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Show Notes: After graduation, Angelo Milazzo returned to his home state and attended medical school at the State University of New York at Stony Brook. He developed an interest in cardiology and decided to pursue post-graduate training in pediatrics and pediatric cardiology at Duke University. Angelo completed his post-graduate training in 2002 and joined the Department of Pediatrics as an Assistant Professor of Pediatrics. A Growing Practice and Becoming Chief Medical OfficerIn 2002, he was offered the opportunity to start a pediatric cardiology practice in Raleigh, North Carolina. The practice grew from a one-man operation to a practice with about 30 physicians across various specialty areas. In 2017, Milazzo became the vice chair for practice for the Department of Pediatrics at Duke Health, which has grown to 250 clinical faculty and 50 research faculty. Angelo then became the Chief Medical Officer for the Duke Health Integrated Practice, overseeing all physicians who practice at Duke Health. This role allows him to take the best of his administrative leadership within one clinical department for children's care and spread it across the entire enterprise. The Economics of Health Care and the Business of MedicineAngelo's hands-on administrative experience and managerial experience have led him to become interested in the didactic aspect of his career. He believes that his administrative experience and managerial skills have allowed him to excel in various aspects of his career, including pediatric cardiology. Before the pandemic, Angelo enrolled in business school and completed his MBA in just under two years. He was interested in the economics of healthcare and the business of medicine, but also enjoyed the perspective of classmates from various industries and walks of life. Today, he is a practicing pediatric cardiologist, spending about 40% of his time in clinical practice and 60% of his time in administrative work. He is also interested in health equity research and is part of a project funded by the CDC. What it Takes to Be a Physician Leader Angelo explains that, to be a great physician leader, one must first be a great clinician, and this takes so much more than just medical knowledge. He believes that engaging with patients and families is a privilege and that this energy and insight can inform his managerial work. He has had the privilege of mentors in medicine and being taught by amazing clinicians, which has allowed him to feel comfortable with fraught conversations. He explains how his managerial experiences and administrative experiences make him a better clinician. He has had to negotiate with professionals from different backgrounds and training perspectives, enriching his perspective and broadening it. This constant bilateral communication within him allows him to enhance both sides of his career. The Executive MBA Program ExperienceAngelo talks about the value of his Executive MBA program, and how he appreciates the practical aspects of the program, such as lectures, video calls, and team meetings. However, he also highlights the value of teamwork and learning from professionals from different industries. He shares his capstone project, which involved working with a delivery firm in Eastern Europe, a firm far from his daily work. The team consisted of professionals from various industries, including military, micro brewing, airline, and healthcare professionals. The challenges faced in his work were unique but universally applicable, and he learned valuable lessons from the experience. He also talks about systems used during a public health emergency, the A3 structure and how it is used for improvement projects, and the journey of improvement. The Performance Improvement Journey Angelo talks about management principles adopted in health care and the performance improvement journey that began with the introduction of a standardized electronic health record in 2013 and the adoption of Epic, which is now used by two-thirds to three-quarters of major health systems in the country. This allowed for a common set of data mining tools to collect clinical information and understand success or failure around quality initiatives. The organization's new leaders, including those from other health systems and academic centers, were committed to this continuous improvement environment. By the time the CMO became vice chair in 2016, they were ready to bring these principles into their department. Now, almost a decade later, the organization has built a culture where everyone wants to be a quality improvement scientist. They have developed an academy to train healthcare professionals to become quality improvement scientists, which involves a rapid boot camp that teaches principles over a concentrated period of time. Many of these projects have been presented at regional, national, and international levels, covering various medical specialties, from complicated heart surgery to solid organ transplant to medical genetics to obstetrics and gynecology. Influential Harvard Courses and ProfessorsAngelo mentions three courses and professors that have resonated with him at Harvard: Arthur Kleiman's course on Illness Narratives, Professor Dante Della Terza's Divine Comedy class, and Gregory Nagy's Heroes for Zeros class. Angelo's course with Professor Kleiman was about the idea that hearing patients talk about their illness is a form of storytelling, which he uses in his work. He also mentions Professor Nagy's use of a clip from Blade Runner, a sci-fi noir film, in his class. He believes that this class spoke his language and that he was in the right place for him. Angelo also mentions missing the Michael Sandel Justice course, which he later took through the Harvard EdX program. Timestamps: 01:29: Angelo Milazzo's Journey After Graduation 05:29: Transition to Administrative Roles and Business School 09:48: Balancing Clinical Practice and Administrative Roles 14:30: Learning from Business School and Applying Lessons 26:11: Implementing Continuous Improvement in Healthcare 36:40: Influential Courses and Professors at Harvard Links: LinkedIn: https://www.linkedin.com/in/amilazzomd/ Featured Non-profit: The featured non-profit of this episode of The 92 Report is recommended by Julie Cotler Pottinger who reports: “Hi. I'm Julie Cotler Pottinger, class of 1992 the featured nonprofit of this episode of The 92 report is every library. Every library helps America build support for libraries and also helps us fight book banning in our communities. I'm proud to be the National Ambassador this year for every library under my pen name, Julia Quinn, and I've been working real hard all year to help them raise money and awareness. You can learn more about their work at www.everylibrary.org and now here's Will Bachmann with this week's episode.” To learn more about their work, visit: https://www.everylibrary.org/
The Future of Heart Transplants: Understanding the Fully Artificial Heart & Its Functions – A Podcast with Dr. Premsekar, Senior Pediatric Cardiologist
Welcome to the Sustainable Clinical Medicine Podcast! In this episode Dr. Sarah Smith welcomes Dr. Ben Reinking, a pediatric cardiologist, to share his transformative journey through medicine. Despite facing significant challenges such as overwork and team reductions, Dr. Reinking managed to redefine his approach to clinical practice. He candidly discusses his struggles with excessive workload and lack of support, leading him to experience burnout symptoms, like disturbed sleep and increased isolation from colleagues. Through the use of gratitude exercises and professional coaching, he was able to shift his mindset, prioritize self-care, and reintegrate joy into his work. Dr. Reinking's insights offer valuable lessons for healthcare professionals looking to redesign their clinical days for long-term fulfillment and efficiency. Here are 3 key takeaways from this episode: Prioritize Personal Well-being: Dr. Reinking emphasized the importance of scheduling "me time" and ensuring it holds the same priority as professional responsibilities. This includes commitments like exercise and family time, crucial for maintaining personal health and happiness. Effective Use of Teamwork: Overcoming isolation by effectively utilizing and connecting with multidisciplinary teams can mitigate workload pressure. Dr. Reinking's experience shows that working collaboratively with colleagues and fostering a sense of community enhances the overall clinical environment. Embrace Coaching and Gratitude: A shift in mindset through coaching and daily gratitude exercises can significantly change how practitioners cope with challenging situations. Dr. Reinking found that focusing on what he was grateful for helped reshape his approach to daily clinical challenges. Dr. Ben Reinking Bio: Dr. Ben Reinking is a board-certified General Pediatrician and Pediatric Cardiologist, dedicated to guiding physicians toward fulfilling careers. As a Master Certified Physician Development Coach and member of the International Coaching Federation, Dr. Reinking specializes in coaching physicians to thrive in the healthcare system. He has clinical expertise in pediatric cardiology, echocardiography, and fetal cardiology. He has held leadership roles, including Medical Director of Pediatric Echocardiography and Clinical Pediatric Cardiology, and served as a mentor to medical professionals. Dr. Reinking founded The Developing Doctor to help physicians develop the skills, mindset, and resources necessary to create the life and career they envisioned when entering medical school. -------------- Would you like to view a transcript of this episode? Click here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.
Today, I am joined by the one and only Dr. Sanjay Sinha. Sanjay is a board-certified Pediatric Cardiologist, a self-proclaimed master chef, a rockstar bassist, the best daddy to his Gigi, and... my husband!On this very special and highly requested episode, Sanjay and I discuss our relationship and our challenges as a couple. From our early days as teeny-tiny babies in college, through medical school, marriage, parenthood, until now, we've had to put in the work to overcome the normal, but very challenging hurdles that come with partnership throughout all of the stages of life. We will share our personal journey to discovering the importance of effective communication, sharing responsibilities in a partnership, dealing with gender roles and mom and dad guilt, and the role that our culture and upbringing had in our relationship. You will not want to miss this one, friends! Join Dr. Flora every Wednesday with tips to feel unstuck from your rut. Follow @the.beyondpodcast and @drflorasinha on Instagram to stay up to date!
This week we are honored to welcome pediatric cardiologist, missionary and pastor, Dr. Kirk Milhoan to The Hamilton Review Podcast! Dr. Milhoan's work around the world to serve children has changed countless lives. You will be moved by his remarkable story. Dr. Kirk Milhoan became a Christian when he was 15 through Campus Life. He received his BA from PLNU. He received his PhD from UCSD, he received his MD from Jefferson Medical College in Philadelphia. He performed his pediatric residency in the Air Force at David Grant Medical Center at Travel AFB and his pediatric Cardiology Fellowship at San Diego Children's Hospital. He finished his service in the Air Force in 2009 and since then has been primarily traveling to serve children around the world that do not have access to adequate pediatric cardiac care. He and Kim started For Hearts and Souls in 2001. How to contact Dr. Kirk Milhoan: For Hearts and Souls How to contact Dr. Bob: Dr. Bob on YouTube: https://www.youtube.com/channel/UChztMVtPCLJkiXvv7H5tpDQ Dr. Bob on Instagram: https://www.instagram.com/drroberthamilton/ Dr. Bob on Facebook: https://www.facebook.com/bob.hamilton.1656 Dr. Bob's Seven Secrets Of The Newborn website: https://7secretsofthenewborn.com/ Dr. Bob's website: https://roberthamiltonmd.com/ Pacific Ocean Pediatrics: http://www.pacificoceanpediatrics.com/
Did you know that February is National Heart Month? To help remember, just think of a HEART for Valentine's Day! I am so thrilled to welcome back Pediatric Cardiologist, David Weiland. From *Congenital heart defects (which heart complications baby is born with) And then *Acquired heart defects come later in life. It is up to us as parents to KNOW THE SIGNS. It also up to the parents to TAKE your child to their Well Visits with your primary pediatrician. That is the only way to learn about the serious complexities of the beautiful heart that lay inside your baby. Dr. David really sheds light on this crucial topic and his insights are VERY appreciated! Then later, we welcome 2 of my most favorite people back. Married couple, John and Kari Turner. They are incredibly inspirational and I so hope you find this interview as inspiring as I do.John, an actor went to NYC and was almost killed by a mugging. It left him with brain damage and couldn't walk for a long time. He then pivoted to writing about his experience in a humorous way. His book, Dairy of an Angry Gimp ignited his love for writing. He met his wife, Kari at a convention learning about handicapped Americans. Kari has Multiple Sclerosis and they never looked back. In fact, they looked to the future and today, they are raising the 2 most beautiful little girls. Defying the odds every single day. Love yall! (they are also my cousins :) Can you tell that Papa is so proud of them?They are also writers for our digital magazine, NolaPapa N.O.W. Check out their column here. https://nolapapa.com/nolapapa-magazine/Thank you to our family of amazing sponsors! Ochsner Hospital for ChildrenWww.ochsner.orgRouses MarkersWww.rousesmarkets.comSandpiper VacationsWww..sandpipervacations.comZak George's Dog Revolution! Pinxav Diaper Rash CreamWww.pinxav.comComfort Cases Www.comfortcases.orgNew Orleans Ice Cream CompanyWww.neworleansicecream.comReal Estate with Steph & Berkshire Hathaway www.realestatewithsteph.comAudubon Institute www.auduboninstitute.org
Dr. Eric Fethke, Medical Director of Heart Screen New York & Pediatric Cardiologist joins the podcast to discuss his background & book “The Privilege of Caring: A Doctor's Urgent Call To Heal The U.S. Healthcare System”, what he is currently focusing on in his role, advice for leaders, and more.
