Podcasts about Swedish Hospital

Hospital in Illinois, United States

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Best podcasts about Swedish Hospital

Latest podcast episodes about Swedish Hospital

Healthcare Perspectives
Sepsis: Understanding the body's extreme response to infection

Healthcare Perspectives

Play Episode Listen Later Sep 4, 2024 31:32


Sepsis, originally known as blood poisoning, is a life-threatening medical emergency. Tune in to learn about the complexities of sepsis diagnosis, the role of lactate and procalcitonin levels, and the global health challenge it poses. Hear from experts and a sepsis survivor about the advancements in identifying and managing this critical condition. Sepsis is the body's extreme response to an infection. It occurs when a pre-existing infection triggers a chain reaction throughout a person's body. Sepsis can be difficult to diagnose because patients present different symptoms, and their observation can be subjective. According to the Global Sepsis Alliance, the disease contributes to approximately one in five deaths worldwide and in the United States alone; it stands as the leading cause of death in hospitals, leading to one in three hospital fatalities. Compounding these mortality rates is a rise in antibiotic and antimicrobial resistance due to overuse or misuse. Today, we're joined by experts in the field of diagnostics and critical care as well as a sepsis patient and advocate in order to more acutely understand the disease, its diagnosis, and the advancements in the field.In this episode, host Ranga Sampath, Senior Vice President and Head of the Center for Innovation in Diagnostics at Siemens Healthineers and Member of the Board of the Sepsis Alliance, welcomes:Heike Spreter-Krick a sepsis survivor who is now a patient advocate working with the Global Sepsis AlliancePatti DeJuilio, Director of Respiratory Care and Diagnostic Services at Northwestern Medicine Central DuPage Hospital in Winfield, IllinoisDr. Eric Gluck, Director of Critical Care Services at Swedish Hospital and professor of medicine at Finch University of Health Sciences at The Chicago Medical SchoolMervyn Singer, professor of intensive care medicine at University College London What you'll learn in this episode:The timing of diagnosis and treatment is critical because sepsis creates oxygen deprivation in the cells.Risk factors like age and comorbidities can increase the likelihood of a patient developing sepsis.The biomarker procalcitonin can be used as an identifier for sepsis infection.Lactate levels, a chemical naturally produced by the body during times of stress, can be used as one indicator among others that a patient may be experiencing sepsis.In the UK, the National Early Warning Score helps closely monitor patients at risk for developing sepsis.IV antibiotics have long been the gold standard for sepsis treatment, but they are at risk of overuse and misuse.For many patients, surviving a sepsis infection is just the beginning of a long road to recovery.Connect with Ranga SampathLinkedInConnect with Heike Spreter-KrickInstagramConnect with Patti DeJuilioLinkedInConnect with Mervyn SingerLinkedIn Hosted on Acast. See acast.com/privacy for more information.

Talking Tactics
Ep. 18: Using Generative AI to Write Search Engine Optimized Web Content

Talking Tactics

Play Episode Listen Later Feb 6, 2024 25:50


The task was monumental: Write career content for 70 different programs. In late 2022, before AI was top-of-mind for any of us, Patrick was thinking... How can I do this with AI? With the help of his student employees, Jasper.ai, a spreadsheet, and the =CONCATENATE() function, they created powerful, search engine optimized content that resulted in these incredible results: 217% increase in clicks on the site and 166% increase in impressions from search sources and 358% increase in clicks and 226% increase in impressions from unbranded queries only.Guest Name: Patrick KellyGuests Social Handle: https://www.linkedin.com/in/patrickkelly1976/Guests Bio: Patrick Kelly has 23+ years' experience in web marketing for higher education and health care organizations, including Rush University Medical Center, Swedish Hospital and Loyola University Chicago. He holds a master's degree in writing from DePaul University in Chicago. Patrick currently serves as web content manager at Harper College overseeing the college's website, harpercollege.edu. This podcast is brought to you by Element451 — the next-generation AI student engagement platform. Learn more about how Element451 can enhance student engagement, boost enrollment, reduce expenses, and increase staff productivity. - - - -Connect With Our Host:Dayana Kibildshttps://www.linkedin.com/in/dayanakibilds/About The Enrollify Podcast Network:Talking Tactics is a part of the Enrollify Podcast Network. If you like this podcast, chances are you'll like other Enrollify shows too! Some of our favorites include Mission Admissions and Higher Ed Pulse.Enrollify is made possible by Element451 — the next-generation AI student engagement platform helping institutions create meaningful and personalized interactions with students. Learn more at element451.com. Connect with Us at the Engage Summit:Exciting news — many of your favorite Enrollify creators will be at the 2024 Engage Summit in Raleigh, NC, on June 25 and 26, and we'd love to meet you there! Sessions will focus on cutting-edge AI applications that are reshaping student outreach, enhancing staff productivity, and offering deep insights into ROI. Use the discount code Enrollify50 at checkout, and you can register for just $200! Learn more and register at engage.element451.com — we can't wait to see you there!

The Osteopathic Manipulative Medicine Podcast
Ep. 92 Comparing Hospital OMM vs Private Practice and OMM vs PM&R – Tony West, DO

The Osteopathic Manipulative Medicine Podcast

Play Episode Listen Later Sep 24, 2023 70:18


He was described by one of his patient's as compassionate, conscientious, and a caring physician. He worked for 8 years at Swedish Hospital in Seattle, WA but wanted more quality time with his patients. During the COVID pandemic he opened his own practice “360 Osteopathy”. Dr. West gives us his take on working for a hospital system vs working for himself – the challenges and benefits. He is a physiatrist who practice is 99% OMM. He spends some time comparing and contrasting PM&R and OMM, which may be beneficial for students deciding between these two specialties. He also gives some incredible book and podcast recommendations. Enjoy our conversation!  Dr. West email: tonyphiz@gmail.com OMM Podcast email: onmmpodcast@gmail.com --- Send in a voice message: https://podcasters.spotify.com/pod/show/benjamin--greene/message

Dietitians in Nutrition Support: DNS Podcast
Bedside Nasoenteric Feeding Tube Insertion by Registered Dietitian Nutritionists featuring Ashlee Roffe, MS, RDN, LDN, CNSC

Dietitians in Nutrition Support: DNS Podcast

Play Episode Listen Later Mar 20, 2023 33:56


Ashlee Roffe, MS, RDN, LDN, CNSC, is the Nutrition Director at Swedish Hospital, a 312-bed nonprofit teaching hospital located on the north side of Chicago, Illinois. Ashlee's work focuses on creating a culture of nutrition awareness across all areas of clinical practice, and she is passionate about implementing programs that intertwine to support patients throughout their healthcare journey. At Swedish, she manages the Clinical Nutrition team which is home to the first RD-led Metabolic Monitoring team in the country, the Nutrition and Diabetes Center, and founded Food Connections, the hospital's initiative to address food insecurity in its community. Ashlee holds an MS in Nutrition from the University of Illinois at Chicago and a BS in Health Sciences from Bradley University. In this episode, we discuss with Ashlee her experiences building a bedside nasoenteric feeding tube insertion by RDNs team at her community based acute care hospital. This episode is hosted by Christina M. Rollins, MBA, MS, RDN, LDN, CNSC, FAND and was recorded 3/2/23. Unrelated to this podcast, Ashlee Roffe is a consultant for and has received honorarium from Baxter.

