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At the California Academy of Family Physicians, we know that Addiction Medicine is Family Medicine. In our latest series 1 in 5, we bring you stories of doctors - and their patients - who have worked together to reduce the harm done by opioid use disorder (OUD). These brief stories will bring you into the hearts and minds of our guests. We hope that this will inspire you to do everything in your power to bring medical attention to the OUD patients in your practice. Episode 4: I Leaned In: One Family Doc's Story of Treating Opioid Use Disorder In this episode we meet with a leader in family medicine. A practicing family doc and health system administrator who shares his journey toward treating OUD. Guests: Dr. Jay W. Lee, MD, MPH, FAAFP is a board-certified family physician who sees patients at KCS Health, a community health center serving patients who have immigrated or who have been impacted by the carceral system in Orange County, CA. He also serves as medical director at Integrated Health Partners, a clinically-integrated network serving 350,000 patients insured mostly by Medicaid whose medical home is at one of 9 community health centers in 3 counties. Dr. Lee co-founded the Family Medicine Revolution hashtag: #FMRevolution, a grassroots social media movement giving the power of telling family medicine's story back to family physicians and building a global community of thought leaders. Our interviewer, Dr. Tipu Khan, MD, FAAFP, FASAM is the Medical Director of the Ventura County Backpack Medicine Group, Primary Care Hepatitis C Eradication Project. He is also Chief of the Ventura County Addiction Medicine Specialty clinic and consultation service, with a speciality in SUD in pregnancy. The Family Docs Podcast is hosted by Rob Assibey, MD, FAAFP. Resources CAFP's SUD webpage, including MOUD Champions https://familydocs.org Article: Stigma Against Patients With Substance Use Disorders Among Health Care Professionals and Trainees and Stigma-Reducing Interventions: A Systematic Review The Bridge (formerly CA Bridge) https://bridgetotreatment.org UCSF Warm Line https://nccc.ucsf.edu/clinician-consultation/substance-use-management Series Information The Family Docs Podcast series 1 in 5 is supported by the California Department of Health Care Services (DHCS). The Family Docs podcast is developed, produced, and recorded by the California Academy of Family Physicians. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of any entities they represent or the California Academy of Family Physicians. Copyright 2024, California Academy of Family Physicians. More information at www.familydocs.org/podcast. Visit the California Academy of Family Physicians online at www.familydocs.org. Follow us on social media: Twitter - https://twitter.com/cafp_familydocs Instagram - https://www.instagram.com/cafp_familydocs Facebook - https://www.facebook.com/familydocs
In this episode, we have two interviews, about two completely different topics, although they are both about taking charge of the problem at hand. First, PW Editorial Board Member Dr. Alex McDonald speaks with Dr. Jay W. Lee, CMO at Share Our Selves, a federally qualified health center in Orange County, CA. Respected and known as a relational, facilitative leader who motivates and empowers his team to think big and deliver on the organizational mission, his key strengths include practice transformation, health equity, strategic planning, health policy and management, and digital health/social media. He feels that family medicine must rise up and become the leaders of our communities. It's a lively and fun interview!Next, we speak with Dr. Reina Haque, senior cancer epidemiologist in the Kaiser Permanente Southern California Department of Research & Evaluation. Dr. Haque discusses her recently published study, in JAMA Network Open, which found that moderate to high levels of physical activity—equal to about 15 minutes a day—reduced mortality by 60% in breast cancer survivors.Enjoy listening!Additional reading:Chen LH, Irwin MR, Olmstead R, Haque R. Association of Physical Activity With Risk of Mortality Among Breast Cancer Survivors. JAMA Netw Open. 2022;5(11):e2242660. doi:10.1001/jamanetworkopen.2022.42660https://www.familydocs.org/fmrising/
Biden jokes about expanded fight with Russia: 'If I gotta go to war, I'm going with you guys' Biden tells union workers, 'This fight is far from over' https://www.foxnews.com/politics/biden-jokes-war-russia-ukraine-union-sanctions President Biden joked about the possibility of the Russian invasion of Ukraine to expand to directly involve the U.S. military on Wednesday, telling union workers, "If I gotta go to war, I'm going with you guys." Biden made the statement during an address to union workers at the North American Building Trades Unions legislative conference Wednesday. Biden opened his speech with a lengthy section addressing new sanctions against Russia. "This fight is far from over," Biden said. "Here's the point: This war could continue for a long time, but the United