Podcasts about street medicine

Access to healthcare is a human right, but for many who are unhoused and living on the streets,  staying healthy is nearly impossible. Without a stable address, many don't get regular care, leading to worse health outcomes, and the care they do receive is often limited to emergency rooms. To bridge this gap, NYC Health + Hospitals launched the Street Health Outreach & Wellness program, bringing essential medical care and social services directly to those in need through a fleet of mobile medical vans.In this episode, Dr. Michael Shen speaks with three dedicated social workers—Barney Chow, Eric Trujillo, and Chloe Frankel—who are on the front lines of Street Medicine. They discuss how the mobile vans provide medical care, harm reduction services, and mental health support in communities across New York City. The conversation explores the unique challenges of working with unhoused populations, how the team builds trust, and what it means to meet patients where they are—both physically and emotionally.Follow UsTwitter @NYCHealthSystemFacebook @NYCHealthSystemInstagram @NYCHealthSystemLinkedIn @NYC Health + Hospitals YouTube @NYCHealthSystem Related LinksSHOW Vans WebpageSHOW Vans VideoCity Council HearingPress ReleasePresented by NYC Health + Hospitalswww.NYCHealthAndHospitals.org

“Something You Should Know” is brought to you by GenesisGoldIRA.com. That is also something you should know! You can put your retirement on the GOLD STANDARD! Learn more at GenesisGoldIRA.com. We share fun things that are happening in the area and from time to time invite guests in to talk about their events!

This episode of the MiCare Champion Cast features Laura Ortiz, MD, Emergency Medicine Provider at Corewell Health William Beaumont University Hospital, who explores a collaborative effort that's enhancing access to care for vulnerable communities. The program, known as Street Medicine Oakland, is a collaborative effort between Corewell Health William Beaumont University Hospital and Oakland University William Beaumont School of Medicine that delivers free medical care to those experiencing homelessness in Oakland County. To learn more, visit: https://www.streetmedicineoakland.org/

What is street medicine? Is street medicine effective? What are the barriers to care for homeless people? What extracurriculars for medical students stand out on residency applications? Richard Bryce, DO, medical director of Street Medicine Detroit and program director at Henry Ford Health System discusses the importance of meeting patients where they are, addressing unique challenges faced by unhoused individuals, and the impact of street medicine on both patients and health care providers. Dr. Bryce also highlights the growth of street medicine initiatives in Michigan and the importance of community involvement in healthcare. American Medical Association CXO Todd Unger hosts.

Our panel of medical experts discusses this month's biggest health care headlines.

What does it take to provide healthcare on the streets? This episode follow up on our previous episode with Dr. Jim Withers, founder of the Street Medicine Institute. Join us as we explore the local initiatives of street medicine in Cincinnati with Keirsten White, Dr. Joseph Kiesler, Valerie Dowell, and Dr. Alexis Kimmel. Hear Valerie's moving journey to become a community health navigator and gain insights from Dr. Kimmel on addressing healthcare disparities for the unhoused in the emergency department. Finally, Dr. Kiesler discusses the intricate process of building trust with the homeless community and the importance of a consistent, multidisciplinary approach to care. Learn about the real-life obstacles faced by street medicine practitioners and how you can get involved.

Traditional medicine involves going to the doctor. How is medicine different when we bring the doctor to you? Could we do a better job treating addiction if we brought the doctor to the patient? Better yet - for our unhoused patients - shouldn't we be bringing the doctor to the patient given all the barriers they face? In this episode Dr. Grover interviews Dominique McDowell, who is an experienced healthcare provider – who has worked in a variety of clinic settings – but has done great work with his team using street medicine to treat patients with substance use disorders.

Pitt Street Medicine's emergency medical technician, Megan Stratford, calls in to talk to Larry about what they're doing to help those on the streets during this heat wave.

Amy talks with the Director of USC Street Medicine Brett Feldman about how shots instead of pills could change California's homeless crisis.

Andrew's guest on this episode is Dr. Jim Withers, founder of the Street Medicine Institute, an organization dedicated to facilitating and enhancing the provision of healthcare to the unsheltered homeless directly where they live. Tune in to hear about his visionary philosophy that led to the creation of the Street Medicine Institute, and how sometimes the best healthcare we can provide is by bringing our services directly to where they are most needed.

NextGen Healthcare is taking a methodical approach to AI and deploying it in places based on customer demand and where it will have maximum positive impact. Right now, that means using ambient clinical voice to generate SOAP notes. The company is also delivering more mobile capability to enable street medicine. In an exclusive interview with Healthcare IT, David Sides, Chief Executive Officer and Dr. Robert (Bob) Murry, Chief Medical Officer at NextGen Healthcare (NextGen) sat down to explain their AI strategy, their view on AI in healthcare, and their plans to support customers with street medicine programs. We caught up with them at their 2023 User Group Meeting (#NextGenUGM23) in Orlando Florida. Learn more about NextGen at https://www.nextgen.com/ Find more great health IT content at https://www.healthcareittoday.com/

We're lucky to have Dr. Luis Manriquez with us for today's episode. Dr. Manriquez is a board-certified doctor. His passion is exploring the spectrum of health from acute disease to social factors and their effect on health. You can find him working with people experiencing homelessness on street medicine, working with community partners to create a healthier Spokane for all and teaching students as a clinical assistant professor at WSU's College of Medicine. Hosted by Emma Hughes (Outreach and Recruitment Director) and Joe Ader (Executive Director) of Family Promise of Spokane Guest: Dr. Luis Manriquez (CHAS) Terms, Articles and Links referenced in this episode: ⁠Street Medicine⁠: a program set up to provide care to the homeless population where they are and facilitate the connection between homeless service organizations and healthcare. Spokane Street Medicine #509-481-3152  Street medicine official website Inside Efforts to Provide Health Care to Youth Who Are Unhoused. Integrating Social and Health Equity into Medical Education and Practice CHAS street medicine team provides medical care to homeless and vulnerable populations Mortality of US Homeless Population Homeless People Are 16 Times More Likely to Die Suddenly How Washington is treating housing as health care Health Insurance Coverage in the United States: 2022 Millions of Americans live nowhere near a hospital, jeopardizing their lives | CNN Youtube Video: Street Medicine With Dr. Luis Manriquez  ED: Emergency Department

Rachel Richmond, RN and Helena Turner, NP OHSU Street Nursing Team Hannah Whitescorn and Danielle Pinn, OHSU Students CME Credit Available for all Providence Providers In order to claim CME credit, please click on the following link: https://forms.office.com/r/zPCvyHfwTR⁠⁠⁠⁠⁠⁠ (or copy & paste into your browser) Accreditation Statement: Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1  creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Planning Committee & Faculty Disclosure: The planning committee and faculty have indicated no relevant financial relationships with an ACCME-defined ineligible company. Their planning contributions were evidence-based and unbiased. All financial relationships (if any) have been mitigated. Original Date: November 16, 2023 End Date: November 15, 2024

Rachel Richmond, RN and Helena Turner, NP OHSU Street Nursing Team Hannah Whitescorn and Danielle Pinn, OHSU Students CME Credit Available for all Providence Providers In order to claim CME credit, please click on the following link: https://forms.office.com/r/zPCvyHfwTR⁠⁠⁠⁠⁠⁠ (or copy & paste into your browser) Accreditation Statement: Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1  creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Planning Committee & Faculty Disclosure: The planning committee and faculty have indicated no relevant financial relationships with an ACCME-defined ineligible company. Their planning contributions were evidence-based and unbiased. All financial relationships (if any) have been mitigated. Original Date: November 16, 2023 End Date: November 15, 2024

Mírnit utrpení a pomáhat lidem, kteří nemají přístup k běžné zdravotní péči, především bezdomovcům. To je cílem projektu Street medicine.Všechny díly podcastu Co vás zajímá můžete pohodlně poslouchat v mobilní aplikaci mujRozhlas pro Android a iOS nebo na webu mujRozhlas.cz.

Open enrollment for Medicare beneficiaries with private health plans began Oct. 15, to be followed Nov. 1 by open enrollment for Affordable Care Act plans. The selection for both is large — often too large to be navigated easily alone. And people who choose incorrectly can end up with unaffordable medical bills. Meanwhile, those on both sides of the abortion issue are looking to Ohio's November ballot measure on abortion to see whether anti-abortion forces can break their losing streak in statewide ballot questions since the overturn of Roe v. Wade in 2022. Alice Miranda Ollstein of Politico, Lauren Weber of The Washington Post, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join KFF Health News' Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KFF Health News' Arielle Zionts, who reported and wrote the latest KFF Health News-NPR “Bill of the Month” installment about how the cost of chemotherapy varies by state. Plus, for “extra credit,” the panelists suggest health policy stories they read this week they think you should read, too: Julie Rovner: NPR's “How Gas Utilities Used Tobacco Tactics to Avoid Gas Stove Regulations,” by Jeff Brady. Lauren Weber: KFF Health News' “Doctors Abandon a Diagnosis Used to Justify Police Custody Deaths. It Might Live On, Anyway,” by Markian Hawryluk and Renuka Rayasam. Joanne Kenen: The Washington Post's “How Lunchables Ended Up on School Lunch Trays,” by Lenny Bernstein, Lauren Weber, and Dan Keating. Alice Miranda Ollstein: KFF Health News' “Pregnant and Addicted: Homeless Women See Hope in Street Medicine,” by Angela Hart. Hosted on Acast. See acast.com/privacy for more information.

