Podcasts about iowa hospitals

Hiatus Replay - WTF Grad School Didn't Teach UsPart 1 with guest, Jennifer KingOrginally aired: 10/31/2023Grad school for a lot of us is the pinnacle of our education. It's supposed to prepare us for the careers we've chosen to enter. Basics? Check!More complicated information and experiences?*insert cricket sounds*Jennifer Bengston, tLMHC,  is my colleague, and she has *thoughts* on her experiences as I do, too. This is another perspective of a professional therapist that had so many questions than the grad school experience failed to provide answers.* * * More info about Jennifer:Jennifer is a Temporary Licensed Mental Health Counselor practicing in the state of Iowa. Jennifer's career began in acute inpatient psychiatric care at the University of Iowa Hospitals and Clinics. She continued her crisis care at St Luke's Hospital in Cedar Rapids through her journey in graduate school. During this time, Jennifer practiced as a Recreation Therapist and later received her Masters Degree at Northwestern University to become a practicing clinician. Jennifer provides individual therapy services for adults who have experienced trauma, body image concerns, relationship difficulties, and men's mental health. Her passion is to spread awareness of trauma and the impact it has on each and every one of us. She believes the best therapeutic relationships start with comfortability and humor. Jennifer is the owner of Soothe Your Soul Therapy, PLLC and is a collective member of The MAD Therapy. Website: Sootheyoursoul.my.Canva.site/TikTok: comfycozytherapistInstagram: sootheyoursoultherapy * * *Need resources about building your private practice? I highly recommend checking these out. No, they're not sponsors, I utilized their information and support to build my practice.Allison Puryear - Abundance Partyhttps://www.abundanceparty.com/Watch Allison's YouTube Channel:https://www.youtube.com/c/AbundancepracticebuildingTiffany McLain - Lean In. MAKE BANKhttps://leaninmakebank.com/fwfcalculator/Listen to a great interview about money with Tiffany McLain as the guest:https://www.youtube.com/watch?v=q4nXnS_uxos* * * Support the showWant more sweary goodness? There's now the availability of Premium Subscription for $3 a month! Click the "Support The Show" link and find out more info.* * *F*ck The Rules Podcast is produced by Evil Bambina Productions, LLC. You can find our podcast on Amazon Music/Podcasts, Apple Podcasts, Spotify and many more!***Social media/podcast episodes are not intended to replace therapy with a qualified mental health professional. All posts/episodes are for educational purposes only. *****Susan Roggendorf is a Licensed Clinical Professional Counselor in Illinois and a Licensed Mental Health Counselor in Iowa. In addition to hosting and producing her podcast, she's a volunteer mentor and a supervisor to new therapists, as well as running a private practice as an independent provider full-time. A National Certified Counselor through the NBCC as well as an Emergency Responder & Public Safety Certified Clinician through NERPSC. Main populations Susan works with are folx living with anxiety and trauma experiences in the LGBTQIA community as well as First Responders, Law Enforcement, hospital staff, urgent care and Emergency Department personnel. When she's not busy with all those things, as a GenX elder, she's usually busy annoying her adult children with 70's and 80's pop culture references and music or she's busy in her garden.

Lauren welcomes 3 very special guests for this episode exploring leadership and building successful teams: Fran McCaffrey, the head coach of the University of Iowa men's basketball team; Dr. Matt Howard, Chief of Neurosurgery at the University of Iowa Hospital and Clinics; and Jon Darsee, Chief Innovation Officer at the University of Iowa and president of the Research Park Corporation. Key takeaways from the conversation include: Leadership can be both innate and learned through experience and mentorship. Effective leaders often display humility, empathy, and the ability to build trust within their teams. Humility is an important trait for leaders to cultivate, as it allows them to learn from mistakes and support their team members. Successful leaders often serve as role models by openly acknowledging their own shortcomings. In both sports and medicine, the ability to foster a strong team culture and recognize the value of all team members, including support staff, is crucial for building resilient and high-performing organizations. For students and young professionals, the advice is to prioritize finding the right mentors and teams over short-term financial incentives, as the opportunities for growth and learning will be more valuable in the long run. A transcript of this episode is available at https://tinyurl.com/bdcrypua Have a question for our podcast crew or an idea for an episode? You can email them at CPH-GradAmbassador@uiowa.edu You can also support Plugged in to Public Health by sharing this episode and others with your friends, colleagues, and social networks. #publichealth #education #leadership #teambuilding

HealthLeaders Senior Editor for Innovation Eric Wicklund talks to Jim Blum, chief health information officer at the University of Iowa Hospitals & Clinics and a participant in the HealthLeaders Mastermind program on AI in clinical care, on how the health system is using AI and how they're setting the ground rules for future programs.

Unlock the future of orthopaedic residency training as Dr. Douglas W. Lundy sits down with Dr. J. Lawrence Marsh, a leading voice in the field and chair of the Department of Orthopedic Surgery at the University of Iowa Hospitals and Clinics. Dr. Marsh shares a treasure trove of insights on the paradigm shift from a time-based to a competency-based education system, already gaining momentum in countries like Canada, Australia, and the UK. Listen to Dr. Marsh's firsthand experience and wisdom on what these changes mean for the next generation of orthopaedic residents in the US and how they are set to revolutionize medical training.Discover the intriguing challenges of granting more independence to exceptionally skilled surgical residents and how this can widen the competency gap between them and their peers. We explore the logistical and operational hurdles in transitioning to a competency-based training system and why a well-defined curriculum is critical. Organizations like the ACGME and orthopaedic boards are taking significant steps to implement this new framework, and we discuss the delicate balance needed to integrate competency-based attributes within the traditional time-based structure.Stay ahead of the curve with the latest advancements in residency training, particularly through practice-based assessments and real-time evaluations using mobile technology. These innovations promise to significantly enhance skill acquisition and feedback, generating vast amounts of data to improve training standards. From basic models to cutting-edge VR simulations, we delve into the essential role of technology in preparing residents for complex surgical tasks. Finally, we contemplate the external forces driving rapid transformation in medical education, emphasizing the urgency for change within the next three years. Join us for an enlightening conversation that promises to reshape the future of orthopaedic education.

This week, Drewby and Yergy head to Iowa to discuss the case of Gracie Buss who fell victim to one of the most common monsters that we've seen on this show... Mom's new boyfriend. Gracie, her brother, and her mother - the barely literate Kristi Buss - lived in a duplex is Waterloo back in 2014, when Chad Allen Little came into the family's life. Around this same time, Gracie kept suffering injuries, which Chad attributed to seizures and "falls down the stairs." In the early morning hours of May 30th, 2015, Gracie suffered another such mysterious injury. After several hours, she  was rushed by ambulance to Covenant Medical Center. However, Gracie's injuries were so extensive that he transferred her to the pediatric intensive care unit at the University of Iowa Hospitals and Clinics, where she was placed on life support. Three days after she arrived at the ICU, Gracie was taken off life support and passed away. Her organs were donated to children in need.  Support Our Patreon: https://www.patreon.com/themiserymachine PayPal: https://www.paypal.me/themiserymachine Join Our Facebook Group: https://t.co/DeSZIIMgXs?amp=1 Instagram: miserymachinepodcast Twitter: misery_podcast Discord: https://discord.gg/kCCzjZM #themiserymachine #podcast #truecrime Source Material: https://law.justia.com/cases/iowa/court-of-appeals/2021/19-1062.html https://www.desmoinesregister.com/story/news/crime-and-courts/2019/08/09/waterloo-kristi-amber-buss-pleads-guilty-sentenced-4-year-old-daughter-gracie-buss-may-2015-death/1973829001 https://www.findagrave.com/memorial/147422228/gracie-vernell-buss https://www.findagrave.com/memorial/147422228/gracie_vernell-buss/photo https://www.news8000.com/news/crime/iowa-man-convicted-of-murder-in-death-of-4-year-old-girl/article_0675a174-3e80-56bf-b8a0-1abed18df67e.html https://www.kcrg.com/content/news/Waterloo-man-gets-life-for-killing-girlfriends-daughter-511475422.html https://www.facebook.com/KWWL7/posts/4-year-old-gracie-buss-was-found-unconscious-in-her-waterloo-home-in-may-2015-gr/10154960446531528/ https://disability-memorial.org/gracie-buss https://www.kcrg.com/content/news/Waterloo-woman-pleads-guilty-in-4-year-old-daughters-death-531028091.html https://www.news8000.com/news/crime/trial-delayed-for-couple-charged-in-4-year-old-s-death/article_67b133a4-0910-5881-8d4a-a04bfa87b7eb.html https://www.radioiowa.com/2015/06/04/waterloo-residents-raising-funds-for-young-girls-funeral/ https://www.kcci.com/article/4-year-old-girl-found-unresponsive-has-now-died/6907887 https://www.kwwl.com/news/chad-little-motions-for-new-trial/article_1c3bd846-9d60-5191-bf4a-3f3504391297.html https://www.nhregister.com/texas/article/Waterloo-man-charged-with-death-of-4-year-old-girl-10023548.php https://www.desmoinesregister.com/story/news/crime-and-courts/2019/06/18/waterloo-murder-trial-iowa-man-gets-life-killing-girlfriends-daughter/1491788001/ https://www.kwwl.com/news/jury-selection-starts-for-trial-of-waterloo-man-accused-of-killing-4-year-old-gracie/article_fdc94513-1d5f-5781-8aec-1f5cd689c277.html https://www.kwwl.com/news/autopsy-photos-show-numerous-injuries-on-4-year-old-s-body-in-murder-trial/article_7f49fe3f-7122-50d7-af26-414bdaca632d.html https://www.youtube.com/watch?v=9AB2I9IYtmQ https://www.facebook.com/kristi.buss.98 https://www.facebook.com/kristi.buss.3 https://www.facebook.com/chad.little.963 https://www.kcrg.com/content/news/Waterloo-woman-pleads-guilty-in-4-year-old-daughters-death-531028091.html https://www.facebook.com/watch/live/?ref=watch_permalink&v=815258638845452 https://www.facebook.com/KWWL7/videos/815258638845452 https://doc-search.iowa.gov/Offender/Search https://www.facebook.com/photo/?fbid=744535471008484&set=a.744544754340889 https://www.gofundme.com/f/vzjch9s https://www.radioiowa.com/2015/06/04/waterloo-residents-raising-funds-for-young-girls-funeral/  

Melcher-Dallas Fire is dispatched for a residential structure fire. - En route, no one is home, no cars around, occupant "should be at work"- Fire is in a 1.5 story bungalow on a corner lot, fire is in the window AC unit on the Delta/Alpha side- Engine crew entered the home as fire attack, through the charlie side - 1 occupant is found in her home, and removed by the attack crew- Occupant is transported to the University of Iowa Hospital and Clinics Burn Unit via air ambulance- Occupant survived the incident

Dr. Lily Erdahl is a loving single mother of two children originally from Iowa City, Iowa.  She's also an accomplished surgeon, educator, and podcast host.  In this episode, Lily discusses her voyage from Iowa State University as a wide eyed undergrad through her medical training in Pennsylvania and Minnesota to her current position at the acclaimed University of Iowa Hospitals and Clinics back in her home town.  She discusses the rigors of working in the medical profession and the challenges of balancing her very important work as a breast surgeon with her equally important work as a mother raising smart and healthy children while sharing her emotional health with both patients and her kids.  Lily talks about how divorced homes can still remain a family, the science of breast cancer, her Lazarus like pet cat, and much much more!  This is Those Who Do: Surgeon w/ Lily Erdahl M.D. 

笔记：identity theft 身份盗窃罪theft 就是偷窃罪的意思，比如偷车，car theft，偷窃珠宝，theft of jewelry.A former University of Iowa Hospital employee pleaded guilty to federal charges that he had been living under another man's identity since 1988, causing the other man to be falsely imprisoned for identity theft and sent to a mental hospital.爱荷华大学医院的一名前雇员对联邦指控认罪，称他自 1988 年以来一直以另一名男子的身份生活，导致另一名男子因身份盗窃而被错误监禁并送往精神病院。获取节目完整音频、笔记和片尾的歌曲名，请关注微信公众号「早安英文」，回复“笔记”即可。更多有意思的英语干货等着你！

Featured Stories:Former University of Iowa Hospital employee uses fake identity for 35 yearsIowa's government boards no longer are required to have gender balanceLive Stream: The 2024 Total Solar Eclipse April 8 This episode was hosted and produced by Bailey Cichon.

Ever wondered about donor-less skin grafts? Or how cryotherapy is used for pain control? What about spray-on skin? In this captivating podcast episode, we're joined by burn survivor and burn surgeon Dr. Jason Heard to explore these intriguing topics and more, as we delve into the latest trends and treatments in burn care. Dr. Jason Heard, a burn survivor turned burn surgeon, brings a unique perspective to the field. At the age of 12, he experienced second and third-degree burns over 40% of his body. This life-altering event inspired him to dedicate his career to caring for others. Now a faculty member at the UC Davis Firefighters Burn Institute and Shriners Children's Northern California burn units, Dr. Heard's journey from patient to practitioner is a testament to the resilience of the human spirit.Join us as we delve into the cutting-edge world of burn care with Dr. Heard. We'll explore the latest trends and treatments, from revolutionary laser surgeries and donor-less skin grafting to innovative cryotherapy for donor-site pain control and the game-changing foam dressing. Enjoyed the show? Tell us by leaving a 5-star review and sharing on social media using hashtag #GirlswithGrafts and tagging Phoenix Society for Burn Survivors!   Meet Our Guest After sustaining a burn injury on almost half of his body at the age of 12, Dr. Jason Heard was drawn to the medical field and knew he wanted to help other burn survivors in the future. He completed his Bachelor of Science degree in Genetics and Biotechnology at the University of Iowa in 2011. During his undergraduate years, Jason completed many burn related research projects leading to multiple peer reviewed publications. He was also able to be heavily involved with a regional burn non-profit organization, Saint Florian Fire and Burn Foundation. Through this organization, Jason was able to not only attend but develop programming for multiple burn survivor programs. He was fortunate to serve on their Board of Directors from 2012-2014. He enrolled into medical school at the University of Iowa Carver College of Medicine in 2012 and matched into general surgery residency at UC Davis in 2016, and ultimately completed his residency at the University of Iowa Hospitals and Clinics in 2021. Jason's passion for burn care and my aspiration of doing a burn/critical care persisted throughout my training and he completed his fellowship at UC Davis in 2022. He is currently a faculty member at UC Davis/Shriners Northern California Burn Units, where he continues to care for burn survivors during their initial hospital admission and throughout their recovery, including reconstructive procedures/treatments. Jason is also on Phoenix Society for Burn Survivors' Board of Directors.  Links Laser Treatment for Burn Scars: What Burn Survivors Want to KnowWill My Burn Skin Graft Go Away Over Time?Learn more about Spray-On SkinLearn more about the different type of skin grafts Podcast Sponsor Today's podcast is powered by Cunningham Law Firm! Located in Phoenix, Arizona and helping clients nationwide, the Cunningham Law Firm specializes in personal injury, wrongful death and burn related cases. Learn more by visiting https://cunninghamlawfirm.com. Sponsor Girls with Grafts  Interested in becoming a sponsor of the show? Email us at info@phoenix-society.org.  

