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This episode is sponsored by: Set For LifeSet for Life Insurance helps doctors safeguard their future with True Own Occupational Disability Insurance. A single injury or illness can change everything, but the best physicians plan ahead. Protect your income and secure your future before life makes the choice for you. Your career deserves protection—act now at https://www.doctorpodcastnetwork.co/setforlife._______Curiosity isn't just a trait—it's a tool for better medicine. In this episode, Dr. Anthony Breu joins Dr. Bradley Block to explore how asking "why" transforms medical practice and patient care.They discuss the origins of the Curious Clinicians Podcast, born from social media "why" questions during the COVID era, and how it evolved into a platform for uncovering medical mysteries. Dr. Brau shares mind-blowing insights from the show like why elephants rarely get cancer, how furosemide works beyond diuresis, and the potential for oral insulin to revolutionize diabetes care. The conversation also covers practical takeaways, such as rethinking elevated lactate assumptions and wearing goggles to chop onions tear-free.With a mix of humor, science, and real-world applications, this episode is a masterclass in staying curious, challenging dogma, and bringing fresh perspectives to medicine—both in and out of the exam room.Three Actionable Takeaways:Stay Curious to Stay Sharp: Ask "why" about the things you see daily—whether it's a patient's response to meds or a biological oddity—to deepen your understanding and improve care.Challenge Medical Assumptions: Don't assume elevated lactate means hypoperfusion—consider beta-2 agonists like albuterol as a cause to avoid unnecessary treatments.Apply Podcast Lessons to Life: From wearing contacts to cutting onions without crying to appreciating furosemide's vasodilatory effects, small insights can enhance both personal and professional practice.About the Show:The Physician's Guide to Doctoring covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!About the Guest:Dr. Anthony Breu is the Director of Resident Education at VA Boston Healthcare System and an Assistant Professor of Medicine at Harvard Medical School. A board-certified internist and hospitalist, he co-hosts the Curious Clinicians Podcast. With a BA in Bioethics and MD from Brown University, Dr. Breu trained at Beth Israel Deaconess Medical Center. His interests include medical education, clinical reasoning, and tackling intriguing medical mysteries.Website and Podcast:https://www.bumc.bu.edu/camed/profile/anthony-breu/https://curiousclinicians.com/About the Host:Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts the Physician's Guide to Doctoring podcast, focusing on personal and professional development for physicians.Want to be a guest? Email Brad at brad@physiciansguidetodoctoring.com or visit www.physiciansguidetodoctoring.com to learn more!Socials:● @physiciansguidetodoctoring on Facebook● @physicianguidetodoctoring on YouTube● @physiciansguide on Instagram and Twitter Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.
Dr. Mary Anderson shares key habits to fuel your career and well-being. — YOU'LL LEARN — 1) Why high achievers often don't enjoy their achievements 2) How to break free from the cycle of negative self-talk 3) The SELF care framework for high achievers Subscribe or visit AwesomeAtYourJob.com/ep1036 for clickable versions of the links below. — ABOUT MARY — Dr. Mary Anderson is a licensed psychologist, author, and sought-after speaker with over a decade of experience helping patients become happier, healthier, and sustainably high-achieving. Dr. Anderson earned her Ph.D. in Clinical Psychology, with a specialty in Health Psychology, from the University of Florida and completed her internship and post-doctoral fellowship at the VA Boston Healthcare System, with appointments at Harvard Medical School and Boston University School of Medicine. Her book, The Happy High Achiever: 8 Essentials to Overcome Anxiety, Manage Stress, and Energize Yourself for Success––Without Losing Your Edge, was published by Hachette Book Group in September 2024. • Book: The Happy High Achiever: 8 Essentials to Overcome Anxiety, Manage Stress, and Energize Yourself for Success―Without Losing Your Edge — RESOURCES MENTIONED IN THE SHOW — • Treatment: Cognitive Behavioral Therapy (CBT) • Figure: William James • Product: Oura Ring • Product: Garmin watch • Product: Fitbit— THANK YOU SPONSORS! — • Earth Breeze. Get 40% off your subscription at earthbreeze.com/AWESOME• BambooHR. See all that BambooHR can do at bamboohr.com/freedemoSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Psychologists Off The Clock: A Psychology Podcast About The Science And Practice Of Living Well
How does happiness fuel productivity and success? Join Michael Herold in an empowering chat with Mary Anderson, the author of The Happy High Achiever, who gives her expertise on how high-achievers can turn the tables on stress and anxiety, unlocking powerful tools that can lead you to greater success and fulfillment in life. You'll discover how to identify cognitive distortions, including what Mary coined the 'Troublesome Trifecta,' learn techniques to challenge those pesky, unhelpful thoughts and uncover personalized strategies for building your confidence, tackling perfectionism, embracing your authentic self, and forging meaningful connections with others. If you want to learn how to become a happy high achiever and unleash your full potential, listening to this episode and getting your copy of Mary's book is a step in the right direction! Listen and Learn: What inspired Mary to write a guide for high achievers struggling with anxiety Redefining achievement and optimizing mindset to reach your best self The "Troublesome Trifecta" of thoughts that can sabotage your progress and fuel anxiety Why striving for excellence, not perfection, could unlock your potential without all the stress Embracing your mistakes to achieve true excellence and balance high achievement Why celebrating victories fuels your success and happiness Resources: The Happy High Achiever: 8 Essentials to Overcome Anxiety, Manage Stress, and Energize Yourself for Success--Without Losing Your Edge Website: https://maryandersonphd.com/ Facebook: https://www.facebook.com/people/Dr-Mary-Anderson/100063517721186/ Instagram: https://www.instagram.com/dr_maryanderson/ Link to POTC Listener Survey: https://docs.google.com/forms/d/e/1FAIpQLSeCtaljb-QMHXl6651OdUrK6Zwt5QeDckw6dCoDYszC-0XpyA/viewform About Mary Anderson Dr. Mary Anderson is a licensed psychologist and sought-after speaker with over a decade of experience helping patients become happier, healthier, and sustainably high-achieving. Dr. Anderson earned her PhD in clinical psychology, with a specialty in health psychology, from the University of Florida and completed her internship and post-doctoral fellowship at the VA Boston Healthcare System, with appointments at Harvard Medical School and Boston University School of Medicine. She currently lives in Boston, Massachusetts. Related Episodes 122. Taking in the Good with Rick Hanson 346. Self-compassion Daily Journal with Diana Hill 360. The Laws of Connection with David Robson Learn more about your ad choices. Visit megaphone.fm/adchoices
American Journal of Infection Control: Science Into Practice
In this podcast, hosts delve right into an enlightening discussion with Dr. Michael Charness, Dr. Kalpana Gupta, and Dr. Katherine Linsenmeyer about transmission dynamics in infection control. They particularly zero in on an investigation into the aerosol transmission of SARS-CoV-2 hours after hospital room changeovers, touching on key findings such as the significance of reversion mutations. They underline the key takeaways from this genomic epidemiology study and its implications for infection prevention. With special guests: Michael E. Charness, MD, Chief of Staff, VA Boston Healthcare System Kalpana Gupta, MD, MPH, Associate Chief of Staff and Chief of Infectious Disease, VA Boston Healthcare System Katherine Linsenmeyer, MD, Hospital Epidemiologist, VA Boston Healthcare System
Discover the remarkable progress made in heart failure therapies with Jonathan and Haider Warraich, Director of the Heart Failure Program at VA Boston Healthcare System, Massachusetts, USA. They also discuss the intricacies of heart transplantation and end-of-life care. Use the following timestamps to navigate the episode: (00:00)-Introduction (03:28)-Warraich's journey into cardiology (06:15)-Recent advances in heart failure therapies (11:15)-What is the median survival from diagnosis of heart failure? (14:45)-The current state of heart transplantation (20:20)-Warraich's experience in regulatory medicine (24:33)-Warraich's book: ‘Modern Death, How Medicine Changed the End of Life' (33:45)-Warraich's s book: ‘State of the Heart' (40:12)-Warraich's most recent book: ‘The Song of Our Scars: The Untold Story of Pain' (46:13)-Warraich's three wishes for healthcare
Dr. Douglas Rett speaks about his leadership role in Optometry, how teaching keeps him curious and humble, and how he has chosen the “harder path” at various times in his career. Dr. Douglas Rett is the Chief of Optometry at VA Boston Healthcare System.
