Podcast appearances and mentions of virginia mason

In this episode, we explore the deep and often challenging experience of grief through the lens of faith. As followers of Jesus, we are called to be in the world but not of it, and that includes how we respond to those in grief and how we navigate it ourselves. Our guest, grief counselor Cindi Sinnema, shares insights on how we can walk alongside others who are grieving, as well as practical guidance for those who are personally facing loss. Whether you're supporting a loved one or struggling with grief yourself, this conversation offers compassion, wisdom, and hope. Cindi Sinnema is the Director of The Grief Companioning Project and has spent over 25 years working in the field of traumatic response and community support. Her expertise spans from working with Separation and Loss Services at Virginia Mason to providing chaplaincy services both locally and nationwide. Cindi has supported individuals, families, and communities affected by disasters—both natural and man-made—and trained volunteers to help in the aftermath of trauma. She has also worked with the Behind the Badge Foundation to support first responders across the country. Through her work, Cindi has gained deep insight into the challenges of grief and loss and the healing that comes from walking through it with others. To learn more about Cindy and her work here.

Dozens of major companies have sent a letter to Washington's governor and state legislature to "review and revise" the tax and budget proposals, saying they threaten the state's economic stability.Alaska Airlines, Amazon, Costco, Microsoft, Nordstrom, PSE, Zillow, T-Mobile, Redfin, Virginia Mason, WaFd Bank, Weyerhaeuser, Puget Sound Energy, and the Seattle Mariners were among the co-signers on the letter addressed to Gov. Bob Ferguson, State Senate Leader Jamie Pedersen, House Speaker Laurie Jinkins, and Minority leaders John Braun and Drew Stokesbury.This comes a day after Ferguson said he would veto any bill with a proposed wealth tax off the table in any spending package amid approvals by the House and Senate for a slew of new taxes.

Welcome to Tales from the Heart! This week host Lisa Salberg chats with Dr. Mariko Harper. Dr. Harper is with Virginia Mason Medical Center in Seattle, WA. The HCMA has officially certified Virginia Mason as a Center of Excellence (COE).   The conversation was recorded Jan. 31, 2025

In Network's Designing for Health: Interview with Gary Kaplan, MD Host Craig Joseph, MD invites Gary Kaplan, MD, CEO emeritus at Virginia Mason Franciscan Health. They discuss how Dr. Kaplan spearheaded a revolution in the patient experience at Virginia Mason, how a car company headquartered on the other side of the world inspired transformational change, and how his organization gained from openness and honesty in the face of adversity. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

James Terwilliger, Senior Vice President and Chief Operating Officer at Virginia Mason Franciscan Health joins the podcast to discuss his background, top priorities right now, how his organization will evolve over the next couple years, and one change that he or his team has made that yielded great results.

Recorded live at the 11th Annual Becker's Healthcare CEO + CFO Roundtable, this episode features James Terwilliger, Senior Vice President and Chief Operating Officer at Virginia Mason Franciscan Health.  Here, he discusses mitigating rising costs, the regulatory environment, and more.This episode is brought to you by R1 RCM, a leading provider of technology-driven solutions that transform the financial performance of hospitals, health systems, and medical groups. R1 delivers proven, scalable operating models that power sustainable improvements to net patient revenue, while reducing operating costs. To learn how you can build a future-ready revenue cycle today, visit us at www.r1rcm.com/beckers 

Dr. Quynh Le, Oncologist, Virginia Mason joins us during Hockey Fights Cancer Month to talk about the importance of routine screenings and how it can save lives. Stewart Mandel, The Athletic gives us the national perspective on what we learned from Whitman County Court as Oregon State and Washington State continue to fight. Plus, some breaking news out of the investigation into Jim Harbaugh and Michigan Football as Coach Harbaugh gets a three game suspension. The Daily Power Play! We take a deeper look at what tonight's preview against the Islanders looks like and everything the Kraken are doing during Hockey Fights Cancer Month.

3pm - 650 Virginia Mason nurses picketing their Seattle hospital after one was stabbed in the face and another attacked with a hammer // Seattle parents who felt their kids were being threatened by a fully naked man in a Tukwila JC Penny took matters into their own hands; assault the naked man // Mayor Harrell wants more cameras and surveillance to curb crime // Kurt Cobain’s blue fender expected to fetch 2 million at auction // John discusses the most interesting things he’s auctioned off // The San Francisco bottomless mimosa brunch crowd evidently gets stick so often, that restaurants are forced to post about a $50 cleaning fee to any tables that are vomited on

Dr. Alice Long is an Associate Member and Principal Investigator at Benaroya Research Institute at Virginia Mason, where her lab focuses on discovering how tolerance is lost in human autoimmunity and how therapy can restore tolerance.

This episode features Dr. Philip Louie, Medical Director of Research and Academics at the Center for Neurosciences and Spine at Virginia Mason Franciscan Health. Here, he discusses his background, trends he's following in healthcare and ASCs today, value based care in an outpatient setting, and more.

This episode features Dr. Philip Louie, Medical Director of Research and Academics at the Center for Neurosciences and Spine at Virginia Mason Franciscan Health. Here, he discusses his background, trends he's following in healthcare and ASCs today, value based care in an outpatient setting, and more.

This episode features Dr. Philip Louie, Medical Director of Research and Academics at the Center for Neurosciences and Spine at Virginia Mason Franciscan Health. Here, he discusses his background, trends he's following in healthcare and ASCs today, value based care in an outpatient setting, and more.

Van Jones describes Chris Christie as a 'kamikaze candidate' for President. Trump made fun of Christie's weight as did Fox News' John Roberts. KNOW IT ALL: 1) Air India passengers who were stranded in Russia land in San Francisco. 2) Update on the dam break in Ukraine. 3) Virginia Mason confirms 2 dead in bacterial outbreak at hospital. 4) Head of the PGA admits hypocrisy in partnership with LIV Golf. // NY City mayor Eric Adams spoke about poor air quality in Manhattan. RuPaul was honored on the House floor yesterday in Washington D.C. Drag Queen Sister Roma was honored in the CA state legislature. // Meeting over cocaine principals in Northshore. See omnystudio.com/listener for privacy information.

Advancing diversity, equity and inclusion in healthcare has become a strategic imperative for all leaders in healthcare. But to make lasting progress, we can't just treat the symptoms; we must address the underlying condition, which is systemic inequity. Learn how leaders at Virginia Mason Franciscan Health have embedded equity into their improvement methods, training, and tools. 

A bacterial outbreak at Virginia Mason Medical Center in Seattle has sickened 31 patients since October. Seven of them have since died, but it's unknown what caused those deaths — the infection or the diagnoses that brought them to the hospital in the first place.

Over the past six months, 27 patients hospitalized at Virginia Mason Medical Center in downtown Seattle were infected with a bacteria that can cause pneumonia, meningitis, and wound or bloodstream infections. Four of those patients have since died.

This episode features Kerry Shannon, Senior Vice President, Chief Integration Officer at Virginia Mason Franciscan Health. Here, she discusses her 46 year tenure in healthcare, advice for young professionals looking to have a fulfilling career, how she motivates her team to stay positive in challenging times, and more.

 I first heard Jessica Gallo playing alongside another harpist on a dark, rainy winter night in December.  It was my first sound bath experience, and it did not disappoint.   It was at the height of a very low time for me, and I was feeling a deep need in my body for calm and stillness-almost hibernation?Jessica is a professional musician, and a Certified Music Practitioner.  She creates beautiful environments for people to relax their body, unlace tension and stress, and receive healing balm through harp music.   Her work can be seen during the day at hospice clinics, and Critical Care and Oncology Units at local hospitals.Music is an important balm for something that can't be cured, but can be healed for a time . It helps us process feelings and sort through emotion.  It can have a positive physical reaction towards healing.In this episode we talk about the beauty of music as a tool for healing.   Listen in as she speaks to the difference of CMP vs Music Therapist, the relationship of practitioner to patient during a time of suffering, creating space for a sound bath, and some suggestions for calming music to speak directly to our whole bodies-soul, spirit, mind, senses.  Not Quite Classical, SpotifyChasing the Present,  by Snorri HallgrímssonMusic for Growing Flowers, Erland CooperSOCIAL CREATIVE : SENSORY EXPERIENCEBE STILL featuring Jessica GalloFebruary 25, 2023 | Saturday | 6:00pm Hosted at Lulumiére ShopExperience a created space of beauty, melodic sounds of music and warmth of candlelight. Both part of a ritualistic stillness that provides healing to body, soul, mind, and spirit. Guests enjoy the hospitality of Lulumière Shop, and enjoy private harp sound bath by CMP (Certified Music Practitioner) Jessica Gallo.Guests experience the hospitality and nurturing spirit of Lulumière Shop, then enjoy a peaceful harp sound bath featuring a variety of musical selections, both familiar and soft ambient by professional musician and CMP (Certified Music Practitioner) Jessica Gallo.  Set your intention, and let the music move your body and mind posture away from stress  and into still.Each guest recieves a personally selected candle from Lulumière's PRISMA Collection.Register HERE : www.wearesocialcreative.comSocial Creative Workshops | Social Creative Conversations PodcastAmy Vallejo | founder, co-collaboratorwearesocialcreativeworkshops@gmail.comwww.wearesocialcreative.com@socialcreativeworkshops

In this episode, we are joined by Ketul J. Patel, Division President, Pacific Northwest; Chief Executive Officer, CommonSpirit Health; Virginia Mason Franciscan Health, to discuss his background & what led him to executive healthcare leadership, challenges surrounding workforce shortages, the importance of having a strong workplace culture, and more.Want to network with peers and hear more conversations like this? Apply to be one of our complimentary guest reviewers at our upcoming Annual Meeting April 3-6, 2023 here.

In this episode, we are joined by Ketul J. Patel, Division President, Pacific Northwest; Chief Executive Officer, CommonSpirit Health; Virginia Mason Franciscan Health, to discuss his background & what led him to executive healthcare leadership, challenges surrounding workforce shortages, the importance of having a strong workplace culture, and more.Want to network with peers and hear more conversations like this? Apply to be one of our complimentary guest reviewers at our upcoming Annual Meeting April 3-6, 2023 here.

