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Howie reflects on his decades-long experience with paroxysmal atrial fibrillation and the procedure that has changed his life. Howie and Harlan report on healthcare issues in the news, including the measles outbreak and a vision for a team of personal healthcare AI agents. And student research assistants Inès Gilles and Sophia Stumpf visit for a farewell interview. Links: Eric Topol: Ground Truths Eric Topol: Super Agers Harlan Krumholz: The Expert Guide to Beating Heart Disease: What You Absolutely Must Know Paroxysmal Atrial Fibrillation “What to know about paroxysmal atrial fibrillation” Joseph Akar, MD, PhD Mayo Clinic: Atrial fibrillation ablation “The True Cost of a Cardiac Ablation in the U.S.” AI Agents “The Four AI Agents of Your Health” “This A.I. Forecast Predicts Storms Ahead” Measles CDC: Measles Cases and Outbreaks “Measles Surge in Southwest Is Now the Largest Single Outbreak Since 2000” Mayo Clinic: History of Measles Food as Medicine “Cooking with the curriculum: a pilot culinary medicine program at the Larner College of Medicine” “Bringing Culinary Medicine to Yale's New Teaching Kitchen” Bird Flu CDC: H5 Bird Flu: Current Situation “Vietnam reports H5N1 avian flu case with encephalitis” Exercise and Brain Waste “Long-term physical exercise facilitates putative glymphatic and meningeal lymphatic vessel flow in humans” “The brain makes a lot of waste. Now scientists think they know where it goes” Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.
Howie reflects on his decades-long experience with paroxysmal atrial fibrillation and the procedure that has changed his life. Howie and Harlan report on healthcare issues in the news, including the measles outbreak and a vision for a team of personal healthcare AI agents. And student research assistants Inès Gilles and Sophia Stumpf visit for a farewell interview. Links: Eric Topol: Ground Truths Eric Topol: Super Agers Harlan Krumholz: The Expert Guide to Beating Heart Disease: What You Absolutely Must Know Paroxysmal Atrial Fibrillation “What to know about paroxysmal atrial fibrillation” Joseph Akar, MD, PhD Mayo Clinic: Atrial fibrillation ablation “The True Cost of a Cardiac Ablation in the U.S.” AI Agents “The Four AI Agents of Your Health” “This A.I. Forecast Predicts Storms Ahead” Measles CDC: Measles Cases and Outbreaks “Measles Surge in Southwest Is Now the Largest Single Outbreak Since 2000” Mayo Clinic: History of Measles Food as Medicine “Cooking with the curriculum: a pilot culinary medicine program at the Larner College of Medicine” “Bringing Culinary Medicine to Yale's New Teaching Kitchen” Bird Flu CDC: H5 Bird Flu: Current Situation “Vietnam reports H5N1 avian flu case with encephalitis” Exercise and Brain Waste “Long-term physical exercise facilitates putative glymphatic and meningeal lymphatic vessel flow in humans” “The brain makes a lot of waste. Now scientists think they know where it goes” Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.
Dr. Mark Levine retires as Vermont's health commissioner this week after an eight year tenure marked by historic events. Dr. Levine is best known as the steady hand guiding Vermont's response to the Covid-19 pandemic, which by many measures was one of the most successful in the nation. Vermont had the second lowest Covid fatality rate, after Hawaii. According to the Vermont Department of Health, 1,283 people died from the Covid pandemic in Vermont.During the dark days of lockdown in 2020 and 2021, Dr. Levine stood alongside Gov. Phil Scott and reassured anxious Vermonters about how to stay safe, the need for masking and social distancing, and the critical importance of vaccinations. His grandfatherly baritone voice conveyed wisdom and compassion.In announcing Dr. Levine's retirement, Gov. Scott said, “I will be forever grateful for his advice and counsel over the years, but especially during the pandemic, as he appeared with me daily at press conferences during those difficult days, giving much comfort to Vermonters as our very own ‘Country Doc'.”Sen. Peter Welch said that Dr. Levine “helped Vermont through those incredibly challenging times, and saved many lives.” Prior to Dr. Levine's appointment as health commissioner in 2017, he worked as a primary care physician and as a professor and associate dean at the University of Vermont's Larner College of Medicine, where he still teaches.Dr. Levine, 71, steps away from health care leadership at a fraught and uncertain moment. Public health and science itself have come under unprecedented attack by the Trump administration. Robert F. Kennedy, Jr., the country's newly appointed secretary of Health and Human Services, has been derided for being a conspiracy theorist and one of the top purveyors of medical misinformation. This week, Kennedy announced the layoffs of 10,000 health workers and $11 billion in cuts to public health grants dolled out to states. This includes a $7 million cut in aid to Vermont that state health officials said would “negatively impact public health in our state.”All of this comes as measles is infecting unvaccinated children in the U.S. in what is already being described as the worst outbreak of this century.Dr. Levine reflected on how Vermont compared to other states in managing the Covid pandemic. “Our economy looks like many of the states that had far worse outcomes from Covid and prioritized their economy more in terms of keeping a lot of sectors open. When you look at the bottom line in the end, our economic status and theirs don't look very different, yet our public health status looks much, much better. And I'm going to hang my hat on that as very, very important for the way we approached the pandemic here in Vermont.”“You know, there isn't a hell of a lot I would have done differently, to be honest,” said Levine.Levine insisted that there are not many critics who say “you shouldn't have had vaccines. You shouldn't have masked us up. You shouldn't have closed down things. When you close them down, they kind of understand that the major outcome was that Vermont fared much better as a state than many other states. So it's hard for me to have too many regrets.”Why did Vermont fare better than other states?“We come from a culture here in Vermont where people look out for their family, they look out for their community, and they work collaboratively,” said Levine. “The second thing is that in public health, we always say, be first, be right, be credible. And the communication that the governor and I and the rest of the team had was frequent, it was with integrity about what we knew and what we didn't yet know, and it was with great transparency … revealing the data every time and showing what we were responding to.”Levine leaves his post with deep concern about what lies ahead for public health. “When disinformation comes from the top, whether it be the secretary of (Health and Human Services) or the president, it has an impact and it makes our job much harder.”Levine noted that even when Trump administration officials are trying to control the measles epidemic, “they always manage to sort of agree, but then say the wrong thing and let you know that they really aren't completely aligned, which is a problem I am very concerned about."Levine says that federal budget cuts could have a serious impact on Vermont, where “40 percent of my budget is related to federal grant money.”If the latest cuts “are a signal of what's to come, then they are of tremendous concern. And the problem is, of course, we're not seeing broad visions and huge strategic plans with discrete timelines associated. We're seeing abrupt moves by the federal government that basically say, today your grants were stopped, and by the way, we're interested in chronic disease prevention. But they haven't actually shown us the vision and the timeline and what the resources will be and (where they) will come from.”Dr. Levine said of his legacy, “People will always remember Covid, and I'm fine with that, but I hate for that to be the defining moment because public health is so much more than that. One thing I'm very proud of is work we've done to protect our children's health.”“I'd like to be remembered that we've now turned the curve on the opioid overdose death rate, and it's clearly on the way down. It's not a mission accomplished. There's still a lot of work to be done. But at least it's going in the right direction.”As he retires, Levine lamented the rise in the “great anti-science bias” and the movement of those who are “vaccine resistant, or at least hesitant.”“We do in public health as much as we can to provide what we consider not the alternative viewpoint but the actual evidence-based viewpoint. But the recipients of that have to be willing to receive that information, and we're in a time where many people get their information from one set of resources and they won't veer from those resources to others. So it's a challenging time for public health, indeed.”
Interviews with pioneers in business and social impact - Business Fights Poverty Spotlight
Improving our health starts a long time before we get sick. Social Impact Pioneer Dr. Jan Carney has dedicated her career to public health - tackling the biggest morbidity and mobility issues society faces on a scale that makes a big difference to all our well-being. Listen in to learn how to make positive social impacts at scale as Jan shares tried and tested community and society scale wellbeing behaviour change. Jan, a prominent figure in public health, serves as the Associate Dean for Public Health and Health Policy and Professor of Medicine at the Larner College of Medicine at the University of Vermont. With a comprehensive academic background that includes a Bachelor of Biology/French/Premedical Studies from Middlebury College, a Doctor of Medicine from the University of Cincinnati College of Medicine, and a Master of Public Health from Harvard School of Public Health, Dr. Carney has dedicated her career to improving public health through education, research, and policy. Public health, as Jan explains, differs significantly from mainstream medicine. It is not just about treating individuals one at a time but involves a holistic approach to improve health at the community and population levels. Her approach involves understanding and implementing the social determinants of health, such as nutrition, housing, and education, which play a crucial role in maintaining public health. During her tenure as Commissioner of Health in Vermont, Jan spearheaded several initiatives that dramatically improved public health outcomes, including increased access to healthcare, reduced infant mortality, and decreased tobacco use among teens. These achievements were made possible through collaborations with a diverse range of professionals across healthcare and social services. Jan's current focus is on educating the next generation of public health leaders, emphasising the importance of community partnerships and policy advocacy. She remains actively involved with various national organisations, advocating for increased public health funding and integrating public health perspectives into broader healthcare and policy discussions. In an era marked by challenges such as misinformation and the need for greater health literacy, Jan's work exemplifies the critical role of public health professionals in fostering a healthier society through education, prevention, and strategic collaborations. Links: The University of Vermont Master of Public Health program: https://www.uvm.edu/publichealth/education/programs/master-of-public-health/ Carney, J.K. (2021): A History of Public Health: From Past to Present, Book available: https://www.google.co.uk/books/edition/A_History_of_Public_Health_From_Past_to/d6qgEAAAQBAJ?hl=en&gbpv=0 Carney, J.K. (2015): Controversies in Public Health and Health Policy, Book available: https://www.google.co.uk/books/edition/Controversies_in_Public_Health_and_Healt/OXmGCgAAQBAJ?hl=en&gbpv=0 If you liked this podcast, do join us at the Global Goals Summit 2024: https://businessfightspoverty.org/global-goals-summits (Apply this code for your free online pass: BFPGGS24 )
On this episode of GMM, we are joined by psychiatrist and Larner College of Medicine professor Dr. Terry Rabinowitz. We discuss Dr. Rabinowitz's practice of electroconvulsive therapy, perceptions of mental health, and how he chose his specialty. Tune in for even more here. Co-Hosts: Caity Decara: caitlin.decara@med.uvm.edu Haley Bayne: haley.bayne@med.uvm.edu
See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog There is a lot of New Medical Information that is important for patients to make healthy decisions about their care or the care of their loved ones that you won't hear about on the news. For new research to reach you, the public, a researcher or a drug company has to spend a great deal of money for the public relations people to push information into the light. I compiled the research I thought you might want to know about that has been discovered during the past 6 months. I always use these studies to educate my patients and to change my protocols for treatment, although many of them have been part of my practice for quite a while, because they just confirm what I have been seeing in my Integrative and preventive medical practice for years. The First Group of Discoveries Relate to Menopause, and the Risks of Being Menopausal The most recent article in Lancet confirmed what has been obvious to me in my GYN practice for years. I am not sure why this actually required a study to prove that Menopause is tied to a higher rate of depression and anxiety, in conjunction with insomnia, higher stress perception, and hot flashes. This study documented what the loss of estradiol, progesterone and testosterone can do to women in menopause. The sad fact is that this article doesn't tell the reader what they need to know, how to treat these symptoms. However, I will let you in on a self-discovered fact: The replacement of the hormones that disappear before and during menopause can be replaced in a non-oral delivery system to treat these symptoms. I have 40 years of medical practice that proves my findings that agree with the problem, and my treatment with hormones. The Lancet: Menopause tied to mental health issues in certain women A study found that when certain women are menopausal, they increase their risk of Depression, anxiety, bipolar disorder who experienced stressful life events, had poor sleep related to hot flashes, or had previous depressive symptoms of depression were more likely to develop menopause-related mental health problems. Researchers wrote in the journal The Lancet that some women escape the mental health effects of menopause altogether. HealthDay News (3/6) Another recent study about menopause discovers that a lack of estradiol in the post menopause causes women to have trouble thinking. I agree with that revelation, but why doesn't the research take the next step and suggest a treatment to prevent this result of hormone loss? Why doesn't the research tell us how to help women think by replacing their estradiol? Many other studies confirm that replacing estradiol will delay the onset of dementia by 10 years. Another study reveals that the replacement of testosterone will delay dementia it 10 more years. These studies occurred over 20 years ago, but this study doesn't cite them. Poor and worsening cognitive function is one of the most frequent complaints of my new patients coming to BioBalance Health® for treatment of menopause and low testosterone with bioidentical hormone pellets. Dr Maupin: I am continually reminded of the importance of testosterone and estradiol replacement is to aging men and women when they come back for their second pellet insertion and review their list of the symptoms they complained of before they started E and T pellets The most frequent response I witness when I ask if a woman's ability to think, do her job and stay organized is completely better after 3 months of Estradiol and Testosterone pellets, is crying with relief! Many patients are deeply worried that they are developing dementia, specifically Alzheimer's Disease when they first come to me, but are able to go back to work and or experience a renewed quality of life because their ability to think, they can now feel confident in their professions and careers. Dr M Estradiol associations with brain functional connectivity in postmenopausal women Testo, Abigail A. BS1; Makarewicz, Jenna BS1; McGee, Elizabeth MD2; Dumas, Julie A. PhD1 Author Information From the 1Department of Psychiatry 2Department of Obstetrics, Gynecology, and Reproductive Sciences, Larner College of Medicine, University of Vermont, Burlington, VT. The results illustrate the relationship between estradiol level and functional connectivity in postmenopausal women. They have implications for understanding how the functioning of the brain changes for individuals after menopause that may eventually lead to changes in cognition and behavior in older ages. © 2024 by The Menopause Society I have another problem with studies that should be shared with patients is that they often imply that menopausal women are “crazy” instead of saying that women after menopause develop mental health issues that can be treated with hormone replacement. Women who are menopausal are not mentally ill they are hormone deprived! I view this as a “slam” and divisive attack on aging women. The fact that if we gave women what they need …hormonal replacement ….they would not suffer the symptoms of mental health disorders. Menopause tied to mental health issues in some women A study found that women who experienced stressful life events, who had poor sleep due to nighttime hot flashes, or who had previous depressive symptoms or depression were more likely to have menopause-related mental health problems. Researchers wrote in the journal The Lancet that some women escape the mental health effects of menopause altogether. Full Story: HealthDay News (3/6) The Second Group of Articles Is About The Loss Of Estrogen In Menopause Causes Heart Failure and Atrial Fibrillation. This article from the European Society of Cardiology reveals that the longer women live without estrogen (e.g. is menopausal), the higher risk of developing heart failure and atrial fibrillation. Once again, there is no mention about how to prevent this disease! Why can't they study the women who replaced their hormones and compare them to the women who didn't? Hormone Therapy May Boost Weight Loss for Postmenopausal Women Who are Overweight or Obese On Semaglutide, Study Finds My practice BioBalance Health® has a weight loss program that is very effective for weight loss using Semaglutides, and terzipatide. For women who are menopausal we have found that they lose weight much more quickly if they are on E2 and T pellet hormone replacement. This research article confirms the findings of this study. If you are menopausal and have gained weight after menopause that is hormonal and the faster, you can get on non-oral estradiol and testosterone replacement then you will be more likely to get to your ideal weight! March 18, 2024 Hormone therapy may boost weight loss for postmenopausal women on Semaglutides. Healio (3/18, Welsh) reports, “Hormone therapy was associated with an improved weight-loss response for postmenopausal women with overweight or obesity treated with Semaglutides, according to cohort study results published in Menopause.” In the study, “postmenopausal women on hormone therapy had a higher percentage of total body weight loss at 3 (7% vs. 5%; P = .01), 6 (13% vs. 9%; P = .01), 9 (15% vs. 10%; P = .02) and 12 (16% vs. 12%; P = .04) months of semaglutide treatment compared with no hormone therapy.” How and Why to Treat Metabolic Syndrome Metabolic Syndrome is a combination of hypertension, high lipids, insulin resistance, obesity, prediabetes or diabetes, large abdominal measurement. This combination puts patients at risk for heart disease and early death. Many conditions and outcomes have been associated with metabolic syndrome, but now we have a treatment that can prevent one of the outcomes of this syndrome, the generic drug Metformin ER. Metformin, Cognitive Function, and Changes in the Gut Microbiome Endocrine Reviews, Volume 45, Issue 2, April 2024, Pages 210–226, Published: 21 August 2023 Article history Abstract The decline in cognitive function and the prevalence of neurodegenerative disorders are among the most serious threats to health in old age. Metformin can preserve cognitive function by treating metabolic syndrome and improving the gut biome that produces neurotransmitters. I am not naive enough to believe that the only thing that your brain needs to perform well is two sex hormones (E2 and T). This new research from the Endocrine Society describes how the generic, inexpensive medication Metformin ER, can help preserve an aging patient's ability to think. That is primarily because the brain has insulin receptors, and when a patient has insulin resistance brain cells don't receive enough blood-sugar to be able to think! By taking metformin ER (extended release) plus replacing estradiol plus testosterone in pellet form, the brain gets what it needs (blood sugar) and patients can think again! The second factor the researchers found to be important to brain health and problem solving, is healthy gut bacteria in the intestines. This requires eating whole foods, especially fruits and vegetables every day, and not eating fast food, alcohol, simple sugars, and preservatives that kill good bacteria. We recommend a daily probiotic by Mega + the lifestyle changes above. If you want to keep your ability to think for your whole life then you need E2 and T in pellet form if you are a woman and T if you are an aging male, plus Metformin ER daily and the above lifestyle changes. Metabolic Syndrome, Obesity, is the Biggest Risk for Cancer Metabolic syndrome may increase cancer risk by 30% People with metabolic syndrome had a 30% higher chance of developing cancer over the course of a decade after diagnosis, according to a study published in the journal Cancer. The researchers also studied inflammation by tracking C-reactive protein, concluding that elevated levels of the protein along with metabolic syndrome were “significantly associated with subsequent breast, endometrial, colorectal and liver cancers.” Full Story: National Public Radio (3/11) The struggle to stay young and healthy is a difficult fight but the most important battle that you will wage as an adult. If people knew the whole truth, would they stop overeating, drinking, smoking, avoiding exercise, or stop taking illicit drugs? I can only hope that if we convince people to take care of themselves better and replace the hormones that are missing as soon as they are clinically deficient, then they will also listen to the truth about the various ways to support their health and prevent disease. I also hope that the doctors who write articles and do research stop treating women like crazy people instead of the gender that actually runs the world and not only nurtures the children but also organizes homes and businesses. We are NOT crazy when we need hormones to be replaced (PMS, MENOPAUSE), we are experiencing symptoms of hormone-deprivation, and we just need to be treated with the hormones that are missing!