States will continue to stand with Ukraine and the Ukrainian people in their fight for freedom." "And by the way, if I gotta go to war I'm going with you guys. I mean it," he added. Biden's statement comes after months of he and other administration officials stating that the U.S. will not deploy troops to Ukraine. The U.S. military has limited its deployments to nearby NATO countries, and warned Russian President Vladimir Putin that invasion of one of those countries would mean direct war with the U.S. --------------------------- In fiery speech, Ukraine's Zelensky implores U.N. Security Council to hold Russia to account https://ca.news.yahoo.com/zelensky-address-security-council-renewed-115338286.html Ukrainian President Volodymyr Zelensky, in an impassioned address to the U.N. Security Council on Tuesday, likened perceived Russian atrocities in his homeland to Nazi war crimes, calling for Nuremberg-style tribunals to hold Moscow accountable. “They shot and killed women outside their houses. They killed entire families, adults and children, and they tried to burn the bodies,” Zelensky said in a video appearance before the Security Council, a day after an emotional visit to the ravaged town of Bucha, outside the capital, Kyiv. “They cut off limbs, slashed throats, raped women in front of their children," the Ukrainian leader said in his most forceful excoriation to date of the Russian invasion. In a perhaps risky strategy of sharply criticizing the body from which he is seeking help, Zelensky issued a stark challenge to world institutions such as the United Nations to make sweeping changes to the global security architecture, asking sardonically at one point: "Are you ready to close the U.N.?" “It is obvious that the key institutions of the world … simply cannot work effectively,” said the 44-year-old president, who has won worldwide accolades for presiding over his compatriots' fierce and sustained resistance to the Russian attempt to subjugate Ukraine. ----------------------------- Some hoped FDA approval of Pfizer's COVID vaccine would convince unvaccinated Americans. It didn't, study finds. But a study published Wednesday in JAMA Network Open found the shift from emergency use authorization of the vaccine to full approval did not sway unvaccinated Americans. Researchers from the University of Utah analyzed vaccination data from the Centers for Disease Control and Prevention starting July 25, a month before full FDA approval, to Sept. 9, the day before President Joe Biden made his vaccine mandate announcement. Using the vaccination rate leading up to full approval, they estimated how many doses would have been administered compared to the actual recorded number. Study authors found FDA approval was associated with an overall 36% increase in vaccinations, but most were second doses. First doses, they found, were 16% lower than predicted. Health experts are not surprised by the study's findings. “The reason why people get vaccinated has very little correlation with whether or not something is approved or an EUA,” said Dr. Jay W. Lee, a family physician and chief medical officer of Share Our Selves community health center in Orange County, California, who is not affiliated with the study. ---------------------------- Anti-vaccine beliefs come from a childhood of mistrust, study claims Are recent politics really to blame for the widespread resistance to the COVID-19 vaccine? A new study suggests that the real answer may go much deeper than people think. Researchers from Duke University say the passionate opposition to vaccinations and policies like mask mandates can trace its roots back all the way to a person's childhood. Their study claims that growing up in an atmosphere of mistrust leads to these attitudes later in life. “We had so many friends and family who initially said that the pandemic was a hoax, and then refused to wear a mask or social-distance, and kept singing in the choir and attending events,” says study senior author Terrie Moffitt in a university release. “And then when the vaccines came along, they said ‘over their dead bodies,' they would certainly not get them,” adds Moffitt, Duke's Nannerl O. Keohane University Distinguished Professor of Psychology & Neuroscience. “These beliefs seem to be very passionate and deeply held, and close to the bone. So we wanted to know where they came from.” ‘Don't trust the grownups' Researchers used data from the Dunedin Multidisciplinary Health and Development Study, which has been tracking nearly all of the 1,000 people born between 1972 and 1973 from a single town in New Zealand. Researchers have been measuring each person's social, psychological, and health factors since childhood — giving scientists insights into how these early years impact adulthood. Study authors conducted a special survey of the group in 2021 to examine each participant's stance on the COVID-19 vaccine before the shots became available in the country. The team then matched each person's responses to the records on their upbringing and personality over the years. Results show