Our guest today is Dr. Eric Fethke, one of the country's top pediatric cardiologists. Dr. Fethke is known for successfully treating the most difficult heart conditions in babies, children, and adults. He is also the medical director of one of the nation's premier cardiac screening programs for children: Heart Screen New York.Dr. Fethke is the author of a new book called, "The Privilege of Caring: A Doctor's Call to Heal the U.S. Health System."His book was inspired by one of his heart patients who continued to remind Dr. Fethke over decades of treatment that they were partners and collaborators on his health journey.Dr. Fetheke is also the host of "The of Pursuit of Health Podcast" which addresses a wide spectrum of ways to improve our health systems. HealthCare UnTold celebrates Dr. Eric Fethke for his lifetime work as a healer and health advocate.
Pediatrics Now: Cases Updates and Discussions for the Busy Pediatric Practitioner
CME Link: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095153 When to Worry: Perspective from a Pediatric Cardiologist FACULTY: Ginnie Abarbanell, MD, is a Professor of Cardiology at UT Health San Antonio and University Health. OVERVIEW: Pediatrics Now Podcast host Holly Wayment talks with Ginnie Abarbanell, MD about syncopy and chest pain. Dr. Abarbanell sees patients at UT Health San Antonio's clinic in the medical center and in Stone Oak at the Baptist Hospital atrium in San Antonio, : 210-450-7334, fax 210-450-2124. She also sees patients at University Hospital. Practitioners with cardiology questions or needing help getting a patient in, call 210-436-9933. DISCLOSURES: Ginnie Abarbanell, MD has no financial relationships with ineligible companies to disclose. The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests. CONTINUING MEDICAL EDUCATION STATEMENTS: The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. CREDITS: AMA PRA Category 1 Credits™ (0.50) Non-Physician Participation Credit (0.50)
This week, we are so proud to interview Ochsner Hospital for Children's New pediatric cardiologist! Dr. David Weiland received undergraduate and medical training at University of Mississippi. He completed his pediatric residency training at Vanderbilt University and completed ANOTHER fellowship studying pediatric cardiology fellowship Duke University. THEN he studied another year of advanced training at Duke University for training in pediatric and congenital electrophysiology.In short, Dr. Dave is well educated and eager to not only help as much as he can at Ochsner but Also, unlock the possibilities of his new home in New Orleans with his wife and 2 children. Sounds like Ochsner Hospital for Children has found the missing link to their program! Go to Ochsner.org to find out all about Ochsner Health.Then Later,I am thrilled to welcome from neworleanspsychic.com, Cindy Armstrong, local psychic and medium. Cindy works along side our dear friend, Cari Roy, owner of neworleanspsychic.com. Cari is a regular on our show and I am so excited to welcome Cindy!I have my own insecurities and issues that I need to process and proceed through life without it bubbling up. Having a therapist helps, but also... dealing with super heavy things like the crippling loss of my brother throws wrenches into my mind gears. For this, I sometimes seek answers from beyond with very talented psychic/mediums from across the country. The peace I felt from this interview sits SO WELL with my soul. The Beyond has answers, and you NEVER know who may come through. Book your appt. now at NEWORLEANSPSYCHIC.COMor Call TOLL FREE at 1-877-774-6652Thank you to our family of amazing sponsors! Ochsner Hospital for ChildrenRouses MarkersWww.rousesmarkets.comKid's Dream Dress ShopWww.kidsdreamus.comSandpiper VacationsWww.sandpipiervactions.comZak George's Dog Revolution! Pinxav Diaper Rash CreamWww.pinxav.comComfort Cases Www.comfortcases.orgNew Orleans Ice Cream CompanyWww.neworleansicecream.comReal Estate with Steph & Berkshire Hathaway www.realestatewithsteph.comAudubon Institute www.auduboninstitute.org
Dr. Jeanine Cook-Garard learns about pediatric heart health. Heart disease remains the leading cause of death globally, and while it's often associated with adults, children can also be affected by various heart conditions. She speaks with Dr. Elizabeth C. Mitchell, a Pediatric Cardiologist with Cohen Children's Medical Center at Northwell Health.
Episode 102 of Ask Dr Jessica with Dr Michael Silka MD, electrophysiologist and pediatric cardiologist. On this episode we discuss fainting! (also known as syncope). We talk about reassuring signs of fainting (often known as vasovagal syncope) and how to distinguish it from times when losing consciousness may be more concerning (for example, how to know when it's cardiac (the heart)? Dr. Silka is an innovator in the fields of pediatric cardiology and electrophysiology and has pioneered the development of guidelines for the use of implantable cardiac rhythm devices. He previously served in the role of chief of Cardiology and co-director of the Heart Institute from 2000 to 2014.Dr. Silka has published over 200 peer-reviewed articles and book chapters and served as lead investigator for multiple NIH-funded studies as well as multi-center collaborative research efforts.Dr. Silka has held posts in several national organizations committed to advancing the care of children, most notably as past president of the Pediatric Electrophysiology Society. Dr Silka currently practices medicine at Children's Hospital of Los Angeles.Get matched with a therapist by using Better Help! Give it a try---invest in your mental health: https://betterhelp.com/askdrjessica for 10% off your first month of therapy. Thank you to Better Help for supporting the Ask Dr Jessica podcast.Dr Jessica Hochman is a board certified pediatrician, mom to three children, and she is very passionate about the health and well being of children. Most of her educational videos are targeted towards general pediatric topics and presented in an easy to understand manner. Do you have a future topic you'd like Dr Jessica Hochman to discuss? Email Dr Jessica Hochman askdrjessicamd@gmail.com. Dr Jessica Hochman is also on social media:Follow her on Instagram: @AskDrJessicaSubscribe to her YouTube channel! Ask Dr JessicaSubscribe to this podcast: Ask Dr JessicaSubscribe to her mailing list: www.askdrjessicamd.comThe information presented in Ask Dr Jessica is for general educational purposes only. She does not diagnose medical conditions or formulate treatment plans for specific individuals. If you have a concern about your child's health, be sure to call your child's health care provider.
SCoot talks to Dr. Jake Kleinmahon, a Pediatric Cardiologist and Director of Pediatric Heart Transplant & Heart Failure at Ochsner Hospital for Children about his painful decision to move his family to New York amid the legislature's continued assault on the LGBTQ community
THIS EPISODE COVERS THE FOLLOWING TOPICS AND MORE:How POTS is identifiedSymptoms of POTSMedical and Non-Medical TreatmentsHorizontal Options (horizontal exercise etc.)How POTS effects childrenMovement and ConditioningStaying optimistic and learning to manage this condition. ABOUT OLEG KOVALENKO, M.D.Dr. Oleg Kovalenko is a Board-Certified Physician at Pediatrics Associates' Miami Lakes East Cardiology department. He grew up in Kherson Ukraine and attended Dnepropetrovsk State Medical Academy in Dnepr, Ukraine. He completed his pediatric residency at the West Virginia University Charleston Division, WV. His Cardiology Fellowships include Rainbow Babies Children's Hospital in Cleveland, Ohio, University of Michigan, CS Mott and Children's Hospital in Ann Arbor, Michigan. Dr. Kovalenko is fluent in English, Russian and Ukrainian. He is married to Natalia and his hobbies include running, ballroom dancing and soccer. His special areas of Medical Interest are: Pediatric Cardiology, Cardiac Arrhythmia, Inherited Arrhythmias, Sudden Cardiac Death Prevention and Fetal Cardiology.
In Episode 6 of World of Wishes, Dr. J. Blaine John - Director of Pediatric and Fetal Cardiology at St. Joseph's Children's Hospital, talked about the importance of a wish in a child's journey of medical healing.Learn more about how YOU can refer a child today at https://wish.org/refer-a-child.To learn more about us as a chapter, visit https://wish.org/sfla.Be sure to follow us @makeawishsfla on Instagram, Facebook, YouTube, Twitter, TikTok, and LinkedIn!Subscribe, Rate, & Review this podcast to support future episodes that will feature wish kids and parents' past and present, volunteers, donors, referral sources and everyone who contributes to this World of Wishes!
This week Trey and Patrick Franklin speak to Dr. Patricia Sherron who is a Pediatric Cardiologist in the West Palm Beach Area. They discuss a variety of topics from childhood obesity, child heart health, pediatric health, maintaining a healthy diet mental health infants and much more!
