The study of the structure of organisms and their parts
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In this episode of SEE HEAR FEEL, Christine J. Ko welcomes Dr. Gregory A. Hosler, president of the Dermatopathology Division of Sonic Healthcare USA. The conversation delves into his recent study on diagnostic discordance in dermatopathology, exploring its implications for patient management and highlighting the importance of ancillary testing and second opinions. Dr. Hosler also shares insights on emotional intelligence, emphasizing the significance of self-awareness and continuous improvement in pathology practice.00:00 Introduction and Guest Background01:54 Personal Anecdote and Career Journey02:31 New Role and Responsibilities03:38 Diagnostic Discordance Study07:20 Improving Diagnostic Practices10:55 Emotional Intelligence and Self-Reflection12:42 Final Thoughts and ConclusionGregory A. Hosler, MD, PhD is President of the Dermatopathology Division of Sonic Healthcare USA (SHUSA). Before taking this role, he was at ProPath, which joined SHUSA in 2021, and at ProPath, he served as partner, board member, and Director of Dermatopathology. He is a Clinical Professor in the Departments of Dermatology and Pathology at the University of Texas Southwestern (UTSW). He has held numerous leadership roles in local and national societies, including serving on the Executive Board for the American Society of Dermatopathology (ASDP, 2021-present), as President of the Texas Society of Pathologists (2019), President of the North Texas Society of Pathologists (2015), and President of the Educational Foundation of the TSP (2020).Dr. Hosler obtained his B.S.E. in Chemical Engineering at Princeton University and completed his medical degree and graduate work at UTSW in Molecular and Cellular Biology and Immunology (MD/PhD Medical Scientist Training Program). He completed his residency in Anatomic and Clinical Pathology at The Johns Hopkins Medical Institutions (JHMI), and his fellowship in dermatopathology, also at JHMI. Dr. Hosler is very involved in education, teaching at the fellowship, residency, and medical school levels. He is the Director of the ACGME-accredited Dermatopathology Fellowship Program at ProPath. He actively speaks, writes, and directs courses on dermatopathology. He is the editor and co-author of two dermatopathology textbooks - Molecular Diagnostics in Dermatology: practical applications of molecular testing for the diagnosis and management of the dermatology patient (Springer) and Diagnostic dermatopathology: a guide to ancillary tests beyond the H&E (JP Medical Publishers). He is also the author of the melanocytic chapter in Weedon's Skin Pathology (4th, 5th, and 6th Eds, Elsevier) and many peer-reviewed journal articles and reviews.
Innovalve TMVR: Clinical and Anatomic Outcomes
I absolutely loved speaking with Dr. Alejandro Gru on burnout, improving, accepting and moving on from error (but also feeling appropiately bad about it), and the relationships that we should cherish. I learned so much! Dr. Alejandro Gru is the Leonard C Harber Professor of Dermatology and Director of Dermatopathology at Columbia University Irving Medical Center. He was previously at the University of Virginia, where he was Professor of Pathology and the Dermatopathology Section and Fellowship Program Director. He attended the Universidad de Buenos Aires, School of Medicine and did residency at Washington University in Saint Louis in Anatomic and Surgical Pathology. He has completed dermatopathology and hematopathology and surgical pathology fellowships. He is an expert in skin lymphomas and melanocytic pathology and currently serves as the President of the United States Cutaneous Lymphoma Consortium.
In this week's mini-episode, we're discussing the anatomic hierarchy! The anatomic hierarchy is a simple but powerful mental model that organizes our body into six major tools, from strongest to weakest: our torso, our two legs, our two arms, and our head. The anatomic hierarchy teaches us that when attacking, we should use as many of our weapons as possible, especially the stronger ones. And we'll also have better success if we're attacking a weaker part of our opponent's body.Get our Intro to Mechanics audio course, normally $79, FREE:https://bjjmentalmodels.com/freeintroDon't forget to check out BJJ Mental Models Premium!If you love the podcast, you'll definitely love our premium membership offerings. The podcast is truly just the tip of the iceberg – the next steps on your journey are joining our community, downloading our strategy courseware, and working with us to optimize your game. We do all this through memberships that come in at a fraction of the cost of a single private.Sign up here for a free trial:https://bjjmentalmodels.com/Need more BJJ Mental Models?Get tips, tricks, and breakthrough insights from our newsletter:https://bjjmentalmodels.com/newsletter/Get nitty-gritty details on our mental models from the full database:https://bjjmentalmodels.com/database/Follow us on social:https://facebook.com/bjjmentalmodels/https://instagram.com/bjjmentalmodels/
The JournalFeed podcast for the week of July 15-19, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Tuesday Spoon Feed:In a cohort of septic children, delays in antibiotic administration 330 minutes or longer from arrival to the emergency department led to an increase in mortality.Friday Spoon Feed:An analysis of the NEAR database demonstrated a lower first-pass success rate of 89.2% for patients with anatomically difficult airways (ADA) compared to 93.7% in the control group. First-pass success for physiologic difficult airways (PDA) was 92.9% and fell to 87.4% for those with both ADA/PDA.
Episode 174: GERD in AdultsCommon and atypical symptoms are presented. Pathophysiology, diagnosis, and management are discussed. H. pylori's role is discussed during this episode. Written by Jacquelyn Garcia MS4 Ross University School of Medicine. Comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Definitions: Gastroesophageal reflux (GER): occasional backflow of stomach acid into the esophagus. It's a common physiological process that happens to many people, especially after meals. Occurs less than twice a week. Associated with mild and temporary symptoms such as heartburn or regurgitation. Gastroesophageal reflux disease (GERD): a chronic and more severe form of GER. It occurs when acid reflux happens frequently, typically more than twice a week, and/or causes esophageal injury/complications. -Non-erosive reflux disease (NERD)= GER without evidence of esophageal injury on endoscopy. -Erosive reflux disease (ERD)= GER with evidence of esophageal injury on endoscopy.AFP Journal, January 2024: “Nonerosive GERD does not increase the likelihood of esophageal cancer. However, erosive GERD is associated with a doubled, but still low, risk of developing cancer, with the likelihood increasing over time.”Pathophysiology:The main pathophysiology behind GERD is lower esophageal sphincter (LES) dysfunction which can occur due to the following:-LES Pressure: The LES is a muscular ring at the junction of the esophagus and stomach. It normally maintains a high-pressure zone to prevent reflux. In GERD, the intragastric pressure is higher than the pressure created by the LES. The tone of the LES can be reduced by caffeine, nitroglycerin, and scleroderma. -Transient LES Relaxations (TLESRs): These are normal relaxations of the LES that occur independently of swallowing. In GERD, these relaxations are more frequent or prolonged, allowing acid to reflux into the esophagus.-Anatomic abnormalities: A hiatal hernia occurs when a portion of the stomach protrudes through the diaphragm into the chest cavity. This disrupts the normal anatomy of the gastroesophageal junction, reducing the pressure barrier and promoting reflux.Epidemiology: It affects 10-20% of adults in Western cultures and less than 5% in Asia. Prevalence in the US ranges from 18.1% to 27.8% with a slightly higher rate in men. Risk factors: -Obesity, pregnancy, scleroderma, hiatal hernia; smoking, caffeine, alcohol, stress, fatty/fried/spicy foods. Spicy foods can be a challenge in some cultures (e.g. Mexican and Indian.) Sometimes, patients may ask for “something” to stop GERD but all they may need is dietary modification. -Medications: -aspirin, ibuprofen, clindamycin, tetracycline, bisphosphonates (irritate the esophagus and cause heartburn pain similar to GERD) -anticholinergics, TCA's, CCB's, ACEi, statins, benzodiazepines, theophylline, opioids, progesterone (increase acid reflux and worsen GERD)Clinical features: Typical symptoms: -heartburn (burning retrosternal pain) -regurgitation (acidic stomach contents)Atypical symptoms: -chest pain (can mimic angina pectoris, squeezing/burning substernal, radiates to back/neck/jaw/arm) -water brash (hypersalivation)-globus sensation (lump in throat)-nausea -belching-bloating Alarm features in GERD: -dysphagia-odynophagia (pain with swallowing)-new onset of dyspepsia in ≥60yo -weight loss-GI bleeding-vomiting-anemia Diagnosis: -There is no gold standard test -Patient with typical symptoms: diagnosis can be based on clinical symptoms alone -Patient with atypical symptoms: these symptoms can be seen in GERD but are not sufficient for diagnosis of GERD in the absence of typical symptoms. Need to rule out other disorders before associating the symptoms with GERD. (ex: chest pain r/o other causes such as MI with ECG) -Patient with alarm features: refer to GI for upper GI endoscopy. Complications: -Esophagitis: Erosive reflux disease (ERD) = GER with evidence of esophageal distal injury on endoscopy; in untreated GERD 30% have esophagitis. -Iron deficiency anemia: due to mucosal ulcerations -> chronic bleeding.