Rebecca Karb, MD, PhD, Co-Director, Comprehensive Stroke Center, Rhode Island Hospital, Attending Physician, Emergency Medicine, Rhode Island Hospital and House of Hope's Director of Outreach Sara Melucci join the show to discuss Lifespan's Street Outreach Program which seeks to provide direct care to vulnerable Rhode Islanders. Support the show

In this episode Jennifer talks to Police Chief Chris Cammock about his considerable experience, training with the FBI, how police training has changed, and more. If you'd like to submit a question or an AMA episode or would like to work with us to improve your public service team, go to: www.teamprotego.com

As Chief Health Equity Officer, Dr. Pooja Mittal is charged with improving equity and care for Health Net's 3 million California members. She brings a strong data focus, skills in community organizing and a passion for social justice to this work – continuing her mother's path as a family practice doctor working with farmworkers in California. We discuss: Co-designing more equitable outcomes with communities and membersHow member grievance and appeal data provides a roadmap to missed opportunities, discrimination and road blocksHealth Net's experience implementing a doula benefit which laid the groundwork for statewide rollout of doula services in Medicaid The importance of reducing complexity and administrative barriers for new community partnersDr. Mittal tell us how she combats fatigue on the road to health equity:“How do I continue the work? … I try and think about the power of radical incremental change … How every little thing that we do actually has the power to have ripple effects that improve health for people, broadly. And so that's one way I sort of combat that. And then the other is really coming back to my why … Why am I in this work? Why does it matter to me, and what am I trying to accomplish?”Relevant LinksStreet Medicine - MLKCH and Expanding Access to Care (Page 5)Street Medicine - $1.5M USC Grant Unhoused - $114M with LA Care Health Plan COVID Support - Initiatives COVID Support - RV Program About Our GuestDr. Pooja Mittal is Medical Director of Health Equity at HealthNet, a Medicaid managed care organization. She is a family physician and uses this lens to design strategic initiatives to improve care for the most vulnerable. She is a member of the leadership team that works to further equitable care through a population health model for all HealthNet members. She has an expertise in digital health through her work in the HealthNet Digital Platforms Workgroup devising a defined digital strategy to support quality and member engagement.Dr. Mittal also works at the National Clinicians Consultation Center at UCSF, a national HIV/AIDS warmline, where she is recognized as a national expert on Perinatal HIV care. She is an Adjunct Associate Professor at University of California, San Francisco and Stanford University School of Medicine. In addition to her clinical work, she has published in the areas of well-child care, group visits, preconception care, health equity and perinatal...

If you'd like to submit a question or an AMA episode or would like to work with us to improve your public service team, go to: www.teamprotego.com

If you'd like to submit a question or an AMA episode or would like to work with us to improve your public service team, go to: www.teamprotego.com

A dispatch from the Coachella Valley — one of the areas hardest hit by Tropical Storm Hilary. What street medicine teams could do for unhoused people living with a psychotic spectrum disorders. A SoCal team competes for the Little League World Series U.S. title. Plus, more. Support The L.A. Report by donating now at LAist.com/join and by visiting https://laist.com.Support the show: https://laist.com

On today's episode of The Confluence: Many consider Pennsylvania's probation system to be outdated, but the most recent push to fix it is opposed by some civil rights advocates who say this update could make the system worse; Medicaid will now reimburse Pennsylvania providers who practice street medicine, giving medical care to unhoused people in non-clinical settings; and a look at whether poor air quality alerts in the Mon Valley apply to those living further away from the Mon River.

Content Warning: Drug & Alcohol Use, Overdose  Host Tammy Kremer sits down with Braunz Courtney to speak on how he practiced strategies of harm reduction at the age of 11 before he knew what the term meant. He went from dancing shirtless to raise awareness of the prevalence of HIV/AIDS in queer Black communities to serving as the Executive Director of the HIV Education Prevention Project of Alameda County. He touches upon the importance of organizations that understand the lived experiences of the populations they serve.   Connect with HEPPAC on Instagram and Twitter.  Resources:  National Harm Reduction Coalition  Cal-Pep  Oakland LGBTQ Center  CAPTC-Related Training and Resources:  Syringe Services Programs Workshop Breakout Session 6: Mobile Harm Reduction, Street Medicine as a Medical Home   Don't forget to follow us on Spotify or wherever you get your podcasts, and turn on notifications to never miss an episode.  Send us a message on Instagram @comingtogetherpod, Twitter @californiaptc, or email us at comingtogetherpod@ucsf.edu.  Bio: Braunz Courtney is the Executive Director of the HIV Education Prevention Project of Alameda County. He serves PWUDs, the unhoused homeless, LGBTQ+, youth, and the recently released/reentry of the Alameda, Contra Costa, and Solano Counties. He creates, implements, and markets culturally appropriate programs that provide services in non-clinical settings to BIPOC communities throughout Northern California East Bay with a goal of having long lasting public health impacts.   Read the transcript of this episode.  

Collaborative efforts of Street Medicine Programs that work across disciplines and sectors to meet the complex health needs of individuals experiencing homelessness. Guests: Jeffery Hanna, MPH, MSc, Robert Fauer, MD, Brett Feldman, MSPAS, PA-C, Catherine Miller, BSc, Justin Zeien, MD, MPH. Continuing Education Credits, Transcript, and additional Resources available at: https://moodle.publichealth.arizona.edu/course/view.php?id=499

Episode 136: Street Med 2.      Future Dr. Bedi presents the history and purpose of street medicine and shares why she became interested in this topic. Dr. Saito tells his personal experience and shares the particular challenges of unhoused patients.Written by Indudeep Bedi, OMS III, MSIII, Western University of Health Sciences. Comments by Steven Saito, MD. You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Indu: I want to talk about street medicine in some general terms, as well as Tracy Kidder's article published in the NYT this year, called "You have to learn to listen," which is based on Kidder's book Rough Sleepers, on Dr. Jim O'Connell's work with the Boston homeless community.  Dr. Saito: Let's start by talking about street medicine in general. What exactly is street medicine? Street medicine was a term coined by Dr. Jim Withers, from Pittsburgh, who has been practicing the art since the 90s. He founded the Street Medicine Institute (SMI) in 2009, which strives to connect providers worldwide to address homelessness. Providers practice healthcare, of course, but first and foremost, it is about building relationships and demonstrating you are one of them instead of the power differential that usually exists in our system. It requires a paradigm shift, and it's a shift in thinking. Dr. Jim Withers himself, for example, began to wear ragged clothes and put dirt in his hair to show these vulnerable individuals that he was accepting of who they were and respected them for it. In return, they respected him. Dr. Saito: Do you know of other programs which exist? There are a bunch of programs now that have spurred up, such as Doctors without Walls, San Francisco's community health center, of course, are very own CSV, and the Boston Pine Street shelter, which I will talk about more. The SMI publishes an annual report, and there are about 50 independent street medicine programs nationwide. Many global programs have sprung up, too. An international street medicine symposium was founded in 2005. In general, this is an excellent community of providers who can share best practices regarding this unique population. Even a student coalition at the SMI helps get student-run programs off the ground. Dr. Saito: What is one of the homeless community's biggest problems? That is a tricky question because of the complexity surrounding this issue. I will tackle this by answering that housing is one of the most considerable problems. The housing may be either transitional or permanent. Transitional operates to get the individual immediately off the street. In contrast, permanent housing takes longer to find, but many charities have bought real estate to create permanent housing. Permanent housing also includes the individual being vetted, in a lot of cases, to make sure that they will do okay if they have a place of their own. Are they able to be independent? Can they pay rent? Do they have a job? In 2009, however, a new program was implemented known as Housing First. This social program provided "a no-strings-attached" housing to the homeless population with substance use and mental health problems. What was great about this program is it was found that the relapse rate was much lower in this population when compared with other programs. In 2018, however, due to gentrification and rent increases, there was a very steep rise in homelessness in cities on the west coast, such as Seattle, San Francisco, and Los Angeles. To combat this, many state-wide programs were established that work with healthcare providers to provide these individuals with the help they need. Dr. Saito: What is the article "You have to learn to listen" about?I would first like to read a short excerpt from the article: "In American cities, visions of the miseries that accompany homelessness confront us every day — bodies lying in doorways, women standing on corners with their imploring cardboard signs dissolving in the rain. And yet, through a curious sleight of mind, we step over the bodies, drive past the mendicants, return to our own problems. O'Connell had spent decades returning, over and over, to the places that the rest of us rush by." Dr. O'Connell completed his IM residency at Mass General in Boston and was about to move on to an oncology fellowship when he was approached by some colleagues with a request to take a position as a physician for one year in a grant-funded program from the city of Boston to address homelessness in the 1980s. The program operated outside of Pine Street Inn homeless shelter. One of the initial experiences that Kidder describes Dr. O'Connell having was his first day of being there, being surrounded by stern-faced nurses who obviously knew more than he did about this niche population. He really had to prove himself to them and the individuals who were homeless. Soon after he joined, Dr. O'Connell met a nurse by the name of Barbara McInnis, who told him, "I really think we want doctors, but you've been trained all wrong. If you come in with your doctor questions, you won't learn anything. You have to learn to listen to these patients." Nurse McInnis also taught Dr. O'Connell a common practice at their shelter, which was to soak patients' feet by filling a tub and pouring in betadine, as a lot of the population did not have footwear. This reflection of "placing the doctor at the feet of the people he was trying to serve" is beautiful. That is precisely what street medicine is about. Dr. O'Connell has been managing the street medicine program at Pine Street since then, and that oncology fellowship remains forgotten. The program he is a part of now has 19 other shelters in order to tackle Boston's growing homelessness problem. However, it was apparent to Dr. O'Connell a few years in that these shelters were not really making a difference in terms of curbing the amount of homelessness. That problem was still continuing to grow. In addition, many other systemic issues were leading to the rise in homelessness, such as the AIDS epidemic around the time, lack of welfare programs, gentrifications, etc. But the difference was being made in the sense that these individuals who had been pushed to the margins, who were overlooked, and who were in essence burned by the healthcare system in one way or another and highly suspicious of providers for that reason, were now able to be coaxed into receiving and accepting the help they needed. This was done by, as said previously, placing the physician at the feet of the people he was trying to serve.Over the years, the program continues to grow and even created a new clinic with beds, offering housing vouchers, but it also faces other problems, such as funding and efficiency. A significant focus for the homeless community is housing options. And most people will do really well after being housed, while for others, finding housing brings more troubles with it when they need to be continuously moved from home to home to avoid eviction. I think a lot of it has to do with the lack of resources that come with housing. Homelessness is so complex that finding a home is simply not enough, and these individuals can again fall through the cracks if those other issues are not addressed. While street medicine does a lot of good, it is a harsh reality that individuals have a low life expectancy and will die of this homelessness because of the other issues that remain a constant in their lives, such as substance use, HIV, AIDS, and mental health issues. Dr. Saito: How did you come to be interested in this topic?I have been interested in street medicine for a while now. I volunteered in some projects that exposed me to the perils facing the population, especially for addiction. For example, I had an excellent opportunity to work with an organization that would put up tents to test the communities for HIV and connect them with resources if needed. We would specifically go to the areas where people who were homeless or of low SES tended to congregate. I really started to think about it more recently when I encountered a patient on the Infectious Disease service who was incredibly complex in an immunocompromised state due to AIDS, with multiple hospitalizations and pretty much every infection under the sun. He was what we commonly refer to as non-compliant because of substance use, and whenever we found placement for him upon discharge, he would run away from that home. I think, as providers, we are very quick to judge and label patients as non-compliant without pausing to understand the nuances of their condition. He would later continually return to the hospital in an acute exacerbation of his illness. With each hospitalization, his baseline continues to worsen. And I was deeply saddened to come across such a patient and also recognized within myself this frustration with the system in which we operate. I am a bit despondent about his outlook, and the work of the CSV team is critical to these rough sleepers. ____________________Conclusion: Now we conclude episode number 136, “Street Med 2.” Future Dr. Bide recounted the experience of Dr. O' Connell and some of the challenges faced by our unhoused patients. Dr. Saito added his personal experience and reminded us that compliance with medications may be difficult in unhoused patients. Here in Clinica Sierra Vista, we are proud of our street medicine program, and we hope many more volunteers would join us in our mission to bring “health for all.”This week we thank Indudeep Bedi, Steven Saito, and Hector Arreaza. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Meyers, T. (2022) Understanding the practice of Street Medicine, Direct Relief. Direct Relief. Available at: https://www.directrelief.org/2022/02/understanding-the-practice-of-street-medicine/.Balasuriya, L. and Dixon, L.B. (2021) Homelessness and mental health: Part 2. The impact of housing interventions. Psychiatry Online. Available at: https://ps.psychiatryonline.org/doi/10.1176/appi.ps.72504.Atherton, I. and Nicholls, C.M.N. (2012) Housing first as a means of addressing multiple needs and homelessness. European Journal of Homelessness. European Observatory on Homelessness. Available at: https://dspace.stir.ac.uk/handle/1893/9035#.ZCRWKBXMKdY.Kidder, T. (2023) You have to learn to listen: How a doctor cares for Boston's homeless. The New York Times. Available at: https://www.nytimes.com/2023/01/05/magazine/boston-homeless-dr-jim-oconnell.html.Street Medicine Institute Annual Report (2021). Street Medicine Institute. Available at: https://stmi.memberclicks.net/assets/AnnualReport/Street%20Medicine%20Institute%202021%20Annual%20Report.pdf.Royalty-free music used for this episode: “Gushito - Burn Flow." Downloaded on October 13, 2022, from https://www.videvo.net/

