Podcasts about lahey clinic

We ask a lot of our spines. They keep us upright, they bend into myriad positions, and they protect our spinal cord, a huge job by itself. And they go the distance, doing all of those things, if we're lucky, well into our 90s. But the longer we live, the more we wear out our spines. That's where Dr. Jian Guan comes in. He handles complicated spinal issues that don't get better with rest, exercise or physical therapy. After medical school and residency, he did a fellowship in complex spinal neurosurgery at the Lahey Clinic in Massachusetts, one of the top U.S. spine centers. Many of the patients that Dr. Guan sees have been in accidents or experienced other trauma. But many others are the victims of poor posture and inactivity, two things that are detrimental to spine health. In this episode, Dr. Guan talks about how important it is to get up and out of chairs in front of our computers and how to sit when we must. Hit play and learn how to keep an incredible structure healthy for the long run.

Join all six Gut Check hosts as they talk with Dr. Peter Marcello, Associate Professor of Surgery, Tufts University School of Medicine and Chair of the Division of Colon & Rectal Surgery at the Lahey Clinic, Burlington, Massachusetts. Listen as hosts and their guest get deep into the world of surgical procedures that have changed the landscape of modern medicine. From laparoscopic surgeries to robotic-assisted procedures, we explore a diverse array of techniques that fall under the umbrella of minimally invasive surgery.

John David Abramson is an American physician and the author of the book Overdosed America: The Broken Promise of American Medicine. He has worked as a family doctor in Appalachia and in Hamilton, Massachusetts, and has served as chairman of the department of family practice at Lahey Clinic. He was a Robert Wood Johnson Fellow and is on the clinical faculty of Harvard Medical School, where he teaches primary care and public health policy. Order Dr. Avramson's new book: Sickening: How Big Pharma Broke American Health Care and How We Can Repair It https://a.co/d/4rf9EnQ Purchase Patrick's new book "Choose Your Enemies Wisely": https://bit.ly/41bTtGD Register to win a Valuetainment Boss Set (valued at over $350): https://bit.ly/41PrSLW Get a free "Future Looks Bright" Hat & T-Shirt: Purchase two "Future Looks Bright" Hats and one "Future Looks Bright" T-Shirt & use the promo code "pbdpodcast2024" at checkout! Connect one-on-one with the right expert to get the answers you need with Minnect: https://bit.ly/3MC9IXE Get best-in-class business advice with Bet-David Consulting: https://bit.ly/40oUafz Visit VT.com for the latest news and insights from the world of politics, business and entertainment: https://bit.ly/472R3Mz Visit Valuetainment University for the best courses online for entrepreneurs: https://bit.ly/47gKVA0 Text “PODCAST” to 310-340-1132 to get the latest updates in real-time! Want to be clear on your next 5 business moves? https://bit.ly/3Qzrj3m Join the channel to get exclusive access to perks: https://bit.ly/3Q9rSQL Download the podcasts on all your favorite platforms https://bit.ly/3sFAW4N Patrick Bet-David is the founder and CEO of Valuetainment Media. He is the author of the #1 Wall Street Journal Bestseller “Your Next Five Moves” (Simon & Schuster) and a father of 2 boys and 2 girls. He currently resides in Ft. Lauderdale, Florida. --- Support this podcast: https://podcasters.spotify.com/pod/show/pbdpodcast/support

Stand Up is a daily podcast. I book,host,edit, post and promote new episodes with brilliant guests every day. Please subscribe now for as little as 5$ and gain access to a community of over 740 awesome, curious, kind, funny, brilliant, generous souls. Hello Friends! I want to try something new with the show and host at least one hour a week where I am talking to someone very smart about mental health issues and struggles that will help us all deal with suffering and find joy ! So today I have Dr Eli Merritt back. Last week we talked with him about how to save our democracy but today we will talk about how we save ourselves.  Eli Merritt, M.D., completed undergraduate studies in American History at Yale, graduate studies in Ethics at Yale, a medical degree at Case Western Reserve, an internship in internal medicine at the Lahey Clinic, and psychiatric residency at Stanford. Upon graduation from Stanford, he opened private practices in San Francisco and Palo Alto, California, and received appointment to the Clinical Faculty at Stanford, where he taught resident doctors the twin disciplines of psychotherapy and psychopharmacology for five years. Following this position, he served for eight years as the president of the San Francisco Psychiatric Society before founding Merritt Mental Health. Additionally, Dr. Merritt has held positions on the Committee on Medical Ethics at Stanford Hospital and the Council and Professional Education Committee of the Northern California Psychiatric Society. His honors include the Gulevich Award in Psychotherapy and Humanistic Psychiatry at Stanford, the Humanism in Medicine Award at Case Western Reserve, the Saunders Award in Family Systems at Case Western Reserve, and graduating Magna Cum Laude with Distinctions in History at Yale. He has written on diverse topics in medicine, psychiatry, and medical ethics, including diagnosis, insomnia and depression, addiction, suicide prevention, informed consent, and privacy issues in mental illness. He has taught medical students and resident physicians courses on psychiatric interviewing, ethical standards and boundary violations, the placebo effect, hyperthyroidism, and medical decision-making, among other subjects. Dr. Merritt is happily married and lives in San Francisco with his wife and two sons. In addition to his work as a psychiatrist, he enjoys travel, hiking, skiing, tennis, writing, early American history, community volunteering, and playing competitive board games like chess and backgammon with his two sons. Check out all things Jon Carroll Follow and Support Pete Coe Pete on YouTube Pete on Twitter Pete On Instagram Pete Personal FB page Stand Up with Pete FB page

 Stand Up is a daily podcast. I book,host,edit, post and promote new episodes with brilliant guests every day. Please subscribe now for as little as 5$ and gain access to a community of over 740 awesome, curious, kind, funny, brilliant, generous souls Check out StandUpwithPete.com to learn more Eli Merritt is a political historian at Vanderbilt University where he researches the ethics of democracy, the interface of demagogues and democracy, and the founding principles of the United States. He is the editor of How to Save Democracy: Inspiration and Advice From 95 World Leaders as well as of The Curse of Demagogues: Lessons Learned from the Presidency of Donald J. Trump. His book Disunion Among Ourselves: The Perilous Politics of the American Revolution is scheduled for publication in June of 2022.  He writes the Substack newsletter American Commonwealth.  ​Dr. Merritt completed his B.A. in History at Yale; M.A. in Ethics at Yale, M.D. at Case Western Reserve; internal medicine internship at the Lahey Clinic; and psychiatry residency at Stanford. He has written for the Los Angeles Times, Seattle Times, New York Times, New York Daily News, USA Today, International Herald Tribune, San Francisco Chronicle, Nashville Tennessean, San Francisco Medicine Magazine, The Journal of the American Medical Association, The American Journal of Legal History, and numerous other publications. Read More  At Vanderbilt he has served as a visiting scholar in three departments: The Department of History, Department of Psychiatry & Behavioral Sciences, and the Center For Biomedical Ethics and Society. At Yale he graduated with Magna Cum Laude with Distinctions in the Major and went on to publish an article that is a precursor of Disunion Among Ourselves. The article, “Sectional Conflict and Secret Compromise: The Mississippi River Question and the United States Constitution” (American Journal of Legal History), has been widely cited.  Check out all things Jon Carroll Follow and Support Pete Coe Pete on YouTube Pete on Twitter Pete On Instagram Pete Personal FB page Stand Up with Pete FB page

When he got out of medical school Dr. Jian Guan wanted to do pediatric neurosurgery, and he found a top-flight residency at the University of Utah. While there, though, his career took a turn, thanks to the Cheyenne Frontier Days, the world's largest outdoor rodeo. Cheyenne is a small city, and Salt Lake City is the nearest center of excellence for spine surgery, so every summer, Dr. Guan, sadly, would see a surge in back injuries from rodeo accidents. He became interested in helping patients recover with the least invasive procedures possible. Historically, surgeons have been too quick to fuse patients' vertebra, Dr. Guan says. It's a major operation, and it's not always necessary. Treating so many rodeo patients, Dr. Guan learned when surgery was necessary and when it wasn't. Eager to hone his skills, Dr. Guan completed a fellowship in complex neurosurgical spinal surgery at the renowned Lahey Clinic in Massachusetts. Listen to this podcast to learn how he treats the toughest spine cases at Pacific Neuroscience Institute.