-Esophageal stricture: narrowing near GE junction, solid food dysphagia.-Barrett Esophagus: intestinal metaplasia of esophagus due to chronic GERD (stratified squamous epithelium replaced by columnar epithelium)-Risk factors: GERD for 5-10 years, >50yo, males, obesity, Caucasian, Tobacco use, family history -Predisposes to esophageal adenocarcinoma Role of H. pylori.Sometimes we tend to think that H. pylori is the cause of GERD. “H. pylori infection appears to protect the esophagus from gastroesophageal reflux disease, Barrett's esophagus, dysplasia in Barrett's esophagus, and esophageal adenocarcinoma, perhaps by causing chronic gastritis that interferes with acid production.”It is unclear whether long-term use of PPIs heightens the risk of atrophic gastritis in patients with H. pylori. Consequently, routine screening for H. pylori infection and empiric eradication of H. pylori are NOT advised for patients with GERD. However, if H. pylori is diagnosed in the setting of GERD, eradication of H. pylori has been associated with an improvement of symptoms in patients with antral-predominant gastritis. Treatment: Two categories: Mild/intermittent symptoms (
In this episode, host Dr. Sarah Wise speaks with Dr. Edward McCoul. They discuss the recently published article: Enhancing nasal endoscopy: Classification, detection, and segmentation of anatomic landmarks using a convolutional neural network. Read the full open access article in the International Forum of Allergy and Rhinology. Listen and subscribe for free to Scope It […]
Kona es una marca que es parte importante de la historia del MTB. En las últimas semanas han surgido noticias preocupantes sobre la marca canadiense. Se ha hablado de crisis, cierre, venta… Y hemos querido analizar bien la situación y cual puede ser el futuro de Kona. También hablamos del lanzamiento más importante de la semana: la Canyon Neuron:ONFly. Una ebike trail que vuelve a demostrar que algunas de las cosas más interesantes del mundo de la bici están pasando en el mundo de las ebikes ligeras. Eso sí, si quieres toda la información sobre la Neuron:ON Fly, te recomendamos que no te pierdas el vídeo que hemos publicado en el canal de YouTube. Volviendo a la industria y sus “vaivenes”, esta semana también hemos conocido la nueva estructura de Felt Bicycles. Una noticia que ha venido acompañada de la presentación de dos nuevos modelos de carretera. También hemos conocido las nuevas funcionalidades de la aplicación My SmartBike de Mahle y una colección de ropa muy interesante, la Anatomic de Spiuk. Esta semana también tenemos versiones especiales de bicis. Las primeras que comentamos son las nuevas Mondraker Dusty R y Dusty X. Pero si te gusta el ski y la estética “noventera” no te puedes perder la Rossignol Super Heretic de la colección Super Project de la marca francesa. REFERENCIAS: Vídeo de la Kona Explosif Pro: https://youtu.be/MHsgZoQRFsM Primeras Pedaladas Canyon Neuron:ONFly (con vídeo): https://www.mtbpro.es/afondo/primeras-pedaladas-nueva-canyon-neurononfly Felt Bicycles renueva su estructura y presenta dos nuevos modelos de carretera: https://www.maillotmag.com/actualidad/felt-bicycles-renueva-su-estructura-y-presenta-dos-nuevos-modelos-de-carretera La aplicación My SmartBike de Mahle incorpora nuevas funcionalidades: https://www.maillotmag.com/actualidad/la-aplicacion-my-smartbike-de-mahle-incorpora-nuevas-funcionalidades Spiuk Anatomic, la colección más clásica y versátil de la marca, se renueva de cara al verano: https://www.maillotmag.com/actualidad/spiuk-anatomic-la-coleccion-mas-clasica-y-versatil-de-la-marca-se-renueva-de-cara-al Mondraker Dusty R y X, las dos versiones especiales de la e-gravel de la marca: https://www.maillotmag.com/actualidad/mondraker-dusty-r-y-x-las-dos-versiones-especiales-de-la-e-gravel-de-la-marca Rossignol Super Heretic: estética retro en edición limitada para la enduro francesa: https://www.mtbpro.es/actualidad/rossignol-super-heretic-estetica-retro-en-edicion-limitada-para-la-enduro-francesa
Use code SCIGUYS at the link below to get an exclusive 60% off an annual Incogni plan: https://incogni.com/SCIGUYS Luke is having a baby - surprise! So this week we're joined by the lovely Rebecca Hanssen to chat about pregnancy & the absolutely insane effects it has on the body... Grab yourself some merch! You can WATCH the podcast over on our YouTube channel Help keep the show running by supporting us on Patreon! If you'd like to see more of us, follow our socials! sciguys.co.uk TikTok Twitter Instagram Facebook If you spot any points that need correcting, head to sciguys.co.uk/corrections Follow the Sci Guys @notcorry / @lukecutforth References & Further Reading https://www.ncbi.nlm.nih.gov/books/NBK559304/#:~:text=Pregnancy%20is%20a%20state%20of,to%20sustain%20the%20growing%20fetus. https://www.britannica.com/science/pregnancy/Anatomic-and-physiologic-changes-in-other-organs-and-tissues https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4928162/ https://www.npr.org/sections/health-shots/2023/04/12/1159753316/pregnancy-start-conception https://www.cam.ac.uk/stories/pregnancy-sickness-cause https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/vomiting-and-morning-sickness/ https://www.cdc.gov/ncbddd/folicacid/about.html#:~:text=Why%20folic%20acid%20is%20important,and%20spine%20(spina%20bifida). https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/bleeding-gums/
Carpal tunnel syndrome is a condition that affects one of the primary nerves in the wrist area. The carpal tunnel is a narrow passageway surrounded by bones and ligaments on the palm side of the hand. The leading cause of carpal tunnel syndrome is extra pressure on the median nerve at the wrist inside the tunnel. The extra pressure can come from swelling or inflammation of the contents inside the tunnel. Carpal tunnel syndrome symptoms include wrist pain, numbness, tingling, and weakness. To better understand carpal tunnel syndrome and how to ease it, it's essential to start by understanding the risk factors that increase the chances of irritation or damage to the median nerve. They include: Anatomic factors: When you have a wrist fracture or dislocation or arthritis that deforms the small bones in the wrist, you may experience an alteration in the space within the carpal tunnel and put pressure on the median nerve. Similarly, people who have smaller carpal tunnels are more susceptible to carpal tunnel syndrome. Gender: Women are more prone to carpal tunnel syndrome as compared to men. This is because women have a relatively more minor carpal tunnel area than men. Inflammatory conditions: People with rheumatoid arthritis and other conditions that have inflammatory components are more susceptible to carpal tunnel syndrome. This is because they affect the lining around the tendons in the wrist and put pressure on the median nerve. Nerve-damaging conditions: Certain chronic diseases like diabetes increase the risk of nerve damage, including damage to the median nerve. Obesity: Being obese increases the risk factor for carpal tunnel syndrome. Body fluid changes: Fluid retention may increase pressure within the carpal tunnel, irritating the median nerve. It is prevalent during pregnancy and menopause. Workplace factors: Working with vibrating tools that require prolonged or repetitive wrist flexing may create harmful pressure on the median nerve, especially when working in cold environments. Easing Carpal Tunnel Syndrome Although there are no proven strategies to prevent carpal tunnel syndrome, you can apply various measures to help ease and minimize pressure on the hands and wrists. These methods are approved by chiropractic care. Have a look! Reduce your force and relax your grip: If your work involves typing using a keyboard, hit the keys softly. Consider using a big pen with an oversized, soft grip adapter and free-flowing ink when engaged in prolonged handwriting. Keyboard and mouse position: Avoid bending your wrist up or down. Ensure you maintain a relaxed middle position by keeping your keyboard at elbow height or slightly lower.Also ensure that your mouse is in a comfortable position to avoid straining your wrist. Improve your posture: Poor posture affects the wrists, fingers and hands. Ensure you are comfortable and not straining. Keep your hands warm: Cold environments may trigger your hands to hurt more. Try to control the temperatures by wearing warm gloves. Physical therapy: It helps strengthen muscles around your wrist and increase flexibility. It's essential to ensure you get diagnoses and treatment to avoid permanent damage to your median nerve. Our chiropractic treatment will walk with you through the carpal tunnel syndrome recovery journey and offer therapy sessions and the best guide. Our professional chiropractors will focus on gentle manipulation of the wrist and elbow to help ease the pain. To get more details on our chiropractic practices focused on carpal tunnel syndrome, contact Dr. Jason Jones at our Chiropractic office in Elizabeth City, NC.
