Podcasts about concord hospital

Eddie is back , after being in the hospital for a week, along with Wayne.  We talk about Eddie's sickness, being on Oxygen, his experience at Concord Hospital, thank a nurse, plus the first Cruise Night of the year is next week, and more.

This conversation with Holistic/Functional Registered Dietitian Traci Komorek will inform, inspire, and entertain as we discuss nutritional health. She is passionate about helping her patients find their best health. About Traci"I started my career at Concord Hospital. I soon discovered my passion was in preventative health. I saw too many times the negative consequences of the restrictive food/shake industry and wanted to create a space where I had time with my patients, to listen and use food as medicine. With our busy schedules and specialized healthcare model, I felt a need to create a practice where we look at health and wellness in a more holistic way. Especially in the areas of GI health, patients were continually coming to me with debilitating symptoms they had been dealing with for years with no answers. I have specialized in gut health to give my patients the answers with functional testing and results they are looking for. I created Fresh Roots also to have the balance to raise my family and have the career I wanted. I love to shop at farmers markets and local farms. You will see me out swimming a lake, biking the road, hiking a mountain, or skiing the local Nordic trails all season long with my family."You can find Traci on her website, on Facebook, and Instagram.If your nutritional health challenges you, reach out to a professional. Our mind and body are connected, and physical health is directed and related to our overall well-being and mental health.Thank you for being here today! Please share this episode with others. I also love your comments and 5-star reviews!!!Heather

The often challenging diagnosis of neuromuscular junction (NMJ) disorders can be explained by suspicious red flags for the key differential diagnoses (mimics) and atypical presentations (chameleons).  In the latest Editor's Choice paper podcast, PN's podcast editor Dr. Amy Ross Russell interviews Dr Stephen Reddel and Dr Shadi El-Wahsh, both from the Concord Hospital, New South Wales, Australia, and the authors of Neuromuscular junction disorders: mimics and chameleons. Please subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol. Production and editing by Letícia Amorim, Amy Ross Russell, and Brian O'Toole. Thank you for listening. 

Nurses at Concord Hospital face fines for parking in designated spots they've used for years, prompting debate over fairness and lack of notice.See omnystudio.com/listener for privacy information.

Health Services Union Secretary, Gerard Hayes, has explained that Concord Hospital workers will walk off the job today following exorbitant parking costs, which is setting them back thousands of dollars. See omnystudio.com/listener for privacy information.

Notes: I've been lucky to have Resa singing with me for the past ten years in various Juneberry Music offerings, and her warm, colorful voice always brings me pleasure to hear. So as I sing this song, it's as though I hear Resa's voice inside mine. There's something wonderful about selecting the voices that are allowed inside your head and the messages you choose to hear. I find myself calmed by Resa's companionship in this song, reminding me to return to the present, make space for what is, return, return. Songwriter Info: Resa is a Certified Music Practitioner (Therapeutic Musician) at Concord Hospital, Concord, NH, who sings at the bedside of patients, including those who are who are physically and mentally ill, dying, recovering from surgery, in a coma, or in the NICU. She firmly believes in the healing power of music, and, like St. Augustine, affirms that "He who sings, prays twice." Resa has been singing in choirs and choral groups in the United States and Europe since she was 5 years old and occasionally accompanies herself on piano or guitar. When not singing, she is a voracious reader, an adventurous cook, an avid cross-stitcher, and devoted pet-parent. This song was born fully formed after struggling with the process of being present in the gift of each moment as it arrives. Sharing Info: Yes -- The song is free to share in oral tradition groups, but please contact Resa for recording and/or performing permission. Links: Resa's profile on Creative Ground: https://www.creativeground.org/profile/resa-cirrincione-cmp#section-about Song Learning Time Stamps: Start time of teaching: 00:04:15 Start time of reprise: 00:12:20 Nuts & Bolts: 4:4, major, mantra, unison (optional harmonizing) Join the A Breath of Song mailing list (https://dashboard.mailerlite.com/forms/335811/81227018071442567/share)  to receive a heads up as a new episode is released, plus a large version of the artwork, brief thoughts from my slightly peculiar brain... and occasional extras when they seem vitally important! No junk -- I will never sell your address. I read out all your names into my living room when I send new mailings... I appreciate the connection to you who are listening and singing these songs with me. Exchange energy with A Breath of Song with dollars at the Gratitude Jar (https://www.abreathofsong.com/gratitude-jar.html)  (whoo-hoo!!!!), or by making comments, leaving reviews, suggesting songs or songwriters (including yourself) ..... your participation matters!

Join MATTER and AVIA for the fourth and final event in the Health System Innovations series, focusing on stories of successful startup and health system collaborations.In this session, you'll hear insights from startups and health systems that have collaborated on implementing a solution and the journey from first contact to execution and what makes a good implementation. Both parties will discuss their perspectives on what made the relationship successful, how success was measured, anticipated outcomes versus reality and tips for healthcare startups on their journey to partner with health systems.Dr. Chris Fore, chief quality officer of Concord Hospital, and Craig Limoli, CEO and founder of Wellsheet, discussed the implementation of Wellsheet's predictive clinical workflow platform to support clinicians during the COVID-19 pandemic. Then, Crystal Broj, MUSC enterprise chief digital transformation officer at Medical University of South Carolina (MUSC Health), and Neal Vachhani, head of client services at Notable, talked about the implementation Notable's platform to create a “digital front door” to improve the patient journey at MUSC Health. The event was moderated by Zain Ismail, senior director, digital health and transformation at AVIA.For more information, visit matter.health and follow us on social: LinkedIn @MATTERTwitter @MATTERhealthInstagram @matterhealth

Moriah Billups from Concord Hospital Trust is in the Concord TV podcast studio to talk about several upcoming events and other things happening. More information is available at https://giveto.concordhospital.org/.

In this episode of Healthcare Re-Scribed,  Erin Collins, VP of Nursing at Concord Hospital, joins the conversation and shares her background and career trajectory within the organization. They highlight the need for partnerships in recruitment, retention, and patient care, emphasizing the importance of collaboration beyond the walls of the hospital.  Chris Romanello, co-founder of BrettonTrova guest hosts with Greg on this episode to dive into the details of the business relationship that provoked MAJOR improvements in req counts, speed to hire and execution in recruitment department. They discuss their partnership with Concord Hospital and the importance of progressive partnerships in healthcare. The episode explores the progressive approach taken by BrettonTrova and Concord Health System and the role of leaders in fostering successful partnerships.

Renee Plodzik was in the Concord TV podcast studio to talk about Fit4aCause and her annual Fit4aCause Triple Challenge event happening August 20 at Memorial Field. She is also a nurse practitioner at Concord Hospital, a cookbook author and and an overall force here in our community. Learn more about her story: https://fit4acausestrong.com/. Music by Matt Boisvert.

In an interview with John Stanley, Health Minister Ryan Park addresses government action toward the health industry after shocking conditions of Concord Hospital.See omnystudio.com/listener for privacy information.

