POPULARITY
Categories
Rural birthing centers are closing at an alarming pace in Wisconsin and across the country, but Door County Medical Center CEO Brian Stephens says their birthing center isn't going anywhere. Stephens and Dr. Dorene Dempster join Myles Dannhausen Jr. to talk about why rural hospitals struggle to keep the service going and what the Medical Center does to keep theirs open to serve our isolated community.
In this episode, Aaron F. Hajart, COO of Community Medical Center at RWJBarnabas Health, discusses the organization's transformation through strategic planning, improved patient experience, and operational excellence. He highlights major successes in reducing readmission rates, fostering culture change through leadership engagement, and positioning the hospital for growth in areas like GI, oncology, and maternal care.
Essential tremor is the most common movement disorder, although it is often misdiagnosed. A careful history and clinical examination for other neurologic findings, such as bradykinesia, dystonia, or evidence of peripheral neuropathy, can reveal potential alternative etiologies. Knowledge about epidemiology and associated health outcomes is important for counseling and monitoring for physical impairment and disability. In this episode, Lyell Jones, MD, FAAN, speaks with Ludy C. Shih, MD, MMSc, FAAN, author of the article “Essential Tremor” in the Continuum® August 2025 Movement Disorders issue. Dr. Jones is the editor-in-chief of Continuum: Lifelong Learning in Neurology® and is a professor of neurology at Mayo Clinic in Rochester, Minnesota. Dr. Shih is clinical director of the Parkinson's Disease and Movement Disorders Center at Beth Israel Deaconess Medical Center in Boston, Massachusetts. Additional Resources Read the article: Essential Tremor Subscribe to Continuum®: shop.lww.com/Continuum 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: @LyellJ Guest: @ludyshihmd Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum: Lifelong Learning in Neurology. Today, I'm interviewing Dr Ludy Shih, who recently authored an article on essential tremor for our latest issue of Continuum on movement disorders. Dr Shih is an associate professor of neurology at Harvard Medical School and the clinical director of the Parkinson's Disease and Movement Disorder Center at Beth Israel Deaconess Medical Center in Boston. Dr Shih, welcome, and thank you for joining us today. Why don't you introduce yourself to our listeners? Dr Shih: Thank you, Dr Jones, for having me. It's a real pleasure to be here on the podcast with you. I'm a neurologist, I trained in movement disorders fellowship, and I currently see patients and conduct clinical research. We offer a variety of treatments and diagnostic tests for our patients with movement disorders. And I have developed this interest, a clinical research interest in essential tremor. Dr Jones: And so, as an expert in essential tremor, the perfect person to write such a really spectacular article. And I can't wait for our listeners to hear more about it and our subscribers to read it. And let's get right to it. If you had, Dr Shih, a single most important message for our listeners about caring for patients with essential tremor, what would that message be? Dr Shih: Yeah, I think the takeaway that I've learned over the years is that people with essential tremor do develop quite a few other symptoms. And although we propose that essential tremor is this pure tremor disorder, they can experience a lot of different comorbidities. Now, there is some debate as to whether that is expected for essential tremor or is this some part of another syndrome, which we may talk about later in the interview. But the fact of the matter is, it's not a benign condition and people do experience some disability from it. Dr Jones: And I think that speaks to how the name of this disorder has evolved over time. right? You point out in your article, it used to be called benign essential tremor or benign familial tremor. But it's really not so straightforward as it. And fairly frequently these symptoms, the patient's tremor, can be functionally limiting, correct? Dr Shih: That is correct. In fact, the reason I probably started getting interested in essential tremor was because our center had been doing a lot of deep brain stimulation for essential tremor, which is remarkably effective, especially for tremor that reaches an amplitude that really no oral medication is going to satisfyingly treat. And if you have enough upper limb disability from this very large-amplitude tremor, a surgical option may make a lot of sense for a lot of patients. And yet, how did they get to that point? Do they continue to progress? These were the sort of interesting questions that got raised in my mind as I started to treat these folks. Dr Jones: We'll come back to treatment in just a minute here, because there are many options, and it sounds like the options are expanding. To start with the diagnosis- I mean, this is an extraordinarily common disorder. As you point out, it is the most common movement disorder in the US and maybe the world, and yet it seems to be underrecognized and frequently misdiagnosed. Why do you think that is? Dr Shih: Great question. It's been pretty consistent, with several case series over the decades showing a fairly high rate of quote/unquote “misdiagnosis.” And I think it speaks to two things, probably. One is that once someone sees a postural and kinetic tremor of the arms, immediately they think of essential tremor because it is quite common. But there's a whole host of things that it could actually be. And the biggest one that we also have to factor in is also the heterogeneity of the presentation of Parkinson's disease. Many people, and I think increasingly now these days, can present with not a whole lot of the other symptoms, but may present with an atypical tremor. And it becomes actually a little hard to sort out, well, do they have enough of these other symptoms for me to suspect Parkinson's, or is the nature of their tremor suspicious enough that it would just be so unusual that this stays essential tremor and doesn't eventually develop into Parkinson's disease? And I think those are the questions that we all still grapple with from time to time in some of our clinics. Dr Jones: Probably some other things related to it with, you know, our understanding of the pathophysiology and the availability of tests. And I do want to come back to those questions here in just a minute, but, you know, just the nomenclature of this disorder… I think our clinical listeners are familiar with our tendency in medicine to use words like essential or idiopathic to describe disorders or phenomena where we don't understand the precise underlying mechanism. When I'm working with our trainees, I call these “job-security terms” because it sounds less humbling than “you have a tremor and we don't know what causes it,” right? So, your article does a really nice job outlining the absence of a clear monogenic or Mendelian mechanism for essential tremor. Do you think we'll ever have a eureka moment in neurology for this disorder and maybe give it a different name? Dr Shih: It's a great question. I think as we're learning with a lot of our neurologic diseases---and including, I would even say, Parkinson's disease, to which ET gets compared to a lot---there's already now so much more known complexity to something that has a very specific idea and concept in people's minds. So, I tend to think we'll still be in an area where we'll have a lot of different causes of tremor, but I'm hopeful that we'll uncover some new mechanisms for which treating or addressing that mechanism would take care of the tremor in a way that we haven't been able to make as much progress on in the last few decades as maybe we would have thought given all the advances in in technology. Dr Jones: That's very helpful, and we'll be hopeful for that series of discoveries that lead us to that point. I think many of our listeners will be familiar with the utility---and, I think, even for most insurance companies, approval---for DAT scans to discriminate between essential tremor and Parkinsonian disorders. What about lab work? Are there any other disorders that you commonly screen for in patients who you suspect may have essential tremor? Dr Shih: Yeah, it's a great question. And I think, you know, I'm always mindful that what I'm seeing in my clinic may not always be representative of what's seen in the community or out in practice. I'll give an example. You know, most of the time when people come to the academic Medical Center, they're thinking, gosh, I've tried this or that. I've been on these medicines for the last ten years. But I've had essential tremor for twenty years. We get to benefit a little bit from all that history that's been laid down. And so, it's not as likely you're going to misdiagnose it. But once in a while, you'll get someone with tremor that just started a month ago or just started, you know, 2 or 3 months ago. And you have to still be thinking, well, I've got to get out of the specialist clinic mindset, and think, well, what else really could this be? And so, while it's true for everybody, moreso in those cases, in those recent onset cases, you really got to be looking for things like medications, electrolyte abnormalities, and new-onset thyroid disorder, for example, thyroid toxicosis. Dr Jones: Very helpful. And your article has a wonderful list of the conditions to consider, including the medications that might be used for those conditions that might result or unmask a tremor of a different cause. And I think being open-minded and not anchoring on essential tremor just because it's common, I think is a is a key point here. And another feature in your article that I really enjoyed was your step-by-step approach to tremor. What are those steps? Dr Shih: Well, I think you know first of all, tremor is such common terminology that even lay people, patients, nonclinicians will use the word “tremor.” And so, it can be tempting when the notes on your schedule says referred for tremor to sort of immediately jump to that. I think the first step is, is it tremor? And that's really something that the clinician first has to decide. And I think that's a really important step. A lot of things can look superficially like tremor, and you shouldn't even assume that another clinician knows what tremor looks like as opposed to, say, myoclonus. Or for example a tremor of the mouth; well, it actually could be orolingual or orobuccal dyskinesia, as in tardive dyskinesia. And another one that tremor can look like is ataxia. And so, I think- while they sound obvious to most neurologists, perhaps, I think that---especially in the area of myoclonus, where it can be quite repetitive, quite small amplitude in some conditions---it can really resemble a tremor. And so, there are examples of these where making that first decision of whether it's a tremor or not can really be a good sort of time-out to make sure you're going down the right path to begin with. And I think what's helpful is to think about some of the clinical definitions of a tremor. And tremor is really rhythmic, it's oscillatory. You should see an agonist and antagonist muscle group moving back and forth, to and fro. And then it's involuntary. And so, I think these descriptors can really help; and to help isolate, if you can describe it in your note, you can probably be more convinced that you're dealing with the tremor. The second step that I would encourage people to really consider: you've established it's a tremor. The most important part exam now becomes, really, the nontremor part of the exam. And it should be really comprehensive to think of what else could be accompanying this, because