This week Trey and Patrick Franklin speak to Dr. Patricia Sherron who is a Pediatric Cardiologist in the West Palm Beach Area.They discuss a variety of topics from childhood obesity, child heart health, pediatric health, maintaining a healthy diet mental health infants and much more! Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
When it comes to healthcare there are many career options. On this episode, we are fortunate to gain multiple perspectives that encapsulate various possibilities one can explore as a physician. Meet Dr. Nick Cuberovic! His experiences include: *Being an Investigative Coroner *Being a Pediatric Cardiologist for Premature Infants *Int'l experiences in Pediatric Cardiology, Obstetrics & Gynecology *33 years in Emergency Medicine (Emergency Department Medical Director and Chief of ER) *Solo general practitioner for 13 years *Sports physician (PanAm Games, NASCAR, Indy This will be a talk worth listening to for: *those looking for true insights of the work as an investigative coroner, emergency physician and general practitioner *those interested in finding out about the impacts this profession can have on an individual *those wanting a look at what the future of this profession could hold -------------------------------------------------------------- To learn more about Dr. Cuberovic and his work, check out the following links: LinkedIn Private Clinic FRIENDLY REMINDERS: And hey! Why don't you subscribe on YouTube! As you'll see, our subscriber numbers are in need of a little boost! If you haven't done so already, help the program out by giving it some love. *Hit the subscribe button on YouTube PLEASE. :) I'd highly appreciate it! -Christopher *You can follow LIFE AS A.. on your favourite social platforms via these links: Youtube Instagram: Linkedin: Twitter: Facebook: To learn more about the program, visit the website www.life-as-a.com or https://linktr.ee/life_as_a_podcast
There's a lot going on in February, and this episode we're discussing two of those important events. First, we're talking about National Heart Health Month with Dr. Jake Kleinmahon, Pediatric Cardiologist at Ochsner Children's Hospital in New Orleans. Dr. Jake tells us how to keep our hearts and our kids' hearts healthy through healthy play and diets. He also talks about how to encourage exercise to teens without insinuating a hard workout at the gym (YouTube dance videos hellooo?!) and he tells us the signs we should and should not be concerned about when it comes to our kids' heart health.Then we're marking Black History Month with an important and inspirational conversation with Rob and Fox Richardson, a New Orleans couple whose story of enduring love and strength has gone from book to the big screen in the Academy Award-nominated documentary "Time." Rob and Fox tell us how their love outlived all kinds of hurdles that many Black Americans face, including dozens of years spent incarcerated and away from each other and their kids. We get real and talk about the difficulties many Black people face when they try to reach the American Dream, their experience within the criminal justice system, and how they used their "indestructible human spirits" and faith in God to survive the harshest of times, like their ancestors before them. Together they have six sons and continue their advocacy for incarcerated families through the NOLA chapter of Participatory Defense Movement, an initiative of Rich Family Ministries, which they founded with the vision of “changing lives and laws through love” and dedicated to empowering families and marriages to thrive. Find out more about their book at foxandrob.comThank you to our family of amazing sponsors! Ochsner Hospital for ChildrenRouses MarkersWww.rousesmarkets.comKid's Dream Dress ShopWww.kidsdreamus.comSandpiper VacationsWww.sandpipiervactions.comPinxav Diaper Rash CreamWww.pinxav.comComfort Cases Www.comfortcases.orgNew Orleans Ice Cream Company
Which medicines should we be buying for our kids? And what are the differences? We're back this week with our good friend Dr. Jake Kleinmahon, Pediatric Cardiologist at Oschner Hospital for Children in New Orleans, for another "Dr. Jake's Take!" We're talking about getting our babies healthy before Mardi Gras parades kick off. We cover the difference between all those cough syrups, how to make sure you and your parenting partner aren't accidentally overdosing your children on two kinds of Ibuprofen, and some of the super-sweet natural ways we can cure a little one's sore throat.Then we get to fangirl out over Steve Lewis, owner of Gideon's Bakehouse inside Walt Disney World Florida. Believe me when I say his cookies are to die for! I almost wept eating them!!! Steve tells us how he runs his own social channels with over 200k followers and still has time to come up with delicious new recipes for all his Disney visitors. We also talk about where he gets his inspiration for new recipes, why he loves doing his Friday Pride Day cookies, and what's in store for Valentine's Day, which is just around the corner. Ooh and enjoy that silky-smooth voice, y'all!Thank you to our family of amazing sponsors! Ochsner Hospital for ChildrenRouses MarkersWww.rousesmarkets.comKid's Dream Dress ShopWww.kidsdreamus.comSandpiper VacationsWww.sandpipiervactions.comPinxav Diaper Rash CreamWww.pinxav.comComfort Cases Www.comfortcases.orgNew Orleans Ice Cream Company
Dr. Jeffrey Towbin is the Chief of Pediatric Cardiology at Le Bonheur Children's Hospital and he joined the show to give a professional insight on the case of Damar Hamlin, the NFL player who collapsed from cardiac arrest mid-game.See omnystudio.com/listener for privacy information.
We're checking in with Dr. Jake Kleinmahon, Pediatric Cardiologist at Oschner's Hospital for Children, for another edition of Dr. Jake's Take. He's got some really important bits of holiday health info, like how to calm stressed out kids (and parents!) during the end of the year chaos. Then Dr. Jake spills the tea on why parents of teenagers should be alarmed about a new 'Loaded Tea' our high schoolers are getting into. It's just too much caffeine, y'all!Then I sit down with my friend, our beloved local NOLA Anglican Dominican Friar, Brother Todd van Alstyne. Not only does he have a complete heart of gold, he's actually a lot like the real Santa Claus! Brother Todd tells us the real story of Jolly Old Saint Nick, how he's inspired by the classic tale of the real man who became a saint, and how Brother Todd tries to embody Santa's values year-round in New Orleans. Merry almost-Christmas, everybody!Thank you to our family of amazing sponsors! Ochsner Hospital for ChildrenRouses MarkersKid's Dream Dress ShopWww.kidsdreamus.comSandpiper VacationsWww.sandpipiervactions.comPinxav Diaper Rash CreamWww.pinxav.com
As we approach Thanksgiving and the holiday season, we at Celebrations Chatter have been thinking a lot about the spirit of giving and gratitude. An important part of building better communities and relationships is helping out those in need, and I can think of few organizations that do this as well as The Gift of Life International. The Gift of Life International is a Rotary International based organization that has been saving the lives of children with heart disease across the world. Founded in 1975 to help a Ugandan child receive life-saving heart surgery, The Gift of Life's global network has since treated over 40,000 children in 80 countries. In this episode, Jim sits down with CEO Rob Raylman, President/Founder Robert Donno and honoree Dr. Craig Sable, M.D, Healthcare Partner, Pediatric Cardiologist at National Children's Hospital in Washington, DC. Hear as they share forward how the organization is continuing to impact more and more children worldwide and help sustain future treatments and aftercare in remote communities. New podcast episodes released weekly on Thursday. Follow along with the links below: Sign up for the Celebrations Chatter Newsletter: https://celebrationschatter.beehiiv.com/ Subscribe to Celebrations Chatter on YouTube: https://www.youtube.com/@celebrationschatter Follow @CelebrationsChatter on Instagram: https://www.instagram.com/celebrationschatter/ Follow @CelebrationsChatter on Threads: https://www.threads.net/@celebrationschatter Listen to more episodes of Celebrations Chatter on Apple Podcasts: https://podcasts.apple.com/us/podcast/celebrations-chatter-with-jim-mccann/id1616689192 Listen to more episodes of Celebrations Chatter on Spotify: https://open.spotify.com/episode/5Yxfvb4qHGCwR5IgAmgCQX?si=ipuQC3-ATbKyqIk6RtPb-A Listen to more episodes of Celebrations Chatter on Google Podcasts: https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5saWJzeW4uY29tLzQwMzU0MS9yc3M?sa=X&ved=0CAMQ4aUDahcKEwio9KT_xJuBAxUAAAAAHQAAAAAQNg Visit 1-800-Flowers.com: https://www.1800flowers.com/ Visit the 1-800-Flowers.com YouTube Channel: https://www.youtube.com/@1800flowers Follow Jim McCann on LinkedIn: https://www.linkedin.com/in/jim1800flowers/ Follow Jim McCann on X / Twitter: https://twitter.com/jim1800flowers (@Jim1800Flowers)
The Patriotically Correct Radio Show with Stew Peters | #PCRadio
In Denmark, they're telling people under 60 they actually shouldn't be getting Covid shots at all. In most of the world, they're rapidly rolling back how much emphasis they're putting on shots. In Florida, Surgeon General Ladapo's research found that young men had an 84% increased risk of heart failure one month after an mRNA shot. Dr. Wade Hamilton joins with more. Does the Shedding Stop with the Dead? Is it safe to get a blood transfusion? Dr. Jane answers questions like this AND MORE. You've seen the news stories, on Telegram, on Rumble, in your local newspaper, or on this show: Young and healthy people, dropping dead out of the blue. They've tried to conceal it as freak incidents and no big deal. But the lies are crumbling. Matt Skow and Nick Stumphauzer join to discuss their new film. Watch this new show NOW at Stewpeters.com! Visit our friends at Goldco! Call 855-706-GOLD or visit https://goldco.com/stew Prepare your family for famine and shortages by purchasing food through: https://heavensharvest.com/ Check out https://nootopia.com/StewPeters for help increasing your mental & physical strength to battle the deep-state's KRYPTONITE plot against Americans! Destress today, Stew crew sleep sound! Use promo code STEWPETERS10 at checkout for 10% off your order. http://www.magbreakthrough.com/stewpeters Check out: https://kuribl.com/ STEW20 for 20% off your order or premium CBD! CACOA is a super food, and may be the missing link to strength and happiness. Buy it now: https://shop.earthechofoods.com/stew Trying to lose weight? It starts with your gut health. Get your metabolism back in order, cleanse with this protocol: https://gutcleanseprotocol.com/stew In order to be Stew's stronger soldier, you need to be well rested. Buy comfortable sheets, slippers, and pillows at https://www.MyPillow.com/stew use promo code STEW for major discounts! Support anti-vax activism, free clinic care, and MANLY products visit: https://Vaccine-Police.com Go Ad-Free, Get Exclusive Content, Become a Premium user: https://www.stewpeters.com/subscribe/ Follow Stew on Gab: https://gab.com/RealStewPeters See all of Stew's content at https://StewPeters.com Watch full episodes here: https://redvoicemedia.net/stew-full-shows
For this month's episode, JHLT The Podcast explores two impactful studies from the October issue of The Journal of Heart and Lung Transplantation. The episode is hosted by Daniel R. Goldstein, MD, Editor-in-Chief of JHLT, who is joined by the JHLT Digital Media Editors. Listen now to hear study authors discuss their work, their studies, and next steps for their research. First, the editors speak with first author Michael Harhay, PhD (pictured left) and senior author Edward Cantu, MD (pictured right), about their study from the University of Pennsylvania entitled “Epidemiology, risk factors and outcomes of lung retransplantation: an analysis of the ISHLT Transplant Registry.” Dr. Goldstein and Erika Lease, MD, interview Drs. Harhay and Cantu about the study. The objective of the study was to leverage the ISHLT Thoracic Transplant registry using an updated cohort of patients that underwent lung retransplantation to obtain an updated summary of the epidemiology of lung retransplantation; to examine the importance of the time between primary transplantation and retransplantation on outcomes after retransplantation; and to identify risk factors of mortality following lung retransplantation. Next, we hear from Anne Dipchand, MD (pictured), Professor of Pediatrics and Pediatric Cardiologist at the Hospital for Sick Children in Toronto, Canada, who is senior author on the study, “Eplet matching in pediatric heart transplantation: The SickKids experience.” Dr. Goldstein and David Schibilsky, MD, discuss the study with Dr. Dipchand. This single-center retrospective study measured allograft survival in 77 patients while performing HLA typing, antigen mismatch, and eplet mismatch analysis, with the goal of comparing the molecular level HLA matching with antigen level HL matching in post-heart transplant outcomes in children. Follow along in the October issue at www.jhltonline.org/current, or, if you're an ISHLT member, log in at ishlt.org/journal-of-heart-lung-transplantation. Don't already get the Journal and want to read along? Join the International Society of Heart and Lung Transplantation at www.ishlt.org for a free subscription, or subscribe today at www.jhltonline.org.