0000018e-1996-d1b0-ad8e-39dfb73e0000https://www.wvik.org/podcast/good-morning-from-wvik-news/2024-03-07/iowa-hospital-price-transparencyJim O'HaraIowa Hospital Price Transparency100

***Content Warning: The subject matter we'll be discussing may be triggering to some individuals, especially those who have struggled with or are currently managing eating disorders. Throughout this episode, we'll be delving into various aspects of eating disorders, including symptoms, behaviors, and recovery journeys. We understand that these topics can evoke strong emotions and potentially harmful thoughts or behaviors. If you or someone you know is currently dealing with an eating disorder or any related challenges, we encourage you to prioritize your mental and emotional well-being. It's okay to step away from this episode if you feel overwhelmed at any point. Remember, seeking support from qualified professionals and loved ones is crucial. You are not alone, and there is help available. ........................................................... Join us this week as we highlight Eating Disorder Awareness Week with Stephanie Proud. Stephanie is a Registered Dietitian and nutrition therapist with over 20 years of experience. She earned her bachelor's degree at Bradley University and completed her Dietetic Internship at University of Iowa Hospitals and Clinics. She and her husband settled near the Iowa City area (Go Hawks!) and have two children. After many years of clinical work specializing in nutrition support, she felt called to pursue another passion. Having successfully navigated her own journey to food freedom, she began Proud Peaceful Nutrition in 2021 with a heart to change the narrative around health and wellness, recognizing the negative impact diet culture has had on generations. As a weight-neutral and HAES aligned provider, she uses the principles of Intuitive Eating to help others make peace with food, movement, and body and approach their health from a place of self respect and autonomy. She provides inclusive and individualized eating disorder care and is currently working toward earning her Certified Eating Disorder Specialist credential. Stephanie serves on the Executive Board for EDCI as Secretary. She is also an Ambassador for Be Real USA, bringing body image training and curriculum to school staff and students. Stephanie leads a Bible study and body image support group called Body Image for Believers. https://www.proudpeacefulnutrition.com/ ........................................................... Eating Disorders Awareness Week (EDAW) is an annual campaign to educate the public about eating disorders and to engage in efforts to provide hope and to engage support for  individuals and families affected by eating disorders. Eating Disorders Awareness Week 2024 is taking place Monday, February 26 – Sunday, March 3, 2024. In order to better recognize, support and effectively treat eating disorders, public awareness is key. This year we are asking you to “Get in the Know” and learn about eating disorders, get involved in raising awareness, and share information and resources. https://www.nationaleatingdisorders.org/eating-disorders-awareness-week-2024/ --- Support this podcast: https://podcasters.spotify.com/pod/show/giveemthebirdpodcast/support

Join Dr. Gerard Clancy and his guests, Carol Harshman RN, Katie Ries MSW, LMSW, and Dr. Bryan Struck, as they discuss discuss guidance on best practices for goals of care discussions among those with serious illness and prognosis.  CME Credit Available:  https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=66060  Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Carol Harshman, RN Supportive and Palliative Care Program University of Iowa Hospitals and Clinics Katie Ries, MSW, LMSW Supportive and Palliative Care Program University of Iowa Hospitals and Clinics Bryan Struck, MD Clincial professor of Internal Medicine - General Internal Medicine Director, Supportive and Palliative Care Program University of Iowa Hospitals and Clinics Financial Disclosures:  Dr. Gerard Clancy, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)  