    Danielle (00:00:37):Welcome to the Arise Podcast, conversations on faith, race, healing, and justice. And I wanna welcome you to this panel conversation. I'm about to have, uh, just stunning women doing wonderful work in this community and in the areas of justice in government. Listen in,Kali (00:01:07):All right. I am Kali Jensen. I am a licensed mental health counselor in the state of Washington. Grew up in Washington. Um, I am obvious I'm a white American. I am German, native American, and French Canadian. And, and yeah, coming to you on the land of the Suquamish as we enter today.(00:01:33):My name is Jessica Guidry. I'm the Equity Program manager at the Kids at Public Health District. I also like Kaylee, um, joined this meeting from the land of the Suquamish. I actually live, um, and what was, which is still the, the Port Madison Reservation. So closer to Indianola. Um, and I, I guess ethnic ethnically I am, um, Asian, English, scotch Irish, and maybe some other British isles there. But, uh, um, I actually grew up in Bangkok, Thailand, and I've been in the US though for a long time. And I was born in the States(00:02:08):Next, um, Maria Fergus. I'm the community en Engagement specialist at, uh, Kita Public Health District. I've been in this role for, um, a little bit over a month. And one of the reasons why I applied for this job is because I, uh, I know that last year the Kita Public Health District declared racism at public health crisis. Um, and I wanted to be part of what they were doing. I, my pronouns are her, and she, I was born in Mexico, but I grew up in California. English is my second language, and I've been in Washington state for about seven years and working with our communities, um, our Spanish speaking communities as a volunteer for different organizations since the end of 2015.Well, good morning everyone. Um, I stepped away cause you know what I was doing, but, um, , uh, just bring, kinda bring me up to speed. We just doing our introductions.Just so you are, where you're located, um, what you're up to, and, um, yeah. And then we'll jump in.(00:03:34):Okay. Well, good morning everyone. Good afternoon now. Um, my name is Karen Vargas and, um, I am on Bainbridge Island, um, working with our kids across Kitsap County. I am, um, one of, uh, the co-founders, um, for Latch, uh, living Life Leadership and Kitsap Black Student Union. Um, we have been working over 30 plus years with our school districts, um, with our multicultural advisory council here on Bainbridge Island, working on equity issues, uh, really since I, um, moved here from the East Coast. So, um, what we're working on now with Kitsap Race Coalition is to, um, to have our, our county have a commission on Truth and Reconciliation that would, uh, actually deal with some of the issues that we see manifesting here in our county, um, with our bipo communities and with our students of color, uh, within the school districts and in the community.Um, and, and hoping that we, we would be able to, um, move our communities forward in a healthier way, to be able to address some of the, the issues that have been, um, you know, uh, showing up, whether it's in our churches or whether it's in our, our communities or on our jobs or, or in our school districts, even in our health districts. You know, how do we move forward when there has been, um, these type of, of issues that continue to manifest, you know? And I think that when we can move forward doing intervention and prevention, um, to address these issues, it would help us to reconcile them more in, in a healthy way. Um, and so, um, that's kind of the work that we've been working on. And so,Danielle (00:05:49):Thanks. Um, well, welcome everybody. I, I know we kind of all have connected and collaborated around, um, what is happening in Kitsap County. And perhaps if you're listening, you're not in Kitsap County, but you are in a county or a, a town or a section of a town, even a larger town. We, we all have these, like, there's like the 30,000 foot view of like the larger area where we're at. And we have these smaller cultural microcosms I think that happen in the areas where we actually physically root our bodies in housing and, um, business and life and school and our raise our children. And so we're coming to you from one location. Um, it's not, it's not gonna be the same as every location, but hopefully what we talk about can be something that we can, we can learn from you if you reach out and we hope you can learn just from us as we have a conversation.But Kaylee and I, like, we've been really close since the pandemic. She helped me survive the pandemic. She had her office next to mine and we would yell at each other down the hall or, um, check in, especially when all of our clients were online. And we had started these groups. One of the first groups we ever started, um, I think it was like the second or third group right after the murder of George, George Floyd, to engage white people that identify as white or in a white body, um, and what that means to their racial identity. And so Kaylee and I started these groups and we jumped in cuz I said, Hey Kaylee, do you wanna do this? And she's like, yeah, sure. And we jumped in, we're like, whoa, we don't know if we know what we're doing. And then pretty soon we're like, actually, I think we don't know what we're doing, but we do know what we're doing in some ways.So offering good care, listening, um, reflecting stories, being witness to stories, engaging, uh, the traumas that have been that turn into weapons against bodies of color. So those, some of the ways Kayleigh and I have talked about things and, you know, we both Kayleigh and I both have students in the local school system and have had kids that are, uh, part of marginalized communities or adjacent to marginalized communities. And it's, we've also noticed the mental health of our students and our families and, you know, become more and more passionate about it because obviously why it might not be obvious, but it's something we deal with in our everyday real life and, and we care deeply for, I think I can say that on behalf of both of us. But Kayleigh, you can speak for yourself obviously, but that's how I come to the conversation as a, a Mexican woman in the town of Poulsbo, Washington on Suquamish land, married to an immigrant, and, um, we speak Spanish and English at home. And so just, you know, just curious to hear, you know, how that intersects with your different areas of work and, and your passions here in Kitsap County.Kali (00:08:59):Well, I guess I can go first just cuz Danielle was just talking a lot about me, . Uh, but yes, uh, Danielle did invite me into starting groups and I went with her with fear and trembling. Um, had done some work on my own, around my own racism for a while. My graduate program, this at the Seattle School of Theology and Psychology really, um, helped me to begin that work at a deeper level. And so then I did some work on my own, but had a real awareness when I started groups around racism that I definitely have racism still a part of my world as I grew up in a very white, uh, community and Spokane. And, um, as we began those groups, we did predominantly reach out to other white people or people in white passing bodies and, um, have found some like goodness in diving deeper into people's stories around racism.And that's kind of where we started, um, wondering with people around like, when did you notice your own racial identity? When, when did you become aware of racism? Um, kind of going all the way back to the beginning to help people make connections to like, what is still going on inside their bodies when they try to have these hard conversations with people in the community. Um, so I have learned a lot. I still have a lot to learn. Um, and along with what Danielle said, I also am a mental health therapist and work with a lot of teenagers in our community here in Kitsap County from different school districts. Plus like she said, I have some teenage children. All of my children are white, um, and, and have diverse friend groups. But I have become increasingly, well, I've always been concerned about the issues of racism in our community.I, I remember as a young little girl calling it out in my own parents, and that didn't always go well. Um, but then it was very under the surface as a white person, uh, you didn't see it as overtly as it has become now in 2020 since the election of Donald Trump, the, like, overt, blatant racism has, uh, been shocking. And yet it's always been there. So, um, but as I work with my own children and then work with students in my practice, I'm just, I am deeply concerned about the mental health of our kids. I think it's hard enough as an adult to go through these past few years, but I am concerned about our teens and what they are facing, um, of all races. I I think even my white daughter is very disturbed by the racial slurs that she constantly hear in the hallway and doesn't really know how to even go about addressing it or feel safe enough to even say anything. Um, so that's part of why I'm here today. And, um, had the privilege of going to a meeting, uh, last weekend with Kitsap Race. And so, yeah, I, I just, I hope for continued leadership amongst adults to like help our students and help our communities, even our adults in our communities, especially. I have a passion for the white people in our community. I help them be able to take steps forwards to be able to sit in these conversations and, and be productive and not as harmful. So that's how I enter this work.Speaker 5 (00:12:34):So I entered this work, um, because I grew up in California and it was very diverse. Um, and when I moved up here to Washington, uh, there just wasn't as much diversity, especially in the PAL area. And my daughter, um, who was a sophomore at the time, was invited to join the North Kids Up Equity Council. And so I started participating in that and started hearing stories, and I started working with the parents and children that are Spanish speaking. And, well, I kept hearing more stories and, uh, realized that I needed to be a little bit more proactive. And so I, I joined, um, stand up for racial justice search and I attended some other meetings, got some training, realized that I have a lot of internalized racism and racist behaviors myself and what ency ideology that, uh, I hadn't been aware of. Um, that was part of my thinking.And so, um, over time I continued to stay involved. At the beginning of this year, I heard about the student direct equity campaign under a base and became a adult, um, volunteer to support the, the students that were in the campaign and have been doing that since then. Um, also participated in the race forward, uh, healing together, meeting that we had this last, um, two weekends ago with, uh, with the race and try and stay as active as I can in the community to to hear, um, hear the stories. So I, I know what's going on and just stay updated and what's going on in my community.Jessica (00:14:41):Years, you know, the health district was, you were very, you were very light can Oh, okay. Is this better? Yeah, sorry about that. That, um, so how I got started in this work, so for 13 and a half years at the, you know, at the health district, I was their public health emergency preparedness and response program manager. And to be honest, I didn't really address equity head-on, um, in the emergency management field. Um, we, instead of using the term, you know, equity injustice, we used terms like access and functional needs, which to me doesn't really get to the core of the issue, but that was kind of the verbiage. But first it was vulnerable population then at risk and things like that. But it wasn't until, you know, the pandemic, um, that my role was able to switch a little. Um, I supervised initially our Covid vaccine equity liaison, and that was the first time at the health district that we had somebody with the word equity in their title.And she was specifically hired, her name was, but this was the first time we hired someone to specifically look at differences and, and how we can address those differences and outcomes and access. And, and so it was really exciting to have Holly on board. And as Holly was doing outreach with the community, um, and she built this Vaccine Equity collaborative, she started hearing from folks, you know, you know, this is great that the health district, you know, wants to address equity and vaccine, but what are you going to do about racism? And before the pandemic? Well, um, you know, we, we've talked about it and in public health circles, racism as a public health issue was kind of c was circulating, right? But I think it wasn't until the pandemic when we saw the differences in, um, who was getting hospitalized.You know, the covid who was getting sick because of covid and who, um, didn't get vaccinated because of access issues to stress of government and, you know, rightful distress of government, um, where all this came about. So when Holly heard this feedback and heard, you know, are, you know, is, is public health going to claim, um, racism as a public health crisis? You know, she came to me and some other folks and asked about this and we said, you know, yes, let's talk about this as an agency. And our leadership was very supportive and wanted to know more about declaring racism as a public health crisis. So, you know, at that point I was more of a cheerleader more than anything else. You know, I was involved in some groups kite race or you know, that, um, which Aku helped found, um, you know, equity, um, race and community engagement coalition kind of, you know, here and there.But when the Public Health Board declared racism a public health crisis, that was in response to community demand or a request, if you will. Um, and I could talk more about how that process came about, but as a result of that resolution, the health district actually allocated resources to equity. Before equity was more of, you know, if, if certain programs were, sorry, I use the word program. If certain teams within the health district were passionate about equity, they would incorporate it, but it was not, um, universal within the health district. And we didn't have like a, a, a shared terminology, things like that, or shared expectation even that we would address equity. Um, but with the, the, the resolution, it has several commitments in it. And one of them has to do with actually having staff. And this is really important because other resolutions across the country don't have commitments.They don't allocate resources. And just telling a government agency, oh yes, you'll handle equity without putting a budget line item means that it'll be kind of an afterthought, right? Or it's kind of like another layer among other layers. So this resolution said that, you know, you'll hire a community liaison and what our leadership ended up doing is say, no, this needs to be a separate program. We're going to hire a program manager first. So that was really important with that resolution. Another thing, another component of that resolution is that the health district will have, and I think the, um, certain training, and I believe the topics were, um, cultural competency, anti-racism and health literacy plus other topics. But those are the three topics, if I remember correctly, that were called out in the resolution. And the, and then one of the other commitments was that we would co-create solutions to systemic inequities with our community partners.And the reason why I said this is pretty huge for us is because, you know, often we look at health topics like health, excuse me, like healthy eating, active living, smoking cessation, or food safety, but actually dealing with poverty, racism, you know, I don't think we've, no, no, I might not be being, I might be unfair about this, but I don't think we've necessarily ha handled its head on, right? We've maybe gone to some housing meetings, but really more like in our limited public health capacity. So to me, this co-creation of solutions with community partners is huge. And I, and I do believe that often in government, we think we know best, right? And so we're like, oh, well, we're gonna do our research and we're gonna find best practices. But instead, you know, our community often has the answers to our, to our, to the issues that we have.It's just bringing them to the table, giving them equal voice and you know, honestly compensating them and treating them like consultants and, you know, a as equals, not just, oh, we're gonna, you know, get community input and then we're done, kind of thing. But that, that continued partnership. So anyway, um, so when this resolution passed, um, then my position was, was created. I applied for it and I was very lucky to get it. Um, and I, I started in this position full-time about last October or so, the resolution declaring racism of public health crisis start, um, it, that, that passed in May, 2021. So it's been about a almost a year and a half now. And to my knowledge, we're still the only governmental entity in Kitsap that's really addressed this and has staffing for it. Now, this might change because I, I, I'm not saying that the health district started anything, and I think really it's more the advocacy of folks like [inaudible] and, and Kitsap Race and all these other organizations that are pushing government.But I think we, we may start to see city governments actually investing in hiring and equity, uh, either race equity or all equity consultants or, or, um, staff member to really push that issue forward in their org organization. Um, so in this past year, um, there have been a couple things that I've been working on. So one is looking at our internal structure and our internal culture. Um, we don't talk about, you know, a year ago we didn't talk about equity as much. Um, so it was doing, you know, as, as designing employee training, meeting with all our different, prog all of our different teams. So talk about equity because, uh, oh, is Jessica, you know, the politically correct police, is she going to white shame me? So it's really the, the first year I had to really build those relationships. And luckily, because I've been at the health district so darn long, people knew, oh, you know, they, they were familiar with me.They, they knew that I wasn't just gonna shut them down. And then, and, and just being present, and as I talked with different teams, I realized, you know, they, they do have equity mindsets, but they just don't call it equity. But we have some teams who are really focused on poverty, but they might have actually had the conversation about how does racism affect poverty? How is that a driver for poverty? So, you know, anyway, so, so with this, so we have this internal bucket of work. So looking at training and, and right now our, our first training with the employees is gonna deal with identity and power. We're calling it positionality training. And the idea is that our, our training has to deal with the individual, the organization, the community, and the society. So that's, so we're building a training program based on that. We did do an internal equity assessment to figure out what we can do better.And, and I don't if I had to do about this Maria, but honestly, one of the biggest takeaways from that assessment was our staff doesn't know how we react to community input related to our priorities. So that needs to change, you know, either it's, it's a lack of awareness in our agency, or maybe we don't do it enough. So there, there's that piece. And then with, with community partnerships, you know, really trying to look at how we engage with community and how we see them as partners differently. Um, so the fact, like one thing I I also encourage, like me and Marina do, is just to be at community events without an agenda. It's not a grant deliverable. And actually, Aku really, um, helped bring this light for me. And I, and I should have realized this years ago, but you know, when, when Holly, the Vaccine Equity Collaborative, um, excuse me, the Vaccine Equity Liaison.So her position was eliminated due to, you know, that, that that phase of work was done. But I think what was missed was the community impact, because she built such amazing relationships in the thick of the pandemic where people were really looking for someone to trust in government. And I remember in Aku, I I, I think about this a lot, um, when we had our, her, um, goodbye party, I had one person, a community leader who was angry about it. Yes. And rightfully so. And, and you know, one of the things I've had to learn about in, in this position is not to be defensive and not to be like, well, our leadership didn't see enough work for a person. And just to be like, you know what? It is okay to be angry. I'm angry. I don't want her to leave. This was not my decision.I was not consulted about this. And, and, and that's, and, and, and I think what, what I'm, what I'm hoping to build and, and, and, and get some feed, you know, and, and, and, and build my own muscle and getting community feedback without having to be like, well, our agency policy exist. So at that meeting, not only was I not chewed out, I should say, but, um, I had someone speak very passionate to me, and he's said, Jessica, this is not about you. I'm like, no, I, I see that. And I said, you know, so acknowledging that hurt and letting my agency know also, hey, it hurts when your, when your main contact an organization leaves, you can't just replace that. So there's that piece. But then even a Kue telling me, you know, Jessica, you know, with, and, and I'm paraphrasing cuz a a kue says so much