long that I could have split this easily into 2 episodes. The last episode of my conversation with Bryant Giles, DO. Today we are going to discuss EHRs and ophthalmology. Fun huh? Nope. But if you are considering a career in medicine you really need to think about how much of a headache you want in your daily work. It’s a Don Quixote task at this point because we have been complaining about them for nearly a decade now and crickets from the people who don’t care for patients but tell us this is absolutely necessary… Bryant has a You Tube channel. The Eye Chiefs https://www.youtube.com/channel/UCqMAxQbK1jLNGju_S_51NLg Bryant has a website. Surgery with Dr. Giles https://www.surgerywithdrgiles.com/meet-dr-giles I am feeling pretty inadequate right now as I write this… The best part of this series is the clear message that serendipity plays a big role in life. You start thinking you want to do one thing, but you end up finding out just where you should be… AMOPS https://amops.org/ don’t be a stranger, we would welcome any civilian medical student or physician as well…and that includes MDs. You can always contact me with comments or questions at fredrick@ohio.edu Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Chaos at the Spaceship by Out of Flux Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Disclaimers: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): RODE Podcaster Pro RODE NT1-A mics RODE Lavalier GOs RODE Podcaster Pro Zoom H6N Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Bryant Giles DO , Ophthalmology Episode II Specialty Spotlight Okay, let’s see if I can finish this series out of pure respect for you in the audience and for Bryant. In this episode we discuss the common diagnoses within the specialty and training. We also put a shout out (in?) for Brooke Army Medical Center and its world renowned burn center in good old San Antonio, Texas. We finish up with a discussion of technology and advances. Like this: https://apps.apple.com/us/app/ullman-indirect/id1243282866 http://www.ullmanindirect.com/ Ophthobook https://timroot.com/ophthobook/ I could ramble some more for the notes but you’ll get the gist by listening. It was a great interview. fredrick@ohio.edu Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Yes, you did hear a repeat and it’s because I really liked the music so it was worth repeating… Still Life by ANBR Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Disclaimers: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Bryant Giles DO is a senior Ophthalmology Resident and he never intended to be an ophthalmologist. In this series we are going to discuss how plans change and how life leads us to opportunities that we would never have considered without the serendipity of life. Bryant focuses on his specialty but along the way we discuss life and different universities and how it all comes together. We also discuss Utah which is a place that everyone should experience. It’s a Specialty Spotlight series but its valuable for any medical student, premed or older physicians who want to find something different because they are not fulfilled in what they are currently doing. I also asked Bryant about his lifestyle in the military. He assured me that he is “doing fine on his current pay.” Ad reiterated the truism of living like a resident after residency as a means of finding a stable financial position. That’s wisdom that I was taught as well and it was invaluable. AMOPS https://amops.org/ Georgia PCOM https://www.pcom.edu/campuses/georgia-campus/ The “U” https://www.utah.edu/ Utah State https://www.usu.edu/ Liberty University https://www.liberty.edu/lucom/academics/doctor-of-osteopathic-medicine-degree/ University of the Incarnate Word https://osteopathic-medicine.uiw.edu/index.html Shoot me any comments or questions @TR Fredricks on MeWe You can connect with me on Linked In at Todd Fredricks DO or Parler me @MedicalCinema Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Around Again by Ian Post Courtesy of Artlist.io Produced by: Todd Fredricks DO Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

In order to properly frame the series coming up with Bryant Giles DO, I felt that it was appropriate to start with a Merry Christmas and Happy New Year wish for all of you. I also got a lot of questions from various people about when they can get vaccinated for SARS CoV2. So I thought it reasonable to clarify where we are right now. It's an episode of various things and I am hopeful that next week, assuming I am not crashed from my own COVID-19 shot, that you will be hearing Episode 1 of Bryant Giles DO and that you will enter the new year thinking about how a focus on one residency may come at the expense of really finding professional happiness. Listen to Bryant, he will explain it all to you. In the mean time, Happy Christmas Eve! Please share Rotations with your friends... Shoot me any comments or questions @TR Fredricks on MeWe You can connect with me on Linked In at Todd Fredricks DO or Parler me @MedicalCinema Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: The Christmas Sleigh Ride by Francesco Dandrea Courtesy of Artlist.io Produced by: Todd Fredricks DO Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Dawn Graham PhD is back for the last episode of this series on Psychology and its role in caring for patients. We talk about how students are primed to live in the future and as a result we are not teaching our students to be in “the present”. That has direct implications for our patients and the quality of care that we give them. We discuss the how “the next thing”, pursued from the silo of your own home, without true interpersonal communication, is affecting our psyches, our ability to have good in-person dialogue and ultimately suicide and burnout rates. Its convicting. You’ll notice that we discussed doing an episode on the social determinants of health after Week 6 last years because “my bandwidth was going to expand…” well that seems pretty funny now. Don’t worry I spoke with Dawn today about other things and we are going to get back on track with that as well…thanks for your patience. Shoot me any comments or questions @TR Fredricks on MeWe You can connect with me on Linked In at Todd Fredricks DO or Parler me @MedicalCinema Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Beyond by Ian Post Courtesy of Artlist.io Produced by: Todd Fredricks DO Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

I promised that I would catch up and so... Dawn Graham PhD has joined us again for the second episode of her terrific interview about the world of psychology. I don’t have a lot of references for this episode so how about just one? Patient Compliance. Just start with this and google for more https://www.aamc.org/news-insights/why-don-t-patients-follow-their-doctors-advice It’s a long episode but it was a very good conversation and I enjoyed all of it. Shoot me any comments or questions @TR Fredricks on MeWe You can Tweet me @MedicalCinema or Parler me @MedicalCinema Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Interspacing by Yehezkel Raz Courtesy of Artlist.io Produced by: Todd Fredricks DO Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Some catch up thoughts about social media and the RONA… CSPAN Social Media Platform Testimony before congress https://www.c-span.org/video/?478048-1/facebook-twitter-ceos-testify-regulating-social-media-content&live= The Social Dilemma https://www.thesocialdilemma.com/ Mark Zuckerberg’s Security Costs https://www.businessinsider.com/facebook-spends-23-million-security-for-mark-zuckerberg-2019-2020-4 The Watchmen https://en.wikipedia.org/wiki/Quis_custodiet_ipsos_custodes%3F Analytics for COVID-19 Deaths https://covid.cdc.gov/covid-data-tracker/#demographics Genetic Fallacy https://en.wikipedia.org/wiki/Genetic_fallacy Corona Virus Strains https://nextstrain.org/ncov/global?c=clade_membership&dmax=2020-02-28&dmin=2020-01-31&r=region Operation Warp Speed https://www.hhs.gov/coronavirus/explaining-operation-warp-speed/index.html https://www.statnews.com/pharmalot/2020/09/08/covid19-coronavirus-trump-vaccines-fda-warp-speed/ VAMS Vaccine Management System https://www2.deloitte.com/us/en/pages/public-sector/solutions/vaccine-management-system.html Center for Threat Preparedness https://dhhr.wv.gov/healthprep/Pages/default.aspx Distribution phases of SARS CoV2 Vaccine (page 12) https://www.cdc.gov/vaccines/imz-managers/downloads/COVID-19-Vaccination-Program-Interim_Playbook.pdf First Follower Phenomenon https://www.ted.com/talks/derek_sivers_how_to_start_a_movement/transcript Social Proof https://en.wikipedia.org/wiki/Social_proof ACIP Advisory Committee on Immunization Practices https://www.cdc.gov/vaccines/acip/index.html Viral Loads in the air column https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7662582/ Stuff You Should Know https://en.wikipedia.org/wiki/Stuff_You_Should_Know Shoot me any comments or questions @TR Fredricks on MeWe Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Fuori di me by Kaput Blue Courtesy of Artlist.io Produced by: Todd Fredricks DO Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Dawn Graham PhD is a wonderful person. She is one of the most hopeful colleagues that I know and so I enjoy working with her. I am also primed by a background in abnormal psychology so I tend to like psychologists. But in this series we are going to tackle the issues of burnout, resiliency, fear. I think you will enjoy the episodes as much as I enjoyed recording them. Dawn’s Bio at OU https://www.ohio.edu/uc/grahamd Antifragility https://www.amazon.com/Antifragile-Things-That-Disorder-Incerto/dp/0812979680 Another reference which every medical student should be required to read is Michael Crichton MD’s incredible book, State of Fear https://www.amazon.com/State-Fear-Michael-Crichton-ebook/dp/B000FC2NQW/ref=sr_1_1?crid=ER34XPDD128P&dchild=1&keywords=state+of+fear+by+michael+chriton&qid=1604335974&s=books&sprefix=state+of+fear%2Cstripbooks%2C174&sr=1-1 This is perhaps all the more important in today’s current environment where people are scared of COVID, scared of the environment, scared of politics and everything becomes demonized and a crisis. When everything is a crisis, nothing is a crisis. It is not a healthy place to develop solutions that are enduring and compelling for a society to follow. Physicians, among all professions, should not live in a state of fear. They should learn to be comfortable with ambiguity and have the courage to lead in those circumstances without contributing to fear. The Paw Paw Festival https://www.ohiopawpawfest.com/ Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: See Me by Jango Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Well, because the nation has lost its mind, I think it is worthwhile to spend a little time getting you prepared for the discussion with Dawn Graham, PhD. I am concerned about how a contingent of this nation is scaring the grandmas. I am concerned about medical students who are already stressed out wondering if they live in a good nation…that has any kind of future and I am concerned about a nation that is taking some pretty basic concerns (compliance with law and statute) and turning it into a hyperbolic projection of national castrophe. So I am giving you some things to consider before we listen to Dawn. With all apologies to Dean Burke (Bill) I present you with James. Understand that Dean “Bill” Burke has plenty of interesting things to say as well. “The Big Short” by Michael Lewis https://www.amazon.com/Big-Short-Inside-Doomsday-Machine/dp/0393338827 “The Big Short” Directed by Adam McKay https://en.wikipedia.org/wiki/The_Big_Short_(film) Neutron Bomb https://en.wikipedia.org/wiki/Neutron_bomb James Burke, “Connections” https://en.wikipedia.org/wiki/Connections_(TV_series) https://www.youtube.com/watch?v=XetplHcM7aQ Certification of elections https://en.wikipedia.org/wiki/United_States_presidential_election Loma Prieta Earthquake https://en.wikipedia.org/wiki/1989_Loma_Prieta_earthquake German Citizens getting shot in the wire; https://en.wikipedia.org/wiki/The_Bridge_at_Andau “The Bridge at Andau” by James Mitchener https://en.wikipedia.org/wiki/The_Bridge_at_Andau Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Seraph by Kiba Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