David Canes, MD is a urologist at the Lahey Clinic in Boston.  He is incredibly thoughtful in his approach to medicine and his approach to life outside of medicine.  Early on in this podcast, we discuss not letting urology [or surgery] to be the only thing of which you are proud.  We talk passion projects and David's newest adventure (wellprept.com).  And we talk about ways to avoid "pressing play" - David's analogy for just going through the motions with a patient, but creating the environment in which you can be truly present with a patient, with a surgery, with your family, or your next adventure.  Enjoy!!Check out WellPrept at: https://wellprept.com/

Joanne Conroy, M.D. is the CEO and President of Dartmouth Health. She was also recently elected by the American Hospital Association (AHA) to be their chair-elect designate. Prior to Dartmouth-Hitchcock, Dr. Conroy served as CEO of Lahey Hospital and Medical Center (formerly the Lahey Clinic). She also served as Chief Health Care Officer of the Association of American Medical Colleges. Dr. Conroy received her undergraduate degree in chemistry from Dartmouth College and an M.D. from the University of South Carolina.  Key Insights:Dr. Conroy discusses her new role with the American Hospital Association and her overarching vision for leadership in healthcare. Work Force Challenges. One of the AHA's top issues is the work force. There has been a significant decrease in healthcare workers across the country and we need to be creative about building pipelines for new workers as well as initiatives for retention.COVID-19's Lasting Impact. There are two silver linings from the pandemic. First is the expansion of telehealth. COVID-19 vastly accelerate the timeline for telehealth adoption and use. Second is the growth in remote work. Remote options give organizations a recruiting advantage, allowing them to select from a national pool of applicants. Equity of Opportunity. To develop the next generation of women leaders requires developing leadership training and programing to identify future leaders, as well as creating opportunities for those people to demonstrate their leadership. Training isn't useful with the opportunity to apply it.  Relevant Links:Follow Dr. Conroy on TwitterRead “AHA Board Names Joanne M. Conroy, M.D., as Chair-Elect Designate”

Meet Joanne Conroy, M.D.:Joanne Conroy, M.D. is the CEO and President of Dartmouth Health. She was also recently elected by the American Hospital Association (AHA) to be their chair-elect designate. Prior to Dartmouth Health, Dr. Conroy served as CEO of Lahey Hospital and Medical Center (formerly the Lahey Clinic). She also served as Chief Health Care Officer for the Association of American Medical Colleges. Dr. Conroy received her undergraduate degree in chemistry from Dartmouth College and an M.D. from the University of South Carolina. Key Insights:Dr. Conroy discusses her overarching vision for leadership and change in healthcare. Career Advice. Dr. Conroy tells every woman on a leadership trajectory that they need to have an appetite for personal and professional risk and be willing to move. Have that conversation with your family unit about what career progression and balance would look like. Broadening Horizons. For women that can't move, Dr. Conroy recommends broadening your scope, and looking for opportunities outside of your organization. There may be opportunities for leadership in your community. Most important is to fulfill that role with purpose, and when achieve your goals don't feel shy about telling others.Equity of Opportunity. To develop the next generation of women leaders requires developing leadership training and programing to identify future leaders, as well as creating opportunities for those people to demonstrate their leadership. Training isn't useful without the opportunity to apply it. This episode is hosted by Gary Bisbee, Ph.D. He is the Founder, Chairman, and CEO of Think Medium. Relevant Links:Follow Dr. Conroy on TwitterRead “AHA Board Names Joanne M. Conroy, M.D., as Chair-Elect Designate”

Dr. Jian Guan is a fellowship trained neurosurgeon with a special focus on complex spine surgery at Pacific Neuroscience Institute. Dedicated to the care of patients with spine and neck conditions, he practices at PNI-South Bay / Spine Institute at Little Company of Mary in Torrance, California. With over 75 peer-reviewed publications, Dr. Guan has a particular clinical and research interest in ways of maximizing benefit to patients following neurosurgical procedures. Born in Beijing, China, Dr. Guan spent the majority of his childhood in southeast Michigan. He obtained his undergraduate education at the University of Michigan in Ann Arbor, and went on to receive his medical degree at Columbia University in New York City. His residency was completed at the University of Utah in Salt Lake City, during which time he finished a fellowship in complex neurosurgical spine at the Lahey Clinic in Massachusetts. National award highlights include the Julius Goodman Resident Award presented by the Congress of Neurological Surgeons, and the Charles Kuntz Scholar Award presented by the Joint Neurosurgical Spine Section.

CardioNerds (Amit Goyal and Daniel Ambinder) join Dr. Sonu Abraham (Cardiology fellow, Lahey Hospital and Medical Center), Dr. Amitoj Singh (Internal Medicine Resident, Lahey Hospital and Medical Center), Dr. Ahmed Ghoneem (Internal Medicine Resident, Lahey Hospital and Medical Center, CardioNerds Academy Chief) and Dr. Aanika Balaji (Internal Medicine Resident, Johns Hopkins) for a scrumptious meal on the Boston Harbor as they discuss a case of a young woman with metastatic melanoma on immune checkpoint inhibitors presenting with dyspnea. The presentation, risk factors, work up and management of patients with immune checkpoint inhibitor induced myocarditis are described. The E-CPR segment is provided by Dr. Sarju Ganatra, the founding director of the cardio-oncology program at Lahey Clinic.  CardioNerds Clinical Trialist Dr. Carrie Mahurin (University of Vermont Medical Center) is introduced at the beginning of the episode. A 41-year-old woman presented with mild dyspnea on exertion and non-productive cough. She had a history of Hashimoto thyroiditis, nodular thyroid s/p resection on levothyroxine, and metastatic melanoma on immune checkpoint inhibitor therapy with ipilimumab and nivolumab. She also had a history of obesity and underwent gastric bypass surgery several years prior. Though she lost weight after the surgery, she regained a significant amount and was 244 lbs with a BMI of 42. Her exam findings were remarkable for tachycardia, bilateral pulmonary rales, elevated JVP, and symmetric pedal edema. Investigations revealed a mild troponin elevation, non-specific EKG changes, and TTE with severely reduced left ventricular function (EF 15%) and a low GLS. Cardiac MRI showed patchy delayed myocardial enhancement in a non-ischemic distribution with marked global hypokinesis and EF of 11%. Endomyocardial biopsy confirmed the diagnosis of immune checkpoint inhibitor (ICI) associated myocarditis. The ICI therapy was discontinued and she was treated with high dose intravenous corticosteroids followed by a prolonged oral steroid taper with clinical improvement and complete recovery of left ventricular function. Jump to: Case media - Case teaching - References CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Case Media - immune checkpoint inhibitor myocarditis Episode Schematics & Teaching CardioNerds Myocarditis, updated 1.20.21 Pearls - immune checkpoint inhibitor myocarditis ICI-associated myocarditis has a high mortality rate necessitating a high degree of clinical suspicion. When in doubt, check it out! The initial 4 diagnostic pillars include EKG, troponin, BNP and TTE. Cardiac MRI and endomyocardial biopsy help to confirm the diagnosis.Left ventricular function is normal in 50% of these patients with ICI-associated myocarditis, so the ejection fraction is not a sensitive test for ruling this out.Endomyocardial biopsy should be considered in patients with a high clinical suspicion but negative or ambiguous non-invasive imaging.Early initiation of corticosteroids within 24 hours of presentation is associated with better outcomes.ICIs should be discontinued indefinitely in those with Grade 3 or 4 disease. Notes - immune checkpoint inhibitor myocarditis 1. Immune checkpoint inhibitors – What are they and why should we as cardiologists know about them? Immune checkpoint inhibitors (ICI) boost the host immune response against tumor cells by inhibiting the intrinsic brakes of the immune response.There are currently 7 FDA approved drugs in this group: one CTLA-4-blocking antibody called ipilimumab; three PD-1-blocking antibodies [nivolumab, pembrolizumab, and cemiplimab]; and three PD-L1-blocking antibodies [atezolizumab, avelumab, and durvalumab].Like a car,

Dr. Alan Herline is chief of Colon and Rectal Surgery for Memorial Healthcare System. He received his medical degree from the Medical College of Georgia. He then went on to complete a residency in general surgery from Vanderbilt and a fellowship in Colon and Rectal Surgery from the Lahey Clinic. In the episode, we discuss challenges in continuous improvement in surgery as well as the success of the Enhanced Recovery after Surgery program. Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3 (https://www.surveymonkey.com/r/3DXCFW3) CME credit is available for up to 3 years after the stated release date Contact CEOD@bmhcc.org if you have any questions about claiming credit.