This week, Our Community host Candice Michel catches up with Brookings CORE Response Executive Director Diana Cooper, and chats about several of CORE's projects, Winter Warming, the Warming Center, Project Turnkey, and a new project in the works, Street Medicine. Hostt: Candice Michel; Guest: Brookings CORE Response Executive Director Diana Cooper; Producer: Candice Michel The […]

We speak with the Director of the Keck Street Medicine program at the University of Southern California about their incredible program caring for those experiencing chronic homelessness in the streets of Los Angeles. We talk about their clinical care, but also the importance of research, service, and teaching others how to build their own street medicine teams and learn how PAs have made a difference in this work internationally.

ICYMI: Later, with Mo'Kelly Presents – Thoughts on the senseless murder of Cash App founder Bob Lee on the streets of San Francisco AND the CalOptima Health street medicine program coming to Garden Grove…PLUS – An the shocking discovery of a ‘dog dumping ground' discovered in Lancaster, CA. on KFI AM 640 – Live everywhere on the iHeartRadio app

L.A. is collecting a new tax on big-money property sales, but it's not spending that money on affordable housing like it planned to; Do you earn enough to buy a median-priced home in California?; Street medicine comes to Garden Grove, and more. Support The L.A. Report by donating now at LAist.com/join  Support the show: https://laist.com

EMpower: Street Medicine with Dr. Theresa Nguyen and Alana Moore by AAEM Resident and Student Association Podcast

Dr. Mike Lauria is an emergency physician with a background as a paramedic, flight paramedic, and an elite special forces Pararescueman in the Air Force. In this amazing 7 Things, Dr. Lauria combines this experience into 7 Things that will help you be a better EMT or paramedic on the street. Don't miss it!Get CE for listening! 1 hour CAPCE-approved F3 CE (basic). Purchase here: https://www.lc-ready.com/store/details/88-7_things_street_medicine

In today's episode we meet Eddie Menacho, PA who practices Internal Medicine, Street Medicine. After finding out his dad had stage four cancer, you'd expect Eddie to break, and marked what he calls one of his kyros moment. Get to know the work he's doing in order to help the community through Medicine and through his business BrainBox MED to help students become competitive applicant to top programs across the country. Follow Eddie: EddieMenacho Follow Echale Podcast: @EchalePodcast l Jose Quintero l & Business Inquiries: Echalepodcast@gmail.com Follow us on Tik Tok: @EchalePodcast View us on Youtube: Youtube.com/echale

0:08 – Guillaume Long (@GuillaumeLong), senior policy analyst at the Center for Economic and Policy Research (CEPR). He was formerly Ecuador's Permanent Representative to the United Nations in Geneva. 0:33 – Sameea Kamal (@SameeaKamal), reporter for CalMatters covering the state Capitol and California politics. 0:42 –  Olivia Debree, is a Nurse Practitioner and Associate Medical Director of Street Medicine at Lifelong Medical Care Moni Law, chair of the Berkeley Community Safety Coalition The post Lula DaSilva's back in charge of Brazil; What's happening in California's new legislative session; Plus impact of storms on Berkeley's unhoused people appeared first on KPFA.

Street medicine providers aim to meet — and treat — unhoused people where they are. And new state regulations are making it a lot easier for them to do that. Last year, the LA City Council passed an ordinance requiring most new buildings to be fully electric. Without gas, how people cook could fundamentally change. 

An unexpectedly strong storm resulted in extensive flooding and damage to the Sacramento region on New Year's Eve. Street medicine teams bring healthcare into homelessness encampments across the state. The psychology behind wellness to thrive in both mind and body.   NYE storm

In this month’s episode, Assistant Editor and Host Dr. Amy Ho is on the scene in Fort...

Whether you're a small faith-based college or one of the largest schools in the country, immersive storytelling is a powerful marketing tool. First-hand authentic accounts of student culture, the classroom, and your faculty give recruits exclusive insight into your school's vision. Terri Hughes, Director Of Communications at Michigan State University - College of Osteopathic Medicine shared with us how their students are crafting remarkable stories through their unique offerings. Join us as we discuss examine some of the challenges one of the nation's largest med schools is facing and how they're tackling them: - Mission-fit opportunities at MSU's College of Osteopathic Medicine (7:57) - The impact of the school's Street Medicine community outreach (12:47) - Why first-hand stories are critical to higher ed marketing (18:34) Check out these resources we mentioned during the podcast: - Michigan State University - College of Osteopathic Medicine - Spartan Street Medicine - hughes260@msu.edu To hear this interview and many more like it, subscribe on Apple Podcasts, Spotify, or our website or search for The Higher Edge in your favorite podcast player.

Julia Sieff is an outreach EMT working with the homeless population of South Central Los Angeles. She graduated from the University of California Santa Cruz in 2019 and is currently studying Pre-Medicine and General Science studies at UCLA Extension. Julia brings her EMT skills directly to her patients by providing wound care and health education on the streets of LA. She is preparing to apply to graduate school for a Master's in physician assistant studies, after which she plans to continue to provide accessible, high-quality health care to the underserved.  Thank you to those who have rated us!Please go ahead and follow us on the different social media platforms listed below!Vardians Connect!Facebook LinkedInInstagram Twitteremail: healthcareboulevard@gmail.comLife Boulevard... Tune in to the Lessons and Shenanigans

Welcome to Discover More Podcast. Congratulations on choosing curiosity over complacency. Let's get this started. This week's guest is Brett Feldman. Brett is the Director and Co-Founder of the Street Medicine Division at Keck School of Medicine of USC. Concurrently, Brett also serves as the Vice-Chair of the Street Medicine Institute and is a clinical assistant professor of Family Medicine. His work has been featured in the Washington Post, LA Times, PBS, CNN, and TEDxTalk. He has practiced street medicine in Allentown, Pennsylvania, and Los Angeles, California for over 16 years. With his incredible work, Brett has been awarded the Pennsylvania Society of Physician Assistants Humanitarian of the Year Award, Lehigh valley Healthcare hero Award, and more. Brett has published 2 peer-reviewed articles, which focus on the prevalence of homelessness and can be found on PubMed. Brett shares some of the most heartwarming stories from his street medicine work providing care to individuals experiencing homelessness. Do you ever wonder why homelessness is getting worse in America? Do you know how homeless individuals seek healthcare? Is there hope in treating homelessness? Expect to learn about Brett's incredible work treating homeless individuals through street medicine, the philosophy of street medicine, why love alone cannot solve homelessness, the most prevalent barriers to treating the homeless, and why spiritual poverty is much more dangerous than material poverty, and more. Let's get this started. Show Notes Brett's Website: https://keck.usc.edu/faculty-search/brett-feldman/ Brett's Email: brettfel@usc.edu Brett's TEDxTalk: https://www.ted.com/talks/brett_feldman_street_medicine_caring_for_the_homeless_with_radical_humility * Subscribe to Youtube: https://www.youtube.com/c/discovermorepodcast?sub_confirmation=1 Follow DMP on Instagram: https://www.instagram.com/discovermorepodcast/ Connect with Benoit on Instagram: https://www.instagram.com/benoitkim/ * Welcome to Discover More Podcast, a community for seekers of curiosity & mental health insights. I am your host, Benoit Kim. A trilingual Korean American veteran and former policy maker. I became a clinician after witnessing the nonnegotiable of mental health and nuanced perspectives in our everyday life. I intend to connect and dissect the intricacies of life by talking to the most fascinating humans I can find. * Thank you for Discovering More with us! --- Support this podcast: https://anchor.fm/discovermore/support

In this episode, we welcome Lucy Tamberrino(lucydt@bu.edu), Director of Community Integration at Chicago Street Medicine and a recent graduate from Sargent's Occupational Therapy Doctoral Program. Lucy shares her journey since her first feature on the podcast two years ago, from her capstone project on Occupational Therapy in Street Medicine to paths after graduation. About Street Medicine: Street Medicine includes health and social services developed specifically to address the unique needs and circumstances of the unsheltered homeless delivered directly to them in their own environment. The fundamental approach of Street Medicine is to engage people experiencing homelessness exactly where they are and on their terms to maximally reduce or eliminate barriers to care access and follow-through. Visiting people where they live – in alleyways, under bridges, or within urban encampments – is a necessary strategy to facilitate trust-building with this socially marginalized and highly vulnerable population. In this way, Street Medicine is the first essential step in achieving higher levels of medical, mental health, and social care through assertive, coordinated, and collaborative care management. The podcast moderator is Dr. Karen Jacobs (kjacobs@bu.edu), who is the Associate Dean, Digital Learning and Innovation, a Clinical Professor and the Program Director for the online post-professional doctorate in the occupational therapy program at Sargent College. Marial Williams (marialw@bu.edu), a Boston University entry-level occupational therapy doctoral student, composed the music for the podcast.

