Podcasts about Jackson Memorial Hospital

Send us a textA blood-soaked pillow and a 14-year-old's helplessness forever shaped Lisa Coleman's approach to healthcare. Now Director of Critical Care at Jackson Memorial Hospital, Lisa shares the pivotal moment that ignited her nursing career and the values that guide her leadership journey.Stepping into the Follow Brand Podcast, Lisa reveals the leadership challenges she navigated during the COVID-19 pandemic while managing a 30-bed critical care unit. With constantly changing protocols and diminishing staff resources, she created a culture of resilience that enabled her team to provide exceptional patient care despite unprecedented obstacles. This crisis management experience solidified her identity as a strategic leader who balances operational excellence with genuine empathy.Lisa's leadership philosophy—"less noise, more voice"—empowers team members while ensuring clear communication in high-stakes environments. Through mentorship, she's transformed struggling nurses into confident practitioners, witnessing their growth over decades. This commitment to developing others has inspired her to create a formal mentorship program at Jackson Health System, designed to cultivate the next generation of nursing executives. The podcast explores how Lisa's Brand Blueprint Strategy assessment revealed she's already performing at the Chief Nursing Officer level, validating her capabilities and providing a framework for continued growth. For aspiring healthcare leaders, Lisa offers powerful guidance: "Be courageous to step out and take on those roles that you may not feel you're meant to be in." Subscribe to hear how trauma-informed leadership is reshaping healthcare from bedside to boardroom.Thanks for tuning in to this episode of Follow The Brand! We hope you enjoyed learning about the latest marketing trends and strategies in Personal Branding, Business and Career Development, Financial Empowerment, Technology Innovation, and Executive Presence. To keep up with the latest insights and updates from us, be sure to follow us at 5starbdm.com. See you next time on Follow The Brand!

Send us a textWhat drives a 14-year-old girl watching her father in critical care to become a healthcare leader? For Lisa Coleman, Director of Critical Care at Jackson Memorial Hospital, it was witnessing blood on her father's pillow go unattended—a moment that crystallized her commitment to compassionate, thorough patient care.Twenty-three years into her nursing career and twelve years in leadership, Coleman's journey reveals the remarkable path from bedside nurse to healthcare executive. Her leadership during COVID-19 showcased her ability to implement innovative protocols while fostering team resilience amid constantly changing guidelines and critical staffing shortages. Rather than crumbling under pressure, she discovered her capacity to balance operational demands with emotional support for her team.Coleman's leadership philosophy—"less noise, more voice"—perfectly captures her approach to creating environments where every team member feels heard while maintaining laser focus on patient outcomes. She doesn't need to be the loudest voice in the room to make an impact. Instead, she creates psychological safety that encourages innovation while driving accountability. This balanced approach has positioned her to perform at the chief nursing officer level, something she realized through brand development work that helped her recognize her executive capabilities.Mentorship forms the cornerstone of Coleman's leadership legacy. From mentoring a struggling nurse who eventually became an advanced nurse practitioner to developing a formal mentorship program at Jackson, she's committed to building the next generation of healthcare leaders. Her advice to aspiring healthcare professionals comes from hard-earned wisdom: approach this field with passion and purpose, not just for financial gain, because you're responsible for human lives.Ready to elevate your leadership journey? Follow Lisa at Lisa_cold1 on social platforms where she welcomes both questions and advice—embodying the continuous learning mindset that has defined her remarkable career.Thanks for tuning in to this episode of Follow The Brand! We hope you enjoyed learning about the latest marketing trends and strategies in Personal Branding, Business and Career Development, Financial Empowerment, Technology Innovation, and Executive Presence. To keep up with the latest insights and updates from us, be sure to follow us at 5starbdm.com. See you next time on Follow The Brand!

In today's episode of The Daily Windup, I sit down with Daphne and Jose, founders of a successful government contracting company. They share their inspiring journey, highlighting the challenges and triumphs they encountered while building their business. Daphne and Jose discuss the importance of knowing your value proposition and unique offerings in the government contracting space, especially for small businesses. They reflect on their early days at the airport, solving complex issues and differentiating themselves from competitors. The duo reveals how their commitment to providing exceptional service and embracing difficult tasks led them to secure significant contracts, including a critical project for Jackson Memorial Hospital after 9/11. Join us as we explore the power of resilience and dedication in the world of government contracting. Don't miss this episode of The Daily Windup, your 10-minute dose of motivational insights!

In this episode, Dr. Soyona Rafatjah dives deep into the world of functional medicine, explaining how it connects the dots between different systems in the body. She discusses the critical role of gut health, toxins, inflammation, and nutrition in healing, offering insight into how modern medicine often overlooks these connections. From addressing common issues like gut permeability and IBS to exploring cutting-edge testing methods like PCR DNA analysis, this conversation uncovers practical and holistic approaches to healing. Learn more about how functional medicine can help you live a healthier, more optimized life!~About Dr. Sonoya Rafatjah~Dr. Soyona Rafatjah is a board-certified Family Medicine physician and the Medical Director & Co-Founder of PrimeHealth in Denver, CO. https://primehealthdenver.com/She earned her medical degree from the University of Miami Miller School of Medicine and completed her residency at Jackson Memorial Hospital in Miami, FL.Passionate about blending conventional medicine with personalized Functional Medicine, Dr. Rafatjah specializes in uncovering and treating the root causes of illness for lasting relief. Her expertise spans thyroid and digestive disorders, autoimmune conditions, hormone imbalances, health optimization & longevity, and more.

In this insightful episode from the archives, we sit down with Dr. Grayer, an anesthesiologist and critical care doctor, to discuss returning to medicine after a hiatus. Dr. Grayer's extensive medical background includes a Critical Care Fellowship at Jackson Memorial Hospital and an Anesthesiology Residency at the same prestigious institution in Miami, Florida. She earned a Doctor of Medicine degree from the University of Medicine and Dentistry of New Jersey and a Bachelor of Science in Cell/Cellular and Molecular Biology from the University of Maryland. Discover the strategies and support systems that helped Dr. Grayer navigate this complex journey. Whether you're a medical professional contemplating a return to practice or simply interested in the human side of medicine, this episode offers a compelling look at the realities and rewards of reclaiming one's place in the healthcare community.

Ever faced a hospital blackout mid-shift? Ever bagged ventilated patients in pitch darkness? Tune in as Coach JPMD recounts a wild ICU power outage that will leave you clutching your stethoscope!In this episode of the Independent Physician's Blueprint Podcast, join Coach JPMD,  as he dives into a heart-pounding tale from his residency at Jackson Memorial Hospital. Discover the crucial importance of having a solid backup plan in medical practice.Learn how to navigate chaotic situations like a pro, reduce medical practice burnout, and enhance patient satisfaction. Coach JPMD shares valuable insights on maintaining calm under pressure, the significance of backup systems, and leadership lessons that every young physician and junior doctor should master.Ready to transform your medical practice journey? Hit that follow button and never miss an episode! Tune in every Monday for crazy medical stories and every Thursday for career-boosting insights or guest interviews. Don't miss out – your journey to independent practice, decreased stress, and wealth generation starts here!

Looking for the latest research in skin substitutes? You're in luck. Join Dr. Robert Kirsner as he discusses CAMPs or cellular, acellular, and matrix products. Learn about their application for chronic wounds, ulcers, conditions such as HS, and how you can use them in your clinic. Each Thursday, join Dr. Raja and Dr. Hadar, board-certified dermatologists, as they share the latest evidence-based research in integrative dermatology. For access to CE/CME courses, become a member at LearnSkin.com.   Robert Kirsner, MD PHD is Chairman and the endowed Harvey Blank Professor in the Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery and Professor of Public Health Sciences at the University of Miami Miller School of Medicine. He is Chief of Dermatology at the University of Miami Hospital and Clinics and Jackson Memorial Hospital and directs the University of Miami Hospital Wound Center. His research interests include Wound Healing and Skin Cancer Epidemiology. Dr. Kirsner serves as one of 3 academic editors for the journal Wound Repair and Regeneration and on the editorial boards for a number of other journals in dermatology and wound healing. Dr. Kirsner serves in national leadership positions in both Wound Healing and Dermatology, including being Vice President of the American Academy of Dermatology and serving on the Wound Healing Society Board of Directors.   Sponsored by University of Miami Visit University of Miami's website for more information. 

Want to see integrative medicine in action? We've got just the clinician. This week, we're joined by IDCP alumnus Dr. Martha Viera as she breaks down a whole integrative approach to rosacea. Listen in as she discusses stress, SIBO, topicals, and laser therapy as part of her integrative treatment. Each Thursday, join Dr. Raja and Dr. Hadar, board-certified dermatologists, as they share the latest evidence-based research in integrative dermatology. For access to CE/CME courses, become a member at LearnSkin.com. Dr. Viera finished one year of general surgery and four years of dermatology residency at the University of Miami Miller Medical School. She has more than 20 years of experience in the field of medicine. She has been part of several renowned health centers inside and outside of the United States, including the Hospital of Central University of Venezuela and the Jackson Memorial Hospital in Miami, Florida. She is a volunteer faculty member at the Department of Dermatology at the University of Miami, where she devotes her time to teaching the residents in training. She is a fellow member of the American Academy of Dermatology (AAD), Women's Dermatologic Society (WDS), Florida Society of Dermatology and Dermatologic Surgery (FSDDS), American Society of Dermatologic Surgery (ASDS), Venezuelan Society of Dermatology, and the International Society of Dermatology (ISD). Dr. Viera also completed LearnSkin's Integrative Dermatology Certificate Program (IDCP) in 2023.   Since the beginning of her career, Dr. Viera has been invited as a speaker at more than 30 conferences across the globe, placing herself in the forefront of her specialty. With over 40 publications in prestigious national and international journals and book chapters in dermatology and cutaneous surgery, Dr. Viera has established herself in the industry. Various organizations have awarded Dr. Viera with honors, including the Recognition of Excellence Award (Residents and Fellow Sections of AMA) in 2008. In 2012 she received the Women's Dermatologic Society Mentorship Award, and in 2020, the Vic Narurkar Scholarship at Cosmetic Boot Camp sponsored by Galderma. Most recently she has been awarded with Top Doctors in Coral Gables 2022 and Aventura Magazine 2023.   Dr. Viera uses the most conservative approach possible. Patients have the opportunity to ask plenty of questions and consider multiple options while working with her. Patients can select from a range of highly effective in-office procedures, including Aquagold® microinfusions, Hydrafacial®, Botox® and fillers, and Fotona® lasers.

Clinical research has changed the way we treat autoimmunity and inflammation. In this episode, I'm joined by Dr. Annette Fornos, Physician at the Institute for Neuro-Immune Medicine to explore how thorough scientific research has transformed healthcare's approach to autoimmune conditions, such as myalgic encephalomyelitis (ME/CFS). When dealing with chronic illness and autoimmunity, it's crucial to acknowledge your condition and approach a trusted practitioner immediately. I also empower you to adopt a healthier lifestyle and a positive mindset. Surround yourself with doctors who are dedicated to helping you with your wellness journey. Listen to your body and pay attention to the signs. If you are or a loved one is experiencing symptoms of chronic illness and autoimmunity, tune in to this episode.   Subscribe to Power On Your Plate and leave a 5-star review!   Sign up for the 10-Day Cleanse Challenge here!

Clinical research has changed the way we treat autoimmunity and inflammation. In this episode, I'm joined by Dr. Annette Fornos, Physician at the Institute for Neuro-Immune Medicine to explore how thorough scientific research has transformed healthcare's approach to autoimmune conditions, such as myalgic encephalomyelitis (ME/CFS). When dealing with chronic illness and autoimmunity, it's crucial to acknowledge your condition and approach a trusted practitioner immediately. I also empower you to adopt a healthier lifestyle and a positive mindset. Surround yourself with doctors who are dedicated to helping you with your wellness journey. Listen to your body and pay attention to the signs. If you are or a loved one is experiencing symptoms of chronic illness and autoimmunity, tune in to this episode.   Subscribe to Power On Your Plate and leave a 5-star review!   Sign up for the 10-Day Cleanse Challenge here!

Thank you for tuning in for another episode of Life's Best Medicine. Dr. Sabine Hazan has always been dedicated to understanding life. She sought a career in medicine and was accepted to medical school based on outstanding research on obesity conducted as an undergraduate. She completed her residency at the University of Miami during the peak of the HIV epidemic, treating extremely ill patients at Jackson Memorial Hospital and in the local jail. There, she was awarded two prizes for her research. After completing her residency, Dr. Hazan became the first woman gastroenterology fellow at the University of Florida. During her extensive clinical trial experience, Dr. Hazan observed how dramatically the microbiome can impact human health. Dr. Hazan is a firm believer that disease can only be understood through precision medicine by focusing on the individual and the changes within. Much like each person has unique fingerprints, no two people have the same microbiome. In this episode, Brian and Sabine discuss inherited microbiome and versus inherited genes, the tendency of Western Medicine to over-treat with antibiotics, the great diversity of microbiomes amongst the various people groups in the world, how Ivermectin can be used to promote increase in bifidobacteria in the gut, some potential drawbacks to probiotic foods, how stress affects our physical health, hormonal changes and the microbiome, raw milk, the place of sugar in the human diet from a microbiome perspective, vitamins C, D and zinc, medical ethics standards in research studies in the United States, bone broth, apple cider vinegar, and how to be a smart consumer when it comes to your food. Thank you for listening. Have a blessed day and stay healthy!   Links:   Dr. Sabine Hazen: ProgenaBiome Biome Boosters Microbiome Research Foundation   Dr. Brian Lenzkes:  Website Low Carb MD Podcast   HLTH Code: HLTH Code Promo Code: METHEALTH HLTH Code Website   Keto Mojo: Keto Mojo

Roberto Dumas showed up at Jackson Memorial Hospital in Florida with a gun shot wound to the leg. Cops were called and quickly figured out what had happened. Roberto was treated, then arrested. See omnystudio.com/listener for privacy information.

The 13-year-old Derek Rosa is caught on the family's nanny cam, standing over his sleeping mother moments before the honor student stabs her to death. His newborn sister is sleeping in a crib steps away.  Derek Rosa is not your typical 13-year-old boy: He is on the honor roll with neighbors saying he is exceedingly nice and the model son. Irena Garcia, 39, just gave birth to a baby girl. So it was shocking when the teen called 911, telling the dispatcher that he snuck into the room where his mom and the baby were sleeping and stabbed his mother dead.  As the operator talks to Rosa, he tells her he took pictures of the murder and sent them to a "friend." He also says he then deleted the photos. When pressed for the friend's name, Rosa says it is just somebody he knows online. During his call with 911, Rosa said he had a gun he planned to use to kill himself but decided not to.   Derek Rosa was taken into custody and transported to a juvenile detention center. He was then moved to Jackson Memorial Hospital after he threatened to harm himself. Rosa was initially charged with second-degree murder, but a Miami-Dade grand jury found enough probable cause to indict the teen as an adult and up the charge to first-degree murder. Rosa's defense attorney has put motions in front of the judge to move this case back to juvenile court.  Joining Nancy Grace today: Jason Oshins - Criminal & Civil Attorney  Dr. James Garbarino – Emeritus Professor of Psychology at Cornell University and Loyola University Chicago (specialized in studying what causes violence in children); Author of, “Listening to Killers: Lessons Learned from My 20 Years as a Psychological Expert Witness in Murder Cases” Master Sergeant Ron Livingston - Sergeant at Florida Department of Highway Safety and Motor Vehicles (30+ years in law enforcement) Dr. Tim Gallagher - Medical Examiner State of Florida; Lecturer: University of Florida Medical School Forensic Medicine; Founder/Host: International Forensic Medicine Death Investigation Conference Caitlyn Becker - Senior Reporter for Dailymail.com; Twitter: @caitlynbecker   See omnystudio.com/listener for privacy information.

Derek Rosa is not your typical 13-year-old boy: He is on the honor roll with neighbors saying he is exceedingly nice and the model son. Irena Garcia, 39, just gave birth to a baby girl. So it was shocking when the teen called 911, telling the dispatcher that he snuck into the room where his mom and the baby were sleeping and stabbed his mother dead.  As the operator talks to Rosa, he tells her he took pictures of the murder and sent them to a "friend." He also says he then deleted the photos. When pressed for the friend's name, Rosa says it is just somebody he knows online. During his call with 911, Rosa said he had a gun he planned to use to kill himself but decided not to.   Derek Rosa was taken into custody and transported to a juvenile detention center. He was then moved to Jackson Memorial Hospital after he threatened to harm himself. Rosa was initially charged with second-degree murder, but a Miami-Dade grand jury found enough probable cause to indict the teen as an adult and up the charge to first-degree murder. Joining Nancy Grace today: Jason Oshins - Criminal & Civil Attorney  Dr. James Garbarino - Emeritus Professor of Psychology at Cornell University and Loyola University Chicago (specialized in studying what causes violence in children); Author of, “Listening to Killers: Lessons Learned from My 20 Years as a Psychological Expert Witness in Murder Cases”  Master Sergeant Ron Livingston  - Ron Livingston - Sergeant at Florida Department of Highway Safety and Motor Vehicles (30+ years in law enforcement) Dr. Tim Gallagher - Medical Examiner State of Florida; Lecturer: University of Florida Medical School Forensic Medicine; Founder/Host: International Forensic Medicine Death Investigation Conference Caitlyn Becker - Senior Reporter for Dailymail.com; Twitter: @caitlynbecker   See omnystudio.com/listener for privacy information.

Nervous about the future of dermatology? We've got reasons to be excited! This week, we're joined by Dr. Robert Kirsner as he walks us through the exciting future of medicine. Listen in as he discusses the shifting field of dermatology, technological advancements, and most of all, reasons to be optimistic. Each Thursday, join Dr. Raja and Dr. Hadar, board-certified dermatologists, as they share the latest evidence-based research in integrative dermatology. For access to CE/CME courses, become a member at LearnSkin.com.   Robert Kirsner, MD PHD FAAD, is the Chairman and the endowed Harvey Blank Professor in the Dr. Phillip Frost Dermatology in the Department of Dermatology and Cutaneous Surgery, and Professor of Public Health Sciences at the University of Miami Miller School of Medicine. He is the Chief of Dermatology at the University of Miami Hospital and Clinics and Jackson Memorial Hospital and directs the University of Miami Hospital Wound Center. He received his undergraduate degree from Texas A&M University, his medical degree from the University of Miami and a PhD in epidemiology from the University of Miami after he completed his clinical training. His clinical training included internal medicine, a clinical and research fellowship in wound healing and dermatology at the University of Miami. His research interests include Wound Healing and Skin Cancer Epidemiology.   Dr. Kirsner serves as one of 3 academic editors for the journal Wound Repair and Regeneration and on the editorial boards for a number of other journals in dermatology and wound healing. He serves in national leadership positions in both Wound Healing and Dermatology, including being Vice President-elect of the American Academy of Dermatology and serving on the Wound Healing Society Board of Directors. In addition to career development awards, foundation, industry-sponsored funding and CDC funding, he currently leads and is part of a number of NIH-funded grants. Independent of books, book chapters and abstracts, he has published over 550 articles.

Research has shown that a key indicator of whether a physician works in a rural healthcare setting is the location of their residency. While these opportunities can be scarce in rural facilities, one physician is working to expand physician residency opportunities in rural areas. This week we're talking to Dr. Jack Michel, Strategic Advisor at RuralGME. “We want to expand these opportunities because it's such an incredible opportunity for people to be able to work on their skills, while not incurring huge debt and serving the public.” -Dr. Jack Michel Dr. Jack Michel is a physician specializing in Internal Medicine. He received his Bachelor of Science in Biology from the University of Miami in 1984, earning Summa Cum Laude. He received his Medical Doctor degree from the University of Miami School of Medicine in 1989 and completed his residency in Internal Medicine at Jackson Memorial Hospital in 1993. He served as Chief Medical Resident at the VA Medical Center for the University of Miami in 1994. His determination in having a successful impact on the community led him to acquire Larkin Community Hospital in 1998. In 2011, Larkin Community Hospital instituted its first Graduate Medical Education programs and has now grown to offer residencies in 30 different specialties and is the sixth largest Statutory Teaching Hospital in Florida (by the number of physicians in training) and the fourth largest by specialties in supply/demand deficit in Florida.

