Podcast appearances and mentions of Beth Israel

Why do bad things happen to good people?n this deeply moving episode of Smart Women Talk, Rabbi Cantor Judy Greenfeld joins Katana to explore how adversity shapes purpose.From personal tragedy to spiritual awakening, Rabbi Cantor Judy shares her journey of resilience, faith, and finding meaning. Discover how ancient prayers, movement, and daily practice can help you reconnect with your soul—and stand in your personal power no matter what you face.Join Rabbi Cantor Judy and Katana as they discuss:Why bad things happen to good people.How life isn't happening to you - it's happening for you.Why true power is owning your full story.Rabbi Cantor Judy Greenfeld is a lifelong entrepreneur, published author, and spiritual leader who blends ancient wisdom with modern wellness to guide forward-thinkers on their journey of personal growth. Her path was shaped by profound loss—the tragic death of her father when she was just 16—which sparked a lifelong exploration of healing through somatic dance, dream work, meditation, sound healing, and the mystical teachings of Kabbalah.Today, as Senior Rabbi and Cantor at Beth Israel in Colleyville, Texas, Judy is committed to creating inclusive, empowering spaces where women of all backgrounds can connect, heal, and explore their unique purpose. Her work is rooted in the belief that adversity can be a powerful teacher—and that when we honor both the body and the soul, we step into our truest selves.Learn more about Rabbi Cantor Judy at www.rabbicantorjudy.org.#SmartWomenTalk, #RabbiJudyGreenfeld, #AdversityToStrength, #SpiritualHealing, #WakeUpWithPurpose, #DreamWork, #DailyRituals, #FaithAndFeminineWisdom, #SoulfulLiving, #WomenInLeadership, #JewishWisdom, #FindingTheGift

In this episode we feature 2 articles that explore hot topics in genetics as well as opportunities to improve patient care in honor of DNA Day on April 25. DNA day commemorates the completion of the Human Genome Project and the discovery of DNA's double helix. Both of these studies utilize qualitative methodologies to highlight people's experiences and share their stories. Segment 1: Not Parent Expected” results through direct-to-consumer genetic testing Julia Becker (she/her) is a board-certified genetic counselor and CSU Stanislaus Genetic Counseling Program graduate. She has a strong interest in the ethical, psychological, and social implications of genetic testing, particularly in the context of unexpected parentage discoveries. Julia is the first author of the article, "Experiences of Individuals Receiving ‘Not Parent Expected' Results Through Direct-to-Consumer Genetic Testing," published in the Journal of Genetic Counseling. She presented this research at the American College of Medical Genetics and Genomics (ACMG) Annual Conference in 2021, contributing to the ongoing dialogue on the impact of unexpected genetic findings. Her work focuses on supporting individuals navigating complex genetic discoveries and advancing awareness within the genetic counseling community. In this segment we discuss: - The rise in Not Parent Expected (NPE) discoveries through direct-to-consumer genetic testing and what it means to receive this result. - Key emotional themes from interviews with 25 participants, including identity disruption, grief without death, and shifting family dynamics. - How a background in genetic counseling informed a sensitive and in-depth interview approach. - The emotional motivations behind seeking out biological relatives and the varied outcomes of those efforts. - The need for improved informed consent and follow-up care from DTC companies.   Segment 2: Transgender and gender diverse patients' experiences with pregnancy-related genetics discussions: A qualitative study Jaime Schechner (she/her) works as a neurology genetic counselor at Boston Children's Hospital. She completed her Master of Science in Genetic Counseling at Boston University, and previously worked as a genetic counseling assistant at Beth Israel's Maternal Fetal Medicine Center. Darius  Haghighat (he/him) is a reproductive genetic counselor at Boston Medical Center and an Assistant Professor of Obstetrics and Gynecology at Boston University Chobanian & Avedisian School of Medicine. He has prior experience as a cancer genetic counselor as well. He completed his Master's in Genetic Counseling at Boston University. As a queer genetic counselor he is especially passionate about LGBTQIA+ health equity. In this segment we discuss: - The inspiration behind focusing the study on pregnancy-related genetic counseling experiences among trans and gender diverse (TGD) individuals. - Major gaps in reproductive healthcare for TGD patients, including misgendering, binary language, and lack of provider knowledge. - Participant stories about feeling unseen or misgendered, and discussed the emotional impact of these encounters. - Frustrations with terms like "maternal" and "advanced maternal age," and suggested inclusive alternatives for clinical language. - Moments of affirming care, showing how small gestures can have a powerful impact across the healthcare journey. - The need for systemic change, including inclusive policies, provider education, and future research that centers TGD voices. Would you like to nominate a JoGC article to be featured in the show? If so, please fill out this nomination submission form here. Multiple entries are encouraged including articles where you, your colleagues, or your friends are authors. Stay tuned for the next new episode of DNA Dialogues! In the meantime, listen to all our episodes Apple Podcasts, Spotify, streaming on the website, or any other podcast player by searching, “DNA Dialogues”.  For more information about this episode visit dnadialogues.podbean.com, where you can also stream all episodes of the show. Check out the Journal of Genetic Counseling here for articles featured in this episode and others.  Any questions, episode ideas, guest pitches, or comments can be sent into DNADialoguesPodcast@gmail.com.  DNA Dialogues' team includes Jehannine Austin, Naomi Wagner, Khalida Liaquat, Kate Wilson and DNA Today's Kira Dineen. Our logo was designed by Ashlyn Enokian. Our current intern is Sydney Arlen.

We kicked off the program with four news stories and different guests on the stories we think you need to know about!Trump extends TikTok ban deadline by 75 days - predictions for potential outcomes, what the impact(s) would be on brands, creators and consumers? With Scott Sutton - CEO of Later (a marketing brand)The Fate of the Generals: MacArthur, Wainwright, and the Epic Battle for the Philippines - details the story of two World War II generals who both received the Medal of Honor through contrasting means of leadership. With Jonathan Horn - author and former White House speechwriter for President George W. Bush.Follow-up on the First Robot Assisted Live Liver Plant at Beth Israel Deaconess Medical Center. Dr. Martin Dibs – a surgeon involved in Zeller's procedure and director of Beth Israel's living liver transplant program.THE GOLF 100: A Spirited Ranking of the Greatest Players of All Time. With Michael Arkush – Author & Sportswriter who contributes to the NY Times & WaPo.Listen to WBZ NewsRadio on the NEW iHeart Radio app and be sure to set WBZ NewsRadio as your #1 preset!

The next Say Yes Summit is April 15th & 16th! Join us for just $47.The Say YES Sisterhood is here! Join a vibrant community of women who are embracing their dreams, reclaiming their joy, and living life with intention. Join Say YES Sisterhood today.In this soulful and thought-provoking episode, Wendy sits down with Rabbi and Cantor Judy Greenfeld for a heartfelt conversation on embracing life's transitions with courage and faith. They explore the power of reframing challenges—whether it's facing divorce, navigating physical limitations, or stepping into the unknown—and creating certainty in uncertain times. Together, they discuss the beauty of softening into resistance, trusting life's timing, and anchoring into what truly nourishes the soul. This conversation is a reminder that surrender isn't weakness—it's a doorway to transformation.About Judy:Judy Greenfeld is a Rabbi/Cantor, lifelong entrepreneur, and published author dedicated to empowering forward-thinkers to evolve through ancient wisdom and modern wellness. At 16, Judy tragically lost her father to gun violence, a profound experience that ignited her lifelong journey of healing and spiritual exploration. Through years of study and practice in somatic dance, dream work, meditation, sound healing, and Kabbalah, she developed a unique approach to personal and communal transformation. Ordained as a Rabbi/Cantor, she founded Nachshon Minyan, a welcoming community for unaffiliated Jews seeking to rewrite their negative stories about religion, and now serves as Senior Rabbi/Cantor at Beth Israel in Colleyville, Texas. Beyond her Rabbinical duties, Judy's mission is to cultivate inclusive spaces where people of all backgrounds can come together, find support, and explore a path of self-discovery and shared purpose.Connect with Judy:RabbiCantorJudy.orgOn Instagram @rabbicantorjudygBook Your Free 30-Minute Discovery Call________________________________________________________________________________________ Say YES to joining Wendy for her: Say YES Sisterhood PWH Farm StaysPWH Curated France TripsInstagram: @phineaswrighthouseFacebook: Phineas Wright HouseWebsite: Phineas Wright HousePodcast Production By Resonant Collective Want to start your own podcast? Let's chat!Thank you for listening to the Say YES to yourself! podcast. It would mean the world if you would take one minute to follow, leave a 5-star review, and share with a friend.

We kicked off the program with four news stories and different guests on the stories we think you need to know about!Combatting High Food Prices with a Free app (called Flashfood) that's partnering with groceries stores to offer nutritious food at affordable prices. Esther Cohn - VP of Communications & Public Affairs at Flashfood joined Dan.James Brown Saves Boston Tribute Concert to be held April 5th at Prince Hall in Dorchester! Tony Wilson – aka Young James Brown -James Brown impersonator/performer checked in.MBTA's South Coast Rail Is Up and Running After 34 Years In The Making. Nichole Davis – WBZ NewsRadio Anchor stopped by!Beth Israel performs its first robot-assisted live liver transplant! Dr. Martin Dib – surgeon involved in the procedure and director of Beth Israel's living liver transplant program explained.Listen to WBZ NewsRadio on the NEW iHeart Radio app and be sure to set WBZ NewsRadio as your #1 preset!

Understanding the signs of our times is not just an intellectual pursuit—it’s a spiritual necessity for every believer, especially parents raising the next generation in faith. As the world grows more turbulent, it’s vital to recognize the profound biblical significance of current events and what they mean for the future. And no one is unveiling these mysteries more powerfully than Jonathan Cahn. A New York Times #1 bestselling author and globally recognized expert in end time prophecy, Jonathan has been called one of the most influential spiritual voices of our time—his impact likened to that of Billy Graham in shaping the faith and understanding of millions. His ability to connect ancient biblical prophecy to modern world events has ignited conversations far beyond the church, challenging believers to wake up to the reality of God’s unfolding plan. In this riveting episode, Catherine sits down with Jonathan for an explosive deep dive into his latest groundbreaking book, The Dragon's Prophecy: Israel, the Dark Resurrection, and the End of Days. This urgent work has captivated readers worldwide, skyrocketing to #1 on the New York times, Amazon, and Publishers Weekly—and for good reason. It unveils the spiritual war raging in our time, with Israel at its center, and exposes the prophetic patterns shaping our world today. Why This Matters More Than Ever Jonathan reveals why the tiny nation of Israel is at the heart of global conflict, prophetic fulfillment, and spiritual warfare. Through the lens of Revelation 12, he explains a cosmic struggle involving a dragon, a woman, and a child—a prophetic narrative that defines all of human history and is manifesting before our very eyes. Key Insights You’ll Discover: Israel’s miraculous existence—why this nation’s survival defies logic and stands as a living testament to God’s divine hand. Prophecy unfolding in real-time—how ancient enemies foretold in scripture are reemerging and influencing today’s Middle Eastern and global conflicts. The shocking biblical meaning of “Hamas”—how this word appears in scripture, describing ancient violence, and its eerie connection to modern-day events. Revelation’s cosmic battle—understanding the prophecy of the dragon, the woman, and the child and how it plays out in today’s geopolitical and spiritual climate. What this means for Christians today—how prophecy equips us to strengthen our faith and prepare our families for the days ahead. A Wake-Up Call for Believers Jonathan’s message is a call to awareness, action, and faith. This is not just about Israel—it’s about every believer, every family, and the future of the Church. Understanding prophecy isn’t about fear—it’s about hope, preparation, and confidence in God’s divine plan.