Jennifer Zamora, a physician assistant from California, joins Dr. Mike Chupp to share about how she is actively engaging with students to provide street medicine to the homeless and underserved in her local community on this week's CMDA Matters podcast.

Hot Topics Include: Unconventional leadership. Taking risks and identifying opportunity. Paving the way for big change A powerful and emotionally moving story from a well respected doctor taking medicine out to the streets, a road the practice of medicine doesn't often travel. 

Medical student Dan Bergholz saw firsthand the gaps in health care available to un-housed individuals and decided to bring house calls streetside. Dan joins the podcast to share his journey from growing up in the Chicago suburbs to entering the street medicine movement to build Miami Street Medicine, a program with the goal of improving his community's access to medical care. Tune in to hear how these doctors are filing the gaps to provide accessible care for their neighbors and put Miami on the mend. It's just what the doctor ordered!

Today we hear about thousands of San Franciscans that live with untreated hepatitis C and how a mobile van is breaking down barriers to provide treatment. Then, we learn about another Bay area mobile health team that brings medication to people with addiction and living on the streets. Then, we answer a listener's question about Redwood City's slogan. And, we'll hear a reading from Oakland author, Mary Roach.

Listen as our hosts sit down with Dr's Chad Holmes and Hunter Scarborough to discuss the topic of street medicine and how it can be a part of every EP's clinical practice. Remember, we are the official podcast of the ACOEP. Visit acoep.org to learn more about this organization and to possibly register for an upcoming CME event.

For more than 30 years, the Mount Carmel Street Medicine program has been providing free urgent medical care to central Ohioans whom are uninsured or underinsured. The Street Medicine team serves individuals experiencing homelessness, refugees, immigrants, victims of human trafficking, and anyone who has barriers accessing medical care.My guest is Laura Imbrock, a Mount Carmel Street Medicine case worker.The Street Medicine team is comprised of a comprehensive team of healthcare professionals, including a family practice physician, family nurse practitioner, psychiatric nurse practitioner, registered nurses, medical technicians, bilingual case workers, and community paramedic who are prepared to provide the most needed care and support.https://www.mountcarmelhealth.com/about-us/community-benefit/outreach-programs/mobile-medical-coach-and-street-medicineEmail me, Lisa Stockdale, anytime at aginginfullbloom@gmail.comAging In Full Bloom is sponsored by Capital Health Care Network, an Ohio based, family owned and operated company, providing solutions that help seniors age on their own terms. Those solutions include home care, senior living, nursing home and rehab care, and hospice. Learn more at http://www.CapitalHealthCareNetwork.com. Follow the podcast on Apple Podcasts, Google Podcasts, iTunes, Stitcher, or your favorite podcast player. Android user? http://www.subscribeonandroid.comHELP US SPREAD THE WORD!We'd love it if you could please share this podcast with your social media friends! If you liked this episode, please leave us a rating and a review in your podcast player.

UCSB classes are just two weeks away, and students are using words like “desperate” and “abandoned” to describe their search for housing. Some hope the school can provide motel rooms, while others are planning to live in their cars or quit school altogether. More than two dozen street medicine programs in California hope a new state bill will allow them to be reimbursed by Medi-Cal. One LA-based nonprofit provides unhoused residents with beauty services like haircuts, hair extensions, fake eyelashes, and makeup.

As California's crisis of people experiencing homelessness continues to deepen, a major player in the state's healthcare system is stepping up with a new approach to providing them with the healthcare services they need. “Homeless patients so often have distrust of the healthcare system,” observes Dr. Michael Hochman, who is leading SCAN's Homeless Medical Group Initiative. “You've got to re-establish that trust to really be able to help them.” Dr. Hochman has long found himself drawn to caring for the underserved, and loves the feeling of watching his patients' lives get back on track. To provide effective care, he argues, doctors need to meet patients where they are, which in some cases may be a street corner or under a bridge. Tune in to this episode of Raise the Line to hear him talk with host Dr. Rishi Desai about what's behind SCAN's approach and the challenges of providing mental health and substance use services on the street. Learn why Dr. Hochman believes in loosening drug regulations, greater flexibility in the use of healthcare dollars for health-related social services, and higher reimbursement rates for groups caring for high-risk patients. Plus, hear his advice for students and his view on the need to radically rethink how we deliver care.

On this episode we interview Patrick Brooks.  Patrick shares his stories about finding his path through life. His willingness to pivot and follow his passions led him through a storied journey from a career in music to international education to humanitarian work. Get to know Patrick and his amazing work on this episode of the Behavioral Karma Podcast.

Columbus, Ohio-based Mount Carmel Health System goes beyond the walls of its hospital to serve its community and patients through programs such as Street Medicine, which provides free urgent medical care to underinsured or uninsured individuals. Hear from Mount Carmel's Brian Pierson, vice president of community health and well-being, and Lisa Wahoff, R.N., who also talk about the importance of the 340B Drug Pricing Program and how it allows the health system to provide important community services and programs.

Guests: Bryan Johnston, MD & Josh Matzke - Medical College of Wisconsin

In the 2019 Pottstown Hospital Community Health Needs Assessment, one of the top identified health needs was increased access to healthcare for the homeless population. Pottstown Hospital - Tower Health jumped into action to address this need, launching its new Street Medicine program, which works to provide primary and urgent care to the homeless population of Pottstown. On this episode of Chamber Chat, Casey Fenoglio, MPH, CHES shares more on the Street Medicine program and how it's bridging the gap between the homeless and healthcare. Learn more about the Street Medicine program: https://towerhealth.org/articles/tower-health-medical-group-and-access-services-partner-bring-street-medicine-pottstown Learn more about Pottstown Hospital - Tower Health: https://towerhealth.org/locations/pottstown-hospital Learn more about Chamber Chat: https://www.tricountyareachamber.com/news-releases---publications/chamber-chat.aspx

In this episode, second-year medical student Nicole Ovregaard talks with Drew Grabham, LCSW about his outreach work with Portland Street Medicine (PSM). They discuss the inner workings of street medicine, the importance of wellness in...

ThoughtCo Article on Why Veins are Blue and more

Reporter Clara Harter gets into the nitty-gritty with former Santa Monica Mayor and current State Assemblymember Richard Bloom on his upcoming run for the LA. County Board of Supervisors. Together they discuss some of the most pressing challenges that will be facing Angelenos in the coming years including homelessness, housing affordability, and climate change. Assemblymember Bloom shares what he thinks should be done to decrease the number of people living on the streets and why he fears there may be a mental health epidemic following the pandemic.

In this episode of Wine, Women, and Revolution, Heather is joined by a comrade, Pinky to talk about street medicine. Pinky has been trained and served as a street medic at a number of events. They talk about some of specifics of doing medicine in a protest environment as well as some basics that you could use yourself if there is some reason you cant reach a doctor. This episode if the first of a multipart series about mutual aid and self and community care for challenging times. things are tumultuous and the world is changing. This series will help you be more prepared for whatever the world throws at you. Transcript Auto-Generated Pinky 0:00There was a particular joining between recognizing the need for Community Health alongside different groups, primarily, the Black Panthers was one to recognize that need Heather Warburton 0:18This is Wine, Women and Revolution with your host, Heather Warburton. Hi, and welcome to Wine Women and Revolution. I’m your host Heather Warburton coming at you here on Create Your Future Productions. You can find us online at www dot your future creator . com. Follow us on all the social medias and get us wherever you get your podcast from. Today. Well, let me start off first with a little disclaimer for this. I’m not a medical professional, the person I’m interviewing is not a medical professional. So neither one of us are trained practicing doctors. But we are going to be talking a little bit about street medicine tonight. And this is kind of the first episode in a new series, I’m going to start bringing you practical skills on how to survive whatever may be coming. Things are kind of tumultuous right now. We don’t really know what the future looks like there. civil unrest, climate change, just natural disasters, there’s all kinds of things that really kind of could be impacting us in the future. So I’m going to lay out some practical organizing survival. And as we’re talking about today’s street medicine skills for you guys to really use no matter what situation you might find yourself in. So without further ado, let me introduce to you my guest. They’re a good comrade of mine. I’ve known them for years now we’ve organized together Pinky, welcome to the show. Pinky 1:46Hey, Heather, thanks so much. Thank you for having me. Heather Warburton 1:49Thank you for being here. Like I said, You’re a great comrade. I love some of the work you’re you guys doing with your organizations that you’re a part of. But tonight I really wanted to talk about you’ve been trained in street medicine, right? Pinky 2:02Correct. Yeah. So I can give a little bit of, you know, my own personal background, as well as kind of general history in this part of the world, we’re getting straight medicine, and really where it came from, and then kind of what that looks like. Heather Warburton 2:17Perfect. Pinky 2:17I have been doing street medic work for about, I would say, a year and a half, two years roughly, in New Jersey, and you know, our surrounding region. And kind of what made me feel more comfortable slipping into that role, as opposed to other roles that I’ve had is just kind of some ancillary background in terms of just more professional stuff that I’ve done. So I’m first aid certified and CPR certified, and have done that informally as a part of different jobs that I’ve had. So that was something I felt comfortable doing, obviously, not in the capacity of a doctor or anything like that. But I felt confident in terms of typical or average things you would see within the context of protests, or, you know, being on the street for a variety of different capacities. So really, I guess where the, I guess history of street medicine can be traced in the

People experiencing homelessness in Kern County are eligible for the COVID-19 vaccine under the state’s guidelines. Now, a street medicine team is the first in Kern County to take mobile vaccine clinics to remote homeless encampments. On Thursday, the Clinica Sierra Vista Street Medicine Team administered 25 doses of the Johnson and Johnson vaccine to unhoused people living behind the Rosedale Inn in Bakersfield. Dr. Mathew Beare said it took a lot of time and trust building to get people to agree to take the vaccine. “Speaking with them before we’ve had some people say ‘yeah I don’t know if I’m going to get it’ and then I’ve had people who are outright like ‘I didn’t want to get it, but if you’re telling me I should get it then yeah I’ll get it,’” he said. The team has been visiting remote encampments in the county for almost a year. If they hadn’t built those connections prior to offering vaccines, Beare said, there would have been far less people willing. Veronica King, who has

Eddie talks all about his atypical journey to medicine, which included the death of his father, playing college/professional soccer, getting stabbed, and more. He is now focused on his career as an ICU PA as well as a street medicine PA in Los Angeles, which are providers that go out and treat the homeless. He also runs a business called Brain Box which helps students improve themselves and their studying abilities. Listen to this one for a truly inspiring conversation.

