Podcasts about Pennsylvania Hospital

In this special episode on wisdom, Zac and Jay sit down with Dr. Sheldon Goldberg — known affectionately as Dr. G — a pioneering interventional cardiologist whose medical career spans over five decades. Dr. Goldberg serves as Clinical Professor of Medicine at the Perelman School of Medicine at the University of Pennsylvania and Director of Cardiovascular Education and Research at Pennsylvania Hospital. With over 150 publications, 8,000 citations, and a central role in the groundbreaking STRESS trial that helped establish the use of coronary stents, Dr. Goldberg's impact on the field is both deep and lasting.Together, they explore not just the evolution of cardiology — from the earliest days of interventional procedures to today's cutting-edge treatments — but also the deeper lessons he's learned about healing, resilience, and what keeps the human heart beating in more ways than one.The conversation moves from the hard truths about smoking, alcohol, and lifestyle choices to a candid critique of America's broken medical system. Dr. Goldberg reflects on the emotional toll of medicine, the difficulty of balancing work and family, and why humility and human connection matter more than ever in an era increasingly dominated by AI and corporate healthcare.Zac and Jay also dig into the personal: What does a man who's saved thousands of lives regret? What keeps him motivated? And what would he tell the next generation of doctors who are stepping into a vastly different world?This is a rich, revealing, and profoundly human conversation about medicine, mortality, and meaning.Connect with Zachttps://www.instagram.com/zwclark/https://www.linkedin.com/in/zac-c-746b96254/https://www.tiktok.com/@zacwclarkhttps://www.strava.com/athletes/55697553https://twitter.com/zacwclarkIf you or anyone you know is struggling, please do not hesitate to contact Release:(914) 588-6564releaserecovery.com@releaserecovery

AP correspondent Haya Panjwani reports on an officer hit by police fire during a hospital attack.

Philadelphia treasure Lauren Hart joins the show today! We go in-depth on her time serving as the Philadelphia Flyers national anthemist (25 years and counting), her musical journey which includes releasing over a half-dozen albums and performing with Philly's own The Dovells (and numerous other musical artists), and her beloved dad, Philadelphia Flyers Hall of Fame broadcaster Gene Hart. Lauren is (or has been) involved with the boards of the Philadelphia Orchestra, Pennsylvania Hospital and the Philadelphia Zoo, and along with her husband Todd Carmichael (co-founder of Philadelphia's La Colombe Coffee Roasters), are heavily involved in philanthropic work in the region and beyond. Lauren also shares about the great blessing and joy of adopting and parenting four beautiful children from Ethiopia and the important teamwork with Todd all along the way. Find out more at www.laurenhart.com! Sports clips:Bryce Harper (Philadelphia Phillies first baseman) (MLB.com) See omnystudio.com/listener for privacy information.

Ready to diversify outside the stock market? EquityMultiple brings you streamlined real estate investing. Access vetted, cash-flowing opportunities from anywhere. Start today, with just $5K, at equitymultiple.com_______"Have you ever hesitated to ask for what you truly want because of a fear of rejection or judgment?"In this episode, Dr. Kristine Goins interviews Dr. La Toya Luces-Sampson, who reveals how the simple act of asking can unlock greater freedom, confidence, and fulfillment. Dr. Toya explains that, despite medical culture often stigmatizing self-advocacy, asking is not just a negotiation skill but a life-changing habit that aligns personal and professional values.Dr. Toya sheds light on barriers such as fear of rejection, cultural conditioning, and judgment that discourage physicians from requesting better schedules, pay, or wellness accommodations. She reframes "no" as an opportunity to understand objections, gain clarity, and move closer to "yes." Her approach focuses on understanding your true desires, knowing the real reason behind your requests, and ensuring everything you ask for reflects your value and matches what matters most to you. BioDr. La Toya Luces-Sampson, affectionately known as Dr. Toya on social media, is a wife, mother, board-certified Obstetrician/Gynecologist, perinatal mental health specialist, and Coach. Born and raised in Trinidad and Tobago, she moved to the United States where she went on to earn both her Bachelor and Medical Degrees from Howard University in an accelerated 6-year BS/MD program. She completed her residency training at Pennsylvania Hospital in Philadelphia and has lived in Northern California since.After caring for pregnant and postpartum women as an OBGYN for more than a decade, she now focuses on the unique needs of physician moms who rarely feel supported as they navigate caring for their babies, a new identity, and the ongoing intensity of clinical medicine. Dr. Toya helps Physician Moms set up systems, navigate complications, advocate for themselves in both personal and professional contexts, so they can feel good about themselves, with confidence and joy. She spreads her message of self-love and self-care on her podcast, Stethoscopes and Strollers.Websites:drtoyacoaching.com. https://tremendous-composer-1450.kit.com/446f959b01Socials:Instagram: https://www.instagram.com/drtoyacoaching/Facebook: https://web.facebook.com/latoya.luces.5Youtube: https://www.youtube.com/channel/UCFusqULGoxtWl0IOyJPBZ-w Dr. Kristine Goins' BioFind more about Dr. Goins here: https://www.physiciansguidetodoctoring.com/drgoins Did you know… You can also be a guest on our show? Please email me at brad@physiciansguidetodoctoring.com to connect or visit www.physiciansguidetodoctoring.com to learn more about the show!Socials:@physiciansguidetodoctoring on FB @physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

Show SummaryOn today's episode, we're featuring a conversation with Victoria Ring, the National Alliance for Care at Home's Manager of Veterans Services. In this role, Tori manages the We Honor Veterans program, ensuring hospice and palliative care providers are supported and connected with the resources and tools needed to provide quality care that meets the unique needs of Veterans at end of life. Provide FeedbackAs a dedicated member of the audience, we would like to hear from you about the show. Please take a few minutes to share your thoughts about the show in this short feedback survey. By doing so, you will be entered to receive a signed copy of one of our host's three books on military and veteran mental health.  About Today's GuestsVictoria Ring joined the National Alliance for Care at Home in 2023 and serves as the organization's Manager of Veterans Services. In this role, Victoria manages the We Honor Veterans program, ensuring hospice and palliative care providers are supported and connected with the resources and tools needed to provide quality care that meets the uniqueneeds of Veterans at end of life. Her focus is on fostering community connections, ensuring accessibility, promoting health equity, and advancing person-centered and holistic approaches to care. Victoria's deep rooted personal commitment to improving quality of life for older adults with unique needs is reflected in her daily support of We Honor Veterans.Victoria holds a Master of Social Work from the University of Pennsylvania with a Certificate of Specialization in Geriatric Social Work. Her experience includes graduate internships with Pennsylvania Hospital's inpatient proactive psychiatric service line and at Penn Medicine at Home, across their inpatient, outpatient, and bereavement teams. Victoria's prior experience includes employment as a Housing Case Manager, supporting households experiencing intimate partner violence to secure and sustain safe housing. Victoria has prior experience in facilitating public health education. She also holds a Bachelor of Arts in Psychology from the Catholic University of America.Links Mentioned in this Episode We Honor Veterans Web siteMilitary History ChecklistPsychArmor Resource of the WeekCaring for Veterans Through the End Of Life: Healthcare Providers. In this healthcare provider course, you will gain the skills and knowledge to provide compassionate care to our nation's Veterans as they approach the end of their lives. We will examine the specific needs of Veterans and their families, as well as how a patient's military service can impact end-of-life medical care. You will learn how to provide dignified and respectful care that meets the physical, emotional, and spiritual needs of Veteran patients. By the end of this course, you will be equipped to deliver compassionate and sensitive care to Veterans in their final days. You can see find the resource here:   https://learn.psycharmor.org/courses/caring-for-veterans-through-the-end-of-life-healthcare-providers Episode Partner: Are you an organization that engages with or supports the military affiliated community? Would you like to partner with an engaged and dynamic audience of like-minded professionals? Reach out to Inquire about Partnership Opportunities Contact Us and Join Us on Social Media Email PsychArmorPsychArmor on TwitterPsychArmor on FacebookPsychArmor on YouTubePsychArmor on LinkedInPsychArmor on InstagramTheme MusicOur theme music Don't Kill the Messenger was written and performed by Navy Veteran Jerry Maniscalco, in cooperation with Operation Encore, a non profit committed to supporting singer/songwriter and musicians across the military and Veteran communities.Producer and Host Duane France is a retired Army Noncommissioned Officer, combat veteran, and clinical mental health counselor for service members, veterans, and their families.  You can find more about the work that he is doing at www.veteranmentalhealth.com  

Maria “Adi” Benito is an integrative adult endocrinologist and the director of Princeton Integrative Endocrinology. After her residency in Internal Medicine at Pennsylvania Hospital (1997-2000) (University of Pennsylvania Health System), she completed a Fellowship in Endocrinology and Metabolism at the University of Pennsylvania (200-2004) and a fellowship in Integrative Medicine at the Andrew Weil Center for Integrative Medicine (2008-2010). She has attended David Winston's Center for Herbal studies (2012-2014 )and the Khalsa Healing Arts and Yoga Center (meditation teacher training 2005-2006). Adi joined the fellowship faculty of the Arizona Center for Integrative Medicine (University of Arizona) in 2012. She developed and authored the first course on Integrative endocrinology for this program. She has contributed a chapter in thyroid health to the 2nd edition of Integrative Women's health (Weil Integrative Medicine Library) and has been an invited guest reviewer for www.dr.Weil.com. Adi lectures on the integrative management of endocrine conditions including diabetes prevention and thyroid disorders to the community. She is the chief medical advisor of Eating for Your Health, a non-profit organization based in Princeton, NJ, whose mission is to help people lead healthier lives by eating deliciously prepared whole foods in a supportive setting. In her private practice, she uses an integrative approach to the management of pre-diabetes, thyroid conditions, and PCOS, blending the best of the healing arts.

John Rhea Barton was a master surgeon who has both a fracture and a professorship named for him. Thomas Story Kirkbride wanted to take Barton's role, but instead got interested in caring for the mentally ill at a time when a new philosophy was being introduced. Kirkbride asylums became the standard of care for many decades. Anna Lukens was among the students from Women's Medical College who were verbally and physically assaulted after an attempt at coeducational clinical teaching at Pennsylvania Hospital ended up in the “She Doctor Panic of 1869”. Richard Burr inadvertently became the poster child for Civil War embalmers when Matthew Brady captured his likeness while he was doing a battlefield procedure. If you like what you hear, please leave a review and check out Fathers and Mothers of American Medicine, parts 1, 2, and 3

“What is it like to be a clinician with a patient who either comes because they're going to be dying or it happens in the treatment -  what is it like for the clinician? It's lonely in a way because there is a lot of parallel with what the patient is going through. To me, and as a field, I would like to think we could talk about this and write about it. My peer group at the time was terribly important to me - colleagues, people that basically would be with me in this. But in the end I was the one that went alone to the service at the funeral home and I went to my patient's luncheon, not to have the lunch but to talk to the family, and then I left - I didn't stay for the lunch, I thought that might be a little intrusive. There's nothing really to read about, talk about, pick somebody's brain about how do they experience this in their work or I don't really understand why we've been so quiet about this in our work.” PW   “You mentioned about being alone in it, and there is a way in which it's very true. I think a large part is that not many of our colleagues have had this experience. But on the flip side, maybe because I've worked with so many patients and I'm beginning to notice a certain consistency, but I've also had such an experience of close intimacy with these patients. There's a closeness that is to be had particularly in analytic work and work over time - but it happens quite quickly in the work with dying patients, and in that regard, I felt less alone in my work. In some ways in the rest of our work, because we maintain a careful distance in a way, a boundary with the patient, a frame - I feel with the dying patients, I feel like both of us are more in the room together.” MM     Episode Description: We begin with acknowledging the tension that exists between the literal and metaphoric aspects of the analytic relationship and how that is highlighted in the face of physical illness in either party. We focus on patients' illnesses both as they present upon initial consultation and when they develop in the course of treatment. Mark describes his years of work with cancer patients, and Peggy shares her experience with an analysand who, in the 6th year of her treatment, developed a terminal illness. We consider the emotional challenges associated with making home visits, the meaning of 'boundaries', feelings associated with fees, and the shared experience of love between patient and analyst. We consider the ways that the analyst's affective intensity may also be associated with earlier and feared illnesses in their own life. We close with considering the difficulties that our field has in honestly communicating this aspect of the heart and soul of psychoanalysis.   Linked Episodes: Episode 23: A Psychoanalyst Encounters the Dying – Discovering ‘Existential Maturity'   Episode 40: How Psycho-Oncology Informs an Approach to the Covid-19 Crises with Norman Straker, MD   Our Guests: Mark Moore, PhD, is a clinical psychologist and psychoanalyst who works in private practice in Philadelphia. He was the Director of Psychological Services at the Abramson Cancer Center at Pennsylvania Hospital from 2004-2014 where he supervised psychology interns and post-doctoral fellows during their psycho-oncology rotation and provided psychological services to cancer patients and their families. He is also currently a co-leader for a weekly doctoring group for neurology residents at Penn Medicine. He was the Director of the Psychotherapy Training Program from 2014-2020 at the Psychoanalytic Center of Philadelphia, where he currently teaches courses on Writing, Assessment, Core Concepts, and a comparative course on Psychotherapy and Psychoanalysis. He was a recipient of the 2020 Edith Sabshin Teaching Award from the American Psychoanalytic Association, and he runs a monthly teaching forum for faculty at his institute. Dr. Moore's clinical work focuses on health issues, notably chronic illness, losses, and life transitions associated with cancer, and the fear of dying. He has written several book chapters on topics including the concept of harmony in Japan, cultural perspectives on lying, conducting therapy outside the office, the experience of bodily betrayal in illness and aging, the experience of shame across the adult lifespan, and more recently about friendship.    Peggy Warren, MD, is a psychiatrist and psychoanalyst in Boston. Originally from Chicago, she danced professionally with Giordano Dance Chicago from ages 15 to 21, which created a lifelong interest in the effects of creativity and mentoring on human development. Fascinated by cell biology, she received a master's degree in microbiology from Chicago Medical School and then an MD from Rush University. In medical school, she was chosen to be an Osler Honor Fellow in Pathology/Oncology, where she was first exposed to dying patients. Awarded the Nathan Freer prize for excellence in a medical student at graduation, she used the prize money to buy the Complete Works of Freud and began to learn about the power of the unconscious. After completing residency training in psychiatry at Massachusetts General Hospital, she pursued analytic training and graduated from the Boston Psychoanalytic Society and Institute. She was on the teaching and supervising faculty of the MGH/McLean psychiatry residency program for 30 years, the Boston Psychoanalytic faculty for 20 years, and won the teaching award from the Harvard Medical School MGH/McLean residency program in 2010. She has given talks on “Vaslav Nijinski: Creativity and Madness,” was a discussant with Doris Kearns Goodwin on Abraham Lincoln and depression, lectured on the effect of twinships on siblings, was a discussant in the “Off the Couch Film Series,” (Boston Coolidge Corner theater), a case presenter “On the Dying Patient” at the 2017 American Psychoanalytic meetings, and is a faculty member of the American Psychoanalytic Association's annual Workshop on Psychoanalytic Writing. She has been in private practice in Boston as a psychoanalyst for 38 years.   Recommended Readings: Bergner, S. (2011). Seductive Symbolism: Psychoanalysis in the Context of Oncology. Psychoanalytic Psychology, 28,267-292.   Emanuel, L. (2021). Psychodynamic contributions to palliative care patients and their family members. In H. Schwartz (Ed.), Applying Psychoanalysis to Medical Care. New York: Routledge.    Hitchen, C. (2012). Mortality. New York: Hatchette Book Group.   Minerbo, V. (1998). The patient without a couch: An analysis of a patient with terminal cancer. Int. J. Psych-Anal., 79,83-93.   Norton, J. (1963). Treatment of a Dying Patient. Psychoanalytic Study of the Child, 18, 541-560   Didion, Joan: The Year of Magical Thinking. Vintage/Random House, 2007   Jaouad, Suleika: Between Two Kingdoms: A Memoir of a Life Interrupted; Random House, 2022.   Bloom, Amy: In Love: A Memoir of Love and Loss;Random House, 2023.  

In this episode of HealthiHer, host Dr. Amy Brenner delves into the world of alternative fibroid treatment with the distinguished expert Dr. David Toub. Together, they unravel the complexities surrounding fibroids, shedding light on who is affected by them and the symptoms they entail with a focus on a minimally invasive option for fibroid treatment. Fibroids are non-cancerous growths that develop in the uterus, affecting many women during their childbearing years. Symptoms can vary widely, from heavy menstrual bleeding to pelvic pain, impacting quality of life and fertility. Understanding the significance of alternative treatments is crucial, particularly for those seeking options beyond traditional surgeries, such as hysterectomies. The spotlight of the discussion falls on the Sonata Uterine Fibroid Minimally Invasive Procedure, a groundbreaking approach to addressing fibroids with precision and minimal invasiveness. Dr. Toub guides listeners through the intricacies of the Sonata procedure, explaining how advanced ultrasound technology is leveraged to precisely target fibroids. By using real-time imaging guidance, radiofrequency energy is applied to shrink and destroy fibroids while preserving healthy surrounding tissue. Delving into the history of this innovative treatment, Dr. Toub highlights its emergence as a patient-friendly alternative to traditional surgeries like hysterectomy. This procedure offers a conservative approach, allowing individuals to retain their uterus while effectively treating fibroids. It addresses the limitations and challenges associated with invasive surgeries, offering fewer complications and a quicker return to normal activities. Tune in to this enlightening discussion as Dr. Brenner and Dr. Toub navigate the landscape of fibroid treatment, offering valuable insights into the transformative potential of the Sonata Uterine Fibroid Minimally Invasive Procedure. Learn about Sonata Fibroid Treatment in Cincinnati like and subscribe!  Instagram- https://www.instagram.com/amybrennermd/ Facebook- https://www.facebook.com/DoctorAmyBrenner YouTube- https://www.youtube.com/c/AmyBrennerMD Special Guest - Dr. David Toub Dr. Toub is Senior Vice President, Medical Affairs at Gynesonics, which has developed a transcervical device (the Sonata® system) for radiofrequency ablation of uterine fibroids. Prior to joining Gynesonics in 2008, Dr. Toub received AB and MD degrees from the University of Chicago and earned an MBA with a concentration in management information systems from Drexel University. He is a Fellow of the American College of Obstetricians and Gynecologists and a Diplomate of the American Board of Obstetrics and Gynecology. After a fellowship in pelvic surgery at Graduate Hospital in Philadelphia, he served as an attending physician at Pennsylvania Hospital, where he held faculty appointments at both Thomas Jefferson University and the University of Pennsylvania. A laparoscopic and pelvic surgeon with a special interest in providing alternatives to hysterectomy, Dr. Toub has been a faculty member and speaker at several conferences and authored a chapter on radiofrequency energy for a hysteroscopy textbook. He currently serves as an editor for two ob/gyn journals and lives just outside Philadelphia.