"If you don't have hope, you don't have faith." - Rabbi Judy Greenfeld Rabbi Judy Greenfeld is a multifaceted spiritual leader and entrepreneur recognized for her unique approach to personal and communal transformation. She holds the roles of both Rabbi and Cantor, utilizing ancient wisdom alongside modern wellness practices such as somatic dance, dream work, meditation, sound healing, and Kabbalah to empower individuals. Rabbi Judy is the founder of Nachshon Minyan, a community that welcomes unaffiliated Jews and serves to offer transformative spiritual experiences. She also serves at Beth Israel in Colleyville, Texas, where she promotes inclusive spaces for exploring self-discovery and shared purpose. Episode Summary: In this heartfelt episode of "Oh My Health, There Is Hope," host Jana Short converses with Rabbi Judy Greenfeld, a seasoned spiritual leader dedicated to inspiring personal growth through ancient insights and modern practices. Rabbi Judy shares her remarkable story of empowerment, reflecting on how she integrates somatic dance, dream work, meditation, and Kabbalah to foster resilience and hope within individuals and communities. The dialogue touches deeply on the role of ancient wisdom in contemporary life, offering listeners pathways to personal transformation and communal connection. As the conversation unfolds, Rabbi Judy delves into the importance of having hope during challenging times, sharing personal anecdotes that highlight her capacity for spiritual guidance. Central to this discourse is the acknowledgment of faith as a tool for navigating life's difficulties, particularly emphasizing the value of taking 'leaps of faith.' Rabbi Judy's insights, grounded in heritage and personal growth, resonate with those seeking direction in dark times, particularly through the holiday season, offering listeners actionable advice on fostering resilience and finding hope in everyday moments. Key Takeaways: Rabbi Judy Greenfeld emphasizes the significance of drawing on ancient wisdom for modern wellness, demonstrating how faith and spirituality can aid personal transformation. The importance of "leaps of faith," symbolized by Nachshon from Jewish history, inspires individuals to move forward even when the path seems unclear. During times of darkness, such as the holiday season, finding and sharing stories of hope can create connections and foster resilience. Rabbi Judy highlights the benefits of expressing emotions openly, be it through conversations or journaling, to alleviate internal struggles. Taking small, meaningful steps, rather than grand gestures, can effectively guide individuals toward their goals and a sense of purpose. Resources rabbicantorjudy.org https://www.facebook.com/cantor.greenfeld/ https://www.instagram.com/rabbicantorjudyg/ Get in touch with Jana and listen to more Podcasts: https://www.janashort.com/ Show Music ‘Hold On' by Amy Gerhartz: https://www.amygerhartz.com/music. Get the Best Holistic Life Magazine Subscription! One of the fastest-growing independent magazines centered around holistic living. https://bestholisticlife.info/Subscription Grab your gift today: https://www.janashort.com/becoming-the-next-influencers-download-offer/ Connect with Jana Short: https://www.janashort.com/contact/

Judy Greenfeld is Senior Rabbi/Cantor at Congregation Beth Israel in Colleyville, Texas, and founder of Nachshon Minyan, a welcoming community for unaffiliated Jews seeking to rewrite their negative stories about religion and re-integrate faith in their daily life. Beyond her Rabbinical duties, Judy's mission is to cultivate inclusive spaces where people of all backgrounds can come together, find support, and explore a path of self-discovery and shared purpose within the Jewish faith. But honestly, she's so much more. Join us! WHAT IS THEJEWFUNCTION - A 10min EXPLANATION https://youtu.be/5TlUt5FqVgQ LISTEN TO THE MYSTERY BOOK PODCAST SERIES: https://tinyurl.com/y7tmfpes SETH'S BOOK: https://www.antidotetoantisemitism.com/ FREE AUDIOBOOK (With Audible trial) OF THE JEWISH CHOICE - UNITY OR ANTISEMITISM: https://amzn.to/3u40evC LIKE/SHARE/SUBSCRIBE Follow us on Twitter/Facebook/Instagram @thejewfunction NEW: SUPPORT US ON PATREON patreon.com/thejewfunction

Guest: Jonathan CahnMinistries: Beth Israel/The Jerusalem Center in Wayne, NJ & Hope of the WorldBook: The Dragon's Prophecy: Israel, the Dark Resurrection, and the End of DaysWebsite: booksbyjonathancahn.com

Guest: Jonathan CahnMinistries: Beth Israel/The Jerusalem Center in Wayne, NJ & Hope of the WorldBook: The Dragon's Prophecy: Israel, the Dark Resurrection, and the End of DaysWebsite: booksbyjonathancahn.com

EPISODE #1101 THE DRAGON'S PROPHECY WITH JONATHAN CAHN Richard welcomes best-selling author, Biblical prophecy expert Jonathan Cahn who reveals an ancient vision that unlocks what is really happening to our world and what is yet to come. Cahn explains how a dangerous force from ancient times is now operating in the world and determining the course of world events. Did a three-thousand-year old mystery actually foretell the invasion of Israel by Hamas down to the year – and even the exact date? Is there a secret to the Book of Revelation that actually reveals what is taking place right now? After eight New York Times bestsellers, Jonathan Cahn NOW releases his newest stunning blockbuster. GUEST: Jonathan Cahn has been named along with Billy Graham as one of the top spiritual leaders to have radically impacted our world in modern times. He has spoken at the United Nations, on Capitol Hill, to Members of Congress, and to millions around the world. Every one of his books starting with The Harbinger onward has become a New York Times Bestseller. He is recognized as a prophetic voice for our times. His teachings and prophetic words on YouTube have received over 100 million views. He leads Beth Israel at the Jerusalem Center in Wayne, New Jersey - and Hope of the World ministry, a world outreach of God's word and compassion to the world's most needy. Jonathan has just released his most stunning book yet, ‘The Dragon's Prophecy: Israel, the Dark Resurrection, and the End of Days' WEBSITE: www.booksbyjonathancahn.com BOOKS: The Dragon's Prophecy The Return of the Gods The Josiah Manifesto The Harbinger ll The Oracle The Book of Mysteries The Mystery of The Shemitah The Paradigm The Harbinger SUPPORT OUR SPONSORS!!! HIMS - Making Healthy and Happy Easy to Achieve Sexual Health, Hair Loss, Mental Health, Weight Management START YOUR FREE ONLINE VISIT TODAY - HIMS dot com slash STRANGE https://www.HIMS.com/strange BECOME A PREMIUM SUBSCRIBER!!! https://strangeplanet.supportingcast.fm Three monthly subscriptions to choose from. Commercial Free Listening, Bonus Episodes and a Subscription to my monthly newsletter, InnerSanctum. We and our partners use cookies to personalize your experience, to show you ads based on your interests, and for measurement and analytics purposes. By using our website and services, you agree to our use of cookies as described in our Cookie Policy. Learn more about your ad choices. Visit megaphone.fm/adchoices Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://strangeplanet.supportingcast.fm/

“Heart Care is the New Self-Care” – Dr. Suzanne Steinbaum This interview could save your life or the life of a woman you know. Please share it with every woman in your life. Heart disease is the number one killer of women but so many women are unaware of this information. Today's show is going to spotlight the importance of taking care of your heart health, what the key risk factors are, and how to focus on prevention. While on the show notes page, I'd love for you to join our community. You'll receive more inspiration and tips to love yourself and your life. You'll get a FREE copy of Michele's Book, Design a Life You Love. *This interview is for entertainment purposes only. For medical advice, seek out your trusted healthcare provider.   WHAT WE DISCUSS: The statistics about heart disease and how it is the #1 killer of women. 70% of women don't realize they are at risk. The role research, the doctors, and even women have played and not changing this statistic in the last twenty years. How we can take ownership of our health since 80% of heart disease is preventable. The importance of preventative care. The blood tests we need as well as the other factors that play into our heart health. The symptoms that women may have and how they differ from men. Knowledge is power here to advocate for yourself. Women still die in the hospital of heart attacks. The importance of exercise, sleep, and meditation. Why Dr. Steinbaum is launching Adesso (means now in Italian) and how it is going to change the landscape of heart health, and more.   RESOURCES MENTIONED Websites: https://www.drsuzannesteinbaum.com/ www.adesso.health Book: Dr. Suzanne Steinbaum's Heart Book: Every Woman's Guide to a Heart-Healthy Life IG: Dr. Steinbaum on IG Adesso on IG Connect with Michele on Instagram   “Since the dawn of recorded time in almost every culture, our heart has been the symbol of our ultimate essence as human beings. Cupid, St. Valentine, the source of songs, poetry and art, our heart elevates that which makes us fully alive: our capacity for love, passion, romance, purpose. Life at its fullest. And yet heart disease is the #1 killer of women. 1 in 3 women will die of heart disease and for the past 20 years, over the course of my entire career as a preventive cardiologist, that figure hasn't changed. This disconnect, this Grand Canyon from the abstract idea of our hearts and the real working function of the organ at the center of our being, is what needs to change. We know now that preventing heart disease is not defined just by medical data like blood pressure, cholesterol, BMI, sugars and medication. True heart health stems from every aspect of our lives, like stress, relationships, sleep, how we nourish ourselves, how we move and yes, even how we love. As we fully put ourselves and our heart at the center of our lives, we will fully change the course of this disease that 80 percent of the time is preventable. We can and will change this. When we live from the heart, we live! Life at its fullest.”   MORE ABOUT OUR GUEST Dr. Suzanne Steinbaum is a leader in preventive cardiology, now in private practice in New York. She launched heart prevention programs at Mt. Sinai Heart, Northwell Lenox Hill and Beth Israel. She is the CEO/Founder of Adesso, a technology-based prevention model. She is also the author of “Dr. Suzanne Steinbaum's Heart Book: Every Woman's Guide to a Heart Healthy Life”, and has been a national spokesperson for Go Red through the American Heart Association for 18 years. Thank you for listening to the show. Be sure to share it with a friend!  We love when women empower other women. If you enjoyed this interview, please take a moment to rate and review it on Apple podcasts. Your reviews are so appreciated! Not sure how to do it? Instructions are below. XO, Michele

Dr. Rachel Masch s a Clinical Professor of Obstetrics and Gynecology at Mount Sinai medical school and is board certified in Complex Family Planning. She is the co Medical Director of the division of family planning at Mt sinai Beth Israel in NYC. She has a masters in public health from Columbia University and serves as the Chief Medical Officer of Basic Health International (BHI), a nonprofit organization that works toward eradicating cervical cancer worldwide. Dr. Masch helps GynoCurious examine the state of family planning and abortion services in the US. The very fluid legislative activity in the US, both federal and state wide , have led to changes in the family planning community and the state of education for OB-GYN residents and certainly for women seeking the whole range of services that family planning organizations provide. Questions of comments? Call 845-307-7446 or email comments@radiofreerhinecliff.org Produced by Jennifer Hammoud and Matty Rosenberg @ Radio Free Rhinecliff

MAY 08, 2024    Hour 1:    California police unions slam study naming state best for officers: 'Not what we're hearing' - Breaking down Trump's criminal trial after testimony from key witnesses - Hillary Lavine/ Rabbi Rick Winer: Temple Beth Israel Relations Committee Vandalism at Temple Beth Israel in studio and on phone -     KMJ's Afternoon Drive with Philip Teresi & E. Curtis Johnson   Weekdays 2-6PM Pacific on News/Talk 580 & 105.9 KMJ   Follow us on Facebook, Instagram, and X   Listen to past episodes at kmjnow.com   Subscribe to the show on Apple, Spotify, or Amazon Music    Contact See omnystudio.com/listener for privacy information.

MAY 08, 2024    Hour 1:    California police unions slam study naming state best for officers: 'Not what we're hearing' - Breaking down Trump's criminal trial after testimony from key witnesses - Hillary Lavine/ Rabbi Rick Winer: Temple Beth Israel Relations Committee Vandalism at Temple Beth Israel in studio and on phone -     KMJ's Afternoon Drive with Philip Teresi & E. Curtis Johnson   Weekdays 2-6PM Pacific on News/Talk 580 & 105.9 KMJ   Follow us on Facebook, Instagram, and X   Listen to past episodes at kmjnow.com   Subscribe to the show on Apple, Spotify, or Amazon Music    Contact See omnystudio.com/listener for privacy information.