Health 360 with Dr. G
Joint replacement 101: Timing & techniques - Ep. 65

Health 360 with Dr. G

Play Episode Listen Later Mar 13, 2023 42:10


Joint replacement can help relieve pain and enable you to live a fuller, more active life. Almost 1.25 million hip and knee replacement surgeries were performed in 2019 in the U.S. Total joint replacement is a surgical procedure where parts of an arthritic or damaged joint are removed and replaced with a metal, plastic or ceramic device called a prosthesis, which is designed to replicate the movement of a normal healthy joint. How can you tell when joint replacement is necessary? How risky is the surgery? How bad is it if you don't replace a damaged joint? If you are or someone you love is contemplating joint replacement surgery, this episode is essential. In Episode 65, Dr. G and his guest, Denis Williams, M.D., discuss and answer frequently asked questions about joint replacement surgery.   Guest Denis Williams, M.D. – Board-certified orthopedic surgeon, Swedish Medical Group; Chairman, Department of Surgery at Swedish Hospital. Connect with us on social Follow Health 360 with Dr. G on Facebook, Twitter and Instagram for notifications about new episodes and a behind-the-scenes look at the podcast. Facebook at @Health360wDrG Twitter at @Health360wDrG Instagram at @Health360wDrG

Interviews by Brainard Carey

Susan Dory is a Seattle-based artist whose geometric abstractions explore systems of interconnectedness, patterning and her trust of the process. Susan has exhibited widely with exhibitions at Winston Wachter Fine Art in New York and Seattle; Margaret Thatcher, New York; Catharine Clark Gallery, San Francisco; Tew Gallery, Atlanta; Boecker Contemporary, Heidelberg; The Tacoma Art Museum; The Henry Art Gallery, University of Washington; Kittredge Art Gallery, University of Puget Sound, The Western Gallery, Western Washington University; Mills College Art Museum, Oakland; The Contemporary Austin – Jones Center and The Art Gallery of Greater Victoria, Victoria BC, Canada. She received her BA from Iowa State University and studied painting in Vienna, Austria. Susan is a recipient of the Neddy Award, The Pollock Krasner Foundation Grant, GAP grant, the Artist Trust Fellowship Grant, and was a finalist for the Betty Bowen Award. Some public collections include, The Tacoma Art Museum, Ballinglen Museum of Contemporary Art, Ireland; The U.S. Embassy, Vientiane, Laos, Seattle Arts Commission Collection, King County Arts Commission, 4Culture, The Microsoft Collection, Vulcan Enterprises, Swedish Hospital, Hewlett Packard, W. Clements Jr. University Hospital, Dallas, TX, Neiman Marcus and Nordstrom Spontaneous Sights, through March 11th at Winston Wachter Fine Art. Pole Star 1, 2022, acrylic on canvas over panel, 52 x 58" Arena, 2022, acrylic on canvas over panel, 52 x 60" Secret Cave of the Heart 1, 2022, acrylic on canvas over panel, 58 x 52"

Health 360 with Dr. G
Back-to-school health and wellness: Top trends - Ep. 51

Health 360 with Dr. G

Play Episode Listen Later Sep 19, 2022 49:31


Childhood vaccines, school learning struggles and mental health: These topics have been top of mind for parents since early 2020. Now that the third pandemic school year has begun, parents are still working to ensure their kids are healthy and thriving despite the public health challenges. Vaccines have always been important for kids, and now physicians include the COVID-19 vaccine with necessary childhood vaccinations. The lockdowns of 2020 contributed to anxiety and potential learning loss. As society continues its slow walk toward normalcy, what can parents do to help their kids make up for lost time or ease their anxiety? In Episode 51, Dr. G and his guest Annie Ryan, MSN, CPNP, a certified pediatric nurse practitioner, have a can't-miss conversation about child vaccinations, learning loss and mental health.   Guest Annie L. Ryan, MSN, CPNP – Certified pediatric nurse practitioner, Swedish Medical Group, Swedish Hospital; Past-president of the Illinois Chapter of the American Association of Pediatric Nurse Practitioners. Connect with us on social Follow Health 360 with Dr. G on Facebook, Twitter and Instagram for notifications about new episodes and a behind-the-scenes look at the podcast. Facebook at @Health360wDrG Twitter at @Health360wDrG Instagram at @Health360wDrG

Clinician to Clinician with Lara Effland
Playing is Never Wasted Time: Clinical Social Worker Specializes in Play Therapy, Empowerment, and Supervision with Stephanie Butler

Clinician to Clinician with Lara Effland

Play Episode Listen Later Jun 1, 2022 43:40


Stephanie is a Licensed Clinical Independent Social Worker in Washington State. She received her master's degree in Social Work from Savannah State University and her bachelor's degree is in Special Education from the University of Mississippi. Stephanie's professional background involves working in an outpatient setting with homeless adults and youths with severe and persistent mental illnesses, as well as working in her own private practice working with children ages 3- 12 years old. For 3 years, Stephanie also worked and managed a psychiatrist residential treatment facility for children and adolescents. Stephanie previously was the Clinical Manager of Child and Adolescent Services at Eating Recovery Center working with adolescents, teens, and families with eating disorders. She is currently working within the Issaquah School District as a School Based Mental Health Therapist through Swedish Hospital. Stephanie has received postgraduate training in Play Therapy, EMDR (Eye Movement Desensitization Reprocessing, CBT (Cognitive Behavioral Therapy), EFFT (Emotion Focused Family Therapy), crisis management, Family Based Therapy, as well as anxiety and depression management. She also has 2.5 years of studies with behavior management and Applied Behavior Analysis.Stephanie is passionate about walking alongside individuals in the recovery process and empowering them to take steps towards healing. Stephanie is well versed and trained in several therapeutic techniques and has a compassionate and approachable demeanor. She specializes in trauma, attachment, and significant behavior challenges. Stephanie frequently draws from play therapy and takes on a collaborative role with her clients to investigate and discover the role in which cultural, familial, and personal narratives are having in one's life. She is driven by her focus on building each client's strength, as well as giving her clients firm guidelines, routine, and dependability to foster self-determination, all within a trauma informed care scope.https://cliniciandevelopmentcollective.com/

Healthy You Podcast
This Weight-Loss Procedure is a Breakthrough (ESG)

Healthy You Podcast

Play Episode Listen Later Apr 11, 2022 43:56


Endoscopic Sleeve Gastroplasty (ESG) is an incisionless weight-loss procedure that can help people with a BMI over 30 lose weight.  Michael Ujiki, MD answers all of your questions about pain, recovery, insurance and most importantly, results.  Patient Diane Helin explains how ESG changed her life.  You can also read about Diane's journey here. Join us for this engaging conversation with one of the first surgeons in the United States to perform the Endoscopic Sleeve Gastroplasty procedure.  For more information, please visit northshore.org/bariatric. Have an episode idea? Want more info on a topic? We'd love to hear from you. Email us at PublicRelations@northshore.org.  Follow us on social media at @NorthShoreWeb on Facebook, Twitter and Instagram.  Produced by Carolyn Starks and Jon Hillenbrand.Edited by Jon Hillenbrand

WGN - The After Hours with Rick Kogan Podcast
Your guide to help you stop smoking

WGN - The After Hours with Rick Kogan Podcast

Play Episode Listen Later Feb 14, 2022


WGN Radio’s Rick Kogan is joined by Carol Southard, a Tobacco Treatment Specialist at Swedish Hospital, to share the dangers of smoking and how she can help people quit.

Healthy You Podcast
At-Home COVID Tests: When and How to Test

Healthy You Podcast

Play Episode Listen Later Jan 27, 2022 25:55


Paige Larkin, PhD, Director of NorthShore Molecular Microbiology lab, explains why at-home tests issue false negatives, the best time to take the test, how to read the results and MORE. At-home tests are rapid, and can be ordered for free from the federal government at www.covidtests.gov.  For a list of FDA-approved home tests you can purchase, please visit: www.fda.gov/medical-devices/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices/in-vitro-diagnostics-euas-antigen-diagnostic-tests-sars-cov-2.  For more information on COVID-19, including vaccine info, what to do if you get infected, and Frequently Asked Questions, please visit www.northshore.org/covid-19.   Have an episode idea? Want more info on a topic? We'd love to hear from you. Email us at PublicRelations@northshore.org.  Follow us on social media at @NorthShoreWeb on Facebook, Twitter and Instagram. 