This episode features a conversation between Joe Dulac from the class of 1990 and Ely Bueno from the class of 1998. Joe and Ely first met because they went through the New Hampshire Dartmouth Family Medicine Residency Program at Concord Hospital. They have stayed in touch since then, but reconnected in a meaningful way during the COVID-19 pandemic. Their conversation showcases how the mission of Holy Cross and the lessons learned during their time on the Hill helped to support them in living a life of meaning and purpose in service of others. Interview originally recorded in May 2022. --- Joe: We were going to just stay home during a pandemic or we were going to step up and figure out... Honestly, the choice was close down the practice and maybe we'll open up in a few months or we're going to figure out a way to reopen and serve our patients. Maura Sweeney: Welcome to Mission-Driven, where we speak with alumni who are leveraging their Holy Cross education to make a meaningful difference in the world around them. I'm your host, Maura Sweeney, from the class of 2007, Director of Alumni Career Development at Holy Cross. I'm delighted to welcome you to today's show. This episode features a conversation between Joe Dulac from the class of 1990 and Ely Bueno from the class of 1998. Joe and Ely first met because they went through the New Hampshire Dartmouth Family Medicine Residency Program at Concord Hospital. They have stayed in touch since then, but reconnected in a meaningful way during the COVID-19 pandemic. This conversation offered Ely a chance to ask Joe questions to learn more about his professional journey, which included the opportunity to open and build a practice from scratch. It also gave them a chance to reflect on their past, discover shared connections and process everything they went through over the past few years. In particular, they speak about the challenges that doctors faced during the pandemic and how they lifted each other up during difficult times. Their conversation showcases how the mission of Holy Cross and the lessons learned during their time on the Hill helped to support them in living a life of meaning and purpose in service of others. Ely: Joe, thanks so much for agreeing to do this interview in this format. It comes from a place of deep gratitude for your professional contact and your friendship over the several years that we've known each other. And so now we get to dive in. Joe: Great. This is a great opportunity to meet with you and try something new, right? Ely: Yeah, definitely. And now, did you ever go on the spiritual exercises in Holy Cross, Joe? Joe: Right. Did a lot of things at Holy Cross, and so did do the one-week silent retreat in Narragansett, Rhode Island, which... it was very powerful, of course. Ely: Yeah. Joe: Yeah. Quite an experience. Ely: Yeah. So I also attended, and I think as we start invoking that Ignatian spirit of really the deep sense of giving of ourselves for others in contemplation, in meeting God through story, this is really a great opportunity that Maura has for us as alumni to connect and tell our story. So I'm really eager to hear about yours. And so diving right in, tell me about how you got to where you are now from Holy Cross and beyond. Joe: Okay, sure. Certainly, I always talk about paths being not really straight. You think you're going to go on a straight path and then path kind of zigzags. So to get to Holy Cross, so I was Chelmsford High School and was very interested in sciences and was accepted into Holy Cross for chemistry pre-med. And obviously that was challenging and stimulating. And so I went through the process there with all the pre-meds and the basic science and chemistry. And there was a time where there was a choice between being a chem major, going to chem grad school or going to med school. And so there was a time where there was some uncertainty, the path that I might take. So a lot of the professors were very supportive, really of either path. But because I was a chem major, I think they were very supportive of the chemistry track. So I did do research in the summer with Holy Cross and with Dr. Ditzer, and enjoyed that, but still found myself interested in the pre-med track. So I applied and went through all the steps with the MCATs. Did have some struggles in my junior year, so I did have a little bit more of a crooked path after that. So I did a year of grad school. I was going to go into Georgetown, but found that Boston University had a program on medical sciences, and I got accepted from that program and into the med school there. And so my first year was doing a thesis, but I was able to take several medical school courses including gross anatomy and neurosciences and physiology. So that really helped solidify what I wanted to do in the path. And though I had a little bit of struggles in my junior year in grad school and in med school. Well, the first year of grad school, my professors had remarked that I had caught fire academically and kind of on a tear. So the path was kind of a little bit crooked there. But once I settled in at Boston University after Holy Cross, the medical sciences just kind of took over and it's kind of a labor of love, learning and staying up late and being on call and all that. So I was at the Boston Medical Center there in Boston University, which was really interesting time because they were building the new hospital. So halfway through training, they completed the hospital there and then they crushed it down to smithereens. But in one day we basically were in the old hospital and the next day we were in the new hospital. And so that was really great training through the basic sciences at Holy Cross and experiences there. And then I was looking into residencies and as would have it, I had applied to a lot in the New England area for residencies for family medicine. And I had gotten a scholarship in Lowell with the Mass Medical Society and John Janice and his family, one of the doctors in the family was starting the residency in Concord and Lebanon, New Hampshire. And he said, "Hey, I'm going to give you the scholarship, but maybe you should consider our program." And so I applied and matched. And so I ended up in Concord and mostly Concord and Lebanon for family medicine. And it was the very first year of the program, which probably better I didn't really know what I was getting myself into. The program was really good, but as a first kind of run through, what I didn't understand at the time was that though you're a resident, you're basically a faculty member because you're developing all the programs everywhere. Every program, every rotation was the first time they ever had a resident or any kind of training. So that was a different kind of experience as well. Ely: I have some questions about your residency challenges. How much did you do in the bigger hospital in Lebanon? Joe: I did several rotations up in Lebanon, which were great. So I did a lot of pediatrics there with Chad. So that was our big pediatric kind of connection. And then I actually did obstetrics in Augusta, Maine because at the time... I'm not sure if you're trained for OB as well, but they wanted us to be fully trained for OB, which I was. So I did an OB rotation. I made that happen in Augusta, Maine, which was really interesting, delivering babies out. It's the state capital, but it's still kind of rural actually. And then I did also make a OB rotation in Beverly, Mass. And that was very developmental because no one had ever been there before. And then I did sports medicine, I made some sports medicine rotations in Portland, Maine. So those were interesting. And then I did put together a holistic herbal experience with Ascutney mountain and the herbalist. So that was up near the Lebanon area, but for pediatrics, I think I did a few months at Chad. So it was great being up there at that hospital too. Yeah, the Dartmouth Hitchcock Hospital is a really fantastic place to train. Ely: Yeah. I am very proud of our family medicine residency program. By the time that I had arrived in Concord, it was exclusively at Concord Hospital, so all rotations were there. And I did high risk OB rotation in Nashua, New Hampshire, and some of the main Dartmouth residents came to our program to do some rotations or came down to Nashua to do some rotations. So that kind of relationship with other hospitals in the area were nice to be able to have established from relationships that you guys forged. So that has always been a nice part about learning in community. Joe: Well, I know we had touched base about that, and I remember having mixed feelings about the training and starting a new program. I remember you mentioning to me one time how you felt that the program was really excellent and that you had gotten really well-trained there. I know the training was definitely good in terms of experiences because even though it's not necessarily big city, Concord is the state capital again of New Hampshire, but still a lot of it's rural, a lot of rural type of problems. At the time, at least, I don't know how it was by the time you got there, but still a lot of patients had hadn't had access to doctors in a long time. So most of the illness that we would see as residents were actually advanced and surprising, patients with really far along illnesses that you're kind of surprised that they could just still be walking around with that situation. Yeah. Ely: Yes, definitely. That kind of establishing disease management and identifying severe disease was really was an important part of training. And I think, yes, Concord is a catchment area for that area. And Concord Hospital's Family Health Center is a federally qualified health center, much like where you work in East Boston currently, but there were a lot of social workers that helped. So there was definitely this sense of team effort to help engage people's health and work together. So that was a really good part. That's what I really liked about the training is that I learned from our pharmacists, from our social workers and other community health workers. So that was a good part of the training there. And it sounds like that helped you establish your career with in Dracut because you started your clinic there. Joe: I think all experiences eventually helped you later on for sure. So you're right, in Concord starting the residency program, I guess to some degree I wasn't scared to start a practice. So I guess there's that component of it. But though after I finished with the residency program that you also attended, then I returned back to my hometown in Chelmsford. And so when I finished, I went and had physical make sure that I also checked on my health. And so at that time I had gotten a physical in Chelmsford, the doctor that there was working with some other doctors and offered me a job in their clinic. And I said, "well, I'm just here for a physical, I don't think I want-" Ely: You got a job. Joe: Yeah, "don't think I want a whole job, but my physical must have been good." Ely: God bless family medicine, we do it all. Joe: So I did work a couple years in my hometown in Chelmsford in Drum Hill with Dr. Gamasis. And then actually I went back into New Hampshire. So when Michelle and I were married, we moved up to New Hampshire and then I worked with Wentworth-Douglass Hospital doing family medicine. And at that time, certainly most of the career up until that point and even after was fall spectrum. So when I worked in Chelmsford, it was inpatient medicine, outpatient medicine, ICU care, the rehabs, home care. So it was a lot. And so we would admit patients to the hospital, we would follow them and also do ICU care, and that was very satisfying. But it's a different world than it certainly is now in terms of, I suppose, expectations, acuity, the length of stay. I don't think it's even possible to do both now, but we did. And so I did that up in Concord and then actually we put a hospitalist program in there, which was actually very controversial, and then we ended up just transitioning to outpatient medicine. So then in 2007, I actually came back down to the area of Merrimack Valley with Saints Medical Center. They were near and dear to my heart because I had still been on staff there and they were looking to open practices and they said, "hey, can you open one of practice for us in Dracut?" And I said, that sounds really exciting because for me as a physician, I've always enjoyed obviously seeing patients and being in different environments. But one thing that you may never have an opportunity to do is to start a practice. And as a physician, starting a practice means you can really put your own personality into it and you're not inheriting necessarily a practice that's already there, or maybe another doctor's patient with maybe their style of medicine. So that was really exciting for me to be able to do that. And so the cool part about that situation was they also wanted me to be involved in the design build of the practice, which was super exciting. I didn't know anything about architect work or designing anything. So that was really exciting. And then we opened the practice and we had no patients. Day one, no patients, which is different than a lot of scenarios. So that was exciting and scary at the same time. Ely: Well, the natural question now I have is how did you recruit patients? Joe: Gosh, that was exciting time too. So a couple things, you just never know how life's going to go. So while we were doing this project, it was supposed to start in 2007, but it was delayed. So I had left the job in New Hampshire, came down, and they said, okay, unfortunately it's going to take longer than we expected. We're going to put you at the walk-in clinic for the year that we're going to get all this project going. And that was in Lowell. So I had never done urgent care medicine, so it's a little different and exciting and somewhat scary too, actually at times. And so I did that for a year. And there was a doctor that Dr. Bousquet who was a really wonderful doctor and a friend, so he must have known his life path