What about really sick kids? Since we are in the age of the COVID we need to understand that children can have some very serious , albeit thankfully very rare, complications with a SARS CoV2 infection. But that said the American Academy of Pediatrics is strongly behind reopening schools because of all of the other positive impacts on children that schools have on them. Further the issue of dealing with hospitalized children and those with serious critical illness touches any rational person deeply. How do pediatricians deal with such things? What about the pediatricians who deal regularly with children who die from their illnesses. How do they cope with that? Kawasaki-like disease (Multisystem Inflammatory Syndrome) https://www.cdc.gov/mmwr/volumes/69/wr/mm6932e2.htm#:~:text=In%20April%202020%2C%20during%20the,in%20England*%20(1). Kawasaki disease https://www.heart.org/en/health-topics/kawasaki-disease#:~:text=Kawasaki%20disease%20(KD)%2C%20also,vessels%2C%20particularly%20the%20coronary%20arteries. School and Covid https://services.aap.org/en/news-room/news-releases/aap/2020/pediatricians-educators-and-superintendents-urge-a-safe-return-to-school-this-fall/ Clusters https://www.theatlantic.com/health/archive/2020/09/k-overlooked-variable-driving-pandemic/616548/ Health Systems Science https://www.ama-assn.org/education/accelerating-change-medical-education/teaching-health-systems-science https://www.amazon.com/Health-Systems-Science-Susan-Skochelak/dp/0323694624 Fisher House https://fisherhouse.org/ Guess what? They do have a Fisher House at Elmendorf https://fisherhouse.org/programs/houses/house-locations/ CDC Vaccine Schedule https://www.cdc.gov/vaccines/schedules/index.html Autism and Vaccinations https://autismsciencefoundation.org/what-is-autism/autism-and-vaccines/ For those of you willing to wear another type of uniform and leave medical school without debt, Neil discussed the HPSP program, his time at Joint Base Elmendorf Richardson and how we both like working with mid-levels. HPSP https://www.goarmy.com/amedd/education/hpsp.html https://www.health.mil/Training-Center/Clinicians-and-Healthcare-Providers Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Tunnel Vision by Stanley Gurvich Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

This episode, number 2 in the queue, is focused for the sake of student’s success on a pediatrics rotation. We also spend some time on pediatric diseases. Blueprints for pediatrics https://www.amazon.com/Blueprints-Pediatrics-Bradley-Marino-MSCE/dp/1451116047 First Aid for pediatrics https://www.amazon.com/First-Aid-Pediatrics-Clerkship-Fourth-ebook/dp/B075RQNKWR Harriet Lane Handbook https://www.us.elsevierhealth.com/the-harriet-lane-handbook-9780323674072.html For those interesting in the process of rapid vaccine development: Operation Warp Speed https://www.hhs.gov/coronavirus/explaining-operation-warp-speed/index.html Cystic Fibrosis Foundation https://www.cff.org/ Juvenile Onset Diabetes https://www.jdrf.org/ (which isn’t just about kids anymore) Overall it is just a very pleasant continuation of the practice of medicine in the realm of little humans… For those of you willing to wear another type of uniform and leave medical school without debt, Neil discussed the HPSP program, his time at Joint Base Elmendorf Richardson and how we both like working with mid-levels. HPSP https://www.goarmy.com/amedd/education/hpsp.html https://www.health.mil/Training-Center/Clinicians-and-Healthcare-Providers Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Walkabout-Australia by Hans Johnson Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

So here he is, after years of trying to find a pediatrician to opine about the specialty, Neil Copeland, MD; pediatrician. Neil is the first purposeful pediatrician on Rotations. If I sound gleeful it’s because I am. Pediatricians are notoriously hard to get to commit to interviews… John does a really good job of sorting out the process of getting through a pediatric residency but his comments are germane to any medical specialty. He also gives a great intro to the things that pediatricians do and the things that all good physicians should be doing prior to referring to a pediatrician. That makes this interview highly relevant to Family Physicians as well. Also, I hope you understand that the term “veterinary medicine” is an inside joke among physicians. It has nothing to do with our general love for managing children as patients. Babies can’t talk and so… …sometimes I find myself wondering why I have to explain this but we live in a hypersensitive time so there is the disclaimer. I also imagine that I will ruffle feathers with my initial comments about disaster management but I will ask that you indulge me. A lot of "expert" opinions get shot out into social media and misinform people who look at physicians as “experts” in things. That creates chaos and is not aligned with the calling of academics. I hope that a lot of young physicians consider going into administrative medicine after they get a decade or so of experience in actual clinical practice. You have to understand tactics and operations to become an effective strategic leader. The only practical way to gain that understanding is to spend a long-time practicing medicine. I would encourage you to register and take courses with FEMA’s Emergency Management Institute. It will address some of the concerns that I mentioned in the beginning of this episode. https://training.fema.gov/ FEMA https://www.fema.gov/ For those of you willing to wear another type of uniform and leave medical school without debt, Neil discussed the HPSP program, his time at Joint Base Elmendorf Richardson and how we both like working with mid-levels. HPSP https://www.goarmy.com/amedd/education/hpsp.html https://www.health.mil/Training-Center/Clinicians-and-Healthcare-Providers JBER Hospital https://www.jber.jb.mil/ USAF Surgeon General https://www.af.mil/About-Us/Biographies/Display/Article/466853/lieutenant-general-dorothy-a-hogg/#:~:text=Gen.-,Dorothy%20A.,Air%20Force%2C%20Arlington%2C%20Virginia. To close out the episode Neil introduces us to the concept of Quality Improvement Fellowships in pediatrics. Fellowship in quality improvement https://medpeds.org/residents/fellowship-guide/quality-improvement/ And hey! I found one at our own Children’s Hospital… https://www.nationwidechildrens.org/for-medical-professionals/education-and-training/fellowship-programs/quality-and-safety-leadership-fellowship Finally, I want to leave you with this and highlight another great thing from Nationwide Children’s Hospital, Monarch 1… …flying things make me happy.  https://www.metroaviation.com/project/nationwide-monarch-1/ Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Pastor Dan’s Sermon-Final Speech by SPEARFISHER Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

So, we are between series and I anticipate giving you some Neil Copeland MD next week but in the meantime I thought it would be a good time to do a COVID-19 update. So we are going to talk about Flu Shots, Convalescent Plasma, Vitamin D, SARS CoV 2 Vaccine and then a little on suicide and Who Moved my Cheese? As always I am including links in these notes for you to pursue at your leisure… Hedgerow cutter in WW II. https://en.wikipedia.org/wiki/Curtis_G._Culin Red Cross Blood Donation https://www.redcrossblood.org/ Vitamin D. https://www.medicalnewstoday.com/articles/161618#sources-of-vitamin-d Vaccines and Operation Warp Speed. https://www.hhs.gov/coronavirus/explaining-operation-warp-speed/index.html Transverse myelitis https://www.ninds.nih.gov/disorders/patient-caregiver-education/fact-sheets/transverse-myelitis-fact-sheet Who Moved My Cheese? https://www.amazon.com/Who-Moved-My-Cheese-Amazing/dp/0399144463/ref=sr_1_1?crid=1YKA8R7U2VDY0&dchild=1&keywords=who+moved+my+cheese+by+spencer+johnson&qid=1601488751&s=books&sprefix=Who+Moved+my+Cheese%2Cstripbooks%2C162&sr=1-1 The Movie. https://www.youtube.com/watch?v=OvYCLxqkfvY Second Law of Thermodynamics. https://en.wikipedia.org/wiki/Second_law_of_thermodynamics Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Kalahari Wind by SPEARFISHER Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Disclaimers: Cut Clip Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

This is the last of the episodes on Trauma Informed Care. Right up front, forgive the audio levels, that is on me, neither Lori or Jennifer like microphones and so it’s gonna be low levels. Had I been thinking I would have dropped my audio but hey, I am a family physician and not a genius audio engineer like one of my friends at OU who recently got married. Congratulations, Josh. I could have used you on this. Anyway, Lori Brown LISW-S, LICDC and Jennifer Schwirian LISW-S are social workers who have a passion for looking at predictive outcomes in health care that center around childhood traumas. They are going to continue to talk with us about ACES and TIC. So, in this final episode we continue to address this topic and in the process I hope, sensitize those of you listening to the importance of considering ACES as part of your patient intakes and initial history taking. Helping patients to understand the impact of trauma on their long-term health may just help them live longer and healthier lives. I think we all want that. SETICC https://www.facebook.com/SETICCOhio/ ACES https://www.cdc.gov/violenceprevention/acestudy/index.html Vincent Felitti MD https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220625/ https://en.wikipedia.org/wiki/Adverse_Childhood_Experiences_Study Trauma Informed Care https://www.nctsn.org/trauma-informed-care By the way, Lori doesn’t like the mic so forgive the audio levels. Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Illusory Rhythms by Spearfisher Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Lori Brown LISW-S, LICDC and Jennifer Schwirian LISW-S are back. This week on Rotations we continue ou r discussion about Trauma Informed Care. ACES is used as a predictive tool for future health issues. It is not a tool to identify mental or behavioral health problems and it was not designed to identify people who are somehow damaged. It is a tool that allows clinicians to help people understand what their long-term health risks may be. ACES is not a tool to look at social-economic status of childhood. We also discuss a little of the history of ACES and how Dr. Felliti moved from bariatric treatment and patients who dropped out of his program to identifying childhood trauma and correlating it with the propensity of overweight patients to leave bariatric treatment. It’s a good illustration of how humans are an interconnected system of mind, body and spirit and that injury in one system can reflect itself in problems in one of the other systems. It’s also a very curious story about the confirmation bias inherent in medicine; something that can create a protective conservative position or actually interfere with the progress of medical science. It also gets into the very prevalent issue of childhood sexual trauma and the hidden nature of child abuse and its potential to harm its victims well into adulthood. Soooooo, in this second episode we continue to discussion and talk about resiliency and how an understanding of ACES can help primary care physicians better understand their patients and how to guide them in their care. Antifragile by Nassim Taleb https://www.amazon.com/Antifragile-Things-That-Disorder-Incerto/dp/0812979680 SETICC https://www.facebook.com/SETICCOhio/ ACES https://www.cdc.gov/violenceprevention/acestudy/index.html Vincent Felitti MD https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220625/ Robert Anda MD https://robertandamd.com/bio-2/ https://en.wikipedia.org/wiki/Adverse_Childhood_Experiences_Study Trauma Informed Care https://www.nctsn.org/trauma-informed-care By the way, Lori is still very quiet. Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Roots by I am Fowler Courtesy of Artlist.io I needed a little funk in my life and I think Austin Powers or Jackie Brown was floating around in the back of my head. Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Lori Brown LISW-S, LICDC and Jennifer Schwirian LISW-S are social workers. They are Licensed Clinical Social workers and they work with a population of patients who have significant mental illness. As part of their work they have developed a deep understanding of trauma. Not the crash your car into a bridge piling trauma, but trauma emotional trauma that occurs in childhood from neglect, un-met needs and other emotional insults that can significantly shape behavior in adulthood. In this series we are going to look at the topic of Trauma Informed Care. This is a topic that is controversial. There are some people who think that trauma in this context is overplayed. There are others that don’t think enough attention is being paid to the impact of childhood and developmental trauma on adult behavior and mental health. So we tackle this with a discussion and let you have the opportunity to think about it and make some conclusions. In this first episode we discuss what a Clinical Social Worker is and what a Psychologist is and also what a Counselor is as far as educational requirements and what they do. Then we dive into the various agencies and players in the realm of trauma. SETICC https://www.facebook.com/SETICCOhio/ ACES https://www.cdc.gov/violenceprevention/acestudy/index.html Vincent Felitti MD https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220625/ https://en.wikipedia.org/wiki/Adverse_Childhood_Experiences_Study Trauma Informed Care https://www.nctsn.org/trauma-informed-care By the way, Lori doesn’t like the mic so forgive the audio levels. Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Toy Symphony by Nir Maimon Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