WGN - Steve Dale's Pet World
Steve Dale's Pet World 12/26/2021 | How smoking is really dangerous to any pet in the home, Mast cell cancer in dogs, and more

WGN - Steve Dale's Pet World

Play Episode Listen Later Dec 26, 2021


Carol Southard is a smoking cessation and tobacco treatment expert at Swedish Hospital and elsewhere in the Chicago area. Why is she on a pet show? After all, few dogs smoke. She discusses how smoking is really dangerous to any pet in the home. It turns out that when many people realize this, it's enough to motivate […]

Healthy You Podcast
Little Germ Balls: Kids and the COVID Vaccine

Healthy You Podcast

Play Episode Listen Later Nov 24, 2021 26:43


Are kids little germ balls for COVID-19? What kind of reactions are they getting to the vaccine? Is the vaccine safe for little kids? NorthShore Infectious Disease Physician Jennifer Grant, MD, answers your questions and more.Jennifer Grant, MD is board certified in Infectious Disease and Internal Medicine. For information on how you can get your children vaccinated against the flu or COVID-19, please visit northshore.org/covidvaccine.Produced by Carolyn Starks and Jon Hillenbrand.Edited by Jon Hillenbrand

Healthy You Podcast
Telehealth: The Doctor Will See You Now – In Your Home

Healthy You Podcast

Play Episode Listen Later Oct 21, 2021 23:07


Housecalls ended in the 1960s. But today, doctors have the technology to do an exam in your home via a televisit.  We talk to Family Medicine Physician Nadim Ilbawi, MD, who introduces us to TytoCare, new technology that helps make this happen.A TytoCare visit provides your physician with high-quality digital sounds of the heart and lungs, high-quality digital images and video of the ears, throat, and skin and measures heart rate and body temperature.  Using this examination data, your doctor can provide you with a diagnosis, treatment plan, and prescription if needed. The TytoCare exam kit includes an otoscope (ears), stethoscope (heart, lungs, and abdomen), basal thermometer, and digital camera (skin and throat) and is designed to provide your healthcare provider with the same type of examination data he or she would use in the office. For more information, visit www.northshore.org/tytocare.SPECIAL OFFER: Retail cost is $299.99; listeners can save $100 on the purchase of a kit using code “NSPODCAST” at checkout. There is also a special offer to receive a $50 Amazon gift card if you set up your device within 30 days of purchase. The device is also eligible for purchase with your FSA/HSA funds. To purchase, go to https://northshore.tytocare.com/