what it was going to be. So he basically introduced me to so many people, so many patients. Even though he was kind of retired, they would still come to the clinic and he'd do kind of a primary care situation for them and then he would introduce them to me. And so I wasn't even really kind of aware of that was what was happening. And then so when I opened the practice, I did have actually a core of patients, which was really nice. And then we just did a lot of different things. So we went to every possible event that they had. So we went to job fairs where they wanted medical people. We went to the old home day in Dracut. I went to the Dracut baseball night, the comedy night, the fundraisers, whatever just to meet people. So that summer was really interesting. So we had no patients and then we slowly developed patients. I just basically stayed on a call every day, which wasn't as bad as it sounds, but when you have a startup practice, it's kind of neat to be on call all the time because then you're connecting with the patients very, very well. And then we had excellent people. So basically, there were three of us. So the three of us basically started the start of the office. So it was kind of exciting times. Yeah. Ely: That is quite a journey and a lot of legwork goes into building a practice in terms of just building the relationships you had with Dr. Bousquet. And so I am curious though, just as much as you were really involved in the community, if you can talk about it, how did it impact the way you and your family were developing? How did that balance work with being on call all the time and having all these obligations with work? How did you- Joe: It worked out in some ways. So though at the time, and actually still now, so we live way up in almost near Portsmouth, New Hampshire, but the practice was in Dracut, but again, this is kind of how crooked lines work and nothing's ever kind of straightforward. So we're both from that area. So she's from Lowell, I'm from Chelmsford, so we have family there. So though it was challenging in some ways to be here and there, it also was doable because for instance, her mom lives there. Her mom lives right down the street. And then my parents live in Chelmsford, and then my brothers live in Nashua and Chelmsford. So I think if it was a different location, it probably wouldn't have worked, but I could check on her mom, I can check on my parents, I can see my brothers. So that was nice. And then we could stay there. We could stay there on the night or the weekend. So that worked out really well. And then starting a practice also meant that I had flexibility because I could tell patients to come at seven o'clock in the morning, they could call me. So there was a lot of flexibility and that allowed me to have time to coach baseball and soccer and flag football. And so I guess it just kind of worked out because I guess you wanted it to, if you wanted it to work out. There were times it was hard. So I coached a lot of baseball, and so I even started sometimes at 6:00 AM and then would try to complete by early afternoon and then kind of rush home and then run some baseball drills, run the practices or the games or whatever. So I guess it just eventually worked out. But I think having some creativity in it and then having it be my own entity was really exciting. You have a lot of ownership in it and you can make things work, I suppose. And I really enjoyed having a personal connection to the patients that allows them to tell me that the schedule doesn't work for them, for instance, and they need something, and I can say, well, why don't you just come in at 7:30 and I'll do your physical then, things like that, which is to me is very, very satisfying 'cause the patient obviously needs certain things and I can know what those are. And then having some flexibility allows you to meet that need and you feel like, okay, that's why I'm actually here. Ely: Yes. Joe: Yeah. Ely: Well... you did... you say... it's amaze... I love hearing about this story and it's just different than mine. I also had a zigzaggy kind of path to medicine. But what I really am getting the sense of, Joe, is that you worked really hard to create your network, your family, really, work family, and then you really worked hard with your wife to build a network and a team that supported both of you, all of you. And if we don't really have a supporting team around us, it just can't work. And that's really a wonderful thing that you had and have currently. But I can imagine the shift in the culture of medicine and the way it's been managed provides some challenges now too. How have the rules changed around you in terms of management? Joe: Those are really great questions. And I guess it's easy to just gloss over the past and think, okay, gosh, everything was just really rosy, but it's not, it's not always rosy. So currently I think I'm way more satisfied than probably I have been in maybe in a long time. And I think some of that is because, like you were mentioning about working with people or networking, I think a lot of it is because the other doctor in the practice and also another doctor that also is there, we worked together to create the systems. Again, not to maybe speak poorly about systems, but we were in systems thinking, this is not really kind of what we're thinking or this is not actually functioning how we want it to function. Oh, okay, so you're feeling the same way as me and you're feeling the same way. And then, okay, let's express that. So we actually met a lot. It's changed even over the COVID, but we met a lot as doctors to talk about what we thought about medicine, what we thought about and how things should go, and then why it was or wasn't at that point. So I think at some point we just became leaders of our own own destiny. Now that doesn't always come easy. Sometimes you got to fight for that and sometimes it just works out. Certainly to your point, and I've kind of learned this kind of the hard way over time, I think joining forces with people is way more effective than just being the only person that maybe is complaining about something or that wants something to change. If you have two or three people that you work well with and you talk about things and you actually make sense, it's going to go good places, right? Ely: Agreed. Joe: Hopefully. Ely: Yes. Joe: Hopefully. Ely: Well, collaboration always brings some good fruits. And I would have to say, I really felt like over COVID, as we progress in this age of COVID, I'll just say it's really the pandemic continues, let's remind each other, and- Joe: It is continuing. Ely: ... it continues. But I feel like throughout COVID, I would often send a little message out to you in a way that helped me process what was going on. And the confusion about how we were operating or guidelines, miscommunications or communications about certain guidelines that were changing daily and they still really are, but I felt like having someone to vent about stuff that was changing was very helpful. So I again want to thank you for that. And I think that it helped me just advocate for what was going around in my situation. So thank you for that. Joe: Yeah, I'm glad that we connected because though there were three doctors in my practice, there was a time where we were either not working in the office at all or we were all remote and not really even seeing each other. And then at some point, yeah, there was an isolation, even though the physicians and medical staff. And so I think though it feels like I helped you, you secretly helped me kind of realize that I was doing some of the right things or thinking of the right things or I wasn't kind of off base thinking about the same things that you were thinking. And I may have told you yeah, you're right. But I might have also been secretly questioning it too. So I think, like you said, kind of connecting is definitely powerful. And I can't even take credit for all of that because though I was doing the family medicine in Dracut, I was also blessed to be a part of the East Boston clinic and some of the doctors there are also very amazing and they do different things. And so one of the doctors I worked with there, he gets deployed for disasters. And so he had gotten actually deployed from our pediatric kind of practice there to the very, very first COVID response unit in California when they had the cruise ship and they had 300 patients and they had no place to put these people. Kim and his crew went out there. So he had already been in the thick of it. I think that was December maybe 2019 or something. So he had already been in the thick of it and he came back and then I just remember learning so much from him and then thinking, okay, you have to be organized, you do have to have protocols, and you do need certain things. You need PPE, you need testing, and whether you can get those things or not, or if people are going to support you, you actually do need it. So advocating for those things, super important. And maybe you couldn't get everything you wanted. We couldn't get any N95 masks, but the other doctor that was in the practice had had the forethought of buying them. So we actually bought our own. And they weren't that great really, but they worked. And then, strangely enough, we were able to repair them. So I actually did a lot of glue gunning for several months of the masks because I didn't have another one. So it's kind of exciting in some ways to make things work, right? Ely: Yes. And being in medicine during the pandemic really made us either just dig our heels in and say, we're staying, we've got this, we have to do this, we have to do something. Whether it is in actually facing COVID patients in the hospital or out in the field, so to speak, in outpatient field of we have to deliver care, whether that it was telemedicine or in office eventually, and how we're we going to be able to do that and getting those PPE, for those listening, personal protective equipment. I think now we probably know that that's probably colloquial more so than just a medical term, but yeah, we have come a long way. And then to really sit and talk with you now about, man, that was some tough times over the last couple of years specifically. I'm listening to your story. I'm really curious and very enthralled with your development of your practice, but also just knowing what we have shared together in our health system with what we went through in the last two years. That was a lot. And it's still really tough. So I'm glad we're, we're still going, but it is difficult. Are you feeling the same way about that? Joe: Well, it's very much a people profession and it's a caring profession, and I think we get energy off of each other. So your excitement, enthusiasm, and even your positive feedback helps to really motivate me and other people. And so I think that was one of the really exciting things about the pandemic. Sure, I could probably look back and have a lot of mixed feelings about different things, but I think one of the things that was really amazing was the administration kind of apparatus really froze up. And the clinical people, we basically had to rise up because it was either we were going to just stay home during the pandemic or we were going to step up and figure out... Honestly, the choice was close down the practice and maybe we'll open up in a few months or we're going to figure out a way to reopen and serve our patients. So that was the choice, and that was really the clinical leadership. A hundred percent. We even developed how we were going to screen patients and then for the limited testing initially what we were going to do. And then as testing became more available, what were we going to do, what questions we were going to ask patients, when were they going to be permitted in the office? All that stuff we had to figure out and then we just did it. So thought that was really exciting actually. So I guess to answer your question, compared to sometimes when you feel really just maybe you're not making a difference, this period has kind of felt like more like we're making a difference. So things do kind of get tiring, the electronic medical systems can get tiring and charting, and there are some mundane things. And I think also the other thing is the more that we're in charge, I think of the healthcare system, and even simple things like how we're going to do our schedule, it's really empowering. I guess that's some of the things that came out of it. Ely: Thank you for that perspective, because that learning by doing is precisely why I chose family medicine. And really the impetus for me to be just actively doing in medicine was why I then pursued a career in medicine. And so just to be reminded of that is exactly what we are doing. This is our calling to do it, and we are here to serve. And as difficult as it is, that's what we do and we do it the best. And yes, leadership comes in all form, including administration, and there's certainly guidelines and rules that we may admonish at times, but really it's an honor and our privilege to be able to help others and live out the dream we all had of becoming physicians and being able to realize that in the work that we do. So thanks. Joe: You're welcome. And it did really feel like patients really did need us. So for two years, there were times where we're running all kinds of tests for coronavirus, then helping patients with, are you going to be able to work? And for how long? And who's going to write those letters? And then when can you go back and well, maybe you're not actually doing all that well, so maybe we should run x-rays and labs and send you to the hospital and now working with some of these other therapeutics and whatnot. So yeah, I think there's a lot of components where the family medicine, you can really just jump right in. Yeah, you're right. And then you're also right too, where it's not all rosy. There are a lot of things that can get in between those things that we really want to do for patients and how we want to feel about our calling. Ely: It's not all