Podcasts about boston city hospital

Join us in this episode as we sit down with Janet A. Jokela, an internal medicine and infectious disease physician. Janet reflects on her transformative residency at Boston City Hospital, where the "city savages" thrived in the face of immense challenges. We discuss how the intense training shaped her career, the evolution of internal medicine, and the enduring commitment to compassionate patient care. Janet A. Jokela, MD, MPH, ACP's Treasurer 2022-2025, served as the Regional Dean of the University of Illinois College of Medicine-Urbana, and currently serves as Professor and Senior Associate Dean of Engagement at the Carle Illinois College of Medicine, Urbana, IL. She discusses the KevinMD article, "Internal medicine physicians: leaders and the foundation of comprehensive health care." Our presenting sponsor is DAX Copilot by Microsoft. Do you spend more time on administrative tasks like clinical documentation than you do with patients? You're not alone. Clinicians report spending up to two hours on administrative tasks for each hour of patient care. Microsoft is committed to helping clinicians restore the balance with DAX Copilot, an AI-powered, voice-enabled solution that automates clinical documentation and workflows. 70 percent of physicians who use DAX Copilot say it improves their work-life balance while reducing feelings of burnout and fatigue. Patients love it too! 93 percent of patients say their physician is more personable and conversational, and 75 percent of physicians say it improves patient experiences. Help restore your work-life balance with DAX Copilot, your AI assistant for automated clinical documentation and workflows. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://www.kevinmd.com/cme I'm partnering with Learner+ to offer clinicians access to an AI-powered reflective portfolio that rewards CME/CE credits from meaningful reflections. Find out more: https://www.kevinmd.com/learnerplus

Dr. Ann Burgess, a psychiatric clinical nurse, began her ground breaking career assessing and treating trauma in rape victims and co-founding one of the first hospital based crisis counseling programs at Boston City Hospital. This got the attention of the FBI who asked her to assist them in investigating serial rapists and murderers. Dr. Burgess developed the methodology that the FBI and other law enforcement now use to interview, study and profile serial killers and apprehend perpetrators before they could offend again. Dr. Burgess is an unsung hero who has saved countless lives. Her story is thoughtfully told in this fascinating docuseries.We have a PATREON! click on link below to check out the extra content:PatreonPlease SUBSCRIBE to the podcast and give us a 5-star rating and review.We are on Instagram and TikTok @psychlegalpopEmail: psychlegalpoppodcast@gmail.com Hosted on Acast. See acast.com/privacy for more information.

It is our great pleasure and deep honor to host Dr. Marsel Mesulam who is a giant in the field of Neurology and one of founders of OHBM. Dr. Mesulam is Chief of Behavioral Neurology and the Ruth Dunbar Davee Professor of Neuroscience at Northwestern University Feinberg School of Medicine, and Professor of Behavioral Neurology at the Weinberg College of Arts and Sciences.Dr. Mesulam received his MD from Harvard Medical School in 1972, and in 1976 completed residencies at Boston City Hospital and Beth Israel Deaconess Medical Center in Boston. After a 1 year postdoc at Harvard University he began his tenure in Chicago at Northwestern. Dr. Mesulam's work has been both prodigious and impactful over the years, as his almost 1000 papers have been cited over 140 thousand times. He has written the seminal book, Principles of Behavioral and Cognitive Neurology, and has produced many landmark papers - a few of which we'll discuss in the podcast. One paper that we consider a masterpiece was published in Brain in 1998 and titled From Sensation to Cognition. This can be considered as a required reading for everyone in the field of brain mapping as it lays out so concisely and eloquently, a breathtaking perspective of the structure and functional organization of the human brain. Dr. Mesulam's research is extremely broad and diverse, having impacted such areas as neural networks and functional imaging, Dementia, Alzheimer's Disease, Primary Progressive Aphasia (PPA), Cholinergic Pathways, Acetylcholinesterase Studies, Cognitive Psychology, Neurology, and Neuropsychiatry. He also developed, early in his career, a neuronal marker, Tetramethyl benzidine, that profoundly impacted research in this area. In this inspiring conversation, Peter and Marsel discuss his early career and what was important for his success, delve into research culture and the value of opportunistic research, and the value of having the freedom and resources to try many things and rapidly change directions that follow interesting leads. They also discuss some of the exciting early days of Neuroimaging and OHBM. Lastly, we go into some of his current research on Primary Progressive Aphasia (PPA) and the study of temporal pole disease as a window to temporal pole functional significance. We hope that you enjoy this conversation. Episode producers:Alfie WearnOmer Faruk Gulban

Byungyol ‘Bill' Chun, Owner of Women's Healthcare of Woburn, Massachusetts, USA, Founder of Women Only Organics (WOO), and Co-founder of Doc & Doula, joins Jonathan to discuss the menopause, abortion, and the profit-based healthcare system in the USA.  You can find more information about doulas, which are discussed during this podcast, on the Doulas for Everyone website. Use the following timestamps to navigate the content in this episode: (00:00)-Introduction   (02:50)-Born to be an OBGYN   (05:00)-Training in Boston City Hospital    (06:00)-Caesarean-section and induction of labour in 2023   (07:30)-Shortage of OBGYNs   (09:00)-State of women's health   (11:25)-Positive patient and doctor interaction   (15:30)-Inside information on women's healthcare (17:20)-The taboo on menopause (21:20)-Six reasons why women's healthcare is a disaster (25:20)-CBD in women's healthcare   (30:39)-Access to abortion   (36:25)-Doc & Doula to empower women   (41:20)-Ask Bill  (42:30)-Three wishes 

