Podcasts about kings county hospital

Anne M. Tallegrand-Cajuste, CPRP, CPS   Anne Tallegrand-Cajuste, Haitian-American, Brooklyn native  Certified Psychiatric Rehabilitation Practitioner, Mental Health Counselor, working with the homeless and others within community mental health settings, she has devoted the past 10 years to the New York City's most underserved populations.  In her current role at Kings County Hospital in Brooklyn, NY she is a supervisor in her department and also provides direct care, to youth and adults with persistent psychiatric disabilities in an in-patient setting In her capacity as Consultant/Trainer, Anne Tallegrand-Cajuste is a NYS Office of Mental Health, Certified Preventing and Managing Crisis Situations (PMCS) Trainer, Certified Master Trainer in Applied Suicide Intervention Skills Training (ASIST) and Suicide Alertness for Everyone (SafeTALK) Trainer. Anne Tallegrand-Cajuste has been called upon to consult and train mental health providers in the Netherlands, Belgium and Austria.  As a Christian Life Coach, she utilizes the Word of God and both professional and personal experience to assist individuals in formulating practical strategies to motivate change, achieve goals and find inner peace through spiritual healing.

Yair Saperstein, MD MPH is CEO and cofounder of AvoMD. He is a dual board-certified physician in internal medicine and clinical informatics, is a member of Alpha Omega Alpha (AOA) and is affiliated with Mount Sinai Hospital.Dr. Saperstein served on the implementation team for multiple Epic go-lives, and was inpatient medicine Chief Resident at HHC's Kings County Hospital, leading over 400 providers through New York's first wave of COVID. Dr. Saperstein graduated from Albert Einstein College of Medicine with distinction in research in global health and from SUNY Downstate with a Masters in Public Health in hospital policy and management.Previously, Dr. Saperstein cofounded and led two non-profit organizations for over ten years, StartScience.org and Teach4Kids.org, scaling both internationally. Additionally, he is an acclaimed classical concert pianist and has won numerous awards, including The Jewish Week's "36 under 36" most influential Jewish Americans. _____________________________________________________________________ Sponsor the JOWMA Podcast! Email digitalcontent@jowma.org Become a JOWMA Member! www.jowma.org  Follow us on Instagram! www.instagram.com/JOWMA_org  Follow us on Twitter! www.twitter.com/JOWMA_med  Follow us on Facebook! https://www.facebook.com/JOWMAorg Stay up-to-date with JOWMA news! Sign up for the JOWMA newsletter! https://jowma.us6.list-manage.com/subscribe?u=9b4e9beb287874f9dc7f80289&id=ea3ef44644&mc_cid=dfb442d2a7&mc_eid=e9eee6e41e

Uché Blackstock always knew she wanted to be a doctor. Her mother was a physician at Kings County Hospital in Brooklyn, New York. Uché and her twin sister, Oni, would often visit their mother at work, watching her take care of patients. And they loved to play with their mother's doctor's bag.The sisters went on to become the first Black mother-daughter legacy students to graduate from Harvard Medical School.SciFri producer Kathleen Davis talks with Dr. Uché Blackstock, emergency physician and founder and CEO of Advancing Health Equity, about her new memoir, Legacy: A Black Physician Reckons with Racism in Medicine.Read an excerpt from Legacy at sciencefriday.com.Transcripts for each segment will be available after the show airs on sciencefriday.com. To stay updated on all things science, sign up for Science Friday's newsletters.

According to the 1964 Mary Poppins children's film, "just a spoonful of sugar" is said to make the medicine go down. But what if we say that those daily spoons of sweetness may actually result in the need for kids to take medication? According to the American Diabetes Association, approximately 30 million people in the United States alone in 2021 were diagnosed with diabetes mellitus, Types I and II combined, with 352,000 of these being under the age of 20. Diabetes is a chronic condition influenced by the body's inability to either produce the insulin hormone or effectively utilize it. Truly, hormones and their balance influence the optimal functioning of the human body, especially in the youth. According to the American Board of Pediatrics, if left untreated, diabetes and other leading chronic diseases influenced by hormones, such as obesity, can lead to detrimental health concerns, such as cardiovascular disease and mortality. Endocrinology is the complex field of hormones and their equilibrium, and there is no space for sugarcoating in this domain.We are joined in this episode by Dr. Sheila Pérez-Colón, a board-certified pediatric endocrinologist based in Puerto Rico. She received her BS in Biology from the University of Puerto Rico, MD from the Universidad Autonoma de Guadalajara with its pathway completion at New York Medical College (where she attained a #1 class rank), Pediatrics Residency at Maimonides Medical Center/Infants and Children's Hospital of Brooklyn, and Pediatric Endocrinology fellowship at SUNY Downstate Health Sciences University where she later served as an Assistant Professor of Medicine. Dr. Sheila became an attending physician in offices across the United States, having been the Diabetes Clinic Director at Kings County Hospital in New York City, Baptist Health South Florida, and Kaiser Permanente in Los Angeles. Having moved back to Puerto Rico in 2020 to serve her homeland, she currently stands as the Owner of Elite Endocrine MD, a direct specialty care practice that focuses on pediatric diabetes, obesity management, thyroid disorders, and pubertal disorders. Dr. Sheila has over 15 publications on prediabetes, autoimmune thyroiditis, and adolescent obesity and has been featured on Yahoo! News and Everyday Health.Livestream Air Date: March 28, 2023Follow Sheila Pérez-Colón, MD: Instagram, FacebookFollow Friends of Franz Podcast: Website, Instagram, FacebookFollow Christian Franz Bulacan (Host): Instagram, YouTubeThankful to the season's brand partners: Covry, House of M Beauty, Nguyen Coffee Supply, V Coterie, Skin By Anthos, Halmi, By Dr Mom, LOUPN, Baisun Candle Co., RĒJINS, Twrl Milk Tea, 1587 Sneakers

Psychiatrists are embracing synchronicities. The stories of Sheila Salama will now illuminate for you the full range of therapeutic healing through meaningful coincidences. e ourselves. You can purchase Dr. Beitman's new book, "Meaningful Coincidences", here ⁠⁠⁠https://www.innertraditions.com/books/meaningful-coincidences⁠⁠ Check out the Connecting with Coincidence YouTube channel to see the latest podcast episodes: https://www.youtube.com/@Coinciders Dr. Sheila Salama, MD received her medical degree from SUNY Downstate Medical School in New York City, and then completed her Internship, Residency in Psychiatry as well as Fellowship in Child Psychiatry at Kings County Hospital. Since the early 1990's Dr. Salama has acquired several certifications in non-pharmacological modalities. These facilitate the healing from acute and chronic traumatic events, as well as many other disorders. She has worked extensively with veterans coping with war trauma, moral injury, and survivors of early childhood abuse. Dr. Salama is also a strong advocate for human rights and participated in the United Nations meetings advocating for the Yezidi victims of genocide. She is currently on the clinical advisory board of Free Yezidi Foundation Our host Dr. Bernard Beitman is the first psychiatrist since Carl Jung to attempt to systematize the study of coincidences. He is Founding Director of The Coincidence Project. His book, and his Psychology Today blog, are both titled Connecting with Coincidence. He has developed the first valid and reliable scale to measure coincidence sensitivity, and has written and edited coincidence articles for Psychiatric Annals. He is a visiting professor at the University of Virginia and former chair of the Department of Psychiatry at the University of Missouri-Columbia. He attended Yale Medical School and completed a psychiatric residency at Stanford. Dr. Beitman has received two national awards for his psychotherapy training program and is internationally known for his research into the relationship between chest pain and panic disorder. Learn more at https://coincider.com

Psychiatrists are embracing synchronicities. The stories of Sheila Salama will now illuminate for you the full range of therapeutic healing through meaningful coincidences. You can purchase Dr. Beitman's new book, "Meaningful Coincidences", here ⁠⁠⁠https://www.innertraditions.com/books/meaningful-coincidences⁠⁠ Check out the Connecting with Coincidence YouTube channel to see the latest podcast episodes: https://www.youtube.com/@Coinciders Dr. Sheila Salama, MD received her medical degree from SUNY Downstate Medical School in New York City, and then completed her Internship, Residency in Psychiatry as well as Fellowship in Child Psychiatry at Kings County Hospital. Since the early 1990's Dr. Salama has acquired several certifications in non-pharmacological modalities. These facilitate the healing from acute and chronic traumatic events, as well as many other disorders. She has worked extensively with veterans coping with war trauma, moral injury, and survivors of early childhood abuse. Dr. Salama is also a strong advocate for human rights and participated in the United Nations meetings advocating for the Yezidi victims of genocide. She is currently on the clinical advisory board of Free Yezidi Foundation Our host Dr. Bernard Beitman is the first psychiatrist since Carl Jung to attempt to systematize the study of coincidences. He is Founding Director of The Coincidence Project. His book, and his Psychology Today blog, are both titled Connecting with Coincidence. He has developed the first valid and reliable scale to measure coincidence sensitivity, and has written and edited coincidence articles for Psychiatric Annals. He is a visiting professor at the University of Virginia and former chair of the Department of Psychiatry at the University of Missouri-Columbia. He attended Yale Medical School and completed a psychiatric residency at Stanford. Dr. Beitman has received two national awards for his psychotherapy training program and is internationally known for his research into the relationship between chest pain and panic disorder. Learn more at https://coincider.com

I had the honor and pleasure of having Dr. Chloe Carmichael on my show today. In today's episode, we get into great discussions on the many different aspects of beginning a successful private practice. We also got into discussion topics regarding her private practice which focuses primarily on relationship issues, stress management, and career coaching.  Dr. Chloe gets into detail about her book "Nervous Energy: Harness the Power of Your Anxiety " as well as "Dr. Chloe's 10 Commandments of Dating: How to Stop Getting Hurt, Put Yourself out There and Find a Relationship That Lasts". Dr. Carmichael holds a master's degree and Ph.D. in clinical psychology from Long Island University and graduated Phi Beta Kappa, summa cum laude, with a bachelor's degree and departmental honors in psychology from Columbia University in New York. She completed her clinical training at Lenox Hill Hospital and Kings County Hospital. She has taught undergraduate courses at Long Island University and the City University of New York; served as the psychologist for The New York School of Podiatric Medicine. Dr.Chloe's contact information linkedin.com/in/chloecarmichael drchloe.com  anxietytools.com  drchloe.tv Dr. Chloe's books Dr. Chloe's 10 Commandments of Dating: How to Stop Getting Hurt, Put Yourself Out There and Find a Relationship That Lasts https://a.co/d/0WUPxLX Nervous Energy: Harness the Power of Your Anxiety https://a.co/d/dNxmZby Sponsor CalmiGo calmigo.com?fid=614&utm_source=affiliatly&utm_medium=influencer&utm_campaign=Jacob_Minnig-614&utm_content=facebook-ig&utm_term=BHIPODCAST&source=affiliatly&placement=facebook-ig&medium=influencer&aff_id=614&aff_name=Jacob_Minnig&coupon_code=BHIPODCAST

