Podcasts about duke health

In this episode, we build with Jonathan Raude. I have known Jonathan for the last 10 years and witnessed his journey from new hire to founder. From single man to a father of two. From tennis player to tennis leader. I'm thrilled and honored to have Jonathan on to share his story!We discuss so many things including how Jonathan founded his company, how he finds talent in this new world, how being the son of immigrants influenced him and even how to find the best pizza in New York City and Miami. Jonathan Raude is the Co-Founder of Resourceful Talent Group, where he helps companies scale through high-impact hiring and global software outsourcing. An active voice on topics like global software outsourcing and modern hiring practices, Jonathan began his career at IBM as an Account Executive, managing Fortune 500 clients like American Express, Goldman Sachs, and Fiserv. Today, he leads a team that supports organizations such as CDW, Duke Health, AbbVie, and Ferrellgas, delivering creative, industry-agnostic talent solutions when the stakes are high. Known for his ability to thrive under pressure, Jonathan is a trusted partner for clients who need fresh thinking and results.A former Division I tennis player and team captain at Boston College, he brings the same competitive edge, discipline, and drive to business. He now lives in Miami with his wife and two children, Stella and Asher, and serves on the Emerging Leaders Council of the International Tennis Hall of Fame.

Featuring Dr. Angelo Milazzo, Chief Medical Officer at Duke Health Integrated Practice. In this episode, we explore how cutting-edge technology is reshaping healthcare delivery, from AI-assisted transcription to data-driven insights on social determinants of health. Dr. Milazzo shares how his team at Duke Health is implementing powerful tools to reduce clinician burnout, improve documentation workflows, and connect patients with critical resources across the care continuum. Topics covered in this episode: AI-assisted ambient listening in the exam room Reducing after-hours charting for doctors and nurses Customizing documentation to clinician style Capturing social drivers of health in the electronic health record (EHR) Closing the loop between patient data and community resources New listening tech in the OR for efficient surgical documentation If you're a healthcare executive, physician, IT leader, or digital health innovator, this conversation offers a real-world look at how technology is being used to improve both provider experience and patient outcomes. Find Dr. Milazzo's work at: www.dukehealth.org Subscribe and stay at the forefront of the digital healthcare revolution. Watch the full video on YouTube @TheDigitalHealthcareExperience The Digital Healthcare Experience is a hub to connect healthcare leaders and tech enthusiasts. Powered by Taylor Healthcare, this podcast is your gateway to the latest trends and breakthroughs in digital health. Learn more at taylor.com/digital-healthcare About Us: Taylor Healthcare empowers healthcare organizations to thrive in the digital world. Our technology streamlines critical workflows such as procedural & surgical informed consent with patented mobile signature capture, ransomware downtime mitigation, patient engagement and more. For more information, please visit imedhealth.com   The Digital Healthcare Experience Podcast: Powered by Taylor Healthcare Produced by Naomi Schwimmer  Hosted by Chris Civitarese Edited by Eli Banks Music by Nicholas Bach  

Send us a textToday's guest is Adrienne Lloyd, MHA, FACHE—founder and CEO of Optimize Healthcare, where she helps medical organizations build empowered teams and sustainable operations without burnout. With over 20 years of experience, including executive leadership roles at the Mayo Clinic and Duke Health, Adrienne brings a deep understanding of what makes healthcare systems thrive. She's also the creator of the Day Zero Blueprint™, a transformative framework for leaders looking to reset their strategy, culture, and execution. Adrienne is a nationally recognized speaker, coach, and host of MGMA's Women in Healthcare podcast, where she champions authentic leadership and systemic change.She and I discuss a multitude of leadership topics including lean and Six Sigma, leading change and turnarounds and financial literacy for physicians and clinicians. She shares from her many years of experience in running medical groups and consulting to them in her practice.Please Follow or Subscribe to get new episodes delivered to you as soon as they drop! Visit Jill's company, Health e Practices' website: https://healtheps.com/ Subscribe to our newsletter, Health e Connections: http://21978609.hs-sites.com/newletter-subscriber Want more content? Find sample job descriptions, financial tools, templates and much more: www.MedicalMoneyMattersPodcast.com Purchase your copy of Jill's book here: Physician Heal Thy Financial Self Join our Medical Money Matters Facebook Group here: https://www.facebook.com/groups/3834886643404507/ Original Musical Score by: Craig Addy at https://www.underthepiano.ca/ Visit Craig's website to book your Once in a Lifetime music experience Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven https://www.communicationtwentyfourseven.com/

Today, I am delighted to connect with Dr. Joycelyn Wittstein, a board-certified orthopedic surgeon and associate professor of Orthopedic Surgery at Duke who conducts NIH-funded research into post-traumatic knee arthritis. She has shared presentations at many prestigious medical conferences, and her work has appeared in peer-reviewed journals.  In our discussion, we dive into many of the joint pain symptoms Dr. Wittstein sees in her perimenopausal and menopausal patients, and we look at the impact of specific, targeted supplementations, including curcumin, collagen peptides, and creatine monohydrate. We explore effusions, the effects of osteoarthritic risk factors like prior injuries, obesity, the perimenopause to menopause transition, and the impact of GLP-1s on joint symptoms and bone physiology. We discuss REDS (Relative Energy Deficiency Syndrome) and the causes of osteoporosis, and Dr. Wittstein also shares what she does to protect her bones and why she believes DEXA scans must get done early in the aging trajectory, why fractures can be problematic, and the significance of exercise and bone-building foods. You will not want to miss today's valuable and super action-oriented conversation with Dr. Jocelyn Wittstein. IN THIS EPISODE, YOU WILL LEARN: How women in their mid-40s and 50s often experience an acute increase in joint pain  How hormone therapy can help women improve their bone health, prevent osteoporosis, and overcome joint pain   Dr. Wittstein recommends supplements for reducing joint inflammation Various foods that can drive inflammation and cause joint health problems   How the inflammatory state of obesity impacts joint health The benefits of GLP-1s for those with joint pain from inflammation Why early bone density screening is essential for women in their 40s How creatine monohydrate improves cognitive function and muscle mass The value of strength training and balance exercises for improving joint health The best foods and beverages for bone-building Bio: Dr. Jocelyn Wittstein I am an associate professor of orthopaedic surgery at Duke University Medical Center. I completed residency in 2009 and a fellowship in sports medicine in 2010 at Duke. Prior to medical school, I studied nutritional science at Cornell University. My practice focuses on sports medicine, with a particular interest in treating female athletes across the lifespan. I am currently president of the Forum: Women in Sports Medicine. I am part of the core leadership of the Duke Female Athlete Program. I am also a clinician researcher with NIH-funded studies of ACL and meniscus injuries and post-traumatic arthritis in knees. I am a co-author of the Complete Bone and Joint Health Plan, which was released on May 6, 2025. On a personal note, I am a former collegiate gymnast, lifelong athlete, and mom of five. I live in Raleigh, NC, with my husband, Tal Lassiter, who is also an orthopedic surgeon. Connect with Cynthia Thurlow   Follow on Twitter, Instagram & LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Jocelyn Wittstein On the Duke Health website Instagram The Complete Bone and Joint Health Plan, co-authored by Jocelyn Wittstein, MD, and Sydney Nitzkorski, MS, RD, is available on Amazon or Barnes and Noble, and from most bookstores.

How can science speak to our deepest spiritual yearnings? In this captivating panel discussion held at NeueHouse Manhattan, five prominent scientists and thinkers explore how different ways of knowing—from physics to medicine, from spirituality to ethics—can build meaningful bridges between worlds often seen as separate.The panelists are:Dr. Alan Lightman (physicist and Professor of the Practice of the humanities at MIT, and author of numerous books including most recently, the The Miraculous from the Material) - he was a guest on Season 3Dr. Neil Theise (professor of pathology at the NYU Grossman School of Medicine, pioneer of adult stem stell plasticity and the interstitium, and author of "Notes on Complexity: A Scientific Theory of Connection, Consciousness, and Being,”)Dr. Scarlet Soriano, Executive Director at Duke Health & Well-Being, whose work focuses on the development of equity-based and community-grounded health and well-being interventions;and Dr. Katy Hinman is the Director of Dialogue on Science, Ethics and Religion (DoSER) program at the American Academy for the Advancement of Science (AAAS),The panel was moderated by Dr. Robert Lawrence Kuhn, who is the creator, writer, host and executive producer of Closer To Truth, the long-running public television series and leading global resource on Cosmos, Life, Mind, and Meaning.Together, they discuss: Can spirituality coexist with scientific rationality? How do love, consciousness, and our connection to the universe shape our understanding of life's purpose?This event, sponsored by The John Templeton Foundation and produced by Rohan Routroy and Thirty Eight, explores and debates diverse approaches to consciousness and spirituality in an age of science.Watch the video on YouTube: https://youtu.be/iaUV4QWbZcI#ScienceAndSpirituality #ScienceAndReligion #MeaningOfLife #CloserToTruth #Consciousness #AlanLightman #NeilTheiseSupport the show

This week, neuro-otologist David Kaylie of Duke Health will help us understand how balance disorders disrupt patients' lives and what doctors can do to help. If you have felt lightheaded or been bothered with vertigo, call in your questions between 7 and 8 am EDT on Saturday, April 12, 2025, at 888-472-3366. Or you can […]

