Podcasts about scarborough general hospital

In this episode, Dr Kat Ralston chats with Prof Miriam Johnson about palliative care in heart failure. They discuss the evidence supporting specialist palliative care input in this patient group and explore how to develop effective integrated services. They chat about holistic, needs based assessment and share top tips on the approach to the debilitating symptom of breathlessness. Professor Miriam Johnson is Professor of Palliative Medicine at Hull York Medical School, Associate Director of the Wolfson Palliative Care Research Centre at the University of Hull. She is Adjunct Professor of Palliative Medicine at the University Technology Sydney, Sydney, Australia. For twenty years (2000 to 2020), she also provided consultant palliative physician services to Scarborough General Hospital and Saint Catherine's Hospice, Scarborough where she set up one of the UK's first integrated palliative care services for people with heart failure. Dr Kat Ralston is a geriatric medicine registrar in Edinburgh. She is also the Education Co-Vice Chair and the joint Podcast Lead for the RCPE Trainee & Members' Committee (T&MC). Recording date: 5 December 2024 -- Useful Links -- Abel et al (2024), Hospital admissions in the last year of life of patients with heart failure, https://doi.org/10.1093/ehjqcco/qcad047. Balata et al (Oct 2024), Early integration of palliative care versus standard cardiac care for patients with heart failure (EPCHF): a multicentre, parallel, two-arm, open-label, randomised controlled trial, https://doi.org/10.1016/j.lanhl.2024.08.006. Barnes-Harris et al, Barriers and facilitators for cardiopulmonary resuscitation discussions with people with heart failure, https://doi.org/10.1371/journal.pone.0314631. Campbell et al (2018), Which patients with heart failure should receive specialist palliative care?, https://doi.org/10.1002/ejhf.1240. Date et al, Modified-release morphine or placebo for chronic breathlessness: the MABEL trial protocol, https://doi.org/10.1183/23120541.00167-2023. Ekström et al, Effect of regular low-dose extended-release morphine on chronic breathlessness in chronic obstructive pulmonary disease: the BEAMS randomized clinical trial, http://doi.org/10.1001/jama.2022.20206.  Ferreira et al, The effect of regular, low-dose, sustained-release morphine on routine physical activity in people with persistent breathlessness– a hypothesis-generating study, https://doi.org/10.1183/13993003.01484-2022. Johnson et al (2024), Benefits of specialist palliative care by identifying active ingredients of service composition, structure, and delivery model: A systematic review with meta-analysis and meta-regression, https://doi.org/10.1371/journal.pmed.1004436. Jordan et al (2020), Duration of palliative care before death in international routine practice: a systematic review and meta-analysis, https://doi.org/10.1186/s12916-020-01829-x. King et al (2022), Concurrent Validity and Prognostic Utility of the Needs Assessment Tool: Progressive Disease Heart Failure, https://doi.org/10.1016/j.jpainsymman.2022.01.014. McConnell et al (2023), Integrating palliative care and heart failure: a systematic realist synthesis (PalliatHeartSynthesis), https://doi.org/10.1136/openhrt-2023-002438. Roch et al (2020), Utility of the integrated palliative care outcome scale (IPOS): a cross-sectional study in hospitalised patients with heart failure, https://doi.org/10.1177/1474515120919386. Breathing, Thinking Functioning Model - https://www.btf.phpc.cam.ac.uk/ Caring Together - https://www.mariecurie.org.uk/professionals/working-in-partnership/caring-together Scottish Palliative Care Guidelines - https://rightdecisions.scot.nhs.uk/scottish-palliative-care-guidelines/ -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk

On this week's collected, connected conversations (the eighth in our summer series): part one of our pandemic ponderings. A disease that's thrown many into disarray, COVID-19 has come up often on this podcast. And for good reason: disproportionately afflicted with health care gaps, Indigenous peoples' vulnerability made them the subject of dire predictions from the outset of this pandemic. Featured voices this podcast include (in order of appearance): • Dr. Jason Pennington, Assistant Professor of Medicine, University of Toronto; Scarborough General Hospital staff surgeon; joint strategic lead in Indigenous Health, U of T Faculty of Medicine • Dr. Lisa Richardson, clinician-educator, University of Toronto division of general internal medicine; joint strategic lead in Indigenous Health, U of T Faculty of Medicine • Mary Jane McCallum, Professor of History at University of Winnipeg • Brock Pitawanakwat, York University Associate Professor of Indigenous Studies • Ken Williams, assistant professor with the University of Alberta's Department of Drama • Candis Callison, Associate Professor in the Institute for Critical Indigenous Studies and the School of Journalism, Writing and Media at UBC • Kim TallBear, Professor in the Faculty of Native Studies at the University of Alberta and Canada Research Chair in Indigenous Peoples, Technoscience & Environment // CREDITS: Creative Commons music in this episode includes “Hot Soup On Cold Days” and “Rest” by PC III, and “Reservoir Sunset (Full Synth Mix)” by Axletree. Our opening theme is “Soda Machine” by Kabbalistic Village; our closing theme is “Nocturne for Anastasiya" by Vlad Cuiujuclu.

In this episode of Bulletproof Radio, my guest is Dr. Jason Fung, a Canadian nephrologist known as a pioneer in intermittent fasting in a clinical setting. He’s co-founder and chairman of The Fasting Method.He’s now turned his attention to cancer with his new book: “The Cancer Code: A Revolutionary New Understanding of a Medical Mystery.”A completely new and fascinating concept of cancer has emerged. The evolutionary concept of cancer maintains that cancer already exists buried deep into every cell of every multicellular animal, and its development is driven by Darwinian selection pressure. Dr. Fung is the site chief of medicine at Scarborough General Hospital; scientific editor of the Journal of Insulin Resistance; and a kidney specialist in Toronto, Ontario, Canada.His specialty is in intermittent fasting and low carb, especially for treating people with type 2 diabetes. His groundbreaking work in the treatment of obesity and diabetes has won him international acclaim. He’s the author of several bestselling books on fasting, as well as the “The Obesity Code” and “The Diabetes Code.”“Obesity related cancers are actually starting to sort of move their way back up, which is of course very concerning,” Dr. Fung says. “Liver cancer has tripled in the last 20 years. And this is directly related to the obesity epidemic, as well as this sort of epidemic of type 2 diabetes that we're getting.”“And in cancer, it's different because insulin is also a growth factor,” he says. “So, not only is it important for weight gain metabolism, but it's also a growth factor. When you start to have too much insulin, then not only does it lead to the obesity type 2 diabetes, but it's also going to tip the scales in terms of growth, which is going to tip the scale in favor of cancer.”“There’s something that you can do–stop feeding the growth of cancer. It’s within your control.”Enjoy! And get more resources at https://blog.daveasprey.com/category/podcasts/WE APPRECIATE OUR PARTNERS. CHECK THEM OUT!Sleep Better: https://www.chilitechnology.com/pages/aspreyNeck Relief: http://iron-neck.com/DAVE use code DAVE10Life Upgrades: https://www.getyourselfoptimized.com

In this episode of Bulletproof Radio, my guest is Dr. Jason Fung, a Canadian nephrologist known as a pioneer in intermittent fasting in a clinical setting. He’s co-founder and chairman of The Fasting Method.He’s now turned his attention to cancer with his new book: “The Cancer Code: A Revolutionary New Understanding of a Medical Mystery.”A completely new and fascinating concept of cancer has emerged. The evolutionary concept of cancer maintains that cancer already exists buried deep into every cell of every multicellular animal, and its development is driven by Darwinian selection pressure. Dr. Fung is the site chief of medicine at Scarborough General Hospital; scientific editor of the Journal of Insulin Resistance; and a kidney specialist in Toronto, Ontario, Canada.His specialty is in intermittent fasting and low carb, especially for treating people with type 2 diabetes. His groundbreaking work in the treatment of obesity and diabetes has won him international acclaim. He’s the author of several bestselling books on fasting, as well as the “The Obesity Code” and “The Diabetes Code.”“Obesity related cancers are actually starting to sort of move their way back up, which is of course very concerning,” Dr. Fung says. “Liver cancer has tripled in the last 20 years. And this is directly related to the obesity epidemic, as well as this sort of epidemic of type 2 diabetes that we're getting.”“And in cancer, it's different because insulin is also a growth factor,” he says. “So, not only is it important for weight gain metabolism, but it's also a growth factor. When you start to have too much insulin, then not only does it lead to the obesity type 2 diabetes, but it's also going to tip the scales in terms of growth, which is going to tip the scale in favor of cancer.”“There’s something that you can do–stop feeding the growth of cancer. It’s within your control.”Enjoy! And get more resources at https://blog.daveasprey.com/category/podcasts/WE APPRECIATE OUR PARTNERS. CHECK THEM OUT!Sleep Better: https://www.chilitechnology.com/pages/aspreyNeck Relief: http://iron-neck.com/DAVE use code DAVE10Life Upgrades: https://www.getyourselfoptimized.com

