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4 episodes with ohio university heritage college
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2 episodes with ohio university heritage college
Today's podcast features an interview with Stephanie Larson, PhD, an Associate with the Institute of Ethics at the University of New Mexico Health Sciences Center, and Devora Shapiro, PhD, Associate Professor of Medical Ethics at the Ohio University Heritage College of Osteopathic Medicine, about creating ethically informed frameworks in rural healthcare in order to best serve rural patients. The transcript and a list of resources and organizations mentioned in the episode can be found at: https://www.ruralhealthinfo.org/podcast/ethics-dec-2024 Exploring Rural Health is an RHIhub podcast.
Download the free eBook 'Skincare Myths Busted' here. Get Dr. Mina's free PDF on How to create Healthy Skin Habits here. Who here has ever had a skin problem but was too embarrassed to ask someone about it? I know I have! As dermatologists, we understand that some things can feel a bit awkward to talk about. But honestly, no question is too embarrassing to bring up with us. We have seen and heard it all! Whether it's body odor that won't go away, a rash in a sensitive area, regret over an old tattoo, or even something like toenail fungus, we genuinely want to help you with your skin concerns. Our goal is to make sure you feel comfortable and supported while we work together to get things sorted. Tune into this week's podcast with Dr. Shannon Trotter, where she addresses those embarrassing topics we often avoid, like handling odor in sensitive areas and what to do about a rash.She also covers options for removing unwanted tattoos and treating toenail fungus, so it's a must-listen for anyone with these questions! Key Takeaways: - Patients should not be embarrassed to ask their dermatologists about embarrassing questions or concerns. - Body odor in the genital area is normal and can be managed with whole body deodorants and antiperspirants. - Rashes in the genital area can have various causes, including psoriasis, eczema, and hydronidus separativa, and should be evaluated by a dermatologist. - Tattoo regret is common, and there are options for tattoo removal, such as laser treatments. - It is important to seek medical advice for any concerns or questions related to dermatological issues. Tattoo removal options include laser surgery, dermabrasion, and chemical peels, but creams and home remedies are not recommended. - Laser surgery is the most effective treatment for tattoo removal, but multiple treatments may be needed. - Toenail fungus can be challenging to treat, and options include topical and oral medications. - Prevention measures for toenail fungus include keeping the feet clean, disinfecting shoes, and treating fungal rashes promptly. - Proper diagnosis is essential for both tattoo removal and toenail fungus to ensure appropriate treatment. Dr. Trotter hails from Xenia, a small town in Ohio, and fun fact-- bicycle capital of the Midwest. After completing her bachelor's degree in biology at the University of Dayton, she graduated medical school from Ohio University Heritage College of Osteopathic Medicine in Athens, Ohio. Dr. Trotter completed a dermatology residency at O'Bleness Memorial Hospital, followed by a fellowship in cutaneous oncology at Boston University. From 2011-2017, Dr. Trotter acted as Director of the Melanoma and Pigmented Lesion Clinic at The Ohio State University. Currently, she practices with DOCS Dermatology and serves as faculty for the OhioHealth Dermatology Residency Program. In addition, she is an Assistant Clinical Professor at Ohio University. Dr. Trotter has published several peer reviewed articles and has been the recipient of several awards, including the American Academy of Dermatology's Presidential Citation Award and the American Academy of Dermatology's Patient Hero Award. Outside of her professional life, Dr. Trotter enjoys bicycling, reading, traveling, and gardening. She also loves public speaking, blogging, and helping patients understand the importance of skin health. Above all, Dr. Trotter's favorite part of the day is coming home to her chaotic yet joyful house and spending time with her family- an amazing husband, three wonderful children, and two mischievous pets, Charlie and Sparkles. Follow Dr. Trotter here: https://www.dermittrotter.com/ https://www.facebook.com/dermittrotter https://www.facebook.com/DrShannonCTrotter/ Follow Dr. Mina here:- https://instagram.com/drminaskin https://www.facebook.com/drminaskin https://www.youtube.com/@drminaskin For more great skin care tips, subscribe to The Skin Real Podcast or visit www.theskinreal.com Baucom & Mina Derm Surgery, LLC Email - scheduling@atlantadermsurgery.com Contact - (404) 844-0496 Instagram - https://www.instagram.com/baucomminamd/ Thanks for listening! The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice.
Dr. Isaac Kirstein is Dean of the Cleveland campus of the Ohio University Heritage College of Osteopathic Medicine. He discusses his journey from Internal Medicine practice to Chief Medical Officer to Dean and key lessons he has gleaned along the way.
On today's episode of Empowered in Health, I interview the incredible Dr. Paige Gutheil. Dr. Paige is an osteopathic family medicine physician, teacher and founder of the industry-disrupting holistic healthcare collaborative, Signature Primary Care and Wellness. There she partners with her patients directly, providing comprehensive primary care and integrative health memberships. She has empowered and equipped thousands of midlife women to stop feeling “sick and tired of being sick and tired” with her Signature Whole Health tools and support systems. In addition to her private clinical practice, she serves as Assistant Professor of Primary Care Medicine at the Ohio University Heritage College of Osteopathic Medicine. She teaches medical students and helps to lead curriculum innovation to develop the next generation of physicians. Medical students, patients AND clinicians are all in the same boat in many ways - we all need to continually evolve our knowledge and be supported in our Whole Health so she loves a "boots on the ground" approach to helping you identify your health goals, preferred approaches to balancing your Whole Health - mind, body, spirit and life. Dive into today's message for more inspiration on how to look at whole health, how to step into advocating for more as a female and why looking at our wellness from a functional medicine approach can help us feel empowered on our health journey. To connect more with Dr. Paige: Instagram: @drpaige.do Website: https://www.drpaige.com/ Virtual Consultations with Dr. Paige through SYNC: https://jennyswisher.idevaffiliate.com/145-16.html Watch full episode on YouTube here: https://youtu.be/ulxOC4V8M98 Thank you so much for tuning in today! I'd love to hear from you and connect further on our stories. If you found this episode valuable, please leave a review, comment below and/or send me a message anytime so we can continue the conversation. To stay connected, here's where you can find me online: Email Contact: erinktrier@gmail.com Podcast IG: @empoweredinhealth Coaching Business IG: @erinktrier Free Call/Coaching Program: www.tinyurl.com/ETCoaching Website: https://www.erintrier.com/ (under construction)
This episode features Dr. Judy Wolfe, Associate Chief Experience Officer, Cleveland Clinic & Clinical Associate Professor, Ohio University Heritage College of Osteopathic Medicine. Here, she provides insight into her role, what healthcare trends she is currently keeping an eye on, what attributes providers need to have in order to stand out, and more.
This episode features Dr. Judy Wolfe, Associate Chief Experience Officer, Cleveland Clinic & Clinical Associate Professor, Ohio University Heritage College of Osteopathic Medicine. Here, she provides insight into her role, what healthcare trends she is currently keeping an eye on, what attributes providers need to have in order to stand out, and more.
This episode features Dr. Judy Wolfe, Associate Chief Experience Officer, Cleveland Clinic & Clinical Associate Professor, Ohio University Heritage College of Osteopathic Medicine. Here, she provides insight into her role, what healthcare trends she is currently keeping an eye on, what attributes providers need to have in order to stand out, and more.
While DO applicants are matching at a similar rate to MDs, there are a few intricacies to the process osteopathic medical students should keep top of mind. Isaac Kirstein, DO, internist and dean at the Ohio University Heritage College of Osteopathic Medicine Cleveland is our guest on this episode.
Growing up in a rural community increases the chances of entering rural practice, but rural residencies have an even more significant impact. Our next guest, Dr. Randy Longenecker, a senior advisor and consultant at the RTT Collaborative, discusses his passion for rural healthcare and the importance of upbringing and training location on physicians' likelihood to practice in rural areas. Dr. Longenecker emphasizes the need to increase residency training in rural areas to address the shortage of healthcare professionals. In our conversation, we discussed how expanding rural education opportunities can help improve access to healthcare in rural communities. “Train for Rural in Rural” -Randy Longenecker Randall Longenecker, MD is a family physician who has dedicated his career to caring for rural communities and growing a community of practice in rural health professions education and training. He practiced comprehensive family medicine in Logan County, OH, for 30 years including maternity care, and 15 years as Program Director of a rural training track program in family medicine. In the past 20 years, he has designed and established more than a dozen programs in undergraduate and graduate medical education and in continuing professional development. He has consulted in the design and implementation of many others. He is now Assistant Dean Emeritus for Rural and Underserved Programs and Professor of Family Medicine at the Ohio University Heritage College of Osteopathic Medicine, in Athens, Ohio, where he initiated the Rural and Urban Scholars Pathways program among other programs in preparing students and residents for work in rural and urban underserved communities. In retirement, he and his wife moved to Bridgewater, Virginia. Having founded the organization in 2012 and served as executive director for 10 years, he is now Senior Advisor and Consultant for The RTT Collaborative, a national non-profit board-directed cooperative of rural programs devoted to sustaining health professions education in rural places, providing technical assistance to developing and existing programs and pursuing research in rural health professions education and training.
We're discussing Transformative Team Training on this episode of Faisel & Friends! Faisel and Dan are joined by Dr. Leanne Chrisman-Khawam, Assistant Professor of Family Medicine and Program Director at Ohio University Heritage College of Osteopathic Medicine.Our conversation revolves around the privilege of being a part of patients' lives, positive changes needed in professional medical education, transformative team-based training, and focusing care on the person in front of you.Being a doctor is your calling because you couldn't imagine doing anything else. Let's talk about your career goals in medicine. Connect with us and tell us how you dream of practicing medicine. Want to learn more about how we do healthcare? Visit our resource center and check out how we are transforming healthcare. Don't forget to subscribe to ChenMed Rx to receive the latest news and articles from ChenMed.
D.O. or Do Not: The Osteopathic Physician's Journey for Premed & Medical Students
Dr. Robert Cain is the current president and CEO of the American Association of Colleges of Osteopathic Medicine, also known as AACOM. Every osteopathic student has communicated with AACOM directly or indirectly as the organization that supports the 37 accredited colleges of osteopathic medicine in the United States.Dr. Cain is a pulmonologist who graduated from Ohio University Heritage College of Osteopathic Medicine. Dr. Cain started his career as the director of medical education at Grandview Hospital in Dayton, Ohio. Dr. Cain subsequently served as the associate dean for Clinical Education at the Ohio COM, where he oversaw business development and relationship management for clinical experiences associated with undergraduate and graduate medical education. Dr. Cain is interviewed by Ben Berg, one of the pre-medical students on our team to get more information on what students applying to Osteopathaic School should understand about the organization and the processWe hope you enjoy this interview.
Welcome to Living Well with MS, the Overcoming MS podcast where we explore all topics relating to living well with multiple sclerosis (MS). In this episode, we are sharing the highlights from one of our ‘Ask Aaron' webinars, where neurologist, Dr. Aaron Boster, answers questions about MS from the community. Dr. Boster covers a range of fascinating topics such as fasting, menopause and gut health. This webinar was recorded in March 2022 as part of our Finding Hope with Overcoming MS webinar series. You can watch the whole webinar here or the podcast highlights on YouTube here. Keep reading for the key episode takeaways and Dr Boster's bio. Keep in touch: Make sure you sign up to our newsletter to hear our latest tips and news about living a full and happy life with MS. And if you're new to Overcoming MS, visit our introductory page to find out more about how we support people with MS. Dr. Aaron Boster's Bio: Dr. Aaron Boster is an award-winning, widely published, and board-certified neurologist specialising in multiple sclerosis (MS) and related CNS inflammatory disorders. He currently serves as the Director of the Neuroscience Infusion Center at OhioHealth. Why Dr. Boster chose to become a specialist in MS Witnessing his uncle's diagnosis with MS when he was 12, he and his family came to see a lack of coherence in the way MS was treated at the time. That experience informed Dr. Boster's drive to do things differently. Dr. Boster's career At OhioHealth, he spearheads a revolutionary model in MS treatment and patient care drawing on interdisciplinary resources and putting patients and families first. Dr. Boster is also an Adjunct Assistant Professor of Neurology at Ohio University Heritage College of Osteopathic Medicine, and a former Assistant Professor of Neurology at The Ohio State University, where he also formerly headed the Neuroimmunology division. Dr. Boster has been intimately involved in the care of people impacted by MS; he has been a principal investigator in numerous clinical trials, trained multiple MS doctors and nurse practitioners, and has been published extensively in medical journals. He lectures to both patients and providers worldwide with a mission to educate, energise and empower people impacted by MS. Dr. Boster's education and personal life Dr. Boster grew up in Columbus, Ohio and attended undergraduate at Oberlin College. He earned his MD at the University of Cincinnati College of Medicine and completed an internship in Internal Medicine and Residency in Neurology at the University of Michigan, followed by a two-year fellowship in Clinical Neuroimmunology at Wayne State University. He lives in Columbus, Ohio with his wife, Krissy, son Maxwell, and daughter Betty Mae. Selected Key Takeaways: Embracing exercise is an important step to improve outcomes for MS “I would encourage the entire family to embrace exercise, when it's nice outside, you go for a walk and kayaking and canoeing and what have you. We have excellent data that people impacted by MS who exercise as part of their lifestyle end up less disabled at the end of their life as compared to they didn't. And so we want to help instil those important, very, very important behaviours in a young person as early as possible.” Intermittent Fasting is recommended and is safe for MS “Within the last year, I've become very interested in not just what PwMS eat, but when they eat. When they eat turns out to matter. It's my opinion that intermittent fasting specifically is a bio-hack, not just for people impacted by MS,but for [all] humans. And it's my opinion that intermittent fasting is very safe in the setting of MS.” What to consider when thinking about alternative medicine “When someone wants to consider alternative medicine, which I will define as something that I was not taught in medical school, it doesn't make it good or bad. It just means I wasn't taught about it. An example might be acupuncture. I was not trained in acupuncture, which doesn't mean it's not real. It just means I don't know much about it. So, when I'm presented with something that is alternative, then I'm okay with it as long as three rules are met. The first one is it can't be too expensive. ... The second thing is it can't be dangerous. ... And [the] third is it can't be instead of something that I know works.” Related Links: Dr. Boster was on three previous Living Well with MS episodes: S1E11: Making the Right Medication Choices S2E17: Lifestyle Choices and their Impact on MS S3E43: Let's Talk About Sex (and MS) Check out Dr. Boster's popular YouTube channel covering all aspects of MS. Don't miss out: Subscribe to this podcast and never miss an episode. You can catch any episode of Living Well with MS here or on your favourite podcast listening app. If you like Living Well with MS, please leave a 5-star review on Apple Podcasts or wherever you tune into the show. Feel free to share your comments and suggestions for future guests and episode topics by emailing podcast@overcomingms.org. Make sure you sign up to our newsletter to hear our latest tips and news about living a full and happy life with MS. Support us: If you enjoy this podcast and want to support the ongoing work of Overcoming MS, you can leave a donation here.
