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A small leak during a big laugh might hint towards a bigger story. In this episode exploring the pelvic floor, Dr. Olga Ramm and patient Nicole Curutchet answer the age-old question- what's really going on down there? Nicole Curutchet starts off by sharing her experience of developing pelvic floor prolapse, which felt like a “tampon that's halfway coming out.” She tackles the issue of finding the right provider, and shares about her surgery and recovery. On speaking out despite stigma, she says, “this is our bodies and it's the truth, and we don't want people to suffer, so why not talk about it?” For many people with vaginas, pelvic floor leakage, pain, and other symptoms, are often dismissed as just a fact of life. Dr. Ramm and Nicole argue that it doesn't have to be that way. A variety of treatments exist for managing pelvic disorders, including physical therapy, insertable devices, and surgery. As Dr. Ramm reveals “birth remains the most common inciting injury to the pelvic floor...It's something that affects a whole lot of us.” Dr. Ramm also discusses research that shows that trauma of all kinds impacts the pelvic floor, “almost like a linear relationship between the number of adverse events that you report and the prevalence of chronic pelvic pain.” In a topic often characterized by silence, Dr. Ramm encourages providers to proactively ask about the pelvic floor. She emphasizes the value of informing patients about all the types of care available to them and respecting patient autonomy: “You don't have to follow a specific algorithm. Let the patient make the choice based on their individual values, their goals for themselves and their own personal case scenarios that they want to avoid.” Dr. Olga Ramm's Website: https://www.ucsfhealth.org/providers/dr-olga-ramm UCSF Center for Urogynecology and Women's Pelvic Health: https://www.ucsfhealth.org/clinics/center-for-urogynecology-and-womens-pelvic-health Study That Links Duration of Pushing Phase to Degree of Obstetric Anal Sphincter, Led By Dr. Olga Ramm Injuries: https://pubmed.ncbi.nlm.nih.gov/29324610/ Chronic Pelvic Pain Society of North America: https://www.pelvicpain.org/public The Body Keeps the Score: https://www.besselvanderkolk.com/resources/the-body-keeps-the-score Past episodes of our podcast to follow this one up: Vagina Obscura: A Conversation with Rachel E. Gross The Clitoris and Its Friends with Rachel Gross Dr. Olga Raam is the director of the UCSF Center for Urogynecology and Women's Pelvic Health. She specializes in pelvic floor disorders and performs reconstructive pelvic surgeries with a focus on minimally invasive and robotic techniques. In her research, Ramm investigates topics related to urogynecology and reconstructive pelvic surgery, including surgical outcomes, birth trauma, care equity, and patient consent. In addition to patient care, Ramm is passionate about surgical education. She has held leadership roles in undergraduate and graduate medical training for urogynecology and reconstructive pelvic surgery at UCSF. Nicole Curutchet is an accomplished senior customer success manager. She has over 25 years of experience working with C-level relationships for a variety of Fortune 500 companies.
Patti Tripathi talks with Margot Kushel, MD, and Robynne Rose-Haymer ahead of their keynote presentation on providing care to the unhoused population on May 18 at ATS 2025. Dr. Kushel is chief of the Division of Health Equity and Society and director of the UCSF Center for Vulnerable Populations and the UCSF Benioff Homelessness and Housing Initiative. Ms. Rose-Haymer is the director of the California Legislative Staff Education Institute at Capitol Impact Consulting.09:36 What can the VA's initiatives among the homeless population teach clinicians?13:25 How can we create solutions?Register for the ATS 2025 International Conference at conference.thoracic.org
Shawn Demmons is a queer African American trans man committed to social and racial justice. Shawn has 10+ years of experience providing community health education training, capacity building, and technical assistance to increase provider knowledge and awareness about trans people and the best practices to engage transgender communities in health care. Shawn has developed training curricula, webinars, and interactive presentations for the staff and leadership of numerous health care organizations across the U.S. In addition, he coordinated the past three convenings of the National Transgender Health Summit and led the development of a Trans 101 eLearning course for the UCSF Center of Excellence for Transgender Health website. Currently, Shawn directs an HIV capacity-building program where he works to expand the number and ability of health care professionals to provide high quality HIV care and decrease inequities that includes programming on gender-affirming care. Shawn has an undergraduate degree in Black Studies and Masters in Public Health from San Francisco State University, and is the proud papa of a 10-year old chihuahua named Cooper.
Monica Gandhi, MD, reflects on her decades-long work in HIV care, from providing care early in the epidemic to leading implementation of today's groundbreaking medical advances. She discusses the science behind HIV (including how 7 people have been cured), the groundbreaking shift from complex pill regimes to long-acting injectable therapies, and how these innovations help patients facing medication challenges. Monica also draws parallels to COVID-19 as she underscores the importance of harm reduction; encourages bipartisan support while talking about policy and funding; addresses social determinants of health that impact HIV prevention and treatment. For her, HIV is not just an infection, but a movement driving healthcare and equity forward. Read the transcript of the episode. Connect with Dr. Monica Gandhi on Twitter and LinkedIn Endemic, by Monica Gandhi CAPTC HIV & PrEP Resources Long-Acting Injectable PrEP Previous episode with Dr. Monica Gandhi: S1 E7: How Effective Are COVID-19 Vaccines? with Dr. Monica Gandhi Monica Gandhi, MD, MPH, is a Professor of Medicine and an Associate Chief in the Division of HIV, Infectious Diseases, and Global Medicine at the University of California, San Francisco. She is the director of the UCSF Center for AIDS Research and the Medical Director of the HIV clinic (Ward 86) at SF General Hospital. Dr. Gandhi also serves as the Associate Program Director of the Infectious Diseases Fellowship at UCSF. Her research focuses on HIV treatment and prevention optimization, HIV in women, adherence measurements in HIV and tuberculosis, adherence interventions, and optimizing the use of long-acting antiretroviral therapy. Dr. Gandhi has been in the HIV workforce since 1996 and brings an extremely important level of expertise to the field. Her book, Endemic, illustrates the lessons to be learned and applied to future epidemics from the HIV epidemic. Have any questions, concerns, or love letters? Send us a message on Instagram @comingtogetherpod or email us at captc@ucsf.edu Don't forget to leave us a review on Spotify, or wherever you get your podcasts.
Today on the Sauna Talk podcast we welcome Ashley Mason. Ashley Mason, earned her PhD in clinical psychology from the University of Arizona. She is an Associate Professor of Psychiatry in the Weill Institute for Neurosciences and the UCSF Osher Center for Integrative Health. Ashley is a clinical psychologist and directs behavioral treatment for insomnia at the UCSF Osher Center Clinic. She is Director of the UCSF Sleep, Affect, and Eating (SEA) Lab. Ashley is the Co-Director of the UCSF Center for Obesity Assessment, Study, and Treatment (COAST). She is primarily a researcher but also treats patients for insomnia within the Osher Center Sleep Clinic. Whole body hyperthermia In our chat today, you'll learn about her work surrounding “whole body hyperthermia.” Her 2023 BrainMind Summit presentation touches upon sauna and how heat treatment may have a positive impact on depression by regulating body temperature. Reintegrating thermal stress could be an effective approach to treating some individuals with depression. Heat treatment and antidepressant effects There is correlation between core body temperature and depression. Editing thermal stress out of our lives (air conditioning, climate controlled indoor living has put is in “the narrow band.”, when all along, acute heat stress could help us! Especially when the idea of an ice cold lake plunge after sauna is about the best idea we've ever heard! I'm pleased to welcome Ashley Mason to Sauna Talk.
Family Medicine and the Counterculture Revolution for our TimesPresented by Kevin Grumbach, MD, University of California, San FranciscoSTFM Annual Conference 2024 Blanchard Lecture | Monday, May 6, 2024 Family medicine was forged in the crucible of social movements of the 1960s. The consequential issues of our times—climate change, systemic racism, inequality of wealth, gun violence, reproductive rights, among others—are all contests for the common good that require social movements to achieve systemic reform. Primary care, according to the National Academies of Sciences, Engineering, and Medicine, is also a common good. Is family medicine ready to tap its brash, founding energy to reignite a second counterculture revolution to challenge profits, power, and privilege that harm society's collective wellbeing? This presentation will address the essential ingredients of a counterculture revolution, including daring to be radical and not settling for incrementalism; speaking truth to power; identifying and dismantling structures that reinforce the status quo; democratizing alliances; and acknowledging one's own complicity in harmful systems. If the speaker and audience do not feel uncomfortable at some point during the session, then the presentation will not have achieved its objectives.Learning Objectives: At the end of the session each participant should...To recognize the roots of family medicine as a countercultural specialtyTo be able to characterize primary care as a common goodTo identify the key elements of a counterculture revolutionTo incorporate revolutionary acts into one's professional life while being able to continue to earn a livelihood in family medicinePresentation SlidesCopyright © Society of Teachers of Family Medicine, 2024Kevin Grumbach, MD: Kevin Grumbach, MD is Professor of Family and Community Medicine at the University of California, San Francisco. He served as Chair of the UCSF Department of Family and Community Medicine from 2003-2022, and as Vice President for Population Health for the UCSF Health system from 2015-2018. He is a Founding Director of the UCSF Center for Excellence in Primary Care and Director of the Community Engagement Program for the UCSF Clinical and Translational Science Institute. His research and scholarship on the primary care workforce, innovations in primary care, racial and ethnic diversity in the health professions, and community health improvement and health equity have widely influenced policy and practice. With Tom Bodenheimer, he co-authored the best-selling textbook on health policy, Understanding Health Policy - A Clinical Approach, now in its 8 th edition, and the book, Improving Primary Care – Strategies and Tools for a Better Practice, published by McGraw Hill. He received a Generalist Physician Faculty Scholar award from the Robert Wood Johnson Foundation, the Health Resources and Services Administration Award for Health Workforce Research on Diversity, the Richard E. Cone Award for Excellence and Leadership in Cultivating Community Partnerships in Higher Education, and the UCSF Chancellor's Public Service Award, and is a member of the National Academy of Medicine. Dr Grumbach has been an advisor to Congressional Committees and government agencies on primary care and health reform and a member of the National Advisory Council for the Agency for Healthcare Research and Quality, and currently serves on the California Health Workforce Education and Training Council. He cares for patients at the family medicine practices at San Francisco General Hospital and UCSF Health.