Join Dr. Amigues and special guest Dr. La Toya Luces-Sampson as they delve into the often overlooked topic of postpartum mental health. In this raw and vulnerable conversation, they explore the challenges faced by new mothers, the complexities of maternal emotions, and the importance of seeking support during the postpartum period. Dr. Luces shares insights from her experience as an OB/GYN and physician coach, shedding light on the baby blues, maternal guilt, and the need for open dialogue surrounding mental wellness in motherhood. This episode offers valuable perspectives and resources for navigating this crucial time with compassion and awareness.~ About Dr. Toya ~Dr. La Toya Luces-Sampson, affectionately known as Dr. Toya on social media, is a wife, mother, board-certified Obstetrician and Gynecologist and Coach. Born and raised in Trinidad and Tobago, she moved to the United States where she went on to earn both her Bachelor and Medical Degrees from Howard University in an accelerated 6-year BS/MD program. Shecompleted her residency training at Pennsylvania Hospital in Philadelphia and has lived in Northern California since. After caring for pregnant and postpartum women as an OBGYN for more than a decade, she now focuses on the unique needs of physician moms who rarely feel supported as they navigate caring for their babies, a new identity, and the ongoing intensity of clinical medicine. Dr. Toya helps Physician Moms set up systems, navigate complications, advocate for themselves in both personal and professional contexts, so they can feel good about themselves, with confidenceand joy. Discover more about Dr. Toya's mission to empower physician moms with the tools they need through digital assets and private coaching:https://drtoyaobgyn.com/coachFollow Dr. Toya:TikTok: @drtoyacoachingInstagram: @drtoyacoachingFacebook: latoya.luces.5YouTube: @DrToyaCoaching......Learn more about Rheumatology on Dr. Amigues' education focused channel, @Rheumatology101  And give us a follow on social media! We greatly appreciate your support. Instagram: @unabridgedmdFacebook: @UnabridgedMDTiktok: @unabridgedmdAre you, or someone you love, looking for a rheumatologist near you? Maybe you queried Google for the “best rheumatologist in Denver” and felt that no other arthritis clinic in Denver really seemed personable? Or maybe you are simply looking for a doctor who will listen to you and work with you to achieve disease remission? Well, you have come to the right place. UnabridgedMD has the best rheumatologist in Denver, Colorado and we cannot wait to work with you.Click here to get in touch: https://www.unabridgedmd.com Or give us a call: 303-731-4006If you live in Colorado and are looking for a rheumatologist to help you achieve disease remission, email or contact us at UnabridgedMD.com. We are the first direct care rheumatology in Colorado and can see you within a week!

Dr. La Toya Luces-Sampson, affectionately known as Dr. Toya on social media, is a multi- faceted individual—a wife, mother, board-certified Obstetrician and Gynecologist, entrepreneur, speaker, and best-selling author. Born and raised in Trinidad and Tobago, she journeyed to the United States where she earned both her Bachelors and Medical Degrees from Howard University in an accelerated 6-year BS/MD program. Her medical training was further honed at Pennsylvania Hospital in Philadelphia. Her medical prowess is only one side of the coin. Dr. Toya is a thriving entrepreneur, being the brainchild behind "Buy Default," a curated directory aimed at promoting Black businesses and professionals. She's also the founder and CEO of Amina OBGYN Consultants, an independent contracting company providing hospital-based OBGYN services. Dr. Toya has broadened her medical practice by embracing telehealth, now offering her expertise to the women of California and Texas. Entrepreneurship became Dr. Toya's beacon out of professional burnout, igniting a passion for patient education. She leverages her social media platforms to embolden women, providing invaluable insights to help them take charge of their reproductive health and advocate for themselves. Her endeavors echo a central message of empowerment and education, making a meaningful impact on her followers and patients alike. Discover more about Dr. Toya's mission and connect with her: Dr. Toya's Website Telehealth Services: Amina OBGYN Consultants Follow her on TikTok, Instagram, Facebook and YouTube

Show SummaryOn this episode, we feature a conversation with Dr. Tanya Hess, a Licensed Psychologist and Training Director for the Department of Veterans Affairs Coaching Into Care Family Call Center, a national telephone-based support service for family emmbers and others who want to help reluctant veterans access their VA health care benefits, particularly for mental health concerns. About Today's GuestsDr. Tanya Hess has been doing therapy in the Philadelphia area since 2007. She trained in adult and child psychotherapy and psychological assessment at Emory University, The  University of Tennessee, and Pennsylvania Hospital. Her post-doctoral fellowship work was  in eating disorders and residential treatment at Renfrew Center. Since completion of her fellowship she has worked in treatment and outreach for the Veterans Affairs in Philadelphia, specializing in family engagement. Dr. Hess' research has included the interaction between emotion and personality and the use of therapeutic assessment as a treatment tool. Links Mentioned In This EpisodeCoaching Into Care Web siteEmail Coaching Into Care TeamCoaching Into Care on FacebookCoaching Into Care contact number: 888-823-7458, Monday through Friday, between 8 a.m. and 8 p.m. Eastern time.PsychArmor Resource of the WeekThis week's PsychArmor resource of the week is the PsychArmor the course, Coaching a Loved One Into Care. At times, it can be difficult to talk to a Veteran about seeking help. This course equips caregivers with tools to identify potential struggles, and better understand problems with traditional approaches like ultimatums and forceful discussions. You can see find the course here:  https://learn.psycharmor.org/courses/coaching-a-loved-one-into-care This Episode Sponsored By: This episode is sponsored by PsychArmor. PsychArmor is the premier education and learning ecosystems specializing in military culture content PsychArmor offers an. Online e-learning laboratory that is free to individual learners as well as custom training options for organizations. Contact Us and Join Us on Social Media Email PsychArmorPsychArmor on TwitterPsychArmor on FacebookPsychArmor on YouTubePsychArmor on LinkedInPsychArmor on InstagramTheme MusicOur theme music Don't Kill the Messenger was written and performed by Navy Veteran Jerry Maniscalco, in cooperation with Operation Encore, a non profit committed to supporting singer/songwriter and musicians across the military and Veteran communities.Producer and Host Duane France is a retired Army Noncommissioned Officer, combat veteran, and clinical mental health counselor for service members, veterans, and their families.  You can find more about the work that he is doing at www.veteranmentalhealth.com  

Dr. Marinela Maskuti is a public health and health policy practitioner. She has completed a Master of Public Health and Doctor of Public Policy. Currently, she serves as the Mental Health Wellness Officer for Nevada System of Higher Education, System Administration office in Las Vegas where she manages training for mental health and supervised a system-wide survey assessment for access barriers to mental health resources and services. Prior to working for NSHE, Dr. Maskuti served as the Wellness Educator for the Student Wellness Center at University of Nevada, Las Vegas. During her time at UNLV, Marinela coordinated training courses for peer health education and managed wellness promotion, student engagement, and health education presentations with a focus on mental health and wellness. In addition to UNLV, Marinela also worked for the Southern Nevada Health District, where she administered public health educational presentations and materials specific to COVID-19 for medical providers and patient communities of diverse socioeconomic, cultural, ethnic and health backgrounds. Prior to relocating to Las Vegas and working for SNHD, Marinela resided in Philadelphia where she worked for the University of Pennsylvania Hospital, Department of Radiation Oncology, where she supervised survivorship cancer resources for patients and organized medical provider training programs for proton radiation therapy.

Considered “atypical Parkinsonian syndromes,” over half of people with progressive supranuclear palsy (PSP), corticobasal degeneration (CBD) and multiple system atrophy (MSA) are initially misdiagnosed with Parkinson's disease (PD) due to similarities in early symptoms as well as lack of awareness of these rare, neurodegenerative diseases among many healthcare professionals and the general public. This is the second of three podcast episodes within our atypical parkinsonism podcast series, organized in partnership with CurePSP and designed to address the treatment interdisciplinary approach of PSP, CBD and MSA. In this second episode of the series, Heather Cianci, Outpatient Neurological Team Leader and founding therapist of the Dan Aaron Parkinson's Rehabilitation Center, Penn Therapy & Fitness at Pennsylvania Hospital in Philadelphia, Pennsylvania and Julia Wood, Director of Professional and Community Education at the Lewy Body Dementia Association, cover the treatment and interdisciplinary approach to care for atypical parkinsonism. Julia Wood, Heather Cianci, and podcast host, Dan Keller, have disclosed that they have no relevant financial disclosures.

Today's guest is Dr. Joshua Bleier, a colorectal surgeon and chair of the Department of Surgery at Pennsylvania Hospital in Philadelphia, who shares with us about a treatment that provides relief to an enormous number of patients with bowel incontinence. It's minimally invasive, performed in office, and in Dr. Bleier's experience, can deliver meaningful improvement to as many as 90% of the patients he treats with these issues. For more information about Medtronic's InterStim system for incontinence, visit talkleaks.com.For more information about the National Association for Continence, click here, and be sure to follow us on Facebook, Instagram, Twitter and Pinterest.Music:Rainbows Kevin MacLeod (incompetech.com)Licensed under Creative Commons: By Attribution 3.0 Licensehttp://creativecommons.org/licenses/by/3.0/

Dr. Stephanie Pearson, a former OB-GYN who suffered a career-ending injury, discusses her journey of navigating disability insurance claims. She shares her personal experience of battling a torn labrum, a frozen shoulder, and the emotional toll of being denied coverage for work-related injuries. Dr. Pearson's determination to educate and advocate for physicians' disability insurance needs led her to become an insurance broker. The conversation delves into the historical approach to mental health coverage for physicians, the changes in recent years, and the challenges physicians face when seeking mental health support and coverage.   Bio / Links: Stephanie Pearson, MD, FACOG, is a board-certified OB/GYN and a licensed broker specializing in disability and life insurance for physicians. Injured in the prime of her career as an OB/GYN, Stephanie was forced to pivot; through her own firsthand experience, she found a new calling in advocating for and educating her peers on their insurance needs. Stephanie's goal is to empower others to protect their most valuable asset: their ability to earn income. As a speaker, Stephanie combines her hard-won insurance expertise with her personal experience to address the physical and mental impact of physician disability, emphasizing the importance of proper coverage. Stephanie's background includes 9 years of medical practice after receiving her M.D. from Drexel Universities MCP/ Hahnemann College of Medicine (now Drexel University College of Medicine), and completing a residency at Pennsylvania Hospital. She currently lives in Bryn Mawr, Pennsylvania with her husband, their two children, and dogs. stephanie@pearsonravitz.com  www.pearsonravitz.com  https://www.linkedin.com/in/stephaniepearsonmd/ https://www.instagram.com/drstephaniepearson   Show facts: Dr. Stephanie Pearson transitioned from being an OB-GYN to a dedicated insurance broker. The focus on mental health coverage for physicians has significantly evolved in the last few years. Certain diagnosis codes, like major depressive disorder, can impact insurance coverage. Some women have successfully negotiated mental health coverage as part of their employment contracts. Efforts are ongoing to incorporate mental health education and support into physician training.   Looking for something specific? Here you go! [00:00:49] Dr. Pearson's journey, career-ending injury, and passion for advocating physician insurance needs. [00:01:42] Experience with inadequate insurance coverage and the realization of gaps. [00:05:00] A period of darkness and struggle with mental health challenges. [00:07:00] Dr. Pearson's transition to becoming a passionate advocate and advisor for physicians' insurance needs. [00:08:00] Evolution of mental health coverage in disability insurance, factors contributing to change. [00:13:00] Challenges and unique considerations when providing mental health coverage for physicians. [00:17:00] The importance of early coverage to address potential future mental health needs. [00:20:00] Balancing accurate documentation with protecting physicians' mental health records. [00:23:00] The role of healthcare institutions in supporting mental health for physicians. [00:25:00] Advocacy efforts to address mental health-related questions in licensing and insurance. [00:30:00] Recommendations for institutions, organizations, and associations to promote mental health awareness and support.   If you enjoyed the show, find and follow Dr. Disha everywhere else: Twitter Website Facebook The Frugal Physicians Facebook Group YouTube (Coming Soon!) ----------- Please note: The content shared on the podcast is for informational purposes only and should not be considered individualized financial advice. It is essential to consult with professionals such as accountants, financial advisors, or attorneys to receive personalized guidance based on your specific needs.

Stephanie Pearson, MD, FACOG, is a board-certified OB/GYN and a licensed broker specializing in disability and life insurance for physicians. Injured in the prime of her career as an OB/GYN, Stephanie was forced to pivot; through her own firsthand experience, she found a new calling in advocating for and educating her peers on their insurance needs. Stephanie's goal is to empower others to protect their most valuable asset: their ability to earn income. As a speaker, Stephanie combines her hard-won insurance expertise with her personal experience to address the physical and mental impact of physician disability, emphasizing the importance of proper coverage. Stephanie's background includes 9 years of medical practice after receiving her M.D. from Drexel Universities MCP/ Hahnemann College of Medicine (now Drexel University College of Medicine), and completing a residency at Pennsylvania Hospital. She currently lives in Bryn Mawr, Pennsylvania with her husband, their two children, and dogs.Some of the topics we discussed were:Pregnancy and infertility coverageWhat mistakes physicians should avoid while choosing disability insurance3 tips to remember while choosing disability insuranceAnd more!Learn more about me or schedule a FREE coaching call:https://www.joyfulsuccessliving.com/Join the Voices of Women Physicians Facebook Group:https://www.facebook.com/groups/190596326343825/Connect with Dr. Pearson:Email:stephanie@pearsonravitz.comWebsite:www.pearsonravitz.comLinkedIn:https://www.linkedin.com/in/stephaniepearsonmd/Instagram:https://www.instagram.com/drstephaniepearson

Stephanie Pearson, MD, FACOG, is a board-certified OB/GYN and a licensed broker specializing in disability and life insurance for physicians. Injured in the prime of her career as an OB/GYN, Stephanie was forced to pivot; through her own firsthand experience, she found a new calling in advocating for and educating her peers on their insurance needs. Stephanie's goal is to empower others to protect their most valuable asset: their ability to earn income. As a speaker, Stephanie combines her hard-won insurance expertise with her personal experience to address the physical and mental impact of physician disability, emphasizing the importance of proper coverage. Stephanie's background includes 9 years of medical practice after receiving her M.D. from Drexel Universities MCP/ Hahnemann College of Medicine (now Drexel University College of Medicine), and completing a residency at Pennsylvania Hospital. She currently lives in Bryn Mawr, Pennsylvania with her husband, their two children, and dogs.Some of the topics we discussed were:Dr. Pearson's journey and what she does nowWhat's important to know while choosing disability insuranceIf there are particular riders that are important to consider i.e. COLAHow the "own occupation" is determined for insurance purposesEmployer benefits vs. private insurancesIf you slow down or stop working clinically, how long that disability insurance stays in placeIf the price is fixed or different if the person goes through different agentsAnd more!Learn more about me or schedule a FREE coaching call:https://www.joyfulsuccessliving.com/Join the Voices of Women Physicians Facebook Group:https://www.facebook.com/groups/190596326343825/Connect with Dr. Pearson:Email:stephanie@pearsonravitz.comWebsite:www.pearsonravitz.comLinkedIn:https://www.linkedin.com/in/stephaniepearsonmd/Instagram:https://www.instagram.com/drstephaniepearson