I'm Ellen Bernstein-Ellis, Program Specialist and Director Emeritus for the Aphasia Treatment Program at Cal State East Bay and 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 hosts for an episode that will feature Jocelen Hamilton and Theresa Yao from Stanford Healthcare. We will discuss how adapting the A-FROM to swallowing disorders can offer a person-centered approach to assessing and treating a person with dysphagia.   Guest Bios     Theresa Yao is a licensed speech language pathologist at Stanford healthcare and a lecturer at San Jose State University. Her clinical and research interests include head and neck cancer rehabilitation, voice disorders, dysphagia, and aphasia. She is passionate about serving people from diverse backgrounds with communication and swallowing disorders. She was a fellow for life of the Albert Schweitzer Fellowship program, and co-founded the Bay Area's Swallowing Support group. She has been actively volunteering in community groups for stroke survivors who need communication support. She has always been a strong advocate for her patients and profession. Jocelen Hamilton has practiced as a licensed speech language pathologist for 19 years. She specializes in management of communication and swallowing disorders in adults with head and neck cancer. She began her career at the University of Iowa Hospitals and Clinics, and then joined the Stanford Outpatient Head and Neck Clinic in 2020. She also previously served as a clinical assistant professor for the University of Iowa's Communication Sciences and Disorders department with a focus on supervising graduate students and helping individuals with strokes and brain injuries. Her current clinical interests center around the development of frameworks to facilitate whole person care for individuals with swallowing disorders.   Listener Take-aways Think creatively about how to apply the A-FROM to other communication disorders, like swallowing Learn how dysphagia can impact the participation, environment and personal domains Consider some PROs that help to capture the impact of dysphagia on quality of life of both the patient and the caregiver Explore some ways to adapt EMRs to incorporate A-FROM or Swal-FROM into your daily notes Show notes edited for conciseness and clarity Ellen Bernstein-Ellis So I'm excited to have both of you here today. Thank you and welcome, Theresa.   Theresa Yao  00:55 Thank you, Ellen. I'm glad to be here.   Ellen Bernstein-Ellis  00:57 And Jocelen you too.   Jocelen Hamilton  00:59 Yes. Thank you so much for having us.   Ellen Bernstein-Ellis (Interviewer)    Welcome both of you, again, to this podcast. And as our listeners get to know you, we like to open with a fun icebreaker question. I'm going to pose two different questions that you've selected for today. So, Theresa, let's start with you.   I guess for full disclosure, I want to admit that, I will share--I don't have to admit, I am sharing that I had the honor and pleasure of being your supervisor at Cal State East Bay in the Aphasia Treatment Program (ATP). So I know that may come up today. I just want to let our listeners know that we've known each other for a while. I have been really fortunate in that relationship and seeing you emerge and thrive as such a wonderful contributor to our field.   So Theresa, could you please share one experience or role that has been meaningful to you as an aphasia ambassador?   Theresa Yao  03:22 Thank you, Ellen. It was great experience when I was in the Aphasia Treatment Program at Cal State East Bay. So that's actually one of the experiences I wanted to share as an opening, because I was at the Aphasia Treatment Program as a co-director for the choir, Aphasia Tones. And that was one of the best memory in my life. And I remember one time, one of our members who had more of a severe expressive aphasia, and usually has minimum verbal output, and we all know him. But whenever he starts singing, Can't Help Falling in Love, this particular song, you can hear that those beautiful words just came out right out from his mouth, fluently, beautifully. He was always so happy every time that he heard the music, and he just enjoy singing along.   That was just a really amazing moment for me to realize that people with aphasia with minimum verbal output, they can still enjoy and participate in choir, and can still communicate that way. It's just showed me how powerful it was to use the Life Participation Approach to Aphasia. And in our choir at that time, we have all different levels of severity. All members join together, and then they all enjoy and engage in this choir experience. So that's really meaningful. Whenever I think of LPA, I think of him, I think of this song, and I think of Aphasia Tones.   Ellen Bernstein-Ellis  04:54 Thank you for sharing that. And Theresa, it was wonderful to have you as a co-director. And see you step up to the challenge of leading the choir. And you're right, we really have a strong motto of participation at every level. And you really worked hard to make sure that happened. So thank you for sharing that. And yes, that's one of my favorite topics, so I loved hearing about that.   And Jocelen, I'm also excited to ask you to share with the listeners something about one of your experiences. So would you like to share an Aphasia Access, favorite resource or moment? What comes to mind for you?   Jocelen Hamilton  05:28 Yes, well, this is really neat for me to be on this podcast, because it is this podcast that is a favorite of mine, and a major “aha” for me.   Ellen Bernstein-Ellis Well, thank you, just thank you.   Jocelen Hamilton I worked with patients with head neck cancer for about nine years. I then did a major shift and then worked in a graduate training clinic at the University of Iowa. And during that time, previously, when I was at the hospital with a very heavy caseload and working with individuals with dysphagia. And so then switching over and working with individuals with strokes and brain injuries, that was much more communication focused.   And I had this caseload I was taking over with the graduate students and learning about all the current treatment principles and treatment options and all the research that had been developed. It had been probably close to 10 years since I had worked regularly with individuals with neurogenic communication disorders.   I had knew nothing about LPAA. I knew nothing about Aphasia Access, the organization. And I was thinking about this recently, of how I even came across it. But I think probably I was searching one of these treatment modalities, and a podcast came up. So I listened to some of the other podcasts and I was like, oh my goodness, this totally resonated, LPAA. And the podcasts and other resources through the website, totally resonated with me, and helped me better understand what my frustration was within an impairment only based approach, which was in my training and my background, and things like that, to like see a whole different way. So I learned as much as I could. And I tried to share all of that with my students, we were all learning together of how to implement this. So it's really neat to now be a part of this podcast and participate.   Ellen Bernstein-Ellis  07:32 We're so glad you agreed. And I just want to thank you. If there was ever a wonderful plug for membership to Aphasia Access, I think you just gave it. Thank you so much. for that.   Well, let's dive in a little bit more to our topic of the day. We're going to be talking about how and why you both decided to adopt the A-FROM or the Framework for Outcome Measurement of Aphasia by Kagan and Simmons-Mackie to your work with head and neck cancer patients. So I know we usually focus on aphasia, but we're taking this really important tool and talking about how you adapt it. So many listeners are, of course already familiar with the A-FROM. But can you briefly describe the social model framework for our listeners?   Theresa Yao  08:16 I can start with just a brief introduction. I think everyone, if you're listening to this podcast, you are already very familiar with A-FROM, which is based on the World Health Organization's ICF model. They address a few health and social domains such as body structure, function, activities, participation and contextual factors like personal and environmental factors. And like Ellen mentioned before, Dr. Kagan and colleagues, adapted this ICF model to create a very user-friendly framework for the outcome measurement in aphasia. And this becomes the Living with Aphasia Framework Outcome Measures the A-FROM and it has the domain of aphasia severity, which is the body function or impairment level, and then also participation, environment, personal factor. So these are the core concepts of the LPA approach. Thats what we are based on using this A-FROM to adapt it to this Swallow-SWAL-FROM, we call it. The Living with Swallowing Difficulties framework of measures.   Ellen Bernstein-Ellis  09:22 So let's talk a little bit more about this. Jocelen, do you want to share your story as an SLP and how you came to introduce the A-FROM into your work at Stanford in the head and neck cancer clinic?   Jocelen Hamilton  09:37 Sure. So after about a year and a half of working with individuals with aphasia and applying LPAA and using the A-FROM with clients, I then changed gears back to working with people who had neck cancer and we moved to California and I joined the Stanford team and I was back into primarily working with individuals with dysphagia. I just kept thinking about how can I take this model the A-FROM and apply that to working with individuals with dysphagia.   How I would previously use the A-FROM is that Venn diagram. I would just draw it on a piece of paper and start writing my notes on that as I was maybe doing an intake or working with a client. I started doing some of that model just in my note taking and looking at these different domains that might be impacted. And this was just kind of over a series of months, and even a year, where I was thinking about how to apply this and shared it with my patients. Here are some of the things that I'm seeing and what you're sharing with me that shows your participation is being impacted.   Then I ended up talking with our director, Heather Starmer, about an idea of a project—like how can I move this ahead. Theresa had recently joined our team and Heather said, you might want to talk to Theresa about that. She might be interested in doing a presentation on this. And so it was great, because Theresa and I had not yet talked about our aphasia backgrounds together. It was really neat to then work together and begin to apply this with more of our patients. Initially, we kind of struggled with what the environmental domain look like for somebody with dysphagia. And it was neat to talk through different cases with each other to see how it could apply. And then that's where the Swal-FROM came from.   Ellen Bernstein-Ellis  11:39 Wow, that's wonderful that the two of you were at the right place at the right time. And I always feel that the expression “stronger together” seems really fitting in this situation. But Theresa, do you want to share how you brought a life participation perspective into your work at Stanford?   Theresa Yao  11:57 Yes, sure. Because I've always been a big fan of the ICF model. When I was a student clinician in Aphasia Treatment Program, I learned so much from this model, from LPAA, and from Ellen, you. And also, of course, our members in our Aphasia Treatment Program. And I just could see the huge benefit from the LPA approach in the client's life.   So that's why once I started working in real clinics, I always think about this model. And when I started in at Stanford, I started working with the head neck cancer patients. I just feel like so many patients, they live with long term dysphagia, or a sore throat because of the neck cancer treatment they had. And they sometimes just can't get rid of it. They have to live with it. It's just like aphasia. They live with aphasia. And then it just clicked.  I just think that it's pretty similar to the situation that you're living with aphasia, and it's that same impact on patients quality of life, on their participation.   Then I just started thinking, maybe we can do something with this model to help our patients. And then, of course, Jocelen was there, and then we were just talking about her experience with aphasia treatment and LPAA. And we just clicked. That's why we came up with this (ASHA) presentation, and this idea of how to adapt this A-FROM to our Swal-FROM. And then also, we're talking about this because I also started a support group because I feel like people wanted to get connected. They wanted to engage like aphasia group.  They wanted that community to be able to participate, to be able to share. So that's why I think this also helped me to try to initiate this project, this group, so that we can help more people so that they can, they can help each other.   Ellen Bernstein-Ellis  13:56 I really love that you saw the power of group therapy, and you then were able to bring it into a different treatment arena. I really don't remember hearing too much about separate support groups for people with swallowing disorders. I don't know how common they are. But it sounds wonderful that you started one, Theresa. So very exciting. What do we know about the incidence of dysphagia in stroke survivors, and then people in skilled nursing, and from there, head and neck cancer? The reason I ask because I think there's overlap. I mean, you're seeing the dysphagia in head and neck cancer, but we know that it occurs frequently. Do you have any numbers to share about the incidence in stroke survivors?   Jocelen Hamilton  14:39 Yes, so it's about 45% of individuals with strokes experience, some degree of dysphagia and there's been research that's shown 40 to 60% of older individuals in nursing homes have dysphagia. There's even some research out there that one in 25 adults will experience dysphagia. Then when we look at individuals with head and neck cancer, and this could be on the lower range, but one of the particular statistics is 45 to 50% of individuals with head and neck cancer experience dysphagia.   Ellen Bernstein-Ellis  15:11 The importance of considering the whole person (for dysphagia tx) is really going to affect a lot of people that we might be seeing as therapists. And the two of you saw that there was a strong impairment focus in dysphagia management.  Can you give an example?   Theresa Yao  15:27 I can talk a little bit about this. When I was in grad school, I know that most of the things we learned was how to identify the impairment of dysphagia. We learned all kinds of treatments and exercises for dysphagia. We learned like how to modify diet, how to look for aspiration, penetration. Almost everything we learned, and also what we've been practicing in our clinical practice are heavily focused on the deficit and impairments. That's basically how we trained to assess and treat the physiological changes or the deficit. It just, to me, sounds like it's really technical.   I recently just look up the ASHA NOMS, the National Outcomes Measurement System-- that's what we usually use as judgment of whether the patient is making progress or not. They use this particular functional communication measures to see there's like different levels. If you're really looking at this national measurement system, you can see that the wording and the definition of each level is pretty much impairment focus. They mention diet level, safety, efficiency of swallowing, compensatory strategies, or cues, etc. So these are really heavily focused on impairment, but you don't really see like things that relate to participation, quality of life, environment, and those factors. So the consequences that if all the clinicians are just looking at the impairments and not looking at other factors, then you are missing a lot, you're not treating the whole person.   Ellen Bernstein-Ellis  17:11 Well, that's perfect, because that leads me to my next question. Why is it important to go beyond the impairment level measurement with dysphagia?       Jocelen Hamilton  17:24 I would say, because dysphagia is more than a physical difficulty. That's our name for that physical impairment. But it influences more, just like we know, with aphasia, that it's not just how much they can say, what they understand in the different modalities, but how a change in this function in the body influences everything.   So one of the analogies that I can relate to, that I've heard before in terms of looking at accessibility, has to do with like, physical impairments. So if somebody is paralyzed, they can't move their legs, well, the physical therapists are going to look at their legs and see the range of motion, their strength and all of that. But they're also going to think about how are they going to get into their house? And how are they going to move around?   Well, sometimes what can happen with dysphagia, as Theresa already talked about, we're looking just at how does that epiglottis move? What is the airway invasion like? But then are we going to talk about well, what's going to happen? We just had the holiday with Thanksgiving and the holidays now. What are family meals going to look like? I think one of the things that sticks out to me is what would my day to day life and social life be like if I couldn't drink with ease and comfort, I couldn't eat with ease and comfort, if I needed to have special food and special liquids and special strategies? So this impacts so many things within a social realm, and personal realm as well. We'll get into that in more detail as we go. But it's not just about the change in a physical function. How does that influence the rest of our lives? And it really does. There's been research that shows about burden and quality of life and psychological health.   Ellen Bernstein-Ellis  19:08 Well, this really hits close to home for me. I'm going to share with our listeners a personal story, because I've always been very passionate about our field and an advocate for speech language pathologists, but being on the other side of the table, when my husband was diagnosed with terminal cancer, did nothing but increase my own respect and appreciation for the role we play in supporting our clients and their loved ones.   Through this process, specifically with dysphagia, and I want to give a shout out to my husband's speech pathologist at Stanford, Heather Starmer, (and another congratulations to her because she just was made a 2023 ASHA fellow), but I'll just always remember the day that we came in. I know that Heather was set with her treatment plan-- I could already guess what we needed to do for the day. And that plan went out the window because we both signaled, Steve and I, that he was just feeling an increasing burden of trying to manage all of the home tasks we were supposed to do for both PT and speech, and it was just really impacting how he was feeling. And so instead, Heather focused on the personal impact and the quality of life issues that we were bringing up. Steve wanted to be compliant. He wanted to be the best patient there was. But she really listened to him carefully. She brought her best counseling skills to the table that day, and helped us come up with a plan that we could manage in a way that would help us sustain his quality of life as best as possible.   So I really saw, personally, I mean, I saw day in and day out how his dysphagia from his head neck cancer really impacted, hugely impacted, his participation with our family, and his quality of life. I am grateful for this work that you're doing and the passion you feel for looking at the whole person as you assess and treat dysphagia. And thanks to you, I've been reading, since dysphagia is not usually in my wheelhouse as much these days, but thanks to preparing for this particular episode, I was able to read some articles by Rebecca Smith and her colleagues that showed me that there's some amazing work being done looking at this whole topic, so thank you for that. Okay, and taking a deep breath, because that's a story I've been thinking about for quite a bit.   Back into our next question. What is the speech pathologist's role in assessing and addressing health related quality of life and the associated mealtime quality of life? That seems to be talked about a lot in the literature right now. Jocelen, is that you again?   Jocelen Hamilton  21:57 I'm glad you mentioned Rebecca Smith's work. There are actually three papers, I think, that that group, she and colleagues, put out in 2022. And specifically, I'll share a few quotes from their paper The True Cost of Dysphagia and Quality of Life:  The Views of Adults with Swallowing Disability, but in a way, there's a call to action, and she's not the first to mention it. But for us to include social participation, and their overall well-being, as part of our dysphagia intervention. To make that routine, and then to also ask questions: How are you doing? How are the holidays? How are these social settings with eating? I like to ask patients and their family members, and ask them separately, not meaning like individually, within the same session: Are you participating in doing this, the same things that you did before your diagnosis? Or how is that looking? Are you going out to eat as much? What do you miss now that is different and you're experiencing changes in your swallowing.   And it's interesting, because sometimes the partner will say that they miss going out to eat, and they need to navigate feelings like, “Well, I don't feel comfortable eating this in front of my loved one who has difficulty swallowing. I feel conflicted about I get to eat ribs, and they don't.” Those kinds of things. The importance of eliciting these stories, so we can really see what are their challenges, because then we can, like LPAA teaches us, we can engage in this creative problem solving and how we can help navigate through some of these challenges. I think those are a couple of important things that we can look at to support people.   Ellen Bernstein-Ellis  23:45 Thank you. And I just wanted to let our listeners know that we're putting all these references into our show notes. I took some from your ASHA presentations that I attended. So those will all be cited in the show notes.   Well, to expand to the participation, environment, and personal domains, you started to think about using patient reported outcomes or PROs for assessment. Why don't we go through the domains and discuss potential tools and interventions to fill out this framework a little bit more. So what might it look like if you consider participation?   Jocelen Hamilton  24:24 When we're looking at participation, we're looking at these meaningful activities may or may not involve oral intake, but looking at their current levels of participation compared to their pre cancer status. So how often, and in what ways, is someone with swallowing challenges participating? I kind of already talked about that a little bit. And how are the family members doing?   Here's one of the interesting things that I've had patients share here. Sometimes, one of the swallowing strategies that a patient needs to complete is a purposeful throat clear, and a re-swallow, or some patients do naturally their throat clearing, or maybe they're coughing when they're eating and drinking. This is an area where it calls attention to them when they're doing this. And then during the pandemic, we were all super hyper aware is somebody clearing their throat? Is somebody coughing? I've had some patients where they really don't feel comfortable because it calls attention. And people ask, how are they doing?   