Podcasts about uniformed services university

We got the gang together (minus John, who is on mission).  Today, we are talking about diverticulitis with super expert Scott Steele.  Scott walks Jason, Patrick, and Kevin through the nuances of modern-day management of diverticulitis.   We cover laparoscopic lavage, review decision making for surgical resection after drainage, and discuss the evolving role of antibiotics in uncomplicated cases. Surgical techniques, including resection boundaries and the consideration of diverting ostomies in emergent situations, are also reviewed.  DOMINATE THE COLON! Hosts Scott Steele, MD: @ScottRSteeleMD Scott is the Rupert B. Turnbull MD Endowed Chair in Colorectal Surgery and Chairman of Colorectal Surgery at Cleveland Clinic in Cleveland, OH. A graduate of the United States Military Academy at West Point, he was an active duty Army officer for over 20 years, serving as the Chief of Colorectal Surgery at Madigan Army Medical Center. He also received his MBA from Case Western University Weatherhead School of Business and Management. Patrick Georgoff, MD: @georgoff Patrick Georgoff is an Acute Care Surgeon at Duke University.  He went to medical school at the University of Pennsylvania, completed General Surgery residency and Surgical Critical Care fellowship at the University of Michigan, and a Trauma Surgery fellowship at the University of Texas in Houston.  His clinical practice includes the full spectrum of Acute Care Surgery in addition to elective hernia surgery.  Patrick is the Associate Program of the General Surgery Residency and associate Trauma Medical Director at Duke. Kevin Kniery, MD: @Kniery_Bird Kevin is a vascular surgeon at Brooke Army Medical Center. He completed his undergraduate degree at the United States Military Academy in West Point, medical school at Tulane University, general surgery residency at Madigan Army Medical Center, and vascular fellowship at Cornell and Columbia. Jason Bingham, MD: @BinghamMd Jason is a general and bariatric surgeon at Madigan Army Medical Center. He also serves as the Director of Research and Associate Program Director for the general surgery residency program. He received his undergraduate degree from New York University and medical degree at the Uniformed Services University of Health Sciences. He is a medical officer in the US Army with several combat deployments under his belt. Jason's research efforts focus on the management of hemorrhagic shock, trauma induced coagulopathy, and ischemia-reperfusion injury. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

    Join us as Col (Ret) Eric M. Flake, MD, takes us on a journey through his illustrious career in military medicine, where he specialized in developmental behavioral pediatrics. Discover how pediatricians are not just essential in the combat zones but also pivotal in bringing innovative care models to neurodiverse children back home. Dr. Flake shares his vision of blending technology and collaboration with civilian institutions to enhance the lives of military families, underscoring the potential of AI to advance pediatric care further.    Dr. Flake explores the transformative role of telehealth in military healthcare, led by institutions like the Henry Jackson Foundation and the Uniformed Services University. He offers a candid look into the evolving acceptance of telehealth among physicians and the unique benefits of patient evaluations in their home environments. Learn how these efforts are bridging the gap between on-base services and off-base resources, particularly for military children undergoing developmental assessments like autism evaluations. This segment highlights a synergetic approach that combines technology and collaboration with civilian care models to support the growing needs of military families.      Dr. Flake shares personal stories and insights into the importance of multicultural collaboration within the military healthcare system. With his experiences in humanitarian missions and advocacy with organizations like the American Academy of Pediatrics, he illustrates the profound impact of global health initiatives. We also delve into the strategic initiatives at the Henry M. Jackson Foundation, focusing on securing grants to support families with neurodevelopmental challenges. Through Dr. Flake's dedication and passion, we gain a unique perspective on the opportunities for growth, leadership, and service in military medicine, and the lasting legacy he hopes to leave behind.   Chapters: (00:04) Military Medicine and Pediatric Specialization (17:28) Advancing Military Healthcare With Telehealth (22:16) Advancing Pediatric Care Through Multicultural Collaboration (36:00) Military Medicine and Pediatric Advocacy   Chapter Summaries: (00:04) Military Medicine and Pediatric Specialization Col (Ret) Eric M. Flake, MD discusses military medicine, telehealth, and advocacy for military families and children.   (17:28) Advancing Military Healthcare With Telehealth Telehealth's transformative role in providing healthcare to military families, particularly in developmental assessments like autism evaluations.   (22:16) Advancing Pediatric Care Through Multicultural Collaboration Cultivating a culturally sensitive, multidisciplinary team in military healthcare, emphasizing diversity and collaboration, and the impact of global health initiatives.   (36:00) Military Medicine and Pediatric Advocacy Dr. Eric Flake shares his experiences and initiatives at the Henry M. Jackson Foundation, focusing on grants for clinical applications and supporting families with neurodevelopmental challenges.   Take Home Messages: Telehealth in Military Medicine: The integration of telehealth into military healthcare systems is transforming pediatric care, particularly for military families who frequently relocate. This technological advancement allows for developmental assessments, such as autism evaluations, to be conducted in patients' home environments, enhancing the quality and accessibility of care. Cultural Sensitivity and Collaboration: Advancing pediatric care within the military requires a culturally sensitive and multidisciplinary approach. Collaborations between military and civilian institutions are crucial to providing comprehensive support for military families, especially those with neurodiverse children. Role of Pediatricians in Military Environments: Pediatricians play a vital role both in deployed and home settings, offering specialized care for neurodevelopmental challenges and supporting military families. Their involvement extends beyond medical care, as they often take on leadership roles and advocate for military children. Innovation and Advocacy: The podcast highlights the importance of innovative care models and advocacy efforts in supporting military children with neurodevelopmental challenges. Strategic initiatives, such as the establishment of specialized centers for autism resources, exemplify the commitment to nurturing future generations within the military community. Future of Military Pediatric Care: The future of military pediatric care lies in the synergy of technology, collaboration, and advocacy. Embracing advancements like artificial intelligence and fostering partnerships with civilian healthcare systems will continue to enhance care delivery and support for military families.   Episode Keywords: Military medicine, telehealth, pediatric care, neurodiverse children, Dr. Eric Flake, developmental behavioral pediatrics, military families, cultural collaboration, healthcare innovation, autism evaluations, Henry Jackson Foundation, Uniformed Services University, global health initiatives, advocacy for military children, AI in pediatrics, telehealth technology, pediatricians, military healthcare system, civilian institutions, multidisciplinary teams, humanitarian missions   Hashtags: #MilitaryMedicine #TelehealthRevolution #PediatricCare #Neurodiversity #GlobalHealth #CulturalCollaboration #MilitaryFamilies #InnovationInHealthcare #AIInPediatrics #MilitaryChildren   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

Guest: Patrick "Pat" Reeves MD, FAAP, DABOM, MAJ, MC, USAEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=BowelsBellyBrain-InteractionIn this insightful podcast episode, join host Michelle as she engages in a detailed conversation with Dr. Patrick Reeves, a pediatric gastroenterologist working with the military. They discuss a range of significant topics including the management and transition of feeding tubes, the challenges of cyclic vomiting syndrome, and functional constipation in children. Dr. Reeves also elaborates on his development of clinical action plans to improve coordination of care for patients with complex nutritional needs. Gain valuable insights into pediatric gastroenterology, practical tips for advocating for appropriate care, and the importance of teamwork among healthcare providers.Episode Timeline:00:00 Introduction and Guest Welcome01:15 Dr. Reeves' Professional Journey03:52 Developing Clinical Tools During the Pandemic05:54 The Role of Dr. Reeves' Wife in Tool Development07:44 Clinical Action Plans Overview09:46 Understanding Constipation in Pediatric Patients25:03 Challenges with Nissen Fundoplication31:11 Feeding Tubes: A Necessary Tool35:16 Introduction to Claire Riley's Research35:38 Complications of NG and J Tubes37:18 The Aggressive Bridle Device40:01 Case Study: Managing G-Tube Transitions53:23 Understanding Functional GI Disorders56:00 Cyclic Vomiting Syndrome Explained01:02:07 Advocating for Pediatric GI Care01:09:46 Conclusion and Final ThoughtsAbout the Guest: Patrick “Pat” Reeves, MD, FAAP, DABOM, MAJ, MC, USA, is a triple-board-certified physician in the areas of General Pediatrician, Obesity Medicine Specialist, and Pediatric Gastroenterologist Hepatologist, with advanced research skills focusing on enhancing patient education and clinical outcomes. He serves as an associate professor of pediatrics and associate professor of military medicine through the Uniformed Services University, University of Texas, and Texas A&M. His specific research focuses are first describing the negative impacts of consumer product injuries- like button batteries, high powered magnets [Buckyballs] and water beads [Orbeez]- on child health, and secondly, the development of point-of-care tools to be used at home by families managing children with medical complexity. He has nearly 40 peer-reviewed, published articles.Watch this episode on YouTube: https://youtu.be/g5iqlS5GEGk

In S5 E2 I am delighted to welcome Dr Joshua D Hartzell MD MS-HPEd FACP FIDSA to the podcast. Dr Hartzell is an Infectious Diseases and Internal Medicine Physician and a retired Army Colonel who has spent 25 years in military medicine. He is also the author of a fantastic new book : A Prescription for Caring in Healthcare Leadership: Building a Culture of Compassion and Excellence.                  Throughout his career Dr Hartzell has held numerous leadership positions including being Program Director for the Internal Medicine Residency and Assistant Chief of Graduate Medical Education at Walter Reed National Military Medical Center and Assistant Dean for Faculty Development at the Uniformed Services University. He deployed as a Battalion Surgeon with the 82 nd  Airborne Division to Afghanistan. He is also faculty at the MGH Institute of Health Professions where he teaches leadership development. As a practising clinician he has devoted the last decade to developing leaders training and teaching thousands of students, residents, and faculty within healthcare. Josh hashas delivered over 100 talks on leadership development and has writtennumerous papers on the topic. He combines his years of boots on the ground leading in medicine with his research to teach other leaders practical strategies about how to sharpen their leadership skills in his book.        In this conversation I have the joy of exploring Josh's own story of self and motivation to write this book. He discusses the practicalities and process of writing and publishing in addition to his personal and professional purpose in sharing the strategy, art and practical application of leadership in healthcare.  In this book he weaves science and story together in a very accessible format making this book both an enjoyable read but an enduring manual to re-visit again and again. We discuss feedback, sponsorship, organisational communication and "aggressive listening" as a leader in addition to leading and caring for self and others. There are many, many leadership books in the world but Josh provides a unique lens and needed prescription for healthcare today and going forward.Links/References/Further Reading:Dr Joshua Hartzell https://joshuahartzellmd.com/https://www.linkedin.com/in/joshhartzellmd/Josh's reading recommendationshttps://www.amazon.com.au/dp/B0BNKXF3VQ?ref_=mr_direct_us_au_au&showmrihttps://danielcoyle.com/the-culture-code/https://www.hayhouse.com.au/lead-from-the-heart-ebook The Mind Full Medic Podcast is proudly sponsored by the MBA NSW-ACT Find out more about their service or donate today at www.mbansw.org.auDisclaimer: The content in this podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your doctor or other qualified health care professional. Moreover views expressed here are our own and do not necessarily reflect those of our employers or other official organisations.

What does it take to become a physician in the military, and how does it differ from the civilian path? In this episode of Backtable ENT, Dr. Matthew Brigger and Dr. Philip Gaudreau, discuss their unique career paths in the Navy and how military service shaped their medical practices. --- SYNPOSIS Dr. Brigger, Division Chief of Pediatric Otolaryngology and professor at San Diego Children's Hospital, and Dr. Gaudreau, pediatric otolaryngologist and associate professor of surgery at the Uniformed Services University practicing at Naval Medical Center San Diego, share their career paths from medical school to serving in the Navy. The conversation delves into the application processes for military and civilian medical schools, differences in training, and how military service instills a sense of purpose and leadership. The episode also covers the intricate balance required to practice in both civilian and military settings, emphasizing the importance of flexibility, resourcefulness, and teamwork. --- TIMESTAMPS 00:00 - Introduction 02:57 - Military Medical Education Pathways 09:29 - Differences in Military and Civilian Medical Training 17:23 - Applying for ENT Residency in the Military 22:04 - Advice for Medical Students 23:16 - Military Medical Career Insights 28:36 - Military and Civilian Practices 31:19 - Leadership and Mentorship in Medicine 34:07 - Transitioning to Civilian Practice 42:44 - Final Thoughts and Reflections --- RESOURCES Dr. Philip Gaudreau https://health.usnews.com/doctors/philip-gaudreau-807965 Dr. Matthew Brigger https://www.rchsd.org/doctors/matthew-brigger-md-mph/ BackTable+ for ENT https://plus.backtable.com/pages/ent

Send us a textFormer Army Ranger and member of the Special Forces, Dr. Alec Eror, is a cardiothoracic surgeon in St. George, Utah who is affiliated with multiple hospitals in Utah, including Intermountain Health St George Regional Hospital and Intermountain Health Utah Valley Hospital. He received his medical degree from Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine and has more than 30 years of experience in the medical field, including expertise in heart valve surgery and heart bypass surgery. Dr. Eror currently serves as the medical director of cardiac rehab in the St. George Regional Hospital.As an ambassador for Red Rock Bicycle Company, Dr. Eror loves cycling and averages 10,000 miles a year. He especially enjoys gravel biking, and he has done gravel biking races throughout the world, often planning vacations around these races. He has competed in cycling at the Huntsman World Senior Games for 5 years.