Most patients with migraine require acute treatment for at least some attacks. There is no one-size-fits-all acute treatment and multiple treatment trials are sometimes necessary to determine the optimal regimen for patients. In this episode, Teshamae Monteith, MD, FAAN, speaks with Rebecca Burch, MD, FAHS author of the article “Acute Treatment of Migraine,” in the Continuum April 2024 Headache issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Burch is an assistant professor in the Department of Neurological Sciences at Larner College of Medicine, University of Vermont, Burlington, Vermont. Additional Resources Read the article: Acute Treatment of Migraine Subscribe to Continuum: continpub.com/Spring2024 Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @headacheMD Guest: @RebeccaCBurch Transcript Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, a companion podcast to the journal. Continuum Audio features conversations with the guest editors and authors of Continuum, who are the leading experts in their fields. Subscribers to the Continuum journal can read the full article or listen to verbatim recordings of the article by visiting the link in the Show Notes. Subscribers also have access to exclusive audio content not featured on the podcast. As an ad-free journal entirely supported by subscriptions, if you're not already a subscriber, we encourage you to become one. For more information on subscribing, please visit the link in the Show Notes. AAN members, stay turned after the episode to get CME for listening. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. Today I'm interviewing Dr Rebecca Burch on acute treatment of migraine, which is part of the April 2024 Continuum issue on headache. Dr Burch is an Assistant Professor at Larner College of Medicine at the University of Vermont in Burlington, Vermont. Well, hi, Rebecca - thank you so much for being on our podcast. Dr Burch: Thank you so much for having me. It's always such a pleasure to talk with you. Dr Monteith: You wrote a really excellent article on acute management of migraine - really detailed. Dr Burch: Thanks so much. I'm glad you enjoyed it. I had a lot of fun writing it. Dr Monteith: Why don't you tell our listeners, what did you set out to do in writing this article? Dr Burch: Whenever I write a review article on a topic, I aim for two things, and these were the same things that I was aiming for here with this one. One is practicality and just for it to be really applicable to clinical practice and every day what we do - the ins and outs - and that was the case here as well. I really love a good table in a paper like this. I spend a lot of time on tables. I want people to be able to print them out, use them as reference, bookmark them. So, that was one thing that I aimed for - was just for this to be really useful. The other thing is, I really wanted to instill a sense of confidence in people after reading this article. I think the management of migraine can be very overwhelming for people taking care of people with migraine. And there are so many acute treatment options, so I wanted to give a framework for how to think about acute treatment (how to approach it), and then within that framework, to really go into the nuances of all the various options, and how to choose between them, and what to do in specific circumstances. And I also really wanted to cover what to do when the first couple of options don't work. Because I think most neurologists, PCPs, are comfortable prescribing sumatriptan, and then the question is, what happens when that doesn't work or the patient doesn't tolerate it? What do you do for rescue therapy? What do you do for your fifth-line treatment? And I think that was an area that I really wanted to cover as well. Dr Monteith: Yeah, you got a lot done, for sure. So, I agree - there's been so many options, new options, even over the past five or definitely ten years. One of the things that excited me about going into headache medicine were all the options, thinking of migraine and other headache disorders as a treatable disorder. What made you interested in headache medicine? Dr Burch: Like so many other people who ended up going into headache medicine, I had a fantastic mentor in residency who was really great at treating headache patients - as Brian McGeeney at Boston Medical Center (he's now at Brigham and Women's). He was really passionate about headache medicine, and seeing patients with him was always such a delight because he always had something to try. And many other situations, it would be, like, “Well, this person, we've tried something; we don't know what else to do.” But when you work with a headache specialist as a mentor or as a preceptor, they have so many things they can do, and people largely get better. And they're so grateful - it changes people's lives to be able to treat their migraine, their other headaches effectively. So that was really inspiring. And then when I started doing headache rotations and sort of thinking about whether this was the right subspecialty for me, I quickly realized two things about headache medicine that ended up being what I really love about it to this day. One is the longitudinal relationships that we have with patients - we take care of people for a long time. And it doesn't always have to be that we're seeing people every three months and making tweaks - sometimes it's once a year. But we do get to know people. You know, I have two children. Many of my patients saw me through both of those pregnancies and ask about my kids, and it's just lovely to have that sort of personal relationship over time. And then the other aspect that I really love is that we can't see patients in isolation just as their migraine disorder or headache disorder; we really have to think about who they are as a whole person. What's going on in your life? What are your stressors? How's your job, how's your family? How are you sleeping? How's your mood? Are you exercising? What's your diet like? All of these things impact how someone's migraine disorder is going. And I like to joke, “I'm half life coach, you know, and half pharmacologist,” and I love that. I love that I bring my whole self every time I see a patient and see their whole self, too. Dr Monteith: I can just imagine how well you do that. You mentioned the power of mentorship, and that seems to be a theme when interviewing authors (that mentors are super important). And I know you've been an incredible mentor. Why don't you tell us a little bit about your academic journey? I mean, I see you in the halls at these major conferences, but I've never pulled you aside and said, “Hey, what's your journey - your academic journey – like, other than your great editorial work for neurology, of course?” Dr Burch: I did my fellowship at Brigham and Women's and then stayed on there as an attending, and ultimately took over as fellowship director before I took a break, which I'll talk about in a minute. In that time, I was doing clinical care and I had a research program and I was doing education - doing a lot of teaching for CME work, and teaching primary care and subspecialists about migraine - and I really love that piece of things - and precepting fellows. And then, I also had my editorial work on top of that. I have been a medical journal editor as long as I have been a headache specialist. We were talking about mentors, and I want to talk, at some point, about my fantastic mentor, Elizabeth Loder, who is also a research editor, in addition to being an outstanding headache medicine clinician and researcher and educator. But she got me started as an Assistant Editor for Headache in my fellowship year - the journal Headache - and I continued as an Associate Editor there. I worked as a Research Editor for the British Medical Journal for a while and then joined the journal Neurology, where I am one of the eight Associate Editors. I cover the general neurology portfolio, which includes a lot of things - includes headache medicine, includes traumatic brain injury, pain, spine, neuro-oncology, neuro-otology - there's a whole bunch of different things that I have learned a lot about since starting as an editor. So, I have always had a lot of different parts to my job, which keeps me interested. It's also a lot, and I do always talk about the fact that I ended up taking a year off because I think it's important to be real about the lives that we lead and our jobs as academic neurologist. So I ended up having a bunch of family health issues that came up in 2021, and combined with all of the other things that we're doing, I just couldn't keep it all going. And I ended up getting sort of burned out a little bit and was having trouble balancing all of that and the family health issues that were going on. And I ended up taking about a year off from clinical work. I continued with my editorial work and kind of got everything sorted out with my family, and then just started my current position in January. I'd just like to bring that up to show that – you know, not everyone's going to be able to take a year off - I recognize that. But I think it's important to normalize that just being “pedal to the metal” all the time is not feasible for anyone. And we need to recognize that it's okay to take breaks periodically. So, I'm kind of an evangelist for the “taking-a-break model.” Dr Monteith: Yeah, you took a break but you kind of didn't, because you've been doing a lot for us in neurology, and I certainly appreciate that. Speaking about all of that and feeling burnt out - what inspires you; what does keep you going? Because I know you keep going. Dr Burch: I do. Well, it's really funny - when I took my time off, I used that as an opportunity to really think about, “Okay, is this really what I want to be doing? Is this the right path for me? Do I want to rethink things?” And I ended up in the same job that I left, just in a different place. I'm still doing clinical care, and I'm the fellowship director of my current institution, and I still do all this education, and I'm getting my research program going, and I'm still an editor. So, I think the bottom line is, I have always loved what I do; it's just a question of making it all fit. So, you know, when I get up in the morning, when it's a clinic day, I am so excited to just go and talk to my patients and see how they're doing and see if there's something I can do to make them feel better. And it's just delightful to be able to play that role in people's lives, even if they're not getting better. You know, I think sometimes just being there with them is of service and is worth doing, and that feels very meaningful to me. And I have a fellow now. I love working with my fellow and teaching, and I love just talking about headache medicine and, you know, “What can we do to help people?” So, that really inspires me. On an editorial day, I'm interested in what research people are doing and seeing how neurology can publish the best research possible. We're all moving the field forward and it's just delightful to see what people are doing. I don't know - I like all of it. Dr Monteith: Yeah - you spoke about talking to patients and having that interaction. I'm thinking about migraine and patients going into status, having severe attacks. Is there any case that really moved you, made you think differently? Dr Burch: What really sticks out in my mind when I think about acute treatment, in particular, is what doesn't necessarily fit neatly into the algorithms that we develop. The situations where creativity and persistence and working together really make a big difference for a patient. I am the first person to tell you we do not know everything yet, and maybe we will never know everything. And I think sometimes we need to think outside the box. We need to “listen between the lines” to what people are telling us, and really work together to figure out a very individualized, well-crafted plan. I'm thinking about times that - for example, someone came to me and said, “I'm having these intermittent episodes where I get all of the symptoms of migraine but I don't get headache pain. You know, I get the nausea and I get the photophobia and I'm irritable and, you know, what do I do about this?” And we ended up saying, “Okay, well, take your triptan and let's see what happens,” after trying some other things. And it worked, and it turned out to be the only thing that worked. And that's maybe something we wouldn't think about because we talk about pain all the time and that was really key to improving that person's quality of life. Or, you know, trying to figure out - if there's a situation that provokes an attack pretty reliably, how do we decide when this person is going to take their acute medication ahead of time to try and prevent that from happening? So, for example, somebody who always gets a migraine when they get on the airplane - can we maybe think about doing that? Is it part of the algorithm that we all think of? No, but it's what's right for that person. I feel like I am doing my best work when I really sit with the person and their individual story and listen to how they describe their experience, and then partner with them to come up with something that really works for their specific situation. Dr. Monteith: Give us a few tips. You mentioned the use of triptans, even thinking about most bothersome symptoms, associated symptoms. Let's say they tried the triptan, they have a severe migraine, and still with pain two hours later - what do we say? Dr Burch: Yeah, and I think this is - like I said at the beginning, this is where people often start to feel a little anxious sometimes; you've tried the triptan, it's not necessarily working - what do you do? I think there's a couple of things. First of all, triptans are still first line for migraine - in the absence of vascular risk factors, that's still what we start with. The guidelines ask us to try two different triptans before we try switching to a different class. So, the first thing - most people start with sumatriptan (it's the oldest one; it's usually covered well by insurance). So, first thing to ask is, what was the patient's experience with it? Was it not strong enough? Did it not work fast enough? Was it too strong? And then you think about - based on that response, are we going to go to eletriptan, which is kind of considered to be the strongest or most effective of the triptans? Are we going to go to rizatriptan, which is faster onset? Are we going to go to naratriptan or frovatriptan, which lasts longer? Then, if the second triptan doesn't work, we think about moving to a gepant - that's what the guidelines are currently recommending. The other thing to consider is whether someone needs an antinausea medication or an antiemetic, because if people are feeling queasy, they're worried about vomiting, then they may be reluctant to take medication. Or it could be that their GI system just isn't working as well, so we need to think about better absorption of the oral medications as well. There are lots of other tips and tricks also. I don't want to go through the whole list, but one of the things that I put in the article is a whole set of things to do if triptans are not effective or if your acute treatment is not effective. It's also things like making sure they're treating early, using combinations of medications - there's a whole list. Then that brings us to rescue therapy. And I think that's also essential; we don't talk enough about rescue therapy. We do think about it, but we think about it when we get the phone call to our clinic, where we get the message that says, “I took my treatment didn't work. And this is the second time this has happened. And I'm desperate, and what do I do?” That's not when you want to be managing this. You want to be managing this at the visit, before it happens. So, I think anybody who has an attack occasionally that doesn't respond to treatment needs a rescue plan. There's a bunch of different things you can do - I talk about this in the article as well - but some backup, like an injectable sumatriptan, might be helpful. Sometimes we use sedating medications to just try and help people go to sleep. I personally really like to give phenothiazine antiemetics because they have intrinsic antimigraine properties as well as being sedating and helping with nausea, so I sometimes use those. But there are a lot of different strategies and it's just worthwhile looking through them and getting comfortable with a few of them to give patients as a backup plan. Dr Monteith: I loved – I did love your tables. I love that you put the devices in the tables because usually when we think about neuromodulation, that's almost like usually a separate article. But you went ahead and combined it because all of the devices may have some acute benefits for patients. So, how do you think about devices? How do you talk to patients about devices? Dr Burch: Yeah, well, all of them were originally tested for acute treatment before their preventive indications. So, I think it's appropriate; if we're thinking about a plan, we want to have everything in one place, which is why I always include neuromodulation. The neuromodulation device that has the strongest evidence is remote electrical neuromodulation, which is the band that patient wears on their arm and uses as an acute strategy. The others may be helpful for individual patients, but I tend to lean towards the remote electrical neuromodulation as my acute treatment of choice just because of the strength of the evidence. I also haven't had as much trouble getting it for patients. The big barrier for all of these neuromodulation devices is cost because, relatively - I mean, they're not cheap and they're almost never covered by insurance (sometimes they are, but not always), and many of our patients are going to be able to access them and many of our patients are not. So, I'm always judicious in the way that I talk about them because I don't really want to put people in the situation of having to say, “I can't afford this thing that you think would be great for me.” Which, of course, comes up - not just with neuromodulation but with medication as well. But, you know, I think they're good for people who don't want to take medication or who are taking medications too often, and we need something to throw in there that is not a medication to prevent the development of medication overuse headache. Some people just prefer them. The evidence is not as strong for neuromodulation as it is for acute medications - and some of that just has to do with the challenges in blinding people to treatment arm in a clinical trial - but I think they have their place. Dr Monteith: When I'm just looking at the data, and then, as you mentioned, there are multiple options in terms of the latest developments. What are the things that you're most excited about in terms of either nonpharmacological, pharmacological interventions, or even patient populations like pregnant patients or patients with cardiovascular disease. Dr Burch: It is such an exciting time to be a headache specialist. I feel like things are coming out all the time, even in between writing this article and sending the final draft in, and now new things have come out. The zavegepant nasal spray is now FDA approved for acute treatment of migraine, and that was not the case when I wrote the final draft of this article. So, new formulations of medications are coming out and that's just really exciting. I think different patients prefer different things, and so I kind of like having different options to give them. I'm really interested in a couple of different things. There's been a lot of research coming out recently about the migraine prodrome - this sensation or symptom constellation that some patients get before what we think of as the more typical migraine – so, before the pain, maybe even before the more typical sensory hypersensitivity. Some patients know that an attack is coming, and there has been some research very recently coming out showing that, with gepants, taking the gepant before the attack actually happens in the prodromal phase can stave off an attack. I think that's cutting edge. I haven't really started talking to patients about it, but I'm interested to see what happens when that research is fully published and we kind of start test driving it. I'm also interested in the way that gepants don't seem to cause medication overuse headache in the same way that triptans or frequent use of NSAIDs do. I'm kind of thinking that the line between acute treatment and preventive treatment may start to get blurred a little bit with gepants. Dr Monteith: It's already blurred. Dr Burch: It's already blurred! It's pretty blurred, right? Dr Monteith: I agree. And it'd be cool to see an update on this article. It might need to be just a whole - imagine a whole kind of issue on its own, on just acute treatments. Dr Burch: Yes, for sure. Dr Monteith: Great. Thank you so much for being here. Dr Burch: Thanks. It's always a pleasure to talk to you, and I'm really excited for this article to make it out into the wild in the real world and for people to get a chance to take a look at it. Dr Monteith: Yeah, I know our listeners are going to love this article - they're going to get a lot out of it. And most importantly, their patients are going to get a lot out of it. Dr Burch: That's my goal. Dr Monteith: Again, today we've been interviewing Dr Rebecca Burch, whose article on acute treatment of migraine appears in the most recent issue of Continuum, on headache. Be sure to check out Continuum audio podcasts from this and other issues. And thank you to our listeners for joining me today. Dr. Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practice. Right now, during our Spring Special, all subscriptions are 15% off. Go to Continpub.com/Spring2024, or use the link in the episode notes to learn more and take advantage of this great discount. This offer ends June 30, 2024. AAN members: go to the link in the episode notes and complete the evaluation to get CME. Thank you for listening to Continuum Audio.