The last few years have been draining for leaders as pressures have increased from employees under strain, organizations asking more, and the relentlessness of virtual meetings. Many leaders are burning out and finding their level of energy slipping. In this episode, Bart speaks with Dr. Shubhayan Sanatani, Pediatric Cardiologist and Electrophysiologist of BC Children's Hospital about his research into fatigue and how it's given him insights into what leaders can do to manage their energy sustainably. He explains what to watch for, how to give yourself permission to see the treadmill you're on, how to do a self-inventory and how to withdraw from some things. In a time where leaders are more burnt out Dr. Sanatani provides practical insights to keep us going and energized. Read more about Dr Sanatani's work here https://keltymentalhealth.ca/blog/2022/03/mindfulness-pediatric-cardiologists-story 00:54 Teaser 00:14 Show Introduction 00:53 Introducing Shu 01:25 Research into “Energy” 03:35 Diagnosis: Dysautonomia 04:14 Covid causing autonomic dysfunction 04:54 Young people struggling with fatigue/dizziness 05:51 Adolescent energy inventory 06:43 Social media 08:49 The aha moment: Often doing a lot more than we realize 10:39 Implications to adults 11:34 Letting go of work 12:00 Responsibility as energy drain 14:08 Impacts to health 15:03 New communication tech is draining 16:06 Advice from Dr about energy issues 16:33 Look for cues of irritability and lethargy 18:56 Know when you've hit your limits 20:50 Doing inventory of how you're spending the energy 22:18 Mindfulness 24:19 After inventory? 24:29 Acknowledging you have an issue 24:44 Changing something up 25:10 There's always something coming down the pipe… 25:31 Get comfortable with stepping back 28:51 How to overcome resistance to change 32:55 Thank yous 33:18 Outro
What are the red flags for cardiological presentations and how can we better identify children with cardiological issues in the Pediatric Emergency Department. I discuss that and more with my good friend and colleague, Dr. Kelvin Lee. As always, Please consider supporting PEM Rules by clicking below https://ko-fi.com/pemrules
This episode is dedicated to discussing Duchenne Muscular Dystrophy (DMD) continuum of disease with a focus on cardiopathology. Hear from our expert guest speaker, Dr. Villa about the importance of continuing standard of care guidelines to support cardiac health. Chet Villa, MD is a Pediatric Cardiologist at Cincinnati Children's Hospital Medical Center. US-DMD-0277 I June 2022PTC Therapeutics has provided financial compensation to Dr. Villa for the time to conduct this interview. Trademarks, registered or otherwise, are the property of their respective owner(s). © 2022 PTC Therapeutics, Inc. All Rights Reserved Our GDPR privacy policy was updated on August 8, 2022. Visit acast.com/privacy for more information.
Join us as we take a deep dive into fetal echocardiogram's with Dr. Elijah Bolin, Pediatric Cardiologist at Arkansas Children's Hospital. A fetal echocardiogram is a highly specialized type of prenatal ultrasound. This type of imaging study is performed to evaluate the structure of the heart of the unborn child. We discuss how a fetal echo is performed, what conditions it can diagnose in your baby, what patients it is essential for, and hear Dr. Bolin talk about real scenarios where fetal echo's catch cardiovascular conditions before birth..
As the wave of COVID-19 continues across the country, cases of Multi-System Inflammatory Syndrome in Children (MIS-C) are increasing as well. Two years into the pandemic, what have we learned about this disease? On this episode of Talking Pediatrics, Dr. Gabi Hester will dig into the MIS-C guidelines and some Frequently Asked Questions with two of the Kid Experts at Children's Minnesota: Dr. Tamara Pozos, Medical Director of Pediatric Immunology, and Dr. Brad Chu, Pediatric Cardiologist at Children's Heart Clinic.View the transcript here: https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-heartbeat-guidelines-gabi-mis-c-potpourri-2-18-22/
Inger Berg, Development Director for the American Heart Association Bevin Weeks, Pediatric Cardiologist at Nemours Monica Sanford, Acute Care Nurse Practitioner at West Florida Cardiology https://www.heart.org/ What to focus on: Simple 7: Healthy Blood pressure Healthy Cholesterol Reduce Blood Sugar Get active Eat better Lose weight Stop smoking conqueringchd.org
In this episode of The Black Doctors, Dr. Carmel Bogle shares her inspiring story of working as a Pediatric Nurse before continuing on to medical school, residency and fellowship to become an Advanced Pediatric Cardiologist. Inspired by the tragic effects of healthcare disparities that she experienced at an early age, Dr. Bogle completed years of intense education and training to become a super specialized physician. Learn about life and practice as a Pediatric Cardiologist Learn about healthcare disparities in the most vulnerable population Mark International Narwhal Day (March 24th) down in your calendar so you can celebrate the special, unique people in your life *This episode is sponsored by EmpathIQ , a company focused on relationship management for clinicians. Visit their website to learn more and receive a discount for mentioning this show. If you enjoyed this episode, please share with a friend and leave a comment and rating on iTunes. TBDP is a volunteer passion project with the goal of inspiring all who listen. In-house music and audio production, so any ideas for improvements or suggestions for future guests are welcome. Visit www.StevenBradleyMD.com to learn more about our host. He is available for consultations or speaking engagements regarding health equity and medical ethics.
We've been hearing two terms related to our hearts and the Covid-19 vaccination - Myocarditis and Pericarditis. Dr. Ryan Butts, Pediatric Cardiologist at Children's Health and Associate Professor at UT Southwestern joins us to talk about these two, mostly, viral-related cardiac issues. We are delighted to welcome Dr. Jenevieve Hughes, a surgeon specializing in breast disease and breast surgery at Methodist Ricardson Medical Center, to the program. Dr. Hughes talks about genetic testing related to breast cancer, some of the latest surgical options to treat breast cancer, and tremendous hope if you or someone you love has heard those words, “you have cancer.” See acast.com/privacy for privacy and opt-out information.
1.35 million babies are born with a congenital heart defect each year. Of these, 400,000 have heart valve defects but there is no durable valve replacement on the market. GrOwnValve aims to fulfill that unmet clinical need. GrOwnValve is a pre-clinical stage medical device company, developing a unique heart valve prosthesis system. Their completely new prosthetic valve for adults and children, will be implanted using a low-risk transcatheter technique. The valves will come to market as a procedure pack that enables a safe, affordable and easy-to-use minimally invasive heart valve replacement made from the patient's own tissue. Using the patient's own endogenous tissue gives the valves lifelong durability – a once-in-a-lifetime solution that is affordable for patients and healthcare providers worldwide. Dr. Boris Schmitt is the CEO and Co-Founder of GrOwnValve. He is a Pediatric Cardiologist and a Senior Consultant at Charité University Medicine Berlin. To learn more visit https://www.grownvalve.com/ For questions or comments, please email us at info@inam.berlin. Also, if you or someone you know would like to be a guest on our show, we welcome any and all suggestions! Special thanks to Oxygen Sound Studios Track: Coastline — Ason ID [Audio Library Release] Music provided by Audio Library Plus Watch: https://youtu.be/B8TyOnh8S-U Free Download / Stream: https://alplus.io/_coastline The road by Esteban Orlando https://soundcloud.com/orlando-esteban-2 Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0 Free Download / Stream: http://bit.ly/2QqI03Z Music promoted by Audio Library https://youtu.be/TsKWeCcjaBg
On Part 2 of Episode 13 of the Pursuit of Health podcast, Dr. Fethke picks up the conversation with a very special guest, his own most influential mentor, Dr. Welton M. Gersony, a pioneer and world-class Pediatric Cardiologist to further expand on his words of wisdom regarding the importance of Patient-Physician Communication. Together the doctors address the many obstacles that prevent today's physicians from doing a thorough job. Dr. Gersony expresses his views on Over-Testing and suggests that this is not only an effective way to defend against malpractice suits, but can interfere with a productive patient-physician relationship. The conversation then turns to the art of giving a patient and family Bad News while not abandoning Hope. He asks physicians to support the family in difficult times, including the loss of a child, in order to lessen the family's Fear and Guilt. Dr. Gersony eloquently reminds us that we must consider the impacts of illness and death on all members of the family, in order to facilitate their ability to move forward with their own lives, while honoring the memory of the deceased. Dr. Gersony's most important message to clinicians is that we should never allow Technology to replace our Humanity as we care for patients. After all, like Dr. Gersony so honestly confesses, many of us became doctors and clinicians with a powerfully pure and simple purpose - “to help people”. We invite you to join us next time on the Pursuit of Health podcast for our 3rd Take-A-Step-Back session as we pause and reflect on prior episodes #8 thru 11 with a guest physician and medical student. You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd(This episode will also available in video format on Youtube @drfethkemd).