Listen in as host David Mandell welcomes orthopedic surgeon Dr. Patrick St. Pierre. Pat begins by sharing his background in the military, where he served in the infantry and as an airborne ranger pathfinder and eventually transitioned to medical school and a path in orthopedics. He then tells David about his decisions around the first job he took outside of the military on the east coast and his eventual move to Palm Desert, CA to a growing orthopedic practice there. The conversation then shifts to Pat's involvement with industry, including work on a Mako orthopedic robot for shoulder surgeries. He comments on the importance of physicians working with industry and gives advice to those thinking about doing so. David and Pat then discuss Pat's plan for retirement, which he has given a lot of thought to over the last decade after seeing colleagues struggle with life post-medical career. Pat is passionate about retiring TO something, not just FROM medicine. Pat explains his TO – is wine – and give insights on what he has been doing for some years to train and become certified as a master sommelier. The episode concludes with Pat giving some specific advice for colleagues on approaching retirement beyond medicine. KEY POINTS Dr. Pat St. Pierre's Background: A West Point graduate, he also completed his medical education at the Uniformed Services University of Health Sciences and has an extensive military medical career, including residencies and fellowships in orthopedic surgery and sports medicine. Military Experience: Dr. St. Pierre initially served in the infantry, where he undertook demanding roles such as airborne ranger and pathfinder, before transitioning to medicine in the military. Motivation for Medicine: Inspired by personal experiences, including his mother's battle with heart disease, Dr. St. Pierre initially considered cardiology before shifting to orthopedics. Choosing Orthopedic Surgery: He found his passion for orthopedics and sports medicine through impactful rotations and mentorship during medical school. Transition to Civilian Practice: After 24 years of military service, his first civilian role in Virginia was driven by family considerations and proximity to his wife's ailing parents. Palm Desert Practice: Dr. St. Pierre joined Eisenhower Desert Orthopedic Center and has been practicing there for 17 years, playing a pivotal role in the growth of the practice. Sports Medicine Leadership: He became the lead physician for major sports events, including the BNP Paribas Tennis Open, and worked with junior colleges, high schools, and a professional hockey team. Financial Lessons for Young Physicians: He emphasized the importance of mentors, contract review, and considering regional factors like managed care and ancillary revenue streams when choosing a practice. Overhead Management: Dr. St. Pierre's group reduced their overhead by transitioning into a hospital-affiliated model, which improved financial efficiency. Industry Collaboration: He values physician involvement in medical device development and has contributed to innovations like the BioWick rotator cuff anchor and the Mako robotic shoulder replacement. Mako Robotic Shoulder Surgery: Dr. St. Pierre is part of a global team developing this cutting-edge technology, with FDA approval recently granted, signaling a transformative advance in shoulder surgery. Planning for Retirement: He advocates for retiring to something meaningful rather than simply retiring from medicine, sharing his personal journey of preparing for life after surgery. Passion for Wine: Dr. St. Pierre pursued a Master of Wine certification, a rigorous program blending science, viticulture, and business, becoming one of a select few in the world to achieve this level. Future Endeavors: He plans to continue contributing to wine education and management while staying engaged with the medical industry, ensuring a fulfilling post-retirement phase. Lifelong Learning: Dr. St. Pierre underscores the importance of challenging oneself with new pursuits, such as studying wine or learning an instrument, to keep the mind active and engaged.     Learn more, including additional show notes, links, and more, by visiting physicianswealthpodcast.com. Click here to get your FREE copy of our latest book, Wealth Strategies for Today's Physician!

ATS Scholar editor Nitin Seam, MD, ATSF - clinical professor of Medicine at George Washington University and the Uniformed Services University - shares some takeaways from his editorial on the ATS journals' position on the evolving role of artificial intelligence on scientific research and review. Eddie Qian, MD, of Vanderbilt University Medical Center, hosts.06:35 - What are the main takeaways of the ATS editorial?09:13 - Should large language models be authors?09:59 - Why would a reviewer want to upload a paper to an LLM?21:08 - What are topics around AI and LLMs that should be studied in medicine?Read the editorial in the American Journal of Respiratory and Critical Care Medicine:  https://www.atsjournals.org/doi/full/10.1164/rccm.202411-2208ED

Join the Behind the Knife Surgical Oncology Team as we discuss the presentation, work-up, and management of neuroendocrine tumors of the small bowel. Learning Objectives: In this episode, we review the basics of neuroendocrine (NE) tumors of the small bowel, including how to evaluate patients with presenting symptoms consistent with NE tumors, initial work-up, staging, and management.  We discuss key concepts including DOTATATE scans and medical therapies high yield for direct patient care and board exams.  Hosts: Timothy Vreeland, MD, FACS (@vreelant) is an Assistant Professor of Surgery at the Uniformed Services University of the Health Sciences and Surgical Oncologist at Brooke Army Medical Center Daniel Nelson, DO, FACS (@usarmydoc24) is Surgical Oncologist/HPB surgeon at Kaiser LAMC in Los Angeles. Connor Chick, MD (@connor_chick) is a 2nd Year Surgical Oncology fellow at Ohio State University. Lexy (Alexandra) Adams, MD, MPH (@lexyadams16) is a 1st Year Surgical Oncology fellow at MD Anderson. Beth (Elizabeth) Barbera, MD (@elizcarpenter16) is a PGY-6 General Surgery resident at Brooke Army Medical Center Links to Paper Referenced in this Episode: Strosberg J, El-Haddad G, Wolin E, Hendifar A, Yao J, Chasen B, Mittra E, Kunz PL, Kulke MH, Jacene H, Bushnell D, O'Dorisio TM, Baum RP, Kulkarni HR, Caplin M, Lebtahi R, Hobday T, Delpassand E, Van Cutsem E, Benson A, Srirajaskanthan R, Pavel M, Mora J, Berlin J, Grande E, Reed N, Seregni E, Öberg K, Lopera Sierra M, Santoro P, Thevenet T, Erion JL, Ruszniewski P, Kwekkeboom D, Krenning E; NETTER-1 Trial Investigators. Phase 3 Trial of 177Lu-Dotatate for Midgut Neuroendocrine Tumors. N Engl J Med. 2017 Jan 12;376(2):125-135. doi: 10.1056/NEJMoa1607427. PMID: 28076709; PMCID: PMC5895095. https://pubmed.ncbi.nlm.nih.gov/28076709/ ***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

For many of us, the idea of assessing and responding to suicide risk via telehealth seems overwhelming. As Jenna says, “the stakes are just a little higher.” But that's all the more reason to become confident in the process; our patients deserve access to the best possible care, after all. In this episode, Dr. Kristyn Heins addresses common provider concerns about treating high risk patients over telehealth. Her common sense suggestions can reduce our collective anxiety and help us build our confidence in suicide prevention strategies.Kristyn Heins, Ph.D., is a Licensed Professional Counselor serving as a Military Behavioral Health Counselor for the Center for Deployment Psychology (CDP) at the Uniformed Services University of the Health Sciences. In this role, she supports the CDP's efforts of training clinicians in evidenced-based practice focused on suicide prevention. Prior to joining the CDP, Dr. Heins worked at the Department of Veteran Affairs in various roles including primary care mental health, and suicide prevention telehealth. Dr. Heins is trained in Cognitive Behavioral Therapy- Suicide Prevention, and Problem Solving Therapy- Suicide Prevention. She also has worked in a Federally Qualified Health Center and in a non-profit setting.Resources mentioned in this episode:The Columbia Suicide Severity Rating Scale (C-SSRS). A validated and short self-report measure that can be utilized in a variety of settings. https://cssrs.columbia.edu/The Patient Health Questionnaire (PHQ-9). A validated and short self-report measure used for depression screening. https://tinyurl.com/5n6u7p6jSuicide Cognitions Scale. A self-report measure to assess thoughts, perceptions, and beliefs that are commonly experienced by people who have attempted suicide. https://osf.io/bf8uy/CBT for Suicide Prevention Workshops presented by CDP. View our training calendar here to register for a workshop, then follow up with consultation. https://deploymentpsych.org/trainingCalls-to-action:Get familiar with validated self-report measuresTake a CBT-SP courseUtilize your support and consultation resourcesSubscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email - https://deploymentpsych.org/CDP-MED-Opt-InSend us your questions, comments, stories, and/or topic/guest suggestions! We'd love to hear from you!Practical for Your Practice voice mail: https://www.speakpipe.com/cdpp4pPractical for Your Practice email: cdp-podcast-ggg@usuhs.edu

Episode SummaryThis is a replay of a recent episode because February is American Heart Month. Craig and Karey Packard share their inspiring story about facing an unexpected health crisis that forever changed their lives. They recount how the life-saving power of CPR played a critical role in a miraculous outcome. Their story is one of faith and resilience and a good reminder of the power of preparation in the event of the unexpected. About Craig & Karey PackardCraig and Karey Packard live in Londonderry, NH.  They have been married for 36 years and have 4 children and 2 grandchildren.  Craig did his undergraduate work at Tufts University, completed medical school at the Uniformed Services University of the Health Sciences, and later added a Masters in Public Health from Harvard. He served as a doctor in the US Air Force for 26 years before retiring from the military in 2011 after which he worked in the Occupational Medicine field for an additional 10 years before fully retiring. He was board-certified in Family Medicine, Aerospace Medicine, and Occupational Medicine.Karey graduated from Clarion State College with a degree in accounting after which she received an Associates degree in paralegal studies at George Washington University. She had to leave the workforce when their oldest son was diagnosed with leukemia and with the frequent military moves, she never returned to the paid workforce.  Among her numerous volunteer roles, she has worked for the American Heart Association as an advocate for CPR training and heart health for the past decade.From This EpisodeWhat is Cardiomyopathy?“Miracle Girl” Recovers from “Non-Survivable” EventFind CPR Training near youAmerican Heart Month Find and Follow Carole and Wisdom Shared:https://www.caroleblueweiss.com/Subscribe to YouTube channelFollow and send a message on FacebookFollow and send a message on LinkedInFollow on InstagramFollow on TikTokFollow on ThreadsThe Wisdom Shared TeamAudio Engineering by Steve Heatherington of Good Podcasting WorksCo-Producer and Marketing Coordinator: Kayla NelsonProduction Assistant: Becki Leigh

    Embark on a journey through military medicine with Lieutenant General John J. DeGoes, MD, the Air Force and Space Force Surgeon General. Could the path from civilian practice to military healthcare be transformed by a chance encounter? Listen as Dr. DeGoes recounts his serendipitous introduction to the Uniformed Services University and his unique training, which provides rare opportunities not found in civilian medicine. Gain insights into how the profound events of 9/11 reshaped military healthcare and the groundbreaking innovations in aeromedical evacuation that followed, including a remarkable case of diagnosing dermatomyositis in a young soldier.    The late 2000s and early 2010s were pivotal for Air Force medicine, marked by strategic challenges and innovations amid troop deployments to Afghanistan. Discover the untold stories of logistical hurdles during the H1N1 pandemic and the unexpected chaos from the Icelandic volcano eruption of 2010, which complicated casualty evacuations. Dr. DeGoes highlights transformative initiatives, such as equipping pararescue personnel with blood for on-site trauma care, a significant leap forward in military medical protocols. Through strategic aeromedical evacuation, learn how military medicine reduced its medical footprint and evolved to meet the demands of modern warfare.      Explore the intricate dynamics of leadership in a vast military healthcare system, stressing the importance of strategic planning and effective communication. As military operations have evolved since the 1990s, so have the medical innovations, with critical care air transport leading the way in battlefield medicine. Dr. DeGoes discusses the transition to the Defense Health Agency and the vital role of the Air Force Medical Command in supporting the missions of both the Air Force and Space Force. With insights into leadership, technology integration, and future healthcare, this episode offers a comprehensive view of the dedication to health and readiness for airmen, guardians, and their families. Chapter Timestamps 00:04 Military Medicine Journey 14:55 Medical Challenges and Innovations in Afghanistan 20:59 Air Force Medical Command Transition 29:25 Healthcare Leadership and Strategic Planning 40:13 Leadership, Technology, and Future Healthcare   Chapter Summaries: (00:04) Military Medicine Journey     Dr. DeGoes shares his journey into military medicine, discussing leadership, strategic planning, and memorable clinical cases. (14:55) Medical Challenges and Innovations in Afghanistan    Air Force Medicine faced challenges and innovations during troop deployment, pandemics, and advancements in trauma care. (20:59) Air Force Medical Command Transition     Evolution of military medical operations, critical care advancements, Air Force Medical Command's role in supporting missions. (29:25) Healthcare Leadership and Strategic Planning      Managing military healthcare delivery, emphasizing leadership and strategic planning, and enhancing resilience and support for combat wings. (40:13) Leadership, Technology, and Future Healthcare     Leadership lessons, new technologies, and collaboration in Air Force medicine for the health and readiness of airmen and guardians.   Take Home Messages: Serendipitous Beginnings and Unique Opportunities: The journey into military medicine often starts unexpectedly, leading to unique experiences that differ significantly from civilian medical practice. The path can be shaped by unforeseen encounters and opportunities, such as exposure to complex cases and diverse medical challenges often found in military settings. Innovations in Military Medicine: Military medical services have seen transformative changes over the years, especially in response to significant events and crises. Innovations such as aeromedical evacuation and the introduction of trauma care protocols have significantly enhanced the efficiency and effectiveness of military medical operations. Strategic Challenges and Adaptability: Adapting to evolving challenges is crucial in military medicine. The strategic deployment of medical resources and the development of innovative solutions to logistical hurdles, such as those faced during troop deployments and global pandemics, are essential for maintaining operational readiness. Leadership and Communication: Effective leadership in military healthcare relies on humility, approachability, and credibility. Leaders must communicate complex medical data in operationally relevant ways to ensure alignment with mission goals and to foster trust and collaboration within the organization. The Future of Military Healthcare: As technology rapidly evolves, integrating new tools and systems is key to advancing military medicine. Emphasizing collaboration and strategic planning will be crucial in advocating for service members' and their families' health and readiness, ensuring that military healthcare continues to thrive and meet future challenges.   Episode Keywords: Military Medicine, Surgeon General, Air Force, Space Force, Uniformed Services University, Medical Challenges, Innovations, Afghanistan, H1N1, Icelandic Volcano, Aeromedical Evacuation, Flight Surgeon, Leadership, Strategic Planning, Communication, Future Healthcare, Critical Care, Medical Evacuation, Defense Health Agency, John Kotter, Change Framework, Indo-PACOM, Resilience, Medic X Program, Deployable Combat Wings, Technology, Humility, Credibility, Feedback, COVID-19, 711th Human Performance Wing, 59th Medical Wing, BATDOK Device, DC, Service SGs, Defense Health Agency, Airmen, Guardians, Families   Hashtags: #AirForceMedicine #MilitaryMedicine #LeadershipInMedicine #MedicalInnovation #HealthcareTransformation #AirForceLeadership #FutureOfHealthcare #MilitaryHealthcare #AirForceSurgeonGeneral #PodcastEpisode   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast      

