Podcasts about Cooper University Hospital

In this episode, Dr. Sergio Zanotti focuses on the nuances of mechanical ventilation in patients with severe asthma. Previously, he explored the medical management of acute asthma exacerbations. Today, he takes a deeper dive into ventilatory strategies tailored to this high-risk population. He's joined by Dr. Emily Damuth, a dual-trained emergency medicine and critical care physician. Dr. Damuth is an Assistant Professor of Medicine and Emergency Medicine at Cooper Medical School of Rowan University and practices clinically in both the Emergency Department and Intensive Care Unit at Cooper University Hospital in Camden, New Jersey. She is also an Assistant Program Director for the Critical Care Medicine Fellowship and is actively involved in the ECMO program. A passionate educator, she teaches mechanical ventilation through lectures and simulation and has received multiple teaching awards for her contributions to medical education. Additional resources: Links: Management of Life-Threatening Asthma. O. Garner, et al. CHEST 2022; https://pubmed.ncbi.nlm.nih.gov/35218742/ Extracorporeal Membrane Oxygenation for Refractory Asthma Exacerbations With Respiratory Failure. J. Zakrajsek, et al. CHEST 2023: https://pubmed.ncbi.nlm.nih.gov/36191634/ Ventilator Graphics and Respiratory Mechanics in the Patient With Obstructive Lung Disease. R. Dhand. Respiratory Care 2005: https://pubmed.ncbi.nlm.nih.gov/15691394/ Books mentioned in this episode: Seabiscuit: An American Legend. By Laura Hillenbrand: https://bit.ly/3EY24pJ Pisto: The Life of Pete Maravich. By Mark Kriegel: https://bit.ly/3GIarq6 Good Inside: A Practical Guide to Resilient Parenting Prioritizing Connection Over Correction. By Becky Kennedy: https://bit.ly/4iSTnes

Dr. Elyce Cardonick is a cancer and pregnancy specialist at Cooper University Hospital in Camden, NJ. Listen to Elyce discuss the founding of the Cancer and Pregnancy Registry in 1997, the Hope for Two support network and common misconceptions regarding medical treatment during pregnancy.

Dr. Richard Fischer is a maternal-fetal medicine specialist at Cooper University Hospital in Camden, NJ. Listen to Richard discuss the experience of being a male OBGYN physician, the work of midwives and doulas, and factors that contribute to complicated pregnancies.

Dr. Goldenberg is a trauma and acute care surgeon at Cooper University Trauma center, a busy urban Level I adult and Level II pediatric trauma center in Camden NJ. With a strong educational background, she completed her surgical training at UMDNJ and further honed her expertise through a trauma and critical care fellowship in 2015 at Cooper University Hospital. Dr. Goldenberg is committed to advancing the field of trauma and surgical care, as evidenced by her role as the Trauma Research director, where she spearheads evidence-based clinical research initiatives. Her passion lies in penetrating trauma, gun acoustic technology, pediatric trauma, as well as trauma resuscitation. Beyond her clinical responsibilities, she actively engages with the community in southern NJ, demonstrating a passion for mentorship. _________________________________________________ Sponsor the JOWMA Podcast! Email digitalcontent@jowma.org Become a JOWMA Member! www.jowma.org Follow us on Instagram! www.instagram.com/JOWMA_org Follow us on Twitter!www.twitter.com/JOWMA_med Follow us on Facebook! https://www.facebook.com/JOWMAorg Stay up-to-date with JOWMA news! Sign up for the JOWMA newsletter! https://jowma.us6.list-manage.com/subscribe?u=9b4e9beb287874f9dc7f80289&id=ea3ef44644&mc_cid=dfb442d2a7&mc_eid=e9eee6e41e

Dr. Henry Fraimow is an infectious disease physician at Cooper University Hospital in Camden, NJ. Listen to Henry discuss common patient questions about COVID-19, the early months of the pandemic and the challenges of conducting research during the peak of COVID-19.

Today's guest is Deepa Velayadikot, MD, CHCQM-PHYADV, medical director of care coordination and of hospital medicine at Cooper University Hospital, and assistant professor of clinical medicine at Cooper Medical School of Rowan University. Today's show is part of the “Leadership with Linnea” series. In every episode of this series, ACDIS Associate Editorial Director Linnea Archibald is joined by one guest from the ACDIS Leadership Council ranks or a contributor from one of our ACDIS publications to discuss a topic relevant to leaders in the industry, whether or not they currently hold a traditional management title. Our intro and outro music for the ACDIS Podcast is “medianoche” by Dee Yan-Kay and our ad music is “Take Me Higher” by Jahzzar, both obtained from the Free Music Archive. Have questions about today's show or ideas for a future episode? Contact the ACDIS team at info@acdis.org. Want to submit a question for a future "listener questions" episode? Fill out this brief form!  CEU info: Each ACDIS Podcast episode now offers 0.5 ACDIS CEUs which can be used toward recertifying your CCDS or CCDS-O credential for those who listen to the show in the first two days from the time of publication. To receive your 0.5 CEUs, go to the show page on acdis.org, by clicking on the “ACDIS Podcast” link located under the “Free Resources” tab. To take the evaluation, click the most recent episode from the list on the podcast homepage, view the podcast recording at the bottom of that show page, and click the live link at the very end after the music has ended. Your certificate will be automatically emailed to you upon submitting the brief evaluation. (Note: If you are listening via a podcast app, click this link to go directly to the show page on acdis.org: https://acdis.org/acdis-podcast/cdi-education-residents) Note: To ensure your certificate reaches you and does not get trapped in your organization's spam filters, please use a personal email address when completing the CEU evaluation form. The cut-off for today's episode CEU is Monday, July 8, at 11:00 p.m. eastern. Note that the deadline for this week's episode has been extended due to the Fourth of July holiday. After that point, the CEU period will close, and you will not be eligible for the 0.5 CEUs for this week's episode. Today's sponsor: This week's episode is brought to you by the Live Virtual Clinical Validation in CDI Boot Camp! Learn more or register for the course taking place August 26-29, 2024, by clicking here. (https://bit.ly/3W0G0QU) ACDIS update: ACDIS members can read and download the July/August 2024 edition of the CDI Journal focused on denials management today! (https://bit.ly/3RLIkZB) Respond to the 2024 CDI Week Industry Survey by July 19! (https://www.surveymonkey.com/r/2024-CDI-Week-Industry-Survey) Download the 2024 CDI Week poster! (https://bit.ly/4cyiwbi) Apply to speak at the 2025 ACDIS conference, Physician Advisor Forum, or ACDIS Symposium: Outpatient CDI by July 26! (https://acdis.org/25speaker) Reminder: The ACDIS office will be closed Thursday, July 4, and Friday, July 5, for the Fourth of July holiday!

Dr. Joseph Yi is a board-certified Addiction Psychiatrist with a specialization in Holistic Psychiatry and Medication Detoxification (both illicit and prescribed). Graduating as Chief Resident of Psychiatry from Cooper University Hospital (located in the heart of Camden, NJ) he gained invaluable experience in treating complex psychiatric and addiction cases. More recently, Dr. Yi has embarked on a journey exploring the realm of psychedelics, and he is eager to share his personal experiences and insights into the future of psychiatry. In this conversation, we talk about... -social media causing mental impairment -children having access to social media -is marijuana addictive? -the 4 pillars of mental wellness -psychedelics and the future of psychiatry -mental wellness supplementation Resources: Dr. Joseph Yi's Instagram Dr. Joseph Yi's supplement line Dr. Joseph's Telegram page and his YouTube channel Follow the host, Claudia, here Check out Paleovalley products here!

Deepthy Varghese, MSN, ACNP, FNP, of Northside Hospital, is joined by guests Sandeep K. Goyal, MD, FHRS, Piedmont Heart Institute, and Andrea M. Russo, MD, FHRS, Cooper University Hospital. to discuss the article explores that development and validation of the HARMS2-AF score, a novel lifestyle risk assessment tool for identifying atrial fibrillation (AF) risk in the general population. Using data from the UK Biobank and Framingham Heart Study, the score, derived through Cox proportional hazards regression, includes variables like hypertension, age, body mass index, sex, sleep apnea, smoking, and alcohol. Physical inactivity and diabetes were not significant predictors. The score demonstrated effective predictive performance in both cohorts, outperforming existing models like Framingham-AF and ARIC, and comparable to CHARGE-AF. In conclusion, the HARMS2-AF score is a valuable tool for lifestyle-related AF risk identification, aiding in population screening and potential early intervention. https://www.hrsonline.org/education/TheLead https://academic.oup.com/eurheartj/article/44/36/3443/7205602 Host Disclosure(s): D. Varghese: No relevant financial relationships with ineligible companies to disclose. Contributor Disclosure(s): A. Russo: Honoraria, Speaking, and Consulting: Pacemate, AtriCure, Inc., Bayer Healthcare Pharmaceuticals, Sanofi, Medtronic, Biosense Webster, Inc., Biotronik, Abbott Medical, Boston Scientific, BMS/PFizer Alliance, Royalty Income: UpToDate, Inc., Research: Medtronic, Boston Scientific, Fellowship Support: Medtronic, Board Membership: ABIM.  S. Goyal: Honoraria, Speaking, and Consulting: Biosense Webster, Inc., Medtronic This episode has .25 ACE credits associated with it. If you want credit for listening to this episode, please visit the episode page on HRS365 https://www.heartrhythm365.org/URL/TheLeadEpisode50

When and how often do NETs spread to the bones or brain? How are they found? What is the treatment? Dr. Robert Ramirez of Vanderbilt University addresses concerns surrounding bone metastases (or “mets”) as well as rare brain metastases.MEET DR. ROBERT RAMIREZ, DO, FACP Dr. Robert Ramirez is a medical oncologist specializing in the treatment of thoracic and neuroendocrine malignancies and an Associate Professor of Medicine at Vanderbilt University Medical Center in Nashville, TN.  He earned his medical degree from the University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine. He completed an internal medicine residency at Cooper University Hospital in Camden, New Jersey. He then completed a hematology and medical oncology fellowship at the University of Tennessee Health Sciences Center in Memphis, Tennessee and served as chief fellow. He is a Fellow of the American College of Physicians, and a member of American Society of Clinical Oncology, the International Association for the Study of Lung Cancer (IASLC), and the North American Neuroendocrine Tumor Society (NANETS).  He serves on the Board of Directors for NANETS as well as the Scientific Review and Research Committee.His clinical and research interests include neuroendocrine tumors (NETs) and lung cancer.  He has a specific interest in NETs of the lung ranging from diffuse idiopathic pulmonary neuroendocrine tumor cell hyperplasia (DIPNECH) and carcinoid tumors to small cell lung cancer and other high-grade neuroendocrine carcinomas. He is active in clinical trial design including investigator-initiated trials. He enjoys teaching residents and fellows and has multiple publications and given many lectures for the scientific community on the topics of NETs and lung cancers.TOP TEN QUESTIONSBone mets:1. When and how often do NETs spread to the bones? 2. Where in the bones are tumors? What does it mean when NETs spread to the bones? How does this compare to other cancers?3. How are bone spots found and monitored? Should they be biopsied?4. What is the treatment for bone mets? Should I have radiation? Would radiation limit my ability to get PRRT?5. Should I be on bone strengthening medication? Am I at higher risk for fractures (or breaking my bones) if I have NETs in the bones?6. Do bone mets respond to PRRT?7. Does having bone mets put me at a higher risk of MDS?Brain mets:8. When and how often do NETs spread to the brain? Do all types of NETs have the potential to spread to the brain?9.    How are brain mets found and monitored? When should I suspect this?10.  How are brain mets treated? What does having brain mets mean for my life?*Bonus: What final words of hope do you have for the neuroendocrine cancer community?For more information, visit LACNETS.org.

Dr. Sarah Perelman is the chief resident in the Department of Emergency Medicine at Cooper University Hospital in Camden, NJ. Listen to Sarah talk about research in the ED, her experiences during COVID-19 and management of patients who suffer from substance abuse and gun violence.

The turn to a new year is the time to set new goals. And who better to set them with than a person who has achieved a career far beyond many of us ordinary mortals—but has the honesty and humility to reveal where she falls short. Dr. Nicole Fox is Associate Chief Medical Officer, Associate Professor of Surgery, Medical Director of pediatric trauma, and Medical Director of CDI for Cooper University Hospital, a level 1 trauma facility in Camden, NJ. She made for a great guest to kick off season 3 of Off the Record. This was one of my favorite interviews to date, very personal and revealing for the both of us. I keep trying to get Nicole to start her own podcast and if you listen you'll understand why. On the show we discuss: • Nicole's biggest accomplishments of 2023 and progress on the path of Ikigai (a Japanese concept related to finding purpose and reason for being) • Nicole (and my own) process for annual review and goal-setting, both personal and organizational • Striking the balance: Developing goals that challenging and therefore worthwhile, but also reachable/achievable. • Cooper Health's Q1 2024 CDI goal: In-depth department audit, aligning people with interests and strengths. You'll want to hear this. • Making goals “sticky” so they don't fall off Feb. 1 • Failures, getting “smacked upside the head” at age 40 and moving from personal accomplishments to mentoring and growing others as we age • Other tidbits from her interesting life, including the first OTR Spotify playlist entry of 2024 (Willie Nelson makes a first and long-overdue appearance).

About Our Guest:   Deena grew up in Pittsburgh and spent a year studying in Israel before studying for her undergraduate degree at Stern College, where she majored in biology and minored in education. She received her MD from University of Pittsburgh School of Medicine and then went on to complete residency in Emergency Medicine at Temple University Hospital in Philadelphia. She completed a fellowship in EMS and Disaster Medicine at Cooper University Hospital in Camden before making aliyah. She now lives and works in Ashdod, Israel. www.twitter.com/deenadiamond  https://www.instagram.com/deenadiamond/   Would you like to be a SPONSOR? Would you like to join the Whatsapp Discussion Group? Reach out about new sponsorship opportunities for your brand & organizations - franciskakay@gmail.com Check out www.JewishCoffeeHouse.com for more Jewish Podcasts on our network.