that, 40 years ago, respondents who are now vaccine-resistant or express vaccine hesitancy had more adverse childhood experiences than others. These include incidents of abuse, neglect, threats, and other hardships such as poverty. -------------------------- Democrats Interrogate Oil Executives About "America's Pain At The Pump" As public opinion poll after public opinion poll has confirmed, surging gas prices is one of the most controversial issues in the US. As President Biden made clear when he announced his plans to release 180 million barrels from the Strategic Petroleum Reserve, Democrats are doing everything they can to try and blame rising prices on President Putin and the American energy industry (which Biden accused of greedily holding back on production, even though his own energy policies have made it harder for shale producers to do so). So, in their latest attempt to blame the spike in prices on evil corporate America, Democrats on the House Energy and Commerce Subcommittee on Oversight and Investigations are holding a hearing on Wednesday, where they will interrogate the CEOs of Exxon Mobil, Chevron, BP America, Shell USA, Devon Energy Corp and Pioneer about the dynamics driving the surge in prices at the pump. The title of the hearing tells one everything they need to know about the overall tone: "Gouged At The Gas Station: Big Oil And America's Pain At The Pump". In testimony submitted to the subcommittee, the oil executives explained that a combination of labor and supply shortages have stopped their companies from raising output back to pre-pandemic levels, while the price of oil and gas are largely determined by international market conditions beyond their control. Of course, this reasoning was apparently lost on the Democrats. In an interview with Reuters, Democrat members of the committee are already sharpening their knives. "We will not sit back and allow the fossil fuel industry to take advantage of the American people and gouge them at the pump," Diana DeGette, a Democrat and chair of the subcommittee, said about the hearing at which executives from Exxon Mobil, Chevron, BP America, Shell USA , Devon Energy and Pioneer will testify. "We want to know what's causing these record-high prices and what needs to be done to bring them down immediately," she said. Many Democrats have complained that oil companies have made record profits while consumers face high prices. In addition to the executives, former Trump Administration National Security Advisor HR McMaster, now a senior fellow at Stanford's Hoover Institute, will also participate. ----------------------- FEATURED GUEST NEW BOOK from #1 Nationally Bestselling Author: The Dancer and The Devil April 6, 2022, Washington, D.C.—Communism must kill what it cannot control. So, for a century, it has killed artists, writers, musicians, and even dancers. It kills them secretly, using bioweapons and poison to escape accountability. Among its victims was Anna Pavlova, history's greatest dancer, who was said to have God-given wings and feet that never touched the ground. But she defied Stalin, and for that she had to die. Her sudden death in Paris in 1931 was a mystery until now. The Dancer and the Devil: Stalin, Pavlova, and the Road to the Great Pandemic by nationally bestselling author John O'Neill and international lawyer Sarah Wynne traces Marxism's century-long fascination with bioweapons, from the Soviets' leak of pneumonic plague in 1939 that nearly killed Stalin to leaks of anthrax at Kiev in 1972 and Yekaterinburg in 1979; from the leak of a flu in northeast China in 1977 that killed millions to the catastrophic COVID-19 leak from biolabs in Wuhan, China. Marxism's dark past must not be a parent to the world's dark future. COMMUNIST CHINA PLAYED WITH FIRE AND THE WORLD IS BURNING Nearly ten million people have died so far from the mysterious COVID-19 virus. These dead follow a long line of thousands of other brave souls stretching back nearly a century who also suffered mysterious "natural" deaths, including dancers, writers, saints, and heroes. These honored dead should not be forgotten by an amnesiac government trying to avoid the inconvenient truth. The dead and those who remember and loved them deserve answers to two great questions. How? Why? The Dancer and the Devil answers these questions. It tracks a century of Soviet and then Chinese Communist poisons and bioweapons through their development and intentional use on talented artists and heroes like Anna Pavlova, Maxim Gorky, Raoul Wallenberg, and Alexei Navalny. It then tracks leaks of bioweapons beginning in Saratov, Russia, in 1939 and Soviet Yekaterinburg in 1979 through Chinese leaks concluding with the recent concealed leak of the manufactured bioweapon COVID-19 from the military lab in Wuhan, China. Stalin, Putin, and Xi, perpetrators of these vast crimes against humanity itself, should not be allowed to escape responsibility. This book assembles the facts on these cowardly murderers, calling them to account for their heartless crimes against man culminating in COVID-19.
