Podcasts about international medicine

In this episode of EMRA*Cast's "Bridging Health and Humanity" series, host Natalie Hernandez, MD, MPH, speaks with Aslam Akhtar, MD, PhD, a fourth-year EM resident at Harbor UCLA, about his experience volunteering on a medical mission trip to Northern Gaza.

Five years ago, our world was turned upside down. Schools shut their doors, businesses closed, and our daily routines were completely upended by COVID-19. We learned new terms like “social distancing” and faced uncertainty in ways we could have never imagined. The COVID-19 pandemic was a global crisis, but it was deeply personal. It changed the way we work, the way we connected with one another, and even the way we think about our own health and well-being. Now, five years later, we're taking a step back to reflect.  MPR News host Angela Davis talks with a doctor and a therapist about what we have learned and where we go from here.Guests: Dr. Susan Kline is an infectious disease physician and a professor of medicine with the Division of Infectious Diseases and International Medicine for the University of Minnesota Medical School. Kendra Snyder is a therapist and founder of NobleTree Therapy, a group therapy practice in St. Paul that offers online therapy to individuals, couples and families.  

This UVA Speaks podcast features Scott Heysell, the Thomas H. Hunter, Associate Professor of International Medicine and Director of the Center for Global Health Equity at the University of Virginia. Dr. Heysell is an active clinician and researcher who supports partners worldwide in reducing tuberculosis-related deaths. He describes the work of UVA's Center for Global Health Equity, which offers interdisciplinary research and clinical training opportunities across various global locations like Rwanda, South Africa, India, Nicaragua, and Southwest Virginia. In collaboration with their international partners, Heysell and the Center's clinicians and researchers seek to dismantle structures of inequity and marginalization, respond to community needs, and build more equitable and effective global healthcare systems. Transcripts of the audio broadcast can be found here. Scott Heysell, MD, MPH, is the Thomas H. Hunter Associate Professor of International Medicine and Director of the Center for Global Health Equity at UVA Health at the University of Virginia. Dr. Heysell is an active researcher and supports partners worldwide to reduce tuberculosis-related deaths and correct factors that contribute to tuberculosis, including poverty, health system management, and chronic medical conditions such as HIV and diabetes. His research group also studies maximizing drug efficacy to improve treatment outcomes.

In this lively podcast episode, hosts Matt and Melissa discuss a range of entertaining and intriguing topics. From humorous anecdotes about baseball announcers mistaking a Mormon t-shirt for a "moron" to updates on the Olympics and the opening of a medical school at BYU, the hosts keep the conversation engaging and light-hearted. They also touch on the significance of a new museum dedicated to Black genealogy and the completion of the Book of Mormon Critical Text Project. The episode ends with a fun segment on Famous Mormons, revealing the surprising connection between Panic at the Disco and the Church of Jesus Christ of Latter-day Saints. Overall, a mix of humor, information, and interesting insights make this episode a must-listen for fans of the podcast. 00:00:00 - Introduction and Funny Baseball Story 00:02:32 - Thoughtful Email Response Regarding Sacrament Meeting Policy 00:09:41 - Accuracy Advocate and Agreeably Disagreeable Discussion 00:16:19 - Olympics Update: Jimmer Fredette's Participation 00:19:20 - Famous Mormons Rock Star Edition 00:30:05 - BYU Idaho Caffeinated Soda Announcement 00:36:07 - BYU Medical School Announcement 00:42:23 - BYU Medical School Collaboration with University of Utah 00:45:00 - BYU Medical School Focus on International Medicine and Teaching Approach

Dr. Shylah Moore-Pardo, Assistant Professor with the Division of Infectious Diseases and International Medicine, reviews the basics regarding vaccinations in the HIV-positive population. Dr. Pardo first reviews routine immunizations, such as Influenza, Tetanus, and COVID-19. She then covers risk specific vaccines, such as shots for Hepatitis B and C, meningococcus, and Mpox. Next, Dr. Pardo discusses routine vaccines indicated based upon one’s age, including Shingles, HPV, and pneumococcus. She then reviews non-routine vaccines given as indicated (Rabies, Men-B, Travel vaccines, etc.). Lastly, in a question and answer format, Dr. Pardo goes over common vaccine-oriented board questions and provides explanations and context as to the answers to those questions. From a lecture originally presented in January 2024.

Dr. Guy Handley, Assistant Professor at the USF Morsani Division of Infectious Diseases and International Medicine, presents a talk on Fungal pneumonias in immunocompromised patients. Dr. Handley begins by discussing the differential diagnosis of pneumonia, and then an overview of the most common types of mold pneumonias by pathogen. He then shares a case presentation of a mold pneumonia and discusses options in a question and answer format utilizing PollEv. Next, Dr. Handley focuses on Aspergillosis , then Zygomycosis, and compares and contrasts the two. Diagnostic and treatment options are explored for the invasive molds. Lastly, future directions in mold therapy are mentioned, including Fosmanogepix, ibrexafungerp, Rezafungin, and others.

Dr. Richard Oehler, Professor of Medicine at the Division of Infectious Diseases and International Medicine, Morsani College of Medicine at USF, presents this overview of Nocardia and Actinomyces, two closely-related gram positive filamentous rods which have distinct differences. In his presentation, Dr. Oehler initially covers Nocardiosis, followed by Actinomycosis, and compares and contrasts both and how they produce human infection. Topics covered for both infections include their taxonomy, epidemiology, types of patients infected, infectious syndromes, potential complications, recommended therapies, and duration of treatment. At the end of the talk both Nocardiosis and Actinomycosis are directly compared to help summarize the important learning points presented.

Cultivating a career in global health with a worldwide impact.

Dr. Jackie Sherbuk, Assistant Professor at the Division of Infectious Diseases and International Medicine, Morsani College of Medicine, reviews the most important protozoal infections affecting humans. Dr. Sherbuk begins by discussing Entomaeba histolytica, the agent of amoebic colitis, amoebic liver abscess, and dysentery. Next, Dr. Sherbuk elaborates on Leishmaniasis, differentiates visceral, mucosal, and cutaneous disease and and discusses diagnosis and treatment. Next, the speaker discusses Trypanosoma Cruzei (Chagas disease), including epidemiology, geographc distribution, life cycle, clinical manifestations, and the differences seen in immunocompromised persons. She closes by covering old and new world trypanosomiasis. Several case studies are also presented to help test the learner’s retention of the presented information.

Dr. Kami Kim, Chief of the USF’s Division of Infectious Diseases and International Medicine, presents an update on Malaria and fever in the returning traveller. Dr. Kim begins her talk by presenting an overview of the tropical infections associated with a febrile presentation. She then discusses the work up if the returning traveller with fever, including essential elements of the history, physical exam, and laboratory workup. She then reviews the history of malaria and then moves on to malaria epidemiology. The life cycle of malaria is presented, and then the factors associated with transmission are reviewed. Malaria diagnostics are also discussed. Lastly, Dr. Kim closes by contrasting the distinctions between the individual malaria species (falciparum, malariae, ovale, knowlesi) and their clinical spectrums of disease.

Dr. Stephanie Phillips, DO, is a highly accomplished healthcare professional with a deep commitment to delivering top-tier patient care. Born and raised in the picturesque town of Bluefield, West Virginia, her journey in the medical field is marked by outstanding achievements and a passion for global healthcare outreach.Stephanie's academic journey began at Emmanuel College in Franklin Springs, Georgia, where she not only excelled as part of the women's basketball team but also graduated Magna Cum Laude in 2006 with a Bachelor of Science in Biology.Continuing her pursuit of excellence, Stephanie earned her Doctorate of Osteopathic Medicine from the Via College of Osteopathic Medicine, located on the Virginia Tech campus in Blacksburg, Virginia, in 2010. During her time there, she served as the President of the Christian Medical and Dental Association and actively participated in an international missions training program.Stephanie's commitment to providing comprehensive healthcare was further honed during her family medicine residency at Anmed Health in Anderson, South Carolina. Her dedication led to graduating with honors and a strong foundation in healthcare.Since 2015, Dr. Phillips has been dedicated to the Department of Veterans Affairs, where she provides outpatient primary care services. She has also held the role of Medical Director at two Community Based Outpatient Clinics, one in Princeton, West Virginia, and the other in Athens, Georgia. Her expertise extends to caring for children, adolescents, and college-age adults.Dr. Phillips holds Certification in International Medicine, underscoring her dedication to global healthcare. She has actively participated in numerous international mission trips and lent her expertise to the Baptist Hospital in Ghana, Africa.In 2020, Stephanie and her family took on a new adventure by relocating to Georgia, where they now oversee a family farm in Royston. She is an active member of Royston First United Methodist Church and values her community involvement.Beyond her medical practice, Stephanie enjoys quality time with her husband, three children, grandchild, and a charming array of farm animals. Her hobbies include quilting, knitting, and relishing the simple pleasures of front porch sitting.Dr. Stephanie Phillips is a distinguished medical professional committed to enhancing the health and well-being of her patients, locally and globally. Her journey reflects a dedication to excellence in healthcare and a genuine passion for making a positive impact.---------------------Check out the My DPC Story RESOURCE PAGE HERE!---------------------HELP FUND THE PODCAST!CLICK HERE to Support tSee the trends driving employer adoption of DPC by clicking HERE Learn more about Med Mastery: HERESupport the showVisit the DPC SWAG store HERE!Let's get SOCIAL! Follow My DPC Story! FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

