Podcasts about baystate medical center

In this episode, Lyell K. Jones Jr, MD, FAAN, speaks with Karin G. Johnson, MD, FAAN, who served as the guest editor of the August 2026 Sleep Neurology issue. They provide a preview of the issue, which publishes on August 3, 2026. Dr. Jones is the editor-in-chief of Continuum: Lifelong Learning in Neurology® and is a professor of neurology at Mayo Clinic in Rochester, Minnesota. Dr. Johnson is a Professor in the Department of Neurology at the University of Massachusetts Chan School of Medicine–Baystate and the Sleep Medicine Division Chief at Baystate Medical Center in Springfield, Massachusetts Additional Resources Read the issue: continuum.aan.com Subscribe to Continuum®: shop.lww.com/Continuum Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @LyellJ Guest: @drsleepykarin  Full episode transcript available here Dr Jones: This is Dr. Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about subscribing to the journal, listening to verbatim recordings of the articles, and exclusive access to interviews not featured on the podcast.  Dr Albin: All right, welcome all. For the first time ever in the history of Continuum Audio, we are coming to you live from Chicago here at the AAN annual meeting. And now over to your host, the one and only editor-in-chief, Dr. Lyell Jones.  Dr Jones: Welcome, everybody. My name is Lyell Jones, editor-in-chief of Continuum, and I'm here today with Dr. Karin Johnson, and we're interviewing Dr. Johnson for the upcoming and recently published issue of Continuum on Sleep Neurology. We have been doing Continuum Audio for a while, but we're doing something different this time. As our listeners online can tell, we are recording this for the first time ever with a live studio audience at the American Academy of Neurology annual meeting in Chicago, Illinois. So, this is a fun experience for us. I hope it's been fun so far for you, Dr. Johnson.  Dr Johnson: Great to be here.  Dr Jones: It's great to have you. So, before we get into the interview, I do wanna introduce our team here for the live recording of the podcast. You've already heard Dr. Casey Albin's voice. Dr. Casey Albin is an associate professor of neurology at Emory University. Also serves as one of our associate editors at the journal and one of our Continuum Audio interviewers. So, she's going to be working the crowd today. Let's have a round of applause for Dr. Albin. And our guest of honor today is Dr. Karin Johnson. Dr. Johnson is a professor of neurology at UMass Chan Medical School and, Baystate Medical Center in Massachusetts. She is a world-renowned expert in sleep neurology and is the guest editor for the most recent issue of Continuum on Sleep Neurology. Dr. Johnson, welcome. Why don't you introduce yourself to our audience?  Dr Johnson: You did a great introduction, but I'm a clinical sleep medicine specialist. Spend my days seeing patients, taking care of people with narcolepsy, sleep apnea, restless legs, everything that comes my way. And then I have a side interest in doing sleep medicine advocacy, especially for permanent standard time.  Dr Jones: And we may get to that. I mean, that might be part of our conversation today. So, you've now read all of the articles in this issue, and it's a really great issue. There's a lot of new developments in sleep neurology. There are some updates for clinicians, people who see patients with sleep disorders that I think are, are timely and important updates. You have this unique view because you have just read all of these articles, really good articles by expert authors. When you read through these, Dr. Johnson, what was the biggest, what was the biggest thing that surprised you?  Dr Johnson: I think the biggest surprise for me is just so many changes in, in all of these articles. I realized how easy it was for us to make a journal that is so different from a few years ago. Whether it's Dr. Stahl's obstructive sleep apnea and new ways to think about endotyping sleep apnea that is gonna have treatment implications or the new treatments that are out there like tirzepatide, the changes that we're having with restless leg treatment. I particularly wanted to have a chapter on circadian neurology that Dr. Abbott did a great job really highlighting how if we think about the timing of when we give meds, the timing of when we eat, how that really can help neurological health, brain health, overall health, as well as mental health and cognition, especially as the AAN thinks about brain health as a whole, not just treating our patients, but how we can treat the population of people by improving sleep. I like how we hit on all these different areas in this issue.  Dr Jones: And I don't know how you managed to do it. They're just a small number of articles. We cover a lot of existing territory with well-characterized diseases, with new advances. But there's a lot of new stuff in sleep, and so somehow, it's all packed in there. It's really impressive. One of the things I was gonna ask you about was an evolution, and this has been a number of years now in how we manage restless leg syndrome. When I was training, it was all about dopamine agonists, and that was your first line. And over time, the evidence has supported moving away from that, and now we have more recent guidelines that have come out, and it's really the alpha-two delta-one calcium channel antagonists. How is that transition going? Do you still see people in practice who come in on dopamine agonists? How is that going? How's the field responding to that?  Dr Johnson: That's one of my most frequent restless leg consults. So even though it's been years since I have really initiated dopamine agonists in my patient, every day we get in people often on very high doses of dopamine agonists, and their doctors have just been escalating and escalating these meds over the years, and they come in with horrible augmentation. Their symptoms are much worse than they used to be, happening earlier in the day. And so, trying to get these patients off of these meds that are addictive, the way I like to teach about it is these dopamine agonists are the Fioricets of the sleep world. We know they work great, but in the long run, the patients are gonna be worse overall. And so, it's so hard to get people off these dopamine agonists, just like it's so hard to convince a headache patient that they don't need their Fioricet and that they're gonna be better off if we can get them off of it. What I think has really changed is we have more options to use. So, the alpha-delta-like agonists like gabapentin are now considered first line, but there's a lot of patients who they just don't work well enough with or they don't tolerate. And so, what do you do in that case? It's easy when that works, but and, when that doesn't work, we are being much more aggressive these days with iron replacement, potentially even trying to push ferritin levels in refractory patients up to three hundred, and using IV iron rather than just oral iron to get over the absorption issues to get the brain levels high enough. Motor stimulators, little cuffs that kind of go around the leg and stimulate the peroneal nerve in a certain way that not only can give people immediate relief, but also some data that suggests that over time it actually lessens their restless legs. We have agents like dipyridamole that work on the adenosine system in a sort of new novel pathway at addressing restless legs. And then the opiates, often meds like methadone or Suboxone can be used in some patients. But as we're getting more of these other options, often we don't need to go to those levels because we do have more to work with.  Dr Jones: So, the key point is lots of options. We're not starting with dopamine agonists anymore. And I think the fact that you're still seeing a lot of patients who have been initiated on that probably tells us there's an education gap field that we need to work on. So, another thing that I noticed reading through the issue was, and this feels like a change over the last few years, is the availability and the tendency to use in-home sleep apnea testing as opposed to formal, traditional in-lab. And that feels like a great new option, and maybe that increases and improves availability for patients who need access to the test. But how do you work through that?  Dr Johnson: So, I love in-home testing. We've been using it for over a decade. Other parts of the country where insurances didn't sort of mandate it are now being more mandated. I think the real change happened for a lot of places over the pandemic when labs closed down. But I think it's good because it brings a lot more patients to us. They get tested, they get tested quicker. People who would say, "I would never go into a lab. Oh, I'll do a home study." So, it just does bring more people in, and it gets them to treatment that they need that can really be life-changing. But it's not for everybody. The biggest people are people that have other bad pulmonary issues. If you're on oxygen therapy, you should not be getting a home study. That really should be a group of people that come in the lab. Similarly, if you have bad COPD, you probably should be getting a full in-lab study, so we can get more monitoring. Central sleep apnea is an interesting one. It can be very hard in some cases to differentiate the centrals and obstructive nature as well on a home study. Doesn't mean you can't do a home. So, if it's a person that just can't get an in-lab study easily, maybe you start with the home. If it looks purely obstructive, and you're all set, then you got an answer, and you can move on. But if you get back a home study that looks questionably central, they're gonna need to come into that lab. So, if you already know they're high risk because they're on narcotics, cause they have congestive heart failure, it's usually worth going straight to the lab. But again, you may consider a home study based on the patient. Patients that really cannot use the equipment can also be an issue. So, if they've had a debilitating stroke and have no one to help them put on that device, or cognitively they just can't handle the device, they're gonna be someone who's gonna benefit from coming into the lab and getting the help from the techs. So, those are the big populations that you might go starting for a home. And then the other thing that confuses a lot of people, the home is only for diagnostics. It really isn't for treatment. So, I have patients that say, "Oh, like, you can just titrate my CPAP with a home study." No. So if it's a treatment decision where they're not doing well on treatment, or I need to figure out do they need CPAP or BiPAP or IVAPS or one of these more complicated treatments, those are people that are gonna need to come into the lab to get that treatment portion of the evaluation.  Dr Jones: What a great summary. That's like everything I needed to know about who do I need to bring into the lab and who do I think maybe could do an at-home study. Really great. And speaking of devices, I think all of us who see patients in the room here and our listeners out there online have experienced patients, and this feels like a very recent phenomenon to me, are coming in with their commercial at-home wearable device. And they have printouts sometimes, and they show me their phone, and they give me some numbers that I don't really know how to interpret. Reading through this issue, I learned a couple of great new words. I learned about orthosomnia, right? So, people who become so preoccupied with their sleep, it keeps them awake at night, literally, right? I mean, it's a complete paradox. I learned about nearables, so things that aren't necessarily wearables that are just in the room while the patient is sleeping that monitor proxies for sleep quality, sleep stage, and other things. And I frankly, I'm not really sure what to tell patients. So, what do you tell patients who come in with all the data? Like, or how do you tell patients to use these?  Dr Johnson: I think these devices can go both ways. So, I do kind of say the pros and cons of these devices. I think for a lot of patients, they're empowering. It's getting them to think about sleep, to wanna know how good their sleep is. Are they getting enough sleep? So, if it's used in those ways, it's gonna be very helpful. I actually had a patient last week, and they noted that they're having big desats all night and could show me essentially an overnight oximetry data rather than me having to order it, and I had days of data, which sometimes can be too much. But in this case, it's like, oh, when he was on his side that night, he looked a lot better, so I can use that to give advice to the patient about particular treatments. He actually went down to Mexico, and a doctor friend gave him oxygen therapy while he was there randomly. And we could see on the nights that he had the oxygen therapy, it did really help his central sleep apnea pattern. And so that pushed us towards saying, "Let's qualify you for that up here in the States." So, I think in some cases it can give really important data. Now, I saw a posting on social media the other day of someone saying, "Can I get advice on how to improve my REM sleep? My tracker says I have no REM sleep, and I need to do something about it." There's really not data to support needing to do something about it. And so, I do think it can get some people on these wild goose chases, trying to get to a certain percentage of sleep. And these trackers, they're good in a lot of ways, but they're not perfect. He could be getting REM sleep that the tracker on him does not show. You want to relate it to what symptoms are they having. I think they can be very good for trying something out. So, let's say someone, has their tracker telling them they get five hours of sleep, and they try this intervention, and that helps them show that they got the seven hours of sleep, or they went from no REM to REM and it goes in the right direction. It can help give them that positive feedback that something they're trying, is working. But the absolutes for any given patient, it's hard to over-- What does it mean if it says you've got a 50% score versus a 70% score? That may or may not be meaningful in any given person, but again, they can compare themselves to themselves. If they were a lower score and now they're a higher sleep score because they did something that was meaningful, and that goes along with them feeling better, that can help give them that positive feedback to do something good.  Dr Jones: So, a little bit of a mixed picture.  Dr Johnson: Yeah.  Dr Jones: Sometimes they help. Sometimes they distract. Hopefully- Dr Johnson: And as a provider, sometimes it can be overwhelming because they're like, "Come look at my year's worth of data." And you're like, "No."  Dr Jones: Yeah.  Dr Johnson: You know, let me see one page or two pages of data and be like, "Yep, okay, I get it." Dr Jones: Just show of hands in the audience, who in the room wears a sleep device at night, like a ring or a, some kind of sleep monitoring app? That's about half the audience.  Dr Johnson: This is why they're here.  Dr Jones: So that's really helpful, and I think it is. You want to be supported by the data. You want to be supported by evidence and high-quality biometric evidence. Another big trend, and this has been a number of years in the making, is the understanding, Dr. Johnson, of the relationship between sleep physiology and neurodegenerative disease. One of the things I love about neurology is there's still so much left to learn about the normal physiologic functioning of the brain. So glymphatics and other aspects of sleep physiology that we didn't know about a decade or two ago. When you think about how that relationship has developed, sleep physiology, maybe sleep disorders and neurodegenerative disease, how has that changed your approach to talking to patients? Do you counsel patients differently now because of what we understand better about that?  