Welcome to the latest episode of The Hormone Prescription Podcast, titled "See Ya Later, Ovulator: Mastering Menopause With Nutrition, Lifestyle, And Hormones"! In this enthralling episode, we sit down with the amazing Esther Blum, an all-around authority on conquering menopause with an integrative approach from a dietitian's perspective.    Esther Blum is an Integrative Dietitian who has made it her mission to help women navigate the whirlwind of menopause. With Esther's extensive experience and undeniable expertise, she has guided countless women through the challenging waters of hormonal changes in this significant life stage. Her presence isn't just felt with her clients—she's made appearances on the Today Show, ABC-TV, and has even taken on the role of menopause mentor for none other than Gwyneth Paltrow!    Throughout the episode, we dive into the depths of menopause, discussing Esther's background and her journey in becoming such a sought-after expert. In this episode, you'll learn: - Esther's wealth of knowledge, shedding light on how vital lifestyle, nutrition, and hormonal therapy can play a role in achieving optimal hormonal balance for women going through this phase. - Esther's groundbreaking approach ensures that women can master menopause without the extreme stress and confusion it often brings. - The essentials of a hormone-balancing diet, how to promote self-advocacy, and the role of therapy in this crucial phase of women's lives. You'll be left with not only a better understanding of menopause but also equipped with tools to manage and thrive during this time.    Don't miss this enlightening and engaging episode filled with life-changing insights and actionable solutions for mastering menopause. Tune in to The Hormone Precription Podcast with our special guest, the esteemed Integrative Dietitian and Menopause Expert, Esther Blum, and embrace the journey through menopause with newfound confidence and understanding.   Speaker 1 (00:00): See you later, emulator and other Esther Blum is about menopause, nutrition, lifestyle and how to transform your life. Speaker 2 (00:11): So the big question is, how do women over 40 like us, keep weight off, have great energy, balance our hormones in our moods, feel sexy and confident, and master midlife? If you're like most of us, you are not getting the answers you need and remain confused and pretty hopeless to ever feel like yourself again. As an O B G Y N, I had to discover for myself the truth about what creates a rock solid metabolism, lasting weight loss, and supercharged energy after 40, in order to lose a hundred pounds and fix my fatigue. Now I'm on a mission. This podcast is designed to share the natural tools you need for impactful results and to give you clarity on the answers to your midlife metabolism challenges. Join me for tangible, natural strategies to crush the hormone imbalances you are facing and help you get unstuck from the sidelines of life. My name is Dr. Kyrin Dunston. Welcome to the Hormone Prescription Podcast. Speaker 1 (01:07): Hey everybody. Welcome back to another episode of The Hormone Prescription with Dr. Kyrin. Thank you so much for joining me today. My guest today is passionate about menopause. She's passionate about nutrition, she's passionate about living a full life and she's got lots of wisdom to share. She's an integrated dietician by training for over three decades, but of necessity became a menopause expert and she's helped lots of women, thousands of women, in fact, through nutrition, hormones and self-advocacy. She's the author of several books. She's just really an advocate for women's health and to stop the gaslighting that's going on when it comes to women's hormones in healthcare. And she's wise beyond her years. I'll tell you a little bit about her and we'll get started. So, Esther Blum is an integrative dietician and menopause expert. In the last 27 years, she's helped thousands of women master menopause through nutrition, hormones and advocacy. She's the bestselling author of, see You Later, ovulators Need Women, don't Get Fat, eat, drink, and Be Gorgeous. Secrets of Gorgeous And The Eat, drink and Be Gorgeous. Project known as Gwyneth Paltrow's Menopause Mentor and by course for helping women thrive through menopause. Esther was also voted best nutritionist by Manhattan Magazine. She has appeared on the Today Show, a b C TV and Good Day New York, and is frequently quoted in Goop well and good Forbes and Time Magazine. Please help me welcome Esther Blum to the show. Thank you for having me. Speaker 1 (02:47): So excited to talk about menopause always and nutrition and lifestyle and what I call all the things. I love the title of your book. So I'm wondering if we can start there. See you later. Ovulators . Where, where did you get the title from? That book? Speaker 3 (03:08): Whatever. Yeah. You know what? It's funny. I literally saw online a woman who had had like a menopause or, or a hysterectomy party and she had these cookies with See You Later, ovulators on them. So I had used it as a subtitle for section or a chapter of the book and my publicist was like, no way man. That's gotta be the cover. Like, it's just so catchy and it was available. So I went with it. Okay. Yeah, it's really my homage to like get out like uterus and ovaries. You, you served me well. Thank you so much. Can we just wrap this party up now and can we be free of the monthly cycles and the cramps and the irritability and the bloating and the breast tenderness and the moodiness and the insomnia, , you know, just all those things. I'm like, let's just welcome in the next chapter for our bodies with power and grace and really joy. Speaker 1 (04:07): So you have been a dietician for a while, is that correct? Yeah, Speaker 3 (04:12): Almost three, almost three decades. I'm like a hundred now Speaker 1 (04:16): You're a hundred. And so what changed your focus to menopause? Hmm. Speaker 3 (04:22): It started because I worked in hospitals the first five years of my career. I actually started out working with wic, the WIC program at Boston City Hospital and then went to graduate school and got my master's in clinical nutrition and went back to hospital work, worked in cardiology units and, but started opening a private practice on the side and after about five years, I got certified in functional medicine. 'cause I was like, I'm really not making a difference, giving someone 10 minutes of diet instruction or working in the WIC office. Like, I was like, here's the benefits of high fiber beans and get your calcium from cheese. That there really, I wasn't making a difference. And so with functional mess and I wanted to get in at a more preventive level. And when I opened that, immediately menopausal women came into my practice and I was like, oh my gosh, I'm in my twenties. Speaker 3 (05:15): I don't even know how to treat. So I certainly didn't know much about hormone replacement at the time, but I did know about whole food diets and intermittent fasting and really optimizing insulin sensitivity and weight loss, like stubborn midsection, weight loss and the cortisol belly. So I got to work with diet therapy then. And over the years, really there's been such an evolution in the research. I mean, since I've started practicing, you know, the North American Menopause Society has had two different position papers that Women's Health Initiative study was out there in the early days of my practice. And then since then it's been, you know, the guidelines have been updated. So it, I've seen a lot of changes in my trajectory through menopause. Speaker 1 (06:05): Yes. Lots of changes. And so what are the biggest challenges? I mean, everybody listening, we talk about menopause a lot that you, you see with women and, and how has it evolved over time? So you, you went from nutrition, then you became functional medicine certified, and I know that you talked with women about hormones as well. And so how did that come into the picture? Yeah, Speaker 3 (06:31): Well, because I really wasn't doing, you know enough, like when I'm not solving, I, I don't think about the people who I'm helping as much as the people who I'm not helping. And there comes a point for some women, diet and lifestyle makes a huge difference, right? You ditch alcohol, you cut back on caffeine, you clean out sugar, you're gonna help a woman resolve her hot flashes and improve her sleep and her blood sugar and weight loss and cortisol management. But will it help a woman with brain fog? Will it help a woman with severe insomnia? Will it help a woman maintain her bones? Not necessarily. There comes a point when it's really time to bring in hormones for that last piece of the pie. And I always say it's not the whole pie. Don't think hormones are, you can't out hormone your, your lifestyle. You can't out supplement your lifestyle. It's got to be a multifaceted approach. It has to be stress management is number one in menopause. It's really critical. Sleep, digestion, optimizing protein, getting your strength training in, getting your, your steps in every day, your supplements if needed. Then the hormones, it's multifactorial. Speaker 1 (07:52): Yeah, I love that You can't out hormone your lifestyle, but you also can't out lifestyle your hormones. You know, I always say that menopause is a state of hormonal poverty. The consequences of that hormonal poverty may be symptomatically more severe or less severe for some women. But the changes are happening in hormonal poverty. And if you're not educated on them, that's what I talked about in my TED talk then, you know, you're at increased risk like my mom for Alzheimer's dementia. And the only risk factor she had was she was in untreated menopause for three decades. So I do think it's an essential part, the the puzzle. And so how do you counsel women? Because it's really hard when they traditional doctors won't give them the standard of care, basically is no hormones right? Or exactly for three symptoms and Right. Yeah. Speaker 3 (08:49): Well that was another reason why I wrote see a later ovulators because I have 20 pages of studies in the back of the book that support the use and the importance of hormone replenishment or now it's called M R t, right? Menopause replenishment therapy. But I, well, no matter what you call it, you know, it's very intimidating to confront a white coat. I even gave my book to my doctor and of course she did not read it. But you know, my advice , I know, and I mean, just like, sidebar here for a minute, real talk ladies. You know, I had this like ovarian cyst that ruptured back in November and I was in extraordinary pain and I, I came home and laughed. I said to my husband, I could have written what they told me. They were like, well, I said, so where are my treatment options? Speaker 3 (09:42): And they said, well, you can either go on the pill or go on the I U D or have a hysterectomy. And I said, Nope, what else you got? And they said, take lots of ibuprofen. And I was like, wow, I'm kind of screwed here. So I'm right in the trenches with you ladies. This is why I wrote the book was to like tell all of our stories and understand that medical gaslighting is really not, it's not okay. And if a dietician is researching and accessing all these studies and your doctor is not, and your doctor's A G Y N, then that's lazy medicine. If your doctor isn't updating the standards of warnings on hormones, that's lazy medicine. So what you can say is this is, you know, hey, I know you're not very into hormones, but just let me try it for three months. Speaker 3 (10:36): , I've done the research, but I have plenty of research studies if you wanna look at them in my book, in this book here. And I've done my research and the research shows they're safe and effective and can really prevent, you know, bone loss, loss of gray matter, increased risk of coronary artery disease and I really wanna try them. So a lot of doctors will capitulate to that. However, your Dr. May not monitor a follow up with your hormone labs the way you really should be following up. So the other alternative is vote with your wallet, find a new doctor. Like if you didn't like your hairstylist, if you didn't like your dry cleaner, you would find a new one. Why are we so afraid to look for new doctors? Especially when so many do telemedicine now. So that's another thing we wanna remember and, and yes, often they're out of pocket and we do have to lay out the cash, but insurance often reimburses for a good portion of this. And you will save time and you will save money and you will save nights and years of insomnia and bloating and weight gain and migraines and real struggles that impact your quality of life. Speaker 1 (11:48): Yeah. You know, I, I was laughing when you said your Dr. May say, yeah, I'm not that into hormones, which is kind of insane when you think about it. But literally that's what doctors are saying a lot of times to their patients without saying it. If you read between the lines, I'm not that into hormones. So yeah, that's actually why I created her hormone club. I don't even know, I don't think I mentioned to you, we created an all-in-one telemedicine solution for women to get bioidentical hormone testing and treatment with bioidentical estradiol EST trial, progesterone and testosterone. Nationwide in the United States we have board certified doctors in every state. So because people were not able to access this after I did the stop the Menopause Madness summit, we've now done three of them. Women said, we get it. We, we need hormones, where do we go? Speaker 1 (12:41): And we didn't have anywhere to send them. So one day I said, oh yeah, we need a telemedicine solution. And so I created it. So everybody listening there is access to this in your neighborhood. It may not look like what you're used to where you drive and find parking and sit with your butt hanging out in a little paper gown for an hour waiting to the doctor only to leave with a fist full of prescriptions that don't fix your problem. Like you can actually be in your pajama bottoms at your dining room table on Zoom, getting a hormone prescription. So that's just, you Speaker 3 (13:14): Could tell me more about this . Yeah, I need your info please. Thank you. Speaker 1 (13:20): Yeah. So we'll cover that. But in nutrition, what do you think is the most, what are the biggest issues you see for women in perimenopause and menopause with their nutrition and where do they have the biggest impact in those symptoms? If they're really gonna master their lifestyle to help master their hormones, where do they start? Speaker 3 (13:44): So I have three menno laws for fat loss and they're very simple and very straightforward and completely doable for everybody. So number one is to optimize your protein intake. And most people think they're eating and enough protein without understanding the research. And this always upsets the vegetarians and vegans. But I'm telling you what worked for you in your twenties and thirties does not work in your forties, fifties and beyond. So, and it's challenging for women because a lot of times during perimenopause and menopause, the gut changes, right? The digestive fire really decreases our, we don't produce as much stomach acid. The lining of the small intestine changes as progesterone and estrogen declines. So what happens is we feel like a lot of people say, I can't eat so much meat. It feels so heavy and they really struggle. It's another layer to struggle to optimize protein. Speaker 3 (14:42): But the research points that points to getting at least four ounces of protein at breakfast, lunch and dinner. Or if you're intermittent fasting, it's more challenging. You know, I say get at least seven to eight ounces of protein if you can at a meal and then have a little snack in between. But basically you need a minimum of a hundred grams of protein per day to not only maintain muscle mass, but really to build it. And a lot of people will have, you know, an egg for breakfast and maybe like a couple shrimp on a salad for lunch crumb or crumbled up chicken or an an egg. And then dinner is like the big meal, the steak, chicken, fish. So we really need to distribute evenly. Your body needs a minimum threshold of four ounces of protein at breakfast, lunch, dinner in order for you to optimize your anabolic capabilities or your ability to build muscle and plain in English. Speaker 3 (15:41): So that's something, just optimizing protein at breakfast is huge. So that can be done with a cup of cottage cheese, two eggs and two whites or two eggs plus some Turkey or ham or smoked salmon. A protein shake with two scoops of protein power. So if you're vegetarian you could do pea protein or you can do whey protein as well. So those are just some really simple easy strategies. Like just saying to someone, just add one more scoop of protein powder. They're like, oh, I can do that, no problem. Or just add a little more protein. What it does is protein raises serotonin and dopamine in the brain. So you're gonna offset your sugar cravings, you're gonna triple your energy and your mental focus and you're not gonna get the 4:00 PM crashes. So you will sleep better at night, again, crave less, better energy. Speaker 3 (16:33): And building muscle won't be as hard as it is already in menopause. It can be harder. So that's mental law number one, mental law number two is to make sure that you flip your ratios. And what do I mean by this? Make sure that if you're getting a hundred grams of carbs a hundred grams of protein a day or 120, then your carbs fall 70 to a hundred grams. You, most of us, most of the women I see have much greater carb to protein ratios and we need to flip those and have protein outweigh carbs. Now the carbs I'm talking about are the starchy carbs, unlimited, ve you know, vegetables don't, I don't count those towards your carbs. They have fiber and water. They're not gonna, nobody's getting fat on spinach and artichokes here, right? Watch your portions of rice or potatoes or sweet potatoes or, but they're still very beneficial, which is my mental law number three, which is to eat carbs at night. Speaker 3 (17:35): You know, protein by day, carbs at night. Why would I have you eat carbs at dinner? People think, oh my god, I'm gonna get so fat. That's ridiculous. You're far more insulin sensitive later on in the day than you are earlier in the day. And carbs again, you're gonna get a slight insulin bump even if you pair your carbs with a protein. And with vegetables, if you have, you know, a cup of sweet potatoes or quinoa or rice or lentils, yes your blood sugar will go up some and that tamps down your cortisol. So it really helps you sleep at night. And most people are like, wait, you're telling me to eat carbs? I get to eat more protein and feel less hungry. Like it's an abundance of riches at that point. Yeah. Speaker 1 (18:20): I was so surprised when you said that. Eat carbs at dinner. I know everyone's going Yes, , she said he carbs at dinner. Yes, exactly right. Yeah, I love that. Three fat loss. So protein for sure, you definitely, most of us women as we age, why do we do that? We lower and lower our protein, we don't get enough. And flipping the ratio of carbs to proteins and eating carbs at dinner mm-hmm. . So yeah, I see how that could really help. Insulin resistance is such a problem for perimenopausal and menopausal women. Do you have any other tips that you could offer them to help with their insulin? Mm-Hmm. ? Speaker 3 (19:03): Yes. So the next level, okay, so those are like kind of the foundations for fat loss. But let's say you're like Esther, I'm not, I'm not hungry in the morning. Like a lot of my menopausal mamas just aren't even hungry in the morning. And so for those women, I really love intermittent fasting and there's three ways you can do intermittent fasting and why intermittent fasting just means really simply shortening your eating window. And it's really beneficial in resetting those insulin receptors because your body has to dig deep into your fat stores and it really resets your insulin receptors beautifully. So number one is you can start with a 12 hour fast. You finish your dinner by 7:00 PM you do not eat breakfast until 7:00 AM or later. That's like a really gentle fast. See how you do with that? Just cutting out nighttime eating can be very beneficial. Speaker 3 (19:55): Then number two is you can really shorten your window to, you know, between 10 and six or 12 and six, getting, you know, a good six to eight hour eating window that also shreds body fat and can really offset. And you know, if you want like black coffee or tea in the morning, that's fine, just dough, add anything to it or so you don't break your fast. And then option three, which I love is the five two method. And that's where you eat normally five days outta the week and then two days out of the week, ideally not next to each other. You have 500 calorie days and a 500 calorie day is usually not eating during the day. And then you have a supper meal where you have like a chicken breast, a half cup of starch and two cups of steamed vegetables. And that also that really restricted eating just not only burns body fat but really helps reset insulin sensitivity. Speaker 1 (20:56): Yeah. The, the 500 calorie diet, if you can do it, I can't, I'd almost, I do better not eating at all than eating 500 calories. Speaker 3 (21:06): Yes. Yes. And some women feel that way too and just wanna drink some bone broth or water. That's what, that's the thing, right? Is bioindividuality, like other women in my practice, cannot fast at all. It either triggers, you know, overeating later in the day, binge eating or disordered eating. So we don't wanna do that. Or if you're feeling just so shaky and irritable and you cannot even concentrate, it's probably not for you. Now if you fall in that camp, you're gonna need to eat more and move more. So most women I see have very stalled fat loss and kind of a sluggish thyroid. 'cause They've been chronically dieting like to the tune of nine to 1200 calories a day for years and years and years and they, the weight just isn't coming off. So mm-hmm. for those women, right? A you can try, you know, super low carb, I don't wanna use the word keto, but keeping your carbs like 50 to 70 grams a day for a couple of weeks and coming off then or only having carbs on your weightlifting days or, you know, my other option is to really, you know, walk at least 15,000 steps a day and go to the gym, lift heavy two to three times a week, learn. Speaker 3 (22:26): And you may say, well what's a heavy weight? Heavy weight is when it brings you to failure. After, you know, by the third set you can only do six to eight where you really just, your muscles just will not lift. And most of us are lifting far lighter than we need to be. We're a lot stronger than we think we are. So there's many ways to skin a cat. Some of my ladies, again, we diet them up, then we cut calories for a couple weeks, then we diet them up where we, we get them eating 15 to 1800 calories a day and they're losing weight. Other women do well with the fasting protocol. Other women do well just by bumping up their movement every day. So it's really, and and, and allowing yourself to be hungry, not snacking, you know, allowing four to five hours between meals and if you're hungry between meals, gotta bump up your protein. That's how you know you're not eating enough protein if you can't make it five hours between the meal. Speaker 1 (23:22): Yes. And the weights, talk a little bit about that. It's super important and most of us aren't doing any weights. Like we think it's all about the aerobics or we're not looking heavy enough. Weights, . And I like how you described it in your third set. You really shouldn't be able to do that many reps. That's how you're exhausting that muscle. A lot of women worry about getting bulky muscles. They don't want to, but gosh, who is it? I, I saw he said something like, it's survival of those with the best muscle mass or something like this. . Speaker 3 (23:54): Yes. Muscle is, Speaker 1 (23:55): It's all about muscle mass. Yeah. Talk Speaker 3 (23:57): About that. Muscle is the organ of longevity and ladies, you do not have the testosterone to bulk up. Okay? You're not Michael Phelps eating 5,000 calories a day and has the testosterone of a younger man. Even if you're using bioidentical testosterone, you're still getting a micro dose. You're not, you're not gonna look like a dude and what's gonna happen. And women will say, well I tend to bulk up. No, you're not cutting calories enough. If you're bulking up, you're probably eating too much. Even Arnold Schwartzenegger, at the height of his bodybuilding when he wanted to get lean, he cut down to 1500 calories a day. So you really have to think about your caloric intake and log your food if you think you're bulking up. So back to, so diet is 80% the weights yes, heavy weights. Some women will say four pounds is a lot. Speaker 3 (24:55): And, and listen, you can do Pilates. I've done Pilates classes with four pound weights where my arms just instantly burned because the muscles are really isolated. But it will work the muscle. But if you really truly wanna build the muscle, then yes, you do need to build up to 10 pounds, 15 pounds, 20 pounds, 30 pounds, you know it, you don't have to injure yourself or your joints. And you do it very slowly. Maybe you start off a month using, you know, five to eight pound weights and by the end of four weeks you're ramping up to eight to 12 pound weights. You're adding in one set worth of 10 pound weights, the first two sets where at eight pounds. So you can incrementally increase your weight or do one set as a warmup, a lighter weight, and get heavier weights with each progressive set. Speaker 1 (25:45): Yeah. I love lifting weights, . I can't say enough about it. I think it's the best way to like take out your frustrations and work out that stress and just go lift heavy things. Ladies, go lift heavy. There's a reason that guys have been doing it is because it makes them feel good mentally. I think it's almost more a mental than a physical exercise. Speaker 3 (26:08): Yes it is. And believe me, if it's any consolation, like I don't enjoy lifting weights. I enjoy how I feel after, and I enjoy having my booty look good in a pair of jeans or my arms look good in a tank top. It's all, it's vanity. Whatever works for you, do it. Or just knowing like, hey, I wanna get up off the floor, you know, in my 60 seventies and eighties the way I did in my twenties and thirties. Or hey, I don't wanna break a bone. I've got family history of, you know, osteoporosis and I, I don't wanna go down that road. I wanna offset my hospital bills and you know, my sick time because falls and fractures are the leading cause of death in people over the age of 65. Speaker 1 (26:50): Amen. And there's so much you can do to prevent that and we just think it's not gonna happen to us. Right, right. And the truth is it does happen to us. Yes. I'm wondering if you could talk about some of the most inspiring stories of women who are in perimenopause or menopause women you've worked with, you know, over the years who really stick in your mind. Because right now there are women listening to us talk who are sitting there going, yeah, yeah, yeah, I've heard all this diet, nutrition, weights. I feel like crap. My doctor can't help me. There's no hope for me. I am the exception. There's no answer and there's no Speaker 3 (27:29): Hope. Oh yeah. Speaker 1 (27:31): And what I want them to know is yes, there is, because I was that woman 20 years ago. Right now we are the light for those women. So can you talk about some of those most inspiring stories? Speaker 3 (27:46): Yes. Okay. And you can see her testimonials. She gives a video on my website, esther blum.com. You can see both recorded and written. So first I'm gonna speak about my client, Julie, who when she came to me, had so much pain, so much inflammation, everything from reflux to horrible back pain. She was very overweight. She couldn't do any physical exercise or so she thought, and she drank like a sailor, I mean really heavily relied on alcohol to take care of her stress and depression, which please, it's not an antidepressant, that's for sure. It worsens the situation. So I was like, Julie, get in your pool. Get in your pool. Just start moving. Just start moving your body. Thank God she had a pool. Then we got her to add in protein, we got her to cut back on booze. We got her, you know, we added in some supplements. Speaker 3 (28:45): We were very slowly and incrementally. She lost 40 pounds in a month just doing the most simple foundational. Now most people don't lose 40 pounds in a month. That's extreme. That's a lot, right? But so much of what she had was fluid retention and inflammation. So for her, it worked really well. She got her energy back, she decreased her back pain tremendously to the point where she converted her daughter's bedroom into a home gym and was able to lift and her husband came and lifted with her. So that was like a ginormous success story. Then I think of my client, Laura, who came to me, totally different, right? Laura didn't have a lot of weight to lose. She had about five pounds of vanity. She called 'em vanity pounds. She wanted to lose. And she had, she was a single mom and her son would always tell her she had halat ptosis. Speaker 3 (29:40): And she was like, oh my god, I can't possibly date this way. And she was drinking wine and she was also not sleeping. And she, although she was a candidate, you know, we did her tests. And although she was a candidate for hormones, she really did not wanna use biodentical hormones. She wanted to conquer this through lifestyle. So I said, okay. So again, we ran her labs, I did some stool testing. She had a significant amount of h pylori, which is a bacteria that loves to shut off hydrochloric acid production in the gut. So it survives in a very alkaline environment. So she was having all this reflux because she didn't have the hydrochloric acid, she needed to kind of keep her pyloric sphincter shut. So we killed off the h pylori repopulated, her gut with stomach acid. Her bad breath went away. She, we also cleaned up her diet. Speaker 3 (30:32): She, you know, again, we did have to clean out alcohol ladies, I'm not gonna lie, there's really no way around it. Alcohol doesn't do your body any favors. Even one drink a week is really disruptive to fat loss, blood sugar, and can keep you in an estrogen dominant state while your liver is trying to detox alcohol. It will detox alcohol long before estrogen. It's just the way it is. So anyway, we cleaned up Laura's diet. We gave her a lot of magnesium at bedtime and other calming nutrients. And her sleep greatly improved. She is in a long-term relationship and actually got engaged. She got rid of her halat ptosis and she, she lost five pounds. She got really lean and started lifting weights and really got very sinan and lean. So those are just two of my women. Again, their testimonials are on my website. So it is possible, it really, whether you wanna lose five pounds, whether you need to lose 75 pounds, pounds, it is possible. The greatest limiter is not your hormones. It's not your diet as much as your limiting beliefs around what you deserve to have and your commitment to yourself. That's really the rate limiting factor. It really is. Like talk, Speaker 1 (31:51): Just talk a little bit more about that and how it's, how would someone know that you're talking to her that she has limiting beliefs? Speaker 3 (31:58): Because we all have limiting beliefs. We've internalized messages that we heard when we were younger that made us feel not enough in one way or another. And so we have to really think about why we want something. Right? When someone wants to lose weight, I say, well, why do you wanna lose weight vanity? It really, I mean, vanity always comes up first, right? I wanna good my clothes, I wanna feel sexy and bad. I wanna feel confident. But then the why's go deeper. Like, I wanna be able to keep up with my grandchildren one day. I want a better quality of life. I watch my mother get sick and die from diabetes and have horrible neuropathy and not have a, not be able to travel and have fun in her life. It's really getting in touch with your why. Getting in touch with your beliefs about why you can't have those things. Speaker 3 (32:48): 'Cause We can all, like the universe, pores a vacuum. The universe wants us to be abundant, understanding that we're not supposed to be fat, sick and broke. We're supposed to be rich in love and relationships and financially abundant, but also abundant in how we love on ourselves. And asking ourselves really like, yeah, I want a bar of chocolate. I want a bottle of wine, but is that gonna love me back? We know it's not right. So maybe I cut down to one square of chocolate a couple times a week. Maybe I put myself on a 90 day alcohol free challenge and maybe I experiment and see what's the harm in trying this? What will happen? Let me just observe objectively what's gonna happen to my body, my state of mind, and let me try taking, you know, two or three classes on an app or on YouTube or hiring a trainer and you know, just figuring out instead of saying like, I can't have this, flipping that on its head and saying, how can I make this happen? Speaker 1 (33:56): Mm-Hmm. , Speaker 3 (33:57): How can I make this happen? Speaker 1 (34:00): Right? I think it's so true and, and more it has to do with what we believe we can have and can we do it. And I think so many of us just cut off. We don't believe that it's possible for us. We believe we're, we're terminally unique and that we we'll never be successful. And that's why I wanted you to share those stories. Thank you for sharing them. Yeah. there so that people can hear what's possible for women who think that there's no hope. 'cause There is so much to be hopeful for, right? Speaker 3 (34:30): Yes. And the other piece is really being so careful, and this is the greatest gift of midlife I have found, is being so careful who you surround yourself with. Because when you start to take on healthy diet changes and when you start to cut out alcohol, some people around you are probably not gonna like that. And the ones who don't like that are probably not gonna be your biggest supporters. They're like the bucket of crabs, right? You know the story about the bucket of crabs where, right. There's always a couple crabs at the top of the pile trying to crawl out of the bucket. They're like, I see it, I'm going for it. And then crabs at the bomb keep trying to pull those crabs right back down. So like, think about who you're surrounding yourself with. If you say to someone, oh yeah, I'm, I'm not drinking right now, not, I can't drink, I'm not drinking right now. Speaker 3 (35:21): And somebody's like, come on, just one, it's not gonna hurt. That's not someone you wanna socialize with, right? You wanna socialize with the people who say, good for you. Great. I'll join you. Let's get a mocktail, let's get some club soda, whatever. Because it's, you have to one of my greatest tenets of success is surrounding myself with people who are far wealthier and successful and have a growth mindset, a way bigger growth mindset than me. That dream bigger than I ever even knew was possible. I'm like, oh, I never thought about that. Those are the people you're gonna need to clean house with these changes. And that's why I think also people are deeply terrified to change because they don't Speaker 1 (36:01): Wanna, 'cause they're gonna let go. Speaker 3 (36:03): They wanna let go of what feels very unsafe and very uncomfortable for them. Change is uncom, Speaker 1 (36:09): Right? And these are, it is, but it is the only sure thing in life is change. And why not make it positive change if you have a choice. Esther, I thank you so much for coming on the show and sharing your wisdom and experience with mastering menopause, with nutrition, lifestyle, and hormones. Your book, SIA Ovulate and all the other resources you've created for everyone. Speaker 3 (36:34): I have a special offer for everyone here listening today, and that is to download my Happy Hormone cocktail. And you're gonna go to esther blum.com/cocktail and receive incredible ways to improve your sleep, fix your gut, and eliminate hot flashes during perimenopause and menopause. Speaker 1 (36:56): Awesome. Thank you so much for that. We will have the link in the show notes, so don't worry about trying to write it down. If you're driving, we'll have it there for you. Where can people find out more about you and connect with you online? Speaker 3 (37:07): Yes. So come hang with me on Instagram at Gorgeous Esther and get on my list. You will get Premier offers from me before the general public does, but also you're gonna get weekly cutting edge education on hormones, lifestyle, all the things we talked about today. So just join me@estherblum.com. Speaker 1 (37:29): Awesome. We will look for you there. And thanks so much for the work you're doing and for the wisdom that you've shared. Speaker 3 (37:35): Thank you so much, Speaker 1 (37:37): And thank you for joining me for another episode of The Hormone Prescription with Dr. Kieran. Hopefully you've learned something today that you can put into effect to start making changes towards the brilliant health that you deserve. It is your birthright. I look forward to hearing about those on Instagram and Facebook, and I'll see you next week for another episode. Until then, peace, love, and hormones, y'all. Speaker 2 (38:01): Thank you so much for listening. I know that incredible vitality occurs for women over 40 when we learn to speak hormone and balance these vital regulators to create the health and the life that we deserve. If you're enjoying this podcast, I'd love it if you'd give me a review and subscribe. It really does help this podcast out so much. You can visit the hormone prescription.com where we have some free gifts for you, and you can sign up to have a hormone evaluation with me on the podcast to gain clarity into your personal situation. Until next time, remember, take small steps each day to balance your hormones and watch the wonderful changes in your health that begin to unfold for you. Talk to you soon.   ► Get Esther's Freebie "The Happy Hormone Cocktail" - CLICK HERE Improve your sleep, fix your gut, and eliminate hot flashes during perimenopause and menopause.   ► Feeling tired? Can't seem to lose weight, no matter how hard you try? It might be time to check your hormones. Most people don't even know that their hormones could be the culprit behind their problems. But at Her Hormone Club, we specialize in hormone testing and treatment. We can help you figure out what's going on with your hormones and get you back on track. We offer advanced hormone testing and treatment from Board Certified Practitioners, so you can feel confident that you're getting the best possible care. Plus, our convenient online consultation process makes it easy to get started. Try Her Hormone Club for 30 days and see how it can help you feel better than before. CLICK HERE.

