Podcasts about Geisinger Medical Center

Jeff Walter, DPT, NCS, returns to Neuro Navigators to share even more clinical practice tips for clinicians who are both new and experienced with vestibular rehab. Host JJ Mowder-Tinney and Jeff dive into the vestibular management hidden gems that could be the strategies to transform your clinical practice. From alternative benign paroxysmal positional vertigo (BPPV) assessment techniques to under-recognized treatments for Meniere's disease to emerging treatments for vestibular-related imbalance and falls, you'll walk away with practical tools you can apply immediately. Whether you are a physical or occupational therapy practitioner, this episode is for you. Don't miss this engaging discussion filled with actionable takeaways to enhance your confidence in treating dizziness and balance disorders.Learning ObjectivesAnalyze the evidence regarding optimal management of vestibular disordersApply evidence-based, practical strategies to actionably address the efficient evaluation and treatment of vestibular-related dizzinessSolve patient case scenarios involving frequent falls and disabling vertigo to support participation in instrumental activities of daily living (IADLs), such as community mobility and home managementTimestamps(00:00:00) Welcome(00:00:15) Welcome back, guest Jeff Walter, DPT, NCS(00:00:55) Jeff's background and work at Geisinger Medical Center(00:02:11) Evolution of Jeff's vestibular specialization(00:03:12) Overview: tips for clinicians with foundational vestibular knowledge(00:04:42) Sidelying test: what it is and why to use it(00:06:54) How to perform the sidelying test with exact head positioning cues(00:08:21) Embedding the sidelying test into functional mobility assessments(00:11:55) Splinting the patient's head: comfort and compliance tips(00:13:21) Half Dix-Hallpike: identifying short-arm posterior canal BPPV(00:16:40) Flashlight fixation-blocking: a goggle-free nystagmus test(00:18:11) When to use it and how to prep the patient(00:25:10) Mastoid vibration test: screening for vestibular hypofunction(00:26:00) Interpretation: direction-fixed nystagmus and its implications(00:26:40) When and why to use mastoid vibration (TBI, falls, etc.)(00:34:04) Gentamicin injections: managing Meniere's-related vertigo(00:40:00) Vestibular drop attacks (Tumarkin events): signs and screening tips(00:42:30) Real-life example and how to follow up when falls are unexplained(00:46:00) Vibrotactile belt: a future-forward sensory substitution device(00:47:00) Who it's for, how it works, and early user feedback(00:52:50) Wrapping up: Jeff's top takeaways for novice and experienced physical and occupational therapy practitioners(00:56:25) Superpower time: Jeff's vestibular-themed wishes(00:58:00) Closing remarks and where to listen to Episode 1Resources Mentioned in EpisodeAlonso, S. M., & Caletrío, Á. B. (2024). Clinical Advancements in Skull Vibration-Induced Nystagmus (SVIN) over the Last Two Years: A Literature Review. Journal of Clinical Medicine, 13(23), 7236.Neuro Naviagators is brought to you by Medbridge. If you'd like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you'll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away.To hear more episodes of Neuro Naviagators, visit https://www.medbridge.com/neuro-navigatorsIf you'd like to subscribe to Medbridge, visit https://www.medbridge.com/pricing/

Dr. Mellar Davis discusses the joint guideline from MASCC, ASCO, AAHPM, HPNA, and NICSO on opioid conversion in adults with cancer. He reviews the limited evidence, and the formal consensus process used to develop the guideline. He shares the key recommendations on pre-conversion assessment, how opioid conversion should be conducted, including opioid conversion ratios, and post-conversion assessment. We touch on gaps and questions in the field and the impact of these new recommendations.  Read the full guideline, “Opioid Conversion in Adults with Cancer: MASCC-ASCO-AAHPM-HPNA-NICSO Guideline” at www.asco.org/supportive-care-guidelines. TRANSCRIPT This guideline, clinical tools, and resources are available at http://www.asco.org/supportive-care-guidelines. Read the full text of the guideline in the Supportive Care in Cancer, https://link.springer.com/article/10.1007/s00520-025-09286-z   Brittany Harvey: Hello and welcome to the ASCO Guidelines podcast, one of ASCO's podcasts delivering timely information to keep you up to date on the latest changes, challenges and advances in oncology. You can find all the shows, including this one at asco.org/podcasts. My name is Brittany Harvey and today I'm interviewing Dr. Mellar Davis from Geisinger Medical Center, lead author on “Opioid Conversion in Adults with Cancer: Multinational Association of Supportive Care and Cancer, American Society of Clinical Oncology, American Academy of Hospice and Palliative Medicine, Hospice and Palliative Nurses Association, Network Italiano Cure di Supporto and Oncologia Guideline.” Thank you for being here today, Dr. Davis. Dr. Mellar Davis: Thank you. I'm glad to be here. Brittany Harvey Before we discuss this guideline, I'd like to note that ASCO takes great care in the development of its guidelines and ensuring that the ASCO Conflict of Interest Policy is followed for each guideline. The disclosures of potential conflicts of interest for the guideline panel, including Dr. Davis, who has joined us here today, are available online with the publication of the guideline, which is linked in our show notes. So then, to dive into the content here, Dr. Davis, can you provide an overview of both the scope and purpose of this guideline on opioid conversion in people with cancer? Dr. Mellar Davis: This is an important topic in management of cancer pain and this topic came up as a result of a survey that MASCC had done, which involved 370 physicians in 53 countries. They were queried about how they change or convert one opioid to another, which is a common practice, and we found that there was quite a divergence in opioid conversion ratios. To step back a little bit, about two thirds of patients with advanced cancer have moderate to severe pain and most of the time they're managed by opioids. But about 20% or 40% require a switch either because they have an adverse reaction to it or they don't respond to it, or the combination of both. Rarely, it may be that they need a route change, perhaps because they have nausea or vomiting. So, the opioid conversion works basically because of the complexity of the new opioid receptor which has at least four exons to it as a result of that non-cross tolerance between opioids. As a result of the survey, we convened a group of specialists, 14 international specialists, to look to see if we could develop an international guideline. And we did a systematic review which involved viewing 21,000 abstracts and we came up with 140 randomized trials and 68 non-randomized trials. And after reviewing the data, we found that the data was really not strong enough to provide a guideline. As a result, ASCO, MASCC, the AAHPM, the HPNA and the Italian Group formed a supportive network that allowed us then to do a Delphi guideline based upon ASCO modified criteria for doing Delphi guidelines. And so we then involved 27 additional international experts informing the guideline to it. And this guideline is then the result of the Delphi process. It consists basically of a pre-conversion ratio recommendations, conversion ratios, which is actually a major contribution of this guideline, and then what to do after converting someone to another opioid. Our target audience was not only oncologists, but also we wanted to target nurses, pharmacists, hospitalists, primary care physicians, patients and caregivers. Brittany Harvey: I appreciate that background information, particularly on the evidence that is underpinning this and the lack of quality of evidence there, which really transformed this into a formal consensus guideline. We're glad to have all of these organizations coming together to collaborate on this guideline. So then next I'd like to review the key recommendations. So starting with, what is recommended for pre-conversion assessment? Dr. Mellar Davis: In regards to pre-conversion, physicians and clinicians need to be aware of pain phenotypes. That is, there are pains that are more opioid refractory than others, such as neuropathic pain, hence, they may be more resistant to the opioid that you're converting to. One needs to be aware of the fact that patients may not be compliant, they're either afraid of opioids not taking what was prescribed, so it's important to query patients about whether they are taking their opioid as prescribed. Occasionally, there are patients who will divert their medication for various reasons. Pain may be poorly controlled also because of dosing strategies that are poorly conceived, in other words, giving only ‘as needed' opioids for continuous cancer pain. And there are rare circumstances where an opioid actually induces pain and simply reducing the opioid actually may improve the pain. The other issue may be cancer progression. So that poorly controlled pain or rapidly increasing pain may actually be a result of progressive cancer and changing treatment obviously will be important. And you need to assess the pain severity, the quality of the pain, the radiating localizing effects, which does require not only a physical exam but also radiographic examinations. But the other thing that's very important in opioid conversions are pain scales with function. A significant number of patients don't quite understand a numerical scale which we commonly use: 0 to 10, with 10 being severe pain and 0 being no pain. They may in fact focus more on function rather than on pain severity or pain interference with daily activities or roles. Sometimes patients will say, “Oh, my pain is manageable,” or “It's tolerable,” rather than using a numerical scale. Choices of opioids may be based on cost, drug-drug interactions, organ function, personal history or substance use disorder so that one will want to choose an opioid that's safe when converting from one to another. And obviously social support and having caregivers present and understanding the strategy in managing pain will be important. Brittany Harvey: Thank you, Dr. Davis, for reviewing those pre-conversion assessment considerations and particularly the challenges around some of those. So, following this pre-conversion assessment, what are the recommendations on how opioid conversion should be conducted? Dr. Mellar Davis: Opioid conversions are basically the safe dose. People have used the term ‘equianalgesia', but the panel and the consensus group felt that that would be inappropriate. So a conversion ratio is the dose at which the majority of patients will not experience withdrawal or adverse effect. It would be the safe dose. Thereafter, the dose will need to be adjusted. So, in converting, that's only the first step in managing pain, the doses need to be adjusted to the individual thereafter. There are a significant number of conversions that are done indirectly, that is that there has not been a study that has looked at a direct conversion from one opioid to another in which one needs to convert through another opioid. We call that a ‘morphine equivalent daily dose'. So, most of the time a third opioid is used in the conversion. It allows you then to convert when there hasn't been a direct study that has looked at conversion between those two opioids, but it is less accurate and so one has to be a little bit more careful when using morphine daily equivalents. We found, and I think this is the major advantage to the guideline, is that commonly used opioids - oxycodone, morphine, hydromorphone - we did establish conversion ratios to which we found in the MASCC guideline they were widely divergent and hope that actually, internationally, they will be adopted. We also found some conversion ratios for second-line opioids. However, we felt also that an opioid like methadone, which has a unique pharmacology, should be left to experts and that experts should know at least several ways of converting from morphine usually to methadone. There is what appears to be a dose-related increased potency of methadone relative to morphine, which makes it more difficult, particularly at higher doses, to have an accurate conversion ratio. Most patients will have transient flares of pain. We came up with two suggestions. One is using a 10 or 15% of the around-the-clock dose for the breakthrough dose, but we also realized that there was a poor correlation between the around-the-clock dose and the dose used for transient flares of pain. And so the breakthrough dose really needs to be adjusted to the individual responses. There was also a mention of buprenorphine. One of the unique things about buprenorphine is that if you go from high doses of a drug like morphine to buprenorphine in a stop-start dosing strategy, you can precipitate withdrawal. And so one has to be careful and have some experience in using buprenorphine, which can be an effective analgesic. Brittany Harvey: Yes, I think that the conversion ratios that you mentioned that are in Table 3 in the full guideline are a really useful tool for clinicians in practice. And I appreciate the time that the panel and the additional consensus panel went through to develop these. I think it's also really key what you mentioned about these not being equianalgesic doses and the difficulties in some of these conversions and when people need to really look to specialists in the field. So then, following opioid conversion, what assessments are recommended post-conversion? Dr. Mellar Davis: Post-conversion, probably the cardinal recommendation is close observation for response and for toxicity. And I think that probably summarizes the important parts of post-conversion follow up. So assessment should be done 24-48 hours after conversion and patients followed closely. Assessment scales should include patient personalized goals. Now, it used to be in the past that we had this hard stop about a response being below 4 on a 0 to 10 scale, but each patient has their own personal goals. So they gauge the pain severity and their function based upon response. So a patient may function very well at “a severity of 5” and feel that that is their personal goal. So I think the other thing is to make sure that your assessment is just not rote, but it's based upon what patients really want to achieve with the opioid conversion. The average number of doses per day should be assessed in the around-the-clock dose so those should be followed closely. Adverse effects can occur and sometimes can be subtle. In other words, a mild withdrawal may produce fatigue, irritability, insomnia and depression. And clinicians may not pick up on the fact that they may be actually a bit under what patients have or they're experiencing withdrawal syndrome. It's important to look for other symptoms which may be subtle but indicating, for instance, neurotoxicity from an opioid. For instance, visual hallucinations may not be volunteered by patients. They may transiently see things but either don't associate with the opioid or are afraid to mention them. So I think it's important to directly query them, for instance, about visual hallucinations or about nightmares at night. Nausea can occur. It may be temporary, mild, and doesn't necessarily mean that one needs to stop the second opioid. It may actually resolve in several days and can be treated symptomatically. Pruritus can occur and can be significant. So close observation for the purposes of close adjustments are also necessary. As we mentioned, you want to start them on an around-the-clock of breakthrough dose, but then assess to see what their response is and if it's suboptimal then you'll need to adjust the doses based both upon the around-the-clock and the breakthrough dose or the dose that's used for breakthrough pain. Also looking at how patients are functioning, because remember that patients frequently look at pain in terms of function or interference with their roles during the day. So, if patients are able to do more things, that may, in fact, be the goal. Brittany Harvey: Thank you for reviewing all of these recommendations across pre-conversion assessment, how opioid conversion should be conducted, including conversion ratios, and what assessments are recommended after opioid conversion. I think it's really important to be watching for these adverse events and assessing for response and keeping in mind patient goals. So, along those lines, how will these guideline recommendations impact both clinicians and people with cancer? And what are the outstanding questions we're thinking about regarding opioid conversion? Dr. Mellar Davis: I think it's important to have a basic knowledge of opioid pharmacology. There's, for instance, drugs that are safer in liver disease, such as morphine, hydromorphone, which are glucuronidated. And there are opioids that are safer in renal failure, such as methadone and buprenorphine, which aren't dependent upon renal clearance. I think knowing drug-drug interactions are important to know. And sometimes, for instance, there may be multiple prescribers for a patient. The family physician's prescribing a certain medication and the oncologist is another, so being aware of what patients are on, and particularly over-the-counter medications which may influence opioid pharmacokinetics. So complementary medications, for instance, being aware of cannabis, if patients are using cannabis or other things, I think, are important in this. There are large gaps and questions and that's the last part of the guideline that we approach or that we mentioned that I think are important to know. And one is there may be ethnic differences in population in regards to clearance or cytochrome frequencies within communities or countries, which may actually alter the conversion ratios. This has not been explored to a great extent. There's opioid stigmata. So we are in the middle of an opioid crisis and so people have a great fear of addiction and they may not take an opioid for that reason, or they may have a relative who's been addicted or had a poor experience. And this may be particularly true for methadone and buprenorphine, which are excellent analgesics and are increasingly being used but may in fact have the stigmata. There are health inequalities that occur related to minority groups that may in fact not get the full benefit of opioid conversions due to access to opioids or to medical care. Age, for instance, will cause perhaps differences in responses to opioids and may in fact affect conversion ratios. And this may be particularly true for methadone, which we have not really explored to a great extent. And finally, the disease itself may influence the clearance or absorption of an opioid. So for a sick patient, the opioid conversion ratio may be distinctly different than in a healthy individual. This is particularly seen with transdermal fentanyl, which is less well absorbed in a cachectic patient, but once given IV or intravenously has a much longer half life due to alterations in the cytochrome that clears it. And so conversion ratios have frequently been reported in relatively healthy individuals with good organ function and not that frequently in older patient populations. So just remember that the conversion ratios may be different in those particular populations. Brittany Harvey: Yes. So I think a lot of these are very important things to consider and that managing cancer pain is key to quality of life for a lot of patients and it's important to consider these patient factors while offering opioid conversion. I want to thank you so much for your work to review the existing literature here, develop these consensus-based recommendations and thank you for your time today, Dr. Davis. Dr. Mellar Davis: Thank you. Brittany Harvey: And thank you to all of our listeners for tuning in to the ASCO Guidelines podcast. To read the full guideline, go to www.asco.org/supportive-care-guidelines. You can also find many of our guidelines and interactive resources in the free ASCO Guidelines app available in the Apple App Store or the Google Play Store. If you have enjoyed what you've heard today, please rate and review the podcast and be sure to subscribe so you never miss an episode.   The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.  