“If you have knowledge, let others light their candles in it.” - Margaret FullerWe all have physical voices, but the freedom of speech and the right to self-expression are rare privileges that aren't necessarily available to other nations. That is why we must use our voice for good even more.To be able to use your voice and share your story is a chance to make someone feel that he or she is not alone. Although your life may seem ordinary to you, it may be extraordinary to someone else and sharing the story of your life may be a step in lifting others' lives.Learning the stories about poverty and social injustice will remind ordinary people that they are capable of lifting someone's lives even through their smallest actions. Serving the poor and the differently-abled are some of the greatest humanitarian acts someone can provide for others in his or her lifetime.In this episode, we've invited the CEO of Share Our Selves, Dr. Jay Lee, to share with us what the organization is doing especially in this pandemic. Share Our Selves is a nationally recognized health center providing high-quality, comprehensive safety net services to the Orange County community designated to provide healthcare for the homeless provider. Good-hearted people like Dr. Lee are very special in this world because of their service to the people, especially the unprivileged. Listen to this episode to know more about Share Our Selves and to open your mind and be enlightened about how we can serve people living in poverty. Other Resources Mentioned:Project RoomkeyImportant Points:There are donors and grants who pay for the organization and the volunteers are usually people at risk.Project Roomkey has been the temporary housing of the people with high medical riskContact Care, Continuity, Comprehensive, and Coordinate are the 4C's that make a huge difference in terms of quality and its impact on morbidity and mortality. Poor people are at higher risk of contracting COVID because of overcrowding and poor living conditions, poor diet and lack of nutrition, which results in lower immunity to sicknesses. Community safety, food insecurity, and secure housing can contribute to health.About the Guest:Jay W. Lee, MD, MPH, FAAFP is the Chief Executive Officer of Share Our Selves, Director of Primary Care at CareMore Health, awarded as 2021 Family Physician of the Year by California Academy of Family Physicians, and a media ambassador of AAFP. About the Host:Dung Trinh, MD is the Chief Medical Officer of Irvine Clinical Research, medical missionary with TongueOut Medical Missions, and holds leadership positions with multiple health care organizations in Orange County. He is a keynote speaker, best-selling author, and Host of “Health Talks with Dr Trinh” which can be heard weekly on OC Talk Radio.Connect with Dr. TrinhHealthTalks OC WebsiteFacebookLinkedIn
Welcome to Majority.FM's AM QUICKIE! Brought to you by justcoffee.coop TODAY'S HEADLINES: The Federal Bureau of Investigation busted a plot by right-wing militia members to kidnap a Democratic governor. Who ever could have inspired them? Any guesses? Meanwhile, medical workers around the country are at their wits’ end with coronavirus conspiracy theorists. Again, I ask you, where are people getting such crazy ideas? And lastly, Donald Trump – you remember him – says he won’t participate in any online debates. As a result, Joe Biden is all set to get some free network airtime. THESE ARE THE STORIES YOU NEED TO KNOW: They wanted to ignite a civil war and bring about societal collapse. Instead, they’re headed to federal prison, possibly for the rest of their lives. Federal agents yesterday charged six men in an outrageous plot to kidnap Michigan’s Democratic Governor, Gretchen Whitmer, and put her on trial for treason. Seven more men – members of a right-wing militia called the Wolverine Watchmen – caught state charges in a related conspiracy. Federal agents allege the conspirators twice conducted surveillance at Whitmer's personal vacation home in northern Michigan. The Detroit News reports that through confidential sources, undercover agents and clandestine recordings, federal agents tracked the six men during their planning to kidnap Whitmer as they communicated over encrypted messaging platforms using code words and phrases in an attempt to avoid detection by law enforcement. The group also allegedly participated in field exercises that included detonating an improvised explosive wrapped in shrapnel to test its capabilities. The FBI and state police arrested several of the conspirators when they were meeting on the east side of the state to pool funds for explosives and exchange tactical gear, the News reports. The federal investigation dates to early 2020 when the FBI learned through social media that individuals were discussing the violent overthrow of several state governments. According to the FBI, the group talked about creating a society