I decided to give you a little teaser before I launch into trauma this week. When we speak of trauma for the next 3 weeks on Rotations we are not going to be thinking of the 70 MPH into a bridge abutment with a Lifeflight from the scene to the Level 1 facility for emergency care kind of trauma. We are going to discuss something else. Trauma in the context of behavioral health concerns itself with things that happen in childhood and how they shape a person into adulthood. It is controversial and some people behind it get pretty passionate. But I will be honest, until I started learning about it, I wasn't all to entertaining of its impact. But after giving it a think I actually asked one of our psychologists to lead his class for our medical students during Veterans Health Week and discuss the topic. It's important for us all to know about and to think about. You can start your education here. https://www.traumainformedcare.chcs.org/what-is-trauma-informed-care/ I also finish up with a brief discussion of concerns about cardiac health after COVID. I deal with it more aggressively on my You Tube channel but you can search that out for yourself. In the mean time, I'm finishing up and hopefully by Thursday you will hear Lori and Jennifer start their conversation with me on trauma. Intro and Outro Music: Mouthbeat Grooves by J Stone Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Wow, I took a hiatus…well not really. In this 3rd and final segment with Melissa Thomas, PhD we start with mindfulness. That’s apropos because the Amish deal with time in a different fashion than do the “English”. BTW, I am “mindfully” giving you an extra-long episode… Dr. Thomas also clearly lets us know that she can “unplug” with the Amish. She leaves the phone in the car. That’s an important concept in an age when more and more people seem to be incapable of actually being without their phone for more than 5 minutes. The other thing we discuss is assumptions. For the Amish, their concept of what is “healthy” may be a different concept from that of “English” society. Healthy for the Amish may mean “I can provide for my family.”. Amish patients may not even ask a question thinking a physician’s time is valuable and if there was something to say, the doctor would tell them. Well we find out that time is again a critical factor and Western needs for “getting it done” might not be the best medicine. It might be letting a patient have some time to sort out how disease impacts their lives. It’s also challenging to the average American that thinks that you can’t have free market health care to hear that the Amish will shop around for open heart surgery. They will ask questions to save money. Bottom line the Amish remind all of us that we have a fiduciary duty to our patients. They deserve to know what they are paying for what they are getting. Kudos to Pomerene Hospital. I loved working there 18 years ago in the ER. Had I lived closer to Millersburg I would still be working there. Slow TV. https://youtu.be/EXKATEeB64U (Look for the Queen of Norway in this compressed version) Joel Pomerene Hospital https://www.pomerenehospital.org/ The Behalt: The Amish and Mennonite Heritage Center https://behalt.com/ I’d be woefully wrong not to include a link to Leemans https://www.lehmans.com/ Life Through Their Lens http://appalcare.org/life-through-their-lens-photo-book/ Buy a copy, all proceeds go back into the research and programs to help the Amish Communities. Holmes County Ohio https://en.wikipedia.org/wiki/Holmes_County,_Ohio Microfiche https://en.wikipedia.org/wiki/Microform I am going to keep the reggae through this. Its happy and it’s upbeat and the irony of it, given that I will never see an Amishman in dreads, is too rich to avoid…plus I haven’t had the time to go out to Danny’s place and asking him if he minds if I use his family’s singing…I’ll get there. Rotationspodcast@gmail.com But honestly, we seldom check it. Use the Social Media links… Catch us on twitter at @RotationsPcast Todd @MedicalCinema. Brian @Profplow and Nisarg @NisargBakshi You can also send comments to Todd at TR Fredricks on Facebook. Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Darb by the Tarante Groove Machine Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Sarah Adkins PharmD…Pi was still there. Look for her on Facebook… Disclaimers: Todd Fredricks, DO Cut Clip: Nope Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are those of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

So…forgive this upload but frankly after 3 weeks of nothing you deserve an explanation...so here it is. Blame the COVID... That said, I have the content and I will finish Melissa Thomas' series in the next week but this COVID thing has really put the demands on time and that is across all of my jobs. Then I went to see my family out west. So here is my school excuse and hopefully in the next week we will have the schedule working better. As far as Napoleon's march into Russia here is the map...study this... https://en.wikipedia.org/wiki/Charles_Joseph_Minard Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Up To The Sky & Discovery both by Roman P Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Disclaimers: Cut Clip Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

The continuation of our interview with Melissa Thomas PhD and her experiences with the Amish people of Ohio and studying their health care. Melissa has 20+ years of working with the Amish of Ohio and she has gathered so many experiences that she has also published an extremely unique boom of photographs that the Amish gave her permission to create to help people see into their lives. Melissa makes nothing from this project and all proceeds go back into the care of Amish women and preventing deaths from breast cancer. Please consider donating to her project and you can find details here: http://appalcare.org/project-hoffnung/ We also ask that you share this on Facebook and with your friends to get the word out. So the interview takes us from the LSU Tigers and Joe Burrow through a description of the history of the History of the Amish and the values of their community. I’d be remiss in this age of treacherous youth narcissism if I didn’t mention Joe Burrow (who is frankly pretty well-liked around here) and his initial action with fame. He chose not to discuss himself but to focus on the needs of the poor in his community. In the process he helped raise $500,000 for the food bank right before COVID-19 hit the area. That was not an act. Joe is genuinely a good man, and a Bengal, so if you want to follow his lead, consider helping the food bank. Athens Food Bank https://www.facebook.com/athenscountyfoodpantry/ https://www.foodpantries.org/ci/oh-athens Rumspringa https://en.wikipedia.org/wiki/Rumspringa#:~:text=Rumspringa%20(Pennsylvania%20German%20pronunciation%3A%20%5B,used%20in%20some%20Amish%20communities. Joseph F. Donnermeyer, PhD MA, Professor Emeritus, OSU https://oaa.osu.edu/donnermeyer-joseph For new listeners you might be curious about “The School whose Name Shall not be Mentioned”. Let’s be clear, I bleed Green and White and that other school gets all of the press in Ohio, so I am not going to promote them anymore. But if you really want to know who I am referring to… https://www.youtube.com/watch?v=vxyWj4DMo-8 Finally, I am going to keep the reggae. Having actually been to Bob Marley’s House and not having rights to use any of Madness’ music I am going to continue to introduce everyone to some of the very talented artists on artlist.io Rotationspodcast@gmail.com But honestly, we seldom check it. Use the Social Media links… Catch us on twitter at @RotationsPcast Todd @MedicalCinema. Brian @Profplow and Nisarg @NisargBakshi You can also send comments to Todd at TR Fredricks on Facebook. Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Tired by the Young Lords Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Sarah Adkins PharmD, again, because nobody else was in the building and her minion Pi wanted to participate in a podcast… Disclaimers: Todd Fredricks, DO Cut Clip: I should get there in the next few weeks. Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Zoom H4N Rode Lavalier Go Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Sorry, but I do like reggae. Soooo, I gave you an ample dose of it. Frankly with all of the current kerfluffle I think a good chunk of one drop rhythm will make almost anyone happy…and cousin, we need some happy right now. So, there you are. In this series we find out that would-be meteorologists can fall into things like health care disparity research in Amish communities in Geauga and Holmes County, Ohio. Melissa Thomas PhD has a doctorate in science (public health) and is super smart and as non-threatening as anyone you will ever meet. She is just a very pleasant person and she has a very sophisticated sense of humor. That means that you can have a real conversation with her without feeling like you need a vacation afterward. Melissa has a heart for the Amish. Specifically understanding breast cancer in their communities and helping them not die from a disease that has a pretty good survival rate if patients just know what to do. She works tirelessly at trying to help a substantial portion of the population of Ohio. The talk is definitely about the Amish but it is also about cultural competency and how health care folks can move into and out of cultures that are very different from their own and not do damage in the process. She has a lot of wisdom to share and we hope you find something new to think about. Fun Fact, I edited this in July 2020 and I just went to Amish country and it was vibrant and working and sunny and greatly enjoyable. You should go. As well they have a lot of eBikes. Yes, the Amish do use technology but they are very concerned about how anything they use affects their humility and their relationship with God so they consider carefully the impact of any new thing on their way of life. Go to Amish country, learn and see some wonderful folks who represent some of the awesomeness of our great state. Melissa Thomas PhD https://www.ohio.edu/uc/thomasm5 Avon Corporation https://about.avon.com/us-about/corporate-responsibility/avon-breast-cancer-crusade Daniel Skinner PhD https://www.ohio.edu/experts/expert/daniel-skinner Dan also produces a podcast called “Prognosis” https://podcasts.apple.com/us/podcast/prognosis-ohio/id1438757698 Berkeley Franz PhD https://www.ohio.edu/experts/expert/berkeley-franz Todd’s Three Rules of Civil Affairs: 1. All people want to grow old and die peacefully in their sleep. 2. All people want to see their grandchildren. 3. All people want ice cream on Sunday. In 29 years of working across any number of populations across cultures on 7 continents I have operated with these three rules as the starting point for any discussion and/or negotiation and they have never failed me. Always start with what is common to all of us and you will find the dialogue goes a lot better. As far as wonkish tschotchkies I have now given Melissa a baby Yoda…seriously. If you ever visit her she will probably have him on her desk… Catch us on twitter at @RotationsPcast Todd @MedicalCinema. Brian @Profplow and Nisarg @NisargBakshi Todd at TR Fredricks on Facebook. Look for more Rotations Content at iTunes at Rotations Podcast. Intro and Outro Music: Autumn Breeze by Roger Rivas Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Sarah Adkins PharmD (Because she was bored) her minion “Pi” had no choice in the matter. Disclaimers: Todd Fredricks, DO Cut Clip: None… we are getting there with production Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