Sleep trackers - what are they good for? While they may give you an entertaining look at your sleep health, they can complicate treatment of sleep disorders. Our guest today, Dr. Diana Dolan, returns to P4P to provide a balanced view on consumer wearables and their impact on sleep assessment and treatment. Technology has evolved in the past few years, and so have our suggestions for how to work with patients who love their sleep trackers. How can we capitalize on our patients' enthusiasm for better sleep? Tune in to find out.Diana Dolan, Ph.D., CBSM, DBSM, is a clinical psychologist serving as an Associate Director of Training & Education with the Center for Deployment Psychology (CDP) at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. She currently oversees programs that provide evidence-based training for military-connected patients on a variety of topics. She is certified in Behavioral Sleep Medicine by the American Board of Sleep Medicine. She is also a diplomate in Behavioral Sleep Medicine from the Board of Behavioral Sleep Medicine.Resources mentioned in this episode: de Zambotti, M., Goldstein, C., Cook, J., Menghini, L., Altini, M., Cheng, P., & Robillard, R. (2024). State of the science and recommendations for using wearable technology in sleep and circadian research. SLEEP 47: 1-31. https://doi.org/10.1093/sleep/zsad325Khosla S, Deak MC, Gault D, Goldstein CA, Hwang D, Kwon Y, O'Hearn D, Schutte-Rodin S, Yurcheshen M, Rosen IM, Kirsch DB, Chervin RD, Carden KA, Ramar K, Aurora RN, Kristo DA, Malhotra RK, Martin JL, Olson EJ, Rosen CL, Rowley JA; American Academy of Sleep Medicine Board of Directors. Consumer sleep technology: an American Academy of Sleep Medicine position statement. J Clin Sleep Med. 2018;14(5):877–880.CBT-I Coach app. Includes a sleep diary that may appeal to patients who prefer to use apps and other technology. https://mobile.va.gov/app/cbt-i-coach Calls-to-action: For example: Become familiar with the American Academy of Sleep Medicine's position on consumer wearables: “It is the position of the AASM that CST must be FDA cleared and rigorously tested against current gold standards if it is intended to render a diagnosis and/or treatment. Given the unknown potential of CST to measure sleep or assess for sleep disorders, these tools are not substitutes for medical evaluation. However, CSTs may be utilized to enhance the patient-clinician interaction when presented in the context of an appropriate clinical evaluation.”Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Send us your questions and feedback! Voicemail: speakpipe.com/cdpp4pEmail: cdp-podcast-ggg@usuhs.edu

New year! New season! New look! AND new theme! Our hosts kick off season six of the P4P podcast introducing the theme, “Who's Got Your Six?” (see what we did there?), and talk about the importance of cultivating our own support systems and people. Each host shares a story about someone who has (and has had) their “six”. As mental health providers, we all need and deserve someone to have our backs. So how do we cultivate these supportive relationships? Check out this episode! And as always, thank you listeners for having OUR six. We LOVE hearing from our listeners. If you have a question, comment, topic suggestion for a future episode, or even a guest recommendation, let us know! We also welcome listeners to share your “EBP Confession” story (season 4 theme), your “What's Your Why?” story (season 5 theme), or your “Who's Got Your Six” story (season 6 theme). You can leave us a voice mail message at speakpipe.com/cdpp4p, or send us an email at cdp-podcast-ggg@usuhs.edu. Your message could be featured in an upcoming episode!Drs. Carin Lefkowitz, Jenna Ermold, and Kevin Holloway are all psychologists, trainers, and subject matter experts at the Center for Deployment Psychology (CDP) at the Uniformed Services University of the Health Sciences (USUHS).Resources mentioned in this episode: Practical for Your Practice voice mail: speakpipe.com/cdpp4pPractical for Your Practice email: cdp-podcast-ggg@usuhs.edu Calls-to-action: Don't take “no” for an answer when you want to be part of a group or work with an individual you can learn from.Know your value. Don't waste your energy on someone else or an organization that doesn't recognize your value.It's ok to ask for help. It's ok to be real. Deep relationships thrive on authenticity. GIve yourself permission to acknowledge your limits and vulnerabilities. Code: KJZH0ALNBI5O3UXX

Elle Russ chats with Dr. Todd Bertoch, M.D. - a diplomate of the American Board of Anesthesiology. He graduated Summa Cum Laude with a Bachelor of Science Degree in Biochemistry from California State University at Fullerton and received a Doctor of Medicine degree from the Uniformed Services University of the Health Sciences in Bethesda, Maryland. After an internship in Internal Medicine, he completed his Anesthesiology residency at Wilford Hall Medical Center in San Antonio, Texas, where he was Chief Resident and received the Arthur B. Tarrow Outstanding Resident Award. He is a member of the esteemed Alpha Omega Alpha Honor Medical Society. Dr. Bertoch served as an anesthesiologist in the United States Air Force until 2006 where he gained extensive experience in both trauma care and pain management. He is a recipient of the Air Force Achievement Medal, the Air Force Commendation Medal, and the Meritorious Service Medal. After completing his military service, Dr. Bertoch served for 11 years as the managing partner of Prescott Anesthesia in Prescott, Arizona where his practice included a focus on cardiovascular surgery, chronic pain management and addiction medicine. Since joining JBR Clinical research in 2017, he has served as Principal Investigator for over 100 clinical trials, defended development programs for sponsors before the FDA, been invited to present study results on behalf of clients at professional meetings, designed and authored numerous clinical trial protocols, and has helped author several industry-related articles and white papers.   SELECTED LINKS: https://www.elleruss.com/ https://cenexelresearch.com/jbr/

Episode SummaryCraig and Karey Packard share their inspiring story about facing an unexpected health crisis that forever changed their lives. They recount how the life-saving power of CPR played a critical role in a miraculous outcome. Their story is one of faith and resilience and a good reminder of the power of preparation in the event of the unexpected. About Craig & Karey PackardCraig and Karey Packard live in Londonderry, NH.  They have been married for 36 years and have 4 children and 2 grandchildren.  Craig did his undergraduate work at Tufts University, completed medical school at the Uniformed Services University of the Health Sciences, and later added a Masters in Public Health from Harvard. He served as a doctor in the US Air Force for 26 years before retiring from the military in 2011 after which he worked in the Occupational Medicine field for an additional 10 years before fully retiring. He was board-certified in Family Medicine, Aerospace Medicine, and Occupational Medicine.Karey graduated from Clarion State College with a degree in accounting after which she received an Associates degree in paralegal studies at George Washington University. She had to leave the workforce when their oldest son was diagnosed with leukemia and with the frequent military moves, she never returned to the paid workforce.  Among her numerous volunteer roles, she has worked for the American Heart Association as an advocate for CPR training and heart health for the past decade.From This EpisodeWhat is Cardiomyopathy?“Miracle Girl” Recovers from “Non-Survivable” EventFind CPR Training near you    Find and Follow Carole and Wisdom Shared:https://www.caroleblueweiss.com/Subscribe to YouTube channelFollow and send a message on FacebookFollow and send a message on LinkedInFollow on InstagramFollow on TikTokFollow on ThreadsThe Wisdom Shared TeamAudio Engineering by Steve Heatherington of Good Podcasting WorksCo-Producer and Marketing Coordinator: Kayla NelsonProduction Assistant: Becki Leigh

A bipartisan bill in the House envisions a new way for the Department of Veterans Affairs to recruit doctors. The Supporting Medical Students and VA Workforce Act would create a new scholarship program in which the VA pays students to study medicine at the Uniformed Services University of the Health Sciences. Students who accept the scholarships would agree to serve as VA physicians after completing their residencies. House VA Committee Ranking Member Mark Takano and Congressman Neal Dunn are leading the bill. They say it would help the VA address a shortage of physicians in rural and underserved areas. Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

