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3 episodes with us public health service
2 episodes with us public health service
2 episodes with us public health service
2 episodes with us public health service
2 episodes with us public health service
2 episodes with us public health service
On this WPN Call #388, Dr. Jim Garlow is joined by Dr. Frank Nice. He has practiced as a consultant, lecturer, and author on medications and breastfeeding for almost 50 years. He retired after 43 years of government service, including 30 years of distinguished service with the US Public Health Service, 29 years at the National Institutes of Health, and five years at the Food and Drug Administration. Having worked under Dr. Anthony Fauci, Dr. Nice discusses in depth what happened in 2020 with the COVID-19 pandemic, lockdowns, and the resulting damage those caused. Website: https://franknicebooks.com/ Dr. Jim Garlow has partnered with Pastor Mario Bramnick and Adam Schindler to bring you World Prayer Network (WPN), which seeks out Holy Spirit given strategies for how to be an effective and contagious Christ-follower in our present national situations. WPN hosts weekly prayer calls to seek out strategies for the transformation of nations, including our own. During these live calls, we share briefings from key leaders and then pray into what we see and hear from the Lord. Follow us on social media: facebook.com/wellversedworld twitter: @wellversedworld instagram: @wellversedworld www.wellversedworld.org
On this Skeptical Sunday, Jessica Wynn brushes away fluoride fears and gets to the root of this controversial mineral's cavity-fighting powers! On This Week's Skeptical Sunday, We Discuss: Fluoride is a naturally occurring mineral found in water, soil, and food that helps prevent tooth decay by strengthening tooth enamel and making teeth more resistant to acid. When added to water supplies at controlled levels, it has been shown to reduce cavity rates by 40-70% in children. The discovery of fluoride's benefits came from investigating "Colorado Brown Stain" in the early 1900s, where researchers found that while high fluoride levels stained teeth brown, it also made them remarkably resistant to decay. This led to research determining safe, effective fluoride levels for water supplies. Despite widespread scientific consensus on its safety and effectiveness, fluoride remains controversial, with some groups claiming health risks. However, extensive research has found no evidence linking properly fluoridated water to cancer, bone problems, or other serious health issues at recommended levels. The optimal fluoride level in water has been adjusted over time as other sources of fluoride (like toothpaste and food products) have become more common. In 2015, the US Public Health Service lowered its recommended levels, showing ongoing monitoring and adjustment of public health policies. You can take control of your dental health by understanding your local water fluoride levels (easily found on the CDC website), using fluoride toothpaste appropriately, and making informed choices about water filtration — while remembering that every $1 spent on water fluoridation saves about $38 in dental healthcare costs! Connect with Jordan on Twitter, Instagram, and YouTube. If you have something you'd like us to tackle here on Skeptical Sunday, drop Jordan a line at jordan@jordanharbinger.com and let him know! Connect with Jessica Wynn and subscribe to her newsletter: Between the Lines! Full show notes and resources can be found here: jordanharbinger.com/1073 If you love listening to this show as much as we love making it, would you please peruse and reply to our Membership Survey here? And if you're still game to support us, please leave a review here — even one sentence helps! Consider including your Twitter handle so we can thank you personally! This Episode Is Brought To You By...
In the second half of the interview, Iman Martin, PhD, MPH, MSc, discusses her role in the US Public Health Service. Dr. Martin also delves into the concept of cultural competence and cultural humility, emphasizing the importance of understanding and bridging cultural differences in public health work. Additionally, she offers insights into the intersection of scientific research, cultural values, and more.
Government Cover Ups & Conspiracy Theories Still a Thing? -------------------------------------------- 9 Huge Government Conspiracies That Actually Happened We all know the conspiracy theories — the government's plan for 9/11, the second gunman who shot JFK, the evolution of the elite from a race of blood-drinking, shape-shifting lizards. But the people who spread these ideas usually can't prove them. As the years pass, however, secrets surface. Government documents become declassified. We now have evidence of certain elaborate government schemes right here in the US of A. The US Department of the Treasury poisoned alcohol during Prohibition — and people died. The 18th Amendment, which took effect in January 1920, banned the manufacture, sale, and transportation of alcohol — but not consumption. Despite the government's efforts, alcoholism actually skyrocketed during the era. To keep up with America's thirst, bootleggers not only created their own alcohol but also stole industrial versions, rendered undrinkable by the inclusion of certain chemicals (namely methyl alcohol). Liquor syndicates then employed chemists to "re-nature" the alcohol once again, making it safe for consumption, according to Deborah Blum, author of "The Poisoner's Handbook: Murder and the Birth of Forensic Medicine in Jazz Age New York." The US Public Health Service lied about treating black men with syphilis for more than 40 years. In 1932, the Public Health Service collaborated with the Tuskegee Institute to record the history of syphilis in the black male community, hoping to justify a treatment program. Called the Tuskegee Study of Untreated Syphilis in the Negro Male, the study initially included 600 black men — 399 with the disease and 201 without. While the men were told they would receive treatment, however, the researchers never provided adequate treatment for the disease. Even when penicillin became the preferred and available treatment for syphilis, researchers kept their subjects in the dark. Although originally planned to last only six months, the experiment continued for 40 years. Finally, in 1972, an Associated Press article prompted public outrage and a subsequent investigation. A government advisory panel deemed the study "ethically irresponsible" and research ended almost immediately. As a result, the government settled a class-action lawsuit out of court in 1974 for $10 million and lifetime health benefits for all participants, the last of whom died in 2004. Parts of the Gulf of Tonkin Incident, which led to US intervention in Vietnam, never happened. Talk of Tonkin's status as a "false flag" for US involvement in the Vietnam War has permeated public discourse almost since the time of the attacks, especially after the government admitted that the second incident may have involved false radar images. Talk of Tonkin's status as a "false flag" for US involvement in the Vietnam War has permeated public discourse almost since the time of the attacks, especially after the government admitted that the second incident may have involved false radar images. But after resisting comment for decades, the National Security Agency finally declassified documents in 2005, admitting the incident on August 4 never happened at all. FOR THE REST OF THE LIST FOLLOW THE LINK BELOW https://www.businessinsider.com/true-government-conspiracies-2013-12
Dr. David E. Scheim was awarded a doctorate in mathematics from the Massachusetts Institute of Technology and completed a postdoctoral fellowship in mathematical biology at the Los Alamos Scientific Laboratory. He then served as a commissioned officer in the US Public Health Service stationed at the National Institutes of Health. Since 2020, Dr. Scheim has focused his research efforts on glycan bindings of SARS-CoV-2 spike protein and possibilities for competitive inhibition of those bindings by using pharmacological agents practical for widespread use. His collaborative efforts in this field have resulted in several publications. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484241/ --- Support this podcast: https://podcasters.spotify.com/pod/show/out-of-the-blank/support
A continuation from last week's episode on health equity data efforts from the federal perspective. Our moderator is Nancy Spector, Coding and HIT Advocacy Director at the AMA and former WEDI Board Chair. Our panel: Kristie Clarke, CDR, US Public Health Service, Senior Advisor on Data for Health Equity, Office of Public Health Data, Surveillance, and Technology, US Center for Disease Control and Prevention Kelly Cronin, Director, Center for Innovation & Partnership, Deputy Administrator, Administration for Community Living, HHS Jawanna Henry, Interoperability Systems Branch Chief, Office of Policy, Office of the National Coordinator for Health IT Meagan Khau, Director of Data Analytics& Research Group, CMS Office of Minority Health
In this episode, Ayesha spoke with William Schaffner, MD, Professor of Preventive Medicine Health Policy and Professor in the Division of Infectious Diseases at Vanderbilt University; and Kelly Moore, MD, MPH, President and CEO at Immunize.org and Associate Professor of Health Policy at Vanderbilt University.Dr. Schaffner and Dr. Moore discussed the FDA's Vaccines and Related Biological Products Advisory Committee (VRBPAC) recommendation of a trivalent influenza vaccine strain selection, as opposed to a typical quadrivalent vaccine, with the 2024/2025 influenza season reflecting the removal of the B/Yamagata strain. A renowned infectious disease expert, having appeared on numerous media outlets including CNN particularly during the COVID-19 pandemic, Dr. Schaffner's primary interest has been the prevention of infectious diseases domestically and globally in both pediatric and adult populations. After residency training and a fellowship in infectious diseases at Vanderbilt University, Dr. Schaffner served in the US Public Health Service as an epidemic intelligence service officer with the Centers for Disease Control and Prevention (CDC) in Atlanta. After that tour of duty, Dr. Schaffner joined the faculty at Vanderbilt, establishing a long collaboration with the Tennessee Department of Health. Dr. Schaffner has been a member of numerous expert advisory committees that established national vaccine policy. Dr. Schaffner is also the current medical director and past president of the National Foundation for Infectious Diseases and has served on the executive board for the Infectious Diseases Society of America. Prominent infectious disease expert Dr. Moore served for 14 years as the director of the Tennessee Immunization Program and later founded her own consulting company, The Vaccine Advisor, to advise public health and industry before her current role as president and CEO of immunize.org, a leading nonprofit organization focused on national and global vaccine policy and immunization program implementation. Dr. Moore has served in a variety of immunization policy advisory roles with the World Health Organization (WHO) since 2016, including as chair of its Immunization Practices Advisory Committee. Dr. Moore is a graduate of the Vanderbilt School of Medicine and the Harvard School of Public Health. She completed her public health leadership training as an epidemic intelligence service and preventive me
From WEDI's February 2024 Health Equity Forum, we welcome federal representatives to discuss how they are using data, tech and standards to address health disparities and the importance of community relationships. Our moderator is Nancy Spector, Coding and HIT Advocacy Director at the AMA and former WEDI Board Chair. Our panel: Kristie Clarke, CDR, US Public Health Service, Senior Advisor on Data for Health Equity, Office of Public Health Data, Surveillance, and Technology, US Center for Disease Control and Prevention Kelly Cronin, Director, Center for Innovation & Partnership, Deputy Administrator, Administration for Community Living, HHS Jawanna Henry, Interoperability Systems Branch Chief, Office of Policy, Office of the National Coordinator for Health IT Meagan Khau, Director of Data Analytics& Research Group, CMS Office of Minority Health
Kirk and Amelia had the pleasure of speaking with Dr. Anita L. Allen, the Henry R. Silverman Professor of Law and Professor of Philosophy at the University of Pennsylvania. In this episode, they discuss Dr. Allen's experiences working on President Obama's Presidential Commission for the Study of Bioethical Issues where she engaged in deliberative democracy approaches to explore challenges with advances in biomedicine, technology and synthetic biology. A highlight of her time there included a report titled “Ethically Impossible” that documented and acknowledged gross human research subject abuses that occurred in Guatemala from 1946-1948, overseen by the US Public Health Service. (https://bioethicsarchive.georgetown.edu/pcsbi/sites/default/files/Ethically%20Impossible%20(with%20linked%20historical%20documents)%202.7.13.pdf). Other aspects of Dr. Allen's prolific career that they discuss include her work on the concept of privacy, reproductive justice and racial justice concerns in what Dr. Allen has termed “The Black Opticon” (https://www.yalelawjournal.org/forum/dismantling-the-black-opticon). Dr. Allen is an internationally renowned philosopher with over 120 articles and chapters published at the intersection of bioethics, privacy and data protection law, women's rights, and diversity in higher education. She is a graduate of Harvard Law, currently serving on the Board of the National Constitution Center, the Future of Privacy Forum and the Electronic Privacy Information Center.
Clifford MahootyZuni Pueblo Indian ElderMahooty was a Zuni Pueblo Indian elder, and member of the tribal orders of the Kachina Priest hood, Galaxy medicine society, Sun Clan, and wisdom keeper of the Zuni history and spiritual practices. Mahooty is a retired Civil/Environmental Engineer (BSCE-NMSU-1969). He worked for Shell Oil Company and various US government programs for housing under USHUD, DOI-BIA planning design and construction of Indian reservation infrastructures and school projects. Mahooty served in the US Public Health Service, as a commissioned officer, to provide services to American Indian communities. He served in Oklahoma and Arizona in water, wastewater, and solid waste systems. Mahooty served as the National Environmental Justice Coordinator, in the DOI-BIA for the 561 federally recognized Indian tribes. He coordinated with various agencies of federal, state and tribal governments to enforce laws and regulations to protect sacred sites, and lands against desecrations, pollution of natural resources, illegal taking of artifacts, burials, and sacred objects. He represented the Indian tribe's environmental assessments and impact statements. Mahooty was instrumental in the contracting of federally funded programs, where Indian Nations can administer projects including: planning, design, construction of facilities and infrastructure, schools, hospitals, law and order, housing. The law is known as PL-93-638. The Indian Self-Determination and Education Act of 1974. SOVEREIGNTY RIGHTS NOWBecome a supporter of this podcast: https://www.spreaker.com/podcast/earth-ancients--2790919/support.
I bring to you a very disturbing human experimentation story. ‘Mommy Issues' MERCH! https://serial-killing.creator-spring.com/listing/mommy-issues-2024 Elissa Kerrill Serial Killing : A Podcast P.O. Box 760 Bolivar, MO 65613 *Want to Support?* Patreon: https://www.patreon.com/serial_killing Instagram: https://instagram.com/serial_killing/ Facebook Group: https://m.facebook.com/groups/562690815762105/?ref=share&mibextid=S66gvF
My special guest tonight is Dr. Harry Milman, here to discuss his second installment of a series of books detailing the death of the famous and, this time, the infamous. Get his book Forensics Ii: The Science Behind the Deaths of Famous and Infamous People on Amazon. George Washington, the former first president of the United States, lay in his bed suffering from a high fever, a raw throat, and labored breathing. His three physicians milled around his bed, treating Washington with blisters of cantharides, tartar emetic, and bloodletting, removing nearly 40 percent of his total blood volume and causing excruciating pain. When Washington was finally relieved of his misery and died, the three doctors could not agree on what caused his death. Forensics II: The Science Behind the Deaths of Famous and Infamous People reads like a mystery novel, presenting biographical and scientific information that helps readers understand how medical examiners-coroners utilized forensic analysis to determine the causes and manners of death of thirty-six famous and infamous people, including Napoleon Bonaparte, a French military leader, and politician; Charles Whitman, the University of Texas tower shooter; Bruce Lee, an actor, and martial artist; Kurt Cobain, the lead singer of Nirvana; Jim Jones, a key figure in the Jonestown massacre; Aretha Franklin, a singer-songwriter; Alexander Litvinenko, a former officer of the Russian Federal Security Service; Jeffrey Epstein, a financier and convicted sex offender; and many more. The book is based on a review of publicly available autopsy and toxicology reports, published lay articles, and the scientific literature. Of the deaths reviewed, 39 percent were due to natural causes, 19 percent were accidental, and 6 (17 percent) were suicides. The remaining deaths comprise three cases each of homicide and justifiable homicide by police, one case of court-mandated execution, and three cases in which the manner of death was undetermined. About the Author Harry A. Milman, Ph.D., is a consulting pharmacologist, toxicologist, and expert witness with over forty years of experience at the US Environmental Protection Agency, the US National Cancer Institute, the National Institute of Health, and the US Public Health Service. Dr. Milman has assisted in over three hundred civil, criminal, and high-profile legal cases and testified at trials and depositions. He authored over seventy scientific articles and has edited five science books, including the highly acclaimed Handbook of Carcinogen Testing. Often quoted in newspapers and magazines, Dr. Milman appeared as a toxicology expert on the History Channel, the Oxygen Channel, TV and radio news programs, and true-crime television shows. Dr. Milman is the author of FORENSICS: The Science Behind the Deaths of Famous People and two novels—A Death at Camp David, winner of the Best Mystery Novel in the 2018 Book Talk Radio Club Awards, and SOYUZ: The Final Flight, a finalist for Best Second Novel in the 2018 Next Generation Indie Book Awards and a finalist for Best Science Fiction Novel in the 2018 Book Talk Radio Club Awards. It's super easy to access our archives! Here's how: iPhone Users: Access Mysterious Radio from Apple Podcasts and become a subscriber there, or if you want access to even more exclusive content, join us on Patreon. Android Users: Enjoy over 800 exclusive member-only posts to include ad-free episodes, case files, and more when you join us on Patreon. Please copy and Paste our link in a text message to all your family members and friends! We'll love you forever! (Check out Mysterious Radio!)
He and his Team Saved 100,000+ Lives and No One Knows their Name.Get inspired by Two-Star Admiral Scott Giberson (Ret), who led and won with the Commissioned Corps of the US Public Health Service versus one of the nastiest infectious diseases in history (Ebola).You'll hear the key lessons learned of what it takes to lead a team against a raging infectious disease breakout, including communicating with the most powerful leaders in the world like the President of the United States.The story is so remarkable that it inspired a documentary, "The Invisible Corps" that was just released by PBS!Scott served as a 2-star Rear Admiral, Deputy U.S. Surgeon General, Assistant U.S. Surgeon General, and Commander, Commissioned Corps Ebola Response West Africa.Check it out!LinkedIn Profile https://www.linkedin.com/in/scott-giberson-71111556/Company Link: https://ami.health/What You'll Discover in this Episode:The Invisible Corp that won the war against Ebola (and what he learned as their leader).What leader can do to “decomplexify” in a crisis.The critical phone call with President Obama.The advice he'd give his younger self today.The twist in his career that led to his growth.-----Connect with the Host, #1 bestselling author Ben FanningSpeaking and Training inquiresSubscribe to my Youtube channelLinkedInInstagramTwitter
It was a real mystery. People showing up at hospitals and clinics across the US were infected with a rare and troubling strain of bacteria that was resistant to most of the drugs used to treat it. The strain itself had never been seen before. It was Pseudomonas aeruginosa, itself nothing rare. But this one carried a genetic change that allowed it to shake off the effects of even the strongest antibiotics usually used to treat it. Where had it come from? It took a good deal of detective work, but the US Centers for Disease Control and Prevention and state health officials finally figured out the common source was eye drops. They tracked down a couple of brands of eye lubricants and contained the outbreak. Now they're working to find out how this particular germ got into eye drops in the first place, and how it acquired the mutations that made it so impervious to treatment. And they're working to make sure that it's not still lurking in the bodies of unsuspecting people. Dr. Maroya Walters, a CDC epidemiologist and commander in the US Public Health Service, helped lead the investigation. In this episode of One World, One Health, Dr. Walters explains how the team tracked down the source of the unusual outbreak, and how it demonstrates that superbugs know no borders.