Dr. Lauren Yap joins host Dr. Joel Berg to chat about the upcoming AAPD Pediatric Oral Health Advocacy Conference (POHAC) in Washington, DC. Each year, hundreds of early career pediatric dentists visit the nation's capital to advocate for the issues impacting the profession and optimal oral health of all children with congressional staff. Dr. Yap shares her experiences as a previous POHAC attendee, as well as how she encourages her peers to seize any opportunity to be a strong voice for themselves and their patients, whether it be in the operatory to the state or national level. Guest Bio: Lauren C. Yap, DMD, MPH, is a Clinical Associate Professor in the Division of Pediatric Dentistry and serves as the Assistant Program Director for the Postdoctoral Pediatric Dental Residency Program at the University of Pennsylvania School of Dental Medicine and Children's Hospital of Philadelphia. She earned her dual degree in Dentistry (DMD) and Public Health (MPH) from the Temple University Kornberg School of Dentistry and College of Public Health in 2019 and subsequently completed an Advanced Education in General Dentistry Certificate in Hawaii, followed by a Pediatric Dentistry Certificate at Geisinger Medical Center in Danville, PA. Board-certified by the American Board of Pediatric Dentistry, Dr. Yap is an active leader in the field, currently serving as the Pennsylvania Public Policy Advocate for the American Academy of Pediatric Dentistry (AAPD) and as a member of the Committee on Scientific Affairs. She is also a recent graduate of the ADA Institute for Diversity in Leadership (2024) and proudly serves as the Third District Representative for the American Dental Political Action Committee (ADPAC). Before pursuing her dental education, Dr. Yap worked as an elementary school math teacher and served as a research assistant at the National Institutes of Health (NIH) within the Center for Asian Health.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Bob Kurland's Slide LinksIn all protein functions, parts of the proteins bind loosely to other parts of the protein and thus form appropriate structures that are essential to their function. This is shown very nicely in this TED YouTube video, by Professor Ken Dill https://www.youtube.com/watch?v=zm-3kovWpNQ Here is another nice YouTube video showing protein flexibility https://www.youtube.com/watch?v=yZ2aY5lxEGE Webinar TitleThe Anthropic Principle: “Are We Special?”--Did God make our “Goldilocks Universe” for man?Abstract The universe in which we live and came to be is not ordinary, but unusual. As the Church Lady in Saturday Night Live of old would say, “Now, isn't that special!” Or is it? Some scientists would agree with Roger Penrose – that if it weren't special, we wouldn't be here to remark on it. Many other scientists and philosophers would agree with Thomas Nagel that an explanation giving only the result is not an explanation. (And, of course, if it is special, then there is the implicit conclusion that this is so because of a Creating Intelligence, which we Catholics recognize as the Trinitarian God.) In my presentation I will discuss some of the so-called “anthropic coincidences” necessary for carbon-based life. Although some examples from cosmology and particle physics will be included, I'm going to focus on the wonderful parts of chemistry and molecular biology, processes that point to the hand of a Creating Intelligence. And of course the prophets of the Old Testament and saints of the early Church knew this all along, without the benefit of science. Dr. Robert Kurland, a convert to Catholicism in 1995, is a retired physicist who has applied magnetic resonance to problems of biological interest in his research (web search: “Kurland-McGarvey Equation”). Dr. Kurland is a graduate of Caltech (BS, 1951, “with honor”) and Harvard (PhD, 1956). His scientific career at Carnegie-Mellon, SUNY/AB, Cleveland Clinic, Geisinger Medical Center, has focused on biological applications of magnetic resonance, including MRI. Since his conversion to Catholicism, he has tried to spread the message that there's no war between Catholic teaching and science.Respondent: William M. Briggs, PhD Against the Anthropic Principle Dr. William M. Briggs, the Statistician to the Stars, has a background in statistics, philosophy, meteorology, and cryptography. Born in Detroit, he left the city when it was at its peak, which some might jokingly suggest led to its decline. Briggs holds a PhD in Mathematical Sciences and an MS in Atmospheric Physics, and has served in various roles including professor, consultant, and statistician. He is known for his work in probability and statistics, as well as his cultural commentary on various social and scientific issues.