In this podcast, Dr. Nedaa Skeik, a vascular surgeon with Minneapolis Heart Institute, brings his knowledge and experience in regards to vascular insufficiency, and the importance of a timely diagnosis and management options. *Disclosure note: Dr. Nedaa Skeik, speaker for this educational event, has disclosed that he received honorarium from Medtronic. All relevant financial relationships for Dr. Skeik have been mitigated. Enjoy the podcast. Objectives:Upon completion of this podcast, participants should be able to: Summarize the pathophysiology of different venous disorders. Recognize and confidently diagnose venous insufficiency. Identify the risks and benefits of different interventions for venous conditions. Differentiate medical management (conservative and interventional) for venous insufficiency. This activity has been planned and implemented in accordance with the accreditation criteria, standards and policies of the Minnesota Medical Association (MMA). Ridgeview is accredited by the Minnesota Medical Association (MMA) to provide continuing medical education for physicians. CME credit is only offered to Ridgeview Providers & Allied Health staff for this podcast activity. After listening to the podcast, complete and submit the online evaluation form. Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks. You may contact the accredited provider with questions regarding this program at Education@ridgeviewmedical.org. Click the link below, to complete the activity's evaluation. CME Evaluation (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.) DISCLOSURE ANNOUNCEMENT The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview. Any re-reproduction of any of the materials presented would be infringement of copyright laws. It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker's outside interest may reflect a possible bias, either the exposition or the conclusions presented. None of Ridgeview's CME planning committee members have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All of the relevant financial relationships for the individuals listed above have been mitigated. Thank-you for listening to the podcast. SHOW NOTES: *See the attachment for additional information. PODCAST OVERVIEW Wide Range of Venous Disorders and Presentations - Morphologic (spider, reticular, varicose), skin discoloration, ulceration - Functional (venous reflux +/- loss of pumping mechanism - Anatomic (thrombosis, congenital anomalies) - Presentation (asymptomatic vs symptomatic)Anatomy PathophysiologyEpidemiology - Chronic vein abnormalities- Prevalence (venous insufficiency) - Varicose veins & prevalence- Presence of symptoms Risk factors - Family component- Other Clinical features - Correlation - severity of venous reflux, age- Asymptomatic - General symptoms - Vein appearance - Severity Disease Severity - Classification Scales - CEAP calssification scale- Venous Clinial Severity Score Disease Progression - Correlation- pregression of disease not well understoodDiagnosis - History - Symptoms - Exam findings - including venous ultrasound - Differential diagnoses (edema, skin manifestations, vein engorgement) - Pre-management considerations (severity, superficial and/or deep, proximal/distal, multiple or single, comorbidities) ManagementAsymptomatic - visual sclerotherapy- surface laser therapy - complications Symptomatic- compression therapy - exercise - leg elevation - skin care Conserative Therapy- leg elevation - exercise - compression stockings Pharmacologic Therapy and Skin Care- vasoactive drugs - rheologic agents - skin care Interventional Options - Preintervention measures (venous anatomy, preop medications, anesthesia) - Sclerotherapy (visual, US guided)- Vein closure procedures (thermal - RFA/EVLA, chemical, MOCA, PEM, EHIT) - Surgical (phlebectomy, ligation, stripping) Post Intervention Care - pain management - ambulation - leg elevation - compression - return to normal activity/work - post procedural US - follow up appointment Thanks to Dr. Nedaa Skeik for his expert knowledge and contribution to this podcast. Please check out the additional show notes for more information/resources.
Dr. Zvi Jacob Schreiber completed his medical school at the Medical College of Wisconsin. His residency training for Anatomic and Clinical Pathology was at SUNY Stony Brook, where he was chief Resident. He completed a Post-Doctoral Fellowship at NY-Presbyterian Hospital Columbia University for Surgical Pathology and GI Pathology. Dr. Schreiber has worked in both academic hospital practice as well as commercial laboratories, and is laboratory director at CDX Diagnostics, an advanced diagnostic platform that leverages artificial intelligence enabled tissue analysis and 3D imaging to reliably detect precancerous cells. He is board certified in anatomic and clinical pathology. _______________________________________________________ Become a JOWMA Member! www.jowma.org Follow us on Instagram! www.instagram.com/JOWMA_org Follow us on Twitter! www.twitter.com/JOWMA_med Follow us on Facebook! https://www.facebook.com/JOWMAorg/ Stay up-to-date with JOWMA news! Sign up for the JOWMA newsletter! https://jowma.us6.list-manage.com/subscribe?u=9b4e9beb287874f9dc7f80289&id=ea3ef44644&mc_cid=dfb442d2a7&mc_eid=e9eee6e41e
Graham Whiteside was born into his healthcare and education career. His father, Frank Whiteside, was a British Royal Army Medical Corps, State Registered Nurse that used to practice his medical talks & demonstration for troops with Graham as his audience. He would assist his father when he provided medical cover at rodeos & gymkhana's and trusted his father to set him on fire for a simulated Military Field Kitchen Explosion in 1985. Graham went on to train and work for 15 years, as a General & Cardiothoracic ICU and Psychiatric Nurse. In 2000, Graham earned his Bachelors Degree in Nursing Science with First Class Honors at the and subsequently pivoted in 2001 into medical device sales. In 2006, Graham's fascination with education led him to a healthcare simulation company, Limbs & Things, which brought him to the United States in 2008. Since then, he has enjoyed leadership roles with companies that have enabled him to support special interest groups aimed at improving education, clinical practice and patient safety, including Limbs & Things, B-Line Medical, SIMnext, the Society for Simulation in Healthcare, SimGHOSTS, the American College of Surgeons, and the Global Network for Simulation in Healthcare. Culminating in him contributing work to three medical simulation-related textbooks. In 2015, Graham's desire to support improvements in health care education led him to partner with , the creator of real human specimens preserved through plastination. In 2018, the relationship was formalized with the establishment of Anatomic Excellence, which serves as the exclusive full range agent for the acquisition of in the US, Canada and the Caribbean. More:
New Retina Radio was at ASRS 2023 to cover the stories you may have missed. How often do patients return to the clinic on time for anti-VEGF injections? Christina Y. Weng, MD, MBA, and her team explored how often patients missed scheduled appointments, by how much, and whether missing appointments affected patient outcomes. And Nikolas JS London, MD, joined us in our mobile studio in Seattle to tell us about anatomic outcomes in wet AMD patients after faricimab (Vabysmo, Genentech/Roche) treatment. This is episode 1 of 2 covering the 2023 ASRS Annual Meeting. Keep an eye on your feed for episode 2.