In our second summer series collection of connected conversations: a checkup on the state of Indigenous health. A thorough examination of how the Canadian health system can all too often operate against Indigenous well-being via ill-considered policies and practices. Featured voices this podcast include (in order of appearance): • Mary Jane McCallum, professor of history at University of Winnipeg • Dr. James Makokis, a Cree physician based in Alberta • Dr. Lisa Richardson, clinician-educator, University of Toronto division of general internal medicine; joint strategic lead in Indigenous Health, U of T Faculty of Medicine • Dr. Jason Pennington, Assistant Professor of Medicine, University of Toronto; Scarborough General Hospital staff surgeon; joint strategic lead in Indigenous Health, U of T Faculty of Medicine • Colleen Simard, writer/designer/filmmaker • Conrad Prince, child health and welfare advocate • Pam Palmater, Chair in Indigenous Governance, Ryerson University’s department of Politics and Public Administration • Brock Pitawanakwat, Associate Professor of Indigenous Studies at York University • Ken Williams, assistant professor with the University of Alberta’s department of drama. • Amy Bombay, Assistant Professor in the Department of Psychiatry and the School of Nursing at Dalhousie University • Danika Billie Littlechild, lawyer and international Indigenous rights advocate • Robert Jago, writer/entrepreneur // CREDITS: This episode was produced and edited by Stephanie Wood and Rick Harp. Creative Commons tracks in this episode include “Headway” and “Interception” by Kai Engel, “Isolated” by Kevin MacLeod, “Carnival” and “There are Places” by smallertide, “Comadreamers I” by Haunted Me, “Chalet” by Meydän, plus “A Perceptible Shift” and “A Human Being” by Andy G. Cohen.

THIS WEEK: Flattening the curve, feeling the gap. COVID-19, the virus that first popped up in Wuhan, China, is now officially a global pandemic. And even though the vast majority of people who get COVID-19 will ultimately suffer either mild or even no symptoms, it’s the most vulnerable among us that we need to worry about and look out for. So far in Canada, that’s largely meant promoting hand hygiene and social isolation. The goal: to stop a huge spike in cases to keep the healthcare system from being overwhelmed. But as governments work to keep Canadians’ demands on the system on a long, low curve, all too many Indigenous people could find they’re trapped in a gap. Multiple public health gaps, in fact, which, taken together, could compound the challenges facing prevention, treatment and containment of the virus among First Nations, Inuit and Métis populations. Joining host/producer Rick Harp to discuss this gap, including what some are doing to mitigate it, are two returning guests: Dr. Lisa Richardson, clinician-educator with the University of Toronto's division of general internal medicine, and Dr. Jason Pennington, a staff surgeon at Scarborough General Hospital and an assistant professor at the University of Toronto. Together, they serve as strategic leads in Indigenous Health with the University of Toronto’s Faculty of Medicine. // Our theme is 'nesting' by birocratic

This week, is the state of Indigenous health care plagued by governmental ill will? Some might think so in Alberta, where a pair of provincial employees were punted for a racist text message about a First Nations school principal. Meanwhile, in Ottawa, the political battle over health care inequity for on-reserve kids continues as the feds announce they want parts of a human rights ruling quashed. Joining us this week with their diagnoses of what might be at the root of both situations are two physicians. Dr. Lisa Richardson is a clinician-educator with the University of Toronto's division of general internal medicine. Dr. Jason Pennington is a staff surgeon at Scarborough General Hospital and an assistant professor at the University of Toronto. Together, they serve as co-Leads for Indigenous Health Education with the U of T’s Office of Indigenous Medical Education. // Our theme is 'nesting' by birocratic.