True crime TV shows, podcasts, and books love to explore the minds of serial killers. To perform such heinous acts a person must be “insane,” “crazy,” and “mentally unstable.” Over time, the “schizophrenic serial killer” became the monster behind many of these crimes. But is it true? Where did the stereotype of serial killers having schizophrenia come from? When was schizophrenia first considered to be a violent mental illness? What's the truth to the myth of the schizophrenic serial killer? In this episode of Inside Schizophrenia, host Rachel Star Withers, a diagnosed schizophrenic, and co-host Gabe Howard track down when schizophrenia first became associated with violence and how the myth grew.  They are joined by guest Dr. Ann Wolbert Burgess, a pioneer in the assessment and treatment of victims of trauma and abuse who helped shape the FBI's behavioral analysis methods in her prolific study of the criminal mind. Warning: this episode of Inside Schizophrenia contains graphic content and offensive language about people with schizophrenia that some may find upsetting. To learn more -- or read the transcript -- please visit the official episode page. Guest, Ann Wolbert Burgess, D.N.Sc., APRN, FAAN, is an internationally recognized pioneer in the assessment and treatment of victims of trauma and abuse, and author of A Killer by Design: Murderers, Mindhunters, and My Quest to Decipher the Criminal Mind. She has received numerous honors including the Sigma Theta Tau International Audrey Hepburn Award, the American Nurses' Association Hildegard Peplau Award, and the Sigma Theta Tau International Episteme Laureate Award. Her courtroom testimony has been described as “groundbreaking,” and she has been called a “nursing pathfinder.” Her research with victims began when she co-founded, with Boston College sociologist Lynda Lytle Holmstrom, one of the first hospital-based crisis counseling programs at Boston City Hospital. She then worked with FBI Academy special agents to study serial offenders, and the links between child abuse, juvenile delinquency, and subsequent perpetration. Her work with Boston College nursing colleague Carol Hartman led to the study of very young victims and the impact of trauma on their growth and development, their families and communities. Her work continues in the study of elder abuse in nursing homes, cyberstalking, and internet sex crimes. She teaches courses in Victimology, Forensic Science, Forensic Mental Health, Case Studies in Forensics and Forensic Science Lab. Host, Rachel Star Withers creates videos documenting her schizophrenia, ways to manage and let others like her know they are not alone and can still live an amazing life. She has written Lil Broken Star: Understanding Schizophrenia for Kids and a tool for schizophrenics, To See in the Dark: Hallucination and Delusion Journal. Fun Fact: She has wrestled alligators. To learn more about Rachel, please visit her website, RachelStarLive.comm. Co-Host, Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can't imagine life without. To learn more about Gabe, please visit his website, gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Tori Murden McClure is no stranger to trail blazing.  Tori Murden McClure is the President of Spalding University in Louisville, Kentucky. Tori may be best known as the first woman and first American to row solo and unassisted across the Atlantic Ocean. Also she was the first woman and first American to travel over land to the geographic South Pole skiing 750-miles from the ice-shelf to the pole. Tori has worked as chaplain of Boston City Hospital, as policy assistant to the Mayor of Louisville, director of a shelter for homeless women, and has worked with the boxer and humanitarian Muhammad Ali.   Tori is an accomplished mountaineer and has completed major climbs on several continents. Tori is a graduate of Smith College. She holds a Masters in Divinity from Harvard Divinity School, a Juris Doctorate from the University of Louisville Brandeis School of Law, and a Masters of Fine Arts in Writing from Spalding University.   Though many titles fit — athlete, adventurer, chaplain, lawyer, university administrator — it's hard to put just one to her name. Her diverse career accomplishments include working as a chaplain at a Boston hospital, as the director of a Kentucky-based women's shelter, as a policy assistant in the Louisville Mayor's Office, and as the first full-time employee of the Muhammad Ali Center, a nonprofit cultural hub dedicated to celebrating the boxer.  Her memoir, “A Pearl in the Storm: How I Found My Heart in the Middle of the Ocean,” published in 2009, became the basis of the stage musical, “Row.” The musical premiered in the summer of 2021 at the prestigious Williamstown Theatre Festival in Massachusetts.  More on Tori: President Mclure of Spalding University   Womens History Month | Adventurer Tori Murden Mclure (video)   Womens History Month | Adventurer Tori Murden Mclure (article & photos)