(PUBLIC NEWS SERVICE) - One in five people in Appalachian Ohio lives with diabetes. Despite increasing prevalence, providers in the region say many of their patients believe their type 2 diabetes was inevitable and they were helpless to prevent it. Behavioral diabetes researcher and Co-Director of the Diabetes Institute at Ohio University Heritage College of Osteopathic Medicine Dr. Elizabeth Beverly explained people with diabetes are more likely to experience depression, anxiety, or develop certain eating disorders. How you can connect with us Subscribe to the podcast Ways you can support the show Check out our latest podcasts Connect with Chris Pugh on social media Ways you can save money Check out our latest contests --- Send in a voice message: https://anchor.fm/viewfromthepugh/message
In this episode, I have an epiphany about shame as related to feeling emotions, courtesy of Dr. Katie Jobbins! I have never connected shame with mothering or doctoring, and I need to think about it more. See what you think! Dr. Katie Jobbins, DO, MS, FACP is an Associate Program Director in the Internal Medicine Department at UMMS-Baystate in Springfield, MA, a primary care internist at High Street Health Center Adult, and an academic Hospitalist at Baystate Medical Center. Dr. Jobbins received her undergraduate degree in Nutrition Science from Syracuse University and her Masters in Science from Case Western Reserve University in Nutrition and Metabolism. She attended Ohio University Heritage College of Osteopathic Medicine where she graduated in 2010. Initially, Dr. Jobbins started her training in general surgery residency at the Cleveland Clinic--South Pointe but after 2 years found her true passion was in Internal Medicine. She completed 3 years of Internal Medicine at Baystate Medical Center and stayed on to be Chief Resident in 2015-2016. In her current role as Associate Program Director in the UMMS-Baystate Department of Internal Medicine, Dr. Jobbins serves as a primary care preceptor in the resident clinic, an academic hospitalist, director of the resident self-reflection, wellness, and ambulatory quality improvement curriculums, co-director of the humanities track, and director of the Chief Resident leadership curriculum for the health system. She also leads the “Be the Change Social Justice” working group focusing on health inequities in patient care and in medical education. Dr. Jobbins is also an Assistant Professor at UMMS-Baystate. She is an active member both nationally and locally in SGIM, AMA, AMWA, and the ACP. She currently serves as the Meeting Chair for the New England Regional SGIM chapter. In the Massachusetts ACP Chapter, she is the immediate past co-chair of the Early Career Physician Council (CECP) and was an active member of the Governor's council. She currently is on the National CECP. She recently won one of the AMA Inspiration Awards for her work in medical education and was AMWA's 2021 recipient of the Exceptional Mentor Award.
Dr. Hughes talks to us about the intersection of behavioral medicine and diabetes treatment: in other words, the psychosocial challenges of diabetes management. Ally is an Assistant Professor at Ohio University Heritage College of Osteopathic Medicine, Department of Primary Care. She is passionate about health policy. Her research in diabetes focuses on the psychosocial challenges of self-management including health equity, severe hypoglycemia, diabetes distress, diabetes complications, and disability. “I think as researchers we need to do a better job of recruiting people that don't fit the usual demographic and actually represent the population.” Question of the Day: Have you ever experienced or seen a loved one experience a health challenge that affected their mental health? On This Episode You Will Learn: Behavioral Medicine Diabetes Management Psychosocial Challenges Diabetes Treatment Connect with Yumlish! Website Instagram Twitter Facebook LinkedIn YouTube Connect with Allyson! Twitter LinkedIn Key Points: 00:00 - Intro with Shireen! 01:25 - Can you talk a bit about why you became a psychologist and how you became interested in behavioral medicine and diabetes in relation to that? 03:04 - What is behavioral medicine and what exactly does “psychosocial” mean? 05:00 - How does behavioral medicine interact with diabetes management? 07:55 - What are some of the more common psychosocial challenges of diabetes management in your field and what are some of the ways you address these issues? 12:10 - How do you work with other researchers to help people with diabetes? 14:40 - Where do you hope to see progress in the area of treating psychosocial challenges of diabetes management in the future? 17:05 - How can our listeners connect with you and learn more about your work? 19:00 - Outro with Shireen! --- Send in a voice message: https://anchor.fm/yumlish/message
AMA CXO Todd Unger talks with Leanne Chrisman-Khawam, MD, MEd, an assistant professor of social medicine and director of the Transformative Care Continuum program at Ohio University Heritage College of Osteopathic Medicine in Cleveland, who shares advice for medical students on their rank order lists in preparation for this year's Main Residency Match.
AMA CXO Todd Unger talks with Leanne Chrisman-Khawam, MD, MEd, an assistant professor of social medicine and director of the Transformative Care Continuum program at Ohio University Heritage College of Osteopathic Medicine in Cleveland, who shares advice for medical students on their rank order lists in preparation for this year's Main Residency Match.
Host: John E. Anderson, MD Guest: Elizabeth A. Beverly, PhD Current treatment strategies for diabetic patients focus on behavioral and clinical targets alone, but can shared experiences and peer support improve care? To learn more about this, Dr. John Anderson talks to Dr. Elizabeth Beverly from the Ohio University Heritage College of Osteopathic Medicine to discuss her recent study on positive experiences for patients living with type 1 or type 2 diabetes.
For this episode of the Pursuit of Health podcast we now return back to the U.S. shores from our prior journey to South Africa. We were fortunate to sit down with a wonderful physician mentor, leader and pioneer in his own right - Dr. Tyree Winters. Dr. Winters began his medical career with the foundation of a BA degree in Psychology at the University of Michigan. He then completed his medical school education at Ohio University Heritage College of Osteopathic Medicine and his pediatric training at Nationwide Children's Hospital in Ohio. He now serves as the Residency Program and Medical Student Clerkship Director, General Pediatric Residency, Goryeb Children's Hospital at Atlantic Health System, and most recently the Diversity, Equity and Inclusion Lead Physician, Dept of Pediatrics, Goryeb Hospital. Amongst his myriad activities he is also known for his energetic and engaging work as Dr. Tye the Hip Op Doc to tackle obesity and improve cardiovascular fitness for his followers. On this Part 1 of a two part Episode 16 Dr. Winters takes a look back at the people who influenced his career choice to become a physician after growing up in Detroit in the 1980's and 90's. Applying his Sociology and Psychology skills he paints a clear picture of the socioeconomic dynamics of Detroit at that time which created structural divisions along racial and economic lines. After briefly considering a healthcare career as a pharmacist, he soon returned back to Medicine with the support of an admissions officer who “could see the makings of a physician in me”. As he proceeded through his medical education and early career, his experiences awoke a drive in him to improve equity and diversity in Medicine. Over the years he acknowledges that there has been an awakening in the mainstream of an awareness that the traditional criteria to become a physician has been inappropriately exclusive and restrictive. He explains why there is an urgent need in American society for there to be more inclusiveness in the process that ultimately creates a physician. Dr. Winters finishes this part of our episode together by stressing the important role of empathy as a bridge to the experiences of others that ultimately leads to improved diversity and equity in all facets of our society, including the health profession. This approach has become the foundation of his lifelong efforts to focus back on serving the healthcare needs of the underserved communities segregated by color, gender preference and poverty. Join us next time for the final Part 2 of this episode as Dr. Winters shares his work in medical education, administration, patient care and a wonderful outreach program that spans the nation. You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd. (This episode will also be available in video format on Youtube @drfethkemd.)
Now we discuss the nature of gaming and how the GRID lab came to be. We discuss addiction and virtual reality and our consuming games can be. Competitive Gaming/eSports https://www.statista.com/markets/417/topic/478/video-gaming-esports/#overview https://cod-esports.fandom.com/wiki/MLG_Orlando_Open_2016 High School Gaming https://www.highschoolesportsleague.com/ GRID Lab https://www.ohio.edu/scripps-college/mcclure/gridlab Morelocks https://en.wikipedia.org/wiki/Morlock SOMA https://en.wikipedia.org/wiki/Brave_New_World Fortnight https://www.epicgames.com/fortnite/en-US/home Cleveland Clinic Augmented Reality https://health.clevelandclinic.org/face-transplant-evolves-with-amazing-hologram-technology/ Marietta Memorial Ransomware https://www.techspot.com/news/90818-memorial-health-system-hit-ransomware-attack-hospitals-begin.html J Warren McClure School https://www.ohio.edu/scripps-college/mcclure You can reach me at fredrick@ohio.edu directly with questions, comments or suggestions. Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: They Thought I Was Mad by Thomas Herudek Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Disclaimers: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University, and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect the official policy or the opinion of any agency of Ohio University.
Living Well with MS is proud to welcome back Dr. Aaron Boster, an Ohio-based neurologist specializing in MS, who has featured on episodes that tackled exploring how to make the right medication choices and the impacts of lifestyle choices on MS. Now we tap his expertise to help us grapple with an important topic that isn't discussed as often as it should be – sex. Sex and sexuality are vital dimensions of a healthy life, but how are they impacted by MS? Our discussion with Dr. Boster digs into the science and practical implications behind this topic, so let's talk about sex and MS! Dr. Aaron Boster's Bio: Dr. Aaron Boster is an award-winning, widely published, and board-certified neurologist specializing in multiple sclerosis and related CNS inflammatory disorders. He currently serves as the Director of the Neuroscience Infusion Center at OhioHealth. Witnessing his uncle's diagnosis with MS when he was 12, he and his family came to see a lack of coherence in the way MS was treated at the time. That experienced informed Dr. Boster's drive to do things differently. At OhioHealth, he spearheads a revolutionary model in MS treatment and patient care drawing on interdisciplinary resources and putting patients and families first. Dr. Boster is also an Adjunct Assistant Professor of Neurology at Ohio University Heritage College of Osteopathic Medicine, and a former Assistant Professor of Neurology at The Ohio State University, where he also formerly headed the Neuroimmunology division. OMS has recently been pleased to welcome Dr. Boster as one of the newest additions to its Board of Trustees. Dr Boster has been intimately involved in the care of people impacted by multiple sclerosis; he has been a principal investigator in numerous clinical trials, trained multiple MS doctors and nurse practitioners, and been published extensively in medical journals. He lectures to both patients and providers worldwide with a mission to educate, energize and empower people impacted by MS. Dr Boster grew up in Columbus, Ohio and attended undergraduate at Oberlin College. He earned his MD at the University of Cincinnati College of medicine and completed an internship in Internal Medicine and Residency in Neurology at the University of Michigan, followed by a two-year fellowship in Clinical Neuroimmunology at Wayne State University. He lives in Columbus, Ohio with his wife, Krissy, son Maxwell, and daughter Betty Mae. Questions: Aaron Boster, welcome back to Living Well with MS, and thanks for joining us again. Before we dig into this episode's main topic – sex and MS – there's a recent bit of news to mention. You've joined the Overcoming MS board of trustees. There is no doubt OMS is happy to have someone of your medical and clinical expertise on its board. How has the experience been so far and what compelled you to join in this capacity? Let's shift gear into our main topic – sex and MS. This is quite important and perhaps not discussed as often as it should be. First off, how would you define sexuality in the context of MS? Is it common for people with MS to experience sexual dysfunction or other challenges with having a normal sexual life? Do the types of sexual dysfunction differ depending on the types of MS you have? If a man is experiencing sexual dysfunction connected to his MS, what are his options for overcoming or managing it? What if you're a woman experiencing sexual dysfunction connected to your MS. What are your options for managing it? Some people with MS encounter some sort of physical impediments or disabilities. How might that affect your sexual life and what can you do about it? Is there any specific research currently going on that studies MS and its influence on a person's healthy sexual life? If there was one critical takeaway you could share with anyone in our audience experiencing sexual issues related to their MS, what would it be? Before we wrap up, and on a totally different note, I couldn't let someone of your expertise leave the guest chair without asking you a question of personal interest to me as well as many other members of our community – about supplements. There are many out there to choose from, from Co-enzyme Q10 and probiotics to things like Ginkgo Biloba, Echinacea, St. John's Wort, Valerian, Ginseng, and many more. Is there a general framework for deciding whether to try a supplement and are there any whose positive effects are supported by an evidence base? Links: Check out Dr. Boster's popular YouTube channel covering all aspects of MS. Boster is now a trustee of Overcoming MS. Coming up on our next episode: In just a few days, you can get another dose of our podcast with the premiere of the 24th installment of our Coffee Break series, as we travel (in the eco-friendly virtual sense) to Christchurch, New Zealand to meet another fascinating member of the OMS community, Lieza Vanden Broeke. Lieza has a remarkable personal backstory, and her experience with MS will provide insights and inspiration to our global community. Plus, she's also the ambassador of the OMS Circle in Christchurch. Thanks to Lieza for her candid interview, and to our listeners for being part of the OMS podcast family! Don't miss out: Subscribe to this podcast and never miss an episode. You can catch any episode of Living Well with MS here or on your favorite podcast listening app. Don't be shy – if you like the program, leave a review on Apple Podcasts or wherever you tune into the show. S3E43 Transcript Let's Talk About Sex (and MS) Geoff Allix (Intro) (2s): Welcome to Living Well with MS, the podcast for Overcoming MS for people with multiple sclerosis interested in making healthy lifestyle choices. I'm your host Geoff Allix. Thank you for joining us for this new episode. I hope it makes you feel more informed and inspired about living a full life with MS. Don't forget to check out our show notes for more information and useful links. You can find these on our website at www.overcomingms.org/podcast. If you enjoy the show, please spread the word about us on your social media channels. That's the kind of viral effect we can all smile about. Finally, don't forget to subscribe to the show on your favorite podcast platform so you never miss an episode. Geoff Allix (Intro) (44s): Now without further ado, on with the show. Geoff Allix (48s): Living Well with MS is proud to welcome back Dr. Aaron Boster, an Ohio-based award-winning, widely published, and board-certified neurologist, and the founder of the Boster Center for Multiple Sclerosis, who was featured on past episodes