more eloquently than I do, you know, in government you have these grant deliverables and you go to community and you ask community to help and community will do the labor for you, you know, doing outreach, looking for places, for example, to do vaccine clinics and other stuff.But then when your grant deliverables are done and the grant funding's over, you leave. So that really stuck with me. And, um, one of the great things about how our equity program is funded is not funded by grants. And so one of the big things, you know, for us to build relationships is to go to meetings that are not just grant driven. Um, just to listen. So for example, Marie and I are gonna be going to the com, the, the community and police policing together, you know, the PACT meeting that, um, uh, pastor Richmond Johnson and, and, uh, partnering for Youth Achievement and others are having this, this, this, um, this week. I don't know if the health district has ever participated in that, but in order for us to know what's important to the community, we actually have to be there in meetings. So that's, and, and I'm so sorry to be taking up so much time, but this is trying some of the ways I'm trying to change how we do things at the health district.The funny thing is, and I get asked, well, Jessica, can you send this to so-and-so? And it's like, you know, yes, but do you know how much we invest in going to meetings and building those relationships? But we're, we're seeing re returns. But another thing that we're doing is we are launching what we call the Health Equity Collaborative. So I mentioned that during the pandemic we had the Vaccine Equity Collaborative. It was very limited though. Cause it was just looking at vaccine with the Health Equity Collaborative, there is no deadline for this because health inequities exist and they will continue to exist until we really address those hard issues. Right. So I'm really excited about the Self Equity collaborative because the collaborative will decide what topic we talk about. And that's that piece I was talking about, about co-creating solutions. Um, it's not the Health District saying, oh, we need to focus on someone that's public healthy.No, we're gonna, um, in, in January come together, you know, we'll look at data, we'll, we'll listen to stories, we'll listen to input from the collaborative members and then figure out we wanna address. And then, you know, I I, I've also committed to Maria in my time to actually address and, and support the work that the collaborative will eventually think of. Um, but what's different about that collaborative also is that we're paying people who participate and are not being paid there by their organizations. That is not something that we typically do in government. But, um, some of you may know that the Public Health Board expanded last year. No, actually it was earlier this year, excuse me, due to a state law that passed last year. And we now have non-elected members, which is huge because across the country you saw politics getting involved in public health.Now we have, um, now we actually have five, I think, new members. And it's amazing. So we now have a member, so we have a member on, on our board from each of our neighboring tribes. We only had to have one per law, but our board decided that they wanted to have a spot for the Suquamish tribe and the Port Gamble ALM tribe. I just found out today that our Port Gamble ALM tribe position is filled. And the person's gonna be Jolene Sullivan, who's a health services director with the Port Gamble Skm tribe from the Squamish tribe. And, and, and she's sorry. And Jolene is a tribal member of the Port Gamble Skm tribe, with the Squamish tribe. We're gonna have the health services director there. His name is, um, Steven Kutz, and he's a member of the Cowlitz Tribe. So he is originally from, you know, southwest Washington.And then we have, um, Drayton Jackson and who's really ex and that's really exciting. He's on our board. We also have Dr, um, Michael Watson. He's with, uh, Virginia Mason, Franciscan Health. And then we have, um, Dr. Um, Taras, oh my gosh. Kirk sells who's, I believe, a public health research researcher. So we have this expanded board, and our board members who are not elected are also being compensated. So we followed off that model because, you know, sometimes it's kind of a wait and see. But that was precedent setting for us. And I think because we are compensating our board members, were non-elected, we have this, I was able to, to, to propose to our leadership, Hey, if we're gonna be doing this health equity collaborative, we need to pay our, you know, our, our folks who are not being paid by their organizations. There's national precedent for this.You're seeing that more national, you know, nationally with governments paying their consultants, right? We pay our d e i consultants, we pay strategic planning consultants. You know, Akua is a huge, um, community consultant and we need to start paying folks like that. But like her, like, you know, um, all the other folks are giving us input. So anyways, so we have this collaborative, we had our first meeting earlier this month, and we're having our, our visioning meeting in January. And Aya, I remember, you know, earlier this year you talked about how as a community we need to have this visioning process. And one piece of feedback I got from the collaborative meeting that we had earlier this month was, well, Jessica, we need to also include Citi and county officials. Cuz the only government officials at that meeting we're public health folks. So in the future, you know, also bringing other governmental folks.So there, there's a, there's a lot going on. Um, and, and I think another thing, and, and I promise I'll, I'll stop is, um, is elevating the concerns of our community within the health district. So, for example, and I really wanna give Maria credit for this because of her passion on working with youth. I, I, you know, I, I, I don't mentor youth. I have my two kiddos, and that's kind of the, the, the extent of, of, of my impact on youth. But, um, you know, it was through conversations with her, you know, meeting you Danielle, and, and hearing about other community meetings, you know, concerned about mental health, especially of our Bipo youth. Um, you know, elevating that to our leadership, letting our leadership know, hey, this is an a concern. And what's exciting is, um, when I mentioned this to our community health director, Yolanda Fox, she's like, well, you know, this other department, you know, our chronic disease prevention team, they may have funds to help with these kind of initiatives.So it's also networking within my own agency and Maria and my agency to see who can help with these, with these issues and figuring out, okay, well how can this also fit? Because the health district is also doing strategic planning, um, starting early next year. We're also participating in Kitsap community resources, um, community needs assessment. Ray and I both have been note takers and, um, contributors to their focus groups, for example. But then also I've been doing some keen form of interviews for Virginia Mason, Franciscan Health, um, community assessment. So we're hearing from community leaders, but then also going to community meetings about their needs. And we're trying to elevate that as well to our, to our leadership. And that's, so there's a lot going on from the health district, I think. Kuya, you're up.Akuyea (00:30:32):Yes. Oh my God. Go Jessica, go run, girl, run you and Maria, this is how we elevate, this is how we transform. This is how we begin to shift the paradigm for the opportunity to be heard. Oh, cross, we are gonna level the playing field for leveling. When I say level, I mean our young people, our parents, our community, our school districts, our, you know, health districts, our government. How do we do this collective work? Especially when you're dealing with historical institutionalized racism that we know is a crisis across the line. I don't care. It's a, not just in the health district, it's in our community, it's in our school, it's in our families, it's in our history. It's in the d n a of this country. So how do we begin to address that and move that where we can begin to reconcile, we know the history is there for us to sit here and, and, and act as if that this has not been a problem in an issue in our nation for hundreds.And it is not just that, it's in our nation, it our, our institutions. Were built on it. We, we, we have these systemic pieces that we have to deal with. That's why it was important when we started Kitsap e rates that we said, we gotta look at our schools, we gotta look at our health districts. We gotta look at our city government. We gotta look at our faith-based organizations, which Danielle, you know, that it exists within all of these institutions. We gotta look at our businesses that say, and I said, you know, when you come in and, and you try to do this type of work, and especially these organizations have in their mission statement that we're undoing racism, or we got, we're gonna be looking at equity, inclusion, diversity, multicultural. And they say that this is all within their mission and they check the box, but there's no accountability.There is no moving these, these issues to a place. If it's not in there, where is their, uh, district improvement plan? If it's not written in there, where is there, where is it in their budget? It's not in there. It, it doesn't exist. It's just they check the box to say they're doing this, but they're not the, the, the, the organization is not being held accountable for what they say is in their goals. Cuz they wrote 'em in their goals. They, they, they, they've got it language in their goals, but then how do you begin to hold them accountable to say they are? And so I was so, I was like, yes, Jessica, because if it's not in the budget, if they're not intentional, if they're not moving equity and inclusion and diversity forward in these institutionalized policy practice and procedures, then it, it really, you know, it doesn't exist.You know, it is that thing that's out there in la la land. So when you file, how do we begin to, to look at that, the training? Where is the training? Because you gotta shift the mindset. You've gotta begin to transform how people are going to step into this work of equity and inclusion. And you gotta give them tools. You gotta be able to say, look, you need training. What is cultural competency training? What is the gear training? What are these trainings that are available? Where is the training from the People's Institute? Where is the training for? Because actually, if you look in our history, we've got a lot of history that have the Freedom schools and all of them, they were doing this work back in the day, but there was a shift back in the day where they stopped when they started killing off the leaders and started, you know, manipulating city governments and working in legislation and all of these things.You know, we, there was a halt during that period, period when they were doing all the civil rights and trying, you'd think of it, all those leaders that they, they really assassinated that was moving race equity and, and inclusion forward. You know, our presidents, our our black leaders, all of those leaders that they were taking out, you know, look at that history, look at what was being done in legislature, what was being done, set in place. So we have to look at the systems that continue to hold these inequities in place so that we can't move forward. And then there was a point in time, you know, during, um, this last couple of years that just really highlighted all the inequities, all the disparities, all of the, the racist, you know, uh, uh, practices and policies that was in place that really hindered us. And we said we needed to look at these things.Um, you know, with the killing of George Floyd and the murders that was going on with the pandemic, the pandemic really set it off because we could see if it was actual, we could see how disconnected and how, how all of these disparities were, were being, you know, manifest showing. They would just, they were just in your face. How you gonna not address stuff that's in your face and then all of the racial, you know, um, one of the things that we started when I think it was even before Pandemic, before George Floyd was all of the, um, things that was being manifested during the, the, uh, during the presidency of, of our wonderful President , we won't say his name, we won't say his name, you know, and that's the thing. We won't say his name, but we know who, who, who that was, that perpetuated a lot of racial tension in our nation and begin to cultivate it, to begin to really nurture all of that unhealthy, you know, behavior and mindset.And, and, and when, when we look at the history and we understand that racism has always been a crisis in our nation. And if we just looked at it and looked at the concerns of racial diverse communities and understand that it, it hasn't, it, it has never been a healthy, uh, history, but when we tuck it away and sweep it under the ground as if it doesn't exist, we do ourself a harm. And then when we look at how education plays a role, when we look at how health plays a role, you know, health and education are interdisciplinaries, and if we not looking at how all of these systems are connected that continue to perpetuate all of these internalized structures that perpetuate these disparities, then I think we're not doing, uh, a good job at being able to undo the institutionalized pieces of, of racism and how we we begin to, to break down those barriers and begin to level the playing field and begin to get services, you know, and begin to get opportunities and the financing.You know, um, racism has played a key in poverty. It's play a key role in health disparities. It's played a key role in education. If you guys think about it, you know, back in the day when they were building all these institutions, you know, um, we weren't a la even allowed to read or write in the sixties when they wanted, you know, when they were talking all about let's integrate these schools and everything, oh, you know, look at the racial tension there was just from us to be able to go to school with one another. And that's not been that long. That's been in our lifetime, it hasn't been hundreds of years ago. Oh, little Rock nine and all of that unrest and all that has not civil rights and all that. That's, that's not been long at all. We've not come that far. And there was a halt to all of that work on undoing all of those institution life pieces. And, and when, and I can say it, when, when those assassinations begin to happen, there was a shift where everybody was pulling back from trying to do that work, but yet it didn't go away. It still needs to be done. So as we move forward, we talk about how do we, how do we begin to look at models and, and the work, the foundation of that work that was laid prior to us, even now, if you go back in, in the sixties, you'll see boy, they had it going on.Those models, those sit-ins and all those things that they were doing to change policy, to change institutional practices. You know, there's no need for us to reinvent the wheel. We've just gotta begin to, to pick up the work and, and start doing the work again. There was a definite fear that came, uh, into our communities and our nations when they begin to kill our leaders for standing for what was right. The murders of Medgar Evers and Martin Luther King, and all of them, you know, you look back at that time, the, those ones that, even the Black Panthers, they exterminated those young people and they, and, and they put 'em in jail.There was two options. You, they were either exterminated or they were incarcerated, but they were definitely gonna dismantle those disruptors that was calling for equity. So, yeah. And, and when you have all kinds of hate mail and hate literature that's being flooded across our nation. Um, and I could tell you, um, back in 2018 when, when we started the Race equity Network, it was because there was hate literature being flooded across Kitsap County. Our churches was being people who are being attacked, racially slurred, and all kinds of things happening in the community. That community members went to our city council and said, what y'all gonna do about this stuff? Y'all see it's all coming up. You mean the government? Y'all gonna do nothing. Not gonna say nothing. What's up? So they decided they were going to, to at least have a race equity advisory council to the city council members that would deal with all these disparities and all these racial incidents that was popping off.But then, you know, they get in there and they wanna be political and tie their hands and say what they can and can't do, and don't even wanna take the training. I mean, by now, that was 2018, here we are going into 2023, our pobo still ain't got one South kit still ain't got one. We still don't got our commission on troop and reconciling. We, it's, it's still being pushed back. The pushback on moving equity, race equity forward, it's still, that's live and well. And for us to understand what we really are up against, you have to transform minds. And one of the things with, you know, with the education system banning books and all of these things, I said, what is that all about? You better know what that's all about. You have to have a greater understanding. Because my, my thinking is, if we don't even wanna be truthful about our history and teach true history and teach our young people in the schools, I said, that's dangerous ground. We're walk, walking on.But that's something that needs to be looked at very carefully because it starts in the educational system. If you're not even gonna teach to it, if you are not even going to give our young people true information, you know, when you're talking about, oh, these books can't be read, I was like, whoa, whoa, whoa. A red flag should be going up for all of us in our communities and all of us in the nation. What is that? Yeah, you better find out what's the, at the root of all of that. So we do have a lot of work to do. Did this, this, I mean, the work is plenties, the laborers are few.And then how do we that are doing the work, how do we come together and work in a collective collaborative way that can help us move these things forward in, in, uh, a healthy way? Many hands make light work. Many of us, you know, yes. My my area of of concentration might be education. Mine might be health, mine might be city government. Mine might be the, the faith community. Mine might be just community members. But what happens when we begin to cultivate unified work to address these issues across those barriers? Because we all have the same goal, but look at how we work in silos. What can we do to break down barriers and really build community between the community of those that are doing the work?You know, do we lay aside our own agendas? Just like Jessica was saying, we just wanna go to li How do we come alongside and support? How do we come alongside and just listen? How do we come in and hear what the community needs are and all of those things. But sometime we gotta set our own egos aside for the greater work because the work is bigger than we are. You know, it took back in the day, when I think about all of those civil rights leaders and, and it, and, and believe you me, the environment was more hostile to make that change back then. You know, you, you had people gunning, people holding people. Come on now the history's there, but yet we wanna erase some of that history and to say, no, this is the only part we wanna teach of that, that history. You know, we talk about our, our native, uh, and our indigenous communities that was here. And understand, and I'll keep saying it, as long as I have breath in my body, I come from a stolen people brought to a stolen land where they exterminated the indigenous tribes that was here to be able to capitalize on their land and everything else. And that history, you know, it's like, oh, we don't wanna talk about that.But when you don't address the atrocities that have happened, it will keep coming up because you never went back and never healed that land. You never healed all of that, uh, trauma and all those things. You know, one of the things that I always look at, I do look at, I do look at what happened over in Germany. That entire nation had to deal with the atrocities that Hitler committed. And it wasn't until they had to deal with their own atrocities that healing began to, to, to move those communities forward in a way where they could, you'll never be able to erase what happened. But they have to be able to heal those family, heal, move towards healing, move towards reconciling those things. But when you just step over all the atrocities you've committed and, and, and say, oh, oh, they ain't this and that ain't that. That is a shipwreck. That's a a, that's a recipe for destruction.And so how do we begin to do the work of healing? Because the health district, and I say this to Jessica and to the health district, y'all are supposed to be in the healing business. I mean, that's what you say. And then I say to the education people, y'all supposed to be in education. What are y'all doing? Health, health and education for some and not for all. And justice. Justice for who? Justice for some are justice for whom. See, we got to get, we, we have to understand that we have to begin to shift the mindsets of those that can't see these things.You know, we have to begin to say, how do we take the scales off