In this episode we are talking about the FEPOW Research Group. FEPOW stands for Far East Prisoners of War, and it focuses on capturing the history of civilian captives during the second World War and the impact that this has had on subsequent generations. The group brings together veterans, their families, writers, and academics to create a friendly space to capture stories that we can learn from and apply to research now. Approximately 240,000 Allied servicemen had become prisoners of war of the Japanese by early 1942. Over 50,000 British were captured during the fighting in Hong Kong, Malaya, at the fall of Singapore and across the former Dutch East Indies (now Indonesia). The 415-kilometre Thailand-Burma railway was built by Far East prisoners of war (FEPOW) who were part of a huge slave labour force drafted from across the region. The railway provided the Japanese with a vital supply route for their fighting forces in Burma. It was forged through raw jungle, across mountain passes and was completed in a little over 15 months in October 1943. Of the 30,000 British FEPOW sent to camps in Thailand and Burma over 6,600 died. For this episode, we welcome a new co-host, Geoff Gill from the Liverpool School of Tropical Medicine, where he has been involved with research and clinical care of former Far East prisoners of war. He has led the medical history inquiries into Far East imprisonment, resulting in two recent books, Captive Memories, and Burma Railway Medicine. We also have two great guests, Brian Spittle and James Reynolds. Geoff explains to us “I think one of the things I've learnt over the years, is that there are many different ways of telling a story and there's no one right way there, there are many different ways.” and in direct reference to the stories shared directly from the FEPOWs and their archives “It's a story worth learning from, and I think we have receptive generations to tell it to.” This episode features: Prof. Geoff Gill – Professor of International Medicine, Liverpool School of Tropical Medicine  Geoff Gill is Professor of International Medicine at the Liverpool School of Tropical Medicine (LSTM) and the University of Liverpool, and a retired NHS Consultant Physician. At LSTM he has been involved in the medical care of ex-Far East Prisoners of War (POWs), as well as extensive clinical research into their ongoing health problems – notably persisting malaria and amoebic dysentery, chronic worm infestations, hepatitis B infection, long-term effects of vitamin deficiency, and the extensive psychological aftermath. He has published extensively on these and other POW-related health issues. More recent research has involved the medical history of the Far East POW experience, in particular on the Thai-Burma Railway. This resulted in a PhD degree in 2009, and the book Burma Railway Medicine (with Meg Parkes) published in 2017. The LSTM Far East POW Project has been in operation in different forms since late 1945, and is the longest collaboration in the School's history. Brian Spittle Brian grew up in the UK and in his mid-twenties moved to the United States to pursue postgraduate studies. He has lived in Chicago for the past forty years, retiring from a career in higher education administration six years ago. His father, Jack Spittle, was in the RAMC during the Second World War, arriving in Singapore at the end of November 1941. He worked in the dysentery wing at Roberts Hospital at Changi, and followed the hospital moves to Selarang and Kranji. A keen ornithologist, he made detailed observations of the birds at Changi, publishing them after the war in the Bulletin of the Raffles Museum. It was only after his father died in 2004 that Brian found the notebooks he had made in captivity. Brian is close to completing a memoir about his own journey to understand more of Jack Spittle's time as a POW and...

Jie Sun is a professor in Infectious Diseases and International Medicine at University of Virginia School of Medicine and associate director for Scientific Programs at the Carter Immunology Center. His philosophy of science prioritizes physiologically relevant infection models to tackle real-world clinical needs with research. In their latest work, Sun's research team identified genetic and pharmacologic pathways that attenuate severe flu or COVID-19 infection and reduce blood glucose levels that spike after viral pneumonia. In this episode, Deanna MacNeil from The Scientist's Creative Services Team spoke with Sun to learn more about his philosophy of science, which prioritizes physiologically relevant models of infection to tackle real-world clinical needs with research.   Science Philosophy in a Flash is a series of mini podcasts produced by The Scientist's Creative Services Team. With a focus on the people behind the science, this podcast highlights researchers' unique outlook on what motivates their pursuit of science and what it means to be a scientist.