In this edition of Cancer Registry World, we welcome Lori A. (Loria) Pollack, MD, MPH CAPT, US Public Health Service and Medical Director for the National Program of Cancer Registries in the Centers for Disease Control and Prevention(CDC). Dr Pollack will discuss the important role of the CDC's National Program of Cancer Registries (NPCR) since inception 30 years ago and will review the importance of the NPCR for the future of cancer registries. Please enjoy listening and learning.
In this special ACEP22 edition of the podcast, we talk about opportunities within the Commissioned Corps of the US Public Health Service. https://www.usphs.gov/professions/physician/ https://www.usphs.gov/ready-reserve
Harry A. Milman PHD is a consulting pharmacologist, toxicologist, and expert witness with more than forty years of experience at the US Environmental Protection Agency, the US National Cancer Institute, the National Institute of Health, and the US Public Health Service.Dr. Milman assisted in over three hundred civil, criminal, and high-profile legal cases and has testified at trials and depositions.He authored more than seventy scientific articles and has edited five science books, including the highly acclaimed Handbook of Carcinogen Testing.Often quoted in newspapers and magazines, Dr. Milman appeared as a toxicology expert on the History Channel, the Oxygen Channel, TV and radio news programs, and in true-crime television shows.Dr. Milman is the author of two novels—A Death at Camp David, winner of the Best Mystery Novel in the 2018 Book Talk Radio Club Awards, and SOYUZ: The Final Flight, a finalist for Best Second Novel in the 2018 Next Generation Indie Book Awards.Websiteforensicsfamouspeople.comBooks A Death at Camp David SOYUZ Forensics: the science Behind the Deaths of Famous People Forensics II: the science Behind the Deaths of Famous People
In this episode of Uncle Sam's Daughter, I speak with US AirForce veteran, Carma Connor-Marroquin. Carma served 7 yrs in the Airforce and U.S. Public Health Service for 14 yrs.Carma is a dietitian of 28 years, and she transferred from the USAF to the US Public Health Service because they were downsizing my career field. While serving at Tyndall AFB, she ran the nutrition programming for the base and won the CGO of the quarter award, which got her a ride in an F-15. She is the mother of two children and started a business creating online courses that share the knowledge she has gained through her career and life. She is the owner of The Carma Connection. She has also created a free goal-setting challenge, The Distinguished Life Challenge, which is for military and veteran women.More information about the podcast or to be a guest, please visit us at https://www.deidrarochanne.com/podcastTo order Uncle Sam's Daughter: The Book visit us at https://www.deidrarochanne.com/book-uncle-sam-s-daughterPlease visit the Deidra Rochanne Design Studiohttps://www.deidrarochanne.com/deidra-rochanne-design-studio
Introduction Named for Captain Henry W. Stanton, who was killed in a skirmish with the Apaches, Fort Stanton was built in 1855 by soldiers of the 1st Dragoon and the 3rd and 8th Infantry Regiments to serve as a base of operations against the Mescalero Apache Indians. It served as a military fortification through 1896. Built of local stone, the sturdy 1855 buildings have lasted to this day. The Fort was named for Captain Henry W. Stanton, killed fighting the Apaches in 1855 near present day Mayhill. Troops marched out from the Fort to search for and fight the Mescalero Indians during numerous campaigns from 1855 until the 1880's. The Military Years The Fort was seized by Confederate forces in 1861. During the occupation, three Rebels were killed by Kiowa Indians while on patrol 50 miles north. After all supplies were moved to Mesilla, the Confederates abandoned the Fort, burning it as they left. The Hospital Years In 1896, with the Mescalero Apache settled on the nearby reservation and the surrounding area bustling with new communities, the Fort was abandoned by the Army and closed. In 1899, however, the US Public Health Service acquired the Fort as a tuberculosis hospital for the Merchant Marine. Selected for its healthful climate, it served some 5,000 sailor patients between 1899 and 1953, 1,500 of whom are buried in the Maritime Cemetery on a hillside overlooking the Fort. The patients lived in specially constructed tents, for fresh air and sunshine were the only known cures for tuberculosis. During this time, many new buildings were constructed including a hospital, stables, new living quarters for the families stationed at Fort Stanton, and literally hundreds of tent-houses for the patients. The hospital was fairly self-sufficient, establishing a large farm on the nearby grounds with patients serving in the fields, as well as recreational activities like a golf course for the doctors, baseball fields and a theatre for the resident workers. The nearby cemetery grew to include veterans of other services as well as Merchant Marines, making it a place for current visitors to the site to engage in contemplative visitation. CCC & Internment Camp During the Great Depression, Fort Stanton was home to a CCC work camp, which later served as the internment site for German merchant seamen from the German luxury liner, S.S. Columbus, which was scuttled outside of New York to prevent its capture by the British. The German internees built a camp that included such amenities as gardens for fresh produce, a recreation hall, and a swimming pool in which “mini-Olympic” competitions were held with the local population. After war was declared with Germany and Japan, the Internment camp housed some German prisoners of war as well as a few Japanese internees. It was used during early WWII for several months as a refuge for a group of Japanese-American families threatened by mobs in their hometowns. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/loren-alberts/message Support this podcast: https://anchor.fm/loren-alberts/support
The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/TIRE78 Dr. McCulloch graduated from the Medical College of Virginia/Virginia Commonwealth University, Program in Physical Therapy in 1972. Following graduation, he was commissioned as a Lieutenant JG in the United States Public Health Service and stationed at the Manhattan Outpatient Clinic. After four years of service, he was transferred to the USPHS Marine Hospital in New Orleans, where he served as Deputy Chief of Physical Therapy. Upon leaving the service in 1979, Dr. McCulloch joined the faculty of the physical therapy program at Louisiana State University and was soon asked to open a branch campus at the Medical Center in Shreveport, LA. He rose through the academic ranks to become professor and chair of the Department of Physical Therapy for the Shreveport and New Orleans campuses and later the inaugural Dean of the School of Allied Health Professions at LSU Health in Shreveport. He retired from LSU in 2018, following 38 years of service, and was awarded the distinction of Dean Emeritus. Dr. McCulloch was originally trained in the management of musculoskeletal conditions, but during his tenure with the US Public Health Service, he developed an affinity for the management of individuals with wounds secondary to vascular compromise and insensitivity. It was his work with individuals with Hansen's disease, and those with venous insufficiency ulcers, that led him to embark on a research path and clinical specialization in wound management. In 1996, Dr. McCulloch became one of the first health professionals to obtain multidisciplinary specialization by the then American Academy of Wound Management (now American Board of Wound Management - ABWM). He later served on the board of directors of the ABWM, and for 10 years as the Examination Chair. In 2013, he was appointed the inaugural chairman of Board of Trustees of the ABWM Foundation. Dr. McCulloch remains active in semi-retirement by serving as a faculty member of the University of Montana Physical Therapy Program where he teaches the integumentary content, as well as serving as an adjunct faculty member at the Western Carolina University Program in Physical Therapy. Whenever possible, he enjoys cooking, painting, working in the shop and traveling. He particularly relishes any time he can spend at the family retreat in Flat Rock, NC. Licensed to Live: The Conference 2022 (In-Person) General Admission Early Bird Special Admission to the Licensed To Live: The Conference 2022 an in-person event in Philadelphia on July 8-10, 2022. Be prepared to be inspired, educated, and ready to take action in your own life and career. Sign up at https://rxforsuccesspodcast.com/live All The Tools You Need To Build and Scale A Integrative Health Business Get a behind the scenes look at our playbook at Texas Center for Lifestyle Medicine to see the underpinnings of how they deliver health while keeping team members fulfilled. Find out more at https://rxforsuccesspodcast.com/IPB Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon | Spotify --- Show notes at https://rxforsuccesspodcast.com/107 Report-out with comments or feedback at https://rxforsuccesspodcast.com/report Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com
Episode 66 - Mold Growth in the Indoor Environment with Dr. Chin YangDr. Chin S. Yang has worked with physicians, public health officials, industrial hygienists, IAQ, and environmental and occupational health scientists on various issues of fungal and bacterial exposures in the indoor environment. He is a pioneer in microbiology testing in the indoor environment. He started an environmental microbiology laboratory that has performed testing for microorganisms in samples collected from indoor and outdoor environments, completed contract R&D projects for companies, legal support, and provided support for US companies, universities and US governmental agencies. He served as staff microbiologist with the US Public Health Service, Division of Federal Occupational Health. While working at the agency, he was trained at the Centers for Disease Control and Prevention (CDC) on the isolation and identification of Legionella bacteria. He has also worked with hospitals on establishing sampling and monitoring programs for Aspergillus and other opportunistic fungi.In this episode, we discuss the various strains of toxic mold, their toxic byproducts, and the current methods used to test for them. New York City Guidelines for Mold Assessment and Remediation: https://bit.ly/3M0BESATranscript: https://bit.ly/3P4LN2C Find us on Linktree, Facebook, Instagram, Twitter, TikTok and YoutubeNeed help navigating your mold injury without breaking the bank? Join our low cost education group: patreon.com/exposingmoldSponsors: Michael Rubino, The Mold Medic and All American Restoration, the first and only mold remediation company in the country specializing in remediating mold for people with underlying health conditions or mold sensitivities. They've quickly become the most recommended remediation company from doctors and mold inspectors nationwide. Pick up your copy of Michael Rubino's book, “The Mold Medic: An Expert's Guide on Mold Remediation, " here: https://amzn.to/3t7wtaUExposing Mold is officially a non-profit! To support our efforts donate here: Support the show
This episode highlights nursing opportunities with the US Public Health Services, one of the eight uniformed services of the United States. We learn from nursing alumna Jennifer Harlos who explains ways nurses, nurse practitioners, and even students can help provide healthcare and related services to medically underserved populations, prevent and control disease, and work with other nations and international agencies on global health problems and their solutions. The College of Nursing at Brigham Young University presents nursing careers and professional insight to undergraduate students. This is the fifty-eighth show in The College Handoff series and was recorded in February 2022.
Ali Khan is Dean of the College of Public Health at the University of Nebraska Medical Center and a former Assistant Surgeon General with the US Public Health Service. Dr. Khan's career has focused on health security, global health, & emerging infectious diseases. He completed a 23-year career as a senior director at the CDC where he was one of the main architects of their national health security. He continues to actively support global outbreak responses as a member of the World Health Organization (WHO) and the Global Outbreak and Response Network (GOARN). Dr. Khan is the author of The Next Pandemic: On the Front Lines Against Humankind's Gravest Dangers. [RECORDING DATE: November 3, 2021]
COVID-19 has changed all of our lives. It is a defining moment for this generation – and for American history – which means that the Smithsonian has made it a priority for collecting and interpreting for future generations. How we will remember this moment is something as a historian I've often thought about – and a reason I wanted to sit down with an expert at the Smithsonian who is focused on that very question. On this week's PreserveCast, we're sitting down with Dr. Alexandra Lord, the Chair of the Chair Division of Medicine and Science at the Smithsonian's National Museum of American History to discuss how that institution is working to capture this moment in history. Dr. Alexandra Lord is an accomplished historian of medicine and health and is a leader in the effort to document COVID – a perfect guest as we approach the two-year anniversary of the onset of the pandemic. More About Our Guest Alexandra Lord is chair of the Division of Medicine and Science at the Smithsonian's National Museum of American History. In this role, she oversees a division with over 100,000 objects, ranging from a Revolutionary War surgical kit to Bill Nye's lab coat, and seeks to promote a better understanding of the history of medicine and science. As a historian, Lord's research interests include public health history, how diseases related to women and children have been understood, and the intersections between cultural taboos and medicine. Previously, she was branch chief of the National Park Service, supervising the national preservation program, and a historian in the US Public Health Service. Learn more at: https://americanhistory.si.edu/profile/1185 Learn more about the Smithsonian's COVID collection at: https://www.si.edu/object/collecting-covid-19-pandemic-perspectives%3Ayt_RSv2RMrofMY
In this encore episode from September 2021, Alex and Alexis talk to Dr. Dwight Ferguson, currently of the US Public Health Service. Dr. Ferguson is also one of the recipients of this year's UI College of Public Health Outstanding Alumni Awards. You can read more about Dr. Ferguson and his career at www.public-health.uiowa.edu/2021-outsta…recipients/ A transcript of this episode is available at www.public-health.uiowa.edu/news-items/…th-service/ Have an idea for a show? Questions or comments for our hosts? Send email to cph-gradambassador@uiowa.edu
In episode #119, Dr. Peter Kilmarx, Fogarty International Center, discusses the struggle to advance contact tracing. Efforts early in 2020 to create a national Covid-19 Response Corps – at least 100,000 needed – were not successful. Instead a “hunger games scenario” ensued in which each jurisdiction scrambled to make its own solution. In our federalized system, each state, and in some instances county, has had to build its own public health workforce while balancing the budget. The lack of an integrated data system made it difficult to track progress. Contract tracing has made only marginal progress in curbing transmission. Experiments in the use of new technologies have not gotten off the ground in most places. New York City is one shining exception where 90% of cases are tracked, and 75% of their contacts. Success in places like New Zealand, Taiwan, and Viet Nam relies on robust, fast testing systems, consistent social support for those in quarantine, and a tradition of public health workers in the communities. Public health in America has entered a period of crisis, in the face of politicization, distrust, and abuse. In the Biden administration, executive orders and the American Rescue Plan have made major commitments towards contact tracing, testing, and strengthening the public health workforce. In the meantime, foundations, civil society alliances, and public health professional associations have played an expanded role. “Contact tracing does work” if the right pieces can be put in place. Dr. Peter Kilmarx is the Deputy Director of the Fogarty International Center, at the National Institutes of Health and is a Rear Admiral (retired) in the US Public Health Service.
On episode 5 of the Prevention Matters Podcast, I speak with Dr. Christopher Jones, Deputy Director at the Centers for Disease Control and Prevention about his role at the National Center for Injury Prevention and Control, how his own experience in recovery has influenced his work in substance abuse prevention, advice for new professionals entering the field, his experience as an officer in the US Public Health Service, and how many pushups he can do.
Harry A. Milman PHD is a consulting pharmacologist, toxicologist, and expert witness with more than forty years of experience at the US Environmental Protection Agency, the US National Cancer Institute, the National Institute of Health, and the US Public Health Service.Dr. Milman assisted in over three hundred civil, criminal, and high-profile legal cases and has testified at trials and depositions.He authored more than seventy scientific articles and has edited five science books, including the highly acclaimed Handbook of Carcinogen Testing.Often quoted in newspapers and magazines, Dr. Milman appeared as a toxicology expert on the History Channel, the Oxygen Channel, TV and radio news programs, and in true-crime television shows. Dr. Milman is the author of two novels—A Death at Camp David, winner of the Best Mystery Novel in the 2018 Book Talk Radio Club Awards, and SOYUZ: The Final Flight, a finalist for Best Second Novel in the 2018 Next Generation Indie Book Awards.Website forensicsfamouspeople.comBooks A Death at Camp DavidSOYUZForensics: he science Behind the Deaths of Famous People
Half a century after it was exposed, the Tuskegee Syphilis Study remains one of the darker chapters in American medical history, and led to several reforms in medical ethics, particularly in regard to informed consent for human subjects. Beginning in 1932, the US Public Health Service conducted a study to determine the course that syphilis … Continue reading Episode 282 LIVE: The Tuskegee Syphilis Study
Dr. Suzette Peng talks about the USPHS and the opportunity it afforded her after serving time in the military.
Temas que pueden impactar tu búsqueda de terapia En este episodio, Alex e Yvette hablan de temas que pueden surgir en la búsqueda de terapia, especialmente para la comunidad Latinx. Exploran las barreras comunes que surgen debido a creencias culturales profundamente arraigadas, normalizan cómo el trauma puede dificultar la búsqueda de ayuda y exploran formas en las que nuestras prácticas curativas tradicionales pueden funcionar en conjunto con la terapia. Corrección: Durante este episodio se mencionó erróneamente que el estudio de la sífilis de Tuskegee fue llevado a cabo por el ejército en miembros militares afroamericanos. El Estudio de Sífilis de Tuskegee en realidad fue realizado por el Servicio de Salud Pública de EE. UU. y los elcentro de control de enfermedades (CDC) en aparceros afroamericanos. Topics that can impact your search for therapy In this episode Alex and Yvette touch on a handful of themes that may arise in the search for therapy, especially for the Latinx community. They explore common barriers that arise due to deeply held cultural beliefs, normalize how trauma can make it hard for us to seek help, and explore ways in which our traditional healing practices can work in tandem with therapy. Correction: During this episode it was erroneously mentioned that the Tuskegee Syphilis Study was carried out by the military on African American military members. The Tuskegee Syphilis Study was actually carried out by the US Public Health Service and CDC on African American sharecroppers.
In 1993, Dr. Joycelyn Elders was the 15th Surgeon General of the United States – the first African American and the second woman to be in charge of the US Public Health Service. As a pioneering advocate for sex education and addiction treatment, many of Dr. Elders' views were so controversial at the time that she was forced to resign as Surgeon General by 1994 – even though today, most of those same "controversial" views are now accepted as facts by the medical community. She joins Ask Dr. Drew to discuss her historic work in medicine and to offer insight about vaccine hesitancy, safe sex education, and community health issues. Currently she is a professor emerita at the University of Arkansas for Medical Sciences. Dr. Elders is a trained pediatrician, biochemist, and a Vice Admiral. Dr. Joycelyn Elders was born Minnie Lee Jones on August 13, 1933, in Schaal, Arkansas. Ask Dr. Drew is produced by Kaleb Nation ( https://kalebnation.com) and Susan Pinsky (https://twitter.com/FirstLadyOfLove). THE SHOW: For over 30 years, Dr. Drew Pinsky has taken calls from all corners of the globe, answering thousands of questions from teens and young adults. To millions, he is a beacon of truth, integrity, fairness, and common sense. Now, after decades of hosting Loveline and multiple hit TV shows – including Celebrity Rehab, Teen Mom OG, Lifechangers, and more – Dr. Drew is opening his phone lines to the world by streaming LIVE from his home studio in California. On Ask Dr. Drew, no question is too extreme or embarrassing because the Dr. has heard it all. Don't hold in your deepest, darkest questions any longer. Ask Dr. Drew and get real answers today. This show is not a substitute for medical advice, diagnosis, or treatment. All information exchanged during participation in this program, including interactions with DrDrew.com and any affiliated websites, are intended for educational and/or entertainment purposes only.