Dr. Carney is Associate Dean for Public Health and Health Policy, and Professor of Medicine, at the Larner College of Medicine at the University of Vermont (UVM). She is Chief of the Division of Public Health at the Larner College of Medicine and directs graduate public health education. In this episode, we cover Dr. Carney's multifaceted approach to addressing various aspects of healthcare and public health. From guiding individuals through the maze of health information to advocating for systemic changes and collaborative efforts, Dr. Carney's insights underscore the complexity of health challenges and the importance of holistic approaches. Her journey from a physician to a public health advocate reflects a deep commitment to improving community health and well-being. By emphasizing the significance of social determinants and the interconnected nature of health issues, Dr. Carney encourages a comprehensive understanding of health and resilience in navigating these challenges. Resources Mentioned In This Episode: Use the promo code "GORDON" to get 2 months of Therapy Notes free The PsychCraft Network The Practice of Therapy Community Instagram Mental Health Templates Mental Health Wear UVM Public Health Dr. Carney on LinkedIn
Dr. Jan Carney, Associate Dean for Public Health and Health Policy and Professor of Medicine at the Larner College of Medicine at the University of Vermont joins the podcast to discuss key insights into her background, organization, & public health education, what she is focusing on going forward in 2024, and more.
In today's episode, Marcus is joined by Dr. Jan Carney, who has spent most of her career in public health and preventive medicine. With a particular interest in rural health, listen as Dr. Carney shares her ideas of how we can potentially socially engineer populations towards improved health and health equity. She also discusses how access to health and social services for people in rural communities can be very challenging, the COVID-19 pandemic and its impact, and the consequences of social isolation. She also talks about her anti-smoking campaign, how she helped to expand access to health insurance, and how public health is a team sport.Key Moments:00:00 – Introductions00:37 – Dr. Carney talks about her career path and passion of Public Health.05:51 – Marcus and Dr. Carney talk about Public Health and some of the influences behind scenes of community health. 09:02 – Marcus asks about Dr. Carney's anti-smoking campaign and other programs in her career.15:49 – Marcus' asks Dr. Carney about a time she has witnessed compassion.21:36 – Dr. Carney talks about the new and exciting trends in Public Health.25:00 – Marcus changes is rapid-fire questions! Dr. Carney asks people to just “help one another.”31:40 – Thank yous and goodbyes!Resources for you: More communication tips and resources for how to cultivate compassion: https://marcusengel.com/freeresources/Connect with Marcus on LinkedIn: https://www.linkedin.com/in/marcusengel/ Connect with Dr. Jan Carney on LinkedIn: https://www.linkedin.com/in/jan-k-carney-md-mph-macp-3513268/ Reach out to Dr. Jan Carney at: Jan.carney@med.uvm.edu Learn more about UVM's Public Health Program: https://www.uvm.edu/publichealth/ Learn more about Marcus' Books: https://marcusengel.com/store/ Subscribe to our podcast through Apple: https://bit.ly/MarcusEngelPodcast Subscribe to our podcast through YouTube: https://bit.ly/Youtube-MarcusEngelPodcast More About Dr. Jan CarneyDr. Carney is Associate Dean for Public Health and Health Policy, and Professor of Medicine, at the Larner College of Medicine at the University of Vermont (UVM). She earned an AB from Middlebury College, MD from the University of Cincinnati College of Medicine, and Master of Public Health (MPH) from the Harvard School of Public Health. She previously served as Vermont's Commissioner of Health under three gubernatorial administrations. In this role, she developed and implemented Vermont's first outcome-based approach to improving public health, modeled on the national Healthy People initiative, combining clinical and community-based prevention. Dr. Carney's areas of expertise include building and sustaining community-academic partnerships, translational research, and reducing disparities in rural areas. She serves as Core Director of the Community Engagement and Outreach Core for the Northern New England Clinical and Translational Research Network (NNE-CTR), working to advance rural health research and community engagement. Her current work focuses on developing and implementing the Vermont Rural Health Communication Network (RHCN) to promote two-way health communication in rural areas, strengthen access to health and social services, and improve health and scientific literacy. She is a member of the Association of Schools and Programs in Public Health, serving on academic public health practice and advocacy committees, and serves as a member of the Board of Regents of the American College of Physicians.Date: 12/11/2023Name of show: Compassion & Courage: Conversations in Healthcare Episode number and title: Episode 132 - Dr. Jan Carney and Public Health
One silver lining of the COVID-19 pandemic is a jump in enrollments in public health degree programs and that's welcome news to Dr. Jan Carney, director of the Master of Public Health program at the University of Vermont's Larner College of Medicine, who believes the field needs a massive injection of personnel. “We need probably an 80% increase in people working in state and local health departments to have the essentials of public health.” As Vermont's former Commissioner of Health, Carney knows the challenges public health officials face and brings those insights to Larner's online-only MPH program, which covers the broad domains of the field from epidemiology to biostatistics to environmental health and also exposes students to the particular health challenges in rural communities. The program also prepares students for perhaps the biggest challenge facing the field: communication of health information in an era of misinformation. To that end, Carney is urging more ascertainment of how different groups of people prefer to receive information and is suggesting a major change in approach. “Maybe we can start to think of public health communication more as a conversation than a one-way information flow.” Join host Michael Carrese for insights from a national force in public health into how education is evolving to prepare public health practitioners for their vital work in challenging times for the profession.Mentioned in this episode: https://www.uvm.edu/publichealth/
In this episode, Jan K Carney, MD, MPH joins the show to tell us all about getting a master's in public health (MPH). We discuss the admissions process, concentrations, research, advice, and more!-------------------------------------------------------------------EPISODE SPONSOR – AMERICAN MOBILEBecome a Travel Nurse at: https://www.americanmobile.com/AMN PassportDownload the app at: https://www.amnpassport.com/-------------------------------------------------------------------TIMESTAMPS:(0:00) Introduction(2:30) What is a Masters in Public Health (MPH)(10:56) What Types of Jobs for Those with a Public Health Masters(20:59) Admissions Requirements(25:00) What is Global Health Concentration(34:08) Understanding Research & Studies(37:14) Advice for Nurses Interested in a Public Health Masters-------------------------------------------------------------------ABOUT THE GUESTDr. Carney is Associate Dean for Public Health and Health Policy, and Professor of Medicine, at the Larner College of Medicine at the University of Vermont (UVM). She earned an AB from Middlebury College, MD from the University of Cincinnati College of Medicine, and a Master of Public Health (MPH) from the Harvard School of Public Health. She previously served as Vermont's Commissioner of Health under three gubernatorial administrations. In this role, she developed and implemented Vermont's first outcome-based approach to improving public health, modeled on the national Healthy People initiative, combining clinical and community-based prevention. At the University of Vermont, Dr. Carney developed and directed the graduate public health programs at the Larner College of Medicine, including a Master of Public Health and a new concentration in Global Health Leadership. She is the author of 3 public health textbooks, including Controversies in Public Health & Health Policy, and the most recent, A History of Public Health: From Past to Present. Dr. Carney's areas of research expertise include building and sustaining community-academic partnerships, translational research, and reducing disparities in rural areas. She is a member of the Association of Schools and Programs in Public Health and serves as a member of the Board of Regents of the American College of Physicians.https://www.uvm.edu/publichealth/public-health-today/-------------------------------------------------------------------FIND US ONYouTube – https://www.youtube.com/nursingunchartedInstagram – https://www.instagram.com/amnnurseApple Podcasts – https://podcasts.apple.com/us/podcast/nursing-uncharted/id1570694185Spotify – https://open.spotify.com/show/1btLYaMHoabT3icqGUgesBWebsite – https://www.americanmobile.com/podcast/nursing-unchartedPowered by AMN Healthcare
Dr. Jan K. Carney, MD, MPH, MACP is the Master of Public Health Program Director and is Associate Dean for Public Health and Health Policy and Professor of Medicine at the Larner College of Medicine at the University of Vermont. Dr. Carney is active in public health practice, research, education, and service. She served as Vermont's Commissioner of Health under three gubernatorial administrations, championing improvements in children's health insurance, preventing teen smoking, and improving cancer screening. She received the Vermont Public Health Association “Public Health Champion” Award in 2018 and was recently awarded the UVM President's Distinguished University Citizenship and Service Award for her innovative teaching, creative leadership, and service to the UVM community.She earned a BA from Middlebury College, MD from the University of Cincinnati College of Medicine, and Master of Public Health from the Harvard School of Public Health.Join Our Email BlastFull Episode ShownotesConnect with guestFollow The Public Health Millennial on InstagramConnect with Omari on LinkedInChapters:@0:00 Episode teaser@1:37 Dr. Jan Carney, MD, MPH, MACP Intro@3:36 Personal Background@4:45 A History of Public Health: From past to present@14:25 Intersection of medicine and public health@20:00 What is public health?@20:41 Bachelors in biology, French and premedical science in Middlebury College@22:30 Key takeaways@24:00 Mental shifts throughout her career@26:20 Doctor of Medicine at University of Cincinnati College of Medicine@29:10 Health inequities in health care setting @32:00 Learning about public health & MPH at Harvard @40:22 State of Vermont, Commissioner of Health for 14 years@47:09 Working at University of Vermont@49:45 Increase access to public health education via online learning@53:08 MPH Program Director @58:56 What should research goals look like?@1:02:00 What do you enjoy most about your role?@1:05:18 The Furious FiveSupport the showThanks for tuning in. Let's all work together towards a culture of health, wellbeing, and equity for all. ⭐⭐ SUBSCRIBE & Leave a 5-STAR REVIEW! ⭐⭐ Follow & Support:- Contribute to the show (one-time or monthly)- The Public Health Millennial on IG - The Public Health Millennial on LinkedIn - The Public Health Millennial Website- Omari Richins, MPH on LinkedIn- Support on The Public Health Store
In this episode, Sujani sits down with Dr. Jan Carney, the Associate Dean for Public Health and Health Policy and Professor of Medicine at the University of Vermont. They discuss Jan's reflections of the relationship between public health and healthcare, her work in pulling together UVM's graduate public health program, and ways we can work to expand and integrate public health into new fields.You'll LearnWhen public health first became a topic of interest during Jan's clinical practiceJan's experience transitioning from direct patient care to community based healthPatience and seeing impact and results from public health work Jan's experience working as the Commissioner of Health in Vermont and her transition into academiaThe work and team that went into creating the University of Vermont's graduate public health programWhat edupreneurship is and how it can be used to improve educationThe conversations and steps needed to expand public health into nontraditional health fields and what this means for population healthToday's GuestDr. Carney is Associate Dean for Public Health and Health Policy, and Professor of Medicine, at the Larner College of Medicine at the University of Vermont (UVM). She earned an AB from Middlebury College, MD from the University of Cincinnati College of Medicine, and Master of Public Health (MPH) from the Harvard School of Public Health. She previously served as Vermont's Commissioner of Health under three gubernatorial administrations. In this role, she developed and implemented Vermont's first outcome-based approach to improving public health, modeled on the national Healthy People initiative, combining clinical and community-based prevention.Dr. Carney's areas of expertise include building and sustaining community-academic partnerships, translational research, and reducing disparities in rural areas. She serves as Core Director of the Community Engagement and Outreach Core for the Northern New England Clinical and Translational Research Network (NNE-CTR), working to advance rural health research and community engagement. Her current work focuses on developing and implementing the Vermont Rural Health Communication Network (RHCN) to promote two-way health communication in rural areas, strengthen access to health and social services, and improve health and scientific literacy. She is a member of the Association of Schools and Programs in Public Health, serving on academic public health practice and advocacy committees, and serves as a member of the Board of Regents of the American College of Physicians.ResourcesConnect with Jan on LinkedIn Learn more about Health People 2030 Listen to the previous episode with Sue Griffey Read the Institute of Medicine's writing on The Future of Public HealthLearn more about edupreneurship Support the showJoin The Public Health Career Club: the #1 hangout spot and community dedicated to building and growing your dream public health career.
