Podcasts about veterans affairs medical center

This episode, recorded live at the Becker's Healthcare 12th Annual CEO + CFO Roundtable, features Dr. Chandana Papudesu, Physician at the Veterans Affairs Medical Center. Dr. Papudesu shares insights on expanding patient-centered initiatives, enhancing women's health services, and fostering innovation to improve care for veterans. She also discusses the importance of strategic collaborations and community partnerships in shaping the future of veteran healthcare.

Cannabis or marijuana is becoming increasingly more popular in the United States for recreational and medical use. What is cannabis? Are there benefits to using it? Is it ok for someone with kidney disease or dialysis to use it? Learn all this and more in today's episode. Joshua Rein, DO, FASN, is a board-certified nephrologist, kidney physiologist, and certified hypertension specialist. He is an Assistant Professor in the Barbara T. Murphy Division of Nephrology in the Department of Medicine at the Icahn School of Medicine at Mount Sinai in NYC and a Staff Physician at the James J. Peters, Veterans Affairs Medical Center. He received his medical degree from the New York College of Osteopathic Medicine, completed internal medicine at Mount Sinai Beth Israel, and completed clinical and research nephrology fellowships at Mount Sinai Hospital. Dr. Rein is interested in the effects of cannabis and cannabinoids on kidney health and disease given their widespread growing popularity despite an uncertain impact on health. Dr. Rein's research, funded by a Veterans Affairs Career Development Award, utilizes preclinical animal models to characterize the kidney endocannabinoid system and examine the physiological impact of cannabinoids on the regulation of fluid and electrolyte balance by the kidney. His clinical research focuses on the risks, benefits, and clinical significance of cannabis consumption among people with kidney disease and those at risk for developing kidney disease.   Additional Resources: Nephrologist's Guide to Cannabis Cannabis Usage Study AJKD Blog   Do you have comments, questions, or suggestions? Email us at NKFpodcast@kidney.org. Also, make sure to rate and review us wherever you listen to podcasts.

Upon diagnosing acute myeloid leukemia (AML), the initial step involves assessing a patient's eligibility for intensive chemotherapy. The standard treatment protocol for newly diagnosed AML encompasses intensive chemotherapy to achieve complete remission, followed by post-remission therapy, which may include additional chemotherapy and/or stem cell transplantation. Complete response rates to this approach range from 60% to 85% in adults aged 60 or younger. While this approach has proven effective, the risk of relapse within three years of diagnosis remains a significant concern. Numerous factors contribute to the likelihood of relapse, including short duration of remission, genetic derangements, prior allogeneic transplantation, advanced age, and concomitant comorbidities. These negative prognostic factors underscore the need for continuous exploration of novel therapeutic agents, as relapse remains a formidable barrier to treatment success. In a new study, researchers Simonetta I. Gaumond, Rama Abdin, Joel Costoya, Andrew V. Schally (awarded the Nobel Prize in Physiology or Medicine in 1977), and Joaquin J. Jimenez from the University of Miami, Florida Atlantic University and Veterans Affairs Medical Center, Miami, investigated newly emerging therapies targeting drug resistance in AML. On April 8, 2024, their new research paper was published in Oncotarget's Volume 15, entitled, “Exploring the role of GHRH antagonist MIA-602 in overcoming Doxorubicin-resistance in acute myeloid leukemia.” Full blog - https://www.oncotarget.org/2024/05/23/combating-doxorubicin-resistant-acute-myeloid-leukemia/ Paper DOI - https://doi.org/10.18632/oncotarget.28579 Correspondence to - Simonetta I. Gaumond - sxg1204@miami.edu Sign up for free Altmetric alerts about this article - https://oncotarget.altmetric.com/details/email_updates?id=10.18632%2Foncotarget.28579 Subscribe for free publication alerts from Oncotarget - https://www.oncotarget.com/subscribe/ Keywords - cancer, leukemia, AML, resistance, growth hormone-releasing hormone, MIA-602 About Oncotarget Oncotarget (a primarily oncology-focused, peer-reviewed, open access journal) aims to maximize research impact through insightful peer-review; eliminate borders between specialties by linking different fields of oncology, cancer research and biomedical sciences; and foster application of basic and clinical science. Oncotarget is indexed and archived by PubMed/Medline, PubMed Central, Scopus, EMBASE, META (Chan Zuckerberg Initiative) (2018-2022), and Dimensions (Digital Science). To learn more about Oncotarget, please visit https://www.oncotarget.com and connect with us: Facebook - https://www.facebook.com/Oncotarget/ X - https://twitter.com/oncotarget Instagram - https://www.instagram.com/oncotargetjrnl/ YouTube - https://www.youtube.com/@OncotargetJournal LinkedIn - https://www.linkedin.com/company/oncotarget Pinterest - https://www.pinterest.com/oncotarget/ Reddit - https://www.reddit.com/user/Oncotarget/ Spotify - https://open.spotify.com/show/0gRwT6BqYWJzxzmjPJwtVh MEDIA@IMPACTJOURNALS.COM

Welcome to another episode where we dive deep into the fascinating world of Interventional Endoscopy. This time, I have the privilege of interviewing Dr. Amandeep K. Shergill, a renowned figure in the field of Gastroenterology. As the Chief of GI at the Veterans Affairs Medical Center in San Francisco and a professor of medicine at the University of California, San Francisco (UCSF), Dr. Shergill has made significant contributions to the field of medicine and in this episode, we delve into her pioneering work on ergonomics in endoscopy. Dr. Shergill shares her insights on the importance of ergonomics in improving physician comfort, and overall avoidance of injury. She also discusses the challenges faced in this evolving field and her vision for the future of endoscopy.   Join us for this engaging conversation that promises to broadens your understanding of ergonomics whether you're an endoscopist (or an aspiring one), a medical student, or just someone interested in the progress of medical science. Make sure to tune in and discover the trailblazing work of Dr. Shergill, a true innovator changing the face of endoscopy.   For more resources about ergonomics in endoscopy please refer to these links: https://www.asge.org/docs/default-source/guidelines/asge-guideline-on-the-role-of-ergonomics-summary.pdf?sfvrsn=702fe5c_1 https://www.asge.org/home/resources/publications/practical-solutions/practical-solutions-october-ergonomics-for-endoscopy-team https://www.giejournal.org/action/showPdf?pii=S0016-5107%2823%2902578-6

In this episode, Associate Editor Dr. Jonathan Kirk (Loyola University Chicago) interviews author Dr. Ed Lesnefsky (Richmond Department of Veterans Affairs Medical Center and Virginia Commonwealth University) and expert Dr. Chi Fung Lee (Oklahoma Medical Research Foundation) about the new Methods and Resources article by Chen et al. published in our Call for Papers on Impact of Aging on the Cardiovascular System. Lesnefsky and coauthors advanced a technique of isolating mitochondria with an emphasis on integrity of the mitochondrial organelles, their function, purity and characterization in order to develop benchmarks in the field for quality control to support collaboration across laboratories. In their research, the authors focus on mitochondrial-driven age-enhanced disease and on mitochondrial defects due to aging, which potentially increase the susceptibility of elderly patients' hearts to cardiovascular disease. Well-known techniques exist for isolating specific mitochondria populations in mouse hearts. However, Lesnefsky and collaborators found that this resulted in not enough sample to properly interrogate. Therefore Lesnefsky and coauthors investigated whether they could isolate one combined mixed population of mitochondria with a “wild type” physiological model of aging, and whether or not that would that reflect the phenotype. Listen as we discuss the importance of studying mitochondria in an aging model as well as the strategy Lesnefsky and colleagues used to develop their protocol for isolating a mixed mitochondria population. Don't miss the last few minutes of this conversation for pro tips about the value of networking and career-long mentors. Listen now.   Qun Chen, Jeremy Thompson, Ying Hu, and Edward J. Lesnefsky Aging-induced mitochondrial dysfunction: two distinct populations of mitochondria versus a combined population Am J Physiol Heart Circ Physiol, published January 12, 2024. DOI: 10.1152/ajpheart.00363.2023

In 1989, Kristen Gilbert started her nursing career at the Veterans Affairs Medical Center in Northampton, Massachusetts. She impressed medical staff for her quick and skilled reactions to emergencies on her ward and in the ICU. But over the following seven years, so much death occurred during her shifts that she gained the moniker “The Angel of Death.” Was it a coincidence, or was Kristen Gilbert killing her patients? Keep up with us on Instagram @serialkillerspodcast! Have a story to share? Email us at serialkillerstories@spotify.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

BUFFALO, NY- April 10, 2024 – A new #researchpaper was #published in Oncotarget's Volume 15 on April 8, 2024, entitled, “Exploring the role of GHRH antagonist MIA-602 in overcoming Doxorubicin-resistance in acute myeloid leukemia.” Acute myeloid leukemia (AML) is characterized by the rapid proliferation of mutagenic hematopoietic progenitors in the bone marrow. Conventional therapies include chemotherapy and bone marrow stem cell transplantation; however, they are often associated with poor prognosis. Notably, growth hormone-releasing hormone (GHRH) receptor antagonist MIA-602 has been shown to impede the growth of various human cancer cell lines, including AML. In this new study, researchers Simonetta I. Gaumond, Rama Abdin, Joel Costoya, Andrew V. Schally, and Joaquin J. Jimenez from the University of Miami, Florida Atlantic University and Veterans Affairs Medical Center, Miami examined the impact of MIA-602 as monotherapy and in combination with Doxorubicin on three Doxorubicin-resistant AML cell lines, KG-1A, U-937, and K-562. “Given the role of GHRH in multiple cancer types, it is possible that GHRH antagonists may offer an alternative treatment approach for AML as well as drug-resistant AML, which may circumvent the side effects associated with standard chemotherapy.” The in vitro results revealed a significant reduction in cell viability for all treated wild-type cells. Doxorubicin-resistant clones were similarly susceptible to MIA-602 as the wild-type counterpart. Their in vivo experiment of xenografted nude mice with Doxorubicin-resistant K-562 revealed a reduction in tumor volume with MIA-602 treatment compared to control. “Our study demonstrates that these three AML cell lines, and their Doxorubicin-resistant clones, are susceptible to GHRH antagonist MIA-602.” DOI - https://doi.org/10.18632/oncotarget.28579 Correspondence to - Simonetta I. Gaumond - sxg1204@miami.edu Subscribe for free publication alerts from Oncotarget - https://www.oncotarget.com/subscribe/ Keywords - cancer, leukemia, AML, resistance, growth hormone-releasing hormone, MIA-602 About Oncotarget Oncotarget (a primarily oncology-focused, peer-reviewed, open access journal) aims to maximize research impact through insightful peer-review; eliminate borders between specialties by linking different fields of oncology, cancer research and biomedical sciences; and foster application of basic and clinical science. Oncotarget is indexed and archived by PubMed/Medline, PubMed Central, Scopus, EMBASE, META (Chan Zuckerberg Initiative) (2018-2022), and Dimensions (Digital Science). To learn more about Oncotarget, please visit https://www.oncotarget.com and connect with us: Facebook - https://www.facebook.com/Oncotarget/ X - https://twitter.com/oncotarget Instagram - https://www.instagram.com/oncotargetjrnl/ YouTube - https://www.youtube.com/@OncotargetJournal LinkedIn - https://www.linkedin.com/company/oncotarget Pinterest - https://www.pinterest.com/oncotarget/ Reddit - https://www.reddit.com/user/Oncotarget/ Spotify - https://open.spotify.com/show/0gRwT6BqYWJzxzmjPJwtVh Media Contact MEDIA@IMPACTJOURNALS.COM 18009220957