that tackled exploring how to make the right medication choices and the impacts of lifestyle choices on MS. Now we tap his expertise to help us grapple with an important topic that isn't discussed as often as it should be – sex. Sex and sexuality are vital dimensions of a healthy life, but how are they impacted by MS? Our discussion with Dr. Boster digs into the science and practical implications behind this topic. So, Dr. Aaron Boster, welcome back to Living Well with MS. Geoff Allix (1m 28s): And let's talk about sex and MS. Dr. Aaron Boster (1m 30s): Thank you so much for having me. I'm delighted to be back. And you're right, this is an underappreciated topic which needs to be discussed much more frequently. So, I'm glad that we're doing this today. Geoff Allix (1m 41s): Before we dig into the main topic of sex and MS, there's two things I'd like to mention. Firstly, I just want to call out that your YouTube channel, which is very easy to find, if you just search for Aaron Boster on YouTube, you'll find it. In fact, if you search for MS on YouTube, I think it would come pretty high. It is personally, I think the single best resource for a person with MS. Dr. Aaron Boster (2m 7s): Wow. Geoff Allix (2m 8s): Hugely it is... I don't know how many videos you probably are much more aware than me, but I'd say hundreds. There are huge numbers. Dr. Aaron Boster (2m 15s): Yes, 450 some. Geoff Allix (2m 18s): Right. So, whatever topic there is an episode there, and I've found it incredibly useful, incredibly informative. So, I would – Dr. Aaron Boster (2m 25s): So, nice of you to say thank you. Geoff Allix (2m 27s): Well, yeah, I mean, I just think it's, I encourage everyone just going to have a look. It's just, you don't have to look at every topic. Recently, there's one on cannabis and MS. At which in the UK, the police would have different opinions. So, bits aren't going to be, you know, I mean appropriate for everyone. But yeah, there's such a wealth of resources there. So, the second thing, you've joined the Overcoming MS Board of Trustees. Dr. Aaron Boster (2m 56s): Yes. Geoff Allix (2m 56s): Yeah, I think everyone at OMS is happy to have you on board, and your medical and clinical expertise. So, what compelled you to join? And how has it been so far? Dr. Aaron Boster (3m 9s): Thank you. Let me answer those in reverse order. Today, it's been awesome. There's a significant onboarding process, and I've had a great time meeting the other Board of Trustees members, getting to know the Chair, the CEO, and really starting to get to understand the organization. So far, I've participated in one formal board meeting. It's been pretty great so far. I am really excited for what's coming with Overcoming MS over the next couple years. So, the fact that I get to participate is really, really special to me. Now, what compelled me to do it? Really two things if I may. The first thing is, if you look at my style of MS, my brand of delivering MS care, and the tenets that I have developed and talk about and teach. Dr. Aaron Boster (3m 58s): And you look at the tenets of Overcoming MS, they are remarkably convergent, like remarkably so. When I list out being five for five, when I talk about the importance of family, I mean, we just listed six of the seven. I mean, we're very, very converged. That was one thing that as I started to learn more about Overcoming MS, I said, “Wow, these folks are really thinking along the same lines as me.” The second thing is, getting an MS diagnosis is scary. And it's a moment in time when people aren't sure what to do. And in certain locations there's awesome resources to shepherd someone through an early diagnosis. Dr. Aaron Boster (4m 41s): But in many locations, that's probably lacking, and access is a major issue. And so, if you're in a spot where you're recently diagnosed or you don't know what to do, reaching for something that is ready made and awesome is a beautiful thing. And I'll be transparent. In my religion, there are a set criteria of things that you're supposed to do when someone dies. Okay. So, if you don't know what to do when you're grieving the loss of a loved one, there's some set things you're supposed to do: You're supposed to grieve for a certain amount of time. The community helps you in a certain fashion. And really, in the absence of knowing how to cope in grief with a loss, that is an awesome structure to have. Dr. Aaron Boster (5m 24s): And in many ways, I think for someone newly diagnosed with MS, this is a beautiful thing to say, “Sure do this.” So, for both of those reasons, I'm really, really excited to participate. It's been a great experience so far. So more to come. Geoff Allix (5m 39s): And one thing I would say that you have that Overcoming MS doesn't, but should do, I think as an extra pillar would be drink more water. And that's not an Overcoming MS thing. So, we're on a podcast. You can't see me. I'm just picking up my glass this very moment. Dr. Aaron Boster (5m 56s): Sure. And I've got water in my mug, yeah, yeah. So, I'm Geoff Allix (5m 59s): And I think that's, I know we're going off-topic here, but I think that it should be. It's such a simple thing. And because a lot of us have bladder issues and things, and then you sort of say, “Okay, maybe drink less because that's a bladder buster.” I even know it. I know, if I didn't drink enough, then I feel worse. It's one of those instant things. So, some of the things with MS, slow burn as a summary instant. Stress is instant, dehydration is instant. Dr. Aaron Boster (6m 27s): Absolutely spot on. And, you know, I like to challenge people sometimes because I'll say, you know, drink more water, and they'll say something to the effect of, "You sound like my mom." You know, or like, that's silly advice. I'll say, “Okay, but try it.” Geoff Allix (6m 39s): Yeah. Dr. Aaron Boster (6m 39s): Try drinking an adequate amount of water for like three days and see what happens. You know because people are shocked. They're like, “Oh, my gosh, I really do feel better.” Geoff Allix (6m 45s): Yeah. And you've made it really simple as well. So, I just drink a pint or half liter with each meal, and then drink a pint or half liter between each meal. Dr. Aaron Boster (6m 56s): Yeah, then you're done. You just did. Geoff Allix (6m 59s): Yeah. Dr. Aaron Boster (6m 59s): Spot on. Yeah. Then you're good for the day. And unfortunately, so many people, and you give a great example as to why they may shy away from water intake, and inadvertently make their situation so much worse. Geoff Allix (7m 10s): Yeah, so I'd like to. Yeah, so on your next board meeting. So, can we add an extra? Drink more water. Dr. Aaron Boster (7m 19s): Okay. I'll bring it up. As we talk about sex, this, we will come back to this whole bladder thing. It is very, very related. Geoff Allix (7m 27s): I was going to think, yeah. I was thinking you can't say, drink water during sex, that wouldn't work. But anyway. So, let's get on to our main topic, sex and MS. So, it's a very important one. I mean, it's obviously very important for the survival of the species as much as anything, but it's an important topic. And probably not discussed often enough, often embarrassing. So, how would you define sexuality in the context of MS? Dr. Aaron Boster (8m 2s): So, you know, sexuality arguably would be defined as humans' ability to experience sexual feelings. It's a really broad blanket term for a lot of things related to sex. So, my first comment is I don't think of sexuality in someone impacted by MS any different than I do in any other human. And I think that's actually a very, very important distinction because there's nothing unique about the sexuality of human being if they happen to have a chronic illness or not. Now, playing out sexual behaviors, intimacy, all these wonderful things, MS can risk interfering. Dr. Aaron Boster (8m 46s): And that's where we get into a really important discussion. And that's where sometimes we really need to try to help educate and intervene. Geoff Allix (9m 1s): So, is sexual dysfunction more common for people with MS? Does it increase the chances? Dr. Aaron Boster (9m 7s): It certainly is. Now, you know, MS is a situation where the immune system can affect any part of the supercomputer that runs your body - the brain, and the superhighway - the spinal cord. And unfortunately, there's plenty of specific areas in the brain and spinal cord where if there's damage, it could interfere with sexual functioning. And so, the spinal cord is a really good example. Very commonly, when someone has a transverse myelitis, inflammation in their spinal cord, then they may find that their limbs are numb or kind of weak. But they also will very likely notice problems with the down theres – bowel, bladder, and sexual function. And this is, unfortunately, all too common in the setting of MS. Dr. Aaron Boster (9m 48s): I would also say that it's oftentimes overlooked by the MS clinic, something that's kind of glossed over and not discussed. And given that it's somewhat of a taboo topic in casual conversation, I think patients are sometimes a little bit nervous to bring it up. Geoff Allix (10m 8s): And does the type of MS you have whether it's relapsing or progressive, does that affect the types of sexual dysfunction you might have? Dr. Aaron Boster (10m 16s): I would say no. I would rather think about the kinds of sexual dysfunction a little bit differently. Not so much related to the phenotype of MS. So, someone with relapsing MS, or Primary Progressive MS, Secondary Progressive MS, what have you, I don't see different kinds of sexual problems. I would run about it as follows: primary sexual dysfunction, secondary sexual dysfunction, and tertiary sexual dysfunction. So, just to share a couple quick definitions that helped me when I'm thinking about this. Primary sexual dysfunction is a problem with the circuitry and hormones of sex. So, when the down theres are stimulated, there's a lot of circuitry that goes on to assist in intercourse. Dr. Aaron Boster (10m 58s): That message in the down there has to go all the way up to the brain, through the spinal cord, where the brain interprets the activities and says, “Ah, okay.” And then it sends messages from the brain back down to the down theres to do certain things. We're talking about arousal, orgasm… excuse me, arousal, either erection or lubrication depending on the gender, and then eventually orgasm. And so primary sexual dysfunction can result from MS damage in the brain and spinal cord. And what can happen is you can end up with problems in the circuitry. And so, you can have difficulties with any of those things - arousal, erection, maintaining an erection, ejaculating or arousal, lubrication orgasm. Dr. Aaron Boster (11m 43s): The other piece to this when I think about primary sexual dysfunction is imbalances in hormones. And I have, for several years now started to routinely screen gentlemen, for example, looking at testosterone levels. Not just to help with sexual function, but there's also ramifications through other aspects of MS, believe it or not. So that's kind of primary sexual dysfunction. And we'll talk maybe a little bit later about how we overcome those things. Secondary sexual dysfunction is important and very often overlooked. And it's a situation where there's problems with sex, not because of the circuitry of sex, not because of hormones, but because of MS symptoms that make things not sexy. Dr. Aaron Boster (12m 24s): For example, if you're having intercourse, and you lose your bladder, it may stop the activity. I mean, you know, that's like scary to a lot of people. They would think, “Oh my goodness, gracious.” And if you're having intercourse and your leg goes into an extensor spasm, it's extremely painful, you're not having sex anymore. Yet even things like motor fatigue can make it so that, you know the activity of intercourse can become challenging, and these are all secondary sexual dysfunction issues. This is where, to be honest, we can really gain a lot of ground. Now, tertiary sexual dysfunction, I would define as not so much the circuitry of sex or symptoms that interfere with sex, but it's more of a psychological phenomenon where the human being doesn't feel sexual. Dr. Aaron Boster (13m 11s): They don't feel like a sexual being. They feel maybe like an they feel ill. They don't feel that they can be sexy. And so, when I think about sexual dysfunction, I find it most helpful to kind of try to bucket things into those categories. And oftentimes, we're dealing with all three. Geoff Allix (13m 35s): And so, if we break it down into men and women, what options would a man have if he's experiencing sexual dysfunction connected with MS? Or how could that be managed or helped? Dr. Aaron Boster (13m 50s): Absolutely. And so, if we first think about arousal, and this is actually true for both men and women. I'll make sure to give distinctions. When we think about arousal, the first thing I want to do is I want to look at their medicines. And I want to look and see if I have them on medicines that can impair arousal. And you'd be shocked at how many can. So, unfortunately, many of the SSRI and SNRI antidepressants, which are used very commonly in humans can impair libido. And so, you may have significant sexual dysfunction because of a high dose of Zoloft, for example. And so, we need to look at that. And there's a host of other medicines that could interfere with arousal. Dr. Aaron Boster (14m 31s): Also in the setting of arousal, for gentlemen, we'll look at testosterone levels, and look and see if his testosterone, which I would like to be above 400 is down like in the 100s. And maybe that's a component as to why that's a problem. Another very, very, very common because of loss of arousal or interest in both men and women is depression. Now depression is twice as likely to be experienced by a person impacted by MS compared to the general population. And one of the hallmarks of depression is something called anhedonia. Where just stuff that you enjoy just isn't really that much fun anymore. Like if you do really like book club or watching TV, doesn't do it for you. Dr. Aaron Boster (15m 10s): And so that can happen with sex, which is a major thing. And because depression is so common in MS, we would be foolish not to screen for that, or ask the question, could that be related to arousal? And so other things that we think about in both men and women, recent psychosocial stressors. You'll hear about a guy lose his job, and then he's not interested in intercourse, because he's really dealing with, he's kind of stressed out. So, I really require not just some laboratories, but also a careful history and some open honest communication when dealing with the gentleman's issues as it relates to arousal. Dr. Aaron Boster (15m 56s): The women, I guess, if it's okay with you, let me answer the same question for women just really quick. Geoff Allix (16m 2s): Yeah, it's okay. Dr. Aaron Boster (16m 3s): So, with women, we will look at all the same things I just said. Right? Hormone levels included. And then in depression included in the like. With women, there's actually interestingly two FDA approved therapies to help women with low libido, which is really cool. And interestingly, not known by many, many people. So, there's a medicine which is approved in the United States of the trade name Addyi, A-D-D-Y-I. And I'm spelling it for you because I'm blanking as I talk to you about the generic name. So, I'm sorry. And that is a pill taken once a day, which in about half of our patients results in improving female libido quite substantially. Dr. Aaron Boster (16m 46s): There's also an injection that's administered by urologist. And I don't, I've never prescribed it. It's called PT141. And this is also a therapy that can be very, very helpful in helping with female libido. So, there's actually more options to help with female libido than male. And so that's the first area. And I want to stress that you can't really skip over it. It is so terribly important. When we then talk about the second phase of things that would be erection for gentlemen. I like to divide my thoughts about erections into half. There is obtaining an erection and then maintaining an erection adequate for a penetration of vagina, anus, mouth, whatever it is that you're trying to accomplish that evening or day. Dr. Aaron Boster (17m 28s): And so, with erections, we want to find out, are you able to -- do you have erections when you wake up ever? Like it is the physiology, the circuitry of erections, is that intact? Are you able to maintain an erection on your own, like through masturbation, for example? And during intercourse, what's