that's really how we make diagnosis of other things besides essential tremor. There really should be a minimum of evidence of parkinsonism, dystonia, neuropathy, ataxia- and the ataxia could be either from a peripheral or central nervous system etiology. Those are the big four or five things that, you know, I'm very keen to look for and will look pretty much in the head, neck, the axial sort of musculature, as well as the limbs. And I think this is very helpful in terms of identifying cases which turn out to have either, say, well, Parkinson's or even a typical Parkinson disorder; or even a genetic disorder, maybe even something like a fragile X tremor ataxia syndrome; or even a spinal cerebellar ataxia. These cases are rare, but I think if you uncover just enough ataxia, for example, that really shouldn't be there in a person, let's say, who's younger and also doesn't have a long history of tremor; you should be more suspicious that this is not essential tremor that you're dealing with. And then the last thing is, once you've identified the tremor and you're trying to establish, well, what should be done about the tremor, you really have to say what kind of tremor it is so that you can follow it, so you can convey to other people really what the disability is coming from the tremor and how severe the tremor is. So, I think an example of this is, often in the clinic, people will have their patients extend their arms and hands and kind of say, oh, it's an essential tremor, and that's kind of the end of the exam. But it doesn't give you the flavor. Sometimes you'll have a patient come in and have a fairly minimal postural tremor, but then you go out, take those extra few seconds to go grab a cup of water or two cups of water and have them pour or drink. And now all of a sudden you see this tremor is quite large-amplitude and very disabling. Now you have a better appreciation of what you really need to do for this patient, and it might not be present with just these very simple maneuvers that you have at bedside without props and items. And then the severity of it; you know, we're so used to saying mild, moderate, severe. I think what we've done in the Tremor Research Group to use and develop the Essential Tremor Rating Assessment Scale is to get people used to trying to estimate what size the tremor is. And you can do that by taking a ruler or developing a sense of what 1 centimeter, 2 centimeters, 3 centimeters looks like. I think it'd be tremendously helpful too, it's very easy and quick to convey severity in a given patient. Dr Jones: I appreciate you, you know, having a patient-centered approach to the- how this is affecting them and being quantitative in the assessment of the tremor. And that's a great segue to a key question that I run into and I think others run into, which is when to initiate therapy? You know, if you see a patient who, let's say they have a mild tremor or, you know, something that quantitatively is on the mild end of the spectrum, and you have, you know, a series of options… from a medication perspective, you have to say, well, when does this across that threshold of being more likely to benefit the patient than to harm the patient? How do you approach that question? What's your threshold for starting medication? Dr Shih: Yeah. You know, sometimes I will ask, because---and I know this sounds like a strange question---because I feel like my patients will come for a couple of different reasons. Sometimes it's usually one over the other. I think people can get concerned about a symptom of a tremor. So, I actually will ask them, was your goal to just get a sense for what this tremor is caused by? I understand that many people who develop tremor might be concerned it might be something like Parkinson's disease. Or is this also a tremor that is bothering you in day-to-day life? And often you will hear the former. No, I just wanted to get checked out and make sure you don't think it's Parkinson's. It doesn't bother me enough that I want to take medication. They're quite happy with that. And then the second scenario is more the, yeah, no, it bothers me and it's embarrassing. And that's a very common answer you may hear, may be embarrassing, people are noticing. It's funny in that many people with essential tremor don't come to see a doctor or even the neurologist for many years. And they will put up with it for a very long time. And they've adopted all sorts of compensatory strategies, and they've just been able to handle themselves very admirably with this, in some cases, very severe tremor. So, for some of them, it'll take a lot to come to the doctor, and then it becomes clear. They said, I think I'm at the point where I need to do something about this tremor. And so, I think those three buckets are often sort of where my patients fall into. And I think asking them directly will give you a sense of that. But you know, it can be a nice time to try some as-needed doses of something like Propranolol, or if it's something that you know that they're going to need something on day-to-day to get control of the tremor over time, there are other options for that as well. Dr Jones: Seems like a perfect scenario for shared decision-making. Is it bothersome enough to the patient to try the therapy? And I like that suggestion. That's a nice pearl that you could start with an a- needed beta blocker, right, with Propranolol. And this is a question that I think many of us struggle with as well. If you've followed a patient with essential tremor for some time and you've tried different medications and they've either lost effectiveness or have intolerable adverse effects, what is your threshold for referring a patient for at least considering a surgical neurostimulator therapy for their essential tremor? Dr Shih: Yeah, so surgical therapies for tremor have been around for a long time now, since 1997, which was when it was approved by the FDA for essential tremor and Parkinson tremor. And then obviously since then, we have a couple more options in the focus ultrasound thalamotomy, which is a lesioning technique. When you have been on several tremor medications, the list gets smaller and smaller. It- and then chance of likely satisfying benefit from some of these medications can be small and small as you pass through the first and second line agents and these would be the Propranolol and the primidone. And as you say, quite a few patients- it's estimated between 30 to 50% of these patients end up not tolerating these first two medications and end up discontinuing them. Some portion of that might also be due to the fact that some of our patients who have been living with essential tremor for decades now, to the point that their tremor is getting worse, are also getting older. And so, polypharmacy and/or some of the potential side effects of beta blockers and anticonvulsants like primidone may be harder to bear in an older adult. And then as you talk about in the article, there's some level of evidence for topiramate, and then from there a number of anticonvulsants or benzos, which have even weaker evidence for them. It's a personal decision. As I tell folks, look, this is not going to likely extend your life or save your life, but it's a quality of life issue. And of course, if there are other things going on in life that need to be taken care of and they need that kind of care and attention, then, you know, you don't need to be adding this to your plate. But if you are in the position where those other things are actually okay, but quality of life is really affected by your being unable to use your upper limbs in the way that you would like to… A lot of people's hobbies and applications are upper limb-based, and enjoying those things is really important. Then I think that this is something- a conversation that we begin and we begin by talking about yes, there are some risks involved, but fortunately this is the data we have on it, which is a fairly extensive experience in terms of this is the risk of, you know, surgery-related side effects. This is the risk of if you're having stimulation from DBS stimulation-related side effects, which can be adjustable. It's interesting, I was talking with colleagues, you know, after focused ultrasound thalamotomy was approved. That really led more people to come to the clinic and start having these discussions, because that seemed like a very the different sort of approach where hardware wasn't needed, but it was still a surgery. And so, it began that conversation again for a bunch of people to say, you know, what could I do? What could I tolerate? What would I accept in terms of risk and potential benefit? Dr Jones: Well, I think that's a great overview of a disorder where, you know, I think the neurologist's role is really indispensable. Right? I mean, you have to have this conversation not just once, this is a conversation that you have over time. And again, I really want to refer our listeners to this article. It's just a fantastic overview of a common disorder, but one where I think there are probably gaps where we can improve care. And Dr Shih, I want to thank you for joining us, and thank you for such a great discussion on essential tremor. I learned a lot from your article, and I learned even more from the interview today. I suspect our readers and listeners will too. Dr Shih: Well, thank you again for the invitation and the opportunity to kind of spread the word on this really common condition. Dr Jones: Again, we've been speaking with Dr Ludy Shih, author of a fantastic article on essential tremor in Continuum's latest issue on movement disorders. Please check it out, and thank you to our listeners for joining 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 practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
In this episode, Darian Harris, CEO of Mills-Peninsula Medical Center at Sutter Health, shares insights on expanding healthcare access, workforce development, and leveraging technology to enhance patient care. He discusses innovative strategies, including behavioral health investments, robotics, and a tuition-free diagnostic imaging program, shaping the future of healthcare in Northern California.
This episode recorded live at the Becker's Hospital Review 15th Annual Meeting features Stephanie Everett, Administrator of Mountrail Bethel Home and Chief Executive Officer of Mountrail County Medical Center. She shares her journey from foundation director to CEO, highlights a $53 million expansion project, and discusses the importance of listening to staff, addressing rural staffing challenges, and embracing technology to deliver the best possible patient care.
Add Show Notes HereNo content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.
Fri, Aug 8 5:42 AM → 6:27 AM Suspect shot and killed in elevator at CAMC General Hospital. Radio Systems: - WV SIRN Charleston, WV
Joining us on Well Said is Dr. Suchitra Acharya, a Pediatric Hematologist/Oncologist, Director of the Hemostasis and Thrombosis Center at LIJMC, Head of the Bleeding Disorders and Thrombosis Program at Cohen Children's Medical Center, and Professor of Pediatrics at the Zucker School of Medicine at Hofstra/Northwell. Dr. Acharya, along with two of her patients, will […]
Mira Yaache, MHA, MBA, Interim Administrator of Neurosciences and Administrator of Anesthesiology & Critical Care Medicine at Johns Hopkins Bayview Medical Center, shares her perspective on the growing influence of private equity in healthcare and its impact on the anesthesia market. She explores concerns about the future of private equity in the sector, highlighting the implications for providers and organizations. Yaache also addresses the ongoing challenges surrounding declining reimbursements and what they could mean for long-term sustainability.