In this episode, I'm joined by Dr. Jocelyn Wittstein—orthopedic surgeon, sports medicine expert, and Associate Professor at Duke University—for a powerful and practical conversation about bone and joint health across the lifespan. From the challenges of frozen shoulder and arthritis to the truth about running and menopause hormone therapy, this episode is your definitive guide to staying strong, mobile, and pain-free well into your 40s, 50s, and beyond.We cover:Why your joints and bones start changing after 30—and what to do about itThe difference between male and female aging (and why 50 hits women harder)The role of estrogen in health, inflammation, muscle mass, and osteoporosisThe truth about running and arthritis: myth vs. realityHow to actually build stronger bones: plyometrics, impact, and intensityWhy frozen shoulder happens and how to treat it earlyThe supplements Dr. Wittstein actually recommends (and which ones she used to dismiss)What we're learning about GLP-1 medications and their surprising effect on bone and joint healthWhether you're an athlete, a parent, or entering perimenopause, this conversation is a masterclass in movement longevity and joint and bone preservation.Who is Dr. Jocelyn Wittstein?Dr. Jocelyn Wittstein is an Associate Professor of Orthopedic Surgery at Duke University specializing in sports medicine and women's joint health. As a leading researcher and clinician, she's pioneered work on arthritis, adhesive capsulitis, and the role of hormones in bone and joint aging. She is also co-author of the upcoming book The Complete Bone and Joint Health Plan (May 2025), a practical guide for women who want to move well and stay strong at every stage of life.This episode is brought to you by:Puori – Code DRLYON for 20% off sitewide! → puori.com/DRLYONNeeded – Code DRLYON for 20% off your first order → thisisneeded.comBON CHARGE – Code DRLYON for 15% off! → boncharge.com/DRLYONDivi – Get 20% off your first order → diviofficial.com/DRLYONFind Dr. Jocelyn Wittstein at: Duke Health: https://www.dukehealth.org/find-doctors-physicians/jocelyn-ross-wittstein-md Instagram: @jocelyn_wittstein_mdThe Complete Bone and Joint Health Plan: Amazon and Barnes & Noble Find me at:Instagram: @drgabriellelyonTikTok: @drgabriellelyonFacebook: facebook.com/doctorgabriellelyonYouTube:youtube.com/@DrGabrielleLyonX (Twitter):

What if AI could guide every patient through their healthcare journey—nudging them toward better choices, anticipating their needs, and adapting in real time? We talk a lot about engagement in healthcare, but too often, the digital tools we use fail to improve outcomes. AI and data-driven personalization hold incredible promise, yet many health plans and providers still struggle with low participation rates. Dr. Erich Huang, Associate Chief Clinical Officer for Informatics and Technology at Verily, an Alphabet company leading the charge in precision health, joins Eric to discuss what's next for AI in healthcare. The conversation touches on how AI is redefining patient engagement, the delicate balance between automation and human touch, and how platforms like Verily's Lightpath are pioneering a new model for chronic care management. If you're a health plan or hospital leader looking to unlock the next generation of patient engagement, you won't want to miss this conversation.  About Erich Erich leads a team focused on structuring clinical-grade data that integrates with the clinical research and healthcare data ecosystems and is optimized for precision medicine, analysis, and artificial intelligence.    Erich was previously at Duke University where he served as the Chief Data Officer for Quality at Duke Health, Director of Duke Forge, Director of Duke Crucible, and Assistant Dean for Biomedical Informatics for Duke University School of Medicine. There, he led and deployed machine learning capabilities for complex care management in Duke Health's Accountable Care Organization, led health data science initiatives, and helped develop Duke Health's new institutional governance process for algorithmic decision support.    He earned his MD and PhD from Duke University, trained and was a Chief Resident in the Duke General Surgery Residency Program. Erich is previously a Burroughs Wellcome Fund Innovations in Regulatory Science Award recipient, received a Sidney Kimmel Cancer Research Foundation Translational Scholar Award, and is twice a recipient of an IBM Faculty Award.   About Verily Verily is an Alphabet health technology company focused on research, care, and health financing to deliver on the promise of precision health and help people live healthier lives. We are uniquely positioned at the intersection of technology, data science, and healthcare to create tools to accelerate evidence generation, products to enable more personalized care, and approaches to make costs more predictable.  

Text your thoughts and questions!Have you ever noticed how everywhere around us, in songs and shows and our favorite movies, there are amazing lessons to be had? And some of the best lessons come from the ones we enjoy the most, like 80s movies! Chris Clews joins me on the podcast to illustrate how these classic films we know and love offer timeless wisdom that can be applied to our current life. This week, episode 253 of the Positively LivingⓇ Podcast is about unexpected life lessons 80s movies teach us about personal growth!Chris Clews is a keynote speaker, author and ‘80s pop culture guy. He left his corporate marketing career of over 20 years to become a keynote speaker and author focused on the life and work lessons learned from ‘80s pop culture. As a keynote speaker, Chris has spoken to organizations including VISA, Duke Health, DHL, and more. He created the popular book series (3 volumes), The Ultimate Series on Essential Work & Life Lessons from ‘80s Pop Culture. He's passionate about animal rescue and donates a portion of the proceeds from his book sales and speaking gigs to rescues. In this episode of the Positively LivingⓇ Podcast, Chris Clews shares 3 life lessons we can take from our favorite nostalgic movies and how to apply these to our personal lives and careers. Chris and I cover the following topics:Insights into managing stress from everyone's favorite karate master.Lessons of inclusion and teamwork from a determined group of treasure-hunting kids. A new perspective on personal growth and change from a unique group of detention-goers. I encourage you to watch these classic movies (and others) with a new perspective and ask yourself: What life lessons are hiding in plain sight?Learn more about Positively LivingⓇ and Lisa at https://positivelyproductive.com/podcast/Could you use some support? The Quickstart Coaching session is a way to get to know your productivity path, fast! A speed-round strategy session is perfect for a quick win and to see what coaching can do, the Quickstart will encourage and inspire you to take intentional, effective action! Go to https://www.positivelyproductive.com/plpquick for a special listener discount!CONNECT WITH CHRIS CLEWS:WebsiteInstagramFacebook LinkedInCONNECT WITH LISA ZAWROTNY:FacebookInstagramResourcesWork with Lisa! LINKS MENTIONED IN THIS EPISODE:(Find links to books/gear on the Positively Productive Resources Page.)Ep 48: Reduce Stress and Connect More through Humor with Lisa David OlsonEp 55: Celebrating Wins and Lessons Learned in Life and PodcastingEp 56: Conquer Your Inner Critic through Pla

Show Notes: After graduation, Angelo Milazzo returned to his home state and attended medical school at the State University of New York at Stony Brook. He developed an interest in cardiology and decided to pursue post-graduate training in pediatrics and pediatric cardiology at Duke University. Angelo completed his post-graduate training in 2002 and joined the Department of Pediatrics as an Assistant Professor of Pediatrics. A Growing Practice and Becoming Chief Medical OfficerIn 2002, he was offered the opportunity to start a pediatric cardiology practice in Raleigh, North Carolina. The practice grew from a one-man operation to a practice with about 30 physicians across various specialty areas. In 2017, Milazzo became the vice chair for practice for the Department of Pediatrics at Duke Health, which has grown to 250 clinical faculty and 50 research faculty. Angelo then became the Chief Medical Officer for the Duke Health Integrated Practice, overseeing all physicians who practice at Duke Health. This role allows him to take the best of his administrative leadership within one clinical department for children's care and spread it across the entire enterprise. The Economics of Health Care and the Business of MedicineAngelo's hands-on administrative experience and managerial experience have led him to become interested in the didactic aspect of his career. He believes that his administrative experience and managerial skills have allowed him to excel in various aspects of his career, including pediatric cardiology. Before the pandemic, Angelo enrolled in business school and completed his MBA in just under two years. He was interested in the economics of healthcare and the business of medicine, but also enjoyed the perspective of classmates from various industries and walks of life. Today, he is a practicing pediatric cardiologist, spending about 40% of his time in clinical practice and 60% of his time in administrative work. He is also interested in health equity research and is part of a project funded by the CDC. What it Takes to Be a Physician Leader Angelo explains that, to be a great physician leader, one must first be a great clinician, and this takes so much more than just medical knowledge. He believes that engaging with patients and families is a privilege and that this energy and insight can inform his managerial work. He has had the privilege of mentors in medicine and being taught by amazing clinicians, which has allowed him to feel comfortable with fraught conversations. He explains how his managerial experiences and administrative experiences make him a better clinician. He has had to negotiate with professionals from different backgrounds and training perspectives, enriching his perspective and broadening it. This constant bilateral communication within him allows him to enhance both sides of his career. The Executive MBA Program ExperienceAngelo talks about the value of his Executive MBA program, and how he appreciates the practical aspects of the program, such as lectures, video calls, and team meetings. However, he also highlights the value of teamwork and learning from professionals from different industries. He shares his capstone project, which involved working with a delivery firm in Eastern Europe, a firm far from his daily work. The team consisted of professionals from various industries, including military, micro brewing, airline, and healthcare professionals. The challenges faced in his work were unique but universally applicable, and he learned valuable lessons from the experience. He also talks about systems used during a public health emergency, the A3 structure and how it is used for improvement projects, and the journey of improvement.  The Performance Improvement Journey Angelo talks about management principles adopted in health care and the performance improvement journey that began with the introduction of a standardized electronic health record in 2013 and the adoption of Epic, which is now used by two-thirds to three-quarters of major health systems in the country. This allowed for a common set of data mining tools to collect clinical information and understand success or failure around quality initiatives. The organization's new leaders, including those from other health systems and academic centers, were committed to this continuous improvement environment. By the time the CMO became vice chair in 2016, they were ready to bring these principles into their department. Now, almost a decade later, the organization has built a culture where everyone wants to be a quality improvement scientist. They have developed an academy to train healthcare professionals to become quality improvement scientists, which involves a rapid boot camp that teaches principles over a concentrated period of time. Many of these projects have been presented at regional, national, and international levels, covering various medical specialties, from complicated heart surgery to solid organ transplant to medical genetics to obstetrics and gynecology.  Influential Harvard Courses and ProfessorsAngelo mentions three courses and professors that have resonated with him at Harvard: Arthur Kleiman's course on Illness Narratives, Professor Dante Della Terza's Divine Comedy class, and Gregory Nagy's Heroes for Zeros class. Angelo's course with Professor Kleiman was about the idea that hearing patients talk about their illness is a form of storytelling, which he uses in his work. He also mentions Professor Nagy's use of a clip from Blade Runner, a sci-fi noir film, in his class. He believes that this class spoke his language and that he was in the right place for him. Angelo also mentions missing the Michael Sandel Justice course, which he later took through the Harvard EdX program.  Timestamps: 01:29: Angelo Milazzo's Journey After Graduation  05:29: Transition to Administrative Roles and Business School  09:48: Balancing Clinical Practice and Administrative Roles  14:30: Learning from Business School and Applying Lessons  26:11: Implementing Continuous Improvement in Healthcare  36:40: Influential Courses and Professors at Harvard  Links: LinkedIn: https://www.linkedin.com/in/amilazzomd/ Featured Non-profit: The featured non-profit of this episode of The 92 Report is recommended by Julie Cotler Pottinger who reports: “Hi. I'm Julie Cotler Pottinger, class of 1992 the featured nonprofit of this episode of The 92 report is every library. Every library helps America build support for libraries and also helps us fight book banning in our communities. I'm proud to be the National Ambassador this year for every library under my pen name, Julia Quinn, and I've been working real hard all year to help them raise money and awareness. You can learn more about their work at www.everylibrary.org and now here's Will Bachmann with this week's episode.” To learn more about their work, visit: https://www.everylibrary.org/

