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Send us a textWe're focusing on a documentary at the SFFilm Festival that highlights some of the beautiful change makers in the heart of the Bay.The Chaplain & the Doctor shares the story of two unlikely allies who are tackling a broken healthcare system with curiosity, compassion and connection. We are joined by director/participant Dr. Jessica Zitter, and Chaplain Betty Clark to discuss the origins and importance of Palliative Care, the positive changes they see happening in hospitals, and turning misunderstandings into teachable moments.To host a screening of The Chaplain & the Doctor, click here!Follow The Chaplain & the Doctor on IGFollow director/Dr. Jessica Zitter on IGSupport the showThanks for listening and for your support! We couldn't have won Best of the Bay Best Podcast in 2022 , 2023 , and 2024 without you! -- Fight fascism. Shop small. Use cash. -- Subscribe to our channel on YouTube for behind the scenes footage! Rate and review us wherever you listen to podcasts! Visit our website! www.bitchtalkpodcast.com Follow us on Instagram & Facebook Listen every Tuesday at 9 - 10 am on BFF.FM
College student's 1982 photos revisited by modern pros For his 1982 senior project at SUNY New Paltz, Patrick Prosser toted a camera around the streets of Beacon, his hometown. In May, about the time he received his bachelor of fine arts, Prosser exhibited 20 photos at what is now the Howland Cultural Center. When Prosser, who grew up at 14 Miller St., died from pancreatic cancer in 2023 at age 64, his widow, Kathy, donated the 1982 shots to the Beacon Historical Society. Theresa Kraft, president of the Howland Cultural Center, read about the gift in the society's newsletter and arranged to display excerpts from the collection. A team that included photographers Tony Cenicola, Michael Goldfarb, Pierce Johnston and Willam Loeb winnowed the selections to 38 photos before three of the curators fanned out to revisit some of the locations. The exhibit's title, Work in Decay, borrows from Prosser's 1982 exhibit. His subtitle had been "The City of Beacon, New York"; the new one is "The Renaissance of Beacon - Then and Now." In 1982, Prosser captured mostly decay. Nearly every pane of glass in the abandoned factories and weatherbeaten buildings on and near Main Street is broken or boarded up, including the picture windows at Mozekos Market by the dummy light. In one photo, a crossing guard stands in front of the door. Prosser combed ruins from the inside. In the factory that became the Roundhouse, he was enamored with the bathroom stalls: "The shape of the toilets and the simple arithmetic of the walls give this great feeling for the working man's environment in Beacon," he wrote. He also took interior shots of the abandoned Highland Hospital and a junk-filled apartment. One photo shows Cisco, a white dog sitting in the decrepit doorway of Certified TV Sales & Service. Goldfarb's photo of what is now the Maria Lago Studio captures a life-size sculpture depicting a human figure in anguish. Enticed by structures, Prosser climbed vantage points like the Beacon Theatre and the firehouse that is now home to Hudson Beach Glass. Though he took a well-situated shot of the Mount Beacon Incline Railway gear-house, the photos of people could be Prosser's apex. In "High Noon at Richie's Bar," a grizzled bartender plays cards with a patron wearing a dapper hat. Regulars scratched scrawl onto a 24 beam at the bar's edge, along with the panel below, including the jab, "$100 fine to write here." (Pierce Johnston's modern reply, "A Day at Melzingah Tap House," focuses on a relaxed young bartender polishing a pint glass, flanked by two fancy, backlit cases with high-end hooch. In the background, the shelves are stocked with swag.) One of Prosser's favorite photos captured the owners of Beacon Auto Salvage, which once filled the Churchill Street parking lot with heavy machinery, car parts and mud. The father makes no attempt to smile while the son's half-cocked grin hints at a brighter future, although he may just be resigned to his lot. "The whole history of Beacon can be told by their faces," Prosser wrote. The Howland Cultural Center, at 477 Main St., is open from 1 to 5 p.m. on most Saturdays and Sundays. "Work in Decay" continues through July 21.
A new documentary, “The Chaplain and the Doctor,” offers an intimate glimpse into the palliative care unit of an Oakland hospital, where two women — an 80-year-old African American chaplain and a white Jewish physician — navigate the complexities of end-of-life care from profoundly different perspectives. As their paths intertwine, what begins as a professional encounter deepens into a friendship grounded in empathy, spiritual reflection and shared commitment to healing. The film will soon make its world premiere at the San Francisco International Film Festival. We're joined by the film's subjects, chaplain Betty Clark and Dr. Jessica Zitter, who is also its director. Guests: Dr. Jessica Zitter, physician, Highland Hospital in Oakland - director, "The Chaplain and the Doctor" Betty Clark, chaplain, Highland Hospital in Oakland Learn more about your ad choices. Visit megaphone.fm/adchoices
BRIAN and CAMERON SANTANA join Burl and Mark for a fascinating investigation into the 1973 murder of Virginia Olson.On April 15, 1973, two high school students discovered the body of 19-year-old drama major Virginia Marie Olson on a trail near the campus of the University of North Carolina-Asheville. The scene was horrific. Olson had been bound, raped, and brutally stabbed to death. The murder shocked the Asheville community and set off an investigation that would span three generations of detectives.A MURDER ON CAMPUS: The Professor, The Cop, And North Carolina's Most Notorious Cold Case by Brian and Cameron Santana is the first book to present the story of law enforcement's dramatic efforts to find Virginia Olson's killer and bring him to justice.Readers will experience the obstacles and confusion that the Asheville Police Department and the North Carolina SBI navigated, from the 1974 abduction of a UNCA student on the first anniversary of Olson's murder to a second rape and murder victim found feet from Olson's crime scene just as campus life returned to normal in 1978.For more than 50 years, whispers about the killer's identity have circulated throughout Buncombe County—from an escaped mental health patient from nearby Highland Hospital, to one of North Carolina's most notorious serial killers, to a mysterious prime suspect whose wealthy and influential family kept his identity secret from the public … until now.
Officials envision replica of lost structure As her finger slowly moved over each face in a 65-year-old photo of 10 children inside a classroom, Maryanne Cavaccini began reeling off names. Her cousin Joanie, Evelyn, Marie, Billy, Peter, Lenny. She named three more before stopping at a little girl in a print dress, a second grader. "Yeah, that's me," she said. Memories, photos, news clippings and an empty lot are all that remain of the Little Red Schoolhouse, which stood for 129 years at Route 9D and Red Schoolhouse Road in Fishkill, just north of Beacon. At the time it closed in 1959, when its veteran teacher retired, the one-room structure held seven grades - "pre-first" to six. Students continued their education in the Beacon school district. The building was torn down in 1971, but there is talk of building a replica - if anyone can figure out who owns the property. A title search by the state in 1977 failed to identify the owner, but the Town of Fishkill has renewed the effort so it can preserve the site for visitors. "The more attractions we have, the more we can celebrate our history," said Town Supervisor Ozzy Albra. The school's history began with its construction in 1830 on property owned by the Verplanck family, large landholders who also donated the property for Stony Kill Farm, which sits across Route 9D. Elizabeth Travis, a Glenham native and Beacon High School graduate , was the teacher for 47 years, from 1912 until it closed in 1959. With children in seven grades occupying one room, Travis called one class at a time to a front bench. "When she was doing a lesson with one grade, we had to be quiet and do our studies," said Cavaccini, then known as Maryanne Greggo. Cavaccini entered as a kindergarten student in 1956, when the Little Red Schoolhouse may have been the only remaining one-room school in Dutchess County. Her brother Frank also attended the school, which drew students from Baxtertown, Red Schoolhouse and Stony Kill roads, as well as Route 9D. On Tuesday (Feb. 25), Cavaccini recalled the DeSoto that her teacher drove, the potbelly stove that provided heat and a swing students hung to fling themselves into a pond. One newspaper report credited Travis with saving the structure from a fire by organizing a bucket brigade of students armed with water from a stream. A truck filled with candy once overturned outside the school, spilling its contents and drawing students outside, said Cavaccini. "We were screaming, 'We got the candy,' " she said. "The teacher came out screaming, 'You can't do that.' Well, we did it." When the school closed, Cavaccini was about to enter the third grade. She transferred to South Avenue Elementary and later graduated from Beacon High School. Her career included stops in the San Francisco area and jobs at Central Hudson, the Stewart Air National Guard Base and the Castle Point VA Medical Center. Five years after the schoolhouse was demolished, Elizabeth Travis attended a ceremony marking the installation of a sign made by students at Glenham Elementary School in Fishkill, which is part of the Beacon district. She died in 1984 at Highland Hospital in Beacon. Last week, a photo posted on Facebook showed students standing outside the school. It drew nearly 100 comments, including from Cavaccini and people whose parents or other relatives attended. Someone remembered their family buying strawberries in the summer from Travis, who ran a farm with her husband. Many of the commenters denounced the decision 54 years ago to demolish the school. "That could have been a historical building," said Cavaccini.
True Crime Tuesday presents: A Murder On Campus: North Carolina's Most Notorious Cold Case w/ Brian & Cameron Santana! On April 15, 1973, two high school students discovered the body of 19-year-old drama major Virginia Marie Olson on a trail near the campus of the University of North Carolina-Asheville. The scene was horrific. Olson had been bound, raped, and brutally stabbed to death. The murder shocked the Asheville community and set off an investigation that would span three generations of detectives. A MURDER ON CAMPUS: The Professor, The Cop, And North Carolina's Most Notorious Cold Case by Brian and Cameron Santana is the first book to present the story of law enforcement's dramatic efforts to find Virginia Olson's killer and bring him to justice. For more than 50 years, whispers about the killer's identity have circulated throughout Buncombe County—from an escaped mental health patient from nearby Highland Hospital, to one of North Carolina's most notorious serial killers, to a mysterious prime suspect whose wealthy and influential family kept his identity secret from the public … until now. On today's TCT, Brian and Cameron Santana join us to break down this cold case, cover the different suspects and motives, explain why the solution to this case was described as easy by police, yet so difficult to solve, and if this case will ever have a resolution! Get your copy of "A Murder On Campus... " here: https://wildbluepress.com/murder-on-campus-true-crime-santana/ PLUS: DUMB CRIMES AND STUPID CRIMINALS WITH JESSICA FREEBURG! Check out Jessica Freeburg's website and order her new books: https://jessicafreeburg.com/books/ and check out Jess on Tik Tok: https://www.tiktok.com/@jessicafreeburgwrites There are new and different (and really cool) items all the time in the Darkness Radio Online store at our website! . check out the Darkness Radio Store! https://www.darknessradioshow.com/store/ #crime #truecrime #truecrimepodcasts #truecrimetuesday #briansantana #cameronsantana #amurderoncampus #wildbluepress #theprofessorthecopandnorthcarolinasmostnotoriouscoldcase #virginiaolson #virginiamarieolsonmurder #asheville #northcarolina #UNCA #highlandhospital #terryhyatt #jamesgoure #johnreavisjr #judyneedles #forensicevidence #murder #rape #stabbing #truecrimebooks #serialkiller #coldcase #1970s #dumbcrimesstupidcriminals #TimDennis #jessicafreeburg #paranormalauthor #floridaman #drugcrimes #foodcrimes #stupidcrimes #funnycrimes #sexcrimes #dumbcrimes
True Crime Tuesday presents: A Murder On Campus: North Carolina's Most Notorious Cold Case w/ Brian & Cameron Santana! On April 15, 1973, two high school students discovered the body of 19-year-old drama major Virginia Marie Olson on a trail near the campus of the University of North Carolina-Asheville. The scene was horrific. Olson had been bound, raped, and brutally stabbed to death. The murder shocked the Asheville community and set off an investigation that would span three generations of detectives. A MURDER ON CAMPUS: The Professor, The Cop, And North Carolina's Most Notorious Cold Case by Brian and Cameron Santana is the first book to present the story of law enforcement's dramatic efforts to find Virginia Olson's killer and bring him to justice. For more than 50 years, whispers about the killer's identity have circulated throughout Buncombe County—from an escaped mental health patient from nearby Highland Hospital, to one of North Carolina's most notorious serial killers, to a mysterious prime suspect whose wealthy and influential family kept his identity secret from the public … until now. On today's TCT, Brian and Cameron Santana join us to break down this cold case, cover the different suspects and motives, explain why the solution to this case was described as easy by police, yet so difficult to solve, and if this case will ever have a resolution! Get your copy of "A Murder On Campus... " here: https://wildbluepress.com/murder-on-campus-true-crime-santana/ PLUS: DUMB CRIMES AND STUPID CRIMINALS WITH JESSICA FREEBURG! Check out Jessica Freeburg's website and order her new books: https://jessicafreeburg.com/books/ and check out Jess on Tik Tok: https://www.tiktok.com/@jessicafreeburgwrites There are new and different (and really cool) items all the time in the Darkness Radio Online store at our website! . check out the Darkness Radio Store! https://www.darknessradioshow.com/store/ #crime #truecrime #truecrimepodcasts #truecrimetuesday #briansantana #cameronsantana #amurderoncampus #wildbluepress #theprofessorthecopandnorthcarolinasmostnotoriouscoldcase #virginiaolson #virginiamarieolsonmurder #asheville #northcarolina #UNCA #highlandhospital #terryhyatt #jamesgoure #johnreavisjr #judyneedles #forensicevidence #murder #rape #stabbing #truecrimebooks #serialkiller #coldcase #1970s #dumbcrimesstupidcriminals #TimDennis #jessicafreeburg #paranormalauthor #floridaman #drugcrimes #foodcrimes #stupidcrimes #funnycrimes #sexcrimes #dumbcrimes
Listen as Dr. Adeline Goss, Associate Chief of Neurology at Highland Hospital, discusses the groundbreaking potential of psychedelics in neurology with Dr. Steve Zeiler, a Vascular Neurologist and Associate Professor at Johns Hopkins, and Dr. Ghul Dölen, a Professor of Psychology and Neuroscience at UC Berkeley. The conversation explores the newfound excitement surrounding psychedelics like MDMA, LSD, and psilocybin for treating mood disorders like depression and neurologic conditions such as stroke recovery. The experts also delve into research showing psychedelics' ability to reopen critical periods in the brain, potentially revolutionizing therapeutic approaches for a range of neurologic and psychiatric conditions. Series 5, Episode 11 Featuring: Guests: Dr. Steve Zeiler, a Vascular Neurologist and Associate Professor at Johns Hopkins, and Dr. Ghul Dölen, a Professor of Psychology and Neuroscience at UC Berkeley Interviewer: Dr. Adeline Goss, host & executive producer of ANA Investigates and Associate Chief of Neurology at Highland Hospital Disclosures: Dr. Dolen & Zeiler share a patent on their work in psychdelics and rehab. Dr. Zeiler also reports research funding from Harmon and EVER Pharma.
This week, Marianna revisits a conversation with Leanne Marcotrigiano, Family Physician at La Clínica de la Raza and Highland Hospital, and Jayinee Basu, a 3rd year Medical Resident in Psychiatry, about structural competency in HIV care settings.Help us track the number of listeners our episode gets by filling out this brief form! (https://www.e2NECA.org/?r=PCS6722)--Want to chat? Email us at podcast@necaaetc.org with comments or ideas for new episodes. --Check out our free online courses: www.necaaetc.org/rise-courses--Download our HIV mobile apps:Google Play Store: https://play.google.com/store/apps/developer?id=John+Faragon&hl=en_US&gl=USApple App Store: https://apps.apple.com/us/developer/virologyed-consultants-llc/id1216837691
Cephus Johnson - The Killing of Oscar GrantMarch 19Oscar Grant III was a 22-year-old African-American man who was killed in the early morning hours of New Year's Day 2009 by BART Police Officer Johannes Mehserle in Oakland, California. Responding to reports of a fight on a crowded Bay Area Rapid Transit train returning from San Francisco, BART Police officers detained Grant and several other passengers on the platform at the Fruitvale BART Station. BART officer Anthony Pirone kneed Grant in the head and forced Grant to lie face down on the platform. Mehserle drew his pistol and shot Grant. Grant was rushed to Highland Hospital in Oakland and pronounced dead later that day. The events were captured on bystanders' mobile phones. Owners disseminated their footage to media outlets and to various websites where it went viral. Both protests and riots took place in the following days.Become a supporter of this podcast: https://www.spreaker.com/podcast/the-opperman-report--1198501/support.
In this episode, we are joined by Dr. Heather Florescue to discuss the vital but often overlooked topic of stillbirth prevention. Dr. Florescue introduces the concept of placental health, the importance of measuring estimated placental volume, and the role this plays in ensuring healthy pregnancies. We dive deep into the current research, debunk myths, and highlight the significance of understanding risk factors and maternal instincts. Dr. Florescue also shares insights on protocols followed in the UK and Australia that could help reduce stillbirth rates. Tune in to learn why education and proactive healthcare can save lives. Guest Bio: Dr. Florescue is an ob.gyn. in private practice at Women Gynecology and Childbirth Associates in Rochester, N.Y. She delivers babies at Highland Hospital in Rochester, NY. She received her medical degree at the University of Rochester School of Medicine & Dentistry, completed her internship and residency in obstetrics & gynecology at the University of Rochester Medical Center. She is certified by the American Congress of Obstetrics & Gynecology. She and her husband are parents to a set of triplets. Dr. Florescue is passionate about the prevention of pregnancy and infant loss and the care for families who suffer these terrible tragedies. INSTAGRAM: Connect with HeHe on IG Connect with Dr. Florescue on IG BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience! Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone! LINKS MENTIONED: Star Legacy Foundation Count the Kicks PUSH Pregnancy Tommys.org Saving Babies Lives Care Bundles
Some of the most conservative estimates show 17,000,000 deaths due to the COVID Protocols of 2020 & 2021. Most attention is given to the vaccines …. but a growing number of Americans are drawing attention to the KILL PROTOCOLS which incentivized hospitals to kill their own patients. The atrocities happened on the COVID floors across America.Today we meet a woman who survived the Kill Protocol. Ayesha Kruetz was an outspoken activator and critic of COVID lockdowns in 2020 and became ill during the Delta wave of 2021. She was given the Kill Protocol and suffered on ventilator for 11 days before a judge stepped in and forced Highland Hospital to give her ivermectin through her feeding tube. Her terrifying story exemplifies the extent to which the governement will go to enforce their policies and how easily hospitals submitted - EVEN to the detriment of their own patients!Ayesha Kruetz is a Chaplain, Political Consultant, Grant Writer, Founder and Pro-life Director of Frederick Douglas Foundation of NY in Rochester, New York, United StatesWebsite: FDFNY.comTodays Show Sponsors:Make Your Health Great Again! Lose weight, detox your liver and improve digestion.Liver Health Formula's eight power-packed nutrients recharge all four pillars of liver health. You'll burn belly fat, boost energy, and transform the way you look and feel.Get a FREE 30 Day Supply of Nano Powered Omega 3UNLOCK this special Shannon Joy offer HERE ——>https://getliverhelp.com/offer2/joy?utm_source=podcast&utm_medium=Joy&utm_content=ad1&utm_campaign=Joy_05_01_2024&show=m_demoAchieve financial independence with Colonial Metals Group!!!Set up a SAFE & Secure IRA or 401k with a company who shares your values and supports this show! Learn about your options HERE ——>https://colonialmetalsgroup.com/joyGet FIT and healthy with your daily serving of Field of Greens!! Go to www.fieldofgreens.com and use the promo code JOY for 15% off! Extra special bonus from Field of Greens!!!!Plug in the promo code SHANNON for an additional 15% off your purchase!Go to www.fieldofgreens.com to shop and save! Support the Show.Please Support Our Sponsors! Achieve financial independence with Colonial Metals Group!!! Set up a SAFE & Secure IRA or 401k with a company who shares your values and supports this show! Learn about your options HERE ——>https://colonialmetalsgroup.com/joy Get FIT and healthy with your daily serving of Field of Greens!!! Go to www.fieldofgreens.com and use the promo code JOY for 15% off! For TOTAL phone security and privacy check out our sponsors at Connecta Mobil! Visit them TODAY at www.Phone123.com/Joy Or talk to a real person by calling: 941-246-2156
Editor's note: Beacon was created in 1913 from Matteawan and Fishkill Landing. 150 Years Ago (May 1874) A litter of six foxes was removed from a den at Mr. Snook's farm at Low Point [Chelsea] and killed. In the hole were the remnants of a turkey, goose, hen, woodchuck and two weasels. A man walking along the tracks near Dutchess Junction was crossing the drawbridge when trains approached from both directions. He saved himself by jumping into the water. The Savings Bank in Fishkill Landing installed an iron front manufactured at Stanton's works in Newburgh. Swift's Hall, a former church, was sold at Matteawan to Horatio Nelson Swift, known as "the lawnmower man" because of his innovations in that industry. After a reader threatened to punch him over an article, a reporter for the Newburgh Telegraph commented that "he's an idiot who thinks or believes that a reporter can please everybody." The Sunday School teachers and students at St. Luke's at Matteawan presented Dr. Duncan, the church's pastor for nearly 20 years, with a gold watch. The Matteawan Enterprise folded. The competing Fishkill Standard attributed the closure to "the fact that there is room and patronage sufficient for but one newspaper in this neighborhood." Made despondent by illness, Richard Omerod, 57, of Matteawan, a felt skirt printer at the seamless clothing plant, killed himself with a razor. He was survived by his wife and four children. Passengers on the northbound express arriving in Poughkeepsie reported large fires on the Fishkill Mountains as the train emerged from the Highlands. Charles Hoag was killed when his team became unmanageable and crossed the tracks in front of a train. The horses also died. After a young clergyman in Brockport commented that the women in town could make rich cake but not good bread, he received loaves from 14 single women in his congregation. 125 Years Ago (May 1899) A northbound express hit four brickyard employees near Dutchess Junction, killing one and seriously injuring the others. The men said they did not see the train until it was almost upon them. Fishkill Landing officials borrowed a road-scraping machine from Cold Spring. C.A. Palmer of Fishkill Landing, and formerly of Cold Spring, was credited with taking the first photograph of Washington's Headquarters in Newburgh 36 years earlier. Michael Sliney, a model prisoner at the Matteawan asylum, where he had been sent for life after being convicted of murder, accompanied a guard to the pitch-black basement to make a repair. The men made their way with matches, and as the guard lit a new one, Sliney hit him with an iron pipe. The men grappled in the darkness until the physicians upstairs heard the guard's cries. A few years earlier, Sliney had starred in a minstrel performance at the prison, but praise for his acting brought him notoriety and attention to his crime, so he withdrew. The debate team from Haldane High School visited Matteawan High School to discuss the question: "Resolved, that the U.S. construct and operate the Nicaragua canal." [The U.S. abandoned plans to build the passage after it purchased interest in the Panama Canal.] A service at the African Methodist Episcopal Zion Church at Fishkill Landing ended in chaos. The Rev. S.V. Gumbs had been investigated but exonerated by the trustees after he called several times on Alice Hunt, which led to "talk" in the congregation. During a baptism, Alice's sister, Emma, apparently having taken offense at Addie Henry's role in the episode, punched her in the face, prompting a fight that led to a steward, Thomas Lefevre, being thrown through a window. A Cold Spring man who rode his bicycle to a Matteawan saloon came out to find someone had slashed its tire. About 500 brickyard workers went on strike for higher wages and lower daily quotas. Most employers granted the demands and the men returned to work. 100 Years Ago (May 1924) Sarah Greene left her $5,000 estate [about $92,000 today] to the Highland Hospital, ap...