What is direct specialty care, and why is this model changing healthcare? My guest is Dr. Pérez-Colón, who is on the cutting edge of this work in Puerto Rico. She is the first physician to bring this specialty care to the island. Dr. Sheila Pérez-Colón was born and raised in San Juan, Puerto Rico. She obtained her bachelor's degree in Biology at the University of Puerto Rico, Rio Piedras campus. Her medical education started at the Autonomous University of Guadalajara, Mexico, and she finished with the fifth pathway program at New York Medical College in Valhalla, New York. She completed a 3-year pediatric residency program in the Children's Hospital at Maimonides Medical Center in Brooklyn, NY. She then completed an additional sub-specialty training with a 3-years pediatric endocrinology fellowship at a combined program between Maimonides Medical Center and SUNY Downstate Medical Center in Brooklyn, NY. SUNY Downstate Medical Center then recruited her and Kings County Hospital in NY to become part of their faculty. After years of frustration with the traditional healthcare system (rushed visits, poor accessibility, surprise bills, and long waiting time, which all compromise patient care) and with the realization that nothing is better than being home and helping your people, Elite Endocrine MD was born. https://eliteendocrinemd.com/about IG: Elite.Endocrine.MD_drperez --- Send in a voice message: https://anchor.fm/urcaringdocs/message

Have you heard the words Non-Compliant or Nonadherent in a clinical setting? Dr. Mauvareen Beverly has.  She has developed a care management program to get to the root cause of this patient population to reduce hospital readmissions.Dr. Beverly says “ We must treat the whole person and not just the patient” in the case of sickle cell patients who are the least addicted yet the most vilified when it comes to empathetic care.  She has a progressive training program that asks the question WHY to reveal the human values in a clinical care setting.Her cultural competency program targets patients that have been targeted as non-compliant and have reduced their readmission rates substantially.  Her nonjudgemental empathetic approach has proven to be a  very effective method for improving patient outcomes. Dr. Mauvareen Beverley is an executive-level physician, with 20 years of experience advocating for improving patient engagement and cultural competence for all populations, especially the geriatric, immigrant, and African American communities. As AVP, Physician Advisor for NYC Health + Hospitals, she sponsored the first Conference on Improving the Health of the Elderly Black Population. She implemented the concept of “The Bridge Team” whose role was to bridge the gap in care for the most complicated and vulnerable population and as a result improve care and health outcomes. As Deputy Executive Director of Kings County Hospital, her team decreased Congestive Heart Failure readmission from 30% to 18.7% in less than 2 years. Dr. Beverley is a Fellow at the New York Academy of Medicine (NYAM) and her Abstract “Health Disparities and Epidemics: Perception vs. Reality was selected for presentation at NYAM 12th Annual History of Medicine and Public Health Night. Dr. Beverley is also a Member of the American Medical Association (AMA) and Medical Society, State of NY (MSSNY), working in collaboration with Westchester County Medical Society, Westchester Academy of Medicine, and Putnam County Medical Society in developing Patient Engagement and Cultural Competence Training Program with CME credits Dr. Beverley received her bachelor's from Boston University and MD from University of Buffalo School of Medicine. She completed her internship and residency in Internal Medicine at Harlem Hospital-NY Columbia Presbyterian. She is President of Mauvareen Beverley MD. PLLC, Patient Engagement, and Cultural Competence Specialist.

A shooting that took place in Brooklyn Wednesday morning left a young woman fighting for her life, authorities say. Police say they received a report of an 18-year-old who was shot in the head shortly before 3 a.m. at an apartment building along Sterling Place in Crown Heights. When they arrived, police found the young woman in the lobby, near a courtyard and a stairwell. She was rushed to Kings County Hospital in critical condition. The apartment complex has about six surveillance cameras outside the building, but police have not yet released any video. The victim's mother identified her as Adriana Graham, who law enforcement sources said lives in Far Rockaway — near an hour away from the crime scene. Why she was in Crown Heights in the early hours of the morning is under investigation, as police look to determine if Graham was the intended target. Source: NBC New York --- Support this podcast: https://anchor.fm/leah-gordone/support

This interview in honor of Testicular Cancer Awareness Month features Dr. Andrew Winer, Chief of Urology at Kings County Hospital in New York. Dr. Winer discusses the ongoing research regarding new approaches for testicular cancer surgery, strategies to address disparities in health care access for underserved populations, and the importance of taking a multidisciplinary approach to achieve the best possible outcomes for patients with testicular cancer.

In the world of Google search, the front page of your website is not your website, it's Google.com. That's where your customer is going to probably start. You likely need a copywriter and content marketer or learn to do it yourself because content is king. You will also need the secrets to create effective web content, combining those skills with a passion for whatever products and services you offer. This is where Barbara Hales can help and she's on this week's Side Hustle City Podcast to explain.Back in the 1970s, there was still a quota on the number of women admitted to medical school- a drastic difference from the way it is now. It was in a mostly male setting with discrimination against women in the workforce.After earning a medical degree at Rosalind Franklin Chicago Medical School and training at Kings County Hospital, Brooklyn, New York, she started her private practice in Obstetrics and Gynecology. Barbara was idealistic and hopeful that she could help others but the office was empty and no one knew she was there. So that the community would know that she opened her doors, she joined the Chamber of Commerce. With their permission, Barbara took out a large center ad in the local paper, which merely stated, “The Chamber of Commerce welcomes its newest member” with the services and address. The office phone rang off the hook the next day…lucky for her!As a thought leader who sees solutions to problems that people are struggling with, she received both an American and international patent for a nursing bib enabling moms to breastfeed privately while in public places. She founded The Medical Strategist, which has been providing results-oriented online copy since 2009.Support the show (https://paypal.me/sidehustlecity)

While announcing the expansion of a healthy eating initiative, Mayor Eric Adams said Monday he would lead the way by spending no more than $10 a day to eat healthily. "In a few weeks, I'm going to have Rachel (Atcheson) put through a program where I'm going to live off of $10 a day by eating a healthy, plant-based diet," said Adams from Kings County Hospital. The hospital along with others within the NYC Health and Hospitals System is adding additional Plant-Based Lifestyle Medicine clinics that will offer healthy cooking classes. While all that sounds amazing, I believe the timing of all of this couldn't be more off. The very last things Americans want right now after more than 2 years of a pandemic is being told what to do or being pushed to do something. NYC at the moment is a crime ridden shit hole and there is a war on law enforcement underway by criminals. Mr. Mayor do the job you were elected to do and clean up NYC first before you advise others of what to eat. As far as I'm concerned when you are running for an elected seat in a county, city, or national election that position is bigger than you. You have an obligation to your constituents and citizens who put the trust in you to vote for you. This is my biggest pet peeve, potential candidates and even so called local political consultants who make it all about themselves. It's not about you. Email: realnewsocala@gmail.com --- Support this podcast: https://anchor.fm/lee-leffingwell/support

Rena Kravitz, DDS, FAAPD, DABPD received her undergraduate degree from Barnard College where she graduated cum laude, and was awarded her dental degree from Columbia School of Dental Medicine. She completed residency training in General Dentistry at Kings County Hospital, where she is the Director of Pediatric Dentistry, and subsequently completed her postgraduate training in Pediatric Dentistry at Maimonides Medical Center. Dr. Kravitz has completed her boards in Pediatric Dentistry with distinction, and is also a fellow of the American Academy of Pediatric Dentistry. Dr. Kravitz is currently the Program Director of Pediatric Dentistry at Maimonides Medical Center, as well as a clinician and educator who has lectured on both regional and national levels. She is a mother of five and a grandmother.

Yves Duroseau, MD, MPH is the current Chair of the Department of Emergency Medicine at Lenox Hill Hospital (LHH), NS/LIJ. As Chair, Dr. Duroseau provides overall leadership of the department, with responsibility for strategic planning, development, clinical services, quality, professional performance, and medical education. Dr. Duroseau is also the Co-Chair of the Performance Improvement Coordinating Group (PICG) for Lenox Hill Hospital. The PICG is responsible for overseeing all quality initiatives for the hospital.Dr. Duroseau joins LHH from the Kings County Hospital Center in Brooklyn, NY, where he was the Director of Service in the Department of Emergency Medicine. Prior to his post at Kings County Hospital Center, Dr. Duroseau served as the Medical Director of the Department of Emergency Medicine and as an Attending Physician at St. Vincent's Hospital in New York City. He has also served as a per diem physician with North-Shore LIJ since 2011.He has held several academic appointments. Most recently as an Assistant Clinical Professor at the State University of New York, and has held academic appointments with New York Medical College and New York University Medical Center. He is a Peer Reviewer for the Academic Emergency Medicine journal. He has published on his experience and successes with the use of Lean methodologies in transforming Kings County Hospital's Emergency Department.Dr. Duroseau's commitment to service is demonstrated through his founding of the mentorship programs, Doctors as Mentors at St. Vincent's Hospital and Bridging the Gap at New York University and New York University Medical School, both intended to support minority students interested in or pursuing careers in medicine. He has also served in numerous hospital and academic committee roles centered on quality, information technology, philanthropy, Lean management, hospital programming, and other initiatives.Dr. Duroseau earned his medical degree and Master of Public Health degree as well as completed his residency in emergency medicine and internship in internal medicine at The George Washington University School of Medicine and Health Sciences in Washington, D.C. He has completed postdoctoral research in Medical Informatics at The National Institutes of Health in Bethesda, MD. He is a Diplomate of the American Board of Emergency Medicine.- ELabNYC#menshealth #blackmenshealth #eattolive #exercise #medicine #healthcare #healthinsurance #dangersofethnicfoods #diet #blackmaledoctors #pushenboundaries #medicaladvice #dangersofsugar #dangersofhighbloodpressure #healthyliving #Itsmorethanexercise #NYChealthcare #whatmendontknow #PCP #choosingadoctor #doctorconversations #mentalk #mencare #sugar #highbloodpressure #heartdisease

You know that including stories, especially personal stories, in your presentations is important to connect with and engage the audience. This is true whether you're giving a keynote, a business presentation, or a training. Along with integrating various stories and examples throughout your presentations, you can also have one core story that illustrates your topic and why it's important. This is what my guest Chanta Wilkinson and I have been working on during our coaching sessions as part of our Thought Leader Academy. Chanta provides trainings and workshops for organizations around diversity, equity, and inclusion, so we identified a story going back to when she was a young girl that perfectly illustrates why she has gravitated to this work and why DEI is so important. Even better, we've identified different angles she can use from this one core story, depending on who's in the audience and what she wants to emphasize. You are going to love Chanta's energy and passion for what she does! Enrollment for our Thought Leader Academy is opening again in September! Get the details and join our interest list at https://www.speakingyourbrand.com/academy/.   About My Guest: Chanta Howard Wilkinson is the founder of Chanta Wilkinson Consulting, LLC, where she provides diversity, equity and inclusion consulting and assistance to organizations implementing diversity, equity and inclusion strategies and best practices. Chanta previously served as a Human Resources Consultant for small to mid-size businesses in Delaware and New York City. Prior to that, she served as the Associate Director of EEO/AA for Kings County Hospital in Brooklyn. In addition, she also served as a Deputy Attorney General and an EEO/Affirmative Action Coordinator for the New Jersey Office of Attorney General and an Associate at a large New Jersey law firm. Chanta holds a J.D. from Rutgers University School of Law, a BA from Rutgers College, and a Diversity & Inclusion for HR Certificate from Cornell University.   About Us: The Speaking Your Brand podcast is hosted by Carol Cox. At Speaking Your Brand, we help women entrepreneurs and professionals clarify their brand message and story, create their signature talks, and develop their thought leadership platforms. Our mission is to get more women in positions of influence and power because it's through women's stories and visibility that we challenge the status quo and change existing systems. Check out our coaching programs at https://www.speakingyourbrand.com.  Links: Show notes at https://www.speakingyourbrand.com/236  Chanta's website: https://www.chantawilkinsonconsultingllc.com/ Download our FREE workbook on how to position yourself as a thought leader: https://www.speakingyourbrand.com/guide/.  Get on the interest list for our Thought Leader Academy: https://www.speakingyourbrand.com/academy/ Schedule a consult call to talk about creating your signature talk and thought leadership platform: https://www.speakingyourbrand.com/contact.    Connect on LinkedIn: Carol on LinkedIn = https://www.linkedin.com/in/carolcox Carol on Instagram= https://www.instagram.com/carolmorgancox  SYB on YouTube = https://www.youtube.com/channel/UCS7AtXV0f_HL09mepAON65w  Chanta on LinkedIn = https://www.linkedin.com/in/chanta-howard-wilkinson-547ab8a0/ Related Podcast Episodes: Episode 137: The Missing Ingredients in Your Stories with Carol Cox Episode 193: Five Kinds of Stories to Share in Your Thought Leadership Content with Carol Cox Episode 232: Are You an Influencer, an Expert, or a Thought Leader? with Carol Cox Episode 233: 3 Types of Thought Leadership Models with Carol Cox

