Podcasts about Rush University Medical Center

“Now's the time to tell that wonderful story of the little boy. He was about two or three years old, and he went in the icebox to get some milk, and he managed to get this big carton and spill it all over the floor. Now, needless to say, there'd be a lot of parents that would react very negatively and frustrated - this mother happened to be a scientist. So she came in, she saw the bottle of milk, and what had happened. She went and got some paper towels, put them on the milk, and said, ‘Look at this. Look how the milk starts creeping up these fibers of the towel. Isn't that cool?' And then she said, ‘Look, if you have something heavy you need to get out of the refrigerator, feel free to call me. But how neat is this that  the milk is being absorbed by the towel?' Well, she was a scientist, and he became a world-class scientist. She understood his interest and she didn't bring a fear and shame-inducing reaction, and all the negative effects that could have resulted if she had handled it differently. Instead, she put a sense of joy and interest in being intrigued with his interests, and turned the whole thing around.” Episode Description: Paul starts our conversation about affects by referencing Tomkins' work, which identified 6 negative and 2 positive affects/feeling states, all of which are represented by different facial expressions in infancy. He reports on clinical work that is enhanced by locating the patient's affective surface, which enables meaningful contact within the dyad. We focus on the affect of interest and how essential it is in establishing a sense of self in the world. He also shares the many ways that this interest can be undermined by the child's environment. He describes research on the capacities of 18-month-olds and how they differ from 14-month-olds regarding the awareness of self and other. Paul also emphasizes how destructive corporal punishment is in the lives of children and in society at large. We end with the final sentence from his book, a quote from Abraham Lincoln, "We can succeed only by concert. It is not 'Can any of us imagine better?' but 'Can we all do better?' Object whatsoever is possible, still the question recurs, 'Can we do better?'   Our Guest: Paul Holinger, MD, MPH, is a psychiatrist and psychoanalyst, Faculty and Former Dean at the Chicago Psychoanalytic Institute, Training/Supervising and Child/Adolescent Supervising Analyst. He is Professor of Psychiatry (Retired) at Rush University Medical Center, Chicago. His most recent books include Affects, Cognition, and Language as Foundations of Human Development and What Babies Say Before They Can Talk: The Nine Signals Infants Use to Express Their Feelings. Recommended Readings: Holinger PC: Violent Deaths in the United States: An Epidemiologic Study of Suicide, Homicide, and Accidents. New York: The Guilford Press, 1987.   Holinger PC: Offer D; Barter JT: Bell CC: Suicide and Homicide Among Adolescents. The Guilford Press, 1994.   Holinger PC: What Babies Say Before They Can Talk: The Nine Signals Infants Use to Express Their Feelings. New York: Simon & Schuster, 2003. (Several Translations)   Holinger PC: Affects, Cognition, and Language as Foundations of Human Development. New York/London: Routledge, 2024.   Holinger PC: Violent deaths as a leading cause of mortality: An epidemiologic study of suicide, homicide, and accidents. Amer J Psychiatry 137: 472-476, 1980.   Holinger PC: A developmental perspective on psychotherapy and psychoanalysis. Amer J Psychiatry 146: 1404-1412, 1989.   Holinger PC: Noninterpretive interventions in psychoanalysis and psychotherapy: A developmental perspective. Psychoanalytic Psychology 16: 233-253, 1999.   Holinger PC: Further issues in the psychology of affect and motivation: A developmental perspective. Psychoanalytic Psychology 25: 425-442, 2008.   Holinger PC: Further considerations of theory, technique, and affect in child analysis: Two prelatency cases. International J Psychoanalysis 97: 1279-1297, 2016.   Holinger PC: The problem of physical punishment and its persistence: The potential roles of psychoanalysis. The Psychoanalytic Study of the Child 73:1-9, 2020.  

In this episode of Liver Lineup: Updates & Unfiltered Insights, hosts Kimberly Brown, MD, a professor of Medicine at Michigan State University and Wayne State University, associate medical director of the Henry Ford Hospital Transplant Institute, and medical director of Transplant Outreach Services at Henry Ford Hospital, and Nancy Reau, MD, a professor of internal medicine, the Richard B. Capps Chair of Hepatology, associate director of solid organ transplantation, and the section chief of hepatology at Rush University Medical Center, highlight 4 key abstracts presented at the 2025 European Association for the Study of the Liver (EASL) Congress. Key Episode Timestamps 00:00:01 Introduction 00:00:45 Efimosfermin Alfa in MASH 00:05:56 PEth Testing 00:13:19 RETRACT-B 00:20:44 Linerixibat in PBC Relevant Disclosures for Reau include AbbVie, Gilead, Salix, Arbutus, and VIR. Relevant disclosures for Brown include Mallinckrodt Pharmaceuticals, Gilead, Salix, Intercept, Ipsen, and Madrigal.

In this episode of Liver Lineup: Updates & Unfiltered Insights, hosts Kimberly Brown, MD, a professor of Medicine at Michigan State University and Wayne State University, associate medical director of the Henry Ford Hospital Transplant Institute, and medical director of Transplant Outreach Services at Henry Ford Hospital, and Nancy Reau, MD, a professor of internal medicine, the Richard B. Capps Chair of Hepatology, associate director of solid organ transplantation, and the section chief of hepatology at Rush University Medical Center, continue their discussion on notable abstracts presented at the 2025 European Association for the Study of the Liver (EASL) Congress. If you haven't already, be sure to check out part 1 here! Key Episode Timestamps 0:00:00 LITMUS Study 0:05:47 Norursodeoxycholic Acid in PSC 0:10:12 GLOBE Score for PBC 0:15:11 Conclusion Arbutus, and VIR. Relevant disclosures for Brown include Mallinckrodt Pharmaceuticals, Gilead, Salix, Intercept, Ipsen, and Madrigal.

Today's episode is sponsored by Rush University Medical Center.May is National Nurses Month, and on this episode, we chat with two nurses at Rush to find out why they love their job, and what sets Rush apart. Nursing remains the country's most trusted profession. Medical centers across the country are counting on a new generation of nurses to fill a critical shortage, and keep the job's legacy strong.  Want to donate to our non-profit newsroom? CLICK HEREWho we areBlock Club Chicago is a 501(c)(3) nonprofit news organization dedicated to delivering reliable, relevant and nonpartisan coverage of Chicago's diverse neighborhoods. We believe all neighborhoods deserve to be covered in a meaningful way.We amplify positive stories, cover development and local school council meetings and serve as watchdogs in neighborhoods often ostracized by traditional news media.Ground-level coverageOur neighborhood-based reporters don't parachute in once to cover a story. They are in the neighborhoods they cover every day building relationships over time with neighbors. We believe this ground-level approach not only builds community but leads to a more accurate portrayal of a neighborhood.Stories that matter to you — every daySince our launch five years ago, we've published more than 25,000 stories from the neighborhoods, covered hundreds of community meetings and send daily and neighborhood newsletters to more than 130,000 Chicagoans. We've built this loyalty by proving to folks we are not only covering their neighborhoods, we are a part of them. Some of us have internalized the national media's narrative of a broken Chicago. We aim to change that by celebrating our neighborhoods and chronicling the resilience of the people who fight every day to make Chicago a better place for all.

If you're a physician with at least 5 years of experience looking for a flexible, non-clinical, part-time medical-legal consulting role… ...Dr. Armin Feldman's Medical Legal Coaching program will guarantee to add $100K in additional income within 12 months without doing any expert witness work. Any doctor in any specialty can do this work. And if you don't reach that number, he'll work with you for free until you do, guaranteed. How can he make such a bold claim? It's simple, he gets results…  Dr. David exceeded his clinical income without sacrificing time in his full-time position. Dr. Anke retired from her practice while generating the same monthly consulting income.  And Dr. Elliott added meaningful consulting work without lowering his clinical income or job satisfaction. So, if you're a physician with 5+ years of experience and you want to find out exactly how to add $100K in additional consulting income in just 12 months, go to arminfeldman.com.                                                          =============== Learn the business and management skills you need by enrolling in the University of Tennessee Physician Executive MBA program at nonclinicalphysicians.com/physicianmba. Get the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs.                                                                                                 =============== Dr. Ati Hakimi, a Northwestern-trained family physician with additional geriatrics training from Rush University Medical Center and an executive healthcare MBA from UC Irvine, joins John to illuminate the transformative potential of Direct Primary Care (DPC) as a pathway back to fulfilling, independent medical practice. After experiencing burnout from corporate medicine's unattainable metrics and assembly-line patient loads, Dr. Hakimi discovered DPC—a membership-based model where patients pay a flat monthly fee (around $150) for unlimited access to their physician through calls, texts, and visits. John and Dr. Hakimi discuss how this approach eliminates insurance bureaucracy while delivering remarkable benefits: deeply discounted labs, imaging, and medications; unhurried appointments; and the freedom to practice medicine according to one's own values rather than corporate metrics. With only 150 patients (compared to thousands in traditional practice), Dr. Hakimi operates with minimal overhead, no staff, and complete autonomy—creating a practice that not only better serves her "members" (she doesn't call them patients because "they're not sick") but has restored her professional joy. Their candid conversation reveals how physicians at breaking points with corporate medicine might find salvation in this model without needing to abandon clinical practice or compromise their incomes. You'll find links mentioned in the episode at  nonclinicalphysicians.com/awesome-direct-primary-care/

Highly skilled clinicians at RUSH MD Anderson Cancer Center diagnose, treat and prevent all types of skin cancer and other skin conditions. One treatment tool at their disposal is Mohs micrographic surgery, an advanced, minimally invasive and highly effective treatment for skin cancer. In this podcast, Miriam Mafee, MD, the division chief of Dermatological Surgery at Rush University Medical Center and a Mohs micrographic surgeon at RUSH MD Anderson, discusses how and when to use Mohs surgery, its advantages, as well as how this type of surgery continues to evolve. “We use appropriate use criteria (AUC), which helps separate less severe from more severe cases of skin cancer. This helps to maximize the utilization of Mohs surgery. We don't use Mohs surgery for every single skin cancer patient or every single skin cancer case. There are times where it really makes sense to be used and times where it doesn't. AUC, which you can find on an app, is a great help with this.”

Rush University Medical Center's neurocritical care team treats patients with complex, emergent neurological conditions, providing them with advanced care that is available 24 hours a day, seven days a week. In this episode of Rounding at Rush, Rajeev Garg, MD, chief of the Division of Neurocritical Care at Rush, talks about how Rush clinicians collaborate closely with stroke specialists and neurosurgeons to treat patients with a range of severe neurological injuries, including aneurysmal subarachnoid hemorrhage, intracerebral hemorrhage, large ischemic strokes, traumatic brain injuries, status epilepticus and spinal cord injuries. “Time is brain. The longer an injured brain remains without treatment, the worse the damage and the worse the outcomes. As neurointensivists, our goal is to limit damage to the brain and provide patients the best possible outcomes for recovery.”

Introducing Liver Lineup: Updates & Unfiltered Insights — an exciting new podcast delivering timely, candid perspectives on the most pressing topics in the fast-moving world of hepatology. Created by Nancy Reau, MD, and Kimberly Brown, MD, and hosted by HCPLive, this series dives into the cutting edge of liver disease research, clinical care, and real-world practice. Intended for hepatologists, gastroenterologists, and other clinicians managing liver disease, Liver Lineup will unpack the latest research, debate emerging controversies, and spotlight developments that could shape — or sharpen — day-to-day practice, all with unfiltered perspective and clarity. Brown is division chief of gastroenterology and hepatology and the Associate Medical Director of the Henry Ford Hospital Transplant Institute at Henry Ford Hospital. She is also a Professor of Medicine at Wayne State University Reau is a professor of internal medicine, the Richard B. Capps Chair of Hepatology, Associate Director of Solid Organ Transplantation, and the section chief of Hepatology at Rush University Medical Center. In the inaugural episode, Brown and Reau introduce the mission behind Liver Lineup and share why they created the podcast. Driven by a shared commitment to education, clinical excellence, and elevating the conversation around liver disease, the hosts describe their hope to offer practicing clinicians a clear, concise, and engaging way to keep up with the latest news and innovations in hepatology. They aim to highlight data that's not only new, but meaningful — spotlighting developments that can improve patient care today and shape best practices tomorrow. Together, the Brown and Reau set the stage for what's to come: expert commentary on major liver meetings including Digestive Disease Week, European Association for the Study of the Liver Congress, The Liver Meeting from the American Association for the Study of Liver Diseases, and the American College of Gastroenterology Annual Meeting; coverage of key topics like MASLD, liver cancer, viral hepatitis, and transplant; and conversations with colleagues across the hepatology spectrum. From debates over practice-changing data to discussions on care pathways and diagnostics, Liver Lineup aims to keep clinicians informed, engaged, and ready to translate insight into impact. Looking ahead, Brown and Reau preview upcoming episodes covering major hepatology updates from Digestive Disease Week 2025 and European Association for the Study of the Liver Congress 2025 — with more to follow throughout the year.