This month, we're joined by Karen Guthrie, David Martino, and Dave Chesley from the VA Boston Healthcare System's Care Coordination, Advocacy, Treatment, and Connections to Housing, or CATCH, program to learn more about trauma-informed care.Our guest talked about what trauma-informed care is, how the CATCH program lives out trauma-informed values, and how all of this helps Veterans keep their power and personal voice. Veterans who are homeless or at imminent risk of homelessness are strongly encouraged to contact the National Call Center for Homeless Veterans at (877) 4AID-VET (877-424-3838) for assistance. Closed Caption Transcript is available at: https://www.sharedfedtraining.org/Podcasts/EVH_S1EP24.pdf ===============================Find your nearest VA: https://www.va.gov/find-locationsLearn more about VA resources to help homeless Veterans: https://www.va.gov/homelessRead research on the health impacts of trauma: https://www.ncbi.nlm.nih.gov/books/NBK207191/Download the Practical Guide for Implementing a Trauma-Informed Approach from the Substance Abuse and Mental Health Services Administration: https://store.samhsa.gov/sites/default/files/pep23-06-05-005.pdf
Dr. Andrew Budson is Chief of Cognitive Behavioral Neurology at the VA Boston Healthcare System, Associate Director of the Boston University Alzheimer's Disease Research Center, Professor of Neurology at Boston University, and Lecturer in Neurology at Harvard Medical School. He has written 9 books, including Six Steps to Managing Alzheimer's Disease and Dementia, Why We Forget and How to Remember Better, and his latest, Seven Steps to Managing Your Aging Memory—now in its 2nd edition—which explains how to distinguish changes in memory due to Alzheimer's versus normal aging, what medications, diets, and exercise regimes can help, and the best habits, strategies, and memory aids to keep your memory strong.Sponsor: www.SeniorCareAuthority.com
In this episode we address the complexities of aging memory, Alzheimer's, and the latest in treatment advancements. The discussion kicks off with an exploration of memory changes associated with normal aging, distinguishing these from Alzheimer's disease. We discuss the impact of lifestyle factors like alcohol, sleep, and new medications on memory preservation and Alzheimer's risk. There are subtle differences in memory loss experienced in normal aging, such as forgetfulness and word-finding difficulties, and the more severe and rapid forgetting characteristic of Alzheimer's disease due to brain damage. This segment is a must-listen for anyone interested in understanding the nuances of memory changes as we age.Educated at Haverford College and Harvard Medical School, Dr. Andrew Budson is Chief of Cognitive Behavioral Neurology at the VA Boston Healthcare System, Associate Director of the Boston University Alzheimer's Disease Research Center, Professor of Neurology at Boston University, and Lecturer in Neurology at Harvard Medical School. He has written 9 books, including his latest, Seven Steps to Managing Your Aging Memory—now in its 2nd edition—which explains how to distinguish changes in memory due to Alzheimer's versus normal aging, what medications, diets, and exercise regimes can help, and the best habits, strategies, and memory aids to keep your memory strong.Connect with Dr. Budson here:https://www.andrewbudsonmd.com/https://www.linkedin.com/in/andrew-budson-054a346b/To learn more, visit:www.servingstrong.comListen to more episodes on Mission Matters:www.missionmatters.com/author/scott-couchenourPractice Partnership: Monetizing Your Dental PracticeDoctors – are you interested in building long-term wealth and continuing on as an...Listen on: Apple Podcasts Spotify
Dr. Colleen Jackson discusses cognitive testing in a way that makes it easily understandable, alleviating any apprehension associated with the assessment. She starts by distinguishing between neuropsychological testing and cognitive assessments. Colleen shares insights into her approach and describes the valuable information that can be obtained from the testing process. Emphasizing a holistic perspective, she looks at an individual's overall health and well-being when giving her recommendations. Listeners will learn about cognitive assessments and neuropsychological testing to determine whether they might benefit a loved one. IN THIS EPISODE: [2:11] Colleen begins by describing the difference between neuropsychological testing and cognitive assessments [4:17] Colleen explains what the tests look like from a client perspective and what is involved [7:36] Colleen talks about how a family member can encourage a loved one to seek a provider and what is learned through the testing [12:06] Colleen discusses older adults, specifically [16:06] Colleen refers to different treatment protocols based on test results [20:25] Colleen ends by discussing other illnesses that can impact mental health or cognitive impairment KEY TAKEAWAYS: [2:01] There is a difference between neuropsychological testing and cognitive assessment [7:27] There are some tips that family members can use to encourage a person to seek a provider [11:44] You can identify different conditions or illnesses through testing. RESOURCES: Beyond the Balance Sheet Website Dr. Colleen Jackson - LinkedIn BIOGRAPHY: Dr. Colleen Jackson received her doctorate in clinical psychology from the University of Connecticut. She pursued a clinical internship in clinical neuropsychology and dementia clinical research at Rhode Island Hospital through the Warren Alpert Medical School of Brown University, followed by research postdoctoral fellowships in the National Center for PTSD and the Translational Research Center for TBI and Stress Disorders at the VA Boston Healthcare System. After completing postdoctoral training, Colleen assumed a staff neuropsychologist position at the VA Boston Healthcare System, where she was involved in direct clinical care, clinical supervision/mentorship, and research. Colleen served as the Chief of the Neuropsychology Clinic in the Department of Neurology at Boston Medical Center prior to establishing her private practice in 2022. Colleen conducts clinical neuropsychological evaluations with adults presenting with cognitive concerns associated with neurodevelopmental disorders, neurodegenerative conditions, acquired brain injuries, substance use, and psychiatric conditions. Colleen approaches clinical care with a tailored focus on the client's cognitive and psychological needs, individual strengths, and personal values.
Lisa is joined by Andrew E. Budson and Dr. Elizabeth Kensinger who talk about their book, Why We Forget and How To Remember Better: The Science Behind Memory .Many of us wonder how we can best overcome one of the human experience's most frustrating phenomena: forgetting. Why do we forget things we want to remember, and remember things we'd rather forget? How can we be certain about something we remember—and somehow be wrong about it? Why is it so difficult to remember people's names? How can you study hard for an exam but not be able to recall the material on the test? In WHY WE FORGET, Dr. Andrew Budson and Dr. Elizabeth Kensinger address these questions and more, using their years of experience to guide readers into better memory.Written by two experts with years of clinical and research-based experience, Andrew E. Budson is Chief of Cognitive & Behavioral Neurology at the VA Boston Healthcare System and Associate Director of Boston University's Alzheimer's Disease Research Center, and Elizabeth A. Kensinger is a Full Professor and Chairperson of the Department of Psychology and Neuroscience at Boston College. WHY WE FORGET addresses many of the long-debated questions in neuroscience that may have different answers than expected.
Edward M. Phillips, MD, is Associate Professor of Physical Medicine and Rehabilitation at Harvard Medical School and is Founder and Director of the Institute of Lifestyle Medicine (ILM) at Spaulding Rehabilitation Hospital. In his work at the ILM since 2006 he has directed 26 live CME programs attended by over 25,000 clinicians from 115 countries. In 2015 Phillips joined the VA Boston Healthcare System and now serves as Whole Health Medical Director. He is integrating Whole Health-lifestyle medicine training for students and trainees across the VA as National Whole Health Education Champion for Health Professions Trainees.Additionally, Phillips is a Fellow of American College of Sports Medicine (FACSM) and serves on the executive council that developed the Exercise is Medicine global initiative. He has >80 scientific publications. He served on the Advisory Board of the American College of Lifestyle Medicine, the Health Sector and Military Settings Sectors of the United States National Physical Activity Plan and is a founding director of the American Board of Lifestyle Medicine.Phillips is an active clinician, educator and advocate who speaks and consults nationally guiding a broad-based effort to reduce lifestyle-related death, disease, and costs through clinician directed interventions with patients. His medical school, SUNY Buffalo, honored him with its Distinguished Alumni Award for his accomplishments in Lifestyle Medicine. The President's Council on Fitness, Sports and Nutrition has recognized Dr. Phillips, the ILM and the Lifestyle Medicine Education Collaborative with its Community Leadership Award. He appears on national media including Good Morning America, ESPN radio, Huffington Post, Slate, and Time Magazine. He co-hosted the NPR Daily Exercise Podcast, WBUR's Magic Pill which was awarded an Edward R. Murrow award for Excellence in Innovation.Juna Gjata graduated from Harvard College in 2017 with a Bachelor's in Cognitive Neuroscience and Evolutionary Psychology and a minor in Music. While at Harvard, she was awarded the David M. McCord prize for Excellence in the Arts. She is also an accomplished concert pianist and composer, having performed as a soloist at Carnegie Hall and The Kennedy Center's Millennium stage. In 2018, Juna approached WBUR, Boston's NPR station, with an idea for a podcast to dispel health and fitness misinformation loosely through the lens of her own struggles with body image, weight loss, and eating disorders. Eighteen months later, Food, We Need to Talk was launched. She co-hosts the podcast along with Dr. Eddie Phillips. The podcast has now reached over 2.5 million downloads.In July 2023, Gjata and Phillips will also be publishing their book, Food, We Need to Talk: The Science-Based, Humor-Laced Last Word on Diet, Eating and Making Peace with Your Body, published by St. Martin's Press. Links:Check out Eddie and Juna's podcast, Food, We Need to TalkFollow Juna on Instagram and TikTokOrder Eddie and Juna's book, Food, We Need to Talk, out July 11, 2023
“Continuum of trauma-related assessment and treatment in service members and veterans” The Anne Klibanski Visiting Lecture Series was created to support and advance the careers of women. These lectures bring together faculty from institutions that have hosted Anne Klibanski Scholars with MGH scholars, on topics that overlap both research areas. Dr. Brenner will present on “Behavioral Health Approaches to Transdiagnostic Care with the Special Operations Forces Community.” Dr. Thompson-Hollands will present on “Family-inclusive PTSD treatment for Veterans: Rationale and Recommendations for Clinicians.” Presenters: Lauren Brenner, PhD, is a licensed clinical psychologist with Home Base, a Massachusetts General Hospital and Red Sox Foundation Program; and Instructor of Psychiatry at Harvard Medical School. Johanna Thompson-Hollands, PhD, is a Staff Psychologist in the National Center for PTSD at VA Boston Healthcare System; and an Assistant Professor of Psychiatry at the Boston University Chobanian & Avedisian School of Medicine. Learning Objectives: Upon completion of this activity, participants will be able to: Provide overview of common presenting concerns and psychiatric diagnoses in Special Operations Forces service members and veterans presenting for comprehensive brain health and trauma evaluation Describe recommendations for providers working with SOF and embedded support patients Describe the potential advantages of family-inclusive treatment for Veterans with PTSD Assess the evidence for Veterans' willingness to involve family members in their PTSD treatment Click here to watch webinar.
Edward M. Phillips, MD, is Associate Professor of Physical Medicine and Rehabilitation at Harvard Medical School and is Founder and Director of the Institute of Lifestyle Medicine (ILM) at Spaulding Rehabilitation Hospital. In his work at the ILM since 2006 he has directed 26 live CME programs attended by over 25,000 clinicians from 115 countries. In 2015 Phillips joined the VA Boston Healthcare System and now serves as Whole Health Medical Director. He is integrating Whole Health-lifestyle medicine training for students and trainees across the VA as National Whole Health Education Champion for Health Professions Trainees. Additionally, Phillips is a Fellow of American College of Sports Medicine (FACSM) and serves on the executive council that developed the Exercise is Medicine global initiative. He has >80 scientific publications. He served on the Advisory Board of the American College of Lifestyle Medicine, the Health Sector and Military Settings Sectors of the United States National Physical Activity Plan and is a founding director of the American Board of Lifestyle Medicine.Phillips is an active clinician, educator and advocate who speaks and consults nationally guiding a broad-based effort to reduce lifestyle-related death, disease, and costs through clinician directed interventions with patients. His medical school, SUNY Buffalo, honored him with its Distinguished Alumni Award for his accomplishments in Lifestyle Medicine. The President's Council on Fitness, Sports and Nutrition has recognized Dr. Phillips, the ILM and the Lifestyle Medicine Education Collaborative with its Community Leadership Award. He appears on national media including Good Morning America, ESPN radio, Huffington Post, Slate, and Time Magazine. He co-hosted the NPR Daily Exercise Podcast, WBUR's Magic Pill which was awarded an Edward R. Murrow award for Excellence in Innovation and >2.4 million downloads of the sequel podcast “Food, We Need to Talk.” He is co-authoring his third book, “Food, We Need to Talk: The science-based, humor-laced last word on eating, diet, and making peace with your body” from St. Martin's Press, July 2023. In this episode we discuss:Zip code vs genetic code in health outcomesExercise culture and barriers to exerciseFinding joy in physical activityIndividualizing someone's reason for exerciseAssessing readiness for exerciseThe aging athlete Expanding the idea of health & wellness beyond exerciseThe podcast episodes drop weekly on Mondays in seasonal chunks. This is the last episode in season 2!Subscribe to stay up to date, and tune in when you can! Be sure to rate, review, and follow on your favorite podcast app and let me know what other brain & body things you'd like to hear about.For more information about me, check out my website, www.natashamehtamd.com.Follow me on Instagram, Twitter, or Tik Tok @drnatashamehta.Connect with Dr. Phillips on Twitter @EddiePhillipsMD.This episode is not sponsored.