“The Jewish voice must be heard, not because it's more right or less right, but it's there. The suffering is there, the grief is there, and human grief is human grief.” As Jews around the world mark Tisha B'Av, we're joined by Columbia University professor and award-winning poet Owen Lewis, whose new collection, “A Prayer of Six Wings,” offers a powerful reflection on grief in the aftermath of October 7th. In this conversation, Lewis explores the healing power of poetry in the face of trauma, what it means to be a Jewish professor in today's campus climate, and how poetry can foster empathy, encourage dialogue, and resist the pull of division. *The views and opinions expressed by guests do not necessarily reflect the views or position of AJC. Listen – AJC Podcasts: The Forgotten Exodus: Untold stories of Jews who left or were driven from Arab nations and Iran People of the Pod: Latest Episodes: An Orange Tie and A Grieving Crowd: Comedian Yohay Sponder on Jewish Resilience From Broadway to Jewish Advocacy: Jonah Platt on Identity, Antisemitism, and Israel Sexual Violence as a Weapon of War: The Dinah Project's Quest to Hold Hamas Accountable Follow People of the Pod on your favorite podcast app, and learn more at AJC.org/PeopleofthePod You can reach us at: peopleofthepod@ajc.org If you've appreciated this episode, please be sure to tell your friends, and rate and review us on Apple Podcasts or Spotify. Transcript of the Interview: Owen Lewis: Overheard in a New York Restaurant. I can't talk about Israel tonight. I know. I can't not talk about Israel tonight. I know. Can we talk about . . . Here? Sure. Let's try to talk about here. Manya Brachear Pashman: On Saturday night, Jews around the world will commemorate Tisha B'av. Known as the saddest day on the Jewish calendar, the culmination of a three week period of mourning to commemorate several tragedies throughout early Jewish history. As a list of tragedies throughout modern Jewish history has continued to grow, many people spend this day fasting, listening to the book of Lamentations in synagogue, or visiting the graves of loved ones. Some might spend the day reading poetry. Owen Lewis is a Professor of Psychiatry in the Department of Medical Humanities and Ethics at Columbia University. But he's also the award-winning author of four poetry collections which have won accolades, including the EE Cummings Prize and the Rumi Prize for Poetry. His most recent collection, A Prayer of Six Wings documents in verse his grief since the October 7 terror attacks. Owen is with us now to talk about the role of poetry in times of violence and war, what it's been like to be a Jewish professor on the Columbia campus, and a Jewish father with children and grandchildren in Israel. And also, how to keep writing amid a climate of rising antisemitism. Owen, welcome to People of the Pod. Owen Lewis: Thank you so much, Manya. Manya Brachear Pashman: So you opened with that short poem titled overheard in a New York restaurant. I asked you to read that because I wanted to ask whether it reflected how you felt about poetry after October 7. Did you find yourself in a place where you couldn't write about Israel, but yet you couldn't not write about Israel? Owen Lewis: Among the many difficult things of that First Year, not only the war, not only the flagrant attacks on the posters of the hostages one block from where I live, 79th and Broadway, every day, taken down every day, put back up again, defaced. It was as if the war were being fought right here on 79th and Broadway. Another aspect that made this all so painful was watching the artistic and literary world turn against Israel. This past spring, 2000 writers and artists signed a petition, it was published, there was an oped about it in The Times, boycotting Israeli cultural institutions. And I thought: artists don't have a right to shut their ears. We all need to listen to each other's grief, and if we poets and artists can't listen to one another, what do we expect of statesmen? Statesmen, yeah, they can create a ceasefire. That's not the same as creating peace. And peace can only come when we really listen to each other. To feel ostracized by the poetry community and the intellectual community was very painful. Fortunately, last summer, as well as this past summer, I was a fellow at the Yetzirah conference. Yetzirah is an organization of Jewish American poets, although we're starting to branch out. And this kind of in-gathering of like-minded people gave me so much strength. So this dilemma, I can't talk about it, because we just can't take the trauma. We can't take hearing one more thing about it, but not talk about it…it's a compulsion to talk about it, and that's a way to process trauma. And that was the same with this poetry, this particular book. I feel in many ways, it just kind of blew through me, and it was at the same time it blew through me, created this container in which I could express myself, and it actually held me together for that year. I mean, still, in many ways, the writing does that, but not as immediately and acutely as I felt that year. Manya Brachear Pashman: This book has been praised as not being for the ideological but for the intellectually and emotionally engaged. So it's not it's not something that ideologically minded readers will necessarily be able to connect to, or is it actually quite the opposite? Owen Lewis: Well, it's very much written from the gut, from the experience, from in a sense, being on the ground, both in Israel and here in New York and on campus, and trying to keep a presence in the world of poetry and writers. So what comes from emotion should speak to emotion. There are a few wisps of political statements, but it's not essentially a politically motivated piece of writing. I feel that I have no problem keeping my sympathies with Israel and with Jews. I can still be critical of aspects of the government, and my sympathies can also be with the thousands of Palestinians, killed, hurt, displaced. I don't see a contradiction. I don't have to take sides. But the first poem is called My Partisan Grief, and it begins on October 7. I was originally going to call the bookMy Partisan Grief, because I felt that American, Jewish, and Israeli grief was being silenced, was being marginalized. And I wanted to say, this is our grief. Listen to it. You must listen to this. It doesn't privilege this grief over another grief. Grief is grief. But I wanted ultimately to move past that title into something broader, more encompassing, more humanitarian. Manya Brachear Pashman: And did that decision come as the death toll in Gaza rose and this war kept going and going and the hostages remained in captivity, did that kind of sway your thinking in terms of how to approach the book and frame it? Owen Lewis: Yes, but even more than those kind of headlines, which can be impersonal, the poetry of some remarkable Palestinian poets move me into a broader look. Abu Toha was first one who comes to mind Fady Joudah, who's also a physician, by the way. I mean his poetry, I mean many others, but it's gorgeous, moving poetry. Some of it is a diatribe, and you know, some of it is ideological, and people can do that with poetry, but when poetry really drills down into human experience, that's what I find so compelling and moving. And that's what I think can move the peace process. I know it sounds quite idealistic, but I really think poetry has a role in the peace process here. Manya Brachear Pashman: I want to I want to unpack that a little bit later. But first, I want to go back to the protests that were roiling Columbia's campus over the past year and a half, two years. What was it like to be, one, writing this book, but also, teaching on campus as a Jewish professor? Owen Lewis: Most of my teaching takes place up at the Medical Center at 168th Street. And there I have to say, I didn't feel battered in any way by what was happening. I had a very shocking experience. I had a meeting that I needed to attend on, or that had been scheduled, I hadn't been quite paying attention. I mean, I knew about the encampments, but I hadn't seen them, and I come face to face with a blocked campus. I couldn't get on the campus. And what I'm staring at are signs to the effect, send the Jews back to Poland. I'm thinking, Where am I? What is this? I mean, protest, sure. I mean we expect undergraduates, we expect humans, to protest when things really aren't fair. But what did this have to do…why invoke the Holocaust and re-invoke it, as if to imply the Jews should be punished? All Jews. And what it fails to account for are the diversity of Jewish opinion. And you know, for some Jews, it's a black or white matter, but for most thinking Jews that I know, we all struggle very much with a loyalty to Israel, to the Jewish people, to the homeland and larger humanitarian values. So that was quite a shock. And I wrote a piece called “The Scars of Encampment,” in which I say, I can't unsee that. " And I go to campus, and, okay, it's a little bit more security to get onto campus. It's a beautiful campus. It's like an oasis there, but at the same time, I'm seeing what was as if it still is. And in a way, that's the nature of trauma that things from the past just roil and are present with almost as much emotion as when first encountered. Manya Brachear Pashman: So did you need to tune out those voices, or did that fuel your work? Owen Lewis: No, that fueled my work. I mean, if anything, it made me feel much more, a sense of mission with this book. And a commitment, despite criticism that I may receive, and no position I take is that outlandish, except to sympathize with the murdered on October 7th, to sympathize with their families, to resonate with what it must be like to have family members as hostages in brutal, brutal conditions. Not knowing whether they're dead or alive. So I really felt that the Jewish voice must be heard, not because it's more right or less right, but it's there. The suffering is there, the grief is there, and human grief is human grief. Manya Brachear Pashman: Owen, if you wouldn't mind reading another poem from the collection. Of course, many of us remember the news out of Israel on Thanksgiving Day 2023, right after October 7th. And this poem is titled, “Waiting for the Next Release, Reported by the New York Times, November 23 2023”. Owen Lewis: Waiting For the Next Release, Reported N.Y. Times, Nov. 23, 2023 Maybe tomorrow, if distrust doesn't flare like a missile, some families will be reunited. How awful this lottery of choice; Solomon would not deliberate. Poster faces always before my eyes, Among them, Emma & Yuli Cunio. Twins age 3, Raz Katz-Asher, age 4, Ariel Bibas, another four year old. What do their four year old minds make of captivity? What will they say? What would my Noa say? What will the other Noas say? Remembering Noa Argamani, age 26, thrown across the motorcycle to laughter and Hamas joy. I have almost forgotten this American day, Thanks- giving, With its cornucopian harvests, I am thinking of the cornucopian jails of human bounty. (What matter now who is to blame?) Manya Brachear Pashman: Really beautiful, and it really captures all of our emotions that day. You have children and grandchildren in Israel, as I mentioned and as you mentioned in that poem, your granddaughter, Noa. So your grief and your fear, it's not only a collective grief and fear that we all share, but also very personal, which you weave throughout the collection. In another poem, “In a Van to JFK”, you talk about just wanting to spend one more hour with your family before they fly off to Israel. And it's very moving. But in addition to many of the poems, like the one you just read, they are based on and somewhat named for newspaper headlines, you said that kind of establishes a timeline. But are there other reasons why you transformed those headlines into verse? Owen Lewis: Yes, William Carlos Williams in his poem Asphodel, says, and I'm going to paraphrase it badly. You won't get