Have you ever wondered what a day in a hospital biomed specialist looks like? Allison Woolford, CBET, joins your host Chyrill Sandrini of Multimedical Systems to explore this and more. Topics covered include a video of a typical day in Allison's job, a discussion of the challenges faced by women working in a male dominated field, and the importance of documentation. Learn more about MMS: https://multimedicalsystems.com/Follow us on social!https://www.linkedin.com/company/multimedical-systems/posts/?feedView=all https://www.facebook.com/MultiMedicalSystems/

In this week's episode, Anne Hancock Toomey chats with Rhonda Brandon, the dynamic Chief Human Resources Officer at Duke University Health System. Rhonda's unconventional and remarkable journey takes us from her roots in Richmond, Virginia, through pivotal roles at IBM, Nike and Colonial Pipeline, to her transformative work at Duke Health. With humor and heart, Rhonda reveals how faith, family and fierce determination shaped her career, highlighting key moments such as a game-changing revelation at IBM, balancing burnout at Nike and navigating change management at Duke University Health System. Through personal anecdotes, Rhonda emphasizes authenticity and the necessity of nurturing one's spirit. The episode concludes with a fun lightning round, providing a glimpse into her personal quirks and inspirations. Tune in for laughs, leadership lessons and a lot of heart! 03:44 Lessons from Parents and Early Career 06:04 First Job Experiences 09:40 Defining Moments at IBM 13:19 Career at Nike and Burnout 18:26 Joining Colonial Pipeline 21:29 Transition to Healthcare 25:28 Building a Cohort and Embracing Change Management 27:15 Key Principles of Change Management 29:13 The Call from Duke and Defining the Job 36:16 Family, Faith, and Personal Reflections 44:17 Lightning Round: Fun and Personal Insights Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Dr. Angelo Milazzo, Vice Chair of Practice and Clinical Affairs at Duke Health, shares his insights on the evolving landscape of pediatric healthcare. He discusses priorities in workforce challenges, access to care, and the importance of community health management, while also highlighting innovative tools like AI to improve patient and provider experiences.

In this episode, Dr. Angelo Milazzo, Vice Chair of Practice and Clinical Affairs at Duke Health, shares his insights on the evolving landscape of pediatric healthcare. He discusses priorities in workforce challenges, access to care, and the importance of community health management, while also highlighting innovative tools like AI to improve patient and provider experiences.

In this episode, Dr. Angelo Milazzo, Vice Chair of Practice and Clinical Affairs at Duke Health, shares his insights on the evolving landscape of pediatric healthcare. He discusses priorities in workforce challenges, access to care, and the importance of community health management, while also highlighting innovative tools like AI to improve patient and provider experiences.

On this episode we were joined by special guest physical therapist Dr. Justin Martino from Duke Health. Not “that kind” of doctor: an exploratory study on Doctor of Physical Therapy-patient introductions in the United States Martino J, Smoliga JM, Mabry L. J Man Manip. Published Ahead of Print. doi:10.1080/10669817.2024.2396706 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Koal Challenge – Sam Roux

In this episode of the Brain & Life podcast, retired NFL offensive lineman Josh Andrews discusses his experience being a professional athlete diagnosed with narcolepsy with co-host Dr. Daniel Correa. Josh shares the early symptoms he experienced and how he is treating his condition now. Dr. Correa is then joined by Dr. Andrew Spector, neurologist and sleep medicine specialist with Duke Health. Dr. Spector explains how narcolepsy differs from different sleep disorders and how these types of conditions are diagnosed and treated.   Additional Resources What is Narcolepsy? What Researchers Are Learning About Brain Health by Studying Sleep Navigating Life with Restless Legs Syndrome How Sleep Protects the Brain   Other Brain & Life Episodes on this Topic Sleep Smart: How Sleep Impacts Your Health Advocacy and Athleticism with the Pittsburgh Steeler's Cam Heyward U.S. Soccer Legend Briana Scurry on Concussion and Mental Health   We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org   Social Media:   Guests: Josh Andrews @j_andrews63; Dr. Andrew Spector @dukeneurology Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

Trigger Warning! This episodes discusses cases of infant demise and child exploitation   Huddle updates! In this episode, Jessica and Erica discuss four separate recent cases involving medical professionals. The first case involves the death of actor Matthew Perry, where five people, including two doctors, have been charged in connection with his death due to a ketamine overdose. The second case involves a doctor in Connecticut who is accused of pulling on an infant's head over 15 times with a vacuum during delivery, resulting in the baby's death. The hosts discuss the importance of following proper procedures and advocating for patients in these situations. The third case involves a nurse manager at Duke Health in North Carolina who is charged with over 20 counts of child exploitation. The fourth case involves the body of patient found in cold storage one year after the hospital said she checked out AMA. They end with a feel good story update on the vandalism of a Mary Seacole statue.   Thank you to our sponsor, Stink Balm Odor Blocker! Please visit  https://www.stinkbalmodorblocker.com/  and use promo code UNCORKED15 for 15% off your purchase!   Interested in Sponsoring the Show?  Email with the subject NURSES UNCORKED SPONSOR to nursesuncorked@nursesuncorked.com    Help Us Keep This Podcast going and become an official Patron of Nurses Uncorked! Gain early access to episodes, patron only bonus episodes, giveaways and earn the title of becoming either a Wine Cork, Wine Bottle, Decanter Grand Preserve, or even a Vineyard member for exclusive benefits! Benefits also include patron only Zoom parties, newsletters, shout-outs, and much more! https://patron.podbean.com/nursesuncorkedpodcast    Chapters: 00:00 Introduction, Patron Announcement, Cocktail of the Week 04:41 Charges Filed in Matthew Perry's Death: Ketamine Overdose 19:02 Infant Death Involving Vacuum Extraction During Delivery 33:25 Nurse Manager at Duke Health Charged with Child Exploitation 38:50 Body Found in Cold Storage After Hospital Said Patient Signed out AMA 48:40 Mary Seacole Statue Vandalized  53:07 Enema of the Week Award  59:00 Going on Strike is Not Patient Abandonment   Cocktail of the Week: Lemon Drop Martini: 1.5 oz Vodka 0.8 oz Fresh squeezed lemon juice 0.8 oz Simple Syrup or honey (optional) Garnish with a lemon twist Mix in shaker and serve over ice   Sources: https://www.justice.gov/usao-cdca/pr/five-defendants-including-two-doctors-charged-connection-actor-matthew-perrys-fatal  https://www.nbcconnecticut.com/news/local/ct-family-accuses-doctor-of-vacuuming-newborns-head-15-times-ignoring-mothers-request-for-c-section/3355429/ https://www.cbs17.com/news/local-news/wake-county-news/duke-health-nurse-charged-with-10-counts-of-distributing-child-sexual-abuse-material-police-say/  https://people.com/calif-woman-cold-storage-year-after-family-told-checked-out-reports-8699711 https://www.nbcnews.com/news/us-news/california-hospital-told-womans-family-checked-was-actually-dead-lawsu-rcna167754  https://www.nursingtimes.net/news/history-of-nursing/mary-seacole-statue-restored-following-vandalism-incident-22-08-2024/    Infant decapitation episodes 6 and 33: https://open.spotify.com/episode/1WwME9UK13SjFktqIFMVc7?si=U33ysT0nT7C1ck6aPBjB3g  https://open.spotify.com/episode/32mj9e2oIVffbLw0YwSG90?si=MzZQ3XCPSs-J_af22vg8ww    New episodes of Nurses Uncorked every Tuesday (Monday for patrons!). Help us grow by giving our episodes a download, follow, like the episodes and a 5 ⭐️ star rating!   Please follow Nurses Uncorked at!  https://www.tiktok.com/@nurses.uncorked?_t=8drcDCUWGcN&_r=1 https://instagram.com/nursesuncorked?igshid=OGQ5ZDc2ODk2ZA== https://youtube.com/@NursesUncorkedL https://www.facebook.com/profile.php?id=100094678265742&mibextid=LQQJ4d You can listen to our podcast at: https://feed.podbean.com/thenurseericarn/feed. https://podcasts.apple.com/us/podcast/nurses-uncorked/id1698205714 https://spotify.link/8hkSKlKUaDb https://nursesuncorked.com    DISCLAIMER: This Podcast and all related content [published or distributed by or on behalf of Nurse Erica, Nurse Jessica Sites or Nurses Uncorked Podcast is for informational purposes only and may include information that is general in nature and that is not specific to you. 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Today, you'll learn about a breakthrough in the effort to create a vaccine for HIV, how engineers are turning carbon dioxide into useful products, and the silk fabric that could one day make your clothes noise-canceling. HIV Vaccine “A Trial HIV Vaccine Triggered Elusive and Essential Antibodies in Humans.” Duke Health. 2024. “The impact of antiretroviral treatment on mortality trends of HIV-positive adults in rural Uganda: a longitudinal population-based study, 1999-2009.” by Ivan Kasamba, et al. 2012. CO2 New Uses “Engineers find a new way to convert carbon dioxide into useful products.” by Anne Trafton. 2024. “Highly Efficient Carbon Dioxide Electroreduction via DNA-Directed Catalyst Immobilization.” by Gang Fan, et al. 2024. No Noise Fabric “Single Layer Silk and Cotton Woven Fabrics for Acoustic Emission and Active Sound Suppression.” by Grace H. Yang, et al. 2024. “How Piezoelectricity Works to Make Crystals Conduct Electric Current.” by Edwin Robledo. 2023. https://www.autodesk.com/products/fusion-360/blog/piezoelectricity/ Follow Curiosity Daily on your favorite podcast app to get smarter with Calli and Nate — for free! Still curious? Get exclusive science shows, nature documentaries, and more real-life entertainment on discovery+! Go to https://discoveryplus.com/curiosity to start your 7-day free trial. discovery+ is currently only available for US subscribers. Hosted on Acast. See acast.com/privacy for more information.