Medial patellofemoral complex (MPFC) reconstruction plays an important role in the surgical treatment of patellar instability. Anatomic reconstruction is critical in re-creating the native function of the ligament, which includes minimizing length changes that occur in early flexion. Anatomic risk factors for patellar instability such as trochlear dysplasia, patella alta, and increased tibial tuberosity to trochlear groove (TT-TG) distance have been shown to influence the function of the MPFC graft in cadaveric studies, but the native length change patterns of the MPFC fibers in knees with anatomic risk factors have not been described. In conclusion, the MPFC fibers demonstrated increased length changes in knees when a greater number of morphological risk factors for patellar instability were present, which worsened in the setting of nonanatomic configurations. This suggests that the function of the intact MPFC in patients with anatomic risk factors may not reflect previously described findings in anatomically normal knees. Further studies are needed to understand the pathoanatomy related to these changes, as well as the implications for graft placement and assessment of length changes during MPFC reconstruction techniques. To read the article, click here.
Were fluid-free visits correlated with outcomes in the HAWK/HARRIER studies? Moderator Katherine Talcott, MD, and panelists Kyle Kovacs, MD, and Rebecca Soares, MD, MPH, summarize data from a study examining this question, review what it means to be "free of fluid," and discuss how these data fit into the overall conversation about fluid toleration in wet AMD.
This week on the pod I'm talking about using anatomical language with the kids, my latest journey as an absolute wreck the head over the phone and some oscar buzz. Enjoy! This pod is sponsored by NOW. Where you can catch The Last of Us' full first season as well as the first three seasons of Succession available with a NOW Entertainment Membership!Also if you want to hear more shows, see more gigs, and want to help me out; you can do so over at patreon.com/tonycantwell where you can get access to:* Weekly Bonus podcast every Friday.* Bonus video podcasts.* Over 100 episodes of the Bonus Cantwell Shitshow.* Priority access for all upcoming gigs* Access to the Shitshow Discord server.
ASCP is committed to developing policies that improve public health through the practice of laboratory medicine. One of the ways that the Society participates in public policy is through our delegation to the American Medical Association (AMA). So, what does it mean to be an ASCP delegate to the AMA? How well is pathology represented within the AMA House of Delegates? And why does that representation matter? On this episode of Inside the Lab, your hosts Dr. Ali Brown, MD, FASCP, and Dr. Lotte Mulder, PhD, are joined by ASCP delegates to the AMA Dr. William Finn, MD, MASCP, Medical Director of the Joint Venture Hospital Laboratories and Past President of ASCP, Dr. Jennifer Stall, MD, Anatomic and Clinical Pathologist at Hospital Pathology Associates in Minneapolis-Saint Paul, Minnesota, and Dr. H. Cliff Sullivan, MD, Assistant Professor in the Department of Pathology and Laboratory Medicine and Director of the Cellular Therapy Laboratory at Emory University, to discuss laboratory medicine's representation within the American Medical Association. Our panelists discuss the AMA's function as a professional association and lobbying group for physicians and medical students and share their experiences as delegates to the AMA from ASCP. Dr. Finn, Dr. Stall, and Dr. Sullivan explain the responsibilities as delegates to the AMA and offer examples of how ASCP's involvement in the AMA serves the interests of ASCP members and our patients. Listen in for insight around the AMA initiatives and programs pathologists should be aware of and learn how you can get involved in amplifying the voice of pathologists in the AMA. Topics Covered · How the AMA functions as a professional association and lobbying group for physicians and medical students· How the AMA fulfills its mission to promote the art and science of medicine and the betterment of public health· Who serves as ASCP's full delegates to the AMA and who serves as alternate delegates· How well pathology is represented within the AMA and why that representation matters· How the pathology voice is received in the egalitarian system of the AMA· How ASCP's involvement in the AMA serves the interests of ASCP members and our patients· How to get involved with the AMA Connect with ASCPASCPASCP on FacebookASCP on InstagramASCP on TwitterConnect with Dr. FinnDr. Finn on LinkedIn Connect with Dr.StallDr. Stall on TwitterConnect with Dr. SullivanDr. Sullivan at Emory University Connect with Dr. Mulder & Dr. BrownDr. Mulder on TwitterDr. Brown on Twitter ResourcesAmerican Medical AssociationASCP Resident CouncilVALID Act of 2021CLIA Law & RegulationsASCP Institute for Science, Technology and Public PolicyInside the Lab in the ASCP Store
Dr. Kristinza Giese is a native of the Washington, DC area and is a graduate of Howard University. In 2006, she graduated from the Medical College of Wisconsin. Her post graduate medical training includes General Surgery Residency at Vanderbilt University Medical Center and Anatomic and Clinical Pathology Residency at University of Washington Medical Center. In 2011, Dr. Giese accepted a Forensic Pathology Fellowship at the Milwaukee County Medical Examiner's Office. She has been an Associate Medical Examiner at the Fond du Lac County Medical Examiner's Office in Fond du Lac, WI and is presently a Deputy Medical Examiner at the Office of the Chief Medical Examiner in Washington, DC. Dr. Giese is board certified in Anatomic, Clinical, and Forensic Pathology. She is also a member of many organizations, including the American Academy of Forensic Science, the National Association of Medical Examiners, the College of American Pathologists, and Delta Sigma Theta Sorority Incorporated. Dr. Giese enjoys teaching and has given multiple volunteer lectures to Forensic Science students and interns. When she is not in the autopsy room, she enjoys playing her violin, playing tennis, and spending time with her two sons, Jay and Julius.Twitter: @NMA PathologyTwitter: @Kristinza23Website: NMA Pathology - NMA Pathology | Home
Do you also want to pull out your hair when you learn about the pelvic vasculature? For this after Thanksgiving episode, we try to calm those feelings with a brief meditation while learning the pelvic blood vessels. Twitter: @creogsovercoff1 Instagram: @creogsovercoffee Facebook: www.facebook.com/creogsovercoffee Website: www.creogsovercoffee.com Patreon: www.patreon.com/creogsovercoffee You can find the OBG Project at: www.obgproject.com
The role of the pathologist in lung cancer treatment has dramatically evolved as our understanding of lung cancer biology has advanced. Lung Cancer Considered host Dr. Stephen Liu discusses that evolution with renowned lung cancer pathologists Dr. Dara Aisner from the University of Colorado and Dr. Ignacio Wistuba from MD Anderson Cancer Center. Dr. Wistuba is a Professor in the Department of Thoracic and Head and Neck Medical Oncology at the University of Texas MD Anderson Cancer Center in Houston. He is the Head of the Division of Pathology and Lab Medicine and an expert in translational pathology. Dr. Aisner is an Associate Professor in the Department of Pathology at the University of Colorado in Aurora, CO. She has expertise in Anatomic as well as Molecular Genetic Pathology and is the Medical Director of the Colorado Molecular Correlates Laboratory.
• In-person course: November 4-5, Rosemont, IL (Course #2203270), Learn more and register at aaos.org/courses • Hosts Joseph A. Abboud, MD, FAAOS; J. Michael Wiater, MD, FAAOS; and Lawrence V. Gulotta, MD, FAAOS discussing: o Review article “Preoperative Planning for Anatomic Total Shoulder Arthroplasty” from the October 1, 2022 issue (https://journals.lww.com/jaaos/Fulltext/9900/Preoperative_Planning_for_Anatomic_Total_Shoulder.461.aspx) o Research article “Clinical Outcomes After Reverse Total Shoulder Arthroplasty in Patients With Primary Glenohumeral Osteoarthritis Compared With Rotator Cuff Tear Arthropathy: Does Preoperative Diagnosis” from the February 1, 2022 issue (https://journals.lww.com/jaaos/Fulltext/2022/02010/Clinical_Outcomes_After_Reverse_Total_Shoulder.24.aspx) o Research article “Safety and Cost Effectiveness of Outpatient Total Shoulder Arthroplasty: A Systematic Review” from the January 15, 2022 issue (https://journals.lww.com/jaaos/Fulltext/2022/01150/Safety_and_Cost_Effectiveness_of_Outpatient_Total.17.aspx) The JAAOS Journal Club podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.