Women in Medicine Month is celebrated to honor the contributions of women in the medical field. For Dr. Sheela Vivekanandan, she knew she wanted to practice medicine at the age of six years old.  “My sister was a brain cancer survivor, is a brain cancer survivor, and she was diagnosed at age nine. So, I was six. So that's what really drove me into medicine because we were always in and out of the hospital. And I really, I liked her neurosurgeon the best because he was the most encouraging, “said Dr. Vivekanandan. From there, Sheela decided she was going to become a neurosurgeon. For Dr. Kit Lu, she also had a personal connection to becoming a doctor. “My grandmother, unfortunately, was diagnosed with metastatic breast cancer when I was in high school, and she ultimately passed from her breast cancer because, you know, she unfortunately didn't really get a lot of screening upfront. And so, by the time she was diagnosed, she was diagnosed with stage four cancer. So just kind of seeing her journey and her battle with breast cancer really prompted me to become a breast medical oncologist as well, because, you know, there's definitely a human side of medicine communicating with not just the patient, but also the family and really understanding kind of, you know, cancer doesn't hit just one person, but it hits the whole community and the whole family, “said Dr. Lu. Kit Lu, MD completed her fellowship program at National Institutes of Health, medical school at Florida State University, and a residency program at Johns Hopkins University School of Medicine. Sheela Vivekanandan, MD earned her medical degree from the University of Missouri – Kansas City School of Medicine and completed her neurological surgery residency at Geisinger Medical Center, followed by a neurosurgery fellowship at the University of Utah. Women in the medical field can face many challenges including breaking stigmas associated with women in the medical field. Something both Kit and Sheela experienced. “There has been such a stigma that women have not been represented, represented in medicine. And even as I was starting to get into the field, it seemed like there were more females that were joined just like slightly more, maybe like 52% more, something more females that were joining medicine versus males. But certainly still within the subspecialties, there's still quite a stigma of women like, for example, like in neurosurgery, like there's not that many women neurosurgeons. There's very few and less by neurosurgeons who are women. So, there's there's quite a bit of stigma associated with women in neurosurgery. And I think even now, probably Dr. Kate will attest to this, like, you know, it doesn't happen as much anymore now that I'm an attending and patients actually recognize me. But sometimes if I'm seeing someone in console in the hospital, they'll say, you know, my nurses here or so you know, like you're Rite Aid is here. They don't recognize that females are also doctors. It's just so ingrained in people's heads that it's this white male with this type of scope in a jacket. And it's it is at times kind of disheartening, and you just have to shake it off, “said Vivekanandan. “I think in medicine it was predominantly male centric and also heavy male leadership role in in in medicine. So, a lot of males go into medicine and then they also take on to a lot of leadership or kind of like the kind of more prominent academic roles. I think more and more that has changed. I think a lot of institutions are very well aware of the gender gaps and they're trying to close the gender gap, which is great. But I think a lot of times, you know, as a female, we go into medicine and sometimes we are seen as nurses by the patients. And also, you know, I think sometimes in in our roles and some people may see us as, okay, well, we're going to take care of patients, but then we may be only working part time or we're not committed to medicine because then we have to go home and take care of family. But, you know, I like to you know, I would like kind of the community and also, you know, our women who are listening to this program to really understand that we need to start breaking down these gender stereotypes. And, you know, many of us are empowered to do more than just one thing, right? We can be a good physician, give great quality care, and we can also be leaders, and we also can be good mothers. You know, so I think it's powerful for us as the women. We can do it all well. So, and I really think that, you know, programs like this can empower young, younger women to know that, you know, is not sacrificing one versus another. I think, you know, we just have to give more women more opportunities to lead in medicine, “said Lu. Both women spoke about why representation is so important to inspire the next generation of female doctors. “As a woman and also as a minority, I come from a Chinese background. I think it's important to have good representation for women in general and also for different diversity in our feel. I think coming from a different background and being a woman, we're just more sensitive to kind of the different values of patience. You know, again, every patient had their own story, their own values, their own beliefs. So being attuned to the differences in terms of representation, in terms of their cultural beliefs and and gender belief would be important as we take care of the patients because their values and their belief could be different than mine. I also think that, you know, in research, women and also minorities are historically underrepresented in research. And so, a lot of the outcomes and what we know about diseases could be different across different backgrounds. So, it is important to increase that diversity and to increase the gender representation in research so that we can advance medicine, “said Lu. “Making sure that women are represented because like you said, I've had patients come to me and say, you know, like females in particular, they're like, well, I could never talk to this, talk about this X, Y, Z problem with a male physician. So just having more people involved in the medical field who basically look like you are relatable. It really helps foster that relationship because the more you trust to your physician, the more you're the better your care is going to be, quite frankly. But yeah, and you know, there's quite a lot, especially in women's health, that does go under researched. Like I think we all might have heard about, like how CDC was talking about mandating like pain control for IUD insertion and things like that that have historically been just overlooked for so long. So, I think having more women in the field, I guess, gives all of us better care, better quality care and more opportunities for growth, “said Vivekanandan.          Support WITF: https://www.witf.org/support/give-now/See omnystudio.com/listener for privacy information.

ABOUT THE GUEST(S)Jacob Tippie is a warehouse solutions expert with a focus on optimizing cubed space through turnkey solutions. As the Vice President of Sales at G&P Construction, he leads a team in delivering comprehensive services, including storage systems, automation, and lift equipment. With over seven years of experience in sales, project management, and business development, Jacob is dedicated to solving modern warehouse challenges and ensuring exceptional customer service. Tim Harrison is an automation engineer turned sales leader. He's designed assembly lines, industrial equipment, and even built a company that sold, implemented, and serviced ASRS in the Midwest. He's leveraged his strong software, mechanical, and electrical acumen on 100's of projects at SpaceX, Quest Labs, Zimmer, Geisinger Medical Center, and many more world class companies. Currently, Tim is the Chief Executive Officer at G&P Construction.HIGHLIGHTS[00:01:01] Jacob's Journey with G&P Construction[00:01:45] Tim's Background in Automation[00:02:43] The Story Behind Joining G&P Construction[00:06:15] Expanding into Automation[00:13:20] Consultative Approach to Client Needs[00:20:51] Market Trends and Future OutlookQUOTES[00:07:13] "If we're going to do it, we're going to do it right. We're going to put a lot of effort into it, a lot of investments on the cash side."[00:13:52] "The best time to get in on these projects is before somebody's come in there already and put a proposal in front of them."[00:15:49] "Let's try to find some value there and focus on your business."Find out more about Jacob Tippie and Tim Harrison in the links below.https://www.linkedin.com/in/jacob-tippie-051ba8ab/https://www.linkedin.com/in/tim-harrison-3b31a55/This episode is sponsored by G&P Construction. If you're in need of top notch, all-inclusive Material handling solutions for logistics and commercial real estate, look no further than G&P Construction. Be sure to visit www.gandpconstruction.com to discover your one-stop shop for turnkey MHE integrations. 

Are you three to six months past surgery, and finding yourself feeling more hungry? Are you starting to panic? Today we are joined by Dr. Eric Smith and Dr. Sarah Hayek from the Kentucky Bariatric Institute to discuss what is normal when it comes to your hunger cues after recovery. Many people find themselves in a panic that they can suddenly eat more, however throughout this episode you will uncover that it is completely normal and a great sign that you are experiencing hunger and fullness, which is an important sign of recovery. Tune in to understand why it's important to eat more food, and what Dr. Smith and Dr. Hayek would say to a patient who is struggling with eating more.  IN THIS EPISODE: [2:17] Dr. Smith introduces himself.  [3:56] Dr. Hayek introduces herself.  [5:32] What is the relationship between BariNation and Kentucky Bariatric Institute?  [6:42] What was Jason's experience about hunger returning post surgery?  [8:33] Why do people's capacity to eat larger amounts of food change as you recover from bariatric surgery?  [16:28] Why is it important to eat more?  [24:41] Dr. Smith's advice to people who are concerned that they are now able to eat ½ cup to 1 cup of food. [28:04] Dr. Hayek's advice to the same people. KEY TAKEAWAYS: It is normal to start feeling more hungry 3-6 months after surgery, and it's necessary to eat more to fuel your body! Maximizing your nutrition is a major factor in you not only losing weight, but having the best chance to maintain weight loss.  Eating high quality foods will get you fuller faster and for a longer period of time.  RESOURCES: Join the BariNation Membership community meetups to support you on your journey with obesity treatment - https://barination.com/pages/join-our-community Want to see bonus content? Head over to Patreon to get more and to support the podcast for as low as $5 per month! https://www.patreon.com/BariNationPodcast  https://kentuckybariatricinstitute.com/meet-our-team BIOGRAPHY: Dr. Smith's Bio Dr. Eric Smith is a board-certified general and bariatric surgeon who has been in practice since 2006. He is the Medical Director for the Kentucky Bariatric Institute, a SRC Center of Excellence in Robotic Surgery, a national proctor, speaker, and teacher for Intuitive Surgical in the specialty of robotic bariatric surgery. He is board certified in bariatric and robotic surgery, member of the American Society of Metabolic and Bariatric Surgeons. He is an engaged, caring and dedicated physician who has completed thousands of bariatric surgeries. Dr. Hayek's Bio Kentucky Bariatric Institute (KBI) is pleased to welcome Sarah Hayek, MD, to Georgetown and central Kentucky communities. Dr. Hayek will expand the bariatric program's availability by offering robotic bariatric surgery, as well as a number of general surgery procedures. Dr. Hayek completed medical school at Geisinger Commonwealth in Scranton, Pennsylvania and completed residency in general surgery with an additional year in surgical education research at Geisinger Medical Center in Danville, Pennsylvania. She has been a practicing surgeon for over two years with experience and training in general and bariatric robotic surgeries. ABOUT: If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty. BariNation is a bariatric educational organization on a mission to empower patients to access and utilize the tools, resources, and education needed to find and maintain personal wellness. We connect patients with the support they need, when and where they need it. BariNation produces an award-winning weekly podcast distributed on all major podcast and video platforms and hosts a support membership community that teams up with credentialed and licensed bariatric experts and clinicians. BariNation - Website BariNation - Podcast --- Support this podcast: https://podcasters.spotify.com/pod/show/barination/support

Welcome to the NeurologyLive® Mind Moments® podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice. In this episode, Anne Marie Morse, DO, FAAN, a pediatric neurologist and sleep medicine specialist at Geisinger Medical Center, sat down at the 2024 SLEEP Annual Meeting to discuss a poster presentation highlighting a listening analysis that characterized the struggles and unmet needs of people with narcolepsy. in the discussion, Morse outlined some of the major findings, including the rates of missed and misdiagnosis, how cataplexy impacts daily life, and some of the other comorbidities associated with the condition. She spoke on the value of gaining patient perspectives and using their descriptions for their disorders helps in understanding true unmet needs. Furthermore, she spoke on the importance of a strong patient-clinician relationship, the ability to communicate openly, and the steps following diagnosis to ensure effective long-term treatment outcomes.  Looking for more sleep disorders discussion? Check out the NeurologyLive® sleep disorders clinical focus page. Episode Breakdown: 1:10 – Motivations behind conducting listening analysis 3:15 – Major clinical takeaways from study; notable quality of life impairments in narcolepsy 7:00 – Impact of cataplexy and patients' overreaction 9:50 – Neurology News Minute 12:20 – Reasons for missed and misdiagnosis 14:50 – Early tips to pathing patients towards treatment success The stories featured in this week's Neurology News Minute, which will give you quick updates on the following developments in neurology, are further detailed here: FDA Grants Traditional Approval to Elevidys Gene Therapy for Ambulatory DMD, Accelerated Approval for Nonambulatory Patients FDA Approves Efgartigimod as New Treatment for Chronic Inflammatory Demyelinating Polyneuropathy FDA Approves Pitolisant for Excessive Daytime Sleepiness in Pediatric Narcolepsy Thanks for listening to the NeurologyLive® Mind Moments® podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more neurology news and expert-driven content, visit neurologylive.com.