On Episode 13 of the Pursuit of Health podcast, Dr. Fethke invites his own most influential mentor, Dr. Welton M. Gersony - a pioneer and world-class Pediatric Cardiologist - to remind us all of the importance of maintaining the fundamentals of Patient-Physician Communication. Over the past 5 decades Dr. Gersony has been one of the most influential physician leaders in American Pediatrics and, specifically, Dr. Fethke's own field of Pediatric Cardiology. Dr. Gersony received his medical degree at the State University of NY-Upstate Medical Center, completed his General pediatric training at Western Reserve Medical School in Cleveland, Ohio and his fellowship training at The Boston Children's Hospital of Harvard Medical School. In 1968 he founded Columbia University's Division of Pediatric Cardiology where he served as the division chief and the Alexander Nadas Professor of Pediatrics at Columbia University's College of P&S until 2007. Several landmark medical achievements occurred under his watch at Columbia including the first successful pediatric heart transplant in 1984, and the foundation of the Pulmonary Hypertension and Adult Congenital Heart Centers. His myriad distinguished services include being the past Chair of AHA Council of CVDY, the ABP Subboard of Cardiology and the Steering Committee of the World Congress of Pediatric Cardiology and Cardiac Surgery. He is the 2003 recipient of the AHA's Distinguished Service Award and the 2007 Founder's Award of AAP. He has served on multiple editorial boards and was a Consulting Editor for Circulation medical journal. He is recognized as a pioneer in our understanding of the course of congenital heart defects through his work as a Principle Investigator for the 1st and 2nd studies of the Natural History of Congenital Heart Defects. He has authored more than 300 papers and chapters as well as one of the first major textbooks dealing with Congenital Heart Disease in the Adult. Amongst all of his successes he remains most proud of his recognition as a world-class teacher of future generations of pediatric cardiologists, having trained 120 Pediatric Cardiology fellows during his over 35 year tenure at Columbia University - consistently demonstrating an uncanny ability to know peoples' strengths and potential even before they see it in themselves. During part 1 of this episode, Dr. Gersony takes us through the mechanics of the all important first patient visit as he has personally demonstrated for so many of his students. He stresses that this visit lays the groundwork for the trust between a physician and patient family that is critical to the patient's future success. He urges us to “let them tell their story” without injecting our own assumptions and biases. He explains how important it is to be aware of harmful nonverbal cues that we send patients. He humbly advises that we never consider ourselves to be 100% infallible, but rather maintain open communication between our patients and their referring physicians. He finishes this first episode with an emphasis on maintaining Hope, even in the face of serious illness and bad news. Ultimately his message is that “Taking the time up front, saves time later”. Next time in Part 2 of Episode 13, Dr. Fethke picks up the conversation with Dr. Gersony as he discusses how to Humanely give Bad News to a patient and family while avoiding the family's natural feelings of Fear and Guilt. You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd(This episode will also available in video format on Youtube @drfethkemd).
On Episode 12 of the Pursuit of Health Podcast, Dr. Fethke invites a local colleague, Dr. Richard Hahn - an experienced Pediatric Psychiatrist - to address a very important and timely issue: the Mental Health of Children during the Covid-19 pandemic. Dr. Hahn is a graduate of several prestigious institutions, including the Massachusetts Institute of Technology (MIT), NY Medical College, Cornell Medical Center, and NY-Presbyterian Hospital. For the past 25 years, he has been a Consulting Psychiatrist for the Hudson Valley NY public schools, NY's Putnam and Northern Westchester counties' BOCES, and the NJ Child Study teams. He has been a mental health Consultant at Vassar College of NY, served as the Vice President of NY's Chapter of the American Society for Adolescent Psychiatry, and continues to serve as an Educational Counselor on behalf of his alma mater, MIT. Dr. Hahn begins the episode by calling attention to decades old pre-existing legislation that was intended to strengthen and expand mental health services in the U.S., but have yet to meet their full potential because of political and economic conflicts of interest. He expresses his concerns about longstanding deficits in resources available to train and support mental health professionals. He invites us into the world of School-based Pediatric Psychiatry, stressing the importance of providing care at this local community level for both children and their families. He provides keen insights into the social dynamics of American families' whose members are often spread out across the country with the public education system as the only glue that still holds us all together. The discussion then turns front and center to the Psychological Impacts of the Covid-19 Pandemic on our Children. He teaches us that “Isolation is as bad an issue as the virus.” He urges families to be conscientious about exposing kids to age-inappropriate stresses while confined at home in tight quarters with their families. He gives us great advice to make engaging our children in direct communication and interactions a priority so that they can feel safe to share their own thoughts and concerns. With his unique combination of basic science background in Biology and years of experience as a frontline pediatric psychiatrist, he remains convinced that the Covid-19 vaccine is a critical intervention for both the physical and mental health of our children. Only when we all work together to achieve herd immunity can our children get back to school and normal life. As we finish this poignant episode, Dr. Hahn gives us all hope with a powerfully unique solution to our nation's mental health crisis. We owe it to our children to heed his advice and keep moving forward. Next time, on POH Ep 13, Dr. Fethke is honored to introduce his most influential mentor, Dr. Welton Gersony, to our audience. This world-renowned Pediatric Cardiologist takes us back to the fundamentals of patient care with Words of Wisdom - How to Best Communicate with Patients as a Physician.You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd(This episode will also available in video format on Youtube @drfethkemd).
Casual conversations with Dr. James Krulisky about his role as a Pediatric Cardiologist, how he came to that specialty, why he loves it and so much more.
Dr. Stephanie Lacey, pediatric cardiologist at Children's National joins me to chat about kids dealing with COVID
One of the most emotional areas of medicine is when a physician sits across from a family to tell them their child has a major heart defect that is going to require advanced medical treatment. Yet, that happens frequently here in North Texas at Children's Health, where advancements in this area gives families hope and have provided children with a new life. David Sutcliffe, Pediatric Cardiologist at Children's and UT Southwestern Medical Center joins us to talk about this very touching and heartwarming "Human Side of Healthcare." On this same path, often transplants become a consideration to fix these childhood diseases. We're delighted to have Dr. Dev Desai, Chief of Pediatric Transplantation at Children's Health and Professor of Surgery at UT Southwestern to discuss an area we often don't think about - children needing organs. Then, we conclude with Alejandro Mejia, MD, Transplant Surgeon and Executive Program Director of Organ Transplantation at Methodist Health System to talk about the importance of giving life to others by registering as an organ donor. See acast.com/privacy for privacy and opt-out information.
Dr. Ron Grifka - Chief Medical Officer at Metro Health | University of Michigan Health Pediatric Cardiologist If you’re a regular listener to this podcast, you know my family has navigated a medical crises or two with our girls. So I was especially excited to be able to sit down with Dr. Ron Grifka, a man who has as an impressive medical resume as probably any doctor in the country. At his core, Dr. Ron Grifka is a man who has dedicated his entire life to repairing the hearts of children. The children and their families that need his very specialized expertise are facing a lot of uncertainty and no doubt meet Dr. Grifka at a time when some of their very toughest days and weeks are right in front of them. In this episode we talk a lot about his dedication to these families, what carries him through both the good and bad days being a doctor, the unique pressure he feels when intentionally stopping a child’s heart so a delicate procedure can be completed…and then hoping that heart starts up again. We also discuss Texas barbecue and France. It’s a good one! Dr. Grifka now oversees over 500 doctors and 17 different departments in his role as Chief Medical Officer at Metro Health | University of Michigan Health. This episode is made possible by: Metro Health | University of Michigan Health and Dr. Peter Hahn Check out all the portraits and video excerpts at: www.fullexposurepodcast.com
For this week's episode we had our cup of chai with the wonderful Dr. Aamisha Gupta: the Lead Inpatient Pediatric Cardiologist at the Rady Children's Hospital & Assistant Professor at UCSD. In our conversation with Dr. Gupta we discussed the process of discovering different medical specialties, spreading awareness on the medical field through social media, and most importantly maintaining self-care throughout your journey to medicine. Come and join us to hear more about how exciting the field of Pediatric Cardiology is, how we can use our social media effectively as students and professionals, and what it really means to be resilient. If you'd like to see more from Dr. Gupta, be sure to check out her Instagram @doubleaguptamd where she posts awesome content from her show "Heart2Heart" as well as some occasional motivational posts!
We sat down and had an amazing conversation with Dr. Young, Pediatric Cardiologist at Ochsner New Orleans. We talked about many things including his connection to Camp Bon Coeur, transitioning from pediatric to adult cardiology care, technology and so much more.
As parents, one of our hopes is to allow our children to live a long and healthy life.Part of this, is creating heart healthy habits for our children.I welcome Dr. Renee Rodriguez (Paro), who is a Pediatric Cardiologist and mom, to talk all about how we promote heart healthy habits for our patients and our own families.We discuss the importance of creating heart-healthy habits and offer simple ways to make this a possibility for your family. What are some ways we can create heart-healthy habits? Why is this important? How can we teach our children the importance of this? What are screening tests done in Pediatrics for heart health? What do Pediatric Cardiologists do as a specialty? Tune in as we discuss heart health for our children in honor of American Heart Month Make sure to follow @pedsdoctalk and @drreneeparo on Instagram for more tips! Learn more about your ad choices. Visit megaphone.fm/adchoices
As parents, one of our hopes is to allow our children to live a long and healthy life.Part of this, is creating heart healthy habits for our children.I welcome Dr. Renee Rodriguez (Paro), who is a Pediatric Cardiologist and mom, to talk all about how we promote heart healthy habits for our patients and our own families.We discuss the importance of creating heart-healthy habits and offer simple ways to make this a possibility for your family.What are some ways we can create heart-healthy habits?Why is this important?How can we teach our children the importance of this?What are screening tests done in Pediatrics for heart health?What do Pediatric Cardiologists do as a specialty?Tune in as we discuss heart health for our children in honor of American Heart Month Make sure to follow @pedsdoctalk and @drreneeparo on Instagram for more tips!