A bipartisan bill in the House envisions a new way for the Department of Veterans Affairs to recruit doctors. The Supporting Medical Students and VA Workforce Act would create a new scholarship program in which the VA pays students to study medicine at the Uniformed Services University of the Health Sciences. Students who accept the scholarships would agree to serve as VA physicians after completing their residencies. House VA Committee Ranking Member Mark Takano and Congressman Neal Dunn are leading the bill. They say it would help the VA address a shortage of physicians in rural and underserved areas. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Opioids may be considered for temporary use in patients with severe pain related to selected neuropathic pain conditions and only as part of a multimodal treatment regimen. Close follow-up when initiating or adjusting opioid therapy and frequent reevaluation during long-term opioid therapy is required. In this episode, Allison Weathers, MD, FAAN speaks with Friedhelm Sandbrink, MD, FAAN, an author of the article “Opioids and Cannabinoids in Neurology Practice,” in the Continuum® October 2024 Pain Management in Neurology issue. Dr. Weathers is a Continuum Audio interviewer and the associate chief medical information officer at the Cleveland Clinic in Cleveland, Ohio. Dr. Sandbrink is the national program director of Pain Management, Opioid Safety and Prescription Drug Monitoring Programs at the Veterans Health Administration, Uniformed Services University in Bethesda, Maryland. Additional Resources Read the article: Opioids and Cannabinoids in Neurology Practice Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media @ContinuumAAN facebook.com/continuumcme Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors who are the leading experts in their fields. Subscribers to the Continuum Journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal and how to get CME. Dr Weathers: I'm Dr Allison Weathers. Today I'm interviewing Dr Friedhelm Sandbrink, who is one of the authors of the article Opioids and Cannabinoids for the Practicing Neurologist from the October 2024 Continuum issue on pain management Neurology. Welcome to the podcast and please introduce yourself to our audience.  Dr Sandbrink: Yeah, hi. So, I'm Friedhelm Sandbrink. I'm a neurologist and pain physician. I work at the Washington DC VA Medical Center, where I lead our intercessory pain management team, and I have a role also in the VA central office for pain management. I'm also associate professor, clinical associate professor at George Washington University and at the Uniformed Services University in Bethesda.  Dr Weathers: A lot of expertise, which you obviously brought to this article. And I do want to emphasize before we get started, although the article discusses both opioids and cannabinoids, as I said in the introduction, you worked in specifically on opioids. And so that's the part of the article where we'll focus our conversation today. Of course, I think all of our Continuum Audio topics are really fascinating. I know that some may not resonate as much, especially with our non-neurology listeners as others. Clearly not the case with your articles. I was reading it and preparing for a conversation today. I was really struck by how broadly applicable this topic is, not only to all neurologists but, really, all physicians, and even it should be to all of our listeners. Especially with what happened been going on over the last several years, what's been in the news about the opioid epidemic. And while usually like to start with this question, it feels even more pertinent in your case, what is the most important clinical message of your article? Dr Sandbrink: So, the role of the opioid, the role of opioid therapy, really, for pain care has changed dramatically over the last many years right? I mean, it's we, we still consider opioids like the most potent analgesic medication for treatment of acute pain. The benefit for chronic pain really has changed right I mean, you know, we- the understanding in that regard and they're controversial. So, they're generally not recommended for chronic treatment for neuropathic pain conditions or for headache, but there are probably situations when opioids are still indicated and may be considered especially for temporary use. So, one example is probably the patient who has severe acute post hepatic neuralgia and we know that we use other medications for that, you know, the gabapentinoids and duloxetine and but they may take several days or weeks to work, right? And we have to titrate them up. And when more acute pain relief is needed, the opioid medication may be may be an option for temporary use. But I think what we need to keep in mind is that when we use it, we need to be informed about how to mitigate the risks, right? What, what are our best ways to reduce harms? And we need to also know the regulatory, you know, situation right I mean, what is that that we have to do nowadays to stay within the frameworks, right? And so, one of the main emphasis on this article is really go through what the clinical that the CDC has now established as the standards for opiate therapy when we use opioids I think we all need to know the rules right I mean, we know what to do to mitigate risks. What is expected from us in regard to use it as safely as possible, right? And that's important for the patient. That's also important for us in our practice.  Dr Weathers: I think very important advice. And this seems so obvious, but at the same time, I think it's worth very clearly stating why is it so important for neurology clinicians and again, really all clinicians, to read this article? Dr Sandbrink: Yeah. We need to know the words regarding opiate prescribing right in the clinic. You know, the CDC has now issued their opiate practice guide, the Opiate Therapy Guideline. Really, it's a guideline for pain care in 2022. It's an update from 2016 that made some major changes in that regard. And I think we need to know really where we are nowadays in regard to expectations. I think we need to place the opiate therapy appropriately in our armamentarium regarding the many options that we have for pain care. But then when we use them, we need to know what we need to do to make it safe. Right? So, I'm thinking about the prescription drug monitoring programs and the patient education that's expected. We use in our practice an informed consent process even for patients on chronic pain, When and how to interpret urine drug screens, right? And how to issue, and maybe when to issue a naloxone comedication in order to have a rescue medication in case the patient is in a terrible situation. So, these are just things that have become nowadays standards of care and part of our practice. And we need to be familiar with it and use them as we take care of the patients. And for instance, in regard to opiate medication, we need to know about the specific rules regarding telehealth, prescribing of controlled substances, controlled Substances Act and the Ryan Hate Act that mandates in person evaluations for patients when we prescribe controlled substances. That obviously has been somewhat amended or changed or temporarily put on hold during the COVID crisis. And many states now have started developing their own guidance in regard to what's available and what's possible during telehealth. And we need to be familiar about that also.  Dr Weathers: I think those are such important and thoughtful points. I, I've mentioned it several times on this podcast before. I am a clinical informaticist and this is a topic that really lends itself to the EHR being able to help support. So, a lot of the things that you just mentioned, the consents for patients, the prescribing of naloxone, some of the support, clinical decision support can really be done in the electronic health record to help support providers. However, it's also one of those things where if people don't understand what's behind it, it can become a little bit of a crutch. And so, as I was reading the article, I was really struck by how helpful it is to really have that background. I think people can become very dependent and it becomes almost just doing it all for them and, and they lose the- then you can make this argument about probably a lot of the other clinical decision supports in there, but really understanding the why behind a lot of the support that's there around all of the, the tools that are in there to, to support safe opioid prescribing. I think it's so important for that people have that background that the article provides.  Dr Sandbrink: I think often it feels like you're going through a checklist of things to do right and, and, and you do right. But at the same time, as you said, you need to know why you're doing it right And, and I think it's very important for us to know what the rules are and the expectations in regard to standards of care. So, we also know what is the framework that we have to follow, but where can we make modifications? Where can we individualize based on the patient's need? What is really that that is still within our ability to do and how to modify that? Because in the very end, it really is about good care of the patient. We need to know what we are allowed to do, but we also need to know where the limits are right And I hope that that article provides really some information about that, especially as it outlines what the CDC expects. But then also, I think it gives - hopefully, and this is a message that the CDC also has – it really emphasizes that it's about good communication with the patient, truly informing them and about what are the range of options and the limits that we have, but also at the same time never to abandon the patient. You know, I think this is something that we need to understand. It's not really about us. The rules are there to make the care of the patients safer. The rules are not the primary goal itself. It is still patient care. So, in that regard, we need to make sure to never abandon the patient, even if the patient for instance, may come to us and maybe they took more opiates and prescribed or you know, and they ran out early and figure out what exactly was that drove the patient for that, right? I mean, you know, so that we know maybe it is actually worse than pain. Maybe there was something that happened that caused the patient to have a significant increase of it. You know, I think one of the biggest misconceptions is really also that patients who make sure some misuse of medication, that everybody has opioid abuse disorder, addiction. Common, far too common, right? And I think we've learned over the years how common it is. Clearly pain itself, intractable pain is a very strong driver of behavior. If you're in pain, if a patient is in pain, they are desperate often to seek some kind of relief. And taking extra medication in itself, while it's not at all something that we can endorse and tolerate, obviously in many ways, right, we have to still take it as a possible sign of pain control rather than opiate use disorder in itself. So, we need to be very careful of how to assess such a patient and that we guide them into the right direction in regard to the next.  Dr Weathers: That, again, is very important advice, and thinking about how chronic pain on a very different level than acute pain, right? Understanding how these patients are processing pain in a very different way than patients with acute pain. And again, also, I think a very important point that the pendulum has swung kind of back and forth over the years. You know, that they were in pain was another vital sign and it was make sure you're asking your patient about pain. And then all of a sudden it was, oh, we have to be really careful and people should not, nobody should be on these medications, which you- to your point, led to sudden abandonment. And that's not the point. That's not what we should be doing as providers. I know, though, there's very sensitive and challenging situations when you find out a patient though, perhaps taking more than expected because of chronic pain, but perhaps diversion. How have you handled those challenging cases? Dr Sandbrink: I think diversion needs to be taken obviously very, very seriously. And you know, if a patient is truly diverting medication and there are obviously multiple variations of that, right? I mean, it's like giving it to a family member, for instance. That's one thing. It's on the other hand actually selling it. I think a patient who diverts is such a situation where opioid prescribing has to stop immediately, right? I mean, this is not a patient that we would take off at this point. I mean, so I think it's one of the very, very few occasions where you'd say that you have to just stop it immediately. I think there are other situations really in general, I think the patients who have been on opioids long term, especially in higher doses, I mean the majority of patients are not different. We have to be aware of it. We have to always look out for it. That's part of our risk mitigation. But we also have to make sure that patients on long term opioid therapy, right, that we guide them appropriately. I think the guidance probably in many ways is that we want to make sure whether opioids, the opioid medications still have helps them to achieve their functional goal. Are they truly helpful for the patients in achieving what they aspire to do in regard to their work life, in regard to the family situation. I think a lot of times for patients who have been on opioids long term, it's probably not that it really helps them that much for pain anymore, but they've often made that experience and they try to stop it. Pain gets worse, which is the effect obviously, that that happens with opiates right I mean, the moment you stop them, the opposite of the effect happens right I mean, they become irritable, right? The sleep gets worse, the pain gets worse, right? And it's a temporary phenomenon. And so, when we try to talk to a patient about possibly reducing the medication, I think this is one of the most challenging aspects that we have, that we really look at the patient and try to motivate them to be part of that plan. It's not something that we want to impose on the patient, but rather that we motivate the patient to look towards in the long term, probably more efficient pain care, which is really much more comprehensive pain care using all modalities. And I think one of the things that we learned over the last years is that when we make opiate medication reductions, we have to go very slowly. I think in the past we've talked about a matter of weeks and now the guidance including from the CDC guideline is probably more- closer to 10% per month to reducing it. So, you make reductions that may take many months to a year even, right. And the patient is allowed to help us, guide us how fast we can go. And you're allowed to make pauses if needed for the patient to adjust physiologically to reduction. And we want to go slowly enough that we don't run into an acute withdrawal situation right If you do it very gradually, it's much more manageable for the patient to do that. Then they'll be much more motivated to work with you. But still, it's a challenge right I think that we do. And I think at the very end, it's really providing good patient care that allows us to build that rapport with the patient that they trust us and that they say, Hey, you know, yes, I'm, I'm willing to work with you, doc, to maybe reduce my reliance on the medication, right? So that that I don't end up on this. You know, one of the things that I sometimes do is asking patients when they come to us this first time and there are a lot of opiate medication maybe is like, what's your goal in this regard? Where do you see yourself in, in five or ten years? Are you thinking you will still be on this medication or would you want to come off? And how can we help you then if that's your goal? So, I think this is all part of our important conversation that we have to have in order to motivate the patient.  Dr Weathers: What I heard you say repeatedly through that. And what I really want to emphasize for our listeners is that the therapeutic relationship with that patient that no matter what that scenario, really keeping them and their goals at the focus and really making it a partnership, not a paternalistic relationship, not dictating to them what the plan will be, but really emphasizing shared decision-making. And I think again, that's such a key take home point for our listeners. And also, even going back to my original question about diversion, what really struck me in your response is even though you said yes, then that was one of the few cases or perhaps even the only case where you said, all right, this is where we have to cut it off immediately. It still wasn't abandoning them as a patient, although you said we have to stop the medication. It wasn't about ending that relationship with that patient necessarily, but ending that therapy option. So really critical in how we think about opioids therapy and our relationship overall with patients.  Dr Sandbrink: So, Allison, maybe I can add on, you know, I think the patient with diversion is the one aspect where we have to look at the population as a whole and the opioid that makes it to somebody else, potentially a vulnerable child, right, even you know, who could die from it, right? Another aspect of probably the patients we mentioned them earlier who have opioid use disorder, who maybe take more than prescribed and where we as a neurologist feel often quite uncomfortable dealing with that. And I think that's so important that at that point we don't abandoned the patient, right. I mean, you know, maybe we want to continue, we don't want to continue the opiate medication for the treatment of the pain. But as we diagnose and initially suspect opiate use disorder and have a conversation about it with a patient, we need to guide them to therapy. It's a treatable condition, right? It's an untreated, it's, it's actually rather lethal in many situations, right? So, we have to make sure that we provide an integrated access to the treatment or we have a warm hand off to somebody who will continue that and not abandon the patient in regard to that pain care, as we said earlier also, right? I mean, because that second condition really doesn't obviously I mean in any way that the pain is any better. No, I mean it's a common concurrent situation and we need to make sure that they still have the better pain care possible. Dr Weathers: Again, it's a really key point for our listeners as and as I emphasized at the beginning, regardless of their subspecialty or specialty or even if they're physicians, I hope for everybody listening they can take away something from this. How did you become interested in pain management? I know that this was something that that you became interested in even when still in training. What struck you about this? Dr Sandbrink: So, yeah, so my initial fellowship actually after residence was clinical neurophysiology. So, you know, a lot of the spine and different nerve conditions really was, was, but then when I began practice, clearly longitudinal care, chronic disease management, I think many of us in neurology do that right That, that became an emphasis. And I think building that accord with the patients right and, and, and that having that ability to provide pain care is something that really worked out very well. I think I love teamwork and part of teamwork pain care in in our setting is a collaborative approach right You have other disciplines, physical therapist, psychologist, right? You know, you have intervention and nonintervention provider. I think nowadays we even have integrative modalities available to us. So, I'm working together on a team, trying to optimize it here with many team members that we have with everybody bringing that personal expertise is something that I really cherish. Dr Weathers: I feel like that's such a great example and I feel like a lot of people don't necessarily think about this specialty as one that is, that is collaborative in that way. And it really is. So, I, I think that's a wonderful way to highlight it. I always like to end on a hopeful note. And I know that there hasn't been necessarily a lot of hope or positive news in regards to, to opioid use, opioid therapy in the last several years. But are there developments that give you hope that you're excited about?  Dr Sandbrink: So, you know, I think there are probably two things I would mention. On one hand, I think patients are so much more aware now about the risk of opioids. So that is actually much easier to look and get them motivated about comprehensive pain care. There's much more interest in integrative modalities. Patients nowadays would be much more willing to maybe try acupuncture or mindfulness or yoga or Tai chi. So, I think that's actually a really nice development in that regard. But if I think about opioids specifically, I think the availability of buprenorphine as a medication, it's certainly something we should mention in this interview here, right? I mean, buprenorphine is now increasingly used for pain as well, not just in the higher dosage for opiate use disorder. It really is a good choice for patients who have. pain conditions, chronic pain conditions, severe pain and to require a daily opioid, especially in regard to safety aspect when the patient has medical conditions or mental health conditions that may put them at higher risk and they have to be on an opiate anyway. This is really something that I think has changed our practice. As you know, we don't have to rely on the X waiver anymore. Anybody with a DA license can prescribe buprenorphine. Even for opiate disuse disorder, it really has become something that I think many of us integrate much more into our practice and I want to encourage the listener to really look into that direction.  Dr Weathers: Excellent advice and I'll actually refer our listeners who are subscribers of Continuum to reference, specifically, Table 4 where you dive into the buprenorphine. It's just a fantastic table, as are all the tables. It really goes into detail of the commonly prescribed opioids for pain with the special characteristics and the conversion of morphine equivalent, but especially for this one about how to prescribe the details of us. Again, when I was preparing for this, I said wow. Like for me as a neurohospitalist and thinking about when I'm on service, how to use it, when to use it, I thought it was incredibly useful for that management of patients, especially as a powerful point of care tool. Well, thank you so much for being here with me today for this great conversation.  Dr Sandbrink: Yeah, thank you. That was my pleasure. Dr Weathers: Again, today I've been interviewing Dr Friedhelm Sandbrink, whose article on opioids and cannabinoids for the practicing neurologist, written with Dr Nathaniel Schuster, appears in the most recent issue of Continuum on Pain Management and Neurology. To learn more about the topics of opioids and cannabinoids, be sure to read the full article. And don't forget to listen to Continuum audio episodes from this and other issues. Thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use this link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/AudioCME. Thank you for listening to Continuum Audio.