Dr Johnson: Yeah, I mean, we are still limited with our data. We have so many studies that show the associations between whether it's not enough sleep, too much sleep, or having a sleep disorder like obstructive sleep apnea, and that being a risk factor for stroke or Alzheimer's or Parkinson's. But we still sort of lack the treatment trials that necessarily say, "If you treat obstructive sleep apnea, you're gonna have less dementia," or, "You're gonna be less likely to have that stroke." So, we have a lot of physiological studies, a lot of reasons why it makes sense, but we don't have that final, nail in the coffin to say, "If you do this, you'll definitely be better." So, we know certain groups are more at risk. If you have obstructive sleep apnea and you are symptomatic, you seem to have higher cardiovascular risk. If you have a person who's had a stroke and we find a milder case of sleep apnea, and they're someone that's totally asymptomatic. They say, "I sleep fine. I feel fine." There's not great data to say, "If you treat your sleep apnea, you're gonna be less likely to have a stroke." Now, if they come in and they're sleepy and their sleep apnea is really severe, and they have more hypoxic burden, which is also more connected with a lot of these risks, I'm going to say, "I think you are in the higher risk group of sleep apnea people who it's probably gonna be more likely to help your cardiovascular risk, your dementia risk." We can counsel them, and then it's really a personal decision. Some people are like, "No way. I'm never gonna use a CPAP machine, ever." And other people are like, "You know, my mom had a stroke. My dad had Alzheimer's. I want to do every possible thing I can to make it less likely that I have this outcome that I want to avoid." And so, you're going to take that in to, you know, do you want to try this treatment or not? It's a lot easier when you have outcomes that you can follow, like, "If I try CPAP, does my blood pressure get better? Do I stop having AFib attacks?" It's a lot harder when, will I or not get Alzheimer's ten years down the road or have that stroke?  Dr Jones: It's hard to get people to do things for kind of an abstract prevention down the road, but could be important. Are there trials going on that are going to assess this data?  Dr Johnson: Yeah. We currently have a big trial getting people right away, right after their stroke, on CPAP, and not only looking at prevention, but also looking at recovery outcome. It's been running for several years. Hopefully, we'll get enough data to close out the study coming up.  Dr Jones: We'll look forward to that.  Dr Johnson: Yeah.  Dr Jones: So, I'm really excited to get to our audience here, but before we do that, I do want to ask Dr. Johnson one more question. Dr. Johnson is famous for her advocacy for sleep in general, but specifically related to Standard Time. So, let's do a little experiment here. I didn't warn Dr. Johnson about this, so we'll see how she does. She does a ton of advocacy. She's a pro. So, pretend like we're in DC, and I'm a senator, and we just got in an elevator. You're going to give me your elevator pitch on what we should do.  Dr Johnson: So, you know, sleep is one of the few essential things in life. We need to eat, we need to drink, we need to have clean air, and we need to sleep and when we improve sleep, we can improve basically every outcome, whether it's academics, whether it's productivity, whether it's our physical health, our mental health. And the problem is we structure our lives in a way that really keep people, and especially our teenagers, from getting the sleep they need. And one of these structural things we do is permanent daylight savings time. Essentially, what you're doing is you're putting the sun out later, makes it harder to go to bed. I was just talking to someone, the sun's going down at 9:00, and you need to get your kid to sleep at 7:30, 8:00 so they can get the amount of sleep they need. That is almost an impossible task because their circadian rhythms are being pushed later, they can't fall asleep on time. Then you're setting their clocks an hour earlier, so when that alarm clock is going off at 6:00 AM in the morning, it's actually 5:00 AM in the morning. You're squeezing sleep from both sides, and it's basically impossible to get enough sleep. A lot of people think the only problem with daylight savings time is twice a year with the changes, and there are certainly harms related to that. So, a lot of people think if we went to permanent daylight savings time it would be better, and we got rid of those changes. What they don't realize is that permanent circadian misalignment by setting the sun more ahead, at 1:00 to 2:00 instead of at noon causes the sleep and circadian disruption all year round that leads to increased incidents of strokes, of heart attacks, of obesity, of cancer, of suicides, of depression, of worse academic grades. Again, pretty much every outcome you have there that relates to brain health, we have now data that shows that it's worse. And so, we can improve our lives if we can go to permanent Standard Time.  Dr Jones: You convinced me. How about that? If there were any skeptics in the room, I doubt there are any left. We only went to like the fifth floor there, and she... I'm like, "I'm voting for this. Whatever, whatever this bill is, I'm gonna vote for it." So, I'm excited to get to the audience here. Before we get to questions and answers, and we want you to get your questions ready for Dr. Johnson. I do have a couple of trivia questions. And we've been doing this for a little while now on the podcast. The first trivia question actually relates to arts and culture.  Dr Jones: What famous artist used transitions between sleep and wake states to inspire his art? Anybody know?  Guest Speaker 1: Is it Van Gogh?  Dr Jones: Not Van Gogh that I know of. There in the back.  Guest Speaker 2: Picasso.  Dr Jones: Picasso, not that I know of. Right here.  Guest Speaker 3: Salvador Dali.  Dr Jones: Salvador Dali. We have a winner. Thank you for your answer. So apparently, I read this. Salvador Dali would sit in a chair holding onto a metal key and wait until he fell asleep, and it would fall out of his hands and drop into a bowl, and it would wake him up. So, then he would pick it back up, and he would go in and out of sleep trying to generate hypnagogic hallucinations, basically, and he would use that to inspire his art. And you think about his art, maybe that kind of makes sense. All right, now I've got a neurology trivia question. Okay, so maybe we're a little more comfortable with the neurology trivia in here. What is the center in the brain that is responsible for REM sleep atonia?  Guest Speaker 4: The receptor is for erection in the lateral hypothalamus.  Dr Jones: That is not correct. REM sleep atonia. Right here.  Guest Speaker 4: Emilio Malgona, Hyannis, Massachusetts. Dorsal raphe nucleus.  Dr Jones: We'll give you credit for that. Very good. Excellent. So, the-  Dr Johnson: Well, no. That's actually the serotonin. He's talking about another one.  Dr Jones: Oh, I thought I heard, I thought I heard-  Dr Johnson: You heard dorsal  Dr Jones: ... I heard dorsolateral tegmental nucleus of the pod.  Dr Johnson: Not quite.  Dr Jones: You get a prize anyway, sir, just for, just for answering. Thank you very much. All right. So, we're all warmed up here. So, Dr. Albin, what do you think? Should we get some questions from the audience?  Dr Johnson: All right, we've got some questions.  Guest Speaker 5: I have a statement and a question.  Dr Jones: Please tell the podcast your name again, sir.  Guest Speaker 5: Steve Spar, New York City. The tyranny of the morning people. You don't want people, you don't want the sun to go down too late because it'll keep people up longer. I spent my whole life fighting people like you. I am a nighttime person. Why do I have to go to sleep earlier? I want to go to sleep later. I want to wake up later. I don't want to wake up at 7:00 in the morning. I want to wake up at 10:00. There's a certain tyranny that we must use circadian rhythms of the majority, and it persecutes people like me who are night people.  Dr Johnson: So that is a great question.  Guest Speaker 5: What say you?  Dr Johnson: What say me is actually the harms of daylight savings time are actually to the night owls, and don't really affect the morning people. I can still go to sleep on time and get up on time without that pressure of needing to go to work. The night owl people, they can't fall asleep until later. They want to sleep in earlier, but we're forcing them to get up an hour earlier for work and school. And because we're doing daylight savings time, you're not getting the morning light you need, you're getting too much light at night, and you are more sensitive to a delay in your circadian rhythm, which makes you even more of a night owl and increase the degree of social jet lag. So, we actually see that the harms and risks of things like depression, cardiovascular risks are much greater in night owls than they are in normal people or morning larks. And this is again why the risks are the highest for our teenagers, who are essentially all night owls. You're making it harder for them to fall asleep on time. You're making them more and more of a night owl that it becomes more out of line with our standard social schedule. So, what we can do for a night owl is say to our schools, say to life that we want to change our society norms of getting up early. But that has nothing to do with daylight savings time. That has to do with how we make our schedule Dr Jones: All right, next question. And introduce yourself to the audience.  Guest Speaker 6: Sure. I'm Sanjay Rathi from New Haven area, Neurology. Movement disorders, Parkinson's disease, sleep disruptions, sleep-regulating REM, RBD issues, what are your recommendations? And as things get worse, what additional intervention should we do?  Dr Johnson: Yeah, I think it's hard with a lot of our neurodegenerative disorders, it's a two-way sleep. The disorders themselves often worsen sleep quality, have decrease in their sort of circadian amplitudes, and so that can affect sleep ability. And so, trying to do the things that promote sleep, like getting lights down in the evening, keeping things dark and quiet, doing cognitive behavioral sort of therapies if that's needed can all be helpful. Very high incidence of obstructive sleep apnea or other sleep-disordered breathing, whether it's Parkinson's or other neurodegenerative disorders, so evaluating and treating that if need be. And some of these people, especially as they get later on, you may end up considering medication for insomnia because their underlying disorders was causing it and there's, and you're not going to CBTI your way out of it. We do have the new orexin antagonist sleep agents, which are more recommended for older people and probably safer agents than your Z drugs and some of the other sleep meds out there. So, some people should be on some of those meds if their sleep is so disrupted. I've seen some sleep studies where it's basically like wake, sleep, wake, sleep, wake, sleep all night long. And it's like, wow, you really cannot sustain sleep, and we think it's not just a behavioral thing. I think it is part of their underlying Parkinson's and underlying disorders that can really cause major sleep disruption.  Dr Jones: It's a great question. Before we get more from the audience here, Dr. Albin, I'm just curious, you know, you got some questions from online. Don't know if any of those stood out to you. And the other thing is, I think about your practice, Dr. Albin, as a neurointensivist, there's some great content in this issue on how to maintain an adequate sleep environment in the hospital and the importance of that for the acute episode, maybe for some long-term outcomes. When I was reading the article, I didn't really didn't think about the ICU setting. That must be-- what do you do in the ICU?  Dr Albin: Well, we happen to have a question about just that. Dr Jones: Well, there you go  Dr Albin: From Dr. Manners of Baltimore, Maryland. "What meds should I be giving patients in the ICU or the inpatient setting to preserve or recalibrate their sleep-wake cycles? Is there anything that we can do besides just getting them out of bed during the day?"  Dr Johnson: Meds are always hard cause as sleep doctors, we're usually the last one to recommend meds. But there are situations and scenarios where meds may be appropriate. I can't say what's one better than the other, and some of the meds we have probably aren't even available as options in the hospital. So, the, you know, again, the orexin antagonist may be a good class to try to use, but they may not be an option. There was a good study that looked at empowering the patient and whether or not the ICU patients are empowerable. But they give a card to the patients in the hospital and say, "Tell your nurse to turn off my TV and my lights. Do I need all the blood draws all throughout the night, or can it be put off to the morning?" And trying to empower the patient to ask for these things and do some of the behavioral things. And they found that doing that did improve the duration of sleep, did reduce some of the number of awakenings that people ended up having at night. So, I think the ICU is a very particular population where there's a lot of things you can't get rid of. But certainly, turning on the lights, turning off the lights, and trying to limit noises as much as you can, in those night hours, trying to give some sense of a 24-hour day. The other thing is feeding is really important to circadian rhythms. I had a patient that had a brain bleed and, after it, she just her circadian rhythms were just off, and part of it was she was getting tube feeds through the night. So, one of the very first interventions we did was to move her timing of her feeding so that it wasn't in sleep, and that really did help make a difference in getting her back on a pattern, along with light therapy and other behavioral techniques as well.  Dr Jones: It's a great question.  Dr Albin: Absolutely. I mean, I think that validates just that we spend a lot of time actually asking like, "Can we feed people during the day?" Or, "Can we, can we limit the amount of baths that are happening at 3:00 in the morning?" We also had another one from the audience that came from Dr. Lavina Singla of Mississippi, and I think a lot of our patients are asking this question. Is melatonin addictive?  Dr Johnson: Is melatonin safe? Is melatonin addictive? I think with any sleeping aid, people become addictive to what they perceive is the outcome. So, if they said, "This got me to sleep, and now I'm sleeping great, I don't want to come off of it." And so, you get this to meds that are truly addictive, but even meds that aren't felt to have that addiction, there is certainly a behavioral change. And that's a lot of what cognitive behavioral therapy is working with these patients on, is challenging that belief of maybe it isn't the med, maybe it's your internal belief and your worry about doing this. One thing about sleep is sleep happens when you are relaxed and calm and not worried. When you're worried about thinking that thing you're worried about is whether or not you're getting sleep, then you don't sleep. In terms of melatonin, if you don't need to use it, I wouldn't use it. If you are gonna use it, I'd try to use as low doses as possible. Do we know all the risks? We don't know. And especially I think there are potentially more risks in a growing child than, maybe someone who isn't having the same sort of hormonal, needs and growth needs. But then again, if you have, let's say, a kid with autism and melatonin helps him sleep, I'd much rather use melatonin than a lot of other agents, and if that really changes their functionality, that probably is very good for them and better than having them not get sleep. So, I think you have to weigh each individual situation and combine it, especially with the behavioral approaches so that hopefully this is not a long-term addictive thing you're on.  Dr Jones: So, it's complicated. Sounds like it.  Dr Albin: Not a straightforward answer.   Dr Jones: I thought that was gonna be just this hard no, but I guess it is something you have to think about. So, I want to really take a minute here to thank Dr. Karin Johnson, who has been our interviewee for this episode of the Continuum Audio Podcast sleep issue just came out. Really want to encourage our subscribers, our listeners, and our studio audience here to enjoy it. Thank you, Dr. Johnson, for joining us today. I want to give a big round of applause to Dr. Casey Albin for managing this crowd. Thank you to our listeners. Thank you to our subscribers. Thank you to you all for coming today.  Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. Thank you for listening to Continuum Audio.   