In this captivating episode of Taking Healthcare by Storm, delve into the world of expert insights as Quality Insights Medical Director Dr. Jean Storm engages in a thought-provoking and informative discussion with Gary Stoner, MD, previous Director of the Women's Health Opioid Use Disorder (OUD) Program at Geisinger Medical Center. If you have any topics or guests you'd like to see on future episodes, reach out to us on our website. This material was prepared by Quality Insights, a Quality Innovation Network-Quality Improvement Organization under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS). Views expressed in this material do not necessarily reflect the official views or policy of CMS or HHS, and any reference to a specific product or entity herein does not constitute endorsement of that product or entity by CMS or HHS. Publication number 12SOW-QI-GEN-062624-GK

Join Scott Becker on the Becker's Healthcare Podcast as he interviews Dr. Danial Nadeem, Internal Medicine Physician & Bariatrician at Geisinger Medical Center. Dr. Nadeem shares insights on the latest advancements in weight loss treatments, the impact of GLP-1 medications, and the ongoing importance of diet and lifestyle in effective weight management. Tune in for an informative discussion on the evolving landscape of obesity treatment.

Paul Krauss MA LPC and Stephen Whiteside PhD, LP speak about how parents and caregivers can learn to play an important role in helping decrease anxiety and OCD symptoms in children. Stephen Whiteside has authored a new book entitled "Anxiety Coach: A Parent's Guide to Treating Childhood Anxiety and OCD."  Dr. Whiteside's book gives parents and caregivers an entire outline of what constitutes clinical levels of anxiety and OCD and what is normal in childhood development. He then explains many different types of treatments that are available and especially the current research on exposure therapy. Through reading this book, parents and caregivers can not only locate the most appropriate care of their child, they can also learn to assist their child in gaining confidence and possibly lowering their symptoms as well. Stephen P. Whiteside, PhD, LP is a Board-Certified Clinical Psychologist, Professor of Psychology in the Mayo Clinic College of Medicine and Science, and Director of the Pediatric Anxiety Disorders Program at Mayo Clinic in Rochester, MN. He received a BA in Psychology from Northwestern University and Ph.D. in Clinical Psychology from the University of Kentucky before completing a pre-doctoral internship in Pediatric Psychology at the Geisinger Medical Center and a post-doctoral fellowship in Child and Family Medical Psychology at the Mayo Clinic. His research focuses on improving access to evidence-based care for pediatric anxiety disorders and obsessive-compulsive disorder through the development of effective and efficient treatments facilitated by technology. He has received research funding from the National Institutes of Health, the Agency for Healthcare Research and Quality, the International OCD Foundation, and the Mayo Clinic Center for Innovation. He has published over 80 scientific articles, co-authored the books Exposure Therapy for Child and Adolescent Anxiety and OCD, Exposure Therapy for Anxiety: Principles and Practice (2nd Ed), and Mayo Clinic Anxiety Coach: A Parent's Guide to Treating Childhood Anxiety and OCD. Get involved with the National Violence Prevention Hotline: 501(c)(3) Donate / Share with your network Write your congressperson / Sign the Petition Looking for excellent medical billing services? Check out Therapist Billing Services. A behavioral and mental health billing service developed by therapists for therapists. Preview an Online Video Course for the Parents of Young Adults (Parenting Issues) Paul Krauss MA LPC is the Clinical Director of Health for Life Counseling Grand Rapids, home of The Trauma-Informed Counseling Center of Grand Rapids. Paul is also a Private Practice Psychotherapist, an Approved EMDRIA Consultant , host of the Intentional Clinician podcast, Behavioral Health Consultant, Clinical Trainer, and Counseling Supervisor. Paul is now offering consulting for a few individuals and organizations. Paul is the creator of the National Violence Prevention Hotline (in progress) as well as the Intentional Clinician Training Program for Counselors. You can find Paul on Insight Timer. Paul has been quoted in the Washington Post, NBC News, Wired Magazine, and Counseling Today. Questions? Call the office at 616-200-4433.  If you are looking for EMDRIA consulting groups, Paul Krauss MA LPC is now hosting weekly online and in-person groups.  For details, click here. For general behavioral and mental health consulting for you or your organization. Follow Health for Life Counseling- Grand Rapids: Instagram   |   Facebook     |     Youtube  Original Music: ”Alright" from the forthcoming album Mystic by PAWL (Spotify) "Adrifting" from Casio Jazz by Kelley Stoltz (Bandcamp)

In episode 216, Tim Chiarolanza former S&C Coach and major trauma survivor, joins us. Specifically we will be looking at: How diet and sleep improved his rehabilitation The importance of exercise science in rehabilitation What athletes can learn from his journey About Tim : "Tim Chiarolanza is a major trauma survivor. After spending over a decade working to achieve his dream job, including two stints working in professional baseball as a minor league strength and conditioning coach, he was named the head of strength and conditioning at his Alma mater, Lycoming College. He spent about six weeks in the position before he was accidentally struck by a car on November 16, 2021 while chasing after his dog, whose leash had broken during a walk. He suffered life-threatening injuries, including a ruptured aorta in his heart. He has a traumatic brain injury that did not show up until three days following the accident. He was Life Flighted to Geisinger Medical Center, where he was given a 1% chance of survival. Following his time in the ICU at the hospital, he was transferred to Bryn Mawr Hospital for inpatient rehab. He was released from inpatient rehab at the end of January 2022. He currently lives in Doylestown, Pennsylvania with his wife and their dog, Finn, who was uninjured running into the street. He is currently starting a non-profit called Triumph In Recovery which assists people who have traumatic brain injuries, which Tim still suffers from due to his accident, trauma survivors, and stroke survivors. He is also writing a book, a peer mentor for brain injury patients at his rehab hospital, and working to begin a speaking career because he wants to help as many people as possible with his survival. Instagram - @timchiarolanza Facebook - Tim Chiarolanza LInkedIn - Timothy Chiarolanza M.S. CSCS, RSCC Nominate future podcast guests here! If you want to hear from a particular person on a particular topic, let us know! Hit the link below and we'll see what we can whip up for you. https://www.scienceforsport.com/nominate/ FREE 7d COACH ACADEMY TRIAL SIGN UP NOW: https://bit.ly/sfsepisode210 JOIN THE SCIENCE FOR SPORT TEAM: https://www.scienceforsport.com/join-our-team/ ​ Learn Quicker & More Effectively, Freeing Up Time To Spend With Friends And Family ​ Optimise Your Athletes' Recovery ​ Position Yourself As An Expert To Your Athletes And Naturally Improve Buy-In ​ Reduce Your Athletes' Injury Ratese ​ Save 100's Of Dollars A Year That Would Otherwise Be Spent On Books, Courses And More ​ Improve Your Athletes' Performance ​ Advance Forward In Your Career, Allowing You To Earn More Money And Work With Elite-Level Athletes ​ Save Yourself The Stress & Worry Of Constantly Trying To Stay Up-To-Date With Sports Science Research

Bio Stephen P. H. Whiteside, Ph.D. is a Board-Certified Clinical Psychologist, Professor of Psychology in the Mayo Clinic College of Medicine and Science, and Director of the Pediatric Anxiety Disorders Program at Mayo Clinic in Rochester, MN. He received a BA in Psychology from Northwestern University and Ph.D. in Clinical Psychology from the University of Kentucky before completing a pre-doctoral internship in Pediatric Psychology at the Geisinger Medical Center and a postdoctoral fellowship in Child and Family Medical Psychology at the Mayo Clinic. His research focuses on improving access to evidence-based care for pediatric anxiety disorders and obsessive-compulsive disorder through the development of effective and efficient treatments facilitated by technology. He has received research funding from the National Institutes of Health, the Agency for Healthcare Research and Quality, the International OCD Foundation, and the Mayo Clinic Center for Innovation. He has published over 80 scientific articles, co-authored the books Exposure Therapy for Child and Adolescent Anxiety and OCD, Exposure Therapy for Anxiety: Principles and Practice (2nd Ed), and Anxiety Coach: A Parent's Guide to Treating Childhood Anxiety and OCD. Sign up for 10% off of Shrink Rap Radio CE credits at the Zur Institute

Dr. Danielle Tolman, PT and Dr. Abbie Ross, PT, NCS are joined by Jeff Walter, PT, DPT, NCS and Kristen Janky, AuD, PhD, CCC-A to discuss how audiology utilizes testing to assess dizzy patients. ​ Kristen ​Janky, Au.D., Ph.D., is the Director of the Vestibular and Balance Research Laboratory​ at Boys Town National Research Hospital. She splits her time between seeing patients in the vestibular clinic and related research activities. Her overall research focus is on the clinical assessment of dizziness and balance disorders in patients of all ages, with a particular emphasis on vestibular assessment and management in the pediatric population. She received her PhD from the University of Nebraska in 2009, followed by a postdoctoral fellowship at Johns Hopkins University from 2010 – 2011. Jeff is currently the Director of the Otolaryngology Vestibular and Balance Center at Geisinger Medical Center in Danville, PA. His clinical practice is focused on vestibular diagnostic testing and vestibular rehabilitation, as well as research and teaching. You can find Jeff's online courses with MedBridge here: https://www.vestibular.today/medbridge Follow the link to submit topic or guest requests: ⁠⁠⁠⁠⁠⁠https://forms.gle/81vh89WKCX2kx6zg7l⁠⁠⁠⁠⁠⁠ Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT Where to find us: https://link.me/balancingactrehab www.BalancingActRehab.com ⁠⁠⁠Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors TikTok: @BalancingActRehab

The introduction of weight-bearing CT scans has revolutionized how surgeons assess and treat various orthopedic conditions. Research indicates this technology can provide clinicians with in-depth, real-time insights, allowing for better patient outcomes and more accurate diagnoses.How is weight bearing CT technology influencing the approach of orthopedic surgeons, and how are patients benefitting from it?Welcome to the CurveBeam AI Cast, where the future of orthopedics is at the forefront. In this episode, hosted by Dr. Lew Schon, a renowned Orthopedic Surgeon and Director of Innovation at Mercy Medical Center and Professor at John Hopkins University and NYU Langone, examines the impact of weight bearing CT imaging in a typical orthopedic clinic with his guest Dr. Blake Moore, an experienced Orthopedic Surgeon from Virginia Beach, who shares his journey with this innovative technology.Key conversation points include:• The evolution and early adoption of weight bearing CT scans• The physiological benefits of assessing limbs under actual weight bearing conditions• How the imaging precision of weight bearing CT scans influences surgical decision-makingDr. Blake Moore, originally from Albany, New York, completed his medical studies at Albany Medical College before undertaking his residency at Geisinger Medical Center in Pennsylvania. Following a fellowship with Paul Giuliano at Penn State, Dr. Moore has spent almost a decade in Virginia, using weight bearing CT scans in his practice and advocating for its broader implementation. His commitment to advancing orthopedics through technology and research is evident in his work and collaborative efforts with fellow professionals.