Northern Arizona VA Health Care System will be hosting a hiring fair on Saturday, October 21, 2023, from 8:00 a.m. to 3:00 p.m. The hiring fair will take place at the Bob Stump Department of Veterans Affairs Medical Center, 500 Highway 89 North, Prescott, AZ 86313. To attend the Hiring Fair, applicants must first apply to at least one of the job announcements listed below on USA Jobs. Applicants meeting minimum qualifications for VA employment will receive an invitation to RSVP for the Hiring Fair. We ask that all applicants complete the RSVP form to confirm their appointment at the... For the written story, read here >> https://www.signalsaz.com/articles/hiring-fair-at-northern-arizona-va-health-care-system/Follow the CAST11 Podcast Network on Facebook at: https://Facebook.com/CAST11AZFollow Cast11 Instagram at: https://www.instagram.com/cast11_podcast_network

Colleen Nall, 54, of Lorena, passed away unexpectedly on July 23, 2023, at her home. A celebration of life/memorial service will be held at 6pm, Saturday, July 29, 2023, at Meadowbrook Baptist Church, with Pastor David Cozart of Meadowbrook Baptist Church officiating. Colleen was born April 28, 1969, in Nuremberg, Germany to Kenneth and Judith Knopp. Growing up along the East Coast to graduating at Lorena High School in 1987. She met her husband, David, at Western Heights Baptist Church and got married there 6 months later. For thirty-three years, Colleen was employed at Veterans Affairs Medical Center in Waco, Temple, and Dallas. She was an avid Dallas Cowboy fan, like her father. She enjoyed spending time serving others. She loved singing gospel music, volunteering at church, being a MaryKay Consultant and most of all her wonderful grandchildren whom she adored. She was preceded in death by her father. She is survived by her loving husband, David of Lorena, her son, Kenneth of Lorena, her two daughters: Stirling Gish and husband, Chris of Lorena; Heatherann Geisler and husband, Keith of Houston, and her five grandchildren: Ryleigh, Jolene, Ezra, Cade, and August. Also surviving are her mother Judith Knopp of Lorena, her two sisters': Tracy Kramer and husband, Charles of Waco, and Heather Knopp of Lorena. Along with many nieces, nephews, and extended family. The family would like to extend a special thank you to Lorena Volunteer Fire Department, the AMR team, McLennan County Sheriff's office, Judge W.H.(Pete) Peterson, Grace Garden and Meadowbrook Baptist Church.

Episode Start Time: Minute 2:18 In this episode, Tyler and Jose delve into the life and career of Erik Grohmann, the owner and founder of Grunt Grub. Erik's journey is a compelling narrative that spans from his early life in Pewaukee, Wisconsin, to his time serving in the Marines, and finally to his current role as a registered dietitian and entrepreneur. The hosts begin by exploring Erik's pre-Marine Corps history, gaining insights into the experiences and motivations that led him to join the Marines in 2010. They discuss his time serving with the 2nd Battalion, 1st Marines (2/1) as an 0311, highlighting his deployments to Korea and the 31st and 11th Marine Expeditionary Units (MEUs). Transitioning from his military service, Tyler and Jose delve into Erik's academic journey at California State University Long Beach, where he earned a Bachelor of Science degree in Nutrition and Dietetics. They follow his return to Wisconsin, where he completed his Dietetic Internship and became a registered dietitian. The latter part of the episode focuses on Erik's extensive knowledge regarding health, wellness, mindset, and nutrition. As the founder of Grunt Grub, Erik shares his passion for helping hard-working men reach their health and performance goals through evidence-based nutrition coaching. His recent achievement of a Master of Science degree in Dietetics further underscores his commitment to his field. Biography: Erik Grohmann, M.S., R.D., is a registered dietitian and former Marine, born and raised in Pewaukee, Wisconsin. His journey began in 2010 when he joined the Marines, serving with the 2nd Battalion, 1st Marines (2/1) from 2011-2015 as an 0311. During his service, Erik was deployed to Korea and the 31st and 11th Marine Expeditionary Units (MEUs), serving in various leadership roles. He specialized in company-sized raids using Combat Rubber Raiding Crafts (CRRCs) and indigenous force training. Erik completed several courses during his service, including Squad Leader School (AIC), Foreign Advisors Course in Virginia, TSULC, and Raid Leaders. After leaving the Marine Corps, Erik moved to Huntington Beach, California, with his wife. He attended California State University Long Beach, where he graduated with a Bachelor of Science degree in Nutrition and Dietetics. Following his graduation, Erik and his wife returned to Wisconsin. Here, he completed his Dietetic Internship, passed his credentialing exam, and officially became a registered dietitian. Erik has since worked at his local Veterans Affairs Medical Center as a clinical dietitian and started his own private practice, Grunt Grub. His practice focuses on helping hard-working men reach their health and performance goals through evidence-based nutrition coaching. Erik recently graduated with a Master of Science degree in Dietetics. Currently, Erik is growing his business and installing solar panels part-time for additional income and his enjoyment of physical work. In his free time, Erik is an outdoor enthusiast who enjoys bow hunting, snowboarding, and endurance running. His journey from the Marines to becoming a registered dietitian showcases his dedication to health, performance, and service. Digital Platforms: Instagram: @Gruntgrub

On today's Zero Limits Podcast we chat with Joe Piersante a 23-year veteran of the United States Department of Justice, Drug Enforcement Administration and provides presentations on overcoming adversity. During his time with the DEA, Special Agent Piersante was assigned to complex narcotics investigations, clandestine laboratory investigations and deployed with a DEA's Foreign Advisory Support Team (FAST). Assigned to a Delta Team for three tours to Afghanistan and Honduras.While serving on a counter narcotics mission in Afghanistan, Joe survived a Taliban PKM machine gun round through the frontal lobe which left him blind.  Special Agent Piersante was approximately 10 meters from the rear of the helicopter when he was subsequently hit by enemy fire. The round penetrated his ballistic helmet, entered above his right eye and exited above his left eye, and he was immediately rendered unconscious and fell to the ground.Special Agent Poortinga positioned himself at the rear of the helicopter and continued laying down suppressive fire as Special Agent Piersante was being assisted into the helicopter. He instinctively put himself in harm's way and returned fire until all personnel were onboard the helicopter. As the helicopter took off, Special Agents Vanderbilt, Johnson, and Harris immediately rendered first aid to Special Agent Piersante and controlled his bleeding, maintained an open airway, and stabilized him. Special Agent Piersante was eventually transferred to the Veterans Affairs Medical Center in Richmond, Virginia for continued treatment and rehabilitation. Lets GO!Support the show - https://www.paypal.com/donate/?hosted_button_id=9LG48GC49TW38Website - www.zerolimitspodcast.comInstagram - https://www.instagram.com/zero.limits.podcast/?hl=en

COL (Dr.) Horvath is a veteran of the US Army Reserve Medical Corps, having served in three deployments to Iraq. He is an internal medicine physician specializing in occupational medicine and pulmonary disease. His first deployment to Iraq was at the age of 56 after a 26-year break in military service, having served as a U.S. Navy officer earlier in his career. He returned to the military, in part inspired by his two sons, whom both joined the Navy following 9/11. During his last deployment in 2011, he served as the Task Force Deputy Commander and Chief of Clinical Services for a combat hospital near Tikrit, Iraq, and was responsible for the medical care of over 20,000 U.S. soldiers in the northern half of Iraq. His civilian career has ranged from serving as the Medical Director for major corporations such as BP and General Electric to now serving as a primary care physician at the Veterans Affairs Medical Center in Cleveland. In this episode, he discusses the role of Occupational Health and Preventative Medicine in war zones. He describes why he was drawn back to the military at the age of 56. We then dive into his clinical roles during his deployments and what it was like providing care for detainees at Abu Ghraib. We discuss how serving in the reserves differs from active duty and how he stayed clinically prepared to provide combat casualty care for each deployment. He discusses some of his most traumatic cases and how this has impacted his mental health upon returning. We discuss the challenges and opportunities of serving as the leader of a combat hospital for a yearlong deployment. We also learn about why mentoring is so important to him and how he fosters these relationships. He finishes by describing why he wrote a memoir about his experiences as a deployed physician titled “Good Medicine, Hard Times.”   Find out more and join Team WarDocs at www.wardocspodcast.com           Honoring Military Medicine's Past to Improve Healthcare's Future   The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing career opportunities, experiences, and achievements of military medicine. Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm Good Medicine, Hard Times: Memoir of a Combat Physician in Iraq by Edward Horvath available on Amazon- https://amzn.to/3A3I9jL WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible, and 100% of donations go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.         Follow Us on social media. Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast  

Why The Owner of Patagonia Gave Away The Whole Company Earlier this week, the founder and owner of Patagonia Yvon Chouinard—the company known for their famous puffer jackets and outdoor gear—gave away the whole company. Who'd he give it to? The Earth. “Hopefully this will influence a new form of capitalism that doesn't end up with a few rich people and a bunch of poor people,” Chouinard told David Gelles for The New York Times. “We are going to give away the maximum amount of money to people who are actively working on saving this planet.” Purbita Saha, deputy editor at Popular Science, debriefs Ira on Chouinard's decision, as well as other science stories of the week. They talk about if it's safe to get the COVID booster and flu shot at the same time, how a new blood test could catch early stages of cancer, why the night sky is bluer, the reason why NASA is crashing a spacecraft into an asteroid, and the fight over trash between cockatoos and Australians.   Depression Isn't Caused By Low Serotonin. So How Do Antidepressants Work? In 2001, a now classic Zoloft commercial hit the airwaves—featuring a sad little blob with a rain cloud following it around. The commercial explains that “while the cause is unknown, depression may be related to an imbalance of natural chemicals between nerve cells in the brain. Prescription Zoloft works to correct this imbalance.” That theory of depression as a chemical imbalance is based on a simple premise: Depressed people's brains lack serotonin. If a patient takes a serotonin reuptake inhibitor (SSRI), like Prozac or Zoloft, it boosts their serotonin levels, and their depression lifts. The trouble is that when researchers started testing this theory they found it didn't hold up. Serotonin is certainly involved in depression. But it's way more complicated than it originally seemed.To be clear, there is a body of research showing that antidepressants do work—it's just unclear exactly how they work. Read the rest at sciencefriday.com. Understanding Metabolism Genes Might Improve Depression Treatment Sometimes finding the right antidepressant medication is basically trial and error. Scientists are still trying to figure out why some antidepressants work for some people, but not others. Researchers at the Veterans Administration wanted to know if genetic testing might help doctors with prescribing the antidepressant best suited for their patients. Specifically, they examined genes that indicate whether or not someone is able to properly metabolize a medication. Ira is joined by Dr. David Oslin, professor of psychiatry at the Crescenz Department of Veterans Affairs Medical Center and University of Pennsylvania Perelman School of Medicine, to explain his latest research and its broader implications.   Transcripts for each segment will be available the week after the show airs on sciencefriday.com.  