Dr. Yen Bui tells us the story of how she became a pediatric cardiologist while discussing her interest in research and her experiences from college, medical school, and a Ph.D. program. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/stories-behind-the-scrubs/support
Multisystem Inflammatory Syndrome (MIS-C) is a rare but serious complication associated with COVID-19. First recognized in April 2020, MIS-C has now been diagnosed in more than 1288 children across the country as of December 4, 2020 according to the CDC. The syndrome can affect multiple organs, including the heart. The MIS-C Clinic at St. Louis Children’s Hospital was established as a collaborative clinic between Cardiology and Rheumatology to specifically care for children experiencing this inflammatory syndrome and to monitor any heart-related issues as a result of the syndrome. Dr. William Orr, Pediatric Cardiologist at St. Louis Children’s Hospital and Associate Professor of Pediatrics at Washington University School of Medicine, joins us to talk more about MIS-C, what we’ve learned about the disease, and the new clinic caring for these patients at St. Louis Children’s.
Welcome back for another episode of MDTribe! This week we have Dr. Renee Rodriguez, Board Certified Pediatric Cardiologist practicing in Northern California. Dr. Rodriguez has been a source of inspiration to me as a Latina physician. She covers all kind of topics including pursuing medicine as a Latina, imposter-syndrome, couples matching for residency, choosing the right career, marriage and kids with a physician spouse, and MORE! Her journey is extremely empowering and I hope you enjoy watching her interview as much as I did! Like, comment, and subscribe for more! New episodes every Wednesday! xoxo Nati #MDTribe Full Video of the Interview can be found at: https://youtu.be/U2h1TbhWQIg Dr. Renee Rodriguez's Links are below: https://www.reneeparo.com/ Instagram: @drreneeparo https://www.doctorvegetable.org/ https://podcasts.apple.com/us/podcast/reconciling-medicine/id1462995515 --- Support this podcast: https://anchor.fm/nataliacorreamdtribe/support
On our previous episode, Pediatric COVID Mystery Illness: MIS-C, we learned about the presentation and workup of the new inflammatory syndrome in kids associated with SARS CoV-2. On this episode, Dr. Gabi Hester digs deeper with guests Dr. Tamara Pozos. Children's Immunologist, Dr. Kate Garland, Pediatric Hematologist and Dr. Bradford Chu, Pediatric Cardiologist, to help us understand the management of kids with MIS-C and how to optimize their clinical outcomes.
Part 3 of 3 part series discussing innovations and challenges of Digital Health and Health Equity On this episode, we are joined by Keila Lopez, MD, MPH. Dr. Lopez is currently a practicing Pediatric Cardiologist in Houston, TX. She specializes in working with teenagers born with congenital heart anomalies and the chronic issues they face when transitioning from adolescence to adulthood. She speaks with us about incorporating technology in the care of patients with chronic disease, the evolution of the electronic health record, barriers related to Covid-19 & the undocumented populations in the United States and Houston’s initiatives to improve health equity. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/reede-scholars/support
A lot of us started our journey in healthcare 3D printing accidentally. Listen to this ice-breaker style interview with Dr. Shafkat Anwar, Pediatric Cardiology Director of Cardiac MRI, as well as Co-Founder and Co-Director of the UCSF Center for Advanced 3D+ Technologies (CA3D+). Hear his story on how 3D+ Technologies beyond 3D printing is helping patients (and their families) fighting against congenital heart disease and how UCSF 3D+ Lab is combating against the ongoing pandemic. His full written interview can be found here. He will be speaking at "Point of Care" panel at the upcoming 3DHEALS2020 in June, 2020.Dr. Shafkat Anwar (Twitter: @ShafkatAnwar) is a pediatric cardiologist with a specialty in non-invasive cardiac imaging, including echocardiography and cardiac magnetic resonance imaging (MRI). He is the Pediatric Cardiology Director of Cardiac MRI, as well as Co-Founder and Co-Director of the UCSF Center for Advanced 3D+ Technologies (CA3D+). He is a founding member and the inaugural Chair of the Advanced 3D+ Visualization Special Interest Group in the Society for Cardiovascular Magnetic Resonance. He is a consultant at Printerprezz, a medical start-up in Fremont, CA utilizing additive and other advanced manufacturing technologies to develop the next generation of medical devices. At Printerprezz. Dr. Anwar serves as the Senior Vice President of Medical Innovations. Dr. Anwar completed his internship and residency in Pediatrics at Children's National Medical Center, as well as a research fellowship at the National Institutes of Health. He completed fellowships in Pediatric Cardiology and Cardiac Imaging at Cleveland Clinic and Children's Hospital of Philadelphia. Prior to joining UCSF, Dr. Anwar was the Cardiology Director of Cardiac MRI at Washington University in St. Louis, St. Louis Children's Hospital. At Wash. U. Dr. Anwar co-founded and co-directed the Center for 3D Printing, a multi-disciplinary 3D printing center. He will be speaking at "Point of Care" panel at the upcoming 3DHEALS2020 in June, 2020.Support the show (https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=STF9STPYVE2GG&source=url)
Kelly talks to Dr. Jake Kleinmahon, Pediatric Cardiologist at the Ochsner Hospital for Children in Louisiana
Long time KS Athletic Club member, Dr. Daniel Forsha joins us to chat about health vs performance, medical research on CrossFit and fitness, and the benefits of removing sedentary time.
In this episode the Doctors Paro answer allllllllll of your burning questions - or at least some of the ones submitted that they felt like answering. :) From thoughts on medical school (like recent changes to a pass/fail Step 1) to their biggest turn offs to parental guilt to whether or not John has Canadian roots - they really go everywhere.No concrete Episode Takeaways on this one (I know, Renee's freaking out). Hoping you enjoy getting to hear some candid responses from the hosts. Make sure to listen to the end for the "Rapid Fire Round".
In this episode, The Doctors Paro both touch on topics specific to their area of expertise. Renee discusses murmurs and John talks about poisoning people's faces.... otherwise known as Botox. We both get a little nerdy and aim to cover the topics in an understandable and informative way. You have to decide who's presentation is more murdery.... if that statement baffles you - well you'll just have to listen to the episode to get in on the inside joke. Happy listening!Episode Take-Aways:- What is a murmur?- What is Botox?- How do you decide if the murmur is innocent or not?- Who would benefit from Botox?- What will a pediatric cardiologist do to evaluate a murmur?- What are the downsides to Botox?
Renee discusses her path to pediatric cardiology. But don't worry - John is there too to pepper in some funny quips and has a pop quiz at the end that you won't want to miss. Episode Take-Aways:Have an idea of what you like, but don't pigeon hole yourself.Pay attention to the signs and get exposure.The breadth of Pediatric Cardiology.Narrowing the focus.A day in the life of a general outpatient private pediatric cardiologist.John's pop quiz on bread and butter Pediatric Cardiology.
Today's story falls in the STEMM category because traditional STEM fields don't include medicine in them. But women in medicine are equally important and are doing phenomenal work and have super inspiring stories! Today we are excited to showcase a story of an exceptional medical doctor. Our guest today is Dr. Renee Paro, a third-generation Mexican American girl who is the first in her family to ever become a doctor. Renee has a BS in Biochemistry from Arizona State University, MD from the University of Chicago, Pritzker School of Medicine, she did her Pediatric residency (3 years) and Pediatric Cardiology Fellowship at Stanford Children’s Hospital. She is also double board-certified in Pediatrics and Pediatric Cardiology. Renee is also a non-profit founder, mother of two, a podcaster, a wife and an Instagram influencer with 15k plus following. She inspires women to live their best life possible. With their nonprofit Doctor Vegetable, Renee and her husband are promoting a healthier lifestyle for kids. In this episode we discuss: 1) Why she pursued and loves medicine? 2) Her journey through medical school. 3) What motivates her to do so many different things? 4) How she manages it all while raising a family? 5) What is Doctor Vegetable all about? Links: IG -@drreneeparo www.reneeparo.com Reconciling Medicine Podcast https://www.reneeparo.com/reconciling-medicine-podcast Support Us: https://geniuslabgear.com/collections/her-stem-story https://www.patreon.com/herstemstory https://www.herstemstory.com
Do you struggle with convincing your kids to eat their vegetables? Do you take care of everyone else and leave your personal needs unmet? You aren't going to want to miss this! Today we talk with the one and only Renee Paro, a Pediatric Cardiologist, about how she gets her family started on the right foot when it comes to healthy lifestyle choices. We also chat about what it is like having a baby right before fellowship, why a plant-based diet is a no-brainer, and what kind of help she enlists to make sure her family's lives are running smoothly in a two-physician household!