Interviewer info Lyssa Rome is a speech-language pathologist in the San Francisco Bay Area. She is on staff at the Aphasia Center of California, where she facilitates groups for people with aphasia and their care partners. She owns an LPAA-focused private practice and specializes in working with people with aphasia, dysarthria, and other neurogenic conditions. She has worked in acute hospital, skilled nursing, and continuum of care settings. Prior to becoming an SLP, Lyssa was a public radio journalist, editor, and podcast producer. In this episode, Lyssa Rome interviews Kristin Schaffer Mendez about her work on counseling for people with primary progressive aphasia and their families.   Gap Areas This episode focuses on Gap Area #6, insufficient attention to depression and low mood for people with aphasia across the continuum of care.   Guest info   Dr. Kristin Schaffer Mendez is a speech-language pathologist and assistant professor at the University of St. Augustine in Austin, Texas. Prior to entering academia, she worked in several clinical settings, including inpatient rehabilitation, home health, and private practice. Dr. Mendez's experience as a clinician has inspired her research, which is centered upon examining and addressing psychosocial factors in acquired neurogenic communication disorders through patient-centered and care partner-inclusive treatment paradigms, including counseling, support groups, and the use of telerehabilitation platforms.   Listener Take-aways In today's episode you will: Learn about some of the psychosocial factors that people with primary progressive aphasia may face. Understand how speech-language pathologists can provide both educational and personal adjustment counseling for people with PPA. Describe a cognitive behavioral approach to personal adjustment counseling for people with PPA. Edited show notes Lyssa Rome Welcome to the Aphasia Access Aphasia Conversations podcast. I'm Lyssa Rome. I'm a speech language pathologist on staff at the Aphasia Center of California, and I see clients with aphasia and other neurogenic communication impairments in my LPAA-focused private practice. I'm also a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources.   I'm today's host for an episode that will feature Dr. Kristin Shaffer Mendez. Dr. Schaffer Mendez is a speech language pathologist and assistant professor at the University of St. Augustine in Austin, Texas. Prior to entering academia, she worked in several clinical settings, including inpatient rehabilitation, home health, and private practice.   Dr. Schaffer Mendez his experience as a clinician has inspired her research, which is focused on examining and addressing psychosocial factors in acquired neurogenic communication disorders through patient-centered and care partner-inclusive treatment paradigms, including counseling support groups, and the use of telerehabilitation platforms. In this episode, we'll be focusing on her research on counseling for people with primary progressive aphasia.   Dr. Kristin Shaffer Mendez, welcome to the Aphasia Access podcast. It's great to have you here.   Kristin Shaffer Mendez  Thank you so much for having me. It's wonderful to be here.   Lyssa Rome  So I wanted to get started by asking you a question that we often start with, which is whether you have any “aha” moments, so experiences that were pivotal for you in your work as a clinician or as a researcher?   Kristin Shaffer Mendez Yeah, you know, I think throughout my career, there have been a series of “aha” moments. If I think through my career, I've had several different stages. So initially working clinically, as a speech language pathologist, as I was partnering with patients with all different types of communication disorders and their families, I quickly realized that we weren't going to address the specific speech language goals if I didn't first acknowledge and check in with these individuals and get a sense of their general wellbeing, and a sense of if they were suffering, if they were grieving, if they were going through or processing something specific. I did have some didactic training as a student and counseling—not a lot—and I noticed when I would try to find evidence-based resources, I wasn't finding a lot of disorder-specific counseling information.   Fast forward a few years later, I was working as a research speech language pathologist at the Aphasia Research and Treatment Lab in Austin, Texas. And I was working primarily with individuals with PPA, and sometimes I would notice, and in the midst of a speech language treatment session, they would say something maybe under their breath, or maybe in frustration, like, “Oh, my dumb brain,” or “ I'm such an idiot.” And I was thinking, oh, goodness, if this is what's coming out of their mouth, I only wonder what what's happening behind the curtain. And if we were to look at the inner workings of their mind, what their self talk would look like, and how critical it might be. Then I was thinking, “Okay, now what what types of tools might I be able to provide for these individuals so that they can minimize that critical voice, and be more positive, be more adaptive.” And so that leads me to to my line of research.   Lyssa Rome And that also leads, I think, straight into the gap areas. So in this podcast, we've been highlighting those gap areas that were identified in the State of Aphasia Report by Nina Simmons Mackie, which was published in 2018. And I think, in this episode, what you've described so far, and what we're going to be talking about, really focuses in on gap area number six, which is insufficient attention to depression and low mood for people with aphasia across the continuum of care.   You described some of the kinds of self-talk that you were hearing people say. I'm wondering if you could tell us a little bit more about the kinds of psychosocial issues that people with primary progressive aphasia typically experience. And I guess I also wonder if this differs at all from what people with post-stroke aphasia experience?   Kristin Shaffer Mendez So individuals with primary progressive aphasia, the psychosocial factors that they're facing can range from feelings of low confidence, to social isolation, withdrawal, reduced participation in life activities to a diagnosis of mood and or anxiety disorder. So similar in many ways to what individuals with stroke-induced aphasia may be facing. But the difference here is that when we look at the prognosis and the trajectory of life for individuals with PPA, in contrast to individuals with stroke-induced aphasia, who can look at a future of improved communication functioning, or maybe an plateau in communication status, for individuals with primary progressive aphasia, their trajectory is that of decline. And so these individuals are at particular risk for facing these psychosocial threats and for these factors to change over time as well.   Lyssa Rome  So given some of these needs that you've just described and the risks that you've described, how can we as speech language pathologists provide counseling in our treatment for people with PPA?   Kristin Shaffer Mendez   Yeah, so there's there lots of different avenues that we can go down in terms of providing counseling, and really what I'll say is, this is going to be person-specific, and we'll tailor our counseling to the needs of an individual, session by session.   There are two main camps in terms of counseling within our field more broadly, in communication sciences and disorders. And this I follow from Dr. David Luterman, of course, one of the long-standing advocates and pioneers for the integration of counseling in our field. He cites two main forms of counseling. One is informational counseling, otherwise known as psychoeducation, or educational counseling. This is where we're providing disease-related information. And then there's personal adjustment counseling. This is going to be more emotion-centered. This is where we are directly addressing those thoughts, feelings, and behaviors underlying the diagnosis. So I really do believe that we can toggle between the two, and that our patients can and may benefit from both forms of counseling.   As a field, research has shown that speech language pathologists tend to feel more comfortable in providing the educational or the informational counseling relative to personal adjustment counseling, and they're also more likely to have been provided with didactic education in that information-centered counseling. But this is this is where my work comes in. And this is where I'm really motivated and invested in in making changes.   I'll talk some more about personal adjustment counseling. So this can range from micro-counseling skills, that are more general, and that are those soft skills that will help to foster a strong therapeutic alliance with our patients. So actively listening, listening without having an agenda of what we're going to say next, or thinking about the time and redirecting back to the speech language treatment task. Having moments of therapeutic silence, where again, we're not jumping in to fill empty space, but pausing a beat, and letting the patient continue to talk, or sit for a moment and process. Paying attention to our body language, the nonverbal way that we're communicating, leaning in, nodding, validating, affirming through the way that we are presenting. And then listening to what our patients are saying, and then thoughtfully summarizing. So letting our patients know that they are seen and heard and validated.   So those are, those are microcounseling approaches, and we can provide that anytime with any of our patients or our care partners. But then there are also specialized counseling approaches, and that's where my research really delves into further that are going to require more training and a specialized set of skills.   But really, in terms of our opportunities to provide counseling that can really be organically woven into our interactions from the very initial assessment throughout treatment, checking in with our patients at the beginning of sessions, at the end of sessions, and just being being aware, being observant, and noticing if there are moments when our patients seem to be undergoing a moment where they want to talk and where we might need to pause. And use that moment as as a teachable counseling opportunity. And not feel as though we need to stringently adhere to our speech language treatment sessions, or that we have to have some formal time in our sessions that's set aside for counseling.   Lyssa Rome    It almost sounds like you're describing approaching our treatment sessions with a counseling mindset that sort of is woven throughout. And you alluded to more specialized programs that we can also use. I know you've developed a cognitive behavioral therapy program for people with PPA, and I'm curious about that program, and about why you selected CBT. And maybe if you could define it a little bit?    Kristin Shaffer Mendez Absolutely. Yes. So cognitive behavioral therapy, or CBT, is one of the most widely researched and popular forms of psychotherapy. And it trains individuals to examine the connection amongst thoughts, feelings, and behaviors in order to identify, assess, and respond to maladaptive or unhelpful thoughts to optimize mood and behavior more broadly. And also CBT has been modified for individuals with a variety of diagnoses, including those with neurodegenerative disorders, such as Alzheimer's dementia. So when I was considering different psychotherapeutic approaches to adapt, it really seems like CBT could could be a great starting point. There's really limited research in general about adapting counseling approaches for this population.   So within this treatment program, there were both opportunities for dedicated counseling, and that counseling closely followed the traditional form of CBT. However, the sessions were oriented towards communication-centered challenges. And so within that, there's opportunities to check in on an individual's mood, and talk through a home practice exercises from the last week, check in on that, and talk through, “Okay, so what what types of communication difficulties came up this week? And then how we should we prioritize our time together? What do we need to work through?” Then working through specific challenges using aphasia-modified CBT approaches and, and then ending with a feedback component as well. So that's basically the gist of a traditional CBT approach, as a CBT session. So there was that component, but also, these sessions were aphasia-modified in that aphasia-friendly written and visual supports were provided as needed to ensure comprehension of these key CBT concepts that could be new new terminology for any individual who's entering a counseling dynamic. We just wanted to make sure that these individuals were provided with that support.   But so in addition to the more structured counseling, there were also opportunities organically within the speech-language portion of the treatment sessions, where if an individual was demonstrating frustration or emotional distress, or they were saying statements that were maladaptive in nature, then these were teachable counseling moments where CBT techniques were used within the session.   Lyssa Rome So can you tell us a little bit more about the clients goals and also about what you found?   Kristin Shaffer Mendez Yes, absolutely. So, first, I want to contextualize this research and mention that it is considered pilot research. So this is early phase, early stage research, where we are looking at answering the question: Is this novel intervention feasible and is it acceptable to patients? So we're obtaining information to see if patients were satisfied by the treatment, if this was feasible for a speech language pathologist to implement. What we're finding with a small cohort of individuals, so we've published one paper in the American Journal of Speech Language Pathology with our very first pilot participants, that was just a single case experimental design. We have nine additional individuals, three per PPA variant, who have participated in our second phase of pilot research and we have a manuscript in preparation for that stage. But what we're finding today is that this intervention is acceptable. And it's it's feasible. We were also really intentional in selecting and recruiting and enrolling individuals who did endorse that, in light of their PPA, of their communication challenges, that they were facing threats to their emotional well-being and that they were interested in participating in an intervention that included counseling.   So I think that's one important point to make when looking at the individuals who have undergone this intervention. Then with regard to goals, that was really individual for each person. It ranged from participating more in prayer groups to calling family members or friends instead of emailing them or not picking up the phone out of a sense of a fear of what would happen during the conversation. And yes, so these goals were all created collaboratively with with me as the clinician and with the participant, to really determine what was going to be meaningful and valuable in these individuals lives and what to work towards, collectively and in our time together.   Lyssa Rome That makes so much sense and I can imagine how addressing some of the psychosocial challenges, as you have described them, would would allow people to participate in the ways that you were just detailing.   I'm curious about.. you mentioned earlier on, that we don't always get a lot of training as SLPs in specific counseling approaches, and often are more comfortable, I think, with the educational counseling piece of things. So what kind of training would clinicians need—both future clinicians and current clinicians—in order to use this type of approach with our clients?   Kristin Shaffer Mendez Yeah, that's, that's a great question. And that's what we're continuing to examine, as we continue to move through our phases of research and so we've now completed pilot research and in the future we're looking at efficacy research and and later on down the line, I can say more generally, what I envision is that these types of counseling approaches and the evidence base wherein, that we discover, will then be incorporated more universally in graduate school education. But not so that, necessarily, students are going to graduate being able to implement and provide these specialized counseling approaches, but so that they have a sense of the theoretical underpinnings and the basic constructs of these approaches, and even thinking about patient candidacy—who might be appropriate and who might benefit from these approaches. But then in the future, I can see there being continuing education opportunities similar to LSVT, the Lee Silverman approach, where maybe it's a two-day training, for example, and intensive training where individuals are provided with a lot of hands-on experiential learning, so that they are equipped with those tools that they can then implement with patients.   Lyssa Rome  It brings to mind another question that I have, which I think is often on my mind anyway, when I think about counseling approaches, which is: We know that a lot as you've been describing, a lot of anxiety or mood related challenges are directly related to communication-specific disorders, in this case, PPA. So as we think about the needs, the psychosocial needs of people with PPA, given that so many of those needs are directly related to this progressive communication disorder, how do we know what's within our scope, and when we might consider referring to a mental health professional, for example, if the needs are greater than what we are able to meet on our own?   Kristin Schaffer Mendez That's a great question. And I do believe as speech language pathologists we're uniquely equipped to providing counseling. We are the communication experts. And we possess specialized skills in understanding individuals with communication impairments, and helping them express themselves. And this is something that a lot of licensed mental health professionals may not have the background training and experience in.   So with regards to determining when to potentially refer, so it's completely normal, we would argue, that individuals facing a neurogenic communication disorder, such as PPA will, will likely experience grief and loss and suffering as they're processing their diagnosis and navigating their days. But if we have a sense that they are presenting with a mood and or anxiety disorder that may be undiagnosed, then certainly the first step is to administer a mental health screening or an anxiety disorder screening, there are several available online that are free—the Personal Health Questionnaire, the Generalized Anxiety Disorder Scale, for instance. And then if the results do show that there is the potential presence of mood or anxiety disorder, then having having a conversation and coming from a place of care and concern and letting our patient know that we do have concerns that these individuals may be presenting with challenges that go beyond what we are able and equipped to provide. And then from there, looking into finding mental health professionals within the community, so that we can give that warm handoff and engage in interprofessional collaboration, if need be, if the mental health professionals maybe don't have experience in treating a client with PPA or aphasia, for example.   Lyssa Rome  And that's, I think, a perpetual challenge, right? It's finding those people who can support clients with mental health needs beyond what we're able to help them with—people who have those those kinds of communication skills and experience.   Kristin Schaffer Mendez And if I could just say one other thing as well. When I said a warm handoff, I don't necessarily mean that we stop treating our patient or that we don't continue to provide counseling. It's just we want to make sure that we're staying in our lane and providing counseling as it relates to the communication challenges. But not going beyond and stepping outside, especially if there's some type of mental health disorder that needs to be treated and managed more broadly.   Lyssa Rome That totally makes sense to me. It's working with the mental health counselor and not instead of.   So we know that people with PPA will continue to experience declines in their language functioning as their disease progresses. I'm wondering about how the counseling needs change over time and how we can meet their needs over time, as their disease progresses?   Kristin Shaffer Mendez   Yes, that's that's a great question. And that's really important too, is that we demonstrate flexibility, both in the counseling that we provide and in the speech language interventions we provide that's really yoked to and sensitive to a person's presentation.   So Dr. Ian Kneebone has published work pertaining to the provision of CBT for individuals who have survived a stroke. And I think that the principles that he discusses would be really applicable for individuals with PPA or other communication impairments as well, in that we must demonstrate flexibility, that is yoked to an individual's cognitive and communication presentation. And so if, for example, an individual, we'll say with PPA, is presenting with a more progressed clinical profile, then we would consider using language that's more concrete versus more abstract. We would also consider the provision of additional environmental supports, or multimodal communication, for example. And we would also want to include our care partners, if they are amenable to participating, as that can then help to ensure facilitation and implementation of the strategies outside of the therapy sessions.   Lyssa Rome    That brings me to another question, which is that you had mentioned earlier in a study that hasn't been published yet, you had people with each variant of PPA involved in your research. And I'm curious about sort of, in addition to thinking about disease progression, if there are also aspects of the variants that clinicians should be aware of in terms of their neuropsychological or behavioral features. And how would we want to think about sort of varying strategies based on those features? Or what to expect even based on those features?   Kristin Shaffer Mendez Absolutely, yes, that's a great question. And I think that being aware of the potential presence of these neuropsychiatric and behavioral features is important in general, because this can also influence the speech-language interventions we provide. There has been research that have has shown some general patterns that we might expect to see across the PPA variants. So for example, apathy has been found in some research studies, and then other other features that are more specific to a specific PPA variant. So, for example, with the semantic variant of PPA, we may see loss of empathy, mental rigidity, compulsive behaviors, disinhibition. With the logopenic variant, we may see agitation, anxiety, irritability, and with the nonfluent, agrammatic variant, we might also see irritability, and these individuals also often may present with depression. So you know, those are those are some some general trends that we've seen. But again, we have to look at each person as an individual.   But in terms of the counseling that we provide, yes, I think that if we have an individual that, for example, has the semantic variant of PPA, and they're presenting with mental rigidity, then thinking about what types of counseling may resonate with them, or what types of counseling may need to be provided to family members and care partners will be important to consider. So for example, with with cognitive behavioral therapy, which is really hinged upon cognitive restructuring, and taking thoughts that are unhelpful or maladaptive and monitoring and adjusting them so that they become more helpful and adaptive. If somebody presents with mental rigidity, then this type of intervention may be met with resistance.   That said, for the very small sample size of individuals I've worked with, that hasn't always necessarily been the case that that these individuals were not open to engaging in a counseling approach like this. Really small sample sizes—we really can't make any sweeping statements at this point in time. But I think that the key is that we are aware of these features, and that we are providing counseling and educational support and that we are flexible. And sometimes, an approach may not work in general, sometimes it may not work a specific day, and so this really requires trialing and error and experimentation and openness on the part of both the clinician and the client.   Lyssa Rome That leads me actually directly into a question that I wanted to ask as we wrap up. I think it is so important to meet people where they are on a specific day, and to be really aware of who they are and what they're experiencing as an individual—I think that's pretty core to many of our, all of our practices as speech language pathologists. I wanted to wrap up by taking a step back and asking you a little bit more about why this is so important. You touched on it in the beginning, but how does counseling support a life participation approach for our care for people with PPA?   Kristin Shaffer Mendez Yes, so the orientation with counseling is within the context of a whole person who lives a rich, dynamic life. And these individuals are unique, and they have different values and goals. And they do have a communication impairment, but that's just one part of their life, and doesn't define them as a person. And so within the work that we do, in providing counseling, we are honoring these individuals and and that full landscape of their life. And we're equipping them with skills so that they can cope with the challenges that they are facing with their communication challenges. So that they can continue to live a meaningful life that aligns with their values and their goals for their time on this earth.   Lyssa Rome What I'm moving and beautiful way to wrap this up. Dr. Kristin Shaffer Mendez, thank you so much for talking with us. I really appreciate it. It's been a pleasure.   Kristin Shaffer Mendez Oh, it's been a pleasure as well. Thank you so much for the opportunity.   Lyssa Rome Thanks also to our listeners. For the references and resources mentioned in today's show, please see our show notes. They're available on our website, www,aphasiaaccess.org. There, you can also become a member of our organization, browse our growing library of materials and find out at the Aphasia Access Academy. If you have an idea for a future podcast episode, email us at info@aphasiaaccess.org. Thanks again for your ongoing support of Aphasia Access. For Aphasia Access Conversations, I'm Lyssa Rome.       Twitter: @Schaffer_SLP References and Resources Twitter: @Schaffer_SLP   Luterman, D. (2020). On teaching counseling: Getting beyond informational counseling. American Journal of Speech-Language Pathology, 29(2), 903–908. https://doi.org/10.1044/2019_AJSLP-19-00013 Schaffer, K. M., Evans, W. S., Dutcher, C. D., Philburn, C., & Henry, M. L. (2021). Embedding aphasia-modified cognitive behavioral therapy in script training for primary progressive aphasia: A single-case pilot study. American Journal of Speech- Language Pathology, 30(5), 2053–2068. https://doi.org/10.1044/2021_AJSLP-20-00361 Kneebone, I. I. (2016a). A framework to support cognitive behavior therapy for emotional disorder after stroke. Cognitive and Behavioral Practice, 23(1), 99–109. http://doi.org/10.1016/j.cbpra.2015.02.001   Screening tools and citations: PHQ-9: K. Kroenke, R.L. Splitzer, J.B. Williams. “The PHQ-9: validity of a brief depression severity measure.” Journal of General Internal Medicine. 16(9): 606-13. September 2001. Retrieved July 9 2018. https://www.ncbi.nlm.nih.gov/pubmed/11556941.   GAD-7: Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of International Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092  