I am honored to have Dr. Joseph Yi joining me on the podcast today. He is a board-certified addiction psychiatrist specializing in holistic psychiatry and detoxification who embraces a lifestyle medicine approach to mental and behavioral well-being.  Dr. Yi caught my attention when he appeared on the Model Health Show with Sean Stephenson. I was instantly captivated by his bright and inquiring mind and knew I had to share his wisdom on Everyday Wellness.  In our conversation, we dive into the effects of the pandemic on screen time and addiction behaviors in children. Dr. Yi shares his expertise on the role of Fentanyl and drug overdose fatalities, challenges the notion that marijuana is entirely benign, and highlights the lack of education among traditionally trained medical professionals regarding lifestyle medicine. We also explore the transformative potential of psychedelics, including ketamine therapy, and the societal acceptance of addictive substances like alcohol and nicotine. Our conversation also journeys through the realm of low vibrational frequencies and spirituality, concluding with a discussion on the role of supplements in enhancing our mental and emotional well-being.  I have no doubt you will find today's conversation enlightening and thought-provoking. Stay tuned for more! IN THIS EPISODE YOU WILL LEARN: Drug addiction and overdose trends with fentanyl The impact of tech addiction on mental health, particularly since the pandemic The potential risks of marijuana, especially for developing brains How traditionally trained healthcare professionals lack education on lifestyle as medicine How hyper-processed foods negatively impact the gut microbiome and mental health  How oral contraceptives suppress sex hormones in young women, leading to anxiety and antidepressant use The disconnection between allopathic medicine and the impact of lifestyle on mental and emotional health  How many healthcare professionals tend to struggle with addictions How the social acceptability of nicotine and alcohol plays down their highly addictive natures The benefits of ketamine therapy for depression and trauma The importance of addressing low vibrational frequencies  Dr. Yi discusses his mental wellness supplement company, Beyond Recovery, and their flagship product, a multivitamin for the mind Bio: Dr. Joseph Yi is a board-certified Addiction Psychiatrist with a specialization in Holistic Psychiatry and Medication Detoxification (both illicit and prescribed). Graduating as Chief Resident of Psychiatry from Cooper University Hospital (located in the heart of Camden, NJ) he gained invaluable experience in treating complex psychiatric and addiction cases. More recently, Dr. Yi has embarked on a journey exploring the realm of psychedelics, and he is eager to share his personal experiences and insights into the future of psychiatry. Connect with Cynthia Thurlow On Twitter Instagram LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Joseph Yi Beyond Recovery Instagram

On Saturday, November 11, Dr. Marianne T. Ritchie discussed how military medical personnel will be embedded at Cooper University Hospital to offer exposure to critical care of more severe trauma and surgical patients than they typically experience in a military treatment facility. 

Addiction psychiatrist and narrative disruptor Dr. Joseph Yi, aka The StreetMD  @StreetMD   beams in to talk about holistic mental health treatment, plant medicine, Big Pharma and detoxing on episode 129 of the Far Out with Faust podcast.Dr. Joseph Yi, a Board Certified Addiction Psychiatrist, specializes in Holistic Psychiatry and Detoxification. A graduate of UMDNJ Robert Wood Johnson medical school, Dr. Yi completed his psychiatry residency at Cooper University Hospital in the heart of Camden, NJ, treating complex cases of psychiatric, addiction, and detox patients. As Chief Resident of psychiatry at Cooper hospital, he apprenticed under NY Times best-selling author Joel Fuhrman MD, focusing on nutritional therapy for mental health.Now in private practice, Dr. Yi passionately addresses addiction medicine, leveraging his experience from various dual diagnosis facilities. His Modern Detox Program, conducted on an outpatient basis, offers personalized tapering plans for overcoming dependencies to opiates, alcohol, and other substances. Dr. Yi employs a Holistic approach, integrating motivational counseling, nutritional therapy, exercise science, yoga, and spirituality into his treatment plans for enhanced overall behavioral wellness.In this episode, hear Dr. Joe's riveting tale that took him in and out of medical school — there may be drugs and puking involved — to being one of Instagram's fastest-rising mental health authorities. Faust and Dr. Joe delve into a range of issues concerning mental health — from social media to current events (like the Middle East war and digital currency) to the power of psychedelics. Topics include:-What's the key to success?-How do you find your calling — and get rich doing it?-Do pharmaceutical drugs really work for things like depression, anxiety and grief?-Can plant medicine like ayahuasca help with mental health issues?-Can we heal mental health conditions naturally?-Are we really being programmed by forces like Big Pharma?-What's behind the global agenda?-What are the top 4 things people can do to improve their mental health?-Do we need to change our mindset about addition?-Why the 12 step program doesn't work for everyone with addiction-Do psychedelic medications work for mental health?-How do ketamine, DMT and psilocybin work for depression?-Can MDMA help heal trauma?-What's the difference between experiencing trauma and PTSD?Connect with Dr. Joseph YiWebsite: https://drjosephyi.com/Instagram: https://www.instagram.com/yojimd/YouTube: https://www.youtube.com/streetmdTikTok: https://www.tiktok.com/@yojimdCheck out Dr. Joe's mental fitness storehttps://beyondrecovery.com/0:00 Dr. Joseph Yi Podcast1:01 - Introducing Joseph Yi6:05 - Joseph's background and journey into his current holistic medical practice with addiction psychiatry 15:36 - How Joseph came about to challenging the medical system, deprogramming the mainstream and advocating that FOOD IS MEDICINE19:12 - Patholigizing the range of human experience: Joseph's theory on why our society has been pigeonholing human patterns into unnecessary diagnosis for control and money25:14 - Breaking down to break through …. shifting life, facing true feelings and doing the inner work with plant medicine ceremonies 33:44 - Where do pharmaceuticals effectively fit in to treating mental health?45:47 - The responsibility and consequences of expressing truth and current state of affairs in the world, and the art of delivering that information to the world52:22 - Joseph's top 3 mental health tips and advice to listeners1:07:18 - Rewiring neurological pathways to better habits and lifestyle and enhancing neuroplasicity with psychedelic microdosing1:14:57 - Defining

During my last conference as ACDIS Director in Oct. 2021 I had the pleasure of introducing Dr. Nicole Fox as our opening keynote. Nicole is not a professional lecturer but delivered one of the most impactful and inspiring speeches I've seen, covering her work as a pediatric trauma surgeon and her challenges as a single mother raising four children. Understatement: Nicole is an impressive human being. In addition to a heavy clinical rotation, she's the Associate Chief Medical Officer, Associate Professor of Surgery, and the Medical Director of pediatric trauma for Cooper University Hospital, a level 1 trauma facility in Camden, NJ. Oh, and she also serves as Medical Director for the hospital's CDI program. Nicole is recently back from a World Trauma Congress in Tokyo and was married this year. We get caught up on all of this on this episode of Off the Record. We cover: • Advances in trauma treatment and insights into Japanese culture and the philosophy of Ikigai • A “typical” day in pediatric trauma—instructive for any CDI professionals who might be grumbling why queries aren't always answered timely • Nicole's inauspicious path to CDI (she was one of the worst documenting physicians in her organization, with a number of outstanding charts so large you have to listen to believe) and unlikely path to medical director of CDI • Vendor shortcomings—overpromise and under-delivery • Mortality reviews—getting started, common clarification opportunities, and the delicate dance of querying a physician to provide further detail on an expired patient • Recent domestic changes • Her favorite song for the OTR Spotify playlist, and our personal encounters with Steven Tyler of Aerosmith (hers is much, much cooler than mine) Books mentioned on the show include: • Ikigai: The Japanese Secret to a Long and Happy Life, Hector Garcia and Francesc Miralles • Ichigo Ichie (same authors) • Wabi Sabi, Beth Kempton Enjoy! #OTR

Christopher Ault, Chief Revenue Officer at Cooper University Hospital joins the podcast to discuss his background, opportunities and headwinds he's keeping his eye on, how he's thinking about growth and adding value to his organization, a risk or investment worth making this year, and where he sees the best opportunities for growth in the future.

Christopher Ault, Chief Revenue Officer at Cooper University Hospital joins the podcast to discuss his background, opportunities and headwinds he's keeping his eye on, how he's thinking about growth and adding value to his organization, a risk or investment worth making this year, and where he sees the best opportunities for growth in the future.

Christopher Ault, Chief Revenue Officer at Cooper University Hospital joins the podcast to discuss his background, opportunities and headwinds he's keeping his eye on, how he's thinking about growth and adding value to his organization, a risk or investment worth making this year, and where he sees the best opportunities for growth in the future.

Xylazine is an animal tranquilizer that is showing up in illicit opioid supplies. In addition to contributing to the risk of overdose, xylazine causes horrific, necrotizing wounds when injected, smoked, or snorted. Lindsay Smith Rogers talks to two clinicians on the front lines of the overdose epidemic about their experiences with xylazine and their views on what this latest development means for the future: Rachel McFadden, a Bloomberg Fellow at the School of Public Health and a wound care nurse in the Emergency Department at the University of Pennsylvania in Philadelphia, and Dr. Matthew Salzman, also a Fellow and assistant professor of medicine at Cooper University Hospital in Camden, New Jersey. Xylazine: The New Overdose Crisis | Hopkins Bloomberg Public Health Magazine

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021.Originally released: April 2, 2020Perfusion imaging employs concepts that date back to the early 1830s, and it leverages hardware and software that emerged around the same time as multidetector helical CT scans. But it has only become popular in recent years for thrombectomy decision-making. If I'm being honest, I often never use it for this purpose. So what other purposes might it serve? And how does it work? This week, we review the fundamental concepts of perfusion CT, its utility in stroke care, and how it might prove useful for other neurologic conditions as well.Produced by James E Siegler. Music courtesy of Julie Maxwell, John Bartmann, Kai Engel, and Pachyderm. Our theme song was composed by Jimothy Dalton. Sound effects by Mike Koenig and Daniel Simion. Some of the voices you heard throughout the program were those of Dr. Mathias Prokop, Radbound Medical Center, Netherlands; Terri Yeager, Comprehensive Stroke Program Coordinator at Cooper University Hospital; and a recording that was produced by GE Healthcare, which is freely available on YouTube. Unless otherwise mentioned in the podcast, no competing financial interests exist in the content of this episode. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. Be sure to follow us on Twitter @brainwavesaudio for the latest updates to the podcast.REFERENCESAlbers GW, Marks MP, Kemp S, et al. Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging. N Engl J Med 2018;378(8):708-18. PMID 29364767Barber PA, Demchuk AM, Zhang J, Buchan AM. Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy. ASPECTS Study Group. Alberta Stroke Programme Early CT Score. Lancet 2000;355(9216):1670-4. PMID 10905241Boned S, Padroni M, Rubiera M, et al. Admission CT perfusion may overestimate initial infarct core: the ghost infarct core concept. J Neurointerv Surg 2017;9(1):66-9. PMID 27566491Campbell BC, Christensen S, Levi CR, et al. Comparison of computed tomography perfusion and magnetic resonance imaging perfusion-diffusion mismatch in ischemic stroke. Stroke 2012;43(10):2648-53. PMID 22858726Campbell BC, Weir L, Desmond PM, et al. CT perfusion improves diagnostic accuracy and confidence in acute ischaemic stroke. J Neurol Neurosurg Psychiatry 2013;84(6):613-8. PMID 23355804Campbell BCV, Ma H, Ringleb PA, et al. Extending thrombolysis to 4·5-9 h and wake-up stroke using perfusion imaging: a systematic review and meta-analysis of individual patient data. Lancet 2019;394(10193):139-147. PMID 31128925Mangla R, Ekhom S, Jahromi BS, Almast J, Mangla M, Westesson PL. CT perfusion in acute stroke: know the mimics, potential pitfalls, artifacts, and technical errors. Emerg Radiol 2014;21(1):49-65. PMID 23771605Martins N, Aires A, Mendez Bet al. Ghost Infarct core and admission computed tomography perfusion: redefining the role of neuroimaging in acute ischemic stroke. Interv Neurol 2018;7(6):513-21.

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021. Originally released: January 23, 2020 In a patient with isolated, progressive hand numbness and weakness, there is much to be learned about the clinical exam. Often, it's all you need. Dr. Aakriti Kothiwal of Cooper University Hospital presents this week's clinical case and helps localize the lesion. Produced by James E Siegler and Aakriti Kothiwal. Music courtesy of Jazzar, Lee Rosevere, and Loyalty Freak Music. Sound effects by Mike Koenig and Daniel Simion. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. Be sure to follow us on Twitter @brainwavesaudio for the latest updates to the podcast. REFERENCES Aamodt WW, Siegler JE, Elman L. Teaching Neuro Images: acute infarction of the left medial lemniscus masquerading as a peripheral neuropathy. Neurology 2017;88(17):e178. PMID 28438850 Bouche P. Compression and entrapment neuropathies. Handb Clin Neurol 2013;115:311-66. PMID 23931789 Gross PT, Jones HR Jr. Proximal median neuropathies: electromyographic and clinical correlation. Muscle Nerve 1992;15(3):390-5. PMID 1313546 Gross PT, Tolomeo EA. Proximal median neuropathies. Neurol Clin 1999;17(3):425-45, v. PMID 10393747 Hobson-Webb LD, Juel VC. Common entrapment neuropathies. Continuum (Minneap Minn) 2017;23(2, Selected Topics in Outpatient Neurology):487-511. PMID 28375915 Padua L, Coraci D, Erra C, et al. Carpal tunnel syndrome: clinical features, diagnosis, and management. Lancet Neurol 2016;15(12):1273-84. PMID 27751557 Peters N, Müller-Schunk S, Freilinger T, Düring M, Pfefferkorn T, Dichgans M. Ischemic stroke of the cortical "hand knob" area: stroke mechanisms and prognosis. J Neurol 2009;256(7):1146-51. PMID 19353229  We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date.

In this episode of The We Know Show, we had the pleasure of speaking with Joseph Yi MD. Dr. Joseph Yi is a Board-Certified Addiction Psychiatrist who specializes in Holistic Psychiatry and Detoxification. After graduation from medical school, Dr Yi went on to do his psychiatry residency at the Cooper University Hospital. It was there at the heart of Camden, NJ where he learned to treat some of the most challenging cases of psychiatric, addiction and detox patients. As a resident physician, he apprenticed under Dr. Joel Fuhrman, on nutritional therapy for mental health treatment, and worked at several dual diagnosis facilities (mental health and substance abuse). Since starting his solo private practice in 2009, Dr Yi has helped patients throughout Bucks County, PA overcome their dependency to opiates, alcohol, and other substances through his Modern Detox Program, which provides an individualized tapering plan on an outpatient basis, as an alternative to going into an inpatient facility for treatment. He integrates motivational counseling, nutritional therapy, exercise, science, yoga and spirituality. What does it mean to be living on the edge of life? This interview will take you there! Joseph is truly a powerhouse. Here he shares his wealth of knowledge and a new paradigm perspective on everything from tech addiction and its impact on our mental health, what's wrong with the term “think positive”, why fear and outrage content is addictive, how a divided class will exist: those who will let the chips fall and those who won't, Elon Musk and Kanye theatrics, Jo's 80/20 rule of raising people's vibrations (80%) and calling out the BS (20%) – and why 2023 is about paying attention to those offering solutions, plus so much more. Sit back and enjoy the truth, laughter and be inspired. Show Notes 5:30 – Why medical school was an extreme discomfort 7:30 – Music and addiction - finding purpose and meaning in mental health 8:50 – What's wrong with the term “think positive”? 14:20 – The greatest act of Agenda 2030 -  rebellion to a healthy body, mind and spirit 15:00 – Dr Jo's 80/20 rule: call out the BS (20%), raise people's vibrations (80%) 20:20 – There are people in the Truth movement draining your energy. 2023 is about paying attention to those offering solutions. 33:05 – Clinical observation 1: diminished life force by staring at screens too much 34:00 – Clinical observation 2: increased anxiety in kids, lack of social intelligence due to screens 37:04 –  Is it harder to get off prescription drugs or get off devices? 39:30 – Why fear and outrage content is addictive 42:00 – Elon Musk theatrics 44:05 – How to find meaning in stress, addiction and anxiety 48:30 – The lesson: to raise our own frequencies 55:37 – Only takes 3.5% to change culture                 57:24 – Artificial Intelligence vs Human Intelligence. Pick one. 1:02:50 – A divided class will exist: those who will let the chips fall and those who won't 1:10.00 – Why true sovereignty is about answering your calling 1:14.00 – Create memories with the people you love everyday To follow and find out more about Dr Joseph Yi's work, please visit: Beyond Recovery: https://beyondrecovery.com Instagram: https://www.instagram.com/yojimd Telegram: https://t.me/StreetMD YouTube: https://youtube.com/@beyondrecovery Twitter: https://twitter.com/drjosephyi For our EMF savvy fans, check out DefenderShield https://defendershield.com/?ref=wearenotsam for the EarBud AirTube Headphones. These are the headphones our show host Rinat uses, and recommends to family and friends. By using our link above you'll be supporting our show, continuing to spread the Safe Technology message. And there's no extra cost to you. In future we will be including discount codes and special offers for this product. Even at full retail price, Defender Shield Earbud AirTube are around half the cost of (Apple) AirPods and safer! And when they're on sale, which they are right now, you'll get them for even less. For more info on how to stay human in a technology obsessed world, check out www.wearenotsam.com  and join up to the mailing list for special offers. Join the conversation: Instagram: https://www.instagram.com/wearenotsam Telegram: https://t.me/wearenotsam Where to subscribe to this podcast: YouTube: https://www.youtube.com/@theweknowshow Rumble: https://rumble.com/c/c-768103 Podbean: https://weknowshow.podbean.com Apple: https://podcasts.apple.com/au/podcast/the-we-know-show/id1577659420?at=1l3vwYf Spotify: https://open.spotify.com/show/4O8dqc1oZZ0qmXSi3tFVb1 Google+ https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkLnBvZGJlYW4uY29tL3dla25vd3Nob3cvZmVlZC54bWw?sa=X&ved= For more info on how to stay human in a technology-obsessed world, check out wearenotsam.com Thank you for tuning in. To help spread this content, please rate, subscribe and share!  