Tina and Hillary cover the Tuskegee Syphilis Study and Operation Sea Spray. For show notes and links to our sources, please click here (https://themuckpodcast.fireside.fm/articles/ep92notes).
This week, Alex and Alexis talk to Dr. Dwight Ferguson, currently of the US Public Health Service. Dr. Ferguson is also one of the recipients of this year's UI College of Public Health Outstanding Alumni Awards. You can read more about Dr. Ferguson and his career at https://www.public-health.uiowa.edu/2021-outstanding-alumni-award-recipients/ A transcript of this episode will be available soon. Have an idea for a show? Questions or comments for our hosts? Send email to cph-gradambassador@uiowa.edu
True Crime Tuesday presents FORENSICS: The Science Behind the Deaths of Famous People with Dr. Harry Milman Today Dave & Tim look into how coroners determine the cause and manner of death in celebrity and high profile deaths. We will examine accidental deaths, murder, drug related and other mysteries. Harry A. Milman, PhD, is a consulting pharmacologist, toxicologist, and expert witness with over forty years of experience at the US Environmental Protection Agency, the US National Cancer Institute, the National Institute of Health, and the US Public Health Service. Dr. Milman assisted in over three hundred civil, criminal, and high-profile legal cases and has testified at trials and depositions. Get the book here: https://amzn.to/3D2AkdL Visit his site here: www.forensicsfamouspeople.comFORENSICS: The Science Behind the Deaths of Famous Peopleamazon.com See omnystudio.com/listener for privacy information.
True Crime Tuesday presents FORENSICS: The Science Behind the Deaths of Famous People with Dr. Harry Milman Today Dave & Tim look into how coroners determine the cause and manner of death in celebrity and high profile deaths. We will examine accidental deaths, murder, drug related and other mysteries. Harry A. Milman, PhD, is a consulting pharmacologist, toxicologist, and expert witness with over forty years of experience at the US Environmental Protection Agency, the US National Cancer Institute, the National Institute of Health, and the US Public Health Service. Dr. Milman assisted in over three hundred civil, criminal, and high-profile legal cases and has testified at trials and depositions. Get the book here: https://amzn.to/3D2AkdL Visit his site here: www.forensicsfamouspeople.comFORENSICS: The Science Behind the Deaths of Famous Peopleamazon.com See omnystudio.com/listener for privacy information.
Dr. Adelaida Rosario, PhD, a lieutenant in the US Public Health Service, joins Jerry to share her journey growing up in Guam and Miami, learning the rich history and culture of her Chamorro and Cuban identities, and what inspired her to go into public service with the US Department of Health and Human Services. This episode is supported by #WeCanDoThis and the US Dept of HHS. Go to Vaccines.gov to learn more.Meet Dr. RosarioDr. Adelaida M. Rosario studies the connections between behaviors and social and cultural determinants and how these factors affect health disparities for different minority communities. She has worked with Hispanic and Pacific Islander populations to study how these factors relate to early childhood development, mental health, risk behaviors, HIV/AIDS prevention, and substance abuse. Dr. Rosario has also explored the role of indigenous spiritual systems and how they may complement traditional healthcare systems.Her research on recruitment and retention methods to reach underserved populations led to the development of a tracking protocol for recent undocumented Hispanic immigrants in a longitudinal study. Dr. Rosario is also the co-chair of the Trans-NIH Special Populations Research Forum Special Interest Group, which brings together researchers from across NIH to study effective methods for increasing diversity in the biomedical workforce.Dr. Rosario earned her Ph.D. in social welfare from Florida International University (FIU) in Miami, Florida in 2014, where she studied the psychosocial effects of an indigenous religion practiced by Latina women with cancer. She earned her M.A. in Micronesian Studies from the University of Guam in Mangilao, where she examined how cultural preferences influenced gynecological healthcare. Dr. Rosario also holds a B.A. in psychology with a minor in religious studies from FIU.Learn more about the work Dr. Rosario does at HHSTwitter @HHSGov https://twitter.com/hhsgovInstagram @HHSgov www.instagram.com/hhsgov/Facebook @HHS - https://www.facebook.com/HHS // Support Dear Asian Americans:Merch: https://www.bonfire.com/store/dearasianamericans/Buy Me a Coffee: https://www.buymeacoffee.com/jerrywonLearn more about DAA Creator and Host Jerry Won:LinkedIn: https://www.linkedin.com/in/jerrywon/Instagram: https://www.instagram.com/jerryjwon/// Listen to Dear Asian Americans on all major platforms:Transistor.fm: http://www.dearasianamericans.comApple: https://apple.dearasianamericans.comSpotify: https://spotify.dearasianamericans.comStitcher: https://stitcher.dearasianamericans.comGoogle: https://google.dearasianamericans.com Follow us on Instagram: http://www.instagram.com/dearasianamericans Like us on Facebook: http://www.facebook.com/dearasianamericans Subscribe to our YouTube: http://www.youtube.com/dearasianamericans // Join the Asian Podcast Network:Web: https://asianpodcastnetwork.com/Facebook Group: https://www.facebook.com/groups/asianpodcastnetwork/Instagram: https://www.instagram.com/asianpodcastnetwork/Dear Asian Americans is produced by Just Like Media:Web: http://www.justlikemedia.comInstagram.com: http://www.instagram.com/justlikemedia
While conducting some other historical research recently, I ran across an amazing government health document called, "National Negro Health News" published by the US Public Health Service in 1943-1944. I was rather shocked at the comprehensive quality of health programs for blacks during this era that included nutrition, fitness, community health, education, and so much more, but then I noticed articles on STDs like syphilis which caused concern because of the horrific Tuskegee Syphilis Experiments that ran from 1938 to 1972. This terrible experiment allowed blacks to suffer horribly with blindness and other health problems which at times led to their death. I was deeply disturbed to read through so many articles on "prevention of syphilis" in black communities while knowing that at the same exact time of this publication the same US Government was allowing infected blacks to progress with syphilis. My objective of the show is to highlight some reasons why blacks have a distrust of government health and to also call for you to question what we are being told today such as, "We are doing this because we care about your health." Know who you are dealing with here--the same government talking rhetoric on public health has historically violated public health and especially in black communities. The same government talking about how much they care about our health serves junk food in schools and has allowed the removal and deterioration of proper physical and "health" education classes. This is a call to action--NOT for more violence, but for the people to understand what is at hand and that we deserve answers to rational questions before having any more "blind faith" in a government telling us to just trust them and comply. *SOURCE: National Negro Health News by US Public Health Service (1943-1944) https://books.google.com/books/about/National_Negro_Health_News.html?id=ZaacYlvOuRsC
Aysha (https://twitter.com/DrAyshaAkhtar & http://www.ayshaakhtar.com/) is a neurologist, public health specialist & author. She is President & CEO of the Center for Contemporary Sciences (https://contemporarysciences.org/). She worked for the Office of Counterterrorism & Emerging Threats of the FDA & served as Lieutenant Commander in the US Public Health Service. She is a Fellow of the Oxford Centre for Animal Ethics. Aysha wrote: "Animals & Public Health: Why treating animals better is critical to human welfare." In Sentientist Conversations we talk about the two most important questions: “what’s real?” & “what matters?” Sentientism is "evidence, reason & compassion for all sentient beings." The video of our conversation is here on YouTube. We discuss: 0:00 Welcome & Sentientism 2:10 Aysha Intro - Neurology, public health, emerging threats (e.g. pandemics) - Setting up CCS to replace all animal research and testing with human relevant methods 4:27 What's Real? Renouncing Islam, becoming atheist - Growing up in a Pakistani Muslim family, but more culturally than strictly religious - Calling herself a Muslim, but then seeing how her father & Muslim society treated girls & women differently - Feeling pressure to dress modestly - Announcing "I renounce Islam" at 11 yrs old - Still believing in a god, then becoming an atheist - "Why would a god care about me and not someone else living a miserable life?" "If there is a god, why is there so much suffering?" - How can the suffering we cause animals be something a god could allow? - Religion helps people feel less lost. Understanding why people cling to it - Meaning, value, moral structure, purpose, community, love, awe & wonder are available naturalistically too. 15:50 What Matters Morally? All suffering & flourishing beings - Keeping the good parts of religious morality - "Living a life that causes the least amount of harm & the greatest amount of joy possible" - "Of course that includes non-human animals because they feel, they have emotions" - Our moral basics can be very simple - Rights, dignity, personhood, sentience - Why so much philosophy assumes only humans matter. The fundamental mistake of disregarding so much suffering - People seem more concerned about the potential suffering of AI & mini organic brains, while not caring about animals - Experiencing sexual abuse & finding solace with Sylvester the dog "my best friend" - Finding out Sylvester was being physically abused & calling that out, then finding the confidence to stand up for herself - Accidentally being sent PETA materials about the life of a dairy cow. The family went vegetarian that evening - Being a vegetarian in the Pakistani community in the 1980's was unheard of - Being made fun of my other kids, but "I didn't give a damn". "I didn't care what they thought about me I cared what they thought about the issue" - Reading Regan, Singer. Finding the connections between human & non-human ethics & rights - "We were such nerds" 31:05 What are sentience & consciousness? - And more - see YT! Sentientism is “Evidence, reason & compassion for all sentient beings.” More at https://sentientism.info/. Join our "wall" https://sentientism.info/wall/ w/this form: https://sentientism.info/im-a-sentientist. Everyone, Sentientist or not, is welcome in our groups e.g.: https://www.facebook.com/groups/sentientism.
Vaccine Confidence: Building Trust is the third episode in a six-part series featuring conversations about vaccine confidence and public health on the At the Core of Care podcast. The National Nurse-Led Care Consortium is producing this special series as part of its efforts to support nurses and our communities. In this episode, we discuss behavioral techniques nurses are adopting at this time to build confidence in COVID-19 vaccines and how trust and empathy are crucial to the process. Our conversation begins with nurses Dr. Stephen Perez and Jasmine Nakayama from the Centers for Disease Control and Prevention (CDC) and concludes with Dr. Gloria Jones, a family nurse practitioner in Silver Spring, Maryland. Dr. Stephen Perez is a lieutenant in the US Public Health Service and nurse epidemiologist with the Transmission and Molecular Epidemiology Team in the Division of HIV Prevention at the CDC. Recently he served as the clinical lead for the CDC Vaccine Confidence Team. He is succeeded by Jasmine Nakayama, Epidemic Intelligence Officer at the CDC National Center for Chronic Disease Prevention and Health Promotion in the Division of Nutrition, Physical Activity, and Obesity. We also speak to Dr. Gloria Jones, a Maryland-based family nurse practitioner, about her strategies for bolstering vaccine confidence in the community where she provides care for individuals with intellectual and developmental disabilities. This project was funded in part by a cooperative agreement with the Centers for Disease Control and Prevention (grant number NU50CK000580). The Centers for Disease Control and Prevention is an agency within the Department of Health and Human Services (HHS). The contents of this resource center do not necessarily represent the policy of CDC or HHS, and should not be considered an endorsement by the Federal Government.
We know pharmacists' skill sets provide the opportunity to wear many hats and the potential to work in several different industries and roles. Outside of our traditional roles, pharmacists provide value in a wide range of different industries and organizations — including federal agencies. The government employs pharmacists in several different agencies including Indian Health Services, Food and Drug Administration, and Centers for Disease Control and Prevention. But if you're a pharmacist who has historically worked in a traditional setting, you might be wondering how one finds a role at one of these agencies. One pharmacist decided to step away from community pharmacy to pursue a different career path after 3 years in retail. CDR Jennifer N. Lind is a Pharmacist and Epidemiologist in Centers for Disease Control and Prevention's Medication Safety Program and a Commander in the United States Public Health Service Commissioned Corps. CDR Lind received her PharmD from Florida A&M University in 2007 and Master of Public Health from Georgia State University in 2012. After receiving her MPH, she completed a two-year fellowship as an Epidemic Intelligence Service (EIS) officer in CDC's National Center for Chronic Disease Prevention and Health Promotion, making her the 7th pharmacist overall and 2nd female pharmacist to complete this program.Following EIS, she worked in CDC's Birth Defects Branch and eventually became the Lead Scientist for CDC's Treating for Two initiative. CDR Lind's current work in CDC's Medication Safety Program focuses on reducing harms from the use of medications by tracking adverse drug events nationally and using these data to improve medication safety through targeted, collaborative interventions.
In this episode Eric interviews best selling author Harry A. Milman PhD. Harry is a consulting pharmacologist, toxicologist, and expert witness with over forty years of experience at the US Environmental Protection Agency, the US National Cancer Institute, the National Institute of Health, and the US Public Health Service. Dr. Milman assisted in over three hundred civil, criminal, and high-profile legal cases and has testified at trials and depositions. He authored over seventy scientific articles and has edited five science books, including the highly acclaimed Handbook of Carcinogen Testing. Often quoted in newspapers and magazines, Dr. Milman appeared as a toxicology expert on the History Channel, the Oxygen Channel, TV and radio news programs, and in true-crime television shows. Dr. Milman is the author of "FORENSICS: The Science Behind the Deaths of Famous People" and wo novels—A Death at Camp David, winner of the Best Mystery Novel in the 2018 Book Talk Radio Club Awards, and SOYUZ: The Final Flight, a finalist for Best Second Novel in the 2018 Next Generation Indie Book Awards and a finalist for Best Science Fiction Novel in the 2018 Book Talk Radio Club Awards.Eric and Harry talk about Harry's new book "FORENSICS: The Science Behind the Deaths of Famous People" an analysis and description of how coroners determine the cause and manner of death. An investigation of twenty-three deaths of famous people, including Marilyn Monroe, Elvis Presley, Michael Jackson, Whitney Houston, Amy Winehouse, and many more, was conducted based on a review of publicly available autopsy and toxicology reports, as well as published scientific and lay articles. Drug use was implicated in 70 percent of the deaths. Four celebrity deaths were the result of suicide or homicide. Four others were from natural causes.
Join Ed and Daniel for an interview with Dr. Jay Butler, Deputy Director for Infectious Diseases at the Center for Disease Control and Prevention. Jay C. Butler, MD is the Deputy Director for Infectious Diseases. In this capacity, he provides leadership to the efforts of CDC’s three infectious disease national centers and helps to advance the agency’s cross-cutting infectious disease priorities. He is board certified in medicine, pediatrics and infectious diseases, and has served in public health positions at federal, state, and tribal government, including completing more than 22 years in the Commissioned Corps of the US Public Health Service, from which he retired at the level of Captain (Medical Director) in 2012.
Join us this week with Dr. Forrest Tennant, a pioneer in the management of neuro-inflammatory disorders of the spine, and specifically adhesive arachnoiditis. Previously thought to be a hopeless diagnosis, Dr. Tennant has created several novel protocols which have provided hope and relief to thousands of patients suffering from these diseases of the spine.Forest Tennant, MD, DrPH, is an internist and addictionologist who has spent his medical career researching and treating intractable pain. He managed the Veract Intractable Pain Clinics in West Covina, California, from 1975 (originally focused on cancer pain and post-polio disease) to 2018. Dr. Tennant served as the editor-in-chief of Practical Pain Management from 2007 through 2017 and continues to hold an Emeritus honor with the journal. Today, he leads the Tennant Foundation and its Arachnoiditis Research and Education Project.Dr. Tennant is a member of the American Academy of Pain Medicine, the Academy of Integrative Pain Management, the American Pain Society, and the American Society of Addiction Medicine. He has authored over 300 scientific articles and books. He formerly served as a Medical Officer in the US Army and US Public Health Service, and was a consultant to the FDA, National Institute on Drug Abuse, and Drug Enforcement Administration, as well as to the LA Dodgers, National Football League, and NASCAR.Connect with us:- Bobby's LinkedIn - https://www.linkedin.com/in/bobby-koneru-md-6873198- Bobby's Twitter - https://twitter.com/konerumd- Deepti's LinkedIn - https://www.linkedin.com/in/deepti-agarwal
This week, Madigan and Keegan discuss a study run by both the US Public Health Service and the Center of Disease Control, which watched 600 Black men die of syphilis, without treatment. The study went on for forty years, and the effects of it are still felt today. Do you have a news story that you want our take on? Email us at neighborhoodfeminist@gmail.com Find us on social media: Instagram: @angryneighborhoodfeminist Twitter: @YANFPodcast Facebook: https://www.facebook.com/angryneighborhoodfeminist **Don't forget to REVIEW and SUBSCRIBE on iTunes!** Music: Lee Rosevere
Voices of the Dead: Battling the Yellow Fever Epidemic of 1878: A Novel (Creole Voices Book 1) By John Babb Her patients are dying. And it's not just the yellow fever that's killing them. Yellow fever. In 1878, the words sent shivers down the spines of anyone living near a body of water. From New Orleans, up the Mississippi River to Memphis and beyond, thousands of people sickened and died during that terror-filled summer. A determined band of volunteers fought for their patients' lives. A Creole nurse traveled north from New Orleans to help, bringing with her a very special necklace. An Irish chambermaid learned nursing and put her life at risk trying to lower her patients' fevers. A Jewish physician volunteered despite lacking immunity to the virus. A fisherman became one of the first black policemen in the South when the white force was decimated by the disease. Priests, sisters, reverends, rabbis, hearse drivers, gravediggers, retired military, an unashamed madam, a gambler… Some survived. Others paid the ultimate price. And with patients dying from something that wasn't yellow fever, only one person could hear the voices of the dead and help. Listen to the beginning of this excellent historical tale right now. “This is an extremely absorbing book about a difficult topic. The author has woven engaging character stories into the sad, but authentic newspaper reports from the time. Not all of the characters are heroes. They are every sort of individual whom we might have encountered in Memphis in 1878. Do you want to learn the history of what an epidemic like this one can do to a city when there is no known cure, and how ordinary and not so ordinary people cope? Read this book. Do you just want something engrossing and interesting to read? Read this book. It has heroism, cowardice, love, hope, and despair - all the human emotions that can surface in a story as powerful as this one.” From a review on Amazon John Babb is a retired Assistant Surgeon General and a retired Rear Admiral in the US Public Health Service. Not yet available as an audiobook, you can purchase the ebook or trade paperback here: https://surgfict.biz/2LAmnhw //////////////////// THE SURGICAL FICTION PODCAST is narrated by Edison McDaniels. Edison McDaniels is a physician, surgeon, wordsmith, author, and audiobook narrator. More here: https://SurgicalFiction.com. SUBSCRIBE and check back regularly for another episode of The Surgical Fiction Podcast. In the meantime, please REVIEW THIS PODCAST here: http://surgfict.biz/reviewSFP and scroll to the bottom of the page to rate and review. If you need more information, read or listen to my short episode “How to Review a Podcast” at https://apple.co/2N8oObh. Catch up with Edison McDaniels on Audible here: http://surgfict.biz/EPMonAudible Edison McDaniels is also an author. His many novels and other stories are available on Kindle. http://amzn.to/2cv2iFs Thanks for listening. Please wear a mask to protect yourself and others until we can safely gather together again! 049
Dr Jack D Poland retired bird kernel Us Public Health Service. Super bowl --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Timothy L. Ricks, D.M.D., M.P.H., F.I.C.D., currently serves as the 19th Chief Dental Officer of the U.S. Public Health Service as well as Assistant Surgeon General. He serves as the Surgeon General’s spokesperson on oral health and interacts with chief dental officers from other countries, with military chief dental officers, with leaders in organized dentistry, with state oral health programs, and much more. He is currently overseeing the development of the second-ever Surgeon General’s Report on Oral Health. Rear Adm. Ricks has served in the U.S. Public Health Service for over 21 years. Prior to this service, he was an associate dentist, independent contractor, and sole proprietor, and he also served as a military police officer in the Army National Guard. Join the community on Dentaltown at https://www.dentaltown.com
On December 18, 2020, the Food and Drug Administration authorized the emergency use of the Moderna vaccine, exactly one week after granting the same to the vaccine developed by Pfizer and BioNTech. Two days later, the Advisory Committee on Immunization Practices (ACIP) has issued its recommendations for the next two phases of vaccine allocation. Our guests are Michael D. Hogue, president of APhA, and a member of a working group of health care leaders that has been advising CDC on the rollout of the vaccine; and Stephan Foster. a member of ACIP, who has also served as a faculty member at the University of Tennessee's School of Pharmacy and as a captain with the US Public Health Service. Resources referenced in this podcast: FDA: Provider Guidance for the Moderna Vaccine (pdf) FDA: Patient information about the Moderna Vaccine (pdf) ACIP: Recommendations for Allocation Phase 1b and 1c (pdf) See omnystudio.com/listener for privacy information. Learn more about your ad choices. Visit megaphone.fm/adchoices
On December 18, 2020, the Food and Drug Administration authorized the emergency use of the Moderna vaccine, exactly one week after granting the same to the vaccine developed by Pfizer and BioNTech. Two days later, the Advisory Committee on Immunization Practices (ACIP) has issued its recommendations for the next two phases of vaccine allocation. Our guests are Michael D. Hogue, president of APhA, and a member of a working group of health care leaders that has been advising CDC on the rollout of the vaccine; and Stephan Foster. a member of ACIP, who has also served as a faculty member at the University of Tennessee's School of Pharmacy and as a captain with the US Public Health Service. Resources referenced in this podcast: FDA: Provider Guidance for the Moderna Vaccine (pdf) FDA: Patient information about the Moderna Vaccine (pdf) ACIP: Recommendations for Allocation Phase 1b and 1c (pdf) See omnystudio.com/listener for privacy information. Learn more about your ad choices. Visit megaphone.fm/adchoices
On December 18, 2020, the Food and Drug Administration authorized the emergency use of the Moderna vaccine, exactly one week after granting the same to the vaccine developed by Pfizer and BioNTech. Two days later, the Advisory Committee on Immunization Practices (ACIP) has issued its recommendations for the next two phases of vaccine allocation. Our guests are Michael D. Hogue, president of APhA, and a member of a working group of health care leaders that has been advising CDC on the rollout of the vaccine; and Stephan Foster. a member of ACIP, who has also served as a faculty member at the University of Tennessee’s School of Pharmacy and as a captain with the US Public Health Service. Resources referenced in this podcast: FDA: Provider Guidance for the Moderna Vaccine (pdf) FDA: Patient information about the Moderna Vaccine (pdf) ACIP: Recommendations for Allocation Phase 1b and 1c (pdf) See omnystudio.com/listener for privacy information.