rosy, but then again, really, I welcome the challenge. If I had to go back into where our education had formed us at Holy Cross, the challenges that we had in terms of asking the question, and this is really for me, formed from this first year program that is now the Montserrat program that I was part of. But this question of how then shall we live in this world of COVID there are constant changes and rules, how then shall we live and then dot, dot, dot as physicians, as humans, as a mother, as a father. So I think it really is a unique way of looking at where we are through the lens of having a Holy Cross Jesuit education. Joe: Absolutely. There are so many experiences during the time there that totally prepares you for a career in medicine, in family medicine, or even just caring for people. There's so many things. The list is just endless of events and experiences for sure. I had what they call a SPUD... suburban, I'm not sure of all the acronyms there. Ely: Program for Urban Development something. Joe: We had so much fun, we did so many different things. And I just remember taking him to the... I think it's the pub there where there's the bowling alley. We had a bowling alley on campus, we used to do that a lot and other fun events. But yeah, there was just a lot of good experiences. One of the things that I think was also really excellent too was I went for one of the breaks at the Appalachia Mountain. I don't know if that was going on when you were there. So I went to Kentucky Mountain Housing and that was I think about 10 days. And so that was really amazing experience. So not only were we serving others, and then we were building some houses up in Appalachia in Kentucky, but we had to work together as a team. So that was probably one of the early experiences of really team building. So we had several bands, I don't even know how many were in each band, 10 or 12 people in the band. And basically we were responsible for the budget and getting all our stuff and then getting there. So we had to meet in Virginia or something and then continue on. So I just remember we had to decide who was going to drive and when and what shifts, and then how we were going to do our meals and who was going to cook it and when and who was going to clean up, and then who was going to do what kind of jobs on the site there. So that was really amazing experience. And then of course, interacting with people in Appalachia and helping them build houses and learning about their life experiences was, I think that's obviously a really amazing experience. And it's very, very similar to being a physician, except not building a house typically, but you're interacting with people and connecting with them where they are. So that was definitely a formative experience and I'm really grateful I was able to do that. Ely: What I want to ask you, because now you're in a position of having one of your kids going to start at Holy Cross, do you have any certain expectations for her experience at Holy Cross? Joe: Yeah, no, thank you for mentioning that. Yeah, Olivia will be a freshman this fall, and she plans on the bio pre-med track or health professions track. And so yeah, super excited for her. I'm overjoyed. For both of my children, I often brought them to different Holy Cross events. And for Olivia, we did the move in together. Well, not her move in, but we helped the students move in about five years ago. And then we've done several Holy Cross cares days, and then we've gone to reunions or football games or things. So I was always hopeful that she would have an interest and since I've been there a million years ago, the campus, it changed so much. They've just added so many wonderful things and buildings and upgraded just everything. So I was more than excited for her to consider it. And I'm really hopeful that she has a lot of the experiences that I had or even more. And so what I had wanted for her is not just go someplace and just do science, just be in the lab, just doing science by yourself, with your head down. I really wanted for her to have a real well-rounded experience and really develop other parts of her person as well. And I really wanted that for her. So I'm really hopeful that she sees it that way too. And she's very interested in the science building there. So we had to go look during all of her tours, specifically at the science buildings, even though lots of campuses in the United States are nice, the science building may not be nice. It may not be where they focus. So we went there and the newly kind of renamed Fauci Center definitely looked like it had gotten a lot of attention and would be a good place to learn. So yeah, I'm just really hopeful that she may find experiences like I did, or even different ones, even different ones. I was on the campus ministry there. And I found that to be really amazing, the 10 o'clock masses. And I walked on the football team for two years and was in a great dorm and had a lot of great experiences and a lot of great memories and friendships. Yeah, so I was hoping that she would get a lot of those experiences. So can I ask you about your recent career situation? Ely: Oh, sure. Joe: Because you're making some changes. Ely: Yes. So I would have to say the challenges of COVID and the challenges of parenthood, specifically motherhood, have put my focus on how to best be at home and do the work that I do. So being in the office, in the clinic, taking care of patients is truly rewarding. And I wouldn't change the opportunity for the world. But moving forward, I think I needed to step out of that in clinic role. And so now I've chosen a path to do telemedicine, and I'm very excited about developing my role as a communicator on the phone or by video and listening to patients. And that role won't change, but how I listen and how I engage with patients will be a little bit different and I'll have to hone in those skills. So I am looking forward to it. And I have a few weeks off before then. Joe: Well, I'm excited for you. So we've almost followed the same pathway, but now you're going a different pathway, because we both went to Holy Cross and we both went to New Hampshire Dartmouth residency and we both were urgent care in Merrimack Valley and Primary Care. But now you're going a different paths. Ely: Yes. Well, the zigzags of our paths have crossed many times in one way or another, and I'm sure they'll continue to cross, and hopefully that will continue. Joe: No, I think it's good 'cause I think our energy kind of feeds off of each other and our experiences or even just sometimes questioning kind of feeds off each other. And I think it's really positive. And I find that as I'm getting older and I actually think about what makes me tick, I think interacting with doctors and nurse practitioners and physicians assistants in the course of doing your work is extremely rewarding. And I really enjoy it. And so I do a lot of work in East Boston and a lot of times in the emergency room, and there's several doctors or some doctors and nurse practitioners, and I never really can really put my finger on why I enjoyed it, but I just really enjoyed being together with four or five doctors. It's amazing. You can talk to someone who has major differences in their life experiences or the clinical experiences, and you can just talk to them like right there, hey, I'm doing this for this patient, and what do you do? It's just amazing wealth. It really can help to develop just your satisfaction. But I do want to mention something, and I don't really know how to say it, but I think you brought up and there are, I think, unique challenges to being a male physician and a female physician. And I think with COVID and the additional responsibilities, it's really complicated. You could speak to this more than I, but I think as a female physician or a female nurse, you're also expected to take care of your kids when they're sick, which they're sick a lot with the COVID or not COVID or finding out if they have COVID. So what I've also observed is that the intensity of the responsibility is huge for women in clinical positions, and COVID just has made that so much more apparent and intense. So I understand maybe why you're making some changes there, but obviously you know more than I how that all works. Ely: I really appreciate the acknowledgement of the role of mothers in medicine and fathers have equally distinct roles in managing family life. So for some reason, for me, it has fallen on me to really be at home when they are sick or in quarantine. And it's something that I don't obviously mind doing, I love my children, and I just want to be able to show up for my family, myself and my patients equally as strong. And in my most recent role, I wasn't always feeling like I could do that and for one way or another. And it's not the fault of the system or the role itself, it just happened to play out that way. However, I did find some agency in looking at other options and voila, COVID opened a lot of doors to telemedicine and other opportunities for physicians to practice. So that was a fringe benefit, if I could even say a benefit of the pandemic was some doors that opened. So I felt enough agency to be able to walk through that door, and that was not because I was suffering, that was because there was a lot of strength that came from learning from my colleagues in my previous role. So I have a lot of good feelings for where I came from and a lot of excitement for where I'm going. Joe: I know, I think it's really wonderful and fantastic, and I'm glad that you acknowledged the unique pressures or stresses that you've felt 'cause I don't think they're unique to yourself. And so I'm glad that you've articulated that. And what I always think is by the time you've become a doctor and you've done all the amazing steps to get there, and then you're connecting with patients, to feel like for some reason you can't do that work because of whatever, because of schedule, because you want to also be there for your family or whatever systems things, and to think that maybe someone might actually leave the career altogether, it's really upsetting to me because it's usually the people that are the most caring and connected because you've given out so much of your energy and you just realize it's not working out. So kudos to you to try to figure out a way to keep all that amazing energy, like caring for patients. So I'm glad that you've figured out a path. Ely: Thank you. Joe: Yeah, it's exciting. Yeah, because I know you'll be back doing family medicine at some point in person, that's why I'm saying that. Ely: Yes. Well, my roots in community are very strong. And so to really hear your story of community building, it restores my faith in the progress of medicine and in the intensity of how we serve each other. So again, I cannot say thank you enough. Joe: Well, thank you to you too. Ely: The way I would love to close the interview is to say one thing that you are really excited about the future of family medicine. And I think I'm excited about the continued relationship building and the connection with colleagues as well as patients because if we are stronger as providers, as physicians, then I think that really only encourages our patients to become stronger and to have their agency to take care of their health. And really healthy communities, healthy families are what the drive to family medicine is. And so I'm really excited about that, that relationship is going to continue and get even stronger. How about you? Joe: I think you're right about that. And in the perspective of my path is that training in Boston in the '90s, family medicine was not at all desirable. And so you had to actually leave the city at the time to even seek out the specialty. But in time now, family medicine's very important everywhere, including in the city, including at the academic centers. And with my family medicine background, working in the ER, I do work with the pediatric group in Boston. I do family medicine in the clinic. I've also done urgent care and I feel equally at home in all those settings. And that's really nice. And I think connecting with the patients, I do feel like they actually do need us to know about a lot of things there. There's so much more complexity to health, and it's good to be able to do that over a wide range of health. And the other thing I like too about family medicine is we don't always have to make health issues always necessarily bad. We can talk about them as things that are opportunities to improve and maybe even opportunities to work on holistic health maintenance. So yeah, I think there is a lot of positivity to the future. We're going through an electronic medical record transition to Epic, which was really challenging. But I've used Epic in other locations and I'm finding that it, to some level is restoring my joy of medicine because the system is very good and allows me to actually complete functions rather than having the functions kind of dictate my whole day. So I think that hopefully technology will also help, at least the technology part that should be in place to help us. So I'm optimistic hopefully. Ely: That's a wonderful place to be optimistic and also carries us into the future. Maura Sweeney: That's our show. I hope you enjoyed hearing about just one of the many ways that Holy Cross alumni have been inspired by the mission to be people for and with others. A special thanks to today's guests and everyone at Holy Cross who has contributed to making this podcast a reality. If you or someone would like to be featured on this podcast, then please send us an email at alumnicareers.holycross.edu. If you like what you hear, then please leave us a review. This podcast is brought to you by the Office of Alumni Relations at the College of the Holy Cross. You can subscribe for future episodes wherever you find your podcast. I'm your host, Maura Sweeney, and this is Mission-Driven. In the words of Saint Ignatius of Loyola, "Now go forth and set the world on fire." Theme music composed by Scott Holmes, courtesy of freemusicarchive.org.