"There is a very evidence-based way to house people for people who are experiencing homelessness, it has been around a long time, it's been testing empirically, it's called housing first" - Dr Margot Kushel, Director of the UCSF Benioff Homelessness and Housing Initiative.In this episode, Dr Margot Kushel explores the moral injury of being a frontline clinician and having to discharge people back onto the streets. How her College told her that no medical school would ever accept her and her success has been to honor the commitment to others who face unfair treatment by our system. Dr Kushel elaborates on her landmark research into Homelessness in California, highlighting the moral, medical, social and economic impact that this issue has on those individuals, their families and society as a whole. She goes on to emphasise that homelessness is a housing problem and that this is one of the key areas that needs to be addressed. Dr Kushel outlines the less forgiving the structural and safety net factors are, the fewer individual factors it takes for people to end up homeless. Finally, she explains the types of activities that clinicians can get involved in to help solve this issue.Follow Dr Margot Kushel* Twitter/X* LinkedInAbout the guest:Margot Kushel, MD is a Professor of Medicine at the University of California San Francisco, and Division Chief and Director of the UCSF Center for Vulnerable Populations, and Director of the UCSF Benioff Homelessness and Housing Initiative. She is a practicing general internist at Zuckerberg San Francisco General Hospital. Margot's research focuses on the causes and consequences of homelessness and housing instability, with the goal of preventing and ending homelessness and ameliorating the effects of homelessness and housing instability on health. She speaks at a local, state, and national level about issues of homelessness, and frequently provides testimony to legislative bodies.Contact Information: If you have any feedback, questions or if you'd like to get in touch, reach out at: jono@clinicalchangemakers.comIntro and Out Music Attribution: Music by AudioCoffee from Pixabay This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.clinicalchangemakers.com
Audible Bleeding editor Wen (@WenKawaji) is joined by second year medical student Nishi (@Nishi_Vootukuru), third year medical student Leana Dodge (@ldogbe4), JVS editor Dr. Forbes (@TL_Forbes) and JVS-VS associate editor Dr. Curci (@CurciAAA) to discuss two great articles in the JVS family of journals regarding Medicare reimbursement for complex endovascular aortic aneurysm repair and novel drug delivery method involving tissue factor targeting peptides in reducing vascular injury response. This episode hosts Dr.Brinster, Dr. Conte, and Dr. Kim, the authors of the following papers: Articles: Current Medicare reimbursement for complex endovascular aortic repair is inadequate based on results from a multi-institutional cost analysis by Brinster et al. Tissue factor targeting peptide enhances nanoparticle binding and delivery of a synthetic specialized pro-resolving lipid mediator to injured arteries by Dr. Levy et al. Show Guests: Dr. Clayton Brinster: Associate Professor of Surgery at University of Chicago, and Co-Director of Center for Aortic Diseases, Department of Vascular Surgery and Endovascular Therapy Dr. Michael Conte: E.J. Wylie Chair, professor and chief of the division of Vascular and Endovascular Surgery at UCSF. Co-Directot of Heart and Vascular Center, Co-Director of UCSF Center for Limb Preservation and Diabetic Foot. Dr. Alexander Kim: Vascular surgery fellow and research fellow at UCSF Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.
On this week's episode, WHOOP VP of Performance Science, Principal Scientist, Kristen Holmes is joined by Dr. Aric Prather. Aric is a Professor of Psychiatry and Behavioral Sciences at the University of California, San Francisco. He co-directs the UCSF Aging, Metabolism, and Emotions Center, is the Interim Director for the UCSF Center for Health and Community, and serves as a clinician at the UCSF Insomnia Clinic. He is also the author of The Sleep Prescription, a book that offers a simple yet powerful plan to improve your sleep in seven days. Kristen and Aric will discuss the AME Research Center (2:39), sleep impacting immune function (5:37), the connection between sleep and metabolic health (13:13), restrictive eating windows and sleep (19:51), The Sleep Prescription (25:25), labeling the worry (37:38), debunking sleep myths (42:11).Resources:Dr. Prather's Website The AME Research Center Support the show
America's homeless population is larger than in any other developed economy. On any given night, more than half a million people experience homelessness. One-third of them are in just one state—California. In this episode, Dr. Margot Kushel explains the country's rise in homelessness and the critical impact of housing on the health needs of vulnerable populations. Dr. Margot Kushel is the director of the UCSF Center for Vulnerable Populations and the UCSF Benioff Homelessness and Housing Initiative. Her research focuses on reducing the burden of homelessness on health through examining efforts to prevent and end homelessness and mitigating the effects of housing instability on healthcare outcomes.Follow Dr. Kushel on TwitterFollow host Halle Tecco on TwitterSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
It's a common belief about homeless people in California: they move here from other places because of the state's tolerance, mild weather, and generous services. But according to a recent UCSF study, at least ninety percent of those experiencing homelessness lived in California before losing their housing and 75% are in the same county they used to live in. In the largest study of its kind in nearly three decades, researchers talked to thousands of participants about their experiences to find out what factors pushed them over the edge into homelessness. The real story, researchers found, has more to do with the state's poverty, inequality, and high housing costs. As part of our ongoing series about homelessness in the Bay Area we'll dig into the findings with the study's author and formerly homeless Californians who advised on the project. Guests: Margot Kushel, director, UCSF Benioff Homelessness and Housing Initiative, and principal investigator of the study; professor of medicine, Zuckerberg San Francisco General Hospital the Director of the UCSF Center for Vulnerable Populations Jesica Gianola, Lived Expertise Advisory Board representative, UCSF Benioff Homeless and Housing Initiative Robynne Rose-Haymer, Lived Expertise Advisory Board representative, UCSF Benioff Homelessness and Housing Initiative
On this episode of In Clear Terms with AARP California, host Dr. Thyonne Gordon is speaking with Professor of Medicine and Division Chief at the Division of Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center and Director of the UCSF Center for Vulnerable Populations and UCSF Benioff Homelessness and Housing Initiative, Margot Kushel, MD. This episode focuses on the state of older adult homelessness in California, and together, the pair discuss the complex interactions between health and homelessness, and potential solutions to prevent and address the issue.Join us for this thoughtful episode of In Clear Terms with AARP California. Our goal is to empower you with the facts and information that will help make California more livable for people of all ages. Please visit AARP.org/Livable and AARP.org/CA for more information!Follow UsTwitter @AARPCAFacebook @aarpcaliforniaInstagram @aarpcaPresented by AARP Californiawww.AARP.org/CA
On this episode of Inside Health Care, we interview two upcoming speakers at NCQA's 2023 Quality Talks event. First, we meet a global leader with a deep understanding of the need for health equity. Following that, we have an in-depth discussion with an amazing tech expert on digital transformation in the health care ecosystem.Dr. Garth Graham is Managing Director and Global Head of Healthcare and Public Health at Google/YouTube and Google Health. Among other significant positions, he's the former HHS US Deputy Assistant Secretary for Minority Health. He also headed up CVS Health from 2018-2020, making sure to provide testing and vaccinations to as many under-served communities as possible.Dr. Aaron Neinstein is an Endocrinologist and Technologist headquartered at the University of California, San Francisco. In his many roles, he's also Senior Director at the UCSF Center for Digital Health Innovation. He's a foremost expert in digitalization and moving IT and AI into the health care realm.In our Fast Facts segment, we discuss Alcohol Awareness Month with some stats from the NIAAA's free booklet, “Rethinking Drinking: Alcohol and Your Health.” And if you're in crisis, you can contact SAMHSA via their National Helpline, by texting 9-8-8, calling 1-800-662-HELP or going to their national “helpline” website. We also mention NCQA's “Unhealthy Alcohol Use Screening and Follow-Up” measure, part of our HEDIS measure package.
Dr. Carter Lebares, MD is a Gastrointestinal Surgeon at the University of California San Francisco and the Director of the UCSF Center for Mindfulness in Surgery. In addition to being a thoughtful and skilled surgeon, she ran two randomized trials incorporating mindfulness based practices into surgery. She developed ESRT or Enhanced Stress Resilience Training from principles of John Kabat-Zinn's Mindfulness Based Stress Reduction (MBSR) to specifically apply to surgeons and surgical training. With focused lessons and practical exposure Dr. Lebares has shown objectively that improvements in attentional focus, emotional recognition, and cognitive reappraisal learned through mindfulness translate into better surgical performance and training in and out of the operating room. She tells us her story, how mindfulness impacted her career and continues to impact her development as a surgeon and human. Dr. Lebares is one of my inspirations as we try to spread the benefits of a mindful approach to surgery and I enjoy every moment I get to speak with her. I hope you enjoy as well!! UCSF Center for Mindfulness in Surgery: https://mindfulsurgeon.ucsf.edu/Randomized Trial in JAMA Network Open: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2734060
In what we hope is the late phase of the COVID-19 pandemic, we'll take a look at other long-running issues relating to health care, healthy living, and access to care for the LGBTQ+ community. Our expert panelists for this discussion are leaders in the efforts to reach LGBTQ+ people, informing them and connecting them to appropriate health care services. About the Speakers Dr. Monica Ghandi, M.D., M.P.H., was a recipient of The Commonwealth Club's Distinguished Citizens Award in 2021. She is an infectious diseases doctor, professor of medicine and associate chief in the Division of HIV, Infectious Diseases, and Global Medicine at the University of California, San Francisco (UCSF). She is also the director of the UCSF Center for AIDS Research (CFAR) and the medical director of the HIV Clinic ("Ward 86") at San Francisco General Hospital. Craig Rouskey is the co-founder and CEO of Renegade.bio. Rouskey was also a co-founder and CSO at Pando Nutrition, an animal nutrition company. At Avant Immunotherapeutics, he worked on vaccine projects against avian influenza (H5N1) and anthrax. He co-founded the Gonorrhea Eradication Team (GET) and served as principal scientist for the Immunity Project, creating an open source vaccine against HIV. Rouskey has also served as a scientist in the Antibody Therapy Group at Novartis and in product development with the Next Generation Sequencing group at Thermofisher. Antwan Matthews, BS, serves as director of youth programs at Code Tenderloin and is a consultant. A leader in the community, he previously served as a LINCS Navigator with the San Francisco Department of Public Health. He has been an advocate on many issues connected to the National AIDS Memorial, having served on its board of directors and being a recipient of the Pedro Zamora Youth Scholarship. His work includes being a sexual and reproductive health advocate who cares deeply about the physical, emotional, and psychological health of individuals globally, especially the Black community. His career includes working at Glide and Peer HEALTH Educators. His work today continues around supporting, educating, advising, teaching, and healing people receiving health care impacted by the history of medical abuse inflicted on communities of color. Antwan uses his voice to raise issues about health and social justice. You can read some of his work here. Dr. Alexis Petra, M.D. is the founder and CEO of TransClinique. Petra was a practicing emergency medicine physician for more than 10 years prior to founding TransClinique. In 2019, she was named one of Phoenix magazine's Top Doctors in the Valley. Dr. Petra is board-certified in emergency medicine and licensed in more than 30 states. She is a member in good standing with WPATH. Petra has been personally and professionally involved in the transgender and non-binary community for more than 20 years. She founded TransClinique in April 2020 to give back to and create a safe space for members of the community to receive care. She provides hormone replacement therapy (HRT), letters of referral, and trans life coaching across the country through telemedicine. As a trans woman herself, Alexis understands the unique needs that members of this community have and knows firsthand both the hardships and rewards of the journey. Learn more at her website. Learn more about your ad choices. Visit megaphone.fm/adchoices
Medical school is hard. Minority identities and the subsequent micro-aggressions add further complexity and difficulty. In this episode, join Molly & Rachel as they chat with Malia Schram (Class of 2023) about their experience as a gender-minority medical student, how they have discovered allies, maneuvered difficult situations throughout training, and found their voice in advocacy and teaching roles.Resources:Connect with Malia at schramma@mail.uc.edu!UCSF Center of Excellence for Transgender HealthEquitas Health in CincinnatiJoin the World Professional Association for Transgender Health (WPATH)!WPATH Standards of Care 8
On this episode of Navigating Forward, host Lisa Thee sits down with Dr. Michael Blum, Chief Digital Transformation Officer at the UCSF Center for Digital Healthcare Innovation, and Founding CEO of BeekeeperAI. Lisa and Dr. Blum discuss the potential of artificial intelligence and machine learning in healthcare to enhance our health and improve patient outcomes. Dr. Blum also shares how his medical expertise and background in engineering led to BeekeeperAI - a secure collaboration platform for algorithm owners and data stewards that will accelerate AI Innovation in Healthcare and the future of precision medicine. Navigating Forward podcast is brought to you by Launch Consulting. www.launchconsulting.comBeekeeperAI: www.beekeeperai.com
Updated at 11:36 a.m. HIV prevention setbacks during the pandemic. Latest COVID-19 research and vaccine recommendations. Voting trends for the 2022 Primary. Jazz pianist Michael Wolff's autobiography “On That Note.” Today's Guests Dr. Monica Gandhi, Infectious Diseases doctor, Director of the UCSF Center for AIDS Research and the Medical Director of the HIV Clinic at SFGH ("Ward 86"), discusses the setbacks to the HIV epidemic during the pandemic, as well as the latest COVID-19 research and recommendations for second boosters, pediatric vaccinations, and hybrid immunity. Mindy Romero, Director of the USC Center for Inclusive Democracy, discusses voting trends and consequences of underrepresentation for the 2022 Primary. CapRadio Jazz Music Director Gary Vercelli shares his interview with pianist Michael Wolff who published his autobiography “On That Note.” Correction: Dr. Monica Gandhi's title was unclear in a previous version of this article. It has been updated.