Agriculture work sites, shared worker housing, and shared worker transportation vehicles present unique challenges for preventing and controlling the spread of COVID-19. Consistent application of specific preparation, prevention, and management measures can help reduce the risk of spreading COVID-19. Best practices in Covid-19 testing and contact training will be shared to help agricultural producers identify strategies for responding on their farm. The CDC Covid-19 prevention guidance for agriculture will also be shared to assist employers in adopting recommendations to protect workers. Panel of Speakers: Chad Roy, PhD, MSPH- Director, Infectious Disease Aerobiology, Director, Biodefense Research Programs at the Tulane National Primate Research Center, Professor of Microbiology & Immunology, Tulane School of Medicine Jennifer M. Lincoln, PhD, CSP- CAPT (retired), US Public Health Service, Associate Director, Office of Agriculture Safety and Health, National Institute for Occupational Safety and Health Doug Trout, MD, MHS- CDC COVID-19 WSH Team Chief, Hazard Evaluations and Technical Assistance Branch, DFSE NIOSH Natalie Roy, MPH- AgriSafe Executive Director To view the full free webinar and resources visit- https://learning.agrisafe.org/NFSHW2020
Hi, I am Marmee Regine, your host in Pandemic Podcast Coronavirus. Today we are now in the 5th episode where we will discuss the most anticipated vaccine. That is why the episode title is, "To vaccinate or not to vaccinate." There is always a dilemma that humans like us are facing every day. It is a reflection of the famous lines in literature, "To be or not to be." It is a question on which path to take when you are on the crossroads of life. "To be, or not to be" is the opening phrase by Prince Hamlet in Act 3, scene 1 of William Shakespeare's play Hamlet. It is all about life and death: "To be or not to be" has a meaning about life and death. "To live or not to live," which means "To live or die." Hamlet discusses how painful and miserable to live a life back then and how death, such as suicide, is the solution to end such misery. And fast forward to today, many people living in these uncertain times of the pandemic are having difficult times; that is why those who tested positive in China committed suicide. I mentioned that in passing from my previous podcast episode #2 on viral load. Isn't it ironic that history repeats itself even after several centuries?Moving on, this is the first part of my podcast episode on the topic of vaccines. In this episode, let us start this discussion on the historical notes that researchers did in the past until the present, which is the so-called self-experimentation of their study drug or vaccine along with some of their volunteer friends. An article regarding this matter was published entitled, Self-Experimentation in the Time of COVID-19. It was published in the online magazine, The Scientist which was well researched by the writer, Amanda Heidt, who is in her second master's in science communication at the University of California, Santa Cruz.Link: https://www.the-scientist.com/author/amanda-heidt-4941I will share the link on my Patreon page. Let us go into a brief flashback in time. In the olden days, an infectious disease expert in the US Public Health Service, by the name of Joseph Goldberger, was given the responsibility in 1914 to study the pellagra's causation. Pellagra is a skin disease with classic symptoms of dermatitis, diarrhea, dementia, and death. Most of the scientist believed those times believed that it was due to a germ. However, Goldberger's theory is that pellagra was due to a nutritional deficiency. Did you know that Joseph Goldberger, his wife, and some volunteers joined them to inject themselves the blood of pellagra victims and an intake of a pill form containing the feces and urine of patients? Ewww, a human guinea pig? Goldberger repeated this experimentation in other cities, and before he died of cancer in 1929, his research work landed him four Nobel Prize nominations. Wow, the saying here is applicable, "You reap what you sow."In other famous examples, a virologist from the University of Pittsburgh named Jonas Salk, who initially tested the polio vaccine to himself and his children in the year 1952 before giving it to other volunteer subjects. You heard it right that Jonas Salk tested his original polio vaccine on both himself and his children ahead of widespread trials. Another example was from a married Russian couple, Marina Voroshilova and Mikhail Chumakov, who were considered polio experts. They also self-administered in 1959 a potential vaccine before letting their three sons have an intake of those sugar cubes laced instilled with a weakened poliovirus. After a lengthy argument in what form of drug administration to give patients, they agreed on the oral intake of the vaccine using live poliovirus. Later on, in 1994, the World Health Organization declared polio disease eradicated in the Western Hemisphere.These brave researchers are willing to risk their health and health, including their families, for a greater good to humanity. There were&
This week Matt Crespin is joined by Dr. Tim Ricks, Chief Dental Officer for the US Public Health Service and Assistant Surgeon General of The United States. Episode Highlights ADHA Annual Conference Recap Dr. Tim Ricks Background Dr. Tim Ricks Many Roles Changes with COVID-19 Surgeon General's Report on Oral Health Quotes “They are taking time out of their schedules to be a part and share the important work that dental hygienists do” “My wife called me and said how about dentistry?” “I work every day with the most dedicated dental health professionals in the country" “I consider these organizations and the ADHA extremely important external stakeholders” “The main thing was that I wanted everyone to have an equal seat at the table” “Hopefully we can expand this work group beyond the pandemic itself” “We need to break down the silos that exist in oral health” “I always wanted to something in service of others” “It's not going to be the Federal Government or the Surgeon General that gets this information out it's going to be organized dentistry and you and all of us embracing those key messages together” “ADHA has every dental hygienists voice in mind and we listen to what you say, we read every email and bring your voices to the table” Links Matt’s Email: MattC@ADHA.net ADHA Annual Report: https://www.adha.org/annual-reports The health and wellness of the dental hygiene community and the patients you serve is our top priority. We are closely monitoring developments surrounding COVID-19 and will continue to keep you informed. For more information from ADHA, visit https://www.adha.org/covid19. Visit www.adha.org for membership processing, membership updates, renewals and conference registration! FAQ: https://www.adha2020.org/faq/ Email for COVID Questions/Input: rdhcovidinfo@adha.net Resource Center: https://www.adha.org/covid19 American Dental Hygienists’ Association homepage: https://www.adha.org/ ADHA Facebook Page: https://www.facebook.com/youradha/ The Dental Podcast Network Channel One homepage: http://dentalpodcastnetworkchannelone.otcpn.libsynpro.com/
This week on The Official OSAP Podcast Michelle Lee Michelle talks with RADM Timothy Ricks of the USPHS about COVID-19, the Dental Industry's collaboration efforts, and Public Health. RADM Timothy L. Ricks, DMD, MPH, FICD has served as the Chief Professional Officer for the Dental Category since September 2018. As the Chief Professional Officer, RADM Ricks advises the Office of the Surgeon General and the U.S. Department of Health and Human Services (HHS) on the recruitment, assignment, deployment, retention, and career development of oral health professionals. He is also responsible for overseeing the development of the second-ever Surgeon General's Report on Oral Health, and he chairs the USPHS Oral Health Coordinating Committee. Episode Highlights Admiral Tim Ricks background Public Health Indian Health Service (IHS) Chief Dental Officer Assistant Surgeon General Challenged Dental Public Health faves during COVID-19 Quotes “My wife actually completed my application to dental school while I was on active duty” “I sat all by myself because nobody wanted to sit next to the guy in camouflage and BDU's” “After 4 years in private practice I said I had enough and I called the IHS” “That mission is to raise the physical, spiritual, and mental health of American Indians and Alaskan Natives to the highest level possible” “I probably didn't do justice to all the benefits of the United States Public Health Service” “Yes COVID-19 will be included in the report in several ways” Links RADM Timothy L. Ricks Bio: https://usphs.gov/profession/dentist/cpo.aspx IHS Website: https://www.ihs.gov USPHS Website: https://usphs.gov OSAP COVID-19 Resource Page: https://www.osap.org/page/COVID-19 OSAP's homepage: https://www.osap.org/ Michelle Lee's email: mlee@osap.org The Dental Podcast Network Channel One homepage: http://dentalpodcastnetworkchannelone.otcpn.libsynpro.com/
A hospital located off of Lake Street provided health care to US service members for over a hundred years. Special guest, former GGNRA Park Ranger, historian, and author, John Martini joins the pod to tell us about the origins through the decommissioning of the USPHS Hospital.
As shocking as crises may be to the public, crisis and disaster planning are integral to government planning and operations. From natural disasters and public health emergencies to attacks on the president or the country; the government is expected to respond to a diverse range of crises. But what do these plans look like? How do they get formulated and implemented? How extensive were the US government plans for a global pandemic? To discuss these issues, USSC hosted a webinar event featuring Rear Admiral Scott Deitchman, a 30-year veteran of the US Public Health Service who led emergency responses at the Centers for Disease Control and Prevention (CDC), in conversation with Adam Kamradt-Scott, an associate professor in global health security and international relations at the University of Sydney.
Apple has updated Siri to answer some simple questions about Covid-19 for users in the USA. In this podcast, Troy Larson shows us how voice queries like “Hey Siri, do I have the coronavirus?” will lead you through a series of quick questions about symptoms such as a dry cough and shortness of breath. Siri is by no means a replacement for a medical professional, but its answers have been provided by the US Public Health Service, and Siri can direct you to the Centers for Disease Control website or even prompt you to ring the emergency services.
Apple has updated Siri to answer some simple questions about Covid-19 for users in the USA. In this podcast, Troy Larson shows us how voice queries like “Hey Siri, do I have the coronavirus?” will lead you through a series of quick questions about symptoms such as a dry cough and shortness of breath. Siri is by no means a replacement for a medical professional, but its answers have been provided by the US Public Health Service, and Siri can direct you to the Centers for Disease Control website or even prompt you to ring the emergency services.
Apple has updated Siri to answer some simple questions about Covid-19 for users in the USA. In this podcast, Troy Larson shows us how voice queries like “Hey Siri, do I have the coronavirus?” will lead you through a series of quick questions about symptoms such as a dry cough and shortness of breath. Siri is by no means a replacement for a medical professional, but its answers have been provided by the US Public Health Service, and Siri can direct you to the Centers for Disease Control website or even prompt you to ring the emergency services.
From public health to being a pediatrician, she has traveled around the world caring for others and seeing the emergence of trends. At a very young age, Heidi has been able to connect dots of similarity - in arenas that on the surface seem dramatically different. In this conversation Dr. Moline came to understand that she actually is “perspicacious”, sharing “Sometimes it’s hard to articulate in the moment if I’m thinking of ways we can be connecting this further down the road,and to put time in now and cultivate ideas to really bring energy toward something that may not deliver fruit until some time in the future.” Dr. Heidi is an inspiration for others who want to claim being the same!Dr. Moline has already done extensive research, published articles and provided numerous presentations in the areas of acute respiratory distress in children, virus’ and infections in pediatrics and pandemic preparedness. She worked with Ben-Gurion University and the Ministry of Health with respect to Disaster Preparedness and Response in Israel. Her most recent breakthrough work dealt with Acute Flaccid Myelitis in Minnesota children. In 2019 she spent a clinical month working with mothers and children in Tanzania, and does ongoing work with Somal-Minnesotani mothers to better understand vaccine hesitancy and misconceptions surrounding autism.Heidi Moline, MD, MPH, is Chief Resident of Pediatrics at the University of Minnesota. She completed her undergraduate (2008) and medical training (2016) at the University of South Dakota for undergraduate and medical training, and attended Emory University for her masters of public health (2010). In July 2020 she will join the Center for Disease Control's Epidemic Intelligence Service, a two year fellowship in applied public health leadership and outbreak investigation. Additionally she is a clinical instructor of public health at the University of South Dakota.Dr. Heidi has been honored with the 2019 Certificate in Global Pediatrics, the 2015 Gold Humanism Honor Society Award from the University of Minnesota and the Excellence in Public Health Award from the US Public Health Service.