The Rich Zeoli Show- Full Episode (01/06/2023): 3:05pm- On Friday, the U.S. House of Representative reconvened to decide the next Speaker of the House. On the 12thand 13th ballots, fifteen Republicans who had opposed Rep. Kevin McCarthy (R-CA) earlier this week changed their vote after McCarthy agreed to several concessions. According to Politico's reporting, the concessions seem to be minor. Were they enough to justify the holdout? Despite new-found momentum, McCarthy remains several votes short of the Speakership.  3:15pm- While appearing on Fox News, Rep. Scott Perry (R-PA) explained why he now supports Kevin McCarthy after voting against him eleven times earlier this week.  3:30pm- Zeoli Speaks with Listeners: Assuming McCarthy is ultimately selected as Speaker, were the concessions negotiated by the Freedom Caucus holdouts substantial? Or does the holdout now seem more symbolic than tangible? 3:40pm- Reportedly, one of the concessions gained by Freedom Caucus holdouts is the establishment of a new “Church Committee” to investigate the Federal Government's weaponization of domestic surveillance.  4:05pm- While commemorating the two-year anniversary of the January 6th, Capitol riot, President Joe Biden implored Americans to never forget “July 6th”…wait, what? 4:15pm- During her Friday press conference, White House Press Secretary Karine Jean-Pierre blamed the Trump Administration for the “mess” at the U.S. Southern border. President Joe Biden is scheduled to visit the border this Sunday. According to reporting from The Daily Wire, “Biden is expanding a ‘parole' program for Venezuelans to include migrants from Nicaragua, Cuba, and Haiti.” His administration “will accept 30,000 people from those countries a month as long as they have family or another tie to the U.S. already.” 4:25pm- Rep. Kevin McCarthy (R-CA) says that he has the votes to be confirmed as Speaker of the House. The House is expected to reconvene and hold a fourteenth vote at 10pm ET on Friday.  4:45pm- While commemorating the two-year anniversary of the January 6th, Capitol riot, President Joe Biden implored Americans to never forget “July 6th.” Henry investigates what historical events Biden may have been referring to…and they're all stupid. 4:50pm- Does Raul Castro send Prime Minister Justin Trudeau $20 every year on his birthday?  5:05pm- According to CNN's Manu Raju, Kevin McCarthy remains two votes short of being elected Speaker of the House—but McCarthy's team is trying to flip holdouts Rep. Eli Crane (R-AZ) and Matt Rosendale (R-MT). 5:20pm- A perverted Australian walrus disrupted a New Years Eve fireworks display… 5:25pm- MSNBC host Nicolle Wallace stated that the only people enjoying the Speakership debate are “newscasters attached to Kremlin state media”—specifically referencing Fox News host Tucker Carlson. 5:30pm- According to a report from economists at the University of Pennsylvania's Wharton School, the U.S. government would need to raise taxes by 40% or reduce spending by 30% in order to achieve a fiscal balance.  5:50pm- Did you know Alec Baldwin once hosted a show on 1210 WPHT? It's the worst thing you'll ever hear.  6:05pm- While speaking with Tucker Carlson on Fox News, investigative journalist Matt Tiabbi stated, “I think we can say pretty conclusively after looking at tens of thousands of emails over the course of these weeks that the government was in the censorship business in a huge way. That is, I think provable now.” 6:25pm- Dr. Anthony Mazzarelli—CEO & President of Cooper University Hospital—joins The Rich Zeoli Show to discuss the Greater Philadelphia YMCA's Model United Nations conference being held this weekend in Hershey, Pennsylvania. Dr. Mazzarelli stresses that one of the unique features of the conference is that high school students with differing opinions and political preferences engage in civil, friendly dialogues.  6:40pm- Danica Chakroborty—High School Student & Secretary General of the Model United Nations—joins The Rich Zeoli Show to discuss her participation at the YMCA Model United Nations conference taking place in Hershey, PA this weekend.  6:55pm- Who Won Social Media? + Will Matt and Henry square off in a boxing match for charity? 

The Rich Zeoli Show- Hour 4:  While speaking with Tucker Carlson on Fox News, investigative journalist Matt Tiabbi stated, “I think we can say pretty conclusively after looking at tens of thousands of emails over the course of these weeks that the government was in the censorship business in a huge way. That is, I think provable now.” Dr. Anthony Mazzarelli—CEO & President of Cooper University Hospital—joins The Rich Zeoli Show to discuss the Greater Philadelphia YMCA's Model United Nations conference being held this weekend in Hershey, Pennsylvania. Dr. Mazzarelli stresses that one of the unique features of the conference is that high school students with differing opinions and political preferences engage in civil, friendly dialogues. Danica Chakroborty—High School Student & Secretary General of the Model United Nations—joins The Rich Zeoli Show to discuss her participation at the YMCA Model United Nations conference taking place in Hershey, PA this weekend. Who Won Social Media? + Will Matt and Henry square off in a boxing match for charity? 

Tina and Hillary cover former Kinloch, MO mayor Keith Conway and NJ Transportation Commissioner John Sheridan. Tina's Story Keith Conway served as Kinloch, Missouri mayor for 12 years. BUT when he served himself to Kinloch's money, he lost his seat and freedom. Hillary's Story Republican John Sheridan served as NJ Transportation commissioner until 1985 before becoming CEO of Cooper University Hospital and chair of Cooper's Ferry Partnership. BUT his suspicious death in 2014 led to an investigation that remains unsolved today. Sources Tina's Story Columbia Daily Tribune Burb's acting mayor left with a mess (https://www.columbiatribune.com/story/news/2011/08/14/burb-s-acting-mayor-left/21434778007/) Mayor banned from City Hall (https://www.columbiatribune.com/story/news/2011/05/25/mayor-banned-from-city-hall/21434800007/) Deseret News Mayor who stole from town gets 21 months in prison (https://www.deseret.com/2011/11/18/20231995/mayor-who-stole-from-town-gets-21-months-in-prison) FBI St. Louis Division (US Attorney's Office) Kinloch Mayor Keith Conway Pleads Guilty to Fraud, Embezzlement, and Witness Tampering (https://archives.fbi.gov/archives/stlouis/press-releases/2011/kinloch-mayor-keith-conway-pleads-guilty-to-fraud-embezzlement-and-witness-tampering) Kinloch Mayor Keith Conway Sentenced for Fraud, Embezzlement, and Witness Tampering (https://archives.fbi.gov/archives/stlouis/press-releases/2011/kinloch-mayor-keith-conway-sentenced-for-fraud-embezzlement-and-witness-tampering#:~:text=LOUIS%2C%20MO%E2%80%94The%20United%20States,Florida%20vacation%20condominium%20timeshare%3B%20and) Five on Your Side Former Kinloch mayor sentenced for falsifying documents (https://www.ksdk.com/article/news/crime/former-kinloch-mayor-sentenced-for-falsifying-documents/63-308546543) Fox 2 Now Former Kinloch mayor indicted for lying about employment records (https://fox2now.com/news/former-kinloch-mayor-indicted-for-lying-about-employment-records/) Riverfront Times Feeding Frenzy (https://www.riverfronttimes.com/news/feeding-frenzy-2470021)--by Elizabeth Vega Former Kinloch Mayor Keith Conway Sentenced to 21 Months in Prison (https://www.riverfronttimes.com/news/former-kinloch-mayor-keith-conway-sentenced-to-21-months-in-prison-2581254)--by Albert Samaha Keith Conway, Disgraced Kinloch Mayor, Pleads Guilty to Three Charges (https://www.riverfronttimes.com/news/keith-conway-disgraced-kinloch-mayor-pleads-guilty-to-three-charges-2611696)--by Sarah Fenske Vice The City Next to Ferguson Is Even More Depressing (https://www.vice.com/en/article/bnpzda/the-spectacular-decline-of-the-historic-town-next-to-ferguson-missouri-602)--by Ben Westhoff Photos Former Kinloch mayor, Keith Conway (https://media2.riverfronttimes.com/riverfronttimes/imager/u/original/2581253/keith_conway_kinloch.jpg)--photo by Jennifer Silverberg via Riverfront Times Andolora Marshall on Dais (https://bloximages.newyork1.vip.townnews.com/stltoday.com/content/tncms/assets/v3/editorial/1/6c/16cd9c49-0a63-5ed4-a7a1-7ede85739936/4ddc17b388574.image.jpg)--screenshot via St. Louis Post Dispatch Hillary's Story Fox 5 via YouTube DEAD END - A New Jersey Political Murder Mystery podcast profiled (https://www.youtube.com/watch?v=w2uonvnkC_k) Gothamist Detectives believed John and Joyce Sheridan died in a murder-suicide. Here's the evidence that contradicts that theory. (https://gothamist.com/news/detectives-believed-john-and-joyce-sheridan-died-in-a-murder-suicide-heres-the-evidence-that-contradicts-that-theory)--by Nancy Solomon These are the key people in the John and Joyce Sheridan murder investigation (https://gothamist.com/news/these-are-the-key-people-in-the-john-and-joyce-sheridan-murder-investigation)--by Nancy Solomon Intelligencer The Knife Twist (https://nymag.com/intelligencer/2022/02/new-clue-in-the-deaths-of-john-and-joyce-sheridan.html)--by Colin Moynihan My Central New Jersey Sheridan sons hire pathologist to solve parents' deaths (https://www.mycentraljersey.com/story/news/local/somerset-county/2014/11/02/sheridan-sons-hire-examiner-solve-parents-deaths/18384325/) The New York Times At 73, He Adds New Jersey Hit Man to His Criminal Résumé (https://www.nytimes.com/2022/03/23/nyregion/george-bratsenis-nj-hitman.html)--by Ed Shanahan Prosecutors Open New Inquiry Into Mysterious Deaths of Prominent Couple (https://www.nytimes.com/2022/05/31/nyregion/john-joyce-sheridan-deaths-investigation.html)--by Tracey Tully Who Killed the Sheridans? (https://www.nytimes.com/2016/02/07/magazine/who-killed-the-sheridans.html?mcubz=3&_r=0)--by Michael Sokolove NJ.com Family of John Sheridan asks authorities to explore possible link between deaths and murder-for-hire-plot (https://www.nj.com/politics/2022/01/family-of-john-sheridan-asks-authorities-to-explore-possible-link-between-deaths-and-murder-for-hire-plot.html)--by Ted Sherman Observer Prosecutor rules Sheridan case a murder/suicide; sons slam ‘bungled' investigation (https://observer.com/2015/03/prosecutor-rules-sheridan-case-a-murdersuicide-sons-slam-bungled-investigation/)--by Max Pizarro Politico AG opens up the Sheridan case (https://www.politico.com/newsletters/new-jersey-playbook/2022/06/01/ag-opens-up-the-sheridan-case-00036241)--by Matt Friedman Wikipedia Deaths of John and Joyce Sheridan (https://en.wikipedia.org/wiki/Deaths_of_John_and_Joyce_Sheridan) Photos John and Joyce Sheridan (https://www.nj.com/resizer/9VMCYyzoO87kcR8RYbk0FjgwOZw=/800x0/smart/cloudfront-us-east-1.images.arcpublishing.com/advancelocal/7WPPOW3OLJC7LEBMHVMB5THKIU.JPG)--from the Sheridan Family via NJ.com The Sheridan Children (https://static01.nyt.com/images/2016/02/07/magazine/07sheridans1/07sheridans1-jumbo-v2.jpg?quality=75&auto=webp)--by Stefan Ruiz via The New York Times Home of John and Joyce Sheridan (https://a57.foxnews.com/static.foxnews.com/foxnews.com/content/uploads/2022/05/686/384/4939802b-AP627903291355.jpg?ve=1&tl=1)--by Mel Evans/AP Photo via Fox News George Bratsenis (https://static01.nyt.com/images/2022/03/27/nyregion/27hitman-profile-new/merlin_204403995_e0b5817a-97d1-463c-a3c1-d1b9831c1685-mobileMasterAt3x.jpg?quality=75&auto=webp&disable=upscale&width=1200)--by Connecticut Department of Corrections/AP via The New York Times

Join Dr. Jennifer Reid as she interviews Puneet Sahota, M.D., PhD, a cultural anthropologist, psychiatrist, award-winning educator and the current director of research at the National Indian Child Welfare Association (NICWA).  They discuss the powerful effects of cultural thoughtfulness in health care and beyond. Learn the simple questions she asks to better connect with her patients.  We discuss:*What is Cultural Anthropology?*How does Dr. Sahota's background in psychiatry and anthropology provide a unique lens for patient care? *How can health care providers shift their interviewing style to better support patients from all backgrounds and communities?Dr. Puneet Sahota is a psychiatrist and the current medical director of consultation-liaison and emergency psychiatry at Cooper University Hospital in Camden New Jersey, where she was the recent recipient of the Physician of the Quarter. She received her MD as well as her PhD in cultural anthropology from Washington University in St. Louis, with a dissertation examining the relationship between a Southwest American Indian tribe and biomedical/genetics research, including ethical, political, and cultural issues.  _______________________Seeking a mental health provider? Try Psychology TodayNational Suicide Prevention Lifeline: 1-800-273-8255SAMHSA's National Helpline - 1-800-662-HELP (4357)Dial 988 for Mental Health EmergencyThank you to Brendan Callahan for the original music featured on the podcast.Disclaimer:The information and other content provided on this podcast or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.If you or any other person has a medical concern, you should consult with your health care provider or seek other professional medical treatment. Never disregard professional medical advice or delay in seeking it because of something that have read on this website, blog or in any linked materials. If you think you may have a medical emergency, call your doctor or emergency services (911) immediately. You can also access the National Suicide Help Line at 1-800-273-8255The Reflective DocWebsite - Instagram - Facebook - Linked In - Twitter - Think Like a Shrink Blog on Psychology Today

Hour 1 of The Dawn Stensland Show: On Monday, a former Philadelphia police officer charged with murder told jurors that he fired his weapon at Dennis Plowden Jr. because, “I thought he was going to reach for a gun and shoot me,” according to a report from the Philadelphia Inquirer. The Philadelphia Eagles hosted their home opener against the Minnesota Vikings on Monday Night Football—winning the game 24-7 thanks to nearly 400 total yards from quarterback Jalen Hurts. On Monday, Senate candidate Dr. Mehmet Oz visited Germantown and Kensington to bring attention to Philadelphia's opioid epidemic. If elected, Dr. Oz vowed to help families and communities impacted by drug abuse. Cooper University Hospital announced it will be expanding its Camden campus with three new buildings. The expansion is expected to cost $2 billion—and will create over 100 new private rooms for patients. Philadelphia District Attorney Larry Krasner is now reluctantly cooperating with a subpoena issued by a Pennsylvania House Committee investigating his prosecutorial strategies and soft-on-crime policies. Krasner has called the investigation “undemocratic.” Canadian Prime Minister Justin Trudeau is being criticized for participating in hotel karaoke while in London for Queen Elizabeth's funeral during the country's official mourning period.