On episode 443 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Dr. Jan Carney, MD, MPH, MACP, the Associate Dean for Public Health and Health Policy, Professor of Medicine, and the Director of Graduate Public Health Programs at the Larner College of Medicine at the University of Vermont. In the course of their conversation, Keith and Dr. Carney discuss the importance of public health, public health education, and the local and global implications of nurses embracing the many opportunities available to them in the public health arena. Dr. Carney earned an AB from Middlebury College, her MD from the University of Cincinnati College of Medicine, and Master of Public Health (MPH) from the Harvard School of Public Health. She previously served as Vermont's Commissioner of Health under three gubernatorial administrations. In this role, she developed and implemented Vermont's first outcome-based approach to improving public health, modeled on the national Healthy People initiative, combining clinical and community-based prevention. Dr. Carney's areas of expertise include building and sustaining community-academic partnerships, translational research, and reducing disparities in rural areas. She serves as Core Director of the Community Engagement and Outreach Core for the Northern New England Clinical and Translational Research Network (NNE-CTR), working to advance rural health research and community engagement. Her current work focuses on developing and implementing the Vermont Rural Health Communication Network (RHCN) to promote two-way health communication in rural areas, strengthen access to health and social services, and improve health and scientific literacy. She is a member of the Association of Schools and Programs in Public Health, serving on academic public health practice and advocacy committees, and serves as a member of the Board of Regents of the American College of Physicians. Connect with Dr. Jan Carney and the University of Vermont University of Vermont Public Health Larner College of Medicine on Facebook Larner College of Medicine on Instagram Larner College of Medicine on LinkedIn Larner College of Medicine on X ----------- Did you know that you can now earn CEUs from listening to podcasts? That's right — over at RNegade.pro, they're building a library of nursing podcasts offering continuing education credits, including episodes of The Nurse Keith Show! So just head over to RNegade.pro, log into the portal, select Nurse Keith (or any other Content Creator) from the Content Creator dropdown, and get CEs for any content on the platform! Nurse Keith is a holistic career coach for nurses, professional podcaster, published author, award-winning blogger, inspiring keynote speaker, and successful nurse entrepreneur. Connect with Nurse Keith at NurseKeith.com, and on Twitter, Facebook, LinkedIn, and Instagram. Nurse Keith lives in beautiful Santa Fe, New Mexico with his lovely fiancée, Shada McKenzie, a highly gifted traditional astrologer and reader of the tarot. You can find Shada at The Circle and the Dot. The Nurse Keith Show is a proud member of The Health Podcast Network, one of the largest and fastest-growing collections of authoritative, high-quality podcasts taking on the tough topics in health and care with empathy, expertise, and a commitment to excellence. The podcast is adroitly produced by Rob Johnston of 520R Podcasting, and Mark Capispisan is our stalwart social media ringmaster and newsletter wrangler.
On this episode of Meet the Mentor with Dr. Bill Dorfman, Dr. Bill is joined by Dr. Jan K. Carney, who will be sharing valuable insights and strategies to help you achieve improved community health through increased healthcare access for children. Discover how you can make a difference and help children receive the healthcare they need for a healthier future. Brimming with both professional experience and a palpable passion for betterment, Dr. Jan K. Carney is a pillar in the realm of public health. As an Associate Dean for Public Health and Health Policy as well as a professor at the Larner College of Medicine, University of Vermont, Dr. Carney meticulously weaves her rich training in internal medicine and public health into her day-to-day activities which range from supervising graduate programs to conducting health-related research. Having served as Vermont's Commissioner of Health across three administrations, she championed key policies such as expanded health insurance for children and enhanced cancer screening. Public health is not just about healthcare professionals; it's about dentists, engineers, veterinarians, and individuals from all walks of life coming together to make a positive impact. - Dr. Jan K. CarneyIn this episode, you will be able to: Dive into the multifaceted nature of today's public health environment. Measure the rippling effects of broadened children's health insurance policies. Decode the diverse elements shaping individual and collective health. Explore the need for specialized academic programs in the domain of public health. Ascertain how a concentrated leadership drive can combat global health trials. Examining current public health complexities requires a multi-disciplinary team effort, emphasizing the crucial role of doctors, nurses, dentists, veterinarians, and engineers. Evidently, the ongoing pandemic and increasing frequency of heatwaves globally underline the urgent need to tackle these complex challenges. Therefore, understanding health needs and social determinants of health is the first step to manage such challenges and drive meaningful change. The resources mentioned in this episode are: Visit LEAPFoundation.com to learn more about the Leap Foundation and its programs. Follow the Leap Foundation on Facebook at facebook.com/Leaffoundation for updates and news. Follow the Leap Foundation on Instagram at @leaffoundation for behind-the-scenes content and updates. Listen to the Meet the Mentor Podcast with Dr. Bill Dortman on Apple Podcasts, Google Podcasts, Spotify, Stitcher, or wherever you listen to podcasts. Check out Dr. Jan Carney's profile on LinkedIn and send her a message if you have any questions or want to connect. Email Dr. Jan Carney at jancarney@med.uvm.edu if you would like to contact her directly. Consider pursuing a career in public health by volunteering in your local community and gaining practical experience. If you're in college, look for undergraduate programs in public health that are accredited by the Council on Education for Public Health. If you're already in college and interested in public health, consider pursuing a Master of Public Health (MPH) program. Look for accredited programs for a solid foundation in public health. Learn more about your ad choices. Visit megaphone.fm/adchoices
Dr. Grayson is a behavior change communications consultant who teaches about Public Health Communications in the Master of Public Health Program in the Larner College of Medicine at the University of Vermont. Her life changed in 2016 when she suddenly realized that she had been concealing a lifelong dependence on sugar and carbs beneath a web of denial (“It's just a sweet tooth”) and rationalization (“I've been good so deserve a treat”). After she taught herself to quit, she started helping others do the same by creating the program Breaking Free from Sugar, which has helped over 3,000 people successfully reduce how much sugar they eat. That program is shared in her book “The Sweet Tooth Dilemma”. In today's podcast, we discuss all things sugar and what we can do to get it under control to improve our waistline, mood and energy levels. Here is what we talked about: Processed and refined vs natural sugar – what you need to know The difference between sugar and food addictions The porridge to avoid when trying to manage blood sugar levels The 5 pathways of sugar dependency Sugar misconceptions The non-obvious things to avoid And more Shownotes: (Website) http://createchangelab.com (Facebook) http://facebook.com/createchangelab (Instagram) http://instagram.com/createchangelab (LinkedIn) http://linkedin.com/in/agrayson (Books) Publishing – ReadKit (createchangelab.com)
Jan Carney, MD, MPH, is the Master of Public Health Program Director, Associate Dean for Public Health and Health Policy and Professor of Medicine at the Larner College of Medicine at the University of Vermont. She earned a BA from Middlebury College, MD from the University of Cincinnati College of Medicine, and Master of Public Health (MPH) from the Harvard School of Public Health. Dr. Carney is active in public health practice, research, education, and service. She served as Vermont's Commissioner of Health under three gubernatorial administrations, championing improvements in children's health insurance, preventing teen smoking, and improving cancer screening. She received the Vermont Public Health Association “Public Health Champion” Award in 2018 and was recently awarded the UVM President's Distinguished University Citizenship and Service Award for her innovative teaching, creative leadership, and service to the UVM community. Nationally, Dr. Carney is currently a member of the Board of Regents of the American College of Physicians, the largest medical-specialty organization, and second-largest physician group in the United States. She recently served as Vice-Chair of American College of Physicians' Health and Public Policy Committee, contributing to health policy publications about social determinants of health, insurance coverage, and patient partnership in health care. Dr. Jan Carney Twitter Resources mentioned in the show: Public and Population Health in Medical School Education Medline Plus USPSTF
On this Episode, number 272, of the “Just Bein' Honest Podcast”, we are dropping the sweets + talking all about SUGAR!Dr. Andrea Grayson is a behavior change communications consultant who teaches about Public Health Communications in the Master of Public Health Program in the Larner College of Medicine at the University of Vermont. Her life changed in 2016 when she suddenly realized that she had been concealing a lifelong dependence on sugar and carbs beneath a web of denial and rationalization. After she taught herself to quit, she started helping others do the same by creating a program which has helped over 3,000 people reduce how much sugar they eat. Curious on how you can learn more about sugar addiction and how to put steps in to a healthier direction? Pick up a copy of Andrea's latest book: THE SWEET TOOTH DELIMMAWe are diving in deep about:Why sugar is so bad for you?Why it's so hard to quit sugar + simple carbs?How sugar talks to you!Dopamine + how it controls our behaviors.What is the "Bliss Point"?WIN! You could WIN a bundle of my favorite wellness products! All you have to do is leave a COMMENT + 5-STAR RATING over on APPLE PODCASTS / iTUNES (Subscribing is a PLUS!) - WAIT, we have MORE giveaways to come, stay tuned!Resources:@JustBeinHonestKB@CreateChangeLab*** Thank you to today's Sponsors! Grab them now :As Mentioned in Recent Shows:MEDICINE MAMA'S APOTHECARY : HONESTKB for 15% OFFBON CHARGE YELLOW TINTED GLASSESTHREE SHIPS BEAUTY : HONESTKB20 for 20% OFFHYDRATION FAVES:Trace MineralsFlightFud // HONEST for 10% OFF!HERBAL REMEDY FAVES:WishGarden Herbs // Use code : HONESTKB 20% OFF orders of $25+BeeKeepers Naturals // Use code: HONEST20!HOME + GARDEN:SPICES : EVERMILLPAINT : ECOS PAINTSBEDDING + BATHROOM : PARACHUTE HOMECLEANING SUPPLIES : BRANCH BASICS // Use code : HONEST for 15% off Starter KitsKB APPROVED WELLNESS:PLANT BASED MILK : JOI // Use code: HONESTKB for 10% OFF!DOG TREATS : BOTANICAL BONES // Use code: HONEST10 for 10% OFF!CBD : PRIMA // Use code: "HONEST40" for 40% OFF!!!GUT HEALTH : ION BIOMEHYDRATION : TRACE MINERALSCEREAL : LOVEBIRD FOODS // Use Code : HONEST10 for 10% OFF!The "Just Bein' Honest" Podcast is a production made from the ♡xoxo KB*Business Inquiries : kb@justbeinhonest.com*Music : "Alone" by Emmit Fenn // "Bravado" by Rondo Brothers
In this podcast episode, we dive into the remarkable career and accomplishments of Dr. Jan K. Carney, MPH Program Director, Associate Dean for Public Health and Health Policy, and Professor of Medicine at the Larner College of Medicine, University of Vermont.Notably, Dr. Carney served as Vermont's Commissioner of Health under three gubernatorial administrations, leaving a lasting impact on the state's public health landscape. Throughout her tenure, she focused on various critical issues, such as enhancing children's health insurance, curbing teen smoking, and improving cancer screening. Her dedication and achievements led to recognition as a Local Legend by the National Institutes of Health's National Library of Medicine and the American Medical Women's Association in 2003.Dr. Carney's contributions to public health extend beyond her work as a commissioner. She actively engages in public health practice, research, education, and service. Her extensive knowledge and experience have led to her appointment as a Master of the American College of Physicians (MACP) and a Fellow of the Royal College of Physicians (FRCP). Additionally, she has authored numerous scientific papers and three notable books: "Public Health in Action: Practicing in the Real World," "Controversies in Public Health and Health Policy," and "A History of Public Health: From Past to Present," released in February 2022.Listen in to Dr. Jan K. Carney's wealth of experience and explore the transformative work she has done and continues to do in the field of public health.#Larner College of Medicine#Dr. Jan Carney#Public Health#Vermont Health#Prevention and Preparedness#healthcareuntold@gmail.com
Thanks for joining me for the 527th episode of Admissions Straight Talk. Are you applying to a program that requires a situational judgment test (SJT)? Currently, many top med schools require applicants to submit scores from the Casper, an online, open-response SJT offered by Acuity Insights. This week, we are airing an encore of a popular and timely episode: Casper, A Situational Judgment Test: All You Need to Know. At Accepted we have fielded many questions from med school applicants. How is something as subjective as judgment graded? Do med schools receive the raw score? What is the difference between Casper and DUET, another offering from Acuity Insights? Does Casper complement or replace existing aptitude tests? In this episode, Dr. Kelly Dore, Co-Founder & VP of Science and Innovation at Acuity Insights and Adjunct Professor at McMaster University provides answers to all these questions and more. A video recording of the interview with Dr. Dore is also available on Accepted's YouTube channel. Don't forget to subscribe to Admissions Straight Talk wherever you get your favorite podcasts because we have an exciting summer line up of interesting guests coming up this summer. For the complete show notes, check out the original blog post. Relevant Links: Casper Test Duet The Computer-Based Assessment for Sampling Personal Characteristics (CASPer) Situational Judgement Test (SJT): Everything You Need to Know Med School Acceptance Calculator Related Shows: Get Accepted to the Michigan State's MD Program - Episode 522 Rejection and Reapplication: How to Respond - Episode 523 Get Accepted to the Medical College of Wisconsin - Episode 511 MD/PA/NP/DO/DDS/MPH: What Do They Require? - Episode 499 Active Learning and Admissions at UVM's Larner College of Medicine - Episode 494 What was it like to be an ER doctor at the beginning of COVID? - Episode 493 An Inside Look at The Geisinger Commonwealth School of Medicine - Episode 482 Deep Dive into Penn Perelman School of Medicine: An Interview with Dr. Neha Vapiwala, Dean for Admissions - Episode 455 Subscribe: Podcast Feed
Why do people have blood, what is it, and what does it do? How do our bodies make new blood? Is it red or blue? Why does blood taste like metal? And why do we have different blood types? Our listeners have a lot of questions about blood. We learn about blood with UVM Medical Center and Larner College of Medicine pathologist Dr. Sarah Harm. Download our learning guides: PDF | Google Slide | Transcript
All About UVM's Larner School of Medicine [Show Summary] The University of Vermont's Larner School of Medicine's new Associate Dean for Admissions, Leila Amiri, shares the hallmarks of the program, including its active learning curriculum and mission centered around respect, kindness, and cultural humility. Interview with Dr. Leila Amiri, Associate Dean for Admissions at UVM Larner School of Medicine [Show Notes] Welcome to the 494th episode of Admissions Straight Talk. Thanks for joining me. Are you ready to apply to your dream medical schools? Are you competitive at your target programs? Accepted's medical school admissions quiz can give you a quick reality check. Just go to accepted.com/medquiz and complete the quiz, and you'll not only get an assessment but also tips on how to improve your chances of acceptance. Plus, it's all free. Dr. Leila Amiri, UVM Larner's new, as of June 2022, Associate Dean for Admissions, comes to Larner from the University of Illinois College of Medicine, where she was Associate Dean for Admissions and Recruitment. Previously, she was Director of Admissions and Financial Aid for the University of Chicago Pritzker School of Medicine. She holds a Ph.D. from North Central University and an MA and BS degree from the University of South Florida. Amiri is a member of the Association of American Colleges Advancing Holistic Review and Alignment Working Group, National Chair of the AAMC BA/MD Affiliate Group and National Chair for the Committee on AAMC Professional Development Initiative. Dr. Amiri was also a guest last year in her previous role, and it's a pleasure to have her back on Admissions Straight Talk. Can you give us an overview of UVM Larner's College of Medicine's program focusing on its more distinctive elements? [2:12] I'll be happy to. At Larner College of Medicine, we have a big history of training medical students. We're actually celebrating our bicentennial, so the class that's meeting for 2023 will be the 200th class that we've seated. We've come a long way in terms of the educational model. We're most known for our active learning model. Students are really at the center of our learning model and its active, student-centered learning all based on educational pedagogy and adult learning principles. There's a lot of community engagement with our students here and at our clinical sites which are in Vermont and in Connecticut. What does active learning mean in practical terms? [3:11] When you look at educational philosophy and pedagogy, adult learners need to really be invested in what they're learning. Not only do they need to be invested in what they're learning, but they also have to find meaning and value in it. They have to be at the center of constructing the information. There's very little lecturing that happens here for our students. There's time that they spend on their own before they come to class. Think of a flipped classroom model. They spend a lot of time on their own looking at basic information and then when they join us in the classroom setting, there's a lot of group activity, engaging with their peers, and working through problems. It's not completely problem-based learning, but there's problem-based learning, case-based learning, and team-based learning. We have all of these different models where students are not sitting there just as recipients of information, but really they're constructing the information with each other as they're going through the different phases of their learning. They're getting cases, they're getting problems, and they're working in teams. When you think about the way these things look, they become progressively more complex and progressively more sophisticated in terms of the case that they're engaging with. For example, they might not receive all of the information that they need, which is typical in a clinical setting. They will get a patient scenario and there'll be some gaps in that knowledge.