Dr. Christoph Wald is Chair of Radiology at Lahey Hospital and Medical Center, a tertiary care hospital of Beth Israel Lahey Health System, and is a Professor of Radiology at Tufts University Medical School He is an alumnus of Bonn University Medical School in Germany and Aberdeen University Medical School in Scotland, and did his radiology residency and abdominal imaging fellowship at Lahey. Additionally, he holds a volunteer leadership role with the American College of Radiology, as Chair of the Commission on Informatics, one of his major interests. In this episode, he advises students that success is a product of knowing oneself, something that's tremendously important. Listen to us discuss his daily work as a body imager, how he chose rads, the work he's seen grow at Lahey in lung cancer screening, and the future of AI in radiology. Connect with him @waldchristoph connect with CXR @CareersRads

Dr. Robert Hagan MD, joins the show to talk about peripheral nerve entrapments, a common and commonly missed diagnosed cause of significant pain and dysfunction. From chronic Headaches, to chronic arm and leg pain, nerve entrapments can occur almost anywhere in the body and often be misdiagnosed as other conditions. Dr. Hagan beaks down nerve entrapments, and discusses a couple of common examples and the ground breaking treatments that are giving patients their lives back. Dr. Robert R. Hagan received his MD from Saint Louis University School of Medicine. He received his general surgery training at The Lahey Clinic in Boston, Massachusetts and his plastic surgery training at The Lahey Clinic and Harvard Medical School hospitals. He continued his education as a fellow at Harvard Medical School in Boston, Massachusetts specializing in hand and microsurgery. Upon returning to the Midwest he completed a craniofacial fellowship at Washington University in St. Louis, MO. Currently, Dr. Hagan maintains a private practice at Neuropax Clinic in St. Louis, MO. He has special interests in peripheral nerve surgery and hand/extremity surgery. His diverse training in plastics, hand, peripheral nerve, craniofacial, reconstructive and microsurgery has served him well to understand the many challenges of today's pain and peripheral nerve disorders. Peripheral nerve itself includes diabetic neuropathy, compression neuropathies (carpal tunnel, cubital tunnel, tarsal tunnel, etc.), nerve trauma, chronic joint pain, chronic groin pain, chronic migraines, and RSD/causalgia. Dr. Hagan is committed to the research and further development of peripheral nerve surgery. Neuropax Clinic provides a multi-center platform for clinical research and advancement of surgical techniques. Dr. Hagan has many ongoing studies focused on improving the diagnosis of and treatment of peripheral nerve and pain disorders. Dr. Hagan and Neuropax Clinic together provide fellowship training in peripheral nerve surgery to teach other surgeons their advanced diagnostic and surgical techniques. He is also a clinical instructor for the Saint Louis University, Department of Surgery, Division of Plastic Surgery. Dr. Robert Hagan's professional hospital appointments include Missouri Baptist Hospital and Barnes Jewish-West Country Hospital; all located in St. Louis, Missouri. He is a member of the American Society of Plastic Surgeons(ASPS), the American Association for Hand Surgery(AAHS), American Society For Peripheral Nerve(ASPN), the American Society for Reconstructive Microsurgery(ASRM), the Association of Extremity Nerve Surgeons(AENS), the American Headache Society(AHS), and the American Diabetes Society(ADS) For more information on Dr. Hagan and the treatments that he provides, visit: www.Neuropaxclinic.com. or call 314-434-7784.

Dr. Reynaldo André Brandt Neurocirurgião no Hospital Israelita Albert Einstein, tendo sido presidente da Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein e do seu Conselho Deliberativo. -Graduação em Medicina pela 1 ª Turma da Faculdade de Ciências Médicas da Santa Casa de São Paulo (1968). -Residência em Neurocirurgia na Santa Casa de São Paulo e Fellowship na Lahey Clinic de Boston, EUA, com treinamento em subespecialidades neurocirúrgicas. -Foco profissional no tratamento de tumores do Sistema Nervoso e doenças da coluna. -Trabalha como neurocirurgião no Hospital Israelita Albert Einstein, tendo sido presidente da Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein e do seu Conselho Deliberativo. Site da Faculdade: https://bit.ly/39xI7Rl Facebook: https://bit.ly/39Bvtkq Instagram: https://bit.ly/39AUhZC Twitter: https://bit.ly/2OVNNfZ Youtube: https://bit.ly/2uD4LsV

On Monday, October 14, 2002, Amy Sher left her job at the Lahey Clinic earlier than usual. On Tuesday and Wednesday she called in sick to work. And then on Thursday, October 17, her husband Robert Desmond called in sick for her and told Amy’s employer that she would not be returning to work. He called back on Friday to ask for Amy’s supervisor’s email address, stating that she was not able to send an email herself. Later, when asked by police where his wife had gone, Robert Desmond told them that he had dropped her off at a train station and that he had not seen her since but this wasn’t the first time Amy had disappeared. She fell out of sight long before that fateful October day, when her abusive husband forced her to refuse contact with her family and friends. Now Amy was actually missing, and there is no evidence Amy chose to leave.If you have any information about Amy’s disappearance, you can call the Billerca, Massachusetts Police Department at 978-671-0900.If you would like to listen to more from Laura Richards, please check out Real Crime Profile.This episode was sponsored by:Sleep Number- You’ll only find Sleep Number at one of their 575 Sleep Number stores nationwide. Visit sleepnumber.com/VANISH find the one nearest you.Ritual- Visit Ritual.com/Vanished for 10% off your first 3 months of Essential for Women vitamins.Lending Club- Go to LendingClub.com/Vanished to check your rate in minutes and borrow up to $40,000.Native- For 20% off your first purchase, visit nativedeodorant.com and use promo code VANISHED.You can find new episodes of The Vanished, completely ad-free, only on Stitcher Premium. For a free month of Stitcher Premium, go to stitcherpremium.com/wondery and use promo code WONDERY.