Producers/Hosts: Jim Campbell and Amy Browne This series is made possible in part by a grant from the Maine Arts Commission Maine: The Way Life Could Be, a series in which we look at challenges and opportunities facing Maine in the lifetimes of people alive today. This episode: What are the most important issues Mainers will be facing in the lifetimes of those of us alive today? That is the question Amy Browne and Jim Campbell, cohosts of Maine: The Way Life Could Be, posed to listeners nearly a year ago. The year-long series that followed has focused on the issues you raised in your responses. In this episode we wrap up the series with a look back — and a look ahead. Guests: Donna Loring, Penobscot Indian Nation Tribal elder and former council member. She represented the Penobscot Nation in the State Legislature for over a decade, and is a former Senior Advisor on Tribal Affairs to Governor Mills. Donna is the author of “In The Shadow of The Eagle A Tribal Representative In Maine”. You can catch up on her Wabanaki Windows series on tribal sovereignty on the WERU archives here, and hear her new shows on the 4th Tuesday of every month at 4. Amy Fried, Professor of Political Science at the University of Maine. Fried's most recent book is At War With Government: How Conservatives Weaponized Distrust from Goldwater to Trump, published in 2021. She is in the process of finishing a new book on New England politic, slated for publication next year. Professor Fried also writes a biweekly column in the Bangor Daily News Dr. Phil Caper of Maine AllCare. From his bio on Physicians for a National Health Program (PNHP), “Dr. Phil Caper received his BA, MS and MD degrees at UCLA, and trained in internal medicine on the Harvard Medical Unit at Boston City Hospital. He has held professorships at Dartmouth Medical School and the University of Massachusetts Medical School, where he was also Vice-Chancellor for Health Affairs, chief of the medical staff, and hospital director. He has been an adjunct lecturer on health policy and management at the Harvard School of Public Health, a research associate at Harvard's Kennedy School of Government and an associate in health policy and management at the Johns Hopkins School of Public Health. From 1971 to 1976, he was a professional staff member on the United States Senate Labor and Human Resources subcommittee on health, chaired by Senator Edward Kennedy (D-Mass.).” Dr. Caper was a charter member of the nation's top health care advisory panel, the National Council on Health Planning and Development from 1977 to 1984, chairing the panel from 1980 to 1984. He was also the founder and chairman of the Codman Group from 1986 to 2001, a health care software and consulting company with an international reputation and clientele. He is a founding member of the National Academy of Social Insurance and is a founding board member of Maine AllCare, the Maine chapter of Physicians for a National Health Program. He is also a former national board member of PNHP. He has published numerous articles in professional journals and written many letters to the editor and op-ed articles advocating for a publicly run universal health care program. About the hosts: Jim Campbell has a longstanding interest in the intersection of digital technology, law, and public policy and how they affect our daily lives in our increasingly digital world. He has banged around non-commercial radio for decades and, in the little known facts department (that should probably stay that way), he was one of the readers voicing Richard Nixon's words when NPR broadcast the entire transcript of the Watergate tapes. Like several other current WERU volunteers, he was at the station's sign-on party on May 1, 1988 and has been a volunteer ever since doing an early stint as a Morning Maine host, and later producing WERU program series including Northern Lights, Conversations on Science and Society, Sound Portrait of the Artist, Selections from the Camden Conference, others that will probably come to him after this is is posted, and, of course, Notes from the Electronic Cottage. Amy Browne started out at WERU as a volunteer news & public affairs producer in 2000, co-hosting/co-producing RadioActive with Meredith DeFrancesco. She joined the team of Voices producers a few years later, and has been WERU's News & Public Affairs Manager since January, 2006. In addition to RadioActive, Voices, Maine Currents and Maine: The Way Life Could Be, Amy also produced and hosted the WERU News Report for several years. She has produced segments for national programs including Free Speech Radio News, This Way Out, Making Contact, Workers Independent News, Pacifica PeaceWatch, and Live Wire News, and has contributed to Democracy Now and the WBAI News Report. She is the recipient of the 2014 Excellence in Environmental Journalism Award from the Sierra Club of Maine, and Maine Association of Broadcasters awards for her work in 2017 and 2021. The post Maine: The Way Life Could Be 12/6/22: Series Finale – A Look Back, and a Look Ahead first appeared on WERU 89.9 FM Blue Hill, Maine Local News and Public Affairs Archives.

Chapter Five; Part I The Autopsy and Pathology Lab at Boston City Hospital.  *Footnotes from this chapter are coming. I do, if I come across an important detail or footnote will elaborate. I add some personal details in this chapter because of the hospital and it's clientele. I also did three clinicals while in paramedic school at the Medical University of South Carolina's morgue, observing three different types of deaths. A traumatic autopsy, where they do a full autopsy including the brain, a medical death of known origin, this is a partial autopsy, only the organ or organs that were already known to be the COD are inspected. This is usually an in-hospital death, where the death was witnessed and the medical history is already known. Not all in-hospital deaths are partial, sometimes a full autopsy is called for. Finally an unknown COD, which could be anything from a suspicious medical death to a traumatic injury that resulted in the death of the patient. Homicides, suicides, or anything that may end up in a courtroom. MUSC's morgue is the largest in the South Carolina. It is also SLED's official morgue where all of the state's major or infamous deaths are investigated. SLED is SC's State Law Enforcement Division, SC's version of the FBI. Each state has their own Law Enforcement Division or Departments. These are law officers that deal with state-wide criminal cases, assist local LEOs with major cases, raids, and anything to do with minors, they also investigate local LEOs in things like alleged officer involved criminal activity, and handle things like underage drinking// buymeacoffee.come/B.C.Murdoch to assist with books. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/damnedbooks-451/message Support this podcast: https://anchor.fm/damnedbooks-451/support

Say It Skillfully® is a show that helps you to benefit from Molly Tschang's expert guidance on the best possible ways to speak your mind at work in a positive and productive manner. In Episode 130, Molly is joined by Navy officer, board-certified physician in emergency medicine, and entrepreneur Christopher Sidford, who shares his learnings in navigating high stakes with a level head and open heart. Chris grew up with five brothers very close in age. He recounts a highly energetic youth of “go outside and play” and jokes that regular ER visits foreshadowed his future. You may be surprised by his “defining moment” in selecting emergency medicine (hear how in the 70s this discipline emerged as a specialty). No one was more surprised than Chris that he joined the Navy, having staunchly sworn off serving, but it paid for medical school and opened his eyes to travel to unlikely destinations and the realities of “medicine on the road.” He opens up about a challenging military culture, in which medical decisions may be subjugated to rank. Chris talks of vulnerability for doctors starting out and translating great grades in medical school to saving lives. Shifts in Boston City Hospital's trauma unit, a.k.a “the knife and gun club,” visualizing how to handle cases, and even the TV series MASH contributed to his early steep learning curve. Chris and Molly talk about self-care challenges—working sleep-deprived was a necessary skill—and tips for delivering tough news with compassion. Eventually, he went an entrepreneurial route with his consultancy, Black Bag Emergency Medicine. Chris offers Covid travel tips: * “Fully vaccinated” (3 shots + 4th booster) considered most effective in preventing death * Relaxing mask mandate may be have premature (3M N-95, NIOSH certification recommended) * Travel requirements are a moving target. Resource: https://www.iata.org/en/youandiata/travelers/health/ * Have a healthy respect for the illness – avoid big crowds, find places with fewer people and maximize your time outdoors. Molly's favorite quote of his: “Feeling intelligent is an arrested state of development.” Don't miss Chris' combination of humility, self-assuredness and passion to give people peace of mind. He inspires us to know no boundaries and to commit to taking action so that all can be safe, seen and heard, and our true and best selves. Molly's thought for the week—top of mind for Chris: Take your job seriously, but don't take yourself so seriously. More ways to help you #sayitskillfully! * You can deliver bad news in a good way, like this https://bit.ly/3fYveUE * All Molly's videos by category here: https://sayitskillfully.com