The last episode of our series with John Bishara DO. In this discussion we try and cover the most current developments in COVID and address some of the social media challenges in a public health crisis. It will probably run a little long but hey, you get what you pay for and in the case of Rotations you get a lot more than you pay for sometimes. And as always… Wear a mask in close and indoor public spaces. Period. Full stop. Coagulopathy and COVID https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225095/ Management of Pregnancy with COVID-19 https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/03/novel-coronavirus-2019 This seems like a perfectly good place to have Armando Hasudungan talk to us about cells… https://www.youtube.com/watch?v=HjlWm3LudJs How about Nucleus Medical Media as well? https://www.youtube.com/watch?v=URUJD5NEXC8 And while we are at it lets review Drew Berry’s TED talk… https://www.youtube.com/watch?v=WFCvkkDSfIU WVU Medicine Charleston Area Medical Center https://en.wikipedia.org/wiki/Charleston_Area_Medical_Center Rotationspodcast@gmail.com But honestly, we seldom check it. Use the Social Media links… Catch us on twitter at @RotationsPcast Todd @MedicalCinema. Brian @Profplow and Nisarg @NisargBakshi You can also send comments to Todd at TR Fredricks on Facebook. Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Born Again by Michael Shynes Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: None, I did this after hours and you know work rules for students Disclaimers: Sarah Adkins PharmD, The Phlegmatic Pharmacologist (It’s truly worth listening to her outro…you’re welcome) Cut Clip: None Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Zoom H4N Rode Lavalier Go mics Countryman Lavalier mics Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

In this episode we continue with the discussion of moral injury. I can boil it down to a single concept: If you are thinking that you are unsure of whether or not you can continue to remain moral and ethical in your current practice, you have moral injury. The ideas in this episode are tough. How do we educate medical students to be aware of this concept? How do we empower physicians to deal with it? How do we work around administrations that are indifferent and only serve a spreadsheet? How do we work with sympathetic administrators who actually do want a healthy physician and clinician group but are constrained by insurance companies and regulations in their options to work toward that? The cynic will shout “Nationalize all Health Care”. But here is a news flash, The VA is federalized medicine and moral injury is not a stranger in the VA. Large bureaucracies don’t work well toward the goal of building familiarity and common understanding of local group needs. This is a very tough topic. We end with a discussion on physician unions. The dialogue doesn’t make that a panacea either. Private practice folks cannot unionize for some reason but employed physicians can unionize. But keep in mind, what does a strike look like? The reality is that like air traffic controllers, you can have a union but do you strike when it means you are not caring for patients? I ran this long because we had enough content for 2 episodes but not quite enough for 3, so forgive me. Wendy Dean MD Twitter @WDeanMD Simon Talbot MD https://physiciandirectory.brighamandwomens.org/details/1847/simon-talbot-plastic_surgery-boston Moral Injury https://fixmoralinjury.org/ Burnout https://www.aafp.org/fpm/2015/0900/p42.html https://www.npr.org/2016/12/08/504864961/when-a-psychologist-succumbed-to-stress-he-coined-the-term-burnout The Mini Z https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/PDFs/wlc/wlcMiniZ.pdf Malach Burnout Scale https://en.wikipedia.org/wiki/Maslach_Burnout_Inventory Fiduciary Responsibility http://www.businessdictionary.com/definition/fiduciary-duty.html Press-Ganey Scores https://www.pressganey.com/About/News/Patient-Satisfaction-Scores-Optimizing-The-Patient-And-Clinician-Experience Pay Parity https://www.nursepractitionersoforegon.org/page/news20160225/Legislature-Votes-to-Make-NP-Payment-Parity-Law-Permanent.htm#:~:text=Oregon's%20nurse%20practitioner%20payment%20parity%20law%20is%20the%20first%20law,they%20perform%20the%20same%20services. Rotationspodcast@gmail.com But honestly, we seldom check it. Use the Social Media links… Catch us on twitter at @RotationsPcast Todd @MedicalCinema. Brian @Profplow and Nisarg @NisargBakshi You can also send comments to Todd at TR Fredricks on Facebook. Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Corals Under the Sun by Sivan Talmor Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: None, I did this after hours and you know work rules for students Disclaimers: Todd Fredricks, DO Cut Clip: None… we are getting there with production Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Zoom H4N Rode Lavalier Go Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

The second of 3 episodes with John Bishara DO, Pediatric Pulmonologist. We get into the meat of COVID-19. Wonder why we are getting so concerned over this when we were not as concerned about SARS and MERS? We talk about it. Want to know how COVID-19 kills and maims people? We talk about it. Want to know the truth about this disease, specifically its affects on children? We talk about it. Frankly I don’t mind the comments on social media about COVID-19, what I mind is that amateurs with a voice may influence people who then behave in a manner that leads to the infection of a nursing home or the death of a child. The bottom line is that COVID-19 is not a government conspiracy. Period. It is a real disease that is very mysterious in how it behaves and it has killed over 110,000 Americans in just 3 months. So if you want to learn more, listen and while you do, ask yourself this; if it could save one life, is wearing a mask in Kroger for an hour worth it? Wear a mask in close and indoor public spaces. Period. Full stop. SARS https://www.who.int/csr/sars/en/ https://www.cdc.gov/sars/index.html https://en.wikipedia.org/wiki/Severe_acute_respiratory_syndrome MERS https://www.cdc.gov/coronavirus/mers/index.html https://www.who.int/emergencies/mers-cov/en/ https://en.wikipedia.org/wiki/Middle_East_respiratory_syndrome Incubation Period https://en.wikipedia.org/wiki/Incubation_period Case Fatality https://en.wikipedia.org/wiki/Case_fatality_rate High Flow Nasal Canula https://rebelem.com/high-flow-nasal-cannula-hfnc-part-1-how-it-works/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358040/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5406687/#:~:text=HFNC%2C%20like%20CPAP%2C%20is%20a,resistance%20%5B10%2C11%5D. Cytokine Storm https://www.cancer.gov/publications/dictionaries/cancer-terms/def/797584 https://www.nytimes.com/2020/06/11/health/coronavirus-cytokine-storm.html https://www.youtube.com/watch?v=AXP9qQ_a0fw COVID-19 and Coagulopathy/Thrombosis https://ashpublications.org/blood/article/135/23/2033/454646/COVID-19-and-its-implications-for-thrombosis-and COVID-19 and Cardiomyopathy https://heartfailure.onlinejacc.org/content/8/6/512 Point of Care Ultrasound https://www.acc.org/latest-in-cardiology/articles/2017/10/31/09/57/point-of-care-ultrasound https://www.sonosite.com/about/what-pocus-point-care-ultrasound Rotationspodcast@gmail.com But honestly, we seldom check it. Use the Social Media links… Catch us on twitter at @RotationsPcast Todd @MedicalCinema. Brian @Profplow and Nisarg @NisargBakshi You can also send comments to Todd at TR Fredricks on Facebook. Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: My Father’s Son by Jay Denton Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: None, I did this after hours and you know work rules for students Disclaimers: Todd Fredricks, DO Cut Clip: None… we are getting there with production Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Zoom H4N Rode Lavalier Go Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

This series is a little different. Obviously, a pulmonologist has something to say about COVID-19 these days. So, John and I decided to break it up. Episode 1 will deal with becoming a pulmonologist and what that is like. Episode 2 is all about COVID-19 and what it does what it does. Basically, what do we know about this disease as of 8 June 2020. Episode 3 is the catchall of questions and how the incredible blessing of the internet is also a major headache for people trying to care for the critically ill and also prevent people from actually getting COVID-19 and dying because someone thinks a mask is not useful. Dr. Bishara is also an officer in the United States Air Force and has been a principle advisor for public health policy within the West Virginia National Guard. He is about as humble as they come, and he deals with the sickest of sick people. He is someone that is approachable on any level and he loves what he does, mucus and all. Finally, I want to reiterate that I am running John’s episode concurrently with Wendy Dean and Simon Talbot’s because while COVID-19 is not the same thing as Moral Injury in health care but they are related at this point in the disease. It is also really important that John’s words compete with all of the insanity that we see on the internet along the lines of masks don’t work. At the time of this recording 110,000 Americans are dead from COVID-19 and despite popular belief, this disease is hurting a lot more children than we thought at first. Wear a mask in close and indoor public spaces. Period. Full stop. Telemedicine https://www.aafp.org/media-center/kits/telemedicine-and-telehealth.html NICOM https://www.nyit.edu/medicine WVU Medicine Charleston Area Medical Center https://en.wikipedia.org/wiki/Charleston_Area_Medical_Center Rotationspodcast@gmail.com But honestly, we seldom check it. Use the Social Media links… Catch us on twitter at @RotationsPcast Todd @MedicalCinema. Brian @Profplow and Nisarg @NisargBakshi You can also send comments to Todd at TR Fredricks on Facebook. Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: None, I did this after hours and you know work rules for students Disclaimers: Todd Fredricks, DO Cut Clip: None… we are getting there with production Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Zoom H4N Rode Lavalier Go Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