In this TOGA Podcast, and on International Women's Day 2023, we celebrate female leadership in medical research. We explore the challenges and success pathways across different career stages for women who work in medical oncology and clinical research. Associate Professor Prunella Blinman, head of the medical oncology department at Concord Hospital and past chair of the Medical Oncology Group of Australia, is joined by Assistant Professor Narjust Florez, Associate Director of the Cancer Care Equity Program and a thoracic medical oncologist at the Dana-Farber Brigham Cancer Center; Professor Lorraine Chantrill, medical oncologist and Head of Service for Medical Oncology across the Illawarra and Area Clinical Director of Clinical Trials; and Dr Rebecca Tay, medical oncologist at Royal Hobart Hospital and former clinical research fellow in lung cancer at The Christie NHS Foundation Trust in Manchester, United Kingdom. https://ascopubs.org/doi/abs/10.1200/JCO.2019.37.15_suppl.10503

Although we have made significant progress in mitigating the medical and social problems related to COVID-19, it does continue to be a significant issue globally. There are still many questions that need to be answered. In this podcast, we interview Professor Tom Gottlieb, head of the Infectious Diseases Department at Concord Hospital, Sydney. Tom provides his insight into key issues. These include the new antiviral treatments that are available to reduce the impact of infection, the best approach to boosters, vaccination regimes and more challenging topics such as the origin of COVID-19. This is a must listen for anyone who wants to know more about this pandemic and the next phase of our mitigation of its impacts and its evolution. 