And also, another challenge being that when swallowing is hard, talking and swallowing is extra hard. When swallowing is challenging, most people need to just do that, where we take for granted that meals are a very social time. So some of those issues can be really challenging. There's also some individuals where their difficulty with swallowing has to do with loss of the bolus coming out and so there's almost changes in appearance, where they may not feel it. Their lip, their chin might be numb, and they don't know that liquids are dripping out, or they have a piece of food sitting there. So, they might be hesitant to go out and participate in different social settings. Even sometimes we have patients where they don't feel comfortable eating with their own family members, where they will eat completely separate from their spouse.   Ellen Bernstein-Ellis  26:28 I am just really struck again about the overlap of some of the things in your head neck cancer patients with clients I see with aphasia. It's really striking. So should we take a moment and discuss how this might look if you consider the environment?   Jocelen Hamilton  26:44 I really didn't address a PRO at all.   Ellen Bernstein-Ellis  26:46 Oh, it's not too late. We can still do that.   Ellen Bernstein-Ellis  26:52 Why don't you go ahead?   Jocelen Hamilton  26:55 Sure. Okay. So we're looking in this interview, right, like gathering information, learning how these things are challenging for them. For patient reported outcomes, PROs, Theresa, and I both looked into different ones. And oh, this one has these questions. And this would fall within this domain. So I'll touch base on a few of them here. And then some of them, they have questions that actually apply to  all of the domains.   So for these, there's one the Swal-QOL, this is probably the most broad in terms of looking at all of the domains that are within this Swal-FROM. It has 10 different quality of life concepts that it has specific questions for. So for this one, there's one subset that's all about social functioning. Some of the questions, they're rating from either strongly agree five point scale to strongly disagree, One of the questions, for example, is “I do not go out to eat because of my swallowing problem.” That really tells you where they're at with that participation, or “Social gatherings like holidays or get togethers are not enjoyable because of my swallowing problem.” So that really hones in on that challenge.   Within our specific area of practice with individuals with head neck cancer, there's a scale called the Performance Status Scale Head Neck Cancer, PSS-HN. Now you might think, how might I use this? I encourage people to be open minded, even though this wasn't validated. And some of these are not validated on individuals who have dysphagia from a different cause other than head neck cancer. It doesn't mean that you can't use it as a way to gather information, engage, and perhaps re administer.   I'm also a big fan of, as people fill this out, having a conversation about their responses as they go to gather information. But with this, the Performance Status Scale, there's a specific rating scale about public eating. So zero means always eats alone. And 100 is no restriction of eating for any place food or company. So they would eat out at any opportunity. Where in-between might be one point on the scale, “eats only in the presence of selected persons and selected places”, or they would eat out but there would be another option,  “eat out, but be more selective about the diet textures and things they would consume in a social setting”, which is common. Some individuals will specifically choose different foods when they're when they're in a social setting.   There's also another PRO, the Dysphagia Handicap Index. So with this one, it's a 25 item questionnaire and it does specifically look at physical, functional and emotional aspects of dysphagia. And so a couple of questions from there that would fit with the participation domain include, “I'm embarrassed to eat in public” and “I don't socialize this much due to my swallowing problem”. Those could give some insight into these areas by selecting some of those questions.   Ellen Bernstein-Ellis  30:08 Well, I'm really glad you caught me. I think I was so struck about the overlap that, thank you for coming back and talking about those PRO's. Are we good? Can we transition to the environment next? What would this look like? What does the Swal-QOL look like if you consider the environment.   Theresa Yao  30:29 When you talk about the environment, it can be factors such as the availability of the appropriate food textures, and oral liquid consistencies across different social settings. For example, if you go out to the restaurant, are there any easier food texture that's available for people with dysphagia? And that's one of the environmental factors.   And then there's a new article from ASHA leader that just came out about dining with dysphagia. So that's actually a pilot program from University of Cincinnati that try to help restaurants to expand their menu options so that they have more choices for people with swallowing disorders.   Ellen Bernstein-Ellis That's amazing.   Theresa Yao Also, another factor that related to the environment is the attitude and level of acceptance or support the people with dysphagia can get from their family, their friends, or even just strangers in their eating situation. So just like Jocelen mentioned, if you're coughing or clearing the throat, what the reaction from other people will be like, -- if they're supportive, or if they're not so. Sometimes these factors can make a patient uncomfortable eating out because of those environmental factors. And then also, the attitude from people around usually can be impacted by culture. Which type of textures they prefer to consume, and how they consume. If you go to a different type of restaurant, they may have different types of food textures, that are specifically for that culture, so that's also another factor.   And then also, on the broader spectrum, is the attitude from the healthcare professionals or the public, because the attitude from healthcare professionals is basically, because dysphagia is invisible, and when you are in the hospital, not everyone can see it. If you have leg injury or arm injury, people can see it. But if you have dysphagia, you can't see it. And then when the health care provider is, prescribing your pills, and if you can't swallow, how can they take the pill? They probably are not aware of this, this type of disability, so they may not prescribe you the right pills.   These are the things that we can consider as environmental factors. And of course, even larger scale, there's health care policies, the service systems, that may impact the people with a dysphagia too, because insurance may not pay all the dysphagia services, or how often can people get dysphagia support or service? So those are all the environmental factors that we may consider.   Ellen Bernstein-Ellis  33:21 I think the importance of this framework is helping us as clinicians to continue to think just broader and more widely about what's impacting the person in front of us. I mean, wow, you are giving us a lot of factors, from the very personal to the broader social policy. And I want us to take a moment and also talk about personal factors, that whole domain.   Theresa Yao  33:41 Personal factors can also be very, very important. And  a lot of things can be involved. So we know that the person was dysphagia may not be the same person, have the same hobbies or same traits, as before their treatment. So that may cause anxiety, or they may feel embarrassed because of their eating habits, or the change of their eating habits. Because we know that eating and drinking is very individualized. Some people, if they're born as a slow eater, they probably are okay with their dysphagia diet or if we ask them to eat slowly and take smaller bites, that's totally fine. But if some people are born as a fast eater, they will have a huge challenge with, if you give them the strategy to eat slow, taking small bites, because that's just not them anymore. They just feel like they're a different person and then they feel disappointed or frustrated if they can't eat as fast as they used to.   And I always share this in my clinic. I  see two patients with similar procedures. One person can feel really happy with their diet. They feel okay because they're always eating soft foods or soups. And then another person just with a little bit of impairment of mouth opening, they feel like it's just really frustrating because they can't bite their sandwiches and burgers. And that just makes a huge difference. But if you're only looking at their swallow study, it's the same, they probably don't have any major impairment, but the impact on the quality of life on their participation, environment, and also personal factor. It's so different. So that's why I think considering a personal factor is really important.     Ellen Bernstein-Ellis  35:38 So you're giving us examples of the things we should be thinking about, you're giving us examples of some of the PROs that might help us measure. But if many of the EMRs, the electronic medical records are set up for impairment focused measures, how can you adapt the documentation to include these other domains? That's always a barrier, or can be maybe, not always, can be.   Jocelen Hamilton  36:00 I think sometimes it can be a barrier. If sometimes the entry is just you have to click certain things, there's not a lot of room for free text. With the EMR that we have, we can have a set template, but we can copy and paste anything in there. So what I did is I took the A-FROM--actually, in the same paper that put out the A-FROM, they put the FROM, Framework for Outcome Measurement, and actually suggest that you could use it for individuals with TBI and called it TBI-FROM.    I took that and put it into a template and have the citation for it there and then added a title. It gives a visual for other individuals reading the note of what I'm talking about. ‘Survivorship beyond body function domain: Dysphagia's impact on personal, participation, environmental domains', so I have that as a title. I have it as this set, we use epic, so I can do dot phrases (Smart Phrases). I can drop that into a note. And then as I go through and document, I have the subtitles of body function, participation, environment, personal factors in as I'm collecting this information. That's how I can organize my note.   I don't do it every single time with every single patient. Sometimes some of our sessions are more impairment focused, like we need to for safety reasons focus on this. Sometimes it's more a whole session all about how are they doing with their personal domain? I had a patient in the clinic today, and he is depressed, and we just had this quick talk of, “Okay, what do we need to do? Can you talk to your primary care doctor? This is common, many individuals with head neck cancer have depression.” But I'll organize my note, getting back to the notes, with those subtitles and putting the information in there. It also is a cue for me, because I keep needing cues and reminders to come back and broaden that focus, instead of always being in on the impairment and you monitor, document, and then monitor, as I'm reviewing back on their notes to see how they're doing across these different domains.   Ellen Bernstein-Ellis  38:19 That is a beautiful example of how you can adapt something. I'm sure a lot of our listeners really appreciate you describing it so carefully, and hopefully will inspire some of them to see what they can do to adapt their EMRs.   A little bit earlier, you mentioned the importance of getting perspective from both the client and the care partner. How does the caregiver or care partner experience fit into the Swal-FROM?   Theresa Yao  38:47 Caregiver or care partners, they play a really important role in this whole journey with individuals with dysphagia. And I'm sure Ellen, you probably were in that role before. Most of the time, it's the caregiver making the meals for the spouse. Making the meals for the patients with dysphagia can be very challenging. Because just the texture, you have to take care, and the taste. I have caregivers talking to me. They told me that they tried their best to make all the foods but the patient didn't eat at all or didn't like it at all. Then they feel super frustrated. These are all the challenges that the caregivers may face.   Dr. Samantha Shune and colleagues, they did a lot of work on this caregiver burden topic. Their study said increased caregiver burden has been associated with the degree of impact that dysphagia is having on mealtime logistics. Family members also report increased anxiety and fear and frustration, stress, embarrassment and social isolation. So these are very two critical things to consider when we're thinking about whole person care, because we can't just care for one person, the patient. But if the caregiver is also experiencing all the stress, all the anxieties, we also need to consider that factor.   Researchers in Australia, Professor Nund and colleagues, they also pointed out that this specific caregiver burden is third party disability. And it's the consequence of that person's impairment, which impacts the functioning and ability of their family members or significant others. That's why we want us to fit this caregiver experience into this Swal-FROM framework. Just adding the family caregiver in all the different domains to support patients with dysphagia. And caregiver can influence four domains. But at the same time, also, we need to take care of, examine, the four domains of the family member or the caregiver--going to check their participation, their environment, and their personal factors. Those are really important, because their health and well-being can be affected by being in the journey of taking care of people with dysphagia. So they're super tied closely. That's why we wanted to fit this framework as well.   Ellen Bernstein-Ellis  41:21 One of the clinical tools I've learned is available is a PRO measure called the CARES, developed by Shune and colleagues, and we'll again put the citation in our show notes. Theresa, could you describe that a little bit more?.   Theresa Yao  41:37 So this is a wonderful screening tool that developed by Dr. Shune and colleagues. It's full name is called Caregiver Analysis of Reported Experiences with Swallowing Disorders. It has 26 items in the questionnaire. And then there's two parts that explore a different aspect of dysphagia's impact on the caregiver. One is a checklist on the behavior and functional changes, and one is a checklist of the subjective caregiver stress. Basically, it's a simple yes/no questionnaire. You can give it to the caregiver and they can just circle yes or no. Then from that, you can figure out what area you may address as an SLP. Or you may want to refer them to a specific team or professionals to address that, because we have limited scope of practice, we can't do everything. But if we can help them to identify the issue and then point them in the right direction, to the right team. That may help a lot.   Ellen Bernstein-Ellis  42:43 In your ASHA presentation you also mentioned the Rome Foundation is a resource and another website that offers skill building around managing serious illness conversations. We're going to put both of those resources into the show notes for people, but we don't have time right now to go into them fully.   But Jocelen, can you address or share what benefits you've seen by adopting this framework? Does it help with goal setting? Does it help with acceptability of recommendations? What have you seen?   Jocelen Hamilton  43:12 I think it's helped me and I feel like it's helped patients and our families have a little more clarity about, okay, these are the areas that are challenging. And again, I'm a visual person, so if I write it out with them, and they're telling me things, and I'm explaining, I get excited about the diagram, and I'm like, you know, see, this seems like an area of challenge. Is there something that you're interested in doing in this area? Are you willing to talk with another person who's gone through this?   So I feel like it really can give clarity, I think, for myself, what you know that A-FROM does, and Swal-FROM now is to not, I professionally can get really hung up on the impairment. And I can't always change that, right? We can't always change it to the degree that we would like. Of course, we would like everybody to have complete resolution, right? And so there can be this frustration and powerlessness with that. And obviously the patients and our family members can be experiencing that also.   And with this broader view, we can say but here's what we can focus on what can we do to have you participate that would make you feel better? What can we do that would help you with your personal feelings? So I feel like it addresses things that matter and we can have more conversations about how is their day to day life being impacted? What are some small steps we can take in a direction that might help them and their families.   Ellen Bernstein-Ellis  44:43 That's beautiful. Thank you so much, Theresa and Jocelen. It has been a pleasure  and I've learned so much from both of you, listening to you apply this framework and look deeply and carefully at quality of life for people with dysphagia. I really appreciate it. Is there anything else you want to add?   Theresa Yao  45:03 I just wanted to add a little bit. So I think it's really important as clinicians to listen to our patients and caregivers, because we need to learn from their experiences, their perspective. And, like we mentioned dysphagia is invisible. I wanted to share one of the quotes from one of the dysphagia support members. He says,  “dysphagia is a label you carry with you inside.” And that's really just so true, because it's hidden. If you go outside, people see like you what you can walk, you can talk, but they don't know that this disability is hidden inside. And I think it's so important to address not just the impairment, but also listen to the patient's perspective. And then help them to address all the domains. I always think that you become a better clinician because what you learn from your patient. So that's all we need to do.   Ellen Bernstein-Ellis  46:08 I can't think of a better way to close this interview. Even though I could ask you several more questions, we could be here for another hour, I just want to thank you for bringing that patient's voice, a client's voice, into the discussion today, so beautifully. And let's end on that note of really learning from our patients' perspectives. So I want to thank you both. And I want to thank our listeners for listening today. And for the references and resources mentioned in today's show, please see our show notes. They're available on our website at www.aphasiaaccess.org. And there you can also become a member of our organization.   Jocelen Hamilton Yes, yes, Do it!   Ellen Bernstein-Ellis Thank you! Browse our growing library materials and find out about the Aphasia Access Academy. If you have an idea for a future podcast episode, email us at info@AphasiaAccess.org For Aphasia Access Conversations, I'm Ellen Bernstein-Ellis. And thanks again for your ongoing support Aphasia Access   Resources and References Ariadne Labs: Serious Illness Care Program https://www.ariadnelabs.org/serious-illness-care/serious-illness-care-program/ The Rome Foundation https://theromefoundation.org/   Chen, A. Y., Frankowski, R., Bishop-Leone, J., Hebert, T., Leyk, S., Lewin, J., & Goepfert, H. (2001). The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the MD Anderson dysphagia inventory. Archives of Otolaryngology–Head & Neck Surgery, 127(7), 870-876. Hamilton, J., Yao, T. J. (2023). Framework to Guide Whole-Person Care for Individuals with Dysphagia. 2023 ASHA Convention, Boston, MA. Hamilton, J., Yao, T. J. (2022). Shifting to Whole-Person Care for Head Neck Cancer Survivors Living with Dysphagia. 2022 ASHA Convention, New Orleans, LA. Hickey, E. and Douglas, N. (2021) Person-Centered Memory and Communication Interventions for Dementia: A Case Study Approach. Plural Publishing, Inc. Howells, S. R., Cornwell, P. L., Ward, E. C., & Kuipers, P. (2021). Client perspectives on living with dysphagia in the community. International Journal of Speech-Language Pathology, 23(2), 201-212. Kagan, A., Simmons‐Mackie, N., Rowland, A., Huijbregts, M., Shumway, E., McEwen, S., ... & Sharp, S. (2008). Counting what counts: A framework for capturing real‐life outcomes of aphasia intervention. Aphasiology, 22(3), 258-280. List, M. A., D'Antonio, L. L., Cella, D. F., Siston, A., Mumby, P., Haraf, D., & Vokes, E. (1996). The performance status scale for head and neck cancer patients and the functional assessment of cancer therapy‐head and neck scale: a study of utility and validity. Cancer: Interdisciplinary International Journal of the American Cancer Society, 77(11), 2294-2301. McGinnis, C. M., Homan, K., Solomon, M., Taylor, J., Staebell, K., Erger, D., & Raut, N. (2019). Dysphagia: interprofessional management, impact, and patient‐centered care. Nutrition in Clinical Practice, 34(1), 80-95. McHorney, C. A., Bricker, D. E., Kramer, A. E., Rosenbek, J. C., Robbins, J., Chignell, K. A., ... & Clarke, C. (2000). The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: I. Conceptual foundation and item development. Dysphagia, 15, 115-121. Nund, R. L., Scarinci, N. A., Cartmill, B., Ward, E. C., Kuipers, P., & Porceddu, S. V. (2016). Third-party disability in carers of people with dysphagia following non-surgical management for head and neck cancer. Disability and rehabilitation, 38(5), 462–471. https://doi.org/10.3109/09638288.2015.1046563 Shune, S. Moving beyond the isolated swallow: Dysphagia in the context of the shared mealtime. https://dysphagiacafe.com/2015/03/19/moving-beyond-the-isolated-swallow-dysphagia-in-the-context-of-the-shared-mealtime/ Shune, S., Davis, C., & Namasivayam-MacDonald, A. (2021). Contributors to Dysphagia-Related Burden Among Spousal Caregivers of Stroke Survivors. Archives of Physical Medicine and Rehabilitation, 102(10), e65. Shune, S. E., & Namasivayam-MacDonald, A. (2020). Dysphagia-related caregiver burden: Moving beyond the physiological impairment. Perspectives of the ASHA Special Interest Groups, 5(5), 1282-1289. Silbergleit, A. K., Schultz, L., Jacobson, B. H., Beardsley, T., & Johnson, A. F. (2012). The dysphagia handicap index: development and validation. Dysphagia, 27, 46-52. Smith, R., Bryant, L., & Hemsley, B. (2023). The true cost of dysphagia on quality of life: The views of adults with swallowing disability. International Journal of Language & Communication Disorders, 58(2), 451-466. Smith, R., Bryant, L., & Hemsley, B. (2022). Dysphagia and quality of life, participation, and inclusion experiences and outcomes for adults and children with dysphagia: A scoping review. Perspectives of the ASHA Special Interest Groups, 7(1), 181-196.