Show Notes: In this episode, I chat with Ben LeNail, Healthcare Investor & Consultant. Ben Lenail, based in Palo Alto CA, has consulted with biotech companies such as Minoryx Therapeutics, Autobahn Therapeutics, and Deep Genomics. Ben is an investor in 15 early-stage healthcare companies with HealthTech Capital. He is a mentor with the Chan Zuckerberg Initiative; and serves on the Board of ALD Connect and the Advisory Board of the UCSF Center for Vulnerable Populations. Ben has worked in high-tech in Silicon Valley for 30+ years. He's a graduate of the University of Washington in Seattle WA and Sciences-Po in Paris. Ben's wife Laurie Yoler has been his partner for three decades. Explore more! WSJ Profile: https://www.wsj.com/articles/a-rare-disease-wont-keep-this-mountain-man-off-the-trails-11544875201 Mercury News Profile: https://www.mercurynews.com/2017/11/13/palo-alto-entrepreneur-brings-tech-savvy-to-an-illness-that-hits-home-ald/ Brain & Life Profile: https://www.brainandlife.org/articles/adrenoleukodystrophy-inspires-purpose/ See you all on Saturday! - Shivani Vyas ☺ @raredisorderpod on IG & Twitter, The Rare Disorder Podcast on LinkedIn https://linktr.ee/theraredisorderpodcast --- Support this podcast: https://anchor.fm/theraredisorderpodcast/support
Dr. Monica Gandhi, Infectious Disease Expert, is back on the podcast to offer us some insights on the pandemic. She covers so much in this 30-minute interview to clear up confusion and to offer the latest data. We get into everything from why certain concepts like natural immunity and endemic vs zero covid were considered controversial when she was on the show back in August and what the current thinking is today. She gives us the latest update on the current variant and masking, as well as what breakthrough covid really means. She also shares her thoughts on how we can get back to normal and why even saying that is upsetting to so many people (at least on Twitter where Dr. Gandhi regularly posts). There are a couple of articles available on the show notes page that she references. Tune in now and access the show notes at https://thegoodlifecoach.com/176 WHAT WE DISCUSS: The efficacy of the vaccines against the latest variant. Whether breakthrough infections is what it should be called when someone fully vaccinated gets the virus. The latest update on masks, which ones are most reliable, and how they can be used for protection. What endemic means and why countries are moving away from zero-covid strategies. Why natural immunity should be considered like it is in Europe and why Dr. Gandhi still recommends creating hybrid immunity with one dose if you've had it. Where we are headed and is it possible to get back to normal? She explains why it's important to have rational management moving forward. Please note that this interview was recorded on March 23, 2022 and the data changes frequently. *This interview is not to be considered medical advice. This episode is for informational and entertainment purposes only and is not intended to replace your relationship with your doctor or trusted healthcare providers. Please consult your doctor for anything dealing with your health and well-being. About Our Guest: Monica Gandhi MD, MPH is an Infectious Diseases doctor, Professor of Medicine and Associate Chief in the Division of HIV, Infectious Diseases, and Global Medicine at the University of California, San Francisco (UCSF). She is also the Director of the UCSF Center for AIDS Research (CFAR) and the Medical Director of the HIV Clinic (“Ward 86”) at San Francisco General Hospital. Her research focuses on HIV and women and adherence measurement in HIV treatment and prevention and most recently, on how to mitigate the COVID-19 pandemic.
Dr. Monica Gandhi is the director of the UCSF Center for AIDS Research (CFAR) and the Medical Director of the HIV Clinic at Zuckerberg San Francisco General Hospital ("Ward 86.")We're all angry because we're sad. We look at movies and everyone's crowded together, and we really miss that. And I promise it'll come back. But even if it doesn't come back completely normally, please evaluate what gives your life meaning, and spend time with people. Because it's not actually about school closures or business closures or other things. It's about our humanity–why we want to be together.Notes and references from this episode: Joan Didion's 'lost' commencement address, revealed - Joan Didion (via J.D. Warren, UC Riverside)Tracking coronavirus hospitalizations in California by county - John Osborn D'agostino and Lo Bénichou, CalMattersPatients hospitalized for COVID-19 this year could pay thousands of dollars, study suggests - Kara Gavin, University of Michigan Health LabCalifornia surpasses 7 million coronavirus cases, adding 1 million in one week - Luke Money and Rong-Gong Lin II, LA TimesSacramento County breaks record for hospitalized COVID cases amid omicron surge - Michael McGough, The Sacramento BeeMonica Gandhi, MD, MPH - UCSF profile page@MonicaGandhi9 - Dr. Monica Gandhi, TwitterMonica Gandhi is S.F.'s outlier COVID expert. Her view on it: ‘I'm not saying anything crazy' - Ryan Kost, SF ChronicleCoronavirus in the U.S.: Latest Map and Case Count - NY TimesOvercaution carries its own danger to children, by Monica Gandhi, The AtlanticEric Goosby, MD - UCSF profile page=====Theme music by Sounds SupremeTwitter: @WhatCaliforniaSubstack newsletter: whatiscalifornia.substack.comSupport What is California? on Patreon: patreon.com/whatiscalifornia Email: hello@whatiscalifornia.comPlease subscribe wherever you get your podcasts. And if you liked What is California?, please rate and review What is California? on Apple Podcasts! It helps new listeners find the show.
The District Attorney in El Dorado County announced the arrest of a father and son for allegedly starting the Caldor Fire. Both are accused of "reckless arson." Reporter: Scott Rodd, CapRadio California's Future of Abortion Council is issuing 45 recommendations on how the state can make accessing an abortion easier. The council is making its recommendation as the US Supreme Court considers the fate of Roe v. Wade. Reporter: Katie Orr, KQED Housing prices continue to skyrocket across much of California, although there has been some leveling off in recent months. Vacation home areas have seen a big rise in sales. Guest: Oscar Wei, Deputy Chief Economist, California Association of Realtors History will be made in the city of Palm Springs on Thursday night because a new mayor is on tap. When Lisa Middleton is sworn in, she will be the first transgender person to serve as mayor in the state of California. Reporter: Keith Mizuguchi, The California Report Some vape companies are promising their products help you focus, sleep and relax. But the Food and Drug Administration is warning consumers those claims are not true. Guest: Pamela Ling, Director of the UCSF Center for Tobacco Control Research and Education
In this episode, Dr. Margot Kushel explains the country's rise in homelessness and the critical impact of housing on the health needs of vulnerable populations. Dr. Margot Kushel is the director of the UCSF Center for Vulnerable Populations. Her research focuses on reducing the burden of homelessness on health through examining efforts to prevent and end homelessness and mitigating the effects of housing instability on health care outcomes.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
We cover the latest update on the Delta variant; what we can learn from the outbreak in vaccinated people in Provincetown, MA; the best ways to mitigate risk and protect kids too young to be vaccinated; Kids and Pfizer vaccine; what happened to the flu last year; the importance of reopening schools; the latest on masks; and getting to an endemic vs eradicating the virus. If you want to learn more the Delta variant based on the latest facts without all of the fear, then this interview is for you. Please note that this interview was recorded on August 3, 2021 and the data is changing daily so some of it will not be relevant at a future date. *This interview is not to be considered medical advice. This episode is for informational and entertainment purposes only and is not intended to replace your relationship with your doctor or trusted healthcare providers. Please consult your doctor for anything dealing with your health and well-being. About Our Guest: Monica Gandhi MD, MPH is an Infectious Diseases doctor, Professor of Medicine and Associate Chief in the Division of HIV, Infectious Diseases, and Global Medicine at the University of California, San Francisco (UCSF). She is also the Director of the UCSF Center for AIDS Research (CFAR) and the Medical Director of the HIV Clinic ("Ward 86") at San Francisco General Hospital. Her research focuses on HIV and women and adherence measurement in HIV treatment and prevention and most recently, on how to mitigate the COVID-19 pandemic.. Tune in now and access the show notes at thegoodlifecoach.com/141.