This episode, recorded live at the Becker's 13th Annual CEO + CFO Roundtable, features Brenda Rocha, Chief Nursing Officer at Baystate Medical Center, as she discusses initiatives to enhance nurse engagement, reduce burnout, and improve patient care. She shares insights on implementing evidence-based programs, gathering feedback from staff, and leveraging technology to strengthen workflows and outcomes.

(NOTE regarding this episode: Ben and I both live in semi-remote areas with not the best internet connectivity, and this shows here-and-there in this episode with some audio-oddities. I am very sorry about that, but nevertheless, listeners can contextually understand Ben's points when the hiccup periodically occurs.) Dr. Ben Mattingly along with his wife, Jennifer Mattingly, PA-C, founded and own Wild Med Adventures. He is also the Founder and former Director of the Wilderness Medicine Fellowship Program at Baystate Medical Center, and former Assistant Professor at the University of Massachusetts Medical School's Department of Emergency Medicine.  Ben has a passion for the wilderness and has traveled throughout the world, including a year working in a small ER in New Zealand. With his father he's summited Mt. Ranier, Denali, and Vinson Massif in Antarctica. In 2023, he summited Everest, and completed his goal of tackling the Seven Summits. He has taught wilderness medicine while climbing the highest mountain in Mexico, and in Guatemala, he summited the highest peak in Central America. In addition to mountaineering, Ben rock climbs, scuba dives, backpacks, and is a triathlete, skier, and off-road and extreme sports enthusiast.  He served as the Team Doctor for an American Hockey League team, and has been active in wilderness medicine and medical education throughout his career. Ben was twice awarded the Outstanding Teacher of the Year by his emergency medicine residents, and he has taught wilderness medicine in over 10 countries. Boy, talk about living your life in full, Ben is the poster boy for doing so, and in service of others. We started things off with his origin story, what drew him to medicine, to specialize in emergency medicine, and then subspecialize in wilderness medicine. Don't miss this inspiring and engaging conversation with one of the greats. #wildernessmedicine #emergencymedicine #medicaleducation #entrepreneurship #mountaineering #adventuretravel #alpinism

Seth R. Gemme, MD - Baystate Medical Center UMass Chan-Baystate by SAEM

Seth R. Gemme, MD - Baystate Medical Center UMass Chan-Baystate by SAEM

Dr. Andrew Lam has forged an intriguing dual career. The first is in medicine, as a retinal surgeon with New England Retina Consultants, an attending surgeon at Baystate Medical Center, and an assistant professor of Ophthalmology at UMass Medical School. But he's also turned his lifelong passion for history into four acclaimed books: two in the realm of historical fiction, and two nonfiction works about the often-surprising lives behind modern medical advances. On the next installment of BusinessTalk, Dr. Lam talks with BusinessWest Editor Joe Bednar about his latest work, The Masters of Medicine, and how he goes about bringing history to life on the page — when he's not helping patients salvage and improve their sight, that is. It's must listening, so tune in to BusinessTalk, a podcast presented by BusinessWest and sponsored by PeoplesBank.

Dr. Andrew Lam has forged an intriguing dual career. The first is in medicine, as a retinal surgeon with New England Retina Consultants, an attending surgeon at Baystate Medical Center, and an assistant professor of Ophthalmology at UMass Medical School. But he's also turned his lifelong passion for history into four acclaimed books: two in the realm of historical fiction, and two nonfiction works about the often-surprising lives behind modern medical advances. On the next installment of BusinessTalk, Dr. Lam talks with BusinessWest Editor Joe Bednar about his latest work, The Masters of Medicine, and how he goes about bringing history to life on the page — when he's not helping patients salvage and improve their sight, that is. It's must listening, so tune in to BusinessTalk, a podcast presented by BusinessWest and sponsored by PeoplesBank.

This is the concluding Q&A session regarding the Perioperative Quality Initiative (POQI). Please listen to parts 1 and 2 here: Part 1: https://directory.libsyn.com/episode/index/id/24529878?_ga=2.112287174.319377695.1666031811-966310048.1569589661 Part 2: https://directory.libsyn.com/episode/index/id/24714003?_ga=2.112287174.319377695.1666031811-966310048.1569589661 And don't forget to use the resources and website here: www.poqi.org Hosted by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton with a panel including; Monty Mythen, Professor of Anaesthesia and Critical Care, University College London, Andy Shaw, Department of Intensive Care and Resuscitation at The Cleveland Clinic, Cleveland, Ohio, Tong Joo (TJ) Gan, Professor and Chairman at Stoney Brook in New York, Tim Miller, Associate Professor of Anesthesiology from Duke University Medical Center, Desiree Chappell, Certified Registered Nurse Anesthetist (CRNA) and Vice President of Clinical Quality for NorthStar Anesthesia, Denny Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton and Cheryl Crisafi, Cardiac Surgery Care Coordinator Nurse at Baystate Medical Center in Springfield, MA

How dangerous is a large indoor cannabis cultivation grow? After a Trulieve worker's death, we hear from the stepdad of Lorna McMurrey who passed in January. Lorna L. McMurrey, 27, died Friday unexpectedly in Baystate Medical Center surrounded by her loving family. Lorna was born in Springfield, graduated from Westfield High School in 2013, and has lived in West Springfield most of her life. She recently started working at Trulieve's Grow Facility in Holyoke. One of her former co-workers posted this about Lorna's death. "Lorna McMurrey tragically passed away while processing keif in Trulieve's Holyoke, MA manufacturing facility. I had quit about a month prior to her passing due to the horrific management and corruption that I witnessed daily as a supervisor within the facility. I wish that I had been there to save her. Please look out for your people. Please educate yourselves." https://www.curranjones.com/obituary/lorna-mcmurrey --- Support this podcast: https://anchor.fm/theyoungjurks/support

In this episode, I have an epiphany about shame as related to feeling emotions, courtesy of Dr. Katie Jobbins! I have never connected shame with mothering or doctoring, and I need to think about it more. See what you think! Dr. Katie Jobbins, DO, MS, FACP is an Associate Program Director in the Internal Medicine Department at UMMS-Baystate in Springfield, MA, a primary care internist at High Street Health Center Adult, and an academic Hospitalist at Baystate Medical Center. Dr. Jobbins received her undergraduate degree in Nutrition Science from Syracuse University and her Masters in Science from Case Western Reserve University in Nutrition and Metabolism. She attended Ohio University Heritage College of Osteopathic Medicine where she graduated in 2010.  Initially, Dr. Jobbins started her training in general surgery residency at the Cleveland Clinic--South Pointe but after 2 years found her true passion was in Internal Medicine. She completed 3 years of Internal Medicine at Baystate Medical Center and stayed on to be Chief Resident in 2015-2016. In her current role as Associate Program Director in the UMMS-Baystate Department of Internal Medicine, Dr. Jobbins serves as a primary care preceptor in the resident clinic, an academic hospitalist, director of the resident self-reflection, wellness, and ambulatory quality improvement curriculums, co-director of the humanities track, and director of the Chief Resident leadership curriculum for the health system.  She also leads the “Be the Change Social Justice” working group focusing on health inequities in patient care and in medical education. Dr. Jobbins is also an Assistant Professor at UMMS-Baystate. She is an active member both nationally and locally in SGIM, AMA, AMWA, and the ACP. She currently serves as the Meeting Chair for the New England Regional SGIM chapter. In the Massachusetts ACP Chapter, she is the immediate past co-chair of the Early Career Physician Council (CECP) and was an active member of the Governor's council. She currently is on the National CECP.  She recently won one of the AMA Inspiration Awards for her work in medical education and was AMWA's 2021 recipient of the Exceptional Mentor Award.   