Luke and Caleb discuss rehab within the first 6 weeks after shoulder replacement surgery. Both types of shoulder replacement procedures are discussed (Anatomic and Reverse) as well as your keys to success in those important first 6 weeks. Let's get those shoulders moving!
Dr. Alae Kawam is currently a Surgical Pathology fellow in New York. She completed Anatomic and Clinical Pathology residency in New York. Originally from NJ, she graduated from New York Institute of Technology College of Osteopathic Medicine in 2018. Prior to that she was a Chemistry major at Drew University and graduated with honors in 2014 and was inducted into Phi Beta Kappa. She serves on the Wellness Committee and the JEDI committee (Justice, equity, diversity, and inclusion) at her current institution. Her professional interests include workplace wellness, DEI, and bias in decision making. Outside of work she enjoys watching comedy, spending time with family, and a good cup of tea.Twitter: @kawama92
Barbarajean Magnani, PhD, MD, FCAP—Professor of Anatomic and Clinical Pathology, and Medicine, and the former Chair of Pathology and Laboratory Medicine at Tufts University School of Medicine, Boston, MA—is internationally recognized for her expertise in clinical chemistry and toxicology. During her career, she received three Outstanding Speaker Awards from the Association for Clinical Chemistry (AACC); and from the College of American Pathologists (CAP)/CAP Foundation, the 2012 Outstanding Communicator Award, the 2014 Distinguished Patient Care Award, and the 2014 Gene and Jean Herbek Humanitarian Award. Dr. Magnani also received the Distinguished Career in Teaching Award from the Tufts University School of Medicine in 2019. In addition, she has been named a Top Doctor in Boston magazine and was included by Castle Connelly in Exceptional Women in Medicine. Dr. Magnani was also named one of the Top 100 Most Influential Laboratory Medicine Professionals in the World by The Pathologist. Dr. Magnani—the former Chair of the CAP Toxicology Committee and member of the CAP Council on Scientific Affairs—has served as the member-at-large of the TDM and Toxicology Division of the AACC and as an editor of Clinical and Forensic Toxicology News. Dr. Magnani is also one of the editors of The Clinical Toxicology Laboratory: Contemporary Practice of Poisoning Evaluation, 2nd edition (AACC Press), and Clinical Toxicology Testing: A Guide for Laboratory Professionals, 2nd edition (CAP Press). Her works of fiction include Lily Robinson and the Art of Secret Poisoning (nVision Press), and the Dr. Lily Robinson series, The Queen of All Poisons, The Power of Poison, and A Message in Poison (Encircle Publications).https://www.bjmagnani.com/Be sure to signup for News, Books & Poisons https://mailchi.mp/3621100eb413/news-books-poisons-from-author-bj-magnani Today's episode is brought to you by John's full series of crime thrillers available right now. You can get them through Amazon here: https://www.amazon.com/John-A.-Hoda/e/B00BGPXBMM%3Fref=dbs_a_mng_rwt_scns_share You can also sign up for the newsletter at http://www.JohnHoda.com to get a free copy of John's new novella Liberty City Nights.Thank you for listening. If you have a moment to spare please leave a rating or comment on Apple Podcasts as that will help us expand the circle around our campfire. If you have any questions please feel to reach out to me via my website http://www.johnhoda.com
Dr. Nicole Alyse Croom (she/hers) is a mixed chick and middle child from Stockton, CA. She received her MD from the University of California, San Francisco; taking a “year off” to get a MPH from the University of California, Berkeley. She stuck around San Francisco to complete Anatomic and Clinical Pathology residency at UCSF before moving to the Pacific Northwest for Forensic Pathology fellowship at the King County Medical Examiner's Office in Seattle, WA. She graduated from her fellowship program in July and is currently taking “time off” performing autopsies per diem with the hopes of joining the local medical examiner's office in Fall 2022. Her forensic-related interests include the association between public health and death investigation, emerging infectious diseases, and educating potential future forensic pathologists through mediums such as “Dead Men Do Tell Tales, "The podcast she co-hosted with colleague. In her spare time, Nicole enjoys reading dystopian fiction, kickboxing, thrifting for dresses with pockets, vicariously living the farm-life through Stardew Valley, and spending an evening at home with a streaming service whilst cuddling with her husband and cat and sipping a craft beer. Twitter: @nicnac363 Instagram: @everybodydecomposes.
Drs Spiker and Byrd discuss Hip Arthroscopy Using the Supine Position from 1994; Hip Arthroscopy: An Anatomic Study of Portal Placement and Relationship to Extra-Articular Structures from 1995; Labral Lesions: An Elusive Source of Hip Pain from 1996.
This episode Luke welcomes in Dr. Doug Phillips, Legend Orthopedics, Augusta, GA to discuss the differences between an anatomic shoulder replacement and a reverse shoulder replacement. What are the differences and why would a surgeon do a Reverse vs a standard anatomic replacement? What are the typical follow up appointments look like for the patient and what should they expect? Tune in and find out. https://www.peakrehabfitperform.com
Multiple case reports of fifth metatarsal (MT) intramedullary fixation highlight symptomatic hardware with screw head impingement on the cuboid. We developed a fifth MT intramedullary screw trajectory model using weightbearing computed tomography data. The goal was to assess for cuboid impingement with simulated intramedullary screw position. In conclusion, the ideal guidewire placement for fifth MT intramedullary fixation is directly against the cuboid. Approximately 95% of patients would have cuboid impingement if the screw is not countersunk. The oblique fluoroscopic view of the foot is a reliable assessment of screw head impingement on the cuboid. To view the article click here.
Drs. Goldberg and Pieramici lay out their parameters of a successful treatment in patients in NPDR and how they rely on anatomic improvement. They discuss which specific diagnostic procedures and their value in different types of patients the most and how often they utilize them.
Today we focus on the academics and data behind COVID-19 and joining us is Dr. Ryan Cole, CEO and Medical Director of Cole Diagnostics, a Anatomic and Clinical Pathology Laboratory. With being 2 plus years into the COVID-19 pandemic, researchers have discovered so much about the virus. Dr. Cole shares his expertise on the importance of UV light, Vitamin D and air circulation to fight against COVID-19. Additionally, we speak about the COVID-19 vaccine and its effectiveness and side effects it has on society. Dr. Ryan ColeDr. Ryan Cole, CEO and Medical Director of Cole Diagnostics, serves clinicians throughout Idaho and the nation with expert pathology diagnoses and patient centered care. Dr. Cole completed his residency in Anatomic and Clinical Pathology at the Mayo Clinic, where he was chief fellow during his surgical pathology fellowship, followed by a year as chief fellow at the Ackerman Academy of Dermatopathology in New York City,under the direction of world renowned dermatopathologist, the late A. Bernard Ackerman. Cole Diagnostics is a full service Anatomic and Clinical pathology laboratory with an extensive menu of testing capabilities, including molecular testing, microbiology, clinical laboratory blood testing, and cytology, in addition to outpatient surgical biopsies. He has helped perform and diagnose over 150,000 Covid tests during the pandemic and has diagnosed 500,000 patients in his career. He has spoken in the Senate and multiple state legislatures, as well as at numerous international conferences, sharing the science and truth about the pandemic. When not focused on science, he enjoys working on his 21 acre organic farm, tending his lambs, cattle, ducks, and chickens, sculpting his 250 tree fruit orchard, saw-milling local urban timberand building one of a kind pieces of furniture, guitars, wood boats and other functional wood art. He is the proud father of 6 daughters he calls his “blonde-tourage."Dr. Cole's Personal SiteGlobal COVID Summit