In this Spiritual Sunday Flashback episode- we revisit one of my favorites with a guest that teaches us about healing and the importance of letting go of negative aspects of our lives with a unique technique. I hope you enjoy it as much as I did recording it. Myofascial Release, Integrative Nutrition, Holy Fire & Karuna Reiki what do all these things have in common? We have a conversation with about Death, loss, grief, legacy work, and living life to the fullest My guest in this episode is Hemali Vora. She is an expert holistic practitioner, intuitive energy healer, and a spiritual mentor. With over two decades of working in healthcare field as a physical therapist, she has helped, coached and guided hundreds of patients, and their families deal with chronic illnesses, disabilities, and personal traumas. We are going to learn how through her own journey that was filled with immense grief, depression, traumas and health challenges; about intuitive guidance, about Death, loss, grief, legacy work, living life to the fullest. Hemali is an avid traveler and a lifelong learner. Her intuitive guidance, experiences and curiosity has led her to learn many modalities like Myofascial Release, Integrative Nutrition, Holy Fire & Karuna Reiki. Having gone through her own journey filled with immense grief, depression, traumas and health challenges, she taps into her abundant tool box and integrates in her work. Hemali empowers clients to discover and embody their unique version of optimal mental, emotional, physical and spiritual health, allowing them to thrive and reach their greatest potential. She often speaks and is hosted at city and local government facilities on programs related to goal setting, nutrition and the importance of self-care to counter care-givers burn-outs, overwhelms and stress. Hemali has taught all levels of Reiki courses to healthcare workers, caregivers and children to help them uncover their true gifts and talents. Her fascination with every aspect of life and death and dying inspired her to complete End of Life Doula training through the University of Vermont, Larner College of Medicine. She provides comprehensive support, comfort and guidance to the dying clients and their families with end of life transitions, legacy projects, preparations and through bereavement process. She educates communities on the importance of advance care planning for end of life to achieve comfort and peace at the end of life. Hemali hosts virtual and online Death Café's, a space to talk about death and dying. Through her energy and doula work, she has coached many caregivers who companioned their loved ones experiencing terminal illness and death. Hemali offers one-on-one & group sessions in her studio and through online webinars HTTPS://beforeyougopodcast.com This podcast uses the following third-party services for analysis: Podcorn - https://podcorn.com/privacy
Maryanne O'Hara is the author of the memoir LITTLE MATCHES, FINDING LIGHT IN THE DARK, published by HarperCollins. LITTLE MATCHES was inspired by a blog that Maryanne kept while her daughter Caitlin, who was diagnosed with Cystic Fibrosis at the age of 2, was waiting for a lung transplant. Caitlin got her transplant, finally, but it was too late. She'd had to wait too long. Her family lost her in December of 2016. She was 33. The book LITTLE MATCHES was Maryanne's way of making sense in order to live. Maryanne family's story has been featured in The New York Times, TIME Magazine, The Boston Globe, Psychology Today, and LITTLE MATCHES is also a People Magazine Book of the Week. Moreover, Maryanne is the author of CASCADE, a novel, and many short stories and articles. She holds an MFA in creative writing, has taught creative writing at the college level, and was a longtime fiction editor at the Boston literary journal, PLOUGHSHARES. After many years of volunteering with the sick, in 2019 she trained as a certified end-of-life doula at the University of Vermont's Larner College of Medicine so she could better speak to the state of end-of-life care in our culture. She lectures on topics including chronic illness, bereavement, and secular spirituality; and with two other medical memoirists, speaks to “why medicine needs memoir” at Medical Grand Rounds programs at hospitals around the country. In this episode we speak about motherhood, grief, death, Caitlin's legacy, synchronicities, learn about the work of an end-of-life doula and the importance of legacy work, we speak about Maryanne, the relationship with her husband and of course much more. Thank you Maryanne for everything. Host: Stella Saliari At Salt the Podcast my guests and I contest and deconstruct narratives, and passionately recreate with the aim to change systems and perceptions. We want to elevate a generation that is feminist, antiracist and empathetic. Our conversations flow into each other and leave room for the unexpected. Salt is love, community, solidarity, a collective, healing, creating. It is intersectional, full of stories, movement and change. It insists, evolves and transforms. It is a commitment. #saltthepodcast #motherhood #cysticfibrosis #parenthood #memories #author #grievingmother #endoflivedoula #legacywork #littlematches #virginiawoolf #thelighthouse #motherdaughter #salt #mothertoomany #synchronicities #endoflifecare #memoirs #maryanneohara #grievingparents Follow Salt @salt_thepodcast Subscribe to Salt The Podcast on Soundwise
Growing variability in the natural environment is anticipated to increase the burden of infectious diseases, including diarrheal diseases, worldwide. The implications of this complex web of factors contributing to diarrheal disease are particularly concerning for the highest-risk populations, such as those living in refugee camps. As climate change and deforestation threaten to disrupt ecosystems globally, and as the burden of refugees continues to grow, a better and more comprehensive understanding of the association between the environment and diarrheal disease in complex humanitarian crises is necessary. This talk will give an overview of the nexus dynamics surrounding human health at the intersection of the environment and complex humanitarian crises with a particular focus on Cox's Bazar, Bangladesh. Kelsey Gleason is an Assistant Professor in the Larner College of Medicine, though will be transitioning to a new role as an Assistant Professor in the College of Nursing and Health Sciences, Department of Biomedical and Health Sciences in the fall. Her work focuses on the intersection of human health and the environment in complex humanitarian settings. An environmental epidemiologist by training, much of Kelsey's work has focused on disaster risk reduction efforts, particularly related to climate change, in low- and middle-income countries. She has conducted research all over the world, though her travel has slowed down a bit due to the pandemic and two pandemic babies who have kept me closer to their home in Moretown, Vermont. Gleason spoke at UVM on April 29th, 2022. Read more about Gleason: https://www.uvm.edu/publichealth/faculty/kelsey-gleason/ Learn more about the Gund Institute: www.uvm.edu/gund Explore Gund events: www.uvm.edu/gund/events
Every March, medical students anxiously await Match Day, the day the National Resident Matching Program tells them where they will be doing their residency and fellowship training.
Some new-born babies will suffer from jaundice and there are several Cochrane reviews of possible ways to prevent or treat it. These were added to in July 2021 with a new review of the effects of sunlight. We asked the review's lead author, Delia Horn from the Larner College of Medicine at the University of Vermont in the USA, to tell us about the importance of this topic and the findings of the review.
Some new-born babies will suffer from jaundice and there are several Cochrane reviews of possible ways to prevent or treat it. These were added to in July 2021 with a new review of the effects of sunlight. We asked the review's lead author, Delia Horn from the Larner College of Medicine at the University of Vermont in the USA, to tell us about the importance of this topic and the findings of the review.
In part one of this two-part ASCO Education Podcast episode, Drs. Stephen Berns (University of Vermont), Tyler Johnson (Stanford Medicine) and Katie Stowers (Oregon Health & Science University) chat candidly about what it takes to deliver serious news to people with cancer effectively and compassionately. Subscribe: Apple Podcasts, Google Podcasts | Additional resources: education.asco.org | Contact Us Air Date: 2/16/22 TRANSCRIPT Steve Burns (Dr. Burns): Hello. My name is Steve Burns. And I am a Hospice and Palliative Care Specialist and Associate Professor of Medicine at the Larner College of Medicine in Vermont. I'm pleased to moderate this episode of the ASCO Education Podcast focused on clinician patient communication in the context of delivering serious news to patients and family. I am joined Katie Stowers, a Hospice and Palliative Care Physician and Assistant Professor of Medicine at Oregon Health & Science University and Tyler Johnson, a Medical Oncologist and Clinical Assistant Professor of Medicine at Stanford University. Well, this is a serious discussion on delivering difficult news to patients and families. It is an extremely important one that I'm glad to be having. Let's first start with our question, what is bad news? I'm delighted to answer the question first mostly because I have an issue with calling it bad news. It really comes down to some of the training that I had as a palliative care physician when one of my attending said, don't assume it's bad. And I remember an example that I had for one of my first couple of patients, where the patient, when we were explaining that she had metastatic cancer and that she was likely going to die from this illness, she said, “Oh my gosh. I'm so relieved because I've been looking for an answer for months.” So what made me realize during that moment and also what my palliative care attending reminded me of is don't assume. And this is consistent with a study that came out, I think, by Anthony Balkin like 2011 where they did a qualitative review of patients encounters with serious news and bad news. And patients actually gave feedback that said, “We don't want the physicians to judge our news.” Again, sort of reframing that, it's better to call it serious news rather than bad news. Dr. Tyler Johnson (Dr. Johnson): I'll build off of that and just say that I think it's also important that we recognize that sometimes when we call something bad news, what that's actually reflecting is what our experience is going to be or what we anticipate that our experience is potentially going to be, which is totally fair. It's absolutely valid to say having to share this news is going to be a difficult part of my day. And therefore, I think of this as sharing bad news. In fact, I think that recognition is important and can lead to important reflection and even to self-compassion. We should be candid about the fact that this is a hard part of our jobs. I mean, who likes to share life-changing, sometimes devasting news with patients? Nobody wants to do that. That's never going to be a fun part of your day. I think, though, that it is important to recognize that that's a different question from how the news is going to land to the patient. Sometimes those things will match up and sometimes they won't. And it's important for us to be circumspect and careful in the way that we think about both how the news is going to impact us and how the interaction is going to impact us and also how it's going to impact the patient. Dr. Burns: I'll move to the second question, which is what is the ideal circumstance or modality, in person or video call or telehealth, to deliver serious news to patients? Dr. Katie Stowers (Dr. Stowers): I was actually struck on reflecting on that question about the ideal modality. I think COVID has actually really changed the way that I think about that question. Pre-COVID, I would have said hands down, everybody sitting in the same room being able to reach out and touch someone or be able to see them. But COVID has actually changed that. The people who need to be there aren't always able to be there because of hospital visiting restrictions. And being in the same room often means three layers of PPE between you and the people you're trying to talk to when they can actually see your face. I found some really meaningful encounters of delivering serious news that's been able to happen virtually in a way that I think I would have really surprised about pre-pandemic. I just had a patient in clinic with me a couple weeks ago who we were sitting there face-to-face, but visitor restrictions in our cancer center still wish she couldn't have anyone with her in the clinic. And so we were sitting there together and she wanted information. She wanted to review information that her oncologist had given her about prognosis. And so we were going to start to talk about that, and immediately she became overwhelmed and well, let's get my family on the phone. And I would really like somebody else to hear this information. And ultimately we realized after trying to get people on and not being able to contact them that actually the best way to do this was going to be a virtual visit where she was home with her sister, with her dog in her lap, her aunt in New Mexico and her uncle in Alaska were all able to come on. We were all able to share this information together. And it was this really lovely moment where she had all of the things that she needed, and it had nothing to do with being in clinic. In fact, clinic brought a whole different set of stressors. And so I think the way I've looked at this really is different and it's what does this person actually need? Do they need me to be able to physically touch them or do they need their support system? Do they need to be able to see my face without a mask? What is it that this individual needs? And I think that's more of how I go in and approach thinking about the ideal circumstance now. Dr. Johnson: Yeah. I think that there is a lot of truth to that and because we are so constrained and clinic often now. The one thing that I will mention as a practicing oncologist that I have recognized is really important, though, if you're going to try to leverage the advantages that can come with technology is that it's really, really important to make sure that the patient is tuned in to the kind of conversation that you're going to be having before you launch into a discussion where you're going to be talking about serious news. Because what we have found is that often when people are coming to see us, it's part of a multi-hour half day or even a full day. They come in and see us. Then they get their labs drawn. They go to the waiting room. Then they go to get their chemo. Then they have to sit for a minute and be monitored afterwards. And sometimes it can be six or seven or eight hours. The reason I mentioned that is to say that what we have found is that many of our patients, for instance, are now having video visits with us, where we can tell them. They're like in the car driving in to get their labs done. And they love that because they're able to save an hour or two of time instead of sitting in our waiting room, they're doing the visit in the car. But as wonderful as that is for efficiency for somebody who's riding the chemo train, that's not the place that you want to be having this kind of serious discussion. And so I think that if you know that you're going to be having a visit that is going to involve sharing serious news, it's really important to say, “Hey, I just want to let you know that this is going to be a particularly important discussion. Can you make sure that you're in a quiet place where you can really focus here and have whatever family members or friends or whatever, your support that you want there so that they're keyed in a little bit?” Because if they're in clinic, we talk about preparing the right space. It's better to do this in a private room in the hospital than in an Emergency Department with 27 things going on you. So by the same token, I think we have to give them the opportunity to sort of prepare the environment to allow them to have the best experience. Dr. Burns: I agree with both you Katie and Tyler. I think about most of my work's done in the inpatient setting and just thinking about even in the inpatient setting, making sure that even though a patient has their own private room, sometimes they don't and they have a neighbor that they're sharing it with and thinking about how do we create that privacy for them? How do we incorporate their loved ones, whether that's actually using now a iPad that rolls in where you can now have a Zoom conference with their loved ones across the country or across the globe. But the other piece is really thinking about not tacking it on to the end of your rounds, but really setting aside some time to do that. And that's even physically having someone hold your pager, silencing your phone so that you can be present for that conversation, just like how Tyler described that in the outpatient setting. Dr. Johnson: Yep. Totally agree. Dr. Burns: Well, thinking about who should be involved in the conversations, do you discuss as a team, which member of the cancer care team will deliver bad news to the patient and family? Dr. Johnson: I can maybe address this one first and then you guys can add on. I think I come at this with a slightly different perspective because I'm actually a practicing medical oncologist. I'm not a palliative care doctor. I actually think that there are important points to be made on two ends of a spectrum here. What I mean by that is that one thing that I is important is to recognize that there is more kinds of healthcare providers can be involved in these discussions than we sometimes may think. So for instance, Manali Patel, who's a health services researcher here at Stanford, has done a lot of really interesting work lately with lay health workers being able to help have the first parts of these discussions in terms of exploring the values and priorities and needs of the patients. And basically what she's shown is that while there was initially a lot of skepticism, how can a layperson be involved in those discussions. After some training, these people actually do wonderfully well. I think by the same token, there are many members of the healthcare team that can help with that part. Having said that, I do think that there is also then a part of it that most patients appreciate coming from one of their primary healthcare workers. I think that as oncologists, we're here talking to the American Society of Clinical Oncology audience, I think it's important that oncologists recognize that there are certain things that patients really want to hear directly from you. And I think that in particular, some of the harder things to say, like we really don't have other meaningful treatment options left, that phrase I don't think land in quite the same way if it comes anywhere but from the treating oncologist because there's always going to be this thought in the back of the patient's mind that maybe my oncologist has something else in line or I need to talk to them later or what have you. I think that while on the one hand, we should broaden the spectrum of people who can be involved in these discussions, I do think on the other hand that it's important to recognize that there are some parts of this that really are most effective when coming from the treating oncologist. Dr. Burns: Tyler, I think you hit on the importance of the relationship of the oncologist and the oncologist team with the patient and their loved ones. I often think of out this tide of care cartoon. I think it's almost like a far side cartoon where it's a physician who's sharing news to a patient and says I have some really bad news. So I'm going to get someone else to say it for me. I often feel like, as a palliative care physician, I sometimes am thrown into the mix. Am I the one delivering this news? What I really enjoy is partnering with the oncologist and even joining together when we can or for me to check in with a patient after the news is delivered, just because of how important that relationship is between the patient and their oncologist. The only other thing that I would add is I love having a team with me during those meetings. And so if I can in the outpatient center or inpatient setting, having a nurse or a social worker or a chaplain join me because sometimes I misstep and I say more than I should or I don't notice emotion. And I think having the other interprofessional lens there to watch and observe can interrupt me, give some feedback in the moment and/or take a step back so that we make sure that patients understand on what's going on. Dr. Stowers: I think, Steve, the part that I love about delivering news with the team is all the things you said. And when I notice my own emotions or I feel stuck on what to say, there's somebody there who can kick the ball and run with it for a bit so I'm able to catch back up. I wanted to add on to something else that you were saying, Tyler, about this relationship between patient and oncologist. And I see that a lot where patients will come to me and they're not ready to talk about things until they've heard it from the oncologist first. I just have got this morning this guy who got discharged from the hospital and hospice had been brought up in his visit, but he sees his oncologist on Friday and there was no way he was going there with me and how he's able to talk to his oncologist rightly so. I also see the flip side of it not too infrequently where the relationship that the patient has with their oncologist is they're the gatekeepers to life prolonging treatments. And they see any discussion of worries or fears as a weakness that maybe will make it less likely for them to get those treatments. And so I also see that patient population where they see me as the place as a palliative care provider where they can talk about some of those things that they're not ready to talk about with the oncologist. They need the oncologist to be positive treatment focused and they need another place that's not the oncologist to talk about those things. Dr. Burns: Yeah, Katie, I just actually had a case like this last week where a patient says that she is really tired of the chemotherapy she was getting. She has a head and neck cancer, but she was afraid to bring it up with her oncologist because, she says, “I need to be brave in front of her.” And I just thought how interesting that was. And so every time she's in the room with the oncologist, everything's fine, everything's great. And then when she's speaking to me, she's like not everything's fine and not everything's great. And so I just think that the illustration