With Renee Turnbell, Licensed Clinical Social Worker & Therapist   Did you know that June is PTSD Awareness Month? Perhaps you might be asking, “What is PTSD, and what are the symptoms?” Post Traumatic Stress Disorder can be defined as ongoing emotional distress or difficulty recovering from a traumatic event. A trauma is a shocking or dangerous event that's either witnessed or personally experienced by an individual who feels their life is in imminent danger. Sadly, in recent years PTSD, and a newly diagnosed form of PTSD related to a history of repeated exposure to the triggering event, are on the rise. Many people think PTSD is associated primarily with veterans of war whose tour of duty has ended, yet the trauma of what they experienced is still with them. However, it's important to note that you don't have to be a veteran to experience PTSD. Virtually anyone can suffer from the condition. A variety of traumatic situations can result in PTSD such as physical assault, car accidents, sudden death of a loved one, sexual abuse, and more. If the lasting effect is a trigger for ongoing trauma, then it is PTSD. It's estimated that 60% of men and 50% of women may experience a traumatic event at least once in their lifetime. As a result, 8 out of every 100 people will develop PTSD at some point in their lives. That's why it's so important to understand the underlying cause and effect, as well as the preferred treatments for this condition. The good news is that PTSD can be treated.   My guest today is Renee Turnbell. She's a licensed clinical social worker and therapist with the John D. Dingell Department of Veterans Affairs Medical Center in Detroit. Through her work with the VA, Renee is very familiar with the symptoms, the impact on her patients, and how to successfully treat PTSD.   What You'll Hear on This Episode: What is Renee's background and why was she drawn to the VA? What is PTSD? What is C-PTSD? What are the main symptoms of PTSD? Is PTSD considered a mental illness? Do medications work for PTSD? Is there a cure for PTSD? Why are more first responders and healthcare workers experiencing PTSD? What are the PLEASE Skills? How can someone get diagnosed with PTSD? What does Renee do to help her patients? How do service dogs help with PTSD? What should we do if we suspect a loved one is experiencing PTSD? Other ways to seek help.   Today's Takeaway: Current statistics indicate that roughly 12 million adults in the U.S. report struggling with PTSD. The key here is that these statistics are based only upon those cases reported. Way more people could be suffering from PTSD but may be unwilling to seek treatment perhaps out of a sense of shame or embarrassment. Being diagnosed with PTSD is certainly not a sign of weakness or anything to be ashamed of. PTSD is a very treatable condition and there is no need to go on suffering when help is readily available. Sadly, our society can be extremely harsh and judgemental. For someone who is already in an emotionally fragile state, the fear of how others may treat them may cause them to remain silent. That's why it's so important that people feel safe in admitting when they are struggling and feel supported in their efforts to seek help. Remember, that every day is a gift. If someone around us is suffering as a result of trauma, we need to be understanding and compassionate. Asking for help takes courage and we want to be part of their solution rather than contribute to their pain. I'm Florine Mark and that's “Today's Takeaway.”   Quotes: “Not everybody who experiences a traumatic event will develop PTSD.” — Renee “Usually with good self-care and support, it won't develop into PTSD.” — Renee “When we think of an illness, we think of something being wrong with somebody. Somebody wouldn't have PTSD if they didn't experience the trauma.” — Renee “PTSD actually affects the brain on a structural level.” — Renee “There's really no cure for PTSD, but some people can see a complete resolution of their symptoms through therapy.” — Renee “I think that's one of the biggest things; survivors sometimes do feel alone. And they don't feel understood.” — Renee   Brought to You By: Gardner White Furniture   Mentioned in This Episode: John D. Dingell Department of Veterans Affairs Medical Center National Center for PTSD If you are experiencing thoughts about harming yourself or others, you can text or call the Suicide or Crisis Lifeline at 988.

In this episode, Dr. Thomas Franko, PharmD, president of the Pennsylvania Pharmacist's Association talks with Todd Eury, CEO & Founder of the Pharmacy Podcast Network about his 'Vision for the Role of the Pharmacist in 2022'. Most people see pharmacists behind the counter dispensing pills and occasionally giving advice on prescription and over the counter (OTC) medications; they may sometimes remind customers of preventive screenings or flu shots. But pharmacists are capable of much more. As part of their professional degree, they receive extensive training on medication management to optimize treatment options, manage medication side effects, interactions and duplications, interpret lab results, perform physical exams, and administer vaccines. --from Deloitte Insights The pandemic increased opportunities for pharmacists to deliver hands-on care. The Department of Health and Human Services (HHS) gave pharmacists the authority to order and administer COVID-19 tests, childhood vaccines (3–18 years of age), and COVID-19 vaccines.4 Subsequently, pharmacists, interns, and pharmacy technicians were on the front lines, testing for COVID-19, giving shots, and educating the public, all the while keeping their doors open throughout the pandemic. These efforts elevated the public's perception of pharmacists and offset the burden on other parts of the health care system, providing an opportunity for the profession to redefine its role and value. About Dr. Thomas Franko, PharmD Dr. Franko is the PPA's on-coming President for 2022. After service as a clinical pharmacist in outpatient chronic pain management, Dr. Franko joined Wilkes University in 2013. He maintains an ambulatory care practice site with the Wright Center for Graduate Medical Education in Kingston, PA. He is involved with medication therapy management for several chronic diseases, especially pain management, at the Wright Center. Along with pharmacy students, Dr. Franko trains pharmacy and medical residents from Moses Taylor Hospital and The Wright Center. He is an active member of the American Pharmacists Association, American Association of Colleges of Pharmacy and the Pennsylvania Pharmacists Association. His interests are in pain management, substance use disorder and harm reduction strategies. Education and Training Doctor of Pharmacy, Philadelphia College of Pharmacy, Philadelphia, PA Pharmacy Practice Residency, Veterans Affairs Medical Center, Wilkes-Barre, PA Learn more about your ad choices. Visit megaphone.fm/adchoices

As a country we have heard and learned a lot about disease, and there are many opinions as to what works and what does not.  Today specialist Dr. Lakhmir (Mink) Chawla joins us to explain the differences in bacterial and viral infections and how to make sense of an overload of information regarding infectious disease, including COVID-19. Using a technology called Seraph 100, created by ExThera Medical, there is help in treating COVID-19.Dr. Lakhmir (Mink) ChawlaDr. Lakhmir (Mink) Chawla is the Chairman of the Scientific Advisory  Board and a board member for ExThera Medical. Dr. Chawla is also the Silver Creek Pharmaceuticals Chief Medical Officer and a clinical professor of medicine at the UCSD Medical Center and Veterans Affairs Medical Center. Dr. Chawla was a professor of medicine at the George Washington University Medical Center in Washington, D.C., where he directed research efforts for the Division of Critical Care Medicine. He previously headed the Division of Intensive Care Medicine at the Washington, D.C., Veterans Affairs Medical Center. With a focus on critical care and nephrology, Dr. Chawla has led and supported several grants and research projects centered onc acute kidney injury, renal disease, extracorporeal therapies, shock, and sepsis.

In this episode, Dr. Thomas Franko, PharmD, president of the Pennsylvania Pharmacist's Association talks with Todd Eury, CEO & Founder of the Pharmacy Podcast Network about his 'Vision for the Role of the Pharmacist in 2022'. Most people see pharmacists behind the counter dispensing pills and occasionally giving advice on prescription and over the counter (OTC) medications; they may sometimes remind customers of preventive screenings or flu shots. But pharmacists are capable of much more. As part of their professional degree, they receive extensive training on medication management to optimize treatment options, manage medication side effects, interactions and duplications, interpret lab results, perform physical exams, and administer vaccines. --from Deloitte Insights The pandemic increased opportunities for pharmacists to deliver hands-on care. The Department of Health and Human Services (HHS) gave pharmacists the authority to order and administer COVID-19 tests, childhood vaccines (3–18 years of age), and COVID-19 vaccines.4 Subsequently, pharmacists, interns, and pharmacy technicians were on the front lines, testing for COVID-19, giving shots, and educating the public, all the while keeping their doors open throughout the pandemic. These efforts elevated the public's perception of pharmacists and offset the burden on other parts of the health care system, providing an opportunity for the profession to redefine its role and value. About Dr. Thomas Franko, PharmD Dr. Franko is the PPA's on-coming President for 2022. After service as a clinical pharmacist in outpatient chronic pain management, Dr. Franko joined Wilkes University in 2013. He maintains an ambulatory care practice site with the Wright Center for Graduate Medical Education in Kingston, PA. He is involved with medication therapy management for several chronic diseases, especially pain management, at the Wright Center. Along with pharmacy students, Dr. Franko trains pharmacy and medical residents from Moses Taylor Hospital and The Wright Center. He is an active member of the American Pharmacists Association, American Association of Colleges of Pharmacy and the Pennsylvania Pharmacists Association. His interests are in pain management, substance use disorder and harm reduction strategies. Education and Training Doctor of Pharmacy, Philadelphia College of Pharmacy, Philadelphia, PA Pharmacy Practice Residency, Veterans Affairs Medical Center, Wilkes-Barre, PA Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Dr. Thomas Franko, PharmD, president of the Pennsylvania Pharmacist's Association talks with Todd Eury, CEO & Founder of the Pharmacy Podcast Network about his 'Vision for the Role of the Pharmacist in 2022'. Most people see pharmacists behind the counter dispensing pills and occasionally giving advice on prescription and over the counter (OTC) medications; they may sometimes remind customers of preventive screenings or flu shots. But pharmacists are capable of much more. As part of their professional degree, they receive extensive training on medication management to optimize treatment options, manage medication side effects, interactions and duplications, interpret lab results, perform physical exams, and administer vaccines. --from Deloitte Insights The pandemic increased opportunities for pharmacists to deliver hands-on care. The Department of Health and Human Services (HHS) gave pharmacists the authority to order and administer COVID-19 tests, childhood vaccines (3–18 years of age), and COVID-19 vaccines.4 Subsequently, pharmacists, interns, and pharmacy technicians were on the front lines, testing for COVID-19, giving shots, and educating the public, all the while keeping their doors open throughout the pandemic. These efforts elevated the public's perception of pharmacists and offset the burden on other parts of the health care system, providing an opportunity for the profession to redefine its role and value. About Dr. Thomas Franko, PharmD Dr. Franko is the PPA's on-coming President for 2022. After service as a clinical pharmacist in outpatient chronic pain management, Dr. Franko joined Wilkes University in 2013. He maintains an ambulatory care practice site with the Wright Center for Graduate Medical Education in Kingston, PA. He is involved with medication therapy management for several chronic diseases, especially pain management, at the Wright Center. Along with pharmacy students, Dr. Franko trains pharmacy and medical residents from Moses Taylor Hospital and The Wright Center. He is an active member of the American Pharmacists Association, American Association of Colleges of Pharmacy and the Pennsylvania Pharmacists Association. His interests are in pain management, substance use disorder and harm reduction strategies. Education and Training Doctor of Pharmacy, Philadelphia College of Pharmacy, Philadelphia, PA Pharmacy Practice Residency, Veterans Affairs Medical Center, Wilkes-Barre, PA Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Heather Zak-Ramsay grew up in Dover, De. She earned her BS degree at the College of Charleston in South Carolina in 1996 and her DMD degree from the Medical University of South Carolina in 2001. She then completed a General Practice Residency at the Veterans Affairs Medical Center in Hampton, Virginia. For the last 18 years, she has been the owner of a general dental practice in Suffolk, Virginia. Dr. Zak-Ramsay is married to Jamie Ramsay, DMD and together they have three beautiful boys.