news from poems yet, men die every day for wanting what is found there. And I think it's a very interesting juxtaposition of journalism and poetry. And I mean, I'm not writing news, I'm writing where my reflections, where my heart, goes in response to the news, and trying to bring another element to the news that, you know, we were confronted. I mean, in any time of high stress, you swear off – I'm not watching any more TV. I'm not even gonna look at the newspaper. And then, of course, you do. I can't talk about Israel today. I can't not talk about it. I can't read the paper. I can't not read the paper. It's kind of that back and forth. But what is driving that? And so I'm trying to get at that next dimension of what's resonating behind each one of these headlines, or resonating for me. I mean, I'm not claiming this is an interpretation of news. It's my reaction, but people do react, and there's that other dimension to headlines. Manya Brachear Pashman: That seems like it might be therapeutic, no? Owen Lewis: Oh, totally, totally. You know, I'm very fortunate that having started a career in medicine, in psychiatry, and particularly in child and adolescent psychiatry. I always had one foot in the door academically. I spent, you know, my life as, I still teach, but I'm very fortunate to have, maybe 10+ years ago, been introduced to a basically a woman who created the field of Narrative Medicine, Rita Sharon. And now at Columbia in the medical school, we have a free-standing Department of Medical Humanities and Ethics, of which she's chairman. So I've had the fortune of bringing psychiatry and medicine and writing together in a very integrated way. And yes, writing is therapeutic, especially, I could say in medicine, which has given itself over to electronic medical record keeping, but our whole society is moving towards the electronic. And what happens when you sit and write, and what happens when you then sit and read, you reflect. Your mind engages in a different way that is a bit slower than the fast pace of electronic communications and instant communications and instant thinking. And now with AI, instant analysis of any situation you want to feed data from. So that's sorely lacking in the human experience. And the act of writing, the act of reading has huge therapeutic values, huge salutary benefits for humans in general, but particularly in times of stress. In a lot of work on Post Traumatic Stress Disorder, finding an outlet, an artistic outlet, it doesn't have to be writing, but that's often a way of transcending the trauma. And medicine is filled with trauma. People trying to come to terms with acute illnesses, chronic illnesses. Doctors and caregivers trying to come to terms with what they can and can't do. And you know, we're coming up against limitations. But how do you make peace with those limitations? And it's not that it's a magical panacea, but it's a process of engagement, not only with the subject, but with yourself in relation to the subject. Manya Brachear Pashman: I mean, I imagine dialogue is really the healthiest way of conversation and speaking through and interacting with a topic. And so I would imagine poetry, or, as you said, any art form, responding to news reports, it makes that a two way conversation when you're able to process and it's not just the headlines shouting at you, you're actually interacting and processing it by writing and reaction, or painting and reaction, whatever you choose to do. Owen Lewis: Exactly. Manya Brachear Pashman: You have said that poetry can serve a purpose during times of war. Is this one of the purposes to to be therapeutic or are you talking more in terms of what statesmen could learn from it? Owen Lewis: Well, yes, of course, what statesmen could learn from it, but it's human nature to want to take sides. I mean, that's kind of just what we do. But I think we can always do better than that. So I'm really talking about the people. I mean, there are also many Jews who are so angry at Israel that they can't listen to the story of Jewish grief. They should be reading mine and others poetries from this era. I wish the Palestinian poets were. I wish the Palestinian people. I mean, of course, in their current situation, they don't have time when you're starving, when you're looking for your next glass of fresh water. You don't have time for anything beyond survival. But once we get beyond that, how long are these positions going to be hardened. I mean, I think when the people of all sides of the dilemma really listen to the others, I mean, they're, I mean, if, unless as Hamas has expressed, you know, wants to push Israel into the sea, if Israel is going to coexist with the Palestinian people, whether they're in a nation or not in a nation, each has to listen to the other. And it's, you know, it's not one side is right, one side is wrong. It's far too complex a history to reduce it to that kind of simplicity. And I think poetry, everyone's poetry, gets at the complexity of experience, which includes wanting to take sides and questioning your wanting to take sides and moving towards something more humanitarian. Manya Brachear Pashman: You said earlier, you recommend Abu Toha, Fady Joudah, two Palestinian poets who have written some beautiful verse about– tragically beautiful verse–about what's happening. But there have been some really deep rifts in the literary world over this war. I mean, as you mentioned before, there was a letter written by authors and entertainers who pledged to boycott Israeli cultural institutions. Some authors have refused to sell rights to their books to publishers in Israel. So why not reciprocate? And I know the answer. I think you've already addressed it pretty well. What's wrong with that approach? Owen Lewis: In any conflict, there are at least three sides to the conflict. I mean, claims to nationhood, claims to who shoved first, who. I mean, you don't entangle things by aggressively reacting. I mean, if we learned anything from Mahatma Gandhi, it's what happens when we don't retaliate, right? And what happens when we go the extra mile to create bridges and connections. There are a host of people in Israel who continue to help Palestinians get to medical facilities, driving them back and forth, working for peace. I mean, there's a Palestinian on the Supreme Court of Israel, and well, he should be there. You know, that's the part of Israel that I am deeply proud of. So why not retaliate? I think it entrenches positions and never moves anything forward. Manya Brachear Pashman: So have you gotten any negative feedback from your writing colleagues? Owen Lewis: Some cold shoulders, yes. I mean not nothing overtly. I haven't been slammed in a review yet. Maybe that's coming. But when I publish pieces, I tend not to look at them. I had an oped in the LA Times. I've had some other pieces, you know, that precipitates blogs, and I started to read them. And the first blog that came off of the the LA Times oped was, God, is he an opportunist, just taking advantage of having a daughter in Israel? And trying to make a name for himself or something. And I said, You know what, you can't put yourself out and take a position without getting some kind of flack. So occasionally, those things filter back, it's par for the course. Manya Brachear Pashman: Right, not really worth reading some of those. You included Midrash in this book. You also spelled God in the traditional sense in the poems. Why did you choose to do that? Owen Lewis: Well, I felt it honors a tradition of Jewish writing. It mean we have yud, hey, vav, hey, you know, which in English comes down as Yahweh, but it's unpronounceable. The name of God is unpronounceable. And, you know, yud, hey, vav, hey is just a representation. It isn't God's name. And there's a tradition that the name of God, when it's written down, can't be destroyed. And it's a way of honoring that tradition. Millennium of Jewish writers, you know, it's similar to say Elokim, instead of Elohim when the text is written. To sort of substitute. We know what we're talking about, but really to honor tradition, to pay respect and sort of to stay in the mind frame that, if there is a God, he, she, they, are unknowable. And somehow it creates, for me, a little bit of that mystery by leaving a letter out. It's like, G, O, D, seems more knowable than G-d. It's leaving that white space right for something bigger, grander, and mysterious, for the presence of that right in the word itself. Manya Brachear Pashman: And what about including Midrash? Owen Lewis: That's a very interesting question. You know Midrash for me, when you steep yourself in traditional Midrash, there's stories that exemplify principles and they fill in gaps. I mean, some of the most important. I mean, we have this notion of Abraham breaking the idols of his father before he left. No. That's Midrash, thats not in the Torah. And yet, nine out of ten Jews will say that's in the Torah, right? So, it kind of expands our understanding of the traditional text. But it also very much allows a writer to creatively engage with the text and expand it. It's like a commentary, but it's a commentary in story, and it's a commentary in terms that evoke human responses, not necessarily intellectual responses. So frankly, I think it's every Jews' responsibility to write Midrash. That reinvigorates the stories, the texts, and the meanings, and then we write midrashes upon midrashes. And you know, we get a whole community buzzing about a single story. Manya Brachear Pashman: Which is very much what you've done with this collection, you know, writing poetry in response to news stories and engaging it in that way. It's very Jewish response, I would argue. Do you observe Tisha B'av? Owen Lewis: You know what I do. You're gonna laugh. My grandmother always warned us, don't go in the water on Tisha B'av, the sea will swallow you up. So I'm a big swimmer. I love swimming. I don't swim on Tisha B'av, because I hear my grandmother's voice, I'm going to be swallowed up. Manya Brachear Pashman: If you could please wrap up this conversation by sharing a poem of your choice from your latest collection. Owen Lewis: A poem I love to read again starts with a headline. 2000 Pound Bombs Drop, Reported N.Y. Times, Dec,, 22 2023. In Khan Younis, the call to prayer is the call of a dazed Palestinian child crying baba, standing at the brim of a cavernous pit of rubble biting his knuckles–baba, baba . . . It's so close to the abba of the dazed Israeli children of Be'eri, Kfar Azza. There is no comfort. From his uncles he's heard the calls for revenge– for his home and school, for his bed of nighttime stories, for his nana's whisper-song of G-d's many names. His Allah, his neighbor's Adonai, cry the same tears for death and shun more blood. No miracle these waters turning red. Who called forth the fleets of avenging angels? By viral post: Jewish Plagues on Gaza! A firstborn lost, then a second, a third. What other plagues pass over? Hail from the tepid sky? From on high it falls and keeps falling. Though we've “seen terrible things,” will you tell us, Adonai, Allah, tell us– do You remember the forgotten promise? From the pile once home of rubble stone, a father's hand reaching out, baba, abba crushed by the load. We know the silence of the lost child . . . G-d “has injured us but will bind up our wounds . . .” Mothers Look for us, called by the name yamma, calling the name imma. Our father of mercy, not the god of sacrifice. Our many crying heads explode. Manya Brachear Pashman: Owen Lewis, thank you so much for talking to us about how this book came about and for sharing some of these verses. Owen Lewis: Thank you so much. Manya Brachear Pashman: If you missed last week's episode, be sure to listen to my conversation with Israeli comedian Yohay Sponder on the sidelines of AJC Global Forum 2025. Hear how his Jewish identity shapes his work, how his comedy has evolved since the Hamas terror attacks, and what he says to those who try to silence him.
