Podcasts about keck hospital

In this episode, Laura Dyrda speaks with Marty Sargeant, CEO of Keck Medical Center, Keck Hospital of USC, and USC Norris Cancer Hospital, about an innovative leadership program designed to empower middle management. Marty shares insights on fostering purposeful leadership, the use of Brené Brown's Dare to Lead framework, and how this initiative has transformed culture, reduced turnover, and enhanced organizational performance.

Audible Bleeding editor Wen (@WenKawaji) is joined by 5th year general surgery resident Richa Kalsi (@KalsiMD) from University of Maryland Medical Center, 3rd year general surgery resident Sasank Kalipatnapu (@ksasank) from UMass Chan Medical School, JVS editor Dr. Forbes (@TL_Forbes), and JVS-CIT editor Dr. Smeds (@matsmeds) to discuss two great articles in the JVS family of journals regarding endosuture aneurysm repair mid-term follow-up and endovascular repair of thoracic aortic aneurysm with aberrant subclavian artery. This episode hosts Dr. Frank Arko (@farkomd), Dr. Sukgu Han (@SukguH), and Dr. Fernando Fleischman, authors of the following papers:   Articles: Five-year outcomes of endosuture aneurysm repair in patients with short neck abdominal aortic aneurysm from the ANCHOR registry by Arko et al Sandwich thoracic branch endoprosthesis technique for endovascular repair of thoracic aortic aneurysm with aberrant right subclavian artery by Fleischman and Han et al   Show Guests: Dr. Arko is the Chief of Vascular and Endovascular Surgery with Atrium Health, Siverling Endowed Chair of vascular surgery clinical professor at Wake Forest University, and  co-director of Center for Aortic Disease at Sanger Heart and Vascular Institute. Dr. Sukgu Han is an Associate Professor of Surgery and Program Director for the residency/fellowship in the Division of Vascular Surgery and Endovascular Therapy at Keck School of Medicine of USC. He is also the Co-Director of the Comprehensive Aortic Center at Keck Hospital of USC.  Dr Fernando Fleischman is a cardiothoracic surgeon with extensive aortic expertise at Keck Hospital of USC. He is an Associate Professor of Surgery and Associate Program Director of cardiac surgery at USC. He is also the Co-Director of the Comprehensive Aortic Center.     Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.

Today's Episode This is part 2 of a 2-part series featuring Dr. Raj discussing the nuts and bolts of drug allergies with Dr. Asal Naderi.  Today's Guest  Dr. Naderi attended UCLA for her undergraduate education and attended medical school at St. Louis University. She completed her residency in Internal Medicine and completed her fellowship in Allergy and Immunology at the University of California Irvine. She then became academic faculty at UCI for six years prior to becoming a Trojan at Keck Hospital of USC. She enjoys all that is Allergy and Immunology and encompasses a special passion for drug allergies.  Learn more about Dr. Asal Naderi here  About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. Want more Dr. Raj? Check out the Beyond the Pearls lecture series! The Ultimate High Yield Bundle: The complete review of high-yield clinical medicine topics necessary for graduate medical education board exams including NBME, USMLE Steps 1/2/3, ITE and ABIM Boards. You can also listen to the Beyond the Pearls podcast. Check out our other shows: Physiology by Physeo Step 1 Success Stories The InsideTheBoards Study Smarter Podcast The InsideTheBoards Podcast Produced by Ars Longa Media To learn more about us and this podcast, visit arslonga.media. You can leave feedback or suggestions at arslonga.media/contact or by emailing info@arslonga.media. Produced by: Christopher Breitigan and Erin McCue. Executive Producer: Patrick C. Beeman, MD The information presented in this podcast is intended for educational purposes only and should not be construed as professional or medical advice. Learn more about your ad choices. Visit megaphone.fm/adchoices

Today's Episode This is part 1 of a 2-part series featuring Dr. Raj discussing the nuts and bolts of drug allergies with Dr. Asal Naderi.  Today's Guest  Dr. Naderi attended UCLA for her undergraduate education and attended medical school at St. Louis University. She completed her residency in Internal Medicine and completed her fellowship in Allergy and Immunology at the University of California Irvine. She then became academic faculty at UCI for six years prior to becoming a Trojan at Keck Hospital of USC. She enjoys all that is Allergy and Immunology and encompasses a special passion for drug allergies.  About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. Want more Dr. Raj? Check out the Beyond the Pearls lecture series! The Ultimate High Yield Bundle: The complete review of high-yield clinical medicine topics necessary for graduate medical education board exams including NBME, USMLE Steps 1/2/3, ITE and ABIM Boards. You can also listen to the Beyond the Pearls podcast. Check out our other shows: Physiology by Physeo Step 1 Success Stories The InsideTheBoards Study Smarter Podcast The InsideTheBoards Podcast Produced by Ars Longa Media To learn more about us and this podcast, visit arslonga.media. You can leave feedback or suggestions at arslonga.media/contact or by emailing info@arslonga.media. Produced by: Christopher Breitigan and Erin McCue. Executive Producer: Patrick C. Beeman, MD The information presented in this podcast is intended for educational purposes only and should not be construed as professional or medical advice. Learn more about your ad choices. Visit megaphone.fm/adchoices