Episode 137: Heart Transplant and LVADFuture Doctor My explains two treatments for advanced heart failure, heart transplant and Left Ventricle Assist Device (LAVD). Dr. Arreaza adds historical information about the first artificial heart implant and the first LAVD.  Written by My Chau Nguyen, MSIV, American University of the Caribbean School of Medicine. Comments by Hector Arreaza, MD.  You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Introduction: Advanced heart failure is a major concern in the United States. Heart failure has a high 1-year mortality average of 33%. Although medical therapies have improved survival rates, some patients with progressive and advanced heart failure may still require heart transplantation or mechanical support such as left ventricular assist devices (LVADs) to prolong survival and improve quality of life.It is estimated that 23 million people in the world have heart failure, and many of them are in end-stage heart failure. When it comes to treating severe heart failure, there are two main options: heart transplantation and left ventricular assist devices (LVADs). Heart transplant: The operation to perform a heart transplant typically lasts between five to six hours but may take longer in patients who have undergone previous open-heart surgery or have an LVAD in place. However, because donors' hearts are a scarce resource, not all patients are eligible for transplantation. The following are absolute indications for referral for Heart Transplant listing:Cardiogenic shock requiring continuous intravenous inotropic therapy (i.e., dobutamine, milrinone, etc.) or circulatory support with intra-aortic balloon pump counterpulsation devices or left ventricular assist device (LVAD) to maintain adequate organ perfusion.Peak oxygen consumption VO2 (VO2max) less than 10 mL/kg per minute.New York Heart Association NYHA class III or IV despite maximized medical and resynchronization therapy.Recurrent life-threatening arrhythmias unresponsive to medical therapy such as an implantable cardiac defibrillator, medical therapy, or catheter ablation.End-stage congenital heart failure with no evidence of pulmonary hypertension.Refractory severe angina without potential medical or surgical therapeutic options.Selected patients with restrictive and hypertrophic cardiomyopathies.My experience with a heart transplant: I consider myself extremely fortunate for witnessing the whole complex procedure involved in lung and heart transplantation at Jackson Memorial Hospital in Miami, FL. It was an incredible experience to join the transplant team in retrieving a donor organ. Timing plays a critical role in heart transplants. When a suitable donor becomes available, every second counts. We must quickly arrange transport and secure an operating room. It is essential that the distance between the donor and the hospital is within our designated region. For example, we are in Region 5, including Arizona, California, Nevada, New Mexico, and Utah. Once everything is in order, we divide into two teams. One team sets off to retrieve the donor while the other prepares the patient in the operating room. It is a race against time, as hearts and lungs must be transplanted within approximately four hours of removal from the donor. It was remarkable to see how everything was so precisely scheduled, from the arrival and departure of the teams to the transplantation of the organs. It is an inspiring experience to witness these life-saving procedures in action.History of the artificial heart.Arreaza: It is great to hear about your experience, but we know that not everyone can have a heart transplant. So, let us talk about other options. For example, an artificial heart. I lived in Utah for several years and I heard something about the first artificial heart being implanted there, so here is the information. William DeVries was the surgeon who led the implantation of the first artificial heart, the Jarvik-7, at the University of Utah on December 1, 1982. The patient was a retired dentist, Barney Bailey Clark, who survived 112 days connected to the device. Today, the modern version of the Jarvik-7 is known as the SynCardia temporary Total Artificial Heart. It has been implanted in more than 1,350 people as a bridge to transplantation.Left Ventricular Assist Device (LVAD):In recent years, LVADs have become increasingly popular as a viable alternative to transplantation, as they have demonstrated improved durability by using wear-free components, greatly improving mortality rates in heart failure patients. Arreaza: The first left ventricular assist device (LVAD) system was created by Domingo Liotta at Baylor College of Medicine in Houston, Texas, in 1962. It is basically a pump that is used for patients who are on end-stage heart failure. The LVAD is surgically implanted, it is a battery-operated pump that helps the left ventricle pump blood to the rest of the body. LVADs can be used as a temporary treatment while patients are waiting for a transplant. It is called a “bridge-to-transplant therapy”. In some cases, an LVAD may restore a failing heart and eliminate the need for a transplant. An LAVD may also be used as a “destination therapy” in patients who are not candidates for heart transplants. LVAD can prolong and improve patients' quality of life.My: The purpose of an LVAD is to support patients with heart failure by increasing perfusion and reducing filling pressures in the heart. It is important to note, however, that LVADs only partially assist the pumping action of the diseased ventricle and cannot fully replace the function of the heart. Therefore, the decision to have an LVAD or heart transplant must be taken after careful discussion between the patient and the cardiologist to determine which option is best to reach the patient's goals of care.Example of an LVAD:Recently, The Berlin Heart Ventricular Assist Device (VAD) has been a game-changer in saving children with severe heart conditions. As you may guess from the name, it is developed in Germany. It is recently approved by US FDA in 2011. This type of LVAD has been used in approximately 1,000 children worldwide, including 12 cases in the United States. The Berlin Heart is a simple air-driven pump that takes over the work of one or both sides of a child's own heart. It pumps blood around the body to keep the brain and other organs healthy, allowing the child to grow and get stronger. The use of this device is required until the child is transplanted, or for a small number of children until their own heart recovers. I once again had the privilege of witnessing the procedure performed by one of the inventors, my preceptor, Dr. Loebe in the NICU at Jackson Memorial Hospital.Conclusion: Now we conclude episode number 137, “Heart Transplant and LVAD.” My explained two options for the treatment of advanced heart failure: Heart transplant and Left Ventricular Assist Device, or LVAD. She shared her recent experience in her surgery rotation at Jackson Memorial Hospital. Dr. Arreaza added the history of the first artificial heart implanted in Utah and the first LAVD. We hope you enjoyed it.This week we thank Hector Arreaza, and future doctor My Chau Nguyen. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________Sources:Theochari CA, Michalopoulos G, Oikonomou EK, Giannopoulos S, Doulamis IP, Villela MA, Kokkinidis DG. Heart transplantation versus left ventricular assist devices as destination therapy or bridge to transplantation for 1-year mortality: a systematic review and meta-analysis. Ann Cardiothorac Surg. 2018 Jan;7(1):3-11. doi: 10.21037/acs.2017.09.18. PMID: 29492379; PMCID: PMC5827119. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5827119/.Alraies MC, Eckman P. Adult heart transplant: indications and outcomes. J Thorac Dis. 2014 Aug;6(8):1120-8. doi: 10.3978/j.issn.2072-1439.2014.06.44. PMID: 25132979; PMCID: PMC4133547. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4133547/.Birks, E. J., & Mancini, D. (2022, November 9). Treatment of advanced heart failure with a durable mechanical circulatory support device. UpToDate. Retrieved April 21, 2023. https://www.uptodate.com/contents/treatment-of-advanced-heart-failure-with-a-durable-mechanical-circulatory-support-device.Drews T, Loebe M, Hennig E, Kaufmann F, Müller J, Hetzer R. The ‘Berlin Heart' assist device. Perfusion. 2000;15(4):387-396. doi:10.1177/026765910001500417.Middleton, J. (2021, August 26). What is the time frame for transplanting organs? Donor Alliance. Retrieved April 21, 2023, from https://www.donoralliance.org/newsroom/donation-essentials/what-is-the-time-frame-for-transplanting-organs/.The Bridge to Transplant Team, The Child and Family Information Group. (2017, July). Berlin Heart Mechanical Heart Assist. NHS choices. Retrieved April 21, 2023, from https://www.gosh.nhs.uk/conditions-and-treatments/procedures-and-treatments/berlin-heart-mechanical-heart-assist/.Royalty-free music used for this episode: "Tempting Tango." Downloaded on October 13, 2022, from https://www.videvo.net/

With Carl Orringer, University of Miami Miller School of Medicine - USA & Michael Albosta, Jackson Memorial Hospital, Miami - USA Link to paper Link to editorial

This Episode Covers the Following Topics:Factors that contribute to obesity aside from Calorie Intake (genetic factors, environmental factors, muscle mass, bone/frame structure, etc.)BMI / Growth Chart and how it affects your ChildDiscussing your Child's Weight with their PediatricianSteps and Treatments Beyond Eating Healthy & Exercising (Screening, Diagnosis, Medications and Surgery)Conditions that Develop from Obesity (High Cholesterol, High Blood Pressure, Heart Disease, Diabetes, Mental Health & More)Making Lifestyle Changes as a FamilyAvoiding Blaming & ShamingBeing Happy at Any WeightMaking the Goal to be Healthy on the Inside About Dr. lital ReitblatDr. Lital Reitblat is a pediatric endocrinologist at Joe DiMaggio Children's Hospital in Hollywood, Florida. She is also board certified in obesity medicine. She went to medical school at the University of Florida, did her residency in pediatrics at Jackson Memorial Hospital, and her pediatric endocrinology fellowship at Yale University. She is married and has 3 kids.

“Once you choose hope, anything is possible.” – Christopher ReeveBacked by decades of experience producing exceptional clinical outcomes, Kintinu Telerehab connects recovery to everyday life. In this podcast, we explore hot topics in rehabilitation, the keys to personal growth and recovery, and how to apply it all to the real-world.In this episode of Kintinu'd Conversations, Brad Dexter, Claire Thelen, and Tim Benak welcome Dr. David Gater to the podcast to discuss spinal cord injuries. We were grateful for our time with Dr. Gater, as we learned he suddenly passed away from a myocardial infarction only 3 weeks after our conversation. Dr. Gater was president of the Academy of Spinal Cord Injury Professionals and was active in the American Spinal Injury Association, the Veterans Health Administration, VA System of Care, and the Paralyzed Veterans of America. He was also a member of the Association of Academic Physiatrists and the American Academy of Physical Medicine and Rehabilitation, along with other associations.Dr. Gater was also a research scientist at The Miami Project; chief of the Physical Medicine and Rehabilitation Service for UM Hospital and Clinics, Jackson Memorial Hospital, and the Miami Veterans Affairs Medical Center; and Spinal Cord Injury Medicine Fellowship director. Nationally, he was co-director, National Institute on Disability Independent Living and Rehabilitation Research (NIDILRR) South Florida Spinal Cord Injury Model System, one of just 14 such centers in the country.Board certified in physical medicine and rehabilitation, electrodiagnostic medicine, and spinal cord injury medicine, Dr. Gater was extensively published and made hundreds of local, departmental, and conference presentations. He was internationally known for his work in obesity and metabolic disease among people with spinal cord injury and disease, and was a staunch advocate for his patients.A world-renowned physician and researcher, Dr. Gater will be remembered as brilliant, innovative, kind, and compassionate. His influence will be carried forward by his colleagues, patients, and those he taught and mentored.We hope you can learn from and enjoy our conversation!Listen to the episode on Spotify, Amazon Music, Apple Podcasts, and Buzzsprout, or on your favorite podcast platform.Resources:Facing DisabilityChristopher and Dana Reeves FoundationThe Miami Project to Cure Paralysis

Daisy Chen https://alphaconverge.com/ About our guest ... Daisy Chen is the founder of a “Best Big Data" and"Most Innovative Machine Learning" company in Nevada, Daisy hasalmost two decades of experience in tackling complex projects forhighly matrixes fortune 500 companies, leading management consultingfirm, and top media & advertising agencies. She started to lead topcompanies' analytics functions in her 20s, and have a proven track recordof building & evangelizing best practices, mentoring analytics talents,cultivating collaborative relationships, and deliver solid business resultsin diverse industries.Daisy is a partner at AlphaConverge, a management consulting firm thatis recognized as one of the best in big data, data integration, businessintelligence and machine learning. Daisy has extensive experience inleading top companies' analytics functions and tackling complexprojects at highly matrixed fortune 500 companies, leading managementconsulting firms and top advertising agencies. Dr. Karin Espositohttps://medicine.roseman.edu/home/leadership/https://www.linkedin.com/in/karin-esposito-md-phd-43391350/Dr. Karin Esposito is Professor and Senior Executive Deanfor Academic and Student Affairs at Roseman University College of Medicine(RUCOM). She is the Chief Academic Officer for the medical school and will serve asthe faculty lead for accreditation. She has held previous roles in curriculum, advising,and student affairs and also has experience as a residency program director. Dr.Esposito received her PhD in biochemistry and molecular biology, as well as her MD,from the University of Miami, and she completed her residency training in psychiatryat Jackson Memorial Hospital in Miami, Florida. Her research interests have spannedbasic and clinical research, education research, and hospital-based qualityimprovement research at various times in her career.Prior to coming to Roseman, Dr. Esposito held roles at Florida International UniversityHerbert Wertheim College of Medicine as Executive Associate Dean for StudentAffairs, Associate Dean for Curriculum and Medical Education and as Associate Deanfor Academic Affairs and for Women in Medicine and Science. Dr. Esposito was alsothe founding program director for the psychiatry residency at Citrus Health Network.  Dr. Jaime Fairclough https://www.linkedin.com/in/jamie-fairclough-phd-mph-ms-2901564b/ Dr. Jamie Fairclough serves as Associate Dean, Professor,and Director of the Data Science & Analytics Unit at Roseman University Collegeof Medicine (RUCOM). As a data leader, Dr. Fairclough oversees the datainfrastructure and analytics strategy plans and leads current cloudadoption/transformation efforts in the medical school. Before coming toRUCOM, Dr. Fairclough held faculty appointments at Florida InternationalUniversity (Herbert Wertheim College of Medicine), Florida State University(College of Medicine), and Palm Beach Atlantic University (Gregory School ofPharmacy). She also worked in government operations, managing a statewiderisk surveillance system for the Florida Department of Health (Bureau ofEpidemiology) in collaboration with the Centers for Disease Control & Prevention(CDC). Dr. Fairclough earned her BS, MPH, and MS degrees from the University ofFlorida and her PhD from Florida State University. She subsequently completedpostdoctoral fellowship training in Behavioral Medicine Research at DukeUniversity Medical Center, as well as postgraduate/executive training in medicalstatistics at Stanford University; data science, AI, and machine learning at theUniversity of Texas at Austin; data engineering at the University of Chicago; andHealthcare AI at Harvard Medical School. Dr. Fairclough holds a secondaryappointment as Adjunct Professor of Data Science at Noorda College ofOsteopathic Medicine and was recently selected as an NWCCU | SACSCOC2022-2023 Data Equity Fellow.

This episode covers the following topics:What is neurodiversityWhy it is  important for us as parents/doctors/educators to be familiar with this conceptThe difference between neurodiversity and disabilityAccepting neurodiversityWays to help address learning disabilitiesHow parents can support their neurodiverse childPositives of being neurodiverseHow structure/schedule/routine can help someone who is neurodiverseAbout Dr. Paige Kalika:Dr. Paige Kalika is an Assistant Professor of Clinical Neurology and Pediatrics.  She was born in Brooklyn, NY, and graduated from Cornell University in 2000.  She earned her medical degree at the University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine (now Rowan-SOM) in 2004.  She completed her residency in Pediatrics at Jersey Shore University Medical Center in 2007 and her fellowship in Child Neurology at SUNY Downstate in Brooklyn, NY in 2010.  She is board certified in Neurology with special qualification in Child Neurology and is pursuing certification in headache medicine.Dr. Kalika joined the University of Miami Department of Neurology in 2011.  While she practices general child neurology, she has a particular interest in pediatric headache and migraine.  She is the director of the pediatric headache clinic at UHealth and at Jackson Memorial Hospital, where she does Botox treatments for chronic migraines.  Her research interests include treatment and prevention of acute migraine in pediatric populations.  She also has an interest in pediatric neurogenetics and sees patients in tandem with Genetics at UHealth at Weston.When not seeing patients, Dr. Kalika enjoys reading, baking, and spending time with her husband and two children.  She is slowly amassing an impressive collection of geeky dresses with pockets.  She is a fan of Florida winters, but not Florida summers.

Visita a Miami por intercambio CASMU firmó en Miami, Florida, un convenio de cooperación con el Jackson Memorial Hospital en las áreas de capacitación, segunda opinión, intercambios profesionales, pasantías y proyección de servicios institucionales fuera de fronteras. El Jackson Memorial es una institución estadounidense con tecnología de vanguardia que cubre 27 especialidades médicas en constante actualización y desarrollo. #Casmu en constante crecimiento. Osvaldo Barrios Gerente de Marketing de Casmuhttps://casmu.com.uy/

Welcome to the Follow the Brand Podcast, I am your Host Grant Mcgaugh, and I want to welcome you to our special edition episode.Those with an executive presence work well under pressure, communicate clearly, and have a confident, capable persona.Click Here to ListenAlthough executive presence may seem like a natural ability that predisposes some professionals for the executive suite, it's more often an important skill that takes hard work.My guest Sandra Severe is the combination of personality and character traits that make a dynamic executive.M. Sandra Severe is senior vice president and chief executive officer of Jackson North Medical Center Hospital, a 382-bed acute care hospital located in North Miami Beach.Affiliated with the world-class Jackson Health System, one of the nation's largest public health systems, Jackson North offers a full spectrum of services and is staffed by nationally-respected physicians and healthcare professionals who practice various medical specialties.Ms. Severe is responsible for managing the day-to-day operations at Jackson North, which serves the residents of north Miami-Dade and south Broward counties.Ms. Severe joined Jackson in 2014 and grew in leadership positions throughout Jackson's behavioral health facilities.She most recently served as Jackson Memorial Hospital's chief operating officer, nimbly overseeing a wide range of ancillary and support services for the health system's 1,547-bed flagship facility.During her time at Jackson Memorial, Ms. Severe provided administrative oversight of the hospital's $100 million construction project to build the three-story UHealth Jackson Critical Care Pavilion, a facility that adds 79 ICU beds to the organization's critical care capacity.She was also the executive lead on Jackson's robust COVID-19 lab operations, which provided nearly 200,000 COVID tests to patients, physicians, and employees during the pandemic. She was a model for other healthcare entities in developing testing algorithms used to ensure patient safety and throughput.Before joining Jackson, Ms. Severe served as director of Nicklaus Children's Hospital's early intervention program, the largest federally and state-funded program at the children's hospital that provided services for children with special needs; and as a health care policy consultant for Smile Initiatives of Massachusetts, a mobile dental clinic that provided comprehensive onsite dental care to schools and government offices throughout New England.Ms. Severe is an adjunct professor at Florida International University's Nicole Wertheim College of Nursing and Health Sciences and is a regular guest lecturer and panelist at Florida Atlantic University's College of Business.She is a member of several organizations, including the American College of Healthcare Executives, the National Association of Health Services Executives, the United Way Women United and Young Leaders, and Delta Sigma Theta Sorority, Inc.A native of Miami, Ms. Severe earned her Ph.D. in public health and disease promotion from Florida International University, as well as a Master of Public Health and a Bachelor of Arts in political science from Tulane University in New Orleans.Let us welcome Marie Sandra Severe to the Follow the Brand Podcast Where we are building a 5 STAR Brand That You Can Follow!