M1 Hend invited David Kozishek, a chaplain at the University of Iowa Hospitals and Clinics, to talk with M3 AJ, M1 Jeff and new co-host M1 Ervina to talk about the role of chaplains on the healthcare team. David also helps the co-hosts discuss the role that religion may play in their lives as future physicians, the tensions and compatibilities between evidence and faith, and how they might respond when their own beliefs may in conflict with standard practices. We'd love to hear your thoughts on this episode--does religion play a big part of your life? How would you respond to the scenarios we talked about? What questions do you have about the connections between faith and healthcare?

Share this with your newly diagnosed omies friends--A Cure in Sight is joined by Dr. Andrew Stacey, Dr. Binkley, and Dr. Nguyen to discuss ocular treatments and side effects.   A special thanks to Aura Biosciences for sponsoring this session. Their clinical trial is noted by Dr. Binkley in this session. At Aura, their mission is to develop a new class of oncology targeted therapies that deliver meaningful therapeutic benefit to a range of cancer indications with high unmet need in which they believe they can establish a new standard of care . They are driven by a passion and commitment to science and the patients battling cancer who are relying on them to pioneer these new therapies. Andrew Stacey, M.D., M.S., is an Ophthalmologist at the Eye Institute at Harborview and a UW assistant professor of Ophthalmology. Dr. Stacey knows an appointment with your doctor can be stressful. He enjoys teaching patients about what he sees in their eyes and providing them with information and options. Dr. Stacey earned his M.D. at Ohio State and his M.S. at Brigham Young University, where he was a linebacker on the football team. He has authored many publications and book chapters related to ocular tumors and maintains numerous national and international research collaborations in the field. Dr. Binkley is an ophthalmologist at the University of Iowa Hospitals & Clinics. Dr. Binkley completed her Vitreoretinal Surgery Fellowship in 2016 and Retina Clinical and Molecular Research Fellowship in 2017 at the University of Iowa Department of Ophthalmology and Visual Sciences. Dr. Nguyen was born and raised in Saigon, Vietnam. He moved to sunny California at the age of 19 to pursue higher education. He attended University of Wisconsin School of Medicine on a full scholarship then completed his Ophthalmology residency at the University of Washington where he conducted extensive research in uveal melanoma with Dr. Andrew Stacey. After residency, he received more vigorous training in Cornea and External Disease at the world-renowned UCSF/F.I. Proctor Foundation. Dr. Nguyen is currently providing expertise care for patients in San Diego, California. Email questions to contact@acureinsight.org ANNOUNCEMENTS: 5K SITES ARE OPEN FOR REGISTRATION NEAR YOU! Start your team and bring your community to get involved!  November 11, Los Angeles CA https://runsignup.com/Race/CA/SantaMonica/LookinForACureLosAngeles November 19, Phoenix, AZ https://runsignup.com/Race/AZ/Scottsdale/LookinforaCure5k December 9, Dallas FTW TX https://runsignup.com/Race/TX/FortWorth/LookinForACureFortWorth December 10, Houston, TX https://runsignup.com/Race/TX/Houston/LookinForACureHouston January 20, 2024 Orlando FL https://runsignup.com/Race/FL/Orlando/LookinForACureTampa January 21, 2024, Miami FL https://runsignup.com/Race/FL/Miami/LookinForACureMiami Head to our site to register for a 5K Lookin' for a Cure near you for the remainder of the year!! www.lookinforacure.org Subscribe to the newsletter to stay in the know Newsletter link Email contact@acureinsight.org for questions regarding any upcoming events! ********* Be sure to follow us on Facebook, Twitter, Linked In, or  Instagram @acureinsight, for more stories, tips, research news, and ideas to help you navigate this journey with OM! *A Cure in Sight is a 501c3 organization. All donations made can help fund our podcast to educate patients, fund research, aid patients, and more! Donate $10 $15 $20 today to help A Cure in Sight in their quest to find a cure. Contribute via  PAYPAL OR VENMO or reach out directly to contact@acureinsight.org 

This is Stephen Schmidt from the Gazette Digital News Desk, and I'm here with your update for November 24, 2023.According to the National Weather Service it will be mostly cloudy Friday in the Cedar Rapids area, with a high near 33 degrees.The wind will pick up a bit as well, with gusts reaching as high as 25 mph.There's been a national shortage of ADHD medications for more than a year, and patients have been affected here in Iowa as well. What started with manufacturing delays for a producer of Adderall in October 2022 has turned into erratic availability of methylphenidate, sold under brand named Ritalin and Concerta.The shortage is caused by multiple factors, including production problems for manufacturers and limits the U.S. Drug Enforcement Agency puts on how much controlled substances a company can produce, said Mike Brownlee, chief pharmacy officer for the University of Iowa Hospitals & Clinics.Dr. Robin Kopelman, a psychiatrist who works with adult female patients through Meadowlark Psychiatric Services in North Liberty, said the monthly hunt for medications is an additional hardship for adults with ADHD.Health care providers like Kopelman say they have gotten creative to help patients get needed medications. This might involve prescribing a slightly smaller or larger dose, switching brands or using a different form of the medicine, such as slow release, she said. The FDA in August approved a generic form of ADHD drug Vyvanse, which has created some additional options.This year's corn and soybean harvests are virtually complete in nearly every area of the state, with one exception: south-central Iowa.“Farmers in south central Iowa still have over 10 percent of their corn for grain crop remaining to be harvested,” the U.S. Department of Agriculture reported back Monday.That region of the state is often the last to finish harvest, according to USDA crop reports that date back more than a decade.This year, part of that lag might have been caused by some replanting of soybeans, which delayed their maturation and harvest, said Clarabell Probasco, an Iowa State University Extension field agronomist who monitors part of that area.Despite the delays in that area, Iowa's soybean harvest is considered complete, and about 97 percent of the state's corn had been harvested as of the beginning of the week. The work has been aided by a streak of mostly rainless weeks.EntreFEST, the two-day conference celebrating entrepreneurialism and innovation, returns to Cedar Rapids in 2024 after two years in Iowa City.The conference will be held June 13-14. Venues will include the Geonetric Building, 415 12th Ave. SE, and the Olympic Theater, 1202 Third St. SE, with more to be announced.In addition to keynote speakers and panels, EntreFEST features dozens of smaller sessions that cover all aspects of business and entrepreneurship. Attendees are able to ask questions and interact with speakers, while happy hours and live entertainment give attendees the chance to network and unwind afterward.More information about venues, speakers and tickets will be announced soon

Former President Donald Trump says a decisive win for him in Iowa's January 15 caucuses could put an early end to the Republican presidential nomination process. The University of Iowa Hospitals and Clinics has received a new grant to help address child mental health issues through school resources. Plus, the history between families' preference for pumpkin or sweet potato pie.

Hello everyone and welcome back. Thank you for listening to the show. If you like this podcast please give us a 5-Star Rating and Review on Apple Podcasts.  A special thanks to YOU. The first responder. Whatever you are doing and wherever you are at, thank you. Please remember to take care of yourself and be safe. I struggled. I was in a dark place for a long time. I was in pain, and I masked it with alcohol.  I was contemplating hurting myself.  I finally decided to reach out and ask for help, and I am grateful I did. FHE Health and The Shatterproof Program saved my life. If you are struggling, you don't have to stay there. We can and will help you. Reach out today at 303.960.9819. https://fherehab.com/ https://www.cjevolution.com/shatterproof/ So excited to have my good friend Annalee Moody on the show. Annalee has bee in the business of helping others for a long time. She is also a sought after clinician for first responders. Annalee is a former Army Reservists and a Paramedic of many years. She is currently the Director of EMDR for Shatterproof for First Responders. Annalee is a licensed mental health counselor with a master's degree in clinical mental health counseling and a focus in neuroscience-based therapies. She had a 15-year career working as a civilian paramedic, acquired five years of autopsy and bereavement counseling experience at the University of Iowa Hospitals and Clinics as a hospital mortician, and is a military police veteran of the US Army Reserves. Annalee is a certified first responder counselor (CFRC). Prior to moving to Florida and joining FHE Health, she had a private practice in Iowa, treating first responders. Such an amazing women utilizing her skills and education to help others.    You can find Annalee here: https://fherehab.com/team/annalee-moody/  Stay tuned for more great guests on The CJEvolution Podcast www.cjevolution.com Patrick     

This is Stephen Schmidt from the Gazette Digital News Desk, and I'm here with your update for November 8, 2023.According to the National Weather Service it will be mostly cloudy Wednesday with a high near 55 degrees in the Cedar Rapids area. On Wednesday evening the sky will gradually become more clear, with a low of around 36 degrees.There were mixed results with local bond elections on Tuesday night.Voters on Tuesday overwhelmingly defeated a $220 million bond referendum that would fund improvements to schools in the Cedar Rapids Community School District, leaving officials to find other ways of addressing needs they say won't disappear despite the failure.According to unofficial results, about 38 percent of voters in the district were in favor of the measure — far short of the 60 percent needed to pass it. There was an almost 24 percent voter turnout for the school and city elections in Linn County, with some voters turning up at the polls to vote only on the Cedar Rapids bond referendum. Ely voters also soundly rejected a $7 million bond referendum for a new Community Center — a facility that would have housed City Hall, the public library and recreational services.The new facility, proposed to be built where City Hall currently sits at 1570 Rowley St., off State Street, was intended to be more noticeable for residents and visitors, accessible to trails and other amenities.One bond that made it through with the voters' seal of approval was a $43 million general obligation bond issue that will fund construction of a swimming pool and wellness center in the College Community School District that will be operated by the YMCA.The measure passed with 65 percent support, according to unofficial results.We have results of all the other area city council, mayoral, and school board elections on thegazette.com. Election results also will run with additional analysis in the Thursday print edition of the Gazette. An East Dubuque man was shot Tuesday by a Delaware County Deputy who was attempting to take the man into custody after the fatal shooting of a Fareway employee in Monticello.Monticello police responded to the Fareway Meat and Grocery Store at 7:29 a.m. Tuesday for a report of a shooting. There they found a Fareway employee who had been shot.The employee, Aaron McAtee, 48, of Monticello, was taken to University of Iowa Hospitals and Clinics where he died, according to a news release from the Monticello Police Department.McAtee had been outside the store near the loading dock when he was shot, in what police believe was a random act of violence, the release states.Investigators identified Nathan Russell, 38, as a person of interest in the shooting, and he was located by a Delaware County Deputy in Hopkinton. The deputy attempted to take Russell into custody, but Russell failed to comply with directions and the deputy shot him, according to the release.Russell was taken to the University of Iowa Hospitals and Clinics with gunshot injuries. The deputy has been placed on leave pending the investigation of the officer-involved shooting.

Today, we are joined by the inspirational Dr. Terry Wahls. Dr. Terry Wahls is a world-renowned researcher, particularly for her work on lifestyle interventions for treating progressive health problems. Having been diagnosed with secondary progressive multiple sclerosis, she designed the "Wahls Protocol," a combination of nutritional and other wellness-related strategies, which she credits for significantly improving her own health. Dr. Wahls' journey from wheelchair-bound to biking and her revolutionary approach to treatment has inspired many in the MS community and beyond. This episode is filled with emotion and inspiration, and I know you'll love it as much as I did! Topics: 1. Personal Story and Healing Journey: - Background on experiencing multiple sclerosis and trigeminal neuralgia. - Key "aha" moments that steered the course of personal health and subsequent research. 2. Deep Dive into Clinical Research & Trials: - Overview of key clinical research findings and their implications. - Insights into the "Efficacy of Diet on Quality of Life in Multiple Sclerosis" trial. - Differences between diet and drug studies. - Understanding the transition of microglia and astrocytes into repair mode. - The influence of diet and lifestyle on microglia and astrocytes. 3. The Wahls Protocol: Steps, Diets, and Supplements: - Dietary Foundations: The core dietary principles of the Wahls Protocol. - Elimination of certain foods. - Inclusion of nutrient-dense foods. - Levels of The Wahls Protocol: - Supplement Recommendations: Key supplements and their role in supporting health. - Importance of B vitamins. - Role of Omega-3 fatty acids. - Zinc to Copper ratio - Supplements for glucose management - Lifestyle Adjustments: Additional practices and habits complementing the protocol. - Monitoring and Adjustments: How to assess progress and make necessary modifications. Thank you so much for tuning in! Get Chloe's Book Today! "⁠⁠75 Gut-Healing Strategies & Biohacks⁠⁠" If you liked this episode, please leave a rating and review or share it to your stories over on Instagram. If you tag @synthesisofwellness, Chloe would love to personally thank you for listening! Follow Chloe on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠@synthesisofwellness⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow Chloe on TikTok @chloe_c_porter Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠synthesisofwellness.com⁠⁠⁠⁠⁠⁠⁠⁠⁠ to purchase products, subscribe to our mailing list, and more! Or visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠linktr.ee/synthesisofwellness⁠⁠⁠⁠⁠⁠⁠⁠⁠ to see all of Chloe's links, schedule a BioPhotonic Scanner consult with Chloe, or support the show! Thanks again for tuning in! The Provided Information for Dr. Wahls' Research Study: EDQ-MS: Efficacy of Diet on Quality of Life in Multiple Sclerosis.  https://terrywahls.com/msstudy/   "You are invited to participate in a research study to evaluate the effects of three diets — Modified Paleolithic Elimination diet, Time Restricted Olive Oil-based Ketogenic diet, and your usual diet with information about the USDA Dietary Guidelines for Americans. Participants in the usual diet group will be encouraged but not required to follow the Dietary Guidelines for Americans diet. Quality of life, including long term effect on motor and vision function, fatigue, mood, and disease activity will be assessed by online surveys, study participant tasks, and brain imaging.  The study will be conducted at the University of Iowa Hospitals and Clinics. Patients will be followed for two years.  In person visits will occur at baseline (month 0), month 3, and end of study (month 24).   Complete this survey to see if you are eligible. https://redcap.icts.uiowa.edu/redcap/surveys/?s=JX73EYRJNPF9MHRR If you have any questions about what it means to be part of a research registry, please feel free to contact a member of the study team by email (MSDietStudy@healthcare.uiowa.edu)" --- Support this podcast: https://podcasters.spotify.com/pod/show/chloe-porter6/support