Pain is more than a physical sensation; it has cultural, relational, and spiritual dimensions as well. Dr. Haider Warraich, a cardiologist and the author of The Song of Our Scars, talks with Amy Julia Becker about these dimensions, the opioid epidemic, and ways we can be a part of the story of healing, for ourselves and others.__Guest Bio:“Haider Warraich is a doctor at Brigham and Women's Hospital, Harvard Medical School, and the VA Boston Healthcare System. He is the author of Modern Death and State of the Heart, and regularly writes for the New York Times and Washington Post, among others. He lives in Wellesley, Massachusetts.”__Connect Online:Twitter: @haiderwarraich__On the Podcast:The Song of Our Scars: The Untold Story of Pain For full show notes, transcript, and more, go to: https://amyjuliabecker.com/haider-warraich/__This conversation is a great pair with previous conversations on the podcast that I've had with Dr. Matthew Loftus and Liuan Huska.}__Season 6 of the Love Is Stronger Than Fear podcast connects to themes in my latest book, To Be Made Well, which you can order here! Learn more about my writing and speaking at amyjuliabecker.com.*A transcript of this episode will be available within one business day on my website, and a video with closed captions will be available on my YouTube Channel.Connect with me: Instagram Facebook Twitter Website Thanks for listening!
Today I'd like to tell you about a paper by Samantha Connolly. Dr. Connolly is an Assistant Professor of Psychology at Harvard Medical School Department of Psychiatry and a Clinical Psychologist in the VA Boston Healthcare System. The paper is titled: Does lipoedema mimic pregnancy? and it was published in the journal Wounds International in 2022. Several people, including Catherine Seo at the Lipedema Project, asked me to review this article, and I'm glad I did. I think you will find it very interesting.
Welcome to another episode of The Action and Ambition Podcast! Joining us today is Dr. Karen Sullivan, the Founder of I Care For Your Brain, which translates advances in brain science and psychology into high-quality information and easy-to-follow recommendations for people with a brain health challenge. Before I Care For Your Brain, Dr. Sullivan was an Assistant Professor at the University of North Carolina at Chapel Hill's School of Medicine in the Physical Medicine and Rehabilitation Department. She received her doctoral degree at Boston University in 2009. She completed her internship and post-doctoral fellowship in Clinical Neuropsychology at the VA Boston Healthcare System through Harvard Medical School and the Boston University School of Medicine in 2010. Tune in to learn more!
In this episode of Talk Nerdy, Cara is joined by Dr. Haider Warraich, a cardiologist at Brigham and Women's Hospital, Harvard Medical School, and the VA Boston Healthcare System. They talk about his new book, "The Song of Our Scars: The Untold Story of Pain," including the multidimensionality of chronic pain and how the healthcare profession can better serve those who suffer from it.
Listen to a blog summary about a trending research paper published by Aging (Aging-US as the cover of Volume 14, Issue 17, entitled, "Extracellular microRNA and cognitive function in a prospective cohort of older men: The Veterans Affairs Normative Aging Study.” __________________________________________ Can factors in our bloodstream tell us about our cognitive abilities or predict cognitive decline later in life? Among individuals with dementias, including Alzheimer's disease (AD), studies have identified extracellular microRNAs (miRNAs) as potential biomarkers of cognitive impairment. In cognitively normal individuals, however, this association has not yet been fully investigated. “Understanding the functions of miRNAs in the earliest stages of cognitive decline will expand our knowledge on the biology of prodromal AD and the roles of circulating miRNAs in neurodegenerative diseases and could result in identification of therapeutic targets to guide drug development [17].” In a new research paper, published on the cover of Volume 14, Issue 17, of Aging (listed as “Aging (Albany NY)” by Medline/PubMed and “Aging-US” by Web of Science), researchers Nicole Comfort, Haotian Wu, Peter De Hoff, Aishwarya Vuppala, Pantel S. Vokonas, Avron Spiro, Marc Weisskopf, Brent A. Coull, Louise C. Laurent, Andrea A. Baccarelli, and Joel Schwartz from Columbia University Mailman School of Public Health, University of California San Diego, VA Boston Healthcare System, Boston University School of Medicine, and Harvard TH Chan School of Public Health investigated expression levels of extracellular miRNAs circulating in blood plasma taken from cognitively normal men and the association between these miRNAs and cognitive function. Their secondary goal was to investigate the genes and biological pathways associated with miRNAs linked to cognitive function or decline. The research paper was published on September 6, 2022, and entitled, “Extracellular microRNA and cognitive function in a prospective cohort of older men: The Veterans Affairs Normative Aging Study.” Full blog - https://aging-us.org/2022/09/can-micrornas-in-the-bloodstream-signal-cognitive-decline/ DOI - https://doi.org/10.18632/aging.204268 Corresponding author - Nicole Comfort - nicole.comfort@columbia.edu Sign up for free Altmetric alerts about this article - https://aging.altmetric.com/details/email_updates?id=10.18632%2Faging.204268 Press release - https://aging-us.com/news_room/Extracellular-microRNA-and-cognitive-function-in-a-prospective-cohort-of-older-men Keywords - aging, plasma, extracellular RNA, RNA-seq, microRNA, cognitive decline, cognitive impairment About Aging-US Launched in 2009, Aging-US publishes papers of general interest and biological significance in all fields of aging research and age-related diseases, including cancer—and now, with a special focus on COVID-19 vulnerability as an age-dependent syndrome. Topics in Aging-US go beyond traditional gerontology, including, but not limited to, cellular and molecular biology, human age-related diseases, pathology in model organisms, signal transduction pathways (e.g., p53, sirtuins, and PI-3K/AKT/mTOR, among others), and approaches to modulating these signaling pathways. Please visit our website at https://www.Aging-US.com and connect with us: SoundCloud - https://soundcloud.com/Aging-Us Facebook - https://www.facebook.com/AgingUS/ Twitter - https://twitter.com/AgingJrnl Instagram - https://www.instagram.com/agingjrnl/ YouTube - https://www.youtube.com/agingus LinkedIn - https://www.linkedin.com/company/aging/ Pinterest - https://www.pinterest.com/AgingUS/ Media Contact 18009220957 MEDIA@IMPACTJOURNALS.COM
A new research paper was published on the cover of Aging (Aging-US) Volume 14, Issue 17, entitled, “Extracellular microRNA and cognitive function in a prospective cohort of older men: The Veterans Affairs Normative Aging Study.” Aging-related cognitive decline is an early symptom of Alzheimer's disease and other dementias, and on its own can have substantial consequences on an individual's ability to perform important everyday functions. Despite increasing interest in the potential roles of extracellular microRNAs (miRNAs) in central nervous system (CNS) pathologies, there has been little research on extracellular miRNAs in early stages of cognitive decline. In a new study, researchers Nicole Comfort, Haotian Wu, Peter De Hoff, Aishwarya Vuppala, Pantel S. Vokonas, Avron Spiro, Marc Weisskopf, Brent A. Coull, Louise C. Laurent, Andrea A. Baccarelli, and Joel Schwartz from Columbia University Mailman School of Public Health, University of California San Diego, VA Boston Healthcare System, Boston University School of Medicine, and Harvard TH Chan School of Public Health leveraged the longitudinal Normative Aging Study (NAS) cohort to investigate associations between plasma miRNAs and cognitive function among cognitively normal men. “In a cohort of older men from Massachusetts, we investigated associations between plasma miRNAs and global cognition and rate of global cognitive decline measured by the MMSE.” Full press release - https://aging-us.net/2022/09/15/aging-extracellular-microrna-and-cognitive-function-in-a-prospective-cohort-of-older-men-the-veterans-affairs-normative-aging-study/ DOI: https://doi.org/10.18632/aging.204268 Corresponding Author: Nicole Comfort – nicole.comfort@columbia.edu Keywords: plasma, extracellular RNA, RNA-seq, microRNA, cognitive decline, cognitive impairment Sign up for free Altmetric alerts about this article: https://aging.altmetric.com/details/email_updates?id=10.18632%2Faging.204268 About Aging-US: Launched in 2009, Aging (Aging-US) publishes papers of general interest and biological significance in all fields of aging research and age-related diseases, including cancer—and now, with a special focus on COVID-19 vulnerability as an age-dependent syndrome. Topics in Aging go beyond traditional gerontology, including, but not limited to, cellular and molecular biology, human age-related diseases, pathology in model organisms, signal transduction pathways (e.g., p53, sirtuins, and PI-3K/AKT/mTOR, among others), and approaches to modulating these signaling pathways. Please visit our website at www.Aging-US.com and connect with us: SoundCloud – https://soundcloud.com/Aging-Us Facebook – https://www.facebook.com/AgingUS/ Twitter – https://twitter.com/AgingJrnl Instagram – https://www.instagram.com/agingjrnl/ YouTube – https://www.youtube.com/agingus LinkedIn – https://www.linkedin.com/company/aging/ Reddit – https://www.reddit.com/user/AgingUS Pinterest – https://www.pinterest.com/AgingUS/ For media inquiries, contact media@impactjournals.com.