Up-and-coming Brooklyn rapper Supa Gates has died nearly seven weeks after he was shot in the passenger seat of a Mercedes in Brooklyn. Supa Gates, whose real name was Aaron Williams, was shot multiple times in the front passenger seat of the luxury vehicle parked on St. John's Place near Troy Ave. in Crown Heights April 11. He died Thursday at Kings County Hospital, where he had been treated since the shooting. hire me as your voice over artist on fiverr - www.fiverr.com/share/DwyLbA --- Send in a voice message: https://anchor.fm/atruecrimepodcast/message

I am excited to share this conversation with Board Certified Music Therapist, Dan Walsh. He shared how he became inspired to shift into the world of music therapy after attending a session at the Expressive Therapies Summit. Dan is a Board-Certified Music Therapist/Licensed Creative Arts Therapist. Dan currently works with adults and adolescents in inpatient behavioral health units as part of an interdisciplinary treatment team at Kings County Hospital in Brooklyn NY. . During the height of the COVID-19 pandemic in NYC, he also provided music interventions to frontline workers. Dan has worked at several community centers in the NYC area providing music therapy groups supporting self-expression and socialization. He has also worked with incarcerated youth residing in a limited secure placement facility. Dan completed his training at Molloy College and considers his journey of becoming a music therapist a part his evolution as a professional musician. As a Music therapist, he is able to implement his experience as a performer, producer, and educator in order to meet the diverse needs of his clients. In this episode, Dan shares about how attending the Expressive Therapies Summit changed his career. Dan comes to the field of music therapy as a talented and well versed musician and music educator. We spent some time talking about how he has been using drum circles to aide front-line workers during the pandemic and how other clinicians can integrate drumming into their work. He talked about why percussive instruments can be a gateway into playing music for those who don't feel that they possess musical ability. RESOURCES: All In Time Music Therapy - www.allintimemusictherapy.com Dan Walsh - AllinTimeMusicTherapy@gmail.com Expressive Therapies Summit NY, 2020 Facilitating Drum Circles for Counseling, Psychotherapy & the Community Rhythmic Transformation Through Drumming, Sound & Movement Disclaimer: To be transparent, the links to the books mentioned in the show are Amazon affiliate links. We receive a small fee if you purchase an item using the links. We use the fees to help us grow and improve the podcast. We will never use an affiliate link to the product that don't believe in or haven't vetted ourselves. Thank you for your support.

Dara Kass, MD is an Assistant Professor of Emergency Medicine at Columbia University Medical Center, where she also serves as the director of Equity and Inclusion for the Emergency Department. After completing her residency at SUNY Downstate Medical School and Kings County Hospital, she served as faculty of Staten Island University Hospital, where she facilitated the start of their EM residency program. She previously served as the director of undergraduate medical education at NYU. As director, she introduced longitudinal career advising, innovative educational modalities, and numerous clinical experiences. She is the founder of FemInEM, an organization dedicated to the achievement of gender equity in emergency medicine. FemInEM serves as an open access resource for women in EM, a community focused on career development, physician support, and seeing women in medicine thrive. What began as a blog is now a movement, a multi-faceted community comprised women in medicine all over the world. 

Dr. Dara Kass, an emergency medicine physician, graduated from SUNY Downstate Medical School and finished her residency at Kings County Hospital. Dr. Kass is the founder and CEO of FemInEm, which serves a blog and conference with a mission to promote gender equity in emergency medicine, since its inception in 2015. She is currently the treasurer of Gender Equity in Medicine Research Foundation, which is a non-profit that conducts and supports gender-based research. She is a Medical Contributor and advocate at Yahoo News. Due to her major contributions as an emergency medicine physician, she has received the 45under45 EMRA award amongst many others. You can find Dr. Kass on the FemInEm website, or you can follow her on Twitter @darakass. If you want to support Doctor's Inn, here are some easy ways: 1. Leave a rating 2. Visit our website at www.doctorsinnpodcast.com and sign up for the email list-serv 3. Follow our socials @doctorsinnpodcast Thank you!

Greenwich Village dentist Todd Bertman is talking with us today about re-opening his dental office in the pandemic epicenter. "We are at 25% capacity right now, and expect to be at 25% for another year," says Bertman. "Some people are scared to death to come in and some want to come in. You have to be safe about this. It's the new normal."   For nearly 18 years, Dr. Todd Bertman, the owner of Advanced Dental Arts, has been providing unparalleled dental care to his patients. In addition to membership in the American Dental Association, Dr. Bertman is a member of the New York County Dental Association and the New York State Dental Association. He is certified as a Level I and II Invisalign practitioner and belongs to the American Academy of Cosmetic Dentistry, the World Clinical Laser Institute, and the IALD (Institute for Advanced Laser and Dentistry). Dr. Bertman graduated from the University of Pittsburgh School of Dental Medicine. He moved on to complete a general practice residency in Kings County Hospital in Brooklyn, NY where he had the opportunity to work in an emergency room setting.

While we stand for justice, dignity and honor of the black life all too often the names of black women senselessly murdered by law enforcement are glazed over. We have a duty and responsibility  as Black women and hosts of a podcast that advocate and amplify the voices of black women to bring awareness and shed light  on the sisters who are no longer with us. We will always and forever SAY HER NAME.  Rekia Boyd Boyd was born on November 5, 1989, in Chicago, Illinois. She moved with her family from Chicago’s Southside to Dolton, Illinois, a Chicago suburb. On March 21, 2012, Boyd was hanging out with friends at Douglas Park on Chicago’s West Side at a party listening to music while having a few drinks.  Around 1:00 am,  22 year old Boyd and some of her friends walk to a nearby cornerstore. Around that same time, Servin who was just finishing his shift on his second job was off duty, heading to a fast food restaurant for a hamburger. Servin drove to Douglas Park after a citizen called police about a noise complaint. Servin saw Boyd and her friends and later claimed they were arguing in an alley.  Whether Servin calmly approached Boyd and her friends or was rude and aggressive is still debated. One of Boyd’s friends, Antonio Cross, claimed that Servin attempted to buy drugs from the group. When Cross told Servin to “get his Crackhead ass out of here,” Servin pulled a gun, stuck it out of the window of his car and fired into the group, hitting Boyd in the head.  She was instantly killed and Cross was wounded in the hand. After the shooting, the Chicago Police Department defended Servin’s actions and arrested Cross. The Police Department claimed that Servin had discharged his weapon after Cross had approached him with a gun.  Upon investigation it was discovered that Cross was holding a cellphone. In November 2013, Servin was charged with involuntary manslaughter but was cleared of all charges two years later on April 20, 2015, by Judge Dennis J. Porter following a non-jury trial. On November 24, 2015, Mayor Rahm Emanuel and Police Superintendent Garry McCarthy called for Dante Servin to be fired by the Chicago Police Board.  On May 17, 2016, Servin resigned from the police force. The city of Chicago also paid $4.5 million to the Boyd family. Boyd’s death at the hands of Chicago Police Officer Dante Servin would help inspire the Black Lives Matter movement. "They don’t talk about women that much when they get killed by the police. They barely talk about women. Why is that? It’s crazy, because you see that even in death, women play the second role."                                                               - Martinez Sutton, Rekia Boyd’s brother  Yvette Smith On the 16th of January 2014, mother of 3 Yvette Smith was shot in her friend’s home by Daniel Willis, the officer coming to settle a disturbance.. She was seemingly trying to act as a peacemaker during a dispute between a father and a son that involved a gun. She called 911 about half an hour after midnight. When Bastrop County police arrived at the house, at least one of the men was in the front yard and the worst of the disturbance had seemed to be over. The disagreement was settled before the officers arrived. The owner of the home Mr. Willie Thomas was outside when police arrived The officers issued verbal commands for the other occupants to exit the property. Yvette Smith was shot three seconds after the door was opened as shown by body camera footage. She was shot twice by the deputy sheriff’s with his personal AR-15 semi-automatic assault rifle. The officers claimed she threatened them with a gun despite no weapons being found within the home. The dispatcher claimed the opposite and Thomas said it was false information. In April 2016 Daniel Willis, a former Texas police deputy, was found not guilty of murder. The family filed for wrongful death suit and settled with 1.22 million in compensation. However, Daniel Willis still walks a free man who killed an innocent unarmed black woman. The case raised broad issues about police accountability and questions about police recruiting standards and the general conduct of the sheriff’s department.    Shantel Davis On June 14, 2012, Shantel Davis, a 23-year-old African-American woman, was fatally shot by New York City,  New York Police Department (NYPD) officer Phil Atkins. She was unarmed, and her death occurred while the national discussion of police brutality was gaining publicity in the wake of similar killings. That debate led to the creation of the Black Lives Matter Movement  the following year. Two plainclothes police officers saw Davis driving erratically and pursued her vehicle. Once her car came to a stop after colliding with a minivan, the officers got out of their car and approached on foot. Davis opened her passenger side door, knocking one officer to the ground. She then got back into the driver’s seat. Believing that Davis was trying to drive away, and with the car moving backwards, Detective Phil Atkins reached into her car and tried to shift it into park. While they struggled for control, Atkins shot her once in the chest. When the officers asked her to exit the car, she stumbled out while bleeding profusely onto the pavement in front of a large crowd. One witness, George Ricketts, said that Davis cried out that she didn’t want to die, and a woman attempted to comfort her. Despite paramedics’ attempts to revive her, Davis was later pronounced dead at Kings County Hospital. According to East Flatbush residents, the officer who killed Davis had a history of brutality.  At the time of her death, her friends and family said that Shantel was trying to get her GED and turn her life around. While police alleged that Davis had been trying to escape when she was shot, several witnesses stated that she was trapped behind an airbag and was not attempting to get away.  In 2017, Shantel’s family reports that there have been no investigations into her death or the officer who killed her, despite multiple attempts to follow up with the Brooklyn District Attorney office.     Atatiana Jefferson Atatiana Jefferson, had been up late playing video games with her 8-year-old nephew, in her final moments leading up to her fatal shot by an officer, Aaron Y. Dean, who was standing in her backyard with a flashlight and a gun. He would go on to resign two days later, hours before the police chief had planned to fire him. Jefferson who was 28 at the time of her death, graduated from Louisiana's Xavier University in 2014 with a degree in biology and worked in the field of pharmaceutical equipment sales. She was planning and saving for medical school. Atatiana was a loving aunt who would play basketball and video games with her nephews, and recently moved in with her mother to care for her as she had health problems. Her (mother) learned about her daughter’s shooting while in a hospital. In the moments leading up to the shooting, one of Ms. Jefferson’s neighbors, called a nonemergency line at 2:23 a.m. on Saturday to check on the safety of the residents after spotting the door open. Two officers responding to the call parked a block away from Ms. Jefferson’s house before unlatching a fence door and entering the backyard. According to an arrest warrant affidavit, Jefferson told her nephew she heard someone outside moments before the shooting, so she got her handgun from her purse and pointed it out a window. Dean, who never identified himself as a police officer despite yelling for Jefferson to put her hands up, according to the affidavit, fired through the window, killing Jefferson. As previously stated, Aaron Dean resigned before he could be fired. He was arrested and in December 2019 he was indicted by the Texas grand jury for murder, however the trial has been delayed by the coronavirus pandemic. "My God, I was so happy to know that the man that shot and killed my daughter is going to be indicted for murder," said Yolanda Carr, Jefferson's mother. She went on to say that "Justice was served on that part, but I know we got a long way to go," "I'm so glad that they finally indicted that man on murder because he murdered my baby."  