With more than 30 years in the audiology and hearing aid industry, Steve DeMari brings a wealth of knowledge and leadership to his position as Director of Business Development and Education. He is responsible for maintaining and growing the customer base and cultivating new relationships as well as mentoring outreach peers and account managers.Steve's passion for the industry began during his early years in Syracuse, New York, with his hard-of-hearing sister. He helped trouble shoot her hearing aids and teletypewriter, became involved with the Deaf and hard-of-hearing communities in Central New York, and volunteered with the audiology mobile unit at Rochester Hearing and Speech Center. Steve earned a master's degree in audiology from Syracuse University, then completed a clinical and research audiologist fellowship at the Department of Veterans Affairs Medical Center in Long Beach, California.Steve has served in a variety of leadership roles. Most recently, he was Vice President of Sales and Account Management and Director of Audiology for United Healthcare Hearing. Previously, he was Director of Government Services and Business Development for Phonak, Starkey, and Sivantos as well as audiologist and manager for a wide demographic of medical and private practice clinics in Los Angeles and Chicago. Under his leadership, these companies and channels enjoyed market-share rise and team growth. Steve was instrumental in launching the Universal Newborn Hearing Screening Program in Illinois.Steve is a member of the American Academy of Audiology, American Speech-Language-Hearing Association and Illinois AA. He stays highly involved in the industry through several social networks and professional blogs and continuing education within the field of Audiology.Follow Knowledgeable Aging:Facebook: https://www.facebook.com/Knowledgeable-Aging-102638398162823Twitter: https://twitter.com/KnowledgeAgingInstagram: https://www.instagram.com/knowledgeableaging/LinkedIn: https://www.linkedin.com/company/knowledgeable-aging/?viewAsMember=trueSpotify: https://open.spotify.com/show/05OHF9FkmhzCO5PDsyGfGqNewsletter: https://www.knowledgeableaging.com/newsletter/

Dr. Mark Hinkes is a Doctor of Podiatric Medicine who recently retired from clinical care after 40 years' service. 20 years in private practice in Miami, FL and 20 years at the Veterans Affairs Medical Centers. In Nashville, Tennessee he served as the Chief of Podiatry Services and Director of Podiatric Medical Education. He has been the Chairman of the Preservation Amputation Care and Treatment (PACT) Program for over a decade.His service was responsible for providing the full spectrum of foot health care including primary podiatric medicine, pedal biomechanical evaluations, orthotic/prosthetic services, preventive foot care for patients with diabetes and at-risk limbs, wound care and foot surgery. He also provided consultation services for primary care, emergency care services, and specialty service clinics.Before moving to Nashville, Dr. Hinkes was the Chief of the Podiatry Service at the Veterans Affairs Medical Center in Salem, Virginia. He served as National Field Advisor for Quality Assurance for Podiatric Medicine for the Veterans Administration. Dr. Hinkes has been a consultant for hospitals, extended care facilities, and corporations. He has served on multiple hospital committees, lectured nationally and internationally for community groups and schools, and has published peer-reviewed journal articles. He is the author of two books on diabetic foot health, Keep The Legs You Stand On, and Healthy Feet for People with Diabetes. Dr. Hinkes participated in teaching podiatric medicine at the graduate level at Barry University School of Podiatric Medicine in Miami, Florida from 1987 to 1998 as Adjunct Associate Professor of Podiatric Medicine. He is bilingual, English-Spanish, and has been a consultant to the electronic and print media in both languages. He has been President of the Dade County (Florida) Podiatric Medical Association. He has served as a clinical investigator for Novartis Pharmaceuticals.Dr. Hinkes started his podiatric medical career in Miami, Florida where he completed his American Podiatric Medical Association-approved medical/surgical residency training at Westchester General Hospital. Dr. Hinkes graduated in May 1976 from Ohio College of Podiatric Medicine in Cleveland, Ohio as a member of Phi Alpha Pi Professional Fraternity. In January 1973, he obtained his Bachelor of Science in Psychology from Loyola University of Chicago, Illinois. His teaching at post-graduate level included Vanderbilt University School of Nursing and Geriatric Medicine in Nashville that focused on common foot problems with an emphasis on the diabetic foot, ulcer and amputation prevention in the at-risk patient.Dr. Hinkes is certified by the American Board of Foot and Ankle Surgery and the American Professional Wound Care Association. He is a diplomat of the American College of Foot & Ankle Surgeons. His professional memberships include the American Podiatric Medical Association, American Podiatric Writers Association, American Professional Wound Care Association and Association for the Advancement of Wound Care. He is a frequent blog contributor to several wound care blogs including Podiatry Today Magazine and his personal LinkedIn site. He is President and CMO of ePrevenir, a company who offers a cloud-based tool for Primary Care Providers to manage the four comorbidities of diabetes. In his leisure time, Dr. Hinkes enjoys raising roses, traveling, playing backgammon, and creating stained glass art.Follow Knowledgeable Aging:Facebook: https://www.facebook.com/Knowledgeable-Aging-102638398162823Twitter: https://twitter.com/KnowledgeAgingInstagram: https://www.instagram.com/knowledgeableaging/LinkedIn: https://www.linkedin.com/company/knowledgeable-aging/?viewAsMember=trueSpotify: https://open.spotify.com/show/05OHF9FkmhzCO5PDsyGfGqNewsletter: https://www.knowledgeableaging.com/newsletter/

In this episode, Imani and Reginald discuss with Dr. Backhus and Dr. Goodney the historical implications of the longstanding poor relationship between the Black community and the medical community, and its effect on current practices and patient care in vascular surgery. They also explore the role of research in creating demonstrable changes in practice to aid in ameliorating this relationship. Leah Backhus, MD, MPH, FACS (@leahbackhusmd) practices at Stanford Hospital and is Chief of Thoracic Surgery at the VA Palo Alto, where she focuses on thoracic oncology and minimally invasive surgical techniques. She is also Co-Director of the Thoracic Surgery Clinical Research Program and has grant funding through the Veterans Affairs Administration and NIH. Her current research interests are in imaging surveillance following treatment for lung cancer and cancer survivorship. She is a member of the National Lung Cancer Roundtable of the American Cancer Society serving as Chair of the Task Group on Lung Cancer in Women. She also serves on the Board of Directors of the Society of Thoracic Surgeons. As an educator, Dr. Backhus is the Associate Program Director for the Thoracic Track Residency and is the Chair of the ACGME Residency Review Committee for Thoracic Surgery.  Phillip Goodney MD, MS (@DartmthSrgHSR) is a vascular surgeon, health services researcher, Vice-Chair of Research in the Department of Surgery, Director of the Center for the Evaluation of Surgical Care at Dartmouth (CESC), and Co-Director of the VA Outcomes Group at Veterans Affairs Medical Center in White River Junction, Vermont. His research interests include outcomes assessment using both quantitative and qualitative methods, clinical trials, patient preferences, and shared decision making. He received a Career Development Award from the National Heart, Lung, and Blood Institute in 2010, the Lifeline Research Award from the Society for Vascular Surgery (SVS), and research funding from VA HSR&D, PCORI, FDA, and others. He was elected to the American Surgical Association in 2016 and serves on multiple editorial boards of surgical, cardiovascular, and health services journals.  Background The U.S. Public Health Service Syphilis Study at Tuskegee American Eugenics and Forced Sterilization The Story of Henrietta Lacks Johns Hopkins NP Colonoscopy Training Additional Resources:  Warren et al. (2020) “Trustworthiness before Trust — Covid-19 Vaccine Trials and the Black Community.” NEJM, 383(22) Blanchard et al.(2020)  “A Sense of Belonging.” NEJM, 383(15): 1409–1411 Armstrong et al. (2007) “Racial/Ethnic Differences in Physician Distrust in the United States.” AJPH. 97(7): 1283–1289. DeShazo, Richard D. (2020) The Racial Divide in American Medicine: Black Physicians and the Struggle for Justice in Health Care. University Press of Mississippi.  Jacobs et al. (2006) “Understanding African Americans' Views of the Trustworthiness of Physicians.” JGIM. 21(6): 642–647 Frakt, Austin. (2020) “Bad Medicine: The Harm That Comes From Racism.” The New York Times. Tweedy, Damon. (2016) Black Man in a White Coat: a Doctor's Reflections on Race and Medicine. Picador, Armstrong et al. (2013) “Prior Experiences of Racial Discrimination and Racial Differences in Health Care System Distrust.” Medical Care. 51(2): 144–150 Greenwood et al. (2018) “Patient–physician gender concordance and increased mortality among female heart attack patients” PNAS. 115(34): 8569-8574. SVS Foundation VISTA Program Host Introductions Imani McElroy, MD, MPH (@IEMcElroy) is a general surgery resident at the Massachusetts General Hospital in Boston, MA. Reginald Nkansah, MD (@NkansahReginald) is a first-year vascular surgery resident at the University of Wahington in Seattle, WA. What other topics would you like to hear about? Let us know more about you and what you think of our podcast through our Listener Survey or email us at AudibleBleeding@vascularsociety.org. Follow us on Twitter @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.

Dr. Jason Dazley is an Infectious Diseases provider, who has been at the Veterans Affairs Medical Center of Southern and has been there for 6 years, and has seen the rise and plateau of the pandemic along with all of the uncontrollable deaths. He learned in training that this would be coming at some point. He treats a significant number of HIV and hepatitis C patients, so has significant exposure to viruses in general. He loves research and has medical residents who come to work with him also. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

Dr. Jason Dazley is a Infectious Diseases provider, who has been at the Veterans Affairs Medical Center of Southern and has been there for 6 years, and have seen the rise and plateau of the pandemic along with all of the uncontrollable deaths. He learned in training that would be coming at some point. He treats a significant number of HIV and hepatitis C patients, so has significant exposure to viruses in general. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

Allison Bondanza, Ph.D., ABPP is a Board-Certified Clinical Psychologist by training and specializes in the mental health and wellness of the Active Duty military and Veteran populations. Dr. Bondanza currently holds a private practice in Washington, D.C. where she provides individual treatment for a range of mental health concerns including anxiety, depression, occupational stress, women's health, and secure attachment in adult relationships. Dr. Bondanza was a former staff psychologist at the Washington, D.C. Veterans Affairs Medical Center where she specialized in neuropsychology, anxiety disorders, military sexual trauma, and sleep disorders. Dr. Bondanza has specific training and expertise in Cognitive Behavioral Therapy and is certified in Cognitive Processing Therapy to treat PTSD. She received her Master of Arts degree in Clinical Psychology from Columbia University and her Ph.D. from the University of Denver. Show Notes: - PTSD & Grief research - How the brain makes sense of trauma - Dr. B's journey of her father being diagnosed with terminal cancer at age 13 - Anorexia as a coping mechanism for grief - How trauma affects one's attachment style - Dr. B's journey of healing anorexia & avoidant attachment - Attachment Theory - Secure & Insecure Attachment - Can your attachment styles change overtime? - We keep attracting what needs to be healed and resolved until we heal that part of ourselves - Neuroscience and rumination - Switch app by dr. Carolyn leaf - Codependency & attachment styles - The power in knowing your attachment style - Cultivating vulnerability in relationship - Providing hope to people who are worried they will be alone forever - Friendships as practice for securely attached relationship - Dr. B's self care routine & switching it up constantly during the pandemic - Dr. B's journey with Transcendental Meditation

Kristen Gilbert showed neurotic tendencies and a penchant for lying as young as adolescence, but it wasn't until she became a nurse that these habits grew dangerous. In 1989, after joining the staff at Veterans Affairs Medical Center in Massachusetts, her colleagues began to notice a rise in cardiac arrest deaths. Learn more about your ad choices. Visit megaphone.fm/adchoices

On this episode of Free Thinking, Montel talks with Porsche Williams, a Navy veteran who's an active member of the Veterans Mental Health Advisory Council at Washington, D.C., Veterans Affairs Medical Center. She is a Suicide Intervention Instructor and founder of Restore Life which she started in 2018 after experiencing her own mental health challenges stemming from her time serving in the Navy during Operation Iraqi Freedom and Operation Enduring Freedom war. Her and her team have intervened and prevented hundreds of suicide attempts throughout the Washington DC metropolitan area. She has worked closely with and trained the NFL players association, DC VA Medical center staff, veterans, adolescent, mental health providers, American university police department, Metropolitan Police Department, Maryland's Sheriff's department government officials, and many more. Learn more about your ad-choices at https://www.iheartpodcastnetwork.com