This episode’s Community Champion Sponsor is Adaptrack. To learn how Adaptrack is helping healthcare avoid malpractice, burnout & administrative risks: https://www.adaptrack.com/ (CLICK HERE) --- With a mission to unite healthcare leaders and digital health innovators to advance musculoskeletal care, our next guest shares his journey of becoming an internationally recognized leader who has inspired so many to move the industry forward. Dr. Stefano Bini, Founder and Chair of the Digital Orthopedics Conference, joins us today to discuss when he became passionate about digital health technology and why orthopedic medicine is ideal for it. Additionally, Dr. Bini outlines the unique aspects of his annual conference and how you can get involved. Join us for this fun and imaginative conversation with one of the brightest minds in the healthcare industry. Episode Highlights: Why Dr. Bini became so passionate about technology while living in San Francisco The reasons why orthopedics is a great space for digital technology innovation What DOCSF focuses on when bringing together technologists and orthopedics experts together The big impact policy and regulation has on healthcare innovation The segments of the DOCSF conference that make it unique How to get involved in DOCSF conference About our Guest: Dr. Stefano Bini is a Professor of Orthopedic Surgery specializing in hip and knee replacement at the University of California San Francisco, ranked in the top 6 departments in the USA. He is the Founder and Chair of the Digital Orthopaedics Conference (DOCSF) and the host of the Digital Orthopaedics Podcast. DOCSF aims to bridge digital health and clinical orthopaedics and thereby catalyze the adoption of digital health tools in the musculoskeletal vertical. At UCSF Dr. Bini serves as the Chief Technology Officer for the department and is on the UCSF Center for Digital Health Innovation committee as well as the board of the UCSF Health Hub Accelerator. Stefano also serves as the Chair of the Digital Health Committee for the American Association of Hip and Knee Surgeons, consults for multinational organizations and several start-ups, and has authored a book on change management. Current research interests include quantifying the impact of digital health on orthopedic care delivery, the use of sensor data to create predictive analytics using AI/ML, and bringing precision medicine to total knee procedures using caliper based knee alignment techniques. Stefano is an Associate Editor for Arthroplasty Today, on the Editorial Board of The Journal of Arthroplasty where he serves as an Elite Reviewer, has authored numerous papers in major journals and has delivered well over 100 lectures and keynotes nationally and internationally on both clinical and digital orthopedics. Prior to UCSF, Stefano gained administrative experience working at Kaiser Permanente. He held numerous leadership positions including Chief of Orthopedics and was a recipient of the California Health Care Foundation’s Leadership Fellowship. Stefano was born in Italy, raised in Australia, and educated in California. He is married to his (amazing) wife and has two (awesome) kids. He is adamant about learning guitar despite having no inherent musical talent. Links Supporting This Episode: DOCSF website: https://docsf.health/ (CLICK HERE) Dr. Stefano Bini LinkedIn page: https://www.linkedin.com/in/stefanobinimd/ (CLICK HERE) Dr. Stefano Bini Twitter page: https://twitter.com/sbinimd (CLICK HERE) Clubhouse handle: @mikebiselli Mike Biselli LinkedIn page: https://www.linkedin.com/in/mikebiselli (CLICK HERE) Mike Biselli Twitter page: https://twitter.com/mikebiselli (CLICK HERE) Visit our website: https://www.passionatepioneers.com/ (CLICK HERE) Subscribe to newsletter: https://forms.gle/PLdcj7ujAGEtunsj6 (CLICK HERE) Guest nomination form:... Support this podcast
What are the most significant public health errors of the pandemic? Our guests are doctors who have pushed back against public health groupthink, challenging colleagues to stop the refrain of "Stay home, save lives." They feel that public health has failed to protect the most vulnerable during this pandemic, and they have ideas for how to shift course. Guests include: Dr. Stefan Baral , physician epidemiologist and professor in the department of epidemiology at the Johns Hopkins School of Public Health Dr. Monica Gandhi , professor of medicine and associate chief of the Division of HIV, Infectious Diseases, and Global Medicine at UCSF/San Francisco General Hospital, and director of the UCSF Center for AIDS Research Dr. Vinay Prasad , hematologist-oncologist and professor in the Department of Epidemiology and Biostatistics at the University of California San Francisco, and author of several books including, most recently, Malignant
Since the pandemic began, state and local officials have been racing against time to get homeless Californians off the streets and into shelter, but after a year of effort, will the progress that's been made last? On this edition of How to Bay Area, we're going to discuss how advocates are hoping to build on the momentum of the past year and move closer to ending the region's homelessness crisis once and for all. Guests: Danny Goddard, formerly homeless San Jose resident Andrea Urton, chief executive officer, HomeFirst Services of Santa Clara County Margot Kushel, professor of medicine, UCSF | director, UCSF Center for Vulnerable Populations Host: Keith Menconi See omnystudio.com/listener for privacy information.
Executive Editor Michael Roy speaks with Ayana Jordan, M.D., Ph.D., and Christina Mangurian, M.D., M.A.S., about their article on psychiatry diversity leadership in academic medicine. Dr. Ayana Jordan is an associate program director of the adult psychiatry training program and an assistant professor of psychiatry at the Yale University School of Medicine. She is a member of the APA Board of Trustees, and she serves on the Early-Career Psychiatrist Advisory Committee for the journal Psychiatric Services. Her research is concentrated on increasing access to care for minoritized populations with substance use problems. Dr. Christina Mangurian is a professor of psychiatry, epidemiology, and biostatistics in the School of Medicine at the University of California, San Francisco (UCSF). She is also vice chair for diversity and health equity at the UCSF Department of Psychiatry and Behavioral Sciences and a former chair of the APA Council on Minority Mental Health and Health Disparities. Her primary research program focuses on promoting mental health equity for patients and the workforce. The authors’ background and how they became involved in their work [2:50] How the authors’ roles in the workplace and in the community changed over the course of the past few years [7:51] Description of the case vignette presented in the article [14:23] The overall landscape for diversity leaders at psychiatry departments [18:40] Comparisons with other fields of medicine and academia [22:20] Three unique challenges faced by individuals who hold diversity, equity, and inclusion (DEI) roles [24:44] Initial steps that can help leaders in DEI positions [28:42] What people with institutional power can do to make sure that the experiences of BIPOC individuals are not ignored [34:40] Best practices to effectively support DEI leadership efforts in psychiatry [37:18] How scholarly research can adapt to help advance these efforts [42:39] Are the authors optimistic that we can overcome barriers and make real progress in efforts to expand diversity, equity, and inclusion throughout our community and workplaces? [46:11] Photo (from top): Helena Hansen, M.D., Ph.D., Christina Mangurian, M.D., M.A.S., Carolyn I. Rodriguez, M.D., Ph.D., Ayana Jordan, M.D., Ph.D., Ruth S. Shim, M.D., M.P.H., Altha J. Stewart, M.D. (Image courtesy of Dr. Mary Kay Smith.) Full author list of the article: Ayana Jordan, M.D., Ph.D. (Department of Psychiatry, Yale University School of Medicine, New Haven, Conn.) Ruth S. Shim, M.D., M.P.H. (Department of Psychiatry, University of California, Davis) Carolyn I. Rodriguez, M.D., Ph.D. (Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, Calif., and Veterans Affairs Palo Alto Health Care System, Palo Alto, Calif.) Eraka Bath, M.D. (Department of Psychiatry, Division of Child and Adolescent Psychiatry, University of California, Los Angeles) Jean-Marie Alves-Bradford, M.D. (Department of Psychiatry, Columbia University, and New York State Psychiatric Institute, New York) Lisa Eyler, Ph.D. (Department of Psychiatry, University of California, San Diego, and Desert-Pacific Mental Illness Research, Education, and Clinical Center, VA San Diego Healthcare Center, San Diego) Nhi-Ha Trinh, M.D. (Department of Psychiatry, Massachusetts General Hospital and Harvard University School of Medicine, Boston) Helena Hansen, M.D., Ph.D. (Departments of Psychiatry and Anthropology, New York University, New York) Christina Mangurian, M.D., M.A.S. (Department of Psychiatry and Behavioral Sciences and Department of Biostatistics and Epidemiology, University of California, San Francisco (UCSF), UCSF Center for Vulnerable Populations at Zuckerberg San Francisco General, and UCSF Philip R. Lee Institute for Health Policy Studies, San Francisco) Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Stitcher, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. Watch Deputy Editor Daniel S. Pine, M.D., present highlights from the March 2021 issue. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org
Since the pandemic began, state and local officials have been racing against time to get homeless Californians off the streets and into shelter, but after a year of effort, will the progress that's been made last? On this edition of KCBS In Depth we discuss the hopes that the momentum toward permanent housing built up over the past year could continue. We also consider why solutions to California's homelessness crisis have, so far, proven elusive. Guests: Andrea Urton, chief executive officer, HomeFirst Services of Santa Clara County Margot Kushel, professor of medicine, UCSF | director, UCSF Center for Vulnerable Populations Host: Keith Menconi See omnystudio.com/listener for privacy information.
Do you trust the healthcare system to provide YOU with the highest quality of care when you're in need? This is a crucial question as medical mistrust is associated with negative health outcomes. COVID-19 has illuminated the deep inequities in healthcare access and health outcomes by race, gender, socio-economic status, and place. The medical mistrust experienced by many people of color, particularly among Black and Latino/a/x communities, creates enormous barriers. The time to remedy the failures of public health, our healthcare system, the research enterprise, and health policy-making is long overdue. Research shows implicit bias impacts providers' interactions with patients and has negative effects on the health of people of color. Centering the lived experiences of Black, Indigenous, Latino/a/x and other people of color, immigrants, and LGBTQ+ people is necessary as we course correct toward building and repairing relationships, fostering trust, and being trustworthy. This is the first of a special two-part conversation on understanding and addressing medical mistrust. Featured panelists: Shawn Demmons, MPH | Capacity Building Assistance Manager, UCSF Center of Excellence for Transgender Health Dr. Oni Blackstock | Physician; Researcher; Founder and Executive Director, Health Justice Cynthia A. Gómez. PhD | Professor Emerita, San Francisco State University Co-facilitated by: Shannon Weber, MSW | Founder and Executive Director, PleasePrEPMe; Social Entrepreneur; Author Rick Kitagawa | Co-founder, Spotlight Trust Originally recorded live on Monday, November 30, 2020. This is Part 1 of a 2-part conversation on Understanding and Addressing Medical Mistrust hosted by Spotlight Trust. Part 2 of this conversation explored a practical path forward toward equity and trust in healthcare and will be aired next week right here on In Trust. Learn more: https://spotlighttrust.com/medical-mistrust ~~~~~~~~~~~~~ Show Notes: More on this two-part conversation on Understanding and Addressing Medical Mistrust Watch this conversation on YouTube Medical Apartheid by Harriet Washington The US Public Health Service Syphilis Study at Tuskegee Public Responsibility in Medicine & Research (PRIM&R) ~~~~~~~~~~~~~ Sponsored by: Spotlight Trust The second of the two-part conversation titled: A Practical Path Forward Towards a Health Care System that Deserves Our Trust will be released on In Trust next week, so stay tuned and subscribe to make sure you don't miss this valuable, solution-focused discussion. We hope to see you there. Learn more: https://spotlighttrust.com/medical-mistrust --- Send in a voice message: https://anchor.fm/in-trust/message
With AIDS under control here in the U.S., we find ourselves in the middle of another deadly pandemic. Now the doctors who were on the front lines of the AIDS crisis are using what they've learned over the past 30 years to help fight against Covid-19. On this episode, Steven talks to Dr. Monica Gandhi, director of the UCSF Center for AIDS Research, who has recently contributed to research into SARS-CoV-2.Listen ad free with Wondery+. Join Wondery+ for exclusives, binges, early access, and ad free listening. Available in the Wondery App. https://wondery.app.link/innovationsSupport us by supporting our sponsors! Policygenius - If you need life insurance, head to policygenius.com right now to get started. You could save 50% or more by comparing quotes.