Endovascular 101 Authors: Sebouh Bazikian - MS4 at Keck School of Medicine of University of Southern California Sukgu Han - Associate Professor of Surgery at the University of Southern California. Co-director of Comprehensive Aortic Center at Keck Hospital of USC. Program Director of the Integrated Vascular Surgery Residency and Vascular Fellowship Editor: Yasong Yu Reviewers: Matt Chia and Kirthi Bellamkonda   Core Resources: Rutherford's Vascular and Endovascular Therapy 10th Edition Chapter#26-28 Additional Resources: Relevant Audible Bleeding episodes Holding Pressure Case Prep - AKA/BKA Journal Review in Vascular Surgery: Introduction to Endovascular Surgery – A Prime Peter A. Schneider, MD and Endovascular Skills - history, personal techniques and updates in the 4th Edition Closure devices:  Angioseal Mynx Proglide Endovascular procedures are minimally invasive techniques used to treat conditions affecting blood vessels, such as aneurysms, stenosis, or occlusions, by accessing the affected vessels through an incision in a peripheral artery and using imaging guidance to navigate catheters and devices through the blood vessels to the treatment site.  Endovascular procedures can be broken down into 4 key steps Establishing arterial access Navigating to target treatment zone or vessel Treating the lesion Closure Basic definition of wire, sheaths, and catheters Wires are thin, flexible metal devices used to navigate through blood vessels and to guide other devices, such as catheters or sheaths, to the target location. They are measured in thousands of an inch A 0.018 wire is 0.018 inch in diameter There are two categories of wires: Flexible and support Flexible wires are soft and hydrophilic. They are considered the “workhorses” because they are useful for navigating through vessels. A common type of wire is called the Glidewire which is  slippery and useful in traveling across tortuous vascular anatomy. Support wire are generally a lot stiffer and not hydrophilic. For that reason they are used to deliver and deploy devices A common type of support wire is called the Lunderquist which is used for the deployment of stent grafts in endovascular aortic repair Catheters are flexible hollow tubes used in conjunction with wires to navigate vascular anatomy Various characteristics include the degree and shape of the taper, the lengths, and the stiffness. They are inserted inside the sheath  Sheaths are hollow tubes of various diameters that are inserted into a blood vessel to provide a pathway for catheters or wires.  They have a one way valve to prevent backflow of arterial blood and a side port that permits aspiration and administration of fluids.  They also come with a dedicated dilator which is used to fill the lumen of the sheath and allows the surgeon to insert the sheath safely into the vessel.  If the wire is the rail and the catheter is the train, the sheath is the ground. Sheaths and catheters sizing Both are measured in French 1 French equals 0.33 mm. French size divided by 3 equals the approximate diameter in millimeters.  Another way to think about Fr is roughly the circumference in mm. Divide by 3 instead of 3.14 to get the diameter Sheaths are defined by their inner diameter (ID) Catheters are defined by their outer diameter (OD) This is because catheters go inside the sheath, so the size of a catheter must be smaller or equal to the size of the sheath for it to fit inside.For example, a 5 Fr sheath can accommodate 5 Fr catheter/devices Of note, the hole in the artery will roughly be 2-4Fr larger than the sheath size. This is important when considering the type of closure that will be used at the end of the procedure.  Step One: Establishing Arterial Access Preop preparation:  During physical exam, make sure there's a palpable femoral pulse to rule out iliofemoral disease Review the CT if available for high femoral bifurcation or presence of vessel disease  Patient positioning on the angio table, depends on the access site of choice. Typical position (for retrograde femoral artery access) is supine, arms tucked.   Alternative access sites (ie. radial, brachial, carotid) may require arms to be out and prepped.   How do you choose arterial access, location? Depends on location of lesion you are trying to treat and complexity of the path from the access site Size of the access vessel and device size must be considered when deciding on the access site The most common is retrograde femoral artery access When would other access points be used? Radial artery, brachial, antegrade femoral access. The goal, target location, and path complexity defines the access point. Arterial puncture Femoral access: Look for pulsatile vessel on the US (vein is medial, artery is lateral; “venous penis”) Usually access at the level of femoral head for common femoral artery Seldinger technique is  used to establish access to a vessel or cavity using needle, wire, catheters, and sheath. E.g. using the micropuncture kit: contralateral arterial CFA access with s 21 gauge needle .018” guidewire is passed through the needle Needle is removed and a short 4 or 5 Fr microcatheter with an inner dilator is passed over the guidewire The dilator and guidewire are removed leaving the catheter in place to maintain access Bigger wire is inserted through the catheter, which is then removed over the wire A sheath is inserted over the wire The overall purpose is to start with smaller arterial puncture and exchange to larger size to minimize complication should the access fail Often, percutaneous closure devices are preloaded at this step.  We will discuss this later.   Step Two:  Navigating to treatment zone or vessel With sheath in place, a guidewire is inserted into the vessel under fluoroscopic guidance. Continuous fluoroscopy is taken with the C-arm during key steps to visualize wire movement The C-arm can be portable or built into the room X rays are emitted from the X-ray generator below the patient And the subsequent image is generated from the image intensifier above the patient Radiation safety:  wear protective gear which is made of lead. In addition, use the tableside lead shield whenever possible minimize use of continuous fluoroscopy whenever possible limit use of magnification, and digital subtraction angiography keep the image intensifier as close to the patient as possible to minimize scattering The C-arm can rotate around the patient to get optimal viewing of the vessels Frequently used terminology: 30 degrees RAO which stands for right anterior oblique, describing the  relationship of image intensifier to the patient Common projections used for lower extremity angiograms Iliacs: 20-30 degrees contralateral anterior oblique Femoralsl: 20-30 degrees ipsilateral anterior oblique Trifurcation and tibials: anatomic anterior-posterior or 20 degrees ipsilateral anterior oblique with feet in neutral supine position Thoracic aorta/distal aortic arch: 30~45 degree LAO Renals: AP maximizing image quality by limiting patient movement and with breath holding and collimating Contrast  Two types of contrasts: Iodinated contrast vs carbon dioxide Iodinated contrast has better resolution but patients can have allergic reactions and are at risk of contrast induced renal injury. Therefore, CO2 is preferred for patients with compromised renal function in which an image is created by transiently displacing blood. The downside is that it has lower image resolution than iodinated contrast, and rare but potentially serious complications of air locking.  Power injection vs manual injection When using power injection, you have control over pressure, the amount of contrast, timing, and rate or rise of injection. It allows for rapid filling of large arteries at high flow rates. Manual injection is more efficient for small vessels since you can control dilution and volume Types of Wires Characteristics: wire tip, stiffness, diameter, and length Guide wires To assist in catheter placement, navigate different arteries, cross lesions, and deliver devices.  The most common sizes used in vascular surgery  Large .035” - generally used for the aorta and iliac. Small .014”/.018” - used for smaller branches like the SFA Length: from 120 to 360cm Based on distance from access site to the lesion Long enough to reach target lesions and beyond (inside pt) and deliver catheters (outside pt) but not too long that it's falling off the table and slowing down exchange Flexible vs stiff/support wires How do you decide which wire to use? Typically, you start with flexible wire inside an angle tip catheter to navigate to the target vessel.  Once you reached and crossed the target vessel, the wire is exchanged to a stiff/support wire, which allows you to deliver common brands and models used that every medical student should know and the settings they are used in? Example answer: Glidewire (Tumero): a floppy wire with a  hydrophilic coating which is useful for navigating stenosis and tortuous vessels and is used in a variety of different vessels. Lunderquist (Cook): it is very stiff and used for endovascular repairs of AAAs Rosen wire: support wire with a J tip with intermediate stiffness. Less stiff than Lunderquist. Used to catheterize visceral and renal arteries. Bentson: starter wire, that's short in length with a very long floppy tip that prevents vessel trauma. Types of Catheters  Main purpose of the catheters Allows to approach the target vessel based on the shape of the catheter Allows wire exchange from flexible to stiff Sizes are based on Fr (4-5) 5 Fr are the most common. Microcatheters are for embolizations (2.5Fr) Nonselective (Angiographic catheter) Common types are omni flush, pigtail, and straight They have multiple side holes along the tip so they can inject high volume of contrast into large blood vessels like the aorta Selective catheters/Guide (shape) catheters Have an end hole only with no side holes so they can cannulate specific branch vessels A variety of lengths and shapes depending on the curvature and tortuosity of the pathway to the target vessel. Catheter with specific shapes can align your vector (the force you are exerting by pushing the wire forward at the access site) to the stenotic lesion. Type of catheter that can be used to cross to the contralateral side at the aortic bifurcation – generally the omni.  Types of sheaths Size range: 4-26Fr (larger available for endografts) Size is decided by the device you have to deliver to the target lesion Length is based on the support required from the procedure. The distance from the access site to the target site determines the length of the sheath required.  Common lengths range from 5 to 110cm What are some of the common sheaths used and for which procedure? For endovascular aortic repairs, Dryseal sheaths range from 12Fr ~ 26Fr with lengths of 33cm to 65cm. For visceral and renal artery intervention, Ansil or Raabi sheaths range from 5Fr to 9Fr, with lengths of 45cm to 90cm. For lower extermity work, Ansil, Raabi, Balkin sheaths ranging from 4Fr to 7Fr with lengths of 45cm to 110cm. Steerable sheaths can actively articulate the shape of the sheath, allow you to navigate and treat more challenging anatomy. Step Three: Treating the lesion The lesion has to be crossed with wire and catheters before treating the lesion. They may require the need to exchange sheath Stent and balloon sizing is measured by diameter in millimeters x length in centimeters Balloons Generally need to exchange wire to stiff support wire through the catheter, then the catheter is exchanged over the wire with the balloon mounted catheter Balloons have a wide variety of diameters and lengths Nominal vs Burst pressures Nominal: pressure is where the balloon will inflate to the labeled diameter Burst: pressure where 99.9% of tested balloons ruptured Typically you inflate to nominal but can go higher depending on the type of lesion Compliant balloon vs a semi-compliant vs non-compliant balloon Most of the time, we use a compliant balloon, but in certain situations where we need high pressure dilation, we use non-compliant balloon.  This has to do with the nature of the lesion and risk of vessel rupture. Additional features  Cutting balloons have microblades on the wall. So the idea is to perform control rupture of calcified atherosclerotic lesions, so that the expansion happens more evenly. Drug coated balloons are coated with paclitaxel to reduce the risk of neo-intimal hyperplasia  So, it is sometimes used in peripheral cases where the surgeons feel that the lesions are more prone to developing neo-intimal hyperplasia or areas that have restenosed.  Stents small mesh-like device made of metal that is used to prop open a blocked or narrow blood vessel. It is inserted through a catheter and deployed at the site of the blockage to improve blood flow and reduce the risk of future blockages.  balloon expandable vs self-expanding stents Balloon expandable Better radial force at the time of deployment More accurate deployment Mounted on balloons, so it is more difficult to track them across tight stenosis. May cause damage to the surrounding tissue due to balloon inflation. Self-expanding Usually more flexible in tortuous vessels More resistant to kinking  Higher risk of migration or dislodgement during deployment Post-dilation is often needed covered stents vs bare metal stents Covered stents Covered by PTFE, polyurethane, or silicone May be more resistant to in-stent restenosis, compared to bare metal stents. useful in ruptured vessel EVAR/TEVAR/FEVAR devices are essentially fancy covered stents.   Step Four: Closure Hole in the artery is outer diameter of the sheath, and is bigger than the sheath size since sheath is measured by inner diameter Manual compression Direct pressure with fingertips Enough pressure without bleeding, but not too much that it cuts off circulation No peeking! Timing depends on sheath size, coagulation status, and vessel health. Closure devices Extravascular plug Angio-seal: sandwiches the arteriotomy with a biodegradable anchor and collagen sponge. https://www.youtube.com/watch?v=XhgAs2SxNjA Mynx: utilized a small balloon to create temporary hemostasis within the artery and covers the outside with a polyethylene glycol sealant. https://www.youtube.com/watch?v=_kcJM1lnQo8 Suture-based Sometimes placed at beginning of the case for large bore access Proglide: https://www.youtube.com/watch?v=Wol22SlEpxE Complications What are the most common complications that you experience and how do you mitigate them? Access site Hematoma, pseudoaneruysm, AV fistula, occlusion,  infection Navigation related Dissection, perforation, thromboembolism Systemic Contrast induced AKI  —----------------------------------------------------------------------------------------------------------------------- Please share your feedback through our Listener Survey! Follow us on Twitter @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.