Paul is joined once more by Dr. Kent Sasse, MD, a Reno-based doctor and leader in the rapidly-evolving field of metabolic surgery. On their first meeting, Paul and Dr. Sasse discussed Type 2 Diabetes and the radical notion that it could somehow be reversed. In this special episode, they discuss metabolic surgery itself, its benefits, its advancements, and its prospective future. ABOUT THE GUEST: Dr. KENT SASSE  The distinguished recipient of several awards, Dr. Sasse has served for years as the medical director of a nationally-accredited metabolic surgical center; with other distinguished scientists in a nationally renowned University gastric physiology laboratory.  Dr. Sasse – a physician and father of five children – has found inspiration in his patients, so many of whom have overcome diabetes after surgery and embraced a lifestyle of exercise and healthier eating.  He became a long-distance runner after ten years in practice; seeing the great effort it takes to overcome the environmental and biological forces leading to Type 2 Diabetes.  He has since qualified for and run the Boston Marathon multiple times and supported long distance races in the northern Nevada region.  Dr. Sasse founded the Obesity Prevention Foundation, a non-profit whose mission is to raise awareness and craft community solutions for obesity and its twin epidemic, Type 2 Diabetes.  He has written several books around Diabetes and weight loss and is the recipient of a bachelor's degree in biochemistry at the University of California San Diego, where he graduated cum laude and Phi Beta Kappa.  He earned his M.D. from the University of California San Francisco where he was honored Alpha Omega Alpha as one of its top graduates; completing residency training in Surgery, focusing on Minimally Invasive gastrointestinal surgery, at the University of California San Francisco, as well as fellowship training at the Lahey Clinic in Boston, Massachusetts, before establishing his practice and laboratory research in northern Nevada.  Learn more at:  DiabetesReversalFacts.com  SasseSurgical.com ABOUT THE HOST Paul Lowe is the founder of PaulLoweHEARTS and makes a difference by helping you make a difference. He is totally committed to his HEARTS-centred approach of… Helping Everyone Achieve Results Towards Success Paul has a long and distinguished history of coaching & mentoring - particularly focusing on helping you clarify your true life’s purpose. He has also been responsible for raising significant funds for a multitude of good causes; positively inspiring many, many children – from challenging backgrounds – within the UK and globally. Paul and his empathic team embrace a three-fold purpose: Firstly, to help you find your purpose; secondly, to get your inspirational messages & stories out into the world; whilst thirdly, to support charitable organisations in their development & fund-raising – to make a global difference. We achieve this by: Delivering our empowering HEARTS-centred programmes Sharing your true-life inspirational messages and stories through our Speaking From Our HEARTS book series & podcast Utilising our truly authentic charitable commitment, empathy & HEARTS CONTACT METHODS Mob: +44 (0) 7958 042 155 E-mail:paul@paul-lowe.org http://www.paullowehearts.com/ https://twitter.com/PaulLoweHEARTS https://www.instagram.com/paullowehearts/ https://www.facebook.com/PaulLoweHEARTS/ https://www.youtube.com/channel/UCqmznF8VCcZKEdSfE7VlwUA

Dr. Kent Sasse - a doctor based in Reno, Nevada USA and a nationally-known surgeon, professor, and leader in the rapidly evolving field of metabolic surgery - joins Paul to discuss Type 2 Diabetes, a long-term metabolic disorder that is often caused by a combination of genetic and lifestyle factors. Dr Sasse discusses a few widely-believed myths around the condition, including the accepted doctrine that it is somehow our fault. But as he reveals, there are other elements that contribute to its development. But is there any way that it can be reversed? And can 'becoming our best selves' help? ABOUT THE GUEST Dr. Kent Sasse  The distinguished recipient of several awards, Dr. Sasse has served for years as the medical director of a nationally-accredited metabolic surgical center; with other distinguished scientists in a nationally renowned University gastric physiology laboratory.  Dr. Sasse – a physician and father of five children – has found inspiration in his patients, so many of whom have overcome diabetes after surgery and embraced a lifestyle of exercise and healthier eating.  He became a long-distance runner after ten years in practice; seeing the great effort it takes to overcome the environmental and biological forces leading to Type 2 Diabetes.  He has since qualified for and run the Boston Marathon multiple times and supported long distance races in the northern Nevada region.  Dr. Sasse founded the Obesity Prevention Foundation, a non-profit whose mission is to raise awareness and craft community solutions for obesity and its twin epidemic, Type 2 Diabetes.  He has written several books around Diabetes and weight loss and is the recipient of a bachelor's degree in biochemistry at the University of California San Diego, where he graduated cum laude and Phi Beta Kappa.  He earned his M.D. from the University of California San Francisco where he was honored Alpha Omega Alpha as one of its top graduates; completing residency training in Surgery, focusing on Minimally Invasive gastrointestinal surgery, at the University of California San Francisco, as well as fellowship training at the Lahey Clinic in Boston, Massachusetts, before establishing his practice and laboratory research in northern Nevada.  Learn more at:  DiabetesReversalFacts.com  SasseSurgical.com ABOUT THE HOST Paul Lowe is the founder of PaulLoweHEARTS and makes a difference by helping you make a difference. He is totally committed to his HEARTS-centred approach of… Helping Everyone Achieve Results Towards Success Paul has a long and distinguished history of coaching & mentoring - particularly focusing on helping you clarify your true life’s purpose. He has also been responsible for raising significant funds for a multitude of good causes; positively inspiring many, many children – from challenging backgrounds – within the UK and globally. Paul and his empathic team embrace a three-fold purpose: Firstly, to help you find your purpose; secondly, to get your inspirational messages & stories out into the world; whilst thirdly, to support charitable organisations in their development & fund-raising – to make a global difference. We achieve this by: Delivering our empowering HEARTS-centred programmes Sharing your true-life inspirational messages and stories through our Speaking From Our HEARTS book series & podcast Utilising our truly authentic charitable commitment, empathy & HEARTS CONTACT METHODS Mob: +44 (0) 7958 042 155 E-mail:paul@paul-lowe.org http://www.paullowehearts.com/ https://twitter.com/PaulLoweHEARTS https://www.instagram.com/paullowehearts/ https://www.facebook.com/PaulLoweHEARTS/ https://www.youtube.com/channel/UCqmznF8VCcZKEdSfE7VlwUA