https://bengreenfieldfitness.com/fasting Thousands of books have been written about the latest and greatest diets that will help people lose weight and improve health. But a key element in any successful nutritional health program is a tried-and-true method that most people haven’t thought about—yet it could be revolutionary for taking health to the next level. This ancient secret is fasting. Fasting is not about starving oneself. When done right, it’s an incredibly effective therapeutic approach that produces amazing results regardless of diet plan. In fact, Toronto-based nephrologist Dr. Jason Fung has used a variety of fasting protocols with more than 1,000 patients, with fantastic success. Dr. Fung earned his medical degree at the University of Toronto, where he also completed his internal medicine residency before heading to the University of California, Los Angeles, for his fellowship in nephrology. He currently practices as a kidney specialist in Toronto. He is the chief of the department of medicine at Scarborough General Hospital. In addition to clinical medicine, he is also on the board of directors of Low Carb Diabetes Association and the scientific editor of the Journal of Insulin Resistance. During the course of treating thousands of patients, it became clear to Dr. Fung that the epidemic of type 2 diabetes and obesity was getting worse. The prevailing dietary recommendations to reduce dietary fat and calories were clearly ineffective. He founded the Intensive Dietary Management Program to provide a unique treatment focus for type 2 diabetes and obesity: rather than focusing on medications, this clinic focuses on dietary changes that are simple yet effective. In , he has teamed up with international bestselling author and veteran health podcaster Jimmy Moore to explain what fasting is really about, why it’s so important, and how to fast in a way that improves health. Together, they make fasting as a therapeutic approach both practical and easy to understand. During our discussion, you'll discover: -Why Jason and Ben have different takes on whether or not to eat breakfast...[8:25] -The five different physiological stages of fasting...[16:45] -Why growth hormone actually goes up, not down, when you fast, and how the body uses this mechanism to maintain muscle...[30:15]  -Why fasting doesn't actually decrease your metabolic rate or cause you to go into to starvation mode...[33:20] -What kind of scenario would actually cause your metabolic rate to decrease with calorie restriction...[37:10] -Why most of the Biggest Loser contestants actually regained their weight after the show...[44:35] -The reason hunger gradually disappears during a fast...[49:55] -The shocking things that happen to your body when you do an extended fast...[56:35] -What refeeding syndrome is...[63:00] -And much more... Resources from this episode: - - Show Sponsors: Ample -  is a balanced healthy meal in a bottle with 20+ superfoods. Use code GREENFIELD for 15% off all first-time orders. TeloYears - Go to and use my special gift card code BEN10 to get 10% off your . Code valid through Aug 31, 2017. Hello Fresh - For $30 off your first week of deliveries, visit and enter code FITNESS30 when you subscribe! Marc Pro - Marc Pro: Pain Relief and Faster Muscle Recovery Time. For a 5% discount, use promo code “BEN” at . Do you have questions, thoughts or feedback for Jason or me? Leave your comments at  and one of us will reply!