On this episode of Free Thinking, Montel talks with Porsche Williams, a Navy veteran who’s an active member of the Veterans Mental Health Advisory Council at Washington, D.C., Veterans Affairs Medical Center. She is a Suicide Intervention Instructor and founder of Restore Life which she started in 2018 after experiencing her own mental health challenges stemming from her time serving in the Navy during Operation Iraqi Freedom and Operation Enduring Freedom war. Her and her team have intervened and prevented hundreds of suicide attempts throughout the Washington DC metropolitan area. She has worked closely with and trained the NFL players association, DC VA Medical center staff, veterans, adolescent, mental health providers, American university police department, Metropolitan Police Department, Maryland’s Sheriff’s department government officials, and many more. Learn more about your ad-choices at https://www.iheartpodcastnetwork.com

"How We Do It: Salt Lake City Veterans Affairs Medical Center Transitional Pain Service," by Michael J. Buys, MD, Associate Professor, Department of Anesthesiology, University of Utah, Salt Lake City, Utah. "Transitional Pain Services – What's Next?" by Hance Clarke, MD, PhD, FRCPC, Associate Professor, Department of Anesthesia, University of Toronto, Toronto, Canada. "Building a Transitional Pain Service: Vanderbilt Experience," by David A. Edwards, MD, PhD, Associate Professor of Anesthesiology and Neurological Survey, Chief of the Division of Pain Medicine, Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee. From ASRA News, February 2021. See original article at www.asra.com/asra-news for figures and references. This material is copyrighted. 

Dr. Mark Hinkes is a Doctor of Podiatric Medicine who recently retired from clinical care after 40 years’ service. 20 years in private practice in Miami, FL and 20 years at the Veterans Affairs Medical Centers. In Nashville, Tennessee he served as the Chief of Podiatry Services and Director of Podiatric Medical Education. He has been the Chairman of the Preservation Amputation Care and Treatment (PACT) Program for over a decade.His service was responsible for providing the full spectrum of foot health care including primary podiatric medicine, pedal biomechanical evaluations, orthotic/prosthetic services, preventive foot care for patients with diabetes and at-risk limbs, wound care and foot surgery. He also provided consultation services for primary care, emergency care services, and specialty service clinics.Before moving to Nashville, Dr. Hinkes was the Chief of the Podiatry Service at the Veterans Affairs Medical Center in Salem, Virginia. He served as National Field Advisor for Quality Assurance for Podiatric Medicine for the Veterans Administration. Dr. Hinkes has been a consultant for hospitals, extended care facilities, and corporations. He has served on multiple hospital committees, lectured nationally and internationally for community groups and schools, and has published peer-reviewed journal articles. He is the author of two books on diabetic foot health, Keep The Legs You Stand On, and Healthy Feet for People with Diabetes. Dr. Hinkes participated in teaching podiatric medicine at the graduate level at Barry University School of Podiatric Medicine in Miami, Florida from 1987 to 1998 as Adjunct Associate Professor of Podiatric Medicine. He is bilingual, English-Spanish, and has been a consultant to the electronic and print media in both languages. He has been President of the Dade County (Florida) Podiatric Medical Association. He has served as a clinical investigator for Novartis Pharmaceuticals.Dr. Hinkes started his podiatric medical career in Miami, Florida where he completed his American Podiatric Medical Association-approved medical/surgical residency training at Westchester General Hospital. Dr. Hinkes graduated in May 1976 from Ohio College of Podiatric Medicine in Cleveland, Ohio as a member of Phi Alpha Pi Professional Fraternity. In January 1973, he obtained his Bachelor of Science in Psychology from Loyola University of Chicago, Illinois. His teaching at post-graduate level included Vanderbilt University School of Nursing and Geriatric Medicine in Nashville that focused on common foot problems with an emphasis on the diabetic foot, ulcer and amputation prevention in the at-risk patient.Dr. Hinkes is certified by the American Board of Foot and Ankle Surgery and the American Professional Wound Care Association. He is a diplomat of the American College of Foot & Ankle Surgeons. His professional memberships include the American Podiatric Medical Association, American Podiatric Writers Association, American Professional Wound Care Association and Association for the Advancement of Wound Care. He is a frequent blog contributor to several wound care blogs including Podiatry Today Magazine and his personal LinkedIn site. He is President and CMO of ePrevenir, a company who offers a cloud-based tool for Primary Care Providers to manage the four comorbidities of diabetes. In his leisure time, Dr. Hinkes enjoys raising roses, traveling, playing backgammon, and creating stained glass art.Follow Knowledgeable Aging:Facebook: https://www.facebook.com/Knowledgeable-Aging-102638398162823Twitter: https://twitter.com/KnowledgeAgingInstagram: https://www.instagram.com/knowledgeableaging/LinkedIn: https://www.linkedin.com/company/knowledgeable-aging/?viewAsMember=trueSpotify: https://open.spotify.com/show/05OHF9FkmhzCO5PDsyGfGqNewsletter: https://www.knowledgeableaging.com/newsletter/

In Nigeria on Dec. 27, 2020, thugs wielding semi-automatic rifles kidnapped Auxiliary Bishop Moses Chikwe of Owerri and his driver, Mr. Ndubuisi Robert. Bishop Chikwe is a former chaplain at the Department of Veterans Affairs Medical Center in San Diego, CA. In this edition of Catholic Military Life, the only official podcast of the Archdiocese for the Military Services, USA, Bishop Chikwe shares how their abductors held them for five days in the Nigerian wilderness, at one point attacking Mr. Robert with a machete, only to receive His Excellency's forgiveness and blessings upon their release, but not the ransom they had sought.

MS-related pain is one of those invisible symptoms that can have a profound impact on your quality of life. So we're devoting this entire episode of RealTalk MS to taking a deep dive into assessing and managing MS-related pain with my guests, Dr. Dawn M. Ehde and Dr. Heidi Maloni. Both of my guests are experts at assessing, treating, and managing MS-related pain, but each approaches pain from a slightly different perspective.      Dr. Ehde is a clinical psychologist and professor of rehabilitation medicine at the University of Washington, where she has an endowed professorship in Multiple Sclerosis Research. Dr. Ehde and her group at UW have published the results of several studies on MS-related pain in peer-reviewed medical journals.    Dr. Heidi Maloni is a nurse practitioner and the National Clinical Nursing Director for the Multiple Sclerosis Center of Excellence East at the Veterans Affairs Medical Center. Dr. Maloni heads up research programs to further the understanding of MS and its impact on Veterans while also aiding in the development of treatments to manage the disease and its symptoms.   We have a lot to talk about! Are you ready for RealTalk MS??! The different ways you might experience MS-Related Pain  :23 My interview with Dr. Dawn Ehde & Dr. Heidi Maloni 3:41 Share this episode  27:07 Donate to the National MS Society COVID-19 Response Fund  27:27 SHARE THIS EPISODE OF REALTALK MS Just copy this link & paste it into your text or email:  https://realtalkms.com/170 ADD YOUR VOICE TO THE CONVERSATION I've always thought about the RealTalk MS podcast as a conversation. And this is your opportunity to join the conversation by sharing your feedback, questions, and suggestions for topics that we can discuss in future podcast episodes. Please shoot me an email or call the RealTalk MS Listener Hotline and share your thoughts! Email: jon@realtalkms.comPhone: (310) 526-2283 And don't forget to join us in the RealTalk MS Facebook group! LINKS If your podcast app doesn't allow you to click on these links, you'll find them in the show notes in the RealTalk MS app or at www.RealTalkMS.com Give RealTalk MS a Rating and Review National MS Society's Ask An MS Expert Video Replay What You Need to Know About Coronavirus (COVID-19) National MS Society: Pain Resources National MS Society COVID-19 Response Fund Join the RealTalk MS Facebook Group Download the RealTalk MS App for iOS Download the RealTalk MS App for Android Give RealTalk MS a Rating and Review Follow RealTalk MS on Twitter, @RealTalkMS_jon, and subscribe to our newsletter at our website, RealTalkMS.com. RealTalk MS Episode 170 Guests: Dr. Dawn Ehde and Dr. Heidi Maloni Tags: MS, MultipleSclerosis, MSResearch, MSSociety, MSActivist,  RealTalkMS Privacy Policy  

Michele Harper has worked as an emergency room physician for more than a decade at various institutions, including as chief resident at Lincoln Hospital in the South Bronx and in the emergency department at the Veterans Affairs Medical Center in Philadelphia. She is a graduate of Harvard University and the Renaissance School of Medicine at Stony Brook University. The Beauty in Breaking, her first book, is now a New York Times bestseller.  

On this episode, Registered Dietitian Joyce Verdejo chats about her work in nutrition, specifically in diabetes care, her strong focus on the Latino community, the diversity and richness of foods within this community, her efforts to release bilingual posts to make information accessible, and widely held misconceptions in diabetes. Joyce has 20 years of experience in dietetics. She obtained a bachelor degree in science/nutrition from the University of Puerto Rico and a dietetic internship from The Veterans Affairs Medical Center in Puerto Rico. She is currently a dietitian at Sarasota Memorial's comprehensive Diabetes Treatment Services program. As an outpatient dietitian she is responsible for guiding the education for clients of all ages with diabetes and their family members. "There's a lot of Latinos and Hispanics here in the United States that they can speak English and they understand English, but they prefer to get the information in their primary language, that it will be Spanish. They feel more connected to me, and they feel more open to share their concerns, and I can help them better." On this episode you will learn about: What led Joyce Verdejo to nutrition, specifically in diabetes care. Why is her focus on the Latino community? Which cultures within the Latino communities has she worked with? Why she creates bilingual posts and how that helped connect with her patients. Her recommendations and healthy alternatives to traditional Latino foods. Misinformation and misconception in diabetes. Keynotes: [0:36] What led Joyce Verdejo to nutrition, specifically in diabetes care. [1:31] Joyce Verdejo's focus on the Latino community. [3:20] The various groups in the Latino community she has worked with. [5:03] How creating bilingual posts has resonated with her audience. [8:25] Recommendations and healthy alternatives to traditional Latino foods. [14:00] Widely held misconceptions in diabetes. Connect with Joyce! Instagram https://instagram.com/latin.diabetes.nutrition YouTube https://www.youtube.com/c/LatinDiabetesNutrition/videos Connect with Yumlish! Website https://yumlish.com/ Instagram https://www.instagram.com/yumlish_/ Twitter https://twitter.com/yumlish_ Facebook https://www.facebook.com/yumlish LinkedIn https://www.linkedin.com/company/yumlish/ --- 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/yumlish/message