Dr. Hayes interviews Dr. Young about his time with CHOP and MOPP TRANSCRIPT Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Dr. Hayes: Welcome to JCO's Cancer Stories, The Art of Oncology, brought to you by the ASCO Podcast Network, a collection of nine programs, covering a range of educational and scientific content, and offering enriching insight into the world of cancer care. You can find all of the shows, including this one, at podcast.asco.org. Welcome to Cancer Stories. I'm Dr. Daniel Hayes. I'm a medical oncologist and translational researcher at the University of Michigan, Rogel Cancer Center. And I've also had the pleasure of being past president of the American Society of Clinical Oncology. I'm privileged to be your host for a series of podcast interviews with people I consider the founders of our field. Over the last 40 years, I've really been fortunate to have been trained and mentored and inspired by many of these pioneers. It's my hope that through these conversations we can all be equally inspired by gaining an appreciation of the courage, the vision, and also the scientific understanding that led these men and women to establish the field of clinical cancer care over the last 70 years. By understanding how we got to the present and what we now consider normal in oncology, we can also imagine and we can work together towards a better future for our patients and their families during and after cancer treatment. Today, my guest on this podcast is Dr. Robert Young. Among many designations he has, my favorite I think for Dr. Young is that he was considered one of the, quote, "gang of five," end of quote, I think self-named, who were responsible for developing the first curative chemotherapy regimen for Hodgkin's disease and non-Hodgkin's lymphomas at the National Cancer Institute in the early 1970s. Dr. Young is currently president of RCY Medicine, a private consulting firm based in Philadelphia. He was raised in Columbus, Ohio, where he couldn't get into the University of Michigan. So he went to a second-rate community college in Columbus called Ohio State. My bosses made me say it that way, Bob, here at the University of Michigan. Dr. Young: Not the correct way, The Ohio State University. Dr. Hayes: So he received his MD then at Cornell in 1965, followed by an internship at the New York Hospital. He spent the next two years as a clinical associate in the medicine branch at the National Cancer Institute. And then he completed his residency in medicine at Yale New Haven Medical Center. In 1970, he returned to the NCI, where he stayed for the next 18 years, serving during most of that as the chief of the medicine branch. Dr. Young accepted the role as president of the Fox Chase Cancer Center in Philadelphia and served in that role and then chancellor in 2009. Dr. Young has authored over 400 peer reviewed papers regarding a broad range of both scientific and policy issues in oncology. But in addition to the I consider astonishing and precedent-setting reports of cures in Hodgkin's disease and non-Hodgkin's lymphoma, perhaps most importantly with his longtime colleague and friend Dr. Robert Ozols, he led many of the early and groundbreaking studies in ovarian cancer diagnosis and treatment that I think still guide our care today for patients with this disease. He's won too many awards and honors for me to go through. But of the major ones, he won the prestigious Bristol-Myers Squibb award, which he shared with Dr. Ozols in 2002, the Margaret Foley Award for Leadership and Extraordinary Achievements in Cancer Research from the American Association of Cancer Research, and ASCO's Distinguished Service Award, one of our highest awards, for Scientific Leadership in 2004. Of note and close to my own heart, Bob served as the ASCO president 1989/1990, which I consider a really critical time in the evolution of our society. Dr. Young, welcome to our program. Dr. Young: Thank you. Dr. Hayes: So as I noted, you grew up in Columbus, Ohio, or again, as we say in Ann Arbor, that town down south, but more importantly that your father was a surgeon. And I've heard you tell the stories as a boy you went on rounds with him and that inspired it. Was he academic or was he a really community physician or both? Dr. Young: Well he was a little of both. He was primarily a community physician. But he did, particularly at the time of the Second World War, because he was a very skilled hand surgeon, he got involved with a lot of hand surgery related to a company called North American Aviation that produced a lot of World War II planes. And there were a lot of injuries in that setting. And so he became quite a skilled hand surgeon and actually taught at Ohio State's Medical Center. So he had both an academic and community-based practice. But primarily he was a practicing community surgeon. Dr. Hayes: And did you actually go into the OR with him as a boy? Dr. Young: Oh, yeah. Oh, sure. Dr. Hayes: Wow. Dr. Young: You know, in those days, there weren't any rules and regulations about that. And so I went in and watched surgery and held retractors and participated, you know, when I was a youngster. Dr. Hayes: Wow. What a privilege. You're right, that would not be allowed now. That's a good story. What did you see, bad and good, compared to medicine now then. I mean, if you had to say here are a couple things that we've lost that you regret. Dr. Young: Well, I think that it was more under the control of the physician than it is in this day and age in so many ways. For instance, my father practiced in three different hospitals. And he admitted patients depending upon what kind of surgical support and nursing support they needed. If they were complex, he went to a bigger hospital. If they were very straightforward cases, he put them into a smaller hospital. And so he had a lot more control over how his patients were dealt with and the circumstances under which they were cared for. And, of course, most of his practice was before Medicare and all of the insurance sort of thing, so that people paid what they could pay. And so it was a much simpler and much more physician-driven practice than it is today. Dr. Hayes: Just as an aside, there's a wonderful book called The Brothers Mayo, written by a woman named Clapesattle in the 1930s after both Charlie and Will died. And it's a history of the Mayo Clinic. But in it, she says that Will basically charged people what they could afford to pay. So if you were wealthy, he charged you a lot. And if you were poor, he gave it to you for free and everything in between. And he sort started made up the billing schedule the way he wanted it to happen. And one of his more wealthy patients challenged him on this, and he said, go somewhere else. Dr. Young: Yeah, well, that's exactly the kind of practice my father ran. Dr. Hayes: Yeah. Anyway, I'm intrigued by year two-year stint at the NCI in the late '60s before you then went back and finished at Yale. And hopefully this is not insulting and I know you're considered one of the so-called yellow berets. But tell me, tell us all about your choice to interrupt your residency and go to the NIH. I don't think our young listeners really understand the political climate and the circumstances of the time that led so many of you to go there. Dr. Young: Well, I think that's a great question, because it will lead to some of the other discussions we have later. But essentially, I graduated from medical school in 1965 at the height of the Vietnam War. And in those days, there was not only a general draft, there was a physicians draft. So graduating in medical school in those days, you had one of three choices. You could either take your chances-- and again, the numbers, your priority scores at the time, didn't really have anything to do with it, because they took as many doctors of whatever kind of type they wanted for whatever purpose they wanted. So that you couldn't be sure if you had a low number that you'd not be drafted. But you could take your chance. And in those days, a lot of people did. And a lot of people got drafted. Or you could join the Berry Plan, which was at the time an opportunity to continue your specialty training until you were finished. But then you owed back the military the number of years that you had been in specialty training. Or you could do a much less well-known track and that is with the US Public Health Service. And amongst the opportunities for the US Public Health Service were things like the Indian Health Service and the Coast Guard Service and those sorts of things, or the National Institutes of Health, about which at the time I knew almost nothing except that it existed. And I owe it to some of the folks that I worked with at Cornell, primarily a hematologist oncologist by the name of Dick Silver, Richard Silver, who's still at practice at New York Hospital, who when I was working in the labs there, because I was doing some research when I was at Cornell, and they were telling me about the fact that you could actually apply for a position at the NIH. And you would be in the US Public Health Service. So it took me about 3 milliseconds to figure out that for me that was clearly a track that I wanted to explore. And I had done some research in platelet function and platelet kinetics and so forth. And there was a guy by the Raphael Schulman who is at the NIH at the time. And I said, that would be a miracle if I could get this. So the way it worked was that you applied. And then you actually interviewed with a whole bunch of different people. And as it turned out, I didn't get a position with Dr. Schulman. But I was introduced to the National Cancer Institute and both the leukemia service and the then called the solid tumor service. And I applied to various things like that. And I actually got in on the leukemia service. So I walked in after I signed up and was taking care of little kids with acute leukemia, having never been a pediatrician or knowing anything about leukemia. But it was a baptism of fire and a very exciting place even then. Dr. Hayes: I want to get back to that in a second because that's a critical part of this. But, again, going back to the political climate, my opinion, this entire issue and your personal journey and many others had a profound effect on both the scientific and medical community of this country as a whole. I think it was an unintended effect. But because of the Vietnam War and because the NIH was such a great place to train in those days. Do you agree with me? Dr. Young: You are absolutely correct. I mean, one of the things that needs to be said is that this was a transformational phenomenon for cancer research. But it also took place in every other field. And the NIH at the time was just swarming with people of all medical disciplines who were coming to take advantage of the opportunities that existed within the NIH, but also to serve in this capacity as opposed to some of the alternatives that were around. And I think I heard a figure one time, which I'm sure is true, and that is at one point in time, 30% of the chairmen of medicine in the United States had done training at the NIH before they ended up being chairmen of medicine. So that gives you an idea of the impact of this. And you're absolutely right, it was a totally unintended consequence. Nobody ever designed it that way. Nobody ever planned for it to happen that way. But in retrospect, when looked at it and you can see exactly why what happened happened. Dr. Hayes: Yeah. And I interrupted you, but I did it on purpose, because it didn't sound to me like you really had a plan to go into cancer treatment, but sort of landed there serendipitously. Is that true? I mean how do you end up there? Dr. Young: Oh yeah, oh, yeah, I mean I did get very interested in hematology when I was in medical school. I first went to medical school, of course, thinking I was going to be a surgeon, because my father had a great practice and he had a wonderful experience with surgery and it was really cool. But I just found that I just wasn't designed just the same way. And it was increasingly clear that cancer was not my not my goal-- I mean, surgery was not my goal. And so, you know, I knew I wanted to stay in internal medicine. And I got interested in the research. And I had done some significant research and in platelet function, as I said. I knew that's what I wanted to do, some sort of clinically-related research in medicine. If I'd had my choices, of course, I would have gone into a sort of pure hematology track. And, of course, it's worth saying that it's difficult for oncologists nowadays to understand how big an outlier oncology was. There was no subspecialty in oncology at the time I went to train down there. There was a subspecialty in hematology. And, of course, all of us, the Gang of Five that you mentioned, all of us took hematology boards. And that's because it wasn't clear that there was going to be oncology. When oncology came along we all took the first oncology boards ever given. So that gives you an idea of how early in the history of oncology we were in the late '60s, early 1970s. Dr. Hayes: So we're talking 1970 or so right when you started? Dr. Young: Well, 1967 to '69, I was a clinical associate. Then I was at Yale for a year. And then in 1970, I came back on the senior staff. Dr. Hayes: And who were the characters above you when you came in? I know Doctors Frei and Freireich had been there before. Dr. Young: Yes. Frei and Freireich had just left the year before. One went off to MD Anderson, the other went off to the Memorial. And George and Vince-- George Cannellos, Vince DeVita-- had stayed on, with Vince as the head of the medicine branch. And then when we came back, Vince sort of brought two of us back that he'd had before, Bruce Chabner and I. He'd sort of sent us off to Yale and said they could buff us up a little bit. And he didn't offer us a job coming back. But we went off, and we were training up there. And he called us both up and says, why don't you to come back and join the senior staff. He recruited Phil Schein as well. And so that was the Gang of Five that we started out. Four of us ended up being president of ASCO at one time or another. And I suspect the only one who didn't, Bruce Chabner, probably would have except for the fact that he was the director of the Division of Cancer Treatment of the NCI for a long time. And the NCI and the NIH changed its attitude toward allowing people to participate in major leadership positions nationally, a tragedy as far as I'm concerned, which has I think affected the morale of the NIH and a lot of other things and deprived a lot of good people of opportunities to serve nationally. But that was the way it was, otherwise we would all ended up at some point leading-- Dr. Hayes: So the Gang of Five was you Bruce Chabner, George Cannellos, Phil Schein, and Vince DeVita, right? Dr. Young: Right, exactly. Dr. Hayes: And what were the dynamics among you? I mean, so were you and-- Dr. Young: Well, I mean, it was an incredible time. You know, there was enormous talent that had poured into the NIH, as we talked before. And an enormous amount of talent was present and was recruited in during this period of time. I mean, you know, Paul Carbone was still there. John Minna was recruited. Harman Ayer, who was the longtime chief medical officer of the American Cancer Society. Tom Waldman was a world class hematologist. Max Wicha was a part of this group. Sam Broder, Allen Lichter, an other ASCO president, Steve Rosenberg, Phil Pizzo was the head of the pediatric oncology branch, now dean at Stanford. And it goes on and on and on. And so there's a massive amount of talent and a lot of freedom. And so Vince was clearly the leader, he had a lot of ideas and a lot of creativity. But he let out a lot of people do whatever they wanted at the same time. And it was sort of a situation in which we all participated, because we were all attending at the same time. So Vince and George did a lot of the lymphoma and Hodgkin's disease stuff. We all participated. I got interested in ovarian cancer. And you talked about that. Bruce Chabner and Phil Schein were always very pharmacologically oriented. And so they did a lot of the phase 1 and phase 2 trials and a lot of the laboratory backup associated with the studies we did. And everybody shared. And so there was really not a lot of competition in that sense. Everybody was I think very competitive. Because it was all sort of shared, it worked out so that everybody felt that they were getting a substantial part of the recognition that was going on in the group. Another thing that was unusual about the NIH, but it had unintended, but important consequences is that nobody had anything to do with what they got paid. So that you could go to events and say, well, you know, I deserve to be paid more, but it didn't have anything to do with what you got paid. We had no control over anybody's salary. So that I don't think the whole time I was there, the whole 14 years I was chief of the medicine branch, I don't think I ever had a conversation with anybody about money, because I didn't have anything to do with what people got paid. Let me tell you, that's a big change. It actually has a remarkable, remarkable effect on the way people work. Because if for some reason somebody wanted to make more money, they just had to leave. There wasn't any way to do it. So you either had to accept that this is what everybody got paid and that you were rewarded by the opportunities to do the kinds of research that were done. Or you said, look, I need to go on and go somewhere else. Dr. Hayes: Now, just between you and me, and maybe a few thousand other people who are listening to this, who is the first guy to say let's give combination chemotherapy to Hodgkin's disease? Dr. Young: Well, actually, I don't know the answer to that. I think if I had to guess, I would say Vince, because Vince and George had been around in the Frei and Freireich days. And of course, you know, they'd already had experience with the impact of combination chemotherapy in leukemia. And so the concept was you took drugs that were active in the disease and put them together if they had different kinds of toxicity. And you were then able to utilize the combined impact on the tumor and sort of spread around the toxicity. So it was more tolerable. And that was the concept. And I think that because Vince and George were treating chronic leukemias and treating Hodgkin's disease, the notion of combining it with combinations was pretty straightforward evolution from the experience in leukemia. There are other people who claim that. I think from time to time both Jay Freireich and Tom Frei have claimed it. I think that there was a dust up between Vince and Paul Carbone and George because there was some suggestion by somebody that Paul was the one who originated the idea or Gordon Zubrod. And quite frankly, I don't know. If I knew, I would tell you. But I don't actually know. I can tell you this, that the emotional and passionate driver of the concept of combination chemotherapy as a successful modality in Hodgkin's disease and lymphoma was Vincent. Dr. Hayes: Your answer is very consistent with what other people have said the same thing. It must have been somewhere along the line that all of you began to see that there really were cures. And did you realize, as a group, that you were making history? Or was it just day to day-- Dr. Young: Well, you know, it's interesting. I can tell you one of the most transformational experiences that I had in the early days is, of course, we were following all these patients who had started on MOP. And so to do that you had to sort of go back and pull out the charts and all this kind of stuff. You know, we didn't have electronic systems that had all the stuff recorded. You just had to go down and pull off the charts. And what struck me so tremendously was the attitude of the physicians that had first started some of these patients on this therapy, because the notes made it very clear that they were sort of flabbergasted when these people came back after the first couple of months and they were watching their disease disappear, and that they really didn't anticipate at all, initially, that they were going to see these people after a couple of weeks. And it was very clear in the notes. By the time we had gotten there, of course, there were a significant number of people already on the trial. And it was already clear that we were seeing things that nobody had ever seen before. And I think that's when it first began to dawn on everybody. And as soon as we saw it in Hodgkin's disease based on the experience that we'd seen with non-Hodgkin's lymphoma, we had a suspicion that it would likely be the case as well there. Dr. Hayes: So you already bounced across it, but as I was looking through your CV I knew this anyway, you really mentored a who's who of oncology-- Rich Schilsky, Dan Longo, Max Whishaw, Dan Van Hoff-- and you noted already that oncology training has evolved. I mean BJ Kennedy pushed through boards I think in '74 or '75, something around there. What have you seen in the evolution on oncology training that you think is good or bad? Dr. Young: Oh, I think in general, it's much better. And I think it's much better because, of course, there's a lot of success that's been built into what's been accomplished. And that makes it a lot easier to teach people about how to treat Hodgkin's disease well, than we ever could at the time we were doing it because nobody knew the answer to those things. And I think there's also a lot more of it. You know, I think at the time we were at the NIH, you know, I think credibly you could count on both hands the number of really established academic oncology programs in the United States. And now, there are probably 100. And so the quality of training and the quality of mentoring is dramatically better than it was in those days. In those days, you know, hematologist we're doing most of the treatment of cancers. And they were all sort of in the Sidney Farber mode. You take one drug, and you give it as long as it works. And then you switch to another drug and use that as long as it works. And that was pretty much the way hematologists approached the disease. And by all means, you don't cause any toxicity. Dr. Hayes: I picked up several adults who had been Sidney Farber's patient when I was at the Dana-- Sidney Farber Cancer Institute in those days in the early '80s. So I had his handwritten notes. And sadly, I did not photocopy them. I would have love to have had it. But he had a very different mindset in terms of the way-- Dr. Young: Oh, absolutely, absolutely. And as far as I can tell, this is just my own personal reaction, is that I don't think either George or Vince at the time we got here shared any of that attitude. George is a little more cautious than Vince, as everybody knows. But neither one of them for a minute ever suggested that we were being too aggressive, that it was unfair and immoral to treat people with these kinds of toxicities, not that they desired to make people sick. But they were absolutely convinced that aggressive therapy could make a dramatic difference in the natural history of these diseases. Dr. Hayes: Yeah, certainly, Dr. Frei felt that way too. Dr. Young: Yes. And well, they were his mentors. I mean, you know, all these guys were there at the same time. And they were all influencing one another. Dr. Hayes: You know, it's amazing, I think