A common question posed in our PE and CPT consultation groups is, “What do I do if my client is pregnant and has PTSD… ?” To treat or not to treat? That is the question! In this episode, we sit down with Dr. Yael Nillni to discuss the benefits of trauma-focused treatment for women during the perinatal period. Come join us to learn about how clients who enter pregnancy with PTSD are at higher risk for adverse reproductive health outcomes and what behavioral health providers can (and should) do to help improve those outcomes. Is the perinatal phase a period of increased risk or a window of opportunity? We invite you to listen and learn. Yael I. Nillni, Ph.D., is a Clinical Research Psychologist in the National Center for PTSD, Women's Health Sciences Division at VA Boston Healthcare System, and an Assistant Professor at Boston University School of Medicine. Dr. Nillni received her undergraduate degree from the University of Massachusetts Amherst and her Ph.D. in Clinical Psychology from the University of Vermont. Dr. Nillni completed her pre-doctoral internship at the University of Mississippi Medical Center/VA Medical Center Consortium in Jackson, MS, and her postdoctoral research fellowship in the Women's Health Sciences Division of the National Center for PTSD. Dr. Nillni's research focuses on the intersection of trauma, PTSD and comorbid mental health conditions, and women's reproductive health with the ultimate goal of improving healthcare outcomes for women. To this end, she has several ongoing studies among both civilians and Veterans focused on trauma, PTSD, and women's perinatal health.Resources mentioned in this episode: Survivor Moms Companion: https://survivormoms.org/ [23:15] https://blogs.va.gov/VAntage/86691/improving-reproductive-health-women-ptsd/ Calls-to-action: For example: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email Enroll in an EBP training for PTSD: https://deploymentpsych.org/psychological-training
Dr. Tony Breu describes how social media can augment health profession education and shares his path to becoming an expert in the use of social media. Dr. Tony Breu is the Director of Resident Education at VA Boston Healthcare System and Assistant Professor of Medicine at Harvard Medical School.Listeners are encouraged to visit the VA Boston Education homepage for faculty development programming and other tools to develop as educators.https://www.va.gov/boston-health-care/work-with-us/internships-and-fellowships/faculty-development/
Sh*t You Wish You Learned in Grad School with Jennifer Agee, LCPC
During this episode, I talk with Dr. Jenna Renfroe (she/her) about the importance of business ownership, neuropsychology and how to optimizing brain health. Jenna is board-certified in clinical neuropsychology by the American Board of Professional Psychology. She received her doctoral training at the University of Florida (Go Gators!) in Clinical and Health Psychology with a specialization in Clinical Neuropsychology and then completed an internship in Clinical Neuropsychology and Rehabilitation Psychology at the VA Boston Healthcare System, through Harvard Medical School and the Boston University School of Medicine. Jenna completed a two-year post-doctoral fellowship with the Movement Disorders Center of Excellence at the Medical University of South Carolina, Department of Neurology, Division of Neurosciences. She has specialized training in the neuroscience of emotion, anxiety, and mindfulness. Jenna has a heart for veterans and works extensively with active duty and veteran members of the United States Armed Forces. One of the highlights of her career is ongoing work with an interdisciplinary team of experts that teaches resiliency and leadership skills to active duty military leaders through the 360 Program. Above all, Jenna has a passion for helping others and connecting to the human spirit. She is determined to help people care for themselves better in early to middle adulthood, to stave off the negative effects of emotional and physical illness and continue to thrive throughout their lifespan.TOPICS IN THIS EPISODE:Baby steps in the beginning of business ownership – outsourcing and networking Authenticity and creating win-win networking relationship360 Program in working with Veterans What the heck is Neuropsychology and how can therapists work with these practitioners for the benefit of our clients Tips to optimize brain healthNeurotransmitters and your gutBenefits of diet, exercise and sleepOFFERS & HELPFUL LINKS:· Jenna's website · Jennifer Agee coaching page· Counseling Community Facebook community· Counseling Community Instagram· Alaskan Cruise: Experiential Therapeutic Intervention Training for Therapists June 3-10, 2023· Cabo, Mexico: Dreamer's Retreat for Entrepreneurial Therapists October 6-8, 2022
Why is almost everything we know about pain wrong? How can we reframe our understanding of chronic pain? Is there a more effective way to treat pain outside of pills and procedures? Haider Warraich is a physician and researcher at the VA Boston Healthcare System and Brigham and Women's Hospital and Assistant Professor at Harvard Medical School. He has published more than 135 papers including in the NEJM and JAMA. He frequently writes for the New York Times and Washington Post, and is the author of the books Modern Death, State of the Heart and the just published The Song of Our Scars – The Untold Story of Pain (April 2022). Follow Haider: Twitter | LinkedIn Episode Website: https://mailchi.mp/designlabpod/haiderwarraich More episode sources & links Sign-up for Design Lab Podcast's Newsletter Newsletter Archive Follow @DesignLabPod on Twitter Instagram and LinkedIn Follow @BonKu on Twitter & Instagram Check out the Health Design Lab Production by Robert Pugliese Cover Design by Eden Lew Theme song by Emmanuel Houston
Pain is a "hallmark of consciousness among all beings," writes physician Haider Warraich in his new book "The Song of Our Scars." Pain, he explains, is also gendered, racial and above all so personal that it's the one thing truly our own. Like an estimated 1.5 billion people worldwide, Warraich himself lives with chronic pain, brought on by a devastating back injury. We'll talk to Warraich about the biology of pain and how we experience what he calls our most complicated sensation. Guests: Haider Warraich, author, "The Song of Our Scars: The Untold Story of Pain." He's also a physician at Brigham and Women's Hospital and the VA Boston Healthcare System and an assistant professor at Harvard Medical School.
There's a long history, going back centuries, of treating some people's pain and ignoring others. Haider Warraich is a doctor at Brigham and Women's Hospital, Harvard Medical School and the VA Boston Healthcare System. He joins host Krys Boyd to discuss why there's more to understanding pain than what's measurable – and about how power dynamics have always played into its treatment. His book is “The Song of Our Scars: The Untold Story of Pain.”
Pain is central to every specialty, and we all played a part in the opioid crisis, says Dr Haider Warraich, author of The Song of Our Scars: The Untold Story of Pain. This podcast is intended for US healthcare professionals only. To read a full transcript of this episode or to comment please visit: https://www.medscape.com/features/public/machine Eric J. Topol, MD, Director, Scripps Translational Science Institute; Professor of Molecular Medicine, The Scripps Research Institute, La Jolla, California; Editor-in-Chief, Medscape Abraham Verghese, MD, Physician, author, and educator; Professor and Vice Chair, Theory & Practice of Medicine, Department of Medicine, Stanford University, Stanford, California Haider Warraich, MD, Assistant Professor, Department of Medicine, Harvard Medical School, Brigham and Women's Hospital; Associate Director, Heart Failure Program, VA Boston Healthcare System, Boston, MA The Song of Our Scars: The Untold Story of Pain. https://www.basicbooks.com/titles/haider-warraich/the-song-of-our-scars/9781541675292/ You may also like: Medscape's Chief Cardiology Correspondent Dr John M. Mandrola's This Week In Cardiology https://www.medscape.com/twic Discussions on topics at the core of cardiology and the practice of medicine with Dr Robert A. Harrington and guests on The Bob Harrington Show https://www.medscape.com/author/bob-harrington For questions or feedback, please email: news@medscape.net
Dr. David Topor discusses strategies to decrease burnout and increase wellness among faculty and trainees in the health professions. Dr. David Topor is the Deputy Associate Chief of Staff for Education and a Clinical Psychologist at VA Boston Healthcare System, and Associate Professor of Psychiatry at Harvard Medical School.
Dr. Andrew Budson shares strategies and examples he uses to get trainees excited to learn about memory loss and dementia. Dr. Andrew Budson is the Chief of Cognitive Behavioral Neurology and Associate Chief of Staff for Education at VA Boston Healthcare System, and Professor of Neurology at Boston University School of Medicine.
Dr. Andrea Schwartz talks about her passion and methods for training clinicians to provide age-friendly care to Veterans. Dr. Andrea Schwartz is a geriatrician at VA Boston Healthcare System, Associate Director for Clinical Innovation in the VA New England Geriatrics Research Education and Clinical Center, Associate Program Director for the Harvard Multicampus Geriatrics Fellowship, and Assistant Professor at Harvard Medical School.
Dr. Susan Nathan describes a teaching tool for learners to help them appreciate the life stories of the Veterans they are providing care for. Dr. Susan Nathan is an attending Physician in the Section of Geriatrics and Palliative Care at VA Boston Healthcare System, the Program Director of the VA Boston My Life My Story Program, and Instructor in Medicine at Harvard Medical School.https://www.va.gov/WHOLEHEALTH/mylifemystory/index.asp
According to the Centers for Disease Control and Prevention (CDC), colorectal cancer is the second leading cause of cancer death in the United States. Researchers have observed elevated levels of the macrophage inflammatory protein CCL20 in colorectal cancer. Interactions between CCL20 and its receptor, CCR6, promote colorectal cancer through effects on neoplastic epithelial cells and modulation of the tumor microenvironment. However, the mechanism of these effects are not yet fully understood. “In particular, CCL20 acting on CCR6 expressed by colorectal cancer neoplastic epithelial cells induces proliferation, migration, and initiates an auto-feedback loop by inducing further secretion of CCL20. The mechanisms through which CCL20-CCR6 interactions elicit these effects is poorly understood.” Researchers—from the VA Boston Healthcare System, Harvard Medical School, Beth Israel Deaconess Medical Center, Dana-Farber Cancer Institute, and Brigham and Women's Hospital—conducted a study investigating the signaling pathways and mechanisms that underlie this colorectal cancer-promoting molecule. In 2021, the team authored a research paper, which was chosen as the cover paper of Oncotarget's Volume 12, Issue 24, and entitled, “CCL20 induces colorectal cancer neoplastic epithelial cell proliferation, migration, and further CCL20 production through autocrine HGF-c-Met and MSP-MSPR signaling pathways." Full blog - https://www.oncotarget.org/2021/11/24/new-study-investigation-of-colorectal-cancer-promoting-protein/ Sign up for free Altmetric alerts about this article - https://oncotarget.altmetric.com/details/email_updates?id=10.18632%2Foncotarget.28131 DOI - https://doi.org/10.18632/oncotarget.28131 Full text - https://www.oncotarget.com/article/28131/text/ Correspondence to - Jason S. Gold - jgold@bwh.harvard.edu Keywords - CCL20, CCR6, HGF, MSP, colorectal cancer About Oncotarget Oncotarget is a bi-weekly, peer-reviewed, open access biomedical journal covering research on all aspects of oncology. To learn more about Oncotarget, please visit https://www.oncotarget.com or connect with: SoundCloud - https://soundcloud.com/oncotarget Facebook - https://www.facebook.com/Oncotarget/ Twitter - https://twitter.com/oncotarget Instagram - https://www.instagram.com/oncotargetjrnl/ YouTube - https://www.youtube.com/c/OncotargetYouTube/ LinkedIn - https://www.linkedin.com/company/oncotarget Pinterest - https://www.pinterest.com/oncotarget/ Reddit - https://www.reddit.com/user/Oncotarget/ Oncotarget is published by Impact Journals, LLC please visit https://www.ImpactJournals.com or connect with @ImpactJrnls Media Contact MEDIA@IMPACTJOURNALS.COM 18009220957
Thoughts on Record: Podcast of the Ottawa Institute of Cognitive Behavioural Therapy
While trauma perpetuated by traumatic loss or imminent threat to one's life is familiar and salient to most psychotherapists, the pervasiveness & severity of trauma precipitated by "moral injury" experienced during and/or after a trauma is frequently underestimated and overlooked as a factor that can exacerbate and/or maintain PTSD. Internationally recognized expert in PTSD, psychologist, researcher & author, Dr. Brett Litz, joins us for an interview around the Adaptive Disclosure (AD) psychotherapy protocol. In this episode we cover: the nuances involved with conceptualizing and treating operational stress injuries among military personnel, including a review of the biggest misconceptions that clinicians unfamiliar with this population might harbour and how this could impact treatmentthe definition of a moral injury and an overview of the two major types of moral injury (i.e., moral injury "self" & moral injury "other")consideration of the "moral" emotions of shame & anger in the context of moral injurychallenges of treating moral injury as well as subtle or overt signs that a client might be affected by a moral injurythe origin of Adaptive Disclosure (AD) and where it departs from other CBT-based trauma therapies such as Prolonged Exposure Therapy or Cognitive Processing Therapythe basic theoretical framework/some of the core assumptions of Adaptive Disclosuredescriptions of some of the core therapeutic interventions in Adaptive Disclosurethe unique challenges of delivering any psychotherapy - including Adaptive Disclosure - within the context of a military population (e.g., over control, overregulation) a brief outline of the next iteration of Adaptive Disclosure - Adaptive Disclosure Enhanced (ADE), which emphasizes to an even great extent increased flexibility in provision of therapy, an emphasis on functioning (as opposed to symptoms) and integration of compassion trainingDr. Litz is a clinical psychologist and Professor in the Departments of Psychiatry and Psychological and Brain Sciences and is also the Director of the Mental Health Core of the Massachusetts Veterans Epidemiological Research and Information Center at the VA Boston Healthcare System. Dr. Litz is internationally recognized as an expert on PTSD, military trauma, and the early intervention and treatment of trauma, traumatic loss, and moral injury. Dr. Litz recent work entails the development and validation of a new measure of moral injury as a multidimensional outcome (the Moral Injury Outcome Scale; a public domain scale available by emailing Dr. Litz) and conducting a VA funded multi site clinical trial testing an expanded version of Adaptive Disclosure on Veterans with PTSD. Adaptive Disclosure is a flexible multidimensional psychotherapy that employs different strategies to target threat-based, loss-related, and moral injury-related trauma. Dr. Litz has over 370 peer reviewed publications and is a fellow of the Association of Behavioral and Cognitive Therapies, the American Psychopathological Association, and the Association for Psychological Science.https://www.bu.edu/psych/people/litzb/http://www.guilford.com/books/Adaptive-Disclosure/Litz-Lebowitz-Gray-Nash/9781462523290
Professor Katherine Iverson from the Women's Health Sciences Division of the National Center for PTSD at the VA Boston Healthcare System, and the University of Boston is a clinical research psychologist and an expert in intimate partner violence. She will be giving a keynote talk at the The 21st Australasian Conference on Traumatic Stress will take place online on 14-18 September 2021: www.acots.org/ Prof Iverson's talk is entitled: "Harnessing health services research and implementation science to improve care for individuals who experience intimate partner violence (IPV): Examples from the US Veterans Health Administration". The 2021 ACOTS conference is a collaboration between ASTSS (the Australasian Society for Traumatic Stress Studies) and Phoenix Australia – Centre for Posttraumatic Mental Health. The 2021 virtual conference will be of interest to a broad range of people interested in trauma, including practitioners, researchers, consumers, service developers and policy makers.