Welcome to a very special MIGS Front Page episode with not one, but two guests! In the first segment, hear from Arcy Dominguez (X: @Arcy09), the current Program Manager for AAGL's Fellowship in Minimally Invasive Gynecologic Surgery (FMIGS). With over 24 years of history working with AAGL, Ms. Dominguez shares her unique perspective on the annual AAGL Global Congress.Our second segment brings a discussion with Dr. Kristina Karlson (X: @KKarlsonMD)  Assistant Professor with Uniformed Services University about some highlights from the program at AAGL 2024. Be sure to listen in for some tips to make your conference experience educational, enlightening, and entertaining!Connect with the JMIG Social Media Team!X: @AAGLJMIGInstagram: @AAGLJMIGFacebook: AAGLJMIG

In this episode, we review key components of the landmark MAGIC and FLOT-4 trials that investigated perioperative chemotherapy in the treatment of locally advanced gastric cancer.  We discuss limitations of both trials and the evolving clinical landscape of gastric cancer treatment. Hosts: - Timothy Vreeland, MD, FACS (@vreelant) is an Associate Professor of Surgery at the Uniformed Services University of the Health Sciences and Surgical Oncologist/HPB surgeon at Brooke Army Medical Center. - Daniel Nelson, DO, FACS (@usarmydoc24) is a Surgical Oncologist/HPB surgeon at Kaiser Permanente Los Angeles Medical Center. - Connor Chick, MD (@connor_chick) is a Surgical Oncology Senior Fellow at Ohio State. - Lexy (Alexandra) Adams, MD, MPH (@lexyadams16) is a Surgical Oncology Junior Fellow at MD Anderson Cancer Center. - Beth (Elizabeth) Barbera, MD (@elizcarpenter16) is a PGY-6 General Surgery resident at Brooke Army Medical Center.  Learning Objectives:  1.     Understand background, methodology, results, and interpretation of the MAGIC trial. 2.     Understand background, methodology, results, and interpretation of the FLOT trial. 3.     Be able to discuss the evolution of chemotherapeutic regimens in the treatment of locally advanced gastric cancer and rationale for their use. 4.     Be able to describe key limitations for the above regimens. 5.     Discuss the the evolving clinical landscape for chemotherapy in gastroesophageal junction tumors. Links to Papers Referenced in this Episode: Journal Articles: Cunningham, D., Allum, W. H., Stenning, S. P., Thompson, J. N., Van de Velde, C. J., Nicolson, M., ... & Chua, Y. J. (2006). Perioperative chemotherapy versus surgery alone for resectable gastroesophageal cancer. New England Journal of Medicine, 355(1), 11-20. https://pubmed.ncbi.nlm.nih.gov/16822992/ Al-Batran, S. E., Homann, N., Pauligk, C., Goetze, T. O., Meiler, J., Kasper, S., ... & Hofheinz, R. D. (2019). Perioperative chemotherapy with fluorouracil plus leucovorin, oxaliplatin, and docetaxel versus fluorouracil or capecitabine plus cisplatin and epirubicin for locally advanced, resectable gastric or gastro-oesophageal junction adenocarcinoma (FLOT4): a randomised, phase 2/3 trial. The Lancet, 393(10184), 1948-1957. https://pubmed.ncbi.nlm.nih.gov/30982686/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Tap, tap, tap. Is this thing on? Hello? Anyone out there? Turns out, YES! Podcasts are funny things where it sometimes feels like we might just be talking into the void. And what we REALLY want is to have collegial interactions with you, the listeners. So for our 60th episode, we asked for your questions, comments, and “What is your why?” stories, and you delivered! Thank you to all who contributed to this episode. Join us as we respond to listeners' questions and hear about LPCs in clinical practice, clients that aren't a “perfect” fit with EBP protocols, not mixing EBP “cocktails”, lots of “woohoo!”s, and Jenna being voted “Most Likely to be Ariel in Little Mermaid 2” in high school. What a great community of practice!Drs. Carin Lefkowitz, Jenna Ermold, and Kevin Holloway are all psychologists, trainers, and subject matter experts at the Center for Deployment Psychology (CDP) at the Uniformed Services University of the Health Sciences (USUHS).Resources mentioned in this episode: Take our Facebook poll: Was your path to your career in behavioral health a “windy” path or more direct? https://tinyurl.com/cdpp4ppoll2Leave us a Voice Mail: https://speakpipe.com/cdpp4pSend us an Email: cdp-podcast-ggg@usuhs.edu Calls-to-action: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

Suicide, a persistent problem for the armed forced and among veterans. Prevention attracts some of the best minds in medicine and academia. Researchers at the Uniformed Services University of the Health Sciences, USU have been at the forefront by developing an online game designed to help clinicians who deal with service members at risk of suicide. Joining me to explain, professor and director of the Center for Deployment Psychology at the USU, David Riggs. Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Suicide, a persistent problem for the armed forced and among veterans. Prevention attracts some of the best minds in medicine and academia. Researchers at the Uniformed Services University of the Health Sciences, USU have been at the forefront by developing an online game designed to help clinicians who deal with service members at risk of suicide. Joining me to explain, professor and director of the Center for Deployment Psychology at the USU, David Riggs. Learn more about your ad choices. Visit megaphone.fm/adchoices

Kirk Parsley served as an Undersea Medical Officer at Naval Special Warfare Group One from June 2009 to January 2013. While there, he led the development and supervised the group's first Sports Medicine Rehabilitation center. He is a former SEAL, and received his Medical Degree from Bethesda, Uniformed Services University of Health Sciences (USUHS) in 2004. He interned in Obstetrics and Gynecology at Balboa Naval Hospital San Diego in 2005 and subsequently completed a Navy residency in Hyperbarics and Diving Medicine in 2006. Dr. Parsley has been a member of the American Academy of Sleep Medicine since 2006 and served as Naval Special Warfare's expert on Sleep Medicine. In addition he is certified in hormonal modulation (Age-Management Medicine). After leaving the Navy he went into concierge medicine and consulting. He continues to consult for multiple corporations, and professional athletes/teams. Doctor Parsley lectures worldwide on sleep, wellness, and hormonal optimization and is currently completing a book on sleep and health optimization. His philosophy for wellness is simple; in order to optimize our health and get the most out of our bodies and minds, we must live more closely to the way we evolved as a species. He believes that many diseases and disorders that we accept as “inevitable” in modern society are unnecessary complications of poor sleeping habits, living in a toxic environment, eating foods we were not designed to digest, and allowing stress to overwhelm us. His passion is to help his patients and clients achieve the highest quality of life possible, and realize their health, performance, and longevity goals. Dr. Parsley spends as much of his spare time as possible with his wife Cindy, and his three beautiful children (Hayden, Cole, and Harper). He has been a competitive athlete his entire life, and enjoys nearly all outdoor activities and sports. Work with RAPID Health Optimization Work with Kirk Parsley Anders Varner on Instagram Doug Larson on Instagram

Dr. Sean Kern is urologic oncologist in the Murtha Cancer Center and Associate Professor of Surgery at the Uniformed Services University and Walter Reed National Military Medical Center, Bethesda, MD. He is the founding Director of the military's Testicular cancer Enterprise for Survivorship, Treatment, and Investigational Sciences “TESTIS” Program and the Program Director of the Walter Reed Urology Residency. Dr. Kern shares his experience going from testicular cancer provider to testicular cancer patient after completing his fellowship at Indiana University, plus information about the military's TESTIS program and how it can help those diagnosed with the most common cancer in active duty men. This information provided is expressly the views of the author and does not imply or constitute Department of Defense or US Government endorsement. Sponsored by Dee's Nuts. Use code "nutcheck" at checkout on https://grabdeesnuts.com Want to be a guest? Apply here: ⁠https://www.testicularcancerawarenessfoundation.org/it-takes-balls-submissions⁠ Follow Testicular Cancer Awareness Foundation: ⁠https://www.testescancer.org https://www.twitter.com/testescancer⁠ ⁠https://www.instagram.com/testescancer https://www.facebook.com/tca.org/⁠ Connect with Dr. Kern: https://www.usuhs.edu/profile/sean-kern-md Follow Steven Crocker: https://www.twitter.com/stevencrocker https://www.instagram.com/stevencrocker https://www.facebook.com/steven.crocker2 Theme song: No Time Like Now - Tom Willner www.tomwillner.com

In this episode, Dr. Stuart Slavin discusses the challenges of transitioning from medical school to residency with Dr. Andrea Tou, a pediatric gastroenterology fellow at Children's Hospital of Philadelphia, and Dr. Andrew Sullivan, an occupational environmental medicine resident at the Uniformed Services University of the Health Sciences at Walter Reed National Medical Center. Dr. Tou shares her experience of moving from Canada to Europe for medical school and then to the US for residency, highlighting the isolation and lack of support she felt. Dr. Sullivan discusses the additional challenges of moving locations and the lack of support in a transitional internship. Both emphasize the importance of addressing mental health and well-being during these critical transition periods in graduate medical education.

On this episode of the Global Hemophilia Report, Senior Advisor Dr. Donna DiMichele leads a comprehensive discussion on FVIII inhibitors—a critical complication in Hemophilia A. The episode features experts such as Dr. Kathleen Pratt, Dr. David Lillicrap, Dr. Bhavya Doshi, Dr. Carol Miao, and Dr. Radek Kazmarek who explore the intricacies of immune responses, gene therapy, and novel therapies like emicizumab. They delve into factors like antigen-presenting cells, B cells, T cells, microbiome effects, and glycans that influence inhibitor development and tolerance. Despite advancements in treatment, the experts underscore the enduring importance of ongoing research in understanding and preventing FVIII inhibitors.   Contributors: Glaivy Batsuli, MD Bhavya Doshi, MD David Lillicrap, MD Carol Miao, PhD Kathleen Pratt, PhD Radek Kaczmarek, PhD   Senior Advisor: Donna DiMichele, MD   Hosted & Written by: Patrick James Lynch   Featured Advertiser: Sanofi   Subscribe to the Global Hemophilia Report   Show Notes: Listen to the Global Hemophilia Report Episode 1: Inhibitors: Prevention, Eradication, and Lived Experiences   Conflicts of Interest: Dr. Kathleen Pratt is an inventor on patents related to factor VIII immunogenicity, and she has received research funding in the past from pharmaceutical companies that manufacture human FVIII. She has no other relevant conflicts to report.   Disclaimer: The contents of Dr. Pratt's presentation are the sole responsibility of the speaker and do not necessarily reflect the views, opinions or policies of Uniformed Services University of the Health Sciences (USUHS), The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., the Department of Defense (DoD) or the Departments of the Army, Navy, or Air Force. Mention of trade names, commercial products, or organizations does not imply endorsement by the U.S. Government.    Connect with the Global Hemophilia Report Global Hemophilia Report on LinkedIn Global Hemophilia Report on Twitter Global Hemophilia Report on Facebook   Connect with BloodStream Media: BloodStreamMedia.com BloodStream on Facebook  BloodStream on Twitter  

Combat veterans may not tell their children about their experiences, but they transmit them invisibly, almost imperceptibly, through deep channels of influence in the mind, body, and psyche. Author, artist, and son of Vietnam veteran Carl Sciacchitano joins us to talk about his family story as captured in his new graphic memoir, The Heart That Fed: A Father, A Son, and the Long Shadow of War. Also joining the conversation is internationally recognized neuroscientist Dr. Nadia Rupniak, whose father served in the Polish Army in World War II and received his country's highest military decoration for heroism.  The stories we hear from Carl and Nadia inform a broader discussion on transgenerational trauma—how the traumatic experience of war can echo across generations. Violence, uncertainty, and tension can bring heightened caution and fear to children and family members, long after the real danger has passed. This phenomenon, where trauma impacts individuals beyond those directly affected, can effect descendants who may not have had any direct exposure to the traumatic events themselves. As Dr. Kimberly Copeland, Military Behavioral Health Psychologist  at the Center for Deployment Psychology at Uniformed Services University of the Health Sciences in Bethesda, outlines, transgenerational trauma can be understood through three main mechanisms: nature, nurture, and narrative. Nature: Trauma impacts the whole person—mind, body, and psyche. Research in epigenetics, such as studies on cortisol levels, suggests that the physiological impacts of trauma can be passed down from parents to children. Variations in cortisol levels, influenced by trauma, can predispose individuals to PTSD and other stress-related disorders. Nurture: Socio-psychological impacts of trauma, such as stress, low self-esteem, and impaired functioning, can be transmitted through learned behaviors and psychological symptoms. Studies highlight the transmission of these effects from combat veterans to their children, indicating a pattern of secondary trauma that could lead to intergenerational impacts. Narrative: Even when trauma survivors do not explicitly share their experiences, their behaviors and the silence around these topics can influence future generations. Cultural and communal stories, as seen in Holocaust survivor families, can perpetuate a latent form of trauma, influencing descendants through the collective memory and narratives of the community. The narrative stresses the importance of recognizing and understanding transgenerational trauma to facilitate healing. Healing should focus on identifying risk and resiliency factors, adopting holistic approaches, and utilizing culturally and spiritually congruent practices. The author reflects on the growth and bonding experienced with their sister, Trinh, suggesting that understanding and shared experiences can aid in healing from transgenerational trauma. We're grateful to UPMC for Life and Tobacco Free Adagio Health for sponsoring this event! #militaryhistory #veteran #interview #veterans #vet #veteransbreakfastclub #vbc #virtualevents #virtual #zoom #zoomevents #liveevent #webinar #military #army #usarmy #navy #usnavy #marinecorps #marines #airforce #pilot #aviators #coastguard #nonprofit #501c3 #history  #militaryveterans #veteransstories #veteranshistory #veteraninterview #veteranshistoryproject #veteransoralhistory #veteranowned #militaryretirees #armyretirees #navyretirees #warstories #vietnam #vietnamwar #vietnamveterans #koreanwar #coldwar #greatestgeneration #wwii #ww2 #worldwarii #worldwar2 #war #americanhistory #oralhistory #podcast  #scuttlebutt #thescuttlebutt #humor #storytelling #headlines #news #roundtable #breakfast #generation911 #happyhour