GUEST OVERVIEW: Born in Morocco, Dr. Sabine Hazan has always been dedicated to understanding life. She sought a career in medicine and was accepted to medical school based on outstanding research on obesity conducted as an undergraduate. She completed her residency at the University of Miami during the peak of the HIV epidemic, treating extremely ill patients at Jackson Memorial Hospital and in the local jail. There, she was awarded two prizes for her research. After completing her residency, Dr. Hazan became the first woman gastroenterology fellow at the University of Florida. There, she completed a year of research and presented her findings in poster format at the American College of Gastroenterology (ACG) National Meeting. It was at that moment that she was approached by the esteemed Dr. Neil Stollman. He told her that the future of medicine lies in the microbiome. For her exceptional work with visceral hyperalgesia she was awarded the Dean's Research Award. Dr. Stollman is now an expert and leader on fecal transplant and Clostridioides difficile (C.diff) and serves on the governing board of the ACG. GUEST WEBSITE: http://progenabiome.com 

What is HIV? What is the difference between HIV and AIDS? What would you do if you discovered you had HIV or AIDS? Would you keep it a secret or share it with the world? On A Conversation with Joshua T Berglan & Maria Mejia, we discuss how a 15 year old found out one day she had the AIDS virus and the hard choices she was faced with on the fateful day. Maria is the co-author of the book From a Warrior's Passion and Pain, a real life account of her 30-year battle with HIV. She is currently the co-chair of the Women and Minorities Outreach for the Dab the AIDS bear project. Maria is a part of the campaign “Let's Stop HIV Together” for the Center for Disease Control as their Ambassador. she is also an ambassador for a Greater than AIDS ongoing Campaign for women, HIV, Trauma, and IPV, “The Stigma Project, and The Global Ambassador and CAB member for the Women's organization "The Well Project Diagnosed with HIV in 1991 and infected in 1988 and the age of 15, Maria began a long journey finding hope, pride, and passion in an undereducated society unprepared to deal with the growing epidemic of HIV and AIDS. After ten years without treatment, Maria found herself at a crossroads. She could begin medical treatment or continue to slide towards death. Thankfully she chose to live and to fight for more than just her own health. Maria immersed herself in HIV/AIDS education and became a powerful activist for education, treatment, testing, prevention, LGBTQ and human rights. She has been featured in magazines, billboards, TV as well as national and international conventions. Maria has been a part of four documentaries to help raise HIV awareness. She is a volunteer for the Red Cross, an HIV educator for Jackson Memorial Hospital and a motivational speaker. She is an HIV consultant and a member of several digital advisory boards: Janssen Pharmaceuticals Digital advisory board. Comunity advisory board The well project and sits in the Board of Directors "CANN" in Washington. Thank you for being a part of A Conversation with Joshua T Berglan & Maria Mejia on the Live Mana Network! Find us on Apple TV, ROKU, Amazon Fire, Google News, your app stores, and your favorite podcast networks! Thank you for being here! Joshua T Berglan Joshua T Berglan, aka The World's Mayor, is a voice for the voiceless and is driven to elevate the passion, purpose, and mission of those he serves. Joshua is the Chairman of the Live Mana Worldwide Foundation & Live Mana Network, Shock-Jock Evangelist, International #1 Best Selling Author for the Book “The Devil Inside Me” a Producer, and Filmmaker. Joshua is an expert in the future of media and loves supporting others in helping make their dreams come true.

Description: Military and veteran kids experience unique stressors that may influence their decisions to engage in risky behaviors such as underage drinking. Join MCEC and Responsibility.org as we bring together experts to discuss how talking with your teens and young adults about alcohol early and often is the best way to keep them safe.  Thank you to the Fort Lee Area Spouses Club for their support of this podcast. https://www.fortleeareaspousesclub.com/    Resources: Understanding Youth Substance Use: For Military Parents and Caregivers https://www.nctsn.org/resources/understanding-youth-substance-use-for-military-parents-and-caregivers   NMFA and Bloom Survey https://www.militaryfamily.org/the-military-teen-experience/ Responsibility.org https://www.responsibility.org/   Advice for Parents from Parents  https://www.responsibility.org/prevent-underage-drinking/talking-to-kids-about-alcohol   Advice for Parents from Experts on Talking to Teens   https://www.responsibility.org/prevent-underage-drinking/end-teenage-drinking/parenting-teens/   Conversation Starters https://www.responsibility.org/prevent-underage-drinking   Parents You're Not Done Yet https://www.responsibility.org/prevent-underage-drinking/responsibility-on-campus/parents-youre-not-done-yet/   Bio:  Tim Farrell, MCEC's Senior Vice President & Chief Operating Officer (COO), is a retired U.S. Air Force Colonel who served for more than 23 years. Before joining MCEC, Tim served as the CEO of the National Association of Veteran-Serving Organizations (NAVSO), and as COO and interim President & CEO of Operation Homefront. Having balanced his military service and raising his children for many years, Tim has a personal understanding of the difficulties military families face during periods of transition. He is a strong believer in using this experience to serve his community through his work on the World Affairs Council of San Antonio's Board of Trustees and the City of San Antonio's Veterans Affairs Commission, as well as his selection as the inaugural board chair of Students of Service (SOS) - San Antonio. Tim holds a Bachelor of Arts in Economics from Rutgers University (where he also played college football), a Master of Science in Administration from Central Michigan University, and an executive certificate in Transformational Nonprofit Leadership from the University of Notre Dame. He and his wife Gina live in San Antonio with their two sons, Aidan and Keagan.   Chris R. Swonger Chris serves as the President & CEO of both the Foundation for Advancing Alcohol Responsibility (Responsibility.org) and the Distilled Spirits Council of the United States. Mr. Swonger has extensive experience guiding corporations to lead in business while playing a positive role in communities through proactive engagement. With over 25 years of experience in the public and private sector, Mr. Swonger brings extensive experience breaking down the traditional barriers that exist between corporations, non-government organizations and activist groups by facilitating consensus-based outcomes and knowledge leading industry in corporate social responsibility strategies.   Dr. Katie Friedman is a board-certified pediatrician, writer, spokesperson, and mother. Dr. Friedman completed her residency at Jackson Memorial Hospital at the University of Miami and currently practices pediatric emergency medicine in South Florida. Along with her sisters, she is also a co-founder of ForeverFreckled.com, where she serves as an educator and spokesperson. Using her passion for preventive medicine and pediatric safety, Dr. Friedman has worked alongside several educational initiatives, such as KnowYourOTCs, Talk Early, and the National Foundation for Infectious Diseases, to guide parents through obstacles of childhood safety, illness prevention, and pediatric medicine. In addition to her hospital work and writing obligations, she also serves as a medical correspondent for Lifetime's Access Health and The Balancing Act.  

Dr Jack Bartel is a transgender behavioural health specialist currently practising in Florida. He has an undergraduate degree from the University of Central Florida and a doctorate in Clinical Psychology at the Florida Institute of Technology. He also completed an APA accredited internship at Jackson Memorial Hospital in Miami, Florida. In this interview Dr Bartel talks about the challenges facing the trans community in healthcare ad how to address them, being a trans doctor, the rise in transphobic rhetoric in the U.S. and much more! 

This Episode Covers the Following Topics:Common causes of headaches in kidsHeadache triggersMigraines (what they are, how common, non-headache migraines & more)Tension headachesPrimary headachesSevere headachesVertigoDizziness and lightheadedness Headache FrequencyWhat to expect during a neuro exam and observationHeadache diaries and how tracking helpsVision changesPrevention, evidence-based treatments , medications & vitaminsCognitive behavior therapyStress management and meditationSleep, diet & exerciseApps Recommended in this episode:Migraine BuddyCalmHeadspaceInsight TimerABOUT DR. PAIGE KALIKA:Dr. Paige Kalika is an Assistant Professor of Clinical Neurology and Pediatrics.  She was born in Brooklyn, NY, and graduated from Cornell University in 2000.  She earned her medical degree at the University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine (now Rowan-SOM) in 2004.  She completed her residency in Pediatrics at Jersey Shore University Medical Center in 2007 and her fellowship in Child Neurology at SUNY Downstate in Brooklyn, NY in 2010.  She is board certified in Neurology with special qualification in Child Neurology and is pursuing certification in headache medicine.Dr. Kalika joined the University of Miami Department of Neurology in 2011.  While she practices general child neurology, she has a particular interest in pediatric headache and migraine.  She is the director of the pediatric headache clinic at UHealth and at Jackson Memorial Hospital, where she does Botox treatments for chronic migraines.  Her research interests include treatment and prevention of acute migraine in pediatric populations.  She also has an interest in pediatric neurogenetics and sees patients in tandem with Genetics at UHealth at Weston.When not seeing patients, Dr. Kalika enjoys reading, baking, and spending time with her husband and two children.  She is slowly amassing an impressive collection of geeky dresses with pockets.  She is a fan of Florida winters, but not Florida summers.

Link to Post: www.naileditortho.com/cmcarthritis  Full video: https://youtu.be/_5cYS_PZknI  Approach Video: https://youtu.be/a_qPnpWZwjA  Enjoy this episode on 1st CMC arthritis as Dr. Robert Gray gives us a great talk!  Dr. Robert Gray completed his undergraduate and medical degrees at Brown University in Providence, RI as part of their combined Program in Liberal Medical Education.  He then matched into the combined Orthopaedic Surgery Residency Program at RUSH University Medical Center in Chicago, IL--a program consistently ranked in the top 10 nationwide.   Upon graduation, he was awarded the Gunnar Andersson, MD, PhD Award for best Chief Resident by his co-residents. He spent a year in Rochester, MN at Mayo Clinic completing a Fellowship in Hand and Microvascular Surgery.  There, he was trained in all aspects of general hand surgery, peripheral nerve surgery including brachial plexus reconstruction, and microsurgery including vascularized bone grafting. After completing training, he practiced and taught hand surgery at University of Miami's Miller School of Medicine in Miami, FL.  There, he focused primarily on complex trauma, reconstruction, and limb salvage and operated at Bascom Palmer hospital as well as Jackson Memorial Hospital.  He was also selected as best Attending Surgeon Teacher by the Orthopaedic Residents. He has now returned to Chicago's North Shore to bring the highest level of orthopaedic hand and microvascular surgical care to his patients here.  Practicing at NorthShore University HealthSystem. In this episode we talk about: CMC anatomy History Physical exam findings Classifications Non-op treatment Operative treatment Different implant types And BONUS- Surgical approach breakdown to 1st CMC joint with Dr. Gray

Loved ones gathered together Friday to hold a candlelight vigil in North Miami Beach for a woman who was killed while driving home on Interstate 95 in Miami-Dade. Brianna Sutherland, 26, was killed in the early hours of Feb. 14 in the northbound lanes of the highway near Northwest 103rd Street. Police found her car had crashed, riddled with bullets. Sutherland was taken to Jackson Memorial Hospital's Ryder Trauma Center, where she spent a week on life support. Police are still working to determine a motive for the shooting and are looking for the other vehicle and driver involved. The reward in the case is up to $15,000. Anyone with information is asked to call Miami-Dade Crime Stoppers at 305-471-TIPS. --- Support this podcast: https://anchor.fm/leah-gordone/support

What separates a good leader from a great one? These in-depth interviews with some of family medicine's most influential leaders provide insight into pivotal experiences that boosted leadership skills and provided unprecedented opportunities for personal growth.In this episode, Dr Saccocio discusses ways to connect with patients, keep the work space enjoyable and social media with Adrian Burrowes, MD.This series of podcasts is sponsored by the Society of Teachers of Family Medicine (STFM), the academic home for family medicine educators.Guest Bio:After graduating from UCF, Dr. Burrowes attended the Miller School of Medicine at the University of Miami.  He graduated from medical school with honors as a member of Iron Arrow Honor society-- the highest honor attainable at the University of Miami.  Upon completion of his residency in Family Medicine at the University of Miami's Jackson Memorial Hospital, where he was Chief Resident, Dr. Burrowes joined CFP Physicians Group in Casselberry in 2003.  In 2015, he was named the CEO.Dr. Burrowes enjoys teaching and is a faculty member at the UCF College of Medicine.  He is a 2 time recipient of Golden Apple Award given by the medical students at UCF, for excellence in teaching.  Dr. Burrowes is a recurring contributor on national news broadcasts including CNN, NBC, Univision and Yahoo news.  He enjoys sports, serving as President of the Orlando chapter of the University of Miami alumni association, and spending time with his family. Host Bio:Saria Saccocio, MD, FAAFP, MHAAs the Ambulatory Chief Medical Officer for Prisma Health, Dr. Saria Saccocio supports population health initiatives that span across all departments and specialties in the outpatient space, striving for optimization of quality, patient experience and efficiency of healthcare delivery. Dr. Saccocio has demonstrated a consistent history of leading award-winning programs and improving patient care and safety as a Chief Medical Officer for health systems in the southeast. She received her Doctor of Medicine from the University of Florida, and her Executive Master of Health Administration from the University of North Carolina-Chapel Hill. She completed her Family Medicine residency at the University of Miami before opening her own solo family practice. She continues to serve patients at the Free Medical Clinic and precepts family medicine residents at the Center for Family Medicine in Greenville, South Carolina.

Dr. Kirsner is Chairman and the endowed Harvey Blank Professor in the Dr. Phillip Frost Dermatology in the Department of Dermatology and Cutaneous Surgery at the University of Miami Miller School of Medicine.  He is Chief of Dermatology at the University of Miami Hospital and Clinics and Jackson Memorial Hospital and directs the University of Miami Hospital Wound Center.  Dr. Kirsner received his undergraduate degree from Texas A&M University, his medical degree from the University of Miami and a PhD in epidemiology from the University of Miami, after he completed his clinical training.  His clinical training included internal medicine, a clinical and research fellowship in wound healing and dermatology at the University of Miami.  His research interests include Wound Healing and Skin Cancer Epidemiology.  Dr. Kirsner serves as one of 3 academic editors for the journal Wound Repair and Regeneration and on the editorial boards for a number of other journals in dermatology and wound healing.  Dr. Kirsner serves in national leadership positions in both Wound Healing and Dermatology, including recently elected as Vice President elect of the American Academy of Dermatology and currently serving on the Wound Healing Society Board of Directors.  In addition to career development awards, foundation, industry sponsored funding and CDC funding, he currently leads or is part of a number of NIH funded grants.  Independent of books, book chapters and abstracts, he has published over 550 articles. Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon  | Spotify --- Show notes at https://rxforsuccesspodcast.com/80 Report-out with comments or feedback at https://rxforsuccesspodcast.com/report Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com

Dr. Hany Y. Atallah, Chief Medical Officer at Jackson Memorial Hospital , never wanted to go into administration. The last thing he wanted to do was wear a suit every day. But over time, he recognized the transformational power of being in a position to identify a problem and to bring together the people who can fix it. In his administrative career, he has confronted many problems from massive water leaks inside Grady Hospital that shut down a third of inpatient beds to COVID and the mental fatigue that accompanied civil unrest. Through it all, he has kept one priority in focus: Providing exceptional patient care. We discuss: Making operational adjustments during an internal flood at Grady Hospital How leadership at his hospital managed rising mental fatigue Transitioning from departmental head to a healthcare system head at Jackson Memorial  Inherent frustrations that come with healthcare administration To hear this interview and more like it, subscribe to Heroes of Healthcare on Apple Podcasts, Spotify, or wherever you listen to podcasts. Listening on a desktop & can't see the links? Just search for Heroes of Healthcare in your favorite podcast player.

Hi Friend, this is Dr. Michael Williams and welcome to another episode of the diversify in path podcast.  This podcast explores how  investing in diversity  can lead to  a high return of investment in pathology and laboratory medicine by learning from the knowledge and experiences of  diverse voices within in our field. My next guest is Dr. Carlos Parra-HerranDr. Carlos Parra-Herran graduated from Univesidad Nacional de Colombia and completed his residency at Jackson Memorial Hospital in Miami FL, followed by fellowship training in Canada, where he lived for 8 years. His practice as an academic gynecologic pathologist started at The Ottawa Hospital and Sunnybrook Health Sciences Centre in Toronto. He also met his now husband in Canada. They moved to Boston in 2020 where he works now as a pathologist at Brigham and Women's Hospital and Associate Professor of Pathology at Harvard Medical School. Carlos enjoys the academic life, training residents and fellows and advancing scholar translational and clinical research in gynecologic cancer. He has authored over 80 peer-reviewed journal articles and edited one reference textbook in Gynecologic Pathology. He currently serves as a member of the USCAP education committee, the International Society of Gynecological Pathologists (ISGyP) board of directors and the organizing team of the ISGyP Live Virtual Education program. His hobbies include writting, swimming, hiking and horror movies.

Dr. Wollschlaeger, who grew up as a Catholic in Bamburg Germany, is the author of “A German Life: Against All Odds - Change is Possible,”which describes his struggle growing up in Germany in the shadow of his Father, a highly-decorated WWII tank commander and Nazi officer. His life took a big turn while watching the television coverage of the Munich Olympics in 1972. He eventually converted to Judaism, emigrated to Israel, and served in the IDF as a Medical Officer. Bernd Wollschlaeger, MD,FAAFP,FASAM is a board-certified family physician in private practice (Aventura, FL). He received his medical education in Germany and Israel and completed his residency training at Jackson Memorial Hospital, Miami, FL.

Dr. Wollschlaeger, who grew up as a Catholic in Bamburg Germany, is the author of “A German Life: Against All Odds - Change is Possible,”which describes his struggle growing up in Germany in the shadow of his Father, a highly-decorated WWII tank commander and Nazi officer. His life took a big turn while watching the television coverage of the Munich Olympics in 1972. He eventually converted to Judaism, emigrated to Israel, and served in the IDF as a Medical Officer. Bernd Wollschlaeger, MD,FAAFP,FASAM is a board-certified family physician in private practice (Aventura, FL). He received his medical education in Germany and Israel and completed his residency training at Jackson Memorial Hospital, Miami, FL.

Dr. Wollschlaeger, who grew up as a Catholic in Bamburg Germany, is the author of “A German Life: Against All Odds - Change is Possible,”which describes his struggle growing up in Germany in the shadow of his Father, a highly-decorated WWII tank commander and Nazi officer. His life took a big turn while watching the television coverage of the Munich Olympics in 1972. He eventually converted to Judaism, emigrated to Israel, and served in the IDF as a Medical Officer. Bernd Wollschlaeger, MD,FAAFP,FASAM is a board-certified family physician in private practice (Aventura, FL). He received his medical education in Germany and Israel and completed his residency training at Jackson Memorial Hospital, Miami, FL.

Dr. Wollschlaeger, who grew up as a Catholic in Bamburg Germany, is the author of “A German Life: Against All Odds - Change is Possible,”which describes his struggle growing up in Germany in the shadow of his Father, a highly-decorated WWII tank commander and Nazi officer. His life took a big turn while watching the television coverage of the Munich Olympics in 1972. He eventually converted to Judaism, emigrated to Israel, and served in the IDF as a Medical Officer. Bernd Wollschlaeger, MD,FAAFP,FASAM is a board-certified family physician in private practice (Aventura, FL). He received his medical education in Germany and Israel and completed his residency training at Jackson Memorial Hospital, Miami, FL.