As the United States draws troops from Afghanistan and Iraq, a source of injury and death will cease. But research by the Veterans Health Administration will continue. Two years ago we checked in with one of VA's top researchers into brain injury and neuropathology. The chief of neuropathology at the VA Boston Healthcare System, Dr. Ann McKee returned to Federal Drive with Tom Temin for an update.
In this video, I talk with Dan Grossman about meditation practice, monastic training, clinical research, trauma, and psychedelics. Dan currently works as a research assistant at the VA Boston Healthcare System and intends to pursue a PhD in Clinical Psychology. American Yoga Foundation: http://americanyogafoundation.org/ Contact Dan about the Psychedelics + Contemplative Practice Affinity Group: dhgrossman92 @gmail
Dr. Nicole Prause, PhD is an American neuroscientist researching human sexual behavior, addiction, and the physiology of sexual response. She is also the founder of Liberos LLC, an independent research institute and biotechnology company. Dr. Prause obtained her doctorate in 2007 at Indiana University Bloomington, with joint supervision by the Kinsey Institute for Research in Sex, Gender, and Reproduction, with her areas of concentration being neuroscience and statistics. Her clinical internship, in neuro-psychological assessment and behavioral medicine, was with the VA Boston Healthcare System's Psychology Internship Training Program. Her research fellowship was in couples' treatment of alcoholism was at Harvard University. Dr. Prause became a tenure track faculty member at Idaho State University at the age of 29. After three years there, she accepted a position as a Research Scientist at the Mind Research Network, a neuro-imaging facility in Albuquerque, New Mexico. In 2012, Dr. Prause was elected a full member of the International Academy of Sex Research and accepted a position as a Research Scientist on faculty at the University of California, Los Angeles in the David Geffen School of Medicine. While there, she was promoted to Associate Research Scientist in 2014. Dr. Prause founded Liberos LLC in 2015 and she continues to practice as licensed psychologist in California.
Shira Maguen, Ph.D. is Mental Health Director of the OEF/OIF Integrated Care Clinic and Staff Psychologist on the Posttraumatic Stress Disorder Clinical Team (PCT) at the San Francisco VA Medical Center (SFVAMC), and Associate Professor in the Dept. of Psychiatry, UCSF School of Medicine. She is also the San Francisco site lead for the VA Women's Practice-Based Research Network (PBRN) and co-director of the SFVAMC MIRECC Postdoctoral Research Fellowship. Dr. Maguen completed her internship and postdoctoral training at the National Center for PTSD at the VA Boston Healthcare System after receiving her doctorate in Clinical Psychology from Georgia State University. She is involved with both the research and clinical components of the PTSD program. Her research interests fall under the umbrella of PTSD, moral injury, and suicide, and include risk and resilience factors in veterans, with a particular focus on female veterans. Dr. Maguen was the recipient of a VA Health Services Research and Development Grant that examined the impact of killing in veterans of war and moral injury. She has four additional grants that examine a novel treatment for veterans who have killed in war; trauma-related eating problems in female veterans; the effectiveness of evidence-based treatments in Iraq and Afghanistan veterans via natural language processing; and the effectiveness of a behaviorally-based treatment for insomnia (BBTI) in primary care. She recently completed a grant that examines PTSD and co-morbid conditions in OIF/OEF female veterans, and one that examines mild TBI and PTSD in OIF/OEF veterans. Dr. Maguen is the author of over 100 peer-reviewed publications, most of which focus on veteran mental health. She also works in a clinical capacity within the OEF/OIF Integrated Care Clinic and treating veterans with evidence-based treatments for PTSD. She supervises research health fellows and other trainees in evidence-based treatments for PTSD and provides mentorship for trauma-focused research fellows. In this episode, you will learn: Shira's background and experience Looking at veteran mental health needs as developmental; different needs at different stages The Origins of the concept of moral injury Similarities and differences between PTSD and Moral Injury Moral Injury and relationships Definition of moral injury Cultural expectations and influences on moral injury Interventions that impact moral injury Links Mentioned In This Episode: Dr. Maguen's email address: Shira.Maguen@va.gov Articles published by Dr. Maguen and colleagues Veteran Mental Health Boot Camp(Includes episode with Dr. Joseph Currier) --- 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/changeyourpov/message Support this podcast: https://anchor.fm/changeyourpov/support
Dr. Carmen McLean is a Clinical Psychologist with the Dissemination and Training Division of the National Center for PTSD and an Adjunct Assistant Professor of Psychology in Psychiatry at the University of Pennsylvania Education: Exchange (Psychology) Lancaster University, 2001. B.A. (Psychology) University of British Columbia, 2002. M.A. (Psychology) University of Nebraska - Lincoln, 2005. Ph.D. (Psychology) University of Nebraska - Lincoln, 2008. Post-Graduate Training Psychology Intern (predoctoral training), Department of Psychiatry, University of Chicago Medical Center, Chicago, 2007-2008. Clinical Research Fellow, National Center for PTSD, VA Boston Healthcare System, Boston, 2008-2010. Teaching Fellow, Division of Psychiatry, Boston University School of Medicine, Boston, 2008-2010. Instructor B, Center for the Treatment and Study of Anxiety, University of Pennsylvania School of Medicine, 2010-2011. In This Particular Episode You Will Learn: Carmen's background and experience Research in Prolonged Exposure Therapy Avoiding therapy to protect the clinician Veterans seeking resources in the middle of the night Training for providers Finding the right clients for Prolonged Exposure Preparing a veteran to recall experiences Informing clients about treatment --- 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/changeyourpov/message Support this podcast: https://anchor.fm/changeyourpov/support
I had the pleasure of sitting down with Susan Wilkinson to learn more about her amazing journey into entrepreneurship! As I have stated, this podcast is all about sharing stories of ordinary men and women like you and me who are pushing through and pursuing their dreams regardless of what life throws at them! Listen to her inspiring story! Here's Susan's short bio - As a family psychiatric nurse practitioner, I specialize in providing care in the outpatient setting. Prior to starting Ally Integrated Healthcare, PC in 2018, I worked in various clinical settings including acute inpatient psychiatric units, consultation, and liaison at the VA Boston Healthcare System and as a psychiatry consultant on the Integrated Behavioral Health team in the Family Medicine clinic at Boston Medical Center. My focus has always been on treating the whole patient. I am a firm believer in the mind-body connection. At Ally Integrated Healthcare, my team and I help patients struggling with a wide range of conditions including anxiety, depression, trauma-related conditions, eating disorders, substance abuse and ADHD. We use a holistic approach and tailor treatment to individual needs. Along with my practice, I am also the Founder of Your Ally Foundation, Inc a 501c (3) nonprofit with a mission to raise awareness; community sensitization, social mobilization and health education about substance use disorders and related mental health disorders, in low and middle-income countries as well as the African Diaspora in the New England area. I am very proud of this global health initiative operating in Uganda and Zambia and we hope to expand its reach. Visit her at https://allyintegratedhealthcare.com/
Click here to download a copy of the white paper.Diana Anderson, MD, M.Arch, is a healthcare architect and a board-certified internist. She completed her medical residency training at New York-Presbyterian Hospital, Columbia University Medical Center. As a “dochitect”, Dr. Anderson combines educational and professional experience in both medicine and architecture. She has worked on hospital design projects globally and is widely published in both architectural and medical journals, books and the popular press. She is a frequent speaker about the impacts of healthcare design on patient outcomes, staff satisfaction, and related topics. A Co-Founder of the Clinicians for Design group, this international network of leaders seeks to inspire and accelerate the design of environments and systems. She recently completed a geriatric medicine fellowship at the University of California, San Francisco. Alongside her work at Jacobs, Dr. Anderson is now pursuing a research fellowship in geriatric neurology at the VA Boston Healthcare System.Having trained in Dublin and Bristol, Professor Desmond O’Neill is a consultant geriatrician at Tallaght University Hospital, chair of the National Centre for Arts and Health, and co-chair of Medical and Health Humanities in TCD. His research interests cover neuroscience, ageing and the humanities, and in terms of dementia have covered a range from driving with dementia, neuro-imaging and policy, to engaging with the arts to augment quality of life in dementia. With over 500 peer-reviewed publications, he has been the co-PI of the Irish National Audits of Stroke and Dementia Care, and led out on a range of policies relevant to ageing and dementia such as the national policy on elder abuse. His international profile includes presidency of the European Geriatric Medicine Society and he is the current chair of the Humanities and Arts Committee of the Gerontological Society of America. He has been honoured with the All-Ireland Inspirational Life Award in 2010 for services to older people, the Joseph T Freeman Award of the Gerontological Society of America.Thomas Grey, Dip.Arch.B.Arch.Sci.MArch - Research Fellow, TrinityHaus, TCD, graduated from DIT Bolton Street in 1998 with an honours degree in Architecture. He moved to New Zealand in 2003 to complete a two-year Masters (Sustainability of the Built Environment) at the University of Auckland. With over 10 years in architectural practice working on projects in Ireland, the UK, Croatia, the US and NZ, Tom joined TrinityHaus Research Centre in TCD as a Research Fellow in 2009. Since then he has undertaken a variety of urban design and building design research projects examining how people-friendly design, architecture, and urbanism can support human performance, health, well-being and social participation. Much of this research focuses on age friendly and dementia attuned environments, and is underpinned by Universal Design and participatory design processes. Current projects include research and recommendations for the design of long-term residential care settings, design guidelines for Dementia Friendly Hospitals from a Universal Design Approach, the development of a Dementia Friendly Design Audit Tool, research into age-friendly housing.