  Lyssa Rome is a speech-language pathologist in the San Francisco Bay Area. She is on staff at the Aphasia Center of California, where she facilitates groups for people with aphasia and their care partners. She owns an LPAA-focused private practice and specializes in working with people with aphasia, dysarthria, and other neurogenic conditions. She has worked in acute hospital, skilled nursing, and continuum of care settings. Prior to becoming an SLP, Lyssa was a public radio journalist, editor, and podcast producer. In this episode, Lyssa Rome interviews Dr. Suma Devanga about collaborative referencing, gesture, and building rich communicative environments for people with aphasia.   Guest info Dr. Suma Devanga is an assistant professor in the Department of Communication Disorders and Sciences at Rush University Medical Center, Chicago, where she also serves as the director of the Aphasia Research Lab. She completed her PhD in Speech and Hearing science from the University of Illinois. Urbana Champaign in 2017. Dr. Devanga is interested in studying aphasia interventions and their impacts on people's everyday communication. Her recent work includes investigating a novel treatment called the Collaborative Referencing Intervention for Individuals with aphasia, using discourse analysis methods and patient reported outcome measures, studying group-based treatments for aphasia, and studying the use of gestures in aphasia. Additionally, she is involved in teaching courses on aphasia and cognitive communication disorders to graduate SLP students at Rush. She also provides direct patient care and graduate clinical supervision at Rush outpatient clinics.   Listener Take-aways In today's episode you will: Understand the role of collaborative referencing in everyday communication. Learn about Collaborative Referencing Intervention. Describe how speech-language pathologists can create rich communicative environments.   Edited transcript   Lyssa Rome Welcome to the Aphasia Access Aphasia Conversations Podcast. I'm Lyssa Rome. I'm a speech language pathologist on staff at the Aphasia Center of California, and I see clients with aphasia and other neurogenic communication disorders in my LPAA-focused private practice. I'm also a member of the Aphasia Access podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources.   I'm today's host for an episode that will feature Dr. Suma Devanga, who is selected as a 2024 Tavistock Trust for Aphasia Distinguished Scholar, USA and Canada. In this episode, we'll be discussing Dr. Devanga's research on collaborative referencing, gesture, and building rich communicative environments for people with aphasia.   Suma Devanga is an assistant professor in the Department of Communication Disorders and Sciences at Rush University Medical Center, Chicago, where she also serves as the director of the Aphasia Research Lab. She completed her PhD in Speech and Hearing science from the University of Illinois. Urbana Champaign in 2017. Dr. Devanga is interested in studying aphasia interventions and their impacts on people's everyday communication. Her recent work includes investigating a novel treatment called the Collaborative Referencing Intervention for Individuals with aphasia, using discourse analysis methods and patient reported outcome measures, studying group-based treatments for aphasia, and studying the use of gestures in aphasia. Additionally, she is involved in teaching courses on aphasia and cognitive communication disorders to graduate SLP students at Rush. She also provides direct patient care and graduate clinical supervision at Rush outpatient clinics. Suma Devanga, thank you so much for joining us today. I'm really happy to be talking with you.   Suma Devanga Thank you, Lyssa, thank you for having me. And I would also like to thank Aphasia Access for this wonderful opportunity, and the Tavistock Trust for Aphasia and the Duchess of Bedford for recognizing my research through the Distinguished Scholar Award.   Lyssa Rome So I wanted to start by asking you how you became interested in aphasia treatment.   Suma Devanga I became interested in aphasia during my undergraduate and graduate programs, which was in speech language pathology in Mysore in India. I was really drawn to this population because of how severe the consequences were for these individuals and their families after the onset of aphasia. So I met hundreds of patients and families with aphasia who were really devastated by this sudden condition, and they were typically left with no job and little means to communicate with family and friends. So as a student clinician, I was very, very motivated to help these individuals in therapy, but when I started implementing the treatment methods that I had learned, what I discovered was that my patients were showing improvements on the tasks that we worked on in therapy. Their scores on clinical tasks also were improving, but none of that really mattered to them. What they really wanted was to be able to easily communicate with family, but they continued to struggle on that, and none of the cutting-edge treatment methods that I learned from this highly reputable program in India were impacting my patients' lives.   So I really felt lost, and that is when I knew that I wanted to do a PhD and study this topic more closely, and I was drawn to Dr. Julie Hengst's work, which looked at the bigger picture in aphasia. She used novel theoretical frameworks and used discourse analysis methods for tracking patient performance, as opposed to clinical tests. So I applied to the University of Illinois PhD program, and I'm so glad that she took me on as her doctoral student. And so that is how I ended up moving from India to the US and started my work in aphasia.   Lyssa Rome I think that a lot of us can probably relate to what you're describing—that just that feeling of frustration when a patient might improve on some sort of clinical tasks, but still says this is not helping me in my life, and I know that for me, and I think for others, that is what has drawn us to the LPAA.   I wanted to sort of dive into your research by asking you a little bit more about rich communicative environments, and what you mean by that, and what you mean when you talk about or write about distributed communication frameworks.   Suma Devanga So since I started my PhD, I have been interested in understanding how we can positively impact everyday communication for our patients with aphasia. As a doctoral student, I delved more deeply into the aphasia literature and realized that what I observed clinically with my patients in India was consistent with what was documented in the literature, and that was called the clinical-functional gap. And this really refers to the fact that we have many evidence-based aphasia treatments that do show improvements on clinical tasks or standardized tests, but there is very limited evidence on these treatments improving the functional use of language or the everyday communication, and this remains to be true even today.   So I think it becomes pretty important to understand what we are dealing with, like what is everyday communication? And I think many aphasia treatments have been studying everyday communication or conversational interactions by decontextualizing them or reducing them into component parts, like single words or phrases, and then we work our way up to sentence structures. Right? So this approach has been criticized by some researchers like Clark, who is an experimental psychologist, and he called such tasks as in vacuo, meaning that they are not really capturing the complexity of conversational interactions. So basically, even though we are clinicians, our ultimate goal is improving everyday communication, which is rich and emergent and complex, we somehow seem to be using tasks that are simplified and that removes all of these complexities and focuses more on simple or specific linguistic structures. So to understand the complexities of everyday communication, we have shifted to the distributed communication framework, which really originates from the cultural historical activity theories and theories from linguistic anthropology.   Dr. Julie Hengst actually proposed the distributed communication theory in her article in the Journal of Communication Disorders in 2015, which highlights that communication is not just an individual skill or a discrete concept, but it is rather distributed. And it is distributed in three ways: One is that it is distributed across various resources. We communicate using multiple resources, not just language. We sign, we use gestures, or facial expressions. We also interpret messages using such resources like dialects and eye gaze and posture, the social context, cultural backgrounds, the emotional states that we are in, and all of that matters. And we all know this, right? This is not new, and yet, we often give credit to language alone for communication, when in reality, we constantly use multiple resources. And the other key concept of distributed communication theory is that communication is embedded in socio- cultural activities. So depending on the activity, which can be a routine family dinnertime conversation or managing relationships with your co workers, the communicative resources that you use, their motives, and the way you would organize it, all of that would vary. And finally, communication is distributed across time. And by that we mean that people interpret and understand present interactions through the histories that they have experienced over time. For example, if you're at work and your manager says you might want to double check your reports before submitting them based on prior interactions with the manager and the histories you've shared with them, you could interpret that message either as a simple suggestion or that there is a lack of trust in your work. So all in all, communication, I think, is a joint activity, and I think we should view it as a joint activity, and it depends on people's ability to build common ground with one another and draw from that common ground to interpret each other's messages.   Lyssa Rome I feel like that framework is really helpful, and it makes a lot of sense, especially as a way of thinking about the complexity of language and the complexity of what we're trying to do when we are taking a more top-down approach. So that's the distributed communication theory. And it sounds like the other framework that has really guided your research is rich communicative environments. And I'm wondering if you could say a little bit more about that.   Suma Devanga Absolutely. So this work originates from about 80 years of research in neuroscience, where rodents and other animals with acquired brain injuries showed greater neuroplastic changes and improved functions when they were housed in complex environments. In fact, complex environments are considered to be the most well replicated approach to improve function in animal models of acquired brain injury.   So Dr. Julie Hengst, Dr. Melissa Duff, and Dr. Theresa Jones translated these findings to support communication for humans with acquired brain injuries. And they called it the rich communicative environments. The main goal of this is to enrich the clinical environments. And how we achieve that is by ensuring that there is meaningful complexity in our clinical environments, and that you do that by ensuring that our patients, families, and clinicians use multimodal resources, and also to aim for having multiple communication partners within your sessions who can fluidly shift between various communicative roles, and to not just stay in that clinician role, for example.   Another way to think about enriching clinical environments is to think about ensuring that there is voluntary engagement from our patients, and you do that by essentially designing personally meaningful activities, rather than focusing on rehearsing fixed linguistic form or having some predetermined goals.   And the other piece of the enrichment is, how do we ensure there is a positive experiential quality for our patients within our sessions. And for this rather than using clinician-controlled activities with rigid interactional roles, providing opportunities for the patients to share stories and humor would really, you know, ensure that they are also engaging with the tasks with you and having some fun. So all of this put together would lead to a rich communicative environment.   Lyssa Rome It sounds like what you're describing is the kind of speech therapy environment and relationship that is very much person-centered and focused on natural communication, or natural communicative contexts and the kinds of conversations that people have in their everyday lives, rather than more sort of strict speech therapy protocol that might have been more traditional. I also want to ask you to describe collaborative referencing and collaborative referencing intervention.   Suma Devanga Yes, absolutely. So traditionally, our discipline has viewed word-finding or naming as a neurolinguistic process where you access semantic meanings from a lexicon, which you use to generate verbal references. And that theoretical account conceptualizes referencing as an isolated process, where one individual has the skill of retrieving target references from their stores of linguistic forms and meanings, right? So in contrast to that, the distributed communication perspective views referencing as a process where speakers' meanings are constructed within each interaction, and that is based on the shared histories of experiences with specific communication partners and also depending on the social and physical contexts of the interaction as well.   Now this process of collaborative referencing is something that we all do every single day. It is not just a part of our everyday communication, but without collaborative referencing, you cannot really have a conversation with anyone. You need to have some alignment, some common ground for communicating with others. This is a fundamental feature of human communication, and this is not new. You know, there is lots of work being done on this, even in childhood language literature as well.   Collaborative referencing was formally studied by Clark, who is the experimental psychologist. And he studied this in healthy college students, and he used a barrier task experiment for it. So a pair of students sat across from each other with a full barrier that separated them so they could not see each other at all, and each student had a board that was numbered one through 12, and they were given matching sets of 12 pictures of abstract shapes called tangrams. One participant was assigned as the director, who arranged the cards on their playing board and described their locations to the other, who served as the matcher and matched the pictures to their locations on their own board. So the pair completed six trials with alternating turns, and they use the same cards with new locations for each trial. And what they found was that the pairs had to really collaborate with each other to get those descriptions correct so that they are placed correctly on the boards.   So in the initial trials, the pairs had multiple turns of back and forth trying to describe these abstract shapes. For example, one of the pictures was initially described as “This picture that looks like an angel or something with its arms wide open.” And there had to be several clarifying questions from the partner, and then eventually, after playing with this picture several times, the player just had to say “It's the angel,” and the partner would be able to know which picture that was so as the pairs built their common ground, the collaborative effort, or the time taken to complete each trial, and the number of words they used and the number of turns they took to communicate about those pictures declined over time, and the labels itself, or the descriptions of pictures, also became more streamlined as the as time went by.   So Hengst and colleagues wanted to study this experiment in aphasia, TBI, amnesia, and Alzheimer's disease as well. So they adapted this task to better serve this population and also to align with the distributed communication framework. And surprisingly, they found consistent results that despite aphasia or other neurological conditions, people were still able to successfully reference, decrease collaborative effort over time and even streamline their references. But more surprisingly, people were engaged with one another. They were having really rich conversations about these pictures. They were sharing jokes, and really seemed to be enjoying the task itself.   