Meet Dr. Peter Allen, of Duke University. Dr. Allen is a cancer surgeon who specializes in treating patients with pre-cancerous and cancerous conditions of the pancreas, liver, bile ducts, stomach, and adrenal glands. He worked as a surgical oncologist at Memorial Sloan Kettering Cancer Center in New York for 13 years before joining Duke University. He now serves as the chief of surgical oncology for Duke Health. The experienced doctor discusses the difficulties of treating pancreatic cancer and explains the differences in the work he is doing at Duke in hopes of revolutionizing pancreatic cancer patient options and goes on to compare the work he did during his time at Memorial Sloan Kettering Cancer Center. Dr. Allen expresses his appreciation for the greater variety of expertise the school offers and the refreshing atmosphere of being able to mentor the next generation of surgical oncologists. He also has treated many pancreatic cancer patients in our Project Purple community, including a long-time friend of the organization, Jim Pantelidis. Dr. Allen discusses his relationship with Jimmy. Unfortunately, Jim passed away in April of 2023. In his memory, the Pantelidis Family Research Fund was established. The $150,000 grant has been awarded to Dr. Allen over two years to investigate intraductal papillary mucinous neoplasms (IPMNs) and pre-cancerous cysts. He and Dino discuss the recent groundbreaking discoveries in pancreatic cancer and cancer in general, and Dr. Allen provides his own personal predictions for the future of detecting and preventing pancreatic cancer. He also discusses the vaccinations that are becoming more available in the cancer space. Join us for this exciting and reassuring episode of the Project Purple Podcast. If you'd like to donate to Project Purple's mission of a world without pancreatic cancer, please visit https://www.projectpurple.org/. For more on the momentous work being done at Duke University Cancer Institute, visit this site: https://www.dukepcrl.com/ To learn more about Project Purple, visit https://www.projectpurple.org/ or follow us on social media at these links: https://www.facebook.com/Run4ProjectPurple https://www.instagram.com/projectpurple/ https://twitter.com/Run4Purple https://www.youtube.com/channel/UCgA8nVhUY6_MLj5z3rnDQZQ

Joseph Vazquez, MRC associate editor for Business and Free Speech America, joins Rich to explain the anti-American bias of Gemini, Google's A.I. chatbot. Next, the negative impacts of DEI on medicine; Dr. Kenneth Conger tells why he was fired from Duke Health. Later, healthy living coach Maggie Eckburg, founder of The EG Life, discusses a recent survey involving couples and household chores. Learn more about your ad choices. Visit podcastchoices.com/adchoices

It's been two years now since the U.S. Supreme Court ended the constitutional right to abortion care and since then, numerous states – including North Carolina – have moved rapidly to end or greatly restrict abortion access. In 2023, Republican state legislators in Raleigh enacted a law that both bans abortion after the 12th week […] The post Duke Health physician Dr. Beverly Gray on state of reproductive healthcare in North Carolina appeared first on NC Newsline.

Generative AI is one of the most widely discussed topics in the industry today. There is continued excitement, mounting anxiety, and dozens of questions for health leaders to answer. While the healthcare industry has been working tirelessly to adapt to the almost unbelievable rate of change, many organizations struggle with how to ethically implement and scale Artificial Intelligence. This week, host Rachel (Rae) Woods invites Duke University Health System's Chief Information Officer, Dr. Eric Poon, to discuss how Duke has approached ethical implementation of AI—and how their efforts started long before ChatGPT existed. Throughout the conversation, they discuss the early challenges Duke faced, offer tactical guidance for successful implementation, and explain why proper governance is critical to ethical AI adoption. Links: Duke Health | Connect with your health care at Duke Health The best AI strategy isn't about AI AI in healthcare: Insights from 10 C-suite executives Ep. 180: Tom Lawry on why AI has a PR problem Using simplified clinical criteria to screen more patients for ATTR-CM Learn about Advisory Board Fellowship A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.

AI's potential to revolutionize healthcare requires a focus on responsible and trustworthy implementation. In this episode, Dr. David Rhew from Microsoft, along with Marcella Dalrymple and Dr. Michael Pencina from Duke Health, discuss the collaboration between Microsoft and Duke Health to explore the transformative potential of artificial intelligence (AI) in healthcare. Dr. Rhew emphasizes the importance of responsible and trustworthy AI, acknowledging its limitations and the need for operationalizing key principles. Dr. Pencina outlines four principles for trustworthy AI: prioritizing the human person, defining AI use cases, anticipating consequences, and establishing governance. Marcella Dalrymple, with her community perspective, highlights the necessity of addressing public uncertainty and mistrust regarding AI development. The partnership aims to form a Center of Excellence for trustworthy AI, focusing on collaborative efforts to align with ethical values and engage the community bidirectionally. The guests stress the importance of a robust governance system, automation for efficiency, and continuous monitoring to ensure AI's intended impact. Tune in and learn how this collaboration strives to revolutionize healthcare responsibly through AI! Resources: Connect with and follow David Rhew on LinkedIn. Follow Microsoft on LinkedIn and visit their website. Connect with and follow Marcella Dalrymple on LinkedIn. Connect with and follow Michael Pencina on LinkedIn. Follow Duke Health AI on LinkedIn and visit their website.

In the latest podcast episode, Sarah Kier, Senior Vice President of Enterprise Patient Access at Emory Healthcare, shares insights from the 2024 PAC Symposium. Despite facing market challenges, Emory Healthcare showcased impressive, if not awe-inspiring, progress in improving patient access to the ambulatory enterprise. Sarah discusses the perfect storm -- and the ideal "EmoryNow" initiative -- that served as the fertile ground for the now-sustained gains in growing volumes by 10% - or more - with existing capacity. Sarah's contributions to the field were recognized with the prestigious Gable Award, named after access pioneer Bill Gable of Duke Health. Reflecting on Bill's legacy, Sarah imagines he would be proud of the community's progress in our shared experiences in improving access for our patients.  

We spend a third of our lives sleeping. The benefits for our brain are incredible. Restorative sleep is essential for good brain health. When you sleep, your brain washes away waste products from around your synapses, consolidates short-term memories into long-term knowledge, and processes thoughts and emotions. In this episode, we explain how, and discuss: • How much sleep your brain really needs • The different phases of sleep, and how each one strengthens your cognition • Why good sleep is key for minimising the risk of developing Alzheimer's and other neurodegenerative diseases • Insomnia, sleep apnea, and other sleep disorders, and how to treat them • The environmental factors which can help improve sleep • Why paying too much attention to sleep trackers and smart wearables can do more harm than good This week, we're joined by Dr. Donn Posner, an Associate Professor in the Department of Psychiatry & Behavioral Sciences at Stanford University School of Medicine. We also welcome Dr. Sujay Kansagra, the Director of Duke's Pediatric Neurology Sleep Medicine Program and an Assistant Professor in Duke's School of Medicine. ‘Your Brain On' is hosted by neuroscientists and public health advocates Ayesha and Dean Sherzai. Drs. Ayesha and Dean are now welcoming patients via the Brain Health Institute: https://brainhealthinstitute.com/ ‘Your Brain On... Sleep' • SEASON 2 • EPISODE 7 ——— LINKS Dr. Donn Posner: Sleepwell Consultants: https://www.sleepwellconsultants.com/ Dr. Sujay Kansagra: at Duke Health: https://www.dukehealth.org/find-doctors-physicians/sujay-kansagra-md on Instagram: https://www.instagram.com/thatsleepdoc ——— FOLLOW US Join the NEURO Academy: NEUROacademy.com Instagram: @thebraindocs Website: TheBrainDocs.com More info and episodes: TheBrainDocs.com/Podcast

This video provides a wide-ranging discussion of data acquisition, analytics, and AI in health care involving Dr. Keith Morse, MD, Professor, Pediatrics, and Medical Director of Clinical Informatics at Stanford Children's Health, and Dr. Armando Bedoya, MD, Chief Analytics and Medical Informatics Officer at Duke Health. They had both just spoken at the SAS Innovate 2024 conference about the use of AI, data, and analytics in their organizations. Learn more about Stanford Medicine Children's Health: https://www.stanfordchildrens.org/en.html Learn more about Duke Health: https://www.dukehealth.org/ Learn more about SAS: https://www.sas.com/en_us/home.html Health IT Community: https://www.healthcareittoday.com/

Episode 108 of the 2B Bolder Podcast features  Anne Shoemaker, an empowering career strategist and executive coach. With over 20 years of experience, Anne has dedicated her career to guiding women into leadership roles across various industries. As the founder of a WBENC-Certified Women Business Enterprise, she brings a wealth of knowledge and a proven track record of success to the table.Anne's distinguished portfolio includes top-tier clients such as CxOs, legislators, entrepreneurs, professionals from Fortune 500 companies like Home Depot and Dell Technologies, healthcare leaders from Duke Health, and senior administrators from leading academic institutions. Her academic credentials include a business degree from Wake Forest University and a graduate degree in e-commerce from Lulea University of Technology in Sweden.In this episode, Anne shares her remarkable journey from being a professional soccer player to navigating the male-dominated corporate world and ultimately becoming a sought-after coach for women leaders. Tune in as Anne discusses overcoming self-doubt, building her brand, and the invaluable lessons she has learned throughout her career. She also offers insightful advice on networking, gaining career clarity, and building supportive networks for professional development.Discover what 2B Bolder means to Anne and hear inspiring success stories from the women she has coached. Whether you're an aspiring leader or looking to take your career to new heights, Anne's strategies and experiences will provide you with the tools you need to unlock your potential and achieve new levels of impact and fulfillment.Don't miss this opportunity to be inspired and empowered. Subscribe to the 2B Bolder Podcast today and take the first step towards a bolder, brighter future!Resources:Anne Shoemaker WebsiteAnne Shoemaker on LinkedInSupport the Show.When you subscribe to the podcast, you are supporting our work's mission, allowing us to continue highlighting successful women in a variety of careers to inspire others helping pay our wonderful editor, Chris, and helping me in paying our hosting expenses.