Dr. Jay Pandya, MD, is a PGY-1 intern in emergency medicine at SUNY Downstate, working at Kings County Hospital. He talks about his experiences on the frontlines during the COVID-19 pandemic in New York City. 

Magical is how I would describe Dr. Dara Kass. She is an Assistant Professor of Emergency Medicine at Columbia University Medical Center, where she also serves as the director of Equity and Inclusion for the Emergency Department.  After completing her residency at SUNY Downstate Medical School and Kings County Hospital, she served as faculty of read more... The post A Conversation With the Magical Dr. Dara Kass appeared first on RoshReview.com.

A Navy hospital ship with 1,000 beds arrived Monday in New York City as the number of deaths in the state from the coronavirus outbreak climbed quickly. The disease continued to claim the lives of health care workers. Mayor Bill de Blasio said President Donald Trump’s suggestion that thousands of medical masks are disappearing from New York City hospitals is “insulting” to front-line medical workers.The latest coronavirus developments in New York:___SHIP ARRIVES AS TOLL RISESA Navy hospital ship docked in New York City on Monday as the number of coronavirus-related deaths in the state soared to a “beyond staggering” 1,218.The 1,000-bed USNS Comfort will be used as a “relief valve,” treating non-coronavirus patients while the city’s increasingly stressed hospitals handle people with COVID-19, Gov. Andrew Cuomo said.Shortly after it arrived at a Manhattan pier, the governor announced that the statewide death toll had risen by 253 in a single day."That's a lot of loss, that's a lot of pain, that's a lot of tears, that's a lot of grief that people all across this state are feeling," Cuomo said.Most of the state's fatalities have occurred in just the past 10 days. Cuomo said the ultimate number of COVID-19-related deaths will be staggering, then added: "To me, we're beyond staggering already."The Comfort, which was also sent to New York after the 9/11 terror attacks, has 12 operating rooms that could be up and running within 24 hours, officials said.The ship is docked just north of a temporary hospital constructed inside the cavernous Jacob K. Javits Convention Center. State and city officials are trying to increase hospital capacity by up to 87,000 beds to handle the outbreak."We bring a message to all New Yorkers – now, your Navy is returned and we are with you committed in this fight,” said Rear Admiral John Mustin.There are 9,500 people in New York currently hospitalized for COVID-19, with more than 2,300 in intensive care. More than 66,000 New Yorkers have tested positive for the virus.___TEMPORARY MORGUESAs the outbreak has worsened, some hospitals are now parking refrigerated trailers outside their doors to collect the remains of the dead.At two Brooklyn hospitals, videos posted online by bystanders and a medical worker showed workers wearing protective masks and gowns loading bodies onto trailers from gurneys parked on the sidewalk.The office of the city's medical examiner confirmed on Monday that it has started using a temporary morgue set up last week in Manhattan to provide emergency capacity as the city’s permanent morgues fill up. The site near Bellevue Hospital includes a large tent and refrigeration units.The U.S. military has sent 42 people to the city to help the medical examiner’s office deal with an influx of bodies.Thomas Von Essen, the regional administrator of the Federal Emergency Management Agency, said Monday his agency was also providing refrigeration trucks to the city.“We in New York City have a desperate need for help over in Queens,” said Von Essen, who was the city’s fire commissioner on Sept. 11, 2001. “And we are working on that as we speak, there’s folks trying to put it all together.”Queens has been the hardest hit of the five boroughs, with an outsized number of coronavirus cases and deaths.___THE TOLLTwo more New York City health care workers have died of the coronavirus, days after the first confirmed death.De Blasio announced Sunday the deaths of Freda Ocran, a psych educator at Jacobi Hospital in the Bronx, and Theresa Lococo, a pediatric nurse at Kings County Hospital.Ocran was previously the head nurse of the psych unit at Jacobi and was working, in part, to support her mother in Africa, de Blasio said.On March 20, Ocran changed her profile picture on Facebook to include a mantra familiar to people on the front lines of the coronavirus fight: “I can’t stay home ... I’m a healthcare worker.”Dr. James T. Goodrich, a pediatric neurosurgeon who once led a tea...

On this week’s episode of Make it Make Sense Podcast, Jacob and Tony talk healthcare with the good homies, Jordan and Cleon. Jordan is a resident at Kings County Hospital in Brooklyn, while Cleon works in Sales and Marketing at GenTech. Some topics covered by the crew are quality of life, our expectations of the healthcare system, what Medicare for All should look like, and why plans proposed by Mayor Pete and Sleepy Joe will create a stratified healthcare system. Oh wait, we already have that. Cleon and Jordan stick around for the freestyle to discuss the latest developments with Kaepernick, violent NFL players being violent (oh my!) what we want from reparations, and a few other thangs. --- Send in a voice message: https://anchor.fm/make-it-make-sense-pod/message

Born and raised in Brooklyn New York, Patrick Dougher is a self-taught fine artist, musician, poet and actor. Patrick has performed and recorded with Sade, the Grammy award winning Dan Zanes and many others. He has played drums with many notable reggae artists such as Black Uhuru’s Michael Rose and Steel Pulses’ David Hinds and Hip Hop star Chuck D of Public Enemy. Patrick also played drums on “The Dub Side of the Moon” one of the bestselling reggae LPs of all time. He has performed his poetry for the WNET Open Mic series as well as BRIC TV and venues around NYC. Patrick was a lead actor in the Ping Chong 651 Arts theatre production “Brooklyn 63” which toured in 2014. Patrick worked as an art therapist with HIV positive children at Kings County Hospital, a co-curator at the Museum of African Art, a youth counselor and teaching artist at Project Reach and Studio in a School and most recently as the Program Director of Groundswell, NYC’s premier community mural arts organization where he oversaw and directed over 300 public mural projects throughout the city. He is currently working as he Interim Director of Education for BRIC Arts Media and as a freelance consultant with The Center for Court Innovations. For over 20 years Patrick has used the arts to empower and support the socio-emotional growth of at-risk and disenfranchised youth of the city. Patrick’s art reflects his life’s mission to inspire and empower by honestly and fearlessly holding up a mirror to society’s inequity and injustices. Through his art he seeks to celebrate the noble beauty and divine spiritual nature of people of African descent and to connect urban African-American culture to its roots in sacred African art and ceremony. THE GOD SUPREME , 2019, Acrylic/ Mixed-Media on 4 attached canvases- , 44” x 60” LITTLE BOY BLUES, 2018, Acrylic/ Mixed- Media on Canvas- 24” x 30”

Welcome to The Mom Enterprise, a weekly podcast hosted by Kendra Martinez featuring working Moms who find a way to manage it all. Episode Guest: Dara Kass  Dara Kass, MD is an Assistant Professor of Emergency Medicine at Columbia University Medical Center in NYC.  After completing her residency at SUNY Downstate Medical School and Kings County Hospital, she served as faculty of Staten Island University Hospital, where she facilitated the start of their EM residency program. She previously served as the director of undergraduate medical education at NYU. As director, she introduced longitudinal career advising, innovative educational modalities, and numerous clinical experiences.  She is the founder of FemInEM, an organization dedicated to the achievement of gender equity in emergency medicine. FemInEM serves as an open access resource for women in EM, a community focused on career development, physician support, and seeing women in medicine thrive. What began as a blog is now a movement, a multi-faceted community comprised women in medicine all over the world.  The FemInEM Idea Exchange, the organization's first conference, was held in 2017 and featured inspiring international speakers. The sold-out gathering was comprised of attendees from four different continents. The 2018 FemInEM Idea Exchange which took place in October of 2018 at The New York Academy of Emergency Medicine in New York City. Dara Kass, MD FACEP CEO and Editor-in-Chief, FemInEM www.feminem.org   Listen to hear more about Dara's story:  - Supporting Women in the Medical Field with FemInEM. - Gender Equality, Social Media and the Workplace. - The Balancing Act and picking your battles. - Going through a liver donation for your child. - Raising three children with three different personalities. - Family Time vs Mom & Dad Time. - Teaching to Listen. - Staying organized and balanced from day to day as Mom and in the workplace.   Links mentioned:  @darakass Twitter: @feminemtweets Instagram: @feminemgram   Follow this podcast: Instagram: @themomenterprise Website: www.themomenterprise.com Contact Us: themomenterprise@gmail.com Music: www.bensound.com

Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine's Emergency Medicine Practice. I'm Jeff Nusbaum, and I'm back with my co-host, Nachi Gupta. This month, we're back with our old routine – no special guests. Nachi: Don't sound so sad about it! Jeremy was great last month, and he's definitely paved the way for more special guests in upcoming episodes. Jeff: You're right. But this month's episode is special in its own way - we'll be tackling Electrical Injuries in the emergency department - from low and high voltage injuries to the more extreme and rare lightning related injuries. Nachi: And this is obviously not something we see that often, so listen up for some easy to remember high yield points to help you when you get an electrical injury in the ED. And pay particular attention to the , which, as always, signals the answer to one of our CME questions. Jeff: I hate to digress so early and drop a cliché, “let's start with a case…” but we, just a month ago, had a lightning strike induced cardiac arrest in Pittsburgh, so this hits really close to home. Thankfully, that gentleman was successfully resuscitated despite no bystander CPR, and if you listen carefully, we hope to arm you with the tools to do so similarly. Nachi: This month's print issue was authored by Dr. Gentges and Dr. Schieche from the Oklahoma University School of Community Medicine. It was peer reviewed by Dr. O'Keefe and Dr. Silverberg from Florida State University College of Medicine and Kings County Hospital, respectively. Jeff: And unlike past issues covering more common pathologies, like, say, sepsis, this month's team reviewed much more literature than just the past 10 years. In total, they pulled references from 1966 until 2018. Their search yielded 477 articles, which was narrowed to 88 after initial review. Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. Thankfully, fatalities are declining, with just 565 in 2015. On average, between 25 and 50 of the yearly fatalities can be attributed to lightning strikes. Jeff: Interestingly, most of the decrease in fatalities is due to improvements in occupational protections and not due so much to changes in healthcare. Nachi: That is interesting and great to hear for workers. Also, worth noting is the trimodal distribution of patients with electrical injuries: with young children being affected by household currents, adolescent males engaging in high risk behaviors, and adult males with occupational exposures and hazards. Jeff: Electrical injuries and snake bites – leave it to us men to excel at all the wrong things… Anyway, before we get into the medicine, we unfortunately need to cover some basic physics. I know, it might seem painful, but it's necessary. There are a couple of terms we need to define to help us understand the pathologies we'll be discussing. Those terms are: current, amperes, voltage, and resistance. Nachi: So, the current is the total amount of electrons moving down a gradient over time, and it's measured in amperes. Jeff: Voltage, on the other hand, is the potential difference between the top and bottom of a gradient. The current is directly proportional to the voltage. It can be alternating, AC, or direct, DC. Nachi: Resistance is the obstruction of electrical flow and it is inversely proportional to the current. Think of Ohm's Law here. Voltage = current x resistance. Jeff: Damage to the tissues from electricity is largely due to thermal injury, which depends on the tissue resistance, voltage, amperage, type of circuit, and the duration of contact. Nachi: That brings us to an interesting concept – the let-go threshold. Since electrical injuries are often due to grasping an electric source, this can induce tetanic muscle contractions and therefore the inability to let go, thus increasing the duration of contact and extent of injury.