So Hengst and colleagues realized that this has a lot of potential, and they redesigned the barrier task experiment as a clinical treatment using the principles of the distributed communication framework and the rich communicative environment. So that redesign included replacing the full barrier with a partial barrier to allow multimodal communication, and using personal photos of the patients instead of the abstract shapes to make it more engaging for the patients, and also asking participants to treat this as a friendly game and to have fun. So that is the referencing itself and the research on collaborative referencing, and that is how it was adapted as a treatment as well.   And in order to help clinicians easily implement this treatment, I have used the RTSS framework, which is the rehabilitation treatment specification system, to explain how CRI works and how it can be implemented. And this is actually published, and it just came out in the most recent issue in the American Journal of Speech Language Pathology, which I'm happy to share.   Lyssa Rome And we'll put that link into the show notes.   Suma Devanga Perfect. So CRI is designed around meaningful activities like the game that authentically provides repeated opportunities for the client and the clinician to engage in the collaborative referencing process around targets that they really want to be talking about, things that are relevant to patients, everyday communication goals, it could be things, objects of interest, and not really specific words or referencing forms.   So the implementation of the CRI involves three key ingredients. One is jointly developing the referencing targets and compiling the images so clinicians would sit down with the patients and the families to identify at least 30 targets that are meaningful and important to be included in the treatment. And we need two perspectives, or two views, or two pictures related to the same target that needs to be included in the treatment. So we will have 60 pictures overall. An example is two pictures from their wedding might be an important target for patients to be able to talk about. Two pictures from a Christmas party, you know, things like that. So this process of compilation of photos is also a part of the treatment itself, because it gives the patients an opportunity to engage with the targets.   The second ingredient is engaging in the friendly gameplay itself. And the key really here is the gameplay and to treat it as a gameplay. And this includes 15 sessions with six trials in each session, where you, as the clinician and the client will both have matching sets of 12 pictures, and there is a low barrier in between, so you cannot see each other's boards, but you can still see the other person. So you will both take turns being the director and the matcher six times, and describe and match the pictures to their locations, and that is just the game. The only rule of the game is that you cannot look over the barrier. You are encouraged to talk as much as you like about the pictures. In fact, you are encouraged to talk a lot about the pictures and communicate in any way.   The third ingredient is discussing and reflecting on referencing. And this happens at the end of each session where patients are asked to think back and reflect and say what the agreed upon label was for each card. And this, again, gives one more opportunity for the patients to engage with the target.   The therapeutic mechanism, or the mechanism of action, as RTSS likes to call it, is the rich communicative environment itself, you know, and how complex the task is, and how meaningful and engaging the task has to be, as well as the repeated engagement in the gameplay, because we are doing this six times in each session, and we are repeatedly engaging with those targets when describing them and placing them.   So what we are really targeting with CRI is collaborative referencing and again, this does not refer to the patient's abilities to access or retrieve those words from their stores. Instead, we are targeting people's joint efforts in communicating about these targets, their efforts in building situated common ground. That's what we are targeting. We are targeting their alignment with one another, and so that is how we define referencing. And again, we are targeting this, because that is how you communicate every day.   Lyssa Rome That sounds like a really fascinating and very rich intervention. And I'm wondering if you can tell us a little bit about the research that you've done on it so far.   Suma Devanga Absolutely. So in terms of research on CRI thus far, we have completed phase one with small case studies that were all successful, and my PhD dissertation was the first phase two study, where we introduced an experimental control by using a multiple-probe, single-case experimental design on four people with aphasia, and we found significant results on naming. And since then, I have completed two replication studies in a total of nine participants with aphasia. And we have found consistent results on naming. In terms of impact on everyday interactions, we have found decreased trouble sources, or communicative breakdowns, you can call it, and also decreased repairs, both of which indicated improved communicative success within conversational interactions. So we are positive, and we plan to continue this research to study its efficacy within a clinical trial.   Lyssa Rome That's very encouraging. So how can clinicians target collaborative referencing by creating a rich communicative environment?   Suma Devanga Yeah, well, CRI is one approach that clinicians can use, and I'm happy to share the evidence we have this far, and there is more to come, hopefully soon, including some clinical implementation studies that clinicians can use. But there are many other ways of creating rich communicative environments and targeting referencing within clinical sessions. I think many skilled clinicians are already doing it in the form of relationship building, by listening closely to their patients, engaging with them in authentic conversations, and also during education and counseling sessions as well.   In addition to that, I think group treatment for aphasia is another great opportunity for targeting collaborative referencing within a rich communicative environment. When I was a faculty at Western Michigan University, I was involved in their outpatient aphasia program, where they have aphasia groups, and patients got to select which groups they want to participate in. They had a cooking group, a music group, a technology group, and so on. And I'm guessing you do this too at the Aphasia Center of California. So these groups definitely create rich communicative environments, and people collaborate with each other and do a lot of referencing as well. So I think there is a lot that can be done if you understand the rich communicative environment piece.   Lyssa Rome Absolutely. That really rings true to me. So often in these podcast interviews, we ask people about aha moments, and I'm wondering if you have one that you wanted to share with us.   Suma Devanga Sure. So you know how I said that getting the pictures for the CRI is a joint activity? Patients typically select things that they really want to talk about, like their kids' graduation pictures, or things that they are really passionate about, like pictures of their sports cars, or vegetable gardens, and so on. And they also come up with really unique names for them as well, while they are playing with those pictures during the treatment. And when we start playing the game, clinicians usually have little knowledge about these images, because they're all really personal to the patients, and they're taken from their personal lives, so they end up being the novices, while the patients become the experts. And my patients have taught me so much about constructing a house and all about engines of cars and things like that that I had no knowledge about. But in one incident, when I was the clinician paired with an individual with anomic aphasia, there was a picture of a building that she could not recognize, and hence she could not tell me much at all. And we went back and forth several times, and we finally ended up calling it the “unknown building.” Later, I checked my notes and realized that it was where she worked, and it was probably a different angle, perhaps, which is why she could not recognize it. But even with that new information, we continue to call it the “unknown building,” because it became sort of an internal joke for us. And later I kept thinking if I had made a mistake and if we should have accurately labeled it. That is when it clicked for me that CRI is not about producing accurate labels, it is about building a common ground with each other, which would help you successfully communicate with that person. So you're targeting the process of referencing and not the reference itself, because you want your patients to get better at the process of referencing in their everyday communication. And so that was my aha moment.   Lyssa Rome Yeah, that's an amazing story, because I think that that gets to that question sort of of the why behind what we're doing, right? Is it to say the specific name? I mean, obviously for some people, yes, sometimes it is. But what is underlying that? It's to be able to communicate about the things that are important to people. I also wanted to ask you about another area that you've studied, which is the use of gesture within aphasia interventions. Can you tell us a little bit more about that?   Suma Devanga Yes. So this work started with my collaboration with my friend and colleague, Dr. Mili Mathew, who is at Molloy University in New York, and our first work was on examining the role of hand gestures in collaborative referencing in a participant who had severe Wernicke's aphasia, and he frequently used extensive gestures to communicate. So when he started with CRI his descriptions of the images were truly multimodal. For example, when he had to describe a picture of a family vacation in Cancun, he was, you know, he was verbose, and there was very little meaningful content that was relevant in his spoken language utterances. But he used a variety of iconic hand gestures that were very meaningful and helpful to identify what he was referring to. As the sessions went on with him, his gestural references also became streamlined, just like the verbal references do, and that we saw in other studies. And that was fascinating because it indicated that gestures do play a big role in the meaning-making process of referencing.   And in another study on the same participant, we explored the use of hand gestures as treatment outcome measures. This time, we specifically analyzed gestures used within conversations at baseline treatment, probe, and maintenance phases of the study. And we found that the frequency of referential gestures, which are gestures that add meaning, that have some kind of iconics associated with them, those frequencies of gestures decreased with the onset of treatment, whereas the correct information units, or CIUS, which indicate the informativeness in the spoken language itself, increased. So this pattern of decrease in hand gestures and increase in CIUS was also a great finding. Even though this was just an exploratory study, it indicates that gestures may be included as outcome measures, in addition to verbal measures, which we usually tend to rely more on. And we have a few more studies coming up that are looking at the synchrony of gestures with spoken language in aphasia, but I think we still have a lot more to learn about gestures in aphasia.   Lyssa Rome It seems like there that studying gestures really ties in to CRI and the rich communicative environments that you were describing earlier, where the goal is not just to verbally name one thing, but rather to get your point across, where, obviously, gesture is also quite useful. So I look forward to reading more of your research on that as it comes out. Tell us about what you're currently working on, what's coming next.   Suma Devanga Currently, I am wrapping up my clinical research grant from the ASH Foundation, which was a replication study of the phase two CRI so we collected data from six participants with chronic aphasia using a multiple-probe, single-case design, and that showed positive results on naming, and there was improved scores on patient reports of communication confidence, communicative participation, and quality of life as well. We are currently analyzing the conversation samples to study the treatment effects.   I also just submitted a grant proposal to extend the study on participants with different severities of aphasia as well. So we are getting all the preliminary data at this point that we need to be able to start a clinical trial, which will be my next step.   So apart from that, I was also able to redesign the CRI and adapt it as a group-based treatment with three participants with aphasia and one clinician in a group. I actually completed a feasibility study of it, which was successful, and I presented that at ASHA in 2023. And I'm currently writing it up for publication, and I also just secured an internal grant to launch a pilot study of the group CRI to investigate the effects of group CRI on communication and quality of life.   Lyssa Rome Well, that's really exciting. And again, I'm really looking forward to reading additional work as it comes out. As we wrap up. What do you want clinicians to take away from your work and to take away from this conversation we've had today?   Suma Devanga Well, I would want clinicians to reflect on how their sessions are going and think about how to incorporate the principles of rich communicative environments so that they can add more meaningful complexity to their treatment activities and also ensure that their patients are truly engaging with the tasks and also having some fun. And I would also tell the clinicians that we have strong findings so far on CRI with both fluent and non-fluent aphasia types. So please stay tuned and reach out to me if you have questions or want to share your experiences about implementing this with your own patients, because I would love to hear that.   Lyssa Rome Dr. Suma Devanga, it has been great talking to you and hearing about your work. Thank you so much for sharing it with us.   Suma Devanga It was fantastic talking about my work. Thank you for giving me this platform to share my work with you all. And thank you, Lyssa for being a great listener.   Lyssa Rome Thanks also to our listeners for the references and resources mentioned in today's show. Please see our show notes. They're available on our website, www.aphasiaaccess.org. There, you can also become a member of our organization, browse our growing library of materials, and find out about the Aphasia Access Academy. If you have an idea for a future podcast episode, email us at info@aphasiaaccess.org. Thanks again for your ongoing support of aphasia. Access. For Aphasia Access Conversations. I'm Lyssa Rome.       References   Devanga, S. R. (2025). Collaborative Referencing Intervention (CRI) in Aphasia: A replication and extension of the Phase II efficacy study. American Journal of Speech-Language Pathology. Advance online publication. https://doi.org/10.1044/2024_AJSLP-24-00226   Devanga, S. R., Sherrill, M., & Hengst, J. A. (2021). The efficacy of collaborative referencing intervention in chronic aphasia: A mixed methods study. American Journal of Speech Language Pathology, 30(1S), 407-424. https://doi.org/10.1044/2020_AJSLP-19-00108    Hengst, J. A., Duff, M. C., & Jones, T. A. (2019). Enriching communicative environments: Leveraging advances in neuroplasticity for improving outcomes in neurogenic communication disorders. American Journal of Speech-Language Pathology, 28(1S), 216–229. https://doi.org/10.1044/2018_AJSLP-17-0157   Hengst, J. A. (2015). Distributed communication: Implications of cultural-historical activity theory (CHAT) for communication disorders. Journal of Communication Disorders, 57, 16–28. Https://doi.org/10.1016/j.jcomdis.2015.09.001   Devanga, S. R., & Mathew, M. (2024). Exploring the use of co-speech hand gestures as treatment outcome measures for aphasia. Aphasiology. Advanced online publication. https://doi.org/10.1080/02687038.2024.2356287   Devanga, S. R., Wilgenhof, R., & Mathew, M. (2022). Collaborative referencing using hand gestures in Wernicke's aphasia: Discourse analysis of a case study. Aphasiology, 36(9), 1072-1095. https://doi.org/10.1080/02687038.2021.1937919    