Say It Skillfully® is a show that helps you to benefit from Molly Tschang's expert guidance on the best possible ways to speak your mind at work in a positive and productive manner. In Episode 130, Molly is joined by Navy officer, board-certified physician in emergency medicine, and entrepreneur Christopher Sidford, who shares his learnings in navigating high stakes with a level head and open heart. Chris grew up with five brothers very close in age. He recounts a highly energetic youth of “go outside and play” and jokes that regular ER visits foreshadowed his future. You may be surprised by his “defining moment” in selecting emergency medicine (hear how in the 70s this discipline emerged as a specialty). No one was more surprised than Chris that he joined the Navy, having staunchly sworn off serving, but it paid for medical school and opened his eyes to travel to unlikely destinations and the realities of “medicine on the road.” He opens up about a challenging military culture, in which medical decisions may be subjugated to rank. Chris talks of vulnerability for doctors starting out and translating great grades in medical school to saving lives. Shifts in Boston City Hospital's trauma unit, a.k.a “the knife and gun club,” visualizing how to handle cases, and even the TV series MASH contributed to his early steep learning curve. Chris and Molly talk about self-care challenges—working sleep-deprived was a necessary skill—and tips for delivering tough news with compassion. Eventually, he went an entrepreneurial route with his consultancy, Black Bag Emergency Medicine. Chris offers Covid travel tips: * “Fully vaccinated” (3 shots + 4th booster) considered most effective in preventing death * Relaxing mask mandate may be have premature (3M N-95, NIOSH certification recommended) * Travel requirements are a moving target. Resource: https://www.iata.org/en/youandiata/travelers/health/ * Have a healthy respect for the illness – avoid big crowds, find places with fewer people and maximize your time outdoors. Molly's favorite quote of his: “Feeling intelligent is an arrested state of development.” Don't miss Chris' combination of humility, self-assuredness and passion to give people peace of mind. He inspires us to know no boundaries and to commit to taking action so that all can be safe, seen and heard, and our true and best selves. Molly's thought for the week—top of mind for Chris: Take your job seriously, but don't take yourself so seriously. More ways to help you #sayitskillfully! * You can deliver bad news in a good way, like this https://bit.ly/3fYveUE * All Molly's videos by category here: https://sayitskillfully.com

In this week's episode, Chris speaks with Dr. Steven Berk; Dean, Executive VP, and Provost of Texas Tech University's Health Science Center, about his journey and philosophy as a leader. Drawing from his memoir “Anatomy of Kidnapping”, Dr. Berk recounts his struggle with working in between the healthcare system while trying to preserve the ethics of health workers. Dr. Berk talks about how he trusts his family and colleagues to keep him anchored and focused on doing the right thing.Sharing his harrowing story of being held at gunpoint and having to say a potentially last goodbye to his son, Dr. Berk emphasizes the importance of a leader to stay calm and logical even in a moment of crisis. By communicating with the kidnaper with calm and talking about back pains and listening to his life stories, Dr. Berk potentially saved his own life; by telling his son a benevolent and convincing lie, Dr. Berk protected his family from imminent danger. This experience not only reminded him to appreciate life and cherish time with loved ones, but also the responsibility of a leader to share the emotional burdens, such as grief, anxiety, and fear of their friends, colleagues, and families, to guide them through tough times.Utilizing the lessons the incident taught him, Dr. Berk strives to nurture the next generations of physicians as better professionals and better people. He wants to teach the right professional ethics to students, but also make sure that they are not mistreated in the healthcare system.More About Our Guest:Appointed Dean of the School of Medicine and Executive Vice President in 2006 and Provost at Texas Tech University Health Sciences Center in 2010, Dr. Steven Lee Berk M.D graduated from Boston University School of Medicine and completed his Internal Medicine residency and infectious disease fellowship at Boston City Hospital. He specializes in Internal medicine and infectious disease. In 1979, Dr. Berk moved to Johnson City in Tennessee in 1979. He joined the newly formed medical school at East Tennessee State University, where he became the Chief of Infectious Disease in 1982 and professor of Medicine in 1986. He later became the chairman of the Department of Medicine in 1988. In 1999, Dr. Berk joined the faculty of Texas Tech University Health Sciences Center, where he held the positions of Regional Dead for the Amarillo Campus, professor of Medicine, and Mirick-Myers Endowed Chair in Geriatric Medicine.He was appointed as Dean in 2006. He is the author or co-author of over 120 peer-reviewed publications and four textbooks. He is a Fellow of the American College of Physicians, the Infectious Disease Society of America, the American Geriatric Society, and the American College of Chest Physicians. He has served on the NIH Special Advisory Panel on the evaluation of vaccines against infections in the elderly, on the editorial board of the Journal of the American Geriatric Society, and as a reviewer for most Internal Medicine and Infectious Disease journals. He serves on the Board of Directors Nominating Committee for the Association of American Medical Colleges and is chair of the AAMC community-based deans subcommittee. Click this link to see the full description!---------------------------------------------------------------------------------------------https://www.ttupress.org/9780896726932/anatomy-of-a-kidnapping/https://www.linkedin.com/in/steven-berk-758192a/https://www.ttuhsc.edu/

Join Host Michael Lerner in conversation with medical oncologist and professor of medicine Adam Lerner, MD, about his work as a senior oncologist working with a large community of low-income communities of color in the Boston area (recorded in May of 2021). Adam Lerner, MD Adam is a Professor of Medicine, Pathology and Laboratory Medicine at Boston University School of Medicine and a medical oncologist at Boston Medical Center. He received his MD from Yale School of Medicine, followed by an internal medicine residency at Boston City Hospital. He did his fellowship in Medical Oncology at the Dana Farber Cancer Institute, Harvard Medical School, and subsequently remained there while carrying out research in the cellular and molecular biology of T lymphocytes. In 1996, he joined the Hematology/Oncology Section at Boston Medical Center. Clinically, Dr. Lerner cares for patients in a large community of low-income communities of color with hematologic malignancies, cutaneous malignancies and sarcomas. Host Michael Lerner Michael is the president and co-founder of Commonweal. His principal work at Commonweal is with the Cancer Help Program, Healing Circles, Beyond Conventional Cancer Therapies, the Collaborative on Health and the Environment, and The New School at Commonweal. He was the recipient of a MacArthur Prize Fellowship for contributions to public health in 1983 and is author of Choices in Healing: Integrating the Best of Conventional and Complementary Therapies (MIT Press). Find out more about The New School at Commonweal on our website: tns.commonweal.org. And like/follow our Soundcloud channel for more great podcasts.

James Herndon, MD, MBA, FAOA shares insights from his newly published title, "Birth of a Specialty:  A History of Orthopaedics at Harvard and Its Teaching Hospitals." About Birth of a Specialty:  A History of Orthopaedics at Harvard and Its Teaching HospitalsBirth of a Specialty presents a comprehensive history of the specialty focused on US contributions and including the orthopaedic surgeons at Harvard Medical School (HMS) and its major teaching hospitals.Volume 1 addresses the early surgical landscape, the development of the specialization of orthopaedics, and the history of orthopaedics at HMS. The history of HMS discusses the creation of the orthopaedic department, curriculum, and residency program, the emergence of sports medicine, as well as the infamous murder of Dr. George Parkman at the school in 1849 and contributions by surgeons to the case.Volumes 2, 3 and 4, present the history of orthopaedics at each of Harvard's teaching hospitals; with volume 2 focused on Boston Children's Hospital, volume 3 on Massachusetts General Hospital, and volume 4 on Brigham and Women's Hospital, Beth Israel Deaconess Medical Center and Boston City Hospital.Each hospital section begins by discussing the origins of the institution; the evolution of orthopaedic department status at each hospital; the contributions of many great orthopaedic surgeons; and the transition from the twentieth to the twenty-first century, including recruitment of orthopaedic chairpersons at each of the hospitals. It ends with a discussion of the role of Harvard orthopaedic surgeons in the world wars.About James Herndon, MD, MBA, FAOAJames H. Herndon, MD, MBA, FAOA is the William H. & Johanna A. Harris Distinguished Professor of Orthopaedic Surgery at Harvard Medical School, Massachusetts General Hospital; and Chairman Emeritus of the Department of Orthopaedic Surgery in Partners Healthcare System (Mass General Brigham), Boston. He has long been a leader in orthopaedics, chairing departments of orthopaedic surgery at Brown University/Rhode Island Hospital and the University of Pittsburgh Medical School and Medical Center (UPMC). He also served as vice president of medical services at UPMC and as associate senior vice chancellor for the health sciences at the University of Pittsburgh.He has influenced the direction of orthopaedics through leadership positions with national organizations such as the American Academy of Orthopaedic Surgeons (AAOS), the American Orthopaedic Association, the Journal of Bone and Joint Surgery, and the Academic Orthopaedic Society.More information can be found here.**The AOA thanks Peter E. Randall Publisher for its generous support of this episode.**