What separates a good leader from a great one? These in-depth interviews with some of family medicine's most influential leaders provide insight into pivotal experiences that boosted leadership skills and provided unprecedented opportunities for personal growth.In this episode, Dr Saccocio discusses ways to keep inspired with Dr Suzanne Minor.This series of podcasts is sponsored by the Society of Teachers of Family Medicine (STFM), the academic home for family medicine educators.Guest Bio:Suzanne Minor, MD, is a board-certified family medicine physician who attended the University of Miami School of Medicine and then trained at Jackson Memorial Hospital for her residency.  She completed her National Health Service Corps commitment working with the underserved community of North Dade.  In 2010, she joined Florida International University and was the founding Family Medicine Clerkship Director and core College of Medicine faculty, continuing to care for underserved patients.  Currently, she serves as the Assistant Dean for Faculty Development, supporting clinical faculty teaching medical students and supporting all educators in their non-teaching roles, such as medical education research, peer-reviewing, advising, and mentoring.  Dr. Minor's academic home is the Society of Teachers of Family Medicine which refuels and refreshes her!  She has received from STFM through completing the Medical Student Education Development Institute and New Faculty Scholars Program.  She has given back as chair of the Steering Committee for the Group on Medical Student Education and as an STFM Foundation Trustee.  In her Trustee role, she now serves as director for the STFM Foundation New Faculty Scholars Program.  Host Bio:Saria Saccocio, MD, FAAFP, MHAAs the Ambulatory Chief Medical Officer for Prisma Health, Dr. Saria Saccocio supports population health initiatives that span across all departments and specialties in the outpatient space, striving for optimization of quality, patient experience and efficiency of healthcare delivery. Dr. Saccocio has demonstrated a consistent history of leading award-winning programs and improving patient care and safety as a Chief Medical Officer for health systems in the southeast. She received her Doctor of Medicine from the University of Florida, and her Executive Master of Health Administration from the University of North Carolina-Chapel Hill. She completed her Family Medicine residency at the University of Miami before opening her own solo family practice. She continues to serve patients at the Free Medical Clinic and precepts family medicine residents at the Center for Family Medicine in Greenville, South Carolina.

Welcome to the Follow The Brand Podcast!  I am your host Grant McGaugh CEO of 5 STAR BDM. The focus of this episode is centered on Leverage and Opportunity.  Our next guest has taken the unique skills he has acquired over 20 years of running the day-to-day operations of hospitals to the C-Suite at Atrium Health.  He is committed to improving the status of healthcare across this country and is in the business to make a difference in his community.He uses his skillsets in business acumen, operational efficiency, and leadership development to empower and engage his workforce with innovative platforms that impact his community.   Learn the importance of having a vision that reflects on your WHY and builds powerful relationships.   BIORoy Hawkins, Jr., FACHE, currently serves as the President of Atrium Health North Market encompassing Atrium Health Cabarrus, Atrium Health Stanly, Atrium Health University City  and the free-standing emergency departments in Huntersville, Harrisburg, and Kannapolis.  Roy's focus is on achieving strategy execution for the market in alignment with Atrium  Health's overall goal of operational excellence in key facilities.  Roy has served in leadership roles in academic, for-profit, not-for-profit, and government healthcare systems. Before joining Atrium Health, Roy served as Senior Vice President and  Chief Executive Officer of Jackson Memorial Hospital in Miami, FL, with strategic and  operational oversight for one of the nation's largest hospitals. He has overseen multiple  business units and premier service lines, including the emergency care center, the critical care division, Ryder Trauma Center, and the Miami Transplant Institute – the largest transplant center in the United States and the only center in Florida that performs every type of transplant.  Before joining Jackson Memorial, Roy was Senior Vice President and CEO of Jackson North  Medical Center, a 382-bed Jackson Health System-affiliated acute care hospital located in  North Miami Beach. Roy joined Jackson Health System after serving as the Chief Operating  Officer of Johnston-Willis Hospital, a 292-bed HCA affiliated facility in Richmond, VA. In that role, he led the organization through a record-breaking year inpatient volumes and  spearheaded the hospital's efforts to achieving Comprehensive Stroke Center certification.  Additionally, he had executive oversight for the hospital's Emergency Department, Surgical  Services, Sarah Cannon Cancer Institute, and their rehabilitation unit. Roy also has experience in various Veteran Affairs healthcare organizations, including serving  as interim CEO, COO, and deputy medical center director at James A. Haley Veterans'  Hospital in Tampa, FL, as well as holding numerous executive positions at VA Sunshine  Healthcare Network in St. Petersburg, FL, Orlando VA Medical Center, VA Southeast Network  in Duluth, GA, and the Miami VA Healthcare System. Roy holds a Bachelor of Business Administration degree from Howard University in  Washington D.C., and a Master of Health Administration degree from Florida International  University in Miami.

Dr. Hany Atallah, Chief Medical Officer at Jackson Memorial Hospital

Sierra Samuels, a nurse at Jackson Memorial Hospital in Miami, was fired after she posted two photos of a newborn with an abdominal wall birth defect to her Instagram account.

Dr. Eduardo Weiss, nació en Caracas, Venezuela en 1957. Su padre Joseph Weiss, es de Budapest, Hungría, es sobreviviente del holocausto y vive en Ball Harbour con 94 años de edad. Su madre Olivera Cesljarevic, de Belgrado,Serbia, también es sobreviviente de esta tragedia humana y con 84 años vive actualmente en Wellington. Llegan a Venezuela terminando la guerra desde París en barco, lugar donde eran ambos refugiados. Roberto y Eduardo, ambos, nacieron en la ciudad de los techos rojos, Caracas. Recibió su título de médico de la Universidad Central de Venezuela. Completó su residencia en dermatología en el Jackson Memorial Hospital en Miami, Florida, donde también se desempeñó como jefe de residentes. En 1993 después de haber trabajado 6 años en el Hospital de Clínicas Caracas, decide migrar junto a su esposa, Marcela Fundamisky con quien estuvo casado 38 años y quien también es médico. Tienen 3 hijos, Shirly, Jonathan, también dermatólogo y Joel, más tres adorables nietos, Elliot y Yael y Benjamin. El Dr. Weiss está certificado por la Junta Estadounidense de Dermatología y es conocido internacionalmente como un experto en el campo de la dermatología. Ha diagnosticado y tratado a miles de pacientes en todo el mundo en sus 30 años de profesión. El Dr. Weiss ha aparecido en numerosas publicaciones nacionales e internacionales, además de ser invitado a numerosas conferencias dermatológicas como orador y educador clave en todo el mundo. Le apasiona educar a los médicos dermatólogos y futuros médicos en el campo que ama. Es profesor clínico asociado de la División de Dermatología de la Nova Southeastern University, profesor clínico de la Universidad de Miami - Miller School of Medicine, Departamento de Dermatología y Cirugía Cutánea, y miembro voluntario fundador de la facultad y profesor clínico asociado de la Florida International University - Herbert Facultad de Medicina de Wertheim. Además, se desempeña como miembro de la junta y Secretario-Tesorero de la Sociedad de Cirugía Dermatológica de Florida. El Dr. Weiss tiene muchos logros notables en la atención médica y está involucrado en varias organizaciones sin fines de lucro. --- Support this podcast: https://anchor.fm/tamara-kassab/support

To start off Season Two, this week, Dr. Kim is talking with Dr. Katie about a topic on every parent's mind right now. Children's health and Covid-19.  Dr. Katie Friedman is a board certified pediatrician, writer, spokesperson, and mother. Dr. Friedman completed her residency at Jackson Memorial Hospital at the University of Miami. She currently practices pediatric emergency medicine in South Florida. She divides most of her working hours between the emergency room and the blog she created with her sisters, ForeverFreckled.com, where she serves as an educator and spokesperson. Learn more about Dr. Kim at http://theparentologist.com and follow her below! https://www.instagram.com/theparentologist/https://www.facebook.com/theparentologisthttps://twitter.com/drparentologisthttps://www.pinterest.com/parentologist/

When a utility worker came across Inna Budnytska, he initially thought she was dead. She'd been severely beaten and abandoned in a vacant lot in Miami. She was unconscious, and remained in that state until a team at Jackson Memorial Hospital nursed her back to health. The next day, when Inna felt well enough to communicate with police, she told them her name and asked to speak with her attorney. That struck detectives as odd. Suspicious, even. But the truth was that Inna had just survived a terrible crime. She was alone in America, and her attorney was one of the few people she knew.    Then Brandi tells us about Robert Schwartz, a celebrated scientist and founding member of the Virginia Biotechnology Association. Robert's colleagues began to worry about him when he didn't show up for work one Monday morning in December of 2001. A neighbor came to check on Robert in his rural home, and discovered a grizzly scene. Robert had been murdered two days earlier, just as he was preparing to sit down to eat dinner.  And now for a note about our process. For each episode, Kristin reads a bunch of articles, then spits them back out in her very limited vocabulary. Brandi copies and pastes from the best sources on the web. And sometimes Wikipedia. (No shade, Wikipedia. We love you.) We owe a huge debt of gratitude to the real experts who covered these cases. In this episode, Kristin pulled from: “The Case of the Vanishing Blonde,” by Mark Bowden for Vanity Fair “The Woman in the Suitcase,” episode of 20/20 “Serial rapist was on the loose for years before an abandoned suitcase put a stop to his crimes,” by Chris Kilmer and Allie Yang for ABC News “‘Suitcase rapist pleads guilty in New Orleans and sentenced to 45 years,” by Jim Mustian for The New Orleans Advocate In this episode, Brandi pulled from: “Clara Schwartz” episode Snapped “Clara Schwartz: A Deadly Game” by Katherine Ramsland, The Crime Library “Schwartz v. Commonwealth” findlaw.com “Fantasy, reality collide at murder trial” by Jon Echtenkamp, The Fairfax Times “Clara Jane Schwartz” murderpedia.org YOU'RE STILL READING? My, my, my, you skeezy scunch! You must be hungry for more! We'd offer you some sausage brunch, but that gets messy. So how about you head over to our Patreon instead? (patreon.com/lgtcpodcast). At the $5 level, you'll get 25+ full length bonus episodes, plus access to our 90's style chat room!  

James Edward Wright Sr., 79, a native and resident of the Manila community, was better known to family and friends as “Midnight Boy.” He was born August 1, 1942 to Erwin and Inez Wright in the Manila community, he departed this life Friday, Aug. 20, 2021 at Jackson Memorial Hospital in Montgomery. Left to cherish his memories are three children, Pam Wright of Moss Point, Evwin Wright of Manila and Eric Wright Sr. of Jackson; seven grandchildren, three devoted, Jakayla (Cohen) Miles of Moss Point, Eric Wright Jr. and Edyn Wright, both of Jackson; two greatgrandchildren; two sisters, Hattie Mcgee...Article Link

In this interview, Marco discusses how he was invited to do a study on EMDR, to understand the neurological mechanisms behind the processing of the trauma. He discussed his career being a MD and a neuroscientist interested in memory. He discussed using EEG to measure what was happening in the brain during bilateral stimulation during EMDR. He explained that they were able to determine that the delta waves that were being evoked during EMDR were similar to the delta waves exhibited during sleep, and he discussed how sleep is so significantly connected to processing of memory. He discussed the processes of trauma and the mechanisms of action for EMDR. Marco Pagani, MD is a nephrologist trained in internal medicine from Jackson Memorial Hospital and attended medical school at the University of Miami School of Medicine. He has been working in neuroimaging since 1990 and has over 30 years of experiences. He works for the Italian Research Council called Sayonara. His interests are primarily in the neurobiology aspects of EMDR and in neurodegenerative disorders. He has treated Chronic Renal Disease, Nephrotic Syndrome, and Acute Renal Failure during his time as a Doctor of Internal Medicine. He has many publications regarding EMDR including Eye Movement Desensitization and Reprocessing and Slow Wave Sleep: A Putative Mechanism of Action and Neurobiological Correlates of EMDR Monitoring – An EEG Study.

✴️ Jack Bandel, mejor conocido como Billy Bandel, nació en Venezuela un 25 de marzo de 1963 en el Centro Médico de Caracas. ✴️Su padre, Menachem Bandel nació en Bychkov, Checoslovaquia el 31 de diciembre 1925. Fue sobreviviente del Holocausto y llegó en 1956 a Venezuela por la idea del re-encuentro con su hermano (al que creía muerto) quien ya vivía en Caracas. ✴️Su madre, Alice Berman nació en París, Francia el 7 de noviembre de 1936, donde sobrevivió a los horrores de la guerra y llega a Venezuela en 1947 con 11 años de edad, por una hermana de su padrastro, buscando un mejor futuro. ✴️Estudió en el colegio “Moral y Luces Yeshivat Yavne”, donde se graduó en 1980 con mención #SummaCumLaude. Posteriormente, realizó sus estudios de medicina en la UCV, graduándose en 1988, mención #MagnaCumLaude. ✴️En Nueva York realizó su primer postgrado en Pediatría en el Mount Sinai Beth Israel Medical Center y Long Island Jewish Medical Center Albert Einstein College of Medicine (1990-1993). ✴️Su segundo postgrado en Neonatología lo realiza en el Jackson Memorial Hospital, University of Miami (1993-1996) y su tercera especialización en cardiología infantil, la hizo en el mismo hospital (1996-1998). ✴️En 1998 se estableció como pediatra, neonatólogo y cardiólogo en el HCC, dónde creó y fundó el primer Laboratorio de Electrofisiología así como desarrolló la Cardiología Congénita invasiva y transformó la unidad de neonatología. Su idea siempre fue poder contribuir a un cambio sustancial en la medicina en su país. ✴️Este sueño fue truncado al verse forzado a emigrar en el 2007 junto a su esposa Estrella Benbunan, con quien contrajo nupcias en marzo de 1994, y sus tres hijos: Menachem, Michelle y Jonathan. ✴️Desde entonces ejerce su profesión en Aventura, Florida, habiendo obtenido su residencia por habilidades excepcionales (EB1-A) en poco tiempo, dado a sus estudios, altas calificaciones y logros. ✴️El Dr. Jack Bandel es un cardiólogo infantil , se especializa en el cuidado de neonatos, bebés, niños y adolescentes con anomalías cardiovasculares o cardíacas. ✴️Acompáñame este domingo a conocer la historia de este ser humano, con quien uno puede conversar horas sobre temas muy profundos y de mucha #espiritualidad, sin lugar a dudas una #historiaquecontar que te dejará con muchas lecciones de vida. #makeithappen --- Support this podcast: https://anchor.fm/tamara-kassab/support

In this episode of the Everyday EQ podcast, I chat with Aryan Rashed, friend and owner of Tremble Pilates, my all-time fave workout studio in Miami. Not only do we talk about how the Tremble workout will change your life (hear my story about what it did for me), but Aryan's astute approach to leadership and building culture is full of insights we can all use. Listen in as she shares what it takes to develop true leadership skills, and how to develop a trusted brand that creates meaning and client loyalty. This episode is for entrepreneurs, leaders, and anyone who wants to know what it takes to go from good to great. About Aryan Rashed:With a strong passion for the fitness and wellness industry, Aryan is the owner of Tremble Pilates. Aryan's clients range from beginners to professional athletes and celebrities. Tremble fuses principles of Pilates, balance, flexibility, strength, core, circuit, and strength training. Aryan created her own adaptive fitness program currently taught at Jackson Memorial Hospital and the Miami VA and works with the Sabrina Cohen Foundation to implement training for the paralysis community and beyond. Aryan is also an attorney, barred in Florida and Washington DC, received her Master's from Stanford University, earned her BA from UC Berkeley, worked at the Women and Public Policy Program at Harvard University, has been a featured expert on various fitness and wellness forums, and currently serves as an ambassador for Lululemon South Miami.Follow Tremble on Instagram @makeittremble_ and makeittremble.com. *This episode was recorded in April 2021 and COVID restrictions have since been updated. Visit Tremble's website for the most up-to-date studio info.*1:04 - Let's get into Aryan's rapid-fire achievements and how she and her team turned COVID into an opportunity.3:49 - Integrity drove Aryan's client-focused decisions.4:20 - The importance of developing trust with your client, and creating a brand that means something to them. 5:32 - How Aryan made the transition from law to fitness entrepreneur.6:00 - Fitness provided Aryan a positive outlet that went way beyond the superficial to the emotional. That's what she invested in when starting her business.7:56 - Aryan's initial vision wasn't what it is today.8:17 - The sweet taste of impact8:33 - Aryan had to unlearn some things to switch from a law mindset to a CEO mindset.10:29 - That feeling when you know you've created something special...12:26 - Does leading a purposeful business have the same feel-good effect for my guest as fitness itself? 12:53 - Aryan gets real about what it takes to build a successful brand and culture.13:33 - Developing strong leadership skills takes practice and knowing people. 14:30 - Here's what worked for Aryan when it came to developing her own leadership skills.15:18 - Which brings us back to... wait for it... EMOTIONAL INTELLIGENCE. If you haven't figured it out yet, Aryan is a perfect example of an emotionally intelligent leader.16:21 - Now, let's talk about this life-changing, redefine-what-you're-made-of workout.20:36 - This takes the Tremble experience from good from great.23:22 - I share a personal story about a major mindset transformation I experienced at Tremble.25:12 - The massively positive effects one person's elevated dedication can have on the entire group.26:43 - On negative self-talk and turning CAN'Ts into CANs28:36 - After already achieving so much amazingness, what's next for Aryan and the Tremble tribe?THANK YOU to Aryan for sharing her wisdom, and to you for listening!  Questions? Email me at info [at] theceqo [dot] com. 

“Creativity is thinking new things. Innovation is doing new things. If your actions create a legacy that inspires others to dream more, learn more, do more and become more, then, you are an excellent leader.” Tune in to hear Miami-born attorney, small business owner, mother, and District 8 Miami-Dade County Commissioner Danielle Cohen Higgins discuss the future of digital currency, plans for transportation advancements in Miami-Dade, sustainable economic development, the challenges of balancing beauty and brains, and more! How Will Cryptocurrency Transform The Future of Business Forever? If you haven't quite yet warmed up to the idea of cryptocurrency, you are certainly not alone. Only about 15% of Americans currently own some form of digital currency like Bitcoin or Ethereum. And a large portion of these investors bought in the past two years. Regardless of your investment stance, however, there is a strong possibility that cryptocurrency will be impacting you and the future of business transactions. The daughter of Jamaican immigrants who came to the United States in search of better opportunities, she was born at Jackson Memorial Hospital and spent part of her early years living in what is now a Section 8 housing complex called Milton Manors. Commissioner Cohen Higgins knows the importance of a quality education and is a proud product of our Miami-Dade County Public Schools, where she graduated at the top of her class and earned a scholarship to the University of Florida. She became the first in her family to graduate from college and went on to attend law school at Florida State University. After completing her education, she joined prestigious national law firm, before branching off on her own to start her own firm, dedicated to serving small businesses and individuals in our community. She is proud to call South Dade home with her husband, two young children, and their two dogs. #BrittHappens #MiamiDadeCounty #BrittanySharpton #DanielleCohenHiggins Host: Brittany Sharpton

EPISODIO#43 PROBLEMAS DE PIEL MÁS FRECUENTES EN CORREDORES Ft. Dra Martha Viera Médico Venezolana Dermatólogo y cirujano cutáneo Nacida en Caracas, Venezuela, terminó sus estudios de medicina en 2001 en la Universidad Central de Venezuela. Después de la escuela de medicina, terminó un año de Cirugía General y 4 años de residencia en Dermatología en la Facultad de Medicina Miller de la Universidad de Miami. Tiene más de 20 años de experiencia en el campo de la medicina. Con más de 40 publicaciones en prestigiosas revistas nacionales e internacionales, muchos capítulos de libros en Dermatología y cirugía cutánea, la Dra. V ciertamente ha moldeado su experiencia. Desde el inicio de su carrera, ha sido invitada como ponente en más de 30 conferencias en todo el mundo, colocándola a la vanguardia de su especialidad. Ha sido parte de varios centros de salud de renombre dentro y fuera de los Estados Unidos como el Hospital de la Universidad Central de Venezuela y el Jackson Memorial Hospital en Miami, FL. También es profesora voluntaria en el Departamento de Dermatología de la Universidad de Miami, donde dedicó su tiempo a enseñar a los residentes en formación. Además, la Dra. Viera es miembro de la Academia Estadounidense de Dermatología, la Sociedad Dermatológica de la Mujer, la Sociedad de Dermatología y Cirugía Dermatológica de Florida, la Sociedad Estadounidense de Cirugía Dermatológica, la Sociedad Venezolana de Dermatología y la Sociedad Internacional de Dermatología. Únete a la comunidad de Followers VIP . Un lugar donde tenemos algo en común para ser mejores corredores y apoyarnos para comenzar a correr en forma segura y saludable . Recordando que correr nos hace tener una versión de cada uno día a día, km a km . Q&A live con @doctorarunner y sus invitados . Herramientas y contenidos para comenzar a correr o a ser mejores corredores . Si quieres ser aliado comercial escríbeme a doctorarunner@gmail.com . E pisodio producido por Erika Navas Editado y Musicalizado por Jeferson Ramos IG @docotorarunner Website www.doctorarunner.com --- Send in a voice message: https://anchor.fm/erika-navas/message Support this podcast: https://anchor.fm/erika-navas/support