Interview was done March 8, 2023! I love meeting new people willing to share their “lemon to lemonade” experience! This story is about Candace who had a dream to stay married and learned quickly about getting divorced. She had to let go of what she thought was good for something great! Divorce doesn't have to be horrible. And she didn't want to get hung up on her circumstances. She became an advocate for International Medicine and wanted a job that worked with her passions. Candace teaches others to be discerning, find their tribe to collaborate with , and know that rock bottom has a basement but there are always stairs to climb out of it. What message do you get from this interview? Website: www.Joinexitus.org www.candacerivera.com ABOUT the LemonAid Stand: Heidi started hosting the LemonAid Stand live radio talk show, over 20 years ago, in 1999! It all came about when Heidi was dealing with thoughts of suicide, inadequacy, and dealing with infertility. She realized as she reached out to others and heard their stories, she would be uplifted and inspired no matter what she was going through. So this podcast has old "Original" shows from that time period. It also has "New" shows that are currently being recorded with new guests. And it has "Update" shows where Heidi reached out to original radio show guests to find out how the past 20 years have been!  Heidi is a motivational speaker and would love to speak at your event about how to elevate your happiness! Theme song written and recorded by Heidi's baby brother Shane! Do you know a story that needs to be shared? Contact Heidi!  Email: HeidisLemonAidStand@gmail.com Website: https://www.heidislemonaidstand.com Facebook: https://www.facebook.com/HeidisLemonAidStand Instagram: @HeidisLemonAidStand Mail: PO BOX 926, Orem, Utah 84059