COL (Dr.) Gross joined the Army at 48 years old while in a thriving general surgery practice to do his part following the 9/11 attacks. 20 years later, he is still on active duty deploying with special forces and conventional units 10 times, totaling over 5.5 years. He received his MD at Indiana University School of Medicine and completed his General Surgery residency at Indiana University Medical Center.  He also completed a Surgical Critical Care Fellowship at Vanderbilt University. He currently works with the Army Medical Department Military Civilian Trauma Team Training Program at Cooper University Hospital, Camden NJ.    In this episode, he shares how he sought to become an expert expeditionary surgeon and participated in the Afghanistan and Iraq wars for the past 20 years. He discusses his experience with all phases of the conflict, his primarily clinical military career, and how he seeks to train the next generation of expeditionary surgeons.  The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing career opportunities, experiences, and achievements of military medicine.                                Find out more and join Team WarDocs- www.wardocspodcast.com Listen to the What We are For Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible, and 100% of donations go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. A tax receipt will be sent to you.  WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Doc" as a sign of respect, trust, and confidence on and off the battlefield that demonstrates dedication to the medical care of fellow comrades in arms.           Follow Us on social media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast

Dr. Esha Jain is an incoming PGY-1 resident at Cooper University Hospital in New Jersey. She shares her journey from being a student in a Caribbean medical school to matching into Family Medicine in the United States. Tune in to listen more about her journey!

John Sheridan's decision to go work at Cooper University Hospital came at a curious time. It was just months after news about the Palmyra tapes came out. The tapes caught George Norcross bullying and offering a favor to a small town official; they are a rare instance where evidence emerged of the rough and tumble side to the south Jersey political machine. An email shows Norcross' control over the state legislature and city council members in Camden explain what it means to be a "yes yes" person. • Kelly Francis, union organizer and Camden activist • Kevin Riordan, Philadelphia Inquirer reporter who has covered south Jersey off and on for the past 45 years • Micah Rasmussen, director of Rebovich Institute for New Jersey Politics at Rider University • Tom Knoche, lecturer at Rutgers University in Camden • Matt Katz, reporter at WNYC • Shaneka Boucher, Camden City Councilwoman • Marilyn Torres, Camden City Councilwoman • Jeffrey Brenner, doctor who worked and lived in Camden during its worst years  

Join me as I speak with Dr. Alexander Mathew as he describes his ingredients for success with Matters of the Heart. 1. Believe: Believe in yourself2. Setbacks: Turn your setbacks into learning3. Positivity: Be positive and surround yourself with positive people4. Honesty: Be honest with yourself and othersAlexander Mathew is an experienced and patient internist specializing in cardiology and cardiac electrophysiology. Dr. Mathew is currently serving his patients in Jersey City, Florham Park, and Maplewood, NJ. He is certified by the American Board of Internal Medicine to treat cardiovascular disease and clinical cardiac electrophysiology. Dr. Mathew attended the American University of the Caribbean's School of Medicine to complete his medical degree. He then completed his internal medicine residency and two fellowships—cardiovascular disease and clinical cardiac electrophysiology—at the Cooper University Hospital. He welcomes patients to his practice, providing specialty care to patients experiencing illnesses, hypertensions, and heart problems. Dr. Mathew performs cardiovascular treatments that include carotid Dopplers, ECG/EKGs, arrhythmia diagnostic testing, blood work, coronary angiographies, and cardiovascular screenings.To learn more about Julie Riga and her mission to Stay On Course, visit her website: www.julieriga.com

Today's guest is Nicole Fox, MD, MPH, FACS, a trauma surgeon and surgical intensivist at Cooper University Hospital in Camden, New Jersey. Featured solution: Today's featured ACDIS solution is ACDIS Pro. Just like the printed ACDIS Pocket Guide, this online portal provides all of the detail, explanation, and content you have come to trust and expect from the ACDIS team but is updated in real-time to keep you at the forefront of the CDI industry! Easily access all the query, coding, and documentation resources you love and need every day – anywhere, any time! This new, fully customizable, easy to navigate online portal can be accessed on any device – pull it up on your phone in a meeting to make sure you have the right code, access it on the go while talking to a physician, or from your office! With the ability to add your own personal notes directly into conditions for easy reference, ACDIS PRO will become your favorite reference. Click here to learn more or purchase access.  (http://ow.ly/Q5m830s1BMn)   In the News: “News: Leapfrog adds new measures, releases fall 2021 report,” from CDI Strategies (http://ow.ly/pLxS30s3n1e) ACDIS update: ACDIS paper series on risk adjustment in CDI (part 1 and part 2) (http://ow.ly/ClxI30s3n1t and http://ow.ly/ag7G30s3n1u)

In today's episode, Adham Elmously and Matt Spreadbury discuss diagnosis and management of type B aortic dissections with Drs Einar Brevik and Joseph Lombardi. An outline can be found on our website References Lombardi et al. Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) reporting standards for type B aortic dissections. J Vasc Surg. 2020 Jan;71(3): P723-747 Lombardi JV et al. STABLE II Investigators. STABLE II clinical trial on endovascular treatment of acute, complicated type B aortic dissection with a composite device design. J Vasc Surg. 2020 Apr;71(4):1077-1087. Authors: Dr. Adham Elmously (@elmouslyMD) is a second-year vascular surgery fellow at the New York-Presbyterian Cornell/Columbia Program in New York, NY. Dr. Matthew Spredbury (@mattspreadbury) is a second-year vascular surgery resident at Haukeland University Hospital in Bergen, Norway. Guests: Dr. Joseph Lombardi (@VascSurgMD) is the Professor and Chief of Vascular Surgery at Cooper University Hospital in Camden, New Jersey, and the PI on the STABLE I and STABLE II trials. Dr. Einar Brevik (LinkedIn) is a consultant vascular surgeon and the previous president of the Norwegian Society of Vascular Surgery. Editor: Matt Smith Reviewers: Adam Johnson and Matt Chia Please share your feedback through our Listener Survey! Follow us on Twitter @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.

Dr. Elizabeth Cerceo is a hospitalist at Cooper University Hospital in Camden, NJ. Listen to Lisa talk about factors that lead to physician burnout, the effects of climate change on our health and what she views as the most pressing problem in healthcare: complacency.

Learn about the six-year integrated plastic surgery residency program at Cooper University Hospital, in Camden, New Jersey, with Dr. Alec Fisher. Recorded in August 2021. Contact: fisher-alec@cooperhealth.edu

With the help of her mom, 8-year-old Lily Cuticchia organized a bake sale and raised more than $2,000 over the summer. She used the money to create care packages to give to substance abuse patients at Cooper University Hospital. See omnystudio.com/listener for privacy information.

Whatsapp: +1(854)6427636 WWW.FRANCISKAKOSMAN.COM INSTAGRAM Janette S. Levey, The Employers Lawyer, has over 15 years of experience in Employment Law. Janette leverages her knowledge of Employment Law to help employers create a workplace culture that fosters strong relationships with its employees. Janette operates under these core beliefs: 1) Employees are a company's most valuable assets; 2) Most employment lawsuits, and negative results from audits are preventable, and 3) Proactive, creative solutions are usually the best way to avoid litigation, audits, employee relations problems, and the attendant, often staggering costs. Janette has written, spoken, and trained on topics, such as Wage and Hour Issues, Discrimination, Harassment, Joint Employment, Pre-Employment Screening among many others. Janette has served on the Workplace Violence Prevention Institute, a task force dedicated to providing proactive, holistic solutions to employers serious about maintaining violence-free workplaces. Janette currently serves on the Board of Children and Family Resources of Morris County. www.linkedin.com/janetteleveyfrisch www.twitter.com/JLeveyFrisch   Deena grew up in Pittsburgh and spent a year studying in Israel before studying for her undergraduate degree at Stern College, where she majored in biology and minored in education. She received her MD from University of Pittsburgh School of Medicine and then went on to complete residency in Emergency Medicine at Temple University Hospital in Philadelphia. She completed a fellowship in EMS and Disaster Medicine at Cooper University Hospital in Camden before making aliyah. She now lives and works in Ashdod, Israel. www.twitter.com/deenadiamond https://www.instagram.com/deenadiamond/  

In this edition of SSAT's Mentor of the Month video series, Dr. Young Hong, Assistant Professor of Surgery at Cooper University Hospital and member of SSAT Resident and Fellows Education Committee, interviewed Dr. Kelly M. McMasters. Dr. McMasters earned his dual degree M.D./Ph.D. at UMDNJ – Robert Wood Johnson Medical School and surgical residency at The University of Louisville. He completed his complex general surgical oncology fellowship at MD Anderson Cancer Center. He is currently the Ben A. Reid, Sr., M.D. Professor and Chair of the Hiram C. Polk, Jr., M.D. Department of Surgery at The University of Louisville. He is the Editor-in-Chief of the Annals of Surgical Oncology. He will discuss his advice on mentorship, job searching, and life lessons he has learned along the way. Questions answered in this Mentor of the Month episode are: As you look back on your career, how has mentorship in your past affected your surgical success? What makes a great mentor/mentee relationship thrive, in your opinion? Do you have any advice you have carried with you during your career for young residents and fellows? What are key factors you look for in faculty members you look for when considering a new candidate? What unique challenges have you faced in your career, and how has it shaped you as a surgeon? What are the fundamental principles that drove you to succeed in your surgical career? Besides your professional successes in American surgery, what is a fun fact that most people don't know about you?

Creativity is a concept that is often considered too broad, too vague and too nuanced to incorporate into the structured world of residency. But can exploring the world of the abstract help us to become more astute, caring and well-rounded physicians? Dr.Rossi, PGY4 at Cooper University Hospital, discusses his experience with exploring various avenues of creative expression, including advocacy and social media outreach. We discuss what it means to build influence during these uncertain times and how one can leverage creativity to create more agency in a designated speciality. In this episode we discuss the following: - What does creativity mean and how can it manifest within the confines of residency? - What types of outlets should trainees get involved with to further develop their creative interests? - What are the setbacks of such exposure during training and how can trainees avoid such pitfalls? - What kinds of advocacy should residents and fellow engage in to have more agency in how they practice? - How can we work to ensure that such outlets are encouraged during training?

How can we stop uncontrollable and unintentional weight gain? What can we do about it, what works and how do we stick to it? Should those with serious weight problems consider bariatric surgery and medication?I recently learned so much about obesity from incredibly informed health psychologist Dr. Dina Goldstein Silverman. After watching her excellent presentation at the 2020 NJPA Conference I asked her if she would be a guest on podcast. We are joined in this conversation by attorney and my husband, Neill W. Clark.Expert guest Dr. Dina Goldstein Silverman is the recipient of the Frank and Mary Ann Dattilio Education Award from the Pennsylvania Psychological Association. She was recently recognized by South Jersey Magazine for the Reader's Choice Award in 2019 and 2017. She is an Assistant Professor of Psychiatry and Psychology at Cooper University Hospital where she teaches evidence-based psychotherapy and provides individual supervision to psychiatry residents, medical students, and post-doctoral and pre-doctoral clinical health psychology residents. If you have found any value from this show, please show your encouragement by buying me a coffee: https://www.buymeacoffee.com/dralexandraEnjoy! Support the show (https://www.buymeacoffee.com/dralexandra)

Dr. Andrea Russo, MD, Director of Electrophysiology and Arrhythmia Services at Cooper University Hospital discusses the 50% decrease in in-person primary care visits, since COVID-19 according to a report from the IQVIA National Disease and Therapeutic Index. She talks about how this makes delays in the diagnosis of serious conditions like atrial fibrillation (AFib), deep vein thrombosis and pulmonary embolism and how important it is to get a proper diagnosis from a healthcare provider. There is a new campaign that seeks to bridge the gap in these critical diagnoses called "No Time To Wait"

Dr. Anthony Mazzarelli is CEO of Cooper University Health Care, the leading provider of health services, medical education & clinical research in Southern New Jersey & Delaware Valley PA. He received his masters degree in bioethics from the Perelman School of Medicine at the University of Pennsylvania and trained in emergency medicine at Cooper University Hospital, where he also served as chief resident and as well as his CEO role, he is actively practicing in the emergency department at Cooper in Camden. Get in touch with Dr. Anthony Mazzarelli: https://www.linkedin.com/in/anthony-mazzarelli-ab983b6/ Get in touch with Dr James Somauroo: www.jamessomauroo.com | www.somx.co.uk

Dr. Hazim J. Safi earned his medical degree at the University of Baghdad and completed his general surgery internship at Medical City Teaching Hospital in Baghdad and St. James Hospital in London, England. He completed his general surgery followed by his cardiothoracic residency at Baylor College of Medicine in Houston, studying under Dr. Michael DeBakey and Dr. Stanley Crawford. Dr. Safi is a professor and the founding chairman of the department of Cardiothoracic and Vascular Surgery at McGovern Medical School at UTHealth in Houston and chief of cardiothoracic and vascular surgery at Memorial Hermann Heart & Vascular Institute. Throughout his almost 50 year career, he has co-authored 30 book chapters and 200 scientific articles, and he is credited with the innovation and development of internationally recognized surgical techniques that have dramatically improved patient outcomes in aortic surgery.    Dr. Bruce Tjaden Jr earned a Bachelor of Arts degree from Boston University and attended medical school at the University of Kansas. He then completed his surgery residency at the Department of Surgery at the University of Kansas Hospital, and a vascular surgery fellowship at the University of Texas – Houston Health Science Center / Memorial Hermann Hospital under Dr. Hazim Safi and Dr. Ali Azizzadeh. Dr. Tjaden then joined Dr. Safi’s Department of Cardiothoracic and Vascular Surgery and practiced as an academic vascular surgeon at Memorial Hermann as well as surrounding Houston hospitals. He is now an Assistant Professor of Vascular and Endovascular Surgery at Cooper University Hospital in Camden, New Jersey and he has a particular interest in the management of aortic dissection and thoracic endovascular aortic repair. A Time for All Things: The Life of Michael E. Debakey https://www.amazon.com/Time-All-Things-Michael-DeBakey/dp/0190073942 If you enjoy our content, please contribute to Support Audible Bleeding.  Help us improve through our Listener Survey. Follow us on Twitter: @AudibleBleeding      

As COVID-19 continues to ravage health systems across the world we are still asking ourselves what are the risks for stroke patients that have contracted   COVID-19. Carmen Lahiff-Jenkins, Managing Editor of the International Journal of Stroke, spoke to Dr James Siegler from Cooper Neurologic Institute, Cooper University Hospital, Camden, New Jersey in the USA about the retrospective observational cohort of consecutive adults evaluated in the emergency department and/or admitted with coronavirus disease 2019, across 31 hospitals in four countries. Of the 14,483 patients with laboratory-confirmed SARS-CoV-2, 172 were diagnosed with an acute cerebrovascular event recorded from the 1st of Feb  until the 16th of June 2020. If you enjoy our podcast series, please write a review as it helps others to find us. The International Journal of Stroke is the flagship publication of the world Stroke Organisation, please consider becoming a member.  