Listen to ASCO's Journal of Clinical Oncology essay, “But Where is My Doctor? The Increasing and Relentless Fragmentation of Oncology Care,” by David Mintzer, Chief of Hematology and Medical Oncology at the Abramson Cancer Center of Pennsylvania Hospital. The essay is followed by an interview with Mintzer and host Dr. Lidia Schapira. Mintzer stresses the need for oncologists to make an effort to maintain relationships with patients as cancer care becomes more fragmented. TRANSCRIPT  Narrator: But Where is My Doctor? The Increasing and Relentless Fragmentation of Oncology Care, by David M. Mintzer, MD (10.1200/JCO.23.00805) For the past 7 years, I have cared for Michael, a man with pseudomyxoma peritonei. He has undergone two aggressive surgical resections with hyperthermic intraperitoneal chemotherapy and endured multiple chemotherapy regimens, all of which resulted in questionable benefit. Recently, his health has declined due to progression of his cancer, and he has had frequent admissions for infectious complications, obstructive symptoms, and several fistulae. I had always been his attending on previous admissions unless I was away, but when I last saw him, he asked me why I had not been his doctor this time. Even before he asked, I felt guilty for not being there for him.  For most of my career, I would see my own inpatients on a daily basis, rounding before, and sometimes after office hours. Currently, owing to system changes that likely have evolved with most practices and hospitals, only one of us sees inpatients on the teaching service, with the rest being off service. This happened long ago for our obstetrical, primary care, and other subspecialty colleagues, but for as long as possible, I held onto the belief that in oncology, we and our patient relationships were different. While most of the kerfuffle over the past few years in medicine relates to the electronic medical record and its effect on our lives and on physician-patient interactions, I think the fragmentation of care—while less frequently acknowledged—has been as relentless and impactful though more insidious. While most published articles on fragmentation define it as patients receiving care at more than one hospital, my focus is on the fragmentation of care within our own practices and institutions. Our patients are at their sickest and most frightened, thus most in need of us, when they are hospitalized. But now, instead of providing care with a consistent presence, patients are regularly passed back and forth from the outpatient to inpatient teams, then sometimes to the palliative care team, and then perhaps to a hospice team or, for those with the best outcome, transitioned to a survivorship team. While all these practitioners are kind and competent, they are not a constant.  When I am covering our inpatient service, I do not know the detailed medical history of the majority of patients who have been cared for by my colleagues. Can I seriously be expected to know their complex oncologic and other medical issues, let alone their psychosocial needs, in any appropriate depth when I walk in on a Monday to start the week covering 16 new patients?  I can be empathetic and do my best to communicate with their outpatient physician, but both emotionally and medically, it is never the same as being cared for by someone one has known and trusted throughout one's disease trajectory. Our relationship with the house staff is also fragmenting. We used to spend a month at a time as teaching attending, giving us a chance to get to know our students, interns, and residents. This has now been reduced to a week, and with our house staff rotating on an every 2 week schedule, we may work with a resident or intern for just a couple of days before one of us rotates off service. Furthermore, they spend much of teaching rounds staring into their smart phones and computer screens feverishly trying to complete their electronic workload.  As practices have become larger and medical teams more complex, care has become less personal and often less efficient. If the patient calls with an issue or sends a message, it is notclear to them, and often to us, who will be assuming responsibility for their concern. Should it be directed to my administrative assistant, our triage nurse, the nurse navigator, the palliative care nurse, my nurse practitioner, an off-site call center nurse, or myself? The inbox proliferates; the toss-up for ownership of the message begins; six people now read what used to be handled by one or two.  While I was an initial enthusiast for the early integration of palliative care alongside primary cancer care, I now also fear that it has further removed us from some of our most important interactions and deepest responsibilities. The inpatient oncologist used to be the one to provide symptomatic and supportive care and run the family meetings. Our house staff now routinely consults palliative care for even the simplest pain management issues, and we increasingly outsource goals of care and other serious discussions to our palliative care teams, who do not have a longstanding relationship with the patient or their family nor a complete understanding of their disease trajectory and past and future treatment options. Nor do I if it is not my patient and I am just the covering attending of the week. Too often it seems that palliative care has replaced us in some of the roles that used to be integral to our practice as oncologists, and we seem to have eagerly stepped back from some of these responsibilities. Our interactions with our colleagues have also fragmented. Mostly gone are the days when we would sit down in the hospital cafeteria with other physicians from other specialties for coffee or for lunch after grand rounds. And the days when we would review films with our radiologists or slides with our pathologists are mostly long gone. Our tumor boards provide some interaction, but since the pandemic, these tend to be virtual and less intimate. I mourn the loss of our sense of a hospital community. There have been some definite benefits to the fragmentation of care, which is why it has evolved and why we have accepted the bargain. As we increasingly subspecialize, we can get better and more focused on what we do which helps us cope with the explosion of data and new information across every area in our discipline. Some of us can devote more quality time to research, and it has also made our professional lives easier in some ways. How nice not to have to trek to the hospital to see very sick inpatients every day, but rather just a few weeks a year. How much easier to have someone else take charge of difficult end-of-life discussions. There is no point in bemoaning the loss of the old ways of more personalized care, as there is no going back. The current generations of physicians will not feel this loss of inpatient/outpatient continuity having grown up in an already changed environment, just as they will never have known a world before the electronic medical record. Patients have also accepted our absence from their bedside with less resistance than I would have expected, perhaps knowing from the rest of their care experience how depersonalized it has become—not that they have had much say in the matter. The changes in the delivery of health care will likely accelerate as we enter the medical metaverse and how we will navigate artificial intelligence while maintaining our emotional intelligence remains to be seen. The continued emphasis on increased efficiency and throughput of physician efforts—structuring medicine as a fragmented assembly line—runs counter to what is so meaningful to the physician-patient relationship—a function of time spent developing personal connections. As we continue our efforts to keep up to date with the rapid expansion of medical knowledge in our field, we also need to make equivalent efforts to maintain our personal and emotional connections with patients. As we have less frequent direct contact due to so much fragmentation of care, we need to make the time we do have with them more impactful. And sometimes that means going over to the hospital to see Michael after a long office day, although you are not on service. It is the right, human thing to do, and still gratifying—for all of us. Dr. Lidia Schapira: Hello and welcome to JCO's Cancer Stories: The Art of Oncology, which features essays and personal reflections from authors exploring their experience in the field of oncology. I'm your host, Dr. Lydia Schapira, Associate Editor for Art of Oncology and a Professor of Medicine at Stanford University. Today we are joined by Dr. David Mintzer, Chief of Hematology and Medical Oncology at the Abramson Cancer Center of Pennsylvania Hospital. In this episode, we will be discussing his Art of Oncology article, “‘But Where's My Doctor?': The Increasing and Relentless Fragmentation of Oncology Care.”  At the time of this recording, our guest has no disclosures.   David, welcome to our podcast, and thank you for joining us. Dr. David Mintzer: Thank you for the invitation, Lidia. Dr. Lidia Schapira: It's a pleasure to have you. I'd like to start these conversations by asking our authors if they have any books they want to recommend to listeners or if they're currently enjoying anything we should all know about.  Dr. David Mintzer: Well, I just finished David Sedaris's most recent book, which is a series of essays. I get a big kick out of him. I think I often mesh with his sense of humor and a little bit of cynicism, a lot of truth, but heartfelt and always amusing. Dr. Lidia Schapira: I love his work. Thank you. That's a great recommendation, especially for the summer.  So let's dive into your essay and your perspective, which is really such an important topic for us. You talk about the fragmentation of care and how it's impacted our practice, our relationships, and even our joy in the work that we do. Can you talk a little bit about your feelings about this? Dr. David Mintzer: Certainly. So I've been practicing medical oncology for a long time, about 40 years, so I've seen a lot of change. Favorably, most of that change is certainly in the good sense. We have so much more to offer our patients in terms of therapies that are more numerous, more effective, and less toxic. But there's been a price, I guess, to pay with those changes. We've all become more subspecialized, and the care has increasingly fragmented. And I was stimulated to write this essay because I've been disturbed to some degree by some of the changes. I think they are inevitable. I didn't want to write a piece just about how far I had to walk to school every day, uphill both ways, and complain. But I got a sense that others might have shared these observations and feelings, and I just kind of wanted to get them down.  Dr. Lidia Schapira: One of the things that you said that really resonated with me is when you talk about patients being at their most vulnerable and at their sickest and most frightened when they're hospitalized, and that's when they need us. And what you say here, what I'm interpreting that you're saying, is that by not showing up at bedside, in a way, we're abandoning them. And that is something that feels terrible to us as well, those of us who really value that presence and that relationship. Can you talk a little bit about how you're dealing with that and how you see your colleagues dealing with that? Dr. David Mintzer: Well, it's a bit of a Catch-22. Yes. I think a lot of this is driven by guilt, by not being there for patients that we cared for sometimes for many years and know well. And although this happened in university hospitals a long time ago, in our hospital it was relatively recent, that it was recommended in part for house staff accreditation regulations to have only one attending on service at a time, which is understandable so as not to confuse the house staff.  But in doing so, we're not there for our patients every day. And so you're kind of torn between running over to the hospital after a long day when you're exhausted and seeing your patients and fulfilling what feels like some responsibility, and also feeling that this is no longer my role, this is no longer the way medicine is practiced. It's not efficient. I don't get paid if I go over, someone else is collecting the RVUs. And in addition to that, the concern that the patients may not be getting not just the optimal emotional care, but even the medical issues. Certainly, the doctors covering are good and do their best, but they don't know these patients. They don't know their whole history, they don't know their complications in the past. That's the trade-off we make.  Dr. Lidia Schapira: Let's talk a little bit about those relationships that we invest in so heavily in oncology. Oncology is different than many other fields and we've always valued the time we spend with patients and forming those relationships. Can you talk a little bit about how you see those relationships threatened when you as the oncologist and the person who's given them guidance for the entire trajectory of their illness can't be present just when they're at their sickest and most vulnerable?  Dr. David Mintzer: So care of cancer patients certainly takes a village and we have tremendous support with so many different practitioners, including our nurse practitioners, our palliative care nurse practitioners, palliative care attendings, nurse navigators. But as we introduce all of these people, we actually have less direct contact time with patients. We're less likely to be the ones to call them on the phone or even answer their email. And one of the great things about practicing oncology is not just the science and what we can do for patients medically, but these bonds and relationships we form. It's been chipped away at rather insidiously, but I think rather steadily over 20 years.   Medicine thinks it's so scientific and advanced and technological. But I always kind of reflect that we're probably 20 years behind every other industry, whether it's banking or going to the supermarket or the clothing store or the hardware store. You used to go to your neighborhood pharmacist and you knew him and he would give you advice or your hardware store guy would give you some advice about how to fix something. So those industries lost their personal relationships a long time ago. We're really far behind them, but we're catching up. So now everything is done more remotely, more on the phone, and as I said, there's less direct contact time, which I think we all miss. But we're different. We're different from going to your local banker or grocer or bookstore dealer.   This is medicine. These are important medical events for patients. They're very emotionally fraught, they're complicated. And so what may be adaptable to other industries, even though it seems to be being forced upon us, is not as adaptable in medicine. Now, maybe there is some respite for this. I saw recent data that telehealth is going down. We thought telehealth was going to be here to stay with COVID and everyone was going to love it. And yet it's interesting, although it may be partly regulatory and partly because of the end of the epidemic, but I get a sense that both physicians and patients are a little bit less interested in it. I think that shows that we might be a little bit different from other industries, but we'll see how that plays out. Dr. Lidia Schapira: Absolutely. I couldn't agree with you more, but you talk about relationships also with trainees, for instance, that part of this fragmentation and these new schedules that we have also limit the contact you have with the house staff when you are assigned to be the doc on service. Perhaps you don't know all these patients very well, but you also bring up the fact that you don't get to know your trainees very well either because they're coming and going with different schedules. So what I took away was sort of a sense of loss, a bit of a lament that a lot of things are being lost in this super fragmentation. Can you address that a little bit, perhaps for our listeners?   Dr. David Mintzer: Yes, I think that's exactly right. So the fragmentation that I describe is not just in patient care, although that's probably the most important to all of us, but the fragmentation with kind of the extended family that was our hospital community. We've gone now to a nuclear family. So if we're a specialist in one particular area, we still have kind of a nuclear family. But my sense is we've lost that extended family, meeting people in the cafeteria after ground rounds, dealing with other subspecialists. And if you're only in the hospital a few weeks a year, you just have less contact, passing people in the hallway, meeting them at conferences, reviewing films, as I said, with radiologists, reviewing slides with pathologists. We're all too busy, we're all sitting in front of our computers at lunch, we're all doing conferences on the phone, driving home from work, but we have less time with each other. And that holds also true for students and residents who now rotate very quickly. Dr. Lidia Schapira: Let's talk a little bit about one of the other points that you make in this very thoughtful essay, and that is that you say that you were an early enthusiast of the integration of PalCare, but now you find that certainly, the younger generation seems to be outsourcing symptom management and communication very early to PalCare. And as a result, perhaps from the patient's perspective, care becomes even more fragmented. And that's sort of a bit of a loss all around. We're not able to do some of the things that we enjoy too, in terms of family meetings and communication, but also everybody's becoming more deskilled. Talk a little bit about that. Dr. David Mintzer: Yes, I was an early enthusiast for palliative care, and I still am an enthusiast, don't get me wrong. You can't criticize palliative care. It's like criticizing mom and apple pie. But the idea was, and still is, of course, that you would work in conjunction with a palliative care specialist, that they would be called in, say, on the very difficult cases, cases that needed particular expertise, or to spend more time. And certainly, that happens, and I have tremendous respect for my palliative care colleagues. But what's happened, as you note, is that we've kind of outsourced it. It's much easier to have someone else have that difficult conversation, particularly if you're just covering a patient that belongs to someone else, you're just seeing them for a few days during the week, you don't feel comfortable in doing so. And so I'm concerned that we've abdicated our responsibility in many of these important discussions and left it to the palliative care team who, by the way, are overwhelmed because there aren't enough of them now that they are getting all these consults for almost everything.   We should, as oncologists, still be able to run the meetings, to refer patients to hospice, to discuss goals of care. But as we all become more specialized, as we become busier, we have less time and we've built this metaphorical moat between our offices and the hospital, I find that we're just doing it less and less, and I feel some guilt about that and also some loss. Dr. Lidia Schapira: David, you say in your essay, we have accepted the bargain. What I hear from you today and what I read and inferred in reading the essay when it came to us, is that there are feelings of guilt, there's less joy, there's feelings that somehow this bargain isn't so good for us after all, even though at some level it makes our work a little bit more simple and our hours perhaps a little bit more predictable. So can we think together a little bit about what lies ahead and how we get over this deep ditch that we seem to be in?  Dr. David Mintzer: Well, as you say, there's both benefit and loss involved with this and it does make our lives easier. If you're seeing relatively healthy outpatients month after month in the office, you get to feel oncology is not so bad and you can kind of put that two-week hospital rotation when everybody's in the ICU and having multiple unfixable problems and poor palliation behind you. So you can almost kind of go into denial. And it does make your quality of life easier to be able to just go to the office and go home most weeks of the year.  How are we going to deal with this going forward? I mean, we do have to make the effort. I don't think it's going to go back. I don't think writing this article is going to change the way medicine is structured. This is a more efficient way and in some ways, it may be safer and more high reliability, which are kind of the watchwords. So I'm worried. I don't know where it's going. I think it is going to be a little less personal. But my point is we have to be aware of it and in doing so make the time we have with patients more impactful, be a little bit more aware of our need to support them. Maybe if you're not at the hospital every day, go over once or twice a week, or certainly when there's a big change in event.  Dr. Lidia Schapira: Do you think we could use technology to sort of stay in touch and pay a social visit via FaceTime? Or remain connected to our patients, even if it is in a social function, but somehow, for their sake and for ours, remain connected when they're in hospice when they're hospitalized. But we're not the attending of the month.  Dr. David Mintzer: Certainly, the way we communicate has changed. I remember being a young attending and I was working at a small community hospital, and one of the surgical attendings would just call their patient on the weekend on the phone, but wouldn't bother to come in. And I thought, my gosh, that's terrible. What kind of impersonal, awful medical care is that? But indeed, now, calling or more likely, texting, communicating, emailing with patients may work.  What's coming with virtual or augmented reality or whether EPIC can eventually just plant a chip in our brain and we can all be online all the time, I don't know. But yes, any type of communication helps. I've often said that there's nothing like an unsolicited phone call to a patient to encourage them. Just, “Hey, you didn't call me, but I'm calling you. I was thinking about you. How are you doing?” So, yes, staying in touch by whatever means, I think can be greatly beneficial and mean a lot to the patient, even if it's a brief text or phone call. Dr. Lidia Schapira: Yeah, even encouraging your trainees if you have residents or fellows working with you to go with you to that unsolicited visit or participate in that, I think that sort of would model the kind of behavior that we would want if our loved one is the patient, right?  Dr. David Mintzer: For sure.  Dr. Lidia Schapira: And that's always a good question because what we hear from patients is how much they value and love their oncologists when there is a strong connection. So let's perhaps finish the conversation by going back to Michael, your patient. How did you and Michael resolve this? Dr. David Mintzer: Honestly, we haven't resolved it. So when he's in the hospital, he's now cared for by whoever's on service at the time. Fortunately, he hasn't been in the hospital lately, but I will make an effort to go over and stay in touch with him. Dr. Lidia Schapira: I'm sure Michael would appreciate your presence.   Are there any other thoughts that you would like to convey to our listeners or readers? We have dealt with some of these futuristic issues in Art of Oncology before, including one essay I remember was published years ago where there was sort of this very impersonal imagining of what it would be like for an oncology patient to basically be seen by a series of robots along the chain without this human connection. And it was really terrifying to read. So thank you for reminding us about what is lost for us as well as what is lost for patients, something that we all need to go back and revisit, I think, as we think about the future. Any final thoughts, David, for listeners? Dr. David Mintzer: So as a physician who's getting close to the end of their career, I don't want to come off as just protesting against change. We need change. You know, change is crucial, but I think it's not really been clear to a lot of people how much this has been eroded over time -  that our direct contact and the fragmentation has impacted us and our patients and other caregivers. And this separation between inpatient and outpatient, I think, is becoming steeper. Our palliative care nurses used to go over to the hospital and see the inpatients as well as the outpatients, or our physical therapists, or our nutritionists. Now everyone is divided. I still think it's a great job. I love caring for patients. I love the teams that I work with. And as medicine gets better, though, we just have to be on guard to stay in touch with our patients and our feelings.  Dr. Lidia Schapira: I really appreciate your perspective. Thank you so much for sharing it with us.   And until next time, thank you for listening to JCO's Cancer Stories: The Art of Oncology. Don't forget to give us a rating or review and be sure to subscribe so you never miss an episode. You can find all of the ASCO Shows at asco.org/podcasts.  The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions.  Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.   Show Notes:  Like, share and subscribe so you never miss an episode and leave a rating or review. Guest Bio:  Dr. David Mintzer is a Chief of Hematology and Medical Oncology at the Abramson Cancer Center of Pennsylvania Hospital.  Additional Reading:  Ars Brevis, by Dr. George Sotos