Dr. Regina Y. Baker is an associate professor of surgery in the Division of Plastic and Reconstructive Surgery at the Keck School of Medicine of University of Southern California. She has faculty appointments at Keck Hospital of USC, Keck Verdugo Hills Hospital, Huntington Memorial Hospital, and LAC USC Hospital. Dr. Baker's clinical interests include breast reconstruction, cosmetic breast surgery, adolescent breast surgery, body contouring, complex reconstructive surgery, gender-affirming surgery, and all aspects of aesthetic surgery. She has special interests in women's health and issues. Dr. Baker received her medical degree from Keck School of Medicine of USC. She then completed an integrated plastic surgery residency at USC and later joined the faculty in the plastic and reconstructive surgery division at USC. She is dedicated to enhancing surgical education and is actively involved in teaching medical students and residents.In this episode, Nada sits down with Expert Dr. Baker to equip women to make informed decisions when considering plastic surgery. This conversation will give you the language and tools you need to speak with your doctor, whether for cosmetic or functional reasons. Because plastic surgery seems taboo, even amongst friends, Nada wanted to create a space that wasn't prescriptive or judgemental. She invited Dr. Baker to share her expertise to educate listeners with a head-to-toe explanation of various procedures available. Be sure to check out Dr. Regina Baker's profile on the Keck Medicine of USC website. Check out the American Society of Plastic Surgeons' website to access local plastic surgeons in your area.Please follow us at @thisislibertyroad on Instagram--that's where we hang out the most. And please rate and review us —it helps to know if this podcast is inspiring and equipping you to launch and grow your ventures.