Emergency Care for Transgender and Gender-Diverse Children and Adolescents - An Interview With Dr. Hannah Janeway and Dr. Clinton Coil This issue of Pediatric Emergency Medicine Practice is available at no cost here: https://www.ebmedicine.net/topics/ethics/trasnsgender-gender-diverse-children Topics: What is the difference between gender and sexual orientation? What are some of the terms we may encounter (current or retired)? How does a lack of knowledge / competency regarding care for transgender and gender diverse (TGD) youth create barriers to effective care? Or negatively affect the quality of care these patients receive? What is the best way to approach a transgender patient in the ER? There are a number of ways transgender patient may alter their appearance. Why are these methods relevant (complications) and how do I ask about them? Tucking Packing Binding What medical gender-affirming therapies are currently available? And what complications can they cause? Pubertal suppression Feminizing or masculinizing hormones Contraception Is gender-affirming surgery used in this population ? What types (chest, genital) ? STI's and Pregnancy are still considerations, correct? What are some of the problems that transgender youth have an increased risk of? Substance abuse Suicide Self harm Anxiety Depression Eating disorders Physicians and sexual violence Family rejection Homelessness Food insecurity Poverty What are some helpful resources if I want to learn more? UCSF Center for Excellence for Transgender Health (https://prevention.ucsf.edu/transhealth) PFLAG (https://pflag.org/) Learn more about EBMedicine and subscribe to Emergency Medicine Practice or Pediatric Emergency Medicine Practice here: https://www.ebmedicine.net/
Emergency Care for Transgender and Gender-Diverse Children and Adolescents - An Interview With Dr. Hannah Janeway and Dr. Clinton Coil This issue of Pediatric Emergency Medicine Practice is available at no cost here: https://www.ebmedicine.net/topics/ethics/trasnsgender-gender-diverse-children Topics: What is the difference between gender and sexual orientation? What are some of the terms we may encounter (current or retired)? How does a lack of knowledge / competency regarding care for transgender and gender diverse (TGD) youth create barriers to effective care? Or negatively affect the quality of care these patients receive? What is the best way to approach a transgender patient in the ER? There are a number of ways transgender patient may alter their appearance. Why are these methods relevant (complications) and how do I ask about them? Tucking Packing Binding What medical gender-affirming therapies are currently available? And what complications can they cause? Pubertal suppression Feminizing or masculinizing hormones Contraception Is gender-affirming surgery used in this population ? What types (chest, genital) ? STI’s and Pregnancy are still considerations, correct? What are some of the problems that transgender youth have an increased risk of? Substance abuse Suicide Self harm Anxiety Depression Eating disorders Physicians and sexual violence Family rejection Homelessness Food insecurity Poverty What are some helpful resources if I want to learn more? UCSF Center for Excellence for Transgender Health (https://prevention.ucsf.edu/transhealth) PFLAG (https://pflag.org/) Learn more about EBMedicine and subscribe to Emergency Medicine Practice or Pediatric Emergency Medicine Practice here: https://www.ebmedicine.net/
Takeaways from today's episode: Traditional mentoring is often ad-hoc and vague whereas a structured mentoring programme with the right tools, resources and recognition is more effective.Mentees should be responsible for setting up research agenda and lead discussion with mentors and take ownership of careers and research projectsA mentor owes time and should be accessible to impart essential skills for research and life skills, and a mentee should show gratitude to the mentorMentorship should be agenda-driven with written agreements of action items between mentor and mentee, serving as a living proof of progressHaving a clear mentorship structure which maintains respect and cultural expectations, overcomes barriers of hierarchy ResourcesMentoring the mentors article by Gandhi et al.: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329359/Creating More Effective Mentors by Gandhi et al.: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4995126/What makes a good mentor:https://getpocket.com/explore/item/what-the-best-mentors-do?utm_source=pocket-newtab Guest informationMonica Gandhi MD, MPH is Professor of Medicine and Associate Division Chief (Clinical Operations/ Education) of the Division of HIV, Infectious Diseases, and Global Medicine at UCSF/ San Francisco General Hospital. She also serves as the Director of the UCSF Center for AIDS Research (CFAR) and the Medical Director of the HIV Clinic at SFGH.Contact Monica @MonicaGandhi9Dr. Vidya Mave is Leader and Director of Johns Hopkins University–India Clinical Research Program located in Pune, India as well as Assistant Professor of Medicine with the Johns Hopkins University School of Medicine. Dr. Mave has an extensive record of research in India on TB, HIV/AIDS, and antimicrobial resistance. Her research work funded by US and Indian government agencies as well as national and international foundations, focuses on TB comorbidities including diabetes and HIV; the use of novel tools including hair pharmacokinetics (Dr Monica Gandhi as her mentor), whole genome sequencing, and host biomarkers to study TB treatment outcomes.Soundbite: Dr. Joseph Tucker is an Associate Professor at the London School of Hygiene and Tropical Medicine, Associate Professor of Medicine at UNC Chapel Hill, Director of UNC Project-China, and Chairman of SESH Global. Connect with Joe @JosephTucker AcknowledgementsEditing by Mariana Vaz, https://www.marianacpvaz.com/Research: Alice Matimba and Isabela MaltaProducers: Alice Matimba (Senior Producer), Isabela Malta (Producer), Christine Boinett (Creator and Executive producer), Emmanuela Oppong (Producer).Host: Christine BoinettMarketing: Catherine HolmesMusic: https://freesound.org/s/477388/ SponsorsWellcome Genome Campus Advanced Courses and Scientific ConferencesWellcome Sanger InstituteSocial Entrepreneurship to Spur Health
The first trimester of pregnancy is crucial. Organ development is taking place, the placenta is being developed, things that can affect the trajectory of the entire pregnancy, or the baby’s life. But as of now, there is no data on the potential impact of COVID-19 during this critical stage of development. But soon, that will all change. And what will it mean for fertility clinics once there is scientific data? On this special live episode of Inside Reproductive Health, Griffin spoke with Dr. Eleni Jaswa and Dr. Marcelle Cedars, two of the Principal Investigators of the ASPIRE study being conducted through UCSF Center for Reproductive Health. This study hopes to reach 10,000 pregnant women in their first trimester and monitor them, looking for any impact that COVID-19 might have on fetuses through babies aged 18 months. They share the ultimate goal of the study, just how they are going to do it, and what you can do to be involved to help patients make more informed decisions when it comes to the potential risks of COVID-19. This episode was recorded during a live webinar. As the COVID-19 Pandemic continues and new issues arise, we are putting out new information to help you and your fertility business. Follow us on social media for updates on upcoming webinars and how to join them live. Find this information helpful? We’d love it if you’d share with a friend or colleague in the fertility space.
A lot of us started our journey in healthcare 3D printing accidentally. Listen to this ice-breaker style interview with Dr. Shafkat Anwar, Pediatric Cardiology Director of Cardiac MRI, as well as Co-Founder and Co-Director of the UCSF Center for Advanced 3D+ Technologies (CA3D+). Hear his story on how 3D+ Technologies beyond 3D printing is helping patients (and their families) fighting against congenital heart disease and how UCSF 3D+ Lab is combating against the ongoing pandemic. His full written interview can be found here. He will be speaking at "Point of Care" panel at the upcoming 3DHEALS2020 in June, 2020.Dr. Shafkat Anwar (Twitter: @ShafkatAnwar) is a pediatric cardiologist with a specialty in non-invasive cardiac imaging, including echocardiography and cardiac magnetic resonance imaging (MRI). He is the Pediatric Cardiology Director of Cardiac MRI, as well as Co-Founder and Co-Director of the UCSF Center for Advanced 3D+ Technologies (CA3D+). He is a founding member and the inaugural Chair of the Advanced 3D+ Visualization Special Interest Group in the Society for Cardiovascular Magnetic Resonance. He is a consultant at Printerprezz, a medical start-up in Fremont, CA utilizing additive and other advanced manufacturing technologies to develop the next generation of medical devices. At Printerprezz. Dr. Anwar serves as the Senior Vice President of Medical Innovations. Dr. Anwar completed his internship and residency in Pediatrics at Children's National Medical Center, as well as a research fellowship at the National Institutes of Health. He completed fellowships in Pediatric Cardiology and Cardiac Imaging at Cleveland Clinic and Children's Hospital of Philadelphia. Prior to joining UCSF, Dr. Anwar was the Cardiology Director of Cardiac MRI at Washington University in St. Louis, St. Louis Children's Hospital. At Wash. U. Dr. Anwar co-founded and co-directed the Center for 3D Printing, a multi-disciplinary 3D printing center. He will be speaking at "Point of Care" panel at the upcoming 3DHEALS2020 in June, 2020.Support the show (https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=STF9STPYVE2GG&source=url)
Today's guest is Dr. Shuting Zheng, a postdoctoral research scholar at UC-San Francisco. She shares what she's learned from splitting her time in research and clinical settings, her work on eye-tracking and heterogeneity of ASD, and making ASD diagnostic and research assessments more realistic and ability-based instead of deficit-focused. AUTISM GROWN UP COMMUNITY: https://community.autismgrownup.com/ AUTISM GROWN UP INSTAGRAM: https://www.instagram.com/autismgrownup/ AUTISM GROWN UP SHOWNOTES: https://www.autismgrownup.com/agupodcast/ AUTISM GROWN UP PATREON: https://www.patreon.com/autismgrownup *Disclaimer: This episode was recorded in January 2020 and the UCSF STAR Center for ASD and NDDs has been renamed to the UCSF Center for ASD and NDDs. --- Support this podcast: https://anchor.fm/autism-grown-up-podcast/support
Today's guest is Dr. Shuting Zheng, a postdoctoral research scholar at UC-San Francisco. She shares what she's learned from splitting her time in research and clinical settings, her work on eye-tracking and heterogeneity of ASD, and making ASD diagnostic and research assessments more realistic and ability-based instead of deficit-focused. AUTISM GROWN UP COMMUNITY: https://community.autismgrownup.com/ AUTISM GROWN UP INSTAGRAM: https://www.instagram.com/autismgrownup/ AUTISM GROWN UP SHOWNOTES: https://www.autismgrownup.com/agupodcast/ AUTISM GROWN UP PATREON: https://www.patreon.com/autismgrownup *Disclaimer: This episode was recorded in January 2020 and the UCSF STAR Center for ASD and NDDs has been renamed to the UCSF Center for ASD and NDDs.
SPEAKERS Breonna McCree Advocate; Clinical Research Coordinator, UCSF Center of Excellence for Transgender Health Aria Sa’id Transgender Advocate; Co-Founder/Executive Director, Compton’s Transgender Cultural District Diamond Stylz Lifestyle Influence;, Activist; Executive Director, Black Trans Women’s Inc. This program was recorded in front of a live audience at The Commonwealth Club of California in San Francisco on January 7th, 2020.