This week, Gwenna is joined by Dr. Sujay Kansagra, pediatric neurologist and director of the pediatric neurology sleep medicine program at Duke Health. The duo dives into the intricacies of sleep training, discovering its true meaning, and its unique application within each family dynamic. They also explore the complexities of sleep cycles, circadian rhythms, and the surprising impact a mere 5-minute nap can have. Wrapping up, they offer insights into effectively communicating with your pediatrician when your child is experiencing sleep difficulties. Get Dr. Kansagra's Book: https://shorturl.at/crJP8 Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Angelo Milazzo, Vice Chair for Practice and Clinical Affairs, Department of Pediatrics at Duke Health joins the podcast to discuss his background, Duke Health & Microsoft's partnership & the utilization of artificial intelligence in the clinical setting, excitements & nerves going forward in 2024, and more.

Dr. Angelo Milazzo, Vice Chair for Practice and Clinical Affairs, Department of Pediatrics at Duke Health joins the podcast to discuss his background, Duke Health & Microsoft's partnership & the utilization of artificial intelligence in the clinical setting, excitements & nerves going forward in 2024, and more.

About David Rhew:Since August 2019, David has served as Chief Medical Officer & VP of Healthcare for Microsoft's Worldwide Commercial Business (WCB). David and his team's main goal is to demonstrate how a large-scale data-driven approach can lead to smarter decision-making, more proactive care, and improved health outcomes, as well as lower costs for patients and populations.Additionally, David is an adjunct professor at the Department of Medicine, Division of Primary Care and Population Health at Stanford University.About Marcella Dalrymple:Marcella is the Associate Director of Strategic Development and Business Partnerships at Duke AI Health. Her goal is to operationalize novel ideas by using big data to achieve the most meaningful results, leading to improved clinical practices.Prior to that role, she was the Commercial Leadership Associate in the marketing sector for AstraZeneca and a project manager for Duke Clinical Research Institute.About Michael Pencina:Michael Pencina, PhD, is Duke Health's Chief Data Scientist and serves as Vice Dean for Data Science, Director of Duke AI Health, and Professor of Biostatistics and Bioinformatics at the Duke University School of Medicine. He develops and implements quantitative science strategies for the School of Medicine, co-chairs Duke Health's Algorithm-Based Clinical Decision Support (ABCDS) Oversight Committee, and co-directs Duke's Collaborative to Advance Clinical Health Equity (CACHE).Things You'll Learn:AI's potential to revolutionize healthcare requires a focus on responsible and trustworthy implementation.The collaboration between Microsoft and Duke Health aims to create a Center of Excellence for trustworthy AI.The four principles for trustworthy AI are: prioritize the human person, define use cases, anticipate consequences, and establish governance.Public mistrust of AI in healthcare highlights the need for community engagement and bidirectional communication.Automation in governance processes can streamline AI integration and reduce friction in workflows.Resources:Connect with and follow David Rhew on LinkedIn.Follow Microsoft on LinkedIn and visit their website.Connect with and follow Marcella Dalrymple on LinkedIn.Connect with and follow Michael Pencina on LinkedIn.Follow Duke Health AI on LinkedIn and visit their website.

Recorded live at the 11th Annual Becker's Healthcare CEO + CFO Roundtable, this episode features Dr. Angelo Milazzo, Vice Chair of Practice and Clinical Affairs, Department of Pediatrics; Professor, Pediatrics, Division of Pediatric Cardiology, Duke Health. Here, he discusses key insights into his organization, his focus on provider experience, what the most effective healthcare leaders need to be successful in the next 2-3 years, and more.