of people's eyes so they can see clearly that these are things that we, we definitely have to, to work towards? How do we unstop the ears so that they can hear the voices and hear, um, the things that need to be heard? Because some people, you know, some, and I can say this cause one of my young people said to me, she said, you know, what do you do with people that just wanna fight? They don't, they, they're not trying to heal. They're not trying to, they just wanna fight.I said, so how do you become peacemakers in the fight? How do you, how do we step into that role that we can at least be able to, to speak words that can, um, prick hearts and minds and transform, uh, the communities that we're serving? Because we're all serving, we're all serving our communities in a way, you know? And I, you know, it, it, it's hard when you always gotta walk through dodoo. I don't know. You know, I'm just throwing it out there like that. You know, when you gotta crawl through feces every day, that's, you know, those that are in plumbing and stuff like that. I don't know how they do it, but is it needed? Definitely.So we, we do, we, we, we can look at that. We can do some collective visioning that can help our communities to move forward in a way that can really meet the needs. You know, because I, I always have said our county isn't so large that we can address this issue and that we can do this work and we can do this work. Well, we're not a King County, we're not a Pierce County. We're a Kitsap County. And collectively, we should be able to move things forward in a healthier way. That guess what could be a model, not just for our state, but for the nation. Uh, you know, a little Kitsap County has changed the way that they address inequities. The way that they, with racism, the way that they deal with disparities, the way that they deal with all of these unhealthy things that continue to hinder us all. I don't care what color you are. Hate comes in all colors. Mm-hmm. , white, black, yellow, green, whatever way. But if we can deal with some of those issues, the bitterness and those roots of bitterness, why are our communities so bitter? What's going on that we can't come together and talk about it? If you are mad, I'm, I'm cool with you being mad, but can we talk about it? Can, can we reason together in the multitude of council, there can be some safety. If we come in, in a collective way and deal with it, there can be some safety in that.Danielle (00:54:27):The, uh, I was just, and I see your hand, Jessica, I, I was like thinking so much. And Maria, I know you were there with me of our meeting last week with these families that, you know, they came out almost 50 families, you know, 50 people show up to a meeting Thanksgiving week.Maria (00:54:47):And, and I thought, there's so much hope. And just showing up and, and in the showing up, you know, the meeting was advertised. I saw some for like six 15, some for six 30. I got there at six because my phone rang and someone said, Hey, where are you? I said, well, I'm not there yet. They said, well, hurry up. We're here,Oh, it's like six o'clock. So I pulled up, you know, and I got there and the principal was opening the door. And I had emailed early in the day and I said, well, you know, I don't know who's gonna show up because this thing went out over Instagram. It went out, you know, word of mouth.Danielle (00:55:29):And when people got there, y you know, they, the setup was to share stories and then to work towards solutions. But you could see when the invitation was to work towards solutions, people just stayed quiet. Cuz they were like, no, we have more stories to share. And, and let me tell you, we we had to cut it off at like eight 15. Eight. Yeah. Because people were not done and not everybody got a chance to share there. But I think about those families ended, and Maria, you can speak to this too, like, they were like, when is the next meeting? And we had, you know, one of the main leaders from the Latina community was, was speaking and saying like, Hey, like we have problem, you know, we've had problems with the African American community and we, where are they? Like, we know they're suffering.Like, she didn't say it like that, but basically like, we are not the only people of color here that are experiencing this. So, um, that gave me a lot of hope. The ability to show up and the stories they shared, I think are compounded, like what you say, the history, when you name the history, I'm like, oh crap, we're repeating all of this right now in live time. Like, it's happened yesterday. It happened, probably happened today, probably happened tomorrow. Like, we actually haven't, like slowed it down. It doesn't feel like, but Maria, Jessica, like, feel free to jump in. That's kind of where I was at.Jessica (00:56:59):So Danielle, I guess I wanted to jump in. I guess a couple things, especially, you know, after hearing, you know, Aku talk, you know, one of the things I think government should be doing is, you know, addressing, you know, inequities head on. And, um, some of you might follow, uh, the health district on, on social media. But, um, two weeks ago, um, the health district did a Facebook post recognizing transgender Awareness week. Now, this is the first time the health district has ever done a post like that. And you wouldn't believe, well, actually you would believe the amount of hate that we got. But I have to tell you though, before we declared racism a public health crisis and really got deep into this work, I don't know if we would've ever done a post like that. Um, but you know, it was a conversation between the equity program and our communications program.Our, our communications folks were all on board. They even bumped this, this idea for this post up to our administrator who was supportive of it. He goes, Hey, just make sure that you include our mission statement that, you know, our job is to promote the health of all people in Kitsap County. And, and I was really proud of the agency because I, you know, as government, sometimes we have to be careful about how we speak and sometimes it's hard to be the first. But to be honest, I didn't see any other governmental entity. And you all can check, please check me on this. But I didn't see any other governmental entity make that comment, you know, make that statement that we support our lgbtq plus and our transgender neighbors, loved ones, community members. Um, and so this was a small thing, but this is where, you know, um, you know, there, there are these huge changes that we need to make as a culture, right?And, and, and government structures. But even if it's just the acknowledgement of the suffering of people and the fact that we are, we see them, we honor them, and we're there with them is huge. Um, and, and, you know, and I give kudos to, to, to to you Danielle and, and Aku. Cause I know y'all have been having these community conversations. So having, giving people a space to share their truth and their experiences is huge. And when you can bring government officials there to hear it, because often, and, and I, and I'm speaking broadly, I mean, I I I've been in government for almost 15 years, so I, not an expert, but I've been in it long enough. You know, we tend to like the quantitative data, right? The numbers. And I think as an public health in general, there's been this big movement about, and I'm gonna use my my nerd term, but disaggregating data.So looking at the numbers, but saying, oh, well, let's see, can we break this down? What is our Asian community experiencing? Or Pacific Islander? And that gives some depth to it. But then also realizing that there are sub-communities within this community. And, you know, um, Maria and I were talking about, um, VN Voices of the Pacific Island network. They had an event earlier this year, and they had some data that showed that not all Pacific Islanders have the same educational experiences and this educational outcomes. So on, on the one hand, you know, government, we love numbers. Well, we need to dig deeper into those numbers, right? Break things down and really figure out what our community's experiencing. And sometimes in public health, we're like, oh, if the community's too small, then the analysis might not be enough. Who cares? Just still bring that data up.And that's where you compliment it with the stories, right? The qualitative data. And this is something where I think when you think of governments as white supremacists, right? You know, there's this need for productivity. And you have to, for every media you go to, you have to show what specific outcomes you have. Well, that's also something I'm hoping to change slowly at the, at the agency too. But, um, but also with data and, and the, the importance of storytelling and catching these stories and elevating them. And one of the things that, um, and you know, Kang Marie can talk about this. When we had our first health equity collaborative meeting, I got a question by a community member who was skeptical, right? Because their experience was when they've worked with government, they have gotten roadblock after roadblock after roadblock. And having to be honest and be like, look, here's what I can do as a manager of a program of two people.But at that meeting, we had a, the health officer there, and he is one of our highest officials at the health district. He's like our Spock, um, if you're a Star Trek nerd, but, um, which Memorial Star Wars. But, um, you know, our chief science officer was there. My supervisor who was a director was there. So, I mean, one thing I'm also hoping with, with these collaborative meetings, if, if they're meeting community meetings, also just throw that out there where you think having the health district be present is important and you want somebody with a director or administrator in their title. That's also something that, um, you know, I can also, I can also help facilitate. But something also, Danielle or maybe actually, um, Kayleigh, to your point, you know, we talk about this work, but how do we support each other? So we support each other in terms of, um, you know, bring cross-disciplinary, but then also really elevating the fact that we need that self-care and that connection and the fact that this is such heavy work.Um, you know, Maria and I have mentioned, we, we, we've helped with some of these, uh, focus groups for the kids at community resources. The stories are, are just heartbreaking. Um, and whether it's our youth and how they experience bullying, our elders who are experiencing lack of care, you know, lack of resources, and they just need some additional help. And you don't have that necessarily multi-generational household like you did before. So they don't have the supports that they had in the past. There's so much going on. But I think also all of us doing this kind of work, taking care of each other as well, and then also letting people know it's, it's okay to not be okay. Um, so anyway, I just, I just wanted to throw that out there too.Maria (01:02:33):So I've been pondering Akuyea, uh, question towards the end and she said, how do we do this work? How do we, um, collaborate and, um, bring about solutions? And something that, uh, Jessica mentioned fairly early on when she spoke, she said, the importance of letting go of ego, right? Leaving our ego at the door and, uh, working collaborative with one each other o one another as we do this work. And then the second thing is listening. And that's the one thing I've really learned as, um, uh, community engagement specialists, uh, working with Jessica, is that when I bring concerns to her or other community members, bring concerns to her, she listens, and then she acts, she does, whether it's something that, it's a long-term thing that will take a while to address or something that we can address quickly. Uh, she keeps this wonderful worksheets and she keeps track of where she's at on different projects. And so I think being able to be transparent, because since she shares that information, she shared some of that information at the health equity, um, collaborative meeting that we had. Um, I think that's how we build trust with our community members, that when they come, uh, to our organization, that we will not just listen, but we will act now. It might not be immediate, but we will be taken action. Um, and so, um, that's something that I've learned just in my one month at the public health district with Jessica.Jump in. Thank you, Jessica. Thank you for that. One of the things that, you know, I was talking with one of my, um, equity sisters, Carrie Augusta, and as we were reading through the newspaper and stuff, you know, she said, you know, we need to be looking at patterns of oppression. Are we doing that in a collective way? Just looking at the patterns, those patterns keep manifesting. It doesn't matter if it's manifesting with the African American community, the Hispanic community, the Pacific Islander community, whatever community is, are we looking, are we looking at those patterns of oppression? That's key for us to move forward as we do the work. Because in order for us to address, uh, and undo some of these things, we gotta identify 'em. We've gotta take time to sit down and identify these patterns that keep, you know, go. You know, that just like when we were, were dealing with, you know, with, uh, the racism on Bainbridge Island, you know, uh, it manifests itself back in the nineties and then again in the two early 2000. But I said, look at the, they go on ground for a little while and then they come back out.But look at the patterns of how they begin to, to do that work, uh, of, of, um, you know, racism. Look at the pattern of it. Look at how it shows up. Look at how it, it manifests itself in our institutions, in our workplaces, you know, in those areas that we are in on a daily basis. Don't matter in the schools. Look, they've been dealing with racism in the schools forever. Ever since Little Rock nine, they've been dealing with racism in the schools. And that was because why? Because racism was alive and well, and LA racism is still alive and well. So how do we begin to move these things and begin to address these things in a way that's gonna shift the policy and procedures? It should not be allowed in the institutional, shouldn't be allowed in the schools, shouldn't be allowed in our city governments, if you're serving all of us, if you are serving every one of those students, why are we dealing with what's happening at North Kitsap School District? And, and there's some questions I think that we need to be asking to administration and to those superintendents and to those staff members, because they're the ones that hold those practices in place, whether they're just or unjust. Who are the gatekeepers?Yeah. You gotta see who's gatekeeping and who's gatekeeping what, and, and really doing the, that type of visioning to be able to address these disparities or, or address the racism or address all of these inequities. Because if you got a principal that's gate keeping it, why do you think it keeps coming up?Danielle (01:08:20):Because it's us who hold these things in, in place. Human beings hold these practices in place. None of us get away. All of us are accountable. Mm-hmm. , it's, it's not just, that's when that one, that one, no, it's us. It's all of us who hold these practices and these policies in place. It's whether you will or whether you won't.So tho those are the things I think when we can get down to those foundational principles on how to address, and really, are we asking the right questions? Because they'll have us running off on a, a wild goose chase on something that, that , I'm just saying that don't even that, that is totally gonna miss the mark. You know, because if we, if we just keep pruning this thing, pruning it, pruning it, and never getting down to the root of it, we ain't plucking up nothing. We, we, we, all we doing is making it flourish and thrive. Because why do we prune? We prune things so it can come back healthier and stronger. I'm just, I'm just using these parables so we can see what we doing. Are we just pruning this thing? Are we getting to the root of it so we can pluck it up? Because if we're not, I think we're missing, we need to go back and revision and revisit and re-question and ask those. What's the, because you all know what's the root causeWhat's the root cause to the disparities that's happening, Jessica, in your departments or at the health district? What's the root cause when you are up in these schools and these things keep on, um, coming up and manifesting? What's the root causeDanielle (01:10:43):Go back. Do, do that questioning, just ponder. Just look at it. But let's, let's get our chart out. Let's see what's happening, and then, then we can have a real good conversation about next steps and how we can move forward and what we gonna do.Danielle (01:11:07):Kaylee, I saw your hand raised. Um, and, and I just wanted to say, like briefly after that meeting, I had a post up on Instagram, uh, highlighting the article, and I had over 400 likes, but 300 of them were from local students. And I had over a hundred private messages to me, and I screenshot them. And, and it wasn't just Latino students, it was black students, it was white students, it was, you know, L G B T Q community. Like they're ba I, what I understood from that is like, come on, get to work. Like, and I've, I've sent the screenshots, you know, to Maria and a few to Kali and some toku, you know, um, because they're important. The messages they give were important. Um, but yeah. Kaylee, jump in.Kalie (01:12:00):Yeah, I just, I mean, I love the questions that are being asked and Aku, some of your metaphors are like so amazingly helpful. Um, the pruning, uh, like I, yes, like I, I think that that is part of it is not getting to the root. And I think one of the things that Danielle and I have been trying to work on in our groups is also what you mentioned Maria, is like, we have to be able to listen to each other. And I think like from a mental health standpoint and the impact of racism, like there is so much shame, so people cannot listen. I mean, especially speaking from a white person, my own racism, having to work through that and, and then when I, like me as a white person in these conversations, right? So many people cannot hear like, we're never getting down to that.And like that is part of what I think we're trying to address in those small group settings is like, how to teach people to dig down deep and actually, like, what is happening in your body in these conversations. And I think, like, I feel like this like top like both and like the accountability you're talking about a kue, like, has to be, because some people will never, ever be able to get to what is deep down and actually deal with it. And if there isn't accountability, I don't, we're not, we're not gonna cut any of that rot out . But I think like, yeah, like trying to continue to figure out how to get down to that root and deal with people's shame and the fear that like racism has taught you so that you can actually listen so that we can actually collaborate. Um, and I mean, I obviously am speaking to my white, uh, community members that it's like, that is our work as white people that we have to work down to, like what prevents us from listening and hearing and changing and holding other white people accountable. Um, so that's where that was taking me.Jessica (01:14:07):So Kue, you asked about, you know, the root cause of inequities. And I don't necessarily have the answer, but I wanna to share. Um, I, I've seen a growing conversation, um, kinda in public health circles about power as a social determinant of health. So when public health people use the term social determinants of health, they're looking at what social factors affect health. Um, there are different models out there, but most public health experts agree that more affects health besides what you eat and how much you exercise. It's the social and cultural factors. It's, it's, it's, um, the economy, it's your built environment like, you know, access to sidewalks, parks and things like that, racism, discrimination, so many things impact health. And what i, I appreciate about power as a factor in health is because that's where you see governments needing to stop holding onto power so much, right?And so there are some, um, agencies that are starting to dismantle that a bit. So I, I wanna elevate, for example, um, our, our colleagues in, so our public health colleagues in Tacoma Pierce County. So they have a budgeting process where they allow the community to help them set budget priorities. We're not there yet as a health district, I hope someday to actually advocate for that as well. But it's looking at how do we share power with our community and how do we also foster community building as well? So like, in, and, and you know, you'll probably know the Square than I do, but just as, as, as an observer, I've noticed like an increase in the number of nonprofits and people wanting to do really amazing work. Um, you know, um, helping other people. But there's that lack of capacity. Oh, you know, people might start nonprofit, but they might not have all the training that they need.Um, so as, as a community looking at power and how do we shift that and doing a power analysis, and I, I think you've talked to me about this, you know, really looking at who holds power in Kitsap County and how do we work together to, to to share that power. Um, so, so there, there, there's that piece. But then also, um, you know, Kuya talked about training, right? And so for me, a lo