Dr Joseph Yi is a Board Certified Addiction Psychiatrist who specializes in Holistic Psychiatry and Detoxification. After graduation from UMDNJ Robert Wood Johnson medical school, Dr Yi went on to do his psychiatry residency at Cooper University Hospital. It was at the heart of Camden, NJ where Dr Yi learned to treat some of the most challenging cases of psychiatric, addiction and detox patients. As a resident physician, Dr Yi had the privilege of apprenticeship under NY Times best-selling author, Joel Fuhrman MD, on nutritional therapy for mental health treatment.Since starting his solo private practice in 2009, Dr Yi has helped patients throughout Bucks County overcome their dependency to opiates, alcohol, and other substances through his Modern Detox Program . The program provides a personally individualized tapering plan on an outpatient basis, as an alternative to going into an inpatient facility for treatment.In addition to conservative medication management, Dr Yi utilizes a more Holistic approach towards helping improve patients' overall behavioral wellness by integrating the following as part of his treatment plans:motivational counselingnutritional therapyexercise scienceyogaspiritualityModern Behavioral is the group practice expansion and growth of Dr Yi's original program. By creating a team of health professionals incorporating a Holistic approach to addictions and behavioral health treatment, the group is dedicated to offering the best quality of care while serving Bucks County – one patient at a timeTo find out more about Dr Yi, visit his website: https://modernbehavioral.com/For more episodes of Evolve, find us on iTunes at https://apple.co/2NpsIba, Spotify at https://spoti.fi/2NpSiN0, Acast at https://play./s/pete-evans, click the link on https://peteevans.com, or just look up "Evolve" in your favourite podcast app.    I'd love to spread the knowledge in these podcasts far and wide. If you liked this episode, I'd love it if you could share it with your friends, and perhaps even leave a review on iTunes.    This podcast is proudly presented by The Institute For Integrative Nutrition, or IIN for short.I've completed this amazing health training course through IIN, and I would thoroughly recommend it for anyone wanting to start a career in the health coaching and wellness space.This course is conducted over a year long period and it's constructed in a way that if you're a full time worker or a busy parent or wherever you are in your life will still be able to complete all the required curriculum and modules. Please see the link included in this post on my Facebook or Instagram page or on iTunes, to access the free sample class and first module of the program, to get a great taste of the format and structure as well as utilise my special discount that I can offer you if you decide to sign up.Make sure you tell the admission team that you're part of the Pete Evans tuition savings to claim your very substantial discount visit https://www.integrativenutrition.com  Theme music by Mandharu.  See /privacy for privacy and opt-out information.

Dr Joseph Yi is a Board Certified Addiction Psychiatrist who specializes in Holistic Psychiatry and Detoxification. After graduation from UMDNJ Robert Wood Johnson medical school, Dr Yi went on to do his psychiatry residency at Cooper University Hospital. It was at the heart of Camden, NJ where Dr Yi learned to treat some of the most challenging cases of psychiatric, addiction and detox patients. As a resident physician, Dr Yi had the privilege of apprenticeship under NY Times best-selling author, Joel Fuhrman MD, on nutritional therapy for mental health treatment.Since starting his solo private practice in 2009, Dr Yi has helped patients throughout Bucks County overcome their dependency to opiates, alcohol, and other substances through his Modern Detox Program . The program provides a personally individualized tapering plan on an outpatient basis, as an alternative to going into an inpatient facility for treatment.In addition to conservative medication management, Dr Yi utilizes a more Holistic approach towards helping improve patients’ overall behavioral wellness by integrating the following as part of his treatment plans:motivational counselingnutritional therapyexercise scienceyogaspiritualityModern Behavioral is the group practice expansion and growth of Dr Yi’s original program. By creating a team of health professionals incorporating a Holistic approach to addictions and behavioral health treatment, the group is dedicated to offering the best quality of care while serving Bucks County – one patient at a timeTo find out more about Dr Yi, visit his website: https://modernbehavioral.com/For more episodes of Evolve, find us on iTunes at https://apple.co/2NpsIba, Spotify at https://spoti.fi/2NpSiN0, Acast at https://play.acast.com/s/pete-evans, click the link on https://peteevans.com, or just look up "Evolve" in your favourite podcast app. I'd love to spread the knowledge in these podcasts far and wide. If you liked this episode, I'd love it if you could share it with your friends, and perhaps even leave a review on iTunes. This podcast is proudly presented by The Institute For Integrative Nutrition, or IIN for short.I've completed this amazing health training course through IIN, and I would thoroughly recommend it for anyone wanting to start a career in the health coaching and wellness space.This course is conducted over a year long period and it's constructed in a way that if you're a full time worker or a busy parent or wherever you are in your life will still be able to complete all the required curriculum and modules. Please see the link included in this post on my Facebook or Instagram page or on iTunes, to access the free sample class and first module of the program, to get a great taste of the format and structure as well as utilise my special discount that I can offer you if you decide to sign up.Make sure you tell the admission team that you're part of the Pete Evans tuition savings to claim your very substantial discount visit https://www.integrativenutrition.com Theme music by Mandharu. See acast.com/privacy for privacy and opt-out information.

Perfusion imaging employs concepts that date back to the early 1830s, and it leverages hardware and software that emerged around the same time at multidetector helical CT scans. But it has only become popular in recent years for thrombectomy decision-making. If I'm being honest, I often never use it for this purpose. So what other purposes might it serve? And how does it work? This week, we review the fundamental concepts of perfusion CT, its utility in stroke care, and how it might prove useful for other neurologic conditions as well. ** IF YOU’RE TAKING YOUR NEUROLOGY BOARDS THIS SUMMER, CHECK OUT THE PENN NEUROLOGY BOARD REVIEW COURSE. FOR A DISCOUNTED RATE ON THE ONLINE OR STREAMING RESOURCES, USE PROMO CODE ‘WAVES2020’. ** Produced by James E. Siegler. Music courtesy of Julie Maxwell, John Bartmann, Kai Engel, and Pachyderm. Our theme song was composed by Jimothy Dalton. Sound effects by Mike Koenig and Daniel Simion. Some of the voices you heard throughout the program were those of Dr. Mathias Prokop, Radbound Medical Center, Netherlands; Terri Yeager, Comprehensive Stroke Program Coordinator at Cooper University Hospital; and a recording that was produced by GE Healthcare, which are freely available on YouTube. Unless otherwise mentioned in the podcast, no competing financial interests exist in the content of this episode. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision making. Be sure to follow us on Twitter @brainwavesaudio for the latest updates to the podcast. REFERENCES Campbell BC, Christensen S, Levi CR, Desmond PM, Donnan GA, Davis SM and Parsons MW. Comparison of computed tomography perfusion and magnetic resonance imaging perfusion-diffusion mismatch in ischemic stroke. Stroke; a journal of cerebral circulation. 2012;43:2648-53. Boned S, Padroni M, Rubiera M, Tomasello A, Coscojuela P, Romero N, Muchada M, Rodriguez-Luna D, Flores A, Rodriguez N, Juega J, Pagola J, Alvarez-Sabin J, Molina CA and Ribo M. Admission CT perfusion may overestimate initial infarct core: the ghost infarct core concept. J Neurointerv Surg. 2017;9:66-69. Martins N, Aires A, Mendez B, Boned S, Rubiera M, Tomasello A, Coscojuela P, Hernandez D, Muchada M, Rodriguez-Luna D, Rodriguez N, Juega JM, Pagola J, Molina CA and Ribo M. Ghost Infarct Core and Admission Computed Tomography Perfusion: Redefining the Role of Neuroimaging in Acute Ischemic Stroke. Interv Neurol. 2018;7:513-521. Campbell BCV, Ma H, Ringleb PA, Parsons MW, Churilov L, Bendszus M, Levi CR, Hsu C, Kleinig TJ, Fatar M, Leys D, Molina C, Wijeratne T, Curtze S, Dewey HM, Barber PA, Butcher KS, De Silva DA, Bladin CF, Yassi N, Pfaff JAR, Sharma G, Bivard A, Desmond PM, Schwab S, Schellinger PD, Yan B, Mitchell PJ, Serena J, Toni D, Thijs V, Hacke W, Davis SM, Donnan GA, Extend E and Investigators E. Extending thrombolysis to 4.5-9 h and wake-up stroke using perfusion imaging: a systematic review and meta-analysis of individual patient data. Lancet. 2019;394:139-147. Siegler JE, Messe SR, Sucharew H, Kasner SE, Mehta T, Arora N, Starosciak AK, De Los Rios La Rosa F, Barnhill NR, Mistry AM, Patel K, Assad S, Tarboosh A, Dakay K, Wagner J, Bennett A, Jagadeesan B, Streib C, Weber SA, Chitale R, Volpi JJ, Mayer SA, Yaghi S, Jayaraman MV, Khatri P and Mistry EA. Noncontrast CT versus Perfusion-Based Core Estimation in Large Vessel Occlusion: The Blood Pressure after Endovascular Stroke Therapy Study. J Neuroimaging. 2019. Epub ahead of print. Barber PA, Demchuk AM, Zhang J and Buchan AM. Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy. ASPECTS Study Group. Alberta Stroke Programme Early CT Score. Lancet. 2000;355:1670-4. Wintermark M, Reichhart M, Thiran JP, Maeder P, Chalaron M, Schnyder P, Bogousslavsky J and Meuli R. Prognostic accuracy of cerebral blood flow measurement by perfusion computed tomography, at the time of emergency room admission, in acute stroke patients. Annals of neurology. 2002;51:417-32. Parsons MW, Pepper EM, Chan V, Siddique S, Rajaratnam S, Bateman GA and Levi CR. Perfusion computed tomography: prediction of final infarct extent and stroke outcome. Annals of neurology. 2005;58:672-9. Campbell BC, Weir L, Desmond PM, Tu HT, Hand PJ, Yan B, Donnan GA, Parsons MW and Davis SM. CT perfusion improves diagnostic accuracy and confidence in acute ischaemic stroke. Journal of neurology, neurosurgery, and psychiatry. 2013;84:613-8. Mangla R, Ekhom S, Jahromi BS, Almast J, Mangla M and Westesson PL. CT perfusion in acute stroke: know the mimics, potential pitfalls, artifacts, and technical errors. Emerg Radiol. 2014;21:49-65. Albers GW, Marks MP, Kemp S, Christensen S, Tsai JP, Ortega-Gutierrez S, McTaggart RA, Torbey MT, Kim-Tenser M, Leslie-Mazwi T, Sarraj A, Kasner SE, Ansari SA, Yeatts SD, Hamilton S, Mlynash M, Heit JJ, Zaharchuk G, Kim S, Carrozzella J, Palesch YY, Demchuk AM, Bammer R, Lavori PW, Broderick JP, Lansberg MG and Investigators D. Thrombectomy for Stroke at 6 to 16 Hours with Selection by Perfusion Imaging. The New England journal of medicine. 2018;378:708-718. Van Cauwenberge MGA, Dekeyzer S, Nikoubashman O, Dafotakis M and Wiesmann M. Can perfusion CT unmask postictal stroke mimics? A case-control study of 133 patients. Neurology. 2018;91:e1918-e1927. Siegler JE, Olsen A, Pulst-Korenberg J, Cristancho D, Rosenberg J, Raab L, Cucchiara B and Messe SR. Multicenter Volumetric Assessment of Artifactual Hypoperfusion Patterns using Automated CT Perfusion Imaging. J Neuroimaging. 2019;29:573-579.

In this episode of Critical Matters, we provide an update on the COVID-19 epidemic. As the epidemic continues to spread at a rapid pace around the world new information and guidance from health care authorities is coming at a furious pace. Our guest is Dr. Raquel Nahra, a critical care and infectious disease specialist. Dr. Nahra is faculty at the Cooper Medical School of Rowan University. In addition to her clinical roles, Dr. Nahra is the Hospital Epidemiologist at Cooper University Hospital in Camden NJ. Additional Resources: World Health Organization (WHO) - Coronavirus Updates: http://bit.ly/2UJKj4b Centers for Disease Control (CDC) - 2019-nCoV Resources and Information: http://bit.ly/2OMGsPO Lancet - Articles and Clinical Information on 2019-nCoV: http://bit.ly/3bxyiEE Johns Hopkins University HUB - Novel Coronavirus Information http://bit.ly/39xETxn Books Mentioned in this Episode: The Obstacle is the Way: The Timeless Art of Turning Trials Into Triumph by Ryan Holliday: https://amzn.to/3aKSGkE

    With approximately 62 million Americans (1 in 5) living in rural areas, time can be a critical factor in treating individuals suffering from acute conditions like strokes. Telehealth has become a cornerstone of delivery options in the healthcare industry, and while many associate this technology with more basic primary care services, the market has evolved with a focus on life-saving delivery services such as telestroke support between specialists and hospitals. On this month’s episode we speak with Dr. Rajiv Narula, Co-Founder StatSeva, and Former Director of Teleneuroscience at Cooper University Hospital about the advancements in telehealth and how health systems can adopt it in specialty areas. Listen now and subscribe to Trending Health at trendinghealth.com.    

In this episode of Critical Matters we discuss the outbreak of a novel coronavirus (2019-nCoV), a rapidly evolving epidemic that originated in China and now declared a health care emergency by the World Health Organization (WHO). In this episode, we discuss current understanding regarding the virus and its clinical impact. Our guest is Dr. Raquel Nahra, a critical care and infectious disease specialist. Dr. Nahra is faculty at the Cooper Medical School of Rowan University. In addition to her clinical roles, Dr. Nahra is the Hospital Epidemiologist at Cooper University Hospital in Camden NJ. Additional Resources: World Health Organization (WHO) - Coronavirus Status Updates: http://bit.ly/2UJKj4b Centers for Disease Control (CDC)- Resources and Information on 2019-nCoV: http://bit.ly/2OMGsPO Lancet - Articles and Clinical Information on 2019-nCoV: http://bit.ly/3bxyiEE Johns Hopkins University - Novel Coronavirus Information: http://bit.ly/39xETxn Jama Network - Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China: http://bit.ly/2SAKOL8 Books Mentioned in this Episode: Waiting for Godot: A Tragicomedy in Two Acts by Samuel Beckett: https://amzn.to/2HhnUD8

The look of death, gunshot wounds to the abdomen, finding the bleed, when to go to CT scan, major vessel injuries, patients bleeding out on the table. Dr. Ju Lin Wang is a Trauma Surgeon at Cooper University Hospital in Camden, NJ.transcript

Healing with the hands; How to match as an International Medical Graduate (IMG); The joy of working in a team on the sickest patients; How military conflicts have led to advances in trauma care; Tourniquets saving lives; Transfusions in massive trauma; Whole blood; How to match into trauma; How to choose a good surgeon; Dr. Ju Lin Wang is a trauma surgeon at Cooper University Hospital in Camden, NJ. transcript

Recent cases of flesh eating bacteria have alarmed beach goers and fishermen.  With cases being reported beyond typical Gulf locations to northern beaches, medical researchers are exploring a possible link to ocean warming. This week, Regina Miller speaks to Dr. Katherine Doktor, an Infectious Disease Specialist from Cooper University Hospital of Camden, NJ.  She was a researcher and co-author of a new study released in the Annals of Internal Medicine on the subject. We are also joined by AccuWeather Meteorologist Brett Anderson.  He’ll discuss Atlantic water temperature trends.