On episode 310 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Joy Fernandez de Narayan, DNP, FNP-C of Mercy Care, a federally qualified health center and Atlanta’s only healthcare for the homeless program. Dr. Fernandez de Narayan provides high-quality street-based medicine to the most vulnerable members of the community. This is truly heartfelt mission-oriented service that furthers the healing ministry of the Sisters of Mercy.  Nurse Keith is a holistic career coach for nurses, as well as a professional podcaster, published author, inspiring speaker, and successful nurse entrepreneur.  The Nurse Keith Show is a proud member of Ars Longa Media, a collaborative network of podcasts and media entities adding a humanistic touch to professional education, educate the public from a scientifically informed perspective, and improve lives by addressing social ills. The Nurse Keith Show is also a proud member of The Health Podcast Network, one of the largest and fastest-growing collections of authoritative, high-quality podcasts taking on the tough topics in health and care with empathy, expertise, and a commitment to excellence. Show notes NurseKeith.com Facebook.com/NurseKeithCoaching Twitter.com/nursekeith Instagram.com/nursekeithcoaching LinkedIn.com/in/keithallancarlson

On a cloudy morning in Northeast Bakersfield, Dr. Mathew Beare walks along a narrow trail of damp fallen leaves to a small homeless encampment. For over a year, Beare and his street medicine team have made the drive every Thursday from Clinica Sierra Vista in downtown Bakersfield to this barren site just off of Chester Avenue. Beare tells his patient, Melissa, that she’s tested negative for the novel coronavirus. It’s her second negative test. In addition to administering Covid-19 tests, the team provides medical check-in’s, food, prescribed medication when needed, and syringe exchanges. When the pandemic first hit, Beare says, the team paused their weekly visits to figure out how they could continue without exposing staff or patients to the virus. “You're talking about a population with multiple chronic illnesses and a lot of chronic lung disease,” he says. “So when we started finding out the nature of Covid we thought for sure the unsheltered are going to get hit the worse.” But he

On this week's Valley Edition: A street medicine team in Bakersfield educates people experiencing homelessness about COVID-19, and debunks myths about the vaccine. Plus, writer Mark Arax tells us about his research into the history of the Confederacy in the Central Valley. And, as part of our collaboration with the personal history project StoryCorps, 15-year-old Emily Gorospe interviews her mother Valerie Gorospe about her grandmother, Teresa De Anda. De Anda became a fierce environmental justice advocate after a pesticide drift poisoned people in the town of Earlimart in 1999.

On this week's Valley Edition: A street medicine team in Bakersfield educates people experiencing homelessness about COVID-19, and debunks myths about the vaccine. Plus, writer Mark Arax tells us about his research into the history of the Confederacy in the Central Valley. And, as part of our collaboration with the personal history project StoryCorps, 15-year-old Emily Gorospe interviews her mother Valerie Gorospe about her grandmother, Teresa De Anda. De Anda became a fierce environmental justice advocate after a pesticide drift poisoned people in the town of Earlimart in 1999.

From starting Sacramento Street Medicine to mentoring college students through Brain Box Methods, Anthony Menacho is one of the most inspiring people and PAs you will meet. With a heart of gold, Tony and I talk about everything from becoming a PA, balancing fatherhood, and pursuing his passion. You can find more about Tony on IG @anthony_menacho and @brainboxmethods . --- Support this podcast: https://anchor.fm/michele-neskey/support

His motto is “Go to the People”, and that is exactly what Dr. Jim Withers has been doing for over 28 years with the Street Medicine Institute, bringing health care to the most vulnerable.  Join us on this very special episode of Out of the Blue to hear about Dr. Withers, who in 2015 was named by CNN as one of America’s top 10 heroes, incredible work and about the panel he’ll join on October 13th  at 1pm, for the Odette Family Lecture series through St. Michaels Hospital, talking about tackling homelessness in the GTA.  You can register to participate at https://zoom.us/j/92893125428?pwd=cGROT0dBWkFEa1lRaGRhZFl3SDhjQT09