What's Trending: Some men are getting vasectomies to protest Roe v. Wade, an English teacher says grammar rules are rooted in white supremacy and Virginia Mason hacker may have taken data.Big Local: A dog was killed at the Washington State Fairgrounds and a boat launch ramp in Oak Harbor has yet to be repaired. // What to do when you co-workers unfollow you on social media?See omnystudio.com/listener for privacy information.

In our second episode of Better Never Stops, Virginia Mason Institute Senior Partner Melissa Lin interviews Dana Nelson-Peterson, Vice President of Nursing Operations at Virginia Mason Franciscan Health, who shares what happens when you trust a management system and improvement process to solve your toughest challenges. Dana shares her story of leading a critical part of Virginia Mason's Covid response.

In this episode we are joined by Ketul J. Patel, Chief Executive Officer, Virginia Mason Franciscan Health, and Division President, Pacific Northwest, CommonSpirit Health to discuss what he is focused on, what's to come for the future and more.

In this episode we are joined by Ketul J. Patel, Chief Executive Officer, Virginia Mason Franciscan Health, and Division President, Pacific Northwest, CommonSpirit Health to discuss what he is focused on, what's to come for the future and more.

This episode features Dr. Donna Smith, President of Franciscan Medical Group and Senior Vice President at Virginia Mason Franciscan Health. Here, she discusses her transition from physician to healthcare leadership, advice for emerging leaders, the power of asking good questions, and more.

This episode features Dr. Donna Smith, President at Franciscan Medical Group and Senior Vice President at Virginia Mason Franciscan Health. Here, she discusses her transition from physician to healthcare leadership, advice for emerging leaders, the power of asking good questions, and more.

Dr. Alice Long is an Associate Member of the Center for Translational Immunology at Benaroya Research Institute at Virginia Mason. The Long lab is focused on understanding how tolerance is lost in autoimmunity, specifically as it related to type 1 diabetes. Dr. Long discusses the work she presented at the American Association of Immunologists' annual meeting, IMMUNOLOGY2022, on CD8 T cell exhaustion and Treg modulation.

This episode features Ketul Patel, CEO at Virginia Mason Franciscan Health & Division President of the Pacific Northwest at CommonSpirit Health. Here, he discusses his focus on culture, financial, & health inequity challenges, and more.

Learn more about how Elena Armijo can support you in seeing and using the power that resides within you. What is your current relationship to creativity? When we bring our creativity to coaching, board rooms, and within the organizations we work with, we bring our authentic self, talents, and gifts that make us so effective in these situations. You can ask yourself a few questions that might help bring your creativity to the table. Is your creativity blocked? What would it be like if you did lead with creativity in mind? And what might you have to trust inside yourself to let it rise to the surface? In her Weekly Coaching Tip, Elena shares three questions about creativity you may want to ask yourself. In her Interview Segment, Elena talks with her dear friend Virginia Mason Richardson. Virginia is known as “The Queen of Synchronicity” and an intuit. In college, she was diagnosed with two autoimmune diseases. One day she experienced a physical “rush” that came packaged with a message that said she had to stop taking the mounds of medicines sitting on her bathroom counter. She started listening, accepting her own “authority” which resulted in her healing. Let's Get Social! Want to hear more from Elena? Click here! Connect with the beautiful Virginia Mason Richardson on her website or on Instagram. Order The Magic Guide. This podcast was produced by the following amazing team: John Biethan, President of Imagine Podcasting Sam De Santo, Creative Director Rye Taylor, Podcast Design Strategist & Producer Meg McCarley, Brand Designer & Social Media Manager Raejan Noh, Content Writer Aaron Boykin, Musician & Artist (Get updates about Aaron's music via Instagram)

On Sunday Morning Magazine: Dr. Amish Dave is a rheumatologist at Virginia Mason and very involved with the Arthritis Foundaion--serving on the Board of Directors and supporting the annual Jingle Bell Run. Arthritis is the #1 cause of disability in the country, affecting all ages. The Jingle Bell Run is a major fund raiser, providing $$ for support, education, and research. [http://www.jbr.orgseattle]www.jbr.orgseattle Emma Christofferson is the Youth Honoree for this year's Jingle Bell Run and turns 8 on the day. d Emma tells us about living with arthristis, and how she has developed an incredibly positive attitude toward it and says she must be brave. Her Mom, Beth, is along as moral support and encouragement. Emma's team is "Go Ge Em's" and you might like to help her reach her goal. [http://www.jbr.orgseattle]www.jbr.orgseattle

Healthcare professionals tend to be hesitant about putting their views on the web. But not Dr. David Aboulafia , Hematologist at Virginia Mason and author at Covid Cogitations, who shares with us his best insights for developing a bedside manner online.  Join us as we discuss:  - Dr. Aboulafia's generational heritage of healthcare  - Origin and lessons of Covid Cogitations  - How COVID-19 has affected cancer care and healthcare access  - Artificial intelligence and genetic sequences: the future of cancer care?  - The role of specialty pharmacies in partnering with staff and patients  Check out these resources we mentioned during the podcast:  - Dr. Aboulafia's Covid Cogitations blog  To hear more interviews like this one, subscribe to the Working In Oncology Podcast on Apple Podcasts, Spotify, or your preferred podcast platform.

This episode features Gary Kaplan, CEO at Virginia Mason Franciscan Health & Senior Vice President at CommonSpirit Health. Here, he discusses lessons learned from his storied career, what he is most proud of, and more.

Hello! On this episode, we welcome common and frequent guest, Chief Bill Harvey, retired. Since his last appearance, the Chief has left Pennsylvania for his native Appomattox, Virginia and begun his journey as a Virginia Mason. After catching up with our guest, we hear the Masonic News, and in closing, Larry and the Monkey Chicken Circus. **Unfortunately, Jack's mic was muted during recording, so his audio sounds like he is in another room. Usually the producer or audio engineer would be accepting the blame for something like this, but since we have Larry, we'll blame him. [00:00:00] Introductions [00:15:10] First break, brought to you by George J. Grove and Son [00:16:30] Larry scares us into the conversation with Chief Harvey. [00:28:45] Second break, brought to you by the Historic Smithton Inn [00:30:05] Stump the Cop [00:37:40] Third break, brought to you by Hiram & Solomon Cigars [00:38:50] Masonic Lite News and The wrap up [00:48:55] Chickens [00:50:30] Outro MASONIC LITE PATREON www.patreon.com/MasonicLitePodcast Sign up to support the show with an automatic, monthly donation of $1, $5, or $13! SPONSORS: George J. Grove and Son: www.georgejgrove.com Historic Smithton Inn: www.historicsmithtoninn.com D&S CIGARS www.dnscigar.com The Red Serpent: By Larry Merris: www.amazon.com/Red-Serpent-Larry…ris/dp/1466478608 Masonic Scarves: By Pete Ruggieri www.masonicscarves.com/ Intermezzo by Stephanie, Locally Handcrafted Chocolate www.facebook.com/IntermezzobyStephanie/ MEDIA ATTRIBUTION: Bye Everybody!

 What's Trending: Teachers in Washington are planning to claim exemption for the new vaccine mandate, White house communications director claims Biden never shies away from taking questions, American allies in Afghanistan believe they are “waiting for their death sentence   //  GUEST: Transplant patient from Virginia Mason -- not UW Medicine -- says he was denied a transplant over COVID vaccine concerns, too. // First Asian giant hornet nest of 2021 found near Blaine See omnystudio.com/listener for privacy information.

"Writing an ode is a form of meditation and gratitude practice. It's also a method for repairing our relationship with something, someone, someplace, to write in it's praise." ~ Elizabeth Austen Former Washington State Poet Laureate Elizabeth Austen believes poetry is part of our human birthright. Among the many things poetry can do, she's most invested in its capacity to confront big questions with intelligence and feeling. Through its intimacy, slowness, and layered silences, poetry can offer moments of stillness and connection in a frantic, clamorous world. She's the author of Every Dress a Decision (Blue Begonia Press), which was a finalist for the Washington State Book Award, two chapbooks, and an audio CD. Poems from her next collection-in-progress appeared recently in the New England Review and Spirited Stone: Lessons from Kubota's Garden. She's performed her work widely, including at UNESCO in Paris alongside poets from 12 nations and at Poets House in NYC. For over a decade, she's facilitated poetry and reflective writing as a tool for self-care at Seattle Children's Hospital. She's worked with organizations including Neighborcare and Virginia Mason, using poetry to help clinicians renew their connection to the heart of care, and has lectured on poetry/reflective writing as a tool for resilience at the University of Washington School of Social Work, Kaiser Permanente, and the WCAAP. The current Holden Village community all successfully pass a strict quarantine period with social distancing, masks, and COVID testing upon entering or reentering the Village or have been fully vaccinated. To learn more about Holden Village, visit: http://www.holdenvillage.org or to listen to more audio recordings visit: http://audio.holdenvillage.org The Holden Village Podcast is accessible through Apple iTunes, Spotify, TuneIn, iHeart Radio, and most podcast apps. To contact the podcast author, podcast@holdenvillage.org

This episode features Ketul Patel, CEO at Virginia Mason Francisan Health and President of the Pacific Northwest Division at CommonSpirit Health. Here, he discusses how his strategies have evolved over the years, what he is looking forward to, and more.

Dr. Gary S. Kaplan, MD, FACP, FACMPE, FACPE, chief executive officer of Virginia Mason Franciscan Health and senior vice president, CommonSpirit Health, shares reflections on the recent merger between Virginia Mason and CHI Franciscan to form Virginia Mason Franciscan Health, and how leaders in healthcare benefit from being systems thinkers and trained in Lean concepts. Producer: Chris Harrop, MGMA senior editorial manager Intro/outro audio: "Street Walk," Paolo Pavan (CC BY-NC-SA 4.0)

Hello and Welcome to the Urology COViD Lecture Series Podcast! Brought to you by the UCSF Department of Urology. In today's episode, we have Dr. Kathleen C. Kobashi from Virginia Mason talking about Complications of Pelvic Floor Reconstruction. Learn more by visiting our website! urologycovid.ucsf.edu.

  This episode features Gary Kaplan, Chairman and CEO at Virginia Mason Medical Center. Here, he discusses some of his points of pride in Virginia Mason, his thoughts on how to improve healthcare in America, the importance of being a lifelong learner, and more.  

This episode features Gary Kaplan, Dyad CEO at Virginia Mason Franciscan Health. Here, he discusses some of his points of pride in Virginia Mason, his thoughts on how to improve healthcare in America, the importance of being a lifelong learner, and more.  

Amazon threw open the doors of one of its South Lake Union buildings Sunday in an effort to vaccinate about 2,000 people. The one-day vaccine blitz was the product of a partnership between the Seattle-based online retailer and Virginia Mason.

Thanks for tuning in to the second episode of Philing The Gap, starring Phil Megenhardt, his co-host Riley Yale and special guest Michelle DeLancy, sports event marketing extraordinaire. Michelle has been involved in the industry for over 20 years working with both Virginia Mason as their Sports Marketing Director and, most recently was Senior Director of Marketing and Event Operations at the Seattle branch of the XFL. During the course of this episode, we dive into her background in the event industry, and what she's been doing during the COVID-19 pandemic to “Phil the Gap”. Follow our IG: @philingthegap Check out our website: https://philingthegap.com/ Contact us: philingthegap@gmail.com