Is norovirus going around? How is norovirus spread? How long are you contagious with norovirus? What kills norovirus on surfaces? How to avoid norovirus when family has it? Our guest is Joanna Bisgrove, MD, family physician at Rush University Medical Center and a member of the AMA Council on Science & Public Health. American Medical Association CXO Todd Unger hosts.

Nonepileptic events are prevalent and highly disabling, and multiple pathophysiologic mechanisms for these events have been proposed. Multidisciplinary care teams enable the efficient use of individual expertise at different treatment stages to address presentation, risk factors, and comorbidities.   In this episode, Kait Nevel, MD, speaks with Adriana C. Bermeo-Ovalle, MD, an author of the article “A Multidisciplinary Approach to Nonepileptic Events,” in the Continuum® February 2025 Epilepsy issue. Dr. Nevel is a Continuum® Audio interviewer and a neurologist and neuro-oncologist at Indiana University School of Medicine in Indianapolis, Indiana. Dr. Bermeo-Ovalle is a professor and vice-chair for Faculty Affairs in the Department of Neurological Sciences at Rush University Medical Center in Chicago, Illinois. Additional Resources Read the article: A Multidisciplinary Approach to Nonepileptic Events Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @IUneurodocmom Full episode transcript available here Dr. Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors who are the leading experts in their fields. Subscribers to the Continuum Journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME. Dr Nevel: Hello, this is Dr Kait Nevel. Today I'm interviewing Dr Adriana Bermeo about her article on a multidisciplinary approach to nonepileptic events, which she wrote with Dr Victor Petron. This article appears in the February 2025 Continuum issue on epilepsy. Welcome to the podcast, and please introduce yourself to our audience. Dr Bermeo-Ovalle: Hello Dr Neville, it's a pleasure to be here. Thank you very much for inviting me. My name is Adriana Bermeo and I'm an adult epileptologist at Rush University Medical Center in Chicago, and I am also the codirector of the NEST clinic, which is a treatment clinic for patients with nonepileptic seizures within our level four epilepsy center. Dr Nevel: Wonderful. Well, thank you so much for being here, and I can't wait to talk to you about your article and learn a little bit about NEST, maybe, during our conversation, and how you approach things. To start us off talking about your article today, could you share with us what you think is the most important takeaway from your article for the practicing neurologist? Dr Bermeo-Ovalle: Wonderful. There's some messages that I would like people to get from working with patients with functional neurologic disorders in general. The first one is that functional neurologic disorders are very common in presentation in the neurologic clinic, almost no matter what your practice of self-specialty care is. The second is that for people who treat patients primarily with seizures or epilepsy, they account for between 5 to 10% of our patients in the clinic, but about 30% of our patients in our epilepsy monitoring unit because the seizures typically do not respond to anti-seizure medication management. Also, that in order to diagnose them, you don't need to have a neuropsychological stress already be available for the patient or the clinician. And the most important thing is that there are available treatments for these patients and that there are options that we can offer them for them to have less seizures and to be more integrated to whatever activities they want to get integrated. Dr Nevel: Wonderful. What do you think a practicing neurologist might find surprising after reading your article? Dr Bermeo-Ovalle: I think still many neurologists feel very hopeless when they see patients with these conditions. They do not have very good answers right away for the patients, which is frustrating for the neurologist. And they don't think there's too much they can do to help them other than send them somewhere else, which is very difficult for the neurologist and is crushing to the patients to see these doctors that they're hoping to find answers to and then just find that there's not much to do. But what I want neurologists to know is that we are making strides in our understanding of the condition and that there are effective treatments available. And I hope that after reading this and engaging with this conversation, they will feel curious, even hopeful when they see the next patient in the clinic. Dr Nevel: Yeah, absolutely. I find the history of nonepileptic seizures really interesting and I enjoyed that part of your article. How has our understanding of nonepileptic seizures evolved over the centuries, and how does our current understanding of nonepileptic seizures inform the terminology that we use? Dr Bermeo-Ovalle: Yeah. The way we name things and the way we offer treatment goes along to how we understand things. So, the functional seizures and epileptic seizures were understood in ancient times as possession from the spirits or the demons or the gods, and then treatments were offered to those kind of influences and that continues to happen with functional seizures. So, we go through the era when this was thought to be a women-only condition that was stemming from their reproductive organs and then treatments accordingly were presented. And later on with Charcot and then Freud, they evolved to even conversion disorders, which is one understanding the most conversion disorders, which is one of the frameworks where this condition has been treated with psychotherapy, psychoanalytic psychotherapy. And in our current understanding, we understand functional neurologic disorders in general as a more like a connection, communication network disorder, between areas of the brain that modulate emotional processing and movement control. And therefore, our approach these days is much more geared towards rehabilitation. You know, I think that's the evolution of thinking in many different areas. And as we learn more, we will be acquiring more tools to help our patients. Dr Nevel: Yeah, great. Thanks so much for that answer. Just reading the historical information that you have in your article, you can imagine a lot of stigma with this diagnosis too over time, and that- I think that that's lessening. But I was wondering if you could talk about that a little bit. How do we approach that with our patients and loved ones, any stigma that they might feel or perceive from being diagnosed with nonepileptic seizures? Dr Bermeo-Ovalle: Thank you for asking that question. Stigma is actually an important problem even for people living with epilepsy. There's still a lot of misunderstanding of what epilepsy is and how it affects people, and that people living with epilepsy can live normal, healthy lives and do everything they want to do with appropriate treatment. And if a stigma is still a problem with epilepsy, it is a huge problem for patients living with functional neurologic symptoms in general, but particularly with functional seizures or nonepileptic seizures. Because the stigma in this population is even perpetuated by the very people who are supposed to help them: physicians, primary care doctors, emergency room doctors. Unfortunately, the new understanding of this condition has not gotten to everybody. And these patients are often even blamed for their symptoms and for the consequences of their symptoms and of their seizures in their family members, in their job environment, in their community. Living with that is really, really crushing, right? Even people talk about, a lot about malingering. They come back about secondary gain. I can tell you the patients I see with functional seizures gain nothing from having this condition. They lose, often, a lot. They lose employment, they lose ability to drive. They lose their agency and their ability to function normally in society. I do think that the fight- the fighting of stigma is one that we should do starting from within, starting from the healthcare community into our understanding of what these patients go through and what is causing their symptoms and what can we do to help them. So there's a lot of good work to be done. Dr Nevel: Absolutely. And it starts, like you said, with educating everybody more about nonepileptic seizures and why this happens. The neurobiology, neurophysiology of it that you outlined so nicely in your article, I'm going to encourage the listeners to look at Figure 1 and 4 for some really nice visualization of these really complex things that we're learning a lot about now. And so, if you don't mind for our listeners, kind of going over some of the neurobiology and neurophysiology of nonepileptic seizures and what we're learning about it. Dr Bermeo-Ovalle: Our understanding of the pathophysiology of functional neurologic seizure disorder is in its infancy at this point. The neurobiological processes that integrate emotional regulation and our responses to it, both to internal stimuli and to external stimuli and how they affect our ability to have control over our movement---it's actually amazing that we as neurologists know so little about these very complex processes that the brain do, right? And for many of us this is the reason why we're in neurology, right, to be at the forefront of this understanding of our brain. So, this is in that realm. It is interesting what we have learned, but it's amazing all that we have to learn. There is the clear relationship between risk factors. So, we know patients with functional neurologic symptom disorder and with functional seizures, particularly in many different places in the world with many different beliefs, relationship to their body, to their expression of their body, have this condition no matter how different they are. And also, we know that they have commonalities. For example, traumatic experiences that are usually either very strong traumatic experiences or very pervasive traumatic experiences or recurrent over time of different quality. So, we are in the process of understanding how these traumatic experiences actually inform brain connectivity and brain development that result in this lack of connections between brain areas and the expression of them, and that result in this kind of disorder. I wish I can tell you more about it or that I would understand more about it, but I am just grateful for the work that has been done so that we can understand more and therefore have more to offer to these patients and their families and their communities that are support. Dr Nevel: Yeah, absolutely. That's always the key, and just really exciting that we're starting to understand this better so that we can hopefully treat it better and inform our patients better---and ourselves. Can you talk to us a little bit about the multidisciplinary team approach and taking care of patients with nonepileptic seizures? Who's involved, what does best practice model look like? You have a clinic there, obviously; if you could share with us how your clinic runs in the multidisciplinary approach for care of these patients? Dr Bermeo-Ovalle: The usual experience of patients dealing with functional seizures, because this is a condition that has neurological symptoms and psychiatric symptoms, is that they go to the neurologist and the neurologist does not feel sufficiently able to manage all the psychiatric comorbidities of the condition. So, the patient is sent to psychiatry. The psychiatry really finds themselves very hopeless into handling seizures, which is definitely not their area of expertise, and these patients then being- “ping-ponging” from one to the other, or they are eventually sent to psychotherapy and the psychotherapist doesn't know what they're dealing with. So, we have found with- and we didn't come up with this. We had wonderful support from other institutions who have done- been doing this for a longer time. That bringing all of this specialty together and kind of situating ourselves around the patient so that we can communicate our questions and our discrepancies and our decision between who takes care of what without putting that burden on the patient is the best treatment not only for the patient, who finally feels welcome and not burden, but actually for the team. So that the psychiatrist and the neurologist support the psychotherapist who does the psychotherapy, rehabilitation, mind the program. And we also have the support and the involvement of neuropsychology. So, we have a psychiatrist, a neurologist, social worker, psychotherapist and neuropsychology colleagues. And together we look at the patient from everywhere and we support each other in the treatment of the patient, keeping the patient in the middle and the interest of the patient in the middle. And we have found that that approach has helped our patients the best, but more importantly, makes our job sustainable so that none of us is overburdened with one aspect of the care of the patient and we feel supported from the instances that is not our most comfortable area. So that is one model to do it. There's other models how to do it, but definitely the interdisciplinary care is the way to go so far for the care of patients with functional neurologic symptom disorders and with functional seizures or nonepileptic seizures in particular. Dr Nevel: Yeah, I can see that, that everybody brings their unique expertise and then doesn't feel like they're practicing outside their, like you said, comfort zone or scope of practice. In these clinics---or maybe this happens before the patient gets to this multidisciplinary team---when you've established a diagnosis of nonepileptic seizures, what's your personal approach or style in terms of how you communicate that with the patient and their loved ones? Dr Bermeo-Ovalle: It is important to bring this diagnosis in a positive term. You know, unfortunately the terminology question is still out and there's a lot of teams very invested into how to better characterize this condition and how to- being told that you don't have something is maybe not that satisfying for patients. So, we are still working on that, but we do deliver the diagnosis in positive terms. Like, this is what you have. It's a common condition. It's shared by this many other people in the world. It's a neuropsychiatric disorder and that's why we need the joint or collaborative care from neurology and psychiatry. We know the risk factors and these are the risk factors. You don't have to have all of them in order to have this condition. These are the reasons why we think this is the condition you have. There is coexisting epilepsy and functional seizures as well. We will explore that possibility and if we get to that conclusion, we will treat these two conditions independently and we- our team is able to treat both of them. And we give them the numbers of our own clinic and other similar clinics. And with that we hope that they will be able to get the seizures under better control and back to whatever is important to them. I tell my trainees and my patients that my goals of care for patients with functional seizures are the same as my patients with epileptic seizures, meaning less seizures, less disability, less medications, less side effects, less burden of the disease. And when we communicate it in that way, patients are very, very open and receptive. Dr Nevel: Right. What do you think is a mistake to avoid? I don't know if “mistake” is necessarily the right word, but what's something that we should avoid when evaluating or managing patients with nonepileptic seizures? What's something that you see sometimes, maybe, that you think, we should do that differently? Dr Bermeo-Ovalle: I think the opportunity of engaging with these patients is probably the hardest one. Because neurologists have the credibility, they have the relationship, they have- even if they don't have a multi-disciplinary team all sitting in one room, they probably have some of the pieces of this puzzle that they can bring together by collaborating. So, I think that missing the opportunity, telling the patient, this is not what I do or this is not something that belongs to me, you need to go to a mental health provider only, I think is the hardest one and the most disheartening for patients because our patients come to us just like all patients, with hopes and with some information to share with us so that we can help them make sense of it and have a better way forward. We as neurologists know very well that we don't have an answer to all our patients, and we don't offer zero seizures to any of our patients, right? We offer our collaborative work to understand what is going on and a commitment to walk in the right direction so that we are better every day. And I do think wholeheartedly that that is something that we can offer to patients with functional seizures almost in any environment. Dr Nevel: Yeah, absolutely. And using that multidisciplinary approach and being there with your patient, moving forward in a longitudinal fashion, I can see how that's so important. What do you find most challenging and what do you find most rewarding about caring for patients with nonepileptic seizures? Dr Bermeo-Ovalle: The thing that I find more challenging are the systemic barriers that the system still places. We discuss with the patients, what is the right time to go to the emergency room or not? Because the emergency room may be a triggering environment for patients with functional seizures and it may be a place where not everybody is necessarily attuned to have this conversation. Having said that, I never tell any of my patients not to go to the emergency room because I don't know what's happening with them. As a matter of fact, we're getting a lot of information on high mortality rates in patients with functional seizures, and it's not because of suicide and is probably not related to the seizure. Maybe this is---you know, this is speculation on my part---that is because they get to more severe conditions in other things that are not the functional seizures because they just experienced the healthcare system as very hostile because we are very in many instances. So, navigating that is a little bit difficult, and I try to tell them to have the doctors call me so that I can frame it in a different way and still be there for them. But I can tell you this clinic is the most rewarding clinic of all my clinical activities. And I love with all my heart being an epileptologist and seeing my patients with epilepsy. But the number of times my patients with functional seizures say, nobody had ever explained this to me, nobody had ever validated my experience in front of my family so that I'm not- like, feel guilty myself for having this episode, I can't tell you how many times. And obviously patients who come to the nonepileptic seizure clinic already know that they come to the nonepileptic seizure clinic, so that- you can say it's a selection of patients that are already educated in this condition to come to the clinic. But I would love everybody to know managing this population can be enormously, enormously satisfying and rewarding. Dr Nevel: Especially for, I imagine, patients who have been in and out of the ER, in and out of the hospital, or seen multiple providers and make their way to you. And you're able to explain it in a way that makes sense and hopefully reduces some of that stigma maybe that they have been feeling. Dr Bermeo-Ovalle: And along with that, iatrogenic interventions, unnecessary intubations, unnecessary ICUs; like, so much. And I think, I have no superpower to do that other than understanding this condition in a different way. And by I, I mean all the providers, because I'm not alone in this. There's many, many people doing excellent work in this state. And we just need to be more. Dr Nevel: Yeah, sure. Absolutely. So, on that note, what's next in research, or what do you think will be the next big thing? What's on the horizon in this area? Dr Bermeo-Ovalle: I think the community in the functional neurologic disorder community is really hopeful that more understanding into the neurobiology of this condition will bring more people over and more neurologists willing to take it on. There was an invitation from the NIH, I think, about four or five years ago to submit proposals for research in this area in particular. So, all of those studies must be ongoing. I'm much more a clinician than a researcher myself, but I am looking forward to what all of that is going to mean for our patients. And for- I think there's other opportunities in that further understanding of the clinical manifestations of many other conditions, and for our understanding of our relationship with our patients. I feel we are more attuned to align with a disease that, when the experience of the patient- and with a disease like this, a condition like this one, we have to engage with the personal experience of the patient. What I mean by that is that we are more likely to say,  I'm an epileptologist, I'm an MS doctor, you know, and we engage with that condition. This condition, like, just makes us engaging with the symptom and with the experience of the person. And I think that's a different frame that is real and rounded into the relationship with our patients. So, I think there's so much that we can learn that can change practice in the future. Dr Nevel: Yeah. And as your article, you know, outlines, and you've outlined today during our discussion, that- how important this is for the future, that we treat these patients and help them as much as we can, that comes with understanding the condition better, because wow, I was really surprised reading your article. The mortality associated with this, the healthcare costs, how many people it affects, was just very shocking to me. So, I mean, this is a really important topic, obviously, and something that we can continue to do better in. Wonderful. Well, thank you so much. It's been really great talking to you today. Dr Bermeo-Ovalle: Thank you, Katie, I appreciate it too. Dr Nevel: So again, today I've been interviewing Dr Adriana Bermeo about her article on a multidisciplinary approach to nonepileptic events, which she wrote with Dr Victor Petron. This article appears in the most recent issue of Continuum on epilepsy. Be sure to check out Continuum audio episodes from this and other issues. And thank you to our listeners for joining today.  Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

The Rush Neurosurgery program is a nationally recognized leader in neurosurgical care, incorporating the most advanced surgical and nonsurgical therapies to treat brain, spine and nervous system conditions. Rush neurosurgeons collaborate with neurologists, neuroradiologists, physiatrists and otolaryngologists to address these conditions, providing patients with individualized and disease-specific approaches in several subspecialty clinics and centers across Chicago and surrounding communities. Vincent Traynelis, MD, is the interim chair of the Department of Neurosurgery at Rush University Medical Center. He is also the vice chair of academic affairs and the director of the Spine and Peripheral Nerve Section at Rush. “At Rush, our surgeons are highly trained and specialized in performing skull base surgery. They have the skill set to handle complex tumors and they work hand –in hand with our colleagues in otolaryngology. They discuss these tumors preoperatively. They consider all of the options. They have the latest equipment. And I believe what sets us apart is that we have the right people with the right focus who can get along and work well together.”

Who should have hormone replacement therapy? What age does menopause start? Can menopause affect your heart? Why does menopause increase risk of heart disease? Our guest, Melissa Joy Tracy, MD, professor of medicine and systems medical director of cardiac rehabilitation, at Rush University Medical Center, discusses the latest science on how to prevent heart disease after menopause. American Medical Association CXO Todd Unger hosts.