Episode 30: Street Medicine BasicsThe sun rises over the San Joaquin Valley, California, today is October 2nd, 2020.I have two sneaky children who are always trying to hide during the week to play video games. Well, I read an article that gave some relief to my worried mind about the benefits of videogames. The article was published in 2007, titled “The Impact of Video Games on Training Surgeons in the 21st Century”. The study consisted in having 33 participants (residents and attendings) to answer a questionnaire, go through a training called Top Gun, and play over-the-counter video games. Then the doctors were evaluated in their performance during laparoscopic procedures. The results showed that video game play correlated with 37% fewer errors and 27% faster completion. Conclusion, video game experience skill correlates with laparoscopic surgical skills. Who would have thought that video games may be a practical teaching tool to train surgeons[1]. “Dementia is one of the greatest challenges in healthcare,” said Andrea Pfifer, CEO of AC Immune, a company developing several treatments for Alzheimer’s Disease. There is a new case of dementia every 3 seconds in the world, currently 50 million people live with dementia, and we still don’t have an effective treatment or cure. The main theory of the pathophysiology of Alzheimer’s is the accumulation of beta amyloid in the brain, but anti-beta amyloid therapies have fallen short in clinical trials, making some researchers reconsider this hypothesis[2]. Some underrated targets may include inflammation and vascular factors. But the tau protein, a key element in the formation of neurofibrillary tangles in the brain, is experiencing a starring moment. Semorinemab is the first anti-tau therapy to enter a phase 2 study. Alzhemier’s disease as a multifactorial condition, may need a combination of treatments with anti-beta amyloid and anti-tau medications, among other therapies. We will continue to hope for a cure as the research continues to evolve in the following years.  This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program, from Bakersfield, California. Sponsored by Clinica Sierra Vista, Providing compassionate and affordable care since 1971. “I am only one, but still I am one. I cannot do everything, but still I can do something, and because I cannot do everything I will not refuse to do something that I can do.”– Edward Everett Hale (frequently attributed to Helen Keller)You are only one, but you can do something for someone. This quote is very appropriate for our episode today, and you’ll see later why. This quote reminds me of the story of the starfish thrower[3], and I have to admit that I had an impulsive purchase a few minutes ago, because that story connected me to my youth, and I want to read it again, so I just bought the book in Amazon. The story is about a man who throws sea stars back to the sea to prevent their death. Even though there are thousands of stars, that man decides to change the destiny of one star at the time. We may be only one, and we may save only one star, but for that star you make a difference. I recommend you read that story. It’s inspiring. Talking about inspiring, I had a conversation with Dr Beare about street medicine, I hope you enjoy it.Arreaza: We have Dr. Beare with us – He’s famous around here, loved my residents and staff, thank you for your time, Dr. Beare, Chief Resident Rio Bravo Class of 2019.Beare: Thank you for the invite and kind introduction, I am Matthew Beare, Medical Director of Special Populations at CSV, development and implementation of special programs for homeless, migrant farm workers, and patients who suffer from substance use disorder. Street medicine program, branch of our homeless help, has been in place for one year. It opened in October 2019. Arreaza: Ok so you are doing street medicine, and addiction medicine, and primary care.Beare: Yes, and often there is overlap between the two.Definition of street medicineArreaza: What is street medicine?Beare: From a medical standpoint, street medicine is basic medicine; more of a philosophical approach, and I guess there’s a practical difference as well, but what we are trying to do is provide high level primary care to our homeless, chronically-unsheltered patients, to meet them where they are, as opposed to have them meet in clinic.Our philosophy of street medicine is “ go to the people,” so once a week, every Thursday, we pack up our medical supplies and a small team of us go directly into a variety of homeless encampments here in Kern County, in Bakersfield, and we provide care on site, so that can be everything from preventative care to acute treatment of different illnesses including procedures such as I&D of abscesses, joint injections, we can provide on-site prescription medications, and we can also start the process of starting lab work, sending prescription information to various pharmacies. From a medical standpoint, it’s a high level primary care, but it’s rather the philosophical approach of going to the patient versus having them come to you.Training needed for street medicineArreaza: How did you get started in Street Medicine? Any special training? Motivation? Offered a position?Beare: I got offered position of medical director and I was doing more research on homeless populations and how to better serve them. I was at a conference in Washington DC where I learned about street medicine. I learned about the philosophical approach and felt it was something missing in our community. When I started, I kept making plans like, “I need to go out, we need to start this team,” and eventually it got so bogged down in preparing to go out that we never went out, so finally in October 2019 we said, “forget it, were just going to go out, do what we think is best,” so we just went out, started seeing patients in variety of encampments, and since then we have been molding it to document it better and to make sure we are providing the highest level of care that we can. But there is no official title in it, to date. There is one fellowship in Pittsburgh, in Street Medicine, which is the first of its kind, so anyone interested in becoming an “official” Street Medicine provider can look into that fellowship. What you do in a street medicine visitArreaza: You’re doing this on Thursday mornings, can you describe to us what exactly you do?Beare: We take two vehicles, we do it at 6:30 AM because it gets so hot by mid-afternoon. We have medical backpacks with a myriad of supplies, gauzes, bandages, kits for I&D, kits for joint injections, prescription medications that we work with a special pharmacy so we can prescribe those on site, and we also bring some harm reduction materials such as clean syringes, sharps disposal containers to distribute, condoms, hygiene kits, we try to bring with us essentials such as food, water, sometimes clothing, blankets. You don’t bring food and blankets to patients in clinic, and it is a crucial need so we are trying to fill that need. We travel to our campsites, right now we are covering a couple mile stretch between N. Chester and 24th St, there’s a riverbed that flows along there. We have covered that homeless encampment site over the last 6 months. We park our trucks, and walk along the riverbed. A lot of them are wooded areas or clandestine, so you can’t really see them. And we have been fortunate enough to establish good relationships with these patients so they actually allow us into their campsites and sometimes directly into their tents, it’s pretty rewarding in that regard. A street medicine teamArreaza: What support staff do you have? A nurse?Beare: Street medicine teams across the US are all different, there are about over 180 teams acting across the world right now, and they can all vary in how they are composed. Our team is myself as the medical provider, I have my Medical Assistant who keeps track of everything we are doing, the medications we are giving, and takes notes. We have two outreach workers with us who help the patients talk to housing authority, or if they need to get their driver’s license or social security card, they coordinate all those social aspects, and we have our homeless liaison, who maybe the most important person on the team, who has an extended experience in homelessness or substance abuse who acts as our go-between, who can communicate effectively and teach us the culture of the encampment so we don’t overstep our bounds, and then we have with us often residents and students who come along for education.Street medicine fundingArreaza: How does this get funded?Beare: California right now has very strange laws on where you can and cannot see patients, so it’s difficult to bill for visits that are outside of the four walls of a clinic, and we are actively  working to change that legislation; we are working with CPCA and DHCS to get that changed, but now, our ability to bill, which is how we have any revenue for this, comes from our mobile unit, the giant RV that we go and take with us. We have very little interaction in the mobile unit itself; it’s there in case we need something, but really its parked there in case we need to use it, or for billing purposes.Patients seen in street medicine roundsArreaza: Who can be seen by you? Can anyone be seen by you or it must be a specific population?Beare: When I am on the street there is no consideration given for your legal status, or your insurance status, if you are someone who is unsheltered and you need help, it is our duty to provide that care. Anyone can be seen when we are doing these street medicine rounds. We see the same patients over and over since we are in the same area, but given the transient nature of these patients we often see new patients and, again, whether they are insured, whether they have legal status as a citizen, it means nothing to us, it is the same level of treatment. Arreaza: And you provide vaccines?Beare: Yes, we do. Every year we are fortunate enough that the Department of Public Health gives us a certain number of influenza vaccines that we can give out. Last year we gave out about 100. If someone needs a specific vaccine outside of their annual flu vaccine, we can bring that out with us in an appropriately cooled container and administer it. And it’s not just vaccines, we give on site injections of Ceftriaxone, we give other on site treatment plans as well, preventative vaccinations and preventative care.Documentation of street medicine encountersArreaza: And documentation, is it just like a normal visit?Beare: Yes, it is like a normal clinic visit, and we do that intentionally as we are submitting these for billing, so we try to follow the same standards as with any other patient. We are currently undertaking some research in this community, so some of the documentation is written in a way for us to pull information from those charts, otherwise the documentation is just like any other patient, and if you read the medical record, you might not know this is a street medicine patient, unless you read “this is a street medicine patient.”A word of advice: Just do itArreaza: That’s great Dr. Beare so if there is someone listening to this episode and considering being a street medicine doctor, what are some suggestions or advice you can give to them?Beare: One of the biggest hiccups I saw when I first started, there was so much time spent in preparing, because it is such a unique way to treat the patients there is a tendency to want to do it perfectly. I could have done research for months or years on how to build the perfect street medicine team, but the only reason the team exists now is because we just went out and did it. I think that’s what it takes because if this is something you are considering implementing into your practice or career, just do it, start it, and make it perfect later, start it first. No one is reinventing the wheel here, there is a street medicine institute, so if anyone needs guidance on how this works, they can reach out or to me directly, I am happy to discuss Street Medicine with anyone who is interested (email: Matthew.Beare@clinicasierravista.org, work phone: 661-328-4283).Safety in street medicineArreaza: Have you ever felt that your safety is in jeopardy when you go out and do street medicine?Beare: I’m glad you brought that up. That is probably the number one concern. When you talk to people who have never experienced or seen street medicine, always the first question is “was it safe, was it dangerous?” Let me just start out, again, with the near 200 street medicine teams, to date, there has not been one reported incident of violence against a street medicine provider, I don’t think the same can be said even about clinic visits, and you’re talking about 200 street medicine teams across the world, not just in California, not just in the US, spanning across every continent, except Antarctica, there are street medicine teams and still there has not been one reported case of violence against a street medicine provider. No, I have never felt like my safety was in jeopardy nor was the safety of my team in jeopardy certainly not by any of our patients. However, you are providing medicine in the elements, and the elements can be brutal especially in an environment like this, so you have to be careful to not get dehydrated, you have to wear sunscreen and stuff like that. And we have had some issues with dogs, but you know we haven’t had, no one’s ever been bit, in my street medicine team. So, if you were at all concerned with safety, it’d be the dogs in the area.PPE in street medicineArreaza: In these times of pandemic what PPE do you use? Gloves? Masks?Beare: When we travel we constantly use our surgical mask, and if we are going to any type of COVID testing, we don the full PPE with the gown, the gloves, the N95 with the face shield, the same precautions we use in clinic, nothing too out of the ordinary. For whatever reason, COVID-19 hasn’t affected our homeless population anywhere near what we thought, it’s affected them significantly less than the general population, and there’s some hypothesis as to why that is, and in our experience, in my anecdotal experience, COVID is less common in our patients.Patient-provider relationshipsArreaza: Any anecdotes you would like to share, anything you saw, any crazy procedures?Beare: Crazy is sort of the norm when we go out. We see a lot of stuff that is surreal sometimes. I think if I wanted to share something about the patients we see or any particular patient, it’s the warmth of which our service is received. The relationships we have built are so profound, we are talking about a population that feels like the whole system has turned their back on them, from healthcare to friends, family, and the community at large has turned their backs on them, and so to get to be that ambassador of the people who genuinely care for you and you deserve the same level of care as anyone in our community, that garners an incredibly rewarding relationship. From a medical perspective, we have been able to treat so many people for chronic illness that they haven’t been treated for years. Dr. Franco, our infectious disease specialist, probably has a huge uptick in treatment for Hepatitis C cases because we have connected these patients to healthcare for the first time in years.We have been able to avoid utilization of emergency rooms because we are managing so many acute infections in the field that these patients don’t need to go to the ER every time they get an abscess. It’s been incredibly a rewarding thing in ways that’s difficult to put in words. Now that I’ve done it for a year, I don’t think I could ever go back to not doing this. I don’t think I know anyone in the field who could not do street medicine once they have been exposed.Arreaza: I feel very fortunate to have you here on our podcast today. You are giving us very valuable information, and the residents are going to appreciate this episode. Thank you because the labor you are doing is a labor of love. You have the knowledge and skills, and you are putting it into practice to help the most vulnerable members of our society.Beare: Well I appreciate you giving me a platform to speak on as well. Arreaza: Dr. Beare thank you for being with us, any last words for our residents or faculty or listeners around the world? Beare: If you have any interest, if this strikes a chord with you, please contact me. I will go out of my way to connect you with the right people. If you need anything regarding street medicine, I am always available.__________________________Speaking Medical: Mittelschmerzby Amy Arreaza, FNP-BC (recorded by Graciela Peña, LVN)We would like to present the winner of our prize for this week. Her name is Amy Arreaza, a family nurse practitioner in Clinica Sierra Vista, who also happens to be Dr Arreaza’s wife (the decision of the winner was unbiased and unanimous). Congratulations, Amy, enjoy your gift card. Now, let’s listen to your definition of mittelschmerz, as read by Gracie Pena.As a woman who has experienced mittelschmerz, I can tell you that ovulation pain is no joke! In fact, severe mittelschmerz can be mistaken for appendicitis and can be included on your list of differentials for a patient presenting with Right lower quadrant or pelvic pain. In most cases, however, mittelschmerz is just an annoying or irritating pain that some women have to put up with mid cycle (hence the name mittelschmerz, German for middle pain).  Mittelschmerz is a pain more bothersome than any “pain in the neck” or “pain in the rear” that I have ever experienced. So instead of using those colloquial phrases to show my irritation, next time my husband is getting on my nerves perhaps I'll tell him “You're a big mittelschmerz!” ____________________________Espanish Por Favor: Abscesoby Lillian Petersen, RNHave you heard that you can add an “o” at the end of any English word and turn it into a Spanish word? You can do just that with the Spanish word of this week. Can you guess what the word absceso means? Yes, absceso means abscess. An absceso is a collection of pus that can be located anywhere in the body. An absceso can form anywhere bacteria, fungus and other microorganisms can grow. Commonly, abscesos need an incision and drainage (I&D) if they are external, for example on the skin; and some may need needle aspiration or even surgery in the OR if they are internal. By draining it, some abscesos may get cured, but some may need antimicrobial medication for associated cellulitis, and large abscesos may need regular changes in packing to get cured. Now, you can add this word to your growing Spanish vocabulary, absceso. See you next week!  ____________________________For your Sanity: Jokesby Tammy Hilvers, MDWhy did the driver hold his nose? His car had gas.What kind of pliers do you use in math? MultipliersWhy did the math teacher skip the chapter about circles? They were pointless.What was the silly chicken doing in the garden? Sitting on an eggplant.______________________Now we conclude our episode number 30 “Street Medicine Basics.” Dr Beare explained briefly what he does on the streets of Bakersfield. He shared his motivation, inspiration, and modus operandi. If you would like to expand on this topic, you may send us an email or contact him directly at Matthew.Beare@clinicasierravista.org. Mittelschmerz means “pain in the middle”. It’s a pain experienced by some women during ovulation around mid-cycle. Congrats to Amy for her creative definition and for her . Our nurses had a special participation today, Gracie recorded the definition of mittelschmerz, and Lilli taught the word absceso, which is Spanish for abscess. What a great team we have!   Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This episode was brought to you by Hector Arreaza, Lisa Manzanares, Amy Arreaza, Gracie Pena, Lillian Petersen, and Tammy Hilvers. Audio edition: Suraj Amrutia. See you next week!_____________________References:Rosser JC, Lynch PJ, Cuddihy L, Gentile DA, Klonsky J, Merrell R. The Impact of Video Games on Training Surgeons in the 21st Century. Arch Surg. 2007;142(2):181–186. doi:10.1001/archsurg.142.2.181. JAMA Network: https://jamanetwork.com/journals/jamasurgery/fullarticle/399740 Loria, Keithm, Alzheimer’s research shifting to tau as a target, Managed Healthcare Executive, September 2020, Vol. 30, No. 9, 7-8. Loren Eiseley, The Star Thrower, New York: Harcourt, Brace, Jovanovich, 1978, pp. 171–73, 184. Quote by David B. Haight, https://www.churchofjesuschrist.org/study/general-conference/1983/10/become-a-star-thrower?lang=eng University of Southern California, Street Medicine, https://sites.usc.edu/streetmedicine/ Street Medicine Institute, https://www.streetmedicine.org/