going on? And this conversation is important because, again, we have to think about primary, secondary, tertiary options. Primary sexual dysfunction, most commonly occurs because of spinal cord involvement in MS. And what essentially happens is the down there are stimulated and as the message is going up the spinal cord it dies. Dr. Aaron Boster (18m 9s): So, the message is never delivered to the brain. So, the brain is not informed of the dealio. So, in this situation, something that can be extremely helpful is a plug in the wall vibrator, right? So, I sometimes on podcasts and whatnot have talked about the vibrator trick, which I'll share now. In the vibrator trick is where you spend 60 bucks American and you purchase a plug in the wall vibrator. And my favorite brand is Hitachi Magic Wand. I don't have a contract. Though I would do a branding deal with them in a heartbeat until – Geoff Allix (18m 43s): I believe, they're mentioned on the Sex in the City way back. Dr. Aaron Boster (18m 47s): Yeah, certainly. Certainly. So, this is marketed as a back massager. And it's a plug in vibrator. And the reason it's so important is we need kind of like overdrive stimulation, right? A double D battery vibrator is not going to cut it for this purpose. And then what you do is you apply a water-based lubricant to the genitalia because that increases skin sensitivity. And then you apply the plug in the wall vibrator, you know, the hardcore power from the wall, and you apply it on the glands, penis, you apply to the head of the penis, you applied it under the testicles, you apply it somewhere where it feels good. And this is providing overdraft stimulation. Just to make the point clear, I'll use an example of us talking right now. Dr. Aaron Boster (19m 29s): So, I'm talking using my indoor voice because there's no interference between essentially my mouth and your ear, even though we're across the continent, and there's microphones, and speakers and stuff involved. Now, let's say that we were having this exact same conversation during business hours. I'm in my lobby of my office. Today is Sunday. But if this was a busy business day, it would be super loud in here. And you wouldn't be able to hear me when I used my indoor voice. So, I would have to use overdrive stimulation. I would have to scream, and really project really loudly so that you could hear me. And that's what we're doing with a plug in the wall vibrator as it relates to intercourse. We're providing overdrive stimulation so down there can get the message to the brain and let the brain know what's up. Dr. Aaron Boster (20m 13s): Now the advantage of a plug in the vibrator is there's no side effects. It's relatively inexpensive. And you can do it by yourself during masturbation. You can do it before intercourse as a form of foreplay. You can literally hold the device between you and your partner with continuous stimulation during intercourse. And it works well for both men and women. So, everything that I just said with regards to obtaining erection can be applied to maintaining an erection by using the vibrator. And we have taught some gentlemen, if they have difficulties they'll withdraw, and then they can apply the vibrator to the shaft of the penis, it will become adequately erect again, and they can continue having fun. Dr. Aaron Boster (20m 55s): And so, this is a very helpful tool. Now, probably the most widely utilized tool is a little blue pill, right? So, Viagra, Cialis, and the like are very, very helpful medicines, in helping gentlemen obtain and maintain erection, pharmacologically, they're superb. And so, if there isn't a cardiovascular risk, why you can't handle the Viagra or Cialis, what have you, that's a very useful tool. Taken about an hour before intercourse works best on an empty stomach. You do have to worry about light-headedness, and there's some blood pressure concerns. And that can make a really big difference in a guy's life. You know, it's of note that if you want to make an adult miserable, mess up their ability to eat good food or have sex, and then we'll be miserable. Dr. Aaron Boster (21m 41s): And MS risks interfering with sex for sure. And so, a little blue after dinner mint can really change a guy's outlook on life. Now, again, on the topic of obtaining and maintaining erection, testosterone level is very, very relevant. Now, there's a bunch of other things you can do. For example, intracavernous penile injections. So, before the era of pills, we had the shots on the side of the penis, and everyone listened going, “Ooh!” But in exchange for that route of administration, you have a fantastic erection. And sometimes when pills don't work, we still go back to those tried-and-true methods. Dr. Aaron Boster (22m 24s): Other things that you can do if you're a gentleman, using a device, you can trap the erection. So, you can use a vacuum device, which can be very, very effective. And if you're really serious about an erection, and those things aren't working, urologists can actually do penile implants. I have some patients who have been very, very happy with penile implants because nothing else was really working for them. So, you know, you might say, how dedicated are you to your erection? Because if you're dedicated enough, we can guarantee that you'll be able to be erect. Dr. Aaron Boster (23m 6s): Getting into the same questions with women, we're really dealing with lubrication, alright? And engagement of the tissue to allow adequate arousal. And so, that's kind of the equivalent for women as erections are to men. And there's several ways of addressing difficulties that a woman may have with lubrication. So, one thing you can do is apply a water-based lubricant. Very straightforward, very, very effective. Another option is to apply an estrogen cream to the vulva. If you're not taking systemic hormones, and there are reasons why some women may not be appropriate for taking systemic hormones, because of cancer risks. Applying a hormone cream topically is really great because it's just absorbed locally. Dr. Aaron Boster (23m 51s): So, there's no systemic risks. But applying an estrogen cream can really help with engagement and with lubrication. We very commonly prescribe a compounded cream which is called scream cream. And it is what it sounds like. It's a compounded mix, which includes Viagra and theophylline and several other agents which help in increase blood flow and encouragement and help with lubrication. And so, someone may have a can of scream cream that they use in preparation for intercourse. And so those things can be very, very helpful. Obviously, adequate clitoral stimulation, or vaginal stimulation through the same plug in the wall vibrator is a really smart tool. Dr. Aaron Boster (24m 32s): And that can help with lubrication. Now, the tips for orgasm, for achieving orgasm are all along the same lines. Really we have to bring, for both men and women - primary, secondary, and tertiary measures to the table to achieve orgasm. And sometimes we have to take extra measures depending on the specifics of the individual. But the point that I hope I'm conveying is, is that: number one, there are a lot of options to make this better if you're a boy or girl. And number two, it's worth it. Right? It's worth it to have an excellent sexual experience. Sorry, that was a little bit of a long-winded answer. Dr. Aaron Boster (25m 14s): I got a little carried away there but talk about that. Geoff Allix (25m 15s): No, no its good. And so, what you've talked to us about was very medical. But you mentioned especially the tertiary side of it. Dr. Aaron Boster (25m 25s): Yes. Geoff Allix (25m 25s): I love the thinking as well. Dr. Aaron Boster (25m 26s): Yes. Geoff Allix (25m 26s): So, is it worth getting counseling, maybe couples counseling? Because still, it's difficult to -- and this happens, whether you have MS or not. It's to convince the other person it's useful. Dr. Aaron Boster (25m 34s): Super, super important. In fact, if you said, “Aaron, what's the number one tip?” The number one tip is none of the stuff I just mentioned. The number one tip is talking to your partner. So, let's discuss that. Very commonly, independent from having a chronic condition like MS. Very commonly, we have hang-ups about sex, and we have areas of concern or embarrassment, or topics that we're shy about. For example, many people are reluctant to flatulate in front of their spouse. Right? So, that's the thing. Like, you know, we don't want to do that. And so, talking about sex is not something that most of us are just completely at ease doing. Dr. Aaron Boster (26m 20s): Even with our spouse, even with a monogamous partner of 30 years. And when you have a chronic condition, like multiple sclerosis, which can, as we've talked about interfere with the circuitry and the success of intercourse, it adds complexity. It doesn't make it easier, it makes it harder. What I have found in talking to families for over a decade and a half now. And I'm very, very open about this topic in that oftentimes, the two members of the couple would love to talk to the other person. They are dying to talk the other person about this, and they are nervous. Dr. Aaron Boster (27m 4s): And when they broach a conversation, it's almost cathartic because together, they can game out an earth shattering, toe-curling, blood-curdling orgasm that would set land speed records and make the neighbors call to make sure everyone's still safe. And it's accomplished because of communication with the partner. Say, and let me be a little bit granular. One partner may really enjoy a particular position in sex because it's really fun for them, which might cause the other partner with MS to go into spasms. Or it may make the other partner develop truncal ataxia, or maybe it overheats that partner. And the person with MS might not be sharing that. Dr. Aaron Boster (27m 46s): They may not be telling the spouse or the partner, “Hey, listen, when you lay on top of me like that, you're a heavy dude, my body gets heated up and I can't feel anything. Get off me!” You know, simply talking about changing something as simple as a sexual position might be the answer to really meaningful intercourse. So, you are very spot on in bringing this up. And if you are uncomfortable talking about the topic, let's game out several things that you can do to broach the situation. Okay. So you could, for example, do couples counseling. Couples counselors are very wonderful because they can help be sounding boards. Dr. Aaron Boster (28m 27s): “Did you hear what he just said? Let me repeat it for you.” I mean, you know, they're fantastic kind of notes. I really like couples counseling myself. There are sex counsellors, alright? I mean, maybe another thing to do is just to have the person listen to our podcast that we're doing right now and say, “Hey, the little balding, hyper neurologist in Columbus, Ohio was saying we should talk about sex. I mean, what do you think?” And maybe that broaches a conversation. But if you can sit down and talk about sex, and really what I would want you to bring to the table is the following: What are your goals? Seriously. Is your goal to help your partner achieve orgasm? If that's a goal, state it. State that's a goal. Dr. Aaron Boster (29m 6s): Is your goal to simply be intimate and touch one another? I mean, these are things that you should talk about. Are you going to orgasm? State the goals. If there are certain things that you really like, and really don't like sexually, particularly the don't like part. “You know, I know that you're really like doing blankety blank to me, and that's very sweet. Except I can't feel it. I can't feel it.” So, you doing that is awesome. I just want to let you know that like I don't even notice that you're doing. So, FYI. I mean that kind of communication is really valuable. Because then the partner will say “Well, geez, Louise, let me not do that. Let me do something different.” And I think what you'd find is if you have this conversation, it will improve your sex life. Dr. Aaron Boster (29m 55s): The conversation will lead to a better experience. It really will. Geoff Allix (30m 1s): And so, we've talked a lot about that there could be nerve damage between brain and sexual organs and that's affecting your ability to have an erection, lubrication, orgasms. But what if a person with MS has physical impediments or a disability? You know, apart from their sexual organs don't work properly. Dr. Aaron Boster (30m 22s): Yes. Geoff Allix (30m 22s): How could that affect their sexual life? What could they do about that side of things? Dr. Aaron Boster (30m 30s): So that involves playing smarter, not harder. Let me give you an example. If we think about a traditional Western missionary position of sex, the guy on top in this like, misogynist example, I apologize. It's kind of doing push-ups, right? Which is a tremendous amount of physical activity, keeping the core body strong and the arms, it's a lot. So that might not be feasible for someone. Right? Now, instead, install in your bedroom an eye hook in the ceiling beam, and install a sex sling. The whole world changes now. You place a partner on a sex sling, you can move them around, spin them, pivot them, push them, thrust, move, up, down, left, right, and it takes almost no effort, right. Dr. Aaron Boster (31m 20s): And so, by changing from good old-fashioned force of will to using something like leveraging a sex sling, or using a wedge, they make these awesome wedges, which is kind of like bringing a gymnastics room into your bedroom. Where you can position a partner on a wedge. If you have problems in certain positions, again, this goes back to the talking about planning, don't do those things. And if other positions are more successful, do those things. Let's use another example of bowel and bladder issues. Very common. Someone has such fear of incontinence of urine or stool, they will not have sex, which is a travesty. Dr. Aaron Boster (32m 3s): So, what can you do instead? You can, if necessary, do an inner in self cath, and empty your bladder completely, 100% guaranteed prior to intercourse. If you are prone to urinary tract infections, have your neurologist give you antibiotics that you take before or after sex, alright? If you are having trouble with constipation, you can spend a day or two pre-sex emptying out and getting completely evacuated. Even if that involves an or you know, digital rectal stimuli, or whatever is necessary, you can prepare for that. Do you see what I mean? There's a bunch of things that we can do. You have dyspareunia, which is a terrible word. Dr. Aaron Boster (32m 47s): It means pain with sexual sensation. So, the act of sex hurts. We have to look into, why you have dyspareunia? If it's because of spasms of the vaginal canal, we might use a rectal suppository of valium before intercourse. If it's because of neuropathic pain and burning sensation, we might use a numbing cream. Right? My point here, is if we can identify -- because in my mind what you're saying those are all secondary sexual dysfunctions. If we identify what the problem is, we can game out how to make it better. Then if you remember nothing from my answer, I simply want you to remember sex swing. Dr. Aaron Boster (33m 28s): Sex swing. Okay. Geoff Allix (33m 29s): And in the last few years, the amount of research in MS medication has just leapt forward. I mean, it's gone from -- so my father had MS. There are no real treatments. When I first was diagnosed. Not really, like what? Five years ago? There were treatments then but there must be 4, 5, 6, 10 times that many now. That seems to be it's really escalating. So, are there any treatments going on or studies going on for people with MS, and their ability to have a healthy sexual life? Dr. Aaron Boster (34m 5s): So, in preparation for our discussion, I actually looked this up because I wanted to be able to answer this question if asked. So, yay. And I went, the way I look up information like that is at the clinicaltrials.gov, which is a site for any clinical trial that's registered by the United States government. And there were 125 hits for when I searched for multiple sclerosis sexuality. And I looked through the first 10 or 20. All over the world, France, Turkey, Louisiana, Cleveland. So, there were trials throughout. Now, almost all of these are investigator-initiated trials. You know, so a clinic running a small study. Dr. Aaron Boster (34m 46s): But my point here is yes, there's a lot going on. Looking at testosterone levels, looking at various pharmacotherapies, looking at behavioral therapies, a lot of stuff. And so, I hope if you're listening to this, it's reassuring