El día de hoy está con nosotros Mauricio González. Mauricio obtuvo su licenciatura de nutrición humana en el 2005. Posterior a esto ingresó a la Facultad de medicina de la universidad autónoma de Campeche, México en donde trabajó activamente en el departamento de Neurociencias bajo la tutela de un reconocido investigador mexicano. Publicó como co-autor sobre la fisiología del ciclo-sueño vigilia en una revista científica americana. Además, colaboró en la publicación de un libro de divulgación académica en la red estudiantil Anahuac. Es autor del ya famoso libro: Bases científicas para la restauración física y moral de una nación”(http://www.librosenred.com/libros/basescientificasparalarestauracionfisicaymoraldeunanacion.html) Mauricio ha realizado rotaciones clínicas en el Jackson Memorial Hospital y en University of Miami Hospital. Allí trabajó en los departamentos de medicina interna, endocrinología y cardiología. Recibió excelentes cartas de recomendación. Ha aprobado satisfactoriamente todos los USMLE steps y ha recibido su ECFMG certificate a principios del 2014. Actualmente colabora con la Universidad de Bochum, Alemania en el desarrollo de estudios clínicos que permitan revertir la obesidad en niños y adolescentes. Desde el 2007 diseñó el Programa de Restauración Humana, el cual es un plan de 90 días para adoptar una dieta centrada en plantas. Ha dado su conferencia “bases científicas para una nutrición sana y natural” en varias partes de la república mexicana y su visión es presentarse en toda Latinoamérica. El día de hoy está con nosotros para hablar de la mente, como alimentarla y que aspectos podemos implementar en nuestro día a día para la prevención y cura de enfermedades mentales. Es una entrevista que te permitirá conocer un poco más a fondo la vida del Dr. Mauricio y al mismo tiempo te dará información científica para poner en práctica. Espero la disfruten tanto como yo. Abrazos

En este episodio tenemos como expositor al Dr Minor Valverde, especialista en Otorrinolaringología y Cirugía de cabeza y Cuello, graduado con honores de la Universidad de Costa Rica. Realizó una pasantía formativa en Otología y Neurotología en la Universidad de Miami en el Jackson Memorial Hospital y un Diplomado de Entrenamiento Avanzado de Otología, Neurotología e Implantes Cocleares avalado por la Asociación Panamericana de ORL y el Ear Institute de la Universidad de Miami. El Dr Valverde cuenta con múltiples cursos, congresos y pasantías en centros prestigiosos internacionales entre los cuales cabe destacar la Universidad de Harvard, la Universidad de St Louis, el Hospital Clínic en Barcelona y el Hospital Universitario La Paz en Madrid. En el 2017 organizó el primer Simposio Internacional de Cirugía Endoscópica de Oído en Costa Rica. Actualmente es médico asistente especialista en ORL en el Hospital México, Hospital CIMA, Hospital La Católica y en el Hospital Clínica Bíblica. En este episodio el Dr Valverde nos hablará sobre la Cirugía de Implante Coclear para los pacientes con problemas de hipoacusia.

Dr. Thomas is a physical medicine and rehabilitation physician who specializes in spinal cord injury. She took a non-traditional path to medical school by first majoring in mathematics and political philosophy as an undergraduate at Brown University, after which she earned her Master's in Public Health at Columbia University. When Dr. Thomas decided to pursue medicine, she completed a post-bac program and attended Stony Brook for medical school. Since then, she has trained at Schwab Rehabilitation Hospital in Chicago and later at Jackson Memorial Hospital in Florida. Currently, Dr. Thomas works as a physiatrist in the inpatient setting, helping patients with a variety of injuries with a focus on spinal cord injuries. Her patients are recovering from trauma such as gun-shot wounds or health conditions like strokes. Aside from work as a PM&R doctor, Dr. Thomas enjoys working with students interested in medicine as a physician advisor for MedSchoolCoach. Take the quiz here  

Dr. Ima Ebong is a native of the Bahamas who is practicing on a J-1 visa. Though she went to medical school in the US, that process wasn't straightforward as she was still considered an IMG. Listen to her perspective on getting into US medical training as an international student. You can read more about her here. Dr. Ima Ebong forms part of the expert team at the Kentucky Neuroscience Institute where she assesses and cares for patients who have epilepsy and neuromuscular disorders. She holds a bachelor's degree in biomedical engineering and a master's in bioengineering from the Georgia Institute of Technology in Atlanta. After having completed her studies, she served within the Ministry of Health in the Bahamas which inspired her to start medical school. The journey to becoming a physician was far from an easy one. However, Dr. Ebong, despite several setbacks, persevered and was finally offered a place at the University of Kentucky (UK) College of medicine, and later at the Jackson Memorial Hospital in Miami where she completed her residency and a fellowship in clinical neurophysiology. Currently, she is appointed as an assistant professor of neurology and clinical neurophysiology at UK College of Medicine. Dr. Ebong is also passionate about diversity and the representation of ethnic minorities in the medical field. As such, for many years she has founded or been involved in various programs geared at increasing inclusivity of underrepresented minorities in the medical field. Her clinical interests include general neurology, focal epilepsy, generalized epilepsy, psychogenic non-epileptic seizures, neuropathy, myopathy, motor neuron disease and electrodiagnostics. Dr. Ebong's advises prospective international medical students and IMGs alike to: Educate yourself on the processes necessary to achieve your goals including visas and financial requirements. Do not be discouraged if you are not the traditional student. Many students, like her, choose to pursue post-graduate studies before medical school and residency. You only need one "yes" - Rejection is an essential part of life, and more "no's" just mean that you're pushing as hard as you should. Value your support system throughout your journey. You can reach out to Dr. Ebong on twitter @ImaEbongMD or at the University of Kentucky's website. Listen to the full episode here: Apple: https://podcasts.apple.com/us/podcast/the-img-roadmap/id1490731292 Spotify: https://open.spotify.com/show/45NNJ7ewtqynqyssbwm1xz Google Podcasts:https://podcasts.google.com/?feed=aHR0cHM6Ly9hbmNob3IuZm0vcy9mOGMzY2EwL3BvZGNhc3QvcnNz Overcast: https://overcast.fm/itunes1490731292/the-img-roadmap-podcast RadioPublic: https://radiopublic.com/the-img-roadmap-GE0MMg --- Support this podcast: https://anchor.fm/ninalum/support

In this episode we speak with Dr. Soyona Rafatjah about Functional Medicine approaches to dealing with IBS. Dr. Soyona is a board-certified Family Medicine physician and Medical Director and Co-Founder of PrimeHealth. She graduated summa cum laude from the University of Michigan with a BSE in Biomedical Engineering, received her medical degree from the University of Miami Miller School of Medicine, and did her residency training at Jackson Memorial Hospital in Miami, FL. Prior to starting PrimeHealth, she was a physician at Parsley Health in New York City, a technology-forward Functional Medicine practice where she was integral to its rapid growth. Dr. Rafatjah worked and received expert mentorship at the renowned Mount Sinai Beth Israel Center for Health and Healing, Dr. Frank Lipman’s Eleven Eleven Wellness Center, and Dr. Robert Rountree’s Boulder Wellcare. Learning points: 1. What are the common symptoms of IBS? 2. What are relevant tests that could be considered to determine a diagnosis of IBS? 3. What are the first steps for healing from IBS? Social Media and links: Instagram: https://www.instagram.com/primehealth_denver/ Facebook: https://www.facebook.com/PrimeHealthDenver Website: www.primehealthdenver.com Gut Course: https://primehealth.teachable.com/p/guthealth

Returning guest, Dr. Adriana Carrillo-Iregui, pediatric endocrinologist within the Division of Pediatric Endocrinology at Nicklaus Children's Hospital discusses immunotherapy for at risk children that is an emerging treatment for Type 1 diabetes. She explains how it works and which pediatric patients are candidates for this drug. Dr. Carrillo-Iregui is a pediatric endocrinologist within the Division of Pediatric Endocrinology at Nicklaus Children’s Hospital. Dr. Carrillo-Iregui received her medical degree at the Universidad El Bosque in Bogota, Colombia and completed a pediatric residency at Nicklaus Children’s Hospital followed by a fellowship in pediatric endocrinology at the University of Miami, Jackson Memorial Hospital. She is board certified in pediatrics and pediatric endocrinology. Before joining Nicklaus Children's she was an Assistant Professor of Pediatrics in the Division of Pediatric Endocrinology at the University of Miami, Miller School of Medicine. Her research and clinical interest has focused on metabolic disorders related to obesity, polycystic ovarian syndrome and type 2 diabetes. She has published extensively and lectured nationally and internationally.

Dr. Adriana Carrillo-Iregui, pediatric endocrinologist within the Division of Pediatric Endocrinology at Nicklaus Children's Hospital discusses the TEDDY study (The Environmental Determinants of Diabetes in the Young), a national study to find out why type 1 diabetes mellitus (T1DM) is on the rise in children. Early data shows that genetic predisposition and environmental factors play a role in the cause of T1 diabetes. Dr. Carrillo-Iregui is a pediatric endocrinologist within the Division of Pediatric Endocrinology at Nicklaus Children’s Hospital. Dr. Carrillo-Iregui received her medical degree at the Universidad El Bosque in Bogota, Colombia and completed a pediatric residency at Nicklaus Children’s Hospital followed by a fellowship in pediatric endocrinology at the University of Miami, Jackson Memorial Hospital. She is board certified in pediatrics and pediatric endocrinology. Before joining Nicklaus Children's she was an Assistant Professor of Pediatrics in the Division of Pediatric Endocrinology at the University of Miami, Miller School of Medicine. Her research and clinical interest has focused on metabolic disorders related to obesity, polycystic ovarian syndrome and type 2 diabetes. She has published extensively and lectured nationally and internationally.

Desde el Jackson Memorial Hospital, la doctora Sofía Catena explicó a canal 24 Horas cómo fue el procedimiento de inoculación al que se sometió el pasado martes e hizo un llamado a confiar en la vacuna.

Desde el Jackson Memorial Hospital, la doctora Sofía Catena explicó a canal 24 Horas cómo fue el procedimiento de inoculación al que se sometió el pasado martes e hizo un llamado a confiar en la vacuna.

Welcome to BrewsBeats&Eats w/ Oldhead Ed. This week I'm joined by RN (and Cousin to Oldhead Ed) Ronald Jimenez. Tune in while we discuss what lead him towards a career in Nursing, the proving ground which is Jackson Memorial Hospital, his daily dining experience as a youth, and the Podcasts first ever Michael Jackson story. Peace. 

Chadwick Flowers, MD, is an Assistant Professor of at the University of Miami as well as an Associate Director of the Internal Medicine Residency Program at Jackson Memorial Hospital—University of Miami. Dr. Flowers completed his medical school from Indiana University and a Med-Peds Residency from the University of Miami where he stayed on to become a Chief Resident. He is a Med-Peds hospitalist providing inpatient care to adults and children at the University of Miami, Jackson Memorial Hospital and Holtz Children's Hospital. His academic interests include medical education, inpatient quality Improvement, and bedside procedure/diagnostics. In medicine, our top priority should always be the patient. But in order to provide the highest quality of care for patients, we cannot forget about our own well-being. Today, Dr. Chadwick Flowers explains the importance of self-care and the prevention of burnout in medicine. We'll learn a few mindfulness techniques (and what box-breathing is), and he reassures us that if we need to take a break—we are entitled to that. Aside from self-care alone, he shares the best habits of successful residents: The ones who are willing to dive into residency with an open-mind, and who aren't afraid to put themselves out there, even when rejection is inevitable. Pearls of Wisdom: 1. We cannot leave behind our own mental health. Develop and practice mindfulness techniques, breathwork throughout the day and in moments of stress, and know when to take a break. 2. We need mentorship for every aspect of our life. Find someone who is doing what we want to do, and reach out to them. Often, our mentors are what guide us toward our true passions. 3. Be willing to face rejection. Still, have the ability to put yourself out there. If we are persistent in our goals, and finding good mentors, we will eventually find the people who invest in us.

On this podcast, I'm trying to learn from the best in the world of pharmacy – how they stay up to date, stay healthy, stay engaged. More importantly, I'm trying to have a conversation about the non-pharmacy stuff, although since we're all drug-nerdy eventually the core content will bubble up. In this very first episode of the Pharmacy Near Me Podcast, I had a great conversation with Ruben Santiago, PharmD, BCPS. Dr. Ruben Santiago is a pharmacy specialist in Emergency Medicine at Jackson Memorial Hospital in Miami, FL. He obtained his Bachelor of Science degree in Molecular Biology and Microbiology from the University of Central Florida in Orlando, FL, and completed his Doctor of Pharmacy degree at Nova Southeastern University in Fort Lauderdale, FL. He completed his post-graduate year (PGY) 1 training at Maimonides Medical Center in Brooklyn, NY, followed by a PGY 2 in Emergency Medicine at The Ohio State University in Columbus, OH. After residency, Dr. Santiago worked at Boston Medical Center in Boston, MA as the evening emergency medicine pharmacist and then transitioned into the pharmacy specialist role at Jackson Memorial Hospital in Miami, FL. Since 2015, he has been a part of the Jackson Memorial Hospital Clinical Pharmacy team. His interests include trauma, toxicology, and infectious diseases. Follow Ruben on Instagram @TheEDTraumacist --- Support this podcast: https://anchor.fm/empharmd/support

Dr. Kester Nedd is a Board-Certified Neurologist with subspecialty training in treating Concussions and Traumatic Brain Injuries. He received his medical training from the Kansas City University of Medicine and Bioscience and received his post-graduate training in Neurology, Neurological Rehabilitation, and Neuro-trauma at the University of Miami Miller School of Medicine. He completed his residency and fellowship at Jackson Memorial Hospital in association with the University of Miami. Later in his career, Dr. Nedd served as the Medical Director of Neurological Rehabilitation and Head of the Intermediate Head Injury Program at Jackson Memorial Hospital. Dr. Nedd has been on the forefront of issues related to concussions for over 30 years and is involved in the evaluation and treatment of the most complicated cases of patients with this condition. He developed the Brain Hierarchical Evaluation and Treatment (BHET) method, a unique multidimensional approach that considers the hierarchical organization of the brain and how this order is impacted by injury and the recovery process, which he discusses in his new book, Concussion: Traumatic Brain Injury from Head to Tail. He currently serves as the Managing Partner of Design Neuroscience Center, and served as an Associate Professor of Neurology and as Medical Director of the Sports Concussion Program at the University of Miami Miller School of Medicine until May of 2020. www.concussiontbi.com Find his book on Amazon: https://amzn.to/3j1SWQq Brought to you by: Integrated Brain Centers

June Ellis is Associate Chief Nursing Officer at Jackson Memorial Hospital and the Jackson Health System *Follow the group on Twitter: @jacksonhealth, with the current situation at the hospitals.

The coronavirus pandemic continues to surge across the United States as thousands of new cases in Florida and Arizona push the total number of confirmed infections past 3 million. Also in the programme: Mexican President Andrés Manuel López Obrador makes his first foreign visit to meet President Trump at the White House; and the launch of a project to bring some remote areas of Kenya online, through the use of internet balloons. (Photo: A sign at the entrance of Jackson Memorial Hospital during the coronavirus disease outbreak, in Miami, Florida. Credit: Reuters/Marco Bello)