Tara McBride Afonso, PsyD, is a staff psychologist at VA Boston Healthcare System and Instructor in Psychiatry at Harvard Medical School. Dr. McBride specializes in providing psychotherapy, assessments, and caregiver support to homebound older adults and their families. In addition to in-person care, she has been providing clinical services via telehealth for several years. Dr. McBride earned her doctorate from Nova Southeastern University where she carved out her own geropsychology focused training, went on to complete a pre-doctoral internship at Louis Stokes Cleveland VA in the gero-track, and a postdoctoral fellowship in Geropsychology at VA Boston. In addition to clinical duties, she supervises psychology fellows who rotate through the Home Based Primary Care setting and is a member of the Disruptive Behavior Committee at VA Boston.Resources discussed in today's episode:McKnight Article: ‘Tips for Successful Telehealth Services Implementation in SNFs,' by Jennifer Birdsall.APA Articles on Telehealth:APA Guidelines for the practice of telepsychologyEthical guidance for the COVID-19 eraHow to apply telehealth in Nursing HomesCOVID-19: What the Ethics Code says about reopening your practice nowFurther Reading:Implementation Considerations for Telehealth Programs Serving Older Adults, by the Rural Health Information Hub‘Therapy Notes' blog article: “The Therapist's Telehealth Guide for COVID-19”Gould, C. E., & Hantke, N. C. (2020). Promoting technology and virtual visits to improve older adult mental health in the face of COVID-19. The American Journal of Geriatric Psychiatry, 28(8), 889-890.Hantke, N. C., & Gould, C. (2020). Examining Older Adult Cognitive Status in the Time of COVID‐19. Journal of the American Geriatrics Society, 68(7), 1387-1389. https://doi.org/10.1111/jgs.16514Pimentel, C. B., Gately, M., Barczi, S. R., Boockvar, K. S., Bowman, E. H., Caprio, T. V., ... & Griffiths, P. C. (2019). GRECC Connect: geriatrics telehealth to empower health care providers and improve management of older veterans in rural communities. Federal Practitioner, 36(10), 464.
Dr. Umesh "Umi" Venkatesan is an Institute Scientist and Director of the Brain Trauma and Behavior Laboratory at Moss Rehabilitation Research Institute (MRRI). Umi is trained as a clinical psychologist, and he currently studies behavior and cognition in people with neurological disabilities, particularly following traumatic brain injury. He is interested in how interactions between our physiology, our behavior, how we experience the behavior of others, and how others behave may impact our medical health, mental health, and general well-being. Outside of science, the arts have always been a big part of Umi’s life. He has practiced Indian classical dance since the age of five, and Umi even danced professionally in New York City during graduate school. In addition, Umi is a classically trained singer, and he enjoys singing R&B and soul music. Beyond music and dance, Umi loves exploring new cuisine from around the world and trying food from local restaurants. Umi received a bachelor’s degree in psychology from Johns Hopkins University. Afterwards, he worked as a Research Assistant at the Kessler Foundation Research Center for about two years before enrolling in graduate school. Umi was awarded his PhD in clinical psychology from Pennsylvania State University. During graduate school, he completed a clinical neuropsychology externship at Columbia University Medical Center and a pre-doctoral internship in clinical neuropsychology at the Warren Alpert Medical School of Brown University. Before joining the team at MRRI in 2019, UMI completed a postdoctoral fellowship in Polytrauma and Traumatic Brain Injury Rehabilitation within the VA Boston Healthcare System. In our interview, Umi tells us more about his life and science.
By Michael Tetreault, Editor, Concierge Medicine Today/The DPC Journal and Author/Host, The DocPreneur Leadership Podcast Today we wrestle with another complex, overwhelming and challenging subject. Mental Health. More specifically, how can Physicians, Concierge Medicine Doctors and families access the right treatment and the best resources in a complex and emotionally charged field of healthcare? My guest and friend today is Dr. Jonathan Green, PhD, Senior Advisor at O'Connor Professional Group (https://oconnorpg.com/our-team/). O'Connor Professional Group (OPG) is a national behavioral health navigation and consulting practice, headquartered in Boston. OPG works with individuals and families struggling with addiction, eating disorders, autism, and additional mental health conditions. Our services include consultations, interventions, treatment placements, family and therapeutic coaching, companions and case management, in collaboration with a client's treatment team. Our services blend therapeutic coaching with accountability and can help clients establish lives in long term recovery. Dr. Jonathan Green, PhD, is a Senior Advisor at O'Connor Professional Group. A native of Massachusetts, he received his doctorate in clinical psychology from Clark University in Worcester, MA. Jon completed his clinical internship and postdoctoral fellowship at the VA Boston Healthcare System with appointments at Boston University School of Medicine and Harvard Medical School. Here he completed rotations in dual diagnosis (PTSD/substance use disorders) and behavioral medicine while also conducting research in the National Center for PTSD. Jon has published over 20 peer-reviewed articles and book chapters and has received awards from the American Psychological Association, the Association for Behavioral and Cognitive Therapies, the Anxiety and Depression Association of America, and the Military Suicide Research Consortium. Jon is a founding member of the Suicide and Self-Injury Special Interest Group of the Association for Behavioral and Cognitive Therapies and is the current president of the Men's Mental and Physical Health Special Interest Group. Jon enjoys finding compassionate and creative ways to apply gold-standard, empirically supported treatments for clients with unique needs, valuing the relationship between the client and provider as much as the quality of the intervention. Resources Mentioned Tel. 617-910-3940 www.oconnorpg.com 65 SPRAGUE STREET EAST MEZZANINE, SUITE M1 BOSTON, MA 02136 617-221-8764 intake@oconnorpg.com 745 5th AVENUE SUITE #500 NEW YORK, NY 10151 617-221-8764 intake@oconnorpg.com Web: www.oconnorpg.com OTHER RESOURCES MENTIONED www.ConciergeMedicineFORUM.com www.ConciergeMedicineToday.com www.DocPreneurPress.com www.DirectPrimaryCare.com
Susan Nathan, MD is a Geriatrician and Hospice and Palliative Medicine physician at VA Boston Healthcare System. She is an Instructor in Medicine at Harvard Medical School and adjunct Instructor in Medicine at Boston University School of Medicine. Dr. Nathan is the site director for the My Life, My Story Project at VA Boston. Thor […]
Susan Nathan, MD is a Geriatrician and Hospice and Palliative Medicine physician at VA Boston Healthcare System. She is an Instructor in Medicine at Harvard Medical School and adjunct Instructor in Medicine at Boston University School of Medicine. Dr. Nathan is the site director for the My Life, My Story Project at VA Boston. Thor […]
VA surveyed almost 10,000 veterans to see how they were doing the first year after service in areas of health and well-being. The focus was on that critical first year after separation and looks at reintegration. The survey asked about physical health, mental health, intimate relations, work, family, enlisted/officers, deployed vs non deployed, etc. Dr. Dawne Vogt was a principle researcher and talks to host Jim Fausone about the results. Dawne is with Boston University School of Medicine and VA Boston Healthcare System. The results of the survey are interesting. While health was a concern for about 50% of the vets and mental health a concern for 33% or so, the veterans also reported that 68% were employed, doing well and overall well-being was better than anticipated.
“Guidelines” galore! From Community-Acquired Pneumonia to asthma to...red meat? While you may be listening to this around Thanksgiving, we actually recorded on October 30th‒the best and spookiest time of the year. To really set the mood I wanted to include some terrible skeleton puns, but the ones I found weren’t humerus. What we do have for you are some tasty knowledge treats, courtesy of our ghosts‒oops, I mean our HOSTS‒Chris, Matt, Stuart and Paul. Join us as we review the most terrifyingly relevant research findings and creepiest clinical pearls! Today also marks the debut of our newest Hotcakes team member, the frighteningly talented Dr. Rahul Ganatra. Rahul will now be our resident statistician/study design expert, and will use his research skulls‒no wait, SKILLS‒to provide even more insight into the practice-changing findings we love to highlight for you. ACP members can claim CME-MOC at CME credit https://www.acponline.org/curbsiders. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written and Produced by: Sarah Phoebe Roberts MPH, Christopher Chiu MD Hosts: Matthew Watto MD, Stuart Brigham MD, Paul Williams MD, and Christopher Chiu MD Statistics Expert: Rahul Ganatra MD Editors: Christopher Chiu MD (audio/text), Emi Okamoto MD (text) Cover-Art: Sarah Phoebe Roberts MPH Music: Stuart Brigham MD Time stamps 00:00 Introduction/Disclaimer 03:18 Getting to know Dr. Rahul Gantra 05:35 Community-Acquired Pneumonia Guidelines 15:13 Sarah explains Hotcakes ratings 16:45 A new Asthma Strategy 17:26 Chris forgets what LABA stands for 27:37 Stuart makes a joke 29:00 A lot of meat talk 37:22 Rahul’s Napkin Calculations 51:40 Honorable Mentions 52:42 Take-away Points & Outtro Meet Rahul: Rahul Ganatra is a Medical Attending and Director of Continuing Medical Education for the Medical Service at the VA Boston Healthcare System. He fell in love with clinical epidemiology and public health while taking night classes for his MPH during medical school. and went on to become an applied epidemiology fellow at the Centers for Disease Control and Prevention. He completed his residency and chief residency in internal medicine at Beth Israel Deaconess Medical Center, where he worked as a hospitalist for two years before coming to the VA, where he is currently the faculty mentor for the resident journal club. In addition to critical appraisal, he loves cool animal facts and subjecting friends and colleagues to tirades about animal physiology. Goals and Learning Objectives Goals: Listeners will learn about relevant medical literature, with emphasis on breaking news and recently published research. Learning objectives: After listening to this episode listeners will… Learn about important journal articles and their salient points Develop a framework to critically analyze journal articles in a practical way Learn what medical news is being widely reported in the lay media and the underlying evidence in the literature Review the current literature on the following subjects: (1)American Thoracic Society and Infectious Diseases Society of America updated guidelines for the diagnosis and treatment of Community Acquired Pneumonia; (2) updated asthma treatment strategy and recommendations from the Global Initiative for Asthma; (3) the association between red meat intake and mortality and cardiometabolic outcomes. Disclosures: The Curbsiders report no relevant financial disclosures. Citation: Chiu CJ, Roberts SP, Ganatra R, Williams PN, Brigham SK, Watto MF. “Hotcakes: CAP, Asthma and Red Meat”. The Curbsiders Internal Medicine Podcast https://thecurbsiders.com/episode-list. November 27, 2019.