Before hydroxychloroquine was part of the national Covid conversation, it was being looked at in studies to see if it might help in the prevention of type 1 diabetes. Recently JDRF held a Facebook Live event with Dr. Jane Buckner, where she talked about TrialNet’s Hydroxychloroquine (HCQ) Prevention Study. JDRF was kind enough to share the audio with us for this week's show. Watch the JDRF Facebook event with Dr. Jane Buckner  Check out Stacey's new book: The World's Worst Diabetes Mom! Join the Diabetes Connections Facebook Group! Sign up for our newsletter here ----- Use this link to get one free download and one free month of Audible, available to Diabetes Connections listeners! ----- Get the App and listen to Diabetes Connections wherever you go! Click here for iPhone      Click here for Android Episode Transcription:  Stacey Simms  0:00 Diabetes Connections is brought to you by One Drop created for people with diabetes by people who have diabetes, and by Dexcom, take control of your diabetes and live life to the fullest with Dexcom. This podcast is not intended as medical advice. If you have those kinds of questions, please contact your healthcare provider. This week, we're talking about hydroxychloroquine. Yeah, that's right before it was part of the National COVID conversation is being looked at in studies to see if it might help in the prevention of type 1 diabetes. Welcome to another week of the show. I am so glad to have you along I am your host Stacey Simms. We aim to educate and inspire about type 1 diabetes by sharing stories of connection my son was diagnosed with type one more than 30 years ago, he was a toddler at the time and now he is 15. My husband lives with type two. I don't have diabetes. I have a background in broadcasting local radio and television, we decided to get the podcast, which is now more than five years old. So if this is your first episode, thrilled to have you here, please go check out the website Diabetes connections.com. We have a very robust search we have more than 300 episodes now. So there are ways to get to it by date by keyword by subject matter. If you'd like to go back and start it episode one. You can use any podcast app as well. Wherever you listen to audio at this point, you can get this podcast. This week's show is unusual in that it's not an interview, as I usually do. Recently, JDRF held a Facebook Live event with Dr. Jane Buckner, where she talked about TrialNet’s hydroxychloroquine prevention study JDRF was kind enough to share the audio with me. I found this so interesting like most people, I heard About the drug this year because of the whole conversation about COVID and could it treat it and that sort of thing. Many of you probably knew about it long before that in relation to lupus and arthritis and malaria, but I didn't know it was being studied at TrialNet. So you'll hear from Dr. Buckner in just a moment but first diabetes Connections is brought to you by One Drop. It is so nice to find a diabetes product that not only does what you need, but also fits in perfectly with your life. One Drop is that it is the sleekest looking and most modern meter My family has ever used and it is not just about their modern meter setup. You can also send your readings to the mobile app automatically and review your data anytime. Instantly share blood glucose reports with your healthcare team. It also works with your Dexcom Fitbit or your Apple Watch. Not to mention their awesome test strips subscription plans, pick as many test strips as you need, and they'll deliver them to your door. One Drop diabetes care delivered, learn more go to Diabetes connections.com Click on the One Drop logo. Dr. Jane Buckner is the president of Benaroya Research Institute at Virginia Mason in Seattle. She's also a rheumatologist who takes care of patients with rheumatoid arthritis and systemic lupus. She studies type 1 diabetes as well and is the co chair of the hydroxychloroquine study at TrialNet. Now, we've talked about TrialNet, and we've talked to TrialNet, or at least the people who work there. Many of you know that group as the people who will test your child's siblings or you or other family members for markers of type 1 diabetes, but they are tasked with the mission of finding out how to prevent type one. And so testing is just part of that. I mean, that's really where they get the ball rolling, but they have some incredible studies and I will link up more information and more episodes that we've done. We've done several with trial that I'm a big fan and I'm a big fan of anybody who takes part in their research going through those studies. Just having a family member tested. I think that's a big deal. And we should applaud everyone who does that. Quick note, again, this is more of a speech, right? I edited out some of the stuff here to Facebook Live the pauses, stopping as she reads the questions to herself. There are some beeps, there's some audible noises I couldn't take out but it's really fine. All right, here is Dr. Buckner, just after she has introduced herself and her role at TrialNet.   Dr. Jane Buckner  4:25 And so we'll talk about a little bit about TrialNet first and then talk very specifically about this prevention of type 1 diabetes using hydroxychloroquine. Why did we pick this drug? How are we doing the study? And then also we'll talk about how to participate and take questions. Type 1 diabetes TrialNet is the largest international type 1 Diabetes Research Consortium comprised of over 100 locations and its mission is to prevent type 1 diabetes and stop disease progression by preserving insulin production before and after diagnosis. And so there's In a series of studies, there's a pathway to prevention. That's what we call a natural history study where we screen people who are at very high risk for developing type one diabetes, and we monitor them over time. We also do intervention trials in new onset diabetes. And we are now doing trials to prevent development of diabetes. The other part of the work we determine that where I've been really involved over the years is what we call mechanistic studies. When we do a clinical trial, we can go back to the lab and we can look at the blood samples from patients and try to understand why a certain intervention worked are help slow the progression of diabetes or loss of insulin production, or why it didn't work. And so that's where I've been involved over the years thinking about type one diabetes and what got me interested in this clinical trial. So why is TrialNet testing hydroxychloroquine to prevent type 1 diabetes? The first thing we need to talk about is thinking about type 1 diabetes. As a disease that progresses over time, we know people are born with a genetic risk, particularly relatives of individuals with Type One Diabetes children, or siblings of individuals with type one diabetes have a much higher risk of getting diabetes. And that's because of their genes. We know at some point along the way, in some people who have that genetic breast, their immune system gets activated, and they begin to develop immune responses that target the beta cells in the pancreas. What we've learned over the years, with the studies done by many scientists, but including those in town, that is that there's several stages to developing diabetes. There's stage one, which is where people have to autoantibodies but their blood sugar is still normal, and their pancreas is still functioning well, they don't know that diabetes, but in fact, they are on the road to developing diabetes and it's just a matter have time, at stage two individuals have these auto antibodies, that they now are starting to have abnormal blood sugars. And finally, at stage three is when we think of the classic clinical diagnosis of diabetes where individuals require insulin. Well, so the goal is actually, in this study, to prevent people from going from stage one, to stage two or stage three. The idea is if we treat people early at this very early stage of diabetes, where they have the immune response already targeting their islet cells that make insulin, if we could stop it from actually continuing, then we could actually keep people from getting clinical disease. So that's our goal with this study. So why did we pick hydroxychloroquine and in part of the story here is that I'm a rheumatologist and rheumatologists use hydroxychloroquine to treat many autoimmune diseases, particularly rheumatoid arthritis and systemic lupus, it's an oral therapy. It's a pill that you take once or twice a day. And it's used in these diseases and has been used Actually, it's a drug that's been available for over 60 years, initially developed to treat malaria. But in studies used by rheumatologist, it's been demonstrated to be very useful in rheumatoid arthritis and lupus. It's FDA approved to use in children and in pregnant women. And I have to tell you, it's not common a drug is considered that safe to do both of those. we know a lot about this drug. We know a lot about how it works, but more importantly, we know about side effects with this drug. So why should we think about it? Well, there's clear efficacy in lupus and rheumatoid arthritis that we know and I'm just going to say that one of the things we also know about lupus and rheumatoid arthritis is that there are diseases where people make auto antibodies that target different parts of them. body. We know those autoantibodies happen before individuals come in to see their doctor with these diseases and they predict development of the disease. There's been small studies that have been done that suggests that taking hydroxychloroquine before someone who gets a disease, let's say they have their very high risk for the disease, they have a relative who has rheumatoid arthritis or lupus or they have some initial signs of those diseases. And these early studies suggested that they may well prevent development of the full blown disease. And actually this idea of using hydroxychloroquine early before people develop clinical disease has also now part of large clinical trials in both individuals at high risk for rheumatoid arthritis. And a study for people at high risk for lupus and the rheumatoid arthritis study is called stop ra where individuals who have auto antibodies or have relatives and are at various high risk for the disease or start on hydroxychloroquine early and they're following them to see if they develop rheumatoid arthritis or if hydroxychloroquine actually prevents the disease. at trial that we were talking about what would be a good intervention to use to try to stop that progression from stage one to stage two and stage three, what would be safe enough for us to give children and people who were otherwise healthy, and also had made sense from an immunology point of view, and that's why we chose hydroxychloroquine. What we're doing in this trial is thinking about how type 1 diabetes starts, and that stage one where there's two or more autoantibodies, but normal blood sugar, and our goal is to stop at that point so that we can maintain a normal blood glucose and stop beta self destruction. The goal is to delay conversion to stage two and that would be having auto antibodies and abnormal glucose tolerance and to maintain that current level of beta cell function. And so the way we design this study was to actually look for individuals who are participating in the trial on that pathway to prevention, who we know have two or more auto antibodies, but still have normal glucose tolerance. So they're stage one. And because this drug has been used in in young children, we're able to start as early as age three. But we also are including adults as well. This is a study where it is placebo control, two out of every three participant will get the study drug, and the others, one third, we'll get received the placebo. This is really important in clinical trials, because we have to know not only if the drug works, but we also need to make sure that it doesn't cause harm. And this placebo control group helps us know both of those answers. This is a randomized trial. So a computer randomly selects who gets the study drug, and it's double blinded. That means no one knows Who is in which group until the end of the study and that includes the clinical coordinators, physicians who are participating in working with study participants. So some of the details and safety has become an issue that's much more on people's mind because of the use of hydroxychloroquine in the setting of COVID-19. And I can speak particularly to that as well. But let's first start by remembering that hydroxychloroquine has been used for over 60 years and is FDA approved for pregnant women and children. When we started considering the use of this drug. We worked within TrialNet with a group of infectious disease experts for study design, and we also monitor all the side effects throughout the study. Importantly, we know from treating particularly patients with lupus and rheumatoid arthritis, that adverse outcomes or safety issues are linked to the dose of the drug being used, the length of time that it's used other medications that a patient may be on. So when we do this study, we screen people who are participants for potential complications at the time that we randomize them. But we continue to follow for those at the time of the study. And I can go into more detail about this. Since we've been recruiting for this study. For over a year. Now, we now have a very good sense as well, not only from historical results with our patients from the rheumatology clinics, but also from the individuals participating in this trial. And just a few things about this trial. So, participants, this is a capsule that's taken by mouth as instructed. And our goal is to have people in this study taking this drug until they progress to stage two, that's the abnormal glucose tolerance, or stage three, which is diabetes onset. So it's it's a study where the participants are in it for several years. They have an initial study, visit, followed by three months, six months, and then every six months we see the participant in the study visits last three to four hours. And of course, all of our treatments and exams are provided at no cost. Here we have one of our study participants, Laila who's for taking her study medication, and you can check out her video online. Just a little bit about how to participate. The first step is to enter pathway to prevention, which is the TrialNet study where anyone aged two and a half to 45, who has a sibling, a child or a parent with Type One Diabetes is encouraged to participate and be screen. But we also broaden that to include not just your parents or siblings or children, but also Uncles, aunts, nieces and nephews. And we have quite a large group of participants in this and this gives us the ability to screen to see if you would be a person who has those two auto antibodies and would be qualify for this study. And to do that you can visit the trial on that site that we do home At home test kit. So this can much of this initial work can be done at home. And then we can have you in touch with people to understand if you would be a good participant for this. So I'm going to take questions now and I will go into more depth about hydroxychloroquine safety and try to answer other questions. The first question is, do you have any intervention trials currently recruiting? And so this is actually a really interesting question because TrialNet always wants to have intervention trials ongoing. So we have a series of trials in nuance at type 1 diabetes, and then we had just opened another trial in individuals who had to auto antibodies and abnormal glucose tolerance. Some of those trials are on hold, and that is because of the covid 19 pandemic there has been concerned about using medications that may suppress the immune response. So currently We are following the patients who have already received treatments. But we are not bringing on new subjects at this time. I would say our goal is to do that once we have a better understanding about how to move forward. But really interestingly, hydroxychloroquine is not considered immunosuppressive we started that trial in the summer of 2019. And we have continued that trial throughout the pandemic because it was felt that it did not put our our subjects at increased risk. And of course, at one point, there was thought that it may be helpful. We have asked our participants to continue taking their medications as prescribed throughout this period with the COVID-19. Yeah, so one of the questions is Could this be of any benefit to long standing diabetes patients who have no c peptide? And part of this issue is this beta cells that are stunned, so may be able to recover? That's one of those really interesting areas, and I think that the jury is out on that. Part of the reason that we decided to study hydroxychloroquine in these individuals who are in stage one is we think the role that hydroxychloroquine may play may stop the immune system, what we know is the immune system gets activated, and then it's a little bit like a steamroller, increasing and increasing in its aggressiveness against the body and against particularly the beta cell. And our hope was to stop it early before it picks up too much speed. And that's what we think hydroxychloroquine doesn't mean that it might not be helpful in this setting where we may have beta cells that are our stun and and it may become useful in individuals where once we've cooled down the auto immune response, maybe with another medication, that this may be a drug that we could use long term to maintain that kind of tolerance or quiescent stage. So I think we'll we'll have a better idea when this first trials done. Yeah, so the next questions is have have we seen any patient with negative side effects that you've heard so much about, and I know a lot of people are nervous because of what they've heard on the news, and so I kind of wanted to relate our experience. The first thing I could say is that we have our experience with our subjects in this trial, but as a rheumatologist, I have been prescribing this drug for, I hate to say it, but almost 30 years. So I've been been taking care of patients with lupus and rheumatoid arthritis who have been taking hydroxychloroquine throughout my career, because this is a drug that's been used for a long time. And I'd also like to say those patients take the drug, many of them for 10 or 20 years. So my experiences that and our experience with our subjects in this trial is that some people do have some side effects. Most of them tend to be more like some mild gi upside, initially, maybe a side effect. We also have to watch out for the eyes in this setting. We know that long term use of this drug can impact the eyes, so participants get regular eye exams as part of the study. So if there's any problem, we capture that quickly, and we have ophthalmologists who help us with that. There's also been concerns about cardiac arrhythmias with this drug. And that's been, you know, highlighted in the setting of COVID-19. I think it's important in that setting to understand that dose matters. And in some of those clinical trials, where we saw cardiac arrhythmias in COVID-19 patients, the doses were higher than we are using. The second point is that those individuals are under are extremely ill and in fact, are having some potential cardiac problems as part of their disease. So I think that's really quite different than what we see in a pattern in our patients in this trial and what I see with my patients with rheumatic diseases, that being said, the other issue is when you give this drug with other drugs that can aggravate or bring out a potential a rasmea We have been very careful throughout this study to have a large list of medications, we track those. And if it if one of our study subjects takes a medication we think could complicate it, we may hold the drug for a while. Right? And then one of the questions is about the dose, and we do select a dose for patients based on their weight in size. And the dose that our patients, if they're a full sized adult would take would be the same as the dose that I would be giving a lupus or an RA patients, for example. The next question is, is there any promise here that if beta cells are replaced in someone who has diabetes that hydroxychloroquine could prevent those new beta cells from being killed off? It's another really great question that we think about a lot at trial that, you know, again, I think with islet cell transplant, or pancreas transplant, you're probably going to need a stronger medication to control the immune response against that transplant. So at this point, I would say it could help After that initial immune response was controlled, but probably not initially, I would suggest that we would need a stronger immune suppressant drug because it's a transplant. I have a question about Can I tell you about why I think hydroxychloroquine will delay and prevent onset of type one. So that is one of those very interesting questions. So we've been using, as I said, hydroxychloroquine in the setting of lupus and rheumatoid arthritis for I think, 40 years in Rheumatology and myself for 30 years, and we've learned a lot about the immune system over the last 40 years. So when it was first used, really no one knew why it worked. They just knew it worked. And of course, that's the most important thing for patients. What's happened as we've gotten smarter about immunology is people have devseloped a much better understanding particular about why hydroxychloroquine work and lupus We think the auto antibodies are triggering an inflammatory response. And hydroxychloroquine actually acts within the cells to stop that triggering of the response. It's something called toll like receptor activation. So we think it, it stops some of that kind of unusual or abnormal activation of the immune system. But it also has an impact on how the immune system kind of shows that something's foreign and you should attack it. And hydroxychloroquine can actually impact the ability of presenting what we call self antigens to the immune system. And I think that's a really important part of this communication. There's a communication between B cells and T cells that I think it's really vital that it's impacting, and that's why I think it's going to be important in people who only have two auto antibodies but haven't moved further yet. One of the things we might think about doing after this trial is to even go earlier for those people who only have one auto antibody, who may not get Type One Diabetes if we could get in there even sooner, and we think that might be a good place to intervene. The question is, how long after diagnosis can be enrolled in a new onset study and each study that we do we have a particular plan to enroll for new onset. And so I think that is important to be in touch with TrialNet and find out what study would suit you if you have been very recently diagnosed. There are typically some studies that quite a few studies that enroll but we also are interested in some studies where people who've had diabetes for a while may help us understand the disease better. One of the other questions is have we thought about trying this in stage two or stage three, and we have not we have talked about where we think this drug would be most effective, and we thought stage one or even the single autoantibody high risk individuals would be where it would be be most effective. So we wanted to do that trial first. And if it's effective there, we would obviously then think about moving in into later stages. Those are all the questions I've seen. I really appreciate that you've taken the time to spend with us today. To hear a little bit about this study. I'd like to encourage anyone who has more questions or is interested in participating in any of the studies and trial mat, whether that's pathway to prevention, or one of our clinical trials to please contact TrialNet. Thank you very much, and I hope you have a great rest of your day.   Announcer  24:40 You're listening to Diabetes Connections with Stacey Simms.   Stacey Simms  24:46 More information and if you'd like to watch that as well, I will link it all up at Diabetes connections.com. But as usual, with our episodes beginning in 2020, we are providing transcripts for all of these episodes. So if you know somebody who would rather read Then listen, go ahead and check it out. And if that's maybe you, you can go back. And listen, I'm trying to add in more transcripts for previous episodes, but it is from January of 2020. On if you're looking for that, and I have a question for you, and I have a deal for you. So stick around for just a moment. But first diabetes Connections is brought to you by Dexcom. And we started with Dexcom. Back in the olden days before share, gosh, we've been with them for a long time. So trust me when I say using the share and follow apps make a big difference. Benny, and I set parameters now but when I'm going to call him how long to wait, that kind of stuff. It helps us talk and worry about diabetes less. You know, if he's asleep over away on a trip, it gives me so much peace of mind. It also helps if I need to troubleshoot with him because we can see what's been happening over the last 24 hours and not just at one moment. The alerts and alarms that we set also help us from keeping the highs from getting too high and help us jump on Lowe's before there were a big issue. Internet connectivity is required to access separately Dexcom follow app to learn more, go to Diabetes connections.com and click on the Dexcom logo.   So I said I had a question and a deal. So here's the question. What do you think of episodes like this, where it's not an interview, but I'm bringing you information that has been, you know, already put in the world via a Facebook Live or somebody giving a speech or a conference presentation, whether it's virtual or in person? Do you want to hear more of that I've done this sporadically over the years. Personally, I love it because I can't catch all the stuff that's going on right now. I did not see this Facebook Live as it was live. But I wanted to make sure to catch the information. So if this is something that works for you, let me know because I'd love to reach out to more diabetes organizations that are doing things like this and see if we can give a kind of a second life to some of the stuff that they've done. We don't want it to be one and done right if it goes out there once did it work for you? Is it okay that you didn't see her She did have slides. I listened without the slides. And I didn't think it really made a big difference to me. But if it did to you, if you felt confused, let me know. I'll see if I can grab the PDFs from JDRF. I'm not quite sure how to share those in the show notes. But hey, we can try. So that's the question. And the deal is the world's worst diabetes mom is on sale. And this is kind of a two fold thing. So it's on sale at the website at Diabetes connections.com. If you use the promo code FFL2020. That was for friends for life, the virtual conference that happened earlier this month, that promo code will save you $4 off of the cover price. Again, it's FFL2020. And Amazon has also dropped the price of the paperback as of this taping. Amazon doesn't alert you when it does this. It just it just does it and I have a feeling it's because of the special we ran in the sales were making on the website, but they dropped it as well. And if you're a Prime member, of course you get free shipping. So I sign books that come through the website. I can't see seiner personalized books that go through Amazon, but it's on sale in both places. No promo code needed on Amazon do not know how much longer it'll be for sale like that on Amazon. But the ffl 2020 promo code is only good till the end of July. So go get it. Speaking of friends for life, the next episode should be just a couple of days from now I'm working on a bonus episode of the faithful Woods squares. This was the game show that I did it friends for life, and we're putting out video form but I'm also going to put it in podcast form just to cover all the bases. So hopefully that'll be out in just a couple of days. And you can enjoy that it really was fun. I'm so glad it turned out well, what are we going to do next? I got more requests to do Hollywood Squares again or FIFA with squares. I usually do a take off of NPR is a Wait, wait, don't tell me as we don't poke me. But I'm kind of thinking about doing some kind of Family Feud? Stacey Simms  28:53 All right. Let me know what you think. Thanks, as always to my editor John Bukenas of audio editing solutions. Thank you so much. much for listening. I'm Stacey Simms. I'll see you back here for our next episode until then, be kind to yourself.   Benny  29:11 Diabetes Connections is a production of Stacey Simms Media. All rights reserved, All wrongs avenged