Anatomic pathology has evolved dramatically in the last 100 years, moving from an entirely subjective practice to a standardized, evidence-based discipline. Who were the pioneers in developing this modern approach? How have testing processes and laboratory technology changed over time? And what can we learn from the last century of anatomic pathology to help us move the profession forward? On this episode of Inside the Lab, our hosts Ms. Kelly Swails and Dr. Dan Milner are joined by Dr. Sanjay Mukhopadhyay, MD, Director of Pulmonary Pathology at the Cleveland Clinic and Associate Editor of the American Journal of Clinical Pathology, and Dr. William Schreiber, MD, MASCP, Professor in the Department of Pathology and Lab Medicine at the University of British Columbia and Clinical Director of Chemistry at LifeLabs, to discuss the history of pathology and laboratory medicine. Our panelists explain who and what inspired the marked increase in scientific rigor in our profession and explore how the role of the pathologist has changed over time. They speak to how instrumentation has evolved since 1922, describing the diversity of technology in the lab today and the many iterations of molecular testing in surgical pathology and the clinical lab. Listen in for insight on promoting diversity of thought in pathology and laboratory medicine and get their predictions around the disruptive innovation coming to anatomic pathology in the next 100 years. Topics Covered · Pioneers in developing modern anatomic pathology's standardized, evidence-based approach· How immunohistochemistry and molecular pathology led to a marked increase in scientific rigor in laboratory medicine· How the role of the pathologist has changed over time to be directly involved in patient care decisions · How instrumentation has changed in the clinical lab over the last 100 years · The diversity of technology in the laboratory today and how automation benefits patients· The evolution of molecular testing in surgical pathology and laboratory medicine and how it's impacted microbiology, genetics and cancer diagnoses· How molecular testing has evolved from conventional cytogenetics to FISH testing to PCR testing (and now to next-generation sequencing)· Where the laboratory has been ahead of the curve on diversity and where we have room for improvement· Dr. Mukhopadhyay's and Dr. Schreiber's predictions around AI and non-invasive diagnostics in future of pathology and laboratory medicine· Transformative vs. disruptive innovation and why anatomic pathology is ripe for disruption Connect with ASCPASCPASCP on FacebookASCP on InstagramASCP on Twitter Connect with Dr. MukhopadhyayDr. Mukhopadhyay on TwitterDr. Mukhopadhyay on LinkedIn Connect with Dr. SchreiberDr. Schreiber at the University of British ColumbiaDr. Schreiber at LifeLabs Connect with Ms. Swails & Dr. MilnerMs. Swails on Twitter Dr. Milner on TwitterResources Inside the Lab in the ASCP Store
GUEST OVERVIEW: Dr. Ryan N. Cole received his medical degree from the Medical College of Virginia at Virginia Commonwealth University, He then spent 5 years in training at the Mayo Clinic in Rochester, Minnesota, completing his residency in Anatomic and Clinical Pathology, as well as a fellowship in Surgical pathology, serving as chief fellow in his final year. In 2004 he founded Cole Diagnostics, an independent, full-service medical laboratory in Boise, Idaho, and is the Chief Medical Officer and Laboratory Director. Cole Diagnostics processes and reports out approximately 40,000 blood and biopsy patient samples annually. In the last year, the lab has handled over 100,000 COVID testing samples. Dr Cole is a board certified Anatomic and Clinical pathologist with a subspecialty training and 20 years' experience in dermatopathology and particular interest in molecular diagnostics. Dr. Cole serves patients and clinicians across the United States. Dr Cole is most often ahead of his peers and among the first to observe new trends in disease. Dr Cole claims MRNA vaccines cause cancer and autoimmune diseases. GUEST WEBSITE: https://www.colediagnostics.com/
We've received a lot of great advice from friends and family as we prep to welcome our first baby! One of our friends told us about cord blood storage - something we knew nothing about. After looking into it, we decided to hop on a chat with Dr. Jaime Shamonki, Chief Medical Officer at Cord Blood Registry, to talk all about the science and the why behind collecting and storing our baby's cord blood and tissue. Dr. Jaime Shamonki is a mom of two. She trained in Anatomic and Clinical Pathology at New York Presbyterian Hospital – Weill Cornell Medical College and has completed fellowships at Weill Cornell as well as the University of California, Los Angeles. Prior to joining Generate Life Sciences, Dr. Shamonki developed expertise in women's health and clinical laboratory medicine, serving as the Director of Breast Pathology and Blood Bank Medical Director at Saint John's Health Center in Santa Monica, CA, and as an Assistant Professor at the John Wayne Cancer Institute. Connect with Dr. Jaimie ShamonkiIG:@ShamonkiMDhttps://www.instagram.com/shamonkimd/@CordBloodRegistryhttps://www.instagram.com/cordbloodregistry/Use promo code HOME for over 50% savings on cord blood and cord tissue bundle with 1st year of storage. https://www.cordblood.comTHANK YOU TO OUR FRIENDS AT ADT for making it possible for us to share these stories in a safe and secure place, At Home. https://www.adt.com/AtHomeText 310-496-8667 with your questions for #AtHomePodcast !If you've enjoyed this podcast, please subscribe, rate and share with a friend! Thank you for being a part of the At Home community! Connect with Linda & Drew: instagram.com/athomeinstagram.com/imlindorkinstagram.com/mrdrewscott#AtHome PodcastTHEME SONG BY: Victoria Shawwww.instagram.com/VictoriaShawMusic Chad Carlsonwww.instagram.com/ChadCarlsonMusic MUSIC COMPOSED AND PRODUCED BY:Rick Russohttps://www.instagram.com/rickrussomusicSpecial thanks to all our At Home homies: PRODUCERS:Brandon AngelenoHanna PhanPOST AUDIO ENGINEER:Chris CobainNicole SchacterWEBSITE:Wesley FriendSERIES PHOTOGRAPHER: Dennys Ilicwww.instagram.com/dennydennSponsored by:ADT: It's important to have not just a beautiful home -- but a smart and safer home.https://www.adt.com/AtHomeSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
"Its All About The Journey" with triple board-certified, Harvard-trained Dermatopathologist & Founder of GFaceMD and Soyier Skin Collection, Gretchen Frieling, MD.“Dr.G” comes from an extensive background in Anatomic and Clinical Pathology & Dermatology, but 5 years ago, she turned her unique perspective as a skin expert into a wildly successful Aesthetic Practice and secured her spot as an industry leader and educator. She's well known for her innate ability to educate on the pathology of injectables, something she stayed away from early on when marketing her Practice. Fast-forward years later, and she's constantly asked to lecture on industry podiums, contribute to national magazines, and share her perspective on various media outlets. Her expertise as an Injector is closely rivaled by her success as an entrepreneur. From a one-room location at a hair salon to one of the most sought after practices in the Northeast, she's become a master at branding, exceeding Patient expectations, growing a stellar team, and she's earned her stripes as a savvy businesswoman. In addition to her role at GFace, she's also the mastermind behind skincare brand, Soyier, where she's played a major role in formulating each product, designing the packaging, and creating the entire brand presence.Right before the pandemic, she launched FaceITVirtual, and three meetings later, she's put her Midas touch on an international, virtual conference that continues to grow year after year.
Ricoh USA's Gary Turner, Managing Director of Additive Manufacturing in North America, discusses the company's recent 3D printing efforts in the healthcare space. Along with sharing the benefits of the RICOH 3D for Healthcare solution (an end-to-end workflow solution for designing and producing 3D-printed anatomic models), he talks about affordability and ease of use, as the solution integrates with IBM Connect Access from IBM Watson Health—enterprise imaging software many healthcare providers already use.
Dr. Bhanote is a quintuple board-certified physician and published author with expertise in Integrative Medicine and Anatomic & Clinical Pathology, Cytopathology, and Culinary Medicine. Dr. Bhanote has additional training and certifications in Mindfulness-Based Stress Reduction, Plant-Based Nutrition, Ayurveda, Yoga for Cancer Recovery, and as a Yoga Medicine Therapeutic Specialist where she applies a whole-body approach to healing.