The chair of the New York City Council's criminal justice committee is calling for an oversight hearing in light of WNYC's new investigation into sexual assault on Rikers Island. Plus, state officials say Beth Israel hospital has delayed lifesaving care by cutting services. Also, WNYC's Michael Hill talks with Annemarie Gray, executive director of Open New York, about the new super PAC Abundant New York. And finally, we visited Rainbow Garden of Life and Health, in the South Bronx. It's one of New York City's many neighborhood gems.

This is the 1010 WINS All Local, 12pm update. 3/24/24

Hosts Chrissy, Katie and Harry talk subway scares and safety, and Politico New York health care reporter Maya Kaufman breaks down her reporting on Beth Israel transferring out seriously ill ER patients and much more.

New York City's Department of Corrections says it's still working toward closing Rikers by 2027. Also, New Jersey Attorney General Matthew Platkin reports that the state is seeing record breaking numbers of hate crimes and other bias incidents. Plus, A coalition that's suing the Mount Sinai system to stop Beth Israel hospital from shuttering alleges the hospital has violated a court order. And finally, WNYC's Sean Carlson talks with New Jersey Attorney General Matthew Platkin about a new report which shows record breaking numbers of hate crimes and other bias incidents in the state.

Dr. Kevin Tabb's self-described “eclectic background” includes service in the Israeli military, completing medical school and a residency, and roles in health care IT on the east and west coasts in the U.S.  Over the years, he's witnessed an evolution in patient care that he notes, “will always be needed in hospitals, but more and more care is provided outside of the four walls of the hospitals.” “We're rapidly moving towards a place where we will be providing more than 70% of the care that we provide outside of the confines of the academic medical centers,” said Tabb, president and CEO of Beth Israel Lahey Health. In this episode of the PNC C-Speak podcast, Tabb highlights an example of this shift in patient care – Hospital at Home – an initiative Beth Israel Lahey Health has launched. Listen to the episode to hear more from Tabb about: Beth Israel Lahey Health's partnership with the Dana-Farber Cancer Institute.How the health care system is creating a more diverse workforce and fostering inclusivity.Tabb's personal half-marathon “bucket list.”Powered by PNC Bank.Download a transcript of the podcast.

A new study finds I-495 is the most deadly highway in Mass., Health Policy Commission wants more details on Dana Farber and Beth Israel partnership, Young adults aren't leaving the nest. Five minutes of news to keep you in "The Loop."

This episode features Juan Fernando Lopera, Chief Diversity, Equity, and Inclusion Officer at Beth Israel Lahey Health. Here, he discusses the pioneering experiences and challenges he anticipates as the inaugural DEI officer in a healthcare system. He provides a high-level overview of his efforts since assuming the role, highlighting his priorities heading into 2024. Juan shares the intricacies of his reporting relationship, detailing the frequency and focus of meetings and the metrics used to measure outcomes and long-term improvements. Drawing from his transition from payer to provider, Juan reflects on the distinct differences in approaching and executing DEI work in his current role. As a trailblazer in his field, he imparts valuable advice for leaders undertaking similar roles within their organizations. Tune in for a thought-provoking exploration of DEI in healthcare and gain insights from a seasoned leader in the field.

 Trader Joes in Quincy? New Medical Facility? Mayor Koch with some big updates!

The Dana-Farber Cancer Institute rocked the cancer world this month by dropping its long standing partner, Brigham and Women's in favor of building a new cancer hospital with Beth Israel. What does it mean for patients, physicians and health care costs?Is this just a local Boston story or is there broader meaning for the US healthcare system?ABOUT CARETALKCareTalk is a weekly podcast that provides an incisive, no B.S. view of the US healthcare industry. Join co-hosts John Driscoll (President U.S. Healthcare and EVP, Walgreens Boots Alliance) and David Williams (President, Health Business Group) as they debate the latest in US healthcare news, business and policy.GET IN TOUCHBecome a CareTalk sponsorGuest appearance requestsVisit us on the webSubscribe to the CareTalk NewsletterShop official CareTalk merchFOLLOW CARETALKSpotifyApple PodcastsGoogle PodcastsFollow us on LinkedIn#danafarber #oncology #cancer #healthcare #hospitals #doctors #medicine #nurses #health #healthcarepolicy #healthcarebusiness #healthcareindustry CareTalk: Healthcare. Unfiltered. is produced by Grippi Media

Heart disease is the number one killer of women but so many women are unaware of this information. You are going to be so empowered after listening to this amazing interview with Dr. Suzanne Steinbaum, leading preventative cardiologist and the Founder of Adesso, a heart prevention and wellness program for women. This interview could save your life or the life of a woman you know. Please share it with every woman in your life. While on the show notes page, I'd love for you to join our community. You'll receive more inspiration and tips to live your best midlife! *This interview is for educational and entertainment purposes only. This is not intended to be medical advice. For anything dealing with your health please contact your trusted healthcare provider. WHAT WE DISCUSS: The statistics about heart disease and how it is the #1 killer of women – more than all cancers combined. The American Heart Association's Essential 8. Preventative care as 80% is preventable. Blood work you should request. Medical gaslighting of women and why it needs to stop. The importance of understanding your family's health and heart history for risk factors. Why Dr. Steinbaum launched Adesso (means now in Italian) and how it is going to change the landscape of heart health, and much more.   RESOURCES MENTIONED Websites: https://www.drsuzannesteinbaum.com/ Adesso Website First interview with Dr. Steinbaum Book: Dr. Suzanne Steinbaum's Heart Book: Every Woman's Guide to a Heart-Healthy Life IG: Dr. Steinbaum on IG Adesso on IG Connect with Michele on Instagram   MORE ABOUT OUR GUEST Dr. Suzanne Steinbaum is a leader in preventive cardiology, now in private practice in New York. She is founder and CEO of Heart-Tech Health, a med-tech innovation to decrease the risk of women's cardiovascular disease and bring prevention to every woman regardless of location or circumstance through its signature program, Adesso. Dr. Suzanne launched heart disease prevention programs at Mt. Sinai Heart, Northwell Lenox Hill and Beth Israel. She published Dr. Suzanne Steinbaum's Heart Book: Every Woman's Guide to a Heart Healthy Life, and has been a national spokesperson for Go Red through the American Heart Association for 18 years. She serves on the national medical advisory board for Peloton and is a frequent guest on notable shows such as The Today Show, Good Morning America, The Doctors and more. Thank you for listening to the show. Be sure to share it with a friend!  We love when women empower other women. If you enjoyed this interview, please take a moment to rate and review it on Apple podcasts. Your reviews are so appreciated! Not sure how to do it? Instructions are below. XO, Michele