A lot of times there's an interview that just sticks in your brain and stays there and pops up periodically. And one of those interviews for us was with Dr. Sunita Puri, who's an assistant professor of clinical medicine at the University of Southern California and medical director of the Palliative Medicine Unit at Keck Hospital, and the author of That Good Night: Life and Medicine in the Eleventh Hour, out now in paperback from Penguin Press. The reason we're revisiting this conversation this week on Just the Right Book is because we hear too many times about somebody who was diagnosed with cancer or some other life-threatening disease, and a lot of times medical doctors goal is to cure you, even if it kills you. However, what these palliative care doctors do is become your advocate for the notion that a life well-lived is a good death. Dr. Sunita Puri is an assistant professor of clinical medicine at the University of Southern California, and medical director of palliative medicine at the Keck Hospital and Norris Cancer Center. She has published essays in The New York Times, Slate, The Journal of the American Medical Association, and JAMA-Internal Medicine. She lives in Los Angeles. Roxanne Coady is owner of R.J. Julia, one of the leading independent booksellers in the United States, which—since 1990—has been a community resource not only for books, but for the exchange of ideas. In 1998, Coady founded Read To Grow, which provides books for newborns and children and encourages parents to read to their children from birth. RTG has distributed over 1.5 million books. Learn more about your ad choices. Visit megaphone.fm/adchoices