“Now, what we found is that epigenetics is actually heritable and it's actually reversible. And we can now manipulate these principles with pharmacotherapy drugs,” Eric Zack, RN, OCN®, BMTCN®, clinical assistant professor at Loyola College Chicago Marcella Niehoff School of Nursing in Chicago, IL, and RN3 at Rush University Medical Center in Chicago, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about the epigenetics drug class.  Music Credit: “Fireflies and Stardust” by Kevin MacLeod  Licensed under Creative Commons by Attribution 3.0   Earn 0.75 contact hours (including 40 minutes of pharmacotherapeutic content) of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by February 28, 2027. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.  Learning outcome: Learners will report an increase in knowledge related to the epigenetics drug class.  Episode Notes   Complete this evaluation for free NCPD.  ONS Podcast™ Pharmacology 101 series ONS Voice articles: Financial Navigation During Hematologic Cancer Saves Patients and Caregivers $2,500 Oncology Drug Reference Sheets What Is MCED Testing? ONS book: Clinical Guide to Antineoplastic Therapy: A Chemotherapy Handbook (Fourth Edition) ONS Biomarker Database ONS course: Genomic Foundations for Precision Oncology ONS Huddle Card: Financial Toxicity  ONS Learning Libraries: Genomics and Precision Oncology Oral Anticancer Medication American Cancer Society: Patient Programs and Services Centers for Disease Control and Prevention: Epigenetics, Health, and Disease Leukemia & Lymphoma Society: Financial Support National Institutes of Health: Epigenetics University of Pennsylvania: Epigenetics Institute University of Utah: Genetic Science Learning Center To discuss the information in this episode with other oncology nurses, visit the ONS Communities.   To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library.  To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org.  Highlights From This Episode  “Epigenetics is influenced by several factors. Right now, there's about seven of them that we've identified, and we can only manipulate right now about two of those seven. So the first one is DNA methylation. When you methylate DNA, that's adding or subtracting a methyl group, which is CH3, chemically. The addition of methyl to DNA tightens the DNA around the chromatin, which then can block some genes from being expressed.” TS 7:21  “Histones basically package DNA into the chromatin, which is a mixture of DNA and proteins, and they spool around this structure like the DNA is coiled around that. And again, it has to do with how tight or loose that is coiled. That determines if the genes are expressed or not. And again, we found that histones also play a role in DNA repair as well as regulating the cell cycle.” TS 8:21  “When we're dealing with the azacitidine and decitabine, these drugs cause pancytopenia. Pancytopenia is neutropenia, thrombocytopenia, and anemia. So it affects the complete blood count. We see GI toxicity, nausea, vomiting, diarrhea, constipation, sometimes mouth sores, and urticaria—hives.” TS 15:34  “It's really, really important to take these drugs exactly as they are prescribed. They have to follow the doctor's orders carefully, which requires taking them properly, doing the proper follow up. There's a lot of blood tests and appointments that we have to do to make sure that everything is okay. And again, because we know when there is nonadherence, the disease progresses and becomes resistant, so that's a really, really important teaching point. We have to monitor the patient for expected side effects and unexpected side effects.” TS 23:58  “Now, we expect the landscape to change dramatically over the next few years. And again, it's just an explosion of science information. As we learn more about the science, it's going to translate into practice. We're always identifying new biomarkers. These biomarkers are essentially DNA mutations or variations. There's so many variants of unknown significance.” TS 30:02  “Every patient deserves biomarker testing. Very important, whether it's through IHC, polymerase chain reactions, or the most common next-gen sequencing. Again, there's several companies out there that have standard kits available.” TS 31:33  “This is a precision medicine. This is what we've always dreamed about—tailoring the treatment to the specific patient. We've gone away from treating standard diseases, like lung cancer and breast cancer, the way they're supposed to be treated to now looking at these biomarkers and using epigenetic drugs and other medications tailored to those variants that that patient is having, not necessarily based on their disease type.” TS 33:59   

Former Illinois Governor Jim Edgar, known for his impactful leadership, has disclosed a serious health battle. Diagnosed with advanced pancreatic cancer, Edgar is approaching this challenge with the support of expert medical teams from Chicago's Rush University Medical Center and Mayo Clinic. Edgar's tenure as the 38th governor from 1991 to 1999 is recalled with great respect, as is his legacy of fostering leadership through the Edgar Fellows Program. This initiative is renowned for encouraging bipartisan dialogue and leadership development. State Representative Ryan Spain recently recognized Edgar's contributions and extended heartfelt wishes for his recovery. Former Governor Edgar released a statement on his disgnosis: "Doctors at Rush University Medical Center in Chicago have determined I have pancreatic cancer that has spread," he said, in part. "They and physicians at Mayo Clinic are coordinating on a treatment regimen that I am following initially in Arizona, where we spend the winter, and later in Springfield when we return. We do not underestimate this challenge, but we have confidence in the medical team helping us address it..."

It is a Reboot Special with one of our faves - Dr. Brian Cole!Today's episode is going to focus on osteochondral allograft transplantation, and specifically how basic science research can and should impact your clinical practice.We are joined today by Dr. Brian Cole, a Professor of Orthopedic Surgery and Chair of the Department of Orthopedic Surgery at Rush University Medical Center, Chair of Surgery at Rush Oak Park Hospital and Section Head of the Rush Cartilage Restoration Center.  He is also a past president of the Arthroscopy Association of North America and a team physician for the Chicago Bulls and Chicago White Sox.

Dawson Ballard, Coding Auditor & Educator at RUSH University Medical Center, discusses the evolving landscape of telemedicine and the concerns surrounding its growth. He also explores how technology is creating new job opportunities while alleviating stress for healthcare providers, ultimately shaping the future of the industry.

In part two of this episode, Brain & Life Podcast host Dr. Daniel Correa is joined by Brendan Cusick and Patrick Morrissey, two of the four members of the team who completed what is considered the World's Toughest Row and raised over 40 million dollars for increased research for Parkinson's disease. Patrick himself lives with an early Parkinson's disease (PD) diagnosis and still found his own way to manage symptoms and become the first person with PD to complete this challenge. Brendan and Patrick discuss how this experience changed their lives once they got home and what they took away from it. Dr. Correa is then joined by Dr. Jori Fleisher, a movement disorder specialist at Rush University Medical Center, and a passionate advocate for people and families living with advanced Parkinson's and related conditions. Dr. Fleisher discusses Parkinson's treatment options and how caregivers can be best supported.   Additional Resources Swimming Helps to Manage Parkinson's Disease The Benefits of Rock Climbing for Parkinson's Disease Margie Alley Plays Ping-Pong to Cope with Parkinson's Disease   Other Brain & Life Podcast Episodes World's Toughest Row with Brendan Cusick and Pat Morrissey: Part One NBA Star Brian Grant Living On Time with Parkinson's Ed Begley Jr. on Utilizing a Healthy Lifestyle to Thrive with Parkinson's Disease How American Ninja Warrior Jimmy Choi Rose Above Parkinson's We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org   Social Media: Brendan Cusick and Patrick Morrissey @humanpoweredpotential; Dr. Jori Fleisher @RushMedical Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

RUSH MD Anderson Cancer Center offers leading-edge treatments for GI cancers, including targeted therapies, immunotherapy, chemotherapy, and minimally invasive surgical options. Our multidisciplinary team of medical oncologists, gastroenterologists, surgical oncologists, colorectal surgeons and interventional radiologists work together to provide our patients with tailored treatment plans to each patient's specific diagnosis and needs. Audrey Kam, MD, is the director of GI medical oncology at RUSH MD Anderson, as well as the research director of GI medical oncology at RUSH MD Anderson. She specializes in treating gastrointestinal cancers including colorectal, esophageal, gastrointestinal, liver, pancreatic and stomach cancers. Sam Pappas, MD, is the Division Chief of Surgical Oncology at Rush University Medical Center. He specializes in treating upper abdominal cancers, including ones in the esophagus, stomach, pancreas, liver and bile duct. “We love collaborating in immediate proximity to each other within RUSH MD Anderson. This helps to ensure coordinated, multidisciplinary discussions that are patient-focused,” explains Dr. Pappas.

In this two-part episode, Brain & Life Podcast host Dr. Daniel Correa is joined by Brendan Cusick and Patrick Morrissey, two of the four members of the team who completed what is considered the World's Toughest Row and raised over 40 million dollars for increased research for Parkinson's disease. Patrick himself lives with an early Parkinson's disease (PD) diagnosis and still found his own way to manage symptoms and become the first person with PD to complete this challenge. Brendan and Patrick discuss what led them to this journey and how Patrick managed symptoms during the challenge. Dr. Correa is then joined by Dr. Jori Fleisher, a movement disorder specialist at Rush University Medical Center, and a passionate advocate for people and families living with advanced Parkinson's and related conditions. Dr. Fleisher explains Parkinson's and why movement is so vital for those affected.   Additional Resources Swimming Helps to Manage Parkinson's Disease The Benefits of Rock Climbing for Parkinson's Disease Margie Alley Plays Ping-Pong to Cope with Parkinson's Disease   Other Brain & Life Podcast Episodes NBA Star Brian Grant Living On Time with Parkinson's Ed Begley Jr. on Utilizing a Healthy Lifestyle to Thrive with Parkinson's Disease How American Ninja Warrior Jimmy Choi Rose Above Parkinson's   We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org   Social Media: Brendan Cusick and Patrick Morrissey @humanpoweredpotential; Dr. Jori Fleisher @RushMedical Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

In this inspiring episode of The Doctor's Playbook, host Andrew Mohama sits down with Dr. Richard Abrams, a distinguished internist, educator, and Associate Dean of Learning Environments at Rush University Medical Center. Dr. Abrams reflects on nearly 40 years in medicine, sharing insights on finding joy in patient care, mentorship, and personal growth.We explore the evolution of medicine, from diversifying medical teams to the shift toward team-based care, and discuss how connection—both with patients and colleagues—enriches clinical practice. Dr. Abrams recounts pivotal moments in his career, including memorable patient encounters, lessons learned from mistakes, and the impact of maintaining humanity in medicine.Dr. Abrams also shares practical advice on balancing the art and science of clinical reasoning, avoiding biases, and creating a positive culture within medical teams. Whether you're a medical student, resident, or seasoned physician, this episode offers profound reflections and actionable strategies to enhance your practice.Join us for a conversation that reminds us why medicine is, as Dr. Abrams describes, "the best career you could have." Host: Andrew MohamaGuest: Richard AbramsProduced By: Andrew MohamaAlert & Oriented is a medical student-run clinical reasoning podcast dedicated to providing a unique platform for early learners to practice their skills as a team in real time. Through our podcast, we strive to foster a learning environment where medical students can engage with one another, share knowledge, and gain valuable experience in clinical reasoning. We aim to provide a comprehensive and supportive platform for early learners to develop their clinical reasoning skills, build confidence in their craft, and become the best clinicians they can be.Follow the team on Twitter:A&ORich AbramsNathan KudlapurNU Internal MedA fantastic resource, by learners, for learners in Internal Medicine, Family Medicine, Pediatrics, Primary Care, Emergency Medicine, and Hospital Medicine.

This episode, recorded live at the Becker's Healthcare 9th Annual Health IT + Digital Health + RCM Annual Meeting: The Future of Business and Clinical Technologies, features Dr. Afroz Hafeez, Manager of Telemedicine at Rush University Medical Center. Here, she discusses the integration of a chatbot as a clinical symptom checker, enhancing patient access to care and initial assessments. Dr. Hafeez also emphasizes the importance of balancing technological advancements with a hands-on approach to healthcare, ensuring personalized and effective patient care.

This episode, recorded live at the Becker's Healthcare 9th Annual Health IT + Digital Health + RCM Annual Meeting: The Future of Business and Clinical Technologies, features Dr. Afroz Hafeez, Manager of Telemedicine at Rush University Medical Center. Here, he discusses the integration of a chatbot as a clinical symptom checker, enhancing patient access to care and initial assessments. Dr. Hafeez also emphasizes the importance of balancing technological advancements with a hands-on approach to healthcare, ensuring personalized and effective patient care.

On this week's episode, we welcome Dr. Kimberley Johnson - a psychologist who works with clients with a range of maternal and reproductive health concerns, including PMADs, perinatal trauma and loss, infertility, and life-impacting gynecological conditions. Her research is primarily centered on childbirth-related pelvic floor injuries and conditions and intersections with mental health. In this episode, we talk about chronic pain and how it intersects with mental health and specifically in this community with perinatal trauma. Your pain is real  and valid and as Dr. Johnson shares, pain being “all in your head” is actually true, but not because you're making it up. Pain originates in our brain, so our key to working with chronic pain might just be there as well. On this episode, you will hear:- intersection of chronic pain and birth trauma- understanding the biopsychosocial model- the impact of birth injuries- Kimberley's personal journey with chronic pain- reframing pain: from danger to sensory experiences- role of fear in pain perception- redefining relationships with pain- role of natural pathways in pain management- building confidence in managing pain- pain reprocessing therapy- interconnectedness of pain and psychological wellbeingYou can find Dr. Kimberley on Instagram at @wildmatrescence or email her at drkimberleyjohnson@gmail.com!Resources:The Pain Reprocessing Therapy WorkbookGuest Bio:Kimberley Johnson completed her doctorate in clinical psychology at the University of Utah, predoctoral clinical internship at Rush University Medical Center in Chicago, and is now an NIH-funded postdoctoral fellow at Dartmouth Hitchcock Medical Center with complementary research and clinical interests. She works with clients with a range of maternal and reproductive health concerns, including PMADs, perinatal trauma and loss, infertility, and life-impacting gynecological conditions. Her research is primarily centered on childbirth-related pelvic floor injuries and conditions and intersections with mental health. In addition to enhancing evidence-based mental health treatment and resources for those impacted, she is passionate about improving patient-provider communication patterns surrounding birth-related trauma and injuries in the perinatal period. Alongside her professional work, she is the mother of two young children and enjoys mountain biking, hiking, camping, and Nordic skiing with her family.For more birth trauma content and a community full of love and support, head to my Instagram at @thebirthtrauma_mama.Learn more about the support and services I offer through The Birth Trauma Mama Therapy & Support Services.