Session 36 Dr. Scott Steele is an academic Colorectal Surgeon and Chairman of the Colorectal Surgery Department at Cleveland Clinic. We discuss his love of the specialty. He has now been practicing outside of his fellowship for twelve years now. Dr. Steele also hosts his own podcast called Behind the Knife. Check it out as well as a host of all our other podcasts on the MedEd Media Network. [01:17] His Interest in Colorectal Surgery Scott knew he wanted to do surgery from the first time he got his clinical years and did some primary care. He also considered orthopedics since he likes sports. But colorectal surgery dawned on him when he met some mentors. Not being a sexy topic, he didn't really give it much time. But he found a mentor when he was in residency. Towards the end of his second year, going into his third year and on his fourth year, he began thinking about colorectal surgery. He hung around them and went to the meeting which he found an incredible experience. He thought they did both great in surgery and academics. They take care of patients that have diseases that he likes. They do some outpatient and inpatient surgeries, colonoscopies, and major oncological reconstructions. So it was something he was interested in. He initially thought about doing heart surgery but he thought he wanted a little bit more of variety. He knew he didn't want to do orthopedics in medical school after he did one rotation at the University of Wisconsin. Although he likes orthopedics and how it's related with sports, it just didn't trigger him. "I was more in the process of easily ruling things out." So Scott did this process of ruling things out. Surgical oncology is okay but colorectal did great cancer operations as well. Surgical oncology tend to not do the wide breadth of people. They tend to serve old people, a lot of them are dying in a lot of cases. It was something he didn't want to do. Minimally invasive surgery was a burgeoning fellowship at that time and it was its own fellowship. But he thought colorectal also does minimally invasive surgery. In fact, now minimally invasive surgery is a standard component of any particular field. So it's not in and of itself. So he made the jump from heart surgery to colorectal surgery. Scott was a general surgeon. He was in the military and he spent a year after his residency at Fort Hood, Texas where he practiced general surgery. So he basically did the vast bread and butter of general surgery. But growing up in a small town in northern Wisconsin that had amazing surgeons. And as a general surgeon, he didn't want to get pigeon-holed in being the hernia guy or the bowel obstruction guy or the lap chole person. He knew he wanted to do academics. He knew he wanted to do a subspecialty. So the more and more he went into colorectal surgery, the more he realized it fit his personality. It fit all the things he was looking for in a career. "The more I went into colorectal surgery, the more I realized it fit my personality. It fit all the things I was looking for in a career." [06:03] Traits that Lead to Becoming a Good Colorectal Surgeon Scott says that it's more on how we are as people. But what he found with colorectal surgeons is that they don't take themselves so seriously in broad, sweeping strokes. They have a ton of fun. They are generally good people. But they also have a side where they're really busy clinical surgeons in the community and academic centers. And for those that did academics, it was great medicine. There was basic science research and others did hard core epidemiological research. He adds that when you walk into a clinic and pick up a chart or log on the EMR and see what they're doing, patients have a special part of their body. They may not even tell their spouses of many years about what's going on with them. It tends to be something that's very intimate and very personal. It bleeds or itches. They feel something and that patient in many cases think they have cancer or they think something's wrong. If your arm itched or bled or you felt something, you'd look at it. But that part of the body is so hard to look at. So patients have an extreme amount of trust in you. Within five minutes of talking to them, you're asking them to pull down their pants and look at their back side. A lot of things can be in that person's mind. And in all of those aspects, you have to be able to go in and establish patient rapport right off the bat. Make them understand that despite their misconceptions, it's okay. It's very routine. And many people experience the same type of symptoms they're experiencing. So you need to keep it a little bit light. Let them know you take their symptoms seriously and that you're going to walk them through the process. Keep in mind that in the United States alone, colorectal cancer is the second or third leading cause of cancer-related deaths every year. It's something we don't talk that much about. Scott says it's something they can intervene and interact with that given how serious the topic is, you don't yourself too seriously. "Colorectal cancer is the second or third leading cause of cancer-related deaths every year." [09:51] Types of Patients As a colorectal surgeon, you see all age ranges and a mix of benign and malignant diseases. Scott is the lead editor of The ASCRS Textbook of Colon and Rectal Surgery and in the book, they talk about how they organize colorectal diseases. The organize it into six folds. First, is endoscopy. It's a large percentage of what they do. They use scopes and they're able to do a lot of advanced procedures through it. Second, they see the plethora of anorectal disease such as hemorrhoids, fissures, fistulas, etc. It's the routine but stuff they do and a big part of the practice. Third subset is they see the malignancy - anal cancer, rectal cancer, colon cancer. Those are the major operations you can do minimally invasive procedures. You can use laparoscopy and open surgery. You can do robotics and all the different neat tools and tricks you do. Fourth, is they get to see a lot of the benign disease which includes a lot of the inflammatory diseases such as IBD, the Crohn's disease, ulcerative colitis, and diverticulitis. Fifth is you also get to see pelvic floor disorders. Those are the patients with obstructive defecations and those with rectal prolapse or fecal incontinence. And last is your miscellaneous type. But the first five types mentioned by Scott are the ones where when you talk about colorectal disease, you can break each of those down. You can see how you have all the plethora and combine that with scopes where you can do things endoscopically. They have one person in their department who is a very gifted and technical surgeon. He was able to take off early cancers through the colonoscopy and save people from having to go major surgery. It's that wide breadth of patient variety, ages, outpatient, inpatient, scopes, major operations that is the unique part of colorectal surgery. Contrast that with things like surgical oncology or cardiac surgery and that's what drew Scott into the field. “It's that wide breadth of patient variety, ages... scopes, major operations that is the unique part of colorectal surgery.” [13:20] A Typical Week For Scott, he spends his Mondays in the operating room. He has all-day clinic on Tuesdays. Wednesday is his admin day as the Chairman of the Department. He typically has a lot of meetings. Thursday is an operating day and Friday, he does scopes and some afternoon meetings. This is a pretty standard week for people where you have a mixture of clinics and other things. The person who started Relay for Life, Gordy Klatt, was a colorectal surgeon. He died a couple of years ago. He was a community colorectal surgeon and one of the last independent providers. Scott covered for him for seven years. Scott was in the military and would take some vacation and cover for him. He had a much different practice. He saw clinic a half a day everyday. He would operate on most days as well. The admin days are part of many private practices but it wasn't part of his. He ran his own business with his wife being his business manager. He would have major operating days maybe three days a week. And he would do colonoscopy on a certain day of the week. He would also always come back to his clinic. So there is a wide variety depending on where you're at and what is the practice you're in. If you have a big group practice or a multispecialty clinic such as the polyclinic in Seattle or if you're working at an academic medical center like the Cleveland Clinic. It has a very busy high volume center. "Depending on what your niche is and what you'll be able to do really would determine your practice." Somebody in his department that does pelvic floor may see a little bit more clinic than somebody who's an IBD specialist who may have a mixture of clinic and operating days. So this varies according to the individual unique practice that you want to set up. [16:00] Operations and Calls Scott says they treat colorectal disease. And as a part of that, the referral pattern you're in would determine a lot of how much medical management has already been done. Many pelvic floor disorders, for example, need medical therapy or workup. Fecal incontinence in many cases can be treated with bulking agents and some Imodium and some pelvic floor retraining. So they won't need an operation anymore. There's also a study that 50% of hemorrhoid consults are not hemorrhoids alone. Or there's something that never needs an operation. Diverticulitis can be treated with antibiotics. So you can see that a lot of these disease processes are treated with multispecialty type approach that medical management is a major part of it. So on a typical clinic, not accounting your post-ops or your follow-ups, anywhere between 20% or 30% depending on your individual practice may require surgery. But all of them have some semblance of needs for the colorectal surgeon to treat either surgically or medically. "They look at you as an "expert" of the hindgut to treat whatever is going on so you do have to know your medicine." With regard to calls, Scott says they vary more than anything else. It depends on who takes the call and how many people are there in the practice. It also depends if you're asked to do general surgery and colorectal or just colorectal surgery alone. It also depends if you have acute care surgery or you have fellows and residents. Scott thinks that they're one of the largest colorectal departments, if not, the largest in the United States and maybe in the world.  They have well over 20 colorectal surgeons. So for them, call is busy. But they can be extremely busy when you're on call because it's a major referral center. At their clinic, they get patients all over from the northeast Ohio to Kentucky, West Virginia, and all over the world. So a lot of the diseases that can happen that affect the colon in such a busy hospital. They have fellows and residents. It's a very busy fellowship and a very busy residency. Scott says they are up all night long. It's a busy call but they're not crushed with calls. He has been on call a lot more in other places that he has worked. Additionally, you have to determine that as a subspecialist, especially a subspecialist branching out from general surgery. This could include bariatrics or minimally invasive surgeon, surgical oncologists, colorectal surgery. In each of these, you're oftentimes asked to take general surgery call. When he was in the military, his call was colorectal surgery and also general surgery call. That mixes in your bowel obstructions, cholecystitis, appendectomies, hernias, etc. That can drastically change your call in terms of the number and the types of patients you see. Some people want to do that. Scott did general surgery call for seventeen years. But he doesn't do it anymore and he doesn't do trauma anymore. He's fine with that. But other people are looking for jobs as a part of their colorectal practice that they can still do a little bit of general surgery. Unless you're going to a major medical center where it's a colorectal call only, you may be asked to do some general surgery calls. And that has its pluses and minuses. Some of their east side hospitals take a bit of general surgery call. That's part of the institution you're working at. People primarily at the outer institutions away from the main campus take general surgery calls. But that's part of the hospital they're a part of. They also have other jobs in the hospital. You're working with people and you get to know the fellow doctors you're working with. You help out. You cover for them and vice versa. So that's a unique aspect of that. Scott took general surgery call because he liked it. At times it's rough. But he can say that especially earlier in your career and especially if you're going to a community based setting, don't be surprised that you're going to be taking some general surgery call. "If you're going to a community based setting, don't be surprised that you're going to be taking some general surgery call." [22:45] Work-Life Balance Scott explains that time is the most precious commodity that you have. That's why you need to prioritize. Really determine what do you want to do in life and what do you want to be. What are your goals? Regardless of your specialty, you have to prioritize and figure out what type of practice you have. What type of priorities do you have and where do you go? Earlier in his career, he knew he wanted to do academics. So he had a very hard time saying no. Anybody would ask him to write a chapter and he would do it. Or they'd ask him to review an article or travel or teach a course or cover a call, he'd do it. Being in the military, he started being deployed. And then he got deployed for a number of times. The next thing he knew, he has one daughter, grew up and realized he's missing a lot of her life. You're going to be busy. If you want to do academics, there's never enough time for academics. There's no such thing as protected time. And even for those who have "protected" time, everything else impinges on it. So you have to really set aside time to decide what you're going to do. Scott has had friends who started on academic career and did a bunch of stuff. Then they felt they didn't have the passion for it. So they stepped back from it or did it selectively. And that's great because it works for them. Scott likes academics a lot and says that unfortunately, you have to find time. He reviews for a number of journals and serves as an editor for several textbooks. He has traveled the world and has met wonderful people. He has operated in places he never thought he would operate on. He would have never thought he'd see some of those places and had the unique experiences. "Academic surgery has been a very fulfilling and wonderful career. " But Scott knew he wanted to be the guy who wants to be involved in the journal and the textbooks. He wanted to be involved in teaching fellows and residents. So when he sits down with fellows, he asks them who they want to be. Training is funny especially in medical school and residency. You constantly have people come up to you and say how you could chose this profession and that. You feel this angst that you can't talk bad about. Or you can't say what you really want to do. Especially when you're training in academic institutions, you feel this push to say that you don't want to be a community based surgeon but that's what you want to do. Scott believes over half of their specialty is made up of community colorectal surgeons. That's the socio-economics we have. That's the demographics and the geopolitical aspect we have. It's a big land mass. Many general surgeons cover a lot of things. Colorectal people may find themselves clustered or be in an independent town working on their own. When Scott went into his first week of surgical residency, he knew he wanted to be a program director. As he progressed along his residency, he knew he wanted to do academics. And he knew he wanted to be the chairman one day. He feels like he's the luckiest person in the world to be the chairman of colorectal surgery at the clinic. He finds it a really great job at a wonderful institution with extremely talented people in and our of his department. He has many other friends at other institutions that are lifelong friends outside of medicine. But he knew those are all he wanted to do. He knew he wanted to do the complex cases. And one of his best friends don't want to do it. He wants to be the guy that just does the bread and butter thing and take care of patients. He just wants to be a very busy person and get home at five so he can teach his kids softball. Now, Scott has the opportunity to do much more of this. But it's a matter of how you want to prioritize. His advice to people is to be true to yourself. There's going to be people telling you do this and that. They're going to fade in and out of your life as time goes on depending on those relationships. But you have to be happy. "The worst you can make is find yourself in a career that you never wanted to be in the first place." [27:42] Mentorship and the Path to Residency and Fellowship As a colorectal, you start out in the communities. This is the reason you see a lot of the major colorectal training programs are community-based clinics (Asher Clinic, Mayo Clinic, Lahey Clinic. University of Minnesota, where Scott trained, was one of the few universities that had a major training program. A lot of the university centers felt general surgeons could do it all and they didn't have the need for a colorectal surgeon. As medicine has changed as well as life in general, they have found there is a call for subspecialists. The call for having subspecialists, not always in every place, is a need. So the subspecialization in many cases has got a positive and negative effect on it. For example, you have people that think they're going to learn everything they want to learn in their fellowship. So they can just coast through their residency. But Scott disagrees with this. Their goal in fellowship is to refine and retrain people, not to teach them from the basics. The subspecialization has become a bit more prominent, And as colorectal surgery has really taken off and now found a niche, not only in the community but also in major academic centers, now they can go everywhere. Scott is proud to say that for the last several years, they've been one of the most highly competitive and sought after matches. That's when you consider the programs, slots available to the number of applicants that apply. "For the last several years, they've been one of the most highly competitive and sought after matches." Scott says when you look at some of these kids that come through and you see their CV's, you'd be surprised to see what they've done. You will hear many colorectal surgeons that if they had to apply now, they won't know if they'd get a spot. The point is that the field is now becoming more competitive. Scott's advice to those who want to get any fellowship, including colorectal surgery, it's important to plan ahead. It's important that you now have some research and have good board scores. It's important to have good mentors in life. Moreover, Scott says the best part about medicine is we never stop learning. Technology continues to evolve. Disease processes and what we know about them continue to evolve. "Link up with a mentor. Find out what they do. And you get a lot out of a mentor-mentee relationship." Depending on the general surgery you have, it usually involves five years of clinical time plus or minus research. Most programs are one clinical year. A few would be research year of colorectal and then a clinical year after that. Then post-training is one or two years. In many cases, they have a clinical associate year. It's like a super-fellow where after finishing your fellowship year, you spend another dedicated one-year training or six months doing reoperative surgery for example. But only a few selected institutions have that. [32:53] Bias Against DOs Scott notices that any bias has changed over time. He doesn't know if the MD versus DO is as prominent as it used to be. He recalls during training that there were programs that won't accept a DO student even no matter how great they were. He was in the military for a long time and they had both MD and DO residents. Some of the best kids he has trained were osteopathic students. He also had a roommate in Iraq. He is a DO ER doctor and toxicologist and he describes him as the one of the brightest physicians he has ever met. Ultimately, you have them in both sides of the fence. Scott went to Madigan Army Medical Center and he's proud to be in the military and trained in the military. But comparing it to training at Cleveland Clinic, he knew he had to distinguish himself. He had to be much better. So what he tells DO residents is that they have to be real. There still may be a stigma associated with going to an osteopathic school for medical training. And because of that, you may not get the interview or they may look at you as someone who should blow their socks off. So your scores have to be that much better. Your publication should be that much better. That doesn't mean you're not better than the person next to you. But take that stigmatism out of it will blow their socks off. Scott adds that if in a program somebody comes to you and has an automatic bias against you, then maybe that's not the program you want to train in anyway. Surgical residency is a fun time and it's a lot of growth. "Put yourself in a good position where you almost force them to take a solid look at you and put everything else aside." [37:45] Subspecialty Opportunities and Working with Primary Care and Other Specialities At Cleveland Clinic, they have teams. It's not all they do but they have a focus of things. They have a cancer team, an IBD team, and a pelvic floor team. They have a team of hard core basic science researchers who also still maintain a clinical practice. They run labs. Scott says you can make yourself and find your niche and do that. You can both that in an academic medicine as well as in the community. That's the unique aspect about medicine and about surgery, specifically, colorectal surgery. Another unique aspect of being a colorectal surgeon is you can transition into teaching or mentoring type program. You can also transition into primarily endoscopy only. Or you can do just outpatient surgery and focus on anorectal type of disease. You can also do mentoring and teaching medical students. Scott says that's the cool thing about colorectal surgery because there's such a wide range of patients and such a wide range of disease processes that you can take care of. It really fits at all stages of your surgical career. "That's the cool thing about colorectal surgery...it really fits at all stages of your surgical career." Scott explains that you become a doctor when you know more about walking in other people's shoes. You see what they do and get a feel for their care path or how they treat patients. It just allows them to be better care providers. This is especially true for primary care providers being the frontline care providers. The more they know about subspecialists, it saves the patient a lot of grief when they come and see them with rectal bleeding but they've never been treated with fiber. Or they have hemorrhoids but they've never been truly treated with a medical therapy. Patients come to him and they automatically think they need surgery. So Scott's advice to primary care providers is to take a look if their institutions have those and learn about them via algorithmic textbook. You're never too old to take a look at just a textbook and look at rectal bleeding. You could have been trying something else all along that could either help the symptom or conversely rule it out. So you can then move on to the next step of therapy. You mostly see this in the anorectal type of processes and disease states in colorectal surgery. Hemorrhoids are the classic ones. the anatomy can be confusing to people. Nobody is expecting you to be a subspecialist or to treat complex disease. But you need to understand the very basics about certain health problems. Other specialties Scott works the closest with include medical oncology and radiation oncology. They also work with pathology and radiology as part of the multidisciplinary team report. They also work with urogynecologists on pelvic floor disorders. They also work with general surgeons specializing in abdominal wall reconstruction. Other specialties they work with are urology, plastic surgery, neurosurgery, gynecology, and gastrologist. "We're all in this fight together to take care of patients. We all want our patients to have good outcomes." Scott's advice to students is for them to understand and appreciate what doctors do and the disease processes they treat and the tremendous amount of hard work they do. As you get older, these are the patients that refer patients to you. So have that good referral relationship because patients are your lifeline. So you realize they're not your enemies but your colleagues who have gone through a lot of training as well. [47:25] What He Wished He Knew About Colorectal Surgery Scott explains that at the end of the day, it comes down to patients. It's about understanding the degree of what a patient is going through. The medical journey is extremely fulfilling. You can do anything you want to from being a busy clinical colorectal surgeon to being a hard core academician. And colorectal surgery, like a lot of other things, provides you that. What's neat too is you get to mature as a physician. But if you've ever been sick or you've known somebody close to you as sick, sometimes you lose that perspective where you're in a job on a day-to-day basis. You forget that the person sitting next to you has so many things going on. "Keep in mind that that's a person there and not a case number or a sticky." Scott says it's easy to lose sight of this but keep all under perspective and it makes your job even much more fulfilling. What he likes most about being a colorectal surgeon is being able to operate. He loves the ability to do something. He tells his students there's no more intimate relationship you'll ever have than having the trust of somebody allowing you to cut into their bodies and operate on them. Somebody's entrusting to you that they're going to sleep. You're cutting into them. You're taking out the cancer. You can't get more intimate than that. You'll be inside somebody else's body. So it's an incredible amount of trust they have that you will hopefully take care of them. Understand that you're human and you're fallible. There are complications that can come up. On the flip side, what Scott likes the least about being a colorectal surgeon is the amount of time you have in medicine in charting. He likes seeing patients but the amount of time physicians have to do this is becoming less and less. Combine that with charting and EMR. Then you lose sight of the fact that you had a great interaction with the patient. This can somehow get diminished or lost in the shuffle. Scott finally says that time is probably the most precious commodity that we have in all things. It's something everybody needs to take a better look at. Realize what you want to do. How do you want to spend it in the most effective and efficient manner that you can? [52:45] Major Changes in Colorectal Surgery Scott explains that technology always changes and always drives. People have a curious mind and they will continue to drive. They see a problem. They think about a problem and try to find something to fix it. Some of those things revolutionize medicine and others fall by the wayside. Right now, the hottest thing is pushing the limits of endoscopic therapies for different types of diseases and minimally invasive surgery. As we go more towards natural orifice surgery, they try to decrease that. Finally, when asked whether he still would have have chosen colorectal surgery if he had to do it again, his answer was an absolute yes. All he can say is that it's a wonderful career. It's extremely rewarding. And he looks forward to doing it for a long time to come. His advice to premeds or medical students getting started on this journey is to find a mentor. Find somebody that can sit down and tell you the ropes and guide you a bit. You can read a textbook or listen to a podcast such as this or his podcast Behind the Knife. The information is out there and you have to have fundamental basic knowledge. But there's nothing that beats relationships and has that ability to have somebody guide you through that process. Have great board scores. Do research in the field you want to go into. And you have to be competitive. You have to have the baseline minimum. "Find a mentor. Find somebody that can sit down and tell you the ropes and guide you a bit." But the more fulfilling part of life is having and building those relationships and finding out what makes people tick and what makes the specialty so great. That's where the mentor-mentee relationship comes into play. Meet other people and truly get to know them. [58:15] Final Thoughts If you're interested in colorectal surgery, follow Dr. Steele's advice. Find a mentor. Find a colorectal surgeon out there that's doing what you want to do. And start connecting with those people. Don't forget to check out Dr. Steele's podcast, Behind the Knife. Links: MedEd Media The ASCRS Textbook of Colon and Rectal Surgery R elay for Life Cleveland Clinic Madigan Army Medical Center Dr. Scott Steele's podcast Behind the Knife