Los exámenes moleculares pueden reducir las cirugías innecesarias de tiroides en un 50% o mas Dr. Paul Y. Casanova-Romero, M.D., M.P.H., F.A.C.P., F.A.C.E, E.C.N.U que se unió a Palm Beach Diabetes y Endocrine Specialists desde en 2012, recibió su grado médico con honores (Summa Cum Laude) y Doctor en Ciencias Médicas (DMSc), de  la Escuela de Medicina de   la Universidad de Zulia, en Venezuela. Posteriormente se unió a la facultad de su Alma Mater y en 1998, el Grupo de Investigación del Programa de Prevención de la Diabetes (D.P.P.) en el Instituto de Investigación de la Diabetes-Universidad de Miami. Completó su posgrado en Medicina Interna y Endocrinología (Jackson Memorial Hospital) y estudios de postgrado en Salud Pública (M.P.H.) con el Premio de Mérito Académico en la Universidad de Miami. Un consultor privado endocrinólogo y orador nacional desde 2006, el Dr. Paul Y. Casanova-Romero de investigación extensa sobre la prevención de la diabetes, trastornos de la tiroides, síndrome metabólico y otros trastornos endocrinos han sido ampliamente publicadas. Sigue colaborando en estudios de investigación en Estados Unidos y Latinoamérica, el más reciente en pruebas moleculares de tiroides. El Dr. Casanova-Romero está certificado por la Junta en Medicina Interna, así como en Endocrinología, Diabetes y Metabolismo. Es miembro del Colegio Americano de Endocrinología (F.A.C.E.) y miembro del Colegio Americano de Médicos (F.A.C.P.). Actualmente es profesor voluntario de medicina en la Universidad de Miami. Dr. Paul Y. Casanova-Romero se especializa en el tratamiento de la enfermedad de la tiroides incluyendo nódulos tiroideos, hipotiroidismo, hipertiroidismo y cáncer de tiroides, enfermedad paratiroidea, diabetes, pre-diabetes, trastornos lipídicos y otros trastornos endocrinos. Él ha estado usando la prueba molecular para la caracterización de los nódulos de la tiroides desde 2010. Él ha satisfecho con éxito los requisitos para la certificación endocrina en el ultrasonido del cuello (ECNU) para realizar la biopsia internamente guiada por ultrasonido de la aspiración de la aguja fina de nódulos de tiroides, de la paratiroides, nodos. Es miembro del panel de membresía de la American Thyroid Association, miembro activo de la Endocrine Society, la Asociación Americana de Endocrinólogos Clínicos, la American Diabetes Association, el American College of Physicians y la National Lipid Association. En esta entrevista hablamos sobre esta temas: ¿Cómo se identifican los nódulos y por qué ocurren? autoexamen o en la oficina del médico La mayoría de los nódulos son benigno, estos se pueden presentar hasta en más del 70% de la población ¿Qué tests puede realizar un médico para evaluar el nódulo? Ningún test es 100% seguro Ultrasonido – qué están buscando en general Que es aguja  fina y el proceso general de la biopsia Tests moleculares ¿Qué tipos de resultados se pueden obtener de la citología y qué significan? La mayoria de ojo finas son benigno Maligno o sospechoso de malignidad, todavía tiene la posibilidad de no ser cáncer Los arco iris – 3,4,5 – indeterminate categoria Systema BETHESDA ¿Qué tests adicionales se pueden realizar para resolver los nódulos indeterminados? – Tests moleculares Que son todas los tests moleculares?  Y son las mismas? Dr. Casanova prefiere usar test de Afirma, este es por que MAS INFORMACIÓN Listen to Doctor Thyroid here!American Thyroid Association (español)Dr. Paul CasanovaAfirmaLa prueba de la expresión génica de Afirma puede reducir cirugías innecesarias del cáncer de tiroides Ninguna Biopsia es 100% Exacta, Los Marcadores Moleculares Son Los Mejores   Dr. Casanova:  ...Utilicemos, precisamente, marcadores moleculares, para definir y clarificar qué personas, definitivamente, se benefician de ir a cirugía y cuáles son aquellas que, basado en el resultado molecular, pueden permanecer sin cirugía y con observación a través del ultrasonido.   ...En Colombia, México, Brasil y en Chile lo están realizando; también el test puede solicitarse para poder ser realizado en cualquier momento. Hay compañías que ya tienen la licencia para enviar el paquete que se requiere para tomar la muestra por el patólogo que lo está realizando en cada uno de los paises de Latinoamerica.   ...Si, en la mayoría de estos nódulos indeterminados, sobretodo de las categorías III y IV, es posible que hasta un 60 % de los pacientes no tenga cáncer y vayan a una cirugía innecesaria. La cirugía innecesaria no solamente implica el hecho de retirar un órgano tan noble como el tiroides (que tiene una función única y es particularmente difícil, inclusive para los endocrinólogos una vez que la persona va a cirugía, manejarlo), sino que también tiene que tomar en cuenta que una persona que va a cirugía se expone a otros riesgos: el tiroides es uno de los órganos que tiene además, en la parte posterior, otras glándulas como las paratiroides que controlan el calcio; está cerca de nervios que, básicamente, comprometen la voz del paciente. Es una cirugía; dependiendo de la edad del paciente, los riesgos de cirugía pueden ser menos o más altos...   ...En el futuro estos análisis moleculares van a cambiar totalmente la manera en que nosotros vamos a clasificar, finalmente, los nódulos. Estos análisis moleculares están avanzando a pasos gigantes. Esperamos, además, que va a ser un beneficio para clarificar el diagnóstico de los pacientes que, a futuro, también nos guíe acerca de cómo tratar, si se da la situación a las personas con cáncer, de una manera más adecuada...   Philip James, presentador: Hoy estamos con el Doctor Paul Casanova. El hizo sus estudios en la Universidad de Miami y también en Venezuela. El está trabajando en el Palm Beach Diabetes and Endocrine Specialist y es un miembro de la American Thyroid Association.    Doctor Casanova, Bienvenido.    Dr. Casanova:  Muchas gracias, Philip, por la invitación.Y a todos aquellos que te escuchan: hoy, precisamente, vamos a hablar un poco más alrededor del tema de la evaluación de nódulos tiroideos. Ha sido un viaje a través del tiempo y a través de los últimos años; ahora tenemos mucho más que compartir con las personas que te escuchan. Philip James, presentador: Si, el tema de hoy es: Nódulos Indeterminados. Hablaremos más sobre este tema.   Pero, acerca de su experiencia valorando los nódulos, lo cual ha hecho por muchos años... Por favor ¿puede compartir algo de su experiencia anterior?   Dr. Casanova: Si, mi experiencia ha comenzado hace más de, aproximadamente, siete años (en el 2010). Tuve la oportunidad de tomar los primeros tests, que fueron utilizados, precisamente, para el diagnóstico de nódulos indeterminados y malignos, que fueron, en aquel momento, presentados por la Universidad de Pittsburgh, por el Doctor Yuri Nikiforov. Esos tests (que no estaban disponibles para el público) nos permitieron entrar en conocimiento de una de las mutaciones más frecuentes que se ven en nódulos malignos y tratar de probar si eso tenía cierta utilidad para los pacientes en términos de asegurar el diagnóstico o darle alguna explicación adicional a los cirujanos. Más adelante, otra serie de tests moleculares han salido en los últimos 7 años y estos tests moleculares han sido, básicamente, probados a través de diferentes estudios. Y eso es lo que he utilizado a través de estos últimos años y he visto los resultados a través [de ello], y el beneficio para mis pacientes, particularmente aquellos que tienen un diagnóstico de nódulos indeterminados.   Philip James, presentador:  Entonces, en el tema de nódulos, ¿cuántas personas en el mundo tienen un nódulo de tiroides?   Dr. Casanova: Eso es un elemento variable en cada población. En términos generales, aquí en los Estados Unidos por ejemplo, podría decirse que después de la edad de 40 años, más del 50 % de las mujeres pueden tener nódulos tiroideos; es, de hecho, el tumor endocrino más común que tenemos presente en la actualidad. Pero el hecho de ser común no quiere decir que todo nódulo tiroideo es maligno; de hecho, la gran mayoría de estos nódulos son de naturaleza benigna.    En términos generales podemos decir que, en Los Estados Unidos, unos 450 mil casos de biopsia de tiroides se han hecho en los últimos años y, a pesar de esa cantidad de biopsias, la gran mayoría de ellas no tiene ningún tipo de malignidad; es por ello que ahora hay un énfasis en tratar de mejorar cada uno de los recursos que tenemos para evitar, precisamente, que personas vayan a cirugía, y tratar de no hacer un exceso de cirugías innecesarias en esta población.   Philip James, presentador: Y para aquellos que están escuchando esta entrevista y posiblemente están pensando: “¿Cómo sabemos si tenemos un nódulo de tiroides?” Dr. Casanova: Si. En términos generales, la primera observación que tiene la persona es ir al médico. Estos nódulos de tiroides, aun cuando es una minoría, pueden ser detectados por su médico. Nódulos de más de 2.5 cm pueden ser palpables a través del examen físico del cuello; el examen físico del cuello, si usted lo solicita, su médico general, su ginecólogo puede realizarlo.    Aun cuando esta es una de las formas de poder diagnosticar nódulos, la mayoría de los nódulos que nosotros vemos son diagnosticados porque la persona va a estudios diferentes. Por ejemplo: la persona va y se va a hacer un ultrasonido de las arterias carótidas y alguien le dicen: “Mira, tienes algo en el tiroides”; la persona va a hacerse un estudio del pecho y le dicen: “tienes algo en el tiroides”. Y eso es algo también muy común; la mayoría de los nódulos tiroideos no son diagnosticados necesariamente por palpación, solo aquellos que son grandes y están superficiales.    Los nódulos tiroideos en algunas ocasiones, si hay síntomas (si la persona tiene problemas para tragar; la persona tiene de pronto problemas para respirar; o en algunas ocasiones, con historia familiar en el pasado de que los padres o sus hermanos tienen nódulos; o la persona tienen historial de cáncer de tiroides; o fue expuesto a radiación), lo óptimo sería que la persona solicitara al menos hacerse un ultrasonido del cuello que incluya el tiroides.   Philip James, presentador: Doctor Casanova, entonces si un paciente tiene un nódulo de tiroides, ¿hay algún examen en particular para saber con certeza si es cáncer o no?   Dr. Casanova: Una vez que la persona se hace el ultrasonido y se ha hecho una evaluación propia de la historia del paciente, el ultrasonido como tal no es, completamente, una herramienta para nosotros decirle al paciente si tiene o no tiene algo maligno. El ultrasonido nos guía para, precisamente, seleccionar qué casos requieren, lo que es el tema de tu pregunta y es, hacer una biopsia de aguja fina dirigida por ultrasonido para obtener una muestra de citopatología. El diagnóstico de malignidad requiere, y está basado en, la obtención de material dentro de los nódulos que son sospechosos, y ser analizados entonces por un patólogo [el cual] nos indica si existe la certeza de si es malignidad, o no.   Philip James, presentador: Pero, ¿podemos saber, con cierto porcentaje de certeza, si es cáncer?   Dr. Casanova:  No. Lastimosamente ningún test, ni siquiera la citopatología, es 100% seguro; uno obtiene a través de la citopatología, un análisis a través de, aproximadamente, 6 tipos de diagnóstico. Los diagnósticos que podemos obtener a través de la muestra citopatologica, inclusive cuando es benigno, pudiera todavía tener un porcentaje mínimo de un 6 a un 7% de malignidad. Y esto es importante que la gente lo entienda porque muchas veces, a pesar de que recibe diagnóstico de benignidad, después de una biopsia de tiroides todavía requiere que el nódulo sea observado a través del tiempo para ver si se comporta como debe hacerlo un nódulo benigno. Si ese nódulo se comporta de una manera diferente, entonces requiere otra vez evaluacion.   Pero, en términos generales, es lo mejor que tenemos en este momento: la citopatología sigue siendo el estándar para diagnostico, y ahora estamos agregando, precisamente, el análisis molecular, que va a incrementar nuestra certeza y la información que le vamos a dar, entonces, a los pacientes. Philip James, presentador:  En ocasiones anteriores, usted ha hablado sobre un arcoiris o “rainbow”, sobre qué ocurre después de este examen, ¿puede compartir más detalles sobre eso? Dr. Casanova:  Exacto. En la actualidad, desde 1909, los patólogos han llegado a un acuerdo para tener un lenguaje común, y ese lenguaje común lo podemos, precisamente, tomar como referencia a un arco iris de diagnósticos que van en 6 diferentes categorías:  la categoría número I es que de la persona, por razones diversas, no se obtuvo suficiente material y no hay un diagnóstico preciso; no existe el suficiente grupo de células para definir si es algo bueno o algo malo; las categorías que van del II al VI son precisamente ese arcoiris: la categoría 2 es la categoría buena, benigna; la categoría 6 es la categoría maligna. Ello nos da una definición para tomar decisiones quirúrgicas.   Sin embargo, debido a las categorías particulares del tiroides, hay otras tres características entre la buena y la mala (entre la benigna y la maligna) con las que, básicamente, el citopatólogo o la persona que está leyendo la lámina o la muestra de la biopsia de tejido [tiroideo], puede, totalmente, tomar una decisión adecuada. Esas categorías, que son la III, IV, V, son categorías que nosotros la llamamos globalmente como Nódulos Con Una Citopatología Indeterminada.    Si esa categoría, que va del III al V se acercaba más a la parte benigna, el porcentaje de personas (en el pasado, cuando no teníamos ciertas herramientas como los análisis y marcadores moleculares), todas estas personas iban a cirugía. Las personas que iban a cirugía en la categoría III tenían un porcentaje de malignidad entre un 15 y un 30%, esto se incrementaba en la categoría IV de un 30 a un 40%, y en la categoría V era un 70% de riesgo de malignidad.   Por eso, porque esa característica indeterminada está presente particularmente en las categorías III y IV ([y de ahí] el riesgo de ir a una cirugía innecesaria, sin propósito, porque iban a hacer un diagnóstico al final benigno), ahora los endocrinólogos, los otorrinolaringólogos y los patólogos, utilizamos marcadores moleculares para definir y clarificar qué personas, definitivamente, se benefician de ir a cirugía y cuáles son aquellas que, basados en el resultado molecular, pueden permanecer sin cirugía y con observación a través del ultrasonido.   Lo que estamos buscando con estos análisis moleculares es igualar el riesgo que una persona tendría si es diagnosticado ese nódulo como benigno. Como yo lo dije y comenté anteriormente: un nódulo benigno no significa 100 % seguridad de que no pueda ser algo malo, pero nos puede dar hasta un 94 % de seguridad de que uno está a salvo de tener cáncer de tiroides. Si nosotros tenemos un test que (en estas categorías III y IV, que son indeterminadas), nos permita igualar ese riesgo de llevar esos nódulos al mismo porcentaje de seguridad de observación, estamos ayudando al paciente a evitar cirugía innecesaria y, además de eso, le evitamos costos al sistema de salud pública.    Philip James, presentador: Entonces, sobre este tema de las categorías III y IV...    Dr. Casanova: El Bethesda III y IV, exacto.   Philip James, presentador: ¿Qué podemos hacer para obtener más información sobre este tema de las categorías III y IV?   Dr. Casanova:  Si. La parte de lo que son las categorías III y IV, que son, para los patólogos, categorías del Sistema de Bethesda.    Para las personas que van [a consulta], en un momento dado su médico toma la decisión de hacer una biopsia por aguja fina, requiere que la persona solicite que al mismo tiempo tomen la muestra para el análisis molecular. Los análisis moleculares que nosotros tratamos de recomendar a las personas son análisis moleculares que pregunten o traten de definir, si este nódulo es realmente benigno. Hay dos tipos de análisis moleculares: unos que son de confirmación de si “¿tú eres un nódulo malo?”, pero hay otros análisis que se basan, básicamente, en descartar que son malos; en este caso, confirmar la benignidad.   Es el médico que está realizando la biopsia el que tiene la oportunidad, al hacer el mismo pase de agujas que utilizamos para la citopatología, de tomar una muestra del test molecular y guardarlo al momento en espera del resultado final de la citopatología o del reporte. Si el reporte de la patología viene con categorías III o IV (que son indeterminados), en ese momento ya la persona tiene la muestra y puede ser enviada para el análisis y la clarificación, para evitar entonces la decisión final, en este caso, de ir a cirugia sin ningún otro tipo de ayuda. Y lo que hacemos con el análisis molecular, en este caso, es ayudar a la persona a tomar la decisión clínica correcta. Eso es lo que hacemos con este nuevo tipo de análisis moleculares.   Philip James, presentador: Para terminar. Cuando un paciente va por primera vez y el nódulo es indeterminado, ¿necesita volver otra vez para otra punción con aguja fina?, o ¿se pueden usar los resultados de la primera?   Dr. Casanova: Si la persona que está haciendo la biopsia toma la previsión de tomar la muestra (porque estas son muestra en las que están separadas la biopsia de la citopatología), de tomar la muestra y colocarla en el tubo (es un tubo especial; muchos de estos estudios moleculares requieren de un tubo especial), la persona no requiere repetir la biopsia.   En otras ocasiones, (porque en categoría III, la Asociación Americana de Tiroides lo recomienda), tiene 3 posibilidades: o ir a cirugía; o repetir la biopsia; o hacer observación. El repetir la biopsia: si la persona no pudo tomar la muestra molecular en ese momento, se toma la muestra y se clarifica (pero todavía en este punto no ha ido a cirugía). Nosotros recomendamos de nuevo, que la persona, cuando vaya a hacerse una biopsia, le pregunte a la persona que la está haciendo si va, al mismo tiempo de tomar la muestra para citopatología, a guardar una muestra para el análisis molecular, y así evitar hacer dos veces un procedimiento que, por supuesto, produce molestias. En términos generales, volver a repetir lo mismo otra vez [genera] un costo adicional para el paciente    Philip James, presentador: Y ¿esto es común para los médicos en general?, ¿ellos están usando el examen molecular?   Doctor casanova: La mayoría de los médicos que hacen biopsia (la gran mayoría) están ya familiarizados con estos tests moleculares. De hecho (...) Aquí particularmente, en Los Estados Unidos, el test ha sido aprobado, inclusive para su utilización en el sistema de Medicare; es decir, que ha sido reconocido como un elemento que tiene un costo-beneficio. Muchos de los seguros (de nuevo, aquí en los Estados Unidos) tienen cobertura de los más importantes tests moleculares. En términos generales, si hay algún problema con una persona, por ejemplo en Los Estados Unidos (o alrededor del mundo), las asociaciones de tiroides de cada continente tienen listas donde ellos le informan a las personas, si el médico hace biopsias con test molecular. La Asociación Americana de Tiroides [American Thyroid Association] tiene esa facilidad para los pacientes aquí en Los Estados Unidos, pero sé también que otras asociaciones de tiroides alrededor del mundo también le permiten a las personas, a través del internet, buscar quién es el médico que está haciendo biopsias utilizando este test molecular.   Philip James, presentador: Y actualmente, por ejemplo, en América Latina ¿también está disponible el exámen molecular?    Dr. Casanova: Si, el test está disponible en América Latina. Básicamente hay países que ya lo están realizando. [Tengo] conocimiento de que en Colombia, México, Brasil, en Chile lo están realizando. También, el test, puede solicitarse para ser realizado en cualquier momento y hay compañías que ya tienen la licencia para enviar el paquete que se requiere para tomar la muestra por el patólogo que lo está realizando en cada uno de los países de Latinoamérica.   Philip James, presentador: ¿Hay alguna empresa que ofrezca estos exámenes moleculares?, y si hay más de una, ¿cuáles son?   Dr. Casanova:  Ahorita tenemos 4 grandes grupos o compañías que están haciendo este test y cada una de ellas tiene su nivel de estudios que soportan, precisamente, este tipo de test molecular.    Está la compañía Veracyte que tiene un test que se llama Afirma. El Afirma viene en dos variantes: ellos tienen lo que se llaman un GC y actualmente están haciendo un test que van a introducir (más avanzado) que se llama GSC. Está otra compañía que está basada en la Universidad de Pittsburgh, la cual, en conjunto con un grupo de patólogos que se llaman CVL (Clinical Virology Laboratory) que están radicados en Nueva York, ellos hacen la muestra [prueba] que se conoce como ThyroSeq v2.    Está el grupo que se conoce como el Rosetta y, por supuesto, está también el otro grupo que hace el test molecular, y tienen dos tipos de test al mismo tiempo que se llaman ThyGeNEXT™ y ThyraMIR®. En Latinoamérica, en mi entender, el test que está siendo utilizado y que está licenciado en muchos de los países, es el que proviene del grupo Veracyte: Afirma.   Hay intenciones, de todos estos grupos, de trabajar [a lo largo] de Latinoamérica y, evidentemente, al contactar directamente a esos grupos en Los Estados Unidos, el patólogo o la persona que está interesada en utilizar esos test en sus prácticas a nivel de Latinoamérica, podría hacer [algún tipo de] acuerdo con estas compañías.   Philip James, presentador :  Y usted ¿cuál es el exámen está usando y por qué?   Dr. Casanova: Yo, en estos momentos estoy utilizando, fundamentalmente, un test de la compañía Veracyte: Afirma. Es el más avanzado, se llama Afirma GSC. La razón para utilizar éste test es, precisamente, porque en nuestra experiencia particular, la gran mayoría de los nódulos tiene un bajo riesgo de malignidad. Este test está basado en la lectura de ARN mensajero.    Y para ponerle [un ejemplo], a los pacientes y a las personas que nos escuchan, sobre “qué es lo que hace cada uno de los tests (?)”, es semejante a que: “usted tiene una persona que es su hija, la hija llega con su novio, y usted al ver novio [se lleva] una primera impresión”; el nódulo viene a ser el novio. Si el nódulo se observa, y se ve como que parece que no es bueno, la pregunta que uno hace no es “si usted es un mal muchacho”, es “si usted en verdad es un buen muchacho para mi hija”. El test o los tests que, precisamente, descartan que es malignidad son tests que tratan de responder esta pregunta que es: “¿Eres tú un nódulo benigno?” Los tests como Afirma, como Rosetta, están diseñados para responder esa pregunta.   Ahora, si una persona tiene un nódulo que es altamente sospechoso de cáncer, [ahí] es cuando nosotros (o mi persona) aplica tests como ThyroSeq v2, o los test, en este caso, del Thyroid Oncogene. Pero los tests moleculares basados en ADN, (que es lo que, algunas veces los cirujanos tratan de contestarse) son solamente aplicables, de manera cierta, a aquellos nódulos que son realmente sospechosos de malignidad.    La información que yo tengo [sobre] este test que te estoy comentando, el Afirma GSC, (...) la he podido corroborar personalmente. Muchos de estos casos, que han sido sospechosos a través del test molecular, van a cirugía y se corrobora que la información del test es precisamente la que nos informa el análisis molecular. Pero también el test me ha dado la oportunidad de evitar cirugías en pacientes y tener el orgullo de poder haber salvado de una cirugía innecesaria a más del 50 % de los pacientes que, en un momento dado tenían estos [nódulos] indeterminados.   Philip James, presentador: Esto es muy importante porque, anteriormente y hoy en día, hay muchas cirugías en las que se está extirpando la tiroides aunque no se sabe si es cáncer o no, pero el doctor dice: “Vamos a quitar su tiroides, no sabemos si es cáncer, pero…” ¿Cuántas veces no tienen cáncer?, ¿una de cada dos o cuantas?   Dr. Casanova: Si, en la mayoría de estos nódulos indeterminados, sobretodo de las categorías III y IV, es posible que hasta un 60 % de los pacientes no tenga cáncer y vayan a una cirugía innecesaria. La cirugía innecesaria no solamente implica el hecho de retirar un órgano tan noble como el tiroides (que tiene una función única y es particularmente difícil, inclusive para los endocrinólogos una vez que la persona va a cirugía, manejarlo), sino que también tiene que tomar en cuenta que una persona que va a cirugía se expone a otros riesgos: el tiroides es uno de los órganos que tiene además, en la parte posterior, otras glándulas como las paratiroides que controlan el calcio; está cerca de nervios que, básicamente, comprometen la voz del paciente. Es una cirugía; dependiendo de la edad del paciente, los riesgos de cirugía pueden ser menos o más altos.   De tal manera que la óptica que tienen, y de hecho ese es el propósito que tienen las asociaciones alrededor del mundo y particularmente la Asociación Americana del Tiroides, es minimizar el potencial de dañar o de sobretratar a la mayoría de los pacientes con un riesgo bajo de mortalidad y de enfermedad.   Los nódulos tiroideos son, solo una mínima parte, malignos; la mayoría son benignos, pero en este caso deben tomarse las previsiones para que cuando tengamos la respuesta a través de la citología, o a través del análisis molecular, sea la adecuada para evitar cirugías innecesarias.   Philip James, presentador:  Si yo soy un paciente y el resultado de mi punción con aguja fina (FNA) fue “nódulo indeterminado” ¿cómo sé si mi médico está utilizando el test para nódulo indeterminado?    Dr. Casanova: Bueno, básicamente porque el reporte lo indica. Cuando la persona recibe un reporte, además de la parte indeterminada, recibe una hoja adicional con la explicación del test molecular que fue seleccionado por su médico. En el caso de los test Afirma, el ThyroSeq de Rosetta o de otros tests moleculares, (en este caso) ellos informan directamente, además de la respuesta de la citopatología, le informan a la persona que un test molecular ha sido realizado.   Si el test molecular no está reflejado en el reporte, es importante que la persona (dependiendo de la categoría que tiene, ya sea III o IV) tenga la opción antes de hacer cirugía de, inclusive, poder realizar de nuevo el test molecular. Lo correcto es hacer todo en un solo paso. [Se trata de] tomar la previsión de que esto puede ocurrir. A a pesar de que no ocurre en todos los pacientes (solo entre un 15 a un 30%, dependiendo del lugar del mundo donde esté, puede ser indeterminado), y si existe esa posibilidad, y la posibilidad de ese diagnóstico es potencialmente de ir a una cirugía innecesaria, es importante que antes, al momento de la biopsia, solicite a su médico: “Por favor, envíeme a un doctor que haga este test al mismo tiempo, para poder tener tranquilidad”.    Philip James, presentador:  Doctor Casanova, gracias.   Antes de irnos, ¿hay alguna otra información que quiera compartir con las personas que están escuchando sobre este tema?    Dr. Casanova: Si, yo en lo particular, recomiendo a las personas que, siempre que evalúen los nódulos tiroideos, tomen en cuenta que a pesar que es una patología que es muy frecuente en nuestra población, siguen siendo (la mayoría de ellos) benignos. Siempre vayan con la óptica de que en los diagnósticos de nódulos tiroideos existen un alto porcentaje que usted vaya a salir con una respuesta que lo va a poner contento. Pero, si se tomó la decisión (dependiendo de su historia familiar o de su historia de exposición; y de las características del nódulo; y de los exámenes que se realizan preliminarmente) de que se necesita una biopsia, prepárese para que todas las respuestas sean respondidas en una sola ocasión. Eso indica, hacer la biopsia guiada por ultrasonido, tomar y enviar la muestra a un patólogo reconocido y, además, que al mismo tiempo que le hayan tomado la muestra citopatológica, guarden la muestra molecular.   En el futuro estos análisis moleculares van a cambiar totalmente la manera en que nosotros vamos a clasificar, finalmente, los nódulos. Estos análisis moleculares están avanzando a pasos agigantados. Esperamos, además, que va a ser un beneficio para clarificar el diagnóstico de los pacientes que, a futuro, también nos guíe acerca de cómo tratar, si se da la situación a las personas con cáncer, de una manera más adecuada   Así que, manténganse conectados con estos podcasts, que son siempre muy interesantes, y a futuro, probablemente escucharán, más allá del capitulo 60, muchos más de estos análisis.   Philip James, presentador: Este es el fin del episodio número 59. Yo soy Philip James. Si quiere escuchar más entrevistas con otros médicos, acerca del tema de tiroides, cáncer de tiroides  e hipotiroidismo, puede visitar la página web doctiroides.com.