“There's no real particular formula or fit that you have to fall into to consider a career in medicine.” Par Bolina, M.D.   In this episode, Master Certified Coach Jill Farmer talks with doctor, author and entrepreneur, Dr. Par Bolina about his book Becoming Doctors 25 Years Later, A Follow-Up Visit which is the sequel to 1997's Becoming Doctors. This is a fascinating look at the life and journey of doctors 25 years after medical school. What do they think now after 25 years of practicing? This book not only gives college students a look at what to expect if they go into the medical field but it also gives patients a glimpse into the lives of doctors. Listen to hear one of Dr. Bolina's favorite stories from the book.    Par Bolina, M.D., is an internist with a focus on improving physician, patient, and staff experience and safety through innovative clinical workflow design and technology.   Dr. Bolina earned his B.S. from the University of Illinois at Urbana-Champaign, medical degree from the University of Illinois at Chicago and completed his internal medicine residency at Baystate Medical Center in Massachusetts. He was a practicing clinician for more than 10 years at Saint Thomas Health, a subsidiary of Ascension in Nashville, Tennessee where he has lived since 2000. As Chief Medical Informatics Officer at Saint Thomas Health, he led the successful integration of electronic medical records for their ambulatory practices before moving to the private sector to serve as the Chief Innovation Officer responsible for designing and scaling virtualized clinical services for health systems and medical groups across the United States.   In 2018, Dr. Bolina founded Bettehr, a management consulting firm focused on improving clinician and patient experience and outcomes.   He is the author and editor of the books, Becoming Doctors (1995) and Becoming Doctors 25 Years Later, A Follow-Up Visit (2021). Find full transcripts of DocWorking: The Whole Physician Podcast episodes on the DocWorking Blog  DocWorking empowers physicians and entire health care teams to get on the path to achieving their dreams, both in and outside of work, with programs designed to help you maximize life with minimal time.   Are you a physician who would like to tell your story? Please email Amanda, our producer, at Amanda@docworking.com to be considered.   And if you like our podcast and would like to subscribe and leave us a 5 star review, we would be extremely grateful!   We're everywhere you like to get your podcasts! Apple iTunes, Spotify, iHeart Radio, Google, Pandora, Stitcher, PlayerFM, ListenNotes, Amazon, YouTube, Podbean   You can also find us on Instagram, Facebook, LinkedIn and Twitter.    Some links in our blogs and show notes are affiliate links, and purchases made via those links may result in payments to DocWorking. These help toward our production costs. Thank you for supporting DocWorking: The Whole Physician Podcast!   Occasionally, we discuss financial and legal topics. We are not financial or legal professionals. Please consult a licensed professional for financial or legal advice regarding your specific situation.   Podcast produced by: Amanda Taran

This podcast is in addition to a series supported by the "Know AKI campaign", a bioMérieux global campaign to raise awareness about AKI. Go here for part one: https://www.topmedtalk.com/part-1-know-aki-and-say-no-to-acute-kidney-injury-for-patients-perioperative-renal-injury/ It includes contributions from Dan Engelman, Medical Director of the Heart, Vascular and Critical Care Units at Baystate Medical Center, Associate Professor of Surgery at The University of Massachusetts-Baystate, and an Associate Professor-Adjunct at Tufts University School of Medicine and Sandra Kane-Gill, Professor of Pharmacy and Therapeutics at the University of Pittsburgh School of Pharmacy, secondary appointments in the School of Medicine in the Clinical Translational Science Institute, Department of Critical Care Medicine and the Department of Biomedical Informatics, she also serves as Professor for the Center for Critical Care Nephrology and Center for Medical Machine Learning. If you would like to hear the full presentation from Sandra Kane-Gill go here: https://directory.libsyn.com/episode/index/id/21482261 And the clips of Dan Engelman come from here: https://www.topmedtalk.com/daniel-engelman-qa-ebpom-chicago-2/

  TUNE IN: APPLE PODCASTS | SPOTIFY | STITCHER | AUDIBLE Dr. Julianne Arena is a lifelong native of the South Shore and is a double board certified physician who has been practicing medicine for over 20 years. Julianne got her undergraduate degree at Harvard University, went to medical school at Boston University and received her obstetrics and gynecology residency training at Baystate Medical Center. After attending a conference on Integrative Medicine in Women's Health Julianne had her own awakening and found integrative and functional medicine. She completed a fellowship and board certification and briefly joined The Rothfeld Center for Integrative Medicine before opening her own practice, Waves of Awakening Center for Personalized Medicine in February of 2020. Julianne is passionate about optimizing health and wellness. Dr. Julianne Arena talks about her journey both professionally and personally and shares how she got to where she is today. She talks through what it was like having a career in traditional medicine and shifting to integrative and functional medicine. Julianne touches on how, as women, we often neglect our own health as we care for and prioritize the health of those around us and gives advice on how we can we reframe our thinking and start to prioritize our own health needs. She discusses the shift in what women are willing to discuss and seek out help for and talks through some of the services she offers and how she works to partner with women on their own health journey. We discuss the customized lifestyle programs that she offers and what the number one thing is that women seek help with. links + resources WHERE TO FIND DR. ARENA WEBSITE on instagram on facebook  

Hirko has built strong working relationships in the Sharon Hospital community since he was appointed president there. He brings significant experience to this expanded role, having served in multiple senior positions with Health Quest Medical Practice (HQMP). Prior to joining HQMP, Hirko was chairman for the Department of Surgery and the General Surgery Residency Program director at Monmouth Medical Center-RWJ Barnabas Health in Long Branch, NJ. He also served as chief of vascular surgery at Baystate Medical Center in Springfield, Mass. He completed his general surgery internship and residency at Akron City Hospital. He earned his medical degree at Wright State University in Dayton, Ohio. Prior to medical school, Hirko earned his bachelor's and master's degrees in biology from the University of Akron. Visit www.nuvancehealth.org for more information.

This piece focuses upon multimodal prehabilitation through the lived experience of clinicians from the different healthcare systems of Europe, the United States and the UK; both prior to and during the pandemic. We hear about the implementation of rehabilitation programs and research studies, which have managed to adapt, in the COVID era. Presented by Denny Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton with her guests Franco Carli, Professor of Anesthesia at McGill University and Associate Professor in the School of Dietetics and Human Nutrition at McGill University, Staff anesthesiologist at the McGill University Health Centre, Gerard Danjoux, consultant in Anaesthesia and Sleep Medicine at South Tees Hospitals NHS Trust, Professor Sandy Jack, PhD, Consultant Clinician Scientist in The Anaesthesia and Critical Care Research Unit at University Hospital Southampton NHS Foundation Trust, Honorary Senior Lecturer at the University of Liverpool, University of Southampton and University College London, Dan Engelman, President of the Enhanced Recovery after Cardiac surgery society, Baystate Health in Massachusetts, Medical Director, Heart, Vascular & Critical Care Services, Baystate Medical Center and Associate Professor of Surgery University of Massachusetts Medical School-Baystate. Like this, want more? Try this piece now: https://www.topmedtalk.com/models-of-prehabilitation-ebpom-2020-2/ And remember, Evidence Based Perioperative Medicine (EBPOM) offers high quality video presentations as well as a chance to attend our next live conference here: www.ebpom.org

HEALTHY LIFESTYLE with Host Lori Anne Casdia chats with guest Dr. Michael Dannenberg from Northwell HealthDr. Dannenberg is a physician in the Department of Dermatology at Northwell Health speaking about summer skincare, self-skin examines, and sun protector factors. He is board-certified in Dermatology by the American Board of Dermatology.Dr. Dannenberg earned his medical degree from Jefferson Medical College. He completed his internship at Baystate Medical Center and his dermatology residency at Medical College of Virginia. He served as Chief Resident during his final year of residency training.G I have been practicing dermatology since 1994 in Huntington, NY. I specialize in medical dermatology, and procedural dermatology, treating skin cancer, and numerous laser procedures. I am the chairman of Dermatology at Huntington Hospital and a member of the Northwell Health System.To Contact Dr. Dannenbergwww.northwell.edu------------Lori Anne Quotes:"Play a Higher Role, Serve a Higher Purpose Show Up for You And Show Up Big!" ~ Lori Anne"All of our Success Codes are already within us when we are born. We need to tap into ourselves and that success code to achieve our fullest potential. Let's work together so you can Soar to Success!" ~Lori Anne Please email us at HealthyLifestylewithLA@gmail.com Follow us on social media @healthylifestylewithLALinks www.LDCStrategies.com@LDCStrategies (FB/IG))@Healthylifestylewithla (FB/IG)Our Goal at Healthy Lifestyle is to inspire, educate and empower you to fulfilling a healthy, emotional, spiritual and physical life, so you can feel empowered to live the life you have always wanted and dreamed. We are here to lift each other up with encouragement and positivity. To serve one another.ABOUT OUR HOST:Lori Anne De Iulio CasdiaLife & Business Transformational Success CoachPerformance CoachBusiness & Marketing Strategist Founder of LDC StrategiesFounder of Monarch LuminariesFounder of Soar to Success ProgramMotivational Speaker/Inspirational SpeakerEmcee/ModeratorMaster Mindset MentorLaw of Attraction PractitionerCertified Herbalist Certified Aromatherapist Certified Life CoachCertified Kundalini Meditation Yoga CoachCertified H'oponopono PractitionerCertified Canfield Train the TrainerYoung Living SENIOR STARAwarded the 50 Top Most Influential Women in 2018Awarded Mentor of the Year 2020Nominated Bethpage Best of LI Best Business Coach 2021Nominated Bethpage Best of LI Best Business Coach 2022Lori Anne's personal philosophy is “We are all here to serve others and lift each other up. Be the best you because everybody else is taken.”You can also Listen to Healthy Lifestyle with Lori Anne on your favorite app: I Heart Media | iTunes (Apple Podcasts) | Google Podcasts | Spotify | Spreaker | Sound Cloud | TuneIn | YouTube

Dr. Katherine Horan is a neonatologist from Baystate Medical Center in Springfield Massachusetts. She has gone on multiple field missions with Doctors Without Borders in West Africa. She recounts her experience in various settings including Chad, South Sudan, Mali and the Ivory Coast. She also gives amazing tips on how to get started in global health work for anyone interested.Enjoy!As always, feel free to send us questions, comments or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through instagram or twitter, @nicupodcast. Or contact Ben and Daphna directly via their twitter profiles: @drnicu and @doctordaphnamd.

How can enhanced recovery after surgery (ERAS) be applied to cardiac and what exciting opportunities are there for those who have made this their mission? This detail driven address contains more information on The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac), more information can be found on their website: https://www.erascardiac.org/ Since this address was given at Evidence Based Perioperative Medicine (EBPOM) Chicago's 2020 meeting TopMedTalk has been proud to bring you coverage of ERAS® Cardiac's online meeting. For more on that start here: https://www.topmedtalk.com/the-eras-cardiac-society-conference-topmedtalk/ Presented by Daniel Engleman, the Medical Director of the Heart, Vascular and Critical Care Units at Baystate Medical Center. He is an Associate Professor of Surgery at The University of Massachusetts-Baystate. He started the ERAS® Cardiac Collaborative to internationally standardize best practices.

"So in all these ERAS programs, you need a physician champion, a nurse champion, a coordinator; then we brought our pharmacist in - I will not start rounds without a pharmacist. I refuse. I won't start because the pharmacist is integral ... it's just you need that multidisciplinary team" This piece is a question and answer session prompted by the address our guest gave during EBPOM Chicago. Both the online audience and the team challenge our speaker to explain more. If you missed the address TopMedTalk has it for you here: https://topmedtalk.libsyn.com/daniel-engelman-updates-in-cardiac-ebpom-chicago Presented by Desiree Chappell and Monty Mythen with Daniel Engelman, Cardiac Surgeon, Medical Director of the Heart, Vascular and Critical Care Units at Baystate Medical Center, Associate Professor of Surgery at The University of Massachusetts - Baystate, Associate Professor-Adjunct at Tufts University School of Medicine. He president and co-founder of the ERAS® Cardiac Society.