This series is a little different. Obviously, a pulmonologist has something to say about COVID-19 these days. So, John and I decided to break it up. Episode 1 will deal with becoming a pulmonologist and what that is like. Episode 2 is all about COVID-19 and what it does what it does. Basically, what do we know about this disease as of 8 June 2020. Episode 3 is the catchall of questions and how the incredible blessing of the internet is also a major headache for people trying to care for the critically ill and also prevent people from actually getting COVID-19 and dying because someone thinks a mask is not useful. Dr. Bishara is also an officer in the United States Air Force and has been a principle advisor for public health policy within the West Virginia National Guard. He is about as humble as they come, and he deals with the sickest of sick people. He is someone that is approachable on any level and he loves what he does, mucus and all. Finally, I want to reiterate that I am running John’s episode concurrently with Wendy Dean and Simon Talbot’s because while COVID-19 is not the same thing as Moral Injury in health care but they are related at this point in the disease. It is also really important that John’s words compete with all of the insanity that we see on the internet along the lines of masks don’t work. At the time of this recording 110,000 Americans are dead from COVID-19 and despite popular belief, this disease is hurting a lot more children than we thought at first. Wear a mask in close and indoor public spaces. Period. Full stop. Telemedicine https://www.aafp.org/media-center/kits/telemedicine-and-telehealth.html NICOM https://www.nyit.edu/medicine WVU Medicine Charleston Area Medical Center https://en.wikipedia.org/wiki/Charleston_Area_Medical_Center Rotationspodcast@gmail.com But honestly, we seldom check it. Use the Social Media links… Catch us on twitter at @RotationsPcast Todd @MedicalCinema. Brian @Profplow and Nisarg @NisargBakshi You can also send comments to Todd at TR Fredricks on Facebook. Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: None, I did this after hours and you know work rules for students Disclaimers: Todd Fredricks, DO Cut Clip: None… we are getting there with production Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Zoom H4N Rode Lavalier Go Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Sooooo...we are just gonna dive in. Some of you may remember our discussion with Pamela Wible MD about physician suicide. It was compelling. Well suicides don’t happen in a vacuum and so speaking about things that might drive a physician to despair is a pretty important. So we are gonna discuss moral injury. You can google that and get a definition for moral injury but I think that it is better to just get a couple of the folks who are deeply involved in this topic and trying to raise awareness of it. SO I was about to get ahold of Wendy Dean MD and Simon Talbot MD and have a chat with them. I challenge you to think about burnout and moral injury in context and then of course, if you have questions, check out the associated links below. It was a great interview and I want to thank both Wendy and Simon for carving out their time to spread the message of a very real thing that negatively affects physicians and sometimes, causes them to decide that ending their lives is the only solution. Pamela Wible MD https://www.idealmedicalcare.org/ Wendy Dean MD Twitter @WDeanMD Simon Talbot MD https://physiciandirectory.brighamandwomens.org/details/1847/simon-talbot-plastic_surgery-boston Moral Injury https://fixmoralinjury.org/ Burnout https://www.aafp.org/fpm/2015/0900/p42.html https://www.npr.org/2016/12/08/504864961/when-a-psychologist-succumbed-to-stress-he-coined-the-term-burnout The Mini Z https://www.vumc.org/health-wellness/sites/vumc.org.health-wellness/files/public_files/PDFs/wlc/wlcMiniZ.pdf Malach Burnout Scale https://en.wikipedia.org/wiki/Maslach_Burnout_Inventory Fiduciary Responsibility http://www.businessdictionary.com/definition/fiduciary-duty.html Press-Ganey Scores https://www.pressganey.com/About/News/Patient-Satisfaction-Scores-Optimizing-The-Patient-And-Clinician-Experience Rotationspodcast@gmail.com But honestly, we seldom check it. Use the Social Media links… Catch us on twitter at @RotationsPcast Todd @MedicalCinema. Brian @Profplow and Nisarg @NisargBakshi You can also send comments to Todd at TR Fredricks on Facebook. Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Shallow Water by Sivan Talmor Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: None, I did this after hours and you know work rules for students Disclaimers: Todd Fredricks, DO Cut Clip: None… we are getting there with production Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Zoom H4N Rode Lavalier Go Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

I am about to release a very compelling series of episodes on Moral Injury in Health Care workers. I was prompted to do this because of the work of Pamela Wibel MD and other sources that we have spoken with over the years about physician suicide. My work with public health response during COVID-19 has made me all the more sensitive to this issue. Then, 2 weeks ago, a young man that I knew pretty well took his own life. It had a far reaching impact and so moral injury just hit very close to home. Because I am releasing this during the massive response to the death of George Floyd I felt that I needed to put this series into context. Nobody other than a sociopath thinks the death of another person is a good thing and nobody concerned about the health of our nation can casually ignore a death that occurs during a police arrest but I hope that in this intro to other things you understand why I am not going to join into the legion of voices commenting about those events. I am going to address something that I can speak to with some authority and that is why I felt the need to address questions that will arise when this goes out. I hope you get something out of this and I think you will learn a lot from Wendy and Simon as I post their content. If you want a taste of it, head over to https://fixmoralinjury.org/ Look at this paper https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6752815/ and then prepare to listen to a dialogue about all of it. While we are at it I want to point out that the music of this episode, which is just awesome, was picked for its mood and it is called. Hold Me Down by Oliver Michael Courtesy of Artlist.io I recommend you sample their stuff, I cannot thank them enough for this service. And one last shameless plug, if you like this content please tweets it, forward it to your facebook friends and spread it around. Look after your doctors, PAs and nurses, you need them. Finally, if you have comments, hit me up on Facebook at TR Fredricks or on Twitter @MedicalCinema Have a great week!

We continue with the interview (actually 2) the long-lost interview, with Dr. Todd Jamrose, Psychiatrist extraordinaire, D & D Player and BlueJackets Hockey Fan. We hit on clinical operations and the spider sense of physicians caring for patients. If they look sick they are sick. If they don’t look sick but your gut is saying that they are; they are. We get into the STAR*D study and talk about SSRIs and compliance and actually telling your patients about what you are prescribing for them. Adherence versus compliance is a distinction that all physicians should fully understand. It takes time, trust and patience to develop that with your patients. So hopefully as you listen you pick up some pearls and perhaps learn a little more about why you might want to pick psychiatry as a specialty if you happen to be a medical student. There is a lot medicine in psychiatry, especially when you start dealing with the anti-psychotics. Modern psychiatry, well-practiced, saves a lot of live and restores quality of life to people who suffer desperately with disordered or confused thoughts and feelings. Producers note: I am editing this just 5 days after finding the body of a friend and fellow soldier that decided to end his life. I’ll have more to say about this but not in this episode. Suicide is a terrible thing and I beg of you, if you are contemplating it, understand that you will leave more sadness than you can imagine. It is never neat. It is never clean. You can’t solve your problems by killing yourself; you’ll just break the hearts of those around you who will spend the rest of their lives wondering, why you didn’t reach out and allow them to be a friend. The National Suicide Prevention Hotline is 1-800-273-8255 Before you make a decision that is permanent at least take the time to make a call. You are worth it and the people who love you will be forever grateful. Also, I decided to break tradition and add a vocal to intro and outro. I encourage you to check out Artlist.io There is an incredible collection of great music there and the artists need your support. The Columbus Blue Jackets https://www.nhl.com/bluejackets National Alliance on Mental Illness Walks https://www.namiwalks.org/ The STAR*D Study https://en.wikipedia.org/wiki/STAR*D Ohio University Hockey https://www.ohiobobcathockey.com/ OMM https://www.aacom.org/become-a-doctor/about-osteopathic-medicine/omm-optimizing-patient-focused-health-care- Dr. Jamrose’s reference for medical students https://stahlonline.cambridge.org/essential_4th.jsf Catch us on twitter at @RotationsPcast Todd @MedicalCinema. Brian @Profplow and Nisarg @NisargBakshi You can also send comments to Todd at TR Fredricks on Facebook. Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: When I get There by Maya Isac Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Mara Leyendecker OMS IV Disclaimers: Chukwudubem Obianadha OMS IV Cut Clip: None… we are getting there with production Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

So this is the long lost Dr. Jamrose series. Basically we recorded this well over a year ago and Todd Jamrose was terrific about spending time speaking with us about why psychiatry matters. We examine all sorts of things in this series about psychopharmacology, clinical psychiatry, acute in-patient psychiatry, VA Health Care and all manner of other things. Mara Leyendecker OMS II hosted this and now she is an OMS IV. So you will hear her voice in this as well. Psychiatry is an underserved specialty that has more spots available in the country than graduate residents to fill them. Mara wants to be a psychiatrist and she will get into that as well. So hopefully this foray into the world of the mind, body, spirit and how they work together will inspire some of you. If not, understand that Dr. Jamrose is an avid hockey fan (Go Bluejackets!) and Dungeons an Dragons player. He has an astute affinity for comic book pop culture and will speak with anyone who wants to understand why Green Lantern is the best superhero. Fredricks disagrees with him because he is purely devoted to Captain America and The Winter Soldier. So join us as we rant and riff along with one of the funniest and least self-conscious physicians that you will ever meet. Dr. Jamrose has been a practicing paramedic, high school band director and acutely focused on caring for those who struggle daily with broken brains, emotions and trauma. He is a refreshing guy with whom to talk medicine and spend a few hours watching the crease at Nationwide. Concorde College https://www.concord.edu/ EMTs https://www.naemt.org/ What is a DO? https://osteopathic.org/what-is-osteopathic-medicine/what-is-a-do/ Chillicothe VA on the campus of the former Camp Sherman https://www.chillicothe.va.gov/ http://ohiohistorycentral.org/w/Camp_Sherman OMM https://www.aacom.org/become-a-doctor/about-osteopathic-medicine/omm-optimizing-patient-focused-health-care- Dr. Jamrose’s reference for medical students https://stahlonline.cambridge.org/essential_4th.jsf The email account is: Rotationspodcast@gmail.com But honestly, we seldom check it. Use the Social Media links… Catch us on twitter at @RotationsPcast Todd @MedicalCinema. Brian @Profplow and Nisarg @NisargBakshi You can also send comments to Todd at TR Fredricks on Facebook. Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: An Unquiet Mind by Glories Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Mara Leyendecker OMS IV Disclaimers: Moi Cut Clip: None… we are getting there with production Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Zoom H4N Rode Lavalier Go Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