What impact do you think COVID-19 has on a person? Emotionally, mentally, physically? How do we cope as first responders? Here is what I took away from my conversation with a Navy Seal, Coach, Instructor, and all-around great human being.EPISODE PAGE: https://www.thebreakdown.ca/post/stress-life-and-covid-19-our-new-reality-with-david-rutherfordSponsored by the INTERNATIONAL LAW ENFORCEMENT TRAINING SUMMIT (https://www.iletsummit.com) 27-31 JULY, 2020*This information should not be taken as medical advice. All opinions are anecdotal and should not take precedent over that of qualified medical professionals.David served 8 years in the Naval Special Warfare Community as a SEAL student, Combat Paramedic, Operator, and Instructor. Since his honorable discharge from the Navy in 2003, he has continued traveling as an international training specialist for Blackwater. Eventually, David was recruited by the CIA as a training and curriculum specialist, as well as deploying into high threat areas as a close protection and security specialist. David’s long term service to the country at the highest levels, and in many areas, enabled him to develop a masterful ability to motivate and train people from all walks of life to achieve success in any environment imaginable. Since 2006 David has been motivating audiences and individuals across America and around the world with his highly unique style of speaking, writing, and coaching. His Froglogic Concepts are derived from the 70 + years of operational successes within the UDT/SEAL community as well as 25 years of personal experience and research. He has combined his incredible personal story with the proven track record of the SEAL Teams and the CIA to create a simple, elite performance program.David is living his dream as an internationally known motivational speaker, best selling author for kids and adults, world champion performance coach, and as an award-wining Podcast host. His passion for motiving people is affording him the opportunity to work with the top companies in the world, averaging over 50 events a year. His specialty is helping individuals, teams, and organizations to develop a specific and focused approach to managing people and the mission. David is committed to helping people embrace their fears, forge their Self-Confidence, how to live the Team Life, and to live with purpose. David’s high energy, entertaining style, and endless motivation inspire all of those who come in contact with him to dig deep, persevere, and commit to the development of winning cultures. Notable Clients: 2018 World Series Champion Boston Red Sox, 2018 Collegiate World Series Champion Oregon State Beavers,2019 Green Bay Packers Packers, Penn State Men’s Lacrosse Team, 2015 and 16 UPenn Football Champions, iCapital, Bank of America, Risk Assessments, Novo Nordisk, BNY Mellon, Comcast, Johnson Controls, Covidien, Pioneer Investments, Merrill Lynch, Morgan Stanley, UBS, Brenneman Pork, Cust-O-Fab, University of Nebraska, Jackson Memorial Hospital, 12,000 + children across America and Canada, and over 25 million people reached around the world. CONTACT David Rutherford: Social Media: @teamfroglogicLinkedIn: https://www.linkedin.com/in/david-rutherford-84256811/Website: https://teamfroglogic.com/

Joshua Lenchus, DO, RPh, FACP, SFHMJoshua Lenchus holds a pharmacy degree from the University of Florida, and graduated from Nova Southeastern University College of Osteopathic Medicine in 2000. He currently works as a hospitalist at Jackson Memorial Hospital for the University of Miami Miller School of Medicine.In 2012, was elected as the youngest and the first osteopathic President of the Jackson Health System medical staff and chairman of its medical executive committee. He was subsequently re-elected in 2014 and 2016. In 2007 he developed a novel curriculum centered about simulation-based invasive bedside procedural instruction. Now in its eleventh year, the program has transformed the way procedures are taught and performed, decreasing complications thereby leading to safer patient care.Outside the hospital, Dr. Lenchus is incredibly involved, serving as a leader, in multiple county, state and national medical associations, including as the newly elected President of the Florida Osteopathic Medical Association, the Florida Medical Association, the American College of Physicians, and the Society of Hospital Medicine.About Darwin Research Group   Darwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin’s client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.

Its time for another episode of The Ramp. It. Up! Podcast On today's episode I have my first guest interview. James "Woody" Beckham bka Woody joins me via Skype, (since we are still social distancing), to share the story of his injury, recovery journey, and how he makes a difference in many peoples lives through the Woody Foundation.Ramp. It. Up!Who is Woody?A  traumatic injury can change anyone's life in just a split second. James “Woody” Beckham was born in Miami Beach, FL, on October 1, 1988. Woody grew up loving to play a variety of different sports. In January 2011, Woody was paralyzed while making a tackle suffering a C 5-6 spinal cord injury while in college playing for Florida Atlantic University's rugby team. He was treated by doctors at Jackson Memorial Hospital in Miami receiving rehabilitation and therapy before being discharged in April 2011. Shortly thereafter with the support of his loving family and friends in July 2011, Woody started the Woody Foundation to help others with paralysis. Woody finished his education earning a Finance degree from Florida International University in 2015. Woody has been heavily involved in helping the paralysis community including creating the Woody Foundation's Woodypack of assistive devices for limited hand functioning, being President of the Spinal Cord Injury Support Group Miami, working for the Center for Independent Living of South Florida since 2016, and partnering with several other nonprofit organizations including the Sabrina Cohen Foundation, the Miami Project to Cure Paralysis, Jackson Memorial Rehabilitation Hospital, Shake-a-leg Miami and other organizations. As the face of The Woody Foundation, Woody aspires to inspire and overcome his life altering injury by helping others with disabilities maximize their potential.Website: http://www.woodyfoundation.org/Facebook: https://www.facebook.com/woodyfoundation/Instagram: https://www.instagram.com/woodychatter/Email: info@woodyfoundation.orgStay Connected to the Podcast Instagram: https://www.instagram.com/ramp.it.up.podcast/Facebook: https://www.facebook.com/ZoeOnWheelz/Email: rampituppodcast@gmail.com Special Thanks Sponsors:JWoods Company Contact JWoods Company for all of your catering and special event needs.Website: https://www.jwoodscompany.com/Instagram: https://www.instagram.com/jwoodscompany/Email: contact@jwoodscompany.com Financial Education Services FES Agent Jeremiah JulesEducation is power. Come learn how to be financially stable and get your credit score higher than it is now.Phone: 754-208-7833Email: JeremiahJules2000.jj@gmail.com

Mayi de la Vega "Building a Culture Like No Other" on Global Luxury Real Estate Mastermind with Michael Valdes Podcast #118Mayi de la Vega is someone whom host Michael Valdes has known for over a decade. "In fact, she was my boss in one point of my real estate career before I moved to the corporate side of the business," says Valdes. She is a powerhouse and anyone who ever meets her would use the same adjective. Mayi started in the aerospace industry with her father and built strong ethics that she translated to real estate. She quickly found success as an agent and later opened her own boutique firm, Stewart de la Vega in Coral Gables, FL. The opportunity for the Sotheby's franchise came about and she has grown the company from Key West to Vero Beach and has over 1000 agents. It's a family business with her son, Danny as president and her daughter running one of the top teams in the organization. She prides herself on being a good businesswoman, mother and philanthropist. All of which she certainly is! More About Mayi de la Vega, Founder and CEO, ONE Sotheby’s International RealtyCuban-American real estate powerhouse, Mayi de la Vega is the Founder and Chief Executive Officer of ONE Sotheby’s International Realty (ONE SIR), a Sotheby’s International Realty affiliate and the leading luxury brokerage firm in South Florida. As a true visionary, de la Vega founded the firm back in 2008 during the depths of the country’s worst economic recession. Under her leadership, the company has flourished to seventeen offices and is backed by a global network that spans 22,000 associates in 72 countries and territories. Currently ranked as the Top Real Estate Brokerage in Miami and recognized as one of the top ten highest producing Sotheby’s International Realty affiliates worldwide, which together produce an annual sales volume of $112 billion, ONE SIR has become South Florida’s true voice of luxury.Distinguished as an industry leader, de la Vega along with her son, Daniel de la Vega, the current president of ONE SIR, continue to strategically expand across South Florida. ONE SIR’s development division holds the majority market share of luxury condominiums above the two-million-dollar mark, with 20 exclusive new developments in Miami-Dade, Broward and Palm Beach counties, accounting for more than $3.1 billion worth of real estate inventory.De la Vega’s expertise has allowed her to maximize the prestigious reputation of the historic Sotheby’s Auction House, skillfully positioning ONE SIR’s listings for maximum exposure among the elite clientele at global events from New York to Hong Kong and Moscow.With a wealth of experience in the industry and a number of record-breaking achievements, de la Vega prides herself in building a sustainable lifestyle, network and community for ONE SIR. In doing so, she regularly ensures that wellness is at the heart of the company’s core values and spearheaded the launch of a dedicated “Wellness Month” to encourage healthy work-life balances within the company.De la Vega is an avid art collector and dedicates time to traveling the globe as the company’s brand ambassador, while marketing South Florida as an international, cultural mecca. She is an honored contributor to the community through her support of charitable, philanthropic and educational programs. De la Vega is a Board Member of United Way and the Cisneros Fontanals Art Foundation and served on the Foundation Committee for Nicklaus Children’s Hospital, The Board of Trustees for FIU, and as a “Guardian Angel” for Jackson Memorial Hospital. She currently resides in Miami Beach, Florida. More About Michael ValdesMichael Valdes is the Senior Vice President of Global Servicing for Realogy Corporation. In that role he oversees the international servicing platform for all Realogy brands including Century 21, Coldwell Banker, ERA, Better Homes & Garden, Corcoran, Climb and Sotheby’s International Realty in 113 countries. He has been with Realogy in a variety of roles for the past 14 years. Prior to joining the firm, Mr. Valdes was Director of Private Banking at Deutsche Bank for just under a decade where he oversaw a book of business of just under $1 billion. He has the distinction of being the first Director in the United States of Latino descent. Mr. Valdes is the Chair of the AREAA Global Advisory Board and co-host of the 2020 AREAA Global Luxury Summit. He is also a current member of the NAHREP Corporate Board of Governors. Additonally, he is a member of the Realogy Diversity Board as well as the Executive Chair of the ONE VOZ, Hispanic ERG for the firm. He is a former Board Member of Mount Sinai Hospital in Miami Beach as well as the Shanti Organization in San Francisco. Michael was also a Board Member of Pink & Blue for 2, an organization started by Olivia Newton-John to promote breast and prostate cancer awareness. He currently resides in New York City and has a home in Miami. 

Nesse episódio entrevistamos o Dr. Robson Capasso, Chefe do serviço de Cirurgia do Sono, Professor Associado de Otorrinolaringologia e de cirurgia de Cabeça e Pescoço da Faculdade de Medicina de Stanford. Sua jornada médica é bastante extensa e única, incluindo a faculdade de medicina e residência na Universidade Federal do Paraná, uma segunda residência no Jackson Memorial Hospital, além de fellowship na Stanford University School of Medicine. Dr. Robson Capasso possui diversas publicações em revistas especializadas. Como parte do ecossistema de tecnologia da saúde no Vale do Silício, foi co-fundador e consultor de startups além de participar de várias iniciativas da Stanford Biodesign. Atualmente é professor e mentor da Global Biodesign, orientando estudantes e empreendedores no Vale do Silício, Japão, Cingapura, Hong Kong e Brasil.

Dr. Fernando Vilella-Hernandez, Assistant Professor of Clinical Orthopaedic Surgery at the University of Miami and Chief Medical Officer for Orthopaedics at Jackson Memorial Hospital discusses the management of distal femoral fractures in the elderly. ORIF vs distal femoral replacement, technical considerations for distal femoral replacement, what the current literature teaches us, and challenges when managing […]

Infectious disease experts from the Johns Hopkins Hospital, Drs. Natasha Chida and Saman Nematollahi join the CardioNerds for a 4 part COVID-19 infectious disease series. In this final episode, we discuss the virology and epidemiology of SARS-CoV-2 that serves as the underpinnings for the three prior episodes. Flutter Moment by Dr. Sumeet Bahl (Vascular and Interventional Radiology) We are honored to promote the incredible efforts of #GetUsPPE, a nonprofit organization working hard to make sure every healthcare worker is protected. Dr. Seth Trueger, emergency medicine physician and digital media editor @JAMA Network Open shares an earnest request. In light of the COVID-19 pandemic, we shifted gears to meet the educational need as we all are learning more about the cardiovascular implications of SARS-CoV-2. On the CardioNerds COVID-19 series page, you will find our collection of podcast episodes, infographic, youtube videos, curated #Tweetorials, references, guest experts & contributors, flutter stars and so much more. Check out the COVID-19 series page! Take me to episode topics page Click here for Youtube COVID-19 Playlist Click here for our Youtube CV fundamentals playlist Dr. Natasha Chida, an infectious disease expert at Johns Hopkins. Dr Chida received her MD from the University of Miami Miller School of Medicine, where she also earned an MSPH (masters of science in public health). She completed internal medicine residency at Jackson Memorial Hospital and infectious disease fellowship at Johns Hopkins, where we were lucky to keep her on as faculty. She is a truly incredible educator and mentor to all levels of trainees -- she serves as assistant director of the infectious disease fellowship program, co-director of the medical education pathway for residents, director of education for the Johns Hopkins Center for Global Health Education, and course director for the ‘Topics in Interdisciplinary Medicine’ course for medical students. Dr. Saman Nematollahi grew up in Tucson, Arizona. He completed his undergrad at the University of Arizona with dual degrees in Physiology and Spanish Literature. He spent some time after undergrad working in a neuroscience lab before starting med school at the University of Arizona. He then moved to NYC where he completed residency at Columbia. His clinical interests include management of immunocompromised hosts, and his research interest is in medical education.  More than that he is a teacher at heart and is obtaining a Master’s of Education at the Johns Hopkins School of Education and was recently awarded a grant to develop a fungal diagnostic curriculum for residents. He loves to play soccer with his wife and son. He is master educator, appeared on and has authored many important tweetorials. He has also appeared on the hit medical podcast, The Clinical Problem Solvers.

Infectious disease experts from the Johns Hopkins Hospital, Drs. Natasha Chida and Saman Nematollahi join the CardioNerds for a 4 part COVID-19 infectious disease series. In this third episode, we discuss all things to consider with regards the clinical presentation & diagnosis of COVID-19. Be sure to stay tuned for the remaining part of this mini-series where we will the virology of SARS-CoV-2. Flutter Moment by Dr. Dani Dumitriu from the frontlines of the COVID-19 pandemic in NYC. We are honored to promote the incredible efforts of #GetUsPPE, a nonprofit organization working hard to make sure every healthcare worker is protected. Dr. Michelle Myles, emergency medicine physician shares her PPE story. In light of the COVID-19 pandemic, we shifted gears to meet the educational need as we all are learning more about the cardiovascular implications of SARS-CoV-2. On the CardioNerds COVID-19 series page, you will find our collection of podcast episodes, infographic, youtube videos, curated #Tweetorials, references, guest experts & contributors, flutter stars and so much more. Check out the COVID-19 series page! Take me to episode topics page Click here for Youtube COVID-19 Playlist Click here for our Youtube CV fundamentals playlist Dr. Natasha Chida, an infectious disease expert at Johns Hopkins. Dr Chida received her MD from the University of Miami Miller School of Medicine, where she also earned an MSPH (masters of science in public health). She completed internal medicine residency at Jackson Memorial Hospital and infectious disease fellowship at Johns Hopkins, where we were lucky to keep her on as faculty. She is a truly incredible educator and mentor to all levels of trainees -- she serves as assistant director of the infectious disease fellowship program, co-director of the medical education pathway for residents, director of education for the Johns Hopkins Center for Global Health Education, and course director for the ‘Topics in Interdisciplinary Medicine’ course for medical students. Dr. Saman Nematollahi grew up in Tucson, Arizona. He completed his undergrad at the University of Arizona with dual degrees in Physiology and Spanish Literature. He spent some time after undergrad working in a neuroscience lab before starting med school at the University of Arizona. He then moved to NYC where he completed residency at Columbia. His clinical interests include management of immunocompromised hosts, and his research interest is in medical education.  More than that he is a teacher at heart and is obtaining a Master’s of Education at the Johns Hopkins School of Education and was recently awarded a grant to develop a fungal diagnostic curriculum for residents. He loves to play soccer with his wife and son. He is master educator, appeared on and has authored many important tweetorials. He has also appeared on the hit medical podcast, The Clinical Problem Solvers. 