In this episode, Kenneth Chang and Richard Byrne, MD FAAEM, discuss Dr. Byrne's AAEM18 talk, Myths, Bias, and Lies My Medical School Taught Me. Mr. Chang is a medical student at Western University of Health Sciences and AAEM/RSA Education Committee Member. Dr. Byrne is an Assistant Professor of Emergency Medicine at Cooper University Hospital.

Presented by Kenneth Chang, medical student at Western University of Health Sciences and AAEM/RSA Education Committee Member, and Richard Byrne, MD FAAEM, Assistant Professor of Emergency Medicine at Cooper University Hospital. Intro music by Akashic Records, Key to Success - Discover the Possibility from the album Corporate Presentation - Key to Success, powered by JAMENDO.

The use of point-of-care ultrasound (POCUS) has penetrated our clinical practice. In the hands of trained intensivists POCUS can quickly provide valuable diagnostic information and lead to specific therapeutic interventions. Today’s episode explores the use of POCUS during cardiac arrest. Our guest is Haney Mallemat, MD. Dr. Mallemat is board certified in emergency medicine, internal medicine, and critical care medicine and works in the emergency department and intensive care unit at Cooper University Hospital in Camden, NJ. He has lectured both nationally and internationally and has contributed to several emergency medicine and critical care podcasts. He is a firm believer in the benefits of bedside ultrasound for better patient care. Additional Resources - The REASON Trial evaluated the role of POCUS in out of hospital cardiac arrest arriving to the emergency department. Click here to read. - Point of care ultrasound can be associated with frequent interruptions during CPR. As Dr. Mallemat discusses in the podcast, providers must pay very close attention to this issue. Additional Resources: The REASON Trial evaluated the role of POCUS in out of hospital cardiac arrest arriving to the emergency department. Click here to read. Point of care ultrasound can be associated with frequent interruptions during CPR. As Dr. Mallemat discusses in the podcast, providers must pay very close attention to this issue. Click here to read more.

Dr Carolyn Lam:                Welcome to Circulation on the Run, your weekly podcast summary and backstage pass to the journal and its editors. I'm Dr. Carolyn Lam, associate editor from the National Heart Centre and Duke National University of Singapore.                                                 Our featured discussion today is really a very important message, that hospitals have the capacity to influence a patient's adherence to secondary prevention and thereby potentially impacting long-term patient outcomes. Much more on this important paper coming right up.                                                 Higher physical activity is known to be associated with lower heart failure risk. However, what is the impact of changes in physical activity on heart failure risk? The first paper in this week's journal, by first author Dr. Roberta Florido, corresponding author Dr. Ndumele from Johns Hopkins Hospital, provides us some answers. These authors evaluated more than 11,350 participants of the Atherosclerosis Risk in Communities, or ARIC, study who were followed for a median of 19 years during which there were 1,750 heart failure events.                                                 They found that, while maintaining recommended activity levels was associated with the lowest heart failure risk, initiating and increasing physical activity even in late middle age were also linked to lower heart failure risk. Augmenting physical activity may, therefore, be an important component of strategies to prevent heart failure.                                                 The next paper highlights the importance of bystander automated external defibrillator use. First author Dr. Pollack, corresponding author Dr. Weisfeldt from Johns Hopkins University School of Medicine sought to determine the association of bystander automated external defibrillator use with survival and functional outcomes in shockable observed public out-of-hospital cardiac arrests.                                                 From 2011 to 2015, the Resuscitation Consortium prospectively collected detailed information on all cardiac arrests at 9 regional centers. The exposures were shock administration by a bystander applied automated external defibrillator in comparison with initial defibrillation by emergency medical services. The primary outcome measure was discharged with near or normal functional status as defined by a modified ranking score of two or less.                                                 The authors found that among 49,555 out-of-hospital cardiac arrests, 8% were observed public out-of-hospital cardiac arrests, of which 61% were shockable. Overall bystanders shocked a remarkable 19% of shockable observed public out-of-hospital cardiac arrests. Bystander automated external defibrillation in shockable observed public out-of-hospital arrest was associated with an increased odds of survival with full or nearly full functional recovery compared to emergency medical services defibrillation.                                                 The benefit of bystander automated external defibrillation use increased as the arrival of emergency medical service was delayed. Thus, efforts to increase the availability and use of automated external defibrillators in public locations are likely the most promising immediate ways to improve survival from out-of-hospital cardiac arrests.                                                 The next paper suggests that the complement pathway may contain the secret to a successful cardiac regeneration. First author Dr. Natarajan, corresponding author Dr. Lee from Harvard University, and their colleagues performed a cross-species transcriptomic screen in 3 model organisms for cardiac regeneration, the axolotl, neonatal mice, and zebrafish, all of which underwent apical resection.                                                 RNA-seq analysis showed that genes associated with inflammatory processes were found to be upregulated in a conserved manner. Complement receptors were found to be highly upregulated in all 3 species, particularly the induction of gene expression for complement 5a receptor 1. Inhibition of this particular complement receptor attenuated the cardiomyocyte proliferative response to heart injury in all 3 species.                                                 Furthermore, following left ventricular apical resection, the cardiomyocyte proliferative response was abolished in mice with genetic deletion of complement 5a receptor 1. These data, therefore, identified the complement pathway activation as a common pathway for a successful cardiac regeneration.                                                 The final study sheds light on the association between hyperoxia exposure after resuscitation from cardiac arrest and clinical outcomes. First author Dr. Roberts, corresponding author Dr. Trzeciak from Cooper University Hospital performed a prospective multicenter protocol directed cohort study that included 280 adult postcardiac arrest patients.                                                 They found that early hyperoxia exposure, defined as a partial pressure of oxygen of above 300 millimeters mercury during the first 6 hours after return of spontaneous circulation, was an independent predictor of poor neurologic function at hospital discharge even after adjusting for a potential baseline and postcardiac arrest confounders.                                                 That brings us to the end of our summaries. Now, for our featured discussion.                                                 Medication nonadherence is a common problem worldwide and, indeed, the very topic of our featured discussion today. Our featured paper is so interesting because it tells us that hospitals may have the capacity to influence a patient's adherence to secondary preventive cardiac medications, thereby, potentially impacting long-term patient outcomes, and there are a lot of implications of that.                                                 I'm so pleased to have with us the first and corresponding author, Dr. Robin Mathews, from Duke Clinical Research Institute, as well as the editorialist for this paper, Dr. Jeptha Curtis from Yale University School of Medicine, and our associate editor, Dr. Sandeep Das from UT Southwestern. Lots to talk about.                                                 Robin, could you perhaps start by telling us what made you look at this issue of nonadherence and what did you find? Dr Robin Mathews:         The issue of medication adherence has been something that I think we've been dealing with in healthcare for some time now and, traditionally, we looked at factors that, on a patient level, you sort of also have an idea that maybe they might provider level factors that contribute to nonadherence, so we started thinking about this, what's the health system's role in adherence and is there a role? Do hospital and do providers have more of a role in promoting adherence than we acknowledged in the past?                                                 We are fortunate to have a lot of great clinical data sources available, and the one that we used for this study is the ACTION-Get With The Guidelines Registry, and this is a quality improvement registry that's been around for some time. It's a great source of research and observational studies that has produced a lot of data over the years.                                                 ACTION is a voluntary registry; there are several hundred hospitals that participate, and it gives us very good data, detailed data on the patient experience in the hospital for patients who come in with acute coronary syndrome, so we looked at patients who were enrolled in ACTION over the course of 3 years, from 2007 to about 2010, and looked at the typical patient level factors, medications that were given on admission, how they were treated and what medications they went home on.                                                 What ACTION doesn't give us is longitudinal data, which is really what we were trying to get at here, so we were able to link this clinical data set using CMS data, which is administrative data, claims data, in order to ascertain longitudinal adherence, so we ended up, after exclusions of about 19,500 patients or so, and this spanned about 347 hospitals, of patients that we followed up to 2 years out, and our objectives of the study were 2-fold, one to assess adherence at 90 days for cardio vascular medication, secondary prevention medications that are typically used, so, in this case, we looked at beta blockers, ACE inhibitors, ARB, phenoperidine, and statins.                                                 We looked at 90-day adherence, and then the question we had specifically was does adherence vary among hospitals? The second thing we wanted to knowledge was, if adherence does vary among hospitals, is there a relationship between hospital adherence and cardiovascular outcomes at 2 years, so we looked at MACE, which is MI, revascularization, readmission, stroke. We also looked at death and all-cause readmission, and also mortality.                                                                                                 What we found is that the adherence actually did markedly vary within the medication classes, but also among hospitals, and once we divided these groups into essentially high adherence hospitals, low adherence hospitals, and moderate adherence hospitals, there were these typical differences in terms of patient characteristics that one would expect in terms of comorbidity, socioeconomic status. Patients who were in the high adherence hospitals were more likely to be from ... to have a less comorbidity burden. They had higher income based on ZIP code, and they were more often represented from non-southern hospitals in the United States.                                                 When we then correlated these two outcomes, what we found is pretty interesting. Patients who were in the low adherence hospitals were more likely to have the outcomes that I mentioned earlier. That's not too surprising, yeah, because I had mentioned that the patient mix in terms of the ... their case mix varied among these hospitals, so the logical question as well, maybe the hospitals that are ... have low adherence have low adherence because the patients are generally just sicker.                                                 We know that there are certain high-risk groups and we know that the patients who are treated at some hospitals might be sicker than others, so we did our best to adjust to these, so we did a multivariable model. We adjusted for various patient differences, and we also looked at hospital-level differences, the best that we can ascertain based on the ACTION Registry. That was sort of where the interesting finding was the rates of major adverse cardiac events and death at readmission were mitigated somewhat closer to the null, but they remained significant. Dr Carolyn Lam:                What a detailed summary. Thanks so much.                                                 Jeptha, I love your editorial that accompanied it. Could you put the study into context a bit for all of us? Why are these finding so impactful? Dr Jeptha Curtis:               It's rare that you get to review and editorialize a paper that has so many implications both from a clinical practice and policy standpoint, so I think they really hit on a understudied area, and really this paper should cause people to reflect on what's going on in their practice and at the institutions that they practice in.                                                 I would say that adherence is just such a challenging problem that, as Robin articulated, has been refractory to change over 15 years. We've been studying this for a long time, and we know that the numbers had not improved over time.                                                 What's different about this paper is that it really suggests a completely different approach to addressing nonadherence among patients, and if this is ... if their findings are true, if nonadherence is really actionable at the hospital level or attributable to the hospital level, it really opens up new avenues both for research as well as for quality measurements.                                                 As I read this paper for the first time, I was really struck by thinking about how invisible adherence is to frontline clinicians. We just don't have the information to tell us are our patients taking their medications on a day-to-day basis, and we know that most of them are not because the research has consistently shown that a large proportion failed to take their medication, and Robin's paper showed that yet again, but I can't say that there's any steps that our hospitals are really doing to address that in a systematic fashion.                                                 All of our efforts for quality improvement have really been towards making sure that patients are prescribed the medication on discharge, and in the setting of readmission and trying to prevent readmission to our hospitals, we are now having follow-up phone calls with patients to assess failures to taking medications and follow-up, but it's really ... That's it. There's really no systematic way that we're trying to ... if an individual patient or a group of patients are adherent to their medications, so this is really a whole new avenue.                                                 What we don't know is how to improve it, right? I think that the first implication of this paper is that there are differences at the hospital level. Some hospitals seem to be doing this better than others. That could be driven by differences in case mix, but it could also be driven by differences in hospital practices, and I think this is a wonderful opportunity for future direction of research perhaps using positive deviance methodologies to go to those hospitals that have high adherence rates in really trying to understand what differentiates their practices from those of other hospitals. Dr Carolyn Lam:                Indeed, Sandeep, I remember some of the conversations we had as editors about this paper. We, too, were struck by the novelty, and you've mentioned before, Sandeep, that the novelty of perhaps nonadherence or adherence as a new performance measurement. Would you like to comment on that? Dr Sandeep Das:               Yeah, first thing, what was kind of interesting about the discussion surrounding this paper, there were some people who read it and just sort of read it as the message being nonadherence associated with worst outcomes, and I thought like that was pretty established, known, but then there were some people like Jeptha and Erica who really got it, who really understood what was novel and interesting about this, and I also congratulate Robin on a fantastic paper.                                                 One thing I think that's really interesting, in my day job, I wear a couple of quality hats. I am the cardiology division quality officer, and health system quality officer for UT Southwestern, so I spend a lot of time thinking about quality, and I'll tell you there's quite a bit of metrics that he ... there's just a lot of things that now you feel they're not particularly substantive and they're very difficult to change, you have, you know, if aspirin on discharge, as Robin mentioned discharge adherence, aspirin on discharge is 99% and getting people to document the last 1% rather than fail to document it, there's not really a fulfilling challenge where you think, "I'm really impacting patient endpoints."                                                 I was really struck by the opportunity here. We know that from studies like MI FREEE that adherence to medications even at a year is probably about a third of patients are not adherence, so it's really kind of interesting to take that as an opportunity. We should fixate on what are these therapeutic option or not therapeutic option can move the needle by a fraction of a percent, but these are medications that are proven to prevent MI and change lives, and there's a massive delta here that we can address. The concept that this is addressable on the hospital level is fascinating, and I'm a big fan of coming up with sort of systems level approaches to addressing problems. Dr Carolyn Lam:                Congratulations once again on this great paper. Just tell us what do you think of the next steps and what would your message be to those of us who practice outside of the US? Dr Robin Mathews:         Jeptha talked about where our focus should be in terms of what we can do on a hospital level. I think the ultimate answer is there's a lot of heterogeneity in terms of what is done, and I think that, expanding on his point about better investigating practices that currently exist, and whether that's surveying things, and we have a lot of great professional societies and registries that we can sort of reach out to these hospitals, find out what they're doing, what makes them different from the hospitals that are not doing those things and then really doing some rigorous testing to figure out if in fact these specific interventions that these hospitals have put in place are with the high likelihood leading to the effects that we've seen, so I think that surveying sort of what's out there, understanding what works in a rigorous way and then being able to systematically apply this or distribute this to other hospitals to share the knowledge and say, "Hey, this is what we think. We've actually done it."                                                 Like Sandeep said, with the inpatient management of patients who come in with acute coronary syndrome, we've done it well. I think it sort of contributed. Our guidelines and adherence to these guidelines and the metrics that we've used have really demonstrated that we've sort of achieved high levels, but we sort of reached I think the ceiling for a lot of that, and you always have to be open to novel metrics and then the idea of focusing in on the transition from hospital to home and what we can do once they leave their door, once they leave the door of the hospital, I think would be useful.                                                 In terms of the rest of the world, I mean, the US has very unique problems based on our payment models and access to care and whatnot, but I think a lot of the themes that we sort of have seen with medication nonadherence when it comes to patient-level factors and provider-level factors are sort of universal.                                                 At the end of the day, patients need to be empowered, and they also need to have the tools to allow them to be successful in my opinion. I think we've for a long time in this space often said, "Well, this is sort of a patient that there's only so much that we can do as providers," but I think that papers like this highlight the possibility that there's probably more that we can do to make these impacts. Dr Sandeep Das:               One of the comments or a question that I had was the controversial thing is to what extent hospitals should be accountable for things that happen well after discharge? I think readmission is one that always comes up. There's factors that are outside our control, so one question is kind of to what extent should we be responsible for stuff that happens forward of 6, 9 months down the road?                                                 The second question that I had or a comment that I had was I do think that there's going to be a generalizability to non-US settings because there's elements of this ... For example, this now would incentivize hospitals and discharging physicians to make sure that patient education is substantive, right? If the metric is, "Did you provide discharge instructions, yes or no?" then that's sort of trivially accomplished by handing them a piece of paper and checking a box, but, now, if we follow a metric like this, we're really going to be accountable for making sure people understand what they're supposed to be taking and have a path to get it and things like that, so it makes some of the transitions of care stuff, and that's a great point, some of the transitions of care stuff much more substantive. Dr Robin Mathews:         Sandeep's point is a very good point, and it's very difficult to come up with a clear answer for that and, like you said, the issue with readmissions and all sort of the factors that are involved from a social level and research level cloud that, so ... and, hence, I think something like readmission is controversial, and I think this sort of question will generate a lot of further questions about whether using medication adherence and holding hospitals responsible.                                                 I will say that when we looked at adherence sort of in the short term at 90 days and we looked at it in the long term at a year, we saw there was sort of a drop off, but it wasn't as substantial it was earlier, so I think a lot of adherence in the short term after hospital discharge continues to decline over time, but it doesn't drop down as precipitously downstream as it does early on, and I think that, just like with readmission, there's been some data to suggest that near term readmission are more likely things that "could be preventable" as opposed to maybe a readmission toward the end of the month.                                                 At the end of the day, it's a very difficult thing and there's a lot more discussion that needs to be had about this topic, but I think that with this, it gives me some hopefulness and I think everybody else on this call that at least we wouldn't then be able to prevent every adverse outcome that happens 2 years down the road, but we might be able to at least affect a substantial portion of them. Dr Carolyn Lam:                Listeners, you heard it. There's lots that we can do. This paper says a lot. Please do pick it up. Read the editorial as well.                                                 Thank you so much for listening today, and don't forget to tune in again next week.