all of us-- there are 44,000 members of ASCO now-- basically are derived from about 10 people in the 1950s and '60s, most of the DNA, not completely-- Karnofsky and some others around, but-- Dr. Young: Oh, yeah. Dr. Hayes: Well, the other thing is actually, you were talking about the safety, what are the war stories? I mean, how did you give chemotherapy? Were you guys mixing it up and giving it yourself? You know, we got all these bells and whistles. Dr. Young: Well, I mean, for instance, you know this is the first time really protocols were written. And the reason that we wrote protocols was simply because we were working with fellows. And they literally needed the recipe of what it was they were supposed to give and when. And so we wrote up these what were the first of the clinical trial protocols. There was no formal informed consent at the time of these studies. We had, of course, informed consent, the same way you do informed consent now, really. And that is you talk to the patient. You explain to the patient what the treatment is and what your expectations for the treatment are. And the patient understands the disease they face and decide that they can do it or not do it. And it's actually still the same today. The only difference is we now have 14, 17-page informed consent documents that make lawyers happy, but don't really impact, at least in my view, whether patients decide to participate or not. But we didn't have those. So I think that was the other one of the great things about the setting at the NIH, not that I'm anti-informed consent, but it was simpler. It was easier to get something done. You could do unconventional treatment and nobody looked at you and said, "you can't do that, that's never been done before, you're not allowed to do that." We didn't have academic constraints. One of the things that always surprised me is when, you know, we would develop a particular technique, like peritoneoscopy or laparoscopy for ovarian cancer staging, and when guys left the program having been well-trained to do this, they couldn't do it when they went to their new institutions because gastroenterologists did this. That was the sort of thing that the constraint wasn't here. There were also very easy-- I mean, all you had to do was to get an idea and write it up. I took a look at ovarian cancer and said, you know, "It seems to me, here's a disease that's now being managed by gynecologic oncologist. Internists never see these patients. They're all treated with the melphalan. And those that happen to live a long time develop acute leukemia from that treatment. They ought to be something better than what we're doing." And so we just decided that we would begin to take patients with advanced ovarian cancer into the NIH. And the rest sort of is history. But you couldn't do that in another hospital. You know, the biggest treaters of ovarian cancer probably program-wise was MD Anderson. But all his patients were treated by gynecologic oncologists. You couldn't have gone into the MD Anderson and said, "OK, we're going to take over the treatment of advanced ovarian cancer." They would have laughed in your face. Dr. Hayes: Actually, you just segued into my next question. And again, you and Dr. Ozols, in my opinion, completely changed the course of ovarian cancer treatment. Did you get a lot of pushback from the gynecologic community? Dr. Young: Well, no, actually. It's interesting. Now I don't know what we got behind the lines, you know when they were all sitting around the bar after the meetings. We really didn't. First of all, one of the other advantages of being at the NIH is that when you said something, people listened. And the other thing is, of course, when we got really going with ovarian cancer-- this was after the passage of the National Cancer Act-- and there was money at the NIH. So one of the things we did, for instance, was to put on a series of symposia about ovarian cancer treatment, what was going on, what wasn't going on, and brought the movers and shakers of this field together in meetings and talked about what was being done and what should be done and what information we didn't have that we needed. And we actually got funded for a period of time, a group called the Ovarian Cancer Study Group, which eventually evolved into the Gynecologic Oncology Cooperative Group, National Cooperative Group. So we had some other tools that we could bring to bear to drum up an interest in new research in ovarian cancer. And, of course, gynecologic oncologists couldn't prevent us from taking patients that were referred to us. And our surgeons, for instance, none of whom were gynecologic oncologists, were happy to help and to operate on them when they needed to be operated on. And Steve Rosenberg's group has fantastic surgeons. So we didn't have any problem getting state of the art surgery done on these people. And, in fact, they are general surgeons learned some gynecologic oncology at the same time. Dr. Hayes: Yeah, you know, it's been interesting to me that the surgeons, the general surgeons, willingly gave a systemic therapy. But that still in this country, there are very few medical oncologist who do GYN oncology. It's still mostly done by GYN oncologists. Dr. Young: Yes. Dr. Hayes: And there are very few trained medical oncologist in this. And I think it's gotten too complicated for a surgeon to do both. I don't really see why that hasn't happened based on, especially your model and Bob's model, that's my own soapbox. Dr. Young: Yeah, that's an interesting point, because at the NIH, when we were there, Steve Rosenberg and Eli Gladstein in radiation therapy, there were no rules that said that they couldn't do chemotherapy. And, in fact, they did it sometimes. And we didn't say anything about it. Usually, they called on us and said, hey, look, you know, we need you to help us or participate with us or whatever. But there were no rules that said that they couldn't. And sometimes they did. But for the most part they said, "look, this is not the business we're in. We want you guys to do the chemotherapy." And so for the most part we were able to do that. Dr. Hayes: The entire NSABP, those guys were all given their own surgery, their own chemotherapy. And they ultimately handed most of it over to medical oncology through the years. But that's not happened so much in GYN. OK, I want to go into your role in ASCO at the end here. And as I noted, I think you were president during a really critical turning point for the society. And just a few things, you already mentioned that I think you were already at Fox Chase when you ran. So you'd left NCI. And what made you run? But more importantly, tell us about your role in the evolution at that time of the society. Dr. Young: I think actually they recruited me to run just at the time that I was looking to leave. And so I left in December of 1988. And I was president of ASCO 1989 to 1990. At the time, I had moved from the medicine branch and ran the cancer center's program for a year. And I decided that I liked it. I thought, well, maybe I'll just stay here for the rest of my life, the way Steve Rosenberg did and others have done very successfully. But I said, well, you know, it's either sort of now or never. And so I decided that I would make the jump. But when I got into the sort of ladder, if you will, of ASCO through the board and so forth, it became clear that there were a couple of things that were a real challenge for the society. The society had at the time for the most part been essentially run on contract, that there was no organization of ASCO at all. It was it was all run by a contract organization. And it was clear that we had grown to a size such that we really needed to begin to recruit our own leadership staff. And so my year as president was actually the first year we hired a full-time employee. And she was based in a law firm that we used for ASCO legal business. But that was the first employee ever hired by ASCO. And that was in 1990, or 1989, I don't remember which, put in that year anyway. The other thing that was going on, which was critical for the society, is that, of course, there's always been a 'town gown' challenge in all aspects of medicine. And medical oncology was no different. So it had originally been the province of academic oncologists. But the numbers began to change dramatically. And it became clear that there was an enormous number of community-based oncologists, who looked at the challenges that face the organization somewhat differently than the academics. And this is one of the things that I think I benefited from growing up with a father that had both his feet in the community-based practice and the academic practice. And I realized how private practicing physicians view academics and view academic control of organizations. And I realized-- and others did too. I wasn't alone on this-- that we really needed to build up the recognition of community-based oncology as a first class citizen in the society. And so we began to create and bring in all of these state society organizations. And we began to get leadership roles who were based in community oncology, rather than just academics. And Joe Bailes was our first head of the Public Relations Committee of the society and grew this into a national presence and became the first community-based president of ASCO. So I think I think those are the two things that I saw that hopefully I made an impact on. And it always amazes me to realize that the society was really that young. I mean, people can't believe that it's just, what, 30 years ago when we had our first employee. Dr. Hayes: Yeah, that's why I'm doing these podcasts. We make sure we get this history. You know, it's interesting, I often give you credit for the ladder. As president myself, it was made very clear to me that 90% of the patients in this country with cancer are treated by community oncologists, maybe 85% or so. And about 2/3 of our membership are community oncologists. So we now have designated seats on the board of directors. We started a Department of Clinical Affairs that Steve Grubbs is running. That's just a few years old. But, boy, it's been fabulous. We now have a designated chair, the state affiliate council is invited to the board of directors and sits in and presents. And the state affiliate councils meets at ASCO headquarters at least once a year. And we've had a couple presidents who are, besides Joe, Doug Blayney and Skip Burris now coming in in June. So I think we've been reaching out. It always struck me when I sat in the headquarters, the seven founding members were, for the most part, community people. They met just to talk about how do you give chemotherapy. It wasn't, you know, about Tom Frei or Freireich or Jim Holland. It was folks in the community. And then it grew into an academic society. And I think you and then Joe Bailes and others kind of brought us back and grounded us. And to me, that's a really critical evolution in our society. I think it's made us much stronger. So those are most of my questions. You've answered almost everything I had written down that I always wanted to ask you if I got a moment in a cab with you. I want to thank you for taking time to do this. But more importantly, I want to thank you for all the contributions you have made to the field. I mean, I don't think I would be here and I don't think most of us who do oncology would be here if it weren't for you and the Gang of Five and the things you've done, both by the courage to moving forward to giving the kinds of chemotherapy and stuff, establishing science in the field, but also the policy stuff. Your articles in The New England Journal over the years, I think have been classics. You should put this all in a book and send them out to everybody because they have to do with not just giving chemotherapy, but the whys and hows of what we do. So I know I'm being long-winded, but that's because I'm a big fan. Well, thank you very much. Dr. Young: You know one of the things, I got to say is that I've just been a very lucky person. I happened to have had great opportunities. And I think I was able to take advantage of those opportunities. But somebody gave me those opportunities and put me at the right place at the right time. And so I am a very lucky guy. Dr. Hayes: Well, and I want to finish up and say how nice it is to see at least one graduate of Ohio State University do well. You know, it doesn't come very often. So congrat-- Dr. Young: Yeah, yeah, yeah, yeah, yeah The team up north, the team that will not be named, yes. Dr. Hayes: Thank you so much. And appreciate all you've done. Again, appreciate your taking time with us. Dr. Young: Thank you very much, Dan. Dr. Hayes: Until next time, thank you for listening to this JCO's Cancer Stories, The Art of Oncology podcast. If you enjoyed what you heard today, don't forget to give us a rating or review on Apple Podcasts or wherever you listened. While you're there, be sure to subscribe so you never miss an episode. JCO's Cancer Stories, The Art of Oncology podcast is just one ASCO's many podcasts. You can find all the shows at podcast.asco.org.
It can be hard to get moving when you are experiencing chronic pain. Have you ever experienced the Crash-and-Burn cycle (overdoing it when you have a good day, and then being down-for-the-count for several days after)? Learn how to get moving safely using pacing, engaging in enjoyable activities, and by setting SMART goals. CPT Tracy Beegen (Aeromedical Psychologist) and her guest CAPT Amy Park Ph.D. MSCP (CAPT (0-6) US Public Health Service, Acting Director DHA Connected Health) help you overcome barriers to getting moving. DHA Connected Health Defense Health Agency https://health.mil/podcasts dha.connected-health@mail.mil Twitter: @DHAConnected (https://twitter.com/DHAConnected) Facebook: https://www.facebook.com/DHAConnectedHealth For closed captioning, view a video version Living Beyond Pain at https://www.youtube.com/playlist?list=PL8PcXBrsYZ8FbVDyKvH-1K7voY0muJuQ- Living Beyond Pain is produced by the Defense Health Agency (https://health.mil). Learn more about Military Health Podcasts at https://health.mil/podcasts Music is Siesta by Jahzzar
Mindfulness is an important aspect of chronic pain management, and it’s different than just relaxation. Dr. William MacNulty (CMDR (0-5) US Public Health Service; Health Promotion Psychologist, 1st Special Forces Group) and CPT Tracy Beegen (Aeromedical Psychologist) describe how to use a mindfulness practice to change the relationship to pain using the RAIN technique: Recognize, Allow, Investigate, Note. Free resources discussed: The Military Meditation Coach podcast (https://soundcloud.com/militarymeditationcoach) The Mindfulness Coach mobile app (https://play.google.com/store/apps/details?id=gov.va.mobilehealth.ncptsd.mindfulnesscoach&hl=en_US) DHA Connected Health Defense Health Agency https://health.mil/podcasts dha.connected-health@mail.mil Twitter: @DHAConnected (https://twitter.com/DHAConnected) Facebook: https://www.facebook.com/DHAConnectedHealth For closed captioning, view a video version Living Beyond Pain at https://www.youtube.com/playlist?list=PL8PcXBrsYZ8FbVDyKvH-1K7voY0muJuQ- Living Beyond Pain is produced by the Defense Health Agency (https://health.mil). Learn more about Military Health Podcasts at https://health.mil/podcasts Music is Siesta by Jahzzar References: Brewer, J (2017). The Craving Mind, Yale University Press: New Haven, CT. Cayoun, B., Simmons, A. & Shires, A. (2017) Immediate and Lasting Chronic Pain Reduction Following a Brief Self-Implemented Mindfulness-Based Interoceptive Exposure Task: a Pilot Study, Mindfulness. DOI 10.1007/s12671-017-0823-x Killingsworth, M.A., Gilbert, D.T., (2010). A Wandering Mind Is an Unhappy Mind. Science, 220(6006): 932 Vol. 330, Issue 6006, pp. 932. DOI: 10.1126/science.119243
The US Food and Drug Administration (FDA) has proposed lowering the maximum amount of fluoride added in bottled water. Fluoride is a chemical compound typically present in soil, plants, and water. It is usually added to certain products, including toothpaste and breath freshener. The chemical is also added to drinking water because it has been proven that adding an optimum amount of this substance to water helps prevent tooth decay. Previously, the maximum allowable level of fluoride in bottled water was 0.8 milligrams per liter, but the FDA recently recommended changing it to 0.7 milligrams. The proposed amount conforms to the US Public Health Service's recommendation in 2015. According to Doctor Susan Mayne, a director from the FDA, the new proposal aims to ensure that the public will get the benefits of fluoride without risking overexposure. Previous studies revealed that too much fluoride can cause several problems. Two experiments conducted separately found that children exposed to excessive fluoride had lower IQ test results. Too much fluoride may also cause visible stains on the teeth, and in worse cases, can also cause bones to be prone to fractures. However, the FDA's proposal was met with some criticism. Some experts believe that the agency's new proposed amount can still place consumers at risk. According to Doctor Philippe Grandjean of the Harvard T.H. Chan School, the maximum fluoride level in bottled water should be even lower than 0.7 milligrams per liter. In addition, a researcher from the American Environmental Health Studies Project said that the FDA's proposal was behind time and will not do much to lessen already existing problems caused by fluoride overexposure.
Measles is back in the United States and is currently spreading quickly; the number of cases in the United States in 2019 has already surpassed the number of cases in all of last year. In this episode, get highlights from two Congressional hearings addressing the measles outbreak, which answered a lot of questions about the dangers of the disease, what is causing the outbreak, what is being done about it by the government, and what we can do to help. Please Support Congressional Dish – Quick Links Click here to contribute monthly or a lump sum via PayPal Click here to support Congressional Dish for each episode via Patreon Send Zelle payments to: Donation@congressionaldish.com Send Venmo payments to: @Jennifer-Briney Send Cash App payments to: $CongressionalDish or Donation@congressionaldish.com Use your bank's online bill pay function to mail contributions to: 5753 Hwy 85 North, Number 4576, Crestview, FL 32536 Please make checks payable to Congressional Dish Thank you for supporting truly independent media! Recommended Congressional Dish Episodes CD190: A Coup for Capitalism Additional Reading Article: New York City vaccination order shines spotlight on insular Jewish community by Lenny Bernstein, Lena H. Sun, and Gabrielle Paluch, The Washington Post, April 11, 2019. Tweet: Congratulations to Netanyahu from Rep. Jeff Duncan, April 11, 2019. Article: 78 new measles cases reported nationwide since last week, CDC says by Debra Goldschmidt, CNN, April 8, 2019. Article: More Americans have gotten measles this year than in 2018 - and it's only April by Sara Chodosh, Popular Science, April 8, 2019. Article: Australia ramps up measles warnings as cases jump, Yahoo News, April 7, 2019. Article: Judge lifts Rockland's measles emergency order banning unvaccinated children from public by Jenna DeAngelis, CBS Local New York, April 5, 2019. Article: In three months, US measles cases surpass 2018 numbers by Carolyn Wilke, The Scientist, April 2, 2019. Article: The measles virus was down and out. Now it's primed for a comeback by Helen Branswell, Stat News, March 26, 2019. Article: Footage contradicts U.S. claim that Nicolas Maduro burned aid convoy by Nicholas Casey, Christoph Koettl, and Deborah Acosta, The New York Times, March 10, 2019. Article: Measles cases mount in Pacific northwest outbreak by Jonathan Lambert, NPR, February 8, 2019. Article: Measles cases at highest for 20 years in Europe, as anti-vaccine movement grows by Sarah Boseley, The Guardian, December 21, 2018. Article: Vitamin A: Benefits, deficiency, toxicity and more by Jillian Kubala, Healthline, October 4, 2018. Article: Vitamin A protects against measles: Top Doctor by Sylvia Booth Hubbard, Newsmax Health, February 3, 2015. Research Article: Measles-induced encephalitis by D.L. Fisher, S. Defres, and T. Solomon, QJM International Journal of Medicine, May 26, 2014. Research Article: Measles inclusion-body encephalitis caused by the vaccine strain of measles virus by A. Bitnun, P. Shannon, A. Durward, P.A. Rota, W.J.Bellini, C. Graham, E. Wang, E.L. Ford-Jones, P. Cox, L. Becker, M. Fearon, M. Petric, and R. Tellier, PubMed, October 29, 1999. Resources Center for Disease Control and Prevention: Measles, Mumps, and Rubella (MMR) Vaccine Safety Center for Disease Control and Prevention: Measles (Rubeola): Transmission Center for Disease Control and Prevention: Vaccine Information Statements (VISs) Center for Disease Control and Prevention: Vaccine Safety: Autism Health Resources & Services Administration: HRSA Data and Statistics: Vaccine Compensation National Institute of Health: Anthony S. Fauci, M.D., NIAID Director Vaccine Adverse Event Reporting System (VAERS): Table of Reportable Events Following Vaccination Washington State Department of Health: Measles Outbreak 2019 Website: generationrescue.org Sound Clip Sources Hearing: Vaccines Save Lives: What is Driving Preventable Disease Outbreaks, Senate Committee on Health, Education, Labor & Pensions, Senate.gov, March 5, 2019. C-SPAN Witnesses: Dr. John Wiesman: Secretary of Health for Washington State Jonathan A. McCullers, MD: Professor and Chair, Department of Pediatrics, University of Tennessee Health Science Center, Pediatrician-in-Chief, Le Bonheur Children's Hospital, Memphis, TN Saad B. Omer, MBBS, MPH, PhD: William H. Foege Professor Of Global Health Professor of Epidemiology & Pediatrics, Emory University, Atlanta, GA John G. Boyle, President And CEO: Immune Deficiency Foundation, Towson, MD Ethan Lindenberger: Student, Norwalk High School, Norwalk, OH Sound Clips: 20:00 Dr. John Wiesman: As of yesterday, Washington State's measles outbreak had 71 cases plus four cases associated with our outbreak in Oregon and one in Georgia. Containing a measles outbreak takes a whole community response led by governmental public health. The moment they suspected cases reported, disease investigators interviewed that person to determine when they were infectious, who they were in close contact with and what public spaces they visited. If still infectious, the health officer orders them to isolate themselves so they don't infect others, notifies the public and the about the community about the public places that they were in when they are infectious and stands up a call center to handle questions. We also reach out to individuals who were in close contact with the patient. If they are unvaccinated and without symptoms, we ask them to quarantine themselves for up to 21 days. That's how long it can take to develop symptoms and we monitor them so that we quickly know if they develop measles. If they show symptoms, we get them to a healthcare provider and obtain samples to test for measles and if they have measles, we start the investigation process all over again. This is a staff and time intensive activity and is highly disruptive to people's lives. Responding to this preventable outbreak has cost over $1 million and required the work of more than 200 individuals. 