Just taking a moment here to thank our Relentless Tribe for really getting yourselves involved in the work that I had originally kicked off to improve the outcomes for CKD (chronic kidney disease) patients in this country. With the momentum that we have so far, this Relentless Tribe of ours, we are really (for reals) going to produce measurable improvements for patients with CKD—so many of you, not just talking but actually out there, actively doing what you need to do so that patients do better, and it's making a difference. I have talked to doctors, other clinicians, administrators, IPAs, other provider organizations big and small, payers, societies, a great data company, a number of you who are consultants. It's crazy what we have been able to build so far, and we've been doing this for less than a year. The Relentless Tribe … let me tell you, we move mountains. We get patients properly diagnosed. We get them into appropriate treatment plans. What restores my faith in these rough times, we have encountered one PCP, one clinician after another; and the second that we show them the “as per the guidelines” way to accurately diagnose and stage chronic kidney disease (which is not just using eGFR for those clinicians who might be listening), yeah, that's it! These are great doctors, and they switch it up. They switch up what they are doing, and that makes my heart warm. These are doctors across the board, from ones in independent practices to ones maybe employed by academic medical centers. And once they have the right information, they use it. And it's a wonderful thing, and I cannot thank everybody who has contributed enough. We are making real differences in patients' lives. If what I am doing speaks to you in any way, please hit me up, because we're cooking with gas and I could not be prouder of this community of change agents that we have built here. You're amazing. You know what needs to be done, and you're not afraid to do it. Now, back to our regularly scheduled programming. In this healthcare podcast, I am talking with Secretary David Shulkin, MD, and Erin Mistry. Here's the first reason why I was interested in taking this interview after their public relations firm contacted me. We were at the thINc360 conference in DC earlier this summer, and I heard them talking about a new innovation to help patients on dialysis not die from infections, which … didn't realize how common that was and it seemed like a nice adjacency to our ongoing CKD work. I also thought this might be an opportunity to learn a little bit more about what's going on with hospital-acquired infections and infection control. Superbugs are hella scary, but one thing I'm just gonna point out—and, small sidebar here, but listen to the show with Bruce Rector, MD (EP300) for more on this—in recent times, I don't think there has been a pharma company who has managed to launch an antibiotic and achieve commercial success. So, what can easily wind up happening under the current payment model is that instead of just using the new antibiotic to treat resistant cases, there's this perverse incentive to push for the drug's use more broadly because more prescriptions, more money. But when the new antibiotic is used more broadly, that actually reduces its effectiveness against those resistant infections that it is here to treat. Okay … back to bloodstream infections now, which is the topic of the conversation today. If a patient has a central line infection and then gets sepsis, their chances of readmission within 30 days is almost 99%. This is not a little cohort. It's not small potatoes we're talking about here either. As Secretary Shulkin says during this interview that follows, if you're gonna make a preventative care economic case study, do it on hospital-acquired infections and, most particularly, those with central lines that lead to sepsis. Even with very short time horizons, you can make that case. So, that was two reasons for this interview. The third: I've been extremely intrigued by how and why decisions get made in hospitals for whether or not to buy and use potentially expensive new innovative things—specifically, innovative new things which are used during inpatient goings-on paid for with a DRG. DRG stands for Diagnostic Resource Group. Medicare (and others a lot of times) pays hospitals a flat sum to care for a patient coming in with heart failure or sepsis or needing dialysis, regardless of what services are actually delivered. There are something like 13,000 diagnoses and 5000 procedures that Medicare pays for with a DRG lump sum payment. It's up to the hospitals to make sure they buy low and sell high. So, you can see where this is going. A hospital can't go tell Medicare, “Hey, we just got some fancy new equipment or a better IV drug, so now we're gonna charge more.” The DRG is what the DRG is, and if the hospital chooses to spend more on the cost of goods, then the hospital makes less money. This is kind of along the same lines as Marty Makary, MD, MPH, talks about in his book Unaccountable. The purchasing department or some administrator somewhere is making decisions about what monitors to put in the ORs, and they pick the cheap ones that don't have the color contrast that the surgeons need to do a good job. But the monitors are cheaper, and the hospital can't pass on the costs. So, from a strictly purchasing perspective, it seems like fiscally solid purchasing, even if doctors are not on board with the decisions and patients have worse outcomes. Seems like somebody over at CMS figured this out, and to solve for the “purchasers or administrators or whomever who are not willing to lose money by using new stuff,” Medicare introduced this extra payment opportunity, which we'll get into in the interview today. But the short version is this: Biotech companies, device companies, others who are innovators can apply to get Medicare to pay a so-called NTAP to healthcare delivery organizations who use the new product. NTAP stands for new technology add-on payment. Again, these are additional Medicare payments in the inpatient setting that may be available to those who use certain qualifying new technologies as part of services rendered that are normally part of a DRG. Here's my assessment of the tension between hospitals and plan sponsors because, yeah, when hospitals get paid more for something, that is coming out of somebody's wallet. If we assume that we're talking about an innovation that actually produces better patient outcomes, I don't know how anyone can say there's a right answer here. If the innovation is expensive, you're gonna have payers worried about the money, and fair enough. I can easily hear them saying something like, “We're already paying however much to the hospital, and now there's an additional charge that's allowed on top of the DRG?” On the other hand, if I'm a patient, yeah, it would kinda suck to not get the innovation that's gonna save my life or whatever because the payers insist on paying no more than the DRG and the hospital won't pay out of their own pocket. Really enjoyed my conversation today with Secretary David Schulkin. Secretary Shulkin spent his career running healthcare systems, mostly in the Northeast. A number of years ago, he entered the Obama administration to run the VA (Veterans Affairs) healthcare system. In the Trump administration, Dr. Shulkin was in the Cabinet as the Secretary of the Department of Veterans Affairs. Secretary Shulkin now has a consulting firm and is working with CorMedix. Erin Mistry, my second guest today, spent her career in health systems and then in biopharma. She now works for CorMedix. My sincere thanks for helping validate a couple of facts in this intro to Scott Haas, Autumn Yongchu, and Erik Davis from USI. For more on the topic of hospitals getting paid to administer drugs through a patient's medical benefit, listen to the show with Autumn Yongchu and Erik Davis (EP370). They cover the ways hospitals sometimes can figure out how to charge plan sponsors and patients 6x the cost of the drug. Acronym alert! CVC, which comes up a couple of times in the interview that follows, stands for central venous catheter, which is something that many dialysis patients have. Second Acronym Alert! QIDP stands for Qualified Infectious Disease Product. A QIDP qualifies for a special NTAP incentive specifically for infectious disease products. So again, just recapping what an NTAP is. It's a new technology add-on payment, and it's paid for by CMS, who has studied the new technology thing and determined that they actually want hospitals to be using it. So, they're willing to pay more than the DRG if a hospital uses this thing, because they recognize if they don't pay more, then the hospital won't eat the cost. And just because of all the focus on infectious disease right now, these qualified infectious disease products have some prioritized status over at CMS relative to getting the NTAP designation.   You can learn more by connecting with Secretary Shulkin, Erin, and CorMedix on LinkedIn.     Honorable David J. Shulkin, MD, was the ninth Secretary of the US Department of Veterans Affairs (VA), having been appointed by President Trump. Secretary Shulkin previously served as Under Secretary for Health, having been appointed by President Obama and confirmed twice unanimously by the US Senate. As Secretary, Dr. Shulkin represented the 21 million American veterans and was responsible for the nation's largest integrated healthcare system, with over 1200 sites of care serving over 9 million veterans. Prior to coming to VA, Secretary Shulkin was a widely respected healthcare executive, having served as chief executive of leading hospitals and health systems, including Beth Israel in New York City and Morristown Medical Center in northern New Jersey. As an entrepreneur, Secretary Shulkin founded and served as the chairman and CEO of DoctorQuality and has served on boards of managed care companies, technology companies, and healthcare organizations. Since leaving government, Secretary Shulkin has been the University of Pennsylvania Leonard Davis Institute Distinguished Health Policy Fellow and Professor at the Jefferson University College of Population Health. He is a board-certified internist and received advanced training in outcomes research and economics as a Robert Wood Johnson Foundation Clinical Scholar at the University of Pennsylvania. Over his career, Secretary Shulkin has been named one of the “100 Most Influential People in American Healthcare” by Modern Healthcare.   Erin Mistry is executive vice president and chief commercial officer of CorMedix, appointed in January 2023. She served as senior vice president of payer strategy, government affairs, and trade from 2020 to 2022. She leads the company's commercial strategy and execution. Erin brings over 15 years of industry experience at the executive level, from consulting to in-house executive management. Prior to joining CorMedix, Erin was vice president of market access at Intarcia Therapeutics, responsible for pricing, coverage, access, real-world evidence (RWE), and channel strategy for a competitive product in type 2 diabetes. Erin was also senior managing director at Syneos Health, where she was responsible for the global P&L of the Value Access Practice. In this capacity, Erin consulted on commercial strategy and market access with emerging, mid, and large biopharma across a broad range of therapeutic categories. Erin holds an undergraduate and master degree in biomechanical engineering from North Carolina State University.   10:17 What is happening with antimicrobial stewardship and combatting antibiotic resistance? 11:22 How is CorMedix working to prevent infections caused by catheters, and who is paying for the innovation to prevent this type of infection? 12:38 Why should hospitals pay for new innovations like the one created by CorMedix? 14:32 What do hospitals need to do in order to realize the benefit of this new innovation? 16:14 What does antimicrobial stewardship mean to Secretary Shulkin? 17:06 “If we continue to ignore this and not use antibiotics appropriately, it's simply a matter of time before the superbugs figure out how to take over.” —Secretary Shulkin 18:32 “Anytime you have a preventative medicine, you have to have an economic story.” —Erin 20:55 Who is using this product, and who is paying for it? 21:38 What needs to be considered if rolling out an innovation like this broadly? 24:47 How does an innovative product qualify for an NTAP? 26:37 “It's not just financial economics; it's mortality data.” —Erin 28:08 What does Secretary Shulkin see as “shifting the paradigm”?   You can learn more by connecting with Secretary Shulkin, Erin, and CorMedix on LinkedIn.   @DavidShulkin and Erin Mistry of @CorMedix_News discuss payment for #innovation in #hospital procedures and #DRG on our #healthcarepodcast. #healthcare #podcast #digitalhealth #hcmkg #healthcarepricing #pricetransparency #healthcarefinance   Recent past interviews: Click a guest's name for their latest RHV episode! Keith Passwater and JR Clark (Summer Shorts 7), Lauren Vela (Summer Shorts 6), Dr Jacob Asher (Summer Shorts 5), Eric Gallagher (Summer Shorts 4), Dan Serrano, Larry Bauer, Dr Vivek Garg (Summer Shorts 3), Dr Scott Conard (Summer Shorts 2), Brennan Bilberry (Summer Shorts 1), Stacey Richter (INBW38)