What is the relationship between loss of function SCN2A mutations and autism? How can studying SCN2A mutations teach us about cellular mechanisms underpinning autism? To help answer these questions we talk to A Prof Kevin Bender from UCSF Center for Integrative Neuroscience. Hosted by Kris Pierce and David Cunnington, parents of Will, who has SCN2A. Leave a review and subscribe via Apple Podcasts. You can also find SCN2A Insights on Spotify, and Google Podcasts or in your podcast app. Links A Prof Kevin Bender - USCF Center for Integrative Neuroscience Story on CRISPR Activation research
A world leader in efforts to untangle the contributions of genes and environment in the expression of common diseases, much of Dr. Esteban Burchard's work centers on childhood asthma, for which he runs the worlds largest cohort of diverse patients in an effort to better understand the risk factors for the disease and the predictors of outcomes and responses to therapy. He has also made major contributions in the areas of health disparities, precision medicine, and the promotion of underrepresented populations in the health professions. As the child of a single mother growing up in one of San Francisco's poorest neighborhoods, Dr. Burchard's unique background makes him particularly sensitive to issues surrounding health equity. Esteban Burchard is Professor of Pharmacy and Medicine at UCSF and director of the UCSF Center on Genes, Environment and Health. Series: "A Life in Medicine: People Shaping Healthcare Today" [Show ID: 35380]
A world leader in efforts to untangle the contributions of genes and environment in the expression of common diseases, much of Dr. Esteban Burchard's work centers on childhood asthma, for which he runs the worlds largest cohort of diverse patients in an effort to better understand the risk factors for the disease and the predictors of outcomes and responses to therapy. He has also made major contributions in the areas of health disparities, precision medicine, and the promotion of underrepresented populations in the health professions. As the child of a single mother growing up in one of San Francisco's poorest neighborhoods, Dr. Burchard's unique background makes him particularly sensitive to issues surrounding health equity. Esteban Burchard is Professor of Pharmacy and Medicine at UCSF and director of the UCSF Center on Genes, Environment and Health. Series: "A Life in Medicine: People Shaping Healthcare Today" [Show ID: 35380]
A world leader in efforts to untangle the contributions of genes and environment in the expression of common diseases, much of Dr. Esteban Burchard's work centers on childhood asthma, for which he runs the worlds largest cohort of diverse patients in an effort to better understand the risk factors for the disease and the predictors of outcomes and responses to therapy. He has also made major contributions in the areas of health disparities, precision medicine, and the promotion of underrepresented populations in the health professions. As the child of a single mother growing up in one of San Francisco's poorest neighborhoods, Dr. Burchard's unique background makes him particularly sensitive to issues surrounding health equity. Esteban Burchard is Professor of Pharmacy and Medicine at UCSF and director of the UCSF Center on Genes, Environment and Health. Series: "A Life in Medicine: People Shaping Healthcare Today" [Show ID: 35380]
A world leader in efforts to untangle the contributions of genes and environment in the expression of common diseases, much of Dr. Esteban Burchard's work centers on childhood asthma, for which he runs the worlds largest cohort of diverse patients in an effort to better understand the risk factors for the disease and the predictors of outcomes and responses to therapy. He has also made major contributions in the areas of health disparities, precision medicine, and the promotion of underrepresented populations in the health professions. As the child of a single mother growing up in one of San Francisco's poorest neighborhoods, Dr. Burchard's unique background makes him particularly sensitive to issues surrounding health equity. Esteban Burchard is Professor of Pharmacy and Medicine at UCSF and director of the UCSF Center on Genes, Environment and Health. Series: "A Life in Medicine: People Shaping Healthcare Today" [Show ID: 35380]
A world leader in efforts to untangle the contributions of genes and environment in the expression of common diseases, much of Dr. Esteban Burchard's work centers on childhood asthma, for which he runs the worlds largest cohort of diverse patients in an effort to better understand the risk factors for the disease and the predictors of outcomes and responses to therapy. He has also made major contributions in the areas of health disparities, precision medicine, and the promotion of underrepresented populations in the health professions. As the child of a single mother growing up in one of San Francisco's poorest neighborhoods, Dr. Burchard's unique background makes him particularly sensitive to issues surrounding health equity. Esteban Burchard is Professor of Pharmacy and Medicine at UCSF and director of the UCSF Center on Genes, Environment and Health. Series: "A Life in Medicine: People Shaping Healthcare Today" [Show ID: 35380]
A world leader in efforts to untangle the contributions of genes and environment in the expression of common diseases, much of Dr. Esteban Burchard's work centers on childhood asthma, for which he runs the worlds largest cohort of diverse patients in an effort to better understand the risk factors for the disease and the predictors of outcomes and responses to therapy. He has also made major contributions in the areas of health disparities, precision medicine, and the promotion of underrepresented populations in the health professions. As the child of a single mother growing up in one of San Francisco's poorest neighborhoods, Dr. Burchard's unique background makes him particularly sensitive to issues surrounding health equity. Esteban Burchard is Professor of Pharmacy and Medicine at UCSF and director of the UCSF Center on Genes, Environment and Health. Series: "A Life in Medicine: People Shaping Healthcare Today" [Show ID: 35380]
The National Society of Genetic Counselors celebrated 40 years at this year’s annual conference! In 2019, we surpassed having 5,000 genetic counselors in the US/Canada! We now have 45 genetic counseling graduate programs in the US and 40 more international.In this podcast episode we recap highlights from the sessions and tips for new attendees next year. Below are some of our talking points and resources we mentioned in the episode. Also check out #NSGC19 on Twitter to read more insight from the conference.Should All Women With Breast Cancer Be Offered Genetic Testing?Panel: Dr Mark Robson from MSK, Dr Peter Beitsch from the Dallas Surgical Group, Sue Friedman founder of FORCE.Moderators: Dr. Lisa Madlensky from UC San Diego and Dr. David Euhus from Johns HopkinsMain points of the talk included…Clinical utilityInformed consent vs informed assentResearch vs diagnosticConcordant vs discordant resultsAccessibility and information givingProvider education and utilization of genetic counseling skillsetNCCN GuidelinesEmerging Therapies for Adult-Onset Neurologic Diseases: Possibilities, Pitfalls And Patient ImpactDr. Sonia VallabhPrion Alliance’s WebsiteWIRED’s article, “One Couple’s Tireless Crusade to Stop a Genetic Killer”The Guardian’s article, “The Lawyer Who Became A Scientist To Find A Cure For Her Fatal Disease.”Enabling The Beautiful Uncertainty of Life: My Journey With PGT-MLee Cooper, JDLee’s article in STAT News, “Genetic Testing Plus IVF Can Sidestep Genetic Disease And Reduce The Need For High-Priced Therapies.”The Institute For Genetic Disease PreventionIn Utero Stem Cell Transplantation: Historical Context, Present State And The Future Of Fetal Molecular TherapiesBillie Rachael Lianoglou, MS, UCSF Center for Maternal-Fetal Precision MedicineTIME Magazine Feature, “Scientists Are Developing New Ways to Treat Disease With Cells, Not Drugs.”Clinical Trial for Alpha Thalassemia MajorUCSF Center for Maternal-Fetal Precision Medicine’s WebsiteHot Topics In Teratology: Zika, Marijuana, and Maternal Therapies For Genetic DiseaseVictoria Wagner, MS, CGC, Myla Ashfaq, CGC, Jennifer Lemons, CGC all from McGovern Medical School at the University of Texas HealthCDC’s Zika General Resources and Pregnancy ResourcesMother To Baby (DNA Today Interview with MTB)Marijuana in Pregnancy Fact SheetConference TipsExhibit hall for networking, free genetics apparel, job board, professional and fun photos.Wear layers because lecture halls are freezing.Lunch sessions are free and sponsored by labs.Prioritize select sessions, there is too much to do everything.Attend a Special Interest Group (SIG), you don’t have to be a member.Follow and join conversations on Twitter (#NSGC19 and #gcchat)Students, job hunt utilizing the job board (in the middle of the exhibit hall) and hand out your resume. If there is a meet up with a specific company/hospital you are interested in working with/at, then go check it out!The PanelMichael Peneycad is a second year graduate student at the Joan H. Marks Program in Human Genetics at Sarah Lawrence College, originally from Grand Rapids, Michigan. He earned his B.S. in Cell & Molecular Biology from the University of Michigan and spent time as adjunct faculty at Grand Valley State University before relocating to New York City in 2014. Michael has been involved in many industries including entertainment, events, automotive, and health care in his time before entering graduate school, working with companies such as Spectrum Health Medical Group, Mazda, Jaguar/Land Rover, Chanel, Google, and Target. Michael has also spent years performing in musicals, commercials, and voice-overs during the time between his academic studies. His professional interests include cancer genetics, patient and provider education, and public health initiatives. You can follow Michael on Twitter and Instagram. Go Blue!Ashlyn Enokian is a second year genetic counseling student from Brighton, Michigan. She earned her BS in Biology and a minor in Criminal Justice from Grand Valley State University in 2017. Her journey into the field of genetic counseling began with advocacy work through Crisis Text Line and Help Pregnancy Crisis Aid. She worked as a genetic counseling assistant in cancer genetics at Saint Joseph Mercy Hospital, pediatric genetics at the University of Michigan, and laboratory genetics at Progenity, Inc. Ashlyn was previously a genetic graphic design intern at My Gene Counsel. Her professional interests include fertility, neurogenetics, and strategies to increase diversity in the field. She acts as a student representative of Sarah Lawrence College’s Class of 2020. You can follow Ashlyn on Twitter..Kira Dineen hosts DNA Today: A Genetics Podcast (and radio show), which was founded in 2012 and features over 100 episodes interviewing genetic counselors, patient advocates and other genetic experts. The show was nominated in the 2015, 2016 and 2019 Podcast Awards. She also hosts other healthcare podcasts including Working For Health, Advancing Dentistry, and Insight Says: A Mental Health Podcast. Kira is a member of National Society of Genetic Counselors’ Digital Ambassador Program (aka #NSGCGenePool). She received her in Bachelor's of Science degree in Diagnostic Genetics with a Cytogenetics concentration at the University of Connecticut, and has a certification as a Cytogenetic Technologist. Along with Ashlyn, she is a student representation in Sarah Lawrence College’s Genetic Counseling Class of 2020.Want to learn more about Sarah Lawrence College’s Genetic Counseling Program? Come to our open house this Friday (November 15th) from 6-8pmET.Stay tuned for the next new episode of DNA Today. New episodes are released on the first Friday of the month with some bonus episode thrown in there. See what else I am up to on Twitter, Instagram, Facebook and iTunes. Questions/inquiries can be sent to info@DNApodcast.com.
Special Guest, Stan Glantz, Professor of Medicine and Director of the UCSF Center for Tobacco Control Research and Education
Special Guest: Stan Glantz, Professor of Medicine and Director of the UCSF Center for Tobacco Control Research and Education
This episode is the first of a two-part episode on unbiased diagnostics in neurologic disease. In this episode, UCSF's Dr. Megan Richie sat down with UCSF's Dr. Michael Wilson, a neuro-immunologist specializing in infectious diseases of the central nervous system. They spoke about the unbiased technique called metagenomic next generation sequencing, or mNGS, a technique developed through the UCSF Center for Next-Gen Precision Diagnostics. Series 1, Episode 2.