Hi friends, this is Dr. Michael Williams and welcome to another episode of the diversify in path podcast. This podcast explores how investing in diversity can lead to a high return of investment in pathology and laboratory medicine by learning from the knowledge and experiences of diverse voices within in our field. My next guest is Dr. S. Joseph SirintrapunDr. Sirintrapun is the Director of Pathology Informatics at Memorial Sloan Kettering Cancer Center (MSKCC) and an Associate Attending and member of the Warren Alpert Center for Computational Pathology at MSKCC. Dr. Sirintrapun is board certified in Anatomic and Clinical Pathology and Clinical Informatics. In addition to his work in informatics, he practices surgical pathology specializing in genitourinary tumors.Dr. Sirintrapun is the current 2021 President of the Association for Pathology Informatics (API). His primary efforts are in data and systems engineering and leadership, as it relates to digital and computational pathology. He works towards a better understanding of the cognitive and social impacts of technology on clinical practice, and particularly on operationalization or the translation of innovations in digital pathology and computational pathology to practice. Dr. Sirintrapun is also passionately engaged in cultivating a diverse, equitable, and inclusive younger medical and technological workforce to propel pathology informatics and computational pathology into the future.Linked-In: S. Joseph Sirintrapun | LinkedIn
Dr. Kisha Mitchell Richards is the Director of Pathology and Laboratory Medicine at Greenwich Hospital in Greenwich, Connecticut. Originally from Jamaica, Dr. Mitchell Richards earned her medical degree from the University of the West Indies, Mona, Kingston, Jamaica. She then completed an Anatomic and Clinical Pathology residency at George Washington University, a Forensic Pathology fellowship at University of South Florida and a Gastrointestinal Pathology fellowship at University of Pittsburgh. Dr. Mitchell Richards began her career as an academic Gastrointestinal Pathologist at Yale University, and subsequently became an Associate Professor and Director of Autopsy. She departed Yale to become a general community pathologist at Greenwich Hospital in 2016 where she became the Director in 2018. She has published in autopsy, gastrointestinal and liver pathology and lectured in these areas locally and nationally. She is an active participant in pathology at the national level, serving as the Vice Chair of the Curriculum Committee of the College of American Pathologists (CAP) and member of the Pathologists Council of the American Society of Clinical pathologists (ASCP), among other roles. Her professional interests include making pathology and the pathologist more accessible to patients and bolstering physician involvement in health care administration. Twitter: @KAMitchellR LinkedIn: www.linkedin.com/in/kisha-mitchell-richards
In this episode, we talk with Dr. Anthony Karnezis, head of gynecologic and endocrine pathology at UC Davis Medical Center. We talk about his journey from intense lab research, surviving multiple near-death experiences, moving to Canada, and eventually finding his way to UCDMC. If you have any questions or would like to reach us directly, please email sosucdmc@gmail.com
Hi Friends, This is Dr. Michael Williams and welcome to another episode of the diversify in path podcast. This podcast explores how investing in diversity can lead to a high return of investment in pathology and laboratory medicine by learning from the knowledge and experiences of diverse voices within in our field. Dr. Ashley Holloman is originally from Detroit, Michigan. She completed her undergraduate medical education at Michigan State University College of Human Medicine in Grand Rapids, Michigan. After graduating, she completed Anatomic and Clinical Pathology residency at Baylor College of Medicine in Houston, TX. She's currently a second year neuropathology fellow at Houston Methodist Hospital, where she is serving as Chief Fellow for the current 2021-2022 academic year. Dr. Holloman is particularly interested in oncologic neuropathology. In addition to her neuropathology interests, Dr. Holloman is passionate about medical education and currently serves as junior member on the College of American Pathologists Graduate Medical Education Committee. In her free time, she enjoys, reading, writing poetry and spending time with her husband and three year old maltipoo. Twitter: @AMHollomoanMD
Many people have heard about the risk of your BRAIN on drugs, but what about your SKIN on drugs? Your skin, your epidermis is the largest organ of your body and is about 20 square feet. Dr. Antley is a dermatopathologist and talks to High Truth about whether marijuana products can help acne or harmful to the skin. Catherine Antley, M.D. Catherine Antley, M.D. graduated from the University of North Carolina School of Medicine, completed her residency in anatomic and clinical pathology at Duke University Medical Center and fellowship in dermatopathology at the University of Arkansas for Medical Sciences. She is board certified in Anatomic and Clinical Pathology and in Dermatopathology and is a Fellow of the American Society of Dermatopathology. For 20 years she has served as laboratory director of Vermont Dermatopathology, a woman owned, independent dermatopathology lab serving VT, NY, and NH. She has a strong interest in public health and prevention and exploring the impact of policy on addiction and health care costs. She has co-authored a number of Vermont Medical Society resolutions on cannabis and recently organized and led a delegation of 10 Vermonters to Iceland to learn about their 20 year history bringing down the country’s high addiction rates using their successful, science based prevention model. She recently contributed a chapter “Cannabis in Dermatology” to the textbook “Cannabis in Medicine, an Evidence Based Approach” edited by Dr. Ken Finn and published by Springer Nature. Cannabis in Medicine: An Evidence Based Review
Dr. Jim Hu MD discusses Anatomic and Technical Considerations for Kidney and Prostate Surgery 5/8/20
Hi Friends, this is Dr. Michael Williams, and welcome to another episode of the diversify in path podcast.This podcast explores how investing in diversity can lead to a high return of investment in pathology and laboratory medicine by learning from the knowledge and experiences of diverse voices within in our field. My next guest is Dr. Ryanne BrownDr. Brown is a board certified AP/CP pathologist with additional board-certification in dermatopathology,. Her interests include soft tissue, cutaneous lymphoma, and histiocytic neoplasms. Upon completion of a combined MD/MBA at Baylor College of Medicine and Rice University, Dr. Brown pursued residency training in Anatomic and Clinical Pathology followed by Surgical Pathology and Dermatopathology fellowships at Stanford University. She remains an active member of the Stanford faculty as a Clinical Assistant Professor of Pathology and (by courtesy) Dermatology. She also works as a general pathologist at the VA Palo Alto. Twitter: @RyanneMDMBA
Hi friends! Welcome to episode 0 of my new podcast "Diversify in Path", a podcast that explores how investing in diversity can lead to a high return of investment in pathology and lab medicine by learning from the knowledge and experiences of diverse voices within in our field. For those who don't know me, I am currently a board certified Anatomic and clinical pathologist pursing fellowship training in Neuropathology and forensics. I switched into pathology from general surgery and have not ONCE regretted the change ….but noticed an all to familiar pattern that I seen in med school, during residency interviews and even during national pathology conferences .I want to say this is a project of the heart. A new endeavor with the aims of this podcast to try to tell the stories of those who add to the amazing diversity of pathology , laboratory medicine and the medical field as a whole. So join me as I interview collagues at various stages of their careers and in different areas of lab medicine and hear how they think we can diversify in path Follow me on twitter: @bluehatcomics85
A rapid review of posterior interosseous nerve (PIN) syndrome for the plastic surgery learner. In this episode we review:Anatomy of the radial and posterior interosseous nervesEvaluation and management of the posterior interosseous nerve syndrome patientFeedback is always appreciated. Comments, questions, suggestions, or corrections can be sent to jakemarksmd@gmail.comReferences:Ozkan M, Bacakoglu AK, Gul O, Ekin A, Magden O. Anatomic study of posterior interosseous nerve in the arcade of Frohse. J Shoulder Elbow Surg. 1999;8(6):617-620.Dang AC, Rodner CM. Unusual compression neuropathies of the forearm, part I: radial nerve. J Hand Surg Am. 2009;34(10):1906-1914.Wheeler R, DeCastro A. Posterior Interosseous Nerve Syndrome. In: StatPearls. Treasure Island (FL)2021.