Susan Nathan, MD is a Geriatrician and Hospice and Palliative Medicine physician at VA Boston Healthcare System. She is an Instructor in Medicine at Harvard Medical School and an adjunct Instructor in Medicine at Boston University School of Medicine. She is the site director for the My Life, My Story Project at VA Boston. She is interested in the role of patient story in healthcare as well as education around serious illness communication. This is a conversation about "My Life, My Story", a program that was started to help VA health care providers better understand their patients and provide them with insights and information that might not otherwise manifest through single visits. If the Veteran chooses to participate in the program, their story becomes part of their medical record. The effect this program had and continues to have on veterans and healthcare providers is truly remarkable. To learn more, please visit: https://www.va.gov/HEALTHCAREEXCELLENCE/news-room/newsletter/spotlight-on-excellence/2018/special/my-life-my-story.asp Here is a video: https://www.youtube.com/watch?v=fpzgVlExS20
What is #NeuroPsychology? And what do the fewer than 1,000 board-certified #Neuropsychologist in the US do for #StrokeSurvivors? I talk about that and more with author of the Interactive Stroke Recovery Guide, Dr. Karen Sullivan. I think Dr. Sullivan and I first connected through Instagram. Her colorful graphics and logos really pop. Dr. Karen D. Sullivan launched a series of Facebook Live videos aimed at helping stroke and brain injury survivors understand their situation better. From there she went on to write a book, the Interactive Stroke Recovery Guide. She sent me a copy to read before our conversation. Unlike many stroke books, this is more of a work book. It's meant to be written in. It lets survivors keep track of the details of their strokes, their goals for recovery, their symptoms, etc. It's meant to be cut up, with reminders for motivation and thank you cards to give out. This is no pristine library book. Bio Karen D. Sullivan, PhD, ABPP, is the creator of the I CARE FOR YOUR BRAIN program. She is one of only 24 providers in North Carolina who is Board Certified in Clinical Neuropsychology by the American Board of Professional Psychology. Dr. Sullivan founded a private practice called Pinehurst Neuropsychology Brain & Memory Clinic in November 2013. Prior to establishing her practice, Dr. Sullivan was an Assistant Professor at the University of North Carolina at Chapel Hill’s School of Medicine in the Physical Medicine and Rehabilitation Department. She received her doctoral degree at Boston University in 2009 and completed her internship and post-doctoral fellowship in Clinical Neuropsychology at the VA Boston Healthcare System through Harvard Medical School and the Boston University School of Medicine in 2010. Dr. Sullivan has extensive training in clinical issues unique to older adults. Prior to her formal education, she worked as caregiver, nursing assistant, therapeutic companion, activities director and co-director of an adult day health program. Competition with Strokecast? Nonsense! If you want to learn more about Dr. Sullivan's fascinating and nontraditional childhood and Bon Jovi connection, listen to episode 65 of the NeuroNerds podcast. You may remember the NeuroNerds from episode 65 of this show when I talked with Joe Borges. And this brings up another important point -- don't be afraid to tell your story, just because you think everybody has already told there's. Joe and his cohost Lauren started the NeuroNerds podcast a couple weeks after a I started Strokecast, though we didn't know it at the time. But we're not competitors -- we're all colleagues and Brain Buddies. Each show is different and brings something different to the community. The interview that Joe did with Dr. Sullivan is fantastic -- and it's very different than the conversation you just heard between me and Dr. Sullivan. Joe and I have both interviewed Sarah, Tamsen, and Angie -- the Three Stromies -- about their efforts to share stories and bring value to the stroke survivor community. And those conversation are all different. Christine Lee and Ted Baxter have both written stroke memoirs and been guests on the show. Those books and conversations are all different. And they're different from the books by Dr. Jill Bolte Taylor or Allison Shapiro. And they're different from the books and stories you'll hear about in the coming weeks. If you want to tell your story, don't think there are already too many stroke podcasts, blogs, YouTube channels, or books. None of them have you -- your unique perspective and your unique history. Go out and do it. And if you do, let me know! I want to check it out and share it with the audience. Hack of the Week Visualize the things you want to do. The brain splits up functions into different parts. Even if one part is damaged, the other parts of the chain still work, so don't let them off the hook. If you can't move your arm yet, visualize moving it. Imagine lifting your arm. Close your eyes and imagine your fingers opening and closing. Do this a lot. What your doing is allowing the working parts of the brain to send data to, through, and around the damaged parts of the brain. This can help new connections grow and help restore function. One reason our therapists move our limbs, or that we use eStim as part of rehab is to send signals back to the brain about how to move. If you combine moving the limbs with visualization, it's like building the transcontinental railroad in the US in the 19th century. One team starts in the east and builds west; the other team starts in the west and builds east. Eventually the teams met up and build the connection that transformed the western United States, and celebrated by driving a golden spike into the tracks. That's where recovery happens. Links Dr. Sullivan's ICFYB Website https://www.icfyb.com/ ICFYB (I Care For Your Brain) on Instagram https://www.instagram.com/icareforyourbrain/ Interactive Stroke Recovery Guide on Amazon https://www.amazon.com/BRAIN-Stroke-Recovery-Guide-Interactive/dp/1733220704/ref=sr_1_1 ICFYB on Facebook https://www.facebook.com/ICareForYourBrain/ ICFYB on YouTube https://www.youtube.com/channel/UCGXSvK4ZARrlLn5x_c7kz-g ICFYB on LinkedIn https://www.linkedin.com/company/i-care-for-your-brain-with-dr-sullivan/ Dr. Sullivan on Twitter https://twitter.com/drkdsullivan Dr. Sullivan on LinkedIn https://www.linkedin.com/in/karen-d-sullivan-ph-d-abpp-8ab136a3/ Carrie Frye on LinkedIn https://www.linkedin.com/in/carrie-frye-210b3548/ ABPP -- American Board of Professional Psychology https://www.abpp.org/ Neuropsychology Overview https://www.apa.org/ed/graduate/specialize/neuro Find a Board Certified Neuropsychologist https://theaacn.org/directory/ Whitney Morean on Strokecast http://Strokecast.com/Whitney Paul Sanders on Strokecast http://Strokecast.com/Paul Some Facebook Stroke Groups Http://Strokecast.com/Facebook NeuroNerds Talks with Dr. Sullivan https://www.theneuronerds.com/episodes/ep-65 Joe Borges on Strokecast http://Strokecast.com/NeuroNerd Stromies on Strokecast http://Strokecast.com/Stromies Stromies on NeuroNerds https://www.theneuronerds.com/episodes/the-three-stromies-interview Bill on Instagram http://Strokecast.com/Instagram Where do we go from here? Check out Dr. Karen Sullivan's Facebook live videos and the Interactive Stroke Recovery Guide, and follow her on Instagram Have you talked with a neuropsychologist as part of your recovery? It might be a good idea to look for one in your area and see if the support is right for you. Share this episode with 3 people you know or on your own social media platform by giving them the link http://Strokecast.com/Karen. Don't get best…get better.
Michelle Mlinac, PsyD, ABPP, is a staff psychologist at VA Boston Healthcare System and an Assistant Professor in Psychiatry at Harvard Medical School. For the past ten years, Dr. Mlinac has worked in HBPC at VA Boston, providing clinical services to home-bound older adults and their families. She supervises graduate students, interns, and fellows in geropsychology practice. Dr. Mlinac is board-certified in clinical geropsychology and serves on the executive board of the American Board of Geropsychology. Her research has been in the areas of decision-making capacity, integrated care, and geropsychology training.Learning Objectives:At the conclusion of this episode, listeners will be able to:1. Describe the purpose and goals of HBPC.2. Describe the demographics of the population served in HBPC.3. List the services offered and disciplines represented on the interdisciplinary care team.4. Summarize the role of the psychologist on the HBPC interdisciplinary team.5. Identify factors unique to HBPC that a psychologist should consider or know when providing psychotherapy, assessment, and consultation services.Resources and Information on HBPC:- Home Centered Care Institute: https://www.hccinstitute.org/- Karlin, B. E., & Karel, M. J. (2014). National integration of mental health providers in VA home-based primary care: An innovative model for mental health care delivery with older adults. The Gerontologist, 54(5), 868-879.