Follow our show wherever you get your podcasts: https://link.chtbl.com/JoH0AMKR Ever wondered what makes some attending physicians unforgettable mentors? I had the pleasure of delving into the intricacies of medical education with my esteemed colleagues, Winfred Frazier MD and Arthi Chawla MD. Dr. Arthi Chawla, MD is a family medicine specialist in Rochester, NY, and a Senior Instructor in Family Medicine. She is affiliated with medical facilities Highland Hospital and Strong Memorial Hospital. Having completed her residency and a faculty development fellowship in Pittsburgh, she now shapes the minds of residents in western New York. Dr. Chawla emphasizes the importance of a supportive and nurturing environment, where residents can evolve into skilled physicians who practice with both competence and compassion. Her approach to teaching is a testament to the profound influence educators have on the future of healthcare. Dr. Winfred Frazier is a seasoned family medicine physician from Pittsburgh, Pennsylvania. He is a Medical Director at New Kensington Family Health Center; Associate Program Director, Family Medicine Residency Program. Dr. Frazier shared his journey of teaching residents and medical students. His enthusiasm for mentoring the next generation of physicians is palpable as he recounts the fulfillment he derives from witnessing the growth and development of his learners. Together with Dr. Frazier and Dr. Chawla, we uncovered the eight golden rules that can transform your teaching style. Imagine impacting patient outcomes simply by refining how you guide the next generation of doctors. "I've had amazing teachers in my life; I can still remember my third-grade teacher telling me, 'You're doing great, you can do this.' So I've had these mentors in my life, and I just really want to give back." - Winfred Frazier MD "One of the things that has always been really important to me is being approachable and creating a supportive learning environment that's not traumatic and not scary for the learner." - Arthi Chawla MD Episode highlights: The joy of teaching: Insights from dr. Winfred Frazier Fostering growth: Dr. Arthi chawla's vision The eight golden rules of precepting The power of feedback and trust Recognizing learning styles and the need for educator training Resources: One Minute Mindfulness Training: https://www.thehappymdacademy.com/store/x4u6NP4i Watch this episode on Youtube: https://youtu.be/8gjkeaMFK7Y Learn more about Dr. Dike and The Happy MD: https://linktr.ee/dikedrummond Contact Dr. Drummond Email: support@thehappymd.com Phone: 206-430-1905 Web contact form: https://www.thehappymd.com/contact We would love to hear your feedback. Send us your review on Apple Podcasts, iTunes, or in other directories through this link: https://www.podchaser.com/podcasts/physicians-on-purpose-1546320
Do we have a "Self"? Or "Personality"? What's the best way to combat Should Statements? Is TEAM effective without a therapist? What's the Difference between Positive Reframing and Positive Thoughts? Note: The answers below were written by David prior to the podcast, just to give some structure to the discussion. Keep in mind that the actual live discussion by Rhonda, Matt and David will often go in different directions with different information and opinions. So, please listen to the podcast for the more complete answers! Questions for today's Ask David Podcast: Stefan asks if we have a “self” or a “personality.” Slash wants to know how to combat a “Should Statement.” Magellan asks about the effectiveness of TEAM without the guidance of a therapist. Werner asks about the differences between Positive Reframing and the Positive Thoughts you record on the Daily Mood Log. 1. Stefan asks if we have a “self” or a “personality.” What is the so-called “Great Death” of the “self,” referred to in Buddhism? Hi David, I really love your work, both the books and the podcast you've created. Lots of great tools there. I think your down-to-earth approach is effective and great in de-mythologizing mental health care. Still, one thing has been bugging me about your approach: the fact that you quite casually seem to discount the existence of the self. As a theologian I understand this position. In discounting the self as a construct, you'll open the way to less resistance and more acceptance. I studied both Christianity and some Buddhism, and in that tradition the self is essentially something to let go of as an illusion. I think you called this the death of the ego, and it's common in many mystical currents both within and without the major religious traditions. However, by embracing this tradition in a therapeutic setting, I think there's a great risk to gloss over long-held implicit beliefs or patterns in the construction of a personality that might hold people back from reaching their full potential. More specifically, I'm talking about schemas or Lifetraps (in the terminology of Jeffrey E. Young and Janet S. Klosko). I know Aaron Beck supports their work to address these “chronic self-defeating personality patterns” that are usually considered the be part of the self. What's your take on their work? Kind regards, Stefan David's reply Hi Stefan, Personality, like "self" is not a "thing," but just the observations that different people have different behavioral patterns. So, some are more outgoing, for example, while others are more introverted and shy and insecure. The only meaning of "self" is the context in which the word appears. So, "behave yourself" simply means that you are misbehaving and need to stop! Can you come to the Sunday hike is a question. It does not need the add on, "and do you plan to bring you 'self.'" The only meaning of any word is the context, and many uses in the English language, or any language. Nouns do not always refer to "things." Words are just sounds that come out of our mouths. I don't go into this much because few people "get it." Thanks so much, Stefan. Warmly, david PS The above is my take on Wittgenstein's Philosophical investigations, published after he died in 1950. . Second PS I had a random and fairly weak thought, but here it is. When doing my daily “slogging” a while back, I was going through a pleasant and familiar path and noticing how beautiful everything was, and had the thought, “This land is so valuable and expensive, and I'm SO GLAD I don't have to own it. It would involve a nightmare of paper work, taxes and all kinds of worries. But I can just enjoy it without any of those burdens of ownership. Then I thought of the “self,” and what a heavy burden it is to “have one,” and worry about whether or not it is “good enough,” or “inferior,” and so forth. Selves tend to be a bit overweight, and heavy to carry around. And how much more fun, beautiful, and rewarding life is without having to have a “self” to worry about. Rhonda found this helpful after a time feeling confused about the "self," and Matt added this: "Right, and if we own the 'land' one day, and it changes, the next moment, is it the same 'land'? Do we still own it?" Matt's "Self" Thoughts Wittgenstein is one of my favorite philosophers due to the elegance of his solution to philosophical problems, which is to recognize that they are not, in fact, ‘problems'. Instead of trying to answer the question, ‘is there a self', ‘do I have a self', he would point out that these questions are meaningless and can't be answered. One way to bring these questions into a form that could be useful and answerable, is to define the terms. What is the ‘self', and what can it do? How would I know, if I had a ‘self'? If the definition was in the form of a testable hypothesis, we'd be a step closer to arriving at a meaningful answer. In some cases, this answer is incredibly meaningful, in terms of our mental state and relationships. Let's try on a few possible definitions of ‘self' and consider some experiments that could be done to test whether these hold water. ‘Self': (from Meriam Webster): one's essential being, which separates them from others. (I don't find this definition useful, because now I just have to define what is an ‘essential being'? What are we talking about? ‘Self': The subject of our experience; the thing that is thinking our thoughts, and feeling our feelings. (This is also problematic for many reasons. First, it's based on an unproven assumption that experience requires an experiencer. Descartes believed this but Nietsche retorted that this logic was highly flawed as it smuggles the ‘self' into the equation without any justification. Further, there are many ‘nondualistic' philosophies that challenge the ‘separateness' of ‘self' and experience. Meaning, the presence of thought doesn't mean anything other than the presence of thought. We ought to be skeptical of introducing additional complexity into the situation according to the principle of ‘Occam's Razor', that the simplest hypothesis that explains all the observations is more likely to be correct). ‘Self': The ‘CEO' of your mind, the aspec of yourself that is directing your body, attention and decision-making. (This is problematic in many of the same ways as the above definition. It's also the most readily falsifiable definition. We can experiment with our ability to control our decision-making in a variety of ways, one of which is to see if you can ‘choose', with your ‘self' not to understand the words on this page. Or to sit quietly and not think. If our ‘self' can't use its ‘free will' to control the brain's activities in such simple ways, why would we imagine that we have a self, controlling our brain, at all? In fact, most of us believe in a ‘self', which, if we attempt to define it carefully, it can be proven NOT to exist. However, this is an unacceptable conclusion for many people, even though it results in a form of enlightenment. This form of enlightenement is slightly different from ‘self acceptance'. It's more like ‘waking up from a dream of a self' than ‘acceping a flawed self'. All that said, yes, it's often incredibly useful to inspect our assumptions about our ‘self', in terms of our ‘roles' and ‘rules' in our relationships. David offers the ‘Interpersonal Downward Arrow' to do this in a single session. There, we might discover we are stuck in a belief system that is counterproductive, like, ‘we must be perfect', ‘we should never have conflict', etc. There are countless ways people think about their ‘self' which can be productive or a ‘trap'. Obviously, if we had no sense of our identity, purpose, role, etc., it would be hard to know what to do with our ‘selves' on a day-to-day basis! 2. Slash asks how she can combat her “Should Statement.” Hi David I did some exercises and found I a believe that I should play guitar effortlessly or else I should enjoy the process of learning. My disadvantages are greater in CBA. Now what thought should I replace with so that I could have the advantages too. Slash David's reply Thanks, Slash! It is a should statement. Essentially, your “should” doesn't make sense since there is no rule that says you should, must, or ought to enjoy something you don't enjoy right now, so you are just putting pressure on yourself unnecessarily. I once had a patient who had previously been treated briefly by Dr. Albert Ellis when he was in New York. He was on vacation, and was feeling depressed and telling himself that he SHOULDN'T be unhappy since he was on vacation. He thought he SHOULD be enjoying himself. He said that the thing that helped the most was when Dr. Ellis said, “Where the F__K is it written that you are obligated to enjoy being on vacation?” (Ellis used that word a lot!) He said he immediately gave himself permission to feel miserable on vacation, and instantly felt better! This is an example of what I call the Acceptance Paradox. When he accepted his unhappiness, instead of struggling in shame to make it go away, it disappeared. I have a similar story. I used to have a keen interest in collecting coins from around the world, and when I was an intern at Highland Hospital in Oakland, I used to enjoy going to the local coin stores to see if I could find some interesting foreign coin to purchase for a few dollars. This was always exciting, but one day I was in the S & D Coin store just a few miles from our apartment, realized I was totally bored and had lost my interest in collecting foreign coins. I told the friendly dealer, and he said, “Oh, don't worry about it. Just do something else in your free time for a few weeks and your interest in collecting will probably come back.” So, I did that, and that's just what happened. Essentially, he was also giving me “permission” to feel the way I was feeling, and not the way I thought I “should” feel! And when I accepted my negative feelings, they ran their course and disappeared. That worked for me, but there are a lot of methods in TEAM, and you sometimes have to try quite a few before you find the one that works for you, since we're all different. The “go to” method for Should Statements is called the Semantic Technique. Using this method, you could tell yourself, “Right now I seem to have lost interest in music. It would be great if it comes back again, and probably will. But it's natural not to feel excited about music all the time.” Notice that I used “it would be great if” in place of the “Shoulds.” As an aside, we just completed a new class for the Feeling Great App entitled “Your PhD in Shoulds.” You might want to check it out. There's also a lesson on perfectionism at the end of the class. Best, david Cost-Benefit Analysis If I make mistakes, then I am not talented enough to play guitar.(associating my self worth with talent of playing guitar.) Advantages of Believing This Disadvantages of Believing This 1.It will push me to work harder. 1.There is lot of internal pressure. 2.It will motivate me to try different things until I find any solution. 2.It makes me depressed. 3.It can help me to be perfect/achive skills like my idol guitarist. 3.It ruins my currently playing technique I want to master. 4.People will admire me. 4.It makes me stuck at particular point from where I am not able to move forward. 5.It shows that I am one cut above others. 5.It hinders my progress with respect to guitar playing skills. 6.People who think I am not enough I can prove it to them. 6.It makes me frustrated irritated. 7.It can help me to be confident. 7.Endless cycle which I feel I am stuck in the moment and cant get out of it. 8.The quest to achieve will take forever which will make me hopeless and which further decreases my tolerance to make mistakes/which will further make me vigilant to see my mistakes as fault which cannot be corrected. 9.My moral goes down. 3. Magellan asks: Can you do TEAM-CBT without a shrink? Dear David, Could you tell us about studies of the effectiveness of any written TEAM or other therapy materials offered without therapist guidance (for example when people are on a waitlist to see a therapist)? I think I heard of one done with Feeling Good. I wonder if one may be done with Feeling Great. Thanks, Magellan David's response: We have impressive results with our app, which I can describe. It is completely automated without therapist guidance. It is kind of like my first book, Feeling Good, on steroids! I also have precise data on waiting list controls. The waiting list do not improve until they start the Feeling Great App and then they experience rapid and dramatic changes with a couple days. There's no doubt about the effectiveness of the app. Also, there's extensive research proving the effectiveness' o my first book, Feeling Good. There's no question about the effectiveness of these self-help tools. I have many questions about the effectiveness of human shrinks, however! 4. From Werner Spitzfaden: Positive Reframing vs Positive Thoughts I periodically come across clients who get confused by the concept of the Positive Reframing vs Positive Thoughts on the DML. The question they pose is if the Positive Reframe is similar to the Positive Thoughts on the DML? After some explanation I focus on Positive Reframing as a way of seeing that even the most difficult and painful thoughts and feelings reveal something powerful and awesome about us and then ask if that's true about them. This focuses on Outcome Resistance. The positive thoughts on the DML focus on defeating their negative thinking with 2 conditions needing to be present: their new positive thought needs to be believable and it has to drastically reduce the distress resulting from your negative thought. This focuses on the early stages of Methods coming after looking at Distortions followed by the Straight Forward Technique. I would love to hear David's take on this. David's Response Yes, Werner, you are right! The goal of Positive Reframing is not to “Cheerlead” or to persuade the patient that their negative thoughts are not correct, but rather to help them see why they may fight to hang on to their negative thoughts and feelings, because they are beneficial and helpful in many ways. This is the latest list of questions you can ask when doing PR with a negative thought. Most will also apply to a negative feeling. What is the truth in this negative thought? (This is essentially the Disarming Technique applied to your own self-criticism) Why might this negative thought or feeling be healthy and appropriate, given my circumstances. Why might this negative thought or feeling be helpful to me? What does it show about me and my core values that's positive and awesome? What might be some negative consequences of giving up this negative thought or feeling? You were spot on about Positive Thoughts. To be helpful, they must fulfill two conditions. They must be 100% true. Half-truths and rationalizations are rarely or never helpful/ They must drastically reduce your belief in the distorted negative thought. Hey, Werner, we miss you like crazy in the Tuesday group and in our (now small and humble) Sunday hikes. Hope you're doing well.
Teekz ธีกซ์ (he/him/siya) is a passionate cancer survivor and community advocate from Oakland, California. With a focus in Dermatology and Diversity, Equity, Inclusion, & Belonging (DEIB), he is dedicated to uplifting marginalized communities & addressing social determinants of health. Teekz's nontraditional journey began as he battled Lymphoma while attending community college, later transferring to the University of California San Diego to study neuroscience & physiology. At UC San Diego, he ran a free health clinic in Tijuana, Mexico, providing care to medically underserved communities. Teekz earned a master's degree in Medical Health Sciences and attended medical school at Touro University in Vallejo, California—an area known for its diversity & limited medical resources. Alongside his academic journey, Teekz made significant contributions to the medical community. He organized summer internships tailored to underrepresented youth, served as a mentor for pre-med and medical students, & offered dermatologic education specifically catering to individuals with skin of color and gender diverse identities. His unwavering dedication & outstanding achievements in these realms earned him the prestigious recognition of being named National Student Doctor of the Year. During his intern year Teekz returned to his home and worked at Highland Hospital in East Oakland, where he thrived serving underrepresented communities. Teekz continues his mission of educating future healthcare professionals through speaking engagements and evidence-based dermatology videos on social media (@DermDrTeekz). As an aspiring academic Dermatologist, he is committed to empowering his patients and advocating for skin of color in dermatology. Teekz is also an advocate for the QTBIPOC (Queer and Trans, Black, Indigenous, and People of Color) communities, actively addressing their unique healthcare challenges and promoting inclusivity.With varying fluency in Thai (
Embrace change and maintain openness in the journey towards trauma-informed care. -It's through this wisdom and guidance that we're excited to bring you a revealing and heartfelt interview featuring the Highland Hospital pediatrics team. Delving into understanding adverse childhood experiences (ACEs) and trauma's impact on health, you'll hear each care team member offer insights on implementing ACEs screening and supportive measures, reflecting on hurdles overcome and collective milestones achieved.As one of the exemplary teams that are part of the Resilient Beginnings Network (RBN), Highland Hospital Pediatrics invited Health Pilots to host this conversation with them in-person at their facility in Oakland, California – gathered around the table to openly share and unpack their journey through this program with their coach and medical director of RBN, Dr. Dayna Long. Take in the valuable lessons they learned individually and as a care team - and the unique, transformative impact of the Resilient Beginnings model on patient care.Learn more about the people, places, and ideas in this episode: "What are adverse childhood experiences (ACEs)?"Pediatric ACEs and Related Life Events Screener (PEARLS)Example of PEARLS tool (for screening children)Visit Highland Hospital, Alameda Health System - Alameda Health System's flagship, with 236 inpatient beds; a renowned regional trauma center; nationally recognized medical and clinical teaching and research; and state-of-the-art primary, specialty, and multi-specialty care. Its new Acute Care Tower is host to topflight maternal child services and other advanced care.Embracing Staff Training To Help Patients With Trauma - related article featuring the pediatric care team at Highland Hospital within Alameda Health System (March 2023)More on Resilient Beginnings Network (RBN), a Center for Care Innovations learning program dedicated to advancing pediatric care delivery models that are trauma- and resilience-informed so that 100,000 young children and their caregivers have the support they need to be well and thrive.HOPE Framework, or Healthy Outcomes from Positive Experiences can ease toxic stress and help children and youth grow into more resilient, healthier adults. HOPE identifies ways that our communities and systems of care can better ensure that all children have more positive experiences and that all families have support to nurture and celebrate their strengths. The Four Building Blocks of HOPE are composed of key positive childhood experiences (PCEs). The sources of those experiences and opportunities are the foundation for healthy childhood development.