In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque, speaks with Dr. Michael Levitt (1) and Dr. Colin Derdeyn (2), authors of a pair of editorials discussing the practice of dural venous sinus stenting for patients with idiopathic intracranial hypertension.   Point: Dural venous sinus stenting should be considered a first-line treatment option for select patients with idiopathic intracranial hypertension https://jnis.bmj.com/content/early/2023/06/20/jnis-2023-020597  Counterpoint: stenting for idiopathic intracranial hypertension should be trialed https://jnis.bmj.com/content/early/2023/06/20/jnis-2023-020404    These articles are free-to-access for a month following the publication of this podcast.    Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767  Thank you for listening! This episode was edited by Brian O'Toole.    (1) Neurological Surgery, University of Washington School of Medicine, Seattle, Washington, USA (2) Radiology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA

This is Stephen Schmidt from the Gazette Digital News Desk, and I'm here with your update for August 10, 2023.According to the National Weather Service there will be some areas of dense fog before 10 a.m. in the Cedar Rapids area. Otherwise it will be mostly sunny, with a high near 88 degrees. There will be a slight chance of rain overnight Thursday into Friday.The Swisher pickup driver accused of hitting abortion protesters at a June 24, 2022, demonstration testified Wednesday that his vehicle didn't hit anyone.The pickup driver, David Alan Huston, 54, is on trial this week in Linn County District Court on charges of assault by use of a dangerous weapon-vehicle, an aggravated misdemeanor, and leaving the scene of a personal injury accident. If convicted, he faces up to two years in prison.Huston said he didn't know about the court ruling and that he didn't know about the protest.Huston said he had stopped at the Second Street SE intersection behind a car.The traffic light cycled twice as protesters crossed Eighth Avenue. When the light was green again, he said, the car in front of him moved forward and then stopped, so he went into the other lane to go around the car that was in the intersection.The prosecution showed a surveillance video of the incident several times throughout the trial, which shows the truck driving into the crowd and continuing to move forward with demonstrators in front of it.Assistant Black Hawk County Attorney Heather Jackson, during cross-examination, asked if Huston was frustrated because he'd had to wait through two traffic light cycles. He said he wasn't.Jackson asked if he hadn't told Cedar Rapids police Sgt. Ryan Dunbar that he had “laid on the horn because people needed to get out of the road and this had gone on long enough.” He denied saying that until Jackson played him the police recording.Huston then admitted he had made those statements during a July 5, 2022, interview. He also later admitted telling police he was going at a “slow rate of speed, and if they would have had a brain, they would have gotten out of the way.”The jury will begin deliberating the case Thursday morning.A Washington County woman was killed Monday after the car she was driving was hit by a pickup truck in Iowa City.Kristina Pearson, 30, of Wellman, was driving north on Boyrum Street just before 1 p.m. Monday when her vehicle was hit by a truck heading east on Highway 6, causing her car to hit a third vehicle, according to the Iowa City Police Department.Pearson and a passenger in her car were taken to the University of Iowa Hospitals and Clinics, where Pearson died later that day. The passenger remains in critical condition, according to a Wednesday morning news release from police. No other injuries were reported.The driver of the truck — Drake Brezina, 24, of Riverside — was cited for a red light violation. The crash remains under investigation and additional charges are possible, authorities said.

Applications for Iowa's new Education Savings Accounts have been approved in 96 of the state's 99 counties. Iowa City's Mercy Hospital has filed for bankruptcy. Court filings show the community hospital might find a second life as part of the University of Iowa Hospitals and Clinics. Plus, Iowa and Nebraska sued the Environmental Protection Agency over their request to make E-15 gas available year-round.

This is Stephen Schmidt from the Gazette Digital News Desk, and I'm here with your update for Tuesday, August 1.According to the National Weather Service it will be mostly sunny in the Cedar Rapids area with a high near 89 degrees. There will be a 30 percent chance of rain Tuesday night into Wednesday. The low will settle in around 69 degrees.The National Weather Service has confirmed that tornadoes passed through the area on Friday night.According to data posted Monday, an EF-1 tornado with peak winds estimated at 90 mph struck Andrew in Jackson County at 8:41 p.m. Friday. At EF-1, tornadoes are rated “moderate” on a scale that goes from EF-0, with wind gusts of 65-85 mph, up to EF-5, with gusts of 200 mph or more. A second tornado was confirmed to strike Clinton at 9:16 p.m. Friday. The storm, with peak gusts estimated at 75 mph, was rated EF-0. It was on the ground for two minutes, leaving a path of almost 1.5 miles before crossing the Mississippi River and dissipating over Illinois, the National Weather Service said.Damage was also caused by intense straight line winds that preceded the storm's arrival..Roosevelt Middle School could remain as a sixth-grade center and a new seventh-and-eighth grade school would be built to replace Taft Middle School under proposed changes to a combined multimillion dollar facility plan in the Cedar Rapids Community School District.New changes proposed Monday night, however, address concerns Cedar Rapids City Council members expressed last week in a joint meeting. City leaders said the original proposal would close too many middle schools on the west side of the city. The change would increase a combined $445 million in school bond referendums an additional $56 million — a number Cedar Rapids school board members said they are unsure about bringing to taxpayers.The decision, however, may not need to be made for another six years since Roosevelt and Taft are not a part of the facilities addressed in the first half of the bond referendum — $220 million — that could go to voters as soon as this November. University of Iowa Hospitals and Clinics has been ranked in the top 50 nationally in two medical care specialties for the second year in a row in the U.S. News and World Report's “Best Hospitals” list made public Tuesday.UIHC's ophthalmology ranking improved to No. 6 from No. 7, and its ear, nose and throat ranking moved up to No. 28 from No. 31.However, UIHC's ranking is lower than it was a decade ago, when it was ranked in the top 50 in nine specialties.Outside of the top 50, UIHC lost some ground this year. It achieved "high performing" recognition for six of its specialties last year, but this year it only received high performance in five specialties.Although none of Iowa's other ranked hospitals placed in the top 50 in any specialties, MercyOne in Des Moines received high-performance marks for 14 of 21 considered procedures and conditions.

This is Stephen Schmidt from the Gazette Digital News Desk, and I'm here with your update for Monday, July 31.It will be sunny on Monday, but luckily not as hot as last week. According to the National Weather Service it will be sunny with a high near 87 degrees on Monday. On Monday night it will be partly cloudy, with a low of around 65 degrees.It seems we're getting rain at just the wrong times. RAGBRAI riders in Coralville had to take shelter as Friday night's severe weather brought strong winds that knocked out power, downed trees and damaged buildings.The storms moved in as Coralville was set to welcome thousands of cyclists for an overnight stop on the Register's Annual Great Bicycle Ride Across Iowa with a festival and concert by a rock band. Instead, campers were encouraged to seek shelter in City Hall and schools to ride out the storm.“Due to severe weather we have had to make the difficult decision to cancel the Bush concert this evening,” RAGBRAI told cyclists over Facebook.Reports to the National Weather Service included wind gusts up to 90 mph in Hiawatha, downed power lines and toppled trees in Marion, Shueyville, Swisher, Tipton and other locations. A tree fell on a mobile home in Wyoming in Jones County, a report to the weather service said.Meanwhile, you-pick farms across Iowa are struggling this summer due to heat, drought and haze. The drought has made it difficult for farmers to grow water-intensive crops like blueberries and strawberries, and the haze has caused poor air quality, which has kept some customers away.In 2015, Iowa's horticulture industry generated $48 million in direct sales and an additional $32 million in other avenues like labor income and investor returns, according to the 2017 Iowa Commercial Horticulture Food Crop Survey.About half of the state's horticulture producers exclusively marketed directly to consumers.You-pick farms offer visitors the chance to harvest their own produce straight from the tree, bush or ground. Dozens of such businesses contribute to Iowa's agritourism industry. But many of the featured specialty crops — particularly fruit — are more sensitive to climate stressors, like heat and drought, than traditional row crops.This summer marks Iowa's third year in a row of drought. The July 20 U.S. Drought Monitor Report depicted 100 percent of Iowa in abnormally dry or drought conditions.A former social worker with the University of Iowa Hospitals and Clinics was arrested this week on charges he had a sexual relationship with a client.James Daniel Burkhalter, 43, of Iowa City, is charged with six counts of sexual exploitation by a counselor or therapist, a Class D felony. He had his first appearance in court Friday and was released from jail on his own recognizance.Burkhalter is accused of having sexual contact with a patient on six occasions between October 2020 and May 2021. Four happened during scheduled clinical appointments, during which he was to provide mental health services, and two happened at the patient's residence, according to criminal complaints.A no-contact order has been filed on behalf of the victim.

This is Stephen Schmidt from the Gazette Digital News Desk, and I'm here with your update for Wednesday, July 26.Wednesday may start with rain, but it will end up sunny and hot, hot, hot. According to the National Weather Service there will be a 30 percent chance of showers and thunderstorms, mostly before 9 a.m. After that the clouds will gradually part until it is sunny, with a high of 96 degrees and a heat index as high as 105. On Wednesday night it will be mostly clear, with a low of around 72 degrees.Linn County has agreed to pay an Oelwein man who was beaten and seriously injured by two inmates inside the county jail last year an $85,000 settlement of his federal lawsuit.Ethan Palmer dismissed his suit last week against Sheriff Brian Gardner, jailer Pete Wilson and others in the sheriff's office.According to the lawsuit, Palmer asserted that on May 27, 2022 in retribution for reporting and assisting in an investigation and prosecution of Justin Michael Buehler, he was severely beaten by inmates Johnny Blahnik Church, and Gregory Sills, while in custody in the Linn County Jail.On Jan. 7, 2019, Palmer gave federal agents information that Buehler regularly sold meth to other employees at Pries Manufacturing in Independence, according to the suit. Later that month, Palmer made controlled purchases of meth from Buehler to assist in the investigation.Buehler was convicted and sentenced to 30 years for distributing methamphetamine.Palmer was treated at the University of Iowa Hospitals and Clinics for extensive injuries, including facial trauma, an orbital fracture, broken nose and teeth and a fractured knee.A Cedar Rapids man, who a federal prosecutor called a “menace to the community” for operating a shop to sell synthetic marijuana that netted over $1.3 million in 18 months, was sentenced Tuesday to 20 years in federal prison in a case put on hold for a decade after he fled the country.Assistant U.S. Attorney Dan Chatham said Mohammad Al Sharairei, 47, knew the substances he was selling were “poison,” displayed in colorful packages attractive to kids. He was “brazen” because even after law enforcement seized some of his merchandise in 2013, he continued to distribute synthetic marijuana.This case has been pending nearly a decade because Al Sharairei, after being charged, agreed to plea in 2014 but he and his wife, Melissa Al Sharairei, fled the country.Al Sharairei remained a fugitive until he was extradited from Brazil. According to U.S. marshals, he and his wife were arrested in Sao Paulo in February 2019 on a local charge, and turned over on the federal warrant in January 2022.Both the Hawkeye and Cyclone athletic programs in the new budget year are anticipating earning record-breaking revenue. However, the biggest bump may come from Iowa women's basketball, which is projected to triple the revenue of last year in the upcoming season.In total, UI Athletics is expecting to generate $140.3 million in revenue, 9 percent over last year's record-setting $129 million.Iowa State University Athletics, which also generated a record $106.1 million last year, in the new budget year expects to bring in $111.5 million — thanks to strong anticipated ticket sales, philanthropy and multimedia revenue.Following the national rise of Caitlin Clark and the Hawkeye

This is Stephen Schmidt from the Gazette Digital News Desk, and I'm here with your update for Monday, July 24.We have now thoroughly entered the dog days of Summer, but someone also invited a heat dome to come over. More on that in a second.It will start out a bit foggy in the Cedar Rapids area between 4 and 8 a.m. After that it will become mostly sunny, with a high near 91 degrees. There will be a 30 percent chance of thunderstorms Monday evening with a low near 68 degrees.Now a heat dome is a very hot air mass that forms when high-pressure conditions in the atmosphere trap warm air from rising, creating a cap. One has plagued much of the U.S. — from the Southwest into Texas — since early June. This week, it's projected to spread farther north and east as jet streams shift north.Projections are placing Eastern Iowa on the northeastern edge of that heat dome expansion. Meteorologists from the National Weather Service's Quad Cities Bureau estimated the region has a 20 to 40 percent chance of getting enveloped by dome.Regardless of its spot in the dome, Eastern Iowa will very likely start seeing temperatures surpassing 90 degrees by Tuesday. The area may see temperatures in the mid-90s Wednesday, Thursday and Friday. It will likely bring the hottest days of the summer so far.“The question then becomes whether or not we hit the magic triple-digit” air temperatures, NWS Quad Cities bureau meteorologist Brian Pierce told the Gazette.If Eastern Iowa remains on the dome's outskirts, it's in for a wetter week. Thunderstorms may roll through the area in the night, potentially bringing several rounds of heavy rain. Thursday and Friday night show decent chances of some precipitation.It will likely grow warm in the daytime, but temperatures may not get as hot as they would under the full force of the heat dome. Still, any rain would make the area more humid, which would raise heat index values or “feels like” temperatures.A man and a woman from Cedar Rapids died Friday after the canoe they were in tipped over at Lake Macbride in Solon.The victims were identified as Suad Al Yasiri, 28, and Willie Davis, 23, both of Cedar Rapids.Neither Yasiri nor Davis was wearing a life jacket. They were transported to University of Iowa Hospitals and Clinics for an autopsy.A 911 caller reported seeing two people disappear under the water at 3:44 p.m. at Lake Macbride State Park, according to a news release from the Johnson County Sheriff's Office.Emergency crews deployed boats to begin the search. Through the use of sonar, the victims were located in approximately 23 feet of water, the release states. One victim was recovered by the Johnson County Metro Dive Team at 6:50 p.m., and the other at 7:04 p.m.