For some time now, technology has been both disruptive and a force for change to even the most stubborn of industries. Dr. Paula Muto hopes that what Uber has done to the taxi industry, her company (UberDoc) can do to healthcare. UberDoc is a web application that makes it easy to connect patients with surgical specialists without referrals, insurance paperwork, or even long wait times. Obviously, this is only for patients who need specialists in a semi-urgent manner. Went to the ER and told you need your Gallbladder taken out as an outpatient? How about you broke your ankle and now you need an outpatient orthopedic surgery referral. These are common issues that can be complicated by not knowing which surgeon to go to, not knowing which surgeons are covered by your insurance, and having to wait weeks to see a specialist – I think we can all relate to this!! Dr. Muto got her undergraduate degree from Amherst College and then went to medical school at the New York Medical College. She completed her General Surgery residency at Tufts Medical Center and has additional training at Lahey Clinic for Vascular Surgery. Things to pick up in this episode: Where the idea for her company came from How she convinced doctors to “buy-in” and accept patients through UberDoc What's it like trying to convince venture capitalists to invest in her company Her thoughts on how UberDoc can transform healthcare delivery in the U.S. Her advice for docs out there thinking of taking a leap into something outside the box but scared to do so How she answers #imnotjustadoc Music: Julian Avila – Clean/soundcloud.com/italdredrecords SUBSCRIBE: iTunes | GooglePlayMusic | Stitcher   The post 024 – The new face of old fashioned medicine appeared first on DOCS OUTSIDE THE BOX.