Dr. Amy Ross Russell(1), interviews Assoc. Prof. Todd Hardy(2) and Dr. James Triplett(3), about their recent paper detailing the clinical approach to diagnosis and management of Posterior Reversible Encephalopathy Syndrome (PRES). Read this latest Editor's Choice paper on the Practical Neurology website (https://pn.bmj.com/content/22/3/183) and the June print issue of the journal. The paper is also discussed by Practical Neurology editors, Dr. Phil Smith and Dr. Geraint Fuller, in their latest podcast: https://soundcloud.com/bmjpodcasts/editors-highlights-of-the-june-2022-issue?in=bmjpodcasts/sets/pn-podcast (1) Neurology, University Hospital Southampton NHS Foundation Trust, UK (2) Staff Specialist Neurologist at Concord Hospital, Clinical Associate Professor in Medicine at the University of Sydney, Australia (3) Staff Specialist Neurologist and Neurophysiologist, Concord Hospital, Sydney, Australia Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.

Australische onderzoekers hebben een nieuwe DNA-test ontwikkeld waarmee sneller en nauwkeuriger een groot aantal genetische ziektes in één keer kan worden gedetecteerd. Het gaat om degeneratieve ziektes, zoals spierziektes, maar ook aandoeningen die iets als balans beïnvloeden en sommige vormen van epilepsie. De ziekte van Huntington is één van de bekendere uit het lijstje. Sommige ziektes zijn zeldzaam, sommige komen wat vaker voor, maar ze hebben met elkaar gemeen dat ze worden veroorzaakt door ongewoon  lange DNA-sequenties in iemands genen. Een soort stotter in het DNA. Nu is het zo dat - omdat de symptomen vaak niet direct naar één duidelijke ziekte wijzen - het heel lang kan duren voor wordt ontdekt om welke van deze ziektes het bij iemand gaat. Dat kan een proces van jaren, soms zelfs tientallen jaren zijn. In die periode leeft iemand in grote onzekerheid en krijgt diegene niet de juiste medicijnen. Met de nieuwe test is het een kwestie van dagen en kan dus op 50 ziektes in één keer worden getest.  In deze audio hoor je Neuroloog Kishore Kumar van het Concord Hospital in Australië. Lees hier meer: Single test for over 50 genetic diseases will cut diagnosis from decades to days. De paper vind je hier: Comprehensive genetic diagnosis of tandem repeat expansion disorders with programmable targeted nanopore sequencing.  See omnystudio.com/listener for privacy information.

In this Healthed lecture, plastic and reconstructive surgeon, Dr Joseph Dusseldorp, Chris O'Brien Lifehouse, Concord Hospital, will update health professionals on what can now be done to repair ear deformities, even very severe ear deformities. He will describe how new technology is enabling better pre-surgery planning, providing new options in prosthetics and helping restore function which is resulting in remarkable outcomes for patients. See omnystudio.com/listener for privacy information.

Whilst rare, Myasthenia Gravis incidence has increased 3-fold since the 1950s Suspect if a patient presents with asymmetric ptosis, complex Ophthalmoplegia without single cranial nerve involvement in the setting of true fatiguing weakness Learn about a simple examination and test to perform and the blood tests to be done and when a CT chest is indicated Referral and treatment goal   Host: Dr David Lim | Total time: 46 mins Guest: Dr Fiona Chan, Neurologist; Inner West Neurology and Concord Hospital, NSW Register for our fortnightly FREE WEBCASTS Every second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next one See omnystudio.com/listener for privacy information.

Dr. Robert Rix is an emergency department doctor at Concord Hospital in New Hampshire. In this memo, Dr. Rix uses old, bad data, which he admits in the document is old, bad data, to push for vaccinating children. Also, Kevin Clinesmith, the FBI attorney who fabricated evidence against Carter Page in order to spy on […]

In this episode, I speak with Eileen, a Senior Social Worker who started her career in child protection before transferring to health. She worked for 10 years in the spinal and rehabilitation field across acute, subacute and community areas and was a Social Work Team Leader at Royal North Shore Hospital Cancer Services Team working in medical oncology. Currently, she works as a Case Manager at The National Centre for Veterans' Healthcare, an outpatient clinic at Concord Hospital. Links to resources mentioned in this week's episode: Open Arms: Veterans & Families Counselling - https://www.openarms.gov.au/ National Centre for Veterans' Health Care - https://www.slhd.nsw.gov.au/concord/NCVH/ Social Prescribing program - https://chf.org.au/social-prescribing Legacy: supporting veterans' families - https://www.legacy.com.au/ This episode's transcript can be viewed here: https://docs.google.com/document/d/1jmNLBmdvrZgajyhr1wsyMLaPu6wPaHRWTc4L6JM7ELM/edit?usp=sharing --- Send in a voice message: https://podcasters.spotify.com/pod/show/socialworkspotlight/message

Welcome to our second season of Talk Concord! Susan Chase from Concord Hospital and Concord Hospital Trust is in the podcast studio to talk about this year's Rock 'n Race (in person and virtual options!) and other events. Music by Matt Boisvert.

In this Healthed lecture, Prof Andrew Sindone, Cardiologist; Director, Heart Failure Unit at Department of Cardiac Rehabilitation, Concord Hospital, explains that influenza has been identified as a trigger for an elevated risk of myocardial infarction (6-10x), stroke (3-8x) and HF hospitalization (5% increase) within 1 week of influenza-like illness. Plausible biological mechanisms for this association are now emerging. Influenza vaccination may prevent cardiovascular events. This has considerable clinical and health policy importance given the profound underuse of vaccination and the potential impact which influenza vaccination may have on high-risk patients. See omnystudio.com/listener for privacy information.

Giraffe in a Hospital? Nepean Hospital on the outskirts of Sydney serving a large geographical area has a busy but under resourced emergency department. Medical equipment however can be expensive which prompted local ED nurse Carolyn Fitzpatrick to raise funds to purchase two essential items....a giraffe shaped resuscitation device and a hand held retinal camera. Total cost approx $50,000. She succeeded thanks to Rotary and in particular the support of the Lower Blue Mountains Rotary Club and Haran Ramachandran, Rotary Foundation Grants Chair. Hear how this came about and Haran's engagement with the burns unit at Concord Hospital.