This episode's Community Champion Sponsor is Ossur. To learn more about their ‘Responsible for Tomorrow' Sustainability Campaign, and how you can get involved: CLICK HERE---Episode Overview: How can leaders fully embrace their responsibility to nurture the well-being of those they serve? Our next guest, Dr. Kent Bradley, is addressing this challenge as CEO of BTN Advisors and author of "Full Embrace." With a diverse background spanning military service, healthcare leadership, and board roles at multi-billion dollar companies, Kent brings a unique perspective on activating change and unlocking human potential. While together, and drawing from his experiences as a retired Army Colonel and former healthcare executive, Kent shares insights on leadership, well-being, and the future of healthcare delivery. Join us to explore how Kent's philosophy of leading with humanity, love, and responsibility is shaping a new paradigm for leadership in healthcare and beyond. Let's go!Episode Highlights:Understanding healthcare systems' historical context and the need for a reflective approach to reimagining healthcare.The evolution of consumerism in healthcare, from early telehealth interest to current expectations of consumer-like experiences.The growing gig economy in healthcare, highlighting independent entrepreneurs closely connected to consumers' needs.Introduction of Kent's book "Full Embrace," focusing on leadership responsibility and well-being, structured around humanity, love, and responsibility.Perspectives on healthcare's future, including AI integration, delivery consolidation/fragmentation, and addressing health data privacy concerns.About our Guest: Kent is passionate about activating change and challenging individuals and organizations to tap into their leadership potential. He has held senior executive roles of two publicly traded companies, provided expertise as a member of the board of directors of three multi-billion dollar companies, serves as an adjunct professor at both a business school and a medical school, and founded a nonprofit focused on activating change in health at the community level.He is the founder and Chief Executive Officer for BTN Advisors and serves on the board of directors of a health tech startup and an advisor to two additional health tech companies. Kent is a retired Army Colonel, graduate of the United States Military Academy and has a Master in Public Health from the University of Minnesota, an executive MBA from the University of Denver, and his Medical Degree from the Uniformed Services University of Health Sciences, Bethesda, MD. He is board certified in Public Health and Preventive Medicine. He has a certificate in Corporate Governance from INSEAD.Links Supporting This Episode:BTN Advisors Website: CLICK HEREDr. Kent Bradley LinkedIn page: CLICK HEREBTN Advisors LinkedIn page: CLICK HERE Mike Biselli LinkedIn page: CLICK HEREMike Biselli Twitter page: CLICK HEREVisit our website:

Andrea Lindsey is Director of Operation Supplement Safety, the Department of Defense program of record for dietary supplements, a Program of the Consortium for Health and Military Performance of Uniformed Services University. She is also an Assistant Professor at the Uniformed Services University. In this episode, Andrea discusses important issues surrounding dietary supplements, how Operation Supplement Safety got started, and how it is protecting the health and safety of service members today. She also discusses important partnerships and the recent Performance-Enhancing Substances Summit, a collaborative event centered around anti-doping in sport and in the military. 

Wayne Jonas, MD, is a widely published investigator, practicing family physician, and professor of medicine at Georgetown University and at Uniformed Services University of Health Sciences. He is also a retired lieutenant colonel in the Medical Corps of the United States Army.    Dr. Jonas was the director of the Office of Alternative Medicine at the National Institutes of Health from 1995 to 1999 and led the World Health Organization's Collaborative Center for Traditional Medicine. Prior to that, he served as the director of medical research fellowship at the Walter Reed Army Institute of Research.   He now advises national and international organizations on ways to implement evidence-based healing practices in their medical systems.   He serves as the President of Healing Works Foundation and participates with Primary Care for All Americans.  His newest book is Healing and Cancer: A Guide to Whole Person Care, co-authored with Alyssa McManamon, MD, released April 23, 2024 by Rodin Books.  You can connect with Dr. Jonas via Instagram. @drwaynejonas Related Episodes: Ep 242 - Exercise to Prevent and Treat Cancer with Dr. Allison Betof Ep 288 - From the Vault: How Healing Works with Dr. Wayne Jonas If you like this episode, please subscribe to Pursuing Health on iTunes and give it a rating or share your feedback on social media using the hashtag #PursuingHealth. I look forward to bringing you future episodes with inspiring individuals and ideas about health. Disclaimer: This podcast is for general information only, and does not provide medical advice.  I recommend that you seek assistance from your personal physician for any health conditions or concerns.

Join the Behind the Knife Surgical Oncology Team as we discuss the presentation, work-up, and management of gastric cancer. Hosts: - Timothy Vreeland, MD, FACS (@vreelant) is an Assistant Professor of Surgery at the Uniformed Services University of the Health Sciences and Surgical Oncologist at Brooke Army Medical Center - Connor Chick, MD (@connor_chick) is a Surgical Oncology fellow at Ohio State University. - Lexy (Alexandra) Adams, MD, MPH (@lexyadams16) is a PGY-6 General Surgery resident at Brooke Army Medical Center - Beth (Elizabeth) Carpenter, MD (@elizcarpenter16) is a PGY-5 General Surgery resident at Brooke Army Medical Center Learning Objectives: In this episode, we review the basics of gastric cancer, including presentation, work-up, staging, and treatment modalities as well as high yield topics including the Siewert classification system. We also briefly discuss trials establishing peri-operative chemotherapy regimens for gastric cancer and the controversy of D1 vs. D2 lymphadenectomy. Links to Papers Referenced in this Episode Perioperative Chemotherapy versus Surgery Alone for Resectable Gastroesophageal Cancer. NEJM 2006 Jul;355(1):11-20. https://www.nejm.org/doi/full/10.1056/NEJMoa055531 Perioperative chemotherapy with fluorouracil plus leucovorin, oxaliplatin, and docetaxel versus fluorouracil or capecitabine plus cisplatin and epirubicin for locally advanced, resectable gastric or gastro-oesphageal junction adenocarcinoma (FLOT4): a randomized, phase2/3 trial Lancet 2019 May;393(10184):1948-1957. https://pubmed.ncbi.nlm.nih.gov/30982686/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

  Join us as we speak with Dr. Niten Singh, a respected vascular surgeon and director at the University of Washington, who shares his remarkable journey from the child of immigrants to a distinguished figure in military medicine. Listen in as Dr. Singh reflects on the influence of his late father's values and the pragmatic benefits of attending the Uniformed Services University. His anecdotes from serving as an aviation brigade surgeon in Korea provide a compelling narrative of the challenges he faced balancing medical duties with military hierarchy.     In our conversation, Dr. Singh recounts the evolution of vascular surgery from open to endovascular techniques, drawing on his own experiences during his fellowship and while deployed in Baghdad. He gives us a candid look at the emotional weight carried by military surgeons, discussing the lasting impressions of trauma cases from his deployment. Dr. Singh's insights offer invaluable advice for those embarking on a military medical career and highlight the importance of specialized training in building confidence and skill in the operating room.    The episode rounds out with Dr. Singh detailing his transition from military to civilian practice and the culture of camaraderie that extends from the battlefield to the operating room. Hear about his leadership role at Harborview and his involvement in fostering the growth of the Pacific Northwest Endovascular Conference, which has become a premier event for the vascular surgery community. Dr. Singh's personal stories of memorable surgical cases and the lessons learned throughout his career underscore the importance of teamwork, mentorship, and maintaining balance in both personal and professional life. Tune in for an enriching discussion filled with heart, humor, and a wealth of knowledge from a leader in military and vascular surgery.   Chapters: (00:04) Military Medicine Career and Insights (13:10) Combat Hospital Vascular Surgery Experience (18:19) Military Surgery and Academic Success (26:21) Transition and Growth in Vascular Surgery (36:28) Lessons From Military and Medical Leadership (40:29) Memorable Surgical Cases in Military   Chapter Summaries: (00:04) Military Medicine Career and Insights Dr. Niten Singh shares his journey from child of immigrants to renowned vascular surgeon, reflecting on military service and transitioning to civilian practice.   (13:10) Combat Hospital Vascular Surgery Experience Transition from open to endovascular techniques, impact of specialized training, and emotional aspects of military medicine.   (18:19) Military Surgery and Academic Success Marine Corps camaraderie, advancements in military medical tools, and the importance of academic productivity and mentorship in vascular surgery.   (26:21) Transition and Growth in Vascular Surgery Transitioning from military to civilian life, humorous middle name mix-up, and growth of PNEC as a premier vascular surgery conference.   (36:28) Lessons From Military and Medical Leadership Military service, residency, and civilian life are discussed, along with building a successful residency program and the importance of teamwork and mentorship.   (40:29) Memorable Surgical Cases in Military Surgical cases, military career, and life lessons learned are discussed in this chapter.   Take Home Messages: Overcoming Challenges of Immigrant Heritage: The episode highlights the importance of hard work and dedication, as instilled by immigrant family values, in achieving success in demanding fields such as military and vascular surgery. Military Service Shapes Medical Proficiency: The episode emphasizes the unique learning opportunities provided by military service, which can significantly enhance a surgeon's confidence and technical skills, particularly through specialized training and frontline experiences. Advancements in Surgical Techniques: The podcast delves into the evolution of vascular surgery, detailing the transition from open surgeries to endovascular techniques and how these innovations have transformed patient care, even within the constraints of a combat hospital setting. Mentorship and Academic Contributions: The importance of mentorship, academic productivity, and continuous education in surgery is underscored, showcasing the guest's commitment to fostering growth in the field through conferences and the development of residency programs. The Power of Camaraderie in Medicine: Stories from the episode convey the deep sense of camaraderie and support within the military and medical communities, illustrating how these bonds can aid in navigating the challenges of both military service and civilian medical practice. Episode Keywords: Dr. Niten Singh, Vascular Surgeon, Military Medicine, Immigrant Roots, Uniformed Services University, Aviation Brigade Surgeon, Endovascular Techniques, Trauma Cases, Civilian Practice Transition, Cultural Camaraderie, Harborview Medical Center, Pacific Northwest Endovascular Conference, Medical Mentorship, Surgical Teamwork, Deployment Experiences, Academic Productivity in Military Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd, #MilitaryMedicine #VascularSurgeon #ImmigrantStory #MilitarySurgeon #SurgicalInnovation #VascularVictories #CombatHospital #SurgeonLife #EndovascularTechniques #MedicalMentorship   Honoring the Legacy and Preserving the History of Military Medicine   The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.   WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

Join the Behind the Knife Surgical Oncology Team as we discuss “One versus Three Years of Adjuvant Imatinib for Operable Gastrointestinal Stromal Tumor: A Randomized Trial,” the randomized trial guiding duration of imatinib treatment for gastrointestinal stromal tumors (GIST). Hosts: - Timothy Vreeland, MD, FACS (@vreelant) is an Assistant Professor of Surgery at the Uniformed Services University of the Health Sciences and Surgical Oncologist at Brooke Army Medical Center. - Daniel Nelson, DO, FACS (@usarmydoc24) is Surgical Oncologist and current HPB fellow at MD Anderson. - Connor Chick, MD (@connor_chick) is a Surgical Oncology fellow at Ohio State University. - Lexy (Alexandra) Adams, MD, MPH (@lexyadams16) is a PGY-6 General Surgery resident at Brooke Army Medical Center. - Beth (Elizabeth) Carpenter, MD (@elizcarpenter16) is a PGY-5 General Surgery resident at Brooke Army Medical Center. Learning Objectives: In this episode, we discuss the article “One versus Three Years of Adjuvant Imatinib for Operable Gastrointestinal Stromal Tumor: A Randomized Trial” published in JAMA in 2012. This study demonstrated that 3 years of imatinib led to improved recurrence-free and overall survival compared to 1 year.   Links to Paper Referenced in this Episode https://jamanetwork.com/journals/jama/fullarticle/1105116  ***Fellowship Application - https://forms.gle/5fbYJ1JXv3ijpgCq9*** Please visit https://app.behindtheknife.org/home to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here https://app.behindtheknife.org/listen