to know that clinic doctors and researchers alike recognize this is such a critically important aspect to life that we're investing resources to try to help you make it better. Geoff Allix (35m 9s): And you mentioned about testosterone. So, getting testosterone checked is that part of blood test? Dr. Aaron Boster (35m 13s): Yes. So, the way that I do it in clinic is I draw a morning level of testosterone. And the reason it needs to be morning, a gentleman's testosterone is highest in the morning, and it goes down throughout the day. So, if you tested in the evening and have a low value, you don't really know if it's just because of the diurnal, you know, the fact that it drops down. So, you want to get the best most accurate reading. You do that in the morning. You know testosterone level in the morning. I get it on two separate occasions. And if it's low, the total testosterone is low, that's a blood test, then that opens up the opportunity to treat with testosterone. Which in MS helps gentlemen not just with intercourse, not just with erectile function and ejaculation in the bedroom, but it also helps improve cognition, and slow disability progression, and improve fatigue with gentlemen with MS. Geoff Allix (36m 9s): And is there an equivalent for women with estrogen? Dr. Aaron Boster (36m 12s): It's not the same rules, interestingly. It's not the same set of variables. And now looking at hormone levels in women is important. And particularly surrounding times of menopause, when we can see an uptick of MS symptoms, and specifically related to intercourse, as I was mentioning with lubrication. So that is relevant, but for a different set of reasons. Geoff Allix (36m 38s): So, men definitely worth getting checked out on testosterone, but women…? Dr. Aaron Boster (36m 43s): Not as much. No, I don't routinely check women's testosterone levels in my clinic. Geoff Allix (36m 49s): Okay, and if, so, if there's one takeaway you could share with the audience, if people are having sexual issues related to MS, what would that be? Dr. Aaron Boster (36m 57s): That the one takeaway would be to have open communication with your partners and with your clinicians, because there are ways to make it better. We don't have to just accept this is now the new state of affairs. On the contrary, there are plenty of things that we can do. And you're worth it. It's worth exploring and improving because it is such an important aspect of life, that it's not okay, you just to say, "Well, too bad." Geoff Allix (37m 27s): And there's no reason, I mean, the two of us, I think, are probably beyond wanting to have more children at our age. Dr. Aaron Boster (37m 35s): Correct. Geoff Allix (37m 36s): There's no reason that a person can't be fertile as well as… Dr. Aaron Boster (37m 43s): Oh, absolutely. So, there's a whole separate conversation. But I actually love to come back and talk to you about this. But there's a whole separate conversation about fertility, and pregnancy, and gestation and delivery related to MS. The quick skinny is MS has no bearing on fertility whatsoever. None. And as it relates to our conversation, if you're having intercourse, we need to be thinking about the appropriate use of contraception to avoid unplanned events such as unplanned pregnancies and things like that. Geoff Allix (38m 17s): And before we wrap up, there's something I wanted to ask you on a completely different tack. Dr. Aaron Boster (38m 26s): Absolutely. Geoff Allix (38m 27s): So, just as someone who's got a lot of expertise in this area, and something that is of personal interest. Because of the podcast, I get asked lots about different supplements. So, people say, “Have you tried Coenzyme Q10? Have you tried lion's mane mushroom, St. John's Wort, ginseng, ginkgo biloba?” There's countless things. And some of them, I'm fairly sure, yeah, if your magnesium is low that's, you know, if anything's not off the normal levels, then yeah, absolutely. Geoff Allix (39m 7s): But there's always someone championing a supplement or other. So firstly, is there a framework that you would use to decide whether to try a supplement? Dr. Aaron Boster (39m 18s): That's an awesome question. Thank you for asking me that question. And it's a multi layered answer. So, I have two criteria, if you will. So, the first criteria, there are three things that must be met, if I'm going to greenlight a supplement. The first one is it can't be too expensive. So, each individual family has to decide if the cost of something is too expensive or not for them. And I bring that up because sometimes you may find supplements where it's actually a big chunk of their weekly check, and that's not okay with me. Particularly, if I don't have hardcore science suggesting that I can guarantee it works. So, it can't be too expensive. The second thing is it can't be dangerous. Dr. Aaron Boster (39m 59s): And sometimes supplements are dangerous. Now, oftentimes, they're not. But let me give you an example. If an immune booster actually boosted your immune system, it would be dangerous to take when you have MS. And, you know, just because it's natural doesn't mean it's safe. I mean, cyanide is natural. So, the second criterion is it can't be dangerous. And sometimes I have to do some investigations, digging through various ingredients to try to answer that question. The third is that it can't be instead of something I know works. So, if you tell me that you want to take CoQ10. CoQ10 is not dangerous. CoQ10 is not generally expensive. Dr. Aaron Boster (40m 41s): And if you're going to take CoQ10, along with your disease modifying therapy, I have no issues with that. But if you have to take your CoQ10 instead of your disease modifying therapy, where I have good solid scientific evidence that it helps you, now I have an issue. So that's my first criterion. The second criterion is more rigorous in that scientific evidence, you know, properly studied science to prove or disprove that something's helpful. And that second one, you know, we don't have a lot of info. There is some info for some supplements, and I'm going to go over a couple with you right now. But that would be the second one. And you know, it's worthwhile sharing, at least here in United States where I practice. Dr. Aaron Boster (41m 24s): The supplements and vitamins are not monitored by the American FDA. So, if there's a bottle of a prescription medicine, and it says it does something, they can prove that. It's been proven, it does something or they can't say it. You know, if there's a side effect on the bottle, or a dosage on the bottle, it has to be proven. Like that's not a suggestion, it's a proof. If you bottle a supplement that you get at a health food store, let's say. What they say on it isn't proven. It doesn't have to be proven. So, they could say, for example, it will make you grow 10 feet tall. And they're allowed to say that even if it's not true. Dr. Aaron Boster (42m 6s): And as a result, it calls into question, and it creates challenges and knowing whether something's okay, but which is kind of I think your point. So, when you look at the evidence, to me, this is a conversation about nutrition, right? And I start with, as we talked about, maybe a little bit earlier, I start with increasing water intake, believe it or not. I think if you're going to change one thing, increasing water is actually more relevant than any other vitamin or mineral or something that we're going to talk about. But that's my first one, honestly. After that, I really would rather spend time talking about healthy eating than I would about supplements. And I would like to engage in a conversation about eating real food, whole food, and avoiding heavy processed foods and the like. Dr. Aaron Boster (42m 54s): But let's move into some recommendations about vitamins. The first vitamin that I think is actually the most studied with the most evidence for benefit of MS is vitamin D3. And so low levels of vitamin D correlate with increased risk of developing MS. And if you have MS, low levels of vitamin D are correlated with worse outcomes. And so, I routinely check a blood level for vitamin D, and if it's below 50, I supplement. And I use D3, because I feel like it's better absorbed in the human body. And I want to push that level above 40 below 100, or excuse me, above 50 and below 100. Geoff Allix (43m 32s): So, can I just interject that. Because we measured it in a different way in the UK, and I think Europe. So, it's actually four times the number you're talking about. So, when you say 50, we say 200. Dr. Aaron Boster (43m 40s): Oh, okay. Geoff Allix (43m 40s): I don't know why that is just, it's not even an imperial metric thing. It's just because it is exactly – Dr. Aaron Boster (43m 46s): Thank you for bringing that up. That's a really, really important point. And you know, another important point is you and I, even though we don't live in the same continent, both live in areas where there's not a lot of sun for a good portion of the year. And so, taking a vitamin D supplement is important because we can't get it, you know, the good old-fashioned way. Now, I have through my involvement with Overcoming MS become turned on to the idea that it doesn't take a lot of sun to soak up vitamin D. So, if you go out and let's say shirtless, or, you know, wearing a halter top, or what have you with some exposed skin, for 15 minutes, you'll absorb 5,000 international units of D3. Dr. Aaron Boster (44m 30s): And now in the winter, Ohio with a foot of snow on the ground very few Ohioans are going to do that. But it is good to know that. Yeah. You know, and during the summer months you certainly do consider that. So, vitamin D3, I think, is very relevant. Past vitamin D3, my next recommendation. And I have to tell you, it's becoming increasingly something that I recommend. I'm on the cusp of recommending it for all people with MS. That's probiotics. So, taking a probiotic is really interesting. And there's an entire fascinating discussion surrounding dysbiosis and the impact of abnormal gut bacteria on the immune system. Dr. Aaron Boster (45m 16s): Although that's not why I'm recommending it. That's a discussion which is ongoing and still a work in progress. But the reason I'm recommending it is for gut health. People impacted by MS very commonly have significant constipation. And sometimes people with MS have significant diarrhea or incontinence. And so, probiotics pull someone who has constipation more towards the center. And probiotics pull similar diarrhea more towards the center. And so, I really think probiotics are a very, very helpful tool. The next supplement that I would recommend beyond that is added fiber. Because particularly where I practice in the United States, the very low fiber diets, which is a major problem for multiple things, and actually has an impact on MS, in my opinion. And so supplementing fiber, I think is important. Dr. Aaron Boster (45m 57s): Now, I would like you to do that with pears, plums, apples, and green vegetables but if you can't or aren't able, or don't want to do it that way, you can purchase a supplement like a FiberCon or Metamucil, or what have you, and then you can do it that way. Now, after that, it really depends on the situation. I think it's very reasonable for humans to take a multivitamin because, you know, we're not eating enough salads and vegetables with different colors. But the American diet is normally not devoid of things. It's not typically a problem with excess. Dr. Aaron Boster (46m 39s): And so, if you just add a multivitamin that kind of covers your bases. Now, I don't recommend mega doses of say, vitamin B12 routinely, or vitamin C routinely, unless there's deficiencies that I'm discovering. So, I'm not a physician that recommends as a priority that you take a B12 complex. Many people do, because it helps with energy in some cases. But I really find that if I'm not, if I can get you to eat a healthy diet, I'm going to take care of that through eggs and other things. Now, there's specifics that are recurrent low dose naltrexone. Dr. Aaron Boster (47m 21s): You mentioned L-carnitine, things like that. And there's varying levels of evidence for them. Some of maybe the best evidence would be some of, I think L-carnitine has some good evidence for energy. I believe that. I think that helps a lot. I think that's one that I look at. Then when you get into some of the other things, you can find small trials. Turmeric, for example. Low dose naltrexone, for example. And really, I deal those in a one-off fashion where someone's coming to me saying, “Aaron, what about this?” And then together, we kind of look through it. We look at the data if it's in existence, or if it's not, we discuss that. We go through my three criteria and then someone may try it. And here's the important part. If they try it, I want them to tell me what they found. Dr. Aaron Boster (48m 7s): You know, did it seem to help? Do they notice a difference? When they stopped it, did it get changed in any fashion? And that's anecdotally one of the ways that we have to kind of assess things. Geoff Allix (48m 20s): Because on the turmeric there are basically no risks, cost is very low, and there's anecdotal evidence, because it's been taken -- Dr. Aaron Boster (48m 36s): Yeah. Geoff Allix (48m 36s): And it's been used on the Indian subcontinent for centuries or millennia. Dr. Aaron Boster (48m 39s): And it's delicious. Geoff Allix (48m 43s): Yeah, that's right. Dr. Aaron Boster (48m 43s): You know, if someone wants to take turmeric, how about it? That doesn't violate any of the discussions we've had, and it may help. Geoff Allix (48m 56s): Yeah. And if it doesn't help, you still like the food and carry on. Dr. Aaron Boster (49m 4s): You know, its still and its still delicious. Geoff Allix (49m 4s): Yeah. I'll just add, just on a personal level. Because I'm fairly similar to what you're saying. So, I take vitamin D3 every day. I take a probiotic every day. And the other thing I take is - so probiotic gut health. But also, to reduce UTI, so there's something I came across that in Germany, they're routinely prescribed called D-mannose? Dr. Aaron Boster (49m 25s): Yes. Geoff Allix (49m 26s): And I found that I, and this may be -- because I think some of these things work in some people and some don't. And it's not expensive. It doesn't have a lot of risks. And so, I thought I'll give it a try. And literally within a week, I didn't have a UTI problem at all. Literally, I don't have UTI problems at all from having D-mannose. Dr. Aaron Boster (49m 50s): That's fantastic. I think that's a really, really great tip to share with people. And it's what I'm going to think about when I start my clinic tomorrow - about whether or not I'm not recommending D-mannose enough to folks with recurrent urinary tract infections. That's a pro tip. Thank you for sharing that one today. Geoff Allix (50m 12s): Well, yeah, I mean, but it may just be that worked for me. So, yeah. But then that's the same. Dr. Aaron Boster (50m 16s): Well, again, it's nice to have a toolbox where we can consider different things. And that's a very good supplement to keep in mind. Geoff Allix (50m 30s): So, with that, I'd like to thank you very, very much for joining us, and welcome you to the Overcoming MS Board and it's fantastic news. Giving some of your expertise towards the head of the organization. And I thank you for joining us, Aaron Boster. Dr. Aaron Boster (50m 48s): It's my absolute pleasure. Again, I love talking with you. And I hope that we get to do it again soon. Geoff Allix (50m 35s): Thank you. Geoff Allix (Outro) (50m 36s): Thank you for listening to this episode of Living Well with MS. Please check out this episode's show notes at www.overcomingms.org/podcast. You'll find all sorts of useful links and bonus information there. Do you have questions about this episode or ideas about future ones? Email us at podcast@overcomingms.org. We'd love to hear from you. You can also subscribe to the show on your favorite podcast platform, so you never miss an episode. Living Well with MS is kindly supported by a grant from the Happy Charitable Trust. If you'd like to support the Overcoming MS Charity and help to keep our podcast advertising free, you can donate online at www.overcomingms.org/donate. Geoff Allix (Outro) (51m 22s): Thank you for your support. Living Well with MS is produced by Overcoming MS, the world's leading multiple sclerosis healthy lifestyle charity. We are here to help inform, support, and empower everyone affected by MS. To find out more and subscribe to our e-newsletter, please visit our website at www.overcomingms.org. Thanks again for tuning in, and see you next time.