Dr. Michelle Henry is a Harvard trained, board certified dermatologist. She is currently a Clinical Instructor of Dermatology at Weill Cornell Medical College. She practices Mohs micrographic, reconstructive and cosmetic surgery. Dr. Henry attended medical school at Baylor College of Medicine in Houston, Texas and completed her residency in dermatology at Mount Sinai Hospital in New York City, where she served as Chief Resident. Following residency, she completed a fellowship in cutaneous oncology, Mohs micrographic and reconstructive surgery with the Harvard Medical School Department of Dermatology at the Lahey Clinic in Boston, Massachusetts. She specializes in high risk skin cancer treatments, Aesthetic Surgery, and Skin of Color. Dr. Henry has extensive experience in teaching physicians aesthetic procedures such as injecting neuromodulators (Botox ® and Dysport®), injecting fillers (Restylane®, Juvederm®, Perlane®, Belotero® and Radiesse®), laser surgery, and hair restoration. She has published numerous articles and chapters on skin cancer treatment and cosmetic surgery, including publications in Dermatologic Surgery on complex reconstruction techniques after Mohs surgery, new surgical techniques for basal cell carcinoma, and innovative uses for photodynamic therapy. She is a committed research scientist, who was recently recognized as a Tromovitch Award finalist by the American College of Mohs Surgery. Her treatment philosophy is to provide holistic care while utilizing the latest techniques and scientific data. She is a fellow of the American Academy of Dermatology, American Society of Dermatologic Surgery, and the American College of Mohs Surgery. She chairs the Education Committee of the American Society for Dermatologic Surgery and serves on the Scientific Advisory Board for Bevel (a Walker and Company brand) and BTG International Ltd. Produced for: Bioré, Curél, John Frieda

Dr. Marcello is a leader in colorectal surgery. He had a large part in advancing laparoscopic surgery and is now advancing the field of laparoendoscopic surgery. He gives a very practical interview that is entertaining, and inspiring. Enjoy! Please welcome guest host Avery Walker, who is about to start a fellowship at Ochsner Clinic in colorectal surgery.  Dr. Peter Marcello is an Assistant Professor of Surgery, Tufts University School of Medicine and a Staff Surgeon at the Lahey Clinic, Burlington, Massachusetts. Peter was born in Boston, Massachusetts and received an M.D. degree from the Boston University School of Medicine. His general surgery training was conducted at the Deaconess–Harvard Surgical Service in Boston. This included a 1-year research fellowship at Lahey Clinic. His clinical fellowship in colon and rectal surgery was also performed at the Lahey Hitchcock Clinic, and this was followed by a 1-year Pelvic Floor Research Fellowship at Lahey. He then joined the colon and rectal surgery staff at the Cleveland Clinic Foundation in Cleveland, Ohio. After 2 years at Cleveland, Peter returned to the Colon and Rectal Surgery Department at Lahey. He is board certified in General Surgery and Colon and Rectal Surgery.    