David Morton PhD The Noted Anatomist Episode 3 by Media in Medicine

The final part of our great visit with Dr. David Morton. In this episode we discuss the nature of editing and working with social media for education. We talk about Google and YouTube as vehicles for information exchange. Then the wonk factor about education talk. Does the future of medical education come down to just 5 or 6 really excellent content producers that are paid a license fee by the schools? Well before you get worried, David doesn’t quite see the future looking like this. Our segment on MOOCs really got me rethinking about the actual value of the anatomy lab. It is well known that I hated anatomy but the introduction of ultrasound made it palatable for me and understandable. This is why we need faculty and this is why we need faculty in person and on site, but the nature of the faculty needed will change and it favors those who can correlate their instruction with clinical application. I would also mention that David gets a little Zen about the whole experience of anatomy but his points are extremely well taken. He changed my mind as to why I should actually be thankful for all those formalin fumes. We discuss the myriad of buzzwords and new shiny objects that educators come back from conferences with and how they are meant to solve all problems and generally miss the fundamental point of education. This segment at around 18:00 minutes is probably the best of the segment for anyone aspiring to be a great educator. Frankly the entire podcast is a good place for an aspiring medical educator in the age of COVID-19 to start thinking about what medical education looks like, should look like and will look like… The Noted Anatomist https://www.youtube.com/channel/UCe9lb3da4XAnN7v3ciTyquQ David’s Academic Page at the “U” https://medicine.utah.edu/faculty/mddetail.php?facultyID=u0166427 Dr. Morton uses Apple Keynote for his video products and a USB microphone of high quality for his work. Camtasia https://www.techsmith.com/video-editor.html The comments by David reflect why I stick with Final Cut for all editing. Plow likes Premier but once you get used to a product you stick with it. Massive Open Online Education Courses https://en.wikipedia.org/wiki/Massive_open_online_course Kahn Academy https://www.khanacademy.org/ Osmosis https://www.osmosis.org/ As always you can send comments to me at: TR Fredricks on Facebook @MedicalCinema on the Twitter You can reach Brian Plow @ProfPlow on the Twitter You can reach Nisarg Bakshi @nisargbakshi on the Twitter or Rotationspodcast@gmail.com Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Celebrate your Heart by Maytal Michaeli Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost:  done all by myself Disclaimers: Myself (all the students went home) Cut Clip: Todd Jamrose DO and Mara Leyendecker OMS IV, FINALLY in the lost Jamrose Episodes… Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 11 Final Cut Pro X MacBook Pro Tama mic stands Coachmen Lavs RODE Lavalier Go Zoom H4N Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Part 2 of the series where we were able to dialogue with David Morton, PhD of the University of Utah. David has a little online presence thing called The Noted Anatomist. Basically, 115,000 people, we can surmise that most of them are medical students, have decided that David’s approach to teaching anatomy is worthy of their time. So, knowing this I figured that it was time to track David down and discuss this whole deal. In this segment we talk about the nature of modern medical education, textbooks, costs, how students now consume medical education and how The Noted Anatomist actually makes his content. How do Medical Universities manage this change in educational approach? What do the good universities do? The Universities who value creativity in faculty and are willing to push the boundaries of what constitutes a “traditional” approach to medical education? Is scholarly work just journals and textbooks or does audiovisual content posted through social media constitute a new way of doing this? The Noted Anatomist is INTERNATIONALLY affecting. Basically the ability to reach content consumers is at a level never before experienced in medical education. Further, the issue of content control now favors the content creator more than ever. Creators are not dependent upon publishers and editors or other agents that demand changes to the creator’s vision or ideas. Creators can now just publish on multiple platforms and become experts at distribution. It’s crazy just how much access there is now. The Noted Anatomist https://www.youtube.com/channel/UCe9lb3da4XAnN7v3ciTyquQ David’s Academic Page at the “U” https://medicine.utah.edu/faculty/mddetail.php?facultyID=u0166427 Strong Medicine https://www.youtube.com/channel/UCFq5vPnNRNNNysLrktz4aSw Dr. Morton uses Apple Keynote for his video products and a USB microphone of high quality for his work. The Ogden Mustangs https://www.ogdenmustangs.com/ As always you can send comments to me at: TR Fredricks on Facebook @MedicalCinema on the Twitter You can reach Brian Plow @ProfPlow on the Twitter You can reach Nisarg Bakshi @nisargbakshi on the Twitter or Rotationspodcast@gmail.com Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Bones by C.K. Martin Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Solo Mission on this one Disclaimers: Myself (all the students went home) Cut Clip: None yet, still climbing the curve… Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 11 Final Cut Pro X MacBook Pro Tama mic stands Coachmen Lavs RODE Lavalier Go Zoom H4N Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

In this series we dialogue with David Morton, PhD of the University of Utah. David has a little online presence thing called The Noted Anatomist. Basically, 115,000 people, we can surmise that most of them are medical students, have decided that David’s approach to teaching anatomy is worthy of their time. So knowing this I figured that it was time to track David down and discuss this whole deal. Although I interviewed David this past winter (January 2020) in Salt Lake, since then COVID-19 has become a highly disruptive influence to the process of medical education. But in a fit of premonition, David and I decided to discuss what the internet has done for education. In short, the brave new world is the domain of the content creators and the better content that you can create, the more value students place in watching it. David was not happy with how he was taught, and just so that we are clear here, he could have gone to medical school, but he decided to be an anatomist instead and he was determined to develop pre-study materials that would make his instruction in anatomy all the more meaningful to the students. So, in this first part of the series we talk about his back ground and how he evolved as an online educator. The interview took place in his office at The “U” and I am not kidding when I tell you that the place was like a bunker. Happily, the inherent processing capable of Final Cut Pro delivered an absent air handler that I was really concerned about. I hope that you enjoy listening to it as much as I enjoyed recording it. In doing this interview, I not only found a kindred educator but a new good friend… The Noted Anatomist https://www.youtube.com/channel/UCe9lb3da4XAnN7v3ciTyquQ David’s Academic Page at the “U” https://medicine.utah.edu/faculty/mddetail.php?facultyID=u0166427 David’s work on Computer Assisted Instruction in Ghana https://www.researchgate.net/publication/340578545_Incorporating_computer-assisted_instruction_CAI_into_a_Ghana_West_Africa_medical_school_curriculum Good luck finding him finding him playing a guitar…I looked everywhere but I know that I have seen it…Finally thanks to MS 1 Lindsey Wright I found it. https://www.facebook.com/UofUMedicine/videos/dr-mortons-gi-song/770753873264207/ The Ogden Mustangs https://www.ogdenmustangs.com/ As always you can send comments to me at: TR Fredricks on Facebook @MedicalCinema on the Twitter You can reach Brian Plow @ProfPlow on the Twitter You can reach Nisarg Bakshi @nisargbakshi on the Twitter or Rotationspodcast@gmail.com Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Bones by C.K. Martin Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Solo Mission on this one Disclaimers: Myself (all the students went home) Cut Clip: None yet, still climbing the curve… Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 11 Final Cut Pro X MacBook Pro Tama mic stands Coachmen Lavs RODE Lavalier Go Zoom H4N Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Our second episode with Nisarg Bakshi (now DO) OMS IV and cofounder of Rotations. We pick up where we left last week with Nisarg as he talks about moving on to begin his career as a pediatrician at Cook County Hospital in Chicago. What’s involved in a big move to a big city with an entirely different set of medical issues than most small parts of American face? Well Nisarg tells us. In addition, he talks about his strategy (or lack thereof) in picking a residency location (we think he just turned it into a chance to see friends and parts of the country where he could find good food). We discuss McDonalds in India and how India is dealing with COVID-19. Nisarg also discussed the cost of doing his interviews and also the challenges in dealing with all of this during the worst pandemic faced for 100 years. It’s a good interview and a time to catch up with one of Rotation’s co-founders. Finally, we get a commitment from him to get some serious interviews done up in Chicago after his first year is under his belt. So, listen along as Nisarg continues his journey toward being the best pediatrician on the planet…or at least in the top 5. We are seeing a decided emptiness of comments (good or bad) and you know that all you have to do is send them to TF Fredricks on Facebook or tweet them to @MedicalCinema (Fredricks) or @ProfPlow (Brian Plow) and if they are good ones we might even talk about them. Nisarg is lonely and would love to have twitter friends @NisargBakshi The email account is: Rotationspodcast@gmail.com But honestly we seldom check it. Use the Social Media links… Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com/Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Verve by Assaf Ayalon & Pure Magic by Zac Nelson Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Nisarg Bakshi OMS 4 Disclaimers: Moi Cut Clip: None… we are getting there with production Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

We found Nisarg. He was hunkered down weathering COVID-19 and we had a really nice chat about 4th year, matching and the trial of figuring out what he’s going to do for the rest of his life. Along the way we discussed his puzzling (not really) decision to go to Chicago. It’s 2 sequential episodes that are very good for the current times and for any medical student who feels stressed about how you figure out what you want to do when you grow up. Let us know how the experience helped you… We are seeing a decided emptiness in our gmail inbox. We really do want to hear from you. Even if you just send us a note on what we are doing right or wrong. Rotationspodcast@gmail.com Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Zombie Funk by Steve Poloni DuDa by Ian Post Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Nisarg Bakshi OMS 4 Disclaimers: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

So for the 5th installment of COVID-19 are going to discuss supply chains and novel engineering and fired physicians and a really cool dude in Korea who gives us the play by play on why the South Korean numbers look so different from others. We also talk about the reality of China and its optics issues By the way, as soon as the hardware shows up, Nisarg is going to be back on. He found me so I think its worth giving him some airtime. Below are the links. James Gaskell MD is the Athens Co. Ohio Health Commissioner. Mexican Government weighs its concerns and approaches the problem in a way we are not. https://www.latimes.com/world-nation/story/2020-03-26/human-rights-watch-says-mexican-people-in-grave-danger-because-of-coronavirus-inaction Dr. Kim Woo-joo of the Korean University Guro Hospital https://youtu.be/gAk7aX5hksU The Korean KF94 Mask http://aaqr.org/files/article/668/36_AAQR-13-06-OA-0201_991-1002.pdf Boris gets COVID-19 (Ever heard of Wag the Dog? Look at the photo they chose of the PM) https://www.businessinsider.com/uk-prime-minister-boris-johnson-tests-positive-for-coronavirus-covid-19-2020-3 Dr. Ming Lin and his sacking https://www.seattletimes.com/seattle-news/health/er-doctor-who-criticized-bellingham-hospitals-coronavirus-protections-has-been-fired/ https://time.com/5812006/washington-coronavirus-health-care-staff-fired/ He’s on Facebook as well…I mean who isn’t? Send him some encouragement and note that he is very deliberate about not wanting criticism of PeaceHealth because he is concerned that it might have an impact on his patients. We hope you enjoy the episode and please pass along any good comments you might have for us. If you have bad comments, re-read them, remember we have sensitive feelings and then send them. TRFredricks on Facebook @MedicalCinema on Twitter Follow Plow @ProfPlow Follow Bakshi, if you can find him @NisargBakshi Rotationspodcast@gmail.com Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Sonar by Michael FK Faith by Michael FK Courtesy of Artlist.io Produced by: Todd Fredricks DO Histed by: Todd Fredricks DO Edited by: Todd Fredricks DO Disclaimers: Moi Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media Garage Band Ancient MacBook Pro (New Macbook is ordered with Final Cut Pro X) Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University, the States of Ohio or West Virgina or the Department of Defense or the West Virginia Army National Guard..