Transcript Eric Topol (00:00):This is a real great opportunity to speak to one of the most impressive medical informaticists and leaders in AI in the United States and worldwide. Dr. John Halamka, just by way of background, John, his baccalaureate in Stanford was at U C S F/Berkeley for combined MD PhD trained in emergency medicine at U C L A. He went on to Harvard where he, for 20 years was the Chief Information Officer at Beth Israel Deaconess. And then in 2020 he joined Mayo Clinic to head its platform to help transform Mayo Clinic to be the global leader in digital healthcare. So welcome, John. It's so great to have you. And by the way, I want to mention your recent book came out in April, one of many books you've written, redefining the Boundaries of Medicine, the High Tech High Touch Path into the Future.John Halamka (01:00):Well, a thrilled to be with you today, and you and I need to spend more time together very clearly.Eric Topol (01:06):Yeah, I really think so. Because this is the first time we've had a one-on-one conversation. We've been on panels together, but that's not enough. We've got to really do some brainstorming, the two of us. But first I wanted to get into, because you have been on a leading edge of ai and Mayo is doing big things in this space, what are you excited about? Where do you think things are right now?John Halamka (01:35):So you and I have been in academic healthcare for decades, and we know there's some brilliant people, well-meaning people, but sometimes the agility to innovate isn't quite there, whether it's a fear of failure, it's the process of getting things approved. So the question of course is can you build to scale the technology and the processes and change policies so that anyone can do what they want much more rapidly? And so what's been exciting over these last couple of years at Mayo is we started with the data and we know that anything we do, whether it's predictive or regenerative, starts with high quality curated data. And so by de-identifying all the multimodal data of Mayo and then working with other partners around the world to create a distributed federated approach for anyone to train anything, suddenly you're empowering a very large number of innovators. And then you've seen what's happened in society. I mean, culturally, people are starting to say, wow, this ai, it could actually reduce burden, it could democratize access to knowledge. I actually think that yes, there need to be guidelines and guardrails, but on the whole, this could be very good. So here we have a perfect storm, the technology, the policy, the cultural change, and therefore these next couple of years are going to be really productive.Implementing a Mayo Randomized AI TrialEric Topol (02:59):Well, and especially at Mayo, the reason I say that is not only do they recruit you, having had a couple of decades of experience in a Harvard program, but Mayo's depth of patient care is extraordinary. And so that gets me to, for example, you did a randomized trial at Mayo Clinic, which there aren't that many of by the way in AI where you gave E C G reading power of AI to half the primary care doctors and the other half you didn't for determining whether the patients had poor cardiac function that is low ejection fraction. And now as I understand it, having done that randomized trial published it, you've implemented that throughout the Mayo Clinic system as far as this AI ECG support. Is that true?John Halamka (03:56):Well, right, and let me just give you a personal example that shows you how it's used. So I have an SVT [supraventricular tachycardia] , and that means at times my resting heart rate of 55 goes to one 70. It's uncomfortable. It's not life-threatening. I was really concerned, oh, may I have underlying cardiomyopathy, valvular disease, coronary artery disease. So Paul Friedman and Peter Newsworthy said, Hey, we're going to take a six lead ECG wearable, send it to your home and just record a bunch of data and your activities of daily living. And then we buy 5G cell phone. We'll be collecting those six leads and we'll run it through all of our various validated AI systems. And then we'll tell you based on what the AI suggests, whether you're at high risk or not for various disease states. So it says your ejection fraction 70%. Oh, good. Don't have to worry about that. Your likelihood of developing AFib 3% cardiomyopathy, 2% valvular disease, 1%. So bottom line is without even going to a bricks and mortar facility here, I have these validated algorithms, at least doing a screen to see where maybe I should get additional evaluation and not.Eric Topol (05:12):Yeah, well see what you're bringing up is a whole other dimension. So on the one hand that what we talked about was you could give the primary care doctors who don't read electrocardiograms very well, you give them supercharged by having a deep learning interpretation set for them. But on the other, now you're bringing up this other patient facing story where you're taking a cardiogram when somebody's perfectly fine. But from that, from having deep learning of cardiograms, millions of cardiograms, you're telling what their risks are that they could develop things like atrial fibrillation. So this is starting to span the gamut of what the phase that we went through or still going through, which is taking medical images, whether it's a cardiogram or a scan of some sort, and seeing things with machines that humanize really can't detect or perceive. So yeah, we're just starting to get out of the block here, John. And you've already brought up a couple of major applications that we were not even potentially used three, four or five years ago that Mayo Clinics leading the charge, right?The Power of Machine EyesJohn Halamka (06:26):Well, yeah, and let me just give you two quick other examples of these are in studies now, right? So they're not ready for active patient use. The animate GI product does an overread of endoscopy. And what we're finding is that the expert human, I mean anywhere in the world, expert humans miss about 15% of small polyps. They're just hard to see. Prep may not be perfect, et cetera. The machine misses about 3%. So that's to say a human augmented with overread is five times better than a human alone pancreatic cancer, my father-in-law died about 11 years ago of stage four pancreatic cancer. So this is something that I'm very sensitive about, very often diagnosed late, and you can't do much. What we've been able to see is looking at pancreatic cancer, early films that were taken, abdominal CT scans and these sorts of things, algorithms can detect pancreatic cancer  two years before it is manifested clinically. And so here's the ethical question I'll pose to you. I know you think about a lot of this Scripps Mayo, UCSF, Stanford, we probably have thousands and thousands of abdominal CTs that were read normal. Is it an ethical imperative as these things go through clinical trials and are validated and FDA approved to rerun algorithms on previous patients to diagnose disease we didn't see?Eric Topol (08:03):Well, that is a really big important question because basically we're relieving all this stuff on the table that doesn't get diagnosed, can't be predicted because we're not even looking for it. And now whether it's retina, that is a gateway to so many systems of the body, or as you're mentioning various scans like an abdominal CT and many others that like mammography for heart disease risk and all sorts of things that weren't even contemplated that machine eyes can do. So it's really pretty striking and upending cancer diagnosis, being able to understand the risk of any individual for particular types of cancer so that you can catch it at the earliest possible time when it's microscopic before it spreads. This, of course, is a cardinal objective. People don't die of cancer per se. They die of its metastasis, of course, for the most part. So that gets me now to the next phase of ai because what we've been talking for mostly so far has been what has been brewing culminating for the last five years, which is medical images and what, there's so many things we can glean from them that humans can't including expert humans in whatever discipline of medicine.Multimodal AI and Social Determinants of Health(09:19):But the next phase, which you are starting to get at is the multimodal phase where you're not just taking the images, you're taking the medical records, the EHRs, you're getting the genomics, the gut microbiome, the sensors. You mentioned one, an ECGs, a cardiogram sensor, but other sensors like on the wrist, you're getting the environmental things like air pollution, air quality and various things. You're getting the whole ball of wax any given individual. Now, that's kind of where we're headed. Are you doing multimodal ai? Have you already embarked in that new path? Now that we have these large language modelsJohn Halamka (10:02):And we have, and so like anything we do in healthcare innovation, you need a Pareto diagram to say, what do you start with and where do you go? So in 2020, we started with all of the structured data problems, meds, allergies, labs. Then we went to the unstructured data, billions of notes, op reports, H and Ps, and then we moved to telemetry, and then we moved to CT, MRI, PET. Then we move to radiation oncology and looking at all the auto contouring profiles used in linear accelerators and then to omic, and now we're moving to an inferred social determinants of health. And let me explain that for a minute.(10:45):Exposome, as you point out, is really critical. Now, do you know if you live in a Superfund site area, do you know what risks you might have from the PM 2.5 particulates that are blowing through San Diego? Probably you don't. So you're not going to self-report this stuff. And so we have created something called the house Index where we've taken every address in the United States, and based on the latitude and longitude of where you live, we have mapped air, water, land, pollution, access to primary care, crime, education, grocery stores, stores, and therefore we can infer about 40 different things about your expose em just from where you live. And that's a mode. And then as you say, now, starting to gather remote patient monitoring. We have this acute advanced care in the home program where we're taking serious and complex illness, caring for the patient in the home, starting to instrument homes and gather a lot more telemetry. All of that multimodal data is now available to any one of the 76,000 employees of Mayo and our partners for use in algorithm development.Eric Topol (11:58):Yeah, no, that's extraordinary. And I also would say the social determinants of health, which you've really gotten into as its importance. There are so many papers now over the last several years that have emphasized that your zip code is one of the most important things of your health. And it's not even just a zip code. It's your neighborhood within that zip code for the reasons that you've mentioned. And inferring that and imputing that with other sources of data is vital. Now, this multimodal, you've again anticipated one of my questions, the possibility that we can gut hospitals as we know them today. Yes, preserving the ICUs, the emergency departments, the operating rooms, but those other people that occupy the vast majority of beds in the hospital that are not very sick, critically Ill. Do you think we're going to move as you're innovating at Mayo whereby we'll be able to keep those people at home for the most part in the years ahead? I mean, this isn't going to happen overnight, but do you think that's where we're headed?The Hospital-at-HomeJohn Halamka (13:08):So to date, Mayo and its partners have discharged about 23,000 patients from their homes. And as you can guess, we have done clinical trials and deep dive studies on every one of the patient's journeys. And what have we seen across 23,000 patients? Well, so generally, about 30% of patients that present for acute care to an emergency department come in by ambulance are appropriate for care in non-traditional settings. I mean, I think you would agree, somebody with episodic ventricular tachycardia, you're probably not going to put in a home setting, but somebody with congestive heart failure, COPD, pneumonia, I mean, these are things that, as you say, if they're going to get sicker, it will be over hours, not minutes. And therefore you can adjust in these molar than 20,000 patients. What we've seen is the outcomes are the same, the quality is the same safety, the same patient satisfaction. You get net promoter scores in the mid-nineties. You find me a hospital with a net promoter score in the mid nineties. You're eating your own food, slipping your own bed. Oh, your granddaughter's coming at 2:00 AM on a Sunday, whatever. And then ask yourself this other question, nosocomial infections,Eric Topol (14:31):Right?John Halamka (14:31):How many methicillin resistant staph infections do you have in your office? You're like, none, right? So you're infections in fall, so okay, better, stronger, cheaper, faster. And the safety of the quality are that for about 30% of the population should be a standard of care.Eric Topol (14:56):That's really big. So you don't think we have to do randomized trials to prove it?John Halamka (15:01):I mean, we have done enough studies to date, and there are organizations, Kaiser Permanente, Cleveland Clinic, all these folks who are joining us in investigating these areas. And the data is very compelling.Patients Asking Questions to LLMsEric Topol (15:17):Yeah, that's really exciting. And we may be able to jump past having to go through the large trials to prove what you just reviewed. So that's one thing of course that we're looking for in store. Another is the patient doing advanced large language model searches. So as you and everyone knows, we've done Google searches for years about symptoms, and inevitably people come up with hypochondria because they have some horrible disease that they looked up that is not a very good match specific for their condition and their background. But soon already today, we have people going into being creative mode, G P T four and other searches, and they're getting searches about their diagnosis and about what's the best literature and best treatments and expectations. That won't be FDA regulated. We don't have regulation of Google searches. So how do you see the democratization of large language models with patients having conversations with these chatbots?John Halamka (16:32):And of course, you ask a question no one has answered yet, but here are a few threads. So we know the challenge with existent commercial models as they're trained on the public internet. Some are trained on additional literature like PubMed or a mimic dataset, but none are trained on the rich clinical experience of millions and millions of patients. So therefore, they don't have the mastery of the care journey. So question, we are all asking, and again, no one knows. Then you take a GPT, BARD, a MedPaLM and additional pre-training with rich de-identified clinical experience and make it a better model for patients who are going to ask questions. We've got to try and we've got to try within guardrails and guidelines, but we definitely want to explore that. Can you or should you train a foundational model from scratch so that it doesn't have the bias of Reddit and all of the various kinds of chaff you find on the public internet? Could be very expensive, could be very time consuming. Probably society should look at doing it.Eric Topol (17:50):So this is just a review for those who are not up to speed on this, this means setting up a base model, which could be 20 to 30,000 graphic processing units, big expense. We're talking about tens of millions, but to do it right, so it isn't just a specialized fine tuning of a base model for medical purposes, but something that's de novo intended that no one's done yet. Yeah, that's I think a great idea if someone were to go down that path. Now you, early on when we were talking, you mentioned partners, not just other health systems, but one of the important partners you've established that's been out there as Google, which I think set up shop right in Rochester, Minnesota, so it could work closely with you. And obviously they have MedPaLM2, they have BARD, they published a lot in this space. They're obviously competing with Microsoft and others, but seems like it's mainly an arms race between those two and a few others. But how is that relationship going? And you also were very right spot on about the concerns of privacy, federated ai, privacy computing. Can you tell us about Mayo and Google?What is the Collaboration Between Mayo and Google?John Halamka (19:06):Well, absolutely. So Google provides storage, compute, various kinds of tools like their fire engine for moving data between various sources. Google does not have independent access to any of Mayo's data. So this isn't a situation of we have a challenging medical or engineering problem, bring 60 Google engineers to work on it. No, what they mean is they help us create the tooling and the environment so that then those with permission, Mayo employees or Mayo's partners can work through some of these things and build new models, validate models. So Google has been a great enabler on the tool set and building scale. You probably saw that Eric Horvitz gave a recent grand rounds at Stanford where he explained scale makes a difference, and that you start to see these unexpected behaviors, this emerging goodness, when you start dealing with vast amounts of multimodal data, vast amounts of compute. And so working with a cloud provider is going to give you that vast amounts of compute. So again, privacy, absolutely essential, de-identify the data, protect it, control it, but you can't as an institution, get enough computing power locally to develop some of these more.Towards Keyboard Liberation and Machine Chart ReviewEric Topol (20:36):Well, that goes back to the dilemma about building a base model with just the capital costs no less. You can't even get these GPUs scale because their supply and demand mismatch is profound. Well, the other thing, there's two other areas I want to get your impressions about. One of course is the change of interactions with patients. So today, as you well know, having all these years overseeing the informatics, Beth Israel now Mayo, the issue of the keyboard and the interference that it provides, not just as a data clerk burden to clinicians, which is horrible for morale and all the hours even after seeing patients that have to be put into charting through the EHRs and these clunky software systems that we are stuck with, but also the lack of even having face-to-face eye contact with patients in that limited time they have together. Now, there are many of these so-called ambient AI language, natural language processing, using large language models that are of course turning that conversation not just to a remarkable note, but also of course any part of the note, you could go back to the raw conversation. So it has trust embedded as what was really said. And then you have all these downstream functions like prescriptions, follow-up appointments, nudges to the patients about whatever, like their blood pressure or things that were discussed in the visit. You have translation to the patient at their level of education so they can understand the note you have things that we never had before. You have orders for the test or follow up appointment pre-authorization. What about these, John, are these the real deal or are we headed to this in the near term?John Halamka (22:41):So 10 years ago, I said all of these meaningful use criteria, all the keyboarded data entry, structured data and vocabularies. What if you had the doctor and the patient had a conversation and the conversation was the record? That was the legal record. And then AI systems extracted the structured data from the conversation. And there you would have satisfaction by both patient and doctor and a very easy source of truth. Go back to what was said. And of course, 10 years ago everyone said, that'll never happen. That's too far.(23:20):And so I'll give you a case. My mom was diagnosed with a brain abscess about a year ago. She's a cure of the brain abscess. I with ambient listening, had a conversation with my mother and it went something like this. Yes, I started to develop a fever. I said, oh, and you live alone, right? Oh, yes. My husband died 13 years ago. The note comes out, the patient is an 81 year old widow. So we're having a conversation about my father dying and she lives alone. And I didn't use the word widow, she didn't use the word widow. And so what it shows you is these systems can take detailed conversation, turn them into abstract concepts and record them in a way that's summarized and meaningful. Last example I'll give you recently, I did grand rounds at Mayo and I said, here's a challenge for all of us. It's Sunday at three in the morning. Mrs. Smith has just come in. She has a 3000 page chart, 75 hospitalizations and four or visits. Her complaint tonight is, I feel weak,Eric Topol (24:38):Right? That's a classic.John Halamka (24:43):How are you going to approach that? So we have an instance of MedPaLM2 that is containerized. So that I was able to put a prompt in it with some background data without, and it was all de-identified, but it was all very secure. So I put the 3000 pages into this MedPaLM2 container and said, audience, ask any question that you want. Oh, well, what medication should she be taking? What's her follow-up plan? Were there any complications in any of her surgeries? And within seconds, every answer to every question just appears. They say, oh my God, I can now treat the patient. And so this is real. It is absolutely. It's not perfect, but give us a couple of quarters.Eric Topol (25:31):Yeah, quarters not even years. I think you're putting the finger on something that a lot of people are not aware, which is when you have complex patients like what you just described, that woman, and you have so much information to review, no less the corpus of the medical literature, and you have help with diagnosis treatments that you might not otherwise thought of. It also gets me back to a point I was going to make the machine vision during colonoscopy where it does pick up these polyps, but it was shown that at the end of the day in the afternoon for gastroenterologists that are doing colonoscopies all day, their pickup rate drops down. They get tired, their eyes are just not working as well. And here your machines, they don't get tired. So these things are augmenting the performance of physicians, clinicians across the board potentially.(26:28):And yes, there's a concern as you touched on about confabulation or hallucinations, whatever, but this is a work in progress. There will be GPT-X, BARD-15 or whatever else right now, another area that is hot, which is still very in the earliest nascent stage, is the virtual medical coach. Whereby any of us with all our data, every visit we've ever had, plus our data that's in real time accruing or scans or slides or whatever it is, is all being fed in process with the medical literature and helping us to prevent a condition that we would have high risk to develop or manifest or better management of the various things we do have that we've already declared. What about that, John? Are we going to see virtual medical coaches like the kind we see for going to the airport, or you have an appointment such and such about your daily life, or is that something that is way out there in time?John Halamka (27:37):I know you're going to hate this answer. It depends.Eric Topol (27:41):Okay. I don't hate that. I like it actually. Yeah.John Halamka (27:44):So some years ago, one of my graduate students formed a virtual coaching company, and what he found was patients would often start with a virtual coach, but they wouldn't stick with it because the value add wasn't necessarily there. And that is it wasn't then every day there was something new or actionable. And so if it's few and far between, why do you want to go through the effort of engaging in this? So I think our answer there is we need to make sure that the person who uses it is getting something of value for using it. Reduced insurance rates, free club memberships to a gym, whatever, something of value. So it gets some stickiness.Virtual AI CoachingEric Topol (28:33):Yeah. Well, it's still early and right now, as you well know, it's really confined to certain conditions like diabetes or depression or high blood pressure. But it certainly has the chance in the years ahead to become broad for any individual. And that gets back to the patient scenario that you presented where you had all the data of that woman who presented with weakness as the inputs. And just think about that happening in real time, giving feedback to any given individual, always thinking that it's optional. And as you say, maybe it'd be more elective. There were incentives, and if people don't want it, they don't have to use it, but it's something that's out there dangling as a potential. Well, of the things we've discussed, there are many potential ways that AI can be transformative in the future, both for clinicians, for health systems, for patients. Have I missed anything that you're onto?John Halamka (29:40):Just that in predictive AI, we can judge performance against ground truth. Did you have the disease or not? Did you get a recommendation that was followed up on and it was positive? With generative ai measuring quality and accuracy, doing follow up and oversight is much harder. So I think what you're going to see is FDA and the office of the national coordinator and the White House work through generative AI oversight. It's going to start with, as we've seen voluntary oversight from some of the companies themselves. And it will evolve into maybe some use cases that are considered reasonable practices and others that we defer reasonable practices. Hey, you want an agent that will pre-draft your email and then you just edit it, that's fine. And Mayo is live with that in Epic inbox. How about help you write a letter or help you take, as you say, a very complex medical condition, explain it in eighth grade English or a foreign language. Very good at all of that differential diagnosis, not quite ready yet. And so I think we'll start with the administrative use cases, the things that reduce burden. We'll experiment with differential diagnosis. And I don't think we yet have line of sight to say, actually, we're going to have the generative ai do your diagnosis(31:09):Not there yet,Machines Promoting EmpathyEric Topol (31:10):Right? Perhaps we'll never be, particularly for important diagnoses, maybe for routine things that are not a serious matter. One thing that I didn't anticipate, and I want to get your view. When I wrote deep medicine, I was talking about restoring the patient-doctor relationship and the gift of time that could be garnered from having this machine support. But now we're seeing the evidence that the AI can promote empathy. So for example, reviewing a doctor's note and telling the doctor, you didn't show you're very sensitive. You weren't listening, making suggestions for being a more empathic physician or nurse. Did you foresee that too? Because you've been ahead of the curve on all this stuff.John Halamka (32:04):So here's an interesting question. You and I are physician, scientist, writers. How many physician scientist writers are there? Not so many. So what you get are brilliant math or brilliant science, and it is communicated very badly. So I did not anticipate this, but I'm saying the same thing you are, which is you can take a generative AI and take something that is not very digestible and turn it to something highly readable. And whether that's empathy or clarity or whatever, it actually works really well.Eric Topol (32:43):Yeah. Yeah. I mean, I kind of stunned by this because the machines don't know empathy. They can't feel empathy, but they can promote it. And that's really fascinating. So this has been an uplifting discussion. A lot of the things that's happening now give credit to you that you saw coming long before others, and it's a real joy. So we got to keep up with each other. We got to do some more brainstorming on the things that we haven't discussed today. But thanks so much, John, for joining me and for being such a bright light for the work you're doing with Mayo Clinic as a president of its platform. That's no question. Transforming the future of healthcare.John Halamka (33:25):Well, hey, thanks for having me. And I would say both you and I have taken the digital Hippocratic Oath. We will do no digital harm.Eric Topol (33:33):Love it. Get full access to Ground Truths at erictopol.substack.com/subscribe