On episode 237 of The Quarantine Tapes, guest host Sunita Puri is joined by Jonathan Hepfer. Jonathan Hepfer is a musician and the artistic director of Monday Evening Concerts, a long-running contemporary concert series in Los Angeles.Jonathan joins Sunita to discuss the history of Monday Evening Concerts and how he first encountered the series. They talk about the role he takes on as a curator and what it means to try to make classical music more accessible. The pair mention all of the influences that have helped them form their love of classical music, and the togetherness we all feel while listening with each other. Finally, Sunita asks Jonathan about the impact of the pandemic on his work and they talk about the healing power of music.Hildegard von Bingen Canticles Of Ecstasy“Tradition is not the worship of ashes, but the preservation of fire.”Gustav MahlerHarold Budd / Brian Eno - The Pavilion Of Dreams (1978)Luigi Nono-Luigi Nono: Incontri for 24 Musicians (1955) "We make a space inside ourselves, so that being can speak."Martin HeideggerJohn Cage Four Minutes Thirty Three Seconds 4'33Yves Klein Monotone SymphonySunita Puri is an author and the Medical Director of the Palliative Medicine and Supportive Care Service at the Keck Hospital and Norris Cancer Center of the University of Southern California, where she also serves as Chair of the Ethics Committee. She graduated from Yale University with a B.A. in Anthropology and studied Modern History at Oxford University as a Rhodes Scholar. She completed medical school and residency training in Internal Medicine at the University of California San Francisco, and fellowship training in Hospice and Palliative Medicine at Stanford University. Her work has appeared in the New York Times, Slate, the Journal of the American Medical Association, and JAMA – Internal Medicine. For her writing, she has received fellowships from the MacDowell Colony, UCross Foundation, and Mesa Refuge. In 2018, she received the Etz Chaim Tree of Life Award from the USC Keck School of Medicine, awarded annually to a member of the faculty who, in the eyes of the campus community, models and provides humanistic and compassionate care. Sunita was born in Kentucky and is the daughter of naturalized citizens from Punjab state, India. Her family now lives in Los Angeles.That Good Night, by Sunita PuriJohnathan Hepfer is a percussionist, conductor, and concert curator specializing in avant-garde and experimental music. Jonathan is the Artistic Director of Monday Evening Concerts in Los Angeles, on which he performs regularly.  He has taken part in the US premieres of major works by Salvatore Sciarrino, Gérard Grisey, György Kurtág, Rolf Riehm, Jo Kondo, Aldo Clementi, Klaus Lang, Ramon Lazkano, Francisco Guerrero, Thomas Meadowcroft and Simon Steen-Andersen.  His collaborators have included such luminaries as Marino Formenti, Kim Kashkashian, Alexei Lubimov, Séverine Ballon, Natalia Pschenitschnikova, and Mario Caroli. Of particular interest to Jonathan is the alchemical relationship of language and music. 

Hello PPSers! Hope y'all have a great break and get ready for the Winter quarter! In our first episode of the quarter, we have Dr. Karolina Kapustova to share her experience in pharmacy as a current PGY1 resident at RUHS Medical Center. Immigrated at a young age with her family from the Czech Republic, Dr. Kapustova got inspired to become a pharmacist in the 7th grade. During her time at UCI before graduating in 2017, she has achieved great accomplishments through various opportunities from being a pharmacy technician at RiteAid and a COPE Health Scholar, as well as playing an important role in PPS's success. During her time at USC, she did an internship at Keck Hospital that developed her passion for acute care. As a current PGY1 resident, Dr. Kapustova hopes to advance her practice through another year of residency to specialize in the pediatric population. If you have any questions or concerns, please feel free to contact our External Vice President, Ryan Kwok, through email (kwokth@uci.edu). Pre-Pharmacy Society at UCI: Facebook, Instagram, Website You can support our organization by donating through @ppsatuci through Venmo! Anteaters in Pharmacy: Facebook, Instagram, Linkedin Music License: Creamy by Limujii https://soundcloud.com/limujii Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: https://bit.ly/3A8mTaO Music promoted by Audio Library https://youtu.be/gyznaxwYR4w