This episode is sponsored by @PearsonRavitz - a trusted partner in the insurance industry. In this episode, May and Tim interview Dr. Stephanie Pearson, a former OBGYN turned licensed broker in insurance and disability. Dr. Pearson shares her story of how a traumatic event during a delivery led her to discover the importance of disability insurance and change her career path. She recounts the details of the delivery and how she was kicked in the brachial plexus, which caused her to suffer a nerve injury and lose the ability to perform surgeries. The conversation highlights the need for healthcare professionals to protect themselves with disability insurance and the importance of understanding the coverage options available. About Dr. Stephanie Pearson: Stephanie Pearson, MD, FACOG, is a board-certified OB/GYN and a licensed broker specializing in disability and life insurance for physicians. Injured in the prime of her career as an OB/GYN, Stephanie was forced to pivot; through her own firsthand experience, she found a new calling in advocating for and educating her peers on their insurance needs. Stephanie's goal is to empower others to protect their most valuable asset: their ability to earn income. As a speaker, Stephanie combines her hard-won insurance expertise with her personal experience to address the physical and mental impact of physician disability, emphasizing the importance of proper coverage. Stephanie's background includes 9 years of medical practice after receiving her M.D. from Drexel Universities MCP/ Hahnemann College of Medicine (now Drexel University College of Medicine), and completing a residency at Pennsylvania Hospital. She currently lives in Bryn Mawr, Pennsylvania with her husband, their two children, and dogs. Stephanie Pearson, MD, FACOG  CEO and Insurance Advisor at PearsonRavitz  10 East Athens Avenue  Suite 208  Ardmore, PA 19003  610.658.3251  stephanie@pearsonravitz.com  Links! Website: www.pearsonravitz.com  LinkedIn: https://www.linkedin.com/in/stephaniepearsonmd/ Instagram: https://www.instagram.com/drstephaniepearson   Looking for something specific? Here you go! [00:03:08] Medical neglect in the workplace.  [00:07:53] Tyranny of perfection in medicine.  [00:09:25] Disability insurance for physicians.  [00:16:32] Disability insurance for physicians.  [00:21:43] Disability Statistics for Workers.  [00:22:02] Life insurance statistics.  [00:26:18] Group Life Insurance Policies.  [00:30:52] Disability insurance policies.  [00:35:23] Occupation and insurance policies.  [00:40:25] Career shifts in medicine.  [00:44:12] Personalized disability insurance policies.  [00:51:23] High-risk activities for insurance.  [00:52:57] Insurance as a gamble.  [00:57:01] "Finagling" workers' comp system.  [01:01:35] Financial planning and adulting. Our Advice! Everything in this podcast is for educational purposes only. It does not constitute the practice of medicine and we are not providing medical advice. No Physician-patient relationship is formed and anything discussed in this podcast does not represent the views of our employers.  The Fine Print! All opinions expressed by the hosts or  guests in this episode are solely their opinion and are not to be used as specific medical advice.  The hosts,  May and Tim Hindmarsh MD, BS Free MD LLC, or any affiliates thereof are not under any obligation to update or correct any information provided in this episode. The guest's statements and opinions are subject to change without notice. Thanks for joining us! You are the reason we are here.  If you have questions, reach out to us at doc@bsfreemd.com or find Tim and I on Facebook and IG. Please check out our every growing website as well at  bsfreemd.com (no www) AND sign up for our WEEKLY NEWSLETTER at https://www.bsfreemd.com/truthserum! And don't forget our new weekly DOCTALES livestreaming on Facebook and YouTube where you get to be part of the party! GET SOCIAL WITH US! Website: bsfreemd.com YouTube:https://www.youtube.com/channel/UCiQ5Rm4eBWqbK5hSQ05--mw Rumble: https://rumble.com/search/video?q=bsfreemd Instagram:: https://www.instagram.com/bsfreemd/ Facebook: https://www.facebook.com/bsfree Newsletter: https://www.bsfreemd.com/truthserum

The case against UPMC could serve as a model for labor-related antitrust enforcement. Show Links Source Article --- Support this podcast: https://podcasters.spotify.com/pod/show/newsdive/support

Dr. Lauren Lipner on the therapeutic alliance (relationship), tips to find the right therapist for you, what to do if you feel uncomfortable with your therapist, how therapists can build a stronger alliance with their patients and much more... Dr. Lauren Lipner is an Assistant Professor in the Clinical Psychology Doctoral Program at Long Island University Post. Lauren's research interests focus on the therapeutic alliance and therapeutic ruptures. Lauren completed her pre-doctoral internship at Pennsylvania Hospital and her research postdoctoral fellowship at Adelphi University. Chapters 0:25 Show Intro 2:55 What is the Therapeutic Alliance? 7:48 Importance of the Therapeutic Alliance 11:00 Finding the right Therapist for you 22:05 Therapeutic Ruptures 31:55 Communicating your needs in Therapy 37:05 Therapist skills for a better alliance Further resources mentioned in this episode: "Clients' perceptions of their psychotherapists' multicultural orientation" by Owens et. al. (2011) "Racial/ethnic matching of clients and therapists in mental health services: A meta-analytic review of preferences, perceptions and outcomes" by Cabral and Smith (2011) Center for Alliance-Focused Training- https://www.therapeutic-alliance.org/ For more on Lauren's research https://www.researchgate.net/profile/Lauren-Lipner

Patricia Wellenbach, President & CEO of the Please Touch Museum and Board Chair for Jefferson Health Systems, shared the story behind her title with us on May 17, 2023.Patricia (Trish) D. Wellenbach is the President and CEO of the Please Touch Museum, one of the country's leading children's museums located in the Centennial District of Philadelphia. The museum welcomes over 500,000 visitors a year and facilitates early childhood learning and development through play through its exhibits, and education and special programs.She is formerly President and CEO of Green Tree School and Services, an agency located in Philadelphia that serves children ages 5‐21 who are on the autism spectrum or are severely emotionally disabled.She was Founder, President, and CEO of Sandcastle Strategy Group LLC, a company providing management consulting services to clients primarily in the health care, small business and non‐profit sectors. She previously served as Managing Director for Business Development & Strategy, at Granary Associates; and as Executive Director of The Wellness Community of Philadelphia (now Cancer Support Community of Philadelphia).Ms. Wellenbach started her professional career as registered nurse and clinical instructor of obstetrics at Pennsylvania Hospital. In 2016 she was appointed to the Mayors Cultural Advisory Board. In 2018 she received the City and State PA Above and Beyond Award honoring women of public and civic minds. From 2010-2017, Ms. Wellenbach was a board member of the Reinvestment Fund, a Community Development Financing Institution, where she chaired the audit committee, and was a member of the executive committee and of the governance committee. She was a Trustee of Abington Health from 2005‐2015.In addition, Ms. Wellenbach currently serves as a member of The National Association of Corporate Directors (NACD), Women Corporate Directors, PA Women's Forum and Forum of Executive Woman, as well as Director of the NACD Philadelphia Chapter Board.SUE SAYS"Trish grew up in a small town in NJ as an Irish Catholic and the oldest of five. She felt a sense of responsibility to lean in and help where needed and would take that leading role with her throughout life. Her grandmother played an important role in shaping who Trish would go on to become, and she remains forever grateful for having had her in her life."Support this podcast at — https://redcircle.com/women-to-watch-r/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/9d37RZ   Dr. Stephanie Pearson was removed from the career she had studied for her entire life when she suffered an on-the-job injury. She found herself in a dark place, ready to end it all. But, through the coaching of a psychologist, her husband, and a puppy, she was able to pull herself back up, and is now thriving in a second act, one in which she is ensuring that her misfortune isn't felt by others.   And, maybe you need to also find your second act. That's when a trusted coach can help. Reach out to www.mymdcoaches.com   Stephanie Pearson, MD, FACOG, is a Board Certified OB/GYN and an advocate for physicians' disability and life insurance. A resident of Bryn Mawr, PA, Stephanie grew up in Southern New Jersey, received her B.S. from Emory University, her MD from MCP/Hahnemann (now Drexel University College of Medicine), and completed her residency at Pennsylvania Hospital in Philadelphia. Injured in the prime of her career, she's made it her mission to educate and empower her peers about the importance of protecting their most valuable asset — the ability to earn an income and life's most important people, their families. She believes every physician deserves the protection disability insurance provides. In her role as CEO of PearsonRavitz, an insurance advisory firm, she leads her team to fulfill her mission across all 50 states. Today's Episode is brought to you by Doc2Doc Lending. Doc2Doc provides Match Day loans of up to $25,000 to fourth-year medical students and current residents. These loans are designed to help students cover personal expenses, such as moving costs, housing down payments, and living expenses before and during residency. With fixed interest rates, flexible repayment terms, and no prepayment penalties, Doc2Doc Match Day loans provide financial flexibility and allow students to focus on their exciting journey towards becoming a physician. Doc2Doc was founded for doctors, by doctors. They understand the challenges and hard work involved in becoming a doctor, and they support doctors throughout their careers. Using their in-house lending platform, Doc2Doc considers the unique financial considerations of doctors that are not typically considered by traditional financial institutions. So, Don't let financial stress hold you back from achieving your goals - Doc2Doc lending has you covered. Visit www.doc2doclending.com/mdcoaches to Learn more.       Join the Conversation! We want to hear from you! Do you have additional thoughts about today's topic? Do you have your own Prescription for Success? Record a message on Speakpipe   Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon  | Spotify --- Show notes at https://rxforsuccesspodcast.com/LCM012 Report-out with comments or feedback at https://rxforsuccesspodcast.com/report Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com Production assistance by Clawson Solutions Group, find them on the web at csolgroup.com    

Life is full of unpredictable twists and turns, and a single moment can undoubtedly alter the course of our lives forever. Disability is a common occurrence affecting millions of people worldwide, and it can happen to anyone at any time. In many cases, disability is caused by an unexpected accident or illness that prevents the individual from working and earning an income. Moreover, our ability to work and earn an income is one of our most valuable assets. Without it, we may struggle to maintain our lifestyle and provide for our family. It is why disability and life insurance are crucial for protecting our financial well-being.    Disability insurance is claimed to be a type of insurance that pays a monthly benefit to an insured person who is unable to work due to an illness or injury. Its advantage is designed to replace a portion of the individual's income, help them maintain their lifestyle, and cover their expenses. It can also provide peace of mind, knowing that our families and we will have financial support in case of a disability. However, when it comes to this, it is vital to understand the different types of policies available and choose the one that best meets your needs. Thus, disability and life insurance are essential for protecting your financial well-being and ensuring that your loved ones are taken care of if something happens to you. Consequently, doctors must carefully consider their insurance needs and choose policies that provide the proper coverage and protection for their unique situation.   Dr. Stephanie Pearson is an OBGYN, Physician Disability & Life Insurance Expert, speaker, author, and licensed broker specializing in disability and life insurance for physicians. Injured in the prime of her career, the Board-Certified OB/GYN took an unexpected journey to become an advocate and advisor for physicians' insurance. Today, she's made it her mission to educate and empower her peers about the importance of protecting their most valuable asset — the ability to earn an income. As an insurance advisor, Stephanie combines her hard-won insurance expertise with personal experience to address the physical and mental impact of physician disability, underscoring the importance of proper coverage. Stephanie's background includes nine years of medical practice after receiving her M.D. from Drexel University's MCP/Hahnemann College of Medicine and completing a residency at Pennsylvania Hospital.   In this special episode with Dr. Stephanie Pearson, we'll learn about the journey of an empowered woman passionate about educating healthcare professionals on the value of disability and life insurance, as well as the potential financial risks they may encounter if they are not adequately protected. Be encouraged by how she has served numerous physicians and their families in achieving serenity and financial stability in the event of unexpected illness or injury.   "I might not be taking care of patients, but I feel that I'm making a big difference for the physicians, my colleagues, and my friends for them to be better educated than I was 25 years ago and to have somebody who's truly advocating for them in their corner." – Dr. Stephanie Pearson   Topics Covered: (00:00:00) Introduction + Episode Snippet (00:01:21) Pearson Ravitz: Seeking to educate physicians (00:02:44) A Passion for Teaching: Affecting change for people. (00:04:00) Reshaping the face of insurance (00:06:56) The most significant silver lining (00:08:05) The unfancy politics of hospitals. (00:10:44) Quick Reminder: Are you enjoying this episode? Please share it, leave a five-star review, and give feedback. Go to TimeOut with the SportsDr website.  (00:11:13) Disability Insurance: Why do we need it? (00:14:01) The goal of having a private policy (00:15:51) A vast misconception about insurance (00:16:38) Having no standardization of language: Getting laypeople confused. (00:18:21) Managing realistic expectations. (00:21:11) Final TimeOut with Dr. Stephanie Pearson: How can physicians receive disability insurance to protect their capacity to provide for their loved ones and themselves? (00:22:12) Reach out to a reputable insurance broker agent. (00:22:58) Be mindful not to be set up for failure. (00:23:38) Where to connect with Dr. Stephanie Pearson.     Key Takeaways:     "I get thanked more now being an insurance expert than I did as a clinician from other physicians." – Dr. Stephanie Pearson   "The biggest silver lining is that I've had dinner with my children almost every day of their lives since I got hurt." – Dr. Stephanie Pearson   "I don't miss the politics of hospitals. I don't miss the day-to-day slogging that I know most of my friends are still dealing with." – Dr. Stephanie Pearson   "Disability Insurance is insurance for your ability to make money and be gainfully employed. There are two major types of disability insurance, and there's always exceptions to rules." – Dr. Stephanie Pearson   "The biggest issue is the language. We want to make sure that people are getting what they're paying for and that we can get people closer to being whole." – Dr. Stephanie Pearson   "No one is going to make you financially whole." – Dr. Stephanie Pearson   "It's imperative that you're being educated on apples to apples, apples to oranges because there's no language standardization. Different phrases that are used can be defined the same way or differently. I think as an industry. They want laypeople to be confused." – Dr. Stephanie Pearson   "If an agent or broker does not ask you anything about your medical history, then go elsewhere. Because if they're not asking about your medical history, surgical history, and medications, they're setting you up for failure." – Dr. Stephanie Pearson   Connect with Dr. Stephanie Pearson:  Website: https://pearsonravitz.com/ Facebook: https://www.facebook.com/PearsonRavitz Twitter: https://twitter.com/spearsonmd LinkedIn: https://www.linkedin.com/in/stephaniepearsonmd/   Connect with Dr. Derrick Burgess: Website: https://www.drderrickthesportsdr.com/ Instagram: https://www.instagram.com/drderrickthesportsdr/ Facebook: https://www.facebook.com/TimeOut.SportsDr LinkedIn: https://www.linkedin.com/in/derrick-burgess-72047b246/ YouTube: https://www.youtube.com/channel/UCHGDu1zT4K_X6PnYELu8weg Email: thesportsdoctr@gmail.com   This episode of TimeOut with the SportsDr. is produced by Podcast VAs Philippines - the team that helps podcasters effectively launch and manage their podcasts, so we don't have to. Record, share, and repeat! Podcast VAs PH gives me back my time, so I can focus on the core functions of my business. Need expert help with your podcast? Go to www.podcastvasph.com.

It has been claimed that there is often a culture of perfectionism in medicine. It is where doctors and medical professionals are expected to achieve a high level of expertise and meticulousness in their work, which can lead to increased stress and pressure. Hence, it is essential to remember that while doctors are highly educated and skilled, they are not superhumans. Doctors are indeed humans. They have emotions and physical needs and can experience stress and burnout like anyone else.    Additionally, medical training can be both physically and emotionally demanding. Physicians may work long hours, be subjected to high-stress levels, and struggle to achieve a work-life balance. Moreover, while medical education is designed to prepare doctors to offer high-quality treatment to patients, doctors must also take care of themselves to provide the best care possible. Thus, recognizing this can also help people approach doctors with empathy and understanding, not only by patients but also by their colleagues. Developing trust and respect with one another can help them receive better care and feel more supported throughout their medical career journey.   Dr. Stephanie Pearson is an OBGYN, Physician Disability & Life Insurance Expert, speaker, author, and licensed broker specializing in disability and life insurance for physicians. Injured in the prime of her career, the Board-Certified OB/GYN took an unexpected journey to become an advocate and advisor for physicians' insurance. Today, she's made it her mission to educate and empower her peers about the importance of protecting their most valuable asset — the ability to earn an income. As an insurance advisor, Stephanie combines her hard-won insurance expertise with personal experience to address the physical and mental impact of physician disability, underscoring the importance of proper coverage. Stephanie's background includes nine years of medical practice after receiving her M.D. from Drexel University's MCP/Hahnemann College of Medicine and completing a residency at Pennsylvania Hospital.   In this special episode with Dr. Stephanie Pearson, we'll learn about the life of an inspiring woman who encountered the darkest phase of her life during the peak of her career that made her question her identity and self-worth. Be inspired by how she handled her life's battles and overcame the anxiety from having a motion deficit and nerve damage resulting in a frozen shoulder.    "There's a tyranny of perfection in medicine that gets perpetuated from the day we start med school, and we're supposed to be better, stronger, smarter, and tougher. We're not allowed to be human." – Dr. Stephanie Pearson   Topics Covered: (00:00:00) Introduction + Episode Snippet (00:00:40) Introducing our special guest, Dr. Stephanie Pearson. (00:01:21) How did Dr. Stephanie decide to become an obstetrician-gynecologist?  (00:04:33) When Dr. Stephanie's career came to a halt. (00:07:01) The painful method of learning the value of disability and life insurance. (00:11:16) Being completely denied.  (00:12:10) Doctors have been regularly trained on how to abuse themselves during their training.  (00:13:45) The Tyranny of Perfection in Medicine (00:14:16) How should doctors take care of themselves and their colleagues? (00:16:24) Quick Reminder: Are you enjoying this episode? Please share it, leave a five-star review, and give feedback. Go to TimeOut with the SportsDr website.  (00:17:43) Our biggest asset is ourselves. (00:18:53) Having a loss of identity (00:20:59) Everyone struggles, but many people struggle alone. (00:21:30) How did Dr. Stephanie cope with the dark chapter of her life and career? (00:22:28) A supportive family and a puppy (00:24:38) A moment of realization: You are more than what you are doing. (00:26:00) It's okay to take a break. (00:27:11) We are all a work in progress. (00:27:49) Give up being perfect for being authentic. (00:29:20) Tune in on the next episode of TimeOut with the SportsDr.     Key Takeaways:     "I got to live the happiest moments of people's lives with them. It was just when things were bad, they were terrible." – Dr. Stephanie Pearson   "I learned a lot the hard way about disability insurance and then subsequently life insurance and became truly passionate about the topic." – Dr. Stephanie Pearson   "We've been taught how to abuse ourselves repeatedly from our years of training. And so, we often put other people above ourselves routinely." – Dr. Derrick Burgess   "Physicians were some of the meanest people to me after everything. I think it is partly because I have an invisible disability that there were days where I wished that I was in a cast or a wheelchair, so I didn't have to defend myself every time the topic came up." – Dr. Stephanie Pearson   "We endure things as physicians. We suffer not only physical but also mental stress. And many times, we have to do it in silence because we don't want to put our job at risk. We don't want to be ridiculed or scrutinized by our partners or our colleagues." – Dr. Derrick Burgess   "I did not realize at the time how much of my identity was tied to being Dr. Pearson." – Dr. Stephanie Pearson   "When we share our failures, and we share our struggles, that's what we connect with people." – Dr. Derrick Burgess   "I had a resounding epiphany that even now, I still put much of my self-worth into doing, producing, and accomplishing. I still did not have the grace to give myself a break." – Dr. Stephanie Pearson   I give up being perfect for being authentic because many times I want to be perfect, even if it means that I'm compromising who I am as a person because I want you to be happy with me." – Dr. Derrick Burgess   "Some people are going to love you no matter what you do, some people are going just to say fine and ignore you, and some people are going to hate you no matter what you do." – Dr. Derrick Burgess   Connect with Dr. Stephanie Pearson:  Website: https://pearsonravitz.com/ Facebook: https://www.facebook.com/PearsonRavitz Twitter: https://twitter.com/spearsonmd LinkedIn: https://www.linkedin.com/in/stephaniepearsonmd/   Connect with Dr. Derrick Burgess: Website: https://www.drderrickthesportsdr.com/ Instagram: https://www.instagram.com/drderrickthesportsdr/ Facebook: https://www.facebook.com/TimeOut.SportsDr LinkedIn: https://www.linkedin.com/in/derrick-burgess-72047b246/ YouTube: https://www.youtube.com/channel/UCHGDu1zT4K_X6PnYELu8weg Email: thesportsdoctr@gmail.com   This episode of TimeOut with the SportsDr. is produced by Podcast VAs Philippines - the team that helps podcasters effectively launch and manage their podcasts, so we don't have to. Record, share, and repeat! Podcast VAs PH gives me back my time, so I can focus on the core functions of my business. Need expert help with your podcast? Go to www.podcastvasph.com.