On today's podcast: 1) Claudine Gay is stepping down as president of Harvard University, ending a brief and tumultuous tenure marred by allegations of plagiarism and a campus controversy over antisemitism. 2) Donald Trump filed a lawsuit seeking to restore his name to Maine's presidential primary ballot after the state disqualified him over his attempt to reverse the result of the 2020 election he lost to Joe Biden. 3) Traders hoping that a pan-markets year-end rally would pick up where it left off got the opposite on 2024's first trading day, a session that featured one of the worst-ever concerted drops in stocks and bonds to start a year. Full transcript: Good morning. I'm Nathan Hager and I'm Karen Moscow. Here are the stories we're following today. We begin with the leadership shakeup at the top of the IVY League. Claudine Gay is stepping down as president of Harvard University weeks after her highly criticized congressional testimony about the school's handling of campus anti semitism, alongside the presidents of MIT and the University of Pennsylvania. Bloomberg's David Weston begins our team coverage. It has been sort of a firestorm for these three presidents to deal with exactly how you control and influence discussion on the campus. There were also questions that developed over time about some of the work that President Gay had done for her dissertation for her PhD, and allegations that she had improperly used sources that she did not identify. Initially, the Corporation of Harvard, which is what they call the Board of Trustees of corporation, said there'd been an investigation and they had totally exonerated her. There was no problem. But now she said, she stepped down, and I take her to ward. At this point, and at some point, a leader becomes a distraction. Bloomberg's David Weston reports this is a dramatic about face for Harvard. Claudie Gay became the university's first black president just six months ago. Well Nathan, one of Gay's harshest critics, says her stepping down is long overdue, and Bloomberg's At Baxter has that part of the story. Congresswoman Elis Stefanik says Gay in the December hearing never condemned calls for genocide against Jews as a violation of university policy. This is part of what Gay said at that December hearing. We embrace a commitment to free expression, even of views that are objectionable, offensive, hateful. Stefanica is a Harvard alum who said Gay's statements were morally bankrupt. And Bill Ackman now who's also gone after Gay posted at two sally an apparent reference to the president of MIT at Baxter Bloomberg Radio, okay, and thanks. Sticking with politics, another legal battle is set in motion involving Donald Trump's ability to return to office. S Bloomberg's Amy Morris has the latest. Trump is not just appealing the decision in Maine to remove his name from the primary ballot. He's also suing the official mains Secretary of State, Senna Bellows, who made that decision. It's another legal argument that will likely be settled by the US Supreme Court, along with a case from Colorado where a group of voters is calling for the justices to quickly step in. They're asking for that case to be expedited. They'd like a ruling by February eleventh, and we could learn whether the Supreme Court will it Dervine in the Colorado case by this Friday. In Washington, Amy Morris, Bloomberg Radio. All right, Amy, thanks now to the latest developments in the Middle East. A senior Hamas leader has been killed by Israel on a explosion in Beirut. Hamas says Israel killed Sileai al Rory, deputy headed the group's polit bureau, who was known as the mastermind behind its armed wing in the West Bank. Began more from a Bloomberg Silary Liebert, it's sort of a no brainer that if they had a senior Hamas leader, they could find an attack who wasn't in some underground hiding place wherever he was, if they would go after him, and Bloomberg Larry Liebert. It says aler Rory would be the most senior Hamas leader killed during the war. Turning to markets now, Karen wall Street kicked off the new year with a thud. Both tech stocks and treasuries sold off. The Nasdaq one hundred index fell one point seven percent, at benchmark's biggest drop in two months. Rich Weiss is chief investment Officer of multi asset Strategies at American Century Investments. If you look from the start of twenty twenty two through the end of twenty twenty three, cash basically outperformed most equities, maybe not the Magnificent seven, but most equity portfolios. So cash has been king, likely to be king at least for the first half of this coming year, at least, we believe American Century Investments. Rich Weiss thinks it could be a tough earning season for corporate America well. One of the biggest losers in yesterday sell off, Nathan was Apple I lost more than one hundred seven billion dollars in value after Barclay's analysts downgraded the tech giant. Bloomberg's Mark German explains the bearish view of the iPhone maker four quarters plus in a row of holiday declines. The earnings report that's coming at the end of January early February will indicate that Q one was either in line, maybe a little bit more a little bit less than the prior quarter. You have these patent situations which are likely to crop up in higher frequency now given the success that Massimo has had over the past few months. And Bloomer's Mark German notes that Apple shares rose around fifty percent to a record last year. Well, on the flip side, shares of JP Morgan closed at a record to kick off the new year. The bank's rebound from its twenty twenty two low has now pushed its market capitalization to about five hundred billion dollars. The lender's been a top performer in the banking industry following record results last year. Well Nathan investors will turn their attention for more clues on the future of interest to rates. This afternoon, the Federal Reserve issues minutes of dece meeting, and Bloomberg's Vinidel Judai reports Bloomberg Economics as the minutes could signal interest rate cuts aren't imminent, they'll fetcher. Jerome pal did strike a dubvish tone last month's news conference that officials voted to hold the benchmark interest rate target steady for the third time at December's meeting after more than a year of tightening. Next session, January thirtieth and thirty first. Also on today's US economic agenda, job openings, as well as ISM factory data. If Anny Dale, Judeace, Bloomberg Radio, Sorry, and Ethan Thanks. It's time out for a look at some of the other stories making news around the world, and for now we're joined by Bloomberg's Amy Morris. Amy, good morning, Good morning, Karen. Migrants sent mostly from Texas, have been showing up at train stops outside New York City over the weekend, sidestepping a new order limiting how they arrive. Hundreds of migrants took a detour in New York and New Jersey to bypass the New York order limiting the seat the number of arrivals. New York City and Chicago recently began restricting migrant bus arrivals, and now the crackdown spreading to the suburbs. Woodstock Mayor Michael Turner spoke at a city council meeting, we do not have the staff the expertise for the money, and that may not be the ideal. We may all wish it was something different, but that's the reality for Chicago. Suburbs in Hinsdale, Woodstock, Buffalo Grove, and Juliette taking official action now passing ordinances to find bus companies dropping off migrants without notice. Meanwhile, four ports of entry at the southern border will be reopened tomorrow. Those ports were closed because of a record influx of migrants. Officials said closing the border crossings was just a last resort to stem the flow of people crossing the border. Hospitals across the country now initiating some new policies in response to a rise in respiratory illness cases, more emergency room visits because of flu, COVID and RSV, prompting some hospitals to require prior off authorization for visitors younger than twelve years old. Duke Health infectious disease specialist doctor Cameron Wolf says, for the most part, people understands it. Ever easy decisions like people want to be able to come and visit their love ones in a hospital, but I think in general people understand. The CDC says more than half the country is experiencing a rise in COVID flu and RSV cases. Hospitals in at least ten states and Washington, DC have now reinstated mask mandates. Israel is planning to withdraw several thousand troops from the Gaza Strip. The IDF announced the move, noting the nearly three month war has taken a growing toll on the Israeli economy. The United Nations says more than eighty five percent of Gaza's residents have been displaced from their homes and the fighting has left more than twenty thousand people dead. And a messy winter storm is headed for the East Coast this weekend. Forecasters are expecting measurable snow from Washington, DC to New York and rain showers down south. Global news twenty four hours a day and whenever you want it with Bloomberg News Now. I'm Amy Morrison. This is Bloomberg Karen all right, Amy, thank you well. As Amy said you, we do bring you news throughout the day here on Bloomberg Radio. But now you can get the latest news on demand, and that means whenever you want it. You just subscribed to Bloomberg News. Now he can get the latest headlines right at the click of a button get informed on your schedule. You can listen and subscribe to Bloomberg News Now on the Bloomberg Business app, Bloomberg dot Com plus apples, Spotify, and anywhere else you get your podcasts. Time now for the Bloomberg Sports Update, here's John Stashaur John Karen. Just two years ago, the Oklahoma City Thunder lost fifty eight games. This year they might end up winning fifty eight. Fifth straight win for OKC now twenty three at nine on the season. They beat the league leading Celtics one twenty seven to one twenty three. Shay Gilgess Alexander's been on a scoring tear. He went for thirty six points. Christaph Porzingis had Boston with thirty four. Jayson Tatum scored thirty, but Jalen Brown shot only four of eighteen thirty six points for Steph Curry's Golden State Feed, Orlando won twenty one to one fifteen. Terry Rozier scored thirty four Charlotte with a win at Sacramento, John Moran twenty six points, ten assists Memphis Town San Antonio and Joe Lamby thirty one points at a triple double easy win for Philadelphia over Chicago. The Sixers were up by twenty five in the first quarter New Orleans out of twenty five point lead at halftime. Pelicans rolled to an easy win over the book for the Nets Perdue number one in college basketball and now thirteen and one boiler Makers with a big ten win at Maryland sixty seven to fifty three. Acced Duke rolled pass Syracuse eighty six to sixty six, Big East Yukon and easy win over De Paul eighty five to fifty six. College Football's National Championship game Monday in Houston, and Michigan is a four and a half point favorite to beat Washington. Both teams are undefeated, but Washington has only had one win by a ten or more points since September. They may not have running back Dylan Johnson. He got caught it off late in that semifinal win over Texas Johns Dan Shower. Bloomberg Sports from coast to coast, from New York to San Francisco, Boston to Washington, DC, nationwide on Syrias Exam, the Bloomberg Business app, and Bloomberg dot Com. This is Bloomberg Daybreak. Good morning. I'm Nathan Hager. Washington may have just flexed its muscles with the IVY leagues now that Claudine Gay is stepping down as president of Harvard University, comes weeks after widely criticized testimony about her handling anti Semitism on campus alongside the presidents of MIT and Penn, along with new questions specifically about Clining Gay's academic record some of her past dissertations. Meanwhile, with less than two weeks until voting begins in the Republican presidential race, former President Donald Trump is fighting to stay on a second state's primary ballot after Maine kicked him off over his actions on January sixth, twenty twenty one. Lots of political news to discuss this morning, and here to do that with us is Greg Valier, chief US policy strategist at AGF Investments. Greg, good morning. First, I want to get your reaction to the sudden departure of Claudine Gay as Harvard University. She just became Harvard's first black president in July. Now, apparently after this widely panned congressional testimony and the mounting political end donor pressure, she's out. I mean, what does that say about Washington's influence over higher education. Well, there is influence, Navan, good morning, But I think a bigger factor may have been the donor's donations were way down and applications were way down, and I think that may have had a bigger impact. Well, we did have the impact of a last Stephonica Harvard alum with that viral testimony, the questioning that she gave asking them pointedly whether calling for the genocide of Jews it violates school policy, and sort of wiggling on the answers. I mean this says something about a least stephonics clout as well, doesn't it. Yeah, two points. First of all, I think she is going to be a real player. She is already, but I think she's going to be a pit bull on these issues and she summoned to watch over the next few years. Secondly, I think that the university presidents, all three of them, were just extraordinarily tone deaf. You know, maybe what they said technically was correct, but it certainly did not soothe the issue. It just inflamed the issue. Not just that we know that the committee that brought those university presidents to Capitol Hill is expanding its investigation into some of these allegations of plagiarism against now former president Claudine Gay. Where do you see this investigation going into what's happening on these campuses. Well, I think that that is going to be fair game throughout the country, and I think it's not just these three presidents. I think it's probably a lot of other university officials that are now going to have to worry. I want to talk about the constitutional crisis potentially here with former President Donald Trump now suing to try to stay on Main's primary ballot after the Secretary of State made that move. Where do you see this going? Well, first of all, Nathan, I think it's probably ninety ninety five percent chance that the Supreme Court will take the issue. I think they have to beyond that. I think the odds would favor this court, which has three Trump appointees of six to three conservatives on the court. I suspect they would reject the argument that Trump has to be taken off the ballot. I think the Court could decide this within the next few weeks, before Super Tuesday on March five. I think that in the final analysis, Trump will be on the ballots. There is a difference between a secretary of state making a move like this and a Supreme Court like what happened in Colorado, Does that make any difference for the Supreme Court if it does come to that. It could, and there will be lots of issues debated, but I think the main one is can you quickly prove that Trump supported an insurrection? I mean that's a case that could take years, certainly many many months, and we don't have that kind of time with an election coming up. So barring any definitive ruling on the January sixth insurrection, I just don't see this going anywhere. Well, that being said, why do you think the Supreme Court would make a decision quickly if, as you say, it would take a substantial amount of time before the Supreme Court to determine whether former President Trump did indeed commit insurrection? Well, I think the Court we'll just have a cotton dried decision saying that that they don't have the jurisdiction right now to define insurrection or decide whether there was insurrection. And I think without that finding, again, I just don't think it's going to go anywhere. This is Bloomberg day Break Today, your morning brief on the stories making news from Wall Street to Washington and beyond. Look for us on your podcast feed at six am Eastern each morning, on Apple, Spotify, and anywhere else you get your podcasts. You can also listen live each morning starting at five am Wall Street time on Bloomberg eleven three to zero in New York, Bloomberg ninety nine to one in Washington, Bloomberg one sixty one in Boston, and Bloomberg ninety sixty in San Francisco. Our flagship New York station is also available on your Amazon Election device. Just say Alexa play Bloomberg eleven thirty plus. Listen coast to coast on the Bloomberg Business app, SERRIUSXM, the iHeartRadio app, and on Bloomberg dot Com. I'm Nathan Hager and I'm Karen Moscow. Join us again tomorrow morning for all the news you need to start your day right here on Bloomberg DaybreakSee 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The Women in Leadership series explores the life and career path of women in health care leadership roles. Listen to hear Morgan Jones's journey to becoming VP of Strategic Planning & Business Development at Duke Health.

In this episode of the MGMA Member Spotlight podcast, we're joined by Dr. Padma Gulur. Dr. Gulur is Professor of Anesthesiology and Professor in Population Health Sciences at Duke University School of Medicine. Dr. Gulur is also the 2023 MGMA Harwick Innovation Award winner. The Harwick Award is designed to recognize and celebrate the success of an individual who has developed an innovative solution that positively impacts practices, providers and/or patients in their community. Dr. Gulur was selected for the Harwick Award due to creating the Anesthesia Resource Management System (ARMS). According to the nomination, ARMS “has revolutionized the way (Duke Health) manages anesthesia resources, leading to remarkable operational efficiencies and substantial cost savings.” MGMA Leaders Conference We're sponsored by the MGMA Leaders Conference, which will be held in Nashville, TN, Oct 22-25. For more information go to MGMA.com/events. #MGMALeaders Additional Leaders Resources: MGMA Leaders Conference registration: mgma.com/conferences/leaders/register Leaders Conference Schedule: mgma.com/conferences/leaders/schedule Conference Overview: mgma.com/conferences/leaders/overview WE WANT TO HEAR FROM YOU Let us know if there's a topic you want us to cover or an expert you would like us to interview. Email us at podcasts@mgma.com. If you have opportunities and resources you'd like to share with MGMA members, go to Marketing with MGMA to find out how you can connect with the MGMA audience.

About This EpisodeCarolyn Carpenter defines boldness as going beyond our limiting dimensions. She encourages us to push back against self-imposed boundaries and open ourselves to the possibilities that life offers. As President of Johns Hopkins National Capital Region and a mother of two, she discusses how this boldness manifests in both our personal and professional journeys. Carolyn encourages us to not allow the limitations we put on ourselves to restrict our potential to live authentically. It's not only about managing our energy, but about letting go of fear and anxiety and embracing optimism as well. Carolyn also describes how to recognize patterns of opportunity and tap into our creative intelligence.  About Carolyn CarpenterCarolyn Carpenter serves as President of Johns Hopkins National Capital Region (NCR), where she leads all hospital-based and community-based ambulatory sites across the National Capital Region on behalf of Johns Hopkins Medicine (JHM), including Sibley Memorial Hospital and Suburban Hospital. Prior to joining Johns Hopkins, Ms. Carpenter served as the President of Sentara Norfolk General Hospital and Corporate Vice President of Sentara Healthcare. Ms. Carpenter joined Sentara after twenty years of progressive leadership responsibility at Duke Health. During that time, she served in a variety of capacities including Chief Operating Officer of 900+-bed Duke University Hospital, Associate Dean of the Duke School of Medicine, Associate Vice President of Oncology Services for the Duke Health System, and Associate Chief Operating Officer for Medical/Surgical/Critical Care Services. Ms. Carpenter received her B.A. at the University of Pennsylvania and her MHA from Medical College of Virginia. She completed an administrative fellowship at Duke. She is a Fellow of the American College of Healthcare Executives and was an Adjunct Assistant Professor at the University of North Carolina at Chapel Hill School of Public Health. In 2016-7, Ms. Carpenter was among the inaugural class of Carol Emmott Fellows, a select fellowship for women leaders aimed at empowering female health executives to bridge the gender gap in the C-suite and transform health care. Additional ResourcesLinkedIn: @CarolynCarpenter

We love hearing from our listeners!!! In this episode, a long-time listener asked about the future of AI in the data platform space. We thought this was a very interesting topic as Microsoft has been including Artificial Intelligence or AI in more and more of its marketing material. In this episode we'll dive into the definition of AI, what features are currently available, how we can leverage those technologies, and where we think this might go in the future. One of the challenges we currently face is all the buzz and excitement around AI. From a data platform vantage point, we started with analytics and training models to analyze the data. Microsoft has suddenly slapped Artificial Intelligence on some of the feature sets and confuses the issue a bit. We are excited to have Mike Chrestensen from Duke Health as our episode guest to help us sort it all out. Mike has begun leveraging AI in his work and I think he gives some interesting thoughts on how he has used it to help his team go faster. We hope you enjoy the episode. As always, we welcome your feedback and thoughts. The show notes for today's episode can be found at Episode 268: AI and the Future of the DBA. Have fun on the SQL Trail!