Kelly Macken-Marble, Chief Executive Officer at Osceola Medical Center, discusses the ongoing growth and progress within the ambulatory care space. She highlights efforts to improve access to care, particularly within the mental health sector, and the importance of addressing patient needs in a more community-centered way. Macken-Marble also shares her vision for future partnerships that will help expand services and enhance healthcare delivery across the region.
Host Dr. Joel Berg is joined by Dr. Kathleen Schultz to talk about her specialty, Oral and Maxillofacial Pathology and how she translates her experience having fun with learning while a student in her own work with residents. Dr. Schultz, a lecturer for the AAPD Oral Comprehensive Exam review courses, speaks to the importance of having a strong peer network so you never feel like you're “going it alone” when tough cases come up. Guest Bio: Dr. Schultz received her dental degree from the University of Connecticut School of Dental Medicine. She completed a residency in oral and maxillofacial pathology at Long Island Jewish Medical Center and a residency in pediatric dental medicine at Cohen Children's Medical Center where she served as chief resident in both specialties. She is a Fellow and a Diplomate of the American Board of Oral and Maxillofacial Pathology as well as a Diplomate of the American Board of Pediatric Dentistry. She is currently a full time attending in oral and maxillofacial pathology and pediatric dentistry at Northwell Health. In addition to managing clinical practices in pediatric dentistry and pediatric oral pathology, she also teaches residents in both disciplines and participates in the surgical pathology service. She is a participant of the Hagedorn Cleft Palate and Craniofacial Team at Northwell Health and has a personal interest in the dental management and prosthodontic rehabilitation of infants and children with cleft lip and palate. Her interest is on clinical and radiographic presentations of common and uncommon oral pathology in pediatric patients, notably those with syndromes and complex medical conditions.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
This episode recorded live at the Becker's Hospital Review 15th Annual Meeting features Michele Szkolnicki, Senior Vice President and Chief Nursing Officer, Penn State Health Milton S. Hershey Medical Center. Michelle shares how her team has restored staffing levels, prioritized nurse well-being, and creatively restructured workforce roles to meet post-COVID challenges and strengthen the future of bedside nursing.
Dean's Chat hosts, Drs. Jensen and Richey, welcome Dr. Michael Vaardahl to the podcast! Dr. Vaardahl is the residency director for the North Colorado Medical Center, NCMC Podiatric Medicine and Surgery Residency program. He practices with the Foot & Ankle Center of Northern Colorado in Greeley, CO. Dr. Vaardahl did his residency at the South Miami Hospital in South Miami, Florida after completing his podiatric education (as well as his Masters Degree in Biomedical Sciences) from Barry University School of Podiatric Medicine. How Dr. Vaardhal found podiatric medicine is a story of chance and destiny! He recieved his Bachelor of Science, Biological Sciences from the University of California, Irvine, California with a minor in History. Dr. Vaardahl has given back to the porfession in many ways beyond being a residency director! He is currently on the Residency Review Committee (ABFAS representative) from 2022 - present. He's on DORA Colorado as a Board Member and is now the Vice Chair. He is also a Site Evaluator for CPME, doing site visits to residencies as an ABFAS representative since 2017. He has been an ABFAS Representative to PRR 2016-present Dr. Vaardahl has also been active withing ACFAS on the following committes over the years; ACFAS Post Graduate Affairs Committee, ACFAS Membership Committee, and ACFAS Consumer Education. Tune in for a wonderful discussion with a leader in our great profession!
Joining us on Well Said is Dr. Olena Predtechenska, Attending Neonatologist at Cohen Children's Medical Center, Northwell Health and Assistant Professor of Pediatrics at the Zucker School of Medicine at Hofstra/Northwell. Dr. Predtechenska will discuss premature births, and what the road ahead looks like for these children.
This episode recorded live at the Becker's Hospital Review 15th Annual Meeting features Joy White, Vice President and Chief Nursing Officer, Legacy Health Good Samaritan Medical Center. Dr. White shares how her team has reduced contract labor, launched an inclusion-focused campaign, and leveraged social media to attract and retain top talent while navigating rising care demands and shrinking reimbursement.
Your Health First: Advancements in Robotic Surgery & Live Liver Donation at Houston MethodistJoin Dr. Joe Galati on this episode of "Your Health First" as he speaks with leading surgeons from Houston Methodist Hospital, Dr. Simon and Dr. Yee Lee Cheah. Broadcasting live from 740 KTRH in Houston and worldwide on the iHeartRadio app every Sunday at 7:00 PM Central, this insightful discussion delves into the groundbreaking work being done in robotic surgery and the current status of the live donor liver transplant program at Houston Methodist.Dr. Simon and Dr. Cheah share their expertise on the numerous benefits of robotic surgery, highlighting the significant advantages for patients and the remarkable advancements in technology over the past 5-10 years. They also provide a comprehensive overview of the meticulous patient selection process for live liver donors and detail the structured program at Houston Methodist Hospital.Don't miss this opportunity to learn about the cutting-edge surgical techniques and life-saving transplant procedures making a difference in patient care.For more information:Dr. Simon & Dr. Cheah: www.houstonmethodist.orgDr. Joe Galati: www.drjoegalati.comGuest Biographies:Dr. Simon:Dr. Simon is a highly accomplished surgeon with a specialization in abdominal transplantation and hepatobiliary surgery. She earned her medical degree with honors from University College Cork Faculty of Medicine in Ireland in 2002 and completed her general surgery residency at Brown University Program, Rhode Island Hospital. Dr. Simon further honed her expertise with a research fellowship in Diagnostic Imaging at Brown University and an ASTS-certified fellowship in Abdominal Transplantation and Hepatobiliary Surgery at Lahey Hospital & Medical Center. Her clinical interests are extensive, encompassing both benign and malignant tumors of the liver, bile duct, and pancreas, including hepatocellular carcinoma and Klatskin tumors. She is also deeply involved in kidney transplantation, living and deceased donor liver transplantation, pancreatic carcinoma, robotic surgery, and surgery for portal hypertension. Dr. Simon is board-certified in general surgery by the American Board of Surgery and is a Fellow of the American College of Surgeons (FACS).Dr. Yee Lee Cheah:Dr. Yee Lee Cheah is a distinguished surgeon who joined the J.C. Walter Jr. Transplant Center at Houston Methodist Hospital in 2022. She graduated with honors from the Royal College of Surgeons in Ireland in 2000 and completed her General Surgery Residency at the Brown University Program. Dr. Cheah further specialized with an ASTS-accredited fellowship in Transplantation & Hepatobiliary Surgery at the Lahey Clinic. Prior to Houston Methodist, she played a pivotal role at the Asian American Liver Centre at Gleneagles Hospital, the largest adult living donor liver transplantation (LDLT) center in Southeast Asia, before returning to LHMC to develop their LDLT and robotic surgery programs. Her expertise lies in living donor liver transplantation, robotic transplantation, HPB surgery for benign and malignant disorders, and nutrition therapy for surgical patients. Dr. Cheah's main research interests are centered on living donor safety and robotic surgery. She has held faculty positions at Brown University and Tufts University and served as an Adjunct Assistant Professor at the National University of Singapore. Hosted on Acast. See acast.com/privacy for more information.