Stroke Alert
Stroke Alert August 2021

Stroke Alert

Play Episode Listen Later Aug 19, 2021 26:31


On Episode 7 of the Stroke Alert Podcast, host Dr. Negar Asdaghi highlights two articles from the August 2021 issue of Stroke: “Stroke Risks in Adult Survivors of Preterm Birth: National Cohort and Cosibling Study” and “Roles of Phytoestrogen in the Pathophysiology of Intracranial Aneurysm.” She also interviews Drs. Nirav Bhatt and Diogo Haussen about their article “Reliability of Field Assessment Stroke Triage for Emergency Destination Scale Use by Paramedics: Mobile Stroke Unit First-Year Experience.” Dr. Negar Asdaghi: 1) Can preterm birth be associated with increased risk of stroke in adulthood? 2) Can a plant-based diet high in phytoestrogens reduce the risk of aneurysm formation and aneurysmal rupture in postmenopausal women? 3) What is the predictive ability of FAST-ED score in detection of large vessel occlusion? We will review these questions in today's podcast. You're listening to the Stroke Alert Podcast. Stay with us. Dr. Negar Asdaghi:         From the Editorial Board of Stroke, welcome to the Stroke Alert Podcast. My name is Negar Asdaghi. I'm an Associate Professor of Neurology at the University of Miami Miller School of Medicine and your host for the monthly Stroke Alert Podcast. The August 2021 issue of Stroke covers a wide range of topics from examining if the presence of spot sign modifies the treatment effect of tranexamic acid in patients with intracerebral hemorrhage to the results of the PRESERVE randomized clinical trial examining whether intensive blood pressure lowering in patients with severe cerebral small vessel disease can be associated with progression of white matter damage as detected by diffusion tensor imaging or MRI studies, which I encourage you to review in addition to our podcast today. Dr. Negar Asdaghi:         Later in today's podcast, I have the pleasure of interviewing Drs. Diogo Haussen and Nirav Bhatt from Emory University on their work on reliability of FAST-ED scale when used by the paramedics in mobile stroke units and learn about the implementation of mobile stroke units in Atlanta. But first with these two articles. Dr. Negar Asdaghi:         Preterm birth, defined as birth prior to 37 weeks of gestation, affects approximately 11% of births worldwide. Today, with the advent of modern neonatal and pediatric care, the majority of preterm babies survive into adulthood. Multiple studies have shown that adult survivors of preterm birth are at increased risk of developing vascular risk factors, such as diabetes and hypertension, and have a higher incidence of ischemic heart disease as compared to their age-matched individuals born at term, though the association between preterm birth and risk of stroke is not well studied. Dr. Negar Asdaghi:         In the current issue of the journal, Dr. Casey Crump from Departments of Family Medicine and Community Health and Population Health Science and Policy at Icahn School of Medicine, Mount Sinai, New York, examined whether preterm birth is associated with an increased risk of stroke and its major subtypes in adulthood. The authors use the prenatal and birth information obtained from the Swedish Birth Register, which contains information for nearly all births in Sweden since 1973. The study cohort included over 2,200,000 singleton live births in Sweden from 1973 to 1994. These years were chosen to allow for sufficient follow-up into adulthood. The study cohort was examined for the earliest diagnosis of stroke from the time the participants turned 18 through September 31, 2015, and the maximum age of included population is 43 years. Stroke was identified using ICD codes from all primary and secondary diagnosis in the Swedish Hospital and Outpatient Registries and all deaths attributed to stroke in the Swedish Death Register. Dr. Negar Asdaghi:         Cosibling analyses assess for potential shared, familial confounding factors, such as genetic and environmental factors, that could contribute to development of stroke. In 28 million person-years of follow-up, 4861, or 0.2% persons, were diagnosed with stroke between 18 to 43 years of age. The authors found that low gestational age at birth was associated with a significantly higher risk of first-time stroke in adulthood. In their adjusted model, as compared to those born at full-term, the hazard ratio for any stroke associated with early preterm, that is birth between 22 to 33 weeks of gestation, was 1.4, and the hazard ratio for late preterm, that is birth between 34 to 36 weeks of gestation, was 1.22, both of which were statistically significant. Interestingly, each additional week of gestation was, on average, associated with a 3% lower risk of first stroke in adulthood. Dr. Negar Asdaghi:         Similar associations were found in men and women and for both hemorrhagic and ischemic strokes. These findings were only partially explained by shared genetic or environmental risks of preterm birth and stroke within families, suggesting important direct effects of preterm birth on risk of stroke. Multiple putative mechanisms that could potentially link preterm birth with increased stroke risk were discussed in the paper as well, including interaction of fetal angiogenesis during the critical developmental period leading to reduced capillary density and increased arterial stiffness, to persistently elevated levels of anti-angiogenic factors, which are correlated with increased blood pressure development and development of hypertension in adulthood. In summary, the study findings suggest that preterm birth should be recognized as a risk factor for stroke later in life, and survivors need early preventive evaluation and long-term clinical follow-up into adulthood to reduce their lifetime risk of stroke. Dr. Negar Asdaghi:         The incidences of intracranial aneurysm and aneurysmal subarachnoid hemorrhage are high in postmenopausal women, suggesting estrogen may be protective against aneurysm formation or aneurysmal rupture. However, estrogen-containing hormone replacement therapy is also associated with an increased risk of other significant adverse outcomes, such as increased risk of breast cancer and ischemic stroke, and is not routinely recommended for primary prevention of chronic conditions in postmenopausal women. Isoflavones, a type of phytoestrogen, are plant-based, diet-derived compounds with properties similar to estrogen. Two types of isoflavones, genistein and daidzein, are found in soybeans, chickpeas, and lentils and are thought to be the most potent phytoestrogens that exert estrogenic activities with tissue and receptor specificity. Regular consumption of isoflavones has been shown to alleviate the vasomotor symptoms of estrogen deficiency and associated with reduced incidence of estrogen-dependent diseases in postmenopausal women. Daidzein, once ingested, is converted to its bioactive metabolite, equol, which preferentially binds to estrogen receptor beta, a receptor subtype responsible for the protective effect of estrogen against the formation and rupture of intracranial aneurysms. Dr. Negar Asdaghi:         In the paper titled "Roles of Phytoestrogen in the Pathophysiology of Intracranial Aneurysm," Dr. Tomoki Hashimoto from the Barrow Aneurysm and AVM Research Center, Departments of Neurosurgery and Neurobiology, the Barrow Neurological Institute, and colleagues investigated whether the phytoestrogens daidzein and its bioactive form, equol, are protective against the formation and rupture of intracranial aneurysms in ovariectomized female mice. Intracranial aneurysms were induced by combining systemic hypertension and a single injection of elastase into the CSF at the right basal system. Ovariectomized mice were fed with an isoflavone-free diet. The systemic treatment with equol delivered via an implanted mini-osmotic pump in the treatment group (0.5 mg/kg/day) or vehicle (in the control group) began one week before aneurysm induction and was continued for four weeks thereafter. So, what they found was that equol treatment significantly reduced the incidence of aneurysm formation compared to vehicle, and there was a trend for equol-treated mice to have a lower incidence of aneurysmal rupture than control mice, while there was no difference in the blood pressure noted between the two groups. Dr. Negar Asdaghi:         Furthermore, systemic treatment through equol decreased mRNA expression of proinflammatory cytokines, such as IL-6 and interleukin-1β. Importantly, equol seems to require estrogen receptor beta, as the observed protected effects of equol against aneurysm formation was not duplicated in ovariectomized estrogen receptor beta knockout mice. The authors further demonstrated that dietary daidzein reduced the incidence of aneurysm formation, an effect that was dependent on the conversion of daidzein to equol as the beneficial effect of this dietary supplement was abolished in mice that were fed vancomycin, which prevented the intestinal microbial conversion of daidzein to equol. In summary, this study showed that both dietary oral daidzein or the systemic use of its bioactive metabolite, equol, protect against aneurysm formation in ovariectomized female mice through the activation of estrogen receptor beta and subsequent suppression of inflammation. These results indicate a potential therapeutic value of phytoestrogen in prevention of intracranial aneurysm formation and related subarachnoid hemorrhage. Dr. Negar Asdaghi:         Early recognition of stroke-like symptoms, combined with increased utilization of revascularization therapies, have greatly improved the clinical outcomes of patients with acute ischemic stroke, but have similarly resulted in an ever-growing demand on the stroke systems of care. In the era of endovascular thrombectomy, a prehospital scoring tool with predictive abilities for detection of a target vessel occlusion can greatly assist in the appropriate triage, transfer, and activation of the endovascular team for eligible patients, all the while preventing the inevitable fatigue that accompanies the overuse of the system by properly triaging out those who have a lower likelihood of needing endovascular therapy. For any scoring system used in the prehospital setting, the need for precision needs to be balanced with notions such as ease of administration, time consumption, and reproducibility, as decisions made in the field are invariably fast and frequently made in unstable situations. The Field Assessment Stroke Triage for Emergency Destination, or the FAST-ED scale, is one such stroke scale that meets many of the above-stated criteria in patients with stroke-like presentations to predict a possible large vessel occlusion. Dr. Negar Asdaghi:         In the paper titled "Reliability of FAST-ED Scale Use by Paramedics: Mobile Stroke Unit First-Year Experience," Drs. Nirav Bhatt and Diogo Haussen and colleagues, from the Marcus Stroke and Neuroscience Center, Grady Memorial Hospital, and the Department of Neurology at Emory University School of Medicine in Atlanta, report on the reliability of the FAST-ED score in the prehospital setting when used by the paramedics in a mobile stroke unit. I'm joined now by Drs. Bhatt and Haussen to discuss this paper. Good afternoon, Nirav and Diogo. Thank you very much for joining us. Dr. Nirav Bhatt:               Thank you so much for the invitation. I'm very happy to be here. Dr. Diogo Haussen:         Thank you very much. It is a great pleasure to join you. Dr. Negar Asdaghi:         Right. In this paper, the FAST-ED score was administered by the paramedics in a mobile stroke unit. So Nirav, to get us started, please tell us about the concept of a mobile stroke unit, how long it's been implemented in Atlanta, and what it means for patients with stroke-like symptoms who would possibly have a large vessel occlusion. Dr. Nirav Bhatt:               The mobile stroke unit, or the MSU, is an ambulance equipped with a CT scanner and state-of-the-art telemedicine capabilities and is operated by the Grady Emergency Medical Services that covers majority of Metro Atlanta and many of its suburbs, caring for a population of a little over 500,000. It was specifically incorporated to expedite care amongst patients with suspected strokes and went into operations on 30th May, 2018, Monday through Saturday, 12 hours a day, 8 a.m. through 8 p.m. It is operated by a group consisting of an EMT driver, a paramedic, an emergency medicine registered nurse, and a CT technician. So, when a patient has symptoms suspicious for a stroke, the MSU is activated either through 911 dispatch or by an ALS ambulance crew evaluating a possible stroke alert patient in the field. After the initial stroke triage performed by the MSU crew, if there is a persistent suspicion for stroke, the patient is transferred to the MSU and a noncontrast CT scan of the brain is immediately performed. Dr. Nirav Bhatt:               These CT images are transmitted via the telemedicine platform and are available for review by the vascular neurologist and neuroradiologist in real time. With the help of telemedicine technology, a remotely located vascular neurologist then examines the patient. So, with the help of telemedicine and CT scanner, it allows the remotely located vascular neurologist to identify patients who may qualify for IV alteplase, which is then administered in the MSU to qualifying patients, and these patients get subsequently transported to a stroke treatment center. Now, if the neurological exam is concerning for a large vessel occlusion and the non-contrast CT scan does not show corresponding early ischemic changes, these patients get transferred specifically to a comprehensive stroke center for consideration of thrombectomy. At our centers, some of these patients get directly transported to the neuro-angio suite for further imaging and possible thrombectomy. Thus, the MSU serve a very important goal of expediting critical neurological care for a stroke patient, not only by administering IV alteplase in the field to qualifying patients, but also early triage and transport of qualifying patients to the neuro-angio-suite and with earlier activation of neuroangiosuite. Dr. Negar Asdaghi:         Perfect, Nirav. An important and a growing concept, bringing treatment to patients and helping with triaging them appropriately, as you mentioned, which I'm sure we'll see more of in the United States and across the world. Now, Diogo, over to you. Can you tell us about the FAST-ED score, its components, then about the reliability of FAST-ED score in the prehospital setting prior to your current study? Dr. Diogo Haussen:         So, the landmark trials published in 2015 defined mechanical thrombectomy as this very effective and powerful treatment of large vessel occlusion stroke patients, and the clinical and the public health impact of this treatment are certainly highly dependent on the rapid triage of these folks into the appropriate destination. So, this involves the prompt identification of patients with severe symptoms by the emergency medical system personnel, and obviously the transportation of them for a thrombectomy capable center. So, some scales had been proposed earlier on, and the FAST-ED was then developed, and it aimed to help with the identification of patients with a higher probability of having a large vessel occlusion stroke. So, in 2017, we validated the scale on stroke patients that had undergone contrast-enhanced vascular images, which had not been done before, in this publication led by Fabricio Lima and Raul Nogueira in Stroke, in the Stroke journal. Dr. Diogo Haussen:         So, this paper demonstrated that FAST-ED had higher accuracy than RACE and CPSS. The main limitation at the time was the fact that the FAST-ED score derived from the NIH Stroke Scale and, therefore, had to be validated in the field. The FAST-ED scale stands for the important features that are involved with stroke care and recognition and triage, such as facial palsy, arm weakness, speech changes, and time. Then we complimented this with findings of critical dysfunction illustrated by eye deviation and also denial/neglect. So, the FAST-ED has the following scoring system: So, facial palsy scored from zero to one; arm weakness from zero to two; speech changes, which is aphasia, from zero to two; time is just for documentation, but not for really any decision-making in terms of the scale itself. So, eye deviation goes from zero to two, and denial/neglect from zero to two, and again, was designed based on the items of the NIH Stroke Scale with higher predictive value for large vessel occlusion strokes. I think Nirav is going to discuss a little bit more about why we chose those cutoffs, but they're all designed in a specific way. Dr. Negar Asdaghi:         Perfect. So a quick score that can be administered easily by different healthcare personnel. So, please tell us, before we go back to Nirav, about your paper's methodology. What were you hoping to expand on the existing knowledge with this paper? Dr. Diogo Haussen:         I'm just going to repeat a few things, but our mobile stroke unit is equipped obviously with a CT machine and is staffed by an EMT driver and emergency medicine registered nurse, a paramedic, and a CT technician. So, a remote evaluation of patients by a vascular neurologist is then performed through this video-based telemedicine platform. The MSU, as he mentioned, is routinely accompanied by an Advanced Life Support–staffed ambulance, which responds to the suspected stroke calls, and sometimes then calls in or calls off the potential of our stroke code. And as part of this MSU evaluation, the FAST-ED is then administered by the MSU paramedic via the FAST-ED smartphone application that was designed. And then an independent NIH is performed by the registered nurse within the MSU. So, subsequently, the patient is transferred into the MSU itself and a non-conscious CT is performed. Once the scan is completed, the patient is evaluated by the vascular neurologist in a two-way video conference where the FAST-ED is then estimated by the physician. Dr. Diogo Haussen:         So, all patients are then transferred to the comprehensive stroke center, where further evaluation, including vascular imaging, is performed. The vascular imaging data was formerly read by neuroradiology and then followed by an independent read by the vascular neurologist for the identification of large vessel occlusion strokes, which we define in this paper as an intracranial occlusion off the internal carotid, the M1 or the M2 branches of the middle cerebral artery or the basilar artery. The study encompassed our initial experience, which was from May of 2018 till August of 2019. And we have some other goals, but the initial experience was planned to allow us to investigate, once again, this most important feature, which is the potential reliability of the estimation of the FAST-ED score by paramedics in the field. Dr. Negar Asdaghi:         Perfect. Thank you for this background, Diogo. Now Nirav, we're ready to hear about the study results. Dr. Nirav Bhatt:               So, in the first 15 months of operation of the mobile stroke unit, we analyzed data on 173 eligible patients. We had an almost equal distribution of our patients in terms of gender. We had 52.6% females, and the majority of our patients were Black. We found that FAST-ED scores matched perfectly between paramedics and vascular neurologists 56% of the time, and there was only a zero to one point difference in 91% of the cases. Cases in which the discrepancy of the FAST-ED score between the paramedic and vascular neurologist was two points or higher were less than 9%. Overall, the intraclass correlation of FAST-ED score between the paramedic and the vascular neurologist was 0.94, indicating excellent interrater reliability. Dr. Negar Asdaghi:         Thank you. You found a higher interrater reliability between the paramedics and vascular neurologists for scores of three or above on the FAST-ED scale. Higher FAST-ED scales also were more specific in terms of detection of a target vessel occlusion. How should your results be interpreted in our day-to-day practice, Nirav? Dr. Nirav Bhatt:               That is correct. When vascular neurologists recorded a FAST-ED score greater than or equal to three, paramedics also recorded a FAST-ED score greater than or equal to three in 87.5% of the instances, and when a vascular neurologist recorded a FAST-ED score of greater than or equal to four, the paramedics also recorded a FAST-ED score of greater than or equal to four in 92% of the instances. This is suggestive that when the patients presented with a moderate to a severe stroke, that EMS paramedics were highly reliable in identifying the neurological severity of these patients. This provides a sound basis for more widespread utilization of FAST-ED as a simple and reliable tool that can be utilized by paramedics to identify stroke severity in the field. Dr. Negar Asdaghi:         Thank you, Nirav. Simple indeed. I know Diogo briefly alluded to this, but can you also tell us a little more about how FAST-ED compares to the other prehospital scoring systems in terms of their interrater reliability and LVO prediction? And what should be our takeaway message from your paper? Dr. Nirav Bhatt:               Yes, absolutely. So, just to give you an example, the Los Angeles Motor Scale, LAMS, tests for facial droop, arm drift, and grip strength, but does not really test for cortical signs. We know that a lot of patients with subcortical strokes will have those features, meaning facial droop, arm drift, and decreased grip strength. Similarly, while RACE is very similar to FAST-ED, it tests for leg weakness in addition to what FAST-ED does. It also puts a lot more emphasis on the facial droop as compared to FAST-ED. And with that, I want to draw your attention to a study that we cited in our paper where these scales were compared head to head, and while the accuracies of all the prehospital scales were found to be acceptable, the accuracy of RACE and LAMS were slightly higher than that of FAST-ED. However, it should be noted that in almost 35% of the cases, a complete FAST-ED score could not be reconstructed largely due to data and availability regarding patients' neglect. Dr. Nirav Bhatt:               This percentage for data and availability for RACE was even higher, meaning we have to consider the feasibility of these scales when we recommend the widespread adoption of these scales into our communities. Overall, the takeaway from this entire study is we strongly believe that there needs to be a system in place for prehospital stroke triage in order to identify and transport the patients to the right destination rapidly. However, the choice of individual scales should be made after consideration of the geographical characteristics of a particular community, and also that experience and that comfort with the level of training required for reliable performance of each of these scales by the EMS personnel. Dr. Negar Asdaghi:         Thank you so much, Nirav. More to come on this, I'm sure, in the future. Thank you for joining us on the podcast today. Dr. Nirav Bhatt:               Thank you so much. It was our pleasure. Dr. Negar Asdaghi:         Thank you, Drs. Nirav Bhatt and Diogo Haussen. Thank you for joining us on the podcast today, and we look forward to covering more of your work in the future. This concludes our podcast for the August 2021 issue of Stroke. Please be sure to check out the August table of contents for the full list of publications, including a special report on the safety of the mobile stroke units and a descriptive review of the amount of radiation exposure to the public, patients, and staff from these mobile units. With that, as our work to save every brain cell from ischemic and hemorrhagic damage continues, we invite you to stay alert with Stroke Alert. Dr. Negar Asdaghi: This program is copyright of the American Heart Association, 2021. The opinions expressed by speakers in this podcast are their own and not necessarily those of the editors or of the American Heart Association. For more, visit AHAjournals.org.