that followed the US Bill of Rights where they could be self-sufficient. Addressing the foiled plot, Whitmer said QUOTE I knew this job would be hard. But I’ll be honest, I never could have imagined anything like this ENDQUOTE. She also suggested Trump’s rhetoric made him effectively complicit. Joe Biden echoed that idea, asking QUOTE Why can’t the president just say stop, stop, stop, stop? ENDQUOTE. Trump campaign official Jason Miller on Fox News yesterday attacked Whitmer, saying she wakes up everyday with hatred in her heart towards Trump. Back in April, when armed right-wing militia took over the state capitol of Lansing, Trump tweeted liberate Michigan. I guess people were listening. Coronavirus disinformation frustrates doctors Doctors and nurses across the country are frustrated and overwhelmed by members of the public who’ve swallowed various conspiracy theories about the coronavirus. It’s a problem that many worry will get even worse now that Trump is promoting the experimental treatment he received at Walter Reed hospital as another miracle cure, and telling people not to be afraid of the virus. Nurse Amelia Montgomery of Springfield, Missouri, shared her frustrations with the Associated Press. She complained that some people demand the anti-malaria drug hydroxychloroquine and think the only patients who get really sick have underlying health problems. To be clear: that isn’t true. Doctor Jay W. Lee, a family physician in Orange County, California, recalled a patient who demanded QUOTE the largest hydroxychloroquine prescription you can give me ENDQUOTE. The problem is pronounced in red states, the AP reports. In Iowa, home health nurse Lisa Dockery was fired from her job caring for a boy with severe disabilities after arguing with his parents, who said Covid-19 is a hoax. The argument started because the parents refused to wear masks, even though she told them their son’s life was in danger because he has respiratory problems, relies on tube feedings and cannot walk. The case ended with a judge ordering her former employer to pay her unemployment. In Georgia, at Augusta University Medical Center, visitors have tried to get around the mask requirement by wearing face coverings made of fishnet and other material with visible holes. The hospital calls this malicious compliance. People also have shown up with video cameras in an attempt to collect proof the virus is a hoax. Doctor Phillip Coule, chief medical officer at the Augusta health system, contracted the virus in July and has seen two staff members die. He said he fears people may draw the wrong lesson about the seriousness of the disease from what happened to Trump, and may extrapolate that the risk for a seventy four-year-old is low when the opposite is true. As another doctor put it, per the AP, it’s an info-demic as well as a pandemic. And, as with his rhetoric encouraging violent right-wing extremism, it’s a problem Trump could put a stop to, if only he wanted to. Biden gains free airtime The next presidential debate was scheduled for next Thursday, October 15th, in Miami, Florida. Now it’s not clear whether the debate will be happening at all. The Commission on Presidential Debates, which organizes the events, said it would change course and hold the second debate remotely in order to protect the health and safety of all involved. In response, Trump yesterday morning told Fox News QUOTE I'm not going to waste my time on a virtual debate... they cut you off whenever they want ENDQUOTE. Someone is cranky about being asked to follow the rules! In turn, Joe Biden’s campaign said the event should be pushed back to October 22nd, so that the president is not able to evade accountability. The Trump campaign seemed open to that idea, but then wanted to schedule a third debate for October 29th – five days before the election – which the Biden campaign rejected. With all this back-and-forth going on, ABC News scheduled a town hall with Biden, moderated by the anchor George Stephanopoulos, on October 15th, the night the second debate was set to take place. Producers at ABC News reportedly finalized plans for the Biden town hall yesterday after Trump withdrew from the debate. So as of now, Trump’s refusal to play by the rules has resulted in significant free airtime for Biden. The Democratic candidate observed yesterday that Trump QUOTE changes his mind every second ENDQUOTE. Yup, and at this stage of the presidential race, Trump’s indecision clearly works to Biden’s advantage. AND NOW FOR SOME QUICKER QUICKIES: Police in Portland, Oregon, targeted street medics with teargas and projectiles during summer protests, in what a new report by Physicians for Human Rights calls indiscriminate attacks. The Guardian says the human rights group found a pattern of cruel, inhuman, or degrading treatment from Portland police and federal agents, violating several international compacts on the use of