Heitham Hassoun, MD, Vice President & Medical Director, Cedars-Sinai InternationalDr. Heitham Hassoun is the Vice President & Medical Director for Cedars-Sinai International in Los Angeles, California. He previously served as Global Medical Director for Johns Hopkins Medicine and was an Associate Professor in the Department of Surgery at The Johns Hopkins University School of Medicine.Dr. Hassoun has a wealth of experience in international patient services, global collaborations and health system development. He was instrumental in the creation of Johns Hopkins Aramco Healthcare, a joint venture between Saudi Aramco and Johns Hopkins Medicine, as well as a number of other institutional management and affiliation agreements throughout the Middle East and Asia. Currently, he aims to expand the global footprint of Cedars-Sinai.Dr. Hassoun maintains a clinical practice in vascular & endovascular surgery and he continues to educate and research in a variety of topics related to global collaborative healthcare and academic medicine. He completed his fellowship training in vascular and endovascular surgery at Northwestern University in Chicago and earned his medical degree at Baylor College of Medicine in Houston.John Marchica, CEO, Darwin Research GroupJohn Marchica is a veteran health care strategist and CEO of Darwin Research Group. He is leading ongoing, in-depth research initiatives on integrated health systems, accountable care organizations, and value-based care models. He is a faculty associate in the W.P. Carey School of Business and the graduate College of Health Solutions at Arizona State University.John did his undergraduate work in economics at Knox College, has an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is an active member of the American College of Healthcare Executives and is pursuing certification as a Fellow.About Darwin Research GroupDarwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin's client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.

Dr. Jackie Sherbuk, Assistant Professor at the Division of Infectious Diseases and International Medicine at the USF Morsani College of Medicine presents this Podcast on Viral Zoonotic and Arboviral infections. Medical syndromes discussed includes Rabies, Orf (Ecthyma contagiosum), Herpes B Virus, Alphavirus, Chikungunya, Dengue fever, Yellow fever, West Nile Virus, Japanese Encephalitis, Tick-borne Encephalitis, Hantavirus, California Encephalitis, And Lymphocytic Choriomeningitis virus. Board review type questions are also presented to aid in integrating the information presented in the talk

Joseph Weiss, MD Joseph B. Weiss, M.D. is Clinical Professor of Medicine in the Division of Gastroenterology, Department of Medicine, at the University of California, San Diego. Accepted to university at age fifteen, he attended the University of Michigan, University of Detroit, and Wayne State University. Reflecting his broad interests, he majored in Medieval English Literature, Astrophysics, and Invertebrate Zoology. Following his graduation from the Wayne State University School of Medicine in Detroit, Michigan, he completed his internship and residency in Internal Medicine at the University of California, Irvine Medical Center in Orange, California. Under the auspices of the World Health Organization and others, he has pursued interests in Tropical & International Medicine and Public Health with extended stays in Africa, the Middle East, and Latin America. Subsequently completing a clinical and research fellowship in Gastroenterology at the University of California, San Diego, he has remained active on the clinical faculty of the School of Medicine. Dr. Weiss is a Fellow of the American College of Physicians, a Fellow of the American Gastroenterological Association, and a Senior Fellow of the American College of Gastroenterology. Double board certified in Internal Medicine and Gastroenterology, Dr. Weiss has over forty years of clinical, administrative, and research experience. He has also served on the Board of Directors of the Scripps Clinic Medical Group, Clinical Board of Governors of the Scripps Clinic and Research Foundation, and Chancellor's Associates of the University of California, San Diego. He is the author of more than two dozen books on health (www.smartaskbooks.com) and has had numerous papers published in prestigious national and international medical journals, as well as in the mainstream press. As a medical consultant he continues to lecture widely, as well as provide personal guidance and advocacy to achieve optimal personalized health- care, with a focus on proactive preventive health for wellbeing, vitality, and longevity. Dr. Weiss is also an accomplished humorist and professional speaker having given over three thousand presentations nationally and internationally. He has presented at international conferences and conventions, universities, medical schools, hospitals and medical centers, Fortune 500 companies, YPO/WPO, Bohemian Grove, Esalen Institute, Renaissance Weekend, Aspen Brain Forum, international destination spas & resorts. Co-hosting a popular health care radio program on a major network affiliate in California showcased his skills as an articulate compassionate communicator with a mellifluous voice and calming presence. You can learn more about Dr. Weiss at http://www.smartaskbooks.com/.

In this our fourth Take A Step Back episode we take the opportunity to look back over and comment upon Episodes 14 thru 16.  Our host, Dr. Fethke, is joined by two guests - a third year medical student, Leizer Steppa, and an experienced practicing primary care internist, Dr. Tracy Williams. Together they reflect on the lessons gleaned from these three episodes including;Ep 14 (Parts 1&2)  International Medicine and Earthquake relief in Haiti - Dr. Ronald IsraelskiInfrastructure - Resiliency and Sustainability as a goal Know the people you serve and focus on their needs, not your perceptions of their needsEp 15 (Parts 1-3)  Building a Healthcare System in South Africa: Lessons from the HIV and Covid-19 Pandemics - Sagie PillayHealthcare is a fundamental and critical factor in forming a new nationHIV experience highlighted inequities in healthcareCovid-19 - should have learned from past experiences and need to understand why we did notPolitics can support of interfere with national healthcare Ep 16 (Parts 1&2)  The Experience of a Black Physician in the U.S. - Dr. Tyree WinterStructural Racism in US creates inequities in racial distribution of physiciansPeople do better when their physician is someone they can identify withOutreach to under represented races is necessary and effective in improving the number and distribution of non-white physiciansWhen we all do better - everyone wins.This hour-long review of our prior guests foray into International Healthcare and The Racial Inequities of Healthcare at home and abroad proved to be very insightful and expanded upon these very important issues. The vantage point of combining students and practicing physicians once again has bourne fruit for our journey into several of the very relevant factors that are limiting our Global Healthcare Teams from being as effective as possible when delivering care to people. The Take-A-Step-Back format continues to move us along our journey of empowerment through knowledge and enhances our engagement in open discussion.  In the end, if we truly care about the quality of the healthcare we deliver, it boils down to some basic principles -  we must learn from our past and from each other.  In our next few episodes, the Pursuit of Health podcast will be returning to South Africa, addressing the healthcare impact of the potential overturning of Roe v. Wade with our obstetric and neonatal colleagues, and investigating the role of Universal Healthcare in addressing areas of waste in our healthcare system.Our team at The Pursuit of Health Podcast can be reached for your feedback and suggestions for future topics of interest through Facebook and Instagram @drfethkemd on our website at drfethkemd.com. 

Well Said has invited Dr. Amos Grünebaum, obstetrician and gynecologist specializing in high-risk pregnancies and a Professor of Obstetrics and Gynecology at the Zucker School of Medicine and Dr. Francis Chervenak, Chair of Obstetrics and Gynecology at Lenox Hill Hospital and at the Zucker School of Medicine, where he is also an Associate Dean for International Medicine to discuss how vaccination during pregnancy and the risks associated with giving birth at home.

Listen as Dr. Nicholas Comninellis, founder and dean of the Institute for International Medicine in Kansas City, Missouri, discusses his journey in medical missions and how the medical field opens doors to the Islamic world.