Michelle Audette, one of the five commissioners of the government's national inquiry into Missing and murdered Indigenous women and girls joins me to discuss her role in that inquiry, what still needs to happen in Canada to improve the lives of the indigenous community, and the recent heartbreaking death of Joyce Echaquan that has put a bright spotlight on systemic racism. Julie Cole, mom of six and co-founder of Mabels Labels, has already decided her kids can go forth and collect as much candy as they want this Halloween and shares how she came to this decision and why we all should remain judgement free no matter what anyone decides. Judy Rebick is one of Canada’s most outspoken feminists and has been fighting for the rights of women, minorities and the working class since the 1960s. She is also the focus of a new documentary called Judy Vs Capitalism which is being premiered during the 2020 Rendezvous With Madness Arts Festival this week. She joins me to discuss. Lori Nikkel wants you to forget every thing you think you know about those best before dates on food, and stop wasting. As the CEO of Second Harvest, Lori wants everyone to know that it’s not food shortages that are the problem but food systems. We have more than enough food to feed everyone, but we need to address the real problems first. This is an enlightening interview everyone needs to hear. Anne Brodie has reviews of a whole new line up of shows and movies including Totally Under Control, one of the year’s most powerful documentaries which puts the Trump response to the COVID crisis under the microscope and a remastered version of Memories of Murder from the director of last year’s smash Parasite. Finally, I’m joined by Dr. Jim Withers who has been treating the homeless where they live –under bridges, along riverbanks, and in tent cities. He shares why he sees the street as a classroom for his students, where they learn not only medicine, but humanity and how he’s expanded his program to over 15 cities, including Toronto.

PAs want to help people right? Well, this one really is in a big way. @anthony_menacho is a family medicine PA and NHSC scholar in Sacramento, CA, but he also practices street medicine. Today on the podcast, he's telling us all about it. His passion is contagious, and love for what he does and the people he helps is apparent even in this short conversation. Listen now on anywhere you traditionally listen to podcasts! And, if you want to learn more or support what @sacstreetmed is doing, head to their page to find their GoFundMe, or go to prepaconference.com to sign up for the Day in the Life shadowing event next week on 9/10 with Tony at 8 PM EST. $5 donation to directly benefit Sacramento Street Medicine.9/10 Virtual Shadowing for Sacramento Street Medicine - https://www.prepaconference.com/register/virtual-shadowingSponsor - PA-CAT - https://www.pa-cat.com/register-and-schedule/ Get a free eBook! - audibletrial.com/thepaplatform Leave a voicemail question for The Pre-PA Club Podcast - https://www.speakpipe.com/ThePAplatform Physician Assistant School Interview Guide Affiliate Link - https://amzn.to/2JctZ2CThe Pre-PA Club Facebook Group - facebook.com/groups/theprepaclub/Discount for www.myPAresource.com - “prepaclub”Discount for http://www.PAschoolPrep.com - FUTURE PA for $35 off The PA Platform onInstagram - @thePAplatformMedelita 20% off code - PAPLATFORM1 - Link to get $20 off first purchase over $70 - https://www.medelita.com/?ref=aEJqZjZWSUsyWkE9FRE Skincare 15% off - SAVANNA1 - https://www.freskincare.com/SAVANNA1 Try Amazon Prime Student and get 50% off - https://amzn.to/2RxBQjd

In this episode, Dr. Erin Stair chats with Dr. Rami Nakeshbandi and Rohan Maini about their research and the paper they recently published in the International Journal of Obesity, The Impact of Obesity on COVID-19 Complications: A Retrospective Cohort Study. The CDC and other health organizations have unequivocally stated that obesity is a significant risk factor for increased severity of COVID-19 infections and clinical outcomes. While it's well established that obesity is a significant risk factor for numerous health problems, Dr. Nakeshbandi and Rohan Maini will discuss the results of their research, particularly differences noted between men and women, ages, fat deposition, what outcomes were significantly impacted, and, perhaps most interestingly, why and how obesity impacts COVID-19 and its link to inflammation. They also use their sample population to elaborate on the causes of obesity and what we can do to prevent or slow down the USA's rising obesity rates. Dr. Nakeshbandi is the Interim Chief Medical Officer at Suny Downstate Medical Center and the Chief Quality Officer. He is also the Director of the Antimicrobial Stewardship Program and is the Clinical Assistant Professor of Medicine and Infectious Diseases. Rohan is a 4th year medical student at SUNY Downstate Health Sciences University, where he cofounded a Street Medicine organization and serves as the director of a student-run asylum clinic. He will be applying for an Internal Medicine residency this year. To get in touch with Dr. Erin Stair, please visit her website, Blooming Wellness.To follow her on Instagram, click here.To find her on Twitter, click here.To follow her health page on Facebook, click here.To read or listen to her new comedic parody on the wellness industry, Yours in Wellness, Krystal Heeling, click here.To read Manic Kingdom, click here.

Some California residents feel safer on the streets than in the shelters the state has provided, despite the health risks of living outdoors. Our partners at Valley Public Radio bring us a story about a team of physicians and medical students who are bringing healthcare to the streets. Then, the band The Seshen wants to redefine what it means to be a pop star. And, we hear a reading from a local author’s new young adult fantasy novel .

On this week's Valley Edition: As COVID-19 cases rise, what’s it like for teachers as they prepare to go back to school? Local educators discuss balancing their concerns about student learning with their own personal safety. Plus, we go to Tulare County, where a team of doctors and students are using medical care to connect people living on the streets to housing. And we hear from Hugo Morales who recently received a National Heritage Fellowship. Listen to these stories and more on the podcast above.

In this episode, I have the privilege in speaking with my colleague, Dr. John Geller. We talk about street veterinary care, a growing service that is in much need of help and education. Dr. Jon Geller is an emergency veterinarian and hospital director at the Veterinary Emergency and Rehabilitation Hospital in Fort Collins, Colo. He is board-certified in Canine and Feline Medicine. He is also the co-founder and President of the Board of Directors for two non-profits, The Ladybug Fund and The Street Dog Coalition. In addition, he was active in the field of wildlife animal welfare issues as a committee member for the inaugural Institutional Animal Care and Use Committee for the National Park Service. Dr. Geller is also a Certified Veterinary Journalist (CVJ), and writes regular columns for his regional newspaper and other pet periodicals. His current areas of interest are providing veterinary care to the pets of indigent clients, and investigating feedlot ecology.

Street Medicine is local and international. In this second episode on Street Medicine we hear about health care leaders in Portland, Oregon responding to the needs in their community. The challenge? Nationally, Oregon has the fourth highest rate of homelessness and the second highest rate of families without shelter. In recent years Portland’s chronic homelessness […] The post Portland Street Medicine: A Local Picture appeared first on Mission Network.

Portland Street Medicine provides medical care to people who are homeless. The small team also helps connect people with the social services they need. They’ve had to be nimble to keep operating during the pandemic, but they say their work has not changed too drastically. We hear from medical director Bill Toepper and acting director of services Drew Grabham.

A 2019 White House Report tells us that half a million people are homeless each night in the UnitedStates.In 1992, Dr. Jim Withers began doing street rounds in Pittsburg, Pennsylvania, bringing medical care to the homeless. Since that time the Street Medicine Institute he founded has grown to become international organization. In 2015, CNN named […] The post Street Medicine: Serving an Excluded Community appeared first on Mission Network.

When veterans end up homeless, organizations like Street Medicine KC step up to provide them with medical assistance. Topics: meet Jae C-19 homeless ness in kc & world wide If your wondering what happened to some of the interview, you can find the full length version on our Facebook page: https://www.facebook.com/AfterActionNetwork If you or a veteran need help go to https://afteractionnetwork.org/ Listen Here: https://www.breaker.audio/after-action-radio https://www.google.com/podcasts?feed=aHR0cHM6Ly9hbmNob3IuZm0vcy8xZGRlYzI1MC9wb2RjYXN0L3Jzcw== https://pca.st/0vjy1lr6 https://radiopublic.com/after-action-radio-6N5dQo https://open.spotify.com/show/0dKhg783Z9lb6L45yNYl6p

Coming to you from the San Francisco Department of Health! Dr. Sue is with the Medical Director of the Street Medicine Team, Dr. Barry Zevin, Charge Nurse, Gina Limon and Outreach Worker, Shannon Ducharme. The guests will highlight what a low-barrier, low-threshold program looks like and will share their ideas on how to improve the care of some of the most structurally vulnerable people using drugs. --- Send in a voice message: https://anchor.fm/goldstandard/message

The fundamental approach of Street Medicine is to engage people experiencing homelessness exactly where they are and on their own terms to maximally reduce or eliminate barriers to care access and follow-through. This lecture will describe the fundamental principles of street medicine and its role as an instrument of peace to an excluded population. How to maximize provider scope of practice and patient outcomes will be discussed, as well as practical approaches to care in specific disease processes.