Kelby Kiefer and Dave Flewelling join Jamie to talk about the Iowa LICA Field Days coming up on July 26 & 27 in Melbourne, Iowa. The Water Table Podcast will be there with our mobile recording studio to get in on all the action. Find out why Iowa LICA chapter is one of the biggest and best in the country and hear about the farm they've owned for 20 years. They've used 80 acres to clean up a 1000 acre watershed and want to share their practices with you!The LICA Farm: https://ialica-my.sharepoint.com/:v:/p/director/EdUXGtODslhKun8n3oByicMBnlQpOaAWJVbO6s68qWOmigAttend LICA on July 26th and 27th: https://www.facebook.com/IALICA/Chapters & Episode Topics: 00:00   Intro00:32   This week on The Water Table…00:57   Welcome Kelby and Dave02:00   What's so different about Iowa?03:30   It's all about loyalty…04:45   …and passion06:10   A fraternity of relationships07:20   The Iowa LICA Farm08:30   See conservation practices first-hand09:15   Terraces, wetlands and buffers, oh my!10:25   All the testing and all the results12:00   80 acres cleaning up 1000 acres13:10   Field day! July 26 & 2714:10   Come play in the dirt…15:30   This year – tiling, saturated buffers, grading…demos galore!17:40   Schedule info19:00   EVERYONE is invited20:20   Three goals21:00   The Water Table on the road!Follow us on social media! Facebook Twitter Find us on Apple Podcasts Subscribe to our Spotify Listen on Google Podcasts Visit our website to explore more episodes & water management education:https://www.watertable.ag/the-podcast/ About the Guests:Kelby Kiefer has been the Iowa LICA Executive Director since May of 2022.  She grew up in Southeastern Iowa in the Wellman/Kalona area where she still resides.  She has been employed by the University of Iowa Hospitals and Clinics for the past 16 years and has been in the Department of Emergency Medicine as part of the Education Leadership Team for the past 7.5 years. She is a Program Coordinator for their Physician Assistant Residency and six departmental Fellowships (Emergency Medical Services, Emergency Ultrasound, Medical Education, Medical Toxicology, Research, and Social Medicine).  She also serves as Division Coordinator for their Divisions of Emergency Medical Services and Medical Toxicology.Dave Flewelling has served on the Iowa Land Improvement Contractors Association board for the past 10 years and currently serves as the state president. Dave developed a true passion for building conservation structures while growing up in a small family-run multi-generational earthmoving company from Northwest Iowa. After taking over the business in 2007 and joining the Iowa LICA Association shortly afterwards, he realized how important it is to belong to a group that has a strong impact on the industry and has made it his goal to help educate the next generation of contractors how to conserve the earth for future use.

This is Stephen Schmidt from the Gazette Digital News Desk, and I'm here with your update for Tuesday, July 4.According to the National Weather Service, your Independence Day will be sunny and quite warm. It is predicted to be 94 degrees in the Cedar Rapids area. A chance of rain will return in the early morning hours on Wednesday.Five people were injured in a boat explosion on Lake Rathbun in Appanoose County Sunday, according to a news release from the Iowa Department of Natural Resources.One woman was evacuated by helicopter to University of Iowa Hospitals and Clinics for moderate to severe burns. One adult male and three juveniles were taken by ambulance to Mercy One in Centerville for minor burns.The boat exploded — likely because of a mechanical malfunction — during engine startup on the Buck Creek Arm of Lake Rathbun at approximately 3 p.m. Sunday, the news release stated.If your holiday plans include a dip in a nearby lake, here is some good news: Most of Iowa's state park beaches this week have water quality within safe standards for swimming.The Iowa Department of Natural Resources collects water samples each week at state park beaches and tests the water for E. coli bacteria and toxins from harmful algae — both of which can harm swimmers. The agency posts notices advising against swimming on weeks when levels exceed state standards, but many people do not see or heed the warnings.Last week's tests showed 31 of the beaches tested within safe levels for swimming. This includes Backbone, Macbride, near Solon, and Pleasant Creek, near Palo.At eight state park beaches, swimming is not advised because of high levels of either E. coli or algal toxins. These are:Black Hawk, Lake ViewBrushy Creek, LehighGeorge Wyth, Cedar FallLake Darling, BrightonsMarble Beach, Spirit LakeMcIntosh Woods, VenturaPine Lake South, EldoraPrairie Rose, HarlanIowa DNR weekly advisories are available online or over a hotline at 515-725-3434. Two state park beaches — Lake Geode and Lake Ahquabi — are closed this summer for renovations so the water isn t being tested there.The E. coli at Iowa beaches likely comes from feces from wildlife and manure runoff from farm fields. These bacteria levels often spike after a heavy rain. Accidentally ingesting contaminated water can cause diarrhea, cramps, nausea, headaches or other symptoms.The lake at Terry Trueblood Park in Iowa City, while not at one of Iowa's state parks, remains is closed to swimming because of E. coli.

This is Stephen Colbert from the Gazette Digital News Desk, and I'm here with your update for Tuesday, June 20th, 2023.Today's weather will be sunny and hot with a high near 91. Tonight will be clear with a low around 64.Kim Reynolds announces nearly $150 million in broadband fundingIowa Gov. Kim Reynolds announced nearly $150 million in funding for broadband development Monday, focused on areas with the highest need for high-speed internet.The latest round of the Empower Rural Broadband Grant Program will make available up to $149 million for qualified broadband projects in underserved areas. Funding for the projects will come from the 2021 federal American Rescue Plan Act.“Iowans deserve access to reliable, fast broadband,” Reynolds said in a news release. “Reliable internet connections are needed to live, work, and raise a family. This investment in infrastructure gets us one step closer to providing easy internet access to all Iowans.”Unlike previous broadband funding opportunities, these grants will be focused on 96 “Broadband Intervention Zones” around the state — areas that have been identified as having a critical need for broadband access. The zones were identified using feedback from dozens of public meetings, the governor's office said in the news release.University of Iowa hospitals raise rates again 6%As it has done annually for years, the Board of Regents last week approved a University of Iowa Hospitals and Clinics across-the-board 6-percent rate increase in health care services starting next month — the highest allowed in many UIHC contracts with insurance providers.“Given UIHC's low charge levels, it would be reasonable to increase charges more than 6 percent,” according to a UI request. “However, given the cap on charge increases in many of its contracts, it is most prudent to cap the increase proposal to 6 percent.”Compared with peer academic institutions, officials told the board, UIHC rates are “relatively low.” UI peer institutions include the universities of Illinois, Michigan, Minnesota and Wisconsin — all of which have affiliated hospitals and health care systems.“UIHC charges are below the 50th percentile of academic medical centers,” according to the request.A comparison tool produced by the Iowa Hospital Association, however, shows UIHC — the state's only academic medical center — is more expensive than most in Iowa for many services.Court decision on student loans will affect thousands of IowansTens of thousands of Iowa student loan borrowers are awaiting a decision from the U.S. Supreme Court on President Joe Biden's plan to forgive up to $20,000 in student debt.The court is weighing a challenge brought by six Republican-led states, including Iowa, arguing the plan is unconstitutional, and is expected to decide on the lawsuit by the end of the month.If the U.S. Supreme Court allows the loan forgiveness to go through, student loan borrowers without a Pell Grant would get up to $10,000 taken off their loan balance, while Pell Grant recipients would see up to $20,000 forgiven. The executive action is expected to cost around $400 billion.According to the White House, 264,000 borrowers in Iowa applied or were deemed automatically eligible for relief as of January, before the program was halted by an appeals court panel. There were 169,000 fully approved applications. The White House estimated more 430,000 Iowa borrowers were eligible when the plan was announced.Regardless of the decision in the federal case, student loan interest will resume Sept. 1, and required payments will resume in October. Iowa borrowers have an average of around $30,000 and hold a combined $13.2 billion in student debt, according to educationdata.org.

Join Dr. Szot and his guests to discuss reproductive health in patients with rheumatic and musculoskeletal diseases. Joseph Szot, MD Associate Dean for Continuing and Integrated Medical Education Clinical Professor of Internal Medicine University of Iowa Carver College of Medicine Brittany Bettendorf, MD Associate Professor of Internal Medicine University of Iowa Carver College of Medicine Emily B. Walsh, PharmD Clinical Pharmacy Specialist in the Adult Rheumatology Clinic University of Iowa Hospitals and Clinics References/Resources:  2020 American College of Rheumatology Guideline for the Management of Reproductive Health in Rheumatic and Musculoskeletal Disease. https://onlinelibrary.wiley.com/doi/epdf/10.1002/art.41191 Briggs Drugs in Pregnancy and Lactation, 12th edition – text that can be physically purchased or found in Lexicomp, an online drug reference Drugs & Lactation Database LactMed® - https://www.ncbi.nlm.nih.gov/books/NBK501922/ https://mothertobaby.org/ US Medical Eligibility Criteria for Contraceptive Use: https://www.cdc.gov/reproductivehealth/contraception/mmwr/mec/summary.html Financial Disclosures:  Dr. Joe Szot, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Available:  https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=56695  Physicians: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Pharmacists: The University of Iowa Carver College of Medicine designates this knowledge-based activity for a maximum of 0.5 ACPE contact hours.  Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion.  Pharmacists must complete the online evaluation and provide their NABP ID and DOB (MMDD) to receive credit.  Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.) Date Recorded: 05/02/2023  

Dr. Bruce Gantz is a Professor of Otolaryngology and the Head of the Head and Neck Surgery Department at the University of Iowa Hospitals and Clinics. He's been practicing audiology for over 40 years, recently stepping down as the Chairman of the department. Dr. Gantz is one of the world's top cochlear implant surgeons and is a leader in the cochlear implantation space. In this episode… To the general public, hearing aids and cochlear implants are the extent of their hearing technology knowledge. What fewer people are aware of are the complex differences between various styles, models, and brands. These can create massive advantages in hearing treatment that other options may fail to produce.  Hybrid implants are a lesser-known variant that utilizes both acoustic hearing and electronics to help people hear. The combination has proven results but it has yet to break through in the mainstream consciousness. So what should you be aware of about the technology? In this episode of the ListenUp! Podcast, Dr. Mark Syms talks with Dr. Bruce Gantz, Professor of Otolaryngology at the University of Iowa, to discuss hybrid hearing implants. They break down the studies performed on the subject, using robotics for better implantation, and the limitations of fully-electronic models. They also touch on what the future might hold for hearing treatment and technology.

The Cybercrime Wire, hosted by Scott Schober, provides boardroom and C-suite executives, CIOs, CSOs, CISOs, IT executives and cybersecurity professionals with a breaking news story we're following. If there's a cyberattack, hack, or data breach you should know about, then we're on it. Listen to the podcast daily and hear it every hour on WCYB. The Cybercrime Wire is sponsored by KnowBe4. To learn more about our sponsor, visit https://knowbe4.com • For more breaking news, visit https://cybercrimewire.com

This is John McGlothlen with The Gazette digital news desk and I'm here with your update for Monday, May 8th.According to the National Weather Service, overnight from Sunday to Monday, showers and thunderstorms are likely, then showers and possibly a thunderstorm after 4 a.m. Some storms could be severe, with large hail, damaging winds, and heavy rain. Rainfall amounts between 1 and 2 inches are possible. For Monday, a 30 percent chance of showers and thunderstorms, mainly before 7 a.m. Some of these storms also could be severe. Mostly cloudy, with a high near 75. Winds from the east, 5 to 10 mph, coming from the north in the afternoon. Then Monday night, mostly cloudy, with a low around 52. Federal and local law enforcement agencies are looking for a missing Iowa City attempted murder suspect after he cut off his ankle monitor while on house arrest in O'Brien County, according to a news release from the University of Iowa Police Department and Johnson County Attorney's Office. Ali Younes, 19, originally was charged with first-degree robbery and first-degree theft in April 2022 after police said he followed a woman on foot, tackled her near the University of Iowa Art Building West, strangled her until she lost consciousness and stole her earrings, valued at $20,000. In a trial information the following month, the Johnson County Attorney's Office added the attempted murder charge. After a contested bond hearing, the court released Younes on several conditions, including that he wear a GPS monitor, surrender his passport and stay with family members in O'Brien County pending trial, the release said. The Johnson County Attorney's Office was notified Saturday that Younes cut off his ankle monitor and a warrant was issued for his arrest. The FBI and Department of Homeland Security are involved in the search for Younes, and authorities are advising anyone who has information about his whereabouts to contact police immediately by calling 911 but not to approach him.Three people were stabbed early Saturday morning when a large fight broke out near the intersection of Gilbert and Burlington streets in downtown Iowa City. Iowa City police responded to reports of a fight in the 300 block of S. Gilbert Street at 1:55 a.m. Saturday, according to a news release. The release states that as police arrived, multiple people fled on foot. Three adult men sustained stab wounds. They were transported to University of Iowa Hospitals and Clinics, and are expected to recover, the release states. Police report that their initial investigation indicates the people involved in the fight knew each other and there was no threat to the general public.–

M1 Hend invited David Kozishek, a chaplain at the University of Iowa Hospitals and Clinics, to talk with M3 AJ, M1 Jeff and new co-host M1 Ervina to talk about the role of chaplains on the healthcare team. David also helps the co-hosts discuss the role that religion may play in their lives as future physicians, the tensions and compatibilities between evidence and faith, and how they might respond when their own beliefs may in conflict with standard practices. We'd love to hear your thoughts on this episode--does religion play a big part of your life? How would you respond to the scenarios we talked about? What questions do you have about the connections between faith and healthcare?