21:15 Dr. John Wiesman: So what do we need from the federal government? First, we need sustained, predictable and increased federal funding. Congress must prioritize public health and support the prevention and public health fund. We are constantly reacting to crises rather than working to prevent them. The Association of state and territorial health officials and over 80 organizations are asking you to raise the CDC budget by 22% by FY22 this will immediately bolster prevention services, save lives, and reduce healthcare cost. Second, our response to this outbreak has been benefited greatly from the Pandemic and All Hazards Preparedness Act, so thank you. The Public Health Emergency Preparedness Cooperative Agreement in the hospital preparedness programs authorized by this law are currently funded $400 million below funding levels in the 2000s. More robust funding is needed and I strongly urge you to quickly reauthorize POPRA because many of the authorizations expired last year. Third, the three 17 immunization program has been a flat funded for 10 years without increased funding. We cannot afford to develop new ways to reach parents with immunization information nor maintain our electronic immunization systems. Fourth, we need federal leadership for a national vaccine campaign spearheaded by CDC in partnership with states that counter the anti-vaccine messages similar to the successful TRUTH tobacco prevention campaign. We have lost much ground. Urgent action is necessary. 46:15 Sen. Lamar Alexander (TN): In your opinion, there's no evidence, reputable evidence, that vaccines cause autism? Jonathan McCullers: There is absolutely no evidence at this time that vaccines cause autism. Sen. Lamar Alexander (TN): Dr. Omer, do you agree with that? Saad B. Omer: Absolutely. Sen. Lamar Alexander (TN): Doctor Wiesman, do you agree with that? Dr. John Wiesman: I do. Sen. Lamar Alexander (TN): Mr. Boyle, do you agree with that ideal? John Boyle: I do. Sen. Lamar Alexander (TN): Mr Lindenbergeer? Ethan Lindenberger: I do. 47:30 Dr. John Wiesman: The choice to sort of make exemptions more difficult - to get them to be a sort of as burdensome as not getting the vaccine - is incredibly important. In Washington state, as you know, we have two bills right now that are looking to remove the personal exemptions from a vaccine for school entry and for child care entry. I think that's one of the tools that we have and that we should be using for this. 47:45 Dr. John Wiesman: I will also say in Washington state, another problem we have is that about 8% of our kids are out of compliance with school records so that we don't even know if they're vaccinated or would like exemptions and we have to tackle that problem as well. 1:05:45 Sen. Rand Paul (KY): Today though, instead of persuasion, many governments have taken to mandating a whole host of vaccines including vaccines for nonlethal diseases. Sometimes these vaccine mandates have run a muck when the, as when the government mandated a rotavirus vaccine that was later recalled because it was causing intestinal blockage in children. I'm not a fan of government coercion, yet given the choice, I do believe that the benefits of most vaccines vastly outweigh the risks. Yet it is wrong to say that there are no risks to vaccines. Even the government admits that children are sometimes injured by vaccines. Since 1988 over $4 billion has been paid out from the Vaccine Injury Compensation Program. Despite the government admitting to in paying $4 billion for vaccine injuries, no informed consent is used or required when you vaccinate your child. This may be the only medical procedure in today's medical world where an informed consent is not required. Now, proponents of mandatory government vaccination argue that parents who ref use to vaccinate their children risk spreading these disease to the immunocompromised community. There doesn't seem to be enough evidence of this happening to be recorded as a statistic, but it could happen. But if the fear of this is valid are we to find that next we'll be mandating flu vaccines. Between 12 and 56,000 people die from the flu or are said to die from the flu in America and there's estimated to be a few hundred from measles. So I would guess that those who want to mandate measles will be after us on the flu next. Yet the current science only allows for educated guessing when it comes to the flu vaccine. Each year before that year's flu vaccine is, or strain is known, the scientists put their best guess into that year's vaccine. Some years it's completely wrong. We vaccinate for the wrong strain of flu vaccine. Yet five states already mandate flu vaccines. Is it really appropriate, appropriate to mandate a vaccine that more often than not vaccinates for the wrong flu strain. As we contemplate forcing parents to choose this or that vaccine, I think it's important to remember that force is not consistent with the American story, nor is force considered consistent with the liberty our forefathers saught when they came to America. I don't think you have to have one of the other, though. I'm not here to say don't vaccinate your kids. If this hearing is for persuasion, I'm all for the persuasion. I vaccinated myself. I vaccinated my kid. For myself and my children I believe that the benefits of vaccines greatly outweigh the risks, but I still do not favor giving up on liberty for a false sense of security. Thank you. 1:13:20 Sen. Elizabeth Warren (MA): This administration has repeatedly sought to cut the Prevention and Public Health Fund, which supports key immunization programs, and they've continued their efforts to weaken the Medicaid program, which covers all of the recommended vaccines for children and for many adults as well. I am glad that most of my colleagues are on the same page about the importance of vaccines. Now let's make sure we're also on the same page about the importance of public health funding, so people get access to those vaccines. 1:28:30 Jonathan McCullers: So Mississippi does not allow any nonmedical exemptions, and they have nearly a 100% rate of immunization at school entry. They pay a lot of attention to it. Tennessee's in the middle, they allow religious exemptions, but not philosophical exemptions. In Tennessee, we have about a 97% vaccination rate of kindergarten entry, but we've seen the rate of nonmedical exemptions under the religious exemption triple in the last 10 years, so you can predict where that's going. Arkansas ,on the other hand, allows both religious and philosophical exemptions and has a rate that's around 93 to 94% below the level for community immunity. Hearing: Confronting a Growing Public Health Threat: Measles Outbreaks in the U.S., Committee on Energy and Commerce, Subcommittee on Oversight and Investigations, House of Representatives, C-SPAN, February 27, 2019. Witnesses: Dr. Nancy Messonnier Director of the National Center for Immunization and Respiratory Diseases Dr. Anthony Fauci Director of the National Institute of Allergy and Infectious Diseases (NIAID) Sound Clips: 3:42 Chairman Diana Degette (CO): The national measles vaccination rate of children between 19 and 35 months old is currently at 91%. That may seem high to some, but given the highly contagious nature nature of measles, it's well below the 95% vaccination rate that's required to protect communities and give it what it's known as herd immunity. This so called herd immunity is particularly vital to protecting those who cannot be or are not yet vaccinated against the measles, such as infants or those with prior medical conditions who are at a higher risk of suffering severe complications from the vaccine. 4:30 Chairman Diana Degette (CO): While the overall national rate of MMR vaccinations is currently at 91%, the rate in some communities is much lower. Some are as low as 77%. 9:15 Rep. Brett Guthrie (KY): Every state except three have enacted religious exemptions for parents who wish not to vaccinate their children. There are 17 states allow a personal philosophical exemption, which means that most people can opt out for any reason. For example, in Washington state, just 0.3% of Washington's families with kindergartners use a religious exemption. While 3.7% of families use a personal exemption and 0.8% use a medical exemption. Vaccine exemptions have increased in the past three years to a median 2.2% of kindergardeners among all states. 10:00 Rep. Brett Guthrie (KY): After the Disneyland linked outbreak to measles in 2014, the state of California ended the religious and personal exemption for vaccines. The Washington legislature is working on legislation that substantially narrows the exemptions for vaccination that would eliminate the personal or philosophical exemption while tightening the religious exemption. In recent weeks, take legislators in New Jersey, New York, Iowa, Maine, and Vermont, have proposed eliminating religious exemptions for vaccines. However, last week, the Arizona House Health and Human Service Committee approved three bills to examine exemptions for mandatory vaccinations. 23:25 Dr. Nancy Messonnier: From January 1st to February 21st, 159 cases of measles have been confirmed in 10 states, including California, Colorado, Connecticut, Georgia, Illinois, Kentucky, New York, Oregon, Texas, and Washington. In 2018, 372 people with measles were reported from 25 states and the district of Columbia. Most cases have been unvaccinated. 24:15 Dr. Nancy Messonnier: Nationally, we enjoy high measles vaccination coverage. However, there are pockets of people who are vaccine hesitant, who delay or even refuse to vaccinate themselves and their children. Outbreaks of measles occur, when measles gets into these communities of unvaccinated people. Those choosing not to vaccinate, tend to live near each other. Some of these are what we call close knit communities. People who share common religious beliefs or racial ethnic background. Others are people who have strong personal belief against vaccination. 25:15 Dr. Nancy Messonnier: Vaccine hesitancy is the result of a misunderstanding of the risk and seriousness of disease combined with misinformation regarding the safety and effectiveness of vaccines. However, the specific issues fueling hesitancy varies by community. Because vaccine hesitancy remains a highly localized issue, the strategy to address these issues need to be local with support from CDC. Strong immunization programs at the state and local levels are critical to understanding the specific issues and empowering local action. CDC also works to support state and local public health efforts through research to understand these reasons and develop targeted strategies to address hesitancy. 28:40 Dr. Anthony Fauci: Measles virus is one of the most contagious viruses that we know among the pathogens that confront mankind. As mentioned, that if an individual gets into a room with someone who has measles, and that person is coughing and sneezing, there's about a 90% chance that that person. That is very unlike other diseases like influenza and other respiratory diseases when the hit rate, although it's high, is nothing, uh, approaching 90%. 30:00 Dr. Anthony Fauci: As was mentioned prior to the vaccine era, there were about 3 million deaths each year. The decrease was dramatic. There were 21 million lives that were saved from vaccines between the year 2000 and 2017. But as shown on the last bullet on this slide, there are 110,000 deaths still today in the world, which means there's the danger of the reinsertion of measles from other countries, and if we're not protected. 31:00 Dr. Anthony Fauci: Well, let's take a look at some of the things that I mentioned about the disease itself. Fever, cough, rash, as was mentioned by Dr. Burgess, again, contagious from four days before the rash to four days after. So people are spreading measles before they really know that they actually have measles. We have a group of individuals who are particularly at risk for complications, infants and children, pregnant women, immunocompromised, and even adults. If you're not protected and you get infected, adults have a high incidence of complications. You've heard about the complications. They are not trivial. One out of 10 with ear infections, which could lead to deafness, pneumonia in one out of 20 cases, and encephalitis one in a thousand. A very rare occurrence called subacute sclerosing panencephalitis, seven to 10 years after an individual develops measles, they can have a very devastating neurological syndrome, no known cure, and is vaccine preventable. 34:15 Dr. Nancy Messonnier: Taking care of your health, eating well, exercising, getting enough sleep: Those are all parts of a healthy lifestyle, but the only way to protect against measles is to get vaccinated. It's a safe and effective vaccine, and parents should go ahead and get vaccinated. 36:00 Chairman Diana Degette (CO): What are the risks inherent in the vaccine itself? I think that might be one reason why, um, some, some parents are choosing not to vaccinate their children as they believe that the risks with the vaccine outweigh the benefits. Dr. Nancy Messonnier: I think you're exactly right and I think in the setting of not a lot of measles cases around, parents weigh in their mind the risks and benefits and think they shouldn't vaccinate. Truth is this is an incredibly safe vaccine. We have a host of experience with it. The vaccine's been used for a really long time. We in the United States enjoy one of the most robust systems to monitor the safety of vaccines. And that's why we can say with confidence that this is a safe vaccine. The most common side effects are a sore arm, which goes away pretty quickly. 42:00 Rep. Brett Guthrie (KY): I've heard some parents claim that measles vaccine can cause brain inflammation known as encephalitis. Is that true? Dr. Anthony Fauci: Brain inflammation? Rep. Brett Guthrie (KY): Encephalitis? Can the measles vaccine cause encephalitis? The vaccine? Dr. Anthony Fauci: The vaccine? No. Rep. Brett Guthrie (KY): There's no cases? Chairman Diana Degette (CO): The Chair will remind all persons in the audience that manifestation of approval or disapproval of proceedings is in violation of the rules of the house and its committees. Gentlemen may proceed. Dr. Nancy Messonnier: In healthy children, the MMR vaccine does not cause brain swelling or encephalitis. Rep. Brett Guthrie (KY): So if a, if a child was unhealthy when they're vaccinated? Dr. Nancy Messonnier: So, there are rare instances of children with certain very specific underlying problems with their immune system and who the vaccine is contra indicated. One of the reasons its contra indicated is in that very specific group of children, there is a rare risk of brain swelling. Rep. Brett Guthrie (KY): Would the parent know if their child was in that category before… Dr. Nancy Messonnier: Certainly, and that's why parents should talk to their doctor. 43:15 Rep. Brett Guthrie (KY): So there's another thing that's that people can self medicate with vitamin A to prevent measles and not do the vaccine. Is that, what's the validity of that in your opinion? Dr. Anthony Fauci: Well, the history of vitamin A and measles goes back to some very important and I think transforming studies that were done years ago in, in sub Saharan Africa, is that with vitamin A supplements, particularly in vitamin A deficiency that children who get measles have a much more difficult course. So vitamin A associated with measles can actually protect you against some of the, uh, toxic and adverse effects. Importantly, since in a country, a developed nation where you really don't have any issue with vitamin A deficiency, that you don't really see that transforming effect. But some really good studies that were done years ago show that vitamin A supplementation can be very helpful in preventing the complications of measles. Rep. Brett Guthrie (KY): It doesn't prevent the onset of measles if, if you're not… Dr. Anthony Fauci: No. Rep. Brett Guthrie (KY): is that what you're saying? It doesn't want to put words in your mouth. Dr. Anthony Fauci: It doesn't prevent measles. But it's important in preventing some of the complications in societies in which vitamin A deficiency might exist. 46:10 Rep. Jan Schakowsky (IL): I'm trying to understand what has happened between 2000 and 2019 and why we're, we've fallen so far from the public health success stories, um, when the CDC actually said that there we had eradicated in the United States, uh, measles in, in, in 2000. So Dr. Messonnier, yes or no: Do you believe the primary cause of the spike and measles outbreak over the past few years is due to vaccine hesitancy and misinformation? Dr. Nancy Messonnier: Yes and no. I think vaccine hesitancy is a, is a word that means many different things. Parents have questions about vaccines, they get those questions answered. That isn't what you should call a hesitancy. So I do believe that parents concerns about vaccine leads to under vaccination and most of the cases that we're seeing are an unvaccinated communities. However, if you look nationally at measles vaccination coverage, there were other things that are associated with low coverage. Um, for example, living in a rural area versus an urban area. Rural areas have lower vaccine coverage with measles. Schakowsky: How would you account for that? Messonnier: Well, I think that there are other things besides the sole choice that are around access to care. For example, kids without health insurance have lower measles vaccination coverage. Schakowsky: So generally lack of access to care. Messonnier: In addition to parents making decisions not to vaccinate their kids. Yes. 50:20 Rep. Michael Burgess (TX): I do feel obligated dimension that vitamin A is not like vitamin C. You may not take unlimited quantities of vitamin A with impunity. It is a fat soluble vitamin and it is stored in the body. Uh, so don't go out and hyper dose on vitamin A because it, uh, it will not accrue to your long-term benefit. 54:15 Rep. Michael Burgess (TX): Did the measles, mumps, rubella vaccine ever contain mercury or thimerosal? I'll need a verbal answer for the clerk. Dr. Anthony Fauci: No. It's preservative free. 56:00 Dr. Nancy Messonnier: So measles was identified as eliminated in the United States in 2000 because there was no longer sustained transmission in the US. However, measles continues to circulate globally, which means unvaccinated US travelers can be exposed to measles and bring it back home with them, and folks in their families and their communities, if they're not protected by vaccine, are at risk. And measles is so incredibly contagious that it can spread really quickly. So yes, we should be concerned. 57:00 Rep. Frank Pallone (NJ): What role do you see this spread of disinformation online playing in, in, in the rise of, um, of these outbreaks? Dr. Anthony Fauci: Yeah, I believe Mr. Pallone, that it plays an important role. It's, it's not the only one but, but I believe it plays an important role. And I think the classic example of that was the disinformation associated with the relationship between measles, vaccination and autism, which, uh, back when it came out, uh, years ago, there was a big concern that this was the case when it was investigated. It became clear that the data upon which those statements were made were false and fraudulent. And the person who made them had his medical license revoked in England. And yet, as you know very well, the good news about the Internet is that it spreads important information. That's good. And the bad news about the Internet is that when the bad information gets on there, it's tough to get it off. And yet people refer to things that have been proven to be false. So this information is really an important issue that we need to try and overcome by continuing to point people to what's evidenced based and what's science-based. So in, in so many respects, we shouldn't be criticizing people who get these information that's false because they may not know it's false. We need to try and continue to educate them to show them what the true evidence base is. But in direct answer to your question, that is an important problem, disinformation. Rep. Frank Pallone (NJ): Now do you think that the promotion of this inaccurate and fear based messages, would you consider that in itself a threat to public health? Dr. Anthony Fauci: Yes, of course. I think the spread of false information that leads people into poor choices, even though they're well meaning in their choice, it's a poor choice based on information. I think that's a major contribution to the problem that we're discussing. (lady behind him holds up a book titled “Autism Epidemic”) 1:04:00 Dr. Anthony Fauci: But when you have a highly effective, and I want to underscore that because measles is one of the most effective vaccines that we have of any vaccine that a massive public health effort could lead to eradication. Because we don't have an animal vector, we don't have an intermediate host. We don't have a vector that transmits it. It is just person to person transmissibility. So theoretically we could eradicate it. The problem between eradication and elimination, if you eliminate it like we did in this country in 2000 as long as this measles somewhere, you always have the threat of it reemerging if you let down the umbrella of herd immunity. 1:05:00 Dr. Nancy Messonnier: Dr. Fauci is correct about Madagascar, but I think Americans don't realize that in 2018 there were also outbreaks in England, France, Italy, and Greece. American travelers going abroad need to think about their immunization status, not just when they're going into countries like Madagascar, but even going to Europe. 1:11:45 Rep. Jeff Duncan (SC): And one of the world's measle outbreaks right now, it's happening in Brazil where people fleeing a completely broken country of Venezuela are spreadingeas measles and - madam chair- I'd like to submit for the record, an NPR article, "The collapse of health system sends Venezuelans fleeing to Brazil for basic medical needs." And I'll submit that for the record. Um, they've been in a unvaccinated population because of the collapse of the failed socialist state in Venezuela where there should be an instructive example for some of us in this committee room of the lack of that sort of medical treatment of vaccinations. I would note that the humanitarian aid that countries like the U.S. are trying to send to Venezuela is being burned on bridges by the Maduro regime instead of actually being used to help his own people. This includes vaccinations, like the ones we're discussing today. There were measles vaccinations that were burned on the bridges as part of the relief effort to Venezuela. 1:18:30 Rep. Kathy Castor (FL): I was a little confused by the last line of questioning that they're, the alarm should be over, uh, immigration and, and asylum seekers. You have a comment on that, Dr. Fauci? Dr. Anthony Fauci: Well, I, I think what Dr. Messonnier said is absolutely correct. If you look at the known outbreak, so if you take the outbreak in the Williamsburg section of Brooklyn in New York City and in Rockland County, it was a relatively closed group who had a rate of vaccination that was below the level of a good herd immunity. A person from Israel understandably came over legally as a visitor into the community. And then you had a massive outbreak in New York. The Somali community in Minnesota, the same thing happened. You had a group there who had a lower rate that went below the cutoff point for herd immunity. Some immigrant came in as one of the members of the community, was a relatively closed community, and that's what you have. So I think when you talk about outbreaks, it really transcends some of the demographic issues that you were talking about, about lower income or rural versus urban. It really is an a closed community that we're seeing it. Castor: with lower vaccination rates. Fauci: Right, exactly. So a lower vaccination rates. 