Jyesha Wren Midwife and Founder of BEloved Birth Black Centering at Highland Hospital in Oakland, CA. She is my muse my motivation.....Her work needs to be scaled at every public hospital in America. Follow @beblkcentering and Support her work!!!! Learn more about your ad choices. Visit megaphone.fm/adchoices
This week, Marianna sits down with Leanne Marcotrigiano, Family Physician at La Clínica de la Raza and Highland Hospital, and Jayinee Basu, a 3rd year Medical Resident in Psychiatry, to talk about structural competency in HIV care settings. --Help us track the number of listeners our episode gets by filling out this brief form! (https://www.e2NECA.org/?r=WRR5552)
Join us this week in Asheville, North Carolina as we explore Highland Hospital, and the tragic life and death of Zelda Fitzgerald. Does she still roam the grounds of the former asylum? What about the other souls that perished there? What makes former hospitals, asylums, and other such places so haunted in the first place? Let's find out! Music from #Uppbeat (free for Creators!): https://uppbeat.io/t/dominique-charpentier/pourquoi-pas License code: XQGMKMVWHS4WCCKX --- Support this podcast: https://podcasters.spotify.com/pod/show/appalachianspookyhour/support
The episode where Sarah brings us a paranormal episode from the Appalachians - Highland Hospital, in Asheville, North Carolina. This haunted hospital had a famous guest, Zelda Fitzgerald, wife to famous author F. Scott Fitzgerald. We're gonna call him F. Sarah and Zelda have some similarities - mainly that they like to dance out their feelings. Buuuut Zelda spent a large chunk of her life hospitalized in various hospitals, but died at Highland Hospital, so this is her story! www.thetipsyghost.com Find us on Facebook, Instagram, Twitter, and TikTok @thetipsyghost Email us your stories at thetipsyghost@gmail.com Show your support when you subscribe, leave a great review, & give us a 5 star rating— it really helps!
In this podcast episode Nermine Zakhary and Sherif Samaan share their experiences and insights on playing to one's strengths, identifying strengths, mental fitness, effective communication, and leadership. The guests emphasize the importance of discovering one's strengths, reflecting on past experiences, and setting one's vision. They also stress the significance of mental fitness, effective communication, and experiencing pain, uncertainty, and chaos to grow as a leader. This conversation is relevant for c-suite leaders navigating their next move and anyone in transition looking to understand their strengths and bring them forward. Nermine Zakhary: Nermine Zakhary is a Certified People Acuity Coach™ & Positive Intelligence (PQ) Coach, specializing in helping others strategically apply their strengths to accelerate their performance, energy, relationships, and results.As a PQ Coach, Nermine adds the important layer of helping clients grow their mental fitness (the capacity to handle life's challenges with a positive mindset), the next step in ensuring lifelong application of strengths.Nermine coaches individuals and small groups. She also facilitates workshops to teach strengths strategies to clients so they can define their optimal zones -- and thrive there.Nermine comes to Strengths & PQ coaching with 15+ years of experience in the training industry at Highland Hospital and Xerox Corporation. She holds a Master's Degree in Education, specializing in Instructional Design for Online Learning. Sherif Samaan: Sherif Samaan is an IT executive in the higher education sector with over 25 years of experience in leadership and strategy. Sherif has led projects across the globe, including New York City, Abu Dhabi and Shanghai. Sherif has also served as Associate Vice President and Deputy CTO supporting and leading enterprise application strategy across the local and global NYU campuses. In recent years, Sherif became an ICF certified independent executive coach; working with and helping to transform IT leadership and their staff at several higher education institutions,enabling them to think more strategically while improving their communication, leadership, and collaboration skills with their campus communities; as well as helping them create their career roadmaps while creating more effective IT team structures. Sherif currently works for CampusWorks as the Director of Enterprise Applications at Drew University in New Jersey, where he is building out a leadership program for all IT staff and student workers. Company websites: www.Strengths-Edge.com www.businesstransformationtech.com Linkedin: Nermine:https://www.linkedin.com/in/nerminezakhary/Sherif:https://www.linkedin.com/in/silverfox62/ Whether you are a C-Suite Leader of today or tomorrow, take charge of your career with confidence and leverage the insights of The CEO's Compass: Your Guide to Get Back on Track. To learn more about The CEO's Compass, you can get your copy here: https://amzn.to/3AKiflR Other episodes you'll enjoy: C-Suite Goal Setting: How To Create A Roadmap For Your Career Success - http://bit.ly/3XwI55n Natalya Berdikyan: Investing in Yourself to Serve Others on Apple Podcasts -http://bit.ly/3ZMx8yw Questions to Guarantee You Accomplish Your Goals - http://bit.ly/3QASvymSee omnystudio.com/listener for privacy information.
If you see a police presence it's just a drill
Bob talked about active shooter drills at Highland Hospital, the circus, bank failures, Warsaw maternity services closing, and Brett Sobieraski's marathon of marathons.
Dr. Nagdev is Exo's Senior Director of Clinical Education. Separate from his capacity with Exo, he also serves as the Director of Emergency Ultrasound at Highland Hospital as well as a Clinical Associate Professor of Emergency Medicine at University of California, San Francisco (UCSF). In his previous academic position, Dr. Nagdev started the point-of-care ultrasound (POCUS) program and fellowship at Brown University.Dr. Nagdev is a highly respected international POCUS researcher and educator. He has been a thought leader throughout his career, publishing more than 90 peer-reviewed papers on various aspects of POCUS including pain management, cardiac arrest and volume resuscitation. His work led to recognition and national awards at both the American College of Emergency Medicine (ACEP) and Society for Academic Emergency Medicine (SAEM).Learn More at Exo
Do broken cultures inevitably lead to broken instruments? Does lack of trust between the Sterile Processing & Operating Room teams lead to lack of timely turnovers? On this Season 18 "Investing in Instrument Safety," which is focused on getting our teams the time, money, and support we need to protect our surgical inventory, we sit down with Jason Pacino Operations Manager Sterile Processing at Highland Hospital, to discuss his experiences overcoming the systemic challenges of "us vs them" between SPD & OR to build a quality program that serves both teams, and ultimately the patient, well. Tune in to hear the role frontline technicians play in this culture shift, how leaders can hardwire respect & collaboration across multiple departments, and what the tangible results of this commitment are in light of surgical instrument quality coming out of Sterile Processing. Drop your weapons for a moment and join us for a conversation on peace-making in the name of patient safety. We know you'll enjoy! Season 18 episodes are individually approved for 1 CE, so once you finish this interview, you can download your CE certificate immediately by passing the short quiz linked below each week. For access to this CE quiz and over 300 other free CE credits, visit our CE Credit Hub: http://www.beyondclean.net/ce-credit-hub
Six people were injured in a school shooting Wednesday in Oakland's Eastmont Hills, police said. Oakland police officials said the shooting took place at the King Estate campus on Fontaine Street, which houses multiple schools. Officers are looking for at least one shooter, but add other suspects might be involved. The school has since been cleared by police. Highland Hospital in Oakland confirms it is treating three of the victims, who all are in critical condition with gunshot wounds. The other three victims were transported to Eden Medical Center in Castro Valley, according to the hospital. Police in a late afternoon briefing said all victims are adults affiliated with the school and provided the following updates on their conditions: two are suffering from life-threatening injuries one victim has been released from the hospital two victims are pending release from the hospital one victim has injuries that are non-life threatening See omnystudio.com/listener for privacy information.
Six people were injured in a school shooting Wednesday in Oakland's Eastmont Hills, police said. Oakland police officials said the shooting took place at the King Estate campus on Fontaine Street, which houses multiple schools. Officers are looking for at least one shooter, but add other suspects might be involved. The school has since been cleared by police. Highland Hospital in Oakland confirms it is treating three of the victims, who all are in critical condition with gunshot wounds. The other three victims were transported to Eden Medical Center in Castro Valley, according to the hospital. Police in a late afternoon briefing said all victims are adults affiliated with the school and provided the following updates on their conditions: two are suffering from life-threatening injuries one victim has been released from the hospital two victims are pending release from the hospital one victim has injuries that are non-life threatening See omnystudio.com/listener for privacy information.
Six people were shot at Sojournor Truth Independent Study high school in East Oakland on Wednesday, September 28th. As of this reporting, two of the victims are reportedly in critical condition at Highland Hospital, and the other four are in stable condition. When intense violence happens in our neighborhoods, we can't just pass it by. Yesterday, 6 people were shot at an East Oakland high school campus. Our guest in this episode is Jose Garcia, the Safety Specialist at Rudsdale High School and the program manager of the newcomer success and safety initiative there. Rudsdale shares a campus with Sojournor Truth school, where the shooting took place. —- Subscribe to this podcast: https://plinkhq.com/i/1637968343?to=page Get in touch: lawanddisorder@kpfa.org Follow us on socials @LawAndDis: https://twitter.com/LawAndDis; https://www.instagram.com/lawanddis/ The post School shooting in Oakland w/ school safety specialist Jose Garcia appeared first on KPFA.
This episode explores Highland Hospital and the lingering spirit of Zelda Fitzgerald, as well as the haunting of the Pink Lady at the Grove Park Inn of Asheville, North Carolina.Find me on social media at Obscure Appalachia.Submit your true paranormal or true crime stories to obscureappalachia@gmail.comSources:https://theclio.com/entry/50256https://archives.mc.duke.edu/blog/closer-look-highland-hospital-brochurehttps://mountainx.com/news/tuesday-history-the-fire-at-highland-hospital/https://ashevillegrit.com/behind-bars-legend-lurks-highland-hospitalDiscovering Montford's Early History Part 5: “What Got Done!” – Buncombe County Special CollectionsAsheville Terrors - Highland Hospital: A Mental InstitutionZelda Fitzgerald and the Highland Hospital Fire - Blue Ridge CountryVisiting Our Past: Greatest WNC ghost stories, part 2Asked: Your true local ghost stories - AVLtoday | Your Resource for Asheville, North CarolinaGhost Hunters of Asheville: Highland Hospital Haunts, Pt. IInsulin shock therapy - WikipediaZelda Fitzgerald - WikipediaThe Haunting of Zillicoa Street – HD CarolinaAsheville Archives: An exercise in perseverance at Highland Hospital | Mountain XpressThe Pink Lady of Grove Park Inn | North Carolina GhostsA Ghost in Room 545: The Pink Lady of the Grove Park InnShare a Room with the Pink Lady at the Omni Grove Park Inn | Project 543The Pink Lady: A playful spirit roams The Omni Grove Park Inn – The Blue BannerAsheville Resorts | History of The Omni Grove Park Inn
Join us this week as we dive into the history of Highland Hospital and the life and death of Zelda Fitzgerald. You guys have been asking for this one and Holly brings it this week! Follow us on all the things!Facebook: Mountain Mysteries: Tales from AppalachiaInstagram: Mountainmysteries.appalachiaGmail: mountainmysteries.appalachian@gmail.comPatreon: Patreon.com/mountainmysteriesSupport the show
Oscar Grant III was a 22-year-old African-American man who was killed in the early morning hours of New Year's Day 2009 by BART Police Officer Johannes Mehserle in Oakland, California. Responding to reports of a fight on a crowded Bay Area Rapid Transit train returning from San Francisco, BART Police officers detained Grant and several other passengers on the platform at the Fruitvale BART Station. BART officer Anthony Pirone kneed Grant in the head and forced Grant to lie face down on the platform. Mehserle drew his pistol and shot Grant. Grant was rushed to Highland Hospital in Oakland and pronounced dead later that day. The events were captured on multiple official and private digital video and privately owned cell phone cameras. Owners disseminated their footage to media outlets and to various websites where it went viral. Both peaceful and violent protests took place in the following days.
Oscar Grant III was a 22-year-old African-American man who was killed in the early morning hours of New Year's Day 2009 by BART Police Officer Johannes Mehserle in Oakland, California. Responding to reports of a fight on a crowded Bay Area Rapid Transit train returning from San Francisco, BART Police officers detained Grant and several other passengers on the platform at the Fruitvale BART Station. BART officer Anthony Pirone kneed Grant in the head and forced Grant to lie face down on the platform. Mehserle drew his pistol and shot Grant. Grant was rushed to Highland Hospital in Oakland and pronounced dead later that day. The events were captured on multiple official and private digital video and privately owned cell phone cameras. Owners disseminated their footage to media outlets and to various websites where it went viral. Both peaceful and violent protests took place in the following days.
Oscar Grant III was a 22-year-old African-American man who was killed in the early morning hours of New Year's Day 2009 by BART Police Officer Johannes Mehserle in Oakland, California. Responding to reports of a fight on a crowded Bay Area Rapid Transit train returning from San Francisco, BART Police officers detained Grant and several other passengers on the platform at the Fruitvale BART Station. BART officer Anthony Pirone kneed Grant in the head and forced Grant to lie face down on the platform. Mehserle drew his pistol and shot Grant. Grant was rushed to Highland Hospital in Oakland and pronounced dead later that day. The events were captured on multiple official and private digital video and privately owned cell phone cameras. Owners disseminated their footage to media outlets and to various websites where it went viral. Both peaceful and violent protests took place in the following days.
293: The Five Secrets with Violent and Angry Individuals, Featuring Heather Clague, MD Heather Clague MD is a Level 5 TEAM therapist and trainer with a practice in Oakland, California and consult-liaison psychiatrist at Highland Hospital in Oakland. In addition to running an online consultation group for TEAM therapists, she is faculty for All Things CBT, teaches for the Feeling Good Institute, and has taught the Five Secrets of Effective Communication to medical staff. Her writing can be found at psychotherapy.net. With Dr. Brandon Vance, Heather co-leads the Feeling Great Book Club, a book club for everyone, everywhere who wants to learn the magic of TEAM. In today's podcast, Rhonda and David speak with Dr. Heather Clague who describes her working in the psychiatric emergency room at Highland Hospital in Oakland, California, and other emergency facilities including Fairmont Hospital in San Leandro, California, interacting with hostile and psychotic individuals who often have to be held against their will because they are a danger to themselves or others, or unable to care for themselves. Although today's podcast will be of special interest to mental health professionals, it will also be of great interest to anyone having to interact with strangers, friends or family members who are angry and abusive. She explained that In these types of settings, we often have to give patients the opposite of what they want. For example, if they're involuntarily hospitalized for dangerous behavior, we have to restrain them, or keep them in the hospital, when they desperately want out. Or, if they want to stay in the hospital, we may have to discharge them. Many of these patients are psychotic and lack judgment, so they may shout and act out in anger and frustration. The Five Secrets (LINK) have been a godsend, and when it works, the results are amazing. For example, if a patient is screaming for us to release them, the natural instinct to get defensive just agitates them more and is rarely or never effective. If in contrast, you say, “You're right, we are holding you against your will and you have every right to be angry,” they usually feel heard and calm right down. In one recent case, an agitated and confused homeless woman needing dialysis was near death because she was refusing treatment and refusing to take her medications. She was manic, agitated, and talking rapidly, non-stop. I said, “I think you're really upset because we're keeping you against your will.” The patient shouted “Yes!” Then I said, “And you're telling us that you do have a place to go to if we let you out.” The patient said, “yes,” in a softer voice, and let the nurse come in and give her her medications, which she took. Heather described phrases she uses to get into each of the Five Secrets in high-secrets situations when you don't have much time to think and have to respond quickly, including these: For the Disarming Technique: “You're right,” followed by a statement affirming the truth in what the patient just said. Thought Empathy: “What you're telling me is” followed by repeating what the patient just said. This is helped greatly by writing down what the patient said. Without writing things down, this technique tends to be impossible for mental health professionals OR the general public. In spite of this, most people refuse this advice! Feeling Empathy: “Given what you just told me, I can imagine you might be feeling X, Y, and Z” where X, Y and Z are feeling words, like “upset,” “anxious,” or “angry,” and so forth. Inquiry: Heather emphasizes two productive lines of Inquiry: “Am I getting it right?” “Can you tell me more about how you're feeling?” “I Feel” Statements: “I'm feeling X, Y, and Z right now,” where X, Y, and Z are feeling words like sad, concerned, awkward, and so forth. When done skillfully, this technique adds warmth and genuineness, and facilitates the human connection. Heather cautions against saying “I feel like you . . . ” since this ends up not as a statement of your own feelings, but a criticism of the other person. “I feel that . . . “ has the same problem. Stroking: This conveys caring, liking and respect, but cannot be done in a formulaic way. You might say things like “I care about you and I'm really concerned that you're struggling right now,” or ‘What you are saying is very important, and I want to understand more.” For example, you might say this to an angry patient being held against his or her will: “You're right, I am holding you against your will, and insisting that you stay, and I don't like it either. But I'm very concerned that if I let you out now, you might get hurt, or do something to hurt yourself, and your life is precious. I don't think I could forgive myself if I did that.” Of course, all of this has to come from the heart and has to be done skillfully, or it will not work. Heather described other inspiring stories of challenging patients she'd worked with, and we took turns modeling Five Secrets responses to ultra-challenging patients, including one who was brought into the ER by police on a gurney in leather restraints who took one look at her doctor and said, “Boy, are you ugly!” On another occasion, she walked into the room of a male patient, introduced herself, and asked if they could talk. He replied provocatively, “Sure, if you get into bed with me, baby.” Rhonda and Heather reminisced about their meeting at one of my four day intensives for mental health professionals several years ago at the South San Francisco Conference Center, and became best of friends. They have traveled together to India and Mexico teaching TEAM-CBT and spreading the gospel according to Burns! I also reflected on my two years of internship and residency training at Highland Hospital, and my profound gratitude and admiration for that hospital and the many dedicated and talented health professionals who serve there. Thanks for tuning in today! Heather, Rhonda, and David
Someone gets possessed by an owl, we discuss "nervous diseases," chickens, and vampires. This one is all over the place, as usual. If you are looking for a better description, we talk about Chicken Alley and Highland Hospital in Asheville, NC, and the Impundulu from South Africa. Enjoy! *****Take a look at our new website: mysteriesmythsandlegends979965312.wordpress.com Rate and review us on Apple Podcast and Spotify and comment on our instagram! Thanks for listening and enjoying! Youtube: https://www.youtube.com/channel/UCRzvHQnrEjU0Pp2gIIL47rA Email us your stories!!! or if you want to sponsor us #spons Email - mysteriesmythslegends@gmail.com ESTY: www.LuxieandLuna.com We post pictures of our stories every week on instagram!!!! FOLLOW US ON SOCIALS: Tiktok: @myths_podcast Instagram: @myths_podcast Twitter: @myths_podcast Taylor's Instagram: @teeelive Taylor's Twitter: @teeelive Savannah's Instagram: @kavannahaha Savannah's Twitter: @sanna_sunshine Sources: https://en.wikipedia.org/wiki/Lightning_bird https://offbeat.fandom.com/wiki/Impundulu https://roadtravel1.wordpress.com/2015/02/12/impundulu-the-lightning-bird/ https://coffeeandcreatures.co.uk/2018/10/25/lightning-bird-impundulu-inyoni-yezulu/ https://abookofcreatures.com/2016/11/07/impundulu/ https://audenjohnson.com/2019/04/mythical-creature-impundulu-lightning.html https://ztevetevans.wordpress.com/2016/05/18/african-folklore-the-lightning-bird/
Kent reunites with Cordelia at the Highland Hospital in Oakland, where with a doctor they witness King Lear's awakening and recognition of his youngest daughter. Meanwhile, at the Cow Palace in San Francisco, Regan confesses to Edmund that she fears he is not loyal only to her, but also to her sister. Edmund tries to reassure her, but he is interrupted by Goneril and Albany, who arrive to negotiate on how to proceed with their battle plans. Once Goneril, Regan and Edmund are gone, Edgar slips in, disguised, and delivers a message to Albany to summon him upon their victory. Elsewhere, Edmund takes a moment to contemplate his future, vowing to win the battle and dispense with Albany when the time comes. Later, on Market Street in The Warfield, Edgar finds a place for Gloucester to take refuge as the battle rages. Once he learns that Lear's forces have been defeated, he encourages his father not to lose hope and together, they flee to another refuge. In the Fillmore Auditorium in The Cow Palace, Edmund savors his victory as Lear and Cordelia comfort each other in shackles. Edmund sends them to prison and instructs an army captain to follow his command concerning their fate. Albany arrives to challenge Edmund's authority in dealing with the prisoners, leading to an argument between Edmund, Albany, Goneril, and Regan, who becomes increasingly unwell as the scene progresses. The fight culminates in Albany accusing Edmund and Goneril of treason, vowing to present his proof when the trumpets sound. Edmund accepts the challenge and dares his accuser to approach. The Play On Podcast series KING LEAR, was translated into modern English verse by MARCUS GARDLEY and directed by ERIC TING. The Cast is as follows: KEITH DAVID as King Lear GINA DANIELS as Goneril AMY KIM WASCHKE as Regan FRANCESCA FERNANDEZ McKENZIE as Cordelia CHRISTIANA CLARK as the Earl of Kent ALDO BILLINGSLEA as The Fool BERNARD WHITE as the Earl of Gloucester TRAMELL TILLMAN as Edmund DANIEL JOSE MOLINA as Edgar and the Duke of Burgundy LANCE GARDNER as Oswald and The King of France J.D. MOLLISON as the Duke of Albany and the Doctor REX YOUNG as the Duke of Cornwall Casting by THE TELSEY OFFICE: KARYN CASL, CSA, and ADA KARAMANYAN. Voice and Text Coach: REBECCA CLARK CAREY Episode scripts were adapted and produced by CATHERINE EATON. Original Music, Sound Design, and Sound Mix by LINDSAY JONES. Sound engineering by SADAHARU YAGI. Additional Engineering by DANIEL BEN-SHIMON. Mix Engineer and Dialogue Editor: LARRY WALSH. Podcast Mastering by GREG CORTEZ at New Monkey Studio. Line Producer: JORDAN MOORE. Managing Producer: ROBERT CAPPADONA. Senior Producer: MIRIAM LAUBE. Executive Producer: MICHAEL GOODFRIEND. The Senior Manager of Business Operations and Partnerships at Next Chapter Podcasts is SALLYCADE HOLMES. The Play On Podcast Series King Lear is produced by NEXT CHAPTER PODCASTS and is made possible by the generous support of THE HITZ FOUNDATION. Visit N C PODCASTS DOT COM for more about the Play On Podcast Series. Visit PLAY ON SHAKESPEARE DOT ORG for more about Play On Shakespeare. New episodes go live every Friday. Please subscribe, rate & review on your app of choice. Visit ncpodcasts.com/playonpodcast for bonus content including interviews, images and bios of the full cast & creative team. Visit playonshakespeare.org for more about Play On Shakespeare.