Get schooled on medical homes, payer reform, and what the future might look like for primary care with Dr. Sue Bornstein, MD, FACP and Executive Director of the Texas Medical Home Initiative and Chair of the Health and Public Policy Committee at the ACP. Dr Alex Lane of Cooper University Hospital joins Matt as cohost! Full show notes available at http://thecurbsiders.com/podcast Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Time Stamps 00:00 Intro 02:42 Guest CV and background 04:42 Getting to know our guest 10:40 Helpful resources for learning health policy 12:10 Who are the major players/influencers in health care and how do their interests align 15:02 Defining “medical home” 18:45 Where did the idea for a “medical home” originate 22:33 How does medical home affect cost 29:45 Payer reform and the quality payment program (QPP) 33:06 Recap and defining terms 37:18 How will the QPP be implemented? 41:04 Repeal and replace 43:37 Cuts in funding for safety net hospitals that care for the poorest, sickest patients 46:59 Take home points 48:55 Outro Tags: medicare, medicaid, health, care, policy, spending, quality, improvement, advanced, payment, macra, mips, qpp, apm, medical, home, pcmh, affairs, super, utilizer, texas, physician, doctor, assistant, nurse, practitioner, foamed, meded

Don’t miss life threatening upper respiratory infections, and stop underusing antibiotics with tools and tips from our wonderful guests: Dr. Robert Centor, Professor of Medicine at University of Alabama, known for developing the Centor Criteria for pharyngitis, and his excellent blog and Twitter feed @medrants; and Dr. Alexandra Lane, Assistant Professor of Medicine, and Director of the Resident Clinic at Cooper University Hospital. We cover red flag signs in upper respiratory tract infections, diagnostic testing, physical exam maneuvers, antibiotic therapy, and symptom management. Plus, we’ll teach you have to counsel patients about upper respiratory infections and recommend some great learning resources. Full show notes available at http://thecurbsiders.com/podcast Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Case from Kashlak Memorial Hospital: 39 yo F with obesity, HTN, fibromyalgia who presents with 3 days of chills, subjective fevers, sinus pressure/congestion, post-nasal drip, and cough with some green/yellow mucus. She says, “I get this every year and it only goes away with antibiotics. They usually give me a z-pack”. Tags: upper, respiratory, infections, cough, cold, nasal, pharyngitis, bronchitis, rhinosinusitis, sinusitis, decongestant, spray, symptoms, management, pneumonia, pertussis, influenza, antibiotics, overuse, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, medicine, medical, primary, physician, resident, student

Host: Rebecca Kaplan Guest: Michael E. Kwiatt, MD When should surgery be considered as a treatment option for patients with Crohn’s or colitis? Host Rebecca Kaplan of the Crohn’s and Colitis Foundation is joined by Dr. Michael Kwiatt, Assistant Professor of Surgery at Cooper University Hospital in New Jersey, to discuss when to consider surgery. Additionally, he will touch on the common surgical complications and differences in surgical approach for patients with respective diseases.

Host: Rebecca Kaplan Guest: Michael E. Kwiatt, MD When should surgery be considered as a treatment option for patients with Crohn’s or colitis? Host Rebecca Kaplan of the Crohn’s and Colitis Foundation is joined by Dr. Michael Kwiatt, Assistant Professor of Surgery at Cooper University Hospital in New Jersey, to discuss when to consider surgery. Additionally, he will touch on the common surgical complications and differences in surgical approach for patients with respective diseases.

This week is a huge milestone as we are celebrating the 100th episode of the Moms With Dreams Show! I’ve been anticipating this day for several weeks now. I remember when I started my podcast back in May 2015. Producing one show per week felt like an eternity away from 100, but now it’s finally here! Over the past few weeks, I’ve heard from other podcasters that I am the exception in the industry – that most podcasts don’t make it past 20 episodes, let alone reach 100! I had no idea since all the podcasts that I listen to are successful with hundreds of episodes. This conversation was my reminder to stop and acknowledge myself for making it this far – something that I often forget to do. Instead of interviewing a guest or teaching a lesson, I invited my listeners and previous guests to join me in this episode. After my extended introduction, you’ll hear audio clips of them sharing a few words about the show. I am grateful for my community and want you to have access to these wonderful people. Below you’ll find their names, a brief bio, contact information and a link to their episode if they were a guest. In this episode, I gave a shout out to John Bukenas, my podcast producer. If you’re thinking about starting a podcast or you’ve already started and need an editor, I highly suggest John. You can find him at http://audioeditingsolutions.com Guests and Listeners Who Contributed to This Episode: Annett Bone appeared on Episode 72: http://ericablocker.com/mwd-072-never-late-great-wannett-bone/ Annett Bone is the founder and host of The DancePreneuring Studio podcast where she guides her listeners on a journey of transformation inspired by dance, life, and business. The podcast is a reflection of her personal adventure overcoming her fears and returning to her passion for dance after a 20 year hiatus, the lessons that she has learned along the way, and proving that it’s never too late to be great. www.AnnettBone.com annett@annettbone.com Cherise Patterson, loyal listener Cherise Patterson is the Founder and CEO of Such A Mom, LLC.  Through her faith centered A.D.D Management Coaching Program, Cherise supports and teaches Moms with children affected by A.D.D how to care for themselves, get organized, “Achieve their Desired Dreams” and thrive during elementary school years into young adulthood.  Cherise is a dedicated wife and loving mother who cherishes quality time with her family. https://www.facebook.com/cpsuchamom/   Dr. Nyali Taylor appeared on episode 69: http://ericablocker.com/mwd-069-taking-risks-feeling-free-40-wdr-nyali-taylor/   Dr. Nyali Taylor is a vascular surgeon at CTMH | Doctors Hospital. After attending Rutgers University as a scholar-athlete, she obtained dual degrees in Medicine and Public Health from Drexel College of Medicine. Dr. Taylor then completed her general surgeon training at the Hospital of the University of Pennsylvania, followed by a vascular surgery fellowship at Cooper University Hospital. Academically, she has co-authored two textbook chapters and several peer-reviewed scholarly journal articles.   Dr. Samantha Madhosingh appeared on episode 17: http://ericablocker.com/mwd-017-dr-samantha-madhosingh-achieve-success-holistic-happiness/   Dr. Samantha Madhosingh is a Licensed Psychologist, Bestselling Author, & Speaker. She received her doctorate in professional psychology from The George Washington University and has dedicated more than 20,000 hours to researching, understanding, & solving the infinite possibilities of human potential, behavior, & performance. Dr. Samantha is the founder and CEO of ElevateHER, an organization serving women leaders (and interested men) in business and in life by providing key strategies to rewire their brains, achieve mastery in mindset, communication, & relationships, and ultimately create a legacy of lasting wealth.  http://askdrsamantha.com/ Famira Green appeared on episode 6: http://ericablocker.com/the-art-of-visual-branding-for-your-business/   Famira Green is a creative brand strategist and founder of FAMIRA Media Group (www.famiragreen.com). She is the creator of the #EMPRESSnation Movement Creator and host of the upcoming web tv show, #BeDifferent #BrandDifferent, where she will connect with entrepreneurs who are not afraid to move to the beat of their own drum and do things their way. With her branding and digital media company, Famira taps into her intuition and teaches heart-centered women entrepreneurs how to use the power of storytelling and visual branding to create a brand empire of influence, impact, inspiration and income. www.famiragreen.com http://bit.ly/famiragift http://facebook.com/iamfamira http://instagram.com/iamfamira http://twitter.com/iamfamira Dr. Jen Riday appeared on episode 59: http://ericablocker.com/mwd-059-create-a-happy-vibrant-life-with-dr-jen-riday/ Dr. Jen Riday is the Women’s Happiness Expert and host of the Vibrant Happy Women Podcast. She helps women find greater light and meaning – regardless of their circumstances – through meditation, listening to intuition of a Higher Power. www.jenriday.com http://facebook.com/groups/vibranthappywomen Jewell Robinson appeared on episode 43: http://ericablocker.com/create-healthy-money-habits-with-jewell-robinson/ Jewell Robinson is the CEO of Jewell Robinson Insurance and Financial Services. Her business is certified by the California Dept. of Insurance which allows her to be licensed in, but not limited to, the following states; CA, AZ, DE, TX, GA, IL and VA. Her platform is to educate clients and the community on creating healthy financial habits. areyoufff@gmail.com http://jewellrobinson.com Joe Pardo appeared on episode 80: http://ericablocker.com/mwd-080-vision-dream-big-wjoe-pardo/ Helping people achieve their dreams has always been Joe Pardo’s goal in life. In early 2014, he left his family’s $100 million business to pursue his goal and became a 4th generation entrepreneur. Joe started the Dreamers Podcast soon after his exit from the family business to inspire others to dream big. He continues to give back and make an impact through this work with start-ups, afterschool programs and his educational conferences. http://superjoepardo.com Judy Graybill appeared on episode 39: http://ericablocker.com/healing-transforming-blended-families-relationships/ Judy Graybill is an international authority on stepfamilies and co-parenting after remarriage. A Certified Stepfamily Coach, Judy sits on the Advisory Board for Stepfamily Systems Co-Parenting Center, has helped step couples in 8 countries across 4 continents, and is also an inspirational speaker, consultant, and writer on improving remarriages, mending relationships, and creating harmony at home. For nearly a decade as Executive Director of Sensible Steps, LLC, Judy has given clients a-ha's, real world solutions, empowerment, a stronger spousal relationship, and peace of mind. Email: judy@stepfamilycoach.com http://stepfamilycoach.com/ Danielle K. Howell appeared on episode 16: Danielle K. Howell is “your online success coach”. She empowers you to create your economy and claim your freedom. http://www.youronlinesuccesscoach.com/ www.Facebook.com/youronlinesuccesscoach Knifie Burks appeared on episode 7: http://ericablocker.com/mwd-007-knifie-burks-coaching-women-to-build-wealth/ Knifie Burks is a licensed real estate broker with 17 years of experience. She also supports entrepreneurs from various industries organize, automate, delegate and develop effective social media systems that position them as experts in their chosen industries. https://www.facebook.com/groups/yoursocialrealtor/ https://www.instagram.com/thesocialmedialifestyle/ http://www.instagram.com/thesocialmedialifestyle Kristin Young appeared on episode 91: http://ericablocker.com/mwd-091-put-magic-back-marriage-wkristin-m-young/ Kristin Young is a certified professional coach, marriage enthusiast and speaker. She created her organization, Living the Vows, to assist others with bringing joy to their marriages. Kristin wants to see healthier, joy-filled marriages and believes that one giant step in this direction is being intentional about marriage. http://livingthevows.com   Kym Stewart (Kennedy) appeared on episode 65: http://ericablocker.com/mwd-65-turn-passion-profession-kym-kennedy/ Kym has been coaching women for over 15 years in circles, workshops and individually. Kym has recently launched her Born To Coach Program, a12- week program that helps coaches expand their coaching to deliver their unique message and attract their unique audience. www.meaningfulabundance.com Marc Mawhinney appeared on episode 1: http://ericablocker.com/reinvent-your-business-and-make-a-big-comeback-wmarc-mawhinney/ Marc Mawhinney is a lifelong entrepreneur who’s on a mission to help coaches build successful businesses! He achieves this with his coaching programs; his podcast, Natural Born Coaches; his Facebook group The Coaching Jungle, and his exclusive print newsletter – Secret Coach Club. www.secretcoachclub.com www.naturalborncoaches.com Dr. Marilyn Porter appeared on episode 15: http://ericablocker.com/mwd-015-marilyn-e-porter-stop-giving-your-gift-away/ Dr. Marilyn Porter is most widely known for her work as a spiritual life coach, author and ministry development. Dr. Porter now stands alone in a very sacred and savvy space known as the “The Scatter Brained Genius’ Coach”. Her journey to becoming The Scatter Brained Genius’ Coach has been colorful with quite a few pit stops and pitfalls.  She helps clients transform their lives and stamp out chaos, confusion and stagnation. http://thescatterbrainedgenius.com Sabrina Blocker, loyal listener Sabrina Blocker is a proud single mother who is very active in her church and in song ministry. She has a special interest in women's issues and continues to help inspire and lead women through life’s many challenges. Sabrina can be found enjoying life – which includes spending precious time with her children, family, friends and helping out in her church and performing the work of God. beanblocker71@gmail.com Sarah Aderson appeared on episode 13: http://ericablocker.com/mwd-013-sarah-aderson-build-an-empire-not-a-business/ AND on episode 83: http://ericablocker.com/mwd-083-turn-services-products-wsarah-aderson/ Sarah Aderson is the authority that spiritual and visionary entrepreneurs depend on to help them transform their services into digital and physical products. She empowers you to build an empire instead of a business. Sarah is an international speaker, bestselling author, marketing strategist, and empire builder.  Her services and products are infused with infinite love.  When she’s not creating products, you can find Sarah in Atlanta, GA enjoying trail mix and time with her awesome son. www.expandyourheart.org   Shakesia Morgan appeared on episode 73: http://ericablocker.com/mwd-073-journey-healthy-hair-wshakesia-morgan/   Shakesia Morgan is the founder of Just Simply Hair Care Products. After suffering from scalp ailments from the age of 12 and witnessing her daughter inherit the same ailments, she said "enough is enough" and became a hair enthusiast. Determined to end the cycle, Shakesia created quality, all natural products that stimulate hair growth. Shakesia is extremely passionate about helping others not only reach their hair potential but regain their confidence. www.justsimplyhair.com http://facebook.com/justsimplyhairproducts http://twitter.com/justsimplyhair http://instagra.com/justsimplyhair Stacie Walker appeared on episode 92: http://ericablocker.com/mwd-092-ok-start-stacie-walker/ Stacie Walker is best known as an international best-selling author, award-winning podcast personality, and business strategist and coach. She's also the creator of the Ambitious Mompreneurs Summit, a bi-annual online conference to help women put themselves first, so they can design a beautiful life doing the things they love. http://StacieWalker.com Telese Hampton, loyal listener Telese Hampton is the owner of Me and My Girls Clothing, an online clothes boutique. Her passion is empowering young women. In her free time, Telese enjoys skating, traveling and spending time with her family. She is a proud wife and mother of two wonderful daughters. www.meandmygirlsclothing.com https://facebook.com/mandmgclothing Terahshea McCray, loyal listener Terahshea McCray is a fitness and nutrition expert with numerous certifications from leading international health and wellness organizations. In addition to training and coaching clients, Terahshea is a consultant with New Legacy Leaders Project. His personal mission is to help combat unhealthy lifestyles that create generational problems for Americans. http://terahsheamcray.com http://instagram.com/tfitness4u Teresa Robinson appeared on episodes 26: http://ericablocker.com/mwd-026-teresa-robinson-making-health-and-fitness-a-lifestyle/   and in episode 62: http://ericablocker.com/mwd-061-tap-into-the-power-of-yoga-wteresa-robinson/ Teresa Robinson is a Yoga Alliance Registered, 200-hour Certified Yoga Teacher in Central New Jersey. She began practicing at the end of 2014, after going through an emotionally challenging year. Developing her own practice helped her overcome depression, grief, and anxiety. She became a teacher to pay it forward in hopes of bringing the gift of yoga to everyone who needs it. She teaches weekly mixed-level flow classes in Piscataway, Bernardsville, and Warren. Teresa’s classes are fun and energetic, with a strong emphasis on the Universal Principles of Alignment, providing a safe and mindful approach for students at any level. http://teresarobinsonyoga.com http://agiftforeveryone.co http://facebook.com/teresarobinsonyoga http://instagram.com/yoganubia     I’ll be wrapping up this season soon and taking a short summer break to return in the fall. If there are any topics you want me to cover during my next season, you would like to be a guest or know someone who would make a great guest, please let me know. You can leave a comment below or email me at Erica@momswithdreams.com.   Thank you for being a part of my journey to 100 episodes! I am grateful to have you in my community and look forward to sharing the next 100 episodes with you.   Keep doing what you love, Erica    