Welcome to the NeurologyLive® Mind Moments® podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice. In this episode, we spoke with Ann Marie Morse, DO, FAAN, a pediatric neurologist and sleep medicine specialist at Geisinger Medical Center, who sat down with NeurologyLive at the annual SLEEP meeting to discuss the landscape of challenges narcolepsy-related challenges that patients face, the influence of gut health on sleep apnea, how nighttime disruptions can affect treatment decisions, emerging concepts of care, and much more. Looking for more Sleep Disorder discussion? Check out the NeurologyLive® sleep disorder clinical focus page. Episode Breakdown: 1:15 – Factors at play in obstructive sleep apnea 3:40 – Literature on the gut microbiome's role in sleep 5:55 – Lingering needs in narcolepsy treatment 8:30 – Neurology News Minute 12:40 – The effect of disrupted nighttime sleep 15:45 – Emerging concepts in sleep medicine This episode is brought to you by Medical World News, a streaming channel from MJH Life Sciences®. Check out new content and shows every day, only at medicalworldnews.com. The stories featured in this week's Neurology News Minute, which will give you quick updates on the following developments in neurology, are further detailed here: Biogen and Denali Terminate Phase 3 LIGHTHOUSE Study of BIIB122 in LRRK2-related Parkinson Disease FibroGen's Duchenne Muscular Dystrophy Antibody Pamrevlumab Falls Short in Phase 3 Phase 2/3 Study of Blarcamesine in Pediatrics With Rett Syndrome Completes Enrollment FDA Places Hold on Phase 1 Study of Exon Skipping Therapy PGN-EDODM1 in Myotonic Muscular Dystrophy FDA Panel Votes in Favor of Eisai's Lecanemab for Early Alzheimer Disease Post-Marketing Study of Andexanet Alfa Stopped Early After Achieving Prespecified Efficacy Thanks for listening to the NeurologyLive® Mind Moments® podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more neurology news and expert-driven content, visit neurologylive.com.

Yes, we take care of patients, but we must remember to care for our staff. This week on the SONSIEL Podcast, Brittany Drumm and Dawn Snyder discuss the importance of a peer support network for nurses and how they're implementing an innovative pet therapy program for the cause at Geisinger. Nurses' value is immeasurable, and so creating systems that make their lives a little bit easier can help them flourish and be even more innovative than they already are. Tune in and learn about Geisinger's work to improve nurses' work experience! Click this link to the show notes, transcript, and resources: outcomesrocket.health

Tune in for today's industry updates.

Associate program director of the emergency medicine residency at Geisinger Medical Center, Chadd Kraus, DO, DrPH, CPE, FACEP, offers tips on follow-up etiquette and how to gather information after a residency interview.

Dr. Mahabashya is a Physician Advisor at Geisinger Medical Center. Her role allows her to focus on value-based care, educating the providers on constant healthcare changes focused mainly on insurance companies.In addition, Dr. Mahabashya is the COO of a non-profit, Partners for a Healthy Community. The mission and vision of the non-profit are to close the digital gap among the senior citizens in our communities. With the rapid shift of healthcare access to digital platforms, our seniors with the most healthcare needs have little to no training in technology. Through volunteerism and community engagement, we coach them. My mission is to increase awareness of empathy and how teaching someone a small skill could profoundly impact their life. Everyone can be a leader and uplift their communities in their way!https://www.linkedin.com/feed/This is Dr. Lino Martinez the host for A Little Less Fear Podcast. For more information, please use the information below. Thanks so much for your support!Author | A Little Less FearWriters Work | Write Your Way to the Life You WantA Little LESS FEAR Podcast (@alittlelessfearpodcast) • Instagram photos and videosLino Marinez (@alittlelessfear) TikTok | Watch Lino Marinez's Newest TikTok VideosWriters Work | Write Your Way to the Life You Want

Episode # 35 Title: Interview with Khan M. Siddiqui, MD Chief Medical Officer & Chief Strategy Officer at Hyperfine Our Guest:  Dr. Siddiqui is a serial entrepreneur, a radiologist and currently the Chief Medical and Chief Strategy Officer of Hyperfine, Inc. that has created the world's first FDA 510(k) cleared, portable MRI scanner. Prior to Hyperfine, Dr. Siddiqui founded higi, Inc. – a consumer health technology company – that was acquired by Babylon Health. Higi stations are deployed in over 12,000 locations globally with over 60 million patients on the platform and has virtual clinical care network in 50 states.  Prior to founding higi, Dr. Siddiqui was a Physician Executive at Microsoft where he was responsible for platform engineering and AI for the health solutions group. Dr. Siddiqui holds dozens of patents for technology in areas of deep learning, AI, image processing, data visualization, MR imaging as well as secure patient information handling and health records. His focus has been to use the advances in technology – namely computing power, microelectronics, connectivity, big data, and AI to democratize technologies in healthcare to make solutions better, smaller, cheaper, and more accessible to clinicians and patients globally.  He is a graduate of the Aga Khan University Medical College in Pakistan, completed his training in Medicine at New York University, Radiology training at Geisinger Medical Center in Danville, PA, along with his fellowship in the Imaging Informatics at University of Maryland in Baltimore, MD. In his spare time, Dr. Siddiqui loves spending time with his family. He and his two sons can often be found exploring Chicago on bicycles in between painting and SCUBA diving. Watch this episode on YouTube: https://youtu.be/vT4cURYmkR0 Episode Mentions and Resources: Hyperfine: https://hyperfine.io Breaking Down Boundaries After Brain Injury (Emilia Clarke/SameYou Spotlight) https://nrtimes.shorthandstories.com/issue23/index.html The 4th Annual Stroke Survivors Symposium Thursday, Oct 27 2022 5:00 PM - 7:00 PM Register: http://h.uconn.edu/strokesurvivor Show Credits: Music intro credit to Jake Dansereau, connect at JAKEEZo on Soundcloud @user-257386777.   Our intro welcome is the voice of Caroline Goggin, a stroke survivor and our first podcast guest! Please listen to her inspiring story on Episode 2 of the podcast. Thank you Caroline! Our Show is Now on the Health Podcast Network! The Health Podcast Network features authoritative shows, hosts and guests who take on the tough topics in health and care with empathy, expertise and a commitment to excellence. This network represents one of the largest and fastest-growing collections of high-quality health podcasts and we are proud to be part of this network. Here's our show page on HPN: https://healthpodcastnetwork.com/show/the-know-stroke-podcast/ Until next time, be sure to give the show a like and share, +follow and connect with us on social or contact us to be a guest on the Know Stroke Podcast. Connect with Us and Share our Show on Social: Web: https://www.know-stroke.org Twitter: https://twitter.com/KnowStroke_Pod Facebook https://www.facebook.com/knowstrokeorg/ Instagram: https://www.instagram.com/knowstroke/ YouTube: https://www.youtube.com/c/DavidPTCPhysicalTherapy Linkedin: https://www.linkedin.com/company/knowstrokepodcast/

Dr. Deidre Heber, Obstetrics and Gynecology physician, Geisinger, with a timely update on women's health. Birth control conversations have a renewed surge right now and there is a lot of new info out there. We get an updated list of women's birth control options, what goes into choosing, and does a woman want permanent, or short-term options. What are the side effects and what is she telling her patients these days. I'll ask where women can get reliable information (and Tik Tok may not be on the list…). Dr. Heber is a board-certified obstetrics and gynecology physician. She obtained her medical degree from University of New England College of Osteopathic Medicine. She completed her residency at Geisinger Medical Center.

On October 10, 2019, Arabella Parker, a three year-old child in Trevorton, Pennsylvania was brutally beaten by her mother's boyfriend Jahrid Burgess. The child went into a seizure, but 911 was not called until nearly an hour after the incident had occurred. Arabella held on to every last inch of life for 44 days in Geisinger Medical Center while the community held candlelight vigils and hoped against the unthinkable. Arabella Parker passed away on November 22, 2019, two days after she was removed from life support. Francis Scarcella is an award-winning journalist with the Daily Item. His coverage of this case led to an uproar of attention surrounding this family and the devastating circumstances. Hosted by Anna Wiest Featuring Award-Winning Reporter Francis Scarcella Please follow us on your preferred streaming platform and give us a good review if you've been enjoying what you hear. Also, share the show with your friends and tag us! Facebook: https://www.facebook.com/Harv-Productions-LLC-114278814603305 (Harv Productions, LLC) Instagram: https://www.instagram.com/harvproductionsllc/ (@harvproductionsllc) Photo by https://unsplash.com/@christianlue?utm_source=unsplash&utm_medium=referral&utm_content=creditCopyText (Christian Lue) on https://unsplash.com/s/photos/street-night?utm_source=unsplash&utm_medium=referral&utm_content=creditCopyText (Unsplash)

On the ninety-third episode of Collecting Real Estate, we interviewed Michael & Lindsey Duguet from Clover Key Capital.Michael & Lindsey became interested in Real Estate Investing in 2018. They started their educational journey by reading REI books, listening to podcasts & being active on Bigger Pockets. They joined Real Estate Elevated for intensive training & founded Duguet Estates March 2019.  Their first off-market single family homes were purchased in May 2019, followed by a duplex in June 2019. They started direct mail campaigns and bought a 4-plex & 3 single family homes throughout the rest of 2019. 10-plex bought with off-market advertising in December 2020. All acquisitions completely remodeled (most full gut jobs) & now are stabilized and all cash-flowing. They have enjoyed huge equity gains through forced appreciation. They have successfully BRRRR'd with 100%+ cash out refinances on half of their portfolio which they have rolled over into new deals.  Michael & Lindsey MIH Mastermind in 2022 and formed Clover Key Capital in May 2022. Their first syndication deal closed June 2022 in Indianapolis, IN. They and their partners have $5.5 million prefunded & thousands of units owned together. They are actively looking for C+ to B+ class value-add, 1960+ build apartment complexes. Michael Duguet Michael was born and raised in France. He completed his Master's Degree from Centrale Nantes. Mechanical Engineer for SKF & immigrated to the US as Project manager overseeing multimillion dollar projects as well as designing applications for the railway industry. Owner and founder of Menfashion.com; a high-end Men's dresswear company. Michael met Lindsey while living in Philadelphia & they married in 2016. Michael enjoys beating personal records on the Peloton bike, playing on soccer leagues, spending time with his family and cooking (his parents own restaurants in France and he grew up in the restaurant business). He is now working full-time for their REI portfolio as a master underwriter, asset manager & IT specialist. Together Lindsey & Michael are the parents of three beautiful children. They are focused on generational wealth syndications for their family. Contact (484)999-3001  Michael@DuguetEstates.com DuguetEstates.com Lindsey Duguet Lindsey was born and raised in Pennsylvania. She received her bachelor's degree in Neuroscience Psychology & Biology from Pennsylvania State University. Graduated from Philadelphia College of Osteopathic Medicine with Doctor of Medicine degree. Completed Emergency Medicine Residency with Geisinger Medical Center. Currently an Emergency Medicine & Trauma Physician at Geisinger Wyoming Valley & Director Geriatric Emergency Department. Lindsey enjoys personal fitness with the Peloton bike, creating artwork (graphite, pen & ink drawings, acrylic & oil paintings), outdoor activities (hiking, horseback riding) & spending time with family. Currently focused on broker relations, deal finding, capital raising & investor relations. Motivated go-givers who are accelerating the health and wealth of themselves & others! Contact (484)999-3222  Lindsey@DuguetEstates.com CloverKeyCapital.com  