At PopHealth Week on HealthcareNOW RadioGregg Masters managing director of health innovation media, publisher of ACO Watch and your PopHealth Week co-host with partner co-founder Fred Goldstein, President of Accountable Health, LLC a Jacksonville Florida based consulting firm engage the visionary Clay Johnston, MD, PhD on his plans for academic medicine and their evolving role in the volume to value transformation. Since March 2014, Dr. Clay Johnston has served as the inaugural dean of the Dell Medical School and as vice president for medical affairs at The University of Texas at Austin. Johnston's vision is to create a new model for academic medicine that accelerates innovation to improve health and reduce inefficiencies in health care. In 2016, Johnston was named "Austinite of the Year" by the Greater Austin Chamber of Commerce for his leadership in transforming health and health care in Austin. Previously, Johnston was associate vice chancellor for research at the University of California, San Francisco. He also directed the Clinical and Translational Science Institute and founded the UCSF Center for Healthcare Value to engage faculty and trainees in improving the quality of care while also lowering costs. For more information on Dell Medical School or to follow their work, go to: www.dellmed.utexas.edu, and follow both Dr. Johnston and the school on twitter via @ClayDellMed and @DellMedSchool respectively. Enjoy! ==##==
On PopHealth Week on HealthcareNOW Radio Gregg Masters managing director of health innovaton media, publisher of ACO Watch and your PopHealth Week co-host with my partner co-founder Fred Goldstein, President of Accountable Health, LLC a Jacksonville Florida based consulting firm engage the visionary Clay Johnston, MD, PhD on his plans for academic medicine and their evolving role in the volume to value transformation. Since March 2014, Dr. Clay Johnston has served as the inaugural dean of the Dell Medical School and as vice president for medical affairs at The University of Texas at Austin. Johnston's vision is to create a new model for academic medicine that accelerates innovation to improve health and reduce inefficiencies in health care. In 2016, Johnston was named "Austinite of the Year" by the Greater Austin Chamber of Commerce for his leadership in transforming health and health care in Austin. Previously, Johnston was associate vice chancellor for research at the University of California, San Francisco. He also directed the Clinical and Translational Science Institute and founded the UCSF Center for Healthcare Value to engage faculty and trainees in improving the quality of care while also lowering costs. For more information on Dell Medical School or to follow their work, go to: www.dellmed.utexas.edu, and follow both Dr. Johnston and the school on twitter via @ClayDellMed and @DellMedSchool respectively. Enjoy! ==##==
SPEAKERS Jamie Almanza Executive Director, Bay Area Community Services Josh Green M.D., Lt. Governor of Hawaii Margot Kushel, M.D. Director, UCSF Center for Vulnerable Populations and UCSF Benioff Homelessness and Housing Initiative Mark Ridley-Thomas Los Angeles County Supervisor; Co-Lead, California’s Commission on Homelessness and Supportive Housing Darrell Steinberg Mayor of Sacramento; Co-Lead, California’s Commission on Homelessness and Supportive Housing Raj Mathai News Anchor, NBC Bay Area—Moderator Bernard J. Tyson Chairman and CEO, Kaiser Permanente—Introductory Remarks This program was recorded in front of a live audience at The Commonwealth Club of California in San Francisco on August 14th, 2019.
Our guest this week is Dr. Margot Kushel, a Professor of Medicine at UCSF and Director of the UCSF Center for Vulnerable Populations, as well as the Director of the UCSF Benioff Homelessness and Housing Initiative. Dr. Kushel’s research focuses on homelessness among older adults and the adverse health effects associated with homelessness. She developed and continues to follow the HOPE HOME cohort, an ongoing longitudinal cohort study examining the causes and effects of homelessness among adults 50 and over in Oakland, CA. If you enjoy the show, please rate, review & subscribe to us wherever you listen, it helps others find the show, and share us on social media and with our friends and colleagues. We’d love to hear feedback and suggestions, so you can tweet at us @RoSpodcast, @HMSPrimaryCare, @audreymdmph or drop us a line at reviewofsystemspod@gmail.com.
How can we use tech to make healthcare better and more accessible? Dr. Nwando Olayiwola, a family physician, faculty member at UCSF, and Chief Clinical Transformation Officer for RubiconMD, a leading provider of electronic consultations between primary care and specialty care providers, has spent many years thinking about that question. She joins us this week to tell us about her career in primary care, tech, and leadership. We also discuss her powerful essay, Racism in Medicine: Shifting the Power, and her research looking at various aspects of tech and care delivery. Thank you to the Harvard Center for primary care for helping to facilitate this interview. I did make a few recording snafus on this interview – so my apologies for the sub-optimal audio quality in a few sections. A little more about our guest: Dr. Nwando Olayiwola is a family physician and the inaugural Chief Clinical Transformation Officer for RubiconMD, a leading provider of electronic consultations between primary care and specialty care providers. She is also currently an Associate Clinical Professor in the Department of Family and Community Medicine at University of California, San Francisco. She served as the Director of the UCSF Center for Excellence in Primary Care until February 2017. In that role, she supported the Center in achieving strategic objectives around primary care transformation and systems redesign regionally, nationally and internationally. Prior to her work at UCSF, Dr. Olayiwola served as the Chief Medical Officer of the largest Federally Qualified Health Center system in Connecticut, Community Health Center, Inc. (CHCI), where she developed expertise in medical administration, translational and implementation research, professional development, systems based and quality improvement and practice transformation of twelve primary care practices into Patient-Centered Medical Homes. Her work led to CHCI being one of the first organizations in the United States to receive both the NCQA Level 3 PCMH and Joint Commission PCMH Recognitions. She has been a leader in harnessing technology to increase access to care for underserved and disenfranchised populations and is an expert in the areas of health systems reform, practice transformation, health information technology and primary care redesign. She is on the advisory board of Primary Care Progress and the Robert Graham Center for Family Medicine and Primary Care Policy. If you enjoyed the show, please give us 5 stars wherever you listen. Tweet us your thoughts @RoSpodcast and leave us a message on our facebook page at www.facebook.com/reviewofsystems. Or, you can email me at audreyATrospod.org. We’d love to hear from you, and thanks for listening.
We have a level of understanding on why there's a homeless crisis in the U.S., and we know what is and isn't being done. Here's a Quick Clip, where Dr. Margot Kushel, from Zuckerberg San Francisco General Hospital and Trauma Center and the Director of the UCSF Center for Vulnerable Populations, shares what is needed from government agencies.
In the United States, a lot is spent on the homeless for healthcare, the criminal justice system, non-profit support and others programs. Many suggest it's cheaper to house a homeless person than to pay for those programs. Dr. Margot Kushel, from Zuckerberg San Francisco General Hospital and Trauma Center and the Director of the UCSF Center for Vulnerable Populations, on addressing the homeless crisis, "It's not only the right thing to do, it's the economically sound thing to do.”
Integrative Clinical Psychologist Ashley Mason, PhD. is back on the podcast to discuss her clinical work and research within the UCSF Department of Psychiatry. She is now the Co-Director for the UCSF Center for Obesity Assessment, Study, and Treatment, and the Director of the Sleep, Eating, and Affect (SEA) Lab. Her areas of interest include problematic eating and sleep-related behaviors, and nonpharmaceutical interventions to address them. In this interview, Ashley and I discuss her current research, which focuses on treating individuals with type-2 diabetes using reduced-carbohydrate diets, mindful eating techniques and environmental management. She shares her insights on some of the root causes fueling the diabetes epidemic, and the factors that keep her research subjects motivated to make difficult lifestyle changes. We also discuss her clinical work treating people struggling with sleep, and the behavioral methods she uses to help them turn things around in a matter of weeks. Support Ashley’s work. Here’s the outline of this interview with Ashley Mason: [00:00:18] Ancestral Health Symposium 2014 in Berkeley. [00:00:39] Assistant Professor at UCSF. [00:01:27] Osher Center for Integrative Medicine. [00:02:19] Pairing diet change with behavioral change for type 2 diabetes. [00:04:00] How are people becoming diabetic? [00:05:20] Only 12% of the population is metabolically healthy; Study: Araújo, Joana, Jianwen Cai, and June Stevens. "Prevalence of Optimal Metabolic Health in American Adults: National Health and Nutrition Examination Survey 2009–2016." Metabolic syndrome and related disorders 17.1 (2019): 46-52. [00:07:02] Grubhub; DoorDash. [00:01:50] Food reward; hyperpalatable foods. [00:08:11] Ashley’s previous podcast: Paleo Psychology with Ashley Mason PhD. [00:11:07] Getting people to change their behavior; identifying the why behind wanting to change. [00:11:49] Low carbohydrate diets can result in reduced need for diabetic medications; Virta Health Studies: McKenzie, Amy L., et al. "A novel intervention including individualized nutritional recommendations reduces hemoglobin A1c level, medication use, and weight in type 2 diabetes." JMIR diabetes 2.1 (2017): e5; and Hallberg, Sarah J., et al. "Effectiveness and safety of a novel care model for the management of type 2 diabetes at 1 year: an open-label, non-randomized, controlled study." Diabetes Therapy 9.2 (2018): 583-612. [00:15:54] Motivational interviewing. [00:16:15] Stages of change model (diagram). [00:17:40] Fundamental reasons for wanting to change. [00:18:30] Handling the social pressure of eating differently. [00:24:39] How to work with people in the pre-contemplative stage. [00:28:01] USDA Dietary Guidelines for Americans 2015-2020, eighth edition. [00:29:25] Taste and price drive decision making. [00:30:01] Arranging the environment to support better dietary choices. [00:31:56] Companies with self-insured health plans have incentive to keep employees healthy. [00:33:05] Mindful eating; paying attention while you're eating. Studies: Brewer, Judson, et al. "Can mindfulness address maladaptive eating behaviors? Why traditional diet plans fail and how new mechanistic insights may lead to novel interventions." Frontiers in psychology 9 (2018): 1418; and Mason, A. E., et al. "Examining the Effects of Mindful Eating Training on Adherence to a Carbohydrate-Restricted Diet in Patients With Type 2 Diabetes (the DELISH Study): Protocol for a Randomized Controlled Trial." JMIR research protocols 8.2 (2019): e11002-e11002. [00:43:39] Sleep as a lynchpin to health behavior. [00:45:54] Cognitive Behavior Therapy for Insomnia (CBTI); Improving sleep as a platform for making other behavior change possible. [00:46:30] Getting people off of benzodiazepines. [00:49:50] Previous podcast episodes on chronotypes, meal timing, and sleep hygiene: 1, 2, 3, 4, 5. [00:50:16] CBTI strategies for improving sleep. [00:54:51] Oura Ring; the value of self-report over electronic devices. [00:58:38] Dealing with external factors: kids, pain. [01:05:26] Impact of timing bright light, eating, movement, socialization. [01:08:07] Rhonda Patrick's interview with Satchin Panda, PhD; Our podcast with Satchin Panda: How to Use Time-Restricted Eating to Reverse Disease and Optimize Health. [01:13:10] Funding research; Experiment.com for crowdfunding; You can support Ashley’s research here. [01:13:24] Richard Feinman, PhD. [01:14:49] Ashley’s current and published research. [01:15:12] Sea Lab; Osher Center Sleep Group. [01:15:51] Book: Quiet Your Mind & Get to Sleep, by Colleen E. Carney, PhD and Rachel Manber, PhD. [01:16:27] Book: The Brave Athlete: Calm the Fuck Down and Rise to the Occasion, by Simon Marshall, PhD.
How does the U.S. homeless crisis impact the healthcare system and those in the medical community? Dr. Margot Kushel, from Zuckerberg San Francisco General Hospital and Trauma Center and the Director of the UCSF Center for Vulnerable Populations, discusses her firsthand knowledge.
How extensive is the homeless crisis in the United States? Dr. Margot Kushel, from Zuckerberg San Francisco General Hospital and Trauma Center and the Director of the UCSF Center for Vulnerable Populations, shared some facts and opinions on the problem.