An approach to super utilizers, and difficult patients with Dr. Alex Lane, Assistant Professor of Medicine at Cooper University Hospital. In this wide ranging discussion we cover books, learning, super utilizers, hot spotting, and how to approach difficult patients. For full show notes visit http://thecurbsiders.com/podcast Join our newsletter mailing list. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Time Stamps 00:00 Intro 02:04 Getting to know you 06:12 Best advice 07:13 Alex’s tips on keep up with EBM 11:22 Something about Alex we won’t forget 13:06 Listener Mail 15:00 Super Utilizers defined 17:00 Hot spotting defined 24:55 ACE score discussed 30:15 Team based approach to care 33:16 Getting involved in your community 36:18 Outro Tags: assistant, care, difficult, doctor, education family, foam, foamed, health, hot, hospitalist, hospital, internal, internist, nurse, medicine, medical, patient, physician, practitioner, primary, resident, spotting, student, super, utilizer

We were fortunate to have Dr. Michael Chansky, Professor & Chair of Emergency Medicine at Cooper University Hospital and a member of the Master Educator’s Guild come down to the University of Maryland to teach about Acid-Base disorders.  Dr. Chansky loves Acid-Base problems so much that he actually sleeps with ...

Zayne Mitchell is an author, Personal Trainer, Boot Camp Instructor, Certifed Lifestyle Weight Management Professional, Functional Training Specialist and the Founder/President of SJF. His fitness career began when he asked 5 women to be a part of an exercise program he created. For three days per week, Zayne motivated these women to achieve their fitness goals. In just 5 years, he's reached the lives of thousands of people looking to enhance their quality of life. Zayne has worked with several corporations such as Cooper University Hospital of New Jersey, Hardenbergh Insurance Group of New Jersey, Ballard Sphar Ingersoll, LLP of New Jersey, RIPA Center for Women's Wellness. Zayne's consulting work includes speaking at the New Jersey Strength Coaches Association (NJSC) meeting.   He’s the author of What Do I Eat? Top 50 Foods For Fitness And Overall Quality Of Life and also the editor of a weekly email newsletter with over 500 subscribers. Zayne also hosts a new television show: Live Healthy Now.  

In this special episode of the Middle Chamber Books Podcast, we present a workshop with Dr. Richard Selznick, Ph.D., a nationally known psychologist, about his newly published book, The Shut-Down Learner: Helping Your Academically Discouraged Child. This workshop was recorded at Temple Emanuel in Cherry Hill, NJ, on Sunday, March 1, 2009. This podcast is also being cross-posted to the Temple Emanuel Podcast series as Episode #7 A psychologist, nationally certified school psychologist, graduate school professor and university professor of pediatrics, Dr. Selznick has great sensitivity for the topic. Dr. Selznick has consulted with thousands of families over the years on the issues related to The Shut-Down Learner. Included in the book are numerous case studies drawn from vast professional experiences. As Director of the Cooper Learning Center, Dr. Selznick oversees a program that assesses and treats a broad range of learning and school-based academic and behavioral problems. The Cooper Learning Center is a Division of the Department of Pediatrics, of Cooper University Hospital. The Hospital is a leading teaching hospital in the region. With its affiliation to UMDNJ (University of Medicine and Dentistry in New Jersey), many of its faculty are represented as among the best in the region. The Cooper Learning Center was established by Dr. Selznick within the Pediatric Department in 1995. It is the leading program in the region offering a variety of different services, including parent and teacher training along with its clinical practice. Dr. Selznick additionally works as a school consultant, and is asked to lecture frequently to parents and teachers on a variety of different topics. Throughout the year, Dr. Selznick speaks to numerous parent groups through schools, regional conferences, and lectures at Cooper University Hospital and the newly established Cooper Center for Women. Popular topics of Dr. Selznick's include: “Myth's & Realities of Dyslexia,” “Dealing With Bullying: Is Your Child a Shark or Shark Meat,” “Parenting Dilemmas: Regaining Control of the Ship,” “Managing Your ADHD in College,” among many others. In the spring of 2007, Dr. Selznick spoke to over 200 teachers on the topic of the Shut- Down Learner and the signs to notice in early childhood. Known for presenting with humor and a down to earth style, Dr. Selznick offers his audience an enjoyable experience, with practical and very applicable strategies for the challenging issues they are faced with their children. Dr. Selznick has been invited to appear on radio and television to discuss a variety of children's issues. Within the last year, Dr. Selznick appeared on the nationally syndicated Lynne Doyle show, “It's Your Call.” The topic of discussion was whether same-sex schools were advantageous. In the summer of 2007, Dr. Selznick was an invited guest on the Michael Smerconish radio show (1210 WPHT) to discuss the current trend of “redshirting” kindergarten students. Learn more about Dr. Selznick's book at shutdownlearner.com. Purchase the book here: The Shut-Down Learner: Helping Your Academically Discouraged Child: Ph.D Richard Selznick: BooksISBN: 1591810787ISBN-13: 9781591810780 Download the podcast file here (130 mb stereo MP3 file, 01:34:54 length). Keywords: middle chamber, books, amazon, professional podcasts, lubetkin, cherry hill, nj, new jersey, Selznick, shut-down learner, learning disability, academic, school, 504 plan, adhd, add, slow learner, learning difficulties del.icio.us Tags: middle chamber,books,amazon,professional podcasts,lubetkin,cherry hill,nj,new jersey,Selznick,shut-down learner,learning disability,academic,school,504 plan,adhd,add,slow learner,learning difficulties Technorati Tags: middle chamber,books,amazon,professional podcasts,lubetkin,cherry hill,nj,new jersey,Selznick,shut-down learner,learning disability,academic,school,504 plan,adhd,add,slow learner,learning difficulties Our podsafe theme music for the Middle Chamber Books Podcast is "Cook the Books," from GarageBand.com's Indianapolis Jazz Orchestra. We produce these podcasts in the studios of Professional Podcasts LLC, Cherry Hill, NJ.

Samost JFCS, in conjunction with Yad b'Yad and The Cancer Connection presents episode #5 in its podcast series. In this program, a roundtable discussion recorded December 1, 2008 at the Katz Jewish Community Center in Cherry Hill, NJ, "Coping with cancer through spirituality: A mind, body, and spiritual approach to healing." Download the podcast here (85.9 mb stereo MP3 file, 01:01:58 duration). Cherry Hill, New Jersey, USA - Monday December 1, 2008: Yad b'Yad and the Cancer Connection Program of Samost Jewish Family and Children's Service presented "Coping with Cancer through Spirituality," a panel discussion about how spiritual considerations can be important in the healing process for cancer patients. Members of the panel were (from left): the Rev. Debby Brincivalli of the Presbytery of West Jersey; Dr. Diane Gillum, breast surgeon; Rabbi Jeffrey Arnowitz of Congregation Beth El; Bonnie Mehr, director of the Diane Barton Complementary Medicine Program at Cooper University Hospital, Camden; and Margery Dannenbaum, Yad b'Yad coordinator and moderator for the program. A podcast recording of the program will be available at the JFCS website. Photograph Copyright ©2008 Steven L. Lubetkin. All rights reserved. Keywords: jfcs, jewish, federation, cancer, brca, cherry hill, nj, new jersey, woman, family, survivor, carcinoma, gillum, brincivalli, presbyterian, mehr, complementary medicine, alternative medicine, spirituality, prayer, rabbi, arnowitz, beth el Technorati Tags: jfcs,jewish,federation,cancer,brca,cherry hill,nj,new jersey,woman,family,survivor,carcinoma,gillum,brincivalli,presbyterian,mehr,complementary medicine,alternative medicine,spirituality,prayer,rabbi,arnowitz,beth el del.icio.us Tags: jfcs,jewish,federation,cancer,brca,cherry hill,nj,new jersey,woman,family,survivor,carcinoma,gillum,brincivalli,presbyterian,mehr,complementary medicine,alternative medicine,spirituality,prayer,rabbi,arnowitz,beth el A production of Professional Podcasts LLC, Cherry Hill, NJ

Guest: Lori Feldman-Winter, MD, MPH Host: Jennifer Shu, MD, FAAP Despite ambitious recommendations that new mothers breastfeed their infants for at least one year after birth, very few mothers meet this objective. Knowing there are barriers to breastfeeding--social, economic, and beyond--how can we help mothers get past these difficulties, where possible? Further, how can we allay the guilt many mothers feel when they're unable to breastfeed? For answers, host Dr. Jennifer Shu talks with Dr. Lori Feldman-Winter, associate professor of pediatrics at the University of Medicine and Dentistry of New Jersey, division head of adolescent medicine at Cooper University Hospital in Camden, N.J., and an Executive Committee member of the American Academy of Pediatrics section on breastfeeding.

Guest: Lori Feldman-Winter, MD, MPH Host: Jennifer Shu, MD, FAAP Mothers in the United States have the lowest rates of breastfeeding in the developed world. What are the immediate and lasting benefits of breastfeeding for infants and their nursing mothers? How does breast milk compare to formula, in terms of the baby's nutrition and long-term growth development? Host Dr. Jennifer Shu welcomes Dr. Lori Feldman-Winter, associate professor of pediatrics at the University of Medicine and Dentistry of New Jersey, division head of adolescent medicine at Cooper University Hospital in Camden, New Jersey, and an executive committee member of the American Academy of Pediatrics section on breastfeeding.

Guest: Lori Feldman-Winter, MD, MPH Host: Jennifer Shu, MD, FAAP Although breast milk is widely considered to be the best nutrition for infants, research tells us that breastfed babies may be at elevated risk for vitamin D deficiency, anemia, and tooth decay. What other health considerations may be associated with breastfeeding? Can we definitively say that breast milk is still the best option for infants? Dr. Lori Feldman-Winter, associate professor of pediatrics at the University of Medicine and Dentistry of New Jersey, division head of adolescent medicine at Cooper University Hospital in Camden, N.J., and an Executive Committee member of the American Academy of Pediatrics section on breastfeeding, shares her expertise with host Dr. Jennifer Shu.

Samost JFCS, in conjunction with Yad b'Yad and The Cancer Connection presents episode #4 in its podcast series. In this program, a roundtable discussion recorded July 22, 2008 at the Katz Jewish Community Center in Cherry Hill, NJ, "Ask the expert: A comprehensive approach to breast cancer and wellness." Download the podcast here (119 mb stereo MP3 file, 01:26:39 duration). Cherry Hill, New Jersey, USA - Tuesday July 22, 2008: Samost Jewish Family & Children's Service of Southern New Jersey held a panel at the  Katz JCC on breast cancer and wellness. Panelists were (from left): Dr. Robert Sommer, director of the breast cancer program at Cooper University Hospital, Camden, NJ; Linda Miller, clinical director of the Breast Cancer Physical Therapy Center; Kathy King, survivor, vice president, and website manager for Hope Afloat USA Dragon Boat Team; Jamie Wood, fitness director, Moving On Program, Virtua Hospital; Alysa Cummings, survivor and leader of the Pink Ribbon Poetry Group at Virtua Hospital; and Margery Dannenbaum, JFCS Cancer Connection Coordinator. Photograph Copyright ©2008 Steven L. Lubetkin. All rights reserved. Keywords: jfcs, jewish, federation, breast, cancer, brca, mammogram, mastectomy, brca, cherry hill, nj, new jersey, woman, family, survivor, carcinoma, somer, miller, wood, cummings, king, virtua, cooper, poetry, dragon boat, samost A production of Professional Podcasts LLC, Cherry Hill, NJ

Guest: Perry Weinstock, MD Host: Larry Kaskel, MD Host Dr. Larry Kaskel welcomes Dr. Perry Weinstock, director of clinical cardiology at Cooper University Hospital and associate professor of medicine at the UMDNJ-Robert Wood Johnson Medical School, to evaluate the clinical implications of the COURAGE Trial, in part, through a review of its optimal medical therapies. In the context of this trial, how can we work with our patients to truly optimize medical therapy? Brought to you by:

Phillip Dellinger, MD, FCCM, professor of medicine at Robert Wood Johnson Medical School and director of the critical care section at Cooper University Hospital, and Roman Jaeschke, MD, a clinical professor at McMaster University discuss an article published in the Aug issue of Critical Connections. The article, "Revising the Surviving Sepsis Guidelines: A Closer Look," details the guideline revision process. (Crit Conn 2006 Vol.5 No. 4)