Join your host Andrew Tisser in this guesting recap with Kush Gupta, MD of Medicine Mentors Podcast. In this episode, Andrew talks about his personal experience with burnout, how he deals with clients who are unhappy with their medical careers, as well as his journey as the career strategist host of the Talk2MeDoc Podcast. From experience, Andrew got past burnout by tapping into a career that gave him a different sense of fulfillment. As a career strategist, he shares the three primary steps that he puts his clients under whenever they find themselves unsatisfied, dragged, and tired of being medical practitioners. No matter where you are in your career as a physician, Andrew believes that you always hold the option to reassess your career and pivot.In this episode you will learn:·       On role models and the challenges of early-career physicians.·       Burnout in the medical field is everywhere.·       The Talk2MeDoc Podcast Before and Present.·       Why do doctors sometimes lose their personal touch when communicating?·       No matter where you are in your career, you have options.About Kush Gupta, MD:Kush Gupta is a medical student who will soon be joining Baystate Medical Center, MA as an Internal Medicine resident. He is passionate about mentorship and he hosts The Medicine Mentors Podcast, which is a platform for physician mentors to share key insights, traits and best practices based on their experiences to guide medical students and residents.Medicine Mentors PodcastTwitter: https://twitter.com/MentorsMedicineConnect with Talk2Medoc on:Website:             https://www.andrewtisserdo.com/Linkedin:            https://www.linkedin.com/in/andrewtisserdo/Facebook:          https://www.facebook.com/andrew.tisserInstagram:         https://www.instagram.com/talk2medoc_llc/Twitter:               https://twitter.com/Talk2MeDocYouTube:              https://www.youtube.com/channel/UC0O_Sf3aYLavYaJ_hg7bM8gFREE four-part video series describing my path from burnout to career satisfaction- https://www.andrewtisserdo.com/free-video-series-sign-up/ 

It is our duty as medical professionals to provide the safest blood possible for patients undergoing a transfusion. Hemovigilance is crucial in ensuring that the blood products we use are of the highest quality. So, how does the data collection and reporting process work? On this episode of Inside the Lab, our hosts Dr. Dan Milner and Ms. Kelly Swails are joined by Dr. Chester Andrzejewski, MD, Medical Director of System Blood Banking and Transfusion Medicine Services at Baystate Health in Springfield, Massachusetts, and Assistant Professor in the Department of Pathology at the University of Massachusetts Medical School, Ms. Lynne O'Hearn, MT(ASCP), Transfusion Safety Officer at Baystate Medical Center in Springfield, Massachusetts, and Mr. Karl G. Stein, BB(ASCP)CM, Lead Medical Technologist for OneBlood, Inc., and Manager of the Infusion Center at St. Joseph's Hospital in Tampa, Florida, to discuss hemovigilance and how it fits into the larger culture of safety in medicine. Our panelists describe the complexity of data collection and how they streamline the reporting process. They weigh in on why transfusion services at every hospital should participate in hemovigilance regardless of size, discussing the benefit of being able to compare your data with that of other facilities. Listen in for insight on how hemovigilance data has inspired changes in policy and learn where you can find resources around initiating data collection systems in your lab. Topics Covered  ·  The concept of hemovigilance and how it fits into the larger culture of safety in medicine·  Why data collection for hemovigilance is so complex and how standardizing forms and leveraging databases streamline the reporting process·  The importance of developing relationships with nursing and IT to build reporting systems for transfusion medicine·  How hemovigilance reporting is mandatory in Massachusetts and the benefit of being able to compare your facility's data with the rest of your state·  The value of integrating medical data systems on a national scale·  Resources on hemovigilance to initiate data collection systems in your lab Connect with ASCP ASCPASCP on FacebookASCP on InstagramASCP on Twitter Connect with Dr. AndrzejewskiDr. Andrzejewski at Baystate HealthConnect with Ms. O'HearnMs. O'Hearn on FacebookConnect with Mr. SteinOneBloodMr. Stein on LinkedIn Connect with Dr. Milner & Ms. SwailsDr. Milner on TwitterMs. Swails on Twitter Resources American Association of Blood Banks Hemovigilance ResourcesAABB Quick Reference Guide for the NHSN Hemovigilance ModuleInside the Lab in the ASCP Store 

"The goal of ERAS® Cardiac is when you leave one of our meetings, you're going to be chock full of tips and tricks that you can take back and implement, if not the next day, then in the next week or next month." TopMedTalk's coverage of The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac) conference continues with a conversation that covers the nuggets and insights that a conference such as this delivers. This exclusive chat is only possible thanks to the support of the society who's excellent website is here: https://erasvirtual2021.com/ "I think that also your [TopMedTalk] platform is going to be key. We need to have more of these podcasts. We need short little vignettes, eight to 15 minutes that people can listen to in the car on the way home where they learn and thought leaders having interactive discussions and get ideas. And that's the future really of education" Presented by Desiree Chappell with her guests, Seenu Reddy, Cardiothoracic Surgeon at HCA‘s TriStar Cardiovascular Surgery in Nashville, National Physician Director for HCA Healthcare's CV Service line and Daniel Engelman, Cardiac Surgeon, Medical Director of the Heart, Vascular and Critical Care Units at Baystate Medical Center, Associate Professor of Surgery at The University of Massachusetts - Baystate, Associate Professor-Adjunct at Tufts University School of Medicine and President of the ERAS Cardiac international Society.

"You didn't have to think about it, the compliance continued, because it was so standardized. We had a well oiled machine that just kept on working through COVID". The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac)'s conference has gotten off to a great start; this exclusive chat gets into some of the stand out moments so far; nutrition, data collection, the essentials of ERAS and the importance of standardization. For more information on the conference check out https://www.erascardiac.org/ We mention Dan Engelman in this piece, he features in this popular conversation from the TopMedTalk archives here: https://www.topmedtalk.com/sunday-special-preoperative-optimization-framing-up-the-value-proposition/ Paul Wischmeyer gets mentioned on this piece as a "fan favourite", he features frequently. If you've not yet heard him start with this podcast - one of our most popular so far - here: https://www.topmedtalk.com/topmedtalks-to-dr-paul-wischmeyer/ Presented by Desiree Chappell with her guests Gina McConnell, ERAS Coordinator for all WakeMed health systems and Cheryl Crisafi, Cardiac Surgery Care Coordinator Nurse at Baystate Medical Center in Springfield, MA.

Part 2 of this conversation continues the momentum of Part 1 with a conversation about electronic medical records (EMR), how important data is to the process, the need for those who collect it to understand it and then, more broadly, the importance of putting the patient at the heart of what you do. Presented by Desiree Chappell with Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates, P.A, Cheryl Crisafi, Cardiac Surgery Care Coordinator Nurse at Baystate Medical Center in Springfield, MA and Gina McConnell, ERAS Coordinator for all WakeMed health systems.

This piece is a two part conversation about the essence of what many of TopMedTalk's listeners do; Enhanced Recovery. A fascinating conversation between a number of experts in the field the conversation presented here was part of the hugely popular EBPOM Chicago 2020 meeting. For more on Evidence Based Perioperative Medicine (EBPOM) go to www.ebpom.org This first part of the conversation covers what the main elements of an Enhanced Recovery After Surgery program entail, what literature our contributors favor and what service lines include enhanced recovery at their practice. Presented by Desiree Chappell with Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates, P.A, Cheryl Crisafi, Cardiac Surgery Care Coordinator Nurse at Baystate Medical Center in Springfield, MA and Gina McConnell, ERAS Coordinator for all WakeMed health systems.

"As a cardiac surgeon, I feel like I'm hearing more and more about ERAS than ever before" "The CSCS Beat - more than just matters of the heart" is a fantastic new podcast from The Canadian Society of Cardiac Surgeons (CSCS); this piece sees TopMedTalk teaming up with them to tackle their first episode on the subject of Enhanced Recovery After Surgery and perioperative medicine. What is ERAS? How is it being implemented? Why is it so successful? If you'd like to hear more of "The CSCS Beat" their iTunes profile is here: https://podcasts.apple.com/ca/podcast/the-cscs-beat-more-than-just-matters-of-the-heart/id1559309108?l=fr Presented by Ansar Hassan with his guests Desiree Chappell, lead presenter for TopMedTalk, Certified Registered Nurse Anesthetist (CRNA) and Vice President of Clinical Quality for NorthStar Anesthesia and Monty Mythen, TopMedTalk's Editor in Chief, Professor of Anesthesia and Critical Care at the University College London, co-president of the International Board of Perioperative Medicine and Rakesh C. Arora, Chief of Cardiac Surgery and a Critical Care specialist at St. Boniface hospital, Winnipeg, Manitoba, co-founder of the Canadian Cardiovascular Critical Care Society, President of the Canadian Society of Cardiac Surgeons and Dan Engelman, Medical Director of the Heart, Vascular and Critical Care Units at Baystate Medical Center, Associate Professor of Surgery at The University of Massachusetts-Baystate Medical School

It’s so easy to let yourself become less important during catastrophic events. But as Dr. Katie Jobbins talks about, if you’re not looking after yourself, you won’t have the long-term capacity to care for others. Self-care is important, especially through a pandemic.   Key Takeaways You can be okay with where you are and enjoy it Let whatever you’re focusing on go and move on Find movement you love and want to do   About Dr. Katie Jobbins Katie Jobbins, DO, MS, FACP is a primary care internist at High Street Health Center Adult, an academic hospitalist at Baystate Medical Center, and Associate Program in the Internal Medicine Department at UMMS-Baystate in Springfield, MA.  Dr. Jobbins received her undergraduate degree in Nutrition Science from Syracuse University and her Masters in Science from Case Western Reserve University in Nutrition and Metabolism. She attended Ohio University Heritage College of Osteopathic Medicine where she graduated in 2010.   Initially, Dr. Jobbins started her training in general surgery residency at the Cleveland Clinic--South Pointe but after 2 years found her true passion was in Internal Medicine. She then completed 3 years of Internal Medicine and stayed on to be Chief Residents in 2015-2016 at Baystate Medical Center.     In her current role as Associate Program Director in the MMS-Baystate Department of Internal Medicine, Dr. Jobbins serves as a clinician-educator working with residents in both the inpatient and ambulatory setting. She leads the social justice working group, the director of the resident’s self-reflection and wellness curriculums, ambulatory quality improvement curriculum, co-director of the humanities track, and director of the Chief Resident leadership curriculum for the health system.   Dr. Jobbins is also an Assistant Profession at UMMS-Baystate. She is an active member both nationally and locally in SGIM, AMA, AMWA, and the ACP. In the Massachusetts ACP Chapter, she is the co-chair of the Early Career Physician Council and supervises the resident/fellow council. She recently won one of the AMA Inspiration Awards for her work in medical education.    Prioritizing Yourself During a Pandemic When this pandemic hit, Dr. Katie Jobbins found herself falling back into old habits where she didn’t prioritize her own health. Despite previously going to therapy and private programs, it wasn’t until she joined a group program that Katie felt she had the tools and accountability to make lasting changes. The pandemic has impacted all of us in one way or another, and for so many of us, it’s been detrimental to how we take care of ourselves. Katie explains why it was essential for her to find time for herself. Katie shares some of the ways she started prioritizing herself throughout the last year. It doesn’t matter that there’s a pandemic going on - it shouldn’t change the way you care for yourself.   Creating Space for Yourself Every Day Katies says you need to make sure you’re doing something for yourself every single day - and notice when and what this is. It’s not only about doing something for yourself. The act of recognizing that you’re putting yourself first has a positive impact on your overall health, too. Katie shares some ideas for how to look for and create space in your life. Can you go for a walk during your lunch break? Take advantage of what space you already have in your schedule. Finally, Katie talks about how she started enjoying exercise and movement. It’s so different to approach movement and wellness from a place of love and joy than from a space of necessity. This change of mindset is so valuable.   Homework for Women Physicians How do you create space in your day that’s just for you? If you haven’t done this - or haven’t done it sustainably - this is your permission slip to start finding space. Let me know in the comments on the episode page.   In This Episode  Why group coaching programs have a different impact than private programs or even therapy [8:00] Why you need to make time for yourself, even when you don’t feel like you have it [10:30] How to put yourself first, even during a pandemic [13:00] Why you should recognize what you’re doing for yourself [14:30] How to look for and create space in your life [18:45] How to have a healthy relationship with activity and mental health [28:00]   Quotes “I needed that external stimulus from someone else who was almost like my honest mirror. I could hear it, but I was afraid to say it out loud. When I finally said to her that I need help, I need additional resources with people who are having similar struggles to me. I had done therapy, I’d done all the private things, but I needed something that was more of a group together. I needed accountability. As the pandemic went on further, I felt more isolated. I needed something that could help me have a deeper connection with other people.”  [7:13] “The pandemic’s going to keep going. It’s not going away, this is our life now. For us to say that that we’re going to get to a new life at some point, great. But this is where we are now. I can’t change that. I can control what I do, I can try to control what goes on in my family. The biggest part of the transformation is that I’m okay with the chaos now.” [13:12] “You should do something for yourself every day. The idea that there is space for you if you let yourself have it. It’s okay, don’t feel guilty. Create that space for yourself.” [15:25] “I think that the biggest takeaway from the Transform process is that I’m taking care of myself and I feel less helpless. When the pandemic hit, I felt helpless, and I couldn’t figure out where that came from. It’s that I really needed to help myself. I was already helping so many other people. But I needed to help myself so that I could take care of all the other things that were on my plate.” [31:23]   Resources Mentioned Check out the full episode page here Find Life Coaching for Women Physicians Online Follow Dr. Ali Novitsky on Facebook | Instagram  Subscribe to Life Coaching for Women Physicians on Apple Podcasts Podcast production by the team at Counterweight Creative   Related Episodes Episode 53: Dr. Harita Raja on Mind-Body Transformation Episode 51: Dr. Daisy Ramirez-Estrada On Learning to Prioritize Self Care Episode 50: Dr. Lindsey Davis on Overcoming Limiting Beliefs

"So in all these ERAS programs, you need a physician champion, a nurse champion, a coordinator; then we brought our pharmacist in - I will not start rounds without a pharmacist. I refuse. I won't start because the pharmacist is integral ... it's just you need that multidisciplinary team" This piece is a question and answer session prompted by the address our guest gave during EBPOM Chicago. Both the online audience and the team challenge our speaker to explain more. If you missed the address TopMedTalk has it for you here: https://topmedtalk.libsyn.com/daniel-engelman-updates-in-cardiac-ebpom-chicago Presented by Desiree Chappell and Monty Mythen with Daniel Engelman, Cardiac Surgeon, Medical Director of the Heart, Vascular and Critical Care Units at Baystate Medical Center, Associate Professor of Surgery at The University of Massachusetts - Baystate, Associate Professor-Adjunct at Tufts University School of Medicine. He president and co-founder of the ERAS® Cardiac Society.