Many say that with greater difficulty, bring greater glory in surmounting it. Join us in this week's episode with Dr. Gillian Schmitz, an emergency physician and associate professor, as this conversation will serve as a beacon of inspiration. In facing a career setback by not securing her initial lifelong goal of becoming a program director, Dr. Gillian Schmitz proves how this setback proved to be a pivotal turning point. Rather than dwelling on disappointment, she embraced resilience and sought new avenues for growth. This redirection ultimately led her to holding the prestigious role as the president of ACEP. Tune in as she shares her inspiring story of overcoming a major setback that led to unexpected opportunities, a chance for self-discovery, and a new trajectory.Sometimes not getting what you want or not getting that job is really the best thing that can happen to you because it forces you to look at what else and what other opportunities that we may not have considered previously. - Dr. Gillian SchmitzMy special guest is Dr. Gillian Schmitz.Dr. Gillian Schmitz, an associate professor at the Uniformed Services University, brings a wealth of experience in the healthcare and academic sectors. As Past President of the American College of Emergency Physicians, Dr. Schmitz has been instrumental in advocating for women in medicine and nurturing leadership within the healthcare community. Her journey in overcoming career setbacks and pivoting towards impactful roles within organizations like ACEP exemplifies her resilience and adaptability. Dr. Schmitz's unique insights and experiences are poised to offer invaluable guidance and inspiration to women in healthcare leadership roles as they navigate their own career challenges and triumphs.In this episode, you will be able to:Overcome setbacks in your career journey.Treat yourself to a dreamy weekend away with women physicians. Join us for the April 5-7 Revitalize Physician Retreat in Huntington Beach, CA. The first 50 people who register will get a free 6-month membership to the Revitalize Community, a $999 annual value, too! Use REVDOC100 at checkout for $100 off. Are you part of a couple? Your success and ability to make life changes are intricately tied to your success as a couple. One of our Revitalize strategic partners, Christina Shenvi, is excited to release a brand new, innovative program on couples coaching. To find out more and sign up today, go to timeforyourlife.org and navigate to couples coaching. It's a great way to invest in each other. Use code VALENTINE at check out for 20% off. MicroSkills is built on one core, easy-to-learn principle: every big goal, complicated task, healthy habit, and, yes, even what we think of as character traits, can be broken down into small, learnable, skills that can be practiced, and incorporated real-time. Pre-order wherever you buy your books or on Amazon; launches Apr 16.Support the showConnect with us: X: https://twitter.com/RevitalizeWomenLinkedIn: https://www.linkedin.com/company/revitalize-womens-mastermind-groupWebsite: https://www.peoplealwayshcc.com/revitalizeConnect with Andrea on IG about the show and more: https://www.instagram.com/revitalizingdoc/

      Dr. Crosland is a graduate of West Point and the Uniformed Services University of Health Sciences.  She is board-certified by the American Board of Family Medicine and is a Fellow of the American Academy of Family Physicians. She has held many significant responsibilities in her Army Medicine Career.  She currently serves as the Director of the Defense Health Agency.     On this episode of our Military Medical Mentorship Moments Series, LTG Crosland focuses on important things that successful mentors know.  You will hear her provide insightful answers to the following questions: How do you choose a Mentee? What are the characteristics of effective mentors? How many Mentees should you have? Does it matter? What are some Mentor competencies? What “process skills” are necessary for Mentors How do you know you are ready to be a Mentor? How do you prepare to be a mentor? What are some “Don'ts” for a Mentor What do you do if the relationship is not working out or you just want out? Personal Reflections on Mentorship Who was your most influential mentor? Why What was the best advice you got from a mentor? What do you know now that you wish you would have learned much earlier? What characterizes a “good” or “not so good” mentorship relationship from your experience? Provide examples What is some practical advice for someone interested in mentoring or being mentored? What are the next steps to take? Telita shares many insights and mentorship lessons learned over a distinguished career. You don't want to miss this special episode!   Take Home Messages Mentorship in military healthcare is a critical aspect of professional development, with nuances unique to the armed forces environment. Effective mentors within the military medicine context are approachable, self-aware, and invested in the growth and development of their mentees. A successful mentor-mentee relationship requires clear communication, commitment from both parties, and the alignment of career guidance with personal aspirations. Mentors in military healthcare often have to navigate their mentees' professional paths while considering work-life balance and family commitments. One key to effective mentorship is the mentor's ability to provide honest feedback and advocate for their mentees when necessary. It's essential for mentors to avoid imposing their own career ambitions on mentees, as this can strain the relationship and hinder the mentee's individual growth. Mentorship is a dynamic process, and the readiness to mentor comes when one becomes genuinely excited about aiding in the development of others. Mentors should proactively reach out to potential mentees they believe they can help, showcasing the proactive nature of mentorship in fostering future leaders. Both mentors and mentees can benefit from formal mentorship programs, but the most impactful relationships are often organic and based on mutual respect and investment. Mentorship is not just about climbing the ranks; it's about lifting others as you go, embodying the ethos of leadership within the military healthcare system.   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast  

https://www.antiherosjourney.com/ Dr. Andrea Lucie (Ph.D. in Mind Body Medicine). For the past 29 years she has worked for the Department of Defense including at Marine Corps Base Camp Lejeune, Walter Reed National Military Medical Center Bethesda, the National Intrepid Center of Excellence (NICoE), Marine Special Operations Command (MARSOC), The Marcus Institute for Brain Health at the University of Colorado and lately as an independent provider of Traditional Medicine Retreat for Veterans, their families and First Responders. Andrea grew up in the south of Chile and at the hills of the Andes mountains. She learned from childhood the value of traditional medicine while observing her grandparents perform traditional healing rituals. Her knowledge is drawn from traditional educational institutions in the United States as well as from mentors from the Lakota community and Mexican healers. She has specialized in the holistic treatment of Post-Traumatic Stress Disorder and Traumatic Brain Injury. An advocate for integrated medicine and a holistic approach to healing, she is also certified holistic yoga teacher, a recreational therapist, and a Reiki Master. Her experience includes trauma sensitive yoga, tai chi, meditation, mind body medicine, shamanic healing, and martial arts. She has been featured in several publications, including the National Journal, U.S. Medicine: The Voice of Federal Medicine, FIGHT magazine for her work on post-traumatic stress and traumatic brain injury, and in The New York Times for her work in the sacred medicine space. Andrea has been a guest speaker at numerous conferences around the country including the Marine Corps Combat Operational Stress Control (COSC) Conference, San Diego, CA, the Marine Corps Community Services (MCCS) meeting for the Athletic Business Conference, and at the Uniformed Services University of the Health Sciences, Bethesda, MD. She has received numerous awards and recognition for her work including being named the Marine Corps recipient of the 2007 International Military Community Executives Association (IMCEA) Irvin Rubinstein Award as the top manager for MCCS in her first two years in her position. Following her desire to continue her service to the military community, Andrea moved to Mexico to facilitate sacred medicine retreats in Mexico, Costa Rica and Jamaica. Honoring the sacredness of the medicine, she has worked with traditional healers from Peru, Brazil and Mexico. Now she is a full-time retreat organizer, facilitator, and coach. https://www.linkedin.com/in/dr-andrea-lucie-a309a122 https://www.navigatesni.com/free-consultation

After receiving his medical degree from the Uniformed Services University of the Health Sciences in Bethesda, Maryland, Dr Sauvé completed his residency in adult psychiatry in the National Capital Consortium in Washington, DC, which includes the National Naval Medical Center in Bethesda, Walter Reed Army Medical Center in Washington, DC, and Malcolm Grow Medical Center at Andrews Air Force Base in Maryland. Shortly afterward, he was deployed to the Al Anbar Province, Iraq, as the regimental psychiatrist for the 7th Marine Regiment. After 11 years of active-duty service, he left the US Navy to become Military Clinical Director at Poplar Springs Hospital. After 3 years there, he left hospital work to dedicate his full time to Transcranial Magnetic Stimulation, a practice that has now grown to over 100 dedicated TMS centers around the country. Dr Sauvé is certified by the American Board of Psychiatry and Neurology, Inc. Dr Sauvé recently coauthored “The Science of Transcranial Magnetic Stimulation” with Laurence Crowther for the July issue of Psychiatric Annals. He is a member of the American Psychiatric Association and a Faculty Member at the Neuroscience Education Institute. You can find Dr. Sauve at https://neiglobal.libsyn.com/metabolism-mitochondria-and-mental-health-an-interview-with-dr-william-sauve-on-what-we-know-about-nutrition-and-the-brain and Twitter: @wilyliam Timestamps: 00:00 Trailer and introduction. 05:15 Listening to podcasts during long drives for education. 07:11 Transitioning to s ketamine in patient treatment. 11:51 FDA approves depression medication, including suicidal ideation. 15:21 30% of adolescents suffer mental health crisis. 19:16 Lab value 10 times higher, medical dilemma 20:20 Lab value to be double-checked, doctors disbelief. 25:43 Understanding and addressing bullying against overweight children. 27:11 Stop picking on people, but don't enable. 31:19 Fear spurs action, must treat severe depression. 36:26 Nolan Williams accelerates TMS treatment to 3 minutes. 37:41 Functional MRI guides treatment for depression efficacy. 41:53 Debate on depression diagnosis and treatment continues. 44:29 Serotonin reuptake inhibitors impact depression treatment. 49:03 Anxiety linked to dementia and Benzodiazepine use. 51:01 Dementia shows up early in some people. See open positions at Revero: https://jobs.lever.co/Revero/ Join Carnivore Diet for a free 30 day trial: https://carnivore.diet/join/ Carnivore Shirts: https://merch.carnivore.diet Subscribe to our Newsletter: https://carnivore.diet/subscribe/ . ‪#revero #shawnbaker #Carnivorediet #MeatHeals #HealthCreation   #humanfood #AnimalBased #ZeroCarb #DietCoach  #FatAdapted #Carnivore #sugarfree  ‪

In the past 12 to 18 months, there has been an abundance of dental surgery innovations that are bound to be the new base of learning and understanding to carry us forward. One such case is the innovation in dental implant placement on mandibular fibula reconstruction. We are joined today by Daniel Hammer, DDS, FACD, and FACS, to gain a better understanding of what this change means for the future of dental surgery. After Dr. Dan explains why he's so passionate about oral and maxillofacial surgery, he then details which patients are suitable for dental implants, common surgical challenges and how to overcome them, innovations worth noting from the past 18 months, and his graft-to-implant placement process. We also explore the paradigm shifts that have recently occurred in the industry, how successful mandibular fibula reconstructions generally are, how guided-operations systems will lead us to a better future, and everything you need to know about navigating implant failure.  Key Points From This Episode:A warm welcome to today's returning guest, Dr. Dan Hammer. Why Dr. Dan is so passionate about oral and maxillofacial surgery.Assessing which patients are suitable for dental implants. Surgical challenges and other things to be aware of in mandibular fibula reconstructions. Recent changes in surgical trends, and current innovations worth noting. The time Dr. Dan takes between the graft and the implant placement. The tissue level of the implants that he uses.  Exploring the success rate of mandibular fibula reconstructions.Navigating implant failure. How Dr. Dan spends his downtime. Links Mentioned in Today's Episode:Dr. Dan Hammer on LinkedIn — https://www.linkedin.com/in/dan-hammer-488809167/ Dr. Dan Hammer on Instagram — https://www.instagram.com/drdanhammer Dr. Dan Hammer on Facebook — https://www.facebook.com/dan.hammer.31  Naval Medical Center San Diego — https://sandiego.tricare.mil/ University of the Pacific, Arthur A. Dugoni School of Dentistry — https://dental.pacific.edu/dental Uniformed Services University — https://www.usuhs.edu/  ‘Episode 83: Dan Hammer' — https://www.buzzsprout.com/1404670/9631043-dr-dan-hammer-experience-as-a-single-degree-fellowship-trained-head-and-neck-surgeon-in-the-armed-forces.mp3 The Subtle Art of Not Giving a F*ck — https://www.amazon.com/Subtle-Art-Not-Giving-Counterintuitive/dp/0062457713 KLS Martin — https://www.klsmartin.com/en/  KLS Martin 35% Discount Code — StuckiFavs Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Robin West, MD, Associate Professor of Orthopaedic Surgery at Georgetown University Medical Center, Professor of Medical Education at the University of Virginia School of Medicine, Inova Campus, Adjunct Associate Professor at Uniformed Services University of Health Sciences, and Head Team Physician for the Washington Nationals Baseball team shares the harrowing experience of her most difficult case, the differences in caring for football and baseball athletes, how her own experience as a patient has informed her professional practice, and more.

Impression: Dr. Brandi Hicks introduces Saad and Travis to the Army life as she describes growing up all around the world including high school in Georgia and student-athlete collegiate competition in North Carolina before completing medical school at the Uniformed Services University of the Health Sciences, Radiology residency training at Tripler Army Medical Center and Musculoskeletal Radiology fellowship at Stanford University with intervening unique work experience in some of the world's most demanding settings.