Dr. Daniel Feinberg, Chief Medical Officer of Pennsylvania Hospital, joins the podcast to discuss his background, his focus on employee engagement & patient safety, what effective healthcare leader needs to be successful in the next 2-3 years, and more.

Dr. Daniel Feinberg, Chief Medical Officer of Pennsylvania Hospital, joins the podcast to discuss his background, his focus on employee engagement & patient safety, what effective healthcare leader needs to be successful in the next 2-3 years, and more.

With no effective anesthetics or antiseptics, surgery prior to the late 19th century was brutal to endure and often ended in a death sentence for even the most minor of procedures. The advent of operating theatres helped build the bridge between primitive medicine and the modern operating room we know today. While certainly terrifying for the patient or the average spectator, operating theatres played an essential role in the evolution of surgery, offering a space where doctors and medical students could witness the greatest surgeons of their time hone their craft and better the field through their triumphs and tragedies. Medical Milestones: Discovery of Anesthesia & Timeline, UNIVERSITY OF MEDICINE AND HEALTH SCIENCESThe Most Beautiful Anatomical Theaters by Allison Meier, Atlas Obscura, MAY 7, 2014Anaesthesia and the Practice of Medicine: Historical Perspectives - PMCA Look Inside America's Oldest Hospital & the Oldest (Existing) Operating Theater in the World – Secrets of PhiladelphiaReciprocal Evolution of Opiate Science from Medical and Cultural Perspectives - PMCHistory of Cataract Surgery - EyeWikiSurgery | The Old Operating Theatre MuseumHistoric Tours of Pennsylvania Hospital, Pennsylvania Hospital WebsiteThe History Of the Barber Surgeon - Barber Surgeons Guild®Trephination - World History EncyclopediaHistory of the Operating Room - Optimus Integrated Surgical Environment"Inside the Operating Theater: Early Surgery as Spectacle" by Rebecca Rego Barry, JSTOR Daily, December 9, 2015Joseph Lister's antisepsis system | Science MuseumSurgeons and surgical spaces | Science MuseumThe original drama of operating theatres | Wellcome CollectionFollow us on IG: @themorbidmuseum Email us at themorbidmuseum@gmail.com Artwork: Brittany Schall Music: "Danse Macabre" by Camille Saint-Saens, performed by Kevin MacLeod2022 All Rights Reserved

Dive Into Reiki Rounds Tables are conversations between Reiki masters from different backgrounds to talk about the challenges, experiences, and learnings that keep us growing as practitioners. It is also meant as a platform for new voices from our global community. There is only one rule: keeping it real. IMPORTANT NOTICE: Dive Into Reiki's mission is to bring information that allows Reiki practitioners from all over the world to deepen their practice. Although this information is shared freely on my platforms, all content is tied to copyrights. Please do not repurpose or translate these interviews without previous authorization. DIVE INTO REIKI ROUND TABLE—NOT SO DISTANT REIKI Today we have 3 amazing Reiki teachers: Ifetayo White, Helene Williams, and Danica Arizola. We discuss how their remote Reiki sessions have evolved over the years, the need for authorization, use of symbols and some of their remote session oops. Ifetayo White is a Reiki Master Teacher who is the founder and director of The Lowcountry School of Reiki on St. Helena Island, SC. Having practiced and taught Reiki for more than 25 years, Ifetayo was attuned in 2020 as a Usui Shinpiden Reiki Master by Frans Stiene of the International House of Reiki. For Ifetayo Reiki is the foundation of everything she does in her life and is devoted to the daily practices of living Reiki. Find more about Ifetayo at: ifetayowhite.comHelene Williams is a registered nurse and Reiki master/teacher based in Lancaster, Pennsylvania. She has over ten years of experience providing Reiki sessions in a hospital setting and has a well-established private practice. Helene has presented information on Reiki and holistic health care at national nursing conferences, participated in a hospital-based Reiki research study, implemented and facilitated a hospital Reiki Volunteer Program and in 2013 established the Lancaster Community Reiki Clinic. She also has experience providing Reiki for Caring Hospice Services and actively volunteers at the VA Medical Center in Lebanon, PA. Find out more about Helene at: helenewilliamsreiki.comDanica Arizola is a Reiki Master Teacher/Practitioner, Licensed Massage Therapist, End-of-LIfe Doula, Yoga instructor, and Certified Circle Caller living in Philadelphia. She came to learn Reiki 14 years ago at The Reiki School + Clinic, Philly's first Reiki school. After volunteering and then working at the school for several years, she eventually became a co-owner of the school. In 2016 she left the school to open her practice, A LoveThing Healing Arts. Currently, Danica splits her time between her practice and The Abramson Cancer Center at The University of Pennsylvania Hospital. Find more about Danica at: alovethinghealingarts.comNathalie Jaspar, founder of Dive Into Reiki,  is a Reiki master with over a decade of experience. She's a graduate teacher from the International House of Reiki. To gain an even deeper understanding of Reiki practice, Nathalie went to Japan to practice Zen Buddhism at the Chokai-san International Zendo. She is the author of Reiki as a Spiritual Practice: an Illustrated Guide, and the Reiki Healing Handbook (Rockridge Press). Support the show

Our guest today is Anjan Chatterjee, MD, FAAN. He is a Professor of Neurology, Psychology, and Architecture at the University of Pennsylvania and has served as the Chair of Neurology at Pennsylvania Hospital. While his clinical work focuses on cognitive disorders, the focal points of his research are in neuroaesthetics, spatial cognition, language, and neuroethics. His multidisciplinary knowledge has won him recognition and awards. It has led him to author his book, The Aesthetic Brain, a study on how art has embedded itself into the human mind as investigated through the lens of neuroscience and evolutionary psychology.Dr. Chatterjee joins us to discuss the following:Dr. Chatterjee's academic path from philosophy, to neuroscience, to neuroaesthetics.Are humans hard-wired for beauty?Individuals are influenced by culture, and culture is influenced by the collective.The Aesthetic Triad and how it is affected by moral judgments.Using beauty as a heuristic.Why humans can find beauty in non-sensory subjects.The questions asked by neuroaesthetics.What can we learn from exploring aesthetics in Science?Visit Dr. Chatterjee's blog on Psychology Today: https://www.psychologytoday.com/us/blog/brain-behavior-and-beautyCheck out his books: The Aesthetic Brain: How we evolved to desire beauty and enjoy art and co-edited Brain, Beauty, and Art: Bringing Neuroaesthetics in Focus as well as Neuroethics in Practice: Mind, Medicine, and Society, and The Roots of Cognitive Neuroscience: Behavioral Neurology and Neuropsychology.https://www.amazon.com/gp/product/B00FHZZYOU/ref=dbs_a_def_rwt_hsch_vapi_tkin_p1_i1Brain, Beauty, and Art: Essays Bringing Neuroaesthetics into Focus (With Eileen Cardillo)https://www.amazon.com/gp/product/B09LVVRY54/ref=dbs_a_def_rwt_hsch_vapi_tkin_p1_i0Neuroethics in Practice (With Martha J. Farah)https://www.amazon.com/gp/product/B00CXQ6PSU/ref=dbs_a_def_rwt_hsch_vapi_tkin_p1_i2The Roots of Cognitive Neuroscience: Behavioral Neurology and Neuropsychology (With H. Branch Coslett)https://www.amazon.com/gp/product/B00HFPV4AI/ref=dbs_a_def_rwt_hsch_vapi_tkin_p1_i3Support us on Patreon:https://www.patreon.com/BeautyatWorkPodcastSupport the show

The field of Cardiovascular Genomics has advanced tremendously over the past two decades, having a significant clinical impact and changing the perception of the role and scope of genetic testing in several cardiovascular domains.  To kickstart the Cardiovascular Genomics series, CardioNerds Dr. Sara Coles (FIT at Duke University), Dr. Colin Blumenthal (CardioNerds Academy faculty and FIT at UPenn), and Dr. Karla Asturias (CardioNerds Academy fellow and medicine resident at Pennsylvania Hospital) have a great discussion with Dr. James Daubert, a clinical electrophysiologist at Duke University, with a particular interest in inherited arrhythmia syndromes and sports cardiology. In this episode, we review basic concepts of cardiovascular genomics and genetics in electrophysiology while discussing when to (and when not to!) test our patients and their families and how to approach those results. Audio editing by CardioNerds academy intern, Pace Wetstein. This episode was developed in collaboration with the American Society of Preventive Cardiology and is supported with unrestricted educational funds from Illumina, Inc. All CardioNerds content is planned, produced, and reviewed solely by CardioNerds. This CardioNerds Cardiovascular Genomics series is a multi-institutional collaboration made possible by contributions of stellar fellow leads and expert faculty from several programs. Pearls • Notes • References CardioNerds Cardiovascular Genomics PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Genetics in Electrophysiology The first step is identifying the right phenotype! Getting the right phenotype is crucial, as genetic testing done in a patient without a clear phenotype (or an incorrect one) would lead to significant anxiety, unnecessary tests and interventions, and potentially misleading and dangerous conclusions for patients and their families. Genetic testing typically should be reserved for patients with a confirmed or suspected diagnosis of an inherited disease or for individuals with a previously diagnosed pathogenic variant in a first-degree relative.1 Discuss with your patient! Genetic counseling is essential and recommended for all patients before and after genetic testing. It should include a thorough discussion of risks, benefits, and possible outcomes, including variants of uncertain significance.2 Cardiovascular genetics is a dynamic and rapidly evolving field. New information can cause a variant of uncertain significance to be reclassified as a pathogenic or likely pathogenic variant or to be downgraded to benign or likely benign as variant databases expand. Another possibility is that new research might identify novel genes for a particular disease, which could warrant retesting, particularly for phenotype-positive and genotype-negative patients.1 Brugada syndrome is an inherited arrhythmogenic disorder characterized by ST-segment elevation in the right precordial leads and malignant ventricular arrhythmias, with occasional conduction disease and atrial arrhythmias. It is diagnosed in patients with ST-segment elevation ≥ 2 mm in ≥ 1 lead among the right precordial leads, with a type I morphology (J-point elevation with slowly descending or concave ST segment elevation merging into a negative T wave), shown in the image below. This pattern can be observed spontaneously or after provocative drug testing (e.g., procainamide). Pathogenic genetic variants in SCN5A that result in loss of function of the cardiac sodium channel are identified in approximately 20% of cases.3,4 Image adapted from Batchvarov VN. The Brugada Syndrome – Diagnosis, Clinical Implications and Risk Stratification. Eur Cardiol Rev. 2014;9(2):82. doi:10.15420/ECR.2014.9.2.82 Measure the QT interval yourself!

We have a very special guest who is joining us today all the way from Asheville, North Carolina. She is the author of the best-selling and award-winning Wild Wisdom Series. The seeds for this series were planted years earlier when she apprenticed with a traditional healer in Ireland, where she spent extensive time studying the growing cycles of plants, the alchemy of medicine making, and the psychology of working with humans and illness. These experiences reawakened an interest in natural philosophy and mysticism which had been a large part of her academic studies at The University of Michigan and New York University. She has taught Botanical Medicine at the University of Pennsylvania, West Chester University, and Pennsylvania Hospital. She regularly teaches at conferences and festivals where she encourages people to use the patterns and metaphors from the natural world to help them understand and grow within their own lives. This episode, Shannon and Laura talk with Maia about her latest endeavour ‘The Night School' - exploring the edges of the universe and the depths of the self, all through the lens of philosophy, divination, and astrology… A beautiful quote from the book: “magic is everywhere. To see it and the effects it has on your life, change the way you perceive the world. To harness it, change the way you interact with the energies around you. To know it, change the way you think. To live it, remember the lessons of the Night as you go about your day.” Maia Toll website Instagram- Maia Toll Support Turns Out Network Here Visit Shannon's, and Asha Moon's websites below Asha Moon Shannon Cotterill Have a witchy question to ask? Get in touch, we would love to hear from you! tospsychic@gmail.com Follow us on Instagram @turnsout_shesawitch Presented by Shannon Cotterill & Laura Turner. Production & original music by Matt Turner @turnzout_media

The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/MTQQuk Stephanie Pearson, MD, FACOG, is a board certified OB/GYN, and a licensed broker specializing in disability and life insurance for physicians. Injured in the prime of her career as an OB/GYN, Stephanie was forced to pivot; through her own firsthand experience, she found a new calling in advocating for and educating her peers on their insurance needs. Alongside her business partner, Scott Ravitz, and their team at PearsonRavitz, LLC., Stephanie's goal is to empower others to protect their most valuable asset: their ability to earn income. As a speaker, Stephanie combines her hard-won insurance expertise with her personal experience to address the physical and mental impact of physician disability, emphasizing the importance of proper coverage. Stephanie's background includes 9 years of medical practice after receiving her M.D. from Drexel Universities MCP/ Hahnemann College of Medicine (now Drexel University College of Medicine), and completing a residency at Pennsylvania Hospital. She currently lives in Bryn Mawr, Pennsylvania with her husband, their two children, and dogs. Working on medical billing can be stressful for healthcare providers. It can distract you from your primary focus, which is your patients, and any billing errors you make can land you in hot water. Now no more. Introducing Growing Innovation Health Solution GI Health Solution is a comprehensive medical billing solution that allows you to shift the burden of collections off of your shoulders, so you can focus on patient care. Count on GI Health Solutions for handling your medical billing. They have the experience as well as the expertise to help you manage all your billing-related chores in a highly professional manner. Their expert team will handle all of your codings, claim follow-up, and billing issues to ensure you receive your payments on time. Streamline your medical billing and increase your practice revenue by up to 30%. So, reach out to Growing Innovation Health Solutions today to help your medical group improve profitability and eliminate administrative burdens. Visit their website: www.gihealthsolutions.net for a free consultation! Group Coaching for Physicians MD Coaches is proud to offer Group Coaching for Physicians. This is a small, intimate virtual group that will help to inspire participants to experience personal and professional fulfillment. Sessions begin on Thursday, October 6th, 2022 and runs through November 10th, 2022.  You will also earn CME credits by participating! For more information or to register please visit us at mdcoaches.store   Join the Conversation! We want to hear from you! Do you have additional thoughts about today's topic? Do you have your own Prescription for Success? Record a message on Speakpipe   All The Tools You Need To Build and Scale A Integrative Health Business Get a behind the scenes look at our playbook at Texas Center for Lifestyle Medicine to see the underpinnings of how they deliver health while keeping team members fulfilled. Find out more at https://rxforsuccesspodcast.com/IPB Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon  | Spotify --- Show notes at https://rxforsuccesspodcast.com/123 Report-out with comments or feedback at https://rxforsuccesspodcast.com/report Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com

As a female physician, one of your greatest assets is your ability to earn income.If you are  assuming that the insurance through your employer has you covered in case of illness or disability, then you are making a very big mistake.Most of us know enough to insure most of the valuable things in our lives – our health, our automobiles, our homes. However, a large percentage of us tend to ignore our biggest asset- the ability to earn income to care for ourselves and our families. In this episode,  Dr. Stephanie  shared:What  individual disability insurance isGroup vs Individual disability InsuranceWhat makes a good individual policyHow to make sure you're protected. Stephanie Pearson, MD, FACOG, is a licensed broker specializing in disability and life insurance for physicians. Injured in the prime of her career as a board-certified OB/GYN, Stephanie was forced to pivot her career, and through her own firsthand experience, found a new calling in advocating for and educating her peers on their insurance needs.Stephanie's background includes 9 years of medical practice after receiving her M.D. from Drexel University's MCP/Hahnemann College of Medicine and completing a residency at Pennsylvania Hospital. Below are her contact details:Email: hello@pearsonravitz.comWebsite: https://pearsonravitz.comEnjoyed the episode? Leave us a review on Apple Podcasts.⁣Ready to liberate yourself and become the ceo of your money & life? Join the only community exclusively for women physicians. The doors are open https://www.moneyfitmd.com/msbDo you have questions/ topics you want addressed in an upcoming episode? Fill out this form.https://www.moneyfitmd.com/podcast-questionsTo access our FREE 5- Day Video Mini-Series will change how you handle your finances. Visit  https://www.moneyfitmd.com/cashflow to learn how to cash flow. As physicians it's important that we are prepped for any economic downturn. This is why I am sharing the steps I am taking to be prepped. That way we can be well together. www.moneyfitmd.com/prep ⁣Don't miss an episode, subscribe to THE MONEYFITMD PODCAST, where we help women Physicians curate their rich life.⁣⁣⁣Thank you so much for sharing this episode with those around you and helping change the money of women physicians all around the world.