On today's show we'll focus on functional neurological disorder, or FND -- a wide range of conditions including non-epileptic seizures and functional weakness, dystonia and tremor. These conditions are common and can cause serious disability. But what are these conditions, exactly? What have functional neuroimaging and other tools taught us about their pathophysiology, diagnosis, and treatment? Series 3, Episode 2 Featuring: - Guest: Dr. Sara Finkelstein, neurologist and specialist in functional neurological disorder at Massachusetts General Hospital - Interviewer/Producer: Dr. Adeline Goss, Neurohospitalist at Highland Hospital and the host and executive producer of ANA Investigates
William Gee Wong almost didn't exist. A few years before Wong was born, his father was shot four times over a dispute involving Oakland Chinatown's underground lottery. Thanks to the quick work of doctors at Highland Hospital, Wong's father survived, and after retiring from the gambling business, he opened the Great China restaurant on a busy commercial stretch of Webster Street. William Gee Wong was born just around the corner, at the family's house on Harrison Street, the youngest of seven children. Even after his family moved to the “China Hill” area east of Lake Merritt, one of the few neighborhoods open to Asian-Americans during the 1940s, William spent most of his time either working for the family business or at Lincoln School. This is why he says “Chinatown was my whole universe” for about the first 20 years of his life. As the decades passed, Bill learned journalism writing for The Daily Cal, before breaking racial barriers at the San Francisco Chronicle and Wall Street Journal. Eventually, he returned to his hometown to write for The Oakland Tribune about culture and politics from an Asian-American perspective, something practically unheard of at mainstream media outlets in the 1980s. Since retiring he's published two books, “Yellow Journalist” and “Oakland's Chinatown,” and he's currently working on a memoir about his father, who immigrated from China in 1912. In today's episode, William Gee Wong discusses the history of Chinese immigration to California, the rise of Oakland's Chinatown, his memories of working in a “hybrid” restaurant, the systemic racism of urban renewal projects that gutted his neighborhood, and much more. To see photos related to this story, visit: https://eastbayyesterday.com/ East Bay Yesterday can't survive without your support. Please donate to keep this show alive: www.patreon.com/eastbayyesterday
Nermine Zakhary is a practitioner of strengths, particularly how to strategically apply them to accelerate performance, energy, relationships, and results! As a Certified People Acuity Coach™, Nermine coaches individuals and small groups. She also facilitates workshops to teach strengths strategies to clients so they can define their optimal zones -- and thrive there. The focus is on strengths-building instead of weakness-fixing! This positive approach allows clients to own who they are and empowers them to purposefully make their unique and impactful contributions to our world. Nermine comes to strengths coaching with more than 15 years of experience in the training industry at Highland Hospital and Xerox Corporation, and she holds a Master's Degree in Education, specializing in Instructional Design for Online Learning from Capella University. Learn more about Nermine Zakhary at Strengths-Edge.com and be sure to follow her on Facebook, YouTube and Instagram.
Arun Nagdev, M.D., is Exo's Senior Director of Clinical Education. Separate from his capacity with Exo, he also serves as the Director of Emergency Ultrasound at Highland General Hospital as well as a Clinical Associate Professor of Emergency Medicine at University of California, San Francisco (UCSF). In his previous academic position, Dr. Nagdev started the point-of-care ultrasound (POCUS) program and fellowship at Brown University. Dr. Nagdev is a highly respected international POCUS researcher and educator. He has been a thought leader throughout his career, publishing more than 90 peer-reviewed papers on various aspects of POCUS including pain management, cardiac arrest and volume resuscitation. His work led to recognition and national awards at both the American College of Emergency Medicine (ACEP) and Society for Academic Emergency Medicine (SAEM). His desire to increase clinical POCUS education for residents and medical students has garnered him numerous teaching awards at Brown University, Highland Hospital and UCSF. Over the course of his career, he has been an invited lecturer for POCUS education at numerous national emergency medicine conferences (ACEP, SAEM, AAEM, etc). He currently serves as president of the American Institute of Ultrasound in Medicine (AIUM) POCUS section and is the incoming president for ACEP Ultrasound section. Keep exploring point-of-care ultrasound at POCUS.org.
Today we try something new. We're joined by five esteemed multiple myeloma experts for a back-and-forth round table discussion on the disease, including initial therapy, high risk, and maintenance. Our guests are Dr. Raj Chakraborty of Columbia University, Dr. Sam Rubinstein of the University of North Carolina Chapel Hill, Dr. Manni Mohyuddin of the University of Utah, Dr. Ben Derman of the University of Chicago, and Dr. Kevin Knopf of Highland Hospital. Back us on Patreon! www.patreon.com/plenarysession Check out our YouTube channel: www.youtube.com/channel/UCUibd0E2kdF9N9e-EmIbUew
S2E18 In Louisiana, a 12 year old boys birthday party goes wild with a shooting involving two groups resulting in nine children being shot. In St. Louis, the lawyer who he and his wife were forced to defend their home when BLM decided to break into their gated community says he's going to throw his hat into the ring and run for congress. A Mendocino County restaurant is offering you 50% off your meal if you trash your mask when you visit. And an email from Alameda County's Highland Hospital to the Oakland Zoo requesting special medicine that usually is used for animals is needed in saving a man's life. And a lot of other stuff. Thanks for listening to my podcast!
Dr Celia McIntosh is a nurse practioner, speaker, author and Human Trafficking Awareness Educator. Join us for this one of a kind interview with this phenomenal nurse. Dr. Celia McIntosh DNP, RN, FNP-C, PMHNP-BC, SCRN, CEN, CCRN, CNRN is the President of the Rochester Regional Coalition Against Human Trafficking (RRCAHT) and a Nurse Practitioner in the Neuroscience Center at Rochester Regional Health in Rochester, NY. Celia received her associate's in nursing from Monroe Community College, a bachelor's degree in nursing from Brockport State University and her master's degree in nursing, and her Doctorate of Nursing Practice degree from St. John Fisher College. Professionally, Celia has worked as a nurse for a number of organizations, including the Rochester General Hospital and Highland Hospital. She has worked as a family nurse practitioner in the Department of Neuroscience and the Medical Observational Unit Rochester Regional Health System. Celia is an inspiring leader in the Rochester community both in her professional work and her commitment to educating the public about the ubiquity of human trafficking. Celia combines her medical training with her commitment to raising awareness about trafficking victims through the development of educational programs for Health Care Professionals. She presented “Human Trafficking 101: For Emergency Medicine Providers” at Rochester General Hospital's Best Practices Seminar, the Genesee Valley Chapter Emergency Nurses Association, and URMC Anti-Human Trafficking Conference. Most recently, she presented the “Human Trafficking: Globally, Locally and its Impact on Human Rights” at the United Nations Association of Rochester, “Sexual Health: Sex Trafficking Violence and the Pandemic” for the CEI Sexual Health Center of Excellence, on a panel for the Wyoming County Safe Harbour Summit, and the 7th Judicial District Statewide Human Trafficking Intervention Court Web Series. Celia is passionate about ending human trafficking and becoming a voice for policy and social change in the fight against human trafficking.
Dr. Dan Field explains how he went from retirement to ardent CMO in this week's interview. Dr. Dan Field is the chief medical officer for MDstaffers, recently ranked the 49th fastest-growing company in the United States. There, he oversees all clinical staff operations and quality assurance. He also oversees the Medical Expert staffing component. Dan is a board-certified emergency medicine physician who practiced for more than 30 years. He serves the California Medical Board as an expert reviewer and consultant. He is an expert witness for cases involving personal injury, criminal law, standard of care, and malpractice, and is a featured speaker, panelist, media physician, and talk show guest. Dr. Field received his medical degree from the University of California at San Francisco, followed by an internship at Highland Hospital in Oakland. He then completed his EM residency at University Hospital in Cincinnati. I advise you to listen closely as Dan talks about how he pursued interests that satisfied his need for autonomy, variety, accomplishment, and reward. And he notes that humans are not made to BE happy but to PURSUE happiness. Then he provides practical advice about stacking new skills to prepare for your next career. A pertinent example he provides is to work as a state medical board reviewer to gain experience before embarking on a medical expert consulting side business. We cover two important topics today: preparing for the transition from retirement from medicine to your next career, and how to prepare to do medical expert consulting. Using a company such as MDstaffers to help you learn necessary skills and find your first clients is one way to accelerate the process of growing that side job. I have no financial relationship with the company, but I think exploring MDstaffers at mdstaffers.com is a good place to look for locums jobs and medical expert witness consulting engagements. And from what Dan sees, he or one of his colleagues can help you to prepare to get started. As always, you’ll find all of the links for today’s show in the show notes nonclinicalphysicians.com/from-retirement-to-ardent-CMO. Get an updated edition of the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs.
Dr. Chin-Lin Ching, medical director of palliative care at Highland Hospital, joins her mentor, Dr. Diane E. Meier, director of the Center to Advance Palliative Care for an interview. In this episode, Dr. Ching shares how she turned around her program, which was considered successful on paper (based on high and rising volume), but unsustainable due to strains on staffing — causing her team to feel overwhelmed and burnt out. Instead of walking away, Dr. Ching took steps to overcome her feelings of despair, which included research, planning, and implementing change. For more information, click here.
Dr. Dan Field and Sandy Scott dig into:Waldorf educationIs there a positive side to Imposter Syndrome?Skill stacking -- how to combine your existing skills in a new way to provide unique valueTaking 50 dying patients on an all-expenses-paid trip to France (annually)The satisfaction of getting one thing done early in the morningDr. Dan Field is the chief medical officer for MDstaffers, one of the fastest-growing companies in the United States.Dr. Field is responsible for overseeing all clinical staff operations and quality assurance for MDstaffers. He provides clinical leadership to MDstaffers’ contract staff and assists in creating innovative staffing models to help healthcare facilities achieve optimal physician staffing levels while also upholding the highest quality standards in the ever-present physician shortage. Dr. Field is an emergency physician by training and has practiced emergency medicine for more than 30 years. Dr. Field is certified by the American Board of Emergency Medicine and maintains an active clinical practice.Dr. Field is an instructor at the California Northstate University College of Medicine and previously served as clinical faculty at UC Davis School of Medicine for 25 years. Dr. Field serves the California Medical Board as an expert reviewer/consultant and provided medical expertise to the Sacramento County Sheriff SED/SWAT team as a Reserve Deputy Sheriff.Dr. Field received his medical degree from the University of California at San Francisco, completed an internship at Highland Hospital in Oakland and residency at University Hospital in Cincinnati. Dr. Field has an active California medical license. He has experience practicing in resource-rich, urban hospitals as well as under-served, rural, critical-access facilities. Dr. Field also has extensive experience in telemedicine and telehealth staffing.Dr. Field has served as an expert witness for cases involving personal injury, criminal law, standard of care, and malpractice. He has also been a featured speaker, panelist, media physician, and talk show guest.Specialties: Emergency Medicine, Urgent Care, Emergency Department, Triage, Remote and Rural Medicine, Expert Witness, Peer Review, Personal Injury, Product Liability, Criminal, Malpractice, Employment, strangulation, assault, trauma, domestic violence, stabbing, gunshot wounds, forensic medicine, medicolegal, locum tenens, physician staffing, telemedicine, telehealth, managed services
In this episode, we will be talking about the talented, and very underrated, Zelda Fitzgerald and her untimely death at Highland Hospital.
Join Michael Lerner in conversation with nurse midwives Ariska Razak, RN, and Carol Densmore, CNM, talking about birth and the healing wisdom of earth-based traditions. Ariska Razak, RN, CNM, MPH Arisika’s work integrates the disciplines of Women’s Studies/ Women’s Spirituality, and Women’s Health and Spiritual Dance, through the incorporation of the teachings of earth-based spiritual traditions, women’s spirituality, and women’s health into the language of movement and dance. She has worked as a nurse midwife, health care provider, and health care administrator for over 25 years, serving as staff nurse-midwife and director of the Nurse-Midwife Service at Highland Hospital in Oakland; director of the Alameda County Pre-term Delivery Prevention Project, and Assistant Administrator for Ancillary services at Cowell Hospital, UC Berkeley. Carol Densmore Carol brings 25 years of experience in education, program development, and clinical care to her current position as the Director of the Cambridge Health Alliance Doula Program in Cambridge, Massachusetts. This unique, multicultural program offers emotional, social, and educational support for childbearing women at the Cambridge Birth Center and Cambridge Hospital. She has attended births in Boston area hospitals and homes, a Mexican border birth center and an Indian desert village. In India, she traveled extensively and researched the training of village health workers and traditional midwives. She holds Master’s Degrees in Education and in Public Health from Boston University and is a Certified Nurse Midwife.
Dr. Jessica Zitter works at Highland Hospital, a public hospital in Oakland, where she specializes in critical and palliative care medicine. She says having hard conversations about our end-of-life wishes can transform our fears about death into hope about life. We meet several people she's helped guide through the process of talking about death, including a grocery store worker in LA who got sick with COVID, an Oakland man hospitalized with serious lung disease who struggles to face his own mortality, and a son who had to watch his 92-year-old father die of COVID far away from family, alone in a hospital bed. Dr. Zitter is the author of “Extreme Measures: Finding a Better Path to the End of Life.”
"Offbeat" is our brand new weekly mini-show departing from our usual Appalachian true crime to bring you nightmarish tales, spooky history, hauntings, and all things creepy in Appalachia. Each Wednesday a new epsiode of Mountain Murders Offbeat will be available for those who subscribe to the show. On our first Offbeat episode, Heather and Dylan discuss Asheville's Highland Hospital which was created during the asylum era. We'll dive into the hospital's unsavory history, unorthodox treatments of the time, and one of the most famous patients--Zelda Fitzgerald. Zelda died tragically at the hospital and her ghost is said to haunt the grounds to this day! Take a listen to Mountain Murder's Offbeat! email: mountainmurderspodcast@gmail.com with your suggestions or feedback
SEIU 1021 members on strike outside Highland Hospital in Oakland, on Weds Oct 7, 2020 (Photo: SEIU 1021 Twitter) 0:08 – The Vice Presidential Debate Steve Phillips (@StevePtweets) is the founder of Democracy in Color, host of the podcast by the same name, and author of the book Brown Is the New White. 0:34 – Debate reaction and negotiations on the next COVID relief bill Mitch Jeserich hosts Letters and Politics, weekdays at 10AM on KPFA. 1:08 – Alameda Health System workers on strike Derrick Boutte is a housekeeper at Highland Hospital and a member of SEIU 1021 (@seiu1021). 1:15 – COVID conditions at Santa Rita Jail A group of legal advocates released an anonymous letter demanding conditions inside Santa Rita jail are creating a dangerous environment for COVID, and demand the Alameda County Sheriffs Office and the Alameda County Board of Supervisors address the situation. Lina García Schmidt is a National Lawyers Guild-SF Santa Rita Jail Hotline Coordinator. 1:34 – Vallejo declares public safety emergency over crime and policing Brian Krans (@citizenkrans) is an independent investigative reporter and producer working with the non-profit newsroom Open Vallejo. The post Highlights of the Vice Presidential debate; Plus: Healthcare workers with SEIU 1021 and CNA on strike at East Bay hospitals; and COVID in Santa Rita jail appeared first on KPFA.