Beyond the perceptions, are you ready to discover what the specialty of what med-surg nursing is really like? Join Laura, Maritess, Neil, Sam, Sydney, and special guest co-host AMSN President Marisa Streelman as they share their true stories, tips, and honest perspectives about med-surg nursing.  Also, get the inside scoop on the latest AMSN updates.    SPECIAL GUESTS AMSN President Dr. Marisa Streelman, DNP, RN, CMSRN, NE-BC began her career in Chicago as a staff nurse in oncology at Northwestern Memorial Hospital. She progressed into leadership positions, such as charge RN, and clinical coordinator, and then changed specialties as the unit manager of a medicine unit. Her life moved out West to Denver, where she managed a cardiology and progressive care unit at University of Colorado Hospital before returning back to Chicago where she served as medical center unit director at Rush University Medical Center. She currently is a staff specialist with the nursing leadership team at Michigan Medicine in Ann Arbor, Michigan. Dr. Streelman was a founding member for the Academy of Medical Surgical Nurses - Chicago Chapter, and she has been involved with the AMSN Volunteer Committees. She was elected to treasurer for the Board of Directors for AMSN in 2015 and continues to serve on the board. She recently earned her doctorate in nursing practice in transformational leadership systems from Rush University.    Alissa Brown, MSN, RN, CMSRN, NPD-BC is a clinical nurse educator from the University of Utah Health. She has been working in the health care industry for almost 12 years, and started her nursing career as a med-surg bedside nurse on an Ortho, Trauma, and Surgical Specialty Unit. It was through that experience in the med-surg unit where she discovered a passion for education, and pursued a master's degree. She is a lifelong learner, and loves to teach.  Born and raised in Salt Lake City, Utah, she's not all work, and definitely enjoys play! She loves to travel, and tries to plan as many vacations each year as she can with family and friends. Alissa loves to read, listen to podcasts, and geek out to documentaries and crime shows on the weekends. She's a total fair weather fan when it comes to Utes Football, but will cheer in all the right places, or get mad when her husband tells her to during a game.    MEET OUR CO-HOSTS Samantha Bayne, MSN, RN, CMSRN, NPD-BC is a nursing professional development practitioner in the inland northwest specializing in medical-surgical nursing. The first four years of her practice were spent bedside on a busy ortho/neuro unit where she found her passion for newly graduated RNs, interdisciplinary collaboration, and professional governance. Sam is an unwavering advocate for medical-surgical nursing as a specialty and enjoys helping nurses prepare for specialty certification.    Laura Johnson, MSN, RN, NPD-BC, CMSRN has been a nurse since 2008 with a background in Med/Surg and Oncology.  She is a native Texan currently working in the Dallas area.  She has held many positions throughout her career from bedside nurse to management/leadership to education.  Laura obtained her MSN in nursing education in 2018 and is currently pursuing her DNP.  She has worked both as a bedside educator and a nursing professional development practitioner for both new and experienced staff.  She enjoys working with the nurse residency program as a specialist in palliative care/end of life nursing and mentorship.  She is currently an NPD practitioner for oncology and bone marrow transplant units.     Neil H. Johnson, RN, BSN, CMSRN, epitomizes a profound familial commitment to the nursing profession, marking the third generation in his family to tread this esteemed path. Following the footsteps of his father, grandfather, grandmother, aunt, and cousin, all distinguished nurses, Neil transitioned to nursing as a second career after a brief tenure as an elementary school teacher. Currently on the verge of completing his MSN in nurse education, he aspires to seamlessly integrate his dual passions. Apart from his unwavering dedication to nursing, Neil actively seeks serenity in nature alongside his canine companions. In his professional capacity, he fulfills the role of a med-surg nurse at the Moses Cone Health System in North Carolina.   Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing.  Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse.   Maritess M. Quinto, DNP, RN, NPD-BC, CMSRN is a clinical educator currently leading a team of educators who is passionately helping healthcare colleagues, especially newly graduate nurses. She was born and raised in the Philippines and immigrated to the United States with her family in Florida. Her family of seven (three girls and two boys with her husband who is also a Registered Nurse) loves to travel, especially to Disney World. She loves to share her experiences about parenting, travelling, and, of course, nursing!   Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland.  Currently she is stationed overseas, providing care for service members and their families.  During her free time, she enjoys martial arts and traveling.   

Adam Barney, the trailblazing president of Framework IT, shares the groundbreaking strategies that elevate his company in the fiercely competitive world of managed IT services. By introducing a distinctive business model akin to a "safe driver discount," Framework IT rewards clients for optimizing their technology, a tactic that not only sets them apart but also drives success. In our engaging discussion, Adam opens up about the invaluable lessons learned from transitioning from financial advising to tech entrepreneurship, emphasizing the vital role of persistence, adaptability, and the courage to embrace imperfection. He reveals how these principles have been instrumental in his personal growth and the company's formidable rise.  Our conversation further explores the challenges of rapid growth and the necessity of effective delegation to build a resilient foundation for sustained success. Adam candidly discusses his shift to a COO role, focusing on the significance of hiring the right talent and letting go of control. We also cover networking strategies that prioritize humility, vulnerability, and extreme ownership, and how these elements foster trust and respect with clients. Adam and I examine the art of genuine networking, while acknowledging that different strategies suit different business models. This episode promises to deliver a wealth of insights and practical wisdom for anyone looking to thrive in today's dynamic business environment.  Adam Barney is the President of Framework IT, bringing over 15 years of executive experience in managed services and telecommunications. He has consulted with over 1,000 companies, from small businesses to major organizations like Rush University Medical Center and Northwestern Mutual, helping streamline their technology strategies.  Framework IT, founded in 2008 and based in Chicago, specializes in IT support, strategy, and cybersecurity for small to mid-sized businesses nationwide. With a team of 30+ engineers, the company proactively prevents IT issues, allowing clients to focus on their priorities. Recognized on the Inc. 500 & 5000 lists seven times in the past decade, Framework IT has also earned multiple Best and Brightest Places to Work in the Nation awards.  Outside work, Adam is a husband, father, avid reader, and fitness and travel enthusiast. His expertise in business technology has been featured in outlets such as the Washington Post, Fox 32 Chicago, and the Harvard Business Review.    Quotes: "Transitioning from finance to tech taught me the value of persistence and adaptability. It's about embracing imperfection and continually moving forward." "Rapid growth presents challenges, but learning to delegate and let go of control is essential to building a resilient foundation for success." "Networking isn't just about making connections; it's about building trust through humility, vulnerability, and extreme ownership." "Effective leadership means acknowledging mistakes and taking responsibility. It's not a sign of weakness, but a mark of strength and maturity.”   Links: Adam's LinkedIn - https://www.linkedin.com/in/adam-barney-9810679/ Framework IT - https://www.frameworkit.com Get this episode and all other episodes of Sales Lead Dog at https://empellorcrm.com/salesleaddog 

Episode Resources:World Council of Enterostomal Therapists (WCET®) International Ostomy GuidelinesWCET® JournalLeininger's Culture Care Diversity and Universality: A Worldwide Nursing TheoryTranscultural Nursing Society (TCNS)Journal of Transcultural NursingNational Association of Hispanic Nurses (NAHN)National Black Nurses Association (NBNA)Journal of Wound, Ostomy, and Continence Nursing (JWOCN) About the Speaker:Cecilia Zamarripa, PhD, RN, CWON, is a Wound, Ostomy, and Continence (WOC) Nurse for 38 years and currently manages the WOC Nursing Department at the University of Pittsburgh Medical Center. Prior to that, Cece practiced WOC Nursing at Baylor University Medical Center Dallas, Texas; Rush University Medical Center; and at the UPMC since 1997.Cece has been involved as a clinical preceptor for nurses in a WOCNEP and in Nursing Education roles. In 2010, Cece had the privilege of being selected as the Joint Commission Resources Patient Safety Scholar in Residence. Her teaching experience includes RN to BSN program at Slippery Rock University, Community Health Nursing, clinical instructor at Duquesne University, Preceptor for nurses completing their WOC Nursing Education Program, and Course Co-Coordinator for the Wound Treatment Associate (WTA®) and Ostomy Care Associate (OCA®) programs.Cece is involved in the Wound, Ostomy, and Continence Nurses Society™ (WOCN®) and was a past volunteer for WOCNext Conference Planning Committee. Cece is involved in her professional specialty organization and was a contributing member of the WOCN Peristomal Consensus Panel in November 2020. She is a member of Sigma Theta Tau, Western PA Area Chapter for National Association of Hispanic Nurses, WOCN Society™, the WCET and a current Director for the WOCN Board.

Music therapy is innovating every day. Yet much of the practice is misunderstood. Clare Takash joins Lissa & Thom during this episode to explain her journey to becoming a music therapist at Rush University Medical Center in Chicago.   Music therapy provides the clinical and evidence-based use of music interventions for patients with autism, trauma survivors, Parkinson's disease, and more. Clare can even be seen soothing families in Rush Hospital's neo-natal unit. Patients may need a rhythmic "prescription" or a melody — the methods are never as simple as they seem. Listen as Clare shares her strategies, and some soul-stirring survival stories.

One in five American adults – about 48 million individuals – are considered caregivers. In observance of National Caregiver Month, this episode of the MiCare Champion Cast explores how the caregiving landscape has evolved and what resources are available to support caregivers in clinical and non-clinical settings. The episode features Diane Mariani, LCSW, CADC, program manager for the department of social work and community health program at RUSH University Medical Center and Joshua Suire, MHA, BSN, RN, senior manager of safety & quality at the MHA Keystone Center. The Keystone Center is partnering with RUSH's Center for Excellence in Aging to create an online learning series for hospitals interested in exploring how their staff can better integrate caregivers into a patient's care team. To access the MHA-member module for implementing a caregiver navigation program, visit: https://bit.ly/3Oj3Kvf To access the Michigan Caregiver Navigation Toolkit, visit: https://bit.ly/491kMY2 To learn more about RUSH's Caring for Caregivers (C4C) program, visit: https://bit.ly/415a3Kx

Jill Wener, MD is a board-certified Internist, certified EFT/tapping practitioner and trainer, anti-racism educator, DEI consultant, trauma specialist, allyship coach, expert in physician wellness, and Co-Founder and Partner at Conscious Anti-Racism, LLC. She is also a proudly anti-Zionist Jew, and is dedicated to fighting for freedom for people of all identities. Jill is passionate about helping people take responsibility for their problems and teaching them practical, easy, rewarding, and trauma-informed tools to take self-improvement to the next level. Jill is the co-creator of the CME-accredited Conscious Anti-Racism training programs, the host of the Conscious Anti-Racism podcast, and the co-author of the best-selling Conscious Anti-Racism book. She has created CME-accredited EFT/tapping and meditation courses. Jill has worked with clients such as Georgia Aquarium, Yale University, the Accreditation Council for Graduate Medical Education, Seattle Children's Hospital, Centene, Santa Clara Medical Society, Rush University Medical Center, ChenMed, the Pittsburgh Business Group on Health, Emory University, Atkins Global, and the National Alliance for Healthcare Purchaser Coalitions. You can connect with her on Instagram and LinkedIN @jillwenerMD, as well as on her website www.jillwener.com.

This is a replay of one of the most-downloaded episodes of AGE BETTER in 2024.     Take a deep dive into the heart of midlife cardiovascular wellness with this important episode of "Age Better," where host Barbara Hannah Grufferman talks with Dr. Melissa Tracy, a top-tier cardiologist from the RUSH University Medical Center. Dr. Tracy is also the Medical Director of the Cardiac Rehabilitation Program at RUSH.     Dr. Tracy gives a masterclass on statins - those powerhouse medications at the forefront of cholesterol management and heart disease prevention. But the question that lies at the core of this discussion is one that resonates with millions: Who really needs to be on statins? By tuning in, you'll get the knowledge and tools you need to make the decision that is right for you.     KEY TAKEAWAYS:  Understanding Statins: Learn how these powerful medications aid in reducing cholesterol and preventing cardiovascular disease.    Postmenopause and Heart Health: Discover the unique impact of statins for women in midlife.    Shared Decision-Making: The importance of patient-doctor collaboration in deciding if statins are right for you.    Coronary Calcium Score: Uncover how this test is crucial in assessing cardiovascular risks.    Side Effects & Alternatives: Insights into common side effects of statins and who should avoid them, plus a look at natural supplements and other cholesterol management strategies.    Personalized Healthcare: Dr. Tracy emphasizes individualized treatment plans and the role of lifestyle changes alongside statins.    Future-Focused Discussion: A sneak peek into ongoing assessments and evolving conversations in heart health management.    KEY LINKS:  Learn More About Dr. Melissa Tracy: https://doctors.rush.edu/details/1183  What is Cardiac Rehabilitation? https://www.kevinmd.com/2024/02/a-people-first-approach-to-cardiac-rehabilitation.html  USNews+WorldReport Article: https://www.usnews.com/news/health-news/articles/2024-03-05/statin-meds-cholesterol-what-you-need-to-know  Alternatives to Statins Referenced During the Episode:   Ezetimibe: https://www.mayoclinic.org/drugs-supplements/ezetimibe-oral-route/description/drg-20067172  Bempedoic Acid: https://www.mayoclinic.org/drugs-supplements/bempedoic-acid-oral-route/side-effects/drg-20484223?p=1  PCSK9 inhibitors: https://www.medicalnewstoday.com/articles/pcsk9-inhibitor#definition    Whether you're on a statin already, or giving it serious consideration … this episode will help you make the decision that is right for you.    Listen and Subscribe   Remember to subscribe or follow the "Age Better with Barbara Hannah Grufferman" podcast on platforms like Apple Podcasts, Spotify, and YouTube. Yep, you can watch it or just listen!     Share Your Ideas and Questions   Your questions have spurred many episodes, so please keep them coming! Share your ideas for topics and guest suggestions at agebetterpodcast@gmail.com  Learn more about your ad choices. Visit megaphone.fm/adchoices

On Today's episode of Transforming Healthcare with Dr. Wael Barsoum, we're honored to have Dr. R. Michael Meneghini, the CEO and founder of the Indiana Joint Replacement Institute (IJRI) and the newly named Chief Market Development Officer at Healthcare Outcomes Performance Co. (HOPCo). With over 19 years of experience, Dr. Meneghini is a nationally and internationally recognized expert in joint replacement. His expertise spans primary and partial hip and knee replacements, revision surgeries, outpatient joint replacements, and advanced computer-assisted surgical techniques. Additionally, he co-founded M2 Orthopedic Partners, a private-equity backed orthopedic management company. Dr. Meneghini's impressive educational journey began at Rose-Hulman Institute of Technology, where he graduated Magna Cum Laude in engineering. He earned his medical degree from Indiana University, completed his orthopedic surgery residency at Rush University Medical Center in Chicago, and pursued a fellowship in complex hip and knee replacement at the Mayo Clinic. Before founding IJRI, he led the Indiana University Health Hip and Knee Center for over a decade. Throughout his distinguished career, Dr. Meneghini has received numerous accolades, including the Coventry Award at the Mayo Clinic, the Early Career Achievement Award from Indiana University School of Medicine, and the Career Achievement Award from Rose-Hulman Institute of Technology. In 2020, he attained the academic rank of Professor in Clinical Orthopaedic Surgery at Indiana University School of Medicine. Dr. Meneghini is also a prolific researcher, having authored over 200 peer-reviewed journal articles and book chapters. His commitment to advancing the field extends to his roles on the executive boards of the Knee Society, Mid-American Orthopaedic Association (MAOA), the International Orthopedic Education Network (IOEN), and the American Association of Hip and Knee Surgeons (AAHKS), where he will serve as President in 2025. Join us as we delve into Dr. Meneghini's extensive expertise, innovative contributions, and vision for the future of orthopedic surgery. Welcome, Dr. Meneghini!