Sunita Puri is the Medical Director of Palliative Medicine at the Keck Hospital and Norris Cancer Center of the University of Southern California. She's also the author of 2019 bestseller That Good Night: Life and Medicine in the Eleventh Hour. Not since Suleika Jaouad's Between Two Kingdoms have I experienced such poignant and elegant writing that captures the essence of the author's experience so expertly. Sunita documents the life events that led her to the palliative path, the challenges that those in her position face, and offers tools to help readers better communicate with our doctors about what matters most to us. We chatted about the book and dug into the struggles of leading a department that requires nonstop justification to patients, their families, and even other medical professionals. And we also uncovered what Sunita does to take care of herself - mentally, emotionally, and spiritually - so her job doesn't rob her of her own personal joy. @sunitapurimd Buy the Book Here www.sunitapuri.com More at www.notimetowasteproject.com or follow @notimetowasteproject

On this edition of ST Medical Monday, we speak with Sunita Puri, author of "That Good Night: Life and Medicine in the Eleventh Hour." Puri is an assistant professor of clinical medicine at the University of Southern California, where she's also the medical director of palliative medicine at the Keck Hospital and Norris Cancer Center. She'll do a free event on the Zoom platform in connection with this insightful book on Wednesday the 28th at 6pm; the event is being co-presented by Hospice of Green Country and Magic City Books. More details on this event (including how to register for a Zoom link so you can attend online) are posted here .

In today's podcast, Tracy Wood has a conversation with Dr. Sunita Puri. Dr. Puri is the Medical Director of Palliative Medicine and Supportive Care Service at the Keck Hospital and Norris Cancer Center of the University of Southern California. She is also the author of That Good Night, which chronicles her journey to palliative care medicine and her experiences growing up as the daughter of “very spiritual immigrants from India.”

Dr. Sunita Puri is the Medical Director of the Palliative Medicine Service at Keck Hospital and Norris Cancer Center of the University of Southern California, where she also serves as Chair of the Ethics Committee. Sunita is the author of That Good Night: Life and Medicine in the Eleventh Hour, an acclaimed literary memoir examining her journey to the practice of palliative medicine, and her quest to help patients and families redefine what it means to live and die well in the face of serious illness. Her work has been featured on PBS' Amanpour Show, the Guardian, NPR, the Atlantic, Forbes, and People Magazine, which named her book the Book of the Week. She has also written for the New York Times, the Los Angeles Times, Slate, and the Journal of the American Medical Association. For more, please visit sunitapuri.comIn this episode we explore:Sunita's personal journey toward greater self-acceptance Why honesty is a form of kindnessHow curiosity can be a key factor in keeping the heart open in the face of difficultyStrategies for having courageous conversations about what really matters in lifeWhat death can teach us about living wellEmpathy - why it's about asking the questions that need to be listened toA few of Sunita's learnings about when to keep fighting, and when to let goThe role of courage in living a life without regretAnd more!Enjoying the show? Please take a moment and rate it on iTunes. Thanks for listening!Support the show (https://joshuasteinfeldt.com/donate/)

Doctors are acculturated and socialized to maintain life. Sometimes at all costs, even the human costs of suffering. The relatively new field of palliative care looks for the way that medicine can embrace and relieve the tension of seeking to preserve life while embracing life’s temporality. Dr. Sunita Puri explores the issues with exquisite elegance and humanity in her book That Good Night, out now in paperback from Penguin Press. Dr. Sunita Puri is an assistant professor of clinical medicine at the University of Southern California, and medical director of palliative medicine at the Keck Hospital and Norris Cancer Center. She has published essays in The New York Times, Slate, The Journal of the American Medical Association, and JAMA-Internal Medicine. She lives in Los Angeles. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Sunita Puri is the Medical Director of the Palliative Medicine Service at Keck Hospital and Norris Cancer Center of the University of Southern California, where she also serves as Chair of the Ethics Committee. Sunita is the author of That Good Night: Life and Medicine in the Eleventh Hour, a critically acclaimed literary memoir examining her journey to the practice of palliative medicine, and her quest to help patients and families redefine what it means to live and die well in the face of serious illness. Sunita received writing residencies at the MacDowell Colony, UCross Foundation, and Mesa Refuge, and was a finalist for the PEN Center's Emerging Voices Writing Fellowship. The recipient of a Rhodes Scholarship, her writing has appeared in the New York Times, the Los Angeles Times, Slate, and the Journal of the American Medical Association. In 2018, she was awarded the Etz Chaim Tree of Life Award from the USC School of Medicine, awarded annually to a member of the faculty who, in the eyes of the campus community, models and provides humanistic and compassionate care.