On October 10, 2019, Arabella Parker, a three year-old child in Trevorton, Pennsylvania was brutally beaten by her mother's boyfriend Jahrid Burgess. Arabella held on to every last inch of life for 44 days in Geisinger Medical Center. She passed away on November 22, 2019, two days after she was removed from life support. This case is not a who done it. Nonetheless, it leads to many questions about the systems we have in place and how they allowed for an outcome like this one. Hosted by Anna Wiest Featuring Award-Winning Reporter Francis Scarcella Please follow us on your preferred streaming platform and give us a good review if you've been enjoying what you hear. Also, share the show with your friends and tag us! Facebook: https://www.facebook.com/Harv-Productions-LLC-114278814603305 (Harv Productions, LLC) Instagram: https://www.instagram.com/harvproductionsllc/ (@harvproductionsllc) Photo by https://unsplash.com/@christianlue?utm_source=unsplash&utm_medium=referral&utm_content=creditCopyText (Christian Lue) on https://unsplash.com/s/photos/street-night?utm_source=unsplash&utm_medium=referral&utm_content=creditCopyText (Unsplash)

Dr. Khiani is 1 of 5 siblings & is the son of Jaikrishin & Veenu Khiani. Kamal specializes in Diagnostic Radiology with Subspecialization in Musculoskeletal Radiology. He is a unique individual with degrees in BOTH engineering & medicine, graduating Summa Cum Laude with Masters in Electrical Engineering from the J.B. Speed School of Engineering in 1997 & the UofL School of Medicine in 2002. Before those 2 massive academic achievements, in 1995, he graduated Magna Cum Laude with a B.S. degree in Electrical Engineering. He then completed his pre-med training @ the UofL-affiliated hospitals from 2003-04, & his Radiology Residency @ the Geisinger Medical Center in Danville, PA., from 2004-08 & his Musculoskeletal Radiology fellowship @ the Yale University School of Medicine from 2008-09. In addition, he graduated valedictorian (that's 1st in class) from his 1990 Fern Creek High School graduating class, & if all those educational milestones were not enough to keep him busy, he enjoys Ballroom Dancing, Golf, Basketball, movies, board games & spending time with his beautiful wife Jamie, & his 3 beautiful daughters Anjali, Raina, & Ellie as well as his son Lukis. Kamal was instrumental in finding a solution to a rare disease called severe combined immunodeficiency (SCID). For short- a variation of the so-called “Bubble Boy Disease” that made Raina wildly susceptible to fungal, bacterial & viral infections. As a result, she needed a bone marrow transplant, which was apt to kill her.

He's back for Part 2! Our listener favorite Jeff Walter, PT, DPT, NCS from the Otolaryngology Vestibular and Balance Center at Geisinger Medical Center in Danville, PA join's Abbie and Dani to further discuss Atypical BPPV and how to perform additional tests and treatments for it. If you missed Part 1, you can watch it here: https://youtu.be/1wYIMSE3Qag Where to find Jeff and his resources: https://www.vestibular.today/ Vestibular Today's Home Epley Video: https://youtu.be/xTnV3m4bWDg Episode Resources: - Kim Maneuver Study Abstract: https://www.sciencedirect.com/science/article/abs/pii/S0385814611001374 - Zuma Study (for Apogeotropic Horizontal Canal BPPV): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5134676/ - Loaded Dix-Hallpike Video: https://youtu.be/y_jmY8xe8I0 - Jeff's MedBridge Course: https://www.medbridgeeducation.com/certificate-program/27893-comprehensive-vestibular-rehabilitation-new/ For $175 off an annual subscription to MedBridge, use promo code WALTERVESTIBULAR Follow the link to submit topic or guest requests: https://forms.gle/81vh89WKCX2kx6zg7l Hosted by Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT Where to find us: www.Vestibular.Today www.BalancingActRehab.com Facebook: @VestibularToday / @BalancingActRehab Instagram: @ Vestibular.Today / @BalancingActRehab Twitter: @VestibularToday / @BalActRehab

Dr. Jenna Carmichael is a graduate of the University of Arizona, College of Pharmacy. She completed her PGY1 at the Sierra Nevada VA Health Care System in Reno, NV, and her PGY2 in Oncology Pharmacy at Geisinger Medical Center in Danville, PA. She spent 5 years working as a Clinical Oncology Pharmacist specializing in Oral Chemotherapy Medication Therapy Management for Geisinger Health Care System and over that time, grew the clinic to over 1000 patients. She also was the PGY2 Oncology Residency Program Director and a clinical researcher. As a high achiever, over time, Jenna became burnt out, unhappy in her career and life, and knew things needed to change. She was able to find herself again through personal discovery and holistic healing methods. Naturally, she wanted to share this knowledge with her patients but found that the traditional Western Medicine structure didn't allow for the combination of all of her knowledge. Dr. Carmichael now runs her own practice as a Holistic Oncology Pharmacist and Health Coach, Wobbly Arrow Wellness. She works virtually with women on the cancer journey looking for a different perspective on wellness. She combines her knowledge in the oncology space along with holistic healing methods of meditation, reiki, and yoga to help empower her clients to choose the path that works the best for their goals. She also offers genetic testing services to get a true, personalized idea of how her clients process their medications for safe and effective therapy. ______ Connect with Jenna via: Website: www.wobblyarrowwellness.com Email: jenna@wobblyarrowwellness.com Facebook: https://www.facebook.com/wobblyarrowwellness Facebook Group: https://www.facebook.com/groups/beacancercontrarian Instagram: https://www.instagram.com/jenna_carmichael/ Linkedin: https://www.linkedin.com/in/jenna-carmichael-42267218/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Jenna Carmichael is a graduate of the University of Arizona, College of Pharmacy. She completed her PGY1 at the Sierra Nevada VA Health Care System in Reno, NV, and her PGY2 in Oncology Pharmacy at Geisinger Medical Center in Danville, PA. She spent 5 years working as a Clinical Oncology Pharmacist specializing in Oral Chemotherapy Medication Therapy Management for Geisinger Health Care System and over that time, grew the clinic to over 1000 patients. She also was the PGY2 Oncology Residency Program Director and a clinical researcher. As a high achiever, over time, Jenna became burnt out, unhappy in her career and life, and knew things needed to change. She was able to find herself again through personal discovery and holistic healing methods. Naturally, she wanted to share this knowledge with her patients but found that the traditional Western Medicine structure didn't allow for the combination of all of her knowledge. Dr. Carmichael now runs her own practice as a Holistic Oncology Pharmacist and Health Coach, Wobbly Arrow Wellness. She works virtually with women on the cancer journey looking for a different perspective on wellness. She combines her knowledge in the oncology space along with holistic healing methods of meditation, reiki, and yoga to help empower her clients to choose the path that works the best for their goals. She also offers genetic testing services to get a true, personalized idea of how her clients process their medications for safe and effective therapy. ______ Connect with Jenna via: Website: www.wobblyarrowwellness.com Email: jenna@wobblyarrowwellness.com Facebook: https://www.facebook.com/wobblyarrowwellness Facebook Group: https://www.facebook.com/groups/beacancercontrarian Instagram: https://www.instagram.com/jenna_carmichael/ Linkedin: https://www.linkedin.com/in/jenna-carmichael-42267218/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Hi there! We will be releasing biweekly episodes on the Holistic Pharmacy Podcast from now on. Last time you met my new cohost Dr. Jenna Carmichael - and today I am airing an interview I conducted with her a little while back when preparing for this season. Dr. Jenna Carmichael is a graduate of the University of Arizona, College of Pharmacy. She completed her PGY1 at the Sierra Nevada VA Health Care System in Reno, NV, and her PGY2 in Oncology Pharmacy at Geisinger Medical Center in Danville, PA. She spent 5 years working as a Clinical Oncology Pharmacist specializing in Oral Chemotherapy Medication Therapy Management for Geisinger Health Care System and over that time, grew the clinic to over 1000 patients. She also was the PGY2 Oncology Residency Program Director and a clinical researcher. As a high achiever, over time, Jenna became burnt out, unhappy in her career and life, and knew things needed to change. She was able to find herself again through personal discovery and holistic healing methods. Naturally, she wanted to share this knowledge with her patients but found that the traditional Western Medicine structure didn't allow for the combination of all of her knowledge. Dr. Carmichael now runs her own practice as a Holistic Oncology Pharmacist and Health Coach, Wobbly Arrow Wellness. She works virtually with women on the cancer journey looking for a different perspective on wellness. She combines her knowledge in the oncology space along with holistic healing methods of meditation, reiki, and yoga to help empower her clients to choose the path that works the best for their goals. She also offers genetic testing services to get a true, personalized idea of how her clients process their medications for safe and effective therapy. Connect with Jenna via: Website: www.wobblyarrowwellness.com Email: jenna@wobblyarrowwellness.com Facebook: https://www.facebook.com/wobblyarrowwellness Facebook Group: https://www.facebook.com/groups/beacancercontrarian Instagram: https://www.instagram.com/jenna_carmichael/ Linkedin: https://www.linkedin.com/in/jenna-carmichael-42267218/ For more amazing content, visit us at https://drmarinabuksov.com. Music: https://www.purple-planet.com.

What is the right time for you to see a Respiratory Therapist? What is the role of a respiratory therapist in pulmonary rehabilitation? We discuss all this and more in this episode of the PULMONARY FIBROSIS podcast! Crockett is joined by Dalia Al-Daoud, a Registered Respiratory Therapist (RRT) at Geisinger Medical Center to talk about the process for patients and caregivers. Brought to you by the the Pennsylvania IPF Support Network and the Wescoe Foundation for Pulmonary Fibrosis! Find the 'Pulmonary Fibrosis' podcast on Spotify, Apple Podcasts or wherever you get your podcasts - and learn more at paipfsupportnetwork.org!!See omnystudio.com/listener for privacy information.

Our listener favorite Jeff Walter, PT, DPT, NCS from the Otolaryngology Vestibular and Balance Center at Geisinger Medical Center in Danville, PA is back! He join's Abbie and Dani to discuss Atypical BPPV and how to perform additional tests and treatments for it. Stay tuned for a part 2 in the future to dive deeper into additional Atypical BPPV topics. Vestibular Today's Home Epley Video: https://youtu.be/xTnV3m4bWDg Where to find Jeff and his resources: https://www.vestibular.today/ Follow the link to submit topic or guest requests: https://forms.gle/81vh89WKCX2kx6zg7l Hosted by Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT Where to find us: www.Vestibular.Today www.BalancingActRehab.com Facebook: @VestibularToday / @BalancingActRehab Instagram: @ Vestibular.Today / @BalancingActRehab Twitter: @VestibularToday / @BalActRehab

One of our main areas of interest and outreach has been Alzheimer's prevention. Now with 6.2 million Americans carrying this diagnosis, and no meaningful treatment in sight, exploring how lifestyle choices influence risk is more important than ever. There is another part of the Alzheimer's story that is also in need of attention. And this is the impact that this diagnosis has on the families, loved ones, and caregivers involved with Alzheimer's patients. No one is prepared for what lies ahead when a family member is diagnosed with Alzheimer's disease. And I can tell you that not just from the perspective of a neurologist, but from the perspective of my day-to-day interactions with my father who succumbed to the disease. When Alzheimer's is diagnosed in a parent or spouse, or in any loved one for that matter, we come face to face with a challenge that forces us to explore our value systems, our thoughts on self-worth, and definitely our family dynamics. Our guest today, Patti Davis, recounts the panorama of challenges she experienced as her father, President Ronald Reagan, was first diagnosed and then declined with Alzheimer's disease. Her new book, Floating in the Deep End, is powerfully emotional and at the same time deeply instructional, lovingly gifting important tools to help with the challenges of dealing with an Alzheimer's patient. This is a circumstance that will affect so many people, and these are incredibly important lessons. ==== Patti Davis is the author of many books, including The Long Goodbye. Her support group, Beyond Alzheimer's, is now licensed at Geisinger Medical Center in Pennsylvania and Cleveland Clinic in Las Vegas. She lives in Santa Monica, California and is available for virtual interviews and events.