This is Stephen Schmidt from the Gazette Digital News Desk, and I'm here with your update for Thursday, April 20.Thursday will be windy and stormy, as cold air is coming into the area, leading to rain Thursday and a chilly Friday and Saturday. According to the National Weather Service it will be mostly cloudy in the Cedar Rapids area with a high of 68 degrees. The wind will pick up during the day, blowing as high as 20 to 25 mph and gusting as high as 35 mph. Rain chances overall for the day is 60 percent, but it appears from their analysis that rain possibilities will likely cease by 4 p.m.Crowding and capacity needs continue to stress the main University of Iowa Hospitals and Clinics, compelling administrators to expand the emergency department, reorganize existing services and — now — open a new “short-stay unit.”UIHC opened a new 30-room short-term unit Monday aimed at freeing up patient beds for sicker patients; streamlining the hospital experience for short-term patients requiring observation before heading home; and allowing providers to focus on either critical-care or short-term needs.Examples of UIHC patients who might require a short hospital stay are those needing further evaluation to determine whether they're stable enough to be released or should be admitted; patients recovering from surgery; or ER arrivals requiring observation, like those with chest pain, for example.Patients might find themselves in the short-stay unit after the operating room or a trip to the emergency room — which has become increasingly stretched in recent years.The family of a Muscatine man who went missing from Iowa City over the weekend hosted a prayer vigil Tuesday evening, and has been working with police on ongoing search efforts.Cristian Martinez, 20, had gone to Iowa City with some friends who last saw him in the alley behind Bardot Iowa, a bar at 347 S. Gilbert St., sometime before 1 a.m. Saturday. His phone had died earlier in the evening, according to the Iowa City Police Department.Martinez was reported missing Saturday after his family noticed he hadn't come home with his friends. Iowa City police investigators found security footage that showed Martinez at 12:56 a.m. in the 100 block of W. Harrison Street, walking west.Family, friends and other community members gathered Tuesday at the downtown Pedestrian Mall in Iowa City to hand out flyers and show support.The family has started a GoFundMe account to help with hiring a private investigator, and any other expenses as the search continues. As of Wednesday afternoon, the account had raised almost $10,000.Iowa City is taking the first step in exploring space and department needs of the City Hall building on Washington Street, which houses various city departments including police and fire.The city will be working with OPN Architects over the next six months on the master plan and feasibility study project, which the Iowa City Council approved as part of the consent agenda during Tuesday's meeting. Since it was on the consent agenda, there was no council discussion.OPN will review the current and projected space and needs of departments — including whether it would be possible to relocate the police department to a stand-alone building.

This is John McGlothlen with The Gazette digital news desk and I'm here with your update for Monday, April 17th.According to the National Weather Service, it will be cloudy through mid morning, then gradual clearing, with a high near 48. Breezy, with a northwest wind around 25 mph, with gusts as high as 45 mph. And tonight, mostly clear, with a low around 30.An Iowa City man was sentenced Friday to 50 years in prison for attempting to kill his former girlfriend, her boyfriend and three children in 2021 by pouring lighter fluid under her apartment door and igniting a fire, trapping them inside. Ishmael S. Carter, 32, was found guilty in January of first-degree arson and five counts of attempted murder. Jurors deliberated more than four hours following the three-day trial. Carter will have to serve 50 percent of the arson conviction and 70 percent of the attempted murder conviction before being eligible for parole.Iowa nursing homes and care centers are routinely fined as little as $325 for regulatory violations related to the physical and verbal abuse of residents. While many other types of nursing home violations trigger federal fines that can lead to penalties of up to $10,000, resident abuse violations often are subject to a state fine of $500. In some cases, the facilities haven't appealed the $500 penalties, so they were automatically reduced to $325. Since Jan. 1, at least eight Iowa nursing homes have been cited for violations related to resident abuse.A single-vehicle motorcycle crash in Buchanan County killed a man who was driving and injured a female passenger Saturday evening, according to an Iowa State Patrol crash report. At 5:52 p.m., 50-year-old Bradley L. Johnson of Hazleton was driving a Harley-Davidson motorcycle eastbound on Highway C57, just west of Hazleton. The report stated Johnson lost control at the intersection of Highway C57 (also known as 118th Street at that location) and Indiana Avenue, where the motorcycle entered the south shoulder and the driver and a passenger were ejected to the south ditch. The passenger — 46-year-old Sara J. Johnson — was airlifted to University of Iowa Hospitals and Clinics for treatment of her injuries. Bradley Johnson did not survive the crash.North Liberty is in the early stages of discussing whether to allow utility task vehicles — or UTVs — to operate on city streets. The North Liberty City Council at its meeting this week didn't take a formal vote but did give city staff the green light to begin drafting an ordinance and offer a recommendation to the council. A state law passed last year allows registered all-terrain vehicles and UTVs to be operated in all 99 counties as along as the rider follows the various rules outlined in the law. The legislation allows cities to regulate operation of these vehicles within their city limits. Last year, Marion voted to allow UTVs on city streets.–

This is John McGlothlen with The Gazette digital news desk and I'm here with your update for Monday, April 10th.According to the National Weather Service, today will be mostly cloudy, then gradually becoming sunny, with a high near 70. Winds from the southwest around 10 mph. Then tonight, mostly clear, with a low around 48. One person was killed, and another injured when a vehicle crashed in rural Johnson County early Saturday morning. The vehicle — a 2010 Jeep Wrangler — was traveling south in the 2800 block of N. Dubuque Street, near its intersection with Interstate 80, at 1:35 a.m. when it entered a ditch and rolled, according to a news release from the Johnson County Sheriff's Office. The car's two occupants, 18-year-old Trevor Burrows of North Liberty and 18-year-old Jacob Cohen of Iowa City, were ejected in the crash. Burrows died at the scene and Cohen was taken by ambulance to University of Iowa Hospitals and Clinics. Neither vehicle occupant was wearing a seat belt.A woman working at an east side Iowa City Casey's was shot by a customer Saturday night, according to Iowa City police. At 7:17 p.m., police responded to a report of a shooting at the Casey's convenience store at 370 Scott Ct. According to police, the woman working at the Casey's was approached by two customers who assaulted her, and all three exited the store. While exiting, one of the customers pulled out a handgun and shot the woman, who suffered a minor injury. The suspects left the area on foot. Police are actively investigating the incident and asking the public for assistance. Anyone with information is asked to contact the Iowa City Police Department. Police are requesting anyone with security cameras in the area review their recordings for potentially useful footage or information.The Iowa women's basketball team has its fourth commit from the 2024 class. Teagan Mallegni, a 6-foot guard out of McFarland, Wis., announced her pledge to the Hawkeyes on Saturday. According to WisSports.net, Mallegni is a two-time WBCA D2 all-state pick. She led McFarland (26-3) to its first state-tournament appearance since 1999. Mallegni is ranked No. 59 among this year's junior class, according to ESPN. She joins fellow Wisconsin prospect Taylor Stremlow in Iowa's Class of 2024, along with Ava Heiden of Oregon and Callie Levin of Solon.–

This is Stephen Schmidt from the Gazette Digital News Desk, and I'm here with your update for Tuesday, April 4.You might want to find a comfortable spot in your severe weather safe space again. According to the National Weather Service, the Eastern Iowa area will again see some stormy weather on Tuesday. Meteorologists are predicting multiple rounds of storms as the day goes on, starting from a bit after noon and into the evening. These storms are predicted to again move quickly, at roughly 50 to 70 mph, and they will also have the potential to produce heavy wind, rain, hail, and potentially tornadoes. When all of that is not happening, the high temperature is predicted to be 68 degrees.As Eastern Iowa residents recover from Friday's tornado outbreak, one of the new concerns is clearing debris ahead of another band of storms expected Tuesday.Continuing to get debris picked up or covered “so that it doesn't become airborne flying missiles” is the goal before Tuesday's storms, said Dave Wilson, Johnson County Emergency Management Coordinator. Wilson said a lot of progress has been made already.The Iowa Department of Transportation is assisting with clean up in Hills and Coralville to speed the process along, Wilson said. He added that some debris from the storm's path in Keokuk County landed in Johnson County.Friday's tornado outbreak left behind widespread damage in Eastern Iowa. The National Weather Service's Quad Cities bureau confirmed 16 tornadoes as of Monday afternoon. It's expected the final tornado number will be in the 20s.At least 11 injuries were reported, with no known fatalities.Linn County's historic “Blue Bridge” on Bertram Road was damaged Monday when crews tried to lift it and move it to the Indian Creek Nature Center and likely is not salvageable.Crews were lifting the bridge off its foundation when the bridge structure twisted, county officials said in a news releaseThe Linn County Secondary Road Department does not anticipate the bridge can be saved, but engineering contractors will evaluate the structure to make a final determination.No one was injured in the bridge collapse. Bertram Road remains closed to traffic.The nearby nature center was planning to use the 146-year-old bridge — a registered historic structure — to bridge a ravine on its trail system.The steel truss bridge, the oldest in Linn County, was built in 1876 and has a timber surface. The bridge was painted blue in 1991.A Tama County man suffered severe burns on one-third of his body in a Dec. 8 explosion at the C6-Zero plant, where he worked as a contractor, according to a lawsuit filed in Iowa County.Kelly Regenold and his wife, Tammy Courbat, filed the suit March 21 against C6-Zero Iowa, C6-Zero Holdings and Heartland Crush LLC, the company that owns the Marengo building where the blast happened.“The explosion blew Plaintiff off of a ladder and across the floor of the building. The subsequent fire destroyed the building and Plaintiff barely escaped with his life,” the lawsuit states. “Plaintiff was taken by ambulance to the University of Iowa Hospitals and Clinics where he was admitted for severe burns over 30 to 39% of his body, plus other injuries caused by the explosion and fire.”Regenold is the second person working at C6-Zero to announce suffering major injuries in the...

Masse sits down with Courtney Woodley as she talks about her son Cohen.  Cohen is a miracle baby born at 22 weeks and saved by the University of Iowa Hospital and Clinics. She shares her experience and how Cohen is doing today! This is one you DON'T want to miss! 

Microsoft tallies more than a hundred ransomware gangs. Sandworm's NikoWiper hits Ukraine's energy sector. Mobilizing cybercriminals in a hybrid war. Firebrick Ostrich and business email compromise. Telegram is used for sharing stolen data and selling malware. Crypto scams find their way into app stores. Bryan Vorndran of the FBI Cyber Division outlines the services the FBI provides during an incident response. Ann Johnson from Afternoon Cyber Tea speaks with actor producer Tim Murck about the intersection of cyber awareness and storytelling. And we are shocked - shocked! - that there are fraudulent cyber professional credentials circulating online. For links to all of today's stories check out our CyberWire daily news briefing: https://thecyberwire.com/newsletters/daily-briefing/12/21 Selected reading. Microsoft: Over 100 threat actors deploy ransomware in attacks (BleepingComputer)  SocGholish: A Tale of FakeUpdates (Reliaquest) ESET APT Activity Report T3 2022 (WeLiveSecurity)  Pro-Russian DDoS attacks raise alarm in Denmark, U.S. (The Record from Recorded Future News) ChristianaCare's website restored after attack; pro-Russia 'hacktivist' group takes credit (Delaware News Journal) Univ. of Iowa Hospitals website possibly hit by cyberattack (KCRG) Cyber attack causes problems with UM Health websites (The Detroit News) How the war in Ukraine has strengthened the Kremlin's ties with cybercriminals (The Record from Recorded Future News) Dark Covenant 2.0: Cybercrime, the Russian State, and War in Ukraine (Recored Future) Russia's cyberwar against Ukraine offers vital lessons for the West (Atlantic Council)  BEC Group Uses Secondary Personas & Lookalike Domains in Third-Party… (Abnormal Intelligence) Telegram's place in the cyber underworld. (CyberWire) Crypto scams found in the App Store. (CyberWire) Exposure to third-party risk. (CyberWire) Cyber certification deceit. (CyberWire)

A Russian hacking group has claimed to have taken down the University of Iowa Hospitals and Clinics website, along with the websites of dozens of other hospitals nationwide. A bill advancing in the statehouse would have provide written permission before a school could call a transgender student by a name or pronouns that affirm their gender identity. Plus, the growing housing crisis threat to public health.

The federal government says a deadline is coming up for people who want to apply for health insurance through the ACA. Advocates for improving child care say they hope Iowa lawmakers put state money into improving child care affordability and quality next year. Plus, a working group at the University of Iowa Hospitals and Clinics wants to study how psychedelics could help patients addicted to alcohol.

As rising RSV rates coincide with the wintertime surge in COVID-19 and the flu, experts are worried about the strain it could place on hospitals. Plus a discussion about Truthsgiving in Iowa.

In today's episode, join me and Dr. Morris as we talk about why culinary medicine is necessary and how cooking nourishing foods can have profound effects on our health and well-being. WATCH THE FULL YOUTUBE INTERVIEW HERE: https://youtu.be/Hq2khcjAX2I  Dr. Morris received his undergraduate degree from Oklahoma State University and his Medical Degree from the University of Oklahoma. He attended the University of Iowa Hospitals and Clinics where he completed his Family Medicine Residency and also completed an additional year of training in Psychiatry. Dr. Morris has always had a passion for helping individuals lose weight to reverse the most common medical conditions. It is this passion that leads him to pursue additional training in Culinary Medicine, Obesity Medicine, and Diabetes Prevention. It is with an ever-growing enthusiasm that Dr. Morris has opened Rudimentary Health, a clinical practice complete with its very own Culinary Medicine Teaching Kitchen, dedicated solely to the principles for effective and sustainable weight loss.  

Eating disorder survivors and experts join a discussion about the recent decision to end the University of Iowa Hospitals and Clinics eating disorder inpatient program.

There will be at least one debate between Iowa Gov Kim Reynolds and Democrat Deidre DeJear before the November election. The University of Iowa Hospitals and Clinics is ending its Eating Disorder Program's inpatient care this fall. Plus, as more states crack down on abortion, experts say Black Midwesterners are likely to be disproportionately affected.

This week's episode features a great conversation with Dr. Karen Brust, the new hospital epidemiologist at University of Iowa Hospitals and Clinics. She talks with Radha and Anya about disease prevention in the hospital setting, the importance of teamwork, changes in the field, and more! A transcript of this episode is available at https://www.public-health.uiowa.edu/news-items/from-the-front-row-disease-prevention-and-hospital-epidemiology-with-dr-karen-brust/ Have an question for our podcast crew or an idea for an episode? You can email them at CPH-GradAmbassador@uiowa.edu