As you listen to this episode, there are approximately 500,000 people who are homeless in the United States. As in, roughly half of the population for the state of Rhode Island! We wanted to know why and, as usual, we went right to ground zero for your expert.Dr. Margot Kushel, Director of the UCSF Center for Vulnerable Populations, is recognized as an authority on issues facing the homeless and, this is important, has spent a significant portion of her professional life tackling the problems head-on. Dr. Kushel covers the scope of the problem, the impact on the healthcare system, what she would like to see government agencies do (note: some are taking action), and more. Spoiler alert: Some of her points will possibly make people uncomfortable.In this edition of Crazy Bids, the state of Maryland is attempting to address the opioid crisis from the front.All of that and more. A lot more!Dr. Margot Kushel: https://profiles.ucsf.edu/margot.kushel#toc-id3Twitter: @MKushelReferences mentioned:National Alliance to End Homelessnesshttps://endhomelessness.org/National Low Income Housing Coalitionhttps://nlihc.org/
Bedford and LaMisha give a shout out to the DND (Dungeons & Dragons) community before shifting gears and talking about “What’s Going On” with the recent arson committed against Black churches. They explain how these attacks are part of an ongoing effort to traumatize Black communities in the name of white supremacy. The hosts go on to discuss some to the social justice problems with the Trump tax code and give another 2020 campaign update. During the #RealTalk segment, LaMisha conducts an interview with Don Woodson, Director of the UCSF Center for Science Education & Outreach and talks about the recent news around wealthy people buying their children’s way into college, the dividing of POC with misguided affirmative action lawsuits, and tips for getting into college. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/namingit/message Support this podcast: https://anchor.fm/namingit/support
In this wonderful interview, I have the once-in-a-lifetime privilege of interviewing the world’s foremost expert on the science of coping with stress, Dr. Susan Folkman. Susan has a wealth of wisdom to share in this interview, which I hope you enjoy as much as I did. More About Dr. Folkman (from UCSF website) Dr. Susan Folkman was the first full-time director of the UCSF Osher Center for Integrative Medicine. Appointed in 2001, she retired in 2009. From 1994 to 2001 she was co-director of the UCSF Center for AIDS Prevention Studies. After receiving her PhD from UC Berkeley in 1979, she remained there as a research psychologist until moving to UCSF in 1988. She joined the UCSF faculty in 1990 as a professor of medicine. Dr. Folkman is internationally recognized for her theoretical and empirical contributions to the field of psychological stress and coping. Her 1984 book with Richard S. Lazarus, Stress, Appraisal, and Coping, is considered a classic that helped shape the field. From 2000 to2004, she served on the National Advisory Mental Health Council, and in 2010 she was appointed to the National Advisory Council for the National Institutes of Health (NIH) and the National Center for Complementary and Integrative Health. She has chaired or been a member of various NIH review committees and task forces, served on National Academy of Medicine and NIH workgroups, and was co-chair of the American Psychological Association task force on ethics in research with human participants. She was also the chair of the Consortium of Academic Health Centers for Integrative Medicine from 2005 to 2007. In 2010, the California Psychological Association awarded Dr. Folkman its Lifetime Achievement Award. She is a Fellow of the American Psychological Association and the Association for Psychological Science.
As a clinical health psychologist and assistant professor at the University of California, San Francisco (UCSF) Department of Psychiatry, Aric Prather, Ph.D. focuses his work on understanding the underlying biological pathways through which sleep, stress, and other health behaviors affect our overall states of health. One of the main ways in which both sleep and stress can affect our health—as many people know—is by contributing to weight gain and obesity, and Dr. Prather works with the UCSF Center for Obesity Assessments, Study, and Treatment to better understand the specific mechanisms at play here. He also spends his time in the lab conducting research alongside other scientists to identify markers of cellular aging, better understand the role of senescent cells in aging, study a longevity hormone that seems to be related to inflammation and oxidative damage, and determine how stress and/or lack of sleep can increase susceptibility to infectious disease. Ultimately, the goal is to collect data that might augment our understanding of how sleep, stress, and other behaviors contribute to our health. Dr. Prather touches on a variety of fascinating topics, including the possible relationship between genetic changes and acute stressors, the potential heritability of stress behaviors, long-term impacts of early life trauma, and the surprising consistency of their findings in sleep research. Tune in for all the details, learn more about Dr. Prather's work on the UCSF website, and follow him on Twitter.
Join host Ann for a discussion of standards of care when working with the LGBTQ+ population. Our guests are Angela Ai and Adam Awe, University of Wisconsin medical students and members of PRIDE in Healthcare, and Dr. Will Hutter, PsyD, director of the marriage and family therapy program at Edgewood College. Angela and Adam shared some great resources in this episode that you might want to check out! Here's a list for your future reading! Survey of US medical schools regarding time spent on LGBTQ+ health and healthcare: https://jamanetwork.com/journals/jama/fullarticle/1104294 Patient-centered approaches to sexual orientation and gender identity questions in the Emergency Department: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2621833 The Equal Curriculum: textbook coming soon Trans Bodies, Trans Selve: https://www.npr.org/2014/07/17/332051691/trans-bodies-trans-selves-a-modern-manual-by-and-for-trans-people General resources: Fenway Institute: http://fenwayhealth.org/ UCSF Center of Excellence: http://transhealth.ucsf.edu/ 2015 Trans Survey: http://www.ustranssurvey.org/
A study has found daily use of E-cigarettes doubles the risk of a heart attack. The study of 70,000 people by UC San Francisco says this is the first evidence of a substantial, human health impact of the popular devices, indicating that e-cigarettes may be more dangerous than previously thought. Chris Lynch spoke to led author Stanton Glantz, University of California San Francisco professor of medicine and director of the UCSF Center for Tobacco Control Research and Education.
Title: “Beyond Tobacco” Guest: Stanton Glantz, PhD; Professor of Medicine, University of California at San Francisco; Director of the UCSF Center for Tobacco Control Research and Education (CTCRE) Description: Tobacco has been regarded as a sacred plant throughout Indian Country for centuries, but new dangers are emerging from commercial tobacco and its cousins like e-cigarettes and marijuana. Learn some of the latest science from internationally renowned UCSF researcher, Dr. Stanton Glantz. For more information visit: http://www.tobacco.ucsf.edu/ or http://www.smokefreemovies.ucsf.edu/
Dan Steadman, writer/director of "Red Lodge", on his work and experiences writing a gay themed Christmas film. Danielle Castro, a Latina trans-identified woman, who is the Sheroes Project Director at UCSF Center of Excellence for Transgender Health, speaks with Michelle about the importance of Transgender Day of Remembrance.
On the show this week, we talk to Kirsten Bibbins-Domingo, Professor of Medicine and Director of the UCSF Center for Vulnerable Populations at San Francisco General Hospital.She’s part of a new project called Sugar Science, which focuses on evidence-based information on added sugar to your diet. The team reviewed 8,000 articles and underscored the scientific consensus: there is a causal link between increased consumption of added sugar and increased risk of chronic disease like type 2 diabetes, heart disease, and liver disease. Kirsten specifically focuses on communities at most risk—often times teens and poor and minority communities. And she believes we’re in a public health emergency.iTunes: itunes.apple.com/us/podcast/inquiring-minds/id711675943RSS: feeds.feedburner.com/inquiring-mindsStitcher: stitcher.com/podcast/inquiring-minds
On this weeks installment of APEX Express: Contributor R.J. Lozada interviews Seng Alex Vang, Conference Co-Chair of the 16th Hmong National Development Conference. This years conference, themed The Journey Forward, is a three-day gathering of Hmong and their allies on three major threads: Education, Health & Wellness, and Economic Development. The United States Supreme Court is in the throes of two major proceedings in the Gay Marriage or Marriage Equality movement, Hollingsworth v Perry, and the legal challenges to the Defense of Marriage Act, or DOMA. In an effort to bring the complexity of the different conversations happening within the LGBTIQ movements regarding marriage equality, contributor R.J. Lozada has invited three speakers to shed some light on the subject. (photo courtesy of Lauren Quock) Lauren Quock is a queer third generation Chinese American artist and community leader. Lauren has been working with the Network on Religion and Justice for Asian Pacific Islander LGBTIQ People (NRJ, www.netrj.org) since 2004 and is currently the NRJ Coordinator. NRJ creates community and leadership development for API LGBTIQ people of faith and works to change the culture of silence around sexuality and LGBTIQ experiences in API Christian churches through education. Lauren is also an artist (www.laurenquock.com). Lauren appropriates industrial processes and materials to create Modified Bathroom Signs that challenge the gender binary and transform the public restroom from a site of anxiety and trauma into one of affirmation for queer people. (photo courtesy of Yasmin Nair) From the author's website: Dr. Yasmin Nair is a Chicago-based writer, activist, academic, and commentator. The bastard child of queer theory and deconstruction, Nair has numerous critical essays, book reviews, investigative journalism, op-eds, and photography to her credit. Her work has appeared in publications like GLQ, The Progressive, make/shift, Time Out Chicago, The Bilerico Project, Windy City Times, Bitch, Maximum Rock'n'Roll, and No More Potlucks. Nair's writing and organising address issues like neoliberalism and inequality, queer politics and theory, the politics of rescue and affect, sex trafficking, the art world, and the immigration crisis. Her work also appears or will appear in various anthologies and journals, including Captive Genders: Trans Embodiment and the Prison Industrial Complex, Singlism: What It Is, Why It Matters and How to Stop It, Windy City Queer: Dispatches from the Third Coast and Arab Studies Quarterly. Most recently, her work has appeared in the Lambda-nominated anthology, Gay Press, Gay Power: The Growth of LGBT Community Newspapers in America, edited by Tracy Baim. Nair is a co-founder and member of the editorial collective Against Equality; she contributed to their first book, Against Equality: Queer Critiques of Gay Marriage as well as the second, Against Equality: Don't Ask to Fight Their Wars, and the third, Against Equality: Prisons Will Not Protect You. She is also a member of the Chicago grassroots organisation Gender JUST (Justice United for Societal Transformation) and recently became its Policy Director (a volunteer position) and co-ordinator of the Chicago chapter of South Asians for Justice, a new group devoted to forging a radical South Asian-inflected political vision outside of electoral politics and Bobby Jindal. Nair was, from 1999-2003, a member of the now-defunct Queer to the Left. Her activist work includes gentrification, immigration, public education, and youth at risk. John Lewis and Stuart Gaffney (photo courtesy of Stuart Gaffney) Stuart Gaffney, Media Director and API Outreach Director with Marriage Equality USA and also as a founder of API Equality Northern California. From Huffington Post: Stuart Gaffney and his husband John Lewis are leaders in the freedom to marry movement. Together as a couple for 26 years, they were two of the plaintiffs in the historic 2008 lawsuit that held that California's ban on same-sex marriage violated the state constitution. On June 17, 2008, they married at San Francisco City Hall, surrounded by friends and family. Stuart and John are leaders in Marriage Equality USA, a national grassroots organization, and API Equality, a coalition targeting outreach and education to the Asian-American community. They have appeared extensively in local, national and international media. The focus of their work has been to foster connection between the general public and the lives of LGBTIQ people. Stuart is a graduate of Yale University and currently a Policy Analyst at the UCSF Center for AIDS Prevention Studies. With Host RJ. The post APEX Express – April 4, 2013 appeared first on KPFA.
In this episode, a discussion with Dr. Jae Sevelius, Assistant Professor of Medicine at the UCSF Center for AIDS Prevention Studies. Dr. Sevelius recently completed a study on transgender men who have sex with men which sheds light on high-risk behaviors in a community that is difficult to reach. We'll talk about why we may see a rise in HIV prevalence among these men in the near future and what can be done to prevent it. For additional information, read...