In this episode from the ACEP-EQUAL series, guests Ariana Samson and Dr. Andrew Herring share their experiences with the use of PAs and APRNs to drive the treatment of opiate use disorder in the ED. Guests: Ariana Samson PA-C, ED APP Lead for US Acute Care Solutions, Marshall Medical Center, Placerville, VA Andrew Herring MD. Associate Director of Research, Highland Hospital, Alameda Health System Medical Director, Substance Use Disorder Treatment Program Assistant Clinical Professor, University of California San Francisco Host: Jason Woods, MD Audio Editor: Kellen Vu www.acep.org/equal
- Stacey Ballard I think the most important thing is that 40 percent of Americans live with at least one chronic illness, 40 percent of Americans. So we all know somebody who lives with chronic illness. And so we we know that those people are out there working right now, just like I had to work, whether I felt good or bad. So we just need to be nice to each other even. You know, we need to understand that we're all going through something, whether it's chronic illness, whether it's addiction, whether you're in an abusive relationship. We are all we all have our own story of stress and what is causing issues in our life. I just wish we could be nicer to each other, more understanding. INTRO Today, Stacey Ballard shares about living with multiple, chronic illnesses. From hyperthyroidism to endometriosis to Crohn’s disease, and more, Stacey has spent most of her life under the shadow of sickness. There is the revolving door of hospital visits, the grinding exhaustion, and the fragility of a body prone to illness. Yet, Stacey is also a published author and artist who recently released a book called The Fine Art of Waiting, crafted to help others who are in a season of waiting…and, in the throes of COVID-19, isn’t that all of us? I am happy to welcome Stacey to the show. Stacey lives in the Lake Tahoe region of California, where she likes to walk with her dog in the Desolation Wilderness. - Stacey Ballard And so it's really easy to get out in nature. I love kayaking on the lake and but I spend most of my time walking and just enjoying the air and the and the surrounding landscape. These wide open spaces are a far cry from the bustling Bay area of San Francisco, where she grew up. Life in the Bay was crowded, chaotic, and the pace of life contributed to her mounting illness. - Liesel Mertes Would you set the scene for us of what you're growing up years were like? And as you look back, when you first think, oh, yeah, that those were signs of me being unwell. - Stacey Ballard Absolutely, I was a skinny, nervous, clumsy little kid, and my family pretty much just thought that's the way I was. - Stacey Ballard And actually I think it might have been coming up to Tahoe, were coming up into the elevation. I started having really bad symptoms, heart racing, vomiting. And so we started going to my doctor in the Bay Area. - Stacey Ballard I think I was about nine years old and it took some blood tests and things like that. But that's when they discovered that I had hyperthyroid and and started treating me at with my local family physician. - Liesel Mertes What was that like for you? - Stacey Ballard Oh, the symptoms of hyperthyroidism, especially in a small child, nervousness, anxiety, sensitivity to emotional situations. - Stacey Ballard Heart racing, no appetite. - Stacey Ballard Yeah, so I was I was very nervous all the time, scared of everything, and and so the diagnosis was helpful because the problem did need to be taken care of because it was in a way that I could continue living. It would have caused more physical and mental problems if it wasn't taken care of. But, yeah, it was it was it was scary as a kid to be so emotionally raw all the time. Stacey was emotionally raw, entering a complex medical system and web of doctors. - Stacey Ballard that's when I remember one of my first traumas as a person living with chronic illness and living with doctor's appointments and things like that was that I remember being scared of getting my blood drawn at this big hospital. - Stacey Ballard And I think by that time I might have been 10 or 11 years old. And I remember it took a number of people, probably five adults at least, to hold me down for them to take my blood. Stacey Ballard And so the diagnosis was a small part of of what happened to me. - Stacey Ballard It was the trauma of being a kid, going to doctors that really started to affect my life and my mental and emotional state. Stacey’s family was also reckoning with the diagnosis. She is the middle child, with an older and a younger sister. And by that time, her parents had divorced. - Stacey Ballard Emotionally dealing with a child, going through things like that, I don't know that many parents have the understanding or the coping abilities on how to navigate it. Her dad was working full time and her mom was working part time…and then there were the drives to appointments and all of the uncertainty. - Stacey Ballard My parents, I love them dearly, but but nobody teaches you how to deal with a sick child, and so it was very analytical. - Stacey Ballard There wasn't a lot of there wasn't a lot of like, oh, how is this affecting you emotionally? I think they dealt with the terror in the moments, but then it was more about distracting me onto other things and getting my mind off things. Stacey’s parents did their best, trying to keep her busy, trying to get the medications in balance. When she was a preteen, she went through a procedure that purposefully destroyed her thyroid through radiation. - Stacey Ballard So once you have your thyroid radiated, you drink radioactive iodine to destroy the thyroid or you have surgery to remove part of the thyroid to help with the hyper thyroid. But what that does is it induces hypothyroidism, which then you go from like, you know, bouncing off the walls to wanting to sleep all day. - Stacey Ballard I'm gaining weight. I mean, I was I was a stick figure. I was skinny. Even though I didn't have an appetite, I could eat anything and not gain weight. Stacey gained 40 pounds over the course of a month. She was exhausted and sleeping all the time. So she began to skip doses of her medication in hopes of losing weight. - Stacey Ballard But because my child mind. Saw me gaining weight, saw myself getting more tired and my doctors telling me, oh yeah, this is what's working, this is what's right, I thought by doing the opposite, I was helping myself. - Stacey Ballard Yeah. And because, you know, my mom, you know, worked full time. My dad was only around on the weekends. They didn't know. There were so many stressors. - Liesel Mertes How do you think that you were reckoning with that internally as a kid? - Stacey Ballard I think as a kid, I was just trying to survive. Yeah. Looking back on it now, I. I see where I, I took on the victim role. And listen, I would never tell anybody else you acted like a victim at the time as a kid, I didn't know any better. - Stacey Ballard I didn't want these diseases. I didn't ask for these diseases. I was doing my best to survive in the situation. - Stacey Ballard Every every time my mom or dad would take me to a doctor's appointment, I would get the day off school. Mm hmm. After we go to the doctor's appointment, we'd go out for lunch or breakfast or get a treat. - Stacey Ballard Yeah. And so I got their full attention. - Stacey Ballard When your parents are working full time and and and and you have, you know, two other siblings and everyone's fighting for attention, I sucked up that time with my parents. - Stacey Ballard And so I don't know that I thought of, like, why me? Oh, my gosh, poor me. I think I was thinking, oh, my gosh, I get to see my mom or my dad depending on who I was with. - Stacey Ballard And, oh, we get to go out for for a treat. - Stacey Ballard And oh, I get the day off school, which, by the way, I hated school. Yeah. - Stacey Ballard And so and so. And then when, when my next diagnosis came at 13, 14 years old with endometriosis, although it wasn't a diagnosis, it was just symptoms. Endometriosis is condition that causes pelvic pain and often also contributes to powerful pain during menstruation. As Stacey began to feel these symptoms, she felt like the little boy who cried wolf. As a chronic pain sufferer, she had often sounded the proverbial alarm…and now, no one believed her. - Stacey Ballard I then got my period and immediately started having symptoms. Nobody believed me. - Stacey Ballard Oh, you're it's just your period, period. That's just your period. And so, you know. In the back of my mind, - Stacey Ballard I'm thinking there are some acute pain and discomfort and pain. Yes, that was my main symptom of endometriosis. A lot of people have different symptoms, heavy bleeding and things like that. Mine was severe, severe pain. And so I know that as a young teenager, I did go to a couple of doctors and try to find out if this was wrong, immediately told no, this was normal deal with it. And so then for a couple of years, not understanding that there was something wrong, I just dealt with the symptoms which were horrific. - Liesel Mertes Yeah. Well, and I imagine as you say that, that it's its own head trip. Right. Of like am I imagining things? Am I crazy? Should I trust my own body? Should I trust these other people? That, I imagine, in dealing with just the physical pain that that sort of mental disequilibrium only compounds that and makes it more challenging. - Stacey Ballard Absolutely. I mean, I couldn't deny the physical pain. - Stacey Ballard I would be in pain about three weeks a month if this was going to school as a teenager and also working part time and then as an adult, working full time and tried to go to college. - Stacey Ballard And so. - Stacey Ballard The the physical symptoms were unquestionable, so I began to hate my body because I didn't know what else to do, because the medical in industry was saying that's normal. - Stacey Ballard Right. And I wasn't talking to other girls. I mean, even as a teenager, I had I remember having a few girlfriends in in high school, but I don't remember talking to them about this. - Stacey Ballard And so I turned my pain towards my own body. - Liesel Mertes Hmm. Yeah. What did that did that manifest itself in physical expressions or mostly a mental orientation? Tell me more about what that looked like. - Stacey Ballard Mostly mental. I was very depressed, my thyroid. - Stacey Ballard I talked to a lot of people about thyroid issues because what a doctor says is a normal level might not necessarily be a normal level for you. - Stacey Ballard And so as far as like a 16 year old, you know, I'm dealing with three weeks out of the month of being in pain, my thyroid levels supposedly being at normal levels. - Stacey Ballard And I am sleeping 12 hours a day or at night, you know, and so I'm depressed. - Stacey Ballard I'm isolating myself. - Stacey Ballard I did have art in my life, thank goodness I was a photography student in high school at the time, and so I think I would spend a lot of time distracting myself. But it is really hard to distract yourself when you're in that much physical pain. - Stacey Ballard And so it was just depression. And then I started also having an anxiety disorder. - Stacey Ballard Yeah. You know, and and I do deal with mental illness, depression, panic disorder. And it took me a long time to not blame myself for it and realize it's a brain chemistry thing. It is not a it's not a lack of drive or a lack of personality. It's it's the chemical factory in my brain that I have no control over. And that was that took me a long, long time to accept, right? - Liesel Mertes What were some of those those messages of questioning whether it was just a problem with you or just loathing towards your body? - Liesel Mertes Were those being expressed from external people at all, like, can you look back and think, man, people just they said really, you know, casual or purposefully hurtful things that just lingered with me? - Stacey Ballard Yeah, I think a lot of people like me who look normal on the outside, we call it invisible illness. - Stacey Ballard People did not believe me, people did not believe me. And my family didn't believe me. My friends didn't believe me. My boyfriend I had a high school boyfriend for like four years. He didn't believe me. - Stacey Ballard And, you know, yeah, it is it is tough, especially when you look normal on the outside. And even if people see me curled up in pain crying on the floor, they can't understand that it's happening from the inside because they don't see anything physically hurting me, right? - Liesel Mertes Well, and just, you know, as this is also for the benefit of listeners to do better in these interactions, I want to drill down a little bit. What did that not believing sound like from your family members or the boyfriend or the community? - Stacey Ballard Well, you look beautiful. Well, I saw you at the amusement park yesterday, you looked fine then, gosh, you look like you were having fun. Well, gosh, what else do they say? - Stacey Ballard Let's see. You know, I was I was working full time and also going when I when I left high school, I was working and then commuting into San Francisco to go to the Academy of Art and and. - Stacey Ballard Because I had to I didn't have any other choice because in my family, you pull yourself up from your bootstraps, you have goals you need to meet because you have to survive this life, you know, and you have to have income. And so, you know, it was just it doesn't matter how you feel. Keep moving forward. Yeah. - Liesel Mertes Oh, man, I, I resonate. - Liesel Mertes Well, you and I both can translate some of those messages and have deeply received them. So I hear that because as you think about that, was I - Liesel Mertes Was there like a breakthrough moment or experience where you can remember thinking, like I just know, like I have to rest. And that is actually more healthy for me right now, like where you were really consciously acting against some of that programming and messaging that like you just got to keep on pushing? - Stacey Ballard I don't want to start crying, but, yeah, absolutely, I was I think I was twenty two by that time I had not been I had just barely been diagnosed with endometriosis. Stacey Ballard That took me 10 years. I had not yet been diagnosed with Crohn's, even though I was living with symptoms. And by that time I was also unknowingly living with a rare autoimmune liver disease. And I met my now ex-husband, but his name is Gary and we met through a friend and he changed my life. Yeah. Yeah. He was the exact opposite of everything I had been taught. - Liesel Mertes Yeah, tell me more about that life change and what what he brought to the table that was really important for you in that season. - Stacey Ballard So my family, I love them very. Yeah, very driven. My family, we volunteer. We we help other people. - Stacey Ballard We do our own stuff. I met Gary through a friend. - Stacey Ballard I am an old Deadhead that says a lot to people who know what that means. Gary. - Stacey Ballard We started dating and there was no drama in our relationship my whole life, I had spent becoming what other people needed me to be to make them happy. - Stacey Ballard I never knew what I wanted because I didn't there wasn't space for that in my life up till then, I was kind of a loner. - Stacey Ballard And so when I when I'd meet somebody who'd want to be friends with me, I'd be like, OK, you know, what do you like? OK, I like that too kind of thing. - Stacey Ballard And and and until I met Gary and got in that relationship, I had never known or looked at what I wanted. - Liesel Mertes Yeah, and he was able to open up some of those questions, what did you discover about yourself in your 20s? - Stacey Ballard Well, unfortunately, three months after we started dating, I ended up in the hospital going under emergency surgery. - Stacey Ballard So I didn't have a lot of time to find out very much. - Stacey Ballard But what I did find was a soft place to fall. He he didn't necessarily ask me questions, but he said, look, I don't need to be fixed. - Stacey Ballard There's no situation around you that needs to be fixed, you need to figure out what you want to do with your life, and that was both wonderful. - Stacey Ballard And hard, yeah. To be left in that space of like, oh, wait, who am I now? And it wasn't until I was like twenty two that I had had that space to find that out and then Boom immediately went into surgery. We will come back to that near-death experience in just a moment. But I’d like to take a second to thank our sponsors. Our first sponsor is FullStack PEO. I am an entrepreneur and a small business owner. And I know the annual hassle of shopping around for a health insurance plan. Hours lost trying to navigate different options. This is where FulLStasck PEO comes in. They manage benefits for entrepreneurs and small-business owners, taking away the headache and providing great benefits for your people so that you can focus on growing your business. We are also sponsored by Handle with Care Consulting. It is hard to know what to do or say when someone is going through something hard (you already realize this, podcast listener) and sometimes, you need some extra help. At Handle with Care Consulting, I offer targeted workshops, interactive keynotes, learning cohorts, and personal coaching options, empowering you to show care when it matters most. Alright, bask to our story. Stacey has just met Gary a few months earlier. Before we hear about Stacey’s hospitalization in her early 20s, it is helpful to hear about another story. - Stacey Ballard I, I don't know why I forget about my near-death experience, because that was the thing that changed my life first. MUSIC UNDER THIS SECTION PLEASE, PERHAPS EMPHASIZING SOME OF THE ROCK/DRAMA Stacey and her sister went to a Skid Row and Bon Jovi concert in Sacramento. - Stacey Ballard I was like 18 or 19 years old, it was probably 90 or 100 degrees in Sacramento, and I had been illegally drinking in the parking lot and was pretty hammered by the time we went in to to get our our selves situated in front of the stage so we could be at the first part of the stage for the concert. They were exhausted, hammered. It was hot and the concert began. Immediately, people began pressing towards the front. It’s heavy rock music, and Stacey braces herself against the stage. - Stacey Ballard And there's a lady next to me who's really, really drunk and she starts collapsing. And I know that if she collapses, she's going to be trampled. Stacey struggles, with a few others, to hold her up. And then, a man comes pressing through the crowd. - Stacey Ballard I'm only five foot one, so he may have been like six two starts coming through the crowd, punching people out in the face with his fists. He punches the lady she’s holding and, finally, security drags the woman away. And by that time, I am drenched in sweat and I put my hand back on the barrier to steady myself again, and there's a girl in front of me and she rips my hands off the barrier. - Stacey Ballard And at that point I start falling and I realize that I'm going to be trampled to death. And I have the classic near-death experience. - Stacey Ballard I went into the light. She experiences a sensation of unconditional love, of seeing her life in review, experiencing her actions through the eyes of others. This is the end. - Stacey Ballard And then all of a sudden I was back in the concerts and somebody was pulling me out of the crowd. The experience causes her to delve into different religions, meditation, metaphysics for the next year or two. Exploring the deeper meaning in the life she has been given. She meets Gary and, a few months later is on a women’s spirituality trip when she starts to feel awful. Her chiropractor recognizes signs of jaundice and sends her directly to the emergency room. - Stacey Ballard I was completely neon yellow. I think I was twenty two years old. She arrives at one hospital and has to leave because of insurance issues. Next, to the county hospital. It is Thursday before the 4th of July weekend. - Stacey Ballard I am so thankful for Highland Hospital. They saved my life. - Stacey Ballard And so I was literally freaking out in the hospital because this is the first time I had ever been hospitalized. And they had me all hooked up on tubes and they said this was Thursday and they said, we're going to wait till Monday and we're going to do surgery on Monday. - Stacey Ballard At this point, I had a tube down my throat because the bile in my stomach, I think, was causing problems. And so they were trying to drain fluid and stuff out of my stomach and having a tube down your throat. Is so traumatizing, - Stacey Ballard I cannot even tell you I. I can't the people that are on ventilators right now, Jakovčić. And the people that are out there wearing masks, they just don't understand the trauma that all these covid patients are going through. - Stacey Ballard I wasn't even on a ventilator at this point. I just had a N.G. tube down my throat. - Stacey Ballard And and I begged the doctors at Highland Hospital, please don't make me wait four more days. I can't do this. I can't do this. - Stacey Ballard Please don't make me wait four more days. I had doctors and nurses volunteer to skip their holiday weekends to come in on Friday and perform my surgery so I didn't have to suffer for more days. - Stacey Ballard So I've seen the good and bad of doctors for sure, and so they took me into surgery on Friday halfway through surgery, things went really bad. I was under anesthesia. They pulled me out. - Stacey Ballard My mom, they pulled me out into this room. My mom was standing on one side of me. Gary was standing on the other side of my surgery bed. And they showed an X-ray image up on the light board and they said, see this spot on her liver right here. If it's cancer, she'll have a year to live. If it's not cancer, she has a rare disease. Ultimately, it was the rare disease, not cancer, and in the course of surgery, there was a breakdown where bile started leaking into her abdomen. - Stacey Ballard which then started my almost 20 year journey of being hospitalized or having the surgery. Every year. On or around 4th of July for the next 15 years. Hmm. Because I believe when I was partially under anesthesia and the doctor says she might only have a year to live, I think my subconscious. Did something, and every year for the next 15 years, I'd be in the hospital or undergoing surgery on or around 4th of July, huh? - Liesel Mertes Yeah, I think there are so many things that, like, science doesn't doesn't yet have language for about how our bodies keep the score and remember and hold things in our subconscious in ways that are profound like that. Absolutely. In the course of these hospitalizations, Stacey is admitted and has to be put on a ventilator. This was one of the traumatic experiences that still causes her PTSD. - Stacey Ballard They use something called a cuff when they are weaning you off a ventilator to get you to start helping you to breathe on your own, regain your strength. But I had a big note up on my board saying, you know, don't put her on the cuff in the mornings because that's where the anxiety is at its worst. But one morning, a nurse comes in on her rounds and wants to put Stacey on a cuff. Her mom, who was there, objects, directing the nurse to the note. Stacey, of course, can’t talk - Stacey Ballard And this person did not have time to listen. And so she pulled me off my ventilator. She put the cuff on me, and I started banging on the the hospital table in front of me. And I started going into full blown panic attack like I was drowning because I couldn't breathe. - Stacey Ballard And she