Medical Examiner Dr. Steven C. Campman is San Diego County's Chief Deputy Medical Examiner. He earned his B.S. in Biology from Loyola Marymount University in 1987; graduated from Creighton University School of Medicine in Omaha, in 1992, and then completed residency in Anatomic and Clinical Pathology at the University of California, Davis Medical Center, in 1997. Following fellowship training in Forensic Pathology with the Northern California Forensic Pathology Group at the Sacramento County Coroner's Office in 1998, he went to work for the US Air Force and was stationed at the Office of the Armed Forces Medical Examiner, the Armed Forces Institute of Pathology, in Washington DC, as Associate, then Deputy and Chief Deputy Medical Examiner for Medicolegal Operations and Investigations, until he went to work for the County in 2001 (later continuing to serve in the Air Force Reserve as a Regional Medical Examiner until he retired). He is Board Certified in Anatomical/Clinical, and Forensic Pathology, continues to regularly perform autopsies while managing the Pathology Division of the Medical Examiner's Department, and testifies regularly in CA Superior Court. Learning Points: Deaths due to drug overdoses and drug toxicity are preventable deaths.Drugs taken not from a pharmacy – should be considered deadly. A Medical Examiner is a medical doctor and a coroner is a law enforcement professional. Most of the United States has coroners.Death Certificates are not always accurate. There is an art and education in completing these correctly.Most people do not obtain an autopsy upon deaths. Only about 10% or less of deaths are investigated.Association of death are not typically included in a cause of death. For example, a person who died in a car collision while intoxicated on alcohol and drugs will have a cause of death listed a accident due to blunt force trauma. Fentanyl deaths have more than doubled in San Diego in the past year. Fentanyl deaths can happen fast. Fentanyl has been found in fake pills, methamphetamine, heroin, cocaine, and even vaping products. Hospitals should include fentanyl in urine drugs testing in an automatic and universal manner. This episode was recorded at the end of October when COVID did not attack California. Since then, California has led the nation in COVID deaths.
Getting the lingo downNote: tons of great content similar to this can be found via InterAct.Intersex: term used for a variety of conditions in which someone is born with urologic, reproductive or sexual anatomy that doesn't fit the binary definitions of female or male. Differences of sex development or DSD: The medical community's umbrella term for a handfull of medical diagnosis where a biological characteristic or anatomical structure does not meet binary definitions of male or female.Not all folks with a DSD diagnosis claim intersex as an identity!One last point: who does and doesn't identify as intersex is always political. It's often based on how people receive the medical framing of the diagnosis. Some intersex advocates expect that in a few years' time, calling intersex a DSD condition will sound like calling someone's gender identity or sexual orientation, a psychological condition. Anatomic variations: a big-picture viewThe overall incidence of any variant of sex development is estimated to be as high as 1.7% of the population (others make lower estimates). This is as common as folks with naturally red hair.These variations can show up on a few different biologic levelsGenetic: e.g. Kleinfelter syndrome and Turner syndromeHormonal: e.g. congenital adrenal hyperplasia or androgen insensitivity syndromeBecause we talk a lot about AIS in this episode, here's some more detail: it's a condition where individuals have XY chromosomes. But the receptor for testosterone has a slightly different shape, so testosterone doesn't dock at the receptor. So the organs and structures formed by testosterone signaling are not there. Anatomic: e.g. gonadal dysgenesis (the gonads - or testes or ovary precursors don't form) Variations can be discovered at different time points throughout someone's lifeGenetic screening or fetal ultrasoundTime of birthChildhood, often while investigating a hernia or abdominal massDuring unrelated abdominal surgery, where sometimes undeveloped gonads are foundAs part of the medical workup when someone who expects to get pregnant cannotThe role of hormones within intersex careThe biology of hormonesBody shape, voice, hair growth and distribution, bone strength, muscle development - these all depend on hormones (like testosterone and estrogen) In binary individuals, these hormones appear around age 5 or 6 and increase around puberty. How does this relate to healthcare for intersex individuals?TL;DR: it depends on the individual. There is no set regimen or hormone therapy for someone based on a particular DSD variation.Some individuals with an intersex condition identify as a gender other than that assigned to them by the time of puberty. Hormone therapy can help alleviate the distress which some folks may feel about their body, and help them achieve their desired form of gender expression.As a reminder: just because someone is intersex doesn't mean they are transgender.Hot take: having the correct amount of hormones for the gender and body that you wish to have is very important.Shifting paradigms of clinical care for intersex folksFor many years, the medical community routinely practiced non-disclosure with intersex patientsThe basic idea behind non-disclosure: clinicians purposefully choose to NOT tell an intersex individual about their variation. The person in question will instead be socialized as either male or female (based on whichever gender “made more sense” given their anatomy).The ideology supporting the practice of nondisclosure goes back to the 1950s, when a psychiatrist named John Money at Johns Hopkins said nurture would always override nature.Why we don't like it: Non-disclosure forces intersex individuals to conform to rigid societal standards, compared with the driving principles of medicine, which are beneficence, autonomy, and justice.Also, clinicians should avoid lying to their patients and should instead tell them the entire truth about their bodyNon-disclosure is (thankfully) falling out of favor, instead replaced by the notion of shared decision making when it comes to clinical care for people with intersex traits or DSD In 2006, a consensus statement came out saying that patients with DSD variations and their families should be told the full truth. This was affirmed again in 2016 update.Though as Dr. Dalke points out, this movement away from non-disclosure is itself a relatively recent and, frankly, radical evolution in care Care for intersex folks: areas for improvementThe language and framework that clinicians use when talking about anatomic variationsMedical language can (and should) present the specific biology of intersex folks in a way that isn't pathologizingFor example, DSDs can be framed as variations - just like red hair vs. blond or brown. (Can you tell we are obsessed with red hair?) Clinicians can partner with their patients to help them find whatever language feels most affirming to themThe assumptions made by the healthcare system about people's bodies, anatomy, sex, and gender Some examples: health forms that only list binary gender options, clinicians that assume a female-presenting individual can become pregnantAn aside to say that these assumptions are damaging for others, too – people who are trans and non-binary and people who have had organs like their breasts, uterus, or testicles removed because of cancerThe physical examA person's body and biology aren't a spectator sportPlease, kick trainees out of the room!Ok, so what does it feel like when things are patient-centered?Patients should feel as if they are in control of every decision that's made in their care. A provider who's really trauma informed is going to check to make sure that a person is giving consent to every aspect of a clinical encounter. A person should feel empowered to say no to something or anything at any point during a clinical encounter or clinical decision making and not feel as though they're doing something wrong or they're going to be punished by the healthcare provider for this.Again, language matters: diagnosis and identityMaria, our community voice, says it best: For most of my life it was a diagnosis and it felt like a diagnosis and I felt different. I just felt different. When I found out I had XY chromosomes, that kind of took me in a new direction - when at your core, you're like, am I a boy? What is a boy? It made me question everything about my identity. And I felt like I sort of started at the bottom to build back up what my identity looks like and where my gender and my sexual orientation, my gender identity, where that all fits in.
Dr. Roger Mitchell is a renowned physician and scientist. More importantly he'll tell you, he is my very good friend. In this episode of The Black Futurist we touch on health disparities in America, scientific literacy, Forensic science and its use in criminal investigation, men's fellowship, and how Hip-Hop shaped a generation. I'd love to hear your feedback on this conversation. -Be Moore Dr. Roger A. Mitchell, Jr. is the Chief Medical Examiner for the Government of the District of Columbia, Washington, DC, he was appointed in 2014. He is a graduate of Howard University, Washington DC, and UMDNJ-New Jersey Medical School, Newark, NJ. He has a B.S. in Biology from Howard University and he is licensed to practice medicine in New Jersey and Washington DC. He has performed over 1300 autopsy examinations in his career and has testified as an expert on numerous cases. He began the study of forensic science and violence prevention as a Forensic Biologist for the Federal Bureau of Investigation (FBI) – DNA Unit in January 1997 at the FBI Headquarters Building. Dr. Mitchell served 4 years as the Assistant Deputy Chief Medical Examiner, in charge of Medicolegal Death Investigations, at the Harris County Institute of Forensic Sciences prior to serving 2 years as the Regional Medical Examiner for the Northern Regional Medical Examiner Office in Newark, NJ. He is the Chairman of the National Medical Association's Workgroup on Gun Violence and Police Use of Force, which examines violence as a public health issue. He is board certified in Anatomic and Forensic Pathology by the American Board of Pathology. He is a Fellow with the National Association of Medical Examiners (NAME). He sits on national subcommittees for NAME including Education & Planning and Strategic Planning as well as Chairs the Deaths in Custody Ad-hoc Committee. Guest: Dr. Roger Mitchell, Jr. Host: Bryndan Moore Co-Host: Dr. Maurice Dolberry Dr. Mitchell is a Founding Member and active participant of SEVEN.community --- Send in a voice message: https://anchor.fm/theblackfuturist/message