These days, we might take it for granted that we live in a city with state of the art healthcare. But there was a time when we didn't even have hospitals in America. This week, Sabrina Boyd-Surka visits the first chartered hospital in the nation: Pennsylvania Hospital, established in Philadelphia in 1751. We hear what health care looked like in the 18th and 19th centuries - from a surgical amphitheater where the public could observe surgeries before anesthesia existed, to mental health care when most people thought mental illness was supernatural. Learn more about Pennsylvania Hospital or book a tour here.Follow us on Twitter: @TheJawncast.

Entrepreneurs know that successful businesses arise from solving giant problems.  Dr. Stephanie Pearson is an Obstetrician-Gynecologist who received her MD from MCP/Hahnemann (now Drexel University College of Medicine) and completed her OB-GYN training at Pennsylvania Hospital. Her career was cut short by a devastating injury in the hospital, essentially ending her work as a practicing Ob-Gyn.   With her career over, she experienced post-injury emotional struggles and legal challenges with her disability insurance, which she realized too late didn't cover work-related injuries. This was and still is a common problem for many doctors, especially those who are new and eager to sign whatever contract is put in front of them.  This led her to starting PearsonRavitz, a company helping and educating doctors on getting better disability coverage, which she helped build into a multimillion-dollar business in under five years. Learn her journey from Ob-Gyn to reluctant physician entrepreneur, and how one event changed her life forever. PearsonRavitz - an insurance advisory firm that specializes in disability and life insurance for healthcare professionals https://www.PearsonRavitz.com Dr. Stephanie Pearson's contact information: Stephanie@PearsonRavitz.com ===== PhysicianCoaches.com The #1 Doctor Directory for Physician Coaches, Consultants, and Mentors https://www.PhysicianCoaches.com ————— This Amazon Best Seller is Now on Audible!  The Positioned Physician:  Earn More, Work Smart, and Love Medicine Again, 2nd Edition: Updated with over 50 pages of new content including  new chapters on goal setting, mindset, and sales strategies for a successful online business! https://www.amazon.com/Positioned-Physician-Updated-Smart-Medicine/dp/B08QFBMWCY FREE Masterclass: How to Become a High Paid, In Demand Physician Coach or Consultant  https://www.positionedphysician.com/f/highly-paid-masterclass   AFFILIATE SPONSOR: Invest in Passive Income with Crypto through Yield Nodes https://BootstrapMD.com/go/yieldnodes 

Are you in perimenopause? Are you getting fine lines and wrinkles faster than you had imagined? Do you have acne breakouts more often than your teenager? If you answered "yes" to any of these questions then this is the episode for you! Please join Christen and Carla as they learn all about skin and how to take care of the skin they are in with expert Sarah Kagan. Sarah is the Lucy Walker Honorary Term Professor of Gerontological Nursing, School of Nursing; Gerontological Clinical Nurse Specialist, Abramson Cancer Center at Pennsylvania Hospital, Penn Medicine; University of Pennsylvania and her love and excitement for skincare is contagious! Interested in learning more? Here are some of Sarah's favorite websites for more information and some of her recommended products. www.paulaschoice.ingredient-dictionary.com www.carolinehirons.com www.cerave.com www.herbivorebotanicals.com www.janeirdale.com www.supergoop.com www.iliabeauty.com Remember, please follow our podcast by clicking the + sign on any platform you use to listen to your podcasts. If you follow the pod, you'll be automatically notified when new episodes are released. Thanks for your support! If you have any questions or episode suggestions please email us at www.perrymenopauseomg@gmail.com. Follow us on Facebook and Instagram @perrymenopauseomg! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/perrymenopause/support

Dr. Mike Stierstorfer Website:  podcast.stopmyibs.com Transcription:Intro00:02Welcome to changing the rules, a weekly podcast about people who are living their best lives and advice on how you can achieve that too.  Join us with your lively host, Ray Lowe, better known as the luckiest guy in the world.Ray Loewe00:17Good morning, everybody. And welcome to changing the rules. Changing the rules is a weekly podcast where every week we try and highlight what we think is one of the luckiest people in the world. So the luckiest people in the world are people who redesign their own lives, under their own terms and live them the way they want. And they're usually people who think outside of the box when they address problems and issues. And they don't, they're not constrained to the rules of life. You know, one of the things that we find is that all through our lives were given rules that we're supposed to live with. And we're given them by our parents, and then by the schools. And sometimes we get saddled with so many rules that they become barriers to doing what we want to do and what we need to do. And we have with us today, one of the luckiest people in the world, and you're gonna see that he just attacks problems in an entirely different way. He doesn't let himself be constrained by the norms. And because of that, he has successes that other people don't have. So, Mike, Mike Stierstorfer did I pronounce that right today, Mike? You did. That's amazing in itself. Okay. But welcome to changing the rules. And let me give people a little background on you. I found out something unusual. I live in a little town called Lancaster, Pennsylvania. And I asked Mike if he had heard about it. Then he said, Well, I have to go to school there. He went to Franklin and Marshall. So he knows more about this place than I do. And then he went from there on to Temple to get his MD and set up his own practice as a dermatologist, which is really interesting, because of the work he's doing is an entirely different area. And he's been on the staff at the University of Pennsylvania Hospital for a long time teaching interns, teaching residents, is that correct? Mike? Dermatology residents? Yes. Okay, so so he's got incredibly great credentials for what he's doing. And so let's start off, Mike with an event that occurred, I think, was on July 3, 2008.Dr. Mike Stierstorfer  02:39That was the exact day that it happened. And I remember it so well because it was a beautiful day, the day before Fourth of July. And I had lunch at a Mexican restaurant. And within an hour or so after lunch, I started getting an upset stomach, some nausea, and belly pain. And I assumed it was from something I had just eaten and that it would go away by the next day like things usually do. Turns out those same symptoms persisted for the better part of the following year, accompanied by some other symptoms that pretty much qualified for criteria that are used to diagnose irritable bowel syndrome. And that's where everything started. That day, I remember it well, because that night I was walking around, everybody's having a nice time and I'm walking around with an upset stomach, not too happy that I was missing out on all the fun.Ray Loewe03:35Okay, so let's take a minute and talk about this thing called irritable bowel syndrome. It's not it's not something we enjoy talking about on the air. But it is a problem that many, many, many people have, and is not easily diagnosed and solved. So give us a little bit of the background and then we're gonna go into some of the unique solutions that you've been able to come up with.Dr. Mike Stierstorfer  04:01Yes, so irritable bowel syndrome is extremely common. It affects 10 to 15% of Americans or 30 to 45 million Americans. And over 50% of those people with IBS report that foods aggravate their symptoms. It's been felt to be what's called a functional disorder. In other words, one of the in which there's nothing physically wrong. There are several criteria that make up the diagnosis of IBS. You have to have belly pain at least once a week for the past three months, once at least six months prior to that. And it needs to be accompanied by things like onset of the symptoms being associated with changing the way your stool looks either looser or harder. Also, or accompanied by the pain getting better or worse with a bowel movement and also, the bowels moving more or less frequently. Um, upon onset of the symptoms, so there's very strict criteria that are used to make the diagnosis.Ray Loewe05:06Okay? And the cure for this is a traditional process is you go to a gastroenterologist, and they have a process for diagnosing this, which is not necessarily the most pleasant thing in the world to go through right?Dr. Mike Stierstorfer  05:20Yeah, they pretty much want to rule out other things that could have a more detrimental long-term consequence to your health. They want to rule out things like inflammatory bowel disease, Crohn's disease, ulcerative colitis, gluten sensitivity, celiac disease, things like that even colon cancer. So they want to make sure you don't have that. And sometimes they can do that just clinically by asking you questions and examining you. But often these people go through a lot of testing with various types of scopes, and blood tests and radiographic tests, even CAT scan. So there's a lot often that goes into the evaluation before they come to the conclusion it's just IBS. I shouldn't say just IBS, because it can be a serious problem, too. Yeah.Ray Loewe06:04So so here you are in an entirely different field. Okay. And unfortunately, you're having these symptoms. So what happened here? What did you do you know, what's the new way you look at this thing?Dr. Mike Stierstorfer  06:21So for the better part of the year, I had these symptoms, I had the big evaluation that didn't find anything. And finally, about a year later, I was trying to determine whether foods are playing a role I avoided gluten, I avoided lactose things that are known to cause GI issues. Nothing helped about a year into it, I got a lucky break, really, I ate Indian dinners at the same restaurants twice within a week of one another. And both times, my symptoms flared up severely worse than normal, but they're the same kind of symptoms I was usually getting. So I knew it was something in the food I was eating for the first time. And I knew it wasn't the Indian spices because I in general, don't eat them that often. And I was having these symptoms, on average, probably half the days. So the thing that I thought about because it's in pretty much everything we eat unless we're intentionally trying to avoid it was garlic. So I just stopped eating garlic. And literally the next day, my symptoms were completely gone. At that point, I felt that this had to be a new allergy to garlic because you can become allergic to something at any point in time, it doesn't have to be something new, repeat exposure, you could come allergic to it. So I set out to try to determine what type of allergy this was. I didn't really know much about IBS, I wasn't really interested in GI as a medical student, I'm a dermatologist. So I first tried a blood test that would look for a peanut type allergy, which everybody's pretty familiar with. And that test was negative for garlic. That's the same kind of test that the allergist says with a prick and scratch test. So that's called a type one allergy, that was negative, I still was convinced it was an allergy. And in Dermatology, we do a type of allergy test called a patch test, frequently for people who have a rash called eczema and we suspect that their Eczema is being caused by something that's touching their skin, in other words, an allergic reaction causing their eczema type of rash. So that's a different type of allergy than the peanut allergy completely different. It's called a type four allergy skin kind of allergy just causes poison ivy, and I decided to do a patch test on myself to garlic. And the patch test was positive I got a red itchy spot on my skin after leaving the garlic there for two days. So my thought at that point was likely the same type of inflammation I was getting in the skin from the patch test from the garlic was occurring in the lining of the intestine when I ate any foods containing garlic. So another point I should mention is that until the early 2000s IBS was felt to be something where there was nothing physically wrong. But in the early 2000s, inflammation has been identified and a lot of people with IBS, both with biopsies of the intestine and with blood tests that show that there's inflammation going on in the body. So most of the time though this inflammation, they don't know what's causing it. So my thought was likely this allergic reaction caused by the garlic in the intestine was causing inflammation causing the IBS symptoms. At that point, I wanted to figure I wanted to find out who else had looked into this. So I googled it and I found that no one ever investigated patch testing the foods for irritable bowel syndrome. So that's when I started with the research on it. I've done several clinical trials now that have been published. And the conclusion of these studies was that by identifying specific foods not just garlic-like but because to overwhelm 80 things now was in the studies up to 117 or 120 Different foods, that over 50% of people we test get either moderate or great improvement in their IBS symptoms by limiting the foods that they identify are identified by the patch testing. So this was completely new information. If you ask the gastroenterologist about food allergies, and IBS, they say they don't play a role. And the reason for that is that it's been taught to them because of other studies that have looked at type one food allergies. And there's another type of allergy called a type three allergy to but those types of testing are not helpful for IBS. So it's ingrained into gastroenterologists that food allergies don't play a role with IBS type four allergy testing by patch testing had never been done for IBS before. So essentially, those prior studies looking at the other types of allergies were like, barking up the wrong tree looking for the wrong type of allergy, you wouldn't be able to check my garlic allergy by doing a type one allergy test.Ray Loewe11:06Okay, so now we have a whole new series of ways to investigate a problem that people had. Now there. First of all, let's talk a little bit about your successes here. So you are telling me when we did our prep call about an 11-year-old girl that you had some success with. And once you go through that particular description, and let's find out what happened.Dr. Mike Stierstorfer  11:35This was one of the most gratifying experiences I had using this testing. This girl was missing school two or three days a week. And her mom somehow learned about this testing that I was doing. And later, she mentioned that she didn't really think it was going to help but she thought I tried she tried anyway, because it was such a desperate situation. And this girl was allergic to benzoyl peroxide, which is used to bleach flour and some cheeses. And she was also allergic to something called pining alpha, which is a naturally occurring chemical that's found in parsley, carrots, parsnips, and celery. So these allergies were identified, she went on to eliminate those foods from her diet and she's 100% Better, she hasn't missed a day of school. And her mom said that when the girl gets sick, she would make her vegetable soup with all those vegetables. And she said I was poisoning my daughter. So yeah, this is an example where like, for me, it was, I was lucky because it was garlic. It was something I could figure out by the process of elimination just from what I had eaten and what I knew I didn't eat that often. But something like pining alpha, you would never be able to figure that out just by the like elimination diet or process of elimination. So this is where the patch testing really becomes useful.Ray Loewe13:01Okay, so so we have uncovered largely by chance, because you were the patient, right? You had a series of issues, and you wanted to solve them for yourself. So how does this figure it out into where the medical community is going with taking care of IBS?Dr. Mike Stierstorfer  13:23Well, this is really very early. We're just trying to get the message out there to doctors and to patients about this. That's not an easy task. The goal is that eventually, we hope that the first thing that we've done with people with IBS is this patch testing before subjecting them to all these invasive procedures and radiographic studies where they get radiation and not to mention the cost of those procedures and then putting them on all these different medications that may or may not help at some are quite expensive. Some of them are up to $1,000 a month. So we feel that this testing should be a first-line option for patients with IBS. It's a very simple solution, it identifies specific foods, it's much easier to typically avoid foods found here than doing something like the low FODMAP which is a popular diet for people with IBS, which is very difficult to fall involve lots of different foods here with the patch so you can avoid one or two specific foods or three or four whatever we find and potentially get better. So the goal is that this will be a first-line option for people with IBS and save them a lot of aggravation, testing, and treatments that don't work and expense that goes along with it.Ray Loewe14:43and this isn't stuff that has to go through FDA approval and stuff because the tests are, are approved. It's just a question of getting the medical community to look at this as an option for treating and cure, right?Dr. Mike Stierstorfer  14:57So the tests are done with what are called compounded allergens and compounded. And these are considered medications by the FDA So, but because they're compounded, there are a set of guidelines using compounded medications for patients where they don't actually have FDA approval, they have to be prescribed for a specific patient and a patient's name. And they have to the manufacturing of these allergens has to be done by a licensed compounding pharmacist following what are called USP guidelines. So it's accessible to properly licensed doctors and other providers now, as long as they do it in a specific patient's name.Ray Loewe15:41Yeah. And what percentage, you know, IBS is caused by a whole lot of things, right. But when you look at the kinds of things that you're trying to address here is do you have any idea of what percentage of the IBS community or what communities are the wrong word, but,the problems that can be fixed by this?Dr. Mike Stierstorfer  16:04Well, yeah, you're right. IBS probably is caused by a lot of different things. But our studies have shown that a significant percentage of these people have these food allergies. In my studies, within the patients who have long-term follow-up, were getting an eight to 10 improvement on a scale from zero to 10, of about a third of the patients and moderate improvement or five to seven on a scale of 10 and another 25%. So I don't know the exact number, but I would venture to guess that probably at least 25%, if not higher than that conservatively, have food allergies that are contributing are completely causing their symptoms.Ray Loewe16:43Well, cool. You know, we're unfortunately, we're near the end of our time already. And I find it fascinating to talk to people like you because you think outside the box. And that's why you are one of the luckiest people in the world. You're not constrained to normal things. You know, you're thinking outside the box, and you're making progress. So where are you going to go from here? What's the next step?Dr. Mike Stierstorfer  17:08Well, I do, I do want to just follow up on that comment, right. And I do feel in a lot of ways that I have been extremely lucky to make this discovery really was a very lucky setup circumstance, I pretty much followed my nose. This was not an epiphany that I came up with. But it involves a lot of luck. To make the discovery IBS has been described since 1944. And no one ever before recognize this connection between this type of allergy type four food allergy detectable by patch testing and IBS symptoms. So the luck involved. The fact that first of all, I developed irritable bowel syndrome, some people may call it bad luck, but in a lot of ways, for many people with IBS, it was very good luck. And even for me that I was able to find something that relieve my symptoms. Also, it was lucky that it happened to be garlic and that I ate those two Indian dinners within a week of one another was able to make the connection to garlic was also lucky that I was a dermatologist and I had the tools and the knowledge and the resources to pursue this further. And was also lucky that it turned out to be a type of allergy that in Dermatology we deal with all the time, like for allergies, for allergic contact dermatitis. So there was a perfect storm of circumstances that created this lot that involve that enabled me to make this what I feel is a significant discovery in medicine.Ray Loewe18:35Yeah, but it takes some knowledge and it takes some effort and it takes some you got to follow the luck. Otherwise, the luck never materializes. So, you know, thank you so much for being with us. If people want more information, where can they go to find out more about you and more about what you're doing? And we'll post this, by the way in the notes on our podcast, so they'll be able to see it. But where do they go?Dr. Mike Stierstorfer  19:01Thank you. There's a URL. It's podcast.stopmyibs.com. And patients will be able to get and doctors get a lot of information there. And if they have questions beyond that, our contact information is available there on the website. So we're very happy to talk to anybody who'd like to discuss this further.Ray Loewe19:24Oh, cool. Well, thank you so much for being with us. And continue your great work. And maybe we'll uh another six months or so we'll have you back again. And we'll find out what's happened and where the progress has been. So have a great day. And thanks so much for being with us.Dr. Mike Stierstorfer  19:41Thank you very much.Outro  19:45Thank you for listening to changing the rules. Join us next week for more conversation, our special guest, and to hear more from the luckiest guy in the world. 