Today, we're excited to get to know Dr. Andrew Schutzbank. Andrew spent almost a decade at Iora health, where he held the esteemed positions of Medical Director and Senior Vice President, overseeing clinical operations and product development. He was also the Chief Product Officer at Cricket Health, an organization dedicated to value-based kidney care. He was the Corporate Development Operating Partner at SCAN and now contributes as a board member, advisor, and investor for multiple startups. He is also a clinical instructor at Harvard Medical School. Dr. Schutzbank completed his residency at Beth Israel and holds an MD and MPH from Tulane University, along with a BA in neuroscience from the University of Pennsylvania.  In this episode we talk about his journey to medicine, experience with Iora and Cricket Health, what he looks for in a healthcare pitch, tips/tricks for founders, and insights on the high burnout rate among clinicians.

Associate nurse graducates can often find themselves locked out of employment. In this panel disussion, learn more about disparities in opportunities for nursing students who are not advantaged by race or socioeconomic status with regard to nursing education and employment; and how Beth Israel, Deaconess Medical Center recognized this and came up with an innovative solution to address the issue.

Today's guest is John Bourbeau, Vice President of IT Support Services at Beth Israel Lahey Health. Beth Israel Lahey Health is a healthcare system that brings together academic medical centers and teaching hospitals, speciality and community hospitals, more than 4,800 physicians and 36,000 employees in a shared mission to expand access to care and advance the science and practice of medicine through groundbreaking research and education. They are helping their patients and their families, their communities and healthcare as a whole be healthier. John is a proven thought leader with a focus on building customer-focused teams delivering world-class support and associate productivity. A specialist with organizational transformation and evolving teams, John also delivers impressive Corporate IT Support Operations Management process improvement as a highly innovative, multi-skilled and outstanding problem solver and relationship builder. He consistently directs successful Global Enterprise Client Support departments, program operations, and organizational transformations as a dedicated, compassionate and motivated contributor. In this episode, John will discuss: His background and current role with Beth Israel Lahey Health  Macro trends in the Healthcare sector such as AI and automation,  Why ServiceNow is the platform of choice in the healthcare industry,  Examples of how ServiceNow has impacted their business, His advice for finding the right ServiceNow partner,  Building and maintaining a winning team,  Where he sees the future of the platform, and Advice to younger people coming into the ServiceNow ecosystem 

“Heart Care is the New Self-Care” – Dr. Suzanne Steinbaum This interview could save your life or the life of a woman you know. Please share it with every woman in your life. Heart disease is the number one killer of women but so many women are unaware of this information. Today's show is going to spotlight the importance of taking care of your heart health, what the key risk factors are, and how to focus on prevention. While on the show notes page, I'd love for you to join our community. You'll receive more inspiration and tips to love yourself and your life. You'll get a FREE copy of Michele's Book, Design a Life You Love. *This interview is for entertainment purposes only. For medical advice, seek out your trusted healthcare provider. WHAT WE DISCUSS: The statistics about heart disease and how it is the #1 killer of women. 70% of women don't realize they are at risk. The role research, the doctors, and even women have played and not changing this statistic in the last twenty years. How we can take ownership of our health since 80% of heart disease is preventable. The importance of preventative care. The blood tests we need as well as the other factors that play into our heart health. The symptoms that women may have and how they differ from men. Knowledge is power here to advocate for yourself. Women still die in the hospital of heart attacks. The importance of exercise, sleep, and meditation. Why Dr. Steinbaum is launching Adesso (means now in Italian) and how it is going to change the landscape of heart health, and more. RESOURCES MENTIONED Websites: https://www.drsuzannesteinbaum.com/ www.adesso.health Book: Dr. Suzanne Steinbaum's Heart Book: Every Woman's Guide to a Heart-Healthy Life IG: Dr. Steinbaum on IG Adesso on IG Connect with Michele on Instagram “Since the dawn of recorded time in almost every culture, our heart has been the symbol of our ultimate essence as human beings. Cupid, St. Valentine, the source of songs, poetry and art, our heart elevates that which makes us fully alive: our capacity for love, passion, romance, purpose. Life at its fullest. And yet heart disease is the #1 killer of women. 1 in 3 women will die of heart disease and for the past 20 years, over the course of my entire career as a preventive cardiologist, that figure hasn't changed. This disconnect, this Grand Canyon from the abstract idea of our hearts and the real working function of the organ at the center of our being, is what needs to change. We know now that preventing heart disease is not defined just by medical data like blood pressure, cholesterol, BMI, sugars and medication. True heart health stems from every aspect of our lives, like stress, relationships, sleep, how we nourish ourselves, how we move and yes, even how we love. As we fully put ourselves and our heart at the center of our lives, we will fully change the course of this disease that 80 percent of the time is preventable. We can and will change this. When we live from the heart, we live! Life at its fullest.” MORE ABOUT OUR GUEST Dr. Suzanne Steinbaum is a leader in preventive cardiology, now in private practice in New York. She launched heart prevention programs at Mt. Sinai Heart, Northwell Lenox Hill and Beth Israel. She is the CEO/Founder of Adesso, a technology-based prevention model. She is also the author of “Dr. Suzanne Steinbaum's Heart Book: Every Woman's Guide to a Heart Healthy Life”, and has been a national spokesperson for Go Red through the American Heart Association for 18 years. Thank you for listening to the show. Be sure to share it with a friend!  We love when women empower other women. If you enjoyed this interview, please take a moment to rate and review it on Apple podcasts. Your reviews are so appreciated! Not sure how to do it? Instructions are below. XO, Michele

This episode features Al Campbell, President of Beth Israel Lahey Health Winchester Hospital. Here, he discusses his background, how important it is for leaders to connect with their team, what he's focused on going forward in 2023, and more.

Jonathan Cahn is a Jewish minister and New York Times best selling author. His latest book, "The Return of the Gods" takes the reader on a journey from an ancient parable, the ancient inscriptions in Sumer, Assyria, and Babylonia that become the puzzle pieces behind what is taking place in our world to this day, specifically in America. Cahn has spoken on Capitol Hill, at the United Nations, and to millions of people around the world. He is known for opening the deep mysteries of Scripture and bringing forth messages of prophetic import. Cahn leads Hope of the World ministry, an international outreach of teaching, evangelism, and compassion projects for the world's most needy. You can purchase his book at https://www.booksbyjonathancahn.com and learn more about his work at https://www.hopeoftheworld.org Members can see bonus material with Jonathan Cahn by joining SarahWestall.tv or Substack at SarahWestall.Substack.com See Important Proven Solutions to Keep Your from getting sick even if you had the mRNA Shot - Dr. Nieusma Protect your family and your assets with Silver & Gold - Contact info@milesfranklin.com, tell them "Sarah sent you" and receive excellent service and the lowest prices in the country, guaranteed! MUSIC CREDITS: "Do You Trust Me" by Michael Vignola, licensed for broad internet media use, including video and audio     See on Bastyon | Bitchute | Odysee | Rumble | Freedom.Social | SarahWestall.TV     Jonathan Cahn Biography Jonathan Cahn caused a worldwide stir with the release of his explosive first book The Harbinger. The book became an instant New York Times best seller and brought him to national and international prominence. His next books were all New York Times bestsellers as well: The Mystery of the Shemitah, The Book of Mysteries, The Paradigm, The Oracle, and The Harbinger II: The Return. He was named, along with Billy Graham, as one of the top forty spiritual leaders of the last forty years to have radically impacted the world. Called the prophetic voice of this generation, he has spoken on Capitol Hill, at the United Nations, and to millions of people around the world. He is known for opening the deep mysteries of Scripture and bringing forth messages of prophetic import. Cahn leads Hope of the World ministry, an international outreach of teaching, evangelism, and compassion projects for the world's most needy. He also leads Beth Israel at the Jerusalem Center, his worship center just outside New York City, in Wayne, New Jersey.         