Our unique guest today will inspire you! Today Greg Kelley interviews Nicholas Comminellis—a man who wears many hats.   Not only is he a MD--he is also an author and speaker and dean and president of INMED (Institute for International Medicine). This ministry equips healthcare professionals and students to serve people around the world who are forgotten, impoverished and marginalized. To fulfill the great commission—the work of this ministry is pivotal. They also talk about the importance of serving the forgotten in Afghanistan, even while the country is in chaos. You don't want to miss this podcast! Links: Subscribe to our Podcast  Learn more about A THIRD OF US and the 1:11 Prayer Challenge  Download the Great Commission Action Guide Follow us on Facebook   Become an Advocate  Learn More about InMed

On this episode we had the opportunity to continue our intense discussion about international healthcare with Dr. Ronald Israelski at the Chester, NY headquarters of Orthopedic Relief Services International (ORSI). Dr. Israelski has been an Assistant Clinical Professor at NYU for well over 20 years, and a practicing orthopedist for over 30 years.  He has created a legacy of expanding both the clinical and education infrastructure of his New York community and that of the neighboring country of Haiti.  Just 2 days before our session, on August 14, 2021, a large earthquake hit Haiti with a force even greater than that which devastated this already vulnerable country on January 12, 2010.  During the discussion, the increasing number of incoming texts and phone calls from Haiti and Dr. Israelski's American colleagues reminded us of the urgency and reality of the ongoing situation in Haiti.  Dr. Israelski continues the discussion by explaining in detail about the mission and unique organizational approach of ORSI. He emphasizes that any truly effective and sustainable relief effort must be guided and driven by the people in need. He warns that to superimpose the models of care derived from other communities or nations will inevitably exclude a large proportion of the population being attended to and will not establish the infrastructure or clinical and educational resources required to establish longevity nor high quality of care. He strives to create Partners in care, not Dependents.  Most importantly, he again emphasizes the foundation of Trust and Compassion that must underlie any healthcare endeavor, at home or in another nation. He clearly believes that American physicians and clinicians derive invaluable professional experience and life lessons when participating in International Healthcare efforts, that translate to becoming a better healthcare professional. His recipe for success includes Resiliency, Ingenuity, Grit and, above all, Compassion.   Dr. Ron finishes by running in between phone calls from Haiti to thank all his colleagues who have made the ongoing work in Haiti possible. If you would like to learn more about how you can contribute to the Haitian relief effort at Orthopedic Relief Services International, please visit https://orsinternational.org/. You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd(This episode will also available in video format on Youtube @drfethkemd).  

On this episode we had the opportunity to join Dr. Ronald Israelski at the headquarters of Orthopedic Relief Services International (ORSI) to discuss his work in international healthcare. Just 2 days before our session, on August 14, 2021, a large earthquake hit Haiti with a force even greater than that which devastated this already vulnerable country on January 12, 2010.  During the discussion the texts and phone calls were pouring in nonstop from Haiti and Dr. Israelski's American colleagues in their efforts to respond to the catastrophe that ORSI was specifically created to address.  Dr. Israelski begins the discussion by sharing his journey to becoming a physician leader in orthopedic surgery. He readily draws the connection between his fascination with building things as a child and his innate desire to help people in crises as the impetus for his medical career.   Dr. Israelski is an experienced practicing orthopedist who has created a legacy of expanding both the clinical and education infrastructure of his community.  An Assistant Clinical Professor at NYU for well over 20 years, he brings both the academic and frontline community-based mindset to his over 30 years of orthopedic work with a focus on hand surgery. During his 10 years serving as Chairman of the Dept of Orthopedic surgery at ORMC (now Garnet Health) in the Greater Hudson Valley of NY, he proved to be a medical pioneer.  Starting with the creation of a highly specialized joint and bone replacement center in 2005, he then became the driving force behind both the region's new medical school in collaboration with Touro University and an accredited residency training program at the region's newest and largest hospital -ORMC. This academic program established improved Health standards, Economic Vitality, and Educational Opportunities formerly unavailable in the Hudson Valley region.  Dr. Israeski shares the poignant moment on January 12, 2010 that dramatically turned his professional focus beyond the U.S. borders to the neighboring country of Haiti. This single event, which lasted only about thirty seconds, killed between 250,000 and 300,000 people, left well over 1,000,000 homeless, and critically injured hundreds of thousands more.  On that day he decided to roll up his sleeves and join other orthopedic colleagues in what can only be described as a horrific war zone ravished by one of the most life-changing environmental catastrophes of this century. He clearly explains the history and dynamics of this former land of riches troubled by an abusive colonial past, raping of he environment, a legacy of racism, corruption and detrimental outside poltical manipulation, now facing two monumental environmental catastrophies.  Dr. Ron, as his colleagues call him, explains how this initial venture in 2010 grew into the medical relief program ORSI that was being called back to action for this second earthquake right in the midst of our conversation. He explains how ORSI was built on the fundamentals he refers to as ICE - Build/Support Infrastructure, Clinical Work, Educational Support. The ORSI team has deployed over 30 teams to Haiti and raised millions of dollars of relief. It serves as the model for international medical care that is specifically guided by and addresses the needs of those affected.  Join us next time as we continue this intense dialogue with Dr Israelski in Part 2 of this timely episode where we venture into the need for Humane and Compassionate healthcare at home and abroad.You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd(This episode will also available in video format on Youtube @drfethkemd).  

Dr. Ben Belknap is a community Emergency Physician in NYC. He is also the co-Founder and Director of The Kingiti Fund, a non-profit working with leaders in rural Tanzania to create and maintain high-quality emergency services (among many, many other things) there.Ben managed The Kingiti Fund throughout medical school after founding it while serving in the Peace Corp. He expanded its services while completing residency. For Ben, training in emergency medicine was always a tool allowing him to better meet the needs of the Mpwapwa community rather than a personal fascination. However, there was ways for hobbyists in international medicine to contribute in meaningful ways too.Please enjoy this fascinating discussion with Ben about international aid, medicine, development,  ethics, and how you can get involved. You can reach Ben at:Ben@kingiti.orgLinks to people and things discussed in this episode:The Kingiti FundMpwapwa, Tanzania

Show Notes:In this episode of “Ask the Experts,” Cheryl Gooden, MD, joins us to discuss some of the challenges that she encounters with pediatric airway management. She also talks about her work in medical mission work around the world from India to Peru.“Ask the Experts” is a conversation podcast series from the “Anesthesiology News Presents” channel. It features up close and personal Q&A interviews with leading experts in the field of anesthesiology on topics such as difficult airways and women in medicine.Links Mentioned:Link to Plasticos FoundationLink to The Orbis Flying Eye HospitalLink to Maya Angelou QuoteSend us an email to submit questions for future guestsFollow Us:Our WebsiteApple PodcastsSpotifyGoogle PodcastFind Us on Social:TwitterFacebookLinkedInInstagram

Dr. Anthony Cannella, Assistant Professor of Medicine at the USF Division of Infectious Diseases and International Medicine, reviews Non-tuberculosis Mycobacteria, with a focus on Mycobacterium abscessus spp. Dr. Cannella begins his presentation by reviewing the microbiology and epidemiology of M. abscessus and their spectrum of disease. He then transitions to discussing the pathophysiology of how these infections occur as well as the pharmacologic options available for treating them. He closes by presenting the research implications of M. abscessus infections from the perspective of the immunological response and pharmacotherapeutic options.

Dr. Joanne Liu, former international president of Médecins Sans Frontières joins Beyond the Books on this week's episode! Dr. Liu has spearheaded international medical efforts all around the globe, having served during the peak of the Ebloa crisis. We talk about her experiences with MSF, how COVID has impacted telemedicine for the better, and play another round of COVID fact or fiction! Why is there growing suspicison of science? Did the former international president of MSF quit on her first field mission? Come join us as we go Beyond the Books!

A physician describes what attracted her to international medicine where she’s worked for Doctors Without Borders in many challenging places. Guest: Naina Bhalla MD, MPH   Intro and Outro are Prelude by J.S Bach, arranged by Sophocles Papas, with permission from Carl Fischer. Also, Largo from Four Seasons by Vivaldi, arranged Per-Olov Kindgren. Guitar played by Saul Weiner.