"It's not obvious how or why art meets a need. We don't eat it, we don't have sex with it. Yet we are drawn to it and we've been making art since the begining of civilization"Today's guest is Dr. Anjan Chatterjee, Neurology professor at the University of Pennlysvania. He is a prominent neurologist, former Chief of Neurology at the Pennsylvania Hospital. He is currently the founder and director of the Penn Center for Neuroaesthetics, which studies the neural impact of aesthetic and artistic experiences. In his book “The Aesthetic Brain: how we evolved to desire beauty and enjoy art”  he makes a compelling case for the intimate links between art and science and their common goal of getting insight into the human experience. For all his scientific pedigree Anjan also has an artist's sensibility. He teaches architecture, has a deep love for street art, and he moonlights as a photographer.In this conversation Anjan and I discussed:how our brain reacts to art and beauty, and how we process and assign meaning.the role of art in human experience and social change.art's potential for becoming an recognized medical treatment.the challenges of scientific research and evidence on a subject so vast and subjective as art.There's no way to cover the full extent of these questions in under 40mn but I hope you'll get enough food for thought!Thanks for listening ✨----------------------------------------------------------------------------

In the Public Interest welcomes Partner Kim Parker, who speaks with Helene Krasnoff, the Vice President of Public Policy Litigation & Law at Planned Parenthood, and Dr. Amna Dermish from Planned Parenthood of Greater Texas. Planned Parenthood is a nonprofit organization that provides reproductive healthcare services in the United States and around the world. The organization has also been a key player in challenging laws that restrict abortion rights and access in the United States. Their discussion focuses on two recent US Supreme Court cases with major implications for reproductive rights: Whole Woman's Health v. Jackson, a case that challenges a Texas law that bans abortion once cardiac activity is detectable in the pregnancy, typically at 6 weeks, and Dobbs v. Jackson Women's Health Organization, a case that involves a Mississippi law that bans abortions after 15 weeks, with Mississippi also asking the Court to overturn longstanding precedents like Roe vs. Wade, which would then potentially allow states to ban all abortions. https://www.wilmerhale.com/en/people/kimberly-parker (Parker) is the vice chair of WilmerHale's Litigation/Controversy Department and co-chair of the firm's Pro Bono and Community Service Committee. Parker has represented Planned Parenthood and other reproductive health providers in numerous legal challenges over the past 20 years. In the Jackson Women's Health Organization case, Parker and a team of WilmerHale lawyers helped several leading medical organizations file a brief in support of Jackson Women's Health, arguing that access to abortion is a critical part of reproductive healthcare. At Planned Parenthood Federation of America (PPFA), Krasnoff leads a team of attorneys who challenge attempts to restrict access to reproductive health care, advise Planned Parenthood affiliates around the country about the legal issues raised by such attempts, and assist with PPFA's efforts to influence state and federal legislation in order to improve access to reproductive health services. She has been with PPFA since 2000 and has been in a lead counsel, co-counsel, or supervisory position in dozens of challenges at every level of the state and federal courts to laws and policies that limit the availability of reproductive health care services. She has also worked with members and staff on Capitol Hill on many pieces of legislation, including the Affordable Care Act. Dr. Dermish is a board certified OB/GYN with fellowship training in Complex Family Planning. She received her medical degree from the University of Colorado, followed by residency training in Obstetrics and Gynecology at Pennsylvania Hospital in Philadelphia and fellowship training at the University of Utah, where she also completed a master's degree in Clinical Investigation. Dr. Dermish is currently the Regional Medical Director for Planned Parenthood of Greater Texas where she also provides abortion care and oversees their transgender healthcare services, including gender affirming hormone therapy. Her clinical and research interests are in addressing barriers to accessing reproductive and sexual healthcare. Related Resources: https://www.supremecourt.gov/DocketPDF/21/21-588/197787/20211027134617135_21-588%20tsacPlannedParenthoodEtAl.pdf (Brief amici curiae of Planned Parenthood of Greater Texas Surgical Health Services, et al. ) What you need to know about Texas' new abortion ban effective Sept. 1, 2021 (SB 8) (Planned Parenthood) https://www.scotusblog.com/case-files/cases/dobbs-v-jackson-womens-health-organization/ (SCOTUSblog: Dobbs v. Jackson Women's Health Organization) https://www.nytimes.com/2021/12/01/us/politics/supreme-court-planned-parenthood-casey.html (What did Planned Parenthood v. Casey say?) (NY Times) https://www.texastribune.org/2022/03/11/abortion-texas-supreme-court/ (Texas Supreme Court deals final blow to federal abortion law challenge) (The Texas Tribune)

Oncology nurses can dismantle ageism by providing person-centered care to all patients, no matter their age. ONS member Sarah H. Kagan PhD, RN, GCNS-BC, AOCN®, FGSA, FAAN, Lucy Walker Honorary Term Professor of Gerontological Nursing at the University of Pennsylvania and gerontology clinical nurse specialist in the Abramson Cancer Center at Pennsylvania Hospital, both in Philadelphia, and member of the Philadelphia ONS Chapter, joins Stephanie Jardine, BSN, RN, oncology clinical specialist at ONS, to discuss nursing considerations for older patients with cancer. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by March 11, 2024. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Episode Notes Check out these resources from today's episode: Complete this evaluation for free NCPD. Oncology Nursing Podcast Episode 72: Caring for Older Adults With Cancer ONS Voice article: What You Need to Know About Caring for Geriatric Patients With Cancer ONS Voice article: Older Adults With Cancer ONS course: Advanced Practice Care Considerations for the Older Adult With Cancer ONS webinar: Geriatric Oncology Principles Helpful in Caring for Older Adults Age-Friendly Health Systems Alzheimers and Dementia Blog Alzheimer's Association Cancer and Aging Research Group Gerontological Advanced Practice Nurses Association Hartford Institute for Geriatric Nursing International Society for Geriatric Oncology To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org.

"I'm running for Senate because Pennsylvanians are dying." That's the beginning of Dr. Kevin Baumlin's pitch for his campaign in the U.S. Senate Democratic primary. The Philadelphia doctor served as Chair of Emergency Medicine at Pennsylvania Hospital, as well as founder of Oak Street Initiative, a nonprofit organization.He talks to DVJournal's Linda Stein about his proposals for taxpayer-funded healthcare, as well as his belief that, despite the polls, America is on the right track. He also argues that inflation isn't a significant problem.Hosted by Michael Graham.

Dr. Mike Magee has spent his life inside the medical-industrial complex, eventually working at Pennsylvania Hospital and later becoming the doctor who sold Viagra to the world at Pfizer. He's also an award winning medical broadcaster and historian who appears regularly on THCB these days. For the October THCB Book Club Jessica DaMassa and Matthew Holt had Mike on to discuss Code Blue — his magnum opus on how the American system become the medical-industrial complex that it is, the part he played, and what we might do to fix it! A fascinating and rich discussion.

In the last episode in our trilogy of Leadership episodes, Patti continues her conversation with Mike Buckley, retired CEO of Pennsylvania Hospital. The two discuss how effective leaders manage conflict within their teams – how trust is built, credibility is established and ultimately how conflict is resolved. No matter how large or how small your organization is, problems will arise that need resolution…learn how to “be soft on the people, but hard on the problem” and see how swiftly the situation is remedied.

How does an infectious disease physician in a private practice become the CEO of one of the biggest hospitals in Philadelphia? Patti discusses the qualities and personality attributes one must possess to successfully rise to leadership positions, with Mike Buckley – the recently retired CEO of Pennsylvania Hospital. Mike rose from infectious disease specialist to Chief Medical Officer and Chairman of Medicine and then ultimately navigated the mergers of two of the nations' oldest hospital systems. Listen to find out what he traits he thinks all successful leaders possess and see if you have the art of strategic persuasion!