In this Healthed lecture, Prof Andrew Sindone, Cardiologist; Director, Heart Failure Unit at Department of Cardiac Rehabilitation, Concord Hospital explains that iron deficiency anemia is widely present in patients with heart failure with an estimated prevalence of over 50% in ambulatory patients. It is an independent predictor of worse functional capacity and survival. Even without anemia, iron deficiency is associated with poorer outcomes for these patients suggesting that the issue is not just relating to oxygen delivery but also broader energy generating metabolic pathways. At present, intravenous (IV) iron is the preferred route for treatment in heart failure patients. IV iron administration is associated with improvement in several important parameters. The latest research reveals important clinical action points for both GPs and specialists. See omnystudio.com/listener for privacy information.

Writer Michael Kitch walks NHBR editor Jeff Feingold through the implications of the LRGHealthcare bankruptcy and upcoming auction. Then Bob Sanders provides an update on the next round of funding injected into the Main Street Relief Fund by Governor Chris Sununu. This week's episode is sponsored by TFMoran (www.tfmoran.com), a leading land planning and engineering firm with offices in Bedford and Portsmouth, NH.

In this episode:  Reconstructive surgery for disfigured ears is now available Telehealth prosthetists available for regional communities The comprehensive technique can be applied to any body part USEFUL RESOURCE: Chris O'Brien Lifehouse - mylifehouse.org.au   Host: Dr David Lim, GP | Total time: 16 mins Guest: Dr Joe Dusseldorp, Specialist Plastic surgeon, Chris O'Brien Lifehouse, Concord Hospital    Register for our upcoming FREE WEBCAST! Tuesday 6 October 2020 | 7:00pm-9:00pm AEDT Click here to register now! See omnystudio.com/listener for privacy information.

Motor neuron disease (MND), also known as amyotrophic lateral sclerosis (ALS), is a devastating disease where the dying-off (degeneration) of motor nerves results in muscle weakness affecting an individual's ability to move, speak, swallow, perform daily activities and breathe. There is still no effective cure for MND, as there is no clear understanding of why a previously healthy person develops this disorder at a later stage. Professor Marina Kennerson and Professor Nortina Shahrizaila chat with Dr Natali Pearson about MND and their efforts to develop a research program for MND screening in Malaysia, which will pave the way for obtaining invaluable information of this lethal disease across Southeast Asia. About Professor Marina Kennerson: Marina is a Principal Hospital Scientist with the Molecular Medicine Laboratory at Concord Hospital and Principal Research Fellow with the ANZAC Research Institute and Sydney Medical School, University of Sydney. She is a key international researcher in the field of hereditary neuropathies and has developed the genomics gene discovery and translational program at the ANZAC Research Institute. She is also the Malaysia Country Coordinator for the Sydney Southeast Asia Centre. About Professor Nortina Shahrizaila: Tina is currently Professor of Neurology at the Faculty of Medicine, University of Malaya and Senior Consultant Neurologist at University Malaya Medical Centre in Kuala Lumpur, Malaysia. In 2015, Tina received an Endeavour Executive Fellowship award to undertake a sabbatical with Professor Matthew Kiernan at the Brain and Mind Centre, University of Sydney, which focused on the clinical aspects of Motor Neuron Disease. Upon returning to Malaysia, Tina led a team of clinicians to set up the first dedicated multidisciplinary MND clinic in Malaysia , which has since become the key tertiary referral centre for MND in the country. She is the current Chair of the Clinical Neurophysiology Section, Malaysian Society of Neurosciences. You can follow the Kennerson Lab on Twitter @KennersonLab. The Kennerson Lab is also on Facebook (Kennerson Laboratory) and has a fantastic website with plenty of resources that you can find at: http://anzac.edu.au/research/neurobiology.

Professor David Brieger is an interventional cardiologist and head of the coronary care and coronary interventions at Concord Hospital and Professor of Cardiology, University of Sydney. His particular clinical interests include coronary disease and atrial fibrillation.  He is the lead author of the 2018 National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand: Australian Clinical Guidelines for the Diagnosis and Management of Atrial Fibrillation 2018. https://www.heartfoundation.org.au/conditions/atrial-fibrillation-for-professionals If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help.   For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com   Facebook: @TheGPShow.podcast Twitter/Instagram: @drsammanger (new) Youtube: Dr Sam Manger (new) If you would like to provide feedback or request a topic you can contact us or complete a quick survey at www.thegpshow.com    Thank you for listening and supporting.

Lon Setnik (twitter.com/lonsetnik) is an emergency physician and medical director of the Forrest D. McKerley Simulation and Education Center at Concord Hospital. He joined Jenny Rudolph to discuss his work creating the COVID-19 Suspected or Confirmed Airway Management Checklist, which in combination with extensive simulation practice has been keeping providers safe at his hospital. Intubation during the COVID-19 outbreak is one of the more dangerous procedures for our teams. We worked across the organization to create an approach that would keep our patients and providers as safe as possible during this pandemic. The COVID-19 Suspected or Confirmed Airway Management Checklist is designed for the team to use outside the room as they set up for managing the airway, and inside the room to remind them how their job should be performed in this new process. Learn more at http://www.harvardmedsim.org.

These days, US health systems are employing numerous efforts to address population health, but sometimes, these efforts fail to align. On this episode of WIHI, IHI’s Trissa Torres and Concord Hospital’s Vice President for Population Health, Betsey Rhynhart, discuss the Pathways to Population Health Compass to understand what it takes for a group to create a comprehensive, aligned population health strategy that unfolds over time.  Featuring: Betsey Rhynhart, MPH, Vice President for Population Health, Concord Hospital Trissa Torres, MD, MSPH, FACPM, Chief Population Health and Content Development Officer, Institute for Healthcare Improvement (IHI)  Featured Links: Pathways to Population Health Compass Pathways to Population Health Founding Partners Pathways to Population Health Framework

Prof Andrew Sindone, Director of the Heart Failure Unit and Department of Cardiac Rehabilitation at Concord Hospital, will discuss the causes and management of heart failure with a focus on major new developments regarding the role of SGLTs in the prevention and management of heart failure in patients with and without T2D. He will also describe the significance of the recently reported DAPA HF findings and their practical relevance in this podcast lecture.

Professor Mark Cooper, an endocrinologist at Concord Hospital, has a "slightly jaded view" about vitamin D supplements.

FRAME SHIFT: “I found out that telling the truth doesn't make you the bad guy. Telling the truth is actually your job and it's going to be beneficial for the learners and for yourself.” In this episode of Brief Debriefings, we talk with Frédérique Gauthier, Audrey Larone Juneau, and Lon Setnik, three participants from the May 2019 Advanced Instructor Course at the Center for Medical Simulation (CMS) in Boston, MA. Frédérique Gauthier, a physical therapist & educator at Sainte-Justine Hospital in Montreal, enrolled in the course to refine her debriefing and faculty development skills. Joining Frédérique from Sainte-Justine is Audrey Larone Juneau, a nurse educator working on in-situ simulations in the neonatal intensive care unit. She helps faculty from other departments develop simulation training programs, and she wants to learn coaching techniques to help her peers “level up” their skills. Lon Setnik, an emergency medicine physician and medical director of the simulation center at Concord Hospital, hopes to create a pathway for hospital faculty to participate in simulation. The group discusses the Learning Pathways Grid, the power of vulnerability, and the realization that honesty is the best policy, especially in debriefings.