1:23:45 Rep. Paul Tonko (NY): In response to the spotlight on the monetization of misinformation about vaccines and the ways in which platforms are being manipulated to promote anti vaccination messaging, some companies have announced new policies. For instance, Facebook says it is working on its algorithms to prevent anti-vaccination content from being recommended to users. Pinterest has decided to remove all vaccination related posts and searches, even accurate information. And YouTube just recently announced that it would prevent channels that promote anti-vaccination content from running advertising. Dr Fauci, do you think these actions are a step in the right direction to ensure parents and families have access to science-based factual health information? Dr. Anthony Fauci: Obviously it's a very sensitive subject because it then gets in the that borderline between the, you know, the essentially crushing of information that might actually be useful information. However, having said that, I do think that a close look and scrutiny at something that is egregiously incorrect has some merits of taking a careful look as to whether, one, you want to be participating in the dissemination of that. Always being careful about not wanting to essentially curtail freedom of expression. You still want to make sure you don't do something that is so clearly hazardous to the health of individuals. Rep. Paul Tonko (NY): I appreciate that. And Dr. Messonnier, as the agency charged with protecting our national public health, what efforts are underway at CDC to counter the online proliferation of anti vaccination disinformation. Dr. Nancy Messonnier: As a science based agency, CDC really focuses on making sure that we get scientifically credible information available to the folks at the front lines it needed every day. In order to do that, we do scan social media to see what issues are arising and what questions are emerging to make sure that we can then gather the scientifically appropriate answers and get that to our partners in the front line so that they can talk to patients about that information. 1:30:30 Dr. Nancy Messonnier: The concept of herd immunity is that by vaccinating an individual, you don't just prevent them from getting disease, but you also prevent them from transmitting it to others. And what that means is that in our community, individuals who, for example, can't get the vaccine because they're too young, or they have some kind of illness that prevents it, are still protected by the cushion of protection provided by their community. Radio Interview: National Security Advisor Ambassador John Bolton, Hugh Hewitt Book Club, February 1, 2019. Hugh Hewitt: There are reports of Venezuela shipping gold to the United Arab Emirates. The UAE is a very close ally of ours. Have you asked the UAE to sequester that gold? John Bolton: Let me just say this. We’re obviously aware of those reports consistent with what we did on Monday against PDVSA, the state-owned oil monopoly where we imposed crippling sanctions. Steven Mnuchin, the Treasury Secretary, is implementing them as we speak. We’re also looking at cutting off other streams of revenue and assets for the Maduro mafia, and that certainly includes gold. And we’ve already taken some steps to neutralize gold that’s been out of the country used as collateral for bank loans. We’ve frozen, and our friends in Europe, have frozen a substantial amount of that. We want to try and do the same here. We’re on top of it. That’s really all I can say at the moment. White House Daily Briefing: Trump Administration Officials Announce Sanctions on Venezuelan Oil Sector, C-SPAN, January 28, 2019. Speakers: Steve Mnuchin - Treasury Secretary John Bolton - National Security Advisor Sound Clips: 7:43 Steven Mnuchin: But effective immediately, any purchases of Venezuelan oil by U.S. entities, money will have to go into blocked accounts. Now, I've been in touch with many of the refineries. There is a significant amount of oil that's at sea that's already been paid for. That oil will continue to come to the United States. If the people in Venezuela want to continue to sell us oil, as long as that money goes into blocked accounts, we'll continue to take it. Otherwise, we will not be buying it. And again, we have issued general licenses, so the refineries in the United States can continue to operate. 9:06 Steven Mnuchin: The purpose of sanctions is to change behavior. So when there is a recognition that PDVSA is the property of the rightful rulers, the rightful leaders, the president, then, indeed, that money will be available to Guaido. Interview: Jenny McCarthy talks to CNN on how she cured her sons Autism caused by VACCINATIONS, CNN, October 23, 2008. Documentary: Mission, Measles - The Story of a Vaccine, Co-produced by US Public Health Service and Merck, C-SPAN/American History TV, 1964. 3:30 Narrator: As of this time, measles is by far our most serious epidemic childhood disease. Although nearly half a million cases are reported each year, the actual number is probably closer to 4 million. 3:45 Narrator: In 1961 after the polio vaccines had reduced the deaths from that disease to 90, that same year 434 measles deaths were reported. In the less developed countries of the world, the toll taken by measles is much greater. In Nigeria, it is estimated that one out of four babies contracting measles dies from it. The tragic toll of measles is also told in a neighboring republic Upper Volta, where in one village, an epidemic killed 113 out of 115 children who got the disease. Across the ocean in Chile, measles accounts for half of all childhood deaths from acute communicable diseases each year. Community Suggestions See Community Suggestions HERE. Cover Art Design by Only Child Imaginations Music Presented in This Episode Intro & Exit: Tired of Being Lied To by David Ippolito (found on Music Alley by mevio)
Outside Magazine Freelance Writer, Eva Holland Eva Holland is a freelance writer for Outside magazine but she also does work for National Geographic and other publications. I write mostly narrative features about outdoor adventures, team sports and how we connect to the wilderness and environmental issues. There are all kinds of ways that we interact with the wilderness. I did an article for Hakai magazine. This publication is fairly new and it covers coastal science and societies. It's pretty neat. My story was on polar bears. I went to a small village along the Bering Strait where the village is setting up a non-lethal bear patrol. I spent a lot of time with the polar bear patrol but I didn't see any polar bears. In February it was just solid ice. The patrol was training and working with all sorts of ideas to be a no-kill patrol. The primary purpose is of course to protect the town but their goal is to not kill bears unnecessarily while protecting the people. So they have noisemakers, air horns, pepper spray and other non-lethal methods to try to discourage the bears from coming into the village. The bears' habitat is diminishing and the villagers are really trying to work with the changing situation and be part of conservation. Science of Fear Topic, Eva's book Right now I'm pulling back from magazine writing because I'm going to be working on a book. The book is somewhat about my experiences but it's going to be the science of fear. The working title is Shake It Off: A Personal Journey Through The Science of Facing Our Fears, and it will be published by Penguin Canada. It will include some of my own experiences and fears because I have fear of heights and other fears. It's going to be looking into science and how fear functions in our mind and bodies and what happens in our brain when we are trying to overcome fear. What does it look like physiologically? The Wilderness prompted me to think about this idea because you think about your fears a lot in the wilderness. Experiences and Positive Imprints My positive imprint is my work. I write stories that will have some meaning for people. It doesn't mean they have to be super serious or anything because there's something fun in reading about schlepping across the sea ice. When I'm having a hard time I think about the lessons I've learned in just the wonder of learning the outdoors. I want stories to bring that joy and ones that are thought-provoking. Eva's web page Kayla and her dog Bella. Physician's Assistant - Kayla, Kodiak Alaska Physician's assistant is a two-year degree after you finish your four year degree. The first year for most schools is classroom work and the second-year is all clinical rotations. Where I went to school I had the opportunity to go to different states and experience different fields. I worked with different populations. The rotations were in North Carolina, Connecticut, New Jersey, and Delaware and you will not sleep in physician's assistant (PA) School. My degree brought me to Kodiak. I'm with the US Public Health Service and I work for the Native Association up here in Kodiak. I also work with a lot of Veterans as well which is probably one of the reasons why I stay here. I helped start a nonprofit in Kodiak for veterans. It's called ‘Kodiak Veterans Outreach’. Most people are able to go to a specialist for health issues and exams like an orthopedist or OBGYN. As a physician's assistant I do all of those things but being in rural Alaska I have a lot more autonomy with the patients which is nice. Listening to Veterans Inspires Me I love listening to veterans and their stories but I also want to work with and help them. I see a lot of vets and they come in and talk about the same problems but individually. If I started a focus group I could bring them together and re-instill some sort of sense of camaraderie so...
Samora Kasmir joins us for a conversation at Boston University on how she became an Occupational Therapist with the US military as part of the US Public Health Service and how others can do the same.
In the third episode of the APA Podcast series Resilience Roundtable, host Rich Roths, AICP, talks with community planner Jack Heide, AICP CFM, and Lieutenant Emily Ussery, PhD, about the impact of Hurricanes Irma and Maria on the US Virgin Islands. The two discuss their unique reasons for working in the region, how combining their expertise led to a more comprehensive recovery effort, and the lessons they took away from their first disaster response and recovery experience. Emily is an epidemiologist with the Physical Activity and Health Branch of the National Center for Chronic Disease Prevention and Health Promotion at the Centers for Disease Control and Prevention (CDC). She is also a lieutenant with the US Public Health Service. Jack works as a planner for the Federal Emergency Management Agency (FEMA) in Region II.
About this show: Today’s guest is a Zuni Pueblo Indian elder, and member of the tribal orders of the Kachina Priesthood, Galaxy medicine society, Sun Clan, and wisdom keeper of the Zuni history and spiritual practices. He is a retired Civil/Environmental Engineer and has worked for Shell Oil Company and various US government programs for housing, planning design and construction of Indian reservation infrastructures and school projects. He also served in the US Public Health Service, as a commissioned officer, to provide services to American Indian communities and as the National Environmental Justice Coordinator for the 561 federally recognized Indian tribes. He coordinated with various agencies of federal, state and tribal governments to enforce laws and regulations to protect sacred sites, and lands against desecration, pollution of natural resources, illegal taking of artifacts, burials, and sacred objects. We discuss: Cliffords background Why The Bureau of Indian affairs is failing The Indian Casino Fallacy Working with Star Children to share this message Television was the first deviation from the spiritual way of being (technology) Religion is used for fear and control The Catholic influence on Native Tribes The Indian Removal Act How the Smithsonian did damage to native sacred sites Why respect was important and one of the most important teachings The Hoax of the Blue Star Kachina UFO’s and Big Foot What is a finished man? What happens when you die? What are Kachina’s Reincarnation “Cosmic Magic” How the government destroyed sacred lands of native Americans How the declaration of independence was copied of the Iroquois “Expedition to Sipapu” Clifford’s Video Website: www.mattbelair.com/podcast (sign up for the email list) Support the show for as little as $1 Here: www.patreon.com/mattbelair Donate: bit.ly/mattbelair Support by Doing an Act of Kindness for Someone Today! Subscribe: Podcast: goo.gl/1euQe7 YouTube: goo.gl/Mz7Ngg FREE STUFF: Guide to Lucid Dreaming E-Book and Guided Hypnotic Experience: www.mattbelair.com/luciddreaming 3 State of the Art, Brainwave Entrainment, 3-D Sound Experiences! bit.ly/gammawaves If you like the show please share, do an act of kindness, and become a patron here www.patreon.com/mattbelair THANK YOU! For Podcast, coaching, speaking, media and consulting inquiries - Matt@ZenAthlete.com Instagram: @MattBelair Twitter: @Matt_Belair May Love, Joy, Passion, Peace, and Prosperity fill your life! Namaste, ~ Matthew Belair HashTags ======== #podcast, #self help, #self improvement, personal development, #podcast, #best podcast, #top podcast, #consciousness, #mind, #body, #spirit, #matt, #matthew, #belair, #spirituality, #awakening, #top rated podcasts, #top video podcasts, #best video podcasts, #best health podcasts, #spiritual podcasts best, #spiritual podcasts to listen to, #spirituality podcast, #consciousness podcast, consciousness videos, #best self help podcasts, #mindset, #healthwisdom, #spirituality, #consciousness, #selfhelp, #selfcare, #mindset, #selfimprovement, #selfdevelopment, #personaldevelopment, #self help podcasts, #personal development podcast, #mindset podcast, #millionaire mindset podcast, #podcast #growth mindset, #self improvement podcast, #best self improvement podcast #consciousness videos channel, #self help videos on youtube, #personal development videos, #personal development videos youtube, #mindset video youtube, #best self improvement videos, #podcast youtube channel, #mindset, #healthwisdom, #spirituality, #consciousness, #selfhelp, #selfcare, #mindset, #selfimprovement, #selfdevelopment, #personaldevelopment
About this show: Today’s guest is a Zuni Pueblo Indian elder, and member of the tribal orders of the Kachina Priesthood, Galaxy medicine society, Sun Clan, and wisdom keeper of the Zuni history and spiritual practices. He is a retired Civil/Environmental Engineer and has worked for Shell Oil Company and various US government programs for housing, planning design and construction of Indian reservation infrastructures and school projects. He also served in the US Public Health Service, as a commissioned officer, to provide services to American Indian communities and as the National Environmental Justice Coordinator for the 561 federally recognized Indian tribes. He coordinated with various agencies of federal, state and tribal governments to enforce laws and regulations to protect sacred sites, and lands against desecration, pollution of natural resources, illegal taking of artifacts, burials, and sacred objects. We discuss: Cliffords background Why The Bureau of Indian affairs is failing The Indian Casino Fallacy Working with Star Children to share this message Television was the first deviation from the spiritual way of being (technology) Religion is used for fear and control The Catholic influence on Native Tribes The Indian Removal Act How the Smithsonian did damage to native sacred sites Why respect was important and one of the most important teachings The Hoax of the Blue Star Kachina UFO’s and Big Foot What is a finished man? What happens when you die? What are Kachina’s Reincarnation “Cosmic Magic” How the government destroyed sacred lands of native Americans How the declaration of independence was copied of the Iroquois “Expedition to Sipapu” Clifford’s Video Website: http://www.mattbelair.com/podcast (sign up for the email list) Support the show for as little as $1 Here: http://www.patreon.com/mattbelair Donate: http://bit.ly/mattbelair Support by Doing an Act of Kindness for Someone Today! Subscribe: Podcast: http://goo.gl/1euQe7 YouTube: https://goo.gl/Mz7Ngg FREE STUFF: Guide to Lucid Dreaming E-Book and Guided Hypnotic Experience: http://www.mattbelair.com/luciddreaming 3 State of the Art, Brainwave Entrainment, 3-D Sound Experiences! http://bit.ly/gammawaves If you like the show please share, do an act of kindness, and become a patron here http://www.patreon.com/mattbelair THANK YOU! For Podcast, coaching, speaking, media and consulting inquiries - Matt@ZenAthlete.com Instagram: @MattBelair Twitter: @Matt_Belair May Love, Joy, Passion, Peace, and Prosperity fill your life! Namaste, ~ Matthew Belair HashTags ======== #podcast, #self help, #self improvement, personal development, #podcast, #best podcast, #top podcast, #consciousness, #mind, #body, #spirit, #matt, #matthew, #belair, #spirituality, #awakening, #top rated podcasts, #top video podcasts, #best video podcasts, #best health podcasts, #spiritual podcasts best, #spiritual podcasts to listen to, #spirituality podcast, #consciousness podcast, consciousness videos, #best self help podcasts, #mindset, #healthwisdom, #spirituality, #consciousness, #selfhelp, #selfcare, #mindset, #selfimprovement, #selfdevelopment, #personaldevelopment, #self help podcasts, #personal development podcast, #mindset podcast, #millionaire mindset podcast, #podcast #growth mindset, #self improvement podcast, #best self improvement podcast #consciousness videos channel, #self help videos on youtube, #personal development videos, #personal development videos youtube, #mindset video youtube, #best self improvement videos, #podcast youtube channel, #mindset, #healthwisdom, #spirituality, #consciousness, #selfhelp, #selfcare, #mindset, #selfimprovement, #selfdevelopment, #personaldevelopment
Domperidone is a pharmaceutical medication that can help increase milk production. In this interview, Frank Nice gives us the scoop on "dom". He tells us who might benefit from domperidone and who shouldn't take it. He tells us about common - and some not-so-common side effects. We learn what dosage is ecommended, and how to safely and effectively discontinue using domperidone when the time comes. And of course we discuss the big controversy around domperidone - why it is not currently FDA approved and where we are in the process of getting it approved. Listen to Dr. Nice's interview: Here are a few highlights from our interview: General dosage of domperidone is 10-20mg 4 times per day or 30mg 3 times per day. Increasing the dosage can further increase milk supply, but dosages greater than 120mg per day rarely result in additional milk production (although a few mothers have found dosages up to 240mg per day are effective). Although most mothers who will get a boost in milk production from domperidone notice a difference within a few days, it can take up to 4 weeks for domperidone to have an effect on milk production for some mothers. Although risk of cardiac arrythmia is stated by the FDA as a reason they have not approved domperidone, metoclopromide (aka Reglan) has the same very low level of risk and it is FDA approved. While domperidone is currently in orphan drug status in route to becoming FDA approved as a medication for breastfeeding mothers, there is also a push for FDA approval for domperidone as a treatment for gastroparesis and this may happen even sooner. Right now, we can expect to wait another 3-4 years before domperidone is FDA approved. Not only is he a wealth of knowledge, Dr. Nice lives up to his name with a huge heart for mamas and babies. We are thrilled to add this amazing interview to our podcast stream. Find out more about Dr. Nice and his work at www.nicebreastfeeding.com About Dr. NiceDr. Frank J. Nice has practiced as a consultant, lecturer, and author on medications and breastfeeding for 40 years. He holds a Bachelor’s Degree in Pharmacy, a Masters Degree in Pharmacy Administration, Masters and Doctorate Degrees in Public Administration, and Certification in Public Health Pharmacy. He retired from the US Public Health Service after 30 years of distinguished service. Dr. Nice practiced at the NIH and served as a Project Manager at the FDA. He recently retired after 43 years of government service and currently is self-employed as a consultant and President, Nice Breastfeeding LLC (www.nicebreastfeeding.com).Dr. Nice has published Nonprescription Drugs for the Breastfeeding Mother, 2nd Edition and The Galactogogue Recipe Book. Dr. Nice has also authored over four dozen peer-reviewed articles on the use of prescription medications, Over-the-Counter (OTC) products, and herbals during breastfeeding, in addition to articles and book chapters on the use of power, epilepsy, and work characteristics of health care professionals. He has organized and participated in over 50 medical missions to the country of Haiti. Dr. Nice continues to provide consultations, lectures, and presentations to the breastfeeding community and to serve the poor of Haiti.
Learn How the Measurement and Use of Hormones Can Break the Cycle of Intractable Pain Dr. Forest Tennant, MD, DrPH, is an internist and addictionologist who specializes in the research and treatment of intractable pain at the Veract Intractable Pain Clinics he founded in West Covina, California. Dr. Tennant started his pain clinic in 1975. Originally he focused on treating the pain of cancer and post-polio. He has authored over 300 scientific articles and books, and currently serves as Editor Emeritus of the journal Practical Pain Management, the nation's most widely circulated pain journal for physicians. He has formerly served as a Medical Officer in the US Army and US Public Health Service. In the past he has been a consultant to the US Food and Drug Administration, National Institute on Drug Abuse, Drug Enforcement Administration, LA Dodgers, National Football League, and NASCAR. He has authored a handbook for pain patients called "The Intractable Pain Patient's Handbook for Survival." He is also the creator of the website Pain and Pain Management, a web site dedicated to pain patients which has an excellent selection of articles for physicians and pain patients on pain managment including the excellent review article, "Human Chorionic Gonadotropin in Pain Management." Download or Open:
The Experts Speak - An Educational Service of the Florida Psychiatric Society
Lieut. Karen Ho, with the US Public Health Service, the Agency for Healthcare Research and Quality (AHRQ) and the Center for Quality Improvement and Patient Safety, speaks about the data just published by AHRQ on the trends, quality, and disparities in the delivery of health care regarding obesity.
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