In this episode, I am excited to have Donna Branca on to talk about meditation and mindfulness in the legal profession. After 13 years spent at Blank Rome as their Director of Talent Management, Donna Branca left to further develop her leadership and coaching skills. Given her extensive experience in coaching and leadership, as well as her institutional knowledge of the firm, Donna returned to Blank Rome four and a half later as the Director of Strategic Leadership. She works to help the firm leadership, partners, and associates be the best they can be.   Topics Covered Her introduction to mindfulness; how it became an instrumental part of her healing through a turbulent period, and how she utilizes it in her training at the firm. Acute stress (fight or flight) vs. chronic stress, and why it can be important to distinguish for mental well-being. The practice of meditation and the importance of seeing it as a journey rather than something to be conquered. The impact of mindfulness on one's overall success, and mindfulness in the legal profession.     Questions? Comments? Email Jeena! hello@jeenacho.com. You can also connect with Jeena on Twitter: @Jeena_Cho For more information, visit: jeenacho.com Order The Anxious Lawyer book — Available in hardcover, Kindle and Audible Find Your Ease: Retreat for Lawyers I'm creating a retreat that will provide a perfect gift of relaxation and rejuvenation with an intimate group of lawyers. Interested? Please complete this form: https://jeena3.typeform.com/to/VXfIXq MINDFUL PAUSE: Bite-Sized Practices for Cultivating More Joy and Focus 31-day program. Spend just 6 minutes every day to practice mindfulness and meditation. Decrease stress/anxiety, increase focus and concentration. Interested? http://jeenacho.com/mindful-pause/ Transcript Donna Branca: [00:00:00] We can either be in the river and getting banged around by the rocks and the currents and the everything, and if we can get to the side and climb out we might be beaten up and wet, but we can look at the river. To me, that's what we're doing when we're practicing. It's all still there, but we're seeing it with some clarity. Intro: [00:00:25] Welcome to The Resilient Lawyer podcast. In this podcast, we have meaningful, in-depth conversations with lawyers, entrepreneurs, and change agents. We offer tools and strategies for creating a more joyful and satisfying life. And now your host, Jeena Cho. Jeena Cho: [00:00:47] Hello my friends, thanks for joining me for another episode of The Resilient Lawyer podcast. In this episode, I'm so happy to have Donna Blanca. She has spent 13 years at Blank Rome as their Director of Talent Development. Donna left to further develop her leadership and coaching skills. Given her extensive experience in coaching and leadership, as well as her institutional knowledge of the firm, Donna returned to Blank Rome four and a half years later as the Director of Strategic Leadership. She works to help firm leaders, partners, and associates be the best that they can be. [00:01:21] Before we get into the interview, if you haven't listened to the last bonus episode please go check it out. I shared a six-minute guided meditation practice to work with loneliness, which I wrote about on the ABA Journal this month. So often even though we can work with others in our firm, we can have that sense of isolation and loneliness. And I found that having a regular meditation and mindfulness practice helps me to be more aware. You can learn more about Mindful Pause and the six-minute program over at JeenaCho.com, or you can also check it out in the show notes. And with that, here's Donna. Donna welcome to the show. Donna Branca: [00:02:00] Thank you. Thank you Jeena, appreciate it. Jeena Cho: [00:02:03] So let's just start by having you give us a 30-second introduction of who you are and what you do. Donna Branca: [00:02:09] Well you gave a nice introduction there. It's my pleasure to be back at the firm, having spent a great part of my career here. But I'm now in a different function and at Blank Rome building a coaching culture. We do that both to help from a leadership perspective as well as a business development perspective. So in my space, it's pretty much on the leadership side. So I work with senior leaders, but I also work with any number of our partners and associates, and I do training and coaching and one-on-one coaching, some group coaching, and then a smattering of some other things that involve leadership. So it's been great to be back, and it just seems like a good fit. Jeena Cho: [00:02:59] I know that you have a personal mindfulness practice, and I'm curious to hear how you got into practicing mindfulness and what that practice looks like for you now? Donna Branca: [00:04:19] Yeah, I've been meditating now for about 12 years. And I actually was at the firm, part one at Blank Rome; and I had some things going on, and it's actually also how I was introduced to coaching. I retained a coach for myself and we were working through some career goals, that sort of thing. And one thing led to the other and the coach actually asked me if I knew anything about mindfulness, she had just taken a course at the University of Pennsylvania. So I had zero introduction to mindfulness until then. And I was a little skeptical, but I'm curious by nature so I researched it and ultimately signed up for it, in part because I thought it might help the lawyers that I worked with. So I registered for that course, and somewhat ironically instead of starting that course the same day at the University of Pennsylvania, I woke up at the University of Pennsylvania Hospital with a diagnosis of ovarian cancer. [00:05:06] So I didn't actually get there for that course, I remember in my fog at the time saying to my husband I think you better wheel me over to that mindfulness class because I think I'm going to need it. And frankly, it became a big part of my healing and it became a big part of my life since that time. So that's pretty much how I got introduced to it. [00:05:22] I should add that I did get back to the program about a year later, and it was remarkably powerful. I found myself saying at the end of the program, my teacher Michael Baime went around the room to say what did you get from this eight-week program? And I went first, having no idea what would come out of my mouth. And what I found myself saying was that it was remarkable how I felt like I had shifted my perspective and been able to pull myself away from the thought that were yanking me around, and that frankly if I found that my diagnosis had gotten worse and that I was even looking at dying that I found a tool that would help me do that. And that was a big "aha"; I didn't realize that that was going to come out of my mouth. But it's very true, that's how profound an effect it had on me. And about nine or ten months later I did a program for them with just cancer patients, because the Abramson Cancer Center was thinking of picking up the funding for it. And that's where it really locked in for me, going through a program with people who had not been introduced to mindfulness before and were at.. we talk about ruminating about the past and worrying about the future. There's no time more than when you have a life-threatening diagnosis. And watching what it meant to these people, it really locked it into me, as to how important this can be at any point in your life. But like I said, that locked it in for me; from the standpoint of how important it was to me, and to some extent a passion and to be able to introduce other people to it when they're ready. Jeena Cho: [00:06:57] Can you say more about how mindfulness practice helped you to recover? Not necessarily recover, but how it helped you through that journey through having cancer? Because obviously there's just so much uncertainty and fear, and all of the other emotions that I would imagine would come along with having that diagnosis and the treatment. But how did it help you in the day-to-day of your illness? Donna Branca: [00:07:29] So by the time I got to it, I was post-chemo. I really wish I had a mindfulness practice before I got to that point, but where it helped me (since I was post-chemo) was in that limbo stage that you go into; where you're not treating, you're not going through an active regimen of something, and you're just waiting. And where your mind can go with that can be either dark, or you can pull yourself out of it and have it not be so dark. And be grateful for the fact that you did get the medical care that you had and whatnot, and you just vacillate back and forth. And it's as if your mind decides where it's going to go on a given day, and what the mindfulness allowed me to do was really understand how to zoom out and look at the situation and choose my response. And I try to do, the University of Pennsylvania and this program that I do host two retreats a year, I try to do at least one. And it was at a retreat where I found what I was doing, when I was able to actually look at my thoughts almost as a focus of my meditation. Which I hesitate to say to some people, because it doesn't always resonate. But it was a moment of clarity that has stuck with me. I would say that.. I'm sure you've seen this news of the kids that were in the cave in Thailand, and thinking about that really resonates with me. And to answer your question around how it helped me, I mean when you think about what they were up against and sitting in this horribly dark cave where you can't see your hand in front of your face literally, being together and learning how to get mindful in order to get through that is just astounding. [00:09:43] But to be honest Jeena, I feel and have always felt that this is not something new that we're trying to learn; it's actually something we're trying to re-learn. You know when we look at babies and we look at children, they're much more mindful than we are. Jeena Cho: [00:10:04] Right, they're always in the present moment. Donna Branca: [00:10:06] Right. And at some point, we pull away from that. So it's kind of telling that these young men and children were able to get there somewhat quickly. And I don't know, I haven't talked to them obviously but that's what I'm making up about it; that that we are able to tap into what my experience has been around mindfulness, what I've watched plenty of other people's experience (I'm sure to some extent yours) has been around mindfulness. The diagnosis, the stress, the fear of what it means; I still get emotional seven years later. What it means to your family. Like right now, I cannot just pull myself out of it and get positive about it, but literally look at the thought and make a choice as to what road I'll go down. [00:11:13] So really, I have such gratitude towards this work. I actually have a lot of gratitude towards the work you do, that's how important I think this is. So I hope I answered your question, about how it helped me get through that. And frankly it's still a journey, once you have a diagnosis like that. I mean I'm very grateful, I have a fairly good bill of health. The doctor says something else is more likely to kill me than my ovarian cancer, but when you face death that way and your own mortality, it shifts thing quite a bit. So I count on my practice to help me in all sorts of things. Jeena Cho: [00:12:01] I remember when I went through the 8 week mindfulness MBSR class for the first time, I was so struck by the range of human experience that were present in the room. There were first year (I took it at Stanford) undergrad Stanford kids and they're like, oh I don't know what I should do when I grow up and I just feel so anxious all the time. To people that were caregivers to loved ones that were dying, we also had people that had terminal illnesses. It was just the whole range, and I think that class is so impactful because it pulls you out of your own experience and you start to see human suffering happens to everyone. It just gave me such an appreciation and that ability to be a little bit softer. I think as lawyers we're so used to striving and forcing our way through things, and it makes you think no. Sometimes I guess there's a place for it, but oftentimes all it does is just aggravate the situation. To back up a little bit, can you talk a little bit about the difference between acute stress and chronic stress? Donna Branca: [00:13:27] Absolutely, and I just actually did a program yesterday for our summer associates. So if we think about the predator jumping out in front of us ready to eat us, our stress response is involuntary; it just kicks in. And our essential systems, our non-essential systems shut down. Take it back to high school, the whole stress response, right? We know this, but it serves to remind ourselves in this context. Where if we think of a predator jumping out and we hit fight or flight, and that trigger puts our system into this involuntary. Where our heart beats faster and our lungs beat faster in order for us to either fight this thing or get rid of it. At the same time, our non-essential systems shut down. So we don't need our digestion, we don't need reproduction, we don't need our immune system. We lose our ability to creatively problem-solve, because we don't have time for that in this situation. So all of that can be, once the predator is either gone or you've killed it, it automatically brings us back to homeostasis. So the relaxation response kicks in, but in chronic stress that's not happening. So if we're keeping ourselves in this constant state of chronic stress, then it does impact those non-essential systems that shut down. It does impacts digestion and reproduction and our immune system and our ability to creatively problem solve. So what we want to do there is to insert a relaxation response, in order to bring us back to homeostasis. And the relaxation response is both voluntary and involuntary, so we can actually do that. And to me, that's what mindfulness practice does. Being able to calm yourself and bring in the relaxation response, to me helps if you actually have a practice. So you are conditioned to do that, as opposed to trying to remember to settle and breathe at a time where you want to insert the relaxation response. Because when we are at chronic stress, it's hard to remember it. So that's why I think a regular practice helps me do that, and I've seen this work with people; it certainly has worked in my life. To insert something that brings me back to recovery, right? So chronic stress is really just that stress with the absence of recovery, and we can actually impact that. Jeena Cho: [00:16:14] Right. And so often we can keep that chronic stress going by re-remembering some triggering event. So you may have a hearing and the hearing didn't go your way, and rather than let it go and return your body back to homeostasis you just keep repeating the hearing over and over and over again in your head. You keep repeating what the judge said, what the opposing counsel said, and think about how unfair it was. You build up a whole narrative in your own mind, and then that just keeps your body in that elevated stress level. Donna Branca: [00:16:50] Absolutely. And we talk about how this trigger that might be a predator, this trigger can be a partner standing at your door or a law professor making a demand; it can also be an internal thought. This inner voice that we have can be a real trigger, like you just said. So we're just re-triggering and re-triggering and re-triggering when we are ruminating about that. So I couldn't agree more, I couldn't agree more. Jeena Cho: [00:17:23] Yeah, and so often our own mind is our worst enemy. I remember when I first started practicing mindfulness, I would sit to meditate (and I'd actually be curious to hear your thoughts on this) because that's what they tell you to do. Like okay, you want to let go of chronic stress and find these and find relaxations. So I would be sitting there and I'd be meditating, and I found it to be anything but relaxing. And I would just sit there the whole time (10 minutes) and I would have to force myself through it. And I was convinced that it was actually making me more anxious, that I couldn't find relaxation and ease. [00:18:03] So, have you noticed that in your own practice? And what do you say to the beginning meditators that's like no, when I sit down to meditate I actually notice more anxiety and more stress? Donna Branca: [00:18:21] Oh absolutely. I think it's a bit of a misnomer and it's unfortunate that people come into this believing that they can clear their minds, or that that's the goal. And to some extent, the opposite is true. That might be a lovely byproduct at some point of your practice, but that's not the goal. And what I tell people and what resonates with me, is what you're really doing is you're being completely with what is. And that includes your thoughts. And if you can sit and be with them, without adding more thought and just looking at them, knowing that they exist; the trick is not to add more thought. [00:19:02] And what I tell people is whatever you've decided the focus of your meditation, whether it's breathing, whether it's parts of the body, whether it's something else, that the practice is in when you've seen your mind go off. And then you say okay, not judgmentally, and you bring it back. It's in the bringing it back that's the bicep curl; it's not trying to clear your mind, it's noticing where it went and being a choice to bring it back. And it's making that choice that is building the muscle that's going to allow us to make that choice when we're really in the midst of something else. Jeena Cho: [00:19:45] Yeah, that's so true. Donna Branca: [00:19:46] There was one metaphor that my teacher used that resonated for me, which was: we can either be in the river and getting banged around by the rocks and the currents and the everything, and if we can get to the side and climb out.. we might be beaten up and wet, but we can look at the river. To me that's what we're doing when we're practicing. It's all still there, but we're seeing it with some clarity and we're just not getting re-attached to it. And to me it's just this slight separation. But at the end of the meditation, you can meditate for ten minutes and get up and say oh my gosh, I only remember one breathe. But to me, that's still.. they say (and I believe this) your meditation practice can't suck, if you just set the intention and you sit and you set the intention. [00:20:54] If you only get three conscious breaths, its still doing the work it needs to do. And not every practice is going to be like that, most aren't going to be like. But you have to be with the ones that are in order to really gain some confidence that that's true. Jeena Cho: [00:21:15] Yeah I always find it to be so interesting, often I'll have lawyers come up to me after a talk and they'll say, "You know I tried meditation once, and it just didn't work." And I'll say, well what does that mean it didn't work? And they'll literally say something like, well I downloaded one of those apps and I sat down and I did a meditation, and it just wasn't calming; I found it to be very stressful. And it's like, well if you buy a gym membership and you went once and afterward you're sore and you didn't have the perfect body (whatever you were expecting from going to the gym), you wouldn't say well that didn't work. It's a journey, it's a practice; it's a life-long practice. Donna Branca: [00:21:57] It is. And I think when we got started, we did do the eight-week program and the homework that we were supposed to do; the 45 minutes of meditation every day. And the science is now telling us that that's not necessary, and that it's more important to be consistent every day, rather than long sits now and then. And I don't know if you agree with that, but that's what I understand to be the case. But I do feel like I needed that; I needed that to jumpstart what I saw to be so true by the end of the eight weeks. I think that had I not done that, I would have been one of those people that I said yeah, I did the Headspace thing once and it didn't work. So that's for me. I also meet people that that's not true for; I meet people who are very self-taught. But again, it's usually someone who can be with how yucky it can be sometimes to sit, and still do it every day and set the intention. Whether it's five minutes, whether its 20 minutes, but I have met plenty of people who are self-taught that way. But it is a bit of a discipline, in my mind. Jeena Cho: [00:23:30] Yeah, and it's such an interesting practice because it's almost like just showing up and doing the work, showing up and meditating; that's all there is to it. And letting go of how good it was, how bad it was, how often your thoughts drifted off. And I think that's so hard especially for lawyers, because we are such perfectionists and we want to do things perfectly, and we want to do things correctly. And I think it's very distressing when you sit down and you have some expectation about how it should go, and you very quickly learn your mind is like a tornado. It's really distressing, and I think it's just sitting in the midst of that distress and saying, well I'm just going to be with that. And it took me a long time, to get out of that judging mode. And I think having an eight-week class, where I would go back every week and say, you know I'm still sucking at this. And the teacher would smile and say, "Yeah? Keep doing it.” [00:24:31] And then after a while it wasn't so distressing that I was sucking at it, it was just like okay I'm just going to do it and not worry about whether it's good or bad. And that's such an important life lesson too, because so often we do something and we have no control over the outcome. You go and argue a hearing, and you don't get to control whether you win or lose. So really the only thing that you can put your effort into is showing up and doing the thing, you know? And I think that's what meditation teaches you, to just show up and do the thing and let go of that attachment to having a certain outcome. Donna Branca: [00:25:12] Absolutely, absolutely. And I do, as far as teaching this to lawyers or working with lawyers or how this might be a tool for lawyers in particular, I feel really, really committed to that, as I know you are. With law students, I'll just give you a quick story.. I was asked by a law school to do a presentation to a group of students and professors. There was a professor who was trying to get a mindfulness curriculum in the school, and she had asked me to come. And she had told me that she was really trying to draw professors to it, because that's the buy-in she really needed. And so I said I'd be happy to bring my husband (who is a judge) because although not a meditator, he had gone to a meditation retreat for me. Because I had been asked to do lots of work at that point with various firms and whatnot, and I asked him to go to this retreat for lawyers, judges, and law professors. And he was really resistant, but I really wanted to send in a skeptic with zero experience and allow it to inform my work. Because there is such a high level of skepticism among lawyers; it's what makes you so good at what you do. It makes you so valuable to your clients, to get them out of their own way. But when he came back, he was absolutely certain that it would have a huge impact on lawyers. [00:26:59] And from his literal perspective from the bench, watching lawyers who are so often either thinking about the next thing they're going to say or what just happened and how they can strategize, as opposed to listening to the witness and the nuances, or being really present with the jurors. He went back and it was somewhat of an experimental laboratory for him to watch this happen, and he was absolutely convinced. So he came to this program with me, as well as another judge who was self-taught, who heads up the drug court. And he uses it both for himself as well as to introduce it to the people who are in his drug court. He's a huge advocate of it, but he also believes that law students can often self-medicate and otherwise, to try to get through the stress. And he really asked them to look at this as a potential tool. And it was really powerful, the professors did come. As I thought they might, having a couple judges show up as opposed to just me. And it was really impactful, really impactful. [00:28:29] And I'm proud and happy to say that the professor did get her curriculum approved. And then subsequently, I was asked to be a guest speaker at one of her classes. And it was remarkable to see the curriculum and how rich it is. My piece was on mindful leadership, which for law students to be hearing this and learning it and experiencing it first-hand, really powerful. And it was so clear that this was such an important class for these students and such growth in it, that I believe every law school should have a curriculum of mindfulness. You know, the resilience that it takes to be a lawyer, the resilience that takes to be in big law or small law. It's every day you need to be resilient. You practice, you work, and you're at odds with someone all day. And the resilience that a lawyer needs is really critical. And I believe this is such an important tool to allowing them to look at things from a growth perspective; if they can shift and remove themselves from the turmoil of what's going on in a current moment and have a mindful response makes a huge difference. Jeena Cho: [00:29:59] Yeah. I Had a conversation with a judge, and he has a deep mindfulness practice. And one thing he told me that I thought was so heartwarming was it helps him to remember and to see (he also does criminal law) that every defendant that comes through his court is an individual, and to see that person as a human being with the full scope of human experiences. And that he's more than the sum of the crime that he committed, which led him to be in this courtroom. And I just thought, what if every lawyer can bring that level of thoughtfulness to everything that they do? Because I think we can get into this way in which we try to do things in bulk, because we're so overwhelmed and we lose that humanity. Donna Branca: [00:30:59] So true. When we talk about criminal law, it makes me think about the mindfulness programs that are going on in prisons and in police departments. And how that ability to learn how to insert a pause before you react, both as a criminal or as a cop.. the world would be a bit different, if we could just insert that pause. It would have a huge impact. So there's a lot of good things. Jeena Cho: [00:31:40] Sometimes when I talk to lawyers and talk about mindfulness, they'll say well that all sounds good, but I'm afraid that it's going to make me less effective; I'm going to lose my edge, or it's going to make me go soft. And I sort of like this aggression that I have all the time. And I think they're afraid of getting in touch with their own emotions, getting in touch with their own experience. And even just that pausing, I think is really frightening for a lot of people. Even just the idea of sitting quietly with your own mind. I'm curious to know what your thoughts are on that. Donna Branca: [00:32:23] I have, I do. It comes up in coaching, and it also is true of not wanting to come into coaching necessarily. Because they don't want to get in touch with this. I don't know if you'd call me "type A", but I am best when I am working like crazy. And so I'm more of that acute stress person, or maybe used to be chronic and now has learned acute, and it makes me so much sharper. And I have talked to many partners and associates and judges who have heard that, who have a practice but have heard that, and say they know that they are a better lawyer and are less stressed. They know when they are in a conference room with adversaries, that they can just look at how getting worked up is having people not be clear and not be as focused. So the lawyers that I talk to who have a practice absolutely say it makes them a better lawyer, and there is nothing about it that has made them lose their edge; it has sharpened their edges. And when we talk about the fight or flight, if our ability to creatively problem solve actually shuts down when we're in that state, then we aren't; then we aren't at our best and we are not focused. And we are not as resilient or as mindful or as present. There's not a lawyer that I know that got soft as a result of a mindfulness practice, there just isn't. [00:34:23] Again, it's tapping into this sixth sense that we forgot we had. Right? Like there's this backpack that is full of tools on our back that we've been carrying around we forgot, that's how I see it. And I really do see it as making people sharper, better lawyers, and better leaders. I do, I do hear that. I think that goes along with the higher level of skepticism. You know Larry Richard's work, where he found that lawyers do have a higher level of skepticism and we've talked about that. So I think there's a resistance, but I would encourage people to try it. It gives more space, not less space. We also talk about they don't have the time or what I talk about is that concept of managing your energy versus managing your time; that if you learn how to manage your energy, you will get more time. That seems to resonate with people. And a mindfulness practice (or whatever practice is important to you) that is going to help you sharpen your ax is really about managing your energy and refining how you utilize your energy, rather than being a prisoner to time. Jeena Cho: [00:36:00] And both of those things, time and energy, have their limits. In terms of how much energy and how much time you can exert on any given day. Donna Branca: [00:36:14] I'd agree but for the fact that energy is renewable, time is not. So what do we need to do to renew our energy? Because you're right, it's limited. If we keep our foot on the gas pedal we'll run out of gas. So what do we need to do to renew it? Sleep helps, mindfulness helps, running helps, exercise helps. Jeena Cho: [00:36:46] It's all the basics: eating well, getting enough sleep, getting some exercise, having connections with others. All of those things I think we all know to do, but somehow it's not a priority or it ends up on the bottom of our to-do list and then it doesn't get done. [00:37:11] Donna, one question for you before we wrap things up. The name of this podcast is called The Resilient Lawyer. What does it mean to be a resilient lawyer to you? Donna Branca: [00:37:24] It means more than just bouncing back and being able to bounce back from adversity, but bouncing back better. It means when these things happen (and they do often happen, on a daily basis), things don't go the way you need them to go, you went into a courtroom and the judge is in a mood or something doesn't go your way, and it's going to happen every day. And how can you grow from that, what have you learned from that, and how does that make you a better lawyer tomorrow? I'd say that's what being a resilient lawyer means to me. When we look at the lawyers that we admire most, there is resilience there; they have learned a whole lot along the way. [00:38:27] It reminds me, if I can just throw in this last joke, where someone asks this CEO what made him so successful and he said really good decisions. And when he was asked what enabled him to make really good decisions, he said experience. And then he was asked, how do you get that experience? He said, bad decisions. So to me, that's resilience. Right? Learning from all of the stuff that goes wrong, and figuring out what that might look like and how that might have changed us and shifted things going forward. That's a resilient lawyer. Jeena Cho: [00:39:14] Thank you so much for being with me today Donna, I really appreciate it. Donna Branca: [00:39:18] Oh it is such a pleasure, it really is. And thank you for your work. Closing: [00:39:25] Thanks for joining us on The Resilient Lawyer podcast. If you've enjoyed the show, please tell a friend. It's really the best way to grow the show. To leave us a review on iTunes, search for The Resilient Lawyer and give us your honest feedback. It goes a long way to help with our visibility when you do that, so we really appreciate it. As always, we'd love to hear from you. E-mail us at smile@theanxiouslawyer.com. Thanks, and look forward to seeing you next week.

Valerie V:                           Hey, everybody. Welcome to the Valerie V Show. We are live on Facebook with Cheryl Peltekis. Did I say that right? Cheryl Peltekis:                 Yes, you did. Thank you. Thank you for having me. Valerie V:                           Great. I'm so glad you could be here, because today we get to talk to you and you get to answer questions that I get asked all the time, and I am not the expert that you are, nor do I want to be. Cheryl Peltekis:                 I appreciate that, but I know that there's areas that I absolutely need to refer back to you. And I just actually wanted to take one moment just to thank you personally, Valerie, for being that person that, that nurse that's a leader in the industry that helps so many companies get patients ultimately served, which I know is what we both believe in is so important. Valerie V:                           Yeah, absolutely. The folks that are out here running these home care agencies are probably doing some of the toughest jobs on the planet. Being a nurse is tough work when you're in a hospital or whatever, but ... We were just talking earlier, managing all the employees, trying to make sure the patients are serviced correctly, boy, that takes a lot out of you every day. Cheryl Peltekis:                 You're not kidding, sister. I feel ya. Valerie V:                           Cheryl, why don't you give us a little bit of background about yourself and how you came to home care sales with Melanie and just give us a little because people may not know your whole history of owning a home care agency and all that. Cheryl Peltekis:                 Sure, I'll try to be really brief. I grew up in a little bit of a strange situation. My mom and dad were full time caregivers to my grandparents, my great grandparents, and a great aunt. So I lived at home for about 22 years and at least 16 of those 22 years, there were seniors being cared for in my home. So I kind of joke and say I was born into becoming a nurse. It was normal to change diapers at a young age, to help feed somebody, blenderize meals, and I don't know. It just felt really good and I think that I saw my mom was such a phenomenal caregiver ... I also saw the other side of how the services that we actually both work in today are being delivered in a home. And I would see what would happen and a caregiver didn't show up and my mom was left to change another diaper. And I don't think that we appreciate how hard it is to be a full time caregiver. And that stress and that burnout that they experience. Valerie V:                           It's amazing. Cheryl Peltekis:                 It's a lot of selfless giving. It really is. And I think that seeing my mom do is so tremendously with such grace and dignity, it really made me feel like that's what I want to do. And so I became a home health nurse. I was blessed to have gotten a scholarship from Pennsylvania Hospital, the nation's first hospital. And that's what launched me to be able to go to nursing school. And with that scholarship, I knew then I didn't want to waste that opportunity. And I knew that eventually after I served three years at that hospital, I had to give them a three year prison sentence, I say, in order to pay off the tuition that they paid for me to go to school. I immediately, right when it got close to the end of the three years was going to HR and saying, "Do you have any spots in home health? I want to go to home health." So then, I immediately went into home health and I fell in love with it so much. And I started to see that there were contracts that came into place by insurance companies that would dictate how many visits a patient would be allowed to be seen. And it made me so angry that a diabetic, blind patient they could say one visit only. And I just got really frustrated that my company that I was working for allowed contracts like that to be taken into place and that the servi

In todays episode, we talk to Dr. Julie Suyama. Julie (who also happens to have her PhD--no big deal) is doing her residency in the speciality of OBGYN at the University of Pennsylvania Hospital. She shares with us everything from why she wanted to be a doctor, how to maintain your physical and mental health with an incredibly busy schedule, and her current experience as an OBGYN doctor. She also shares with us many useful insights regarding women's health--both information and tips that every woman should know!