Today's guest is Jeffrey Manville, ServiceNow Development Team Lead at Duke University Health System. As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities. Jeffrey is an experienced System Engineer & Software Developer with a demonstrated history of success within the IT and Healthcare industry. He is skilled in process/systems analysis, system engineering, data analysis and software development particularly on the ServiceNow platform. In his current role, Jeffrey coordinated the recovery of a major incident for a vendor owned & supported application between two companies' engineering departments and ServiceNow, while reporting to C level leadership for both companies. In this episode, Jeffrey talks about: His role and responsibilities with Duke University Health System  Why ServiceNow is the platform of choice  Applications that are adding value across the organization  Challenges and they needed to overcome when implementing ServiceNow  What makes a winning ServiceNow team  Key advice for your implementation journey  Where he sees the future of the ServiceNow platform

Dr. Sarah Jean Barton is a theologian and occupational therapist with a Doctor of Theology degree from Duke Divinity School. She completed her occupational therapy training at Boston University. Her research interests include theology and disability, research in collaboration with people with intellectual and developmental disabilities, bioethics, liturgy, and occupational engagement in religious activities. She has published and presented in a variety of interdisciplinary contexts on issues related to Christian theology and ethics, intellectual disability, spirituality, disability studies, and occupational therapy. She is the author of Becoming the Baptized Body: Disability and the Practice of Christian Community (Baylor University Press).Currently, Dr. Barton is Assistant Professor of Occupational Therapy and Theological Ethics at Duke University. She holds a dual appointment in the Occupational Therapy Doctorate Division in the Department of Orthopaedic Surgery at the School of Medicine as well as at Duke Divinity School. She also works as a pediatric occupational therapist at Duke Health, with special expertise in collaborating with families and children experiencing medical complexity, trauma, or neuromuscular disorders. Dr. Barton is one of only seven occupational therapists in North Carolina to hold the AOTA Board Certification in Pediatrics.

In this special edition of the Integrative Practitioner Podcast, Scarlet Soriano, MD, joins Integrative Practitioner Content Specialist, Avery St. Onge, to discuss how mind-body medicine can contribute to health equity. About the Speaker: As Executive Director of Duke Health and Well-Being, Scarlet Soriano, MD, leads a multidisciplinary team in systemwide innovation aimed at effectively addressing gaps in our healthcare delivery structures through health and well-being interventions that are grounded on health equity. Soriano is a member of the Board of Directors of the Academy of Integrative Health and Medicine (AIHM) and a founding member of its Black, Indigenous and People of Color Committee. She was Co-Chair of the Academic Consortium for Integrative Medicine and Health (ACIMH) 2023 Integrative Medicine Symposium and serves as Duke Health and & Well-Being's Institutional Representative within ACIMH. Soriano's work has centered on designing healthcare delivery structures that create conditions for deep personal transformation, grounded on self-efficacy and positive change-making, as the foundation for both individual healing and community transformation. Soriano is passionate about planetary health and weaving our personal and collective healing with the healing of our planet. She has a special interest in wellness-based group medical visits as critical aspects of healthcare redesign. Soriano is the former Director for Group Visits and Wellness-Based Healthcare Transformation at Boston Medical Center's Program for Integrative Medicine and Healthcare Disparities, and former Medical Director for the Tanya I Edwards Center for Integrative and Lifestyle Medicine at Cleveland Clinic. In her consulting work, Soriano supports organizations to rethink healthcare strategies through the lens of equity and whole person-whole community health.

— Everything you want, desire, and need is within you, and you are worthy of love. Wild Moon Healing is the personal journey of self-exploration through which you create your life based on how you want to feel. It is not about the law of attraction, manifesting material wealth, or manifesting other people's desires. Rather, Wild Moon Healing is about recovering from the life experiences that have hurt us. It is an inward, truth-seeking journey to gain clarity about your life's purpose, and if you choose, to harness the energy of lunar cycles to gain momentum on your healing path. The moon puts us in a reflective state of mind, and its phases offer us a schedule to follow so we can heal and live an authentic life. A consistent practice of Wild Moon Healing is an investment in discovering what you believe, value, and enjoy. As you discover your strength and character, you change the way you view yourself, and you transform. Part of this transformation involves gaining clarity about what is right in your life.   The pain comes. The pain goes. Then it comes again. You become angry with yourself; everything must be perfect. You loathe yourself. Everything is chaos. Today is amazing. Tomorrow not so much. One lunar cycle—you can commit to that. Use her energy. You go after your goal, then hit a barrier in your progress. Life is a dance; recognize the steps. She illuminates what you need to see. Find your inspiration in her; become excited and have fun. Moon work is effective, its energy real. Discover your true self, restore, and heal. You will create your amazing life. Persevere through Wild Moon Healing; prioritize self-care. Discover, grow, and become the person you were meant to be. Because that is a beautiful thing. Valeria interviews Donna Conley  — She is the author of  “Wild Moon Healing: Harness the Energy of Lunar Cycles to Awaken Your Inner Truth” Determined to become an advocate for mental health, Donna S. Conley developed an integrated approach to teach people to discover who they are, what they want, and how to love and accept themselves so they can live their best lives.  She began a career as an energy coach, sound healer, meditation teacher, blogger, and wrote Wild Moon Healing while working full-time in corporate America. Donna is working toward her goal of transitioning to a full-time career to help remove the stigma of mental health and normalize loving, committing, believing, and respecting yourself.  Donna has had a successful career in the human resources field for over twenty years. She earned a Master's degree in her field from UMUC and is a Certified Health and Wellbeing Coach from Duke Health. Human Resources is the business of people, and Donna has professionally helped, supported, and touched the lives of many people during her career.  She was born and raised in Riva, Maryland, but has always considered Reedy, West Virginia, her home. That is where her mind wanders when she thinks about growing up and the summers she spent at her Nan Nan's. Her Appalachia heritage instilled in her love for the mountains and the moon. Donna is the proud mother of a United States Marine. If you can't find her, she's most likely in the woods discovering a new trail to hike or simply admiring the moon.   From a total wellness perspective and addressing people as a whole, she believes strongly in the spiritual aspects of health in addition to physical and mental health. She deeply believes everyone has their own inner magic and can use it to create their best life and inspire others. Wild Moon Healing is Donna's first published work.  To learn more about Donna Conley and her work, please visit: wildmoonhealers.com               — This podcast is a quest for well-being, a quest for a meaningful life through the exploration of fundamental truths, enlightening ideas, insights on physical, mental, and spiritual health. The inspiration is Love. The aspiration is to awaken new ways of thinking that can lead us to a new way of being, being well. 

Women's Health: Balancing Life and Wellness – Episode 128 – Transcript – In this episode of the Can Do MS Podcast, we host Dr. Suma Shah, a neurologist from Duke Health who specializes in MS and has a passion women's health and wellness. Suma shares her expertise with us as we dive into the robust topic of women's health. We'll touch on hormonal influences, aging with grace, menopause, and goal setting for women with MS. Additionally, we'll discuss the delicate balance between work and home life that many women face. Gain more resources on women's health and wellness here: The Unique Impact of MS on Women. Later this year, we invite Dr. Suma Shah back for another episode focusing on family planning considerations for people with multiple sclerosis. We'll discuss everything from contraceptives to sexual dysfunction to fertility and pregnancy as well as DMT considerations.

BlazeTV hosts Stu Burguiere and Pat Gray join Sara to discuss the eerie footage from El Paso, Texas, of 1,500 U.S. soldiers heading to the U.S.-Mexico border to support the Border Patrol agents. Media Matters thought it was going to bring the downfall of Tucker Carlson by releasing leaked footage of Carlson on the set of his old show, but it actually made his fans love him more. Vice News may soon go the way of BuzzFeed News if it can't find a buyer in the coming days. Liberals are having a meltdown at the idea of Donald Trump attending a CNN town hall meeting next week. Three gender clinics in North Carolina are transitioning children as young as 2 years old. Duke Health, UNC Health, and ECU Health are all transitioning toddlers who identify as transgender. Today's Sponsors: Check out courses, teachers, preview videos about the courses, and request a free information packet from FreedomForSchools.com. We cannot afford to hand over another generation to the Left, so take back your child's education. Go to http://www.FreedomForSchools.com to save 10% off tuition when you enroll today. Relief factor isn't a drug, but it was developed by doctors to fight inflammation. Try it today. The 3-Week QuickStart is only $19.95. Go to http://www.relieffactor.com or call 1-800-4Relief to get your QuickStart today. Join the fun on May 4 at 8 p.m. EST for the premier of "Re-Opening." Head over to http://www.BlazeTV.com/Reopening and use the code REOPENING to get $20 off your subscription. Learn more about your ad choices. Visit megaphone.fm/adchoices

The Uromigos are joined by Daniel George, MD, to review RCC and prostate cancer presentations from the 2023 ASCO GU Cancers Symposium, including triplet versus doublet therapy, the ARASENS trial, and the ZIRCON phase 3 trial. Dr. George is a medical oncologist at Duke Health, specializing in genitourinary malignancies.