Season 3, Episode 8: Dr. Sunita Puri Talks That Good Night Dr. Sunita Puri is the Medical Director of the Palliative Medicine and Supportive Care Service at the Keck Hospital and Norris Cancer Center of the University of Southern California. We talk on this episode about her new book, “That Good Night: Life and Medicine in […]

Dr. Austin Harris is a board-certified cardiothoracic anesthesiologist. He completed his Anesthesiology residency at University of California Irvine (UCI), and his Cardio-Thoracic Anesthesiology Fellowship at Keck Hospital of USC. Even before beginning his private practice, Dr. Harris was finding that ketamine, a rarely used anesthetic tool, could have profoundly positive outcomes, when utilized with specific patients. This sparked his in-depth research of ketamine’s previously obscure properties, and its potential in treating patients suffering from mental health, chronic pain, and addiction struggles. Dr. Harris focused first on surgical patients presenting with unique mood, pain, and opioid dependency. Then, after perfecting these techniques at medical offices across southern California, Dr. Harris formed NeuroRelief Ketamine & Infusion Therapy (Sherman Oaks, CA) to bring these successful results to the entire patient population. This much needed service is now benefiting thousands of clients across the country. Tune into the next episode of Health and Wellness University to learn further about Dr. Austin Harris' work. To connect with Dr. Harris please visit: https://neuroreliefketamine.com

We know that for some people, the Coronavirus may start off as a fever and a mild cough and within days the person may be rushed to the hospital, struggling to breathe. If this were to happen to someone you love, would you know what kind of care they would want? While most of us do not have a lot of practice having conversations about end-of-life wishes, we can use this pandemic as an opportunity to have these conversations with the people we love. In doing so, we can also learn about what matters most in their life.In this episode, I interview Dr. Sunita Puri about how to best have these conversations. Dr. Puri is the Medical Director of the Palliative Medicine Service at Keck Hospital and Norris Cancer Center of the University of Southern California, where she also serves as Chair of the Ethics Committee. Sunita is the author of That Good Night: Life and Medicine in the Eleventh Hour, a critically acclaimed literary memoir examining her journey to the practice of palliative medicine, and her quest to help patients and families redefine what it means to live and die well in the face of serious illness. Sunita received writing residencies at the MacDowell Colony, UCross Foundation, and Mesa Refuge, and was a finalist for the PEN Center's Emerging Voices Writing Fellowship. The recipient of a Rhodes Scholarship, her writing has appeared in the New York Times, the Los Angeles Times, Slate, and the Journal of the American Medical Association.You will also hear parts of a difficult but heartfelt conversation I had with my mom about her end-of-life care wishes if she were to get seriously sick from the Coronavirus.Thanks so much to my mom for teaching me to always ask the big questions in life and for letting me share our conversation. And thanks to Dr. Puri for her wisdom and compassion.Here is Dr. Puri’s New York Times article that I mention in the episode: It's Time to Talk About DeathMusic: “Meeting Emma” and “Sun” by Borrtex

Dr. Sunita Puri is the Medical Director of the Palliative Medicine Service at Keck Hospital and Norris Cancer Center of the University of Southern California, where she also serves as Chair of the Ethics Committee. Sunita is the author of That Good Night: Life and Medicine in the Eleventh Hour, a critically acclaimed literary memoir examining her journey to the practice of palliative medicine, and her quest to help patients and families redefine what it means to live and die well in the face of serious illness. Sunita received writing residencies at the MacDowell Colony, UCross Foundation, and Mesa Refuge, and was a finalist for the PEN Center's Emerging Voices Writing Fellowship. The recipient of a Rhodes Scholarship, her writing has appeared in the New York Times, the Los Angeles Times, Slate, and the Journal of the American Medical Association. In 2018, she was awarded the Etz Chaim Tree of Life Award from the USC School of Medicine, awarded annually to a member of the faculty who, in the eyes of the campus community, models and provides humanistic and compassionate care. In this episode we discuss:   Palliative care is and how it differs from hospice. How we view death and disease within the healthcare system. What consisitutes suffering Why dignity is so important when battling an illness. Spiritual and it's intersection with medicine  Miracles vs. g/d’s plan Acceptance as a spiritual lesson.   What matters most in the end?  Follow Dr. Sunita Puri https://sunitapuri.com/that-good-night/ https://www.instagram.com/sunitapurimd/ Follow Dr. Amy Robbins https://dramyrobbins.com http://www.instagram.com/dramyrobbins dramyrobbins@gmail.com ldsbquestions@gmail.com  

A career in medicine, and a career in law enforcement. Ask almost anyone, and they would say the two could not be more different. But here in Los Angeles, within the LAPD, both worlds come together in one person: Doctor Kenji Inaba. Doctor Inaba wears many hats--Keck Hospital of USC Professor of Surgery (Clinical Scholar)-Keck Hospital of USC Director, General Surgery Program-Keck Hospital of USC Vice Chair, Department of Surgery-Keck Hospital of USC Chief of Trauma, Emergency Surgery, and Surgical Critical Care-LAPD Reserve Officer.In this episode we sit down with Kenji to get some insight into what led him towards a career in medicine, and also what drove him to simultaneously pursue an opportunity to protect and serve Angelenos. We also get an invaluable opportunity to get some perspective on the severity of this COVID-19 crisis from one of our city's top medical minds on the front lines.