Summary: Shira Maguen, Ph.D. is Mental Health Director of the OEF/OIF Integrated Care Clinic and Staff Psychologist on the Posttraumatic Stress Disorder Clinical Team (PCT) at the San Francisco VA Medical Center (SFVAMC), and Associate Professor in the Dept. of Psychiatry, UCSF School of Medicine. She is also the San Francisco site lead for the VA Women’s Practice Based Research Network (PBRN) and co-director of the SFVAMC MIRECC Postdoctoral Research Fellowship. Dr. Maguen completed her internship and postdoctoral training at the National Center for PTSD at the VA Boston Healthcare System after receiving her doctorate in Clinical Psychology from Georgia State University. She is involved with both the research and clinical components of the PTSD program. Her research interests fall under the umbrella of PTSD, moral injury, and suicide, and include risk and resilience factors in veterans, with a particular focus on female veterans. Dr. Maguen was the recipient of a VA Health Services Research and Development Grant that examined the impact of killing in veterans of war and moral injury. She has four additional grants that examine a novel treatment for veterans who have killed in war; trauma-related eating problems in female veterans; the effectiveness of evidence-based treatments in Iraq and Afghanistan veterans via natural language processing; and the effectiveness of a behaviorally-based treatment for insomnia (BBTI) in primary care. She recently completed a grant that examines PTSD and co-morbid conditions in OIF/OEF female veterans, and one that examines mild TBI and PTSD in OIF/OEF veterans. Dr. Maguen is the author of over 100 peer-reviewed publications, most of which focus on veteran mental health. She also works in a clinical capacity within the OEF/OIF Integrated Care Clinic and treating veterans with evidence-based treatments for PTSD. She supervises research health fellows and other trainees in evidence-based treatments for PTSD, and provides mentorship for trauma-focused research fellows. In this Episode, you will learn: Shira's background and experience Looking at veteran mental health needs as developmental; different needs at different stages The Origins of the concept of moral injury Similiarties and differences between PTSD and Moral Injury Moral Injury and relationships Definition of moral injury Cultural expectations and influences on moral injury Interventions that impact moral injury Links Mentioned In This Episode: Dr. Maguen's email address: Shira.Maguen@va.gov Articles published by Dr. Maguen and colleagues Veteran Mental Health Boot Camp(Includes episode with Dr. Joseph Currier) Want to keep up with all of the Head Space and Timing content? Subscribe Here You can be sure to find future episodes of Head Space and Timing, and all of the CYPOV Podcast Network Shows, by subscribing through your Podcast player of choice, like iTunes. Using an app makes subscribing and listening to podcasts (both ours and others) so much simpler. Just subscribe to Change Your POV Podcast within your app and it will automatically update every time a new episode is released. Do you want to check out Duane’s latest book, Combat Vet Don’t Mean Crazy? Check it out by finding it on Amazon
Tony Breu MD joins us for some hotcakes, and “cold cakes” including: how aspirin and zodiac sign affect the treatment of acute MI, a recent study on how exercise is probably still good for you, the recently announced REDUCE-IT trial, and the evidence (or lack thereof) for the treatment of hypertensive urgency. Welcome to another edition of Hotcakes and Hot Takes, where we discuss the most interesting articles and news that we have been reading. Special guest is the prolific Dr. Tony Breu (@tony_breu) who is an Assistant Professor of Medicine at Harvard Medical School and a Hospitalist and Director of Internal Medicine Resident Education at the VA Boston Healthcare System. He is known for his series on "Things We Do For No Reason” as well as his thought-provoking “Tweetorials” online. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST on day of release). Full show notes available at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written and Produced by: Sarah Phoebe Roberts MPH, Christopher Chiu MD CME Questions: Christopher Chiu MD Hosts: Matthew Watto MD, Stuart Brigham MD, Paul Williams MD, and Christopher Chiu MD Guest Presenter and Content Planning: Anthony Breu MD Editor: Christopher Chiu MD Cover-Art: Christopher Chiu MD Time stamps 00:00 Disclaimer, intro, guest bio 05:53 Discussion on Tweetorials 08:00 Cold Cake: ISIS-2 and the treatment of acute MI with aspirin 14:04 ISIS-2 and zodiac subgroup analysis 16:19 What is the relationship between cardiorespiratory fitness on mortality? 24:40 Discussion of the REDUCE-IT study 33:00 Cold Cake: VA Cooperative study and the evidence for treating essential hypertension 36:42 TWDFNR and the treatment of hypertensive urgency 46:36 Wrap-up and outro
Summary: Dr. Carmen McLean is a Clinical Psychologist with the Dissemination and Training Division of the National Center for PTSD and an Adjunct Assistant Professor of Psychology in Psychiatry at the University of Pennsylvania Education: Exchange (Psychology) Lancaster University, 2001.B.A. (Psychology) University of British Columbia, 2002.M.A. (Psychology) University of Nebraska - Lincoln, 2005.Ph.D. (Psychology) University of Nebraska - Lincoln, 2008. Post-Graduate Training Psychology Intern (predoctoral training), Department of Psychiatry, University of Chicago Medical Center, Chicago , 2007-2008.Clinical Research Fellow, National Center for PTSD, VA Boston Healthcare System, Boston , 2008-2010.Teaching Fellow, Division of Psychiatry, Boston University School of Medicine, Boston , 2008-2010.Instructor B, Center for the Treatment and Study of Anxiety, University of Pennsylvania School of Medicine , 2010-2011. In This Particular Episode You Will Learn: Carmen's background and expereince Research in Prolonged Exposure Therapy Avoiding therapy to protect the clinicina Veterans seeking resources in the middle of the night Training for providers Finding the right clients for Prolonged Exposure Preparing a veteran to recall experiences Informing clients about treatment Links Mentioned in This Episode: The Strong Star Training Initiative Carmen's email: Carmen.McLean4@va.gov HST061 The Strong Star Training Initiative with Brooke Fina HST048 Military Culture for Mental Health Professionals with Dr. Ted Bonar Head Space and Timing Voice First Skills Want to keep up with all of the Head Space and Timing content? Subscribe Here You can be sure to find future episodes of Head Space and Timing, and all of the CYPOV Podcast Network Shows, by subscribing through your Podcast player of choice, like iTunes. Using an app makes subscribing and listening to podcasts (both ours and others) so much simpler. Just subscribe to Change Your POV Podcast within your app and it will automatically update every time a new episode is released. Do you want to check out Duane's latest book, Combat Vet Don't Mean Crazy? Check it out by finding it on Amazon
Summary: Dr. Carmen McLean is a Clinical Psychologist with the Dissemination and Training Division of the National Center for PTSD and an Adjunct Assistant Professor of Psychology in Psychiatry at the University of Pennsylvania Education: Exchange (Psychology) Lancaster University, 2001.B.A. (Psychology) University of British Columbia, 2002.M.A. (Psychology) University of Nebraska - Lincoln, 2005.Ph.D. (Psychology) University of Nebraska - Lincoln, 2008. Post-Graduate Training Psychology Intern (predoctoral training), Department of Psychiatry, University of Chicago Medical Center, Chicago , 2007-2008.Clinical Research Fellow, National Center for PTSD, VA Boston Healthcare System, Boston , 2008-2010.Teaching Fellow, Division of Psychiatry, Boston University School of Medicine, Boston , 2008-2010.Instructor B, Center for the Treatment and Study of Anxiety, University of Pennsylvania School of Medicine , 2010-2011. In This Particular Episode You Will Learn: Carmen's background and expereince Research in Prolonged Exposure Therapy Avoiding therapy to protect the clinicina Veterans seeking resources in the middle of the night Training for providers Finding the right clients for Prolonged Exposure Preparing a veteran to recall experiences Informing clients about treatment Links Mentioned in This Episode: The Strong Star Training Initiative Carmen's email: Carmen.McLean4@va.gov HST061 The Strong Star Training Initiative with Brooke Fina HST048 Military Culture for Mental Health Professionals with Dr. Ted Bonar Head Space and Timing Voice First Skills Want to keep up with all of the Head Space and Timing content? Subscribe Here You can be sure to find future episodes of Head Space and Timing, and all of the CYPOV Podcast Network Shows, by subscribing through your Podcast player of choice, like iTunes. Using an app makes subscribing and listening to podcasts (both ours and others) so much simpler. Just subscribe to Change Your POV Podcast within your app and it will automatically update every time a new episode is released. Do you want to check out Duane's latest book, Combat Vet Don't Mean Crazy? Check it out by finding it on Amazon
Mike Richman of VA Research Communications interviews Dr. Jason Vassy, a clinician and researcher at the VA Boston Healthcare System. Vassy is leading a study that is focusing on whether a test for a specific gene can help patients and doctors choose the right type and dose of statin drugs, which are often used by people with high cholesterol, a risk factor for heart attack, heart disease, and stroke. Statins have been shown to help lower harmful cholesterol levels. Vassy is eager to learn whether pharmacogenetics can help in choosing the right statin medication. The relatively new field of medicine examines how a patient’s genetic make-up affects how he or she responds to a particular drug. Read more: It's in the genes
Mike Richman of VA Research Communications interviews Dr. Barbara Niles, a research psychologist in the National Center for PTSD at the VA Boston Healthcare System. Niles is leading a trial that is examining whether tai chi, an ancient Chinese mind-body therapy, can help ease the chronic pain and fatigue symptoms that are common among Veterans with Gulf War illness. Most of the treatments have been pharmaceutical. Tai chi is a graceful form of exercise that improves balance and coordination skills, with slow and deliberate balletic body movements. Read more: Meditation in motion
Experts have long worried that patients' quality of care can suffer depending on the number of nurses on the job. But, is it best to legally limit how many patients one nurse can care for or to allow nurse staffing assignments to adjust as need and circumstances arise? That's what Massachusetts voters will decide when they cast a ballot for Ballot Question One-- Later in the show, advocates for a distracted driving bill make the case for hands free, and hoping to the state's legislative clock to stop distracted driving. Guests: Donna Kelly-Williams is a Registered Nurse at the Cambridge Hospital Birth Center and President of the MNA, the Massachusetts Nurses Association. She is a yes for Question One. Donna Glynn is a Registered Nurse at the VA Boston Healthcare System and President of the ANA, the American Nurses Association of Massachusetts. She is a no for Question One. Emily Stein is President of Safe Roads Alliance And Alyson Lowell is the mother of Gabriella Lowell who-just last month-- was struck and killed by a driver on his cell phone.
Erica Sprey of VA Research Communications speaks with Dr. Katherine Iverson, a clinical psychologist and researcher at the Women's Health Division of the National Center for PTSD at the VA Boston Healthcare System. Dr. Iverson's research is focused on identifying and understanding intimate partner violence, or IPV, in women Veterans. She is also working together with other VA investigators to bring light to the problem of traumatic brain injury that stems from IPV. Women are often punched in the face during a violent encounter with an intimate partner and may not understand their risk for a brain injury. Read more: How intimate partner violence affects women Veterans
Mike Richman of VA Research Communications interviews Dr. Ann McKee, a neuropathologist at the VA Boston Healthcare System, about her research on chronic traumatic encephalopathy, or CTE. The degenerative brain disease has been found in people with a history of repetitive brain trauma and can only be diagnosed posthumously. Dr. McKee, one of the top CTE experts in the country, has found traces of CTE in the brains of former athletes, mostly football players, and Veterans. Both groups are susceptible to head trauma and concussions.
Substance abuse among Veterans is a growing problem in our country, but help is available. We'll be joined by Dave Dyer, an Army veteran, infantry scout from the 10th Mountain Division who served in Afghanistan from 2006 to 2007 and who's currently with the SHARP Team of the Dept. of Veteran's Services (a peer specialist focused on chronically homeless veterans and providing all aspects of crisis intervention), and Matthew McKenna, Director of Communications & Intergovernmental Relations, Department of Veterans' Services. We're also joined by Justin Enggasser, Ph.D., an Assistant Professor of Psychiatry at Boston University School of Medicine, Lecturer in Psychology at Harvard Medical School, and Section Chief for Substance Abuse Treatment Services at VA Boston Healthcare System. Dr. Enggasser has published research in the areas of substance abuse, depression, and PTSD. He is currently involved in projects developing and testing new treatment models and treatment delivery methods for co-occurring substance abuse and PTSD.
Host: Janet Wright, MD Guest: Deepak Bhatt, MD One of the biggest risks of antiplatelet therapy is gastrointestinal bleeding. Because of this risk, patients on the antiplatelet clopidogrel are often prescribed proten pump inhibitors, or PPIs. However, there are also concerns about PPIs decreasing the efficacy of clopidogrel. What approach should physicians take for patients at moderate to high risk for upper GI bleeding? Host Dr. Janet Wright welcomes Dr. Deepak Bhatt, chief of cardiology at the VA Boston Healthcare System, director of the Integrated Interventional Cardiovascular Program at Brigham and Women's Hospital & VA Boston Healthcare System, and associate professor of medicine at Harvard Medical School, to discuss evidence about the potential interactions between PPIs and clopidogrel based on findings from the COGENT trial. Produced in Cooperation with
Host: Janet Wright, MD Guest: Deepak Bhatt, MD One of the biggest risks of antiplatelet therapy is gastrointestinal bleeding. Because of this risk, patients on the antiplatelet clopidogrel are often prescribed proten pump inhibitors, or PPIs. However, there are also concerns about PPIs decreasing the efficacy of clopidogrel. What approach should physicians take for patients at moderate to high risk for upper GI bleeding? Host Dr. Janet Wright welcomes Dr. Deepak Bhatt, chief of cardiology at the VA Boston Healthcare System, director of the Integrated Interventional Cardiovascular Program at Brigham and Women's Hospital & VA Boston Healthcare System, and associate professor of medicine at Harvard Medical School, to discuss evidence about the potential interactions between PPIs and clopidogrel based on findings from the COGENT trial. Produced in Cooperation with