July 28, 2020: Drex DeFord is behind the wheel today to share the news with you so buckle up. Big stories, CHI Franciscan and Virginia Mason come together with CommonSpirit, 10 ways COVID has changed healthcare, the telemedicine revolution deferred and hackers … dude your phone’s on fire. We’ll also talk about Zoom shirts and concerns over data security and privacy when working from home.Key Points:Washington-based health systems, CHI Franciscan and Virginia Mason come together with CommonSpirit [00:05:00]The techniques and methodologies for patient's safety [00:06:45] Steve Shihadeh’s blog Chiefly Commercial [00:07:30]Top 10 ways COVID-19 is changing the US healthcare system [00:07:35] More CMS mandates [00:07:55] Politico article “Telemedicine Revolution, Deferred” [00:10:30] WFH concerns over data security and privacy [00:15:05] NY Times article “The Video Call is Starting, Time to Put On your Zoom Shirt” [00:16:20]Hackers using USB chargers to destroy your phone [00:17:25]

A live interview webinar with audience Q&A – the second in our “Leadership Through Crisis Interview Series” featuring Virginia Mason President, Sue Anderson, along with Eli Quisenberry, director of Virginia Mason's Kaizen Promotion Office. They are interviewed by our Senior Transformation Sensei Chris Backous. Learn about the important role leaders play in empowering improvement teams.

This week we hear from Monique and Dr. Susie Woo Ambassadors for the American Heart Association. February is Heart Health Awareness month. It's all about life style and with taking this month to focus on it, we can begin, or continue good healthy steps. Dr. Susie Woo is a cardiologist with Virginia Mason, and along with Monique Shields---a woman who represents very many of us--women with some history of heart disease in the family, and very possibly dealing with high blood pressure. Monique made some positive changes in her life 2 years ago to incorporate some form of exercise, or activity, along with paying greater attention to the foods she was eating. Dr. Woo supports all of us making these changes, and living a preventive life style. There are 2 luncheons that help raise awareness: Friday Feb 28 at the Westin in Seattle; Wednesday March 11, at the Hotel Murano in Tacoma. https://www.heart.org/en/affiliates/washington/puget-sound

February is Heart Health Awareness month. Dr. Susie Woo is a cardiologist with Virginia Mason, and along with Monique Shields---a woman who represents very many of us--women with some history of heart disease in the family, and very possibly dealing with high blood pressure. It's all about life style and with taking this month to focus on it, we can begin, or continue good healthy steps. Monique made some positive changes in her life 2 years ago to incorporate some form of exercise, or activity, along with paying greater attention to her diet. Dr. Woo supports us making changes, and living a preventive life style. Friday, February 7 is Wear Red Day. It helps raise awareness, so wear the Red. There are 2 luncheons that help raise awareness: Friday Feb 18 at the Westin in Seattle; Wednesday March 11, at the Hotel Murano in Tacoma. www.heart.org

Dr. Alvaro Lucioni answers FAQ re: the Virginia Mason FPMRS Fellowship Program https://www.virginiamason.org/fpmrs Host: Rena Malik, M.D., @RenaMalikMD on Instagram & Twitter, https://www.RenaMalikMD.com

Fresh off their annual Northwest Metastatic Breast Cancer Conference, we hear from Komen Puget Sound's Executive Director David Richart and Conference Co-Chair Teri Pollastro. Komen Puget Sound has been working to end Breast Cancer in the Northwest for 27 years and by hosting this annual conference they are focusing on when breast cancer metastasizes in other parts of a patient's body. The conference brings together the top local and national researchers and clinicians from organizations including Fred Hutch, SCCA, Swedish, Virginia Mason and NCI to speak to and help MBC patients. Learn more online at www.komenpugetsound.org and watch highlights from the conference on their Facebook page: https://www.facebook.com/KomenPugetSound/

How can a person who lives with multiple sclerosis, Crohn’s disease, lupus, or arthritis communicate their experiences to people who do not live with these or other autoimmune diseases? Town Hall Seattle and Benaroya Research Institute presented The Body Lives Its Undoing—a reflection in poetry and visual art. Engaged in an interactive program featuring poet and parent Suzanne Edison, and other researchers, artists, physicians, patients, and caregivers. Join us for a delve into personal perspectives on the world of autoimmunity. Proceeds from all book sales at this event will support medical research at the Benaroya Research Institute at Virginia Mason, www.BenaroyaResearch.org Suzanne Edison is a poet, educator and mother of a child with a rare autoimmune disease. She has led writing workshops for those living with chronic illness, as well as reflective writing sessions for medical professionals and the public. Edison’s work can be found in The Body Lives its Undoing and several anthologies including The Healing Art of Writing, Volume One, and in numerous medical journals. Presented by Town Hall Seattle and the Benaroya Research Institute as a part of the 2019 Homecoming Festival. Recorded live at The Forum at Town Hall Seattle on September 18, 2019. 

The Waterworks for MenGuest: Dr. Darin Lang, Internist and Geriatrician at Sanford Health. Trained at Virginia Mason in Seattle and Emory University for Geriatrics in Atlanta. Darin was born and raised in North Dakota. He’s been in his current practice at Sanford Health for 15 years working in outpatient Internal Medicine, nursing home care, and as a hospitalist. He is also the Internal Medicine Department Chair and an associate professor of medicine at the University of North Dakota School of Medicine and Geriatrics program. Dr. Lang is married and has 3 sons. BPH = Benign Prostatic Hyperplasia. Affects older males and is an increase in the number of cells of the prostate, resulting in an enlarged prostateSymptoms are urinary frequency, urgency, nocturia (waking at night to urinate), hesitancy, straining, slowed stream force, dribbling or obstructionAlcohol, caffeine, and some over the counter medications can worsen symptoms (especially cold medicines)Treatment:Lifestyle changes include avoiding alcohol, caffeine and limiting fluids after evening mealMedications: alpha blockers such as doxazosin and tamsulosin work quickly. Add on therapy - 5alpha reductase inhibitors (take months to work by shrinking the prostate)Specialty physicians called Urologists are involved for procedures and more invasive evaluationHealth Pearl: Value of playFollow us on Facebook and Twitter. If you’re enjoying the podcast, please write a review - this helps other listeners find us!

While the need for their expertise is greater than ever, a shortage of rheumatologists has become a crisis in our communities. Patients are often waiting months to see a specialist or driving hundreds of miles while battling excruciating pain and the uncertainty of an autoimmune disease. In this edition of Docs Talk, Dr. Amish Dave, MD, a Virginia Mason rheumatologist and King County Medical Society board member, speaks with host Josh Kerns about the current state of the crisis and proposes some short and long term changes to help mitigate the shortage.

Disrespect in the workplace often mirrors our broader culture. Clearly, there is a cost of disrespect in the workplace as performance declines and disrespected staff take it out on their coworkers and customers. Bill Hybels challenged us at the Summit that it starts with the leader. All people are created by God and have intrinsic value and should be treated with respect. He challenged leaders to create a written code of respect that is taught in the workplace. Do you have a written code of respect in your organization? Do you know anyone who does? I thought you might be interested to hear about an organization that has done exactly that! Today we have the pleasure of talking with Kathy Shingleton, Vice President of Human Resources for Virginia Mason Medical Center based in Seattle. Virginia Mason is a 6,000 employee health care organization known nationally and internationally as a quality leader in healthcare. I've known Kathy for several years. She provided tremendous support for the Compensation and Benefits Committee of the Board, which I chaired. Find full show notes here  http://blog.bcwinstitute.org/s3e18-kathy-shingleton

Tarot cards and intuitive healing… Virginia Mason, Reiki Master, psychic healer, and founder of Fleeting Connections (a wellness company offering private services, events, and content designed to connect you more deeply with these experiences in your own life, shake you from the stories that hold you back and open you to your most fulfilling, magical life – (profile)) joins Julie Chan for a conversation about intuitive healing, tarot cards, and the intersection with science. Plus Mason gives Chan a tarot card reading that reveals some big news. Recorded at the MouthMedia Network Studios, powered by Sennheiser.Discovering tarot, Buddhism, and anthropology Mason laments the issue with the word psychic, describes her background in science and physical anthropology, how she was strict Atheist, and went from non-profit to real estate, realized her life outside of these things in alternative wellness modalities, and found she had so many dreams that came true. How she was struggling with diseases, and all of symptoms went away. What was a primary driver to her exploring, when she was introduced to “When Things Fall Apart”, and she finally identified with Buddhism and got into meditation, Shambala. Crossing into the healing, how more and more evidence built, and creating space for whatever wants to come in to come in. Interest in anthropological factors from culture to anatomy, what’s fueling all of it, how she spent a lot of time in philosophy classes in college. Looking at people, pulling from different perspectives to figure them out, and another lens. The tarot as a form of divination using cards, tied to a game in the 1400’s. Overcoming skepticism, tarot as a mirror, and seeing patterns How she originally thought tarot was weird, but was into trying things, felt connected to pictures on the cards, and telling a story. How tarot creates a boundary, pulls from information that’s flowing. How mason is able to give intuitive reading without cards, but it is less draining to use the cards. Skepticism, and the way you’re supposed to receive your first tarot cards. The way tarot acts as a mirror, helping you see context or a story. Overcoming skepticism, applying skepticism to her own tarot experiences, seeing patterns helped eliminate her skepticism, and how it is not her job to alleviate their skepticism. Something is happening with the cards, but when you see something they are a mirror, and show you what you need to see. Is it a self-fulfilling prophecy? Bringing attention to something, is that all there is or is it that attention needs to be brought to it? How Mason feels there is something happening in the world, and see it in the patterns and wishes science could explain more thoroughly.Staying open, physical healing through tarot, and a tarot card reading brings a revelation How people take the info—prescriptive as only a path forward vs. guidance. People are scared of the cards, but there are choices we make in our free will. Nothing is rigid, and when people are rigid is when it doesn’t make sense. Staying open is important. And the most important advice in receiving a tarot reading. Card guidance, what science could and should look at with tarot. Plus, physical healing through tarot and meditation? Is tarot connected to health care? A tarot card reading for Chan reveals some huge news. A pursuit of balance, peace and connections. Action oriented creative ambitions. A conflict, from career to domestic life, and loving the mother card. And the role of intuition in interpreting favorite cards, something important is confirmed, and a product line on the way.