At the end of the day, have you made the world a little better? My guess is that you have, even if only in a small way. That’s certainly true of today’s guest, Dan Bissell, MD. Dan is co-founder of Portland Street Medicine, a medically focused non-profit dedicated to caring for the homeless. What’s unique about the care delivered is that it happens in the austere environment of homeless camps, underpasses, and street corners. In this episode, Dan and I cover what a day of the street medicine team looks like, how his group started, and how street care has impacted his everyday medical practice.    We discuss: What it means to follow your bliss [00:45]   The best medicine is tangerines and socks. . [04:45] The goal of Portland Street Medicine [07:15] Working in an environment with constrained resources. [11:55] Design thinking [12:44] Portland Street Medicine origin story.[14:45] Homeless communities are complex, heterogeneous, vibrant, and cohesive.  [23:15] The secret sauce to success of Portland Street Medicine.[28:18] Portland Street Medicine serves three populations [29:00] Utility of the stethoscope.  [34:00] The case of Susannah [37:00] The homeless are at a minimum ignored and at a maximum shunned. [40:50] Getting to know the homeless has reformed Dan's thinking about how we structure health care. [42:20] Ask some honest questions.   [46:55] Slow down, find joy. [50:38] Learn More: https://www.stimuluspodcast.com/ Complete shownotes for this episode: https://www.stimuluspodcast.com/post/3-street-medicine

At the end of the day, have you made the world a little better? My guess is that you have, even if only in a small way. That’s certainly true of today’s guest, Dan Bissell, MD. Dan is co-founder of Portland Street Medicine, a medically focused non-profit dedicated to caring for the homeless. What’s unique about the care delivered is that it happens in the austere environment of homeless camps, underpasses, and street corners. In this episode, Dan and I cover what a day of the street medicine team looks like, how his group started, and how street care has impacted his everyday medical practice.    We discuss: What it means to follow your bliss [00:45]   The best medicine is tangerines and socks. . [04:45] The goal of Portland Street Medicine [07:15] Working in an environment with constrained resources. [11:55] Design thinking [12:44] Portland Street Medicine origin story.[14:45] Homeless communities are complex, heterogeneous, vibrant, and cohesive.  [23:15] The secret sauce to success of Portland Street Medicine.[28:18] Portland Street Medicine serves three populations [29:00] Utility of the stethoscope.  [34:00] The case of Susannah [37:00] The homeless are at a minimum ignored and at a maximum shunned. [40:50] Getting to know the homeless has reformed Dan's thinking about how we structure health care. [42:20] Ask some honest questions.   [46:55] Slow down, find joy. [50:38] Learn More: https://www.stimuluspodcast.com/ Complete shownotes for this episode: https://www.stimuluspodcast.com/post/3-street-medicine

Handel goes over street medicine growing along with the homeless population.He then goes over the new bullet train plan that paints an optimistic picture.And, how does history remember presidents? Handel will tell you.

This week, Jordan talks to Bonnie Coover, a Family Nurse Practitioner and the Director of Street Medicine at Janian Medical Care. Bonnie and her team provide primary care medical services to people who are living on the street in New York City. She tells Jordan about the most common ailments she sees, what it’s like examining someone on the sidewalk in Midtown and why her job is a dream job. Learn more about your ad choices. Visit megaphone.fm/adchoices

This week, Jordan talks to Bonnie Coover, a Family Nurse Practitioner and the Director of Street Medicine at Janian Medical Care. Bonnie and her team provide primary care medical services to people who are living on the street in New York City. She tells Jordan about the most common ailments she sees, what it’s like examining someone on the sidewalk in Midtown and why her job is a dream job. Learn more about your ad choices. Visit megaphone.fm/adchoices

The next “Conversations” podcast discusses a program from a local hospital network that seeks to care for the physical and mental health needs of members of our community who are our “street neighbors.” Bob Martin hosts.  More information about the Street Medicine initiative can be found at https://www.lvhn.org/community-health/street-medicine-program

Dr. Barry Zevin is the medical director of Street Medicine and Shelter Health, San Francisco Department of Public Health. He describes programs to treat opioid use disorder in persons experiencing homelessness, safe consumption sites, and homeless deaths. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 34787]

Dr. Barry Zevin is the medical director of Street Medicine and Shelter Health, San Francisco Department of Public Health. He describes programs to treat opioid use disorder in persons experiencing homelessness, safe consumption sites, and homeless deaths. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 34787]

Dr. Barry Zevin is the medical director of Street Medicine and Shelter Health, San Francisco Department of Public Health. He describes programs to treat opioid use disorder in persons experiencing homelessness, safe consumption sites, and homeless deaths. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 34787]

Dr. Barry Zevin is the medical director of Street Medicine and Shelter Health, San Francisco Department of Public Health. He describes programs to treat opioid use disorder in persons experiencing homelessness, safe consumption sites, and homeless deaths. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 34787]

Portland Street Medicine is in the house! We take a moment to catch up with a new (to Portland) method of preventative care for Portlands most vulnerable population, and how it brings together bikes, caregivers, and those in need. Also a special co-host appearance by Tom McTighe while Aaron is away! Check out Portland Street Medicine here. As … Continue reading E440 – Portland Street Medicine →

With a robust pressure injury prevention program in place, the University of California Davis Medical Center, a 620 bed level 1 trauma center, was still reporting numerous pressure injuries. During this episode of WOCTalk, Dr. Sunniva Zaratkiewicz sits down with Dr. Holly Kirkland-Kyhn and Oleg Teleten of UC Davis to discuss data they collected, analyzed and reported on at the WOCN Society’s most recent annual conference in Philadelphia. “Deep Tissue Injury: The Future is in Your Hands”, covers the trends and personal findings of UC Davis Medical Center over a series of 5 years, an initiative that was developed in order to find the patient related risk factors in the development of deep tissue injuries in the ICU and how these risk factors compare to the average ICU patient within their facility. Interested in learning more about this topic? View Holly and Oleg’s full conference session, “Deep Tissue Injury: The Future is in Your Hands”. Want to review more sessions from the WOCN® Society’s 50th Annual Conference? The full conference library is available for purchase. Choose from the entire package, or individual sessions here. For a list of WOCN Society recorded continuing education sessions on the topic of pressure injuries, click here. Speaker Bios Holly Kirkland-Kyhn PhD, FNP, GNP, CWCN Director of Wound Care University of California Davis Medical Center Dr. Holly Kirkland-Kyhn has worked as a Nurse Practitioner for over 20 years in the Sacramento community. Although trained in the US as an RN, she spent her early career working as a nurse and midwife in England and Ireland. She has travelled to Africa, Haiti, and Belize to work in disaster relief and promoting safe maternal-child care in rural areas. She now works at UC Davis Medical Center as the Director of Wound Care and has led interdisciplinary team initiatives throughout the hospital to improve the safety and quality of care for patients. She is an active member of the “Street Medicine” program at UCDMC, providing education on “Treating wounds from the Dollar Tree” to those who serve individuals who are experiencing homelessness and educating the community on wound care. Oleg Teleten MS, RN, CWCN Research/Data Management University of California Davis Medical Center Oleg Teleten has worked as a Registered Nurse for 14 years and spent most of his nursing career at UC Davis Medical Center, Sacramento. Recently Oleg graduated from UC Davis Betty Irene Moore School of Nursing with an MS in healthcare leadership and nursing science. He is currently a member of UC Davis Wound Care Interdisciplinary Team and is responsible for QI, research projects and IT support. With his colleague, Dr. Kirkland-Kyhn, he has recently finished a number of pressure injury research studies on pressure injuries in an acute care setting.

Tony digs in to an old term and highlights it’s fallacy. Don’t let the title fool you, this talk builds up to a positive message that reminds us to connect with our patients. We may be the ones calling 911 some day. Catch all the conference goodies at: http://cbcemp.proboards.com/thread/73/

In this episode of the L3 Leadership podcast, you'll hear our Q&A with Dr. Jim Withers, Founder of Operation Safety Net, otherwise known as the homeless doctor. To see the notes and ways to connect with Dr. Withers and Operation Safety Net, go to the show notes at L3Leadership.org/episode153 Dr. Jim’s Bio: In 1992, Dr. Jim Withers set out single-handedly to deliver care to street people in Pittsburgh. He started by doing his homework – clocking hours in the library, reading how to best gain entry to the world of the homeless – before suiting up one night in tattered clothes. “I was rubbing dirt in my hair,” he says. “My kids thought I was crazy.” But street folks embraced him, Withers says, and he them. “I found great professors of medicine – and life – in alleyways and abandoned buildings, on riverbanks and under bridges.” His initial project gained patients, volunteer clinicians and students to the extent that, in 1993, Withers officially launched Operation Safety Net under the auspices of not-for-profit Mercy Hospital, which kicked in $50,000 to fund the start-up. Operation Safety Net today offers round-the-clock availability of paramedics, primary care physicians, registered nurses, podiatrists, dentists and the formerly homeless, as well as medical students and residents serving clerkships. Connect with Jim Withers Operation Safety Net: http://www.pmhs.org/operation-safety-net/ Connect with L3 Leadership: Website: L3Leadership.org LinkedIn: https://www.linkedin.com/company/l3-leadership Facebook: https://www.facebook.com/L3Leader Twitter: @L3leader Instagram: @l3leadership Podcast: The L3 Leadership Podcast in iTunes How You Can Help this Podcast: To listen to past interviews, go to my podcast page. Subscribe to this podcast Rate and leave a review of the podcast Share the content on Social Media Sign-up for my L3 Leadership Newsletter If you have an idea for a future podcast you would like to hear or a leader you would like me to interview, e-mail me at dougsmith@l3leadership.org. If you enjoyed the podcast, please rate it on iTunes and write a review.Support the show (https://www.patreon.com/l3leadership)

In this episode of the L3 Leadership podcast, you'll hear a talk given by Dr. Jim Withers, Founder of Operation Safety Net, otherwise known as the homeless doctor. To see the notes and ways to connect with Dr. Withers and Operation Safety Net, go to the show notes at L3Leadership.org/episode152 Dr. Jim’s Bio: In 1992, Dr. Jim Withers set out single-handedly to deliver care to street people in Pittsburgh. He started by doing his homework – clocking hours in the library, reading how to best gain entry to the world of the homeless – before suiting up one night in tattered clothes. “I was rubbing dirt in my hair,” he says. “My kids thought I was crazy.” But street folks embraced him, Withers says, and he them. “I found great professors of medicine – and life – in alleyways and abandoned buildings, on riverbanks and under bridges.” His initial project gained patients, volunteer clinicians and students to the extent that, in 1993, Withers officially launched Operation Safety Net under the auspices of not-for-profit Mercy Hospital, which kicked in $50,000 to fund the start-up. Operation Safety Net today offers round-the-clock availability of paramedics, primary care physicians, registered nurses, podiatrists, dentists and the formerly homeless, as well as medical students and residents serving clerkships. Connect with Jim Withers Operation Safety Net: http://www.pmhs.org/operation-safety-net/ Connect with L3 Leadership: Website: L3Leadership.org LinkedIn: https://www.linkedin.com/company/l3-leadership Facebook: https://www.facebook.com/L3Leader Twitter: @L3leader Instagram: @l3leadership Podcast: The L3 Leadership Podcast in iTunes How You Can Help this Podcast: To listen to past interviews, go to my podcast page. Subscribe to this podcast Rate and leave a review of the podcast Share the content on Social Media Sign-up for my L3 Leadership Newsletter If you have an idea for a future podcast you would like to hear or a leader you would like me to interview, e-mail me at dougsmith@l3leadership.org. If you enjoyed the podcast, please rate it on iTunes and write a review.Support the show (https://www.patreon.com/l3leadership)

Experience the "Why" and the "How" in the Street Medicine Project with Barry Howe