The Intentional Greatness Podcast
Propelling Towards Your Dreams, with Micheline Germanos

The Intentional Greatness Podcast

Play Episode Listen Later Aug 4, 2021 45:30


Founder and Principal at Germanos Leadership, LLC, Micheline is a leadership, executive, and team coach who provides business leaders and their teams. She brings a uniquely valuable perspective as she combines 25+ years of versatile, international business and leadership experience with deep coaching skills, EQ, intuition, and empathy. Her clients include senior leaders at Google, Microsoft, Ericsson, Alaska Airlines, Swedish Hospital, and Providence Health and Services, in addition to startup CEOs and VPs in mid-size companies. Micheline is passionate about people and possibilities. As a coach, she believes that each of her clients is unique and thus, she provides a customized and personalized approach that enables leaders to self-realize and formulate their solutions. A French national born in Lebanon, with an engineering degree in Computer Sciences, Micheline speaks four languages. Micheline spent ten years as a Director at Microsoft, during which she led an early version of their Cloud business in the EMEA region and scaled it into a substantial revenue stream. She left Microsoft in 2013 to build her international executive coaching practice. What you'll learn about in this episode: How Micheline went from an engineer to a coach How you can choose to make a big impact in the workplace The importance of giving yourself permission Why people have had to recreate boundaries during the pandemic The three steps necessary to make a life change What to do to start to listen to your inner voice What are the three components to develop your executive presence Resources: Website: http://germanosleadership.com/ LinkedIn: https://www.linkedin.com/in/michelinegermanos Twitter: https://twitter.com/inspir2transfrm Listening to Your Inner Voice Micheline Germanos is a Leadership Coach and Founder and Principal at Germanos Leadership. She combines more than two decades of business and leadership experience with deep coaching skills to help business leaders and their teams. After a sudden health crisis, she was able to listen to her inner voice and pursue her dream career. In this episode of the Intentional Greatness® podcast, Micheline shares the necessary components and actions needed to propel you to your dream life. Giving Yourself Permission While working as an executive in the tech industry, Micheline found herself doing the delicate dance of motherhood and career. During our conversation, she recalls a time when her then six-year-old son asked why she didn't pick him up for school like the other mothers. Micheline explains how this moment forced her to make small changes in her life like occasionally leaving the office at 4 pm or working from home one day a week. She shares how she gave herself permission and encouraged her team to do the same in their lives. Defining Moments Although Micheline spent over twenty years in her corporate career, she long had a desire to become a coach. But, she decided that she would wait until her sons went to college to make the transition. Micheline shares her story of becoming diagnosed with colon cancer, and how it became the defining moment in her life that made her realize life was short. In this episode, she discusses the steps necessary to make a major life change.

Healthy You Podcast
Doc Explains Muir's Incredible Mt. Everest Success

Healthy You Podcast

Play Episode Listen Later Jul 22, 2021 29:25


The doctor of the oldest American to summit Mt. Everest talks about caring for a world-class climber. In Part 2, you'll hear from Art Muir's orthopaedic surgeon, Mark Bowen, M.D., his reaction when Art Muir told him he was climbing Mt. Everest, how he helped Muir get stronger despite injuries and his advice for patients of any age who want to chase adventurous dreams.  For more information on the NorthShore Orthopaedic & Spine Institute, please visit www.northshore.org/ortho. 