Jeff: Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta. This month, we’re back with our old routine – no special guests. Nachi: Don’t sound so sad about it! Jeremy was great last month, and he’s definitely paved the way for more special guests in upcoming episodes. Jeff: You’re right. But this month’s episode is special in its own way - we’ll be tackling Electrical Injuries in the emergency department - from low and high voltage injuries to the more extreme and rare lightning related injuries. Nachi: And this is obviously not something we see that often, so listen up for some easy to remember high yield points to help you when you get an electrical injury in the ED. And pay particular attention to the , which, as always, signals the answer to one of our CME questions. Jeff: I hate to digress so early and drop a cliché, “let’s start with a case…” but we, just a month ago, had a lightning strike induced cardiac arrest in Pittsburgh, so this hits really close to home. Thankfully, that gentleman was successfully resuscitated despite no bystander CPR, and if you listen carefully, we hope to arm you with the tools to do so similarly. Nachi: This month’s print issue was authored by Dr. Gentges and Dr. Schieche from the Oklahoma University School of Community Medicine. It was peer reviewed by Dr. O’Keefe and Dr. Silverberg from Florida State University College of Medicine and Kings County Hospital, respectively. Jeff: And unlike past issues covering more common pathologies, like, say, sepsis, this month’s team reviewed much more literature than just the past 10 years. In total, they pulled references from 1966 until 2018. Their search yielded 477 articles, which was narrowed to 88 after initial review. Nachi: Each year, in the US, approximately 10,000 patients present with electrical burns or shocks. Thankfully, fatalities are declining, with just 565 in 2015. On average, between 25 and 50 of the yearly fatalities can be attributed to lightning strikes. Jeff: Interestingly, most of the decrease in fatalities is due to improvements in occupational protections and not due so much to changes in healthcare. Nachi: That is interesting and great to hear for workers. Also, worth noting is the trimodal distribution of patients with electrical injuries: with young children being affected by household currents, adolescent males engaging in high risk behaviors, and adult males with occupational exposures and hazards. Jeff: Electrical injuries and snake bites – leave it to us men to excel at all the wrong things… Anyway, before we get into the medicine, we unfortunately need to cover some basic physics. I know, it might seem painful, but it’s necessary. There are a couple of terms we need to define to help us understand the pathologies we’ll be discussing. Those terms are: current, amperes, voltage, and resistance. Nachi: So, the current is the total amount of electrons moving down a gradient over time, and it’s measured in amperes. Jeff: Voltage, on the other hand, is the potential difference between the top and bottom of a gradient. The current is directly proportional to the voltage. It can be alternating, AC, or direct, DC. Nachi: Resistance is the obstruction of electrical flow and it is inversely proportional to the current. Think of Ohm’s Law here. Voltage = current x resistance. Jeff: Damage to the tissues from electricity is largely due to thermal injury, which depends on the tissue resistance, voltage, amperage, type of circuit, and the duration of contact. Nachi: That brings us to an interesting concept – the let-go threshold. Since electrical injuries are often due to grasping an electric source, this can induce tetanic muscle contractions and therefore the inability to let go, thus increasing the duration of contact and extent of injury. Jeff: Definitely adding insult to injury right there. With respect to the tissue resistance, that amount varies widely depending on the type of tissue. Dry skin has high resistance, far greater than wet or lacerated skin. And the skin’s resistance breaks down as it absorbs more energy. Nerve tissue has the least resistance and can be damaged by even low voltage without cutaneous manifestations. Bone and fat have the highest resistance. In between nerve and bone or fat, we have blood and vascular tissue, which have low resistance, and muscle and the viscera which have a slightly higher resistance. Nachi: Understanding the resistances will help you anticipate the types of injuries you are treating, since current will tend to follow the path of least resistance. In high resistance tissues, most of the energy is lost as heat, causing coagulation necrosis. These concepts also explain why you may have deeper injuries beyond what can be visualized on the surface. Jeff: And not only does the resistance play a role, but so too does the amount and type of current. AC, which is often found in standard home and office settings, but can also be found in high voltage transmission lines, usually affects the electrically sensitive tissues like nerve and muscle. DC has a higher let-go threshold and does not cause as much sensation. It also requires more amperage to cause v-fib. DC is often found in batteries, car and computer electrical systems, some high voltage transmission lines, and capacitors. Nachi: Voltage has a twofold effect on tissues. The first mechanism is through electroporation, which is direct damage to cell membranes by high voltage. The second is by overcoming the resistance of body tissues and intervening objects such as clothes or water. You’re probably familiar with this concept when you see high voltages arcing through the air without direct contact with the actual electrical source, leading to diffuse burns. Jeff: As voltage increases, the resistance of dry skin is -- not surprisingly -- reduced, leading to worse injuries. Nachi: And for this reason, the US Department of Energy has set 600 Volts as the cutoff for low vs high voltage electrical exposure. Jeff: It is absolutely critical that we also mention and then re-mention throughout this episode, that those with electrical injuries often have multisystem injuries due to not only the thermal injury, electrical damage to electrically sensitive tissue, but also mechanical trauma. Injuries are not uncommon both from forceful pulling away from the source or a subsequent fall if one occurs. Nachi: That’s a great point which we’ll return to soon, as it plays an important role in destination selection. But before we get there, let’s review the common clinical manifestations of electrical injuries. Jeff: First up is – the cutaneous injuries. Most electrical injuries present with burns to the skin. Low voltage exposures typically cause superficial burns at the entry and exit sites, whereas high voltage exposures cause larger, deeper burns that may require skin grafting, debridement, and even amputation. Nachi: High voltage injuries can also travel through the sub-q tissue leading to extensive burns to deep structures despite what appears to be relatively uninjured skin. In addition, high voltage injuries can also result in superficial burns to large areas secondary to flash injury. Jeff: Electrical injuries can also lead to musculoskeletal injuries via either thermal or mechanical means. Thermal injury can lead to muscle breakdown, rhabdo, myonecrosis, edema, and in worse cases, compartment syndrome. In the bones, it can lead to osteonecrosis and periosteal burns. Nachi: In terms of mechanical injury – electrical injury often leads to forceful muscular contraction and falls. In 2 retrospective studies, 11% of patients with high voltage exposures also had traumatic injuries. Jeff: While not nearly as common, the rarer cardiovascular injuries are certainly up there as the most feared. Pay attention to the entry and exit sites, as the pathway of the shock is predictive of the potential for myocardial injury and arrhythmia. Common arrhythmias include AV block, bundle branch blocks, a fib, QT prolongation and even ventricular arrhythmias, including both v-fib and v-tach, both of which typically occur immediately after the injury. Nachi: There is a school of thought out there that victims of electrical injury can have delayed onset arrhythmias and require prolonged cardiac monitoring – however several well-designed observational studies, including 1000s of patients, have demonstrated no such evidence. Jeff: It’s also worth noting that ST elevation MIs have also been reported, however this is usually due to coronary artery vasospasm rather than acute arterial occlusion. Nachi: Respiratory injuries are somewhat less common. Acute respiratory failure usually occurs secondary to electrical injury-induced cardiac arrest. Thoracic tetany can cause paralysis of respiratory muscles. Late findings of respiratory injury including pulmonary effusions, pneumonitis, pneumonia, and even PE. The electrical resistance of lung tissue is relatively high, which may account for why pulmonary injury is less common. Jeff: Vascular injuries include coagulation necrosis as well as thrombosis. In addition, those with severe burns are at increased risk of DVT, especially in those who are immobilized. In at least one study, the incidence of DVT in hospitalized burn patients was as high as 23%. That’s -- high. Nachi: Neurologic complaints are far more common as nerve tissue is highly conductive. While the most common injury from an electric shock is loss of consciousness, other common neurologic insults include weakness, paresthesias, and difficulty concentrating. Jeff: And if the entry and exit sites traverse the spinal cord – this also puts the patient at risk for spinal cord lesions. Specifically with respect to high voltage injuries – these victims are at risk for posterior cord syndrome. In addition, depression, pain, anxiety, mood swings, and cognitive difficulties have all been commonly described. Nachi: Rounding out our discussion of electrical injuries, visceral injuries are rather rare, with bowel perforation being the most common. High voltage injuries have also been associated with cataracts, macular injury, retinal detachment, hearing loss, tinnitus, and vertigo. Jeff: Perfect. I think that more or less rounds out an overview of organ specific electrical injuries. Let’s talk about prehospital care for these patients -- a broad topic in this case. As always, the first, and most important step in prehospital care is protecting oneself from the electrical exposure if the electrical source is still live. Nachi: In cases of high voltage injuries from power lines or transformers or whatever oddity the patient has come across, it may even be necessary to wait for word from the local electrical authority prior to initiating care. Remember, the last thing you want to do is become a victim yourself. Jeff: For those whose electrical injury resulted in cardiac arrest, follow your standard ACLS guidelines. These aren’t your standard arrest patients though, they typically have many fewer comorbidities – so CPR tends to be more successful. Nachi: Intubation should also be considered especially early in those with facial or neck burns, as risk of airway loss is high. Jeff: And as we mentioned previously, concurrent trauma and therefore traumatic injuries is very common, especially with high voltage injuries, so patients with electrical injuries require a complete survey and not just a brief examination of their obvious injuries. Nachi: When determining destination, trauma takes priority over burn, so patients with significant trauma or those who are obtunded or unconscious should be transported to an appropriate trauma center rather than a burn center if those sites are different. Jeff: Let’s move on to evaluation in the emergency department. As always, it’s ABC and IV, O2, monitor first with early airway management in those with head and neck burns being a top priority. After that, complete your primary and secondary surveys per ATLS guidelines. Nachi: During your survey, make sure the patient is entirely undressed and all constricting items, like jewelry is removed. Jeff: Next, make sure that all patients with high voltage injuries have an EKG and continuous cardiac monitoring. Those with low voltage injuries and a normal EKG do not require monitoring. Nachi: Additionally, for those with severe electrical injuries, an IV should be placed and fluid resuscitation should begin. Fluid requirements will likely be higher than those predicted by the parkland formula, and you should aim for a goal of maintaining urine output of 1-1.5 ml/kg/h. Jeff: With your initial stabilization underway, you can begin to gather a more thorough history either from bystanders or EMS if they are still present. Try to ascertain whether the current was AC or DC, and whether it was high or low voltage. Don’t forget to ask about the setting of the injury as this may point to other concurrent traumatic injuries, that may in fact take precedence during your work up. Nachi: Moving on to the physical exam. As mentioned previously, disrobe the patient and complete a primary and secondary survey. Jeff: If the patient has clear entry and exit wounds, the path through the body may become apparent and offer clues about what injuries to expect. Nachi: A single exam will not suffice for electrical injury patients. All patients with serious electrical injuries will require serial exams to evaluate for vascular compromise and compartment syndrome. Jeff: So that wraps up the physical, let’s move onto diagnostic studies. Nachi: First off -- I know we’ve said it, but it’s definitely worth reiterating. All patients presenting with a history of an electric shock require an EKG Jeff: In those with a low voltage injury without syncope and a normal EKG, you don’t routinely need cardiac monitoring. However, in the setting of high voltage injuries, the data is less clear. Based on current literature, the authors recommend overnight monitoring for at least 8 hours for all high voltage injuries. Nachi: While no routine labs work is required for minor injuries, those with more serious injuries require a cbc, cmp, CK, CK-MB, and urinalysis. Jeff: The CK is clearly for rhabdo, but interestingly, a CK-MB greater than 80 ng/mL is actually predictive of limb amputation. Oh and don’t forget that urine pregnancy test when appropriate. Nachi: In terms of imaging, you’ll have to let your history guide your diagnostic studies. Perform a FAST exam to screen for intra-abdominal pathology for anyone with concern for concurrent trauma. Keep a low threshold to XR or CT any potentially injured body region. Jeff: Real quick – in case you missed it – ultrasound sneaks in again. Maybe I should reconsider and do an US fellowship – seems like that’s where the money is at - well maybe not money but still. Let’s move on to treatment. Nachi: In those with minor injuries like small burns and a low voltage exposure – if they have a normal EKG and no other symptoms, these patients require analgesia only. Give return precautions and have them follow up with their PCP or a burn center. Jeff: In those with more severe injuries, as we mentioned before, but we’ll stress again, protect the patient’s airway early especially if you are considering transfer and have any concerns. In one study, delays in intubation was associated with a high risk of a difficult airway. Always make sure you have not only your tool of choice but also all of your backup airway devices ready as all deeper airway injuries may not be apparent externally. Nachi: Fluid resuscitation with isotonic fluids is the standard -- again -- with a goal urine output of 1-1.5 ml/kg/h. Jeff: Address pain with analgesia – likely in the form of opiates – and don’t be surprised if large doses are needed. Nachi: Dress burned areas with an antibiotic dressing and update the patient’s tetanus if needed. While there is ongoing debate about the role of prophylactic antibiotics, best evidence at this point recommends against them. We talked about thermal burns in Epsiode 13 also, so go back and listen there for more... Jeff: There is also a range of practice variation with respect to early surgical exploration of the burned limb with severe injuries. At this time, however, the best current evidence supports a conservative approach. Nachi: Serial exams and watch and wait it is. . We have some interesting special populations to discuss this month. First up, as is often the case, the kids. Jeff: Young children are sadly more likely to present with orofacial burns due to, well, everything ending up in their mouth. And since many of our listeners are likely in boards study mode – why don’t you fill us in on the latest evidence with respect to labial artery bleeding. Nachi: Sure – . There is up to a 24% risk of labial artery bleeding and primary tooth damage with oral electrical injuries. Although there isn’t a clear consensus, current evidence supports early ENT consultation and a strong consideration for admission and observation for delayed bleeding. Jeff: Keep in mind though, that labial artery bleeding is often delayed and has been reported as far as 2 weeks out from the initial insult. Nachi: Moral of the story: don’t put electrical cords in or anywhere near your mouth. Next, we have pregnant patients. Case reports of pregnant patients suffering electrical injuries have described fetal arrhythmias, ischemic brain injury, and fetal demise. For this reason, those that are past the age of fetal viability should have fetal monitoring after experiencing an electric shock. Jeff: If not already done, an ultrasound should be obtained as well and a two week follow up ultrasound will be needed. Nachi: We’re switching gears a bit with this next special population – those injured by an electrical control device or taser. Jeff: Tasers typically deliver an initial 50,000 volt shock, with a variable number of additional shocks following that. Nachi: Most taser injuries are thankfully direct traumatic effects of the darts or indirect trauma from subsequent falls. Jeff: While there are case reports of taser induced v fib, the validity of taser induced arrhythmias remains questionable due to confounders such as underlying disease and previously agitated states like excited delirium Nachi: Basically, [DING SOUND} those with taser injuries should be approached as any standard trauma patient would be, with the addition of an EKG for all of these patients. Jeff: The next special population --- the one I’m sure you’ve all been waiting patiently for -- is lightning strike victims. Lightening carries a voltage in the millions with amperage in the thousands, but with an incredibly short exposure time. Because of this, lightening causes injuries in a number of different ways. Nachi: First, because it’s often raining when lightning strikes, wet skin may cause the energy to stay on the skin in what is known as a flashover effect. Jeff: Similarly and not surprisingly, burns are common after a lightning strike. Lichtenberg figures are superficial skin changes that resemble bare tree branches and are pathognomonic for lightning injury. Thankfully, these usually disappear within a few weeks without intervention. Nachi: Next, the rapid expansion of the air around the strike can lead to a concussive blast and a variety of traumatic injuries including ocular and otologic injury like TM rupture which occurs in up to two thirds of cases. Jeff: An ophthalmologic consult should be obtained in most, if not all of these cases. Nachi: Making matters worse, lightning can also travel through electric wiring and plumbing to cause a shock to a person indoors nearby the strike! Jeff: And like we mentioned earlier, just as was the case with my fellow Pittsburgher or ‘Yinzer. Nachi: Yinzer? Jeff: Forget about it, it’s just what Pittsburghers call themselves for some reason or another - but we’re still talking lightning. Cardiac complications including death, contusion and vasospasm have all been reported secondary to lightning injury. But don’t lose hope – in fact – you should gain hope as these patients have a much higher than typical survival rates. Nachi: From the neurologic standpoint – it’s a bit more complicated. CNS dysfunction may be immediate or delayed and can range from strokes to spinal cord injuries. Cerebral salt wasting syndrome, peripheral nerve lesions, spinal cord fracture, and cerebral hemorrhages have all been described. An MRI may be required to elucidate the true diagnosis. Jeff: Clearly victims of lighting strikes are complex and, for that reason, among many others, the American College of Surgeons recommends that victims of lightning strikes be transferred to a burn center for a comprehensive eval. Nachi: Let’s touch upon any other details regarding disposition. Jeff: Those with low voltage exposures, a normal EKG and minimal injury may be discharged home with PCP follow up and strict return precautions. Nachi: High voltage injuries on the other hand require admission to a burn center and the involvement of a burn surgeon, even if it involves transferring the patient. Jeff: And remember, trauma takes precedence over burn and those with traumatic injuries or the possibility of traumatic injuries should be evaluated at a trauma center. Don’t forget to take the airway early if there is any concern, and consider transporting via air as the services of a critical care transport team may be required. Nachi: That wraps up Episode 22, but let’s go over some key points and clinical pearls. During evaluation, consider multisystem injuries due to not only the thermal injury and electrical damage to electrically sensitive tissue, but also mechanical trauma. Thermal injury can lead to muscle breakdown, rhabdomyolysis, myonecrosis, edema, compartment syndrome, osteonecrosis, and even periosteal burns. Mechanical injury can be a result of forceful muscular contractions, and trauma can manifest as fractures, dislocations, and significant muscular injuries. Electrical injuries due to grasping an electric source can induce tetanic muscle contractions and therefore the inability to let go, increasing the duration of contact and extent of injury. Current tends to follow the path of least resistance, which explains why you might have deeper injuries beyond what can be visualized in the surface. Nerve tissue has the least resistance and can be damaged by even low voltage without cutaneous manifestations. Bone and fat, on the other hand, have the highest resistance to electrical injury. High voltage injuries place patients at risk for spinal injuries, most notably posterior cord syndrome. High voltage injuries have also been associated with cataracts, macular injury, retinal detachment, hearing loss, tinnitus, and vertigo. All patients with electrical injury require an EKG. Low voltage injuries with a normal presenting EKG do not always require cardiac monitoring. High voltage injuries require cardiac monitoring for at least 8 hours. Intubation should be considered early in patients with facial or neck burns, as risk of airway loss is high. Make sure to have airway adjuncts and back up equipment at bedside, as deeper airway injuries may not be obvious upon external exam. For severe injuries, target a urine output rate of 1-1.5 mL/kg/hr. All patients with serious electrical injuries require serial exams to evaluate for vascular compromise and compartment syndrome. Address pain with analgesia. Larger than expected doses may be needed. Dress burned areas with an antibiotic dressing and update the patient’s tetanus if required. For pediatric patients with oral electric injuries from biting on a cord, consult ENT early and consider admission for observation of delayed arterial bleeding. Pregnant patients who are past the age of fetal viability should have fetal monitoring and ultrasound after experiencing an electric shock. Tympanic membrane rupture is a commonly noted blast injury after a lightning strike. Cardiac resuscitation should follow ACLS guidelines and is more likely to be successful than your tyipcal cardiac arrest patient as the patient population is typically younger and without significant comorbidities. When determining destination, trauma centers take priority over burn centers if those sites are different. So that wraps up episode 22 - managing electrical injury in the emergency department. Additional materials are available on our website for Emergency Medicine Practice subscribers. If you’re not a subscriber, consider joining today. You can find out more at www.ebmedicine.net/subscribe. Subscribers get in-depth articles on hundreds of emergency medicine topics, concise summaries of the articles, calculators and risk scores, and CME credits. You’ll also get enhanced access to the podcast, including the images and tables mentioned. You can find everything you need to know at ebmedicine.net/subscribe. And the address for this month’s credit is ebmedicine.net/E1118, so head over there to get your CME credit. As always, the you heard throughout the episode corresponds to the answers to the CME questions. Lastly, be sure to find us on iTunes and rate us or leave comments there. You can also email us directly at emplify@ebmedicine.net with any comments or suggestions. Talk to you next month!