IMA -- Daniel J. Maag, age 33 of Lima, passed away Thursday, July 10, 2025, at 6:20 p.m. at the Emergency Room of Mercy Health - St. Rita's Medical Center. Daniel was born August 2, 1991, in Lima to John and Joyce (Tuttle) Maag, his devoted parents who survive in Lima. He was preceded in death by his grandparents, Robert C. & Eloise Maag and Bernard Tuttle, Jr. & Phyllis O'Brien. He was a 2010 graduate of Elida High School and attended Benchmark Day Hab for the last few months. He loved history and his dogs, Memphis and Willie. He was the center of his parents' world, and the light of their lives. Services will begin at 10:00 a.m, Tuesday, July 15, 2025, at Lima Missionary Baptist Church, with Pastor Terry Brock officiating. Burial will follow in Salem Westminster Cemetery. Visitation will be Monday, July 14, 2025, from 4:00 until 8:00 p.m. at the church. Memorial contributions may be made to Autism Society. Arrangements are under the direction of Chiles-Laman Funeral & Cremation Services. - Pastor Terry Brock - Tuesday, July 15, 2025
In this episode of Thinking Thoracic, Dr. Elliott Servais, Lahey Hospital & Medical Center, joins host Dr. Erin Gillaspie to share how he developed a robotic 1st rib resection program. Recognizing an unmet need at his institution, he seized the opportunity to build a dedicated program. The result? A growing referral network and a newfound enthusiasm for a procedure he once dreaded.
Want to elevate your infection prevention career? Dive into this inspiring episode with Gail Fraine and Dr. Mayar Al Mohajer as they explore the value, purpose, and impact of the Advanced Leadership Certification in Infection Prevention (AL-CIP). Learn how this credential empowers professionals to lead change, drive outcomes, and shape healthcare policy. Get tips for submission success and hear firsthand experiences from these certified leaders! Hosted by: Kelly Holmes, MS, CIC, FAPIC and Lerenza L. Howard, MHA, CIC, LSSGB About our Guests: Gail Fraine, CIC, LTC-CIP, AL-CIP Gail Fraine is the System Director of Infection Prevention at Ascension Saint Thomas in Nashville, TN, with over 30 years of experience reducing healthcare-associated infections through evidence-based practices and high-reliability principles. A long-standing APIC member, she has held national leadership roles including Board Director and Annual Conference Chair. Gail currently serves as President-Elect of the Certification Board of Infection Control and Epidemiology (CBIC) and contributed to developing both the long-term care and Advanced Leadership certifications. She holds nursing degrees from Arkansas State, Belmont, and Vanderbilt, and is certified in CIC, LTC-CIP, and AL-CIP. Mayar Al Mohajer, FIDSA, FSHEA, FAPIC, FACHE, AL-CIP Dr. Al Mohajer serves as Professor of Medicine in the Section of Infectious Diseases at Baylor College of Medicine in Houston, Texas, where he also directs the Infection Prevention, Antimicrobial Stewardship, Quality Improvement, and Leadership Track. He is the Chief of the Infectious Disease Section at Baylor St. Luke's Medical Center and the Medical Director of Infection Prevention, Occupational Health, Diagnostic Stewardship, and Antibiotic Stewardship for CommonSpirit Health's South Region and Baylor St. Luke's Medical Center. In addition to his clinical and academic roles, Dr. Al Mohajer sits on the CBIC Board and co-chairs the National Infection Prevention Council for CommonSpirit Health. He holds multiple fellowships and certifications recognizing his expertise and leadership, including FIDSA, FSHEA, FAPIC, FACHE, and AL-CIP.
Dr. Arif Ali is a board-certified radiation oncologist at Peeples Cancer Institute at Hamilton Medical Center in Dalton, Georgia.For more information about Peeples Cancer Institute, call 844-PCI-HOPE or visit VitruvianHealth.com/cancer.This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.
El Dr. Arif Ali es un oncólogo radioterapeuta certificado por la junta del Peeples Cancer Institute en Dalton, Georgia.Para obtener más información sobre Peeples Cancer Institute, llame al 844-PCI-HOPE o visite VitruvianHealth.com/cancer.Este programa de ninguna manera busca diagnosticar o tratar enfermedades o reemplazar la atención médica profesional. Consulte a su proveedor de atención médica si tiene un problema de salud.
Dr. Arif Ali is a board-certified radiation oncologist at Peeples Cancer Institute at Hamilton Medical Center in Dalton, Georgia.For more information about Peeples Cancer Institute, call 844-PCI-HOPE or visit VitruvianHealth.com/cancer.This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.
Things are a little different on this episode of Hands in Motion. As you may already notice, Cara Smith is in the guest seat today and will be the one answering the questions, not asking them! Cara is the Annual Meeting Committee Chair for this year's ASHT Annual Meeting in Salt Lake City, UT. On this episode, we discuss the ins and outs of the conference, including educational Pre-Conference Institutes, special guests, poster sessions and, of course, the fun social and networking events we have planned!Guest Bio: Cara has been practicing as a physical therapist since 2007 and became a Certified Hand Therapist in 2013. Cara is the Hand Therapy Program Coordinator at Cook Children's Medical Center in Fort Worth, Texas. The majority of her clinical practice has been in pediatric orthopedics, working alongside surgeons in multidisciplinary clinics taking care of children with congenital and acquired hand conditions as well as traumatic injuries. Cara serves on several divisions and committees with ASHT and is one of the co-hosts for the ASHT podcast, “Hands in Motion”.The views and opinions expressed in the Hands in Motion podcast are those of the guests and do not necessarily reflect the official policy or position of ASHT. Appearance on the podcast does not imply endorsement of any products, services or viewpoints discussed"
One of the all time greatest TV music composers passed away on June 26th at age 93...Last season, we did an episode about the Life & the Work of Lalo Schifrin on our Patreon--as a tribute, we would like to present that show for you...
Stephanie Lulay, Executive editor and Co-Founder of Block Club Chicago, joins Bob Sirott to share the latest Chicago neighborhood stories. She provides details on: Patients Moved From One Sweltering Hospital To Another ‘Just Trying To Survive': After its air conditioning failed, Uptown's Weiss Hospital moved patients elsewhere, including to West Suburban Medical Center, which one patient […]
For more information about Hamilton Medical Center's NICU, visit www.vitruvianhealth.com/services/nicu or call 706.272.6000.This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.
Para obtener más información sobre la UCIN del Hamilton Medical Center, visite www.vitruvianhealth.com/services/nicu o llame al 706.272.6000.Este programa no pretende diagnosticar ni tratar enfermedades ni sustituir la atención médica profesional. Consulte a su profesional de la salud si tiene algún problema de salud.
For more information about Hamilton Medical Center's NICU, visit www.vitruvianhealth.com/services/nicu or call 706.272.6000.This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.
Oral Arguments for the Court of Appeals for the Ninth Circuit
Detwiler v. Mid-Columbia Medical Center
For more information about Hamilton Medical Center's NICU, visit www.vitruvianhealth.com/services/nicu or call 706.272.6000.This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.
Whole-person health starts with whole-family care—and that begins with a provider who sees you, hears you, and truly walks beside you. Dr. Marion Pierson brings decades of heart-led pediatric experience to the conversation, showing how health is more than check-ups and prescriptions—it's about relationships, rest, and raising kids in rhythm with both structure and freedom. Her passion for serving her Kansas City community is palpable, and her insight into direct primary care reminds us that when families are empowered with knowledge, time, and trust, they don't just survive—they thrive. Key Takeaways: Community-based care thrives when families feel seen, supported, and invited into the healthcare process. Simple habits like sleep, hydration, and nutrition can dramatically shift a child's mood, focus, and overall well-being. Transitions, like summer break, can be both freeing and disruptive—maintaining flexible routines helps children stay grounded. Parents' self-care directly impacts how children experience structure, safety, and emotional regulation. The right healthcare fit is like a good relationship—it's built on trust, time, and open communication. Resource Mentioned: Sherrie Ortiz is the owner of Just One Day Travel Tours and a passionate advocate for creating memorable experiences through local travel as KC travel guide. With three years in business, she's passionate about helping individuals and teams reconnect through shared experiences that spark joy and connection. Website link: https://justonedaytraveltours.com/ About Dr. Marion Pierson: Dr. Marion S. Pierson is a Board-Certified Pediatrician currently practicing in the Kansas City area. She received her medical degree from The University of Missouri-Kansas City (UMKC) in 1993. After graduating from medical school, she completed her residency at Georgetown University Children's Medical Center in Washington, DC. Since 1996, Dr. Pierson has been serving the Kansas City community. She started at Metropolitan Multi-Specialty Physician's Group (MMPG) in Kansas City, KS. There, she provided care to children living in underserved communities. Later, she served as a pediatric partner at Cradle Through College Care and Village Pediatrics. Her dedication and exceptional patient care has earned her multiple “Top Doctor” awards over the years. Most recently, she received the “Top Doctors of 2023” award by “KC Parent” magazine. She is also a Fellow of The American Academy of Pediatrics (FAAP). Over the years, Dr. Pierson has achieved a number of awards and recognitions not only in her field, but also within her community. These accolades include: --Featured on PBS, Fox 4 News, KSHB-41 News and The Missouri Times --Served as “Doctor of the Day” for the Missouri Senate --Served as a Board Member in several community organizations --Advocacy and volunteer work for “March of Dimes” and “SIDS Awareness 5K Walk” --Partnering with “Boys Hope Girls Hope of Kansas City” to provide pro bono care to students in need In her spare time, Dr. Pierson enjoys spending time with her husband and two daughters. She also is the founder and board president of MO Hives KC, a non-profit community organization that converts vacant lots into honeybee farms across the state of Missouri. In 2022, she was named “Missouri Beekeeper of the Year” by Missouri State Beekeeper Association. www.elitecarepediatrics.com Connect with Dr. Michelle and Bayleigh at: https://smallchangesbigshifts.com hello@smallchangesbigshifts.com https://www.linkedin.com/company/smallchangesbigshifts https://www.facebook.com/SmallChangesBigShifts https://www.instagram.com/smallchangesbigshiftsco Thanks for listening! Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below! Subscribe to the podcast If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can also subscribe in your favorite podcast app. Leave us an Apple Podcasts review Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts.