Dr. Hayes interviews Dr. Sarah Donaldson and her pioneering work in pediatric radiation oncology.   TRANSCRIPT SPEAKER 1: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. [MUSIC PLAYING] DANIEL HAYES: Welcome to JCO'S Cancer Stories: The Art of Oncology, brought to you by the ASCO Podcast Network, a collection of nine programs covering a range of educational and scientific content and offering enriching insights into the world of cancer care. You can find all of these shows, including this one, at podcast.asco.org. Today my guest on this podcast is Dr. Sarah Donaldson. Dr. Donaldson has really been instrumental in much of the development of both, in my opinion, modern radiation oncology and especially related to pediatric radiation oncology. Dr. Donaldson was raised in Portland, Oregon. She received an initial undergraduate and nursing degree at the University of Oregon in Eugene and ultimately in Portland. After a few years working as a nurse with Dr. William Fletcher, who I hope we'll get a chance to talk about later, she elected to go to medical school and spend her first two years at Dartmouth and then finished with an MD from Harvard. She was planning to do a surgery residency at the Brigham Women's in Boston but then elected to do an internal medicine internship at the University of Washington and ultimately then a residency in radiation oncology at Stanford. After a residency and a few side trips along the way, she joined the faculty at Stanford and has remained there since. Dr. Donaldson has authored nearly 300 peer-reviewed papers, probably more than that by now. That was when I last looked at her CV a couple of weeks ago, and it seems like she brings them out every week. She has served as president of the American Board of Radiology, the Radiology Society of North America, and the American Society of Therapeutic Radiation Oncology, ASCO's sister organization, of course-- ASTRO. And she also served on the board of ASCO, the board of directors, from 1994 to 1997 and, in my opinion, perhaps as importantly, on the board of directors of the ASCO Foundation for over a decade. She has way too many honors for me to lay out here, but a few that caught my eye. Named after a distinguished scientist in the past, the Marie Curie award for the American Association of Women Radiologists, the Janeway Award from the American Radiation Society, and the Henry Kaplan Award for Teaching from Stanford. And she was the inaugural recipient of the Women Who Conquer Cancer Award from our own Foundation, the Conquer Cancer Foundation. Dr. Donaldson, welcome to our program. SARAH DONALDSON: Thanks so much, Dan. It's a privilege to be talking with you today. DANIEL HAYES: I hope I got all that right. It's pretty tough to cram the distinguished career you've had into about a minute. [LAUGHS] Anyway, I'm going to start out. So I've interviewed a lot of the luminaries and the people who really started our fields or even the subfield within our field, and you yourself had quite a journey. I know you started out as a nurse. Can you just give us some background about going to nursing school and then who and what influenced your decision to become a physician? SARAH DONALDSON: Yes, I did. I can, Dan, and it's an interesting story. Because when I grew up, girls that wanted to go on to college-- and it wasn't all girls didn't go to college, but I did. The three areas that one could do in that era were become a teacher or maybe a librarian or a nurse. And so I elected to become a nurse, and I went to nursing school. And I loved nursing school. I had a terrific time in nursing school, and along the line, I met the house officers and such and ultimately got to know a surgical oncologist. That was before surgical oncology was a field, but a young man from the Boston City Hospital training program, which was a very good surgical training program at the time, who was recruited to the University of Oregon to start a cancer program. His name was Bill Fletcher-- William S. Fletcher. And when I graduated from nursing school, Bill Fletcher was looking for a right arm assistant. He was looking for somebody to help him develop a cancer program. And he offered me a job, and the job was to work with him in the operating room, either scrubbing or circulating, to run his tumor board-- and that meant just scheduling it and taking notes and such-- and working with him in his tumor clinic. And in the tumor clinic, he was at that time beginning clinical trials, and Oregon was part of something that was called the Western Cancer Chemotherapy Group, which ultimately merged with SWOG. But at that time, his helper-- me-- filled out the forms, and we sent them to patients that were entered onto the study and got consents and measured lesions and that sort of thing. And I worked hand in hand with him. In addition to working with him in those clinical parameters, he gave me a little laboratory project, and so I worked with him in the lab and learned a little bit about small animal oncologic research, et cetera. And after a couple of years working with him, he suggested that I would be a better employee if I took some additional courses, and he suggested that maybe I should take physics because at that time he was doing isolation perfusion. I was running his pump oxygenator. He asked me what I would do if there was a pump failure. I didn't know. And he said, well, I think it would be good if you took physics. Well, the prerequisite to physics was organic. I hadn't had organic, and he was also working with radioisotopes in the lab. And he said, you could really be more helpful to me if you could work in the lab. That meant I had to take organic, and the prerequisite to organic was inorganic. To make a long story short, I took these series of classes in night school while I was working for Dr. Fletcher in the daytime. And then one night, I was working on my hamster project, and he said, I think you should go to medical school. I said, I can't go to medical school. And the long and the short of it was Dr. Fletcher thought I should go to medical school, and he made that possible for me. It's a very, very interesting story, but what it means is that I was mentored by somebody who was a visionary, and he could see a lot more than I could see. And he got me excited about medical school and everything that I knew about medical school is what he had taught me, so I of course wanted to be a cancer surgeon. And then after I went to medical school and I went to the same medical school he did, I just followed his advice. Every time I needed some guidance along the way, I asked Dr. Fletcher what I should do, and he told me what I should do, and I applied. And that's what I did. And so when I came time to choosing a specialty, I decided I would train in surgery, and I applied at the Brigham and was accepted into their surgical program. It was run by Francis Moore at the time. And that was a big deal because they hadn't had women in their surgical field, and I was very excited about all of that but feeling totally inadequate because I didn't think I knew enough medicine. And so I went to Dr. Moore and said, I think I'd be a better house officer if I knew some medicine. He says, OK, well, go take a medical internship, and we'll hold you a spot. So I went to the University of Washington and took general medicine, which was a very vibrant program, a really exciting program, and I just came alive in my internship. I loved everything about it. And then I decided I wanted to be an internist. So at this point, I was offered a position in Washington, and I had already accepted Dr. Moore in Boston. And I didn't know what to do, and I asked Dr. Fletcher what I should do. And he said, Sarah, the world of-- he called it radiotherapy at the time, but what we would call radiation oncology-- needs more surgically oriented physicians. I think you should go down and talk to my friends at Stanford. So I came down to Stanford. I met Henry Kaplan and Malcolm Bagshaw and the leaderships in the department, and including Saul Rosenberg, who was one of the people who interviewed me, and I left that day visiting at Stanford making a commitment that I would come to Stanford as a radiation oncologist. So I wanted to do everything, and I met some very inspiring people along the way, perhaps like you have in your own career. And it's for that reason that I am now excited about mentoring because it's a little bit of payback because somebody opened the door for me and made it possible for me to have a most gratifying professional career, and I would like to do that for as many people as I could. DANIEL HAYES: I love that story. And there were two things about it that came out. One is I normally don't like people who namedrop, but when you can namedrop the names you just dropped-- Bill Fletcher, who I consider really one of the early surgical oncologists, Henry Kaplan, Saul Rosenberg, Franny Moore. I was in Boston of 15 years, and he was a legend. He was not the chair anymore by any means. In fact, he passed away. But it was legendary. You should be doing these interviews instead of me. [LAUGHS] You've been there. SARAH DONALDSON: Well, it's all about where you are at the time you are and meeting the right people. I think so much of my gratifying career is just because I happened to be at the right place at the right time and met the right people. DANIEL HAYES: Well, the other thing I want to say is I always believed I don't trust people I interview who say they know exactly what they want to do. And the reason I say it that way is I have a young woman who's been a technician in my lab that just got into med school, and she sat with me and said, now, when I go there, should I tell them I know exactly what I want to do? Because she's interested in the oncology. Or should I go through my rotations and see what I like? And I said, I forbid you from going there knowing what you want to do. Go to your rotation. See what you like. You're going to run into somebody who just inspires you beyond words who-- I don't know-- maybe selling shoes. But whatever it is, become like her, and you'll be extraordinarily successful. So if there are young people listening to this, I think that your story, Dr. Donaldson, is a classic for that, the way you kicked around. And actually, you didn't tell us, but I'm going to have you tell us about your trip to Paris and that experience too and how that influenced you. SARAH DONALDSON: Oh, that was another wonderful opportunity. When I finished my training, it was 1972, and that's when America was in the Vietnam War. All of my classmates were being recruited to a mandatory draft and were having to go to Vietnam, and I felt like I too should be just like all of my best friends and I too should join the military and go to Vietnam. But that wasn't possible. Women couldn't do that. So I looked for things that I could do where I could do something useful, and I thought about joining the ship Hope and all sorts of fanciful things, but basically I was lost, and I didn't know what I wanted to do. And at that time, there wasn't a carve-out of pediatric oncology as a specialty. It hadn't been defined, but there were people that were doing pediatrics. And as a resident, I had had a little rotation at the M.D. Anderson, and when I was in medical school, I had spent a fair amount of time at the Boston Children's, so I kind of knew a little bit about those institutions. But the thing was at Stanford, I knew that I wanted to be at Stanford. But Stanford didn't have a cancer program either. And so again, I went to Henry Kaplan and Malcolm Bagshaw-- at that point, Kaplan was head of the department, and Malcolm was his associate director. But they changed positions about a year after that. So I trained under both of them, really, but I went to Dr. Kaplan and said, I'm interested in pediatrics. And I said that because we didn't have a program at Stanford and that was like a carve out that nobody had addressed yet. And he said, oh, well, if you want to study pediatric cancer, you have to go to the Institute Gustavo Roussy and train under Odile Schweisguth. And I said, no, I don't speak French. I can't do that. I'd like to go to London because I like the theater. And he said, no, no, no, no, no, that's not the way it is. If you want to be a pediatric doctor, you have to go learn pediatrics and learn to think like a pediatrician, and that means you have to go and train under Odile Schweisguth. She was at the Grand Dame of pediatric oncology. She took care of all the children in Western Europe. And so I went to Institute Gustavo Roussy to be a fellow in pediatric oncology, although I did spend some time on the radiotherapy unit as well. But that's where I learned pediatric cancer because I learned from Odile. And in French, there's a formal and an informal, and I never understood the formal because when you talk to kids, you talk in the familiar form. So I was just talking to and not [SPEAKING FRENCH]. I would just say, [SPEAKING FRENCH] and such. [INAUDIBLE] French. And that's how I learned French. More importantly, I learned the biology of cancer from Odile. It was largely observational. And I learned a lot of late effects of children who were cancer survivors. So when I came back to Stanford, at that time Mal Bagshaw was chair, and he said, well, why don't you work on starting a cancer program? We'd like to have a cancer program. So I worked with the pediatric cancer doctor at Stanford. His name was Dan Wilber, and he had just come from the M.D. Anderson. And the two of us started a cancer program at Stanford. And so I've been kind of doing that ever since, of doing pediatric cancer. So I would say my skill set came along just because the right people told me where to go at the right time. DANIEL HAYES: Were the pediatricians welcoming, or did they resent the fact that you'd never been a pediatrician? SARAH DONALDSON: Malcolm Bagshaw gave me the clue to that by saying the only way the pediatricians will accept you is by having them accept you is one of their own. So you have to learn to think like a pediatrician, and then they will accept you onto their team as one of theirs because pediatric doctors are very possessive about their patients, and pediatric cancer doctors are possessive about their patients. So it worked for me. But it worked because I had had this special training under Odile Schweisguth, who was a general pediatrician, and so I was accepted because I was at that point thinking like Odile thought because that's what she taught me how to do. So I always felt like I was accepted by the pediatric cancer doctors who then became the pediatric oncologists because that field didn't really open up for a couple of years later. DANIEL HAYES: For our listeners, Dr. Donaldson and I have not met before, and I certainly have never worked with her. But she's talking, she's glossed over that when you work with the French, you really have to speak French. When you work with the pediatricians, you really have to speak pediatrician. And you've managed to do both of those. I don't know anybody who's been that successful. I should take a sabbatical and come work with you. [LAUGHS] SARAH DONALDSON: Well, I'll tell you, Dan, there was one wonderful thing that happened because shortly after I was working at Stanford doing pediatrics, our dean wanted to recruit some more people and buff up our pediatric cancer unit. And he recruited Michael Link, who had just come out of his training at the Dana Farber. And so Michael and I started working together his first day as an assistant professor at Stanford, and pediatric oncology is a team sport. Pediatric radiation oncology is a team sport. And I had a wonderful teammate, Michael Link, with whom I worked very well, and we became very fast friends. And we did pediatric lymphoma and sarcoma, bone sarcoma, and soft tissue sarcoma, and all sorts of stuff. And I had a wonderful, wonderful colleague working with Michael Link. So one of the keys to my most gratifying part of my career at Stanford has been working with Michael Link and his associates. DANIEL HAYES: As an aside, by the way, Michael and I overlapped just a little bit at Harvard, but then he proceeded me as president of ASCO by two years, and we got to be pretty close friends during that period of time. And I echo your fondness for him. He's just an amazing human being, as far as I was concerned. And he's one of the-- he may be-- I'm trying to think, has there other pediatricians that have been president of ASCO? I'm not-- SARAH DONALDSON: No, he was the first. Yeah, he's the only one to date. DANIEL HAYES: Yeah. And he left a big stamp on the society in terms of-- we always had some pediatrics involved-- you, especially-- during the years, but as president, he was able to leave a big footprint of what we do. So he was terrific. I'd also like you to talk a little bit about the early days of the co-operative groups. You threw out that you were in the Western Group that became part of SWOG, and what were the hurdles and obstacles to getting all these folks to work together? And what do you see the pros and cons of the cooperative groups in the country? SARAH DONALDSON: I know the cooperative groups mainly through the lens of the pediatric cooperative groups. I mean, I can tell you about the adult ones, but I really know the pediatric ones. And at the beginning, there was one, and then there were two. And we worked competitively, and then ultimately the pediatric doctors learned early on that the children they took care of had rare tumors, and no one physician had a whole lot of experience with any cancer. For example, this tells the story well. When Hal Maurer was chairman of Pediatrics at Virginia, he had a child with rhabdomyosarcoma. And he called his friend Ruth Hein, who was at Michigan, and said, Ruth, I've got this child with rhabdomyosarcoma. Have you ever treated a child like this? And Ruth said, oh, I had one patient, but I think you should call Teresa because Teresa, I think, had a patient. And so Teresa Vietti was at Washington University, and so Hal Maurer and Teresa Vietti and Ruth Hein and a few other really, really pioneers started to throw their lot together and decided that the way they could answer a question about these rare tumors is by deciding what was the question of the day and working collaboratively. And then Hal Maurer became the first chair of what was then called the Innergroup Rhabdomyosarcoma Study, which has now been merged into the other pediatric groups. But that same process that worked for rhabdomyosarcoma was then employed for Wilms tumor, and then subsequently down the line, brain tumors and all the other solid tumors. And of course, St. Jude was doing this with their leukemia studies and Dan Finkel, and then Joe Simone did it with leukemia. They got everybody to join in on their team, decide together around the table by consensus what is the question that we want to have an answer for, and then just treat all the patients in a consecutive fashion, analyze those, and then take that step and go on and build to the next step. That's how the pediatricians have done it because their cancers are so rare that one person doesn't have very much experience. They have to throw their lot together and work collaboratively. So they don't work competitively. They work collaboratively. DANIEL HAYES: This is very similar to the stories I of course heard from Drs. Frei and Holland that they came ultimately to CALGB to be after a couple of mis-starts. But it's one of the things I worry about COVID. It's not the same Zooming with somebody or talking on the phone as it is sitting around dinner and just saying, maybe we could do this and make it work. So I'm hoping young people are listening to this and saying, OK, maybe we can start something new that a bunch of us work together and get things done. That's a really great story. You were early on and ended up taking both diagnostic and therapeutic radiology boards, correct? When they were combined? SARAH DONALDSON: No, no I didn't. Radiology was combined at that time, but Stanford was one of the few institutions that had a carve-out for radiation oncology without diagnostic training, and I wasn't in the first class. I was in the fourth or fifth class, so my formal training was only in what was called radiation therapy, now called radiation oncology. So it was one department, and I worked collaboratively with a diagnostic radiologist because I knew nothing about image interpretation-- nothing at all. So I'd see an X-ray. I didn't know how to interpret it, and I'd have to go and ask for some help. But they were like our best friends. But the diagnostic people could take the picture, but the therapists had access to the patients. So that made all the difference in the world because we really had access to the material, the clinical material or the blood or the bone marrow or the biopsy specimens or whatever it was, and allowed us to do studies. But to clarify, no, I was not. I do not have formal training in diagnostic radiology, although I have worked with them so closely now that I feel like they're all my brothers because you cannot do radiation oncology without collaborating closely with the imagers. DANIEL HAYES: And my first interview was with Sam Helman. This has been three or four years ago. And he was still lamenting the split because he thought it was to learn both-- and for the reasons you just said. If you don't know where it is to shoot your bean, you can't shoot your bean. That's not exactly what he said but something like that. On our side, they team hematology and oncology. Like you, I never got trained in hematology. I only trained in solid tumor oncology, which has not hurt me in any way. In fact, in many respects, I focus my efforts on things I seem to know about and let somebody else worry about blood clotting. Of all the things you're well known for-- and again, it was hard for me to get it all into a minute or two, but probably teaching and mentoring. And in this conversation, I see why. Tell me how you think that's evolved in your field, especially in radiation oncology, teaching and mentoring, and the importance of the things you've done-- and perhaps some of the people you have trained yourself and you're proud of. SARAH DONALDSON: Well, when I think of all the things that I love about my professional career, I love taking care of patients. And I've had very joyous experiences of watching pediatric cancer patients grow up and watching them in their process and treating them when they're toddlers and then getting invitations to graduations and wedding invitations and baby announcements and following through that. That's very, very gratifying. But the single most important and most gratifying part of what I do is the volumetric feedback and gratification from training residents because one patient is one patient, but one trainee then goes into academic medicine and that person has 30 or 300 or 3,000 trainees. And you see your impact is just explosive. And Stanford has had a training program in radiation oncology from the very, very beginning. It was one of the first programs that did train in radiation oncology, so a lot of talented people have come through Stanford. They need to have what Bill Fletcher did for me, which was open doors and help them with networking and giving them an opportunity and giving them some guidance and being their new best friend. When your trainees trust you like that, then you can really, really have a relationship, and you can really help them. And so I am very, very, very proud of our trainees that are now all over the place as cancer center directors or directors of departments or divisions that are doing what they're doing. You just meet the best of the best. That is the most gratifying part of-- maybe it's because that's what I'm doing now, but it's the most gratifying part of medicine that I've experienced. DANIEL HAYES: This is the third time I've said this on this call-- I hope there are young people listening, and I hope they're looking for a mentor and they can find someone as generous and trusting and helpful as you have been. SARAH DONALDSON: Dan, let me just say one little thing. DANIEL HAYES: Yeah. SARAH DONALDSON: It was extremely helpful to me-- and wonderful recognition for ASCO-- to provide the opportunity that I received the Women Who Conquer Cancer Mentoring Award. Because when I won that award, I was the inaugural-- but when I won that, all of a sudden people thought that I knew something about mentoring. I'm not certain I did know anything about mentoring, but I was asked to talk about it and asked to give advice, et cetera. And it gave me a carve out that was quite novel at the time, and now, of course, it's a mandated requirement in every training program, et cetera, but it wasn't then. And for me, it was just to return what Bill Fletcher did for me. The only way I can say is that it's a pay out, and it's so gratifying. It just makes you happy to get out of bed every morning and interact with the people you do interact with. DANIEL HAYES: He was pretty young when he began to mentor you. And I think having seen and been mentored and mentored other people, I always worry about a young person trying to mentor because you've got your own career to worry about, and it's hard not to be selfish when you're building a career in academics. He must have been a remarkable-- is he still active? Is he still around? He must have been a remarkable guy. SARAH DONALDSON: He was a remarkable guy, and no, he passed away. But that was true. And that is true because junior faculty are busy making their own professional career, and they don't have time. They're busy on their own path, and it's a hard path to go on. So most junior faculty don't really have very much time to do formal mentoring. But in Bill Fletcher's case, we worked hand in hand as sort of partners. And so I think, in some ways, I was helpful to him because I could do literature searches for him. I could write the first draft of his paper. I could write the first draft of his grant. I filled out the forms. I did a lot of things that were labor saving for him, but for me, what was he doing for me? He was teaching me to suture. He was teaching me how to resect normal [INAUDIBLE]. He was teaching me lymph node drainage from cancers. He was teaching me about drug metabolism, methotrexate, and phenylalanine mustard. And 5-FU was an experimental agent. So was vincristine-- those kinds of things. So I learned a lot from him just in the ordinary practice of taking care of the patients. DANIEL HAYES: By the way, two stories I read about you-- one is how you met Henry Kaplan, and the second is the first paper you wrote with him. Can you give us those two? And then I think we've got to sign off. SARAH DONALDSON: Well, let me tell you about the first paper I wrote with him because the other one is too funny. Everybody will laugh at me. The first paper I wrote with Henry Kaplan, I worked really, really hard on it. It had to do with bacterial infections in patients with Hodgkin's disease because we were doing splenectomies on everybody, and they were getting pneumococcal bacteremias and meningitis. And I was running the ward at that time. I was taking care of a lot of patients that were sick. So I was writing up this experience. And I wrote what I thought was the perfect paper because, see, Kaplan had a high bar, and you didn't want to disappoint him. So I wrote the paper that I thought was perfection. I had gone through a lot of drafts. And I gave it to him, and he returned it to me the next day. He read it that night. But I only looked at the first page because the first page looked like a blood bath. Everything he wrote, he wrote with a red pen. And there was red writing all over the first page. I couldn't see any white paper. It was all red comments. DANIEL HAYES: [LAUGHS] SARAH DONALDSON: And I went through-- I don't know-- 24 different drafts of that paper finally being published. And so one of the things I try to do with residents now is to teach them, you have to have a hypothesis. You have to make certain you have a database. You have to have a long term follow up. You have to understand statistics, and you have to write a paper knowing what you're doing. You don't just start writing. You do a section and a section and you build it with evidence. So I enjoy doing editing, and I think I can help some trainees focus their thinking in terms of writing a grant proposal or a manuscript that's worthwhile publishing. My introduction to Henry Kaplan-- there are many, many funny stories about them, but to end them all, I will have to say that he was very, very, very good to me. He provided a lot of opportunities and was a huge role model. He taught by scarification. We were all scared to death of him, but he was absolutely a wonderful, wonderful huggable person, if you felt like you could hug him. We didn't do that very often. We might have hugged Saul Rosenberg, but we didn't hug Henry Kaplan. But they were both helpful to me, especially in understanding lymphomas. DANIEL HAYES: For those of you listening who don't know who Henry Kaplan was, I think it's fair to say he was one of the first people to prove you could cure Hodgkin's disease with radiation. Do you agree? Is that a fair statement? SARAH DONALDSON: Yes, that's where his name came. But of course, what Kaplan did was he recruited Saul Rosenberg, and the two of those worked hand in hand, and they brought to Stanford what we call the Lymphoma Staging Conference, which was a combined modality conference where we talked together over each patient. And together, they wrote clinical trials that were institution-based clinical trials. So what Kaplan did was he did a lot of technical work with the linear accelerator, but that was just a tool. My way of thinking is his most important contribution was the importance of combined modality therapy and understanding what your colleagues can contribute and what you can contribute in doing it as a team. DANIEL HAYES: And I will encourage anyone who's listening to this to go back to the website and listen to my interview with Dr. Rosenberg who laid that out in spades. And the first few patients he treated, he had a chair outside his exam room. He would examine the patient, take them out, put them in the chair, start the IV himself, go mix the chemotherapy, hang it up, and then see the next patient in the room while the first patient was getting chemotherapy. It's a little different now. [LAUGHS] Anyway, thank you so much. By the way, I have a copy of Dr. Kaplan's book on Hodgkin's disease, which was the Bible when we were training. You can't see it because it's on my bookshelf behind my camera, but I still open it up quite a while, even for a breast cancer guy. It was a classic. I also want to say, it's very clear to me you're a nurse at heart. You've been a fabulous physician and researcher and mentor, but your love for people shines through, so congratulations. I think that's terrific. SARAH DONALDSON: Thank you so much. DANIEL HAYES: Thanks for taking your time to speak with me today. I'm sure people are going to be thrilled to listen to this, and thanks for all you've done to feel. It's just really remarkable-- and what you've done for ASCO and the Foundation, which is a big, big, payback. Thanks for everything. SARAH DONALDSON: Thank you. DANIEL HAYES: Until next time, thank you for listening to this JCO's Cancer Stories: The Art of Oncology Podcast. If you enjoyed what you heard today, don't forget to give us a rating or review on Apple Podcasts or wherever you listen. While you're there, be sure to subscribe so you never miss an episode. JCO's Cancer Stories: The Art of Oncology Podcast is just one of ASCO's many podcasts. You can find all the shows at podcast.asco.org. [MUSIC PLAYING]