In this episode of War Docs, Dr. Paul Roach discusses the military-specific curriculum developed in partnership with Uniformed Services University and the American College of Surgeons. Dr. Roach, a retired Navy captain with expertise in complex surgical oncology, explains how the curriculum was developed based on the knowledge, skills, and abilities (KSAs) developed from the experiences of surgeons in the global wars on terror. Tune in to learn more about this important aspect of military medicine.   [00:01:43] The development of the military-specific curriculum. [00:05:20] Blunt abdominal trauma. [00:07:29] Diagnostic peritoneal lavage. [00:13:43] Damage control surgery in austere locations. [00:15:29] Basic principles of damage control surgery. [00:19:07] Universal psychological aspect to military surgical care. [00:22:28] Unique military medical training.

Join the Behind the Knife Surgical Oncology Team as we discuss the presentation, work-up, and management of gastrointestinal stromal tumors (GISTs)! Timothy Vreeland, MD, FACS (@vreelant) is an Assistant Professor of Surgery at the Uniformed Services University of the Health Sciences and Surgical Oncologist at Brooke Army Medical Center Daniel Nelson, DO, FACS (@usarmydoc24) is Surgical Oncologist and current HPB fellow at MD Anderson Connor Chick, MD (@connor_chick) is a Surgical Oncology fellow at Ohio State University. Lexy (Alexandra) Adams, MD, MPH (@lexyadams16) is a PGY-6 General Surgery resident at Brooke Army Medical Center Beth (Elizabeth) Carpenter, MD (@elizcarpenter16) is a PGY-5 General Surgery resident at Brooke Army Medical Center Learning Objectives: In this episode, we review the basics of gastrointestinal stromal tumors (GISTs), how to evaluate patients with presenting mass consistent with GIST, initial work-up, staging, and management.  We discuss key concepts including the genetic background of these tumors and high-yield targeted therapies that are relevant both in direct patient care and board exams. Reference: Gold JS, Gönen M, Gutiérrez A, Broto JM, García-del-Muro X, Smyrk TC, Maki RG, Singer S, Brennan MF, Antonescu CR, Donohue JH, DeMatteo RP. Development and validation of a prognostic nomogram for recurrence-free survival after complete surgical resection of localised primary gastrointestinal stromal tumour: a retrospective analysis. Lancet Oncol. 2009 Nov;10(11):1045-52. doi: 10.1016/S1470-2045(09)70242-6. Epub 2009 Sep 28. PMID: 19793678; PMCID: PMC3175638. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our surgical oncology oral board exam review here: https://behindtheknife.org/premium/

Join us as we celebrate and remember the amazing journey and life of Dr. Anthony Johnson, cornea specialist, researcher, leader, and teacher, and be prepared to be inspired through his own words recorded shortly before he passed after a courageous 20-month struggle with stage 4 gastric cancer. His story of resilience, ingenuity, and dedication begins with his childhood passion for medicine, maturing at West Point and at USUHS and leading to his innovative work in ophthalmology and impacting the lives of many in his sphere of influence. Learn about the experiences that shaped Dr. Johnson's life, from the challenges and bonds he formed during his time at West Point to his innovative suturing techniques inspired by seasoned ophthalmologic mentors. The stories from his military deployment to Iraq are a testament to his ability to handle chaos and adversity - improvising with limited resources, conducting life-saving surgeries, and making an impact even in the most challenging of circumstances. The poignant reunion years later with patients he treated after the United Nations building bombing in Iraq adds an emotional depth to the amazing care he provided throughout his career. In the final segment of our conversation, we explore Dr. Johnson's reflections on life and his career, his travels to the World Cornea Congress, and his instrumental role in updating equipment for deployable ophthalmology teams. Listen as he opens up about his time in the Army, his commitment to his faith and family, his zest for life, and his unwavering passion for his work. Don't miss this fascinating memorial to the life and career of a physician who dedicated his life to making a difference.   Chapters: (0:00:00) - Becoming a Physician and Ophthalmologist (0:07:43) - Suturing Techniques and Military Deployment Experience (0:15:57) - Chaotic Deployment to Theater (0:20:59) - Medical Mission in a War Zone (0:32:59) - Medical Response to UN Building Bombing and Reunion with Patients Years Later (0:44:15) - Career and Personal Reflections (0:58:01) - Reflections on a Fulfilling Life   Take Home Messages: A career in medicine can start from a young age, even if it seems impossible due to circumstances such as attending a military academy where only 2% go to medical school. Camaraderie, shared experiences, and common values among classmates can create a lifelong fraternity that transcends professional boundaries. The journey to becoming a specialized doctor, such as an ophthalmologist, can be full of twists and turns, including unexpected influences and opportunities. War zones can present unique challenges for medical professionals, requiring ingenuity and resilience to provide care with limited resources. Experiences from military deployments, such as treating victims of bombings, can be emotionally impactful and shape one's approach to medicine. Reunions with former patients can provide meaningful moments of connection and demonstrate the lasting impact of medical care. Sharing professional experiences through speaking engagements or teaching roles can contribute to the growth and development of the wider medical community. Reflection on career milestones and personal experiences can provide insights and learnings for future endeavors in the medical field. Facing and overcoming challenges in the medical field, such as handling multiple surgeries in a war zone, can lead to developing specialized skills and knowledge. Pursuing a passion for healing can lead to a fulfilling career that not only impacts individual patients, but also contributes to the broader medical community and society as a whole.   Episode Keywords: Cornea Specialist, Brooke Army Medical Center, Resilience, Ingenuity, Dedication, West Point Military Academy, Uniformed Services University of Health Sciences, Military Deployment, Iraq, UN Building Bombing, Reunion, Reflections, World Cornea Congress, Ophthalmology Teams, Teaching Faculty, Suturing Techniques, Life Lessons, Improvising, Life-Saving Surgeries, Zest for Life, Passion for Work Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MedicineJourney #USMA #USUHS #DrAnthonyJohnson #WestPointGrad #OphthalmologyInnovator #ResilienceInMedicine #WarZoneMedicine #InspiringDoctors #MedicalInnovation #CorneaSpecialist #IraqDeployment   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast  

Listen to our episode on Perilunate Injuries as Dr. Dunn gives us an excellent overview! Dr. Dunn is a nationally recognized sub-specialist upper extremity and nerve surgeon, who is an Assistant Professor of Surgery at Uniformed Services University and a Clinical Associate Professor of Surgery at Texas Tech University Health Sciences Center. Dr. Dunn graduated with a degree in Molecular Biology from Colgate University. While at Colgate, Dr. Dunn was named a Lowe's All American in Division I NCAA athletics. Dr. Dunn then earned his medical degree at Michigan State. He completed his orthopaedic surgery residency at William Beaumont Army Medical Center where he was named the chief resident, researcher of the year, and distinguished resident of the year. Dr. Dunn then completed a hand and microvascular surgery fellowship at the prestigious Walter Reed National Military Medical Center. In 2018 Dr. Dunn was bestowed the Mazurek Award – which is given to the top orthopaedic surgeon scholar in the United States Military. Dr. Dunn also served as chief of orthopaedics in Operation Inherent Resolve in Baghdad, Iraq.  Learn more about Dr. Dunn at www.johndunnmd.com Goal of episode: To develop a baseline knowledge on Perilunate Injuries. We cover: wrist ligament anatomy Perilunate Injury mechanism physical exams wrist imaging non-operative treatment operative treatment option operative techniques Show notes at : www.naileditortho.com/perilunate This episode is sponsored by OJM Financial Group Do you want to make $20 for 5 minutes of your time?  David Mandell is a 3-time guest on this podcast and his firm has designed a survey to learn what young doctors care about when it comes to finances.  The first 30 of you who complete the survey get a $20 Amazon gift card.  20 bucks for 5 minutes. Not bad! To get a link to the survey, just text GET20 to 844-418-1212. Thats G-E-T-2-0 to 844-418-1212.  OR click the link below  https://drive.google.com/file/d/1Lkpo3knKzKlTN_49I84N1TCdHvu5DFdW/view?usp=drive_link Or you can scan this code  

On today's very exciting episode, Dr. Jaime interviews M.D. and Retired Navy SEAL, Dr. Kirk "Doc" Parsley. Doc's story begins at 17 years old when he joined the Navy SEALs right out of high school. He spent the next decade of his life with no choice but to live at the peak of physical and mental performance. For most people, serving in one of the world's most elite special forces would be enough of an accomplishment, but not for Doc.After serving with the SEALs, Doc entered medical school at the Uniformed Services University of Health Sciences (USUHS) in Bethesda. Doc graduated in 2004, 1 year after the birth of his third child. He interned in Obstetrics and Gynecology at Balboa Naval Hospital San Diego in 2005 and subsequently completed a Navy residency in Hyperbarics and Diving Medicine in 2006.After all those years of living on the edge, Doc realized that the most underused and underrated tool in his arsenal was a good night's sleep.From 2009 to 2013, Doc served as an Undersea Medical Officer at Naval Special Warfare Group One. While there, he led the development of and supervised the group's first Sports Medicine Rehabilitation center. Doc saw firsthand the effect that low sleep and high stress had on the young SEALs who were under his care, men who he realized looked a whole lot like himself just a few years before. It was during this time that he began to develop the all-natural Sleep Remedy that is now the supplement of choice for Navy SEALs, pro athletes, C-level executives, and thousands of others. Henry, now Sleep Remedy's CFO, was one of the first to experience the life altering impact of Sleep Remedy.It was in California where Doc was looking to grow the Sleep Remedy team to continue the mission of changing lives through the power of sleep. Shay was one of those Doc interviewed. After initially bringing Shay on as an Executive Assistant, Doc quickly saw Shay's drive, excitement, and appreciation through Doc's work. Shay quickly excelled into her current role as COO.While in this role, Doc and Shay have worked together on all future business plans. Included in these plans was something very important to Shay - Sleep Remedy for Kids'. After years of her trying to convince Doc to bring this to market, he gave her the green light. Shay made it her personal mission to see this product through start to finish

Join the Behind the Knife HPB team as we dive deeper into the complex world of IPMNs with a journal article review of a recent JAMA Surgery publication and the first author of the article! Learning Objectives: In this episode, we discuss the article, “Progression vs Cyst Stability of Branch-Duct Intraductal Papillary Mucinous Neoplasms After Observation and Surgery.”  This article describes a multicenter retrospective study of centers in Italy, Korea, Singapore, and the US that specifically assessed what dynamic variables are associated with malignant progression in pathologically proven IMPNs under at least a year of initial surveillance.  Hosts: Timothy Vreeland, MD, FACS (@vreelant) is an Assistant Professor of Surgery at the Uniformed Services University of the Health Sciences and Surgical Oncologist at Brooke Army Medical Center Daniel Nelson, DO, FACS (@DWNelsonHPB) is an Associate Professor of Surgery at the Uniformed Services University of the Health Sciences and Surgical Oncologist at William Beaumont Army Medical Center Connor Chick, MD (@connor_chick) is a PGY-6 General Surgery resident at Brooke Army Medical Center Lexy (Alexandra) Adams, MD, MPH (@lexyadams16) is a PGY-5 General Surgery resident at Brooke Army Medical Center Beth Carpenter, MD (@elizcarpenter16) is a PGY-4 General Surgery resident at Brooke Army Medical Center Guest:  Dr. Giovanni Marchegiani is a pancreas surgeon within the department of general and pancreatic surgery at the University of Verona in Italy.  His research interests include exocrine and cystic neoplasms of the pancreas.  He is the first author of the study discussed in the episode in addition to over 100 additional scientific, peer-reviewed articles. Journal Article: 1.     Marchegiani G, Pollini T, Andrianello S, et al. Progression vs Cyst Stability of Branch-Duct Intraductal Papillary Mucinous Neoplasms After Observation and Surgery. JAMA Surg. 2021;156(7):654–661. doi:10.1001/jamasurg.2021.1802 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out other HPB episodes here: https://behindtheknife.org/podcast-category/hepatobiliary/

Doc Parsley's Sleep Remedy: http://www.docparsley.com/jockoAfter serving with the SEALs, Doc entered medical school at the Uniformed Services University of Health Sciences (USUHS) in Bethesda. Doc graduated in 2004, 1 year after the birth of his third child. He interned in Obstetrics and Gynecology at Balboa Naval Hospital San Diego in 2005 and subsequently completed a Navy residency in Hyperbarics and Diving Medicine in 2006.From 2009 to 2013, Doc served as an Undersea Medical Officer at Naval Special Warfare Group One. While there, he led the development of and supervised the group's first Sports Medicine Rehabilitation center. Doc saw firsthand the effect that low sleep and high stress had on the young SEALs who were under his care, men who he realized looked a whole lot like himself just a few years before. It was during this time that he began to develop the all-natural Sleep Remedy that is now the supplement of choice for Navy SEALs, pro athletes, C-level executives, and thousands of others. Henry, now Sleep Remedy's CFO, was one of the first to experience the life altering impact of Sleep Remedy.Support this podcast at — https://redcircle.com/jocko-podcast/exclusive-content