In today's episode, we are so happy to welcome back our most frequent guest of the podcast. She is the multi-talented Emergency Medicine Physician and Founder of FeminEM, Dara Kass, MD. I first talked with Dara in Episode 3 of the Hippocratic Hustle Podcast. In that episode, Dara explained how she was developing a conference specifically for EM women physicians. Then, in Episode 25, Dr. Kass was back to discuss how amazing the conference was and its significance. Today, Dr. Kass is back again to tell us all about the most rewarding physician job she has ever had as a camp doctor and how you can become one too! She also tells us all about her newest venture with Camp Health Consulting and how she is leading the way in camp healthcare. In this episode, you will learn: Why Dr. Kass created The FeminEM Podcast and what's new on her show. How she got involved in becoming a camp doctor and why she was interested in it. What Camp Health Consulting is and why Dr. Kass started this new venture. The most rampant disease at summer camp! What types of physicians work at camps and how you can get involved. How Camp Health Consulting is implementing protocols at camps. How Dr. Kass set up the Camp Health Consulting business model. Why she loves camp and thinks it is a life changing, magical experience. Dr. Dara Kass is currently an Assistant Professor of Emergency Medicine at Columbia University Medical Center in NYC. A graduate of SUNY Downstate Medical School and Kings County Hospital's EM residency, she has spent her entire clinical career working in within the 5 boroughs of New York. Upon completion of her residency, Dr. Kass joined the fledgling faculty Staten Island University Hospital, where she helped start its EM residency. Dr. Kass left Staten Island 5 years ago to join the faculty at NYU as their director of undergraduate medical education. Dr. Kass stepped back from her defined title at NYU to focus on FemInEM, an open access resource for women in EM. Most recently, she now serves as an Assistant Professor of Emergency Medicine at Columbia University Medical Center in NYC where she is also the Director for Equity and Inclusion in the ED. Dr. Kass lives in Brooklyn NY with her husband, Michael and 3 kids, Hannah, Charlie and Sam. Links we discussed in the show: The FeminEM Idea Exchange (FIX 2018) Conference: October 16-18th in NYC Listen in on The FeminEM Podcast. Find more information about camps at The American Camp Association. Learn more about Dr. Kass' newest venture into Camp Health Consulting and Certification. For more information on camp jobs email: Jobs@CampHealthConsulting.com. Quotes from Dara Kass, MD: “There is no textbook in camp healthcare.” “We need to be quicker in our resources and our reactions, but if you do it consistently, it's awesome.” “You get to teach kids to be autonomous.” “You need doctors and nurses who are trained in camp to come there and do a great job.” “It is so much fun to practice medicine this way!” Special thanks to this week's sponsor: The White Coat Investor's new course Fire Your Financial Advisor! Thank you for listening to the Hippocratic Hustle! I know that time is your most valuable resource so I really appreciate you spending some of it with me. If you enjoyed today's show, please share it! If you'd like to help me improve and grow the podcast, send your suggestions to: Carrie@HippocraticHustle.com Lastly, don't forget to subscribe to the podcast, so you won't miss an episode!

Join hosts Jeff Nusbaum, MD, and Nachi Gupta, MD on this episode of EMplify as they take you through the June 2018 issue of Emergency Medicine Practice: Managing Shoulder Injuries in the Emergency Department Fracture, Dislocation, and Overuse. This month, Richard Pescatore, director of clinical research at Crozer-Keystone Health System and clinical assistant professor at the Rowan University School of Osteopathic Medicine, along with Andrew Nyce, vice chairman and associate professor at cooper medical school of Rowan University reviewed just over 100 articles to come up with their evidence-based recommendations. Their recommendations were then edited by John Munyak of Maimonides and Mark Silverberg of SUNY Downstate and Kings County Hospital. Most Important References * Ponce BA, Kundukulam JA, Pflugner R, et al. Sternoclavicular joint surgery: how far does danger lurk below? J Shoulder Elbow Surg. 2013;22(7):993-999. (Prospective cohort; 49 patients) * Slaven EJ, Mathers J. Differential diagnosis of shoulder and cervical pain: a case report. J Man Manip Ther. 2010;18(4):191-196. (Case report) * Helfen T, Ockert B, Pozder P, et al. Management of prehospital shoulder dislocation: feasibility and need of reduction. Eur J Trauma Emerg Surg. 2016;42(3):357-362. (Retrospective review; 70 patients) * Lenza M, Belloti JC, Andriolo RB, et al. Conservative interventions for treating middle third clavicle fractures in adolescents and adults. Cochrane Database Syst Rev. 2014(5):CD007121. (Systematic review; 3 trials, 354 patients) * Neer CS, 2nd. Displaced proximal humeral fractures: part I. Classification and evaluation. 1970. Clin Orthop Relat Res. 2006;442:77-82. (Review article) * Sholsberg J, Jackson R. Best evidence topic report. Intra-articular corticosteroid injections in acute rheumatoid monoarthritides. Emerg Med J. 2004;21(2):204. (Systematic review; 1 study, 137 patients)

Join hosts Jeff Nusbaum, MD, and Nachi Gupta, MD on this episode of EMplify as they take you through the June 2018 issue of Emergency Medicine Practice: Managing Shoulder Injuries in the Emergency Department Fracture, Dislocation, and Overuse. This month, Richard Pescatore, director of clinical research at Crozer-Keystone Health System and clinical assistant professor at the Rowan University School of Osteopathic Medicine, along with Andrew Nyce, vice chairman and associate professor at cooper medical school of Rowan University reviewed just over 100 articles to come up with their evidence-based recommendations. Their recommendations were then edited by John Munyak of Maimonides and Mark Silverberg of SUNY Downstate and Kings County Hospital. Most Important References * Ponce BA, Kundukulam JA, Pflugner R, et al. Sternoclavicular joint surgery: how far does danger lurk below? J Shoulder Elbow Surg. 2013;22(7):993-999. (Prospective cohort; 49 patients) * Slaven EJ, Mathers J. Differential diagnosis of shoulder and cervical pain: a case report. J Man Manip Ther. 2010;18(4):191-196. (Case report) * Helfen T, Ockert B, Pozder P, et al. Management of prehospital shoulder dislocation: feasibility and need of reduction. Eur J Trauma Emerg Surg. 2016;42(3):357-362. (Retrospective review; 70 patients) * Lenza M, Belloti JC, Andriolo RB, et al. Conservative interventions for treating middle third clavicle fractures in adolescents and adults. Cochrane Database Syst Rev. 2014(5):CD007121. (Systematic review; 3 trials, 354 patients) * Neer CS, 2nd. Displaced proximal humeral fractures: part I. Classification and evaluation. 1970. Clin Orthop Relat Res. 2006;442:77-82. (Review article) * Sholsberg J, Jackson R. Best evidence topic report. Intra-articular corticosteroid injections in acute rheumatoid monoarthritides. Emerg Med J. 2004;21(2):204. (Systematic review; 1 study, 137 patients)

Get ready to learn from this high energy conversation with  inspirational Dara Kass MD (@darakass) the founder of FemInEM (@FeminEMTweets). As described on the Feminem.org website: "Dara Kass, MD is the founder of FemInEM. An emergency medicine physician and advocate for the advancement of women in medicine, she is passionate about creating a community where women in EM can act as champions for one another. She is a graduate of SUNY Downstate Medical School and Kings County Hospital's residency program. Previously the director of undergraduate medical education at NYU, she now serves as Associate Professor of Emergency Medicine at NYU Langone Medical Center in NYC. Under her leadership, FemInEM strives to achieve gender equity in emergency medicine and provide professional development, resources, and support for women who have been called to a life in EM. In addition to her work as an advocate and physician, she is mother to Hannah, Charlie, and Sam. She lives with her children and her husband, Michael, in Brooklyn, New York."  Links:  Twitter: @darakass @FeminEMTweets Website: Feminem.org Podcast: Feminem Podcast  In This Episode We Discuss: The Origins of FemInEM Burnout and Creating a career that keeps you full Changing from a "servitude" to "investment mindset" Clearing away the culture of shame in medicine Gender biases and its impacts in the workplace Unconscious bias, overt sexism, and benevolent sexism "The Truth is" - Dara Kass MD The truth is we have options to create salary structure for ourselves. We have enormous networks of support. We have core jobs that validate us. We are not alone and there is an element of fulfillment in anything that we do. Who we are: The Happy Doc is a podcast and website about physician and medical student fulfillment. Our goal is to make Medical culture happier from the ground up. We do this by learning from awesome examples such as our recent guest. Please connect with us at any of our social media handles. We will continue to create content that will inspire you on your journey! Please Help The Happy Doc! Please subscribe to our podcast on iTunes by searching "The Happy Doc." Please leave us a review on iTunes. Don't forget to share this with your friends and on social media. Tag us and we will give you a shout out! Leave A Review It helps So Much! For the Computer: 1. Open up the iTunes Store. 2. In the search box, type in the name "The Happy Doc" 3. Click on The Happy Doc item in the search results to be taken to the iTunes page. 4. On the item's iTunes page, choose "Ratings and Reviews" from the top navigation. 5. Click the button, "Write a Review." 6. Write your review with a 5-star rating and a positive comment! 7. Hit "Submit." For The Phone:  1. Open up the podcast application. 2. In the search box, type in the name "The Happy Doc" 3. Click on The Happy Doc item 4. Scroll down until you see "write a review" 5. Give us a 5-star rating, provide a positive comment, and hit send

LISTEN & SUBSCRIBE ON: APPLE PODCASTS | GOOGLE PLAY | STITCHER | SPOTIFY On this episode, we get to hear from one of the leading voices for the advancement of women in medicine. FemInEM founder Dr. Dara Kass is passionate about creating an environment where women in Emergency Medicine can act as champions for one another. She is the founder of FemInEM, an organization dedicated to the achievement of gender equity in emergency medicine. FemInEM serves as an open access resource for women in EM, a community focused on career development, physician support, and seeing women in medicine thrive. What began as a blog is now a movement, a multi-faceted community comprised women in medicine all over the world. Dr. Kass, is a Clinical Associate Professor of Emergency Medicine at NYU Langone Medical Center in New York City. After completing her residency at SUNY Downstate Medical School and Kings County Hospital, she served as faculty of Staten Island University Hospital, where she facilitated the start of their EM residency program. She previously served as the director of undergraduate medical education at NYU. As director, she introduced longitudinal career advising, innovative educational modalities, and numerous clinical experiences. Things you'll get from this episode: What inspired her to be a physician. Her experiences at a large urban hospital The origin of FemInEM and what's it's like to create something and get buy-in What does it really mean to be a change agent How she answers #imnotjustadoc   To learn more about Dr. Dara Kass check out: Feminem.org Twitter: @darakass FB Group: https://www.facebook.com/groups/1383586405303463/ The post The creation of FemInEM – Dara Kass, MD appeared first on DOCS OUTSIDE THE BOX.