Healthy You Podcast
Oldest American to Summit Mount Everest

Healthy You Podcast

Play Episode Listen Later Jul 7, 2021 54:39


Art Muir, 75, the oldest American to summit Mount Everest, shares his journey to the top of the world and how NorthShore University HealthSystem helped him to achieve his goals. In this first episode of a two-part series, listen to Art Muir, 75, the oldest American to summit Mount Everest, share his journey to the top of the world, what he did to prepare his body, the hardest days of the climb, and his message that you can do extraordinary things no matter your age. In Part 2, you'll hear from his NorthShore Orthopaedic & Spine Institute surgeon Mark Bowen, MD, about how he helped Art prepare for the climb that made the record books. For more information on the NorthShore Orthopaedic & Spine Institute, please visit http://www.northshore.org/orthopaedics. 

Healthy You Podcast
Wake Up Your Diet After Hibernation

Healthy You Podcast

Play Episode Listen Later Apr 16, 2021 67:48


Dietician Emmaline Rasmussen helps us find new ways to nurture ourselves through healthy eating goals and simple tips and tricks after a year-long COVID hibernation.

The Daily Sun-Up
Colorado Sun Daily Sun-Up: A Pandemic Year - Those We've Lost

The Daily Sun-Up

Play Episode Listen Later Mar 1, 2021 7:08


LUCY: You’re listening to a special edition of The Daily Sun-Up, a podcast from The Colorado Sun. This week we’re featuring special coverage to mark the one-year anniversary of the first known coronavirus case in Colorado. This is Fear, Loss, Change: A Pandemic Year. I’m Lucy Haggard.  JOHN: And I’m John Ingold. Today is Monday, March 1st, 2021. LUCY: More than four hundred thousand Coloradans have caught COVID-19 in the past year. Almost six thousand Coloradans have died with it. One in every thousand people alive on March 5, 2020 — the day Colorado identified its first case — did not live to see another year due to COVID-19. As of this podcast, more than 1.3 million Coloradans have received at least one vaccine shot, yet the death toll keeps climbing. JOHN: This has been a year-long mass casualty event. But it is, of course, not Colorado’s first mass tragedy. Look to the Aurora or Columbine shootings; wildfires or floods; the polio epidemic; the 1918 flu. But COVID is unique in that the devastation has largely remained invisible. Hospital wards and long-term care facilities have kept out visitors. Funeral homes are limiting the capacity of their services or holding them virtually. There have been no public vigils or displays of solidarity for those lives lost. It has been a tragedy that is difficult to see. JOHN: And while the majority of Americans know someone who was hospitalized or killed by the virus, experts say it has remained a divisive experience. When the pandemic began, experts assumed that people would become more unified against the coronavirus once they had more personal experience with it. But, by early this year, many had realized that wasn’t the case. Instead, people’s attitudes depended heavily on whether they identified with those falling ill. In other words, many people view the pandemic as a problem facing individuals, not one facing all of us together. JOHN: For those who have lost loved ones this past year, they experience more than just grief.  LUCY: Take the family of Anna Trujillo Pacheco. Anna died on November 13, 2020, five days after being rushed to Swedish Hospital due to low oxygen levels. Anna was the first of five generations of firstborn women. Here’s great-granddaughter Desiree Hooston, the fourth in that lineage. The evening before Anna died, family from around the globe gathered on a video call to say goodbye. Jeanette Esquibel, Anna’s first daughter said by that point, Anna was exhausted. By six a.m., she was gone.  Jeanette says she regrets not calling to check in on her mother. Anna had survived breast and kidney cancers as well as a debilitating car accident. As the family matriarch, she anchored together a vast network of relatives. If there wasn’t an ongoing public health emergency when she passed away, cousins and siblings would gather at the Veterans of Foreign Wars post off West Colfax Avenue. Granddaughter Ana Evans, who is named after Ana and the third generation of firstborn women, wrote her obituary, but she says it’s not enough. LUCY: With that pain comes anger at the way the pandemic has played out. Anger at people who refuse to wear masks, at how the virus has become politicized. Desiree, the great-granddaughter, wonders how her oldest daughter Rhaya, the fifth generation of firstborn women, will remember the one who defined her lineage. How will she share that memory with her younger brother and daughter, and with the child on the way, who never got to meet Anna? Of course, every loss happens differently. When Dominique Stephenson was taken off life support at Penrose Main Hospital on September 17, 2020, his wife Kathy Utley was masked up and right by his side.  Dominique had just arrived from Minneapolis to join Kathy in Colorado Springs, closer to Kathy’s daughter. The two had met in Madison, Wisconsin and ended up living together for six years before finally getting married, just over a year ago. They were excited for the next chapter of their life together.  But he fell ill days before he was slated to drive across the Great Plains, and while the first coronavirus test turned up negative, by the time he arrived in Colorado with the moving truck, he could barely walk. Even while Dominique was comatose in the hospital, somehow he kept up his endless generosity: Kathy received a pair of binoculars from an order he had placed days earlier. Since Dominique’s death, Kathy has moved in with her daughter. But moving on from the death of her soulmate is much more difficult. She’s finding that attitudes about the virus are different here than they were in the Midwest. And though she knows she’s not alone in her loss, it feels more lonely than it should. JOHN: You’ve been listening to Fear, Loss, Change: A Pandemic Year. To read the stories that go with today’s podcast, go to coloradosun.com forward slash coronavirus dash one dash year. LUCY: This episode of the Daily Sun-Up was made by John Ingold, and me, Lucy Haggard, with help from Pirate Audio. Our editor is Larry Ryckman. Special thanks to Jeanette Esquibel, Ana Evans, Desiree Hooston and Kathy Utley.  JOHN: If you like what we do at The Colorado Sun, consider contributing. Go to coloradosun.com forward slash membership.  LUCY: As always, thank you for listening. See omnystudio.com/listener for privacy information.

FUMS: Giving Multiple Sclerosis The Finger
FUMS 071 - Exploring The (Virtual) Reality Of Life With MS With MXTreality

FUMS: Giving Multiple Sclerosis The Finger

Play Episode Listen Later Dec 25, 2020 30:25


Prepare to have your mind BLOWN! MXTreality is an XR company based out of Seattle, WA. XR is an umbrella term for various technologies and incorporates Virtual Reality, Augmented Reality and Mixed Reality. The company has made over 100 experiences to meet client needs, further accessibility, as well as interactions that are just fun. MXTreality is working with Swedish Hospital in Seattle, and local MS patients, to design MS CART (working title), a Virtual Reality experience that incorporates Creative, Artistic, Relaxation, and Therapeutic elements. Even more interestingly, these elements are being designed in collaboration with the MS community. I think you'll agree that the possibilities of treatments for people living with Multiple Sclerosis are super exciting! Enjoy this conversation with Rodger Caudill, the Head of Communications at MXTreality. Topics covered include: How MS CART came to be How the team at MXTreailty came to link up with Swedish Hospital in Seattle What the potential benefits are and where this technology can go How people with MS can be involved with MS Cart Resources for this episode (clickable links): MXTreality website MXTreality on YouTube, Twitter, Facebook and LinkedIn Help keep FUMS alive at the FUMS Podcast Patreon page Sign up for the Patients Getting Paid course email waiting list ** Sign up for the FUMS Friday Night 6 Pack here: Friday Night 6-Pack. ~ Special thanks to my podcast editor Steve Woodward. Do you have a podcast or are you interested in starting a pod? **GREAT way for a Patient to get PAID!! I HIGHLY recommend adding Steve to your team. Find him at PodcastingEditor.com

Healthy You Podcast
A Warm Blanket for Your Stressed Mind

Healthy You Podcast

Play Episode Listen Later Sep 29, 2020 33:51


Listen to mental health therapist Jeffrey Sholemson who shows us how to feel like we’re wrapped in a warm blanket by clearing our minds of stress, anxiety and negative thoughts.

Healthy You Podcast
The Science Behind the Coronavirus Vaccine

Healthy You Podcast

Play Episode Listen Later Aug 26, 2020 24:27


A lot is riding on the development of a safe, effective COVID-19 vaccine. Nirav Shah, MD, an Infectious Disease expert, talks about the truth behind vaccines, how they are developed, how safe they are and why you should get it.