During this episode, we discuss the medical model of obstetric care, how to find an OB or other care provider that will support you in your goals for your birth, why doulas are such a key player in his work and why he recommends them so often and what has influenced the culture of obstetrics in the United States. Our guest today is Dr. Bill Chun.Dr. Chun is a board-certified OBGYN in Woburn, Mass with over 30 years experience in medicine. Dr. Chun is a graduate of Ohio State University of Medicine and worked at Boston City Hospital (now Boston Medical Center) during residency.  He currently treats patients at his practice, Women’s Healthcare of Woburn, which is affiliated with Winchester Hospital. He has worked in communities north of Boston for over 15 years and is a leading provider of minimally-invasive robotic surgery in New England.Dr. Chun is also a Korean-American immigrant who came to the United States when he was 12. On his own podcast, The Bill Chun Show, he shares the stories of his fellow immigrants with lively discussions centered on all the things close to his heart: life in America, parenthood, the US healthcare system, how to adapt to the challenges of our modern life, and the immigrant experience.In 2019, Dr. Chun co-founded “Doc & Doula” which is a social media driven network of multidisciplinary, holistic healthcare professionals dedicated to taking the confusion and fear out of pregnancy and empowering soon-to-be and new parents with the knowledge and support they need to get expert care and live healthy lives. 

Dr. Danny Sands is passionate about healthcare transformation. A practicing physician with training and experience in clinical informatics, Dr. Sands has worked in a variety of capacities in the healthcare IT industry for over 25 years. He spent almost 14 years doing clinical informatics at Beth Israel Deaconess Medical Center, where he developed and implemented innovative systems to improve clinical care delivery and patient engagement, including clinical decision support systems, an EHR, and one of the nation's first patient portals. This was followed by leadership positions including Cisco, Zix Corporation, and others. Dr. Sands is the recipient of numerous healthcare honors, including recognition in 2009 by HealthLeaders Magazine as one of “20 People Who Make Healthcare Better.” He is the co-author, with e-Patient Dave deBronkart, of Let Patients Help. Dr. Sands has earned degrees from Brown University, Ohio State University, Harvard School of Public Health, and trained at Boston City Hospital and Boston's Beth Israel Hospital. Dr. Sands holds an academic appointment at Harvard Medical School and maintains a primary care practice at Beth Israel Deaconess Medical Center in which he makes extensive use of health IT—much of which he helped to introduce. In addition to practicing, Dr. Sands works with a number of innovative companies and is a co-founder and the chief advocacy officer of the Society for Participatory Medicine. He is a popular speaker and consultant, blogs at DrDannySands.com and tweets as @DrDannySands.

Manage stress and burnout with empathy, and take control of your health and vitality from the inside out. This podcast was recorded live for our community. If you would like to attend live recordings, please reach out to info@kahilla.com ******* Originally from Medellin Colombia, Dr. Margarita Ochoa-Maya graduated from 'Instituto de Ciencia de la Salud, CES' and completed her Internal Medicine Residency at Boston City Hospital affiliated with Boston Medical Center in Boston, Massachusetts. She then completed a fellowship in Hypertension, Endocrinology and Metabolism at Brigham and Women's Hospital affiliated with Harvard Medical School. She is board certified in endocrinology and metabolism. Dr. Margarita has been in private practice since 1999 and established Advanced Health and Wellbeing in 2010. She practices functional endocrinology, a health care model which blends the best of conventional medicine, complementary therapies, and lifestyle changes to prevent disease. She emphasizes a compassionate, healing relationship between her and her patients and views them as whole individuals.