of, yes, it would be great as a team, sometimes when we individually approach it, people do feel comfortable saying something differently outside of their oncology visit. Dr. Johnson: I think that one thing that this all gets to that I think is what all of us are saying, but it's worth articulating is that, Steve alluded to that cartoon at the beginning of this part of the discussion. The sort of underlying message from that is this idea that we as medical oncologists involve palliative care doctors if we don't know how to do something or we're not interested in doing it. And of course there may be times when the patient is better off with a skilled palliative care doctor doing the conversation that maybe a less skilled oncologist doesn't know how to do so well. But that's certainly not the optimal outcome. The optimal outcome is that there is teamwork and a partnership between medical oncology and palliative care. I think that teamwork creates a synergy where, because you're right, that the patient may have one face that they put on for the oncologist and a different face that they put on for their palliative care doctor. And I know there are times when I can sense as the oncologist that there is something just below the surface that they're not quite ready to bring up to me. And sometimes in those cases, I will say at the end of the visit, “I think this would be a really good time to touch base with the palliative care team.” And what I'm really thinking is because there's clearly something else you need to talk about that's not going to come out right here. So I want it to come out when you get to meet with them. Then of course, especially in those kinds of cases, having a little bit of back channels communication after the visit with me so that I can prep the palliative care doctors and let them know that I feel that there is something else there to be addressed, I think is really important. Dr. Burns: One question to think about is how do we prepare? How do you prepare for delivering serious news? I think I will say that the first thing I like to do is do my biopsy of the situation. I know that's quite medical to use as analogy, but I like to know who are the players? What is the prognosis? And what I need to do is do a really thorough check-in with the specialist. So oncologist or if there's a radiation oncologist involved to check in with them and to actually check in with the patient about information preferences and/or who would like to be in the room or who they would want to be in the room. I think all of that helps prepare it. I always use the analogy with my trainees, like a good, serious illness discussion or a good delivering of serious news is a lot of preparation, just like how we learn to put in central lines. A lot of it's the prep and then the central line when you place it is pretty quick. And so I certainly think about delivering serious news in the same way. Dr. Stowers: I think the part of preparing for serious news that we probably don't think about as much is the part about preparing ourselves for giving this serious news. And Tyler, you alluded to that earlier on in the conversation of what am I bringing to this conversation? I, through a series of tough experiences when I was a new palliative care physician in a busy outpatient practice, really found myself losing the empathy that I really prided myself on having in my clinical encounters. And I walk in and be like looking at the clock, like tapping my foot as this person's crying in front of me and like, holy smokes, what's going on here? And I realized that I was not prepared to give this kind of news. And so really started instituting before I knock on the door and go into the office or click the virtual visit now as it, I'm making sure how am I? Have I gone to the bathroom? Have I eaten? Am I hot? Am I cold? Like how does this patient make me feel. What are the emotions that I'm bringing up? What are the biases that I'm bringing to this about what outcomes do I really want from this conversation and doing this little mini-checklist of how am I and what am I bringing to this conversation has really helped me get a lot more centered before I walk into their room. And so I think that that should absolutely be on that checklist that we do as we're preparing for these conversations. Dr. Johnson: I'll say two things building off of those great points. One is that I think, to Katie's point, I think it's important that we put a plug in here for a holistic evaluation of your own wellness as a doctor in the big picture perspective. And obviously, I have my own bags under my own eyes after the last two years of the pandemic. You can choose if I'm the pot or the kettle, but I recognize that I struggle with this just as much as anybody. But it's just to say that if you're not eating well and you're not sleeping well and you're not getting some exercise and you're not taking time for yourself and you don't have a sense of self compassion, it's very difficult to fake empathy. It's very difficult to pretend to be present. And if you try, it usually just doesn't really work. I mean, you kind of either are present or you're not. But the issue is that you can't summon self-care in the moment that you need it. You can maybe try to do that for a couple of days. I think that largely is what burnout is. It's trying to magically materialize self-care as if you can do that the moment before you walk into a room and that's just not how the human psyche works. So that's thing number one. The other point that I would make is that, and I feel like this is one of those things that I just have to learn a thousand times over the course of being a clinician, because no matter how many times I learn it, then I forget it and it blows up in my face and I think, oh, well, yeah, I forgot that lesson again is how important it is that the first thing I do when I get in with a patient and I'm preparing to have one of these discussions is to talk with them about what they already understand about what's going on. Because you have some patients who you're surprised to find that you know that they're on end of line chemotherapy and they have overwhelming disease burden, etc., and then you ask them what's going on. And they say, “Well, I'm just really excited for the next chemo because doc, you said that the next chemo was going to be the one that was going to make the difference.” when of course you probably think you didn't say that. But the point is just to say, that's very different than if you ask the patient and they say, “You know, Doc, I so much appreciate everything you've done. If I'm really honest, I kind of feel like I'm dying. I think that's where I am.” Well, those are two totally different discussions. And if you come in assuming either of those things and it's actually the other one, then you're either going to waste a phenomenal amount of time or it's just going to be a terrible encounter. And I've made mistakes on both ends of that spectrum, which just reemphasizes for me the importance of figuring out where the patient is before I start saying anything. Dr. Burns: And Tyler, I also think about the efficiency of these conversations. Often we are so worried it's going to take so much time. And when you start with, what have you been told or what do you understand or what's been going on with the big picture of your cancer, it does save time. So you don't actually have to repeat from the top. And I will say I've also watched people still and I caught myself a couple times where we still ask, what do you understand? And then we still repeat the whole story. And so I certainly encourage all of us to think like if they heard it, totally fine to move forward, but the other efficiency piece and I know all of us have been vital talk trained thinking about a headline in like a big picture. What is the big message? I always think about a headline is what is sort of the summary of the medical information and what is the impact on the future of this person's health? Knowing that we often are pretty good with the summary of the medical information but a little less good at the impact. I always find that that helps them better understand their big picture and be able to then share the same information with their loved ones. They could easily have that catchphrase or a two-liner that they can say, guess what? The oncologist has shared this with me. I think that's so helpful when they're thinking about their overall care and helps them inform their goals and priorities and helps us better understand their goals and priorities. That concludes part one of our conversation on delivering serious news. In part two, we will continue the conversation on how the care team can prepare for delivering serious news. Useful resources and more. Thank you so much to all of our listeners for tuning into this episode of the ASCO Education Podcast. Speaker 1: Thank you for listening to this week's episode. To make us part of your weekly routine, click subscribe. Let us know what you think by leaving a review. For more information, visit the Comprehensive eLearning Center at elearningdotasco.org. Speaker 2: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.
Sarah Schlein is the Physician Medical Director for Northeast Emergency Training Solutions, LLC. She is an Emergency Medicine attending physician at the University of Vermont Medical Center, Associate Professor at the Larner College of Medicine and Wilderness Medicine director in Burlington, VT. She founded and directed the medical school and Emergency Medicine residency Wilderness Medicine program and is […]
Hey there Food Junkies Podcast listeners! Don't forget: There is still time to help us get to 100k downloads by January 1st as a big thank you to Dr. Tarman! Be sure to like, share, subscribe, and leave us some feedback so others can more easily find us! Today, Clarissa and I meet up with Dr. Andrea Grayson. You may have seen her on the Quit Sugar Summit earlier this year or the Kick Sugar Summit more recently. Dr. Andrea Grayson is accomplished in numerous fields, including video production, marketing strategy, program development, and community engagement, and also conducts primary research and program evaluations. A life-long pursuer of health, wellness, and spirituality, she now has two primary areas of focus: empowering and inspiring healthy lifestyle changes through writing, talks, workshops, and online courses; and, pursuing policy solutions to create greater health equity. Drawing on several methodologies and employing a mix of media outlets, Dr. Grayson designs campaigns to address a variety of health and social issues in targeted populations. Her media work with behavior change methodology includes work with the Vermont Department of Health's WIC program, numerous colleges in Vermont to address excessive alcohol consumption, and collaborating with broadcast producers in Africa to create pro-social health messaging to address the HIV/AIDS epidemic. Dr. Grayson has an appointment as an Assistant Professor in the Larner College of Medicine at the University of Vermont, teaching in the Master of Public Health Program. More specifically, Dr. Grayson has been teaching college-level courses in Social Marketing, Media Studies, and Media Production since 1994. Recent courses include The Social and Behavioral Foundations of Public Health, Communication for Social Good, Media Production for Social Change, and Marketing Social Change. Several courses involve opportunities for academic service-learning, where students apply their learning to address social issues in their community. Dr. Grayson has a background in news, education, and advertising/corporate media production, and is the co-founder of the production company It's a Fine Mess! Productions. Her video productions have received national attention, including a 2015 Silver Award from the Academy of Interactive and Visual Arts. Through presentations, workshops, and courses, Dr. Grayson provides information and inspiration for people to advance their health and fitness. Her current start-up is Breaking Free from Sugar, a one-month journey to reclaim your health for good. Clarissa and I wanted to know: Andrea's Personal and Professional stories and how they merged The 5 Pathways of Sugar Dependency Who her program is a good fit for The 9 areas of health she assesses for and works with clients to improve Behavior change and why it can be difficult We talk a bit about public policy and the actions we can take And stick around to find out how Andrea answers our Signature Question Find Dr. Grayson Websites: https://breakingfreefromsugar.com/ and https://andreagrayson.com/ Facebook: https://www.facebook.com/algrayson LinkedIn: https://www.linkedin.com/in/agrayson/ The content of our show is educational only. It does not supplement or supersede the professional relationship and direction of your healthcare provider. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.
One More Thing Before You Go … Myofascial Release, Integrative Nutrition, Holy Fire & Karuna Reiki what do all these things have in common? Hemali Vora who in This Episode we have a conversation with about Death, loss, grief, legacy work, and living life to the fullest. I'm your host Michael Herst and this is That thing about Myofascial Release Holy Fire & Karuna Reiki. Hemali is an expert holistic practitioner, intuitive energy healer, and a spiritual mentor. With over two decades of working in healthcare field as a physical therapist, she has helped, coached and guided hundreds of patients, and their families deal with chronic illnesses, disabilities, and personal traumas. We are going to learn how through her own journey that was filled with immense grief, depression, traumas and health challenges; about intuitive guidance, about Death, loss, grief, legacy work, living life to the fullest. Hemali is an avid traveler and a lifelong learner. Her intuitive guidance, experiences and curiosity has led her to learn many modalities like Myofascial Release, Integrative Nutrition, Holy Fire & Karuna Reiki. Having gone through her own journey filled with immense grief, depression, traumas and health challenges, she taps into her abundant tool box and integrates in her work. Hemali empowers clients to discover and embody their unique version of optimal mental, emotional, physical and spiritual health, allowing them to thrive and reach their greatest potential. She often speaks and is hosted at city and local government facilities on programs related to goal setting, nutrition and the importance of self-care to counter care-givers burn-outs, overwhelms and stress. Hemali has taught all levels of Reiki courses to healthcare workers, caregivers and children to help them uncover their true gifts and talents. Her fascination with every aspect of life and death and dying inspired her to complete End of Life Doula training through the University of Vermont, Larner College of Medicine. She provides comprehensive support, comfort and guidance to the dying clients and their families with end of life transitions, legacy projects, preparations and through bereavement process. She educates communities on the importance of advance care planning for end of life to achieve comfort and peace at the end of life. Hemali hosts virtual and online Death Café's, a space to talk about death and dying. Through her energy and doula work, she has coached many caregivers who companioned their loved ones experiencing terminal illness and death. Hemali offers one-on-one & group sessions in her studio and through online webinars HTTPS://beforeyougopodcast.com
Description:Happy Day, Friend! On this week's podcast episode, I'm talking about grief, loss, and meaning. My guest this week is author, Maryanne O'Hara. Maryanne O'Hara is the author of LITTLE MATCHES: A Memoir of Grief and Light. Her daughter Catlin died at 33, after a lifetime of living with Cystic Fibrosis and a harrowing last two years waiting for a lung transplant that finally came but was unsuccessful. In her grief and search for answers, Maryanne trained as an end-of-life doula. Her favorite aspect was creating legacy projects, something she didn't do with Caitlin because of her single-minded focus on her survival. She planned to do it with her mother, but with a sudden illness in the midst of Covid, that opportunity slipped awayMaryanne O'Hara is also the author of the novel Cascade – the Boston Globe Book Club's inaugural pick, a finalist for the Massachusetts Book Award, and a People Book of the Week. The former associate fiction editor of Ploughshares, she has taught creative writing at Emerson College and Clark University, and has had her writing recognized by the artist grants programs of the Massachusetts Cultural Council and the St. Botolph Club Foundation. Little Matches is based on the 9LivesNotes blog she kept while her daughter, Caitlin, waited for a lung transplant. O'Hara is a Reiki master and was recently certified by the University of Vermont's Larner College of Medicine as an end-of-life doula so that she might better speak to the state of end-of-life care in our culture. Maryanne and I talk about: ~ her journey with her daughter when diagnosed with cystic fibrosis; ~ what challenge has taught her about life, death, and fear; ~ what it means to “grow the soul”; ~ end-of-life doula work and life interviews; ~ her new book, Little Matches: A Memoir of Grief and Light~ and so much more! It was such a moving conversation filled with so much depth, love, and meaningful insights. I hope you gain a ton of value from it. If you enjoyed this episode, please share with a friend or family member, and make sure to purchase a copy of Maryanne's new book, Little Matches. To connect with Maryanne O'Hara, click the links below. If you have any questions, thoughts, or comments: connect with me on social media @atheadavis! And, don't forget to subscribe so you can stay tuned in to all the mindful living love.Stay connected
Season 1 | Episode 37 | October 27, 2021In this week's episode, Dr. Trey Dobson hosts Pediatric Critical Care Physician Rebecca Bell, MD, MPH, of the University of Vermont (UVM) Children's Hospital. The live show will aired one day after a Food and Drug Administration meeting that is expected to recommend the Pfizer vaccine for children ages 5–11.In addition to her work at the Children's Hospital, Dr. Bell is an associate professor of Pediatrics at the Larner College of Medicine at UVM. Outside of clinical care, she works on injury prevention efforts for the Vermont Child Health Improvement Program (VCHIP). She is the current president of the Vermont Chapter of the American Academy of Pediatrics and is active in community and legislative advocacy efforts. Areas of interest include suicide prevention, firearm safe storage counseling, vaccine confidence counseling, infant safe sleep, early childhood education access, and child health advocacy. Dr. Bell received her medical degree from the University of Massachusetts Medical School and her master's in Public Health from the Harvard School of Public Health. She completed her pediatric residency training as well as her pediatric critical care fellowship at the Massachusetts General Hospital.Underwriter: Mack Molding
My guest today is Christopher Thomas Veal, a 4th-year medical student at The Larner College of Medicine in Vermont. Christopher earned his bachelor of science in Studio Art and Biochemistry at The University of Vermont. He has served on the Vermont Governor's Council for Child and Family Prevention Programs and has led several activist groups while in medical school. He has also published essays centered on mental health advocacy and social justice in the annals of internal medicine and academic medicine. Currently, he is directing a film series centered on medical student's mental health called The Larner Stories Project Caution: This episode discusses the subject of suicide and may be a trigger for some. If you or someone you love struggles with suicidal thoughts, please reach out. The Hotline for Suicide Prevention is 1-800-273-8255 or Crisis Text Line: text HOME to 741741 [00:01 - 36:20] Christopher Shares His Story As Christopher journeyed into medical school, the heavy pressure of failure, expectation, discrimination, and isolation drove him into depression. Calling his late friend's mother saved his life. Christopher began going to therapy, got the support system that he needed, and embraced failure as an avenue for growth. In 2020 Christopher experienced an awakening in recognizing the role he had in activism after experiencing the pain, death, discrimination and financial turmoil COVID-19 brought onto minorities Christopher began sharing stories of lived experiences in order to help others [36:20 - 46:54] The Longing for Belonging Christopher felt the importance of letting people know suicide is not the only option. Dr. Lia and Christopher discuss how the privilege of accessing mental health may not even have been something people of color realized was an option for them. [46:55 - 54:14] Christopher's Activism in Kenosha Mental and Physical health care is a right, not a privilege. Christopher's pursuit into psychiatry and primary care comes from a hope to serve his community and provide a place of belonging for people of color who have been minoritized [54:15 - 00:00] If You Could Go Back and Give Yourself Advice What Would It Be? To recognize that failure will build you into who you will become. To not live in fear but to live honestly, passionately, and authentically. To connect with Christopher Veal please visit the links and resources below Main Takeaways: It is critical that medical training programs create a safe and welcoming place for medical students. Out of hopelessness, there is hope and help. Medical training continues to promote the stigma of failure and culture of perfectionism As a black man Christopher shared a painful reality. “There is a target on my back that follows generations of racism and dehumanization.” Black patients may not seek mental health because it historically has not been seen as an option. This is exclusionism. Activism is an obligation to change minds and change hearts. A message to medical students; Asking for help works, therapy help and there is no shame in failure. Tweetable Quotes: “When I started looking at failure as an opportunity instead of a liability, that's when things started to turn around.” - Christopher Veal “We burn out, we break from the pressure and we die. Whether it's by suicide or by an accident that could have been prevented, these are things that are majorly affecting our profession and what's sad is that it's not being talked about.” - Christopher Veal “When that ‘Why to live' becomes obscured and distant, getting to that ‘How I'm gonna live' is very difficult to envision.” - Christopher Veal “ I've failed over and over and over again in my life. And that is why I succeed.” - Micheal...