In this 46-minute podcast conversation, we meet Dwight Sutton, who came to Bainbridge Island in 1971 and has since served our community in uncountable ways. He shares his insights about what makes for a great community, and why community values matter. He explains what initially drew him to Bainbridge Island, and how he initially commuted daily to his work as director of the Virginia Mason research center and as a faculty member of the University of Washington Medical School. And he offers many stories and anecdotes about the history of our island from the 1970s to the present. Dwight reflects on the gratification of supporting local organizations. And, he tells stories about life as a City Council member in the 1990s and as our City's mayor from 1997 through 2001. Dwight is an engaging story teller, and he shares with us some of his fondest memories about what makes Bainbridge such an engaging community. But he also has a couple of anecdotes about local events when we weren't at our best. Among Dwight's stories in this podcast -- mostly about Bainbridge at its best (but a couple of instances otherwise) -- are: the odd case of the 1970s ferry commuter with a portable typewriter; early campaigns since the 1980s to preserve open space; the history that led to the founding of IslandWood; efforts to preserve our farming traditions; positive and negative attitudes of local residents toward City government; what happened on the City Hall commons after the 9/11 attack; big anxieties and the subsequent success of the City's proposed traffic circle; and examples of islanders avoiding the cynicism affliction and achieving community successes. Credits: BCB host, audio editor and social media publisher: Barry Peters

In this 46-minute podcast conversation, we meet Dwight Sutton, who came to Bainbridge Island in 1971 and has since served our community in uncountable ways. He shares his insights about what makes for a great community, and why community values matter. He explains what initially drew him to Bainbridge Island, and how he initially commuted daily to his work as director of the Virginia Mason research center and as a faculty member of the University of Washington Medical School. And he offers many stories and anecdotes about the history of our island from the 1970s to the present. Dwight reflects on the gratification of supporting local organizations. And, he tells stories about life as a City Council member in the 1990s and as our City's mayor from 1997 through 2001. Dwight is an engaging story teller, and he shares with us some of his fondest memories about what makes Bainbridge such an engaging community. But he also has a couple of anecdotes about local events when we weren't at our best. Among Dwight's stories in this podcast -- mostly about Bainbridge at its best (but a couple of instances otherwise) -- are: the odd case of the 1970s ferry commuter with a portable typewriter; early campaigns since the 1980s to preserve open space; the history that led to the founding of IslandWood; efforts to preserve our farming traditions; positive and negative attitudes of local residents toward City government; what happened on the City Hall commons after the 9/11 attack; big anxieties and the subsequent success of the City's proposed traffic circle; and examples of islanders avoiding the cynicism affliction and achieving community successes. Credits: BCB host, audio editor and social media publisher: Barry Peters

Hawks Playbook Podcast Episode 20 - Training Camp Primer Open:This weekend marks the opening of the Seattle Seahawks Training Camp at the Virginia Mason practice facility in Renton, Washington.  In today’s show, Bill and Keith will focus on what questions should be answered by the end of camp. Who we think will step up, and who we think might fall. News: Russell Wilson visited China - Russell’s promoting a brand and being a football ambassador with tons of kids in tow and multiple stops in the country.  Treyvone Boykin had part of his legal troubles dismissed as no criminal misconduct was found in the case that was most serious against him and would have been a possible probation violation and landed Boykin a serious fine, and even additional time in jail.  Featured Segment: Training Camp Camp is finally here, which means that we have nonstop football to talk about from now until the clock ticks to zero time left in the Super Bowl     • Where is it? What is it and why should you figure out a way to attend at least one practice session each year?     • Who are our starting 5 offensive linemen and where will they line up.     • Who is likely to win the running back camp battle between Lacy and Rawls?      • Can Shaq Griffin emerge from camp and the #2 corner opposite of Richard Sherman?     • Prediction: Camp surprises: Who is the biggest surprise to make the 2017 roster? And Who is the biggest surprise cut by the end of camp? Close: Thanks for listening to the show again this week. Find us on the Hawks Playbook website as well as by subscribing on iTunes and Blog Talk Radio. You can find Keith (@MyersNFL) and Bill (@NWSeahawk) on Twitter. The Podcast Twitter is @HawksPlaybook. 

Dr. Nathan Aranson a vascular surgeon at Virginia Mason in Seattle helps us break down some of the high yield questions you can expect to see regarding vascular surgery on the ABSITE. If you have ABSITE tips feel free to send them our way. (Kevin@behindtheknife.org) Up next will be some of our basic science topics. 

Small mistake on the last podcast.....editing error and I guess we can call that a near-miss!  It is has been corrected! Unfortunately the full BTK team was unable to make it down to LA this year for the American Society of Colon and Rectal Surgeons meeting, but we were able to track down a few people to talk to who not only attended the conference, but also had a hand in planning! We are first joined by Drs. Kyle Cologne from USC and Anjali Kumar from Virginia Mason to discuss the social media presence at the conference, research awards, and finally some of the conference highlights.   Then we are joined by own Dr. Scott Steele and Dr. Josh Bleier from UPenn to talk about the popular Rectal Ca panel! Just a reminder, the app for the ASCRS 2016 meeting can be found on iTunes, which includes the entire program and most of the slides from the talks.  On the fascrs.org website, they will also have links to the narrated slide shows from the meeting.  ASCRS also has an online education module called CREST (ColoRectal Education System Template) which is available to members.  Check it out!!

From BCB... http://bestofbcb.org/wu-172-mindfulness-for-teens-august-9/ A retreat for teens on Mindfulness is being offered Sunday, August 9th at the Bainbridge Island Bodhi Center.  This is an opportunity for teens to sample meditation techniques to focus, balance, “stay the course”and excel while under pressure from SAT's to sports performance to dating. In this podcast, facilitator Cezanne Allen, M.D.joins Jennifer Waldron in the BCB studio to talk about what is mindfulness meditation and the value of creating a retreat day just for teens.   Mike Tomberg, M.D., a local family doctor at Virginia Mason is also co-facilitating this retreat. Teens are invited to join Cezanne and Mike on August 9th from 10:00am - 3:30pm.  For more information and to register, go to bainbridgebodhicenter.com.   Credits:   BCB host:   Jennifer Waldron; BCB tech assistant: Finn Mander; BCB audio editor: Tim Bird; BCB Publisher Diane Walker.

Kateri nació en un pueblo cerca de Auriesville, Nueva York en el año 1656 y era hija de un luchador de la tribu Mohawk. Ella tenía cuatro años cuando su madre murió de rubéola. Esta enfermedad también atacó a Kateri y desfiguró su rostro. Luego de este evento que marcó toda su vida Kateri fue adoptada por sus dos tías y su tío. Kateri se convirtió al catolicismo durante su adolescencia. Ella fue bautizada a los veinte años y esto ocasionó una gran hostilidad hacia ella por parte de su tribu. Aunque tuvo que sufrir grandemente por su fe, ella se mantuvo firme en sus creencias. Después de un tiempo Kateri se fue a una nueva colonia indígena en Canadá. Allí, ella vivió una vida dedicada a la oración, a la penitencia y al cuidado de los enfermos y ancianos. Cada mañana, aun durante los inviernos más fuertes, ella se instalaba frente a la puerta de la capilla hasta que la abriesen, a las cuatro de la mañana, y se mantenía ahí hasta la ultima misa del día. Kateri era muy devota a la Eucaristía y a Jesús Crucificado. Murió el 7 de Abril de 1680 a la edad de 24 años y es conocida como la Flor de Pascua de los Mohawks. A la devoción de Kateri se le atribuye el establecimiento de ministerios para las tribus indígenas en las Iglesias católicas de los Estados Unidos. Kateri fue declarada venerable por la Iglesia Católica en 1943 y fue beatificada en 1980. Miles de personas han visitado sus santuarios, erguidos en San Francisco Javier y en Caughnawage, lugar natal en Auriesville, Nueva York. Hoy en día siguen habiendo grandes peregrinaciones a estos lugares históricos y de gran importancia espiritual. Fue beatificada el 22 de junio de 1980. Santa Kateri Tekakwitha es la primera Indígena Americana declarada beata. Su festividad se celebra el 14 de julio en los Estados Unidos, el martirologio la recuerda el 17 de abril. Ella es considerada patrona de la naturaleza y de la ecología tal como San Francisco de Asís. Aprobado milagro para su canonización No sucedió en un lugar remoto, en circunstancias confusas, ni hace cientos de años... pasó en 2006, en Estados Unidos, en el país mejor comunicado del mundo, en el Hospital Infantil de Seattle y la cámara hiperbárica del centro médico Virginia Mason, bajo la supervisión de un equipo pediatra e interdisciplinar. Su protagonista, Jake Finkbonner, tenía cinco años y estuvo a punto de morir, pero milagrosamente vive... y si no pasa nada extraño vivirá muchos años, y contará su testimonio bien adentrado el siglo XXI. El milagro sucedió en 2006 y hace tiempo que se conocía, pero solo este lunes 19 de diciembre de 2011 el vicepostulador de la causa de Kateri Tekakwitha confirmó que éste es el milagro aceptado en la Congregación de la Causa de los Santos para canonizar a la joven india. Los expertos médicos del proceso de canonización y los que atendieron a Jake, según parece probado, no saben por qué se curó el niño. Todo empezó cuando Jake tenía cinco años y, jugando al baloncesto en su ciudad de Sandy Point, se cayó al suelo y se hizo una herida en la boca. Por esa herida entró la bacteria Fasciitis necrocitante, también llamada Strep A, y, de forma más popular, la "bacteria devoradora de carne". En realidad no come la carne pero genera toxinas que disuelven los tejidos a gran velocidad y a menudo la única forma de salvarse es cortar con rapidez el miembro infectado; así perdió su pierna en 1994 el antiguo primer ministro de Quebec, Lucien Bouchard, o quedó sin brazo en 2004 el Nobel de física Eric Allin Cornell. La madre de Jake, Elsa Finkbonner, lo explica con claridad: "lo normal es que la gente adquiera esta enfermedad en una extremidad, y la solución más simple es amputar. Pero no podías hacer eso por Jake, porque la infección estaba en su cara". Cada día los doctores del Hospital Infantil de Seattle cortaban más y más trozos de piel y tejidos, pero la enfermedad avanzaba. Cada día llevaban al niño a la cercana cámara hiperbárica del centro Virginia Mason: el oxígeno debía ayudar a ralentizar el proceso. Pero la enfermedad no se detenía. Se extendió por el cuello y por los hombros. Cada día los médicos pensaban que el niño iba a morir, pero seguían actuando contra toda esperanza. Mientras tanto, Elsa y su marido Donny rezaban por su hijo. Donny es miembro de la nación india lummi, también llamada Lhaq´temish, de los que quedan unos 5.000, y que son católicos en su mayoría desde que fueron evangelizados por los oblatos en el siglo XIX. Muchos viven en una pequeña península en la costa pacífica, cerca de la frontera de Canadá, y sus ancestros controlaban en esas costas e islas, un pueblo de mar y canoas. Fueron los médicos los que recomendaron a los Finkbonner que llamaran a su sacerdote. El padre Tim Sauer atendía la parroquia de la reserva lummi y dos parroquias más. El padre Sauer llamó al capellán del hospital, conocido suyo, que le dijo "bien, padre, es muy posible que Jake ya no esté aquí mañana". Así entendió que Jake podía morir en cualquier momento. El padre Sauer pensó en la beata Kateri Tekakwitha, hija de un indio mohawk y una india algonquina raptada, cuyo rostro había quedado marcado por la viruela en su infancia, y que dedicó toda su juventud a orar y cuidar enfermos. Se dice que cuando murió, las marcas de su rostro desaparecieron, y todos los enfermos que había estado cuidando se curaron milagrosamente en el día de su funeral. Kateri es patrona de los indios, así que Tim Sauer animó a los padres a rezar pidiendo su intercesión. Lo mismo hicieron en sus tres parroquias, incluyendo la de la nación lummi, y mucha otra gente alertada por los parroquianos. Y la enfermedad remitió. Se detuvo la corrupción de tejidos y desapareció el peligro de muerte. Quedaron las cicatrices y el rostro deformado. Todavía no circulan declaraciones públicas del equipo médico sobre lo que pasó, pero sí ha hablado el vicepostulador de la causa, Paul A. Lenz: "ellos [los médicos de Seattle y los de la comisión del Vaticano] no creen que su habilidad médica fuese la cura; cada noche pensaban que Jake iba a morir". Hoy Jake estudia en Bellingham, en la Assumption Catholic School, y le atrae ser cirujano plástico, pero también arquitecto. Su madre dice que "le emocionará ver al Papa, sería la guinda del pastel para él". Sigue jugando a baloncesto y le gustan los videojuegos. Y tiene un consejo para los que sufren enfermedades que pueden ser mortales. "No os asustéis en absoluto. En cualquier caso, será algo bueno. Si vais al Cielo, estaréis en un lugar mejor. Si vivís, volveréis con vuestra familia", asegura con tranquilidad. Fuente: catholic.net Los videos se encuentran en www.magnificat.tv Otros canales de comunicación de Magnificat TV de los Franciscanos de María: Podcast:http://goo.gl/FRhNmS Youtube : http://goo.gl/slj8LL Twitter: https://twitter.com/MagnificatTV Facebook: https://www.facebook.com/Magnificattv

Joining me today for Episode #204 is Paul Plsek (@PaulPlsek) and we're talking about his excellent book (a Shingo Research Award recipient this year) titled Accelerating Health Care Transformation with Lean and Innovation: The Virginia Mason Experience. Virginia Mason, of course, is Virginia Mason Medical Center, the outstanding Lean organization that was named "Hospital of the Decade" by Leapfrog Group. In our discussion, we touch on topics including how you can be Lean AND innovative, how an organization and people can LEARN to be innovative, and what is the health system board's role in this innovation and improvement strategy? I think you'll enjoy the discussion (and the book!). You can learn more about Paul, his book, and his work at his website: www.directedcreativity.com. For a link to this episode, refer people to www.leanblog.org/204. For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes. Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.com

A returning guest for episode #132, we are joined today by author and professor Bob Emiliani. Today, we are chatting about some videos he recently posted to his website... 10 year old videos that document executives from Virginia Mason Medical Center, now considered a leader in Lean healthcare, visiting a Lean manufacturing company, Wiremold. You can view the videos on Bob's site or via this blog post of mine - http://leanblog.org/virginiamason. In the podcast, Bob reflects on those videos and we talk about some of the lessons learned - what healthcare executives can learn about Lean leadership from manufacturing leaders. To point others to this, use the simple URL: www.leanblog.org/132. You can find links to posts related to this podcast there, as well. Please leave a comment and join the discussion about the podcast episode. For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes. If you have feedback on the podcast, or any questions for me or my guests, you can email me at leanpodcast@gmail.com or you can call and leave a voicemail by calling the "Lean Line" at (817) 776-LEAN (817-776-5326) or contact me via Skype id "mgraban". Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.