Pain and fatigue are two of the most common and challenging symptoms of MS. These are the symptoms that can stop you from fully engaging in your life at work, at home, with friends, or family.   My guest is Dr. Heidi Maloni. Dr. Maloni is a nurse practitioner and the National Clinical Nursing Director for the Multiple Sclerosis Center of Excellence East at the Veterans Affairs Medical Center in Washington, DC. And Dr. Maloni is an expert on treating pain and fatigue in MS.     Dr. Maloni will share some best practices for managing MS-related pain, we'll talk about some specific medications that can help manage MS-related pain, and we'll also get into the effectiveness of cannabis-based products for managing pain.   And when we talk about fatigue with Dr. Maloni, we'll talk about how to get your friends and family to stop telling you that you're probably just tired, and a nap will fix everything.   We're also talking about why access to affordable healthcare isn't shouldn't be a partisan political issue and what gets lost in the conversation when it is.   If you happen to be an African-American or Hispanic MS patient and you'd like to have a voice in the design of an important MS research study, we'll tell you how you can be a part of that study's Patient Advisory Group. It's an opportunity for the patient perspective to be part of the planning for this study. And it's an opportunity for you to be paid for your participation in that planning.   We'll also tell you about Sidecar, a dramatic short film from SHIFT-MS that illustrates the physical and emotional burden that accompanies MS progression.   And if you're an MS caregiver who would like to contribute to MS research, or you know someone who is, we'll tell you about an online survey just for you.   We have a lot to talk about! Are you ready for RealTalk MS??! Your access to healthcare shouldn't be a partisan issue, right?  2:25 Join the Patient Advisory Group for the CHIMES study  8:32 DUNK MS is going virtual and raising funds for MS research   10:24 SHIFT-MS debuts Sidecar, their latest short film  20:03 Are you an MS caregiver? There's an online survey for you  20:59 My Interview with Dr. Heidi Maloni  22:19 Share this episode  42:06 Please Support the National MS Society COVID-19 Response Fund  42:26 SHARE THIS EPISODE OF REALTALK MS Just copy this link & paste it into your text or email: https://realtalkms.com/151 ADD YOUR VOICE TO THE CONVERSATION I've always thought about the RealTalk MS podcast as a conversation. And this is your opportunity to join the conversation by sharing your feedback, questions, and suggestions for topics that we can discuss in future podcast episodes. Please shoot me an email or call the RealTalk MS Listener Hotline and share your thoughts! Email: jon@realtalkms.comPhone: (310) 526-2283 And don't forget to join us in the RealTalk MS Facebook group! LINKS If your podcast app doesn't allow you to click on these links, you'll find them in the show notes in the RealTalk MS app or at www.RealTalkMS.com National MS Society's Ask An MS Expert Video Replay What You Need to Know About Coronavirus (COVID-19) National MS Society COVID-19 Response Fund CHIMES Study Patient Advisory Group questionnaire DUNK MS SIDECAR: A SHIFT-MS film about the misapprehensions of advanced multiple sclerosis Accelerated Cure Project for MS Survey: Caregiver Relationships with Healthcare Providers Join the RealTalk MS Facebook Group Download the RealTalk MS App for iOS Download the RealTalk MS App for Android Give RealTalk MS a Rating and Review Follow RealTalk MS on Twitter, @RealTalkMS_jon, and subscribe to our newsletter at our website, RealTalkMS.com. RealTalk MS Episode 151 Hosted By: Jon Strum Guests: Dr. Heidi Maloni, Blake Arnet Tags: MS, MultipleSclerosis, MSResearch, MSSociety, DunkMS, RealTalkMS Privacy Policy

Kim and Todd speak with Lyn Tindall Covert, PhD, CCC-SLP, ASHAF. Lyn is a retired speech-language pathologist and rehabilitation coordinator from the Department of Veterans Affairs Medical Center in Lexington, KY. Dr. Covert has 30 years experience using telecommunication technology to deliver speech and language services to veterans in satellite clinics and their homes. She was a founding member of ASHA’s Special Interest Group 18, Telepractice and served as the first editor of SIG 18 Perspectives. Her primary interests include safety and security of clients using telepractice to receive services. 

Dr. Chuck has been in the mental health field since 1972. He retired from the Department of Veterans Affairs Medical Center in 2006, where he served as the Director of the Chronic Pain Clinic and Director of the PTSD Clinical Team. He serves on the Board of Advisors for Fire Service Psychology Association. In 2018 at the 1st Annual Conference, he presented on “Developing Effective Performance Improvement Plans”. In 2019 at the 2nd Annual Conference, he presented on “Conflict and Anger Management in the Fire Station”. Also, in 2019, he presented at the Western Pacific Islands Association of Fire Chiefs in Guam on “Demystifying Psychology in the Fire Service”. He started with South Metro Fire Rescue where he taught in their Officer’s Academy, was a member of the Peer Support Team and is currently an EAP consultant to Firefighters. He holds a Ph.D. from the University of Denver. Visit: https://ccanda.org/

The cover for issue 2 of Oncotarget features Figure 5, "MASPIN can prevent the formation of UPA - UPA-receptor complex by a single step, and thus decrease the possibility of the abnormal degradation of the ECM, the development metastasis and angiogenesis," by Fodor, et al. In the present study, the research team investigated AEZS-108 induced cytotoxicity and the altered mRNA expression profile of regulatory factors related to angiogenesis and metastasis in LHRH receptor-positive OCM3 cells. Their results show that AEZS-108 upregulates the expression of MASPIN/SERPINB5 tumor suppressor gene, which is downregulated in the normal uvea and UM specimens independently from the LHRH receptor-ligand interaction. In order to investigate the mechanism of the induction of MASPIN by AEZS-108, OCM3 cells were treated with free DOX, D-Lys6 LHRH analog, or AEZS-108. Dr. Gabor Halmos from the University of Debrecen, Department of Biopharmacy, in Debrecen, Hungary as well as the Veterans Affairs Medical Center, Endocrine, Polypeptide and Cancer Institute, in Miami, FL, USA said, "Although uveal melanoma (UM) is a rare disease, it is the most prevalent lethal ophthalmological tumor." The discovery of specific receptors for peptide hormones on cancer cells has led to the development of cytotoxic or radiolabeled hormone analogs that are appropriate for tumor localization and targeted therapy. AEZS-108 guides the chemotherapeutic agent specifically to those tumors that express LHRH-receptors, which could result in targeted cytotoxicity and less damage to healthy tissues. The authors reported that previously OCM3 UM cell line expresses the receptor of LHRH localized on the cell membrane and in the cytoplasm, rendering them susceptible to AEZS-108 uptake and the detection of the LHRH receptor in OCM3 cells has led to the use of AEZS-108 for targeted therapy of the tumor. Moreover, that the OCM3 UM cell line expresses the LHRH receptor and LHRH rendering them susceptible to AEZS-108 uptake. The Halmos Research Team concluded, "In summary, our data confirmed previous results showing LHRH receptor expression in OCM3 cells, a UM in vitro model. Furthermore, we report for the first time that AEZS-108 causes changes in the expression of genes that are involved in angiogenesis and ECM degradation and which might inhibit cell proliferation and induce apoptosis in OCM3 cells. These findings suggest that AEZS-108 plays a pivotal role in the regulation of angiogenesis and tumor suppression. Taken together, targeted cytotoxic LHRH analogs, such as AEZS-108, might serve as an effective treatment for patients with LHRH receptor-positive uveal melanoma.” Keywords - uveal melanoma; luteinizing hormone-releasing hormone (LHRH) receptor; angiogenesis; MASPIN/SERPINB5; AEZS-108 (AN-152/Zoptarelin Doxorubicin Acetate DOI - https://doi.org/10.18632/oncotarget.27431 Full text - http://www.oncotarget.com/index.php?journal=oncotarget&page=article&op=view&path%5B%5D=27431&path%5B%5D=89358 Correspondence to - Gabor Halmos, email: halmos.gabor@pharm.unideb.hu About Oncotarget Oncotarget is a weekly, peer-reviewed, open-access biomedical journal covering research on all aspects of oncology. Oncotarget is published by Impact Journals, LLC. To learn more please visit http://www.oncotarget.com or connect with: Facebook - https://www.facebook.com/Oncotarget/ Twitter - https://twitter.com/oncotarget LinkedIn - https://www.linkedin.com/company/oncotarget Pinterest - https://www.pinterest.com/oncotarget/ Reddit - https://www.reddit.com/user/Oncotarget/

The parking garage at the George E. Wahlen Department of Veterans Affairs Medical Center in Salt Lake City has been under construction for much of the past decade. KSL TV's Brittany Glas explains how this construction has caused problems for many families using the V.A.

In this episode, Lisa Shapiro, host sits down with Dr. Alyssa Adams to discuss how she empowers entrepreneurs to grow their side hustle so they can leave their soul sucking job and make even more money doing what they love. Listen in to hear about how she went from Clinical Psychologist to starting her own practice, her discovery and client process, the "roadmap" she uses to help other fempreneurs and more! Dr. Adams has impressive credentials, such as an PsyD and MA in Clinical Psychology, Advanced Certified Personal & Executive Coach from the College of Executive Coaching (ICF-accredited); Post-Master’s Certificate in Nutrition and Integrative Health from Maryland University of Integrative Health in Laurel, MD; APA-approved internship and a two-year postdoctoral fellowship in clinical and research neuropsychology at the Veterans Affairs Medical Center in Washington, D.C., and is a Clinical Psychologist (licensed in District of Columbia & Virginia); Board Certified Coach (BCC) Associate Certified Coach (ACC) through the International Coach Federation Certified Nutrition Specialist provider (CNS) Advanced Certified Personal & Executive Coach Reiki Master Certified to administer the EQ-i 2.0 - a measure of emotional intelligence Trained in 360 degree assessments and the Myers-Briggs Type Indicator (MBTI) https://www.dralyssaadams.com/about --- Send in a voice message: https://anchor.fm/dcfempreneur/message Support this podcast: https://anchor.fm/dcfempreneur/support

For millennia, humans have cultivated deep relationships with psychoactive plants — relationships embedded within and guided by ritual frameworks honoring the powers of these plants as allies. As cultures have evolved, so also have these plant-human interactions, often in ways that are highly interdependent.David Presti, who teaches neurobiology, psychology and cognitive science at UC Berkeley, gave an opening talk March 21 for the Lounge Lecture Series at the Phoebe A. Hearst Museum of Anthropology, alongside the new exhibit, Pleasure, Poison, Prescription and Prayer: The Worlds of Mind-Altering Substances, which runs March 15 to Dec. 15.Presti has been on the faculty of Berkeley's Department of Molecular and Cell Biology for 28 years. He teaches classes on topics related to brain, mind, consciousness, neurochemistry and psychopharmacology. For more than a decade, he worked in the treatment of addiction and of post-traumatic stress disorder at the Department of Veterans Affairs Medical Center in San Francisco. And for the past 15 years, he has been teaching neuroscience and conversing about science with Tibetan Buddhist monastics in India, Bhutan and Nepal. He is author of Foundational Concepts in Neuroscience: A Brain-Mind Odyssey (2016) and Mind Beyond Brain (2018).For upcoming events, visit the Heart Museum of Anthropology's website.Read the transcript on Berkeley News. See acast.com/privacy for privacy and opt-out information.

Kenita talks about a Suicide Prevention event going on at the VA in West Palm Beach Thursday, January 24th.