So I have been very busy. First of all OUHCOM has been sterilized. I mean tape sealing the doors and the word STERILIZED on them. No monkey business. And then I have been running around like a 1 armed paper hanger trying to cover the military public health response and to add to all of that, I still am seeing patients in the clinic. But today, after hours of briefings and policy memos and the nugwork of being a temporarily important person in a military response to a wicked little virus, I decided to do a podcast. SO I fetched all of my gear, moved it to my sound LIVE home office and decided to call my two second year OMS 2 students, Harsh and Adam. Now you need to give Harsh and Adam some serious props because they are on home confinement under State Order by Governor Dewine and they are still studying and working to be good doctors. On my “interview” (really a quiz) they did okay. Look, I am not being a Chicken Little. I see all the data on this every day. If you don’t follow the rules, either you or someone you love will get very sick and possibly die. Legit. Straight up. Full Stop. So listen as I review this wee little wicked thing called SARS CoV-2 and all that you need to know about beating it. Here’s the deal, if you are one of those people who gets mild to no symptoms from COVID-19 and you don’t self- isolate and engage in proper hygiene, you will kills someone. Sorry but that is the fact. So try and follow as I take Harsh and Adam on a rapid spin up of this thing and along the way remind them that they will get through this and be great doctors at the end of the day. Forgive the audio quality, my internet service provider is awful. I ordered a QuickTap from B&H and that should mean a lot better and consistent audio in the future. Cheers! FEMA COVID-19 Myths Website https://www.fema.gov/coronavirus-rumor-control Ohio Governor’s Update https://www.OhioChannel.org West Virginia Governor and COVID-19 Updates https://dhhr.wv.gov/COVID-19/pages/updates-and-news.aspx New York Times COVID-19 mapping https://www.nytimes.com/interactive/2020/us/coronavirus-us-cases.html Centers for Disease Control COVID-19 page https://www.cdc.gov/coronavirus/2019-ncov/index.html Follow the West Virginia Army National Guard on Facebook Follow me on Facebook at TRFredricks Comment away and try not to hate, be constructive or else I’ll reply with weird gifs and photos of puppies. Catch us on twitter at @RotationsPcast Catch Todd Fredricks on Twitter @MedicalCinema Catch Brian Plow on Twitter @ProfPlow Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: BitterSweet Bass by The Lavish Love Games by Ian Post Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Adam Barone OMS 2 and Harsh Patel OMS 2 Disclaimers: Todd Fredricks DO Cut Clip: None, no bandwidth left. Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 10 Garage Band Ancient MacBook Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Somewhat rapid edit. I have to get back to clinic to help out but I am trying to keep this up as a reasonable update. A lot of thoughts. References below and seriously major apologies to the BBC. It’s not 15 Minutes it’s 13 Minutes. Seriously listen to it. I am working In the meantime, WASH YOUR HANDS! Update OU Shut down https://www.ohio.edu/news/2020/03/president-nellis-provides-critical-update-about-ohios-response-coronavirus https://www.ohio.edu/experts/ask-experts WV NG Public Affairs Twitter @WVNationalGuard WV NG Facebook https://www.facebook.com/WV.NationalGuard/ State of Ohio Governors Briefings https://governor.ohio.gov/wps/portal/gov/governor/ State of West Virginia Governors Briefings https://governor.wv.gov/Pages/default.aspx PAPR https://en.wikipedia.org/wiki/Powered_air-purifying_respirator 13 Minutes to the Moon https://www.bbc.co.uk/programmes/w13xttx2 Triage https://www.sciencedirect.com/topics/medicine-and-dentistry/triage#:~:text= Moral Judgement http://moralinjuryproject.syr.edu/about-moral-injury/ Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: We by Fjodor Almanac by Seth Parson Courtesy of artlist.io Produced by: Todd Fredricks @medicalcinema on Twitter and Brian Plow @ProfPlow Edited by: Todd Fredricks Host: Todd Fredricks Cutclip: I didn’t add the cutclip because my wife called and told me she had just made taco salad and so I decided to head home. Plus I really needed a Claritin D…Las Vegas has Tree Pollen and it is not awesome… Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Corona II It is not the Coronapocalypse. IT IS NOT THE CORONAPOCALYPSE!!! That said, it was time after some maturity of the situation to bring everyone up to date on a variety of issues that have occurred in the last few days. So this is interactive and please click on the links as you listen. It’s gonna educate. Learning WILL occur. I would also mention that this is practice for our next month or so here at OU where we are all going to have to become really good at online educational content generation. Its lengthy and spans a lot of topics so bear with me and hopefully it settles some fears…––– In the meantime, WASH YOUR HANDS! Corona Project: https://www.cia.gov/news-information/featured-story-archive/2015-featured-story-archive/corona-declassified.html AMOPS https://amops.org/ @tcymet Twitter https://en.wikipedia.org/wiki/Tyler_Cymet The Appalachia of California https://www.economist.com/united-states/2010/01/21/the-appalachia-of-the-west Vox Article Coronavirus https://www.vox.com/2020/1/31/21113178/what-is-coronavirus-symptoms-travel-china-map Governor Of West Virgina’s Brief 3/13/2020 https://governor.wv.gov/News/press-releases/2020/Pages/COVID19-UPDATE-Gov.-Justice-announces-closure-of-West-Virginia-schools.aspx West Virginia Center for Threat Preparedness https://dhhr.wv.gov/healthprep/Pages/default.aspx Age related vulnerability of people to COVID-19 https://en.wikipedia.org/wiki/2019%E2%80%9320_coronavirus_pandemic#/media/File:Illustration_of_SARS-COV-2_Case_Fatality_Rate_200228_01-1.png Shifts and Drifts in Virus https://www.cdc.gov/flu/about/viruses/change.htm The Demon in The Freezer https://www.amazon.com/Demon-Freezer-True-Story/dp/0345466632/ref=sr_1_1?dchild=1&keywords=The+Demon+in+the+Freezer&qid=1584192677&sr=8-1 The Hot Zone https://www.amazon.com/Hot-Zone-Terrifying-True-Story/dp/B004XZG1KG/ref=sr_1_1?dchild=1&keywords=The+Hot+Zone&qid=1584192764&sr=8-1 The Ghost Map https://www.amazon.com/The-Ghost-Map/dp/B000LV63CW/ref=sr_1_1?dchild=1&keywords=the+ghost+map&qid=1584192784&s=audible&sr=1-1 The Great Influenza https://www.amazon.com/Great-Influenza-Deadliest-Plague-History/dp/B000F2C6Y6/ref=sr_1_1?dchild=1&keywords=The+great+influenza&qid=1584192815&s=audible&sr=1-1 Dr. Fauci https://en.wikipedia.org/wiki/Anthony_S._Fauci Trovan https://en.wikipedia.org/wiki/Abdullahi_v._Pfizer,_Inc. USAMRIDD https://www.usamriid.army.mil/ R0 (naught) https://www.healthline.com/health/r-nought-reproduction-number#rsubsubvalues Basic Reproduction Number https://en.wikipedia.org/wiki/Basic_reproduction_number Dr.’s QUIT using the term “antivaxxers” Its belittling and beneath our role as teachers and educators. Defense Medical Intelligence Agency https://en.wikipedia.org/wiki/National_Center_for_Medical_Intelligence The Little Red Caboose https://www.theredcaboose.com/ Ohio University Announcement https://www.ohio.edu/coronavirus Patient compliance rates https://www.uspharmacist.com/article/medication-adherence-the-elephant-in-the-room#:~:text= CDC Testing guidelines Corona Virus https://emergency.cdc.gov/han/2020/han00429.asp Paige Gutheil DO http://www.drpaige.com/ Good Fast and Cheap http://www.engineeringexpert.net/Engineering-Expert-Witness-Blog/cheap-fast-good-%E2%80%93-the-engineering-project-triangle Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Bugs by Curtis Cole Hold Me Down by Oliver Michael Courtesy of artlist.io Produced by: Todd Fredricks @medicalcinema on Twitter and Brian Plow @ProfPlow Edited by: Todd Fredricks Host: Todd Fredricks Cutclip: None today, in a hurry and got to go buy lemons and parmesan cheese… Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted.

It’s been a long 10 days and let’s be honest, I have been very busy between the AMOPS conference, clinic, nearly hourly updates in my alternate role as a military guy and then working on the continuous demands of academics at the most awesomest university in the world, Ohio University. If you don’t want to hear my take on movies, then just fast forward to from 14:49 through 21:10. We talk about the following and you will notice that I have considerately provided references for everything I speak about. You’re welcome.  I’ll get new Rotations Content up next Monday. In the meantime, WASH YOUR HANDS! Update OU Shut down https://www.ohio.edu/news/2020/03/president-nellis-provides-critical-update-about-ohios-response-coronavirus https://www.ohio.edu/experts/ask-experts Sorry, it was Serratia, not influenza, in Operation Sea Spray https://www.smithsonianmag.com/smart-news/1950-us-released-bioweapon-san-francisco-180955819/ https://en.wikipedia.org/wiki/Operation_Sea-Spray#:~:text= John’s Hopkins Corona Virus Map. Removed because this was being exploited as a malware vehicle for a trojan virus. Mask pore sizes https://www.researchgate.net/publication/242297437_The_Relationship_of_Fabric_Properties_and_Bacterial_Filtration_Efficiency_for_Selected_Surgical_Face_Masks/figures?lo=1 https://www.moh.gov.sg/docs/librariesprovider5/diseases-updates/interim-pandemic-plan-public-ver-_april-2014.pdf Sizes of particulates https://commons.wikimedia.org/wiki/File:Filtration_Chart.jpg CDC Coronavirus Disease Guidance https://www.cdc.gov/coronavirus/2019-ncov/about/prevention.html AMOPS https://amops.org/ https://www.facebook.com/groups/SAMOPS/ Last Christmas https://en.wikipedia.org/wiki/Last_Christmas_(film) Definitely Maybe https://en.wikipedia.org/wiki/Definitely,_Maybe Crazy Rich Asians https://en.wikipedia.org/wiki/Crazy_Rich_Asians_(film) Knives Out https://en.wikipedia.org/wiki/Knives_Out Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: There is no Time by Tilman Sillescue Courtesy of artlist.io Produced by: Todd Fredricks @medicalcinema on Twitter and Brian Plow @ProfPlow Edited by: Todd Fredricks Host: Todd Fredricks Cutclip: I didn’t add the cutclip because my wife called and told me she had just made taco salad and so I decided to head home. Plus I really needed a Claritin D…Las Vegas has Tree Pollen and it is not awesome… Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