Kathryn interviews Internist, Massachusetts General Hospital & Assistant Professor of Medicine, Harvard Medical School Steven Gardner MD, author of “Jabberwocky: Lessons of Love from a Boy Who Never Spoke.” During his abbreviated 22-year life, Graham Gardner was unable to speak or to walk on his own, yet he forged meaningful relationships wherever he went. His cerebral palsy forced him to rely on other people — sometimes complete strangers — for absolutely everything, yet he accepted his reality, lived in the present moment, reveled in relationships, and exuded radiance around him. His parents and his community of friends, caregivers, schoolmates and campmates were transformed by his zest for life, his sense of humor and his grace under adversity. His father, Dr. Gardner, shares the many transformative opportunities and expressions of love that Graham and his parents experienced throughout his short life. Dr Gardner is a winner of the Harvard Medical School Humanism in Medicine Award and past Medical Director of the Massachusetts Special Olympics. Kathryn also interviews End-of-life Doula Maryanne O'Hara, author of “Little Matches: A Memoir of Grief and Light.” When their only child was diagnosed with cystic fibrosis (CF) at the age of two, Maryanne and her husband were told that Caitlin could live a long life or die in a matter of months. Thirty-one years later, following an excruciating, two-year wait on the transplant list and a last-minute race to locate a pair of healthy lungs, a story that attracted nationwide attention, Caitlin lost her battle with this pernicious disease. Little Matches is Maryanne's intimate recounting of Caitlin's journey and her own, weaving a rich narrative of memories with text messages, emails, journal entries and even drawings. O'Hara, former fiction editor of Ploughshares, is a Reiki master certified by the University of Vermont's Larner College of Medicine as an end-of-life doula so that she might better speak to the state of end-of-life care in our culture.
Kathryn interviews Internist, Massachusetts General Hospital & Assistant Professor of Medicine, Harvard Medical School Steven Gardner MD, author of “Jabberwocky: Lessons of Love from a Boy Who Never Spoke.” During his abbreviated 22-year life, Graham Gardner was unable to speak or to walk on his own, yet he forged meaningful relationships wherever he went. His cerebral palsy forced him to rely on other people — sometimes complete strangers — for absolutely everything, yet he accepted his reality, lived in the present moment, reveled in relationships, and exuded radiance around him. His parents and his community of friends, caregivers, schoolmates and campmates were transformed by his zest for life, his sense of humor and his grace under adversity. His father, Dr. Gardner, shares the many transformative opportunities and expressions of love that Graham and his parents experienced throughout his short life. Dr Gardner is a winner of the Harvard Medical School Humanism in Medicine Award and past Medical Director of the Massachusetts Special Olympics. Kathryn also interviews End-of-life Doula Maryanne O'Hara, author of “Little Matches: A Memoir of Grief and Light.” When their only child was diagnosed with cystic fibrosis (CF) at the age of two, Maryanne and her husband were told that Caitlin could live a long life or die in a matter of months. Thirty-one years later, following an excruciating, two-year wait on the transplant list and a last-minute race to locate a pair of healthy lungs, a story that attracted nationwide attention, Caitlin lost her battle with this pernicious disease. Little Matches is Maryanne's intimate recounting of Caitlin's journey and her own, weaving a rich narrative of memories with text messages, emails, journal entries and even drawings. O'Hara, former fiction editor of Ploughshares, is a Reiki master certified by the University of Vermont's Larner College of Medicine as an end-of-life doula so that she might better speak to the state of end-of-life care in our culture.
Kathryn interviews Internist, Massachusetts General Hospital & Assistant Professor of Medicine, Harvard Medical School Steven Gardner MD, author of “Jabberwocky: Lessons of Love from a Boy Who Never Spoke.” During his abbreviated 22-year life, Graham Gardner was unable to speak or to walk on his own, yet he forged meaningful relationships wherever he went. His cerebral palsy forced him to rely on other people — sometimes complete strangers — for absolutely everything, yet he accepted his reality, lived in the present moment, reveled in relationships, and exuded radiance around him. His parents and his community of friends, caregivers, schoolmates and campmates were transformed by his zest for life, his sense of humor and his grace under adversity. His father, Dr. Gardner, shares the many transformative opportunities and expressions of love that Graham and his parents experienced throughout his short life. Dr Gardner is a winner of the Harvard Medical School Humanism in Medicine Award and past Medical Director of the Massachusetts Special Olympics. Kathryn also interviews End-of-life Doula Maryanne O'Hara, author of “Little Matches: A Memoir of Grief and Light.” When their only child was diagnosed with cystic fibrosis (CF) at the age of two, Maryanne and her husband were told that Caitlin could live a long life or die in a matter of months. Thirty-one years later, following an excruciating, two-year wait on the transplant list and a last-minute race to locate a pair of healthy lungs, a story that attracted nationwide attention, Caitlin lost her battle with this pernicious disease. Little Matches is Maryanne's intimate recounting of Caitlin's journey and her own, weaving a rich narrative of memories with text messages, emails, journal entries and even drawings. O'Hara, former fiction editor of Ploughshares, is a Reiki master certified by the University of Vermont's Larner College of Medicine as an end-of-life doula so that she might better speak to the state of end-of-life care in our culture.
Kathryn interviews Internist, Massachusetts General Hospital & Assistant Professor of Medicine, Harvard Medical School Steven Gardner MD, author of “Jabberwocky: Lessons of Love from a Boy Who Never Spoke.” During his abbreviated 22-year life, Graham Gardner was unable to speak or to walk on his own, yet he forged meaningful relationships wherever he went. His cerebral palsy forced him to rely on other people — sometimes complete strangers — for absolutely everything, yet he accepted his reality, lived in the present moment, reveled in relationships, and exuded radiance around him. His parents and his community of friends, caregivers, schoolmates and campmates were transformed by his zest for life, his sense of humor and his grace under adversity. His father, Dr. Gardner, shares the many transformative opportunities and expressions of love that Graham and his parents experienced throughout his short life. Dr Gardner is a winner of the Harvard Medical School Humanism in Medicine Award and past Medical Director of the Massachusetts Special Olympics. Kathryn also interviews End-of-life Doula Maryanne O'Hara, author of “Little Matches: A Memoir of Grief and Light.” When their only child was diagnosed with cystic fibrosis (CF) at the age of two, Maryanne and her husband were told that Caitlin could live a long life or die in a matter of months. Thirty-one years later, following an excruciating, two-year wait on the transplant list and a last-minute race to locate a pair of healthy lungs, a story that attracted nationwide attention, Caitlin lost her battle with this pernicious disease. Little Matches is Maryanne's intimate recounting of Caitlin's journey and her own, weaving a rich narrative of memories with text messages, emails, journal entries and even drawings. O'Hara, former fiction editor of Ploughshares, is a Reiki master certified by the University of Vermont's Larner College of Medicine as an end-of-life doula so that she might better speak to the state of end-of-life care in our culture.
In today's episode I talk with Dr. Andrea Grayson about her battle with sugar addiction and she explains, "The 5 Pathways of Sugar Dependency." She also talks about some of the public health policies that got us where we are today with food and policies that would help get us out. Dr. Grayson works as a behavior change communications consultant and teaches about behavior change in the Masters of Public Health program in the Larner College of Medicine at the University of Vermont. She discovered and finally admitted to her own carb addiction almost by accident, and in the two years it took her to heal from it, she created a framework that addresses The 5 Pathways of Sugar Dependency and put everything she learned into the course Breaking Free from Sugar. Facebook: https://www.facebook.com/sugarfreesherpa Instagram: https://www.instagram.com/sugarfreesherpa/ LinkedIn: https://www.linkedin.com/in/agrayson/ Thanks for listening! If you enjoyed this episode and were inspired in some way, I would love to hear from you. Take a screenshot of you listening on your device, post it to your Instagram Stories and tag me @unsweetenedsio. 5 star ratings and positive reviews really help the podcast too! Website: www.unsweetenedsio.com Instagram: https://www.instagram.com/unsweetenedsio/ Facebook: https://www.facebook.com/unsweetenedsio Twitter: https://twitter.com/UnSweetenedSio YouTube: https://www.youtube.com/channel/UCYVw0_4Ms1GNE5-p6LT0qlw LinkedIn: https://www.linkedin.com/in/siobhan-harris-64663317/
Hosted by Infinite Culcleasure Back to Freedom School – Ongoing conversations about education equity in the State of Vermont The State of Literacy in Vermont: If Reading Is Fundamental, How Does It Work? – Emily Baker and Blanche Podhajski Emily Baker is from “Vermont, Vermont.” She is a senior at Randolph Union High School, where she is a leader with the Racial Justice Union, on the volleyball team, and more importantly, a staunch advocate for her own educational needs. When asked if she could wave a magic wand how would public schools be different, she responded, “magic wand… more inclusivity, less pointing out of a student's “disabilities”, challenges, struggles, destigmatizing the need for assistance, and support… more training for the teachers on how to teach children with different challenges, things that interest kids in learning, a happy positive environment that gets kids interested in reading and writing.” It is inspiring to partner with Emily and her predominantly white peers in their commitment to racial justice at their school whenever possible. I hope that the first annual Vermont School Against Racism Conference that they organized in 2019 becomes a trend throughout the State of Vermont. Blanch Podhajski is the founder and president of the Stern Center for Language and Learning in Williston, Vermont, and a Clinical Associate Professor of neuroscience at the Larner College of Medicine at University of Vermont. She brings a lot of nuance to our conversation about literacy and comprehension When asked how remote learning might affect a student's learning she points out that “it's not so much the medium, it's what's being transmitted through the medium… we have come children who are excelling in live instruction with no learning problems, who didn't do well in online instruction… if we're teaching structured literacy, which is explicit, systematic teaching, we can see outcomes for both children in remote learning, and children in live learning.” Blanche expresses concern about children not doing well in decoding and language comprehension, which are fundamental skills required in reading well. “We have only one 1/3 of fourth graders at a proficient level, that is not a good thing, its an equity issue, not just for children who are considered marginalized, ot children with disabilities, our children in poverty and children of color, but for all children who have not had an opportunity to learn.”
At this week's Round Table, Eliza, Inica, Isaiah, Madeline, and Olivia spoke with MaryAnn Makosiej. MaryAnn was a Founding Fellow in our Next Generation Politics' Civic Forums way back in 2017-18. Now, she's a third-year Biology major at the University of Vermont AND a first-year Master's in Public Health student at the Larner College of Medicine AND the Director of Policy for Kesha Ram, who is running for State Senator in Vermont, among many other things. We had a fascinating conversation about MaryAnn's trajectory from Civic Fellow to civic superstar, her thoughts about the impact COVID has had on Burlington, VT--and what will be necessary to drive the community forward, and the importance of bringing moral courage to politics. MaryAnn exemplifies the advice she gave us, “don't limit yourself and don't label yourself--you can and should explore so many different facets of yourself and the world around you.” Thank you for joining us! --- Send in a voice message: https://anchor.fm/nextgenpolitics/message
Tim joins us to discuss how to consume information during a pandemic, DIY epidemiology, and how to use skepticism as a tool to make better decisions in light of inaccurate or incomplete information. Dr. Lahey is an infectious disease physician and director of clinical ethics at the University of Vermont Medical Center. He's also a professor of medicine at the Larner College of Medicine at UVM. He specialized in HIV and other infectious diseases, as well as clinical ethics.