Dr. Robert Pass is the Chief of Pediatric Cardiology and the co-director of the Pediatric Heart Center at The Icahn School of Medicine at Mount Sinai in NYC. He is also the director of pediatric electrophysiology at the same institution. His career goals are to develop and perform cardiac procedures to help the cardiac health of children and adults with congenital heart disease.He has started a Pediatric Cardiology Podcast that reviews some of the latest literature in the field of pediatric cardiovascular medicine and he also interviews thought leaders in the field. The program, ‘Pediheart: Pediatric Cardiology Today,’ is available on iTunes, Spotify, and Stitcher. Today he talks with Anna about how he entered the field of pediatric cardiology, what he does as a pediatric cardiologist and how he came to add “podcaster” to his resume.Support the show (https://www.patreon.com/HearttoHeart)
Session 83 Dr. Renee Rodriguez is a community-based Pediatric Cardiologist. She shares why she loves children’s hearts, a typical day, and whether she has balance in her life. Meanwhile, be sure to check out MedEd Media Network for more helpful resources. [01:25] Interest in Pediatric Cardiology The first time she realized she wanted to do pediatric cardiology was the second she started residency being her first rotation as a pediatric resident. For her, residency was the best thing that ever happened since she wasn't in school anymore. She did another rotation but it wasn't as fun as cardiology. From a physiology standpoint, Renee finds congenital heart disease super interesting. It's like a puzzle where you have to figure out where the blood flows based off of what the anatomy is. So she fell in love with congenital heart disease, to begin with. She also fell in love with the patients. For most kids with heart disease, they're neurologically intact. So Renee got to bond with each of the patients Renee would describe pediatric cardiologists as having a unique personality of being able to not only communicate with kids, but also surgical in nature, are cut to the chase, and have high expectations. And she felt she resonated with it as she wants things to be more hardcore. [05:08] Traits that Lead to Being a Good Pediatric Cardiologist Renee describes a good pediatric cardiologist as being constantly questioning what is happening and trying to evaluate things in multiple different ways. Try to understand how to use those different modalities to answer a good question. You could order all of those tests on every patient but that would not be good care. So you have to be thinking about what you're trying to answer and how you can best answer it in a non-invasive way to get the results you need. And if you need to have invasive testing, what is it going to gain, the timing of it. So you need to be able to decipher how you're going to work a problem up. You have to be able to be collaborative. In pediatric cardiology, you're working with surgeons, EP doctors, transplant, heart failure, pulmonary hypertension -- there's a lot of little subspecs when your patient is getting a little bit more complicated. As a pediatric cardiologist, you're needing to be the conductor in all of this between all of the different specialties when it gets pretty complicated. So be collaborative and be able to deduce how you need to work a patient up and what each test is going to give you. "Be a calming collective presence for families. Patients who come to see a pediatric cardiologist are petrified, even if it's just an innocent murmur or the kid has chest pain." Moreover, you have to be calm to the patients and their families as parents are walking in the door, worried and freaked out that their kids are going to die. Most of the time, the kids are totally fine. It's not going to be anything major. But if it is, it's going to be something they're going to live with. You're going to have to be able to dance that wine and speak with parents as you're trying to give them that information and guide them through it while not totally having them walk out of your office in shambles. [07:35] Types of Patients As an outpatient community pediatric cardiologist, she sees a lot of murmurs that are typically benign, like a small hole or small valve defects, nothing major, that typically doesn't require any procedures or intervention. One of the common ones that present later in life is a large atrial septal defect. You don't necessarily pick up murmurs unless there's a significant blood flow across the hole on top of the heart that it causes some rumbling across the pulmonary valve. A lot of those kids present a little later when you hear that murmur and it can be mistaken a lot for a typical murmur so physicians don't necessarily send them until later. This would be one of the things that would require some intervention like surgery or cath procedure based off of the defect size. She also sees chest pain which is rarely ever cardiac. In kids, it's typically musculoskeletal or lung-related. If it has something to do with exercise, Renee gets those referrals. She also does preventative cardiology, a large portion of her practice is cases with high cholesterol, obesity, pre-diabetes, family history of early coronary artery disease or hypercholesterolemia. She also does a fetal echo. That's a whole different realm of primary indications that a pregnant woman would need. [09:45] Diagnosing Patients The large majority of her patients come to her undiagnosed and then she sees them. She built up the fetal echo practice because of the way pediatric cardiology is today where we rarely pick things up post-natally. "Because of our imaging abilities now and good prenatal care, we tend to pick up most significant congenital heart defects in utero." If you're a pediatric cardiologist scanning a patient, they're doing a fetal echo and identify a defect or a patient needs to deliver, you become that patient's pediatric cardiologist once they're born. Meanwhile, general pediatricians will pick up as an outpatient such as murmur, chest pain, family history, etc. They may do an EKG before they see you but usually, it's the pediatric cardiologist that does the diagnosing, if anything needs to be diagnosed. [10:52] Typical Day and Taking Calls Renee comes in two and a half days a week. She comes in the morning. She basically categorizes her patients. Her heart-healthy lifestyle patients are her more preventative cardiology patients like high cholesterol or obesity patients. It's more about lifestyle counseling, nutritional, exercise, etc. For cardiology patients, she will have them get an EKG before they come in. She will review it and walk in the door and decide if they need any further testing. She starts at about 8 am with an hour-long patient slot for new patients. Return patients will have half an hour usually. She sees patients from 8 to 5 on Thursdays and Fridays, doing echoes, and doing EKGs in the clinic room, answering in-basket messages from patients or answering phone calls. Then she's done by about 5:30 pm after she has closed her charts. "I do a lot of pre-charting. I pre-chart on all my patients beforehand so that by the time I get to see them, obviously I will have reviewed the chart in its entirety and then I can just add in what I need to add in quickly. In terms of taking calls, she doesn't take any in-house calls. She's actually surrounded by two major universities with very robust surgical and inpatient hospitalization with certain pediatric cardiology patients. So if they need advanced care, they can go to the two children's hospital near her. She also has some privileges at a couple of local hospitals where she can just get called anytime. And she has the option to take it or not depending on her availability. For her group, she's on call probably once every 6-8 weeks. She can just get called by any of the pediatricians in the urgent care or in their clinics, usually reading EKGs or answering questions for them. If there's anything very dramatic where a kid needs to be evaluated immediately, she can have them go to the hospital she's privileged at and she can evaluate them there. Or if she knows the children need some advanced care then she could just send them to the children's hospital. In terms of work-life balance, Renee considers having great balance. She built her outpatient practice to make sure it's a 100% possibility, reason that she took the decision to be part-time. That being said, she's able to balance her outside creative interest, her family, and her own self-care very well. [14:44] Community vs. Academic Setting Renee felt she received excellent training in evidence-based, high-quality, very well-thought out pediatric care. Sometimes, when you keep that only in an academic setting, you don't get to disseminate that kind of care outside. It's important to bring that kind of care to a community-based setting to be able to provide that same type of care people who wouldn't be able to travel always to Stanford or UCSF, where they're located. She thinks this kind of care should be disseminated everywhere. These are the things that led her to be in the community. "Sometimes, when you keep that only in an academic setting, you don't get to disseminate that kind of care outside." [16:35] Training Path to Become a Pediatric Cardiologist After undergrad and four years of medical school, you do a pediatric cardiology residency followed by a pediatric cardiology fellowship. There are selective programs now where you can match in a path from medical school, you become a resident for 2-3 years and then automatically go to your cardiology fellowship, you're guaranteed a spot. But typically, it's a three-year residency in peds and 3-year fellowship in cardiology, and then a couple of years after that if you want to subspecialize. There is a hugely growing field in pediatric cardiology called adult congenital heart disease. There are people who do adult medicine first and then spend time rotating through pediatric cardiology to get a better sense of congenital heart disease. They clearly understand the adult onset issues, but they need to understand the pathophysiology and surgical management of the pediatric realm. This is what ends up happening from the adult side and then they treat adult patients more than peds patients. Renee thinks that people who do Med/Peds could do that. As to competitiveness, Renee describes pediatric cardiology as one of the more competitive specialties of peds. That being said, most people she knew ended up matching into some programs. To be competitive, a resident has to be hardworking in everything they do regardless of what kind of rotation you do. So work hard and make great connections. Be a good learner and be open to opportunities. People talk to each other so never burn bridges. So working hard is always the right answer. "Go the extra mile when you're on the pediatric cardiology rotation, but you really should do that across the board because you have no idea who knows who and who could say what about what." [20:55] Special Opportunities for Subspecialization After cardiology fellowship, other areas for you to subspecialize include electrophysiology or interventional cardiology, pulmonary hypertension. There's also CVICU, which you can do from PICU or you go and do additional training in cardiology. Or if you're a cardiology fellow, you can go from cardiology and do additional year in pediatric ICU. Or you can just do an ICU year. There are also some preventative programs coming up where you can do an additional year of preventative cardiology. And adult congenital disease as mentioned above, which you can do from the peds side. There's also advanced imaging. [23:15] Message for the Osteopathic Students Renee never saw any DO students getting any different treatment or thought process. She believes that if you work really hard, there's no such thing as luck. Be there, be present. Work hard. Take opportunities where you can. Show off as your best self every time and you can get typically what an MD student would get. "If you work really hard, opportunities present themselves from the hard work that you do." [24:05] Working with Primary Care, Other Specialties, and Opportunities Outside of Clinical Medicine "Pediatricians should feel comfortable developing a relationship with a pediatric cardiologist." Congenital heart disease, for instance, is a hard thing to understand unless you do a deep fellowship in it. That being said, feel comfortable calling somebody, even just asking what the pediatric cardiologist thinks. At the end of the day, it's about having a team-based care. A lot of what pediatricians see in the clinic would be really taking family history. So anytime you're seeing a kid complaining about chest pain, really take a detailed family history. And not just cardiac disease but general heart disease, like if anyone in the family has this certain disease or not. Renee advises primary care physicians that if at any time you worry about a heart problem, take a very detailed cardiac family history. "Lots of things are genetic diseases that are passed down." Other specialties they tend to work the closest with include those from the subspecialized cardiology field, interventionalists, EP doctors, sometimes surgeons, neurologists. In terms of special opportunities outside of clinical medicine, you can get involved teams doing heart screening. There would be a lot more opportunities in the future as with technology and monitoring. [28:30] The Most and Least Liked; and Major Changes in the Future Renee really thinks pediatric cardiology is a very interesting field. What she thinks is cool is that you still get to see the people who you only read about on textbooks. "It is a super interesting fast-paced, highly evolving field with a lot of really amazingly smart, fun people." What she likes the most about this field is the way she's connecting with the patients and their parents. They are terrified the moment they walk into the clinic. But she's able to tell them that they're going to be totally fine. Of if there is something wrong, Renee is the person who can lead through this whole thing. Being able to take their hand through it all is something humbling. Conversely, what she likes the least is feeling like no matter how much you do, you can never tell with 100% certainty that everything is okay. In terms of the major changes she sees coming into the future of this field, she mentions the power of the smartwatch where you can pick up certain things. Ultimately, if she had to do it all over again, she would definitely do it. Her message for medical students and residents is that don't discount anything along your path. Really check all over again even if you think you've found what you really want. Don't get tunnel-visioned and think like you have to do well it a certain rotation only. Instead, work hard because everybody talks and pediatric cardiology is a super small field and everyone knows everyone. So you've got to put on your best face always. Always be showing up with your best self! Links: Follow Dr. Rodriguez on Instagram @reneeparo. MedEd Media Network
Working up from a clinician to Chief of Specialty, then to Department Chair is a tremendous accomplishment. But for Christina Sheridan, pediatric cardiologist, there’s much more than just a career to focus on. As she points out, our society often asks kids, “What do you want to be when you grow up?” But she goes on to explain, “I’ve realized that it doesn’t have to be a unilateral answer. Because they don’t have to just be an engineer or a doctor. They could be, as I’ve shown my kids, a mommy, a doctor, and on the side, someone who enjoys sports and cooking. I’m instilling to my kids to keep up your hobbies, keep up your interests, because those are the aspects that are going to make you be a better person with more of a focus in your day job.” Sharing her story with us, Christina opens up about her sacrifices, explains how she got started in a leadership position, and notes the important role her Chinese American heritage plays in her life.