How can enhanced recovery after surgery (ERAS) be applied to cardiac and what exciting opportunities are there for those who have made this their mission? This detail driven address contains more information on The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac), more information can be found on their website: https://www.erascardiac.org/ Since this address was given at Evidence Based Perioperative Medicine (EBPOM) Chicago's 2020 meeting TopMedTalk has been proud to bring you coverage of ERAS® Cardiac's online meeting. For more on that start here: https://www.topmedtalk.com/the-eras-cardiac-society-conference-topmedtalk/ Presented by Daniel Engleman, the Medical Director of the Heart, Vascular and Critical Care Units at Baystate Medical Center. He is an Associate Professor of Surgery at The University of Massachusetts-Baystate. He started the ERAS® Cardiac Collaborative to internationally standardize best practices.

"The goal of ERAS® Cardiac is when you leave one of our meetings, you're going to be chock full of tips and tricks that you can take back and implement, if not the next day, then in the next week or next month." TopMedTalk's coverage of The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac) conference continues with a conversation that covers the nuggets and insights that a conference such as this delivers. This exclusive chat is only possible thanks to the support of the society who's excellent website is here: https://erasvirtual2021.com/ "I think that also your [TopMedTalk] platform is going to be key. We need to have more of these podcasts. We need short little vignettes, eight to 15 minutes that people can listen to in the car on the way home where they learn and thought leaders having interactive discussions and get ideas. And that's the future really of education" Presented by Desiree Chappell with her guests, Seenu Reddy, Cardiothoracic Surgeon at HCA‘s TriStar Cardiovascular Surgery in Nashville, National Physician Director for HCA Healthcare's CV Service line and Daniel Engelman, Cardiac Surgeon, Medical Director of the Heart, Vascular and Critical Care Units at Baystate Medical Center, Associate Professor of Surgery at The University of Massachusetts - Baystate, Associate Professor-Adjunct at Tufts University School of Medicine and President of the ERAS Cardiac international Society.

"You didn't have to think about it, the compliance continued, because it was so standardized. We had a well oiled machine that just kept on working through COVID". The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac)'s conference has gotten off to a great start; this exclusive chat gets into some of the stand out moments so far; nutrition, data collection, the essentials of ERAS and the importance of standardization. For more information on the conference check out https://www.erascardiac.org/ We mention Dan Engelman in this piece, he features in this popular conversation from the TopMedTalk archives here: https://www.topmedtalk.com/sunday-special-preoperative-optimization-framing-up-the-value-proposition/ Paul Wischmeyer gets mentioned on this piece as a "fan favourite", he features frequently. If you've not yet heard him start with this podcast - one of our most popular so far - here: https://www.topmedtalk.com/topmedtalks-to-dr-paul-wischmeyer/ Presented by Desiree Chappell with her guests Gina McConnell, ERAS Coordinator for all WakeMed health systems and Cheryl Crisafi, Cardiac Surgery Care Coordinator Nurse at Baystate Medical Center in Springfield, MA.

Sukey Krause, MSN, CNM, FACNM is the Director of the Midwifery Education Program at Baystate Medical Center and Assistant Professor, UMass Medical School. She shares her journey to midwifery and her thoughts on midwifery education and WHY we need MORE education programs, as well as ideas on how to get that going! If you work for an academic medical center and want to get a midwifery program started, this is a great episode for you!

Part 2 of this conversation continues the momentum of Part 1 with a conversation about electronic medical records (EMR), how important data is to the process, the need for those who collect it to understand it and then, more broadly, the importance of putting the patient at the heart of what you do. Presented by Desiree Chappell with Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates, P.A, Cheryl Crisafi, Cardiac Surgery Care Coordinator Nurse at Baystate Medical Center in Springfield, MA and Gina McConnell, ERAS Coordinator for all WakeMed health systems.

This piece is a two part conversation about the essence of what many of TopMedTalk's listeners do; Enhanced Recovery. A fascinating conversation between a number of experts in the field the conversation presented here was part of the hugely popular EBPOM Chicago 2020 meeting. For more on Evidence Based Perioperative Medicine (EBPOM) go to www.ebpom.org This first part of the conversation covers what the main elements of an Enhanced Recovery After Surgery program entail, what literature our contributors favor and what service lines include enhanced recovery at their practice. Presented by Desiree Chappell with Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates, P.A, Cheryl Crisafi, Cardiac Surgery Care Coordinator Nurse at Baystate Medical Center in Springfield, MA and Gina McConnell, ERAS Coordinator for all WakeMed health systems.

Sriram Narsipur, MD, FASN, FACP, MRCP is the Edward C. Reifenstein professor and chairman of the department of medicine at Upstate Medical University. In addition to serving as the chief and medical director of the division of nephrology, he's also a professor of pediatrics and surgery at the institution. Dr. Narsipur earned his medical degree from University of Michigan Medical School. He then pursued a residency in internal medicine and pediatrics from Baystate Medical Center, Tufts University School of Medicine, where he served as the chief resident in pediatrics. He then did a fellowship in nephrology from University of California at San Diego. His clinical interests include clinical transplantation, dialysis and research interests include cardiovascular disease in patients with end stage renal and chronic kidney disease. Most people say a successful leader is someone with big ideas that shares them with others to reach an end goal. Dr. Sriram Narsipur agrees that those traits are important, but points out that the best leaders are effective listeners. Listening is the most important skill for leaders so they understand their environment and the people they deal with. Listening is also important in patient interactions. Dr. Narsipur connects this undervalued skill with everything from building trust with patients, to getting advice from others when making a big decision. And without listening, the mentor/mentee relationship would fall apart. Join us as Dr. Narsipur shares the strengths of listening. Pearls of Wisdom: 1. Listening is the most important skill for a potential leader, and a good leader is always a good follower first. 2. After contact with a patient, follow up. Call them. This will go a long way in their immediate care, as well as build a better long-term relationship. 3. When making a big decision, look to collective experience and well-rounded advice. Even if things go wrong, at least you made the best decision you could. 4. Take advantage of understanding your patient's perspective and see the world through your patient's lens in order to become a more compassionate physician.

Raquel Belforti, DO, MS is an Assistant Professor of Medicine at University of Massachusetts Medical School-Baystate, and an Adjunct Assistant Professor of Medicine at Tufts University School of Medicine. She also serves as the Associate Program Director of the Internal Medicine Residency Program and Medicine Clerkship Director. Dr. Belforti completed her medical school from the University of New England College of Osteopathic Medicine, and her residency from Baystate Medical Center, where she was also appointed as the Chief Resident. Dr. Belforti has  a Masters in Medical Education and been leading educational curricula for students, residents and faculty at Baystate. Recognized for her outstanding contributions as a clinical educator, she has been awarded a number of awards, including the L. Randol Barker Award at Johns Hopkins and the Education Achievement Award for the University of Massachusetts School of Medicine Population-Based Urban and Community Health Track (PURCH) curriculum. The next time you enter a patient's room, pause at the door to become mindful. This is the advice Dr. Raquel Belforti shares with us today about the best way to approach patient care. Being able to be a part of the patient's world is a gift, and we can honor that by taking the time to listen to them mindfully. As physicians, our job is to establish trust and connection quickly—because the patient is putting their life in our hands. The best thing we can do is take the time to be present, and ask the patient not just about their diagnosis—but about their story. Dr. Belforti explains that it's not so much the medical knowledge, but the role modeling, where she feels she'll leave her biggest impact as a mentor. And the best place to make that impact is at the bedside. Pearls of Wisdom: 1. Stop yourself at the patient's door and be mindful of the role you're going to play in that patient's life. Then, take the time to sit and listen to the patient. 2. A career in medicine requires us to be at our best at all times. If there is something that is preventing us from doing that, we need to actively speak up and gather support from others—which is a sign of strength, not weakness. 3. Build a mentorship map: Have a mentor for each category of your professional and personal life in that map, and seek advice based on the role they fit into. 4. Take advantage of opportunities that come your way. But first, ask yourself first if you can commit 100% to it, if you can give it your all.

Massachusetts has been one of the hardest hit states by COVID-19 in the country. April was ones of the darkest moments during the pandemic and Eric sat down with Baystate Medical Center’s President and CEO Dr. Mark Keroack to discuss how things were going. Mark has been the public face for medical experts in Western Massachusetts during the pandemic -- this is that conversation.

Kathryn Jobbins, MD, is an Assistant Professor of Medicine and the Associate Program Director of Internal Medicine Residency at the University of Massachusetts Medical School-Baystate. Dr. Jobbins completed her Medical school and  Residency in Internal Medicine at Baystate Medical Center, Springfield, MA where she also served as the Chief Resident. She also did a residency in surgery at The Cleveland Clinic—South Pointe Hospital. Dr. Jobbins has a strong interest in Resident education and leadership. She has also been the recipient of the Early Career Leadership Award by the American College of Physicians and the Kevin T. Hinchey Resident Teaching Award at the Baystate Medical Center. How can we be successful if we don't even give ourselves space to fail? That is the question Dr. Kathryn Jobbins asks of us. Today, we explore what it means to break past limiting beliefs of not feeling good enough. And she encourages us to change our thinking: We can do anything we put our minds to with hard work and determination. At the same time, she urges us to be compassionate towards ourselves, to self-reflect often, and to slow down when we need to. Our role as physicians is imperative: We care for patients, and we seek to impact the world in a positive way. In order to continue on the path of health and success, we must take steps in our personal lives to avoid burnout, because we cannot adequately care for others if we are not taking care of ourselves. Pearls of Wisdom: 1. Believe in yourself that you can do anything that you put your mind into with hard work and with a growth mindset. 2. Self-reflection is one of the most important tools to help us grow as humans. 3. Be realistic and practical in setting your goals - work hard but be kind to yourself.