COPD has huge economic and human burdens in the US. In fact, in 2010, two studies estimated that COPD exacted a direct and indirect cost of somewhere between $36 and $50 billion dollars in the US. With respect to the ED – in 2011, there were more than 1.7 million ED visits for COPD-related problems, with nearly 1/5th requiring hospitalization.   This episode of EB Medicine's EMplify podcast is hosted by Jeff Nusbaum, MD, and Nachi Gupta, MD. This month's corresponding full-length journal issue of Emergency Medicine Practice was authored by a strong team from the University of Maryland: Drs. Van Holden, Donald Slack, Michael McCurdy, and Nirav Shah. It was peer reviewed by Dr. Gabriel Wardi of the University of California San Diego and Dr. Geralda Xavier of Kings County Hospital in New York City. Links and Resouces: http://www.ebmedicine.net/topics.php?paction=showTopic&topic_id=557 - Diagnosis and Management of Acute Exacerbation of Chronic Obstructive Pulmonary Disease

COPD has huge economic and human burdens in the US. In fact, in 2010, two studies estimated that COPD exacted a direct and indirect cost of somewhere between $36 and $50 billion dollars in the US. With respect to the ED – in 2011, there were more than 1.7 million ED visits for COPD-related problems, with nearly 1/5th requiring hospitalization.   This episode of EB Medicine’s EMplify podcast is hosted by Jeff Nusbaum, MD, and Nachi Gupta, MD. This month’s corresponding full-length journal issue of Emergency Medicine Practice was authored by a strong team from the University of Maryland: Drs. Van Holden, Donald Slack, Michael McCurdy, and Nirav Shah. It was peer reviewed by Dr. Gabriel Wardi of the University of California San Diego and Dr. Geralda Xavier of Kings County Hospital in New York City. Links and Resouces: http://www.ebmedicine.net/topics.php?paction=showTopic&topic_id=557 - Diagnosis and Management of Acute Exacerbation of Chronic Obstructive Pulmonary Disease

Howard Grossman is an internist at the Cleveland Clinic Florida and widely known as a specialist in HIV medicine and LGBT health. His residency at Kings County Hospital in Brooklyn during the early days of the AIDS epidemic—when the Hospital was treating 5% of all reported AIDS cases in the world—had a profound impact on the young physician. In today's show, Howard talks about his appearance before the Supreme Court in the landmark Vacco v. Quill case involving terminally ill patients and end-of-life choice. He also talks about LGBT aging, healthcare in Florida versus New York, how he handles giving patients bad news and why it's important for patients to play an active role in their own healthcare. Later in the show, Howard shares his experience of attending a fundraiser at Mar-a-Lago and he offers his perspective on what he calls “the gated-community” mindset of the Trump administration. More about Dr. Howard Grossman: http://cle.clinic/2oCRUOD Supreme Court case Howard took part in (Vacco v. Quill): http://bit.ly/1XNjnJf Current case seeking to establish aid in dying in NY (Myers v. Schneiderman) http://bit.ly/2od15IM Music: “In Passage” by Blue Dot Sessions | CC BY NC | Free Music Archive

For the last 20 years of his professional and personal life, Kami Roberts has worked with teenagers, families, couples and individuals to look at the various issues that are negatively affecting their lives. He graduated from New York University with a Bachelors’ degree in Applied Psychology (1994) and then he went on to get a Masters’ degree in Social Work (1997) from New York University Graduate School of Social Work. His work included stints in the Department of Education, Kings County Hospital, Grand Street Settlement, Jewish Board of Family and Children Services (JBFCS), Youth DARES and Bridge Back to Life. With his vast experience working with New York’s most troubled families, this has helped to prepare Mr. Kami Roberts to start his own organization. Mr. Roberts currently has an office in Brooklyn (Ditmas Park) where he meets with clients. He also does presentations to help organizations in need of insight as to how to better work with problematic situations in their midst . Mr. Roberts recently served as Chairman of the  Elder Board at Clarendon Road Church of the Christian & Missionary Alliance. He currently resides in Central Brooklyn with his wife of 20 years and his two children.

Howard Grossman is a board-certified internist, who had a private practice in Manhattan from 1988 to 2005, which he reestablished in 2009. In 2013 he opened the only primary care private practice dedicated to LGBT health and HIV care in the state of New Jersey. He is a general internist, but is most widely known as a specialist in HIV medicine and LGBT Health. Dr. Grossman is a Senior Attending in the Department of Medicine at St. Luke’s-Roosevelt Hospital and is an Assistant Clinical Professor of Medicine at Columbia University, College of Physicians and Surgeons. He is Clinical Assistant Professor of Medicine at NYU-Langone Medical Center and an Attending Physician at Overlook Hospital in Summit, NJ, part of the Atlantic Health System.Dr. Grossman left private medical practice in 2004 to serve as the Executive Director of the American Academy of HIV Medicine, a professional association of 2100 front-line HIV providers, based in Washington, DC and held this position until 2006. In 2007 he served as the Medical Director of the Conant Medical Foundation in San Francisco, an organization dedicated to education and care as a way to fight the HIV epidemic. In that role he had both clinical and administrative functions. From 2008-2009 Dr. Grossman was part of the amazing team at Fenway Community Health in Boston, where he served as a staff clinician and as Associate Director for Industry-Sponsored Trials.In the interim between leaving AAHIVM and joining the Conant Medical Foundation Dr. Grossman worked as an international clinical mentor. He educated doctors and nurses in Russia and Belarus working with the American International Healthcare Alliance and he spent seven weeks in the Far West of Nepal helping to establish the first HIV treatment facility in this area with a high rate of HIV infection among migrant workers. This was a collaborative program between the International Center for Equal Healthcare Access (ICEHA) and Family Health International.Dr. Grossman earned a B.A. in political science at Haverford College and studied medicine at SUNY Downstate College of Medicine in Brooklyn. He did his residency at Kings County Hospital, one of the largest public hospitals in Brooklyn. It was there that he saw some of the first cases of AIDS in the early 1980’s.Dr. Grossman worked at St. Clare’s Hospital, at the first dedicated AIDS unit in the country and entered private practice in 1987. He has one of the largest HIV practices in New York and serves a diverse patient population. He has become nationally recognized as an educator on HIV issues and as an advocate for gay and lesbian civil rights and the rights of People with HIV.His work with people affected by HIV led him to become one of the plaintiffs in the landmark suit Vacco v. Quill, et al., which sought to overturn laws preventing terminally-ill patients from obtaining their physicians’ help to end their own lives. The case was decided in 1997, with the Supreme Court finding no constitutional guarantee of the “right to die,” but leaving the door open for states to experiment with various options.Dr. Grossman has written articles for many publications and for The Body.com. He has reviewed articles for The AIDS Reader and served as medical editor for columns in HX, POZ, GMHC’s Treatment Issues, AMFAR’s treatment newsletter among others.Dr. Grossman has served in the past as a consultant to many pharmaceutical companies, including Pfizer, Tibotec, Merck, GlaxoSmithKline, Abbott, Hoffman-LaRoche, Ortho Biotech, Janssen, Agouron, Gilead, Chiron, Monogram Biosciences, and Bristol-Myers Squibb. He has also worked with government panels at the National Institutes of Health and the Food and Drug Administration and served as a reviewer for CDC grant applications. Dr. Grossman was the medical advisor for the patient-oriented website www.aidsmeds.com. He has been involved with multiple community-based organizations. Most recently Dr. Grossman has served as Chair of Physicians for Compassionate Care, an organization of over 600 physicians in New York State who support the medical use of marijuana. Prior to taking the reins at AAHIVM he served as the Board chair for the New York State Chapter, and worked as the chairman of the Public Policy Committee and Chairman of the Ethics Committee. He has also served on the Board of Directors of several other organizations. He most recently served on the board of Bailey House, which provides housing and case management services for homeless people living with HIV and their families. In the past he has been on the boards of Visual AIDS, working with artists with HIV and using art to educate about HIV; the New York Chapter of Compassion in Dying, a national group dedicated to helping patients with end-of-life issues, especially around pain control; the Organization of HIV Healthcare Providers, a PAC organized to work on various issues of interest to people with HIV and their practitioners; and the honorary board of Love Heals/The Allison Gertz Foundation. Dr. Grossman also served on the boards of the Gay Men’s Health Crisis and the People with AIDS Health Group in the past. He organized and ran the medical tent for the GMHC Morning Party on Fire Island for 9 years, providing one of the first organized medical operations to serve a large party of this kind and helping to promote harm reduction and HIV prevention in this setting. He has been involved with a number of activist groups including ACT-Up, TAG, the Coalition for Salvage Therapy (CST) and the AIDS Treatment Activists’ Coalition (ATAC).You can find more info about Howard A. Grossman, MD  practice at www.alphabettercare.com.There are some writings Howard A. Grossman, MD has done for thebody.com on PrEP -Do HIV-Negative Gay Men Need Condoms if They're on PrEP? Here's What I Tell My PatientsI'm an HIV Physician. And I'm Starting PrEP.

Hosted By: Michelle Materre, The Grande Dame of Black Whole Today's Episode: A Special Tribute to Carolyn Johnson    Carolyn Yvonne Johnson, of Brooklyn, NY, passed away on April 24, 2014. She was born in Austin, Texas, on September 11, 1949, and raised in San Antonio, TX, and Las Cruces, NM. Carolyn lived a full life; she was a college professor at Hostos Community College in the nursing department as well as a nurse anesthetist at Kings County Hospital. Her students greatly admired her and attributed their successful journeys through the nursing program to her. At the time of her death, she was working on a doctorate degree in Public Health, with a concentration on adolescent health of Hispanic and African-American teenage girls. Carolyn's passion was documentary filmmaking. Her tribute to the perseverance of a cultural tradition "Juneteenth Community", took eight years to complete. The testimonials of the current participants in this event, and their poignant recollections of those past, inspired the need to record the dynamics and significance of a century-old continuous expression of culture. Carolyn's documentary won critical acclaim, and received an award in the category of community video from the Black Filmmakers Hall Of Fame in Oakland, California, on October 7th, 2000. She loved to travel and spoke three different languages because of her travels and love of different cultures. Her travels took her to places such as Nigeria, Mexico, Martinique, and her favorite spot, Canada. 

Police had to taser Michael L. Brea to subdue him before bringing him to a Brooklyn hospital with a guard. Michael L. Brea, who has appeared on episodes of Ugly Betty and in Step-Up 3D, brutally murdered his mother with a Samurai sword while screaming biblical passages, police confirm. Police were called to Brea's Brooklyn, New York apartment after neighbors heard screaming around 2:20 a.m. Tuesday morning. "I hear the brother chasing her [his mother] through the house and he's just saying a bunch of [Bible] passages like, 'Repent, Repent, Repent,'" neighbor Gregory Clare told local television station WPIX 11 News. "I heard him chasing her through the house and I hear a loud scream and so I have my father call the cops, call 911." Brea, who also appeared in Coke commercials, had decapitated and stabbed his mother, 55-year-old Yannick, multiple times. Police said he was emotionally disturbed and they had to taser him to subdue him. They described the apartment as “extremely bloody.” He was taken to Kings County Hospital with a police guard. NYPD spokeswoman Officer Doris Otero tells The Hollywood Reporter, "They found a black female, Yannick, with multiple stab wounds on her body. EMS pronounced her DOA." "I had just dozed off to go to sleep and then I woke up to somebody screaming," said Bernard Bent, another resident. "It sounded like a lady's voice and after a while I just didn't hear the woman's voice again." Brea, who was described by neighbors as "quiet," was into martial arts. He has a twin brother, and also owned a Subway restaurant shop, giving away 300 sandwiches for free on Thanksgiving in 2008. "I remember growing up and my mother was always feeding people who were less fortunate," Brea once told Haitian movie site BelFim.com. "My parents raised me to always share and to give charity in the name of God."