Show notes: (0:00) Intro (1:21) How Jennifer stumbled into the health and wellness field (3:19) What is The Mind Diet? (6:06) Keto diet and brain health (9:37) Carbs and salt in the mind diet (14:05) Sodium levels and how it affects blood pressure (23:48) Food groups in the mind diet (28:57) Grains and legumes: how much is bad? (37:53) Foods to LIMIT in the mind diet (43:49) Find out more about Jennifer and The Mind Diet (45:27) Outro   Who is Jennifer Ventrelle? Jennifer Ventrelle, MS, RDN is a registered dietitian nutritionist certified in adult weight management, a certified personal trainer, and a mindfulness meditation teacher with over 20 years of experience in the departments of Preventive Medicine and Clinical Nutrition at Rush University Medical Center in Chicago. As the Lead Dietitian on Dr. Morris' MIND Diet Trial to Prevent Alzheimer's Disease and co-director of the interventions for the U.S. POINTER Study, Jennifer has been at the forefront of the largest investigations exploring the impact of lifestyle on cognitive decline in the U.S. Jennifer is the founder of CHOICE Nutrition and Wellness, LLC, partnering with individuals and organizations interested in integrative wellness and mindful healthy living.   Connect with Jennifer: Website: https://theofficialminddiet.com/ LinkedIn: https://www.linkedin.com/in/jennifer-ventrelle-915a488/ IG: https://www.instagram.com/theofficialminddiet/ FB: https://www.facebook.com/TheOfficialMINDDiet   Grab a copy: https://bit.ly/48mWzLK https://bit.ly/3Ygxm0Q Links and Resources: Peak Performance Life - https://buypeakperformance.com/ Peak Performance on Facebook - https://www.facebook.com/livepeakperformance/ Peak Performance on Instagram - https://www.instagram.com/livepeakperformance  

Uzair Khan from RUSH University Medical Center is today's guest on the Network Automation Nerds podcast. Uzair discusses the complexities of healthcare technology and the critical role of automation in enhancing operational efficiency and patient safety. He provides examples of how Itential's automation and orchestration products have given his teams the tools they need to... Read more »

Uzair Khan from RUSH University Medical Center is today's guest on the Network Automation Nerds podcast. Uzair discusses the complexities of healthcare technology and the critical role of automation in enhancing operational efficiency and patient safety. He provides examples of how Itential's automation and orchestration products have given his teams the tools they need to... Read more »

Ever wonder what it's really like to be at the AMSN Annual Convention or simply looking for powerful insights from this year's event?  Join Laura, Maritess, Neil and special guest co-hosts AMSN President Marisa Streelman and Alissa Brown as they share their own personal stories and insights LIVE from the 2024 AMSN Annual Convention in Toronto.   SPECIAL GUESTS Dr. Marisa Streelman, DNP, RN, CMSRN, NE-BC began her career in Chicago as a staff nurse in oncology at Northwestern Memorial Hospital. She progressed into leadership positions, such as charge RN, and clinical coordinator, and then changed specialties as the unit manager of a medicine unit. Her life moved out West to Denver, where she managed a cardiology and progressive care unit at University of Colorado Hospital before returning back to Chicago where she served as medical center unit director at Rush University Medical Center. She currently is a staff specialist with the nursing leadership team at Michigan Medicine in Ann Arbor, Michigan. Dr. Streelman was a founding member for the Academy of Medical Surgical Nurses - Chicago Chapter, and she has been involved with the AMSN Volunteer Committees. She was elected to treasurer for the Board of Directors for AMSN in 2015 and continues to serve on the board. She recently earned her doctorate in nursing practice in transformational leadership systems from Rush University.    Alissa Brown, MSN, RN, CMSRN, NPD-BC is a clinical nurse educator from the University of Utah Health. She has been working in the health care industry for almost 12 years, and started her nursing career as a med-surg bedside nurse on an Ortho, Trauma, and Surgical Specialty Unit. It was through that experience in the med-surg unit where she discovered a passion for education, and pursued a master's degree. She is a lifelong learner, and loves to teach.  Born and raised in Salt Lake City, Utah, she's not all work, and definitely enjoys play! She loves to travel, and tries to plan as many vacations each year as she can with family and friends. Alissa loves to read, listen to podcasts, and geek out to documentaries and crime shows on the weekends. She's a total fair weather fan when it comes to Utes Football, but will cheer in all the right places, or get mad when her husband tells her to during a game.    MEET OUR CO-HOSTS Samantha Bayne, MSN, RN, CMSRN, NPD-BC is a nursing professional development practitioner in the inland northwest specializing in medical-surgical nursing. The first four years of her practice were spent bedside on a busy ortho/neuro unit where she found her passion for newly graduated RNs, interdisciplinary collaboration, and professional governance. Sam is an unwavering advocate for medical-surgical nursing as a specialty and enjoys helping nurses prepare for specialty certification.    Laura Johnson, MSN, RN, NPD-BC, CMSRN has been a nurse since 2008 with a background in Med/Surg and Oncology.  She is a native Texan currently working in the Dallas area.  She has held many positions throughout her career from bedside nurse to management/leadership to education.  Laura obtained her MSN in nursing education in 2018 and is currently pursuing her DNP.  She has worked both as a bedside educator and a nursing professional development practitioner for both new and experienced staff.  She enjoys working with the nurse residency program as a specialist in palliative care/end of life nursing and mentorship.  She is currently an NPD practitioner for oncology and bone marrow transplant units.             Neil H. Johnson, RN, BSN, CMSRN, epitomizes a profound familial commitment to the nursing profession, marking the third generation in his family to tread this esteemed path. Following the footsteps of his father, grandfather, grandmother, aunt, and cousin, all distinguished nurses, Neil transitioned to nursing as a second career after a brief tenure as an elementary school teacher. Currently on the verge of completing his MSN in nurse education, he aspires to seamlessly integrate his dual passions. Apart from his unwavering dedication to nursing, Neil actively seeks serenity in nature alongside his canine companions. In his professional capacity, he fulfills the role of a med-surg nurse at the Moses Cone Health System in North Carolina.   Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing.  Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse.   Maritess M. Quinto, DNP, RN, NPD-BC, CMSRN is a clinical educator currently leading a team of educators who is passionately helping healthcare colleagues, especially newly graduate nurses. She was born and raised in the Philippines and immigrated to the United States with her family in Florida. Her family of seven (three girls and two boys with her husband who is also a Registered Nurse) loves to travel, especially to Disney World. She loves to share her experiences about parenting, travelling, and, of course, nursing!   Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland.  Currently she is stationed overseas, providing care for service members and their families.  During her free time, she enjoys martial arts and traveling.   

Tom Webb, DBA is the co-founder and managing partner of CareKate, LLC, a firm focused on supporting those who support the health of an aging loved one. Tom's extensive background in healthcare, engineering, and business informs his unique perspective on healthcare consumerism and the future of AI in healthcare. Tom also serves as Adjunct Faculty at Rush University and National Louis University, teaching courses on data management, statistics for business data analytics, and healthcare quality. His academic research focuses on healthcare quality measurement and price transparency. Tom held various roles at Rush University Medical Center, including AVP - Quality Analytics, Manager – Clinical Resource Management, and Performance Improvement Consultant. His experience spans over a decade in the chemical and food industries, where he focused on engineering products and processes, including automotive paints, biocide plastic additives, and liquid sweeteners. Tom's diverse expertise positions him to offer valuable insights into the intersection of technology and healthcare. He holds a DBA with a focus in Data Analytics from Grand Canyon University, an MBA from the University of Chicago Booth School of Business, and a BS in Chemical Engineering from the University of Illinois at Urbana-Champaign.Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3CME credit is available for up to 3 years after the stated release dateContact CEOD@bmhcc.org if you have any questions about claiming credit.

On today's episode we're focusing on biologic augmentation of rotator cuff tears – including an algorithm for determining which patients require augmentation as well as different augmentation approaches such as extracellular matrix scaffolds and Orthobiologics.   We are joined today by Dr. Brian Cole, a Professor of Orthopedic Surgery and Chair of the Department of Orthopedic Surgery at Rush University Medical Center, Chair of Surgery at Rush Oak Park Hospital and Section Head of the Rush Cartilage Restoration Center.  He is also a past president of the Arthroscopy Association of North America and a team physician for the Chicago Bulls and Chicago White Sox.Research Links:https://www.briancolemd.com/wp-content/themes/ypo-theme/pdf/rotator-cuff-augmentation-with-dermal-allograft-improve-clinical-outcomes.pdfhttps://www.briancolemd.com/wp-content/themes/ypo-theme/pdf/bmac-augmentation-may-produce-structurally-superior-rotator-cuff-repair-2023.pdfhttps://pubmed.ncbi.nlm.nih.gov/32169466/CuffMend: https://www.arthrex.com/shoulder/cuffmend-augmentation-system

Making his Faculty Factory debut in a memorable way this week is Michael Gottlieb, MD, RDMS, FAAEM, FACEP.  Naturally, here at the Faculty Factory Podcast, our ears perk up when we hear about the intersection of podcasts, learning, research, and academic medicine. We are joined by Dr. Gottlieb this week to learn all about his research into how the way content is delivered within an educational podcast impacts the actual learning takeaways for the listener and how much of that information is retained. Dr. Gottlieb serves as Professor of Emergency Medicine, Vice Chair of Research, and Director of the Emergency Ultrasound Division in the Department of Emergency Medicine at Rush University Medical Center in Chicago. It's a fascinating discussion, and we hope you buckle up for the journey that Dr. Gottlieb leads us on! As you will soon learn, the lion's share of today's conversation covers a lot of findings from his research for the recent study he co-authored, entitled “Educational Podcasts: Effect of Content Delivery Timing on Knowledge Acquisition and Retention,” which was published in Academic Medicine.  You can learn more about that here: https://pubmed.ncbi.nlm.nih.gov/38551950/ If you want more Faculty Factory resources, please visit our official website: https://facultyfactory.org/ 

Episode Resources:For resources mention in this article, visit the links belowAbstract: “Going With the Flow” to Develop a Robust External Female Catheter Implementation ProcessePoster: Going With the Flow” to Develop a Robust External Female Catheter Implementation ProcessArticle: Implementation of an external female urinary catheter strategy on prevention of skin breakdown in acute care: A quality improvement studyWound Treatment Associate (WTA) ProgramOstomy Care Associate (OCA) ProgramWOC Nursing Education Programs accredited by the WOCN Society About the Speakers:Cecilia Zamarripa, PhD, RN, CWON, is a Wound, Ostomy and Continence (WOC) Nurse for 38 years and currently manages the WOC Nursing Department at the University of Pittsburgh Medical Center. Prior to that, Cece practiced WOC Nursing at Baylor University Medical Center Dallas, Texas; Rush University Medical Center; and at the UPMC since 1997.Cece has been involved as a clinical preceptor for nurses in a WOCNEP and in Nursing Education roles. In 2010, Cece had the privilege of being selected as the Joint Commission Resources Patient Safety Scholar in Residence. Her teaching experience includes RN to BSN program at Slippery Rock University, Community Health Nursing, clinical instructor at Duquesne University, Preceptor for nurses completing their WOC Nursing Education Program, and Course Co-Coordinator for the Wound Treatment Associate (WTA®) and Ostomy Care Associate (OCA®) programs.Cece is involved in the Wound, Ostomy, and Continence Nurses Society™ (WOCN®) and was a past volunteer for WOCNext Conference Planning Committee. Cece is involved in her professional specialty organization and was a contributing member of the WOCN Peristomal Consensus Panel in November 2020. She is a member of Sigma Theta Tau, Western PA Area Chapter for National Association of Hispanic Nurses, WOCN Society™, the WCET and a current Director for the WOCN Board.Alexandra Craig, BSN, RN, WTA-C is a clinical research coordinator (CRC) for the UPMC Presbyterian WOC Nursing Department. During Alex's time in the department, she has been instrumental in to help develop the projects and prepared documents for research study protocols. Her research experience includes a Support Surfaces RCT, Ostomy Barrier leakage retrospective study and numerous wound care quality projects. She is passionate about learning; research and the nursing science provides the evidence to improve patient care outcomes. She is currently enrolled in her MSN program and plans to attend a WOC Nursing Education Program (WOCNEP) soon after.

Reset learns about efforts to bring resources to survivors and their families experiencing violence from Dr. Ted Corbin, professor and chairperson for the department of emergency medicine RUSH University Medical Center and Dr. John Rich, director of the RUSH BMO Institute for Health Equity. For a full archive of Reset interviews, head over to wbez.org/reset.

Bio:Dr. Alan Akira is a board-certified psychiatrist and founder of Mugen Psychiatry in Chicago. He aims to improve psychiatric care access, leveraging his expertise in clinical decision-making, education, and healthcare management. He's also an Assistant Professor at Rush University Medical Center and has received multiple awards for his clinical excellence and teaching.Links:LinkedIn Bio: https://www.linkedin.com/in/alan-akira-md/ LinkedIn Page: https://www.linkedin.com/company/mugen-psychiatry/ Twitter/X: https://twitter.com/Dr_Akira_MD Email: alan.akira@mugenpsychiatry.com Quotes:“The world doesn't get any easier. You just tend to get better if you choose to.”“One might not know where they're going in the future, but most of the time, we know where we don't want to be.”Episode Highlights:Dr. Akira explores redefining happiness and success, emphasizing the importance of celebrating not just the results but the journey itself. He shares personal stories and reflections on his childhood and career that have shaped his current philosophy.Childhood Incidents:Dr. Akira grew up in a household where his parents had blue-collar jobs, but very little financial stability. As a young teenager, Dr. Akira experienced a lot of confusion, around money issues. These challenges snowballed into stress, anxiety, depression, irritability, and anger. At some point, Dr. Akira questioned whether this was what life had to be. Thankfully, he had mentors who offered him hope, showing him that there was more to life than his lived experience and anxiety.Cultural and Leadership Influences:Dr. Akira's grandparents moved to the United States and opened a fish market in New York. One thing Dr. Akira noticed was that they always put their employees first, and the dividends of this approach paid off in their interactions with customers. For instance, they always found reasons to celebrate with their employees, and it was always authentic. At Mugen Psychiatry, Dr. Akira applies the same principle. He invests in both the clinicians' present and future because he believes that happy clinicians do a better job. Temperament and Personality:Growing up, Dr. Akira was quiet, reserved, and quite introverted—always preferring to sit alone rather than interact with others. No one would have ever imagined him as a psychiatrist. Over the years, he has become an “extroverted-appearing” introvert. He has stepped out of his comfort zone and learned how to have conversations with other people.Cultural Epiphanies:Coming from Brooklyn, New York, Dr. Akira had a tough time understanding the Southern accent when he moved to Alabama. He recalls a day when he was attending a literature class, and the teacher was reading Huck Finn with a deep Southern accent that made Dr. Akira question if she was reading in English at all.What Brings Out the Best in Dr. Alan Akira?Dr. Akira thrives when there is a fine balance that allows him to lean into things that recharge him. He is working on a study to help him understand what drains him versus what recharges him. He is also learning to appreciate that what recharges him might not work for others.Soapbox Moment:Dr. Akira challenges us to learn to define things operatively on an individual level and to allow ourselves permission to double down on what works for us. He also invites us to check out his weekly newsletter on LinkedIn.Support the Show.