This episode recorded live at the Becker's Hospital Review 15th Annual Meeting features Wendi Hulett, Chief Nursing Officer at Lincoln County Medical Center – Presbyterian Healthcare Services. She discusses how her team drastically reduced nurse turnover through a rapid hire process and shares insights on navigating workforce expectations and the evolving role of AI in nursing.
At the Stillwater Medical Center in Oklahoma, Lead Central Sterile Technician Sydney McWaters and Certified Sterilization Technician Trey Sneed have experienced firsthand how CensiTrac, the surgical instrument and asset management solution from Censis, has transformed daily operations and helped their team adapt to change with confidence.Recently, the department implemented location scanning through CensiTrac—a change that significantly improved turnaround times and made it easier to locate sets when they're needed most. What was once a manual, time-consuming search has now become a quick lookup process, thanks to precise scan-to-location tracking.In addition to scanning, the team has embraced CensiTrac's loaner tray tracking and photo documentation features, allowing them to confirm instrument completeness and respond to discrepancies with clarity and confidence. This has proven especially useful when coordinating with external vendors or surgical teams.Both McWaters and Sneed emphasize how approachable and responsive the Censis support team has been throughout their journey. As their department continues to evolve, CensiTrac remains a reliable, user-friendly foundation for improving accuracy, training, and efficiency.
Lisa Mitchell walked into St. Anthony's Medical Center holding her 7-year-old daughter, Violet—unmoving, underweight, and already showing signs of rigor mortis.By the time doctors saw her, it was too late. But what they discovered sparked one of the most disturbing child abuse investigations Oklahoma has seen.This is the case of Violet Mitchell. And the horror she lived through.If you suspect child abuse, call the Childhelp National Child Abuse Hotline at 1–800–4-A-Child or 1–800–422–4453, or go to www.childhelp.org. All calls are toll-free and confidential. The hotline is available 24/7 in more than 170 languages.************************************************************************************************Podcast Promo: Darkcast Network*************************************************************************************************Do you have thoughts about this case, or is there a specific true crime case you'd like to hear about? Let me know with an email or a voice message: https://murderandlove.com/contactFind the sources used in this episode and learn more about how to support Love and Murder: Heartbreak to Homicide and gain access to even more cases, including bonus episodes, ad-free and intro-free cases, case files and more at: https://murderandlove.com~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Please take some time to Rate, Share, Subscribe!
An emergency room doctor, Steven Zlotowski, recalls the COVID years at Enloe Medical Center.
Wise Divine Women - Libido - Menopause - Hormones- Oh My! The Unfiltered Truth for Christian Women
In this episode of the Wise Divine Women podcast, Dana Irvine speaks with Dr. Dan Warren of Envita Wellness Center. Today, they speak about the complexities of Lyme disease, its diagnosis, and treatment options. They discuss the challenges of identifying Lyme disease, especially in late-stage cases, and the importance of individualized treatment plans. Dr. Warren emphasizes the need for awareness and education regarding Lyme disease, as well as the hope for recovery through comprehensive care.Envita Wellness CenterKey TakeawaysLyme disease is complex and affects multiple body systems.Testing for Lyme disease often involves multiple methods due to inaccuracies.Genetic factors may influence susceptibility and recovery from Lyme disease.Families can be affected by Lyme disease, often requiring collective treatment.Preventative measures include wearing protective clothing and conducting tick checks.Individualized treatment plans are crucial for effective Lyme disease management.Lyme disease can mimic other conditions like fibromyalgia and chronic fatigue.Advocacy for better diagnosis and awareness is essential for patients.Hope is vital for those suffering from chronic Lyme disease.Research and awareness about Lyme disease are slowly improving.Timeline:00:00 Introduction to Lyme Disease and Alternative Medicine03:06 Understanding Lyme Disease Complexity06:01 Testing and Diagnosis of Lyme Disease08:59 Preventative Measures Against Lyme Disease11:58 Treatment Approaches at NVIDA Clinic15:14 The Connection Between Lyme Disease and Other Conditions17:48 Advocating for Yourself in Lyme Disease Diagnosis20:58 Hope and Future Research in Lyme DiseaseThank you for joining me on the Wise Divine Women Podcast offering you insight and hope on your journey to better health. Please visit my website DanaIrvine.com to learn more about me and my services
Meet Eleanor, a mom on a mission. When her son was diagnosed with severe food allergies in 2004, Eleanor was launched into a whirlwind of support and advocacy for the food allergy community, eventually leading her to found and lead the Food Allergy and Anaphylaxis Connection Team (FAACT). Alongside the FAACT leadership team, she provides the education, advocacy, awareness, and grassroots outreach needed for the food allergy community through programming available to all. Tune in to hear the story behind Eleanor's incredible efforts and successes and her commitment to inclusivity that drives everything she does.To learn more about FAACT, their amazing resources, and Camp TAG visit: https://www.foodallergyawareness.org/Follow on social media @faactnewsEleanor Garrow-Holding has worked, educated, and advocated in the food allergy community since 2004. She was inspired to start this work after her son, Thomas, was diagnosed with life-threatening food allergies to tree nuts, peanuts, wheat, and sesame; eosinophilic esophagitis (EoE) triggered by milk and wheat; asthma; and environmental allergies. In December 2015, Thomas had a food challenge with wheat and was no longer IgE-allergic to wheat. After a 3-month trial with wheat and another 3-month trial with milk (post wheat) in his diet and upper endoscopies, he has also outgrown the wheat and milk triggers for EoE and is in remission from EoE as of July 2016. Thomas outgrew his peanut allergy in 2016 at age thirteen. In October 2019, at age sixteen, Thomas outgrew almond, sesame, and brazil nut and continues to avoid walnut, cashew, pecan, hazelnut, and pistachio.As CEO of the Food Allergy & Anaphylaxis Connection Team (FAACT), Eleanor provides leadership, development, and implementation for all of FAACT's initiatives and programs, including Camp TAG (The Allergy Gang) – a summer camp for children with food allergies and their siblings that Eleanor founded in 2009. Eleanor has a Bachelor of Healthcare Administration degree from Lewis University in Romeoville, IL, and worked in hospital management for 15 years in Chicago and suburban Chicago prior to working in the nonprofit sector.After Thomas was diagnosed in 2004, Eleanor established a food allergy support group in a southwest Chicago suburb, Parents of Children Having Allergies (POCHA) of Will County, focusing on education and advocacy; chaired the FAAN Walk for Food Allergy in Chicago in 2007 and 2008; was awarded the FAAN Muriel C. Furlong Award for Community Service in 2008; and advocated in the Illinois state legislature on food allergy and Eosinophilic Disorders (EGID, EoE) issues. Thanks to the efforts of Eleanor and other patient advocates, legislation to ensure insurance coverage for elemental formulas was signed into law in 2007 and legislation establishing food allergy management guidelines for Illinois schools was signed into law in 2009.Eleanor joined the Food Allergy & Anaphylaxis Network™ (FAAN) in 2009 as Vice President of Education and Outreach, where she oversaw educational initiatives, all food allergy conferences, the Teen Summit, Camp TAG (The Allergy Gang) now under FAACT's umbrella, a Teen Advisory Group, support group development, and more. She advocated for the Food Allergy & Anaphylaxis Management Act (FAAMA) in Washington, DC, with her son Thomas as part of FAAN's Kids Congress on Capitol Hill and also advocated on Capitol Hill for the School Access to Emergency Epinephrine Act. Eleanor served on the expert panel for the CDC's Voluntary Guidelines for Managing Food Allergies in Schools and Early Care and Education Programs and was a reviewer for the National Association of Education (NEA) Food Allergy Book: What School Employees Need to Know. Eleanor conducted numerous radio, television, and print interviews on food allergy issues and wrote articles for Allergic Living and Living Without magazines. She presented at national and regional conferences about food allergy management in school and restaurant settings and educated personnel in schools and school districts across the country on food allergy management in schools and continues to do so with FAACT.In 2013, Eleanor joined the Cincinnati Center for Eosinophilic Disorders (CCED) as Senior Specialist of Program Management at Cincinnati Children's Hospital and Medical Center. There she led day-to-day clinical operations, clinical research projects, program development, marketing, and development.Eleanor has and continues to educate employees from numerous food industry companies and entertainment venues about food allergies, such as McDonald's Corporation, The Hain Celestial Group, Mars Wrigley, all SeaWorld Parks, and more.Leading the charge at FAACT, Eleanor and the FAACT Leadership Team provides the education, advocacy, awareness, and grassroots outreach needed for the food allergy community. Eleanor serves on the National Peanut Board's Allergy Education Advisory Council, Global Allergy & Airways Patient Platform Board (GAAPP), St. Louis Children's Food Allergy Management & Education (FAME) National Advisory Board, and Association of Food and Drug Officials (AFDO) Food Allergen Control Committee. In August 2015, Eleanor was inducted into The National Association of Professional Women's (NAPW) VIP Professional of the Year Circle for her commitment to healthcare and nonprofit industries. FAACT is The Voice of Food Allergy Awareness. In 2022, Eleanor was a Contributor for The Change Guidebook (3-8-2022, HCI/Simon & Schuster).