Coroner Talk™ | Death Investigation Training | Police and Law Enforcement
Aurora Colorado Shooting - First Episode Rewind

Coroner Talk™ | Death Investigation Training | Police and Law Enforcement

Play Episode Listen Later Aug 24, 2020 60:09


On July 20, 2012, a mass shooting occurred inside of a Century movie theater in Aurora, Colorado, during a midnight screening of the film The Dark Knight Rises. A gunman, dressed in tactical clothing, set off tear gas grenades and shot into the audience with multiple firearms, killing 12 people and injuring 70 others. The sole suspect, James Eagan Holmes, was arrested outside the cinema minutes later. It was the deadliest shooting in Colorado since the Columbine High School massacre in 1999. The shooting occurred in theater 9 at the Century 16 multiplex (operated by Cinemark), located at the Town Center at Aurora shopping mall at 14300 E. Alameda Avenue. Police said the shooter bought a ticket, entered the theater, and sat in the front row; about 20 minutes into the film, he left the building through an emergency exit door, which he propped open with a plastic tablecloth holder. He allegedly then went to his car, which was parked near the exit door, changed into protective clothing, and retrieved his guns. About 30 minutes into the film, police say, around 12:30 am, he reentered the theater through the exit door. He was dressed in black and wore a gas mask, a load-bearing vest (not to be confused with a bulletproof vest), a ballistic helmet, bullet-resistant leggings, a bullet-resistant throat protector, a groin protector and tactical gloves. Initially, few in the audience considered the masked figure a threat. He appeared to be wearing a costume, like other audience members who had dressed up for the screening. Some believed that the gunman was playing a prank, while others thought that he was part of a special effects installation set up for the film's premiere as a publicity stunt by the studio or theater management. It was also said that the gunman threw two canisters emitting a gas or smoke, partially obscuring the audience members' vision, making their throats and skin itch, and causing eye irritation. He then fired a 12-gauge Remington 870 Express Tactical shotgun, first at the ceiling and then at the audience. He also fired a Smith & Wesson M&P15 semi-automatic rifle with a 100-round drum magazine, which malfunctioned after reportedly firing about 45 rounds. Finally, he fired a Glock 22 40-caliber handgun. He shot first to the back of the room, and then toward people in the aisles. A bullet passed through the wall and hit three people in the adjacent theater 8, which was screening the same film. Witnesses said the multiplex's fire alarm system began sounding soon after the attack began and staff told people in theater 8 to evacuate. One witness said that she was hesitant to leave because someone yelled that there was someone shooting in the lobby and that they should not leave. The first phone calls to emergency services via 9-1-1 were made at 12:39 am. Police arrived within 90 seconds and found at least three .40-caliber handgun magazines, a shotgun and a large drum magazine on the floor of the theater. Some people reported the shooting via tweets or text messaging rather than calling the police. Sgt. Stephen Redfearn, one of the first police officers on the scene, decided not to wait for ambulances and sent victims to area hospitals in squad cars. About 12:45 am, police apprehended Holmes behind the cinema, next to his car, without resistance. He was initially mistaken as another police officer because of the tactical clothing he was wearing. According to two federal officials, he had dyed his hair red and called himself "the Joker", although authorities later declined to confirm this. Three days later, at his first court appearance in Centennial, Colorado, Holmes had reddish-orange hair. The officers found several firearms in the theater and inside the car, including another Glock 22 handgun.Following his arrest, he was initially jailed at Arapahoe County Detention Center, under suicide watch. The police interviewed more than 200 witnesses. Investigators say that the shooter acted alone and was not part of a larger group or terrorist organization. Explosive devices When apprehended, Holmes told the police that he had booby-trapped his apartment with explosive devices before heading to the movie theater. Police then evacuated five buildings surrounding his Aurora residence, about 5 miles (8 km) north of the cinema. The apartment complex is limited to University of Colorado Medical Center students, patients, and employees. One day after the shooting, officials disarmed an explosive device wired to the apartment's front entrance, allowing a remotely controlled robot to enter and disable other explosives. The apartment held more than 30 homemade grenades, wired to a control box in the kitchen, and 10 gallons of gasoline. Neighbors reported loud music from the apartment around midnight on the night of the massacre, and one went to his door to tell him she was calling the police; she stated that the door seemed to be unlocked, but she chose not to open it. A law enforcement official said that a Batman mask was found inside the apartment. On July 23, police finished collecting evidence from the apartment. Two days later, residents were allowed to return to the four surrounding buildings, and six days later, residents were allowed to move back into the formerly booby-trapped building. Casualties Eighty-two people were shot or otherwise wounded, reported by mainstream news as the most victims of any mass shooting in United States history. Four people's eyes were irritated by the tear gas grenades, and eight others injured themselves while fleeing the theater. The massacre was the deadliest shooting in Colorado since the Columbine High School massacre on April 20, 1999. Fatalities Twelve people were killed in the shooting. Ten died at the scene and two more in local hospitals. Those killed were: Jonathan Blunk, age 26 Alexander J. Boik, age 18 Jesse Childress, age 29 Gordon Cowden, age 51 Jessica Ghawi, age 24 John Larimer, age 27 Matt McQuinn, age 27 Micayla Medek, age 23 Veronica Moser-Sullivan, age 6 Alex Sullivan, age 27 Alexander C. Teves, age 24 Rebecca Wingo, age 31 Almost two months earlier, Jessica Ghawi narrowly avoided a shooting at the Eaton Centre in Toronto, which killed two people and injured several others. Injuries The youngest person injured during the shooting was a four-month-old boy who was not shot. Ashley Moser, Veronica Moser-Sullivan's mother, was critically injured in the shooting and miscarried a week after the attack. The injured were treated at Children's Hospital Colorado, Denver Health Medical Center, The Medical Center of Aurora, Parker Adventist Hospital, Rose Medical Center, Swedish Hospital, and University Hospital. On July 25, three of the five hospitals treating victims announced that they would limit medical bills or forgive them entirely. The Community First Foundation collected more than $5 million for a fund for victims and their families. In September, victims and their families received surveys asking about their preferences for how collected funds should be distributed, either by dividing it equally among victims or through a needs-assessment process.On November 16, 2012, the Aurora Victim Relief Fund announced each claimant will receive $220,000. Information in this written post was obtained from wikipedia and is only as valid as that site reports.    

Healthy You Podcast
Risking It All: An ER doctor finding hope on the frontlines of COVID

Healthy You Podcast

Play Episode Listen Later Jul 28, 2020 28:07


“I’m not going to let you die.” Risking it all, an ER physician shares the resilience and hope found on the frontlines of the COVID-19 pandemic.

Leadville: The 100 Mile Mountain Bike Race Podcast, p/b Floyd's of Leadville

We take a hard look at the logistical and ethical questions that come with staging the Leadville Trail 100 this summer. Our guest is Kevin Brooks: COO of Swedish Hospital in Seattle. He's a 2018 finisher in the Leadville 100, has crewed for his wife as she successfully raced the Leadwoman, and is the founder of a race promotion company. With a deep understanding of community, racing, health infrastructure, and the town of Leadville, there may be no better person to weigh in on the implications of a 2020 Leadville 100 Race Series.