force, and arguably constituting torture. The police offered no substantive reponse. Actions speak louder, anyway. Hurricane Delta is set to make landfall in Louisiana today not far from where Hurricane Laura hit in late August. Delta is the tenth named storm of the season – that’s a new record for a single year. More than a dozen Louisiana cities and parishes called on residents to evacuate. Take care out there. Prominent Republican fundraiser Elliott Broidy has been charged in an illegal lobbying campaign aimed at getting the Trump administration to drop an investigation into the multibillion-dollar looting of a Malaysian state investment fund, the AP reports. He was working on behalf of a fugitive Malaysian financier, Jho Low, and sought to arrange meetings with both Trump and former Attorney General Jeff Sessions. Broidy faces a single conspiracy charge related to his failure to register as a foreign agent. Oopsie! NBC News reports that House Speaker Nancy Pelosi plans to introduce legislation today that would create a Commission on Presidential Capacity, which would be involved in presidential transfer of power procedures under the 25th Amendment to the Constitution. Pelosi will hold a news conference on the bill with Representative Jamie Raskin of Maryland this morning. Intriguing... That’s all for the AM Quickie. Join us this afternoon on the Majority Report. Oct 9, 2020 - AM Quickie HOSTS - Sam Seder & Lucie Steiner WRITER - Corey Pein PRODUCER - Dorsey Shaw EXECUTIVE PRODUCER - Brendan Finn
Exercise with Cold Weather (0:00:00) The cold weather doesn't have to put our fitness routines on hold. The winter season can provide for some fun and effective opportunities to stay active. Knowing how to stay safe and warm, will help us be able to take advantage of exercising during this time of year. Here to tell us all about being active in the cold weather is Malia Frey. Malia is a certified health coach and personal trainer. Thanksgiving Story (0:14:20) Sam Payne, host of The Apple Seed, shares a special Thanksgiving Story. Immunizations (0:29:00) We wanted to share some tips on vaccinations. Which ones are necessary and when do we need to get them. Here to tell us all about it is Dr. Jay W. Lee. Zero Waste Daniel (0:49:26) What if I told you it was the new trend to start wearing trash? Doesn't sound too appealing, but did you know nearly 15% of the material used in the fashion industry goes straight to the landfill? Now one New York designer is breaking the trend and setting the standard for the world to turn waste into clothing. We have the Brooklyn-based fashion pioneer, Daniel Silverstein, with us to talk about his business and the industry's first line of zero-waste clothing, called Zero Waste Daniel. Refugees and Immigrants (1:01:59) Is there anything scarier than a move? Starting your whole life over is definitely daunting—especially if you're moving to a place where you don't speak the language, don't have a place to stay, or if don't have a place to work. This is the case of so many immigrants and refugees coming to the United States in search of a safer life and better opportunities for themselves and their children. Here to educate us more about what this experience can be like and how we can help people through this process is Natalie El-Deiry, executive director of the International Rescue Committee in Utah. Food Waste (1:15:01) How much money are you spending on food that you never actually eat? About 60 million tons or $160 billion worth of produce are thrown away in the US each year, and, according to the EPA, wasted food is the number one thing filling up our landfills. So what's the alternative to throwing out that uneaten food? What can we do at home to help fight this? Here to tell us all about it, is Waste Less Solutions founder, Dana Williamson. Soles4Souls (1:27:00) Now that winter is just around the corner, what is the first thing we do before stepping outside our homes into the November cold? We put our shoes on. Sadly, there is a huge population in the world that doesn't have the luxury of owning a pair of shoes. It can be dangerous to not have access to your own shoes, especially in countries with extreme heat or hazardous road conditions. This is what inspired the creation of Soles4Souls, a non-profit organization dedicated to fighting against world poverty through donations of new and used shoes. We've invited director of national partnerships Megan Walsh on the show to talk with us about her experience with the organization and how far donating a pair of shoes can go.
Dr. William Li explains how our diet can protect us from disease, Pam Redmond talks about the most popular baby names, Mary Collins discusses the popularity of the card game bridge, Dr. Jay W. Lee talks about the value of immunizations, Nick Wignall gives tips for disconnecting from technology, Dr. Westin Spencer joins us in honor of National Eye Exam Month.