What does it take to be born an American citizen? And then, once you are, how do you prove it? And what does it get you? Today on Civics 101, we talk to Dr. Mary Kate Hattan of Concord Hospital, Dan Cassino of Farleigh Dickinson University, Susan Pearson of Northwestern University and Sue Mangold of the Juvenile Law Center to find out where (American) babies come from, and what that means. 

Today we talk to Daren Wilson, the Director of Clear View Psychology Services in Sydney and has worked as a psychologist in Disability Services, The Australian Army (Psychology Corps), Department of Veteran Affairs and as a principal consultant for over 28 years. He completed his MA in Applied Sport Psychology in 1997. During his career he has served as a UN Peacemaker / keeper in Somalia, Rwanda and East Timor (Timor-Leste). These experiences, working extensively in personal crisis, disasters, trauma reprocessing, elite sport performance and advanced CBT interventions, have enabled him to support those traumatised in the Thredbo Landslide, Blackhawk Disaster, Glenbrook Train Disaster, MPs returning from East Timor, and others in the Australian Intelligence and Special Forces. Additionally he has assisted in formulating Australian Defence Force Psychology policies / best practice, Veteran Lifestyle Adjustment Residential Programs, Indian Ocean tsunami, Fire & Rescue NSW, bush fire community support counselling and pain management treatment programs (Concord Hospital study) for injured workers. Daren is fascinated by recent advancements in neuroscience and formulating diagrams / models to best describe psychopathology, which highlights neuropsychotherapy principles for clients, and in turn significantly improved therapeutic success and outcomes. Today we talk with him about his SIFT model which you can learn more about here Structured Image Framework Theory (SIFT) Thanks for listening! Please leave an honest review on iTunes and please subscribe to our show.  You can also find our podcast at: The Science of Psychotherapy Podcast Homepage If you want more great science of Psychotherapy please visit our website thescienceofpsychotherapy.com and become a member for our regular magazine and training material.

In honor of Bladder Health Awareness Month, we discussed Interstitial Cystitis (IC), also called Bladder Pain Syndrome with Dr. Veronica Triaca. Dr. Triaca is the medical director of the Center for Urologic Care's Pelvic Medicine, Continence and Sexual Health Program at Concord Hospital in Concord, NH.

Victoria Cran, registered nurse from Concord Hospital, Sydney spoke at the NSWNMA's recent Environmental Health seminar about the future of recycling in the operating setting.

In the first of our special series of episodes live from MM2017, we are talking to A/Prof Thomas Gottlieb, Senior Staff Specialist in Microbiology and Infectious Diseases at Concord Hospital in NSW. A/Prof Gottlieb's presentation at MM2017 is titled "Do More AMS, Pearls from Years in the Life of AMS". We spoke to A/Prof Gottlieb about challenges and wins in antimicrobial stewardship, engaging clinicians and patients and driving behavioural change.

Are you a physician? Consider volunteering for an interview about your specialty to help Ian reach 120+ interviews! Show notes! Dr. Kilchevsky is a Staff Urologist at Concord Hospital in Concord, NH. Dr. Kilchevsky completed his undergraduate degree at Middlebury College in 2005; completed his medical degree at George Washington University School of Medicine in 2009; completed a urology residency at Yale-New Haven Hospital in 2014; and then completed a urological oncology fellowship at the National Institutes of Health in 2016, after which he joined the Concord Hospital Medical Group where he remains today. Dr. Kilchevsky is currently the associate investigator of two clinical trials focusing on the treatment of prostate cancer, and has already published a dozen peer-review papers on similar subject matter in his young career. In addition to being a member of the American Urological Association, Dr. Kilchevsky is also a member of the Israeli Society of Sexual Medicine and has published several papers on erectile dysfunction following radical prostatectomy, as well as the clinical anatomy of the G-spot. Clinically, Dr. Kilchevsky’s areas of interest include minimally invasive surgery, image-guided therapies, and functional prostate imaging. Please enjoy with Dr. Ami Kilchevsky!

Let's talk about immunology! Specialist immunologist Dr Sean answers burning questions: What's life in immunology really like? Is it rewarding? Is the training long? Is there work-life balance? Dr Sean Riminton is a specialist immunologist and immunopathologist at Concord Hospital and Royal Prince Alfred Hospital. He's also an Associate Professor with The University Of Sydney and really just an all-around awesome chap. Theme music by Lily Chen.

Today’s guest is Betsey Rhynhart, the Executive Director of New Hampshire Accountable Care Partners, an Accountable Care Organization or ACO headquartered at Concord Hospital in Concord New Hampshire. New Hampshire Accountable Care Partners was formed as a partnership between four community health systems in Southern New Hampshire: Concord Hospital, The Elliot Health System, Southern New Hampshire Health System, and Wentworth-Douglas Health System. In this podcast Betsey talks about her career, and how her education in public health and her background in insurance and strategy merge in her current role leading the ACO’s efforts. She talks about how the ACO is a learning organization that is helping the participating partners move toward a strategy of providing value-based care, a recurring theme we have been hearing from a number of leaders in recent interviews. Betsey provides an inside view of how the ACO was formed, how it operates, what the organization’s goals and objectives are, and what the participating organizations hope to gain from their collaboration. Betsey’s career and current role are great examples of how public health and direct care are beginning to merge as direct care delivery systems become more involved in population health models.

Today’s guest is Betsey Rhynhart, the Executive Director of New Hampshire Accountable Care Partners, an Accountable Care Organization or ACO headquartered at Concord Hospital in Concord New Hampshire. New Hampshire Accountable Care Partners was formed as a partnership between four community health systems in Southern New Hampshire: Concord Hospital, The Elliot Health System, Southern New Hampshire Health System, and Wentworth-Douglas Health System. In this podcast Betsey talks about her career, and how her education in public health and her background in insurance and strategy merge in her current role leading the ACO’s efforts. She talks about how the ACO is a learning organization that is helping the participating partners move toward a strategy of providing value-based care, a recurring theme we have been hearing from a number of leaders in recent interviews. Betsey provides an inside view of how the ACO was formed, how it operates, what the organization’s goals and objectives are, and what the participating organizations hope to gain from their collaboration. Betsey’s career and current role are great examples of how public health and direct care are beginning to merge as direct care delivery systems become more involved in population health models. You are listening to the abridged version of the podcast. An extedned version of the podcast is also available. Please go to our web site, http://healthleaderforge.org for the link to the extednded version.

Associate Professor Thomas Gottlieb head of infectious diseases at Concord Hospital discusses the increase of antibiotic resistance.

SPARX is a new cognitive behavioural therapy based computer game for young people with depression. Sally Merry, an associate professor of child and adolescent psychiatry at the University of Auckland, joins us to explain how it was created. Also this week Christine Jenkins, thoracic physician at Concord Hospital in Sydney, gives Mabel Chew a masterclass in spirometry.

Guest: Susan Lynch, MD Host: Larry Kaskel, MD Dr. Larry Kaskel is joined by Dr. Susan Lynch, a pediatric lipid specialist at the Cholesterol Treatment Center at Concord Hospital. Dr. Lynch is also the First Lady of New Hampshire and will discuss, among other things, the defintion of overweight and obesity in pediatrics, the inherent complications, and how we can advocate for healthier eating in our communities. Brought to you by:

Guest: Mary McGowan, MD Host: Larry Kaskel, MD Dr. Larry Kaskel welcomes Dr. Mary McGowan to Lipid Luminations. Dr. McGowan is Director of the Cholesterol Treatment Center at Concord Hospital and Member of the New Hampshire Childhood Obesity Expert Panel. They will be discussing Pediatric Dyslipidemia as secondary to genetics and obesity.