GeekWire Health Tech
COVID-19 and the future of health tech

GeekWire Health Tech

Play Episode Listen Later Apr 7, 2020 34:46


Much of the current focus in health care is rightly on the near-term challenges of the COVID-19 pandemic. But beyond the current crisis, health care technology veterans are already seeing major changes that promise to become permanent realities -- from the sudden boom in telemedicine, to regulatory shifts impacting health care billing, to the use of location data to track the disease. "Most interesting is what's going to happen when this is over," says Anne Weiler, the co-founder and former CEO of Seattle health tech startup Wellpepper, recently acquired by Caravan Health. "I don't think people are going to be satisfied with going back to the status quo, because these other things are now working." "I think these regulatory changes represent a big shift in how health care will be delivered beyond 2020," adds Nirav Shah, CEO of Sentinel Healthcare, a neurologist and the former stroke director at Swedish Hospital in Seattle. Sentinel recently launched a real-time fever tracking app for COVID-19 cases, and today announced that UT Health Austin will roll out its quarantine management program. But it will be key to deliver solutions that actually work for front-line health care workers, says Doug Cusick, CEO of Seattle startup TransformativeMed, which is offering its electronic record keeping application to screen COVID-19 patients, monitor symptom checklists, and track lab results and other data. "Look to technology to solve problems, but don't forget about these poor clinicians who've been left out in the process," Cusick explains. "The view has to be into solving these big communication and collaboration problems, which will enable so much else to work across our ecosystem." We introduced these health tech leaders recently and brought them together for a conversation about the COVID-19 crisis. The conversation quickly turned to the long-term implications for hospitals, clinicians, startups, patients and health technology. As a bonus, here are some of Anne Weiler's recommended Twitter accounts to follow, which she alluded to during the show. @ScottGottliebMD @RanaAwdish @meganranney @leorahorwitzmd @DrSidMukherjee @UrbaneDoc4Kids @Farzad_MD @ShawnteJamesMD

Carla Marie & Anthony On Demand
That Time We Knew Famous Joes

Carla Marie & Anthony On Demand

Play Episode Listen Later Mar 27, 2020 51:04


Today is National Joe Day so we celebrate by playing Famous Joe Trivia ... can you guess these famous Joes?! Would you tell your friend if their daughter auditioned or porn?! We get a call from a nurse at Swedish Hospital in Edmonds on how we can help right now! We talk to our boss about our event with FOX this weekend "iHeart's Living Room Concert for America"! Watch it Sunday night on FOX 6pmPT/9pmET. And today's Dirty Little Secret used poop to get revenge!Follow us on Instagram: Instagram.com/CarlaMarieandAnthonySubscribe to us on YouTube: YouTube.com/CarlaMarieAnthonyShow

Speakers Forum
Drawing the line on progress, for certain citizens

Speakers Forum

Play Episode Listen Later Mar 12, 2020 48:20


Seattle Rep theater presented a production of August Wilson's play Jitney this spring. Unfortunately, the run was just cancelled due to Coronavirus concerns.Wilson wrote a series of 10 plays about the African-American experience. Each is set in a specific decade of the twentieth century.Wilson won the Pulitzer Prize for Fences, set in 1950’s, and The Piano Lesson, set in the 1930’s.August Wilson had a connection to Seattle. He moved here in 1990 and finished the last half of his cycle here. He was diagnosed with inoperable liver cancer in 2005 and died that year at Swedish Hospital.Wilson is considered one of the great playwrights of the twentieth century, on par with Eugene O'Neill and Arthur Miller.Set in 1970’s Pittsburgh, Jitney is the story of a rideshare service run by Jim Becker. His business emerged in response to redlining practices. It is being forced to close due to gentrification.Redlining was devised by the federal government, theoretically to help banks in the wake of the Great Depression. The practice, steeped in racism, was embraced by local governments. The story of Jitney resonates for us in Seattle, a place which, like cities around the country, is still grappling with the legacy of targeted discrimination and disenfranchisement.In a collaboration with Seattle Rep, we invited a number of local leaders to join a discussion on the history and legacy of redlining and gentrification. We hope that through this discussion, framed by personal experience and the lens of the play, we can reflect on what we want for our city in the coming decades.This recording took place on March 8 in the KUOW studios. KUOW’s Zaki Hamid spoke with Diane Sugimura, former director of Seattle’s Department of Planning and Development; Inye Wokoma, co-founder of Wa Na Wari, the center for Black art, stories and social connection in the Central District; and Vivian Phillips, a communications and arts advocacy consultant and a member of KUOW’s board of directors.Excerpts from Jitney were read by Ronnie Hill, Brandon Jones Mooney, Malcolm J West and Alex Lee Reed.Please note: This recording contains an unedited racial slur.

RobatDesk
46 - Dr. Chris Courtney

RobatDesk

Play Episode Listen Later Mar 12, 2020 10:46


Dr. Chris Courtney, Practicing Internal Medicine for the last 25 years with an office at Swedish Hospital in the Denver, CO area. Talking corona virus. They facts, myth, and hysteria.

swedish hospital
Fitz in the Morning
Fitz in the Morning Episode #186 Monday 01/27/20

Fitz in the Morning

Play Episode Listen Later Jan 27, 2020 85:10


We are all pretty gut-punched about Kobe Bryant as we discuss his life, legacy, family, circumstances of his chopper accident, and the world reaction to his death. In the What Are You Kidding Me stories, a guy stopped a burglary by hitting the perps with pickle jars; a guy named Walter White keeps getting arrested for meth; Vermont could put emojis on their license plates; and fire fighters speak out about the Penny Challenge. Chase Rice calls in to talk about tonight’s episode of “The Bachelor”. In the Hourly Bulletin, Swedish Hospital is closing two ER’s for a labor strike, a mudslide has blocked SR 18 Eastbound; Boeing’s New 777x takes its first flight, a dilapidated house in Bothell sells for over $400k, and three 3 UW students are being screened for Coronavirus. In Sports we talk about Kobe Bryant’s amazing career. Fitz plays audio from the LA County press conference about Kobe’s accident. In the Fitz Files, the Grammys began with a tribute to Kobe from Boys II Men and Alicia Keys; Billie Eilish won 5 Grammys, “Old Town Road”, Tanya Tucker and Dan+Shay were other big winners, and Nick Jonas performed with spinach in his teeth. In The Good Stuff, a state trooper helped ease a little girl’s fears after a car wreck by sharing his knowledge of “Frozen” with her. On City vs. Country, we talk to our couple from Friday, Christine from Bothell and Country Boy Carl from Monroe, who apparently did get together. Today’s Troop Salute is Rick Lashley of the USMC. More Kobe Bryant reaction as we hear from listeners and Fitz reads remembrances from other athletes and notables like former President Obama. Fitz plays us some highlights from the Grammys. And we send you off to your Monday with some Monday Motivation.

Spotlight with Gary Shipe
Spotlight With Gary Shipe 11 - 11 - 18

Spotlight with Gary Shipe

Play Episode Listen Later Nov 11, 2018


This week on Spotlight with Gary Shipe, Sunday at 5a: This week we speak with The March of Dimes and their efforts to reduce the number of premature births. Long time volunteer and Leadership Team member Stephen Berry along with the Director of Maternal Child Health and Government Affairs Kasey Rivas speak about the programs and resources of the Washington Chapter of the March of Dimes. The discussion ranges from raising awareness for November 16th, World Prematurity Day to some pilot programs such as the treatment for pregnant women with chemical dependency at Swedish Hospital. Learn more online at www.marchofdimes.org

director spotlight dimes leadership team shipe world prematurity day washington chapter swedish hospital stephen berry
M:E - Gwilda Wiyaka
ME: Dr. David Hanscom, MD - Pain Free and Back in Control

M:E - Gwilda Wiyaka

Play Episode Listen Later Jun 19, 2018 60:22


Dr. David Hanscom, MD, author of “Back in Control: A Surgeon’s Roadmap Out of Chronic Pain” is a board certified orthopedic surgeon specializing in the surgical correction complex spine problems. He works for Swedish Neuroscience Specialists at the Swedish Medical Center in Seattle, WA. He developed the “DOC” (direct your own care) project, a framework that organizes care for chronic spinal pain based on his own struggle with chronic pain and the recent neuroscience research. He is working with Swedish Hospital to improve access to structured non-operative care. He is the founder of the Puget Sound Spine Society, a non-profit educational group, which provides a regional forum for physicians from multiple specialties to share ideas regarding optimum spine care. He co-founded “Precision Surgical Performance” a process, which brings athletic performance principles into the operating room.

M:E - Gwilda Wiyaka
ME: Dr. David Hanscom, MD - Pain Free and Back in Control

M:E - Gwilda Wiyaka

Play Episode Listen Later Jun 19, 2018 60:22


Dr. David Hanscom, MD, author of “Back in Control: A Surgeon’s Roadmap Out of Chronic Pain” is a board certified orthopedic surgeon specializing in the surgical correction complex spine problems. He works for Swedish Neuroscience Specialists at the Swedish Medical Center in Seattle, WA. He developed the “DOC” (direct your own care) project, a framework that organizes care for chronic spinal pain based on his own struggle with chronic pain and the recent neuroscience research. He is working with Swedish Hospital to improve access to structured non-operative care. He is the founder of the Puget Sound Spine Society, a non-profit educational group, which provides a regional forum for physicians from multiple specialties to share ideas regarding optimum spine care. He co-founded “Precision Surgical Performance” a process, which brings athletic performance principles into the operating room.