Infectious disease experts from the Johns Hopkins Hospital, Drs. Natasha Chida and Saman Nematollahi join the CardioNerds for a 4 part COVID-19 infectious disease series. In this second episode, we discuss all things to consider with regards to protecting healthcare workers in COVID-19 as well as their families as they face the pandemic. Be sure to stay tuned for the remaining 2 parts of this mini-series where we will discuss the clinical presentation and diagnosis of COVID-19, and the virology. Flutter Moment by Dr. Meredith Sloan (Internal medicine, University of Mississippi Medical Center). Check out the COVID-19 series page! Take me to episode topics page Click here for Youtube COVID-19 Playlist Dr. Natasha Chida, an infectious disease expert at Johns Hopkins. Dr Chida received her MD from the University of Miami Miller School of Medicine, where she also earned an MSPH (masters of science in public health). She completed internal medicine residency at Jackson Memorial Hospital and infectious disease fellowship at Johns Hopkins, where we were lucky to keep her on as faculty. She is a truly incredible educator and mentor to all levels of trainees -- she serves as assistant director of the infectious disease fellowship program, co-director of the medical education pathway for residents, director of education for the Johns Hopkins Center for Global Health Education, and course director for the ‘Topics in Interdisciplinary Medicine’ course for medical students. Dr. Saman Nematollahi grew up in Tucson, Arizona. He completed his undergrad at the University of Arizona with dual degrees in Physiology and Spanish Literature. He spent some time after undergrad working in a neuroscience lab before starting med school at the University of Arizona. He then moved to NYC where he completed residency at Columbia. His clinical interests include management of immunocompromised hosts, and his research interest is in medical education.  More than that he is a teacher at heart and is obtaining a Master’s of Education at the Johns Hopkins School of Education and was recently awarded a grant to develop a fungal diagnostic curriculum for residents. He loves to play soccer with his wife and son. He is master educator, appeared on and has authored many important tweetorials. He has also appeared on the hit medical podcast, The Clinical Problem Solvers.  Besides for discussing Protecting Healthcare Workers in COVID-19, we are thrilled to have Dr. Meridith Sloan on the Cardionerds podcast for her inspiring flutter moment! Dr. Meredith Sloan is a proud graduate of the University of Virginia (Wahoowa!) and went to the Medical University of South Carolina. She is currently a third year Internal Medicine resident at the University of Mississippi Medical Center, and is looking forward to being a Chief Resident next year.

Infectious disease experts from the Johns Hopkins Hospital, Drs. Natasha Chida and Saman Nematollahi join the CardioNerds for a 4 part COVID-19 infectious disease series. In this first part we discuss the emerging therapies in our armamentarium. Be sure to stay tuned for the remaining 3 parts in which we tackle advice for the health care worker, the clinical presentation & diagnosis, and the virology. Flutter Moment by Dr. Justin Berk (Medicine/Pediatrics). Check out the COVID-19 series page! Take me to episode topics page Dr. Natasha Chida, an infectious disease expert at Johns Hopkins. Dr Chida received her MD from the University of Miami Miller School of Medicine, where she also earned an MSPH (masters of science in public health). She completed internal medicine residency at Jackson Memorial Hospital and infectious disease fellowship at Johns Hopkins, where we were lucky to keep her on as faculty. She is a truly incredible educator and mentor to all levels of trainees -- she serves as assistant director of the infectious disease fellowship program, co-director of the medical education pathway for residents, director of education for the Johns Hopkins Center for Global Health Education, and course director for the ‘Topics in Interdisciplinary Medicine’ course for medical students. Dr. Saman Nematollahi grew up in Tucson, Arizona. He completed his undergrad at the University of Arizona with dual degrees in Physiology and Spanish Literature. He spent some time after undergrad working in a neuroscience lab before starting med school at the University of Arizona. He then moved to NYC where he completed residency at Columbia. His clinical interests include management of immunocompromised hosts, and his research interest is in medical education.  More than that he is a teacher at heart and is obtaining a Master’s of Education at the Johns Hopkins School of Education and was recently awarded a grant to develop a fungal diagnostic curriculum for residents. He loves to play soccer with his wife and son. He is master educator, appeared on and has authored many important tweetorials. He has also appeared on the hit medical podcast, The Clinical Problem Solvers. 

Participe do Especial Curas Pela Natureza: https://bit.ly/2vyds7W Estudo clinico não deixa dúvida, é possível reverter hoje os danos do envelhecimento: https://bit.ly/2Spx8nq NOVIDADE! Hormônio Acelerador do Metabolismo: https://bit.ly/2SKgrBN Médico, neurologista, professor da Unifesp, especialista em neurologia adulta e pediátrica (1985) pelo Jackson Memorial Hospital da Universidade de Miami, EUA. Obteve o título de mestre (1988) e doutor (1991) em Neurologia pela Universidade Federal de São Paulo e pós-doutorado (1993) pela Universidade de Lund, Suécia. Atualmente dirige o Laboratório de Neuropatologia e Neuroproteção. É Fundador Presidente do Instituto de Investigação e Tratamento de Autoimunidade. Atua na área de Medicina (Neurologia e Clínica Médica), com ênfase em doenças neurodegenerativas e auto-imunitárias. Desenvolveu o Protocolo Coimbra para o Tratamento de Doenças Autoimunitárias, usado em varios paises do mundo.

Fazer a Residência Médica nos Estados Unidos é uma vontade de muitos médicos brasileiros. Alguns colocam o plano em prática, e outros acabam desistindo no meio do caminho por ser uma jornada longa, exaustiva, e que exige um grande investimento financeiro. E tem gente que acaba não tentando porque desconhece o processo, não sabe nem por onde começar. Mas neste episódio do SanarCast nós vamos esclarecer as principais dúvidas sobre o processo seletivo para cursar a residência médica nos EUA. E vamos falar um pouquinho como são os programas por lá. Neste episódio nós conversamos com a Nathalia Figueiredo (@natmfig) e o Igor Oliveira (@igcaol). Ambos estão fazendo a Residência nos Estados Unidos, na cidade da Filadélfia. Eles tem um canal no YouTube o "À Vontade" ( https://www.youtube.com/user/icaol) onde falam sobre a vida por lá. Conversamos também com o João Braghiroli, que é hoje Associate Medical Director no Jackson Memorial Hospital, em Miami. Para saber mais sobre a Residência nos EUA, entre no nosso blog: https://www.sanarmed.com/como-e-o-processo-seletivo-para-residencia-nos-estados-unidos. Quer dar o seu feedback, sugerir algum assunto ou até participar do podcast? Segue a gente nas redes @sanarresidenciamedica. Entre no nosso site e confira os cursos da Sanar: www.sanarmed.com/residenciamedica/. E se gostou do SanarCast, compartilhe ele por aí! Produção e roteiro: Vitória Greve / Gravação e edição de som: Vinícius Casimiro / Design: Cláudia Guimarães

Welcome back to the Fitness, Wellness, and Longevity podcast!This week my guest was Dr. Hessam Khatami. Dr. Khatami grew up in South Florida and founded Atlantic Grove Chiropractic & Rehabilitation in 2009, a practice he still operates. He serves as a Team Chiropractor for Florida Atlantic University Athletic Department and serves as corporate physician for PepsiCo. At age 16, Dr. Khatami was diagnosed with Hodgkin’s Lymphoma and was blessed to find the head of pediatric oncology at Jackson Memorial Hospital, Dr. Stuart Toledano. Dr. Khatami became passionate about healthcare because of the “teaching approach” Dr. Toledano took while treating him. Dr. Khatami emulates this treatment philosophy and educational approach to patient care today. The motto; “Never stop learning” has lead Dr. Khatami to various post-graduate fellowships and certifications in the areas of functional assessments and treatments. He attended the International Baccalaureate program at Atlantic Community High School. He received his B.S. in Psychology from the University of Florida where he completed the pre-medical program and earned his Chiropractic Doctorate at Texas Chiropractic College in Houston, Texas.Dr. Khatami’s teaching approach as well as searching for patients’ underlying deficit, whether orthopedic, systemic, or neurological led to the creation of FTX Wellness.In the conversation we discussed:What Hessam does from day to dayHow Hessam became a ChiropractorHow Hessam started his own clinicHow he treats competitive football playersThe stereotypes of chiropractic medicineHow to know if you need to see a practitionerHow to assess fitness athletesThe future of chiropractic medicine...and much, much more!If you like today's podcast, please subscribe, rate, and review!

Welcome back to the Fitness, Wellness, and Longevity podcast!This week my guest was Dr. Hessam Khatami. Dr. Khatami grew up in South Florida and founded Atlantic Grove Chiropractic & Rehabilitation in 2009, a practice he still operates. He serves as a Team Chiropractor for Florida Atlantic University Athletic Department and serves as corporate physician for PepsiCo. At age 16, Dr. Khatami was diagnosed with Hodgkin’s Lymphoma and was blessed to find the head of pediatric oncology at Jackson Memorial Hospital, Dr. Stuart Toledano. Dr. Khatami became passionate about healthcare because of the “teaching approach” Dr. Toledano took while treating him. Dr. Khatami emulates this treatment philosophy and educational approach to patient care today. The motto; “Never stop learning” has lead Dr. Khatami to various post-graduate fellowships and certifications in the areas of functional assessments and treatments. He attended the International Baccalaureate program at Atlantic Community High School. He received his B.S. in Psychology from the University of Florida where he completed the pre-medical program and earned his Chiropractic Doctorate at Texas Chiropractic College in Houston, Texas.Dr. Khatami’s teaching approach as well as searching for patients’ underlying deficit, whether orthopedic, systemic, or neurological led to the creation of FTX Wellness.In the conversation we discussed:What Hessam does from day to dayHow Hessam became a ChiropractorHow Hessam started his own clinicHow he treats competitive football playersThe stereotypes of chiropractic medicineHow to know if you need to see a practitionerHow to assess fitness athletesThe future of chiropractic medicine...and much, much more!If you like today's podcast, please subscribe, rate, and review!

This hour, some of the winners of our annual documentary competition.Featuring...John Thompson vs. American Justice, produced by Andrew Marantz, Sarah Lustbader, and Katherine Wells and edited by David Krasnow for The New Yorker Radio Hour. Winner of the 2018 Best Documentary: Bronze Award When John Thompson was investigated for the murder of the son of a prominent family in New Orleans, he insisted on his innocence. But prosecutors wanted a conviction and he quickly landed on death row. Eighteen years later, and just weeks before his execution date, Thompson’s lawyers discovered that a prosecutor had hidden exculpatory evidence from the defense. Uncounted Civilian Casualties in Iraq, produced by Annie Brown, with reporter Azmat Khan and edited by Lisa Tobin for The Daily. Winner of a 2018 Best Documentary: Honorable Mention Award The American-led battle against the Islamic State has been hailed as the most precise air campaign in history. But its airstrikes have killed far more Iraqi civilians than anyone has acknowledged. Basim Razzo lost his family and his home in one of these airstrikes. Why was Mr. Razzo’s home targeted? And how often does this happen? Summer Rain, produced by Nanna Hauge Kristensen for Danish Radio P1. Winner of the 2018 Best Documentary: Foreign Language Award Visibility and invisibility. Severance and openings. Everyday life, loss and rain. This short documentary is a personal piece about Chemo therapy. Host’s Fat, produced by Jonathan Zenti and edited by Cathy Fitzgerald for Meat. Winner of the 2018 Skylarking Award Jonathan Zenti is an overweight man. He explains how the shape of his body and the diets he underwent in his life has often caused him to question his identity. Hidden Problems of Silicon Valley, produced by Will Evans and Alyssa Jeong Perry and edited by Taki Telonidis with Ziva Branstetter for Reveal in partnership with KQED. Winner of the 2018 Radio Impact Award This investigation into Tesla’s safety practices shows how the company has prioritized production over safety and disregarded the warnings of its own safety staff. Tesla responded by calling Reveal an "extremist organization." Overnight in the E.R., produced by Sammy Mack and edited by Alicia Zuckerman for WLRN News. Winner of the 2018 Best News Feature Award Over the course of a night at the Ryder Trauma Center at Jackson Memorial Hospital in Miami, it’s not uncommon to see a gunshot wound victim come through the doors. This story shows what happens in those crucial moments after a shooting in real-time. Man Choubam (I am good), produced by Sharon Mashihi with editors Bob Carlson and Kaitlin Prest for UnFictional from KCRW. Winner of the 2018 Best Documentary: Silver Award Sharon calls herself a weirdo and refuses to conform to cultural standards. Her mom does not approve. They confront their longstanding differences on an Iranian self-help cruise. This hour of Best of the Best was produced by Isabel Vázquez.Listen to the full pieces at ThirdCoastFestival.org. Learn more about this year's Third Coast / Richard H. Driehaus Foundation Competition Awards Ceremony here.Find the full tracklist of songs featured in this hour at ThirdCoastFestival.org. See acast.com/privacy for privacy and opt-out information.

In this podcast, John Marchica discusses with Dr. Joshua Lenchus the challenges that come with running a safety net hospital, and the role that social determinants of health play in managing population health initiatives. Topics include: Managing population health in a safety net system Social determinants of health and medical compliance Why we should avoid integrating social determinants of health into the EMR. Speaker Bios Joshua Lenchus, DO, RPh, FACP, SFHM, holds a pharmacy degree from the University of Florida, and graduated from Nova Southeastern University College of Osteopathic Medicine in 2000. He currently works as a hospitalist at Jackson Memorial Hospital for the University of Miami Miller School of Medicine. In 2012, was elected as the youngest and the first osteopathic President of the Jackson Health System medical staff and chairman of its medical executive committee. He was subsequently re-elected in 2014 and 2016. In 2007 he developed a novel curriculum centered about simulation-based invasive bedside procedural instruction. Now in its eleventh year, the program has transformed the way procedures are taught and performed, decreasing complications thereby leading to safer patient care. Outside the hospital, Dr. Lenchus is incredibly involved, serving as a leader, in multiple county, state and national medical associations, including as the newly elected President of the Florida Osteopathic Medical Association, the Florida Medical Association, the American College of Physicians, and the Society of Hospital Medicine. John Marchica is a veteran health care strategist and CEO of Darwin Research Group. Previously, he was the founder and CEO of FaxWatch, a leading business intelligence and medical education company and two-time member of the Inc. 500 list of America's fastest growing companies. John is the author of The Accountable Organization and has advised senior management on strategy and organizational change for more than a decade. John did his undergraduate work in economics at Knox College, has an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is a faculty associate in the W.P. Carey School of Business and the College of Health Solutions at Arizona State University, and serves as an active member of the American College of Healthcare Executives. About Darwin Research Group Darwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin’s client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.

El Dr. Iván Mendoza, Cardiologo Venezolano y parte del Jackson Medical Group nos habla de los riesgos y sintomas así como la prevención de las enfermedades del corazón. El Dr Mendoza será nuestro ponente este Jueves 22 de Febrero en nuestro desayuno de negocios a celebrarse en los salones del Jackson Memorial Hospital en Miami. Disfrute de esta entrevista y les invitamos a confirmar su asistencia al evento en este link https://www.facebook.com/events/802735239918481/

Dr. Paul Y. Casanova-Romero, M.D., M.P.H., F.A.C.P., F.A.C.E, E.C.N.U, que se unió a Palm Beach Diabetes y Endocrine Specialists en 2012, recibió su grado médico con honores (Summa Cum Laude) y Doctor en Ciencias Médicas (DMSc), de la Universidad de Zulia, la Escuela de Medicina en Venezuela. Posteriormente se unió a la facultad de su Alma Mater y en 1998, el Grupo de Investigación del Programa de Prevención de la Diabetes (D.P.P.) en el Instituto de Investigación de la Diabetes-Universidad de Miami. Completó su posgrado en Medicina Interna y Endocrinología (Jackson Memorial Hospital) y estudios de postgrado en Salud Pública (M.P.H.) con el Premio de Mérito Académico en la Universidad de Miami. Un consultor privado endocrinólogo y orador nacional desde 2006, el Dr. Paul Y. Casanova-Romero de investigación extensa sobre la prevención de la diabetes, trastornos de la tiroides, síndrome metabólico y otros trastornos endocrinos han sido ampliamente publicadas. Sigue colaborando en estudios de investigación en Estados Unidos y Latinoamérica, el más reciente en pruebas moleculares de tiroides. El Dr. Casanova-Romero está certificado por la Junta en Medicina Interna, así como en Endocrinología, Diabetes y Metabolismo. Es miembro del Colegio Americano de Endocrinología (F.A.C.E.) y miembro del Colegio Americano de Médicos (F.A.C.P.). Actualmente es profesor voluntario de medicina en la Universidad de Miami. Dr. Paul Y. Casanova-Romero se especializa en el tratamiento de la enfermedad de la tiroides incluyendo nódulos tiroideos, hipotiroidismo, hipertiroidismo y cáncer de tiroides, enfermedad paratiroidea, diabetes, pre-diabetes, trastornos lipídicos y otros trastornos endocrinos. Él ha estado usando la prueba molecular para la caracterización de los nódulos de la tiroides desde 2010. Él ha satisfecho con éxito los requisitos para la certificación endocrina en el ultrasonido del cuello (ECNU) para realizar la biopsia internamente guiada por ultrasonido de la aspiración de la aguja fina de nódulos de tiroides, de la paratiroides, nodos. Es miembro del panel de membresía de la American Thyroid Association, miembro activo de la Endocrine Society, la Asociación Americana de Endocrinólogos Clínicos, la American Diabetes Association, el American College of Physicians y la National Lipid Association. En esta entrevista hablamos sobre esta temas: ¿Cómo se identifican los nódulos y por qué ocurren? autoexamen o en la oficina del médico La mayoría de los nódulos son benignos pero ocurren porque en mas de 70% de la población ¿Qué tests puede realizar un médico para evaluar el nódulo? Ninguna test es 100% Ultrasonido - qué están buscando en general Que es ojo fina y el proceso general Tests moleculares ¿Qué tipos de resultados se pueden obtener de la citología y qué significan? La mayoria de ojo finas son benigno Maligno o sospechoso de malignidad, todavía tiene la posibilidad de no ser cáncer Los arco iris - 3,4,5 - indeterminate categoria  Systema BETHESDA ¿Qué tests adicionales se pueden realizar para resolver los nódulos indeterminados? - Tests moleculares Que son todas los tests moleculares?  Y son las mismas? Dr. Casanova prefiere usar test de Afirma, este es por que MAS INFORMACIÓN Dr. Paul Casanova American Thyroid Association (español) La prueba de la expresión génica de Afirma puede reducir cirugías innecesarias del cáncer de tiroides Afirma