Session 71 Dr. Serena Sah is an academic Pediatric Cardiologist in the California area. We talk about what drew her to the specialty, what she likes about it, and more. Serena has been out of training now for three years. By the way, do you know of someone whom you think would make a great guest on this show? Email me at ryan@medicalschoolhq.net. [01:25] Her Interest in Pediatric Cardiology Serena enjoys working with kids so she knew she wanted to do Pediatrics. She had a six-month-old cardiac patient that had an interesting physiology. Knowing nothing about cardiac disease, she was freaking out and that encounter with the patient was what really got her intrigued by the physiology of the heart. Additionally, pathophysiology made sense to her. She likes being able to figure out the causes of the disease. Going through medical school, she initially didn't have that interest in Cardiology as much as when she encountered that experience. She thought she would do general pediatrics at first but she already had the mindset of going into cardiology. She admits her intern year was rough and thought of not going any further. But that rotation in cardiology and her interest just peaked again. She also considered neonatology which had intensive care to it. Still, she was interested in the cardiac patients. [07:11] Traits that Lead to Being a Good Pediatric Cardiologist Serena says you have to enjoy working with kids and being around kids a lot. Understand that pathophysiology is interesting to you. Some of these kids can get pretty sick so just having a sense of calm under stressful situations. "You have to be able to know that you'll see kids of both spectrums of severity of illness. You have to be comfortable in that kind of environment." [08:25] Types of Patients and Her Typical Week A lot of the patients that get referred into their clinic are teenagers with chest pains, fainting spells, arrhythmia, or minor heart diseases. She would also have a portion of patients where she does neonatal surgery or infant surgery where patients are born with a single ventricle. They would need to have a series of operations and you need to follow them throughout their life. Basically, it's a good mixture of people who have cardiac-related symptoms, heart murmurs, and those diagnosed during their neonatal period and she just follows them through. Of her patients who come in already diagnoses, Serena calculates it's about quarter to a third of them and she's just following them up. The next quarter to half of them are people that come in with symptoms and they diagnose it. Also, a quarter of them get screened but get discharged without any cardia diagnosis. Serena works at an academic institution with a large group of cardiologists or pediatric cardiologists so majority of their time is spent on outpatient. Then they do a rotation of inpatient service a week at a time and it happens less frequently. Her typical week would be one to two days of outpatient clinic. She reads heart ultrasounds for 2 to 2 1/2 days of the week. She also does a couple of half day sessions of administrative time or research time. [12:37] Academics vs. Community Serena chose academics over community for convenience. She felt she could go either way. But she enjoys teaching trainees. In fact, she looked to both places but it just worked out that her home institution had a position that opened up so she grabbed it. And it worked geographically. "It wasn't the only thing I was looking at, but it ended up being where I was at." [13:40] Doing Procedures, Work-Life Balance, and Taking Calls As a pediatric cardiologist, cardiology is one specialty in pediatrics that is a medical specialty but provides a way for you to do hands-on things. They have a specialty in catheterization and put on cats and heart stents. You can also go into cardiac ICU as a subspecialty which is a third level of training. Then you can do a lot of procedures. Doing ultrasounds is not invasive but these are two subspecialties within pediatric cardiology where you get to work with your hands. Serena says she has a very demanding position from a clinical standpoint so there's a lot of clinical work involved. Being in a larger group, their call schedule is more spread out. So she's not on call as much versus as she were in a smaller private practice group. That being said, she still wishes she had more time for family and things outside of work. They usually handle home calls. They do have fellows that do first call where they're screened and their just escalated to them. So they rarely go to the hospital when they're home at night. But during service, they would also cover the weekend which means going to the hospital to round and be there if there are emergency situations. Their fellows also take phone calls so they go in if they need to. [17:07] The Training Path to Pediatric Cardiology After four years of medical school, you match into residency for Pediatrics. Then the application cycle has changed since she applied. You have to apply in your second year so you know where you're going by the end of your third year as you graduate from residency. But they've just changed the fellowship application cycle. You apply on your second year and then match in the fall of your third year. Pediatrics is three years and Cardiology is another three years. If you want to do the subspecialty within Cardiology, the trend is to have another year or two of training. Then there's five to six different subspecialties within Cardiology - Heart Failure, Transplant, Imaging, Electrophysiology, Catheterization, and ICU. Some are also doing a fellow, fourth year, in Hypertension so it makes six years all in all. Others do Preventive Cardiology since there's growing obesity in the younger population. There's Cardiac Genetics. "There's seven or eight subspecialties that you can potentially train for as an extra year of training if there's something specific in Cardiology that you want to do." Serena says the more competitive fields are neonatology, critical care, or PICU within pediatrics to match into since a lot of people want go into it. But generally, all are pretty competitive although she doesn't really have the numbers of it. [21:50] Bias Towards DOs and Working with Primary Care and Other Specialties Serena doesn't see any negative bias towards DO in general. As with working with primary care, she feels for the pediatricians seeing a lot of patients. When they see referrals from pediatricians, it's difficult for them. So if there's something they're uncomfortable with, then pass them onto them. But they don't mind seeing patients that need to be seen to help the general practitioners figure out who needs further care. Other specialties she works the closest with are the ICU people, neonatology, pediatric ICU, general pediatrics, hematology-oncology, nephrology, and GI. As with special opportunities outside of medicine, she knows of several pediatric cardiologists who have gone medical mission trips to help different places and countries. They also have people who work with developing technologies and devices. Research is also one since genetics is becoming a big field that people are interested in that relates to both bench research and genetics research. "Genetics is becoming a big field that people are interested in." For nonclinical things, there are opportunities for teaching. For Serena, her job is more clinical so it's most of what her know. That said, there are people that do AI type of technology that incorporates cardiac information. [30:57] What She Knows Now that She Wished She Knew Serena says she has a conflicting view of things. She loves the action of intensive care but she dreads it at the same time being a stressful situation since patients have various outcomes. So she loves and dreads it at the same time. She finds herself gravitating more towards the outpatient stuff where she can be involved in the action but not as directly. All this being said, she wished she knew more about call in general in that it can be pretty rough during residency and training. What she likes most about her specialty is thinking through the heart diseases and diagnosing them. She likes being able to educate the family about it which she finds fascinating and rewarding. She likes being able to work the families and helping them through the process. What she likes the least on the flip side is handling difficult cases and if there's nothing they can do for tough conditions as well as that feeling of being responsible even though you're not if the outcome isn't good. [35:27] Major Changes in Pediatric Cardiology in the Future Serena says there's a lot of new technology being developed within interventional cardiology and imaging. They're working a lot with 3D stuff, printing or imaging modalities. They also work very closely with bioengineers. So if you're thinking about going to medical school, Serena says having this background helps. And if you're already in medical school, just be aware of all the technologies up and coming that are potential things to explore going into it. "There's a lot of emerging technology that will come into play very prominently in the field." Although she loves medicine and the intellectual stimulus of it, but if she were to go into medicine again, she would still be in pediatric cardiology. If she didn't go into medicine, she would probably be into graphics design or any design-related field. Finally, her advice to those who are considering this specialty is to be persistent as cardiology training is difficult. Persevere and maintain your motivation and persistence, Have an attitude of learning everything as much as possible within your training time. It's a great field and a very interesting and fulfilling and rewarding field. The process is long but there's a lot of rewards that come out at the other end. Links: ryan@medicalschoolhq.net
Dr. Candice discusses the preparticipation physical evaluation (PPE)and cardiac-related sudden death in youth sports with Pediatric Cardiologist, Dr. Michelle Wallace.
Mike and Cam interviewed Dr. David Thoele, a Pediatric Cardiologist at Advocate Children's Hospital. In part 1, Dr. Dave talks to us about the struggles that he and his daughter encountered while getting diagnosed with celiac, the struggle to find safe gluten-free food options in the mid-nineties, and how both of their diagnoses were by no means a "straight line." He shares with us some of his frustrations with what is viewed as the "gold standard" in celiac testing and how there might be some "grey area" to folks who are not able to get a traditional celiac diagnosis.
A Day in the Life is a podcast for medical students, by medical students, in which attendings are asked about their training and daily life. In this episode, Allison McLellan speaks with Dr. Tomislav Ivsic, a pediatric cardiologist at Nemours Children's Hospital in Orlando, Florida.
In this episode, Dr. Matherne, who is a pediatric cardiologist, shares his insights about children and congenital heart disease. He talks about the advances in the technology and the services they can offer children with complex congenital heart disease. How the complexity of the child's heart condition can often lead to longer hospital stays, disrupting the family's normal schedule, while causing the family stress for several weeks and sometimes months during the hospital stay. The importance of dental hygiene The developmental challenges that some of the children with complex congenital heart disease face. Some of the challenges involved with children getting heart transplants - Plus, Dr. Matherne talks about the 3 operations that many single ventricle children need, the Norwood Procedure to place a Blaylock Tussing Operation, The Glenn procedure, and the Fontan procedure. He shares information about these 3 surgeries, what parents can expect during their child's hospital stay and the expectations and stress parents face during their child's stay, along with once the child and family return home after each operation. Join us for this exciting episode.
Dr. Ari Cedars is a cardiologist at Baylor University medical Center in Dallas, Texas. He is a physician and the director of the Center for Adults with Congenital Heart Disease (or ACHD). He trained in Adult Congenital Heart Disease at Washington University in Saint Louis. He is passionate about research in the realm of adults with congenital heart disease, especially since it is a growing population with increasingly complex needs. He believes that doctors and patients can work together to improve the quality of life of those living with congenital heart defects.Support the show (https://www.patreon.com/HearttoHeart)
Every hour approximately 48 people will have a cardiac event outside of the hospital. However, what is surprising to many is that 6,000 children and adolescents die each year from heart failure. In this segment we discuss the pivotal role school nurses play in limiting the number of student deaths due to heart attacks in school. Follow: @schoolnurses @bamradionetwork Kathleen Rose, RN, MHA, NCS, the NASN Director of Florida Association of School Nurses, she has been a school nurse for 30 years, working from Pre-K through 12th grade. During that time, she taught CPR, AED and first aid to students, staff and coaches. In addition, she created an educational unit, "Healthy Hearts - Now and Later" for elementary and MS students. Dr. Dianne Atkins is a Pediatric Cardiologist at the University of Iowa Children's Hospital and her research interests have centered around cardiac arrest in the Young, CPR training and defibrillation. An active volunteer for the American Heart Association, she worked with the Emergency Cardiovascular Care Committee.