Lori La Bey will be talking with Author Patti Davis about her new book FLOATING IN THE DEEP END How Caregivers Can See Beyond Alzheimer's. Now most of us understand how difficult dealing with a dementia diagnosis is, but now add to that journey your father is not only a public figure but is President Ronald Reagan. This is Patti's story which started in 1994, when her dad was diagnosed with Alzheimer's Disease. For the decade of her father's illness, Patti felt as if she was floating in the deep end, President Ronald Reagan tossed by waves, carried by currents, yet not drowning. Her lifelines were her faith and a stubborn resolve to look past the cruelty of the disease in order to learn from it. Pattihas authored many books, including The Long Goodbye. Her support group, Beyond Alzheimer's, is now licensed at Geisinger Medical Center in Pennsylvania and Cleveland Clinic in Las Vegas. Call in and Ask your questions or make a comment at (323) 870-4602 Contact Patti Davis        Website      FaceBook      Twitter        @patti_davis  Contact Lori La Bey of Alzheimer's Speaks  - Alzheimer's Speaks Radio - Shifting dementia care from crisis to comfort around the world one episode at a time by raising all voices and delivering sounds news, not just sound bites since 2011.

Show notes at: www.naileditortho.com/distalhumerusfractures   Nailed It Ortho Youtube Channel: https://www.youtube.com/channel/UCGuA5lTueW_rlYGiq5Jp6yQ  Nailed it Ortho Clips Youtube Channel: https://www.youtube.com/channel/UCJmxuLG53h4YpEntf3SSt_g  Dr. Christopher Grandizio is a board-certified hand and orthopaedic surgeon. He earned his Doctor of Osteopathic Medicine degree from Philadelphia College of Osteopathic Medicine in 2011. In 2016, he completed his residency at Geisinger Medical Center, and in 2017, he completed his fellowship at the Cleveland Clinic Foundation. He not only specializes in treating elbow, shoulder, wrist, and hand disorders as an orthopaedic surgeon, but he also has clinical expertise in nerve compression treatment, such as carpal tunnel syndrome and cubital tunnel syndrome, shoulder and elbow replacements, upper extremity trauma and fractures, and sports injuries. With his background as an athlete and a former member of the Bucknell University men's baseball team, he appreciates helping his patients in continuing to do what they love. Furthermore, because Dr. Grandizio is passionate about research, his work has reached a national level, and some of his works have been published, he has contributed to the advancement of the area of orthopaedics, and he has been named chief of the Division of Shoulder and Elbow Surgery. Dr. Grandizio is an associate professor at the Geisinger Commonwealth School of Medicine, where he recognizes the necessity of training tomorrow's orthopaedic specialists. He just began a Geisinger Hand and Upper-Extremity Research Fellowship, where he supervises resident research. He's also a member of the American Society for Hand Surgery's Resident Education Committee. Goal of episode: To develop a baseline knowledge on Distal Humerus Fractures. We cover: Mechanism of Injury Symptoms Physical Examination Imaging Evaluation Classification Pathoanatomy Non-op tx Operative tx Operative Positioning Operative Approaches Fixation Techniques Case presentations

Lori La Bey will be talking with Author Patti Davis about her new book FLOATING IN THE DEEP END How Caregivers Can See Beyond Alzheimer's. Now most of us understand how difficult dealing with a dementia diagnosis is, but now add to that journey your father is not only a public figure but is President Ronald Reagan. This is Patti's story which started in 1994, when her dad was diagnosed with Alzheimer's Disease. For the decade of her father's illness, Patti felt as if she was floating in the deep end, tossed by waves, carried by currents, yet not drowning. Her lifelines were her faith and a stubborn resolve to look past the cruelty of the disease in order to learn from it. Pattihas authored many books. Her support group, Beyond Alzheimer's, is now licensed at Geisinger Medical Center in Pennsylvania and Cleveland Clinic in Las Vegas. Call in and Ask your questions or make a comment at (323) 870-4602 Contact Patti Davis        Website      FaceBook      Twitter        @patti_davis  Contact Lori La Bey of Alzheimer's Speaks  - Alzheimer's Speaks Radio - Shifting dementia care from crisis to comfort around the world one episode at a time by raising all voices and delivering sounds news, not just sound bites since 2011.  

Dr. William James Azeredo, MD and Jeff Walter, PT, DPT, NCS from the Otolaryngology Vestibular and Balance Center at Geisinger Medical Center in Danville, PA join Abbie and Dani to discuss various indications for when it is appropriate for providers seeing patients to refer to an Otologist. Where to find Dr. Azeredo: https://providers.geisinger.org/provider/William+James+Azeredo/757871 Where to find Jeff and his resources: https://www.vestibular.today/ Follow the link to submit topic or guest requests: https://forms.gle/81vh89WKCX2kx6zg7l Hosted by Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT Where to find us: www.Vestibular.Today www.BalancingActRehab.com Facebook: @VestibularToday / @BalancingActRehab Instagram: @ Vestibular.Today / @BalancingActRehab Twitter: @VestibularToday / @BalActRehab

Dr. Greg Burke, Chief Patient Experience Officer for Geisinger Medical Center, talks about the importance of patient satisfaction and the phenomenon of patients and their families feeling like hostages during stays in the hospital. He explains the ways the healthcare system can cause confusion and frustration for patients, the problems caused by patients and providers having conflict, and some of the ways providers can help patients feel more comfortable. ------ www.doctordoctor.org www.spokestreet.com www.cathmed.org Follow us on Facebook: @DoctorDoctorShow Submit your question(s): Text (Holy Cross College text line) – 260-436-9598 E-mail – Doctor@SpokeStreet.com Subscribe to the Podcast: iTunes | Spotify | SoundCloud | RSS

On today's episode Mark discusses a traveler's role with his guest, Angela Croup, RN. Angela is a veteran traveler, having traveled for 4 1/2 years of a 7-year nursing career. Angela has completed assignments at Johns Hopkins, Desert Banner, Yale University, and Geisinger Medical Center to name a few. The two discuss the mindset that Angela has found to be a success in how she approaches her role as a traveler. What is it that you were hired through a contract to accomplish for that facility? How does your attitude and perspective change the landscape of your role? and finally, how can your presentation change the perception others have of your role as a traveler? Another open conversation that is such a fundamental part of becoming a more successful traveler, and another topic that very few people in our industry are willing to openly discuss! #travelevolved #travelinsiders #travelnurse #travelingnurse #travelnursing #alliedtravel #travelallied #travelagency #markholloway #angelacroup #yourroleasatraveler #travelerrole

On today's episode Mark discusses a traveler's role with his guest, Angela Croup, RN. Angela is a veteran traveler, having traveled for 4 1/2 years of a 7-year nursing career. Angela has completed assignments at Johns Hopkins, Desert Banner, Yale University, and Geisinger Medical Center to name a few. The two discuss the mindset that Angela has found to be a success in how she approaches her role as a traveler. What is it that you were hired through a contract to accomplish for that facility? How does your attitude and perspective change the landscape of your role? and finally, how can your presentation change the perception others have of your role as a traveler? Another open conversation that is such a fundamental part of becoming a more successful traveler, and another topic that very few people in our industry are willing to openly discuss! #travelevolved #travelinsiders #travelnurse #travelingnurse #travelnursing #alliedtravel #travelallied #travelagency #markholloway #angelacroup #yourroleasatraveler #travelerrole

Dr. David Diehl, Chief of Interventional Endoscopy & Advanced Fellowship Director at Geisinger Medical Center, advises on how to collaborate with hepatology on the ideal liver biopsy method for patients, research & results.

A native of Allentown Pennsylvania, Dr. Ernest Normington attended medical school at Hahnemann University in Philadelphia. After medical school, Dr. Normington trained in general surgery at the Geisinger Medical Center for eight years. He trained in plastic surgery at the world-renowned Cleveland Clinic Foundation known for excellence in plastic surgery. Dr. Normington is board certified by the American Board of Plastic Surgery (ASPS) and is a member of the American Society of Plastic and Reconstructive Surgeons. He is an adjunct staff member of the Department of Plastic Surgery in the Dermatology and Plastic Surgery Institute at the Cleveland Clinic. Dr. Normington's areas of expertise include facial surgery, breast surgery, body sculpting, laser surgery and skin care. He is also trained in advanced hand reconstruction. He has published numerous medical journal articles on his research in plastic surgery and has lectured to national and international audiences. He is past president of the Union County Medical Society and has served as the Medical Director of Evangelical Hospital's Wound Clinic and as Chairman of the Board of Evangelical's Ambulatory Surgery Center. https://www.lewisburgplastic.com podcast@lewisburgplastic.com   ____ This podcast was recorded & produced by MoJo Active.

"What Showing Up Can Do for You," by Drew Cornwell, DO, Anesthesiology Resident, Physician, PGY-3, Geisinger Medical Center, Danville, Pennsylvania; and Shalini Shah, MD, Associate Clinical Professor and Vice-Chair, Department of Anesthesiology and Perioperative Care, Director, Pain Services, University of California Irvine, School of Medicine, Irvine, California. From ASRA News, August 2020, pp. 23-24. See original article at www.asra.com/asra-news for figures and references. This material is copyrighted. 

En este episodio platicamos de gases arteriales con el Dr. Jose Rivera, internista en Geisinger Medical Center. Discutimos acerca de el enfoque general, gases venosos, hipoalbuminemia, gradiente alveolo-arterial y otros datos interesantes. Por último, te dejamos algunas #PerlasClinicas para tu práctica hospitalaria.