"Enhanced Recovery After Cardiac Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Daniel Engelman is the Medical Director of the Heart, Vascular and Critical Care Units at Baystate Medical Center. He is an Associate Professor of Surgery at The University of Massachusetts-Baystate. He started the ERAS® Cardiac Collaborative to internationally standardize best practices. -- EBPOM | Dingle - the hottest tickets in anaesthesia and perioperative medicine - go now to the website: https://www.ebpom.org/

Further Reading: Covid Act Now (site that tracks Covid Cases and other information) - https://bit.ly/33cty5U MA Gov. Baker issues new mandatory travel order - https://bit.ly/3hPWC7e COVID outbreak hits 36 at Baystate Medical Center - https://bit.ly/33eYWR5 Dr. Mark Keroack Comment From Springfield Mayor Domenic Sarno's Covid-19 Press Conference - https://bit.ly/3jSbUds Weingarten: Teacher strikes possible in Arizona, Florida, Texas - https://politi.co/2Dfj62t Louie Gohmert, who refused to wear a mask, tests positive for coronavirus - https://politi.co/3hLiErE McConnell: No room for new FBI building in virus aid bill - https://bit.ly/3163Xc7 3 Months Of Hell: U.S. Economy Drops 32.9% In Worst GDP Report Ever - https://n.pr/2D1PSUU No, Trump can’t delay the election - https://bit.ly/2Diu8nB McConnell and other top Republican officials rebuff Trump suggestion to delay the Nov. 3 election - https://wapo.st/3hXwkA9 Beginning Music: Glenn Gould - Goldberg Variation #5 Ending Music: Electronic - Getting Away With it (Instrumental) Remember to Register to vote! Mass Residents should go to: https://www.sec.state.ma.us/ele/ For more Civil Politics visit our website, civilpoliticsradio.com and follow us on the socials! Facebook.com/civilpoliticsradio @CivilPoliticsFM Don't miss another episode - subscribe to our podcast (iTunes, Google Play, Spotify, and more!) Support Civil Politics by donating to the tip jar: https://tips.pinecast.com/jar/civilpoliticsradio This podcast is a member of the Planetside Podcast Network. Visit PlanetsidePodcasts.com to find other Planetside Productions!

This episode features Rick Schneider, Senior Adviser to the CEO for the Amphenol Corporation, as we discuss the recent outbreak of COVID-19 cases at Baystate Medical Center in Springfield, MA where 14 patients and 26 staff workers contracted the virus.  We talk about using this example as a vivid reminder, that even a highly respected medical center can fall victim to not abiding by the proper COVID-19 and guidelines. This should be a reminder to all at Amphenol to remain vigilant -- as together we combat the coronavirus pandemic around the world. Hosted by Chris Cappello. Music by Square Seed. For Amphenol FRONTLINE podcast guest inquiries and suggestions: send an email to ccappello@amphenol-aao.com or send a LinkedIn message to https://www.linkedin.com/in/cjcappello

Pregnant workers already face discrimination on the job, Before the pandemic struck, the United States was the only advanced nation without a national paid maternity or parental leave policy. Now, pregnant workers have to navigate workplaces that pose real infection risks — often without recourse. Delivering a child in the pandemic has become fraught and isolating. And for many new moms whose low-wage jobs are considered "essential," the emergency paid leave law Congress passed doesn't even apply. So what can we learn from the pandemic about how to better protect pregnant workers? How can we ensure healthy outcomes for new mothers and children, and, in particular, for new African American mothers and children, whose rates of infant and maternal mortality are alarmingly high?Host: Brigid Schulte, Director, Better Life Lab at New AmericaGuests:Gabrielle Caverl-McNeal, Director of Workforce Development at New MomsDina Bakst, Co-founder and co-president of A Better BalanceKhushbu Shah, Interim Editor in Chief, Fuller ProjectRebecca Pontikes, Principal of Pontikes Law LLCDr. Ashley Deutsch, Director of Quality and Patient Safety for the Department of Emergency Medicine at Baystate Medical Center in Springfield, MA Hosted on Acast. See acast.com/privacy for more information.

Pregnant workers already face discrimination on the job, Before the pandemic struck, the United States was the only advanced nation without a national paid maternity or parental leave policy. Now, pregnant workers have to navigate workplaces that pose real infection risks — often without recourse. Delivering a child in the pandemic has become fraught and isolating. And for many new moms whose low-wage jobs are considered "essential," the emergency paid leave law Congress passed doesn’t even apply. So what can we learn from the pandemic about how to better protect pregnant workers? How can we ensure healthy outcomes for new mothers and children, and, in particular, for new African American mothers and children, whose rates of infant and maternal mortality are alarmingly high? Host: Brigid Schulte, Director, Better Life Lab at New America Guests: Gabrielle Caverl-McNeal, Director of Workforce Development at New Moms Dina Bakst, Co-founder and co-president of A Better Balance Khushbu Shah, Interim Editor in Chief, Fuller Project Rebecca Pontikes, Principal of Pontikes Law LLC Dr. Ashley Deutsch, Director of Quality and Patient Safety for the Department of Emergency Medicine at Baystate Medical Center in Springfield, MA

Pregnant workers already face discrimination on the job, Before the pandemic struck, the United States was the only advanced nation without a national paid maternity or parental leave policy. Now, pregnant workers have to navigate workplaces that pose real infection risks — often without recourse. Delivering a child in the pandemic has become fraught and isolating. And for many new moms whose low-wage jobs are considered "essential," the emergency paid leave law Congress passed doesn’t even apply. So what can we learn from the pandemic about how to better protect pregnant workers? How can we ensure healthy outcomes for new mothers and children, and, in particular, for new African American mothers and children, whose rates of infant and maternal mortality are alarmingly high? Host: Brigid Schulte, Director, Better Life Lab at New America Guests: Gabrielle Caverl-McNeal, Director of Workforce Development at New Moms Dina Bakst, Co-founder and co-president of A Better Balance Khushbu Shah, Interim Editor in Chief, Fuller Project Rebecca Pontikes, Principal of Pontikes Law LLC Dr. Ashley Deutsch, Director of Quality and Patient Safety for the Department of Emergency Medicine at Baystate Medical Center in Springfield, MA Learn more about your ad choices. Visit megaphone.fm/adchoices

With special guests Jennifer Cavagnac, CCDS, the assistant director of CDI at Baystate Health System in Springfield, Massachusetts, Nageshwar Jonnalagadda, MD, MPH, FACP, FHM, a hospitalist and physician advisor at Baystate Medical Center, Marisa MacClary, co-founder of Artifact Health, Inc. Co-hosted by Sharme Brodie, RN, CCDS, CCDS-O, a CDI education specialist for ACDIS/HCPro in Middleton, Massachusetts. Featured solution: Today's featured ACDIS solution are the ACDIS Clinical Documentation Integrity Boot Camps (http://ow.ly/XEVZ30qT8ct). Right now, you get access to our best-in-class CDI Boot Camps, in a convenient, practical, online format, for 50% off the listed price. ACDIS is extending this special discount in recognition that CDI professionals have been hard-hit personally and financially from the COVID-19 crisis. Choose from the following boot camp types: Clinical Documentation Integrity Boot Camp CCDS Exam Prep Class CDI and Quality Care Measures Risk Adjustment Documentation and Coding Boot Camp CDI for Outpatient Boot Camp Please use code CDIONLINE when checking out at HCMarketplace to obtain your discount. In the News links: “News: OIG audit finds Ohio hospital owes millions in outpayments:” http://ow.ly/leEb30qT8c4 ACDIS update links: “2021 IPPS proposed rule bears stamp of the ACDIS Regulatory Committee:” http://ow.ly/GKYy30qT8br

"Enhanced Recovery After Cardiac Surgery" - was originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Daniel Engelman is the Medical Director of the Heart, Vascular and Critical Care Units at Baystate Medical Center. He is an Associate Professor of Surgery at The University of Massachusetts-Baystate. He started the ERAS® Cardiac Collaborative to internationally standardize best practices.

Preoperative optimisation and prehabilitation are key areas where your institution can increase value for patients. How do you negotiate the different pitfalls presented by the various core stakeholders? Smoking cessation, nutrition, exercise; all are proven to help produce better outcomes for a patient. How do we express this in such a way that we get buy-in from everyone concerned? When it comes to a deeper dive into preoperative optimisation, what's in it for the hospital, the practitioner and the fee payer? This piece is moderated by Sol Aronson, tenured Professor at Duke University, it features a talk from Michael Englesbe, Professor of Surgery, Michigan followed by a panel discussion which also features Dan Engleman, President of the enhanced Recovery after Cardiac surgery society, Baystate Health in Massachusetts, Medical Director, Heart, Vascular & Critical Care Services, Baystate Medical Center and Associate Professor of Surgery University of Massachusetts Medical School-Baystate and Tim Miller, Duke University; further discussion is provided with questions from online listeners and conference delegates posed by Vicki Morton, Doctor of Nursing Practice and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates.

I am excited to welcome back a guest on our show. If you have not had the opportunity to listen to Episode 60-Concussion in Young Athletes, I highly recommend you to take a listen, our guest today provided great information about concussions that is highly beneficial to parents, coaches and athletes. Our guest today is board-certified in internal medicine, pediatrics and sports medicine. He earned his medical degree from Michigan State University and completed his combined residency from Baystate Medical Center in Springfield, Massachusetts. Following his residency, he completed further fellowship training in Sports Medicine. He has had extensive experience in ambulatory and community-based medicine-as an IHA Physician, Associate Program Director of Ambulatory Education for the St. Joseph Internal Medicine Residency Program, Team Physician for Concordia University, Saline and Ypsilanti-Lincoln High Schools.

Preoperative optimisation and prehabilitation are key areas where your institution can increase value for patients. How do you negotiate the different pitfalls presented by the various core stakeholders? Smoking cessation, nutrition, exercise; all are proven to help produce better outcomes for a patient. How do we express this in such a way that we get buy-in from everyone concerned? When it comes to a deeper dive into preoperative optimisation, what's in it for the hospital, the practitioner and the fee payer? This piece is moderated by Sol Aronson, tenured Professor at Duke University, it features a talk from Michael Englesbe, Professor of Surgery, Michigan followed by a panel discussion which also features Dan Engleman, President of the enhanced Recovery after Cardiac surgery society, Baystate Health in Massachusetts, Medical Director, Heart, Vascular & Critical Care Services, Baystate Medical Center and Associate Professor of Surgery University of Massachusetts Medical School-Baystate and Tim Miller, Duke University; further discussion is provided with questions from online listeners and conference delegates posed by Vicki Morton, Doctor of Nursing Practice and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates.

In today’s episode, we speak with three women who were instrumental in establishing midwifery into traditional, bustling, hospital settings. Between them, they have over 50+ years of birth work experience and they continue to mentor, teach and serve women in the midwife community and beyond. Nel assisted her mother in the birth of a sibling at age three. The baby was stillborn. This left a lasting impression on her. After countless babies appeared in her life, she knew she should follow the path to midwifery and has dedicated her career to creating a homebirth model in a small hospital setting. She currently mentors and teaches midwifery to midwives in rural Maine. Nell has pioneered many revolutionary practices in midwifery and is well known for her contributions. Denise is a midwife in a hospital in The Bronx. She assists women from marginalized areas of society gain access to a midwife in high-risk pregnancies. She works to build trust with doctors who may not understand the role or purpose of a midwife and with the patients who come from various cultural backgrounds. Sharon is Chief of the Midwifery Division and oversees a midwife education program at Baystate Medical Center. She works with women who need care but have barriers to getting it. She helps women of all backgrounds to make informed decisions about their pregnancy with the goal of removing the anxiety and judgment sometimes related to the birth process. We sat with these women and heard their powerful stories and now share their power with you. *This is our second session of recordings with women who serve as midwives from the Motherbirth booth at the American College of Nurse-Midwives Annual Conference. In This Episode: The importance of relationships The similarities of Midwifery in rural and urban environments Integrating the homebirth model into a hospital setting How midwives can decrease the level of trauma during birth Changes in midwife care since the 1970’s The continuity model of care Eliminating the judgment women have about their birth experience Building access to midwife care for women in marginalized communities Making doctors aware of the role of a midwife Prenatal and postpartum emotional support The need to reduce anxiety in expectant mothers Allowing the body to follow its natural birth process The father’s experience of childbirth Using crowdfunding to save for future college expenses Show Notes: Listen to Episode #68 — “Peyote In Labor, Feminism, and Running Away From the Army” College Backer — Listeners of Motherbirth receive a $10 match contribution with this link