stood there and watched me gasping for breath for a number of minutes. - Stacey Ballard My mom froze, she she was in such terror at what was happening, she did not know what to do. - Stacey Ballard And I think eventually she ran out of the room and got somebody. But it went on for a number of minutes until I was put back on the ventilator. - Stacey Ballard And this is with me to this day when I wear a mask outside, it brings it up. - Stacey Ballard And so I understand when people say they don't want to wear a mask outside and it's bothersome. And guess what? It bothers me, too. But I wear it because I do not survive getting COVID, so. Well, I guess what I was going to say is that a lot of people who live with chronic illness also deal with trauma that has happened to them if they have spent any time in hospitals or or long term care or dealt with doctors. MUSICAL TRANSITION - Liesel Mertes So in the midst of all of these ups and downs and, you know, the regularity, what what are you doing or learning for yourself in order to maintain any semblance of equilibrium? Like what? What is becoming important for you to just be living each day? - Stacey Ballard One of the many things that is a continuing story through this is creativity. - Stacey Ballard As a photographer in high school and I've also been a potter and now I do mixed media, I've always done some sort of art and I'm literally talking coloring books and crayons. Tinkerbell, Mickey Mouse, it didn't matter. I was doing something because for some reason, being creative in whatever way I could help me. - Stacey Ballard And now I understand because there are studies out that prove why being creative and doing art helps, you know, lower cortisol levels helps reduce pain and stress. - Stacey Ballard But back then, intuitively. I just it just helped and I was also at the same time learning about meditation and learning about alternative medicine and different ways to treat myself. - Stacey Ballard And finally, at about 23 or 24, winding up on my therapist’s floor in a fetal position, being diagnosed with panic disorders and depression and being put on appropriate medication was a huge help. - Liesel Mertes Yes. Yes. I think this you you talked a little bit about art and its importance in your story. That's something that you have segued into some of your professional involvements and a recent book that you have published. Tell me about what you have created for others out of your own experience. - Stacey Ballard Thank you. Yes, my book is The Fine Art of Waiting Wellness through Creativity, and because I've lived most of my life with health issues, I've used art to help in my own healing. - Stacey Ballard And I've created this book to help people decrease stress, change your relationship with illness and pain, and transform it into one of possibility and hope. - Stacey Ballard It is, it's challenging right now for everybody. Everyone has different stress and everyone has different stories. - Stacey Ballard Whether you live with addiction or the stress of of a health issue, we need to find ways creatively to deal with the stresses that come with life. Even more so right now. And that's why I created this book, is because art has been so helpful to me. - Stacey Ballard And over the years, I created these little projects like My Monster, which is a project that you actually are drawing a monster, which at times have been my disease or my stress of the week. - Stacey Ballard And then I tear it up or I stomp on it or I burn it and it gives me a feeling of sense of control. And so I've tried to put some of those projects in my book. - Liesel Mertes Well, and you showed me some of the pages. It looks like there's a wide diversity of types of projects and ways of engaging. And I resonate like that, that the physical expression, sometimes there's so much that is going on within our heads or within our bodies. And to be able to, like, externalize some of those things is really powerful. - Liesel Mertes Yes, I love that your book does that and you really want to make it accessible to all kinds of people. Tell me about the buy one. Give one that you're doing also with this book. - Stacey Ballard Absolutely. So there's a couple different versions. I specifically wanted to have a spiral bound version because I know being in the hospital, even just coloring and coloring books, is hard to hold down one side of the page and color on the other when you have IVs on both arms and things like that. So one of my books specifically is a spiral bound version and that one is twenty one ninety five. - Stacey Ballard It has a color, it has a sample page in color, so you can look at it and get some ideas. I do have a version on Amazon that's not spiral bound and it's nineteen ninety five. - Stacey Ballard But for any book that is purchased I will give one to somebody who's living with chronic illness who can benefit from having a book. - Stacey Ballard There is a section on my website where you can nominate yourself or somebody else for a free copy because I've lived with chronic illness most of my life and have lived with disability as well. I've been low income and so I may not have been able to afford this book when I needed it. And so for anybody who can't afford it, come to my website, nominate yourself. Or if you know somebody who needs a book, please go to my website and we'll give that information and nominate them for a book. - Stacey Ballard I will be happy to send one to them. - Liesel Mertes I love that I'm struck, even as you say, that, you know, like for most of my life, I've been low income and this is something that I like to ask about any range of disruption. - Liesel Mertes But that is perhaps, you know, that statement is a stepping stone into the question of - Liesel Mertes what are some of the things that you feel like people who have never dealt with chronic illness, they just don't understand about what it's like to live with chronic illness? What are some of the things that would be helpful for you to give voice to? - Stacey Ballard I think the most important thing is that 40 percent of Americans live with at least one chronic illness, 40 percent of Americans. - Stacey Ballard So we all know somebody who lives with chronic illness. - Stacey Ballard And so we we know that those people are out there working right now, just like I had to work, whether I felt good or bad. So we just need to be nice to each other even. - Stacey Ballard You know, we need to understand that we're all going through something, whether it's chronic illness, whether it's addiction, whether you're in an abusive relationship. - Stacey Ballard We are all we all have our own story of stress and what is causing issues in our life. I just wish we could be nicer to each other, more understanding. - Stacey Ballard And and and for me, as far as seeing people out there not wearing masks, I just keep saying 40 percent of Americans live with chronic illness and a lot of them are out there working because we have to we have to work because we have to pay bills and we don't have a choice because a lot of us also have to be on medications that we cannot live without. - Stacey Ballard And, yeah, it's it's it's a desperate situation. And that's why I'm also trying to get politically involved with what's going on as well. - Liesel Mertes Does it does it make you but I'm putting perhaps my emotions into it. I was going to say, does it make you really angry to see people who are not wearing masks? But maybe anger is not your go to what you feel when you see people who are not wearing masks? - Stacey Ballard It's heartbreaking. And it does make me angry. I was in CVS picking up a prescription and I haven't been to a store in months because I can't after my transplant, when I almost didn't survive, I was on a ventilator for three months and I have lung damage due to that and also due to a doctor's. Mishandling of another treatment I had I also have lung damage from that, but I looked normal and that's the problem is that we don't we don't wear our stories on our faces. - Stacey Ballard And so we can't see how we're hurting people. And I think people are just being selfish. Wearing a mask is easy. Doctors do it all the time. Nurses do it all the time. And I worry about the doctors and the nurses that we're putting in danger, too, because they're load of patients is is continuing. And the stress of that is is not helping as well. And I worry about our our people working in grocery stores and banks and the places that have to be open. - Stacey Ballard I live in a tourist town. I live in Lake Tahoe, California. - Stacey Ballard We are busier than we would be on a normal holiday weekend. And we have people up here not wearing masks traveling up here from the Bay Area. I don't know what to do. I don't know what to say, I just say to the people who are living with chronic illness, take care of yourselves because nobody else is going to do it for you. - Liesel Mertes Yeah, I hate that sense of. Of isolation, but there's there's a truth to it, you know, we we would like to we would like to think that we had more of a sense of community of care around those that needed it. But. - Liesel Mertes Well, thank God for you, though. People caring it is exceptional. Yes. Because and it's and it's worthy of being called out and praised because there is there's so much of that that has frayed around the edges in our social discourse and expressions. - Stacey Ballard And that's what's so important about what you're doing, is that you're creating this community of understanding with your podcast and and listening to your other podcasts. - Stacey Ballard No, I don't share the same stories as your other interviews or listeners, but what understanding I gain from listening to their stories. - Stacey Ballard And so by by having this podcast, you you are you're destroying the isolation, which I love. - Liesel Mertes Well, thank you. I that is definitely part of my aim. And man, I get to I get to receive some really important reflective stories. So I'm I'm always thankful to be able to help hold them. So thank you. - Liesel Mertes I'm struck that there's the there's the the toxic like don't do these things. - Liesel Mertes What are things that would be helpful if somebody is listening and they go, wow, yeah. I do know that person who walks with a chronic illness and maybe they're even thinking to themselves, oh my gosh, I've done some of the stupid things I've said, like, well, you look fine, you know, but and they want to do differently what is meaningful to you? - Liesel Mertes What are like good ways that people have supported you, that you think, man, that was so good. - Stacey Ballard What a great question. First, if you ask me, is there anything you could do to help me, I'm going to say, no, I'm OK. Mm hmm. But if you bring me over a casserole, I will love you forever. And when I'm feeling better, if you need me to change tires on your car, I will do that for you. - Liesel Mertes Yeah, I'm just showing up. Showing up. - Stacey Ballard If the person doesn't have an advocate, if the person doesn't have someone to go to doctor's appointments with them, I think that's one of the most important things that I tell people who have friends or even people living with chronic illness who go to doctors appointments by themselves. - Stacey Ballard Don't you are not in the state to hear everything you need to hear and you need to be prepared. - Stacey Ballard Ask a friend or a family member who you trust, who you can feel comfortable with to go with. You have a list of questions you want answered, but have that support with you. So if you know somebody who lives with chronic illness, ask them, do you need somebody to go to your appointments with you? If they go, oh no, don't worry about it, go away. - Stacey Ballard You know, can I go and take notes for you or, you know, do you need me to drive you to get your blood drawn? - Stacey Ballard A lot of us who live with chronic illness feel like a burden not only financially because we struggle so much with our income, but emotionally and mentally because I am not going to get better. - Stacey Ballard This is my life, and that's OK. Healing doesn't always mean you survive. - Stacey Ballard But it means you can walk the path with as much. Of an open heart as possible, and and so if you have friends living with chronic illness, just ask tell me more. - Stacey Ballard Tell me more. - Liesel Mertes Yeah, that's a that's a good thing to take way of thinking if if someone if somebody already experiences themselves as a perceived burden, you know, what am I doing to reinforce that or alleviate that? - Liesel Mertes You've said this kind of throughout, but if there's someone who is listening, who they are, you know, they're walking a journey with life long chronic illness, what words would you offer to them? - Stacey Ballard Find support. I'm sorry you're not alone. Stacey Ballard It's hard, not everyone understands. - Stacey Ballard I don't know if I can mention this and you're welcome to edit it out, but - Stacey Ballard I have found a wonderful support group for people living with chronic illness called Beyond My Battle. - Stacey Ballard And actually, they also have support groups for your caretakers, which would have been a huge resource for me and my ex-husband as we were going through this, if he had more support as a caretaker. - Stacey Ballard So please reach out for support. If you don't find the right support, it doesn't mean to you it could mean it's them. I've been in some pretty negative support groups that I was like, oh, no, I am not staying with this one. - Stacey Ballard So keep searching because there are people out there like me who we have pity parties for ourselves. - Stacey Ballard And I have really bad days where I can't get out of bed, but I am going to suck every beautiful piece of life out of this life that I can. And I, I invite anybody who wants to do that to join me. - Stacey Ballard And, you know, well, that's that's where art helps me. - Stacey Ballard And, you know, I can take that and turn it into a really dark piece and I have and because it gets it out of my head and gives me some sense of control over it because I can't, I can't, I can't do anything with it because it's in the past. - Stacey Ballard I can't manipulate it any more because it's already been experienced. - Stacey Ballard But I can manipulate the feelings I have from it that at times get get, you know, hard - Liesel Mertes That's powerful, that I mean, it's not revolutionary. But even just the way you said it, like something has happened to you, it exists as it. - Liesel Mertes But even that like the physical act of being able to render and manipulate it in a certain way. Yeah. Has its own power in experiencing it. MUSICAL TRANSITION Here are three take-aways from my conversation with Stacey As a person living with chronic pain, Stacey could often experience herself as a burden:a financial burden, a logistical burden: someone who would not get better. My first-takeaway is just a question: If you know someone that is living with chronic pain, are you subtly or explicitly reinforcing those messages? Perhaps the messages are subtle. Do you sigh loudly when they express bodily pain? Roll your eyes? Or do you give positive messages: you are important, you are more than your pain, you have a place here. Offer to come along to doctor’s appointments, to take notes, to drive.The flow of information can be overwhelming, and company is often appreciated. If you are living with chronic pain, finding a support group can be really meaningful.Perhaps that is locally or through the Internet. Support groups can also be helpful to care providers as they shoulder a particular burden. And, as Stacey noted, not all groups are created equal. If the group isn’t working for you, don’t be afraid to move on and seek out another support group. And this is a last, bonus take-away.If you don’t know what to say, “Tell me more,” is a great prompt. Stacey noted the importance of this phrase. You might have noticed that I unconsciously did this earlier in the interview. I don’t know a lot about chronic pain…which meant that I didn’t really even know what to ask. However, by just opening myself up to her story with an open-ended question, I learned a lot. OUTRO Link to Stacey’s Blog and Work: https://fineartofwaiting.com
This is part 2 of a 2 part discussion with Dr. Andrew Herring on the use of Buprenorphine after an opiate overdose, primarily in the ED. Guest: Andrew Herring MD. Associate Director of Research, Highland Hospital, Alameda Health System Medical Director, Substance Use Disorder Treatment Program Assistant Clinical Professor, University of California San Francisco Host: Jason Woods, MD Audio Editor: Kellen Vu www.acep.com/equal References: 1. Weiner, Scott, et al. One-Year Mortality of Patients After Emergency Department Treatment for Nonfatal Opioid Overdose. Annals of Emergency Medicine. April 2, 2019. doi.org/10.1016/j.annemergmed.2019.04.020 2. Walsh SL, Preston KL, Stitzer ML, Cone EJ, Bigelow GE. Clinical pharmacology of buprenorphine: ceiling effects at high doses. Clin Pharmacol Ther. 1994;55(5):569-580. doi.org/10.1038/clpt.1994.71 3. Dahan A, Yassen A, Romberg R, et al. Buprenorphine induces ceiling in respiratory depression but not in analgesia. Br J Anaesth. 2006;96(5):627-632. doi.org/10.1093/bja/ael051 4. Ciraulo DA, Hitzemann RJ, Somoza E, et al. Pharmacokinetics and pharmacodynamics of multiple sublingual buprenorphine tablets in dose-escalation trials. J Clin Pharmacol. 2006;46(2):179-192. doi.org/10.1177/0091270005284192 5. Ang-Lee K, Oreskovich MR, Saxon AJ, et al. Single dose of 24 milligrams of buprenorphine for heroin detoxification: an open-label study of five inpatients. J Psychoactive Drugs. 2006;38(4):505-512. doi.org/10.1080/02791072.2006.10400589 6. Wang D, Sun X, Sadee W. Different effects of opioid antagonists on mu-, delta-, and kappa-opioid receptors with and without agonist pretreatment. J Pharmacol Exp Ther. 2007;321(2):544-552. doi.org/10.1124/jpet.106.118810 7. Boysen K, Hertel S, Chraemmer-Jørgensen B, Risbo A, Poulsen NJ. Buprenorphine antagonism of ventilatory depression following fentanyl anaesthesia. Acta Anaesthesiol Scand. 1988;32(6):490-492. doi.org/10.1111/j.1399-6576.1988.tb02772.x 8. Zamani N, Buckley NA, Hassanian-Moghaddam H. Buprenorphine to reverse respiratory depression from methadone overdose in opioid-dependent patients: a prospective randomized trial. Crit Care. 2020;24(1):44. Published 2020 Feb 7. doi.org/10.1186/s13054-020-2740-y 9. Phillips RH, Salzman M, Haroz R, Rafeq R, Mazzarelli AJ, Pelletier-Bui A. Elective Naloxone-Induced Opioid Withdrawal for Rapid Initiation of Medication-Assisted Treatment of Opioid Use Disorder. Ann Emerg Med. 2019;74(3):430-432. doi.org/10.1016/j.annemergmed.2019.01.006 10. Tompkins DA, Bigelow GE, Harrison JA, Johnson RE, Fudala PJ, Strain EC. Concurrent validation of the Clinical Opiate Withdrawal Scale (COWS) and single-item indices against the Clinical Institute Narcotic Assessment (CINA) opioid withdrawal instrument. Drug Alcohol Depend. 2009;105(1-2):154-159. doi.org/10.1016/j.drugalcdep.2009.07.001 11. Carroll GG, Wasserman DD, Shah AA, et al. Buprenorphine Field Initiation of ReScue Treatment by Emergency Medical Services (Bupe FIRST EMS): A Case Series [published online ahead of print, 2020 May 4]. Prehosp Emerg Care. 2020;1-5. 10.1080/10903127.2020.1747579
This is part 1 of a 2 part discussion with Dr. Andrew Herring on the use of Buprenorphine after an opiate overdose, primarily in the ED. Guest: Andrew Herring MD. Associate Director of Research, Highland Hospital, Alameda Health System Medical Director, Substance Use Disorder Treatment Program Assistant Clinical Professor, University of California San Francisco Host: Jason Woods, MD Audio Editor: Kellen Vu www.acep.com/equal References: 1. Weiner, Scott, et al. One-Year Mortality of Patients After Emergency Department Treatment for Nonfatal Opioid Overdose. Annals of Emergency Medicine. April 2, 2019. https://doi.org/10.1016/j.annemergmed.2019.04.020 2. Walsh SL, Preston KL, Stitzer ML, Cone EJ, Bigelow GE. Clinical pharmacology of buprenorphine: ceiling effects at high doses. Clin Pharmacol Ther. 1994;55(5):569-580. https://doi.org/10.1038/clpt.1994.71 3. Dahan A, Yassen A, Romberg R, et al. Buprenorphine induces ceiling in respiratory depression but not in analgesia. Br J Anaesth. 2006;96(5):627-632. https://doi.org/10.1093/bja/ael051 4. Ciraulo DA, Hitzemann RJ, Somoza E, et al. Pharmacokinetics and pharmacodynamics of multiple sublingual buprenorphine tablets in dose-escalation trials. J Clin Pharmacol. 2006;46(2):179-192. https://doi.org/10.1177/0091270005284192 5. Ang-Lee K, Oreskovich MR, Saxon AJ, et al. Single dose of 24 milligrams of buprenorphine for heroin detoxification: an open-label study of five inpatients. J Psychoactive Drugs. 2006;38(4):505-512. https://doi.org/10.1080/02791072.2006.10400589 6. Wang D, Sun X, Sadee W. Different effects of opioid antagonists on mu-, delta-, and kappa-opioid receptors with and without agonist pretreatment. J Pharmacol Exp Ther. 2007;321(2):544-552. https://doi.org/10.1124/jpet.106.118810 7. Boysen K, Hertel S, Chraemmer-Jørgensen B, Risbo A, Poulsen NJ. Buprenorphine antagonism of ventilatory depression following fentanyl anaesthesia. Acta Anaesthesiol Scand. 1988;32(6):490-492. https://doi.org/10.1111/j.1399-6576.1988.tb02772.x 8. Zamani N, Buckley NA, Hassanian-Moghaddam H. Buprenorphine to reverse respiratory depression from methadone overdose in opioid-dependent patients: a prospective randomized trial. Crit Care. 2020;24(1):44. Published 2020 Feb 7. https://doi.org/10.1186/s13054-020-2740-y 9. Phillips RH, Salzman M, Haroz R, Rafeq R, Mazzarelli AJ, Pelletier-Bui A. Elective Naloxone-Induced Opioid Withdrawal for Rapid Initiation of Medication-Assisted Treatment of Opioid Use Disorder. Ann Emerg Med. 2019;74(3):430-432. https://doi.org/10.1016/j.annemergmed.2019.01.006 10. Tompkins DA, Bigelow GE, Harrison JA, Johnson RE, Fudala PJ, Strain EC. Concurrent validation of the Clinical Opiate Withdrawal Scale (COWS) and single-item indices against the Clinical Institute Narcotic Assessment (CINA) opioid withdrawal instrument. Drug Alcohol Depend. 2009;105(1-2):154-159. https://doi.org/10.1016/j.drugalcdep.2009.07.001 11. Carroll GG, Wasserman DD, Shah AA, et al. Buprenorphine Field Initiation of ReScue Treatment by Emergency Medical Services (Bupe FIRST EMS): A Case Series [published online ahead of print, 2020 May 4]. Prehosp Emerg Care. 2020;1-5. 10.1080/10903127.2020.1747579
Alameda Health System workers and AHS-SEIU 1021 members stage a walk-out for Black health and vitality, on the day of a nationwide #StrikeForBlackLives. Photo: Chris Lee On this show: 0:08 – Mitch Jeserich joins us for “Mondays with Mitch.” He is the host of Letters and Politics, weekdays at 10. 0:34 – We take your Covid-19 calls with John Swartzberg, clinical professor emeritus of infectious diseases at UC Berkeley's School of Public Health. 1:20 – Workers are carrying out a Strike for Black Health and Vitality today at Alameda Health Systems locations, including Highland Hospital. For more we talk with Sheleka Carter, a community health outreach worker/advocate at Highland Hospital's Sexual Assault Response and Recovery Team, and Chapter Secretary of Alameda Health System SEIU 1021. 1:34 – We talk about crime rates in Oakland with Darwin BondGraham (@DarwinBondGraha), news editor at Oaklandside. 1:48 – Susan Manheimer, interim chief of the Oakland Police Department, talks with Cat Brooks about crime and policing. The post Workers walk out for Black health at Highland Hospital; Millions face “income cliff” with pandemic benefits set to disappear; Cat Brooks interviews Oakland's police chief appeared first on KPFA.