Host Jeremy C. Park talks with Phil Ellenburg, President and CEO of Faith Family Medical Center, who highlights the Nashville, Tennessee-based nonprofit organization's mission and efforts to provide hope and healing to their hardworking neighbors in need with affordable, quality primary medical care. During the interview, Phil discusses the organization's near 25-year history of providing primary care to the working uninsured and underinsured in Middle Tennessee, and their ambitious growth plan to increase patient capacity by 85% over the next five years. The clinic operates on a sliding scale fee system and provides comprehensive primary care services with a holistic approach, including behavioral health, wellness programs, and medication management. The center has grown from serving no patients on its first day to now serving over 3,300 individual patients with about 12,500 visits annually. Phil explains that they primarily serve hourly employees in industries such as construction, music, hospitality, and the gig economy who lack health benefits, aiming to help those who make Nashville great.Sliding Scale Clinic Services Overview The clinic operates on a sliding scale fee system based on income and dependents, with patients paying between $25 to $65 per visit, averaging $40. The clinic provides comprehensive primary care services with a holistic approach, including behavioral health, wellness programs, and medication management. They offer longer appointment times, a full-time behavioral health nurse practitioner, and a partnership with Lipscomb University's College of Pharmacy to help patients access free or reduced-cost medications. The clinic also features a wellness center with a demonstration garden, kitchen, and fitness classes to teach patients about healthy lifestyles and disease management.Holistic Patient Care and Community Impact Jeremy expresses appreciation for their personal and holistic approach to patient care, highlighting how it addresses barriers and creates generational transformation. He notes that teaching parents about healthier meals can positively impact their children, creating a ripple effect in the community. Jeremy then asks Phil to discuss the vision for the future, mentioning plans to help even more people.Clinic Expansion and Community Support Phil discusses the expansion of their clinic space and their mission to serve uninsured and underinsured Middle Tennesseans. He outlines their ambitious growth plan to increase patient capacity by 85% over the next five years, emphasizing that this growth is missional to help the growing number of individuals and families who are working uninsured or underinsured. He also highlights the various ways the community can support their efforts, including spreading awareness, volunteering, and financial contributions. He mentions upcoming fundraising events and encourages interested individuals to visit the clinic for a tour, directing them to the Faith Family Medical Center website and social media platforms for more information.Visit https://faithmedical.org to learn more about Faith Family Medical Center.
In December 2024, LaTroya Grayson filed a $15 million lawsuit against Sean "Diddy" Combs, alleging that she was drugged and sexually assaulted at one of his parties in New York City in October 2006. According to the complaint, Grayson's half-sibling won a contest through local radio station KJAMZ, which included an all-expenses-paid trip to New York to attend a "Diddy White Party." Upon arrival, the event had been rebranded as a "Black Party." Grayson claims that after consuming less than two premade drinks at the party, she began to feel unwell and attempted to go to the restroom. Her next memory was waking up at Saint Vincent's Medical Center with no recollection of how she arrived there, noticing her shirt was torn, her underwear missing, and her money stolen. She believes she was drugged, assaulted, and robbed. After returning to Oklahoma, Grayson allegedly received a threatening phone call from an anonymous female, warning her against pursuing any action due to Combs' celebrity status. The lawsuit includes supporting documents such as photos from the party and medical records.Combs' legal team has denied the allegations, stating that he "has never sexually assaulted anyone or engaged in sex trafficking." They emphasize that Grayson admits to having no memory of the events, does not know who was involved, and has never spoken to Combs, labeling her claims as "pure fiction." As of February 2025, Combs remains incarcerated at the Metropolitan Detention Center in Brooklyn, awaiting trial on separate charges related to sex trafficking, racketeering, and prostitution, to which he has pleaded not guilty.to contact me:bobbycapucci@protonmail.comsource:grayson complaint
In December 2024, LaTroya Grayson filed a $15 million lawsuit against Sean "Diddy" Combs, alleging that she was drugged and sexually assaulted at one of his parties in New York City in October 2006. According to the complaint, Grayson's half-sibling won a contest through local radio station KJAMZ, which included an all-expenses-paid trip to New York to attend a "Diddy White Party." Upon arrival, the event had been rebranded as a "Black Party." Grayson claims that after consuming less than two premade drinks at the party, she began to feel unwell and attempted to go to the restroom. Her next memory was waking up at Saint Vincent's Medical Center with no recollection of how she arrived there, noticing her shirt was torn, her underwear missing, and her money stolen. She believes she was drugged, assaulted, and robbed. After returning to Oklahoma, Grayson allegedly received a threatening phone call from an anonymous female, warning her against pursuing any action due to Combs' celebrity status. The lawsuit includes supporting documents such as photos from the party and medical records.Combs' legal team has denied the allegations, stating that he "has never sexually assaulted anyone or engaged in sex trafficking." They emphasize that Grayson admits to having no memory of the events, does not know who was involved, and has never spoken to Combs, labeling her claims as "pure fiction." As of February 2025, Combs remains incarcerated at the Metropolitan Detention Center in Brooklyn, awaiting trial on separate charges related to sex trafficking, racketeering, and prostitution, to which he has pleaded not guilty.to contact me:bobbycapucci@protonmail.comsource:grayson complaint
In December 2024, LaTroya Grayson filed a $15 million lawsuit against Sean "Diddy" Combs, alleging that she was drugged and sexually assaulted at one of his parties in New York City in October 2006. According to the complaint, Grayson's half-sibling won a contest through local radio station KJAMZ, which included an all-expenses-paid trip to New York to attend a "Diddy White Party." Upon arrival, the event had been rebranded as a "Black Party." Grayson claims that after consuming less than two premade drinks at the party, she began to feel unwell and attempted to go to the restroom. Her next memory was waking up at Saint Vincent's Medical Center with no recollection of how she arrived there, noticing her shirt was torn, her underwear missing, and her money stolen. She believes she was drugged, assaulted, and robbed. After returning to Oklahoma, Grayson allegedly received a threatening phone call from an anonymous female, warning her against pursuing any action due to Combs' celebrity status. The lawsuit includes supporting documents such as photos from the party and medical records.Combs' legal team has denied the allegations, stating that he "has never sexually assaulted anyone or engaged in sex trafficking." They emphasize that Grayson admits to having no memory of the events, does not know who was involved, and has never spoken to Combs, labeling her claims as "pure fiction." As of February 2025, Combs remains incarcerated at the Metropolitan Detention Center in Brooklyn, awaiting trial on separate charges related to sex trafficking, racketeering, and prostitution, to which he has pleaded not guilty.to contact me:bobbycapucci@protonmail.comsource:grayson complaint
In December 2024, LaTroya Grayson filed a $15 million lawsuit against Sean "Diddy" Combs, alleging that she was drugged and sexually assaulted at one of his parties in New York City in October 2006. According to the complaint, Grayson's half-sibling won a contest through local radio station KJAMZ, which included an all-expenses-paid trip to New York to attend a "Diddy White Party." Upon arrival, the event had been rebranded as a "Black Party." Grayson claims that after consuming less than two premade drinks at the party, she began to feel unwell and attempted to go to the restroom. Her next memory was waking up at Saint Vincent's Medical Center with no recollection of how she arrived there, noticing her shirt was torn, her underwear missing, and her money stolen. She believes she was drugged, assaulted, and robbed. After returning to Oklahoma, Grayson allegedly received a threatening phone call from an anonymous female, warning her against pursuing any action due to Combs' celebrity status. The lawsuit includes supporting documents such as photos from the party and medical records.Combs' legal team has denied the allegations, stating that he "has never sexually assaulted anyone or engaged in sex trafficking." They emphasize that Grayson admits to having no memory of the events, does not know who was involved, and has never spoken to Combs, labeling her claims as "pure fiction." As of February 2025, Combs remains incarcerated at the Metropolitan Detention Center in Brooklyn, awaiting trial on separate charges related to sex trafficking, racketeering, and prostitution, to which he has pleaded not guilty.to contact me:bobbycapucci@protonmail.comsource:grayson complaint