This week welcome to the show Jason Fung. He is a Toronto based nephrologist. He completed medical school and internal medicine at the University of Toronto before finishing his nephrology fellowship at the University of California, Los Angeles at the Cedars-Sinai hospital. He joined Scarborough General Hospital in 2001 where he continues to practice. Questions we ask in this episode: Fasting can be intimidating and scary. ie: I will starve, waste-away and lose my muscle. Should we be fearful? Is fasting for everyone? The weight loss industry tells us to eat less calories, but snack between meals. Won’t fasting put us into starvation mode? Does fasting give us a license to eat whatever we want when we are not fasting? Can fasting benefit athletes and how would they apply it? Shop: http://shop.180nutrition.com.au/ This week, our awesome guest is Dr. Jason Fung, and we are getting into the topic of fasting. Now, fasting is a topic that we haven’t really covered on the podcast before. I do personally implement little bits of fasting in my life, so it’s great to get a guy that’s been studying it for the last four years and applying it to hundreds and hundreds of patients in his medical practice in the US. We cover things from fasting as an application to obesity, to diabetes, especially Type II, to then obviously just weight loss and the health maintenance and even in athleticism as well, you know, what are the precautions around it, what should be looking for, is fasting hard, can we eat whatever we do outside of fasting and so forth, and why should we do it. Should we be scared of it? Are we going to lose muscle mass? You know, all sorts of stuff. It’s all in there and it was fantastic. [00:01:30] We had Jason on and basically grilled him for 55 minutes to unleash as much knowledge as we could. No doubt you’re going to enjoy guys, and if you are enjoying the show, please leave us a review on iTunes if you can. Only if you enjoy them of course, but if you subscribe to it, five star it and leave a review for us. It just really helps other people find this podcast as well and get the information, just like yourself right now if you’re a regular listener. That’s one thing I’d ask for guys, and really appreciate it if you do. I read all the reviews and now we’d be happy to read them out on the podcast as well. Anyway, let’s go over to Jason Fung, enjoy. Hi, this is Guy Lawrence. I’m joined with Stuart Cook. Hi Stu, good morning. Stu Hello guys. Guy Our awesome guest today is Mr. Jason Fung. Jason, welcome to the show. Jason Hey, how are you? [inaudible 00:02:04] be here. Guy Thank you, mate. Did I pronounce your surname right? I should have asked you before we started Jason Yeah. Guy Yeah? Beautiful. Look, the first question I ask everyone on the show is if a complete stranger stopped you on the street and asked you what you did for a living, what would you say? Jason [00:03:00] I’m a kidney specialist by trade, so I’m a physician. I trained very conventionally, through internal medicine, and then I did a couple of years in Los Angeles for my nephrology. About 10 years ago now, 8 years ago now, I became very interested in the question of nutrition, obesity, because that’s really the core problem of what faces us in the medical world. A lot of the problems that we face are not what we used to face, which is infections and so on. They’re all metabolic problems, that is, Type II diabetes and all the problems that go along with obesity such as sleep apnea, high blood pressure, high cholesterol, and all those sorts of problems. They really take up probably about 40%–50% of the health care budget, so you know, modern Western nations, it’s a huge problem, and worse than that, it’s a growing problem. You’ve all seen the statistics on obesity and Type II diabetes kind of rises right along with that. [00:04:00] That’s where I really got interested in, trying to see where we kind of went wrong, because obviously what we’re doing was not working. We told everybody, you know, cut calories, eat less, move more. We’ve been saying the same thing for 30 years, we’ve been singing the same song, and nothing has worked. I don’t know why we would keep using it because we knew it didn’t work. That’s really where it came from, that I really started looking into, first, the problems with obesity and the very much related problems of Type II diabetes and how our treatments are really quite incorrect, and really how to properly treat them. Full Transcript & Video Version: http://180nutrition.com.au/180-tv/jason-fung-interview/

In this episode of Body IO® FM, Dr. Jason Fung discusses how he helps his patients manage and reverse type 2 diabetes through diet. He also explains how the all too common prescription of insulin to treat type 2 diabetes is wrong and causes insulin resistance. Dr. Fung completed medical school and internal medicine at the University of Toronto before finishing his nephrology fellowship at the University of California, Los Angeles at the Cedars-Sinai hospital. He joined Scarborough General Hospital in 2001 where he continues to practice. Learn more here: http://1b.io/mZ

Judy is at Scarborough General Hospital, undergoing emergency surgery while Cliff waits anxiously at home with his neighbour. The surgeon calls him in the wee hours with good… The post Lifeliner: Chapter 3 Podcast, Surgeries and Starvation appeared first on Shireen Jeejeebhoy.

Judy is at Scarborough General Hospital, undergoing emergency surgery while Cliff waits anxiously at home with his neighbour. The surgeon calls him in the wee hours with good news. Cliff is ecstatic. But not for long. Soon the pain rises again, stronger even than post-operative pain. Another surgeon opens her up again and shock stills… Continue reading Lifeliner: Chapter 3 Podcast, Surgeries and Starvation The post Lifeliner: Chapter 3 Podcast, Surgeries and Starvation appeared first on Shireen Jeejeebhoy.