Summary: Amy B. Otzel is a Retired U.S. Army Behavioral Health Sergeant, Iraq War combat theater Veteran, former Readjustment Counseling Therapist with the U.S. Department of Veterans’ Affairs Medical Center and CT State Military Support Program Clinician, and Licensed Psychotherapist. While informed by graduate degree achievements in psychology, professional counseling, and integrative health & healing, Amy’s personal journey to inspire her own health, wellness, and the healing from trauma has enhanced her endeavor to contribute forward in healing service to others. Committed to holistically-minded integrative mental health practice, Amy is currently continuing the mission in service to military members, Veterans, and their families in private practice at Inner Resource Psychotherapy. Additionally, Amy routinely contributes in educational service as a Yale University School of Medicine Department of Psychiatry Lecturer, a mental health professional development educator, a military and Veteran cultural competency educator for healthcare providers, a Holistic Stress Management Instructor, a holistic health and wellness facilitator at Toivo by Advocacy Unlimited, and an Advanced Level-2 Breath~Body~Mind™ teacher. In This Particular Episode You Will Learn: Amy's background and experience Being a Behavioral Health Specialist in the Army Stigma against help seeking in and out of the military Advocacy towards mental health awareness Balancing service and advocacy Combat Vet Don't Mean Crazy Book Giveaway Letting other professionals know that they're not alone Using the book to engage veterans and their families Links Mentioned in This Episode: Inner Resource Psychotherapy Amy's LinkedIn Profile Inner Resource on Twitter Amy on Instagram The Veteran Mental Health Minute on Amazon Alexa 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: Amy B. Otzel is a Retired U.S. Army Behavioral Health Sergeant, Iraq War combat theater Veteran, former Readjustment Counseling Therapist with the U.S. Department of Veterans’ Affairs Medical Center and CT State Military Support Program Clinician, and Licensed Psychotherapist. While informed by graduate degree achievements in psychology, professional counseling, and integrative health & healing, Amy’s personal journey to inspire her own health, wellness, and the healing from trauma has enhanced her endeavor to contribute forward in healing service to others. Committed to holistically-minded integrative mental health practice, Amy is currently continuing the mission in service to military members, Veterans, and their families in private practice at Inner Resource Psychotherapy. Additionally, Amy routinely contributes in educational service as a Yale University School of Medicine Department of Psychiatry Lecturer, a mental health professional development educator, a military and Veteran cultural competency educator for healthcare providers, a Holistic Stress Management Instructor, a holistic health and wellness facilitator at Toivo by Advocacy Unlimited, and an Advanced Level-2 Breath~Body~Mind™ teacher. In This Particular Episode You Will Learn: Amy's background and experience Being a Behavioral Health Specialist in the Army Stigma against help seeking in and out of the military Advocacy towards mental health awareness Balancing service and advocacy Combat Vet Don't Mean Crazy Book Giveaway Letting other professionals know that they're not alone Using the book to engage veterans and their families Links Mentioned in This Episode: Inner Resource Psychotherapy Amy's LinkedIn Profile Inner Resource on Twitter Amy on Instagram The Veteran Mental Health Minute on Amazon Alexa 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

The past year has been fascinating and highly fruitful year for Dartmouth Institute Associate Professor Louise Davies, MD, MS. A 2017-2018 Fulbright Global Scholar, Davis spent several months in Japan at the Kuma Hospital in Kobe, Japan, studying the hospital's pioneering surveillance program for thyroid cancer. Davies, the chief of otolaryngology-head & neck surgery-at the Veterans Affairs Medical Center in White River Junction, Vermont, has researched U.S. patients' experiences of monitoring thyroid cancers they self-identify as overdiagnosed, and has found that such patients often feel unsupported, even ostracized. Following her stay in Japan, Davies, who also develops and teaches courses in qualitative research methods in Dartmouth Institute's MPH programs, spent several months in the U.K. at the Health Experiences Research Group (HERG) at Oxford University. There, she learned skills that will help her develop web-based materials to raise public awareness about surveillance, surveillance programs, and overdiagnosis in general. As if the year wasn't packed enough, Davies also visited the site of the Fukushima Daiichi nuclear power plant, site of the 2011 nuclear accident in Japan. Unrelated to her Fulbright work, Davies is a member of an international task force organized through the International Agency for Research on Cancer, a branch of the World Health Organization. The task force will make recommendations on the monitoring of the thyroid gland after nuclear accidents. Learn more about her incredible year and what's next for her research in overdiagnosis! Q: As a practicing physician, how did your interest in overdiagnosis develop? A: My interest in over diagnosis grew from my work with Dr. Gil Welch, dating back to 2004. He was and is a mentor to me, and we developed the work on thyroid cancer together. I have always had an interest in making sure that patients receive care that aligned with their values. The problem of overdiagnosis is particularly intriguing because if people do not understand the concept, they may undergo treatment that, had they understood more about their risks, they might not have elected. Finding ways to solve that problem has been a fascinating focus for me. Q: Is overdiagnosis and/or overtreatment in thyroid cancer on the rise, if so what accounts for this increase? A: Thyroid cancer incidence has more than tripled in the U.S. over the past 30 years. The majority of the increase has been due to the detection of small cancers, which we know exist as a subclinical reservoir in otherwise asymptomatic people. As more attention has been drawn to the problem of overdiagnosis, the rate of increase has slowed, which has been gratifying to see; although it has not stopped completely or reversed. In the most recent national guidelines on the treatment of thyroid cancer (from the American Thyroid Association), there has been a clear suggestion that treatment should be more conservative for the small cancers that are so commonly detected now. It is not yet clear how much of an impact these new guidelines have had on practice patterns. Q: You've studied the experiences of patients who are diagnosed with thyroid cancer but choose not to intervene. What are some of the commonalities you've found? A: The patients who were the first to understand that their small, asymptomatic thyroid cancers picked up incidentally might not need immediate intervention, but instead could be monitored through regular checkups and active surveillance did not receive a lot of support from the medical community. Many managed their cancer by keeping it a secret, which can be stressful in itself, and several stopped getting follow ups-the recommended care if surveillance rather than interventions chosen for a small thyroid cancer. This was a unique group of patients who represented the first people to undertake what is a new and incompletely understood treatment option in the U.S. As such, they are probably more representative of people going against medical convention than thyroid cancer patients who elect to undertake surveillance, per se. Q: What will/have you been looking for when evaluating the surveillance program at Kuma Hospital? How will you combine this with your own U.S. pilot data? My goal in going to Kuma Hospital last fall was to understand more about the active surveillance program they have there. They were the first in the world to run such program and collect data on it, and have been doing so since 1993. I wanted to understand their data on active surveillance in more detail. I wanted to understand the patient experience of being on surveillance, and how the program worked operationally. I was able to do all those things and gathered patient experience data through a survey as well as interviews. I also was lucky to get to spend a fair amount of time in the operating room, where I learned a number of new surgical techniques that will advance my own practice in thyroid surgery. My goal is to report what I learned at Kuma Hospital as broadly as possible, so that people in the U.S. begin to feel comfortable adopting active surveillance as a method of managing the early thyroid cancers that are appropriate candidates for surveillance. What's next for you in overdiagnosis research? My work on the task force about thyroid monitoring after nuclear power plant accidents has given me a new appreciation for the complexity of public health communication about risk, emergency preparedness, and the problem of over diagnosis when it comes to policy setting. I hope to be able to continue to contribute in other ways to the broader public health discussion about over diagnosis. In my next steps looking at the epidemiology of thyroid cancer, I plan to focus on understanding more about why we see such variation in thyroid cancer incidence across geography, age groups, and gender. NOTES Louise Davies, MD, MS Thyroid cancer and overdiagnosis American Thyroid Association 35: Rethinking Thyroid Cancer – When Saying No to Surgery Maybe Best for You with Dr. Allen Ho from Cedars-Sinai in Los Angeles 21: Diagnosed with Thyroid Cancer and You Say No to Surgery with Dr. Louise Davies 50: Regarding Thyroid Cancer, Are You a Minimalist or a Maximalist? with Dr. Michael Tuttle from Sloan Kettering

Kenita checks in with Joel Malkin to talk about the quarterly town hall meeting for veterans on Thursday June 21st.

Kristen Gilbert was a nurse at a Veterans Affairs Medical Center when patients began to suddenly die of cardiac arrest during her shifts. With very little hard evidence to go on, find out how investigators built a case against her and how her behavior leading up to the trial made her a danger to herself and others.

By all accounts, Kristen Gilbert was a competent nurse, suburban wife, and soccer mom. But she also had an sinister side. Working at a Veterans Affairs Medical Center, she was convicted of killing four patients and suspected of killing dozens more. But what turned this mild-mannered mother of two into a serial killer?

TURNING YOUR DREAMS INTO REALITY   What does it take to begin turning your dreams into reality?  It takes sacrifice, grit, and time. Creating time comes by evaluating priorities and eliminating anything that is not supporting your goal.   Dr. Scott Colonna is the first person in his family to graduate from college, but hard work and sacrifice were foundational in his upbringing.  He had to make a decision to sacrifice something in order to make his dream of business consulting become a reality. He set aside an easier path, and instead followed his passion for consulting.     Dive in to find out how you can begin turning your dreams into reality. TOPICS DISCUSSED TODAY Creating Time Sacrificing Working hard Finding solutions Delegating Building Relationships SCOTT SAID:   “we always want to be in a position to be able to help [clients] help their families”   “when you have that passion inside you, it doesn’t just stop at a certain time.  It overflows to your family”   “most people’s goals are very small. . .  I always proceed with, “Well, what’s you bigger goal?”   “I want to hire people in our companies that can bring new ideas and solutions to the table”   “I don’t undervalue experience” ABOUT DR. SCOTT   “Dr. Scott A. Colonna is a senior partner at Uppercut Consulting and Westminster Eyecare Associates. He is a native of New York City and received his Doctor of Optometry degree from the State University of New York College of Optometry in Manhattan, New York. He completed his Bachelor’s Degree in Biology from Lafayette College in Easton, PA. Dr. Colonna completed internships in primary care and ocular disease at the Veterans Affairs Medical Center in Newington, CT and infant and pediatric care at Beth Israel Hospital and SUNY in Manhattan, NY. While in optometry school he traveled with the Volunteer Optometric Services to Humanity organization to provide eye care in Nicaragua. He has also been part of the Special Olympics Opening Eyes program which provides free eye exams to participants of the Special Olympics. Dr. Colonna has extensive experience in pediatric and infant eye examinations, primary care, contact lens, geriatric care, and ocular disease. He is an active member of Infant See, the American Optometric Association, and the Rhode Island Optometric Association. Dr. Colonna has been practicing in Rhode Island since 2001” (UpperCut Consulting.Com). FINAL THOUGHTS ON TURNING YOUR DREAMS INTO REALITY Plan for the marketing purposes and market your platform and get the word out sooner rather than waiting until everything is set up.     CONNECT WITH DR. SCOTT   Facebook: Scott Colonna Web: UpperCutAdvantage.com  

In this episode the TBI Family talks to Dr. Lillian Stevens of Richmond's Hunter Holmes McGuire Department of Veterans Affairs Medical Center, who studied relationship stability after a TBI. We also spoke to two caregivers about the podcast itself, as we end its first season. The TBI Family is produced by the Defense and Veterans Brain Injury Center. This podcast provides caregivers of service members and veterans with TBI with information on traumatic brain injury and highlights resources available to them. We also share caregiver stories. For information on TBI or to get the DVBIC Family Caregiver Curriculum, go to dvbic.dcoe.mil or email us at info@dvbic.org. This podcast transcript is available online via the DVBIC website: http://dvbic.dcoe.mil/files/podcast/dvbic_podcast-series_the-tbi-family-episode-110-transcript_v1.0_2018-05-04.pdf The views, opinions and/or findings contained in this podcast are those of the host, reporters and guests. They should not be construed as an official Department of Defense position, policy or decision unless so designated by other official documentation. All music in this podcast was used according to Creative Commons licensing. Our theme song is "I Dunno" by grapes and our credit music is "Esaelp Em Xim" by Pitx, both from CCmixter.org. Other songs used were "Virality Radio" Steve Combs and Simon Mathewson and "Touching Light" by Scott Holmes, courtesy of FreeAudioArchive.org. [DCoE Product Unique Identifier 3911]