Feeling burned out? You're not alone.  Join Eric, Laura, Sam, Sydney, and special guest co-host AMSN President Marisa Streelman as they share their own stories of struggle and how they've found immediate and longer-term solutions to achieve wellness in their nursing and personal lives.  Also, get the inside scoop on the latest AMSN updates.    SPECIAL GUEST CO-HOST   Dr. Marisa Streelman, DNP, RN, CMSRN, NE-BC began her career in Chicago as a staff nurse in oncology at Northwestern Memorial Hospital. She progressed into leadership positions, such as charge RN, and clinical coordinator, and then changed specialties as the unit manager of a medicine unit. Her life moved out West to Denver, where she managed a cardiology and progressive care unit at University of Colorado Hospital before returning back to Chicago where she served as medical center unit director at Rush University Medical Center. She currently is a staff specialist with the nursing leadership team at Michigan Medicine in Ann Arbor, Michigan. Dr. Streelman was a founding member for the Academy of Medical Surgical Nurses - Chicago Chapter, and she has been involved with the AMSN Volunteer Committees. She was elected to treasurer for the Board of Directors for AMSN in 2015 and continues to serve on the board. She recently earned her doctorate in nursing practice in transformational leadership systems from Rush University.    MEET OUR CO-HOSTS Samantha Bayne, MSN, RN, CMSRN, NPD-BC is a nursing professional development practitioner in the inland northwest specializing in medical-surgical nursing. The first four years of her practice were spent bedside on a busy ortho/neuro unit where she found her passion for newly graduated RNs, interdisciplinary collaboration, and professional governance. Sam is an unwavering advocate for medical-surgical nursing as a specialty and enjoys helping nurses prepare for specialty certification.    Laura Johnson, MSN, RN, NPD-BC, CMSRN has been a nurse since 2008 with a background in Med/Surg and Oncology.  She is a native Texan currently working in the Dallas area.  She has held many positions throughout her career from bedside nurse to management/leadership to education.  Laura obtained her MSN in nursing education in 2018 and is currently pursuing her DNP.  She has worked both as a bedside educator and a nursing professional development practitioner for both new and experienced staff.  She enjoys working with the nurse residency program as a specialist in palliative care/end of life nursing and mentorship.  She is currently an NPD practitioner for oncology and bone marrow transplant units.             Neil H. Johnson, RN, BSN, CMSRN, epitomizes a profound familial commitment to the nursing profession, marking the third generation in his family to tread this esteemed path. Following the footsteps of his father, grandfather, grandmother, aunt, and cousin, all distinguished nurses, Neil transitioned to nursing as a second career after a brief tenure as an elementary school teacher. Currently on the verge of completing his MSN in nurse education, he aspires to seamlessly integrate his dual passions. Apart from his unwavering dedication to nursing, Neil actively seeks serenity in nature alongside his canine companions. In his professional capacity, he fulfills the role of a med-surg nurse at the Moses Cone Health System in North Carolina.   Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing.  Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse.   Maritess M. Quinto, DNP, RN, NPD-BC, CMSRN is a clinical educator currently leading a team of educators who is passionately helping healthcare colleagues, especially newly graduate nurses. She was born and raised in the Philippines and immigrated to the United States with her family in Florida. Her family of seven (three girls and two boys with her husband who is also a Registered Nurse) loves to travel, especially to Disney World. She loves to share her experiences about parenting, travelling, and, of course, nursing!   Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland.  Currently she is stationed overseas, providing care for service members and their families.  During her free time, she enjoys martial arts and traveling.     

This Podcast offers a pathway to continuing education via this CMEfy link: https://earnc.me/07mw5v   Dr. Shikha Jain is a board-certified hematology and oncology physician on faculty at Rush University Medical Center with a focus on GI malignancies. She is an assistant professor of medicine in the Division of Hematology, Oncology and Cell Therapy and the Physician Director of Media Relations for the Rush University Cancer Center. She founded and co-chaired the inaugural Women In Medicine Symposium at Northwestern Memorial Hospital in Chicago in 2018 focused on promoting the advancement of women physicians at Northwestern. She is the co-founder and co-chair of the “Women in Medicine Summit: An Evolution in Empowerment” in Chicago. This national CME conference focuses on gender equality and finding and implementing solutions to eliminate the gap. Dr. Jain  is a member of the Women's Leadership Council at Rush and is the founder and host of the podcast “The Rush Cast.” Her clinical focus is GI oncology with a special interest in neuroendocrine tumors.  Her research interests include neuroendocrine tumors, precision oncology, immunotherapy, genomics, colorectal and pancreatic cancers, hepatocellular carcinoma and advances in cancer therapy.  She has several papers published in peer-reviewed journals.  Her research interests also include gender equity and career advancement for women and underrepresented minorities in medicine, the impact of social media on medicine. -=+=-=+=-=+= Are you a doctor struggling to provide the best care for your patients while dealing with financial and caregiving matters out of the scope of your practice? Do you find yourself scrambling to keep up with the latest resources and wish there was an easier way? Finally, our Virtual Health and Financial Conference for Caregivers is here! This conference helps you and your patients enlist the best strategies around health care resources and the best financial steps for your patients to take while navigating care. You don't have to go home feeling frustrated and helpless because you couldn't connect your patients with the best services. In just 90 minutes, our VIP Live Roundtable will answer your questions and be the lifeline that helps your patients put together an effective caregiving plan. Find out more at Jeanniedougherty.com and click on Conference for Caregivers VIP. -+=-+=-+=-+= 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 --- There's more at https://mymdcoaches.com/podcast 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

Today's episode is going to focus on osteochondral allograft transplantation, and specifically how basic science research can and should impact your clinical practice.We are joined today by Dr. Brian Cole, a Professor of Orthopedic Surgery and Chair of the Department of Orthopedic Surgery at Rush University Medical Center, Chair of Surgery at Rush Oak Park Hospital and Section Head of the Rush Cartilage Restoration Center.  He is also a past president of the Arthroscopy Association of North America and a team physician for the Chicago Bulls and Chicago White Sox. So, without further ado, let's get to the Field House!

Medical school and residency are daunting enough without dealing with a chronic illness on top of it, but that has been the reality for our guest today, Dr. Kyle Dymanus. In this candid interview with Raise the Line host Hillary Acer, Dymanus shares a wealth of wisdom about balancing studies, work and wellbeing gained during her years as a med student at Medical College of Georgia and her current residency in urology at Rush University Medical Center.  A key for her was having a network of supporters outside of her professional circle to help her manage ulcerative colitis, a condition she was hesitant to disclose to colleagues and supervisors. “My friends and family were literally the ones on the ground calling my doctors to schedule appointments and following up when they didn't send medications to my pharmacy. I honestly could not have done it without them,” she shares. On a promising note, Dymanus believes more support is being made available within residency programs as recognition grows about the mental and physical health impacts that can result from the demanding, high stakes work involved. “The traditional thinking with residents and doctors is you need to be strong, you need to kind of suffer through this, but I think a lot of programs are now being more proactive, and they're providing  supportive resources for residents ahead of time.” Hillary and Dr. Dymanus also touch on her interests in medical device development, outcomes research, quality improvement, and global health inequities. You won't want to miss this inspiring episode in our Next Gen Journeys series featuring fresh perspectives on education, medicine, and the future of healthcare.Mentioned in this episode:Rush University Medical Center

Rush University Medical Center, Cook County's Stroger Hospital and UI Health Stroger are preparing for the worst case scenario, be it a mass shooting, an explosion, or tear gas, but say they're prepared for any contingency. Reset hears how the hospitals will ensure smooth service in the face of the expected traffic delays and in case of emergency. For a full archive of Reset interviews, head over to wbez.org/reset.

Are you putting off scheduling your next OB-GYN appointment? We get it—it can be uncomfortable, awkward, and even embarrassing to chat with the doc about issues or questions related to down there.  That's why we're bringing back this episode of This Grit and Grace Life with guest Dr. Holly Miller, a board certified OB-GYN, to answer all the hard OB-GYN questions you need to know about feminine health but are probably too embarrassed to ask about.  This episode is filled with questions that women tend to run from, including: When do we see a gynecologist? Why do we see gynecologists? Do we have to see a gynecologist? And the biggest question, why are we terrified of seeing a gynecologist? Whether you're busy or scared something is wrong and you don't want to face it, you need to go see a gynecologist. It's that simple! Neglecting your health is no way to handle potential issues you may be facing. We know after listening, you'll feel comfortable and confident scheduling your next appointment! What else you'll learn: When a teenager should see a gynecologist When you should have your first pap smear How regularly you should have a pap smear and pelvic exams How to feel comfortable when seeing your gynecologist Important information you need to share with your gynecologist What a “normal cycle” should look like Symptoms you need to look out for throughout our womanhood Common issues you need to know are not normal When you need to begin getting regular mammograms The top things Dr. Miller wants you to know about your feminine health Why you never need to feel embarrassed! Dr. Holly Miller completed medical school at Loyola University Stritch School of Medicine and a residency in Obstetrics and Gynecology at Rush University Medical Center in Chicago. She's currently an OB-GYN physician in Florida. Outside of the office, Dr. Miller enjoys reading, running and spending time with her husband and four children. Find more from Dr. Miller by visiting her practice website here. Quote of the episode: “It's extremely important that women of all ages have a relationship with a doctor, specifically a gynecologist." —Dr. Holly Miller Resources Mentioned: Follow Dr. Holly Miller on Instagram for more feminine health advice HERE. Be sure to follow us on social media! Facebook Instagram Twitter Pinterest #gritandgracelife

In this Brain & Life podcast episode Dr. Daniel Correa is joined by Emmy-nominated journalist and stroke survivor Kristen Aguirre. Kristen shares her journey from experiencing a stroke at age 31 and returning to the workplace to being a vocal disability activist and finding her new “normal.” Dr. Correa is then joined by Dr. Sarah Song, associate professor and vascular neurology fellowship director in the division of cerebrovascular diseases in the department of neurological sciences at Rush University Medical Center, and associate editor of Brain & Life Magazine. Dr. Song discusses young people experiencing strokes and what comes after for treatment, therapies, and life planning.   Additional Resources A Stroke Can Happen at Any Age How to Lower the Risk of Maternal Stroke Lindsey Vonn Describes Her Mother's Inspiring Strength After Stroke Are You at Risk for Stroke?   Other Brain & Life Podcast Episodes on This Topic Timothy Omundson on Stroke Recovery and His Return to Television What is an ICU and Neurologic Critical Care? Tips and a Guide for Everyone Matt and Kanlaya Cauli on Rebuilding Life After Stroke   We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org   Social Media:   Guests: Kristen Aguirre @kristenaguirre, Dr. Sarah Song @rushmedical Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

Laurice (Lauri). D. Nemetz, MA, BD-DMT, EYT500, LCAT, CIAYT is an adjunct professor at Pace University having taught classes in yoga, myofascial anatomy and more at the Pleasantville NY campus since 2004 and is a 2020 Pace U. President's Award recipient for Outstanding Contribution. In the summer of 2021, Lauri was awarded the position of Visiting Associate Professor, Department of Physical Medicine and Rehabilitation, for Rush University Medical Center in Chicago, IL (2021-present). She is also a licensed Creative Arts Therapist, a member of the American Association for Anatomy, a board-certified member of the Academy of Dance/Movement Therapists, a registered yoga teacher at the experienced 500-hour level, past President of the Yoga Teachers' Association (YTA), a Stott Pilates instructor, a certified yoga therapist and an occasional kayak guide! Lauri graduated from Wellesley College (Art History and French), earned a Master's degree in Dance/Movement Therapy (Psychology) from Goucher College, with additional extensive postgraduate anatomy education.Her yoga lineage includes Tao Porchon Lynch, Karin Stephan, Leslie Kaminoff, David Hollander, and Kim Schwartz among many more with who she is fortunate to have learned from. In therapeutic work, she aligns most closely with Rogerian and Jungian theories and this combined study has informed her work with a number of diverse populations including work with trauma survivors, autistic children, neonatal and general rehab populations. Her current private work combines work from her varied background and focuses on guiding individuals to reach their fullest potential physically and mentally.Currently an independent anatomical dissector with several projects (more in the anatomy tab) including KNM dissections (with Leslie Kaminoff, Yoga Anatomy), Lauri is additionally a lead dissector with the international team of the Fascial Net Plastination Project. She regularly presents at conferences including the American Association for Anatomy, Experimental Biology, the Fascia Research Congress, the American Dance Therapy Association, and Movement: Brain, Body and Cognition Conferences (Oxford University; Harvard Medical), and loves teaching in yoga teacher training programs. Her workshops in both anatomy and movement have included locations in Canada, Brazil, Germany, Costa Rica, and across the U.S. She has a chapter on dance/movement therapy in the Creative Arts Therapies Manual (2006) and has published several articles including in the International Journal of Arts Medicine and upcoming in The Anatomical Record.Her book, The Myofascial System in Form and Movement (2023) (click here for more information) is being published by Handspring Publishing, a respected imprint in bodywork, anatomy and movement. She is particularly passionate about studies of environmental space, art and science communication. She considers herself an explorer looking to connect people through meaningful movement conversation to their own bodies and each other.Lauri's instagram page: @wellnessbridgeLauri's facebook: Lauri NemetzLauri's book: The Myofascial System in Form and MovementContact me: Email: jpanasevich@gmail.com Phone: 267.275.3890Website: yogawithjake.comInstagram: @yogawithjakeReach out to me directly if you are interested in my upcoming, online, Yoga For Dudes - Brand-New Beginner's