In this episode of the podcast Joe talks to Dr. Tim Lahey: (Director, Medical Ethics, Infectious Disease Physician, and Professor) about what the current state of COVID-19 is in the United States. Are we close to a vaccine? Does the virus linger & cause lasting damage? Why are we sending our kids to school when there is no vaccine? While Tim doesn't have all the answers he does provide some guidance in these crazy times. Tim is also the spouse of former guest, Jessica Lahey. We would like to thank both Jessica & Tim for being gracious with their time and appearing on the podcast. - Dr. Tim Lahey is an infectious disease physician and director of clinical ethics at the University of Vermont Medical Center. He is also professor of medicine at the Larner College of Medicine at UVM in Burlington, VT. He specializes in HIV and other infectious diseases, and clinical ethics. His research includes HIV care, tuberculosis epidemiology, medical education and clinical ethics.- #ListenToScience #beabetterdad This episode of the podcast is brought to you by Snuffy! Snuffy is a clothing brand about empowering you to show your weird - unapologetically, with bravery and confidence. 10% of profit goes to LGBTQ+ organizations led by Trans* people of color. Shop online now at snuffy.co
There is no doubt that COVID-19 is the ultimate disruptor and accelerator of 2020. It has disrupted almost all aspects of our lives, especially healthcare, and though we'll find a cure, we will never be the same as before. In this episode, we'll learn the changes to individual orthopedics practices and the changes the academy is implementing to cope with the aftereffect of the pandemic. We are honored to feature Dr. Joe Bosco, the president of the American Academy of Orthopaedic Surgeons. Joe discusses how we are going to survive in the post COVID-19 era, of the accelerated trends in healthcare consolidation, distance learning, shift to outpatient care, and more telemedicine. Get ready for the new normal with the help of ideas you'll get from this podcast! Tune in and listen to the fantastic Dr. Joe Bosco today. Today's Guest Joseph A. Bosco III, MD, is the current president of the American Academy of Orthopaedic Surgeons (AAOS). Prior to this assignment, he served as the first vice-president of the academy. Dr. Joe is also a professor and vice-chair for the Department of Orthopedic Surgery at NYU Langone Health. He specializes in sports medicine, total knee replacement, shoulder and elbow surgery. Dr. Bosco earned a bachelor's degree in chemistry from Union College in Schenectady, New York, and attended the Larner College of Medicine at the University of Vermont in Burlington. He completed an internship in general surgery and a residency in orthopaedics at the University of North Carolina Medical Center in Chapel Hill, North Carolina, and his fellowship in adult reconstructive surgery at the University of Arizona in Tucson. Key Takeaways: We will emerge strong in the post-COVID era and adopt to "the new normal". COVID is the quintessential disruptor, and it is also accelerating progress. The pandemic is weeding out the weaker businesses. Resources: https://www.aaos.org/aaosnow/2020/apr/youraaos/youraaos03/
Our last bonus segment highlighted some of our amazing medical student peers in Vermont. Now, we are shining the spotlight on the equally incredible faculty members at the Larner College of Medicine. They share their thoughts on how COVID19 has impacted them in their professional and personal lives.Guest Faculty (in order of appearance): Dr. Lewis First MD MS, Dr. Emily Greenberger MD, Dr. Meredith Collins MD, Dr. Andy Hale MD, Dr. Jen Gilwee MD, Dr. Jeremiah Dickerson MD, Dr. Elise Everett MD MSC, Dr. Matt Gilbert DOBackground Music by Shane Ivers: Bright Ideas, Fresh Lift, Precious Memories - https://www.silvermansound.comThumbnail by Emil Widlund on Unsplash
In this bonus addition to our podcast Episode 8: Medical Education in the Time of COVID19, several of our awesome Larner College of Medicine medical student classmates share their stories and take on how the pandemic has impacted them at different levels of their medical training.Guests: Sienna Searles (M3), Tyler Prince (M3), Megan Garrido (M3), Alim Esemenli (M2), Diana Salama (M1), Rio Beardsley (M3), Jhaimy Fernandez (M3) and Vinh Le (M1) Background Music: Tomorrow's Times by Shane Ivers - https://www.silvermansound.comThumbnail by ConvertKit on Unsplash
In this episode, we interview Larner College of Medicine Dean Richard Page for his take on how COVID19 has impacted the current and future landscape of medical education. We discuss recent national and local changes to the training of future physicians, the exciting potential of telemedicine, and the challenges this unprecedented time poses to medical students.Keep an eye out for an upcoming bonus episode featuring Larner College of Medicine students sharing their stories and perspectives on MedEd. Guest: Dr. Richard Page Thumbnail by Nathan Dumlao on Unsplash
We’re off to The Green Mountain State of Vermont to talk with the Director of Admissions at the University of Vermont Larner College of Medicine (UVM). While UVM is a public institution, the majority of their classes are out of state students! UVM is a very interesting school - unique curriculum, two campuses - Vermont and Connecticut, a teaching/scholarly project, among others. We discuss what they value in their applicants, of course! Have a question for the show, school suggestion, or just want to say hi? Send it to allaccess@case.edu Visit https://case.edu/medicine/allaccess for more information on this episode and others. RESOURCESUniversity of Vermont Larner College of Medicine Vermont Integrated Curriculum Teaching/Scholarly Project AAMC 15 Core Competencies for Entering Medical Students Cary’s Recommendations (she looooves books): Powell’s Books - Portland, OR - Book club The Topeka School by Ben Lerner Hyperbole and a Half: Unfortunate Situations, Flawed Coping Mechanisms, Mayhem, and Other Things That Happened by Allie Brosh Less by Andrew Sean Greer CONTACT: medadmissions@med.uvm.edu
In this episode we talk with Lewis First, MD and Alex Kemper, MD about studies published in the last year that could change the way you practice pediatrics. Dr. First (@lewis_first) is Professor and Chair of the Department of Pediatrics at the Larner College of Medicine at the University of Vermont and Chief of Pediatrics at the University of Vermont Children’s Hospital. He serves as the Editor-in-Chief of Pediatrics, the peer-reviewed medical journal of the American Academy of Pediatrics. Dr. Alex Kemper (@AlexRKemper) is the Division Chief of Primary Care Pediatrics at Nationwide Children’s Hospital and Professor of Pediatrics at The Ohio State University College of Medicine. He serves as the Deputy-Editor-in-Chief of Pediatrics. Articles Covered that can be found from Pediatrics: Vaccines Updates - What can pediatricians do to increase vaccination rates in their practice? How to evaluate a febrile infant under 2 months of age Issues in Adolescent and Teen Patients — Suicidality and identifying risk Cannabis Concentrate and Cannabinoids — Impact on children and adolescents, including vaping LGBTQ Patient Care, including bullying issues and impact/outcomes based on state legislation (i.e. Proposition 8 from California) Smoking and Vaping - Combustable cigarettes and e-cigarettes CRAFFT instrument - Adapted screening for teens with substance abuse disorders Firearm Safety and Protection of Children from Firearms - Where pediatric firearm mortality has occurred relative to gun laws in the United States; morbidity and mortality of children in homes with firearms Telehealth - Quality of Care, antibiotic prescribing stewardship, patient satisfaction for Telehealth visits Electronic vs Print Books in Kids — Parents interact more with their children when they use a traditional print book than an ebook. Maintenance of Certification - Importance of improving quality of care This episode was recorded live from the 2019 AAP NCE in New Orleans, Louisiana. Do you have a question about this episode or a suggestion for a future topic? Write to us, chartingpediatrics@childrenscolorado.org
In 2012, the Global Health Program was established through the Western Connecticut Health Network (WCHN) in conjunction with the Larner College of Medicine, strengthening an already flourishing relationship with the College that sends dozens of medical students to Danbury Hospital each year for clinical rotations. The exchange of knowledge between WCHN and the Larner College of Medicine has fostered the rapid growth of the Global Health Program. The Kilimanjaro Climb was led by Dr. Majid Sadigh, the Christian J. Trefz Family Endowed Chair in Global Health at WCHN, and the Director of Global Health at the University of Vermont Larner College of Medicine, along with his daughters, Katrin and Mitra. They began their climb on July 28.--- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
In 2012, the Global Health Program was established through the Western Connecticut Health Network (WCHN) in conjunction with the Larner College of Medicine, strengthening an already flourishing relationship with the College that sends dozens of medical students to Danbury Hospital each year for clinical rotations. The exchange of knowledge between WCHN and the Larner College of Medicine has fostered the rapid growth of the Global Health Program. The Kilimanjaro Climb was led by Dr. Majid Sadigh, the Christian J. Trefz Family Endowed Chair in Global Health at WCHN, and the Director of Global Health at the University of Vermont Larner College of Medicine, along with his daughters, Katrin and Mitra. They began their climb on July 28. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Stephanie Boucher is a certified Clinical Herbalist, having graduated from the Vermont Center for Integrative Herbalism‘s 3-year Clinical Herbalist Training Program. In addition to her traditional herbal training, she also holds a Professional Certificate in Cannabis Science and Medicine from the University of Vermont's Larner College of Medicine, and has over 5 years of experience in the cannabis industry, primarily as a medicine maker. Stephanie has long been fascinated by plants, particularly the cannabis plant, and how they bring together the realms of science, spirituality, healthcare, social justice, and ecology. This year she is excited to launch her clinical practice CannaBotananicals (cannabotanicals.net), offering herbal consults with an emphasis on holistic approaches to cannabis use, as well as custom infusions.In this weeks podcast Stephanie and I talk about how she is bringing other herbs to the cannabis party and how ultimately alchemy at its root is the transformation of the soul.Find and Learn from at the following linkshttps://www.cannabotanicals.net/https://nationalbailout.org/https://www.imdb.com/title/tt5895028/Book:https://www.amazon.com/Why-Zebras-Dont-Ulcers-Third/dp/0805073698To learn more about plants & your health from Colleen at LabAroma check out this informative PDF: https://mailchi.mp/2fe0e426b244/osw1lg2dkhDisclaimer: The information presented in this podcast is for educational purposes only, and is not intented to replace professional medical advice. Please consult your doctor if you are in need of medical care, and before making any changes to your health routine.
HealthSource Radio at the University of Vermont Medical Center
Every year more than 3 million reports of child abuse are made in the United States. In Vermont, child neglect and abuse has increased by 60 percent since 2012. James Metz, MD, talks to us about the signs of child abuse and much more. Dr. Metz is pediatrician at the University of Vermont Children’s Hospital and assistant professor at the Larner College of Medicine at UVM.
HealthSource Radio at the University of Vermont Medical Center
According to the American Heart Association, about five million Americans are diagnosed with heart valve disease each year. Harold Dauerman, MD, cardiologist at UVM Medical Center, talks about what heart valve disease is and new treatments for it. Dauerman is a professor at the Larner College of Medicine at UVM.
A little known medical condition known by the four letters PCOS is a major cause of infertility and risk factor for diabetes, heart disease, and high blood pressure. If you watch the popular NBC television series, This Is Us, you may be familiar with main character Kate struggles with PCOS related obesity and infertility. PCOS refers to polycystic ovary syndrome. Jennifer Dundee, MD is a gynecologist who specializes in reproductive endocrinology and infertility at the University of Vermont Medical Center. She's also an assistant professor at the Larner College of Medicine at UVM.
HealthSource Radio at the University of Vermont Medical Center
Matthew Gilbert, DO, MPH, an endocrinologist at the UVM Medical Center and associate professor at the Larner College of Medicine at the University of Vermont, brings us up to date about the difference between these two diseases, the range of treatment advances, and the new options and technologies available to patients.
HealthSource Radio at the University of Vermont Medical Center
Peter Jackson, MD, a pediatric psychiatrist at the UVM Medical Center, and assistant professor at the Larner College of Medicine at UVM, and Karen Lounsbury, Ph.D, a professor of pharmacology at the Larner College of Medicine at UVM discuss the safety of marijuana.
HealthSource Radio at the University of Vermont Medical Center
Anyone who has seen movies like Contagion, or watched the news during coverage of the Ebola or Zika crises knows how scary infectious diseases can be and the panic they can set in motion. The heroes of these stories are the people developing the vaccines. What you might not know is that some of these heroes are right here in our backyard at the Vaccine Testing Centerat the Larner College of Medicine at UVM. In the interview that follows, Ross Colgate, PhD, MPH, a faculty scientist with the Vaccine Testing Center, describes the group's work.
HealthSource Radio at the University of Vermont Medical Center
Most of us know someone who has had a stroke. The earlier you recognize a stroke and start treatment, the better the chances for a good recovery. Knowing the symptoms, and immediately dialing 911 are the most important steps for survival. Listen to our interview about stroke prevention and what is being done to make sure that patients receive quality stroke care when they need it with Dr. Guillermo Linares, director of the UVM Health Network Stroke Center, and Assistant Professor at the Larner College of Medicine at UVM.
HealthSource Radio at the University of Vermont Medical Center
Bone disease is a condition that damages the skeleton, and makes bones weak and prone to fractures. While you may think that weak bones are a natural part of aging, people of all ages can improve their bone health. Here to tell us how to keep our bones strong and tell us more about common bone diseases is Dr. Jennifer Kelly, Endocrinologist and Director of the Metabolic Bone Program at the UVM Medical Center, and Associate Professor at the Larner College of Medicine at UVM.
HealthSource Radio at the University of Vermont Medical Center
Blood loss, or hemorrhage, is the most common cause of preventable death, except for injury. In many cases, medical personnel are not on the scene of a car accident, or hunting accident, or maybe an injury at work, quickly enough to control bleeding. That leaves it to average folks to step in and help out. That's why trauma surgeons from around the country created a campaign called Stop The Bleed, which has already trained about 100,000 people in the US. The trauma team at the UVM Medical Center wants to add to that number and will soon begin offering free public courses. Here to tell us more about that today is Dr. Tim Lee. He's an acute care surgeon at the UVM Medical Center and assistant professor at the Larner College of Medicine at UVM.
HealthSource Radio at the University of Vermont Medical Center
Prostate cancer kills 30,000 American men each year, or one out of every 40 men. And one of every nine will be diagnosed with it sometime in their lifetime. Dr. James Wallace, a radiation oncologist and chief of radiation oncology at the UVM Medical Center, and an associate professor at the Larner College of Medicine at UVM talks about who should get tested for prostate cancer and when, learn about the value of certain tests and hear about some very interesting research happening here at the UVM Medical Center and UVM Cancer Center that aims to improve how risk is determined, among other things.
HealthSource Radio at the University of Vermont Medical Center
Dr. Christopher Brady, an ophthalmologist at the University of Vermont Medical Center and assistant professor at the Larner College of Medicine at the University of Vermont, discusses diabetic retinopathy, a disease that affects nearly 8 million Americans and is a leading cause of blindness in adults.
HealthSource Radio at the University of Vermont Medical Center
Dr. Jesse Moore, a colon and rectal surgeon at the UVM Medical Center and an associate professor at the Larner College of Medicine talks about who is at risk for colorectal cancer and how to get tested to catch this cancer early.
Dr. William Jeffries, the Senior Associate Dean for Medical Education at the University of Vermont Larner College of Medicine, comes onto the show today for a great discussion regarding how the active learning model at Larner started, the data behind active learning compared to lecturing, how Larner's program is structured and how it is unique, what are some of the biggest issues in medical education, what can students/physicians do to help contribute to improving medical education, his idea for improving medical education and more! University of Vermont Larner College of Medicine Active Learning Model: http://www.med.uvm.edu/mededucation/about/active_learning Article by Freeman et all http://www.pnas.org/content/111/23/8410.full.pdf?sid=e82bdba7-c818-4930-9c59-5742b3f38ec7 William Jeffries Twitter Page: https://twitter.com/williamjefs Larner College of Medicine at University of Vermont Facebook Page: https://www.facebook.com/UVMLarnerMed/?ref=br_rs Larner College of Medicine at University of Vermont Instagram Page: https://www.instagram.com/uvmmedicine/ Larner College of Medicine at University of Vermont Twitter Page: https://twitter.com/UVMLarnerMed
HealthSource Radio at the University of Vermont Medical Center
According to the Vermont Department of Mental Health, the suicide rate in Vermont has increased over the past 10 years. Dr. Eliot Nelson, general pediatrician at the University of Vermont Children's Hospital, and a professor at the Larner College of Medicine at the University of Vermont, tells us what some risk factors of suicide may be, the role that gun safety plays, and how to get help or help others.
Death Doula Diane Button has served as a companion to hundreds of clients and their families through the end of life process. She is a lead instructor at the University of Vermont's End of Life Doula Certificate program, a founding partner of the Bay Area End of Life Doula Alliance, and the author of the bestselling new book, Dear Death: Finding Meaning in Life, Peace in Death and Joy in an Ordinary Day. Today she shares the lessons she's gathered from her clients through the years, whom she refers to as The Wisdom Keepers, so that the end of your life can be the best possible journey that it can be.In this episode:How she got into this line of work.Her advice on what to say and do when someone in your life is dealing with difficulty like illness or grief.The six questions she asks every client.What really brings people joy in the end.How to live well so that you can die well.Links & Resources:Facebook: Diane ButtonAuthor Page: www.dianebutton.comLead Instructor: University of Vermont, Larner College of Medicine EOLD ProgramBooks: Dear Death - Dear Death: Finding Meaning in Life, Peace in Death, and Joy in an Ordinary DayDear Death, A Workbook and Companion Guide - Dear Death Workbook and Companion GuideThe Letter Box: A Story of Enduring Love - The Letter BoxEnd-of-Life Doula Website: Bay Area End-of-Life Doula AllianceDream of a Better World 501(c)3: - Non-profit Blog PageSubscribe to All The Wiser wherever you listen to podcasts - we're on Apple Podcasts, Spotify, Stitcher, and more! That way you'll never miss an episode. We'd love to hear what you think about the show, too - it helps us know what stories are resonating with you. Head over to Apple Podcasts to write your review!Stay in the know with all things All The Wiser! Sign up for our newsletter for personal reflections from Kimi, new episodes, and recommendations from our team!Don't forget to join our new Facebook group to continue the conversation and meet others in our community.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
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