John Bowditch Mr. GridLab Science and Technology This is gonna be long. It's long because I needed to get a few things covered before we launch into John's interview. If you are bored of me or just want to listen to John, fast forward to 17:30 and start listening. Elon Musk meeting rules https://thriveglobal.com/stories/elon-musks-top-9-meeting-rules-which-ones-do-you-need-to-adapt/ COVID Booster shots https://www.cdc.gov/coronavirus/2019-ncov/vaccines/booster-shot.html https://www.cnn.com/2021/10/12/health/moderna-booster-fda-authorization-brief/index.html Monoclonals https://combatcovid.hhs.gov/available-covid-19-treatment-options Traditional Vaccination Rates from the USA Facts https://usafacts.org/articles/data-centric-look-vaccines-and-immunizations-united-states/ Linked In on Mental Well-Being https://www.linkedin.com/news/story/covid-eroded-our-mental-wellbeing-5160052/ The GRiD Lab https://www.ohio.edu/scripps-college/mcclure/gridlab Anthony Bourdain's Movie https://www.latimes.com/entertainment-arts/movies/story/2021-07-15/roadrunner-review-anthony-bourdain-documentary SIGGRAPH https://s2021.siggraph.org/ Agitprop and Samuel Adams https://www.britannica.com/event/Boston-Massacre/Aftermath-and-agitprop J Warren McClure School https://www.ohio.edu/scripps-college/mcclure John is an incredible polymath. It is always a pleasure to hear his thoughts. I am thinking that he needs to be a regular in the rotation. You can reach me at fredrick@ohio.edu directly with questions, comments or suggestions. Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: DuDa by Ian Post Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Disclaimers: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
D.O. or Do Not: The Osteopathic Physician's Journey for Premed & Medical Students
Emergency Medicine Physician at AdventHealth East Orlando Hospital, Dr. Andrew Little D.O. joins host Amir Khiabani OMS-IV in an episode of D.O. Or Do Not. Dr. Little serves as the Associate Residency Director for the Emergency Medicine Residency at AdventHealth East Orlando. In addition to his role as Associate Program Director, Dr. Little is the Co-Founder and Host of EM Over Easy, the official podcast of the American College of Osteopathic Emergency Physicians (ACOEP). Recently, Dr. Little was nominated and selected for the Emergency Medicine Residents' Association's (EMRA) 45 under 45 award!On today's episode, Dr. Little speaks on his childhood in rural Montana and his experiences with Osteopathic Medicine and why he chose his path. He speaks on his experiences throughout his premedical years, his time at Ohio University Heritage College of Osteopathic Medicine as a medical student as well as his time as a medical resident in Ohio. Reflecting through his path, Dr. Little provides guidance to students of all tiers and advice through the application process. In this episode, Dr. Little also provides a glimpse into what he, as an Emergency Residency Associate Program Director, looks for during the residency interview trail!The team here from D.O. Or Do Not Podcast hope you enjoy this episode!
Talk about inertia, as the saying goes, when I was young, I wanted to be old…I didn't expect this. It took a full month to get my head back on-line after the trip to the Middle East. But now the brain is working and so I'll get started by bringing you up to speed. We have a new medical school. It's very niiiiice. I also want to get some stuff out there about Afghanistan and the implications for medical care. Yes, there are very direct implications for how we do medicine in the USA. So I am going to riff for your commute and then we will find some super stellar people with big ideas to come on and chat about their things. In the meantime, listen and if you like what you hear, send feedback. If you have questions, send feedback. If you don't like what you hear, send feedback, politely worded please because I will read the comments with non-attribution. So there is a lot of overlap between Heisenberg's uncertainty principle and Schrodinger, his famous cat and observer effect. I'll let you sort those out for yourself. So Happy Labor Day!. I am glad to be back. The 9/11 Commission https://www.9-11commission.gov/report/911Report.pdf https://en.wikipedia.org/wiki/9/11_Commission_Report Cognitive Dissonance https://en.wikipedia.org/wiki/Cognitive_dissonance https://www.psychologytoday.com/us/basics/cognitive-dissonance Complex Adaptive Systems http://web.mit.edu/esd.83/www/notebook/Complex%20Adaptive%20Systems.pdf https://en.wikipedia.org/wiki/Complex_adaptive_system Systems engineering https://www.techopedia.com/definition/9611/systems-analysis Heisenberg Uncertainty Principle https://www.thoughtco.com/the-heisenberg-uncertainty-principle-2699357 Schoedinger's Cat experiement and Observer effect https://psychology.wikia.org/wiki/Observer_effect https://naturenoon.com/schroedingers-cat-experiment-simple/ Root Cause Analysis https://www.osha.gov/sites/default/files/publications/OSHA3895.pdf Downton Abbey https://www.imdb.com/title/tt1606375/ John Boyd's OODA Loop https://warroom.armywarcollege.edu/special-series/great-strategists/boyd-OODA-loop-great-strategists/ Lou Gerstner Who Says Elephants Can't Dance https://www.amazon.com/Who-Says-Elephants-Cant-Dance/dp/0060523808 fredrick@ohio.edu Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Dusk by Ian Post Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Disclaimers: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
Dr. Cuevas is currently an Army Reserve Anesthesiologist and Staff Anesthesiologist at Marion General Hospital in Ohio. He was also a prior Air Force Health Services Administrative officer before attending medical school at the Ohio University Heritage College of Osteopathic Medicine. In this interview he discusses his path to anesthesia, imparts wisdom on thriving in military medicine, and discusses the pros and cons of the specialty. DISCLAIMER: All the opinions presented in this podcast are our own and do not reflect the opinions of any branch of the U.S. military, or the Department of Defense.
Next up… Another Osteopathic medical school and this time you’ll be hearing from the Dean and Director of Admissions at the Ohio University Heritage College of Osteopathic Medicine or - OUHCOM. Located along the Hocking River in the picturesque rural surroundings of Athens, Ohio, this school is the number one producer of primary care physicians in the country. OUHCOM also has two additional campuses in Columbus and Cleveland. Listen in as we discuss some of the unique programs offered at OUHCOM along with some of the similarities and differences in the osteopathic application process. HELP US SPREAD THE WORD! We'd love it if you could please share All Access: Med School Admissions with your Twitter followers! Click here to post a tweet! Send me your recommendations for an admissions-related topic that you’d like me to discuss in a future episode! Send it to: allaccess@case.edu Visit https://case.edu/medicine/allaccess for more information on this episode and others. RESOURCES: OUHCOM Pathways to Health & Wellness Curriculum Summer Undergraduate Research Fellowship (SURF) Summer Scholars CONTACT: OU-HCOM@ohio.edu ---------------------- Fresh by MBB https://soundcloud.com/mbbofficial Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 Free Download / Stream: http://bit.ly/2PK8m0A Music promoted by Audio Library https://youtu.be/YqRO_qgBB1c
It’s so easy to let yourself become less important during catastrophic events. But as Dr. Katie Jobbins talks about, if you’re not looking after yourself, you won’t have the long-term capacity to care for others. Self-care is important, especially through a pandemic. Key Takeaways You can be okay with where you are and enjoy it Let whatever you’re focusing on go and move on Find movement you love and want to do About Dr. Katie Jobbins Katie Jobbins, DO, MS, FACP is a primary care internist at High Street Health Center Adult, an academic hospitalist at Baystate Medical Center, and Associate Program in the Internal Medicine Department at UMMS-Baystate in Springfield, MA. Dr. Jobbins received her undergraduate degree in Nutrition Science from Syracuse University and her Masters in Science from Case Western Reserve University in Nutrition and Metabolism. She attended Ohio University Heritage College of Osteopathic Medicine where she graduated in 2010. Initially, Dr. Jobbins started her training in general surgery residency at the Cleveland Clinic--South Pointe but after 2 years found her true passion was in Internal Medicine. She then completed 3 years of Internal Medicine and stayed on to be Chief Residents in 2015-2016 at Baystate Medical Center. In her current role as Associate Program Director in the MMS-Baystate Department of Internal Medicine, Dr. Jobbins serves as a clinician-educator working with residents in both the inpatient and ambulatory setting. She leads the social justice working group, the director of the resident’s self-reflection and wellness curriculums, ambulatory quality improvement curriculum, co-director of the humanities track, and director of the Chief Resident leadership curriculum for the health system. Dr. Jobbins is also an Assistant Profession at UMMS-Baystate. She is an active member both nationally and locally in SGIM, AMA, AMWA, and the ACP. In the Massachusetts ACP Chapter, she is the co-chair of the Early Career Physician Council and supervises the resident/fellow council. She recently won one of the AMA Inspiration Awards for her work in medical education. Prioritizing Yourself During a Pandemic When this pandemic hit, Dr. Katie Jobbins found herself falling back into old habits where she didn’t prioritize her own health. Despite previously going to therapy and private programs, it wasn’t until she joined a group program that Katie felt she had the tools and accountability to make lasting changes. The pandemic has impacted all of us in one way or another, and for so many of us, it’s been detrimental to how we take care of ourselves. Katie explains why it was essential for her to find time for herself. Katie shares some of the ways she started prioritizing herself throughout the last year. It doesn’t matter that there’s a pandemic going on - it shouldn’t change the way you care for yourself. Creating Space for Yourself Every Day Katies says you need to make sure you’re doing something for yourself every single day - and notice when and what this is. It’s not only about doing something for yourself. The act of recognizing that you’re putting yourself first has a positive impact on your overall health, too. Katie shares some ideas for how to look for and create space in your life. Can you go for a walk during your lunch break? Take advantage of what space you already have in your schedule. Finally, Katie talks about how she started enjoying exercise and movement. It’s so different to approach movement and wellness from a place of love and joy than from a space of necessity. This change of mindset is so valuable. Homework for Women Physicians How do you create space in your day that’s just for you? If you haven’t done this - or haven’t done it sustainably - this is your permission slip to start finding space. Let me know in the comments on the episode page. In This Episode Why group coaching programs have a different impact than private programs or even therapy [8:00] Why you need to make time for yourself, even when you don’t feel like you have it [10:30] How to put yourself first, even during a pandemic [13:00] Why you should recognize what you’re doing for yourself [14:30] How to look for and create space in your life [18:45] How to have a healthy relationship with activity and mental health [28:00] Quotes “I needed that external stimulus from someone else who was almost like my honest mirror. I could hear it, but I was afraid to say it out loud. When I finally said to her that I need help, I need additional resources with people who are having similar struggles to me. I had done therapy, I’d done all the private things, but I needed something that was more of a group together. I needed accountability. As the pandemic went on further, I felt more isolated. I needed something that could help me have a deeper connection with other people.” [7:13] “The pandemic’s going to keep going. It’s not going away, this is our life now. For us to say that that we’re going to get to a new life at some point, great. But this is where we are now. I can’t change that. I can control what I do, I can try to control what goes on in my family. The biggest part of the transformation is that I’m okay with the chaos now.” [13:12] “You should do something for yourself every day. The idea that there is space for you if you let yourself have it. It’s okay, don’t feel guilty. Create that space for yourself.” [15:25] “I think that the biggest takeaway from the Transform process is that I’m taking care of myself and I feel less helpless. When the pandemic hit, I felt helpless, and I couldn’t figure out where that came from. It’s that I really needed to help myself. I was already helping so many other people. But I needed to help myself so that I could take care of all the other things that were on my plate.” [31:23] Resources Mentioned Check out the full episode page here Find Life Coaching for Women Physicians Online Follow Dr. Ali Novitsky on Facebook | Instagram Subscribe to Life Coaching for Women Physicians on Apple Podcasts Podcast production by the team at Counterweight Creative Related Episodes Episode 53: Dr. Harita Raja on Mind-Body Transformation Episode 51: Dr. Daisy Ramirez-Estrada On Learning to Prioritize Self Care Episode 50: Dr. Lindsey Davis on Overcoming Limiting Beliefs
The Doc, U R… Podcast aims to empower physicians (from medical school and beyond) and combat the stigmas surrounding their mental health and diminish physicians affected by limiting beliefs, working small, and burnout. We will start with the women doctors in our lives and provide conversations geared towards female physicians, but understand this is not just about female physicians.The objective of the podcast is to de-stigmatize physician mental health. The goals are to humanize physicians, empower female physicians, and bring awareness to their healing needs. The theme this season is “Navigating Mental Health & Medicine: Defining Burnout, An Occupational Hazard.”This week, Dr. Kiki talks with Dr. Nancy Joseph about how we can define burnout and use it to create options for growth and healing. A Double Board Certified Adult/Pediatric Allergist and Immunologist, Haitian-born Dr. Joseph graduated with a Bachelor of Science in Biology from Middle Tennessee State University, graduated from Ohio University Heritage College of Osteopathic Medicine, completed her Pediatric residency at Stony Brook Children's Hospital and completed her Allergy/Immunology fellowship at University Hospitals Cleveland Medical Center. She is currently a practicing adult and pediatric allergist/immunologist in private practice in Massachusetts.In this episode: How going through medical school affects mental health, and how to deal with burnout.The struggles of culture shock combined with learning when in a new environment.The importance of having a flowing section in your life.What it takes to BE a physician vs what a Physician appears like.Enjoy as Dr. Joseph discusses cultural competency, maintaining balance, and being intentional about self replenishment.~~~~BIZ HIGHLIGHTSThe DOBlack Girl VenturesWired MagazineMedium~~~~GUEST INTAKE FORMInterested in being a guest? Fill out our Guest Intake Form.PHYSICIAN ONLY SURVEYFill out and share our Physician Survey to help improve resources for physicians.FEMALE PHYSICIAN ONLY NETWORKJoin and share our Female Physician Collective, dedicated to finding solutions to the issues we face.SPONSORSHIP OPPORTUNITIESLooking to sponsor the podcast? Fill out our Sponsorship Form.CREDITSHost: Dr. KikiTunes: Noah JacobsDISCLAIMERViews expressed on the podcast are solely those of the host and the guests interviewed and are for informational/educational purposes only. Also, views shared are addressing issues in the medical system overall.Although there is a myriad of medical professionals sharing their insights, please consult with your established healthcare professional for any and all health matters.CONNECT WITH USWebsiteInstagramLinkedInTwitterFacebook
Medical school is hard. We are constantly told that we need to check various boxes in order to “succeed” as a medical student, but is it really worth crying at 3 AM, fully clothed in your bathtub, eating your stress food of choice? In this episode, we are joined by Nicole and Ana, two medical students from the Ohio University Heritage College of Osteopathic Medicine and co-hosts of the Impersonating Doctors podcast. We talk about everything from media representations of doctors, to maintaining your mental health in medical school, to finding your own lane in medicine. We hope this conversation brings you as much joy as it did us! Pro-tip: Check us out on their podcast, too! Clean-Up: At 18:02, Ana says that memories are consolidated in N-REM stage 3 which is incorrect. It's actually in REM. (She formally apologizes to her psych preceptor.)Connect with Impersonating Doctors!Spotify | Apple Podcasts | WebsiteInstagram: @ImpersonatingDoctorsEmail: Impersonatingdoctors@gmail.com