One may be the "loneliest number" in the lyrics of the classic rock band Three Dog Night, but zero is the number Sterile Processing professionals love to see in their departments. In particular, zero is the ultimate goal for teams seeking to reduce their hospital's Immediate Use Steam Sterilization (IUSS) rate. On this episode of Season 9 of the Beyond Clean podcast, we sit down with Jason Pacino, CRCST, Sterile Processing Operations Manager at Highland Hospital of Rochester NY to discuss why his team focused on this metric, and how they got to that magic number as a hospital. Tune in for his modern day success story, and ideas for how your Sterile Processing team could one day close your IUSS autoclaves for good! Season 9 episodes will be available for 5 CE credits at the end of the season. The quiz will be available August 24th with the final episode. For access to over 90 other FREE (IAHCSMM & CBSPD) CE approved resources like podcasts, webinars, and virtual conferences, click here: https://www.beyondclean.net/ce-credit-hub #BeyondClean #WeFightDirty #SterileProcessing #CEs #InfectionPrevention #IUSS #ImmediateUse #Flash #Metrics #Quality #Surgery #SPD #CSSD #MDR #Podcast
0:08 – The week ahead in Washington – Mitch is taking a day off, he'll be back next week – the next relief package, will states get bailed out, the Democratic primary and more John Nichols (@NicholsUprising) National Affairs Correspondent for The Nation. His newest book The Fight for the Soul of the Democratic Party comes out this Wednesday May 6,2020 from Verso Books. 0:34 – Why some people get sicker than others Dr James Hamblin (@jameshamblin) is a Staff Writer at The Atlantic, and a lecturer at the Yale School of Public Health. He wrote “Why Some People Get Sicker Than Others” 1:08 – Oakland nurse fired for protesting lack of PPE at Highland Saber Alaoui is a nurse, who was fired from Highland Hospital for posting a photo of himself wearing a garbage bag as PPE, and is fighting to get his job back. 1:15 – The Problems with Alameda County Health System Darwin BondGraham (@DarwinBondGraha) is the news editor of Berkeleyside's forthcoming Oakland newsroom. 1:34 – What might lifting shelter safely in place look like? Stephen Engelberg (@SteveEngelberg) is editor-in-chief of ProPublica. He co-reported a recent article ‘Coronavirus Advice From Abroad: 7 Lessons America's Governors Should Not Ignore as They Reopen Their Economies' 1:56 – Poetry flash: “Certainties” by Paul Cormon-Roberts Paul Corman-Roberts is an author, poet, and an original co-founder of Oakland's Beast Crawl Poetry Festival and he also co-produces the Fire Thieves reading series with San Francisco Poet Laureate Kim Shuck. (Photo: Symptoms of the coronavirus disease / Wikipedia) The post COVID-19: Why some people get sicker than others, with Dr James Hamblin; Plus: Oakland Nurse fighting for his job back after protesting lack of PPE at Highland Hospital appeared first on KPFA.
Tele-Medicine Gets a Boost from Coronavirus The pandemic is changing how we interact with medical professionals. For instance, Medicare and Medicaid have expanded access to tele-health appointments for their members. This means more elderly and low-income people can now get healthcare from practitioners without visiting a clinic or hospital. Reporter: Nina Sparling, KQED State Cuts Deals to Provide Masks to Hospitals California has started to cut its own deals with manufacturers to dramatically increase the number of N-95 and surgical masks it can provide to hospitals and front line workers during the pandemic. Reporter: Katie Orr, KQED Politics Riverside Skilled Nursing Facility Evacuated Staying in Riverside, a skilled nursing facility there that’s had an outbreak of the coronavirus has been evacuated. That after employees didn’t come to work two days in a row. Reporter: Benjamin Purper, KVCR From Inside a Hospital Bracing for a Surge of COVID-19 Patients Medical centers across the state continue to brace for a surge of COVID19 patients. But predictions on when exactly that peak hits keep changing. Now statistical modeling experts say hospitalizations might not crest until mid-May. But the looming surge weighs heavily on the minds of healthcare workers, especially in large public hospitals who serve the neediest patients. An ER nurse at Highland Hospital in Oakland says hasn’t seen the sharp uptick in visits he expected... at least not yet. Reporter: Lesley McClurg, KQED Science
OC Hospital Using Plasma Treatment For COVID-19 In Orange County a hospital is experimenting with a way to help patients hit hard by COVID-19. They’ve successfully transferred plasma from the blood of someone who’s recovered from the illness into someone who still has it. Reporter: Alyssa Jeong Perry, KPCC Governor Announces Tax Relief For Small Businesses Nearly two million Californians have filed for unemployment benefits over the last three weeks. The state has taken in an average of 111,000 claims each day this past week. A lot of those workers are employed by small businesses which can now apply for tax relief for the year ahead. Reporter: Katie Orr, KQED Transit Agencies Report 90% Drops In Ridership Because of the pandemic and shelter in place orders, California's transit agencies, like L.A. Metro and BART have reported drops in upwards of 90%. In response, the agencies have reduced frequency of service, and cut operating hours for the few remaking passengers. Reporter: Saul Gonzalez, KQED California's Air Has Become Cleaner And Energy Use Is Down The COVID-19 pandemic has left downtown Los Angeles virtually smog free! Is all this staying home and not commuting giving us a leg-up on climate change? We asked a former state energy regulator about energy use and demand. Guest: Steve Weissman, UC Berkeley Center for Law, Energy, and the Environment Some Hospitals Eerily Quiet As Nurses Wait For 'Tidal Wave' The coronavirus pandemic is hitting hospitals in the Bay Area hyper locally. Medical centers in Santa Clara county are treating the brunt of serious cases. 36 people have died there. Other hospitals are eerily quiet. Douglas Frey, an emergency room nurse at Highland Hospital in Oakland, shared his audio diary with us. Reporter: Lesley McClurg, KQED Campus Life Is Suddenly Over For Graduating Seniors Today, a lot of college students around the state wrap up their first week of doing school online. UCLA senior Noor Bouzidi is one of those students. At this point it’s all but certain she’ll graduate before the campus re-opens. Guest: Noor Bouzidi, UCLA Senior
Workers at Amazon, Instacart, and Whole Foods have gone on strike demanding safe work conditions. Amazon has already fired one organizer and continues to pump out misinformation and propaganda as Jeff Bezos continues to rake in billions of dollars. We hear from the fired Amazon manager Christian Smalls and talk to Jacobin magazine reporter Meagan Day about her reporting on the conditions of some essential workers impacted by the coronavirus pandemic, Joe Biden’s campaign against Medicare for All, and the shortage of supplies in hospitals. Emergency Room nurse John Pearson, from Highland Hospital in Oakland, explains why his colleagues had to start a GoFundMe campaign for vital medical equipment. He talks about the lack of supplies to deal with the coming surge of coronavirus cases and why he believes that this crisis demands the implementation of a single-payer healthcare system. He also talks about the California health care workers petition to Governor Gavin Newsom. Intercepted listeners share their stories of struggle during the pandemic — we hear from people losing jobs, facing mounting debt, working in unsafe conditions, and worrying about what the future holds for the most vulnerable people. As Congress pats itself on the back for the bipartisan $2.2 trillion “stimulus” package Trump signed into law, journalist David Dayen, executive editor of The American Prospect, breaks down the corporate interests and powerful people who stand to gain the most from the looting of taxpayer funds. Dayen analyzes the portions of the bill aimed at bailing out struggling families, workers, small business owners, and explains why he believes Elizabeth Warren and Bernie Sanders were wrong to vote in favor of the bailout. And if you or someone you know needs emotional support or is contemplating suicide, resources include the Crisis Text Line, the Suicide Prevention Lifeline, the Trevor Project, or the International Association for Suicide Prevention.
Comprehensive coverage of the day's news with a focus on war and peace; social, environmental and economic justice. Unemployment claims top more than 3.3 million. U.S. coronavirus cases now more than China's. New York is epicenter of COVID-19, with nearly half the nations cases. San Francisco officials urge ramp up of COVID-19 support as New York struggles. San Francisco Supervisors introduce resolution to protect health care workers. Immigrant advocates call on state coronavirus relief for undocumented workers. San Francisco D.A. says California Governor should close immigrant detention centers. Lawsuit seeks release of detained immigrants vulnerable to coronavirus. Nurses rally at Highland Hospital, calling for Alameda County oversight. Anti poverty group criticizes Bank of America's 30 day suspension of mortgages. The post Lawsuit seeks release of detained immigrants vulnerable to COVID-19; advocates urge states to provide undocumented with coronavirus relief – March 26, 2020 appeared first on KPFA.
0:08 – Mondays with Mitch: Congress in chaos, now debating a nearly $2 trillion relief package and Sen Rand Paul testing positive for coronavirus and more Senators in quarantine. We discuss the government relief plan, what's at stake, Democrats push back against big bailouts for corporations, and what's still unknown, with Mitch Jeserich. 0:34 – Listener questions and concerns regarding COVID-19: we take your calls on topics to investigate and cover in the next few weeks. 1:08 – Coronavirus is already overwhelming hospital capacities, supplies and staff John Pearson is an ER nurse at Highland Hospital in Oakland, and a member and chapter president of SEIU Local 1021, which represents nearly 60,000 employees in local governments, non-profit agencies, health care programs and schools throughout Northern California. 1:15 – Calls growing to release immigrant detainees Mano Raju (@ManoRajuPD) is the San Francisco Public Defender. 1:34 – Mutual aid spotlight: Disability Justice Culture Club Stacey Milbern and Dana Garza are organizers with the Disability Justice Culture Club, an activist house in East Oakland, CA designed with accessibility in mind. It serves as a gathering place for disabled BIPOC community via events, meetings, and meals. And is currently organizing extra support for disabled or elder community members during COVID-19. Call 925-308-6384 or go to http://tinyurl.com/DJCCsupportform if you'd like to request support from the Disability Justice Culture Club. For people who want to help out through the Disability Justice Culture Club: fill out this form. To contribute money, you can Venmo to: djcultureclub 1:47 – Mutual aid spotlight: Community Ready Corps Tur Ha Ak is the founder of Community Ready Corps (CRC) a liberation organization that is currently distributing coronavirus readiness supplies, immune-boosting care packages, informational brochures, and children's books (delivery or pickup), based in Oakland. Text (925) 388-6565 if you, your family member or group need supplies. To get / give help through the Community Ready Corps in Oakland: https://www.getreadystayready.org/ (Photo: Wakandapix / Pixabay) The post Chaos in Congress as Senators quarantine, debate continues over $2 trillion relief package; Plus: Mutual aid spotlight: the Disability Justice Culture Club appeared first on KPFA.
Episode Description Dr. Martin Rofael presents a clinical unknown case to Dr. Meshell Johnson and CPS team, Dan Minter and Rabih Geha. Download CPSolvers App here Schema Dr. Martin Rofael Martin Rofael graduated from the University of Washington School of Medicine and subsequently completed his residency at Highland Hospital in Oakland, California. He is currently… Read More »Episode 58 – Clinical unknown with Dr. Meshell Johnson – Hyperacute Dyspnea
Today, Rhonda rejoins us as host after a three week hiatus! My neighbor, Dave Fribush, joins us as well, as we answer two thought-provoking questions! Is it possible to treat “burnout?” Can negative feelings can make physical pain worse? 1. Does "burnout" exist? How do you treat it? Comment: Hi! I have been listening to your podcast for a while now and it has helped, and has encouraged me and made me feel less alone. Thank for your work and sharing your podcast with us! My situation now is very much defined by my burnout syndrome (a medical diagnosis in Sweden, not sure about the US) and/or depression. From what I’ve learnt there is no evidence of CBT as a treatment for burnout - really nothing other than adaptations at your workplace. What triggered me to ”hit the wall” was studying too hard and not giving my body and mind time to recover. Do you have any thoughts on burnout and effective treatment of it? I feel I have made huge progress in the underlying reasons to my burnout like perfectionism, performance-based self-esteem, figuring out how I want my life to be, who I am etc (although the last one is a big one!). All this with the help of CBT and other sorts of therapy. What remains is mental fatigue, on and off anxiety, not being able to focus and hardly any mental or emotional resilience. Through healthcare, you are basically treated for depression, the treatment being anti-depressants. I’ve been on sick leave full time for over four years now, am in my late twenties and am constantly frustrated, sad and feeling stuck. I want to get going towards this life I now know that I want but I don’t seem to get any better. I eat and sleep well and exercise. I realize this could be a complete medical question but nobody REALLY seems to know anything about burnout. A long question but hey ho :) Would be grateful for any thoughts you might have, thanks again! Sincerely, Elisabeth Hi Elisabeth, I’m sorry to hear that you’ve been struggling for some time, but I'm glad you've been making progress, and I'm so glad you wrote to me. To my way of thinking, there is really no such “thing” as burnout. Depression, anxiety, anger, and other negative feelings do exist. Burnout is just a vague buzzword for feeling upset when something upsetting has happened. When I was in clinical practice, I saw as many as 17 depressed and anxious patients in one day, and as the day went on, I just got higher and higher and more energetic. That's because I loved what I was doing and felt I had something to offer, a lot, actually. I only got "burned out," or unhappy, if I felt I had said something that hurt someone's feelings, or if I had not done a good job for someone. Then I got really upset, but it was my thoughts, and not what I was doing, that caused my feelings. That, of course, is the cognitive model. I found it helpful to zero in on one moment when I was feeling depressed, anxious, or “burned out,” and to do a Daily Mood Log focusing on that moment. I’ll attach one to this email in case you are interested. I’ve also included a completed one so you can see how it works. This is not a similar case, just something I grabbed by way of illustration. Thanks, David (a fellow Swede) On the show, I describe one of the most stressful experiences of my career, when I appeared on a Philadelphia TV show with Maury Povich, and a patient of mine threatened to commit suicide. Fortunately, the story had a surprise ending that was very positive. So my message is one of hope. The idea is to focus on some specific thing you are upset about, as opposed to getting overly focused on a concept like "burnout." I think we all feel pretty exhausted at times, and if you've been studying or working too hard, it definitely makes sense to take a break to take care of yourself. When I transferred from my residency training program at Highland Hospital in Oakland, California, to the residency program at the University of Pennsylvania, in Philadelphia, one of my supervisors gave me this advice--he told me to make sure I set aside at least one half a day a week to stare at walls. What he meant was that I was working intensely, 24/7, during the first two years of my residency, and he wanted to make sure I gave myself a break to rest from time to time. So every Sunday afternoon I just watched football games on TV, often with a cat on my lap. This was refreshing and helpful, and my supervisor's advice helped me avoid feeling guilty for not working 24/7! 2. More on physical pain. Is it really true that negative feelings can make physical pain worse? We recently did a podcast with Dr. David Hanscom, a back surgeon who emphasized non-surgical treatments for back pain that can be surprisingly helpful. In that podcast, I described my research indicating that 50% of the pain we experience can the result of negative feelings, such as depression, anxiety, and anger. And if you can reduce or eliminate those negative feelings, your physical pain will often diminish substantially, and may even disappear entirely. I first discovered this amazing phenomenon when I had a dramatic and traumatic personal experience as a medical student. One night I was drinking beer at a bar in Palo Alto, and hurt a commotion, and turned to look. A fight had broken out, and although I was not involved in the fight, I saw a beer mug flying in slow motion toward my face. It hit my jaw, and glass exploded everywhere, and blood came gushing out of my mouth. I realized that my jaw was broken, and my front teeth were loose as well, so I ran outside to my old VW Beetle and drove at high speed to the emergency room of the Stanford Hospital. I ran inside and announced that I was a medical student and my jaw was broken. They put me on a gurney, and ordered an x-ray. I was in intense pain, and I was scared and angry, and still intoxicated, and probably wasn't the most cooperative patient. Eventually, a plastic surgeon was consulted and he talked to me after reviewing the X-ray. He explained that I had a broken jaw, and that he was going to hospital me and do surgery in the morning. He said my jaw would be wired shut for six weeks. I asked if I was going to lose my front teeth that were loose. He said he didn't think so, but that I would have a dental consult to check things out after they removed the wires on my jaw in six weeks. Then he said that he knew I was in severe pain, and that he'd ordered pain shots for me during the night. He said he wanted me to be comfortable, and explained that he wanted me to request a pain shot any time I was in pain during the night. Then he put his hand on my shoulder and said, "This is very routine, and you're going to be fine." At that very moment, my pain instantly went from severe to zero, and I did not need a single pain shot all night long. Dave Fribush emphasizes that while the surgeon's warmth and compassion were helpful, the thing that made my pain suddenly disappear was the sudden disappearance of my negative feelings--intense anxiety about losing my teeth, as well as anger at feeling that I was being neglected. And the very moment my negative feelings changed, my anger disappeared as well. My later research confirmed that negative emotions can, in fact, magnify the experience of physical pain, and that, on average, 50% of the pain we experience results from our negative emotions. This finding should provide hope for individuals struggling with physical pain, especially since this is a drug-free treatment not involving opiates. if you want to reduce your negative feelings, one approach would be to read one of my books, like Feeling Good or When Panic Attacks. They are, of course, not guaranteed to cure you, but research confirms that many people who read them do develop a more positive outlook on life and experience significant reductions in depression and anxiety. And the can be obtain inexpensively at Amazon or other book sellers. Next week, David, Rhonda and Dave will discuss three more questions you have submitted: Does emotional trauma cause brain damage? Do you have to have a good cry when something traumatic happens? Why does avoidance make anxiety worse? David & Rhonda
This event explores faith and inequity among the seriously ill and dying in our healthcare system. What role does spirituality play at end of life and in a health care setting? How can healthcare providers build trust with patients across cultures and faith traditions? How can we address the inequities faced by African Americans when seeking care at the end of life? Join Pastor Corey Kennard, Healthcare Activist and Lead Pastor of Detroit's Amplify Christian Church, and Dr. Jessica Zitter, author and physician at Oakland's Highland Hospital, for a rich conversation about improving end of life care. MLF Organizer: Mark Zitter MLF: Health & Medicine This event is part of the Reimagine End of Life, a festival exploring big questions about life and death through creativity and conversation, taking place throughout the Bay Area on Oct. 24-Nov. 3, 2019. Learn more about your ad choices. Visit megaphone.fm/adchoices
This episode is a conversation with Dr. Vanessa Grubbs, a nephrologist and Associate Professor of Medicine at UCSF. Dr. Grubbs went to medical school at Duke University, completed internal medicine residency at Highland Hospital in Oakland, California, and nephrology fellowship at UCSF. She describes her true passions as renal palliative care and narrative non-fiction. We talk about these topics as well as racial disparities in the care of kidney patients, and her path to nephrology from primary care. Her book, Hundreds of Interlaced Fingers, a Kidney Doctor's Search for the Perfect Match, was published by Harpers Collins in 2017. It’s a memoir, a love story, and a gripping description of the experience of dialysis and kidney transplant patients all in one. She also has the enviable Twitter handle: @TheNephrologist. Music by Scott Holmes “Follow Your Dreams” licensed under CC BY-NC 4.0
As a critical care doctor, Jessica Zitter has seen plenty of “Hail Mary” attempts to save dying patients go bad—attempts where doctors try interventions that don’t change the outcome, but do lead to more patient suffering. It’s left her distrustful of flashy medical technology and a culture that insists that more treatment is always better. But when a new patient goes into cardiac arrest, the case doesn’t play out the way Jessica expected. She finds herself fighting for hours to revive him—and reaching for a game-changing technology that uncomfortably blurs the lines between life and death. Resources Talking about end-of-life stuff can be hard! Here are some resources to get you started. (Adapted from Jessica Zitter’s Extreme Measures: Finding a Better Path to the End of Life. Thanks Jessica!) I want to… ...figure out what kind of care I might want at end of life: Prepare uses videos of people thinking about their end-of-life preferences to walk you through the steps for choosing a surrogate decision maker, determining your preferences, etc. ...talk with family/friends about my preferences (or theirs!): The Conversation Project offers a starter kit and tools to help start the conversation. ...put my preferences in writing (an advance directive): Advance Directive forms connects you to advance directive forms for your state. My Directives For those who like their documents in app form! Guides you through creating an end-of-life plan, then stores it in the cloud so it’s accessible anywhere. Guests Jessica Nutik Zitter, MD, MPH, Author and Attending Physician, Division of Pulmonary/Critical Care and Palliative Care Medicine, Highland Hospital Thomas Frohlich, MD, Chief of Cardiology, Highland Hospital Kenneth Prager, MD, Professor of Medicine and Director of Clinical Ethics, Columbia University Medical Center Daniela Lamas, MD, author and Associate Faculty at Ariadne Labs David Casarett MD, author and Chief of Palliative Care, Duke University School of Medicine Footnotes Read the books: Jessica Zitter’s book is Extreme Measures: Finding a Better Path to the End of Life. Daniela Lamas’s book is You Can Stop Humming Now: A Doctor’s Stories of Life, Death, and In Between. David Casarett’s book is Shocked: Adventures in Bringing Back the Recently Dead Read the memoirs of Amsterdam’s “Society in Favor of Drowned Persons,” the Dutch group that tried to resuscitate drowning victims (including Anne Wortman) Learn more about ECMO, its success rates, and the ethical questions it raises (Daniela also wrote an article about it here) Read Daniela’s study about quality of life in long-term acute care hospitals (LTACHs). And for an introduction to LTACHs, here’s an overview from The New York Times Watch Extremis, the Oscar-nominated documentary (featuring Jessica Zitter), about families facing end-of-life decisions in Highland Hospital’s ICU. Read some of Dr. Zitter’s articles about life support tech (here and here) and the tough decisions doctors and patients face in the ICU (here and here) Credits This episode of Undiscovered was reported and produced by Annie Minoff and Elah Feder. Editing by Christopher Intagliata. Original music by Daniel Peterschmidt. Fact-checking help from Michelle Harris. Our theme music is by I Am Robot And Proud. Our mid-break theme for this episode, “No Turning Back,” is by Daniel Peterschmidt and I am Robot and Proud. Thanks to the entire Science Friday staff, the folks at WNYC Studios, and CUNY’s Sarah Fishman. Special thanks to Michele Kassemos of UCSF Medical Center, Lorna Fernandes of Highland Hospital, and the entire staff at Highland.