In Part 2 of our interview with Dr. Bhalla, hear what makes for a good fit for a long term career practicing medicine and leading projects in international settings

To celebrate Women in Medicine month, we are we sharing interviews with our Top 12 Women in White Coat Heroes. In this episode our Co-Founder Dr. Archana Shrestha speaks with Dr. Amanda Mohammed about International Medicine and Global Health. Are you a physician who is dissatisfied in your current job? Have you been thinking about pivoting and making a career move? Or maybe you have realized medicine isn't quite so stable and that you need additional sources of income? Since so many doctors are wanting to pivot in their careers right now, we just hosted a Women in White Coats Virtual Summit called Women Docs Thinking Outside the Box. It was an AMAZING Summit !!! Attendees heard from a phenomenal line-up of guest experts who are all women docs thinking outside the box, living life and practicing medicine on their own terms. They shared their best tips for making a transition into everything from Telemedicine and Locums to Physician Leadership, Lifestyle Medicine and Medical Media and Coaching. We even had experts talking about how to get started in Real Estate and Stock Investing and entrepreneurship. Even though you missed the LIVE launch of the Summit you can still gain all the wisdom and insight by watching all the recording. Just Go to womeninwhitecoats.com/virtualsummit and get registered today. Are you a woman doctor who’s feeling burnout? Well, come BURN BRIGHT with us instead as the co-founders of Women in White Coats, Drs. Amber and Archana take you on a journey back to yourself. You’ll even earn CME! Head on over to WomenInWhiteCoats.com/cme to learn more.

The case of the death of George Floyd saw a big development on Monday that will be key when former Minneapolis police officer Derek Chauvin is put on trial. The results of two different autopsies were announced: one performed by the Hennepin County Medical Examiner, and another by independent medical examiners hired by the Floyd family. MPR News host Angela Davis debriefs with MPR News reporter Nina Moini, then dives into the discrepancies between the autopsy reports with a forensic anthropologist and a criminologist. To close, an expert on COVID-19 talks about how groups of protesters can stay safe in the pandemic. Guests: Nina Moini is a reporter for MPR News. Angelique Corthals is a biomedical and forensic anthropologist and associate professor at the John Jay College of Criminal Justice in New York. Philip Stinson is an associate professor in the criminal justice program at Bowling Green State University. Susan Kline is a professor of medicine in the Division of Infectious Diseases and International Medicine at the University of Minnesota Medical School. Use the audio player above to listen to the program. Subscribe to the MPR News with Angela Davis podcast on: Apple Podcasts, Google Podcasts, Spotify or RSS.

Dr. Trini Mathew M.D., Medical Director of Hospital Epidemiology and Infection Control and Infectious Diseases & International Medicine, Beaumont Hospital, Royal Oak - At what point do medical professionals believe it'll be safe to reopen Michigan, and allow people to move around more freely? Also many Beaumont patients have been foregoing critical non-covid related medical treatment, so they've established the website (Beaumont.org/safecare) to help make people feel sage about seeing treatment.

During a news conference to share updates and issue a stay-at-home order, Gov. Tim Walz said that Minnesota has gone beyond the point of flattening the curve and that it’s no longer possible to reduce the number of residents who will be infected. His order is intended to hit the brakes on the peak number of infections so the state’s health care systems can increase their intensive care unit capacity. Kerri Miller talked with an infectious disease doctor about how data modeling helps predict the reach of the virus and how Minnesotans can continue to protect themselves and others. Guest: Susan Kline is a professor of medicine in the Division of Infectious Diseases and International Medicine at the University of Minnesota Medical School.

Today's episode on Redefining Medicine spotlights Tom O'Bryan, DC, CCN, DACBN. Tom O'Bryan is a world-renowned expert  in the field of gluten-related disorders, Non-Celiac Gluten Sensitivity (NCGS), Celiac Disease (CD) and their link to other chronic conditions, including autoimmune disorders and diseases. He is the founder of theDr.com which was created to educate the public about under-diagnosed and under-treated gluten-related disorders, which affect up to 30% of the population. He views the lack of recognition, diagnosis and treatment of these disorders as a massive public health crisis. Dr. O’Bryan is always one of the most respected, highly-appreciated speakers. Dr. O’Bryan’s passion is in teaching the many manifestations of Gluten Sensitivity and Celiac Disease as they occur inside and outside of the intestines. Dr. O"Bryan is a graduate of the University of Michigan and the National College of Chiropractic. He is a Diplomate of the National Board of Chiropractic Examiners, a Diplomate of the Clinical Nutrition Board of the American Chiropractic Association, and a Certified Clinical Nutritionist with the International & American Associations of Clinical Nutritionists. He is a Certified Applied Kinesiologist as well as a Certified Practitioner in Functional Biomechanics from the Motion Palpation Institute. Dr. O’Bryan has been a Visiting Instructor at Northeastern Illinois University, where he taught “Applied Nutrition for Health and Performance.” He is a Visiting Instructor at the National University of Health Sciences. He is the Vice President of the Illinois Chapter of the International & American Associations of Clinical Nutritionists. He is listed in Who’s Who in International Medicine and the International Directory of Distinguished Leadership for Excellence in Education. He is a triathlete and a second-degree black belt in Aikido.

Why are integrated health systems and academic medical centers increasing their focus on international medicine? What lessons can we learn from our colleagues abroad? Find out this week as John sits down with Dr. Heitham Hassoun, vice president and medical director for Cedars-Sinai International Health and Telemedicine. Speaker Bios Heitham Hassoun, MD, a leading international health expert, is vice president and medical director of Cedars-Sinai's Center for International Health and Telemedicine. Dr. Hassoun was previously medical director for Global Healthcare at Johns Hopkins Medicine International and an associate professor in the Department of Surgery at Johns Hopkins School of Medicine. Prior to his work at Johns Hopkins, Hassoun served as medical director for Methodist International in Houston and was an associate professor of cardiovascular surgery at Weill Cornell Medical College In New York. He completed his fellowship training in vascular surgery at Northwestern University in Chicago and earned his medical degree at the Baylor College of Medicine in Houston. John Marchica is a veteran health care strategist and CEO of Darwin Research Group, a health care market intelligence firm specializing in health care delivery systems. He’s a two-time health care entrepreneur, and his first company, FaxWatch, was listed twice on the Inc. 500 list of fastest growing American companies. John is the author of The Accountable Organization and has advised senior management on strategy and organizational change for more than a decade. John did his undergraduate work in economics at Knox College, has an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is a faculty associate in the W.P. Carey School of Business and the College of Health Solutions at Arizona State University, and is an active member of the American College of Healthcare Executives. About Darwin Research Group Darwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin’s client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.

On this week's Outbreak News This Week Radio Show, I had the opportunity to spend the whole hour discussing the three most commonly diagnosed free-living amoeba species that infect humans:  Naegleria fowleri, Acanthamoeba species, and Balamuthia mandrillaris, with someone with expertise in infectious diseases and the unique perspective of a parent that lost a child to one of these lethal parasites. Joining me on the show to take a closer look at these uncommon, accidental, yet high consequence pathogens and to share her personal story is Sandra Gompf, MD. Dr Gompf is an Associate Professor of Infectious Disease and International Medicine at USF Health in Tampa.

Ramon Gist, MD, Jennifer Chao, MD, Louisdon Pierre, MD

Jennifer Chao, MD

Ramon Gist, MD, Jennifer Chao, MD, Louisdon Pierre, MD

South Africa just came out of a massive Listeria outbreak that sickened more than 1000 and killed more than 200. Associate Professor, Infectious Disease and International Medicine, USF Health, Sandra Gompf, MD joined me recently to discuss Listeria in this short podcast--who's most at risk, the pathology, common sources of the bacterium and treatment.

South Africa just came out of a massive Listeria outbreak that sickened more than 1000 and killed more than 200. Associate Professor, Infectious Disease and International Medicine, USF Health, Sandra Gompf, MD joined me recently to discuss Listeria in this short podcast–who’s most at risk, the pathology, common sources of the bacterium and treatment. Gompf’s […] The post Listeria monocytogenes: Who’s most at risk, pathology and common sources appeared first on Outbreak News Today.

A little over a month ago I did a podcast with today's guest on various infectious disease topics from her book Gompfs ID pearls and because it was so well received and the fact that we really just scratched the surface on this interesting topic, I had to have her on for another round of questions. Associate Professor, Infectious Disease and International Medicine, USF Health, Sandra Gompf, MD joined me on today's show to answer questions like-- What is vancomycin creep? What pathogens are there in which humans are the only existing reservoir outside the lab? and Why is not having a spleen a huge risk factor for infections?

Yersiniosis is an infection caused most often by eating raw or undercooked pork contaminated with Yersinia enterocolitica bacteria. CDC estimates Y. enterocolitica causes almost 117,000 illnesses, 640 hospitalizations, and 35 deaths in the United States every year. Associate Professor of Infectious Disease and International Medicine at USF Health, Sandra Gompf, MD joined me to talk about Y. enterocolitica infections, transmission via blood transfusions, treatment and extraintestinal complications.