Yes, its long but not so long that I could have split this easily into 2 episodes. The last episode of my conversation with Bryant Giles, DO. Today we are going to discuss EHRs and ophthalmology. Fun huh? Nope. But if you are considering a career in medicine you really need to think about how much of a headache you want in your daily work. It’s a Don Quixote task at this point because we have been complaining about them for nearly a decade now and crickets from the people who don’t care for patients but tell us this is absolutely necessary… Bryant has a You Tube channel. The Eye Chiefs https://www.youtube.com/channel/UCqMAxQbK1jLNGju_S_51NLg Bryant has a website. Surgery with Dr. Giles https://www.surgerywithdrgiles.com/meet-dr-giles I am feeling pretty inadequate right now as I write this… The best part of this series is the clear message that serendipity plays a big role in life. You start thinking you want to do one thing, but you end up finding out just where you should be… AMOPS https://amops.org/ don’t be a stranger, we would welcome any civilian medical student or physician as well…and that includes MDs. You can always contact me with comments or questions at fredrick@ohio.edu Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Chaos at the Spaceship by Out of Flux Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Disclaimers: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): RODE Podcaster Pro RODE NT1-A mics RODE Lavalier GOs RODE Podcaster Pro Zoom H6N Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
Bryant Giles DO , Ophthalmology Episode II Specialty Spotlight Okay, let’s see if I can finish this series out of pure respect for you in the audience and for Bryant. In this episode we discuss the common diagnoses within the specialty and training. We also put a shout out (in?) for Brooke Army Medical Center and its world renowned burn center in good old San Antonio, Texas. We finish up with a discussion of technology and advances. Like this: https://apps.apple.com/us/app/ullman-indirect/id1243282866 http://www.ullmanindirect.com/ Ophthobook https://timroot.com/ophthobook/ I could ramble some more for the notes but you’ll get the gist by listening. It was a great interview. fredrick@ohio.edu Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Yes, you did hear a repeat and it’s because I really liked the music so it was worth repeating… Still Life by ANBR Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Disclaimers: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
BIO: Dr. Raouf (Ron) Gharbo completed his specialty residency medical training in Physical Medicine and Rehabilitation at an elite program at The Ohio State University Medical Center in Columbus, Ohio. Prior to specialty residency training, he learned a holistic translational approach to medicine at Ohio University Heritage College of Osteopathic Medicine in Athens, Ohio. Dr. Gharbo is board-certified by the American Board of Physical Medicine and Rehabilitation, the American Board of Electrodiagnostic Medicine and accredited by the Academy of Integrative Pain Management. He is a long standing EVMS Clinical Associate Faculty member of the Department of Physical Medicine and Rehabilitation. SHOW NOTES:
Dan Skinner, PhD is an associate professor at the Ohio University Heritage College of Osteopathic Medicine, where he teaches health policy. He is the host of the podcast Prognosis Ohio (links: web, apple podcasts, spotify), a "podcast addressing all facets of health care, health policy, and health politics in the great state of Ohio."In this episode, we discuss the importance of health policy curricula in medical education, the evolving role of physicians in public health advocacy, and how our current system encourages or discourages medical student involvement.Show Notes:The Social Transformation of American Medicine by Paul Star Dr. Skinner's article in KevinMD
Bryant Giles DO is a senior Ophthalmology Resident and he never intended to be an ophthalmologist. In this series we are going to discuss how plans change and how life leads us to opportunities that we would never have considered without the serendipity of life. Bryant focuses on his specialty but along the way we discuss life and different universities and how it all comes together. We also discuss Utah which is a place that everyone should experience. It’s a Specialty Spotlight series but its valuable for any medical student, premed or older physicians who want to find something different because they are not fulfilled in what they are currently doing. I also asked Bryant about his lifestyle in the military. He assured me that he is “doing fine on his current pay.” Ad reiterated the truism of living like a resident after residency as a means of finding a stable financial position. That’s wisdom that I was taught as well and it was invaluable. AMOPS https://amops.org/ Georgia PCOM https://www.pcom.edu/campuses/georgia-campus/ The “U” https://www.utah.edu/ Utah State https://www.usu.edu/ Liberty University https://www.liberty.edu/lucom/academics/doctor-of-osteopathic-medicine-degree/ University of the Incarnate Word https://osteopathic-medicine.uiw.edu/index.html Shoot me any comments or questions @TR Fredricks on MeWe You can connect with me on Linked In at Todd Fredricks DO or Parler me @MedicalCinema Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Around Again by Ian Post Courtesy of Artlist.io Produced by: Todd Fredricks DO Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
In order to properly frame the series coming up with Bryant Giles DO, I felt that it was appropriate to start with a Merry Christmas and Happy New Year wish for all of you. I also got a lot of questions from various people about when they can get vaccinated for SARS CoV2. So I thought it reasonable to clarify where we are right now. It's an episode of various things and I am hopeful that next week, assuming I am not crashed from my own COVID-19 shot, that you will be hearing Episode 1 of Bryant Giles DO and that you will enter the new year thinking about how a focus on one residency may come at the expense of really finding professional happiness. Listen to Bryant, he will explain it all to you. In the mean time, Happy Christmas Eve! Please share Rotations with your friends... Shoot me any comments or questions @TR Fredricks on MeWe You can connect with me on Linked In at Todd Fredricks DO or Parler me @MedicalCinema Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: The Christmas Sleigh Ride by Francesco Dandrea Courtesy of Artlist.io Produced by: Todd Fredricks DO Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
Dawn Graham PhD is back for the last episode of this series on Psychology and its role in caring for patients. We talk about how students are primed to live in the future and as a result we are not teaching our students to be in “the present”. That has direct implications for our patients and the quality of care that we give them. We discuss the how “the next thing”, pursued from the silo of your own home, without true interpersonal communication, is affecting our psyches, our ability to have good in-person dialogue and ultimately suicide and burnout rates. Its convicting. You’ll notice that we discussed doing an episode on the social determinants of health after Week 6 last years because “my bandwidth was going to expand…” well that seems pretty funny now. Don’t worry I spoke with Dawn today about other things and we are going to get back on track with that as well…thanks for your patience. Shoot me any comments or questions @TR Fredricks on MeWe You can connect with me on Linked In at Todd Fredricks DO or Parler me @MedicalCinema Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Beyond by Ian Post Courtesy of Artlist.io Produced by: Todd Fredricks DO Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
Some catch up thoughts about social media and the RONA… CSPAN Social Media Platform Testimony before congress https://www.c-span.org/video/?478048-1/facebook-twitter-ceos-testify-regulating-social-media-content&live= The Social Dilemma https://www.thesocialdilemma.com/ Mark Zuckerberg’s Security Costs https://www.businessinsider.com/facebook-spends-23-million-security-for-mark-zuckerberg-2019-2020-4 The Watchmen https://en.wikipedia.org/wiki/Quis_custodiet_ipsos_custodes%3F Analytics for COVID-19 Deaths https://covid.cdc.gov/covid-data-tracker/#demographics Genetic Fallacy https://en.wikipedia.org/wiki/Genetic_fallacy Corona Virus Strains https://nextstrain.org/ncov/global?c=clade_membership&dmax=2020-02-28&dmin=2020-01-31&r=region Operation Warp Speed https://www.hhs.gov/coronavirus/explaining-operation-warp-speed/index.html https://www.statnews.com/pharmalot/2020/09/08/covid19-coronavirus-trump-vaccines-fda-warp-speed/ VAMS Vaccine Management System https://www2.deloitte.com/us/en/pages/public-sector/solutions/vaccine-management-system.html Center for Threat Preparedness https://dhhr.wv.gov/healthprep/Pages/default.aspx Distribution phases of SARS CoV2 Vaccine (page 12) https://www.cdc.gov/vaccines/imz-managers/downloads/COVID-19-Vaccination-Program-Interim_Playbook.pdf First Follower Phenomenon https://www.ted.com/talks/derek_sivers_how_to_start_a_movement/transcript Social Proof https://en.wikipedia.org/wiki/Social_proof ACIP Advisory Committee on Immunization Practices https://www.cdc.gov/vaccines/acip/index.html Viral Loads in the air column https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7662582/ Stuff You Should Know https://en.wikipedia.org/wiki/Stuff_You_Should_Know Shoot me any comments or questions @TR Fredricks on MeWe Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Fuori di me by Kaput Blue Courtesy of Artlist.io Produced by: Todd Fredricks DO Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
I promised that I would catch up and so... Dawn Graham PhD has joined us again for the second episode of her terrific interview about the world of psychology. I don’t have a lot of references for this episode so how about just one? Patient Compliance. Just start with this and google for more https://www.aamc.org/news-insights/why-don-t-patients-follow-their-doctors-advice It’s a long episode but it was a very good conversation and I enjoyed all of it. Shoot me any comments or questions @TR Fredricks on MeWe You can Tweet me @MedicalCinema or Parler me @MedicalCinema Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Interspacing by Yehezkel Raz Courtesy of Artlist.io Produced by: Todd Fredricks DO Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
Dawn Graham PhD is a wonderful person. She is one of the most hopeful colleagues that I know and so I enjoy working with her. I am also primed by a background in abnormal psychology so I tend to like psychologists. But in this series we are going to tackle the issues of burnout, resiliency, fear. I think you will enjoy the episodes as much as I enjoyed recording them. Dawn’s Bio at OU https://www.ohio.edu/uc/grahamd Antifragility https://www.amazon.com/Antifragile-Things-That-Disorder-Incerto/dp/0812979680 Another reference which every medical student should be required to read is Michael Crichton MD’s incredible book, State of Fear https://www.amazon.com/State-Fear-Michael-Crichton-ebook/dp/B000FC2NQW/ref=sr_1_1?crid=ER34XPDD128P&dchild=1&keywords=state+of+fear+by+michael+chriton&qid=1604335974&s=books&sprefix=state+of+fear%2Cstripbooks%2C174&sr=1-1 This is perhaps all the more important in today’s current environment where people are scared of COVID, scared of the environment, scared of politics and everything becomes demonized and a crisis. When everything is a crisis, nothing is a crisis. It is not a healthy place to develop solutions that are enduring and compelling for a society to follow. Physicians, among all professions, should not live in a state of fear. They should learn to be comfortable with ambiguity and have the courage to lead in those circumstances without contributing to fear. The Paw Paw Festival https://www.ohiopawpawfest.com/ Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: See Me by Jango Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
Well, because the nation has lost its mind, I think it is worthwhile to spend a little time getting you prepared for the discussion with Dawn Graham, PhD. I am concerned about how a contingent of this nation is scaring the grandmas. I am concerned about medical students who are already stressed out wondering if they live in a good nation…that has any kind of future and I am concerned about a nation that is taking some pretty basic concerns (compliance with law and statute) and turning it into a hyperbolic projection of national castrophe. So I am giving you some things to consider before we listen to Dawn. With all apologies to Dean Burke (Bill) I present you with James. Understand that Dean “Bill” Burke has plenty of interesting things to say as well. “The Big Short” by Michael Lewis https://www.amazon.com/Big-Short-Inside-Doomsday-Machine/dp/0393338827 “The Big Short” Directed by Adam McKay https://en.wikipedia.org/wiki/The_Big_Short_(film) Neutron Bomb https://en.wikipedia.org/wiki/Neutron_bomb James Burke, “Connections” https://en.wikipedia.org/wiki/Connections_(TV_series) https://www.youtube.com/watch?v=XetplHcM7aQ Certification of elections https://en.wikipedia.org/wiki/United_States_presidential_election Loma Prieta Earthquake https://en.wikipedia.org/wiki/1989_Loma_Prieta_earthquake German Citizens getting shot in the wire; https://en.wikipedia.org/wiki/The_Bridge_at_Andau “The Bridge at Andau” by James Mitchener https://en.wikipedia.org/wiki/The_Bridge_at_Andau Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Seraph by Kiba Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
What about really sick kids? Since we are in the age of the COVID we need to understand that children can have some very serious , albeit thankfully very rare, complications with a SARS CoV2 infection. But that said the American Academy of Pediatrics is strongly behind reopening schools because of all of the other positive impacts on children that schools have on them. Further the issue of dealing with hospitalized children and those with serious critical illness touches any rational person deeply. How do pediatricians deal with such things? What about the pediatricians who deal regularly with children who die from their illnesses. How do they cope with that? Kawasaki-like disease (Multisystem Inflammatory Syndrome) https://www.cdc.gov/mmwr/volumes/69/wr/mm6932e2.htm#:~:text=In%20April%202020%2C%20during%20the,in%20England*%20(1). Kawasaki disease https://www.heart.org/en/health-topics/kawasaki-disease#:~:text=Kawasaki%20disease%20(KD)%2C%20also,vessels%2C%20particularly%20the%20coronary%20arteries. School and Covid https://services.aap.org/en/news-room/news-releases/aap/2020/pediatricians-educators-and-superintendents-urge-a-safe-return-to-school-this-fall/ Clusters https://www.theatlantic.com/health/archive/2020/09/k-overlooked-variable-driving-pandemic/616548/ Health Systems Science https://www.ama-assn.org/education/accelerating-change-medical-education/teaching-health-systems-science https://www.amazon.com/Health-Systems-Science-Susan-Skochelak/dp/0323694624 Fisher House https://fisherhouse.org/ Guess what? They do have a Fisher House at Elmendorf https://fisherhouse.org/programs/houses/house-locations/ CDC Vaccine Schedule https://www.cdc.gov/vaccines/schedules/index.html Autism and Vaccinations https://autismsciencefoundation.org/what-is-autism/autism-and-vaccines/ For those of you willing to wear another type of uniform and leave medical school without debt, Neil discussed the HPSP program, his time at Joint Base Elmendorf Richardson and how we both like working with mid-levels. HPSP https://www.goarmy.com/amedd/education/hpsp.html https://www.health.mil/Training-Center/Clinicians-and-Healthcare-Providers Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Tunnel Vision by Stanley Gurvich Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
This episode, number 2 in the queue, is focused for the sake of student’s success on a pediatrics rotation. We also spend some time on pediatric diseases. Blueprints for pediatrics https://www.amazon.com/Blueprints-Pediatrics-Bradley-Marino-MSCE/dp/1451116047 First Aid for pediatrics https://www.amazon.com/First-Aid-Pediatrics-Clerkship-Fourth-ebook/dp/B075RQNKWR Harriet Lane Handbook https://www.us.elsevierhealth.com/the-harriet-lane-handbook-9780323674072.html For those interesting in the process of rapid vaccine development: Operation Warp Speed https://www.hhs.gov/coronavirus/explaining-operation-warp-speed/index.html Cystic Fibrosis Foundation https://www.cff.org/ Juvenile Onset Diabetes https://www.jdrf.org/ (which isn’t just about kids anymore) Overall it is just a very pleasant continuation of the practice of medicine in the realm of little humans… For those of you willing to wear another type of uniform and leave medical school without debt, Neil discussed the HPSP program, his time at Joint Base Elmendorf Richardson and how we both like working with mid-levels. HPSP https://www.goarmy.com/amedd/education/hpsp.html https://www.health.mil/Training-Center/Clinicians-and-Healthcare-Providers Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Walkabout-Australia by Hans Johnson Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
“If a patient feels like their doctor knows them as a person, they're eight to nine times more likely to follow through with their treatment instructions,” says Dr. Ken Johnson. Creating that kind of connection is more challenging in a virtual visit, he worries, not to mention the reduced opportunity to take the actual “hands-on” approach to care that osteopathic physicians practice. But schools of medicine like the one he runs at Ohio University are finding ways to teach telehealth skills, and Johnson has confidence the students will make it work. “Students have great ideas about how to evolve things, and I challenge every single class that comes in to give us feedback to improve the process for them,” he tells host Shiv Gaglani. Embracing the sudden ascendence of telehealth is just one of the major adjustments today’s medical students are having to make in the midst of a once-in-a-century pandemic, and Johnson sees building their resilience to manage the stressful and unpredictable nature of a career in medicine as a key objective, which he says can be accomplished if you create an “environment of support.” Catch this conversation with host Shiv Gaglani as Johnson discusses how that can be done, strategies for serving rural communities and why so many schools of osteopathic medicine are located in relatively small towns.