This episode went long because, well frankly, I got excited about the topic and had to pontificate. Jason was very patient with me. This is the last of our 3 part series about Pre-hospital medicine. It is a good one and again I cannot thank Jason enough got doing this with us. We talk about Haiti, disasters, what post-fellowship docs in pre-hospital medicine think of their experience and a variety of other interesting things in this realm. In the latter part of the interview we try to crack the nut as to how to get a spot in a fellowship program for atypical candidates. Let's just say that personal statements and a lot of electives in emergency medicine, ride-alongs with EMS and public outreach carry a lot of weight. Jason.mcmullan@uc.edu @nmrs244 on the Twitter NAEMSP https://naemsp.org/ Obviously you missed the conference for this year but after you get Dr. Philip Moy Medic to Medic podcast http://medic2medicpodcast.com/ Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Bish Plz by Phil david Reinvest by Mogli the Iceburg Courtesy of artlist.io Produced by: Todd Fredricks and Brian Plow Edited by: Todd Fredricks Host: Todd Fredricks Intro and Outro: Meredith Moller OMS 3 Cutclip: Todd Fredricks trying to fix the omissions present in the interview for all of your benefit. Now say thank you, Dr. Fredricks.  Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Round 2 with Jason McMullan. In this episode we discuss what Pre-Hospital Fellowship training looks like and what do fellowship trained Pre-Hospitalist physicians do. Its academically wonkish but it is very informative. Let’s just say that if I had it to do over again I would have tried to get accepted into his program at UC… Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: On Air by Assaf Ayalon My Heart was Breaking by John Isaac Courtesy of artlist.io Produced by: Todd Fredricks and Brian Plow Edited by: Todd Fredricks Host: Todd Fredricks Intro and Outro: Harsh Patel OMS 2 Cutclip: David Morton and I discussing Mongolian Bar-b-que in the Utah Valley… Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Hey, right up front, forgive me for the clipping. I had just gotten the Rodecaster and so levels were an issue. Dr. Jason McMullan has an incredible path through medicine. He started as a Paramedic and now works at University of Cincinnati as an Emergency Room Physician and a director of the pre-hospital fellowship at University of Cincinnati. He is widely published, He’s an editor on the New England Journal of Medicine Journal Watch and has some ties to NIH and Department of Defense as well. In this series we are going to talk about Pre-Hospital Medicine fellowships. There are over 40 programs in the country and they have the potential of greatly improving the nation’s ability to respond int eh pre-hospital realm by educating physicians about this very acute and important part of emergency medicine and first response. Jason deserves serious props because he agreed to do this interview on Memorial Day of 2019 and then was patient enough to wait over half a year for us to get it edited and out the door for you to listen to. A very approachable physician who has a wealth of insights into how physicians can care for people having the worst day of their life. Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Emergency by James Forest Time is Running by Ankori and Ramon Courtesy of artlist.io Produced by: Todd Fredricks and Brian Plow Edited by: Todd Fredricks Host: Todd Fredricks Cutclip: Rebecca trying to do a cold voice intro with no experience ever of reading for a microphone. She was GREAT! Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

I thought it important to put Jason's Wayyyyyy overdue interview in context. Since I was at it I thought that I would pontificate about the 2020 Oscars as well. You may like it, you might not. But hey, it's free and it will get you through your commute to work. Watch Ford Versus Ferrrari. Really. Produced by Todd Fredricks DO Edited by Todd Fredricks DO Time is Running by Ankori and Ramon Fast Lane by Anton Vlasov Courtesy of artlist.io Racing Car noises used under Attribution 3.0 Title: Formula 1 Racing Recorded by Daniel Simion From Soundbible.com Be careful downloading from this sight, it is not an https:// URL and so I cannot tell you if you won't end up with some sort of MalWare. I just know I have to cite Daniel for his excellent sounds. We love doing Rotations and we hope you like our content. Let us know by hitting us up on Twitter @Rotationspcast !!! Tell your friends and get us some likes and tweets and general good feelings. Thanks!

Our last segment with Nigel Allsopp. What a great series it has been. In this segment we will continue with Nigel and the history of working animals throughout conflict and natural disasters. As you might recall, Nigel is the President of the Australian War Animal Memorial Association and a very connected person in the world of working animals. We discuss PTSD (PTS for veterans who don’t like the term disorder) and the nature of the human canine bond in PTS service. It’s a really interesting look at the depth of connection that human handlers develop with their canine. What happens to the dogs after their service? How do they find homes? Do they all find homes? A lot of discussion about how we look after these animals when their working life is completed. Its compelling and something that some listeners may want to look at as far as finding an older but well-trained furry buddy. We also discuss the issues surrounding the care of these animals. Currently, retired service animals are not covered by pensions or care funds. This is a big issue. A lot of these dogs have medical needs incurred as a result of service, including saving people’s lives. So if you want a non-political cause, start writing your congressional representation and asking for funding for retired dogs. Get the VA to hire some veternarians. We even get into Sea Lions and Dolphins… …and wait for it…war slugs, war goldfish and war fireflies. It’s well worth mentioning Purple Poppies again. We think that it should be trending… …buy one and wear it for our furry and feathered friends. Susan Behary is using them to raise money for her memorial project and if you can’t get them from her, Etsy is a good place to look. Just search for Purple Poppies. Purple Poppies https://en.m.wikipedia.org/wiki/Purple_poppy We are seeing a decided emptiness in our gmail inbox. We really do want to hear from you. Even if you just send us a note on what we are doing right or wrong. Susan Behary https://baharystudios.com/art/press Ron Aiello US War Dog Association https://www.uswardogs.org/ John Burnham National Canine Monument https://dogtime.com/trending/16542-us-working-dog-teams-national-monument Adopting a Canine Vet or retired K9 LEO Dogs Lackland AFB K9 Adoption https://www.facebook.com/DoDMWDAdoptions/?ref=py_c Young Diggers https://youngdiggers.com.au/ Old Guard 3rd Infantry Regiment https://www.oldguard.mdw.army.mil/specialty-platoons/caisson/adoption Australian Waler Horses https://en.wikipedia.org/wiki/Waler Rotationspodcast@gmail.com Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: The Foolish Mouse and Chimera Soldiers by Max H Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Sarah Adkins PharmD Disclaimers: Thomas Kellett, 2020 PharmD candidate at THE Ohio State University Cut Clip: Me riffing with Sarah’s minion, Rebecca Lahrman, PharmD, MS about dogs… Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

This is our second segment with Nigel Allsopp, our newly found New Zealander friend who knows everything about animals and how they work with people. Some of his stories are a bit troubling, specifically because of a historic tendency for war canines to be left behind after the humans decide that it is time to quit and go home. This is not the practice now, just so you know. This episode is all about specific animals and their stories. If you live in Ohio, or close by, you can visit Smoky’s memorial. It is right up the road in Lakewood, Ohio. So sit back and learn something new with us and thanks for being a part of Rotations! Nigel is also a prolific author and you can start learning more about him and AWAMO here: https://www.facebook.com/nigel.allsopp.54 https://www.facebook.com/AustralianWarAnimalMemorialOrganisation/?__tn__=%2Cd%2CP-R&eid=ARARFlWIdWhleUQrU80YHDQT2n0GEKX2c8T32idVmwFoVLpulHOoT0VvKSrdcIfgl6zyDz5YRwM2a2la https://www.thriftbooks.com/a/nigel-allsopp/1029239/ Smoky the War Dog https://en.wikipedia.org/wiki/Smoky_(dog) Marino Sheep https://en.wikipedia.org/wiki/Merino The Bismark’s Cat https://www.zmescience.com/other/feature-post/unsinkable-sam-cat-wwii/ And of course, we cannot forget our current favorite cat. Purple Poppies https://en.m.wikipedia.org/wiki/Purple_poppy We are seeing a decided emptiness in our gmail inbox. We really do want to hear from you. Even if you just send us a note on what we are doing right or wrong. Rotationspodcast@gmail.com Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Fight Like Animals by Ted Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Sarah Adkins PharmD Disclaimers: Thai Le OMS 2 Cut Clip: Jason McMullan MD MS FAEMS Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

So why is Rotations talking about dogs? The reason is simple, dogs are cool. Super cool. Every day you are dependent upon dogs. They work with US Customs to inspect cargo going around the world, they work with police officers around the world, they are part of every major military in the world, they assist people, they serve as our pets and they help some of us heal. Two years ago we started work on a project called Dogs of War and we shot helf of that film in Tennessee at a wonderful place called Smoky Mountain Service Dogs. You can check them out here: https://www.facebook.com/search/top/?q=smoky%20mountain%20service%20dogs&epa=SEARCH_BOX After that shoot we were feeling pretty proud of ourselves and thought that we could turn the fim around in about a year. Then things stalled. Competing issues with our day jobs working at Ohio University and generally a lack of access to the population of the other half of our film put us in a serious hold. So what to do? It struck us that if we were going to look at Service Animals then it would be very helpful for our audience to understand “not service animals”. So we embarked on a journey to find out where dogs are used that are not “service animal jobs”. Through a very serendipitous group of events we ran into Nigel Allsopp. If you have ever encountered someone who is a walking museum of the history of something then you have met Nigel. In Nigel’s case, his mental museum is the history of working military and police animals. These are WORKING dogs, not Service Dogs. And for that reason we wanted to introduce all of you to Nigel. He is an incredibly humble, positive and pleasant man. In this first episode we start learning about just what working animals and dogs in general are and are not. It is a fascinating story of the interrelationship between some very unique animals who work and serve humans every day. Nigel is also a prolific author and you can start learning more about him and AWAMO here: https://www.facebook.com/nigel.allsopp.54 https://www.facebook.com/AustralianWarAnimalMemorialOrganisation/?__tn__=%2Cd%2CP-R&eid=ARARFlWIdWhleUQrU80YHDQT2n0GEKX2c8T32idVmwFoVLpulHOoT0VvKSrdcIfgl6zyDz5YRwM2a2la https://www.thriftbooks.com/a/nigel-allsopp/1029239/ The Dickin Medal https://en.wikipedia.org/wiki/Dickin_Medal Norco, California https://www.facebook.com/cityofnorco/ We also mentioned Susan Bahary. You’ll hear more from her later in the year here at Rotations but as prep work check out her work here… https://baharystudios.com/art/ And buy a purple poppy for our canine friends. We hope you enjoy the episode and please pass along any good comments you might have for us. If you have bad comments, re-read them, remember we have sensitive feelings and then send them. Rotationspodcast@gmail.com Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Sleeping Dogs by Alon Peretz Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Sarah Adkins PharmD Disclaimers: Meredith Moller OMS 3 Cut Clip: Jason McMullan MD MS FAEMS Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.