As a critical care doctor, Jessica Zitter has seen plenty of “Hail Mary” attempts to save dying patients go bad—attempts where doctors try interventions that don’t change the outcome, but do lead to more patient suffering. It’s left her distrustful of flashy medical technology and a culture that insists that more treatment is always better. But when a new patient goes into cardiac arrest, the case doesn’t play out the way Jessica expected. She finds herself fighting for hours to revive him—and reaching for a game-changing technology that uncomfortably blurs the lines between life and death. Resources Talking about end-of-life stuff can be hard! Here are some resources to get you started. (Adapted from Jessica Zitter’s Extreme Measures: Finding a Better Path to the End of Life. Thanks Jessica!) I want to… ...figure out what kind of care I might want at end of life: Prepare uses videos of people thinking about their end-of-life preferences to walk you through the steps for choosing a surrogate decision maker, determining your preferences, etc. ...talk with family/friends about my preferences (or theirs!): The Conversation Project offers a starter kit and tools to help start the conversation. ...put my preferences in writing (an advance directive): Advance Directive forms connects you to advance directive forms for your state. My Directives For those who like their documents in app form! Guides you through creating an end-of-life plan, then stores it in the cloud so it’s accessible anywhere. Guests Jessica Nutik Zitter, MD, MPH, Author and Attending Physician, Division of Pulmonary/Critical Care and Palliative Care Medicine, Highland Hospital Thomas Frohlich, MD, Chief of Cardiology, Highland Hospital Kenneth Prager, MD, Professor of Medicine and Director of Clinical Ethics, Columbia University Medical Center Daniela Lamas, MD, author and Associate Faculty at Ariadne Labs David Casarett MD, author and Chief of Palliative Care, Duke University School of Medicine Footnotes Read the books: Jessica Zitter’s book is Extreme Measures: Finding a Better Path to the End of Life. Daniela Lamas’s book is You Can Stop Humming Now: A Doctor’s Stories of Life, Death, and In Between. David Casarett’s book is Shocked: Adventures in Bringing Back the Recently Dead Read the memoirs of Amsterdam’s “Society in Favor of Drowned Persons,” the Dutch group that tried to resuscitate drowning victims (including Anne Wortman) Learn more about ECMO, its success rates, and the ethical questions it raises (Daniela also wrote an article about it here) Read Daniela’s study about quality of life in long-term acute care hospitals (LTACHs). And for an introduction to LTACHs, here’s an overview from The New York Times Watch Extremis, the Oscar-nominated documentary (featuring Jessica Zitter), about families facing end-of-life decisions in Highland Hospital’s ICU. Read some of Dr. Zitter’s articles about life support tech (here and here) and the tough decisions doctors and patients face in the ICU (here and here) Credits This episode of Undiscovered was reported and produced by Annie Minoff and Elah Feder. Editing by Christopher Intagliata. Original music by Daniel Peterschmidt. Fact-checking help from Michelle Harris. Our theme music is by I Am Robot And Proud. Our mid-break theme for this episode, “No Turning Back,” is by Daniel Peterschmidt and I am Robot and Proud. Thanks to the entire Science Friday staff, the folks at WNYC Studios, and CUNY’s Sarah Fishman. Special thanks to Michele Kassemos of UCSF Medical Center, Lorna Fernandes of Highland Hospital, and the entire staff at Highland.
Dr. Andrew Herring, the Medical Director for the Substance Use Disorder Treatment Program at Highland Hospital and Principal Investigator for the California ED Bridge Emergency Buprenorphine Program, discusses the art and science in managing pain for patients with opioid use disorders. Hosted by Dr. Michelle Lin
Jessica Zitter describes herself as an “accidental evangelist.” As a doctor, she set out to save lives, not to focus on death. But her work has led her to a commitment to change the current paradigm of end-of-life medical decision-making. In October 2017, Zitter, an ICU and palliative care physician at Highland Hospital, sat down with Amy Tobin, CEO of the JCC East Bay, at the Uncharted Berkeley Festival of Ideas in Berkeley. Uncharted is a production of Berkeleyside, Berkeley's award-winning independent news site. The two talked about why we have to address the “End-of-Life Conveyor Belt” where the dying are intubated, catheterized, and die attached to machines, often without even knowing they are dying. Zitter also offered tips on how to have difficult, but necessary, conversations about death with our children.
Dr. Jessica Zitter, MD, MPH, is committed to changing the current paradigm of end-of-life medical decision-making. In today’s medical culture, the dying are often put on what she calls the “End-of-Life Conveyor Belt.” They are intubated, catheterized, and die attached to machines, frequently without even knowing they are dying.In her work, Zitter builds bridges between patients and the healthcare team, striving to offer care aligned with each patient’s values and preferences. She has come to see that patients empowered with knowledge can die well, even beautifully.Dr. Zitter practices the unusual combination of Critical and Palliative Care medicine at Highland Hospital, a public hospital in Oakland, Calif. She attended Stanford University and Case Western Reserve University Medical School and earned her masters in Public Health from the University of California, Berkeley. Her medical training includes an Internal Medicine residency at the Brigham and Women’s Hospital in Boston and a fellowship in Pulmonary/Critical Care at the University of California, San Francisco. She is also co-founder of Vital Decisions, a telephone-based counseling service for patients with life-limiting illness.Dr. Zitter is the author of Extreme Measures – Finding a Better Path to the End of Life, due to publish this month. She is a regular contributor to The New York Timesand her writing has appeared in The Atlantic, The Huffington Post, Pacific Standard,JAMA, andThe Journal of the American Medical Association. She is featured in the short documentary Extremis, which won top honors at the Tribeca and San Francisco International Film Festivals now streaming on Netflix.She lives in Oakland with her husband, three children, and two dogs.http://jessicazitter.com/https://www.youtube.com/watch?v=TJiY8duVgz0 See acast.com/privacy for privacy and opt-out information.
Season One: Carey talks with Hillary Larkin, a Physician's Assistant (PA) and leader of the Sexual Assault Response Team (SART) at Highland Hospital in Oakland California. They discuss making and taking opportunities in one's career, the evolution of medical Sexual Assault care in Alameda county, and why Hillary hates the term "rape kit".
We begin by describing the three different deaths of the ego that are required for recovery from depression, anxiety, or a relationship conflict, respectively. For depression recovery often results from the “Great Death,” A Buddhist concept that involves the discovery that there is no such thing as a “self” that could be worthless, or inferior, or judged by another person. David and Fabrice only touch on this theme and promise an entire future podcast on this fascinating and helpful spiritual notion that can lead to recovery from depression. For anxiety, the death of the ego is quite different, and involves surrendering to the monster the patient has always feared and avoided using a wide variety of exposure techniques. David traces the origin of Exposure Therapy to teachings in the Buddhist hold scriptures, the Tibetan Book of the Dead, more than 2,000 years ago. David describes the amazing and hilarious phenomenon of “laughing enlightenment,” which often happens when anxious individuals confront their fears. David describes how he used Flooding, an extreme form of exposure, to get over his own blood phobia, which he’d had since childhood. His fear of blood caused him to drop out of medical school at Stanford for a year on two separate occasions. He finally decided to confront his fear by working for a month in the Emergency Room of Highland Hospital, a major trauma treatment center, in Oakland, California. David explains what happened when a totally bloody man on the verge of death was rushed into the ER after a bomb he was building in his basement blew up. In the podcast David forgot to mention something fascinating about his experience at Highland. David had had a blood phobia since he was child, and blood phobia is thought to have genetic causes, and perhaps be inherited. And yet, David was totally cured in roughly 15 minutes without any medication at all. The important point is that even if things are biologically caused, they can often be treated with psychological techniques. Most therapists hate the word, “cure.” David explains why he sometimes uses this term when treating anxious patients, and also explains the difference between a 100% cure and a 200% cure. David emphasizes the importance of motivation and resistance in the treatment of anxiety, since few patients, if any, will want to use exposure techniques, because it is so terrifying. David and Fabrice will describe the Motivational Model in the next podcast. David and Fabrice raise questions about the mechanism of recovery during exposure. Why does it work? Is it due to the change in thinking, or is there some other healing mechanism at work? Fabrice asks about patients who resist exposure and protest that it won’t work. For example, a patient with the fear of heights might say, “Oh, exposure can’t possibly help, because every time I get in a situation where I’m exposed to heights, like when I’m in looking over a railing on the third floor of a building or hiking on a mountain trail, I get terrified. This has happened hundreds of times and it never helped!” Finally, David describes a humorous but real example of his 8-minute treatment of a therapist with 20 years of failed therapy (several times a week of psychoanalysis) for her elevator phobia. David and Fabrice end by talking about the enormous amount of information they have to share with listeners, including large numbers of creative exposure techniques that fall into three categories: Classical Exposure Cognitive Exposure Interpersonal Exposure They promise future podcasts describing these fascinating techniques with more amazing vignettes based on patients Dr. Burns has treated, as well as his treatment of his own many fears and phobias!
David answers these questions: How do you deal with a patient (or friend) who is boring? How do you deal with a patient (or friend) you don’t like? How do you get patients to do their psychotherapy homework? How do you deal with a patient (or friend) who is boring? David describes a technique he learned from a mentor, Dr. Myles Weber, during his second year of psychiatric residency at Highland Hospital in Oakland. The technique works instantly 100% of the time, and is guaranteed to make any boring interaction with any patient instantly exciting! David and Fabrice emphasize that the same technique can be used with a friend, colleague, or loved one who seems boring, including someone you are dating and can’t seem to connect with at anything other than a superficial level.David also describes powerful, shocking and illuminating experiences he had when attending psychodrama marathons sponsored by the Human Institute in Palo Alto during his medical school years, and what he learned about the differences between the off-putting “outer” selves we display to others and the more genuine “inner” selves we often try to hide. How do you deal with a patient (or friend) you don’t like? David describes a method he always used with patients he didn’t like, including one who he found intensely offensive—even disgusting. He explains that the patients he disliked the most almost always became the ones he liked the most, and ended up feeling the closest to, once he used this radical technique. The technique can also be effective with friends or colleagues you’re at odds with.Fabrice reminds us that the approaches David describes in this podcast involve several of the Five Secrets of Effective Communication discussed in previous podcasts. He warns us that they require considerable training, skill and practice, and are likely to backfire if done crudely. How do you get patients to do their psychotherapy homework? Every therapist who assigns psychotherapy homework is keenly aware that many patients, perhaps most, “forget” or simply refuse to do the homework. And these are the patients who don’t improve much, if at all. Dr. Burns explains how he tried dozens of techniques that didn’t work early in his career, and finally discovered an approach that was almost always effective.
Dr. Elson Haas has been in medical practice since he graduated from the University of Michigan Medical School in 1972 and then interned at Highland Hospital in Oakland, CA. Over the past 35 years, he has studied and incorporated many healing disciplines—Western and Eastern Medicines, Nutrition and Detoxification, Herbology, and Mind/Body Healing—into his ongoing practice. Since 1980, Dr. Haas refers to this multidisciplinary blend of care as Integrated, or Integrative, Medicine. Dr. Haas specializes in creating individualized programs for his patients utilizing dietary changes, detoxification, prescription medicines and nutritional and herbal supplements. Being hailed as “Sex and the City for Food,” The Food Heals Podcast brings together experts in the field of nutrition, health and healing to teach you the best-kept natural secrets to being a hotter, healthier, happier YOU! The Food Heals Podcast is hosted by Allison Melody and Suzy Hardy – two self-proclaimed natural chicks who will rock your world and change your beliefs about health! This sexy, savvy duo provides eco-friendly advice on a variety of issues including the healing power of nutrition, living authentically, turning your passion into your career, choosing the best natural health and beauty products, the benefits of a plant-based diet and so much more!
PrEP: Could a once-a-day pill end the HIV epidemic in San Francisco?; Unearthing Secrets of the Organ Trade; StoryCorps: Navigating patients to spiritual health at Highland Hospital; and local singer Beth Marlin.
On the night of March 9, 1948, fire consumed the Central Building at the Highland Mental Hospital in Asheville, North Carolina. Although people at the time recognized that the fire had been set, the local police department never identified the arsonist. Among the nine women who died on a locked floor at the top of building was Zelda Fitzgerald, the wife (by then, widow) of the writer F. Scott Fitzgerald. Zelda’s storybook life had led her from the Beauty Ball of Montgomery, Alabama, to marriage at seventeen and the joys and excesses of the Jazz Age (a term coined by her husband). But the early 1930s brought repeated hospitalizations for schizophrenia. Whenever possible, Zelda wrote and painted and danced, yet she remains known to history primarily as the inspiration for Daisy Buchanan and other rich, spoiled, shallow Fitzgerald heroines. In Guests on Earth (Algonquin Books, 2013), Lee Smith sets out to correct our images of Zelda. In doing so, she raises questions of what it means to be “crazy,” to be called crazy even if you just do a poor job of fitting in with society’s expectations, or to stand by–as family members must–while their loved ones are taken away to institutions and subjected, if with the best of intentions, to barbaric treatments that represent the “progressive” wisdom of the day. What kind of lives can these “guests on earth”–in Scott Fitzgerald’s words, “eternal strangers carrying around broken decalogues that they cannot read”–construct in their moments of lucidity? The characters in this novel–especially the narrator of the story, a young woman from New Orleans named Evalina Toussaint–exemplify both the ease with which we categorize people whose thinking we don’t understand and the extent to which we do so in error. In 1936, at the age of thirteen, Evalina responds to the death of her mother and brother by refusing to eat and by burning her arms. As a result, she spends the rest of her girlhood and much of her young womanhood as a patient, and ultimately a staff member, at Highland Hospital. There she meets Zelda Fitzgerald, together with a cast of troubled misfits, and herself spends some time on the locked floor of the Central Building. But Evalina also learns to play the piano at Highland, and her skills as an accompanist first take her away from the asylum, then bring her back. By the time you finish her story, you will understand why Lee Smith asks, “Are we not, in the end, all ‘guests on earth’?” Learn more about your ad choices. Visit megaphone.fm/adchoices
On the night of March 9, 1948, fire consumed the Central Building at the Highland Mental Hospital in Asheville, North Carolina. Although people at the time recognized that the fire had been set, the local police department never identified the arsonist. Among the nine women who died on a locked floor at the top of building was Zelda Fitzgerald, the wife (by then, widow) of the writer F. Scott Fitzgerald. Zelda’s storybook life had led her from the Beauty Ball of Montgomery, Alabama, to marriage at seventeen and the joys and excesses of the Jazz Age (a term coined by her husband). But the early 1930s brought repeated hospitalizations for schizophrenia. Whenever possible, Zelda wrote and painted and danced, yet she remains known to history primarily as the inspiration for Daisy Buchanan and other rich, spoiled, shallow Fitzgerald heroines. In Guests on Earth (Algonquin Books, 2013), Lee Smith sets out to correct our images of Zelda. In doing so, she raises questions of what it means to be “crazy,” to be called crazy even if you just do a poor job of fitting in with society’s expectations, or to stand by–as family members must–while their loved ones are taken away to institutions and subjected, if with the best of intentions, to barbaric treatments that represent the “progressive” wisdom of the day. What kind of lives can these “guests on earth”–in Scott Fitzgerald’s words, “eternal strangers carrying around broken decalogues that they cannot read”–construct in their moments of lucidity? The characters in this novel–especially the narrator of the story, a young woman from New Orleans named Evalina Toussaint–exemplify both the ease with which we categorize people whose thinking we don’t understand and the extent to which we do so in error. In 1936, at the age of thirteen, Evalina responds to the death of her mother and brother by refusing to eat and by burning her arms. As a result, she spends the rest of her girlhood and much of her young womanhood as a patient, and ultimately a staff member, at Highland Hospital. There she meets Zelda Fitzgerald, together with a cast of troubled misfits, and herself spends some time on the locked floor of the Central Building. But Evalina also learns to play the piano at Highland, and her skills as an accompanist first take her away from the asylum, then bring her back. By the time you finish her story, you will understand why Lee Smith asks, “Are we not, in the end, all ‘guests on earth’?” Learn more about your ad choices. Visit megaphone.fm/adchoices
Beyond the headlines of the Affordable Act: an interview with Pete Nicks, director of The Waiting Room, a film about Highland Hospital in Oakland; along with two StoryCorps about Highland. Plus local musician Fito Reinoso.
Dr. Gene Hern of Highland Hospital and AMR Medical Director for Contra Costa discusses the recent research that actually used a prospective, double-blind, randomized trial to determine the efficacy of epinephrine in cardiac arrest
Guest: William Hall, MD Host: Maurice Pickard, MD Dr. William Hall, director of the Center for Healthy Aging at Highland Hospital in Rochester, New York, discusses with host Dr. Maurice Pickard the unprecedented increase in members of our population age 85 and older, and the role this may play in exceptional longevity. We know more today than we ever have before about disease factors that cause disability and frailty, such as depression, neuromuscular stability, cognitive status and urinary incontinence. How will these factors help to support older patients?
Guest: Wright Lassiter, CEO of Highland Hospital. He & Dr. LeNoir will discuss the role of the public hospital and some of the challenges he faces. The post About Health – January 21, 2008 appeared first on KPFA.
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