I first met this inspirational person at the Krembels Center in New Hampshire. I was blown away by the center and this wonderful human's story and leadership among his peers. Jim Scott is a TBI survivor who shares his story with others through speaking and friendship with others at the Krembels Center. Meet Jim: n July 3rd, 2006 after partying in his childhood hometown, Jim drove drunk crashing into the woods in Durham, NH. Lucky to have survived, he would spend 6 weeks in Boston's Beth Israel's ICU in a minimally conscious state with a severe traumatic brain injury (TBI). After "graduating" from various rehabilitation programs in 2008, Jim became a member of Krempels Center (KC), located on Portsmouth's Community Campus. It was in KC's community-based day program that he truly started to build a "New Life After Brain Injury". Now more than 14 years post-injury, Jim is building on the community outreach he began as part of KC's "community education" group. Jim lives in Portsmouth with his adorable 4 legged son Clooney! After working in various financial services related jobs, when in 2015 his family launched a 100% cause-based animal nutrition company, Jim excitedly joined RAWZ Natural Pet Food. After experiencing the love and support of their family dog, Boomer, and witnessing the amazing services both sons' received post injury, the Scott's donate all of RAWZ's profits to providing service dogs, and to brain or spinal cord injury causes. More from Jim: https://morethanaspeedbump.com/ More from Jen: www.tbitherapist.com

“Heart Care is the New Self-Care” – Dr. Suzanne Steinbaum This interview could save your life or the life of a woman you know. Please share it with every woman in your life. Heart disease is the number one killer of women but so many women are unaware of this information. Today's show is going to spotlight the importance of taking care of your heart health, what the key risk factors are, and how to focus on prevention. All of the show notes can be found at https://thegoodlifecoach.com/232 While on the show notes page, I'd love for you to join our community. You'll receive more inspiration and tips to love yourself and your life. You'll get a FREE copy of Michele's Book, Design a Life You Love. *This interview is for entertainment purposes only. For medical advice, seek out your trusted healthcare provider.   WHAT WE DISCUSS: The statistics about heart disease and how it is the #1 killer of women. 70% of women don't realize they are at risk. The role research, the doctors, and even women have played and not changing this statistic in the last twenty years. How we can take ownership of our health since 80% of heart disease is preventable. The importance of preventative care. The blood tests we need as well as the other factors that play into our heart health. The symptoms that women may have and how they differ from men. Knowledge is power here to advocate for yourself. Women still die in the hospital of heart attacks. The importance of exercise, sleep, and meditation. Why Dr. Steinbaum is launching Adesso (means now in Italian) and how it is going to change the landscape of heart health, and more.   RESOURCES MENTIONED Websites: https://www.drsuzannesteinbaum.com/ www.adesso.health Book: Dr. Suzanne Steinbaum's Heart Book: Every Woman's Guide to a Heart-Healthy Life IG: Dr. Steinbaum on IG Adesso on IG Connect with Michele on Instagram “Since the dawn of recorded time in almost every culture, our heart has been the symbol of our ultimate essence as human beings. Cupid, St. Valentine, the source of songs, poetry and art, our heart elevates that which makes us fully alive: our capacity for love, passion, romance, purpose. Life at its fullest. And yet heart disease is the #1 killer of women. 1 in 3 women will die of heart disease and for the past 20 years, over the course of my entire career as a preventive cardiologist, that figure hasn't changed. This disconnect, this Grand Canyon from the abstract idea of our hearts and the real working function of the organ at the center of our being, is what needs to change. We know now that preventing heart disease is not defined just by medical data like blood pressure, cholesterol, BMI, sugars and medication. True heart health stems from every aspect of our lives, like stress, relationships, sleep, how we nourish ourselves, how we move and yes, even how we love. As we fully put ourselves and our heart at the center of our lives, we will fully change the course of this disease that 80 percent of the time is preventable. We can and will change this. When we live from the heart, we live! Life at its fullest.”   MORE ABOUT OUR GUEST Dr. Suzanne Steinbaum is a leader in preventive cardiology, now in private practice in New York. She launched heart prevention programs at Mt. Sinai Heart, Northwell Lenox Hill and Beth Israel. She is the CEO/Founder of Cadence, a technology-based prevention model. She published Dr. Suzanne Steinbaum's Heart Book: Every Woman's Guide to a Heart Healthy Life, and has been a national spokesperson for Go Red through the American Heart Association for 18 years. Thank you for listening to the show. Be sure to share it with a friend!  We love when women empower other women. If you enjoyed this interview, please take a moment to rate and review it on Apple podcasts. Your reviews are so appreciated! Not sure how to do it? Instructions are below. XO, Michele

Amy G. Fogelman, MD, is back for a follow-up interview. We talk about her first case, which she couldn't talk much about because of privacy rules, so we also talk about her first case that went to trial, which means it is public information. We talk about what she would have done differently early on in her medical career and what I should do once I get my first case (in case anyone needs an otolaryngologist – I'm here for you). We also talk about CVs and what we should do to make our CVs more appropriate for medical-legal consulting.   Dr. Fogelman is Board Certified in Internal Medicine with 18 years of experience seeing patients at ambulatory practices in the Boston area. She went to med school at Boston University, did residency at Beth Israel in Boston, and Chief Residency in Primary Care at the VA in West Roxbury.   She founded her medical-legal consulting firm in 2018 – MedLaw Consulting. She has matched almost 400 expert witnesses with attorneys and has helped medical professionals land expert witness work and master the business skills we need to get hired repeatedly.  Dr Fogelman's Instagram: @amyfogelmanmd Dr Fogelman's LinkedIn: https://www.linkedin.com/in/amyfogelmanmd Dr Fogelman's website: https://amyfogelmanmd.com/  

https://megstafford.com/Meg Stafford has over 35 years experience as a clinical social worker, honing observations about people, and working in a variety of settings as large as Beth Israel, a Harvard Teaching Hospital, and as intimate as private practice.As a result of her training in Executive Coaching and Organizational Consulting, she delivered talks on such topics as Leading From Within, and Developing Emotional Intelligence. She has also been a columnist for several newspapers over the span of the last nearly thirty years.

Dr. Karen Erickson has a family practice in New York City, specializing in perinatal and pediatric chiropractic and craniosacral care. Dr. Erickson was a pioneer in ushering chiropractic into mainstream healthcare when she became the first chiropractor credentialed by a teaching hospital at Beth Israel's Continuum Center for Health and Healing in New York. She trained in pediatric craniosacral therapy with Dr. John Upledger. She is now on the faculty of the Master of Science in Integrative Pediatrics program at Logan University. Dr. Erickson has authored textbook chapters on Pediatric Chiropractic as well as Chiropractic and Integrative Healthcare. She is the President of the Women's Health Council. Dr. Karen has appeared on TV and has been featured as a holistic healthcare expert in numerous publications including The New York Times, Oprah Magazine, Prevention, and The Wall Street Journal. She is passionate about educating parents and healthcare professionals about the benefits of chiropractic and craniosacral for a wide variety of conditions and wellness care. Please click the button to subscribe so you don't miss any episodes and leave a review if your favorite podcast app has that ability. Thank you! Visit http://drlaurabrayton.com/podcasts/ for show notes and available downloads. © 2022 Dr. Laura Brayton

Content is king. Always has been, always will be. But how can healthcare take content and structure it to deliver a consistent brand and communication to healthcare consumers? Because ultimately if you structure your content in the right way, you create it once and publish across mediums and channels to your target audiences, thereby streamlining your communication workflows. Join Chris Boyer, VP Digital Strategy at Beth Israel Lahey, and host Chris Hemphill as they discuss and explore how the right content strategy can help drive a better healthcare consumer experience and the business results you need. This conversation is brought to you by Actium Health in partnership with the Forum for Healthcare Strategists. Hosted on Acast. See acast.com/privacy for more information.

EPISODE #787 RETURN OF THE GODS PT. 2 Richard welcomes a New York Times, best-selling author and spiritual leader who reveals thatall of the upheaval that is taking place in America and the world can be explained by a mystery that goes back to the gods of the ancient world. These gods, he explains have now returned. Is it possible that these gods lie behind the most pivotal events, forces, and movements taking place in our nation and around the world at this very moment? Are the gods at this very moment transforming our culture, our children, our lives, and America itself? Guest: Jonathan Cahn caused a worldwide stir with the release of his explosive first book The Harbinger. The book became an instant New York Times best seller and brought him to national and international prominence. His next books were all New York Times bestsellers as well: The Mystery of the Shemitah, The Book of Mysteries, The Paradigm, The Oracle, and The Harbinger II: The Return. He was named, along with Billy Graham, as one of the top forty spiritual leaders of the last forty years to have radically impacted the world. Called the prophetic voice of this generation, he has spoken on Capitol Hill, at the United Nations, and to millions of people around the world. He is known for opening the deep mysteries of Scripture and bringing forth messages of prophetic import. Cahn leads Hope of the World ministry, an international outreach of teaching, evangelism, and compassion projects for the world's most needy. He also leads Beth Israel at the Jerusalem Center, his worship center just outside New York City, in Wayne, New Jersey. BOOK: The Return of the Gods SUPPORT OUR SPONSORS!!! BLINKIST - MORE KNOWLEDGE IN LESS TIME! Perfect for curious people who love to learn, busy people who don't have time to read, and even people who aren't into reading. Visit Blinkist.dot.com/RSSP to get 25% off and a 7-day free trial.  And now for a limited time you can even use Blinkist Connect to share your premium account you will get 2 premium subscriptions for the price of one. COPY MY CRYPTO - Discover how over 1,300 people - many of who know nothing about crypto or how to invest - are building rapid wealth the cabal can never steal - "You don't need to know a thing about cryptocurrency if you copy someone who does" CopyMyCrypto.com/Dollar SUBSCRIBE TO STRANGE PLANET PREMIUM HERE: https://strangeplanet.supportingcast.fm/ Use the discount code "Planet" to receive one month off the first subscription Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://strangeplanet.supportingcast.fm/ Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://strangeplanet.supportingcast.fm/ Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://strangeplanet.supportingcast.fm/

EPISODE #786 RETURN OF THE GODS PT. 1 Richard welcomes a New York Times, best-selling author and spiritual leader who reveals thatall of the upheaval that is taking place in America and the world can be explained by a mystery that goes back to the gods of the ancient world. These gods, he explains have now returned. Is it possible that these gods lie behind the most pivotal events, forces, and movements taking place in our nation and around the world at this very moment? Are the gods at this very moment transforming our culture, our children, our lives, and America itself? Guest: Jonathan Cahn caused a worldwide stir with the release of his explosive first book The Harbinger. The book became an instant New York Times best seller and brought him to national and international prominence. His next books were all New York Times bestsellers as well: The Mystery of the Shemitah, The Book of Mysteries, The Paradigm, The Oracle, and The Harbinger II: The Return. He was named, along with Billy Graham, as one of the top forty spiritual leaders of the last forty years to have radically impacted the world. Called the prophetic voice of this generation, he has spoken on Capitol Hill, at the United Nations, and to millions of people around the world. He is known for opening the deep mysteries of Scripture and bringing forth messages of prophetic import. Cahn leads Hope of the World ministry, an international outreach of teaching, evangelism, and compassion projects for the world's most needy. He also leads Beth Israel at the Jerusalem Center, his worship center just outside New York City, in Wayne, New Jersey. BOOK: The Return of the Gods SUPPORT OUR SPONSORS!!! BLINKIST - MORE KNOWLEDGE IN LESS TIME! Perfect for curious people who love to learn, busy people who don't have time to read, and even people who aren't into reading. Visit Blinkist.dot.com/RSSP to get 25% off and a 7-day free trial.  And now for a limited time you can even use Blinkist Connect to share your premium account you will get 2 premium subscriptions for the price of one. COPY MY CRYPTO - Discover how over 1,300 people - many of who know nothing about crypto or how to invest - are building rapid wealth the cabal can never steal - "You don't need to know a thing about cryptocurrency if you copy someone who does" CopyMyCrypto.com/Dollar SUBSCRIBE TO STRANGE PLANET PREMIUM HERE: https://strangeplanet.supportingcast.fm/ Use the discount code "Planet" to receive one month off the first subscription Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://strangeplanet.supportingcast.fm/ Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://strangeplanet.supportingcast.fm/

Today we had the honor of learning from Dr. Alice Domar, a health psychologist who focuses on the application of mind/body medicine to women's health issues. Dr. Domar serves as the Chief Compassion Officer at Inception Fertility, as a senior staff psychologist in the department of obstetrics and gynecology at Beth Israel, and as an associate professor of obstetrics, gynecology, and reproductive biology at Harvard Medical School. She is on the board for Parents Magazine and served 10 years on the board of Resolve. Additionally, she is the former chair of ASRM's mental health professionals group. She has also written eight books and is the co-creator of the apps FertiCalm and FertiStrong. Dr. Domar shares with us what it was like to grow up with a child of parents facing infertility and how the experience impacted her life, how to tell someone struggling with infertility that you're expecting, the connection between stress and infertility, some psychological interventions that improve pregnancy rates, and the technology she has been working on to help individuals cope with various situations when experiencing infertility. We have learned a tremendous amount from Dr. Domar and we know you will too!