Dr. Puri, Medical Director of the Palliative Medicine and Support Care Service at USC’s Keck Hospital and Norris Cancer Center, and author of “That Good Night: Life and Medicine in the Eleventh Hour," talks about life, letting go, and the human spirit. “Death and dying are not medical problems; they’re human predicaments. Medicine can’t solve mortality; it’s the humanity and spirituality that we bring to bear on our passages and our loved ones’ passages that is far mightier than medicine at the end.” - Dr. Sunita Puri

Doctors are acculturated and socialized to maintain life. Sometimes at all costs, even the human costs of suffering. The relatively new field of palliative care looks for the way that medicine can embrace and relieve the tension of seeking to preserve life while embracing life’s temporality. Dr. Sunita Puri explores the issues with exquisite elegance and humanity in her book That Good Night, out now in paperback from Penguin Press. Dr. Sunita Puri is an assistant professor of clinical medicine at the University of Southern California, and medical director of palliative medicine at the Keck Hospital and Norris Cancer Center. She has published essays in The New York Times, Slate, The Journal of the American Medical Association, and JAMA-Internal Medicine. She lives in Los Angeles. Learn more about your ad choices. Visit megaphone.fm/adchoices

When people find out they have a serious illness, it’s natural that they think of doing whatever it takes to prolong their lives. But the very methods of prolonging life sometimes means more pain and suffering for the patient. Host Dan Loney talks with Dr. Sunita Puri, Medical Director of Palliative Care and Support Care Services at Keck Hospital and Norris Cancer Center at the University of Southern California, about her mission to bridge medical care for devastating diseases and providing comfort and relief for the patient. Her new memoir, That Good Night: Life and Medicine in The Eleventh Hour, reflects on her own journey and examines how the field is evolving as patients and family members are looking forward to quality of life over quantity of time. See acast.com/privacy for privacy and opt-out information.

~Part of the End-of-Life Conversations Series~ ~Co-presented with the Mesa Refuge and Point Reyes Books~ Join TNS Host Steve Heilig in conversation with physician, author, and medical ethicist Sunita Puri in the next in our End-of-Life Conversations series. In her new book, That Good Night: Life and Medicine in the Eleventh Hour, she weaves evocative stories of her family and the patients she cares for in a meditation on impermanence and the role of medicine in helping us to live and die well. Kirkus Reviews magazine calls her book, “A profound meditation on a problem many of us will face; worthy of being mentioned in the same breath as Atul Gawande’s Being Mortal.” Sunita Puri, MD is the medical director of the Palliative Medicine and Supportive Care Service at the Keck Hospital and Norris Cancer Center of the University of Southern California, where she also serves as chair of the Ethics Committee. She graduated from Yale University with a B.A. in Anthropology and studied Modern History at Oxford University as a Rhodes Scholar. She completed medical school and residency training in Internal Medicine at the University of California San Francisco, and fellowship training in Hospice and Palliative Medicine at Stanford University.

Dr. Sunita Puri is the Medical Director of the Palliative Medicine and Supportive Care Service at the Keck Hospital and Norris Cancer Center of the University of Southern California, where she also serves as Chair of the Ethics Committee. She graduated from Yale University with a B.A. in Anthropology and studied Modern History at Oxford University as a Rhodes Scholar. She completed medical school and residency training in Internal Medicine at the University of California San Francisco, and fellowship training in Hospice and Palliative Medicine at Stanford University. https://sunitapuri.com

SPEAKERS Dr. Sunita Puri Assistant Professor of Clinical Medicine, University of Southern California; Medical Director of Palliative Medicine, Keck Hospital and Norris Cancer Center; Author, The Good Night: Life and Medicine in the Eleventh Hour In Conversation with Dr. Lucy Kalanithi Clinical Assistant Professor of Medicine, Stanford University School of Medicine; Widow of Dr. Paul Kalanithi; Author, When Breath Becomes Air This program was recorded in front of a live audience at The Commonwealth Club in San Francisco on March 12th, 2019.

It isn’t often that you come across a hospital executive who is an engineer by trade, and yet Rod Hanners began his career serving on nuclear submarines in the Navy.  Following his tours of duty, he served as the COO of Kaiser Medical Center in LA and then Children’s Hospital Los Angeles, before moving into his current role as CEO of Keck Hospital of USC.  Join us to find out how Rod’s time in the Navy prepared him for hospital leadership and hear his take on the challenges and opportunities of running one of Los Angeles’ most prolific academic medical centers in today’s environment.