Happy International Women's Day from The Two Jess(es)! In celebration of all the incredible women in the WeSTAT community, our gift to you is the release of one episode every day this week. Jess and Jess have put together an inspiring line up of women who are making a difference in the world around them by practicing the values and virtues of THE INTERNATIONAL WOMAN (which include):JusticeDignityHopeEqualityCollaborationTenacityAppreciationRespectEmpathyForgivenessToday we celebrate community support through our conversation with Cherie Craft, CEO and Founder of Smart from the Start, a non-profit with programs running in inner city Boston and DC. Cherie shares their grassroots approach to setting up and living, breathing, working, in the communities that they are working to serve. The foundation of supporting the parents in order to increase a child's chances of life long success is simple yet profound in the way it works to change families perspectives of themselves, their capabilities and what it means to be a part of a community.This is a moving conversation that honors women in their strength, commitment and innovation. And is the perfect way to kick off this momentous week!https://smartfromthestart.org/Meet Cherie Craft:Cherie Craft is a native of inner city Boston, where she’s raised 5 children. She’s dedicated her life to educating children and empowering families living in challenging situations. Having studied Sociology and Counseling Psychology, she began her career in Pediatrics at Boston City Hospital and is now the Founder/CEO and Executive Director of Smart from the Start, a community engagement and family support organization that promotes the healthy development of young children and families. Additionally, for 22 years Ms. Craft has served as senior faculty with the National Institute for Family Centered Care, and after recently stepping down from the Community Board of Children’s Hospital Boston, Ms. Craft was appointed to the Maternal Mortality Review Committee and Maternal Child Health Council of DC. Ms. Craft engages in national and international speaking engagements and is a member of the NAACP, Urban League, and International Society for the Prevention of Child Abuse, among other organizations. Support the show (http://www.paypal.com)

Mark Metersky MD is a Professor of Medicine, the Chief of the Division of Pulmonary and Critical Care Medicine, and the Director of Center for Bronchiectasis Care at UConn Health. He is also the associate Chief of Service in the Department of Medicine at the University of Connecticut. Dr. Metersky earned his medical degree from New York University School of Medicine and completed his residency in Internal Medicine from Boston City Hospital. He then pursued a Fellowship in Pulmonary and Critical Care Medicine from the University of California San Diego Medical Center. Dr. Metersky has published extensively throughout his career and has received many awards and honors including being named in ‘America's Top Doctors' and included in ‘Guide to Top Doctors'. How do you feel when someone makes you laugh? What if you're in a stressful situation, like seeing a doctor? Medicine is serious and patients are often uncomfortable and are suffering. If your doctor cracks a funny joke, you are more likely to feel relaxed and open to communicating, which can only improve the doctor/patient encounter. This is the power of humor. Today, Dr. Mark Metersky shares his stories on how humor can make a difference in our practice of medicine. Pearls of Wisdom: 1. If you don't already have a specific track, you need to find what fulfills you. Say ‘yes' to all opportunities and explore everything. Once you've figured out where you find fulfillment, then start saying ‘no' to manage your time. 2. Respect your time and your mentor's time. If your mentor is willing to invest time and energy, you should show interest by working hard and fulfilling your commitment and show that you're striving for excellence. 3. With your patients, take advantage of humor and make them laugh! This could make their day and help build a stronger relationship with them.

Charles Hatem, MD, is the Harold Amos Distinguished Academy Professor and Professor of Medicine at Harvard Medical School and Chair Emeritus of the Department of Medical Education at Mt Auburn Hospital. Dr Hatem completed his Medical school from Harvard Medical School and Residency from Boston City Hospital. Dr. Hatem has pioneered the application of educational theory to medical training of both hospital staff and practicing physicians. He served as the Director of the Rabkin Fellowship in Medical Education which is devoted to training faculty to become clinician-teachers. He has also served as a consultant to numerous medical schools in the development of their medical education programs in Argentina, India, Thailand, and Saudi Arabia. Dr. Hatem has additionally served as the co-editor-in-chief of ACPs's Medical Knowledge Self Assessment Program and has developed the widely used series of “Can't Miss Cases”. In life, we will face adversity. That is guaranteed. Today, Dr. Charles Hatem recalls the wise words of Viktor Frankl as he looks at the profession of medicine. The hardships we face, the struggles we encounter, and the obstacles in front of us are inevitable. The key lies in how we choose to face that adversity. That is what defines our true character. Dr. Hatem shares many wise stories about the value of kindness, of taking the time to listen and help others, and what success means to him. He believes that success is not about title; it is more so about the commitment to others, being the best physician he can be, and to be grateful and astonished by life. And that at the root of it all—is uncovering who we are as humans. Pearls of Wisdom: 1. Understand the value of kindness, and how we can apply it in our life: Allocate the time to hear someone else's story, despite anything else going on in our lives. Use that information to help that person. That is the most basic definition of kindness in medical practice. 2. The development of who we are as a person should be paralleled to our pursuit of achievement.  We need to honor love, well-being of self, and commitment for the others in our lives, even as we focus on achievements. 3. In life, we will face adversity. That is guaranteed. What is important is how we face that adversity. It's how we choose to deal with it that defines our true character.

In this episode Ken talks about the Brattle’s early involvement with Reach Out and Read, a nationwide nonprofit dedicated to encouraging families to read together by incorporating books into pediatric care. It all started at Boston City Hospital in the 1980’s with a few volunteers and some donated children’s books. It’s been a joy to support their vital mission. Visit reachoutandread.org to learn more and to help out.Speaking of young people, the Brattlecast warmly welcomes a brand-new friend of the pod—Ken’s grandson! Congratulations to everyone involved in the creation of this baby genius.

Steven Lee Berk, MD, is the Dean of the School of Medicine and Executive Vice President for Clinical Affairs at Texas Tech University Health Sciences Center at Lubbock. Dr. Berk graduated from Boston University School of Medicine and completed his Internal Medicine residency and Infectious Disease fellowship at Boston City Hospital. He is the author or co-author of over 150 peer-reviewed publications and four textbooks. Dr. Berk has served on the NIH Special Advisory Panel on the evaluation of vaccines against infections in the elderly, on the editorial board of the Journal of the American Geriatric Society, and as a reviewer for most Internal Medicine and Infectious Disease journals. He has served on the Board of Directors Nominating Committee for the Association of American Medical Colleges (AAMC) and chaired the AAMC community-based deans subcommittee for eight years. It is inevitable throughout our journey in medicine that we will find role models that inspire us each day. But how do we discern what kind of physician makes the best role model? Today, Dr. Steven Berk explains that the best physicians to emulate are the ones who are highly skilled in bedside manner. Physicians who are present with their patient, spend time with that patient, and then share their experience and knowledge with upcoming students and residents are the kinds of doctors we should be seeking out and learning from. He also explains how important it is to foster emotional intelligence in the field of medicine. And in order to do that, we must work toward creating classrooms and environments that encourage diversity. And we must commit to spending time with—and learning from—different backgrounds, different cultures, and different ideas. Pearls of Wisdom: 1. Develop qualities of staying calm and clear headed, no matter how stressful the situation. 2. Gratitude is one of the key qualities of a good mentor and student, and this will keep us on the right path. 3. Be committed to patient care. The more committed to patient care you are, it will make overcoming challenges more manageable. 4. Continue to build enthusiasm in medicine: Remember why we started, and keep that passion alive throughout your years. At the end of the day, keep a holistic eye on our profession. Read more about Dr Berk's memoir of being kidnapped and how the principles from his medical training helped him successfully navigate the crisis. It's a compelling read for all, especially medical students and residents. Get your copy here: https://www.amazon.com/Anatomy-Kidnapping-Steven-L-Berk/dp/0896726932

Ann Wolbert Burgess, D.N.Sc., APRN, FAAN, is an internationally recognized pioneer in the assessment and treatment of victims of trauma and abuse. She has received numerous honors including the Sigma Theta Tau International Audrey Hepburn Award, the American Nurses’ Association Hildegard Peplau Award, and the Sigma Theta Tau International Episteme Laureate Award. Her courtroom testimony has been described as “groundbreaking,” and she has been called a “nursing pathfinder.”Her research with victims began when she co-founded, with Boston College sociologist Lynda Lytle Holmstrom, one of the first hospital-based crisis counseling programs at Boston City Hospital. She then worked with FBI Academy special agents to study serial offenders, and the links between child abuse, juvenile delinquency, and subsequent perpetration. Her work with Boston College nursing colleague Carol Hartman led to the study of very young victims and the impact of trauma on their growth and development, their families and communities. Her work continues in the study of elder abuse in nursing homes, cyberstalking, and Internet sex crimes. She teaches courses in Victimology, Forensic Science, Forensic Mental Health, Case Studies in Forensics and Forensic Science Lab. See acast.com/privacy for privacy and opt-out information.

In this episode we talk to Dennis Orthman. Orthman is the Senior Director with the Strategic Marketplace Initiative, supporting SMI executive teams in the development of innovative solutions to industry challenges. Orthman has over 30 years of healthcare supply chain experience, beginning his career as a hospital buyer and progressing through respected management, consulting, and executive positions. Orthman worked at Boston City Hospital, the Caritas Christi Health System in Boston, and served as Director of Contracting for Partners Healthcare System. Dennis has also worked as a Senior Consultant with Concepts in Healthcare and with BD Healthcare Consulting & Services, assisting IDN clients in creating hospital-vendor partnerships and delivering innovative supply chain programs. An MBA graduate from Suffolk University in Massachusetts, Orthman is also a graduate of the Georgetown University Healthcare Leadership Institute. Orthman is an active member of AHRMM, serves on the GS1 Healthcare US Leadership Team, has been published in numerous industry trade journals, and has presented on progressive supply chain topics at both the national and local conferences.

Abraham Verghese was born in Addis Ababa, Ethiopia, and came to the U.S. in 1973. He attended medical school at East Tennessee State University, then accepted a position at Boston City Hospital conducting research. In 1985, he returned to Tennessee as an assistant professor at East Tennessee State University School of Medicine. In his role as an infectious disease specialist, he witnessed firsthand the rapid spread of AIDS. His book, My Own Country: A Doctor's Story, was selected by Time magazine as one of the top five books of 1994. In the book, he describes a community's reaction to AIDS, detailing one doctor's personal struggle to provide care to AIDS patients and their families. He currently serves as Professor of Medicine and Chief of Infectious Disease and Geriatrics at Texas Tech University in El Paso, Texas.

Michele Denize Strachan MD, often called Dr Semerit by her community, has been shaped by a deep desire to create a space for the human spirit in medicine. Her training spans: Mt Sinai School of Medicine, Boston City Hospital, Columbia Presbyterian Medical Center and the University of Minnesota. She has designed and facilitates Connecting Art to Heart, a rejuvenating program where professional women are encouraged to risk painting in order to reconnect to the vitality of their authentic heart. The coaching program is also a dynamic experience of visual art and poetic exploration that deepen one’s understanding of and relationship to the symbolic language of the body in health and illness. Twelve years ago, seeking to redress the alienation she experienced in clinical settings, she embarked on a journey to reconnect to her roots. The elders gave her the name Semerit to guide her way to ancestral healing wisdom. She serves as the Director of Medicine for the Cultural Wellness Center in South Minneapolis. As a Fellow of the Cultural Wellness Center she is reshaping and retelling the story of medicine, wellness, and the body. Combining her personal, cultural, teaching, and clinical practices, Dr. Strachan has developed ASK DR STRACHAN, an integrative medicine coaching practice and teaching system, where adults and children can ask their questions, explore how the body/brain really functions, and are guided to interpret what their body is really trying to tell them in the language of illness or other challenges. Based on the interpretation of their body’s true needs, people can then be guided through the maze of health solutions in a truly active and integrative way.Click here to access your complementary Awakening Discovery Call to explore what is going on in your life, relationship and/or intimacy that is holding you back from living the life you desire. After gaining clarity and insights, if you are interested to learn more about how I can help you, I will be glad to answer any questions regarding any of my one on one sessions, programs, immersions and retreats that may be a fit for you. See acast.com/privacy for privacy and opt-out information.

On the Wednesday, April 9th broadcast at 10AM PT/1PM ET our special guest is Danny Sands, MD, Health IT Consultant at Zev Enterprises and Co-Chairman, Co-Founder, and Past-President at Society for Participatory Medicine. 'Danny Sands is passionate about healthcare transformation, non-visit based care, collaboration in healthcare, and participatory medicine. He spent six years at Cisco, most recently as chief medical informatics officer, where he provided both internal and external health IT leadership and helped key customers with business and clinical transformation using IT. Danny's prior position was chief medical officer for Zix Corporation, a leader in secure e-mail and e-prescribing, and before that he spent 13 years at Beth Israel Deaconess Medical Center in Boston, where he developed and implemented numerous systems to improve clinical care delivery and patient engagement. He has earned degrees from Brown University, Ohio State University, Harvard School of Public Health, and trained at Boston City Hospital and Boston's Beth Israel Hospital. Dr. Sands currently holds an academic appointment at Harvard Medical School and maintains a primary care practice in which he makes extensive use of health IT (much of which he helped to introduce during his tenure at Beth Israel Deaconess). Sands is the recipient of numerous health IT awards, has been elected to fellowship in both the American College of Physicians and the American College of Medical Informatics, and is a founder and co-chair of the board of the Society for Participatory Medicine.' Dr Sands co-authored 'Let Patients Help' with ePatient Dave. Join is for an informative session.

Guest: Kenneth Edelin, MD Host: Martin Samuels, MD In 1974, one year after Roe v Wade, Dr. Kenneth C. Edelin, a young black doctor, was the chief resident in obstetrics at Boston City Hospital. Three months before completing his residency, Dr. Edelin was indicted for manslaughter after he surgically terminated a pregnancy. Convicted and sentenced to a one-year probation by a secret grand jury, before the decision was overturned by the Supreme Judicial Court of Massachusetts a year later, Dr. Edelin's case drew national attention. Dr. Edelin is emeritus professor of obstetrics and gynecology at Boston University School of Medicine and author of the book, Broken Justice: A True Story of Race, Sex and Revenge in a Boston Courtroom. He joins host Dr. Martin Samuels to discuss his personal involvement in this landmark legal case and the issues it raised, which remain points of discussion in American society today.