Yersiniosis is an infection caused most often by eating raw or undercooked pork contaminated with Yersinia enterocolitica bacteria. CDC estimates Y. enterocolitica causes almost 117,000 illnesses, 640 hospitalizations, and 35 deaths in the United States every year. Associate Professor of Infectious Disease and International Medicine at USF Health, Sandra Gompf, MD joined me to talk about Y. enterocolitica infections, transmission via […] The post Yersinia enterocolitica: Chitlins, blood transfusions and Reiter’s syndrome appeared first on Outbreak News Today.

In this short Q&A, I talk to Associate Professor of Infectious Disease and International Medicine at USF Health, Sandra Gompf, MD about one of her infectious disease pearls, tetanus. I ask her about the symptoms, treatment and prevention of tetanus. In addition, we touch on the topic of neonatal tetanus. Finally, the question of how symptoms of rabies and tetanus are similar is explored.

Infection of the bone--short and sweet, that is the definition of osteomyelitis. Associate Professor of Infectious Disease and International Medicine at USF Health, Sandra Gompf, MD joined me to answer a few questions about this topic, something she addresses in her handy guide, Gompf's ID pearls. During the discussion, Dr Gompf explains what the three basic types of osteomyelitis are, the different complications of the infection and what imaging studies are most useful in the diagnosis of osteomyelitis.

Infection of the bone–short and sweet, that is the definition of osteomyelitis. Associate Professor of Infectious Disease and International Medicine at USF Health, Sandra Gompf, MD joined me to answer a few questions about this topic, something she addresses in her handy guide, Gompf’s ID pearls. During the discussion, Dr Gompf explains what the three basic types of […] The post Osteomyelitis: Types, complications and imaging studies appeared first on Outbreak News Today.

Tetanus is a very serious, potentially fatal disease that typically occurs in people who have not been vaccinated. In this short Q&A, I talk to Associate Professor of Infectious Disease and International Medicine at USF Health, Sandra Gompf, MD about this topic, something she addresses in her handy guide, Gompf’s ID pearls. I ask her about the […] The post Tetanus: Symptoms, treatment, prevention and more appeared first on Outbreak News Today.

Transmitted by the bite of the tsetse flu (Glossina spp.), African trypanosomiasis, of sleeping sickness is a serious infection caused by microscopic parasites of the species Trypanosoma brucei. Although the infection is not found in the United States, historically, it has been a serious public health problem in some regions of sub-Saharan Africa. In 2014, 3,796 sleeping sickness cases were reported to the World Health Organization; T. b. gambiense accounted for >98% of cases. Many cases, however, are probably not recognized nor reported. I recently had a long conversation with Associate Professor of Infectious Disease and International Medicine at USF Health, Sandra Gompf, MD about a myriad of infectious disease topics from her handy book, Gompf's ID pearls and one on the topics I asked her about was African sleeping sickness.

Infectious diseases are caused by pathogenic microorganisms, such as bacteria, viruses, parasites or fungi; the diseases can be spread, directly or indirectly, from one person to another. Zoonotic diseases are infectious diseases of animals that can cause disease when transmitted to humans. Infectious disease medicine requires an extensive understanding of the way in which bacterial, viral, fungal, and parasitic infections occur in humans and how they present clinically, as well as knowledge about antimicrobial agents, antibiotic resistance, vaccines, and other immunobiological agents. My guest today to discuss some "pearls" about infectious diseases is the Gompf's ID Pearls author and Associate Professor, Infectious Disease and International Medicine, USF Health, Sandra Gompf, MD

Dr. Foucrier has been a treating physical therapist for 4 years, obtaining his Doctorate of Physical Therapy (DPT) from Regis University in 2011. As a graduate of two Jesuit institutions, Seattle University (Undergraduate) and Regis University (Graduate), his philosophy of practice centers on education and access to research-based treatment modalities and functional movement. He has been working with Spooner Physical Therapy since 2012 during which he’s adopted a very dynamic treatment method, which incorporates guided treatment and patient centered values.   Jeff is very passionate about International Medicine and promoting Social Justice, as well as access to skilled care for all populations of people. This has led to international trips to Neuva Rosita, Mexico in 2009 and 2010, as well as Addis Ababa, Ethiopia in 2011. Within the clinic he strives to offer comprehensive care with an emphasis in orthopedics.  He has a special interest in treating myofascial pain syndromes, head-aches, vestibular dysfunctions, temporomandibular joint disorders (TMJD) and neck pain.   Jeff has undergone self-guided studies in orthopedics, which has led to an American Physical Therapy Association (APTA) Board Certification as an Orthopedic Certified Specialist (OCS). Additionally, he has received training and certification for the treatment of myofascial trigger-points (CMTPT) from Dr. Jan Dommerholt PT, DPT, MPS, DAAPM, a leader in the field of intramuscular therapy and pain management, through Myopain Seminars.   Outside of the clinic his passions include his wife Tammy, young daughter Liliana, as well as an active life-style that reflects his own love for camping, hiking, cycling, and running. Jeff has a deep-seeded affection for the ocean, as a native of Seattle, Washington, as well as the mountains after spending some time in Denver, Colorado for his graduate studies.   www.spoonerpt.com

People often believe that just because certain nutrients are healthy, that the more we take the healthier we will be. But this is not necessarily the case. In fact, taking too many supplements, or the wrong combinations or in the wrong timing, can work against your health efforts. For all the money you are spending and the effort you are putting into trying to be healthier, you can actually be making yourself sicker. Taking supplements safely and effectively is a highly misunderstood nutritional art and science. For example, there are acidic vs. alkaline supplements. How you take them, even the timing of when you take them with food, matters. There are also “pro-oxidative” and “anti-oxidative” nutraceuticals. A balance between the two may make a huge difference in your healing journey and efforts to become well or stay well. On this show Drs. Brownstein and Berkson share their combined 70 years of clinical experience with using supplements in functional medicine practice. This is a power packed show with empowering knowledge that many patients and doctors alike are not educated about. David Brownstein, M.D. is a board-certified family physician who combines conventional and alternative therapies.  He is the Medical Director for the Center for Holistic Medicine in West Bloomfield, MI.  He is a graduate of the University of Michigan (and so is Berkson) and Wayne State University School of Medicine.  Dr. Brownstein is a member of the American Academy of Family Physicians and a serves on the board for the International College of International Medicine.  Dr. Brownstein has lectured internationally about his success using natural therapies. He has also authored fourteen books: Iodine: Why You Need It, Why You Can’t Live Without It, 5th Edition; Vitamin B12 for Health; Drugs That Don’t Work and Natural Therapies That Do, 2nd Edition; The Miracle of Natural Hormones, 3rd Edition; Overcoming Thyroid Disorders, 3rd Edition; Overcoming Arthritis; Salt Your Way to Health, 2nd Edition; The Guide To Healthy Eating, 2nd Edition; The Guide to a Gluten-Free Diet, 2nd Edition; The Guide to a Dairy-Free Diet; The Soy Deception; The Skinny on Fats; The Statin Disaster; and Ozone: The Miracle Therapy.

The keynote for the symposium "Enhancing the Kaleidoscope of Evidence-Based Practice" will be presented by Tyonne D. Hinson, DrPh, MSN, RN, NE-BC. She is Director of Nursing, International Medicine and Global Health, The Children's Hospital of Philadelphia.

The keynote for the symposium "Enhancing the Kaleidoscope of Evidence-Based Practice" will be presented by Tyonne D. Hinson, DrPh, MSN, RN, NE-BC. She is Director of Nursing, International Medicine and Global Health, The Children's Hospital of Philadelphia.

TIME: 9:15am pst with Director Vanessa Block discussing "The Testimony" at the Laguna Film Festival! FILM: The Testimony, Documentary - Director - Vanessa Block SYNOPSIS: THE TESTIMONY chronicles the largest rape trial in the history of the Democratic Republic of the Congo, offering a glimpse into the lives of its women and the unshakable strength of the human spirit ABOUT THE DIRECTOR: Vanessa Block is a graduate of Yale University where she received a Bachelor of Science in chemistry. She earned a Master of Science in International Medicine from the Keck School of Medicine at the University of Southern California. This is her first film. SCREENINGS: Friday 10/16/18 7:00 pm - 9:00 PM (Special Shorts Presentation) @ Regency Directors Cut Cinema in Laguna Niguel

Dr. Gary Oderda, professor and director of the Pharmacotherapy Outcomes Research Center at the University of Utah, discusses international medicine and the film Dungeon of Harrow.

Dr. Gary Oderda, professor and director of the Pharmacotherapy Outcomes Research Center at the University of Utah, discusses international medicine and the film Dungeon of Harrow.

Dr. Gary Oderda, professor and director of the Pharmacotherapy Outcomes Research Center at the University of Utah, discusses international medicine and the film Dungeon of Harrow.