In the season three premiere of Working, Slate culture writer Aisha Harris interviews Alexandra Charrow, a medical resident at Boston’s Brigham and Women’s Hospital. She describes what a typical day is like, how she’s learning to grapple with death, and how her job isn’t at all like Grey’s Anatomy.   Charrow is in her second year studying both medicine and dermatology at Brigham and Women’s Hospital and the Harvard Joint Dermatology program (which includes Brigham and Women's, Massachusetts General Hospital, Beth Israel, Children's Hospital, the VA, and Lahey Clinic).    In a Slate Plus extra, get a tour of the hospital and learn just what food can break the will of even the most steel-nerved doctor. If you’re not a member, enjoy bonus segments and interview transcripts from Working, plus other great podcast exclusives. Start your two-week free trial at slate.com/workingplus.   Our sponsors today: Citrix GoToMeeting. Hold a meeting with anyone from the convenience of your computer, smartphone, or tablet. Try it free for 30 days by visiting GoToMeeting.com and clicking the "try it free" button.   And, Warby Parker, a new concept in eyewear. Warby Parker makes buying glasses online easy, risk-free and most of all, enjoyable. Get free three-day shipping on your final frame choice when you go to warbyparker.com/working.   Learn more about your ad choices. Visit megaphone.fm/adchoices

Episode 6 Dr. Thomas E. Read colorectal surgeon and Professor of Surgery at Tufts University. Dr. Read is a co-editor for Diseases of the Colon & Rectum.  Opening Shot: We discuss the evolving management and current guidelines for treating rectal cancer.  On The Podcast He Discusses  - His approach to complex rectal cancer patients - Controversies with: TME, neoadjuvant therapy, local excision, minimally invasive approaches - Tips and tricks on avoiding injury to the ureters 

If you experience any technical difficulties with this video or would like to make an accessibility-related request, please send a message to digicomm@uchicago.edu. Elizabeth Pomfret, MD, PhD, FACS, Chair of the Department of Transplantation at the Lahey Clinic, debates if living donors should be used for patients with heptocellular cancer (HCC). Organ transplantation raises almost every important medical ethical issue, including: standards for determining death, informed consent, the fair allocation of scarce resources, research on human subjects, global health concerns, and more. The MacLean Center’s Seminar Series has examined Ethical Issues in Organ Transplantation. This year’s interdisciplinary seminar series was organized by Mark Siegler, MD, Director of the MacLean Center. The seminars are cosponsored by the Transplant Center at the University of Chicago Medicine. Learn more about the MacLean Center for Clinical Medical Ethics at http://medicine.uchicago.edu/centers/ethics/welcome.html

Steven Edelman, M.D. Founder and Director, Taking Control of Your Diabetes Renowned Diabetes ExpertDr. Edelman, who has been living with diabetes since the age of 15, is the founder and director of Taking Control of Your Diabetes (TCOYD), a not-for-profit 501(c)3 diabetes education organization founded in 1995. Committed to promoting education, motivation, and self-advocacy for people living with diabetes, Dr. Edelman has become a local, national and international leader in diabetes treat- ment, research, and especially education. He champions the cause of patient advocacy and has dedicated his life to helping people with diabetes live healthier lives.Dr. Edelman currently serves as Professor of Medicine in the Division of Endocrinology, Diabetes & Metabolism at the University of California, San Diego, and the Veterans Affairs Healthcare System of San Diego. He is also the director of the Diabetes Care Clinic VA Medical Center and the editor of the journals Insulin and Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy.Dr. Edelman received his MD from the University of California, Davis where he was valedictorian. His postgraduate training included a residency in internal medicine at UCLA-San Fernando, a clinical fellowship in diabetes and metabolism at The Joslin Clinic, a fellowship in endocrinology and metabolism at the Lahey Clinic in Burlington, Massachusetts, and a research fellowship in diabetes and metabolism at the University of California, San Diego. Dr. Edelman is certified in internal medicine and metabolism, diabetes, and endocrinology.A highly sought public speaker for both professional and lay audiences, Dr. Edelman has given over 1,000 lectures around the globe and appears frequently on television, including the TCOYD-TV educational series. He has written numerous books and over 200 publications, including articles and abstracts that have been published in such journals as American Journal of Physiology, Diabetes, and Journal of Clinical Endocrinology and Metabolism. Dr. Edelman is a reviewer for several journals, including Annals of Internal Medicine, Journal of Clinical Investigation, and Journal of Clinical Endocrinology and Metabolism. His honors include valedictorian of his medical school graduating class, the Distinguished Alumnus Award from the University of California, DavisSchool of Medicine, multiple Chief Resident’s Teacher of the Year Awards from the University of California, San Diego, the Humanism in Medicine Award from the University of California, San Diego, and the American Diabetes Association’s 2009 Outstanding Educator in Diabetes Award.Dr. Edelman is married to Dr. Ingrid Kruse, a podiatrist who specializes in diabetes foot problems. They have two daughters, Talia and Carina.   Kim Lyons Fitness Expert, Professional Trainer and Certified NutritionistWith over ten years of experience as a personal trainer, Kim Lyons – former trainer on NBC’s hit show, The Biggest Loser – has quickly become an icon in the health and fitness arena. Armed with a positive attitude and a winning smile, she has inspired a nation to achieve their goals of living a happy, healthy lifestyle. She chose to become involved in the “Take the Next Step” program because of her commitment to helping others do more and achieve their potential through modest exercise and emotional support.With a unique combination of proper nutrition and effective exercise programs, Kim has helped inspire a nation to live a healthier lifestyle. Kim understands the psychological and practical barriers facing those starting a new activity program, and offers simple strategies to help anyone understand their potential, and build their confidence to help get back to doing what matters most to them.Kim has years of experience training people who have diabetes and who suffer from painful diabetic peripheral neuropathy, and has recently partnered with Start Fitness Now to release a series of three workout DVDs targeted to people with Type 2 diabetes.Kim’s first book, Your Body, Your Life, published by Sterling, made a strong appearance on all major book store shelves in January 2008. She is also featured in the best-selling Biggest Loser Cookbook, The Biggest Loser Fitness Program, and The Biggest Loser Workout DVDs.Kim has been featured on leading broadcast programs and print publications including The Today Show, Access Hollywood, ET, Larry King Live, The Insider, MTV, Extra, People Magazine, TV Guide, US Weekly, Los Angeles Times, Self, Allure, Woman’s World, Muscle and Fitness, and many more. She has written dozens of fitness and nutrition articles for publications world wide, and is unique in bringing in the often neglected emotional coaching that goes hand in hand with the workout and nutritional aspects of achieving ultimate health.Kim attended Colorado State University, where she graduated with a degree in Human Development. Shortly after graduating, she took a more serious approach to weight training while battling her own weight issues. Her life-changing experience prompted her to attend the National Academy of Sports Medicine where she became a personal trainer. Kim is also a certified nutritionist.She segued into fitness competitions and quickly won national and international titles. In 2002, she earned her International Federation of Body Building and Fitness (IFBB) Pro card, marking her place as one of the top fitness competitors in the world.Kim is currently working on her state of the art, grip free, resistance band training system, a complete DVD workout series, and her next book.

Case discussion with Drs. Paul Hesketh of the Lahey Clinic and Karen Kelly of Kansas University Medical Center, covering question of optimal treatment for patients with advanced NSCLC who are elderly or have a marginal performance status.

Case discussion with Drs. Paul Hesketh of the Lahey Clinic and Karen Kelly of Kansas University Medical Center, covering question of optimal treatment for patients with advanced NSCLC who are elderly or have a marginal performance status.

Case discussion with Drs. Paul Hesketh of the Lahey Clinic and Karen Kelly of Kansas University Medical Center, discussing options for administering multimodality therapy for stage III NSCLC in patients who are elderly or have a marginal performance status.

Case discussion with Drs. Paul Hesketh of the Lahey Clinic and Karen Kelly of Kansas University Medical Center, discussing options for administering multimodality therapy for stage III NSCLC in patients who are elderly or have a marginal performance status.

Case discussion with Drs. Paul Hesketh of the Lahey Clinic and Karen Kelly of Kansas University Medical Center, discussing current evidence and challenges of post-operative treatments for early stage NSCLC in elderly and/or frail patients.

Case discussion with Drs. Paul Hesketh of the Lahey Clinic and Karen Kelly of Kansas University Medical Center, discussing current evidence and challenges of post-operative treatments for early stage NSCLC in elderly and/or frail patients.