Recorded at Dr. Olack's Office . In this episode Birdman chats with Dr. Olack about options/decisions if a woman is diagnosed with breast cancer and reconstructive surgery after/with mastectomy. Video @ https://youtu.be/EAKrKcrIz0g If you have any questions, contact the office: (928) 537-6767. Office is located at 2450 E Show Low Lake Road, Suite 2A, Show Low, AZ 85901. About Dr. Olack: Dr. Brian Olack is a well-trained plastic surgeon who is Board Certified by The American Board of Plastic Surgery. His goal is attend to all of your cosmetic and reconstructive surgical needs in a competent, courteous, and safe manner. Originally from Reno, Nevada, he graduated from The University of Arizona, and then returned to Reno to receive his medical degree from The University of Nevada School of Medicine. Dr. Olack received his General Surgery training in Springfield, Massachusetts at Baystate Medical Center, a hospital of Tufts University School of Medicine. During this time, he participated in numerous research projects, which resulted in several publications and presentations at the local, regional, and national levels. He received an award for the outstanding poster presentation at the 2005 annual meeting of the American Society of Plastic Surgeons. During his residency in Plastic and Reconstructive Surgery at Cleveland Clinic Florida, Dr. Olack had extensive training in the entire field of Plastic Surgery, including cosmetic surgery, reconstructive surgery, hand surgery, and many other non-surgical techniques. Dr. Olack also participated in mission trips to Honduras, where he performed cleft lip and cleft palate repairs for underserved children. After completing his training, Dr. Olack practiced in South Florida and then in Scottsdale before making the move to the White Mountains. His office provides a central location to patients from Show Low, Pinetop, Lakeside, Snowflake, Taylor, Heber, Overgaard, Springerville, Eager, and beyond. Dr. Olack practices aesthetic and reconstructive plastic surgery, and looks forward to helping you achieve your goals. Dr. Olack and his wife, Madelyn, enjoy golf, traveling, hunting, and fishing. For more information about visit: http://www.olackplasticsurgery.com/

Date: March 26, 2015 Featuring:   David Munch, MD, Senior Vice President and Chief Clinical Officer, Healthcare Performance Partners Stephanie Calcasola, MSN, RN-BC, Director of Quality and Medical Management, Baystate Medical Center Kedar Mate, MD, Senior Vice President, Institute for Healthcare Improvement (IHI) No one’s capabilities and talent should be wasted when it comes to improving health and health care for those we serve. We know you agree. Health care leaders have an incredibly important role to play in driving improvement initiatives in their organizations. So do people on the frontlines of care. What we aren’t as articulate about is the role that middle managers play. You know, the people with the job titles of House Supervisor or Shift Supervisor or Team Lead or Manager of the PACU (Post Anesthesia Care Unit). A growing number of experts say we can’t afford to ignore how people in these jobs are essential to improvement, too.  WIHI host Madge Kaplan is joined by one of those experts, Dr. David Munch, who led the discussion on this WIHI. IHI’s senior innovation and improvement capability expert, Dr. Kedar Mate, and Baystate Medical Center’s Stephanie Calcasola, also helped us look at what middle managers do, now, on behalf of quality improvement – and what they could do more of, if their contributions and unique positioning in the organization were better utilized and understood. Especially when it comes to making improvement endeavors operational and sustainable.

Date: March 12, 2015 Featuring: Mark P. Jarrett, MD, MBA, Chief Quality Officer, Sr. Vice President & Associate Chief Medical Officer, North Shore-LIJ Health System Susan Browning, MPH, FACHE, Vice President, Neurosciences, Head & Neck Surgery/ENT and Ophthalmology, North Shore-LIJ Health System Katharine Luther, RN, MPM, Vice President, Institute for Healthcare Improvement Mark Hiller, MBA, Vice President for Innovative Solutions & Leader, Premier Bundled Payment Collaborative, Premier Alice Ehresman, RN, Healthcare Quality Specialist, Baystate Health   Are your care teams ready for value-based payments? Does everyone understand the relationship between better patient care and potential savings? Are there some new skill sets and mindsets required of doctors and nurses and support staff that need to be called out and called for, rather than just taking everyone’s buy-in and readiness for granted?   There is more than a few questions to answer, and there’s no question that public and private payers in the US are moving towards more global payment arrangements with health care providers. But the picture of how health care delivery systems take up the challenge is still coming into focus. Forming or becoming part of an accountable care organization (ACO) has been one dominant response. And a growing number of health care organizations are redesigning common patient care procedures in order to enter into agreements that reward value over volume, and that tie payment to successful deployment of specific bundles of care. It’s tempting to think of all this rejiggering as resting heavily on a hospital’s or office practice’s CFO or whoever draws up contracts with payers. But there’s so much more to it. We assembled a terrific panel, with leaders from pioneering health systems like North Shore-LIJ and Baystate Medical Center, to guide us through the challenges and triumphs in this new phase for health care payment and delivery.

Today on "Mornings with Mubarakah" host Mubarakah Ibrahim interviews Dr. Njogu Njuguna, MD about women's reproductive Health & fibroids. Dr. Njogu Njuguna is an interventional radiology doctor who practices in Springfield, MA. He is affiliated with Baystate Mary Lane Hospital and Baystate Medical Center.

Interview with Dr. Adam Kellogg, Associate Program Director at Baystate Medical Center in Springfield, MA, author on EM Advisor, and recent chair of the CORD EM Student Advising Task Force. (Previously recorded at the CORD Academic Assembly in March 2016.)

I bet you are on your phone right now, on Facebook, playing a game or reading email. What if you could use your phone to learn about cancer while playing a game. Tumorman is that game. Ankit Kansagra, MD is the creator of the game. Dr. Kansagra explains how you can use the game to learn about your cancer, how when you play Tumorman you can donate to your favorite charity, and if you donate to the kick starter campaign you can become a character in the game. It's all about playing for a purpose on an all new show available on demand.

Pierre Zimmerman has been working in Behavioral and Elder Health Care for over 30 years in many capacities including business administration, program development, and contracting and marketing in the US and in Canada. He holds a BA in psychology/philosophy and an MS degree in organizational management. Pierre was ordained as a Buddhist Chaplain from Upaya Zen Center in Santa Fe in 2011 and worked at The D’Amour Cancer Care Center at Baystate Medical Center as an interfaith chaplain-in-training for American Clinical Pastoral Certification (ACPC). He is now mentoring chaplaincy students and teaching core programs at the Upaya Zen Institute in Santa Fe. Pierre officiates weddings and funeral services. Pierre received his mindfulness training at the University of Massachusetts Center for Mindfulness in Medicine, Health Care, and Society, where he trained with Jon Kabat-Zinn, Saki Santorelli, and Diana Kamila to teach Mindfulness Based Stress Reduction. He has provided Mindfulness Based Stress Reduction training with law enforcement personnel, physicians, cancer patients, patients with chronic illness, and those affected by domestic violence. He has provided training sessions and workshops to professionals, clinicians and patients, including Way of Council Practice, Mindfulness Based Stress Reduction, Embodied Movement Practice, Compassionate Care of the Dying, Managing Change in the Workplace, Conflict Management, Burnout and Moral Distress in the Workplace. Pierre has also led support groups for several years with patients who have a catastrophic illness diagnosis — along with their caregivers. He has practiced body work, meditation, and yoga for a few decades, involving many techniques that involve integrating the body, mind, and spirit to reduce stress, maximize transformative health outcomes, and serve people so that they can be aware of the connection to themselves, others and the world they inhabit. To reach Pierre call 413-992-7012For essays by Pierre VISIT: http://www.mindfulliving.community http://www.oneroofsaratoga.com   ____________________________________________ About Path 11 Productions: You can find DVDs of our films on our website at thepathseries.com or by streaming on vimeo.com, gaia.com & itunes find us on facebook and follow us on twitter, @thepathseries

Tara Lagu's passion for beating her high school rival in the science fair turns into an unusual medical career. Tara Lagu, M.D., M.P.H, is an Academic Hospitalist in the Center for Quality of Care Research and Department of Medicine at Baystate Medical Center and an Assistant Professor at the Tufts University School of Medicine. After graduating with her MD/MPH from the Yale University School of Medicine, she completed a General Internal Medicine Residency at Brown. From 2005-2008, she was a Robert Wood Johnson Foundation Clinical Scholar at the University of Pennsylvania, where she developed her research interest in the quality of health care in the United States. Currently, her work is focused on improving quality and reducing costs of health care in the United States and, in particular, improving access to care for patients with disabilities. She spends much of her free time thinking about, growing, talking about, taking pictures of, and eating heirloom tomatoes. Her favorite variety is Cherokee Purple. Learn more about your ad choices. Visit megaphone.fm/adchoices

From being a “young gay science fair nerd” to her clinical experience as a researcher, Dr. Tara Lagu finds her calling as a social justice advocate with a passion for improving existing care for patients with disabilities. Tara Lagu, MD, MPH, is an Academic Hospitalist in the Center for Quality of Care Research and Department of Medicine at Baystate Medical Center, and an Assistant Professor at Tufts University School of Medicine. After graduating with her MD and MPH from the Yale University School of Medicine, she completed a General Internal Medicine Residency at Brown. From 2005-2008, she was a Robert Wood Johnson Foundation Clinical Scholar at the University of Pennsylvania, where she developed her research interest in the quality of health care in the United States. Currently, her work is focused on improving quality and reducing costs of health care in the United States, and, in particular, improving access to care for patients with disabilities. She spends much of her free time thinking about, growing, talking about, taking pictures of, and eating heirloom tomatoes. Her favorite variety is Cherokee Purple.

Dr. Klatte talks about the Enterovirus that is making kids sick across the country.

Dr. Klatte talks about the Enterovirus that is making kids sick across the country.

Guest: Barry Sarvet, MD Host: Jennifer Shu, MD Research tells us that roughly one in 20 teenagers in the United States suffers from clinical depression. The problem is most are not receiving treatment because they haven't been diagnosed. In a recent report, the US Preventive Services Task Force issued a recommendation for the routine screening of all adolescents in the primary care setting, even if they don't show signs of depression. Is this recommendation practical? And, can our healthcare system accommodate the likely increase in teens who would subsequently become candidates for mental health treatment? Dr. Barry Sarvet, chief of child and adolescent psychiatry at Baystate Medical Center in Springfield, Massachusetts, joins host Dr. Jennifer Shu for a discussion of the pros and cons of routine depression screening for teenagers.

Episode Recap:Dr. Lam and I talked aboutA day in the life of a retinal surgeon (1:27)How he finds time to write with a full-time job and four kids (6:13)His process for writing historical novels (8:17)How a history major became an eye surgeon (15:08)Why doctors don’t want their kids to become doctors (21:57)The luxury of a liberal arts degree (23:44)Balancing your dreams with practicality (30:19)Guest Bio:Andrew Lam, M.D., is the award-winning author of three books. Born in Philadelphia and raised in central Illinois, he graduated summa cum laude in history from Yale University, where he studied military history and U.S.-East Asian relations. He then attended medical school at the University of Pennsylvania, followed by specialty training in ophthalmology and retina surgery at the Wills Eye Hospital in Philadelphia. He is currently an Assistant Professor of Ophthalmology at the University of Massachusetts Medical School and Tufts University School of Medicine, a partner at New England Retina Consultants, and an attending surgeon at Baystate Medical Center in Springfield, Massachusetts.Links and Resources:Dr. Lam’s author websiteRepentance (available at Indiebound)Saving Sight (available at Barnes & Noble)Two Sons of China (available at Amazon)Stay in Touch:To suggest a guest or submit a question, Ask Auntie anything here: https://chiefexecutiveauntie.com/contact/ To join Auntie's podcast insiders and get special access to upcoming guests, subscribe here: https://chiefexecutiveauntie.com/podcast-insiders/Support this podcast at — https://redcircle.com/chief-executive-auntie/donations