D.O. or Do Not: The Osteopathic Physician's Journey for Premed & Medical Students
Dr. Robert Cain is the current president and CEO of the American Association of Colleges of Osteopathic Medicine also know as AACOM. Every osteopathic student has communicated with AACOM. AACOM is the organization that supports the 37 accredited colleges of osteopathic medicine in the United States. Dr. Cain, is a pulmonologist by trade and graduated from Ohio University Heritage College of Osteopathic Medicine. Before he became president and CEO he served as the Associate Dean for Clinical Education at the Ohio COM where he oversaw business development and relationship management for clinical experiences associated with undergraduate and graduate medical education. Prior to this university appointment he served as the Director of Medical Education at Grandview Hospital in Dayton, Ohio.Over the past two decades, Dr. Cain has served on a number of local, state, and national committees, task forces, and boards in a variety of roles, including the American Osteopathic Association, and the First Chair of the Accreditation Council for Graduate Medical Education Osteopathic Principles Committee. Dr. Cain was inducted into the AOGME Collegium of Fellows in 2018 and has received many other awards for his contributions to osteopathic medical education, including the Association of Osteopathic Directors and Medical Educators Leadership Award in 2014, Ohio University Heritage College of Osteopathic Medicine Master Clinical Faculty in 2011, Ohio University Heritage College of Osteopathic Medicine Standard of Excellence Award in 2009, and the ACOI Teacher of the Year in 2004. We hope you enjoy this interview.
So here he is, after years of trying to find a pediatrician to opine about the specialty, Neil Copeland, MD; pediatrician. Neil is the first purposeful pediatrician on Rotations. If I sound gleeful it’s because I am. Pediatricians are notoriously hard to get to commit to interviews… John does a really good job of sorting out the process of getting through a pediatric residency but his comments are germane to any medical specialty. He also gives a great intro to the things that pediatricians do and the things that all good physicians should be doing prior to referring to a pediatrician. That makes this interview highly relevant to Family Physicians as well. Also, I hope you understand that the term “veterinary medicine” is an inside joke among physicians. It has nothing to do with our general love for managing children as patients. Babies can’t talk and so… …sometimes I find myself wondering why I have to explain this but we live in a hypersensitive time so there is the disclaimer. I also imagine that I will ruffle feathers with my initial comments about disaster management but I will ask that you indulge me. A lot of "expert" opinions get shot out into social media and misinform people who look at physicians as “experts” in things. That creates chaos and is not aligned with the calling of academics. I hope that a lot of young physicians consider going into administrative medicine after they get a decade or so of experience in actual clinical practice. You have to understand tactics and operations to become an effective strategic leader. The only practical way to gain that understanding is to spend a long-time practicing medicine. I would encourage you to register and take courses with FEMA’s Emergency Management Institute. It will address some of the concerns that I mentioned in the beginning of this episode. https://training.fema.gov/ FEMA https://www.fema.gov/ For those of you willing to wear another type of uniform and leave medical school without debt, Neil discussed the HPSP program, his time at Joint Base Elmendorf Richardson and how we both like working with mid-levels. HPSP https://www.goarmy.com/amedd/education/hpsp.html https://www.health.mil/Training-Center/Clinicians-and-Healthcare-Providers JBER Hospital https://www.jber.jb.mil/ USAF Surgeon General https://www.af.mil/About-Us/Biographies/Display/Article/466853/lieutenant-general-dorothy-a-hogg/#:~:text=Gen.-,Dorothy%20A.,Air%20Force%2C%20Arlington%2C%20Virginia. To close out the episode Neil introduces us to the concept of Quality Improvement Fellowships in pediatrics. Fellowship in quality improvement https://medpeds.org/residents/fellowship-guide/quality-improvement/ And hey! I found one at our own Children’s Hospital… https://www.nationwidechildrens.org/for-medical-professionals/education-and-training/fellowship-programs/quality-and-safety-leadership-fellowship Finally, I want to leave you with this and highlight another great thing from Nationwide Children’s Hospital, Monarch 1… …flying things make me happy. https://www.metroaviation.com/project/nationwide-monarch-1/ Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Pastor Dan’s Sermon-Final Speech by SPEARFISHER Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
So, we are between series and I anticipate giving you some Neil Copeland MD next week but in the meantime I thought it would be a good time to do a COVID-19 update. So we are going to talk about Flu Shots, Convalescent Plasma, Vitamin D, SARS CoV 2 Vaccine and then a little on suicide and Who Moved my Cheese? As always I am including links in these notes for you to pursue at your leisure… Hedgerow cutter in WW II. https://en.wikipedia.org/wiki/Curtis_G._Culin Red Cross Blood Donation https://www.redcrossblood.org/ Vitamin D. https://www.medicalnewstoday.com/articles/161618#sources-of-vitamin-d Vaccines and Operation Warp Speed. https://www.hhs.gov/coronavirus/explaining-operation-warp-speed/index.html Transverse myelitis https://www.ninds.nih.gov/disorders/patient-caregiver-education/fact-sheets/transverse-myelitis-fact-sheet Who Moved My Cheese? https://www.amazon.com/Who-Moved-My-Cheese-Amazing/dp/0399144463/ref=sr_1_1?crid=1YKA8R7U2VDY0&dchild=1&keywords=who+moved+my+cheese+by+spencer+johnson&qid=1601488751&s=books&sprefix=Who+Moved+my+Cheese%2Cstripbooks%2C162&sr=1-1 The Movie. https://www.youtube.com/watch?v=OvYCLxqkfvY Second Law of Thermodynamics. https://en.wikipedia.org/wiki/Second_law_of_thermodynamics Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Kalahari Wind by SPEARFISHER Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Disclaimers: Cut Clip Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
This is the last of the episodes on Trauma Informed Care. Right up front, forgive the audio levels, that is on me, neither Lori or Jennifer like microphones and so it’s gonna be low levels. Had I been thinking I would have dropped my audio but hey, I am a family physician and not a genius audio engineer like one of my friends at OU who recently got married. Congratulations, Josh. I could have used you on this. Anyway, Lori Brown LISW-S, LICDC and Jennifer Schwirian LISW-S are social workers who have a passion for looking at predictive outcomes in health care that center around childhood traumas. They are going to continue to talk with us about ACES and TIC. So, in this final episode we continue to address this topic and in the process I hope, sensitize those of you listening to the importance of considering ACES as part of your patient intakes and initial history taking. Helping patients to understand the impact of trauma on their long-term health may just help them live longer and healthier lives. I think we all want that. SETICC https://www.facebook.com/SETICCOhio/ ACES https://www.cdc.gov/violenceprevention/acestudy/index.html Vincent Felitti MD https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220625/ https://en.wikipedia.org/wiki/Adverse_Childhood_Experiences_Study Trauma Informed Care https://www.nctsn.org/trauma-informed-care By the way, Lori doesn’t like the mic so forgive the audio levels. Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Illusory Rhythms by Spearfisher Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
Guest Bio:Dr. Isha Butler, D.O., went to Geneva College at Pittsburgh for an undergraduate, where she got a double major in biology and chemistry, and she minored in Psychology. She then went on to pursue her medical education at Ohio University Heritage College of Osteopathic Medicine. Afterward, Dr. Isha Butler doubled in Psychiatry residency for approximately one year but ultimately ended up in Family Medicine at Toledo, Ohio. She currently rounds at several hospitals and lives. Dr. Isha Butler also owns her own direct primary care practice. She pioneered a six-week cognitive behavioral therapy-based program to jumpstart patients' mental health and revolutionize their physical and mental health. She enjoys spending lengthy consultations with patients and appreciates the connection she's making.Highlights:Coping up with COVID; how doctor Isha is handling the current situation and the fantastic system the hospital she is doing round practices to control the spreadAn auditory and fast learner, Dr. Isha on slaying her med school journeyThe fascination of the human brain and body that eventually led her to family medicineDeciding on to leave medicine or practice it on her terms that made Dr. Isha pursue Direct Primary Care practiceHaving a 3-month life review as Dr. Isha's solution in balancing her family life, direct primary care, and medical hospitalDealing with work-related stress by not thinking about accomplished based self-assessmentLack of understanding of depression's signs and symptoms in high function individualsThe mindset of always challenging herself how to help people but staying happy.Links Website: https://www.butlerfamilymedicine.com/Quotes:"I felt that honest sensation of falling in love with the subject and with the human body and the complexity of it" 7:23"Figure out whom you want to be and then work backward and then every once in a while make sure you are checking in" 27:02"Sometimes the battles we fight and win every day in our brains will get sick of fighting it, and we shouldn't have to" 30:18
Lori Brown LISW-S, LICDC and Jennifer Schwirian LISW-S are back. This week on Rotations we continue ou r discussion about Trauma Informed Care. ACES is used as a predictive tool for future health issues. It is not a tool to identify mental or behavioral health problems and it was not designed to identify people who are somehow damaged. It is a tool that allows clinicians to help people understand what their long-term health risks may be. ACES is not a tool to look at social-economic status of childhood. We also discuss a little of the history of ACES and how Dr. Felliti moved from bariatric treatment and patients who dropped out of his program to identifying childhood trauma and correlating it with the propensity of overweight patients to leave bariatric treatment. It’s a good illustration of how humans are an interconnected system of mind, body and spirit and that injury in one system can reflect itself in problems in one of the other systems. It’s also a very curious story about the confirmation bias inherent in medicine; something that can create a protective conservative position or actually interfere with the progress of medical science. It also gets into the very prevalent issue of childhood sexual trauma and the hidden nature of child abuse and its potential to harm its victims well into adulthood. Soooooo, in this second episode we continue to discussion and talk about resiliency and how an understanding of ACES can help primary care physicians better understand their patients and how to guide them in their care. Antifragile by Nassim Taleb https://www.amazon.com/Antifragile-Things-That-Disorder-Incerto/dp/0812979680 SETICC https://www.facebook.com/SETICCOhio/ ACES https://www.cdc.gov/violenceprevention/acestudy/index.html Vincent Felitti MD https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220625/ Robert Anda MD https://robertandamd.com/bio-2/ https://en.wikipedia.org/wiki/Adverse_Childhood_Experiences_Study Trauma Informed Care https://www.nctsn.org/trauma-informed-care By the way, Lori is still very quiet. Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Roots by I am Fowler Courtesy of Artlist.io I needed a little funk in my life and I think Austin Powers or Jackie Brown was floating around in the back of my head. Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
Lori Brown LISW-S, LICDC and Jennifer Schwirian LISW-S are social workers. They are Licensed Clinical Social workers and they work with a population of patients who have significant mental illness. As part of their work they have developed a deep understanding of trauma. Not the crash your car into a bridge piling trauma, but trauma emotional trauma that occurs in childhood from neglect, un-met needs and other emotional insults that can significantly shape behavior in adulthood. In this series we are going to look at the topic of Trauma Informed Care. This is a topic that is controversial. There are some people who think that trauma in this context is overplayed. There are others that don’t think enough attention is being paid to the impact of childhood and developmental trauma on adult behavior and mental health. So we tackle this with a discussion and let you have the opportunity to think about it and make some conclusions. In this first episode we discuss what a Clinical Social Worker is and what a Psychologist is and also what a Counselor is as far as educational requirements and what they do. Then we dive into the various agencies and players in the realm of trauma. SETICC https://www.facebook.com/SETICCOhio/ ACES https://www.cdc.gov/violenceprevention/acestudy/index.html Vincent Felitti MD https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220625/ https://en.wikipedia.org/wiki/Adverse_Childhood_Experiences_Study Trauma Informed Care https://www.nctsn.org/trauma-informed-care By the way, Lori doesn’t like the mic so forgive the audio levels. Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Toy Symphony by Nir Maimon Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.
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