Hear from the experts in our conversations on a rare genetic disease: Lynch Syndrome. We cover Lynch Syndrome diagnosis, new treatment options, and how to connect with the Lynch Syndrome community. Experts in this episode include: *Heather Rocha, a Genetic Counselor at Geisinger Medical Center in Danville, Pennsylvania. *Dr. Julie Woods, MD, a Medical Oncologist at Geisinger Medical Center in Danville, Pennsylvania. *Dr. Julie Hergenrather, PhD, Psychologist at the Geisinger Health System in Danville, Pennsylvania. More resources and information for you: raredisease.com/lynch

Dr. Greg Burke, Chief Patient Experience Officer at Geisinger Medical Center and Co-Chairman of the Catholic Medical Association’s Ethics Committee, talks about the impact the novel coronavirus pandemic is having on nursing homes and hospitals and the ethical concerns that are coming up in the care for patients in this crisis. (Episode recorded 3/17/20) ------ www.redeemerradio.com www.cathmed.org Follow us on Facebook: @DoctorDoctorShow Submit your question(s): Text (Holy Cross College text line) - 260-436-9598 Online - www.RedeemerRadio.com/Doctor E-mail - Doctor@RedeemerRadio.com Subscribe to the Podcast: iTunes | Google Play | SoundCloud | RSS

Today's episode on Redefining Medicine spotlights Al Peters, DO, FACOG has spent most of his 25 years in medicine as a board certified reproductive endocrinologist.  During this time, his main focus was in vitro fertilization (IVF) helping couples who were unable to have children through simpler means. In addition, he has vast experience in academic work including teaching and scientific publication in peer reviewed journals.  Dr. Peters also has taken care of many women with hormonal disorders including polycystic ovary syndrome, female acne and unwanted body hair growth as well as menopause.  Along with his Western methodology his unique approach to patient care blends Eastern philosophies such acupuncture, yoga, and herbology. He earned his undergraduate degree from The Pennsylvania State University followed by his medical degree from The Philadelphia College of Osteopathic Medicine.  His residency training was completed at Geisinger Medical Center in Danville, PA., followed by a postdoctoral fellowship in reproductive immunology at Methodist Hospital/Indiana University, Indianapolis, IN. Dr. Peters completed a second postdoctoral fellowship in reproductive endocrinology & infertility at Prentice Women’s Hospital at The Northwestern University Medical School in Chicago, IL.  He is double board certified in obstetrics & gynecology and reproductive endocrinology & infertility.

Feature Interview (13:00) – Dr. Greg Burke, Chief Patient Experience Officer at Geisinger Medical Center and Co-Chairman of the Catholic Medical Association’s Ethics Committee, talks about why his hospital became the first in the country to offer refunds for unsatisfactory patient care. Also in this episode: Preventive Medicine Tip (00:55) – Why healthy people should get the flu vaccine for the sake of others Women’s Health Tip (7:00) – VBAC (Vaginal Birth After Cesarian) Medical Trivia (Answer at 42:00) – In 1848 there was a Hungarian obstetrician named Ignaz Semmelweis who worked in Vienna, Austria where women were afraid of dying after birth from an infection called “Child Bed Fever.” In one of the wards, the death rate was about 20% and in the other, it was only 6%. The higher rate included medical students, the lower had only midwives, so Dr. Semmelweis had everyone start washing their hands with lye. In response to his discovery, what did his colleagues do? A) Nominate him for the first Nobel Prize in Medicine B) Made him chief of Obstetrics in Vienna at only 29 C) Ridicule him for suggesting upper-class physicians had dirty hands D) Institute handwashing between patients, ushering in the era of antiseptic care in medicine Listener Questions (43:30) – In a previous show, your guest talked about weight loss myths and promoted a low-carb, high-fat diet. Is that really the only healthy way of eating? Is it healthy for everyone? ------ www.redeemerradio.com www.cathmed.org Follow us on Facebook: @DoctorDoctorShow Submit your question(s): Text (Holy Cross College text line) - 260-436-9598 Online - www.RedeemerRadio.com/Doctor E-mail - Doctor@RedeemerRadio.com Subscribe to the Podcast: iTunes | Google Play | SoundCloud | RSS

Host: Randall Wong, MD Host: Russell Faust, MD Using a recent case study based on the Geisinger Medical Center, Drs. Russ Faust and Randy Wong explore whether you should skip traditional marketing methods like direct mail and instead connect with job seekers via social media.

A few years ago, Geisinger Medical Center needed fill staff physician slots.  They chose the typical route of using direct mail to advertise their openings.  Their marketing stretegist convinced them to simultaneously try to market the openings on the Geisinger FaceBook page.  This is a very clean case study where conventional direct mail is compared to FB.  The results are very provoking. Russ and Randy #healthcarepodcast Thanks for listening. See you next week!  If you have a question or comment, please ask here or on our website. Please download us at iTunes and leave a review. All the best! Russ…and Randy Healthcare and Medical Internet Marketing Healthcare’s Rx for Web and Social

My guests for Episode #289 are Kathleen Sharp, MBOE, LSS MBB, now the Director of Optimization at McLeod Health, and David Schoenwetter, D.O., FACEP, a Medical Director at Geisinger Medical Center. They are joining me to talk about the innovative Geisinger Mobile Health Paramedic program that they developed and piloted with Lean thinking throughout. Kathleen and David will discuss why it was important to engage stakeholders in innovation, how they viewed and addressed resistance to change, why it was important to test the idea in practice, and why it was important to measure results. They also discuss their lessons learned and their challenges along the way. This WSJ article has a nice summary of the program: "Paramedics Aren't Just for Emergencies." "In the Geisinger pilot program, mobile health visits can be requested by a patient's primary-care doctor, a cardiology clinic, or after an emergency room or hospital discharge. Patients who frequently visit the ER are offered the option of being seen at home by a paramedic as an alternative to an ER visit and potential hospital admission, especially for conditions that can be treated at home if caught early." I hope you enjoy the episode.

Welcome Medicare Nation! Today’s episode is Part 2 of our interview series live from the Interdisciplinary Symposium on Osteoporosis held by the National Osteoporosis Foundation in Miami, FL. Today’s episode features some of the leading Osteoporosis practitioners in the country, as well as an important summary of Medicare Benefits that relate to the treatment of Osteoporosis.   Today’s episode features:     Medicare Benefits for Bone Mass Measurement (Bone Density) Testing     How often is it covered?   Medicare Part B (Medical Insurance) covers this test, which helps to see if you're at risk to broken bones, once every 24 months (more often if medically necessary) for people who meet the criteria below. Medicare only covers this test when it's ordered by a doctor or other qualified provider.   Who's eligible?   All qualified people with Part B who are at risk for osteoporosis and meet one or more of these conditions: •A woman whose doctor determines she's estrogen deficient and at risk for osteoporosis, based on her medical history and other findings •A person whose X-rays show possible osteoporosis, osteopenia, or vertebral fractures •A person taking prednisone or steroid-type drugs or is planning to begin this treatment •A person who has been diagnosed with primary hyperparathyroidism •A person who is being monitored to see if their osteoporosis drug therapy is working   Your costs in Original Medicare   You pay nothing for this test if the doctor or other qualified health care provider accepts assignment.     Some good times to talk to your Physician about this testing:   During your “new to Medicare” visit to Dr. visit, discuss preventative exams with Dr, they can suggest bone density.   Annual wellness visit to Dr - talk about bone density exam     Listen to this episode to hear interviews from the following professionals:     Dr. Thomas Olinginski - Tom Olenginski, MD, FACP is an associate in Rheumatology at Geisinger Medical Center. A graduate of the Pennsylvania State University and Penn State College of Medicine, he completed both his General Internal Medicine Residency and Rheumatology Fellowship at Geisinger Medical Center. Since 2008, he has been Co-Director of Geisinger’s High-Risk Osteoporosis Clinic. He is Chair of Geisinger’s Bone Density Committee and is responsible for Geisinger’s Osteoporosis Curriculum within its Rheumatology Fellowship. He has also served as a member of the NBHA Secondary Fracture Prevention Committee. His major interests are daily clinical care as a rheumatologist, teaching within Geisinger’s Rheumatology Fellowship and Internal Medicine Residency, as well as metabolic bone disease and system-based osteoporosis care, clinically-oriented bone density interpretation, and Geisinger’s Fracture Liaison Service. Sherri Betz - SHERRI BETZ, PT, GCS, CEEAA, PMA®-CPT is a 1991 graduate of the Louisiana State University Medical Center's School of Physical Therapy. Sherri actually began her career as a national gymnastics competitor and as a group fitness instructor and personal trainer for Nautilus Fitness Centers in the 1980's. Inspired by the work of a physical therapist in one of the clubs where she trained, Sherri pursued a degree in physical therapy. Selected to serve on the Foundation for Osteoporosis Research and Education (FORE) Professional Education Committee and the NOF Exercise and Rehabilitation Advisory Council, Sherri is involved in improving awareness about bone health for the lay public, exercise teachers and for healthcare professionals. These committees review the latest updates in research, develop guidelines and design educational programs for physicians and allied health professionals. She has developed the "Do It Right and Prevent Fractures Booklet" for FORE/American Bone Health. Dr. Steven Harris - Steven Harris, MD is a board-certified internist and endocrinologist with a subspecialty focus on osteoporosis, metabolic bone disease and disorders of mineral metabolism. He received his medical degree from the University of California, San Francisco, and completed a residency and chief residency in Internal Medicine at the same institution. He completed a clinical and research fellowship in Endocrinology and Metabolism at Massachusetts General Hospital in Boston. In 1983, he returned to the University of California, San Francisco, where he is a Clinical Professor of Medicine. Dr. Harris has spent many years working on a variety of clinical research projects to examine the effects of nutrition, calcium supplements, vitamin D, hormone therapy, bisphosphonates, calcitonin, PTH and SERMs upon the prevention and treatment of osteoporosis. Dr. Harris maintains an active consultative practice in metabolic bone disease, but is also engaged in a wide variety of educational initiatives related to osteoporosis. Dr. Sandesh Nagamani - graduated from the J S S MED COLL, MYSORE UNIV, MYSORE, KARNATAKA, INDIA in 2000. He works in Houston, TX and specializes in Genetics, Medical. Dr. Sreenath Nagamani is affiliated with Methodist Hospital and St Lukes Hospital At The Vintage. He speaks English and Spanish. As an adult clinical geneticist, he provides clinical care for adult patients with a wide variety of heritable conditions. Dr. Nagamani serves as the Director of the Clinic for Metabolic and Genetic disorders of bone that caters to adult subjects with OI, heritable disorders of bone, early-onset osteoporosis, and other common forms of metabolic bone diseases.     Check out the Food4Bones app for iPhone and Android   www.nof.org   Do you have questions or feedback? I’d love to hear it! I may answer one of your questions on the air! email me: support@themedicarenation.com Thank you for listening! If you enjoyed this podcast, please subscribe and leave a 5 star rating and review in iTunes! (Click here)     Find out more information about Medicare on Diane Daniel’s website! www.CallSamm.com  

Seth Reed is the lead author on this month’s CE, “Champions for Central Line Care.” He discusses his work as a nurse in the acuity adaptable critical care unit at Geisinger Medical Center in Danville, Pennsylvania, where he and colleagues developed a quality improvement project for reducing central line associated blood stream infections.