During today's episode, Dr. Ben Hechler joins us in conversation to unpack some of the most used tools in reconstruction and when to use them. Assistant Professor of Craniomaxillofacial Surgery and Head and Neck Oncologic Surgery at Duke University, Dr. Hechler has a gift for transferring knowledge in a way that is easy to understand. Tuning in, you'll get an overview of reconstruction options for patients who have had pathology removed, including why it is so important to determine your goal ahead of choosing an option. Dr. Hechler addresses some of the challenges often faced during the process, and goes into detail about the different flaps and their relevance for different patients. We hope that today's episode will motivate surgeons to further explore this side of oral maxillofacial surgery. Thanks for listening!Key Points From This Episode:Welcome to Dr. Ben Hechler, Assistant Professor of Craniomaxillofacial Surgery and Head and Neck Oncologic Surgery, Duke University Health System.Today's topic: reconstruction options for patients who have had pathology removed. Why defects in the maxillo usually involve a portion of the bone. Why it is so important to determine your goal before choosing an option.Challenges surrounding the mandible.Reconstruction for pathologic defects.Why the submental island flap has recently gained popularity.When titanium-only reconstruction in the mandible is most appropriate.Adhering to the adage of replacing life with life.A caveat to be aware of with regards to mucosa. Rotating nasolabial flaps to rotate into the mouth.Why Dr. Hechler recommends using the FAMM flap. Considering the size of the defect and the desires of the patient when selecting an approach.The challenge of creating continuity of the mandible with titanium-only reconstruction.Circumstances where you would consider doing a delayed reconstruction.Pitfalls to using VSP.Resources for reconstruction guidance. Why Dr. Hechler hasn't read much lately: he recently welcomed a new baby!Grant's two recommendations on Audible. Links Mentioned in Today's Episode:Dr. Ben Hechler on LinkedIn — https://www.linkedin.com/in/ben-hechler/Duke Health – https://www.dukehealth.org/Head & Neck — https://onlinelibrary.wiley.com/journal/10970347Plastic & Reconstructive Surgery — https://journals.lww.com/plasreconsurg/pages/default.aspxFlaps and Reconstructive Surgery — https://www.amazon.com/Flaps-Reconstructive-Surgery-Fu-Chan-FACS/dp/0323243223Spare — https://princeharrymemoir.com/Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059KLS Martin promo code EOSExo22 — https://www.klsmartin.com/ 

Richard P. Shannon, MD serves as theChief Quality Officer for Duke Health. He is responsible for the overalldirection, leadership and operational management of the quality and safetyprograms of Duke Health and provides leadership in strengthening a qualityculture where everyone is engaged and respected.Shannon received his BA from Princeton University and his MDfrom the University of Connecticut School of Medicine. He completed histraining in internal medicine at Beth Israel Hospital, his cardiovasculartraining at Massachusetts General Hospital, and was the Francis Weld PeabodyFellow and Associate Professor of Medicine at Harvard Medical School beforebecoming the Claude R. Joyner Professor of Medicine at Drexel UniversityCollege of Medicine.Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3CME credit is available for up to 3 years after the stated release dateContact CEOD@bmhcc.org if you have any questions about claiming credit.

Stroke survivors with physical deficits have to fight to get the muscles moving again. They also have to fight to stop some muscles from moving. Tone and spasticity are why our elbows curl, our fists squeeze tight, and our toes can curl under our feet so we crush our own toes as we walk. Dr. Wayne Feng is an expert in tone and spasticity after stroke and he joins us this week to explain how we can address these challenges If you don't see the audio player below, visit Strokecast.com/MSN/ToneBasics to listen to the conversation. Click here for a machine-generated transcript Who is Dr. Wayne Feng? From Dr. Feng's Duke Profile: I am the division chief for Stroke and Vascular Neurology in the Department of Neurology at Duke Health. I see stroke patient in the emergency department, inpatient service as well as in the outpatient clinic. I also treated post-stroke limb spasticity, a disabling complication after stroke. In addition to the patient care, I also run a brain modulation and stroke recovery lab at the Duke University campus to study stroke patients in my lab to develop new stroke recovery therapy. On my days off, my boys and I are big on fishing. I enjoy drinking and collecting tea. As a stroke doctor, I do not drink coffee at all (there is a reason for it). If you come to see, I will tell you. Current Appointments and Affiliations: Professor of Neurology, Neurology, Stroke and Vascular Neurology 2019 Chief of Stroke & Vascular Neurology in the Department of Neurology, Neurology, Stroke and Vascular Neurology 2019 Professor of Biomedical Engineering, Biomedical Engineering 2022 [youtube https://www.youtube.com/watch?v=SGeOGI2bry4&w=560&h=315] Tone and Spasticity Overview Mos of our limbs move because of the interaction between two types of muscles -- extensors and flexors. The flexors contract to bend a limb. The extensors contract to extend the limb. For example, the biceps are flexors. They pull our forearm up or into an angle. When people want to show off their arm muscle, the flex their arm -- they activate their flexors. The triceps on the back of the upper arm are extensors. When they activate, they extend the arm -- they pull the arm straight.  When flexors contract extensors relax. When extensors contract, flexors relax. That's how we control our limbs. After stroke, the flexors can activate on their own. And they can be, well, overenthusiastic, in those actions. That happens because the default behavior of the flexors is to be active and curl up. When we talk about curling up into the fetal position, that's most of our flexors activating. The reason we can go through life upright and with our limbs straight is that the cortex of the waking brain is constantly suppressing the normal contracting of the flexors. After stroke impacting the motor cortex of the brain, the corticospinal tract is disconnected. With that disconnect, the brain can no longer suppress the flexors so they do what they do -- they contract and curl and cause all sorts of problems. Peripheral vs Cortical Problems Categorizing issues as cortical or peripheral is a fancy way of saying brain or limb. A stroke is a cortical issue. The problem exists in the brain. That's where the disconnect happens. A peripheral issue is when something goes wrong in the limb. Shoulder subluxation, for example, is peripheral issue. Most PT and OT works with the limbs to treat the cortical issues. Tone and spasticity are caused by cortical issues. The long-term problems caused by tone and spasticity are peripheral issues. One of those peripheral issues is contracture. When tone and spasticity is severe and long term, the muscles, tendons, ligaments, and other soft tissue can actually shrink in the contracted position. When that happens, getting the extensors back online and suppressing the flexors no longer  helps. The limb can become almost permanently bent. Repairing peripheral issues, like contracture, may require surgery to sever and extend tendons and other tissue. Preventing and Treating Tone and Spasticity The first line of defense is in the immediate short-term after stroke. Getting the limbs moving and keeping them moving to drive the neuroplastic change of recovery helps. Beyond that, and once tone and spasticity set in, regular stretching is critical. A survivor needs to keep stretching those limbs to prevent contracture. That's why in conference calls and interviews, I'm often stretching my fingers back and my wrist back to counteract the tone and spasticity in my left arm and hand. Medication can help, too. Baclofen is a popular choice. It's basically a muscle relaxer that helps counteract the excessive action in my flexors. Some people find it can cause drowsiness so it's not the best choice for everyone. I tend to take my Baclofen before going to bed. If it makes me drowsy then that's great. It also helps reduce the tone I might experience overnight. For folks with severe tone and spasticity, a surgically implanted Baclofen pump can help. The medicine directly target the key muscles which means the patient needs much less medicine for a much greater impact. Since it is a low dose, it is less likely to induce the fatigue, too. Other medications to treat tone and spasticity include: Tizanidine Flexeril Gabapentin Botox, Dysport, and Xeomin are also treatments that can help. These are neurotoxins that a doctor can inject every three to four months. By delivering the toxins to the flexors, it reduces their ability to flex. That gives the extensors a chance to recover and rebuild a normal relationship. Of course, this is a short-term solution. Combined with exercise, it can definitely help. I'm probably overdue for my next Dysport treatment. Contralateral C7 Nerve Transfer for Stroke Recovery: New Frontier for Peripheral Nerve Surgery A promising area for relieving tone and spasticity is C7 nerve transfer. Recent studies are showing promising results. Neurosurgeons split the a nerve from the unaffected side of the brain that runs through the spine and reconnect half of it to the equivalent nerve on the affected side. The do this in the neck. Results show a quick reduction in tone and spasticity even in patients 15+ years after stroke. After a year, patients are experiencing improved use of the limb, too. The number of people in the studies so far is pretty small (36) and more research is needed. It is a promising result, though, and builds on techniques that have been used to treat non-stroke injuries. It also highlights the tremendous ability of the brain to adapt since now the unaffected side starts to control the affected side of the body. You can read a review of the technique and studies at the Journal of Clinical Medicine. Vagus Nerve Stimulation In 2021, I spoke with Dr. Jesse Dawson, a Professor of Stroke Medicine and Consultant Physician in the Queen Elizabeth University Hospital in Scotland about his research in Vagus Nerve Stimulation. This research is now being commercialized and used to treat patients in the US. The therapy involves surgically implanting a stimulator in a patient's chest that connects to the Vagus nerve. During PT or other exercises, the device sends an electric signal to the Vagus nerve. Stimulating the nerve while doing therapy has shown positive results in terms of limb use. It's interesting because it's not treating the Vagus nerve itself, but stimulating this nerve appears to make the other nerves in the brain more receptive to the therapeutic exercises. You can learn more about this research here: http://Strokecast.com/VNS. Survey What do you think of the Strokecast? Let me know what you like and what you would like to be different by completing the survey at http://Strokecast.com/Survey. I would really appreciate it. If you complete the survey by March 31, 2023, you could win a $25 Amazon gift card, too. Hack of the Week Hand grip exercisers are nice tools to encourage stretching and exercise throughout the day. These things are like a pair of pliers without the tool end. They are spring loaded. You squeeze them to exercise and they try to force your hand open. You can get them in a variety of strength levels. Start with light weight ones and move on to tougher ones as your strength improves. What I like about them is that closing a fist comes back before opening one. Closing your fist takes work. Opening your fist is often harder, but these gadgets force the hand open. So you get to practice the squeeze and you get a stretch into fingers, too, to address tone and spasticity. It's also one more way to reduce the odds of developing a contracture. Here are a couple options: https://strokecast.com/Hack/HandExerciserTraditional (Traditional design)* https://strokecast.com/Hack/HandExerciserAdjustable (Adjustable resistance)* Links Where do we go from here? Check out Dr. Feng's work at Duke University Share this episode with someone you know by giving them the link http://Strokecast.com/ToneBasics Complete the Strokecast survey at http://Strokecast.com/Survey Don't get best…get better More thoughts on Tone and Spasticity