Addressing Drug Diversion and Appropriate Opioid Use The Problem: Drug diversion and prescription drug abuse have created a crisis across the United States. Pennsylvania has the 14th highest drug overdose mortality rate in the country. This corresponds to 15.3 per 100,000 people suffering drug overdose fatalities. The number of overdose deaths, a majority from prescription drugs, in Pennsylvania has increased nearly 90% over the last 15 years. These troubling statistics plague our commonwealth as we are faced with this great challenge. Addressing the Problem: While the problem may never be completely resolved, a multi-faceted collaboration of healthcare professionals, including pharmacists, prescribers, and patients are working together to reduce the impact of this crisis. PPA has developed resources to help pharmacists prevent drug diversion and recognize prescription drug abuse. Pharmacists typically see a patient more times per year than any other healthcare professional. Knowing the signs and what to do when you see them could prove to be crucial in saving your patient's life. Pharmacists Opioid Dispensing Guidelines Opioid Dispensing Guidelines - These Guidelines developed by the Pennsylvania Pharmacists Association in conjunction with the Commonwealth of Pennsylvania Department of Health, in order to provide assistance and Guidance to pharmacists on addressing diversion issues.  The Guidelines are a complement to the Prescribing ones that appear below. Thank you to the Pennsylvania Pharmacists Association for sponsoring this latest podcast episode. http://www.papharmacists.com/?Drug_Resource_Center  Dr. Thomas  S. Franko Assistant Professor Pharmacy Practice   150-180 South River Street, 325  thomas.franko@wilkes.edu   (570) 408-4295 BIOGRAPHY: After service as a clinical pharmacist in outpatient chronic pain management, Dr. Franko joined Wilkes University in 2013. He maintains an ambulatory care practice site with the Wright Center for Graduate Medical Education in Clarks Summit, PA. He is highly involved with the pain management and anticoagulation programs within the Wright Center. Along with pharmacy students, Dr. Franko trains pharmacy and medical residents from Moses Taylor Hospital and the Wright Center. His interests are in pain management, primary care and incorporating the arts into pharmacy education.   Education and Training   Doctor of Pharmacy, Philadelphia College of Pharmacy, Philadelphia, PA Pharmacy Practice Residency, Veterans Affairs Medical Center, Wilkes-Barre, PA Certificates and Certifications  Basic Life Support Pennsylvania Licensed Pharmacist Pennsylvania Authorized Immunizing Pharmacist Board Certified Ambulatory Care Pharmacist See omnystudio.com/listener for privacy information.

Phil Ruddock For those of you that doubt the effects a Service Dog can have on Post Traumatic Stress Disorder (PTSD),let me tell you my story.I'm a Desert Storm Veteran,what I did there is only my demons I must face.I came back with all the classic symptoms.I drank all the time,I couldn't get along with anyone,I kept checking every room in the house to make sure it was clear every time I came home,I got up and checked the locks on the doors and windows too many times to count,I was always depressed and pissed at the world,and I never slept.I drove my family so crazy that they wanted to leave.I still do some of those things,but it's getting better.After the military,I worked for the Veterans Affairs Medical Center until about six years ago when my PTSD became so bad, I had a nervous breakdown.For the next three years I basically stayed on my couch,seldom leaving my land except for a trip to town once or twice a month.This became my standard until a nice person named Brenda Wagner asked me to foster some dogs for her.There was one pit bull that was a lot like I was.She was scared,avoided people,wanted to hide under a rock,and always on guard.I worked with this dog named Mia,and we became attached.She would ride with me where ever I went.I started to feel I had someone to watch my back again. That is one of the main things that is wrong when we come back.We go from knowing we have a whole group of soldiers watching our back to coming home and being alone.Mia became my “battle buddy”,She would wake me up when I had nightmares,calm me down when I had an anxiety attack, watch my back at a counter at a store or the bank, even assure me when I had doubts.Mia was the constant in my life that PTSD took away.Everyone would leave for work or school but Mia was always there.After almost two years with Mia by my side,I can now travel some places on my own,but she still comes with me on trips out of town.

Episode # 41 Running Time: 35:50 Podcast Relevance: Professionals   In this episode R. Trent Codd, III, Ed.S. interviews Dennis Tirch, PhD about Buddhist Psychology and CBT. They discuss: What Buddhist Psychology is Why Cognitive-Behavioral Therapists should be interested in Buddhist Psychology What aspects of Buddhism remain to be explored by Cognitive and Behavioral researchers/therapists And, much more! Dennis Tirch, PhD Biography   Dr. Tirch is the Founder and Director of The Center for Compassion Focused Therapy, the first clinical training center for Compassion Focused Therapy (CFT) in the USA. Dr. Tirch is also the President of The Compassionate Mind Foundation USA – the North American wing of the training, research and development community for CFT. Dr. Tirch has been described as one of the country's foremost experts on CFT and the contextual psychology of compassion. He has dedicated his research and scholarship to bettering our understanding of how therapies like ACT and CBT can be strengthened and further developed by bringing a compassion focus to our work. Dr. Tirch is the author of  6 books, and numerous chapters and peer reviewed articles on mindfulness, acceptance and compassion in psychotherapy. His books include The Compassionate Mind Guide To Overcoming Anxiety, the first evidence-based self-help book to apply the science of compassion to the treatment of anxiety. Dr. Tirch is also the co-author of the books Emotion Regulation:  A Practitioner’s Guide, Mindfulness in Clinical Practice, and The ACT Practitioner’s Guide to The Science of Compassion. This Autumn, the co-authored book, Buddhist Psychology and CBT: A Clinician's Guide will be released. Dr. Tirch is a New York State licensed clinical psychologist who served as an Assistant Clinical Professor at Weill-Cornell Medical College, and as an Adjunct Associate Professor at Albert Einstein Medical School. Dr. Tirch is an Associate Editor of the Journal for Contextual Behavioral Science.  Prior to founding The Center, Dr. Tirch collaborated with leading CBT therapist, Dr. Robert Leahy, at The American Institute for Cognitive Therapy for 12 years, serving as Associate Director of The Institute. Dr. Tirch has worked closely with CFT Founder, Dr. Paul Gilbert, in the development of compassion focused approaches for anxiety, using elements of ACT, which are currently being researched. Dr. Tirch is a Diplomate, Fellow & Certified Consultant & Trainer for The Academy of Cognitive Therapy. Dr. Tirch is a Founding Fellow and the President of The New York City CBT Association, & The Compassion Focused Special Interest Group of The Association for Contextual Behavioral Science (ACBS). Tirch is also President Emeritus of The New York City Chapter of The Association for Contextual Behavioral Science.Tirch's work has been covered by numerous media outlets, from The Wall Street Journal to O Magazine. Dr. Tirch regularly conducts training workshops globally and serves as an invited speaker for many organizations, such as Columbia University, The University of New South Wales, The University of Hong Kong, The NYC-CBT Association, ABCT, ACBS, New York Univeristy, Cornell University, and the Kagyu Samye Ling Buddhist monastery in Scotland. Dr. Tirch also provides online consultation groups and webinar based trainings, and has delivered these for The Association for Cognitive Behavioral Therapy (ABCT)  and The Institute for Meditation and Psychotherapy (IMP). Throughout his clinical experience, Dr. Tirch has specialized in the treatment of anxiety, mood disorders, trauma, addictions, and relationship problems. His internship and post-doctoral residency took place at the Veterans’ Affairs Medical Center in Bedford, MA., where he served as the Assistant Director of the Bedford CBT Center, co-authored articles based on research supported by the National Institute of Mental Health, (NIMH) and developed the “Continual Awareness” meditation based group therapy for trauma survivors. Dr. Tirch completed a second year post-doctoral fellowship at AICT with Dr. Leahy. In addition to his training in Western psychology, Dr. Tirch has had extensive experience in Eastern meditative and philosophical disciplines over the past 25 years. This training includes work in Japanese Zen and Vajryana Buddhism, Tibetan Buddhism, and other Central Asian meditative disciplines. Dr. Tirch has benefited by participating in numerous trainings with many mentors, experts, friends and colleagues such as Paul Gilbert, Robert Leahy, Kelly Wilson, Steven C. Hayes, Robert Fripp, Robyn Walser and Zindel Segal.  Dr. Tirch is a founding participant in the ACT peer consultation group for New York City and Environs (ACTNYCE). The primary valued aim of all of Dr. Tirch’s research, writing, training and psychotherapy practice is an expanding sensitivity to human suffering, combined with the development and dissemination of ever more effective, evidence based methods for the alleviation of this suffering. Dr. Tirch received his PhD from Fairleigh Dickinson University.   Episode-Related Links   Websites: The Center for Compassion Focused Therapy   The Compassionate Mind Foundation USA   The Compassionate Mind Foundation    Training: The Center for Compassion Focused Therapy - Training calendar and information on clinical supervision and consultation   BehaviorTherapist.org - 4.5 online Course "Compassion Focused Therapy for Anxiety: Beyond the Basics" APA and NBCC credits available   Book: Buddhist Psychology and Cognitive-Behavioral Therapy: A Clinicians Guide    

Dr. Larry Squire is a Professor of Psychiatry, Neurosciences, and Psychology at the University of California San Diego and a Senior Research Career Scientist at the Veterans Affairs Medical Center in San Diego. He received his PhD From the Massachusetts Institute of Technology and completed his postdoctoral training at the Albert Einstein College of Medicine before joining the faculty at UCSD. Larry has received many honors and awards during his career. He is an elected member of the American Academy of Arts and Sciences, The National Academy of Sciences, the American Philosophical Society, and The Institute of Medicine. Larry also previously served as President of the Society for Neuroscience. He is also a William James Fellow of the American Psychological Society and has received many awards, including the Award for Scientific Reviewing from the National Academy of Sciences. Larry is here with us today to tell us about his journey through life and science.

Guest: Robert Henry, MD Host: Steven Edelman, MD The potential benefits of a new class of medications, sodium-dependent glucose cotransporter-2 therapy (or SGLT-2s), for type 2 diabetes is promising, but where will they fit in the treatment of diabetes and what are the risks? Join host Dr. Steven Edelman and his guest, professor of medicine at the Veterans Affairs Medical Center in San Diego, California, Dr. Robert Henry, as they discuss the mechanism, benefits and potential cardiovascular risks of this new class of medication.

Special Guest: Lorie Rugle, Ph.D. is Director of Problem Gambling Services (PGS) with the Department of Mental Health and Addiction Services for the State of Connecticut. PGS has established the Connecticut Women's Problem Gambling Project which brings together stakeholders from diverse community groups to address the issue of women and problem gambling. Her work in the public sector included many years as Director of the Gambling Treatment Program at the Cleveland Department of Veterans Affairs Medical Center and Deputy Director of their Veterans Addiction Recovery Center. She has also developed privately funded inpatient and outpatient treatment programs and has provided consultation for state funded problem gambling programs throughout the US, for the military in Germany and the Government of Singapore. Special Guest: Noella Piquette-Tomei, Ph. D. is currently an Associate Professor at the University of Lethbridge. She is also a Registered Psychologist. She has led a small study exploring women's perceptions of successful treatment options for their gambling issues and an exploratory study based on running a new women's only problem gambling support group. Currently she holds grants to investigate the trajectory of women from social gambling to that of problem gambling, and one to hold an international workshop entitled “Behind the Mask: A symposium on women problem gamblers” to be held in April 2010. Dr. Piquette-Tomei is interested in gender differences identified in gaming activities, support for interventions, co-morbid issues and general public knowledge of how gambling issues can impact women in a unique fashion.