In this episode, Adrienne Rhodes, Director of Patient Revenue Cycle at Beth Israel Lahey Health, chats with revenue cycle editor Amanda Norris about the organization's journey in adopting digital payment solutions in order to boost its revenue cycle efficiency.

Listen in to powerful voices recorded on Decision Day from Arlington, Beverly, Concord and Swampscott, MA, where organizers created public spaces that brought people together to protest the United States Supreme Court decision to overturn Roe vs. Wade and strip from women their human rights and constitutional rights. Guests: State Representative Dr. Tami Gouveia (also a candidate for Lieutenant Governor of MA) described the gathering in Concord where she was the keynote speaker; Keiko Zoll (Director of Communications for Boston Schools Fund, Creator of Free Formula Exchange) reported on the Swampscott demonstration she organized; Sonya Coleman, Organizer with Stop Handgun Violence, Board Chair of States United to Prevent Gun Violence, shared the scene from the Arlington gathering; AmyLeigh Galvin (Food Service Manager for Beth Israel) brought in the experiences in Beverly where she helped organize a same day response to the SCOTUS decision. Each event had around 100 people or more. Learn about Ms. Coleman's advocacy to reduce gun violence: www.SUPGV.org. They have affiliate members in 32 states. Learn about Dr. Gouveia's campaign: www.tamigouveia.com

Today's episode brings us back home - to Home Base, and to Boston. Dr. Patrick Downes is a psychologist at Home Base and a survivor of the 2013 Boston Marathon bombing. Speaking with Patrick, you immediately can see that this is someone who embodies the essence of someone who serves those who serve. A Cambridge, MA native and Boston College alumnus, Patrick started his psychology training in 2012, and planned to pursue a career as a youth psychologist. Nine years ago this week, on April 15th, 2013, Patrick and his wife Jessica were standing near the finish line, cheering on the marathon runners as they crossed, when their lives changed forever. Even with all his previous work and training, Patrick says that it was that day that truly taught him the meaning of trauma. Both he and his wife became amputees, receiving care across Boston at Beth Israel, Boston Medical Hospital, and Spaulding Rehab. They had the opportunity that not a lot of civilians get to continue with their rehabilitation at the Walter Reed National Military Medical Center, and he tells us that there was something about healing alongside this community of veterans that he really didn't expect, and that would change his life for the better. Today, he serves veterans with us at Home Base, bringing a combination of his lifelong commitment to service, his personal experiences and lived trauma, and his academic and medical knowledge to those who need help. For these reasons and so many more, we're excited to bring you this conversation in the week leading up to the 2022 Boston Marathon.###If you are your loved one is experiencing any emotional, mental health struggles, you are not alone and please contact Home Base at (617) 724-5202, or visit www.homebase.org  Theme music for Home Base Nation: "Rolling the tree" by The Butler FrogsAdditional music credits include: Piano music written by Lucy Little and performed by Cheryl Freeze"Cadillac" by Ron Hirschberg"Fish Ladder" by Ron HirschbergFollow Home Base on Twitter, Facebook, Instagram, LinkedInThe Home Base Nation Team is Steve Monaco, Maureen Roderick, Laurie Gallagher, Karianne Kraus, Lucy Little, Taylor Orlando, with COO Michael Allard, Brigadier General Jack Hammond, and Peter SmythProducer and Host: Dr. Ron HirschbergProducer, Sound, Editor: Lucy LittleChairman, Home Base Media Lab: Peter SmythHome Base Nation is the official podcast of Home Base Program for Veterans and Military Families, a partnership of the Massachusetts General Hospital and the Red Sox Foundation. To learn more and connect with us at Home Base Nation: www.homebase.org/homebasenation. To Donate to Home Base where every dollar goes to the care of veterans and military families that is cost to them, go to: www.homebase.org/donate.The views expressed by guests to the Home Base Nation podcast are their own and their appearance on the program does not imply an endorsement of them or any entity they represent. Views and opinions expressed by guests are those of the guests and do not necessarily reflect the view of the Massachusetts General Hospital, Home Base, the Red Sox Foundation or any of its officials.

The Supreme Court's docket is deep with cases impacting religious freedom, and we learned this week that Justice Stephen Breyer plans to retire. What does it all mean? Amanda and Holly take a look at what's facing the Court, including recent oral arguments in the Christian flag case that deserve our attention and a new case about a coach's prayer practice on the football field. They talk about decisions we're waiting for, cases the Court might still take, and cases the Court declined to hear. In segment three, Amanda and Holly discuss the recent hostage crisis at a Jewish synagogue in Texas that happened the day before Religious Freedom Day, highlighting the chasm between the promise and reality of religious freedom today.    SHOW NOTES: Segment one: Changes coming to the Court and a review of the Shurtleff v. Boston argument (starting at 00:54) NPR broke the news about Justice Breyer's retirement in this piece from Nina Totenberg: Justice Stephen Breyer, an influential liberal on the Supreme Court, to retire You can see pictures from the opening of our Center for Religious Liberty in 2012, featuring remarks from Justice Breyer, in this photo album.  Amanda and Holly previewed the case of Ramirez v. Collier earlier this season in episode 2, and they talked about the oral arguments in episode 4.  Amanda and Holly previewed Carson v. Makin in episode 5 and reviewed the oral arguments in episode 7. Amanda and Holly previewed Shurtleff v. Boston in  episode 8, and the Court heard oral arguments on January 18. We played a clip from the Shurtleff v. Boston oral argument featuring Justice Elena Kagan, which begins at 13:20 mark in the audio of the arguments, available on the Supreme Court's website.   Holly spoke to Salon's Kathryn Joyce for this article “Christian flag” case reaches Supreme Court: Is the Proud Boys flag next?    Segment two: Court's docket review: a new case this term and more to come for next term?  (starting at 23:02) Amanda and Holly mention this article from Amy Howe at SCOTUSblog that mentions the Court taking up the case of Kennedy v. Bremerton: Court will take up five new cases, including lawsuit from football coach who wanted to pray on the field You can also read about Kennedy v. Bremerton in this post on our website: Supreme Court to hear case involving high school football coach's post-game prayer on the field   Segment three: Respecting religious freedom for all, in the face of constant threats (starting at 33:22) You can read the Virginia Statute for Religious Freedom, signed January 16, 1786, at this link. Read President Joe Biden's proclamation for Religious Freedom Day at this link. On Religious Freedom Day 2022, Amanda Tweeted this: Today as we observe Religious Freedom Day, we are mindful of the ongoing threats to houses of worship across this country. We should be free to worship in synagogues, mosques, temples, meeting houses and churches without fear of violence and attack.I'm holding the people of Congregation Beth Israel in my heart as they heal from yesterday's attack, with a grateful heart that the hostages are safe. In solidarity with Jewish communities who live with these ongoing threats. We won't rest until there is faith freedom for all. BJC Board Member Sofi Hersher Tweeted this after news broke about hostages taken at Congregation Beth Israel in Colleyville, Texas, on January 15, 2022: Resist anyone and anything that seeks to position the hostage situation at Congregation Beth Israel as Jews vs. Muslims.  That kind of reductionist thinking is lazy, untrue, and helps no one. Here's the NPR interview with Rabbi Charlie Cytron-Walker, from the congregation Beth Israel in Colleyville, Texas: Texas Rabbi who was held hostage says we can't live in fear Respecting Religion is made possible by BJC's generous donors. You can support these conversations with a gift to BJC. 

On Saturday, January 15th, a British national named Malik Faisal Akram entered Congregation Beth Israel, a Reform synagogue in Colleyville, Texas, and held Rabbi Charlie Cytron-Walker and three congregants hostage at gunpoint. Akram demanded the release of Aafia Siddiqui, who is serving an 86-year prison sentence for allegedly shooting at US FBI agents and army personnel. Akram released one hostage after six hours, and the nearly 12-hour crisis finally ended when the remaining hostages escaped and FBI agents and police entered the synagogue and killed Akram. This disturbing incident activated many American Jews' feelings of vulnerability—especially heightened since the 2018 attack at the Tree of Life synagogue in Pittsburgh—while also provoking Islamophobic responses and reigniting an ongoing debate about synagogue security. In this episode, recorded the Tuesday after the Colleyville attack, Editor-in-Chief Arielle Angel, Managing Editor Nathan Goldman, Senior Reporter Alex Kane, and Assistant Editor Mari Cohen discuss their immediate reactions to the event and the questions it raises. Note: This discussion cites a https://www.facebook.com/gelbman.itamar/posts/7011321378910489 (statement) from someone claiming to be a former Beth Israel congregant who said he left the synagogue because he wasn't allowed to bring guns into services. After the episode was recorded, Rabbi Cytron-Walker https://www.jta.org/2022/01/19/united-states/the-texas-rabbi-who-escaped-a-hostage-situation-wants-to-correct-the-record (told) JTA that Beth Israel permits concealed carry and said that he wished one of the congregants had been carrying during the attack. Books, Articles, Tweets, and Podcasts Mentioned: “https://jewishcurrents.org/fears-of-government-surveillance-complicate-muslim-groups-access-to-federal-security-funding/ (Fears of Government Surveillance Complicate Muslim Groups' Access to Federal Security Funding)” by Mari Cohen “https://forward.com/news/480922/texas-synagogue-attack-antisemitism-envoy-terrorism-deborah-lipstadt/ (Texas synagogue attack invites debate over delay in confirmation of special envoy on antisemitism)” by Jacob Kornbluh “https://jmb807.medium.com/on-antisemitism-fought-3def3bf9d6c4 (On Antisemitism Fought)” by Judah Bernstein On the Nose episode: “https://jewishcurrents.org/rallies-surveys-and-ice-cream (Rallies, Surveys, and Ice Cream)” “https://www.haaretz.com/israel-news/.premium-renowned-jewish-historian-stop-using-the-term-antisemitism-1.9193263 (Renowned Jewish Historian: ‘Stop Using the Term ‘Antisemitism'')” by Ofer Aderet “https://www.jstor.org/stable/j.ctv13qftt7?turn_away=true (Away from a Definition of Antisemitism: An Essay in the Semantics of Historical Description)” by David Engel (from Rethinking European Jewish History)  “https://www.nytimes.com/2022/01/18/opinion/texas-colleyville-antisemitism.html (For Jews, Going to Services Is an Act of Courage)” by Deborah E. Lipstadt https://twitter.com/MaNishtana/status/1483084796947542019 (Twitter thread) by Ma Nishtana “https://twitter.com/MaNishtana/status/1483084796947542019 (Hidden in Plain Sight: Racism, White Supremacy, and Far-Right Militancy in Law Enforcement)” by Michael German Thanks to Jesse Brenneman for producing and to Nathan Salsburg for the use of his song “VIII (All That Were Calculated Have Passed).”